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Contract 60062-FP1
FORT WORTH -FP1 City Secretary Contract No. 60062 Date Received 02/14/2024 AT 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: Dutch Bros Coffee TX0511 City Project No.: 104767 Improvement Type(s): Water ❑x Sewer ❑x Original Contract Price: $33,589.48 Amount of Approved Change Order $14,000.00 Revised Contract Amount: $47,589.48 Total Cost of Work Complete: $47,589.48 Feb 14, 2024 Chase Cromer (Feb 14. 2024 08:18 CST) Contractor Date Asst. Project Manager Title Calvo Construction Inc Company Name A C Feb 14, 2024 Habte Taezaz (Feb 14, 202408:41 CST) Project Inspector Date ,°— Feb 14, 2024 Project Manager Date do Feb 14, 2024 Rebecca Owen IFeb 14.202409:47 CST) CFA Manager Date Feb 14, 2024 TPW Director Date �v Feb 14, 2024 Asst. City Manager Date OFFICIAL RECORD CITY SECRETARY Page 1 of 2 FT. WORTH, TX Notice of Project Completion Project Name: Dutch Bros Coffee TX0511 City Project No.: 104767 City's Attachments Final Pay Estimate x❑ Change Order(s): ❑x Yes ❑ N/A Pipe Report: x❑ Yes ❑ N/A Contractor's Attachments Affidavit of Bills Paid Consent of Surety Statement of Contract Time Contract Time: 40 WD Work Start Date: 10/9/2023 Completed number of Soil Lab Test: 0 Completed number of Water Test: 0 Days Charged: 30 Work Complete Date: 1/25/2024 Page 2of2 FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Improvements to Service Dutch Bros Coffee TX0511 Contract Limits Project Type WATER & SEWER IMPROVEMENTS City Project Numbers 104767 DOE Number 4767 Estimate Number 1 Payment Number 1 For Period Ending 1/25/2024 WD City Secretary Contract Number Contract Time 4WD Contract Date Days Charged to Date 30 Project Manager NA Contract is 100.00 Complete Contractor CALVO CONSTRUCTION INC 621 N. MAIN STREET, SUITE 415 GRAPEVINE, TX 76051 Inspectors W. MILLER / H. TAEZAZ Monday, January 29, 2024 Page 1 of 4 City Project Numbers 104767 DOE Number 4767 Contract Name Improvements to Service Dutch Bros Coffee TX0511 Estimate Number I Contract Limits Payment Number 1 Project Type WATER & SEWER IMPROVEMENTS For Period Ending 1/25/2024 Project Funding UNIT I: WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 UTILITY SERVICE SURFACE RESTORATION 6 SY $10.00 $60.00 6 $60.00 SEEDING 2 TRENCH SAFETY 19 LF $1.00 $19.00 19 $19.00 3 DUCTILE IRON WATER FITTINGS W/ 0.1 TN $7,500.00 $750.00 0.1 $750.00 RESTRAINT 4 CONNECTION TO EXISTING 4"-12" WATER 2 EA $798.00 $1,596.00 2 $1,596.00 MAIN 5 1" WATER SERVICE 2 EA $2,000.00 $4,000.00 2 $4,000.00 6 8" WATER PIPE 5 LF $180.00 $900.00 5 $900.00 7 REMOVE SIDEWALK 117 SF $13.16 $1,539.72 117 $1,539.72 8 4" CONC SIDEWALK, ADJACENT TO CURB 117 SF $13.16 $1,539.72 117 $1,539.72 9 BARRIER FREE RAMP, TYPE P-1 I EA $450.00 $450.00 1 $450.00 10 8" CUT -IN GATE VALVE (CO #2) 1 EA $14,000.00 $14,000.00 1 $14,000.00 Sub -Total of Previous Unit $24,854.44 $24,854.44 UNIT 11: SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 UTILITY SERVICE SURFACE RESTORATION 12 SY $10.00 $120.00 12 $120.00 SEEDING 2 TRENCH SAFETY 5 LF $1.00 $5.00 5 $5.00 3 4" PVC SEWER PIPE, V TO 6' (MISC ONLY) 5 LF $52.00 $260.00 5 $260.00 4 EPDXY MANHOLE LINER 13 VF $440.00 $5,720.00 13 $5,720.00 5 T DROP MANHOLE (EXTERNAL MODIFIED) 1 EA $11,785.00 $11,785.00 1 $11,785.00 6 MANHOLE VACUUM TESTING 1 EA $350.00 $350.00 1 $350.00 7 REMOVE SIDEWALK 72 SF $13.16 $947.52 72 $947.52 8 REMOVE CONC CURB & GUTTER 27 LF $50.00 $1,350.00 27 $1,350.00 9 CONC CURB AT BACK OF SIDEWALK 16 LF $50.00 $800.00 16 $800.00 10 BARRIER FREE RAMP, TYPE P-1 1 EA $450.00 $450.00 1 $450.00 11 4" CONC SIDEWALK 72 SF $13.16 $947.52 72 $947.52 Sub -Total of Previous Unit $22,735.04 $22,735.04 Monday, January 29, 2024 Page 2 of 4 City Project Numbers 104767 Contract Name Improvements to Service Dutch Bros Coffee TX0511 Contract Limits Project Type WATER & SEWER IMPROVEMENTS Project Funding Contract Information Summary Original Contract Amount Change Orders Change Order Number 2 Total Contract Price DOE Number 4767 Estimate Number 1 Payment Number 1 For Period Ending 1/25/2024 $33,589.48 $14,000.00 $47,589.48 Total Cost of Work Completed $47,589.48 Less % Retained $0.00 Net Earned $47,589.48 Earned This Period $47,589.48 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $0.00 $0.00 $0.00 $0.00 $0.00 $47,589.48 Monday, January 29, 2024 Page 3 of 4 City Project Numbers 104767 Contract Name Improvements to Service Dutch Bros Coffee TX0511 Contract Limits Project Type WATER & SEWER IMPROVEMENTS Project Funding Project Manager NA Inspectors W. MILLER / H. TAEZAZ Contractor CALVO CONSTRUCTION INC 621 N. MAIN STREET, SUITE 415 GRAPEVINE, TX 76051 DOE Number 4767 Estimate Number 1 Payment Number 1 For Period Ending 1/25/2024 City Secretary Contract Number Contract Date Contract Time 40 WD Days Charged to Date 30 WD 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 $47,589.48 Less % Retained $0.00 Net Earned $47,589.48 Earned This Period $47,589.48 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 $47,589.48 Monday, January 29, 2024 Page 4 of 4 DocuSign Envelope ID: BF533D07-83A6-43FB-82A7-3CF2F61AA3D7 DEVELOPER -AWARDED -PROJECT CHANGE ORDER (PROJECT NAME: Dutch Bros Coffee TX0511 I CHANGE (CONTRACT: Water, Sewer and Pedestrian Push Button Assembly Improvements ORDER No: ICFA # 23-0064 I CITY PARTICIPATION:( NO I CITY PROJECT# 104767 I IFID # 1 30114-0200431-104767-EO7685 I (FILE # K-3100 I INSPECTOR: Phone No: PROJECT MANAGER: Sandip Adhikari Phone No: (817) 392-8424 CONTRACT UNIT WATER SEWER PAVING DRAINAGE LIGHTSI STREETCONTRACT TRAFFI_ SIGNAL Developer Developer Developer Developer Developer DAYS Cost City Con Cost City cost cost CRv Cost Cost City cost Cost City Cost (ORIGINAL CONTRACT $10,854.44 $0.00 $22.735.04 $0.00 $0.00 $0.00 $0.00 $0.00 $35,715.20 $0.00 20 EXTRAS TO DATE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0,00 $0.00 $0.00 I (CREDITS TO DATE $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 I (CONTRACT TO DATE $10,654.44 $0.00 $22,735.04 ,. $0.00 $0.00 $0.00 $0.00 $0.00 $35,715.20 $0.00 20 (AMOUNT OF PROP. CHANGE ORDER $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ($35,715.20) $0.00 4MOUA �NTRACNT $10,854.44 $0.00 $22,735.04 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 20RXSDQ PER UNIT $10.554.44 $22,735.04 $0.00 _ $0.00 $0.00 REVISED COST SHARE Dev. Cost: $33,589.48 City Cost: $0.00 TOTAL REVISED CONTRACT $33,589.48 You are directed to make the following cha�9es In lhejptract documents CITY BID ITEM PAY ITEM # # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL I 1 -1 MO 3471.0001 Traffic Control $ 2.184.00 $ 2,184.001 I 2 -15 DA 3471.0020 Single Lane or Shoulder Closure, Weekdayy, pper Mile $ 145.60 $ 2,184.00) I 3 -5 DA 3471.0021 Sh a Lane or Shoulder Closure, Night/VJeekend, oer Mile $ 436.80 $ 2,184.00) I 4 -78 P�� SCH 80 (Tl LF 2605.3025 a" C 'NI $ 100.00 $ 1,800.00, I 5 -2 FA 3441.1501 FurCn'h)))II,slaj Ground Box T� (oe 8 $ 1,300.00 $ 2,600.00) I 6 -892 LF 3441.1310 31C 14 AWG Multi-Conduclor Cable $ 2.10 $ 1,873.201 I 7 -474 LF 3441.1311 1D/C 14 AWG Multi -Conductor Cable $ 7.00 $ 3,318.00) I 8 -2 FA 3441.1031 Fumish/Install Audible Pedestrian Pushbutton Station $ 5,770.00 $ (1,540.00) I 9 -4 EA 3441.1033 Install Pedestrian Pushbutton Station (Regular or Audible) $ 392.01) $ (1.568.00) I 10 -4 FA 3441.1033 Remove Pedestrian Pushbutton Station $ 116.00 $ J464.00 I TOTAL $ (35,715.201 REASONS FOR CHANGE ORDER Totality of the traffic signal improvement scope (Including but not limited to the pedestrian push button assemblies, conduits4viring, and contrast color continental crosswalk) has been removed from this project per discussion with City of Fort Worth representatives Ty Thompson and Sandip Adhiked. NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100 % OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER. RECOMMENDED: (Consulting Engineer) By: Name:Patrick Colliflower Title: Prolecl Manaqer APp IEfh'cuSianed bv: By: Name: Title: Project Manager & Auinorized Ageni REVIEWED By Sandip Adhikari at 11:29 am, Sep 18, 2023 APPROVED: (Contractor) By: �" Name: Juan alvo Title: President (Contractor By: Name: 14,K/'✓fft/ Title: ci -P v Revised: 10-12-2011 Page 1 PROJECT NAME: CONTRACT: ICFA# ICITY PROJECT # IFID# FILE # INSPECTOR: PROJECT MANAGER: (ORIGINAL CONTRACT EXTRAS TO DATE ICREDITS TO DATE ICONTRACT TO DATE (AMOUNT OF PROP CHANGE ORDER I REVISED CONTRACT AMOUNT TOTAL REVISED CONTRACT AMOUNT PER UNIT REVISED COST SHARE TOTAL REVISED CONTRACT DEVELOPER -AWARDED -PROJECT CHANGE ORDER Dutch Bros Coffee TX0511 CHANGE Water, Sewer and Pedestrian Push Button Assembly Improvements ORDER No: 23-0064 I CITY PARTICIPATION: No 104767 2 30114-0200431-104767-EO7685 K-3100 Phone No: Sandip Adhikari Phone No: WATER SEWER Developer Developer Cost City Cost Cost City Cost $10,854.44 $22,735.04 $0.00 $0.00 $0.00 $0.00 $10,854.44 $0.00 $22,735.04 $0.00 $14,000.00 $0.00 $24,854.44 $0.00 $22,735.04 $0.00 $24,854.44 $22,735.04 Dev. Cost: $47,589.48 (817) 392-8424 CONTRACT UNIT I PAVING DRAINAGE STREET LIGHTS I CONTRACT Developer Developer Developer DAYS Cost Cost Cost $0.00 $0.00 $35,715.20 20 I $0.00 $0.00 ($35,715.20) I $0.00 $0.00 $0.00 I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 20 $0.00 $0.00 $0.00 I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 20 I $0.00 $0.00 $0.00 City Cost: $0.00 $47,589.48 IYou are directed to make the following changes in the c/pntract docUrRants I CITY BID ITEM PAY ITEM # # QUANTITY 11 UNIT ITEM DESCRIPTION UNIT PRICE I TOTAL I UNIT I: Wate 1rr�, Q�e� �s I I10` I 3312.3103 1 I EA 13312.3103 8'�Cut-din Gate �aTve $ 14,000.00 $ 14,000.00 I TOTAL $ 14,000.001 - New pay item added REASONS FOR CHANGE ORDER 8" cut -in gate valve required due to isolation valve not existing on water main. NO CITY FUNDS INVOLVED IN THIS CONTRACT. DEVELOPER IS RESPONSIBLE FOR 100% OF THE CHANGE ORDER COST AND NO REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER. .0 bD: APPROVED: APPRAVEO: i �� I tl> {CaMsckA BY �11Y►�"� . B r By Name David Mwis. PE Name Amber Smith Name. Chase Cromer Title Raaidnal leader Tkle Proiera Manager and ANharixad Agee Title Al}Istant Proisn Manager REVIEWED By Sandip Adhikari at 4:28 pm, Jan 20, 2024 Revised: 10-12-2011 Page 1 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Improvments to Service Dutch Coffee TX0511 CITY PROJECT NUMBER: 104767 WATER PIPE LAID SIZE TYPE OF PIPE PVC 811 PVC FIRE HYDRANTS: VALVES (16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE DENSITIES: NEW SERVICES: 1" Copper Domestic 1" Copper Irrigation SEWER PIPE LAID SIZE TYPE OF PIPE 4" PVC PIPE ABANDONED SIZE TYPE OF PIPE DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 LF LF LF LF G G FORTWORTH. TRANSPORTATION AND PUBLIC WORKS January 25, 2024 Calvo Construction Inc 621 N Main Street Grapevine TX 76051 RE: Acceptance Letter Project Name: Dutch Bros Coffee TX0511 Project Type: 01, 02 City Project No.: 104767 To Whom It May Concern: On January 23, 2024 a final inspection was made on the subject project. There were punch list items identified at that time. The punch list items were completed on January 25, 2024. The final inspection and the corrected punch list items indicate that the work meets the City of Fort Worth specifications and is therefore accepted by the City. The warranty period will start on January 25, 2024, which is the date of the punch list completion and will extend of two (2) years in accordance with the Contract Documents. If you have any questions concerning this letter of acceptance, please feel free to contact me at 817- 392-8424. Sincerely, Adhikari Sandip, Project Manager Cc: Habte Taezaz, Inspector Emanuel Nieto, Inspection Supervisor Ariel Duarte, Senior Inspector Victor Tornero, Program Manager Forsite Group, LLc, Consultant Calvo Construction Inc., Contractor DB Fort Worth GoldenTriangle Sports Investment LLC, Developer File E-Mail: TPW_Acceptance@fortworthtexas.gov Rev. 8/20/19 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 Cole Green, General Superintedant Of Calvo Construction 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 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; Dutch Bro's- Golden Triangle CPN 104767 t_ g �v BY ;al r co �1Cuea�f� �u�tr;e�EQ��ev� Name or Title Subscribed and sworn before me on this date 25th of January, 2024. tart Public Co n �, State GULZAR MOHAMMED s :Notary Public, State of Texas 1�(k P�F Comm. Expires 05•C4•2025 �''� OF Notary Notary ID 129445821 Bond Number: CBB0065548 `IRA'AIADocument G707- - 1994 Consent Of Surety to Final Payment PROJECT: (Name and address) ARCHITECT'S PROJECT NUMBER: City Project # 104767 OWNER: ❑ Dutch Bros Coffee TX0511 ARCHITECT: El # 23-0064 CONTRACT FOR: Construction CONTRACTOR: ❑ TO OWNER: (Name and address) CONTRACT DATED: August 8, 2023 Accelerated Development Services - Dutch Bros Coffee TX0511 SURETY: 2415 E. Camelback Rd. Ste 400 OTHER: ❑ Phoenix, AZ 85016 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (Insert name and address of Surety) National American Insurance Company PO Box 9 Chandler, OK 74834 SURETY, on bond of (Insert name and address of Contractor) Calvo Construction, Inc. 621 N Main St, Suite 415 Grapevine, TX 76051 ,CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (Insert name and address of Owner) Accelerated Development Services - Dutch Bros Coffee TX0511 2415 E. Camelback Rd. Ste 400 Phoenix, AZ 85016 as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: February 5, 2024 (Insert in writing the month followed by the numeric date and year.) Attest: (Seal): I I{I l 11 l/ `GPN INS(I a=. SE _ '-O'p�lANO�P" National American Insurance Company (Surety) 'v vy)5V (Signature of authorized representative) David S. Salavitch, Attorney in Fact (Printed name and title) , OWNER, AIA Document G707 — 1994. Copyright © 1982 and 1994. All rights reserved. 'The American Institute of Architects," "American Institute of Architects," "AIA," the AIA Logo, and "AIA Contract Documents' are trademarks of The American Institute of Architects. 1 User Notes: (3B9ADA5D) NATIONAL AMERICAN INSURANCE COMPANY CHANDLER, OKLAHOMA Bond Number: CBB0065548 POWER OF ATTORNEY DUPLICATES SHALL HAVE THE SAME FORCE AND EFFECT AS AN ORIGINAL ONLY WHEN ISSUED IN CONJUNCTION WITH THE ORIGINAL. KNOW ALL MEN BY THESE PRESENTS: That the National American Insurance Company, a corporation duly organized under the laws of the State of Oklahoma, having its principal office in the city of Chandler, Oklahoma, pursuant to the following resolution, adopted by the Board of Directors of the said Company on the 8th day of July, 1987, to wit: "Resolved, that any officer of the Company shall have authority to make, execute and deliver a Power of Attorney constituting as Attorney -in -fact, such persons, firms, or corporations as may be selected from time to time. Resolved that nothing in this Power of Attorney shall be construed as a grant of authority to the attorney(s)-in fact to sign, execute, acknowledge, deliver or otherwise issue a policy or policies of insurance on behalf of National American Insurance Company. Be It Further Resolved, that the signature of any officer and the Seal of the Company may be affixed to any such Power of Attorney or any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such powers so executed and certified by facsimile signature and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond and documents relating to such bonds to which it is attached." National American Insurance Company does hereby make, constitute and appoint David S. Salavitch, Luke P. Sealer, Robert L. Cox, II, Kathryn E. Johnson, Rodney S. Demaree, Kacee McCrorey, Joshua Roberts its true and lawful attorney(s)-in-fact, with full power and authority hereby conferred in its name, places and stead, to sign, execute, acknowledge and deliver in its behalf, and its act and deed, as follows: To bind the company for bonds, not to exceed $4,000,000.00 for any single bond. And to bind National American Insurance Company thereby as fully and to the same extent as if such bonds and documents relating to such bonds were, signed by the duly authorized officer of the National American Insurance Company, and all the acts of said Attorney(s) pursuant to the authority herein given, are hereby ratified and confirmed. IN WITNESS WHEREOF, the National American Insurance Company has caused these presents to be signed by any officer of the Company and its Corporate Seal to be hereto affixed. 4`GAN IMSV?' NATIONAL AMERICAN INSURANCE COMPANY 0 -4�� 5EAL yV _ !�/l rAM t W. Brent LaGere, Chairman & Chief Executive Officer STATE OF OKLAHOMA ) COUNTY OF LINCOLN ) SS: On this 21st day of March, A.D. 2022, before me personally came W. Brent LaGere, to me known, who being by me duly sworn, did depose and say; that he resides in the County of Lincoln, State of Oklahoma; that he is the Chairman and Chief Executive Officer of the National American Insurance Company, the corporation described in and which executed the above instrument; that he knows the seal of said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation and that he signed his name, thereto by like order. �1 u a 13M7 B7? l 3 IIEW- ggr?7f3S % 4�, mu*J111L STATE OF OKLAHOMA ) COUNTY OF LINCOLN ) SS: Notary Public My Commission Expires August 27, 2025 Commission #13007877 I, the undersigned, Secretary of the National American Insurance Company, an Oklahoma Corporation, DO HEREBY CERTIFY that the foregoing and attached POWER OF ATTORNEY remains in full force. Signed and Sealed at the City of Chandler. Dated the 5th day of February 2024 /'�c `a�roe��� y� 0 SEAL ti r L. V ��. aCI.A s R. Patrick Gilmore, Secretary STATE OF TEXAS SURETY BOND CLAIM NOTICE In Accordance with Section 2253.021(f) of the Texas Government Code and Section 53.202(6) of the Texas Property Code, any notice of claim to the named surety under this bond(s) should be sent to: National American Insurance Company Surety Department 1010 Manvel Avenue Chandler, OK 74834 PH. 1-800-822-7802 Fax: 1-405-240-5507 www.naico.com The address of the surety company to which any notice of claim should be sent may also be obtained from the Texas Department of Insurance. You may contact the Texas Department of Insurance in person, in writing, by telephone, by e-mail or through their website. Texas Department of Insurance 333 Guadalupe Austin, TX 78701 Mail correspondence to: P.O. Box 149104 Austin, TX 78714-9104 1-800-578-4677 463-6169 (in Austin) TTY: 1-512-322-4238 e-mail: pio@tdi.state.tx.us www.tdi.state.tx.us NA-TXCN (06-15)