HomeMy WebLinkAboutContract 46647-FP1De art e t PW Const. Seivices
CPN#�� �, Dat � /��`
Project Manager O�l.�tc.� � ( �
Rislc Mauagement S. Canadv �/
D.O.E. Bi•otherton � �
Water Dept.
Tlie PP6cdedi�ig pcoplc l�nve bcen Ca�ti�ctcd conccrning the request
fm• Tin�l pnyment & heve rclensed this project fm• such pnyroent.
Clearance Cnnducte�l Rv Rtra Rarv
RT WORTH�
TATION AND PUBLIC WORKS
OF PROJECT COMPLETION
(Developer Projects)
� C F�l S' C�nn eo�
��sEc�ra� � - � , ,R- . -
NrRacr �, � ��
DOL- 730 /
.3�� /� Ciry Project Ns: 02359
Regaiding conttact 117301 for VILLA RIDGE - PAVING & STREET LIGHTS as required by di �s�y���
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as appioved by Ciry Council on N/A dirough
M&C N/A die clieector of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon die
iecommendation of die Assistant Director of die Transportation & Public ��/oLl�s Depaittnent has accepted the project
as complete.
Original Contract Price:
Amount of Approved Change O�•ders:
Revised Contract Amowrt:
Total Cost Wm�lc Comp(eted:
Recommended for Acceptance
Asst. �rector, TPW - Infrastructure Design and Construction
Accepted Q X
� Director, �
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
,—�y
Asst. City Manager
Comments:
Rev. 9/22/16
$27,541.90
Ns 1
$27,541.90
�27,541.90
3z�
Date
3/3�/ �
Date
�� -��
Date
������� �C��
CITY �ECRETARY
F7. WORTH, TX
FORT �V4RTH
CITY OF FORT WORTH
F1NAL PAYMENT REQUEST
Contract Naroe VILLA RIDGE
Contract Limits
Project Type PAVING & STREET L[GHTS
City Project Nu►nbe►•s 02359
DO� Number 7301
Estimate Number 1 Payment Number 1
City Secretary Conh•act Number 117301
Conh�act Dnte
P'm• Period �nding l/31l2017 ✓
CD
Project Manager Jaafari
Contractor DAVID LEWIS BUILDERS
3200 COLLINSWORTH ST.
FORT WORTH, TX 7G107
Inspectors LAYER / SCHARFENBERG
Monday, FeUruary 6, 2017
Contract Time 18�D
Days Ch�rged to Date 537
Cont�•act is 100.00 Complete
Page 1 of 4
Ciiy Project Number
Cont►•act Name
Contract Limits
Project Type
Project Funding
S 02359
VILLA RIDGE
PAVING & STREET LIGHTS
I7NIT IV: PAVING IMPROVEMENTS
DOE Number 7301
�stimate Number i
Payment Number 1
For Period Ending I/31/20I7
Item Description of Items �stimated Unif Unit Cost �stimatec3 Completed Completed
r(o, Quaniry Total Quanity Total
— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — -
I 8"LIMETREATMENT 57 SY $3.33 $189.81 57 $189.81
2 7" CONC PVMT 53 SY $3533 $1,872.49 53 $1,872.49
3 4" CONC SIDEWALK 2200 SF $3.94 $8,668.00 2200 $8,668.00
4 6" CONC CURB AND GUTTER 150 LF $20.20 $3,030.00 150 $3,030.00
Sub-TotaI of Previous Unii $13,760.30 �13,760.30
IJNIT V: STREET IMPRO'VEMLNI'S
Ifem Description of Items Estimated Unit Unit Cost �stimated Completed Completed
No. Qua�iity Total Quanify Total
I FURNISH/INSTALL ELEC SERV PEDESTAL I EA $1,800.00 $1,800.00 1 $1,800.00
2 2" CONDT PVC SCH 40 (B) 250 LF $22.42 $5,605.00 250 $5,605.00
3 2° CONDT RM (RISER) 6 LF $22.42 $134.52 6 $134.52
4 8/C 14 AWG MULTI-CONDUCTOR CABLE 250 LF $1.17 $292.50 250 $292.50
5 GROUND BOX TYPE B 1 EA $517.63 �517.63 1 $517.63
6 ORI�AMENTALASSMBLY,SIMPLE 3 EA $500.00 $1,500.00 3 $1,500.00
7 LED LIGHTING FIXTURE 3 EA $404.76 $1,214.28 3 $1,214.28
8 RDWY ILLUM FOtJNDATION TY 7 3 EA $905.89 $2,717.6? 3 $2,717.67
Sub-Total of Previous T1nit $13,781.60 $13,781.60
Monday, February 6, 2017 Page 2 of 4
City Project Numbers 02359
Contract Name
Contract Limits
Project Type
Project I'unding
VILLA RIDGE
PAVING & STREET LIGHTS
Couti•act Infor�nation Summarv
Origival Contr�ctAmount
Chan�e Oi•ders
�� �1— '� =rotal Contrnct Price
� � � C����r���v�
DO� Number 7301
�stimate Number 1
Paymeut Number 1
For Period �nding 1/31/2017 V
$27,541.90
$27,5�41.90
� Date �� ��'� ��v Tot�l Cost of Wo�•Ic Completed $27,54L90
O �y��I,` Less % Retained $0.00
(ii�"'� Net �arned $27,541.90
` e �Q � �i•ned This Perio� $27,541.90
/ 17
IYisp�Eion Supervisor V
1 � ` �, ^ Retainage This Period
L{�,��' uJ� Date � (
Project Manager
�/l✓1 C���G�� Date J 2 �
t. irector/1'PW - Infrastructure Design an Constru tion
� Date 3 3
Dire r/ Contracting Departn nt
$0.00
Less Liquidnted Damnges
Days @ / Day
LessPavement Defciency
Less Pennity
Less Previous Payment
Plus Mnterial on Hand Less 15%
B�lance Due Tl�is P:►yment
$0.00
$o.00
$0.00
$0.00
$0.00
$27,541.90
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
Monday, February 6, 2017 Page 3 of 4
City Project Numbers 02354
Contract Name VILLA R1DGE
Contract Limits
Project Type PAVING & STREET LIGHTS
Project Funding
Project Manager Jaafari
Tnspectors LAYER / SCHARFENBERG
Contractor DAVID LEWI5 BUILDERS
3200 COLLINSWORTH ST.
FORT WORTH , TX 76107
DOE Number 7301
Estimate Num6er i
Paymeut Number �
For Pei•iod Ending 1/31/2017
City Secretary Contract Number L17301
Contract Date
Coniract Time 180 CD
Days Charged to Date 537 CD
Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account CenEer Amount Gross Retainage Net
Funded
TotaI Cost of Worlc Completed
Less % Retai��ed
Net Earned
Earned This Period $27,541.90
Retainage Tl�is Period $0.00
Less Liquidated Damages
� Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on H�nd Less 15%
Balance Due This Payment
$27,541.90
$0.00
$27,541.90
$0.00
$0.00
$0.00
$0.00
$0.00
$27,541.90
Monday, February 6, 2017 Page 4 of 4
CONSENT OF SURETY
TO FINAL PAYMENT
Conjorms wrfh [he American Institute o/Architects G707 form
TO OWNER:
(Nome and address)
City Of Fort Worth
1000 Throckmorton Street
Fort Worth. TX 76102
PROIECT:
(Nome and oddress)
OWNER
ARCHITECT
CONTRACTOR
SURETY
OTHER
Bond No: P611509800702
ARCHITECT'S PROJECT NO.:
■
■
�
■
�
CONTRACT FOR: Water, Sewer, Storm, Paving, & Street Lights
CONTRACT DATED: 5/25/2015
Villa Ridge Development for Westridge Street Partners I, LLC (Water, Sewer, Storm, Sidewalk, Paving and
Street Lights)
in accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(Insert name ond oddress of Surery)
Philadelphia lndemnity Insurance Company
One Bala Plaza, Suite 100
Bala Cynwyd, PA 19004
,SURETY
on bond of
�Insert name and oddress oJ Conbactor)
P.C. CONTRACTORS, LLC
102 West Hidden Meadow Court
Cresson, TX 76035
, CONTRACTOR
hereby approves of the final payment to the Contractor, and agrees tha[ final payment to the Contractor shall not
relieve the Surety of any of its obligations to
(Insert name and odd�ess o( OwnerJ
City Of Fort Worth
1000 Throckmorton Street
Fort Worth, TX 76102
as set forth in said Surety's bond.
IN WITNE55 WHEREOF, the Surety has hereunto set its hand on this date: October 31, 2016
(Inser[ in �vriting Uie month followed by the nume�ic date nnd year.)
Attest: ,
(Seal). �
Philadelphia lndemnilv Insurance Companv
(Surety)
���C.��� !
/��11/�.
(Slgnnture of a �orized repre6entahveJ
Tom Youn4 Attorn�-in-fact
(Printed nome ond tiUe)
, OWNER
��ini..�ui:i.riu:� i�ni•:�ixrn� i;�sri�:��rr•. ro�ir�����
Unr 13n1u I'Inta, Stutr IDII
li�l;illm��'J.!':\ 19U1�-I-U9j11
1'o+scr uf:\Ilornci
�706
Bond No:PB11509800702
I:NI)\l' :\LL Pl[RtiONS 13l"I'I IIiSC• PRI�tiL'n'fS''Ihat I'llll.:\DI{I.P111:1 li\1)P:\l\I"1'1' 1.\Sl�lt:1\Cl{ CO\11':1\1' (thc Compam•), a cor��oration org;u�izcd and
cxutin:: intilrr Utc la��, of Ihi Cummumcr:dtli ol Pcnnscl�:mi;i. durs hcreh�' cun>iitulc :mJ ap�,oim J�ircd 1'ounR, Prcd :\.'I hMl'm�J, .Ir., fo6in'I'ucl:cr,'I'nm 1'nwig
;ind I�red A.'1'IicU'urd, III of Cunlracl 13onJ :\;!cnc�'. I.L('.. il. truc ;mJ Im�lid ,Ulomtc-m-I:irt �cilh lidl :uuhurilr to c�otulr nn i�s bch;dl'bimds. unden:tkings.
recvenir.mces an� othrr coiurarts ul' in�l�nmrt�' anil �viUm_� uhli_,uun' in lhe nauur thereot: is,urd in thr cours� of ils bu.i�ir;s and �o hind the l'omp�m�' lhrreM. in an
amuunl nul lo a�ret�l S?J,IIUII.IIIID.UU `
fhi; Po�ccr uf:\uomc�' i: �rant��l anJ is signcd anJ sc:ilcd h�� I:�csimilc unJrr and b�• thc authoril�� ol thc liilln�cin� I:c,ulirtion udoplc.l b�' lhr Board ol'Dircclon of
PI IIL:\[)f:I.P111:1 I\I)L \I\ I I'1' I\tiIIRA\Cli CO\IP:\\Y ,u ;i inccting dul� r:dl�til thc 1' �I:i� of,lul�'.'ill I.
RI:SOL\ liD: Ih:it �hc fivard ot'I)ir�rtnr; hrreh� .iwhurius thc Prr.idrni or �inc Vicc Presiilcm ufthc
l'ompai»' to: 1 I}:\��puint ��liornrcl,) in I�nct ;�n� ;ialhorizc thc :\uurnrcl>1 in f�ct tu
csecutr on bch;dl' of ihc C'.nmpam� bunds and urnknaL•ings, cnntrurts �,I' ind�mnit� and
otl�rr �vitin_s ol+li,�alop' in tht n:�lurt lhcrcof anJ lu iW;ich thc u:al ol' tlie Cnmp:my
Ihurcto: und j'_) lu rcmucc_ :il :mc limc. iim such rU�omr�-in-F;icl an�l rcrukc Ihc
auihnrii� ei�cn AnJ. bc ii
I� l'N'I'I I I:R
ItEtiOL\'IiD: 'fhut ihe sienuturts ol'such ullicrr, anil thr .r;d ul' �hr Cump:im' ma) b� ulli�cJ w nny
+uch Po��rr ul r\Uurnrc or ccrlilicatc irl:iting lhrretu l,y I�icsimlr, anJ anc su��h Pu�crr ul'
\Uunuc so rsccul��l and ccrtilicJ hc liirsmidr si_nalurcs and tacsimilc scal shall bi
suliJ :mit bm�lin� upun the Cumpam' m dir linurc �riih the res�xri lo any hon�l or
urnlrrUikin_ tu �chirli it i, attarhid
IN l Gti I'I\9O\1` \\'l IIJ2Gt>I'. I�I Il l.i\DISI.PI II:\ INUIi\INI'I'1' I�1tiliK�WCI{ CU��•IPAN1' I IAti CAUSI:D'I'I IIS I\S'I'RU�II�N'f l'U 81: SIGNED AND
I'I'J C!)RPf )R:1'IlS 51::11: f(> 131: API'IXI:D Iil' I'Lti :\U"flllNt17.1:U OPfICG llliti lu1° DAY Of 11IVG 201i.
�} .� . '` � �'-�� _ �
c" � -1.+1 - �
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I�call
koben U. lYLran• Jr.. PrrsiJcnt �� C�O
PhilaJclphia lndcmnity In,urancc Cnmpany
On thu 10„' .lac ol'Junc Z!11 +. hrlim me camc Ihe indieidual uho esecm�Yl tlic pnticdine in>uwncnl. Iu m� persunall�' kno���i. nn.l hcing hy mc dul�• .a'orn s�id thal hr
is U�c dirrein dastrihc.l :md autlwriz�til ullicrr uf lho P1111.:1DP.1.1'lll:\ I\DE\I\I�1'1� 1\til7t:\\('I? C'O�IP:\\1 ; thut thc scid nlli�rd ln said mstrumcnt is die
Corpor:it�� sral ot s:iid Cui»p.in)': th:ri thc s:ii.l Curpor.�l� Scal an�l lu, si�iolurr ��rrc Jul�' ;Uti.crd.
CpMS}Q\5'1FAliH 0� PENkSYLVKIIA
I{Y�i Y.il
Y�iMy A. F:-ziau. IANtry PuSL•
l^nX tklM ln� 1HL'Y]lef/ W�'<j
N� CormssM E�ry e: D� I�. IOlb
�:YR� f[w� iVIV� �1�4x��:1�11�: V 14L: i
(Noi.in tical)
���
�Ul:lf�' ��U���II':
It�ll�lilL�.:ll:
\I}' cuntmission c�pirrs:
�3:1�:1 C`\'I1\\\'t�. I'r\
I)tctnllmr IS.'_4111i
I. lid�uuJ tiu�'a��u, C'orpnr.�lc Srcrclan of PIIII.:\UCLI'I II:\ I\I)L\IVll�l' I\Sl i::\\l'k CO\9P:\\1', ilo hdrb)' c�l�ifj' that the li,rc�uinp rrsuluuon ul�thr Bu:ird oi'
I)uc.•tor: �inJ this Pnncr ul',luornc� is,uc.l pur,u;un ihrrriu on ihis IUr�� d;p' ol'lunr'_013 uur and currccl unJ ure still in liill li�rcr und cllcc�. I dn 1'urths cr«ily Ihal
Rohrn I). O'Lran-.Ic. �chu r�rcuted Ihe Pu�crr ntAnurncy +is Pr.si�l�m. �v,u un ihr date of r�erutiun ufthr :iltached Po�cer ol'�Utumry Ihe dul�• rlecied President of
PIIII.:\UIiI.Plll:1 INDI�i\INII'1' I\�L'It:\NCf C'O�IP:\Nl'.
In "fc,iimom \vh��r�ui I�c��. r.ub,c,i!+c�l�iny namc and u�lisc�l ihr luc:imilc s.al ��I'r.��h Company thi, 31 st dm� ui October . 2016.
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Gdnat� Smu;_u. Curpuratr tircrctary
PI111.:\UI�:I.PI11:\ 1\DF.\I\1"1'i' IXSI�It:\\CP: CO\IP;\\1'
l��OT10E: �t�f�TS D(�rL`.11�"�;1� i`s:'tl��t=ti f;IGa-ITS i_i;';Cri1�'Diii(_)����.�_T.il' =��\�? �"�:`:I.=S
'I I-I?,T �'�L? H.-�4'L BEL-iv T:�1D f�UP. C:I�-I1iG UI� i't30S[ P.IGI�'i ti. 1T IS PROI-IIBI'i tD
I�OR A 1'ERSO�i TC? .[ZEQUIRG 1'�U TO SIC,N THiS Pi�CL1;��11:N7 f F 1'C�U HA\•'L �'GT
(iEEN P:1ID Z'HE PAl'A�IEI�T ��10t�N'I' SL-T FOP'I�H BF.i_O1V. Il= )'C+U 1�:1VF� 1�Q�I'
EL•E\r PAID, USL• A CO'�D1T10\:�1L P.FL_F:�SE F(]P.tiT.
U1�CONDITIOT�TAL �4:�.IVL:R AI�D R�LEAS� C�N FII��AL PA�`MENT
T}1� Slbtl�l' Ot CI115 I�OlLl111Ci1t Ilcl� L�een paid in lull tor all labor, �er�•ice�, �c��iipnteni, OI' 1]lafE'1'1clIS
(urnished to the pmperty or lo P.0 Contrartors, LLC and,�t�r David L.e�cis Puilders on tl�e \-itla
P.idge Street Li�htin� Project I�,catril in tlle \'?lla Ridge Subdi��i�ion, �,�hicl� is legallt' des�rit,ed
as:
LOT� �PA-1 tlirough �T:r!-� and LO"J5 6I:-T thruu�h 6P-S, 61uck �?, IZIDGLL-A
ADDTTIOiv, an addition to ihe Cit�� of Fort 1�1�nrth, l�tl'I'811t I.OLUlf\', 7exa� as sho���n on
the plat thereof i•ec�rded in \'olume 3�S-S6, Pagc ]5 plat record�, 1�arrani Counh�,
Texas being ?.6007 Acres out of thc l�V. Houston Sw•��ep, Absh�act I�'�. %43.
Tlle signer therefore ��•ai��es a�ld releases its aFfida��it ;or ine�hanic's lien filed on or .3boitt
September 2, 2016 ttnder Tarrant Count�� Instrument i\�o. D27G20733$ :�tle� an�- mechanic'� lien
right including, �in}' right arising front a pa)'ment bond ihat romplies ��•ith a state or f�deral
statute, ant� commoil la`>> payment bc�nd right, an�r �laim lc�r pa��iricnt, ailcl an�r i•ighis und�r a�1y
similar ordinance: rule, ar stah�te related lo rlainl or payment riohts for persons in the si�ner's
position.
The si�,ner ���an-ants that tile si�;ner has airead�� pai�: or ��-ifl u,e the f�n�is r�ceived frotn this
final p�yme.nt to pramptly� pay ii1 lull all of the signer's IIIh01'et'S, suhcontractoi•s, materialmen,
and suppliers for all �1�ork, materials, equipment, or s�r��ices pi•o��idcd foi• or to tlte abovc
referenccd project u}� to the date of this ti��ai��er and rele�se. - -
�,
�, �.
Pe:m Elech-ical, Inc. rr /,,..
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B��• _- - ._
T;ojr E. Beaii, riUllli�I'1"r'eCI PC��C�SZllic"1fIVi
SliBSCP.IBED A�'L> 511`OP`N 1�O:�ND AC1:E�011'LEDCf[� before me by tl�e said P.�}� E. ii�ait,
.�:
<:tithari�_ed represeniati��e of Eeatl Electric�il, lnc. on this ," dal� of Ociobei• 201(�, tc� certif}'
v,•hich :1'1Cil�SS R'i\ Il:1IlCI dIl�� St78I ��f c�fficr.
! � _` (
t�Ti�t�rti� Pttblir in an�i fnr d�e �t�te of Texas
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! ��", ��-crYtE �. ESP��:E
y/ '' :+r,, - :�:- .r i.,.�.�
� ' ).\,.�' - -��nr:i�.''r..tir.�:;.J°.�;._C�.��
�:,,���� � �� NutUiy IG 159t�229 -
T_--.
November 16, 2016
To Whom It May Concern,
This letter is to inform you there are no liquidated damage charges to the Villa Ridge Estates.
Thank you,
David Lewis Builders Inc.
Developer
By: �� '� �7�
Name• ���7 � ����
Date: ����7���
Contractor ,
By:
Name: �� � l %� � � w� S�
Date: � 1 � � 7 ` � �
STATF. OF
COUhTI'OF
Thc fnregoin � ins�rument was acknow gal be ore
mc this �� day of�, 20� by �•� � .
_ I ��..'�.�tl s
. , _ng�c-�-b�
,�, ry Public's Sign re aarv rta�,e
\I�• Cmnmiuiun Exp. _____��,0
w� - _
�' "�"""-,,,, JG�EAI�N I�. SING!L•i0N
� � `�. N'�: � �H.�'':
� ^�' � •;,Nofary P�olic. Slnle t�� Ter.os
_ •+: ��� �'.� c
ri,'�>; Comm Er.{�n�.s Q3 22-2020
.:.`''°''`:'' hi�lai If) 128928o7ti
•,�,��.,,T` Y'
.,........-�-� .,.�.+M,...-..,,a@o.:..a.�.
David Lewis Builder, Inc.
3200 Collinsworth Street, Fort Worth, TX 76 ) 07
�77-735-1122 Fax R] 7-735• 1} 51
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day pei•sonally appeai•ed Chase Patte►•son,
President Of PC Contractors LLC, kno�vn to me to be a credible persov,
who being by me duly s���orn, upon his oath deposed and said;
That all persons, fii7ns, associations, corporations, or other
organizations fi�i•nishing laboi• andloi• matei•ials ha�-e been paid in fiill;
That the ti�age 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 injuiy and/or
property damages;
On Contract described as;
Villa Ridge Estates
BY � _ � -�--���
Chase Patterson, President
Subscribed and sworn before me on this date 13th of October, 2016.
1 �w
Notary Public
Tarrant County, Texas
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
CONTR.ACTOR'S EVALUATION OF CITY
REV: �2,22,��
- -- --- - - - -- -- - -
n PROJ�CT INFORMATION Date: 1/13/2017
�_—�,----- --
- - --- --- -- -- - - - -- -- --- -- - -- _ _ .-� - — - ------... _ __ . __ ------
Name of CwrMaclor Projecl Name
David Lewis Builders & PC Contractors Villa Ridge Paving Sh•eet Lighting _ _ ___
� _ �_. _- -- -----.-�------ - - __ ._
DDE Inspeclor Projec! Manager
Roy Scharfenberg IKhal Jaafari
-- y �� _ _ _ - - - -- - - - - -_ _ ____----- —`- -
DOG Nianber � Projec� D�cully Type of ConU•acl
7301 o Simple o Routine _o Complex Io Water o Waste Water ❑ Storm Drainage o Pavement
Inirial Conn•acr Anramrr Final Conn•acl A»roio�t
$27,541.90 $27,541.90
In PERFORMANCE EVALUATION
0- Inadequate 1- Deficient 2- Standard 3- Good 4- Excellent
-- __� - - � � _��___ -- -
- -
ELEMENT RATING ELEMENT RATING
�— --- —� ___ (� - �) -- –._ _._,_ - --- � z_.. _:- � -- – _�_ —._ _� (� - 4)
INSPEGTION EVALUATION PLANS & SPECIFIGATIONS
1 Availability of Inspector ! 1 Accuracy of Plans to E�cisting Conditions
2 Knowledge of Inspectar 2 Clarity & Sufficiency of Details
3 Accw•acy of Measured Quantities 3 Applicability of Specifications
'4 Display Of Professionalism 4 Accuracy of Plan Quantities �
5 Citizen Complaint Resolution PROJECT MANAG�R 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 Conh�actor Payments 4 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con Meeting Timeframe �
IIn COMMENTS & SIGNATURES
COMMENTS �T � � �_
Signatw�e Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor
INSPECTOR'S COMM�NTS
TRr1NSPORTATION AND PUBLIC WORKS
�'�'�s The City of Fort Worth • 1000 'I'htockmorton Street • Foxt �`t/oxth, T�i 76012-6311
� (81� 392 = 7941 • Fax: (81� 392 - 7845
FORT WURTH
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
CONTRACTOR & PROJECT DATA
Lewis Buileis & PC Contractors
Water ❑ Waste Water ❑ Storm
1.90
$27,541.90
Il) PERFORMANCE EVALUATION
7301 / 2359
Projecl Manag
o Pavement Khal Jaafari
Simple
1/13/2017
Street
o Rautine
REV: 8/20/16
o Complex
0- Inadequate 1- Deficient 2- Standard 3- Good 4- Excellent
ELEMENT WEIGHT ( X) APPLICABLE (Y / N) RATIIVG (0 - 4) MAX SCORE SCORE
1 Submission of Documents 2 Y 2 8 4
2 Public Notifications 5 Y 2 20 10
3 Plans on Site 5 Y 2 20 10
4 Field Supervision 15 Y 3 60 45
5 WorkPerformed IS Y 3 60 45
6 Finished Product 15 Y 3 60 45
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 1 20 5
11 Property Restoration 5 Y 1 20 5
12 After Hours Response 5 Y 3 20 15
13 Project Completion 5 Y 1 20 5
TOTAL ELEMENT SCORE (A) 294
BONUS POINTS (25 Ma�cimum) (B)
TOTAL SCOR� (TS) 294
IIn CONTRACTOR'S RATING
Maximum Score (MS) = 448 or sum of applicable element score maximums tivhich = 448
RAting ([TS / MS] * 100%) 294 / 448 = 66%
Per%rmance Category Good
<20% = Inadeg:�ate 20% to <40% = Defrcient 40% to <60% = Star�dard 60% to <80% = Good >_80% = Excellent
Inspector's Comments (INCLUDING GXPLANATION OT BONUS POINTS AWARD�D)
Inspector Signature
Inspector's Supervisor Signa
CONTRACTOR'S COMMENTS
ctor Signature � �"�'
7.RANSPORTATION AND PUBLIC WORKS
The City of Fort.Worth • 8851 Camp Bo�vie West Blvd. • Fort Worth, TX 76116 •(817) 392-8306
FORTW4RTH
`—r■..�: �w�.�
TRANSPORTATION & PUBLIC WORKS
�IN1�L STATEMENT OF CONTRAC'F 'i"I1�E
rev 03l0�/07
FINAL STATEM�NT NO.: 1
NAME OF PROJ�CT: Villa Ridge
PRO.T�CT NO.: CPN 02359 CONTRACTOR: Davis Lewis Builders
Paving & Sh�eet Sn�eet Lighting DOG NO.: 7301
PERIOD FROM:07/27/15 TO: O]/]3/17 FINAL IN�PECTION DAT�: 9-Jun-16
WORK ORDER �FFECTIVE: 7/27/2015 CONTRACT TIME: 180 o WD � CD
DAY OF DAYS �ASON FOR DAYS DAY OF DAYS REASON FOR DAYS
CHARG�D CHARG�D
M�NTH CREDIT�D NiONTI-I CREDiT�D
I7URING DURING
l. 16.
2. 17.
3. 18.
4. 19.
5. 20.
6. 21.
7. 22.
8. 23.
9. 24.
10. 25.
11. 26.
12. 27•
13. Zg•
14. 29.
15. 30.
31.
SAT, SUN, RAIN, TOO V1�T, UTILITIES DAYS TOTAL
� H4LIDAYS & TOQ COLD I��L��ATIONS OTH�RS *������ �AYS
T�� 537
P�RIOD
PREVIOUS
PERIOD
TOTALS 537
TO DAT�
'�K�;MAKKS:
.. � - � � ]r�
.TE R
ENGII`EERING DEP:�R��NT
of Fort Worth • 10UU '1'lirockmorton Street • Fort ��/orth, "1'X 7G012-G311
(81'� 392 - 7941 • Fas: (81� 392 - 78�5
�/ � ',
DATE
��'�=i�i�� �coao
CIT1P SECRETARY
F'i'. WORTH, TX