HomeMy WebLinkAboutContract 45721-FP3Departnwnt oGTPW Const. Services
DOE# Dat
Project Man der /
Risk Management S. Canadv
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
RT WORTH. � ��corn"cr ago. �5P3
TATION AND PUBLIC WORKS
OF PROJECT COMPLETION
0 J� S' e A IuMe- 1 f/.CQ/ jS— D.O.E. Ns(2
: 7199
Regarding contract 217199 for CENTRE STATION DRIVE as required by the L l I
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on N/A d mugh
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 bas accepted the project
as complete.
Original Contract Prices:
Amount of Approved Change Orders:
Revised Contract Amount:
Total Cost Work Completed:
Less Deductions:
Liquidated Damages:
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed:
Less Previous Payments:
Final Payment Due
Recommended for Acceptance
Asst. Dir4ctor, TPW - Infrastructure Design and Construction
19
AND PUBLIC WORKS DEPARTMENT
$135,852.00
Ns 1
$135,852.00
$135,852.00
Days ® $210.00/ Day
$0.00
$135,852.00
$135,852.00
Date
Date
Asst. City Manager Date
Comments: FUND ACCT: P265-6051502247-83 / P275-7051302247 80IFFICIAL RECORD
P14 5 = 59601 E CITY SECRETARY
PX7�- �5 440 1k1 AZZ.-MD 5T. WORTH, TX
Nov 4 2015
r
;w
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name CENTRE STATION DRIVE PHASE 11 AMERICAN AIRLINES STROM DRA
Contract Limits
Project Type STORM DRAIN
City Project Numbers 2247
DOE Number 7194
Estimate Number I Payment Number 1 For Period Ending 8/31/2015
CD
City Secretary Contract Number 217199 Contract Time XD
Contract Date 4/8/2015 Days Charged to Date 29
Project Manager Ehia Contract is 100.00 Complete
Contractor SAN SABA CONSTRUCTION SERVICES, INC.
3100 INDEPENDENCE PKWY 1!311-314
PLANO , TX 75075
Inspectors RODGERS / KLENK
Friday, September 04, 2015
Page 1 of 4
. A
1
City Project Numbers 2247 DOE Number 7199
Contract Name CENTRE STATION DRIVE PHASE 11 AMERICAN AIRLINES STROM D Estimate Number 1
Contract Limits Payment Number I
Project Type STORM DRAIN For Period Ending 8/31/2015
Project Funding
UNIT B1 - STROM DRAIN IMPROVEMENT
Item
Description of Items
Estimated Unit
Unit Cost
Estimated
Completed
Completed
No.
Quanity
Total
Quanity
Total
1
SITE PREPARATION REMOVAL OF 36" RCP
310 LF
$50.00
$15,500.00
310
$15,500.00
2
SITE PREPARATION REMOVAL OF 27" RCP
400 LF
$44.00
$17,600.00
400
$17,600.00
3
CUT AND PLUG 27" RCP
2 EA
$900.00
$1,800.00
2
$1,800.00
4
CUT AND PLUG 36" RCP
2 EA
$900.00
$1,800.00
2
$1,800.00
5
PRF. -CCTV INSPECTION OF EXISTING STORM
1 LS
$4,000.00
$4,000.00
1
$4,000.00
DRAIN LINES
6
POTHOLDING TO LOCATE LINES
I LS
$102.00
$102.00
1
$102.00
7
HAUL OFF AND DISPOSAL OF RCP
I LS
$3,500.00
$3,500.00
1
$3,500.00
8
FLOWABLE FILL OF EXISTING 36" RCP
90 LF
$148.00
$13,320.00
90
$13,320.00
9
36" CLIA RCP
50 LF
$97.00
$4,850.00
50
$4,850.00
10
42"CLOOORCP
316 LF
$130.00
$41,080.00
316
$41,080.00
11
6'X8' JUNCTION BOX OVER 36" RCP
1 EA
$10,000.00
$10,000.00
1
$10,000.00
12
8'X8' JUNC"T"ION BOX OVER 42" AND 66" RCP
I EA
$18,000.00
$18,000.00
1
$18,000.00
13
CONNECT TO EXISTING 36" RCP
1 EA
$1,500.00
$1,500.00
1
$1,500.00
14
RESTRICTOR PLATE
I LS
$2,800.00
$2,800.00
1
$2,800.00
Sub -Total of Previous Unit
$135,852.00
$135,852.00
Friday, September 04, 2015 Page 2 of 4
City Project Numbers 2247 DOE Number 7199
Contract Name CENTRE STATION DRIVE PHASE 11 AMERICAN AIRLINES STROM D Estimate Number I
Contract Limits Payment Number t
Project Type STORM DRAIN For Period Ending S;iI;2f�I S
Project Funding
Contract Information Summary
Original Contract Amount
Chanee Orders
to t
1101 kr Date
In tion Superviso /
r:��A ve")
ate
Project Managr / _,
- brtrastructure Design and
Date' limit nl
3t.._ Di r! ng Department
Friday, September 04, 2015
$135,852.00
Total Contract Price $135,852.00
Total Cost of Work Completed $135,85200
Less % Retained
$0.00
Net Earned
$135,85200
Earned This Period $135,852.00
Retainage This Period $0.00
Less Liquidated Damages
Days Q / Day
$0.00
LessPavement Deficiency
50.00
Less Penalty
$0.00
Less Previous Payment
$0.00
Pius Material on Hand Less 15%
$0.00
Balance Due This Payment
$135,85200
Page 3 of 4
City Project Numbers 2247 DOE Number 7199
Contract Name CENTRE STATION DRIVE PHASE II AMERICAN AIRLINES STROM D Estimate Number I
Contract Limits Payment Number 1
Project Type STORM DRAIN For Period Ending 8/3112015
Project Funding
Project Manager Ehia City Secretary Contract Number 217199
Inspectors RODGERS / KLENK Contract Date 4/8/2015
Contractor SAN SABA CONSTRUCTION SERVICES, INC. Contract Time 30 CD
3100 INDEPENDENCE PKWY #311-314 Days Charged to Date 29 CD
PLANO , TX 75075 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 $135,852.00
Less % Retained
$0.00
Net Earned
$135,852.00
Earned This Period $135,852.00
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
$135,852.00
Friday, September 04, 2015 Page 4 of 4
CONSENT OF
OWNER
❑
SURETY COMPANY
ARCHITECT
❑
❑
CONTRACTOR
TO FINAL PAYMENT
SURETY
❑
Conforms with the American Institute of
OTHER
Architects, AIA Document G707
PROJECT: Center Station Drive - Centreport Blvd to Trinity Blvd; DOE 7199, City Project #02247
(name, address)
TO (Owner)
Fort Worth
TX
Bond No 4399287
ARCHITECT'S PROJECT NO:
ALLIANCE RESIDENTIAL BUILDERS, LP
CONTRACT FOR:
8111 Preston Road #700 Center Station - Centreport Blvd to Trinity Blvd; DOE 7199, Cay
Project
LDallas TX 75225 J CONTRACT DATE:
CONTRACTOR: SAN SABA CONSTRUCTION SERVICES, INC.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
Owe Insert name and address of Surety Company)
SURETEC INSURANCE COMPANY
1330 Post Oak Blvd.
Houston
TX 77056
on bond of (here Insert name and address of Contractor)
SAN SABA CONSTRUCTION SERVICES, INC.
8111 LBJ Freeway Suite 775
Dallas TX 75251
, SURETY COMPANY
,CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve
the Surety Company of any of its obligations to (hen Insert name and address of Owner)
ALLIANCE RESIDENTIAL BUILDERS, LP
8111 Preston Road #700
Dallas TX 75225
as set forth in the said Surety Company's bond.
IN WITNESS, WHEREOF,
the Surety Company has hereunto set its hand this
20th day of October, 2015
SURETEC INSURANCE COMPANY
Surety Company
Sign ture of Authorized Representative
, OWNER,
Soohinie HUftr Attorney -in -Fact
Title
NOTE: This form is to be used as a companion document to ALA DOCUMENT 6708. CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Gk.rerlr fo#ttor►
ONE PAGE
Dant c1: 4221097
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Men by 77rese Preaentr, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
'existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make, constitute and appoint
Lisa M. Bonnot, Don E. Cornell, Ricardo J. Reyna, V. DeLene Marshall, Sophinke Hunter, Robbi Morales, Kelly a Westbrook
its true and lawful Attorney4n-fact, with full power and authority hereby conferred in its name, place and stead, to execute, aclmowledge
and deliver any and all bonds, recogah anc es, undertaldngs or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for.
Five Million and 00/100 Dollars (55,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate
seal of the Company and.duly attested by its Secretary, hereby mtibbg and confirming all that the said Attorney -in -Fact may do in the
premises. Said appointment shall continue in force until 12/31x11116 and is made under and by authority of the following
resolutions of the Board of Directors of the SureTec Insurance Company:
Be It Amo/ved that the President, any Vice -President, any Assistant Vice President, any Secy or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Auormy-fn-Fad may be given full power and authority for and in the name of and of behalf of the Company, to execute, admowledge and
deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents anoeling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attomey-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Sectary.
Be It Resolved that the signature of any authorized officer and 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 signature or fgcsimlle seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached (Adopted at a meert>Rg held on 20a ofApA
J999J
In 971ness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, ind its corporate seal
to be hereto affixed this em day of Maw , A.D. sols
y�pANpF SURETEC INSURANCE COMPANY
cuci X q 0 By:
W lu John 4oxresident
State of Texas ss: -1 1 `�
County of Harris
On this 9th day of March. A.D. 2015 before me personally came John Knox Jr., to me known, who, being by me duly sworn, did depose and say, that be
resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which execrated the above
instrument; that he knows the seal of said Company; that the seal affixed to said instrument Is such corporate seal; that it was so affixed by order of the
Board of Directors of said Company, and that he signed his name thereto by like order.
S
JACQUELYN MALDONADO
Notary PublicState of TexasMy comm.Fxp sllelaolr Jacq elyn Maldonado, Notary Public
My commission expires May 18, 2017
I, M. Brent Beaty, Assistant Secretary of SURETEC INSURANCE COMPANY, do hereby certify that the above and foregoing Is a true and cored copy
of a Power of Attorney, executed by said Company, which is still in full fore and effect and furthermore, the resolutions of the Board of Directors, set
out in the Power of Attorney rue in full force and effect.
Given under my band and the seal of said Company at Houston, Texas this day of VL' i (b , AD.
. Bre t Beaty, Assistant ecretary
Any Instrument Issued in excess of the penalty stated above is totally void and without any validity.
For verification of the authority of this power you may call (713) 812-0800 any business day between 8:00 am and 5:00 pm CST.
SureTec Insurance Company
THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION
Statutory Complaint Notice/Filing of Claims
To obtain information or make a complaint: You may call the Surety's toll free telephone number for information or to make a
complaint or file a claim at: 1-866-732-0099. You may also write to the Surety at:
SureTec Insurance Company
9737 Great Hills Trail, Suite 320
Austin, Tx 78759
You may contact the Texas Department of Insurance to obtain information on companies, coverage, rights or complaints at 1-800-252-
3439. You may write the Texas Department of Insurance at
PO Box 149104
Austin, TX 78714-9104
Fax#: 5 12-490-1007
Web: http://www.tdi.state.tx.us
Email: ConsumerProtection@tdi,texas.gov
PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim, you should contact the
Surety first. If the dispute is not resolved, you may contact the Texas Department of Insurance.
Texas Rider 06042014
BILLS PAID AFFIDAVIT
STATE OF TEXAS 0
0
COUNTY OF TARRANT 0
BEFORE ME, the undersigned authorit , on this day ers nal appeared Q�`1 own to
me to be a credible person and officer o Corporation ereinafter called
"Contractor'), and who, being duly sworn, upon his oath declares and acknowledges as follows:
I am the duly authorized agent for the said Contractor which has authorized me to make this
affidavit and all of the recitations herein are true and correct.
Pursuant to an agreement dated b between a
,rift65qW, Contractor
has supplied materials and o ed labor in connection with the construction of Improvements
i►PP P�
upon certain real property owned by the Owner in Tarrant County, Texas. Said Improvements are
more particularly described V in , Texas (the "Improvements').
Contractor has actual knowledge that all bills owed by Contractor to others for materials supplied
or labor performed in connection with the Improvements have been fully paid and satisfied except
for contractual retainage as set out below. Contractor does further wan -ant that should any claim
or lien be filed for material supplied or labor performed by virtue of Contractor's participation in
the construction of said Improvements, Contractor will immediately furnish a bond pursuant to
Texas Property Code, Sections 53.236 through 53.238, for release of each such lien, and obtain
settlement of any such liens and furnish Owner written full release of such liens. Should
Contractor be unable to obtain such release, Contractor agrees to fully indemnify and hold
harmless the Owner for any and all costs they may incur by reason of such liens.
EXCEPTIONS. The Contractor specificall cepts from this affidavit its right entitlement to
payment of retainage in the amount of t , said retainage to be due and payable to
Contractor upon City's acceptance of the Improvements and retainage to subcontractors to be
paid by Contractor upon receipt from Owner.
EXECUTED this 7-01 day of a}. , 2011.5'
SUBSCRIBED AND SWORN TO BEFORE ME by the saidI&.)r� on this the
fi day of 6cToB4R 2015to certify which witnessmy hand and seal of office.
Notary Public i nd for the State of Tex s
My CommissFCY'z�
LAURIE JEAN BIRDSELL
My Commission Expires
August 19. 2017
FORTWORTH RFV: 02'22'07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1) PROJECT INFORMATION r)af.- on mons ,�
Name of Contractor
Wright Construction _
Project Name
Centre Station Drive Phase II- America Airlines Storm Conn.
DOE Inspector
Candace Klenk
Project Manager
Fred Ehia
DOE Nmnber Project Difficulty
7199 0 Simple OQ Routine 0 Complex
Type of Contract
❑ Watero Waste WaterO Storm DrainageD Pavement
Initial Contract Amount
$135,852.00 IS135,852.00
Final Contract Amount
In PERFORMANCE EVALUATION
0 - Inadequate 1 - Deficient 2 - Standard 3 - Good 4 - Excellent
ELEMENT
RATING
(0-4)
ELEMENT
RATING
1 (0-4)
INSPECTION EVALUATION
PLANS & SPECIFICATIONS
1 Availability of Inspector
Ll
I
Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector
W
2
Clarity & Sufficiency of Details
3 Accuracy of Measured Quantities
4
3
Applicability of Specifications
4 Display Of Professionalism '
4
Accuracy of Plan Quantities 4
5 Citizen Complaint Resolution
4
PROJECT MANAGER EVALUATION
6 Performance -Setting up Valve Crews, Labs
W
1
Knowledge And/Or Problem Resolution
ADMINISTRATION
2
Availability of Project Manager
1 Change Order Processing Time
3
Communication
2 Timliness of Contractor Payments
4
Resolution of Utility Conflicts
F3 Bid Opening to Pre -Con Meeting Timeframe
y__
III) COMMENTS & SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor
INSPECTOR'S COMMENTS
z
TRANSPORI'AI'ION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Words, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I1 CONTRACTOR & PRO.IF.C'T DATA
REV: 02/20/07
Nance oJContractor
Project Name
San Saba
Centre Station Drive Phase II- American Airlines Storm Corot.
DOE inspector
DOE Number
Candace Klenk
7199
DOE inspector
Project Manager
❑ Water[] Waste WaterO Storm Drainage❑ pavement
Fred Ehia
Initial Contract Amount
PiVecl Difficulty
$135,852.00
0 Simple Routine 0 Complex
Final Contract Amount
Date
1$135,852.00
9/ 10/2015
Il) PERFORMANCE EVALUATION
10 - Inadeauate 1 - Deficient 2 - Standard a - t',md 4 - Fynellent
ELEMENT
WEIGHT(x)
APPLICABLE (Y / N)
RATING (0 - 4)
MAX SCORE
SCORE
I
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
1
60
15
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
Property 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 2( sum of applicable element score maximums which =
Rating ( ITS / MSI * 100%) 398 / 448 89%
Performance Category Excellent
TOTAL ELEMENT SCORE (A) 398
BONUS POINTS (25 Maximum) (B)
TOTAL SCORE (TS) 3"
448
<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)
Signature DOE Inspector Signature Contractor
Signature DOE Inspector's Supervisor D F rL— I I/3 iwX-,�
CONTRACTOR'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
FORT WORTH..
TRANSPORTATION AND PUBLIC WORKS
STATEMENT OF CONTRACT TIME
A
FINAL STATEMENTN I 1 I I DOE 1 7 9
NAME OF PROJECT: lCentre Station Drive Storm Drain Contractor San Saba
YEAR:j 2015
PROJECT NO.: FINAL INSPECTION DATE 1 413012015
8265-6051502247.83 P275-7051302247-83 I WD I CD
TIME
X
PERIOD FROM: I t11Y 5 TO: i MID - 4tentk I fDrVZLOPNMNJI N N
WORK ORDER EFFECTIVE: — 17
6 ' I BEG I n N' I MID 1 n Y
DAY OF MONTH
DAYS REASON FOR
CHARGED DAYS CREDITED
DAY OF MONTH
DAYS
CHARGED
REASON FOR
DAPS CREDITED
1
16
Sun
0
NA
2
17
Mon
0
NA
3
18
Tue
0
NA
4
19
Wed
p 1
NA
5
20
Thu
0
NA
6
21
Fri
0
NA
7
22
Sat
0
NA
8
23
Sun
0
NA
9
24
Mon
0
NA
10
25
Tue
0 1
hjA
11
26
Wed
0
NA
12
27
Thu
0
NA
13
28
Fri
0
NA
14
1
28
1 Sat
0
NA
15
30
Sun
0
NA
31
Mon
0
NA
NA
Wkn & Hot Wen
Utl Oth
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
29
29
TOTAL TO DATE
0 0
0 0
29
29
REMARKS:
'topped time on 8-3-15. Walked San Sabas Final on 8-19-15, punchlist was completed 8-25-15.
ISignature: (Signature:
(Print Name) 191rAW 94%is a rdi.— lCandace Klenk 'sem
DATE