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Home My WebLink AboutContract 45086-FP1 FORT WORTHeC�st CRETA, ReGeived By CONTRACT NO. Businee and pGpprane roup MAY 21 205 TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION D.O.E.NO: 7181 Regarding contract 45086 for SOUTH MAIN STREET BRIDGE REPAIR&REHAB(2013-24)as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 10/15/2013 through M&C C-16497 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: S766,875.00'� Amount of Approved Change Orders: $135,70759 Ns 1,2 r Revised Contract Amount: $902,582.59 Total Cost Work Completed: $902,582.59-- Less 902,58259`Less Deductions: Liquidated Damages: Days @ S210.00/Da Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $902,582.59 Less Previous Payments: $857,453.411 b Final Payment Due $45,129.113 9z� 5" Recommended for Acceptance Date Asst. ctor, TPW - Infrastructure Design and Construction Accepted Date Ask. Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Asst. City Manager Date Comments: FUND ACCT:GG01-539590-0202003 ,C 301- 531510 - 260000/b 031 OFFICIAC<,RECORD TowQ (96�e -,J 6k 1 vert LC CITY SECRETARY FT. WORTHS T X RECEIVE SEP 3 0 7n - ` ; ; �; TPW Construction Invoice Contract: CS45086 P.O.# P0-L5-86951,PO-1480331 PaYnwat fie: 4/308015 TO:Iowa Bridge dt Culvert LC INV-# CS45086-22 Estimate No. 22 DOE: 7181 301 Samson BLVD ProjManager Tarulul Islam ACH Saginaw TX 76179 FOR: South Main Strad Bridge Repair and Rehabilitadion 2013-24 Co�Amount $902,582.59 Total to Date: $902,582.59 $0.00 $902,582.59 Previous Estimate: $902,582.59 545,129.13 5857.453.46 FINAL PAY Earned to Date: $0.00 ($45,129.13) 545,129.13 liKil'3 M.S829 00/1-535,81200,Cl]i/2-599.11""" Total to Dade: $902,582.59 $0.00 $902,582.59 Previous Estimate: 5902,582.59 $45,129.13 5857,453.46 Earned to Dade: 50.00 ($45,129.13) $45,129.13 Transportation&Public Works BUSINESS SUPPORT GROUP Contact Person-BRAND 2852 Depamr-m Appro KAREN KER DEPARTMENT CHECK PICK-UP YES ❑ Monday,June 01,2015 Page 1 of 1 City Project Numbers DOE Number 7181 Contract Name SOUTH MAIN STREET BRIDGE REPAIR&REHABILITATION(2013-2 Estimate Number 22 Contract Limits Payment Number 22 Project Type PAVING For Period Ending 4/30/2015 Project Funding Project Manager Islam City Secretary Contract Number, 45086 Inspectors RODGERS / SALAZAR Contract Date 10/15/2013 Contractor IOWA BRIDGE&CULVERT,LC Contract Time 120 CD 9100 HWY 380 Days Charged to Date 222 CD CROSS ROADS, TX 76227 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 $902,582.59 Department of TPW Const. Services Less %Retained $0.00 DOE# 9 19 L mte ---0 Net Earned $902,582.59 Project anager TCjatA, Earned This Period $45,129.12 Risk Management S.CanadY Retainage This Period So.00 D.O.E. Brotherton CFA Westerman/Scanned❑ L Li9nidated Damages 0 Days @ $0.00 /Day $0.00 The Proceeding people have been Contacted concerning the request LessPavement Deficiency $0.00 for final payment&have released this project for such payment Las Penalty $0.00 Clearance Conducted By Etta Bacy I Las Previous Payment $857,453.47 Plus Material on Hand Las 15% $0.00 Balance Due This Payment $45,129.12 Thesday,April 30,2015 Page 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name SOUTH MAIN STREET BRIDGE REPAIR&REHABILITATION(201324) Contract Limits Project Type PAVING City Project Numbers DOE Number 7181 Estimate Number 22 Payment Number 22 For Period Ending 4/302015 CD City Secretary Contract Number 45086 Contract Time 12CED Contract Date 10/15/2013 Days Charged to Date 222 Project Manager Islam Contract is 100.00 Complete Contractor IOWA BRIDGE&CULVERT,LC 9100 HWY 380 CROSS ROADS, TX 76227 Inspectors RODGERS / SALAZAR Thursday,April 30,2015 Page 1 of 4 .s City Project Numbers DOE Number 7181 Contract Name SOUTH MAIN STREET BRIDGE REPAIR&REHABILITATION(2013-2 Estimate Number 22 Contract Limits Payment Number 22 Project Type PAVING For Period Ending 4/302015 Project Funding GENERAL Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 RAILROAD COORDINATION 1 LS ;190,000.00 ;190,000.00 1 $190,000.00 2 RAILROAD FLAGMAN(CO il)(00M2) 84 WD 5900.00 575,600.00 84 S75,600.00 3 CL C CONC(CRASHWALL)TXDOT SPEC ITEM 61338 CY S475.00 ;241,355.50 613.38 5291,355.50 420(CO i2) 4 RAILROAD COORDINATION(CO M 1) 1 LS $6,500.00 $6,500.00 1 56,500.00 Sub-Total of Previous Unit 5563,455.50 5563,455.50 SPECIAL(TXDOT) Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 TEMPORARY SPECIAL SHORING TXDOT SPEC 1556 SF 550.00 $77,800.00 1556 S77,800.00 ITEM 403(CO 02) 2 DRILL SHAFT(30 IN)TXDOT SPEC ITEM 416 604 LF S300.00 ;181,200.00 604 $181,200.00 (CO i2) 4 CNC SIR REP(HORIZONTAL)TXDOT SPEC 194.78 SF S100.00 $19,478.00 194.78 S19,478.00 ITEM 429(CO p2) 5 CLEAN AND SEAL EXIST JOINTS TXDOT SPEC 75 LF S75.00 S5,625.00 75 $5,625.00 ITEM 438(CO#2) 6 EPDXY INJECTION(TY DQ TXDOT SPEC ITEM 32 LF S75.00 52,400.00 32 $2,400.00 780 9 HYDRO-EXCAVATION FOR UTILITIES(CO M1) 1 LS 525,912.00 525,912.00 1 S25,912.00 10 CONC.REPAIR®ABUT BACKWALL(CO M2) 48 SF S200.00 $9,600.00 48 S9,600.00 11 IBC MOB/DEMOB(CO#2) 1 LS $16,112.09 S16,112.09 1 $16,112.09 12 BSNF CROSSING PERMIT(CO i2) 1 LS $1,000.00 S1,000.00 1 $1,000.00 Sub-Total of Previous Unit S339,127.09 $339,127.09 Thursday,April 30,2015 Pace 2 of 4 City Project Numbers DOE Number 7181 Contract Name SOUTH MAIN STREET BRIDGE REPAIR do REHABM ITATION(2013-2 Estimate Number 22 Contract Limits Payment Number 22 Project Type PAVING For Period Ending 4!302015 Project Funding Contract Information Summary Original Contract Amount $766,875.00 Change Orders Change Order Number 1 535,812.00 Change Order Number 2 $99,895.59 Total Contract Price $902,582.59 Date S U (� Total Cost of Work Completed 5902,582.59 Less %Retained 50.00 Date / 2�'� Net Earned 5902,582.59 `"-- Inspectionpervisor Earned This Period $45,129.12 Retainage This Period 50.00 Date Leas Liquidated Damages Project M Days @ /Day 50.00 i Date LessPavement Deficiency 50.00 rAnrrrPlAf In tnicturo Design and Construction Less Penalty SO.00 (, Date 5X//5' Less Previous Payment $857,453.47 Director Contracting Departm Plus Material on Hand Less 15% 50.00 Balance Due This Payment $45,129.12 Thursday,April 30,2015 Page 3 of 4 BuySpeed Online httpsJ/bso.fortworthgov.orgtbso/documentlapproval/docApproval.sdo Buy Online Accounts Payable Bask Purchasing Department Access NIGP Code Browse I My Account I Customer Service I Current OrganWtlwu CITY OF FORT WORTH June 1,2015 2:03:17 PM CDT p Q` x About S�J1 Rome Documents BrandyCrsna Invoice#: CS45086-FINAL Vendor#:0000033580 Vendor Group#:01 Status:41R-Ready for approval General Items Credits Subcontractors Accounts Routing Attachments Notes Reminder Change Order Summary Back to PO Header Information Invoice Number: CS45DOB-FINAL Invoice Status: 41 eadyfor Invoice Type: 3vAry Approvinp Invoice Description: CS45ON-FINAL 2013-24 South Masi St Bridge Invoice Date: 04/302015 Effect Date: 081012015 Repair and Rehab Payment Amount: $45,129.13 Handling Code: DEPOSIT�T Payment Date: 0525/2015 Payment Terms: Payment Term 0 Payment 0.0% Day: Discount: Paid-Bank/Check: Alternate Id: Entered By: Brandy crane Entered Date: 08/012015 Credit Amount: $0.00 Updated By: Brandy crane Updated Date: 0 8101/20 1 5 Received Date: 02/06/2015 01:48:00 PM Purchase Order Information Purchase order PO-15-00086951 PO Description CS45M Number. PO Amount $99,933.80 Remaining To $000 Buyer. Brandy Invoice: Crane PoVendor Information Vendor. 0000033580-IOWA BRIDGE&CULVERT LC Address Grp: 01 Vendor Remit-to Curt Hanson Address: 9100 HMW 380 ACH ONLY CROSS ROADS,TX 78227 us Fed ID: ""--5285 Remit Text: Email:ADMINCIBCTX.COM Phone:(940)440-0099 FAX:(940)440-0079 Id:87739 Misc&Freight Invoice Account Event Type Fiscal Year Account Code Transaction Amount Mix 15 C301-539590-200000100315 -$0.01 Mix 15 GG01-205000-0000000 $45,129.13 Total: $45,129.12 Item Information Invoice Item#1130 Item#:1 CO#1-$35,812.00-2013-24 South Mail St Bridge Repair and Rehab C301-539590-200000100315 CS45086 Original PO-14-80331 PO Perntlt Invoke Discount% Or 3-"I Final Item status To Pry Amount Pay Asoent Pry 1 of3 6/12015 2:03 PM BuySpeed Online htge/bso.fortworthgov otg/bso/document/appmval/docApp oval.sdo 3PCR-Complain Reoelpt $0.00 $0.00 0.0% $0.00 Yes MAKE: ASSET—MODEL: ASSET MANUF_ ASSET SERIAL ASSET VIN: ASSET TAG: Event type Fuca!Year Aaoountt Code Transaction Amount Exp. 15 C30i-539590-200000100315 $0.00 Enc. 15 0301-539590-200000100315 $0.00 Invoice Item NPO Item# 2 CO#2-$86,895.59-2013-24 South Main St Bridge Repair and Rehab C301-5539590-200000100315 CS45M Original PO-144M0331 PO Permit Invoice Discount% original Final Item Status To Pay Amount Pay Amount Pay 3PCR-Complete Receipt $0.00 $0.00 0.0% $0.00 Yes MAKE: ASSET MODEL: ASSET MANUF: ASSET SERiAL: ASSET VIN: ASSET TAG: Event Type Focal Year Account Code Transaction Amount Exp. 15 C301-539590-200000100315 $0.00 Eno. 15 C301439594200000100315 $0.00 Invoice ttem#/PO Item#:3 $0.01 retainage-2013-24 South Main St Bridge Repair and Rehab C301-539590-200000100315 CS45088 PO Permit Invoice Discount% original Final Item Status 7b Pay Amount Pay Amount Pay 3PCR-Complete Receipt $0.00 $0.01 0.0% $0.00 Yes MAKE. ASSET MODEL ASSET MANUF: ASSET SERIAL ASSET VIN: ASSET TAG: Event Type Fuca!Year Account Code Transaction Amount Exp. 15 C301S39590-200000100315 $0.01 Enc. 15 C301-539590-200000100315 40.01 Approval Path: 2 of 3 6/12015 2:03 PM BuySpeed Online httpsJ/bso.fortworthgov org/bso/documentlapproval/docApproval.s& Delete Approver Order Approval Level Approver Dabs Date Approved101sapproved Coasnent Sequence Path Type Requested ApprovedMisapproved Canceled View ID (Canceled by Add � New AdMelele Approver Print Copyright O 2015 Periscope Holdings,Inc.-AN Rights Reserved.defalilt 3 of 3 6/12015 2:03 PM Page: 1 Document Name: untitled BC AVAILABLE FUNDS INQUIRY 162 NEXT FUNCTION: ACTION: ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR GG01 205000 0000000 ACCT DESC: CONTRACT RETAINAGE PAY ORIG APPROPRIATION: 0.00 CNTR DESC: FUND LEVEL REPORTING LAST ACTIVITY: 05/30/2015 0.00 NA 0. 00 0. 00 NA - 0. 00 0.00 NA - 0.00 - 110, 911.18- (LIABILITY ) - 0. 00 --------------------- --------------------- = 110, 911.18 (AVAIL BAL) = 0.00 (AVAIL BAL) L OVEREXPEND A E C G V TOLERANCE BDG YTD P EST N L R ACTIVE INACTIVE L POST AMT PCT GRP LTD P REV EXP C COMM S P STAT DATE DATE I Y 9999 999 L N N Y N N 2 1 0 Date: 06-01-2015 Time: 13:51:24.65 M U') U � O W w co O CO co N N O O O Q O MLf) O O O O O Z O Nr a I qT I T It m N N V a) 00000000 ui Q co 00 00 co � l� l� co U) U) lc) U) C'7 C'7 C0 c) c7 m M m M M M m M M M M CL a a. aaQQQ QQ < ¢ ¢ U) Cf) Cl) (U) mmmmmmmm WN co qt (D m O N (6C6 CU c0 c0 (6 cQ (D 00 co 00 00 00 00 00 00 O O O O O a O O In 0 0 In to In 0 U) U) Cl) U) (1) U) U) (1) U) U U I U I U U U U U W Q Q W qql W qt qT .- O Lf) LL 0 0 0 0 c`J U. O O N N N N cj O W N N CV CO cD cD 1— O m r (`) Z 00 t- N o0 CD O O cD D m 00 O cD N m In cD N 1` M tet' M r 1` 'd' m 0 1-- m m N w m co m Lr Q CD c7 M N r M 00 "It � N Z 9 W O O a O o O a a 1— O a a a a O a a Z O a a a a a a o wa 0 0 o 0 0 0 0 r, OOOOOOOo O O O 0 0 O 00 D H Z p O o 0 0 0 0 O o V o 0 0 0 0 o a o C) a O O a a O O V U) Cn 0 to 0 0 to Lo Q a a a a a O O O N N N N N N N N Z O O O O 0 O O O D 00000000 C700070000 Page: 1 Document Name: untitled BC AVAILABLE FUNDS INQUIRY 162 NEXT FUNCTION: ACTION: COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR C301 205000 000000100300 ACCT DESC: CONTRACT RETAINAGE PAY ORIG APPROPRIATION: 0.00 CNTR DESC: PROCESS M&C G-18390 LAST ACTIVITY: 05/30/2015 0.00 NA 0.00 0.00 NA - 0. 00 0.00 NA - 0.00 - 0.00 (LIABILITY ) - 0.00 --------------------- --------------------- 0.00 (AVAIL BAL) = 0.00 (AVAIL BAL) L OVEREXPEND A E C G V TOLERANCE BDG YTD P EST N L R ACTIVE INACTIVE L POST AMT PCT GRP LTD P REV EXP C COMM S P STAT DATE DATE 1 Y 9999 999 L N N Y N N 2 9 0 Date: 06-01-2015 Time: 13:51:11.01 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 Christopher Alan Kumnick,P.M. Of Iowa Bridge&Culvert,LC,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; South Main Street Bridge Repair&Rehabilitation(2013-24) I BY Christopher A.Kumnick Subscribed and sworn before me on this date 12th of March, 2015. W YO�` EMM f �j NOTARY PUBLIC? Y PUBLIC ;y• ate of'exas Notary Public �. � ' Cwn.Ev.11-26-201 Denton, TX MERCHANT? - -�k BONDING COMPANY, MERCHANTS BONDING COMPANY(MUTUAL) • MERCHANTS NATIONAL BONDING,INC. 2100 FLEUR DRIVE •DES MOINES.IOWA S0321-1158•(800)678-8171 •(515)243-3854 FAX OWNER CONSENT OF SURETY ON"TRACTrOR TO FINAL PAYMENT SURETY OTHER Bond No. TXC604702 TO OWNER: ARCHITECTS PROJECT NO.: City of Fort Worth 1000 Throclanorton Street CONTRACT FOR: Fort Worth,Texas 76102 South Main Street Bridge Repair and Rehabilitation PROJECT: CONTRACT DATED: October 15,2013 South Main Street Bridge Repair and Rehabilitation In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (insert name and address of Surety) Merchants Bonding Company(Mutuao 2100 Fleur Drive Des Moines, Iowa 50321-1158 ,SURETY, on bond of (Insert name and address of Contractor) Iowa Bridge&Culvert,L.C. P.O.Box 13 Washington,Iowa 52353-0013 ,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 Throclmorton Street Fort Words,Texas 76102 OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: March 18,2015 (Insert In writing the month followed by the numeric date and year.) Merchants Bonding Company(Mutual) (Surety) maiI, . 1. Attest &f' (SeaZ (Signature of anrth rized representative) Abigail R.Mohr Attcrsmy-In-Fact CON 0405(2/12) (Printed name and title) MERCHANTS BONDING COMPANY. POWER OF ATTORNEY Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.,both being corporations duly organized under the laws of the State of Iowa(herein collectively called the•Compenles'), and that the Companies do hereby make,constitute and appoint,individually, John W.Ahrold,Mat DeGroote,John R Fay,Matthew R Fay,Karlene K.Kentae Lauri A.Meneougb,Ab*l R Mohr,Jennifer D.Stark of Des Moines and State of Iowa their true and lawful Attomey-h-Fad with full power and authority hereby conferred in their name,place and stead,to sign,execute,acknowledge and deriver in their behalf as surety any and all bonds,undertakings,recognizanoss or other written obligations In the nature thereof,subject to the limitation that any such instrument shall not exceed the amount of. FIFTEEN MILLION($15,000,000.00)DOLLARS and to bind the Companies thereby as fully and to the same extent as If such bond or undertaking was signed by the duly authorized officers of the Companies,and all the acts of said Attorney.-Fad pursuant to the authority herein given,are hereby ratified and confirmed. This Power-of-Attorney is made and executed pursuant to and by authority of the following By-Laws adopted by the Board of Directors of the Merchants Bonding Company(Mutual)on April 23,2011 and adopted by the Board of Directors of Merchants National Bonding,Inc.,on October 24,2011. 'The President,Secretary,Treasurer,or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and authority to appoint Attorneys-In-Fact,and to authorize them to execute on behalf of the Company,and attach the seal of the Company thereto,bonds and undertakings,recognizanoss,contracts of Indemnity and other writings obligatory in the nature thereof. The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of Attomey or Certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance, or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed.' In Wdness Whereof,the Companies have caused this instrument to be signed and sealed this 6th day of March 2013 . �.....NI•r� ......... ��•'•tlt)N,4L•• lNG.CQ,jA.. MERCHANTS BONDING COMPANY(MUTUAL) g? ►O�q%j�o'-• ;mpO�P09.��y� MERCHANTS NATIONAL BONDING,INC. �= 2003 `�: =` 1933 _J �• •yj• �1r. By s STATE OF IOWA a„ tfJ• ,.a .•• COUNTY OF POLK as. '••h...w•� ••••• President On this 6th day of March 2013 ,before me appeared Larry Taylor,to me personally known,who being by me duly sworn did say that he is President of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.;and that the seals affixed to the foregoing instrument Is the Corporate Seals of to Companies;and that the said instrument was signed and sealed in behalf of the Companies by authority,of their respective Boards of Directors. In Testimony Whereof,I have hereunto set my hand and affixed my Official Seal at the City of Des Moires,Iowa,the day and year first above written. t, MARANDA GREENWALT Commission Number 770312 Aly Conxmtssbn Expires " Ocbber n,2014 Notary Public,Polk County Iowa STATE OF IOWA COUNTY OF POLK ss. I, Wiliam Warner,Jr.,Secretary of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC., do hereby certify that the above and foregoing is a true and cored copy of the POWER-OF-ATTORNEY executed by said Companies, which Is still kr full force and effect and has not been amended or revoked. In Witness Whereof,I have hereunto set my hand and affixed the seal of the Companies on this 18th day of March 2015 10 14, 015 co r pR p ;�o,o4POgq.y•; ..c� ;^Jig?Cpm O - •v .v:yc• �. Xs 2003 jn' y�. 1933 'c; Secretary POA 0014(11/11) .... ••:.��.�•• •••6� •..... hu,hr,.NpN' FORTWORTHREV:00/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR CONTRACTOR&PROJECT DATA Name of Contractor Project Name Iowa Bridge&Culvert,LC South Main Bridge Repair and Rehabilitation 2013-14 DOE Inspector DOE N her Richard Salazar 7181 Ebgpector Project Manager ❑ Water❑ Waste Water[—] Storm DrainageE] Pavement Tari ul Islam Initial Contract Amountoject DiffiLcu/ry $766,875.00 O Simple OQ Routine 0 Complex Final Contract Amount Date $902,582.59 1 1-Ma -15 If)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 3 8 6 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 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 Y 4 20 20 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 441 BONUS POINTS(25 Maximum)(B) TOTAL SCORE('I'S) 441 III)CONTRACTOR'S RATING Maximum Score(MS)=448 Qr sum of applicable element score maximums which= 448 Rating([TS 1 MS]•100%) 441 / 448 - 911% Performance Category Exoetlent <20%—Inadequate 20•%to<40%a Deficient 40%to<60%—Standard 60%to<80%=Good 280%—Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector Signature Contrac 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 (817)392-7941 •Fa=(817)392-7845 FORT WORTH °' TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY PROJECT INFORMATION Date: Name of Contractor Project Name Iowa Bridge&Culvert,LC South Main Bridge Repair and Rehabilitation 2013-24 DOE Inspector Project Manager Richard Salazar Tariul Islam DOE Number Project D&wlo, Type of Contract 7181 10 Simple * Routine 0 Complex ❑ Water❑ Waste Water❑ Storm Drainage❑✓ Pavement Initial Contract Amount Final Contract Amount $766,875.00 1$902,582.59 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 tL 1PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Chane Order Processing Time It 3 Communication 2 Timliness of Contractor Payments "J 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS APINL TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311 Nw (817)392-7941 -Fay(817)392-7845 FORT WORTH... TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENT# FINAL STATEMENT# 22 DOE r NAME OF PROJECT: So udt MaM Street Bridge Repair and Rehabilitaticm(2013.24) Contractor YEAR:j 20]5 PROJECT NO.: FINAL INSPECTION DATE WD CD CONTRACT TIME7mmww� PERIOD FROM: TO: I ViiiEff BEG - Month IDZVKWPMMNA / WORK ORDER EFFECTIVE: BEG fv/n MID /n DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR CHARGED DAYS CREDITED CHARGED DAYS CREDITED 1 Wed 0 9101MV00 16 0 Stop Time ' 2 Thu 0 Ste?TIme 17 0 Stop Tirne 3 Fri 0 Stop Time 18 0 Stop Time 4 Sat 0 Stoop Time 19 0 `Sto Time 5 Sun 0 Stop lime 20 0 Stops Tira�g__ 6 Mon 0 Sim Time_ 21 0 Stop Time 7 Tue 0 Stop Tinv _ 22 0 Stop Time 8 Wed 0 Stop Time 23 0 stop Time _ e-,_— 9 Thu 0 Stop Time 24 0 SfDp Time 10 Fri 0 5tcr Tinri+ 25 0 Stn T 11 Sat 0 MR TUM 26 0 Stpo T-mw 12 Sun 0 11W`iwe 27 0 51 1 Inge 13 Mon 0 Stop Time 28 0 Szop Timm 14 Tue 0 $ 29 0 Stmo Time 15 Wed 0 30 0 $GTitT+l',, 31 WA Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGED THIS PERIOD 0 0 0 0 0 0 PREVIOUS PERIOD J 0 222 TOTAL TO DATE 0 0 0 0 222 222 REMARKS: _ Final PaymetIL F'utal Payment delay due to Change Order#2 received February 2015 arttl dita�ft+ *$4 Ot & L ethw of Affidavit of all Bills Paid. S'ign>isiure: t RidmW Salazar k3aDAIS ITIAt mffcm DA[E 41241 M5