HomeMy WebLinkAboutContract 46610-FP4 0epartU1q.nt,p1 TP Const.Services
DOEeVVIL6Date
Project na rLTWORTH.
IffySECR1
Risk Management J. aye
coMACr NO. C<"
D.O.E. Brothertion
CFA Westerman1Scanne (�
The Proceeding people have heert ntacfed concerning the request for final 1 G 0�— C-O.2q 03
paymem&have released this project for such payment. LTION AND PUBLIC WORKS
Clearance Conducted By Shameka Kennedy PROJECT COMPLETION
D.O.E.NO: 7336
C50yG(o1a
Regarding contract 117336 for WEST FORK RANCH PH 4A 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 Directo lic Works Department has accepted the project
as complete
Original Contract Prices: r � 5572,966.80
Amount of Approved Change Orders: Ns 1
Revised Contract Amount: $572,966.80
Total Cost Work Completed: $572,966.80
Less Deductions:
Liquidated Damages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $572,966.80
Less Previous Payments:
Final Payment Due $572,966.80
��� c3'b�• Zo!to
Recommended for Acceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
---4-q
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Accepted Date
Asst. Director, WATER DEPARTM T
- '{6
Asst. City Manager Date (`
Comments: FUND:WATER P265-475260-6021502403/SEWER P275-47520-7021302403
M
AL RECORDECRETARY ��*ORTH,TX ,�
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WEST FORK RANCH PH 4A
Contract Limits
Project Type WATER&SEWER
City Project Numbers 02403
DOE Number 7336
Estimate Number 1 Payment Number 1 For Period Ending 1/182016
CD
City Secretary Contract Number 117336 Contract Time 18(CD
Contract Date 4/152015 Days Charged to Date 222
Project Manager Law Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors LAYER / DOVERS
Friday,January 15,2016 Page 1 of 4
City Project Numbers 02403 DOE Number 7336
Contract Name WEST FORK RANCH PH 4A Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 1/18/2016
Project Funding
UNIT I:WATER IMPROVEMENTS
ItemEstimated Estimated Completed Completed
Description of Items Unit Unit Cost
No. Quanity Total Quanity Total
-- ------ - - --------- — — - -- ---
1 8"PVC WATER PIPE 4925 LF $20.00 $98,500.00 4925 $98,500.00
2 12"WATER PIPE 533 LF $33.00 $17,589.00 533 $17,589.00
3 8"GATE VALVE 13 EA $1,200.00 $15,600.00 13 $15,600.00
4 12"GATE VALVE 1 EA $2,300.00 $2,300.00 1 $2,300.00
5 FIRE HYDRANT 8 EA $3,200.00 $25,600.00 8 $25,600.00
6 DUCTILE IRON WATER FITTINGS 2.51 TN $8,600.00 $21,586.00 2.51 $21,586.00
W/RESTRAINT
7 1"WATER SERVICE 139 EA $690.00 $95,910.00 139 $95,910.00
8 1 1/2"WATER SERVICE I EA $1,500.00 $1,500.00 1 $1,500.00
9 CONNECTION TO EXISTING 4"-12"WATER 3 EA $600.00 $1,800.00 3 $1,800.00
MAIN
10 TRENCH SAFETY 5458 LF $0.10 $545.80 5458 $545.80
Sub-Total of Previous Unit $280,930.80 $280,930.80
UNIT D:SANITARY SEWER RIAPROVEMENTS
Item Description of Items Fs@mated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 8"SEWER PIPE 2422 LF $22.00 $53,284.00 2422 $53,284.00
2 8"SEWER PIPE CSS BACKFILL 180 LF $32.00 $5,760.00 180 $5,760.00
3 10"SEWER PIPE 1748 LF $48.00 $83,904.00 1748 $83,904.00
4 10"SEWER PIPE CSS BACKFILL 220 LF $58.00 $12,760.00 220 $12,760.00
5 T MANHOLE 17 EA $2,330.00 $39,610.00 17 $39,610.00
6 T EXTRA DEPTH MANHOLE 76 VF MOM $7,600.00 76 $7,600.00
7 MANHOLE VACUUM TESTING 17 EA $100.00 $1,700.00 17 $1,700.00
8 4"SEWER SERVICE 139 EA $550.00 $76,450.00 139 $76,450.00
9 POST CCTV INSPECTION 4570 LF $1.40 $6,398.00 4570 $6,398.00
10 TRENCH SAFETY 4570 LF $1.00 $4,570.00 4570 $4,570.00
--------------------------------- -------
Sub-Total of Previous Unit $292,036.00 $292,036.00
Friday,January 15,2016 Page 2 of 4
City Project Numbers 02403 DOE Number 7336
Contract Name WEST FORK RANCH PH 4A Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 1/18/2016
Project Funding
Contract Information Summary
Original Contract Amount 5572,966.80
Change Orders
Total Contract Price 5572,966.80
Date ,C ( Total Cost of Work Completed 5572,966.80 f
Less %Retained 50.00
ZS/� Net Earned 6572,966.80
—Date Earned This Period $572,966.80
lnspatioa� p1� is r
c/ n Retainage This Period $0.00
Date 51 J Leu Liquidated Damages
�� I
Days @ /Day $0.00
Date 3 3I' LessPavement Deficiency $0.00
AssL Diceaorn?W-Infrastructure Design and Construction Less Penalty $0.00
Date / Less Previous Payment $0.00
razor T-conKwng Depr#f Plus Material on Hand Less 15% $0.00
f Balance Due This Payment $572,966.80
Z'
Friday,January 15,2016 Page 3 of 4
City Project Numbers 02403 DOE Number 7336
Contract Name WEST FORK RANCH PH 4V
I f�.r Estimate Number I
Contract Limits �! Payment Number I
Project Type WATER&SEWER MAR 04 2016 For Period Ending 1/18/1016
Project Funding
Project Manager Long City Secretary Contract Number 117336
Inspectors LAYER / DOVERS Contract Date 4115/2015
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 180 CD
6331 SOUTHWEST BLVD Days Charged to Date 222 CD
FORT WORTH, TX 76132 Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retaluage Net
Funded
Total Cost of Work Completed $572,966.80
Less %Retained 50.00
Net Earned $572,966.80
Earned This Period $572,966.80
Retainage This Period 50.00
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 $572,966.80
Friday,Jummy 15,2016 Page 4 of 4
FORTWORTH rev 03/05/07
TRANSPORTATION& PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.1
NAME OF PROJECT: West Fork Ranch PH 4
PROJECT NO.: 02403 CONTRACTOR: Burnsco Conshvction,inc.
DOE NO. 7336
PERIOD FROM 05/18/15 TO: 01/18/16 FINAL INSPECTION DATE: 19-Jan-16
WORK ORDER EFFECTIVE 5/18/2015 CONTRACT TIME 180 Q WD 0 CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH DUURRING CREDITED MONTH DAG CREDITED
1. 16.
2. 17.
3. 18.
4. 19.
S. 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
222
PERIOD
PREVIOUS
0
PERIOD
TOTALS
222
TO DATE
*REMARKS:
TOR DATE CTOR DATE
ENGINEERING DEPARTMENT
The City of Fort Worth•1000 Thmckmoitvn Street`Fort Worth,TX 76012-6311
CO
(817)392-7941 •Fax:(817)392-7845
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Instiwte of OTHER
Architects.AIA Document G707
Bond No 022050686
PROJECT:
(name, address)West Fork Ranch Pase 4A-Water,Sanitary Sewer and Storm Drain Improvements
Fort Worth TX
TO (Owner)
,P—uLTE HOMES OF TEXAS,L.P.AND CITY OF FORT ARCHITECT'S PROJECT NO:
ORTH CONTRACT FOR:
4800 Regent Blvd. Suite 100 West Fork Ranch Phase 4A-Water,Sanitary Sewer,and Storm Drain
Improvements
Irving TX 75063 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 eddmu of Surety Comparry)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 , SURETY COMPANY
on bond of (here wean name and addrem 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 addreee of Owner)
PULTE HOMES OF TEXAS,L.P.AND CITY OF FORT WORTH
4800 Regent Blvd. Suite 100
Irving TX 75063 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 13th day of January,2016
LIBERTY MUTUAL INSURANCE COMPANY
Su Company-L
A st 4V.DeLene Marsha
(Seal): Signa re of Authorized Representative
,Sgohinie Hunter Attorney-in-Fact
Title
NOTE: This form ie to be used as a companion document to AW DOCUMENT 0706, CONTRACTOR'S AFFIDAVIT OF PAYMMT OF MTS AND ClA M6'
Current 10111600
ONE PAGE
T POWER OF ATTORNEY IS NOT VAUD UNLESS IT IS PRINTED ON RED BACKGROUND.
This Powrnr d Attornhhy Ilmts the ads of those reed herein,and they have no authority to bind the Company except In the maser and to the extud herein stated.
Certiftate No.7111513
American Fire and Casualty Company Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company West American Insurance Company
POWER OF ATTORNEY
KWANN ALL PERSONS BY THESE PRESENTS: ThatAmerican Fie&Casualty Campany and The Ohio Casualty Insurance Company are corporations duly oMmized under the laws of
the Stale of New Hampshire,that Liberty Mutual koffanca Company a a cmporafion duly ori undar the Im d the State of Massachusetts,and WestAmaricen Insurance Company
is a corporation duly organized under the lawe ofto State of Yryar e f herein collectively called the Y ompa les),pursuard to and by authority herain set forth,does hereby name,constitute
and appdri, Don E.Cornell:Kafihr A VYaatbrook:Ricardo J.lieyne Bobbi Morales:Sophinie Hurter V.DeLene Marshall
al d b dly d Dam god TX each individually d there be morethan one named,its tree and lawlutl aftney*4ad to make,ahswte,seal.acknowledge
and delver,for and on Its behalf as aunty and a its act and deed,any and all undertaidinp,bolds,recolytowhces and other surely ob6gdans,in Pursuance of these presents and shall
be as 6nfrrg upon the Coapania as if lhey nava beam duty WpW by the President and adested by the secretary of the Cnmpar*a in their own proper persons
IN WITNESS WHEREOF,this Power of Ahomey has been subscribed by an authorized officer or aKidal of the Compania and the corporate seals of the Companies have been affixed
thereto tela l la1 day of Seotem6er 2015 k
�iD CAsG �'S1 INS,, 'ONSUgr hNSUgq American Fre and Castialty y
a� c tMW�[ The Ohio Casualty Insurance Company as
Liberty Muhral Insurance Company 1906 0 o_ c
Ai 1919 o g 1912 °s a 1991 `
1 D Y ' as d a West American Company
eSJa pij r rte' r+* Y'� /4 3
• 1 f * f e By: !
STATE OF PENNSYLVANIA ss David M. ,Assistant Secretary ac
to
OX C0JNTY OF MONTGOMERY c
0 Ort ria t 1 to day d SWIleffloRr 2015betare me personally appeared Devid M.Caney,who adirwAsdiled himself to be the Assistant Secretary of American Fire and �Oe Casualty Company.Liberty Mutual Insurance CDmpahy,The Olio Casualty Insurance Company,and West American Insurance Company,and that he,as sudor,being aut med oro to do, y
p execule the fDregoN Instrument for the pimposes therein contained by siying on behalf of the corporations by himself as a duty authorized officer.
as f
` IN WITNESS WHEREOF,I have hereunto subscribed m name and affixed my notarial seal at Plymouth Meeting,Pennsylvania,on the day and year fast above vmllm. CL
0 7 3' pAsr COMMONWEALTH OF PENNSYLVANIA --N Q o
Q P�' �Fe Notarial Seal ////, y.
C jar rw _ 71 Teresa PawaW,Notary Phblic ay; "°'..+" O
p ` a Twp••rM y CO1 ty Teresa Pastae,Notary Public `C
` t My CorrwMasim Ewes March 28,2017 . W
OG 4Lr,�y*d,7' Member.PemayNaMa A"06"w d Ndaria a' W
C This Power d Anomey is made and executed pursuant to Wby'autarity of the followkhg By-laws and Authorizations of American Fre and Casualty Company,The Ohio Casualty Insurance .90
Company,LDaty Mutual nsiu ante Company,and West Amenim Insurance Conpmy which resolutions are now in full force and elfed rea ft as Allows: o
cc 4 ARTICLE N—O"ICER3—Section iZ Power of Airy.Any officer or other official d to Corporation authorized for that purpose in writing by the Chaimhan or lila President,and subject O m
?J9 to such Irrilatim as the Chairman or the President may prescribe,shall appoint such atlomeysdndacf,as may be necessary to ad in behalf of to Corporation to malas.execute,seal, a
Ec adamowledge and deriver as surety any and all undertakings,bards,recogniances and other surety obligations.Such assn-Act,subject to the set forth in their respective ;a` powers of attorney,shall have full power to bind the Corporation by their aignat re and execution of any such instruments and 1D atach thereto the seal of the Corporation. When so —
O re exec uteri,such instrument shall be as briding as t signed by the President and allested to by the Seaatary.Any power or autkatty granted to any represental[ve or attomey4n-laact under >
161 the provisions d this&dde may be revoked at any time by the Board,the Chairman,the President a by the officer or officers granting such power or autarity. N
M C ARTICLE XII—Execution ofContrads—SECTION 5.Surely Bonds and Urdertaldrip.Any olRrar of Ila Company authoized for that purpose in writing by the chairman or the pnaident, E oP
> and st*d to such limitations as the chairman or to president may prescribe,shat appoint such atomeys-in-fax,as may be necessary to ad in behalf of the Company to make,execute, -C4
O seal,adamledge and deltvmr as surely any and all undertakings,bonds, and other surely obligation. Such altomeys-ill-fact su*c!to the Imitations set font n tek C oQ
Z W respective powers of atony,shall have full pourer to bind the Company by their signature and execution of any such nstruments and to attach thereto the seal of the Company. When so 00
executed such Instruments shall be as bindim as If signed by the presided and aged by the secretary. O
Certificate of Designation—The President of the Company,acting pusuard to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such allorneyswir►-
fad as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as sursty any and all undertakings,bonds.rempizanosi;and other surety
obligations.
Authorization—By anmimous consent of to Company's Board of Directors,the Company o onsmts that bosimiie or mechanically reproduced signature of any assistant secretary of the
Company,wherever app eerkg upon a certilled copy of any pow of attorney issued by the Company in connection with surety bonds,shall be valid and bine"upon the Company with
the same force and of W as to*manually affixed.
1,Gregory W.Nv npat,the undersil;lhed,Assistant Secretary,of American Fre and Casualty Crxmpmy,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and
West American Insurance Company rho hereby certify that the original power d ettomey of which the foregoing is a Alli,true and oared copy d to Power of Attorney executed by said
Companies,Is in fun force and effect and has not been revolted. f
Wi
IN T ESTIAIONY WHEREOF,I have heraurdo set my hand and affixed the seals of said Companies this I day of .20J .
QUID CASL�`
ai
z v m f n i 7
1906 0 0 1919 0 1912 3 . 1991 a BY
' Gregory W.Davenport,Asaiseant seoataty
ZW of 500
LMS 12873 122013
Liberty
Mutual,
SURETY
Important Notice
TO OBTAIN INFORMATION OR TO MAKE A COMPLAINT:
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:
1-800-252-3439
You may write the Texas Department of insurance:
P. O. Box 149104
Austin, TX 78714-9104
Fax: (512) 475-1771
Web: http://www.tdi.state.tx.us
E-mail: ConsumerProtection(a),tdi.state.tx.us
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.
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
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
ull;That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
West Fork Ranch 4A-Water, Sanitary S r, Storm Drain Improvements
I
BY
John Burns, President
I
Subscribed and sworn before me on this date 14th of January, 2016,
Notary Public ;.60 y
Tarrant County, Texas LEIA MCOUIEN
My commission Expires
June 26,2018
q��a gyp+
January 14, 2016
City of Fort Worth
CFA Administration
1000 Throckmorton St.
Fort Worth, TX 76102
RE: Final Waiver of Lien;Water& Sanitary Sewer Improvements to serve West Fork
Ranch 4A:DOE# 7336 City Project#02403
The purpose of this letter is to acknowledge that we have been paid in full by Pulte Group
for the public improvements constructed to serve West Fork Ranch 4A, in Fort Worth,
Texas. As a result, we hereby waive, release and relinquish all rights to assert any claim
or demand for lien in connection with this project.
Please feel free to contact me with any questions you may have.
Sincerely,
Ab Grantges
Contract Manager
6331 Southwest Blvd
Benbrook, Texas 76132
Office: 817-738-3200
Fax: 817-738-3435
*PulteGroup
January 12, 2016
Mr.John Burns
Burnsco Construction, Inc.
6331 Southwest Blvd.
Benbrook,Texas 76132
Re: Contract for West Fork Ranch Phase 4A—Water,Sanitary Sewer&Storm Improvements
CoFW Project No.02403
CoFW File No.W-2346
CoFW DOE No. 7336
Dear John Burns:
This letter will document that Pulte Homes of Texas, L.P.confirms that Burnsco Construction, Inc. has
completed the Work associated with the above-referenced contract in an appropriate time frame,
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 Pulte Homes in connection with the
Work.
Pulte Homes of TX, L.P.
By:
Curt M_Millward
Land Development Project Manager
Cc: City of FortWorth
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Wei Fork Ranch PH 4A
PROJECT NUMBER: 02403
DOE NUMBER: 7336
WATER
PIPE LAID SIZE TYPE OF PIPE LF
yes 8" PVC 4925
Y" 12" PVC 533
FIRE HYDRANTS:.8 VALVES(16"OR LARGER) n/a
PIPE ABANDONED SIZE TYPE OF PIPE LF
no
DENSrnZ&- yes
NEW SERVICES: 1" Copper 3475
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
yes 8" PVC 2422
Yes 10" PVC 1748
PIPE ABANDONED SIZE TYPE OF PIPE LF
no
DENSITIES: yea
NEW SERVICES: 4" PVC 3475
TRANSPORTATION AND PUBLIC WORKS
, ! The City of Fort Worth•1000 lbrodunorton Street•Fort Worth,TX 76012--6311
(817)392-7941•Fera:(817)392-7845
FORT WORTH ':02!20/°'
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
1) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Burnsco West Fork Ranch PH 4
DOE Inspector DOE Number
Connor Slaten 7336
DOE Inspector Project Manager
ID water p waste waver ❑storm Drainage ❑Pavement Aaron Lon
Initial Contract Amount Project Dicu4
$527,966.80 O Simple Routine O Complex
Final Contract Amount Date
$527,966.80 1/19/2016
H)PERFORMANCE EVALUATION
0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPLICABLE Y/ RATING 0-4 MAX SCORE SCORE
1 Submission of Documents 2 Y 4 8 8
2 Public Notifications 5 Y 4 20 20
3 Plans on Site 5 Y 4 20 20
4 Field Supervision 15 Y 4 60 60
5 Work Performed 15 Y 4 60 60
6 Finished Product 15 Y 4 60 60
7 Job Site Safety 15 Y 4 60 60
8 Traffic Control Maintenance 15 Y 3 60 45
9 Daily Clean Up 5 Y 4 20 20
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 20
13 Project Completion 5 Y 4 20 20
TOTAL ELEMENT SCORE(A) 433
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 433
Hl)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating([TS/MS1 •100%) 433 / 448 — 97%
Performance Category Excellent
<20%=Inadequate 200A to<40%=Deficient 40%to<60%=Standard 60%to<80016=Good >_80%=Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature DOE Inspector �,� i ture Contractor --.r
Signature DOE Inspector's Supervisor
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
� � The City of Fort Worth•1000 Throckmorton Stmt•Fort Worth,TX 76012-6311
(817)392-7941 •Fax(817)392-7845
FORTWO RT H `EV:02/2V07
TRANSPORTATION AND PUBLIC WORKS I
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date: 1/19/2016
ame of Contractor Project Name
Burnsco West Fork Ranch PH 4
DOEhispector Project Manager
Comror Staten Aaron Long
DOENwirber Project Difficulty Type of Contract
7336 O Simple ®Routine O complex p water p waste water ❑Storm Drainage ❑Pavement
Initial Contract Amount Final Contract Amoum
$572,966.80 $572,966.80
II)PERFORMANCE EVALUATION
0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT RATING ELEMfiTiT RATING
(0-4)
INSPECTION EVALUATION PLANS&SPECIFICATIONS
1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector L 2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities 3 Applicability of Specifications
4 Display Of Professionalism L 4 Accuracy of Plan Quantities
S Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availability of Project Manager
1 Change Order Processing Time 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 Inspector's Supervisor
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311
(817)392-7941 -F2a:(817)392-7945