HomeMy WebLinkAboutContract 46233-FP1 Depart t of PW Const. Services
DOE# �� Date
Project Manager 4 t�h,— I S i t
Risk Management S. Canadv ;T w�RTH� CRt�
C0WRACT 00.
D.O.E. Brotherton %1
0.
CFA Westerman/Scanned ❑ 5q ID() 1 — C 6 a3(o q
The ProceedingATION AND PUBLIC WORKS
people have been Contacted concerning the request
for final payment&have released this project for such payment. F PROJECT COMPLETION C-5 1 �
�1 G a 33
Clearance Conducted By Etta Bacy D.O.E. Me: 7304
Regarding contract 46233 for W&SS REPLACEMENT CONTRACT 2014 WSM as required by the
WATER DEPARTMENT as approved by City Council on 12/02/2014 through M&C C-27100 the director of the
WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works
Department has accepted the project as complete.
Original Contract Prices: $1,310,785.00
Amount of Approved Change Orders: DEC 24 2015 $600.00 No 1
Revised Contract Amount: $1,311,385.00
Total Cost Work Completed: $1,067,922.27
Less Deductions:
Liquidated Damages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $1,067,922.27
Less Previous Payments: $1,039,303.76
Final Payment Due $28,618.51
Recommended for Acceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
- Z
--
-za_ -- - - z
Accepted Date
Asst. Director, WATER DEPARTMENT
Ass . City Manager Date
Comments: FUND ACCT:WATER P253-6021702369/SEWER:P258-7021702369/ CITY PROJECT
QAC << 2015 OFFICIAL RECORD
initiai; - , CITY SECRETARY
FT.WORTH,TX
QEG� 0 ,, FF 69(0°1 - CO ?3(o
D
DEC 24 2015 GS �(� � 33
City Project Numbers 02369 � DOE Number 7304
Contract Name WATER&SANITARY SEWER REPLACEMENT CONTRACT 2014 WS Estimate Number 21
Contract Limits NW 14TH,NW 15TH,NW 16TH,NW 20TH,PEARL AVE&GOULD AV Payment Number 21
Project Type WATER&SEWER For Period Ending 11/30/2015
Project Funding i
I
Project Manager Sauceda City Secretary Contract Number 46233
Inspectors RODGERS / SALAZAR Contract Date 12/2/2014
Contractor CONATSER CONSTRUCTION TXLP Contract Time 200 CD
5327 WICHITA ST Days Charged to Date 172 CD
FORT WORTH, TX 76119 Contract is .000000 Complete g&l� -
PV # -
CITY OF FORT WORTH lNvOIC
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
--------------------------------------
5y(�ui LL�Z61,Ft 112t)l,Ulb.00 U, I2-D.00 fi 9,(a S,0S IS1�SS .�1�
Total Cost of Work Completed $1,067,922.27
Less %Retained $0.00
WATER DEPARTMENT Net Earned $1,067,922.27
ENGINEERING AND FISCAL SERVICES,
Co Pe on- erdena Diggs-Ext.8429 Earned This Period $28,618.51
P e proval Sig for Retainage This Period $0.00
Less Liquidated Damages
DEPARTMENTCtIECK PICK-UP
YES 0 Days @ $0.00 /Day $0.00
LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $1,039,303.76
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $28,618.51
Friday,December 04,2015 Page 6 of 6
� a 3 -�a3�4
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WATER&SANITARY SEWER REPLACEMENT CONTRACT 2014 WSM-
Contract Limits NW 14TH,NW 15TH,NW 16TH,NW 20TH,PEARL AVE&GOULD AVE
Project Type WATER&SEWER
City Project Numbers 02369
DOE Number 7304
Estimate Number 21 Payment Number 21 For Period Ending 11/30/2015
CD
City Secretary Contract Number 46233 Contract Time 20ED
Contract Date 12/2/2014 Days Charged to Date 172
Project Manager Sauceda Contract is 81.000 Complete
Contractor CONATSER CONSTRUCTION TxLP
5327 WICHITA ST
FORT WORTH, TX 76119
Inspectors RODGERS / SALAZAR
Friday,December 04,2015 Page 1 of 6
City Project Numbers 02369 DOE Number 7304
Contract Name WATER&SANITARY SEWER REPLACEMENT CONTRACT 2014 WS Estimate Number 21
Contract Limits NW 14TH,NW 15TH,NW 16TH,NW 20TH,PEARL AVE&GOULD AV Payment Number 21
Project Type WATER&SEWER For Period Ending 11/30/2015
Project Funding
SECTION A.WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 24"PVC C905 WATER PIPE(CO#1) 1110 LF $120.00 3133,200.00 600 $72,000.00
2 12"WATER PIPE 150 LF $85.00 $12,750.00 80 $6,800.00
3 10"PVC WATER PIPE 82 LF $60.00 $4,920.00 82 $4,920.00
4 8"PVC WATER PIPE 7680 LF $34.00 $261,120.00 7070 $240,380.00
i
5 12"WATERLINE LOWERING 1 EA $6,000.00 $6,000.00
6 8"WATERLINE LOWERING 10 EA $3,500.00 $35,000.00 5 $17,500.00
7 24"GATE VALVE WNAULT 2 EA $26,000.00 $52,000.00 1 $26,000.00
8 12"GATE VALVE 5 EA $2,000.00 $10,000.00 2 $4,000.00 j
9 10"GATE VALVE 2 EA $1,800.00 $3,600.00 2 $3,600.00
10 8"GATE VALVE 40 EA $1,200.00 $48,000.00 40 $48,000.00
11 6"GATE VALVE 13 EA $1,000.00 $13,000.00 12 $12,000.00
I2 DUCTILE IRON WATER FI7TIGS W/RESTRAINT 2 TN $8,500.00 $17,000.00 2 $17,000.00 j
24"DI PIPE
13 DUCTILE IRON WATER ITTTNGS 7 TN $5,500.00 $38,500.00 7 $38,500.00
14 12"X8"TAPPING SLEEVE&VALVE 1 EA $4,000.00 $4,000.00 1 $4,000.00
15 WATER LINE GROUTING 20 CY $150.00 $3,000.00
16 SALVAGE FIRE HYDRANT 12 EA $300.00 $3,600.00 10 $3,000.00
e
17 SALVAGE 3/4"WATER METER 126 EA $50.00 $6,300.00 126 $6,300.00
18 4"CONC SIDEWALK 40 SF $6.00 $240.00 191.27 $1,147.62 j
19 TEMPORARY ASPHALT CURB&GUTTER 730 LF $5.00 $3,650.00 520 $2,600.00
20 TEMPORARY ASPHALT DRIVEWAY 300 SF $4.00 $1,200.00
21 CONCRETE COLLAR 60 EA $200.00 $12,000.00
22 TRENCH SAFETY 1410 LF $1.00 $1,410.00 600 $600.00
23 FIRE HYDRANT 12 EA $2,650.00 $31,800.00 12 $31,800.00
24 1"WATER SERVICE METER RECONNECTION 140 EA $150.00 $21,000.00 140 $21,000.00
25 1"WATER SERVICE 152 EA $975.00 3148,200.00 140 $136,500.00
26 1"PRIVATE WATER SERVICE 550 LF $30.00 $16,500.00 32 $960.00
27 CONNECTION TO EXISITNG 4"-12"WATER 34 EA $2,500.00 $85,000.00 32 $80,000.00
MAIN
28 CONNECTION TO EXISTING 24"WATER MAIN 2 EA $4,000.00 $8,000.00 2 $8,000.00
29 REMOVE CONCRETE WATER VAULT 2 EA $500.00 $1,000.00 j
t
30 REMOVE 4"-12"WATER LINE 3 EA $200.00 $600.00 6 $1,200.00 i
i
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Friday,December 04,2015 Page 2 of 6
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i
City Project Numbers 02369 DOE Number 7304
1
Contract Name WATER&SANITARY SEWER REPLACEMENT CONTRACT 2014 WS Estimate Number 21
Contract Limits NW 14TH,NW 15TH,NW 16TH,NW 20TH,PEARL AVE&GOULD AV Payment Number 21
i
Project Type WATER&SEWER For Period Ending 11/30/2015
Project Funding
31 TEMPORARY WATER SERVICES I LS $12,000.00 $12,000.00 1 $12,000.00
32 TEMPORARY ASPHALT PAVING REPAIR 8820 LF $6.00 $52,920.00 8735 $52,410.00
33 10"2:27 PERMANENT CONCRETE PAVEMENT 2760 LF $45.00 $124,200.00
REPAIR
34 CONC PVMT REPAIR,RESIDENTIAL 30 SY $65.00 $1,950.00 77.41 $5,031.65
35 EXPLORATORY EXCAVATION OF EXISTING 2 EA $500.00 $1,000.00 2 $1,000.00
UTILITIES
36 BLOCK SOD PLACEMENT 125 SY $10.00 $1,250.00
37 TRAFFIC CONTROL 6 MO $500.00 $3,000.00 5.5 $2,750.00
i
38 4"WIDE ASPHALT PVMT REPAIR, 350 LF $40.00 $14,000.00 2341.75 $93,670.00
RESIDENTIAL
39 6"CONC CURB&GUTTER 50 LF $30.00 $1.500.00
40 24"WATER LINE LOWERING(CO#1) 2 EA $7,500.00 $15,000.00 2 $15,000.00
--------------------------------------
Sub-Total of Previous Unit $1,209,410.00 $969,669.27
SECTION B:SANITARY SEWER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
--------------------------------------
1 8"SEWER PIPE 700 LF $40.00 $28,000.00 702 $28,080.00
2 8"DIP SEWER PIPE 300 LF $50.00 $15,000.00 294 $14,700.00
3 REMOVE 4'SEWER MANHOLE 6 EA $300.00 $1,800.00 6 $1,800.00
4 POST-CCTV INSPECTION 1004 LF $2.50 $2,510.00 996 $2,490.00
i
5 MANHOLE VACUUM TESTING 7 EA $200.00 $1,400.00
6 4"SEWER SERVICE 24 EA $700.00 $16,800.00 22 $15,400.00
7 4'MANHOLE 7 EA $2,600.00 $18,200.00 7 $18,200.00
8 4'EXTRA DEPTH MANHOLE 8 VF $165.00 $1,320.00 6 $990.00
9 EPDXY MANHOLE LINER 24 VF $175.00 $4,200.00
10 CONCRETE COLLAR 7 EA $300.00 $2,100.00 3 $900.00
L1 IMPORTED EMBEDMENT/BACKFILL,CSS 5 GY $85.00 $425.00 2.5 $212.50
I2 TEMPORARY ASPHALT PAVING REPAIR 720 LF $6.00 $4,320.00 1530 $9,180.00
13 TEMPORARYASPAHLT CURB&GUTTER 40 LF $15.00 $600.00 166.7 $2,500.50
14 ALLEY REMOVE/REPLACE 500 LF $6.00 $3,000.00 500 $3,000.00
I
15 EXPLORATORY EXCAVATION OF EXISTING 1 EA $500.00 $500.00 1 $500.00
UTILITIES
16 TRAFFIC CONTROL 6 MO $300.00 $1,800.00 1 $300.00
Friday,December 04,2015 Page 3 of 6
i
City Project Numbers 02369 DOE Number 7304
Contract Name WATER&SANITARY SEWER REPLACEMENT CONTRACT 2014 WS Estimate Number 21
Contract Limits NW14THNW15TfLNW16TRNW20TH,PEARL AVE&GOULDAV Payment Number 21
Project Type WATER&SEWER For Period Ending 11/30/2015
Project Funding
—————— ---————————————————————————————
Sub-Total of Previous Unit $101,975.00 $98,253.00
--------------------------------------
Friday,December 04,2015 Page 4 of 6
City Project Numbers 02369 DOE Number 7304
Contract Name WATER&SANITARY SEWER REPLACEMENT CONTRACT 2014 WS Estimate Number 21
Contract Limits NW 14TH,NW 15TH,NW 16TH,NW 20TH PEARL AVE&GOULD AV Payment Number 21
Project Type WATER&SEWER For Period Ending 11/30/2015
Project Funding
Contract Information Summary
Original Contract Amount $1,310,785.00
I
Change Orders
Change Order Number 1 $600.00
Total Contract Price $1,311,385.00
e 111 Date Total Cost of Work Completed $1,067,922.27
ntr for Less %Retained $0.00
Zd(� Net Earned $1,067,922.27
io� ,
Inection Supervisor Date Earned This Period $28,618.51
Date R
Retainage This Period $0.00
roject Man (� ,
?Z
Less Liquidated Damages
Days @ /Day $0.00
Date/z,��'�� LessPavement Deficiency $0.00
Ass ec - ture ign and Co tructi Less Penalty $0.00
ate �-� Less Previous Payment $1,039,303.76
Director/Contracting Departme Plus Material on Hand Less 15% $0.00
Balance Due This Payment $28,618.51
Thursday,December 10,2015 Page 5 of 6
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT CD
CONTRACTOR ❑
TO FINAL PAYMENT suRET ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G767
Bond No 0187839
PRn'E"T:
(name, address)Water and Sanitary Sewer Replacement Contract 2014
Fort Worth TX
TO (Owner)
ARCHITECT'S PROJECT NO:
CITY OF FORT WORTH CONTRACT FOR.,
1000 Throckmorton Street Water and Sanitary Sevier.Replacement Contract 2014,WSM-A,Part
1,CPN;02369,DOE 7304
Fort Worth Tx 7s1a2 �j CONTRACT DATE:
CONTRACTOR.-GONATSER CONSTRUCTION TX,L.P.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(hero Insert name and address of Surety Company)
BERKLEY INSURANCE COMPANY
475 Steamboat Road
Greenwich CT 06830 , SURETY COMPANY
on.bond of there insert name and address of Contractor)
CONAT SER CONSTRUCTION TX,L.P.
5327 Wichita St.
Forest Hill TX 76119-6035 , 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 (nota insert name and address of Owner)
CITY OF.FORT WORTH
1000 Throckmortan Street
Fort Worth TX 76102 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its band this 2nd day of December,2015
BERKLEY INSURANCE=COMPANY
Surety Company
Attest: rs tea:4r lrrlf'r
(Seal); v �'2; `it 3. /_ l Signature of Authorized'Representative
I Robbi Morales Attorney-in-Fact
Title
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
i
ONE PAGE
j
fNul "I-
POWER OF ATTORNEY
BERKLEY INSURANCE CONTPANY
WILMINGTON,DELAWARE
NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully.
KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly
organized and existing under the laws oftheState of Delaware;having its principal office in Greenwich,CT, has made,constituted
and appointed, and does by these presents make, constitute and appoint: Rieardo J. Reyna, tion E. Cornell; Vena DeLene
Nf rsltull,Sophinie Ifunter;Robbi Morales;or Keliv A. If estbrook of Aon Risk Services SouthHTest,Inc. of Dallas, TX its true i
and lawful Attomey-in-Fact,to sign its name as.surety only as delineated below and to execute,seal,acknowledge and deliver any
- and all bonds and 'undertakings, with the exception of Financial Guaranty Insurance, providing that no single obligation shall
exceed Fifty Million and 00,1100.U.S,Dollars(U.S.S50,000,000.00),to the same extent as if such bonds had been duly executed
and acknowledged by the regularly elected officers of the Company at its principal office in their own proper persons.
This Power of Attorneyshallbe construed and enforced in accordance with, and governed.by,the laces of the State of Delaware,
without giving effect to the principles of conflicts of laves thereof This Power of Attorney is granted pursuant to the following
resolutions which-were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25,2Q
RESOLVER;that,with respect to the Surety business written by Berkley Surety Group, the Chairman of the Board. Chief
Executive Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant i
5ecretarF are hereby authorized to execute powers of attorney authorizing and qualifying the attorney-in-fact named therein
to execute bonds, undertakings, recognizances, or other suretyship obligations on behalf of the Company, and to affix the
corporate seal of the° Company to powers of attorney executed pursuant hereto; and said officers may remove any such }
attorney-in-fact and revoke any power of attorney previously granted;and further
RESOLVED, that such power of attorney limits the acmof those named therein to the bonds, undertakings, recognizances, �
or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the
manner and to the extent therein stated;and further
RESOLVED. that such power of attorney revokes all previous powers issued on behalf of the attorney-in-fact named;and
further
RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any
power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or j
other suretyship obligation of the Company;and such signature and seal when so used shall have the:same force and effect as
though manually affixed, The Company may continue to use for the purposes herein stated the facsimile signature of any
person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have
ceased to be such at the time when such instruments shall be issued.
IN WITNESS WHEREOF, the Companv has ca feo these presents to be signed and attested by its appropriate officers and its
corporate seal hereunto affixed this 'day of" V(��
Attest; Berkley Insurance Company
(Seal; By - B4Je
-- —
Ira S. e erman afterSenior Vice President&Secretary ce Presider `
tr1'ARNING; THIS POWER INVALID IF NOT PRINTED ON BLUE "BERKLEY"SECURITY PAPER (1
STATE OF CONNECTICU'T')
ss: 1
COUNTY OF FAIRT<IELD
Sworn to before me,a Notary Public in the State of Connecticut, this',"0 day of 2015, by Ira S. t,ederrnan and
seffcey L1.l lafler who are sworn to n�z to be the Senior Vice President and Sect ary an the Senior Vice Pre ident,respectively,of
Berkley Insurance Company. MARIA C.RU DBAKEN fi �
NOTARY PU13LIC U rte• > ��r r ��f �t`�>
MY COMMISSION EXPIRES atary Public,State of Connecticut
APRIL 30,2019
CERTIFICATE
1,the undersigned, Assistant Secretary of BERKLEY INSURANCE COMPANY, DO HEREBY CER'T'IFY that the foregoing is a
true, correct and complete copy of the.original Power of Attorney;that said Power of Attorney has not been revolved or rescinded
and that the authority of the Attorney-in-Fact set forth therein, who executed the bond or undertaking to which this Power of
Attorney is attached, is in full force and effect as of this date.
Giver? under my hand and seal of the Company;this2nd day of December A2015
(Seal) _
A m a
i
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Water and SanitarySewer Rehabilitation Contract 2014 WSM-A Part 1
,
PROJECT NUMBER: 2369
DOE NUMBER: 7304
WATER
PIPE LAID SIZE TYPE OF PIPE LF
Yes 24" PVC C905 600
Yes 12" PVC 80
Yes 10" PVC 82
Yes 8" PVC 7,070
FIRE HYDRANTS: 12 VALVES(16" OR LARGER) 1 EA
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Yes
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Yes 8" PVC 702
Yes 8" DIP 294
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: Yes
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
, � The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
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 Brock Huggins, Vice-President of Conatser Management Group,
Inc., general partner of Conatser Construction TX, LP,known to me to be a credible person,who
being by me duly sworn,upon his oath deposed and said:
That all persons, funis, 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; and
That there are no claims pending for personal injury and/or property damages;
On Contract described as:
I
I
WATER&SANITARY SEWER REPLACEMENT
CONTRACT 2014—WSM-A PART 1
WATER AND SANITARY SEWER IMPROVEMENTS
DOE#: 7304
City Project#: 02369
CITY OF FORT WORTH
STATE OF TEXAS i
I
CONATS CONSTRU TION TX, LP
Brock Huggins `
Subscribed and sworn to before me this 2"d day of Decemb
BERTHA GIANULIS .�
• Notary Rublia,State of Texas
MV COMM1961on Expires Notary Public in Tarrant County, Texas
'tiar�•• t` Se iernber 18, 2019
FORTWORTH REV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date:
Name of Contractor Project Name
Conatser Construction TX,LP Water&Sewer Rehabiliation Cont.2014,WSM-1 Part 1
DOE Inspector Project Manager
Richard Salazar Robert Sauceda
DOE Number Project DifJtculh, T)pe of Contract
7304 O Simple O Routine O Complex E Water RI Waste Water[I Storm DrainageE] Pavement
Initial Contract Amount Final Contract Amount
$1,310,785.00 $1,311,385.00
11)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 2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities 3 Applicability of Specifications
4 Display Of Professionalism 4 Accuracy of Plan Quantities
5 Citizen Complaint Resolution 4 1PROJECT MANAGER EVALUATION
6 Performance-Setting uE Valve Crews,Labs 4 1 Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availabili of Project Manager
1 Change Order Processing Time 1 3 Communication 4
2 Timliness of Contractor Payinents 4 Resolution of Utility Conflicts +}
3 Bid Opening 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
13 The City of FortWorth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845
FORT ► •ORTH REV:02120/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
CONTRACTOR&PROJECT DATA
Nmne of Contractor Project Name
Conatser Construction,TX,LP Water&Sewer Rehabilitation Contract 2014 WSM-A Part 1
DOE Inspector DOE Number
Richard Salazar 7304
OE Inspector Project Manager
0 Water El Waste Water❑ Storm Drainage❑ Pavement Robert Sauceda
Initial Contract Amount Project Difficulty
$1,310,785.00 O Simple O Routine O Complex
Final Contract Amount Date
$1,311,358.00 12/8/2015
II)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 3 60 45
6 Finished Product 15 Y 4 60 60
7 Job Site Safety 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 4 20 20
12 After Hours Response 5 Y 3 20 15
13 Project Completion 5 Y 4 20 20
TOTAL ELEMENT SCORE(A) 393
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 393
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating([TS/MS] *100%) 393 f 448 = 88%
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 J Signature Contractor lleo�
Signature DOE Inspector's Supervisor
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
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
STATEMENT#
FINAL STATEMENT# 21 DOE 7304
NAME OF PROJECT: Water and Sanitary Sewer Rehabilitation Contract 2014,WSM-A Part 1 Contractor Conatser Const.
VEAR:j 2015
PROJECT NO.: FINAL INSPECTION DATE 7/17/2015
2369 1 WD CD
CONTRAC TIME 200 1 1 X
i
PERIOD FROM: 1 11/16/2015 TO: 111130/20151 MID Month I IDEVELOPMEN11Y/N N
WORK ORDER EFFECTIVE: 1 1/2012015 BEG I n n I MID /n 86.0%
DAI'OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR
CHARGED DAYS CREDITED CHARGED DAYS CREDITED
1 0 Stop Time 16 Mon 0 Stop time
2 0 Stop Time 17 Tue 0 Stop time
3 0 Stop Time 18 Wed 0 Stop time
4 0 Stop Time 19 Thu 0 Stop time
5 0 Stop Time 20 Fri 0 Stop time
6 0 Stop Time 21 Sat 0 Stop time j
7 0 Stop Time 22 Sun 0 Stop time
8 0 Stop Time 23 Mon 0 Stop time
9 0 Stop Time 24 Tue 0 Stop time
10 0 Stop Time 25 Wed 0 Stop time
11 0 Stop Time 26 Thu 0 Stop time
12 0 Stop Time 27 Fri 0 Stop time
13 0 -Stop Time 28 Sat 0 Stop time
14 0 Stop Time 29 Sun 0 Stop time
15 0 Stop Time 30 Mon 0 Stop time
31 Stop time
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 0 0
PREVIOUS PERIOD 0 172 172
TOTAL.TO DATE 0 0 0 0 172 172
REMARKS:
Finaled 7/17/2015.
Signature: Signature:
(Print Name) (Print Name) Richard Salazar
CONTRACTOR DATE INSPECTOR DATE 1 1212/2015