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HomeMy WebLinkAboutContract 47524-FP2 Department ref^T &W Const. Services CPN `�� Ite Project Hager � ECRTARY Risk Management Cana r 2T WORTH© l� D.O.E. Brotherton �'��; �� Oa �" ����_ CFA Westerman/Scanned b— Esteban Perez/Scanned The Proceeding people have been Contacted concerning the request for final payment& have ATION AND PUBLIC WORKS released this project for such payment. F PROJECT COMPLETION .00L 753� p/r�,zo�iz� C f City Project Ns: 02682 Clearance Conducted By Regarding contract 117537 for WEST FORK RANCH PHASE 5A as required by the TRANSPORTATION&PUBLIC WORKS as approved by City Council on N/A through M&C N/A 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: $33,719.50 Amount of Approved Change Orders: Ne i Revised Contract Amount: Total Cost Work Completed: $33,719.50 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $33,719.50 Less Previous Payments: $0.00 Final Paymen ue $33,719.50 //4V !19 <G Recommen ed for Acceptance Date Asst. Direc r, PW - Infrastructure Design and Construction G.J. Li Ire ( ��//i✓ Accepted Date AM Director, TRANSPORTATIO & PUBLIC WORKS Asst. City Manager Date Comments: OFFICIAIL RECORD CITY SECRETARY IMT.WORTH,TK i FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name WEST FORK RANCH PHASE 5A Contract Limits Project Type STORM DRAIN City Project Numbers 02682 DOE Number 7537 Estimate Number I Payment Number I For Period Ending 9/21/2016 CD City Secretary Contract Number 117537 Contract Time 18GD Contract Date Days Charged to Date 206 Project Manager Long Contract is 100.00 Complete Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors LAYER / SLATEN Wednesday,September 21,2016 Page 1 of 4 i i I City Project Numbers 02682 DOE Number 7537 Contract Name WEST FORK RANCH PHASE 5A Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN For Period Ending 9/21/2016 IIf Project Funding I I STORM DRAIN Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed ' No. Quauity Total Quanity Total i -------------------- - ---------------- - -- 1 -------- -------- - - ---------- - -- I 21"RCP CLASS III 2 LF $52.00 $104.00 2 $104.00 2 24"RCP CLASS III 247 LF $53.00 $13,091.00 247 $13,091.00 3 10'CURB INLET 2 EA $3,400.00 $6,800.00 2 $6,800.00 4 15'CURB INLET 2 EA $4,500.00 $9,000.00 2 $9,000.00 5 CONCRETE COLLAR 1 EA $600.00 $600.00 1 $600.00 t 6 TRENCH SAFETY 249 LF $0.50 $124.50 249 $124.50 7 PAYMENT,PERFORMANCE&MAINTENANCE I LS $4,000.00 $4,000.00 1 $4,000.00 BONDS ' ------------------- -------------------- Sub-Total --------- Sub-Total of Previous Unit $33,719.50 $33,719.50 ------------- ------------------------- Wednesday, — — -- — Wednesday,September 21,2016 Page 2 of 4 City Project Numbers 02682 DOE Number 7537 Contract Name WEST FORK RANCH PHASE 5A Estimate Number I Contract Limits Payment Number 1 Project Type STORM DRAIN For Period Ending 9/21/2016 Project Funding Contract Information Summatry Original Contract Amount $33,719.50 Change Orders Total Contract Price $33,719.50 Date Total Cost of Work Completed $33,719.50 Contrac Less %Retained $0.00 G Net Earned $33,719.50 Date Inspection Sup n'so Earned This Period $33,719.50 Retainage This Period $0.00 Date Less Liquidated Damages Proj t Manager i' Days rr /Day $0.00 Date w, 'I L LessPavement Deficiency $0.00 As ire tor/TPWf-Infrastructure Design and I Construction Less Penalty $0.00 Date 15 3/ IL Less Previous Payment $0.00 Dire—do0contracting Departm f t Plus Material on Hand Less 15% $0.00 Balance Due This Payment $33,719.50 Wednesday,September 21,2016 Page 3 of 4 City Project Numbers 02682 DOE Number 7537 Contract Name WEST FORK RANCH PHASE 5A Estimate Number I Contract Limits Payment Number I Project Type STORM DRAIN For Period Ending 9/21/2016 Project Funding Project Manager Long City Secretary Contract Number 117537 Inspectors LAYER / SLATEN Contract Date Contractor BURNSCO CONSTRUCTION,INC. Contract Time 180 CD 6331 SOUTHWEST BLVD Days Charged to Date 206 CD FORT WORTH, TX 76132 Conti-act is .000000 Complete 1 CITY OF FORT WORTH I SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net j Funded ——————————————— — i i I I Total Cost of Work Completed $33,719.50 � Less %Retained $0.00 Net Earned $33,719.50 Earned This Period $33,719.50 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 Balance Due This Payment $33,719.50 Wednesday,September 21,2016 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 Phase 5A PROJECT NO.: 02682 CONTRACTOR: Burnsco DOE NO. 7537 PERIOD FROM 03/02/16 TO: 09/23/16 FINAL INSPECTION DATE: 23-Sep-16 WORK ORDER EFFECTIVE 3/2/2016 CONTRACT TIME 180 O WD O• CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING I 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 WE, UTILITIES DAYS TOTAL E &HOLIDAYS &TOO COLD RLOCATIONS OTHERS* CHARGED DAYS THIS 206 PERIOD PREVIOUS PERIOD TOTALS 206 TO DATE *REMARKS: CONTRACT DATE INSPECTOR DATE ENGINEERING DEPARTMENT 0) (817) City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 0) (817)392-7941 •Fax:(817)392-7845 FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR CONTRACTOR&PROJECT DATA Name of Contractor Project Name Burnsco West Fork Ranch Phase 5A DOE hispector DOE Number Connor Slaten 7537 DOEInspector Project dlaNager E] Water E] Waste WaterO Storm Drainage] Pavement Aaron Long Initial Contract ANtotmt Project Deulty $33,719.50 O Simple Routine Q Complex Final Contract Amaral Date $33,719.50 9/19/2016 In PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE I 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 4 60 60 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 ABer Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 443 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 443 111)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS] *100%) 443 / 448 = 99% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >_80%_F-wellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector Signature Contractor Signature DOE Inspector's Supervisor CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS Q9 (817) City of Fort Worth•1000 Throckmorton Street•Fort Worth,T176012-6311 Q9 (817)392-7941 •Fax:(817)392-7845 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American institute of OTHER Architects,AIA Document G707 Bond No 022053039 PROJECT: West Fork Ranch Phase 5A-Water and Sanitary Sewer Improvements (name, address) Fort Worth TX TO (Owner) PULTE HOMES OF TEXAS,L.P.AND CITY OF FORT) ARCHITECT'S PROJECT NO: WORTH. CONTRACT FOR: 4800 Regent Blvd, Suite 100 West Fork Ranch Phase 5A-Water and Sanitary Sewer Improvements Irving TX 75063 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 address of Surety Company) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley.Street Boston MA 02116 , SURETY COMPANY on bond of (here insert name and address 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 address 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 23rd day of September,2016 LIBERTY MUTUAL INSURANCE COMPANY Sure Company AdOUnt� J&A ttest: Ply .Westbrook (Seal): Signatufe of Authorized Representative So_phinie Hunter Attorney-in-Fact Title NOTE: This form-is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition ONE PAGE Liberty Mutual. -SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener information o para someter una queja: You may call toll-free for information or to Usted puede hamar al numero de telefono gratis i make a complaint at para information o para someter una queja al 1-877-751-2640 1-877-751-2640 You may also write to: Usted tambien puede escribir a: Interchange Corporate Center Interchange Corporate Center 450 Plymouth Road, Suite 400 450 Plymouth Road, Suite 400 Plymouth Meeting, PA 19462-1644 Plymouth Meeting,PA 19462-1644 You may contact the Texas Department of Puede comunicarse con el Departamento de Insurance to obtain information on companies, Seguros de Texas para obtener information coverages, rights or complaints at acerca de companias, coberturas, derechos o 1-800-252-3439 quejas al 1-800-252-3439 y You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros Consumer Protection(111-IA) de Texas Consumer Protection(111-IA) P. 0. Box 149091 P. 0. Box 149091 3 Austin, TX 78714-9091 Austin,TX 78714-9091 FAX: (512)490-1007 FAX#(512)490-1007 Web: hftp://www.tdi.texas.gov Web: ho://www.tdi.texas.gov E-mail: ConsumerProtection(a)tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS 0 RECLAMOS: Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a premium or about a claim you should first un reclamo, debe comunicarse con el agente o contact the agent or call 1-800-843-6446. primero. 'Si no se 'resuelve la disputa, puede If the dispute is not resolved,you may contact the entonces comunicarse con el departamento (TDI) Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR UNA ESTE AVIS0 A SU POLIZA: 3 POLICY: This notice is for information only and does not Este aviso es solo para proposito de information become a part or condition of the attached y no se convierte en. parte o condition del document. documento adjunto. E l NP 70 68 09 01' THIS POWER OF ATTORNEY IS NOT VALID,UNLESS IT IS PRINTED ON RED BACKGROUND.- This Power of Attorney limits the acts of those'named herein;acrd they have no authority.to bind.fhe Company except in the manner and to the extent herein stated, Certificate No.7443913 American Fire and Casualty Company Liberty Mutual Insurance-Company The Ohio Casualty Insurance Company West.American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: ThztAmerican-Fire&Casualty:Companyand The Ohio Casualty Insurance Company are corporations duly-organized under the laws of. the:gtate of.New Hampshire,that'Liberty,Mutuallnsurance Company[s a corporation duly organized under the laws:of the Slate of Massachusetts,and WeAftericanansurance Company is a corporation duly organized 6ndey(jie taiy-s of the Stale ofJ ldia9a(herein soilectjye called the"6ompanlesa,pursuant to;end¢-huth4dly herein set forth,does hereby name;constitute and appoint, Don E Gorriell•(C�1iy 1 Westbrook.=Rreardo J €teVrta p{o6 it[v{orales Soj1k31Aie Flury er Lina Mel wa"ri-1L DeLerie Marshall-- - "" " "" - '"'fid make execute seal acknowled e all of the city of_.Datias state of!Iw: eaeJijndigidualiy If there be m6 f a 1:0601:i0m d,its txi",6a lawful attomey rtt.. 9 and deliver,for.and on its behalf as suretyztida its act $8eed ariy$nd_ail undertakings bons r2cognl�ances and-1h-surety obligations ira pjrrsaance.of these presents and shall be as briding-upon'the Companies as if they have beerrdgly signed13Wie president and altesEgddry jiie sec`r"&t y of the L`orripanics in their ovra.proper-persons: -. - "fe'-'als of the Com-an'res have been affixed -IN,WITNESS WHEREOF,this Power ofAttoril�'`as:bsEii subseribed�yarFagthbri�ed,otJe�r of official 4�4f�eompanias-arld:lhe co OMa_,se" p _ theretoth(s 8th- : ..day of: August Atfteri�an Fire and Casualty.Company. t The-Ohio Casualty lnsgrance Company -11 'U, z 1406 0 . 0 1919 - n a o Liber#y Mutual Insurance Company, . a: S. 0 . 1912 "t 1991 b West mericarl{nsurance Company lA 3LL6 NAAmS �a 9JyvAt.1P baa /'sr�onn�- Y2 '� ^.ro ul < ' by. ,py - +O- David M.Care ; ssistant Secretary• -STATE OF PENNSYLVANIA ss +s - COUNTY OF MONTGOMERY — C .On flits 5th day of August 20-is,before me-personally appeaFed David M.Carey,who acknowledged himself to be the Assistant Secretary of Amer{ean Fire and w".� Casualty.Company Liberty.Mii[aal Insurance Company,The'Ohlo Casually Insurance Company,and West American Insurance Company,and that he;as such,being aulhonzed so to do; '->W p execute the foregoing instrument tdr the purposes therein contained 6y signing an:behalf of the corporations by himseVas a duly authorized officer: :E a> ?-It WITNESS:WMEREOF,shave-hereunto subscribed m name aed affixed my� notariatseal-at Plymouth Maeeting,Pennsylvania,on itie:day and yearfirst aboge written. O C COMMONWEALTH OE PENNSYLVANIA. -'' ,Q M Notarial Seal. C'tjj- 1 u s Teresa Pastella,Notary Public By: L_70 O.LO of PlynibuthTwp:,Vontgomery.Gounty Teresa Pastella,Notary Public Q My commission Expires March 28,2.017 - -�:A .Qy.L0 - - y�LVP��p Member,.PennsyivanlaAssoda8dn-of Notaries - - O.'� *+ AFry P� X4•N d_UJ C,m ThIs Power ofAttoriey Is-made and executed pursuant-to and by authority of the following By-Nwsand AuthorizaftoM ofAmerican Fite and Casually Company,The Ohio Casualty Insurance_. U)a Company,Liberty Mutual Insurance Company,and WestAmericari Insurance Company which resolutions are now:in.full force apd'effeet reading as follows: ARTICLE tV=OFFICERS'>-Secthon 12,Power of Aftdrney:Any officeror other officialof the Co oration authorized for that pOrpose in Writing by the Chairman or the_President,acid subject 0=c a;, to sllch limitation as lhe.Chairmon orth�President may prescribe,shall appoint such attomeys-tn fact,as may be necessary-to apt in behalf of the Corporation to make;execute,seal,` .0. ;.acknowledge and dei(veras.surety'any and-all undertakings;bonds,recognizances and other surety obligations. Such aftorneys-in fact,subjectfo the limitations setfiJoh in-their-respective - # = powers of attomey"shalt have full power to bind the Corporation by their sIOatdre-and execution of.any such instruments and to attach thereto the seal of the Corporation:..When so- ar p�. .executed-,such ihstru_ments shatFbe as binding as if signed by the:President and attested to by the Secretary.Any-power or authority granted to any representative or.attom'ey-irhtact under >'o �: -the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers.graating such power orauthority. -N I _ ARTICLE XIII-Execution-of Contracts-SECTION 6:'Surety Bonds and Undertakings:Any office[of the Company authorized for-that purpose"in wdfing by the chairman or the president CO tu -and subJ@et to such lirtlitations as the.chairman or the president racy prescribe,shallappoint such attomeys-in-fact,as may be necessary to act in behalf of-the Company to make,execute, . o seal;acknowledge and'delivar as surety any end.all undertakings,bonds;recognizances and other surety obligations. Such attorneys-in-fact subject to the limitafions set forth in their Z v .respective powers of attor4ey;.sh_all Eve fall power to bind itie Company by Iheir signature and executionof aria such instruments end to attach thereto the seal of the Company. When so executed such nstrumentsshall be as hfindjn as ifs i ned b.toe-resident ancJattested'dZ:Ir secrefa - sj" 4 also n[f"{IieB`aW`pf:theGom ari'ail[horizes:Q Vld Nr Gare;:fis'sj tank Secretary to appoint such attorneys-in- Certificate of Designation-The Pre.ldenL.f the Compaity; ting p" o yl - p:Y. _ Y, - :fact-as may be"necessary to act on tietlalf-of The Company to make egescife,seal,acknow(e'.jhd deliversJ.surek a iy nd all undertak gs;bonds,recognizances and other surety obligations. ous consent ofjb0 Co a--'-sB-ard of�frec or the Companycons'pls;ihatfia`simile or riiee6,&cMly.reproduced�s ature of any assistanlsecretaryof the Autiioriiation-8yunamm 1t]e__.InP by,_,9 t . -... �_.; Company,wherever appearing upon,a.certrfrdd copy bf iiypowerdf 2tforney issued by the Cqm�a_riy in conlrection wilhsilf ty bonds,shall li Y-T6Tand binding upon the Companywith i tho'we-force-and effect as though.manuaf[y I,Gregory-W.Davenport,the undersigned,Assist itt,S eretary,ofAme�4,"'i6 Fre and dq,§g6Ttgfbinpany,Thiliftlo Cas rally nsurance Co"rrlpdtlY;;Eibetty Mutual Insurance Corripany,_and West American Insurance Company'do hereby cejftT J&t the odginal-pDwer of aftomey w11"ioTi the foregoing is a full true anc caree og:o"f the Power of Attorney executed by said Companies,is id full force'and effect and has nof-tseeit"tevoked: IN TESTIMONY WHEREOF,-(.have:hereuoto seamy hand and affixed the,seats of said Companies this.:�3 day tyD CAS,, �tNStiq -IUg9 F�l�� OPPOHgr 2 1906 0 0 1919 n 1912 1991' 3 By S _ a �b a Gregory W.Davenporf;Assistant Secretary a `�.S�HAIAFS�a,L ���)y�ISnCNISf 72 of 300 LMS_12873_12*2013 1 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 Ab Grantges, Contract Mgr, 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 there are no claims pending for personal injury and/or property damages; On Contract described as; West Fork Ranch Ph. 5A Water, Sanitary Sewer and Storm Drain BY ^ Ab Grantges, act Manager Subscribed and sworn before me on this date 26th of September,2016. Notary Public _..•• Tarrant County, Texas ,,�ll��� "— LEI A MCQUIEN 1=O�PpV 1'Ue� Notary Public,Slat@ of TeX111 26.2018 Comm.EXplr®s 06 Notafy ID 126446481 ��,,Milt r r September 26, 2016 City of Fort Worth CFA Administration 1000 Throckmorton St. Fort Worth, TX 76102 RE: Final Waiver of Lien; Water, Sanitary Sewer&Drainage Improvements to serve West Fork Ranch 5A: DOE#7537 City Project#02682 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 5A, 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 tPulteGroup" September 20th,2016 Mr.John Burns Burnsco Construction, Inc. 6331 Southwest Blvd. Benbrook,Texas 76132 Re: Contract for West Fork Ranch Phase 5A—Water,Sanitary Sewer&Storm Improvements CoFW Project No.02682 CoFW File No. K-2432 CoFW DOE No.02682 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 Fort Worth FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: 9/9/2016 Nance of Contractor Project Name Burnsco West Fork Ranch Phase 5A DOE brspeclor Project dfanager Connor Slaten Aaron Long DOE Number Projecl Diffic,1101 Tl pe of Contract 7537 0 Simple Q Routine 0 Complex ❑ water[—] Waste Water❑ Storm Drainage❑ Pavement Initial Conlracl Amount Final Conn-act Amount $33,719.50 $33,719.50 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector L 1 Accuracy of Plans to Existing Conditions L 2 Knowledge of Inspector 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities 3 Applicability of Specifications L 4 Display Of Professionalism L 4 Accuracy of Plan Quantities L 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs L 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication u 2 Timliness of Contractor Payments L 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timefi•ame \ III)COMMENTS&SIGNATURES COMMENTS Signature Contractor / Signature DOE Inspector Signature DOE Inspector's SupervisorC INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS E The City of Fort Worth•1000 Throckmorton Street•Fort Words,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845