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HomeMy WebLinkAboutContract 45721-FP2Depart ant o TPW Const. Services DOE#� Date Project Manager-- - Risk Management S. Canady D.O.E. Brotherton CFA Westerman/Scanned ❑ The Proceeding people have been Contacted concerning the request for final payment & have released this project for such payment. Clearance Conducted By Etta Bacy .T WORTH, 0 wim AND PUBLIC WORKS DF PROJECT COMPLETION D.O.E.Ns: 7199 / Regarding�-1 ON DRIVE as required by the G contract 1171`ri for a,r✓n: �., _ . TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on N/A through M&C N/A 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. riginal Contract Prices: $848,020.08 Amount of Approved Change Orders: Ns 1 Revised Contract Amount: $848,020.08 Total Cost Work Completed: $848,020.10 Less Deductions: Liquidated Damages: Days ® $210.00! Day Pavement Deficiencies: Total Deduction Amount: $0.00 0 Total Cost Work Completed: $848,020.10 Less Previous Payments: Final Payment Due / / $848,020.10 Recommended for Acceptance Date Asst. Direc TPW - Infrastructure Design and Construction Accepted Date �. Direct, TRANSPORT PONAND PUBLIC WORKS DEPARTMENT Asst. City Manager //-- /X-/(+- I Date Comments: FUND ACCT: P265-6051502247-83 / P275-7051302247-83 P.2 G " 5V� 0 / OFFICIAL RECORD "8'MAZZAT') CITY SECRETARY NOV 2 M5 NORTH, TX C FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name CENTRE STATION DRIVE Contract Limits Project Type PAVING & DRAINAGE City Project Numbers 1247 DOE Number 7199 Estimate Number I Payment Number I City Secretary Contract Number 117199 Contract Date 6/30/1014 For Period Ending 11!31/2015 CD Project Manager Ehia Contractor WRIGHT CONSTRUCTION COMPANY, INC. 601 W. WAIL ST. GRAPEVINE, TX 76051 - Inspectors RODGERS / KLENK Friday, Ssptemlvr 04,2015 Contract Time 1 gQD Days Charged to Date 171 Contract is 100.00 Complete Page 1 of 5 City Project Numbers 2247 DOE Number 7199 Contract Name CENTRE STATION DRIVE Estimate Number I Contract Limits Payment Number 1 Project Type PAVING & DRAINAGE For Period Ending 8/31/2015 Project Funding UNrF B - PAVING Item Description of Items Estimated Unit Unit Cos# Estimated Completed Completed No. No. Quanity Quanity Total Quanity Total 1 SITE PREPARTION CLEARING AND GRUBBING 2.2282 AC $5,239.00 $11,673.54 2.2282 $11,673.54 2 REMOVE EXISTING CURB AND GUTTER 70 LF $9.00 $630.00 70 $630.00 3 UNCLASSIFIED STREET EXCAVATION 2087 CY $12.00 $25,044.00 2087 $25,044.00 4 REINFORCED CONCRETE PAVEMENT 5488.914 SY $43.00 5236,023.28 5488.914 $236,023.30 5 6" THICK LIME STABILIZED SUBGRADE 5795.086 SY $3.00 $17,385.26 5795.086 $17,385.26 6 LIME FOR SUBGRADE STABILIZATION (271{ 80 TN $180.00 $14,400.00 80 $14,400.00 PER SY) 7 4" SLD PVMT MARKING PAINT (W) FOR 734 LF $1.00 $734.00 734 $734.00 PARKING STALLS AND TURN LANE 8 4" SLD PVMT MARKING PAINT (Y) FOR 2380 LF $1.20 $2,856.00 2380 $2,856.00 CENTERLINE 9 24" SLD PVMT MARKING PAINT (W) FOR STOP 15 LF $20.00 $300.00 15 $300.00 LINE AT CENTER 10 4" CONCRETE HIKE AND BIKE PATH 10' WIDE 12160 SF $5.00 $60,800.00 12160 $60,800.00 11 BARRIER FREE SIDEWALK RAMP TYPE R-1 2 EA $1,542.00 $3,084.00 2 $3,084.00 12 BARRIER FREE SIDEWALK RAMP TYPE P-1 2 EA $783.00 $1,566.00 2 $1,566.00 13 PATTERNED CONCRETE CROSSWALK 87 SF $50.00 $4,350.00 87 $4,350.00 14 TOPSOIL 650 CY $15.00 $9,750.00 650 $9,750.00 15 HYDROMULCH SEEDING 2450 SY $0.10 $245.00 2450 $245.00 16 R6-2 ONE WAY SIGN 36"X12" 4 EA $350.00 $1,400.00 4 $1,400.00 17 R5-1 DO NOT ENTER SIGN 1 EA $350.00 $350.00 1 $350.00 18 R1 -I STOP SIGN I EA $350.00 $350.00 1 $350.00 19 TRAFFIC CONTROL PLAN 4 MO $4,456.00 $17,824.00 4 $17,824.00 Sub -Total of Previous Unit $408,765.08 $408,765.10 UNIT B 1 - STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 66" CLASS LII RCP COMPLETE IN PLACE 1120 LF $187.00 5209,440.00 1120 $209,440.00 2 21" CLASS Ill RCP COMPLETE IN PLACE 120 LF $74.00 $8,880.00 120 $8,880.00 3 27" CLASS III RCP COMPLETE IN PLACE 150 LF $79.00 $11,850.00 150 $11,850.00 4 20' STANDARD CURB INLET 4 EA $7,839.00 $31,356.00 4 $31,356.00 5 8' STORM JUNCTION BOX 1 EA $13,301.00 $13,301.00 1 $13,30I.00 Friday, September 04, 2015 Page 2 of 5 City Project Numbers 2247 Contract Name CENTRE STATION DRIVE Contract Limits Project Type PAVING & DRAINAGE Project Funding 6 66" FLARED HEADWALL 1 PIPE 7 ROCK RIP 8 TRENCH SAFETY 9 UNCLASSIFIED DRAINAGE EXCAVATION BY PLANS 10 SWPPP PREPARATION IMPLEMENTATION AND MAINTENANCE 1 I REMOVE EXISTING 66" RCP BACKFILL AND COMPACT DOE Number 7199 Estimate Number 1 Payment Number 1 For Period Ending 8/31/2015 I EA $6,689.00 $6,689.00 1 $6,689.00 750 SY $100.00 $75,000.00 750 $75,000.00 1390 LF $2.00 $2,780.00 1390 $2,780.00 10800 CY $4.29 $46,332.00 10800 $46,332.00 1 LS $10,052.00 $10,052.00 1 $10,052.00 575 LF $41.00 $23,575.00 575 $23,575.00 Sub -Total of Previous Unit $439,255.00 $439,255.00 Friday, September 04, 2015 Page 3 of 5 M City Project Numbers 2247 Contract Name CENTRE STA'T'ION DRIVE Contract Limits Project Type PAVING dt DRAINAGE Project Funding Contract Information Summary Original Contract Amount Chanze Orders Total Contract Price Inspection Supervisor DOE Number 7199 Estimate Number I Payment Number I For Period Ending 8!312015 5848,020.08 $848,020.08 Total Cost of Work Completed $848,020.10 Less % Retained SO.00 Net Earned $848,020.10 Earned This Period SS48,020.10 Retainage This Period $0.00 Less Liquidated Damages Days ® / Day $0.00 LessPavement Deficiency SO.00 Less Penalty $0.00 Less Previous Payment SO.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $848,020.10 Friday, September 04, 2015 Page 4 of 5 City Project Numbers 2247 Contract Name CENTRE STATION DRIVE Contract Limits Project Type PAVING & DRAINAGE Project Funding Project Manager Ehia Inspectors RODGERS / KLENK Contractor WRIGHT CONSTRUCTION COMPANY, INC. 601 W. WALL ST. GRAPEVINE, TX 76051 - DOE Number 7199 Estimate Number I Payment Number 1 For Period Ending 8/31/2015 City Secretary Contract Number 117199 Contract Date 6/30/2014 Contract Time 180 CD Days Charged to Date 171 CD 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 $848,020.10 Less % Retained $0.00 Net Earned $848,020.10 Earned This Period $848,020.10 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 / Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $848,020.10 Friday, September 04, 2015 Page 5 of 5 Contractor's Affidavit of Release of Liens PROJECT: (Name and address) CentrePort Centre Station Drive Lot 2, Block 104 Fort Worth, Texas TO OVVNER: (Name and address) CentrePort Venture, LP Two Seaport Lane Boston, MA 02210-2021 STATE OF: TEXAS COUNTY OF: TARRANT Document G706A ARCHITECT'S PROJECT NUMBER City Project: 02247 CFA: 2014-003 CONTRACT FOR: Water, Sewer, Paving, Storm Drain, Street Lights, Traffic Signals to serve Centre Station, Drive CONTRACT DATED: June 17, 2014 OWNER: D ARCHITECT. ❑ CONTRACTOR: X S U RETY: ❑ OTHER: ❑ The undersigned hereby certifies that to the best of the undersigned's knowledge, information and belief, except as listed below, the Releases or Waivers of Lien attached hereto include the Contractor, all Subcontractors, all suppliers of materials and equipment, and all performers of Work, labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Omer arising in any manner out of the performance of the Contract references above. EXCEPTIONS: NONE SUPPORTING DOCUMENTS ATTACHED HERETO: 1. Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subcontractors and equipment suppliers, to the extent required by the Owner, accompanied by a list thereof. CONTRACTOR: (Name and address) Wright Construction Co., Inc. 601 W,4St., Grapevine, X 76051 BY: ��` \ (Si1MbFUr of authorize representative) GaryA. Oostveen, Controller (Printed name and title) CAUTION You should sign an Onginal Document. on which this text appears in PED An Ong!nal Document assures that changes will not be obscured TORGO SOFTWARE m v 7orgoSoftware corn 91996,2012 ALL RIGHTS RESERVED Gary A. Oostveen, Controller, personally appeared before me, the undersigned notary public, and provided satisfactory evidence of identification to be the person who signed this document in my presence and swore or affirmed to me that the contents of this document are truthful and accurate to the best of his/her knowledge and belief. ;,�dY'�� • ZINA CHRISTINE 600LSBY Notary Public zpo :. .- Date: STATE OF TEXAS My Comm. Exp. May 14, 2017 Notary Pubfi�/�� My Commission expires:� ��/ �Q 1.7 _7 CAUTION You should sign an Onginal Document. on which this text appears in PED An Ong!nal Document assures that changes will not be obscured TORGO SOFTWARE m v 7orgoSoftware corn 91996,2012 ALL RIGHTS RESERVED Contractor's Affidavit of Payment of Debts and Claims Document 6706 TO OWNER: (Name and address) CentrePort Venture, LP Two Seaport Lane Boston. NIA 02210-2021 PROJECT: (flame and address) CentrePort Centre Station Drive Lot 2, Block 104 Fort Worth. Texas STATE OF COUNTY OF TEXAS TARRANT ARCHITECT'S PROJECT NUMBER: City Project: 02247 CFA 2014-003 CONTRACT FOR: Water, Sever, Paving, Storm Drain, Street Lights, Traffic Signals to serve Centre Station Drive CONTRACT DATED: June 17, 2014 OWNER: ❑ ARCHITECT: ❑ CONTRACTOR 1 SURETY: ❑ OTHER: ❑ The undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished, for all work, labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner's property might in any way be held responsible or encumbered. EXCEPTIONS: None SUPPORTING DOCUMENTS ATTACHED HERETO 1. Consent of Surety to Final Payment. Whenever Surety is involved, Consent of Surety is required. Indicate Attachment: ® yes ❑ no The following supporting documents should be attached hereto if required by the Owner: 1. Contractor's Release or Waiver of Liens, conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subcontractors and equipment suppliers, to the extent required by the Owner, accompanied by a list thereof. 3. Contractor's Affidavit of Release of Liens. �.pr ZINA CHRISTINE GOOLSBY Notary Public `�;• 'may' STATE OF TEXAS •�' y0'� My Comm. Exp. May 14, 2017 E CONTRACTOR: (Name and address) Wright Construction Co., Inc. 601 W. Wall St., Gra ,pevviine, 6051 (Sig K ofaufhorize representative) Gary A. Oostveen, Controller (Printed name and title) Gary A. Oostveen, Controller, personally appeared before me, the undersigned notary public, and provided satisfactory evidence of identification to be the person who signed this document in my presence and swore or affirmed to me that the contents of this document are truthful and accurate to the best of his/her knowledge and belief. Date: Notary Public: My Commission expires: CAUTION You should sign an Original Document. on �arhich this. text appears in RED An Original Docurnent ass TORGO SOFTWARE www TorgoSoftware corn ©19562012 ALL RIGHTS RESERVED that changes will not be c =� %'' Merchants Bonding Company ®; 2100 FLEUR DRIVE • DES MOINES, IOWA 50321-1158 (515) 243-8171 - (515) 243-3854 FAX OWNER ARCHITECT CONTRACTOR CONSENT OF SURETY SURETY TO FINAL PAYMENT OTHER Bond No. TXC605350 Printed in cooperation with The American Institute of Architects (ALA) by Merchants Bonding Company (Mutual). Merchants Bonding Company (Mutual) vouches that the language Ea this document conforrns exactly to the language used in AIA Document G707, 1994 Edition. TO OWNER: {flame and address) CentrePort Venture, LP City of FortWorth PROJECT: (tVame and address) CentrePort ARCHITECT'S PROJECT NO.: CONTRACT FOR: CONTRACT DATED: June 30. 2015 In accordance with :he provisions of the Contract between the Owner and the Contractor as indicated above, the (rrisert name and address of S'trety) Merchants Bonding Company (Mutual) 2100 Fleur Drive Des Moines, Iowa 50321-1158 , SURETY, on bond of (lnsert name and address of Contractor) Wright Construction Co., Inc., 601 W. Wall St., Grapevine, Texas 76051 ,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 (honer) CentrePort Venture, LP City of Fort Worth , OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: August 26, 2015 (Insert in writing the month followed by the numeric date and year.) Merchants Bonding Company (Mutual) (Surely) K=0A-LJ Attest: (Seal(: (Signature of awhohzed re sentafice) Kathy Sells Attorney -In -Fact CON 0405 (02/01) (Printed name and & 1e) MERCHANTS -1,' BONDING COMPANY,, Bond No TXC605350 POWER OF ATTORNEY Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC., both being corporations of the State of Iowa (herein collectively called the "Companies' do hereby make, constitute and appoint, individually, Casey Hege; Dustin Parker; Kathy Sells; Martin Day their true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver on behalf of the Companies, as Surety, bends, undertakings and other written obligations in the nature thereof, subject to the limitation that any such Instrument shall not exceed the amount of. TWENTY MILLION (520,000,000.00) DOLLARS This Power -of -Attorney is granted and is signed and sealed by facsimile under and by authority of the following By -Laws adopted by the Board of Directors of 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, recognizances, 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 Attorney 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 connection with obligations in favor of the Florida Department of Transportation only, it is agreed that the power and authority hereby given to the Attomey-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting to the State of Florida Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its bond. In connection with obligations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given to the Attorney -in -Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner - Department of Highways of the Commonwealth of Kentucky at least thirty (30) days prior to the modification or revocation. In Witness Whereof, the Companies STATE OF IOWA have caused this instrument to be signed and sealed this 15th day of August , 2015 ' •(3 CO MERCHANTS BONDING COMPANY (MUTUAL) No.--D,�p • MERCHANTS NATIONAL BONDING, INC. 9 O , Ci qy 1933 .y. ..Jd�� 4. ��a�y• By COUNTY OF Dallas ss. r1d1Wue111 On this 15th day of August 2015 , before me appeared Lary Taylor, to me personally known, who being by me 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 are the Corporate seals of the Companies; and that the said instrument was signed and sealed in behalf of the Companies by authority of their respective Boards of Directors. Pa'"rs WENDY WOODY Zy Commission Number 784654 My Commission Expires lowP June 20, 2017 (Votary Publ, ' County, Iowa (Expiration of notary's commission does not invalidate this instrument) 1, William 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 correct copy of the POWER -0F -ATTORNEY executed by said Companies, which is still in 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 26th day of August , 2015 .......11 Me", ,, �,aA�lOf�a�"•, ;`atm 04-4 C) v'. 2003 POA 0014 (6/15) Secretary A .� ERCI-ANTS BONDING COMPANY,- biFRCHAN'TS BONDING COMPANY (MUTUAL) - MERCHANTS NATIONAL BONDING. INC. 2100 FLEUR DRIVE • DCS MOINES. 104VA 50321-1153 - (S00) 678-8171 • (515) 243-3854 FAX IMPORTANT NOTICE To obtain information or make complaint: You may contact your insurance agent at the telephone number provided by your insurance agent. You may call Merchants Bonding Company (Mutual) tol} gree telephone number for information or to make a complaint at: 1-800-678-8171 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance at P. O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: http-Hwvivv.tdi.state.tx.us E-mail. Cons umerProtection@tdi.texas.gov PREMIUM AND CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact the agent first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not become a part or condition of the attached document. SUP 0032 TX ('12/13) FORTWORTH W� TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR CONTRACTOR & PROJECT DATA REV: 02/20/07 Name of Contractor Project Name Wright Construction Centre Station Drive DOE Inspector DOE Number Candace Menk 7199 EInspector Project Manager ❑ Water ❑ Waste Water❑✓ Storm Drainage❑ Pavement Fred Ehia Initial Contract Amount Project Difficulty $ moi$ 020. 0Z 0 Simple 0 Routine O Complex Final Contract Amount Date Ls 020. d8 9/10/2015 11) 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 3 20 15 4 Field Supervision 15 Y 3 60 45 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 4 60 60 9 Daily Clean Up 5 Y 4 20 20 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 P122n Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 4 20 20 III) CONTRACTOR'S RATING Maximum Score (MS) = 448 Qr sum of applicable element score maximums which = Rating ( [TS I MS] * 100%) 428 / 448 — %% Performance Category Excellent <20%—Inadequate 20% to <40% =Deficient TOTAL ELEMENT SCORE (A) 428 BONUS POINTS (25 Maximum) (B) TOTAL SCORE (TS) 438 448 40% to <60% =Standard 60% to <80% = Good ?:80%—Excellent Inspector's Comments (INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector Signature Contractor Signature DOE Inspector's Supervisor /( L��ZD(5 CONTRACTORS COMMENTS TRANSPORTATION AND PUBLIC WORKS y The City of Fort Worth -1000 Throckmorton Street - Fort Worth, TX 76012-6311 (817) 392 - 7941 - Fan: (817) 392 - 7845 FORTWORTH REV: 0/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY PROJECT INFORMATION Date: 9/10/2015 Name of Contractor Project Name Wright Construction (Centre Station Driv DOE Impedor -~ V Project Manager !— Candace Klenk Fred Ehia DOE Number Project Difflculty -- ~ -T Type of Contract 7199 10 Simple Q Routine 0 Complex Q Waterg Waste Watee Storm DrainageD Pavement Initial Contract Amount Final Contract Amount II) PERFORMANCE EVALUATION 0 - Inadeauate 1 - Deficient 2 - Standard 3 - Grand 4 - Fxcellent ELENEW RATING (0-4) IFLE14ENT I RATING (0 4) _ INSPECTION EVALUATION PLANS & SPECIFICATIONS 1 Availability of Inspector ! 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector > 2 Clarity & Sufficiency of Details 3 Accuracy of Measured Quantities _ �( 113 Applicability of Specifications 4 Display Of Professionalism L1l14 Accuracy of Plan Quantities l5 Citizen Complaint Resolution j .< !PROJECT MANAGER EVALUATION 6 Performance - Settingup Valve Crews, Labs_��Li� j l Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Mana er a w 1 Chane Order Processing Time -, 3 Communication 2 Tirgliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Openjag to Pre -Con Meetin Timeframe III) COMMENTS & SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth -10DO Tbroekmorton Street - Fort Worth, TX 76012-6311 (817) 392 - 7941 - Fay (817) 392 - 7845 FORT WORTH. TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENT# FINAL STATEMENT# 1 DOE 1 7119 NAME OF PROJECT: Centre Station Drive Contractor Wli htCoMt. YEAR: 2015 PROJECT NO.: FINAL INSPECTION DATE 1 413012015 P275-7051302247-83 X PERIOD FROM: I toom—, TO:f—w-Fi MID - MontY I jwv9L0rw0(V/N)j7- WORK ORDER EFFECTIVE: 7. - 1" I n Al WD ty / n DAY OF MONTH DAYS REASON FOR CHARGED DAYS CREDITED DAY OF MONTH DAYS CHARGED REASON FOR DAYS CREDITED 1 16 Sun 0 N 2 17 Mon 0 3 18 Tue 0 4 19 Wed 0 A 5 20 Thu 0 6 21 Fri 0 7 22 Sat 0 8 23 Sun 0 9 24 Mon 0 1 AN - 10 25 Tue 0 11 26 Wed 0 NA - 12 27 Thu 0 iid► 13 28 Fri 0 IRA 14 1 1 29 Sat 0 NA 15 30 1 Sun 0 NA 31 Mon 0 NA NA Wkn & Hol Wea utl ®th Not Applicable SAT,SUN,and WEATHER HOLIDAYS UTILITIES OTHERS RELOCATE DAYS CHARGED TOTAL DAYS THIS PERIOD 0 0 0 0 0 0 PREVIOUS PERIOD 0 171 171 TOTAL TO DATE 0 0 0 0 171 171 time on 2-4-15. Walked Wrights final on 4-30-15, punchlist was completed 6-10-15. (Print Name) T -&,L Vul'j lCaudace Klenk .rte Allmark Impressions 823 N. Riverside Dr. Phone: 817-834-0080 PO Box 7575 Fax: 817-838-2315 Fort Worth, Texas 76111 Email: allmark7@aol.com BILL TO CITY OF FORT WORTH ACCOUNTS PAYABLE 1000 THROCKMORTON ST 3RD FLOOR FORT WORTH, TX 76102 SHIP TO INVOICE DATE INVOICE # 11/20/2015 50298 CITY OF FORT WORTH ATTN: LOSI SABB ADMINISTRATIVE TECHNICIAN 1000 THROCKMORTON ST 3RD FORT WORTH, TX 76102 ACCOUNT PAYMENT TERMS PURCHASE ORDER SENT VIA SALES REP 600055 NET 30 ENGRAVED BADGE WITH ROUNDED CORNERS, THREE LINES OF ENGRAVING AND MAGNETIC FASTENER 9.75 SHIPPING AND HANDLING 9400111899563587131744 MAIL bw QUANTITY ITEM CODE ITEM DESCRIPTION PRICE EACH AMOUNT 6 MP5403MG MAIL ENGRAVED BADGE WITH ROUNDED CORNERS, THREE LINES OF ENGRAVING AND MAGNETIC FASTENER 9.75 SHIPPING AND HANDLING 9400111899563587131744 9.75 4.00 58.50 4.00 Subtotal $62.50 Sales Tax $0.00 Total $62.50 Payments $0.00 Balance Due $62.50 www.allniarkimpressions.com