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HomeMy WebLinkAboutContract 45577-FP1 Departmept of Const. Services DOE#� Date Project Manager� � - 1 Risk Management S. Canady —� ,T WORTH, `�'� � � �• D.O.E. Brotherton i—�%T,/_ CFA Westerman/Scanned ❑ The Proceeding people have been Contacted concerning the request t1TION AND PUBLIC WORKS �( for final payment&have released this project for such payment. F PROJECT COMPLETION G 4 I Clearance Conducted By Etta Bacy D.O.E. Ns: 6575 Regarding contract 43597 for 2010 SANITARY SEWER REHABILI T AT ION CONTRACT 76 as required by the WATER DEPARTMENT as approved by City Council on 09/17/2013 through M&C C-26450 the director of the WATER DEPARTMENT upon the re `—ant Director of the Transportation&PubGc Works Department has accepted the project as c Original Contract Prices: rE3 2016 $1,234,621.75 Amount of Approved Change Orders: $177,122.00 Ns 1,2,3 Revised Contract Amount: $1,411,743.75 I� Total Cost Work Completed: $1,349,629.83 Less Deductions: I Liquidated Damages: Days Q$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $1,349,629.83 I Less Previous Payments: $1,336,133.53 Final Payment Due $13,496.30 - �d d --- — P 2 •O!• 20l{p RecommAnded for Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction �IL)_A. s.���� .-__' 1 �- _ r�n ��_4 - - - 2--13 -�� Accepted Date Asst. Director, WATER DEPARTMENT Asst. City Manager r Date Comments: FUND ACCT;P258-475270-7091701488 ZMAlf,LMD OFFICIAL RECORD CITY SECRETARY P 2s-y- o I- 9 FEB 08 ?016 FT.WORTHY TX () - '� p E C E'U E sq � 0-7- c o to 88 FEB 0 3 Z016 S 24J�S'-7'7 City Project Numbers 01488 DOE Number 6575 Contract Name 2010 SANITARY SE T 76 Estimate Number 28 Contract Limits Payment Number 28 Project Type SEWER PROJECT For Period Ending 12/15/2015 Project Funding Project Manager Sauceda City Secretary Contract Number 45577 Inspectors RODGERS / ALLBRIGHT Contract Date 4/24/2014 Contractor CONATSER CONSTRUCTION TxLP Contract Time 300 CD 5327 WICHITA ST Days Charged to Date 380 CD FORT WORTH, TX 76119 Contract is .000000 Complete CITY OF FORT WORTH PO # !K 1 dot SUMMARY OF CHARGES INVOICE # Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of%Vork Completed $1,349,629.83 Less %Retained $0.00 WATER DEPARTMENT Net Earned $1,349,629.83 AND AL SERVIM Earned This Period $13,496.30 Comm ham. 'L�?� / for1 Retainage This Period $0.00 ?VWM 14 s J + S p Ilk its Less Liquidated Damages DEPARFWW CHFCK plCkAM yp 0 Days Qa $0.00 /Day $0.00 VF LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $1,336,133.53 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $13,496.30 Manday December 21,2015 Pap 5 of 5 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name 2010 SANITARY SEWER REHABILITATION CONTRACT 76 Contract Limits Project Type SEWER PROJECT City Project Numbers 01488 DOE Number 6575 Estimate Number 28 Payment Number 28 For Period Ending 12/15/2015 CD City Secretary Contract Number 45577 Contract Time 3011:D Contract Date 4/24/2014 Days Charged to Date 380 Project Manager Sauceda Contract is 96.000 Complete I Contractor CONATSER CONSTRUCTION TxLP ! 5327 WICHITA ST FORT WORTH, TX 76119 Inspectors RODGERS / ALLBRIOHT A i i r I I Monday,December 21,2015 Page 1 of 5 I City Project Numbers 01488 DOENumber 6575 } Contract Name 2010 SANITARY SEWER REHABILITATION CONTRACT 76 Estimate Number 28 Contract Limits Payment Number 28 Project Type SEWER PROJECT For Period Ending 12/15/2015 Project Funding SEWER i, Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------- 1 ___ ______ --1 10"SEWER PIPE(PVC SDR-26) 1475 LF $37.50 $55,312.50 1471 $55,162.50 2 8"SEWER PIPE(PVC SDR-26_ 832 LF $36.00 $29,952.00 974 $35,064.00 3 8"SEWER PIPE(PVC SDR-35) 12166 LF $35.00 $425,810.00 11765 $411,775.00 4 8"DIP SEWER PIPE 60 LF $65.00 $3,900.00 66 $4,290.00 7 SANITARY LINE GROUTING 5 CY $200.00 $1,000.00 5 $1,000.00 8 6"SEWER ABANDONMENT PLUG 1 EA $100.00 $100.00 1 $100.00 9 REMOVE 4'SEWER MANHOLE 50 EA $200.00 $10,000.00 44 $8,800.00 11 SWPPP 1 ACRE I LS $1,000.00 $1,000.00 1 $1,000.00 12 6'WIDE ASPHALT PVMT REPAIR RESIDENTIAL 3860 LF $38.00 £146,680.00 3660 $139,080.00 13 CONC PVMT REPAIR RESIDENTIAL 200 SY $42.00 $8,400.00 206.7 $8,681-40 14 6"FLEX BASE TYPE D GR-1 6092 SY $7.25 $44,167.00 8568 $62,118.00 15 4"CONC SIDEWALK 200 SF $4.00 $800.00 166.64 $666.56 16 6"CONCRETE DRIVEWAY 2740 SF $6.00 $16,440.00 1798.02 $10,788.12 17 BARRIER FREE RAMP TYPE R-1 I EA $1,000.00 $1,000.00 1 $1,000.00 18 6"CONC CURB AND GUTTER 355 LF $22.00 $7,810.00 115 $2,530.00 19 9"CONC VALLEY GUTTER RESIDENTIAL 60 SY $50.00 $3,000.00 46.34 $2,317.00 20 TOPSOIL 1886 CY $8.00 $15,088.00 850 $6,800.00 21 BLOCK SOD PLACEMENT 845 SY $4.00 $3,380.00 1200 $4,800.00 22 SEEDING HYDROMULCH(CO#3) 5951 SY $0.75 $4,463.25 5951 $4,463.25 23 PRE-CCTV INSPECTION 650 LF $3.00 $1,950.00 1097 $3,291.00 24 POST CCTV INSPECTION 14525 LF $2.00 $29,050.00 7768 $15,536.00 25 MANHOLE VACUUM TESTING 50 EA $100.00 $5,000.00 49 $4,900.00 26 EXPLORATORY EXCAVATION OF EXISTING 19 EA $400.00 $7,600.00 19 $7,600.00 UTILITIES 27 TRENCH SAFETY 17997 LF $2.00 $35,994.00 14210 $28,420.00 28 CONCRETE COLLAR 50 EA $450.00 $22,500.00 49 $22,050.00 29 IMPORTED EMBEDMENT/BACKFILL CSS 110 CY $30.00 $3,300.00 30 IMPORTED EMBEDMENT/BACKFILL CLSM 110 CY $20.00 $2,200.00 31 IMPORTED EMBEDMENTBACKFILL 110 CY $25.00 $2,750.00 CRUSHED ROCK 32 IMPORTED EMBEDMEN/BACKFH-J,SELECT 110 CY $15.00 $1,650.00 FILL Monday,December 21,2015 Page 2 of 5 City Project Numbers 01488 DOE Number 6575 Contract Name 2010 SANITARY SEWER REHABILITATION CONTRACT 76 Estimate Number 28 Contract Limits Payment Number 28 Project Type SEWER PROJECT For Period Ending 12/15/2015 Projcct Funding 33 4"SEWER SERVICE 416 EA $350.00 $145,600.00 396 $138,600.00 34 4"SEWER SERVICE 2-WAY CLEANOUT(CO#2) 416 EA $125.00 $52,000.00 396 $49,500.00 35 4"SEWER SERVICE PRIVATE RELOCATION 850 LF $40.00 $34,000.00 920 $36,800.00 36 EPDXY MANHOLE LINER 12 VF $200.00 $2,400.00 12 $2,400.00 37 4'MANHOLE 44 EA $2,550.00 3112,200.00 44 $112,200.00 38 4'DROP MANHOLE 1 EA $3,000.00 $3,000.00 2 $6,000.00 39 4'EXTRA DEPTH MANHOLE(ALL TYPES) 51 VF $150.00 $7,650.00 40 4'SHALLOW MANHOLE 4 EA $3,200.00 $12,800.00 3 $9,600.00 41 TRAFFIC CONTROL I I EA $500.00 $5,500.00 12 $6,000.00 42 ABANDON MANHOLE 2 EA $600.00 $1,200.00 2 $1,200.00 43 8"2:27 FLOWABLE FILL(CO 111) 2900 LF $32.00 $92,800.00 2900 $92,800.00 44 SAWCUT PAVEMENT REPAIR(CO#1) 2900 If $1.75 $5,075.00 2900 $5,075.00 ! 45 PIPE ENLARGEMENT 6"TO 8"(CO#3) 314 LF $85.50 $26,847.00 314 $26,847.00 f 46 RECONNECT FROM PIPE ENLARGEMENT(CO I LS $1,375.00 $1,375.00 1 $1,375.00 #3) 47 SEWER SERVICE INVESTIGATION(CO#3) 1 LS $1,700.00 $1,700.00 1 $1,700.00 48 INSTALL GRINDER PUMPS(CO#1) 1 LS $17,300.00 $17,300.00 1 $17,300.00 Sub-Total of Previous Unit $1,411,743.75 $1,349,629.83 1 i 1 Monday,December 21,2015 Page 3 of 5 City Project Numbers 01488 DOE Number 6575 Contract Name 2010 SANITARY SEWER REHABILITATION CONTRACT 76 Estimate Number 28 Contract Limits Payment Number 28 Project Type SEWER PROJECT For Period Ending 12/15/2015 Project Funding Contract Information Summary Original Contract Amount $1,234,621.75 Change Orders Change Order Number 1 $97,875.00 Change Order Number 2 $47,625.00 Change Order Number 3 $31,622.00 Total Contract Price $1,411,743.75 Date 46`�6 Total Cost of Work Completed $1,349,629.83 ont ctor Less %Retained $0.00 1CJ� Date Net Earned $1,349,629.83 Earned This Period $13,496.30 Inspection Su ervisor / Retainage This Period $0.00 Dat 2/' (� Less Liquidated Damages P ject Manager Days Q /Day $0.00 Date Z'01'/4P LessPavement Deficiency $0.00 As J nectorSTWj-�frastryeture Design and Construction Less Penalty $0.00 '(" . 7,P- Less Previous Payment $1,336,133.53 1 L • 6f Date 1 Director/ ntracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $13,496.30 Monday,Deceniber21,2015 Page of it 0"TWORTH f TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: . PRVJTLrT NAME: 2010 Sanitary Sewer Rehabilitation Contract 76 PROJECT NUMBER: #01488 DOE NUMBER: 6575 I WATER PIPE LAID SIZE TYPE OF PIPE LF FIRE HYDRANTS: VALVES(16"OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PEPE LF SDR-26 10 PVC 1471 SDR-26 8 PVC 974 SDR-35 8 PVC 11765 8 DIP 60 PIPE ABANDONED SIZE TYPE OF PIPE LF 6 PVC 172 DENSITIES: PASSED NEW SERVICES: 396 SERVICES INSTALLED TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 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 Brock Huggins, Vice-President of Conatser Management Group, Inc., general partner of Conatser Construction TX, LP,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; and That there are no claims pending for personal injury and/or property damages; On Contract described as: SANITARY SEWER,REPLACEMENT CONTRACT 76 DOE#: N/A CITY PRJ#:01488 CITY OF FORT WORTH STATE OF TEXAS CONATS CONSTRUCTION TX,LP rock Huggins Subscribed and sworn to before me this 22"day of O er,2015. _-_ Notary Public m Tarrant County,Texas BERTHA GIANULIS =q' Notary Punic.Vote of Texas my c4mminion Expires ;; = Septembef IS.2019 i MERCHANTS BONDING COMPANY. MERCHANTS BONDING COMPANY(MUTUAL) P.O. BOX 14498, DES MOINES, IOWA 50306-3498 PHONE:(800)678-8171 FAX: (515)243-3854 OWNER ARCHITECT CONSENT OF SURETY CONTRACTOR TO FINAL PAYMENT SURETY OTHER Bond No. TXC605729 TO OWNER: ARCHITECT'S PROJECT NO.: City of Fort Worth 1000 Throcicmorton Street CONTRACT FOR: Fort Worth,TX 76102 Sanitary Sewer Rehabilition PROJECT: —1488 CONTRACT DATED: April 24,2014 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Merchants Bonding Company(Mutual) P.O. Box 14498 Des Moines, Iowa 50306-3498 SURETY, on bond of (Insert name and address of Contractor) Conatser Construction TX,LP 5327 Wichita St Fort Worth,TX 76119 , 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) City of Fort Worth 1000 Throclumorton Street Fort Worth,TX 76102 OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: (Insert in writing the month followed by the numeric date and year.) Merchants Bonding Company(Mutual) Attest: - Sign ure of authorized representative} (Seal): John R.Wilson Attorney-In-Fact (Printed name and title) Printed in cooperation with American Institute of Architects(AIA). The language in this document conforms exactly to the language used in AIA Document G707-1994 Consent Of Surety to Final Payment. CON 0405(4/15) i MERcHAN'17�k BONDING COM.PANYb POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL.BONDING, ;I INC.,both being corporations of the state of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint, individually, Carolyn Maples; Glenna S Davis; John R Wilson their true and lawful Attorneys)-in-Fact,to make,execute,seal and deliver on behalf of the Companies,as Surety,bonds,undertakings and other written obligations in the nature thereof,subject to the limitation that any such instrument shall not exceed the amount of: SEVEN MILLION TNi RUNDRED THOUSAND($7,500,000.00)DOLLARS This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the Board of Directors of Merchants Bonding Company(Mutual)on April 23,2011 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 24,2011. The President,Secretary,Treasurer,or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-in-Fact,and to authorize them to execute on behalf of the Company,and attach the seal of the Company thereto,bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof.' "The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance,or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed." In connection with obligations in favor of the Florida Department of Transportation only,it Is agreed that the power and authority hereby given to the Attorney-in-Fact Includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation.it is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee,shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner- Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation. in Witness Whereof,the Companies have caused this instrument to be signed and seated this 15th day of August 2015 ��„•n+++++e.i�ry „••'"'••• MERCHANTS BONDING COMPANY(MUTUAL) `,,.�`"�'(1Utdq��`� R•��� Cpl MERCHANTS NATIONAL BONDING,INC. c4 +� 0` ;�O��RFtI q`••Ay j �• 2 ;. ? ;� , 1933 C__: By }1y 4� STATE OF IOWA +•• •+�' +rr+ �+t++ti'i ` ••••Y•' •••• President COUNTY OF Dallas ss. On this 15th day of August 2015 ,before me appeared Larry Taylor,to me personally known,who being by me sworn did say that he is President of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.;and that the seats affixed to the foregoing instrument are the Corporate seals of the Companies;and that the said instrumentwas signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. �Pa� WENDY WOODY o `a Commission Num bar 784654 4zATMyCommission Expires rowsl June 20 2017 Notary Pub1 , County,Iowa (Expiration of notary's commission does not invalidate this instrument) 1,William Warner,Jr.,Secretary of the MERCHANTS BONDING COMPANY(MUTUAL)and-MERCHANTS NATIONAL BONDING,INC., do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies, which is still in full force and effect and has not been amended or revoked. In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this 30 day of September 2015 t1+. Z' Secretary : :+ 1�,,//�� 9933 L-: POA 0014 (6115) FORTWORTH REV:0220/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Conatser Construction 2010 Sanitary Sewer Rehab.Contract 76 DOE Inspector DOE Number Luisa Allbright 6575 DOE Inspector Project Manager 2] Water[2] WasteWater[:] Storm Drainage[] Pavement Robert Sauceda Initial ContractAmotmt Project Difficulty $1,234,621.75 0 Simple Routine 0 Complex Final Contract Amount Date $1,411,743.75 .1/7/2016 II)PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 2 20 10 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 406 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 406 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating QTS/MS]*100%) 406 / 448 = 91% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >_80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AIVARDED) Signature DOE Inspector Signature Contractor U Signature DOE Inspector's Supervisor t� CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS ' ' The City of Fort Worth•10001fimckmorton Street•Fort Worth,TS 76012-6311 (817)392-7941•Fay(817)392-7845 FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION -� - ^.- Date: 1!7/2016 Name of Contractor Project Name Conatser Construction 2010 Sanitary Sewer Rehabilitation Contract 76 j DOE Inspector Project Manager Luisa Allbright Robert Sauceda DOE Number Projecl Dculty Type of Contract 6575 O Simple Q Routine O Complex .t❑ Water❑ wasteWater[-] Storm DrainagC Pavement Initial Contract Amount Final Contract Amount $1,234,621.75 $1,411,743.75 II)PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION IPLANS&SPECIFICATIONS 1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clak&Sufficiency of Details 3 Accurac of Measured uantities 3 A licabili of Specifications 2 4 Display Of Professionalism 4 Accurac of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Settiq&up Valve Crews Labs 1 Knowled a And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Mana er 1 Ch a Order Processing Time 13 Communication 2 Timliness of Contractor Pa ants 14 Resolution of Utility Conflicts Z 3 Bid qpen!n&to Pre-Con Meqft Timeframe 7- 111)COMMENTS&SIGNATURES COMMENTS Signature Contractor &4 Signature DOE Inspector v� Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth-1000 T hmckmorwn Street-Fort Worth,TX 76012-6311 (817)392-7941-Fay(817)392-7845 FORT WORTH TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENT# FINAL STATEMENT# 28 DOE 6575 NAME OF PROJECT: 12010 Sanitary Sewer Rehab Contract#76 Contractor Conatser YEAR: PROJECT NO.: FINAL INSPECTION DATE 1011612015 #01488 WD CD CONTRACT TIME 390 1 X PERIOD FROM: 1 121112015 TO: 112/15/20161 BEG - Month I IDEVELOPMENJ } p N WORK ORDER EFFECTIVE: 1 9/1612014 BEG! t n MID n n 97.4% DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR CHARGED DAYS CREDITED CHARGED DAYS CREDITED 1 Tue 0 na 16 2 Wed 0 na 17 3 Thu 0 na 18 4 Fri 0 na 19 6 Sat 0 na 20 6 Sun 0 na 21 7 Mon 0 na 22 8 Tue 0 na 23 9 Wed 0 na 24 FIFO hu 0 na 26 0 na 26 at 0 na 27 un 0 na 28 on 0 na 29 ue 0 na 30 31 tntl;n& Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGED THIS PERIOD 0 0 0 0 0 0 PREVIOUS PERIOD 0 380 380 TOTAL TO DATE 1 0 1 0 1 0 1 0 1 380 1 380 REM ARKS: Job Complete f, Signature: 1 �/ / Signature: (Print Narqi) i� M.Luisa Ybright CONTRACTOR DATE NSPECrOR DATE 12/15/2015