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HomeMy WebLinkAboutContract 50278-FP1 t City Secretary 51271 -FPI Contract No. i FORTWORTH, Date Received Dec 7,2018 5(D009— NOTICE (D0b8---NOTICE OF PROJECT COMPLETION (Developer Projects) t I The Transportation and Public Works Department upon the recommendation of the Project Manager has accepted the following project as complete: i Project Name:W&S, Paving, Street Lighting Improvements to Serve Trinity Basin City Project No.: 101245 Improvement Type(s): Water ® Sewer Original Contract Price: $111,352.00 Amount of Approved Change Order(s): Revised Contract Amount: Total Cost of Work Complete: $111,352.00 Rob2mt�7��rPi Robert James(Nov 30,2018 Nov 30, 2018 Contractor Date CFO Titre Speed FabCrete Corporation Company Name d Oscar Aguillonr6m 5,2018) Dec 5, 2018 Project Inspector Date Aaron LonK(Dcr S,2018) Dec 5, 2018 Project Manager Date �7GIflI6 S4zPk ��AIOI-94 Janie Scarlett Morales(0ec 5,2018) Dec 5,2018 CFA Manager Date Sw,gmp24&ni- Dec 5 2018 Susan Alanis(Dec 5,2018] , Asst. City Manager Date �� v7 ®FFICOAL REC®RID CITY SECRE1'gRlr e 1 of 2 FT tl/i/ORTH, TX 9,p. Notice of Project Completion Project Name:W&S, Paving, Street Lighting Improvements to Serve Trinity Basin City Project No.: 101245 City's Attachments Final Pay Estimate Change Order(s): ❑ Yes Z N/A Pipe Report: © Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 90 CD Days Charged: 190 Work Start Date: 3/12/2018 Work Complete Date: 9/18/2018 Page 2of2 is i City Project Numbers 101245 DOE Number 1245 Contract Name WATER,SEWER,PAVING,&STREET LIGHTING IMPROVEMENT TO Estimate Number 1 C Contract Limits Payment Number I G' Project Type WATER&SEWER For Period Ending 9/30/2018 fI' Project Funding f Project Manager NA City Secretary Contract Number Inspectors MILLER,W / SCHARFENBERG Contract Date 1/29/2018 Contractor SPEED FAB-CRETE CORP.,INTL, Contract Time 90 CD P.O.BOX 15580 Days Charged to Date 190 CD FORT WORTH, TX 76119 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 $111,352.00 Less %Retained $0.00 Net Earned $111,352.00 Earned This Period $111,352.00 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 $111,352.00 Friday,October 5,2018 Page 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name WATER,SEWER,PAVING,&STREET LIGHTING IMPROVEMENT TO SE Contract Limits Project Type WATER&SEWER ` City Project Numbers 101245 DOE Number 1245 Estimate Number 1 Payment Number 1 For Period Ending 9/30/2018 CD City Secretary Contract Number Contract Time 91ED Contract Date 1/29/2018 Days Charged to Date 190 Project Manager NA Contract is 100.00 Complete Contractor SPEED FAB-CRETE CORP.,INTL. P.O.BOX 15580 FORT WORTH, TX 76119 Inspectors MILLER,W / SCHARFENBERG I, Friday,October 5,2018 Page 1 of 4 l City Project Numbers 101245 DOE Number 1245 Contract Name WATER,SEWER,PAVING,&STREET LIGHTING IMPROVEMENT TO Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 9/30/2018 Project Funding UNIT I:WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ---------------------------------------- I REMOVE 6"WATER LINE 202 LF $15.00 $3,030.00 202 $3,030.00 2 CONNECTION TO EXISTING 4"-12"WATER 3 EA $3,000.00 $9,000.00 3 $9,000.00 MAIN 3 10"GATE VALVE 2 EA $2,300.00 $4,600.00 2 $4,600.00 4 6"GATE VALVE I EA $1,025.00 $1,025.00 1 $1,025.00 5 10"WATER PIPE 202 LF $121.00 $24,442.00 202 $24,442.00 6 6"WATER PIPE 40 LF $118.00 $4,720.00 40 $4,720.00 7 DUCTILE IRON WATER FITTING W/RESTRAINT 0.25 TN $20,000.00 $5,000.00 0.25 $5,000.00 8 TEMPORARY WATER SERVICE 1 LS $9,800.00 $9,800.00 1 $9,800.00 9 1"WATER SERVICE I EA $4,000.00 $4,000.00 1 $4,000.00 10 2"WATER SERVICE 1 EA $6,000.00 $6,000.00 1 $6,000.00 11 ASPHALT PVMT REPAIR,WATER SERVICE 30 LF $98.00 $2,940.00 30 $2,940.00 12 Y WIDE ASPHALT PVMT REPAIR, 202 LF $102.00 $20,604.00 202 $20,604.00 RESIDENTIAL 13 TRENCH SAFETY 272 LF $3.00 $816.00 272 $816.00 Sub-Total of Previous Unit $95,977.00 $95,977.00 UNIT II:SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total - -------- ----------- - ------- — ----------- 1 4"SEWER SERVICE 2 EA $3,900.00 $7,800.00 2 $7,800.00 2 ASPHALT PVMT REPAIR,SEWER SERVICE 75 LF $98.00 $7,350.00 75 $7,350.00 3 TRENCH SAFETY 75 LF $3.00 $225.00 75 $225.00 Sub-Total of Previous Unit $15,375.00 $15,375.00 ----------------------------------------- Friday,October 5,2018 Page 2 of 4 City Project Numbers 101245 DOE Number 1245 Contract Name WATER,SEWER,PAVING,&STREET LIGHTING IMPROVEMENT TO Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 9/30/2018 Project Funding Contract Information Summary Original Contract Amount $111,352.00 Chance Orders Total Contract Price $111,352.00 Total Cost of Work Completed $111,352.00 Less %Retained $0.00 Net Earned $111,352.00 Earned This Period $111,352.00 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 $111,352.00 Friday,October 5,2018 Page 3 of 4 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Water,Sewer,Paving,&Street Lighting hnprovments to Serve Trinity Basin Preparatory PROJECT NUMBER: 101245 DOE NUMBER: NA WATER PIPE LAID SIZE TYPE OF PIPE LF C900 DR14 10" PVC 202 6" PVC 40 FIRE HYDRANTS: VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: 2" Copper 1 Each 1" Copper 1 Each SEWER PIPE LAID SIZE TYPE OF PIPE LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: 4" PVC 2 Each TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckunorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 ® � P.O.Box 15580 817/478-1137 FORT WORTH.TEXAS 76119 METRO 817!572-0351 FAX 817/561-2544 ® ® ® e� I150 E MaIMEDALE PKWY info @ speedfab-trete tom KENNEDAiF,TEXAS 76060 wwv4speedfab-crate com Design-Build General Contractor Precast Concrete Manufacturer STATE OF TEXAS X X COUNTY OF TARRANT X The undersigned,having erected and completed certain improvements upon the following described property,to-wit: Public Improvements W&S,Paving, Street Lighting Improvements To Serve Trinity Basin Fort Worth,Texas being sworn on oath,deposes and states that all Iabor and material used in the construction of said improvements have been fully paid for up to retainage,and there are now no unpaid labor material claims against said improvements or the property upon which they are situated,and hereby declares that all sums of money due for the erection of said improvements will be paid and satisfied upon receipt of retainage from property owner. Robert J ,CFO Speed Fab-Crete Corporation SUBCRIBED AND SWORN TO,before me,this the I&day of October,2018. Lo G�JL Notary Public for the State of Texas My Commission Expires:LAY7-19-2 V .....tea ,� MICHELLE BRAIM y4 ,:Notary Public.State of Texas Comm.Expires 07-18-2022 � �� Notary 1D 131648262 CONSENT OF OWNER SURETY COMPANY ARCHITECT TO FINAL PAYMENT CONTRACTOR SURETY AIA DOCUMENT CT707 OTHER Bond No. PROJECT: Trinity Charter Panola-Water,Sewer,Paving and Signage Improvements (name,address) TO(Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 1000 Throckmorton Street Fort Worth,TX 76102-6312 CONTRACT FOR: Construction ] CONTRACT DATE: 2/1/2018 CONTRACTOR: Speed Fab-Crete Corporation 1150 E.Kennedale Parkway Kennedale,TX 76060 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) North American Specialty Insurance Company 5200 Metcalf OPNI11 Overland Park,KS 66202 SURETY COMPANY, on bond of(here insert name and address of Contractor) Speed Fab-Crete Corporation 1150 E.Kennedale Parkway KennedaIe,TX 76060 , CONTRACTOR, hereby approves of the final payment to the Contractors,and agrees that final payment to the Contractor shaII not relieve the Surety Company of any of its obligations to(here insert name and address of Owner) City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102-6312 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 10th day of October 2018 North American Specialty Insurance Company Surety Company Attest:rj& a4vZ4 Signature of Authorized Representative (Sea]):'- Debra Lee Moon 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 CLAI;vtS, Current Edition AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE 1970 THE.AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,WASHINGTON,D.C. 20006 SWISS RE CORPORATE SOLUTIONS NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY WESTPORT INSURANCE CORPORATION GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Overland Park,Kansas and Washington International Insurance Company a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Overland Park,Kansas,and Westport Insurance Corporation,organized under the laws of the State of Missouri,and having its principal office in the City of Overland Park,Kansas each does hereby make,constitute and appoint: SAMMY JOE MULLIS.X.JOHN WILLIAM NEWBY,CHERI LYNN IRBY,WILBERT RAYMOND WATSON.MICHAEL L.TULLIS,SANDRA LEE RONEY,DEBRA LEE MOON, ANDREA ROSE CRAWFORD.MARYJO ZAKAZEWSKI,JAMES S.ROGERS.JR,TROYRUSSELL KEY,LINDA MICHELLE STALDER AND CHRISTOPHER CARL SUNDBERG JOINTLY OR SEVERALLY Its true and lawfil Attorneys)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,•boads or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: ONE HUNDRED TWENTY FIVE MILLION(5125,000,000.00)DOLLARS This Power of Attomey is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on March 24,2000 and Westport Insurance Corporation by written consent of its Executive Committee dated July 18,2011. "RESOLVED,that any two of the President,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attomey and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature ofsuch officers and the seal of the Company may be affixed to any such Power of Attomey or to any certificate relating thereto by facsimile,and any such Power of Attomey or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." �tuuutu„� O`Qsby•�o,WJrr,,.�.i�4 , ,�spttoHgt V�9Q 4$: By S.EAL 5tevsn on Intanamonal TowronceCompany =t3t1 SEq( ,o= o. ' &Suder Vke Pre4hed erNortb American specialgrmnrance Company 1973 ops r t~7i ?q &SeutorYice Pmidcot otWestpori rnwrana Corporation �j��boN __,y``�`�'l *• �� Mike A.ito,SeelorVicePt+nideato Interna5emlInsurance Company �nmluniu &Senior Vim President orNonb America Spedaity rnsuraom Company &senior vim President orwestpon insurance Corporation IN WITNESS WHEREOF,North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this this 20th day of August '20 18 . North American Specialty Insurance Company Washington International Insurance Company State of Illinois Westport Insurance Corporation County of Cook ss: On this 20th day of August 20-18 before me,a Notary Public personally appeared. Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation and Michael A.Ito Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Senior Vice President of Westport Insurance Corporation,personally known to me,who being by me duly swom,acknowledged that they signed the above Power ofAttorney as officers Of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFRM SEAL W KENNY �,/�t `:. .1 i Notary pubk-Sate or sRods ray 21 M.Kenny,Notary Public I, Jeffrey Goldberg , the duly elected Vice President and Assistant Secretary of North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company,Washington International Insurance Company and Westport Insurance Corporation which is still in full force and effect IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 10th day of October 20 18 retriey Goldbctg,vice President&Assistam Smcmrl•or WasbittEtett tntanationst tnsuwnce Compsty a Nonb Amedem Specialty lmnrurce Company&Vice President&AarsuadSerxetaq orwestpon innamce co�pomoon North American Specialty Insurance Company Washington International Insurance Company Westport Insurance Corporation TEXAS CLAIMS INFORMATION IMPORTANT NOTICP ADVISO IMPORTANTE In order to obtain information or make a complaint: Para obtener informacion o para someter un queja: You may contact Jeffrey Goldberg,Vice President Puede comunicarse con Jeffrey Goldberg,Vice — Claims at 1-800-338-0753 President—Claims,al 1-800-338-0753 You may call Washington International Insurance Usted puede Ilamr al numero de telefono gratis de Company and/or North American Specialty Insurance Washington International Insurance Company and/or Company's and/or Westport Insurance Corporation North American Specialty Insurance Company's and/or toll-free number for information or to make a Westport Insurance Corporation para informacion o complaint at: para someter una queja al: 1-800-338-0753 1-800-338-0753 You may also write to Washington international Usted tambien puede escribir a Washington Insurance Company and/or North American Specialty International Insurance Company and/or North Insurance Company and/or Westport Insurance American Specialty Insurance Company and/or Corporation at the following address: Westport Insurance Corporation al: 1450 American Lane 1450 American Lane Suite 1100 Suite 1100 Schaumburg,IL 60173 Schaumburg,IL 60173 You may contact the Texas Department of Insurance Puede escribir al Departmento de Seguros de Texas to obtain information on companies,coverages, para obtener informacion acerca de companias, rights or complaints at: coberturas,derechos o quejas al: 1-800-252-3439 1-800-252-3439 You may write the Texas Department of Insurance: Puede escribir al Departmento de Seguros 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: htt8:/Aw-N pl tdi._state_tx.cc Web: ham'p:a. ww.tdLstate bc-u_ Email:ConsumerProtection@tdi.state.tx.us Email:ConsumerProtection@tdi.state bLus PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un or about a claim you should first contact the reclamo,debe comunicarse con el Washington Washington International Insurance Company and/or International Insurance Company and/or North North American Specialty Insurance Company and/or American Specialty Insurance Company and/or Westport Insurance Corporation. If the dispute is not Westport Insurance Corporation primero. Si no se resolved,you may contact the Texas Department of resuelve la disputa,puede entonces comunicarse Insurance. con el Departmento de Seguros de Texas. ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA This notice is for information only and does not Este aviso es solo para proposito de infromacion y no become a part or condition of the attached se convene en parte o condicion dei documento document. adjunto. Green Sheet Water, _ - -- Sewer, Paving & Street Lighting Improvement to Serve Trinity Basin CPN 101245 W&S Adobe Sign Document History 12/07/2018 Created: 10/05/2018 By: Etta Bacy(etta.bacy@fortworthtexas.gov) Status: Signed Transaction ID: CBJCHBCAABAAOD91tckdSJ2LcrbTlc4d-J82egYibhl8 "Green Sheet Water, Sewer,Paving & Street Lighting Improveme nt to Serve Trinity Basin CPN 101245 W&S" History tj Document created by Etta Bacy(etta.bacy@fortworthtexas.gov) 10/05/2018-2:52:51 PM CDT-IP address:209.194.29.100 C'► Document emailed to nwiersum@speedfab-crete.com for signature 10/05/2018-2:57:16 PM CDT Document viewed by nwiersum@speedfab-crete.com 10/05/2018.3:12:57 PM CDT-IP address:99.203.23.87 rO Etta Bacy(etta.bacy@fortworthtexas.gov) replaced signer nwiersum@speedfab-crete.com with Robert James (rjames @speedfab-cret e.co m) 11/30/2018-4:19:58 PM EST-IP address:209.194.29.100 ► Document emailed to Robert James (rjames@speedfab-crete.com)for signature 11/30/2018-4:19:58 PM EST Document viewed by Robert James(rjames@speedfab-crete.com) 11/30/2018-4:21:14 PM EST-IP address:47.44.12.194 Chi Robert James(rjames@speedfab-crete.com) uploaded the following supporting documents: G File Attachment 1 File Attachment 2 11/30/2018-4:28:00 PM EST i a& Document e-signed by Robert James (rjames@speedfab-crete.com) Signature Date:11/30/2018-4:28:00 PM EST-Time Source:server-IP address:47.44.12.194 Adobe Sign P-► Document emailed to Oscar Aguillon (oscar.aguillon@fortworthtexas.gov)for signature 11/30/2018-4:28:01 PM EST Document viewed by Oscar Aguillon (oscar.aguillon@fortworthtexas.gov) 11/30/2018-4:33:30 PM EST-IP address: 107.77.199.132 GSp Document e-signed by Oscar Aguillon (oscar.aguillon@fortworthtexas.gov) Signature Date: 12/05/2018-8:48:43 AM EST-Time Source:server-IP address:174.206.26.76 P+ Document emailed to Emanuel Nieto (emanuel.nieto@fortworthtexas.gov)for approval 12/05/2018-8:48:44 AM EST Document viewed by Emanuel Nieto (emanuel.nieto@fortworthtexas.gov) 12/05/2018-9:18:47 AM EST-IP address:209.194.29.100 ,00Document approved by Emanuel Nieto(emanuel.nieto@fortworthtexas.gov) Approval Date:12/05/2018-9:24:42 AM EST-Time Source:server-IP address:209.194.29.100 2+ Document emailed to Aaron Long (edward.long@fortworthtexas.gov)for signature 12/05/2018-9:24:43 AM EST 15 Document viewed by Aaron Long (edward.long@fortworthtexas.gov) 12/05/2018-9:48:58 AM EST-IP address:209.194.29.100 &6 Document e-signed by Aaron Long (edward.long@fortworthtexas.gov) Signature Date:12/05/2018-9:49:26 AM EST-Time Source:server-IP address:209.194.29.100 P-► Document emailed to Janie Scarlett Morales (Janie.morales@fortworthtexas.gov)for signature 12/05/2018-9:49:27 AM EST Document viewed by Janie Scarlett Morales (Janie.morales@fortworthtexas.gov) 12/05/2018-11:34:55 AM EST-IP address:209.194.29.100 GS© Document e-signed by Janie Scarlett Morales(Janie.morales@fortworthtexas.gov) Signature Date:12/05/2018-11:35:48 AM EST-Time Source:server-IP address:209.194.29.100 124 Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 12/05/2018-11:35:49 AM EST Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 12/05/2018-12:29:22 PM EST-IP address:209.194.29.100 d© Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:12/05/2018-12:29:38 PM EST-Time Source:server-IP address:209.194.29.100 �-► Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 12/05/2018-12:29:39 PM EST FORTWORTH. Adobe Sign Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 12/06/2018-12:42:55 PM EST-IP address:209.194.29.100 Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:12/07/2018-10:55:29 AM EST-Time Source:server-IP address:209.194.29.100 Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 12/07/2018-10:55:30 AM EST Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 12/07/2018-11:15:33 AM EST-IP address:209.194.29.100 Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:12/07/2018-11:16:06 AM EST-Time Source:server-IP address:209.194.29.100 C'-► Document emailed to Julie A Geho Oulie.geho@fortworthtexas.gov)for delivery 12/07/2018-11:16:07 AM EST Document viewed by Julie A Geho Oulie.geho@fortworthtexas.gov) 12/07/2018-2:04:23 PM EST-IP address:209.194.29.100 U`q Document receipt acknowledged by Julie A Geho Oulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:12/07/2018-2:04:47 PM EST-Time Source:server-IP address:209.194.29.100 Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery 12/07/2018-2:04:48 PM EST Document viewed by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) 12/07/2018-2:13:19 PM EST-IP address:209.194.29.100 fS� Document receipt acknowledged by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date: 12/07/2018-2:43:55 PM EST-Time Source:server-IP address:209.194.29.100 ® Signed document emailed to Etta Bacy (etta.bacy@fortworthtexas.gov), Julie A Geho Qulie.geho@fortworthtexas.gov), Janie Scarlett Morales (Janie.morales@fortworthtexas.gov), Oscar Aguillon (oscar.aguillon@fortworthtexas.gov), and 8 more 12/07/2018-2:43:55 PM EST FOR d I „be S Adobe Sign