The URL can be used to link to this page

Home My WebLink AboutContract 49840-FP1 City Secretary 49840 -FPl Contract No. FORTWORTH. Date Received Jul 24,2018 ,S-q (Pol- /ooV-? J 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: PINE MEADOWS PHASE II City Project No.: 100824 Improvement Type(s): Water ® Sewer Original Contract Price: $295,930.00; Amount of Approved(Mange Order(s): Revised Contract Amount: Total Cost of Work Complete: $295,930.00 AE U(antps(Jul JX2018) Jul 19, 2018 Contractor Date Contract Manager Title Burnsco Construction,Inc. Company Name 7A0"Z'e'0-W ^ 4yo'' Jul 19, 2018 Thomas W.Miller(Jul 19,2018) PrPr j�ctor Date a�uwev �rc,ut s,to» Jul 19,2018 Project Manager Date Jul 23,2018 Eve (Jul 23,2018) CFA Manager Date amu` ;�(A,2 Ju124,2018 a"AsiCiti*nager Date �1 VFX OFFICIAL RECORD Page 1 of 2 CITY SECRETARY FT-WFORTNj TX Notice of Project Completion Project Name: PINE MEADOWS PHASE II City Project No.: 100824 City's Attachments Final Pay Estimate 9 Change Order(s): ❑ Yes 0 N/A Pipe Report: ❑x Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time f b Contract Time: 90 CD Days Charged: 197 Work Start Date: 1/3/2018 Work Complete Date: 7/18/2018 I e a j Ij h Page 2 of 2 I I♦ 4 (oo)-- ioag;2q G J -e4 q g4 O City Project Numbers 100824 � DOE Number 0824 Contract Name PINE MEADOWS PHASE 11 Estimate Number 1 Contract Limits Payment Number i Project Type WATER&SEWER For Period Ending 7/19/2018 a I� Project Funding t Project Manager NA City Secretary Contract Number Inspectors OWEN / RODRIGUEZ Contract Date Contractor BURNSCO CONSTRUCTION,INC. Contract Time 90 CD 6331 SOUTHWEST BLVD Days Charged to Date 197 CD FORT WORTH, TX 76132 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded ——————————————————--- I II I Total Cost of Work Completed $295,930.00 Less %Retained $0.00 Net Earned $295,930.00 Earned This Period $295,930.00 Retainage This Period $0.00 Less Liquidated Damages 0 Days r@r $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 $295,930.00 Thursday,July 19,2018 Page 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name PINE MEADOWS PHASE II Contract Limits Project Type WATER&SEWER I' City Project Numbers 100324 I DOE Number 0824 Estimate Number 1 Payment Number 1 For Period Ending 7/19/2018 CD City Secretary Contract Number Contract Time 9CD Contract Date Days Charged to Date 197 ) Project Manager NA Contract is 100.00 Complete Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 j Inspectors OWEN / RODRIGUEZ I fI� 1 Thursday,July 19,2018 Page 1 6f4 S City Project Numbers 100824 DOE Number 0824 Contract Name PINE MEADOWS PHASE II Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 7/19/2018 Project Funding WATER Item Description of Items Estimated Estimated Completed Completed No. P Unit Unit Cost P P _—__————_-_———------------------Quanity Total Quanity Total I TRENCH SAFETY 2135 LF $0.10 $213.50 2135 $213.50 2 DUCTILE IRON WATER FITTINGS 1 TN $4,300.00 $4,300.00 1 $4,300.00 W/RESTRAINT 3 8"PVC WATER PIPE 2135 LF $22.40 $47,824.00 2135 $47,824.00 4 FIRE HYDRANT 3 EA $2,700.00 $8,100.00 3 $8,100.00 5 CONNECTIONTO EXISTING 4"-12"WATER 3 EA $800.00 $2,400.00 3 $2,400.00 MAIN 6 1"WATER SERVICE 82 EA $750.00 $61,500.00 82 $61,500.00 7 8"GATE VALVE 4 EA $1,300.00 $5,200.00 4 $5,200.00 ------------------------ --------------- Sub-Total of Previous Unit $129,537.50 $129,537.50 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------- - - -- ------------------ I POST CCTV INSPECTION 2625 LF $1.50 $3,937.50 2625 $3,937.50 2 MANHOLE VACUUM TESTING 10 EA $110.00 $1,100.00 10 $1,100.00 3 TRENCH SAFETY 2625 LF $1.00 $2,625.00 2625 $2,625.00 4 CONCRETE COLLAR I EA $300.00 $300.00 1 $300.00 5 IMPORTED EMBED/CDD 140 LF $24.00 $3,360.00 140 $3,360.00 6 8"SEWER PIPE 2625 LF $28.00 $73,500.00 2625 $73,500.00 7 4"SEWER SERVICE 81 EA $630.00 $51,030.00 81 $51,030.00 8 4'MANHOLE 10 EA $2,500.00 $25,000.00 10 $25,000.00 9 4'EXTRA DEPTH MANHOLE 14 VF $110.00 $1,540.00 14 $1,540.00 10 8"STEEL CASING FOR SEWER SERVICE 80 LF $25.00 $2,000.00 80 $2,000.00 11 CONCRETE ENCASEMENT FOR UTILITY PIPES 40 LF $50.00 $2,000.00 40 $2,000.00 Sub-Total of Previous Unit $166,392.50 $166,392.50 Thursday,July 19,2018 Page 2 of 4 City Project Numbers 100824 DOE Number 0824 Contract Name PINE MEADOWS PHASE II Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 7/19/2018 Project Funding Contract Information Summary Original Contract Amount $295,930.00 Change Orders Total Contract Price $295,930.00 Total Cost of Work Completed $295,930.00 Less %Retained $0.00 Net Earned $295,930.00 Earned This Period $295,930.00 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 $295,930.00 Thursday,July 19,2018 Page 3 of 4 FORT WORTH 4 TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Pine Meadows,Phase 2 PROJECT NUMBER: 100824 DOE NUMBER: NA WATER PIPE LAID SIZE TYPE OF PIPE LF 8" pvc 2135 FIRE HYDRANTS: 3 VALVES(16" OR LARGER) NA PIPE ABANDONED SIZE TYPE OF PIPE LF NA DENSITIES: Yes NEW SERVICES: 82- 1" SEWER PIPE LAID SIZE TYPE OF PIPE LF 8" pvc 2625 PIPE ABANDONED SIZE TYPE OF PIPE LF NA DENSITIES: Yes NEW SERVICES: 81 -4" TRt1NSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Wordi,Thi 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 Ab Grantges, Contract Mgr, Of Burnsco 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 frill; That there are no claims pending for personal injury and/or property damages; On Contract described as; Pine Meadows Phase 2 -Water, Sanitary Sewer and t,"orn Drain BY /)) ,/ Ab Grai tges, ontract Manager Subscribed and sworn before me on this date 6th of July,2018. Not •y Public Tarrant County, Texas F ,," MARY PANNELL 1\iptaty public,stat@ 01 TeXas ?,;,•.�'\;�v`� Corntn.EXPlres 'G-19-20 1 d %''Fof< '' NotrtY ID 5144239 Sale=� CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects, AIA Document G707 Bond No 022059338 PROJECT: (name, address)Pine Meadows Phase 2-Water, Sanitary Sewer and Storm Drain Improvements Fort Worth TX TO (Owner) PINE MEADOW DEVELOPMENT COMPANY,LLC AND I ARCHITECT'S PROJECT NO: CITY OF FORT WORTH CONTRACT FOR: 5137 Davis Blvd Pine Meadows Phase 2-Water,Sanitary Sewer and Storm Drain Improvements Fort Worth TX 76180 CONTRACT DATE: CONTRACTOR:BURNSCO CONSTRUCTION,INC. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (here insert name and address or Surety Company) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of (here insert name and address of Contractor) BURNSCO CONSTRUCTION, 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) PINE MEADOW DEVELOPMENT COMPANY, LLC AND CITY OF FORT WORTH 5137 Davis Blvd Fort Worth TX 76180 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 261h day of June,2018 LIBERTY MUTUAL INSURANCE COMPANY Su Company f1 Attest:Tina MCEalan ,Ll�u (Seal): Sign ture of Authorized Representative Sophinie 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 IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. 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, Certificate No,7989050 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company 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, Robb!Morales;Don E.Connell;Sophinie Hunter;V.DeLene Marshall;Tina McEwan•Ricardo J Reyna;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 24th day of January 2018 ,6 °�r'+L+;.�`1 ,.��Ppss,7a;r,;l�F :-�".;-°r•:::, '•i•;rv The Ohio Casualty Insurance Company rn 1912 ( 1991 `; Liberty Mutual Insurance Company m r \ West9merican Insurance Company to 41 * By: STATE OF PENNSYLVANIA ss David M.Carey,Asp sistant Secretary COUNTY OF MONTGOMERY O L ay On this 24th day of January 2018,before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance raj f— U w 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 p 3 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. m LU ca O 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. O CL N �5pk PAST, COMMONWEALTH OF PENNSYLVANIA \h�oNWFq`^(t' Notarial Seal OM O•A rr ° of $9 Teresa Pastella,Notary Public By: /GGO.iL( L'a I Lipper MerionTwp.,Montgomery County Teresa Pastella,Notary Public My Commission Expires March 28,2021 W ai O ��_�? ,0 3 4. aiy�,PUS,' Member.PennsylvaniaAssuclaiiunnlNOWnes O E GW IL 0 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 ,y p Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: ,C e L ARTICLE IV–OFFICERS–Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by[lie Chairman or the President,and subject O c to such limitation as the Chairman or the President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, �.y O.� 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 E y powers of attorney,shall 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 '� ay p L executed,such 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 > n3 the 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. m C� s Ry = ARTICLE XIII–Execution of Contracts–SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, E 0?> L and subject to such limitations as the chairman or the president may prescribe,shall appoint such attomeys-in-fact.as may be necessary to act in behalf of the Company to make,execute, -M 0 U 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 c 00 respective powers of allomey,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 v o executed such instruments shall be as binding as if signed by the president and attested by the secretary. O T– 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 attomeys-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 surely bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. 1, 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,hue and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked, .•L IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this�day of dwel —.20 d �' LG,:!•itnL.:�.� n)PYQ'r4te_a% ,R O'tq`Ai1 o -�..... p 1919 0 1912 J -r ,.1991 BY ,, a' ; A y Renes C.Uewei ssistant Secretary 347 of 400 LMS 17.873 022017 Liberty Mutual. SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una queja: You may call toll-free for information or to Usted puede llamar al numero de telefono gratis 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 1.9406-2755 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 acerea de companias, coberturas, derechos o 1-800-252-3439 quejas 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 (111-1A) P. 0. Box 149091 P. 0. 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: ConsumerProtection@tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 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, Bebe comunicarse con el agente o contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede 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-15292 10/15 Greensheet for Pine Meadows Phase II CPN#100824 WS Adobe Sign Document History 08/14/2018 Created: 07/19/2018 By: Shameka.Kennedy@fortworthtexas.gov -^- Status: Signed �_.. Transaction ID: CBJCHBCAABAAvNBOcHZXbZQ4dJ_Ut_elqu_ifTpt-9v3 "Greensheet for Pine Meadows Phase II CPN#100824 WS" [dist ory Document created by Shameka.Kennedy@fortworthtexas.gov 07/19/2018-9:54:04 AM CDT-IP address:209.194.29.100 C'4 Document emailed to Ab Grantges (burnscoinc2@aol.com)for signature 07/19/2018-9:57:20 AM CDT Document viewed by Ab Grantges (burnscoinc2@aol.com) 07/19/2018-2:38:12 PM CDT-IP address:12.246.109.114 Chi Ab Grantges (burnscoinc2@aol.com) uploaded the following supporting documents: File Attachment 1 ci File Attachment 2 07/19/2018-2:39:42 PM CDT a Document e-signed by Ab Grantges (burnscoinc2@aol.com) Signature Date:07/19/2018-2:39:42 PM CDT-Time Source:server-IP address:12.246.109.114 E-4, Document emailed to Thomas W. Miller(thomas.miller@fortworthtexas.gov)for signature 07/19/2018-2:39:44 PM CDT Document viewed by Thomas W. Miller(thomas.miller@fortworthtexas.gov) 07/19/2018-2:41:22 PM CDT-IP address:209.194.29.100 o Document e-signed by Thomas W. Miller(thomas.miller@fortworthtexas.gov) Signature Date:07/19/2018-2:47:53 PM CDT-Time Source:server-IP address:209.194.29.100 C`> Document emailed to Edwin R. Rodriguez, Sr. (edwin.rodriguez@fortworthtexas.gov)for approval 07/19/2018-2:47:54 PM CDT Ford Addobotx e Sign L Document viewed by Edwin R. Rodriguez, Sr. (edwin.rodriguez@fortworthtexas.gov) 07/19/2018-2:52:56 PM CDT-IP address:209.194.29.100 GO, Document approved by Edwin R. Rodriguez, Sr. (edwin.rodriguez@fortworthtexas.gov) Approval Date:07/19/2018-2:56:06 PM CDT-Time Source:server-IP address:209.194.29.100 E'-► Document emailed to Patrick Buckley (Patrick.buckley@fortworthtexas.gov)for signature 07/19/2018-2:56:07 PM CDT 5 Document viewed by Patrick Buckley(patrick.buckley@fortworthtexas.gov) 07/19/2018-3:14:14 PM CDT-IP address:209.194.29.100 D� Document e-signed by Patrick Buckley (patrick.buckley@fortworthtexas.gov) Signature Date:07/19/2018-3:14:58 PM CDT-Time Source:server-IP address:209.194.29.100 C'y Document emailed to Janie Scarlett Morales Qanie.morales@fortworthtexas.gov)for signature 07/19/2018-3:14:59 PM CDT Document viewed by Janie Scarlett Morales oanie.morales@fortworthtexas.gov) 07/23/2018-9:10:48 AM CDT-IP address:209.194.29.100 Document signing delegated to Evelyn Roberts (Evelyn.Roberts@fortworthtexas.gov) by Janie Scarlett Morales (Janie.moral es@fortworthtexas.gov) 07/23/2018-9:26:28 AM CDT-IP address:209.194.29.100 do Document e-signed by Evelyn Roberts (Evelyn.Roberts@fortworthtexas.gov) Signature Date:07/23/2018-9:26:50 AM CDT-Time Source:server-IP address:209.194.29.100 C-► Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 07/23/2018-9:26:51 AM CDT Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 07/24/2018-8:48:57 AM CDT-IP address: 162.202.109.213 Dc Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:07/24/2018-8:49:30 AM CDT-Time Source:server-IP address:162.202.109.213 E7� Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 07/24/2018-8:49:32 AM CDT Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 07/24/2018-9:07:53 AM CDT-IP address:209.194.29.100 d Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:07/24/2018-9:08:51 AM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 07/24/2018-9:08:53 AM CDT FORTWORTH. e Si Adobe Sign Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 07/24/2018-9:11:13 AM CDT-IP address:68.116.135.3 Jc Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:07/24/2018-9:11:31 AM CDT-Time Source:server-IP address:68.116.135.3 + Document emailed to Julie A Geho oulie.geho@fortworthtexas.gov)for delivery 07/24/2018-9:11:32 AM CDT i� Document viewed by Julie A Geho Qulie.geho@fortworthtexas.gov) 07/24/2018-9:54:32 AM CDT-IP address:209.194.29.100 c, Document receipt acknowledged by Julie A Geho Qulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:07/24/2018-9:54:52 AM CDT-Time Source:server-IP address:209.194.29.100 E-'-. Document emailed to Sylvia Kelley (tpwcfafiscal@fortworthtexas.gov)for delivery 07/24/2018-9:54:53 AM CDT Document viewed by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) 07/30/2018-9:26:11 AM CDT-IP address:209.194.29.100 Document receipt acknowledged by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:08/14/2018-11:06:40 AM CDT-Time Source:server-IP address:209.194.29.100 Signed document emailed to Ab Grantges (burnscoinc2@aol.com), Evelyn Roberts (Evelyn.Roberts@fortworthtexas.gov), Edwin R. Rodriguez, Sr. (edwin.rodriguez@fortworthtexas.gov), Shameka.Kennedy@fortworthtexas.gov, and 8 more 08/14/2018-11:06:40 AM CDT FORTWORTH. �,ob Adobe Sign