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HomeMy WebLinkAboutContract 49495-FP1 City Secretary 49495 -FP1 Contract Sic. f 1V�� Jan 25,2019 FORTWORTH, Date Received „ty OFEO�J V0 tv CPt gsf t � 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: VICTORY AT BASSWOOD City Project No.: 100725 Improvement Type(s): Water ® Sewer lZ Original Contract Price: $261,436.00 Amount of Approved Change Order(s): $16,860.00 Revised Contract Amount: $278,296.00 Total Cost of Work Complete: $278,296.00 &&W&Aktt Jan 24,2019 W rrett Moss(Jan 2a,2019) Contractor Date President Title Moss Utilities Company Name hwClr�25,2019) Jan 25,2019 Kevin Chambers(Jan 25,2019j Pro ect Ins ector Date Fred Ehia(Jan 25,2019) Jan 25,2019 P-r�ojUecnt anager Date r+/Q//�Ci=a low-al ! Jan 25,2019 Janie Scarlett Morales(Jan 25,2019) CFA Manager Date Swim&A1Ax,rc, Jan 25,2019 Susan Al—i.(Jan 2S,2019) Asst. City Manager Date Pzh 1 of 2 Notice of Project Completion Project Name:VICTORY AT BASSWOOD City Project No.: 100725 City's Attachments Final Pay Estimate FA Change Order(s): ® Yes ❑ N/A Pipe Report: ® Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid ` Consent of Surety Statement of Contract Time Contract Time: 270 CD Days Charged: 407 Work Start Date: 10/9/2017 Work Complete Date: 11/19/2018 Page 2 of 2 City Project Numbers 100725 DOE Number 0725 Contract Name VICTORY AT BASSWOOD Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 12/4/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / CHAMBERS Contract Date Contractor MOSS UTILITIES,LLC Contract Time 270 CD 18631 REMBRANDT TERRACE Days Charged to Date 407 CD DALLAS, TX 75287 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 $278,296.00 Less %Retained $0.00 Net Earned $278,296.00 Earned This Period $278,296.00 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 $278,296.00 Tuesday,December 4,2018 Page 5 of 5 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name VICTORY AT BASSWOOD Contract Limits Project Type WATER&SEWER City Project Numbers 100725 DOE Number 0725 Estimate Number 1 Payment Number 1 For Period Ending 12/4/2018 CD City Secretary Contract Number Contract Time 27(ED Contract Date Days Charged to Date 407 Project Manager NA Contract is 100.00 Complete Contractor MOSS UTILITIES,LLC 18631 REMBRANDT TERRACE DALLAS, TX 75287 Inspectors DICKINSON / CHAMBERS Tuesday,December 4,2018 Page 1 of 5 '4� City Project Numbers 100725 DOE Number 0725 Contract Name VICTORY AT BASSWOOD Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 12/4/2018 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------- -------------------------- I REMOVE CONC PVMT 44 SY $15.00 $660.00 44 $660.00 2 CONC PVMT REPAIR 44 SY $15.00 $660.00 44 $660.00 3 CONCRETE ENCASEMENT FOR UTILITY PIPES 3 CY $200.00 $600.00 3 $600.00 4 12"WATER PIPE 1673 LF $35.00 $58,555.00 1673 $58,555.00 5 12"GATE VALVE 11 EA $2,100.00 $23,100.00 11 $23,100.00 6 8"WATER PIPE 401 LF $26.00 $10,426.00 401 $10,426.00 7 2"WATER SERVICE 20 EA $1,600.00 $32,000.00 20 $32,000.00 8 FIRE HYDRANT 3 EA $3,500.00 $10,500.00 3 $10,500.00 9 6"WATER PIPE 197 LF $23.00 $4,531.00 197 $4,531.00 10 6"GATE VALVE 10 EA $1,000.00 $10,000.00 10 $10,000.00 11 DUCTILE IRON WATER FITTINGS 4 TN $2,750.00 $11,000.00 4 $11,000.00 W/RESTRAINT 12 TRENCH SAFETY 2271 LF $1.00 $2,271.00 2271 $2,271.00 13 8"GATE VALVE I EA $1,300.00 $1,300.00 1 $1,300.00 14 16"X 12"TAPPING SLEEVE&VALVE 1 EA $10,000.00 $10,000.00 1 $10,000.00 15 CONNECTION TO EXISTING 4"-12"WATER 1 EA $1,700.00 $1,700.00 1 $1,700.00 MAIN 16 12"WATERLINE LOWERING 2 EA $2,500.00 $5,000.00 2 $5,000.00 17 TRAFFIC CONTROL I MO $3,985.00 $3,985.00 1 $3,985.00 18 MANHOLE ADJUSTMENT,MAJOR W/COVER 2 EA $3,400.00 $6,800.00 2 $6,800.00 CO#I 19 CSS EMBEDMENT AT CROSSING CO#2 4 EA $2,515.00 $10,060.00 4 $10,060.00 Sub-Total of Previous Unit $203,148.00 $203,148.00 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I 6"SEWER SERVICE 10 EA $27.00 $270.00 10 $270.00 2 8"SEWER PIPE 1016 LF $30.00 $30,480.00 1016 $30,480.00 3 4'EXTRA DEPTH MANHOLE 22 VF $350.00 $7,700.00 22 $7,700.00 4 4'MANHOLE 8 EA $3,500.00 $28,000.00 8 $28,000.00 5 MANHOLE VACUUM TESTING 8 EA $100.00 $800.00 8 $800.00 Tuesday,December 4,2018 Page 2 of 5 City Project Numbers 100725 DOE Number 0725 Contract Name VICTORY AT BASSWOOD Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 12/4/2018 Project Funding 6 IMPORTED EMBEDMENT/BACKFILL,CSS 12 CY $60.00 $720.00 12 $720.00 7 TRENCH SAFETY 1026 LF $1.00 $1,026.00 1026 $1,026.00 8 CONCRETE ENCASEMENT FOR UTILITY PIPES 3 CY $200.00 $600.00 3 $600.00 9 POST CCTV INSPECTION 1026 LF $2.00 $2,052.00 1026 $2,052.00 10 CONNECT TO 4'DTA MH I EA $3,500.00 $3,500.00 1 $3,500.00 Sub-Total of Previous Unit $75,148.00 $75,148.00 -------------------------------------- Tuesday,December 4,2018 Page 3 of 5 City Project Numbers 100725 DOE Number 0725 Contract Name VICTORY AT BASSWOOD Estimate Number i Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 12/4/2018 Project Funding Contract Information Summary Original Contract Amount $261,436.00 ChanIze Orders Change Order Number 1 $6,800.00 Change Order Number 2 $10,060.00 Total Contract Price $278,296.00 Total Cost of Work Completed $278,296.00 Less %Retained $0.00 Net Earned $278,296.00 Earned This Period $278,296.00 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 $278,296.00 Tuesday,December 4,2018 Page 4 of 5 ( ® § G S g \ g ƒ z 2 m » = o 0 0 0 o < « = 2 r m o - m o g - § q @ � G { © ƒ / e m t \ m \ > z o ) X r- K ~ < < o o m H ® I o ® 3 $ ) 9 \ \ = < / 0 0 > z 0 0 m 2 0 �§ [ U [ m ( / m % \ \ k 7 k 2 7 ) > \ \ # 2 - � ; = m § i / y / 7 # # m > ) o g § q k 02` f or m -u \ / 0 § \ o z % » § § § a .. ) / C. / -,j ° [ m n A m ) \ ; m / / CO 0 G 7 S < . 0 9 j \ CL \ : \G \ \ \ m 2 . § \ \ « \ \ \ `� m m / / 00 q FO n q ƒ 3 \ \ 8g 5 � CD CD 00 \ § ` ® ) \ \ 0 .. .. _ i / 7 / /\ \ \ / § o § / e m 2 § \ ,. & a m ` t z _ 20 ® ° ] - � ] o , - 7 ( n \ § \ o 0 . m , \{ 0m no _ j i \ e . / \ . } } 0 ° \/� n / ® � B � kto s � k 7 i § d (DA ° r ) § ( $ / §\ a ° E Q ID S / ) z ) } ) \ § £ q a m m & j / 0 \. @ k( 4 / \ . (( [ED t o § Q \R � }] % . � § m G m 0 \/ 5 ms] #]* t �I ® § # R g ; g I z 2@ ± o o_ o o e S c o z e ( 0 % m ¥ / m / > z o / _ _ / § ; « ® ` m m # m m # # a C- 0 \ ) a / 0 0 _ > e C- V) § r k k / > J \ [ ) . m \ / @ m M§ § § ; m m j m m \ / n mnn � §2 \ ) \ > \ 0 ®2 S \ X -i g ~ / 3 § tom m<1 f m m / _ _ - k § \ j \ } 0 _ § 8 k ° _ \ / Cl 2 CD » ) ( / k m 2 2 3 2 & 0 < 0 \ Q a % § & o \ ` CD 0 m \ $ E i .69$ # \ \ O a� ° ° CD > ( 2 ( _ 2 � o m tn ` . X 00 § \ CD CD e 2 ff f / ` a m . ) # 0m 4 e \ \ \CD 0 / ( ; e ( { 2 \ ( :n » n § a » m � 0 } \ / 0 6 m . \ § \ \ \ �0 ° R2 n \ 2e 0 ~ \\ j _ © e � ° - [ 0 ® mX / ) C \\ cnn \ � § § � 7 � , } \ f . § ` } | z § \ k ) � \� § . co ;% ] �, ■2 \ : 22 { } §m » � § � 7 ■) � g / k 7 & § sp < § k p � -- 4@J i � � ]I � ) � FORTWORTH TRANSPORTATION AND PUBLIC WORDS PIPE REPORT FOR: PROJECT NAME: Victory at Basswood PROJECT NUMBER: 100725 DOE NUMBER: NA WATER PIPE LAID SIZE TYPE OF PIPE LF 12"PVC 12" PVC 1673 LF 8"PVC 8" PVC 401 LF 6"PVC 6" PVC 197 LF FIRE HYDRANTS: 3 VALVES(16"OR LARGER) 1 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: 20 2"copper 395 LF SEWER PIPE LAID SIZE TYPE OF PIPE LF 8"PVC 8" PVC 1016 LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: 10 6"PVC sewer 182 LF TRANSPORTATION AND PUBLICWORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 + (817)392-7941 •Fax:(817)392-7845 AFFIDAVIT STATE OF TX COUNTY OF Tarrant Before me,the undersigned authority,a notary public in the state and county aforesaid,on this day personally appeared Shawn Lain,Project Manager Of Moss Utilities, LLC,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; Victory @ Basswood Project# 100725 BY Lain Project Manager Subscribed and sworn before me on this date of Pece rW syy,r,?um,, LAURA STANFIELD Nota Public SNotary Public,State of Texas =N b^ COu[lty QJrQstate 'rFOFi �c Comm. Expires 06-17-2020 T '�`•,,,,,,,` Notary ID 10994276 THE The Guarantee Company of North America USA GUARANTEE- One Towne Square, Suite 1470 Southfield, Michigan 48076 Phone: 248-281-0281 Fax: 248-750-0431 www.gcna.com Bond Number 75145555 OWNER ❑ CONSENT OF SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ OTHER ❑ PROJECT: Victory at Basswood (name, address) TO(Owner) Victory at Basswood,LLC 8001 LBJ Freeway,Suite 400 ARCHITECTS PROJECT NO. CFA Number 2017-021 Dallas,Tx 75251 & CONTRACT FOR: Victory at Basswood City of Fort Worth 200 Tcxas St.Fort Worth,TX 76102 CONTRACT DATE: 5/4/2017 CONTRACTOR: Moss Utilities, LLC 3300 Rock Island Rd.,Irving,TX 75060 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 as it appears in the bond). The Guarantee Company of North America USA One Towne Square 41470 Southfield,MI 48076 SURETY COMPANY, on bond of(here insert name and address of Contractor) Moss Utilities,LLC 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) Victory at Basswood,LLC&City of Fort Worth OWNERS, As set forth in the said Surety Company's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand this 5th day of December 2018 The Guarantee Company of North America USA Sure Company Signature of Authorized Representati e ATTEST: A/0Z William D Birdsong Attorney-In-Fast (Seal): Melissa Pitts,Bond Secretary Title The language in this document confirms exactly to the language used in AIA Document G707—Consent of Surety Company to Final Payment. fHE The Guarantee Company of North America USA GUARANTEE Southfield,Michigan POWER OF ATTORNEY KNOW ALL BY THESE PRESENTS:That THE GUARANTEE COMPANY OF NORTH AMERICA USA,a corporation organized and existing under the laws of the State of Michigan,having its principal office in Southfield,Michigan,does hereby constitute and appoint Lloyd Ray Pitts,Jr-,William 0.Birdsong Pitts Fennell and Associates,LLC dba Pitts Birdsong Fennell&Associates its true and lawful attomey(s)-in-fact to execute, seal and deliver for and on its behalf as surety, any and all bonds and undertakings, contracts of indemnity and other writings obligatory in the nature thereof,which are or may be allowed,required or permitted by law,statute,rule,regulation,contract or otherwise. The execution of such instrument(s)in pursuance of these presents,shall be as binding upon THE GUARANTEE COMPANY OF NORTH AMERICA USA as fully and amply,to all intents and purposes,as if the same had been duly executed and acknowledged by its regularly elected officers at the principal office. The Power of Attorney is executed and may be certified so,and may be revoked,pursuant to and by authority of Article IX,Section 9.03 of the BY-Laws adopted by the Board of Directors of THE GUARANTEE COMPANY OF NORTH AMERICA USA at a meeting held on the 31 day of December,2003. The President,or any Vice President,acting with any Secretary or Assistant Secretary,shall have power and authority: 1. To appoint Attorney(s)-in-fact, and to authorize them to execute on behalf of the Company, and attach the Seal of the Company thereto, bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof;and 2. To revoke,at any time,any such Attomey4n-fact and revoke the authority given,except as provided below 3. In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and authority hereby given to the Attorney-In-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee,shall not relieve this surety company of any of its obligations under its bond. 4. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner— Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. Further,this Power of Attorney is signed and sealed by facsimile pursuant to resolution of the Board of Directors of the Company adopted at a meeting duly called and held on the 6th day of December 2011,of which the following is a true excerpt: RESOLVED that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any Power of Attorney or certification thereof authorizing the execution and delivery of any bond,undertaking,contracts of indemnity and other writings obligatory in the nature thereof,and such signature and seal when so used shall have the same force and effect as though manually affixed. Xe IN WITNESS WHEREOF,THE GUARANTEE COMPANY OF NORTH AMERICA USA has caused this instrument to be signed and its corporate seal to be affixed by its authorized officer,this 2nd day of October,2015. q (�^ THE GUARANTEE COMPANY OF NORTH AMERICA USA STATE OF MICHIGAN Stephen C.Ruschak,President&Chief Operating Officer Randall Musselman,Secretary County of Oakland On this 2nd day of October,2015 before me came the individuals who executed the preceding instrument,to me personalty known,and being by me duly swom,said that each is the herein described and authorized officer of The Guarantee Company of North America USA;that the seal affixed to said instrument is the Corporate Seal of said Company;that the Corporate Seal and each signature were duly affixed by order of the Board of Directors of Cynthia A. Takai. IN WITNESS WHEREOF,I have hereunto set my hand at The Guarantee Notary Public,State of Michigan Company of North America USA offices the day and year above wiftten_ County of Oakland My Commission Expires February 27,2018 Acting in Oakland County I,Randall Musselman,Secretary of THE GUARANTEE COMPANY OF NORTH AMERICA USA,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by THE GUARANTEE COMPANY OF NORTH AMERICA USA,which is still in full force and effect. fry IN WITNESS WHEREOF,I have thereunto set my hand and attached the seal of said Company this 5th day of December 2018 N �Y °Rn,,,rsa``� Randall Musselman,Secretary - ' Greensheet for Victory at Basswood CPN#100725 WS i - = - Adobe Sign Document History 02/11/2019 Created: 12/05/2018 By: Shameka.Kennedy@fortworthtexas.gov -- --— - ------ Status: Signed Transaction ID: CBJCHBCAABAAZrNVOj7EvzUGMY1Tv_ovjfipz8TmloJx "Greensheet for Victory at Basswood CPN#100725 WS" History Document created by Shameka.Kennedy@fortworthtexas.gov 12/05/2018-9:53:26 AM CST-IP address:209.194.29.100 C� Document emailed to Garrett Moss (tommy@mossutilities.com)for signature 12/05/2018-9:56:16 AM CST L; Document viewed by Garrett Moss (tommy@mossutilities.com) 12/05/2018-10:11:15 AM CST-IP address: 107.77.200.185 Chi Garrett Moss (tommy@mossutilities.com) uploaded the following supporting documents: (O/ File Attachment 1 Chi File Attachment 2 01/24/2019-4:57:09 PM CST Document e-signed by Garrett MOSS(tommy@mossutilities.com) Signature Date:01/24/2019-4:57:09 PM CST-Time Source:server-IP address: 172.108.130.195 M Document emailed to Kevin Chambers (kevin.chambers@vrxglobal.com)for signature 01/24/2019-4:57:10 PM CST 5 Document viewed by Kevin Chambers(kevin.chambers@vrxglobal.com) 01/25/2019-5:37:15 AM CST-IP address:174.47.154.90 ✓c, Document e-signed by Kevin Chambers (kevin.chambers@vrxglobal.com) Signature Date:01/25/2019-5:37:58 AM CST-Time Source:server-IP address:174.47.154.90 Document emailed to Michael O. Glover(michael.glover@fortworthtexas.gov)for approval 01/25/2019-5:37:59 AM CST uJ Document viewed by Michael O. Glover(michael.glover@fortworthtexas.gov) 01/25/2019-7:01:36 AM CST-IP address:209.194.29.100 FoxJd Adobe Sign 6a Document approved by Michael O. Glover(michael.glover@fortworthtexas.gov) Approval Date:01/25/2019-7:02:26 AM CST-Time Source:server-IP address:209.194.29.100 P=. Document emailed to Fred Ehia (freidoon.ehia@fortworthtexas.gov)for signature 01/25/2019-7:02:27 AM CST Document viewed by Fred Ehia (freidoon.ehia@fortworthtexas.gov) 01/25/2019-8:39:36 AM CST-IP address:209.194.29.100 by Document e-signed by Fred Ehia (freidoon.ehia@fortworthtexas.gov) Signature Date:01/25/2019-9:50:20 AM CST-Time Source:server-IP address:209.194.29.100 L,' Document emailed to Janie Scarlett Morales (Janie.morales@fortworthtexas.gov)for signature 01/25/2019-9:50:21 AM CST Document viewed by Janie Scarlett Morales oanie.morales@fortworthtexas.gov) 01/25/2019-9:55:26 AM CST-IP address:209.194.29.100 6 Document e-signed by Janie Scarlett Morales Qanie.morales@fortworthtexas.gov) Signature Date:01/25/2019-9:59:32 AM CST-Time Source:server-IP address:209.194.29.100 n. Document emailed to Susan Alanis (susan.alanis@fortworthtexas.gov)for signature 01/25/2019-9:59:33 AM CST Document viewed by Susan Alanis (susan.alanis@fortworthtexas.gov) 01/25/2019-12:10:31 PM CST-IP address:209.194.29.100 do, Document e-signed by Susan Alanis (susan.alanis@fortworthtexas.gov) Signature Date:01/25/2019-12:10:43 PM CST-Time Source:server-IP address:209.194.29.100 4 Document emailed to Allison Tidwell (cso_finalpay@fortworthtexas.gov)for filling 01/25/2019-12:10:44 PM CST :sD Document viewed by Allison Tidwell (cso_finalpay@fortworthtexas.gov) 01/25/2019-3:53:48 PM CST-IP address:209.194.29.100 Form filled by Allison Tidwell (cso_finalpay@fortworthtexas.gov) Form filling Date:01/25/2019-3:55:05 PM CST-Time Source:server-IP address:209.194.29.100 =w Document emailed to Trudy Brotherton (therese.brotherton@fortworthtexas.gov)for delivery 01/25/2019-3:55:06 PM CST "tel Document viewed by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) 01/28/2019-7:30:28 AM CST-IP address:209.194.29.100 rJy Document receipt acknowledged by Trudy Brotherton (therese.brotherton@fortworthtexas.gov) Receipt Acknowledgement Date:01/28/2019-7:30:48 AM CST-Time Source:server-IP address:209.194.29.100 FORT WORTH, Adobe sign P,4 Document emailed to Julie A Geho oulie.geho@fortworthtexas.gov)for delivery 01/28/2019-7:30:49 AM CST e Document viewed by Julie A Geho oulie.geho@fortworthtexas.gov) 02/11/2019-8:01:46 AM CST-IP address:209.194.29.100 b© Document receipt acknowledged by Julie A Geho oulie.geho@fortworthtexas.gov) Receipt Acknowledgement Date:02/11/2019-8:01:59 AM CST-Time Source:server-IP address:209.194.29.100 C'4 Document emailed to TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov)for delivery 02/11/2019-8:02:00 AM CST L Document viewed by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) 02/11/2019-8:25:54 AM CST-IP address:209.194.29.100 Jo, Document receipt acknowledged by TPW Fiscal Staff(tpwcfafiscal@fortworthtexas.gov) Receipt Acknowledgement Date:02/11/2019-10:37:56 AM CST-Time Source:server-IP address:209.194.29.100 Signed document emailed to Fred Ehia (freidoon.ehia@fortworthtexas.gov), Allison Tidwell (cso_finaipay@fortworthtexas.gov), Garrett Moss (tommy@mossutilities.com), Susan Alanis (susan.alanis@fortworthtexas.gov), and 7 more 02/11/2019-10:37:56 AM CST FORT WORTHd _ i J Adobe Sign