Loading...
HomeMy WebLinkAboutContract 47592-FP1 Departt�p'f &W Const. Services CPN# Date Project anage �I IA— Risk tiRisk Management Canad TWORTHo CITY SECRETARY —r— Esteban D.O.E. Brotherton — d- v CFA Westerman/Scanned CONTRACT NO. Z ' Esteban Perez/Scanned The Proceeding people have bebn Con6cted concerning the request for final payment& have kTION AND PUBLIC WORKS released this project for such payment. 'PROJECT COMPLETION �evcloper Projects) Clearance Conducted By P,� 7 L City Project N 02746 �l'� �C'GtI?l'I n`Gl �1// � C,-5#01/P59?1z Regarding contract 02746 for DORADO RANCH as required by the TRANSPORTATION&PUBLIC WORKS as approved by City Council on N/A through M&C N/A the director of the TRANSPORTATION&PUBLIC WORKS upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete, Original Contract Price: $146,925.50 Amount of Approved Change Orders: ($5,707.30) Ne 1 &2 Revised Contract Amount: $141,218.20 4�• Total Cost Work Completed: $141,218.20 VLNRecom nd for Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction �s5 r i -Z AcceptedO xf Date Ift Director, TRANSPORTATION & PUBLIC WORKS Asst. City Manager Date i EMAILED Comments: FEB 112017 OFFICIAL RECORD Initial: CITY SECRETARY FT.WORTH,TX j Rev.9/22/16 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name DORADO RANCH Contract Limits Project Type STREET LIGHT City Project Numbers 02746 DOE Number 2746 Estimate Number 1 Payment Number 1 For Period Ending 1/19/2017 CD City Secretary Contract Number Contract Time 3YD Contract Date Days Charged to Date 302 Project Manager NA Contract is 100.00 Complete Contractor INDEPENDENT UTILITY CONSTRUCTION 5109 SUN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors LAYER / SALINAS Thursday,January 19,2017 Page I of 4 City Project Numbers 02746 DOE Number 2746 Contract Name DORADO RANCH Estimate Number 1 Contract Limits Payment Number 1 Project Type STREET LIGHT For Period Ending 1/19/2017 Project Funding STREET LIGHTING Item Estimated Estimated Completed Completed Description of Items Unit Unit Cost No. Quanity Total Quanity Total 1 2"CONDT PVC SCH 80 CO#I CO#2 3600 LF $7.40 $26,640.00 3600 $26,640.00 2 RDWY ILLUM ASSMBLY CO#2 30 EA $1,668.00 $50,040.00 30 $50,040.00 3 RDWY ILLUM ASSMBLY 7 EA $3,020.00 $21,140.00 7 $21,140.00 4 RDWY ILLUM FOUNDATION CO#2 30 EA $913.00 $27,390.00 30 $27,390.00 5 RDWY ILLUM FOUNDATION 7 EA $1,018.00 $7,126.00 7 $7,126.00 6 6-6-6 TRIPLEX ALUM ELEC CONDUCTOR CO#1 2138 LF $2.30 $4,917.40 2138 $4,917.40 CO#2 7 2-2-2-4 QUADPLEX ALUM ELEC CO#I CO#2 1416 LF $2.80 $3,964.80 1416 $3,964.80 Sub-Total of Previous Unit $141,218.20 $141,218.20 Thursday,January 19,2017 Page 2 of 4 City Project Numbers 02746 DOE Number 2746 Contract Name DORADO RANCH Estimate Number I Contract Limits Payment Number I Project Type STREET LIGHT For Period Ending 1/19/2017 Project Funding Contract Information Summary Original Contract Amount $146,925.50 Change Orders Change Order Number 1 ($8,124.70) Change Order Number 2 $2,417.40 Total Contract Price $141,218.20 Date Total Cost of Work Completed $141,218.20 Contr r /�� Less %Retained $0.00 j 2 / Net Earned $141,218.20 Date Inspec'on Su ryEarned This Period $141,218.20 Retainage This Period $0.00 Date Less Liquidated Damages Project Manager /� Days @ /Day $0.00 I/ Date 2 7 LessPavement Deficiency $0.00 ��Asst. ire r//I PW-Infrastructure Design and Construction Less Penalty $0.00 �✓ Date Less Previous Payment $0.00 Director Contracting Dep a ent Plus Material on Hand Less 15% $0.00 Balance Due This Payment $141,218.20 Thursday,January 19,2017 Page 3 of 4 City Project Numbers 02746 DOE Number 2746 Contract Name DORADO RANCH Estimate Number 1 Contract Limits Payment Number 1 Project Type STREET LIGHT For Period Ending 1/19/2017 Project Funding Project Manager NA City Secretary Contract Number Inspectors LAYER / SALINAS Contract Date Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD 5109 SUN VALLEY DRIVE Days Charged to Date 302 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 $141,218.20 Less %Retained $0.00 Net Earned $141,218.20 Earned This Period $141,218.20 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 $141,218.20 Thursday,January 19,2017 Page 4 of 4 FORTWORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:Final NAME OF PROJECT: Dorado Ranch PROJECT NO.: #02746 CONTRACTOR: Conatser Construction DOE NO.: PERIOD FROM;03/14/16 TO: 01/09/17 FINAL INSPECTION DATE: 1-4-Jan-17 WORK ORDER EFFECTIVE: CONTRACT TIME: 30 O WR* CD DAYS DAYS DAY OF REASON FOR DAYS DAY OF REASON FOR DAYS CHARGED CHARGED MONTH DURING CREDITED MONTH DURING CREDITED 1. S 1 16. 2. M 1 17. 3. T 1 18. 4. W 1 19. 5. Th 1 20. 6. F 1 21. 7. S 1 22• 8. S 1 23. 9. M 1 24• 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIESOTHERS* DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS THIS 302 302 PERIOD PREVIOUS 0 0 PERIOD TOTALS 302 302 TO DATE *REMARKS: CONTRACT-OR DATE IN CTOR DATE ENGINEERING DEPARTXIENT (a The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 m a � Q 0 C. zo O U co wN l�l1 a to r I to N ~ O N N CL m m CA O �p .0 tip G? M C, O N N low �. .. - U O O C) z _ lo $ vi 6 2 w w Apt 44 . U O zo z o N O w O 0 'm d O oU G Z M It 0') W o ' N N 0) CY) z U o .? co p Uf Z co 00 Q Q y N 0. z 0 IL M S ¢ O a v> f- d c U t1 a W � n N N c o C C aQa aoo. n- o 0 Ud d U c r00i � o Q CL O a} O fy N O U W M CL C 0 o A W 00 00 N (D +� +A U N N N Q IV J N a (N Cl o 06 n o p (O h O U ro _ Co (D � N > U d p C, r d m X Q [] [D N N 0 z w w U O cr q O z F f U = z �k W R t: F U I- t- C7x 4 z z y o U U 4 � w U t- O O O w o U W W Q lI-u- H p p W wa W W N Z1- 0R o z O p 1O- a z N a I— U 0 a n QU O v 0 O � w a � � w s �, � o � cco � f- a � ww �k wa -, Z o 5 N2 p z Q w Q w O c� 0 W 0. (-)I C) o S vwi L Z a O W U o g N N Q m �' o Q co F N tU 0 0 O cc `_ ; m z m N i- p » (nz z ' Q O O N U � o N w CL p m ac U N E w co z w , x O ,- U IT a $ LL c W o E v LL ~ a. v o O 0 0 U o 0 a: v $ N t m w O a �w E 0 7 O n n Q x I k X a to Z 0/ v inw i_ Uo m zW o O F0 00. EL 0 ca (V tD d O N ww tD N N Q U W w a 0 O } ' 'y F U y O u 0 y lU 0 O U) OfLIJ -- O In z 1 Z O v t= LL LL u in m S F U O 2 w a Q w T O ry a i ° O K ro ? N z IL .i W n n: 0 0 N z _ wol n v, z Oc ro ww a N C) a 00 � O 5 c H (L N N M O O w w O O U 0 U �) z w Ix C) fl ? o w m m p z o � m O � W ro -, z E iu - tnr S - 0 0 0 o y nuiv U CD N LL' 6 U) v z ai O c m T CY a, caIL L) Cl) M z O U Uo H » voiN 0 U J o0 N r v wuoi o W O N r Fes-. d N V O Ir coo 1A N O p� tD N d 10W t09 N V > O y) N N 0 ❑U CD 69o Z 0 0 0 N U Q Q m W _ 49 h C=.)0 t7 U o Z O Q- o K � CL O > d 0 O O ❑U 00 t; r U o o 0 N Z N U N M U o O ti I` F Z o U co z Z d' a 0 p N N p ° r = F- O CL U a U d U U o Q Q Z Z 0 0 0 a W C ❑_ w N N V L L ccco a U o N a ❑ W 4 v ❑ 49 Q a ?> O Q > N � to O U w CL m S o U) U) U W 0M0 co co i / 0 CD /k\\2\3 . §- \}G: 0 � 02 [j/RSS \ . � a 0 7 f k ƒ LLJ k ) ] 2 § f \ \ w w § .. k k E « \ ± £ r .. °9 3 0. /{�� � a \ eoc( ae \\/\\{ j e e- ZZ m 39t£/Q in °° © R §� 'o<=e3 &)�} } §§ £ CD® eE / E > LU I a /� # §k $ [ $ ) \( §5ui k )( ( ) [CD m a §k _ zos _ =m a �£ m / <w --= r §E d LUQL:" .R \ §'z\ ( \§ §7 �� Ul k ` , 2,mm9Re (g § § IL ( LEI , ) 0 S \ ) / g o $ z .. CY / k § / w z _ § d) z E /3999% } CD \ \33333 ce ) ~ 0 f z . \ -- '� - - -0 . . s C CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 0195688 PROJECT: (name, addresS)Dorado Ranch Fort Worth,TX TO (Owner) [D.D. R. HORTON-TEXAS,LTD.AND THE CITY OF FORT] ARCHITECT'S PROJECT NO: CFA No.2015-123 WORTH CONTRACT FOR: 6751 North Freeway Dorado Ranch-Water Improvements,Sanitary Sewer improvements, Fort Worth,TX 76131 Paving Improvements, and Storm Drain Improvements. L 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 there insert name and address of Contractor) 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) D. R. HORTON-TEXAS, LTD.AND THE CITY OF FORT WORTH 6751 North Freeway OWNER, Fort Worth,TX 76131 as set forth in the said Surety Company's bond, IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 5th day of January,2017 BERKLEY INSURANCE COMPANY Surety Company Attest: (Seal): Signature of Authorized 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 POWER OF ATTORNEY S 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 of Delaware,having its principal office in Greenwich, CT, has made, constituted organized and existing under the laws of the State and appointed, and does by these presents make, constitute and appoint: Ricardo J. Reyna; Don E. Cornell; Vena DeLene r Marshall;Sophinie Hunter,Robbi 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 il and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that no single obligation shall cm 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. This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware, r without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25,2010: f 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 r P 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 n ® 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 - E� power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or E 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. IN WITNESS WHEREOF, the Company has cause these presents to be signed and attested by its appropriate officers and its o corporate seal hereunto affixed this flay of C t4j -1-5-.-- - Attest: 1-5-. -Attest: Berkley Insurance Company U (Seal) By / Bji ^ r Ira S. e erman e. aftekrSenior Vice President&Secretaryside o WARNING: THIS POWER INVALID IF NOT PRINTED ON BLUE"BERKLEY"SECURITY PAPER.'. STATE OF CONNECTICUT) ss: COUNTY OF FAIRFIELD N G ) 7 Sworn to before me, a Notary Public in the State of Connecticut, this�)o da of �, "�' , 2015, by Ira S. Lederman and Jeffrey M. Halter who are sworn to me to be the Senior Vice President and Secre ryVAtg— an the Senior Vice/Predent, respectively, of Berkley Insurance Company. MARIA C.RUNDBAKEN NOTARY PUBLIC � MY COMMISSION EXPIRES Notary Public, State of Connecticut o APRIL 30,2019 ' CERTIFICATE HE 1,the undersigned, Assistant Secretary of BERKLEY INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a ri 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 Attorney is attached,is in full force and effect as of this date. Given under my hand and seal of the Company,this 5th day of January 2017 (Seal) A a 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: DORADO RANCH WATER& SS, STORM DRAIN AND PAVING IMPROVEMENTS DOE#: N/A CFA PRJ #: 2015-123 CITY OF FORT WORTH STATE OF TEXAS CONA CONSTRUCTION TX, LP Brock Huggin Subscribed and sworn to before me this 91h day of January,20 �illlih0 �,' 1�If1ii7-'Sas �}{jzt �, � Notary Public in Tarrant County, Texas 3tCFi' f,,v comrtlssion '�1111It�S` FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR& PROJECT DATA Name of Contractor Project Name Independent Utility Dorado Ranch DOE Inspeclor DOE Number Martina Salinas/Darrel CPN#02746 DOE bispector Project Manager ❑ Water❑✓ Waste Water❑ Storm Drainage❑✓ Pavement Gopal Sahu Initial Contract Amount Project Difjicidty $146,925.50 O simple 0 Routine O Complex Final Contract Amount Date $141,218.20 123-Jan-17 I1)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(X) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 3 20 15 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 3 60 45 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 3 20 15 11 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 1 Y 4 20 20 TOTAL ELEMENT SCORE(A) 396 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 396 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating( ITS/MS] x 100%) 396 / 448 = 88% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector ignature Contractor Signature DOE Inspector's Supervisor CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 NYSE /-tff ww4kw-�'�-- January 23, 2017 City of Fort Worth Ron Cordova CFW Senior Construction Inspector 8851 Camp Bowie West Fort Worth,TX 76116 RE: Dorado Ranch, City Project No.02746 Mr. Ron Cordova: This letter is to serve notice that D.R. Horton, Inc.will not charge any liquidated damages to Independent Utility Construction, Inc.on the above referenced project. Sincerely, Justin Bosworth Land Development Project Manager D.R. Horton, Inc.—DFW West Division 6751 North Freeway ° Fort Worth,TQC 76131 (817) 230-0800 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me, the undersigned authority, on this day personally appeared RICHARD WOLFE, Vice President of INDEPENDENT UTILITY CONSTRUCTION, INC., known to me to be a credible person, and after being duly sworn by me, 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: Dorado Ranch - City Project No. 02746 BY: Richard Wolfe,Vice President Ma SUBSCRIBED AND SWORN TO BEFORE ME on this day of n o,! , 201.9.7 GARCIA CHRISTINA Notary Public, State of Texas ;2 Notary Public,State of Texas : Comm. Expires 12.20.2020 i-W Notary ID 130940785 CONSENT OF OWNER ❑ ARCHITECT F1 SURETY COMPANY CONTRACTOR Q TO FINAL PAYMENT STY ❑ OTHER (SIMILAR TO AIA DOCUMENT G707) Bond No. 7992077 PROJECT: Dorado Ranch, City Project No. 02746 (name,address) Fort Worth, Texas TO (Owner) ARCHITECT'S PROJECT NO: F—City of Fort Worth CONTRACT FOR: Above Project 1000 Throcicrrrorton Street Fort Worth, Texas 76102 CONTRACT DATE: CONTRACTOR: Independent Utility Construction, Inc. 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) Ohio Farmers Insurance Company 555 Republic Drive, Suite 450 Plano, Texas 75074 ,SURETY COMPANY, on bond of(here insert name and address of Contractor) Independent Utility Construction, Inc. 5109 Sun Valley Drive ,CONTRACTOR, Fort Worth, Texas 76119 hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the Surety Company of any Of its obligations to(here insert name and address of Owner) City of Fort Worth 1000 Throel morton Street ,OWNER, Fort Worth, Texas 76102 as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 20th day of January 2017 OHIO FAXMERURANCE COMPANY Surety y By Sig e of ALtarKzed Representative Attest: (Seal): Kyle W. Sweeney Attorney—in—Fact Title Note:This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING 1 HIS SAMt POWER#AND ISSUED PRIOR TO 04/20111, FOR ANY PERSON OR PERSONS NAMED BELOW. POWER NO. 4220052 06 General Westfield Insurance Co. Power of Attorney Westfield National Insurance Co. Ohio Farmers Insurance Co. CERTIFIED COPY Westfield Center, Ohio Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a "Company" and collectively as "Companies," duly organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio,do by these presents make,constitute and appoint CHARLES D. SWEENEY, MICHAEL A.SWEENEY, KYLE W.SWEENEY, ELIZABETH GRAY,JOINTLY OR SEVERALLY of FORT WORTH and State of TX its true and lawful Attorneys)-in-Fact,with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of suretyship- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE, OR BANK DEPOSITORY BONDS. and to bind any of the Companies thereby as fully and to the same extent.as if such bonds were signed by the President,sealed with the corporate seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorneys)-in-Fact may do in the premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY: "Be It Resolved,that the President, any Senior Executive, any Secretary or any Fidelity& Surety Operations Executive or other Executive shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: The Attorney-in-Fact. may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and deliver, any and all bonds, recognizances, contracts, agreements of indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attorney-in-Fact shall be as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary." "Be it Further Resolved,that the signature of any such designated person and the seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signatures or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting held on February 8,2000). In Witness Whereof,WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of APRIL A.D.,2011 . •'. �.,,. WESTFIELD INSURANCE Corporate •'" "h WESTFIELD NATIONAL INSURANCE COMPANY Seals 'r.Q.--*....,�fC�p;s `a4,.• !ISG., 05 Affixed �v; .as. tpo o: ••,v^ �� �• '•CE's' OHIO FARMERS INSURANCE COMPANY V c�r�? SEA ;m_ 2d: ••b= 18413 At ....... By: State of Ohio `"" ""'�*" "••,,•` ByRichard L. Kinnaird, Jr., National Surety Leader and County of Medina ss.: Senior Executive On this 20th day of APRIL A.D.,2011 , before me personally came Richard L. Kinnaird, Jr. to me known,who, being by me duly sworn, did depose and say,that he resides"in_Medina, Ohio;that he is Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above instrument;that he knows the seals of said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed by order of the Boards of Directors of said Companies;and that he signed his name thereto by like order. Notarial `�...• �" � " ' Seal a\A L S c Affixed William J. Kahelin,A rney at Law, Notary Public State of Ohio SO d. q'JO My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code) County of Medina ss.: y �o•i"�, .,tifOF I, Frank A.Carrino, Secretary of WESTFIELD{NSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, do hereby.certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said Companies,which is still in full force and effect;and furthermore,the resolutions of the Boards of Directors, set out in the Power of Attorney are in full force and effect. In Witness Whereof, I have hereunto sst my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 20th day of Januar 1sun,,, 2-0 s% As ONA �rev w~•�~•1�tQ+� r`O P '('� ���`::''•4 .p?�� 4 `. SEA 0 L.. SEAL :m I ::�HARtER� _. .' ew% '• = * 1848 �••`�' Frank A. Carrino,Secretary Secretary BPOAC2 (combined) (06-02) FORTWORTHREV:02/22/07 TRANSPORTATION.AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION_ Date: 23-Jan-15 Name of Contractor Project Name p Independent Utility Construction �Ct Ot d ✓1 DOE Inspector Project Manager Martin_a_Salians Gopal Sahu DOE Number Project Difficulty Type of Contract CPN 2746 Q Simple Q Routine Q Complex (]water [-]waste water ❑Storm Drainage Q Pavement - Initial Contract Amount Tinal Contract Amount $146,925.50 $141,218.20 II)PERFORMANCE EVALUATION 0-Ina_dequate I-Deficient 2-Standard 3-Good 4-Excellent - _ ELEMENT RATING ELEMENT RATING (0-4) --- �._ _... _(0-4) INSPECTION EVALUATIONz PLANS&SPECIFICATIONS 1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 4T 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 3 Bid Opening to Pre-Con Meeting Timeframe III)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