HomeMy WebLinkAboutContract 44487-FP2 Depart erIt o TPW Const. Services
DOE# Da
Project Manager _
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S � ,; I"1 85:09,STAW -OtIk
Risk Management S. Canady -- ZT WORTH, �°�`3mr"A T Vr' / ` r'
D.O.E. Brotherton
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 a fA 96A,,n )?/f /f CS a q4l4197
Regarding contract 316981 for ROLLING MEADOWS EAST PHASE 2-STREET(LIGHT as required by the
TRANSPORTATION& PUBLIC WORKS as approved by City Council on N/A through M&C N/A the director
of the TRANSPORTATION&PUBLIC WORKS upon die recormnendation of the Assistant Director of the
Transportation&Public Works Department has accepted the project as complete.
Original Contract Prices: $36,486.97
Amount of Approved Change Orders: Ns
Revised Contract Amount: $36,486.97
Total Cost Work Completed: $36,486.97
Less Deductions:
Liquidated Damages: Days as $210.00/Day
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Worlc Completed: $36,486.97
Less Previous Payments: $0.00
Final Payment Due $36,486.97
2
Recorn ended for Acceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
tj
Accepted ) / Date
= Director, TRANSPORTATION & PUBLIC WORKS
- - - -- -- - - �-ate _
Asst. ity Manager Date
Comments: C205-541200-202760205583
,VAII..E;D OFFICIAL RECOR®
MAR .1 2016 CITY SECRETARY
b�Tp V�QIRT�N,'I'X
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name ROLLING MEADOWS EAST PHASE 2
Contract Limits
Project Type STREET LIGHT
City Project Numbers 02055
DOE Number 6981
Estimate Number I Payment Number I For Period Ending 2/4/2014
CD
City Secretary Contract Number 316981 Contract Time XD
Contract Date Days Charged to Date 224
Project Manager Buckley Contract is 100,00 Complete
Contractor INDEPENDENT UTILITY CONSTRUCTION,INC,
5109 SUN VALLEY
rORT WORTH, TX 76119
Inspectors LAYER I JOHNSON
Monday,duly 13,2013 Rage 1 of
City Project Numbers 02055 DOE Number 6981
Contract Name ROLLING MEADOWS EAST PHASE 2 Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHT For Period Ending 2/4/2014
Project Funding
STREET LIGHT
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 CONDUIT 2"OPEN CUT SCHED.40 1285 LF $9.60 $12,336.00 1285 $12,336.00
2 LIGHT CONCRETE FOUNDATION TYPE 1 8 FA $1,002.49 $8,019.92 8 $8,019.92
3 POLE TYPE 11 8 FA $1,477.00 $11,816.00 8 $11,816.00
4 GROUND BOX 3 EA $783.00 $2,349.00 3 $2,349.00
5 #8 T14HW ALUMINUM 3855 LF $0.51 $1,966.05 3855 $1,966.05
--------------------------------------
Sub-Total of Previous Unit $36,486.97 $36,486.97
--------------------------------------
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Monday,July I3,2015 Page 2 of 4
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City Project Numbers 02055 DOE Number 6981
Contract Name ROLLING MEADOWS EAST PHASE 2 Estimate Number I
Contract Limits Payment Number 1
Project Type STREET LIGHT For Period Ending 2/4/2014
Project Funding
Contract Information Summary
Original Contract Amount $36,486.97
Chance Orders
Total Contract Price $36,486.97
OC4
Date - v Total Cost of Work Completed $36,486.97
Contr � Less %Retained $0.00
NY Date /•S Net Earned $36,486.97 /
Ins ect' Su W Earned This Period $36,486.97
Date /� Retainage This Period $0.00
Pcct M i r Less Liquidated Damages
Days @ /Day $0.00
fes' Date a' `l LessPavement Deficiency $0,00
As Dir/e�tor/I'PW-Inttastmcture Design and Constriction Less Penalty $0,00
��v I J Date 3 ,6 Less Previous Payment $0,00
Director/Contmeting Depattin t Plus Material on Hand Less 15% $0,00
Balance Due This Payment $36,486.97
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Monday,July 13,2015 Page 3 of 4
City Project Numbers 02055 DOE Number 6981
Contract Name ROLLING MEADOWS EAST PHASE 2 Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHT For Period Ending 2/4/2014
Project Funding
Project Manager Buckley City Secretary Contract Number 316981
Inspectors LAYER / JOHNSON Contract Date
Contractor INDEPENDENT UTILITY CONSTRUCTION,INC. Contract Time 30 CD
5109 SUN VALLEY Days Charged to Date 224 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
Total Cost of Work Completed $36,486.97
Less %Retained $0.00
Net Earned $36,486.97
Earned This Period $36,486.97
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 $36,486.97
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Monday,July I3,2015 Page 4 of 4
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FORTWORTH rev 03/05/07
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO. I
NAME OF PROJECT: Rolling Meadows Easst Phase 2
PROJECT NO.: 02055 CONTRACTOR: Independent Utility
DOE NO. 6981
PERIOD FROM 07/08/13 TO: 01/17/14 FINAL INSPECTION DATE: 17-Jan
WORK ORDER EFFECTIVE 7/8/2013 CONTRACT TIME 30 O WD* CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
1. 16.
2. 17.
3. 18.
4. 19.
5. 20.
6. 21.
7. 22.
8. 23.
9. 24.
10. 25.
11. 26.
12. 27.
13. 28.
14. 29.
15. 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS
THIS
224
PERIOD
PREVIOUS
PERIOD
TOTALS
TO DATE 224
*REMARKS:
No Liquidated Damages to be Charged to this Contract
coNtTffcYbP DATE INSPECTOR DATE
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ENGINEERING DEP_"�RT\1EN'T
The City of Fort Worth-1000 Throckmorton Street-Fort Worth,T176012-6311
(817)392-7941-Fay(817)392-7845
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FORTWORTHREV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Independent Utifility Rolling Meadows East Phase 2
DOE Inspector DOE Number
Wade Johnson 6981
DOE I nspectw, Project Manager
❑ Water❑ Waste Water❑ Storm Drainage❑ Pavement Fred Ehia
Initial Conlraet Annomnt Project Di iculry
$36,486.97 O Simple OO Routine O Complex
Final Contract Amount Date
$36,486.97 1/24/2014
11)PERFORMANCE EVALUATION
0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGIIT x APPLICABLE Y/N RATING 0-4 MAX SCORE SCORE
1 Submission of Documents 2 Y 4 8 8
2 Public Notifications 5 N
3 Plans on Site 5 Y 4 20 20
4 Field Supervision 15 Y 4 60 60
5 Work Performed 15 Y 4 60 60
6 Finished Product 15 Y 4 60 60
7 Job Site Safety 15 Y 3 60 45
8 Traffic Control Maintenance 15 Y 3 60 45
9 Daily Clean Up 5 Y 4 20 20
10 Citizen's Complaint Resolution 5 N
1l Property Restoration 1 5 N
12 After]-lours Response 5 N
13 Project Completion 5 Y 4 20 1 20
TOTAL ELEMENT SCORE(A) 338
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 338
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 s stun of applicable element score maximums which= 368
Rating(ITS/MS]a 100%) 338 / 368 = 92'3
Performance Category Excellent
<20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standwyl 60%to<80%=Good >_80%=Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS A\i'ARDGD)
Signature DOE Inspector �h:�� Signature Contractor
Signature DOE Inspector's Supervisorj,�' �
0
CONTRACT'OR'S COMMENTS
_
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Throckmorion Street•Fort Worth,TL 76012-6311
(817)392-7941•Fax-(817)392-7845
EMPHMMMU'l
Independent Utility Construction, Inc.
5109 Sun Valley Drive
Fort Worth, Texas 76119
817-478-4444
817-330-0078 fax
01/21/2014
City of Fort Worth
CFA Administration
1000 Throckmorton St.
Fort Worth,TQC 76102
RE: Rolling Meadows East 2
DOL#6981 City Project#02055
The purpose of this letter is to aelmowledge that we have been paid in full by RME 58,
LLC for the public improvements constructed to serve Rolling Meadows East Phase 2
in Fort Worth,Texas. As a result,we hereby waive,release and relinquish all rights to
assert any claim or demand for lien in connection with this project.
Please feel free to contact me with any questions you may have.
Sincerely,
Richard Wolfe
Vice President
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 Richard Glenn
Wolfe, Vice President Of Independent Utility Construction,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;
Rolling Meadows East Phase 2
BY
Richard Glenn Wolfe
Subscribed and sworn before me on this date 21" of January,2014.
D_shwa Atteberry
*{ NwaryPublic
STAGY;OF TEXAS
1 Asn=;� 1Vly 1^omm.expims may 11,2017
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Notary Public
Tarrant County,Texas
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CONSENT OF OWNER ❑
SURETY COMPANY CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
OTHER
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 6067192
PROJECT: Street Lighting Improvements for Rolling Meadows East Phase 2
(name,address) Fort Worth,Texas
TO (Owner)
ARCHITECTS PROJECT NO:
City of Fort Worth CONTRACT FOR: Above Project
1000 Throckmorton Street
Fort Worth,Texas 76102
CONTRACT DATE:
CONTRACTOR: Independent Utility ConStRICtiOn, 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) Olio Farmers Insurance Company
555 Republic Drive, Suite 450
Plano,Texas 75074 ,SURETY COMPANY,
on bond of(here insert narne and address of Contractor)
Independent Utility Construction,Inc.
5109 Sun Valley Drive ,CONTRACTOR,
Fort Worth,Texas 76119
hereby approves of the final payment to the Contractor, and agrees that the 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
1000 Throcinnorton Street ,OWNER,
Fort Worth,Texas 76102
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 9th day of January 2014
OHIO FARMERS INSURANCE COMPANY
Surety Comp
By !
Signature u ori WtrCp7resentalive
Attest:
lll
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(Seal): ICS le W. Stip eeney Attorney—in—Fact
Title
Note:This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition
THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING THIS SAME
POWER#AND ISSUED PRIOR TO 04120111,FOR ANY PERSON OR PERSONS NAMED BELOW.
General POWER NO. 4220052 06
Power Westfield insurance Co.
of Attorney Westfield National Insurance Co.
Ohio Farmers Insurance Co.
CERTIFIED COPY Westfield Center, Ohio
Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO
FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a 'Company" and collectively as 'Companies," duly
organized and existing under the laws of the State of Ohio,and having its principal office in Westfield Center, Medina County,Ohio,do by these
presents make,constitute and appoint
CHARLES D.SWEENEY,MICHAEL A.SWEENEY,KYLE W.SWEENEY,ELIZABETH GRAY,JOINTLY OR SEVERALLY
of FORT WORTH and State of TX its true and lawful Attorney(s)-in-Fact,with full power and authority hereby conferred in its name,
place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of
suretyship- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - --
LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE
GUARANTEE,OR BANK DEPOSITORY BONDS.
and to bind any of the Companiesthereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate
seal of the applicable Company and duly attested by Its Secretary,hereby ratifying and confirming all that the said Attorneys)-in-Fact may do In
the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the
WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY:
'Be It Resolved,that the President,any Senior Executive,any Secretary or any Fidelity&Surety Operations Executive or other Executive shall
be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for
and on behalf of the Company subject to the following provisions:
The Attorney-in-Fact may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and
deliver,any and all bonds,recognizances,contracts,agreements of indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary."
"Be It Further Resolved,that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any
power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signatures or facsimile
seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting
held on February 8,2000).
in Witness Whereof,WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE
COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of
APRIL A.D.,2011 .
Corporate p "'"I'"`•' WESTFIELD INSURANCE:COMPANY
Seals s''\, y k kNQj.nN...��.,, r` �KSUp�`�,
Affixed wwx]+~�j' p o 'sr'fi r��`` �'e�`': OHIO FARMERSWESTFIELD !INSURANCE ONAL RCOMPNCEANY COMPANY
4«' D�e,M.]ia ro ', SEAL 9Z_ _ 6NaRTEREp3
tot
� �y ::or'.? `s3s 184 R;•Z= ir�J,S ,
4 g�r
'`,'II/,IIII*...•�,,`��` ��/�,,,IIf111Nalll••,,,,` J'
State of Ohio a,lna,ad Richard L.Kinnaird,Jr.,National Surety Leader and
County of Medina ss.: Senior Executive
On this 20th day of APRIL A.D.,2011 ,before me personally came Richard L. Kinnaird,Jr.to me known,who, being by me duly
sworn,did depose and say,that he resides'ln Medina,Ohio;that he is Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD
NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above
Instrument;that he knows the seals of said Companies;that the seals affixed to said Instrument are such corporate seals;that they were so affixed
by order of the Boards of Directors of said Companies;and that he signed his name thereto by like order.
Notarial
Sealit Al t r
Affixed z �\�ll/is
-r
• Wiliam J.Kahelin,A ey at Law,Notary Public
State of Ohio ik N qW o My Commission Does Not Expire(Sec.147.03 Ohio Revised Code)
County of Medina ss: y �'F•t�r
",rt OE0
~IIII.IIH,Ia.IN .
I,Frank A,Carrino,Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS
INSURANCE COMPANY, do hereby,certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by said
Companies,which is still in full force and effect;and furthermore,the resolutions of the Boards of Directors,set out in the Power of Attorney are
In full force and effect.
in Witness Whereof, i have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 9thday of
Janua wA.D., � 201A ,a,,.,,,,,11....,,.,,
SIXs •N SEAL im- _e •�ht►�r�•,((7!!� I �{-��J��1�� t
%7,. X3846 Frank A.Carrino,-,-Secretary QEj
�F''�i''wya.In1. !,,Inn*,a,,••••, �"'�'",•,I:.uN,,...•�",'
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8POAC2(combined)(06.02) E
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NOTICE: 'PHIS DOCUMENT WAIVES RIGHTS UNCONDITIONALLY AND
STATES THAT YOU HAVE BEEN PAID FOR GIVING UP THOSE RIGHTS. IT
IS PROHIBITED FOR A PERSON TO REQUIRE YOU TO SIGN THIS
DOCUMENT IF YOU HAVE NOT BEEN PAID THE PAYMENT AMOUNT SET
FORTH BELOW. IF YOU HAVE NOT BEEN PAID, USE A CONDITIONAL
RELEASE FORM.
UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT
Project: _RME 58. I.IX
,lib.No.
The signer ol'this document has been pain in full for all Idbor, services.
ellUiplllent, 01' materials furnished to the property or to �I RI` E 58,
LLC (person with %vhonl signer contracted) on the property
of Beazer 1-lames (owner) located
at
t luealion I to the i'allowing
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extent: r
Rolling Kicadows Phase?A 1 sk /tT ��'� "'" (job description).
The signer therefore waives and releases an) mechanic's lien right, any right arising from
payment bond that complies with a state or federal statute.any common law payment bond
right, any claim for payment, and any rights under any similar ordinance. rule, or statute
related to claim or payment rights for persons in the signer's position.
The signer warrants that the signer has alreadl paid or will use the Rinds received
from this final payment to promptly pay in full all of the signer s labcirem subcontractors,
UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT--Page I
I
materialmen, and SuPPliers for all work, materials, equipment, or services provided for or
to the above referenced prgiect LIP to the date of*this waiver and release.
Date: 1- - ?'UA
Independent Utility Constructio
By (Signature)
Name:
n
Title: �rC �
STATE OF TEXAS
C'OLN TY OF
1 I
This instrument was acknowWged before me on the day o1' J
20 14, b`• R.�A ,z (410 l t14 the V�Ge ---
-56e[�Ai, ( 4.1.. oil behall'ofsaid company,
ROME BRADLEY BARNES ZIA
My C6mmission Expire:
September 26,2016 Notary Public. State ot'Texas
AFTER RECORDING RETURN TO:
[Owner name)
1221 N. 135E.Suite 200
Carrollton,Texas 75006
UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT--Page 2
FORTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 1/24/2014
Name ofContraclor Project Name
Independent Utili Construction Rolling Meadows East Phase 2
DOE Inspector Project Manager
Wade Johnson Fred Ehia
DOE Number ProjeclDdfiaulq, TjpeofContract
6981 10 Simple O Routine O Complex ❑ Water❑ Waste Water[] Storm Drainage❑ Pavement
Initial Contract Amount Final Conu•acl Amount
$36,486.97 $36,486.97
II)PERFORMANCE EVALUATION
0-Inadequate 1 -Deficient 2-Standard 3-Good 4-Excellent
ELEMENT RATING ELEMENT RATING
0-4 0-4
INSPECTION EVALUATION PLANS&SPECIFICATIONS
1 Availabili of Inspector 1 Accurac of Plans to Existijig Conditions
2 Knowledge of Ins ector 2 Clari &Sufficiency of Details
3 Accuracy of Measured 2uantities i.4J3 A2plicability of Specifications
4 Dis la Of Professionalism 4 Accurag of Plan 2uantities
5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews Labs I Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availabili of Project Mana er
1 Change Order Processing Time 3 Communication
2 Tiunliness of Contractor Pa vents 4 Resolution of Utili Conflicts
3 Bid Opening to Pre-Con Meeting Timefiame
iii)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor �hV
INSPECTOR'S COMMENTS
TRANSPORTATION.AND PUBLIC WORKS
Ilse City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941•Faa.(817)392-7845
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