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Contract 47577-FP1
Departm t f P 8W Const. Services CP.N# Dat Project Manager r'`'' r Risk Management Canad D.O.E. Brotherton CFA Westerman/Scanned Esteban Perez/Scanned The Proceeding people have been Contacted concerning the request for final payment & have released this project for such payment. Clearance Conducted By gtamts(w RT WORTH CITY ftCREYAW, ATION AND PUBLIC WORIQONWCT N0. � F PROJECT COMPLETION CFA S 31,%(f, D.O.E. NO: 7490 CP Regarding contract 117490 for TCC SOUTH CAMPUS LOOP RD EXTENSION as required by the Q ` ��'C e%% TRANSPORTATION & PUBLIC WORKS as approved by City CounctU 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 Prices: $255,274.96 Amount of Approved Change Orders: No Revised Contract Amount: Total Cost Work Completed: $255,274.96 Less Deductions: Liquidated Damages: Days @ $210.00/ Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $255,274.96 Less Previous Payments: $0.00 Final Payment Due $255,274.96 Recommended for Acceptance Asst. Director, TPW - Infrastructure Design and Construction W.J Accepted Q u Director, TRANSPORTATION & PUBLIC WORKS City Manager EMAII.E�" MAR 01 %1' Date Date Date OFFICIAL. RECORD CITY SECRETARY FT. WORTH, TX Project Name: TCC SOUTH CAWUS LOOP RD EXTENSION D.O.E. Ns: 7490 Comments: FORTWORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name TARRANT COUNTY COLLEGE SOUTH CAMPUS LOOP RD EXT. Contract Limits Project Type PAVING City Project Numbers 02633 DOE Number 7490 Estimate Number I Payment Number I For Period Ending 9/15/2016 CD City Secretary Contract Number 117490 Contract Date Project Manager Sahu Contractor ARCHER WESTERN 2121 AVENUE J, STE. 103 ARLINGTON, TX 76006 Inspectors DICKINSON / SALINAS Contract Time 6QD Days Charged to Date 66 Contract is 100.00 Complete Thursday, September 15, 2016 Page I of 4 S�- City Project Numbers 02633 Contract Name TARRANT COUNTY COLLEGE SOUTH CAMPUS LOOP RD EXT Contract Limits Project Type PAVING Project Funding Contract Information Summary Original Contract Amount Chanee Orders DOE Number 7490 Estimate Number I Payment Number I For Period Ending 9/15/1016 $255,274.96 a Balance Due This Payment $255,274.96 Thmsday, September 15, 2016 Page 3 of 4 Total Contract Price $255,274.96 -� i Completed Date Total Cost of Work $255,274.96 Contr o Less % Retained $0.00 / / Net Earned $255,274.96 D Earned This Period $255,274.96 Ins n upe Retainage This Period $0.00 Date '7 ��/I Less Liquidated Damages P jed Manager Days @ / Day $0.00 C, - Date -Z1 LessPavement Deficiency $0.00 �Director/fPW -- Ifrastru cure Design an Construction Less Penalty $0.00 Date Less Previous Payment $0.00 Di / Conanting Depa ent Plus Material on Hand Less 15% $0.00 a Balance Due This Payment $255,274.96 Thmsday, September 15, 2016 Page 3 of 4 City Project Numbers 02633 Contract Name TARRANT COUNTY COLLEGE SOUTH CAMPUS LOOP RD EXT Contract Limits Project Type PAVING Project Funding Project Manager Sahu Inspectors DICKINSON / SALINAS Contractor ARCHER WESTERN 2121 AVENUE J, STE, 103 ARLINGTON, TX 76006 DOE Number 7490 Estimate Number I Payment Number 1 For Period Ending 9/15/2016 City Secretary Contract Number 117490 Contract Date Contract Time 60 CD Days Charged to Date 66 CD 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 $255,274.96 Less % Retained $0.00 Net Earned $255,274.96 Earned This Period $255,274.96 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 $255,274.96 Thursday, September 15, 2016 Page 4 of 4 FORT WORTH, TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENTq I q FINAL STATEMENTN Final DOE T490 NAME OF PROJECT: TCC South Campus Loop Extenstion Contractor I ArchetVeW. r►'. YEAR: 2016 PROJECT NO.: FINAL. INSPECTION DATE 11102633 1 NVD CD L. CONTRACT TIME 60 1 X. PERIOD FROM: 5116020 . TO: _ MID - Month IMIEWPNEP4 (V / N WORK ORDER EFFECTIVE: 3121/20/6 BEG / n n MID / n DAY OF MONTH DAYS REASON FOR CHARGED DAYS CREDITED DAY OF MONTH DAYS CHARGED REASON FOR DAYS CREDITED 116 Mon 1 2 17 Tue 1 3 18 Wed 1 4 19 Thu 1 6 20 Fri 1 6 21 Sat 1 7 22 Sun 1 8 23 Mon 1 9 24 Tue 1 - 10 26 Wed 1 11 26 Thu 0 12 27 Fri 0 13 28 Sat 0 14 29 16 30 31 NA Whim tN Wea, Not Applicable SAT„SUN,and WEATHER HOLIDAYS UTILITIES RELOCATE OTHERS DAYS CHARGED TOTAL DAYS THIS PERIOD 0 0 0 0 10 10 PREVIOUS PERIOD 0i6 66 TOTAL TO DATE 0 0 0 0 66 66 Signature: Signature: (Print Name) lav t tj uj21 ♦ (Print Name) Ma na Salinas CONTRACTOR DATE INSPECTOR DATE CONSENT OF SURETY TO FINAL PAYMENT AM ]AXument 47177 (hotnct0w on rcvcfw ieWe) TO CiWNFR: AWWWdAWOMI Tarrant County College District 1500 Houston Street Fort Worth, TX 76102 BOND NUMBER: 106385174 FRAJm rAWW! Community Facilities Agreement for Tarrant County College South Campus Loop Road Extension - CFA No. 2015-079 Fort Worth, TX 76102 41V1r1F.K 17 Aft HI7ACT o 4t)�TSAL,TAK l7 sum OY1tIK I7 AWHITF.GT"8 FR+vjF, 17 NO„ Community Facilities Agreement for OqWnlAff pOR: Tarrant County College South campus Loop Road Extension - CFA No. 2015-079 CONTRACT pATID, October 22, 2015 in omxdxw with the prcmaAmu of the Commi bcwm the Owner W the [,suitmwras tuwcliAwal atx*y, the rr►�n d�rna6�rar'�gwP/ Travelers Casualty and Surety Company One Tower Square Hartford, CT 06183 , Alin M., on bow of rl�rrr nomr�,ro' �d,watbrra r�t�rnu�wwr Archer Western/Carcon Joint 'Venture 929 W. Adams St. Chicago, IL 60607 . &pWM4 rUK. beraby appawa cat the final payment u? the Gunuxwx-, vW attrca thrt Aril payment u? the C4mim-tur a►sfi ncx rup eve she Sunny of any d b ntt otOm w dWWnor0dednxx#10" 1 Tarrant County College District 1500 Houston Street Fort Worth, TX 76102 pis wt turas in saW flu mya bond, IN WIT'WO WHJrXF,UF. Ow Surety ho Itrunuu set j% hand cm III* 4AW' September 15, 2016 IAVWInMW" MrnMawtob/bdb>r»dt7'cOrOmmy* AWmad WP) O"FIR. ravelers Casualty and S rety Company of America !4�'(fIMNlIIi'f�Ilftb�J�M'f•T41cI /c'iNitiiVl//!tl!/b'/ Patricia Collins,Attorrtey-in-Fact (1WMWNMW0nd1#k) 3707-1994 WARNING: THIS POWER OF ATTOANFY IS INVALID WITHOIJT THE RED DOROF FT, TRAVELERS JM POWER OF ATTORNEY Farmington Casualty Company St. Paul Mercury Insurance Company Fidelity and Guaranty Insurance Company Travelers Casualty and Surety Company Fidelity and Guaranty Insurance Underwriters, Inc. Travelers Casualty and Surety Company of America St. Paul Fire and Marine Insurance Company United States Fidelity and Guaranty Company St. Paul Guardian Insurance Company Attorney -In Fact No. 230797 Certificate No.O 0 6 9 0 912 6 KNOW ALL MEN BY THESE PRESENTS: That Farmington Casualty Company, St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty Insurance Company is a corporation duly organized under the laws of the State of Iowa, and that Fidelity and Guaranty Insurance Underwriters, Inc., is a corporation duly organized under the laws of the State of Wisconsin (herein collectively called the "Companies"), and that the Companies do hereby make, constitute and appoint Brian R. Walsh, J. William Ernstrom, Jodi Wallace, Patrick O'Connor, Patricia Collins, and Brad Van Wyk of the City of Ckiisagla , State of Mob their true and lawful Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and acknowledge any and all bonds, recognizances, conditional undertakings and other writings obligatory in the nature thereof on behalf of the Companies in their business of guaranteeing the 6detity of persons. Iium nreeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted in any actions or proceedings allowed by law. IN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their co 26th pan• fined corporate seals to be hereto affixed, this day of _. July 2016 Farmington Casualty Company Fidelity and Guaranty Insurance Company Fidelity and Guaranty Insurance Underwriters, Inc. St. Paul Fire and Marine Insurance Company St. Paul Guardian Insurance Company St. Paul Mercury Insurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company �,,su��t ,gµi1Y V .,�i i i `'M !+t4 �� �■°u�' s�`'r'`"°° votytri ,ptJ%tY'4b dJOKt a •• ���,cf: � ��' 1951 a ��SEAt.jo^ "SS1LL•i F°� �'4 � N aye - F�,a ~+os�uct c° :•�.......+�+ ��,. , �, a w. State of Connwivin City of Hartford as. By. Robert L Raney. Senior Viee President On this the 26th day of Jaly 2016 , before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty Insurance Company, Fidelity and Guaranty Insurance Underwriters, Inc., St. Paul Fire and Marine Insurance Company, St. Paul Guardian Insurance Company, St. Paul Mercury Insurance Company, Travelers Casualty and Surety Company, Travelers Casaalty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. G.Tl7 In Witness Whereof, I hereunto set my hand and official seal. ijmi)�A My Commission expires the 30th day of June, 2021. �191r L�� 58440-5-16 Printed in U.S.A. Marie C. Teueaatt, Botany Phis AFFIDAVIT STATE OF TX COUNTY OF TARRANT Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared DAVID M BURNS, Project Manager Of Archer Western/Carcon JV, known to me to be a credible person, who being by me duly sworn, upon his oath deposed and said; That all persons, firms, associations, corporations, or other organizations furnishing labor and/or materials have been paid in full; That the wage scale established by the City Council in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; TCCD South Campus/Loop Road E tension BY David M Burns, Project Manager Subscribed and sworn before me on this date 11th of January, 2017. Notary Public County, State KELLY DAWN QUINN ti? wresApril 4, FORTWORTH TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I CONTRACTOR & PROJECT DATA REV: 02/20/07 Name of Contractor Project Name Archer Western/CarCon TCC South Campus Loop Extenstion DOE Inspector DOE Number Martina Salinas 7490 P#02633 DOEbiveciar Project Manager I]Water ❑ Waste Water❑ Storm Drainage0 Pavement CTO U Initial Contract Amount Project Di rculty $255,274.96 Simple 0 Routine 0 Complex Final Contract Amount Date $255,274.96 9/14/2016 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 I Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 Y 3 60 45 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 ll Property Restoration 5 Y 4 20 20 12 After Hours Response 5 N 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE (A) 406 BONUS POINTS (25 Maximum) (B) TOTAL SCORE (TS) 4" III) CONTRACTOR'S RATING Maximum Score (MS) - 448 9d sum of applicable element score maximums which = 428 Rating( ITS/ MS] " 100%) 406 / 428 — 95% Performance Category Excellent <20% - Inadequate 2066 to <40% — Deflclent 40°x6 to <60% = Standard 606/ to <80% = Good _:80% — Excellent Inspector's Comments (INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector A/ -"I � Signature Contractor >3n Pe OL Signature DOE Inspector's Supervi or lep,._ CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS ID The City of Fort Worth -1000 Throckmorton Stmt - Fort Worth, TX 76012-6311 (817) 392 - 7941 - Fax: (817) 392 - 7845 FORTWORTHRE02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY PROJECT INFORMATION Date: 9/14/2016 Name of Contractor Project Name Archer-Western/CarCon TCC South Campus Loop Extenstion DOE Inspector Project Manager Martina Salinas Gopal Sahu DOE Number Project Delculty 7)1m of Contract 7490 © simple 0 Routine 0 Complex ❑ Water ❑ Waste Water ❑ Storm Drainage Q Pavement Initial Contract Amount Final Contract Amount $255,274.96 $255,274.94 II) PERFORMANCE EVALUATION 0 - Inadequate 1 - Deficient 2 - Standard 3 - Ciond 4 - Rxcellent ELEMENT RATING ELEMENT (0-4) 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 y 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 ID The City of Fort Worth -1000 Throckmorton Street - Fort Worth, TX 76012-6311 (817) 392, 7941 - Fax: (817) 392 - 7845