HomeMy WebLinkAboutContract 59799CSC NO. 59799
STORM SEWER PIPLINES
REIMBURS EMENTA GREEMENT
The State of Texas §
§ Know all men by these Presents:
County of Tarrant §
That FORT WORTH & WESTERN RAILROAD COMPANY, 6300 Ridglea Place, Suite
1200, Fort Worth, Texas 76116 ("FWWR") and the CITY OF FORT WORTH, 200 Texas Street,
Fort Worth, Texas 76102 ("City"), do hereby agree as follows:
RECITALS
WHEREAS, FWWR is a rail carrier engaged in interstate commerce providing common
carrier railroad transportation services by rail including within the City's city limits which
crosses City's storm sewer network at various locations;
WHEREAS, FWWR acknowledges the City and St. Louis Southwestern Railway
Company entered into an agreement dated January 10, 1984, as shown in "Exhibit C" attached
hereto, which grants the City access to make certain repairs in accordance with the terms and
conditions therein;
WHEREAS, City owns and maintains for public use a storm sewer network which
crosses FWWR railroad tracks at various locations;
WHEREAS, City desire to improve or reconstruct the storm sewer network from time to
time;
WHEREAS, City desires to reconstruct the storm sewer pipelines crossing at or near
Hodge Yard, Mile Post 8.5, Fort Worth Subdivision, Tarrant County, Fort Worth, Texas
("Project"), as more particularly identified on the print hereto attached, marked Exhibit "A";
WHEREAS, to facilitate the Project, FWWR must perform specific track work in
advance and after the City's portion of the Project; and
WHEREAS, City agrees to pay the costs of the Project and reimburse FWWR in (lie
amounts specified in this agreement and as shown in Exhibit "B" attached hereto.
NOW THEREFORE, in consideration of the premises and of the promises and conditions
set forth in this agreement, the parties hereto agree as follows:
AGREEMENT
FWWR shall, subject to the reimbursement provided for in this agreement, furnish all
labor, materials, equipment, flagging set -vices and supervision for its portion of the Project, as
described in Exhibit B, at the above location ("FWWR Services").
FWWR & City of Fort Worth Page 1 of 12
Storm Sewer Pipelines Reconstruction Agreement
Hodge Yard, MP 8.5, Fort Worth Subdivision OFFICIAL RECORD
Document # 20230615-01 CITY SECRETARY
FT. WORTH, TX
City agrees to reimburse FWWR the entire cost of all FWWR Services, as depicted on
Exhibit B, in an amount up to Seventy -Four Thousand Five Hundred Ninety -Six Dollars and
96/100 (S74,596.96) ("City Reimbursement"). City also agrees to reimburse FWWR for FWWR
Services costs in excess of City Reimbursement (the "Excess Costs"), if any, unless such Excess
Costs are due to the cause of FWWR. Excess Costs which cause the City's total expenditure to
exceed the City Reimbursement by One Hundred Thousand Dollars ($100,000) or greater will
require additional City authorization before payment can be made.
City shall provide for its portion of the Project, at the City's sole expense, including (i)
removal of the existing storm sewer pipelines by open cut excavation (ii) replacement of three
(3) fifty-four inch (54") storm sewer pipelines of like type or better, and (iii) restoration of the
grade for the railroad track roadbed and the surrounding land area (collectively the "City Work").
If City intends to self -perform the City Work, prior to beginning of work on the FWWR's
right-of-way, City will provide FWWR a copy of the City's self -insured documentation. City's
contractor(s) and subcontractor(s), if any, shall provide FWWR a certificate of insurance
covering the below listed insurance coverage:
Comprehensive General Liability Insurance — Amounts:
Bodily Injury & Property Damage $2,000,000 each occurrence
$2,000,000 Aggregate
Products & Completed Operations $2,000,000 Aggregate
Or
Combined Single Limit $2,000,000
This insurance shall be kept in force until the work described in this contract on FW WR's
right-of-way has been completed and accepted by the City of Fort Worth.
FWWR shall be included as an "Additional Insured." A "Waiver of Subrogation
Endorsement" in favor of FWWR shall be a part of each policy. The City's contractor(s) and
subcontractor(s) shall be responsible for any deductibles stated in the policy(s).
No work is to be performed by the City, City's contractor(s) and subcontractor(s) until
they have provided prior notification to FWWR's dispatch office (817) 731-1180 and the
Director of Planning/Special Projects, at (817) 201-4450.
FWWR shall not be liable to the City or the City's agents, or employees for any injury
to person(s) regardless of cause or of any fault or negligence of FWWR, its agents or employees,
occurring while they are performing services for or on behalf of the City, and the City does
hereby release FWWR from any and all liability and causes of action with respect thereto.
To the extent allowed by law, the City shall indemnify and hold harmless FWWR from
any loss, damage, injury, death, liabilities, claims, fines, actions, costs or expenses whatsoever,
FWWR & City of Fort Worth Page 2 of 12
Storm Sewer Pipelines Reconstruction Agreement
Hodge Yard, MP 8,5, Fort Worth Subdivision
Document # 20230615-01
including attorney's fees, which arises as a result of any and all actions of the City, City's
employees or contractor(s)/subcontractor(s), whether such actions are intentional or not.
The City agrees to have its contractor(s) or subcontractor(s), if any, abide by and comply
with all applicable laws, statutes, rules, and regulations of any federal state, or municipal
authority, or any other public body having jurisdiction, including without limitation, laws,
ordinances and governmental regulations controlling air, water, noise, solid wastes and other
pollution, and environmental damages, and to file all reports or statements required in
connection with the conduct of its business in the conduct of its operations hereunder. The City
will provide in its contract with its contractor(s) that the contractor(s) shall indemnify and hold
harmless FW WR from any and all loss, cost or expense whatsoever, incurred by reason of any
violation of such rules and regulations.
If a contractor(s) is to do any work within or upon FWWR's right-of-way or any other
FWWR property, then City shall require its contractor(s) to execute FWWR's form Temporary
Right of Entry Agreement (hereinafter called "TROE"), City acknowledges such requirement
and will inform its contractor(s) of the need to execute the TROE. Under no circumstance will
City's contractor(s) be allowed onto FWWR's right-of-way or any other FWWR property
without first executing the TROE and FWWR retains the right to remove any contractor who
has not executed the TROE. In addition to any other right, remedy of FWWR hereunder, City
agrees to pay to FWWR within thirty (30) days of demand an administrative fee in the amount
of Three Thousand Five Hundred Dollars ($3,500.00) to cover FWWR's internal administrative
costs incurred for each occurrence when one of City's contractors comes on or about FWWR's
property hereunder without having first executed and delivered to FWWR a TROE.
It is further agreed that the execution of this Agreement shall not constitute a waiver by
FWWR, with respect to third party claims asserted against the City and the City's contractor(s)
and subcontractor(s), of any defense allowed by law.
The terms of this Agreement and all rights and obligations hereunder shall be governed
by the laws of the State of Texas.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed in duplicate on the date herein written.
Executed and effective this 11th day of JUN 2023.
Signatures On Following Page
FWWR & City of Fort Worth Page 3 of 12
Storm Sewer Pipelines Reconstruction Agreement
Hodge Yard, MP 8.5, Fort Worth Subdivision
Document # 20230615-01
ACCEPTED AND AGREED:
City of Fort Worth:
By:
lh-Riam lni)ns_ 1-'2023 14_55 PDT1
Name:
William Johnson
Title:
Assistant City Manager
Date:
Jul 7, 2023
Fort Worth & Western Railroad Company:
By:
"Ad'-aGtj
Name:
Kevin Erasmus
Title:
President & CEO
Date:
'7 1� 23 .
CITY OF FORT WORTH INTERNAL ROUTING PROCESS:
Approval Recommended:
By: _.a�r�?nPr-eLr,Ju:,. ,31�, UIT
Name: Lauren Prieur
Title: Director, Transportation and Public
Works Department
Approved as to Form and Legality:
By:
Mack (hi17.272j to ,Y CCa:
Name. Douglas W. Black
Title: Assistant City Attorney
Contract
Authorization: M&C:
N/A
Contract Compliance Manager:
By signing I acknowledge that I am the person
responsible for the monitoring and administration
of this contract, including ensuring all
performance and reporting requirements.
By:
Name: Michael Wellbaum
Title: Project Manager
City Secretary:
By: L�$Ss
Naive: Jannette S. Goodall
Title: City Secretary
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OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FWWR & City of Fort Worth Page 4 of 12
Storm Sewer Pipelines Reconstruction Agreement
Hodge Yard, MP 8.5, Fort Worth Subdivision
Document # 20230615-01
Exhibit "A"
FWWR & City of Fort Worth Page 5 of 12
Storm Sewer Pipelines Reconstruction Agreement
Hodge Yard, MP 8.5, Fort Worth Subdivision
Document # 20230615-01
FORT WORTH.
Routing and Transmittal Slip
Transportation & Public Works Department
DOCUMENT TITLE: FWWR Reimbursement Agreement
M&C: N/A CPN: 100092 CSO:
Date: 07/05/2023
DOC#:
To: Name
Department Initials
Date Out
1. Michael Wellbaum
TPW-Sign
Jul 6, 2023
2. Linda Young
TPW-Review /-y
Jul 6, 2023
3. Lissette Acevedo
TPW-Review CCv
Jul 7,2023
4.------------------------------------------
--------------------
5. Patricia Wadsack
TPW-Review �,Lw
Jul 7, 2023
6. Lauren Prieur
TPW-Sign ��-
Jul 7, 2023
7. Doug Black
Legal -Signer
Jul 7, 2023
8. William Johnson
CMO-Sign
Jul 7, 2023
9. Michael Wellbaum
See Note Below
J u l 12, 2023
10. Ronald Gonzales
CSO
J u 112, 2023
11. Jannette Goodall
CSO
J u 112, 2023
12. Allison Tidwell
CSO
AT
Jul 20, 2023
13. TPW—SW—Contracts
TPW SW
CC: Program Manager — Linda Young, Sr. CPO — Lissette Acevedo, TPW BSPAP Recon Team —
Cindy Sengathith
Note: After CMO signature, PM will
route to Fort Worth and Western Railroad for Signature
then return to the queue for the City
Secretary.
DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received
from any and all
City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE
APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review
and take the next steps.
NEEDS TO BE NOTARIZED: ❑YES ®No
RUSH: ❑YES ®No SAME DAY: ❑YES ®No NEXT DAY: ❑YES ®No
ROUTING TO CSO: ®YES ❑No
Action Required:
❑ As Requested
❑ For Your Information
® Signature/Routing and or Recording
❑ Comment
❑ File
❑ Attach Signature, Initial and Notary Tabs
Return to: tuw sw contracts(a fortworthtexas.gov Call 817-229-3283 with questions. Thank you!
Exhibit "S"
FWWR SERVICES COST ES-11 MATE
Storm Sewer Pipelines Reconstruction Project
Hodge Yard, Fort Worth Subdivision MP 8.5 Amount
Track Work - track removal and replacement
Flagging for Contractor
15% Administrative on Track Work
Contractor TROE application and permit fee
Director of Planning
Director of Contracts
VP Operations
CEO
FWWR & City of Fort Worth
Storm Sewer Pipelines Reconstruction Agreement
Hodge Yard, MP 8.5, Fort Worth Subdivision
Document # 20230615-01
$40,000.00
$17,710.00
$6,000.00
$2,550.00
$4,676.00
$2,338.00
$634.02
$115M.sa
Total $74,596.96
Page 6 of 12
Name
str"k
Aadt—
AkGp R00NO RLQ VESTl;O gY
AND WHEN RECORDED NAIL TO
Exhibit C
[W/nb - vI , 1/4/841
MY SECRETARY
- mrT►40
ALSO ASSONED
LEASE DEED
j��j(f S S h fY Y a
1�s
S• • pp.tAUDIT Ns.....
SPACE RROVC THIS LINK ►OA RECO RQSRS USE _
RELMIS: TDM-630.46-X(
THIS INDENT'uRE, made this-L&ILday of JA2l�Qrt�
198_t, by
and between ST. 7.C3LJ1$ 50LITIfWEBTERN RllIL4[AY Cs3M;ANY, a Missouri corporation,
ST. LOUIS SOUTIPMSTERN RAILWAY COKPANY OF TEXAS, a Texas corporation, hexer
in collectively referred to as "Railroad," and CITY OF FORT WORTH, a muni-i
cipal corporation of the State of Texas, address: 1000 Throckmorton,
Port Worth, Texas 76102, hereinafter referred to as "Grantee";
WI TNESS ETH
1. Railroad hereby grants to Grantee, subject to the reservations,
Covenants and conditions herein contained, the right to reconstrcct,
maintain and operate three (3) fifty-four (54) inch storm sewer pip, , alonelines,
hereinafter collectively termed "structure,° inupong, across and
beneath the property and tracks of Railroad, at or near lodge {Fort Worth};
in the County of Tarrant, State of Texas, crossing the center line of said:
tracks at Hngineex'a Station 35+43, Mile Post 630.46, in the location
shown on the print of Railroad's Drawing 81-9427 revised ;, a $, 1983,
attached and made a part hereof.
As a par on `or the right Grantee shall
pay to Railroad�theum of enty-five Dollars (antee
-1-
FWWR & City of Fort Worth Page 7 of 12
Storm Sewer Pipelines Reconstruction Agreement
Hodge Yard, MP 8.5, Fort Worth Subdivision
Document # 20230615-01
Farm C-1
Novaya er, •1983
2. Project markers in form and size satisfactory to Railroad,
identifying the facility and its owner, will, be installed and con-
stantly maintained by and at the expense of Grantf:e at Railroad
property lines or such locations as Railroad shall approve. S-uch
r.�arkers shall be relocated or removed upon request of Railroad with-
out expense to Railroad.
Absence of markers does not constitute a warranty by Railroad of
no subsurface installations.
3. This grant is made subject and subordinate to the prior and
continuing right and obligation of Railroad, its successors and assigns,
to use all the property described herein in the performance of its duty
as a comr n carrier, and thsire is reserved unto Railroad, its succes-
sors and assigns, the right (consistent with the rights herein granted)
to construct, reconstruct, maintain and use existing and future rail-
road tracks, facilities and appurtenances and existing and future trans-
portation, communication and pipeline facilities and appurtenances in,
upon, over, under, across and along said property.
i. This grant is made subject to all licenses, leases, easements,
restrictions, conditions, covenants, encumbrances, liens and claims
of title which may affect said property and the word °grant" as used
herein shall net be construed as a covenant against the existence of
any thereof.
5. The rights t+erain granted to Grantee shall lapse and became
void if the construction of said structure upon said property is not
commenced within one (1) year from the date first herein written.
fi. Grantee shall bear the entire cost and expense of mams"arxx
xaxzp� reconstructing and maintaining said structure upon said property.
Grantee agrees that all work upon or in connection with said structure
shall be done at such times and in such manner as not to interfere if,
any ;gay whatsoever with the operations of Railroad. The clans for and
the N2*V*M=%iditKxXX reconstruction of said structure shall be subject
to the approval of Railroad.
Grantee agrees to reimburse Railroad for the coat and expense to
Railroad of furnishing any materials or performing any labor in con-
nection with the ac2xxkxxc1ins4 reconstruction, maintenance and removal
of said structure, including, but not limited to, the installation and
removal of such falsework and other protection beneath or along Rail-
road's tracks, and the furnishing of such watchmen, flagmen and
inspectors as Railroad deems necessary.
7. In the event Railroad shall at any time so require, Grantee,
at Grantee's expense, shall reconstruct, alter, make changes in the
location of said structure or otherwise improve said structure upon
receipt of written notice from Railroad so to do.
-2-
FWWR & City of Fort Worth Page 8 of 12
Storm Sewer Pipelines Reconstruction Agreement
Hodge Yard, MP 8.5, Fort Worth Subdivision
Document # 20230615-01
pores C-1
hovember,,; 1903
S. Grantee shall, at its expense, comply with all applicable
lags, regulations, rules and orders regardless of when they become
or became effectivu, including, without limitation, those relating
to health, satety, noise environmental protection, waste disposal,
and water and air quality, and furnish satisfactory evieence of
such compliance upon request of Railroad.
Should any discharge, leakage, spillage, emission or pollution
of any type occur upon or arise from the premises covered hereunder
as a result of Grantee's use, presence, operations or exercise of
the rights granted hereunder, Grantee shall, at its expense, be
obligated to clean all property affected thereby, whether owned or
controlled by Railroad, or any third person, to the satisfaction
of Railroad (iiaofar as the property owned or controlled by Rail-
road is concerned) and any governmental body having jurisdiction in
the matter. Railroad may, at its option, clean Railroad's premises;
if Railroad elects to do so, Grantee shall pay Railroad the cost
Of such cleanup promptly upon the receipt of a bill therefor. Gran-
tee agrees to invest gate, release, indemnify and defend Railroad
from and against all liability, cost and expense (including, without
limitation, any fines, penalties, judgments, litigation costs and
attorney fees) incurred by Railroad as a result of Grantee's breach
of this section, or as a result of any such discharge, leakage,
spillage, emission or pollution, regardless of whether such liabil-
ity, cost or expense arises during the time this indenture is in
effect or thezeafter, unless such liability, crest or expense is
proximately caused solely and exclusively by the active negligence
of Railroad, its officers, agents or employees.
9. As part consideration, Grantee agrees to pay Railroad an
amount equal to any and all assessments which may be levied by order
of any authorized lawful body against the property of Railroad (and
which may have been paid by Railroad) to defray any part of the cost
or expense incurred in connection, with the construction of said
structure upon said property commenced within one (1) year from the
date first herein written.
10. Grantee, its agents and employees subject to provisions
hereof, shall have the privilege of entry on said property for the
Purpose of k"ekiRVx reconstructing, maintaining and making
necessary repairs to said structure. Grantee agrees to give [railroad
five (5) days' written notice prior to commencement of any work on
said structure, except emergency repairs, in which event Grantee
shall notify Railroad's authorized representative by phone. Grantee
agrees to deep said property and said structure in good and safe
condition, free from waste, so far as affected by Grantee's opera-
tions, to the satisfaction or Railroad. if Grantee fails to keep
-3-
FWWR & City of Fort Worth Page 9 of U
Storm Sewer Pipelines Reconstruction Agreement
Hodge Yard, MP 8.5, Fort Worth Subdivision
Document # 20230615-01
-- orm
November, 1983
said property and said, structure _n a good and safe condition,
free from waste, then Railroad may perform the necessary work at
the expense of Grantee, which expense Grantee agrees to pay to
Railroad Leon demand.
11. In the eve -it any work upon or in connection with said
structure or its appurtenances, to be done upon or adjacent to
the tracks and property of Railroad, should be let to a contractor
by Grantee, such work shall not be begun until such contractor shall
nave first entered into an agreement with Railroad,, satisfactory to
Railroad, and indvkMn:,tying Railroad from and against all, claims,
liability, cost and expense growing out of the performance of the
work to be done by sac: contractor.
12. Insofar as it lawfully may, Grantee agrees to investigate,
release, defend and indemnify Railroad, its officers, employees,
agents, agents, successors and assigns, from all claims, liability,
cost and expense howsoever same may be caused, including reasonable
attorney fees, for 1098 of or damage to property and for injuries
to or death of persons arising out of the I reconstruc-
tion, maintenance, presence, use or removal of said structure,regardless of any negligence or alleged negligence, active, passive
cr otherwise, on the part of Railroad employees.
The word 'Railroad" as used in this section shall be construed
to include, in addition to Railroad, the successors, assigns and
affiliated companies of Railroad and any other railroad company that
may be lawfully operating upon and over the tracks' crossing or
adjacent to said structure, and the officers and employees thereof.
13. Should Grantee, its successors or assigns, at any t.iae
abandon the use of said property, or any part thereof, or fail at
any time to use the same for the purpcSe contemplated herein for a
continuous period of one (1) year, the right herby given shall cease
to the extent of the use so abandoned or discontinued, and Railroad
shall at once have the right, in addition to, but not in qualifica-
tion of, the rights hereinabove reserved, to resume exclusive posses-
sion of said property or the part thereof the use of which is so
discontinued or abandoned.
Upon termination of the rights and privileges hereby granted,
Grantee, at its own cost and expense, agrees to remove said structure
from said property and restore said property as nearly as practi-
cable to ,the same state and condition in which it existed prior to
the construction of said structure. Should Grantee in such event
fail, neglect or refuse to remove said structure and restore said
property, such removal and restoration may be performed by Railroad,
-4-
FWWR & City of Fort Worth Page 10 of 12
Storm Sewer Pipelines Reconstruction Agreement
Hodge Yard, MP 8.5, Fort Worth Subdivision
Document ff cu[sub15-01
r
form C-1
November,,1983
at the expense of Grantee, which expense Grantee agrees tc pay to
R-ilroad upon demand, or Railroad may, at its option, assume
ownership of said structure.
14. This indenture shall inure to the benefit of and be bind-
ing upon the successors and assigns of the parties hereto.
STATE OF CALIFORNIA
CITII AND ODUNTY of SAN FWCISCO>
9M N (0 14 DAY OF .l�lluul-� 1961, BEFORE ME. QiKSTOP889
F I.CISCN 4$TA C-LIFORNI A IN AM -FOR Tft CITY AND C04JMN OF SAN
IrE (OR
PROVED
HE ON CALIFORNIA, PERSONALLY APPEARED K. E. DIR3C8, PEASONALLY KNM m
EX (UR D THEM TO IN ON ist E/SiS OF SATISFACTORY EVLQE,IICE) TO 8E THE PERSON WHO
E7tECEITtO THE WITk1N INSTRUMENT. AS ISUWER, CONTRACT' DLPARTM[if ON BEHALF 4F 7tiE
THE CORPORABE
CORFORATIONSTHERSIN NAMED AND ACKigcwLEDGED To K TUT EXECUTED IT.
t T4PttER K t.lfl iN
NOTIU" 1VU-1 �ALEFORNlII
�V PRKIM MONIt� 1K
ACE
N :Tl an COuhty OF
�Y.M FRANGS$.0
} A �I CDmenecsion > Y %+!>H 8. 1"7
�r��C dG7�st C1d43dd^;
IN WITNESS WHEREOF, the parties hereto have caused these presents
to he executed in duplicate the day and yaar first here%? written.
LFMVM BY CI9I COUNCIL
Liz,1 ti
�. .
' Y 3`�ttry'
3>ao �y
AS TO FM AND LWALITirf
'`y Attorney
FWWR & City of Fort Worth
Storm Sewer Pipelines Reconstruction Agreement
Hodge Yard, MP 8.5, Fort Worth Subdivision
Document 4 ZU2JU615-01
ST. LOUIS SOUTHWE$TERN RAILWAY
COMPA' iY ,
By
Tte .fix=
Attest:__
Assistant Secretary
5T. LOUIS SOUTHWESTERN RAILWAY
COMPANY OF TEXAS, �
By
(Title)
Attest: fi .•C!
Assistant Secretary
CITY ORT WORT
By �J
8y 'tayor
Page 11 of 12
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frwa0 Rr 60'
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--+= r H
Aanf rrR +� in f} W
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- PIPE DATA -
Kind of Pipes - Corrugated
Metal
also of Pipes - r,4r
Wall thickness of
Pippes - 14 gauge
(3"xl" Ccr114Atioas)
Length on R.O.W. - 421
nepth belov bottom of tis
to top of pipe a 3.21
FWWR & City of Fort Worth
Storm Sewer Pipelines Reconstruction Agreement
Hodge Yard, MP 8.5, Fort Worth Subdivision
Document # 20230615-01
ST. LOLTIs SOUT$WE8TE8S RAILWAY COl'EPARY THE FORT WORTH A.YD AEIMR RAII.VAT COMPANY
HODGE TEXAS
Plat of Licezzse Wises At
TDr 630,46-X
ro Aoc=rq kgreemeat Betvean
St. L*U Southveetern Railway Comgas'y
The Fort Worth and Denver 1kilway. Compsmy
and
THE CITY OF FT WORTH -TEXAS
Office of Area Engineer
Dallas, Te=a
Scale: 1° 500 Dwg. 81-9427
Date: -7-16-e} ggH ReviaeG 6-9-83 Gage 3 Drawer 1-8
- Lwrn -
• Red E xisr. Storm Sewer %-ing.
- Rvy. R.O.W.
,f
Page 12 of 12
FWWRR Reimbursement Agreement 20230711
Final Audit Report 2023-07-14
Created: 2023-07-11
By: Sadie Ishmael (Sadie.Ishmael@fortworthtexas.gov)
Status: Canceled / Declined
Transaction ID: CBJCHBCAABAAAQAYQ_SgsTGhhcZQ6VdBpFJdVOsoG5TE
TWWRR Reimbursement Agreement 20230711" History
Document created by Sadie.Ishmael@fortworthtexas.gov
2023-07-11 - 9:30:35 PM GMT- IP address: 204.10.90.100
Signer Sadie.Ishmael@fortworthtexas.gov entered name at signing as Sadie Ishmael
`z�yzca�> ra `�� rci r r�z�> t � ��� �e� �•� r � I ter. r. rr��z�z � r��z�� r�i��
Document approved by Sadie Ishmael (Sadie.Ishmael@fortworthtexas.gov)
Approval Date: 2023-07-11 - 9:34:02 PM GMT - Time Source: server- IP address: 204.10.90.100
Document emailed to Michael.Wellbaum@fortworthtexas.gov for approval
2023-07-11 - 9:34:04 PM GMT
Email viewed by Michael.Wellbaum@fortworthtexas.gov
2023-07-12 - 1:39:03 PM GMT- IP address: 76.235.78.97
Signer Michael.Wellbaum@fortworthtexas.gov entered name at signing as Michael Wellbaum
2023-07-12 - 1:39:33 PM GMT- IP address: 76.235.78.97
Document approved by Michael Wellbaum (Michael.Wellbaum@fortworthtexas.gov)
Approval Date: 2023-07-12 - 1:39:35 PM GMT - Time Source: server- IP address: 76.235.78.97
Document approval automatically delegated to Katherine.Cenicola@fortworthtexas.gov by
Ronald.Gonzales@fortworthtexas.gov
2023-07-12 - 1:39:37 PM GMT
Document emailed to Ronald.Gonzales@fortworthtexas.gov for approval
2023-07-12 - 1:39:38 PM GMT
Document emailed to Katherine.Cenicola@fortworthtexas.gov for approval
2023-07-12 - 1:39:38 PM GMT
Signer Ronald.Gonzales@fortworthtexas.gov entered name at signing as Ronald P. Gonzales
2023-07-12 - 1:42:14 PM GMT- IP address: 204.10.90.100
FDRTWORTHs I P°`4'y
Adobe
Acrobat Sign
Document approved by Ronald P. Gonzales (Ronald.Gonzales@fortworthtexas.gov)
Approval Date: 2023-07-12 - 1:42:16 PM GMT - Time Source: server- IP address: 204.10.90.100
Document emailed to jannette.goodall@fortworthtexas.gov for signature
2023-07-12 - 1:42:19 PM GMT
Email viewed by jannette.goodall@fortworthtexas.gov
2023-07-12 - 2:15:40 PM GMT- IP address: 204.10.90.100
Signer jannette.goodall@fortworthtexas.gov entered name at signing as Jannette S. Goodall
2023-07-12 - 2:20:19 PM GMT- IP address: 204.10.90.100
Document e-signed by Jannette S. Goodall (jannette.goodall@fortworthtexas.gov)
Signature Date: 2023-07-12 - 2:20:21 PM GMT -Time Source: server- IP address: 204.10.90.100
Document emailed to Allison Tidwell (allison.tidwell@fortworthtexas.gov) for filling
2023-07-12 - 2:20:24 PM GMT
I Email viewed by Katherine.Cenicola@fortworthtexas.gov
2023-07-13 - 2:43:10 PM GMT- IP address: 204.10.90.100
Email viewed by Katherine.Cenicola@fortworthtexas.gov
2023-07-14 - 3:09:47 PM GMT- IP address: 204.10.90.100
Email viewed by Allison Tidwell (allison.tidwell@fortworthtexas.gov)
2023-07-14 - 5:17:58 PM GMT- IP address: 204.10.90.100
Document declined by Allison Tidwell (allison.tidwell@fortworthtexas.gov)
Decline reason: Please include a text box and send to me so I can add the contract number. Thanks!
2023-07-14 - 5:18:33 PM GMT- IP address: 204.10.90.100
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