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Contract 46611-FP2
Departm n W Const. Services CPN# f Date Project Manager Risk Management anad tT W(j RTHO `�1TY SECRETARY D.O.E. Brotherton CUNTRACTW0. CY ''FPZ CFA Westerman/Scanned 414 Esteban Perez/Scanned The Proceeding people have been Contacted concerning the request for final payment& have ATION AND PUBLIC WORKS released this project for such payment. U PROJECT COMPLETION Clearance Conducted BY FA Sea4 n e� ' City s: 7218 0 � eA� G/gl b z�L7o ror z Nij EXTENSION (021314) as required by the C S-;C S/ 6// 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 the 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: No 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 lie $461,295.41 )40� //- // Recom e de for Acceptance Date As . Director, TPW - Infrastructure Design and Construction Accepte Date -- -- 4W Director, TRANSPORTA ION & PUBLIC WORKS C� Asst. City Wanager Date Comments: C205-541200-209760227083,C205-541200-209320227083 I E11I� SLE OFFICIAL RECORD CITY SECRETARY DEC 19 2016 FT. WORTHI TX Initial: r FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name 2ND ST EXTENSION Contract Limits Project Type STORM DRAIN,PAVING&ST LIGHT City Project Numbers 02270 DOE Number 7218 Estimate Number I Payment Number I For Period Ending 8/17/2016 CD City Secretary Contract Number 117218 Contract Time 151TD Contract Date Days Charged to Date 379 Project Manager Long Contract is 100.00 Complete Contractor SCOTT DENNETT CONSTRUCTION,INC. 2808 W.7TH ST.,#B FORT WORTH, TX 76107 Inspectors LAYER / CHAMBERS I i i h I Wednesday,August 17,2016 Page I of 6 I I City Project Numbers 02270 DOE Number 7218 1 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 j r i STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I 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 1 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 MAJORW/COVER 1 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 1 $3,848.49 9 Y ROUND MANHOLE RISER I EA $1,628.44 $1,628.44 1 $1,628.44 G 10 MANHOLE STEPS I EA $50.00 $50.00 1 $50.00 I I IO'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 s ---------- - - % Sub-Total of Previous Unit $30,960.35 $30,960.35 L PAVING ItemDescription of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity, Total 1 3"ASPHALT PVMT TYPE D 1540 SY $18.82 $28,982.80 1540 $28,982.80 2 4"CONC SIDEWALK 9363 SF $3.94 $36,890.22 9363 $36,890.22 s 3 6"CONCRETE DRIVEWAY 500 SF $5.71 $2,855.00 500 $2,855.00 r, 4 BARRIER FREE RAMP 11 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 I 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 SIDEWALK 14796 SF $1.25 $18,495.00 14796 $18,495.00 I I REMOVE ADA RAMP 2 EA $171.90 $343.80 2 $343.80 G 12 RELOCATE EXISTING BUS STOP BENCH AND 1 EA $100.00 $100.00 1 $100.00 SIGN k 13 RELOCATE EXISTING PARKING METERS 4 EA $100.00 $400.00 4 $400.00 Wednesday,August 17,2016 Page 2 of 6 r E t i F i I City Proj ect No nib ers 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 E 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/INSTALLELEC SERV PEDESTAL I EA $1,800.00 $1,800.00 1 $1,800.00 F 2 2"CONDT PVC SCH 40 1767 LF $22.42 $39,616.14 1767 $39,616.14 3 2"CONDT RM 52 LF S22.42 $1,165.84 52 $1,165.84 j i 4 8/C 14 AWG MULTI-CONDUCTOR CABLE 5301 LF $1.17 $6,202.17 5301 $6,202.17 i 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 f Sub-Total of Previous Unit $99,918.33 $99,918.33 TRAFFIC SIGNALS I Item Description of Items Estimated Unit Unit Cost Estimated Completed Comnpleted , 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 l 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 FURNISHANSTALL PREEMPTION CABLE 310 LF $2.17 $672.70 310 $672.70 9 10/C 14 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 I I 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 FURNISH INSTALL 10'-14'PED POLE ASSMBLY I EA $1,382.00 $1,382.00 1 $1,382.00 d h Wednesday,August 17,2016 Page 3 of 6 c r, 9 i k 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 8/1712016 j i Project Funding 16 FURNISH INSTALLTYPE 41 SIGNAL POLE 4 EA $820.00 $3,280.00 4 $3,280.00 I7 FURNISH INSTALL MAST ARM 16'-36' 4 EA $2,000.00 $8,000.00 4 $8,000.00 I8 TY 1 SIGNAL FOUNDATION 1 EA $1,687.50 $1,687.50 1 $1,687.50 i i 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 1 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 $1,500.00 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 PAPP 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 a Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I REMOVE WALL 255 LF $9.50 $2,422.50 255 $2,422.50 1 2 SITE CLEARING 1 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 $6,680.00 800 $6,680.00 5 SWPPP>I ACRE I LS $1,000.00 $1,000.00 1 $1,000.00 E a 6 24"SLD PVMT MARKING HAE 103 LF $8.84 $910.52 103 $910.52 F 7 LANE LEGEND ARROW 3 EA $162.18 $486.54 3 $486.54 R 8 REMOVE LANE LEGEND ARROW I EA $50.00 $50.00 1 $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 I I PLANT 3"TREE 51 EA $400.00 $20,400.00 51 $20,400.00 12 UTILITY MARKERS I LS $250.00 $250.00 1 $250.00 13 RELOCATE EXISTING SIGNS I EA $100.00 $100.00 1 $100.00 iI 14 REMOVE EXISTING SIGNS 7 EA $100.00 $700.00 7 $700.00 Sub-Total of Previous Unit $40,616.24 $40,616.24 I Wednesday,August 17,2016 Page 4 of 6 ti P City Project Numbers 02270 DOL 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 Contract Information Summai Original ContractAmount $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 Da?.�Q Z�/G Net Earned $461,295.41 Inspection Supervisor Earned This Period $461,295.41 Retainage This Period $0.00 `%-'>/ Date /,C U Less Liquidated Damages Project Manage / Days @ /Day $0.00 Date —lG LessPavement Deficiency $0.00 s .Dire orllIf W11-Infrastructure Design and //C'�onnsttruu"�ction Less Penalty $0.00 W' L) % ate �`l! Less Previous Payment $0.00 Direct u Contracting Departmen Plus Material on Hand Less 15% $0.00 Balance Due This Payment $461,295.41 II Wednesday,August 17,2016 Page 5 of 6 it 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 Project Manager Long City Secretary Contract Number 117218 Inspectors LAYER / CHAMBERS Contract Date 1 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 j E SUMMARY OF CHARGES i Line Fund Account Center Amount Gross Retainage Net Funded E e i Total Cost of Work Completed $461,295.41 Less %Retained $0.00 s a Net Earned $461,295.41 Earned This Period $46I,295.41 Retainage This Period $0.00 F r Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 LessPavement Deficiency $0.00 R5 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $461,295.41 5 Wednesday,August 17,2016 Page 6 of 6 3 1 s 3 FORTWORTH rev 03/05/07 TRANSPORTATION& PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.: 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-Aug-16 WORT{ORDER EFFECTIVE: CONTRACT TIME: Q Wfl* 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 DAYS TOTAL & HOLIDAYS &TOO COLD RELOCATIONS OTHERS * CHARGED DAYS THIS 379 PERIOD PREVIOUS PERIOD TOTALS 379 TO DATE *REMARKS: 1012 52a1G CONTRACTO DATE IN CTOR DATE ENGINEERING DEP_ Rnl[ENT The Citi-of Fort north• 1000 Throclilnorton Street•Fort NX'orth,TZ 76012-6311 (817)392-7941 •Fax: (817)392-7845 FORTWORTHREV.02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Dennett Construction 2nd Sheet Extension DOE Inspector DOE Number Kevin Chambers 7218 DOE Inspector Project Manager ❑Water ❑Waste Water 0 storm Drainage P Pavement Aaron Long Initial Contract Amount Project Dculty $461,295.41 O Simple OO Routine O Complex Final Contract Amount Date $461,295.41 10/24/2016 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 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 IS 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 20 20 11 Property Restoration 5 Y 3 20 15 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 2 20 10 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/MSi 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 E\PLANATION OF BONUS POINTS A1N'ARDED) Signature DOE Inspector Signature Contractor Signature DOE Inspector's Supervisor C7'�"'�— CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS A The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TZ 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 i and county aforesaid, on this day personally appeared Shawn Moore, I f E s Project Manager Of Dennett Construction,known to me to be a credible f person,who being by me duly sworn,upon his oath deposed and said; a i - That all persons,firms, associations, corporations, or other 1 organizations furnishing labor and/or materials have been paid in full; That the wage scale established by 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; i On Contract described as; 2na Street Extension DOE#7218,Project#02270 BY , kh, I Subscribed and sworn before m,dn this.,.da'te 26 of November,2016. r t ;i Notary Public Tarrant,Texas aa�►fiY"�o 4 CARRIE A.Won Z;?..�b:Notaty Public,State of lexas Gomm.Ex tres 0.1.28.2020 Notary Ja 128301028. OWNER ❑ CONSENT OF SURETY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR E]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 CONTRACT FOR: Street Improvements 1000 Throckmorton Street 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- 11 www.donnettconstruction com Fort Worth,Texas 76107 Fax:812882.9424 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 fulI,Il 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. I 11 11 T Please feel free to contact me with any questions 1.you may have. Sincerely, Janelle M61 l ea Accounting ManagI"Ier Scott Dennett Construction,LC II I ®NSNTR�CTION 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 Th.rockmortan Street Fort Werth,TX 76102 RE: 2°d Street Extension DOE#7218, Project#:02270 The developer(Sundance Square)will not be charging liquidated damages to Dennett Construction on this project. Sincerely; h S O*WKe �ebior P .Oject Manager Scott Den ett Construction, LC ' I E I I ®ENNEETT CONSTRUCTION I i TONY YEAGER PAINTING 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 Square Management,LP for the public improvements constructed to serve 2°a 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 BEAN ELEGTRICAL� 821 E. Dion Nvenuc P 817-561-74,00 Fort VV,) th 1 c xw; 76140 1�` 817-!61-7[M` - - t�i,l�.he;melt�c•Iric�al.{,orn j I f 09/01/2016 i I City of Fort Worth CFA Administration k 1000 Throcktnorton St, Fort Worth, TX 76102 RE: 2"d Street Extension k City Project#02270 i 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"`i 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. e Please feel.-fleet contact-me>dtl any questions you may have. Sincerely A � S i . dean�(ectrical, Inc. } i f_ 4 f 'ECL 17979 Regulated by The Texas Department of Licensing and Regulations,P,O,Box 12157,Austin,Texas 78711,1(800)303-9202, (512)463-6599 website wwwAicense.state,tx.us/complaints I I i f f f s ..._,...,. •-�...yrs c..,<,.,t��r .<,i��r<-..--��r�c.,.�.,.i�, r..���<�rx.�,-.. I 09/01/2016 I r l City of Fort Worth CFA Administration 1000 Throckrnorton St. j Fort Worth, TX 76102 � c i RE: 2"d Street Extension t 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, Chase Patterson PC Contractors LLC i i I i i _ 1 i i i I I I 1 f SI SITE � SITE D E V E L 0PAME[Al T i e 09/07/2016 t City of bort Worth CFA Administration t 1000 Throckmorlon St. i Fort North. TX 76102 E s RE: 2"d Street 11\lenSioll City Proiect 1102270 The purpose of this letter is to acknowledge that we have been paid in full by Sundance Square NIanagenicnt. LP for the public improvements constructed to serve 2"" Street Extensiorn in Fort Worth.Texas. As a result, we hereby waive, release and relinquish all rights to assert ally claim or demand for lien in connection with this project. t Please IM free to contact me with any questions you may have. Sincerer'. ii s P James Stewart i SPSD. Inc. 11 h f L G E` is 9 8 5 1 108 107th Street • Arlington, Texas 76011 • 817 640 7962 FAX 817 640 3060 • www.spsd.com 5 t(t I AIA Document G706ATM - 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: (Name 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: Subcontractors and material and equipment ignature ofalithorize suppliers,to the extent required by the Owner, representative) accompanied by a list thereof. Janelle McElyea,Accounting Manager (Printed name and title) Sub ibed and sworn Ato before me on this date: gI Z3 (0 �T• Notary Public:Carrie A.Moore My Commission Expires:01/28/2020 ,•'N11Y;"% �C CARRIE A.MOORE i e`►..,ee Notary Public.Stote of Texos Comm.Expiies 01-28-2020 •'�;`Q f'`+`� Notary ID 126391028 AIA Document G706A'm—1994.Copyright©1982 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIA0 Document Is protected by U.S.Copyright Law and Intematlonal Treaties.Unauthorized reproduction or distribution of this AIA0 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) ==-'r= Document G706ATM - 1994 _ Contractor's Affidavit of Release of Liens PROJECT: (Nante and address) ARCHITECT'S PROJECT OWNER: NUMBER: ARCHITECT:❑ 2nd Street Extension 2nd&3rd Street between CONTRACTOR:❑ Calhoun and Grove Street SURETY:F-1Fort Worth,TX CONTRACT FOR:Street Improvements OTHER:❑ TO OWNER: (Nance 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: (Name 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 V'Si,nature of autho zed suppliers,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: $/23/)LO Cr Notary Public:Carrie A.Moore My Commission Expires:01/28/2020 CARRIE A. MOORE �,ti�aY•r�e s Notary Public,State of Texas Comm.Expires 01-28.2020 ........O Notary ID 126391028 AIA Document G706A*"—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 International Treaties.Unauthorized reproduction or distribution of this AIAm 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 documentwas 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) 111-AIA Document G706ATM - 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 Fort Worth,TX CONTRACT FOR: Street SURETY:El 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 anyproperty 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 JTX76107 2. Separate Releases or Waivers of Liens from BY: Subcontractors and material and equipment nature of authorized suppliers,to the extent required by the Owner, resefitative) accompanied by a list thereof. Janelle McElyea,Accounting Manager (Printed name and title) Subscribed and sworn to before me on this date: y 1 f wDIt Notary Public: Carne A. Moore My Commission Expires:01/28/2020 """""•,,, CARRIE A.MOORE Notary Public,state of Texas Comm.Expires 0I.28 2020 J Notary ID 126391028 AIA Document G706ATM—1994.Copyright©1982 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIA9 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 11:52:23 on 08/23/2016 under Order No.0326254532_1 which expires on 08/18/2017,and is not for resale. User Notes: (1483105131) D E N N E TT 2313 Cullen Street (817)882-9420 Office =NSTRt._CTION 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: 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). ` - 1 0 �, Y-yt"o 1) ;�a,,,,�.,, CARR►E A. MOORE ::°•'• ••`f+=Notary Public,Stole of texas Comm.Explres 01.28-2020 Notary Public, State of Texas Notary ID 126391028 —� O E N N E TT 2313 Cullen Street (817)882-9420 Office C CONSTRUCTION Fort Worth,TX 76107 (8'17) 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 CARRIE A. MOORE ' Notary Public,Stole of Texos Notary Public, State of Texas Comm.Expires 01.28-2020 ........�� Nolary 10 126391028 D E N N ETT 2313 Cullen Street (817)882-9420 Office =NSTRUEMON 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 (CompanName) (� By: E� Printed Nate: 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 --Notary Public,state of iexos .': Comm.Expires 0 Notary Public, State of Texas },: %F,°,;,;.•`� Notary ID 126391028 TM 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:❑ 2nd&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 j 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'Z31)la 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). CARRIE A. MOORE Notary Public,state of Texas �..� Jv Comm.Expires 01-28.2020 Notary ID 126391028 AIA Document G706Ta—1994.Copyright C 1970 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIAe Document is protacted 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 1 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) AIA TM 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:❑ 2nd&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: (Nanfe 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 documents should be attached i nature of authorized repr 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: 6'23'1 to Subcontractors and material and equipment suppliers,to the extent required by the Owner, , accompanied by a list thereof. I , Notary Public: Carrie A.Moore 3, Contractor's Affidavit of Release of Liens(AIA My Commission Expires:01/28/2020 Document G706A). CARRIE A. MOORS insr-connnn tary Public,Stote ofEx ares 01-28 2020Notary ID 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 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 byAlA software at 11:49:51 on 08/2312016 under Order No.0326254532_1 which expires on 08/18/2017,and Is not for resale. User Notes: (1816361008) A �'/r3 TM 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&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,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: The following supporting documents should be attached ( i ature of authorized re resent ive) hereto ifrequired 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/Z31 Subcontractors and material and equipment suppliers,to the extent required by the Owner, �� 1 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). i j CARRIE A. MOORS :°; `1,S Notary PublIC,State of texas .•' Comm.Expires 01.282020 Notary ID 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 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) s 3571 Bond No. PB11509800694 PHILADELPHIA INDEI4INITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004-0950 i Power of Attorney F t 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,,Ir.,Tobin Tucker,Tom Young and Fred A.Thetford,III of Contract Bond Agency,LLC., its true and lawful Attorney-in-fact with fill authority to execute on its behalf bonds,undertakings, recognizances and other contracts of indemnity and mvritings 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 l"day of July,2011, S RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the f 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 z 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 CAUSED THIS INSTRUMENT TO BE SiGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THiS 10 DAY OF JUNE 2013. I C, k C (Seal) Robert D.O'Leary Jr.,President&CEO k Philadelphia Indemnity Insurance Company On this 10th day of June 2013,before me came the individual who executed the preceding instrument,to me personally known,and being by the 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. COM6t0 WEALTH OF PENNSYLVAMIA Hobaal5eal KWtIlly A Krs*Skl,Notary H,blc lnXx t-SeronTx9,12aot9n9flly Calr4yCAD- MMU,,tt-+mnvu(u—W OF MOTMB Notary Public: t' residing at: Bala Cyrnvyd.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 ofthe Board of r Directors and this Power of Attorney issued pursuant thereto on this 10r"day ofJune 2013 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 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 spbscribad my name and affixed the facsimile seal of each Company this 16th day of August 2016 s Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY z s FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 10/24/2016 Nance of Contractor Project Name Dennett Construction 2nd Street Extension DOE Inspector Project Manager Kevin Chambers Aaron Long DOE Number Project Difj2cullj, Tjpe of Contract 7218 O Simple OO Routine O Complex ❑Water ❑Waste Water [A Storm Drainage 0 Pavement Initial Contracl Annomnt Final Contract Amount $461,295.41 $461,295.41 II)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 t4 13 Applicability of Specifications 4 Display Of Professionalism LA 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 2 Availability of Project Manager I Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timefi•ame III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor Q- INSPECTOR'S COMMENTS �I I TRANSPORTATION AND PUBLIC WORKS a The Cit} of Fort Worth-1000 Throckmorton Street-Fort Worth,Tx 76012-6311 (817)392-7941 -Fax:(817)392-7845 I