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HomeMy WebLinkAboutContract 48148-FP2 City Secretary 49148 -FP2 Contract No. FoRTWORTH, Date Received Oct 4,2018 5"4(0 01- / 66 (01a NOTICE OF PROJECT COMPLETION (Developer Projects) The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: Project Name:WATERSBEND SOUTH PH 1A City Project No.: 100612 Improvement Type(s): Water ® Sewer Fx Original Contract Price: $954,574.15 Amount of Approved Change Order(s): $6,660.00 Revised Contract Amount: Total Cost of Work Complete: $961,234.15 E Sep 24,2018 Contractor n Date Office Manager Title Jackson Construction,Ltd Company Name A44h'' Oct 3,2018 Project Inspector Date Oct 3,2018 Ficd Ehia 003,T018) Project Manager Date (79hie�Sra /1o1-ak Oct 3 2018 Janie Scarlett Morales(Oct 3,2018) CFA Manager Date smm,m,Alyuk, Oct 4 2018 Susan Alanis;Oct a,20181 1 Asst. City Manager Date i RECEIVED Page 1 of 2 pu -9 2018 CITY SECRETARY CITY OF FORT WORTH IFT.WORTH,TX CIN SECRETARY Notice of Project Completion Project Name:WATERSBEND SOUTH PH 1A City Project No.: 100612 City's Attachments Final Pay Estimate 0 Change Order(s): ❑x Yes ❑ N/A Pipe Report: M Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid i Consent of Surety Statement of Contract Time Contract Time: 270 CD Days Charged: 390 Work Start Date: 8/14/2017 Work Complete Date: 9/8/2018 I. �Ir u u i Page 2 of 2 S'�(oO1 to o (cl a City Project Numbers 100612 DOE Plumber 0612 Contract Name WATERSBEND SOUTH PH I Estimate Number 1 Contract Limits Payment Number I Project Type WA'T'ER&SEWER For Period Ending 9/7/2018 �I Project Funding i Project Manager NA City Secretary Contract Number Inspectors DICKINSON / GREENWOOD Contract Date Contractor JACKSON CONSTRUCTION LTD Contract Time 180 CD 5112 SUN VALLEY DRIVE Days Charged to Date 390 CD FORT WORTH, TX 76119 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded ----- -------- -- — i Total Cost of Work Completed $961,234.15 Less %Retained $0.00 Net Earned $961,234.15 Earned This Period $961,234.15 Retainage This Period $0.00 Less Liquidated Damages 0 Days @a $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $961,234.15 Friday,September 14,2018 Page 5 of 5 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name WATERSBEND SOUTH PH IA Contract Limits Project Type WATER&SEWER City Project Numbers 100612 DOE Number 0612 Estimate Number 1 Payment Number 1 For Period Ending 9/7/2018 CD City Secretary Contract Number Contract Time 18ED Contract Date Days Charged to Date 390 Project Manager NA Contract is 100.00 Complete Contractor JACKSON CONSTRUCTION LTD 5112 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors DICKINSON / GREENWOOD Friday,September 14,2018 Page 1 of 5 i City Project Numbers 100612 DOE Number 0612 Contract Name WATERS13END SOUTH PH lA Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 9/7/2018 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ------—.—----._-------------------------------- 1 8"PVC WATER PIPE 1997 LF $28.00 $55,916.00 1997 $55,916.00 2 12"PVC WATER PIPE 3582 LF $55.00 $197,010.00 3582 $197,010.00 3 8"GATE VALVE&VALVE BOX 11 EA $1,100.00 $12,100.00 11 $12,100.00 4 12"GATE VALVE&VALVE BOX 9 EA $2,200.00 $19,800.00 9 $19,800.00 5 STD FIRE HYDRANT ASSEMBLY W/6"GATE 6 EA $3,800.00 $22,800.00 6 $22,800.00 VALVE&VALVE BOX 6 DUCTILE IRON WATER FITTINGS 3.6325 TN $8,500.00 $30,876.25 3.6325 $30,876.25 W/RESTRAINT 7 TRENCH SAFETY 5579 LF $0.10 $557.90 5579 $557.90 8 1"DOMESTIC WATER SERVICES 78 EA $820.00 $63,960.00 78 $63,960.00 9 1"IRRIGATION WATER SERVICES(CO 92) 4 EA $820.00 $3,280.00 4 $3,280.00 10 CONNECTION TO EXISTING 12"W.L.STUB 2 EA $795.00 $1,590.00 2 $1,590.00 11 12"W.L.END&PLUG I EA $320.00 $320.00 1 $320.00 12 8"W.L.END&PLUG 8 EA $175.00 $1,400.00 8 $1,400.00 13 4"CONDUIT PVC SCH 40(T)(CO#2) 300 LF $14.00 $4,200.00 300 $4,200.00 -------------------------------------- Sub-Total of Previous Unit $413,810.15 $413,810.15 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ---------------------------------------- 1 8"SDR 26 PVC SEWER PIPE 5495 LF $39.00 5214,305.00 5495 $214,305.00 2 REMOVE 8"SEWER LINE 1296 LF $13.50 $17,496.00 1296 $17,496.00 3 SDR-26 4"SEWER SERVICES 88 EA $960.00 $84,480.00 88 $84,480.00 4 4'STD MIA MANHOLE 30 EA $4,300.00 $129,000.00 30 $129,000.00 5 4'DIA DROP MANHOLE 1 EA $6,200.00 $6,200.00 1 $6,200.00 6 EXTRA DEPTH FOR 4'DIA MANHOLE 100 LF $380.00 $38,000.00 100 $38,000.00 7 REMOVE 4"DIA MANHOLE 4 EA $920.00 $3,680.00 4 $3,680.00 8 8"PVC SANIATARY SEWER PIPE W/CSS 308 EA $66.00 $20,328.00 308 $20,328.00 BACKFILL 9 TRENCH WATER STOP 19 EA $300.00 $5,700.00 19 $5,700.00 10 TRENCH SAFETY 5495 LF $1.00 $5,495.00 5495 $5,495.00 11 POST CCTV INSPECTION 5495 LF $2.00 $10,990.00 5495 $10,990.00 Friday,September 14,2018 Page 2 of 5 City Project Numbers 100612 DOE Number 0612 Contract Name WATERSBEND SOUTH PH IA Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 9/7/2018 Project Funding 12 EPDXY MANHOKE LINER 2 EA $175.00 $350.00 2 $350.00 13 END&PLUG 7 EA $25.00 $175.00 7 $175.00 14 CONNECT TO EXISTING 5'DIA MANHOLE 2 EA $2,500.00 $5,000.00 2 $5,000.00 15 CONNECT TO EXISTING 8"SEWER I EA $800.00 $800.00 1 $800.00 16 VACUUM TEST MANHOLES 31 EA $175.00 $5,425.00 31 $5,425.00 Sub-Total of Previous Unit $547,424.00 $547,424.00 --------------------------------------- Friday,September 14,2018 Page 3 of 5 City Project Numbers 100612 DOE Number 0612 Contract Name WATERSBEND SOUTH PH IA Estimate Number I Contract Limits Payment Number I Project Type WATER R SEWER For Period Ending 9/7/2018 Project Funding Contract Information Summary Original Contract Amount $954,574.15 Change Orders Change Order Number 2 $6,660.00 Total Contract Price $961,234.15 Total Cost of`York Completed $961,234.15 Less %Retained $0.00 Net Earned $961,234.15 Earned This Period $961,234.15 Retainage This Period $0.00 Less Liquidated Damages Days @ !Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $961,234.15 Friday,September 14,2018 Page 4 of 5 x a C) 0 m o p z -n Cn * 0 n 0 n O m O o m I C) i= m D o ,� „ o 70 m z � 0 D z 0 -0 m m > z 0 C-- 0 O ova mmmm � � m a m m n O -I r C7 0 x ;u D C) r < < O m , O p 0 -1 -0 -0 O 0 -i m m m -� A O o > Z 0 0 m -I Z < v m v D o y m m D D .. O ` n D 0 o c i n1 n m -n D n n !?� z_ a G) -{ I z = � 0 z mm C Z I > { o -I O 0 C: m z -i 00 X 'U Z_ GG (n to <n o m N N O D G I V v i w m i o co (T Un (D 0 o m 'o N CJ7 Cn N O v y w o o N nw o o m0' o o g (n U m m n 7 o o o m o 0 0 acs - � 03 m v o o rn rn m m m n v O N N o < d N N Cl C� W ' co W W V O O O m O O < N y w p Q N w o h O O -i (D (D 0 0 o N Z Z m O O (o N i O C O O o -0 •--� O D W AA A O �1 w N m (n v, In < D 00 OJ c � O 0 o b6 0 � N 1 o W m N T „p p N 1� N 00 �I O O {' W C W W N l to w 0 0 0 w a O b m p 2 M D �{ Z 0 0 o N Z G7 o m 0 o 00 W (} W W m o oa0 m w c w w m w a +> p r G7 m y A w ) t/U1 0 0 o > l; 0 0 o N Z N O ` v0 Cl 0 < O --I 4 � § � 2 � in s . ,n } , { §§ k E § ho W- § o } _ m r { M0 0 }n■IEk ) ; �§)k \ 7 §§k§\ @ g , { 2/ % d / � \ q/ �nzn tn. \ §2 k « f mMM # Jk0 § ' � 02 §m k�2 m ( 9■§ k %S22LD \z o , ( / m k § � o m . � 7 m § d § § §\4)) o S88■� n m �§#_-4 ggs 8 I � i . . .� FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Watersbend South Ph.IA PROJECT NUMBER: 100612 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF C900-DR14 12" PVC 3582 C900-DR14 8" PVC 1997 FIRE HYDRANTS. 6 VALVES(16 OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: 1" Copper 78 EA. SEWER PIPE LAID SIZE TYPE OF PIPE LF SDR 26 8" PVC 5495 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: 4" PVC 88 EA. TRANSPORTATION AND PUBLIC WORKS � E The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TK 76012-6311 (817)392-7941 •Fax: (817)392-7845 DJACKSON CONSTRUCTION LTD. 5112 SUN VALLEY DRIVE FORT WORTH,TX 76119 TEL:817-572-3303 FAX:817-478-0443 II AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me,the undersigned authority,a notary public in the state i and county aforesaid, on this day personally appeared Troy L. Jackson, President Of Jackson Construction,Ltd, known to me to be a credible person,who being by me duly sworn,upon his oath deposed and said; That all persons,firms,associations,corporations,or other organizations furnishing labor and/or materials have been paid in full; That the wage scale established by the City Council in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Watersbend South PH I BY Troy . Jackson,President Subscribed and sworn before me on this date 27th of August,2018. Co Notary Pu is Tarrant,Texas CARMEN L. ESTEP Notary Public.State of Iexos =a, •'� Comm.Expires 04-06-2020 Notary ID 2910611 CONSENT OF SURETY OWNMZ a TO FINAL PAYMENT ARCHITECT o cOMIUCTOR - 0 .�4.lA.Dacuareent G707 svRsrx y )0 Bond No. BCD1054922 OTHER D TO OWNER: ARCHITECT'S PROJECT NO.: (NoveaudaddreW Lackland Holdings, LLC 3045 Lackland Rd. CONTRACr FOR.Water and Sewer Improvements Fort Worth TX 76116 PROJW = CONTRACT DATED: (lfdai„eonda OwW Watersbend South Phase 1 A/Fort Worth,TX I I In accordance with the provisions of the Contract between die owner and the Contractor as indicated alx we.,the fl.,sert Aantt and add,tsr ofSw�ry) The Hanover Insurance Company 440 Lincoln Street Worcester MA 01653 SURETY, on bond of (Inwnnaw and addnxsqfC,aw,n2aar) Jackson Construction, Ltd. 5112 Sun VaVey Drive Fort W—th TX 76119 CONTRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (l,xoettn mtaandaddn=ofOurn—j Lackland Holdings, LLC 3045 Lackland Rd. Fort Worth TX 76116 OWNER, as set forth in said Surety's bond. W WnNM WHEREOF,the Surety has hereunto set its hand on this date: August 27, 2018 fln;avi(n uv*IM t*montb fai-t-4 bt"b r muarerie dax a,mf}ear} The Hanover Insurance Company {S+�,rryj By: ts�gwrxrr tNborlxcd,rprrsrntati:rl Attest: Jack M Crowley Attorney-in-Fact (Sea))- (Afnm ,tame and tl*) Surety Phone No. 508-853-7200 x-4476 0707-1934 THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWER OF ATTORNEY THIS Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. KNOW ALL PERSONS BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation organized and existing under the laws of the State of Michigan,(hereinafter individually and collectively the"Company")does hereby constitute and appoint, Steven R.Foster,Jack M.Crowley and/or Tonle Petranek Of Willis of Texas,Inc.of Dallas,TX each individually,if there be more than one named,as its true and lawful attorneys)-in-fact to sign,execute,seal, acknowledge and deliver for,and on its behalf,and as its act and deed any place within the United States,any and all surety bonds,recognizances, undertakings,or other surety obligations.The execution of such surety bonds,recognizances,undertakings or surety obligations,in pursuance of these presents,shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company,in their own proper persons.Provided however,that this power of attorney limits the acts of those named herein;and they have no authority to bind the Company except in the manner stated and to the extent of any limitation stated below: Any such obligations in the United States,not to exceed Thirty Five Million and Noll 00($35,000,000)in any single instance That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company,and said Resolutions remain in full force and effect: RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and empowered to appoint Attorneys-in-fact of the Company,in its name and as it acts,to execute and acknowledge for and on its behalf as surety, any and all bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with powerto attach thereto the seal of the Company.Any such writings so executed by such Attomeys-in-fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons. RESOLVED:That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed;even though one or more of any such signatures thereon may be facsimile. (Adopted October 7,1981—The Hanover Insurance Company;Adopted April 14,1982—Massachusetts Bay Insurance Company;Adopted September 7,2001—Citizens Insurance Company of America) IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY,MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,this 12th day of February,2018. The Hanover Insurance Company The Hanover Insurance Company rAassachusetts Bay Insuhance Company r4assacFna M%13-Y Insurance company C lien Um ranee Company of Arocin_a Cit_izeennsr�I.� nce Campany.of Arica John C.Roche:EVP and President James H..YanviecE:i,Mice President THE COMMONWEALTH OF MASSACHUSETTS ) COUNTY OF WORCESTER )ss. On this le day of February,2018 before me came the above named Vice Presidents of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Coroorations. DIANE J. NAM"O lia=r so m.eiw�a,asrwww w c v.+.ra Ida"b iM< M.'Canun»>iin B<piraa Matih :K12. 1,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further.certity that the said Powers of Attorney are still in force and effect. GIVEN under my hand­a4d the seals of said Companies,at Worcester,Massachusetts,this 27thday of August,2018 CERTIFIED COPY - Tboo&w G.MmtiMm-Vicc Pre idem - Watersbend South Ph 1A CPN 100612 W&S Adobe Sign Document History 10/08/2018 W - Created: 09/17/2018 By: Etta Bacy(etta.bacy@fortworthtexas.gov) Status: Signed Transaction ID: CBJCHBCAABAAJA_BJrLhKQdk91ZSQNiBib9UItpuc3hL u "Watersbend South Ph 1A CPN 100612 W&S" History Document created by Etta Bacy(etta.bacy@fortworthtexas.gov) 09/17/2018-8:51:08 AM CDT-IP address:209.194.29.100 Document emailed to Carmen Estep (steveh@jacksontx.net)for signature 09/17/2018-8:57:21 AM CDT 5 Document viewed by Carmen Estep(steveh@jacksontx.net) 09/24/2018-9:17:39 AM CDT-IP address:75.140.225.246 �i Carmen Estep(steveh@jacksontx.net) uploaded the following supporting documents: v File Attachment 1 6 File Attachment 2 09/24/2018-4:01:35 PM CDT 0e, Document e-signed by Carmen Estep (steveh@jacksontx.net) Signature Date:09/24/2018-4:01:35 PM CDT-Time Source:server-IP address:75.140.225.246 E--. Document emailed to Matt Cain (mcain@multatech.com)for signature 09/24/2018-4:01:36 PM CDT Document viewed by Matt Cain (mcain@multatech.com) 10/02/2018-7:29:24 PM CDT-IP address:107.77.200.129 GSo Document e-signed by Matt Cain (mcain@multatech.com) Signature Date:10/03/2018-7:11:23 AM CDT-Time Source:server-IP address:209.194.29.100 2-4 Document emailed to Edward D'avila (edward.davila@fortworthtexas.gov)for approval 10/03/2018-7:11:24 AM CDT Document viewed by Edward Davila (edward.davila@fortworthtexas.gov) 10/03/2018-10:27:00 AM CDT-IP address:209.194.29.100 FORT WORTH. Adobe Sign Document approved by Edward Davila (edward.davila@fortworthtexas.gov) Approval Date: 10/03/2018-10:48:41 AM CDT-Time Source:server-IP address:209.194.29.100 C4 Document emailed to Fred Ehia (freidoon.ehia@fortworthtexas.gov)for signature 10/03/2018-10:48:43 AM CDT v Document viewed by Fred Ehia (freidoon.ehia@fortworthtexas.gov) 10/03/2018-11:10:14 AM CDT-IP address:209.194.29.100 C. Document e-signed by Fred Ehia (freidoon.ehia@fortworthtexas.gov) E-signature hosted by Etta Bacy (etta.bacy@fortworthtexas.gov) Signature Date:10/03/2018-11:12:54 AM CDT-Time Source:server-IP address:209.194.29.100 C's Document emailed to Janie Scarlett Morales Qanie.morales@fortworthtexas.gov)for signature 10/03/2018-11:12:57 AM CDT Document viewed by Janie Scarlett Morales Qanie.morales@fortworthtexas.gov) 10/03/2018-11:13:29 AM CDT-IP address:209.194.29.100 G . Document e-signed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) Signature Date:10/03/2018-11:15:03 AM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 10/03/2018-11:15:04 AM CDT Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 10/04/2018-8:50:46 AM CDT-IP address:209.194.29.100 bG. Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:10/04/2018-8:51:02 AM CDT-Time Source:server-IP address:209.194.29.100 C� Document emailed to Allison Tidwell (cso finalpay@fortworthtexas.gov)for filling 10/04/2018-8:51:05 AM CDT Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 10/04/2018-4:09:17 PM CDT-IP address:209.194.29.100 66 Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date: 10/04/2018-4:09:34 PM CDT-Time Source:server-IP address:209.194.29.100 04 Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 10/04/2018-4:09:35 PM CDT i� Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 10/05/2018-6:56:09 AM CDT-IP address:209.194.29.100 Cmc Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:10/05/2018-6:56:27 AM CDT-Time Source:server-IP address:209.194.29.100 FORTWORTH. Adobe Sign gn Document emailed to JAGeho (julie.geho@fortworthtexas.gov)for delivery 10/05/2018-6:56:28 AM CDT u Document viewed by JAGeho (julie.geho@fortworthtexas.gov) 10/05/2018-7:51:00 AM CDT-IP address:209.194.29.100 by, Document receipt acknowledged by JAGeho Oulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:10/05/2018-7:51:12 AM CDT-Time Source:server-IP address:209.194.29.100 ,- Document emailed to Monica De Anda (monica.deanda@fortworthtexas.gov)for delivery 10/05/2018-7:51:13 AM CDT 'Li Document viewed by Monica De Anda (monica.deanda@fortworthtexas.gov) 10/08/2018-2:21:50 PM CDT-IP address:209.194.29.100 v Document receipt acknowledged by Monica De Anda (monica.deanda@fortworthtexas.gov) Receipt Acknowledgement Date:10/08/2018-2:21:58 PM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Sylvia Kelley (tpwcfafiscal@fortworthtexas.gov)for delivery 10/08/2018-2:21:59 PM CDT Document viewed by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) 10/08/2018-2:33:54 PM CDT-IP address:209.194.29.100 Document receipt acknowledged by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:10/08/2018-2:34:05 PM CDT-Time Source:server-IP address:209.194.29.100 ' Signed document emailed to Allison Tidwell (cso_final pay@fortworthtexas.gov), Carmen Estep (steveh@jacksontx.net), Edward Davila (edward.davila@fortworthtexas.gov), Monica De Anda (monica.deanda@fortworthtexas.gov), and 8 more 10/08/2018-2:34:05 PM CDT FORT WORTH. 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