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HomeMy WebLinkAboutContract 45838-FP1 Department of TPW Const. Services !! DOE# Dat Project anager���� _ r ������R•������� @, r Risk Management S. C ad ` I T WORTH '. riM. 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 � l 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 r ' 1. i i i City Project Numbers 02251 DOE Number 7201 I 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 i 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 i 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 i 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 i 12 3301.0101 MANHOLE VACUUM TESTING 12 EA $110.00 $1,320.00 12 $1,320.00 1 Friday,January 29,2016 Page 2 of 5 E I, I i i 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 ----------------------------------------- Friday, --- -----Friday,January 29,2016 Page 3 of 5 i 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. r t 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. d f0 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 t • � � A 249 of 590 LYS 12673 1?2a13 1 Labe Mutuals SURETY Important Notice TO OBTAIN INFORMATION OR TO MAKE A COMPLAINT: i I 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 i 7 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. I s 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 i 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 i i 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 j I 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) i l^ 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 t 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 . i 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 i i 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 i RE�I.4RIiS: Completed and Final on 12/1/2015 _ r EZ(Pr-i ature: l �\ Signature: ot?Namei (Print?Name) GaryDcyonRACTOR L\SPEGTOR DATG