HomeMy WebLinkAboutContract 45717-FP1 CITY SECF&TA1Wi'FORTWORTH, CONTRACT NO. q � ' I
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
D.O.E. Ns: 6120
(!001&41
Regarding contract 45717 for HEMPHILL ST FROM VICKERY BLVD TO 13TH as required by the
TRANSPORTATION& PUBLIC WORKS as approved by City Council on 10/28/2014 through M&C C-27065 the
director of the TRANSPORTATION& PUBLIC WORKS upon the recommendation of the Assistant Director of
the Transportation&Public Works Department has accepted the project as complete. /
Original Contract Prices: $1,992,495.00 ✓ C r ZXD4-45—
Amount of Approved Change Orders: $76,693.00 NO 1 &2
Revised Contract Amount: $2,069,188.00
Total Cost Work Completed: $2,069,188.00
Less Deductions:
Liquidated Damages: Days @$210.00/Day
I
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed: $2,069,188.00
Less Previous Payments: $2,013,046.41
i
Final Payment Due $56,141.59
f
S• 211• zo to
Recom ended for Acceptance Date
✓�' Asst. irector, TPW - Infrastructure Design and Construction
Accepted Date
Directo , TRANSPORTATION UBLIC WORKS
Asst. City Manager ate
Comments: C200-541200-209230014183
MAa-reED OFFICIAL RECORD
CITY SECRETARY
JUL 1 1 2016 FT. WORTHY TX
TPW Construction Invoice
Contract: CS45717-EW#1 P.O.# PO-15 86925;RO-14-84155 Payment Date: 4/26/1016 _
TO:McCarthy Building Companies Inc I'•# CS457177M#1= Estimate No. 14 DOE:
14131 Midway Rd Ste 630 ProjManager Michael Weiss
Addison TX 75001
FOR: HEMPHILL ST-LANCASTER AVE TO VICKERY BLVD
Contract Amount: $2,069,188.00 ACfj
Completed Ret Adi Pay
Total to Date: $2,069,188.00 $0.00 $0.00 $2,069,188.00
Previous Estimate: $2,018,919.00 $5,872.59 $0.00 $2,013,046.41
Earned to Date: $50469.00 (55;872 59) SD 00 $5614159
Payments:
;C203-541200-209230014183.- $2,069,188.00 C0#1-$26,424.00,CO#2-$50,269.00
Total to Date: $2,069,188.00 $0.00 $0.00 $2,069,188.00
Previous Estimate: $2,018,919.00 $5,872.59 $0.00 $2,013,046.41
Earned to Date: $50,269.00 ($5,872,59) $0.00 $56,141.59
Transportation&Public Works
BUSINESS SUPPORT GROUP
Contact Person-BRANDY CRANE-Ext.2852
Department Approval nature for:
KAREN
STRIKER
DEPARTMENT CHECK PICK-UP YES
Monday,July 04,2016 Page 1 of 1
t
City Project Numbers 00141 DOE Number 6120
Contract Name Hemphill Street Connector Project Estimate Number 14
Contract Limits Early Works Package 1 Off-Site Stormwater Facilities Constru Payment Number 14
Project Type Storm Water For Period Ending 4/26/2016
Project Funding
Project Manager Weiss City Secretary Contract Number 45717
Inspectors Gregory / Miller Contract Date
Contractor MCCARTHY BUILDING COMPANIES, INC. Contract Time 182 CD
12001 N.CENTRAL EXPRESSWAY SUITE 400 Days Charged to Date 182 CD
DALLAS, TX 75243 Contract is —490000-- Complete
CITY OF FORT WORTH 'S
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
----------------------------------------
Total Cost of Work Completed $2,069,188.00
Less %Retained $0.00
TP AiW Const.SeIVIGeB Net Earned $2,069,188.00
t D. / Earned This Period $56,141.59
�nanag' er Retainage This Period $0.00
Riak Management Canad
D.O.E.6 BCOthe On Less Liquidated Damages
CFA Westerman/Scanned U0 o Days @ $0.00 /Day $0.00
The Proceeding people have been Confacted concerning the request for final LessPavement Deficiency $0.00
payment&have released this project for such payment. Less Penalty $0.00
Clearance Conducted By Shameka Kennedy Less Previous Payment $2,013,046.41
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $56,141.59
Tuesday,April 26,2016 Page 4 of 4
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name Hemphill Street Connector Project
Contract Limits Early Works Package 1 Off-Site Stormwater Facilities Constru
Project Type Storm Water
City Project Numbers 00141
DOE Number 6120
Estimate Number 14 Payment Number 14 For Period Ending 4/26/2016
CD
City Secretary Contract Number 45717 Contract Time 180D
Contract Date Days Charged to Date 182
Project Manager Weiss Contract is 100.00 Complete
Contractor MCCARTHY BUILDING COMPANIES, INC.
12001 N.CENTRAL EXPRESSWAY SUITE 400
DALLAS, TX 75243
Inspectors Gregory / Miller
Tuesday,April 26,2016 Page 1 of
City Project Numbers 00141 DOE Number 6120
Contract Name Hemphill Street Connector Project Estimate Number 14
Contract Limits Early Works Package 1 Off-Site Stormwater Facilities Constru Payment Number 14
Project Type Storm Water For Period Ending 4/26/2016
Project Funding
CMAR Contract Package 1
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 C203-541200 209230014183 1 EA 1,992,495.00 1,992,495.00 1 1,992,495.00
2 Change Order 1 C200-541200-209230014183 1 EA $26,424.00 $26,424.00 1 $26,424.00
3 ADDITIONAL COST ASSOC WITH IO EVAL. I LS $50,269.00 $50,269.00 1 $50,269.00
AND PROP COST EFFECTIVE ALT
Sub-Total of Previous Unit $2,069,188.00 $2,069,188.00
---------------------------------
Tuesday,April 26,2016 Page 2 of 4
City Project Numbers 00141 DOE Number 6120
Contract Name Hemphill Street Connector Project Estimate Number 14
Contract Limits Early Works Package I Off-Site Stormwater Facilities Constru Payment Number 14
Project Type Storm Water For Period Ending 4/26/2016
Project Funding
Contract Information Summary
Original Contract Amount $1,992,495.00
Chante Orders
Change Order Number 1 $26,424.00
Change Order Number 2 $50,269.00
Total Contract Price $2,069,188.00
Date "/ /�a�lo Total Cost of Work Completed $2,069,188.00
Acto Less %Retained $0.00
Net Earned $2,069,188.00
�` Date
InspectionV9&w41>
orEarned This Period $56,141.59
Retainage This Period $0.00
Date `S� Less Liquidated Damages
Project Manager
r 1 Days @ /Day $0.00
S Date S'Z�f'4 LessPavement Deficiency $0.00
irector/TPW-Infrastructure Design and Construction Less Penalty $0.00
Date Z6 (a Less Previous Payment $2,013,046.41
Direct /Contracting Dep artm t Plus Material on Hand Less 15% $0.00
Balance Due This Payment $56,141_59
Tuesday,April 26,2016 Page 3 of 4
CF Prompts
ACTUALS 39406 2060000 C00141 CRETAN $(52,654.13)
ACTUALS 39406 2060000 C00141 CRETAN $ 52,853.30
ACTUALS 39406 2060000 C00141 CRETAN $ (6,071.76)
$ (5,872.59)
7/NW1�r6■, BuySpeed Online
Oniin@
Accounts Payable Basic Purchasing Department Access
NIGP Code Browse I My Account I Customer Service I About Current Organization:CITY OF FORT WORTH July 5,2016 3:34:23 PM CDT P 3r A 0 w
Home Documents Brandy Crane
Invoice#: CS45717-EW#1-FINAL Vendor#:0000027678 Vendor Group#:01 Status:41R-Ready for Approval [
i
General items Subcontractors Accounts Routing Attachments Notes Reminder Change Order Summary Back to PO
i
General Validation Warnings
. You are going to final pay the following partiafly paid po items:[2).
Header Information
Invoice Number: CS45717-EW#1-FINAL Invoice Status: 41R-Ready for Invoice Type: 3 way
Approval matching
Invoice Description: CS45717-EW#1-FINAL Hemphill Street Extension from Lancaster Ave to Invoice Date: 04/2612016 Effect Date: 07/05/2016
Vickery Blvd
Payment Amount: $56,141.59 Handling Code: ACH(DIRECT Payment Date: 05/21/2016
DEPOSIT)
Payment Terms: Payment Term Day: o Payment 0.0%
Discount:
Paid-Bank/Check: Alternate Id:
Entered By: Brandy Crane Entered Date: 07/0512016
Updated By: Brandy Crane Updated Date: 07/05/2016
Received Date: 10/14/2015 03:32:00 PM
Attachments
Agency Files:
Agency Forms:
Vendor Files:
Vendor Forms:
Purchase Order Information
Purchase order PO-15-00086925 PO Description CS45717
Number:
PO Amount: $2,332,024.73 Remaining To $350,000.01 Buyer: Brandy
Invoice: Crane
PoVendor Information
Vendor: 0000027678-MCCARTHY BUILDING COMPANIES INC Address Grp: 01
Vendor Remit-to Kyle Masters
Address: MCCARTHY BUILDING COMPANIES INC
14131 MIDWAY RD STE 630
ADDISON,TX 75001 Fed ID: —6212 Remlt Text:
USA
Email:gbudde@mocarthy.com
Phone:(972)991-5500
Id:116132 (EFT Enabled)
Misc&Freight Invoice Account
Event Type Fiscal Year Account Code Transaction Amount
Misc 16 39406--2060000--C00141-CRETAN-- $5,872.59
Total: $5,872.59
Item Information
Invoice Item#!PO Item#:2 EW#1-$1,816,667.73-Hemphill Street Extension from Lancaster Ave to Vickery Blvd-Offske Slonnwater Facilities C203-541200-
209230014183 CS45717 M&C:C-27065 Date:102814 Original PO-14-84155
PO Permit Invoice Discount% Original Final
Item status To Pay Amount Pay Amount Pay
3PCR-Complete Receipt $0.01 $0.00 0.0% $0.00 Yes
MAKE:
ASSET MODEL-
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ODEL:ASSETMANUF:
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ASSET SERIAL:
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h"://bso.fortworthtexas.gov/bso(purchaseorderinvoicarinvoiceSum mary.sdo?vendorid=0000027678&docld=PO-15-00086925&releaseNtx=O&docType=l&mo.. 1/3
7/5J2016 BuySpeed Online
ASSET VIN:
ASSET TAG:
Event Type Fiscal Year Account Code Transaction Amount
Exp. 16 39408-0200431-5740010--C00141-CO2383-- $0.00
r
Enc. 16 39406-0200431-5740010—C00141-CO2383— $0.00
Invoice Item#/PO Item#'5 AmendNI-$57,164.00-Hemphill Street Extension from Lancaster Ave to Vld®ry Blvd 39403-0200431-5740010—C00141-CO2383--CS45717
MBC:C-27638 Date 030118
I
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Po permit Imrolea Discount% odow Fbtst
Item atetw To Pay Masud Pay Mood Pay
3PCR-Como"Recast $0.00 =0.00 0.0% $0.00 Yes
MAKE:
ASSET MODEL:
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ASSET MANUF:
ASSET SERIAL-
ASSETVIN:
— i
ASSET TAG:
I
Evert Type Fiscal Year Account Code Transaction Amount
Fes. 16 39403-0200431-5740010--C00141-CO2383-- $0.00
Enc 16 39403-0200431-5740010--C00141-CO2383— $0.00
Invoice Item WPO Item#:6 Amend#2-$355,000.00-Hemphill Street Extenslon from Lancaster Ave to VlcxwryBlvd 39403-0200431-5740010—C00141-002383—CW717 f
M&C:C-27636 Date 030116
i
Po Permit Imdce Oteamird% Wim Rrml i
Item ifabre To Pay Amman Pay Ammmt Pay
3Pa-Sano Slim $0.00 0.0% $0.60 ft
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MAKE:
ASSET—MODEL-
ASSET MANUF:
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ASSET_SERIAL:
ASSET VIN:
ASSET_TAG:
Event Type Fiscal Year Account Code Transaction Amount
Exp. 16 39403-0200431-5740010—C00141-CO2383-- $0.00
Enc. 16 39403-0200431-574001 0--000141-0O23113— $0.00
Invoice Item#/PO Item#:7 EW#1-C042-$50,269.00-Hemphill Street Extension from Lancaster Ave to Vickery Blvd-Offsite Stormwater Facilities 39406-0200431- j
5740010—C00141-CO2383-1C203-64120D-209230014183 CS45717
POPermit
Invoice Discount% 000=1 Finall
Ilam tlMtew To Pay Maotnd Pay Mrtorad Pay
3PCR-Cornplsls Recelpt iO.QO $50,20.00 0.0% $0.00 1 Yes
1
MAKE:
ASSET MODEL:
ASSET_MANUF: -
ASSET SERIAL:
ASSET VIN:
ASSET TAG:
t
Event Type Fiscal Year Account Code Transaction Amount
Exp. 16 39406-0200431-5740010.-C00141-CO2363-- $50,269.00
Enc. 16 39406-0200431-5740010--C00141-CO2383•- -$50,269.00
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Approval Path:
Delete Approver Order Approval Level Approver Date Date AppmodiDlsapprwsdlCanealed Comment 1 1
Sequence Path type Requested Approved0sapprovedlCaneeled by View
ID
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ItttpsJPosafoftortt mas.WvfmdpwchaseorderAnvdearinvoiceSummary.sdo?vendorld--0000027678&doclt=PO-15-00086925&releaseNbr=O&docTypu=l&ma.. 2/3
AFFIDAVIT
STATE OF
COUNTY OF T-A( QAw i
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Name, Title Of
Company, known to me to be a credible person, who being by me duly
sworn,upon his oath deposed and said;
That all persons, frets, 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;
Contract Description N EMpll JU- Sr4Ef c—jA)Ecrrotis r72di�-44E rMvQ�,,cME,�rs VMp a1
BY _! J _ n / J`�`� �IjAtblr MAVA414--
Name or Title
Subscribed and sworn before me on this date Day of Month, Year. --1gyp/
Maria L Esoobedo
Notary Public _ *� My Commission Expires
County, State og
,_,,�y 01118/2020
I,,,, H}>'f�UfY[lftdta LElIptiIt�
12001 N.Central ExpKy.#40C
a Dallas,TX 75243
-
CONSENT OF OWNER ❑ MAS 7 2066
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 82383491,106166692
PROJECT:
(name, address)Hemphill Street Connection
Victory Blvd.to Landcaster Ave. Fort Worth TX 76102
TO (Owner)
ARCHITECT'S PROJECT NO:
CITY OF FORT WORTH CONTRACT FOR:
1000 Throckmorton StreetHemphill Street-Connection from Victory Blvd.to Lancaster Avenue-
Fort Worth TX 76102 J City of Fort Worth CIP Project No.00141,DOE No.6120
CONTRACT DATE:
CONTRACTOR:MCCARTHY BUILDING COMPANIES, 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)
FEDERAL INSURANCE COMPANY TRAVELERS CASUALTY AND SURETY
15 Mountain View Road COMPANY
Warren,NJ 07059 One Tower Square
Hartford CT 06183 , SURETY COMPANY
on bond of (here insert name and address of Contractor)
MCCARTHY BUILDING COMPANIES,INC.
12001 N.Central Expressway,Suite 400
Dallas TX 75243 , 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 Ownerl
CITY OF FORT WORTH
1000 Throckmorton Street
Fort Worth TX 76102 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 4th day of March,2016
FEDERAL INSURANCE COMPANY
TRAVELERS CASUALTY AND SURETY COMPANY
Surety Company
Attest:Aaron D.Griffin
(Seal): Signature of Authorized Representative
Susan A.Welsh Attorney-in-Fact
1 Title
NOTE: This form is to be usQd a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
ACKNOWLEDGEMENT BY SURETY
STATE OF ILLINOIS
COUNTY OF WILL
On this 4"' day of March 2016, before me, Aaron D. Griffin, a Notary
Public, within and for said County and State, personally appeared Susan A.
Welsh to me personally known to be the Attorney-in-Fact of and for
Travelers Casualty and Surety Company and Federal Insurance Company
acknowledged that she executed the said instrument as the free act and deed
of said Company.
IN WITNESS WHEREOF, I have hereunto set my hand and affixed my
official seal, at my office in the aforesaid County, the day and year in this
certificate first above written.
1OFFICIAL SEAL
AARON 0 GRIFFIN
Notary Public in the State of Illinois NOTARY PLIBUC,STATE OF IWNOIS
County of Cook MY COMMISSION EXPIRES 11!02/2019
et WARNING:THIS POWER Or ATTORNEY IS INVA_tQ WITHUJT THc RED BORDER
POWER OF ATTORNEY
TRAVELERS/ J Farmington Casualty Company St.Paul Mercury Insurance Company
Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
St.Paul Guardian Insurance Company
Attorney-In Fact No. 229936 Certificate No. 006441857
KNOW ALL MEN BY THESE PRESENTS:That Farmington Casualty Company,St.Paul Fire and Marine Insurance Company,St.Paul Guardian Insurance
Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers Casualty and Surety Company of America,and United States
Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut,that Fidelity and Guaranty Insurance Company is a
corporation duly organized under the laws of the State of Iowa,and that Fidelity and Guaranty Insurance Underwriters,Inc.,is a corporation duly organized under the
laws of the State of Wisconsin(herein collectively called the"Companies"),and that the Companies do hereby make,constitute and appoint
Debra J.Doyle,Diane M.O'Leary,James B.McTaggart,Jennifer L.Jakaitis,Judith A.Lucky-Eftimov,Sandra M.Winsted,Sandra M.Nowak,
Susan A.Welsh,and Christina L Sandoval
of the City of Chicago ,State of lwnois their true and lawful Attomey(s)-in-Fact,
each in their separate capacity if more than one is named above,to sign,execute,seal and acknowledge any and all bonds,recognizances,conditional undertakings and
other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the fidelity of persons,guaranteeing the performance of
contracts and executing or guaranteeing bonds and undertakings required or
pe.®ktted.in any siphons or.proceedings allowed by law.
17th
IN WIT S ��� the have caused this instrument to be signed and their corporate seals to be hereto affixed,this
eptem eXiFj "'> om
day of
" garmington Casualty Company St.Paul Mercury Insurance Company
'Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company
Fidelity and Guaranty Insurance Underwriters,Inc. Travelers Casualty and Surety Company of America
St.Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company
',may St.Paul Guardian Insurance Company
G,.SU,��� „�y.,.p"O�, ,�F\R[6y C��N I'N`s•GN OpY,'r'N u eJ'1Y A,yGp y��,p�MW/)`p ,�FJ+'Y�
U Y �(� � Q�.^^„MNttt Z �� r jn„ I=jGO�����1�'�tf• a �IAfRfC1aQ •' 1 f�I11b� "^".w10
1982 0 � ` 1886
s t 1977 1951 Ji SEAL nn ': o coNN CONN. a n7
\SSRLia
State of Connecticut By:
City of Hartford ss. Robert L.Raney, enkor Vice President
17th September 2015
On this the day of before me personally appeared Robert L.Raney,who acknowledged himself to
be the Senior Vice President of Famvngton Casualty Company, Fidelity and Guaranty Insurance Company,Fidelity and Guaranty Insurance Underwriters,Inc.,St.Paul
Fire and Marine Insurance Company,St.Paul Guardian Insurance Company,St.Paul Mercury Insurance Company,Travelers Casualty and Surety Company,Travelers
Casualty and Surety Company of America,and United States Fidelity and Guaranty Company,and that he,as such,being authorized so to do,executed the foregoing
instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer.
ez
In Witness Whereof,I hereunto set my hand and official seal. V\W wA v
My Commission expires the 30th day of June,2016. MrieC.hlreault,Notary Public
58440-8-12 Printed in U.S.A.
WARNING-THS ixOhWER OF AT-rQRNEY IS INVALID WITPOUT THE RED K)FI JER
. 4
Chubb POWER Federal Insurance Company Attn: surety uepartment
OF Vigilant Insurance Company 15 Mountain View Road
Surety ATTORNEY Pacific Indemnity Company Warren,NJ 07059
taFawlua
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE
COMPANY,a New York corporation,and PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,do each hereby constitute and
appoint Marcia K.Cesafsky,Debra J. Doyle, Derek J. Elston,Jennifer L.Jakaitis,Judi Lucky-Eftimov,James S.McTaggart,
Linda M. Napolillo,Sandra M.Nowak, Diane M. O'Leary, Christina L.Sandoval, Christopher P.Troha, Susan A.Welsh and
Sandra M.Winsted of Chicago,Illinois
each as their true and lawful Attorney-in-Fact to execute under such designation In their names and to affix their c>arWWe seals to and deliver for and on their behalf as surety
thereon or otherwise,bonds and undertakings and other writings obligatory in the nature thereof(other than bail bonds)given or executed in the course of business,and any
instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in sold bonds or obligations.
M VYrtness whereof,said FEDERAL INSURANCE COMP&NY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and site d
these presents and affixed their corporate seals on this 25 day of September,2015.
loe
Dawn M.Chloros,Assistant Secretary .Norris,Jr.,Vice Presid
,�,,a�� �— dry"'. ds"n�,�� • �_
r' ghbwW v
STATE OF NEW JERSEY
' ss.
County of Somerset
On this 25th day of September, 2015 before me,a Notary Public of New Jersey,personally came Dawn M.Chloras,to me known to be Assistant Secretary of
FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY,the companies which executed the foregoing Power of
Attorney,and the Slid Dawn M.Chloros,being by me duty swum,did depose and say that she is Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT
INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY and knows the corporate seals thereof,that the seals afnxed to the foregoing Power of Attorney are such
corporate seats and were thereto affixed by authority of the By.Laws of said Companies;and that sheslgned-sold Power of Attorney as Assistant Secretary of said Companies
by like authority,and that she is acquainted with David B.Norris,Jr.,and knows him to be Vice President of said Companies,and that the signature of David B.Noris,Jr.,
subscribed to said Power of Attamey Is in the genuine handwriting of David B.Norris,Jr.,and was thereto subscribed by authority of Bald By.Laws and in deponent's presence.
Notarial Seal
k\N J.'f KATHERINE J.ADELAAR
QY� �r NOTARY PUBLIC OF NEW JERSEY
Y No.2316665
Commission Expires July le,2019 Notary Public
ypv$L1C
r ERg CERTIFICATION
Extract from-the By,Laws of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY-
'Except as otherwise provided In these By-Laws or by law or as otherwise directed by the Board of Directors,the President or any Vice President shall be authorized to
execute and deliver,in the name and on behalf of the Corporation,all agreements,bonds,contracts,deeds,mortgages,and other Instruments,either for the Corporation's
own account or in a fiduciary or other capacity,and the seal of the Corporation,If appropriate,shall be affixed thereto by any of such ollicers or the,Secretery or an Assistant
Secretary. The Board of Directors,the President or any Vice President designated by the Board of Dfredors may authorize any other officer,employee or agent to execute
and delver,In the name and on behalf of the Corporation,agreements,bonds, contracts,deeds,mortgages,and other Instruments,either for the Corporatlon's own
account or in a fiduciary or other capacity,and,If appropriate,to affix the seal of the Corporation thereto. The grant of such authority by the Board or any such officer may
be general or confined to specific instances'
1,Dawn M.Chloros,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY(the TAmpantes'
do hereby certify that
n the foregoing extract of the By-Laws of the Companies is true and cortec�
9 the Companies are duty licensed and authorized td transact surely business in all 50 of the United States of America and the Distdl of Columbia and are
authorized by the U.S,Treasury Department;further,Federal and Vigilant are licensed in the U.S.�irgtn Islands,and Federal Is jbsAsed ki Guam,Puerto
Rico,and each ofthe Provinces of Canada except Prince Edward Island;and
(iI) the foregoing Power of Attorney is true,correct and in full force and effect
Given under my hand and seals of said Companies at Warren,NJ this
o
Dawn M.Chkims,Assistant Secretary
W TFIE fV@RiT YOU WISH To NOTIFY us of A cum vimiFY THE AumENncITY OF THIS BOND OR NOTIFY US OF ANY OTHER MATTER,PLEASE CONTACT US AT AIMMESS
LISTED ABOVE OR BY TAM 8 903-303 Fax 903-36M etneik VX010wiumcm
Form 1510-02255-U GEN CONSENT(rev.07-15)
IMPORTANT NOTICE
To obtain information or make a complaint:
You may call Travelers Casualty and Surety Company of America and its affiliates'toll-
free telephone number for information or to make a complaint at:
1-800-328-2189
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: Consume rProtectiono_tdi.state.b(.us
PREMIUM OR CLAIM DISPUTES:
Should you have a dispute concerning your premium or about a claim you should
contact your Agent or Travelers first. If the dispute is not resolved, you may contact the
Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR BOND:
This notice is for information only and does not become a part or condition of the
attached document and is given to comply with Texas legal and regulatory requirements.
(PN-042-B) Ed.10.18.07
Policyholder Information Notice
IMPORTANT NOTICE AVISO IMPORTANTE
To obtain information or make a complaint: Para obtener informacion o para someter una
quej a:
You may call Chubb's toll-free telephone number Usted puede llamar al numero de telefono gratis
for information or to make a complaint at de Chubb's para informacion o para someter una
queja al
1-800-36-CHUBB 1-800-36-CHUBB
You may contact the Texas Department of Puede comunicarse con el Departamento de
Insurance to obtain information on companies, Seguros de Texas para obtener informacion acerca
coverages, rights or complaints at de companfas, coberturas, derechos o quejas al
1-800-252-3439 1-800-252-3439
You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros de
Texas
P.O. Box 149104 P.O. Box 149104
Austin, TX 78714-9104 Austin, TX 78714-9104
FAX # (512) 475-1771 FAX # (512) 475-1771
Web: http://www.tdi.state.tx.us Web: http://www.tdi.state.tx.us
E-mail: ConsumerProtection@tdi.state.tx.us E-mail: ConsumerProtection@tdi.state.tx.us
PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS:
Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un
or about a claim you should contact the agent first. reclamo, debe comunicarse con el agente primero.
If the dispute is not resolved, you may contact the Si no se resueve la disputa, puede entonces
Texas Department of Insurance. comunicarse con el departamento (TDI).
ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA:
This notice is for information only and does not Este aviso es solo para proposito de informacion y
become a part or condition of the attached no se convierte en parte o condic16n del documento
document. adjunto.
Form 99-10-0299(Rev.1-08)
i
FORTWORTHRE":02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
McCarthyBuilding Companies GMP1 Hemphill St.Connection Drainage Improvements
DOE Inspector DOE Number
Thomas Miller 6120 Pro'.#00141
DOE Inspector Project Manager
❑ Water[:] Waste Water❑✓ Storm DrainagED Pavement Michael Weiss
Initial ContractAmount Project Difficulty
$1,992,495.00 Q Simple Qe Routine Q Complex
Final Contract Amount Date
$2,069,188.00
H)PERFORMANCE EVALUATION
0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPLICABLE(Y/N) 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 3 20 15
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 1 3 1 20 1 15
11 Property Restoration 5 Y 4 20 20
12 After Hours Response 5 Y 3 20 15
13 Project Completion 5 Y 3 20 15
TOTAL ELEMENT SCORE(A) 413
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 413
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating([TS/MS]*1009/6) 413 / 448 = 92%
Performance Category Excellent
<20%=Inadequate 20%to<40%=Deficient 40546 to<60%=Standard 60%to<80%=Good >_80%=Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature DOE Inspector 0�1
1
7 S' u Contractor
Signature DOE Inspector's Supervisor
CONTRACTOR'S COMMENTS
_ TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941•Fax:(817)392-7845
i
i
1 ,
FoRTWORTHREV:02/22/07
NNWMSVIIIF��
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date: 3/4/2016
Name of Cowr'aclor ProjeG Nanre
McCarthy Building Companies,Inc. Hemphill Street-Lancaster Ave.to Vikery Blvd.
DOEGrspeclor Project Manager
Thomas Miller Michael Weiss,PE
DOE Nrunber Project Diiculfy Type of Comracr
6120 Q Slmple QQ Routine Q Complex ❑Water ❑Waste Water R Storm Drainage - avemen --- — - - ---
hil ial Conlracl Arnouni Final COnh'ac1 Amoulil
$1,992,495.00 $2,069,188.00
In PERFORMANCE EVALUATION
0-Inadequate 1 -Deficient 2-Standard 3-Good 4-Excellent
ELEMENT RAPING ELEMENT RATING
(0-4) (0-4)
INSPECTION EVALUATION PLANS&SPECIFICATIONS
1 Availability of Ins ector 4 1 Accuracy of Plans to Existing Conditions 4
2 Knowledge of Inspector 3 2 Clarity&Sufficiency of Details 4
3 Accuracy of Measured Quantities 4 3 Applicability of Specifications 4
4 Display Of Professionalism 4 4 Accuracy of Plan Quantities 4
5 Citizen Complaint Resolution 4 PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs_4 1 Knowledge And/Or Problem Resolution 3
ADMINISTRATION 2 Availability of Project Manager 3
1 Change Order Processing Time 2 3 Communication 3
2 Timliness of Contractor Payrnents 2 4 Resolution ofUtility Conflicts 13
3 Bid Opening to Pre-Con Meeting Timefi•ame 4
111)COMMENTS&SIGNATURES
COMMENTS
i
Signature Contractor
Signature DOE Inspector f
Signature DOE Inspector's Sup or
INSPECTOR'S COMMENTS
TRANSPOR'T'ATION AND PUBLIC WORKS
the City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845
� t
FORTWORTH rev 03/05/07
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:14
NAME OF PROJECT: Hemphill Dtreet Connector Early Works Package 1 Off-site Stormwater Facilities
PROJECT NO.: 00141 CONTRACTOR: McCarthy Building Compani.
DOE NO.: 6120
PERIOD FROM 11/24/14 TO: 10/14/15 FINAL INSPECTION DATE: 14-Oct-15
WORK ORDER EFFECTIVE:11/24/2014 CONTRACT TIME: 182 0 W[Q CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH DING CREDITED MONTH DURING CREDITED
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 DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS
THIS
PERIOD
PREVIOUS
PERIOD
TOTALS
TO DATE 182 182
*REMARKS:
z
CO RACTO DATE PECTOR DATE
ENGINEERIN EPARTMENT
a° The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311.
(817)392-7941 •Fax:(81.7)392-7845
� r
650 WEST VICKERY BLVD FORT WORTH,TEXAS 76104 (817)369-5875 www.mccarthy.com
April 15 2015
City of Fort Worth
1000 Throckmorton
Fort Worth,Texas 76102
Attn: Mike Weiss
Re: Weather Days Request-2/16/15 through 3/31/15
Hemphill Street Underpass
Project#00141, DOE 6120
Mr. Weiss,
Above average inclement weather between February 16,2015 and March 31,2015 has caused
significant delays to the project. Heavy snow and rain during the months of February and March
prevented McCarthy Building Companies(McCarthy)and our subcontractor North Texas Contracting
(NTC)from advancing the critical path of the project.
Due to these significant delays, McCarthy is requesting that twenty one (21) non-compensable calendar
days be added to the project end date to accommodate these weather delays.
Please find attached McCarthy's log of weather days to substantiate our request for twenty one(21)
non-compensable calendar days. The attached log contains a breakdown of the days being requested,
as well as a short explanation of the activity on site during those days.
Please let me know if you have any questions.
Sincerely,
John Frazier
Senior Project Manager
McCarthy Building Companies, Inc.
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LOST WORKDAYS FOR FORT WORTH=HE"",PHILL STREET
DATE WORK REASON
YE5 NO
16-Feb X RAIN EVENT(0.31")
17-Feb X
1.8-Feb X
19-Feb X
20-Feb X
21-Feb X
22-Feb X RAIN EVENT(1.02")
23-Feb X SNOW/ICE
24-Feb X SNOW/ICE
25-Feb X RAIN EVENT(0.64")
26-Feb X
27-Feb X SNOW EVENT(2.5")
28-Feb X RAIN EVENT(0.08")
1-Mar X RAIN EVENT(0.02")
2-Mar X RAIN EVENT(0.04")
3-Mar X RAIN EVENT(0.01")
4-Mar X RAIN EVENT(0.29")
5-Mar X RAIN EVENT(0.01"),SNOW EVENT(1.2")
6-Mar X TOO WET
7-Mar X TOO WET
8-Mar X RAIN EVENT(0.19")
9-Mar X RAIN EVENT(0.35")
10-Mar X TOO WET
11-Mar X
12-Mar X
13-Mar, X
14-Mar X City stopped work until work plan could be
coordinated with safety plan
15-Mar X
16-Mar X
17-Mar X
18-Mar X '
I
19-Mar X i
20-Mar X RAIN EVENT(0.11")
I
21-Mar X RAIN EVENT(0.04")
22-Mar X RAIN EVENT(0.22") j
23-Mar X
24-Mar X
25-Mar X
26-Mar X
27-Mar X
I �
650 WEST VICKERY BLVD FORT WORTH,TEXAS 76104 (817)369-5875 www.mccarthy.com
May 27,2015
City of Fort Worth
1000 Throckmorton
Fort Worth,Texas 76102
Attn: Mike Weiss
Re: Weather Days Request-4/1/15 through 5/27/15
Hemphill Street Underpass
Project#00141, DOE 6120
Mr.Weiss,
Above average inclement weather between April 1,2015 and May 27, 2015 has caused significant delays
to the project. Heavy rain(16.5 inches in total)during the months of April and May has prevented
McCarthy Building Companies(McCarthy)and our subcontractor North Texas Contracting(NTC)from
advancing the critical path of the project.
Due to these significant delays, McCarthy is requesting that twenty-four(24) non-compensable calendar
days be added to the project end date to accommodate these weather delays.
Please find attached McCarthy's log of weather days to substantiate our request for twenty-four(24)
non-compensable calendar days. The attached log contains a breakdown of the days being requested,
as well as a short explanation of the activity on site during those days.
Please let me know if you have any questions.
Sincerely, a1L___—
David
Wallace
Project Manager
McCarthy Building Companies, Inc.
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LOST WORK DAYS FOR FORT WORTH-HEMPHILL STREET
DATE WORK REASO":
YES NO
1-Apr X
2-Apr X
3-Apr X
4-Apr X
5-Apr X
6-Apr X TOO WET
7-Apr X
8-Apr X
9-Apr X RAIN EVENT(0.27")
10-Apr X
11-Apr X
12-Apr X
13-Apr X RAIN EVENT(2.06")
14-Apr X T00 WET
15-Apr X TOO WET
16-Apr X
17-Apr X RAIN EVENT(0.79")
18-Apr X RAIN EVENT(0.45")
19-Apr X
20-Apr X
21-Apr X
22-Apr X
23-Apr X RAIN EVENT(0.3")
24-Apr X RAIN EVENT(1.0")
25-Apr X TOO WET
26-Apr X
27-Apr X
28-Apr X T00 WET
29-Apr X
30-Apr X
1-May X
2-May X WEEKEND
3-May X WEEKEND
4-May X
5-May X
6-May X RAIN EVENT(0.55")
7-May X
8-May X TOO WET
9-May X
10-May X
11-May X PUMPING ONLY
12-May X PUMPING ONLY
13-May X RAIN EVENT(0.89")
14-May X TOO WET
15-May X T00 WET
16-May X RAIN EVENT(0.44")
17-May X
18-May X
19-May X
20-May X
21-May X RAIN EVENT(1.28")
22-May X RAIN EVENT(0.16")
23-May X RAIN EVENT(0.3")
24-May X
25-May X
26-May X RAIN EVENT(0.59")
127-May I X ITOO WET
TOTAL DAYS LOST 24
i
I
i
i
650 WEST VICKERY BLVD FORT WORTH,TEXAS 76104 (811)369-5875 www.mccarlhy.com
iFebruary 4,2016
i
City of Fort Worth
Transportation and Public Works
1000 Throckmorton Street
Fort Worth,Texas 76102 f
Attn:Mr.Michael Weiss-PE
Re: Additional Construction Phase Service Costs
Hemphill Street Underpass
Project g 00141, DOE 6120
Dear Mr.Weiss,
Please find attached a breakdown of the costs associated with the additional construction phase
services support that was supplied to the City in preparation for GMP2.
i
McCarthy Building Companies(McCarthy)as your Construction Manager at Risk(CMAR)developed an
interim construction package in February of 2015. McCarthy submitted a price for GMP2 which was
accepted by the City. After acceptance of the pricing for"GMP2 Walls and Excavation"work packages,
i
McCarthy started preparing for the start of GMP2 by hiring the additional construction staff required to
fulfill our obligations to the City for staffing requirements as detailed within our GMP2. After hiring a
Construction Manager and a Site Safety Professional,the City elected to cancel the work,and wait until
other agreements with various entities were in place to allow construction of the entire project to
commence.
As the costs for these individuals were not included in our GMP1 contract scopeof work, but were ?
brought on at your direction to be in place and ready to start GMP2,we are requesting that a change
order to our contract in the amount of$50,269.00 be executed to reimburse the costs to the CMAR for
these Individuals while they were on site, Please see the attached breakdown which mirrors the detail
we previously discussed.
i
Please do not hesitate to call me with any questions or concerns.
Sincerely,
(I I
I
John Flazier
Senior Project Manager
McCarthy Building Companies,Inc.
I
CC: Martin Phillips—Engineering Manager,City of Fort Worth
Enc: Additional Construction Phase Services Detail
I
f I
jj
CERTIFICATE OF INTERESTED PARTIES
FORM 1295 )
1011
Complete Nos.i-4 and B if there are Interested parties. OFFICE USE ONLY
Complete Nos.1.2,3,5,and 6 It there are no Interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2016-9425
McCarthy Building Companies,Inc
Dallas,TX United States Date Filed:
2 Name of governmental entityar state agency that la a party tot the contract for whIcht to orm s 02/04/2016
being filed.
City of Fort Worth,Texas Date Acknowledged:
3 Provide the Idehtlfleation number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the goods or services to be provided under the contract
Project 00141/DOE 6120
Additional Construction Phase Services
i !
4 Nature of Interest(check applicable) I`
Natne of interested Party City,State,Country(place of business) Controlling intermediary
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6 check only if there is No Interested Party.
a
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G AFFIDAVIT I swear,or afilnn,under penalty of perhry,that the above disclosure Is true and correct.
A^ Mads L Eacobedo
My Cemmlatoa 00s
0f/1A/2020 �-
I nature of ortzed agent of conkact)ng business entity
AFFIX NOTARY STAMP/SEAL ABOVE
Swam to and subscribed before me,by the sold Jk4n .dais ota,_ 4/97 -day of 09AW,0J
20„LJ.e_,to aetdfywhich,wimess my hand and seal of office. l
Waia� &-degg'j lana . .5�-MIV ?2t
ignaturc of officer administering oath Printed name of officer administering oath Title of officer ad nfsterinu oath
Forms provided by Texas Ethics Commission WWW.ethics.state.tx.us Verslon V1.0.34944
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650 WEST VICKERY BLVD FORT WORTH,TEXAS 76104 (817)369-5875 www.mccarthy.com
May 9,2016
City of Fort Worth
1000 Throckmorton
Fort Worth,Texas 76102
Attn: Mike Weiss
Re: Relief of Liquidated Damages GMP1
Hemphill Street Underpass
Project#00141, DOE 6120
Mr.Weiss,
McCarthy Building Companies(McCarthy)and our subcontractor North Texas Contracting(NTC)are
requesting relief from six(6) days of liquidated damages. As discussed,the pipeline work under contract
was installed forfuture tie in to the drainage system forthe Hemphill Street Underpass. Due to the
delay of this follow on work, the pipeline is a non-functioning system,and thus the late completion of its
construction does not impact the City of Fort Worth. Please provide confirmation that these days will be
waived,and no liquidated damages will be assessed for the completion of the GMP1 contracted work.
Please let me know if you have any questions.
Sincerely,
o
David Wallace
Project Manager
McCarthy Building Companies, Inc.
�1
Miller, Thomas W.
From: Weiss, Michael
Sent: Tuesday, May 10, 2016 8:11 AM
To: Miller, Thomas W.
Subject: FW: Relief of Liquidated Damages GMPl - 00141
Attachments: 2016.05.09 Relief of Liquidated Damages.pdf
Tom,
Please remove the LDs from the Green Sheet.
Thanks,
Mike Weiss, P.E.
Senior Professional Engineer
City of Fort Worth Transportation and Public Works Department
Infrastructure Design and Construction
1000 Throckmorton Street
Fort Worth,TX 76102
(817)392-8485 Office phone
(817) 584-6441 Cell phone
Michael.W ei ss@fortworthtexas.gov
How am I doing?
Please feel free to contact my supervisor: Martin.Phillips@fortworthtexas.gov
City of Fort Worth— Working together to build a strong community.
FORT WORM
From: Wallace, David fmailto:DRWallace@mccarthy.com]
Sent: Monday, May 09, 2016 5:44 PM
To: Weiss, Michael
Cc: Frazier, John; Miller,Thomas W.
Subject: Relief of Liquidated Damages GMP1
Mike,
Please see attached letter requesting relief of the liquidated damages as discussed this afternoon on the phone.
Thanks,
David Wallace, P.E.
Project Manager
McCarthy Building Companies, Inc
4500 Wilma Ln
1