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HomeMy WebLinkAboutContract 46611-FP3 Department of P &W Gonst. Services CPN# � i�o t , Date Project Manager .ll/ to �� :1TY SECREETARY. Risk Management Canady �0NTRACT NO., D.O.E. Brotherton - RT IVa RT H CFA Westerman/ScannedI I Esteban Perez/Scanned The Proceeding people have been Contacted 1 { concerning the request for final payment& have ATION AND PUBLIC WORKS 5q (o o 1 ,0 aar70 released this project for such payment. F PROJECT COMPLETION Clearance Conducted By R&ne&i D.O.E. Ns: 7218 ,f 0.72.70 Regarding contract 117218 for 2ND STREET EXTENSION(021314) as required by the WATER DEPARTMENT as approved by City Council on N/A through M&C N/A the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: D E c e#wq $23,074.77 Amount of Approved Change Orders: X 2016 VJ DEC 2 t% Ns Revised Contract Amount: B Y Total Cost Work Completed: $23,074.77 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $23,074.77 Less Previous Payments: $0.00 Final Payment Due $23,074.77 I - ecom ended for Acc ptance Date Asst. Director, TPW - Infrastructure Design and Construction el� /X/� Z L Accepted Date Director, WATER DEPARTMENT City Manager Date OFFICIAL RECORD CITY SECRETARY DEC 2 2016 °, olOR�' , t° Initial: y�_ - Project Name: 2ND STREET EXTENSION (021314) D.O.E. X2: 7218 Comments: P265-541200-609150227083,P275-709130227083 rDEC MVE DEC 21 2016 s9 City Project Numbers 02270 By DOE Number 7218 Contract Name 2ND ST EXTENSION Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 8/25/2016 Project Funding Project Manager Long City Secretary Contract Number 117218 Inspectors LAYER / CHAMBERS Contract 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 $23,074.77 Less %Retained $0.00 Net Earned $23,074.77 Earned This Period $23,074.77 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $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 $23,074.77 Thursday,August 25,2016 Pave 4 of 4 i' (0��� 0 as -7o FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name 2ND ST EXTENSION Contract Limits Project Type WATER&SEWER City Project Numbers 02270 DOE Number 7218 Estimate Number 1 Payment Number 1 For Period Ending 8/25/2016 CD City Secretary Contract Number 117218 Contract Time 15ED 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 Thursday,August 25,2016 Page 1 of 4 City Project Numbers 02270 DOE Number 7218 Contract Name 2ND ST EXTENSION Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 8/25/2016 Project Funding WATER Item Description of Items Estimated Estimated Completed Completed No. P Unit Unit Cost P P — — — — Quanity Total Quanity Total IMPORTED EMBEDMENT/BACKFILL 24 CY $40.00 $960.00 24 $960.00 CRUSHED ROCK 2 DUCTILE IRON WATER FITTINGS 0.17 TN $4,349.87 $739.48 0.17 $739.48 W/RESTRAINT 3 8"PVC WATER PIPE 220 LF $31.97 $7,033.40 220 $7,033.40 4 CONNECTION TO EXISTING 4"-12"WATER 2 EA $1,000.00 $2,000.00 2 $2,000.00 MAIN 5 6"GATE VALVE 1 EA $878.22 $878.22 1 $878.22 6 8"GATE VALVE 2 EA $1,126.67 $2,253.34 2 $2,253.34 7 TRENCH SAFETY 220 LF $7.85 $1,727.00 220 $1,727.00 8 REMOVE 6"WATER LINE 220 LF $18.31 $4,028.20 220 $4,028.20 9 RELOCATE EXISTING FIRE HYDRANT 1 EA $500.00 $500.00 1 $500.00 Sub-Total of Previous Unit $20,119.64 $20,119.64 SEWER Item Description of Items Estimated Estimated Completed Completed No. P Unit Unit Cost P P Quanity Total Quanity Total 6"PVC SEWER PIPE 5 LF $40.00 $200.00 5 $200.00 2 4'SHALLOW MANHOLE 1 EA $2,394.00 $2,394.00 1 $2,394.00 3 MANHOLE VACUUM TESTING I EA $107.16 $107.16 1 $107.16 4 SANITARY LINE GROUTING 1.6 CY $158.73 $253.97 1.6 $253.97 Sub-Total of Previous Unit $2,955.13 $2,955.13 Thursday,August 25,2016 Page 2 of 4 City Project Numbers 02270 DOE Number 7218 Contract Name 2ND ST EXTENSION Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 8/25/2016 Project Funding Contract Information Summary Original Contract Amount $23,074.77 Change Orders Total Contract Price $23,074.77 Date b A' Total Cost of Work Completed $23,074.77 Contractor Less %Retained $0.00 G%L Net Earned $23,074.77 Inspection Supervisor Earned This Period $23,074.77 Retainage This Period $0.00 Date Project Manager Less Liquidated Damages JDays @ /Day $0.00 //---,Ab�o— Date Y,,'L, —?.�— (i LessPavement Deficiency $0.00 Asst. irect/7 -IKfrastructure Design and Construction Less Penalty $0.00 [ Date /7- .?Z—/( Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $23,074.77 Thursday,August 25,2016 Page 3 of 4 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-Aum 16 WORK ORDER EFFECTIVE: CONTRACT TIME: O WE CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED DURING DURING CREDITED 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. S. 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 PERIOD 379 PREVIOUS PERIOD TOTALS TO DATE 379 *REMARKS: o s ozsZor CONTRACTOR DATE fNSVECTOR DATE ENGINEERING DEPARTMENT The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TZ 76012-6311 (817) 392-7941 •Fax: (817)392-7845 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: 2nd Street Extension PROJECT NUMBER: 2270 DOE NUMBER: 7218 WATER PIPE LAID SIZE TYPE OF PIPE LF Water 8" PVC 220 FIRE HYDRANTS: 1 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF Sewer 6" PVC 5 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: TRANSPORTATION AND PUBLIC WORDS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 FORTWORTH REV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Dennett Construction 2nd Street Extension DOE Inspector DOE Number Kevin Chambers 7218 DOE Inspector Project Manager 0 Water Q Waste Water ❑Storm Drainage ❑ Pavement Aaron Long Initial Contract Amount Project Difficulty $23,074.77 O Simple OO Routine O Complex Final Contract Amount Date $23,074.77 8/29/2016 II)PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 3 60 45 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 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 Y 4 20 20 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 386 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 386 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating QTS/MS] x 100%) 386 / 448 = 86% 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 AWARDED) Signature DOE Inspector J mud 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 (a (817) 392-7941 •Fax: (817)392-7845 AFFIDAV1T 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 paid 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 ,. BY 4` ye, Subscribed and sworn before me,on thlsldat 26 of November,2016. Notary Public Tarrant,Texas 00 CARR1£A.MOORE Notary Public.State of Texas Comm.Expires o1-26-2020 Notary 11? 126391028 '!lftflN � CONSENT OF SURETY OWNER ARCHITECT TO FINAL PAYMENT CONTRACTOR SURETY Conforms with the American Institute of Architects G707 form 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 (Insertin writing the month followed by the numeric date and year.) Philadelphia Indemnity Insurance Company (Surety) (Signature thorized represent ' e Attest: F Fred A Thetford Jr. Attorney-in-fact (Seal): (Printed name and title) 2313 Cullen Scree L Phone:817.882.9420 wvvvy.d.-enne zicons ructicn.com ForOA/ord'),Texas 76107 Fax:817.882.23424 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 2nd 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, Janelle McElyea �i Accounting Manager Scott Dennett Construction, LC ZID(Ei,,N N(M- I IM2 1 CONS-71 RUCTION 2313 Cullen Street Phone:817.882.9420 www.denneitconstruction.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 Moore Senior Project Manager Scott Dennett Construction, LC ld�'1 NEE E 7 T ..� ���.� a CONST RUCTION 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 fall by Sundance Square Management, LP for the public improvements constructed to serve 2nd 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 091/01/201 City of Fort Worth CFA Administration 1.000 Throctm orton St. Fort Worth, TX 7610? RF: 2"d Street-E?xtension City Project 902270 The purpose of this letter is to acknowledge that we have leen paid in full by Sundance Square Management, LP for the public improvements constructed to serve 211`1 Street Extension in Fort Woith, Texas. As a result, we hereby waive, release and relinquish all rights to assert any claim or demand for Hen iii Connection with this project. Please feel,f--ee ai-w questions you rnaST Since rely,,,f Rov E.,13.zaiz, it Bean Electrical, Inc. Re i.iinted by The 7e:<as Dep arM,)ent of Lic.nr.inr,an, Regulamens, f.0.6c;<'12157, 1_ishn i en s 78711,7(,ROO):303-9?01 {512)463-6599 website _,_ �ti.aeu PP Lav< .14r vc �1�._•.a<.va 't. .- L.'va.. sy.vv [ .^-i s,-ia♦ es- 09/01/2016 City of Fort Worth CFA Administration 1000 Throckmorton St. Fort Worth, TX 76102 i IRE: 2"d Street Extension City Project 902270 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 2nd 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 feet free to contact me with any questions you may have. Sincerely, Chase Patterson PC Contractors LLC �P S 09/07/2016 City of-,1:01-1 �'Vorth CFA Admimstration 1000 Throckmoi-Con St. Fort Worth. TX 76102 RE: 2nd Street [;xiensloll City Proiect tl02270 The purpose o['thi ; letter is to acknowledge that we have been paid in full by Sundance Square tNlana-emcnt. LP for the public improvements constructed to serve 2nd Street Extension in Fort Worth, Texas. As a result, we hereby waive, release and relinquish all rigllis to asscr< <m- claim. or demand for lien in connection with this project. Please feel CreL to contact me with any questions you may have. Sincerely. James Stepyart SPSID. 111c. 1108 107th Street - Arlington, Texas 7601 1 817 640 7962 FAX 817 640 3060 4 www.spsd.com y Document G706A:m 1994 Contractor's Affidavit elease of Liens PROJECT: (Name and address) ARCHITECT'S PROJECT OWNER: 2nd Street Extension PR` 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 lmowledge, 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) I. 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 of authorized suppliers,to the extent required by the Owner, representative) accompanied by a list thereof. Janelle McElyea,Accounting Manager (Printed name and title) Sub s ibed and sworn to before me on this date: i 3 Notary Public: Carrie A. Moore My Commission Expires: 01/28/2020 ^4 j AIA Document G706ATM—1994.Copyright©1982 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIAO Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIAO 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) A, 1 milll-,AIA Document G7007 - 1994 �u 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: El Fort Worth,TX CONTRACT FOR: Street Improvements OTHER: TO OVVNER: (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 lrnowledge, 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 nature of authoWzed suppliers,to the extent required by the Owner, accompanied by a list thereof. esentative) Janelle McElyea, Accounting Manager (Printed name and title) Subscribed and sworn to before me on this date: J- -s ! Notary Public: Carrie A.Moore My Commission Expires: 01/28/2020 10 0 RE ° n„NC c i Ga7liC iCi?oi T-';a?S - r Cc-mm 11I-?3 ZOJ AIA Document G706ATM—9994.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 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) A TM �� AIA Document G706A - 1994 Contractor's i vi f Release of Liens PROJECT: (Name and address) ARCHITECT'S PROJECT OWNER: NUMBER: ARCHITECT:El2nd Street Extension 2nd&3rd Street between CONTRACTOR:❑ Calhoun and Grove Street SURETY:❑ Fort Worth,TX CONTRACT FOR:Street Improvements OTHER:❑ TO OV1NER: (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 WortTX 76107 c- 2. Separate Releases or Waivers of Liens from BY: Q Subcontractors and material and equipment (Si nature of authorized suppliers,to the extent required by the Owner, Kep esentative) accompanied by a list thereof. Janelle McElyea,Accounting Manager (Printed name and title) Subscribed and sworn to before me on this date: �� a Notary Public: Carrie A. Moore My Commission Expires:01/28/2020 CC e No`Or Public, ti cjte o,, icras Con x res 0t-28-2020 , r e. i AIA Document G706ATM—1994.Copyright©1982 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AlAl" Document Is protected by U.S.Copyright Law and international Treaties.Unauthorized reproduction or distribution of this AIAO 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) CJL ! IDENNETT 2313 C.Hen Street (817)882-9420 Office 7 Fort Worth,TX 76107 (817) 882-9424 Fax (70N7 , 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 (Company Name) By: Printed' ame: Janelle McElyeLl Title: Printed' Manager STATE OF TEXAS § COUNTY OF Tarrant § 2016 This instrument was acknowledged before me on this 15th day of August , by Janelle McElyea (name) Accounting Manager (job title) of Scott Dennett Construction, LC (company name). Notary Puolic, S" 0�7e as; Comm. Exo.r2s -23 2020 i Notary Public, State of Texas DENNETT 2313 Cullen Street (817)882-9420 Office r7 0�,N 7=,-7 F-D 1,J(71-7-�CD f\J1 Fort Worth,TX 76107 (817) 882-9424 Fax (72) 1 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 (Company Name) By: Printed N4rAe: Janelle McElyea Title: Accounting Manager STATE OF TEXAS § COUNTY OF Tarrant § 2016 This instrument was acknowledged before me on this 15th day of August , by Janelle McElyea (name) Accounting Manager (job title) of Scott Dennett Construction, LC (company name). C A R E CIO, i IQ-: --,Notcry Publc. Notary Public, State of Texas Comm.Ey,,�Di� -2 ­220 DENNETT 2313 Cullen Street (817)882-9420 Office Fort 1111orth,TX 76107 (817) 882-9424 Fax 'J 1 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 (Comp ny Name) Q By: Printed 1\14rhe: Janelle McElyea 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). No cry uvic, SIate o� Notary Public, State of Texas comm. Efires O1-26-2020 el OF 0 fY 12 9!C 23 TM -,111--AIA Document G706 1994 Contractor's Affidavit of Payment of Debts and Claims PROJECT: (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER:R 2,d Street Extension ARCHITECT:❑ 2"&3"Street between CONTRACTOR:F-1 Calhoun and Grove Street SURETY:M Fort Worth,TX CONTRACT FOR: Street Improvements OTHER:❑ TO OWNER: (Name and address) CONTRACT BATED: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 famished,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 Dermett 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 E Yes El No By� The following supporting documents should be attached Si nature of authorized repres�Tt hereto if required by the Owner: _ ve) Janelle McElyea, Accounting Manager I 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 7—s Subcontractors and material and equipment X 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). S No I a r"/pu�D H CIS!a', 0�Te as Co mm. t:��Q;res 1-28-2020 AIA Document G706 TM—1994.Copyright @ 1970 and 1994 by The American Institute of Architects.All rights reserved.VVARNiNG: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.03262545321 which expires on 08/18/2017,and is not for resale. User Notes: (1816361008) T 0 M �sa�se Document G706 1994 Contractor's Affidavit a is and Claims PROJECT: (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER: 2nd Street Extension ARCHITECT:❑ 2nd&3'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 LL BY �_ The following supporting documents should be attached ,SVnature 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: z' 1'u, 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). e f� 'Notary 'Ut;t b Cfe !E", ys I al-23 2x20 l'or a S€3Gtf iU d 2A391 c, ae��w AIA Document G706M—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 AIA1 Document,or any portion of it,may 7 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) TM 111AIA 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'Street between CONTRACTOR:F-1 Calhoun and Grove Street SURETY:F-1 Fort Worth,TX CONTRACT FOR: Street Improvements OTHER:E-1 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 famished,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 0 Yes El No BY: The following supporting documents should be attached 1hature of authorised re�,resent4ive) 0 (SIN 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: Subcontractors and material and equipment suppliers,to the extent required by the Owner, accompanied by a list thereof. pw Notary Public: Carrie A.Moore 3. Contractor's Affidavit of Release of Liens(AIA My Commission Expires: 01/28/2020 Document G706A). i a Ota ol T .s Cornm. c-*1'oa.-s 0 -23-2020 ...... iN, i a f V 01 12 6 5 10 2 AIA Document G706TM-1994.Copyright@ 1970 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIAID Documentis 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.03262545321 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 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PIS ILADFLPFIIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws ofthe Connnonvealth of Pennsylvania,does hereby constitute and appoint.fared Young,Fred A.Thetford,Jr.,"Tobin Tucker,Toni Young and Fred A.Thetford,III of Contract Bond A�-,ency,LLC., its true and lawful Attorney-in-tact 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 scaled by facsimile under and by the authority ofthe following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY at a meeting duly called the 1"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 Attorncy(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 INDEMNI'T'Y 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. (Seal) Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this I&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 ofthe 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. COMMONWEALTH 0P PENNSYLVANLk N ttl.Wl Seal Khtlerly A.Ket Ipski,Notary Public lower Merm Twp.N�ftwgamtJy Courtly Ill,2016 NEM ER,PE�:NMVAr1A ASSOC C11 OF IQT�ESN > otary Public: residing at: Bala Cvnwd.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 Directors and this Power of Attorney issued pursuant thereto on this 10111 day of June 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 ofthe attached Power of Attorney the duly elected President of PIIILADELPLIIA INDEMNITY INSURANCE COMPANY, In"Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this 16th day of August 2016 D Edward Sayago,Corporate Secretary PI-1ILADELPI-ILA INDEMNITY INSURANCE COMPANY FORTWORTHREV:02'22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY n PROJECT INFORMATION Date: 10/24/2016 Name of Contractor Project Name Dennett Construction 2nd Street Extension DOE Inspector Project Manager Kevin Chambers Aaron Long DOE Number Project Difficulty Type of Contract 7218 O Simple OO Routine O Complex D Water D Waste Water ❑Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount $23,074.77 $23,074.77 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING INSPECTION EVALUATION (0-4) PLANS&SPECIFICATIONS (0-4) 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 3 Applicability of Specifications 4 Display Of Professionalism 14 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 III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor &;�Lz �, INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS s The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845