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Home My WebLink AboutContract 45862-FP1 (2)Departm n �' Const. Services DOE#_�� Date Project Manager Risk Management S. Canda ' D.O.E. Brotherton %� CFA Westerman/Scanned ❑ r,� J The Proceeding people ha�•e been Cootacted concerniog the request Cor final payment & har�c rcleascd this project tor such paymeot. Clearance Conducted By Etta Sacy ATION AND PUBLIC WORSS F PROJECT COMPLETION G,5 �-!.�'�(o� D.O.E. Ns: 6618 ' STM—M Regarding contract 45862 for WATER & SANITARY SEWER REPLACEMENT CONTRACT 2009 as required bp the WATER DEPARTMENT as approved bp City Council on 06/10/2014 through M&C G26836 t�e director of the WATER DEPARTMENT upon the recommendation of the �ssistant Director of the Transportation & Public Works Department has accepted the pto'ecLas,_cc,��te. Original Contract Prices: Amount of Approved Change Revised Contract Amount: Total Cost Work Completed: Less Deductioos: Liquidated Damages: Pavement Deficiencies: Total Deduction Amouat: Total Cost Work Completed: Less Previous Payments: J , � � --4:�.-nE� ��i� �� r � r: . ��.A�T wr�� _ . S9�ol — � oaU'77 Final Payment Due Recommended for Acceptance Asst. Dlrector, TPW - Infrastructure Design and Construction -- --- �'�•��;.��T -.�` � � Accepted Asst. Director, WATER DEPARTMENT __ �f s ��-r�6_ _ _- _ .`__._ -- Date� t.�_ _Z'`�i? --'i/� f , .� -- -- — { — -- - — — Asst. City Manager � v� c� � � r°�-� �� --�------ �li-�-� -- - Date Comments: FUND ACCT: �F%ATER P253 6031701477 / SEWER P258-7031701477 .. � NOV 1:1 2015 �,f , �t�: � c,,,� �„ ,� 50.02 Ms 1 $950,000.01 $931,398.08 Days @ $210.00/ Day 50.00 $931,398.08 5863,793.25 $67,604.83 - — //�3 -/,S� -- Date �� :� ��,: ;��°� ��°r.�� ry- . ,.. i��S 3— Ca i� �'� �� td(1V U 4 201�� U �'`�:�t �I � �q (00� — G O)�Ir1�f cs � s- �� City Project Numbers 01477 ��.� � �__._.! Contract Name Water and Sanitary Sewer Replacement Contract 2009, STM-M Contract Limits Project Type WATER & SEWER Project Fundiog Project Manager Chaubey Inspectors RODGERS / DAVII.A Contractor CD BUll.DERS,INC. PO BOX 1002 HURST , TX 76053 DOE Number fi61A Estimate Number ! ` Payment Number (5 For Period Ending �'�'�''!'1 � City Secretary Contract Number Contract Date Cootract Time Days Charged to Date Contract is 000000 CITY OF FORT WORTH SLIMMARY OF CHARGES Lme Fund Account Center Gross Retamage -'-`N Funded _L__ SL]�al-ev��7 5 �+sl �,� g � �� _t�, ___�� 3 8��g1 ,�� `i�c��- Cr1L�l1 �Ki 1 � 5� K 3�' I 3�$� ?�-t + g� � 5X �586? 6/10/2014 180 CD 200 CD Complete �c� #�a7_� _ Amount - " � � —� � 7'tmrsday, July 02, 2015 Total Cost of Work Completed Less % Retained Net Earned Earned This Period $67,604.83 Retainage This Period $0.00 l,ess Liquidated Damages 0 Days @ $0.00 / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Materiel on Hand Less 15% Balance Due This Payment $931,398.08 $0.00 $931,398.08 $0.00 $0.00 $0.00 $863,793.25 $0.00 $67,604.83 Page 5 of 5 �2�3 -c�►��7 FORT WURTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Water and Sanitary Sewer Replacement Contract 2009, STM-M Contract Limits Pro,ject Type WATER & SEWER City Project Numbers 01477 DOE Number 6618 Estimate Number 15 Paymeut Number 15 City Secretary Contract Number 45862 Contract Date 6/10/2014 Project Manager Chaubey Contractor CD BUILDERS, INC. PO BOX 1002 HURS'I' , TX Inspectors Thursday, July 02, 2015 RODGERS / DAVII,A 76053 For Period Ending 6/30/2015 CD Contract Time 18�D Days Charged to Date 200 Contract is 93.000 Complete Page 1 of 5 ��-� City Project Numbers 01477 Contract Name Water and Sanitary Sewer Replacement Contract 2009, STM-M Contract Limits Project Type Project Funding 1a � � : . ./ : Unit I: VJater Improvements DOE Number 6618 EsiimateNumber js Payment Number 15 For Period Ending 6/30/2015 Item Description of Items Esfimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanify Tofat ------------------ ------------------ 1 3311.0441 12" WaterPipe 61 LF $49.95 $3,046.95 62 $3,096.90 2 33l 1.0241 8° Water Pipe (CO # I) 6632 LF $31.35 $207,913.20 6632 $207,913.20 3 3311A141 6" WaterPipe 78 LF $28.00 $2,184.00 72 $2,016.00 4 3312.3005 12" Gate Valve 2 EA $1,865_IS $3,730.30 2 $3,730.30 5 33123003 8" Gate Valve (CO #1) 22 EA $1,055.81 $23,227.82 22 $23,227.82 6 33123002 6" Gate Vaive 6 EA $697.79 $4,186,74 7 $4,884.53 7 3312.2203 2" Water Service 8 EA $237.38 $1,899.04 10 $2,373.80 8 2" Water Service Meter Re[ocation (CO #1) 10 EA $1,434.70 $14,347.00 IO $14,347.00 9 3312.2003 1" WaferService 180 EA $569.96 £102,592.80 1S3 $104,302.68 10 3312.0001 FireHydrant 7 EA $2,726.09 $19,082.63 6$16,356.54 11 331 I.0001 Ducti(e Iron Water Fittin 1.62 TO $4,213.05 $6,825.14 I.59 $6,b98.75 I2 1" Water Service Meter ReIocation 180 EA $297.40 $53,532.00 183 $54,424.20 13 0241.1302 Remove 6" Water Vaive 9 EA $148.70 $1,338.30 11 $1,635.70 14 0241.1303 Remove8"WaterValve 5 EA $198.27 $99135 I1 $2,180.97 15 3201.0400 TemporaryAsphaltPaving 9609 LF $11.90 £ll4,347.10 7160 $85,204.00 16 3201.0614 Conc Pvmt Repair, Residen 100 SY $47.59 $4,759.00 18 $856.62 17 3213.04D0 6" Concrete Driveway (CO #1) 1135 SF $3.57 $4,051_95 1135 $4,05195 18 3216.0102 6" Conc Curb and Gutter 1037 LF $11.12 $11,531.44 567 $6,305.04 19 3305.0003 8" Waterline Lowering 9 EA $5,45218 $49,069.62 9$49,Ob9.62 20 3304.0101 Temporary WaterServices 1 LS $4,956.53 $4,956.53 1 $4,956.53 21 3292.0100 Block Sod Placement 770 SY $3.97 $3,056.90 675 $2,679.75 22 0241.1510 Remove and Salvage Fire H 7 EA $198.27 $1,387.89 7 $1,387.89 23 Permanent Asphalt Pvmt Repair 200 SY $44.61 $8,922.00 24 3312.0117 ConnectiontoE�sting6" I4 EA $793.05 $11,102.70 15 $1I,895.75 25 3471.0001 Traffic Control 1 LS $2,500.00 $2,500.00 1 $2,500.00 26 3125.O10I SWPPP >_ 1 acre 1 LS $1,340.00 $1,340.00 1 $1,340.00 27 3305.0103 Exploratory Excavafion of 4 EA $99.74 $396.56 4 $396.56 28 Dig Test Holes (1 Cover -1 Waverly Way (CO #1) 2 EA $1,100.00 $2,200.00 2 $2,200.00 Sub-Total of Previous Unit $664,518.96 $620,032.10 Thursday, July 02, 2015 Page 2 of 5 City Project Numbers 01477 Contract Name Contraci Limits Project Type Project Funding Water and Sanitary Se�4�er Replacemeot Contract 2009, STM-M WATER & SEWER Unit II: Sewer Improvements DOE Number 6618 Estimate Number 15 Payment Num6er 15 For Period Endiug 6/30/2015 Item Description of Items Estimated Unit Unit Cost Estimated Compleied Completed No. Quanify Total Quanity Total 1 3331.4ll5 8"SewerPipe(CO#1) 3208 LF $33A4 i145,99232 3208 $1Q5,992.32 2 3331.3101 4"Se�verService 66 EA $356.53 $23,530.98 62 $22,104.86 3 33313102 4" 2-Way Cleanout 66 EA $495.66 $32,713.56 62 $30,730.92 4 33391001 4' Manhole (CO #1) 26 EA $2,280.00 $59,280.00 26 $59,280.00 5 3339.1002 4' Drop Manhole 1 EA $3,958.95 $3,958.95 1 $3,958.95 6 3339.1003 4' Extra Depth Manhole 60 VF $247.83 $14,869.80 40 $9,91320 7 3339.0001 Epoary Muiliole Liner (CO #I) 49 VF $61.47 $3,012.03 49 $3,012.03 8 3305.OI12 Concrete Collar 23 EA $99.14 $2,280.22 9 3305.0I09 Trench Safety (CO #1) 3208 LF $1.00 $3,208.00 3208 $3,208.00 10 3305.0103 Exploratory Excavarion of 6 EA $99.14 $594.84 6 $594.84 11 3301.0101 Manhole Vacuum Testing (CO #Il) 28 EA $9914 $2,775.92 27 $2,676.78 12 3301.0002 Post-CCT'V Inspection (CO #1) 3208 LF $2.12 $6,800.96 3208 $6,800.96 13 3213.040] 6" Concrete Driveway 1462 SF $3.57 $5,21934 14 3471.00OI Traffic Control 1 LS $2,500.00 $2,500.00 03 $750.00 15 3125A101 SWPPP > 1 acre 1 LS $1,340.00 $1,340.00 1 $1,340.00 16 3201.0400 Temporary Asphalt Paving (CO #I ) 5579 LF $12.72 $70,964.88 467I $59,41512 17 3292.0100 Block Sod Placement 400 SY $3.97 $1,588.00 400 $1,588.00 Sub-Total of Previous Unit $340,629.80 $311,365_98 r Thursday, July 02, 2015 Page 3 of 5 City Project Numbers 01477 Contract Name Conh�act Limits Project Type Project Funding Water and Sanitary Sewer Replacement Contract 2009, STM-M WATER & SEWER Contract Information Summary Original ContractAmount Chan�e Orders Change Order Number 1 ��' �� ,s � � Date Contractor / Date / �is �,� � Inspection Supervisor �� DOE Number 6618 Estimate Number Payment Number Total Contract Price For Period Ending $949,999.99 $0.02 i i�r i Total Cost of Work Completed Less % Retained Net Earned Earned This Period Retainage This Period Less Liquidated Damages ,i �i IS IS 6/30/2015 $931,398.03 $0.00 $931,398.08 r Days @ / Day $0.00 LessPavement Deficieucy �� Fne,u3 Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $0.00 $0.00 $863,793.25 , $0.00 $67,604.83 ? Thursday, July 02, 2015 Page 4 of 5 Asst. ir cto�'t � Infras c re�Design and o�uction ,�� --'t� • ��/Date �j � f � Director / Conhacting Dep en F'« � � Wc� r � - � -r ��— city of Fort wortn Ghange Order Request �:i� ��P ��.�:y �� : I Project Name: Water antl Sanitary Sewer Replacement Contract 2009, STM-M City Sec No.: 45862 Project No,(s): P253-603170147783 and P258-703170147783 DOE No. 6618 City Proj. No.: 01477 Project Description:l Water and sanitary sewer main replacements on Sapping Place, Waverty Way, Lubbock Street and Covert Avenue. I Conhactor: CD Builders, Inc Change Order #�1 Date: 6/9/2015 City Project Mgr. Chaubey Rakesh Ciry Inspector: Edward D'avila Phone Number: (817) 392-6051 Pl�one Number: (817) 223-2268 Dept. Original Contract Amount ExUas to Date Credits to Date Pentling Change Orders (in M&C Process) ContractCostto Date Originai Funds Available for Change Orders Remaining Funds Available for fhis CO AdtliUonal Funding (if necessary) �1 CNANGE ORDERS to DATE (INCLUDING TNIS ONEJ AS % OF ORIGINAL CONTR,4CT MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%J iotals i i��.� ; ,.� �� Contract Time o�� ri+±n t i�n ��rtn�� ruR 4nMnuc-vnutR cliauge order will provide for the installation of additional footage of sanitary sewer pipe that is necessa�y to plete the project. change order will also allow for the deletion of pay item quantities that are no longer necessaiy on the � �� <� �� I'P1 � � r� � � F1� � 0 � t� concurs with the contractor's cequest 20 � it is understood and agreed ihatthe Water I Sewer .62 days on the project. e 0 ' OCdO��' �� lhe contractorconstitutes an accord and saGsfacGon and represents payment in full (bolh time and money) for all costs arising oul of, or incidenial to, the above Change Order, �'o Rr we� R-r �-I ..�. city of Fort wortn Change Order Additions Project Name Water and Sanitary Sewer Replacement Contract 2009, STM-M Project No.(s): P253-603170147783 and P258-703170147783 DOE No. 6618 Project Descripiion Contractor City Project Mgr. City Sec No.: 45862 City Proj. No.: 01477 Water and sanitary sewer main repiacements on Sapping Place, Waverty Way, Lubbock Street and Covert Avenue. CD Builtlers, Inc Change Order:� Date: 6/9/2015 Chaubey Rakesh City Inspector Edward D'avila ,�� - � - FO'RT ��O RT H City of �ort Worth Change Order Deletions I�roject Name Water and Sanifary Sewer Replacement Contract 2009, STM-M Project No.(s): P253-603170147783 antl P258-703170147783 DOE No. 6618 Project Description Water and sanitary sewer main replacements on Sapping Place, WaveRy Way, Lubbocl Avenue. City Sec No. City Proj. No.: Street antl Covert 45862 01477 Contractor CD Builders, Inc Change Order: 1� Date 6/9/2015 City Project Mgr. Chaubey Rakesh City Inspector: Etlward D'avila DELETIONS ITEM 3 3311.0141 6" Water Pipe 15 3201.0400 Temporary Asphalt Pavir 18 3216.0102 6" Conc Curb and Gutter 21 3292.0100 Block Sod Placement 23 Permanent Asphait Pvmt Repair 2 4° Sewer 5ervice 3 4" Clean out 6 4' Manhole Extra Depth 8 Concrete Collar 13 6°Concrete Driveway Water Water Sewer Sewer Sewer Sewer Sewer f�l��i Qty Un 6.00 LF 2,066.41 LF 470,00 LF 95.00 SY 200.OD SY 4.00 :0.00 VF '3.00 EA 462.00 SF Sewer Page 3 of 4 it Cost Total $28.00 $168.00 $11.90 $24,590.28 $11,12 $5,226.40 $3.97 $377.15 $44.61 $8,922.00 $356.53 $1,426.12 $495.66 $1,982.64 $247.83 $99.14 Sub Total 280.22 219.34 39,283.83 15,864.92 148.75 I Page 4 of 4 F cuid Appropriation Requests M&C Required?: No M&C Number: Fund Appropriation Requests � General Project Number: 01477 Project Name: W& SS Repl. Contract 2009 STM-M Title: FAR to fund C.O. 1 Recard Number: FAR-00007 Amount Requested: 31,203.80 Fund Appropriation Request Internal FAR Type: Target Completion Date: Effective Date: Data Type Code: 2 Page 1 of 1 Creator: Rakesh Chaubey Status: Pending Creation Date: 06/09/2015 07:30 AM Local (GMT-6) Remarks: Explanation: Comments: FAR to fund C.O. 1 M&C Approval Date: c<•,r �J Task Details From: To: Cc: Sent For: Joumal Voucher Required?: No Description 3 (Journal Voucher No.): Task Due Date: Dan Pepon 2 Review Workflow Progress 0 Line Item 1 Item(s) No. �FBS Code �Fundina FAC IShort BONDS- SEWERCP- S WERPROJ- P258-476045-fund C.O. P258-13-70- 701139990100� 476045- 701139990100 Task Status Not Applicable L'Task Notes (0) 2 IWBS Code A-SEWER- SEWERPROJ- 17-83-70- 541200-P258 View Only otal Amount �WBS FAC �Original FAC 31,203.80 P258-541200- 703170147783 Total Amount: $ 31,203.80 Attachments (0) Linked Records(0) Linked Mail (0) https://primavera-unifier23 . oracleindushy.com/bp/studio/print/open?id=3 3 006&model=ufar... 6/9/2015 � - � ��_� - � - . - - �:, — ,., . : ;r� .., � - -, s ., ` .� - i - ... • ' ' .. �.: .� _, ' `i. �' �. �:� � - -�.� � ... ... - . �'--_ '—. _'�'- — — _, r —� .. � _.F' i ^" -� ! � � � . ' ♦ • . : ... y., .. ..,.. ' ' .'� . ......-.. f . �� ' � i• ' ! • ► ' .1 1 � : . � ' : t 1 ' : !• I • • : • � , 1 , __ Project oescrip�ion:j Water and sanitary sewer main replacements on Sapping Place, Waverty Way, Lubbock Sfreei and Cover# Ayenue. j t { Contractor: CO Builders, Inc Change Order# �1 Date: 619(2015 � Ci(y Project Mgr. Chatibey Rakesh � Ciiy Inspecfor: Edward D'avila �� Phone Number:� {817) 392-6051 Phone Number: (817) 223-2268—�� Depf, Original Contract Amount Extras fo Dafa Credits fo Date Pending Change Orders (in M&G Process) Coniract Cost to Date ►l1'd� Sewer Amount af Praposed Chanc�e Order =��,�� q.�; �_��',�� . _ -_ Revised ConUact Amount 625,23v 13 ;; , `��qf7�ta�' ; � , , _ Origina( Funds Available fior Ghange Orders $25,OQ0.38 $14,877,63 Remaining Funds Available for ihis GO -�2��(?Q, 38, i $1d,��7,63 ,, �� Addi6anai Funding (if necessaryj _ _ _ $��;3�g;$g _ _ -3 CXAN�E ORDERS ta DAi� (lNCLUDt�V6 THIS ONE) AS % OFORI�S]fVAL CONTRACT MAXALLOWA�LE CQNTRACTAMDU�i7'(OR/GlNAL COIUTRACT COST+ ��%) Tofials � �antract Time change order will provide for the installation of addi#ionai footage of sanitary sewer pipe that is necessary to �lete the project. �hange ordar will also allow for the deletion of pay item quantities that are no Ionger necessary on the � �ri �-a � � 3�'i � � � � � � s-�, � � � concurs with the cont�•actor's request 20 � � � days on the projecf. 0 � It is understood and agreed that the acceptance of this Change Order by the contractar constitutes an accord and satistacHon and represents paymenf in full {boUt fime and money) for all costs arising out of, or incidentai to, fhe a6ave Ghange Ordec �'� 1�T' �+C� ��' i� Ciiy of For� Worth � � Change Ord�r Addifiions Project Name Water and Sanitary Sewer Replacement Contract 2009, STM-M Project No.(s): P253-603170147783 and P258-703170147783 DOE No. 6618 Project Description City Sec No.: 45862 City Proj. No.: 01477 Water and sanitary sewer main replacements on Sapping Place, Waverty Way, Lubbock Sfreet and Covert Avenue. Contracfor CD Builders, inc �� Change Order: � Oate: 6/9/2015 City Project Mgr. Chaubey Rakesh City Inspector Edward D'avila ADDITIONS __ DEPT Qty Unit Unit Cost Sewer Sewer 7 Epoxy Manhole Liner 9 Trench Safety 11 Manhole Vacuum Te: 12 Post-CCTV Inspectio► 16 Temporary Asphalf P� 28 Dig test holes (1 Cove 2 8" PVC Water Pipe 5 8" Gate Valve 8 2" Water Service MetE Sewer Sewer Sewer Water 535.00 LF $33.04 $17, 5.00 EA $2,280,00 $11, 7.00 VF $61.47 $43( 535.00 LF $1.00 $53; 5.00 EA $99.14 $49f 535.00 LF $2.12 $�,1 897.00 LF $12.72 $11; 2.00 EA $1,100.00 $2,2 31.00 LF $31.35 $971 EA $1,055,81 $4,2; EA $1,434.70 $2,81 505.00 ISF 00 70 4.20 09.84 , 0.00 $1,802.85 Page 2 of 4 Addifions Sub Total �55,148.77 �� _ � @ .� f - '!. ' � - :f ` � '�( ' � :� • ; Water and Sanitary Sewer Replacement Contract 20Q9; STM-M Project No.(s): P253-6031701417$3 and P258-703170147783 DOE No, 6618 Cify Sec Na.: 45862 Ci#y Proj. No.: 01477 Project Description �aier and sani#ary sewer main replacemenfs on Sappin� Place, Waverty Way, Lubbock S(reet and Coverf A�renue. Contracfo� CD Builders, Inc City Project Mgr. Chaubey Rakesh � Change Order: � Date �6/9/20�5 City Inspec#or: Edward D'avila DELETI�NS Page 4 of 4 Fund Appropriuiion Requests Page 1 of 1 Fund Appropriation Requesfis � General Project Number: 01477 Projecf Name: W& SS Repl. Gontract 2009 STM-M Titfe: FAR to fund GO. 1 Record Number: FAR-00007 Amount Requested: 31,203.80 Fund Appropriation Request lnternai FAR Type_ Creator: Rakesh Chaubey S[afus: Pending Creation Dafe: 06109/2015 07_30 AM Lacai (GMT-6} Target Completion Date: Effective Date: Data Type Code: 2 Remarks: Explanation: Comments: FAR to fand C.O. 1 M8�C Required?: No M&C Number. M&C Approval date: «�� Task Defails From: To: Dan Pepon Cc: Sent For: 2 Review Vl/orkflow Progress 0 Line ifem 1 ltem{s) No_ (FBS Code �Funding FAC IDescriptic BOAlDS- SEWERCP- SEWER- P25g_476Q45- FAR fo )01 SEWERPROJ-701139990100 fund C.O_ P258-13-70- 1 476Q45- 70'I'139990100 Journai Voucher Required?: No bescription 3 (Journal Voucher No.}: Task D�e Date: Task Stafus: 2 IWBS Code A-SEti/VER- SEWERPROJ- 17-83=70- 5412DQ-P258 Not App[icable View Only otal Amount �%''Task Notes (0) FAC 31,203.80 ��$8-541200- 7Q3170147783 FAC Total Amount: $ 31,203.80 Attachments (Of Linked Records(0) Linked Mail (0) � TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: `"'Y'ROJECT NAME: Water and Sanitary Sewer Replacement Contract 2009, STM-M PROJECT NUMBER: # 01477 DOE NiTIVIBER: DOE 6618 C.�l�l��.� ' 1' - �11 I' I'IRE HYDRANTS: 7 PTPE ABANDONED Ductile Ductile DENSITIES: NEW SERVICES: SIZE 12" 8�� 6" SIZE 12" 8�� 6" TYPE OF PIPE PVC PVC PVC VALVES (16" OR LARGER) TYPE OF PIl'E YES SEWER PIPE LAID Clay PIPE ABANDONED SIZE g�� SIZE TYPE OF' PIPE PVC TYPE OI' PIPE LF LF LF LF 61 6632 72 61 6632 72 � DENSITIES: �S NEW SERVICES: � � �� • j: .�� T'Rt1NSPORTATION AND PUBLIC WORKS The Citq of Fort Worth • 1000 Thtockmorton Stseet � Fort Worth, TY 76012-6311 (81'� 392 - 7941 • Fas: (&17) 392 - 7845 j�a 5' .�;3 E� Et�CiUCC�t�C� August 4, 2015 City of Fort Worth RE: Water and Sanitary Sewer replacement contract 2009, STM-M, City Project No. 01477. Bond No.: 1301148000828 Gentlemen: At the request of CD Builders, Inc., contractor under the project in caption, we wish to confirm that we have no objection to the release of any amounts due to them for work performed on this 'contract, inasmuch as the contractor advises that they have no bills pending payment and also that they have paid for all labor employed in this contract. This release in no way affects our obligation under the bond whereby the Company assumes responsibilities for any claim that may arise against this contractor under the terms and conditions of the bond. Cordially yours, � ��' t..��''y�� oberto DP Soto I,opez 1�ttorney in Fact lncotionn Endur.anc�r F:cirs.tvr.�n�:c: Car�crnr:tcic�n orf�Rmarii-❑ Tcieplwonaz E714, t�ft_St3(?O 3�3 �r.teli�'�eer rlvcrittc . poesirnila: 914_�J�7_Q337 Wliite I'i:�ins. Nl' ] VGU-� AFFIDAVIT OF SILLS PAID STATE OF TEXAS COUNTY OF DENTON . KNOW ALL MEN BY THESE PRESENTS: Personally, before me the undersigned authority, on this day appeared Ismael Carrasquillo, who being duly sworn on oath, says that he is a legal representative of CD BUILDERS INC., and that the contract for the construction of the project, designated as: WATER & SANITARY SEWER REPLACEMENT CONTRACT 2009, STM-M has been satisfactorily completed and that all bills for materials, apparatus, fixtures, machinery, labor, and equipment used in connection with the construction of this project have been fully paid. Title Sworn to and subscribed before me this, the S�ay of August, 2015. � Notary Publ in Tarrant Cou ty, for REBECA I CRUZ My Commission Expires October 20, 2018 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATIOIu OF CITY � PROJECT IN�'ORMATIOIV Name of Contractor CD Buiiders DOE Inspector � Edward D'avila DDENumber ProjectD�cu/tv 6618 � Simple Q Contract Amount � Routine Q Complex In PERFORMANCE EVALUATION �� 0- Inadequate 1- Deficient 2- Standard 3- Good 4- Excellent ELEMENT RATIlVG ELEMINT �� - 4) INSPECTION EVALUATION 1 Availability of Inspector 3 Accuracy of Measured Quantiti 4 Display Of Professionalism 5 Citizen Complaint Resolution 6 Performance - Setting up Valve ADMINISTRATION 1 Change Order Processing Tune 2 Timliuess of Contractor Payme� 3 Bid Onenin� to Pre-Con Meetir ��-r�� Date: I 6/28/2015 Project Name Water and Sanitary Sewer Re Project Manager Chaubey Rakesh Tvpe of Conirac! Q Water Waste Water� Final Contract Amomzt Storm O C� � �v: o2i22lo� Contract 2009. STM- PLANS & SPECIFICATIONS 1 Accuracy of Plans to E�sting Conditions 2 Clarity & Sufficiency of Details 3 Applicability of Specifications 4 Accuracy of Plan Quantities PROJECT MANAGER EVALUATION 1 Knowled�e And/Or Problem Resolution Availability of F Communication Resolution of U u-�,u- IL� COMMENTS & SIGNATURES COMMENTS Conflicts Pavement RATING rn _ a� �' � Signature Contractor Signature DOE Inspector Signature DOE Inspector's Super IN3PECTOR'S COMMENTS _ � , :��: =.:�� TR.t1NSPORTATION t1ND PUBLIC �VORKS The Ciry of Fort Worth • 1000 Throckmorton Stceet • Fost Worth, TX 76012-6311 (817) 392 - 7941 • Fas: (817) 392 - 7845 oRTWoR�rH TRANSPORTATION Al�iD PUBLIC W�RKS PERFORMANCE EVALUATION OF CONTRACTOR CONT'RACTOR & PROJECT DATA �v: o�,,a,o, 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 1 8 2 2 Public Norificarions 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 I S 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 4 20 20 10 Citizen's Complaint Resolution 5 Y 3 20 15 11 Property Restoration 5 Y 3 20 15 12 After Hours Response 5 Y 2 20 10 13 Project Completion 5 Y 4 20 20 TOTr1L ELEMENT SCORE (A) BONUS POINTS (25 Ma�mum) (B) TOTAL SCORE (TS) III) CONTRACTOR'S RATING Maximum Score (MS) = 448 or sum of applicable element score maximums which = Rating ([TS / MS] * 100%) 377 / 448 = 84% Cg] Performance Category Excellent <20% = Inadequate 20% to <40% = Def:cient 40% to <60% = Standard 60% to <80% = Good >80% = EYcellent Inspector's Comments (INCLUDING EXPLANATION OF BONiJS POINTS AWARDED) Signature DOE Inspector Signature DOE Inspector's Supervisor CONTRACTOR'S CObiMENTS �re Contractor 377 377 ��t�_�� TR=INSPORTt1TTON r1ND PUBLIC WORKS ;,�-`� The City of Fort �'Uorth • 1000 Throckmorton Sueet • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fas: (81� 392 - 7845 In PERFORMANCE EVALUATION FORTWORTH� �.:. �,: . � �� STATEMENT OF CONTRACT TIME STATEMENT# FINAL STATEMENT# NAM1tE OF PROJECT: ;?i11; NO.: 15 DOE 6618 and Sanitary Sewer Replacements Contract 2U09 STM-M Contractor CD Builders FINAL INSPECTION DATE 5/2W2015 WD CD CONTRACT TIME 200 X PERIOD FROM: 6116/2015 TO: 6/30/2015 MID - Month DEVELOP�iE � 1�'�: � N R'ORK ORDER EFFECTIVE: 1N212015 BEG 1� i n) n MID (y ; n) 100.0% DAY OF biONTH DAYS REASON FOR DAY OF B10NTH DAYS REASOY FOR CHARGED DAYS CREDI'T�D CFIARGED DAYS CR�DIT�D 1 16 Tue 0 na 2 17 �Ved 0 na 3 18 Thu 0 na 4 19 Fri 0 na 5 20 Sai 0 na 6 21 Siin 0 na 7 22 Pilon 0 na 8 23 iu� 0 na 9 24 4V�d 0 na 10 25 Thu 0 na 17 26 Fri 0 na 12 27 Sat 0 na 13 28 Sun 0 na 14 29 iJ1on 0 na 15 30 Tua 0 na 31 (�:t�, i��,'�'.n $ �inl '�' i.•-1 (%ifi Not Applicable SAT,SLTN,and WEATf�R ITTII.ITIES OTi�RS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGED TffiS PERIOD 0 0 0 0 0 0 PREVIOUS PERIOD 0 200 200 TOTAL TO DATE 0 0 0 0 200 200 REMARKS: Project Complete Signature: (Print Name) jl/f � i rc1 , ,,. � i� � � � ��! � - - _F , ;