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Home My WebLink AboutContract 60593-CO3CSC No. 60593-CO3 FOR_ _ T WORTH, City of Fort Worth Change Order Request Project Namel East 4th Street and East 1st Street Federally Funded On -Street Bike Lane City Sec # I 60593 Client Project #(s)l 102601 Project Description On -Street Bike Lane Project Contractorl Fain Group, Inc I Change Order#1 3 l Datel 2/25/2025 City Project Mgr.l Iskal Shrestha P.E. City Inspectorl Edward Davila Dept. TPW Contract Time Totals (CD) Original Contract Amount $2,916,021.70 $2,916,021.70 192 Extras to Date $230,967.56 $230,967.56 Credits to Date Pending Change Orders (in M&C Process) Contract Cost to Date $3,146,989.26 $3,146,989.26 192 JGo to ADD & DEL Tabs to Enter CO Backup-$52,895.99 -$52,895.99 10 Revised Contract Amount $3,094,093.27 $3,094,093.27 202 Original Funds Available for Change Orders ti $0.00 Remaining Funds Available for this CO $0.00 Additional Funding (if necessary) CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT 6.11 % MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%) $3,645,027.13 The construction is complete. The final construction invoice has been submitted and paid. Change Order (CO)#3 has been issued to reconcile the bid quantities. The number of days added to this change order is for the work related to change order number 1. The exact date of when CO#1 would be fully executed was unknown at the time of CO#1 negotiation because it needed a council action and duration for routing it to get fully executed. Therefore, the time impact analysis was also unknown. This project has federal funding for construction. Thus, we consulted TxDOT Construction PM about this issue. He recommended adding an extra day to perform the work related to change order #1 when reconciling the project (CO#3). The email correspondence with TxDOT related to time impact analysis is attached to this change order. It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting reauirements. Contractor's Company Namell Contractor (Name Contract Signature Date The Fain Group, Inc Larry Fraziero� s Mar 6, 2025 Inspector/In Date Mar5, 2025 Project and Contract Compliance Manager Date Mar5, 2025 Date Senior Capital Project Officer Date Mar 7, 2025 Mar 7, 2025 ssistant Director (Dept) Date Director, Contracting Department (Dept) Date Pat✓icra L. waAsack Mar 10, 2025 Mar 11, 2025 Assistant City Attorney Date lAssistant City Manager Date Mar 11, 2025 _W Mar 16, 2025 Council Action (if required) M&C Number I N/A M&C Date Approved INIA ATTEST: Om,,..u.. A A_� Jannette Goodall, City Secretary FORT WORTH City of Fort Worth Change Order Additions Project Name I East 4th Street and East 1st Street Federally Funded On -Street Bike Lane City Sec # Client Project # 1 102601 Contractorl Fain Group, Inc I PMI Iskal Shrestha P.E. I Inspectorl Change Order Submittal # 0 Date ADDITIONS 60593 Edward Davila 2/25/2025 IIEM JESCKIPI IUN DEPI Uty Unit Unit Cost total UNIT I: CSJ 0902-90-196 UNIT I: CSJ 0902-90-196 2 REMOVING CONC (PAV; TPW 101.70 SY $29.00 $2,949.30 3 REMOVING CONC (DRIVEWAYS; TPW 95.74 SY $29.0 $2,776.46 4 REMOVING CONC (CURB) TPW 28.61 LF $14.0 J $400.54 5 REMOVING CONC (CURB AND GUTTER; TPW 64.00 LF $14.0 $896.00 6 REMOVING CONC (SIDEWALK OR RAMP; TPW 187.41 SY $30.0 J $5,622.30 7 REMOV STAB BASE AND ASPH PAV (0"-12" TPW 1.30 SY $71.06J $92.30 10 FL BS (CMP IN PLC)(TYA GRl-2) (6") TPW 245.23 SY $18.06 $4,414.14 11 CONC PVMT CONT REINF - CRCP) (7) TPW 89.12 SY $121.00 $10,783.52 22 COLORED TEXTURED CONC (6") TPW 46.37 SY $140.00 $6,491.80 24 CONC CURB & GUTTER (TY II) TPW 124.62 LF $46.00 $5,732.52 32 CONDT (PVC) (SCH 80) (3") TPW 25.00 LF $39.00 $975.00 33 CONDT (PVC) (SCH 80) (3") (BORE) TPW 90.00 LF $47.00 $4,230.00 55 REFL PAV MRK TY II (W) 6" (DOT) TPW 6.00 LF $0.10 $0.60 69 REFL PAV MRKR TY II -A -A TPW 21.00 EA $6.00 $126.00 70 TRAFFIC BUTTON TY W TURTLE DOMES) TPW 33.00 EA $250.00 $8,250.00 73 ELIM EXT PAV MRK & V S (24"^ TPW 394.00 LF $5.00 $1,970.00 75 ELIM EXT PAV MRK & MRKS (WORD) TPW 1.00 EA $100.00 $100.00 109 REMOVAL OF GROUND BOXES TPW 2.00 EA $400.00 $800.00 I-3 0104 6017 REMOVING CONC DRIVEWAY) TPW 395.00 SY $29.00 $11,455.00 I-26 0530 6004 DRIVEWAY (CONC� TPW 395.00 SY $20.00 $7,900.00 I-36 0620 6010 ELEC CONDR (NO. 6) INSULATED TPW 210.00 LF $3.00 $630.00 I-54 0666 6171 PREFL PAV MRK{ TY II (W) 6" (BRK) TPW 95.00 LF $2.50 $237.50 I-56 0666 6174 REFL PAV MARK TY II (W) 6" (SLD) TPW 20325.00 LF $2.50 $50,812.50 I-67 0666 6210 REFL PAV MRK TY II (Y) 6" SLD TPW 14490.00 LF $2.50 $36,225.00 I-98 0684 6029 TRF SIG CBL (TY A) (14 AWG)(3 CONDR) TPW 320.00 LF $2.50 $800.00 UNIT II: CSJ 0902-90-195 UNIT IL CSJ 0902-90-195 2 REMOVING CONC (PAV; TPW 1.33 SY $28.00 $37.24 4 REMOVING CONC (CURB AND GUTTER' TPW 95.20 LF $13.00 $1,237.60 5 REMOVING CONC (SIDEWALK OR RAMP; TPW 60.55 SY $28.00 $1,695.26 8 FL BS CMP IN PLC r\TYA GRl-2) (6") TPW 167.29 SY $17.00 $2,843.93 18 COLON TEXTURED CONC (6") TPW 7.24 SY $150.00 $1,086.00 19 COLORED TEXTURED CONC (7) TPW 22.21 SY $158.00 $3,509.18 21 CONC CURB (MOUNTABLE) TPW 63.85 LF $65.00 $4,150.25 22 CONC SIDEWALKS (4") TPW 10.38 SY $95.00 $986.10 27 CONDT (PVC) (SCH 80) (2") TPW 100.00 LF $32.00 $3,200.00 31 ELEC CONDR (NO.8) BARE TPW 420.00 LF $2.50 $1,050.00 37 REFL PAV MRK TY I (W)6"(DOT)(100MIL) TPW 527.00 LF $3.00 $1,581.00 43 REFL PAV MRK TY I (W)(BIKE ARW)(100MIL) TPW 1.00 EA $160.00 $160.00 44 REFL PAV MRK TY I;)f BIKE SYML)(100MIL) TPW 1.00 EA $350.00 $350.00 48 REFL PAV MRK TY �I (Wj 8" (DOT) TPW 630.00 LF $0.05 $31.50 53 REFL PAV MRK TY II (W) (BIKE ARROW, TPW 1.00 EA $12.00 $12.00 54 REFL PAV MRK TY II (W) (BIKE SYMBOL; TPW 1.00 EA $12.00 $12.00 66 ELIM EXT PAV MRK & MRKRS(PLOWABLE RPMS; TPW 1019.00 EA $2.00 $2,038.00 67 PAV SURF PREP FOR MRK (6"^ TPW 659.00 LF $0.05 $32.95 82 TRF SIG CBL (TY A)(14 AWG)(5 CONDR) TPW 30.00 LF $3.00 $90.00 89 PED DETECT PUSH BUTTON (APS) TPW 1.00 EA $1,105.00 $1,105.00 II-17 0514 6016 PERM CTB (F-SHAPE) (TY 4) TPW 1631.00 LF $165.00 $269,115.00 II-45 0666 6171 PREFL PAV MRK TY II (W) 6" (BRK) TPW 215.00 LF $2.50 $537.50 II-47 0666 6174 REFL PAV MARK TY II (W) 6" (SLD) TPW 17565.00 LF $2.50 $43,912.50 II-55 0666 6210 REFL PAV MRK TY II (Y) 6" SLD TPW 10150.00 LF $2.50 $25,375.00 II-104 0666 6174 REFL PAV MARK TY 1 (W) 6" (SLD) TPW 643.00 LF $2.40 $1,543.20 II-105 0666 6174 REFL PAV MARK TY II (W) 6" (SLD) TPW 643.00 LF $0.10 $64.30 TPW $530,425.99 Sub Total Additions 1 $530,425.99 Change Order Additions Page 2 of 5 FORT WORTH City of Fort Worth Change Order Deletions Project Name I East 4th Street and East tat Street Federally Funded On -Street Bike Lane I City Sec # 60593 Client Project# 1 102601 1 Contracturl Fain Group, Inc I PMI ISkal Shrestha P E. I Inspeclorl Edward Davila I Change Order Submittal# 0 Date 2I2512025 DELETIONS IIEM I UESURIFIION I ULFI I w I Unit I Unit UDSt I total 13 RIPRAP (CONC)(4 IN) TPW 2.44J CY $588.00 $1,434.721 21 PERM CTB (F-SHAPE) (TY 4) TPW 8.3UUJ LF $172.00 $1,427.601 23 COLORED TEXTURED CONC (7") TPW 14.7- 5Y $146.00 $2,156.421 25 CONC CURB (MOUNTABLE) TPW 95.8U LF $69.00 $6,610.201 26 DRIVEWAYS (CONIC) TPW 51.45 5Y $20.00 $1,029.001 27 CONC SIDEWALKS (4") TPW 266.84 5Y $97.00 $25,883.481 31 REMOVE METAL BEAM GUARD FENCE TPW 35.00 LF $42.00 $1,470.001 45 REEL PAV MRK TY I(W)8"(SLD)(100MIL) TPW 58.00 LF $3.OU $174,001 46 REEL PAV MRK TY I(W)I2"(SLDR100MIL) TPW 292.0UJ LF $9.00 $2,628.001 47 REEL PAV MRK TY I (W)24"(SLD)(I00MIL) TPW 1317.0U0/I LF $12.00 $15,804.001 48 REEL PAV MRK TY I(W)(ARROWRI OOMIL) TPW 3.OU FA $175.OU $525,001 49 REEL PAV MRK TY I(W)(WORD)(IOOMIL) TPW 1.0�1 FA $175.00 $175,001 54 REFL PAV MRK TY 11(W) 6" (BRK) TPW 95.001 LF $2.5U $237.501 56 REEL PAV MRK TY II (W) 6" (SLD) TPW 20325.0U LF $2.5Ci $50,812.501 58 REEL PAV MRK TY II (W) 8" (SLD) TPW 387.001 1 LF $0.05 $19 351 59 REEL PAV MRK TY II (W) 12" (SLD) TPW 292.0U0/I LF $0.05 $14 601 60 REEL PAV MRK TY II (W) 24" (SLD) TPW 1677.ODU/I LF $0.05 $83 B51 61 REEL PAV MRK TY II(W)(ARROW) TPW 3.OU1 FA $12.0C; $36001 62 REEL PAV MRK TY II(W)(WORD) TPW 1.0U1 FA $12.0C; $12001 67 REEL PAV MRK TY II (Y) 6" (SLD) TPW 14490.0(( LF $2.5C- $36,225.001 68 REEL PAV MRKR TY I-C TPW 34.0 ) FA $6.0 l $204.001 71 ELIM EXT PAV MRK & MRKS (4") TPW 245.0Uf LF $1.25, $305.251 72 ELIM EXT PAV MRK & MRKS (8") TPW 962.0 LF $2.0 $1,924.001 76 ELIM EXT PAV MRK & MARKS (BIKE ARROW) TPW 3.0 FA $100.0 $300.001 77 ELIM EXT PAV MRK & MARKS (BIKE SYMBOL) TPW 3.0 FA $100.0 $300.001 78 ELIM EXT PAV MRK & MRKRS(PLOWABLE RPMS) TPW 146.0 FA $2.25 $328.501 79 PAV SURF PREP FOR MRK (6") TPW 434.0 LF $0.1 $43.401 80 PAV SURF PREP FOR MRK (8") TPW 58.0 LF $0.1 $5 801 81 PAV SURF PREP FOR MRK (12") TPW 292.0 LF $0.1 $29 201 82 PAV SURF PREP FOR MRK (24") TPW 2419.0 LF $0.1 $241,901 83 PAV SURF PREP FOR MRK (ARROW) TPW 3.0 FA $12.0 $36001 84 PAV SURF PREP FOR MRK (WORD) TPW 1.0 FA $12.0 $12001 113 PORTABLE CHANGEABLE MESSAGE SIGN TPW 13.0 DAY $62.0 $805.001 1-2 01046001 REMOVE CONC (PAV) TPW 143.0 1 5Y $29.0 $4,147.001 1-5 0104 6022 REMOVE CONC (CURB AND GUTTER) TPW I60.0 LF $14.00 $2,240.001 1-6 01046036 REMOVIN'CO C(SIDEWALK OR RAMP) TPW 130.0 1 5Y $30.00 $3,900.001 1-10 0247 6061 FL BS (CMP IN PLC) (TY A GRI-2) (6") TPW 410.0 5Y $18.00 $7,380.001 1-26 05306004 DRIVEWAYS CONC) TPW 400.0 5Y $20.00 $8,000.001 1-27 0531 6001 CONC. SIDEWALKS (4") TPW I10.0 5Y $97.00 $10,670,001 -11 03606 CONC PVMT (CONY REINF-CRCP) (7") TPW 38.1 1 5Y $121.00 $4,614.941 1-119 0666 6171 PREFL PAV RK TY I (W) 6" (BRK) TPW 2.0 LF $2.40 $4 801 1-120 0666 6171 PREFL PAV MRK TY II (W) 6" (BRK) TPW 2.0 LF $0.10 $0 201 1-121 0666 6174 REEL PAV MARK TY 1 (W) 6" (SLD) TPW 234.0 LF $2.40 $561.601 1-122 0666 6174 REFL PAV MARK TY II (W) 6" (SLD) TPW 234.0 1 LF $0.10 $23 401 1-123 0666 6210 REFL PAV MRK TY I (Y) 6" SLD TPW 617.0f 1f LF $2.40 $1,480.801 1-124 0666 6210 REEL PAV MRK TY II (Y) 6" SLD TPW 617.0 LF $0.10 $61 701 1-126 668 6128 PREFAB PAV MRK TY C (GRN) (SLD) (BLOCK) TPW 60.0�l SF $22.43 $1,345.801 1-2 01046001 REMOVE CONC PAV) TPW 28.71 5Y $28.00 $803.881 1-11 0360-6001 CONC PVMT (C NT REINE - CRCP) (7") TPW 20.8 1 5Y $110.00 $2,297.901 6 FURNISHING AND PLACING TOPSOIL TPW 6.00 CY $350.0111 $2,100.001 9 CONC PVMT CONT REINF - CRCP) (7) TPW 42.89 5Y $110.00 $4,717.901 17 PERM CTB (F- -HAPE) (TY 4) TPW 1653.00 LF $165.00 $272,745 001 20 CONC CURB & GUTTER (TY II) TPW 39.90 LF $70.00 $2,793.001 39 REEL PAV MRK TY I(W)8"(SLD)T00MIL) TPW 360.00 LF $3.OU $1,080.001 40 REEL PAV MRK TY I(W)24"(SLD)(I00MIL) TPW 668.00 LF $13.00 $8,684.001 41 REEL PAV MRK TY I (W)(ARROW)(I OOMIL) TPW 6.00 FA $180.00 $1,080.001 42 REEL PAV MRK TY I (W)(WORD)(IOOMIL) TPW 4.00 FA $180.00 $720.001 45 REEL PAV MRK TY II (W) 6" (BRK) TPW 215.00 LF $2.5U $537.501 46 REEL PAV MRK TY II (W) 6" (DOT) TPW 20.OU LF $3.5U $70 001 47 REEL PAV MRK TY II (W) 6" (SLD) TPW 17565.00 LF $2.5U $43,912.501 49 REEL PAV MRK TY II (W) 8" (SLD) TPW 360.00 LF $0.05 $18 001 50 REEL PAV MRK TY II (W) 24" (SLD) TPW 668.00 LF $0.05 $33 401 51 REEL PAV MRK TY II(W)(ARROW) TPW 6.00 FA $12.00 $72001 52 REEL PAV MRK TY II(W)(WORD) TPW 8.00 FA $12.00 $96001 55 REEL PAV MRK TY II (Y) 6" (SLD) TPW 10150.00 LF $2.5U $25,375.001 56 REEL PAV MRKR TY I-C TPW 39.OU FA $6.OU $234.001 59 ELIM EXT PAV MRK & MRKS (4") TPW 1694.00 LF $1.OU $1,694.001 60 ELIM EXT PAV MRK & MRKS (8") TPW 771.00 LF $2.OU $1,542.001 61 ELIM EXT PAV MRK & MRKS (24") TPW 458.00 LF $S.OU $2,290.001 68 PAV SURF PREP FOR MRK (8") TPW 360.00 LF $0.05 $18 001 69 PAV SURF PREP FOR MRK (24") TPW 1283.00 LF $0.05 $64 151 91 PORTABLE CHANGEABLE MESSAGE SIGN TPW 13.00 DAY $67.00 $871.001 II-99 0528 6002 COLOR TEXTURED CONCRETE (6") TPW 9.00 5Y $140.OU $1,260.001 11-100 0529 6002 CONC CRUB (TY II) (8") TPW 23.00 LF $60.00 $1,380.001 11-39 0666 6036 REFL PAV MAR TYP I (W) 8" (SLD) (1 OOMIL) TPW 2.00 LF $3.OU $6 001 11-49 0666 6178 REFL PAV MRK TY II (W) 8" (SLD) TPW 2.00 LF $0.05 $0 101 11-68 0678 6004 PAV SURF PREP FOR MRK (8") TPW 2.00 LF $0.05 $0 101 11-102 0666 6171 PREFL PAV MRK TY I (W) 5" (BRK) TPW 8.00 LF $2.35 $18 801 I I-103 0666 6171 PREFL PAV MRK TY II (W) 6" (BRK) TPW 8.00 LF $0.15 $1 201 I I-106 0666 6210 REEL PAV MRK TY I (Y) 6" SLD TPW 1928.00 LF $2.40 $4,627.201 11-107 0666 6210 REEL PAV MRK TY II (Y) 6" SLD TPW 1928.00 LF $0.10 $192.801 I I-108 668 6128 PREFAB PAV MRK TY C (GRN) (SLD) (BLOCK) TPW 128.00 5F $22.43 $2,871.041 TFW $583,321981 1 1 1 Sub Total Deletions $583,321 981 Change Order Deletions Page 3 of 5 MISBE for this Change Order M/SBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders CO # DATE I AMOUNT 9/12/2024 $135,439.32 11 /1 /2024 $95,528.24 Total I $230,967.56 Shrestha, Iskal From: Jay Ripley <Jay.Ripley@txdot.gov> Sent: Wednesday, July 31, 2024 3:47 PM To: Shrestha, Iskal Subject: RE: E. 4th St/1st St Improvements Change Order Impact CAUTION: This email originated from outside of the City of Fort Worth email system. Do not click any links or open attachments unless you recognize the sender and know the content is safe. Iskal, The city can proceed with the expectations of this Time Impact being marked as a participating change order, as long as proper justification is provided at the time of reconciliation. Thanks, JAY RIPLEY DISTRICT LOCAL GOVERNMENT PROJECT COORDINATOR TEXAS DEPARTMENT OF TRANSPORTATION Fort Worth District/District Construction Jay.Riplev@txdot.gov 1 817-659-0841 1 TxDOT.eov From: Shrestha, Iskal <Iskal.Shrestha@fortworthtexas.gov> Sent: Wednesday, July 31, 2024 3:28 PM To: Jay Ripley <Jay.Ripley@txdot.gov> Subject: FW: E. 4th St/1st St Improvements Change Order Impact This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe. Jay, Please take a look below for contractor concurrence. We're just asking for your approval for the time impact due to the change order, which will be added during the reconciliation change order at the end of the project. Thanks, Iskal Shrestha From: Steven Aguirre <saguirre(@faingp.com> Sent: Wednesday, July 31, 2024 3:15 PM To: Shrestha, Iskal<Iskal.Shrest ha@fortworthtexas.gov> Subject: RE: E. 4th St/1st St Improvements Change Order Impact CAUTION: This email originated from outside of the City of Fort Worth email system. Do not click any links or open attachments unless you recognize the sender and know the content is safe. Iskal, We agree to the change order with the understanding that reconciliation of extra days will be addressed at the completion of the project. Thankyou, Steven Aguirre Project Manager rm. FAIN P.O. Box 164308 Fort Worth, TX 76161 (P) 817-927-4388 (F) 817-927-4389 (M) 817-727-5919 From: Shrestha, Iskal <Iskal.Shrestha@fortworthtexas.gov> Sent: Wednesday, July 31, 2024 3:10 PM To: Steven Aguirre <saguirre@faingP.com> Subject: FW: E. 4th St/1st St Improvements Change Order Impact Steven, I discussed the project's time impact due to change order#1 with the TxDOT PM. He has a great idea, and I agree because we don't know the exact date for CO#1 approval. Therefore, the actual time impact is unknown, and it depends on the date when the change order is fully executed. We plan to approve the actual impacted time during the reconciliation change order after the project is complete. Please let us know if you agree. If you do, please work on change order items that have a time impact immediately after the change order is fully executed. Thanks, Iskal Shrestha From: Steven Aguirre Sent: Tuesday, July 30, 2024 12:58 PM To: Shrestha, Iskal <Iskal.Shrestha@fortworthtexas.gov> Subject: E. 4th St/1st St Improvements Change Order Impact Iskal, Attach is the impact schedule for the E. 4t" St/1 st St project. Fain is requesting 21 working days be added to the change order due to new items added to project that were not included on baseline schedule. The project originally proposed installation of permanent CTB on E.1 st St between Beach St & Haltom Rd. Installation of 8" curb & gutter with median island will replace the CTB which causes more labor and time. If you have any questions let me know. Thank you, Steven Aguirre Project Manager rm. FAIN P.O. Box 164308 Fort Worth, TX 76161 (P) 817-927-4388 (F) 817-927-4389 (M) 817-727-5919 0 FORTWORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: E 4th St/E. 1st Street On -Street Bicycle Improvement Construction Contract — Change Order #3 M&C: N/A CPN: 102601 CSO: 60593 DOC#: 1 Date: 02/25/2025 To: Name Department Initials Date Out 1. Larry Frazier Fain Group - signature Mar 6, 2025 2. Alexandra Ripley TPW - review Mar 5, 2025 3 Edward Davila TPW-signature Mar 5, 2025 4. Iskal Shrestha TPW - signature -7 Mar5, 2025 5. Chad Allen TPW - signatures Mar 7, 2025 6. Lissette Acevedo TPW - signature c�V Mar 7 2025 7. Patricia Wadsack TPW - signature PLW Mar 10, 2025 8. Lauren Prieur TPW - signature �xQ„�,,, Mar 11, 2025 9. Doug Black Legal - signature ok Mar 11, 2025 10. Jesica McEachern CMO - signature � Ea ne, Mar 16, 2025 11. Jannette Goodall CSO - signatures Mar 17, 2025 12. TPW Contracts TPW 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, Jay 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: TPWContracts(a)FortWorthTexas.2ov at ext. 7233 for pick up when completed. Thank you!