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Home My WebLink AboutContract 47854-FP1 Depart ent of.TP W Const.Services CPN# Date Project Manager �i ,-Z Risk Management anady —Z - tT W0 RT Ho CITY SECRETARY D.O.E. Brotherton CONTRACTNO.. CFA Westerman/Scanned 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. F PROJECT COMPLETION Developer Projects) Clearance Conducted By ollitunwca� i ef-A S/C4lti�w•� �/� City Project Ns: 100034 C.9#y7g521 Regarding contract 100034 for TRUE WORTH HOMELESS RESOURCE CENTER as required by the 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 Price: $122,863.78 Amount of Approved Change Orders: Ne I Revised Contract Amount: Total Cost Work Completed: $122,863.78 Recomrnen�tted for Acceptance Date As Director, TPW - Infrastructure Design and Construction 4=�A C,J Z_J //z s Z2 Accepted Date Director, TRANSPORTATIO & PUBLIC WORKS Asst. City Manager Date Comments: EMAILED OFFICIAL RECORD JAN 3 0.2017 CITY SECRETARY F1"e WORTH,TX Rev.9/22/16 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name TRUE WORTH HOMELESS RESOURCE CENTER Contract Limits Project Type PAVING City Project Numbers 100034 DOE Number 0034 Estimate Number 1 Payment Number 1 For Period Ending 12/2/2016 CD City Secretary Contract Number Contract Time 9aD Contract Date Days Charged to Date 113 Project Manager NA Contract is 100.00 Complete Contractor HM&MF,LTD 2501 PARKVIEW RD.,#330 FORT WORTH, TX 76102 Inspectors DICKINSON / CHAMBERS Friday,December 2,2016 Page 1 of 4 IA U City Project Numbers 100034 DOE Number 0034 Contract Name TRUE WORTH HOMELESS RESOURCE CENTER Estimate Number 1 Contract Limits Payment Number I Project Type PAVING For Period Ending 12/2/2016 Project Funding PAVING ItemDescription of Items Unit Unit Cost Estimated Estimated Completed Completed No. Quanity Total Quanity Total — ---- — — 1 REMOVE SIDEWALK 520 SF $3.95 $2,054.00 520 $2,054.00 2 REMOVE FENCE 43 LF $6.59 $283.37 43 $283.37 3 REMOVE CONC PVMT 32 SY $19.76 $632.32 32 $632.32 4 REMOVE ASPHALT PVMT 851 SY $10.54 $8,969.54 851 $8,969.54 5 REMOVE CONC CURB&GUTTER 59 LF $6.59 $388.81 59 $388.81 6 6"-12"TREE REMOVAL 2 EA $658.50 $1,317.00 2 $1,317.00 7 UNCLASSIFIED EXCAVATION BY PLAN 76 CY $79.02 $6,005.52 76 $6,005.52 8 SWPPP>1 ACRE 1 LS $329.25 $329.25 1 $329.25 9 6"LIME TREATMENT 980 SY $8.17 $8,006.60 980 $8,006.60 10 HYDRATED LIME 13 TN $197.55 $2,568.15 13 $2,568.15 11 6"CONC PVMT 927 SY $91.86 $85,154.22 927 $85,154.22 12 4"CONC SIDEWALK 450 SF $8.56 $3,852.00 450 $3,852.00 13 4"SLD PVMT MARKING HAS 9 LF $147.50 $1,327.50 9 $1,327.50 14 EXPLORATORY EXCAVATION OF EXISTING 2 EA $987.75 $1,975.50 2 $1,975.50 UTILITIES Sub-Total of Previous Unit $122,863.78 $122,863.78 Friday,December 2,2016 Page 2 of 4 City Project Numbers 100034 DOE Number 0034 Contract Name TRUE WORTH HOMELESS RESOURCE CENTER Estimate Number I Contract Limits Payment Number I Project Type PAVING For Period Ending 12/2/2016 Project Funding Contract Information Summary Original ContractAmount $122,863.78 Chanj4e Orders Total Contract Price $122,863.78 /.LtLif, !o/%,yr s, Date 12 - Total Cost of Work Completed $122,863.78 Contractor Less %Retained $0.00 71 ` ate Net Earned $122,863.78 Inspection Supe or Earned This Period $122,863.78 Retainage This Period $0.00 / Date — 2 'l l Less Liquidated Damages Proj-c#anager Days @ /Day $0.00 Date 2 f 7 LessPavement Deficiency $0.00 Asst.Dir tor/TrPW,-Infrastructure Design and Construction Less Penalty $0.00 t� � D e r ZJ �7 Less Previous Payment $0.00 Director/' ntracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $122,863.78 Friday,December 2,2016 Page 3 of 4 City Project Numbers 100034 DOE Number 0034 Contract Name TRUE WORTH HOMELESS RESOURCE CENTER Estimate Number i Contract Limits Payment Number I Project Type PAVING For Period Ending 12/2/2016 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / CHAMBERS Contract Date Contractor HM&MF,LTD Contract Time 90 CD 2501 PARKVIEW RD.,#330 Days Charged to Date 113 CD FORT WORTH, TX 76102 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 $122,863.78 Less %Retained $0.00 Net Earned $122,863.78 Earned This Period $122,863.78 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 $122,863.78 Friday,December 2,2016 Page 4 of 4 FORTWORTH rev 03/05/07 TRANSPORTATION& PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.1 NAME OF PROJECT:True Worth Homeless Resource Center PROJECT NO.: 100034 CONTRACTOR: Muckleroy&Falls DOE NO. NA PERIOD FROM 08/01/16 TO: 11/21/16 FINAL INSPECTION DATE: 21-Nov-16 WORK ORDER EFFECTIVE 8/1/2016 CONTRACT TIME 90 O WD O 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 113 PERIOD PREVIOUS PERIOD TOTALS 113 TO DATE *REMARKS Az ��,,.�. ► 120/rG - i2 20 �o f _ CONTRACTOR DATE IN PECTOR DATE ENGINEERING DEPARTMENT The Cit} of Fort Worth• 1000 ffirockmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817) 392-7845 FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: 12/6/2016 Name of Contractor Project Name HM&MF,Ltd. True Worth Homeless Resource Center DOE Inspector Project Manager Kevin Chambers Fred Ehia DOE Number Project Difficulty Type of Contract 100034 O Simple OO Routine O Complex ❑Water ❑Waste Water ❑Storm Drainage 0 Pavement Initial Contract Amount Final Contract Amount $122,863.78 $122,863.78 In 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 4 1 Accuracy of Plans to Existing Conditions 4 2 Knowledge of Inspector 4 2 Clarity&Sufficiency of Details y 3 Accuracy of Measured Quantities 1.1 3 Applicability of Specifications 4 Display Of Professionalism Ll 4 Accuracy of Plan Quantities y 5 Citizen Complaint Resolution ILI JECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 4 1 Change Order Processing Time y 3 Communication kA 2 Timliness of Contractor Payments tj 4 Resolution of Utility Conflicts y 3 Bid Opening to Pre-Con Meeting Timeframe y III)COMMENTS&SIGNATURES COMMENTS Signature Contractor �� Signature DOE Inspector {. Signature DOE Inspector's Supervisor , INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS <` The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Nante of Contractor Project Name H 4&MF,Ltd. True Worth Homeless Resource Center DOE Inspector DOE Number Kevin Chambers 100034 DOE Inspector Project Manager ❑Water ❑Waste Water ❑Storm Drainage R1 Pavement Fred Ehia Initial Contract Amount Project Difficulty $122,863.78 O Simple OO Routine O Complex Final Contract Amount Date $122,863.78 12/6/2016 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 4 60 60 7 Job Site Safety 15 Y 3 60 45 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 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 408 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 408 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS] *100%) 408 / 448 = 91% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector JqmAt&K• O'(�� Signature Contractor Signature DOE Inspector's Supervisor �;ti.�l J/�l CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS (D The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Ben Austin,Vice President- Operations Of Muckleroy and Falls, 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; Paving Improvements to Serve True Worth Homele s Resource Center BY Ben Austin- ice President of Operations Subscribed and sworn before me on this date 12th of December, 2016. r ' Notary Public BETH AIKIN Notory Public, state of Texas My Commission Expires May 28, 2018 u MUCKLEROY & FALLS 5801 EDWARDS RANCH RD.,SUITE 100, FORT WORTH,TX 76109 P 817 877 3510 F 817 877 5650 MUCKLEROYFALLS.COM December 14, 2016 This letter is to serve as written information regarding Paving Improvement for True Worth HRC. The developer will not be charging any liquidated damages for this project. If you need more information, please feel free to contact me. Sincerely, &et ;QM44 Bret Dowler Project Manager 817-289-7985 CONSENT OF OWNER ,SURF,TY COMPANY ARCHITECT TO FINAL PAYMENT CONTRACTOR SURETY AIA DOCUMENT G707 OTHER Bond No. 2212050 PROJECT: Paving Improvements to serve True Worth Homeless Resource Center,Ft.Worth TX (name,address) TO (Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 1000 Throckmorton Street Fort Worth,TX 76102-6312 CONTRACT FOR: Construction [ ] CONTRACT DATE: 5/24/2016 CONTRACTOR: Muckleroy&Falls 5801 Edwards Ranch Rd Fort Worth, TX 76109 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) North American Specialty Insurance Company 650 Elm Street Manchester,NH 03101 , SURETY COMPANY, on bond of(here insert name and address of Contractor) Muckleroy&Falls 5801 Edwards Ranch Rd Fort Worth,TX 76109 , CONTRACTOR, hereby approves of the final payment to the Contractors, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to(here insert name and address of Owner) City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102-6312 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 15th day of December , 2016 North American Specialty Insurance Company Surety Company ol" ow) J Signature of Authorized Representative Attest: (Seal): Debra Lee Moon Attorney-In-Fact Title NOTE: This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE 1970 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave.,NW,WASHINGTON,D.C. 20006 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg,Illinois,each does hereby make,constitute and appoint: SAMMY JOE MULLIS,JR.,JOHN WILLIAM NEWBY,CHERI LYNN IRBY,WILBERT RAYMOND WATSON, CAROLYN J.GOODENOUGH,MICHAEL L.TULLIS,SANDRA LEE RONEY,DEBRA LEE MOON,ANDREA ROSE CRAWFORD, MARY JO ZAKRZEWSKI,JAMES B ROGERS JR.,TROY RUSSELL KEY,and JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 91h of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." Po'•••.G' / j/� 3a �p'110NA(jti 3r �{.;. r SEAL 18= Steven P.Anderson,Senior Vice President of Washington International Insurance Company 2? G SEALTF 's �t¢ylym 1979 &Senior Vice President of North American Specialty Insurance Company a O im E //AMPS`¢,•O` € By bgr°b�`...�..••F�� Michael A.If,3emo-r-Ttee rest ent ot wastanglon international Insurance ompany �r/prirtuatat°�° &Senior Vice President of North American Specialty Insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this 20th day of January 2p 16 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook SS: On this 20th day of January ,2016 ,before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Michael A.Ito, Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company,personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL M KENNY NOTARY PUBLIC,STATE OF ILLINOIS M.Kenny,Notary Public MY COMMISSION EXPIRES 12Ify1�2017 I, Jeffrey Goldberg the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 15th day of December 20 16 , Jeffrey Goldberg,Vice President&Assistant Secretary of Washington International Insurance Company&North American Specialty Insurance Company North American Specialty Insurance Company Washington International Insurance Company TEXAS CLAIMS INFORMATION IMPORTANT NOTICE ADVISO IMPORTANTE In order to obtain information or make a complaint: Para obtener informacion o para someter un queja: You may contact Jeffrey Goldberg,Vice President— Puede comunicarse con Jeffrey Goldberg,Vice Claims at 1-800-338-0753 President — Claims, al 1-800-338-0753 You may call Washington International Insurance Usted puede Ilamr al numero de telefono gratis de Company and/or North American Specialty insurance Washington International Insurance Company and/or Company's toll-free number for information or to North American Specialty Insurance Company's para make a complaint at: informacion o para someter una queja al: 1-800-338-0753 1-800-338-0753 You may also write to Washington International Usted tambien puede escribir a Washington Insurance Company and/or North American Specialty International Insurance Company and/or North Insurance Company at the following address: American Specialty Insurance Company al: 475 N. Martingale Road 475 N. Martingale Road Suite 850 Suite 850 Schaumburg,IL 60173 Schaumburg,IL 60173 You may contact the Texas Department of Insurance Puede escribir al Departmento de Seguros de Texas to obtain information on companies, coverages, para obtener informacion acerca de companias, rights or complaints at: coberturas,derechos o quejas al: 1-800-252-3439 1-800-252-3439 You may write the Texas Department of Insurance: Puede escribir al Departmento de Seguros de Texas: P.O. Box 149104 P.O. Box 149104 Austin,TX 78714-9104 Austin,TX 78714-9104 Fax: (51 2) 475-1771 Fax: (512}475-1771 Web: http://wvvw.tdi.state.tx.us Web: http://vvww.tdi.state.tx.us Email:Consu merProtectionOtdi.state Ax,us Email: ConsumerProtection(Ptdi.state.tx.us PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 RECLAMOS: Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un or about a claim you should first contact the reclamo, debe comunicarse con el Washington Washington International Insurance Company and/or International Insurance Company and/or North North American Specialty Insurance Company. If the American Specialty Insurance Company primero. Si dispute is not resolved, you may contact the Texas nose resuelve la disputa, puede entonces Department of Insurance. comunicarse con el Departmento de Seguros de Texas, ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA This notice is for information only and does not Este aviso es solo para proposito de infromacion y no become a part or condition of the attached se converte en parte o condicion del documento document. adjunto. Revised 5/12 475 N.Martingale Road,Suite£350.Schaumburg,IL 60173