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HomeMy WebLinkAboutContract 49182-FP4 FORTWORTH® CITY SECRETARY" AR�-ff� CONTRACT NO. TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLE'T'ION (Developer Projects) c rA 5ta'In'ej `�/"7 City Project Ns: 100872 LS4 L49r SZ Regarding contract 100872 for PRIMROSE CROSSING PHASE 3C 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: $96,374.34 Amount of Approved Change Orders: $20,937.00 Ns 1 Revised Contract Amount: $117,311.34 Total Cost Work Completed: $117,311.34 OFFICIAL RECORD CITY SECRETARY FT. WORTH$TX Recom d for Acceptance Date Asst. Die r TPW - Development Services zi Accepted Date Director, TRANSPORT ATIO & PUBL.IC WORKS Asst. City Manager Date Department TP&WCons Services GPN# Dae Project Manager � I� Risk Management Canad J Comments.- D.O.E. Brotherton — CFA Morales/Scanned Gutzier/Scanned The Proceeding people have been Contacted concerning the request for final payment& have released this project for such payment. Rev.9/22gW�m 4C0 Clearance Conducted By f�A'wfie FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name PRIMROSE CROSSING PHASE 3C Contract Limits Project Type DRAINAGE City Project Numbers 100872 DOE Number 8720 Estimate Number 1 Payment Number 1 For Period Ending 2/13/2018 WD City Secretary Contract Number Contract Time I IWD Contract Date 5/16/2017 Days Charged to Date 198 Project Manager NA Contract is 100.00 Complete Contractor C.W.YOUNG CONSTRUCTION 210 S.SD'TH STREET MANSFIELD, TX 76063 Inspectors DICKINSON / DIVER Tuesday,February 13,2018 Page 1 of 4 S4J City Project Numbers 100872 DOE Number 8720 Contract Name PRIMROSE CROSSING PHASE 3C Estimate Number I Contract Limits Payment Number I Project Type DRAINAGE For Period Ending 2/13/2018 Project Funding UNIT III:DRAINAGE IMPROVEMENTS ItemDescription of Items Unit Unit Cost Estimated Estimated Completed Completed No. Quanity Total Quanity Total 1 REMOVE 4'DROP INLET(AND DISPOSE) 1 EA $790.00 $790.00 1 $790.00 2 TRENCH SAFETY 673 LF $0.26 $174.98 673 $174.98 3 CONCRETE COLLAR 3 EA $379.00 $1,137.00 3 $1,137.00 4 T STORM JUNCTION BOX 1 EA $5,764.00 $5,764.00 1 $5,764.00 5 21"RCP CLASS III CO#1 150 LF $64.85 $9,727.50 150 $9,727.50 6 24"RCP CLASS III 335 LF $72.38 $24,247.30 335 $24,247.30 7 30"RCP CLASS III 208 LF $86.57 $18,006.56 208 $18,006.56 8 15'CURB INLET 3 EA $5,490.00 $16,470.00 3 $16,470.00 9 20'CURB INLET 3 EA $6,398.00 $19,194.00 3 $19,194.00 10 CONNECT INLET TO EXISTING 21"RCP 1 EA $1,080.00 $1,080.00 I $1,080.00 11 CONNECT TO EXISTING 36"RCP 1 EA $1,080.00 $1,080.00 1 $1,080.00 12 T STORM JUNCTION BOX CO#1 2 EA $7,075.00 $14,150.00 2 $14,150.00 13 15'CURB INLET CO#1 2 EA $2,745.00 $5,490.00 2 $5,490.00 ----------------------------------- Sub-Total of Previous Unit $117,311.34 $117,311.34 ----------------------------------------- Tuesday,February 13,2018 Page 2 of 4 City Project Numbers 100872 DOE Number 8720 Contract Name PRIMROSE CROSSING PHASE 3C Estimate Number I Contract Limits Payment Number I Project Type DRAINAGE For Period Ending 2/13/2018 Project Funding Contract Information Summary I Original Contract Amount $96,374.34 ��, S4 • 34 ChanL,e Orders Change Order Number 1 $20,937.00 Total Contract Price $117,311.34 t — e Total Cost of Work Completed $117,311.34 Contr ctor Less %Retained $0.00 ate C;2 Net Earned $117,311.34 Insp ction Supervisor Earned This Period $117,311.34 Oka Retainage This Period $0.00 IG ka(, G 0 Date 3 I � Less Liquidated Damages Proj vlanageK77 Days @ /Day $0.00 Date I 1 aw LessPavement Deficiency $0.00 As:st.D c r 2Jr (� Less Penalty $0.00 Date 3 U Less Previous Payment $0.00 Direct /Contracting Depa ent Plus Material on Hand Less 15% $0.00 Balance Due This Payment $117,311.34 Tuesday,February 13,2018 Page 3 of 4 City Project Numbers 100872 DOE Number 8720 Contract Name PRIMROSE CROSSING PHASE 3C Estimate Number I Contract Limits Payment Number I Project Type DRAINAGE For Period Ending 2/13/2018 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / DIVER Contract Date 5/16/2017 Contractor C.W.YOUNG CONSTRUCTION Contract Time 115 WD 210 S.SIXTH STREET Days Charged to Date 198 WD MANSFIELD, TX 76063 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 $117,311.34 Less %Retained $0.00 Net Earned $117,311.34 Earned This Period $117,311.34 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 $117,311.34 Tuesday,February 13,2018 Page 4 of 4 FORTWORTH rev 03/05/07 TRANSPORTATION& PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: Primrose Crossing Phase 3 C PROJECT NO.: 100872 CONTRACTOR: C.W. Young Construction DOE NO.; PERIOD FROM;07/05/17 TO: 01/19/18 FINAL INSPECTION DATE: 19-Jan-18 WORK ORDER EFFECTIVE:7/5/2017 CONTRACT TIME: 115 WD) 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 198 PERIOD PREVIOUS PERIOD TOTALS 198 TO DATE *REMARKS: l (� CONT4ACTOR DATE INSPE OR - DATE _ ENGINEERING DEP lItTl� i The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 BOND NUMBER 022057747 OWNER CONSENT OF SURETY ARCHITECT ElT 1 FINAL 1 AYM NT° CONTRACTOR Conforms with the American Institute of SURETY Architects,AIA Document G707 OTHER TO OWNER: City of Fort Worth,Texas ARCHITECT'S PROJECT NO.: (Name and address)500 Crescent Court Suite 350 Dallas,Texas 75201 CONTRACT FOR: Primrose Crossing Phase 3C PROJECT: Primrose Crossing Phase 3C CONTRACT DATED: (Name and address) In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Liberty Mutual Insurance Company 175 Berkeley Street Boston,MA 02116 SURETY, on bond of (Insert name and address of Connnctot) C.W.Young Construction, L.P. 210 S 6th Ave Mansfield,Texas 76063 ,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 City of Fort Worth (Insert name and address of Owner) 500 Crescent Court, Suite 350 Dallas,Texas 75201 OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: January 19,2018 (Insert in writing the ninth followed by the numeric date and year.) Liberty Mutual Insurance Company (Surety) r Attest: �{ ` ( gn glattt orized representative) Sonia Lara,Attorney-in-Fact (Printed mmie and title) l�LibertX Mutual- SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una queja: You may call toll-free for information or to Usted puede llamar al numero de telefono gratis make a complaint at para informacion o para someter una queja al 1-877-751-2640 1-877-751-2640 You may also write to: Usted tambien puede escribir a: 2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste. 400 King of Prussia, PA 19406-2755 King of Prussia,PA 19406-2755 You may contact the Texas Department of Puede comunicarse con el Departamento de Insurance to obtain information on companies, Seguros de Texas para obtener informacion coverages, rights or complaints at acerca de companias, coberturas, derechos o 1-800-252-3439 quejas al 1-800-252-3439 You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros Consumer Protection(111-1A) de Texas Consumer Protection(111-1A) P. O. Box 149091 P. O. Box 149091 Austin, TX 78714-9091 Austin, TX 78714-9091 FAX: (512)490-1007 FAX#(512) 490-1007 Web: hMt ://www.tdi.texas.gov Web: htW://www.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a premium or about a claim you should first un reclamo, debe comunicarse con el agente o contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede If the dispute is not resolved,you may contact the entonces comunicarse con el departamento (TDI) Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA: POLICY: This notice is for information only and does not Este aviso es solo para proposito de informacion become a part or condition of the attached y no se convierte en parte o condicion del document. documento adjunto. NP 70 68 09 01 LMS-15292 10115 TI-18POWER OF ATTORNEY IS NOT VALID UNLESS IT I'S PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. Certificate No, 7935087 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and 'West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the'Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Bryant-Ahmed;Bill Ballinger,Pahl=liV.Bower;Kev-in Glaborn,AndKew P-Clark;Colin E Conly;Aaroi T DeRoss,Rachel Duncan;LaCasha Grimes; Crystal A.Gutierrez;Sonia Lard,,-Richard S.Maxey,:Andrew Mtrier;Davld.UV IGforgan Dtana:Perez Tgmt J Pope,Candace Reynolds,Mark Rozewicz; Brian A.Smith;Sherissa Stoker;::Ntlaria Tijerina;Todd Tsertantz;Alisha Weis all of the city of Dallas state of TX = each Individually if there be morefhanone named,Its trae_ard lawful attorney irCfacfto make,execute,seal,acknowledge and deliver,for and on its behalf as surety 6s-its act ancf deed arFy acrd all undertakings;bonds-recogmzanees andother surety obligations-lqursuance of these presents and shall be as binding upon the Companies as if they fiade_been tfulysgned byJhe president and attestedtay fhe secretary of the Coii3panies in their owii proper persons. IN WITNESS WHEREOF,this Power of Attorney-_has been subscnbed_t1y an authorized officer or.official ofther Companies and the corporate seals of the Companies have been affixed - thereto this 9th, day of November 2017 The Ohio Casualty Insurance Company N Liberty Mutual Insurance Company p I4i9 on Y- z 1912 1991 West American Insurance Company By: c STATE OF PENNSYLVANIA ss David M.Carey.Assistant Secretary c M COUNTY OF MONTGOMERY c 0j Onthis9th -day of November 2017 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance v I-- L) a) Company,The Ohio Casualty Company, and West American Insurance Company,and that to he, as such, being authorized so to do, execute the foregoing instrument for the purposes 0 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. a)LLI N E N ' IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. O C. y-ra gR Poti.As COMMONWEALTH OF PENNSYLVANIA f/{ //� Q o° .rte pNotarial Seal y ���/�`""�"" '(4 O Teresa Pastetla,Notary Public BY L'a 0 i1 of Upper MerionTwp.,Montgomery County Teresa Pastetla,Notary Public d C t. o a4 I My Commission Expires March 28.2021 3 f0 y �rsr�y G O -. �AFfy PU®�� Member.Pennsylvania Association of Notaries a (S5 C itis This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company,Liberty Mutual NaT O Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: ns L ARTICLE IV—OFFICERS—Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O C to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal; >y O,S acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations_set forth in their respective - = m powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so M O �- executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under CD c 6 A the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power orauthority, ct ,V r ARTICLE XIII Execution of Contracts—SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, r 0? a m and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute, M 5 Z seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their C o0 respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so v o executed such instruments shall be as-binding as if signed b}_the president and:.etteste4 by3he secretary. O co Certificate of Designation-The President of the Company.-acting pursuant to the Bylaws of-#tie.Company,authorizes David M.Carey,Asslstanf_Secretary to appoint such attorneys-in- ~ fact as may be necessary to act on behalf=oEthe Company to make eXeetite,seal,acknoNifedge olid deliver assuretyanyand all undertakings;:bonds,recognizances and other surety -obligations. Authorization By unanimous consent of 6b.Company s Board of-Directors,the Company consents that facsimile or mec6 ically reproduced signature of any assistant secretary of the Company,wherever appearing upon a certified:copy of ariy_p"ower 61:8ttortley issued by the Company in connection with sOty bonds,shall be valid:and binding upon the Company with the same force and effect as though manually affixed.- - 1, Renee C. Llewellyn, the undersigned, AssistatiE Seeratary, The 013io_�:Casualty Insurance 06rhpany, Libeity.Mutual 1ht-Otaf Company and:West American Insurance Company do hereby certify that the original power of attorney of whicIf the foregoing rs::a loft true and correct-:copy of the Power of Atforneg executed by satd:Companies, is in full force and effect and has not been revoked. < IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this/ day of 20 p 1919 n 1912 1991 ? By: O N v o • �� y = Renee C.Llewe ssistant Secretary 30 of 200 LMS 12873 022017 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 Joe Winchester, Operations Manager Of C.W. Young 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; Primrose Crossing, Ph. 3C - City Proj 100872 BY (J Joll Winchester- Operations Manager Subscribed and sworn before me thi date 18th of January, 2018. EVERETT W STEWART III My Commission Expires Notary Public March 12,2019 Ras Tarrant, Texas 210 S Sixth Ave. Mansfield, TX 76063 (817) 477-1414 uOMMIM L" _ _ fax: (817) 473-6077 01/18/2018 City of Fort Worth CFA Administration 1000 Throckmorton St. Fort Worth, TX 76102 RE: Primrose Crossing, Ph. 3C City Project#100872 The purpose of this letter is to acknowledge that we have been paid in full by First Texas Homes for the public improvements constructed to serve Primrose Crossing, Ph. 3C 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. Since ely, N. ,, o W Chester Operat ons Manager C.W. oung Construction 8- 7.1414 C.W. Young Construction, L.P. -- 210 S. Sixth Ave. -- Mansfield, TX 76063 CONTRACTORS RELEASE F LIEN STATE OF,TEXAS, COUNTY OF TARRANT KNOW ALL MEN BY THESE PRESENTS: That the undersigned, Joe Winchester for and in consideration of the sum of $ 462,628 .55 , cash in hand, receipt of which is hereby acknowledged, do hereby waive, release and quit claim all liens, lien rights, claims or demands of every kind whatsoever which the undersigned now has, or may hereafter have against the certain real estate and the improvements there located in Fort Worth, Texas and commonly known as Primrose Crossing, Ph. 3C on account of work and labor performed, and/or materials furnished in, to or about the construction of any building or buildings situated thereon, or in improving said property above described or any part thereof. It being the understanding of the undersigned that this Release of Lien to the extent of the payment herein referred to, the undersigned warrants that no assignment of said liens or claims nor the right to perfect a lien against and said real estate, has or will be made, and that the undersigned has the right to execute this Release, and that all laborers employed by the undersigned, and bills for materials and supplies furnished by other to the undersigned, in connection with the construction of improvements upon the aforesaid premises, to the extent of the payment herein referred to, have been fully paid and all materials and supplies are free and clear of conditional bills of sales and/or retain title contracts . Executed this day of 2018 . C .W. Young Construction, L . P . BY: State of Texas, County of Tarran The foregoing instrument was acknowledged before me this tm� I 1 day of 2018b Y vti of C.W. Young Construction, L. P. -EVERUT W$TEWART ill My C4mmie#lon tolfes s o Mardi 1Z,2019 Notary Republic Commission expires:_ FORTWORTH REV.8/20/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I CONTRACTOR&PROJECT DATA Name of Contractor Project Name C.W.Young Construction Primrose Crossing Phase 3C Inspector City Project Number James Diver 100872 Construction Cmnponents Project Manager ❑ Water❑ Waste WaterO Storm Drainage❑ Pavement Khal Jaafari Initial Contract.4mount ProjectDifficully $96,374.34 0 simple Routine O Complex Final Contract Amount Date $117,311.34 2/13/2018 In 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 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 4 60 60 9 Daily Clean Up 5 Y 4 20 20 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 4 20 20 TOTAL ELEMENT SCORE(A) 448 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 448 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS] * 100%) 448 / 448 = 100% 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) w I Inspector Signature _ Contractor Signature w Inspector's SupervisorSignatu r1_ CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•8851 Camp Bowie West Blvd. •Fort Worth,TX 76116•(817)392-8306 FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 2/13/2018 Name of Contractor Project Name C.W.Young Construction Primrose Crossing Phase 3C DOE Inspector Project Manager James Diver Khal Jaafari DOE Number Project Difficulty Tj pe of Contract 100872 O Simple * Routine Q Complex ❑ Water[:1 Waste water❑✓ Storm DrainagEE] Pavement Initial Contract Amount Final Contract Amount $96,374.34 $117,311.34 Ill)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity&Sufficiency of Details ` 3 Accuracy of Measured Quantities 3 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities L 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Perfonnance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Tune 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts L 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor (w\ Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS 4 The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817) 392-7845 ® § ° cq 2/ q \ 30 ° / / ) k \ § m 2@ 2 -U m / a rn § z o ; : w ; mm # m « -U � w % 20 �/ 0o � j> j § [ d /d\ -1 \z m m >Z `) k) ( ) m m m ! * Q / / ] - - k § \ 2 _ ® rrCD § $ 77 § # m (� \ \ - � { / / ; m § -u- n m ) \ zz > _ .. .. § R § 2 \ ) § / z ƒ ) � \ _ Q \ . m ^ \c 4) e x ' ,, \ m g §4 ( k ^ 2 [\ � � § (ƒ / \ �j � ? o % % # \per ƒ m ; § / \ / § § , & \ 0 of ( m �k , gn zC:4 § d a o \ �/ & e 7 & J kd ( )) \§ ( cl - � \§ ) _ :o k ( . <W m- � * �n d§ ET n � ! 7 2 e . $ ( / z § � � -