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HomeMy WebLinkAboutContract 46611-FP1 Deaartm W Const. Services CPN# Date Project Manager .' CITY SECRETA 111 I Risk Management anad - IT WORTH, CONTRACT N�• 4l� D.O.E. Brotherton CFA WestermanlScanned Esteban Perez/Scanned The Proceeding people have been Contacted concerning the request for final payment& have TION AND PUBLIC WORKS released this project for such payment. PROJECT COMPLETION pDE,� e rA seal)n oaf 111s1,o Qty 2 f&1e" T� �i,r/� s: 7218 Clearance Conducted By 91Aea�m&✓l "+ '6 9V 6 Z-2.76 11i41.3 ioi zivL 6ixj�, i EXTENSION(021314) as required by the CSS TRANSPORTATION&PUBLIC WORKS as approved by City Council on N/A through M&C N/A the director of the TRANSPORTATION&PUBLIC WORKS upon the recommendation of die Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $461,295.41 Amount of Approved Change Orders: NQ Revised Contract Amount: Total Cost Work Completed: $461,295.41 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $461,295.41 Less Previous Payments: $0.00 Final Payment Due $461,295.41 Recom e de for Acceptance Date As Director, TPW - Infrastructure Design and Construction Li Accepte Date Director, TRANSPORTA ION & PUBLIC WORKS Asst. City Kanager Date Comments: C205-541200-209760227083,C205-541200-209320227083 NOV 1 5 2016 LOFFIGAAL RETARY THs TX r , FQRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name 2ND ST EXTENSION Contract Limits Project Type STORM DRAIN,PAVING R ST LIGHT City Project Numbers 02270 DOE Number 7218 Estimate Number 1 Payment Number 1 For Period Ending 8/17/2016 CD City Secretary Contract Number 117218 Contract Time 15XD Contract Date Days Charged to Date 379 Project Manager Long Contract is 100.00 Complete Contractor SCOTT DENNETT CONSTRUCTION,INC. 2808 W.7TH ST.,kB FORT WORTH, TX 76107 Inspectors LAYER / CHAMBERS I Wednesday,August 17,2016 Page 1 of 6 City Project Numbers 02270 DOE Number 7218 Contract Name 2ND ST EXTENSION Estimate Number I Contract Limits Payment Number 1 Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 8/17/2016 Project Funding STORM DRAIN Item Description of Items Estimated U,it Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 REMOVE 21"STORM LINE 22 LF $17.00 $374.00 22 $374.00 2 REMOVE 24"STORM LINE 350 LF $19.81 $6,933.50 350 $6,933.50 3 REMOVE 10'CURB INLET I EA $977.75 $977.75 1 $977.75 4 REMOVE T GRATE INLET I EA $3,100.00 $3,100.00 1 $3,100,00 5 CONCRETE COLLAR 2 EA $424.28 $848.56 2 $848.56 6 MANHOLE ADJUSTMENT MAJOR W/COVER I EA $1,353.33 $1,353.33 1 $1,353.33 7 21"RCP 86 LF $41.53 $3,571.58 86 $3,571.58 8 4'STORM JUNCTION BOX 1 EA $3,848.49 $3,848.49 I $3,848.49 9 T ROUND MANHOLE RISER 1 EA $1,628.44 $1,628.44 1 $1,628.44 10 MANHOLE STEPS I EA $50.00 $50.00 I $50.00 11 10'CURB INLET 3 EA $2,533.20 $7,599.60 3 $7,599.60 12 TRENCH SAFETY 86 LF $7.85 $675.10 86 $675.10 ----------- ------------- ------------ --- Sub-Total of Previous Unit $30,960.35 $30,960.35 PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total -------- -- - -- --- ------------ ------------- 1 3"ASPHALT PVMT TYPED 1540 SY $18.82 $28,982.80 1540 $28,982.80 2 4"CONC SIDEWALK 9363 SF 53.94 $36,890.22 9363 $36,890.22 3 6"CONCRETE DRIVEWAY 500 SF $5.71 $2,855.00 500 $2,855.00 4 BARRIER FREE RAMP I I EA $1,141.12 $12,552.32 11 $12,552.32 5 7"CONC CURB&GUTTER 801 LF $15.78 $12,639.78 801 $12,639.78 6 8"LIME TREATMENT 1606 SY $3.33 $5,347.98 1606 $5,347.98 7 HYDRATED LIME 24 TN $150.43 $3,610.32 24 $3,610.32 8 REMOVE ASPHALT PVMT 2555 SY $7.15 $18,268.25 2555 $18,268.25 9 REMOVE CONC CURB&GUTTER 1830 LF $4.28 $7,832.40 1830 $7,832.40 10 REMOVE SIDE WALK 14796 SF $1.25 $18,495.00 14796 $18,495.00 11 REMOVE ADA RAMP 2 EA $171.90 $343.80 2 $343.80 12 RELOCATE EXISTING BUS STOP BENCH AND l EA $100.00 $100.00 1 $100.00 SIGN 13 RELOCATE EXISTING PARKING METERS 4 EA $100.00 $400.00 4 $400.00 I Wednesday,August 17,2016 Page 2 of 6 i Ii 1 City Project Numbers 02270 DOE Number 7218 Contract Name 2ND ST EXTENSION Estimate Number 1 Contract Limits Payment Number I Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 8/17/2016 Project Funding 14 5.5"ASPHALT BASE TYPE B 1540 SY $28.79 $44,336.60 1540 $44,336.60 Sub-Total of Previous Unit $192,654.47 $192,654.47 ST LIGHT Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ----- ---- --- .-- --- - -- - ----- - - ---- - I FURNISH/INSTALL ELEC SERV PEDESTAL i EA $1,800.00 $1,800.00 1 $1,800.00 2 2"CONDT PVC SCH 40 1767 LF $22.42 $39,616.14 1767 $39,616.14 3 2"CONDT RM 52 LF $22.42 $1,165.84 52 $1,165.84 4 8/C 14 AWG MULTI-CONDUCTOR CABLE 5301 LF $1.17 $6,202.17 5301 $6,202.17 5 GROUND BOX TYPE B 8 EA $517.63 $4,141.04 8 $4,141.04 6 ORNAMENTAL ASSMBLY 26 EA $500.00 $13,000.00 26 $13,000.00 7 RDWY ILLUM FOUNDATION TY 7 26 EA $905.89 $23,553.14 26 $23,553.14 8 SALVAGE STREET LIGHT POLE 3 EA $3,480.00 $10,440.00 3 $10,440.00 Sub-Total of Previous Unit $99,918.33 $99,918.33 TRAFFIC SIGNALS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ------ ----- ----- ----_ I CONDUIT BOX I EA $783.00 $783.00 1 $783.00 2 3"CONDT PVC SCH 40 290 LF $20.15 $5,843.50 290 $5,843.50 3 3"CONDT PVC SCH 40 320 LF $17.65 $5,648.00 320 $5,648.00 4 3-SECT SIGNAL HEAD ASSMBLY 9 EA $1,021.88 $9,196.92 9 $9,196.92 5 PED SIGNAL HEAD ASSMBLY 10 EA $750.00 $7,500.00 10 $7,500.00 6 FURNISH/INSTALL MODEL 711 2 EA $425.60 $851.20 2 $851.20 7 FURNISH/INSTALL MODEL 712 1 LF $483.60 $483.60 1 $483.60 8 FURNISH/INSTALL PREEMPTION CABLE 310 LF $2.17 $672.70 310 $672.70 9 10/C I4 AWG MULTI-CONDUCTOR CABLE 125 LF $3.00 $375.00 125 $375.00 10 20/C 14 AWG MULTI-CONDUCTOR CABLE 360 LF $4.00 $1,440.00 360 $1,440.00 11 8/C 16 AWG MULTI-CONDUCTOR CABLE 210 LF $3.50 $735.00 210 $735.00 12 NO 8 INSULATED ELEC CONDR 1820 LF $1.52 $2,766.40 1820 $2,766.40 13 NO 8 BARE ELEC CONDR 785 LF $1.17 $918.45 785 $918.45 14 GROUND BOX TYPE D W APRON 5 EA $2,350.00 $11,750.00 5 $11,750.00 15 FURNISHINSTALL 10'-14'PEDPOLE ASSMBLY I EA $1,382.00 $1,382.00 1 $1,382.00 Wednesday,August 17,2016 Page 3 of 6 City Project Numbers 02270 DOE Number 7218 Contract Name 2ND ST EXTENSION Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 8/17/2016 Project Funding 16 FURNISH INSTALLTYPE 41 SIGNAL POLE 4 EA $820.00 $3,280.00 4 $3,280.00 17 FURNISH INSTALL MAST ARM 16'-36' 4 EA $2,000.00 $8,000.00 4 $8,000.00 IS TY 1 SIGNAL FOUNDATION I EA $1,687.50 S1,687.50 1 $1,687.50 19 TY 3 SIGNAL FOUNDATION 4 EA $3,720.00 $14,880.00 4 $14,880.00 20 SIGNAL CONTROLLER FOUNDATION 2 EA $2,400.00 $4,800.00 2 $4,800.00 21 PAINT SIG POLE AND MA 4 EA $1,200.00 $4,800.00 4 $4,800.00 22 SALVAGE TRAFFIC SIGNAL I EA $735.00 $735.00 1 $735.00 23 RECONNECT CONDUCTOR 2 EA $121.00 $242.00 2 $242.00 24 FURNISHANSTALL ALUM SIGN MAST ARM 5 EA $300.00 51,500.00 5 $1,500.00 MOUNT 25 INSTALL ALUM SIGN MAST ARM MOUNT 4 EA $234.50 $938.00 4 $938.00 26 REMOVE SIGN PANEL 3 EA $45.00 $135.00 3 $135.00 27 TRAFFIC CONTROL 3 MO $436.25 $1,308.75 3 $1,308.75 28 12 PAIT 8 AWG 1070 LF $4.20 $4,494.00 1070 $4,494.00 Sub-Total of Previous Unit $97,146.02 $97,146.02 MISC I Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I REMOVE WALL 255 LF 59.50 52,422.50 255 $2,422.50 2 SITE CLEARING I LS $1,000.00 $1,000.00 1 $1,000.00 3 12"-18"TREE REMOVAL 8 EA $674.97 $5,399.76 8 $5,399.76 4 UNCLASSIFIED EXCAVATION BY PLAN 800 CY $8.35 56,680.00 800 $6,680.00 5 SWPPP>1 ACRE I LS $1,000.00 51,000.00 1 $1,000.00 I 6 24"SLD PVMT MARKING HAE 103 LF $8.84 $910.52 103 $910.52 7 LANE LEGEND ARROW 3 EA $162.18 $486.54 3 $486.54 8 REMOVE LANE LEGEND ARROW 1 EA $50.00 $50.00 I $50.00 9 TOPSOIL 12 CY $4.10 $49.20 12 $49.20 10 BLOCK SOD PLACEMENT 222 SY $5.26 $1,167.72 222 $1,167.72 j I 1 PLANT 3"TREE 51 EA $400.00 $20,400.00 51 $20,400.00 12 UTILITY MARKERS 1 LS $250.00 $250.00 1 $250.00 13 RELOCATE EXISTING SIGNS 1 EA $100.00 $100.00 1 $100.00 14 REMOVE EXISTING SIGNS 7 EA $100.00 $700.00 7 $700.00 ------ Sub-Total of Previous Unit -- ---$40,616.24 - $40,616.24 t Wednesday,August 17,2016 Page 4 of 6 i i i i City Project Numbers 02270 DOL Number 7218 Contract Name 2ND ST EXTENSION Estimate Number I Contract Limits Payment Number 1 Project Type STORM DRAfN,PAVING&ST LIGHT For Period Ending 8/17/2016 Project Funding Contract Information Summary Original Contract Amount $461,295.41 Change Orders Total Contract Price $461,295.41 Date ( � O` Total Cost of Work Completed $461,295.41 Contractor ` Less %Retained $0.00 a/,!ag /6��/� Net Earned $461,295.41 Inspection Supervisor Earned This Period $461,295.41 Retainage This Period $0.00 Date 26 Less Liquidated Damages Project Manage / Days @ /Day $0.00 /v v Date — lv LessPavement Deficiency $0.00 s .Dire'or/T W-lnfr/astr'ucture Design and Construction Less Penalty $0.00 �' �✓ Date Less Previous Payment $0.00 Direct i Contracting Departmen Plus Material on Hand Less IS% $0.00 Balance Due This Payment $461,295.41 Wednesday,August 17,2016 Page 5 of 6 City Project Numbers 02270 DOE Number 7218 Contract Name 2ND ST EXTENSION Estimate Number I Contract Limits Payment Number 1 Project Type STORM DRAIN,PAVING&ST LIGHT For Period Ending 8/17/2016 Project Funding Project Manager Long City Secretary Contract Number 117218 Inspectors LAYER / CHAMBERS Conti-act Date Contractor SCOTT DENNETT CONSTRUCTION,INC. Contract Time 153 CD 2808 W.7TH ST.,#B Days Charged to Date 379 CD FORT WORTH, TX 76107 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 $461,295.41 Less %Retained $0.00 Net Earned $461,295.41 Earned This Period $461,295.41 Retainage This Period $0.00 Less Liquidated Damages 0 Days a $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $461,295.41 Wednesday,August 17,2016 Page 6 of 6 FORT WORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.: I NAME OF PROJECT: 2nd Street Extension PROJECT NO.: 2270 CONTRACTOR: Dennett Construction DOE NO.; 7218 PERIOD FROM 07/27/16 TO: 08/08/16 FINAL INSPECTION DATE: 22-Aum 16 WORK ORDER EFFECTIVE: CONTRACT TIME: Q WG* CD 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 OTHERS* DAYS TOTAL & HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS THIS 379 PERIOD PREVIOUS PERIOD TOTALS 379 TO DATE *REMARKS: la Zs 20 rG CONTRACTO DATE INCTOR DATE ENGINEERING DEP_1RT\IENT ? The City of Fort Forth• 1000 Throckmorton Street•Fort XX'orth,TZ 76012-6311 (817)392-7911 •Fax:(817)392-7845 a FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA !Janne of Contractor Projecl None Dennett Construction 2nd Street Extension DOE hnspeclor• DOE Number Kevin Chambers 7218 DOE I nspector Project Manager ❑Water ❑Waste Water 0 Storm Drainage D Pavement Aaron Long Initial Contracl Annomnt Project DiUcrth), $461,295.41 O Simple O Routine O Complex Final Contract Amount Date $461,295.41 10/24/2016 H)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 4 8 8 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 Y 3 60 45 6 Finished Product 15 Y 3 60 45 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 1 20 20 11 Property Restoration 5 Y 3 20 EEt5 12 After Hours Response 5 Y 4 20 13 Project Completion 5 Y 2 20 TOTAL ELEMENT SCORE(A) 383 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 383 II1)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums Which= 448 Rating((TS/MS] f 100%) 383 / 448 = 85% 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 Signature DOE Inspector's Supervisor — CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC\VORK_S k Tvhe City of Fort\North•1000 Throckinorton Street•Fort\Voith,'Ix 76012-6311 k (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 Shawn Moore, Project Manager Of Dennett Construction, 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 paidd in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; 2nd Street Extension DOE#7218,Project#02270 r u. Subscribed and sworn before m,dn(fthis;clate 26 of November,2016. Zs Notary Public Tarrant,Texas �wuru; �a1atrvp9,�. C�1RRlE A.MOORS r�/ -12.61 Notaty Public,Stote of lexm Comm:Expires 011-26.2020 Notary 10, 12639)028. OWNER CONSENT OF SURETY ARCHITECT p TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ Conforms with the American Institute of Architects G707form OTHER ❑ Bond No: PB11509800694 TO OWNER: ARCHITECT'S PROJECT NO.: (Name and address) City Of Fort Worth 1000 Throckmorton Street CONTRACT FOR: Street Improvements Fort Worth, TX 76102 PROJECT: CONTRACT DATED: 6/03/2015 (Name and address) Returning Both 2nd and 3rd Street, Between Calhoun Street and Grove Street,to the Original City Grid and Street Design In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Philadelphia Indemnity Insurance Company One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004 SURETY on bond of (Insert name and address of contractor) SCOTT DENNETT CONSTRUCTION, LC 2313 Cullen Street Fort Worth, TX 76107 ,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 Throckmorton 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: ,august 16, 2016 (Insert in writing the month followed by the numeric date and year.) Philadelphia Indemnity Insurance Company (Surety) (Signature thorized represent 'e Attest: Fred A Thetford Jr Attorney-in-fact (Seal): (Printed name and title) 2313 Cullen Street Phone.817,882.9420 www.dennettconstructlon.com Fort Worth,Texas 76107 Fax:817.882.9424 09/01/2016 City of Fort Worth CFA Administration 1000 Throckmorton St. Fort Worth, Txi 76102 RE: 2n' Street Extension City Project#02270 The purpose of this letter,is to acknowledge that we'have been paid in full by Sundance Square.Management, LP f6r.th6 public improvements constructed to serve 2"a Street Extension in FortWorth,Texas: As a xesuit,we hereby waive,release and relinquish all rights to assert any claim or demand for lien in connection with this project. Please feel free to contact me with any questions you may have. Sincerely, Janelle McElyea Accounting Manager Scott Dennett Construction,LC'' I OEEN TION 2313 Cullen Street Phone:817.882.9420 www.dennettconstruction.com Fort Worth,Texas 76107 Fax:817.882.9424 10/24/2016 City of Fort WOrth CFA Administration 1000 Throckmorton Street Fort Worth,TX 76102 RE: 2nd Street Extension DOE#7218, Project#02270 The developer(Sundance Square) will not be charging liquidated damages to Dennett Construction on this project. Sincerely, / Shawn M�pdre l Sep or Project Manager Scott Dennett Construction, LC I DE=-NN E oN TONY YEAGER PAINTING 09/01/2016 City of Fort Worth CFA Administration 1000 Throckmorton St. Fort Worth, TX 76102 RE: 2nd Street Extension City Project#02270 The purpose of this letter is to acknowledge that we have been paid in full by Sundance Square Management, LP for the public improvements constructed to serve 2"d Street Extension in Fort Worth,Texas. As a result,we hereby waive, release and relinquish all rights to assert any claim or demand for lien in connection with this project. Please feel free to contact me with any questions you may have. Sincerely, � Tony Yeager Tony Yeager Painting y A -7,4-00 P 817561 821 K Fnon M:enue AL `FeMS 76140 17-5)61-i 0 nc;)I.(-ol 1-1 09/01L)016 City of Fort Worth CFA Administration 1000 Throckmorton St, Fort Worth, TX 76102 RE: 2nd Street Extension City Project#02270 The purpose of this letter is to acknowledge that we have been paid in full by Sundance Square Management, LP for the public improvements constructed to serve 2" Street Extension in Fort Worth,Texas. As a result, we hereby waive,release and relinquish all rights to assert any claim or demand for lien in connection with this project. Please feel.-ho6iontacme I h any questions you may have. 1t Sincerely/ Roy'E. an, 11 `13ean 3�ctrical, Inc. ECL 179714 Regulated by The Texas Dep2rtment of Licensing and Regulations,P,O.BOX 12157,Austin,Texas 78711,I(800)303-9202, (512)463-6599 website wvjw,licprise.state.ty..U_Lcr-,illplainLs ;_� .-:r.sx�l/G-xr cs •t)lr lc.J_—/r irr+— Lti.7 t•x a+ elf+ ra. t cfix 09/01/2016 City of Fort Worth CFA Administration 1000 Throckmorton St. Fort Worth, TX 76102 RE; 2"d Street Extension City Project#02270 The purpose of this letter is to acknowledge that we have been paid in full by Sundance I Square Management, LP for the public improvements constructed to serve 2',d Street Extension in Fort Worth,Texas. As a result,we hereby waive, release and relinquish all rights to assert any claim or demand for lien in connection with this project. Please feel free to contact me with any questions you may have, Sincerely, Chase Patterson PC Contractors LLC � SITE p L A N IN 1 N G ISITE DEVELOPMENT 09/07/2016 City ol- ort Worth CFA Administration 1000 Throckmorton St. Fort NVorth. TX 76102 RE: 2`1 Street E x tension City Projcct 1102270 The purpose of this letter is to acknowledge that we have been paid in full by Sundance Square NlanagemCnt, LP for the public improvements constructed to serve 2"`t Street Extension in Fort 1Vorth,Texas. As a result, we hereby waive, release and relinquish all rights to assert any claim or demand for lien in connection with this project. Please feel free to contact me with any questions you may have. Sincerely. James Stewart SPSD, Inc. 1 108 107th Street • Arlington, Texas 76011 ° 817 640 7962 - FAX 817 640 3060 < www.spsd.com AIA Document G706A TM - 1994 Contractor's Affidavit of Release of Liens PROJECT: (Name and address) ARCHITECT'S PROJECT OWNER: ❑ 2nd Street Extension NUMBER: ARCHITECT: 2nd&3rd Street between CONTRACTOR:❑ Calhoun and Grove Street SURETY:❑ Fort Worth,TX CONTRACT FOR:Street Improvements OTHER:❑ TO OWNER: (Name and address) CONTRACT DATED:06/03/2015 Sundance Square Management,LP 201 Main Street,Suite 700 Fort Worth,TX 76102 STATE OF:Texas COUNTY OF:Tarrant The undersigned hereby certifies that to the best of the undersigned's knowledge,information and belief,except as listed below,the Releases or Waivers of Lien attached hereto include the Contractor,all Subcontractors,all suppliers of materials and equipment,and all performers of Work,labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS: None SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Nance and address) 1. Contractor's Release or Waiver of Liens, Scott Dennett Construction,LC conditional upon receipt of final payment. 2313 Cullen Street Fort Worth,TX 76107 2. Separate Releases or Waivers of Liens from BY: ��y(V Subcontractors and material and equipment igiratttre of aIitit orize suppliers,to the extent required by the Owner, representative) accompanied by a list thereof. Janelle McElyea,Accounting Manager (Printed name and title) Su�ibedand rnto before me on this date; g1Z3to Notary Public: Carrie A.Moore My Commission Expires:01/28/2020 """""•� CARRIE A. MOORE 'P Notary Public,Stote of iexos •, t+; Comm.Expires 01.28-2020 •�'•�`O;,',,.�� Notary ID 126301028 e AIA Document G706A11'—1994.Copyright©1982 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIA"Document is protected by U.S.Copyright Law and Intematlonal Treaties.Unauthorized reproduction or distribution of this AIAa Document,or any portion of it,may 1 result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software al 11:52:23 on 08/23/2016 under Order No.0326254532_1 which expires on 08/18/2017,and is not for resale. User Notes: (1483105131) TM Document G706A — 1994 Contractor's Affidavit of Release of Liens PROJECT: (Name and address) ARCHITECT'S PROJECT OWNER: NUMBER: ARCHITECT:❑ 2nd Street Extension 2nd&3rd Street between CONTRACTOR:❑ Calhoun and Grove Street Fort Worth,TX CONTRACT FOR:Street SURETY:❑ Improvements OTHER:❑ TO OWNER: (Name and address) CONTRACT DATED:06/03/2015 Sundance Square Management,LP 201 Main Street,Suite 700 Fort Worth,TX 76102 STATE OF:Texas COUNTY OF:Tarrant The undersigned hereby certifies that to the best of the undersigned's knowledge,information and belief,except as listed below,the Releases or Waivers of Lien attached hereto include the Contractor,all Subcontractors,all suppliers of materials and equipment,and all performers of Work,labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS: None SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Nance and address) 1. Contractor's Release or Waiver of Liens, Scott Dennett Construction,LC conditional upon receipt of final payment. 2313 Cullen Street Fort Wo ;TX6107 2. Separate Releases or Waivers of Liens from BY: Subcontractors and material and equipmentt:at/rr e of atrtho 'zedsuppliers,to the extent required by the Owner, esentative) accompanied by a list thereof. Janelle McElyea,Accounting Manager (Printed name and title) Subscribed and sworn to before me on this date: g'Z3/)l0 C� _ K Notary Public: Carrie A.Moore My Commission Expires: 01/28/2020 CARRIE A. MOORE Nolafy Public.State of Texas Comm.Expires 01.28.2020 .. uuN ;..' Notary IU 126391028 AIA Document G706ATM'—1994.Copyright©1982 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAe Document,or any portion of It,may 1 result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 11:52:23 on 08/23/2016 under Order No.0326254532_1 which expires on 08/18/2017,and Is not for resale. User Notes: (1483105131) TM AIRAIA Document G706A - 1994 Contractor's Affidavit of Release of Liens PROJECT: (Name and address) ARCHITECT'S PROJECT OWNER: F12nd Street Extension NUMBER: ARCHITECT: 2nd&3rd Street between CONTRACTOR:❑ Calhoun and Grove Street SURETY:❑ Fort Worth,TX CONTRACT FOR:Street Improvements OTHER:❑ TO OWNER: (Name and address) CONTRACT DATED:06/03/2015 Sundance Square Management,LP 201 Main Street,Suite 700 Fort Worth,TX 76102 STATE OF:Texas COUNTY OF:Tarrant The undersigned hereby certifies that to the best of the undersigned's knowledge,information and belief,except as listed below, the Releases or Waivers of Lien attached hereto include the Contractor,all Subcontractors,all suppliers of materials and equipment,and all performers of Work,labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS: None SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Narne and address) 1. Contractor's Release or Waiver of Liens, Scott Dennett Construction,LC conditional upon receipt of final payment. 2313 Cullen Street Fort Wo TX 76107 2. Separate Releases or Waivers of Liens from BY: Subcontractors and material and equipment Si nature of authorized suppliers,to the extent required by the Owner, resentative) accompanied by a list thereof. Janelle McElyea,Accounting Manager (Printed name and title) aa Subscribed and sworn to beforyth� beforeme oo77X nthisnndate: y A . 1 ' WVC . Notary Public: Carrie A.Moore My Commission Expires:01/28/2020 ".. CARRIE A.MOORE i:•' Notary Public,State of Texas � Comm.Expires 0 1-28-2020 s ';,;:�'` Nolaty ID 126391028 AIA Document G706A'm—1994.Copyright©1982 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document Is protected by U.S.Copyright Law and Intematlonal Treaties.Unauthorized reproduction or distribution of this AIA10 Document,or any portion of It,may 1 result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 11:52:23 on 08/23/2016 under Order No.0326254532_1 which expires on 08/18/2017,and Is not for resale. User Notes: (1483105131) E2313 Cullen Street (817)882-9420 Office D E N NTT C:ONSTRUETION Fort Worth,TX 76107 (817)882-9424 Fax NOTICE: This document waives rights unconditionally and states that you have been paid for giving up those rights. It is prohibited for a person to require you to sign this document if you have not been paid the payment amount set forth below. If you have not been paid, use a conditional release form. UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT Project: 2nd Street Extension Owner: Sundance Square Management Job No.: 14040 Contract For: Scott Dennett Construction, LC 1. The signer of this document has been paid in full for all labor, services, equipment, or materials furnished to the property or to Sundance Square Management (person with whom signer contracted) on the property of Sundance Square Management (owner) located at 2nd &3rd Streets between Calhoun and Grove, Fort Worth,TX 76102 (location) to the following extent: Street Improvements (job description). 2. The signer therefore waives and releases any mechanic's lien right, any right arising from a payment bond that complies with a state or federal statute, any common law payment bond right, any claim for payment, and any rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's position. 3. The signer warrants that the signer has already paid or will use the funds received from this final payment to promptly pay in full all of the signer's laborers, subcontractors, material men, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project up to the date of this waiver and release. Date: 08/15/2016 Scott Dennett Construction, LC (Com any Name)) By: ,nQS> ka,= Printe me: Janelle McEI e Title: Wccounting Manager STATE OF TEXAS § COUNTY OF Tarrant § This instrument was acknowledged before me on this 15th day of August , 2016 , by Janelle McElyea (name) Accounting Manager (job title) Of Scott Dennett Construction, LC (company name). CARRIE A. MOORE Nofary Public.State of Texas Comm.Expires 01.28.2020 Notary Public, State of Texas Notary ID 126391028 PO E N N E TT 2313 Cullen Street (817)882-9420 Office C CONSTRUCTION Fort Worth,TX 76107 (817)882-9424 Fax NOTICE: This document waives rights unconditionally and states that you have been paid for giving up those rights. It is prohibited for a person to require you to sign this document if you have not been paid the payment amount set forth below. If you have not been paid, use a conditional release form. UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT Project: 2nd Street Extension Owner: Sundance Square Management Job No.: 14040 Contract For: Scott Dennett Construction, LC 1. The signer of this document has been paid in full for all labor, services, equipment, or materials furnished to the property or to Sundance Square Management (person with whom signer contracted) on the property of Sundance Square Management (owner) located at 2nd &3rd Streets between Calhoun and Grove, Fort Worth, TX 76102 (location) to the following extent: Street Improvements (job description). 2. The signer therefore waives and releases any mechanic's lien right, any right arising from a payment bond that complies with a state or federal statute, any common law payment bond right, any claim for payment, and any rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's position. 3. The signer warrants that the signer has already paid or will use the funds received from this final payment to promptly pay in full all of the signer's laborers, subcontractors, material men, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project up to the date of this waiver and release. Date: 08/15/2016 Scott Dennett Construction, LC (Com any Name) By: Printed N e: Janelle McEI ea Title: Accounting Manager STATE OF TEXAS § COUNTY OF Tarrant § This instrument was acknowledged before me on this 15th day of August 2016 , by Janelle McElyea (name) Accounting Manager (job title) of Scott Dennett Construction, LC (company name). 1 ""r►"4. CARRIE A. MOORE Notary Public.State of Texas Notary Public, State of Texas Comm.Expires 01.28-2020 %',°```•` Notary 10 126391028 O E N N E TT 2313 Cullen Street (817)882-9420 Office CONSTRUCTION Fort Worth,TX 76107 (817)882-9424 Fax NOTICE: This document waives rights unconditionally and states that you have been paid for giving up those rights. It is prohibited for a person to require you to sign this document if you have not been paid the payment amount set forth below. If you have not been paid, use a conditional release form. UNCONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT Project: 2nd Street Extension Owner: Sundance Square Management Job No.: 14040 Contract For: Scott Dennett Construction, LC 1. The signer of this document has been paid in full for all labor, services, equipment, or materials furnished to the property or to Sundance Square Management (person with whom signer contracted) on the property of Sundance Square Management (owner) located at 2nd&3rd Streets between Calhoun and Grove, Fort Worth,TX 76102 (location) to the following extent: Street Improvements (job description). 2. The signer therefore waives and releases any mechanic's lien right, any right arising from a payment bond that complies with a state or federal statute, any common law payment bond right, any claim for payment, and any rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's position. 3. The signer warrants that the signer has already paid or will use the funds received from this final payment to promptly pay in full all of the signer's laborers, subcontractors, material men, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project up to the date of this waiver and release. Date: 08/15/2016 Scott Dennett Construction, LC (Com y Name) By: C�kA 0 0 00 Printed N e: Janelle McEI ea Title: Accounting Manager STATE OF TEXAS § COUNTY OF Tarrant § This instrument was acknowledged before me on this 15th day of August , 2016 , by Janelle McElyea (name) Accounting Manager (job title) of Scott Dennett Construction, LC (company name). CARRIE A. MOORE I A I\ Notary Public,state of Texas Comm,Expires OI-28.2020 Notary Public, State of Texas ;,,....•t.._ Notary ID 126391028 �� ® TM 21 Document G706 - 1994 Contractor's Affidavit of Payment of Debts and Claims PROJECT:(Name and address) ARCHITECT'S PROJECT NUMBER: OWNER: 2"a Street Extension ARCHITECT:❑ 2"a&31 Street between CONTRACTOR:❑ Calhoun and Grove Street SURETY:❑ Fort Worth,TX CONTRACT FOR: Street Improvements OTHER:❑ TO OWNER: (Name and address) CONTRACT DATED:06/03/2015 Sundance Square Management,LP 201 Main Street,Suite 700 Fort Worth,TX 76102 STATE OF:Texas COUNTY OF:Tarrant The undersigned hereby certifies that,except as listed below,payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished,for all work,labor,and services performed,and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. EXCEPTIONS: None SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address) 1. Consent of Surety to Final Payment. Whenever Scott Dennett Construction,LC Surety is involved,Consent of Surety is 2313 Cullen Street required. AIA Document G707,Consent of Fort Worth,TX 76107 Surety,may be used for this purpose Indicate Attachment ® Yes ❑ No B The following supporting documents should be attached Si nature of authorized repre nta 've) hereto if required by the Owner: Janelle McElyea,Accounting Manager 1. Contractor's Release or Waiver of Liens, (Printed name and title) conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subscribed and sworn to before me on this date: S'Z3I I tp Subcontractors and material and equipment suppliers,to the extent required by the Owner, �( accompanied by a list thereof. Notary Public: Carrie A.Moore 3. Contractor's Affidavit of Release of Liens(AIA My Commission Expires:01/28/2020 Document G706A). Vi� CARRIE A. MOORE :`s=Notary Public,slate of Texas Comm.Expires 01-28-2020 Notary 10 126391028 AIA Document G706Tm—1994.Copyright 01970 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of It,may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 11:49:51 on 08/23/2016 under Order No.0326254532_1 which expires on 08/18/2017,and is not for resale. User Notes: (1816361008) 11� AIA Document G706 - 1994 Contractor's Affidavit of Payment of Debts and Claims PROJECT: (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER: 21d Street Extension ARCHITECT:❑ 2"1&3 Street between CONTRACTOR:❑ Calhoun and Grove Street SURETY:❑ Fort Worth,TX CONTRACT FOR: Street Improvements OTHER:❑ TO OWNER:(Maine and address) CONTRACT DATED:06/03/2015 Sundance Square Management,LP 201 Main Street,Suite 700 Fort Worth,TX 76102 STATE OF:Texas COUNTY OF:Tarrant The undersigned hereby certifies that,except as listed below,payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished,for all work,labor,and services performed,and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. EXCEPTIONS: None SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Maine and address) 1. Consent of Surety to Final Payment. Whenever Scott Dennett Construction,LC Surety is involved,Consent of Surety is 2313 Cullen Street required. AIA Document G707,Consent of Fort Worth,TX 76107 Surety,may be used for this purpose Indicate Attachment ® Yes ❑ No The following supporting docuinents should be attached t nature of authoizzed rep✓ se tative) hereto if required by the Owner: Janelle McElyea,Accounting Manager 1. Contractor's Release or Waiver of Liens, (Printed name and title) conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subscribed and sworn to before me on this date: $'Z3 Subcontractors and material and equipment suppliers,to the extent required by the Owner, accompanied by a list thereof. Notary Public:Carrie A.Moore 3. Contractor's Affidavit of Release of Liens(AIA My Commission Expires: 01/28/2020 Document G706A). ,`�d�'pY i'•'� CARRIE A. MOORE i r y Notary Public,State of Texas Comm.Expires 01-28-200 20 Notary 10 126391028 MOM- AIA Document G706Tm—1994.Copyright©1970 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This.AIAe Document Is protected by U.S.Copyright Law and Intemational Treaties.Unauthorized reproduction or distribution of this A!A°Document,or any portion of it,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 11:49:51 on 08/23/2016 under Order No.0326254532_1 which expires on 08/18/2017,and is not for resale. User Notes: (1816361008) a TI VI AIA Document G706 — 1994 Contractor's Affidavit of Payment of Debts and Claims PROJECT:(Name and address) ARCHITECT'S PROJECT NUMBER: OWNER: 2"d Street Extension ARCHITECT:❑ 2"d&3'd Street between CONTRACTOR:❑ Calhoun and Grove Street SURETY:❑ Fort Worth,TX CONTRACT FOR:Street Improvements OTHER:❑ TO OWNER: (Name and address) CONTRACT DATED:06/03/2015 Sundance Square Management,LP 201 Main Street,Suite 700 Fort Worth,TX 76102 STATE OF:Texas COUNTY OF:Tarrant The undersigned hereby certifies that,except as listed below,payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished,for all work,labor,and services performed,and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. EXCEPTIONS: None SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address) 1. Consent of Surety to Final Payment. Whenever Scott Dennett Construction,LC Surety is involved, Consent of Surety is 2313 Cullen Street required. AIA Document G707, Consent of Fort Worth,TX 76107 Surety,may be used for this purpose Indicate Attachment ® Yes ❑ No BY: Q"-jZ—L" The following supporting documents should be attached ( i Iature of authorized re resent ive) hereto if required by the Owner: Janelle McElyea,Accounting Manager 1. Contractor's Release or Waiver of Liens, (Printed name and title) conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subscribed and sworn to before me on this date: 8/ZS Subcontractors and material and equipment suppliers,to the extent required by the Owner, accompanied by a list thereof, Notary Public:Came A.Moore 3. Contractor's Affidavit of Release of Liens(AIA My Commission Expires:01/28/2020 Document G706A). i CARRIE A. MOORE ::°,•' �_''`f c Notary Public.State of TeKos ."=Comm.Expires 01.282020 ! NoloryID 126391028 AIA Document G706TM—1994.Copyright©1970 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIA'Document is protected by U.S.Copyright Law and international Treaties.Unauthorized reproduction or distribution of this AIAe Document,or any portion of it,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the taw.This document was produced by AIA software at 11:49:51 on 08/23/2016 under Order No.0326254532_1 which expires on 08/18/2017,and is not for resale. User Notes: (1816361008) 3571 Bond No. PB11509800694 PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004-0950 Potiver of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws ofthe Commonwealth of Pennsylvania,does hereby constitute and appoint Jared Young,Fred A.Thetford,Jr„"robin Tucker,Tom Young and Fred A.Thetford,III of Contract Bond Agency,LLC., its true and lawful Attorney-in-fact with full authority to execute on its behalf 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 525,000,000.00 This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY at a meeting duly called the In day of July,2011. 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 Attorney(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 thereto; and (2) to remove, at any time, any such Attorney-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 CAUSEDTHIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THiS I OT"DAY OF JUNE 2013. I (Seal) i Robert D.O'Leary Jr.,President&CEO Philadelphia indemnity Insurance Company On this 10`h day of June 2013,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY;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. i CofthioWeALTH OP PENNSYLVANIA 4up1,ftlbo A Ms-i U,Notary Pubictmxr tkla . totuyamry Courzy RI C-m 1,5sm Elim t>x.l0,20th HFHKP,Pft++snwu-assoa+ Japh,oruuE Notary Public: residing at: Bala CynW d PA (Notary Seal) My commission expires: December 18.2016 I,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do herby certify that the foregoing resolution of the Board of Directors and this PoW,er of Attorney issued pursuant thereto on this IVH day of June 2013 true and correct and are still in full force and effect.1 do further certify that Robert D.O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, in Testimony Whereof i have subsei'ibed my name and affixed the facsimile seal of each Company this 16th day of August 2016 Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY iNSURANCE COMPANY ' REV:02/22/07 FORTWORTH TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 10/24/2016 Naive of Contractor Project Name Dennett Construction 2nd Street Extension DOE Inspector Project Hanger Kevin Chambers Aaron Long DOENumber Project Difficully Tjpe ofConlract 7218 O Simple OO Routine O Complex ❑Water ❑Waste Water 1]Storm Drainage O Pavement Initial Conlracl Amount Final Contracl Ainonnl $461,295.41 1$461,295.41 IT)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3-Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities L( 3 Applicability of Specifications 4- 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe "COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspectorti Signature DOE Inspector's Supervisor Q-tv4get j — INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS ; � The City of Fort Worth-1000 Throckmorton Street-Fort Wordi,TK 76012-6311 0 (817)392-7941 -Fax: (817)392-7845