HomeMy WebLinkAboutContract 46288-FP4 Department of TPW Const.Services V �IrCT�
DOF#�-0 Date / r i'
Project Manager L '' QCT A10. —':?4
Risk Management S.Canady .� RTWORTH
D.O.E.� nuat�.�I>tre4herte�
CFA Westerman/Scanned ❑
The Proceeding people have been Contacted concerning the request TATION AND PUBLIC WORKS
for final payment&have released this project for such payment. OF PROJECT COMPLETION
Clearance Conducted By Etta Bacy ��� lzll)D D.O.E.Ns: 7190
e o2z3y
Regarding contract 117190 for RIVERSIDE PLACE-DRAINAGE as required by the as-0114 Zig
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on N/A through
M&C N/A the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the
recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project
as complete.
Original Contract Prices: $155,517.50
Amount of Approved Change Orders: Ns 1
Revised Contract Amount: $155,517.50
Total Cost Work Completed: $155,517.50 ,o
Less Deductions:
Liquidated Damages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $155,517.50
Less Previous Payments:
Final Payment Due $155,517.50
r��_•��-Z
Recommended eptance Date
Asst. Director, TPW - Infrastructure Design and Construction
Accept Date
Director,
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
Asst. City Manager IV
Date
Comments:
ZMAZZED OFFICIAL RECORD,
C
JUL 1 2016 CITY 6SECRETARY
�:T'. WORTH, TX r
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name RIVERSIDE PLACE
Contract Limits
Project Type DRAINAGE
City Project Numbers 02234
DOE Number 7190
Estimate Number I Payment Number I For Period Ending 6/30/2016
CD
City Secretary Contract Number 117190 Contract Time 4ED
Contract Date Days Charged to Date 513
Project Manager Ehia Contract is 100.00 Complete
Contractor KART CONSTRUCTION&EQUIPMENT
P O BOX 1522
HURST, TX 76053
Inspectors LAYER / BLEVINS
Friday,June 24,2016 Page I of 4
4,/ `
City Project Numbers 02234 DOE Number 7190
Contract Name RIVERSIDE PLACE Estimate Number 1
Contract Limits Payment Number I
Project Type DRAINAGE For Period Ending 6/30/2016
Project Funding
DRAINAGE
Item Description of Items Estimated Uuit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
l 36"RCP CLASS 11 47 LF `$57.00 $2,679.00 47 $2,679.00
2 33"RCP CLASS II 601 LF $50.00 $30,050.00 601 $30,050.00
3 30"RCP CLASS 11 19 LF $43.00 $817.00 19 $817.00
4 27"RCP CLASS 11 360 LF $38.00 $13,680.00 360 $13,680.00
5 24"RCP CLASS 11 938 LF $33.00 $30,954.00 938 $30,954.00
6 21"RCP CLASS II 214 LF $30.00 $6,420.00 214 $6,420.00
7 10'CURB INLET 4 EA $4,374.00 $17,496.00 4 $17,496.00
8 15'CURB INLET 6 EA $5,157.00 $30,942.00 6 $30,942.00
9 36"FLARED HEADWALL. I PIPE 2 EA $4,606.00 $9,212.00 2 $9,212.00
10 LARGE STONE RIPRAP DRY 85 SY $92.00 $7,820.00 85 $7,820.00
11 TRENCH SAFETY 2179 LF $2.50 $5,447.50 2179 $5,447.50
Sub-Total of Previous Unit $155,517.50 $155,517.50
Friday,June 24,2016 Page 2 of 4
City Project Numbers 02234 DOE Number 7190
Contract Name RIVERSIDE PLACE Estimate Number I
Contract Limits Payment Number I
Project Type DRAINAGE For Period Ending 6(30/2016
Project Funding
Contract Information Summary
Original Contract Amount $155,517.50
Chanize Orders
Total Contract Price $155,517.50
Date Gi Total Cost of Work Completed $155,517.50
ntra Less %Retained $0.00
mss— Net Earned $155,517.50
D to
Inspection upe Earned This Period $155,517.50
Sd � "`✓
b Retainage This Period S0.00
Date 7—�j Less Liquidated Damages
Project lager
A-241C Days Qa /Day 50.00
Date ! /L LessPavement Deficiency 50.00
Ass. it PW-Infraswcture Design and Construction Less Penalty $0.00
Date Less Previous Payment $0.00
Direc r Contracting Departme Plus Material on Hand Less 15% $0.00
Balance Due This Payment 5155,517.50
Friday,June 24,2016 Page 3 of 4
City Project Numbers 02234 DOE Number 7190
Contract Name RIVERSIDE PLACE Estimate Number 1
Contract Limits Payment Number I
Project Type DRAINAGE For Period Ending 6/30/2016
Project Funding
Project Manager Ehia City Secretary Contract Number 117190
Inspectors LAYER / BLEVINS Contract Date
Contractor KART CONSTRUCTION&EQUIPMENT Contract Time 45 CD
P O BOX 1522 Days Charged to Date 513 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 $155,517.50
Less %Retained $0.00 ,
Net Earned $155,517.50
Earned This Period $155,517.50
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 t
Balance Due This Payment $155,517.50
Friday,June 24,2016 Page 4 of 4
i
i
CTMGT VALLEY MIDGE II, LLC,
1800 Valley View Lpne, Suite 300
Farmers Branchl` TX 75234
Office:469-892-7200
Fax:469-89L-7201
i
June 22th, 2016;
VIA EMAIL DELIVERY
City of Fort Worth
Attn: David Rolls
8851 Camp Bowie West
Fort Worth,Texas 76116
I
Re: Riverside Place (City Project#02411:1 DOE#7358)
Please accept this letter as our formal)acknowledgement to the City of Fort
Worth that CTMGT Valley Ridge Il, LLC will nod purst,e liquidated damages against Kart
Construction and Equipment Co., Inc our Exca*ation & Utilities Contractor for Riverside
Place.
If you need any further information in retards to this matter feel free to contact
me.
Regards,
1 [.
Chris Hodgson
Project Manager
Centurion American
(972) 824-6334
I
JCAR
T
CONSTRUCTION & EQUIPMENT CO., INC.
AFFIDAVIT OF BILLS PAID
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 JERRY MORGAN, PRESIDENT Of
KART CONSTRUCTION &EQUIPMENT CO., 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 there are no claims pending for personal injury and/or property damages; on
Contract described as; RIVERSIDE PLACE UTILITY IMPROVEMENTS.
B-�qk
JE MOR , PRESIDENT
Subscribed and sworn before me on this date 27TH of MAY, 2016.
rotary Public
TARRANT COUNTY, TEXAS
�t�Warrue� Clay Drewry
Notary Public
�oFpS State of Texas
My Comm.Exp. 3-26-19
1 24 S. PJORWOOD DRIVE P.O. Box 1522 HURST, TX 76053
OFFICE 817.282.8000 FAx 817.282.8005
CONSENT OF SURETY OWNER ❑
TO FINAL PAYMENT ARCH1TECT D
AIA Document G707 CONTRACTOR ❑
SURETY ❑
Bond No. 4395729 OTHER 0
TO OWNER ARCHITECT'S PROJECT NO.: N/A
(Na,ne antad&m'l
CTMGT Valley Ridge II, LLC& City of Fort Worth
1221 N. IH 35E, Ste. 200 CONTRACT FOR:General Construction
Carrollton,TX 75006
PROJECT: CONTRACT DATED.June 6, 2014
(Na,ne and adihrK,j
Water, Sanitary Sewer and Storm Drain Improvements to serve Riverside Place
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(Inswt nanrand addne<rofSm"o
SureTec Insurance Company
1330 Post Oak Boulevard, Suite 1100
Houston,TX 77056
SURETY,
on bond of
(latw,r none and adduct q fConlravar)
Kart Construction and Equipment Co„ Inc.
124 South Norwood Drive
Hurst,TX 76053
CONTRACTOR,
hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of
any of its obligations to
(Guar nameand addrece grCtrwery
CTMGT Valley Ridge II, LLC&City of Fort Worth
1221 N. IH 35E, Ste. 200
Carrollton,TX 75006
OWNER,
as set forth in said Surety's board.
IN WITNESS WHSRTOF,the Surety has hereunto set its hand cm this date: May 26, 2016
(Gnarl in uvYffirgtbe mantb jolrvu ed bv iL,emoneric dareand)varl
SureTec Insurance Company
(s,arry')
By: C (� ►—V '
(�q,r rc ofantba ,rp,rmentati,rrJ
LFe�
Jacqueline Kirk Attorney-in-Fact
race R44r,Witness (P,Y,ued,ran,emrclrklr}
G707--1994
POA a: 4221328
SureTee Insurance Company_ -
LBUTED POWER OF ATTORNEY
Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
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 Stiffs,Mark R.DeWitt,Cindy Fowler,Jacqueline Kirk
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($4,000,000.00)
and to bind the Company thereby as 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 12/31/2016 and is made under and by authority of the following
resolutions of the Board of Directors of the SureTec Insurance Company:
Be it Resolved that the President,any Vice-President,any 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 Attomey(s)-in-Fact to represent and act.for and on
behalf of the Company subject to the following provisions:
Attorney-in-Fact 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,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attomey-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be It Resolved that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to.any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaldng to which it is attached. (Adopted at a meeting held on 206 of April,
1999:)
In Witness Whereof,SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seal
to be hereto affixed this 21st day of March,A.D.2013.
SVRANCF SURETEC INSURANCE COMPANY
\fir�,«-••«..t�+� -
0/ X .1 O 3_ By:
w 1 m }vt John 0z Jr, resident
State of Texas ss: �`,` 6;
County of Harris -
On this 21st day of March,A.D.2013 before me personally came John Knox Jr.,to me known,who,being by me duly sworn,did depose and say,that he
resides in Houston, Texas,that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above
instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
�uM JACQUELYN MALDONADO
Notary Public
State of Texas
o, My comm.Exp.5118/2017 Jacq elyn Maldonado,Notary Public
My commission expires May 18,2017
I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney,executed by said Cpmpany,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect.
Given under my hand and the seal of said Company at Houston, Texas this o�eLV day of 0 (V A.D.
lb�/�y
Bre t Beaty,Assistant ecretary
Any instrument Issued in excess of the penalty stated above Is totally void and without any validity.
For verification of the authority of this power you may call(713)812.0800 any business day between 8:00 am and 5:00 pm CST.
0062 19-1
MAINTENANCE BOND
Page 1 of 3
1 SECTION 00 62 19
2 MAINTENANCE BOND Bond No.4395729
3
4 THE STATE OF TEXAS §
5 § KNOW ALL BY THESE PRESENTS:
6 COUNTY OF TARRANT §
7
8 That we Kart Construction& Equipment Co., Inc. , known as
9 "Principal"herein and SureTec Insurance Company ,a corporate surety
10 (sureties, if more than one)duly authorized to do business in the State of Texas, known as
I I "Surety"herein(whether one or more),are held and firmly bound unto the Developer,CTMGT Valley
12 Ridge II, LLC authorized to do business in Texas("Developer")and the City of Fort
13 Worth,a Texas municipal corporation("City"), in the sum
14 o fSix Hundred Ten Thousand Two Hundred Thirty Eight and 50110(lDpllars($610,238.50 ),
15 lawful money of the United States,to be paid in Fort Worth,Tarrant County,Texas,for payment
16 of which sum well and truly be made jointly unto the Developer and the City as dual obligees and
17 their successors,we bind ourselves, our heirs, executors.administrators,successors and assigns,
18 jointly and severally,firmly by these presents.
19
20 WHEREAS, Developer and City have entered into an Agreement for the construction of
21 community facilities in the City of Fort Worth by and through a Community Facilities
22 Agreement, CFA Number 2014-039 -;and
23 WHEREAS,the Principal has entered into a certain written contract with the Developer
24 awarded the6th day of June , )p 14 , which Contract is
25 hereby referred to and a made part hereof for all purposes as if fully set forth herein,to furnish all
26 materials,equipment labor and other accessories as defined by law, in the prosecution of the
27 Work, including any Work resulting from a duly authorized Change Order(collectively herein,
28 the"Work")as provided for in said Contract and designated as Water,Sanitary Sewer and Storm Drain
29 Improvements to serve Riverside Place
30 WHEREAS, Principal binds itself to use such materials and to so construct the Work in
31 accordance with the plans,specifications and Contract Documents that the Work is and will
32 remain free from defects in materials or workmanship for and during the period of two(2)years
33 after the date of Final Acceptance of the Work by the City("Maintenance Period");and
34
CITY OF FOR I'WORM I[nserr Project:dame/
STANDARD CITY CONDITIONS-DEVELOPER AWARDED PROJECTS (Insert Project Nurmher]
Revised January 31,2012
006219-2
MAINTENANCE BOND
Page 2 of 3
I WHEREAS,Principal binds itself to repair or reconstruct the Work in whole or in part
2 upon receiving notice from the Developer and/or City of the need thereof at any time within the
3 Maintenance Period.
4
5 NOW THEREFORE,the condition of this obligation is such that if Principal shall
6 remedy any defective Work,for which timely notice was provided by Developer or City,to a
7 completion satisfactory to the City,then this obligation shall become null and void;otherwise to
8 remain in full force and effect.
9
10 PROVIDED,HOWEVER, if Principal shall fail so to repair or reconstruct any timely
I 1 noticed defective Work, it is agreed that the Developer or City may cause any and all such
12 defective Work to be repaired and/or reconstructed with all associated costs thereof being borne
13 by the Principal and the Surety under this Maintenance Bond;and
14
15 PROVIDED FURTHER,that if any legal action be filed on this Bond,venue shall lie in
16 Tarrant County,Texas or the United States District Court for the Northern District of Texas, Fort
17 Worth Division;and
18
19 PROVIDED FURTHER,that this obligation shall be continuous in nature and
20 successive recoveries may be had hereon for successive breaches.
21
22
23
CITY OF FORT WORTH [Insert Project Name/
STANDARD CITY CONDI'T'IONS -DEVELOPER AWARDED PROJECI'S ffinert Project Number]
Revised January 31;2012
0062 19-3
MAINfENANCf.BOND
Page 3 of 3
1 IN WITNESS WHEREOF, the Principal and the Surety have each SIGNED and SEALED this
2 instrument by duly authorized agents and officers on this the 12th day of August
3 12014
4
5 PRINCIPAL:
6 Kart Construction&Equipment Co., Inc.
7
8
9 BY:
10 igna
11 AT;TE%:
12
13 ri Jerry Morgan, President
14 (Principal)Secretary Name and Title
15
16 Address:124 S. Norwood
17 Hurst,TX 76053
18
19 1�11AeA�M hA.
20 Z's,as[o Principal
21 SURETY:
22 SureTec Insurance Company
23
24
25 BY:�(/�
26 Signat r
27
28 Cindy Fowler,Attorney-In-Fact
29 ATTEST: Name and Title -
30 1
31 �� �)C Address:9737 Great Hills Trail#320
32 ( ety)Secre Rose ary Weaver Austin,TX 78759
33
34
35 ess as to Surety Susan Sears Telephone Number: 1-866-732-0099
36
37 *Note: If signed by an officer of the Surety Company, there must be on file a certified extract
38 from the by-laws showing that this person has authority to sign such obligation. If
39 Surety's physical address is different from its mailing address,both must be provided.
40
41 The date of the bond shat l not be prior to the date the Contract is awarded.
42
CITY OF FORT WORTH /7n.cerr Projecr Name)
STANDARD CITY CONDITIONS—DEVELOPER AWARDED PROJECTS /Insert Project;Vumberl
Revised January 31,2012
SureTec Insurance Company
RIDER TO BE ATTACHED TO AND FORM A PART OF PERFORMANCE,
PAYMENT AND MAINTENANCE BONDS
BOND NO. 4395729
Wherein Kart Construction and Equipment Co., Inc. is named as Principal and
SureTec Insurance Company, as Surety in favor of CTMGT Valley Ridge II, LLC as
Obligee, in the amount of Six Hundred Ten Thousand Two Hundred Thirty Eight and
50/100($610.238.50)effective August 12, 2014 for Water, Storm and Sewer
Imrpovements to serve Riverside Place.
WHEREAS, when this bond was executed CTMGT Valley Ridge 11, LLC was named as
Obligee, and
WHEREAS, it is now desired that certain other parties be added as Obligees.
NOW, THEREFORE, it is hereby understood and agreed that the following shall be
considered as additional Obligees under this bond:
City of Fort Worth
The foregoing, however, is subject to the following further provisions:
(1) The Surety shall not be liable under this bond to the Obligees, or any of
them, unless the said Obligees, or any of them, shall make payment to the
Principal strictly in accordance with the term of said contract as to
payments, and shall promptly perform all other obligations to be performed
to by the first named obligee under said contract at the time and in the
manner therein set forth.
(2) The Principal and the Surety shall not be liable to any one or to all of the
Obligees in the aggregate in excess of the penal sum of the bond, to wit:
$610,238.50 .
Signed, and sealed this 12th day of August, 2014.
Kart Construction and Equipment Co., Inc.
(Pri 'pal)
B
Sur ec InLance Company
By:
Cin y Fo , Attorney-in-Fact `
Rev. 11.112003
POA p:.4221328
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know AU Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and
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 Stiffs,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($4,000,000.00)
and to bind the Company thereby as 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 Attomey-in-Fact may do in the
premises. Said appointment shall continue in force until 12/31/2016 and is made under and by authority of the following
resolutions of the Board of Directors of the SureTec Insurance Company:
Be 1t-Resolved that the President,any Vice-President,any 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 Attorney(s)-in-Fact to represent and act for and on
behalf of the Company subject to the following provisions:
Attorney-in Fact 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,recognizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all
notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such
Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary.
Be It Resolve4 that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or
any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20°i ofApr14
1999.)
In Witness Whereof,SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seal.
to be hereto affixed this 21st day of March,A.D.2013.
RANO� SURETEC INSURANCE COMPANY
yV
4rV if x q ti0 By:
w w 19= John Vol Jr. resident
State of Texas ss:
County of Harris
On this 21st day of March,A.D.2013 before me personally came John Knox Jr.,to me known,who,being by me duly sworn,did depose and say,that he
resides in Houston,Texas,that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above
instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
�a w� JACQUELYN MALDONADO
Notary Pubic
State of Texas
My Comm.Exp.511&*017 Jacq elyn Maldonado,Notary Public
My commission expires May I8,2017
1,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full farce and effect.
Given under my hand and the seal of said Company at Houston,Texas this �,-tday of ,A.D.
t Beaty
Bre ,Assistant ecretary
Any instrument issued in excess of the penalty stated above is totally void and without any validity.
For verification of the authority of this power you may tail(713)812-0800 any business day between 8:00 am and 5:00 pm CST.
SureTec Insurance Company
THIS BOND RIDER CONTAINS IMPORTANT COVERAGE
INFORMATION
Statutory Complaint Notice
To obtain information or make a complaint:
You may call the Surety's toll free telephone number for information or to make a complaint at: 1-866-
732-0099. You may also write to the Surety at:
SureTec Insurance Company
9737 Great Hills Trail, Suite 320
Austin, Tx 78759
You may contact the Texas Department of Insurance to obtain information on companies, coverage,
rights or complaints at 1-800-252-3439.
You may write the Texas Department of Insurance at
PO Box 149104
Austin, TX 78714-9104
Fax#: 512-475-1771
PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim,
you should contact the Surety first. If the dispute is not resolved, you may contact the Texas Department
of Insurance_
Terrorism Risk Exclusion
The Bond to which this Rider is attached does not provide coverage for, and the surety shall not be liable
for, losses caused by acts of terrorism, riot, civil insurrection, or acts of war.
---------------------
Exclusion of Liability for
Mold, Mycotoxins, and Fungi
The Bond to which this Rider is attached does not provide coverage for, and the surety thereon shall not
be liable for, molds, living or dead fungi, bacteria, allergens, histamines, spores, hyphae, or mycotoxins,
or their related products or parts, nor the remediation thereof, nor the consequences of their occurrence,
existence, or appearance.
r
Texas Rider 1.1.06
FORTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date: 6/24/2016
Name of Contractor Project Name
KART Riverside Place
DOE inspector Project Manager
Tommy McKinnon Fred Ehia
DOE Number Project Difficulty Type of Contract
2677 P Simple ® Routine O Complex ❑Water ❑ Waste Water ❑ Storm Drainage O Pavement
Initial Contract Amount Final Contract Amount
5610,230.00 $610,230.00
1I)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 Inspector 44 1 Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector 2 Clarity&c Sufficiency of Details
3 Accuracy of Measured Quantities 3 Applicability of Specifications
4 Display Of Professionalism 4 Accuracy of Plan Quantities
5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs ZJ 1 Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availability of Project Manager
1 Change Order Processing Time 3 Communication 41
2 Timlmess of Contractor Payments 4 Resolution of Utility Conflicts
3 Bid Opening to Pro-Con Meeting Timeframe
111)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervi
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
♦ The City of Fort Worth-1000 Throclunorton Street-Fort Worth,TX 76012-6311
(817)392-7941 -Fax:(817)392-7845
FORTWORTHREV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
KART Riverside Place
DOE Inspector DOE Number
Tommy McKinnon 7190
DOE Inspector Project Manager
O Water O Waste Water O Storm Drainage ❑ Pavement Fred Ehia
Initial Contract Amount Project Difficulty
$610,238.00 0 Simple ® Routine O Complex
Final Contract Amount Date
$610,230.00 6/23/2016
II)PERFORMANCE EVALUATION
0-Inadequate I-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 N
9 Daily Clean Up 5 Y 4 20 20
10 Citizen's Complaint Resolution 5 N
II Property Restoration 5 N
12 After Hours Response 5 N
13 Project Completion 5 Y 4 20 1 20
TOTAL ELEMENT SCORE(A) 323
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(1'S) 323
111)CONTRACTOR'S RATING
Maximum Score(MS)=448 Qr sum of applicable element score maximums which= 328
Rating([TS/MSI•100%) 323 / 328 - 99%
Performance Category Excdmt
<20%=Inadequate 20%to<40%—Deficient 40%to<60%=Standard 60%to<8096—Good ?80%—Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature DOE Inspector ` ignature Contracto
Signature DOE Inspector' upervisor
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth-1000 Throclunorton Street-Fort Worth,TX 76012-6311
(817)392-7941 -Fax:(817)392-7845
FORTWORTH rev 03/05/07
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:1
NAME OF PROJECT: Riverside Place
PROJECT NO.: 2234 CONTRACTOR: KART
DOE NO.: 7190
PERIOD FROM:08/24/15 TO: 06/23/16 FINAL INSPECTION DATE: 23-Jun-16
WORK ORDER EFFECTIVE: CONTRACT TIME: 45 O WD •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 DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS
THIS
PERIOD 513 513
PREVIOUS
PERIOD
TOTALS
TO DATE 513 5!3
*REMARKS;
CONT6tTOFIODATE NSPECTOR AT
Et' dR�R_
NGL� DET�\IENT
The City of Fort Worth-1000 Throehmorma Street-Fort Worth,TX 76012-6311
(817)392-7941 -Fax:(817)392-7845