HomeMy WebLinkAboutContract 44061-FP1 Uepartrnent of TPW Const.Services I
®4DE#_L,/� .� Date ' ,� � -� CTCRY SEMAW*�YaL— LP
Project Manager is� T WO RT H® Q �•
Risk Management S.Can
D.O.E. Brotherton —
CFA Westerman/Scanned o Ti G61— �, bl / q
4 t�l
The Proceeding people Gave been Contacted eooeening the requestF PROJECT COMPLETION ATION AND PUBLIC WORKS C S '�1�I
0
for final payment&have released this project for sub paymet
Ilroa��
D.Q.E.Ns: 6177
Clearance Conducted By Etta Bacy
Regarding contract 44061 for 2008 CIP NEIGHBORHOOD STREETS PROJECT CONTRACT 9B as required
by the WATER DEPARTMENT as approved by City Council on 01/08/2013 through M&C C-26048 the director of
the WATER DEPARTMENT u c Assistant Director of the Transportation&Public
Works DepaLwunt has accepted th '9
Original Contract Prices: JAN 019 2015, $548,792.25 —
Amount of Approved Change Ord 5136,511.50 Ns 1
Revised Contract Amount: $685,303.75 --
Total Cost Work Completed: $604,981.25
Less Deductions:
Liquidated Damages: Days 5210.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: 5604,981.25
Less Previous Payments: $574,732.19
Final Payment Due 530,249.06
49 w-09. fie
Recommended for Acceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
—Zj�z V, 11,12 Ito
Accepted Date
Director, WATER PARTMENT
A agl-
Asst. Manager Date
Comments: FUND ACCOUNT CENTER 39407-0200431-5740010-CA1269
i)FFICIAL RECORD
T UCRETARY
EMAILeMn Ft WoRrm,TA
,IAN 1 � 016
bidd1 ____
DECEIVE
JAN 0 8 2015
0 b0 I C 0 9
C
City Project Numbers 0IM0 DOE Number 6177
Contract Name 2008 CIP Neiobmhood Sbab Project,Ccanact 9B Estimate Number 52
Contract Umks W.Bahimore Ave,Gkoco Terrace,W.Lowden 31,Ryan Pb= Payment Number 52
Project Type WATER&SEWER For Period Ending 11/152015
Project Funding
Project Manager Teal City Seeretary Contract Number 44061
Inspectors RODGERS / DUARTE Contract Date 1/8/2013
Contractor IMcCLENDON CONSTRUCTION COMPANY,INC. Contract Time 614 CD
P.O.BOX 999 Days Charged to Date 642 CD
BURLESON, TX 76097 Contract is p�.0�00000 Complete ^�
PO 0 F�� l g
CITY OF FORT WORTH I��E��t
SUMMARY OF CHARGES �
Line Fuad Account Center Amount Gross Retainage Net
Funded
——— ———----—————————————————————————————
1� .51 21—L 0g-_L q y 3 zS 4- 2&r 8taii &J910. t3
&IT60.wy, eo + 3,y38,93 1(V6.c1
Total Cost of Work Completed 5604,98125
Less %Retained $0.00
Net Earned 5604,98125
SR M Earned This Period $30,749.06
Retainage IMis Period $0.00
r Leas Liquidated Damages
0 Days® $0.00 /Day $0.00
' IA=Pavemeut Deficiency $0.00
CCK/1L�IJr Less Peasley $0.00
Less Previous Payment $574,732.19
Plus Material on Hand Less 150% $0.00
Balance Due This Payment $30,249.06
Tuesday,November 17,2015 Page 6 of 6
� Q53 -- o ► �� q
FORT NORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name 2008 CIP Neighborhood Strecft Project,Contract 9B
Contract Limits W.Baltimore Ave,Glmco Tamer,W.Lowden St,Ryan Place
Project Type WATER&SEWER
City Project Numbers 01269
DOE Number 6177
Estimate Number 52 Paymat Number 52 For Period Ending 11/15!2015
CD
City Secretary Contract Number 44061 Contract Time 61CD
Comb-ad Date I/2013 Days Cbsrged to Date 642
Project Manager Teal Contract is 88.000 Complete
Contractor McCLENDON CONSTRUCTION CO>tWANY,INC.
P.O.BOX 999
BURI.ESON, TX 76097
Inspectors RODGERS / DUARIE
Tuesday,Novanber 17,2015 Page I of 6
City Project Numbers 01269 DOE Number 6177
Contract Name 2008 CIP Neighborhood Streets Project,Contract 9B Estimate Number 52
Contract Limits W.Baltimore Ave,Glenco Terrace,W.Lowden St.,Ryan Place Payment Number 52
Project Type WATER&SEWER For Period Ending 11/15/2015
Project Funding
Unit IA_Water Line Replacements
ItemDescription of Items Unit Unit Cost Estimated Estimated Completed Completed
No. Quanity Total Quanity Total
9 3311.0001 Ductile Iron Water Fitt C042 6.27 TO $6,500.00 $40,755.00 6.27 $40,755.00
10 3311.0021 C303 Fittings 1 LS
11 3311.0161 6"PVC Water Pipe 40 LF $29.00 $1,160.00 37 $1,073.00
12 3311.0252 8"DIP Water,CSS Backfi(CO#1) 31 LF $47.00 $1,457.00 40 $1,880.00
13 33I1.0261 8"PVC Water Pipe(CO#1) 2333 LF $40.50 $94,486.50 2202 $89,181.00
14 3311.0352 10"DIP Water,CSS Backf 40 LF $56.00 $2,240.00 40 $2,240.00
15 3311.0361 10"PVC Water Pipe 301 LF $38.50 $11,588.50 313 $12,050.50
16 3311.0661 24"PVC C905 Water Pipe 477 LF $135.00 $64,395.00 477 $64,395.00
17 3311.0681 24"Concrete AWWA 0303 477 LF
18 33I1.0651 24"DIP Water 477 LF
19 3311.0662 24"PVC C905 Water Pipe 40 LF $150.00 $6,000.00 40 $6,000.00
20 3311.0682 24"Concrete AWWA C303 40 LF
21 3311.0652 24"DIP Water,CSS Back 40 LF
22 3312.0001 Fire Hydrant CO#2 3 EA $2,400.00 $7,200.00 3 $7,200.00
23 3312.0102 Connection to Existing(CO#1)C042 13 EA $500.00 $6,500.00 13 $6,500.00
24 3312.0103 Connection to Existing(CO#1) 7 EA $800.00 $5,600.00 7 $5,600.00
25 3312.0104 Connection to Existing CO#2 6 EA $1,200.00 $7,200.00 6 $7,200.00
26 3312.0108 Connection to Existing 2 EA $7,500.00 $15,000.00 2 $15,000.00
27 3312.2001 1"Water Service,Meter(CO#1) 30 EA $250.00 $7,500.00 14 $3,500.00
28 3312.2003 1"Water Service C042 26 EA $950.00 $24,700.00 26 $24,700.00
29 3312.2201 2"Water Service,Meter 3 EA $500.00 $1,500.00 3 $1,500.00
30 3312.2203 2"Water Service(CO#1) 5 EA $2,200.00 $11,000.00 5 $11,000.00
31 3312.3002 6"Gate Valve(CO#1) 9 EA $825.00 $7,425.00 7 $5,775.00
32 3312.3003 8"Gate Valve(CO#1)CO#2 21 EA $1,150.00 $24,150.00 21 $24,150.00
33 3312.3004 10"Gate Valve 4 EA $1,900.00 $7,600.00 5 $9,500.00
34 3312.3008 24"Gate Valve w/Vault I EA $30,000.00 $30,000.00 1 $30,000.00
35 3304.0101 "temporary Water Service 1 LS $50,000.00 $50,000.00 1 $50,000.00
36 3305.0103 Exploratory Excavation 8 EA $600.00 $4,800.00 8 $4,800.00
37 3471.0001 Traffic Control 3 MO $100.00 $300.00 3 $300.00
38 3304.0002 Cathodic Protection 1 LS
39 3304.0002 Cathodic Protection 1 LS
Tuesday,November 17,2015 Page 2 of 6
City Project Numbers 01269 DOE Number 6177
Contract Name 2008 CIP Neighborhood Streets Project,Contract 9B Estimate Number 52
Contract Limits W.Baltimore Ave,Glenco Terrace,W.Lowden St.,Ryan Place Payment Number 52
Project Type WATER&SEWER For Period Ending 11/15/2015
Project Funding
40 3304.0001 Joint Bonding&Electri 1 LS
41 3304.0001 Joint Bonding&Electri 1 LS
1 0241.1001 Water Line Grouting 1 CY $150.00 $150.00
2 0241.1302 Remove 6"Water Valve 6 EA $50.00 $300.00 10 $500.00
3 0241.1304 Remove 10"Water Valve 1 EA $100.00 $100.00 4 $400.00
4 0241.1510 Salvage Fire Hydrant 3 EA $250.00 $750.00 3 $750.00
5 3201.0113 6'Wide Asphalt Pvmt Re(CO#1) 142 LF $50.00 $7,100.00 124 $6,200.00
6 3201.0400 Temporary Asphalt Pavin 3649 LF $9.25 $33,75325 3343 $30,922.75
7 3201.0611 6"Cone Pvmt Repair CO#2 50.3 SY $135.00 $6,790.50 50.3 $6,790.50
8 3305.0109 Trench Safety 822 LF $1.00 $822.00 787 $787.00
42 6"PVC Waterline in Ryan Place Alley(CO#1) 1049 LF $47.00 $49,303.00 1049 $49,303.00
i
43 6"x10"Tap and Valve(CO#1) 1 EA $4,000.00 $4,000.00 1 $4,000.00
44 Gravel Driveway Repair(CO#1) 250 LF $27.00 $6,750.00 250 $6,750.00
45 Temporary Water Service Line for Alley(CO#1) 1 LS $5,500.00 $5,500.00 1 $5,500.00
Sub-Total of Previous Unit $547,875.75 $536,202.75
Unit IB:Sanitary Sewer Replacements
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 0241.2201 Remove 4'Sewer Manhole 5 EA $250.00 $1,250.00 1 $250.00
2 3201.0400 Temporary Asphalt Pavin(CO#1) 308 LF $12.00 $3,696.00 292 $3,504.00
3 3201.0611 6"Conc Pvmt Repair 4 SY $135.00 $540.00
4 3301.0001 Pre-CCTV Inspection 420 LF $3.50 $1,470.00 3725 $13,037.50
5 3301.0002 Post-CCTV Inspection 420 LF $3.00 $1,260.00 132 $396.00
6 3301.0101 Manhole Vacuum Testing 5 EA $200.00 $1,000.00 3 $600.00
7 3303.0001 Bypass Pumping 1 LS $500.00 $500.00
i
8 3305.0109 Trench Safety 55 LF $1.00 $55.00 187 $187.00 j
9 3305.0112 Concrete Collar 5 EA $5.00 $25.00
10 3305.0203 Imported Embedment/Back 52 CY $25.00 $1,300.00
11 3331.3101 4"Sewer Service 14 EA $775.00 $10,850.00
12 3331.3102 4"Sewer Service,2-Way(CO#1) 9 EA $925.00 $8,325.00 8 $7,400.00
13 3331.4115 8"Scwcr Pipc 20 LF $38.00 $760.00
14 3331.4119 8"DIP Sewer Pipe 649 LF $87.00 $56,463.00 192 $16,704.00
15 3331.4205 10"DIP Sewer 36 LF $94.00 $3,384.00
Tuesday,November 17,2015 Page 3 of 6
City Project Numbers 01269 DOE Number 6177
Contract Name 2008 CIP Neighborhood Streets Project,Contract 9B Estimate Number 52
Contract Limits W.Baltimore Ave,Glenco Terrace,W.Lowden St.,Ryan Place Payment Number 52
Project Type WATER&SEWER For Period Ending 11/15/2015
Project Funding
16 3339.0001 Epoxy Manhole Liner 26 VF $175.00 $4,550.00
17 3339.1001 4'Manhole 5 EA $3,000.00 $15,000.00 2 $6,000.00
18 3339.1003 4'Extra Depth Manhole 2.8 VF $125.00 $350.00
19 3339.1004 4'Shallow Manhole 1 EA $2,600.00 $2,600.00 1 $2,600.00
20 3471.0001 Traffic Control 1.5 MO $100.00 $150.00 1 $100.00
21 Install Cleanout Sewer Serv.(CO#t) 8 EA $450.00 $3,600.00 11 $4,950.00
22 Manhole Adjustment(Major)(CO 91) 14 EA $1,450.00 $20,300.00 9 $13,050.00
Sub-Total of Previous Unit $137,428.00 $68,778.50
OFFICIAL RECORD
CITY SECRETARY
Tuesday,November 17,2015 FT.WORM, TX
City Project Numbers 01269 DOE Number 6177
Contract Name 2008 CEP Neighbodaod SU=b Project,Cadtrad 9B Estimate Number 52
Contract Limits W.Bslpmore Ave,Gkaco Terrace,W Lowden SL,Ryan Place Payment Number 52
Project Type WATER&SEWER For Period Ending 11/152015
Project Funding
Contract Information Summary
Original Contract Amount 5548,79225
Change Orders
Citan`e order Nu.ber 1 $97,473.00
Change order 9N■.ber 2 539,038.50
Total Contract Price 5685,303.75
DateTotal Cost of Work Completed 5604,98125
Lena X Retained $0.00
TI�
Earned Tks
ate �y 2S�� Net Earned S604,98125�
nspection Supervisor C' Period 530,249.06
`�` RN hsiW This Period $0.00
DabLess Liquidated Damages
t
Days @ /Day $0.00
DateO/'09 L MPavement Deficiency $0.00
Ate• Sn and Less Penalty $0.00
Less Previous Payneent 5574,732.19
rector/Coatradmg beparbmart Plus Material on Hand Less 15% $0.00
Balance Due This Payment - S30,249.06
Tuesday,November 17,2015 Page 5 of 6
CITY SECRETAW
City of Fort Worth � p�el�03
0 T WOR�TI�,. CONTRACTNO.
Change Order Request Breakdown
ProjectNarnel 2008 CIP N hbwhood Streets Contract 9B City Sec# f 44061
Client Project#(s)l DOE No.6177 CPN 1269 39407-020043W4001O—CO126DZ04083)
Change Order Submittal# 0 Date 7/2912015
Contract Time
Tt�Yll Water Totals CD
Original Contract Amount $880,707.75 $548,792.25 $1,429,500.00 500
Extras to Date $136,511.50 $136,511.50 50
Credits to Date
Pending Change Order(in MSC Process)
Contract Cost to Date $880,707.75 $685,303.75 $1,566,011.50 550
Amount of Proposed Change Order $08,4119.37 $0.00 $68,419.37 64
Revised Contract Amount $949,127.12 $685,303.75 $1,634,430.87 614
Original Funds Available for Change Orders $220,176.94 $137,198.06 $357,375.00
Remaining Funds Available for this CO L$220,176.94 $686.56 $220,863.50
Additional Funding(11 necessary) —+—
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 14.34%
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $1,786,875.00
While stabilizing the subgrade,the contractor encountered several shalow,street light conduits that had to be replaced and lowered in order for
the paving of the streets to proceed.Upon completion of the project,the construction kgxwtor and the contractor measured the final quantities
for the pay items associated with the project There were several quantity overruns on some of the existing pay items. This change order is
necessary to adjust the quantities for the overran pay items and add the work associated with the street light conduits. The price for the street
light conduit Is fair and reasonable. The change order also adds additional contract time that takes into consideration the additional work for
both the street light conduit,overruns to the planned quantities and delays that were beyond the contractor's control.
oto �oRr�
0
At-
Ronald P. es,
MF
ICIAL RECORD
Y SECRETARY
T.WORTH,TX
Foe�TH City of Fort Worth
Change Order Additions
Project Name 1 2008 CIP Neighborhood Streets Contract 9B City Sec# 44061
Client Project# DOE No.6177 CPN 1269(39407-0200431-5740010-001269-004083
Change Order Submittal# DateITEM
7/29/2015
ADDITIONS
RIP tyUnit Unft Cost Total
69 HMAC Transitions TPW 20.00 TN 150.00
0 5'HMAC Driveway Transition TPW 17.0 T
72 7.5" oncrate Pavement TPW 1,766.0 Sy 35.00
76 Barrier Free Rmap Type A PW 7.00 Ea 500.00
78 14'Ba er ree Ramp TPW 1.00 Ea 500.00
84 121"RCP Class III TPW 13.00 LF 70.00
9 arity tustment TPW 0.80 LS $20,000.00
95 Sidewalk Curb TPW 354.00 LF 10.00
96 Lower Street Light Conduit in Conflict with Subgrade TPW 1. 0 LS 12,450.00
1
E
t
f
TPW $104,342.00
Water $0.00
Sub Total Additions V1 0-4-,SU.00
Change Order Additions Page 1 of 1
'FoltTWCFRTH City of Fort Worth
Change Order Deletions
Project Name L21MCIP Ne hborhood Streets Contract 9B City Sec# 44061
Crient Pmjed# I DOE No.6177 CPN 1269 39407-0200431-5740010-001269-C04083)
Change Order Submittal# 0 Date 7129/2015
DELETIONS
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
55 Remove Sidewalk -TPW- 1,579.00 SF 1.00
61 Remove Conc Valley Gutter TPW 302.00 S
66 Lime TPW 1.77 TN 145.00
67 6'Subgrade Treatment TPW 91.10 SY 2. 5
7 "Concrete Sidewalk TPW 5,453.00 SF $4.00.
74 6"Concrete Driveway TPW 35.00 Sr— 6.00
75 6"Concrete Driveway Dyed Concrete TPW 20.00 SF 7.00
77 4'Barrier Free Ramp Type B TPW 2.00 Ea 500.00
79 4'Barrier Free Ramp Type D TPW 1.00 Ea 500.00
81 4'Banter Free Ramp Type G TPW 1.00 Ea 600.00
90 Topsoil TPW 128.00 CY
93 Conc Ret Wall With Sidewalk TPW $21.00
i
TPW $35,922.63
I
Water $0.00
Sub Total Deletions
OFFICIAL RECORD
CITY SECRETARY
Change Order Deletions Page 1 of 1 FT. WORTH,TX
M/SBE Breakdown for this Change Order
M/$BE Sub. Type of Service Amount for'this CO-
N/A
Total
Previous Change Orders
co;#' DATE AMOUNT
Total $0,00
i
CFW Change Order Approval St-COApp03 Page 2 of 3
FORTWORTH. CiVof Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
For Change Order Submittal No.: 3
Change Order No.: St-COApp03 Date Started: 2015-11-05
City Sec. No.: 44061 Date Due: 2015-12-25
Project Name: 2008 CIP Neighborhood Streets Contract 96
Project Numbers: 01269 DOE Numbers:
DOE 6177
Project W. Baltimore, Ave, Glenco Terrace, W Lowden St, Ryan Place, S.
Description: Henderson, W. Jessamine, Libscomb and W. Myrtle.
Project Manager: Roy Teal City Inspector: Ariel Duarte
Contractor: McClendon Construction Co. Inc.
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number: M&C Date:
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 68,419.37 39407-0200431-5740010--C01269-1 64
Total Cost: $ 68,419.37 Total Requested Days: 64
Approval Status:
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CFW Change Order Approval St-COApp03 Page 3 of 3
Approved: Yes
Comments:
User: Tara Fishback
Date: 2015-11-05 1:27 PM
Approved: Yes
Comments:
User: Justin Blair
Date: 2015-11-05 1:59 PM
Approved: Yes
Comments: DOE No, is 6177
User: Roy Teal
Date: 2015-11-05 3:01 PM
Approved: Yes
Comments:
User: Najib Fares
Date: 2015-11-05 3:06 PM
Approved: Yes
Comments:
User: Andy Anderson
Date: 2015-11-05 3:14 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2015-11-05 3:35 PM
Approved: Yes
Comments:
User: Doug Black
Date: 2015-11-06 4:59 PM
Approved: Yes
Comments:
User: Jay Chapa
Date: 2015-11-07 6:03 PM
Action Required: Review and Approve
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CFW Change Order Approval St-COApp03 Page 1 of 3
Routinq
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthoov/Infrastructure Proiects/01269 - 2008 Neighborhood Streets, Contract 9B/Contractor/Change Orders/Change
Order Breakdown #3.xls
Attachments(0)
No Attachments have been added to this form.
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AFFH)AVIT
STATE OF TEXAS
COUNTY OF TA_RRAN T
Before me, the undersigned authority, a Notary Public in the state and county
aforesaid, on this day personally appeared Dan McClendon,President of McClendon
Construction Company, Incorporated,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 there are no claims pending for personal injury and /or property damages;
On Contract described as;
2008 CIP Contract 913
By -
Dan McClendon
Subscribed and sworn before me on this /I Y^ day of
20 !S
tary Public in Tarrant
County, Texas
MARY J.PORTER
_•: "' MY COMMISSION EXPIRES
'" September 17,2016
U\\'l lci'
CONSENT OF A,chl(cct
"JIM'1'Y COMPANY Contractor
TO FINAL P,-�Y)IE\'T Surcn
PROJLC.'T: Bon umber: X 1W0_24
2008 CIP Contract 9B-Baltimore Ave,Glenco Terrace,Lowden St.,Ryan Place Dr.,
Henderson St.,Jessamine St.,Fort Worth,TX
TO:(0\\11c1) ARCHITECT'S PROJECT NO:
City of Fort Worth,Texas
1000 Throckmorton Drive CONTRACT FOR: Construction
Fort Worth,TX 76108 CONTRACT AMOUNT: $1,552,008.38
CO\TRACT I)A F:
CONTRACTOR:
McClendon Construction Company,Inc.
PO Box 996
Burleson,TX 76097
In accorclance vvltll tilt provisions sof the Contractbenveen the OvArner and the Contractor as indicated above,the
Merchants Bonding Company
PO Box 14498
Des Moines,Iowa 50306-3498 SI SRL+TY CONIPA N Y
on hotld of ihcrc u sort name mirl urid!�sa uflleit,aanrl
McClendon Construction Company,Inc.
PO Box 996
Burleson,Texas 76097 CONTRACTOR,
hereby approves ol'the final payruent to the Contractor,and agree;that final pa}ancm to the Contractor shall not
relieve the Surety Company ofally Of its Obhoatlom to(I;crc insert name Lind address of O\\•ne;')
City of Fort Worth,Texas
1000 Throckmorton Drive ,01FNER.
Fort Worth,Texas 76108
as sct forth in the said Surety Company's bond.
IN'1V I Nh:S WHEREOF,
the Surety Company has hereunto sct its hand this 10th day of December, 2015
Surety Company
Merchants Bonding Company
/� /,.%�,� �icna'u:rc of atiL'iorin/Rcpreszntarve
nttk:.,t. i Rett J.Reeh-Attorney-In-Fact
y -
Tiilr
VC)TT.:This form is to be used as a eonlpanion Ju.ument to r\I:1 llOC'f-'A1FNT 6706,CON71L4CTOR'S rl[!IUAVIT OF YnYYILKT OF
D1a3 hS,4ND CL41MS,Current cJitiun
AIA DOCU.\AFNT G707•('ONSLN I OF SURETY COMPANY TO FaNAL PA)MENTI-APRIL 1970 LUITIOT•AIA.) - --- UNIL
PAGE
(.',1970-T1 IF AWRICAN INS'I I rUTF.OF ARCH I]LCAS. 1'3�NFW YO{ZK,AVF.,N\','.WAS IIfNGTON,D.C.20006
MERCHANTS -W,
EOND1NG COMPANY,-
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,
Betty J Reeh; Bryan K Moore; Gary Wayne Wheatley; Michael D Hendrickson; Pat J
Moore
their true and lawful Attorneys)-in-Fact,to make,execute,seal and deliver on behalf of the Companies,as Surety,bonds,undertakings
and other written obligations In the nature thereof,subject to the limitation that any such instrument shall not exceed the amount of:
SEVEN MILLION FIVE HUNDRED THOUSAND($7,500,000.00)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 Attorney-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 have caused this instrument to be signed and sealed this 15th day of August 2015
'r'14 MERCHANTS BONDING COMPANY(MUTUAL)
��o ( 0.;' •.��O���PO�!Ljoq• MERCHANTS NATIONAL BONDING,INC.
Ci
-t: _ •z: 3•
v 2v�3 :'A= •.ti 1933By
:•y�
STATE OF IOWA ;
COUNTY OF Dallas ss. President
On this 15th day of August 2015 before me appeared Larry 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.
�'axs WENDY NlOODY
n Commission Number 134654
'.� My Commission Expires
�owP June 20, 2017
Notary Pub0 , County,Iowa
(Expiration of notary's commission
does not invalidate this instrument)
I,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-OF-ATTORNEY executed by said Companies,
which is still in full force and effect and has not been amenced or revoked.
r.,_ I
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this ;v day of l!ytAbt-r
......,NO, 110 144., C
C
'4j.•,�. �"�L^G�•sa-,�-.-�/ G'!�/t`r�n�,
�: +x•, :}: Secretary
- x: � � •z •�• 1933
POA 0014 (6/15)
i
i
fV1 L'RU]AN_11,7'�k,
IMPORTANT NOTICE
To obtain information or make a complaint:
You may contact your insurance agent at the telephone number provided by your insurance
agent.
You may call Merchants Bonding Company's toll-free 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://www.ldi.state.tx.us
E-mail: ConsumerProtection@tdi.state.tx.us
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 (1/09)
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: 2008 CIP Neighborhood Streets project,Contract 913
PROJECT NUMBER: 1269
DOE NUMBER: 6177
i
WATER
PIPE LAID SIZE TYPE OF PIPE LF
6" PVC 37 _
8" PVC 2202
8" DIP 40
10" PVC _ 313
10" DIP 40
24" PVC 517
FIRE HYDRANTS: 3 VALVES(16" OR LARGER) 1(2411)
PIPE ABANDONED SIZE TYPE OF PIPE LF
6" WA'' = 34
8" J30W cm 2242
1011
0" .B'CP'cZ 353
24" CONCRETE CILINDER 517
DENSITIES:
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF /
8" DIP 192 ✓
PIPE ABANDONED SIZE TYPE OF PIPE LF
8" CONCRETE 192
DENSITIES:
NEW SERVICES: 19
MkNSPORTATION AND PUBLIC WORKS
.> The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TK 76012-6311
(817)392-7941 •Fax:(817)392-7845
FORTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date: 11/20/2015
1 imiv nfeon ractor Project Name
McClendon Construction 2008 CIP Contract 9B
kA Inrpeelor Project Mmtager
!Ariel Duarte Roy Teal
wk Number ProjeclD{grcu/ty TweofConvact
•6177 10 Simple ® Routine O Coaplex Q water Q waste water El Storm lhair'ageo Pavement
lniNal Contract Amounl FinalCon/mctAmount
5548,792.25 5685,303.75
II)PERFORMANCE EVALUATION
0-Inadequate IDeficient 2-Standard 3-Good 4-Excellent
IITMUNT RATING ELEMENT RATING
(0-4) (0-4)
INSPECTION EVALUATION PLANS&SPECIFICATIONS
I
Availability of lns ctor 1 Accuracy of Plans to Existing Conditions Z
,2
iKnowledge Inspector 2 Clarity&Sufficiency of Details
3 Accuracy of Measuredquantities 3 A licabili of Specifications ;
4 Di!play Of Professionalism 14 Accuracy of Plan Quantities
5 Citizen Complaint Resolution Af 1PROJECT MANAGER EVALUATION
,6 Per -Settingu Valve Crews,Labs I KnowledgeAnd/Or Problem Resolution 3
ADMIN_ISTRAT_ION 2 Availability ofProject Manager
I Change Order Processing Time Z 3 Communication
,2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con Meeting Timeframe
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspectors Supervisor
INSPECTOR'S COMMENTS
TRNNSPORTATION AND PUBLIC WORKS
The City of Fort Worth-1000 Throd—ort—Street-Fort Worth,TX 76012-6311
(817)392-7941 -Fac:(817)392-7845
FORTWORTH REV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
1) CONTRACTOR&PROJECT DATA
�uuu,a ('onlraetor Project Name
McClendon Construction 2008 CIP Contract 9B
00k,Inspector DOE Number
Ariel Duarte 6177
PUL'Inrpeclor Project Manager
❑ Water❑ Waste Water❑ Storm Drainage❑ Pavement Roy Teal
him(d l'nnlrac•l Amount ProjectDieutty
$548,792.25 O Simple O Ranine O Complex
/Final Comraer Amount Dale
$685.303.75 920/2015
11) PERFORMANCE EVALUATION
()-Innde uate I -Deficient 2-Standard 3-Good 4-Excellent
1•I,I MFN'1' WEIGHT(x) APPLICABL.E(Y/N) RATING(0-4) MAX SCORE SCORE
I Submission of Documents 2 Y 4 8 8
Public Notifications 5 Y 4 20 20
3 flans on Site 5 Y 3 20 15
4 I'ield Supervision 15 Y 4 60 60
5 Work Performed 15 Y 4 60 60
6 Finished Product 15 Y 4 60 60
7 Job Site Safety 15 Y 3 60 45
R "traffic Control Maintenance 15 Y 3 60 45
9 Wily Clean Up 5 Y 3 20 15
10 Citizen's Complaint Resolution 5 Y 3 20 15
II Property Restoration 5 Y 1 4 1 20 1 20
12 After Hours Response 5 Y 1 4 1 20 1 20
13 Project Completion 5 1 Y 3 1 20 1 15
TOTAL ELEMENT SCORE(A) 398
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 396
111)CONTRACTOR'S RATING
Maximum Score(MS)-448 Qj sum of applicable element score maximums which= 448
Rating(iTS/MS)* 100%) 398 / 448 89%
Performance Category Excdtent
20%-Inadequate 20%to<40%—Dq*1ent 40%to<60%=SWndard 6096 to<80%=Good 280%=F_rcel%nt
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
1'
Signature DOE Inspector i1Signature:Contractor
Signature DOE Inspector's Supervi
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth-1000 Thmclkmorton Street-Fort Worth,TX 76012-6311
(D (817)392-7941 -F=(817)392-7845
FORTWORTH..
TRANSPORTATION AND PUBLIC WORKS
STATEMENT OF CONTRACT TIME
"i'ATEM ENT#
FINALSTATEMENT# 52 DOE 6177
NAME OF PROJECT: 2008 CIP Neighborhood Streets Project Contract 913Contractor McClendon
)'EAR 2015
PROJECT NO.: FINAL INSPECTION DATE 3119/20/5
1269 1 WD CD
CONTRACT TIME 6141 X
PERIOD FROM: I 11/1/2018 TO: I 11H812016 I BEG - Mouth I j1)zvgL0Pmzrq4Y/ N
WORK ORDER EFFECTIVE: 4MM5 BEG 1 n Y I MID I n 104.6•/.
DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR
CHARGED DAYS CREDITED CHARGED DAYS CREDITED
1 Sun 0 OTH 16
2 Mon 0 OTH 17
3 Tue 0 OTH 18
4 Wed 0 OTH 19
5 Thu 0 OTH 20
6 Fri 0 OTH 21
7 Sat 0 OTH 22
8 Sun 0 OTH 23
9 Mon 0 OTH 24
10 Tue 0 OTH 25
11 Wed 0 OTH 26
12 Thu 0 OTH 27
13 Fri 0 OTH 28
14 Sat 0 OTH 1 29
15 Sun 0 OTH 30
31
NA Wktt R Hol Wea Utl Oth
Not Applicable SATSUNAM WEATHER UTILITIES OTHERS DAYS TOTAL DAYS
HOLIDAYS RELOCATE CHARGED
TlIIS PERIOD 0 0 0 15 0 15
PREVIOUS PERIOD 0 642 642
TOTAL TO DATE 0 0 0 15 642 657
REMARIKST--7 I
7SECRETARY
�•1'.�IIOR'H,TX
Sifinatu Signature:
(Print a e) h •� j nelDuart
cnrruARD,%TE uUWWrOa DATE 11115!2015