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Home My WebLink AboutContract 45392-FP1 FORTWORTH, CITYECR CONTRACT N . '" P Received By TRANSPORTATION AND PUBLIC WORKS Dvsiness Support Group Brandy Crane NOTICE OF PROJECT COMPLE'T'ION � JUL 24 2015 ll �vtM;�ck PKwy°�'cN.�Mir 70 a Regarding contract 45392 for NORTH FORT WORTH INTERSECTION PH1 as required by the MH-%^e C**--k 94 TRANSPORTATION AND PUBLIC WORKS as approved by City Council on 02/11/2014 trough M&C C-26665 the director of the TRANSPORTATION AND PUBLIC WORKS upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $451,106.89 Amount of Approved Change Orders: $108,666.17 Ns 1,2,3,4' Revised Contract Amount: $559,773.06'- 'Total Cost Work Completed: $540,238.45 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $540,238.45✓ Less Previous Payments: $512,466.51 3 Final Payment Due $27,771.913, Recommend for Acceptance Date At. Director, TPW - Infrastructure Design and Construction Accepted Date i Director, TRANSPORTATION AND PUBLIC WORKS Asst. City Manager Date Comments: FUND ACCT:C204-202390165200,0-2W'541 2W- r` OFFICIAL RECORD CITY SECRETARY RECEIVED SEP 3 0 7015 FT. WORTHS T TPW Construction Invoice 1110 1 COIItra= CS45392 P.O.# PO-15-86938,PO-14-53502 Payment Date: 6/30/2015 TO:AB Contractin&ILLC lNV-# CS45392-FINAL Estimate No. 27 DOE: 7003 P O Baer 24131 ProjManager I.isexte Acevedo ACH Fort Wont TX 76124 FOR N Fort Worth Intersections Phase 1-Aha Vist Rd&HWY 170 S,Cromwell Marine Creek Rd&Marine Cr Contract Amount: $558,973.06 Total to Date: 5540,238.45 $0.00 $540,238.45 Previous Estimate: $539,438.45 526,97192 $512,466.53 Earned to Date: 5800.00 (S26,47132) 527,771.92 Paymcnts: . 324,371.30 CONI-32437130 Total to Date: $5,636.89 $0.00 $5,636.89 Previous Estimate: $4,836.89 $241.84 $4,595.05 Earned to Date: $800.00 (5241.84) $1,041.84 $400.000.00 Total to Date: $400,000.00 $0.00 $400,000.00 Previous Estimate: 5400,000.00 520,000.00 $380,000.00 Earned to Date: $0.00 (S20,000.00) $20,000.00 C29S-541200-2V3101O0 $134,601.56 CONI-$25,214.33,C0/2-$58,2E034 Total to Date: $134,601.56 $0.00 $134,601.56 Previous Estimate: $134,601.56 $6,730.08 $127,871.48 Earned to Date: $0.00 ($6,730.08) $6,730.08 Transportation&Public Works BUSINESS SUPPORT GROUP Contact Person-BRANDY RAN'-Er S52 Department A;Wroval " f KAREN STRIKER DEPARTMENTCHECK PICK-UP YES ❑ Monday,August 17,2015 Page 1 of 1 City Project Numbers DOE Number 7003 Contract Name North Fort Wath Interswbons Ph 1-Cromwell Marine CA Rd Estimate Number 27 Contract Limits at Bob hanger St,Marine Crk Pkwy at Cromwell Marine Crk Rd Payment Number 27 Project Type PAVING For Period Ending 6/30!1015 Project Funding Project Manager Acevedol, City Secretary Contract Number 45392 Inspectors GREGORY / COLLIER Contract Date 2/11/2014 Contractor JLB CONTRACTING,L L.C. Contract Time 322 CD PO BOX 24131 Days Charged to Date 305 CD FORT WORTH, TX 761241131 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 $540,238.45 Department of TPW Const.Services less %Retained $0.00 DOE#—qDO3 Date Net Earned $540,238.45 Project Manager L. *J$' ILJ'�� Risk Management S.Canady Earned This Period $27,771.93 D.O.E. Brotherton Ftetaiaage This Period $o.00 CFA Westerman/Scanned❑ Less Liquidated Damages The Proceeding people have been Contacted concerning the request 0 Days @ $0.00 /Day $0.00 for final payment&have released this project for such payment. LessPavement Deficiency $0.00 Clearance Conducted By Etta Bacy Less Penalty $0.00 Leu Previous Payment $512,466.52 Plus Material on Hand Less 15% $0,00 Balance Due This Payment $27,771.9,1;� Wednesday,July 08,2015 Page 6 of 6 FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name North Fort Warth Intmsechons Pb I-Cromwell Marine Crk Rd Contract Limits at Bob hanger St,Marine Crk Pkwy at Cromwell Marine Crk Rd Project Type PAVING City Project Numbers DOE Number 7003 Estimate Number 27 Payment Number 27 For Period Ending 6/30/2015 CD City Secretary Contract Number 45392 Contract Time 32ED Contract Date 2/11/2014 Days Charged to Date 305 Project Manager AcevedoL Contract is 97.000 Complete Contractor JLB CONTRACTIN ',LLC. PO BOX 24131 FORT WORTH, TX 761241131 Inspectors GREGORY / COLLIER Wcdnesday,July Olt,2015 Page 1 of 6 City Project Numbers DOE Number 7003 Contract Name North Fort Worth Intersections Ph I-Cromwell Marine Crk Rd Estimate Number 27 Cantraci Limits at Bob hanger St,Marine Crk Pkwy at Cromwell Murine Crk Rd Payment Number 27 Project Type PAVING For Period Ending 6/30/2015 Project Funding N.FW Intersections,Ph 1 Item Description of Items Estimated Unit Unit Cast Estimated Completed Completed No. Quanity Total Quamity Total 1 0241.0300 Remove ADA Ramp(CO/2) 3 FA $225.00 $675.00 3 $675.00 2 0241.0550 Remove Guardrail 81 LF $11.00 5891.00 81 5891.00 3 0241.1000 Remove Conc Pvmt(CO/2) 562 SY $6.75 53,793.50 562 $3,793.50 4 0241.1100 Remove Asphalt Pvmt(CO/2) 1622 SY $730 $11,840.60 1683 $12,285.90 5 2605.0111 EIEC SERV PED 1 FA $5,600.00 $5,600.00 1 $5,600.00 6 2605.3013 2"CONDT RM(1) 25 LF 533.50 $837.50 7 2605.3023 3•CONDT RM(1) 20 LF $45.00 $900.00 20 $900.00 8 3110.0101 Site Clearing 2 LS 55,230.00 510,460.00 2 $10,460.00 9 3110.0102 6%12'Tree Removal 35 FA 5112.00 53,920.00 35 $3,920.00 10 3123.0101 Unclassified Excavation(CO/1 XCO 1015 CY $28.14 528,562.10 1015 528,562.10 f2XCO/3) 11 3124.0101 Embankment 293 CY $5.60 $1,640.80 293 $1,640.80 12 3125.0101 SWPPP >_1 acre 2 LS 51,680.00 53,360.00 3 $5,040.00 16 3212.0302 2-Asphalt Pvmt Type D(CO/1)(CO 4970 SY $1230 $61,131.00 4970 $61,131.00 N2XCO N3) 17 3212.0501 4-Asphalt Base Type B(CO#IXCO X3) 3930 SY $2338 591,883.40 3930 $91,883.40 19 3216.0101 6"Conc Curb and Ouncr(CO N 1) 133 LF $26.75 53,557.75 134 53,584.50 20 3217.0001 4•SLD Pvmt Marling HAS(CO#IXCO 1939 LF $0.73 $1,415.47 924 $674.52 /2) 21 3217.0002 4-SLD Pvmt Marking HAS(CO N 1 XCO 5506 LF 50.73 $4,01938 6286 $4,588.78 ti2) 22 3217.0201 8'SLD Pvmt Marking HAS(CO f1) 1179 LF $1.06 $1,249.74 1403 $1,487.18 23 3217.0202 8'SLD Pvmt Marking HAS( 183 LF $1.06 $193.98 180 $190.80 24 3217.0502 24'SLD Pvmt Marling Tape 222 LF $6.75 $1,498.50 326.5 $2,203.88 25 3217.1002 Lone Legend Arrow(CO/1) 15 EA $140.00 52,100.00 21 $2,940.00 27 3217.1004 Larne Legend Only 8 FA $150.00 $1,200.00 8 $1,200.00 30 32172102 REFL Raised Marker TY 1-C 122 FA $3.92 $47824 31 32172103 REFL Raised Marker TY H- 254 FA 53.92 $995.68 32 3217.4301 Remove 4-Pvmt Marking (CO/1) 2431 LF 50.56 $1,361.36 797 $446.32 33 3217.4306 Remove 24'Pvmt Marking 171 LF 50.73 $124.83 34 3217.4307 Remove Raised Marker(CO 02) 719 FA 5028 $20132 35 3217.4402 Remove Lane Legend Arrow 5 FA 517.00 585.00 1 $17.00 36 3217.4404 Remove Lane Legend Only 2 FA 522.00 544.00 1 522.00 Wedoesday,July 08,2015 Page 2 of 6 City Project Numbers DOE Number 7003 Contract Name North Fort Worth Intersections Ph I-Cromwell Marine Crt Rd Estimate Number 27 Contract Limits at Bob hanger St,Marine Crt Pk"at Cromwell Marine Crk Rd Payment Number 27 Project Type PAVING For Period Ending 6130/2015 Project Funding 37 3292.0400 Seeding,Hydromulch 3989 SY S1.14 $4,547.46 917 $1,045.38 38 3305.0111 Valve Boot Adjustment(CO/1) 7 EA 5300.00 52,100.00 4 51,200.00 40 3349.7001 4'Drop hila[ 1 EA 53,750.00 53,750.00 1 $3,750.00 41 3441.1001 3,qect Signal Head Assmbl 10 EA 51,570.00 515,700.00 10 515,700.00 42 3441.1002 4-Sect Signal Head Assmb 5 EA 52,015.00 510,075.00 5 510,075.00 43 3441.1203 Install Radar Presence De 3 EA 510,075.00 530,225.00 3 $30,225.00 44 3441.1206 Install VIVDS 1 EA 51,120.00 $1,120.00 1 $1,120.00 45 3441.1208 Install Emergency Vehicle 2 LS 53,965.00 $7,930.00 2 57,930.00 46 3441.1301 Loop Detector Cable Sawcu 368 LF 59.00 $3,312.00 47 3441.1302 14 AWG Loop Detect Cable 1500 LF $1.12 51,680.00 48 3441.1310 4/C 14 AWG Multi-Conducto(CO/1) 372 LF $2.24 5833.28 384 $960.16 49 3441.1313 8/C 14 AWG Multi-Conducto(CO/1) 150 LF 53.36 $504.00 282 $947.52 50 3441.1315 20/C14AWG Multi-Conduct(CO/1) 408 LF 54.48 $1,827.84 445 $1,993.60 51 3441.1403 NO 6 Triplex OH insulated(CO/I) 707 LF $2.24 $1,583.68 707 $1,583.68 52 3441.1409 NO8InsulatedElecCondr(CO/1) 670 LF $1.12 5750.40 1516 $1,697.92 53 3341.1704 TY 4 Signal Foundation(CO/1) 3 LF 53,885.00 $11,655.00 3 $11,655.00 54 3441.1723 Install Controller do Cabin 1 EA $20,150.00 520,150.00 1 $20,150.00 55 34413102 20OW HPS PC Lighting Fixt 4 EA $730.00 52,920.00 4 $2,920.00 56 3441.3322 Install 40'Wood Light Pol(CO#IXCO 3 EA 52,800.00 58,400.00 3 58,400.00 /3) 57 3441.4005 Insall Alum Sign Mast Ar(CO/3) 19 EA 5505.00 59,595.00 19 $9,595.00 58 3441.4006 Install Alum Sign Ground M 14 EA 5390.00 55,460.00 14 $5,460.00 59 3471.0001 Traffic Control 6 MO $1,800.00 510,800.00 6 $10,800.00 60 9999.0001 Remove and Salvage Signs 8 EA $106.00 5848.00 8 5848.00 61 30'Strain Pole(CO/1) 3 EA $6,000.00 $18,000.00 3 518,000.00 63 Butt Milling(CO/1)(CO 02) 100 LF $30.00 $3,000.00 100 $3,000.00 64 8'Floc Base Sugra®e(CO/1) 4079 SY $14.25 $58,125.75 4259 $60,690.75 65 24'RCP(CO/1) 5 LF $250.00 51,50.00 5 51,250.00 66 Adust existing water vault-major adjustment(CO 2 EA 52,500.00 55,000.00 2 $5,000.00 /1) 67 Adjust existing fiberglass manhole-major 1 EA $2,500.00 52,500.00 1 52,500.00 adjustment(CO/1) 68 Remove Sidewalk(CO/2) 93 SF 51.00 593.00 47 $47.00 69 8-Fkxbas(CO g2) 412 SY S14.25 55,871.00 276 $3,933.00 70 Remove nub do gutter(CO/2) 276 LF $8.00 $2,208.00 215 $1,720.00 Wednesday,July 09,2015 Page 3 of 6 City Project Numbers DOE Number 7003 Contract Name North Fort Worth Intersections Ph I-Cromwell Marine Crk Rd Estimate Number 27 Contract Limits at Bob hanger St,Marine Crk Pkwy at Cromwell Marine Crk Rd Payment Number 27 Project Type PAVING For Period Ending &3=015 Project Funding 71 10"Concrete Pavement(CO 02) 382 SY $82.00 S31,324.00 347.43 S28,48926 72 4"Concrete Sidewalk(CO#2) 100 SF $7.00 $700.00 73 ADA Ramp(CO#2) 2 EA $1,000.00 52,000.00 74 12"SLD Pnnn Marking(CO#2) 200 LF $4.00 5800.00 75 Ground Box Type D W/Apron(CO#2) 1 EA 52,500.00 S2,500.00 1 $2,500.00 76 Monolithic Curb(CO#2) 273 LF $4.00 $1,092.00 273 $1,092.00 77 TXDOT MAC(CO#2) 35 TN $160.00 $5,600.00 78 MAC Curb(CO#2)(CO#3) 1074 LF $10.00 $10,740.00 1074 $10,740.00 79 Remove Fence(CO#2) 385 LF 52.50 5962.50 385 $962.50 80 Barbed Wire Fence/Metal Post(CO#2) 385 LF $12.00 $4,620.00 385 $4,620.00 81 Additonal Cast High&ky Concrete(CO 03) 80 CY S20.00 $1,600.00 80 $1,600.00 82 Electronic Message Board(CO#3) 2 WK 5600.00 S1,200.00 2 $1,200.00 83 HMAC Drive Approach(CO#4) 4 TN 5200.00 5800.00 4 $800.00 Sub-Total of Previous Unit 5559,773.06 $540,238.45 Wo6widay,July 08,2015 Page 4 of 6 City Project Numbers DOE Number 7003 Contract Name North Fort Worth Wersections Ph I-Cromwell Murine Crk Rd Estimate Number 27 Contract Limits at Bob hanger St,Murine Crk Pkwy at Cromwell Marine Crk Rd Payment Number 27 Project Type PAVING For Period Ending 6802015 Project Funding Contract Information Summary Original Contract Amount $451,106.89 Change Orders Change Order Number 1 $25,21433 Change Order Number 2 558,28034 Change Order Number 3 $24,371.50 Change Order Number 4 $800.00 Total Contract Price $559,773.06 Date 7 ( j Total Cost of Work Completed $540,238.45 r Less %Retained $0.00 / Net Earned $540,238.45 0--et' Date Lrsp o¢ x 1 or Earned This Period 527,771.93 Retainage This Period $0.00 Date 'S Less Liquidated Damages Project M Days* /Day $0.00 Date -Z LeasPavement Deficiency $0.00 Asst ctorll PW-Infrastructure Design and Construction Less Penalty $0.00 W•W Date Z I d Less Previous Payment 5512,466.52 Contracting Depamn Plus Material on Hand Less 15% $0.00 i Balance Due This Payment $27,771.93 Wednesday,July 08,2015 Page 5 of 6 BuySpeed Online hUM://bso-fortworthgov.org/bso/document/approval/docAn"vai.sdo Buy Online Accounts Payable Bask:Purchasing Deparbned Access NISP Code Browse I My Account I Customer Service I Current OrgantsrtlpnsC OF FORT WORTH August 13,2015 7:08:15 AM CDT Poe About "ease DoaeeMrr�� enwdycrme Invoice#: CS45392-FINAL Vendor#:0000016042 Vendor Group#:01 Status:41R-Randy for Approval General (terns Credits Subcontractors Accounts Routing Attachments Notes Remknder Changs Order Summary Back to PO goo"11ri1daBoe tfarlrkrgs J e rblu w gang to inial puny fire It>towirlg pa y pew po liens:R,31. - - Header Information Invoice Number CS45=-FINAL Invoice 41R-Reedy Invoice 3 way Status: for Approval Type: metdnirg CS45392-RNAL North Fort W oM Intersections Phase 1- Invoice Cromwell Maine Crook Rd at Bob Harper St Marine Crook PKWY Description: at Cromwell Maine Crook Rd,Alta Vist Rd at SH 170 S Frorrtape Invoice Date: 08/30/2015 Effect Date: 06/18/2015 Rd Payment Amount $27,771.62 Handling ACH(DIRECT Payment 07r25r2015 Code: DEPOSIT) Date: Payment Terms: Payment 0 Payment 0.0% Tenn Day: Discount Paid-Bank/Check: Alternate Id: Entered By: Brandy crane Entered Date: 08/18/2015 Credit Amount: $0.00 Updated By: Brandy Crane Date Up08/16/2015 Received Date: 05/11/2015 07:05:00 AM Purchase Order Information Purchase order P0-154=86938 PO CS45392 Number. Description PO Amount $25,189.99 Remaining To $16561 Buyer. Brandy Invoke: 34Crane POVendor Information Vendor 0000015042-JLB CONTRACTING LLC Address Grp: 01 Vendor Remit-to JAMES HUMPHREY Address: P O BOX 24131 ACH ONLY FORT WORTH,TX 76124-1131 Fed ID: —5121 us Remit Text: Email: .corn Phone:(817)201-2491 Id:29010 Misc&Freight Invoice Account Event Type Fiscal Yea A000urd Code Transaction Amount Misc 15 C295-205000-000000165200 $6,730.06 Mlac 15 C204-205000-000000165200 $20,000.00 Misc 15 C200-205000-000000165200 $241.84 Total: $25,971.92 1 of 2 8/18!2015 7:08 AM BuySpeed Online https://bso.fortworthgov o%tbs&document/approval/docApproval.sdo Item Information Invoice F69m#/PO Item#:2 C003-$24,371.50-North Fort Worth Intersections Phase 1-Cmnwml Marina Creek Rd at Bob Harper St,Marine Creek PKWY at Cronarel Marine Creek Rd,Alta Vist Rd at SH 170 S Frontage Rd C200-541200-202390105280 CS45392 PO Permit Invoke Discount% Orlobw Final Item Status lb Pry Amount Pay I -unt Pay 3PPR-Partial Receipt $400.00 $400.00 0.0% $0.00 Yes MAKE: ASSET MODEL: ASSET MANUF: ASSET SERUU_ ASSET VIN: ASSET TAG: Event Type Fiscal Year Account Code Transaction Amount Exp. 15 C200-541200-202390185280 $400.00 Erle. 15 C2005412OD-202390185280 5400.00 Invoice F69m NPO Item# 3 C004-$800.00-North Fort Worth Intersections Phase 1-Croneval Marine Creek Rd at Bob Harper St,Marine Creek PKWY at Crortrrel Marine Creek Rd,Ala VIM Rd at SH 170 S Frontage Rd C295-541200-20239010528W CS45392 PO Permit Invoke Discount% Original Final Ren Status To Pay Amount PayAaoarrt pay 3PCR-Complele Receipt $400.00 $100.00 0.0% $0.00 Yes MAKE: ASSET MODEL' ASSET MANUF: ASSET SERIAL: ASSET VIN: ASSET TAG: Event Type FistW Year Arno nt Code Transaction Amount Exp. 15 C295-541200-202390185280 $100.00 Enc. 15 C295-5412OD•202390165290 5400.00 Approval Path: Delete Approver Order Approval Level Approver Date Date ApprovedlDleapproved Comment Sequence Path ?Am Requested ApprovedlDMapproved Manceled Vlewr ID /Canceled by Add New Prk-ry AddlDelale Approver Prim Copynpht®2015 Periscope Holdings,kkc.-Al Rights Reserved.default 2 of 2 8/18/2015 7:08 AM Page: 1 Document Name: untitled BC AVAILABLE FUNDS INQUIRY 62 NEXT FUNCTION: ACTION: ------------------------------------------------------------------------------- COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR C200 205000 000000165200 ACCT DESC: RETAINAGE PAYABLE ORIG APPROPRIATION: 0.00 CNTR DESC: 10 Intersection Improvements C LAST ACTIVITY: 08/15/2015 0.00 NA 0.00 0.00 NA - 0. 00 0.00 NA - 0.00 241.84- (LIABILITY ) - 0. 00 ---------------------- --------------------- 241. 84 (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; 08-17-2015 Time: 07:43:58.74 Page: 1 Document Name: untitled BC AVAILABLE FUNDS INQUIRY 162 NEXT FUNCTION: ACTION: COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR C204 205000 000000165200 ACCT DESC: RETAINAGE ORIG APPROPRIATION: 0.00 CNTR DESC: 2010 Intersection Improvements LAST ACTIVITY: 08/15/2015 0. 00 NA 0.00 - 0.00 NA - 0.00 0.00 NA - 0.00 20, 000.00- (LIABILITY ) - 0.00 --------------------- --------------------- = 20, 000.00 (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: 08-17-2015 Time: 07:44:11.66 Page: 1 Document Name: untitled BC AVAILABLE FUNDS INQUIRY 162 NEXT FUNCTION: ACTION: -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR C295 205000 000000165200 ACCT DESC: RETAINAGE PAYABLE ORIG APPROPRIATION: 0.00 CNTR DESC: LAST ACTIVITY: 08/15/2015 0.00 NA 0. 00 0. 00 NA - 0.00 0.00 NA - 0.00 - 6,730.08- (LIABILITY ) - 0. 00 --------------------- --------------------- 6,730.08 (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: 08-17-2015 Time: 07:44:17.23 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 SAM DAVIS, PRESIDENT of JLB CONTRACTING, LLC, known to me to be a credible person,who being by me duly sworn, upon his oath disposed 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;and That there are no claims pending for personal injury and/or property damages; On contract described as; North Forth Worth Intersections Ph 1, City Project No. 01652, Fort Worth,TX. JLB CONTRACTING, LLC BY Sam Davis President Subscribed and sworn before me on thisay of ,2015 NOTARY PUBLIC RQ AND FOR TARRANT COUNTY,TEXAS My commission expires 3/10/2017 LINDA OLIPHANT ;'•' Notary Public,State of Texas My Commission Expires %`,° ;;�a March 10,2017 CONSENT OF OWNER ❑ SURETY COMPANY o�oR ❑❑ TO FINAL PAYMENT OSURETYHER ❑ (SEMLAR TO AIA DOCUMENT G707) Bond No.6067231 PROJECT: North Fort Worth Intersections Ph 1,City Project No. 01652, (name, )Fort Worth,Texas TO (Owner) ARCHITECTS PROJECT NO: City of Fort Worth I CONTRACT FOR: Above Project 1000 Throckmorton Street Fort Worth,Texas 76102 CONTRACT DATE: CONTRACTOR: JLB Contracting,LLC In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the(here insert name and address of Suety Company) Westfield Insurance Company 555 Republic Drive, Suite 450 Plano,Texas 75074 ,SURETY COMPANY, on bond of(here insert nine and address of contractor) JLB Contracting,LLC P.O. Box 24131 ,CONTRACTOR, Fort Worth,Texas 76124 hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the Surety Company of any of its obligations to(here insert>mme and address of owner) City of Fort Worth 1000 Throekmorton Street Fort Worth,Texas 76102 'OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 10th day of July 2015 WESTFIELD INSURANCE COMPANY Surety C B Si lure of Authorized Represe five Attest: (Seal): Ky1,s W,.?meney Attorney-ft-Fact Title Now This form is 6aded[ogre in-d Rs a wimpmutwit docaaawt to the Contractot's Affidavit of Payment of Dcbts and aam Gxam U tion THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING THIS SAME POWER III AND ISSUED PRIOR TO 04/2087,FOR ANY PERSON OR PERSONS NAMED BELOW. POWER NO. 4220052 06 General Power n Westfield Insurance Co. of Attorney Westfield National Insurance Co. Ohio Farmers Insurance Co. CERTIFIED COPY Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a 'Company' and collectively as "Companies; duly organized and existing under the laws of the State of Ohio,and having its principal office in Westfield Center, Medina County,Ohio,do by these presents make,constitute and appoint CHARLES D.SWEENEY,MICHAEL A.SWEENEY,KYLE W.SWEENEY,ELIZABETH GRAY,JOINTLY OR SEVERALLY of FORT WORTH and State of TX its true and lawful Attorney(s)4n-Fad,with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver arty and aq fonds, recognizances, undertakings, or other Instruments or catracls of > tP- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - -- - - - -- LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE, OR BANK DEPOSITORY BONDS. and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate seal of the applicable Company and duly attested by Its Secretary,hereby ratifying and confirming all that the said Attorney(s)4n-Fad may do In the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: 'Be It Resolved,that the President,any Senior Executive,any Secretary or any Fidelity S Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)an-Fad to represent and ad for and on behalf of the Company subject to the following provisions: The Attorney-In-Fact may be given full power and authority for and in the name of and on behalf of the Company,to execute,adcnowiedge and deliver,any and all bonds, recognizances,contracts,agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attomeyan-Fad shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary." 'Be it Further Resolved,that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with rasped to any bond or undertaking to which It is attached.' (Each adopted at a meeting held on February 0,2000). In Witness Whereof,WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of APRIL A.0.,2011 . Corporate ..,,....... .. SOWS Ot/" a► . gNAI �tiSG •r'�.~a~S� �`` WESTFIELD INATIONALENSURANCE COMPANY Artlxadjr 'a' }<' =a.= :P- :�`; ' .^= OHIO FARMERS INSURANCE COMPANY JlitiLs :mc t 1648 State of Ohio ''N��^"" N""""" Richard L Kinnaird,Jr., National Surely Leader acrd County of Medina ss.: Senior Executive On this 20th day of APRIL A.D.,2011 ,before me personally came Richard L Kinnaird, Jr.to me known,who, being by me duly sworn,did depose and say,that he resides-in,Medina, Ohio;that he is Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OtilO FARMERS INSURANCE COMPANY, the companies described in and which executed the above Instrument that he knows the seals of said Companies;that the seals affixed to said instrumat are such corporate seals;that they were so affixed by order of the Boards of Directors of said Companies;and that he signed his name thereto by like order. Notarial Seal At A L Affixed OX • William J:Kahelin,A ey at pLaw,Notary Public State of Ohio '0 My Commission Does Not Fire(Sec.147M Ohio Revised Code) County of Medina ss.: rf OF o�re I,Frank A..Carrino,Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby.certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by said Companies,which Is still in full force and effect:and furthermore,the resdutions of the Boards of Directors,set out in the Power of Attorney are In full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 1 otliday of ��` .a�F� "'"�O?�=+•~ ~,HSG� rf�p��'•,..~p�ir'`'3 V��• i~ Ail3L-102f gO: •�c ill t�dArJ zo: :1648::= Frank A.Carrino,-!Jeoretary BPOAC2(combined)(06-02) CONSENT OF OWNER ❑ SURETY COMPANY CONTRACTORp TO FINAL PAYMENT o. ❑ HER (SIIV H AR TO AIA DOCUMENT G707) Bond No.6067231 PROJECT: North Fort Worth Intersections Ph 1,City Project No. 01652, (name,address)Fort Worth,Texas TO (Owner) ARCHITECTS PROJECT NO: 1—City of Fort Worth CONTRACT FOR Above Project 1000 Throckmorton Street I Fort Worth,Texas 76102 L— CONTRACT DATE: CONTRACTOR JLB Contracting,LLC In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the(here insert nmw and add'ofsmety comP'y) Westfield Insurance Company 555 Republic Drive,Suite 450 Plano, Texas 75074 ,SURETY CONTANY, on bond of(here insert name and address of conusetor) JLB Contracting,LLC P.O.Box 24131 ,CONTRACTOR, Fort Worth,Texas 76124 hereby approves of the final payment to the Contractor,and agrees that the final payment to the Contractor shall not relieve the Surety Company of any of its obligations to(here insert name am address ofownc) City of Fort Worth 1000 Throckmorton Street Fort Worth, Texas 76102 'Off' as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 10th day of July 2015 WESTFIELD INSURANCE COMPANY Surety Com B Signature of Auth i d epresen ve Attest: (Seal): _ kyle W. Sweeney Attorney—in—Fact - Title Nota Tbb form ii irateaded to be used ss anion document to the contracwes Affidavit of Payment of Debt and ClsiaN,(fit Ed• w THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING THIS SAME POWER#AND ISSUED PRIOR TO 04120111,FOR ANY PERSON OR PERSONS NAMED BELOW. General POWER NO. 4220052 06 Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. CERTIFIED COPY Ohio Farmers Insurance Co. Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a 'Company' and collectively as 'Companies; duly organized and existing under the laws of the State of Ohio,and having Its principal office in Westfield Center, Medina County,Ohio,do by these presents make,constitute and appoint CHARLES D.SWEENEY,MICHAEL A.SWEENEY,KYLE W.SWEENEY,ELIZABETH GRAY,JOINTLY OR SEVERALLY of FORT WORTH and State of TX its true and lawful Attorney(s)4n-Fact,with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and an bonds, recognizances, undertakings, or other instruments or contracts of seretyshiP- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUA-RAN TEE,OR BANK DEPOSITORY BONDS. and to bind any of the Companies.thereby as fully end to the same extent as If such bonds were signed by the President,sealed with the corporate seal of the applicable Company and duly attested by Its Secretary,hereby ratifying and confirming all that the said Attorney(s)-In-Fact may do In the.prernlses. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: 'Be It Resolved,that the President,any Senior Executive,any Secretary or any Fidelity&Surety Operations Executive or other Executive shall be and Is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: The Atlorney4n-Fact may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver,any and all bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such Instruments so executed by any such Attorney-In-Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary.' 'Be It Further Resolved,that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any power of attorney or any oertificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached.' (Each adopted at a meeting held on February 8,2000). In Witness Whereof,WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of APRIL A.D..2011 Corporate �gyft tp •'.............. Io_ri ii�,�,,,, '''"'"•••" w� WESTFIELD INSURANCE COMPANY ffbod eve, .n.�N •.5�� WESTFIELD'��' OHIO FARMERS I INSURANCE COMPANY CE COMPANY Qr♦T•! �Z3 'moa7L'LZL i itil- ?e�;• W ire �+ • - ?O_: '�ri iso f O. O? �� 1848 % State of Ohio ..•........ Richard L Kinnaird,Jr.,National Surety Leader and County of Medina ss; Senior Executive On this 20th day of APRIL A.D.,2011 ,before me personally came Richard L Kinnaird, Jr.to me(mown,who, being try me duty sworn,did depose and say,that he resides'In Medina, Ohio;that he is Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the oompariles described In and which executed the above Instrument;that he knows the seals of said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed by order of the Boards of Directors of said Companies;and that he signed his name thereto by like order. Notarial seal QL%A L S Affixed ,`P:........ William J.Kahelin,A ey at Law, Notary Public State of Ohio op20 My Commission Does Not Expire(Sec.147M Ohio Revised Code) County of Medina ss. '�t y 41 f OF 1,Frank A..Carrino,Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby.certify that the above and foregoing is a true and corred copy of a Power of Attorney, executed by said Companies,which is still in full force and effect;and furthermore,the resolutions of the Boards of Directors,set out In the Power of Attorney are In full force and effect. In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 1048Y of , July agd 20 15,�a �'' �e,�17 �� = SEAL �y�"s_ :f3 I ! ; tit:• #aftro _ 1848.:= Frank A.Carrino,Secretary BPOAC2(combined)(06-02) FORT WORTH REV 02,21,07 TRANSPORTATION AND PUBLIC WORKS PUNCH LIST PROJECT NAME:North Fort Worth Intersection Improvements D.O.E.N2:7003 DATE:Map 12,2015 1. Pour pad around MH NW comer Cromwell Marine Creek at Bob Hanger 2. NW and NE radiuses saw to good curb and remove curb pieces at Bob Hanger and Cromwell Marine Creek 3. Remove strip NBL Marine Creek at Cromwell Marine Creek 4. Check Handicapped Ramps at Alta Vista and Hwy170 at 2 year waninty 5. Erosion Mat on slope west side of Alta Vista south of Hwy 170 6. Drive on east side of Alu Vista needs something done to make it better Contractor Inspector 1 of 1 FoRTWORTHREV:02IM07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I PROJECT INFORMATION Date: 7/9/2015 Name ojContractor Project Name JLB Construction,LLC North Fort Worth Intersection PHI DOE Inspector Project Manager Michael Collier Lisette Acevedo DOE Number Project D&wlty Type of Contract 7003 Q Simple Q Routine Q Complex ❑ water[:] waste Water❑ Storm Drainage Pavement Initial Contract Amount Final Contract Amount $"t,ttb,,89-% Y� O ��5 7 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 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 12 Clarity&Sufficiency of Details 3 3 Accuracy of Measured Quantities 3 Applicability of Specifications 3 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 3 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication 5 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor i-�--�— �- Signature DOE Inspector Y Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 FORTWORTHREV:02/20,07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Name of Contractor Project Name JLB Construction,LLC North Worth Intersection PHI DOE Inspector DOE Number Michael Collier 7003 DOE Inspector Project Manager ❑ water[:] Waste Water[:] Storm DrainageR] Pavement Lisette Acevedo Initial Contract Amount Project Di lculty $451,106.89 O Simple Q Routine O Complex Final Contract Amount Date .- ", - - ' Q 7/9/2015 Il)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 3 60 45 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 20 113 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 428 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 428 III)CONTRACTOR'S RATING Maximum Score(MS)=448 Q sum of applicable element score maximums which 448 Rating(ITS/MS) ` 100%) 428 , 448 - %% 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) 4 Signature DOE Inspector Si atqj*�Contractor /sem Signature DOE Inspectoes Supervisor .l'.�. � CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311 (a (817)392-7941 -Fax(817)392-7845 FORTWORTH rev 03/05/07 TRANSPORTATION& PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:27 NAME OF PROJECT: North Fort Worth Intersection PHI PROJECT NO.: 1652 CONTRACTOR: JLB DOE NO.: 7003 PERIOD FROM:06/16/15 TO: 06/30/15 FINAL INSPECTION DATE: 11-May-15 WORK ORDER EFFECTIVE:5/16/2014 CONTRACT TIME: 3Zi� • 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 PERIOD I S PREVIOUS PERIOD [76TOTALSTO DATE 1 305 396 *REMARKS: CONTRACTOR DATE INSPECTOR )AT- -----= ENGINEERI:PTG DEPARTMENT RE,CORD ^ The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 7601 (817)392-7941 -I=(817)392-7845 CITY SECRETARY FT.WORTH$TX