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HomeMy WebLinkAboutContract 50034-FP1 City Secretary 500-34 -FPI Contract No. FORTWORTH, Date Received Oct 19,2018 5� jog — �o) d� 7 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: FOSSIL CREEK PHASE I City Project No.: 101077 Improvement Type(s): Water ® Sewer Original Contract Price: $475,883.61 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $475,883.61 Rob Taylor 1� Oct 18,2018 Contractor Date Gilco Contracting,Inc. Title Project Coordinator/AR Company Name Latrie-Piffs� Lorne Pitts(Oct 18,20191 Oct 18,2018 Proiect Inspector ^ Date Victor V.T-ncro Jr.tOct 1),20151 Oct 19,2018 Project Manager Date Janie Scarlett Morales(Oct 19,2018) Oct 19,2018 CFA Manager Date susa�f 40ak . Susan Alanis(Oct 19,2018) Oct 19,2018 Asst. City Manager Date Page 1 of 2 CITY SECRE`L-,,. . FT. WORT!4 'ry, Notice of Project Completion Project Name: FOSSIL CREEK PHASE I City Project No.: 101077 City's Attachments Final Pay Estimate 0 Change Order(s): ❑ Yes Cxl N/A Pipe Report: © Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 180 CD Days Charged: 240 Work Start Date: 2/4/2018 Work Complete Date: 10/11/2018 +! i I Page 2of2 w 5-6 677 City Project Numbers 101077 DOE Number 1077 Contract Name FOSSIL CREEK PHASE 1 Estimate Number 1 Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 10/15/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / CI4AMBERS Contract Date 1/4/2018 Contractor GILCO CONTRACTING,INC. Contract Time 180 CD !P!) 6331 SOUTHWEST BLVD. Days Charged to Date 240 CD a BENBROOK, TX 76132-1063 Contract is .000000 Complete I CITY OF FORT WORTH i SUMMARY OF CHARGES �I Line Fund Account Center Amount Gross Retainage Net Funded ---- - - - -- ----- - - --------------- !! - -- ..-------- - ------- - - ..------ -_........_........-.. i iI Total Cost of Work Completed $475,883.61 Less %Retained $0.00 Net Earned $475,883.61 Earned This Period $475,883.61 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 v Less Previous Payment $0.00 II Plus Material on Hand Less 15% $0.00 Balance Due This Payment $475,883.61 �I I Monday,October 15,2018 Page 5 of 5 I: �I FORT WORTH CITY OF FORT`NORTH FINAL PAYMENT REQUEST Contract Name FOSSIL CREEK PHASE 1 Contract Limits Project Type WATER&SEWER City Project Numbers 101077 DOE Number 1077 Estimate Number 1 Payment Number I For Period Ending 10/15/2018 CD City Secretary Contract Number Contract Time 18(FD Contract Date 1/4/2018 Days Charged to Date 240 Project Manager NA Contract is 100.00 Complete Contractor GILCO CONTRACTING,INC. 6331 SOUTHWEST BLVD. BENBROOK, TX 76132-1063 Inspectors DICKINSON / CHAMBERS Monday,October 15,2018 Page 1 of 5 City Project Numbers 101077 DOE Number 1077 Contract Name FOSSIL CREEK PHASE 1 Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 10/15/2018 Project Funding UNIT I:WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 --------------------------------------1 8"PVC WATER PIPE 3615 LF $22.92 $82,855.80 3615 $82,855.80 2 8"GATE VALVE 13 EA $1,300.00 $16,900.00 13 $16,900.00 3 FIRE HYDRANT 4 EA $3,600.00 $14,400.00 4 $14,400.00 4 1"WATER SERVICE 80 EA $760.00 $60,800.00 80 $60,800.00 5 12"X8"TAPPING SLEEVE&VALVE 2 EA $4,200.00 $8,400.00 2 $8,400.00 6 16"X8"TAPPING SLEEVE&VALVE 1 EA $5,800.00 $5,800.00 I $5,800.00 7 DUCTILE IRON WATER FITTINGS 0.9 TN $11,444.00 $10,299.60 0.9 $10,299.60 W/RESTRAINT 8 TRENCH SAFETY 3615 LF $0.10 $361.50 3615 $361.50 9 1 1/2"WATER SERVICE 2 EA $1,400.00 $2,800.00 2 $2,800.00 10 4"PVC SCH40 SLEEVE 464 LF $11.00 $5,104.00 464 $5,104.00 --------------------------------------- Sub-Total of Previous Unit $207,720.90 $207,720.90 UNIT II:SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 8"SEWER PIPE 2762 LF $27.53 $76,037.86 2762 $76,037.86 2 8"SEWER CARRIER PIPE 145 LF $64.00 $9,280.00 145 $9,280.00 3 4'MANHOLE 15 EA $2,653.00 $39,795.00 15 $39,795.00 4 4'DROP MANHOLE I EA $4,253.00 $4,253.00 1 $4,253.00 5 8"PVC SEWER PIPE W/CSS BACKFILL 280 LF $44.00 $12,320.00 280 $12,320.00 6 8"SEWER CONNECTION 1 EA $4,100.00 $4,100.00 1 $4,100.00 7 4"SEWER SERVICES 79 EA $670.00 $52,930.00 79 $52,930.00 8 TRENCH SAFETY 3187 LF $1.02 $3,250.74 3187 $3,250.74 9 POST-CCTV INSPECTION 3187 LF $1.53 $4,876.11 3187 $4,876.11 10 4'EXTRA DEPTH MANHOLE 40 VF $150.00 $6,000.00 40 $6,000.00 11 EPDXY MANHOLE LINER(WARREN 13 VF $260.00 $3,380.00 13 $3,380.00 ENVIRONMENTAL) 12 END&PLUG 3 EA $20.00 $60.00 3 $60.00 13 20"CASING BY OTHER THAN OPEN CUT 113 LF $440.00 $49,720.00 113 $49,720.00 14 CONCRETE COLLAR 1 EA $400.00 $400.00 1 $400.00 15 MANHOLE VACUUM TESTING 16 EA $110.00 $1,760.00 16 $1,760.00 Monday,October 15,2018 Page 2 of 5 City Project Numbers 101077 DOE Number 1077 Contract Name FOSSIL CREEK PHASE 1 Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 10/15/2018 Project Funding Sub-Total of Previous Unit $268,162.71 $268,162.71 Monday,October 15,2018 Page 3 of 5 City Project Numbers 101077 DOE Number 1077 Contract Name FOSSIL CREEK PHASE 1 Estimate Number 1 Contract Limits Payment Number ] Project Type WATER&SEWER For Period Ending 10/15/2018 Project Funding Contract Information Summary Original Contract Amount $475,883.61 Chance Orders Total Contract Price $475,883.61 Total Cost of Work Completed $475,883.61 Less %Retained $0.00 Net Earned $475,883.61 Earned This Period $475,883.61 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 $475,883.61 Monday,October 15,2018 Page 4 of 5 i FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Fossil Creek,Phase I PROJECT NUMBER: 101077 DOE NUMBER: n/a WATER PIPE LAID SIZE TYPE OF PIPE LF YES 8" PVC 3615 YES 4" PVC 464 YES 1" copper 1.525.5' FIRE HYDRANTS: 4 VALVES(16"OR LARGER) 1 PIPE ABANDONED SIZE TYPE OF PIPE LF n/a DENSITIES: S(P. NEW SERVICES: / 1" Copper 80 1 1/2" 2 SEWER PIPE LAID SIZE TYPE OF PIPE LF YES 8" PVC 2762 YES 8" Metal-Carrier 145 Yes 8" PVC W/CSS 280 PIPE ABANDONED SIZE TYPE OF PIPE LF NONE DENSITIES: LS NEW SERVICES: 4" PVC 79 TRANSPORTATION AND PUBLIC WORKS s F+ The City of Fort Worth•1000 Throckmorton Street•Fort Worth,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 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 frill; 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; Paving Improvements to serve: Fossil Creek ,Phase 1 G� BY: R4 Taylor Subscribed and sworn before me on this 13th of September ,2018. CESILIA CANALES s �r• Notary ID x7131652996 Notary Public My Commission Expires July 24.2022 Tarrant County, TX CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 022059373 PROJECT: (name, addresS)Fossil Creek Phase 1 TO (Owner) Fort Worth TX PULTE HOMES OF TEXAS,L.P.AND CITY OF FORT ARCHITECT'S PROJECT NO: WORTH CONTRACT FOR: 4800 Regent Blvd. Suite 100 Fossil Creek Phase 1 -Water,Sanitary Sewer, Drainage,Paving and Street Lighting Improvements Irving TX 75063 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 there 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 there insert name and address of Owner) PULTE HOMES OF TEXAS, L.P.AND CITY OF FORT WORTH 4800 Regent Blvd. Suite 100 Irving TX 75063 OWNER, as set forth in the said Surety Company's bond. IN WITNESS, WHEREOF, the Surety Company has hereunto set its hand this 13th day of September, 2018 LIBERTY MUTUAL INSURANCE COMPANY Sur Company Attest:Robbi_Morales (!� (Seal): Signa re 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, Currant 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.8138449 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 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 26th day of June 2018 T�•E``+,c•t"�%�'�, `' `'��'�'�"ti,T ti p.o ,r,"" `4;• The Ohio Casualty Insurance Company N c 1919 ,: 1912 x 'V 19Q1 ` Liberty Mutual Insurance Company aNi Westmerican Insurance Company E V! `%•avnveal�`� J '%nn,v'>C'T :Sr r..a / V1 4) By: STATE OF PENNSYLVANIA ss David M.Carey:Assistant Secretary C COUNTY OF MONTGOMERY m d On this 26th da of June 2018 O i LA Y ,before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance v d 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 A� p 2 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. O W r > 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 L,Y C3 SA PAS COMMONWEALTH OF PENNSYLVANIA /� Q M i3 Q .on'.v� < _•— a to ! Notarial Seal M 4) " of r v Teresa Paslella,Notary Public By: O O i Upper MertonTwp.,Montgomery County Teresa Pastella,Notary Public '- i. Fn, ? My Commission Expires March 28.2021 O = 41 p y rrvt.a' t0 O �'qAV 'pti blembor..PCnnsyivffibaa Association of Notaries to G GELS c rn 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 w p aj,� Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: .�o w 0 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 to such limitation as the Chairman or the President may prescribe,shall appoint such ahomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, >+m O 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 =:2 E L.6 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 m �O c4 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 >s •a 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 CD = 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, o ? E! 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 o seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attomeys-in-fact subject to the limitations set forth in their =o0 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 00 executed such instruments shall be as binding as if signed by the president and attested by the secretary. v%- �p O r 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 attorneys-in- ~r 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 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 attomey 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 day of CJG 20-ZL-. p 1:319 � 1912 " e T991 8Y•— S J JJ Renee C.Llewe , ssistant Secretary i 160 of 300 LMS 12873 022077 Liberty Muftial. SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informaeion o para someter una queja: You may call toll-free for information or to Usted puede hamar al numero de telefono gratis make a complaint at para information 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 information 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 (I 11-I 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.�ov E-mail: ConsumerProtection@tdi.texas.gov E-mail: ConsumerProtectionna tdi.te, xas.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 reelamo, 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 TIIS 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 information become a part or condition of the attached y no se convierte en parte o condition del document. documento adjunto. NP 70 68 09 01 LMS•15292 10115 enrti�o,��. Greensheet for Fossil Creek Phase I CPN#101077 WS Adobe Sign Document History 10/29/2018 Created: 10/15/2018 By: Shameka.Kennedy@fortworthtexas.gov - Status: Signed Transaction ID: CBJCHBCAABAAOJZAQ117SOojbOdy7wBCxfN6lzDAom3S 1 J "Greensheet for Fossil Creek Phase I CPN#101077 WS" History 5 Document created by Shameka.Kennedy@fortworthtexas.gov 10/15/2018-3:14:21 PM CDT-IP address:209.194.29.100 Document emailed to Rob Taylor )for signature odt@gilcocontractin .com nature 9 9 10/15/2018-3:17:35 PM CDT Document viewed by Rob Taylor Odt@gilcocontracting.com) j 10/15/2018-4:16:21 PM CDT-IP address: 107.77.199.98 I Document viewed by Rob Taylor Odt@gilcocontracting.com) d 10/18/2018-3:50:18 PM CDT-IP address: 107.77.199.86 Rob Taylor odt@gilcocontracting.com) uploaded the following supporting documents: ;� File Attachment 1 U File Attachment 2 10/18/2018-3:56:53 PM CDT �c Document e-signed by Rob Taylor Odt@gilcocontracting.com) Signature Date:10/18/2018-3:56:53 PM CDT-Time Source:server-IP address:12.246.109.114 r Document emailed to Lorrie Pitts (lorrie.pitts@fortworthtexas.gov)for signature 10/18/2018-3:56:54 PM CDT Document viewed by Lorrie Pitts (lorrie.pitts@fortworthtexas.gov) 10/18/2018-3:57:35 PM CDT-IP address:209.194.29.100 Document e-signed by Lorrie Pitts (lorrie.pitts@fortworthtexas.gov) Signature Date:10/18/2018-3:58:22 PM CDT-Time Source:server-IP address:209.194.29.100 . Document emailed to Michael Glover(michael.glover@fortworthtexas.gov)for approval 10/18/2018-3:58:23 PM CDT FORT WORTH, � �� Adobe Sign Document viewed by Michael Glover(michael.glover@fortworthtexas.gov) 10/18/2018-4:05:30 PM CDT-IP address:209.194.29.100 G . Document approved by Michael Glover(michael.glover@fortworthtexas.gov) Approval Date: 10/18/2018-4:06:44 PM CDT-Time Source:server-IP address:209.194.29.100 C'-' Document emailed to Victor V. Tornero Jr. (victor.tornero@fortworthtexas.gov)for signature 10/18/2018-4:06:45 PM CDT Document viewed by Victor V. Tornero Jr. (victor.tornero@fortworthtexas.gov) 10/19/2018-8:41:22 AM CDT-IP address:209.194.29.100 D4, Document e-signed by Victor V. Tornero Jr. (victor.tornero@fortworthtexas.gov) Signature Date: 10/19/2018-8:42:14 AM CDT-Time Source:server-IP address:209.194.29.100 C'+ Document emailed to Janie Scarlett Morales oanie.morales@fortworthtexas.gov)for signature 10/19/2018-8:42:14 AM CDT Document viewed by Janie Scarlett Morales oanie.morales@fortworthtexas.gov) 10/19/2018-8:51:05 AM CDT-IP address:209.194.29.100 bo, Document e-signed by Janie Scarlett Morales oanie.morales@fortworthtexas.gov) Signature Date:10/19/2018-8:51:55 AM CDT-Time Source:server-IP address:209.194.29.100 P+ Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 10/19/2018-8:51:56 AM CDT Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 10/19/2018-12:22:26 PM CDT-IP address:209.194.29.100 Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:10/19/2018-12:22:42 PM CDT-Time Source:server-IP address:209.194.29.100 C'► Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 10/19/2018-12:22:43 PM CDT Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 10/19/2018-12:30:09 PM CDT-IP address:209.194.29.100 49 Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date: 10/19/2018-12:31:57 PM CDT-Time Source:server-IP address:209.194.29.100 C'' Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 10/19/2018-12:31:58 PM CDT Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 10/29/2018-7:55:46 AM CDT-IP address:209.194.29.100 FORTWORTH. I :, Adobe e Sign Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date: 10/29/2018-7:56:02 AM CDT-Time Source:server-IP address:209.194.29.100 w Document emailed to Julie A Geho oulie.geho@fortworthtexas.gov)for delivery 10/29/2018-7:56:03 AM CDT Document viewed by Julie A Geho oulie.geho@fortworthtexas.gov) 10/29/2018-8:02:04 AM CDT-IP address:209.194.29.100 u. Document receipt acknowledged by Julie A Geho oulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:10/29/2018-8:02:19 AM CDT-Time Source:server-IP address:209.194.29.100 Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery 10/29/2018-8:02:19 AM CDT Document viewed by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) 10/29/2018-12:52:29 PM CDT-IP address:209.194.29.100 o Document receipt acknowledged by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:10/29/2018-12:52:49 PM CDT-Time Source:server-IP address:209.194.29.100 Signed document emailed to Lorrie Pitts (lorrie.pitts@fortworthtexas.gov), Allison Tidwell (cso_finalpay@fortworthtexas.gov), Victor V. Tornero Jr. (victor.tornero@fortworthtexas.gov), Michael Glover (michael.glover@fortworthtexas.gov), and 7 more 10/29/2018-12:52:49 PM CDT FORT WORTH. y Adobe Sign