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MA 10-07-CS140714 FLAGGING REQUEST FORM To be completed by FWWR Job name Bowman Const For questions, scheduling, and Sub/M.P. Fort Worth 31.2 cancellation: TWC or Restricted? TWC Cancellations must be made by phone (no FWWR Job Number 346 voicemail) 24-hours in advance. Brief Description Install brick pavers Est. calendar duration 6 Larry Hopkins Agreement name, Dart National Railroad Safety Services parties, effective date (m) 214.417.7400, (o) 817-275-6777 CSJ if applicable N/A Submit form by email to: Bill Parker, Dir. Planning, wrp@fwwr.net Current flagging information  within 25’ of center line of track Flagger required when with men, material or equipment  Flagger may be required at any time work is performed by a third party in FWWR right-of-way  $128.75/hour, eight-hour minimum per day = STANDARD RATE  Terms: Net 30 days, outstanding balances after 30 days will be charged a $25 dollar late fee and finance charge of 1.5% per month. ts  Requesting party shall be liable for all attorney fees and costs necessarily incurred to collect overdue amoun  Flagging day (8-hour minimum) includes travel time, job briefing time, flag set up time  Rates include all applicable taxes; flagging billable monthly, Net 30 basis, billed per project agreement  $193.13/hour (1-½ time) from eight to twelve hours = OVERTIME RATE  Projects with a flagging day up to 12 hours per 24-hour period require a single flagger*  Projects with a flagging day from 13 to 16 hours per 24-hour period require two eight-hour flagger shifts  Projects with a flagging day from 16 to 24 hours per 24-hour period require three eight-hour flaggers shifts  Flagging should be scheduled no less than 48-hours in advance  Cancellations must be made by phone (no voicemail) 24-hours in advance To be completed by Requestor ***************MUST COMPLETE “BILL TO PARTY” OR REQUEST WILL BE DENIED*************** Company Name Jim Bowman Construction Co., LP Contact Name/Title Adrian Bowman, General Manager Phone numbers 214-535-6588 Mobile / 972-423-1313 Office Email Address adrian@bowmanconstruction.com Fax Number 972-423-1313 Mailing Address for 2716 S. Rigsbee Dr. Invoices, This the Plano, TX 75074 “BILL TO PARTY” Brief Description of Barricading, Removal, and Replacement of all concrete pavement in the Planned Work. Note intersection of Belt Line Road and MacArthur Blvd for the City of Coppell. portions within 25’ of center line. Recommend attaching exhibit with submittal of this form. R.R. M.M. or Xing Xing immediately north of Beltine Rd. on MacArthur Blvd – City of Coppell Estimated Duration Monday, 7/14 from 9am to 5pm for barricading and pavement removals Is T.R.O.E. done ? FWWR 010 238 03/13/2014