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Home My WebLink AboutContract 48802-FP2Depart nt of P&W Const. 5ervices CPN#- M� ' Date ( Project an g r �� 1 Risk Management anadv D.O.E. Brotherton CFA Westerman/Scanned Esteban Perez/Scanned —% 1--� '1 The Proceeding people have been Contacted concerning the request for final payment & have released this project for such payment. Clearance Conducted By (�/��aim,e�n.z �'�/�� ►T �WO RT H o �� C�� 't- _ �- CONTRACT N0. �'( �� - �1TION AND PUBLIC WORKS F PROJECT COMPLETION )eveloper Projects) �'�1CoUI, CU�3C7% ..D� �3d 5 City Project Ns: 02377 Regarding contract 117305 for INNISBROOg PLACE PHASE 2 as xequired by the WATER DEPARTMENT as approved by Ciry Council on N/A thr ,� , ' of the WATER DEPARTMENT upon die reco:mmendation of the Assistant Dire � ��p ' lt� Public `Yloxks Department has accepted the project as complete. FEB � 7 Z017 Original Contract Price: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Worlc Completed: Recommended for Acceptance Asst. Director, TPW - Infrastructure Design and Construction �� „"' ��G � Accepted Asst. Director, WATER DEPARTMENT � �� Asst. City Manager Comments: �It�A.I�..E� MAR � 2017 ��t��. _ Rev. 9/22/16 $645,436.40 Ns $645,436.40 Z�I( Dat z/z�//� Date u�FFICIAL ttECORD CITY �ECRETARY F% WORTH, TX �v ac�S- U a3 �7 i �� , FEB 2 7 2017 U By City Project Numbers 02377 Contract Name INNISBROOK PLACE PHASE 2 Contract Limits Project Type WATER & SEWER Project Funding Project Manager Buckley Inspectors DICKINSON / CHAMBERS Contractor JACIiSON CONSTRUCTION LTD 5112 SUN VALLEY DRIVE FORT WORTH, TX 76119 .5'� c� o ) �- C 6 �3'7'�1 DOE Number 73U5 Estimate Number I Payment Number 1 For Period Ending 2/8l2U17 City Secretary Contract Number 1173U5 Contract Date Contract Time 240 CD Days Charged to Date 342 CD Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Wednesday, February 3, 2017 Total Cost of Work Completed Less % Retained Net Earned Earned This Period $645,436.40 Retainage This Period $0.00 Less Liquidated Damages � Days @ $0.00 / Day LessPavement Deficiency Less Penalty Less Previous Paymeot Plus Material on Hand Less 15°/a Balance Due This Payment $645,436.40 $0.00 $645,436.40 $0.00 $0.00 $0.00 $0.00 $0.00 �645,�36.40 Page 4 of 4 �� - o �3�� FORTV�ORTH CITY OF FORT WORTH F1NAL PAYMENT REQUEST Contract Name INNISBROOK PLACE PHASE 2 Contract Limits Project Type WATER & SEWER City Project Numbers 02377 DOE Number 7305 Estimate Number 1 Payment Number 1 City Secretary Contract Number 117305 Contract Date For Period Ending Project Manager Buckley Contractor JACKSON CONSTRUCTION LTD 5112 SLTN VALLEY DRIVE FORT WORTH, TX 76119 Inspectors DICKINSON / CHAMBERS Wednesday, February 8, 2017 Contract Time Days Charged to Date Contract is 100.00 2/8/2017 CD 24�D 342 Complete Page 1 of 4 City Project Number Contract Name Contract Limits Project Type Project Funding WATER 02377 INNISBROOK PLACE PHASE 2 WATER & SEWER DOE Number 7305 Estimate Number 1 Payment Number I For Period Ending 2/8/2017 Item Description of Items �stimated Unit UniY Cost �stimated Compieted Completed �o. Quanity _________________ Total Quanity Total I 8" PVC WATER PIPE 5394 LF $20.00 $107,880.00 5394 $I07,880.00 2 FIRE HYDRt1NT 6 EA $3,600.00 $21,600.Q0 6 $21,600.Q0 3 CONNECTION TO EXISTING 4"-12" WATER i EA $785.00 $785.00 I $735.00 MAIN 4 1" WATER SERVICE 124 E4 $530.00 $65,720.00 124 $65,720.00 5 8" GATE VALVE I6 EA $1,140.00 $18,240.00 16 $18,240.00 6 16" X 8" TAPPING SLEEVE & VALVE 1 E4 $5,400.00 $5,400.00 I $5,400.00 7 DUCT`II.E IRON WATER FITTINGS 2.9 TN $5,300.00 $15,370.00 2.9 $15,370.00 W/RESTRAINT 8 'I`RENCH SAFETY 5394 LF $0.10 $539.40 5394 $539.40 9 TRAAFIC CONTROL 6 MO $500.00 $3,000.00 6 $3,000.00 10 PRESSURE/STERILTZATION TEST 5394 LF $0.50 $2,697.00 5394 $2,697.00 Sub-Total of Previous Unit $241,231.40 $241,231.40 SEWER Item Description of Items Es6mated Unit Unit Cost �sfimated Completed Completed �o• Quanity Total Quanity Total — — — — — — — — — — — — — — -- -- — — — — — — — — — — — — — — — — — — — - 1 8" SEWER PIf'E 4653 LF $37.00 $172,161.00 4653 $172,161.00 2 8" SEWERPIPE CSS BACKFILL 250 LF $53.00 $13,250.00 250 $13,250.00 3 8" SEWER Ct1RRIER PIPE 156 LF $45.00 $7,020.00 156 $7,020.00 4 16"CASINGBYOPENCUT 156 LF $109.00 $17,004.00 156 $17,004.00 5 8" SEWER PIPE, CLSM BACKFILL 17 LF $190.00 $3,230.00 17 $3,230.00 6 CONNECT TO EXISTII�TG SEWER MANHOLE 1 EA $I,400.00 $1,400.00 1 $1,400.00 7 4` MANHOLE 22 EA $4,1$0.00 $91,960.00 22 $91,960.00 8 4' EXTRAI?EPTH v1ANHOLE 61 VF $244.00 $14,884.00 61 $14,884.00 9 4" SEWER SERVICE 124 EA $517.00 $64,108.00 124 $64,108.00 10 POST CCTV INSPECTION 5076 LF $2.00 $10,152.00 5076 �10,152.00 I1 MANHOLEVACUIJMTESTING 22 EA $180.00 $3,960.00 22 $3,960.00 12 TR.ENCH SAFETY 5076 LF $1.00 �5,076.00 5076 $5,076.00 Sub-Total of Previoas Unit $404,zo5.00 $404,205.00 Wednesday, February 8, 2017 Page 2 of 4 City Project Numbers 02377 Contract Name INNISBROOK PLACE PHASE 2 Contract Limits Project Type WATER & SEWER Project Funding Contract Information Summarv Original ContractAmount Chan�e Orders Total Contract Price DOE Number 7305 Estimate Number I Payment Number 1 For Period Ending 2/8/2017 $645,436.40 �645,436.40 Date �� 7 �� Total Cost of Work Completed ContracYor/1 , a o Less /o Retamed �� Net Earned Earned This Period $645,436.40 �� Retainage This Period $0.00 Less Liquidated Damages Days @ / Day � � ''�1�'r�'� Date !�i 7i71 `� LessPavement Deficiency Asst. irector/I'PW - Infr tructure Desi�n an Cons ruction Less Penalty ��` � Date Z� Zt+,�/� Less Previous Payment Director / Contracting Department Plus Material on Hand Less 15% Salance Due This Payment Wednesday, Pebruary 8, 2017 $645,436.40 50.00 $645,436.40 �0.00 $0.00 $0.00 $0.00 $0.00 $645,436.40 Page 3 of 4 F�4 RT WO RT H rev 03/OS/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.1 NAME OF PROJECT: Innisbiook Place - Phase 2 PROJECT NO.: 2377 CONTRACTOR: Jackson Construcrion DOE NO. PERIOD FROM03/02/16 TO: 02/06/17 FINAL IIYSPECTION DATE: 6-Feb-17 WORK ORDER EFFECTIVE 3/2/2016 CONTRACT TIME 240 O WD O CD DAY OF DAYS �ASON FOR DAYS DAY OF DAYS g�ASOIV 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. 2g, 14. 29. 15. 30. 31. SAT, SUN, RAIN, TOO WET, UTILITIES DAYS TOTAL & HOLIDAYS & TOO COLD RELOCATIONS OTHERS * CHARGED DAYS THIS PERIOD 342 PREVIOUS PERIOD TOTALS TO DATE 342 �:� �u r:�:�;�.� ENGINEEKII�G DEP�IRTD�NT '�� The City of Fort Worth • 1000 T'hrockmorton Street • Fort �'Uorth, T� 76012-6311 (81� 392 - 7541 • f'ax: ($1� 392 - 7845 FoRT �VoRTH TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTR.ACTOR CONTRACTOR & PROJECT DATA Construction Kevin Chambers Constnrction Components � Water O Waste Water ❑ Storm Drainage ❑ Pavement Inrtia[ Contracl Amount $645,436.40 Final Contract Amount $645,436.40 In PERFORMANCE EVALUATION 2377 Project Man Pat Buckli Project D� � Simple Da[e 2/17/2017 Place - Phase 2 O Routine REV: 8/20/16 O Complex 0- Inadequate 1- Deficient 2- Standard 3- Good 4- Excellent ELEMENT WE[GHT ( x) APPLICABLE (Y / N) RATING (0 - 4) MAX SCORE SCORE 1 Submission of Documents 2 Y 4 g g 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 3 60 45 5 Work Performed 15 Y 3 60 45 6 Finished Product 15 Y 3 60 45 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance IS Y 4 60 60 9 Daily Clean Up S Y 4 20 20 10 Citizen's Complaint Resolution 5 Y 4 20 20 11 Properiy Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE (A) BONUS POINTS (25 Maximum) (B) TOTAL SCORE (TS) lII) CONTRACTOR'S RATING Maximum Score (MS) = 448 or sum of applicable element score maximums which = 448 Rating ([TS / MS] * 100%) 398 / 448 = 89% Performance Category Excellent <20% = Inadeguate 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 Cfij%lilA��- v`� "�'`ti" " Contractor Signatur / Inspector's Supervisor Signature � � CONTRACTOR'S COMMENTS TR.ANSPORTATION riI�iD PUBLIC WORKS The City of Fort Worth • 8851 Camp Bowie West Blvd. • Fort Worth, TX 76116 •(81� 392-8306 398 398 �`�Rfi' �ORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Innisbrook Place - Phase 2 PROJECT NfJMBER: 2377 DOE NUMBER: 7305 WATER PIPE LAID SIZE TYPE OF PIl'E 'Water pipe 8" PVC FIRE HYDRANTS: 6 ea PII'E ABANDONED DENSITIES: NEW SERVICES: SIZE 1" VALVES (16'" OR LARGER) TYPE OF PIPE Yes Water SEWER PIPE LAID SIZE TYPE OF PIPE Sewer pipe 8" Sewer pipe PIPE ABANDONED DENSITTES: NEW SERVICES: SIZE TYPE OF PIl'E Yes 4" Sewer TRANSPORTATION �9ND PUBLIC WORT�S The City of Fort Worrh � 1000 Thiockmorton Street • Fort Worth, T�i 76012-6311 (81� 392 - 7941 • Fax: (81"� 392 - 7845 LF 5394' 1 ea LF 3I00' LF 4653' LF (IZy� 2976' (12y� co�S�Nrt oF SURETY COMPANY TQ �INAL PAYNfENT Cor►Iorms with the Americaa tnstitvte ot Aschitecv, AfA Dpwmoni G707 owni�R ❑ a�cH�rFe-� II co�TRAc�raR ❑ su�rY �7 OTHEFt ❑ Bond I+loBCD9032178 FR{3J�CT: innisbrook Place Phase 2 faame, address} TO (Owner} j— � AftCH1TEC7'S f RD.�ECT N4: City Project #�02377 �ackland innisbrook Ltd CONTRACi F�R: Utilities and Paving 3045 Lackland Road . . . . r► :; �: -. .� , � . CONiRAC7'QR; Jackson Construction, Ltd. Tn Accocdoncc u�ith thc pravision� af thc Cat►trsct betwCen ttst Owntr nnd che Contractor as Ind��ntccf tcbovc, the t1w+� Iwat nsm� and �dsr�a ot 9us�1v Ccmv�nYt The Hanover Ensurance Cornpany 440 Lincofn Street, Worcester, MA 01653 8�i �OTi� flf �hvro Pn�art namo artl eddtesa at Gnn�maot} Jacksan Construciion, Ltd, 5112 Sun Valley brive, Fort Worth, TX 76�19 , SElREIY COMPAt�tY , GONTRACT4R, bercby approves of thc #'uiai paymettt ta tho Gonteaator, and agraes that #'tnsl pAymcnt to th� Cotttrn�tor shaIl nat reE�ave 'ib8 $ULCty �,'OIIIg8fly 0�&II}� O��iS o��2�&L1023S tp {haM inoort nema and addre�e ot Cwncr) Lackla�ci Innisbrook Ltd 3045 Lacktand i�oad, Forf Worih, TX 76996 us srifotih in t4�c snid Surcty Company`s bond, tx w�rx�ss, �v��o�, tht Surcty Con�pany 6as hereunto sei its hsnd this . .� AtfGst; �%�-' �� . (Stal�: Tonie Petranek , QUYNER, 15th dny of , �ebruary, 2017 ihe Hanover Insurance Company Surety Company BY'��l4. � %��.,<�� ._..�---_""_,�.... S� re'OfAuthQrtztdRnptescnt�tiv`e� Jack M. Crowfey A#ornfly-in•�act Tittc Surety Phane No. 508-853-7200 x-4476 NQTE: 'itile f�m 4;D be ueod be p Fompani0q Goeutnent �o A)A DQCtTMENT C1108, GDNTRACTOtt�s n�roav�r 4F Pr��rn�ntr v� a[�rs a d C 161i3, Carrent Edlilon . t3t1F �A4� THE HANOVER INSURANGE CDMPANY MASSACHUSEiTS BAY WSURANCE COMPAt�Y CITEZENS INSURANCE COMPANY OF AM�iZfCA VERS OF ATTORI CERTIF1Ed COPY KNOW ALL MEN BYTHESE PRESENTS: Thai7HE HANOVER INSURANCE CqMFANYand MASSACHUSECTS SAY INSURANCE COMPANY, both being corporafions organized and existing under the laws of the State of New Hampshire, and CiTIZ�NS INSURANCE CONPAt�I` OF AMERICA, a corporaiion organized and existing under tiie faws of the Sfate of Michigan, do hereby constitute and appoint 5#even R. Fosfer, Jack M. Crowley, Patricia A. 5miih andlor MaYie Perryman of Daitas,'iX and each is a frue and lawiul Attomey(s)-in-facf to sign, execute, seal, acknowiedge and deiiverfor, and on its behalf, and as its act and deed any ptace within the United States, or, if Ehe following line be fiiled in, only within fhe area therein ciesignated any and ali bonds, recognizances, underfakings, contracts of indamnity or otherwritings obligafory in ttte nature thereof, as folfows: Any sueh ob{igafions in ffie United Sfates, not to exceeci ihirty Five Milliop and t3o110Q ($35,040,OD0) in any singie instance and said companies hereby ra6fy and aonfirm aq and whafsoever said Attorney(s)-in-faet may lawfuliy do in the premises by viriue of these presen4s. These appozntmenfs are made under and 6y authorify of the following Resolufion passecf by'the Baard of Directors of said Companfes which resoluiions are still in effect: "R L , at e resf en orany ice resi en,+ ��-empewe�dtaaspeirst Attameys-in-fact ofthe Company, in its name and as fts acis, to execute and acknoVriedge for and on its behaff as Surety any and ail bonds, recognizances, contracts of indemnity, waivers of citation and all othervrri6ngs obrgatory in the nafure thereof, with power to attach iheteto 1he seal ofit�eCompany. Arry such writings so executed by such Attorneys-in-fact shaU 6e as 6inding upon tiie Company as ff they had been duly executed and acknowledgad hy the regularty elected officers of the Company in their ov✓n proper persons." (Adopted October 7, 1981 - The Hanover tnsurance Gompany; Adopted Aprif 14, 4982 - Massachusetis Bay Insurance Company, Adopted September 7, 2001 - Citizens Insurance Company of America) !N WITNESS WHEREOF, 7HE HANOVER INSURANGE COMPAM`, MASSACHUSE"fTS BAY {NSURANCE COMPANY and CITIZENS INSCiRANCE COMPANY OF AMERiCA have caused these presents to be sealed with fheir respeciive corporate seais, duly attested by iv✓o �ce Presidenfs, this 5th day of December 20i�f. +y�{,] (,��.�{ tj�^p{t'�t*n y��y��y ,�pat)lIV4l . �t�Fl� 4'�+TiY�Y4wil'1/4wT47P��'MVIYfT�� ysnSN�� if��'S�{iC.`}��. ��'$��' Ci�+S�'�A�.f`.�.�i��Iff��i+�Y ' �� . �a�i,.� Ct��NS �ll1�N��, iJMP,4�ftY E3FA�+l�f�lCk �� .�f �� . � f : � . t�� .� - ��t� -r��„�:��r�:i��saa�� • � —,--.� THE CQMMONWEALTH OF MASSACHUSE'i"i'S ) 5�'`�'`^''' 'i��""` !��---�"^`�� COUNTY OF WORCESTER ) ss. 3i3� �Tt:tt�tTiit�1, V{�� F'rC�idettF On this 5th day of Pecember 20'E 1 before me came the above named Uce Presidents af The Hanover lnsurance Company, Massachusefts Bay Insurance Gompany and Cifizens fnsurance Companyof America, to me personaily known to be the individua3s and officers described herein, and ackaowledged thaifhe seals affixed fo the preceding instrument are the corporaie sesis ofThe Hanover (nsurance Company, 3vlassachusefis Bay lnsurance Company and Cifizens Insurance Company of America, respective}y, ahd that the said cotporafe seais and their signatures as officers were duly aff}xed and subscribed to said instrument by ihe authorrEy and direction of said Corporations. �.�'" ¢ � BAASARAA. GARUCK '�` NoSarpPuLl'�c � '`�f �^ Caamanweal@oF7tl�zsa�huseiis �a `'' Lf��Coom�s�brE:Qk.E'SeV.21.�t8 , . .��i�..��_ t�...� „�`lf�',�'.�� Barbara A, Gariick, Notary Public My Commission F�cpires Sepiember 21, 2018 I, the undersigned Vice Presideni ofThe Hanover lnsurance Company, Massachusetts Bay Insurance Company and Ci�zens lnsurance Company ofAmerica, hereby certify fhat the above and foregoing is a full, tr�e and aorreci copy of the �riginai Power of Aftomey 3ssued by said Companies, and do hereby further certify that the said Powers of Attotney are still in force and effect. This Certificate may Be signed by facsimile under and by authorify of fhe folfowing resofufion of the Board of Direcfors of Tha Nanover Insurance Gompany, Massachusetts Bay Insurance Company and Cifizens Insurance Company aiAmerica. "RESOLVED, That any and a11 Powers ofAttomey and Certified Copies of such Powen ofAttomey and certification in respectthereta, grantad and executed by the Preskdent or anyVi ce President 3n conjunction with any Vice Ptesident of the Company, shall be binding on ihe Company to the same extent as if a1} signatures fhe�ein were manually affaed, even though one or more of any such signatures thereon may be facsimiie.' {Adopted Oct�ber 7, 1985 - 7rie Hanover fnsurance Company, Adopted April 14,1962 - Massachuseits Bay Insurance Company, Adopted September7, 20D1- Citizeas Insutance Comparry of America) G}VEN under my hand and the seais of said Companies, at Worcester, Massachusetts, fhis 15th day of FebruaN • 2017. TNE HRldt3lf�R iNSIEf�Af I�� CQI�1Ps�tiY MASSAGHiiSE�TB �AY 1;�TSUf26tNC:� �OMPA�+1Y CTi iZEt�l.S 11�1$U�AI+ICE GtiL�IPAE+fY C1�'�AtN�FtIL`A `7��" � _�� <i ft�.... f n Margosian, Vice Pr�sident �� CONSTRUCTlON LTD. 51 1 Z SUN VALLEY DRIVE FC�RT WORTH, TX 76I 19 TEL: 8 ! 7-572-33Q3 FAX: 8 l 7-4�78-0443 February 15, 2017 City of Fort Workh CFA Administration 1000 Throckmorton St. Fort Worth, TX 7b102 RE: Innisbrook Place, Ph 2 DOE # 7305 City Project #02377 The purpose of this letter is to acknowledge that Lackland Innisbrook, Inc will not charge any liquidated damages £oz the Innisbrook Place, PH 2 project. Please feel free to contact me with any questions you may have. Sincerely, � �� Troy L.3ackson Vice President ; � � � CONSTRUCTION LTD. S 1) 2 SUN VALLEY DR(VE FORT WORTH, TX 761 19 TEL: 817-572-3303 Ff�X: S I 7-478-0443 Febzuary 15, 201.7 City of Fort Worth CFA Adnninistration 1000 Throckmorton St. Fort Worth, TX 76102 RE: Innisbrook Place, Ph 2 DOE # 7305 City Projeci #02377 The purpose of this letter zs to aclmowledge that we have been paid in full by Lackland Innisbrook, Inc for the public improvements constructeci to serve Innisbrook Place, Ph 2 in Fort Worth, Texas. As a result, we hereby waive, release and relinquish all rights to assert any claim or demand for lien in connection with this project. Flease feel free to contact me with any questions yau may have. Sincerely, � ��2i�� Troy L. Jackson Vice President � � CONSTRUCTI�N LTD_ 51 1 Z SUN VALLEY DRf VE FORT WORTN, TX 7b 1 19 TEL: 817-57Z-3303 FAX: 817-478-0443 STATE O F TEXAS COUNTY OF TARRANT Affidavit of Ati Bilis Paid KNOW ALL MEN BY THESE PRESENTS: I, Troy L. Jackson, of the undersigned principal hereby certify that aff oE�ligations, ciaims and debts due laborers, materialmen, subcontractors, suppliers, and others incurred in or contingent to the, pertormance of the work on th� projecfi known as Innisbrook Place, Ph 2 in the City of Forf Worth, Texas have been fuliy paid. This affidavit is made for fihe purpose of obtaining payment from fihe City of Fort Worth on above construction work. Subscribed and sworn to before me this 1 Sth Day of February, 2017 fary 5ignatur Commissian Expires: 04/05/2020 ��"� CARM@tJ !.. €St€P . v r '�. ?�°� ��'B��° Notary Pubtic. Stafe of Iexos ;��y�� Comm. Expires 04-Ob•2020 � ��a��s��r Moto�ylD 29i0G11 Jackson Construction, Ltd. Principal BY: � �'.Gr�J Troy L. Jackson, Vice resident FQRT �ORTH TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY n PROJECT INFORMATION Date: Name of Contractor Project Name Jackson Construction Innisbrook Plac Ph 2 Chambers e - ase Project Mcmager 7/2017 REV: �2,22,�� 7305 O Simple O Routine O Complex � Water O Waste Water ❑ Storm Drainage ❑ Pavement Initial Contract Amount Final Conlract Amount $645,436.40 $645,436.40 In PERFORMANCE EVALUATION 0- Inadequate 1- Deficient 2- Standard 3- Good 4- Excellent ELEMENT RATING ELEMENT RATING (0 - 4) i� - 4) INSPECTION EVALUATION PLANS & SPECIFICATIONS 1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity & Sufficiencv of Details '3 Accuracy of Measured Quantities 4 Display Of Professionalism 5 Citizen Complaint Resolution 6 Performance - Setting up Valve Crews, Labs ADMII�TISTRATION 1 Change Order Processing Time 2 Timliness of Contractor Payments 3 Bid Opening to Pre-Con Meeting Timeframe IIn COMMENTS & SIGNATURES COMMENTS Signature Contractor / Si�ature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTE 3 Applicability of Specifications 4 Accuracy of Plan Quantities PROJECT MANAGER EVALUATION 1 Knowledge And/Or Problem Resolurion 2 Availability of Project Manager 3 Communication 4 Resolution of Utility Conflicts I� TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Stxeet • Fort �orth, T�i 76012-6311 (817) 392 - 7941 • Fax: (81� 392 - 7845