HomeMy WebLinkAboutContract 44487-FP1 llepartu'e �f TPW Const. Services
DOE# j Dat _
Project Managers&JA 7CbTY SECTq
Risk Management S. Canav ZT WO RT H® CONMCT�•
D.O.E. Brotherton
CFA Westerman/Scanned ❑
Z-
The Proceeding people have been Contacted concerning the request 'ATION AND PUBLIC WORKS ,��p Q 0)
for final payment&have released this project for such payment. )F PROTECT COMPLETION
Clearance Conducted By Etta Bacy D.O.E.Ne: 6981
0,,0&yz1-1187
Regarding contract 116981 for ROLLING MEADOWS EAST PHASE 2-WATER& SEWER 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 comp,_.
Original Contract Prices: D E $232,494.48
Amount of Approved Change Orders: FEB 2 3 2016 0
$6,688.00 No 1
Revised Contract Amount: $239,182.48
Total Cost Work Completed: $239,182.48
Less Deductions:
Liquidated Damages: Days®$210.00/Day
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed: $239,182.48
Less Previous Payments: $0.00
Final Payment Due $239,182.48
Rec men�forccep-t-ance --------- Date
Asst. Director, TPW - Infrastructure Design and Construction
2- z y f�
Accepted ) Date
Asst. Director, WATER DEPA TMENT //14-A
�---C a?/25-
1/(v
Asst. City Manager Date
Comments: P265-541200-602150205583,P275-541200-702130205583
OFFICIAL RECORD
CITY SECRETARY
EMA..Ia.E" FT. WORTH,TX
MAR 2016
`P,2U - 0 2055
>itial:
U LE
FEB 2 3 2016 6 ool_ 5-5
i
i
City Project Numbers 02055 �►��,.,_ DOE Number 6981
Contract Name ROLLING MEADOWS EAST PHASE 2 Estimate Number 1
i
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 2/4/2014
Project Funding
I
Project Manager Buckley City Secretary Contract Number 116981
Inspectors LAYER / JOHNSON Contract Date
Contractor KART CONSTRUCTION&EQUIPMENT Contract Time 50 CD
P O BOX 1522 Days Charged to Date 224 CD
HURST, TX 76053 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 $239,182.48
Less %Retained $0.00
Net Earned $239,182.48
Earned This Period $239.182.48
Retainage This Period $0.00
Less Liquidated Damages
0 Days Q $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 $239,182.48
Monday,July 112015 Page 5 of 5
1pWIAR5- 02o55
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name ROLLING MEADOWS EAST PHASE 2
Contract Limits
Project Type WATER&SEWER
City Project Numbers 02055
DOE Number 6981
Estimate Number I Payment Number I For Period Ending 2/4/2014
CD
City Secretary Contract Number 116981 Contract Time 5CD
Contract Date Days Charged to Date 224
Project Manager Buckley Contract is 100.00 Complete
Contractor KART CONSTRUCTION&EQUIPMENT
P O BOX 1522
HURST, TX 76053
Inspectors LAYER / JOHNSON
Monday,July 13,2015 Pw 1 of 5
City Project Numbers 02055 DOE Number 6981
Contract Name ROLLING MEADOWS EAST PHASE 2 Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/4/2014
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 8"PVC WATER LINE CO#1 1850 LF $20.20 $37,370.00 1850 $37,370.00
2 8"GATE VALVE&BOX 3 EA $1,077.49 $3,232.47 3 $3,232.47
3 FIRE HYDRANT W/6"GATE VALVE 2 EA $3,379.00 $6,758.00 2 $6,758.00
4 DUCTILE IRON WATER FITTINGS 0.9 TN $6,710.00 $6,039.00 0.9 $6,039.00
W/RESTRAINT
5 CONCRETE BLOCKING TYPE B 2.9 CY $100.40 $291.16 2.9 $291.16
6 WATER SERVICE,I"TAP TO MAIN 56 EA $377.00 $21,212.00 56 $2I,112.00
7 2"IRRIGATION SERVICE 2 EA $1,652.00 $3,304.00 2 $3,304.00
8 WATER SERVICE V LINE 1446 LF $6.05 $8,748.30 1446 $8,748.30
9 METER BOX CLASS A 58 EA $88.95 $5,159.10 58 $5,159.10
10 TRENCH SAFETY 1795 LF $0.60 $1,077.00 1795 $1,077.00
11 18"STEEL CASING CO#1 40 LF $60.00 $2,400.00 40 $2,400.00
12 8"45'BENDS CO#I 4 EA $275.00 $1,100.00 4 $1,100.00
13 8"GATE VALVE CUT IN CO#I I EA $2,077A0 $2,077.00 I $2,077.00
Sub-Total of Previous Unit $98,668.03 $98,668.03
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 8"SANITARY SEWER MAIN 925 LF $20.75 $19,193.75 925 $19,193.75
2 8"SANITARY SEWER MAIN 460 LF $22.80 $10,488.00 460 $10,488.00
3 8"SANITARY SEWER MAIN 920 LF $21.45 $19,734.00 920 $19,734.00
4 12"ROCK RIP RAP 225 SY $61.90 $13,927.50 225 $13,927.50
5 MANHOLE-STD 4'DIA 9 EA $2,326.00 $20,934.00 9 $20,934.00
6 MANHOLE-STD 4'DIA 3 EA $2,985.00 $8,955.00 3 $8,955.00
7 MANHOLE-VACUUM TEST 9 EA $121.00 $1,089.00 9 $1,089.00
8 MANHOLE-INTERIOR PROTECTIVE COATING 18 VF $198.50 $3,573.00 18 $3,573.00
9 SEWER SERVICE 4"TAP 78 EA $348.00 $27,144.00 78 $27,144.00
10 4"SEWER SERVICE WITH CLEANOUTS 747 LF $3.85 $2,875.95 747 $2,875.95
11 4"SEWER SERVICE WITH CLEANOUTS 1445 LF $4.10 $5,924.50 1445 $5,924.50
12 REMOVE EXIST 4"SEWER SERVICE 18 EA $198.00 $3,564.00 18 $3,564.00
Monday,July 13,2015 Page 2 of 5
City Project Numbers 02055 DOE Number 6981
Contract Name ROLLING MEADOWS EAST PHASE 2 Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 2/4/2014
Project Funding
13 TRENCH SAFETY 2305 LF $0.25 $576.25 2305 $576.25
14 POST CONSTRUCTION CCTV 2305 LF $1.10 $2,535.50 2305 $2,535.50
Sub-Total of Previous Unit $140,514.45 $140,514.45
Monday,July 13,2015 Page 3 of 5
City Project Numbers 02055 DOE Number 6981
Contract Name ROLLING MEADOWS EAST PHASE 2 Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/4/2014
Project Funding
Contract Information Summary
Original Contract Amount $232,494.48
Change Orders
Change Order Number 1 $6,688.00
Total Contract Price $239,182.48
4ntr
Date - ? Total Cost of Work Completed $239,182.48/ Less %Retained $0.00
Net Earned $239,182.48
Insp �$`up or Earned This Period $239,182.48
af 1 1 Retainage This Period $0.00
AD to J V Less Liquidated Damages
Project ME er
Days Qa /Day $0.00
Date LessPavement Deficiency $0.00
Asstf0i ctor/f PW-tnfrestructure Design acid Construction Less Penalty $0.00
ate Z Less Previous Payment $0.00
Director/Contracting DepartnienV fPlus Material on Hand Less 15% $0.00
v�
Balance Due This Payment $239,182.48
Monday,July 13,2015 Page 4 of 5
FORTWORTH rev 03/05/07
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO. I
NAME OF PROJECT: Rolling Meadows Easst Phase 2
PROJECT NO.: 02055 CONTRACTOR: Kart Construction
DOE NO. 6981
PERIOD FROM 07/08/13 TO: 01/17/14 FINAL INSPECTION DATE: 17-Jan
WORK ORDER EFFECTIVE 7/8/2013 CONTRACT TIME 50 O WD9) CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
1. 16.
2. 17.
3. 18.
4. 19.
5. 20.
6. 21.
7. 22.
8. 23.
9. 24.
10. 25.
11. 26.
12. 27.
13. 28.
14. 29.
15. 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES OTHERS* DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS
THIS
224
PERIOD
PREVIOUS
PERIOD
TOTALS 224
TO DATE
*REMARKS:
No Liquidated Damages to be Charged to this Contract
CO R DATE INSPECTOR DATE
ENGINEERING DEP AR-BIENT
la
The City of Fort Forth•1000 Throckmorton Street-Fort Worth,TX 76012-6311
(817)392-7941 •Fay:(817)392-7845
KA�t T
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CHANGE ORDER No. 1
SITE UTILITIES
Date: 09.20.13
To: Rome Barnes
Project: Rolling Meadows East Ph 2
City: Fort Worth,Tx
Explanation: Please see below for materials needed on layout change
for 8" water line.
UTILITIES
ITEM DESCRIPTION CITY UNIT UNIT BID TOTAL BID
1 8" PVC WATER LINE 55 LF s2b.n S 1,111.00
2 16"STL. CASING 40 LF $60,00 2,400.00
8"45 DEG. BENDS wZ BLOCKING 4 EA $275,00 U00.00
4 "GATE VALVE CUTIN QN EX.LINE 1 EA 2077. 0 S 2,077.00
PLEASE SIGN AND SEND BACK AND MAKE A COPY FOR YOUR RECORDS:
Barbara Morgan Larry Gonzalez
Vice President Estimator
Office: 817-282-8000 817.282.8000
Cell: 940-781-5039 817.201.1622
Email bmorgan@kartcoinc.com Igonzalez@kartcoinc.com
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FORTWORTH REV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
1) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Kart Construction Rolling Meadows East Phase 2
DOE Inspector DOE Number
Wade Johnson 6981
DOEInspector Project Manager
O Water E Waste Water❑ Storm Drainage❑ Pavement Fred Ehia
Initial Contract Amount Project Difficulty
$232,494.48 O Simple OO Routine O Complex
Final Contract Amount Date
$239,182.48 1/24/2014
II)PERFORMANCE EVALUATION
0-Inadequate I-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPLICABLE Y/N RA'Z'ING 0-4 MAX SCORE SCORE
1 Submission of Documents 2 Y 4 8 8
2 Public Notifications 5 N
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 N
9 Daily Clean Up 5 N
10 Citizen's Complaint Resolution 5 N
11 Propenty PropertyRestoration 5 Y 4 20 20
12 After Hours Res once 5 N
13 Project Completion 5 Y 4 20 20
TOTAL ELEMENT SCORE(A) 248
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 248
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 308
Rating(ITS/MS]a 100%) 248 / 308 = 81%
Performance Category Excellent
<20%=Inadequate 20%to<40%=Deficient 40916 to<60%=Standard 60%to<80%=Good >_80%=Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature DOE Inspector Signature Contractor
Signature DOE Inspector's Supervisor ���`
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC FORKS
'•:� The City of Fort Forth-1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941•Fax:(817)392-7845
ACART
CONSTRUCTION & EQUIPMENT CO.. INC.
January 21. 2014
City of Fort Worth
CFA Administration
1000 Throckmorton St.
Fort Worth, TX 76102
RE: Project Name: Rolling Meadows East Phase 2AI/DOE #6981 City Project 402055
The purpose of this letter is to acknowledge that Nve have been paid in full by Beazer
[Ionics Texas, I.Y.. for the public improvements constructed to sere Rolling Meadows
East Phase 2A 1 in Fort Worth. Texas. As a result. we hereby waive. release and
relinquish all rights to assert any claim or demand l'or lien in connection with this project.
Please feel free to contact me with any questions you may have.
Sincerer.
Jerry Morzan, President
Kan Construction and Equipment Co.. Inc.
jmorian a kartcoinc.conl
.1M brm
i
i
124 S NORWOOD DRIVE PO Box 1522 HURST. TX 76053
OFFICE 817 282 8000 FAX 817 282 8005
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ACART
CONSTRUCTION & EQUIPMENT CO.. INC.
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before tile, the undersigned authority,a notary public in the state and county
aforesaid.on this day personally appeared JERRY MORGAN. PRESIDENTOr
i
i
KART CONSTRUCTION R EQUIPMEN 1'CO.. INC..known to me to be a
credible person. who being by me duly sWOM, upon his oath deposed and said:
That all persons. firms.associations.corporations.or other organizations
lurnishing labor and/or materials have been paid in full:
That the wage scale established by the Cit\ Council in the City of Fort \forth. Texas has
been paid in full:
That there are no claims pending liar personal injure and-or propert\ damages: I
On Contract described as:
CONSTRUCTION OF WATER. SANITARY SEWER. AND STORM DRAINAGE FOR ROLLING
f
NIEADOWS PHASE --AI- FORT WORTH. T\.
BY l T t-o" --Q,
lF 'MORGA M. RESIDENT
Subscribed and s%\om before me on this date 21 S-I'of JANUARY.2014.
Notal-Public
C(4 —
�.1,T,7Y :�'7q�TARRANT COLr\TI'.TE_-XikS ;
124 S NoRw000 DRIVE PO. Box 1522 HORST- TX 76053
OFF!cE e 17 282 8000 F.cx 81, 282 8005
i
CONSENT OF SURETY 0WIJEu
TO FINAL PAYMENT �sclllrrc�
5�'FFTS" 7c
Bond No 4390510 oTt�r�
TO O:XTIER: ARCHITECT'S NO :
Beazer Homes Texas LP and City of Fort Worth
1750 Valley View Lane, Ste. 200 CONTRACT FOR: Utilities i
Dallas. TX 75234 j
i
PROIEIC r: (.0NiRAC1-l)A'17D:
Rolling Meadows East Phase 2 I
I
Keller-Haslet Rd & Palancar Dr., Fort Worth, TX,Tarrant County
In accordance urh tic provt5iors&d-.e Conu2ct Lx--tw"n die 0-wner and;he C}ntracttlr at.imhcatLd 2Lwwc,lite
II,lSG l rElJlr>rlRr�eK�'h r+�:A 1?.rev}•/
SureTec Insurance Company
1330 Post Oak Boulevard. Suite 1100
Houston. TX 77056
S?:RF.TY,
on tx}nd of
rlre;rn;;A,rrar!d:nIrhe�:;a%C,N• a.'..:
Kari Construction and Equipment Co,. Inc
124 South Norwood Drive
Hurst, TX 76053
i
ht!rebvap:)rt;+•es of the*1.^.1l iaN,int m t,r th:Conn'atxor itv!agree.th:It anal pal°mcr�t to t''.e Cono-acror s;ialt not re!i,,ve the
ant'c`f its obfi i:icm..e r,}
r h;qo•rtin;r dr,n`1:�T:n uj f.kr•;rrr
Beazer Homes Texas, LP and City of Fort Worth
1750 Valley View Lane. Ste. 200
Dallas, TX 75234
S>Set fbi'll in said Sufetv'c
1\AIIN SSS 1YTj1101',the Sorer)'iiai hereuiao yet its 1-ind•.;n thn flare January 23, 2014
!7,zar+i nr rw,tr,�du,::Jrhi:a:v,ezi:.•,..rer,•n•,:c d;:re a:r:,reerr;
SureTec Insurance Company
Cindy Fowler Attorney-in-Fact
Lee Carie:
G't}7-193 t
4221325
i
SureTec Insurance Company
LLMITED PONVEIl OF ATTORNEY
Know AAI Alen by These Presents, That SLIRETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and i
existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents
make.constitute and appoint
D.Gregory Stilts,Mark R.DeWitt,Rosemary Weaver,Cindy Fowler
its true and lawful Attorney-in-fact,with full power and authority hereby conferred in its name,place and stead,to execute,acknowledge
and deliver any and all bonds,recognizances,undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for:
Four Million Dollars and no/100(54.000.000 00)
and to bind the Company thereby its fully and to the same extent as if such bond were signed by the President,sealed with the corporate
seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment shall continue in force until ?::9t 2015 and is made under and by authority of the following
resolutions of the Board of Directors of the SureTec Insurance Company:
Be rt Resoived that the President,any Vice-Presidem.tiny Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Anomc)(s)-in-Fact to represent and act for and on
behalf of the Company sub;tct to the follotting provisions:
Arrvrne-ion-F'�rcr may be given full power and authority for and in the name of and of behalf of the Company. to execute,acknowledge and
deliver,any and all bonds,recopmizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and tuty and all
notices and documents canceling or temtinsting the Company's liability thereunder, and an) such instruments so executed by any such
Attorney-in-Fag.shall be binding upon the Company as if signed by the President and scaled and effected by the Corporate Secretary
i Be•'r kisw%0 that the signature of any authorized ofliccr and anal of the Company heretofvne or hereafter affixed to arty power of anorney or
any certiftcuta relatinL:hereto bt facsimile,and any power cf attorney or certificate hearing facsimile signature or facsimile seal shall be valid
and binding urwn the Compmy w iti respect to any bund or undertaking to which it i�attached f.adalned of v oweang held on?+r"q/Aprd
IV9v.i
/n If Unevs Whereof,SURETEC INSURANCE COMPANY has caused those presents to be signed by its President,and its corporate seal
Ito be hereto aftixad this�1st day of March.;�,p .0!3.
SURETF.0 INSURANCE:COMPANY
John 4ncix Jr.yPresident
Slate of 1 cxas
County of Hams ;
On this 21st da)of%1 uch.A.1),`013 before rie pera:malh coin:lunn Knox Jr„to me kiimm,who,h,ing Mme duly swom,did depose anti a .rho;he
residts is Houston. Texas, that tit is pKesident of ST-Vi.f EC IN'SL'R•lNCE COMPANY, the company deicribcd in and which executed the above
instrument,that tar rooms the sell of satd Company;aha:tae seal affixed to said instrument is ,uch corporate seal:that it%%xi su affixed h} order of the
Board of Directans of said Company:and that he signed his name hereto by fika order. !
5?ate y Teas
'L t+rCcmr=•v s'8'«i' Jacquelyn Maldonado,Notary Public
My commission expires stay IS.01
i
M.Brent Beaty,.As-,istartt Srtsctary of SURFTFC INSURANCE COMPANY,do hereby crrtiF that the abcve and forct"in is s t a- rd CvrreCI cfir
of a Pov+tr of An nzy,exe.ated cy said C.nrrtpant ,%6ich is still;r"A forst and drfect:and furdiz race:,th;reYGluiictu vA the 3o;ad of t?ir;ctctr.;e;
out in the Fuwer of A;romey tie in full fore:and r:cit ff
j Given under my hand and the seat of said Comm-v.a, Fousten.Texas this �Y O�day of U.r �Cl� , A V
�_f :%� e J '✓`fir
Jf. Bretti Beat?,Assistant crrt:tn
i
Arty instrument r55t-ed Fr excess of the penalty states above is totally void and without any validity.
For ve�Pc i°cr of the atiiharity et this avwer you niay=_ati rFt3i dt2-Cage any,business day between 8:0 am ana 8.00 pm CST.
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Rolling Meadows East Phase 2
PROJECT NUMBER: 2055
DOE NUMBER: 6981
WATER
PIPE LAID SIZE TYPE OF PIPE LF
Yes 8" PVC 1850
FIRE HYDRANTS: 2 VALVES(16" OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
No
DENSITIES: Yes
NEW SERVICES: 1" Copper 1446
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Yes 8" PVC 2305
PIPE ABANDONED SIZE TYPE OF PIPE LF
No
DENSITIES: Yes
NEW SERVICES: 4" PVC 2192
TRl-1NSPORTATION-AND PUBLIC WORKS
� E The Citg of Fort Worth•1000 T rockmorton Street•Fort Worth,TY 76012-6311
(817)392-7941•Fay(817)392-7845
FORTWORTHREV:02'22'07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 1/24/2014
Name of Contractor Project Name
Kart Construction Rolling Meadows East Phase 2
DOE Inspector Project Manager
Wade Johnson Fred Ehia
DOE Number Project Delcu/h Ttpe of Contract
6981 10 Simple OO Routine O Complex El Water 0 Waste Water❑ Storm Drainage❑ Pavement
Initial Contract Amount Final Contract Amount
$232,494.48 $239,182.48
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 AvailabiliLy of Ins ector 4;4 1 Accuracy of Plans to Existing Conditions Z
2 Knowledge of Inspector 2 Clari &Su'icienc of Details Z-
3 Accuracy of Measured uantities 13 A licabili of S ecifications y
4 Dis la Of Professionalism —4 –Accuracy of Plan Quantities Z-
5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs 1 Knowled eeAAnd/Or Problem Resolution
ADMINISTRATION -� 2 Availabili of Project Manager Z-
1 Change Order Processing Time 13 Communication Z
2 Timliness of Contractor Payments 14 Resolution ofUtility Conflicts c-
3 Bid 02ening to Pre-Con Meeting Timeframe
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
�(';E The City of Fort Worth-1000 Throckmorton Street-Fort Worth,T�76012-6311
(817)392-7941-F2x:(817)392-7845