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HomeMy WebLinkAboutContract 46673-FP1 FORTWORTH, o��N will - i TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION City Project Ns: 02406 Regarding contract 46673 for 2014 CIP SIDEWALK CONTRACT 1 as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 04/21/2015 through M&C C-27269 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $653,667.87 Amount of Approved Change Orders: $162,960.75 NO 1,2 Revised Contract Amount: $816,628.62 Total Cost Work Completed: $807,151.62 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $807,151.62 OFFICIALJ Less Previous Payments: $766,794.04 CITY SEC / FT.w®R Final P yment Due $40,357.58 `� Recommended for Acceptance Date Asst Director, TPW - Infrastructure Design and Construction — :E L (1 0 L--\ - -zj/7 Accepted Date 4M Dir ,tor, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Asst. City Manager Depa=- I W Const. Services TPW Business Office CPN# DatComments: Pro ect Manager Item Received on � 2 20 7 Risk Management S. Canady ---/ JUN D.O.E. Brotherton Water V. Gutzier CFA n 'e M rales/Scanned o Clearance Conducted By Etta Bacy ! The Proceeding people have been Contacted concerning the request rnr final payment&have released this project for such payment. pA - il- OOOC39 n Construction TPW uct on Invoice Contract: CS46673 P.O.# PO-15-88496 Payment Date: 6/5/2017 TO:P C Contractors LLC INV•# CS46673-36 `r 1 t`1 A L Estimate No. 36 DOE: 7372 P.O.Box 470930 ProjManager Tariqul Islam Fort Worth TX 76147 FOR: 2014 CIP Sidewalk Contract 1 Contract Amount: $816,628.62 Completed et Ad' Pa Total to Date: $807,151.62 $0.00 $0.00 $807,151.62 Previous Estimate: $807,151.62 $40,357.58 $0.00 $766,794.04 Earned to Date: 50.00 ($40,357.58) $0.00 $40,357.58 Payments: C115-541200-020115038132 $42,531.98 39409-0201000-5740010-0038132=C03800- Total to Date: $42,531.98 $0.00 $0.00 $42,531.98 Previous Estimate: $42,531.98 $2,126.60 $0.00 $40,405.38 Earned to Date: $0.00 ($2,126.60) $0.00 $2,126.60 C210-541200-201380240683 $774,096.64 - Total to Date: $764,619.64 $0.00 $0.00 $764,619.64 Previous Estimate: $764,619.64 $38,230.98 $0.00 $726,388.66 Earned to Date: $0.00 ($38,230.98) $0.00 $38,230.98 ,-\1�. t�rJ iber o lY+^[}:u lint{ti ApFt, rval iattare{{'t�7 l t1Ki1_VIC: roval 6T1rlian' ate: f / .MI-k, E Ncy}'trtLC!iA51: NLI. 1•SS; 01 Y tdtWltG R'5 N"'Kt)VAL i LATE 1 _t URN !IE t h T;J D ;"�:'1"Nttt7R F1t-�K lJp l ) Nt. 1 t_:';it i'X BY SF f'A1lATL r,;11E GC Friday,June 30,2017 ; Page 1 of 1 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name 2014 CIP SIDEWALK CONTRACT I Contract Limits Project Type SIDEWALK City Project Numbers 02406 DOE Number 7372 Estimate Number 36 Payment Number 36 For Period Ending 6/5/2017 CD City Secretary Contract Number 46673 Contract Time 50CD Contract Date 4/21/2015 Days Charged to Date 504 Contract is 99.000 Complete Project Manager Islam Contractor P.C.CONTRACTORS,LLC P.O.BOX 470930 FORT WORTH, TX 76147 Inspectors RODGERS / MASON,BILL Tuesday,June 6,2017 Page I of City Project Numbers 02406 DOE Number 7372 Contract Name 2014 CIP SIDEWALK CONTRACT 1 Estimate Number 36 Contract Limits Payment Number 36 Project Type SIDEWALK For Period Ending 6/5/2017 Project Funding SIDEWALK Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total -------------------------------------- I MISCELLANEOUS ADJUSTMENT(UTILITIES) I LS $6,000.00 $6,000.00 2 REMOVE CONCRETE CURB&GUTTER 506 LF $2.19 $1,108.14 553 $1,211.07 3 7"CONCRETE CURB&GUTTER 651 LF $18.00 $11,718.00 4 REMOVE CONCRETE DRIVEWAY(CO#1) 1350 SF $1.03 $1,390.50 1379.25 $1,420.63 5 6"CONCRETE DRIVEWAY(CO#1) 1350 SF $3.73 $5,035.50 1379.25 $5,144.60 6 REMOVE SIDEWALK 947 SF $0.74 $700.78 1223.35 $905.28 7 4"CONC SIDEWALK(CO(CO#1) 50265 SF $3.90 $196,033.50 48629.85 $189,656.42 8 4"CONC SIDEWALK ADJACENT TO CURB(CO 12750 SF $4.34 $55,335.00 12060.05 $52,340.62 #1) 9 6"CONC SIDEWALK 1910 SF $5.24 $10,008.40 80 $419.20 10 CONCRETE RETAINING WALL WITH 4848 SF $30.85 $149,560.80 3515.74 $108,460.58 SIDEWALK FACE(CO#1) 11 CONCRETE RETAINING WALL W/SIDEWALK 23290 SF $8.88 $206,815.20 21304.95 $189,187.96 (CO#1) 12 4"CONCRETE SIDEWALK WITH FLUME PER 1 EA $310.00 $310.00 I $310.00 DETAIL 13 REMOVE ADA RAMP 13 EA $376.00 $4,888.00 6 $2,256.00 14 BARRIER FREE RAMP TYPE R-I 12 EA $1,264.00 $15,168.00 6 $7,584.00 15 BARRIER FREE RAMP TYPE P-1 (CO#1) 32 EA $1,137.00 $36,384.00 54 $61,398.00 16 BARRIER FREE RAMP TYPE P-2 31 EA $1,179.00 $36,549.00 19 $22,401.00 17 BARRIER FREE RAMP TYPE C-3 1 EA $965.00 $965.00 2 $1,930.00 18 MANHOLE ADJUSTMENT MINOR 2 EA $241.00 $482.00 1 $241.00 19 VALVE BOX ADJUSTMENT(CO#1) 7 EA $100.00 $700.00 8 $800.00 20 MISCELLANEOUS STRUCTURE ADJUSTMENT 2 EA $100.00 $200.00 1 $100.00 WATER METER BOX 21 4"SOLID WHITE THERMOPLASTIC(HAS) 100 LF $6.61 $661.00 LANE LINES 22 CURB ADDRESS PAINTING 4 EA $78.00 $312.00 23 BLOCK SOD PLACEMENT 6720 SY $4.89 $32,860.80 10625 $51,956.25 24 6"-12"TREE REMOVAL 7 EA $264.00 $1,848.00 15 $3,960.00 25 12"-18"TREE REMOVAL 5 EA $819.00 $4,095.00 3 $2,457.00 26 PAVING CONSTRUCTION ALLOWANCE(CO#1) 1.5 EA $25,000.00 $37,500.00 4.120481 $103,012.03 ------------------ -- ------------------ Sub-Total of Previous Unit $816,628.62 $807,151.62 ----------------- -------------------- Tuesday,June 6,2017 Page 2 of 4 City Project Numbers 02406 DOE Number 7372 Contract Name 2014 CIP SIDEWALK CONTRACT I Estimate Number 36 Contract Limits Payment Number 36 Project Type SIDEWALK For Period Ending 6/5/2017 Project Funding Contract Information Summary Original Contract Amount $653,667.87 Change Orders Change Order Number 1 $162,960.75 Change Order Number 2 $0.00 Total Contract Price $816,628.62 Total Cost of Work Completed $807,151.62 Contr c r Less %Retained $0.00 Net Earned $807,151.62 Inspecti n SJV upervisor Dat Earned This Period $40,357.58 Retainage This Period $0.00 Date Less Liquidated Damages Proj t Manager �p f Days @ /Day $0.00 i�/�0-4424 Date L1 LessPavement Deficiency $0.00 As . 'rector/IPW-I/nfrr a�structu Design and Construction Less Penalty $0.00 M C.✓ Date L7 Less Previous Payment $766,794.04 Direct r Contracting Departure t Plus Material on Hand Less 15% $0.00 Balance Due This Payment $40,357.58 Tuesday,June 6,2017 Page 3 of 4 City Project Numbers 02406 DOE Number 7372 Contract Name 2014 CIP SIDEWALK CONTRACT I Estimate Number 36 Contract Limits Payment Number 36 Project Type SIDEWALK For Period Ending 6/5/2017 Project Funding Project Manager Islam City Secretary Contract Number 46673 Inspectors RODGERS / MASON,BILL Contract Date 4/21/2015 Contractor P.C.CONTRACTORS,LLC Contract Time 504 CD P.O.BOX 470930 Days Charged to Date 504 CD FORT WORTH, TX 76147 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 $807,151.62 Less %Retained $0.00 Net Earned $807,151.62 Earned This Period $40,357.58 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 $766,794.04 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $40,357.58 Tuesday,June 6,2017 Page 4 of 4 OWNER CONSENT OF SURETY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR 1:1SURETY ❑ Conforms with the American Institute of Architects G707 form OTHER ❑ Bond No: PB11509800672 TO OWNER: ARCHITECT'S PROJECT NO.: 02406 (Name and address) City Of Fort Worth CONTRACT FOR: Sidewalk &ADA Improvements 1000 Throckmorton Street Fort Worth, TX 76102 PROJECT: CONTRACT DATED: 4/21/2015 (Name and address) Sidewalk&ADA Improvements for 2014 CIP Concrete Sidewalk, Contract 1, City Project No. 02370 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) P.C. CONTRACTORS, LLC 102 West Hidden Meadow Court Cresson, TX 76035 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: June 15, 2017 (Insert in writing the month followed by the numeric date and year.) Philadelphia Indemnity Insurance Company (Surety) (Signature of author d represen ative) Attest: Tom Youna Attorney-in-fact (Seal): (Printed name and title) 4184 Bond No. PB1 1509800672 PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Jared Young,Fred A.Thetford,Jr.,Tobin Tucker,Toni Young and Fred A.Thetford,III of Contract Bond Agency,LLC., its true and lawful Attorney-in-fact with full authority to execute on its behalf bonds,undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed$25,000,000. 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 on the 14a'of November,2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company: (1) Appoint Attorney(s) in Fact and authorize the Attorney(s) in Fact to execute on behalf of the Company bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; and (2) to remove, at any time, any such Attorney-in-Fact and revoke the authority given. And,be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with 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 14T"DAY OF NOVEMBER,2016. (Seal) Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 14's day of November,2016,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that lie 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. COHHONWEN OE.PENHMY Nofsstsl S�aI Hon HO�uo+Nopry Pu6�le Lower Herlon Twp.,NontJomery CovnM /w 7 14Y camNnsi"Expos un,6,20th r. itt run,rtva a uwc.vo�a w.u:u Notary Public: 1 ' residing at: Bala Cygwyd PA (Notary Seal) My commission expires: January 8 2018 I,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto on this 14ffi day of November,2016 are true and correct and are still in ftdl 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 subscribed niy name and affixed the facsimile seal of each Company this 15th day of June 120 17 Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY 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 Chase Patterson, President Of P.C. Contractors,LLC,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 furnishiing labor and/or niateiiaiS have been paid in f 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; City of Fort Worth Sidewalk Contract#1 BY Chase Patterson Subscribed and sworn before me on this date 7th of June, 2017. vP.fl,, HEATHER CARSON EMERY Notary Public,State of Texas Notary Public ��•+` Comm.Expires 11-02-2020 Notary ID 130886415 Tarrant, Texas '���n°On��`� CITY SECRETARY / FORT WORTH. City of Fort Worth CONTRACT NO. J b ' Change Order Request Breakdown Project Namel 2014 CIP Sidewalk Contract 1 City Sec# 1 45658 Client Project#(s)l 02406 Contractor ,LL PC ContractorsC PM Tariqul Islam Inspector William Mason Change Order Submittal# Date Contract Time Dept. TIPW Totals CD Original Contract Amount $653,677.87 $653,677.87 180 Extras to Date $162,960.75 $162,960.75 55 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $816,638.62 $816,638.62 235 Amount of Proposed Change Order $0.00 269 Revised Contract Amount $816,638.62 $816,638.62 504 Original Funds Available for Change Orders $0.00 Remaining Funds Available for this CO $0.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 24.93% MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) L $817,097.34 JUSTIFICATION(REASONS)FOR CHANGE ORDER This Change Order is to request additional time to the contract for the following reasons:73 days delay it waiting for CO#1 monies to be added,25 days due to bad weather,90 days contractor was restricted due to a water project on Bellaire and 81 days for extra work at various locations, r1 y?A A CV RECCN�� Secretary � MpY302017 ,� a CIV 0V w � Cbz OFF 016 Nom ' i 1 I Foitr WORTH City of Fort Worth Change Order Deletions Project Name 2014 UP Sidewalk Contract 1 City Sec# 45650 Client Project 9 1 02406 Contractor PC Contractors,LLC PMJ TadqulIslam Inspector WlliamMason Change Order Submittal# 0 Date DELETIONS ITE DESCRIPTION DEPT Qty Unit nil osl Total T(PW $0.00 Sub Total DeleOons Change Order Deletions Page 1 of 1 FortTWORTH City of Fort Worth Tr- Change Order Additions Project Name 2014 CIP Sidevralk Contract 1 City Sec# 45650 Client Project if 02406 ConUactor PC Contractors,LLC PM Tadqul Islam Inspector Wllllam Mason Change Order Submittal# 0 Date ADDITIONS ty Unit I Unitcost Total ITEM DESCRPTFON DEPT O time only 1 ea EEL= TIPW 50.00 ESutb�T.IalAdditions 50.00 Change Order Additions Page 1 of 2 M/SBE Breakdown for this Change Order M/SBE Sub Type of Service Amount for this CO --_ Total $0.00 Previous Change Orders Cots DATE AMOUNT Total $0.00 CFW Change Order Approval St-COApp02 Page 1 of 3 Routing Assigned To: Due Date: Assigned By: Due Time: Links 1 fortworthgov/Infrastructure Projects/02406 2014 CIP Concrete Sidewalk Contract 1/Contractor/Change Orders/Change Order No 2 Breakdown.xls Attachments(0) No Attachments have been added to this form. https://projectpoint.buzzsaw.com/ bz web/Folms/FormPrint.aspx?Siteld=51500&Processl... 5/24/2017 CFW Change Order Approval St-COApp02 Page 2 of 3 FORT WORTHO City of Fort Worth Change Order Request Approval (Change Order Breakdown Available in Links) ........................................................ : For Change Order Submittal No.: :........................................I...................., Change Order No.: St-COApp02 Date Started: 2017-05-09 City Sec. No.: Date Due: 2017-06-28 Project Name: 02406 - 2014 CIP Sidewalk Concrete project 1 02406 DOE Numbers: Project Numbers: Project Installing sidewalk at various locations Description: Project Manager: Tariqul Islam City Inspector: William Mason Contractor: PC Contractors COUNCIL ACTION (If Required): M&C Log Name: M&C Number: M&C Date: COST AND DAYS SUMMARY: Requested Department: Cost($) Fund Account Center: Days: 269 Total Cost: $ 0.00 Total Requested Days: 269 Approval Status: https://projeetpoint.buzzsaw.com/ bz web/Forins/FormPrint.aspx?SiteId=51500&ProcessI... 5/24/2017 CFW Change Order Approval St-COApp02 Page 3 of 3 Approved: Yes Comments: User: Chase Patterson Date: 2017-05-10 11:07 AM Approved: Yes Comments: User: Chase Patterson Date: 2017-05-11 2:03 PM Approved: Yes Comments: User: Tariqul Islam Date: 2017-05-11 2:07 PM Approved: Yes Comments: User: Riad Nusrallah Date: 2017-05-17 11:09 AM Approved: Yes Comments: User: Richard Martinez Date: 2017-05-18 9:58 AM Approved: Yes Comments: User: Doug Wiersig Date: 2017-05-20 10:10 PM Approved: Yes Comments: User: Doug Black Date: 2017-05-24 4:31 PM Approved: Yes Comments: User: Jay Chapa Date: 2017-05-24 5:04 PM Action Required: https://projectpoint.buzzsaw.com/ bz web/Forins/FormPrint.aspx?Siteld=51500&Processl... 5/24/2017 Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. A y, Tariqul Islam Title ❑ This form is N/A as No City Funds are associated with this Contract Printed Name Signature FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: 6/12/2017 Name of Contractor Project Name P C Contractors 2014 CIP Sidewalk Contract 1 DOE Inspector Project Manager William Mason Tariqul Islam DOE Number ProjectD01-101 Type of Contract 7372 CPN02406 O Simple O Routine O Complex ❑ Water ❑ Waste Water❑ Storm Drainage 0 Pavement Initial Contract Amo:mt Final ContractAmount $653,667.87 $807,151.62 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 I 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 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor 9 Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS g 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 I) CONTRACTOR&PROJECT DATA Name of Conti-actor Project Name P C Contractors 2014 CIP Sidewalk Contract 4 DOE Inspector DOE Number William mason 7372 CPN 02406 DOE Inspector Project Manager ❑ Water ❑ Waste Water ❑ Storm Drainage D Pavement Tariqul Islam Initial ContractAmount Project Difficulty $653,667.87 O Simple O Routine O Complex Final Contract Aniount Date $807,151.62 6/12/2017 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 3 20 15 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 3 60 45 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 4 20 20 12 After Hours Response 5 N 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 388 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 388 II1)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 428 Rating(ITS/MS] x 100%) 388 / 428 = 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 , 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 r (817)392-7941 •Fax: (817)392-7845 FORTWORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:36 NAME OF PROJECT: 2014 CIP Sidewalk Contract 1 PROJECT NO.: 2426 CONTRACTOR: P C Contractors DOE NO.: n/a PERIOD FROM:04/16/17 TO: 06/05/17 FINAL INSPECTION DATE: 5-Jun-17 WORK ORDER EFFECTIVE:6/8/2014 CONTRACT TIME: 504 O Wb0 CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES OTHERS * DAYS TOTAL & HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS THIS 0 0 PERIOD PREVIOUS 504 504 PERIOD TOTALS 504 504 TO DATE *REMARKS: CONTRACTOR DATE INSPECTOR DATE _ ENGINEERING DEPARTD-1ENT + The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 BuySpeed Online Page 1 of 1 Accounts Payable Department NIGP Code Browse I My Account I Customer Service I About Current Organization:CITY OF FORT WORTH IJ July 5,201712:47:11 PM CDT Home Documents Andrea t Stan Invoice #: CS46673-36 FINAL Vendor #:0000036828 Ve ndor Group #:01 Res 41 General Items Subcontractors Accounts Routing Attachments Notes Reminder Change Order Summary Back to PO Header information Invoice Number: C346673-36 FINAL Invoice Status: 41R-Ready for Approval Invoice Type: 3way motchlo Invoice Description: Auto-generated RPA Invoice Invoice Date: 0 610 512 01 7 Effect Date: 0 710 514 0 17 Payment Amount: $40,357.58 Handling Code: Payment Date: 0613 012 0 1 7 Payment Terms: ACH(DIRECT DEPOSIT) Payment Term Day: 0 Payment Discount: 0.0% Paid-Bank/Check: Alternate Id: Entered By: Andrea Munoz Entered Date: 07105/2017 Updated By: Andrea Munoz Updated Date: 07105f2017 Received Date: 0610 5201 7 10:19:00 AM Attachments Agency Files: Agency Forms: Vendor Files: Vendor Forms: Purchase Order Information Purchase order Number: ORPA-17-00003917 PO Description CS46673 CO2406 RETAINAGE ONLY PO Amount: $40,357.58 Remaining To Invoice: 50.00 Buyer: Andrea Munoz PoVendor Information Vendor: 0000036828-PC CONTRACTORS LLC Address Grp: 01 Vendor Remit-to Address: Chase Patterson P 0 BOX 470930 FORT WORTH,TX 76147 USA Fed ID: .....0578 Remit Text: Email:chase@pccontractorsllc.com Phone:(817)343-4792 Id:119373(EFT Enabled) Item Information Invoice Item#IPO Item#:1 2014 CIP SIDEWALK CONTRACT 1 34014-2060000-CO2406-CRETAN--CS46673 MBC C-27269 DATE 042115 PO Permit Invoice Discount% Original Final Item Status To Pay Amount Pay Amount Pay 3PCR-Complete Receipt $0.00 540,357.58 0.0% $0.00 Yes MAKE: ASSET MODEL: ASSET MANUF: ASSET SERIAL: ASSET VIN: ASSET TAG: Event Type Fiscal Year Account Code Transactor Amount Exp. 17 34014--2060000--002406-CRETAN-- $40,357.58 Enc. 17 34014--2060000—CO2406-CRETAN-- -540,357.58 Approval Path: Delete Approver Order Approval Level Approver Date Date Approved/Disapproved/Canceled Com Sequence Path Type Requested ApprovedlDisapproved/Canceled by Vi: ID Add New I V Primary Add/Delete Appove, Pdnt — —� Copyright 0 2017 Periscope Holdings,Inc.-All Rights Reserved,defsull https:Hbso.fortwoi-thtexas.gov/bso/purchaseorder/invoice/invoiceSummaiy.sdo?vendorld=O... 7/5/2017