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Home My WebLink AboutContract 45253-FP1 ID);p TP&W Cost Services DOE# / �n r�D e Pmject anager ' �' dT WORTH, � Cr �S --P Risk!Management CCan D.O.E. rc 1 uAwesterman/scanneaz La The Proceeding people have been Contacted concerning the request for final payment&have released this !,TION AND PUBLIC WORKS -/ (�� co z '7'1 project for such payment ?PROJECT COMPLETION Clearance Conducted By Shameka Kennedy D.O.E.Ns: 7116 _ e- oz-rrlrt Regarding contract 117116 for ALLIANCE MEDICAL CENTER LOT 1R-1 as required by the G'S#i, '15. 3 WATER DEPARTMENT as approved by City Council on N/A through M&C N/A the director of the WATER DEPARTMENT upon ther'a a tant Director of the Transportation&Public Works Department has accepted the project as � )1 Original Contract Prices: JUN 21 010 F $100,054.00 Amount of Approved Change Orders: Ne Revised Contract Amount: Total Cost Work Completed: $100,054.00 Less Deductions: Liquidated Damages: Days aQ$210.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $100,054.00 Less Previous Payments: $0.00 Final Payment Due $100,054.00 --�/ Kv�� & lip-za/& Recomniended for Acceptance Date Asst. Director,TPW - Infrastructure Design and Construction G2/A21(2 ccepted Date Asst. Director, WATER DEPARTMENT Asst. City Manager V py Date Comments: P265-541200-604150217783,P275-541200-704130217783 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX 11 JUN 2 312016 -- �t�al -p a to 5 --0 21-7 7 DLJUN s�l�l{ ' 212016 ; '(�01 - C,ual�rl City Project Numbers 02177 __ __ DOE Number 7116 Contract Name ALLIANCE MEDICAL CENTER LOT 1R-1 Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 8/14/2015 Project Funding Project Manager Ehia City Secretary Contract Number 117116 Inspectors LAYER / CORDOVA Contract Date Contractor VENUS CONSTRUCTION COMPANY Contract Time 60 CD 1426 S.MAIN P O BOX 90 Days Charged to Date 437 CD MANSFIELD, TX 76063 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 $100,054.00 Less %Retained $0.00 Net Earned $100,054.00 Earned This Period $100,054.00 Retainage This Period 50.00 Less Liquidated Damages 0 Days Q SO.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% 50,00 Balance Due This Payment $100,054.00 Friday,Augost 14,2015 Page 4 of 4 ep —L) ri FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name ALLIANCE MEDICAL CENTER LOT 1R-1 Contract Limits Project Type WATER do SEWER City Project Numbers 02177 DOE Number 7116 Estimate Number 1 Payment Number 1 For Period Ending 8/14/2015 CD City Secretary Contract Number 117116 Contract Time 64rD Contract Date Days Cbarged to Date 437 Project Manager E6ia Contract is I00.00 Complete Contractor VENUS CONSTRUCTION COMPANY 1426 S.MAIN P O BOX 90 MANSFIELD, TX 76063 Inspectors LAYER / CORDOVA Friday,August 14,2015 Page 1 of 4 City Project Numbers 02177 DOE Number 7116 Contract Name ALLIANCE MEDICAL CENTER LOT 1R-1 Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 8/14/2015 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 CONNECTION TO EXISTING 12"WATER MAIN 1 EA $1,700.00 $1,700.00 J 1 $1,700.00 2 6"WATER METER SERVICE&METER BOX I EA $17,400.00 $17,400.00 1 $17,400.00 3 6"GATE VALVE 1 EA $750.00 $750.00 1 $750.00 4 8"GATE VALVE I EA $1,050.00 $1,050.00 1 $1,050.00 5 12"GATE VALVE 4 EA $2,000.00 $8,000.00 4 $8,000.00 6 6"PVC WATER PIPE 13 LF $50.00 $650.00 13 $650.00 7 8"PVC WATER PIPE 23 LF $50.00 $1,150.00 23 $1,150.00 8 12"PVC WATER PIPE 628 LF $40.00 $25,120.00 628 $25,120.00 9 12"DUCTILE IRON PIPE 64 LF $95.00 $6,080.00 64 $6,080.00 10 16"X 12"TAPPING SLEEVE 1 EA $6,800.00 $6,800.00 1 $6,800.00 11 INSTALLATION OF 20"STEEL CASING BY 47 LF $360.00 $16,920.00 47 $16,920.00 BORE 12 DUCTILE IRON WATER FITTINGS 1 TN $10,880.00 $10,880.00 1 $10,880.00 13 12"CLEANING WYE 2 EA 5645.00 $1,290.00 2 $1,290.00 14 REMOVE 6"9V BEND 1 EA $500.00 $500.00 1 $500.00 15 REMOVE 12"X 6"REDUCER 1 EA $500.00 $500.00 1 $500.00 16 TRENCH SAFETY 728 LF $0.25 $182.00 728 $182.00 17 TEST AND STERILIZE WATER LINES 728 LF $0.25 $182.00 728 $182.00 Sub-Total of Previous Unit $99,154.00 $99,154.00 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 CONNECTION TO EXISTING 8"SANITARY 1 EA $900.00 $900.00 1 $900.00 SEWER LINE STUB OUT Sub-Total of Previous Unit $900.00 $900.00 ---------------------- ------------- ---- Friday,August 14,2015 Page 2 of 4 City Project Numbers 02177 DOE Number 7116 Contract Name ALL.tANCE MEDICAL CENTER LOT JR-1 Estimate Number l Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 8/142015 Project Funding Contract Information Summary Original Contract Amount 5100,054.00 Chanze Orders Total Contract Price 5100,054.00 s- Total Cost of Work Com letod ' ate, ! P „s° 1100.034.00 /'Contract r Less %Retained $0.00 �- Date �� Net Earned 1100,054.00 Earned This Period 5100,054.00 Retainage This Period $0.00 �'�► )Ctrb Leas Liquidated Damages Project Manw Days /Day $0.00 & tP LessPavement Delieiency $0.00 Ass ' ctorlfPW-Infrastructure Design and Construction Less Penalty $0.00 Date -Z _ze f Las Previous Payment $0.00 or/Conti6ing Plus Material on Band Las 15% $0.00 Balance Due This Payment S100,Q54.00 Friday,August 14,2015 Page 3 of 4 FORTWORTH rev 03/05/07 TRANSPORTATION&PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: Alliance Medical Center PROJECT NO.: 2177 CONTRACTOR: Vam caonabvcdon DOE NO.: 7116 PERIOD FROM:04/21/14 TO: 07/01/15 FINAL INSPECTION DATE: WORK ORDER EFFECTIVE:12/15/2014 CONTRACT TIME: 60 O WD •1D DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS 437 PERIOD PREVIOUS PERIOD 0 TOTALS TO DATE 437 *REMARKS: qdKTB&TOR DATE INS CTOR DATE ENGINEERING DEPARTMENT - The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fix:(817)392-7845 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Alliance Medical Center PROJECT NUMBER: 2117 DOE NUMBER: 7116 WATER PIPE LAID SIZE TYPE OF PIPE LF Yes 6" PVC 13 Yes 8" PVC 23 Yes 12" PVC 628 FIRE HYDRANTS:0 VALVES(16"OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: 6" PVC 13 SEWER PIPE LAID SIZE TYPE OF PIPE LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: Aem TRANSPORTATION AND PUBLIC WORKS FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name ojContractor Project Name Venus Construction Company Alliance Medical Center Lot 1 R-1 DOE Inspector DOE Number Alex Vega 7116 DOE Inspector Project Manager 2 Water 2 Waste Water ❑ Storm Drainage ❑ Pavement Fred Ehia Initial Contract Amount Project Difficulty $100,054.00 0 Simple O Routine O Complex Final Contract Amount Date $100,054.00 5/9/2016 I1)PERFORMANCE EVALUATION 0-Inadequate I-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 4 8 8 2 Public Notifications 5 N 3 Plans on Site 5 Y 3 20 15 4 Field Supervision 15 Y 3 60 45 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 4 60 60 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Property Restoration 5 Y 3 20 15 12 After Hours Response 5 N 13 Project Completion 5 Y 3 1 20 15 TOTAL ELEMENT SCORE(A) 373 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 373 111)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 408 Rating(ITS/MSI*100%) 373 / 408 = 91% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60Yo=Seandard 60%to<80%=Good >_80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector Signature Contractor Signature DOE Inspector's Supervisor CONTRACTOR'S COMMENTS "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 Sam McAda, Vice President Of Venus Construcion Co,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; Alliance Medical Center BY Sam McAda Subscribed and sworn before me on this date 16th of May, 2016. 0VANESSA RENFROW Notary Public Notary Public y state of Texas Tarrant County, Tx o MY Comm.Exp.07.78-2019 CONSENT OF OWNER O SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ Bond No.PB02253100181 OTHER PROJECT: Alliance Town Center Lot 1R-1 PROJECT NO. 2013-070 TO: City of Fort Worth/HCA Health Services of Texas CONTRACT FOR: 1000 Throckmorton Street Construction Fort Worth,TX 76102 CONTRACTOR:Venus Construction Company CONTRACT DATE:November 8,2013 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the Philadelphia Indemnity Insurance Company SURETY, on Bond of Venus Construction Company CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to City of Fort Worth/HCA Health Services of Texas ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand this 23rd day of May ,2016 Philadelphia Indemnity Insurance Company Surety Company �t Signature of Authorized Representative Atter. Charles K.Miller,Attorney-In-Fact Title l`tel) CCPwCNIOFsu,<F YCOMPANYToFINALPAYmwr ONEPAGE 2683 PHILADELPHLA INDENLNITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS: that PHILADELPHLA NDENLNITY fN'SL'RA.NCE COVIPA,NY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint: Clint Norris,Steven.J.Zinecker,.Jessica Luna Montgomery, Shannon Lewis and Charles IC Miller of Southwest.assurance Group,Inc.. Its true and(awful Attorney(s)in fact with full authority to execute on its behatf bonds,undertakings,recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed 525,000,000 This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the rollowing Resolution adopted by the Board of Directors of PHILADELPHIA NDENWITY INSURANCE COMPANY at a meeting duly called the l'day of 1uly.201 1. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company to: (1)Appoint Attorney(s) in Fact and authorize the Artomey(s) in Fact to execute on behalf of the Company bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company therero; and (2) to remove, at any time. any such Artomey-in-Fact and revoke the authority given. And,be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with the respect to any bond or undertaking to which it is attached, IN TESTIMONY WHEREOF,PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS.AUTHORIZED OFFICE THIS 7r"DAY OF FEBRUARY 2013. . .. (Seal) Robert D.O'Leary Jr.,President do CEO Philadelphia Indemnity Insurance Company On this 7"day of February 2013,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly swom said that he is the therein described and authorized officer of the PHILADELPHLA INDEMNITY LNSLRANCE COVIPANY,that the seal affixed to said instrument is the Corporate seal of said Company,that the said Corporate Seal and his signature were duly affixed. C0MM eWMQ.jH0FPeaysrLvaena NOTARALSE& DANIB.I.EPaRATN,NaaMnry Pubk �Mellm ayculty mnfasian •��badt 22.21119 � Notary Public: residing at: Bala Cvmwd,PA (Notary Seal) My commission expires. March 22,2016 L Craig P.Keller.Executive Vice President,Chief Financial Officer and Secretary or PHILADELPHIA[NDEN[NITY INSURANCE COMPANY,do herby certify that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto are true and correct and are still in full force and effect.I do further certify that Robert D.O'Leary Jr.,who executed the Power of Attomey as President,was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE CONIPANY, In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this23rd day of May 201 . -';•.• Craig P.Keller,Executive Vice President,Chief Financial Officer& S tiretary _ PHILADELPHIA INDEMNITY INSURANCE COMPANY iy?7 IMPORTANT NOTICE ADVISO IMPORTANTE To obtain information or make a complaint: Para obener informacion o para someter You may call the Surety's toll free telephone una queja: Usted puede Ilamar al numero number for information or to make a de telefono gratis de para information o complaint at: para someter una queja al: 1-877-438-7459 1-877-438-7459 You may also write Philadelphia Indemnity Usted tanbien puede escribir a Philadelphia Insurance Company at: Indemnity Insurance Company at: One Bala Plaza, Suite 100 One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004 Bala Cynwyd, PA 19004 Attention: Senior Vice President and Attention: Senior Vice President and Director of Surety Director of Surety You may contact the Texas Department of Puede comunicarse con el Departamento Insurance to obtain information on de Seguros de Texas para obtener companies, coverage, rights or complaints information acerca de companias, at: coberturas, derechos o quejas al: 1-800-252-3439. 1-800-252-3439 You may write the Texas Department of Puede escribir al Departmento de Seguros Insurance at: de Texas: P.O. Box 149104 P.O. Box 149104 Austin, TX 78714-9104 Austin, TX 78714-9104 Fax# 512-475-1771 Fax# 512-475-1771 Web. http://`,wvpi.tdi.state.b(.us Web: http://vvNAAv.tdi_state.tx.us Email: ConsumerProtection(c', tdi.state_tx.us Email: Cons umerProtection(�tdi.stata.tx.us PREMIUM OR CLAIM DISPUTES: Should DISPUTAS SOBRE PRIMAS O you have a dispute concerning your RECLAMOS: Si tiene una disputa premium or about a claim, you should concerniente a su prima o a un reclamo, contact the Surety first. If the dispute is not debe comunicarse con el Surety primero. Si resolved, you may contact the Texas no se resuelve la disputa, puede entonces Department of Insurance. comunicarrse con el departamento (TDI). ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA: Este This notice is for information only and does aviso es solo para proposito de information not become a part or condition of the y no se convierte en parte o condition del attached document. documento adjunto. HCA Ho} pita1 Corpratirn o`A--nerira May 23,2016 Mr.Josh Mcada Venus Construction Company 1426 S. Main Mainsfield,TX 760 RE: Alliance Medical Center Water,Sewer, Paving, Drainage&Street Light Improvements to serve Alliance Medical Center City Project No:02177,CFA:2013-070 City of Fort Worth,Texas Dear Mr. Mcada, HCA Health Services of Texas, Inc. hereby acknowledges that Venus Construction Company has completed the Water,Sewer,Paving, Drainage and Street Light Improvements as required for the above referenced project and will not assess any penalties or liquidated damages. If you have any questions,plea=se feel free to contact our office. Sincerely, ♦; ♦� E�eckett Sr.Construction Manager-HCA FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I) PROJECT INFORMATION Date: 15/9/2016 Name of Contractor Project Name Venus Construction Company Alliance Medical Center Lot 1 R-1 DOE Inspector iProject Manager —Z ;Alex Vega !Fred Ehia DOE Number Project Difficulty Type of Contract ; 7116 Simple O Routine O Complex D Water 0 Waste Water ❑ Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount j S 100,054.00 iS100,054.00 In PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT =(O'- (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector I Accuracy of Plans to Existing Conditions i 2 Knowledge of Inspector 2 Clarity&Sufficiency of Details ; y 3 Accuracy of Measured Quantities 3 Applicability of Specifications —, 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs I Knowledge And/Or Problem Resolution ADMINISTRATION y2 Availability of Project Manager 1 Change Order Processing Time 13 Communication 12 Timliness of Contractor Payments 4 Resolution of Utility Conflicts I ! 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS f/ The City of Fort Worth•1000 Thtockmorton Street•Fort Worth,TZ 76012-6311 (817)392-7941 •Fax:(817)392-7845