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HomeMy WebLinkAboutContract 50041-FP4 City Secretary 50041 -FP4 Contract No. t e FORT WORTH® Date Received Jan 29 2019 loo54.02- 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: CHISHOLM TRAIL RANCH SECTION 2 PHASE 2 City Project No.: 100542 Improvement Type(s): ® Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals Original Contract Price: $1,186,962.90 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $1,186,962.90 Jan 29,2019 RabTaylor(J 29,209) Contractor Date AR/Project Coordinator Title j Gilco Contracting,Inc. Company Name Nem Jan 29 2019 Neal Kine(Jan 29.2019) Project Inspector Date u(Jao 29,2019) Jan 29,2019 Project anager Date _7&h4, V�tt#19M a Janie Scarlett Morales(Jan 29,2019) Jan 29,2019 CFA Manager Date s ,4la.�i,� Susan Alanis(Jan 29.2019) Jan 29,2019 Asst. City Manager Date I Page 1 of 2 Notice of Project Completion Project Name: CHISHOLM TRAIL RANCH SECTION 2 PHASE 2 City Project No.: 100542 City's Attachments Final Pay Estimate i Change Order(s): ❑ Yes 0 N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety 1 Statement of Contract Time Contract Time: 168 CD Days Charged: 333 Work Start Date: 1/16/2018 Work Complete Date: 12/14/2018 i G j I I f i i i , N Page 2 of 2 t Sq6 I-/0o57�q.2 City Project Numbers 100542 DOE Number 0542 Contract Name CHISHOLM TRAIL RANCI I SECTION 2 PHASE 2 Estimate Number I i Contract Limits Payment Number I Project Type PAVING&STREET SIGN For Period Ending 1/29/2019 Project Funding Project Manager NA City Secretary Contract Number Inspectors OWEN / KEvIE Contract Date Contractor GILCO CONTRACTING,INC. Contract Time 168 CD 6331 SOUTHWEST BLVD. Days Charged to Date 333 CD BENBROOK, TX 76132-1063 Contract is .000000 Complete i CITY OF FORT WORTH �r SUMMARY OF CHARGES f l Line Fund Account Center Amount Gross Retainage Net — Funded --. . .. .. ........ .........- - — --- ----------- ------------- ------ ------------ ----- - - Total Cost of Work Completed $1,186,962.90 p Less %Retained $0.00 k� Net Earned $1,186,962.90 Earned This Period $1,186,962.90 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 $1,186,962.90 r Monday,January 28,2019 Page 6 of 6 r ! `NV IS FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name CHISHOLM TRAIL RANCH SECTION 2 PHASE 2 Contract Limits Project Type PAVING&STREET SIGN City Project Numbers 100542 DOL Number 0542 Estimate Number 1 Payment Number 1 For Period Ending 1/28/2019 CD I City Secretary Contract Number Contract Time 16ED Contract Date Days Charged to Date 333 Project Manager NA Contract is 100.00 Complete �uu Contractor GILCO CONTRACTING,INC. 6331 SOUTHWEST BLVD. ff, BENBROOK, TX 76132-1063 Inspectors OWEN / KIME it I �i ;i i I `r I i� Monday,January 28,2019 Page 1 of 6 City Project Numbers 100542 DOE Number 0542 Contract Name CHISHOLM TRAIL RANCH SECTION 2 PHASE 2 Estimate Number 1 Contract Limits Payment Number I Project Type PAVING&STREET SIGN For Period Ending 1/28/2019 Project Funding ON-SITE PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total - -- - - - - -- -- - - - - -- ----------- - ---- 1 6"CONCRETE PAVEMENT 18218 SY $31.45 $572,956.10 18218 $572,956.10 2 6"LIME TREATED SUBGRADE 19279 SY $2.85 $54,945.15 19279 $54,945.15 3 HYDRATED LIME 32@ LBS/SY 308 TN $155.00 $47,740.00 308 $47,740.00 4 BARRIER FREE RAMPS 26 EA $1,600.00 $41,600.00 26 $41,600.00 5 BARRIER FREE RAMPS 6 EA $1,900.00 $11,400.00 6 $11,400.00 6 CONNECT TO EX.CONCRETE PAVEMENT 116 LF $8.00 $928.00 116 $928.00 7 REMOVE END OF ROAD BARRICADE 4 EA $250.00 $1,000.00 4 $1,000.00 8 TRAFFIC CONTROL 1 LS $1,500.00 $1,500.00 1 $1,500.00 9 5'CONCRETE SIDEWALK 324 LF $23.25 $7,533.00 324 $7,533.00 10 CONCRETE HEADER 58 LF $10.00 $580.00 58 $580.00 11 END OF ROAD BARRICADE 2 EA $1,500.00 $3,000.00 2 $3,000.00 12 STRIPING 1 LS I Sub-Total of Previous Unit $743,182.25 $743,182.25 ON-SITE BREWER PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total - --------------------------------------- 1 BARRIER FREE RAMPS 2 EA $1,600.00 $3,200.00 2 $3,200.00 2 CONNECT TO EX CONCRETE PAVEMENT 29 LF $8.00 $232.00 29 $232.00 3 REMOVE END OF ROAD BARRICADE 1 EA $250.00 $250.00 1 $250.00 4 TRAFFIC CONTROL 1 LS 5 9"CONCRETE PAVEMENT 5377 SY $41.35 $222,338.95 5377 $222,338.95 6 8"LIME TREATED SUBGRADE 5735 SY $2.95 $16,91.8.25 5735 $16,918.25 7 HYDRATED LIME @ 42LBS/SY 120 TN $155.00 $18,600.00 120 $18,600.00 8 5'CONCRETE SIDEWALK 78 LF $23.25 $1,813.50 78 $1,813.50 9 6'CONCRETE SIDEWALK 1547 LF $27.90 $43,161.30 1547 $43,161.30 10 4"DOUBLE YELLOW THERMOPLASTIC STRIPE 600 LF $2.60 $1,560.00 600 $1,560.00 11 4"YELLOW THERMOPLASTIC STRIPE 380 LF $1.30 $494.00 380 $494.00 12 4"WHITE THERMOPLASTIC STRIPE 560 LF $1.30 $728.00 560 $728.00 13 24"WHITE STOP BAR 25 LF $16.50 $412.50 25 $412.50 14 REFLECTIVE RAISED PAVEMENTMARKINGS 160 EA $4.95 $792.00 160 $792.00 Monday,January 28,2019 Page 2 of 6 City Project Numbers 100542 DOE Number 0542 Contract Name CHISHOLM TRAIL RANCH SECTION 2 PHASE 2 Estimate Number I Contract Limits Payment Number I Project Type PAVING&STREET SIGN For Period Ending 1/28/2019 Project Funding Sub-Total of Previous Unit $310,500.50 $310,500.50 OFF-STYE BREWER PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 CONNECT TO EX CONCRETE PAVEMENT 29 LF $8.00 $232.00 29 $232.00 2 REMOVE END OF ROAD BARRICADE I EA $250.00 $250.00 1 $250.00 3 TRAFFIC CONTROL I LS 4 9"CONCRETE PAVEMENT 2115 SY $41.35 $87,455.25 2115 $87,455.25 5 8"LIME TREATED SUBGRADE 2260 SY $2.95 $6,667.00 2260 $6,667.00 6 HYDRATED LIME @ 42LBS/SY 48 TN $155.00 $7,440.00 48 $7,440.00 7 6'CONCRETE SIDEWALK 671 LF $27.90 $18,720.90 671 $18,72090 8 SAW CUT AND REMOVE EXISTING 6"CURB 230 LF $18.00 $4,140.00 230 $4,140.00 Sub-Total of Previous Unit $124,905.15 $124,905.15 ON-SITE STREET SIGN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total -------------------------- --------------- I STOP SIGNS 11 EA $350.00 $3,850.00 11 $3,850.00 2 STREET MARKER BLADES 24 EA $75.00 $1,800.00 24 $1,800.00 Sub-Total of Previous Unit $5,650.00 $5,650.00 ON-SITE BREWER STREET SIGN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------- ------------------------ — ---------- 1 STOP SIGNS I EA $350.00 $350.00 I $350.00 2 STREET MARKER BLADES 2 EA $75.00 $150.00 2 $150.00 Sub-Total of Previous Unit $500.00 $500.00 OFF-SITE BREWER STREET SIGN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I STREETSIGNS 5 EA $375.00 $1,875.00 5 $1,875.00 2 STOP SIGNS 1 EA $350.00 $350.00 1 $350.00 Monday,January 28,2019 Page 3 of 6 City Project Numbers 100542 DOE Number 0542 Contract Name CHISHOLM TRAIL RANCH SECTION 2 PHASE 2 Estimate Number I Contract Limits Payment Number I Project Type PAVING&STREET SIGN For Period Ending 1/29/2019 Project Funding Sub-Total of Previous Unit $2,225.00 $2,225.00 Monday,January 28,2019 Page 4 of 6 City Project Numbers 100542 DOE Number 0542 Contract Name CHISHOLM TRAIL RANCH SECTION 2 PHASE 2 Estimate Number I Contract Limits Payment Number I Project Type PAVING&STREET SIGN For Period Ending 1/29/2019 Project Funding Contract Information Summary Original ContractAmount $1,186,962.90 ChanIze Orders "Total Contract Price $1,186,962.90 Total Cost of Work Completed $1,186,962.90 Less %Retained $0.00 Net Earned $1,186,962.90 Earned This Period $1,186,962.90 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 $1,186,962.90 Monday,January 28,2019 Page 5 of 6 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Rob Taylor,AR/ Project Coordinator of Gilco Contracting, Inc., 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; Paving Improvements to serve: Chisholm Trail Ranch 7Seion 2 Phase 2 BY: Rob Tay r Subscribed and sworn before me on this 28th of January , 2019. CESILIA CANALES Notary ID#13 1652996 My Commission Expires ` lF pVr E July 24, 2022 Notary Public Tarrant County, TX CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 022058097 PROJECT: (name, address)Chisholm Trail Ranch Section 2 Phase 2-Paving Improvements Fort Worth TX TO (Owner) IWALTONDEVELOPMENT AND MANAGEMENT TX,� ARCHITECT'S PROJECT NO: LLC AND THE CITY OF FORT WORTH CONTRACT FOR: 5420 LBJ Freeway,Suite 790 Chisholm Trail Ranch Section 2 Phase 2-Paving Improvements c Dallas TX 75240 —J CONTRACT DATE: CONTRACTOR:GILCO CONTRACTING, INC. 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) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of (here insert name and address of Contractor) GILCO CONTRACTING, INC. 6331 Southwest Boulevard Benbrook TX 76132 , CONTRACTOR, hereby approves of the final payment to the Contractor, 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) WALTON DEVELOPMENT AND MANAGEMENT TX, LLC AND THE CITY OF FORT WORTH 5420 LBJ Freeway, Suite 790 Dallas TX 75240 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 28th day of January, 2019 LIBERTY MUTUAL INSURANCE COMPANY Surety Company Attest:Robbi Morales (Seal): Signature of Authorized Representative �- -Z-1 Soohinie Hunter Attorney-in-Fact Title NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition ONE PAGE 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. Liberty. Liberty Mutual Insurance Company utui . The Ohio Casualty Insurance Company Certificate No: 8200274 SURETY West American Insurance Company . POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Robbi Morales,Don E.Cornell,Sophinie Hunter,Tina McEwan,Ricardo J.Reyna Joshua Saunders Kelly A Westbrook all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attorney-in-fact to make, execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 11th day of January , 2019 Liberty Mutual Insurance Company P� INS(i V1 1( INSO,,p a tNSURq The Ohio Casualty Insurance Company ��J=ooar°Larotipm QJ=°o oRq�Pg2c' `VPooRvoRgr�2o West American Insurance Company > o m J 3 o cn Ca 91912 y i Z�1919 o a 1991 0 d� rgcHU5 -4 o �' s �NAMPS ,da� '<s rN°IANP .dD N 9x� * �� �y� * 1� dM * �� By: C: David M.Carey,Assistant Secretary .ter� State of PENNSYLVANIA ss � County of MONTGOMERY L iT 0 a) On this 11th day of January 2019 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance o o� Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such,being authorized so to do,execute the foregoing instrument for the purposes—I--- a) > therein contained by signing on behalf of the corporations by himself as a duly authorized officer. CC6i w IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. a) n L Q 0 TjTC`j, COMMONWEALTH OF PENNSYLVANIA Q L A 4q��S4�`F` Notarial Seal �2C�-� � 0 0 OF Teresa Pastella,Nctary Public � � � p Upper MerionTwp.,Montgomery County By: 0) C q _,-,i � My Commission Expires March 28,2oz� Teresa Pastella,Notary Public o Q "CTf� � y� Member,Pennsylvania Association o1 Notaries 0�3 This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual w rn o.S; Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: o>10 ARTICLE aS ARTICLE IV–OFFICERS:Section 12.Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President, and subject to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety >o Co c any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attorney,shall N > have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation.When so executed,such CO Z v instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under the Cl) provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. o 0 ARTICLE XIII–Execution of Contracts:Section 5.Surety Bonds and Undertakings. 0 Any officer of the Company authorized for that purpose in writing by the chairman or the president,and subject to such limitations as the chairman or the president may prescribe,H shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings, bonds,recognizances and other surety obligations.Such attorneys-in-fact subject to the limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company.When so executed such instruments shall be as binding as if signed by the president and attested by the secretary. Certificate of Designation–The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Authorization–By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I,Renee C,Llewellyn,the undersigned,Assistant Secretary,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power'of Attorney executed by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 28th day of January 2019 P�INsti P,•,( INS& 1- INSU4q �J 6°RP 0/2gr � yJ 4°RP ORgr 2 `JP GORP0 yc \' 4O K ? Fp 0 1912 0 1919 0 1991 0 �,99ssgcnu5``•C`da3 yo y� a�a"ya0 3 By: 4'/7 * �� ,,y�A*P da f �*" aa Renee C.Llewellyn,Assistant Secretary LMS-12873 LMIC OCIC WAIC Multi 00 062018 L*' erty Mi. il" SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una quej a: You may call toll-free for information or to Usted puede llamar al numero de telefono gratis j make a complaint at para informacion o para someter una queja al 1-877-751-2640 1-877-751-2640 You may also write to: Usted tambien puede escribir a: 2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste. 400 King of Prussia, PA 19406-2755 King of Prussia, PA 19406-2755 You may contact the Texas Department of Puede comunicarse con el Departamento de Insurance to obtain information on companies, Seguros de Texas para obtener informacion coverages, rights or complaints at acerca de companias, coberturas, derechos o 1-800-252-3439 quej as al 1-800-252-3439 You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros Consumer Protection (111-1 A) de Texas Consumer Protection(111 A A) P. O. Box 149091 P. O. Box 149091 Austin, TX 78714-9091 Austin, TX 78714-9091 FAX: (512) 490-1007 FAX# (512) 490-1007 Web: http://www.tdi.texas.gov Web: http://www.tdi.texas-gov E-mail: ConsLunerProtectiongtdi.texas. ov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a premium or about a claim you should first un reclamo, debe comunicarse con el agente o contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede j If the dispute is not resolved, you may contact the entonces comunicarse con el departamento (TDI) Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA: POLICY: This notice is for information only and does not Este aviso es solo para proposito de informacion become a part or condition of the attached y no se convierte en parte o condicion del document. documento adjunto. NP 70 68 09 01 LMS-1529210115 -�FnORTIL Greensheet for Chisholm Trail rcr_ --- _. Ranch Section 2 Phase 2 CPN#100542 P LL Adobe Sign Document History 01/29/2019 ---- Created: 01/28/2019 By: Shameka.Kennedy@fortworthtexas.gov Status: Signed Transaction ID: CBJCHBCAABAAuNgMrscKRpjuvoH9m2BkhwsJE1pTncIP "Greensheet for Chisholm Trail Ranch Section 2 Phase 2 CPN# 100542 P" History Document created by Shameka.Kennedy@fortworthtexas.gov 01/28/2019-11:38:46 AM CST-IP address:209.194.29.100 !-'' Document emailed to Rob Taylor Odt@gilcocontracting.com)for signature 01/28/2019-11:49:20 AM CST t Document viewed by Rob Taylor Qdt@gilcocontracting.com) 01/28/2019-11:53:22 AM CST-IP address: 107.77.197.215 6i Rob Taylor Qdt@gilcocontracting.com) uploaded the following supporting documents: (� File Attachment 1 File Attachment 2 01/29/2019-10:13:11 AM CST 1 p Document e-signed by Rob Taylor Qdt@gilcocontracting.com) Signature Date:01/29/2019-10:13:11 AM CST-Time Source:server-IP address: 12.246.109.114 P-4 Document emailed to Neal Kime (neal.kime@fortworthtexas.gov)for signature 01/29/2019-10:15:49 AM CST Document viewed by Neal Kime (neal.kime@fortworthtexas.gov) 01/29/2019-12:28:51 PM CST-IP address: 174.206.39.118 6p Document e-signed by Neal Kime (neal.kime@fortworthtexas.gov) Signature Date:01/29/2019-12:30:10 PM CST-Time Source:server-IP address: 174.206.39.118 Document emailed to Edwin R. Rodriguez, Sr. (edwi n.rod riguez@fortworthtexas.gov)for approval 01/29/2019-12:30:11 PM CST FORS Adobee Sign Document viewed by Edwin R. Rodriguez, Sr. (edwin.rodriguez@fortworthtexas.gov) 01/29/2019-12:57:28 PM CST-IP address:209.194.29.100 Y Document approved by Edwin R. Rodriguez, Sr. (edwin.rodriguez@fortworthtexas.gov) Approval Date:01/29/2019-1:02:04 PM CST-Time Source:server-IP address:209.194.29.100 Document emailed to G.Sahu (gopal.sahu@fortworthtexas.gov)for signature 01/29/2019-1:02:05 PM CST "L-i Document viewed by G.Sahu (gopal.sahu@fortworthtexas.gov) 01/29/2019-1:12:46 PM CST-IP address:209.194.29.100 Document e-signed by G.Sahu (gopal.sahu@fortworthtexas.gov) Signature Date:01/29/2019-1:13:05 PM CST-Time Source:server-IP address:209.194.29.100 y Document emailed to Janie Scarlett Morales (Janie.morales@fortworthtexas.gov)for signature 01/29/2019-1:13:06 PM CST Document viewed by Janie Scarlett Morales Qanie.morales@fortworthtexas.gov) 01/29/2019-1:25:10 PM CST-IP address:209.194.29.100 6o Document e-signed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) Signature Date:01/29/2019-1:31:29 PM CST-Time Source:server-IP address:209.194.29.100 f Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 01/29/2019-1:31:30 PM CST Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 01/29/2019-3:36:04 PM CST-IP address:209.194.29.100 de, Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:01/29/2019-3:36:18 PM CST-Time Source:server-IP address:209.194.29.100 C� Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 01/29/2019-3:36:19 PM CST v Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 01/29/2019-3:50:28 PM CST-IP address:209.194.29.100 bo Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:01/29/2019-3:50:46 PM CST-Time Source:server-IP address:209.194.29.100 E-► Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 01/29/2019-3:50:47 PM CST Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 01/29/2019-3:54:37 PM CST-IP address:209.194.29.100 FORTWORTHd :,u,,:�_��� Adobe Sign t-, Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:01/29/2019-3:54:54 PM CST-Time Source:server-IP address:209.194.29.100 Document emailed to Julie A Geho Oulie.geho@fortworthtexas.gov)for delivery 01/29/2019-3:54:55 PM CST 5 Document viewed by Julie A Geho Oulie.geho@fortworthtexas.gov) 01/29/2019-4:19:44 PM CST-IP address:209.194.29.100 Document receipt acknowledged by Julie A Geho Oulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:01/29/2019-4:19:58 PM CST-Time Source:server-IP address:209.194.29.100 Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery 01/29/2019-4:19:59 PM CST Document viewed by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) 01/29/2019-4:26:45 PM CST-IP address:209.194.29.100 i�-C; Document receipt acknowledged by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:01/29/2019-4:26:52 PM CST-Time Source:server-IP address:209.194.29.100 Z Signed document emailed to Rob Taylor Odt@gilcocontracting.com), TPW Fiscal Staff (tpwcfafiscal@fortworthtexas.gov), Susan Aianis (susan.alanis@fortworthtexas.gov), Edwin R. Rodriguez, Sr. (edwin.rodriguez@fortworthtexas.gov), and 7 more 01/29/2019-4:26:52 PM CST FORTWORTH. Adobe Sign