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Contract 45686-FP2
Departm t of PW Const. Services DOME## Date 0 T2isk Management S.Can d U' °" r " W Project Mana er C D.O.E. Brothertan CFA Westerman/Scanned o The Proceeding people have been Contacted concerning the request NTION AND PUBLIC WORDS for final payment&have released this project for such payment. F PROJECT COMPLETION Clearance Conducted By Etta Macy w 1 t it l! D.O.E.Nes 7151 Regarding contract:456$6 for MURPHY EXPRESS is required by the TR.ANSPORTAI"ION AND PUBLIC WORDS DEPARTMENT as approved by City Council on N/A through M&C N/A the director of the TRANSPORTATION ORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $171,002.35 Amount of Approved Change Orders; Ne Revised Contract Amounts Total Cost Work Completed; $171,002.35 Less Deductions. Liquidated Damages: Days Q$210.00/Day Pavement Deficiencies: Total Deduction Amounts Total Cost Work Completed. $171,002.35 Less Previous Payments; $0.00 Final Payment Due $171,002.35 Recommen ed for Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction' _!flv ..._. Accepted Date D18 recto TRANSPORTATION AND PUBLIC WORKS DEPARTMENT Asst. City ana r Date Comments: FUND ACCT:PAVING 0205-2063202202/STORM DRAIN:0205-2067602202- 4 ZMAZJ1wJCD µM NOV 201 a RECORD t .... aryS)ECRETARY FoRTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name MURPHY EXPRESS Contract Limits Project Type PAVING&STORM DRAIN City Project Numbers 02202 DOE Number 7151 Estimate Number I Payment Number I For Period Ending 10/13/2015 CD City Secretary Contract Number 45686 Contract Time 12ED Contract Date Days Charged to Date 330 Project Manager Long Contract is 100.00 Complete Contractor HARCO SERVICES,LLC 3271 OLD HIGHWAY 41 KENESAW, GA 30144 Inspectors GREGORY / COLLIER Wednesday,October 21,2015 Page I of 5 City Project Numbers 02202 DOE Number 7151 Contract Name MURPHY EXPRESS Estimate Number I Contract Limits Payment Number I Project Type PAVING&STORM DRAIN For Period Ending 10/13/2015 Project Funding UNIT III:STORM DRAIN IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total I MANHOLE ADJUSTMENT MINOR 1 EA $1,000.00 $1,000.00 1 $1,000.00 2 TRENCH SAFETY 63 LF $5.00 $315.00 63 $315.00 3 24"RCP CLASS I11 63 LF $65.00 $4,095.00 63 $4,095.00 4 4'DROP INLET 1 EA $2,500.00 $2,500.00 1 $2,500.00 5 l0'TYPE 2 INLET 1 EA $4,500.00 $4,500.00 1 $4,500.00 Sub-Total of Previous Unit $12,410.00 $12,410.00 UNIT IV:PAVING IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ———————————— ——— ——————————————————- 1 REMOVE CONC CURB&GUTTER 185 LF $10.81 $1,999.85 185 $1,999.85 2 UNCLASSIFIED EXCAVATION BY PLAN 331 CY $5.00 $1,655.00 331 $1,655.00 3 HYDRATED LIME 64 TN $200.00 $12,800.00 64 $12,800.00 4 12"LIME TREATMENT 1780 SY $8.05 $14,329.00 1780 $14,329.00 5 7"CONC PVMT HES 1780 SY $54.30 $96,654.00 1780 $96,654.00 6 4"CONC SIDEWALK 1150 SF $4.50 $5,175.00 1150 $5,175.00 7 BARRIER FREE RAMP,TYPE M-1 I EA $1,500.00 $1,500.00 1 $1,500.00 8 6"CONC CURB AND GUTTER 765 LF $4.90 $3,748.50 765 $3,748.50 9 4"DOT PVMT MARKING HAS(W) 145 LF $2.25 $326.25 145 $326.25 10 4"DOT PVMT MARKING HAS(Y) 385 LF $2.75 $1,058.75 385 $1,058.75 11 18"SLD PVMT MARKING HAE(W) 26 LF $9.75 $253.50 26 $253.50 12 LANE LEGEND ARROW 3 EA $375.00 $1,125.00 3 $1,125.00 I 13 INSTALL&REMOVE TEMP.GRAVEL DRIVE 1 LS $4,750.00 $4,750.00 1 $4,750.00 ----------------------------------------- Sub-Total of Previous Unit $145,374.85 $145,374.85 UNIT V:LIGHTING IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ----- ----------------------------- ------ 1 FURNISHMSTALL ELEC SERV PEDESTAL 2 EA $1,100.00 $2,200.00 2 $2,200.00 2 FURNISH/INSTALL ELEC SERV POLE MNT 2 EA $2,062.50 $4,125.00 2 $4,125.00 3 CONDUIT BOX 1 EA $600.00 $600.00 1 $600.00 1, Wednesday,October 21,2015 Page 2 of 5 I z City Project Numbers 02202 DOE Number 7151 Contract Name MURPHY EXPRESS Estimate Number I Contract Limits Payment Number I Project Type PAVING&DRAINAGE For Period Ending 10/13/2015 Project Funding 4 2"CONDT PVC SCH 40(T) 270 LF $7.75 $2,092.50 270 $2,092.50 5 CONTACT ENCLOSURE PAD MOUNT I EA $4,200.00 $4,200.00 1 $4,200.00 --—---——---------———---—-----—-----------—— Sub-Total of Previous Unit $13,217.50 $13,217.50 ------------------------------------------ Wednesday,October 21,2015 Page 3 of 5 City Project Numbers 02202 DOE Number 7151 Contract Name MURPHY EXPRESS Estimate Number 1 Contract Limits Payment Number I Project Type PAVING&DRAINAGE For Period Ending 10/13/2015 Project Funding Contract Information Summary Original Contract Amount $171,002.35 Change Orders Total Contract Price $171,002.35 Date Total Cost of Work Completed $171,002.35 Contr �.�� r Less %Retained $0.00 Date Net Earned $171,002.35 Earned This Period $171,002.35 Inspection Supervisor Retainage This Period $0.00 Date /r� A)/ Less Liquidated Damages Pro3ect Man ' Days t@ /Day $0.00 Date LessPavement Deficiency $0.00 t. irecttor/TPW-Infrastructure Design and Construction Less Penalty $0.00 I U J I ' Date JI�� �/ Less Previous Payment $0.00 Direc )/Contracting Departn nt Plus Material on Hand Less 15% $0.00 Balance Due This Payment $171,002.35 i I I i i Wednesday,October 21,2015 Page 4 of 5 I City Project Numbers 02202 DOE Number 7151 Contract Name MURPHY EXPRESS Estimate Number I Contract Limits Payment Number 1 Project Type PAVING&DRAINAGE For Period Ending 10/13/2015 Project Funding Project Manager Long City Secretary Contract Number 45686 Inspectors GREGORY / COLLIER Contract Date Contractor HARCO SERVICES,LLC Contract Time 127 CD 3271 OLD HIGHWAY 41 Days Charged to Date 330 CD KENESAW, GA 30144 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 $171,002.35 Less %Retained $0.00 Net Earned $171,002.35 Earned This Period $171,002.35 Retainage This Period $0.00 j 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 $171,002.35 r Wednesday,October2l,20I5 Page 5 of 5 s i FORTWORTHREV:02/22/07 tMR11 TRANSPORTATION AND PUBLIC WORDS CONTRACTOR'S EVALUATION OF CITY 1) PROJECT INFORMATION Date: 10/�1/2015 \'unie ofConhactor Project Name I larco Services LLC Murphy Express _._,____.. ....._. ME lnspec'tor Project 1/anger Michael Collier Aaron Long l Jl \umGer �Pt ojec!DP�^citl_lwr. __..T..i p_e of_M C._o,._n.ti._a_c.t 7151 0 Simple ® Routine 0 Complex ❑ Water❑ . waste ,._W_a.mt.e.,.r.❑....._S..t,.,o..r.m_.D_ra._l.n..a...g.c.. Pavement ....._.. lnilial Cnnnncl Amount Final Connracl Amount S 171,002.35 $171,002.35 11) PERFORMANCE EVALUATION 0 - Inadequate I - Deficient 2-Standard 3 -Good 4-Excellent 1:1 1 NIFNT RATING ELEMENT I Rt1 rING INSPECTION EVALUATION PLANS&SPECIFICATIONS I Availability of Inspector y' I Accuracy of Plans to Existing Conditions j 2 Knowledge of Inspector „ v 2 Clarity&Sufficiency of Details s 3 Accuracy of Measured Quantities y 3 Applicability of Specifications Y 4 Display OFProfessronahsm ._.. _.._._.__ _..__y 4 Accuracy of Plan Quantities __....__ _ _. 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION b �✓ 1 end/Or Problem 6 Performn ace-Setting up Valve Cr ews_._.._.>La s .__..._ _.._ ... . ....._.._...Knowldge A Resolution .-_._._ _._..._. ADMINISTRATION 2 Availability of Project Manager _........_ _ ._y I Change Order Processing Time 3 3 Communication Tinliness of Contractor Payments 4 Resolution of Utility Conflicts 3 [aid Opening to Pre-Con Meeting Ttmefiarn Iii) COMMENTS&SIGNATURES ('OAIAIENTS Signature Contractor Signature DOE Inspector ° z P ., _. Si"MIture DOE Inspector's Supervisor W / ~ INSPECTOR'S COMA,IENTS TRANSPORTATION AND PUBLIC WORKS Z r The Crt)'of Fort North• 1000 Th>ockinortoii Street•Dort Worth,T1 76012-6311 -�, (817)392-7941 •Fax: (817)392-7845 I I 1 FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORDS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR Sc PROJECT DATA A'(mme ofC'outractor Project A4one I larco Services LLC Murphy Express 1)0l:hispector DOE Number N/lichael Collier 7151 1)OL hlyector Project A/cnxrger ["] Water❑ Waste WaterO Storm DrainageE] Pavement Aaron Long himell Contract ihnount Project Di(ftcttlt), ;171,002.35 Q Simple © Routine Q Complex (anal C owl-act Amount Date Si 171,002.35 110/21/2015 II) PERFORMANCE EVALUATION 0-Inadequate I -Deficient 2-Standard 3-Good 4-Excellent I:LI-�AII-.N'I' WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE ISCORE I Submission ofDoClmlentS 2 Y 4 8 8 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Piel(I Supervision 15 Y 3 60 45 5 \Vork Performed 15 Y 3 60 45 0 Finished Product 15 Y 3 60 45 7 .lob Site Salety 15 Y 3 60 45 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Property Restoration 5 Y 1 3 1 20 1 15 12 After Ilours Response 5 Y 4 20 20 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 358 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 358 f 11)CONTRACTOR'S RATING Nlaxinrtun Score(NIS)=448 or sum of applicable element score maximums Which= 448 Rating(ITS/NISI x 1000/) 358 / 448 = 80% Performance Category Good 20'%—lnadequale 20'%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Lwellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) q Signature DOE Inspector ignaf lre Contractor Signature DOE Inspector's Supeiw or CON'tRACfOR:S COMMENTS TRANSPORTATION AND PUBLIC WORKS �.� The City of Fort Worth- 1000 Throckmorton Street•Fort Worth,T1 76012-6311 04, (817)392-7941 -Fax: (817)392-7845 AFFIDAVIT STATE OF GA COUNTY OF Cobb Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Jerry Hollis, Member Of HARCO Services,LLC,known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all persons, firms,associations, corporations,or other organizations furnishing labor and/or materials have been paid in full; That the wage scale established by the City Council in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Murphy Express Crowley, TX-Bond#218214 CFA#2014-019 I BY 'l� , lbE�✓ Name or Title f Subscribed and sworn before me on this date 21st of October,2015. SI Notary Public ` ,�\oTAV 8 Cobb,GA m 0 s �L RENE SCHNOC R ° a 4 p , > Rotary Pubiic Cobb Co. Geor is c' ® C' C�1®1° My Commission Expires 11-22-2018F(9 ®� s _ r AIA Document G707" 1994 Consent Of Surety to Final Payment PROJECT:(Name and address) ARGHITECT'S PROJECT NUMBER: OWNER: Murphy Exprsss#8729 ARCHITECT:❑ Crowley,TX Bond#2184214 CONTRACTOR:❑ CONTRACT FOR:Murphy Exprsss#8729 SURETY:❑ TO OWNER:(Nance and address) CONTRACT DATED:July 16,2014 OTHER:❑ Murphy Oil USA,Inc.and - City of Fort Worth TX 422 North Washington El Dorado,AR 71730 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) North American Specialty Insurance Company 475 N.Martingale Road,Suite 850 Schaumburg,IL 60173 ,SURETY, on bond of (Insert naine and address of Contractor) Harco Services,LLC 3271 Old Highway 41,,Kennesaw,GA 30144 CONTRACTOR hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shat l not relieve the Surety of any of its obligations to (Insert name and address of Osvnei) Murphy Oi l USA,Inc.and City of Fort Worth TX 422 North Washington El Dorado,AR 71730 OWNER as set forth in said Surety's bond.-° IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date:October 21,2015 .(Insert iri writing the month followed by the nioneric date and year.) NqA American Specialty Insurance Company ure f I I (Signature ofauthorized representative) Attest: Edward P.Mooney,Attorney-in-fact (Seal) 1�'} �� 'f\�'�� __• °.._... (Printed nante and title) i 3 k AIA Document G707-—1994.Copyright 01982 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIAo Document Is protected by U.S,Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA°Document,or any portion of it,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent posslble under the law.This document was produced by AIA software at 13:26:06 on 1012112015 under Order No.0451660337_1 which expires on 05/22/2016,and is not for resale. UserNotas: (1114779494) t { NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF AT'T'ORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duty organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New Hampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg,Illinois,each does hereby make,constitute and appoint: EDWARD MOONEY, KRISTI M.FLYNN and ROBERT CARLETON WYNNE JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of- FIFTY MILLION($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9'a of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice Presiden, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorn ey and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached:" pAAQitaLl l4/ji/ii ��,TloNgt/l 5: 4�'GOFPOjt,1j-y, p: SEAL =a Steven P.Anderson,Senior Vice President ofNArmbington Ia term,"anal lmurance Company Z. - l=wy 1973 •m &Senior Alice President orNorih American Specialty insurance Company - .�ss� rV: bye'AMPS.['•��� y�-� ,�r iy0 /�i�lillu mtU�PAAA B Michael A.Ito, en or see rest ent o ns mgton In murnnm ompany - &Senior Vice President of North American Specialty Insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this Ist day of April 2015 . North American Specialty Insurance Company Washington International Insurance Company i State of Illinois { County of Cook SS: On this Ist day of April 20_L5—before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Michael A.Ito• Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company,personally known to me,who being by me duly Sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL M KENNY -t1 `' i A - NOTARY PUBLIC,SIATEOFIWNOIS M.Kenny,Notary Public MY COMMISSION EXPIRES 12(0 12017 I, Jeffrev Goldberg the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said Nort American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this"/-71$day of /� ,201 J. Jeffrey Goldberg,Vicc President&Assistant Secretary or Wafldngtonintemational Imumncz Company&North American Specialtylae—ace Comp y I t t A / r •� Construction Department October 28,2015 City of Fort Worth,Texas Mr.Ron Cordova Sr. Construction Inspector Forth Worth,TX Re: Murphy Express, 849 W.Rendon Crowley Rd Dear Ron: Please let this letter confirm that Murphy USA will not charge HARCO Services, LLC, the general contractor on the above referenced site,for any liquidated damages due to the delay in construction. If you have any questions,please call. Sincerely, Rusty Coan I i i i I i f I FORTWORTH rev 03105107 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME F1\At. STATEMENT NO.:I NIANIE OF PROJECT: Murphy Express PROJECT NO.: 2202 CONTRACTOR: Harco Services I.LC DOE NO.: 7151 PERIOD RIOD FROM 10101115 TO: 10115115 FINAL INSPECTION DATE: 13-Oct-15 WORK ORDER EFFECTIVE: 11118/2014 CONTRACT TIME: 127 0 WO* CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 'I'llur 1 16. 2. I'l-i 1 17. 3. Sat 1 18. 4. Still 1 19, 5. Moll 1 20. 6. 'File 1 21. 7. Wed 1 22. 8. Thu I 23. (). J.'ri 1 24. 1(1. Sill 1 25. 11. Still 1 26. 12. Moil 1 27. 13. Tile I Final 28. 14. 29. 1 • 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES OTH HERS DAYS TOTAL & HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS THIS PERIOD 13 13 PREVIOUS 317 317 ' DATE 1 71 330 330 TOTALS 7REMARKS: 4 ('()N TRACTOR DATE INSPECTORAE ENGINEERING DEPAR7f1*\fI1,'N'1' The City of Fort Worth - 1000 Throckmorton Street-Fort Wortli,'I'X 76012-631 (817)392-7941 •Fax:(817)392-7845 C1 rl"' SECRET11IR /'--',",...............