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HomeMy WebLinkAboutContract 45745-FP1 Depart nt� f TPW Const. Services C1TV SEC TI DOE# ttt T — Date cOMTRACT NO. l — �� / f L L`f ProjectMag � Manager - T �VORTHo Risk Management 3e Z �( lD D.O.P. Brotherton CFA Westerman/Scanned ❑ 3/ The Proceeding people have been Contacted concerning the request %TION AND PUBLIC WORKS for final payment&have released this project for such payment. F PROJECT COMPLETION Clearance Conducted By Etta Bacy D.O.E. Ns: 7223 � y Regarding contract 1172?3 for SANCTUARY AT BEAR CREEK PHASE I as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT,,approved by City Council on N/A through Ibt&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 Prices: $98,947.00 Amount of Approved Change Orders: ($45,492.00) Ns 1 Revised Contract Amount: $53,455.00 Total Cost Work Completed: $53,455.00 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $53,455.00 Less Previous Payments: Final Payment Due $53,455.00 Recommended for Acceptance Date Asst. Dir: z-i tor, TPW - Infrastructure Design and Construction 1 �J _ _ -712-711S- Accepted l� Date Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT City Manager Date Comments: FUND ACCT:C205-2077602275 ®FFICAAL RECORD CITY SECRETARY FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name SANCTUARY AT BEAR CREEK PHASE I Contract Limits Project Type PAVING&ELECTRIC City Project Numbers 02275 DOE Number 7223 Estimate Number I Payment Number 1 For Period Ending 1/15/2015 CD City Secretary Contract Number 117223 Contract Time 12ED Contract Date Days Charged to Date 96 Project Manager Jaafari Contract is 100.00 %Complete Contractor CONATSER CONSTRUCTION TxLP 5327 WICHITA ST FORT WORTH, TX 76119 Inspectors RODGERS / KLENK i Tuesday,January 20,2015 Pagel of 4 1�`J City Project Numbers 02275 DOE Number 7223 Contract Name SANCTUARY AT BEAR CREEK PHASE I Estimate Number I Contract Limits Payment Number I Project Type PAVING&ELECTRIC For Period Ending 1/15/2015 Project Funding PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ---------------------------------------- 1 4"SIDEWALK 599 SY $27.00 $16,173.00 599 $16,173.00 2 BARRIER FREE RAMP 4 EA $1,200.00 $4,800.00 4 $4,800.00 3 BARRIER FREE RAMP 4 EA $1,000.00 $4,000.00 4 $4,000.00 Sub-Total of Previous Unit $24,973.00 $24,973.00 EROSION CONTROL Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ----------- -- -- - - _. -------- ---- - 1 SILT FENCE 2127 LF $2.00 $4,254.00 2127 $4,254.00 2 ROCK CHECK DAM 3 EA $1,000.00 $3,000.00 3 $3,000.00 3 EROSION CONTROL MATTING 9364 SY $1.00 $9,364.00 9364 $9,364.00 4 SEEDING 9364 SY $1.00 $9,364.00 9364 $9,364.00 --------------------------------------- Sub-Total of Previous Unit $25,982.00 $25,982.00 TRAFFIC CONTROL Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total -------------------------------- I TRAFFIC CONTROL 1 LS $2,500.00 $2,500.00 1 $2,500.00 Sub-Total of Previous Unit $2,500.00 $2,500.00 --------------------------------------- i Tuesday,January 20,2015 Page 2 of 4 i [4t F r i City Project Numbers 02275 DOE Number 7223 Contract Name SANCTUARY AT BEAR CREEK PHASE I Estimate Number I Contract Limits Payment Number 1 Project Type PAVING&ELECTRIC For Period Ending 1/15/2015 Project Funding Contract Infoimation Summary Original Contract Amount $98,947.00 Change Orders Change Order Number 1 ($45,492.00) Total Contract Price $53,455.00 L/"�J Date 1 I Total Cost of Work Completed $53,455.00 a to � Less %Retained $0.00 Net Earned $53,455.00 Date Inspection Supervisor Earned This Period $53,455.00 ( � Retainage This Period $0.00 I� oI Date 2 � , Less Liquidated Damages Project Man Days @ /Day $0.00 2t/ Date 2- - LessPavement Deficiency $0.00 As t. 'rect r/TPW-Infrastructure Design and Construction Less Penalty $0.00 C_J Date Z� �� Less Previous Payment $0.00 Directo Contracting Departmen Plus Material on Hand Less 15% $0.00 Balance Due This Payment $53,455.00 Tuesday,January 20,2015 Page 3 of 4 City Project Numbers 02275 DOE Number 7223 Contract Name SANCTUARY AT BEAR CREEK PHASE I Estimate Number I Contract Limits Payment Number I Project Type PAVING&ELECTRIC For Period Ending 1/15/2015 Project Funding Project Manager Jaafari City Secretary Contract Number 117223 Inspectors RODGERS / KLENK Contract Date Contractor CONATSER CONSTRUCTION TxLP Contract Time 120 CD 5327 WICHITA ST Days Charged to Date 96 CD FORT WORTH, TX 76119 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 $53,455.00 Less %Retained $0.00 Net Earned $53,455.00 Earned This Period $53,455.00 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 $53,455.00 i Tuesday,January 20,2015 Page 4 of 4 j it i DEVELOPER-AWARDED-PROJECT CHANGE ORDER PROJECT NAME: SANCTUARY AT BEAR CREEK PHASE 1 CHANGE CONTRACT: A Water, B Sewer, C Paving, D Drainage& E Street Light Improvements ORDER No: CFA# 2014-028 CITY PARTICIPATION:1 NO CITY PROJECT# K-2318 DOE# 7223 WATER PROJECT# P-265-607150227583 E1 SEWER PROJECT# P-275-707140227583 FILE# 2275 INSPECTOR: Candace Klenk Email: candace.klenk(@fortworthtexas.00v PROJECT MANAGER: Khal Jaafari Phone No: 817-392-7872 CONTRACT UNIT WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT Developer DeveloperDeveloper Developer Developer DAYS Cost City Cost Cost City Cost Cost City Cost Cost City Cost Cost City Cost ORIGINAL CONTRACT $154,442.25 $246,812.25 $27,473.00 $25,982.00 $45,492.00 EXTRAS TO DATE CREDITS TO DATE CONTRACT TO DATE $154,442.25 $0.00 $246,812.25 $0.00 $27,473.00 $0.00 $25,982.00 $0.00 $0.00 50.00 0 AMOUNT OF PROP.CHANGE ORDER REVISED CONTRACT AMOUNT $154,442.25 $0.00 $246,812.25 $0.00 $27,473.00 $0.00 $25,982.00 $0.00 $0.00 $0.00 0 TOTAL REVISED CONTRACT AMOUNT PER UNIT $154,442.25 $246,812.25 1 $27,473.00 $25,982.00 $0.00 REVISED COST SHARE Dev.Cost: $454,709.50 City Cost: $0.00 TOTAL REVISED CONTRACT $454,709.50 Revised:10-12-2011 Pagel You em dueled to mak®the IN an lila cOeltaei PAY TTEtA® SPEC. SECTION NO. QUANTITY UMP t1EM p6SCWPT*N 3441.3101 34 qt -9 EA UNIT PRICE TOTAL 2A063015 284633 739 Sheet 53,500.00 531.560.00 2605 3Q91 264533 -214 Sheet CarAr7 Sl2 QO ¢i•PVC -58.856 60 525,00 •SS.136.00 TOTAL REASOM FOR CHANGE ORDER 7hs=t d/E?attrkat&W Stmt Ugl V kW_Mm s aro 555.492.60 �g deCrrcleC from the Ixr66c Cpttr&LY artd e2 aparF of the purvarc cantrzc! RECOMMENDED; APPROVED: APPROVED: fconsrr7rng Enga cer' Jr.e cper) By. V Name: , Name !•/ L._:A� TWO. Rmdsed;10-12.2011 aag�a q DATE(MMIDD/YYYY) /-N CERTIFICATE OF LIABILITY INSURANCE 7/22/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: The Sweeney Company PHONE (817)457-6700 FAX Nol:(817)457-7246 1121 E. Loop 820 South -ADDRESS, P O BOX 8720 INSURERS AFFORDING COVERAGE NAIC# Fort Worth TX 76124-0720 INSURERABituminous Fire & Marine Ins 20109 INSURED INSURERB:Bituminous Casualt Co 0095 Conatser Construction TX, LP INSURERC: P.O.Box 15448 INSURER D: INSURER E: Fort Worth TX 76119 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYYI (MMIDDNYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ r A CLAIMS-MADE Fx_1 OCCUR CLP 3 607 277 /1/2014 /1/2015 MED EXP(Any one person) $ 5,000 X CONTRACTUAL, XCU PERSONAL&ADV INJURY $ 1,000,000 X INDEP CONT, BFPD GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO JECT El LOC $ AUTOMOBILE LIABILITY - CEO MBIIt E.fdeDt SINGLE LIMIT $ 1,000,000 A X ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED [AP 3 607 276 /1/2014 8/1/2015 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS- Per accident PIP-Basic $ X UMBRELLA LIABX OCCUR EACH OCCURRENCE $ 5,000,000 B EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED X RETENTION$ 10,00 UP 2 806 034 /1/2019 8/1/2015 $ B WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y LI TER ANY PROPRIETORIPARTNERIEXECUTIVE� NIA E.L.EACH ACCIDENT $ 1,000 000 OFFICER/MEMBER EXCLUDED? 4C 8/1/2014 8/1/2015 3 607 275 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,00 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Rolling Meadows Phs 3, DOE 7103, File W-2279, City Proj #02157. ALL POLICIES INCLUDE A BLANKET AUTOMATIC WAIVER OF SUBROGATION ENDORSEMENT & THE GL, AUTO & UMB POLICIES INCLUDR A BLANKET AUTOMATIC ADDITIONAL INSURED ENDORSEMENT PROVIDING ADDITIONAL INSURED & WAIVER OF SUBROGATION STATUS TO THE CERTIFICATE HOLDER WHEN THERE IS A WRITTEN CONTRACT BETWEEN THE NAMED INSURED & THE CERTIFICATE HOLDER THAT REQUIRES SUCH STATUS. THE GL ADDITIONAL INSURED ENDORSEMENT CONTAINS SPECIAL PRIMARY & NONCONTRIBUTORY WORDING. THE POLICIES INCLUDE AN ENDORSEMENT PROVIDING 30 DAYS NOTICE OF CANCELLATION (10 FOR NON-PAY OF PREMIUM) TO THE CERTIFICATE HOLDER. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CITY OF FORT WORTH 1000 THROCKMORTON ST FT WORTH, TX 76102 AUTHORIZED REPRESENTATIVE Charles Sweeney/JOYCE ACORD 25(2010105) ©1988.2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD 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 Brock Huggins, Vice-President of Conatser Management Group, Inc., general partner of Conatser Construction TX, LP, 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 fitrnishing 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; and That there are no claims pending for personal injury and/or property damages; On Contract described as: SANCTUARY AT BEAR CREEK, PH I WATER, SANITARY SEWER PAVING, STORM DRAIN AND STREET LIGHT IMPROVEMENTS DOE#: N/A City Project#: n/a CITY OF FORT WORTH STATE OF TEXAS CONATSER CONSTR CTION TX, LP Brock Huggins - t Subscribed and sworn to before me this 12'h day of December,2014. k Bertha Gianulis Notary Public for State of Texas Notary Public in Tarrant County,Texas E f My commission expires:09118/2015 OWNER 0 ARCHITECT ❑ CONSENT OF SURETY CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ OTHER ❑ BONDNO_: imo65 TO OBLIGEE: (Name and Address) CONTRACT FOR:Water,Sanitary Sewer, D. R.HORTON-TEXAS,LTD. Paving,Drainage and Street 6751 North Frwy,Bldg A Lighting Improvements Fort Worth,TX 76131 PROJECT: CONTRACT DATED;January 2014 (Nane and Address) Sanctuary at Bear Creek-Phase I Fort Worth,TX PRINCIPAL:CONATSER CONSTRUCTION TX,L.P, At the request of the Obligee and the Principal indicated above,(Innen name and address ofswety) Berkley Insurance-Company,412 Mt.Kemble, Suite 310N,Morristown:NJ 07960 SURETY, on bond of (Insert name and address of Contractor) CONATSER CONSTRUCTION TX,L.P. 3327 Wichita Street Fort Worth,TX 76119 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 terns hereof shall not relieve the Surety of its obligations to (Insert name'and address of Obligee) D.R.HORTON-TEXAS,LTp. 6751 North Frwy,Bldg A Fort Worth,TX 76131 OBLIGEE, as set forth in said Surety's bond, IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: December 15,2014 (Luerl in uniting the month followed by the numeric date and year.) Berkely Insurance Company ure ' , 1 (Signature of authorized representativ V,DeLene Marshall,Attorney-In-Fact (Printed name and title) (Seal):. i No.BI-7280e POWER OF ATTORNBY BERKLEY INSURANCE COMPANY WILMINGTON,DELAWARE NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY(the "Company"), a corporation duly organized and existing under the laws of the State of Delaware,having its principal office in Greenwich,CT,has made,constituted and appointed, and does by these presents make, constitute and appoint:Ricardo J: Reyna, Don E. Corner Lisa M.. .Rnnot, - Pena DeLene Marshall or Sophinie Hunter of Aon Risk Services Southwest,rte. of Dallas, 77f its true and lawful Attomey-in- Fact,to sign its name as surety only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no single obligation shall exceed Fifty Million t' and 00/100 U.S.Dollars(U,S.S50,000,000,00),to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own proper persons. This Power of Attorney shall be construed and enforced in accordance with,and governed by,the laws of the State of Delaware, -J without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is anted ursuant fo the following ,. g g P � P Y � ?n' P. g resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25,2010: RESOLVED,that,with respect to the Surety business written by Berkley Surety Group,the Chairman of the Board, Chief Executive Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant Secretary are hereby authorized to execute powers of attorney authorizing and qualifying the attomey-in-fact named therein to execute bonds,undertakings, recognizances, or other suretyship obligations on behalf of the Company, and to affix the corporate seal of the Company to powers of attorney executed pursuant hereto; and said officers may remove any such attorney-in-fact and revoke any power of attorney previously granted;and further o RESOLVED,that such power of attorney limits the acts of those named therein to the bonds, undertakings,recognizances, ` or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the manner and to the extent therein stated;and further RESOLVED,that such power of attorney revokes all previous powers issued on behalf of the attomey-in-fact named; and further s RESOLVED, that the signature of any authorized officer and the seal of the Company niay be affixed by facsimile to any power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking,recognizance,or other suretyship obligation of the Company;and such signature and seal when so used shall have the same force and effect as though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Company,notwithstanding the fact that they may have o X ceased to be such at the time when such instruments shall be issued. 'G IN WITNESS WHEREOF, the Compa y has cau d these resents to be signed and attested by its appropriate officers and its corporate seal hereunto affixed thisr day ofLt n 2014. o V^ v Attest: Berkley Insurance Company y (Seal) By By t r Ira S.Lederman Vif .y Hatteri Senior Vice President&Secretary r Wee President s WARNING:THIS POWER INVALID IF NOT PRINTED ON BLUE-BERKLEY"SE'CURIT'Y PAPER STATE OF CONNECTICUT) s ) ss: COUNTY OF F'AI:RFIELD ) ti jt1 /� l Y Sworn to before me,, a Notary Public in the State of Connecticut, this L day of !LL0mr 2014,by Ira S.Lederman and T Jeffrey M,I-Iafter who are sworn to me to be the Senior Vice President and Secretary,and flA Senior Vi e,President,respectively,of Berkley Insurance Company. MARIA C,ALINDBAKEN NOTARY PUBLIC �, ¢ MY COMMISSION EXPIRES 140ta y Public,State of Connecticut APRIL 30,Wig CERTIFICATE 7 ' I,the undersigned, Assistant Secretary of 13ERKLEY INSURANCE COMPANY,DO HEREBY CERTIFY that the foregoing is a true,correct and complete copy of the original.Power of Attorney;that said Power of Attorney has not been revoked or rescinded and that the authority of the Attorney-in-Fact set forth therein, who executed the bond or undertaking to which this Power of 5 Attorney is attached,is in foil force and effect as of this date. 'r Given under my hand and seal of the Company,this day of t 'fit?t} ' (Seal) Andy .T1i IMPORTANT NOTICE To obtain information or make a complaint: You may call Berkley Surety Group, LLC and its affiliates by telephone for information or to make a complaint: BERKLEY SURETY GROUP, LLC Please send all notices of claim on this bond to: Berkley Surety Group, LLC (866) 768-3534 412 Mount Kemble Avenue, Suite 31 ON Morristown, NJ 07980 Attn: Surety Claims Department You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance: P. O. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: ,hftp://www.tdi.state.tx.us E-mail: ConsumerProtectionotdi.state.tx.us PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should contact your agent or Berkley Surety Group, LLC first. If the dispute is not resolved, you may contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR BOND: This notice is for information only and does not become a part or condition of the attached document and is given to comply with Texas legal and regulatory requirements. FORTWORTH REV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Nage ofCont•actor Project Name Conatser Construction LP Sanctuary at Bear Creek Phase I DOE Inspector DOE Nnnnber Candace Klenlc 7223 DOE Inspector Project Manager ❑ Water❑ Waste Water Storm DrainageRl Pavement I0al Jaafari Initial Contract Annmmt Project Difficulty $98,947.00 O Simple Q Routine Q Complex Final Contract.4mount Date $53,455.00 1/22/2014 II)PERFORMANCE EVALUATION 0-Inadequate I-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 4 8 8 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision I S 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 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 448 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 448 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating((TS/MS)*100%) 448 / 448 = 100% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >_80%=Decellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS ANVARDED) Signature DOE Inspector Signature Contractor Z,—,Z Signature DOE Inspector's Supervisor L10Z9 2d1e��z5 CONTRACTOR'S COMMENTS TRANSPORTr1TION 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 I)PROJECT INFORMATION Date: 1/22/2015 Name of Contractor Project Name Conatser Construction LP Sanctuary at Bear Creels Phase I DOEInspeclor Project Hairager Candace Klenk IChal Jaafari DOE A'umber Project Difficulo, T)pe of Contract 7223 0 Simple OQ Routine 0 Complex E] Water❑ Waste Water❑ Storm Drainagem Pavement hritial Contract Amount Final Contract.4mouni $98,947.00 1$53,455.00 I1)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 I Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector q 2 Clarit &Sufficiency of Details 3 Accuracy of Measured Quantities 3 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager I Change Order Processing Time 3 Conununication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timefi•ame IIID COMMENTS&SIGNATURES COMMENTS a I I Signature Contractor 47) Signature DOE Inspector ri Signature DOE Inspector's Supervisor (� 5 INSPECTOR'S COMMENTS TRr1NSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 FORT WORTHO, TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEi1IENT# FINAL STATEMENT# 1 DOG 7223 NAME OF PROJECT: Sanctuary at Bear Creek Phase I Conh actor Conatser YEAR: 2015 PROJECT NO.: FINAL INSPECTION DATE I 12116/2 01 4 C205-2077602275 WD CD CONTRACT TINIE 120 PERIOD FROII: 111/2015 TO: 1 111512015 BEG Month I IDEVELOFAIEN (V/N)I N WORK ORDER EFFECTIVE: 1/1 212 01 5 BEG /n MID /n n DAY OP MONTH DAPS REASON FOR DAY OF MONTH DAPS REASON FOR CIL4RGED DAYS CREDITED CHARGED DAYS CREDITED 1 Thu 0 NA 16 2 Fri 0 NA 17 3 Sat 0 NA 18 4 Sun 0 NA 19 5 Mon 0 NA 20 6 Tue 0 NA 21 7 Wed 0 NA 22 8 Thu 0 NA 23 9 Fri 0 NA 24 10 Sat 0 NA 25 11 Sun 0 NA 26 12 Mon 0 NA 27 13 Tue 0 NA 28 14 Wed 0 NA 29 15 1 Thu 0 NA 30 31 NA Wkn&Hol Wea utl Oth Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGED THIS PERIOD 0 0 0 0 0 0 PREVIOUS PERIOD 0 96 96 TOTAL TO DATE 0 0 0 0 96 96 REMARKS: Stopped time on 11-21-14,walked final and completed punchlist on 12-16-14. Signature: Signature: (jlot(C) (Print Name Candace Klenk CONTRACTOR DATE INSPECTOR DATE 1 1/2012015