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HomeMy WebLinkAboutContract 46685-FP2 Depart e o TPW Const. Services CPN#�2 Dat Project Manager Risk Management. Canady ! RT WORTH. ciTy www D.O.E. Brothertont7NTRaC Water Dept. Esteban Pere ' CFA W s man/Scanned ATION AND PUBLIC WORKS The P ceding people have been Contacted conceroing the request Jr PROJECT COMPLETION for final payment&have released this project for such payment. (Developer Projects) Clearance Conducted By Etta Bac /1 r �1C� /211 rf ll/-City Project Ns: 02409 QS-# 51G686' Regarding contract 117356 for CHAMPION CIRCLE TANGER BLVD/BUCEES BLVD as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on N/A through 1Vf&C N/A the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Price: $1,545,512.01 Amount of Approved Change Orders: $31,910.20 Ns 1 Revised Contract Amount: $1,577,422.21 i Total Cost Work Completed: $1,577,422.21 /L•.r'4- Recom e ded for Acceptance Date Asst. De or, TPW - Infrastructure Design and Construction acA �-J• �-J Accepted Date OW Director, TRANSPORTATION AND PUBLIC WORI<S DEPARTMENT Asst. City Manager Date OFFICIAL REC104-111) Comments: P265-6071502409 /P275-7071302409 CITY FIFIC111RIET"A w DEC 0 8 2016 - Rev.9/22/16 Initial: //. FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name CHAMPION CIRCLE TANGER BLVD/BUCEES BOULEVARD Conti-act Limits Project Type PAVING&DRAINAGE 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 15(rD 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 Friday,October 7,2016 Pagel 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 PAVING&DRAINAGE For Period Ending 9/29/2016 Project Funding UNIT III:DRAINAGE IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No, Quanity Total Quanity Total- ------------ ------ -- ----------- ----- otal — —————————— — —————— —— —————————— ————— —— - I 21-INCH RCP 144 LF $53.71 $7,734.24 144 $7,734.24 2 24-INCH RCP 104 LF $70.05 $7,285.20 104 $7,285.20 3 304NCH RCP 192 LF $88.16 $16,926.72 192 $16,926.72 4 36-INCH RCP 50 LF $122.49 $6,124.50 50 $6,124.50 5 48-INCH RCP 423 LF $176.00 $74,448.00 423 $74,448.00 6 604NCH RCP 324 LF $263.00 $85,212.00 324 $85,212.00 7 8X5 RCB 608 LF $392.00 $238,336.00 608 $238,336.00 8 8X6 RCB 734 LF $429.00 $314,886.00 734 $314,886.00 9 10-FOOTINLET 4 EA $2,694.00 $10,776.00 4 $10,776.00 10 4-FOOT DROP INLET 2 EA $3,150.00 $6,300.00 2 $6,300.00 11 5-FOOT DROP INLET I EA $3,844.00 $3,844.00 1 $3,844.00 12 STORM SEWER MANHOLE RISER 2 EA $1,071.00 $2,142.00 2 $2,142.00 13 JUNCTION BOX 1 EA $6,510.00 $6,510.00 1 $6,510.00 14 8X6 HEADWALL l EA $14,283.00 $14,283.00 1 $14,283.00 15 REMOVE EXISTING RCB 30 LF $22.00 $660.00 30 $660.00 16 REMOVE EXISTING HEADWALL I LS $2,250.00 $2,250.00 1 $2,250.00 17 CONCRETE RIPRAP 120 SY $78.00 $9,360.00 120 $9,360.00 18 TRENCH SAFETY 2579 LF $2.38 $6,138.02 2579 $6,138.02 19 TESTING&TV INSPECTION 2579 LF $1.32 $3,404.28 2579 $3,404.28 Sub-Total of Previous Unit $816,619.96 $816,619.96 UNIT IV:PAVINGROPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total _ 1 84NCH REINFORCED CONCRETE PAVEMENT 13325 SY $49.55 $660,253.75 13325 $660,253.75 2 PAVEMENT HEADER 315 LF $29.08 $9,160.20 315 $9,160.20 3 5-FOOT SIDEWALK 1340 LF $18.32 $24,548.80 1340 $24,548.80 4 BARRIER FREE RAMPS 9 EA $1,162.00 $10,458.00 9 $10,458.00 5 STREET BARRICADE 2 EA $895.00 $1,790.00 2 $1,790.00 6 SAWCUT AND REMOVE EXISTING CURB 61 LF $6.00 $366.00 61 $366.00 7 REMOVE EXISTING ASPHALT PAVING 123 SY $6.20 $762.60 123 $762.60 Friday,October 7,2016 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 PAVING&DRAINAGE For Period Ending 9/29/2016 Project Funding 8 STRIPING 4-INCH STRIPE 4146 LF $1.95 $8,084,70 4146 $8,084.70 9 TRAFFIC HANDLING 1 LS $13,468.00 $13,468.00 1 $13,468.00 10 PCR 12 ADDITIONAL PAVING(CO#1) 1 LS $31,910.20 $31,910.20 1 $31,910.20 Sub-Total of Previous Unit $760,802.25 $760,802.25 ----------- -- ----------------------- --- Friday,October 7,2016 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 PAVING&DRAINAGE For Period Ending 9/29/2016 Project Funding Contract Information Summary Original Contract Amount $1,545,512.01 Change Orders Change Order Number 2 $31,910.20 Total Contract Price $1,577,422.21 V/ Date.Lo Total Cost of Work Completed $1,577,422.21 o tr Less %Retained $0.00 Net Earned $1,577,422.21 Date�� Earned This Period $1,577,422.21 Inspection Supern r � Retainage This Period $0.00 Date Z—Z Less Liquidated Damages Proje eager / Days a /Day $0.00 MA- Date i_ �G LessPavement Deficiency $0.00 Asstec r PW-Infrastructure Design and Construction Less Penalty $0.00 W6tc 12-131 V Less Previous Payment $0.00 Director/C ntracting Department V Plus Material on Hand Less 15% $0.00 Balance Due This Payment $1,577,422.21 Friday,October 7,2016 Page 4 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 PAVING&DRAINAGE 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 SCOTT DENNETT CONSTRUCTION,INC. Contract Time 150 CD 2808 W.7TH ST.,HB 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 $1,577,422.21 Less %Retained $0.00 Net Earned $1,577,422.21 Earned This Period $1,577,422.21 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 $1,577,422.21 Friday,October 7,2016 Page 5 of 5 OWNER ❑ CONSENT OF SURETY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ Conforms with the American Institute of Architects G707 form - OTHER ❑ Bond No: PB11509800717 TO OWNER: ARCHITECT'S PROJECT NO.: 14157 (Name and address) City Of Fort Worth 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 (Insertname 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 (Insertin writing the month followed by the numeric date and year.) Philadelphia Indemnity Insurance Compal (Surety) (Signature of authorized representative) Attest: Fred A Thetford III Attorney-in-fact (Sealj: (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 INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Jared Young,Fred A.Thetford,Jr.,Tobin Tacker,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 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$25,000,000.00 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: (1)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 Attomey-in-Fact 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 TIES 10TN DAY OF TUNE 2013. (seal) Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 10'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. COMMO EALTHOPPENNSYLVANIA Ktrb"A.Kee tKK Notmy Mic tmver Fkibn Twp.AientgBaery GountY Hy Qannda�� eec I0,20r6 xaxj eEa rnumvuu.xsoaarta+oFxoua�a Notary Public: residing at: Bala Cvmvyd,PA (Notary Seal) My commission expires: December 18-2016 1,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 WH 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 Attomey as President,was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Whereof I have sob,cribed my name and affixed the facsimile seal of each Company this 21 Stday of July 2016. 19 2 I Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY i Roanoke 351114 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 Denmett 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: LWWam V.Boecker, tce President cc: Ken Ebeling(via e-mail) 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 ger BY Shawn Moore Subscribed and sworn before me on this date 20th of July,2016. Notary Public Tarrant County,Texas CARRIE A. MOORE j r r n:Notary Public,State of Texas Comm.Expires 0 1-28-2020 Notary to 126391028 'quna TM 11.1--lAIAocument G706 ® 1994 Contractor's Affidavit of Payment of Debts and Claims PROJECT:(Name and address) ARCHITECT'S PROJECT NUMBER: OWNER: Champions Circle Addition, ARCHITECT:❑ Tanger Blvd. &Bucees Blvd. CONTRACTOR:❑ Fort Worth,TX CONTRACT FOR:Utilities and Paving SURETY:❑ Improvements OTHER:❑ TO OWNER:(Name and address) CONTRACT DATED:07/23/2015 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,except as listed below,payment has been made in full and all obligations have otherwise been satisfied for all materials and equipment furnished,for all work,labor,and services performed,and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of the Contract referenced above for which the Owner or Owner's property might in any way be held responsible or encumbered. 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. Consent of Surety to Final Payment. Whenever Scott Dennett Construction,LC Surety is involved,Consent of Surety is 2313 Cullen Street required. AIA Document G707,Consent of Fort Worth,TX 76107 Surety,may be used for this purpose Indicate Attachment ® Yes ❑ No BY: The following supporting documents should be attached (S ature of authorized r p esentative) hereto ifrequired by the Owner. r: McElyea,Accounting Manager 1. Contractor's Release or Waiver of Liens, (Printed name and title) conditional upon receipt of final payment. 2. Separate Releases or Waivers of Liens from Subscribed and sworn to before me on this date: 11 ZO/I U Subcontractors and material and equipment suppliers,to the extent required by the Owner, (� accompanied by a list thereof. A Notary Public:Came A.Moore 3. Contractor's Affidavit of Release of Liens(AIA My Commission Expires:01/28/2020 Document G706A). a;?�''�., CARRIE A.MOORE `n'Notary Public,State of Texas •syr +� Comm.Expires 0 1-26-2020 fit �`` Notary ID 126391028 AIA Document G706TM—1994.Copyright©1970 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 AIAa Document,or any portion of it,may result In severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced byAlA software at 14:21:04 on 07/2012016 under Order No.4633997170 1 which expires on 08118/2016,and is not for resale. User Notes: (1986874163) Vam.-.&AIA 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 ofthe 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 ATTACBED 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) Subscribed and sworn to before me on this date: , 2( /1(O Notary Public: Carrie A.Moore " i I My Commission Expires: 01/28/2020 CARRIE A.MOORE Notary Public,State of Texas %�A •!�': Comm.Expires 0 1-28-2020 Notary ID 126391028 nmo AJA Document G706A^"—1994.Copyright©1982 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIA®Document is protected by U.S.Copyright Law and Intemational Treaties.Unauthorized reproduction or distribution of this AJA®Document,or any portion of it,may 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) G I BENNETT Scott Dennett Construction, LC Phone:(817)882-9420 coNsraUcnoN 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 'STATE ` f erified My Commission Expires: OF TX '= Shawn Moore _ August 21,2018 NOTARY Agent of Scott Dennett Construction, LC •'rte.. .- .�� `rpt tlf it it�it' 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 DENNETT Scott Dennett Construction,LC Phone:(817) 882-9420 CONS7RUC770N r 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 JuIv 19, 2016 2313 Cullen Street Notary Public: Fort Worth,TX 76107 Janelle McEI ea STATE`• ur �Iifl {j. My Commission Expires: OF TX Shawn Moore August 21,2018 NOTARY, Agent of Scott Dennett Construction, LC PUBLIC, Date: July 11, 2016 4:26 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 REV:02/22/07 FORTWORTH TRANSPORTA rON AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION _ Date: 9/29/2016 _ Name of Contractor Project Naive Scott Demrett Construction L.0 Champions Circle Tanger Blv.&Bucees Blvd. DOE Inspector _ Project Manager Habte Taezaz _ Fred Ehia DOE Number Project Difficulty Type of Contract _7356 10 Simple Q Routine Q Complex ❑Water ❑Waste Water ❑� Storm Drainage Pavement se Mitial Contract Anrount Final Contract Amount $1,545,512.01 +$1,577,422.21 ^� 1I)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good _4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector _ �^__�__ __ _ 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 A— 4 Display Of Professionalism L 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION_ 2 Availability of Project Mana eg_r I Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe IM 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,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 FORTWORTH REV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Scott Dennett Construction L.C. Champions Circle Tanger Blvd.&Bucees Blvd. DOE Inspector DOE Number Habte Taezaz 7356 DOE Inspector Project Alanager ❑Water ❑Waste Water 0 Storm Drainage Q Pavement Fred Ehia Initial Contract Amount Project Difficndty $1,545,512.01 O Simple QQ Routine Q Complex Final Contract Amount Date $1,577,422.21 9/29/2016 II)PERFORMANCE EVALUATION 0-Inadequate l-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 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 III)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%= cellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector , Signature Contractor Signature DOE Inspector's Supervisor A a& ' 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 0 WD*CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28• 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES OTHERS* DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS THIS 408 408 PERIOD PREVIOUS PERIOD TOTALS 408 408 TO DATE *REMARKS: 1 11 l-A, A ,�` �� 1 �� 1 L COR DATE INSPECTOR DATE ENGINEERING DEPART-TWENT g The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,T'176012-6311 (817)392-7941 •Fax:(817)392-7845 I