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HomeMy WebLinkAboutContract 49313-FP1 btg67 89r �► 1�j City Secretary o. �p�0 Contract No. x9313 -FPl Q. �6O�h O� FORTWORTH, Cate Received Oct 9,2018 3 t�0V 8 9 c; 19 L 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: STONE CREEK RANCH PHASE 6B City Project No.: 100893 Improvement Type(s): Water IR Sewer Z Original Contract Price: $814,287.96 Amount of Approved Change Order(s): $2,738.44 Revised Contract Amount: $817,026.40 Total Cost of Work Complete: $817,026.40 (5me 111)901/10 Gene DeVore(Aug 31,2018) Aug 31,2018 Contractor Date Project Manager Title RPM xConstruction Company Name n Jess Davis;yep 1h,2719; Sep 26,2018 Project Inspector Date khal Taafari Sep 27,2018 khat Jaalari(Sep?7,1019; P 'ect Mangier Date e S—I,tttt MQ—Ies(Sep 27,2018) Sep 27,2018 FA Manager Date Susan Mani,(Sep 27,101Sep 27,2018 Asst. City Manager Date Page 1 of 2 OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX Notice of Project Completion Project Name: STONE CREEK RANCH PHASE 6B City Project No.: 100893 City's Attachments Final Pay Estimate FA Change Order(s): ❑x Yes ❑ N/A Pipe Report: ❑x Yes ❑ N/A I+ Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 243 CD Days Charged: 348 Work Start Date: 9/6/2017 Work Complete Date: 8/20/2018 I .I f Ij II I! s i� Page 2 of 2 li f ii I. Szvo0:9--loo 3 City Project Numbers 100893 DOE Number 0893 Contract Name STONE CREEK RANCH PH 613 Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 8/28/2018 Project Funding E Project Manager NA City Secretary Contract Number Inspectors DICKINSON / DAVIS Contract Date Contractor RPMX CONSTRUCTION Contract Time 243 CD i 5208 TENNYSON PARKWAY SUITE 130 Days Charged to Date 348 CD j PLANO, TX 75024 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded f I� 1 i� Total Cost of Work Completed $$17,026.40 i1 Less %Retained $0.00 Net Earned $817,026.40 Earned This Period $817,026.40 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $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 $817,026.40 Tuesday,August 28,2018 Page 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name STONE CREEK RANCH PH 6B Contract Limits Project Type WATER&SEWER City Project Numbers 100893 DOE Number 0893 Estimate Number I Payment Number I For Period Ending 8/28/2018 CD City Secretary Contract Number Contract Time 24ED Contract Date Days Charged to Date 348 rl Project Manager NA Contract is 100.00 Complete ij Contractor RPMX CONSTRUCTION R 5208 TENNYSON PARKWAY SUITE 130 PLANO, TX 75024 `I Inspectors DICKINSON / DAVIS (j I I l w� Tuesday,August 28,2018 Page 1 of 4 �J City Project Numbers 100893 DOE Number 0893 Contract Name STONE CREEK RANCH PH 6B Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 8/28/2018 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ------------------------------------------ I TRENCH SAFETY 4578 LF $0.42 $1,922.76 4578 $1,922.76 2 DUCTILE IRON WATER FITTINGS 5.2 TN $11,400.04 $59,280.21 5.2 $59,280.21 W/RESTRAINT 3 8"WATER PIPE 4578 LF $29.12 $133,311.36 4578 $133,311.36 4 FIRE HYDRANT 8 EA $4,134.00 $33,072.00 8 $33,072.00 5 1"WATER SERVICE 120 EA $780.00 $93,600.00 120 $93,600.00 6 8"GATE VALVE 10 EA $1,575.60 $15,756.00 10 $15,756.00 7 CONNECTION TO EXISTING 4"-12"WATER 6 EA $2,220.40 $13,322.40 6 $13,322.40 MAIN 8 1"WATER SERVICE TAP EX.8"MAIN 2 EA $2,232.30 $4,464.60 2 $4,464.60 9 1"WATER SERVICE CO!#1 I EA $780.00 $780.00 1 $780.00 --------------------------------------- Sub-Total of Previous Unit $355,509.33 $355,509.33 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --—————————————————————————--———————————- I POST CCTV INSPECTION 4653 LF $1.04 $4,839.12 4653 $4,839.12 2 MANHOLE VACUUM TESTING 44 EA $156.00 $6,864.00 44 $6,864.00 3 TRENCH SAFETY 4653 LF $1.50 $6,979.50 4653 $6,979.50 4 4"SEWER SERVICE 122 EA $535.60 $65,343.20 122 $65,343.20 5 8"SEWER PIPE 4548 LF $40.05 $182,147.40 4548 $182,147.40 6 8"SEWER PIPE CSS BACKFILL 105 LF $40.05 $4,205.25 105 $4,205.25 7 EPDXY MANHOLE LINER 86.6 VF $223.60 $19,363.76 86.6 $19,363.76 8 T MANHOLE 43 EA $3,536.00 $152,048.00 43 $152,048.00 9 4'DROP MANHOLE 1 EA $4,992.00 $4,992.00 1 $4,992.00 10 T EXTRA DEPTH MANHOLE 81.9 VF $156.00 $12,776.40 81.9 $12,776.40 11 MANHOLE ADJUSTMENT C093 1 EA $1,958.44 $1,958.44 1 $1,958.44 Sub-Total of Previous Unit $461,517.07 $461,517.07 Tuesday,August 28,2018 Page 2 of 4 City Project Numbers 100893 DOE Number 0893 Contract Name STONE.CREEK RANCH PH 6B Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 8/28/2018 Project Funding Contract Information Snmmary Original Contract Amount $814,287.96 Change Orders Change Order Number 1 $780.00 Change Order Number 3 $1,958.44 Total Contract Price $817,026.40 Total Cost of Work Completed $817,026.40 Less %Retained $0.00 Net Earned $817,026.40 Earned This Period $817,026.40 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 $817,026.40 Tuesday,August 28,2018 Page 3 of 4 FORTWORTH TRANSPORTATION AND PUBLIC WORDS PIPE REPORT FOR: PROJECT NAME: Stone Creek Ranch Phase 6B PROJECT NUMBER: 100893 DOE NUMBER: WATER PIPE LAID SIZE TYPE OF PIPE LF Water 8" PVC C 900 4578 Water 1" Copper Service 120 FIRE HYDRANTS: 8 VALVES(16"OR LARGER) 0 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yes NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF Sewer 8" PVC C900 4548 Sewer CSS Backfill 8" PVC C900 105 Sewer Cleanout 4" PVC C900 122 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yes NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS 0 The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 m 1 m K O x � 0 z T Cp O C7 C7 C7 N• O0 < p z m - 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(D22 2 n \ 2 < > \ § z ( , § n � m / G § ) ' ® � ` z $ - ®\ } j \% 03 /\ > �nb`u�; FINAL BILLS PAID AFFIDAVIT THE STATE OF TEXAS COUNTY OF DENTON BEFORE ME, the undersigned authority, personally appeared (���. ��k \���� , '��� \�� (hereinafter referred to as "Contractor"), known to me to be a credible person, and after being by me duly sworn, upon oath stated and affirmed that: "M na \e is \A i�G� ��\\ \a and I am the Aw, 0"-� . of ��' � ` hereafter sometimes referred to in this affidavit as "Contractor". Contractor's business address is i- (>, V .The undersigned Contractor has personal knowledge of the facts stated herein and has full authority to make the agreements in this affidavit on behalf of Contractor. � Pursuant to and in raccordajice with a written construction contract between ,A .Kc . JNWA�-\ Contractor, and Owner, Contractor furnished materials and labor for the construction, renovation, or repair of imprQ•v ments ocated on or relating t� roject known as located a ,�� l�l�ng Vm,,lr, -i S i ,City of 4 County,Texas.All work provided for under said written-construction contract,together with all changes and supplements thereto, has been fully completed in accordance with the terms and provisions thereof. Contractor has paid each of its subcontractors, laborers,suppliers and materialmen in full for all labor and materials provided to Contractor for or in connection with the construction, renovation, or repair of improvements on or relating to the subject Property, or any portion thereof,excepting only the amounts owed for the following specified bills to the persons identified below.Contractor warrants and represents that the following specified bills will be paid to Contractor by Owner in reliance on this Final Bills Paid Affidavit: Name of Payee Address Telephone No. Amount Owed ( � rl1Yl' L Y�Y4� C jcx Irt3S. 5-1 �r7 loI q-C.)Q. u3 4111 01)0- Other than the above specified bills owed to the above referenced persons, Contractor is not aware of any unpaid bills, claims,demands, or causes of action by any of its subcontractors, laborers,suppliers, or materialmen for or in connection with the furnishing of labor or materials, or both, for the construction, renovation, or repair of improvements located on or related to the subject Property. In consideration of the funds paid to Contractor by Owner and by Lender on behalf of Owner in reliance on this affidavit, Contractor waives and releases all of Contractor's statutory and constitutional mechanic's lien rights connected with the construction of the Project, conditioned on the actual payment or collection if payment is made by check or draft. Contractor further understand that this Final Bills Paid Affidavit is being given pursuant to and in accordance with Sections 53.085 and 53.259 of the Texas Property Code and that the intentional, knowing, or reckless making of a false or misleading statement in this Affidavit constitutes an offense under said Section and is a Class A misdemeanor. Contractor hereby indemnifies and holds harmless Owner from any and all claims, demands or causes of action, and any costs, expenses, and attorney's fees incurred in connection therewith, arising from or connected with,the RAProject Management\Public\AlVIY\Affidavit of Bills Paid-Final.doc Name of Payee Address Telephone No. Amount Owed', S til 1 V �� l� , fir 4 -T C k�rov y JMR � 1 statements and representations contained herein." EXECUTED this1 �\ day of ' 2018. N ' -1, e- u—� LLC By: Printed Name: ATTEST: Title:' S S) Printed N;irne: THE STATE OF TEXAS COUNTY OF C '1) Before me, the undersigned authority, on this day personally appeared\A 11 �� M\A-, who first being duly sworn by me to be the person whose name is subscribed to the foregoing Final Bills Paid Affidavit, acknowledged that he/she has the authority to make this Final Bills Paid Affidavit, and further acknowledged to me that he/she executed the same for the purpose and consideration therein expressed. GIVEN UNDER MY HAND AND SEAL OF OFFICE, on this th1 day of 20 Notar� NPu is in and f r they State of`TE-XAS (NOTARY SEAL) Printed Name: ��`�`'ti ���CF1 ������'`�• Commission Expires: h 13 lC� 1 l RAProject Management\Public\AMY\Affidavit of Bills Paid-Final.doc CONSENT OF OWNER SURETY COMPANY ARCIII'1'1iC"I' TO FINAL PAYMENT CONTRACTOR SURETY AIA DOCUMENT G707 OTIIE;R Bond No. 2260557 PROJECT: Stone Creek Ranch,Phase 6B,City Project No. 100893 (name,address) TO(Owner) [ City of Fort Worth & ] ARCHITECT'S PROJECT NO: LGI Homes-Texas,LLC CONTRACT FOR: Construction ] CONTRACT DATE: CONTRACTOR: RPM xConstruction,LLC 5208 Tennyson Parkway,Suite 130 Plano,TX 75024 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (here insert name and address of Surety Company) North American Specialty Insurance Company 5200 Metcalf OPN111 Overland Park,KS 66202 , SURETY COMPANY, on bond of(here insert name and address of Contractor) RPM xConstruction,LLC 5208 Tennyson Parkway,Suite 130 Plano,TX 75024 , CONTRACTOR, hereby approves of the final payment to the Contractors, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to(here insert name and address of Owner) City of Fort Worth& LGI Homes-Texas,LLC , as set forth in the said Surety Company's bond. OWNER, IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 31st day of August 2018 North American Specialty Insurance Company Surety Company Attest: Signature of Authorized Representative // (Seal):F�1�'��L(,��w��� Andrea Rose Crawford Attorney-In-Fact Title NOTE: This form is to be used as a companion document to AIA DOCUMENT G706,CONTRAC'TOR'S AFFIDAVIT OF PAYMENT Of DEBTS AND CLAIMS, Current Edition AIA DOCUMENI'G707 CONSENTOF SURETY COMPANY TO FINAL.PAYMENT APRIL 1970 EDITION AIA ONE PAGES 1970 THE AMERICAN INSITru'TE OF ARCI IITECTS,1735 New York Ave..NW,WASI IINGTON,D.C. 20006 SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE CUiVIPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNONV ALL MEIN BY TIIESE PRLSIi.NTS.7 1 IA'I'North American Specialty insurance Company,a corporation duly organized and CxIsting un(!cr latus oNhe Slate of-New I lampshlrc,and having its principal of ice in the City,of Overland Park,Kansas and Washington International Insurance Company a corporation organized and existing under the laws ot'the State ot'Nety 1 Eannpshirc and having its principal office in the Cit-, oCOverland Park.Kansas,and Westport insurance Corporation,organized under the lairs of the State of Missouri,and hating its principal or Tice in the City of Overland Park,Kansas each docs hereby make,constitute and appoint: SAMNIY lOii MULLIS,JR.,JOIIN WILLIAM NI;Wl3Y,CtIHKI i_YNN tRtiY,AVILliI:RI'RAYNIONI)W'A'I'SON.MICI IAIiL t.. I ULLIS.SANDRA LLIi KONli�'.DIi131tA Lfir:MOUN, ANDREA ROSE CRAWFORD.MARY 10'/.AKRZEWSKI,JANIES It ROGERS.JR.,I ROY RUSSELL Kia',LINDA MICI II'.LLti S IALDER AND C!IR ISr(IN IER CARL tit;VDISIr.RCi lOR!'1.1'Uft Si',A'ICN,R1.l.t' Its true and lawful Attorney(s)-in-Fact,to snake,execute,scat and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf oicach of said Companies,as surety,on contracts ol'suretyship as are or may be required or permitted by lacy,regulation.contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of': ONE HUNDREI)TWENII`FIVE MILLION(S 125,000,00(1.00)DOI-I.ARS This Power ol'Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by[lie Boards of Directors of•North American Specialty Insurance Company and Washington international Insurance Company at meetings duly called and held Oil March 24,2000 and Westport Insurance Corporation by written consent of its Isccutire Committee dated July IS.2011. '•ItESOLV1iD,that any two of the President,any Senior Vice President,any Vice President,any Assistant Vice President. the Secretary or any Assistant Secretary be,and each or any of them hereby'is authorized to execute a Power ol'Altorneyqualifying the attorney named in the given Power of Attorney to execute on behalfof the Company bonds,undertakings and all contracts of'surety,and that each or any of then hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company: and it is FURTI ll;R RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Powcr ol'Auorney or to amcertificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal sh,Ill be binding upon the Company when so affixed and in the linure with regard to any bond.undertaking or contract ot'surety to which it is attached." ApttllllllfllApq� Jt>nwm:uuur;,,;,� ` �G1NUT-r�iv���r,� �F�P�ICNA(�� ,,� { yaaaa u«rte 0 CQR p4tROfi;{:SG ,c-61';PO�rs@ I3y. r 1 _ •' a ` �C`e7 , _meq•G TP.y #Z. Ste`N` '!�g $tc>cn .An cr>an._ m ce esr U us t:n;;tau mcrrtunnuu n.uru:mc Co:np.otc ✓��fiy~.'( U t SEAL :n- o O: n .0 Seninr Vlcr Presldcnl nr N rah\mcncun spccialt5 Innrrance('amp..n� FSEAL4 &Seninr t ice I'rc,idait.f U est t In.uranrc Cur '*'b t973 ry n` •. :c� P pur:rtinn ` Ig Nlik�' A,Ito,Senior VicePicardent rut >I i n-tun Intcrnaumnd Lrsurunc C npnuy R tiuiiar Vice 1'rexidcnt of KonL.1m iicnn Slxei:dty tnsur ce('ungrwp- rr'NiIIt13C°'� l Senior Vice(`resident of vV,xtp.rt Lxcurancr Carynratimi'i IN WITNESS WHEREOF,North American Specialty Insurance Company.Wanehington International Insurance Company and Westport Insurance Corporation have caused their official scats to be hereunto affixed,:and these presents to lie signed by their authorized of liccrs this this—20th_day of'_ August I'S North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook ss: On this 20th-day of August .70_11S.before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Connpany and Senior Vice President of Westport Insurance Corporation arid Michael A. ho Senior Vico:PCCSId=of Washington International Insurance Company and Senior Vice President of*North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation,personally known to rte,who beim by the duly sworn,acknowledged that they signed the above Power of Attorney as oflicers of and acknowledged said instrunnent to be the voluntary act and decd ol'their respective companies. Ut•I;tet%♦S.SEAL M KEN 7 M, Kcnnt.Notar Public 1.. .letlrey Goldberg the duly elected Vice President and Assistant Secretary ol'North American Specialty Insurance Connpan). Washin ton International Insurance Company and Westport Insurance Corporation do hereby certify that tae above and luregoing is a true and correct copy ofa Power of Attorney given by said North Anerican Specialty Insurance coulpan}',Washington International Insurance Company and Westport Insurance Corporation which is still in fail force and effect. IN WITNESS W111?RI:OF.I have set my hand and affixed the seals ofthe Companies this 31st da',of August ill I S Jcni GIIIJ11 rg V—Pr-dent >inn!ticerctan•of 11:>shuigton Intemauan;il ln:urnncc(lmtpany t!: Noah Arncnemt Spec:aity I...cur,,CYnnpany&v­Pres:dmv.L&,n,S m Ssaetary of%V',;pea 4t:wance C¢gluamo:: North American Specialty Insurance Company Washington International Insurance Company Westport Insurance Corporation TEXAS CLAIMS INFORMATION IMPORTANT NOTICE ADVISO IMPORTANTE In order to obtain information or make a complaint: Para obtener informacion o para someter un queja: You may contact Jeffrey Goldberg,Vice President Puede comunicarse con Jeffrey Goldberg,Vice — Claims at 1-800-338-0753 President—Claims,al 1-800-338-0753 You may call Washington International Insurance Usted puede Ilamr al numero de telefono gratis de Company and/or North American Specialty Insurance Washington International Insurance Company and/or Company's and/or Westport Insurance Corporation North American Specialty Insurance Company's and/or toll-free number for information or to make a Westport Insurance Corporation para informacion o complaint at: para someter una queja al: 1-800-338-0753 1-800-338-0753 You may also write to Washington International Usted tambien puede escribir a Washington Insurance Company and/or North American Specialty International Insurance Company and/or North Insurance Company and/or Westport Insurance American Specialty Insurance Company and/or Corporation at the following address: Westport Insurance Corporation al: 1450 American Lane 1450 American Lane Suite 1100 Suite 1100 Schaumburg,IL 60173 Schaumburg,IL 60173 You may contact the Texas Department of Insurance Puede escribir al Departmento de Seguros de Texas to obtain information on companies,coverages, para obtener informacion acerca de companias, rights or complaints at: coberturas,derechos o quejas al: 1-800-252-3439 1-800-252-3439 You may write the Texas Department of Insurance: Puede escribir al Departmento de Seguros de Texas: P.O.Box 149104 P.O.Box 149104 Austin,TX 78714-9104 Austin,TX 78714-9104 Fax: (512)475-1771 Fax: (512)475-1771 Web: httr):/1w%ivw.tdi.state.tx.us Web: htto://www.tdi.stat -_tx. us Email:ConsumerProtection@tdi.state.tx.us Email:ConsumerProtection@tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un or about a claim you should first contact the reclamo,debe comunicarse con el Washington Washington International Insurance Company and/or International Insurance Company and/or North North American Specialty Insurance Company and/or American Specialty Insurance Company and/or Westport Insurance Corporation. If the dispute is not Westport Insurance Corporation primero. Si no se resolved,you may contact the Texas Department of resuelve la disputa,puede entonces comunicarse Insurance. con el Departmento de Seguros de Texas. ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA This notice is for information only and does not Este aviso es solo para proposito de infromacion y no become a part or condition of the attached se convene en parte o condicion del documento document. adjunto. - Greensheet for Stone Creek Phase 6B CPN#100893 WS Adobe Sign Document History 10/15/2018 — — Created: 08/29/2018 - By: Shameka.Kennedy@fortworthtexas.gov Status: Signed Transaction ID: CBJCHBCAABAANyjlMpaxbLUyiapxryHipOBZWngm3NPU "Greensheet for Stone Creek Phase 6B CPN#100893 WS" Histo ry Document created by Shameka.Kennedy@fortworthtexas.gov 08/29/2018-10:14:25 AM CDT-IP address:209.194.29.100 C'• Document emailed to Gene DeVore (edevore@rpmxconstruction.com)for signature 08/29/2018-10:23:51 AM CDT �J Document viewed by Gene DeVore (edevore@rpmxconstruction.com) 08/29/2018-3:23:57 PM CDT-IP address:47.51.222.114 1 Document signing delegated to Amy Stavola (astavola@rpmxconstruction.com) by Gene DeVore (edevore@rpmxconstruction.com) 08/29/2018-3:29:24 PM CDT-IP address:47.51.222.114 C: Document emailed to Amy Stavola (astavola@rpmxconstruction.com)for signature 08/29/2018-3:29:24 PM CDT Document viewed by Amy Stavola (astavola@rpmxconstruction.com) 08/29/2018-3:30:32 PM CDT-IP address:173.226.162.50 �r Gene DeVore (edevore@rpmxconstruction.com) uploaded the following supporting documents: File Attachment 1 File Attachment 2 08/31/2018-2:45:30 PM CDT ✓: Document e-signed by Gene DeVore (edevore@rpmxconstruction.com) Signature Date:08/31/2018-2:45:30 PM CDT-Time Source:server-IP address:173.226.162.50 Document emailed to Jesse Davis Oesse.davis@fortworthtexas.gov)for signature 08/31/2018-2:45:34 PM CDT FORT WORTH. Adobe Sign r,TJ Shameka.Kennedy@fortworthtexas.gov replaced signerjesse.davis@fortworthtexas.gov with jesse.davis@Iamb-star.com 09/20/2018-8:25:06 AM CDT-IP address:209.194.29.100 w Document emailed to jesse.davis@Iamb-star.com for signature 09/20/2018-8:25:07 AM CDT y Document e-signed by Jesse Davis oesse.davis@fortworthtexas.gov) Signature Date:09/26/2018-8:06:43 AM CDT-Time Source:server-IP address:209.194.29.100 C'4 Document emailed to Randy Horton (randall.k.horton@fortworthtexas.gov)for approval 09/26/2018-8:06:48 AM CDT iJ Document viewed by Randy Horton (randall.k.horton@fortworthtexas.gov) 09/26/2018-9:49:43 AM CDT-IP address:209.194.29.100 Go Document approved by Randy Horton (randall.k.horton@fortworthtexas.gov) Approval Date:09/26/2018-9:51:13 AM CDT-Time Source:server-IP address:209.194.29.100 E,- Document emailed to khal Jaafari (khal.jaafari@fortworthtexas.gov)for signature 09/26/2018-9:51:16 AM CDT Document viewed by khal Jaafari (khal.jaafari@fortworthtexas.gov) 09/27/2018-2:38:09 PM CDT-IP address:209.194.29.100 Document e-signed by khal Jaafari (khal.jaafari@fortworthtexas.gov) Signature Date:09/27/2018-2:50:39 PM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Janie Scarlett Morales aanie.morales@fortworthtexas.gov)for signature 09/27/2018-2:50:43 PM CDT ;J Document viewed by Janie Scarlett Morales Oanie.morales@fortworthtexas.gov) 09/27/2018-2:52:13 PM CDT-IP address:209.194.29.100 y. Document e-signed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) Signature Date:09/27/2018-4:11:39 PM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 09/27/2018-4:11:44 PM CDT 5L Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 09/27/2018-4:45:28 PM CDT-IP address:209.194.29.100 Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:09/27/2018-4:45:52 PM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 09/27/2018-4:45:56 PM CDT FORTWORTH. : Adobe Sign Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 10/09/2018-10:59:08 AM CDT-IP address:209.194.29.100 c6c Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:10/09/2018-11:00:04 AM CDT-Time Source:server-IP address:209.194.29.100 C' Document emailed to therese.brotherton@fortworthtexas.gov for delivery 10/09/2018-11:00:05 AM CDT Q Shameka.Kennedy@fortworthtexas.gov replaced certified recipient therese.brotherton@fortworthtexas.gov with Zelalem Arega-Okay to final (Zelalem.Arega@fortworthtexas.gov) 10/09/2018-12:09:24 PM CDT-IP address:209.194.29.100 Document emailed to Zelalem Arega-Okay to final (Zelalem.Arega@fortworthtexas.gov)for delivery 10/09/2018-12:09:24 PM CDT Document viewed by Zelalem Arega-Okay to final (Zelalem.Arega@fortworthtexas.gov) 10/11/2018-2:20:02 PM CDT-IP address:209.194.29.100 Document receipt acknowledged by Zelalem Arega-Okay to final (Zelalem.Arega@fortworthtexas.gov) Receipt Acknowledgement Date:10/11/2018-2:21:06 PM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Julie A Geho oulie.geho@fortworthtexas.gov)for delivery 10/11/2018-2:21:08 PM CDT 1 Document viewed by Julie A Geho Qulie.geho@fortworthtexas.gov) 10/11/2018-2:23:06 PM CDT-IP address:209.194.29.100 Document receipt acknowledged by Julie A Geho Oulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:10/11/2018-2:23:21 PM CDT-Time Source:server-IP address:209.194.29.100 C'a Document emailed to Monica De Anda (monica.deanda@fortworthtexas.gov)for delivery 10/11/2018-2:23:23 PM CDT Document viewed by Monica De Anda (monica.deanda@fortworthtexas.gov) 10/15/2018-9:49:51 AM CDT-IP address:209.194.29.100 bc. Document receipt acknowledged by Monica De Anda (monica.deanda@fortworthtexas.gov) Receipt Acknowledgement Date: 10/15/2018-9:50:03 AM CDT-Time Source:server-IP address:209.194.29.100 c; Document emailed to Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov)for delivery 10/15/2018-9:50:04 AM CDT Document viewed by Sylvia Kelley (tpwcfafiscal@fortworthtexas.gov) 10/15/2018-9:55:12 AM CDT-IP address:209.194.29.100 60, Document receipt acknowledged by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date: 10/15/2018-9:55:27 AM CDT-Time Source:server-IP address:209.194.29.100 FORTWORTH. eSi Adobe Sign Signed document emailed to Jesse Davis Qesse.davis@fortworthtexas.gov),jesse.davis@Iamb-star.com, Amy Stavola (astavola@rpmxconstruction.com),Allison Tidwell (cso_finalpay@fortworthtexas.gov), and 11 more 10/15/2018-9:55:27 AM CDT FORT WORTH. „: y Adobe Sign