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Home My WebLink AboutContract 46685-FP1 Depart e to TPW Const.Services CPN# - Date / Project Manager Risk Management S. Canady RT WO RT H, c+ sE(; D.O.E. Brotherton �� Water Dept. Esteban Perez _ CFAWest man/Scanned 'ATION AND PUBLIC WORKS � The ce i❑ ople have been Contacted concerning the request F PROJECT COMPLETION for final payment&have released this project for such payment. Developer Projects) DOF 735 Clearance Conducted B Etta Bac City Project Ns: 02409 -- - C-5 X/51�$. Regarding contract 117356 for CHAMPION CIRCLE TANGER BLVD/BUCEES BLVD 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 Director of the Transportation&Public Works Department has accepted the project as complete. pLC� C �ML Original Contract Price: DEC O 2 Z��6 $414,625.55 Amount of Approved Change Orders: $63,691.80 Ns 1 a BY Revised Contract Amount: $478,317.35 Total Cost Work Completed: $478,317.35 w Recommen ed or Acceptance Date Asst. Direct r, PW - Infrastructure Design and Construction Accepted Date Asst. Director, WATER DEPARTMENT Asst. City Manager Date OFFICIAL RECORD Comments: P265-6071502409 / P275-7071302409 CITY SECRETARY ,_�T WORTH,TX RMI& DEC A 201 Rev.9/22/16 pI� C� L� OMf� DEC 02 2016 �Y%6�)-Cb c?t46q City Project Numbers 02409 By DOE Number 7356 Contract Name CHAMPION CIRCLE TANGER BLVD/BUCEES BOULEVARD Estimate Number l Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 9/29/2016 Project Funding Project Manager Ehia City Secretary Contract Number 117356 Inspectors RODGERS / TAEZAZ Contract Date 7/23/2015 Contractor SCOT I'DENNETT CONSTRUCTION,INC. Contract Time 150 CD 2808 W.7TH ST.,#B Days Charged to Date 408 CD FORT WORTH, TX 76107 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 $478,317.35 Less %Retained $0.00 Net Earned $478,317.35 Earned This Period $478,317.35 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 $478,317.35 Monday,October 31,2016 Page 5 of 5 ��s- 0 a X109 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name CHAMPION CIRCLE TANGER BLVD/BUCEES BOULEVARD Contract Limits Project Type WATER&SEWER City Project Numbers 02409 DOE Number 7356 Estimate Number 1 Payment Number 1 For Period Ending 9/29/2016 CD City Secretary Contract Number 117356 Contract Time 15CD Contract Date 7/23/2015 Days Charged to Date 408 Project Manager Ehia Contract is 100.00 Complete Contractor SCOTT DENNETT CONSTRUCTION,INC. 2808 W.7TH ST.,#B FORT WORTH, TX 76107 Inspectors RODGERS / TAEZAZ Monday,October 31,2016 Page 1 of 5 City Project Numbers 02409 DOE Number 7356 Contract Name CHAMPION CIRCLE TANGER BLVD/BUCEES BOULEVARD Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 9/29/2016 Project Funding UNIT I:WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 4-INCH PVC WATERLINE 10 LF $14.05 $140.50 10 $140.50 2 6-INCH PVC WATERLINE 5 LF $16.10 $80.50 5 $80.50 3 12-INCH PVC WATERLINE(CO#1) 1871 LF $42.87 $80,209.77 1871 $80,209.77 4 24-INCH CONCRETE WATERLINE 64 LF $308.50 $19,744.00 64 $19,744.00 5 DUCTILE IRON WATER FITTINGS WITH 3 TN $5,810.00 $17,430.00 3 $17,430.00 RESTRAINT 6 C303 FITTINGS 1 LS $12,230.00 $12,230.00 1 $12,230.00 7 4-INCH VALVE I EA $625.00 $625.00 1 $625.00 8 6-INCH VALVE 6 EA $1,116.00 $6,696.00 6 $6,696.00 9 I2-INCH VALVE(CO#1) 11 EA $2,692.00 $29,612.00 11 $29,612.00 10 24X12 TAPPING SLEEVE AND VALVE 2 EA $18,322.00 $36,644.00 2 $36,644.00 11 4-INCH WATER METER VAULT I FA $12,550.00 $12,550.00 1 $12,550,00 12 6-INCH WATER METER VAULT I EA $23,572,00 $23,572.00 1 $23,572.00 13 CONNECT TO EXISTING WATER LINE(CO#1) 3 EA $19,I67.00 $57,501.00 3 $57,501.00 14 24-INCH WATERLINE LOWERING I EA $39,621.00 $39,621.00 1 $39,621.00 15 12-INCH WATERLINE LOWERING 2 EA $5,454.00 $10,908.00 2 $10,908.00 16 RELOCATE EXISTING BLOWOFF VALVE 1 EA $5,230.00 $5,230.00 1 $5,230.00 17 FIRE HYDRANT ASSEMBLY 5 EA $3,790.00 $18,950.00 5 $18,950.00 18 CSS BACKFILL 100 LF $55.24 $5,524.00 100 $5,524.00 19 TRENCH SAFETY l LS $5,456.00 $5,456.00 1 $57456.00 20 CONNECT TO EXISTING 16"WATER LINE(CO I EA $16,300.00 $16,300.00 1 $16,300.00 #1) 21 TRENCH SAFETY(CO#1) 20 LF $1.52 $30.40 20 $30.40 22 RELOCATE&CHANGE FITTING FOR WATER 2 EA $6,316.00 $12,632.00 2 $12,632.00 METER VAULT(CO#1) Sub-Total of Previous Unit $411,686.17 $411,686.17 UNIT II:SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total - -- -- - - — --- - ------- I 6-INCH PVC PIPE 21 LF $14.10 $296.10 21 $296.10 2 8-INCH PVC PIPE 616 LF $15.73 $9,689.68 616 $9,689.68 Monday,October 31,2016 Page 2 of 5 City Project Numbers 02409 DOE Number 7356 Contract Name CHAMPION CIRCLE TANGER BLVD/BUCEES BOULEVARD Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 9/29/20I6 Project Funding 3 ADDITIONAL LINE DEPTH(1 LF PER VF) 2040 VF $1.69 $3,447.60 2040 $3,447.60 4 4-FOOT DIAMETER MANHOLE(CO#1) 4 EA $4,810.00 $19,240.00 4 $19,240.00 5 5-FOOT DIAMETER DROP MANHOLE 1 EA $16,293.00 $16,293.00 1 $16,293.00 6 ADDITIONAL DEPTH MANHOLE(>6 FT)(CO#1) 45 VF $308.00 $13,860.00 45 $13,860.00 7 CONNECT TO EXISTING WASTEWATER 1 EA $1,461.00 $1,461.00 1 $1,461.00 8 TRENCH SAFETY 637 LF $1.08 $687.96 637 $687.96 9 TESTING(EXCLUDING GEOTECH) 637 LF $1.32 $840.84 637 $840.84 10 CONSTRUCT NEW MH BASE FOR MN @0400 1 EA $815.00 $815.00 1 $815.00 (CO#1) Sub-Total of Previous Unit $66,631.18 $66,631.18 Monday,October 31,2016 Page 3 of 5 City Project Numbers 02409 DOE Number 7356 Contract Name CHAMPION CIRCLE TANGER BLVD/BUCEES BOULEVARD Estimate Number i Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 9/29/2016 Project Funding Contract Information Summary Original Contract Amount $414,625.55 Change Orders Change Order Number 1 $84,767.80 Change Order Number 2 ($21,076.00) / Total Contract Price $478,317.35 ✓ Date /l Total Cost of Work Completed $478,317.35 nLess %Retained $0.00 tr gDater( ?J 26((, Net Earned $478,317.35 Inspection Su err' r Earned This Period $478,317.35 Retainage This Period $0.00 Pro;e Manager Date�Z—2'r l � Less Liquidated Damages Days @ /Day $0.00 Date LessPavement Deficiency $0.00 Asst. i etor/TPPW-Jxifrastructure Design and Construction Less Penalty $0.00 `Z Date /?- F—A Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $478,317.35 Monday,October 31,2016 Page 4 of 5 DEVELOPER-AWARDED-PROJECT CHANGE ORDER PROJECT NAME: Champions Circle Tan er Blvd.S Outlet Blvd., 1=? G S I",1Ir iJ CONTRACT: Water.Sevier. Pavin Drainage &Slreel Li hls CHANGE CFA# ORDER No: 2014.071 CITY PROJECT 2gpg CITY PARTICIPATION: NO # DOE# 7356 TPW 7392 W/SS WATER PROJECT# P265-6071502409-00 SEWER PROJECT# P275-7071302409-00 FILE# K-2335 INSPECTOR: Rudy Meddellin Phone No: 214-223-3503 PROJECT MANAGER: Fred Ehia Phone No: 817-392-8424 CONTRACT UNIT WATER SEWER PAVING DRAINAGE STREETLIGHTS CONTRACT Davelopor Developer Dovelopor Developer Developer DAYS Cost Ci Cost Cost Ci Cost Cost City Cost Cost City Cost Cost Cit Cost ORIGINAL CONTRACT $334,203.17 $46,697.18 $693,933.98 5831.476.96 EXTRAS 70 DATE 5102,970.00 149 CREDITS TO DATE CONTRACT TO DATE $334,203.17 S0.00 $46,697.18 MOD $693,933.96 $0.00 3831.476.96 $0.00 5102,970.00 $0.00 149 AMOUNT OF PROP.CHANGE ORDER $ 76,446.80 $ 9,321.00 0 REVISED CONTRACTAMOUNT $409,649.97 $0.00 $55,918.18 30.00 $693,933,96 $0.00 $831,476.96 $0.00 5102,970,00 $0.00 149 TOTAL REVISED CONTRACT AMOUNT PER UNIT $409,649.97 $56,918.18 369J,933.90 $831,476.96 $102,970.00 REVISED COST SHARE Dev.Cost: $2,093,948.09 City Cost: $0.00 TOTAL REVISED CONTRACT $2,093,948.09 Revised:10-12-2011 Page 1 You are directed to make the follovAno otitan es in the contract documents CITY 810 ITEM PAY ITEM ff ff GUMMY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL 3739.1001 1 EA 4'DIAMETER MANHOLE S 4,810.00--S 4,810.00 12 VF ADDITIONAL Mai DEPTH>6' S 308.00—S 3.6-MOO 1 EA CONSTRUCT NEW Udi BASE FOR MH 0+00 S 815.00--$ 015,00 3311.0461 20 LF 121N PVC WATERLINE V S 42.87--S 857.40 3312.3005 2 EA 12 IN GATE VALVE&BOX ✓ S 2,692.00 -5 5.364.00 3312.0106 1 EA CONNECT TO EXISTING 24 IN WATERLINE S J9.167.00- S 19.107.00 3312.0108 1 EA CONNECT TO EXISTING 161N WATERLINE S 16,300.00 -S 16.300.00 3305.0109 20 LF TRENCH SAFETY S 1.52 -S 30.40 2 EA RELC'CATE AND CHANGE FITTINGS FOR WATER METER VAULT S 6.310.00 •S 12.632.00 80 LF INSTALL 6"CONDUIT FOR ONCOR LOWERING S 103.45 S 8.276.CO 8o LF INSTALL 4"CONDUIT FOR AT&T LOWERING S 64.00 S 5,120.00 120 LF INSTALL ADDITIONAL 4'CONDUIT FOR AT&T LONVERiNG S 64.00 1 S 7,880.00 Totnl S 84.767.80 REASONS FOR CHANGE ORDER Record Drawings for"sting'/VTR and 4VW lines were incorrect,so an eddilional MH had to be constructed to connect to the existing MV Zine. Walervaults to serve Buceas were moved so that they fit within the valer easement. Ring connection required to maintain water service to Northlake N%tile the tvaledine lovnmring forChantptons Circle Is being completed. 24-inch WTR line lavering required lowering of existing AT&T&Oncor utilities Nola:After shop dravdngs are approved Hanson needs three weeks to fabricate saddles and then anolherweek to scheudle the installation.This%%ill delay the waterline lowering Witch Is currently scheduled to start cn Feb 25th by approximately six to seven RECOMMENDED: APPROVED: APPROVED' Bury-OM.Inc.T/'i� Roanoke 351.114 Partners,L.P. r Scott Dennett oM� ow �1 - �` B BX - V Name: David Pitcher Name: Name: Moot-4- Title: Engineering Associate Title: Tithe, • Gl.M066ff�.0� ! Revised:10.12.2011 Page 2 DEVELOPER-AWARDED-PROJECT CHANGE ORDER PROJECT NAME: Champions Circle Tan erBlvd.B Bucees Blvd. CHANGE CONTRACT: Water Sewer Paving,Drainage,8 Street Li hts ORDER No: CFA# 2014.071 CITY PARTICIPATION: NO CITY PROJECT# 2409 DOE 4 7356 TPW 7392 WISS WATER PROJECT# P265-6071502409-00 2 SEWER PROJECT P275-7071302409.00 FILE# K-2335 INSPECTOR: Hable Taezaz Phone No: 214-223.5635 PROJECT MANAGER: Fred Ehla Phone No: 817-392.8424 CONTRACT UNIT WATER SEWER PAVING DRAINAGE STREETLIGHTS CONTRACT Doveloper Developor DeveloperDavOlopor Davoopar DAYS Cost Ci Cost Cost CI Coit Cost CI Coet Cost CI COSI COO City COSI ORIGINAL CONTRACT $334,203.17 $46,697.18 $693,933.98 $631476,96 $102,970.00 149 EXTRAS TO DATE $ 75 446.00 $ 9,321.00 CREDITS TO DATE CONTRACTTODATE 3409.649.97 30.00 $56,918.16 $0,00 $693,933.90 $0.00 $831.416.96 $0.00 3102,970.00 $0.00 149 AMOUNT OF PROP.CHANGE ORDER "il 1 $ 31,910.20 p REVISED CONTRACT AMOUNT $388,673.97 1 40.00 $55,918.18 1 $0.00 $726,844.18 1 $0.00 $831,476,96 $0,00 $102,970.00 50.00 149 TOTAL REVISED CONTRACTAMOUNT PERUNIT $388673.97 $5$918.18 $726,844.18 $831,475.96 $102,970.00 REVISED COST SHARE Dev.Cost: $2,104,782.29 City Cost: $0.00 TOTAL REVISED CONTRACT $2,104,782.29 Revised:10-12-2011 Page 1 i You are directed to make the followingthan es in the contract documents: CITY BID ITEM PAYITEMq U QUANTITY UNIT fTEM DESCRIPTION UNIT PRICE TOTAL 80 LF INSTALL 6'CONDUIT FOR ONCOR LOWERING SO !F INSTALL 4"CONDUIT FOR AM[LOWS 84.00 551120ERING S 103.45 $ 820.00 120 LF .00 INSTALL ADDITIONAL 4"CONDUIT FOR AT6T LOWERING 5 84.00 S 680.00 3213.0103 844 SY PCR 12 ADDITIONAL PAVING 5 49.55 S 31 910.20 Total S 10,834,20 REASONS FOR CHANGE ORDER 2 Drive Approaches added for access to Sucees Franchise Conduit cost vras Included in the water costs Of Change Order No.1.It has been removed from this change order. RECOMMENDED: APPROVED; APPROVED: Slor ccrCdhi suldngg Services,Inc. Roanoke 35/114 Partners,L.P. Scott Dennelt Construction,LC 6y. By. By. Dge+y.k+�d ny sn�wn rsoo�o /1 � ghawn Mon[eE--O ` nna0wn,w�7lon.�om, Name: David Pilcher Name: �•�w��r' . �fjli Name: o-Dom�eu�Caa.weloa.cN=snawn Jew M— TIee:Civil Deslaner Tlde: _ 1-,hN� R..,-!lh—.V—d W,d—mmi T1118: Dela'2016 10 25 16:38:75-0500' Revised:10.12.2011 Paye 2 CONSENT OF SURETY OWNER ❑ ARCHITECT TO FINAL PAYMENT CONTRACTOR p❑ SURETY Conforms with the American Institute ofArchltects G707 form OTHER Bond No: PB11509800717 TO OWNER: ARCHITECT'S PROJECT NO.: 14157 (Name and address) City Of Fort Worth 9 P CONTRACT FOR: Utilities and Paving Improvements 1000 Throckmorton Street Fort Worth, TX 76102 PROJECT: CONTRACT DATED: 7/21/2015 (Name and address) CFA Number 2014-071; Utilities and Paving Improvements at Champions Circle Addition, Tanger Blvd & Bucees Blvd In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Philadelphia Indemnity Insurance Company One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004 ,SURETY on bond of (Insert name and address of Contractor) SCOTT DENNETT CONSTRUCTION, LC 2313 Cullen Street Fort Worth, TX 76107 ,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 (Insert name and address of Owner) City Of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102 OWNER as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: July 21, 2016 (Insert in writing the month followed by the numeric date and year.) Philadelohia Indemnity Insurance Company (Surety) (Signature of authorized representative) Attest: Fred A.Thetford, III.Attorney-in-fact (Seal): (Printed name and title) 3551 PHILADELPHIA INDEMNITY INSURANCE COMPANY Bond No: PB11509800717 One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMiNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the taws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Jared Young,Fred A.Thetford,Jr.,Tobin Tucker,Tom Young and Fred A.Thetford,III of Contract Bond Agency,LLC., its true and lawful Attorney-in-fact with full authority to execute on its behalfbonds,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 S25,000,000.00 This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY at a meeting duly called the I"day of July,2011. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company to: (l)Appoint Attomey(s) in Fact and authorize the Attorney(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 seal of the Company thereto; and (2) to remove, at any time, any such Attorney-in-Pact and revoke the authority given. And,be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with the respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF,PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS IOTn DAY OF JUNE 2013. 41ti' -- —C (Seal) Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 10`s day of June 2013,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY;that the seal affixed to said instrument is the Corporate seal of said Company;that the said Corporate Seal and his signature were duly affixed. COMMONWEALTH OF PENNSYLVANIA Natartei sel Kimberly A � Pubic lowwHer Tnrp.MmAgaftely Courgy My CmLLEbeDec LO,zoroM MEMMP.Pff.MYAVM ASSOOAI CN Of NOTI Notary Public: residing at: Bala Cynwyd,PA (Notary Seal) My commission expires: December 18,2016 I,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do herby certify that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto on this I P day of June 2013 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 Attomey the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Whereof I have eubscribed my name and axed the facsimile seal of each Company this 21 gtday of July 2016. r Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY 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 Shawn Moore, Senior PM Of Dennett Construction, 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; Champion Circle Phase Two Buc-ee's er BY Shawn Moore Subscribed and sworn before me on this date 20th of July, 2016. L' A ,%ac Notary Public Tarrant County, Texas CARRIE A. MOORE Notary Public.state of Texas -Z Comm.Expires 01.28-2020 '�r°a``V Notary 10 126391028 A @- --A1A TM Document G706A - 1994 Contractor's Affidavit of Release of Liens PROJECT: (Name and address) ARCHITECT'S PROJECT OWNER: Champions Circle Addition, NUMBER: ARCHITECT:El Tanger Blvd.&Bucees Blvd. CONTRACTOR:❑ Fort Worth,TX CONTRACT FOR:Utilities and Paving SURETY:❑ Improvements TO OWNER: (Name and address) CONTRACT DATED:07/23/2015 OTHER:❑ Roanoke 35/114 Partners,LP 201 Main Street,Suite 3100 Fort Worth,TX 76102 STATE OF:Texas COUNTY OF:Tarrant The undersigned hereby certifies that to the best of the undersigned's knowledge,information and belief,except as listed below,the Releases or Waivers of Lien attached hereto include the Contractor,all Subcontractors,all suppliers of materials and equipment,and all performers of Work,labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS: Draw 12,dated 07/11/2016,in the amount of$25,038.00 Draw 13,dated 07/11/2016,in the amount of$267,224.73 (10%Retainage) SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address) 1. Contractor's Release or Waiver of Liens, Scott Dennett Construction,LC conditional upon receipt of final payment. 2313 Cullen Street Fort Worth,TX 76107 2. Separate Releases or Waivers of Liens from BY: �c Subcontractors and material and equipment ( gnature of authorize suppliers,to the extent required by the Owner, presentative) accompanied by a list thereof. Janelle McElyea,Accounting Manager (Printed name and title) l Subscribed and sworn to before me on this date: Notary Public: Came A.Moore &- 0 • My Commission Expires:01/28/2020 CARRIE A. MOORE _:;,� •1.?Notary Public.State of iexos Comm.Expires 01-28-2020 Notary 10 126391028 AIA Document G706ATM—1994.Copyright 0 1982 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA®Document,or any portion of It,may 1 result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 14:24:15 on 07/20/2016 under Order No.4633997170-1 which expires on 08/18/2016,and Is not for resale. User Notes: (1667919448) Scott Dennett Construction, LC Phone: 817 882-9420 C(CDONS RVCiION ( ) 2313 Cullen Street Fort Worth,TX 76107 Fax:(817) 882-9424 Waiver and Release of Lien FROM: Scott Dennett Construction, LC TO: Roanoke 35/114 Partners, L.P. 2313 Cullen Street 201 Main Street, Suite 3100 Fort Worth,TX 76107 Fort Worth,TX 76102 Project No: 14157 Contract Date: 07/30/2015 Project: 14157 Bucees Blvd WHEREAS THE UNDERSIGNED contractor has provided labor,services, materials, or equipment for the above project, under an agreement with: Roanoke 35/114 Partners, L.P. PARTIAL WAIVER AND RELEASE: In consideration of partial payment for labor,services, materials, or equipment provided in the amount of:$25,038.00 COVERING THE FOLLOWING APPLICATION FOR PAYMENT: Application No:12 Application Date:07/11/2016 Together with any previous payment(s) already received but excluding any retainage or any labor,services, materials, or equipment provided after the date of:07/11/2016 THE UNDERSIGNED DOES HEREBY WAIVE AND RELEASE all bond claims, liens, claims, or right of claim, or right of lien,statutory or otherwise,against the property, project,Owner,or any other person or entity who is or may be claimed to be liable, or any sureties,for labor, services, materials, or equipment,as provided by the Undersigned,but only to the extent of payment received, as indicated above. UNCONDITIONAL RELEASE: Upon receipt of payments as indicated above the undersigned will grant this release unconditionally. THE PERSON SIGNING below does hereby certify that State of:TX he/she is fully authorized and empowered to execute County of:Tarrant this instrument and to bind the Undersigned hereto, and does in fact so execute this instrument. Subscribed and sworn to before me this: July 19, 2016 Scott Dennett Construction, LC 2313 Cullen Street Notary Public: Fort Worth,TX 76107 Janelle McElyea w�tf'jfled My Commission Expires: _ STATE' OF TX -- Shawn Moore August 21,2018 NOTARY Agent of Scott Dennett Construction, LC ` .PUBLIC,` Date: July 11,2016 4:24 PM This document has been digitally signed, notarized,verified and a record log maintained by third party internet hosting service as per the Electronic Records and Signatures in Commerce Act. Page 414 l'OScott Dennett Construction, LC DPhone: (817) 882-9420 C.IE NNE TT CONSTRUCTION 2313 Cullen Street Fort Worth,TX 76107 Fax: (817)882-9424 Final Waiver and Release of Lien FROM: Scott Dennett Construction, LC TO: Roanoke 35/114 Partners, L.P. 2313 Cullen Street 201 Main Street, Suite 3100 Fort Worth, TX 76107 Fort Worth,TX 76102 Project No: 14157 Contract Date: 07/30/2015 Project: 14157 Bucees Blvd WHEREAS THE UNDERSIGNED contractor has provided labor,services, materials, or equipment for the above project, under an agreement with: Roanoke 35/114 Partners, L.P. FINAL WAIVER AND RELEASE: In consideration of final payment for labor, services, materials, or equipment provided in the amount of$267,224.73 on a total contract amount of$2,672,247.26 COVERING THE FOLLOWING APPLICATION FOR PAYMENT: Application No: 13 Application Date:07/11/2016 Together with any previous payment(s) already received. THE UNDERSIGNED DOES HEREBY WAIVE AND RELEASE all bond claims,liens,claims, or right of claim, or right of lien,statutory or otherwise, against the property,project,Owner, or any other person or entity who is or may be claimed to be liable, or any sureties, for labor,services, materials, or equipment, as provided by the Undersigned,but only to the extent of payment received, as indicated above. UNCONDITIONAL RELEASE: Upon receipt of payments as indicated above the undersigned will grant this release unconditionally. THE PERSON SIGNING below does hereby certify that State of:TX he/she is fully authorized and empowered to execute County of:Tarrant this instrument and to bind the Undersigned hereto, and does in fact so execute this instrument. Subscribed and sworn to before me this: Scott Dennett Construction, LC July 19 2016 2313 Cullen Street Notary Public: Fort Worth,TX 76107 Janelle McElyea Vet]fi9,d�–� My Commission Expires _ = STATE Shawn Moore August 21 2018 _" OF TX Agent of Scott Dennett Construction, LC — NOTARY; PUBLIC, Date: July 11, 20164:26 PM This document has been digitally signed, notarized,verified and a record log maintained by third party internet hosting service as per the Electronic Records and Signatures in Commerce Act. Page 414 Roanoke 35/114 Partners,L.P. 201 Main Street,Suite 3100 Fort Worth, Texas 76102 July 15,2016 Scott Dennett Construction,L.C. 2313 Cullen Street Fort Worth,Texas 76107 Attention: Shawn Moore Re: Construction Agreement (Infrastructure) ("Agreement") between Roanoke 35/114 Partners, L.P., a Texas limited partnership ("Owner") and Scott Dennett Construction, L.C., a Texas limited liability company ("Contractor') for the construction of Bucees Boulevard and Tanger Boulevard at Owner's Champions Circle development in Denton County,Texas Dear Mr.Moore: As you requested, this letter confirms that the above-referenced Agreement between Owner and Contractor does not contain a liquidated damages provision and does not provide for liquidated damages in the event of Contractor's default. If you have any questions concerning this matter,please do not hesitate to contact me. Very truly yours, Roanoke 35/114 Partners,L.P., a Texas limited partnership By: Roanoke 35/114 Genpar,LLC, a Texas limited liability company, its general partner By: am V.Boecker,Vice President cc: Ken Ebeling(via e-mail) FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Champions Circle Tanger Blvd.&Bucees Blvd. PROJECT NUMBER: 2409 DOE NUMBER: 7356 WATER PIPE LAID SIZE TYPE OF PIPE LF Water 4" PVC 10 Water 6" PVC 5 Water 12" PVC 1871 Water 24" Concrete Water line 64 FIRE HYDRANTS: 5 VALVES(16"OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF Sanitary Sewer 6" PVC 21 Sanitary Sewer 8" PVC 616 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: 9/29/2016 Name of Contractor Project Name Scott Denntt Construction L.C. Champions Circle Tanger Blvd.&Bucees Blvd. DOE Inspector Project Manager !Habte Taezaz Fred Ehia jDOE Number Project Difficulty Type of Contract j7356 O Simple (§) Routine O Complex i D Water R]waste Water ❑Storm Drainage ❑ Pavement jInitial Contract Amount rFinal Contract Amount 1$414,625.55 1$478,317.35 Il)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 14 Accuracy of Plan Quantities j 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Seton up Valve Crews,Labs _ 1 Knowled e 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 111)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS < ' The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TK 76012-6311 (817)392-7941 -Fax: (817)392-7845 FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Scott Dennett Construction L.0 Champions Circle Tanger Blvd.&Bucees Blvd. DOE Inspector DOE Number Habte Taezaz 7356 DOE Inspector Project Manager Q Water E Waste Water ❑Storm Drainage ❑ Pavement Fred Ehia Initial Contract Amount Project Difficulty $414,625.55 O Simple QQ Routine Q Complex Final Contract Amount Date $478,317.35 9/29/2016 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 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 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) 426 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 426 II1)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS]*100%) 426 / 448 = 95% 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 £J,�2 /�k Signature Contract0 Signature DOE Inspector's Supervisor CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 FORTWORTH rev 03/05/07 TRANSPORTATION&PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: Champions Circle Tanger Blvd.&Bucees Blvd. PROJECT NO.: 2409 CONTRACTOR: Scott Dennett Construction DOE NO.: 7356 PERIOD FROM:08/19/15 TO: 09/29/16 FINAL INSPECTION DATE: 29-Sep-16 WORK ORDER EFFECTIVE:8/19/2015 CONTRACT TIME: 150 Q WD QQ CD DAYS DAYS DAY OF REASON FOR DAYS DAY OF 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. S. 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 408 408 PREVIOUS PERIOD TOTALS TO DATE 1408 1408 *REMARKS: L b - ,�-.� 6 101lc , 14 CO Toile- DATE INSPECTOR DATE ENGINEERING DEPARTMENT The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845