HomeMy WebLinkAboutContract 45721-FP5 Department f TPW Const.Servieta
DOE#k , Date
Prosect,M nager
Risk Management S.Canady - -- T WORTH. crryswvAw
D.O.E. Brotherton CONTRACT NO, CQJ
CFA Westerman/Scanned ❑
The Proceeding people have been Contacted concerning the request ATION AND PUBLIC WORKS
for final payment&have released this project for such payment F PROJECT COMPLETION
Clearance Conducted By Etta Bacy L jr-j) SCAI��K � 1 V1X1orr` D.O.E.Ns: 7199
L5,4 q5
Regarding contract 117199 for CENTRE STATION DRIVE as required by the
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on N/A through.
M&C N/A the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the
recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project
as complete.
Original Contract Prices: $33,112.00
Amount of Approved Change Orders: No 1
Revised Contract Amount: $33,112.00
Total Cost Work Completed: $33,112.00
Less Deductions:
Liquidated Damages: Days Q$210.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $33,112.00
Less Previous Payments:
Final Payment Due $33,112.00
&Y-4-/S
Recommended for Acceptance Date
Asst. Direc or,TPW - Infrastructure Design and Construction
G Accepted Date
`u r Dire
TRANSPO TION AND PUBLIC WORKS DEPARTMENT
Asst. City Manager Date
Comments: FUND ACCT:P265-6051502247-83/P275-7051302247-83
59401 E16�'AZZ,E.D
�,���? rOFFICIAL RECORDNOV 0 2015 ECREA(JWrHYARY
IIasitial: -�-
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name CENTRE STATION DRIVE
Contract Limits
Project Type STREET LIGHTS B SIGNS
City Project Numbers 2247
DOE Number 7199
Estimate Number 1 Payment Number I For Period Ending 8/31/2015
CD
City Secretary Contract Number 117199 Contract Time IBCD
Contract Date 630/2014 Days Charged to Date 171
Project Manager Ehia Contract is 110.10 Complete
Contractor WRIGHT CONSTRUCTION COMPANY,INC.
601 W.WALL ST.
GRAPEVINE, TX 76051-
Inspectors RODGERS / KLENK
Friday,Septcmbcr 04,2015 Page 1 of 4
!�
City Project Numbers 2247 DOE Number 7199
Contract Name CENTRE STATION DRIVE Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTS&SIGNS For Period Ending 8/31/2015
Project Funding
UNIT C-STREET LIGHTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 INSTALL ROADWAY ILLUMINATION 5 EA $2,724.00 $13,620.00 5 $13,620.00
ASSEMBLY
2 INSTALL ROADWAY ILLUMINATION 5 EA $863.00 $4,315.00 5 $4,3I5.00
FOUNDATION TYPE 2
3 QUADPLEX ALUM ELEC CONDUCTOR 1200 LF $3.00 $3,600.00 1200 $3,600.00
4 2"PVC SCH 80 PVC CONDUIT 1200 LF $5.00 $6,000.00 1200 $6,000.00
5 ELECTRIC SERVICE WITH RELAY 1 LS $4,715.00 $4,715.00 1 $4,715.00
Sub-Total of Previous Unit $32,250.00 $32,250.00
UNIT C 1-STREET NAME SIGNS
ItemEstimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
1 STREET SIGNS 2 EA $431.00 $862.00 2 $862.00
Sub-Total of Previous Unit $862.00 $862.00
Friday,September 04,2015 Page 2 of 4
City Project Numbers 2247 DOE Number 7199
Contract Name CENTRE STATION DRIVE Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTS&SIGNS For Period Ending 8/3112015
Project Funding
Contract Information Summary
Original Contract Amount 533,112.00
Chance Orders
Total Contract Price 533,112.00
Date Q,1/I//�; Total Cost of Work Completed 533,112.00
Colo Less %Retained $0.00
q �5 Net Earned 533,112.00
Date // Earned This Period 533,112.00
�'.. Z.. Retainage This Period $0.00
Da Less Liquidated Damages
Project Man r
Days Qa /Day $0.00
�i� Date — —3� LessPavement Deficiency 50.00
Asst Di r/TPW-Infrastructure Design and Co truction Less Penalty 50.00
Date Less Previous Payment $0.00
u Director/ ntra tmg partment Plus Material on Hand Less 15% $0.00
Balance Due This Payment $33,112.00
Friday,September 04,2015 Page 3 of 4
City Project Numbers 2247 DOE Number 7199
Contract Name CENTRE STATION DRIVE Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTS&SIGNS For Period Ending 8/31/2015
Project Funding
Project Manager Ehia City Secretary Contract Number 117199
Inspectors RODGERS / KLENK Contract Date 6/3012014
Contractor WRIGHT CONSTRUCTION COMPANY,INC. Contract Time 180 CD
601 W.WALL ST. Days Charged to Date 171 CD
GRAPEVINE, TX 76051- Contract is 000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
Total Cost of Work Completed $33,112.00
Less %Retained $0.00
Net Earned $33,112.00
Earned This Period $33,112.00
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 i 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 $33,112.00
Friday,September 04,2015 Page 4 of 4
Document G706A
Contractor's Affidavit of Release of Liens
PROJECT: (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER:❑
CentrePort City Project: 02247
Centre Station Drive CFA: 2014-003 ARCHITECT:❑
Lot 2, Block 104
Fort Worth, Texas CONTRACT FOR:
CONTP.A,C I OR �
Water, Sewer, Paving, Storm Drain,
TO OWNER: (,lame and address) Street Lights, Traffic Signals to serve
CentrePort Venture, LP Centre Station Drive SURETY:L1
Two Seaport Lane
Boston, IUTA 02210-2021 CONTRACT DATED:
June 17, 2014 OTHER:❑
STATE OF: TEXAS
COUNTY OF: TARRANT
The undersigned hereby certifies that to the best of the undersigned's knowledge, information and belief, except as listed
below, the Releases or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials
and equipment, and all performers of Work, labor or services who have or may have liens or encumbrances or the right to
assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the
Contract references above.
EXCEPTIONS:
NONE
SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR. (Name and address)
1. Contractor's Release or Waiver of Liens, conditional Wright Construction Co., Inc.
upon receipt of final payment. 601 W�4st. GrapevineX 76051
2. Separate Releases or Waivers of Liens fromSubcontractors and equipment suppliers, to the extent BY:
required by the Owner, accompanied by a list thereof. (SigJatur of authorized"representative)
GaryA. Ocstveen, Controller
(Printed name and title)
Gary A. Oostveen, Controller, personally appeared before
me, the undersigned notary public, and provided satisfactory
evidence of identification to be the person who signed this
document in my presence and swore or affirmed to me that
the contents of this document are truthful and accurate to the
best of his/her knowledge and belief.
p� -- ZINA CHRISTINE GOOLSBY
Notary Public
_.. Date:
STATE OF TEXAS
M Comm.Ex May 14,2017 Notary Public:
Y p- Y K Nota Public:
My Commission expires:
CAUTIOM You should sign 2n Original Document.on which this!ex;appears n P.ED An.Ong)nal Document assures that changes will not be obscured
TORGO SOFTWARE vnw`v ToryoScfmare com 0'01996-2012 ALL RIGHTS RESERVED
Contractor's Affidavit of Payment of Debts and Claims
Document G706
TO OWNEPZ: (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER:❑
CentrePort Venture, LP City Project: 02247
Two Seaport Lane CFA 2014-003 ARCHITECT:❑
Boston, MA 02210-2021
CONTRACT FOR:
CONTRACTOR.
PROJECT: (Name and address) Water, Seaver, Paving, Storm Drain,
Street Lights, Traffic Signals to serve
CentrePort Centre Station Drive SURETY:❑
Centre Station Drive
Lot 2, Block 104 CONTRACT DATED:
Fort Worth, Texas O T HER:❑
June 17, 2014
STATE OF: TEXAS
COUNTY OF: TARRANT
The undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have
otherwise been satisfied for all materials and equipment furnished, for all work, labor, and services performed, and for all
known indebtedness and claims against the Contractor for damages arising in any manner in connection with the
performance of the Contract referenced above for which the Owner's property might in any way be held responsible or
encumbered.
EXCEPTIONS:
None
SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address)
1. Consent of Surety to Final Payment. Whenever Surety is Wright Construction Co., Inc.
involved, Consent of Surety is required. 601 W. Wall St., Grapevine, 6051
Indicate Attachment: ®yes ❑ no {�
BY: rt\l II 1�Ste' ,
The following supporting documents should be attached (Sig'n�u a of aufhorizeiYrepresen`tative)
hereto if required by the Owner.'
1, Contractor's Release or Waiver of Liens, conditional Gary A. Oostveen, Controller
upon receipt of final payment. (Printed name and title)
Gary A. Oostveen, Controller, personally appeared before
2. Separate Releases or Waivers of Liens from me, the undersigned notary public, and provided satisfactory
Subcontractors and equipment suppliers, to the extent evidence of identification to be the person who signed this
required by the Owner, accompanied by a list thereof. document in my presence and swore or affirmed to me that
the contents of this document are truthful and accurate to the
3. Contractor's Affidavit of Release of Liens. best of his/her knowledge and belief.
ZINA CHRISTINE GOOLSBYDate:Not �y
a4T '(sem p
Notary Public WW✓✓��"
STATE OF TEXAS Notary Public:
• ryE OF�! Nty Comm.Exp.May 14,2017 ie - m �j�
-' My Comission expires:C�/
CAUTION You should sign an Original Document.on v,,h,ch ihle text appears n RED An Original Document assure4 that changes will not be obscured
TORGO SOFTWARE www Torgosoftware com 019562012 ALL RIGHTS RESERVED
Merchants Bonding Company
K ` 2100 FLEUR DRIVE•DES MOINES, IOWA 50321-1158
(515)243-8171 •(515)243-3854 FAX OWNER
ARCHITECT
® CONTRACTOR
CONSENT OF SURETY SURETY
O FINAL PAYMENT OTHER
1�1 Bond No,TXC605350
Printed in cooperation with Tiie American Institute of Architects(AIA)by Merchants Bonding Cornpany Q)Iutuai),Merchants Bonding Company
(Nlutuai)vouches that the language La this document conform_exactly to the language used in AIA Doc ument G707, 1994 Edition.
TO OWNER: ARCHITECT'S PROJECT NO.:
(Flame and address)
CentrePort Venture,LP
City of Fort Worth CONTRACT FOR:
PROJECT: CONTRACT DATED: June 30,2015
!game and address)
CentrePort
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(fttsert name and address of Surety)
Merchants Bonding Company (Mutual)
2100 Fleur Drive
Des Moines, Iowa 50321-1158
SURETY,
on bond of
(Insert name and address cf Contractor)
Wright Construction Co.,Inc.,601 W.Wall St.,Grapevine,Texas 76051
, 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
(Insert name and address of 0tvner)
CentrePort.Venture,LP
City of Fort Worth
OWNER,
as set forth in said Surety's bond.
IN WITNESS WHEREOF,the Suret'-has hereunto set its hand on this date: August 26,2015
(Insert bt writing the month followed by the numeric date and year.)
Merchants Bonding Company(Mutual)
(Surety) r,
Attest: A#qj JLaj
(Seal): (Signatureofaurho re sen:ntim)
Kathy Sells Attorney-In-Fact
CON 0405(02101) (Printed name arid t tie)
�JERCHA.NTS
BONDING COMPANY,• Bond No TXC605350
POWER OF ATTORNEY
Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,
INC.,both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,
individually,
Casey Hege; Dustin Parker; Kathy Sells; Martin Day
their true and lawful Alto rney(s)-in-Faof,to make,execute,seal and deliver on behalf of the Companies,as Surety,bands,undertakings
and other written obligations in the nature thereof,subject to the limitation that any such Instrument shall not exceed the amount of:
TWENTY MILLION(520,000,000.00)DOLLARS
This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the
Board of Directors of Merchants Bonding Company(Mutual)an April 23,2011 and adopted by the Board of Directors of Merchants
National Bonding,Inc.,on October 24,2011.
'The President,Secretary,Treasurer,or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and
authority to appoint Attorneys-in-Fact,and to authorize them to execute on behalf of the Company,and attach the seal of the Company
thereto,bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof."
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of
Attorney or Certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance,or other suretyship
obtiaations of(lie Company,and such signature and seal when so used shall have the same force and effect as though manually fixed"
In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and authority hereby given
to the Attomey-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and
construction contracts required by the State of Florida Department of Transportation.It is fully understood that consenting to the State of Florida
Department of Transportation making payment of the final estimate to the Contractor and/or its assignee,shall not relieve this surety company
of any of its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given
to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner-
Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation.
In Wtness Whereof,the Companies have caused this instrument to be signed and sealed this 15th day of August 2015
,, •k •° MERCHANTS BONDING COMPANY(NILITUAL)
,•` �yQ 100444 •°�D�Np� Co
• MERCHANTS NATIONAL BONDING,INC.
�� 2,;J3 ,n- •a. 7933 ��•c;
: By
�`, .. ;��ti , •,6,i .
1V
STATE OF IOWA 't.,,�., '` •'•........
COUNTY OF Dallas ss. President
On this 15th day of August 2015 ,before me appeared Lary Taylor,to me personally known,who being by me sworn did say that
he is President of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.;and that the seals affixed
to the foregoing instrument are the Corporate seals of the Companies;and that the said instrument was signed and sealed in behalf of the
Companies by authority of their respective Boards of Directors.
Paia(s WENDY WOODY
o r Commission Number 784654
My Commission Expires
�pyrP Ju lie 20, 2017
NotaryPubfr , County,Iowa
(Expiration of notary's commission
does not invalidate this instrument)
I,William Warner,Jr.,Secretary of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,
do hereby certify that the above and foregoing is a true and correct copy of the POWER-0F-ATTORNEY executed by said Companies,
which is still in full force and effect and has not been amended or revoked.
In Witness Whereof, 1 have hereunto set my hand and affixed the seal of the Companies on this 261h day of August 2015
z: Secretary
- .5 • 1933 c•
`acs:
POA 0014(6/15)
MERCHANT7%�,
BONDING COMPANY,
�',,IERCHAKTS BONDING CON,1F`AiNY(h1.UTUAL) • NtERC HANTS NATIONAL BONDING. INC.
2100 FLEUR DRIVE • DES ti101NES, IOWA 50321-1153 - (800)675-817) , (515)?43-3854 FAX
IMPORTANT NOTICE
To obtain information or make a complaint:
You may contact your insurance agent at the telephone number provided by your insurance agent.
You may call Merchants Bonding Company (Mutual) toll-free telephone number for information or to make a
complaint at:
1-800-678-8171
You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or
complaints at:
1-800-252-3439
You may write the Texas Department of Insurance at:
P. O. Box 149104
Austin, TX 78714-9104
Fax: (512) 475-1771
Web: http://%i^vw.tdi.state.tx.us
E-mail: ConsumerProtection@tdi,texas.gov
PREMIUM AND CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim
you should contact the agent first. If the dispute is not resolved, you may contact the Texas Department of
Insurance.
ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part
or condition of the attached document.
SUP 0032 TX(12/13)
FORTWORTHREV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Wright Construction Centre Station Drive
DOE Inspector DOE Number
Candace Klenk 7199
,DOEInspector Project Manager
❑ Water❑ Waste Water❑ Storm DrainageFl Pavement Fred Ehia
Initial Contract Amount Project Difficulty
g
11:2-ab 0 Simple OQ Routine 0 Complex
Final Contract Amount Date
S 12 co 9/10/2015
In PERFORMANCE EVALUATION
0-Inadequate I-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE
1 Submission of Documents 2 Y 4 8 8
2 Public Notifications 5 Y 4 20 20
3 Plans on Site 5 Y 3 20 15
4 Field Supervision 15 Y 3 60 45
5 Work Performed 15 Y 4 60 60
6 Finished Product 15 Y 4 60 60
7 Job Site Safety 15 Y 4 60 60
8 Traffic Control Maintenance 15 Y 4 60 60
9 Daily Clean Up 5 Y 4 20 20
10 Citizen's Complaint Resolution 1 5 Y 1 4 1 20 1 20
11 Property Restoration 5 Y 4 20 20
12 After Hours Res onse 5 Y 4 20 20
13 Project Com letion 5 Y 4 1 20 20
TOTAL ELEMENT SCORE(A) 428
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 428
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 gr sum of applicable element score maximums which= 448
Rating((TS/MS]•100%) 428 / 448 — %%
Performance Category Excellent
<20%=Inadequate 20016 to<40%—Deficient 40°x6 to<60%=Standard 60%to<800%=Good >_80%=Excellent
Inspector's Commend(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
L&dSignature DOE Inspector Signature Contractor
Signature DOE Inspector's Suipervisor Q,�Ir 26(5
CONTRACTOR'S COMMENTS
_ TFL�NISPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Throekmorton Street-Fort Worth,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845
FORTWORTHREV:02/22107
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 9/10/2015
Name of Contractor Project Name
Wright Construction Centre Station Driv
DOE Inspector Project Aldmiager
Candace Klenk Fred Ehia
DOENumber Project Difflculty Type of Contract
7199 1 Q Simple QQ Routine Q Complex ❑.t water R] Waste Watero Storm Dralnage0 Pavement
Initial Contract Amount Final Contract Amount
W1 i 12-,cb
II)PERFORMANCE EVALUATION
0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT RATING !ELEMENT RA —1TING
_
(0-4) 1
INSPECTION EVALUATION _ PLANS&SPECIFICATIONS
1 Availability of Inspector 5 1 Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector 2 Clarity&Sufficiency of Details s
3 Accuracy of Measured Quantities 1 �� j3_Applicability of Specifications
4 Display Of Professionalism _^� ;4 Accuracy of Plan Quantities 3
5 Citizen Complaint Resolution _j :� 1PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs� I Knowledge And/Or Problem Resolution {
ADMINISTRATION _ _ 2 Availability of Pro'ect Manager —�-
1 Change Order Processing Time 3 Communication
2 Timliness of Contractor Payments 3 4 Resolution of Utility Conflicts
3 Bid Openin&to Pre-Con Meeting Timeframe
IM COMMENTS&SIGNATURES
COMMENTS
i
Signature Contractor e
Signature DOE Inspector
Signature DOE Inspector's Supervisor I1 y�(Lj
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
j! The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311
(817)392-7941 -Fax:(817)392-7845
FORTWORTU.,
TRANSPORTATION AND PUBLIC WORKS
STATEMENT OF CONTRACT TIME
STATEMENT#
FINAL STATEMENT# 1 DOE 1 7119
NAME OF PROJECT: Centre Station Drive Contractor WrE ht Const
YEAR:j 2015
PROJECT NO.: FINAL INSPECTION DATE 4130/2015
P-265-605150224743 P275-7051302247-83 WD CD
CONTRACT TIME 180 I X
PERIOD FROM: I *Meald1 TO: I 8131 b I MID - Mo■t6 I JDEV/N
WORK ORDER EFFECTIVE: sl1 BEG I nj MID(xi-n
DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR
CHARGED DAYS CREDITED CHARGED DAYS CREDITED
1 16 Sun 0 NA
2 17 Mon 0 NA
3 18 Tue 0 NA
4 19 Wed 0 NA
5 20 Thu 0 PIA,
6 21 Fri 0 NA
7 22 Sat 0 NA
8 23 Sun 0 PIA
9 24 Mon 0
10 25 Tue 0 NA
11 26 Wed 0 1 NA
12 27 Thu 0 NA
13 28 Fri Q NA
14 1 29 Sat 0 NA
15 30 Sun 0 NA
31 Mon 0 NA
NA Wkn&Hot Wea Utl Oth
Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS
HOLIDAYS RELOCATE CHARGED
THIS PERIOD 0 0 0 0 0 0
PREVIOUS PERIOD 0 171 171
TOTAL TO DATE 0 0 0 0 171 171
REMARKS:
Stopped time on 24-15. Walked Wrights final on 4-30-15,punchlist was completed 6-10-15.
Signature: Signature: n I
(Print Name) %,pt V 74.j Candace Klenk
COi7TRACroR e4/'A f,N' 1 DATE INSPECTOR DATE 913/2Q75