HomeMy WebLinkAboutContract 45520-FP1 uat
'o,e,;t Manager.' � W
isk Management ana �y ZTWORTH,,O.E. Brotherton r'SEcL �
FA Westerman/Scanned �����CiY � ��V -H steban Perez/Scanned
ie Proceeding people have been'Contacted
>ncerning the request for final payment& have 'ATIONAND PUBLIC WORKS 5(pC)o (--` DCOQ7a1 '
leased this project for such payment. jF PROJECT COMPLETION 0"so
City Project Ns: 7266
earance Conducted By f�/�Qi�rce/az`���v
Regarding contract 45520 for UTILITY CUT REPAIR CONTRACT 2013 as required by the
WATER DEPARTMENT as approved by City Council on 3/4/2014 through M&C C-26694 the director of the
WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works
Department has accepted the project as complete.
Original Contract Prices: D E C E O V $1,306,050.00
Amount of Approved Change Orders: NOV 18 2016 No
Revised Contract Amount: By $1,306,050.00
Total Cost Work Completed: $434,664.86
Less Deductions:
Liquidated Damages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed: $434,664.86
Less Previous Payments: $434,664.86
I
Final Payment Qpe $0.00
y ?
ecommT ded for Acceptance Date
Asst. Dirdctor, TPW - Infrastructure Design and Construction
---—��K /1 � —A—m- /C
Accepted Date
Asst. Director, WATER DEPARTMENT
Asst. City Manager Date
Comments: PE45-541200-060700183,PE45-541200-070700183
EMAILED 1 OFFICIAL REG'
CI-°Y SECRETARY
NOV 2 016 CT. Cp'THF TX
)VOUI -O&O-700
D ECC E (?,)<s 4b-�a0
City Project Numbers UC01-2013 NOV 18 2016 DOE Number 7266
Contract Name Utility Cut Repair Contract 2013 Estimate Number 19
Contract Limits By Payment Number 19
Project Type PAVING For Period Ending 7/29/2016
Project Funding
Project Manager Underwood City Secretary Contract Number 45520
Inspectors DICKINSON / WATSON Contract Date 3/4/2014
Contractor WESTHILL CONSTRUCTION,INC. Contract Time 365 CD
P.O.BOX 2016 Days Charged to Date 359 CD
CLEBURNE, TX 76031 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 $434,664.86
Less %Retained $0.00
Net Earned $434,664.87
Earned This Period $0.00
B.etainage 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 $434,664.87
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $0.00
Thursday,November 17,2016 Page 6 of 6
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name Utility Cut Repair Contract 2013
Contract Limits
Project Type PAVING
City Project Numbers UCO 1-2013
DOE Number 7266
Estimate Number 19 Payment Number 19 For Period Ending 7/29/2016
CD
City Secretary Contract Number 45520 Contract Time 366D
Contract Date 3/4/2014 Days Charged to Date 359
Project Manager Underwood Contract is 33.000 Complete
Contractor WESTHILL CONSTRUCTION,INC.
P.O.BOX 2016
CLEBURNE, TX 76031
Inspectors DICKINSON / WATSON
Thursday,November 17,2016 Page 1 of 6
City Project Numbers UC01-2013 DOE Number 7266
Contract Name Utility Cut Repair Contract 2013 Estimate Number 19
Contract Limits Payment Number 19
Project Type PAVING For Period Ending 7/29/2016
Project Funding
UNIT I-CUTS LESS THAN 200 SQUARE FT
Item Description of Items Estimated Estimated Completed Completed
No. Unit Unit Cost P
Quanity Total Quanity Total
4 11-inch Concrete Pavement
300 SY $90.00 $27,000.00 46.09 $4,148.10
5 Min.8-inch Concrete Base Material 3200 SY $37.00 $118,400.00 244.67 $9,052.79
6 Min.5-inch Reinforced Concrete Base 800 SY $72.00 $57,600.00
7 Brick Pavement Repair 150 SY $36.00 $5,400.00 32.54 $1,171.44
1 3-inch Asphalt Pavement,Type D 4000 SY $27.00 $108,000.00 239.45 $6,465.15
2 3-inch Asphalt Base,Type B 1200 SY $10.00 $12,000.00
3 -9-inch Concrete Pavement_- - - -- --700 SY -$76.50 $53,550.00 --48.62 $3,719.43
Sub-Total of Previous Unit $381,950.00 $24,556.91
UNIT If-CUTS GREATER THAN 200
Item Description of Items Estimated Estimated Com Completed
leted
No. P Unit Unit Cost P
_ Quanity Tota[ Quanity Total
8 3-inch Asphalt Pavement,Type D 4000 SY $13.50 $54,000.00 272.45 $3,678.08
9 3-inch Asphalt Base,Type B 1200 SY $13.50 $16,200.00
10 9-inch Concrete Pavement 700 SY $76.50 $53,550.00 206.14 $15,769.71
1 I 11-inch Concrete Pavement 300 SY $90.00 $27,000.00 479.44 $43,149.60
12 Min.8-inch Concrete Base Material 3200 SY $74.00 $236,800.00 303.95 $22,492.30
13 Min.5-inch Reinforced Concrete Base 800 SY $63.00 $50,400.00
14 Brick Pavement Repair 150 SY $54.00 $8,100.00
Sub-Total of Previous Unit $446,050.00 $85,089.69
UNIT III-CUTS GREATER THAN 1,000
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity
Total Quanity Total
15 3-inch Asphalt Pavement,Type D 3000 SY $20.00 $60,000.00 2418.33 $48,366.60
16 3-inch Asphalt Base,Type B 900 SY $10.00 $9,000.00 136.7 $1,367.00
17 9-inch Concrete Pavement 700 SY $81.00 $56,700.00
18 11-inch Concrete Pavement 300 SY $90.00 $27,000.00
19 Min.8-inch Concrete Base Material 2400 SY $66.00 $158,400.00 1612.23 $106,407.18
20 Min.5-inch Reinforced Concrete Base 600 SY $72.00 $43,200.00 806.1 $58,039.20
21 Brick Pavement Repair 150 SY $10.00 $1,500.00
Friday,July 29,2016 Page 2 of 6
City Project Numbers UCO1-2013 DOE Number 7266
Contract Name Utility Cut Repair Contract 2013 Estimate Number 19
Contract Limits Payment Number 19
Project Type PAVING For Period Ending 7/29/2016
Project Funding
Sub-Total of Previous Unit $355,800.00 $214,179.98
UNIT IV-ALL CUTS-ASPHALT
Item Completed
Description of Items Estimated Estimated Completed Com
No.
P Unit Unit Cost P p
-_ _____ _ Quanity Total Quanity Total
22 3-inch Asphalt Pavement,Type D 2000 SY $13.50 $27,000.00 8 $108.00
23 3-inch Asphalt Base,Type B 600 SY $13.50 $8,100.00
24 4-inch Asphalt Base,Type B 200 SY $13.50 $2,700.00
25 5-inch Asphalt Base,Type B 200 SY $28.00 $5,600.00
26 6-inch Asphalt Base,Type B 200 SY $28.00 $5,600.00
Sub-Total of Previous Unit $49,000.00 $108.00
UNIT V-ADDITIONAL ITEMS
Item Description of Items Estimated Estimated Com leted Com Icted
No. p Unit Unit Cost P p
____ _ Quanity Total Quanity Total
27 7-inch Concrete Curb and Gutter 400 LF $30.00 $12,000.00 423.5 $12,705.00
28 7-inch Concrete Curb and Gutter Atta 400 LF $10.00 $4,000.00
29 6-inch Reinforced Concrete Driveway 100 SF $10.00 $1,000.00 8399.25 $83,992.50
30 4-inch Reinforced Concrete Driveway 150 SF $6.00 $900.00 1540.5 $9,243.00
31 Topsoil 50 CY $18,00 $900.00 20 $360.00
32 Manhole Adjustment,Minor I EA $200.00 $200.00 3 $600.00
33 Miscellaneous Structure Adjustment, 1 EA $500.00 $500.00
34 Imported Embedment/Back-fill,Crush 50 CY $30.00 $1,500.00 1 $30.00
35 2-inch Asphalt Pavement,Type D,Par 50 SY $27.00 $1,350.00 27.77 $749.79
36 6-inch Lime Treatment 50 SY $10.00 $500.00
37 2-inch Asphalt Pavement,Type D,Dri 50 SY $80.00 $4,000.00
38 4-inch Flexible Base,Type A,Grade 75 SY $25.00 $1,875.00
39 6-inch Flexible Base,Type A,Grade 75 SY $30.00 $2,250.00
40 Class'A'Concrete(3,000#) 10 CY $200.00 $2,000.00
41 Repair Storm Drain Structures 5 CY $300.00 $1,500.00
42 Concrete Manhole Collar 1 EA $100.00 $100.00
43 Joint Sealing-Silicone 200 LF $2.00 $400.00
44 Relocate Water Meter and Box I EA $150.00 $150.00
45 Water Meter Adjustment 1 EA $100.00 $100.00 3 $300.00
Friday,July 29,2016 Page 3 of 6
City Project Numbers UCO1-2013
DOE Number 7266
Contract Name Utility Cut Repair Contract 2013 Estimate Number 19
Contract Limits Payment Number 19
Project Type PAVING For Period Ending 7/29/2016
Project Funding
46 Saw-cut Concrete Pavement 200 LF $2.00 $400.00
47 6-inch Concrete Pavement,High Early 150 SY $81.00 $12,150.00
48 Utility Adjustment 1 LS $1,000.00 $1,000.00
49 9-inch Concrete Valley Gutter,Resid 70 SY $63.00 $4.410.00
50 Raised Traffic Markers,All Types 20 EA $5.00 $100.00 50 $250.00
51 Pavement Marking,All Types 100 LF $3.00 $300.00
52 Concrete Riprap 30 SY $63.00 $1,890.00
53 Medium Stone Riprap,Dry 60 SY $30.00 $1,800.00
54 Large Stone Riprap,Dry 60 SY $40.00 $2,400.00
55 Concrete Retaining Wall 20 CY $300.00 $6,000.00
56 Street Use Permit 100 EA $75.00 $7,500.00
57 Traffic Control Plan Design and Inst 15 EA $5.00 $75.00
58 INLET BOX I EA $2,500.00 $2,500.00 1 $2,500.00
Sub-Total of Previous Unit $75,750.00 $110,730.29
Friday,July 29,2016 Page 4 of 6
City Project Numbers UCO1-2013
DOE Number 7266
Contract Name Utility Cut Repair Contract 2013 Estimate Number 19
Contract Limits Payment Number 19
Project Type PAVING For Period Ending 7/29/2016
Project Funding
Contract Information Summary
Original Contract Amount $1,306,050.00
Change Orders
^ Total Contract Price $1,308,550.00
Date 7 I Total Cost of Work Completed $434,664.86
Cofacto Less %Retained $0.00
/ Net Earned $434,664.87
ate 4
Inspection Supervisor Earned This Period $0.00
Retainage This Period $0.00
Date
Less Liquidated Damages
roject Mana�40b-'�kl
� I ' Days @ /Day $0.00
Date �— �'T�l LessPavement Deficiency $0.00
Asst.Directo PW-Infrastructure Design an/l/Ud Construction Less Penalty $0.00
l/ 6 Date / - Less Previous Payment $434,664.87
Director/Contracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $0.00
Friday,July 29,2016 Page 5 of 6
FORTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:19
NAME OF PROJECT: Utility Cut Repair Contract 2013
PROJECT NO.: UCO 1-2013 CONTRACTOR: Westhill Construction
DOE NO.: 7266
PERIOD FROM:05/29/14 TO: 07/28/16 FINAL INSPECTION DATE: 9-Jun-16
WORK ORDER EFFECTIVE:5/29/2014 CONTRACT TIME: 360 O WO* 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 0 0 0 394 0 394
PERIOD
PREVIOUS 0 0 0 30 359 399
PERIOD
TOTALS 0 0 0 424 359 793
TO DATE
*REMARKS:
CONT C DATE INSPECTOR DATE
ENGINEERING DEPARTIVlENT
The City of Fort Worth• 1000 Throckmorton Street•Fort'VVorth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
AFFIDAVIT
STATE OF Texas
COUNTY OF Johnson
Before me, the undersigned authority. a notary public in the state
and county aforesaid, on this day personally appeared Ted Reynolds,
President Of Westhill 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 wane 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
tD
property damages;
On Contract described as;
City of Fort Worth Utility Cut Repair C tract 2013 Original-DOE# 7266
BY
Ted Reynolds/President
Subscribed and sworn before me on this date 30 of August, 2016.
I�Tot!K�� +�`" ' MARILYN K. NEWBY
Notary ID 9191569-9
Y Co
County, State ��rrdulon
May 19,2020
SURETEC INSURANCE COMPANY
9737 Great Hills Trail, Suite 320, Austin, Tx 78759
OWNER ❑
CONSENT OF SURETY ARCHITECT El
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
BOND NO.: 5174040 OTHER ❑
TO OBLIGEE:
(Name and Address) CONTRACT FOR:
City of Fort Worth UC-01 2013
1000 Throckmorton Street
Fort Worth,TX 76102 13
PROJECT: CONTRACT DATED:
(Name and Address) 03/04/14
Utility Cut Repair Contract 2013
PRINCIPAL: Westhill Construction, Inc.
At the request of the Obligee and the Principal indicated above,(Insert name and address of Surety)
SureTec Insurance Company, 9737 Great Hills Trail, Suite 320, Austin, Tx 78759
on bond of SURETY,
(Insert name and address of Contractor) Westhill Construction,Inc.
P.O.Box 2016,Cleburne,TX 76031
,CONTRACTOR,
and conditioned on the representation by Obligee that all Contract provisions relating to the payment of final
payment under the Contract have been satisfied by Principal as of the date of final payment,and that no claims
by Obligee or any third party are known or believed by Obligee or its representatives to exist as of the date of
final payment,representations as to the truth and accuracy of the foregoing conditions being deemed to have
been made by Obligee in connection with this request for Consent of Surety,hereby approves of the final
payment to the Principal,and agrees that final payment in accordance with the terms hereof shall not relieve the
Surety of its obligations to
(Insert name and address of Obligee) City of Fort Worth
1000 Throckmorton Street,Fort Worth,TX 76102
,OBLIGEE,
as set forth in said Surety's bond.
IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: 05/26/2015
(Insert in writing the month followed by the numeric date and year.)
SureTec Insurance Company
(Sutrly)
S
(Signature of authorized representative)
Teresa Godsey
Attzst: ,Attorney-in-Fact
(Seat): (Printed name and title)
SURETEC CONSENT TO FINAL PAYMENT REV. 1.1.2004
POA#: 5174040
SureTec Insurance Company
LINIITED POWER OF ATTORNEY
Snow 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
Teresa Godsey
its true and lawful Attorney-in-fact,with fall 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:
Principal: Westhill Construction, Inc.
Obligee: City of Fort Worth
Amount: S 585,438.30
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 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 undertaking to which it is attached. (Adopted at a meeting held on 20"afApril,
1999.)
.1n Witness Whereof,SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seal
to be hereto affixed this 21 st day of March,A-D.2013.
SURETEC I OMPAMI
v� AAt�c °a
to q :�s By: _
w;w j John ox ,President
State of Texas ss:
County of Harris `p
On this 21st day of March,A.D.2013 before me personally came John Knox Jr.,to me known,who,being by me duly swom,did depose and say,that he
resides in Houston, Texas, that he is President of SURFTEC 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.
JACQUELYry ALDONADO J�f�
Nota Public J �_
State of Texas
My Comm.Exp.5/18/2017 .bac uel n Maldonado Nota Public
4 y �Notary
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 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 force and effect
Given under my hand and the seal of said Company at Houston,Texas this 26 day of_ M i 2015 ,A.D.
f
Brent Beaty,Assistant S cretary
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.
SureTec Insurance Company
THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION
Statutory Complaint Notice/Filing of Claims
To obtain information or make a complaint:You may call the Surety's toll free telephone number for information or to make a
complaint or file a claim 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
Web: http://www.tdi.state.tx.us
Email:ConsumerProtection@tdi.state.tx.us
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 Risks 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, Fungi & Environmental Hazards
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 for any environmental hazards, bio-hazards, hazardous materials, environmental
spills, contamination,or cleanup, nor the remediation thereof, nor the consequences to persons, property, or the
performance of the bonded obligations, of the occurrence, existence, or appearance thereof.
Texas Rider 06042014
SURETEC INSURANCE COMPANY
9737 Great Hills Trail, Suite 320, Austin, Tx 78759
OWNER ❑
CONSENT OF SURETY ARCHITECT El
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
❑
BOND NO.: 5174040 OTHER
TO OBLIGEE:
(Name and Address) CONTRACT FOR:
City of Fort Worth UC-01 2013
1000 Throckmorton Street
Fort Worth,TX 76102
PROJECT: CONTRACT DATED:
(Name and Address) 03/04/14
Utility Cut Repair Contract 2013
PRINCIPAL. Westhill Construction, Inc.
At the request of the Obligee and the Principal indicated above,(Insert name and address of Surety)
SureTec Insurance Company, 9737 Great Hills Trail, Suite 320, Austin, Tx 78759
on bond of SURETY,
(Insert name and address of Contractor) Westhill Construction,Inc.
P.O.Box 2016,Cleburne,TX 76031
,CONTRACTOR,
and conditioned on the representation by Obligee that all Contract provisions relating to the payment of final
payment under the Contract have been satisfied by Principal as of the date of final payment,and that no claims
by Obligee or any third party are known or believed by Obligee or its representatives to exist as of the date of
final payment,representations as to the truth and accuracy of the foregoing conditions being deemed to have
been made by Obligee in connection with this request for Consent of Surety,hereby approves of the final
payment to the Principal,and agrees that final payment in accordance with the terms hereof shall not relieve the
Surety of its obligations to
(Insert name and address of Obligee) City of Fort Worth
1000 Throckmorton Street,Fort Worth,TX 76102
,
as set forth in said Surety's bond. OBLIGEE,
IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: 05/26/2015
(Insert in writing the month followed by the numeric date andyear.)
SureTec Insurance Company
(Surfty)
J
(Signature of authorized representative)
Teresa Godsey
Attest: ,Attorney-in-Fact
(Seal): (Printed name and title)
SUREVEC CONSENT TO FINAL PAYMENT REV. 1.1.2004
POA#. 5174040
SureTec Insurance Company
LIMITED 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
Teresa Godsey
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:
Principal: Westhill Construction, Inc.
Obligee: City of Fort Worth
Amount: $ 585,438.30
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 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 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 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 undertaking to which it is attached. (Adopted at a meeting held an 2e of April,
1999.)
.In Witness Whereof,SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seat
to be hereto affixed this 21st day of March,A.D.2013.
SURETEC OMPANY
'•
w;U1 t D- John oa ,President
State of Texas ss: 7 , Ya
County of Harris `t' ••
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° `v JACQUELYN MALDONADO 7
Notary Public
State of Texas
My Comm,Exp.5118/2017 Jacquelyn 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 Company,which is stiff 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 26 day of Mw 2015 ,A.D.
i
Brent Beaty,Assistant S cretary
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 V13)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/Filing of Claims
To obtain information or make a complaint:You may call the Surety's toll free telephone number for information or to make a
complaint or file a claim 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
Web:htto://www.tdi.state.tx.us
Email:ConsumerProtection@tdi.state.tx.us
PREMIUM OR CLAIN4 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 Risks 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, Fungi & Environmental Hazards
The Bond to which this Rider is attached does not provide coverage for, and the surety thereon shall not be
Iiable for, molds, living or dead fungi, bacteria, allergens, histamines, spores, hyphae, or mycotoxins, or their
related products or parts, nor for any environmental hazards, bio-hazards,hazardous materials, environmental
spills, contamination,or cleanup, nor the remediation thereof, nor the consequences to persons, property, or the
performance of the bonded obligations, of the occurrence, existence, or appearance thereof.
Texas Rider 06042014
FORTWORTHREV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
1) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Westhill Construction Utility Cut Repair Contract 2013
DOE Inspector DOE Number
Donald Watson 7266
DOE Inspector Project Manager
❑ water❑ waste Water❑ Storm Drainages Pavement John Underwood
Initial Contract Amount Project Dculty
$500,000.00 O Simple QQ Routine Q Complex
Final Contract Amount Date
$434,664.86 11/3/2016
I1)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 3 8 6
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 3 60 45
7 Job Site Safety 15 Y 3 60 45
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 3 20 15
12 After Hours Response 5 Y 4 20 20
13 Project Completion 5 Y 3 20 15
TOTAL ELEMENT SCORE(A) 406
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 406
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating(ITS/MS] x 100%) 406 / 448 = 91%
Performance Category Excellent
<20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >_80%=Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature DOE Inspector S igrMture Contractor
Signature DOE Inspector's Supervisor
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
� '' The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,'fX 76012-6311
(817)392-7941 •Fax: (817) 392-7845
FORTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
n PROJECT INFORMATION Date: 11/3/2016
Name of Contractor Project Name
Westhill Construction Utility Cut Repair Contract 2013
DOE Inspector Project Alanager
Donald Watson John Underwood
DOE Number Project Dculty Type of Contract
7266 Q Simple Q Routine Q Complex [] Water[] wasteWaterO Storm DrainageE] Pavement
Initial Contract Amount Final Contract Amount
$500,000.00 $434,664.86
II)PERFORMANCE EVALUATION
0-Inadequate I -Deficient 2-Standard 3 -Good 4-Excellent
ELEMENT RATING ELEMENT RATING
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 13 Applicability of Specifications
4 Display Of Professionalism 1 14 Accuracy of Plan Quantities
5 Citizen Complaint Resolution I PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availability of Project Manager
1 Change Order Processing Time 3 Communication
2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con Meeting Timeframe
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor LL
Signature DOE Inspector
Signature DOE Inspector's SupervisorA � e
INSPECTOR'S COMMENTS
_ TRANSPORTATION AND PUBLIC WORKS
The City of Fort North• 1000 Throckmorton Street•Fort Worth,TK 76012-6311
(817)392-7941 •Fax: (817)392-7845
Kennedy, Shameka
From: McLeroy, Nikki
Sent: Tuesday, November 15, 2016 12:00 PM
To: Kennedy, Shameka
Subject: DOE 7266- Utility Cut repair Contract 2013
Shameka,
I am sending this back to you by Interoffice mail . There are a couple of
pages that I have marked with paper clips that need to be redone because
they say that this is a renewal and this is actually the original . Only
these two pages need to be corrected and replaced. Once that is done they
can be returned and the Final Pay completed .
Thank you ,
Nikki McLeroy
TPW - IPRC Office
817-392-8363
How am I doing? P7ease contact my supervisor at:
Mike.Domenech @Fort Worth Texas.gov