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HomeMy WebLinkAboutContract 47069-FP1 Prf nC Date Projeect anage J� Risk Management Canady �T WORTH® D.O.E. Brotherton CITY SECRETARY p CFA Morales/Scanned j'`> - 1 CONTRACT NO. Esteban Perez/Scanned The Proceeding people have bee Contacted concerning the request for final payment& have CATION AND PUBLIC WORKS �' C6.258 / released this project for such payment. )F PROJECT COMPLETION — - — `% � Developer Projects) DDE 7410 Clearance Conducted By �w City Project Ns: 02584 Regarding contract 117464 for GTB BUSINESS PARK PHASE I as required by the WATER DE approved d City Council se director of the WATER DEPARTMENT upon the PAR MENT as recommendation of the Asis as complete. tation&Public Works Department has accepted the project MAR 3 0 2017 Original Contract Price: By $105,553.00 Amount of Approved Change Orders: $72,988.00 Ns 1 Revised Contract Amount: $178,541.00 Total Cost Work Completed: $178,541.00 0- kuw-� � Zcl X17 Recommended for Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction Accepted / Asst. Director, WATER DEPARTMENT Date L Asst. City Manager Date Date Comments: I MAR 0 5 2017 V wflah— Rev.9/22/16 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name GTB BUSINESS PARK PHASE I Contract Limits Project Type WATER&SEWER City Project Numbers 02584 DOE Number 7464 Estimate Number 1 Payment Number 1 For Period Ending 2/27/2017 CD City Secretary Contract Number 117464 Contract Time 46D Contract Date Days Charged to Date 96 Project Manager Buckley Contract is 100.00 Complete Contractor CONATSER CONSTRUCTION TxLP 5327 WICHITA ST FORT WORTH, TX 76119 Inspectors LAYER / SLATEN Thursday,March 2,2017 Page 1 of 5 City Project Numbers 02584 DOE Mummer 7464 Contract Name GTB BUSINESS PARK PHASE I Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 2/27/2017 Project Funding WATER Item Description of Items Estimated Estimated Completed No. P Unit Unit Cost p eted Completed ----- Quanity Total Quanity Total 645 LF $50.00 $32,250.00 645 $32,250.0 1 8"PVC WATER PIPE CO#1 ———— - 0 2 6"PVC WATER PIPE 7.5 LF $42.00 $315.00 7.5 $315.00 3 6"GATE VALVE 1 EA $1,000.00 $1,000.00 1 $1,000.00 4 8"GATE VALVE 3 EA $1,250.00 $3,750.00 3 $3,750.00 5 6"PRESSURE PLUG 1 EA $750.00 $750.00 1 $750.00 6 8"PRESSURE PLUG 3 EA $950.00 $2,850.00 3 $2,850.00 7 1"WATER SERVICE I EA $1,000.00 $1,000.00 1 $1,000.00 8 1 1/2"WATER SERVICE 1 EA $2,500.00 $2,500.00 1 $2,500.00 9 CONNECT TO EX 12"WATER MAIN 1 EA $1,000.00 $1,000.00 1 $1,000.00 10 DUCTILE IRON WATER FITTINGS CO#1 0.94 TN $4,500.00 $4,230.00 0.94 $4,230.00 11 CONCRETE BLOCKING,TYPE B C041 0.8 CY $200.00 $160.00 0.8 $160.00 12 TRENCH SAFETY CO#1 652.5 LF $2.00 $1,305.00 652.5 $1,305.00 13 16"X8"TAPPING SLEEVE CO#1 1 EA $4,500.00 $4,500.00 1 $4,500.00 14 FIRE HYDRANT CO#1 1 EA $4,500.00 $4,500.00 1 $4,500.00 15 1 1/2"WATER SERVICE CO#1 2 EA $2,500.00 $5,000.00 2 $5,000.00 16 8"WATER CARRIER PIPE CO#1 69 LF $180.00 $12,420.00 69 $12,420.00 -------------------------------- ---- -- Sub-Total of Previous Unit $77,530.00 $77,530.00 SEWER&EROSION CONTROL Item Description of Items Estimated Completed Estimated Completed No. P Unit Unit Cost P Quanity Total Quanity Total ----------- -- - - -------------------- ------ - 169 LF $65.00 $10,985.00 169 $10,985.00 2 8"SEWER PIPE CO#1 3 6"SEWER SERVICE 2 EA $1,200.00 $2,400.00 2 $2,400.00 4 6"2-WAY CLEANOUT I EA $500.00 $500.00 1 $500.00 6 4'DROP MANHOLE 1 EA $5,200.00 $5,200.00 1 $5,200.00 7 T DROP MANHOLE 2 EA $7,500.00 $15,000.00 2 $15,000.00 8 5'EXTRA DEPTH MANHOLE 23 VF $250.00 $5,750.00 23 $5,750.00 9 4'EXTRA DEPTH MANHOLE C041 16 VF $225.00 $3,600.00 16 $3,600.00 10 EPDXY MANHOLE LINER 48 VF $195.00 $9,360.00 48 $9,360.00 11 REMOVE CONC PVMT 95 SY $30.00 $2,850.00 95 $2,850.00 12 CONC PVMT REPAIR 95 SY $90.00 $8,550.00 95 $8,550.00 Thursday,March 2,2017 Page 2 of 5 City Project Numbers 02584 DOE Number 7464 Contract Name GTB BUSINESS PARK PHASE 1 Estimate Number i Contract Limits Pavinent'Number I Project Type WATER&SEWER For Period ]Ending 2/27/2017 Project Funding 13 TRENCH SAFETY CO#1 181 LF $6.00 $1,086.00 181 $1,086.00 14 TRAFFIC CONTROL CO#1 2 MO $3,500.00 $7,000.00 2 $7,000.00 15 POST CONSTRUCTION 46 LF $10.00 $460.00 46 $460.00 16 MANHOLE VACUUM TESTING CO#1 5 EA $100.00 $500.00 5 $500.00 17 SWPPP&EROSION CONTROL I LS $1,500.00 $1,500.00 1 $1,500.00 18 8"SEWER BACKFILL CO#1 20 LF $75.00 $1,500.00 20 $1,500.00 19 TRENCH WATER STOP CO#1 1 EA $500.00 $500.00 1 $500.00 20 4'MANHOLE CO#1 2 EA $4,200.00 $8,400.00 2 $8,400.00 21 CCTV INSPECTION CO#1 135 LF $10.00 $1,350.00 135 $1,350.00 22 8"CARRIER PIPE CO#1 66 LF $220.00 $14,520.00 66 $14,520.00 ---------------------------------- -- -- Sub-Total of Previous Unit $101,011.00 $101,011.00 ------------------------------- ---- - -- Thursday,March 2,2017 Page 3 of 5 City Project Numbers 02584 DOE Number 7464 Contract Name GTB BUSINESS PARK PHASE I Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 2/27/2017 Project Funding Contract Information Summary Original Contract Amount $105,553.00 Change Orders Change Order Number 1 $72,988.00 Total Contract Price $178,541.00 Date 3"�b—/7 Total Cost of Work Completed Contract $178,541.00 Contract., Less %Retained $0.00 Net Earned $178,541.00 Date Inspe do p Earned This Period $178,541.00 Retainage This Period $0.00 Date � ✓�/ � Less Liquidated Damages Project Mana r Days @ /Day $0.00 Date 3 Zg 12z17 LessPavement Deficiency $0.00 Asst.Director/TTPW-In astructure Design and Construction Less Penalty $0.00 ` Date3/?,P — Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 /I1 L Balance Due This Payment $178,541.00 3/ Thursday,March 2,2017 Page 4 of 5 DEC E G MAR 3 0 2011 City Project Numbers 02584 p„ DOE Number 7464 Contract Name GTB BUSINESS PARK PHASE I Estimate Number 1 Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 2/27/2017 Project Funding Project Manaaer Buckley City Secretary Contract Number 117464 Inspectors LAYER / SLATEN Contract Date Contractor CONATSER CONSTRUCTION TxLP Contract Time 45 CD 5327 WICHITA ST Days Charged to Date 96 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 $178,541.00 Less %Retained $0.00 Net Earned $178,541.00 Earned This Period $178,541.00 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 $178,541.00 Thursday,March 2,2017 Page 5 of 5 FORTWORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.: 1 NAME OF PROJECT: GTB Business Park PROJECT NO.: 2584 CONTRACTOR: Conatser Construction DOE NO.: N/A PERIOD FROM 11/07/16 TO: 02/10/17 FINAL INSPECTION DATE: 10-Feb-17 WORK ORDER EFFECTIVE:4/18/2016 CONTRACT TIME: 45 Q WO CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTHCHARGED 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. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL & HOLIDAYS &TOO COLD RELOCATIONS OTHERS * CHARGED DAYS THIS PERIOD 96 PREVIOUS PERIOD 0 TOTALS TO DATE 96 "REMARKS: CONTRACTOR DATE INSPECTOR DATE ENGINEERING DEPARTtiIENT The City of Fort Worth • 1000 Throckmorton Street•Fort Worth,TZ 76012-6311 (817) 392-7941 •Fax: (817) 392-7845 CD ) ( \ j � § / / z 2 ® » c g o o CD § m ` 0 ~ ® e r m > o e 0 2 / z / o m $ w m > z o ` - \ e > m m # m m # # e C- § 2 2 § 9 ® / c r o \ _ _ > § /\/ X \ \ \j > m > \\/ 0 (n $2 > ? Q > \ 0 \ § _ K > o j > § Z § j / / ` 9 ;o ( 7 3 ] 3 2 -0N) G ) - \ Y, + ( § } \ \ ® [ ° m - % 2 @ 8 _ / \ \ 2 co m p m \ R Cl) / / § J m \ k \ a \ / 0 CD CD C \ Q ( « > -co 2 2 \ S oe g m 00 g 2 { GG 4 3 / ƒ > 0 c f m 0 ) § o w w I § f \ \ n } k \ 3e o e = w > m \ § / j / \ ; 5 / j 2 \ q 9 , g k § n \ E / m / \ m .. \ a a ) / ( \ cn / \ \ (n \ / CD { CD CDC. 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CD c c c COc co CD n<i N N N N N N flj � ff1 CD 0 1 Dw S9 6v yI Z D _Z r EA fA!A yi y ql 69!fl Na fA CA fA N N En N ffl fA 0 Cn T m 0 O W N c0 co ffl O N O O O V o (n O.Z'1 D ((O W W o 0 o-.9 fA O O Cin O A 0 0 0 0 0 0 CA O O Cn 0 0 0 Cn Cn O O n O o 0 0 0 0 0 N O 0 0 0 n m o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 O m m o o o o o o O o o o o O m v o o 000000000000000 M 0 0 0 0 O o 0 0 0 0 0 0 W CA rfi fA�(A EA fA tj tj to -I w<A Sv�tA fA S9 FA �EA fA -I t0W NACn N6H byN V '� O wCnN N (nAmN AAO O W Cb W N O (n N Cn O Cn Ul N A O Cn (q i FA EA V Cn O co N W Cn O N 0 0 0 0 Cn O D W W N O O Cl) Cb N O O D 0 0 0 0 0 0 0 0 0 0 (n o 10 o Cn O O C- ao 0 0 0 0 0 0 0 coYO O O O r 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 C o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ORD 0 00 0 0 0 :ll CD CD N REASONS FOR CHANGE ORDER Boring the r water lhm and B"sewer line across the sculhem lanes of Golden Triangle BNA.Removing the open dR and Pavement repeirIbrthe S"water Ifna and 8-sewer line crossing the southem lanes of Golden Triangle Blvd. NO C"KUNDS INVOLVED IN THIS CONTRACT.DEVELOPER IS RESPONSIBLE FOR 100%OF THE CHANGE ORDER COSTAND NO REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER. RECOMMENDED: APPROVED: APPROVED: Peioton Land Solutions.Inc Hn AN C Careber Consbacdon TX.LP By:� By By. Name: Kale Weber.P.E. Name. �i' `,• SCtF.(I��a�� M ^J��S Neme: A 0M0 TItIe:ProjectEnalneer.__ Title: u Title: i Revised:10-12-2011 Page a FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: GTB Business Park PH 1 PROJECT NUMBER: 02584 DOE NUMBER: 7464 WATER PIPE LAID SIZE TYPE OF PIPE LF Yes 8" PVC 645' Yes 6" PVC 7.5' FIRE HYDRANTS: 1 VALVES(16" OR LARGER) n/a PIPE ABANDONED SIZE TYPE OF PIPE LF no DENSITIES: yes NEW SERVICES: 1" Copper 30' 1 1/2" Copper 25 SEWER PIPE LAID SIZE TYPE OF PIPE LF Yes 8" PVC 169 PIPE ABANDONED SIZE TYPE OF PIPE LF no DENSITIES: yes NEW SERVICES: 6" PVC 50' TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TY 76012-6311 (817)392-7941 •Fax: (817) 392-7845 FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUAT:ON OF CONTRACTOR n CONTRACTOR&PROJECT DATA Name of Contractor Project Name Conatser Construction GTB Business Park Phase 1 DOE Inspector DOE Number Connor Slaten 7464 DOE Inspector Project Manager Water Q Waste Water[:] Storm Drainage[] Pavement Khal hafari Initial Contract Amount Project D ff culty $105,553.00 Q Simple QQ Routine Q Complex Final Contract Amount Date $178,541.00 2/10/2016 M 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 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 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) 443 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 443 II1)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS] * 100%) 443 / 448 = 99% 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 �--�--� Signature Contractor Signature DOE Inspector's Supervisor =r� CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (a (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: GTB ]BUSINESS PARK WA'T'ER & SAN2TARY SEWER IMPROVEMENTS DOE#: N/A CFA ll RJ #: N/A C:TY PROJC'T' #: 02584 CITY OF FORT WORTH STATE OF TEXAS CONATS R CONSTRUCTION TX, LP Brock Huggins Subscribed and sworn to before me this 91h day of February ?; BERTHA GIANULIS f lotary Public,State of Texas Notary Public in Tarrant County, Texas My Commission Expires September 18, 2019 (,' 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: ---GTS-BUSINESS PAR WATER & SANITARY SEWER:IMPROVEMENTS DOE#: N/A CFA FRJ #: N/A CETY][ ROJCT #: 02584 CITY OF FORT WORTH STATE OF TEXAS CONATS R CONSTRUCTION TX, LP W Brock Huggins Subscribed and sworn to before me this 9t" day of February BERTHA GIANULIS ;,,.. Notary Public.State of Texas Notary Public in Tarrant County, Texas My commission Expires September 18, 2019 i• CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 0191910 PROJECT: (name, address)GTB Business Park Phase 1 Fort Worth,TX TO (Owner) City Project No. HILLWOOD ALLIANCE SERVICES, LLC AND THE ARCHITECT'S PROJECT NO: 02584 CITY OF FORT WORTH Fort Worth,TX CONTRACT FOR: Water&Sanitary Sewer Improvements to serve GTB Business Park Phase 1 LCONTRACT 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 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) HILLWOOD ALLIANCE SERVICES, LLC AND THE CITY OF FORT WORTH Fort Worth,TX OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 8th day of February, 2017 BERKLEY INSURANCE COMPANY Surety Company Attest: ,I ( � - ?r 1�� �"L (Seal): 11� W Q� 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 POWER OF ATTORNEY No. BI-728017 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,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 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. This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware, i without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following o resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25,2010: � L V1 i ° RESOLVED, that, with respect to the Surety business written by Berkley Surety Group, the Chairman of the Board, Chief c c 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 w 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 o ' attorney-in-fact and revoke any power of attorney previously granted;and further 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 o RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any F.E power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or CZ 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 E person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have o a, ceased to be such at the time when such instruments shall be issued. z IN WITNESS WHEREOF, the Company has cause' these presents to be signed and attested by its appropriate officers and its 0 o corporate seal hereunto affixed this;-I? 'riay of c�� 0-1-5- .- Fib Attest: Ca Berkley Insurance Company (Seal) By / B 4&arft Ira S.. e ermanero � Senior Vice President&Secretary sidet 0 o WARNING THIS POWER INVALID IF NOT PRINTED ON BLUE "BERKLEY" SECURITY PAPER.. o STATE OF CONNECTICUT) It COUNTY OF FAIRFIELD ) ss. 2) Sworn to before me, a Nota Public in the State of Connecticut this D (7ubtary 2015, by Ira SLederman and Y Jeffrey M. Halter who are sworn to me to be the Senior Vice President and She Senior Vice Pre dent, respectively, of Berkley Insurance Company. MARIA C.RUNDBAKEN ��NOTARY PUBLIC LiMY COMMISSION EXPIRESc, State of Connecticut APRIL 30,2019 z CERTIFICATE Z I, the undersigned, Assistant Secretary of BERKLEY INSURANCE COMPANY, DO HEREBY CERTIFY that the foregoing is a 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 8th day of February 2017 (Seal) A a . FORTWORTHREV:02'22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY n PROJECT INFORMATION Date: 2/10/2017 Name of Contractor Project Name Conatser Construction GTB Business Park Phase 1 DOE Inspector Project Manager Connor Slaten Pat Buckley DOE Number Project Difficulty Type of Contract 7464 Q Simple Q Routine Q Complex Q water Q waste water Storm Drainage Pavement Initial Contract Amount Final Contract Amount $105,553.00 $178,541.00 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS 1 Availability of Inspector V 1 Accuracy of Plans to Existing Conditions C 2 Knowledge of Inspector y 2 Clarity&Sufficiency of Details rL 3 Accuracy of Measured Quantities y 13 Applicability of Specifications 4 Display Of Professionalism ( y 4 Accuracy of Plan Quantities a 5 Citizen Complaint Resolution u PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs y 1 Knowledge And/Or Problem Resolution S' ADMINISTRATION 2 Availability of Project Manager y 1 Change Order Processing Time v 3 Communication r 2 Timliness of Contractor Payments 14 Resolution of Utility Conflicts Sc 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor - Signature DOE Inspector ,(f Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS . ,{ The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TY 76012-6311 (817)392-7941 •Fax: (817) 392-7845