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Home My WebLink AboutContract 46019-FP2 Crry SECRETAW q A; o1h. I/o/v a ow ME law ANXIMM/111 ............. -IMP/M 0/4/ low For f at rg "Imp gmw ....................... IY U" CITY OF FORT WORTH H.'.(N.)U.x A... ..s., W A.®A..ICsU$.etl.'.7'A. Contract e PRIMORIS COURT Contract Limits Project Type WATER&SEWER City Project Numbers 02283 DOE Number 7 Estimate Number 1 Payment Number q. For Period Ending 650/2015 CIS City Secretary Contract Number 1 17227 Contract Time 13 ED Contract a Charged to Date 1 Project Manager Ehia Contract is 100.00 Complete Contractor MUCKLEROY&FALLS P.O.BOX 1002 FORT WORTH, TX 76185 Inspectors RODGERS ® GLOVER `f 1 j r i ,July 06,2015 Pap 1 of 6 City Project Numbers 02283 DOE Number 7227 Contract Name PRIMORTS COURT Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 6130/2015 Project Funding UNIT 1:WATER RWROVE Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ——— ------———— I 10"X08"TAP SLEEVE&VALVE I EA $3,726.00 $3,726.00 1 $3,726.00 2 08"PVC WATER LINE INCLUDING FITTING& 20 LF $48.60 $972.00 20 $97200 BLOCKING 3 1-1/2"DOMESTIC I IRRGATION WATER 2 EA $2,754.00 $5,508.00 2 $5,508.00 SERVICE 4 LOWER EXISTING 10"DI WATERLINE 2 EA $6,210.00 $12,420.00 2 $12,420.00 5 WATER LINE TESTING&TRENCH SAFETY I LS $594.00 $594.00 1 $594.00 Sub-Total of Previous Unit $23,220.00 $23,220.00 UNIT 11:SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ----------- --------------------------------- I CORE&CONNECT TO EXIST.SSMH I EA $1,026.00 $1,026.00 1 $1,026.00 2 06"PVC SANITARY SEWER 15 LF $54.00 $810.00 15 $810.00 3 SS TESTING&TRENCH SAFETY I LS $16200 $162.00 1 $162.00 4 PRECONSTRUCTION TV EXISTING SEWER 1000 LF $2.16 $2,160.00 1000 $2,160.00 5 POSTCONSTRUCTION TV EXISTING SEWER 1000 LF $1.90 $1,900.00 1000 $1,900.00 Sub-Total of Previous Unit $6,058.00 $6,058,00 ——— -- ————— Monday,July 06,2015 Page 2 of 4 City Project Numbers 02283 DOE Number 7227 Contract Name PRIMORIS COUWIF Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER. For Period Ending 6/30/201.5 Project Funding Cont_ et Jnformation Summsta Original Contract Amount $2,9,27&00 Change Orders Total Contract Price $29,278,010 4,w/ Dat 21 Total Cost of Work Com pleted $29,278,00 "D Ector V Lem %Retained $0.00 �dl " 1M) I Datei ,c), Net Earned S29,278 I ,!15 ection 5n Earned This Period $29,278.00 1w Retainage This Period 4S/f I/ - 0 00 Da Len Liquidated Damages Pr Days( A Day $0.00 Dale 5 LessPavement deficiency $0,00 Assk gs and ComMidion Less Penalty $0.00 Date Len Previous Payment $0.00 Desi Plus Material on Hand Len 15% $0.00 t Cowaracting Balance Due This Payment $29,275.00 Monday,July 06,2015 Page 3 of 4 V E DOE Number 7227 City Project Numbers W2283 AUK (0)15 Contract Name PRIMORIS COURT Estimate Number I Contract Limits Payment Number I Project Type WATER.&SEWER For Period Ending 613�012015 Project Funding Project Manager Ehie City Secretary Contract Number 117227 Inspectors RODGERS / GLOVER Contract Date Contractor MUCKLEROY&F-AU S Contract Time 135 CD RO..BOX 100200 Days Charged to Date 194 CD FORT WORTH, TX 76185 Contract is OOOODO Complete CITY OF FO woRm SUMMARY OF I. IFS Line Fund Account Center Amount Gross Retainage Net Funded .............................................. ....................................................... .... ........ ..................................... . ................................ To Cost of or Completed $29,278.00 Less %Retained $0.00 Net Earned $29,278.00 Earned This Period 529,27&00 Retainage This Period SO.00 Less Liquidated Damages 0 Days@ $0.00 /Day LessPavement Deficiency Less Penalty $0.00 Less Previous Payment Plus Material on Hand Less 15% $0.00 Balance Due This Payment $29,278.00 Monday,July pate, 015 P&V4of4 A�FFJDAVIT STATE OF Tee as C; U T Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day Personally appeared Marshall Sharp, Project Manager,Of Muckleroy&Falls,known to me to be a credible person,who being by me duly sworn,upon his oath deposed and said; That all.persons, fums, 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; Prim.ons Court, CFA 2014-047,DOE: 7227, City Project No: 02283 BY Marshall Sharp Subscribed and sworn before me on this date 13th of July,2015. 'h'*ZA op'% LUCILLE 1, KITCHELL � Notary Puhj c,state 0t,rexos v commlwon Emoves Not P blic a m JUne 01, 2020 Tarr t.,Texxas CONSENT OF OWNER SURETY COMPANY ARCHIII-VT TO FINAL PAYMENT CONFRACTOR SAJRETY AIA DOCUMENT G707 OTHER PROJECT: Primoris Court-'Pavement,Water and Sewer Improvements,Ft Worth TX (nmc,address) TO(Owner) City of Fort Worth ARCHITECT'S PROJECTNO: 1000 Throckmorton Ft.Worth,TX 76102 CONTRACT FOR: Construction CONTRACT DATE: 9/41/2014 CONTRACTOR: Muckleroy&Falb 5801 Edwards Ranch Rd Fort Worth, TX 76109 .......... .......... In accordance witb the provisions of the Contract between the Owner and the Contractor as indicated above,the (hem insert name and address of Surety Corm My) North American Specialty Insurance Company 650 Elm Street Manchester,NH 03101. SURETY COMPANY, on bond of(hem insert narne and address of Canti2oor) Muckleroy&Falb 5801 Edwards Ranch Rd Fort Worth,TX 76109 CONTRACTOR, hereby approves of the final payment to the Contractors,and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to Owe insert narne and address of Owner) City of Fort Worth 1000 Throckmorton Ft.Worth,TX 76102 OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety,Company has hereunto set its hand this 13th day of July 2015 North American Specialty Insurance Company Surety Company Signature of Authoriz2l p resentative Attest: L (Seal): Debra Lee Moon AttorgMjp:f Title NOTE. This form is to be used as a compartion document to AIA DOCUMFMI'G706,CONTRAC"MR'S AFFIDAVrr OF PAYMENT OF DEBTS AND CLAIMS, Current Edition .............. .......................... ............. AIA DOCUMENT 0707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE 1970 THE AMERICAN INST1`111TE'OF ARCHITECTS,1735 New Yodr.,Ave.,NW,WASHIMITON,D,C. 20006 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg,Illinois,each does hereby make,constitute and appoint: SAMMY JOE MULLIS,JR.,JOHN WILLIAM NEWBY,JULIE STORM,CHERI LYNN IRBY,WILBERT RAYMOND WATSON, CAROLYN J.GOODENOUGH,MICHAEL L.TULLIS,SANDRA LEE RONEY,DEBRA LEE MOON,ANDREA ROSE CRAWFORD, MARY JO ZAKRZEWSKI,JAMES B ROGERS JR.,TROY RUSSELL KEY,and DAVID MICHAEL LAYMAN JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington Intemational Insurance Company at meetings duly called and held on the 9'h of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." ``�.ol llwTy if��/�j�i' tuuamaoyy . �p i5A �,1bs' 4t G�pPOH;pT�G i B et.;GOft SEAL Steven P.Anderson,Senior Vice President of Washington International Insurance Company 2r SEAL =�ygt it, 1973 ui n` &Senior Vice President of North American Specialty Insurance Company smy;< "��f�f n IIp111N1�1\\ By 1� Michael A.Ito, error tee test cnt glon nternation na�T surenee Lompany M'na% &Senior Vice President of North American Specialty insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this 1st day of July ,2015 . North American Specialty Insurance Company Washington International insurance Company State of Illinois County of Cook ss: On this Ist day of July 2015 before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Michael A.Ito, Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company,personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL \% I NOTARY PUBLIC,STATE OF ILlJNOIS r ` MY CAMMISSION EXPIRES 1 210 41201 7 M.Kenny,Notary Public I, Jeffrey GoldberP the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 13th day yoof-, July 20 15 , fetrrey Goldberg,Vice President&Assistant Secretary Of Washington In tematienal Insurance Company&North American Specialty Insurance Company North American Specialty Insurance Company Washington International Insurance Company TEXAS CLAIMS INFORMATION IMPORTANT NOTICE ADVISO IMPQRTANTE In order to obtain information or make a complaint: Para obtener information o para someter un queja: You may contact Jeffrey Goldberg,Vice President- Puede comunicarse con Jeffrey Goldberg,Vice Claims at 1-800-338-0753 President-Claims,al 1-800-338-0753 You may call Washington International Insurance Usted puede Ilamr al numero de telefono gratis de Company and/or North American Specialty Insurance Washington International Insurance Company and/or Company's toll-free number for information or to North American Specialty Insurance Company's para make a complaint at: information o para someter una queja al: 1-800-338-0753 1-800-338-0753 You may also write to Washington International Usted tambien puede escribir a Washington Insurance Company and/or North American Specialty International Insurance Company and/or North Insurance Company at the following address; American Specialty Insurance Company al: 475 N. Martingale Road 475 N. Martingale Road Suite 850 Suite 850 Schaumburg,IL 60173 Schaumburg,IL 60173 You may contact the Texas Department of Insurance Puede escribir al Departmento de Seguros de Texas to obtain information on companies, coverages, para obtener information acerca de companiasr rights or complaints at: coberturas,derechos o quejas al: 1-800-252-3439 1-800-252-3439 You may write the Texas Department of Insurance: Puede escribir al Departmento de Seguros de Texas: P.O. Box 149104 P.O, Box 149104 Austin,TX 78714-9104 Austin,TX 78714-9104 Fax: (512)475-1771 Fax: (512)478-1771 Web. htW://vuwwAdi,state.tx,us Web: htte://www.tdi.state.tx.,Us Email: ConsumerProtection @tdi.state.tx.us Email:Consume rProtection @tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: DISPUTES SOBRE PRIMAS 0 RECLAMOS: Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un or about a claim you should first Contact the reclamo,debe comunicarse con el Washington Washington International Insurance Company and/or International Insurance Company and/or North North American Specialty Insurance Company, If the American Specialty Insurance Company primero. Si dispute is not resolved, you may contact the Texas no so resuelve la disputa,puede entonces Department of Insurance. comunicarse con el Departmento de Seguros de Texas. ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA This notice is for information only and does not Este aviso es solo para proposito de infromacion y no become a part or condition of the attached se convene en parte o condition del documento document. adjunto. Revised 5/12 475 N.Martingale Road,Suite 850.Schaumburg,IL 60173 i H 5 PrImar7n Bervla o®CorpoCetlon July 15, 2015 CITY OF FORT WORTH PLANNING & DEVELOPMENT DEPARTMENT CFA DIVISION 1000 Throckmorton Street, Fart Worth, Texas. 76102 Ref: Community Facilities Agreement D.O.E. NO. 7227 CITY PROJECT NO, 02283 WATER PROJECT NO. P264-6081502283-83 SEWER PROJECT NO. P274-7081302283-83 X-22633 FILE NO. K-2315 To The City of Fort Worth: The above completed Project has been accepted by the Owner, Primoris Services Corporation (PSC). The work is satisfactory and according to the Contract Documents. The Owner, PSG, waives any Liquidated Damages due to the late completion of the Project. Sincerely, Don Hoon Special Projects Primoris Services Corporation FORTWORTH TRANSPORTATION N PUBLIC WORKS PIPE REPORT : PROJECT NAME: Primoris Couil PROJECT NUMBER: 02283 WATER DOE NUMBER: 7'227 PIPE LAID SIZE TYPE OF PIPE L Water °" Pvc 20j,' FIRE HYDRANTS: 0 VAI.,VES(16®"OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES; YES NEW SERVICES: I-1/ ""I�°�� . � Yid W °° Dim a '10 r SEWS* [PE LAED SIZE TYPE OF PIPE L V PIPE ABANDONED SIDE TYPE OF PIPE LF DENSITIES: NEW SERVICES- 6" TPUNNSPORTATION AND PUBLIC WORKS ID 7 f F'curt oath•9 1lum �aiaaa°�on.S et s lWa rt «� h" 7601 '-6311 T1.n.� 1�. ( 1 392-7941 •rlam(817)39 -7845 FORTWORTH . REV:02/20/07 I ............ TRANSPORTATION AND PUBLIC OR PERFORMANCE EVALUATION OF CONTRACTOR CONTRACTOR car.PROJECT DATA Name of Contractor Project Name Muckleroy Fails Primoris Court DOE Inspector DOE Number Mike Glover ---.--.7227 DOF Inspertar Project Manager El water F, waste Water[] Storm Drainagen Pa Fred Ehia Initial Contract Am otint Project Difficulty $29,278.00 0 simple 00 Routine Complex Final Contract Amount Date $29,275.00 7/10/2015 11)PERFORMANCE EVALUATION 0..Inadequate I-Deficient 2.-Standard 3-Good 4 Excellent ELEMENT WE[Gwr x APPLICABLE(Y/N) RATING(0 4) MAX SCORE SCORE I Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 3 20 is 4 Field Sumsion 15 Y 3 60 45 Work Performed 15 Y 3 60 45 6 Finished Product 15 Y 3 60 45 7 Job Site Safety 15 Y 3 60 45 8 Tratfic Control Maintenance 15 Y 2 60 30 9 Daily Clean Up 5 Y 3 20 1 15 10 Citizen's Comelaffit Resolution 5 Y 3 20 15 11 Property Restoration 5 Y 3 20 15 12 After Hours Res once 5 Y 3 20 15 113 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 321 BONUS POINTS(25 Maxirntnn)(B) TOTAL SCORE(TS) 321 111)CONTRACTOR'S RATING Maximum Score(MS)=448 21 sum of applicabic clement score maximums which= 448 Rating([TS/MS]*100%) 321 A 448 7�2% Performance Category Good <20%-Inadequate 20%to<4(66-11 Deficient 40%to,<606—Slamiard 60%to<80% and ?80%—Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature Contractor Signature DOE Inspector Si Same DOE Inspectoes Supervisor CONTRACTOR'S COMMENTS TRANSPOR'I'ATION AND PUBLIC WORICS '11m-City of Fort Worth- 1000"I' St et•Fort Worth, rX.76012-6311 (81 1)392 7941 •Fax:(817)392 7845 FORTWORTH REV:02n2ff? TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: Name of Contractor ProjectNdme Muckleroy&FaHs Primoris Court DOE Inspector Prcyecr Manager Mike Glover Fred Ehia DOE Number jprojmbi Cully 7�'Pe ofContract 7227 0 Simple @) Routine 0 Complex 0,/ Water E Waste water El Storm Drainage D. Pavement initial Contract Amount Final Contract Amount .9,27&00 II)PERFORMANCE EVALUATION 0 Inadequate I-Deficient 2-Standard 3-Good 4-Excelicnt ELEMENT RATING JELEMENT = (0-4) (0-4)A R(�T�INIG INSPECTION EVALUATION PLANS&SPECIFICATIONS I Availability of Inspector 4 1 Accuracy of Plans to ExistjR Conditions .4 2 Knowledge of I ectar 4 2 Clarity&Suffic!E!a2f22!ails 4 3 Accuracy of Measured Quantities 4 —3 A pplicability of Specifications —4 .4 Display Of Professionalism 4 4 Accurac- of Plan 2!!antities 4 5 Citizen Com2laint Resolution 4 PROJECT MANAGER EVALUATION 6 Perfonnance-Settiri u Valve Crews,Labs 4 1 Knowledve And/Or Problem Resolution 4 ADMINISTRATION 2 Availability of Project Manager .4 I Change Order Processing Time —4 3 Communication 4 2 Timliness of Contractor Pa tents 4 4 Resolution of Utility Conflicts 13 oeni _jjjj2p2E�.ng to Pre-Con Meeting Time frame 4 III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Sigmture DOE Inspector Signature DOE Inspectoes Supenrisor 76 INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckinorton Street*Fort Worth,'IX 76012-6311 (817)392-7941-I=(817)392-7845 f ! ()I 3 FORTWORTHR., 4Fw1F l "I"RANSPORI'°ATION AND PUBLIC WORKS STATEMENT OF C""ON'I'RAC T'TIME FINAL STATEMENT# i NAME OF PROJECT: I 4"EARc 2015 PROJECT NO.: FINAL INSPECTION DATA Q O CD f a PERIOD FROM: I 4I rl>: a ➢4IIIT' �I��n� DP 1 3,0PMFN7 iEV I icy haw,,, �' I1 ORK ORDER EFFECTIVE: w' ^k. + O ra I�IIO N r� "'wp as w F 0 _ s DAY OF MONTH DAYS REASON FOR AY OE MONTH DAYS REASON FOR r C'IIAICCxEr) DAYS CREDITED CHARGED T)a4YS CREDITED 1 Wed 0 18 _ Wed 0 2 Thu ao , 17 Thu 0 3 Fri 18 Fr i 0 4 Sat 18 Sat 0 5 L¢n 20 burn d 8 AAn [Ai 21 era 0 T Tue 0 22 rue 0 '% A,Al,/ /i%%% /ii 8 Wed 0 23 Wed 0 9 Thu 0 #( 24 Thu d 10 Fri 25 Fri 0 11 Set 0 `,,. ` 26 Sat 4 12 Sun d ;, 27 Sun 0 13 Mon 0 I � 28 Mein Q 14 Tue 0 -74A,A ,, 29 1 r 15 {PVec9 0 ' �1� 30 0 31 0 ug ra, #IcI Wee Net Applicable SA,'F StJN,aand WEATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGED THIS PERIOD 0 0 0 0 0 0 PREVIOUS PERIOD 1 TOTAL TO DATE 0 0 0 0 184 184 ti lMARKS- ftA Fr.WORM is ilia i�1 �I