HomeMy WebLinkAboutContract 48080-FP2 Department of TPW Const. Services
CPV# Date?�� i
RiskProject Manager T WO RT H O CITY SECRETARY Risk Management S. Ca dy —1 R CONTRACT NO. o V
D.O.E. Brotherton
Water Dept. Esteban Perez �7
CFA Westerman/Scanned .TION AND PUBLIC WORKS 1 �O ` 70
The Proceeding people have been Contacted concerning the request ' PROJECT COMPLETION G� /' n �O
for final payment&have released this project for such payment. leveloper Projects) �1 js
_(_'1P9rgn_np L'nr�rh,ntarl Rv I`i}t,Ljja„A, I City Project No: 100370
Regarding contract 100370 for WALSH RANCH-QUAIL VALLEY PHASE IA 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.
1!2
Original Contract Price: $888,439.52
Amount of Approved Change Orders: $30,963.48 Ne 1 &3
Revised Contract Amount: $919,403.00
Total Cost Work Completed: $919,403.00
o44Z - - -- To 1 -7
comm ded r Acceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
Accepted Date
Asst. Director, WATER DEPARTMENT
Asst, City Manager Date
Comments:
OFFICIAL RECORD
CITY SECRETARY FEB 2017
FT,YIIORTHo TX �nitie4:
Rev.9/22/16
L�= WU= U v L-31
FEB 0 2 2017
By M3 7-0
City Project Numbers 100370 DOE Number 0370
Contract Name WALSH RANCH-QUAIL VALLEY-PHASE IA Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/2/2017
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors LAYER / HOUSTON Contract Date
Contractor CONATSER CONSTRUCTION TxLP Contract Time 130 CD
5327 WICHITA ST Days Charged to Date 157 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 $919,403.00
Less %Retained $0.00
Net Earned $919,403.00
Earned This Period $919,403.00
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 $919,403.00
Thursday,February 2,2017 Page 5 of 5
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WALSH RANCH-QUAIL VALLEY-PHASE IA
Contract Limits
Project Type WATER&SEWER
City Project Numbers 100370
DOE Number 0370
Estimate Number 1 Payment Number 1 For Period Ending 2/2/2017
CD
City Secretary Contract Number Contract Time 18GD
Contract Date Days Charged to Date 157
Project Manager NA Contract is 100.00 Complete
Contractor CONATSER CONSTRUCTION TxLP
5327 WICHITA ST
FORT WORTH, TX 76119
Inspectors LAYER / HOUSTON
Thursday,February 2,2017 Page 1 of 5
City Project Numbers 100370
DOE Number 0370
Contract Name WALSH RANCH-QUAIL VALLEY-PHASE IA Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/2/2017
Project Funding
WATER
Item Completed
Description of Items Estimated Estimated Com leted Com
No. P Unit Unit Cost P P
———_————— Quanity Total Quanity Total
————————————————---————
1 4"PVC WATER PIPE co#1 98 LF $30.00 $2,940.00 98 $2,940.00
2 4"PVC WATER PIPE CLSM BACKFILL 8 LF $36.00 $288.00 8 $288.00
3 8"PVC WATER PIPE co#1 481 LF $32.00 $15,392.00 481 $15,392.00
4 8"PVC WATER PIPE CLSM BACKFILL 8 LF $38.00 $304.00 8 $304.00
5 12"PVC WATER PIPE 4592 LF $42.00 $192,864.00 4592 $192,864.00
6 12"PVC WATER PIPE CLSM BACKFILL 137 LF $52.00 $7,124.00 137 $7,124.00
7 DUCTILE IRON WATER FITTINGS 8.1 TN $4,000.00 $32,400.00 8.1 $32,400.00
W/RESTRAINT
8 4"GATE VALVE co#1 2 EA $850.00 $1,700.00 2 $1,700.00
9 8"GATE VALVE co41 12 EA $1,150.00 $13,800.00 12 $13,800.00
10 12"GATE VALVE 27 EA $2,000.00 $54,000.00 27 $54,000.00
11 30"X12"TAPPING SLEEVE&VALVE 1 EA $6,500.00 $6,500.00 1 $6,500.00
12 4"-12"PRESSURE PLUG co#1 18 EA $500.00 $9,000.00 18 $9,000.00
13 FIRE HYDRANT 10 EA $4,200.00 $42,000.00 10 $42,000.00
14 4"WATERLINE LOWERING 1 EA $2,500.00 $2,500.00 1 $2,500.00
15 8"WATERLINE LOWERING 2 EA $3,500.00 $7,000.00 2 $7,000.00
16 12"WATERLINE LOWERING 10 EA $4,500.00 $45,000.00 10 $45,000.00
17 1"WATER SERVICE 30 EA $900.00 $27,000.00 30 $27,000.00
18 CONCRETE ENCASEMENT FOR UTILITY PIPES 2.9 CY $150.00 $435.00 2.9 $435.00
19 CLEANING WYE 2 EA $100.00 $200.00 2 $200.00
20 TEMPORARY AUTOMATIC FLUSHING VALVE 1 EA $16,500.00 $16,500.00 1 $16,500.00
22 TRENCH SAFETY CO#1 5324 LF $1.25 $6,655.00 5324 $6,655.00
23 2"WATER SERVICE CO#1 2 EA $1,500.00 $3,000.00 2 $3,000.00
Sub-Total of Previous Unit $486,602.00 $486,602.00
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
————————————
1 8"SEWER PIPE C041 5200 LF $43.22 $224,744.00 5200 $224,744.00
2 8"SEWER PIPE CSS BACKFILL 140 LF $56.00 $7,840.00 140 $7,840.00
3 _ 10"SEWER PIPE 447 LF $48.00 $21,456.00 447 $21,456.00
Thursday,February 2,2017 Page 2 of 5
City Project Numbers 100370 DOE Number 0370
Contract Name WALSH RANCH-QUAIL VALLEY-PHASE IA Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/2/2017
Project Funding
4 4'MANHOLE CO#1 22 EA $3,600.00 $79,200.00 22 $79,200.00
5 EXTERNAL DROP MANHOLE CONNECTION 2 EA $5,200.00 $10,400.00 2 $10,400.00
6 4"SEWER SERVICE 34 EA $650.00 $22,100.00 34 $22,100.00
7 EPDXY MANHOLE LINER 32 VF $175.00 $5,600.00 32 $5,600.00
8 TRENCH WATER STOPS 20 EA $300.00 $6,000.00 20 $6,000.00
9 8"SDR-26 SANITARY SEWER PIPE PER ASTM 40 LF $52.00 $2,080.00 40 $2,080.00
10 POST CCTV INSPECTION CO#1 5827 LF $2.00 $11,654.00 5827 $11,654.00
11 MANHOLE VACUUM TESTING 23 EA $100.00 $2,300.00 23 $2,300.00
12 TRENCH SAFETY CO#1 5827 LF $1.00 $5,827.00 5827 $5,827.00
13 STEEL ENCASEMENT CO#1 280 LF $120.00 $33,600.00 280 $33,600.00
--------------------------------- ------ --
Sub-Total of Previous Unit $432,801.00 $432,801.00
Thursday,February 2,2017 Page 3 of 5
City Project Numbers 100370 DOE Number 0370
Contract Name WALSH RANCH-QUAIL VALLEY-PHASE IA Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 2/2/2017
Project Funding
Contract Information Summary
Original Contract Amount $888,439.52
Chante Orders
Change Order Number 1 $39,463.48
Change Order Number 3 ($8,500.00)
Total Contract Price $919,403.00
Date a' ? Total Cost of Work Completed $919,403.00
Contr ct Less %Retained $0.00
Date dzk
Net Earned $919,403.00
Inhe f n ei Earned This Period $919,403.00
Retainage This Period $0.00
Date
ect an Less Liquidated Damages
ojger
1Days @ /Day $0.00
L u;mate 7 LessPavement Deficiency $0.00
Asst.Direct//PW-In r ructure Design and Construction Less Penalty $0.00
1�4 1 � Date �� 3`�'� Less Previous Payment $0.00
Director/Contracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $919,403.00
Thursday,February 2,2017 Page 4 of 5
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FORTWORTH rev 03/05/07
TRANSPORTATION& PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO. 1
NAME OF PROJECT: Walsh Ranch Quail Valley I
PROJECT NO.: 100370 CONTRACTOR: Conatser Construction
DOE NO. N/A
PERIOD FROM 08/23/16 TO: 02/02/17 FINAL INSPECTION DATE: 2-Feb-17
WORK ORDER EFFECTIVE 8/23/2016 CONTRACT TIME 180 O WD O CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED
RING CREDITED MONTH DURING CREDITED
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 0 0 0 0 157 157
PREVIOUS 0 0 0
PERIOD 0 0 0
TOTALS 0 0 0
TO DATE 0 157 r157
*REMARKS:
CONTRACTOR DATE INS"P' E-C-TW DATE
ENGINEERING DEPARTMENT
T
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817) 392-7941 •Fax: (817) 392-7845
City of Fort Worth
Inspector's Estimate Worksheet
City Project Numbers 100370
Contract Name WALSH RANCH-QUAIL VALLEY-PHASE 1A DOE Number 0370
Contract Limits Estimate Number 1
Project Type WATER&SEWER Payment Number 1
Control Number 037001 For Period Ending -2—/ / 11-7
Contract:
Contract Date Contract Tim 180 CD
Inspectors LAYER / HOUSTON
Days Charged to Date 1.57 CD
Date Prepared by Inspector / / 17 Contract is d %Complete
Construction ID: 10908
Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost
No. Quanity Quanity for Month Quanity
WATER — —. -- --
C pl 1 4"PVC WATER PIPE �10 S8 LF $30.00
2 4"PVC WATER PIPE CLSM 8 LF $36.00
BACKFILL 'RFS _ - yea_
3 8"PVC WATER PIPE ' i5� LF $32.00 �� � �, c
4 8"PVC WATER PIPE CLSM 8 LF $38.00
BACKFILL
5 12"PVC WATER PIPE 4592 LF $42.00 ? 4
6 12"PVC WATER PIPE CLSM 137 LF $52.00
BACKFILL13
-— ---r_
7 DUCTILE IRON WATER 8.1 TN $4,000.00
FITTINGS W/RESTRAINT
CG � 8 4"GATE VALVE A, EA $850.00
9 8"GATE VALVE 4,6 EA 1,1 50.00, ,E e)
10 12"GATE VALVE 27 EA $2,000.00
a--
11 30"X12"TAPPING SLEEVE& 1 EA $6,500.00
VALVE
12 4"-12"PRESSURE PLUG x9 EA $500.00 v 0
13 FIRE HYDRANT 10 EA $4,200.00 J6 /U � ac 0.
14 4"WATERLINE LOWERING 1 EA $2,500.00
15 8"WATERLINE LOWERING 2 EA $3,500.00 2--
16 12"WATERLINE LOWERING 10 EA $4,500.00
17 1"WATER SERVICE 30 EA $900.00 y'
Friday,January 27,2017 Pagel
City of Fort Worth
Inspector's Estimate Worksheet
City Project Numbers 100370
Contract Name WALSH RANCH-QUAIL VALLEY-PHASE 1A DOE Number 0370
Contract Limits Estimate Number 1
Project Type WATER&SEWER Payment Number 1
18 CONCRETE ENCASEMENT FOR 2.9 CY $150.00
UTILITY PIPES �w� 2_ 9 p 4,a
19 CLEANING WYE 2 EA $100.00 2__ I 0,,;
20 TEMPORARY AUTOMATIC 1 EA $16,500.00
FLUSHING VALVE
/U3 21 4"COMBINATION AIR VALVE —t—EA $8,500.00
( ASSEMBLY FOR
�0 22 TRENCH SAFETY _/0 5334-LF $1.25
estimated Total This Unit $493,254.50 Completed Total This Unit
Construction ID: 10909
Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost
No. Quanity Quanity for Month Quanity
SEWER ---
S2�a
1 8"SEWER PIPE _5194- LF $43.22j�c�a 5200 22
°
2 8"SEWER PIPE CSS BACKFILL 140 LF $56.00 /� /�/� 7�`r�.
3 10"SEWER PIPE 447 LF $48.00 CSP `
4 4'MANHOLE 2T EA $3,600.00
5 EXTERNAL DROP MANHOLE 2 EA $5,200.00
CONNECTION
6 4"SEWER SERVICE 34 EA $650.00 '
22, foo. UO
7 EPDXY MANHOLE LINER 32 VF $175.00 - -
8 TRENCH WATER STOPS 20 EA $300.00x , �� 0
9 8"SDR-26 SANITARY SEWER 40 LF $52.00
PIPE PER ASTM` _2,a? o__,,
C� 10 POST CCTV INSPECTION 5818 LF $2.00 ?2
11 MANHOLE VACUUM TESTING 23 EA $100.00
C o / 12 TRENCH SAFETY 9 584.8-LF $1.00
l3 S,�e f N s � 2 �,f x 2ao4 2FC, g,:c
Friday,January 27,2017 Page 2
City of Fort Worth
Inspector's Estimate Worksheet
City Project Numbers 100370
Contract Name WALSH RANCH-QUAIL VALLEY-PHASE 1A DOE Number 0370
Contract Limits Estimate Number 1
Project Type WATER&SEWER Payment Number 1
32,Pdf, pry
;stimated Total This Unit $395,135.02 Completed Total This Unit
--
/ ? Total Itemized Amount(Including Change Order
DATE Total Cost of Work Completed ��9 '13"00
Inspe Less = t %Retained c�
Net Earned o
Previous Payment $0.00
Material on Hand 15% c1st,
Balance Due This Payment 909
Friday,January 27,2017 Page 3
FORTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 11/31/2017
Name of Contractor Project Name
Conatser Construction Walsh Ranch Quail Valley lA
DOE Inspector Project Manager
Garey Houston Pat Buckley
DOE Number Project Difficulty Type of Contract
100370 0 Simple OO Routine O Complex Q Water D Waste Water ❑Storm Drainage ❑ Pavement
Initial Contract Amount Final Contract Amount
$888,439.52 $919,403.00
II)PERFORMANCE EVALUATION
0-Inadequate 1 -Deficient 2-Standard 3-Good 4-Excellent
ELEMENT RATING ELEMENT RATING
INSPECTION EVALUATION PLANS&SPECIFICATIONS
1 Availability of Inspector 1-f 11 Accuracy of Plans to Existing Conditions Ll
2 Knowledge of Inspector 1/ 2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities y 3 Applicability of Specifications
4 Display Of Professionalism '� 4 Accuracy of Plan Quantities `f
5 Citizen Complaint Resolution N PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs y 1 Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availability of Project Manager Y
1 Change Order Processing Time y 3 Communication y
2 Timliness of Contractor Payments 1/ 4 Resolution of Utility Conflicts 31
3 Bid Opening to Pre-Con Meeting Timeframe
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor /r._9
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
FORTWORTHREV:8/20/16
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
n CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Conatser Construction TX,LP Walsh Ranch Quail Valley I
Inspector City Project Number
Garey Houston 100370
Construction Components Project Manager
D Water 1�1 Waste Water ❑Storm Drainage ❑ Pavement Pat Buckley
Initial Contract Amount Project Difficulty
$888,439.52 0 Simple OO Routine Q Complex
Final Contract Amount Date
$919,403.00 1/31/2017
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 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] x 100%) 448 / 448 = 100%
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 Fort Worth•8851 Camp Bowie West Blvd.•Fort Worth,TX 76116• (817)392-8306
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Walsh Ranch Quail Valley I
PROJECT NUMBER: 100370
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
4"inch PVC 98 LF
8"inch PVC 481 LF
12"inch PVC 4592 LF
FIRE HYDRANTS: 10 VALVES(16"OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES:
NEW SERVICES: 30- 1"inch copper 300 LF
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
8"inch SDR-26 PVC 5200 LF
10"inch SDR-26 PVC 447 LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES:
NEW SERVICES: 34-4"inch SDR-26 PVC 700 LF
TRANSPORTATION AND PUBLIC WORKS
s The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
d
(817)392-7941 •Fax: (817)392-7845
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, 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 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; and
That there are no claims pending for personal injury and/or property damages;
On Contract described as:
WALSH RANCH QUAIL VALLEY—PH 1A
WATER& SS, STORM DRAIN AND
PAVING IMPROVEMENTS
DOE#: N/A
CFA PRJ#: 2016-041
CITY PROJCT #: 100370
CITY OF FORT WORTH
STATE OF TEXAS
CONATS ONSTRUCTION TX, LP
Brock Huggins
Subscribed and sworn to before me this 2nd day of F ary, 2017.
BERTHA GIANULIS
a, No ary Public in Tarrant County, Texas
Notary Public,State of Teras
my commission Ex ares
September 18, 2019
� E
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
TO FINAL PAYMENT CONTRACTOR ❑
SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 0201473
PROJECT:
(name, address)Walsh Ranch-Quail Valley-Phase 1A
Fort Worth,TX
TO (Owner)
CFA No.2016-041
QUAIL VALLEY LAND COMPANY,LLC AND THE CITY ARCHITECT'S PROJECT NO: City Project No.100370
OF FORT WORTH
CONTRACT FOR:
8401 N.Central Expressway,Suite 350 Water,Sewer,Drainagge Paving and Street Light Improvements for
Walsh Ranch-Quail Valley-Phase 1 A
Dallas TX 75225
_I CONTRACT DATE:
CONTRACTOR:CONATSER CONSTRUCTION TX, L.P.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(here insert name and address of Surety Company)
BERKLEY INSURANCE COMPANY
475 Steamboat Road
Greenwich CT 06830 , SURETY COMPANY
on bond of (here insert name and address of Contractori
CONATSER CONSTRUCTION TX, L.P.
5327 Wichita St.
Fort Worth TX 76119-6035 , CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve
the Surety Company of any of its obligations to (here Insert name and address of Owner)
QUAIL VALLEY LAND COMPANY, LLC AND THE CITY OF FORT WORTH
8401 N. Central Expressway,Suite 350
Dallas TX 75225 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 2nd day of February,2017
BERKLEY INSURANCE COMPANY
Surety Company
Attest: �� ��
(Seal): Signature of Authoriz d Representative
Robbi Morales Attorney-in-Fact
Title
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
No. BI-7280f
r POWER OF ATTORNEY
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. Cornell; Vena DeLene
Marshall,Sophinie Hunter;Robb!Morales, or Kelly A. Westbrook of Aon Risk Services Southwest,Inc. of Dallas, TX its true
and lawful Attorney-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 and 00/100 U.S. Dollars (U.S.$50,000,000.00),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.
f � .
This Power of Attorney shall be construed and enforced in accordance with, and governed by,the laws of the State of Delaware,
without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following
0
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 attorney-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
J° 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 attorney-in-fact named; and
further
RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any
power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or
N u 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
ceased to be such at the time when such instruments shall be issued.
J
IN WITNESS WHEREOF, the Company has cau e- these presents to be signed and attested by its appropriate officers and its
o corporate seal hereunto affixed this ' ay of
Attest: Berkley Insurance Company
(Seal) By l
B4&ar Ira S. e erman ero Senior Vice President&Secretary side
=' WARNING. THIS POWER INVALID IF NOT PRINTED ON BLUE"BERKLEY" SECURITY PAPE,.
v
STATE OF CONNECTICUT)
ss:
N COUNTY OF FAIRFIELD )
J
Sworn to before me, a Notary Public in the State of Connecticut, this�J0=Public,
2015, by Ira S. Lederman and
Jeffrey M.Halter who are sworn to me to be the Senior Vice President and Sice Predent, respectively, of
Berkley Insurance Company. MARIA C.RUNDBAKENNOTARY PUBLICMY COMMISSION EXPIRESonnecticut
G ,2019 APRIL 30
zr CERTIFICATE
I,the undersigned,Assistant Secretary of BERKLEY INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a
Jtrue, 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 Attomey-in-Fact set forth therein, who executed the bond or undertaking to which this Power of
Attorney is attached,is in full force and effect as of this date.
Given under my hand and seal of the Company,this 2nd day of February 2017
(Seal)
a