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Contract 45253-FP2
Deparnn�2nager p gaup Canst.Services DOS /t Da e Project -A Risk Management Canadv tT WORTH® Cmr SE AW D.O.E. r � i CFA nn d CONTRACT NO. C7 The Proceeding people have been Contacted concerning the request for final payment&have released this ATION AND PUBLIC WORKS Project for such payment. F PROJECT COMPLETION Clearance Conducted By Shameka IlennedyD.O.E.NO: 7116 Regarding contract 117116 for ALLIANCE MEDICAL CENTER LOT 1R-1 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 the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $89,232.42 Amount of Approved Change Orders: $109,358.01 NO 1,2&3 Revised Contract Amount: $198,590.43 Total Cost Work Completed: $198,590.43 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $198,590.43 Less Previous Payments: $0.00 Final Payment Due $198,590.43 (o /!� • Zo/(p Recomm nded fi rr Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction L 4 &"- 612-11'?df.4 Accepted Date 4MDirect , TRANSPORTATION PUBLIC WORKS Asst. City Manager Date Comments: C205-541200-204760217783 EMAILED OFFICIAL RECORD JUN 2 2016 CITY SECRETARY initial. i—c�-ID FT. WORTH, TX FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name ALLIANCE MEDICAL CENTER IAT i R-1 Contract Limits J Project Type PAVING&DRAINAGE i City Project Numbers 02177 DOE Number 7116 Estimate Number I Payment Number 1 For Period Ending 8/1412015 CD City Secretary Contract Number 117116 Contract Time 60:D Contract Date Days Charged to Date 437 Project Manager Ehia Contract is 100.00 Complete Contractor VENUS CONSTRUCTION COMPANY 1426 S.MAIN P O BOX 90 MANSFIELD, TX 76063 Inspectors LAYER / CORDOVA Friday,May 27,2016 rw I oto City Project Numbers 02177 DOE Number 7116 Contract Name ALLIANCE MEDICAL CENTER LOT IR-1 Estimate Number I Contract Limits Payment Number I Project Type PAVING&DRAINAGE For Period Ending 8/14/2015 Project Funding PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I REMOVE ASPHALT PAVEMENT 102 SY $32.40 $3,304.80 102 $3,304.80 3 6"CONC CURB& GUTTER 585 LF $33.60 $19,656.00 585 $19,656.00 4 4"SLD PVMT MARKING PAINT 131 LF $7.07 $926.17 131 $926.17 5 LANE LEGENED ARROW 1 EA $300.00 $300.00 1 $300.00 6 TRAFFIC CONTROL I LS $1,554.00 $1,554.00 1 $1,554.00 7 FURNISHANSTALL ALUM SIGN GROUND 2 EA $420.00 $840.00 2 $840.00 MOUNT CITY STD 8 4'BARRIER FREE RAMP TYPE B CO#1 2 EA $1,500.00 $3,000.00 2 $3,000.00 9 2"ASPHALT PVMT TYPE D CO#1 234 SY $13.32 $3,116.88 234 $3,116.88 10 7"ASPHALT PVMT TYPE B CO#1 234 SY $40.32 $9,434.88 234 $9,434.88 11 6"LIME TREATMENT CO#1 1010 SY $4.95 $4,999.50 1010 $4,999.50 12 6"CONC PUMP CO#2 235 SY $100.26 $23,561.10 235 $23,561.10 Sub-Total of Previous Unit $70,693.33 $70,693.33 DRAINAGE ItemDescriptimi of Items Unit Unit Cost Estimated Estimated Completed Completed No. Quanity Total Quanity Total ----- -- — -- ------- --- --- ---- - -- ---- 1 18"RCP CLASS III CO#1 189 LF $50.00 $9,450.00 189 $9,450.00 2 18"STRAIGHT HEADWALL 2 PIPES 2 EA $2,000.00 $4,000.00 2 $4,000.00 Sub-Total of Previous Unit $13,450.00 $13,450.00 ILLUMINATION Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 GROUND BOX SMALL W/L[D APRON CO#2 4 EA $1,180.80 $4,723.20 4 $4,723.20 2 RDW Y ILLUM ASSMBLY CO#2 7 EA 58,418.00 $58,926.00 7 $58,926.00 3 RDWY ILLUM FOUNDATION CO#2 7 EA $3,582.00 $25,074.00 7 $25,074.00 4 2-2-2-4 QUADPLEX ALUM ELEC CONDUCTOR 1630 LF $2.61 $4,254.30 1630 $4,254.30 CO#2 5 2"CONDUIT PVC SCH 80 CO#2 985 LF $19.36 $19,069.60 985 $19,069.60 6 2"CONDUIT PVC SCH 80(B)CO#2 160 LF $15.00 $2,400.00 160 $2,400.00 Friday,May 27,2016 Page 2 of 5 City Project Numbers 02177 DOE Number 7116 Contract Name ALLIANCE MEDICAL CENTER LOT IR-1 Estimate Number I Contract Limits Payment Number I Project Type PAVING&DRAINAGE For Period Ending 8/14/2015 Project Funding Sub-Total of Previous Unit $114,447.10 $114,447.10 ----------------- Friday,May 27,2016 Page 3 of 5 City Project Numbers 02177 DOE Number 7116 Contract Name ALLIANCE MEDICAL CENTER LOT 1R-1 Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING&DRAINAGE For Period Ending 8/14/2015 Project Funding Contract Information Summary Original Contract Amount $89,232.42 Chance Orders Change Order Number 1 $27,703.90 Change Order Number 2 $113,838.11 Change Order Number 3 ($32,184.00) Total Contract Price $198,590.43 Date Total Cost of Work Completed .14 198,590.43 tractor_ Less %Retained $0.00 DataNet Earned -""$198,590.43 Earned This Period $198,590.43 r #Lf�j'"�► G ..f/- I � Retainage This Period $0.00 I� L ate ggrr Less Liquidated Damages Days Q /Day $0.00 ate�P �rp �fP LessPavement Deficiency $0.00 11cri. -Infrastructure Design and Constru tion Less Penalty $0.00 Dae L/ Less Previous Payment $0.00 Director Contracting Departm Plus Material on Hand Less 15•/. $0.00 Balance Due This Payment $198,590.43 Friday,May 27,2016 Page 4 of 5 City Project Numbers 02177 DOE Number 7116 Contract Name ALLIANCE MEDICAL,CENTER LOT IR-I Estimate Number I Contract Limits Payment Number 1 Project Type PAVING&DRAINAGE For Period Ending 8/14/2015 Project Funding Project Manager Ehia City Secretary Contract Number 117116 Inspectors LAYER / CORDOVA Contract Date Contractor VENUS CONSTRUCTION COMPANY Contract Time 60 CD 1426 S.MAIN P O BOX 90 Days Charged to Date 437 CD MANSFIELD, TX 76063 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 $198,590.43 Less %Retained $0.00 Net Earned $198,590.43 Earned This Period $198,590.43 Retainage This Period $0.00 Less Liquidated Damages 0 Days a $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $198,590.43 Friday,May 27,2016 Page 5 of 5 FORTWORTH rev 03/05/07 TRANSPORTATION&PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:I NAME OF PROJECT: Alliance Medical Center PROJECT NO.: 2177 CONTRACTOR: Venus construction DOE NO.: 711.6 PERIOD FROM:0421/14 TO: 07/01/15 FINAL INSPECTION DATE: WORK ORDER EFFECTIVE:12115/2014 CONTRACT TIME: 60 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 437 PERIOD PREVIOUS PERIOD 0 TOTALS TO DATE 437 *REMARKS: NT COR DATE INSPECTOR DATE ENGINEERING DEPARTMENT �` The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 1 0 U U ii � 0 0 U u o w N 11ILIvI v a �V1 N O n h N -• � V V O O N N N O O U o N LLt N N L) w o U rr (9 � i O h O O o o .j cl U U N N N N ❑U (Y C) 11J co co QO o C? I? W N N l7 U S U o C7 co m U cS — r m It Q p n n N T p n �^ C) Q U u K C) IIJ 1= 0 0 0 Q Z Z p o O ❑ EL 0) 4J U o 0 Q. C C -. Voi voi N to Q _ CU C- w U o 0 tlJ U a_ a_ — m n N Q o 0 0 n o 0 0 0 m W > n Ll. o m W U o 0 lij a U o _tpp N (C No J {u Q C(D Lo 3 gOt O vO VI C OC) I- u N CL U o v o CO j lO m(V i ii N H to y or a 7C u o O - - r 111 0 0 l- !1I o Q z 0 D i W a 0 {qc c N 0 I- o uj yt: p U u 1. L))a s Vi o III Ct'J Q .. 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U w y r j -o a o w w U ^ c C U ❑ U N O LL - s a W O U p (D (D t� N >y H w w u 0 p Q N N t- ELX O U r- w 0 O O H U uujza cc a a c < z z # W z O F N O lL it U U Qw U 0 0 D w g F- W W Z ¢ W ¢ a Q u W U w o 0: W O 0 > N Z t- LU 0. z O O O a Z m a N T7 F Q O Q d F f- U O O F p 0 W w ¢ U � U U r U ¢ 2 W a w w w ¢z_ t a� z w ° p z Q w i— � w a- 0 c ww ~ o' 4 0 0 0 O 2i � u d O w u a ¢ N m N ��N w o U N N (l Ci a C_ j 2 Q L � CO m n � m u � L ` ❑ t) Q > j = O _ U ct: � m W a b c: ¢ o z Q0Cr E O C � r N L m = u C3eo _ J HQ4 - u7C Z ulc- N i — G J 0 J W W J v c3 C W / a O } u LLI a u w - :3o �G OF U N a Z E ti d <w a U h J .a O� y - •- I- U r } 1 W m diCL m O ., W c U W FW- N� cC.. u. L W N m ❑._M� 72 C (�D- OO 0 O O L U � C) , � � • 'm a C5 N,n c_f is z a a` U � m E r o w Z o � v O _ w m � F W O Q �- Q y U O N Ll o N v Z V3 Q m � W } I IC FORTWORTH REV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Venus Construction Company Alliance Medical Center Lot 1R-1 DOE Inspector DOE Number Alex Vega 7116 E Inspector Project Manager ❑Water ❑Waste Water 17 Storm Drainage El Pavement Fred Ehia Initial Contract Amount Project Diffilculty $89,232.42 0 Simple ® Routine O Complex Final Contract Amount Date $+%,499,94- 1,10. t-13 W 5/9/2016 11)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 N 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 3 20 1 15 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Property Restoration 5 Y 3 20 15 12 After Hours Response 5 N 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 373 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 373 111)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 408 Rating([TS/MS1* 100%) 373 / 408 m 91% Performance Category Excellent <20%—Inadequate 20%to<{0%=Deficient 40%to<60%=Standard 60%to<80%=Good ?80%—Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector Signature Contractor � f Signature DOE Inspector's Supervisor CONTRACTOR'S COMMENTS ,�, TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311 (817)392-7941 -Fax:(817)392-7845 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 Sam McAda, Vice President Of Venus Construcion Co,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; Alliance Medical Center BY Sam McAda Subscribed and sworn before me on this date 16th of May,2016. 0� VANESSA RENFROW Notary Public Notary Public N y State of Texas Tarrant County,Tx ' My Comm.Exp.07-28-2019 CONSENT OF OWNER IN SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ Bond No.PB02253100181 OTHER PROJECT:Alliance Town Center Lot 1R-1 PROJECT NO. 2013-070 TO: City of Fort Worth/HCA Health Services of Texas CONTRACT FOR: 1000 Throckmorton Street Construction Fort Worth,TX 76102 CONTRACTOR:Venus Construction Company CONTRACT DATE:November 8,2013 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the 14 Philadelphia Indemnity Insurance Company ,SURETY, on Bond of Venus Construction Company ,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 City of Fort Worth/HCA Health Services of Texas ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand this 23rd day of May ,2016 PhIladelohla Indemnity Insurance CQmnanv Surety Company , &Am 1�9 Signature of Authorized Representative Attest. Charly K.Millar.Attor n-Ia-Fast Title (Sell) CR (:flr t7owANY'ICIPRmLIAymwr CNB PAt1B 2683 PHILADELPHIA INDEMNITY INSURANCE CONIPA.NY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004 Power of Attorney KNOW.ALL PERSONS BY THESE PRESENTS: that PHILADELPHIA[,NDENI.NITY INSURANCE CO,YIPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint: Clint Norris,Steven 1 Zinecker,.Jessica Luna Montgomery, Shannon Lewis and Charles KL Miller of Southwest Assurance Group,Inc.. Its true and lawful Attorney(s)in fact with full authority to execute on its behalf bonds,undertakings,recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed 525,000,000 This Power of,attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEN[NITY INSURANCE COMPANY at a meeting duly called the I'day of July,2011, RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company to: (I),Appoint Attomey(s) in Fact and authorize the Attorney(s) in Fact to execute on behalf of the Company bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; and (2) to remove, at any time, any such Attorney-in-Fact and revoke the authority given. And,be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attornev or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with the respect to any bond or undertaking to which it is attached. IN TESTEMONY WHEREOF,PHILADELPHIA INDENINITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFDCED BY ITS,AUTHORIZED OFFICE THIS 7"'DAY OF FEBRUARY 2013. (Seal) Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 7'day of February 2013,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEYIN[TY INSURANCE CO,'r[PANY,that the seal affixed to said instrument is the Corporate seal of said Company;that the said Corporate Seal and his signature were duly affixed. COMM VANIA NOTARIAL SEAL DANIELLE POR.. Hk Notgtgont PCour Lower Aletiott i .,Monyom County Comtttieeim Na" 2019 Notary Public: residing at: Bala Cvmvvd.PA (Notary Seal) My commission expires: March 23 2016 1,Craig P. [teller,Executive Vice President,Chief Financial Officer and Secretary of PHILADELPHIA.INDEMNITY INSURANCE COMPANY,do herby certify that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto are true and correct and are still in full force and effect.I do further certify that Robert D.O'Leary Jr,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attorney the duly elected President ofPHILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Whereof I have subscribed my name and affixed the facsimile seal ofeach Company this 23rd day of May 201 . T'•., Craig P.Keller,Executive Vice President,Chief Financial Officer 3c Secretary ' r PHILADELPHIA INDENINITY INSURANCE COMPANY 1927 i IMPORTANT NOTICE ADV1SO IMPORTANTE To obtain information or make a complaint: Para obener informacion o para someter You may call the Surety's toll free telephone una queja: Usted puede Ilamar al numero number for information or to make a de telefono gratis de para informacion o complaint at: para someter una queja al: 1-877.438-7459 1-877-438-7459 You may also write Philadelphia Indemnity Usted tanbien puede escribir a Philadelphia Insurance Company at: Indemnity Insurance Company at: One Bala Plaza, Suite 100 One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004 Bala Cynwyd, PA 19004 Attention: Senior Vice President and Attention: Senior Vice President and Director of Surety Director of Surety You may contact the Texas Department of Puede comunicarse con el Departamento Insurance to obtain information on de Seguros de Texas para obtener companies,-coverage, rights or complaints information acerca de companias, at: coberturas, derechos o quejas al: 1-800-252-3439. 1-800-252-3439 You may write the Texas Department of Puede escdbir al Departmento de Seguros Insurance at: 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: http:ltwww.tdi.state,tx.us Web: http://www.tdi.state,tx.us Email: Cors umerProtection(2�tdi.state.tx.us Email: Con sumerProtectionetdi.state.tx.us PREMIUM OR CLAIM DISPUTES: Should DISPUTAS SOBRE PRIMAS O you have a dispute concerning your RECLAMOS: Si tiene una disputa premium or about a claim, you should concerniente a su prima o a un reclamo, contact the Surety first. If the dispute is not debe comunicarse con el Surety primero. Si resolved, you may contact the Texas no se resuelve la disputa, puede entonces , Department of Insurance. comunicarrse con el departamento (TDI). ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA: Este This notice is for information only and does aviso es solo para proposito de informacion not become a part or condition of the y no se convierte en parte o condicion del attached document. documento adjunto. k One P3rx P!�17I HCA 37203 C Hospital Corporatiuu of Auierira a May 23,2016 Mr.Josh Mcada Venus Construction Company 1426 S.Main Mainsfield,TX 760 i RE: Alliance Medical Center Water,Sewer, Paving, Drainage&Street Light Improvements to serve Alliance Medical Center City Project No:02177,CFA:2013-070 City of Fort Worth,Texas 3 Dear Mr.Mcada, . HCA Health Services of Texas,Inc.hereby acknowledges that Venus Construction Company has completed the Water,Sewer,Paving,Drainage and Street Light Improvements as required for the above referenced project and will not assess any penalties or liquidated damages. If you have any questions,please feel free to contact our office. Sincerely, F Eddieckett Sr.Construction Manager-HCA 4 } h L P F i R ti 9 t' s s 4 t 59� i g� tl 1 FORTWORTHREV:0222/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 5/9/2016 Name of Contractor Project Name Venus Construction Company Alliance Medical Center Lot 1R-1 DOE Inspector Project Manager Alex Vega Fred Ehia DOE Number Project Difficulty Type of Contract 7116 P Simple O Routine O Complex ❑ Water ❑ Waste Water O Storm Drainage 0 Pavement Initial Contract Amount Final Contract Amount $89,232.42 S t4&59A,�3 14 b,S 4v•'13 �'/ II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3-Good 4-Excellent ELEMENT RATMG ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector Al 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector A 12 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities A 3 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs / 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager I Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspectors Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS _ f The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fu(817)392-7845