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HomeMy WebLinkAboutContract 49550-FP1 City Secretary 49550 -FPI Contract No. FORTWORTH, Date Received Sep 18,2018 5-Z,00 /669(aS NOTICE OF PROJECT COMPLETION (Developer Projects) a The Transportation and Public Works Department upon the recommendation of the Project s 1 Manager has accepted the following project as complete: 3 s Project Name: REVELSTOKE, SECTION 1A 3 City Project No.: 100965 Improvement Type(s): ® Paving ❑ Drainage ❑ Street Lights ❑ Traffic Signals i F Original Contract Price: $1,427,503.55 E+ Amount of Approved Change Order(s): Revised Contract Amount: f Total Cost of Work Complete: $1,427,503.55 H vbTyloV Sep 14, 2018 8.b rarlo,(Sp 14,2018) s Contractor Date Project Coordinator Title 4 gilco contracting,Inc Company Name A,O& tsa a�uer►o Sep 17, 2018 Aibert Samamego ISep 17,2C 1 Project Inspector Date Fred E�7. Sep 17,2018 Project manager Date �7a�rre �ett tilv�al.�r Janie S—lett Nl,,ote,(Sep 17,2018) Sep 17,2018 CFA Manager Date swigg,,ausaep 17, 2018 Sn Al.Ala nis(Sep 17,20181 Asst. City Manager Date Page 1 of 2 OFFICIAL.RECORD G � CITY SECRETARY FT.WORTH,TX Notice of Project Completion Project Name: REVELSTOKE, SECTION 1A City Project No.: 100965 City's Attachments Final Pay Estimate x❑ Change Order(s): ❑ Yes x❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 102 CD Days Charged: 334 Work Start Date: 10/9/2017 Work Complete Date: 9/7/2018 V Page 2 of 2 X00 9— 1669(a City Project Numbers 100965 DOE Number 0965 Contract Name REVELSTOKE,SECTION lA Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING --- —For-Period Ending 9/13!2018 R k Project Funding Project Manager NA City Secretary Contract Number gg Inspectors OWEN / SLATEN Contract Date y Contractor GILCO CONTRACTING,INC. Contract Time 50 WD 6331 SOUTHWEST BLVD. Days Charged to Date 334 WD BENBROOK, TX 76132-1063 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 $1,427,503.55 Less %Retained $0.00 Net Earned $1,427,503.55 Earned This Period $1,427,503.55 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 $1,427,503.55 Thursday,September 13,2018 Page 5 of 5 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name REVELSTOKE,SECTION lA Contract Limits Project Type PAVING City Project Numbers 100965 DOE Number 0965 Estimate Number I Payment Number I For Period Ending 9/13/2018 WD City Secretary Contract Number Contract Time 5WD Contract Date Days Charged to Date 334 Project Manager NA Contract is 100.00 Complete Contractor GILCO CONTRACTING,INC. 6331 SOUTHWEST BLVD. BENBROOK, TX 76132-1063 Inspectors OWEN / SLATEN Thursday,September 13,2018 Page 1 of 5 City Project Numbers 100965 DOE Number 0965 Contract Name REVELSTOKE,SECTION I Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 9/13/2018 I Project Funding PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 HYDRATED LIME 255 TN $155.00 $39,525.00 255 $39,525.00 2 HYDRATED LIME 304 TN $155.00 $47,120.00 304 $47,120.00 3 6"LIME TREATMENT 15905 SY $2.85 $45,329.25 15905 $45,329.25 4 6"CONC PVMT 14930 SY $33.25 $496,422.50 14930 $496,422.50 5 7.5"CONC PVMT 12970 SY $36.65 $475,350.50 12970 $475,350.50 6 4"HMAC 620 SY $35.00 $21,700.00 620 $21,700.00 7 2"TOP COURSE 620 SY $17.50 $10,850.00 620 $10,850.00 8 TACK COAT 620 SY $1.00 $620.00 620 $620.00 9 PRIME COAT 620 SY $1.75 $1,085.00 620 $1,085.00 10 8"LIME,TREATMENT 14425 SY $2.95 $42,553.75 14425 $42,553.75 11 4"CONC SIDEWALK 22535 SF $5.00 $112,675.00 22535 $112,675.00 12 BARRIER FREE RAMP 5 EA $1,950.00 $9,750.00 5 $9,750.00 13 BARRIER FREE RAMP I EA $1,425.00 $1,425.00 1 $1,425.00 14 BARRIER FREE RAMP 22 EA $2,000.00 . $44,000.00 22 $44,000.00 15 HANDRAIL 340 LF $75.00 $25,500.00 340 $25,500.00 16 FURNISH/INSTALL ALUM SIGN GROUND 1 EA $400.00 $400.00 1 $400.00 MOUNT CITY STD 17 FURNISHANSTALL ALUM SIGN GROUND 7 EA $475.00 $3,325.00 7 $3,325.00 MOUNT CITY STD 18 FURNISII/INSTALL ALUM SIGN GROUND I EA $400.00 $400.00 1 $400.00 MOUNT CITY STD 19 FURNISI ANSTALL ALUM SIGN GROUND 4 EA $425.00 $1,700.00 4 $1,700.00 MOUNT CITY STD 20 FURNISH/INSTALL ALUM SIGN GROUND 4 EA $425.00 $1,700.00 4 $1,700.00 MOUNT CITY STD 21 FURNISH/INSTALL ALUM SIGN GROUND 4 EA $425.00 $1,700.00 4 $1,700.00 MOUNT CITY STD 22 FURNISH/INSTALL ALUM SIGN GROUND I EA $425.00 $425.00 1 $425.00 MOUNT CITY STD 23 RELOCATE EXISTING POWER POLE 1 EA I 24 RELOCATE EXISTING SIGN 2 EA $500.00 $1,000.00 2 $1,000.00 25 4"SLD PVMT MARKING HAS(Y) 4415 LF $1.30 $5,739.50 4415 $5,739.50 26 4"SLD PVMT MARKING HAS(W) 331 LF $1.30 $430.30 331 $430.30 27 8"SLD PVMT MARKING HAS(W) 245 LF $2.75 $673.75 245 $673.75 Thursday,September 13,2018 Page 2 of 5 City Project Numbers 100965 DOE Number 0965 Contract Name REVELSTOKE,SECTION IA Estimate Number 1 Contract Limits Payment Number 1 Project Type PAVING ____For Period Ending 9/13/2018 Project Funding 28 LANE LEGEND ARROW 2 EA $250.00 $500.00 2 $500.00 29 LANE LEGEND ONLY 2 EA $250.00 $500.00 2 $500.00 30 REMOVE 4"PVMT MARKING 438 LF $1.00 $438.00 438 $438.00 31 REFL RAISED MARKER 245 LF $0.30 $73.50 245 $73.50 32 REFL RAISED MARKER 1850 LF $0.25 $462.50 1850 $462.50 33 TRAFFIC CONTROL 1 LS $3,500.00 $3,500.00 1 $3,500.00 34 INSTALL EOR BARRICADE 4 EA $1,500.00 $6,000.00 4 $6,000.00 35 REMOVE BARRICADE&CONNECT TO 2 EA $500.00 $1,000.00 2 $1,000.00 EXISTING 36 SAWCUT,REMOVE&DISPOSE EXISTING 437 LF $10.00 $4,370.00 437 $4,370.00 PAVEMENT 37 PAVEMENTHEADER 116 LF $10.00 $1,160.00 116 $1,160.00 38 SWPPP MAINTENANCE I LS $500.00 $500.00 1 $500.00 39 CITY BONDS FOR ALL PAVING 1 LS $17,600.00 $17,600.00 1 $17,600.00 IMPROVEMENTS Sub-Total of Previous Unit $1,427,503.55 $1,427,503.55 Thursday,September 13,2018 Page 3 of 5 1 City Project Numbers 100965 DOE Number 0965 Contract Name REVELSTOKE,SECTION I Estimate Number I Contract Limits Payment Number I Project Type _ PAVING For Period Ending 9/13/201$ Project Funding Contract Information Summa>y Original Contract Amount $1,427,503.55 Change Orders Total Contract Price $1,427,503.55 Total Cost of Work Completed $1,427,503.55 Less %Retained $0.00 Net Earned $1,427,503.55 Earned This Period $1,427,503.55 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 $1,427,503.55 i Thursday,September 13,2018 Page 4 of 5 i i i AFFIDAVIT i STATE OF TEXAS COUNTY OF TARR.ANT Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Rob Taylor,Project Coordinator of Gilco Contracting,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 fiill; That there are no claims pending for personal injury and/or property damages; On Contract described as; Paving Improvements to serve: Revelstoke, Section lA BY: Rob T ylor Subscribed and sworn before me on this 28th of June ,2018. Notar ublic Tarrant County,TX MARY PANNELL &Notary Public,State of Texas Comm.Expires 10-19-2018 �i rf OF t4�� Natary ID 5144239 i CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 022058099 PROJECT: (name, address)Revelstoke Section 1A- Paving Improvements Fort Worth TX TO (Owner) I D.R.HORTON-TEXAS,LTD AND CITY OF FORT ARCHITECT'S PROJECT N0: WORTH CONTRACT FOR: 6751 North Freeway Revelstoke Section 1A-Paving Improvements Fort Worth TX 76131 _f CONTRACT DATE: CONTRACTOR:GILCO CONTRACTING, 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) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of (here insert name and address of Contractor) GILCO CONTRACTING, 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) D.R. HORTON-TEXAS, LTD AND CITY OF FORT WORTH 6751 North Freeway Fort Worth TX 76131 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 28th day of ,June,2018 l i i LIBERTY MUTUAL INSURANCE COMPANY Sur Company }� l �V 9ALeMa Signa re of Authorized Representative SoDllinie Hunter Attorney-in-Fact i 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. 7989054 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 Casually 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, Robbi Morales;Don E.Cornell;Sophinie Hunter,V.DeLene Marshall;Tina McEvvan;Ricardo J.Reyna;Kelly A.Westbrook all of the city of Dallas stale 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 M s .,,,rrr�,•.m� «}/ 'rs^. sr.:.:' The Ohio Casualty Insurance Company Y Liberty Mutual Insurance Company aN) "19 1912in 1991West American Insurance Company STATE OF PENNSYLVANIA ss David M.Carey,Assistant Secretary a It�- COUNTY OF MONTGOMERY , On this 24th day of January 2018,before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Fdutual Insurance v F- V 41 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 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. `W G� > 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 9P PASr COMMONWEALTH OF PENNSYLVANIA G i M �Poornr�4 F`{ Notarial Swil -n_.._.. � � 1 /Y' y..,�, C fA z v Teresa Paslella,Notary Public _ By: r �`� O p °� Upper Marion Twp..Mont joinery County Teresa Pastella,Notary Public My Commission Expires March 28.2D21 � (a la O y sv�RL � Al �grl'Y�gV cmPennsylvania nnsylvania Assnciat4;n or Noranos O 02 IL t6. G M 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 V)p CD,Y Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: w ra L ARTICLE IV-OFFICERS-Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O c 05- to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, y O C 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 F Qy^ powers of attomey,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 m p y 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 attomey-in-fact under > 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. z cm M c 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, C 00 > i and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-Fact,as may be necessary to act in behalf of the Company to make,execute, M o vseal,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 =Q? respective powers of attorney,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 uo r executed such instruments shall be as binding as if signed by the president and attested by the secretary. O(0 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- ~r fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surely 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 surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed. I, 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,true and correct copy of the Power of Attorney executed by said Companies, is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this Cy+�—day of 20—ii—. r'0INSt'. ;P,_114S J . l'r;l!i/.V ,w -- 1912 1991 s 6y' a a Renee C.Llew qn,Assistant Secretary asi'or 400 LMS_12873022017 it Liberty 10� Mutual. li 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 hamar at numero de telefono gratis make a complaint at para informacion o para someter una queja at 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 acerca de companias, coberturas, derechos o 1-800-252-3439 quejas at 1-800-252-3439 You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros Consumer Protection (11 1-I A) de Texas Consumer Protection (I I I-IA) P. 0. Box 149091 P. 0. Box 149091 Austin, TX 78714-9091 Austin, TX 78714-9091 FAX: (512) 490-1007 FAX 4 (512) 490-1007 Web: http://www,tdi.texas.gov Web: http://www.tdi.texas.gov E-mail: ConsLlmerProtectionntdi.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, debe 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: 1, This notice is for information only and does not Este aviso es solo para proposito de infon-nacion become a part or condition of the attached y no se convierte en parte o condicion del document. dOCUmento adjunto. NP7068090t LMS-15292 10115 Greensheet for Revelstoke, =�- „-- Section 1 A CPN#100965 P Adobe Sign Document History 10/02/2018 - Created: 09/14/2018 By: Shameka.Kennedy@fortworthtexas.gov Status: Signed Transaction ID: CBJCHBCAABAAfQs_y7V5tJhK-bj-M_EWmH6oHHCyG41A "Greensheet for Revelstoke, Section 1A CPN#100965 P” History tL Document created by Shameka.Kennedy@fortworthtexas.gov 09/14/2018-7:39:41 AM CDT-IP address:209.194.29.100 Ck Document emailed to Rob Taylor Qdt@gilcocontracting.com)for signature 09/14/2018-7:43:04 AM CDT Document viewed by Rob Taylor Qdt@gilcocontracting.com) 09/14/2018-7:47:04 AM CDT-IP address: 107.77.201.33 �i Rob Taylor Qdt@gilcocontracting.com) uploaded the following supporting documents: (0/ File Attachment 1 & File Attachment 2 09/14/2018-3:14:51 PM CDT Document e-signed by Rob Taylor Odt@gilcocontracting.com) Signature Date:09/14/2018-3:14:51 PM CDT-Time Source:server-IP address: 12.246.109.114 ► Document emailed to Albert Samaniego (albert.samaniego@fortworthtexas.gov)for signature 09/14/2018-3:14:53 PM CDT Document viewed by Albert Samaniego (albeit.samaniego@fortworthtexas.gov) 09/17/2018-8:25:19 AM CDT-IP address: 174.206.6.92 r Document e-signed by Albert Samaniego (albert.samaniego@fortworthtexas.gov) Signature Date:09/17/2018-8:25:59 AM CDT-Time Source:server-IP address: 174.206.6.92 Document emailed to Joe Rogers Qoseph.rogers@fortworthtexas.gov)for approval 09/17/2018-8:26:01 AM CDT Document viewed by Joe Rogers Qoseph.rogers@fortworthtexas.gov) 09/17/2018-9:31:45 AM CDT-IP address:209.194.29.100 FORTWORTHS Adobe Sign o Document approved by Joe Rogers (Joseph.rogers@fortworthtexas.gov) Approval Date:09/17/2018-9:32:08 AM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Fred Ehia (freidoon.ehia@fortworthtexas.gov)for signature 09/17/2018-9:32:10 AM CDT Document viewed by Fred Ehia (freidoon.ehia@fortworthtexas.gov) 09/17/2018-9:45:32 AM CDT-IP address:209.194.29.100 tG. Document e-signed by Fred Ehia (freidoon.ehia@fortworthtexas.gov) Signature Date:09/17/2018-11:47:26 AM CDT-Time Source:server-IP address:209.194.29.100 '-► Document emailed to Janie Scarlett Morales Qanie.morales@fortworthtexas.gov)for signature 09/17/2018-11:47:28 AM CDT Document viewed by Janie Scarlett Morales Qanie.morales@fortworthtexas.gov) 09/17/2018-12:06:04 PM CDT-IP address:209.194.29.100 Document e-signed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) Signature Date:09/17/2018-12:06:53 PM CDT-Time Source:server-IP address:209.194.29.100 L,+ Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 09/17/2018-12:06:54 PM CDT Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 09/17/2018-2:59:04 PM CDT-IP address:209.194.29.100 65a Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:09/17/2018-2:59:19 PM CDT-Time Source:server-IP address:209.194.29.100 C'y Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 09/17/2018-2:59:21 PM CDT Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 09/18/2018-9:40:28 AM CDT-IP address:209.194.29.100 C�p Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:09/18/2018-9:42:40 AM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 09/18/2018-9:42:42 AM CDT �5 Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 09/18/2018-9:45:08 AM CDT-IP address:209.194.29.100 43Q Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:09/18/2018-9:45:27 AM CDT-Time Source:server-IP address:209.194.29.100 FOR�b I i' �e Si Add obe Sign C`-► Document emailed to Julie A Geho Qulie.geho@fortworthtexas.gov)for delivery 09/18/2018-9:45:28 AM CDT l Document viewed by Julie A Geho Oulie.geho@fortworthtexas.gov) 09/18/2018-12:48:35 PM CDT-IP address:209.194.29.100 06 Document receipt acknowledged by Julie A Geho Qulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:09/18/2018-12:48:53 PM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to Monica De Anda (monica.deanda@fortworthtexas.gov)for delivery 09/18/2018-12:48:56 PM CDT Document viewed by Monica De Anda (monica.deanda@fortworthtexas.gov) 10/02/2018-9:24:13 AM CDT-IP address:209.194.29.100 ha Document receipt acknowledged by Monica De Anda (monica.deanda@fortworthtexas.gov) Receipt Acknowledgement Date: 10/02/2018-9:24:26 AM CDT-Time Source:server-IP address:209.194.29.100 C� Document emailed to Sylvia Kelley (tpwcfafiscal@fortworthtexas.gov)for delivery 10/02/2018-9:24:27 AM CDT ` Document viewed by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) 10/02/2018-11:07:53 AM CDT-IP address:209.194.29.100 d© Document receipt acknowledged by Sylvia Kelley(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date: 10/02/2018-11:08:09 AM CDT-Time Source:server-IP address:209.194.29.100 Signed document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov), Rob Taylor Qdt@gilcocontracting.com), Trudy Brotherton (the rese.brotherton@fortworthtexas.gov), Albert Samaniego (albeit.samaniego@fortworthtexas.gov), and 8 more 10/02/2018-11:08:09 AM CDT FORTWORTH. 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