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HomeMy WebLinkAboutContract 46416-FP2 Department of TPW Const. Services DOE#_�1 Date Project Manager--���s� ✓ ' C1TY SECRETARY Risk Management J. Barksdale )RT WO RT HO CONTRACT NO. 4W-6.:ff D.O.E. Brotherton CFA Wester n/Scanned Che P occ ding pe ple have been Contacted concerning the request RTATION AND PUBLIC WORKS 'or final payment&have released this project for such payment. OF PROJECT COMPLETION -learance Conducted By Etta Bacy �tell (1 1�2?/J6 D.O.E. Ns: 6781 J f` E o 1840 Regarding contract 116781 for EAGLE MOUNTAIN-SAGINAW ELEMENTARY SCHOOL NO. lfasV gtfe�/ 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: $1,079,096.90 'f Amount of Approved Change Orders: NQ 1 Revised Contract Amount: $1,079,096.90 Total Cost Work Completed: $1,076,981.25 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $1,076,981.25 Less Previous Payments: / Final ay Due $1,076,981.25 / Recom n d for Acceptance Date Asst. Di ct r, TPW - Infrastructure Design and Construction Accepted 0 Date 4W Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Asst. City Manager Date Comments: e O! EMA �E `ZZO z��7G ohOPPr IAL RECORD CITY SECRETARY JUL 8 2016 FT. WORTH, TX .Initial: k ` C s:,- v FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name EAGLE MOUNTAIN-SAGINAW ELEMENTARY SCHOOL NO.15 Contract Limits (REDEAGLE CREEK DR) Project Type DRAINAGE,PAVING&ST LIGHT City Project Numbers 01840 DOE Number 6781 Estimate Number 1 Payment Number 1 For Period Ending 623/2016 CD City Secretary Contract Number 116781 Contract Time 220'D Contract Date Days Charged to Date 206 Project Manager Ehis Contract is 100.00 Complete Contractor STABILE&WINN,INC. P.O.BOX 79380 SAGINAW, TX 76179-0380 Inspectors RODGERS / HABTE Thursday,July 14,2016 Page I of 6 s�� City Project Numbers 01840 DOE Number 6781 Contract Name EAGLE MOUNTAIN-SAGINAW ELEMENTARY SCHOOL NO.15 Estimate Number I Contract Limits (REDEAGLE CREEK DR) Payment Number I Project Type DRAINAGE,PAVING&ST LIGHT For Period Ending 6/23/2016 Project Funding DRAINAGE E Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I TWISTED GABIONS— — 14 CY — $110.00 $1,540.00 14 $1,540.00 2 TWISTED GABION MATTRESSES 139 CY $325.00 $45,175.00 139 $45,175.00 3 MEDIUM STONE RIPRAP 27 SY $95.00 $2,565.00 27 $2,565.00 4 TRENCH SAFETY 1120 LF $1.00 $1,120.00 1120 $1,120.00 5 CONCRETE ENCASEMENT FOR UTILITY PIPES I CY $285.00 $285.00 1 $285.00 6 21"RCP,CLASS Ill 109 LF $96.00 $10,464.00 109 $10,464.00 7 27"RCP,CLASS 111 51 LF $118.00 $6,018.00 51 $6,018.00 8 30"RCP,CLASS Ill 22 LF $131.00 $2,882.00 22 $2,882.00 9 5X3 BOX CULVERT 336 LF $245.00 $82,320.00 336 $82,320.00 10 6X3 BOX CULVERT 342 LF $315.00 $107,730.00 342 $107,730.00 11 7X4 BOX CULVERT 260 LF $465.00 $120,900.00 260 $120,900.00 12 4'STORM]UNCTION BOX 1 EA $6,000.00 $6,000.00 1 $6,000.00 13 HEADWALL,BOX CULVERT 47.8 CY $900.00 $43,020.00 47.8 $43,020.00 14 SET,TYPE I FOR BOX CULVERTS 7.3 CY $950.00 $6,935.00 7.3 $6,935.00 15 21"SET,1 PIPE 2 EA $1,900.00 $3,800.00 2 $3,800.00 16 10'CURB INLET 4 EA $4,500.00 $18,000.00 4 $18,000.00 17 5'DROP INLET I EA $5,100.00 $5,100.00 1 $5,100.00 18 TXDOT PEDESTRAIN RAIL TYPE PR2 138 LF $170.00 $23,460.00 138 $23,460.00 Sub-Total of Previous Unit $487,314.00 $487,314.00 PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ------- - -- --- -- -- _ -- - -------- --- --- 1 SITE CLEARING 1 LS $6,000.00 $6,000.00 1 $6,000.00 2 UNCLASSIFIED EXCAVATION BY PLAN 3207 CY $16.00 $51,312.00 3207 $51,312.00 3 EMBANKMENT BY PLAN 1564 CY $5.00 $7,820.00 1564 $7,820.00 4 SWPPP>I ACRE 1 LS $1,800.00 $1,800.00 1 $1,800.00 5 HYDRATED LIME 144.1 TN $150.00 $21,615.00 144.1 $21,615.00 6 8"LIME TREATMENT 6004 SY $3.75 $22,515.00 6004 $22,515.00 7 2 12"ASPHALT PVMT TYPE D 578 SY $19.00 $10,982.00 578 $10,982.00 8 6"ASPHALT BASE TYPE B 578 SY $44.00 $25,432.00 578 $25,432.00 Thursday,July 14,2016 Page 2 of 6 City Project Numbers 01840 DOE Number 6781 Contract Name EAGLE MOUNTAIN-SAGINAW ELEMENTARY SCHOOL NO.15 Estimate Number 1 Contract Limits (REDEAGLE CREEK DR) Payment Number I Project Type DRAINAGE,PAVING&ST LIGHT For Period Ending 6/23/2016 Project Funding 9 8"CONC PVMT 5169 SY $55.80 $288,430.20 5169 $288,430.20 10 4"CONC SIDEWALK 5292 SY $6.50 $34,398.00 5292 $34,398.00 11 6"CONCRETE DRIVEWAY 3200 SY $7.50 $24,000.00 3200 $24,000.00 12 BARRIER FREE RAMP 2 EA $1,800.00 $3,600.00 2 $3,600.00 13 4"SLD PVMT MARKING 1353 LF $1.50 $2,029.50 1353 $2,029.50 14 4"SLD PVMT MARKING HAS 3900 LF $1.50 $5,850.00 3900 $5,850.00 15 4"BRK PVMT MARKING HAS 390 LF $1.50 $585.00 390 $585.00 16 8"SLD PVMT MARKING HAS 150 LF $2.00 $300.00 150 $300.00 17 24"SLD PVMT MARKING HAE(W) 249 LF $7.00 $1,743.00 249 $1,743.00 18 LANE LEGEND ARROW 4 EA $175.00 $700.00 4 $700.00 19 LANE LEGEND ONLY 2 EA $175.00 $350.00 2 $350.00 20 REFL RAISED MARKER 7 EA $6.00 $42.00 7 $42.00 21 REFL RAISED MARKER 63 EA $6.00 $378.00 63 $378.00 22 TOPSOIL 512 CY $16.00 58,192.00 512 $8,192.00 23 SEEDING,HYDROMULCH 11152 SY S0.95 $10,594.40 8925 $8,478.75 24 CATHODIC PROTECTION TEST STATION I EA $500.00 $500.00 1 $500.00 ADJUSTMENT 25 MANHOLE ADJUSTMENT MAJOR W/COVER 3 EA $2,800.00 $8,400.00 3 $8,400.00 26 INSTALL ALUM SIGN GROUND MOUNT 6 EA $600.00 $3,600.00 6 $3,600.00 27 TRAFFIC CONTROL 3 MO $2,000.00 $6,000.00 3 $6,000.00 28 REMOVE 4"PVMT MARKING 2660 LF $1.00 $2,660.00 2660 $2,660.00 Sub-Total of Previous Unit $549,828.10 $547,712,45 ST LIGHT Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 FURNISH/INSTALL ELEC SERV POLE MNT I EA $1,850.00 51,850.00 1 $1,850.00 2 2"CONDT PVC SCH 80 1176 LF $6.00 $7,056.00 1176 $7,056.00 3 2"CONDT PVC SCH 80 72 LF $16.00 $1,152.00 72 $1,152.00 4 GROUND BOX TYPE B W/APRON 1 EA $600.00 $600.00 1 $600.00 5 RDWY ILLUM ASSMBLY 7 EA $2,500.00 $17,500.00 7 $17,500.00 6 RDWY ILLUM FOUNDATION 7 EA $900.00 $6,300.00 7 $6,300.00 7 CONTACT ENCLOSURE,PAD MOUNT 1 EA $5,500.00 $5,500.00 1 $5,500.00 8 6-6-6 TRIPLEX ALUM ELEC CONDUCTOR 1248 LF $1.60 $1,996.80 1248 $1,996.80 Thursday,July 14,2016 Page 3 of 6 City Project Numbers 01840 DOE Number 6781 Contract Name EAGLE MOUNTAIN-SAGINAW ELEMENTARY SCHOOL NO.15 Estimate Number I Contract Limits (REDEAGLE CREEK DR) Payment Number 1 Project Type DRAINAGE,PAVING&ST LIGHT For Period Ending 6/23/2016 Project Funding Sub-Total of Previous Unit $41,954.80 $41,954.80 Thursday,July 14,2016 Page 4 of 6 City Project Numbers 01840 DOE Number 6781 Contract Name EAGLE MOUNTAIN-SAGINAW ELEMENTARY SCHOOL NO.15 Estimate Number I Contract Limits (REDEAGLE CREEK DR) Payment Number I Project Type DRAINAGE,PAVING&ST LIGHT For Period Ending 6232016 Project Funding Contract Information Summary Original Contract Amount $1,079,096.90 Change Orders Total Contract Price $1,079,096.90 Date-4, ?016 Total Cost of Work Completed $1,076,981.25 C a or Less %Retained $0.00 &Ib Net Earned $1,076,981.25 DateEarned This Period $1,076,981.25 Inspection uperviso /Zf/�O /[Retainage This Period $0.00 ate 1 /,v Less Liquidated Damages er Days @ /Day $0.00 Proj t Mana Date ' t4 LessPavement Deficiency $0.00 Asst. i ctor PW-Infrastructure Design and Construction Less Penalty $0.00 dVI-J• Date WZIZX Less Previous Payment $0.00 Director&ontracting Departt ent Plus Material on Hand Less 15% $0.00 Balance Due This Payment $1,076,981.25 Thursday,July 14,2016 Page 5 of 6 City Project Numbers 01840 DOE Number 6781 Contract Name EAGLE MOUNTAIN-SAGINAW ELEMENTARY SCHOOL NO.15 Estimate Number I Contract Limits (REDEAGLE CREEK DR) Payment Number I Project Type DRAINAGE,PAVING&ST LIGHT For Period Ending 6/23/2016 Project Funding Project Manager Ehia City Secretary Contract Number 116781 Inspectors RODGERS / HABTE Contract Date Contractor STABILE&WINN,INC. Contract Time 220 CD I P.O.BOX 79380 Days Charged to Date 206 CD SAGINAW, TX 76179-0380 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 $1,076,981.25 Less %Retained $0.00 Net Earned $1,076,981.25 Earned This Period $1,076,981.25 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 $1,076,981.25 Thursday,July 14,2016 Page 6 of 6 Stabile & Winn , Inc . Concrete Paving and Construction April 28, 2016 Philip Varughese, P.E. Teague, Nall,.& Perkins 1100 Macon Street Fort Worth, Texas 76102 RE: Eagle Mountain-Saginaw Elementary School#15 (Redeagle Creek Drive) I; ° Dear Mr.Varughese, This letter is to inform you that as of April 13, 2016 the above referenced project was substantially complete. We currently have a preliminary final walk through scheduled with the City of Fort Worth on May 3, 2016 at 9:00 AM. Depending upon the outcome of the preliminary walk, it is our intent to have the project ready for a final walk through by May 9, 2016. i If you have any questions, please call. Thank you. I Sincerely, Jerry Henderson, P.E. Vice President CC: Rudy Medellin, Inspector VRX ` Stabile&Winn,Inc.*P.O.Box 79380*Saginaw,Texas 76179-0380*Office 817.847.2086*Fax 817.847.2098 I 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 Jerry Henderson, Vice President Of Stabile& Winn,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; EAGLE MOUNTAIN-SAGINAW ELEMENTARY SCHOOL# 15 (REDEAGLE CREEK DRIVE) -DOE#6781 BY rry Henderson,Vice President Subscribed and sw rn before me on this date 29 of June,2016 of Publ' Tarrant, exas YESENIA SAIAIM * NokuyPubkStab CIUM Cama Eq*w 12-16-2019 Notary ID 130-07082-7 CONSENT OF SURETY COMPANY TO FINAL PAYMENT Bond #CA 4011346 Project: Water,Sewer,Paving,Drainage and Street Light Improvements to Serve Eagle Mountain-Saginaw Elementary School No. 15 (Redeagle Creek Drive) To(Owner): City of Fort Worth,Texas and Eagle Mountain-Saginaw ISD 1000 Throckmorton St. Contract For: See above Ft Worth,TX 76102 Contract Date: Contractor: Stabile &Winn,Inc. P O Box 79380 Saginaw,TX 76179-0380 In accordance with the provision of the Contract between the Owner and the Contractor as defined above,the Great American Insurance Company of New York 301 E Fourth Street Cincinnati,OH 45202 ,Surety Company, on bond of Stabile&Winn,Inc. P O Box 79380 Saginaw,TX 76179-0380 ,Contractor hereby approves of the final payment to the contractor and agrees that final payment to the contractor shall not relieve the Surety Companies of any of their obligations to the City of Fort Worth,Texas and Eagle Mountain-Saginaw ISD 1000 Throckmorton St. Ft Worth,TX 76102 ,Owner as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Companies have hereunto set their hand this 28th day of June,2016. Great American Insurance Comaany of New York Witness: Surety Co ny racy Tucke Attorney-in-Fact GREAT AMERICAN INSURANCE COMPANY OF NEW YORK New York Administrative Office:301 E 4TH STREET • CINCINNATI,OHIO 45202 • 513-369-5000 • FAX 513-723-2740 The number of persons authorized by this power of attorney Is not more than FIVE No.U 14893 POWER OF ATTORNEY KNOW ALL MEN BYTHESE PRESENTS:Thatthe GREATAMERICAN INSURANCE COMPANY OF NEW YORK,a corporation organized and existing under and by virtue of the laws of the State of New York,does hereby nominate,constitute and appoint the person or persons named below its true and lawful attomey-in-fact,for it and in Its name,place and stead to execute on behalf of the said Company,as surety,any and all bonds,undertakings and contracts of suretyship,or other written obligations in the nature thereof,provided that the liability of the said Company on any such bond,undertaking or contract of suretyship executed under this authority shall not exceed the limit stated below. Name Address Limit of Power TRACY TUCKER STEVEN TUCKER ALL OF ALL W.LAWRENCE BROWN BENNETT BROWN FORT WORTH, $100,000,000.00 KEVIN J.DUNN TEXAS This Power of Attorney revokes all previous powers issued on behalf of the attomey(s)-in-fact named above. IN WITNESS WHEREOF,the GREATAMERICAN INSURANCE COMPANY OF NEW YORK has caused these presents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed this 25TH day of JUNE , 2015 Attest GREAT AMERICAN INSURANCE COMPANY OF NEW YORK wuaure �• SEAL � �• • Aubwo SmWa y rNr(r!o•ml Sem1v P1oc�rerd�rt DAVID C.I(ITCHIN On-M-24M STATE OF OHIO,COUNTY OF HAMILTON-ss: On this 25TH day of JUNE 2015 ,before me personally appeared DAVID C.KITCHIN,tome known, being duly sworn,deposes and says that he resides in Cincinnati,Ohio,that he is a Divisional Senior Vice President of the Bond Division of Great American Insurance Company of New York,the Company described In and which executed the above Instrument; that he knows the seal;that it was so affixed by authority of his office under the By-Laws of said Company, and that he signed his name thereto by like authority. 3uaanA Kohft � n /� trloetq►PIS dOhlo Mr Canlfdabn 80"0lF1 all9� This Power of Attorney is granted by authority of the following resolutions adopted by the Board of Directors of Great American Insurance Company of New York by unanimous written consent dated May 14,2009. RESOLVED: That the Divisional President,the several Divisional Senior Vice Presidents,Divisional Vice Presidents and Divisional Assistant Vice Presidents,or any one of them,be and hereby is authorized,from time to time,to appoint one or more Attorneys-in-Fact to execute on behalf of the Company,as surety,any and ad bonds,undertakings and contracts of suretyship,or other written obligations In the nature thereof;to prescribe their respective duties and the respective limits of their authority,and to revoke any such appointment at any time. RESOLVED FURTHER:That the Company seal and the signature of any of the aforesaid officers and any Secretary or Assistant Secretary of the Company may be affixed by facsimile to any power of attorney or certificate of either given for the execution of any bond, undertaking,contract of suretyship,or other written obligation in the nature thereof,such signature and seal when so used being hereby adopted by the Company as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though manually affixed. CERTIFICATION I,STEPHEN C.BERAHA,Assistant Secretary of Great American Insurance Company of New York,do hereby certify that the foregoing Power of Attorney and the Resolutions of the Board of Directors of May 14, 2009 have not been revoked and are now in full force and effect. Signed and sealed this 28th day of June 2016 44.u SEAL 3* C. Assistant Secn/ary 51185L"M3) FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORM_A_TION _ _ Date: 6/30/2016 Name of Contractor J i f ro�ert,1 w__ Stabile and Winn,Inc _ !Eagle Mountain Elementary School NO.15 DOE Inspector 1-roject Manager Habte Taezaz _ 00 Number Tjpe orC"ontrae, 6718 Simple OQ Routine 0 Complex- I]water [_1 waste water Fz]Storm Drainage Pavement initial Contract Amount _ Final Contract Amount $1,079,096.90 $1,079,096.90 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient _2-Standard 3-Good 4-Excellent ELEMENT �— RATING ;ELEMENT RATING - 1 (0-4)_ l .. (0-4) INSPECTION EVALUATION _ _ PLANS&SPECIFICATIONS 1 Availability of Ins tor___ _ _ _�! 11 Accuracy of Plans to Existing Conditions — 2 Ktiowl4dge of Inspector _ _ 3 Clariti &Sufficiency of Details 3 Accuracy of Measured Quantities _j �j A licabili of Specifications 3► 4 Display Of Professionalism _�- 3 '4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution_ PROJECT MANAGER EVALUATION 6 Performance-Settin u Valve Crews,Labs ( 1 Knowledge And/Or Problem Resolution ADMINISTRATI_ON_ -,_ ` 12 Availability of Pro'ect Manager I Change Order Processing Time Mi_'_Communication 2 Timliness of Contractor_Paytnents _ !4 Resolution of UtilityConflicts __- '' _. Resolution-- 3 Bid O,pening�to Pre-Con Meeting_Tim efiam III)COMMENTS&SIGNATURES COMMENTS Signature Contractor _ Signature DOE Inspector / 1 , 7 C // Signature DOE Inspector's Supervisor67 �� '_ A . _ f" INSPECTOR'S COMMENTS _ TRANSPORTATIONAND PUBLIC WORKS The City of Fort Worth• 1000 Throclunotton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Rx-(817)392-7845 FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Stable and Winn Inc. Eagle mountain Elementary School No.15 DOE Inspector DOE Number Habte Taezaz 6781 DOE Inspector Project Manager ❑Water ❑Waste Water Q Storm Drainage El Pavement Fred Ehia Initial Contract Amount Project Difficulty $1,079,096.90 O Simple Routine Q Complex i Final Contract Amount Date I $1,079,096.90 6/30/2016 11)PERFORMANCE EVALUATION 0-Inadequate l-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE I Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 1 4 1 20 20 11 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 426 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 426 111)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating(ITS/MS]* 100%) 426 / 448 = 95% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >_80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector .� Signature Contractor cam- e r Signature DOE Inspector's Supervisor CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS a the City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-631.1 (817)392-7941 •Fax:(817)392-7845 FORTWORTH nw 03/05/07 TRANSPORTATION& PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:I NAME OF PROJECT: Eagle Mountain-S:,ginaw L iementwy School No. 5 PROJECT NO.: #01840 CONTRACTOR: Stabile&Winn.Inc. DOE NO.. 67$I PERIOD FROM:07/15/15 TO: 04/26/16 FINAL INSPECTION DATE: 26-A t=16 WORK ORDER EFFECTIVE:7/15/2615 _ CONTRACT TIME: 220 WD • CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CR?E[TED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 13. 4. 19. 5. 20. 6. ;'.1. 7. :!2. 8. 23. 9. 24. 10. 2f. 11. 26. 12. 27. 13. 2s?. 11. 24). 15. 30. SAT,SUN, RAIN,TOO WET, UTILITIES * DAYS TOTAL & HOLIDAYS &TOO COLD RELOCATIONS OTHERS CHARGED DAYS THIS 265 PERIOD _ PREVIOUS PERIOD TOTALS � _ TO DATE 265 *REMARKS: ---- ---------- --•------------ ) 6 RC I OR r DA E !NSPECTOR DATE FNGINEERIN(�DEPARTMENT ° The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •rax:(8t 7)392-7845