HomeMy WebLinkAboutContract 45252-FP1 Depa e t o TP&W Const. Services
DnE# Dat
Projec Manager ►�^ �� - _ 7
Risk Management Canadv RT WO RT H TARYL
D.O.E. Brotherton ® �� CCONTRACT AIO.
CFA Westerman/Scanned — (c
The Proceeding people have been Contacted
concerning the request for final payment& have rATION AND PUBLIC WORKS sq look C,0 J $83
released this project for such payment. 7F PROJECT COMPLETION
Clearance Conducted By Shameka Kennedy D.O.E. Ns: 6819�n�8B3
cS��s252
Regarding contract 116819 for HENDERSON TOWNHOMES 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 Direct6ir ofthe' r ' t fi& ublic Works Department has accepted the project
as complete. j I ,
Original Contract Prices: OCT 13 2016 $129,025.21
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Amount of Approved Change Orders: 'y: No
Revised Contract Amount:
Total Cost Work Completed: $129,025.21
Less Deductions:
Liquidated Damages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed: $129,025.21
Less Previous Payments: $0.00
Final Payn nt 1 $129,025.21
/o•/3 l _
t- -
RecommenVedr Acceptance Date
Asst. DirectW - Infrastructure Design and Construction
Accepted Date
Asst. Director, WATER DEPARTMENT / /w4
Asst. City Manager Date
Comments: P265-541200-609150188383,P275-541200-709130188383
EM.A1LEJD
OFFICIAL RECORD
OCT 17 2016 CITY SECRETARY
Initial: IFT.NORTH,TX
OCT 13 2016 , ,5_9 6C) Co i y g3
City Project Numbers 01883 _ DOE Number 6819
Contract Name HENDERSON TOWNHOMES Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 6/17/2016
Project Funding
Project Manager Ehia City Secretary Contract Number 116819
Inspectors LAYER / MILLER Contract Date
Contractor VENUS CONSTRUCTION COMPANY Contract Time 120 CD
1426 S.MAIN P O BOX 90 Days Charged to Date 746 CD
MANSFIELD, TX 76063 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 $129,025.21
Less %Retained $0.00
Net Earned $129,025.21
Earned This Period $129,025.21
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 /Day $0.00
LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $0.00
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $129,025.21
Friday,June 17,2016 Page 5 of 5
��s- 18 83
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FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name HENDERSON TOWNHOMES
Contract Limits
Project Type WATER&SEWER
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City Project Numbers 01883
DOE Number 6819
Estimate Number 1 Payment Number 1 For Period Ending 6/17/2016
CD
City Secretary Contract Number 116819 Contract Time 12CD
Contract Date Days Charged to Date 746
Project Manager Ehia Contract is 100.00 Complete
Contractor VENUS CONSTRUCTION COMPANY
1426 S.MAIN P O BOX 90
MANSFIELD, TX 76063
Inspectors LAYER / MILLER
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Friday,June 17,2016 Page I of S
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City Project Numbers 01883 DOE Number 6819
Contract Name HENDERSON TOWNHOMES Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 6/17/2016
Project Funding
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WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 FOR FURNISHING&INSTALLING 8"PVC 380 LF $35.70 $13,566.00 380 $13,566.00
WATER PIPE BY OPEN CUT W/EMBEDMENT
2 FOR FURNISHING&INSTALLING 8"GATE 8 EA $1,359.75 $10,878.00 8 $10,878.00
VALVE COMP.W/C.I.VALVE BOX&COVER
3 FOR FURNISHING&INSTALLING V WATER 10 EA $924.00 $9,240.00 10 $9,240.00
SERVICE LINES
4 FOR FURNISHING&INSTALLING CAST IRON 0.8 TN $9,000.00 $7,200.00 0.8 $7,200.00
FITTINGS FOR WATER PIPE '
5 TESTING OF WATER SYSTEM 1 LS $840.00 $840.00 1 $840.00
6 FOR PAVEMENT REPAIR 160 LF $120.00 $19,200.00 160 $19,200.00
s
7 FOR STABILIZED BACKFILL/SUBGRADE 1 LS $3,528.20 $3,528.20 1 $3,528.20
8 FOR TRAFFIC CONTROL 1 LS $2,341.00 $2,341.00 1 $2,341.00
9 FOR PREPARING,FURNISHING,INSTALLING& 380 LF $1.80 $684.00 380 $684.00
MAINTAINING TRENCH SAFETY SYSTEM
10 FOR MATERIAL HAUL-OFF OF EXCESS DIRT 1 LS $926.13 $926.13 1 $926.13
11 FOR MOBILIZATION AND BONDS I LS $3,399.16 $3,399.16 1 $3,399.16
--------------------------------------
Sub-Total of Previous Unit $71,802.49 $71,802.49
SEWER
ItemDescription of Items Unit Unit Cost
Estimated Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
I -- ----------------------------
I FURNISHING&INSTALLING 8"PVC 240 LF $34.65 $8,316.00 240 $8,316.00
WASTEWATER PIPE
2 FURNISHING&INSTALLING CTS EMBEDMENT 20 LF $26.78 $535.60 20 $535.60
3 FOR STANDARD 4'DIAMETER WWATER 1 EA $6,562.50 $6,562.50 1 $6,562.50
MANHOLE TO G DEPTH CONST OVER 8"
SEWER
4 STANDARD 4'DIAMETER WASTEWATER 3 EA $5,792.51 $17,377.53 3 $17,377.53
MANHOLE 6'DEPTH
5 TV INSPECTION OF STORM DRAIN SYSTEM 3.5 VF $108.80 $380.80 3.5 $380.80
6 INSTALLING CLAY DAMS 2 EA $341.25 $682.50 2 $682.50
7 FURNISHING&INSTALLING 4"PVC 10 EA $1,118.25 $11,182.50 10 $11,182.50
WASTEWATER PIPE SERVICE LATERALS
8 PAVEMENT REPAIR 30 LF $120.00 $3,600.00 30 $3,600.00
Friday,June 17,2016 Page 2 of 5
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City Project Numbers 01883 DOE Number 6819
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Contract Name HENDERSON TOWNHOMES Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 6/17/2016
Project Funding
9 POST CONSTRUCTION CCTV OF 240 LF $1.00 $240.00 240 $240.00
WASTEWATER SYSTEM
10 VACUUM TESTING OF WASTEWATER 4 EA $60.00 $240.00 4 $240.00
MANHOLES
11 TRAFFIC CONTROL 1 LS $2,463.00 $2,463.00 1 $2,463.00
12 PREPARING,FURNISHING,INSTALLING& 240 LF $1.80 $432.00 240 $432.00
MAINTAINING TRENCH SAFETY SYSTEM
13 STABILIZED BACKFILL/SUBGRADE 1 LS $1,260.00 $1,260.00 1 $1,260.00
14 MATERIAL HAUL-OFF OF EXCEXX DIRT I LS $926.12 $926.12 1 $926.12
15 MOBILIZATION&BONDS 1 LS $3,024.17 $3,024.17 1 $3,024.17
--------------------------------------
Sub-Total of Previous Unit $57,222.72 $57,222.72
-------------------------------------
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Friday,June 17,2016 Page 3 of 5
City Project Numbers 01883 DOE Number 6819
Contract Name HENDERSON TOWNHOMES Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 6/17/2016
Project Funding !
Contract Information Summary
Original Contract Amount $129,025.21
Chante Orders
Total Contract Price $129,025.21
�b O Total Cost of Work Completed Date � P $129,025.21
Contr Less %Retained $0.00
p I/� Net Earned $129,025.21
Date Ci//
lnspection S e Earned This Period $129,025.21
����� Retainage This Period $0.00
jDate I Less Liquidated Damages
Proj anager
Days @ /Day $0.00
Date d LessPavement Deficiency $0.00
Asst.D rect r/TPW/Infrastructure Design and Construction Less Penalty $0.00
(� Date �v �r Less Previous Payment $0.00
Director/ ontracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $129,025.21
Friday,June 17,2016 Page 4 of 5
FoRTWORTH rev 03/05/07
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO. 1
NAME OF PROJECT: Henderson Townhomes
PROJECT NO.: 01883 CONTRACTOR: Venus Construction Co.
DOE NO. 6819
PERIOD FROM 06/02/14 TO: 06/16/16 FINAL INSPECTION DATE: 23-Jun-16
WORK ORDER EFFECTIVE 6/2/2014 CONTRACT TIME 120 O WD OO CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH DI UR GED
CREDITED MONTH CDUHARRQ G 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 0 0 0 0 746 746
PERIOD
PREVIOUS
PERIOD 0 0 0 0 0 0
TOTALS 0 0 0 0 746 746
TO DATE
*REMARKS:
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TRACTOR DATE INSPECDATE
ENGINEERING DEPARTI T
C) The City of Fort Worth- 1000 Throckmorton Street-Fort Worth,TX 76012-6311
(817)392-7941 -Fax:(817)392-7845
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Henderson Townhomes
PROJECT NUMBER: 01883
DOE NUMBER: 6819
WATER
PIPE LAID SIZE TYPE OF PIPE LF
8"inch PVC 380 LF
FIRE HYDRANTS: 0 VALVES(16"OR LARGER) 0
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: yes
NEW SERVICES: 10- 1"inch copper 150 LF
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
8" inch SDR-26 PVC 240 LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES: yes
NEW SERVICES: 10-4"inch SDR-26 PVC 150 LF
TRANSPORTATION AND PUBLIC WORKS
The Cite of Fort Worth•1000 Throckmorton Street•Fort Wordi,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845
1
INToWN
H OM E S
Mr. Josh Bosler
InTown Homes
1520 Oliver Street
Houston,TX 77007
June 17,2016
Mt•. Garey Houston
The City of Fort Worth
1000 Throckmorton St
Fort Worth,TX 76102
RE:Henderson Townhomes,DOE#6819,City Project# 01883.
Dear Mr.Houston;
Please let this letter serve as official notification that no liquated damages will be
assessed to our contractor, Venus Construction, for the prolonged construction schedule
of our project located at the north-west corner of N Henderson St and W Peach St in the
City of Fort Worth.
Feel free to contact me on my mobile phone at(214) 725-8560, if you have any
questions.
Sincerely,
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Josh Bosler
InTown Homes
(214)725-8560
JoshB@intown-homes.com
1520 Oliver Street Houston,Texas 77007 tel 713-961-3877 1 fax 713-961-4270
WWW. INTOW N-HOMES . COM
FORTWORTHREV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Venus Construction Henderson Townhomes
DOE Inspector DOE Number
Garey Houston 6819
DOE Inspector Project Manager
P]water M waste Water ❑Storm Drainage ❑ Pavement Fred Ehia
Initial ContractAmount Project Difficulty
$129,025.21 O Simple OO Routine O Complex
Final Contract Amount Date
129025,21 6/16/2016
H)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 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 4 60 60
9 Daily Clean Up 5 Y 4 20 20
10 Citizen's Complaint Resolution 1 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) 448
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 448
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating([TS/MS]*100%) 448 / 448 = 100%
Performance Category Excellent
<20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Fxcellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature DOE InspectorSignature Contractor
L]Signature DOE Inspector's Supervis r !"L�lT�_
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
CONSENT OF OWNER o
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
SURE'T'Y ❑ Bond No,PB02253100236
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OTHER
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PROJECT: Henderson Townhomes
PROJECT NO. 02116
TO: City of Fort North/Texas Intown Homes,LLC CONTRACT FOR:
1000 Throckmorton Street Utilities
Fort Worth,TX 76102
CONTRACTOR: Venus Construction Company CONTRACT DATE:April 4,2014
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In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
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Philadelphia Indemnity Insurance Company SURETY,
on Bond of
Venus Construction Company 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
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City of Fort'North/Texas Intownhomes,LLC ,OWNER,
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as set forth in the said Surety Company's bond. j
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IN WITNESS WHEREOF,
the Surety has hereunto set its hand this 21st day of June ,2016
Philadelphia Indemnity Insurance Company
Surety Company
elxzlv�- J 11-11ut.I
Signature of Authorized Representative
T 1
Attest. Charles K.Miller Attorney-In-Fact _
Title
(Seal)
CONSE,rrOFSURMCOWANYTOFINALPAYNIENT ONE PAGE
1
2698
PHILADELPHIA LNDENLNTPY INSURANCE COMPANY
One Bala Plaza,Suite 100
Bala Cynwyd,Pa 19004
Power of attorney
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KNOW ALL PERSONS BY THESE PRESENTS: that PHILADELPHIA UNDENINITY INSUPWiCE COib[P.a.NY(the Company),a corporation organized and
existing(older the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint. Clint Norris,Steven J.Zinecker,.Jessica Luna Woutgomery, i
Shannon Lewis and Charles F.Miller of Southwest Assurance Group,Inc..
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Its true and lawful Attomey(s)in fact with full authority to execute on its behalf bonds,undertakings,recognizances and other contracts of indemnity and writings
obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed 525,000,000
This Power of Attorney is;ranted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of
PHILADELPHLA I [DEb[NITY INSURANCE CON PANY at a meeting duly called the t'day of July,3011.
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RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the
Company to: (1) Appoint Attomey(s) in Fact and authorize the Attomey(s) in Fact to
execute on behalf of the Company bonds and undertakings,contracts of indemnity and
other writings obligatory in the nature thereof and to attach the sea( of the Company
thereto, and (3) to remove, at any time, any such Attomey-in-Fact and revoke the
authority given. And,be it
FL RTRER
RESOLVED: That the signatures of such officers and the seat of the Company may be affixed to any
such Power of Attomey or certificate relating thereto by facsimile,and any such Power of
Attorney so executed and certified by facsimile signatures and facsimile seal shalt be
valid and binding upon the Company in the future with the respect to any bond or
undertaking to which it is attached.
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IN TESTIMONY WHEREOF,PEIILADELPHLA.INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO 8E SIGNEDAND
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ITS CORPORATE SEALTO BE AFFLXED BY ITS AUTHORIZED OFFICE THIS 7m DAY OF FEBRUARY 2013.
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(Seat)
Robert D.O'Leary Jr.,President&CEO
Philadelphia Indemnity Insurance Company
On this Th day of February 2013,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that
1
he is the therein described and authorized officer of the PHILADELPHIA LNDE)•LNITY LNSM-k-NCE COMPANY-,that the seat affixed to said instrument is the
Corporate seat of said Company;that the said Corporate Seal and his signature were duty affixed.
coMmamV L7H OFFMIN-YLVAMA
NOTARIAL'But,
DANIELLE , oa
LYMeoT .,Motallcorrty
CAmtsm , Mara 2014
1� {Q
Notary Public:
residing at: Bala Cvmvvd,PA
(Notary Seat)
My commission expires: March 222O16
I,Craig P.Feller,Executive Vice President,Chief Financial Officer and Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do herby cert&y that
the foregoing resolution of the Board of Directors and this Power ofAttorney issued pursuant thereto are true and correct and are still in full force and effect.I do
further certify that Robert D.O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attorney the duty
elected President of PHILADELPHIA ENDENIINITY INSURANCE COMPANY,
In Testimony Whereof I have subscribed my name and affixed the facsimile seat of each Company this 21St day of June 2015
Craig P.Feller,Executive Vice President,Chief Financial Officer&Secretary
PHILADELPMA INDE.kINITY LNSLRINCE CON[P.�V"Y
1927
IMPORTANT NOTICE ADVISO 1MPORTANTE
To obtain information or make a complaint: Para obener informacion o para someter
You may call the Surety's toll free telephone una queja: Usted puede Ilamar al numero
number for information or to make a de telefono gratis de para informacion o
complaint at: para someter una queja al:
1-877-438-7459 1-877-43R-7459
You may also write Philadelphia Indemnity Usted tanbien puede escribir a Philadelphia
Insurance Company at: Indemnity Insurance Company at:
One Bala Plaza, Suite 100 One Bala Plaza, Suite 100
Baia Cynwyd, PA 19004 Bala Cynwyd, PA 19004
Attention: Senior Vice President and Attention: Senior Vice President and
Director of Surety Director of Surety
You may contact the Texas Department of Puede comunicarse con el Departamento
Insurance to obtain information on de Seguros de Texas para obtener
companies;-coverage, rights or complaints information acerca de companies,
at: coberturas, derechos o quejas al:
1-800-252-3439. 1-800-252-3439
You may write the Texas Department of Puedeescribir al Departmento de Seguros.
Insurance at: de Texas:
P.O. Box 149104 P.O. Box 149104
Austin, TX 78714-9104 Austin, TX 78714-9104
Fax# 512-47-5-1771 Fax# 512-475-1771
Web: httP:/AAN/w.tdi.s.tate.tx.us Web: http:1Jviww.tdi.state.tx.us
Email: ConsumerProtection(a)tdi.state.tx.us Email: Cons umerProtection(3tdi.state,tx.us
PREMIUM OR CLAIM DISPUTES: Should DISPUTAS SOBRE PRIMAS O 1
you have a dispute concerning your RECLAMOS: Si tiene una disputa
premium or about a claim, you should concemiente a su prima o a un reclamo,
contact the Surety first. If the dispute is not Bebe comunicarse con el Surety primero. Si
resolved, you may contact the Texas no se resuelve la disputa, puede entonces
Department of Insurance. comunicarrse con el departamento (TDI).
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ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA: Este
This notice is for information only and does aviso es solo para proposito de informacion j
not become a part or condition of the y no se convierte en parte o condicion.del
attached document. documento adjunto,
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AFFfDAVIT
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 Josh McAda,
President Of Venus Construction Company,known to me to be a credible
person,who being by me duly sworn,upon his oath deposed and said;
That all persons,firms, associations, corporations, or other
organizations furnishing labor and/or materials have been paid in full;
That the wage scale established by the City Council in the City of
Fort Worth has been paid in full;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
Henderson Town Homes Lots 3-R1 Thru 3-R1-14,Block X
BY 1� 1W�ZZ
Josh McAda/President
Subscribed and sworn before me on this date 17 of June,2016.
fl
VANESSA RENFROW
Notary Public « Notary Public
State of Texas
Tarrant,TX 'some Z My Comm.Exp.07-28-2019
FORTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 4/29/2016
Name of Contractor Project Name
Venus Construction Henderson Townhomes
DOE Inspector Project Manager
Garey Houston Fred Ehia
DOENumber Project Difficulty TypeoJContract
6819 O Simple OO Routine O Complex ❑D water D waste water ❑Storm Drainage ❑ Pavement
Initial Contract Amount Final Contract Amount
$129,025.21 $129,025.21
In 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 1 Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector 2 Clarity&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 f 1 Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availability of Project Manager <
1 Change Order Processing Time 13 Communication !
2 Timliness of Contractor Payments 14 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
10 The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845