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Home My WebLink AboutContract 48284-FP1 Depart t of P oust.services CPN# i Da -t Project anager Y. , CITY SECRETARY Risk Management S. CanadvWIC Z� RT WORTH c� CONTRACT NO. D.O.E. Brotherton Water V.Gutzier —LI CF J M�a es/Scanned ❑ rATION AND PUBLIC WORKS S-q (0 0 The P oceeding peopic have been Contacted concerning the request )F PROJECT COMPLETION for final payment&have released this project for such payment (Developer Projects) Clearance Conducted By Etta Bacy City Project Ns: 100444 4f#s/8z8y Regarding contract for M-530 SANITARY SEWER EXTENSION TO SERVE BONDS RANCH P1 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 Original Contract Price: P� JUL 24 2017 $808,296.00 Amount of Approved Change Orders: By Ns 1 Revised Contract Amount: $808,296.00 Total Cost Work Completed: $808,296.00 �- Recommen ed for Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction Accepted Date Asst. Director, WATER DEPARTMENT Asst. City Man er Date Co1��iFi� ffWORTHo RD JUL 5 Z017 RY Initi --1 X Rev.9/22/16 rJUL c �vlL 2 4 2017 5 9 to b"7— l C04 qZ4 City Project Numbers 100444 DOE Number 0444 Contract Name M-530 SANITARY SEWER EXTENSION TO SERVE BONDS RANCH P Estimate Number 1 Contract Limits Payment Number I Project Type SANITARY SEWER For Period Ending 5/31/2017 Project Funding Project Manager NA City Secretary Contract Number Inspectors RODGERS / MCKINNON Contract Date 9/1/2016 Contractor RKM UTILITY SERVICES,INC. Contract Time 90 CD 1604 BLUEBANK ROAD Days Charged to Date 214 CD DALLAS, TX 75229-3102 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 $808,296.00 Less %Retained $0.00 Net Earned $808,296.00 Earned This Period $808,296.00 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 $808,296.00 Wednesday,May 31,2017 Page 4 of 4 FLIRT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name M-530 SANITARY SEWER EXTENSION TO SERVE BONDS RANCH PHA Contract Limits Project Type SANITARY SEWER City Project Numbers 100444 DOE Number 0444 Estimate Number 1 Payment Number 1 For Period Ending 5/31/2017 CD City Secretary Contract Number Contract Time NED Contract Date 9/1/2016 Days Charged to Date 214 Project Manager NA Contract is 100.00 Complete Contractor RKM UTILITY SERVICES,INC. 1604 BLUEBANK ROAD DALLAS, TX 75229-3102 Inspectors RODGERS / MCKINNON Wednesday,May 31,2017 Page 1 of City Project Numbers 100444 DOE Number 0444 Contract Name M-530 SANITARY SEWER EXTENSION TO SERVE BONDS RANCH P Estimate Number 1 Contract Limits Payment Number I Project Type SANITARY SEWER For Period Ending 5/31/2017 Project Funding UNIT I:SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 15"SEWER PIPE 3651 LF $41.00 8149,691.00 3651 $149,691.00 2 16'SEWER CARRIER PIPE 521 LF $84.00 $43,764.00 521 $43,764.00 3 30"CASING BY OTHER THAN OPEN CUT 511 LF $575.00 8293,825.00 511 $293,825.00 4 10"SEWER PIPE 2491 LF $35.00 $87,185.00 2491 $87,185.00 5 T SEWER PIPE 280 LF $34.00 $9,520.00 280 $9,520.00 6 CSS ENCASEMENT FOR UTILITY PIPES 10 CY $125.00 $1,250.00 10 $1,250.00 7 CONCRETE ENCASEMENT FOR UTILITY PIPES 84 CY $175.00 $14,700.00 84 $14,700.00 8 4'MANHOLE 30 EA $3,800.00 8114,000.00 30 $114,000.00 9 4'DROP MANHOLE 1 EA $10,000.00 $10,000.00 1 $10,000.00 10 4'EXTRA DEPTH MANHOLE 166 VF $150.00 $24,900.00 166 $24,900.00 11 REMOVE 5'SEWER MANHOLE I EA $1,700.00 $1,700.00 1 $1,700.00 12 EPDXY MANHOLE LINER 16 VF $250.00 $4,000.00 16 $4,000.00 13 4"SEWER SERVICE 32 EA $836.00 $26,752.00 32 $26,752.00 14 SEEDING HYDROMULCH 2548 SY $3.00 $7,644.00 2548 $7,644.00 15 POST CCTV INSPECTION 6943 LF $1.00 $6,943.00 6943 $6,943.00 16 TREE REMOVAL 1 LS $5,000.00 $5,000.00 1 $5,000.00 17 ABANDONDED GAS LINE REMOVAL 10 LF $100.00 $1,000.00 10 $1,000.00 18 TRENCH SAFETY 6422 LF $1.00 $6,422.00 6422 $6,422.00 Sub-Total of Previous Unit $808,296.00 $808,296.00 Wednesday,May 31,2017 Page 2 of 4 City Project Numbers 100444 DOE Number 0444 Contract Name M-530 SANITARY SEWER EXTENSION TO SERVE BONDS RANCH P Estimate Ne mber I Contract Limits Payment Number I Project Type SANITARY SEWER For Period Ending 5/31/2017 Project Funding Contract Information Summa Original Contract Amount $808,296.00 Change Orders Total Contract Price $808,296.00 e Date 1 Total Cost of Work Completed $808,296.00 Co tract r Less %Retained $0.00 �7 Net Earned $808,296.00 Date � �� Inspe on supervisor ��/ Earned This Period $808,296.00 Retainage This Period $0.00 Date Less Liquidated Damages ro' ct Manager Days @ /Day 50.00 Date LessPavement Deficiency $0.00 Asst. irector/TPW-I astructure Desi-n and Construc on Less Penalty $0.00 / Date /� Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $808,296.00 Wednesday,May 31,2017 Page 3 of 4 07b_ 1."7"il �P K' _V _'R :7 2.,,5-5340 SS TO 16065 n, rece� -ot bv uhe signer o� this docume-n- cf a ceck from s,1,Z1 UTILITY SE"RVICEin S, INC. �ne sum of $736 . 50 Off, CHEE�'K #2449E Qavable to LI CE GEOTECHNICAL GROUP. and when the check has been Properly endorsed and has bee_n paid by the bank on which it is drawn, this document becomes effective to release 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, r-,31e, or statute related to claim or payment rights for persons in the signer' s position that the signer has on the property of D.R. HORTON located in FT. WORH, TEXA3 to the following extent : ME- 530 SS EXT TO BONDS RANCH. This release covers the final cavment to the signer for a lahc_-r, services,, equipment, or materials Furnished to the -,ropert-v or to ALLIANCE GEOTECHNICAL GROUP, Before any recipient of this document relies on this document, the recipient should verify evidence of payment to the signer. The signer warrants that the signer has already paid or I I Page will use the funds received from this final payment to promptly pay in full all of the signer' s laborers, subcontractors, materialmen, 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 15'/?-4119 ALLIANCE GEOTECHNICAL GROUP (Signature) (Title) STATE OF TEXAS COUNTY OF DALLAS ° BEFORE ME, the undersigned, a Notary Public, on this day personally appeared io kf r4 -P A�ayq L-e-- , known to me to be the person and officer whose name is subscribed to the foregoing instrument, and acknowledged to me that the same was the act of said ALLIANCE GEOTECHNICAL GROUP, a corporation, or its successors, and that he/she executed the same as the act of such corporation for the purposes and consideration therein expressed, and in the capacity stated. Given under my hand and seal of office, this the sem- day ,i r r' "'"�• iRENE SPEAR �F L Notary Public,State of Texas Notary Pu. lic, State of 3: My Commission Expires July 08, 2019 2 Page tORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: M-530 Sanitary Sewer Extension to Serve Bonds Ranch Phase 1 PROJECT NUMBER: CPN# 1004444 DOE NUMBER: NO DOE WATER PIPE LAID SIZE TYPE OF PIPE LF No Water on this Project FIRE HYDRANTS: None VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF Sanitary Sewer 15" PVC 3651 Sanitary Sewer 16" Steel Casing 521 Sanitary Sewer 30" Ductile Iron Casing 511 Sanitary Sewer 10" PVC 2491 Sanitary Sewer 8" PVC 280 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: 4" Santiary Sewer PVC 32 EA TRANSPORTATION AND PUBLIC WORKS `1 The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-7941 •Fax: (817)392-7845 CONSENT OF SURETY OWNER o TO FINAL PAYMENT ARCHITECT o AIA Docuinelat G707 CONTRACTOR 11 SURM Y )0 Bond No. PB00317400272 OTHER D TO OWNER ARCHITECT'S PROJECT NO.: (Name rued adeftsw) D.R. Horton -Texas, LTD. and the City of Fort Worth c/o Peloton Land Solutions,5751 Kroger Drive, Suite 185 CONTRACT FOR: Construction Fort Worth, TX 76244 PROJECT: CONTRACT DATED, (Name and addm'q M-530 Sanitary Sewer Extension to serve Bonds Ranch Phase 1 In accordance.OTh the provisions of the Contract between the Owner and the Contractor as indicated above,the (insert name and arldlxm ofSurmti Philadelphia Indemnity Insurance Company One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004-1403 SURETY, on bond of (1mv--n nanie and address of Co nlwaa) RKM Utility Services, Inc. 1805 Royal Lane, Suite 107 Dallas, TX 75229 CONTRACTOR, hereby approves of the final payment to the Connector,and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to gnserr nwne and adrfte,s ofOu wr) D.R. Horton -Texas, LTD. and the City of Fort Worth c/o Peloton Land Solutions, 5751 Kroger Drive, Suite 185 Fort Worth, TX 76244 OWNRI;, as set forth in said Surety's bund. IN WITNESS WIHREOF,the Surety has hereunto set its band on this date: June 7, 2017 (fawn 11I wilting(Ix Tomb follouttd ky i1m,moiler k drrrean(I X-ar l Philadelphia Indemnity Insurance Company ('5xrrt{r) '4' J(7UL By: Al (,SiSnlarttrr of rllwl9zrd rrplzmtnra Attest` Tabitha Starkey Attorney-in-Fact (Seal- J n ie Goonie, Witne (h1ZI71Nd 7iaTNN a1T(11711Cj G707-1994 2159 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 David G.Miclette,David T.Miclette,Barry K,McCord,Robert C.Davis,Kristi Lovett,Ashley Britt,Joni Bowen,Tabitha Starkey,Jennie Goonie,Nikole Jeannette and/or Rita G.Gulizo of Bowen,Miclette&Britt Insurance 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 14th 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 AFFDCED BY ITS AUTHORIZED OFFICE THIS 14TH DAY OF NOVEMBER,2016. ........ .Y`-', 4 27w. (Seal) , Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 14'h day of November,2016,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly swom 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. COMMONWEALTH OF.PENNSYLV Notarial Sul Non Nowara,Notary Public Lower Melon Twp•,Mont;;=ery County My Commlisw EWres Jan.S.2013 Y w �••C-- rMLtt ttrMvlvLVv LYYl`f01.q WiL,.;O �`�� Notary Public: residing at: Bala Cynwyd,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 10 day of November,2016 are 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 subscribed my name and affixed the facsimile seal of each Company this _ day of ak 20_Ll. =w V 1927 v.I"! Edward Sayago,Corporate Secretary y`..• „'::_`fie;; PHILADELPHIA INDEMNITY INSURANCE COMPANY a All Bills Paid Affidavit STATE OF TEXAS COUNTY OF DALLAS Before me,the undersigned authority, on this day personally appeared known to me to be a credible person and officer of RKM Utility Services a Texas corporation(hereinafter called "Contractor"), and who, being duly sworn, upon his oath declares and acknowledges as follows: 1. I am the duly authorized agent for the said Contractor, which has authorized me to make this affidavit, and all of the recitations herein are true and correct. 2. Pursuant to an agreement dated-ocil 01 17,0 I 1p between RKM Utility Services, Inc. and D.R. 44or-tyn- -�e%a 5i LA-J. (the "Owner"), Contractor has supplied materials and performed labor in connection with the construction of improvements upon certain real property owned by the Owner in County, Texas. Said improvements are more particularly described as 5t1n-,iA n So WeA- t'x k n S;t O r�� Se�� ccQocated in F(Y+-W O�+V-N , Texas. 3. Contractor has actual knowledge that all bills owed by Contractor to others for materials supplied or labor performed in connection with the Improvements have been fully paid and satisfied except for contractual retainage as set out below. Contractor does further warrant that should any claim or lien be filed for material supplied or labor performed per virtue of Contractor's participation in the construction of said Improvement, Contractor will immediately furnish a bond pursuant to Texas Property Code, sections 53.236 through 53.238, for release of each such lien, and obtain settlement of any such liens and furnish Owner written full release of such liens. Should Contractor be unable to obtain such release, Contractor agrees to fully indemnify and hold harmless the Owner for any and all costs they may incur by reason of such liens. EXECUTED this 69 day of ,-� 2017. RKM Utili vices,Inc. By: ------------- Name: Title: SUBSCRIBED AND SWORN TO BEFORE ME by the said This the day of I V1 0Z��, to Certify which itness my hand and seal of office- J�SPRV P�f,i� CANDICE BREWER c Notary Public, State of Texas Q= Comm.Expires 04-07-2021 Notary Public in and for the Notary ID 125667358 State of Texas CONDITIONAL WAIVER ANIS RELEASE ON PROGRESS PAYMENT Project: M-530 SS Ext To Bonds Ranch E side of Blue Mound Road @ Berkshire Lake Blvd Fort Worth, TX 76111 Number: 16065 On receipt by the undersigned of a check from D.R. Horton-Texas, Ltd. in the sum of$6,525.00 payable to RKM Utility Services, Inc., and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any Mechanic's Lien, any state or federal statutory bond right,any private 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 undersigned's position, the undersigned has on the above referenced project to the following extent. This release covers a progress payment for all labor, services, equipment and materials furnished to the project site or to D.R. Horton- Texas, Ltd. through 4/30/2017 only and does not cover any retention,pending modifications and changes or items furnished after said date. Before any recipient of this document relies on it, that person should verify evidence of payment to the undersigned. The undersigned warrants that he either has already paid or will use the monies he receives from this progress payment to promptly pay in full all of his laborers, subcontractors,materialmen and suppliers for all work, materials,equipment or services provided for or to the above referenced project up to the date of this waiver. Date: 2 Signature: Title: (' �- STATE OF Texas COUNTY OF Dallas BEFORE ME, the undersigned, a Notary Public, on this day personally appeared known to me to be the person and officer whose name is subscribed to the foregoing instruffient, and acknowledged to me that the same was the act of said RKM Utility Services, a corporation, or its successors, and that he executed the same as the act of such corporation for the purposes and consideration therein expressed, and in the capacity stated. Given under my hand and seal of office,this the 75day of 20 `punpq . LO CANDICE BREWER 2.'.....'61—r'Notary Public,State of T Notary Public, State of Texas Comm.Expires 04-07-2021 s �° e�'�� Notary 1D 125667358 CONDITIONAL WAIVER AND RELEASE ON PROGRESS PAYMENT Project: M-530 SS Ext To Bonds Ranch E side of Blue Mound Road @ Berkshire Lake Blvd Fort Worth, TX 76111 Number: 16065 On receipt by the undersigned of a check from D.R. Horton-Texas,Ltd. in the sum of$82,349.85 payable to RKM Utility Services, Inc., and when the check has been properly endorsed and has been paid by the bank on which it is drawn,this document becomes effective to release any Mechanic's Lien, any state or federal or payment and any rights under any similar ordinance, statutory bond right,any private bond right, any claim f rule or statute related to claim or payment rights for persons in the undersigned's position,the undersigned has on the above referenced project to the following extent. This release covers a progress payment for all labor, services, equipment and materials furnished to the project site or to D.R. Horton- Texas,Ltd. through 4/30/2017 only and does not cover any retention,pending modifications and changes or items furnished after said date. Before any recipient of this document relies on it, that person should verify evidence of payment to the undersigned. The undersigned warrants that he either has already paid or will use the monies he receives from this progress payment to promptly pay in full all of his laborers, subcontractors,materialmen and suppliers for all work,materials, equipment or services provided for or to the above referenced project up to the date of this waiver. Date: Signature: Title: STATE OF Texas COUNTY OF Dallas BEFORE ME, the undersigned, a Notary Public, on this day personally appeazed _ _, known to me to be the person and officer whose name is subscribed to the foregoing instru ent, and acknowledged to me that the same was the act of said RKM Utility Services, a corporation, or its successors, and that he executed the same as the act of such corporation for the purposes and consideration therein expressed, and in the capacity stated. Given under my hand and seal of office,this the 25day of_&r-a J 20_/ `oeteargi CANDICE BREWER Notary Public,stats of Texas Notary Public, State of Texas Comm.Expires 04-07_2021 Notary ID 125857358 FORTWORTH REV:8/20/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Name of Contractor Project Name RKM Utility Services, Inc. M-530 Sanitary Sewer Extension to serve Bonds Ranch Ph 1 Inspector City Project Number Tommy McKinnon 2643 Construction Components Project Manager ❑ Water EZ Waste Water ❑ Storm Drainage ❑ Pavement Gopal Sahu Initial Contract Amount Project Difficulty $808,296.00 10 Simple O Routine O Complex Final Contract Amount Date $808,296.00 16/1/2017 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 I Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 N 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 3 60 45 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 N 9 Daily Clean Up 5 Y 4 20 20 10 Citizen's Complaint Resolution 5 N 11 Property Restoration 5 N 12 After Hours Response 5 N 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 291 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 291 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 308 Rating([TS/MSI * 100%) 291 / 308 = 94% 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) Inspector Signature Contractor Signature 5 Inspector's Supervisor Signature CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 8851 Camp Bowie West Blvd. •Fort"Worth,TZ 76116 • (817) 392-8306 .FORS ORT REV:02/22/07 v TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 16/1/2017 Name of Contractor Project Name RKM Utility Services,Inc. M-530 Sanitary Sewer Extension to Serve Bonds Ranch Ph 1 DOE Inspector Project Manager Tommy McKinnon Gopal Sahu DOE Number Project Difficulty Type of Contract s iCPN# 100444 O Simple O Routine O Complex ❑ Water ❑ Waste Water ❑ Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount $808,296.00 $808,296.00 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector LA 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities 3 Applicability of Specifications 4 Display Of Professionalism i 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution i iPROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication 1.2. Timliness of Contractor Payments 4 Resolution of Utility Conflicts [3 Bid Opening to Pre-Con Meeting Timeframe >� III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector c - Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS s° The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-7941 •Fax: (817) 392-7845 FoRT WORTH. TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENT# FINAL STATEMENT# 1 CPN# 1 100444 NAME OF PROJECT: M-530 Sanitary Sewer Extension to Ser ie_Bonds Ranch Phase 1 Contractor RKM YEAR: 2017 PROJECT NO.: FINAL INSPECTION DATE 5 1201 P27"96070700430 CD 0258=00041###/##XX CONTRACT TIME 90 X PERIOD FROM: 511/2016 TO: �$ - Month Dr.��ELOPMEN] 1 Beg of Month End of Month WORK ORDER EFFECTIVE: 11/1712016 BEG(y) n/a MID(y) nfa 237.8% LIP YR(y/n) DAYS REASON FOR DAYS REASON FOR DAY OF MONTH CHARGED DAYS CREDITED DAY OF MONTH CHARGED DAYS CREDITED 1 Sun 1 16 Mon 1 2 Mon 1 17 Tue 1 3 Tue 1 18 Wed 1 I 4 Wed 1 19 Thu 1 5 Thu 1 20 Fri 1 6 Fri 1 21 Sat 1 7 Sat 1 22 Sun 1 8 Sun 1 23 Mon 1 9 Mon 1 24 Tue 1 I 10 Tue 1 25 Wed 1 �I 11 Wed 1 26 Thu 0 12 Thu 1 27 Fri 0 13 Fri 1 28 Sat 0 -� 14 Sat 1 29 Sun 0 15 Sun 1 30 Mon 0 31 Tue 0 J NA ' ' Wkn&Hot Wea Utl Oth a=add Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGED THIS PERIOD 0 0 0 0 25 25 PREVIOUS PERIOD 0 189 189 T- TO"CAL TO DATE 0 0 0 0 214 214 REMARKS: , f 1 Signature: Signature: C (Print Name) WSPEC R(Tommy McKinnon) CONTRACTOR DATE INSPRCT R DATE