ST9502-CS 960701oo
Ci=¥ of C=.ape!! - _:ob!lc Works
pe~___£n ~_s~ued Tc: Name:
_~ hone:
Debarment
Location cf Work: ~
.. - ~ NO
"U =v==c~=?
Reuresentative(s] of the Franchise/Ccn~rac~or mus~ adhere to al!
include~ but is non !imi~ed =o:
and Ba~icading according to =he Texas F~nu.aI on Unifo~ Traffic
Con. rtl Devices- ~ea{s) affected must be
condition as before =he cc~encement of work.
~y excava=ion requiring closing of a s=ree= or alley taus= ~e
re~orn~ =o =he police, Fire, and p~lic worka ~p~entS prior
no clo~ing (462-1144, 46~-1133 and
Ar=ach work order (Franchise Only}
A~nach
a~D!£cak!e · _
Plan if
a lane
£$
F~anc 1-.is e / C: nn_-ac nc--
2a--a
F-_a.-.ch£sa rr.s-.,ec=cr/c-- Ct ~-z
= = hcld ~a--~o~s aqains= each
A--~:-:-- shall ;ndemnifl; amd fcr_-:_r .........
and eve_--:' c!aL.~, demand cr cause c= ac~£cn =ha= ma-; '-e made cr come
aqaims= £= by reason c~ cr if any way a_-isinq cun cf =he c!csure,
~Icck£mq, excavating, cu==i.-.q, :umme!£mq, cr c:her wcrk hy ,~e
a._-r~ ; .... under .uerm..i~ f_-cm :he Ci=y, ; = such .ce_-mi= is qram=ed.
Ail contractors will contact Public Works @ 462-8495 to have
trenches and/or open cuts inspected prior to back fill operation
taking place. Staff will be sent to inspect the project.