HomeMy WebLinkAboutContract 49336-FP2 City Secretary 49336 a
Contract No. {r'
FORTWORTH.
Date Received Dec 12,2018�r'
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:Weber Presidio Tract W
City Project No.: 100653
Improvement Type(s): ® Paving ❑ Drainage ® Street Lights ❑ Traffic Signals
Original Contract Price: $24,259.51
Amount of Approved Change Order(s): $11,785.67
Revised Contract Amount: $36,045.18
Total Cost of Work Complete: $36,045.18
en.n►�ogrew(►w.2�2B� Nov 13,2018
Contractor Date
Proiect Manager
Title
Maverick Utility Construction
Company Name
cl ardeP D. &Winy
Charles D.BeWns(Nov 14,2018) Nov 14,2018
Project Inspector Date
,i„Fa,, k32.� Dec 11,2018
Project Manager Date
79#4 S4 Vi A�Ph71AI Dec 1if 2018
�p�tcarlett.uoralea n]ar II.2ma1
CFA Manager Date
'�,a.N,Aw;P Dec 11,2018
iuw mwis malLwo
Asst. City Manager Date
Page 1 of 2
Notice of Project Completion
Project Name:Weber Presidio Tract UV
City Project No.: 100653
City's Attachments
Final Pay Estimate
Change Order(s): ❑x Yes ❑ N/A
Contractor's Attachments
Affidavit of Bills Paid
Consent of Surety
Statement of Contract Time
Contract Time: 270 CD Days Charged: 270
Work Start Date: 10/12/2017 Work Complete Date: 8/28/2018
Page 2 of 2
/DeG53
City Project Numbers 100653
DOE Number 6530
Contract Name WEBER PRESIDIO TRACT UV Estimate Number 1
Contract Limits Payment Number I
Project Type PAVING For Period Ending 8/20/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors ROLLS / BEVINS,D Contract Date 8/30/2017
Contractor MAVERICK UTILITY CONSTRUCTION Contract Time 120 CD
P.O.BOX 728 Days Charged to Date 270 CD
EULESS, TX 76039 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 $36,045.18
Less %Retained $0.00
Net Earned $36,045.18
Earned This Period $36,045.18
Retainage This Period $0.00
Less Liquidated Damages
0 Days a $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 $36,045.18
Monday,November 5,2018 Page 4 of 4
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WEBER PRESIDIO TRACT UV
Contract Limits
Project Type PAVING
City Project Numbers 100653
DOE Number 6530
Estimate Number I Payment Number 1 For Period Ending 8/20/2018
CD
City Secretary Contract Number Contract Time 12(ED
Contract Date 8/30/2017 Days Charged to Date 270
Project Manager NA Contract is 100.00 Complete
Contractor MAVERICK UTILITY CONSTRUCTION
P.O.BOX 728
EULESS, TX 76039
Inspectors ROLLS / BEVINS,D
Monday,November 5,2018 Page 1 of4
City Project Numbers 100653
DOE Number 6530
Contract Name WEBER PRESIDIO TRACT UV Estimate Number 1
Contract Limits Payment Number I
Project Type PAVING For Period Ending 8/20/20.18
Project Funding
UNIT IV:PAVING IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Qnanity Total Quanity Total
-------------------------- --------------
I CONC.SIDEWALK 770 SF $5.00 $3,850.00 770 $3,850.00
2 ADA RAMP 6 EA $927.50 $5,565.00 6 $5,565.00
3 CONC.CURB&GUTTER 243 LF $10.00 $2,430.00 243 $2,430.00
4 6"CONCRETE DRIVEWAY 2659 SF $7.00 $18,613.00 2659 $18,613.00
5 STREET LIGHT LUMINAIRE LED 4 EA $746.67 $2,986.68 4 $2,986.68
6 EXCAVATION 175 CY $14.86 $2,600.50 175 $2,600.50
7 STREET LIGHT LUMINAIRE LED(CO AI) 1 EA $746.47 $746.47 1 $746.47
8 STREET LIGHT LUMINARE LED(CO D 1) -1 EA $746.47 ($746.47) -1 ($746.47)
Sub-Total of Previous Unit $36,045.18 $36,045.18
Monday,November 5,2018 Page 2 of 4
City Project Numbers 100653 DOE Number 6530
Contract Name WEBER PRESIDIO TRACT UV Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 8/20/2018
Project Funding
Contract Information Summary
Original Contract Amount $24,259.51
Change Orders
Change Order Number Al $11,785.47
Change Order Number DI $0.20
Total Contract Price $36,045.18
Total Cost of Work Completed $36,045.18
Less %Retained $0.00
Net Earned $36,045.18
Earned This Period $36,045.18
Retainage This Period $0.00
Less Liquidated Damages
Days a /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 $36,045.18
Monday,November 5,2018 Page 3 of 4
DEVELOPER-AWARDED-PROJECT CHANQ ORDER
PROJECT NAME: WEBER PRESIDIO TRACT UV
CONTRACT: c}1ANOE
493 6 _ ORDER No:
CFA# N:
2017-086 CITY PARTICIPATIO
CITY PROJECT# looc53 _
DOE#
At
WATER PROJECT 1,1 59601.0600.130-00653.001580
SEWER PROJECT 14 59507-0700430-100053001380 _
FILE# W-2443 R X-23913
INSPECTOR: Doug Blevins Phone No: 682-420-3383
PROJECT MANAGER: Khat Jaafarl Phono No: 817-392.7872
CONTRACTUNIT _
WATCR SC1'!ER PAVING DRAINAGE STREET L10)11S CONTRACT
Uosvlopvl 0... par '--D...I.per D—I.P:I Dvvclolxr DAYS
COSI CI Cost Coal Clt/Coit Cost _Clt Cofl Coal CII Cost Com CIt7Ce.1
ORIGRIALCONTRACT $137,022.00 302,011.00 572,010.(0 $2.240,01
EY.T RAO TO DAl E
CREDITS TO DATE
CONTRACT TO DATE 5137,022.00 $000 $62,011.00 30110 $224010.40 $0600 $0.03 30.00 $2,240.01 50,00 0
AI40UNT OF PROP.CII.NIGE ORDER S10,70230 $33.100.09 $11.030.0 $746.47
REVISED CONMACT AIQUNT S147,n14,20 30.0 $",t00,4a 30.00 3)3.DSt140 50.00 10.0
$0.0 32,485.40 $0,00 0
TOTAL REVISED CONTRACT AMOUNT _ '--1:1 ...�j
PER UNIT 5147,014.20 S4G.10.90 333,05850 $00 $7.98GAA
REVISED COST SHARE Dov.Co31: $270,060.10 city Coll:
TOTAL REVISED CONTRACT $279,960,10
You aro d.faded Iomake the fol;trulna Chan ai In the conlfad docunw_nls
CITY UID ITEI.1
PAY ITEMn n OUNITITV UNIT ITCH DESCRIPTIO.`) UtIIT PRICE TOTAL
Y7AlEll FACILITIES
WATER SUOTOTAL 5101792.20
SrAVER FACILITIES
SEWERSUO rOTAL 533,180.99
PAVING FACILITIES
PAVING SUIRTOTAL $11,039.00
-fREE7LIOFIT FACILITIES
STREETLICNT SUDTOTA 55,740.47
GRAND IOTA 753768.44
REASONS FOR CNANOC ORDER a.:.<_.: .ter• .._.,.,.< -:.•-+„�1..' �.•.•...1. -r.t.:
C/W�er(.'1!'u�:^-ri.-lM...c.Y A"!tr4 xha�h wFl R•M:}7r T J 1•!.:rl lfs r:r ,
FO CITY Fl"IM INVUL.YC01tf 77UACWIIA,C1 1XVILOP17113ITCSS'tri"KE F(RS fW`•llf'itlE CNAo1uCyRNEff COSI A41)141
fNc10tri1RS8 RM:.MI f f4r�T4 jH3('.l f T 1Vil L 11E;ScrrpFj i H f 7113..UCWF.L(7Pf R
RECOMMENDED: APPROVED: APPROVED:
By
j`.
2
�'AS1L1
Tltlal
RW.d:10.12.2011
Pope 1
DEVELOPER-AWAROEO.PROJEt{T CHANCE ORDER
PROJECT NAME: WEOER PRESIDIO TRACT W CHANGE
CONTRACT- 49335 ORDER No:
CFA ft 2017.086 CITY PARTICIPATION.
CITY PROJECT# 100653
DOE#
WATER PROJECT# 50601.0600430.00653.001580
81
SEWER PROJECT# 596D7.0700430-f00B53
001380
FILE# 1W.2443 6 X-231143
INSPECTOR: Doug elevens Phone No. 602129.3383
PROJECT MANAGER' Khal Jaofan Phone No 817-392-7672
CONTRACT UNIT
WATER SEWER PAVING ORAIRAGE STREET UGHTO CONTRACT
D6wlopar DentoporD.%Il.pti DMNPei Dmwpor DAYS
Coal _CiLAq?__Coll _C�Cns1 0941 ^.C�gcoat colt _01 con_CoA cam. I
ORICINALCONTRACi 3107,072.00 387,1N.H 9molli50 -_- 7 3 OI
EXTRAS TO DATE 310,702.]0 337 133.49 311 033.00
-_
CREDITS TO DATE
CONTRACT TO DATE 3147.411120 •^{Orca 118.100.13 y11114e 333.05.40 wm so= 110.61/ Kv01M Si.aA 120
AWUNTOFPROP.CWVNGE ORDER 10.00 30.00 30100 30.00 10.00 _ 00 !'
REVISED CONTRACT AMOUNT 1/47.61130 _W.qO 11$100.31 I�—ma 333,093.60 I 30Jb {DAO SQW 37/30.61 an 100
TOTAL REVISED CONTRACT AMOUNT
PERUNIT 1147.61420 146100.16 13305.30 30.D0 {21t6t.40
REVAEO COST SRARE Dov.Cost: $277,80-0.16 qty COD. EO.DO
TOTALREWSEO CONTRACT $279,000.14
REASONS FOR CHANGE ORDER Cucmc.("'v IOos:-r,,:ary2d.:alCCnnr"6rntonasmr>tags:v,`„brrlmrtU.-n,;,ev,CoS?�p4�nuJJ TYrs;e,OCcVrUangoordc.
r,otd-a no,-tAla CPmloa 0!fhO rewst,:!c0nr:eclwn
NO CITY FUNDS INVOLVED IN THIS CONTRACT.DEVELOPER IS RESPONSIBLE FOR tOO%OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM TT1E CITY WILL BE SOUG IIT By THE DEVELOPER.
RECOMMENDED: APPROVED- APPROVED:
•s+o1xY)En9r,,, ,P•vr:orv9 "> - fCon:•3:1
i
6y By 8
Nome ”' -:v1lta5 N6m0 N.. r�n� I L I t
Thio TWO -f� . 1� Taro r'r't,c a-f IrK-A!4 r-
Rcn4c0 10.12.2011 Paget
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: WE13ER PRESID10 TRACT UV
--- CHANGE
CONTRACT: 49336 ORDER No:
CFA A 2017.086 CITY PARTICIPATION:
CITY PROJECT N 100653
DOE 11
WATER PROJECT N 59001.0600430.00653.001580 D1
SEWER PROJECT 1R 59607-0700,130.100653.001380
FILE R W-2443&a-23943
INSPECTOR: Doug Blevins Phone No: 082.429.3383
PROJECT MANAGER: Khal Jaatari Phone No: 817.392.7872
CONTRACT UNIT
WATER SEWER PAVING DRAINAGE STREETLIGHTS CONTRACT
Dovoloper - Dovalopor Oaveteper Oovolopor DovoloPer DAYS
Coal city Cost Coat CI Curt Coal CIW Cost Coal CI Cool Cost City Cosi
OHIGOUL OUNiRAC!_ _ $177022.00 $040 162,011.90 30.00 $22.010.50 f0A0 __ $0,00 $2240.01 SO.Gn 120
EXTILSL IO DA I I. $18460t.00 604M 14S,628.57 $0,00 S11,07A.Do $000 30,00 $740.47 59,00 60
r.R[DITS TO DAT4
CONTRACT TO DATC $155,527.00 40.09 $100,540.50 $0.00 $77050.50 $0.00 50.00 Wee $2,960.46 50.00 270
AMOUNT OF PROP.CHANGE ORDER $0.00 SAW III'r10.in 10.00 $0,00 $0.00 20.20_ 40,00 _ D
REVISED CONTRACT AMOUNT $155.527.00 1 Wee $100548.35 $0.00 577.050.50 Sona S0.60 30,00` S7.080A9 1260 270
TOTAL REVISED CONTRACT AMOUNT
PER UNIT SISS,523.00 S1a0.640.75 577,058.50 30.00 S2.OS6.6n
REVISED COST SHARE Dev,Cost: $298,116.53 CIIy Cnst: 30.00
TOTAL REVISED CONTRACT $298,116.53
Ynu aro rlredl f to make thn follovAng changes in the wnlract documents:
GTY BID ITF I.1
PAY ITE1.1h 11 GDANTItY I ITEM DESCWPTIOt7 UNIT PgICE 101Al
WATER FACILITIES
-_•!• —�- _.__ WATER SUBTOTAL $000
SANITARY SEWER FACILITIES
SANITARY S[KLR SUDT6TAL51992.21
ISTRrETLICHT FACILITIES
t
STREETLIGHT S"TWALKS1
$020
992.01
REASONS FOR CHANGE ORDER Tr,.a Chrgm O.A.is as t--pJSass COI—d-A h—W-I PKIV lr I—ellAnJ
NO CITY FUNDS INVOLVED IN THIS CONTRACT, DEVELOPER IS RESPONSIBLE FOR 100%OF THE CHANCE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY 151LL.DE SOUGHT BY TIITF,DEVELOPER.
RECOMMENDED: APPROVED: APPROVED:
G»aWnO 1lk.e►tli6r It mar
0y
Al
Name: DREW DONOSKY Name: 4(:.'= VgAkfi�� Name: nit.-fir+ .�C=111 Cl..C4._-.
L r
Tien..PROJFCTENGINEER T100: 7�5 �Q ima:t-'�=7 e'i if1��.•a.:'
Ravtscd:1612.2011 Page 1
FORTWORTH rev 03/05/07
TRANSPORTATION& PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:I
NAME OF PROJECT: Weber Presidio,Tract UV
PROJECT NO.: 100653 CONTRACTOR: Maverick Utility Const.. Inc.
DOE NO.:
PERIOD FROM:08/01/18 TO: 08/20/18 FINAL INSPECTION DATE: 20-Aum 18
WORK ORDER EFFECTIVE:10/12/2017 CONTRACT TIME: 120+ 150 O WD O CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
1. 16.
2. 17.
3. 18.
4. 19.
5. 20.
6. 21.
7. 22.
8. 23.
9. 24.
10. 25.
11. 26.
12. 27.
13. 28.
14. 29.
15. 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES OTHERS* DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS
THIS
PERIOD
PREVIOUS
PERIOD 270
TOTALS
TO DATE
*REMARKS:
270 days(150 C.O.Days)
CONTRACTOR DATE INSPECTOR DATE
ENGINEERING DEPARTMENT
The Cit} of Fort Worth• 1000 Throckmorton Street•Fort Worth,TN 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 Todd Bonnet,
President Of Maverick Utility Construction,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;
Weber Presidio Tract UV
BY V
Todd Bonnet
Subscribed and sworn before me on this date 9th of November, 2018.
Not ublic
Tarrant,Texas �o„�YP�B�� Brian Cook
Notary State of Texas
* * My Commission Expires
"'�OflE*py 03/25/2020
Notary ID 13059635-4
CONSENT OF OWNER ❑p
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
SURETY ❑ Bond No.S454957
OTHER
PROJECT: Weber Presidio Tract UV—Public Utilities
TO: (Owner) City of Fort Worth PROJECT NO. CFA#100653
1000 Throckmorton St
Fort Worth,TX 76102-6312
CONTRACT FOR: Site Utilities
CONTRACTOR: Maverick Utility Construction,Inc. CONTRACT DATE:
1001 W.Euless Blvd.,Suite 312
Euless,TX 76040
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,
the
Employers Mutual Casualty Company SURETY,
on Bond of
Maverick Utility Construction,Inc. 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
City of Fort Worth ,OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety has hereunto set its hand this 9th day of November 2018
Employers Mutual Casualty Company
Surety Company
�g�� ;—�,, L
Signature of Autho i e Rep esentative
r
Attest'. Steven J.Zinecker,Attorney-In-Fact
(Sea:) Title
"j
CONSENT OFSURF-COMPANYTO FINAL PAYMENT ONE PAGE
AWEMC
P.O.Box 712•Des Moines,Iowa 50306-0712 INSURANCE
POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT
KNOW ALL MEN BY THESE PRESENTS,that:
1.Employers Mutual Casualty Company,an Iowa Corporation 4.Illinois EMCASCO Insurance Company,an Iowa Corporation
2.EMCASCO Insurance Company,an Iowa Corporation 5.Dakota Fire Insurance Company,a North Dakota Corporation
3.Union Insurance Company of Providence,an Iowa Corporation 6.EMC Property&Casualty Company,an Iowa Corporation
hereinafter referred to severally as"Company"and collectively as"Companies",each does,by these presents,make,constitute and appoint:
STEVEN J. ZINECKER
its true and lawful attorney-in-fact,with full power and authority conferred to sign,seal,and execute the Bid Bond
Any and All Bonds
and to bind each Company thereby as fully and to the same extent as if such instruments were signed by the duly authorized officers of each such Company,and all
of the acts of said attorney pursuant to the authority hereby given are hereby ratified and confirmed.
AUTHORITY FOR POWER OF ATTORNEY
This Power-of-Attomey is made and executed pursuant to and by the authority of the following resolution of the Boards of Directors of each of the Companies at the
first regularly scheduled meeting of each company duly called and held in 1999:
RESOLVED:The President and Chief Executive Officer,any Vice President,the Treasurer and the Secretary of Employers Mutual Casualty Company shall have
power and authority to(1)appoint attomeys-in-fact and authorize them to execute on behalf of each Company and attach the seal of the Company thereto,bonds
and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof;and(2)to remove any such attomey-in-fact at any time
and revoke the power and authority given to him or her.Attorneys-in-fact shall have power and authority,subject to the terms and limitations of the power-of-attomey
issued to them,to execute and deliver on behalf of the Company,and to attach the seal of the Company thereto,bonds and undertakings,recognizances,contracts of
indemnity and other writings obligatory in the nature thereof,and any such instrument executed by any such attorney-fn-fact shall be fully and in all respects binding upon
the Company.Certification as to the validity of any power-of-attorney authorized herein made by an officer of Employers Mutual Casualty Company shall be fully and in all
respects binding upon this Company.The facsimile or mechanically reproduced signature of such officer,whether made heretofore or hereafter,whereverappearing upon
a certified copy of any power-of-attorney of the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed.
IN WITNESS THEREOF,the Companies have caused these presents to be signed for each by their officers as shown,and the Corporate seals to b hereto affixed this
1st dayof July 2018 .
Seals <�Gh
;"s� 2. ,:`�C�Mp4yY.• :`Q tY 8 C9'O Bruce G.Kelley, EO,Cha' an of Todd Strother
`onP°A»;:�� �>° �= ;' aooqsem'': Companies 2,3,4,5&6;President Senior Vice President
N- f:O❑ : _ '°.�'_ -g; �,_�,`_ of Companies 1,2&6;Treasurer of
SEAL;D: -? 1863 1953
7�; t1,,; ;�• IOWA ,;o, ;��; : Companies 1,2,3,4&6
"'+++ On this 1st day of July 2018 before me a Notary Public in and for the State
`�suaAn�F•., ;si ka `o4uAt"'•., of Iowa,personally appeared Bruce G.Kelley and Todd Strother,who,being by me duly
(+�.pPO+,•;Cp�; �Q'�.•nNCq.CFC :NQS pPUq+iso sworn,did say that they are,and are known to me to be the CEO,Chairman,President and
",':�� - Treasurer,and/or Senior Vice President,respectively,of each of the Companies above;that
w; SEAL _ ;o= SEAL?g SEAL= ? the seals affixed to this instrument are the seals of said corporations;that said instrument
-'° was signed and sealed on behalf of each of the Companies by authority of their respective
�: p
F town' ,,,,r,OAYO�P �MON�s.`� Boards of Directors;and that the said Bruce G.Kelley and Todd Strother,as such officers,
acknowledged the execution of said instrument to be their voluntary act and deed,and the
voluntary act and deed of each of the Companies.
KATHY LOVERIDGE
1 4 Commission Number 780769 My Commission Expires October 10,2019.
AgW My Commission s10, Expires
October 10,2019
Notary PubliI5 in and for the State of/Iowa
CERTIFICATE
1.James C.Clough,Vice President of the Companies,do hereby certify that the foregoing resolution of the Boards of Directors by each of the Companies,and
this Power of Aiton;ey issued pursuant thereto on 1st day of July , 2018 are true and correct and are still in full force and effect.
In Testimony Whereoll I have subscribed my name and affixed the facsimile seal of each Company this 9th day of November. 2018
Vice President
7854(7-18) B002117 17320 952 A 000000-00 "For verification of the authenticity of the Power of Attorney you may call(515)345-2689."
M11 P 0 RTA H T N 0
TO OBTAIN INFORMATION OR MAKE A COMPLAINT:
You may contact Employers Mutual Casualty Company, Union insurance of
Providence, and/or EM'.'1'ASr10 insurance Company for information or to make
a complaint at:
Employers Mutual Casualty Company
Attn: Surety Claims
P.O. Box 712
Des Moines, IA .50303
(515) 280-2689
(515) 280-2994 Fax
You may contact the Texas Department of Insurance to obtain information on
companies,
coverages, rights or complaints at:
Texas Department of Insurance
P.O. Box 149104
Austin, TX 78714-9104
(BOO) 252-3439
ATTACH THIS NOTICE TO YOUR BOND, This notice is for information only
and does not become a part or a condition of the attached document and is
given to comply with Section 2253-048, Government Code, and Section
53-202 Property Code, effective September 1, 2001.
F-----------------
Green Sheet CPN 100653
Weber Presidio Tract UV
Paving & Street Lights
- -- - Adobe Sign Document History 12/27/2018
Created: 11/0512018
--- - By: Etta Bacy(etta.bacy@fortworthtexas.gov)
Status: Signed
Transaction ID: CBJCHBCAABAAeOmMf2tUxc12pXiXF-evMEDJQ4yQkq-7
"Green Sheet CPN 100653 Weber Presidio Tract UV Paving & S
treet Lights" History
Document created by Etta Bacy(etta.bacy@fortworthtexas.gov)
11/05/2018-3:12:40 PM CST-IP address:209.194.29.100
Document emailed to Brian Holliday(bholliday@mavutility.com)for signature
11/05/2018-3:17:47 PM CST
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11/13/2018-3:30:18 PM CST-IP address:72.54.18.202
�i Brian Holliday(bholliday@mavutility.com) uploaded the following supporting documents:
&i File Attachment 1
(9 File Attachment 2
11/13/2018-3:32:15 PM CST
6t Document e-signed by Brian Holliday(bholliday@mavutility.com)
Signature Date: 11/13/2018-3:32:15 PM CST-Time Source:server-IP address:72.54.18.202
L-► Document emailed to Charles D. Bevins (doug.bevins@fortworthtexas.gov)for signature
11/13/2018-3:32:16 PM CST
u Document viewed by Charles D. Bevins (doug.bevins@fortworthtexas.gov)
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Document e-signed by Charles D. Bevins (doug.bevins@fortworthtexas.gov)
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Document emailed to William Mason (william.mason@fortworthtexas.gov)for approval
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Adobe Sign
i Document viewed by William Mason (william.mason@fortworthtexas.gov)
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G , Document approved by William Mason (william.mason@fortworthtexas.gov)
Approval Date: 11/14/2018-4:16:15 PM CST-Time Source:server-IF address:209.194.29.100
w Document emailed to khal jaafari (khal.jaafari@fortworthtexas.gov)for signature
11/14/2018-4:16:16 PM CST
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