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Contract 46950-FP3
Departm nt f JT &W Canst. Services CPN# Dat Risk t Magnager / 6 J tT W RT H R CITY SECR�ARYL// qq V p�� Risk Mt ement anady fJ� )V O.E. Brotherton I o CONTRACT NO. CFA Westerman/Scanned Esteban Perez/Scanned The Proceeding people have been Contacted �� to Q I_�v Q4-'40concerning the request for final payment& have AXION AND PUBLIC WORKS released this project for such payment. F PROJECT COMPLETION Developer Projects) DDE 737 Clearance Conducted By (�/� City Project Ns: 02440 C54 Flo'75 U Regarding contract 117379 for BEECHWOOD CREEKS PHASE 4 as required by the WATER DEPARTMENT as approved by City Council on N/A dirough M&C N/A the director of the WATER DEPARTMENT upon the recommendation of die Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Price: D E O V E $524,632.30 Amount of Approved Change O . JAN 1 2 2017 PP b $21,827.50 N21 Revised Contract Amount: By $546,459.80 Total Cost Work Completed: $546,459.80 Recommen ed for Acceptance Date Asst. Direct PW - Infrastructure Design and Construction Accepted Date Asst. Director, WATER DEPARTMENT /QA C Asst. Ci anager x V Date Comments: - JAN 2' 3 2017 Wfla �D�FICIAI.RECORD CITY SECRETARY ' FT.WORTH,TX -P Rev.9/22/16 DECE E JAN 12 2017 5 9(o0 I — C.OZ )4Q City Project Numbers 02440 DOE Number 7379 Contract Name PAVING,D T CREEKS PHASE 4 Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 10/5/2016 Project Funding Project Manager Ehia City Secretary Contract Number 117379 Inspectors RODGERS / SALAZAR Contract Date Contractor RKM UTILITY SERVICES,INC. Contract Time 85 WD 1604 BLUEBANK ROAD Days Charged to Date 261 WD DALLAS, TX 75229-3102 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 $546,459.80 Less %Retained $0.00 Net Earned $546,459.80 Earned This Period $546,459.80 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 LessPavement Deficiency 50.00 Less Penalty $0.00 Less Previous Payment 50.00 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $546,459.80 Wednesday,October 5,2016 Page 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name PAVING,DRAINAGE,W&SS FOR BEECHWOOD CREEKS PHASE 4 Contract Limits Project Type WATER&SEWER City Project Numbers 02440 DOE Number 7379 Estimate Number 1 Payment Number 1 For Period Ending 10/5/2016 WD City Secretary Contract Number 117379 Contract Time 85VD Contract Date Days Charged to Date 261 Project Manager Ehia Contract is 100.00 Complete Contractor RKM UTILITY SERVICES,INC. 1604 BLUEBANK ROAD DALLAS, TX 75229-3102 Inspectors RODGERS / SALAZAR Wednesday,October 5,2016 Page 1 of 4 City Project Numbers 02440 DOE Number 7379 Contract Name PAVING,DRAINAGE,W&SS FOR BEECHWOOD CREEKS PHASE 4 Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 10/5/2016 Project Funding WATER FACILITIES Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 8"PVC WATER PIPE 4504 LF $26.50 $119,356.00 4504 $119,356.00 2 8"GATE VALVE CO#1 9 EA $1,300.00 $11,700.00 9 $11,700.00 3 FIRE HYDRANT EXTENTION 6 EA $3,630.00 $21,780.00 6 $21,780.00 4 DUCTILE IRON WATER FITTINGS 2.8 TN $1,000.00 $2,800.00 2.8 $2,800.00 W/RESTRAINT 5 1"WATER SERVICE CO#1 133 EA $700.00 $93,100.00 133 $93,100.00 6 TRENCH SAFETY 4504 LF $0.10 $450.40 4504 $450.40 7 CONNECTION TO EXISTING 4"-12"WATER 6 EA $850.00 $5,100.00 6 $5,100.00 MAIN 41 1.5"IRRIGATION SERVICE CO#1 1 EA $1,200.00 $1,200.00 1 $1,200.00 42 1"IRRIGATION SERVICE CO#1 2 EA $700.00 $1,400.00 2 $1,400.00 Sub-Total of Previous Unit $256,886.40 $256,886.40 SANITARY SEWER FACILITIES Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 8"SEWER PIPE 4349 LF $23.00 $100,027.00 4349 $100,027.00 2 8"SEWER PIPE CSS BACKFILL CO#1 320 LF $41.00 $13,120.00 320 $13,120.00 3 4'MANHOLE 30 EA $2,600.00 $78,000.00 30 $78.000.00 4 4'EXTRA DEPTH MANHOLE 55 EA $100.00 $5,500.00 55 $5,500.00 5 TRENCH WATER STOP 16 EA $300.00 $4,800.00 16 $4,800.00 6 4"SEWER SERVICE CO#1 133 EA $525.00 $69,825.00 133 $69,825.00 7 TRENCH SAFETY 4349 LF $0.10 $434.90 4349 $434.90 8 PRE-CCTV INSPECTION 4349 LF $1.00 $4,349.00 4349 $4,349.00 9 MANHOLE VACUUM TESTING 30 EA $120.00 $3,600.00 30 $3,600.00 10 CONNECT TO EXISTING 8"S.S.STUB-OUT 2 EA $500.00 $1,000.00 2 $1,000.00 43 QUADEX COATING ON SMH CO#1 43.5 VF $205.00 $8,917.50 43.5 $8,917.50 Sub-Total of Previous Unit $289,573.40 $289,573.40 Wednesday,October 5,2016 Page 2 of 4 City Project Numbers 02440 DOE Number 7379 Contract Name PAVING,DRAINAGE,W&SS FOR BEECHWOOD CREEKS PHASE 4 Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 10/5/2016 Project Funding Contract Information Summary Original Contract Amount $524,632.30 Change Orders Change Order Number 1 $21,827.50 Total Contract Price $546,459.80 1 PAL5:0 Date �, `(2 Total Cost of Work Completed $546,459.80 Contr Less %Retained $0.00 _ - Date �✓ �`t Net Earned $546,459.80 Inspections erv' Earned This Period $546,459.80 q/ �J'/ ( etainael This Period $0.00 ate I/ �/ / Less Liquidated Damages Proje ager Days @ /Day $0.00 Date `1 ` + LessPavement Deficiency $0.00 Asst.Dir ct r/TPW-Infrastructure Design and Construction Less Penalty $0.00 111G Date Z" Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $546,459.80 Wednesday,October 5,2016 Page 3 of 4 FORTWORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS (IFINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.: I NAME OF PROJECT: Beechwood Creeks Phase 4 PROJECT NO.: 02440 CONTRACTOR: RKM Utility Services, Inc. DOE NO.: 7379 PERIOD FROM,09/28/15 TO: 09/29/16 FINAL INSPECTION DATE: 9/29/2016 WORK ORDER EFFECTIVE:9/28/2015 CONTRACT TIME: 85 Q WCQ 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 PERIOD 107 261 368 PREVIOUS PERIOD TOTALS 107 2261 368 TO DATE *REMARKS: i CONTRA TOR DATE 1N DATE ENGINEERING DEPARTMENT The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TZ 76012-6311 (817) 392-7941 •Fax: (817) 392-7845 < p m K O M X Z m Cn O C7 C7 C7 CD > U) cc -z+ o c) '� Cl) m O � -n Q x a -+ r m z m - > z O m -1 m > Z O o -c > m > C- 0 m :;t m m T < <O p O [� (7 Z7 x > O 0 Z -+ o 0 0 O O C7 n' m m m m O > z K m 0 5 a m a D O D >+ m m Q Q m Z co R° O c 0 1 0 m m n Z L C) D O Cin 1 'a � z Q --I (?1 -zi a O 0 :m * z -� z T > m > O n A -� o3v c m z -i ID u u u o f T � V O N E m CJ N D V C) V t J CDO b O a r O Q' .w1. cn L7 CO m w 4 o o Doi of a a o a to O O bm o O CL O co rn m N N CD c o z In a sm Q 0 o c o 0 N < m O O p P r a O tv � c 00 W 41 �1 N d p 9 Sn q w m c o 0 0 1 y > m M ca mD z " m a O O 750 0 CCD CD {7 .Z7 0 o0 O O > � 0 :0 m a p —I fD m a' o v n m y O o > C7 tto j c 0 0 o T 5 77 N O Z p C) A z C) A G) m .0 c O G7 m Z O 0 o v o 0 m o � 00 O N. 0o z n G O m Z7 = o O > c o c o x Z 0 0 0 0 m 0 o 0 o b a W o w .. q b b C CA X j N N j m m a m b V rn r N � u u N = O O O y 0 0 o C7 O p p p m 0 0 > z m y ro � m \ f S z CL - § § ƒ \ g _ o z j\\ � \ \ \ ) / k a (CD \ 2 2 m m0 ± \\& k \ 2 © ° n an » EE »aa � s m \ _ - � \ aa & a { $ \\ /\ ( \/ \ ~ `% \ ; m )§ \( \/}\ � } m 0 3 » \ k/ g } \ ) CL § S \ - » 2 � � \ i % ew a - _ ) CD $ { \ J - ; 92 i F0 \ / a z = o (5 ! % e & } 2 A) CD \ § \R 2� \ )§ Ga i/ o 3q \\ \�¢ j 5 ^7/\ § ' � § m -# /22 ƒ § G G � � a ) / ( m \ }\± c=o 0 =r § w z = 2 > 2 ( 2 7 a g ^ _m z $ o Cb q _ § \ # _ _7 k fA 69 CD C, CP\\ to ha CM\Icla > \ �\\CD CD CD CONSENT OF SURETY OWNER D TO FINAL PAYMENT ARCIUTrCT o .AIA Document G707 CONTRACTOR D SURETY Bond No. PB00317400171 OTHER TO OWNER: ARCHITECT'S PROJECT NO.: (Name eord addrer-) D.R. Horton 6751 North Freeway CONTRACT FOR: Construction Fort Worth,TX 76131 PROJECT: CONTRACT DATED: rMune acrd addracq) Beechwood Creeks Phase 4 In accordance with the provisions of the Contract between the Owner and the Contractor as indicted above,the (ince!name and addrt'vr ofSrrrrry) Philadelphia Indemnity Insurance Company One Bala Plaza, Suite 100 Bala Cynwyd, PA 19004-1403 SURETY, on bond of (liven name and address ofContractur) RKM Utility Services, Inc. 1805 Royal Lane Suite 107 Dallas,TX 75229 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 (hzwrt name and addre-v ofOwner) D.R. Horton 6751 North Freeway Fort Worth,TX 76131 OWN ME as set fortb in said Surety's bona. IN WITNESS WiiRREOF,the Surety has hereunto set its hand on this date: September 9, 2016 (hmn in trrlthrg the nrontb folJourd hr the nruneric dare and tear.) Philadelphia Indem surance ropany (Sxrc7t) By: (ggrraturrof Nhor� drrprrsrntatit Attest:(Sea])-lew Tabitha Starkey Attorney-in-Fact Kristi Lovett (i'iinkrl uuure and title) G707-1994 1636 PHILADELPHIA INDEMNITY INSURANCE COMPANY 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 Edward G.Britt,Jr.,David G.Miclette,David T.Miclette, Barry K.McCord,Robert C.Davis,Kristi Lovett,Ashley Britt,Joni Bowen,Heather Noles,Brett A.Tisdale,Tabitha Starkey and Rita G.Gulizo of Bowen, Miclette&Britt Insurance Agency,LLC of Houston,Texas,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 Attomey 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 l"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 Attomcy(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-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 THIS 10"'DAY OF JUNE 2013. ,•,div IT, 1921 4 • ��, (Seal) '•a.• .,... Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 10'h 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. COW4pNWEA17M QF PENNSYLVANIA -51 Khbey d Kms,Notary R hft lDwtt Mt110n TIP ham'C.-My My Canntlwan&°Iran Da[.18 2016 t,Exm pn"S"—�"Q'°IWTAWs Notary Public: residing at: BalaCvnwvd.PA (Notary Seal) My commission expires: December 13,2016 1,Edward Sayago,Corporate Secretary of PHILADELPH IA 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 10"'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, PA In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this day of 7927 Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY All Bills Paid Affidavit STATE OF TEXAS COUNTY OF DALLAS Before me,the undersigned authority, on this day personally appeared known to me to be a credible person and officer of RKM Utility Services a Texas corporation (hereinafter called "Contractor"),and who, being duly sworn,upon his oath declares and acknowledges as follows: 1. I am the duly authorized agent for the said Contractor,which has authorized me to make this affidavit, and all of the recitations herein are true and correct. 2. Pursuant to an agreement dated 5yroe 12015 between RKM Utility Services, Inc. and �2 �Zxp(A (the"Owner"), Contractor has supplied materials and performed labor in connection with the construction of improvements upon certain real property owned by the Owner in `TP-CNV County, Texas. Said improvements are more particularly described as q't M VyU►n 66 2PN� N 6 , located in PT., Wi?� ,Texas. 3. Contractor has actual knowledge that all bills owed by Contractor to others for materials supplied or labor performed in connection with the Improvements have been fully paid and satisfied except for contractual retainage as set out below. Contractor does further warrant that should any claim or lien be filed for material supplied or labor performed per virtue of Contractor's participation in the construction of said Improvement, Contractor will immediately furnish a bond pursuant to Texas Property Code, sections 53.236 through 53.238,for release of each such lien, and obtain settlement of any such liens and furnish Owner written full release of such liens. Should Contractor be unable to obtain such release,Contractor agrees to fully indemnify and hold harmless the Owner for any and all costs they may incur by reason of such liens. EXECUTED this 30� day of—GS-PTE-w,15t-2 , 2016. RKi ' Services, Inc. By: Name: P Title: 'P SUBSCRIBED AND SWORN TO BEFORE ME by the said Igrl 1 This the 3w," day of ! >eP tv--M 6tlt- , 2-01 Lo ,to Certify which witness my hand and seal of office. X4 CANDICE HORTON Notary Public in and for the Notary Public,state of Texas My Commission Expires State of Texas March 29, 2017 FORTWORTHREV:8/20/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Name of Contractor Project Name RKM Utility Services Inc. Beechwood Creeks Phase 4 Inspector City Project Number Edwin R.Rodriguez, Sr. 2440 Conslrucllon Components Project Manager Q Water 0 Waste Water❑ Storm DrainageE] Pavement Fred Ehia,PE Initial Contract Amount ProjectDffculty $524,632.30 Q Simple QQ Routine Q Complex Final Contract Amount Date $546,459.80 10/7/2016 II)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 4 8 8 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 4 20 20 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Property Restoration 5 N 12 After Hours Response 5 N 13 Project Completion 5 N TOTAL ELEMENT SCORE(A) 373 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 373 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 388 Rating([TS/MS] * 100%) 373 / 388 = 96% 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) Inspector Signature Contractor Signature Inspector's Supervisor Signature `' CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of FortWorth• 8851 Camp Bowie West Blvd. •Fort Worth,TX-76116• (817)392-8306 FORTWORTHREV:02'22/07 t�� 'a i,!'I TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 10/10/2016 Name of Contractor Project Name RKM Utility Services,Inc. Beechwood Creeks Phase 4 DOE Inspector Project Manager Edwin Rodriguez Fred Ehia,PE DOE Number Project Difficulty Type of Contract 7379 O Simple QQ Routine O Complex 12 Water[] Waste Water[] Storm Drainage Pavement Initial Contract Amount Final Contract Amount $524,632.30 1$546,459.80 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING (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 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 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts g 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS& SIGNATURES / �� COMMENTS v�1 �� Cn V� CZ{A565 k '�- ( ,--�+ CQZ is 1 C- C 1. L\ Nk C� 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 ORT ORT TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Beechwood Creeks Phase 4 PROJECT NUMBER: 2440 DOE NUMBER: 7379 WATER PIPE LAID SIZE TYPE OF PIPE LF Yes 8" PVC 4,504 FIRE HYDRANTS: 6 VALVES(16" OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Yes NEW SERVICES: 1 1/2" Copper I V Copper 135 SEWER PIPE LAID SIZE TYPE OF PIPE LF Yes 8" PVC 4,349 PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Yes NEW SERVICES: 4" PVC 133 _ TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817) 392-7845