HomeMy WebLinkAboutContract 45838-FP1 Department of TPW Const. Services
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Risk Management S. C ad ` I
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D.O.E. Brotherton i
CFA Westerman/Scanned ❑
The Proceeding people have been Contacted concerning the request ATION AND PUBLIC WORKS
for final payment&have released this project for such payment. F PROJECT COMPLETION CS s l3
Clearance Conducted By Etta Bacy D.O.E. Me: 7201
Regarding contract 217201 for TRAILS OF FOSSIL CREEK PHASE IV as required by the
WATER DEPARTMENT as approved by City Council on N/A through M&C N/A 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: l L4 Cr
U $629,463.95
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Amount of Approved Change Orders: FEB 15 2016 L Ne 1 l
Revised Contract Amount: BY $629,463.95
Total Cost Work Completed: $629,463.95
Less Deductions:
Liquidated Damages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $629,463.95
Less Previous Payments:
Final Pa�ue $629,463.95
- Z • ttO • ?-01 (2
Recom ended for Acceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
Accepted _ . Date -.------�_--.._----z.-���
Asst. Director, WATER DEP TMENT
" ) - ; _ � -/( �
Asst. City Manager Date
Comments: FUND: WATER P265475260-6071502251/SEWT-R:P275-475220-2073202151
—0MA.LY T,H.D
FEB 2 2 2016
Wtialc'
FEB 15 2016
City Project Numbers 02251 DOE Number 7201
Contract Name TRAILS OF FOSSIL CREEK PHASE IV WATER,SEWER AND DRAINA Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 1/31/2016
Project Funding
Project Manager Long City Secretary Contract Number 217201
Inspectors RODGERS / DEYON Contract Date
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 180 W
6331 SOUTHWEST BLVD Days Charged to Date 469 W
FORT WORTH, TX 76132 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 $629,463.95
Less %Retained $0.00
Net Earned $629,463.95
Earned This Period $629,463.95
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 $629.463.95
Friday,January 29,2016 Page 5 of 5
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name TRAILS OF FOSSIL CREEK PHASE 1V WATER,SEWER AND DRAINAGE
Contract Limits
Project Type WATER&SEWER
City Project Numbers 02251
DOE Number 7201
Estimate Number 1 Payment Number 1 For Period Ending 1/31/2016
W
City Secretary Contract Number 217201 Contract Time 18W
Contract Date Days Charged to Date 469
Project Manager Long Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors RODGERS / DEYON
Friday,January 29,2016 Page 1 of 5
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City Project Numbers 02251 DOE Number 7201
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Contract Name TRAILS OF FOSSIL CREEK PHASE IV WATER,SEWER AND DRAINA Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 1/31/2016
Project Funding
UNIT I:WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 3311.01416"WATER PIPE 16 LF $35.75 $572.00 16 $572.00
2 3311.0241 8"WATER PIPE 4691 LF $37.75 $177,085.25 4691 $177,085.25
3 3305.0109 TRENCH SAFETY 4707 LF $1.00 $4,707.00 4707 $4,707.00
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4 3312.3002 6"GATE VALVE 8 EA $820.00 $6,560.00 8 $6,560.00
5 3312.3003 8"GATE VALVE 12 EA $1,200.00 $14,400.00 12 $14,400.00
6 3312.0001 FIRE HYDRANT 8 EA $2,600.00 $20,800.00 8 $20,800.00
7 3311.0001 DUCILE IRON WATER FITTINGS W/ 2.3 TN $4,100.00 $9,430.00 2.3 $9,430.00
RESTRAINT
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8 3312.0117 CONNECTION TO EXISTING 4"-12" 5 EA $600.00 $3,000.00 5 $3,000.00
WATER MAIN
9 3312.2003 1"WATER SERVICE 148 EA $700.00 $103,600.00 148 $103,600.00
------------------------------------------
Sub-Total of Previous Unit $340,154.25 $340,154.25
UNIT II:SANITARY SEWER IMPROVEMENTS
ItemEstimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
------------------------------------------
1 3331.5304 8"PVC SEWER PIPE,6'TO 8'(MISC 522 LF $71.90 $37,531.80 522 $37,531.80
ONLY)
2 3331.5307 8"PVC SEWER PIPE,8'TO 10'(MISC 1834 LF $72.90 033,698.60 1834 $133,698.60
ONLY)
3 3331.5310 8"PVC SEWER PIPE,10'TO 12'(MISC 139 LF $73.90 $10,272.10 139 $10,272.10
ONLY)
4 3331.5308 8"PVC SEWER PIPE,8'TO 10'(MISC 80 LF $79.90 $6,392.00 80 $6,392.00
ONLY,CSS BACKFILL
5 3331.53118"PVC SEWER PIPE,10'TO 12'(MISC 35 LF $80.90 $2,831.50 35 $2,831.50
ONLY)CSS BACKFILL
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6 3331.5314 8"PVC SEWER PIPE,12'TO I4'(MISC 19 LF $83.90 $1,594.10 19 $1,594.10
ONLY),CSS BACKFILL I
7 3305.0109 TRENCH SAFETY 2629 LF $1.00 $2,629.00 2629 $2,629.00
8 3339.1001 T MANHOLE 8 EA $2,500.00 $20,000.00 8 $20,000.00
9 3339.1102 5'DROP MANHOLE I EA $5,070.00 $5,070.00 1 $5,070.00
10 3339.1003 4'EXTRA DEPTH MANHOLE 18 VF $60.00 $1,080.00 18 $1,080.00
11 3339.1103 5'EXTRA DEPTH MANHOLE 6 VF $100.00 $600.00 6 $600.00
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12 3301.0101 MANHOLE VACUUM TESTING 12 EA $110.00 $1,320.00 12 $1,320.00
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City Project Numbers 02251 DOE Number 720I
Contract Name TRAILS OF FOSSIL.CREEK PHASE 1V WATER,SEWER AND DRAINA Estimate Number 1
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending U31/2016
Project Funding
13 3305.0106 MANHOLE ADJUSTMENT,MAJOR I EA $1,200.00 $1,200.00 1 $1,200.00
(ECCENTRIC CENTER)
14 3339.0001 EPDXY MANHOLE LINER 43 VF $170.00 $7,310.00 43 $7,310.00
15 3331.31014"SEWER SERVICE 100 EA $400.00 $40,000.00 100 $40,000.00
16 3331.3102 4"2-WAY CLEANOUT 100 EA $100.00 $10,000.00 100 $10,000.00
17 3301.0002 POST-CCTV INSPECTION 2629 LF $1.40 $3,680.60 2629 $3,680.60
18 9999.0001 CONNECT TO EXISTING MANHOLE 2 EA $800.00 $1,600.00 2 $1,600.00
19 9999.0002 CONNECT TO EXISTING MANHOLE I EA $2,500.00 $2,500.00 1 $2,500.00
WITH EXTERNAL DROP CONNECTION
Sub-Total of Previous Unit $289,309.70 $289,309.70
-----------------------------------------
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City Project Numbers 02251 DOE Number 7201
Contract Name TRAILS OF FOSSIL CREEK PHASE rV WATER,SEWER AND DRAINA Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 1/31/2016
Project Funding
Contract Information Summary
Original Contract Amount $629,463.95
Change Orders
Total Contract Price $629,463.95
Date '2 _ Total Cost of Work Completed $629,463.95
Cont r ctor Less %Retained $0.00
&,�6
� Net Earned $629,463.95
Datek Earned This Period $629,463.95
Inspection Supervisor
Retainage This Period $0.00
Date / Q�� Less Liquidated Damages
Project Manager
Days @ /Day $0.00
Date2• �S•20((p LessPavement Deficiency $0.00
Asst.DtortTPW-lnftttrucnrcc Design and C nstruction Less Penalty $0.00
Less Previous Payment $0.00
Director/Contracting Dc p Plus Material on Hand Less 15% $0.00
Balance Due This Payment $629,463.95
Friday,January 29,2016 Pagge 4 of 5
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 John Burns,
President Of Burnsco construction, Inc.,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;
Trails of Fossil Creek IV-Water, Sewer, Drainage Improvements
BY
John Burns, President
Subscribed and sworn before me on this date 29th of December,2015.
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Notaiy Public
Tarrant Co un ,Texas
MARY PANNEIt.
:� k? Notary Public,State Ot Texas
My commission Expires
October 19, 2018
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT SORE RYCTOR ❑❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 022048353
PROJECT: Trails of Fossil Creek Phase IV
(name, address) Fort Worth, TX
TO (Owner)
FOSSIL CREEK A2A DEVELOPMENT LLC AND CITY ARCHITECT'S PROJECT NO:
OF FORT WORTH CONTRACT FOR:
548 Silicon Drive Suite 100 Trails of Fossil Creek Phase IV-Water,Sewer and Drainage
Improvements
southlake TX 76092 —J CONTRACT DATE:
CONTRACTOR:BURNSCO CONSTRUCTION, INC.
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)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of (here Insert name and address of Contractor)
BURNSCO CONSTRUCTION, INC.
6331 Southwest Boulevard
Benbrook TX 76132 , 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)
FOSSIL CREEK A2A DEVELOPMENT LLC AND CITY OF FORT WORTH
548 Silicon Drive Suite 100
Southlake TX 76092 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 22nd day of December,2015
LIBERTY MUTUAL INSURANCE COMPANY
Surety Company
Attest:Robb Mor>�
(Seal): Sign re of Authorized Representative
Sophinie Hunter 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
ONE PAGE
THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated.
Certificate No.7111477
American Fire and Casualty Company Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company WestAmerican Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire&Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of
the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company
is a corporation duly organized under the laws of the State of Indiana(herein collectively called the'Companiesl,pursuant to and by authority herein set forth,does hereby name,constitute
and appoint, Don E.Cornell;Kelly A.Westbrook;Ricardo J.Reyna;Robb!Morales;Sophinie Hunter;V.DeLene Marshall
all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge
and deliver,for and on its behalf as surety and as Its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall
be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 111h day of September 2015
P110 CgSO P��V INSU °0NSrlq' NkNSUq American Fire and Casualty Company
The Ohio Casualty Insurance Company N
s >
o Liberty Mutual Insurance Company
1906 O 19191912 a�
W
Wt99f ay West rnerican Insurance Company
J2
C STATE OF PENNSYLVANIA as David M.Care rAssistant Secretary
+s Lo COUNTY OF MONTGOMERY _ c
dIMOn this 11111 day of September 2015 before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of American Fire and O
�
w Casually Company,Liberty Mutual Insuranceomp
Cany,The Ohio Casually Insurance Company,and West American Insurance Company,and that he,as such,being authorized so to do,
O execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. FLUC
A! IN WITNESS WHEREOF,I have hereunto subscribed m name and affixed my notarial seal al Plymouth Meeting,Pennsylvania,on the day and year first above written, `O a
pq COMMONWEALTH OF PENNSYLVANIA g O
Q�gPanly Sri! Notarial Seal ,a hid
Tomea Paatella,Notary Public By:
o� PtIrmoulh Twp„Montgomery County —— --
L ��p My Commisalon Expires March 24,201 Teresa Pastella,Notary Public C
1 6 �, , Member.Pannairtvania Association of Notarlas
Go G0.
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Ci 2 This Power ofAttomey is made and executed pursuant to a by authority of the following By-laws and Authorizations ofArnerican Fire and Casualty Company,The Ohio Casualty Insurance .120
y� Company,Liberty Mutual Insurance Company,and WestAmerican Insurance Company which resolutions are now in full force and effect reading as follows: ra O
iv ARTICLE IV-OFFICERS-Section 12.Power ofAttomey.Any officer orother official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O 0i
to such limitation as the Chairman or the President may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, ,� a
+y
O c acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attomeys-in-tact,subject to the limitations set forth in their respective a A
E powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so
O executed,such instruments shall be as binding as it signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attomey4ri-fact under �
the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. G)s
to = ARTICLE XIII-Execution of Contracts-SECTION 5.Surep,Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president. op
and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact.as may be necessary to act in behalf of the Company to make,execute. M
O seal,acknowledge and deliver as surety any and ali undertakings,bonds,recognizences and other surety obligations. Such attomeys-in-fact subject to the limitations set forth in they c o?
respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so v o
executed such instruments shall tie as binding as if signed by the president and attested by the secretary. O cD
Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attomeys-in- ~
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,rekbgnizances and other surety
obligations.
Authorization-By unanimous consent of the Corrpany's Board of Directors,the Company consents that facsirrule or mechanically reproduced signature of any assistant secretary of the
Company,wtlerever appeadrg upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I,Gregory W.Davenport,the undersigned,Assistant Secretary,of American Fire and Casualty Company,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and
West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by sad
Companies,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�1 Kf day of 1 n 1 U"f 20 .l
���c.1s� �Y�t �raflc� �„uis•_
s e n
1905 1919 o a F 1912 `3 r 1991 BY:
GregoryW_Davenport,,;Assistant Secretary
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249 of 590
LYS 12673 1?2a13
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Labe
Mutuals
SURETY
Important Notice
TO OBTAIN INFORMATION OR TO MAKE A COMPLAINT:
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You may write to Liberty Mutual Surety at:
Liberty Mutual Surety
Interchange Corporate Center
450 Plymouth Road, Suite 400
Plymouth Meeting, PA 19462-8284
You may contact the Texas Department of Insurance to obtain information on
companies, coverages, rights or complaints at:
4
1-800-252-3439
You may write the Texas Department of Insurance:
P. 0. Box 149104 j
Austin, TX 78714-9104
Fax: (512) 475-1771
Web: http://www.tdi.state.tx.us
E-mail: ConsumerProtectiona-tdi.state.tx.us
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Premium or Claim Disputes
Should you have a dispute concerning a premium, you should contact the agent first. If you
have a dispute concerning a claim, you should contact the company first. If the dispute is not
resolved, you may contact the Texas Department of Insurance.
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Attach This Notice To Your Policy:
This notice is for information only and does not become a part or condition of the
attached document.
LMIC-3500
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SEP,ENE HOMES
January 22, 2016
Mr. John Burns
Burnsco construction, Inc.
6331 Southwest Blvd.
Benbrook, Texas 76132
RE: Trails of Fossil Creek Phase IV—Water, Sanitary Sewer and Storm Drain
Improvements
CoFW Project No. 02251
CoFW File No. W-2310
CoFW DOE No. 7201
Mr. Burns,
This letter will document that Fossil Creek A2A Development LLC confirms that Burnsco
Construction, Inc. has completed the Work associated with the above referenced
contract in an appropriate timeframe, subject to completion of any warranty or
maintenance work as identified and required by the City of Fort Worth, and that no
liquidated damages will be assessed by Fossil Creek A2A Development LLC in
connection with the Work.
Fossil Creek A2A Development LLC
By: Em rq,4�1
Ron Ramirez, P.E.
Executive Vice-President
Engineering
Serene Development LLC
648 S licor, Dr,✓.e Shite i 00 Say tnln)- f\ 'aJ'' :1SA
Tel. 1 682 333 0101 Fax: 1 a1,' ,'8 .IS5C
Nw':'..3 eranehome5.com
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Trails Of Fossil Creek Phase IV
PROJECT NUMBER: 2251
DOE NUMBER: 7201 j
WATER h
PIPE LAID SIZE TYPE OF PIPE LF
PVC 6" AWWA C900-07 16 i
PVC 8" AWWA C900-07 4691
FIRE HYDRANTS: 8 VALVES(16"OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: YES/PASS
NEW SERVICES: 1" Water Service Copper 148
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
PVC 8" SDR-26 2629
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PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES: YES/PASS
NEW SERVICES: 4" Sewer Service PVC 100 ea
4" 2-Way Cleanouts 100 ea
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941•Fay(817)392-7845
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FORTWORTHREV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Bumsco Construction Trails Of Fossil Creek Phase IV
DOE Inspector DOE Number
Gary Deyon 7201
DOEInspector Project Manager
0 WaterRI Waste Water❑ Storm Drainage❑ Pavement Aaron Long
Initial Contract Amount Project Di6riculty
$629,463.95 O Simple OO Routine O Complex
Final Contract Amount Date
$629,463.95 1/22/2016
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
I 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 3 60 45
5 Work Performed 15 Y 3 60 45
6 Finished Product 15 Y 3 60 45
7 Job Site Safety 15 Y 3 60 45
8 Traffic Control Maintenance 15 Y 2 60 30
9 Daily Clean Up 5 Y 2 20 10
10 Citizen's Complaint Resolution 5 Y 4 20 20
11 Property Restoration 5 Y 4 20 20
12 After Hours Response 5 Y 4 20 1 20
13 Project Completion 5 Y 4 20 1 20
TOTAL ELEMENT SCORE(A) 348
BONUS POINTS(25 Maximum)(B)
TOTAL,SCORE(TTS) 348
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating(ITS l MS]*100%) 348 / 448 = 78%
Performance Category Good
<20%=Inadequate 20%to<40°✓e=Deficient 0%to<60%=Standard 60%to<80%=Good >_80%=Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
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Signature DOE Inspector Signature Contractor
Signature DOE Inspector's Supervisor Z 5
CONTRACTOR'S COMMENTS
TRANSPORTATION--IND PUBLIC WORKS
(a The City of Fort Worth•1000 Throckmorton Street-Fort Worth,Thi 76012-63 11
(817)392-7941•Far(817)392-7845
FORTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date: 1/22/2016 i
Name of Contractor Project Name
Burnsco Construction Trails Of Fossil Creek Phase IV
DOE Inspector Project Manager
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Ga De on Aaron Long
DOE Number JProject DifflicuJh, Tjpe of Contract
7201 10 Simple OO Routine O Complex L] Water L] Waste Water[I Storm Drainage(] Pavement
Initial Contract Amount Final Contract Amount
$629,463.95 $629,463.95
II)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 Ins actor 1 Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector 2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities 1 13 A licabili of S ecifications L i
4 Dis la Of Professionalism 14 Accuracy of Plan Quantities
5 Citizen Complaint Resolution 1PROJECT MANAGER EVALUATION
6 Performance-Settin up Valve Crews,Labs SL I Knowledge e And/Or Problem Resolution
ADMINISTRATION 2 Availability of Project Mana er _
I Change Order Processing Time 3 Communication
2 Timliness of Contractor Pam ss _ -- 4 Resolution of Utilit- Conflicts
3 Did O enin�to Pre-Con Meeting Timeframe .
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III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
0 The City of Fort Worth-1000Throckmorton Strea-Fort Worth,TX 76012-6311
(817)392-7941-Fax:(817)392-7845
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FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
STATEMENT OF CONTRACT TIME
STATEMENT#
I INAL STATEN
V# 1 DOE 7201
NAME OF PROJECT: Trail of Fossil Creek Phase IV Water,Sewer,Storm,Paving Contractor I Burnsco
YEAR: 2016
PROJECT NO.: FINAL INSPECTION DATE �— Zpj
2251
AVD CD
CONTRACT TIME 180 I X
PERIOD FROM: 1/16/2016 TO: 1 1/31/2016 BEG - Month IDEVFLOPNIENJI(—Y/N N
WORIC ORDER EFFECTIVE: 8/20/2014 BEG I n MID /n n
MONTHDAYS REASON FOR DA1'OFi4IONTII DAYS REASON FOR
CHARGED DAYSCREDITED CHARGED DAPS CREDITED
MjDAjY0F
at 0 un 0 on 0 na 18
4 Tue 0 na 19
5 Wed 0 na 20
6 Thu 0 na 21
7 Fri 0 na 22
8 Sat 0_ na 23
9 Sun _ _ 0 na_ 24
10 Mon 0 na 25
11 Tue 0 na 26
12 Wed 0 na 27
13 Thu 0 na 28
14 Fri 0 na 29
15 Sat 0 na 30
31
NA Wkn&Hol Wea utl Oth
Not Applicable SAT,SIJN,wid WEATHER UTILITIES OTHERS DAYS TOTAL DAYS
THIS PERIOD
HOLIDAYS RELOCATE CHARGED
0 0
PREVIOU0 0 0 0S PERIOD 0 469 469
TOTAL TO DATE 0 0 0 0 469 469
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RE�I.4RIiS:
Completed and Final on 12/1/2015
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ature: l �\
Signature:
ot?Namei (Print?Name) GaryDcyonRACTOR
L\SPEGTOR DATG