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HomeMy WebLinkAboutContract 46690-FP1 z wepart o TPW Const.Services Dat DOE# CITYSECRETAW4( Project MAneger r Risk Management S:+CanadY D. :E. Broiherton CIA Westerman/ canned'a The Prlroleediiig peopto have been Contacted concerning the request ATI N AND PUBLIC WORKS fioir inns Payment Bi have released this project for such payment P PROJECT COMPLETION Cl6graace Conducted By Etta Bacy D.O.E. Ns: 7376 It egar ding contract 17376 for ATER/8A "t"RYE R&STREET LIGHTING DISC INDUS'TRI)AL as required by-the WATER DEPARTMENT as approvved by City-Council on N/A through M&C N/A the clit-ector of the WATER DEPARTMENT upon the t.ecornrnendation of the Assistant Director of the Transportation&Public s Worts Department has accepted the r eal Original Contract Prices: $133,317.00 Arv.t t Amount of Approved Change Ordex : ,Tf'o I ; Revised Contract Amount: $133,317,00 i Total Cost Work Completed; $133,317.00 f i Less IDeduetionk Liquidated Damages:q � Days a>$210.001 nay 1 l'avementDeticiencies: ! Total(Deduction Amount. $0.00 Total Cost-Work Completed: $133,317.00 Less Previous Payments: Final Paymentnue $133,317,00 Recommended for Acceptance Date' Asst. Director, TPW - Infrastructure Design and Construction . � rr 'ac-ce,`pled � [7afie Asst, Director, WATER DEPARTMENT ' As City*Manager._ Date Comments: FUND ACCT,P265-6021502435/P275-7021302435 OFFICIAL REWORD CITYSECRETARY ZMAZZRD IL WORTHI �2 US , IbRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name WATER,SANITARY SEWER&STREET LIGHTING HSC INDUSTRIAL B Contract Limits Project Type WATER&SEWER City Project Numbers 02435 DOE Number 7376 Estimate Number 1 Payment Number I For Period Ending 10/26/2015 CD City Secretary Contract Number 117376 Contract Time I2CD Contract Date 4/9/2015 Days Charged to Date 113 Project Manager Shia Contract is 100-00 Complete Contractor TRI DAL EXCAVATION&UTILITIES INC 540 COMMERCE ST SOUTHLAKE, TX 76092 Inspectors RODGERS / SALINAS i i I w i Wednesday,November 04,2015 Page I of 4 i i i City Project Numbers 02435 DOE Number 7376 Contract Name WATER,SANITARY SEWER&STREET LIGHTR 1G HSC INDUSTRIAL Estimate Number 1 I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 10/26/2015 Project Funding UNIT I:WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 DUCTILE IRON WATER FITTINGS WITH 1.2 TN $4,000.00 $4,800.00 1.2 $4,800.00 RESTRAINT 2 12"PVC WATER PIPE 819 LF $47.00 $38,493.00 819 $38,493.00 3 6"FIRE LINE 54 LF $32.00 $1,728.00 54 $1,728.00 j 4 12"GATE VALVE 2 EA $2,550.00 $5,1K00 2 $5,100.00 5 CONNECT TO EXISTING 12"WATER 1 EA $1,500.00 $1,500.00 1 $1,500.00 6 FIRE HYDRANT ASSEMBLY 1 EA $3,000.00 $3,000.00 1 $3,000.00 i 7 1"DOMESTIC WATER SERVICE STUB WITH 1 EA $1,800.00 $1,800.00 l $1,800.00 METER j 8 V IRRIGATION SERVICE STUB WITH METER 1 EA $1,800.00 $1,800.00 1 $1,800.00 9 6"GATE VALVE I EA $1,400.00 $1,400.00 1 $1,400.00 10 R&R PAVING 1240 SF $12.00 $14,880.00 1240 $14,880.00 I 1 BARRICADE PLAN I EA $827.00 $827.00 1 $827.00 Sub-Total of Previous Unit $75,328.00 $75,328.00 -------------- - ----------------- j UNIT 11:SANITARY SEWER ROPROVEMENTS Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total — --- -------------------------------- I POST-CCTV INSPECTION 717 LF $5.00 $3,585.00 717 $3,585.00 2 MANHOLE VACUUM TESTING 5 EA $1,347.00 $6,735.00 5 $6,735.00 3 8"PVC SANITARY SEWER PIPE 717 EA $34.00 $24,378.00 717 $24,378.00 j 4 8"PVC SANITARY SEWER SERVICE 1 EA $1,291.00 $1,291.00 1 $1,291.00 5 4'DIAMETER MANHOLE 5 EA $4,400.00 $22,000.00 5 $22,000.00 j Sub-Total of Previous Unit $57,989.00 $57,989.00 f� I I i i Wednesday,November 04,2015 Page 2 of 4 I City Project Numbers 02435 DOE Number 7376 Conti-act Name WATER,SANITARY SEWER&STREET LIGHTING HSC INDUSTRIAL Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 10/26/2015 Project Funding Contract Information Summary Original Contract Amount $133,317.00 Change Orders Total Contract Price $133,317.00 Date Total Cost of Work Completed $133,317.00 Ccc or Less %Retained $0.00 Net Earned $133,317.00 Date Inspection 5upe or Earned This Period $133,317.00 Retainage This Period $0.00 Date Less Liquidated Damages Project Man er cy Days @ Day $0.00 Datez�z LessPavement Deficiency $0.00 Asst. 7ect r/TPW-Infrastruct 4 Design and C nstruction Less Penalty $0.00 Date Less Previous Payment $0.00 Director/Contracting Depart Plus Material on Hand Less 15% $0.00 Balance Due This Payment $133,317.00 Wednesday,November 04,2015 Page 3 of 4 1 "4 1 1,� City Project Numbers 02435 DOE Number 7376 W8k STREET LIGHTIN H w„ Contract Name WATER,SANITARY G HSC INDUSTRIAL Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 10/26/2015 Project Funding Project Manager Ehia City Secretary Contract Number 117376 Inspectors RODGERS / SALINAS Contract Date 4/9/2015 Contractor TRI DAL EXCAVATION&UTILITIES INC Contract Time 120 CD 540 COMMERCE ST Days Charged to Date 113 CD SOUTHLAKE, TX 76092 Contract is .000000 Complete j i i CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net -- Funded ----- Total Cost of Work Completed $133,317.00 Less %Retained $0.00 Net Earned $133,317.00 Earned This Period $133,317.00 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 $133,317.00 Wednesday,November 04,2015 Page 4 of 4 i 540 Commerce UTILITIES V Metro(817) 481-2886 Southfake, TX 76092 Fax {817) 410-8024 AFFIDAVIT STATE.OF TEXAS COUNTY OF TAR:RANT Before sire,the undersigned authority a Notary Public in the state and county aforesaid,oil this day personally appeared Scatl:Langham,Project Manager of Tri Dal, Ltd,known to me to be a credible persort,,who being-by me duly svvorn,upon his oath deposed and said; That all pexsoD,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 i That there are no claims pending for personal injury and/or property damages; I On Contract described as; HSC_Industrial Buildin DOD#: 7376 City Project#: 02435 Water Project#:P265.-6021502435-00 Sanitary Seaver#:F275-7021302435-00 f BY; ; Sc4'`i't U119hain Subscribed and sworn before me.on this 281h,day of July,2015 BY:. { U r Janine DeShazo * 11,-" Public in Tarrant Qa� °� JA I?ri�DE3 �C3 �r PuWC S ale �u oe County,Texas 'My comma- orf,X4711°5. I i i i i CONSENT OF OWNER ❑ ARCHITECT ❑ SURETY COMPANY CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ OTHER AIA DOCUMENT G70-7 PROJECT: HSC Industrial Building (name, address) Fort Worth, TX i I i TO (Owner) I FCity of Fort Worth CFA No.: 2014-051 100 Throckmorton Street CONTRACT FOR: Water, Sanitary and Street Fort Worth, TX 76102 Lighting CONTRACT DATE: April 9, 2015 CONTRACTOR: TRI DAL UTILITIES, LTD. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert name and address of Surety Company) TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA ONE TOWER SQUARE, HARTFORD, CT 06183 , SURETY COMPANY, on bond Of(here insert name of Contractor) TRI DAL UTILITIES, LTD. 540 COMMERCE ST., SOUTHLAKE, TX 76092 , 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 (here insert name and address of Owner) CITY OF FORT WORTH 100 THROCKMORTON STREET, FORT WORTH, TX 76102 , OWNER, as set forth in the said Surety Company's bond, Bond No. 106229771 IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 28th day of July, 2015. TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA Sure y Company �Oxvl Signature of Authorized Representative Attest: C)qA,k- (Seal): Tonle Petr-anek, Witness Trenae Donovan Title Attorney-In-Fact NOTE:This form is to used as a companion document to AIA DOCUMENT G706, CONTRACTORS AFFIDAVIT OF PAYMENT ANTDEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707 - CONSENT OF SURETY COMPANY TO FINAL PAYMENT - APRIL 1970 EDITION • AIA® = ONE PAGE ® 1970 - THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006 - i i - ' � - _ - _ � i � - I : _ - li .. .. _ _ _ - ti - �� � .. - .. i ., _ .. i 7I I • j '4 �1' ,r� _ `: I ... .. . . . ti _ 1113 WARNING:THIS POWER OF ATTORNEY IS INVALID WffHOUTTHE RED BORDER A{� l POWER OF ATTORNEY A RAY EELE R S J Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian,Insurance Company Attorney-In Fact No. Certificate No. 006.399'528 229569 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut,that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint Clem F.Lesch,Steven W.Lewis,Eric Lesch,Rober Hales,Jennifer Picchi.Trenat:Donovan.and Tonic Petranek i i of the City of Irving State of Texas their true and lawful Attomey(s)-in-Fact, each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. ':N:WITJ31SSVHEREOF,the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed,this 24th dy of Jutie 2015 Farmington Casualty Company St.Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St.Paul Guardian Insurance Company Z t?L [7`3- MMbm,. e 4 ���. G9 JPi........A9,t, bJ� Do` `�pNaW7n, .wyy••.� i �_�3 G Fl •^^+rKL1tED ♦ `l^ 1t0APORA�C� W:40APORAT�fl4t �T��•JA ,j'/'��� �k • t Y.9Jr� ':SEAL e�'I �: 'a CONPt a t)etir. B ',h a96 State of Connecticut By: City of Hartford ss. Roben L.Raney,Sficnior Vice President On this the 24th day of June 2015 before me personally appeared Robert L.Raney,who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and.Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being-authorized so to do,executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer- In In Witness Whereof,I hereunto set my hand and official seal. � W w" C My Commission expires the 30th day of June,2015. pUBl1�+ # Marie C.Tetrcault,Notary Public i 58440-8-12 Printed in U.S.A. WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER ? This Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,which resolutions are now in full force and effect,reading as follows: RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President,any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalf of the Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her;and it is E FURTHER RESOLVED,that the Chairman,the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President may delegate all or any part of the foregoing authority to one or more officers or employees of this Company,provided that each such delegation is in writing and a copy thereof is filed in the office of the Secretary;and it is FURTHER RESOLVED,that any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional undertaking shall be valid and binding upon the Company when(a)signed by the President,any Vice Chairman,any Executive Vice President,any Senior Vice President or any Vice President,any Second Vice President,the Treasurer,any Assistant Treasurer,the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary;or(b)duly executed(under seal,if required)by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation of authority; and it is FURTHER RESOLVED,that the signature of each of the following officers:President,any Executive Vice President,any Senior Vice President,any Vice President, any Assistant Vice President,any Secretary,any Assistant Secretary,and the seal of the Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds I and undertakings and other writings obligatory in the nature thereof,and any such Power of Attorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. 1,Kevin E.Hughes,the undersigned,Assistant Secretary,of Farmington Casualty Company,Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance { Underwriters,Inc.;St,Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States Fidelity and Guaranty Company do hereby certify that the above and'fnregoing is a true and correct copy of the Power of Attorney executed by said Companies,which is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this day of Kevin E.Hughes,Assistant Sec Lary To verify the authenticity of this Power of Attorney,call 1-800421-3880 or contact us at www-lravelersbond.com.Please refer to the Attorney-In-Fact number,the above-named individuals and the details of the bond to which the power is attached. {� WARNING:THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER t? i REV; 02101/05 CISCO LOCATION I.D. SANITARY SEWER SERVICE REPORT FDATE: 7/28/201 5 ADDITION:: A.E.S.S. R: 7376 PROJECT NA-NM. IISC Industrial Bid1ding WORK ORDER#: PROJECT#: 2436 ZIP CODE: mm CONTRACTOR: Tii Dal Utilities,Ltd. MAPSCO: 48-P INSPECTOR: ;klatdaa Salinas TAD MAP. INSPECTOR TELEP14ONE: 817-350-3321 STREET: I — 1300 Meacham 1 1 8" 7 Alf? 20 8L E:A,:T of NW Pxop Corner i I I i REV: 02/01105 CISCO LOCATION E.D. WATER SERVICE REPORT I i DATE: 28-Jul-15 ADDITION: A.E.S.S. DOE NUMBER- 7376 PROJECT NAME: HSC Industrial Building ivirzvli ORDER PROJECT r:- 24.2,5 ZIP CODE: 76106 CONTRACTOR: Tri Dal Utilities MAPSC. 48-R INSPECTOR: Martina Salinas TAD MAP: INSPECTOR TELEPHONE: 817-350-3321 STREET: 1340 Mecham �1I3D3tESS T�QT - BLOGIC - = Ed 1300 Rlechatn 1 1 6" FL 5LF EAST`ofN.NV Prop Cartier 1300.Afecliam I' 1 Pt DC)\I 10T F EAST of N.W.Prop Corner 1300 llecliatn l 1 1" MR 15LP EAST of N.W.Prop Corner FoRTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project 1vame Tri-Dal Utilities HSC Industrial-Building DOE Inspector DOE Number Martina Salinas 7376 DOE Inspector Project Manager [2] water 2] waste water❑ Storm Drainageo Pavement Fred Ehia Initial Contract Amount Project Difficulty $133,317.00 0 Simple 0 Routine d Complex Final Contract Amount Date ,$133,317.00 11/10/2015 11)PERFORMANCE EVALUATION 0-Inadequate I-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(YIN) RATING(0-4) MAX SCORE SCORE I Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 3 60 45 5 Work Performed 15 Y 3 60 45 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 N 11 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 N 13 Project Completion 5 Y 2 20 10 TOTAL ELEMENT SCORE(A) 356 BON-US POINTS(25 Maximum)(B) TOTAL SCORE(TS) 356 111)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 408 Rating(-ITS/MS]*100%) 356 408 = 87% 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) Signature DOE Inspector ft/614&0.) ^� d,. �7ignature Contractor Signature DOE Inspector's Supervisor Ae, CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,'IX 76012-6311 (817)392-7941 •Fax: (817)392-7845 RH'V:02122/07 tORTWORTH TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 11/10/2{)15 DUE fins UtoRactor PrSC Industrial f �f Tti-Dal Utilities INSC]ridustr,al_+ j s ' Martina Salinas _ _ �- IN�Y- Fred Ehia -' DOh"Mntber. Project Difficulty —Tj"7teofC4l11ract 7376 O Simple (9)Routine O Complex El Water P1 Waste Water ❑Storm Drainage El Pavement du£tia£CrnitraclAwount Final contract/1111011111 S133,317,00 S133,317.00 II)PERFORTVIANCE.EVALUATION 0-lnadequate I-Deficient 2-Standard 3-Good 4-Excellent EL.ENIENT RAUNG EL. MFNIT RATINIG INSP..E TON EVALUATION PLANS&SPECIFICATIONS 1 AvarlaU'ility of Irrspeetor 1 Accuracy of Plans to E istnrg Conditions 2 Knowledge of Inspectors �t �2 Clarity R.Sufficiency of Details' 3 ticcnrtc}of Measured Quautrttes 3 Applicabilitz of Specifictttiotts ! 4 Display Of Professionalism 4 Aecurac ofPlan Quantities 5 Citizen Coin jIaint Rescihrtion -PROJECT MANAGE R EVALUATION 6 Performance-Setting tip Wve_Crews,La[is 1 Knowledge And/Or Problem Resohrtion ADMINISTRATION 2 Availability ofPro}ectManager 1 Change Order Processing Time-� r' 3 Communication 2 Timlin€ss of Conti actor Payments 4 Resohitioh of Utility Conflids 3 Bid Opening to Pre Con Meeting Trmeframe I]I)COMMENTS&SIGNATURES COIIMENTS i r Signature.Cotftractor Signature DOE Inspector Signature DOE InspectoA Supervisor WSPECTOR'S COAMENTS TRAINSPORMATIONT A\D IlUBLIC VTORKS The Py of FortRTOrth•1000'fltrockmorton Street•Fort��'otiit,F 7.GOI2-631'1 { (817):392-7941 Fax:(31 7)392 7a=155 i FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT TOR: PROJECT NAME: HSC Building PROJECT NUMBER: #02435 DOE NUMBER: 7376 i WATER PIPE LAID SIZE TYPE OF PIPE LF Line A 12" PVC 787 Fire hydrant lateral 6" Pvc 22 I Fire Line lateral 6" 67 FIRE HYDRANTS: 1 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF NA DENSITIES: Passed NEW SERVICES: 1" Copper 54 SEWER PIPE LAID SIZE TYPE OF PIPE LF Line A 8" SDR-26 716.56 i PIPE ABANDONED SIZE TYPE OF PIPE LF NA DENSITIES: Passes NEW SERVICES: 8" PVC 18" TRANSPORTATION AND PUBLIC WORKS s' The City of Fort Worth•1000 Throckmorton Street•Fort North,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 FORT WORTH TRANSPORTATION AND PUBLIC WORICS STATEMENT OF CONTRACT TIME STATEMENT# I FINAL STATEMENTH Final DOE 7376 NAME OF PROJECT: HSC Industrial Building Contractor YEAR: 2015 PROJECT NO.: ::I—FINAL INSPECTION DATE #02435 WD -(!D 1CONTRACT TIME 1 120 1 x — IDE LOPMFNII IN)l I PERIOD FROM: 1 9/1t?12015 ITO: 1 9/21/2015 1 MID Month VE (Y y IWORK ORDER EFFECTIVE: 3(y n) n MID(y/n) y DAYS REASON FOR DAYS REASON FOR DAY OF MONTH CHARGED DAYS CREDITED DAY OF MONTH CHARGED DAYS CREDITED 1 Tue 16 Tue I 2 Wed 17 Wed 3 Thu 18 Thu 4 Fri 19 Fri I 5 Sat 20 Sat 1 6 Sun 21 Sun 7 Mon 22 Mon I 8 Tue 23 Tue I 9 Wed 24 Wed 1 10 Thu 25 Thu 1 11 Fri 26 Fri 12 Sat 27 Sat 13 Sun 28 Sun I 14 Mon 29 15 Tue 30 31 NA Wkn&Hol Wea utl Oth Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGED THIS PERIOD 0 0 0 0 13 13 PREVIOUS PERIOD 0 100 100 TOTAL TO DATE 0 0 0 0 113 113 REMARKS: OFFICIAL RECORD 77"', Ali+ S "ZIP,vle 1/10�� CbNTnX&01i"17any ,DATE