HomeMy WebLinkAboutContract 47746-FP2 Depart ent of TP&W Const. Services
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Project Manage � �( CITY SECRETARY
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Risk Management anady �T WO RT Ho coNTRACT IVa.
D.O.E. Brotherton �)
CFA Morales/Scanned �Contac
Esteban Perez/Scanned
The Proceeding people have lrom�
concerning the request for final payment& have ATION AND PUBLIC WORKS
released this project for such payment. iF PROJECT COMPLETION
eveloper Projects)
Clearance Conducted By (���f� City Project Ns: 02747
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Regarding contract 02747 for MATADOR ADDITION PHASE II B 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: $36,909.50
Amount of Approved Change Orders: No
Revised Contract Amount:
Total Cost Work Completed: $36,909.50
e
Recommended for Acceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
�'• L313�7
Accepte Date
Director, TRANSPOR TION & PUBLIC WORKS
Asst. City Manager Date
Comments:
OFFICIAL
CITY SECRETARY
OR 0 6 2017 .•W®RTIC,TX
Rev.9/22/16 r� "Y
FORT WORTH
�.M"�
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name MATADOR ADDITION PHASE II B
Contract Limits
Project Type STREET LIGHT
City Project Numbers 02747
DOE Number 1054
Estimate Number I Payment Number I For Period Ending 3/1/2017
CD
City Secretary Contract Number Contract Time 3aD
Contract Date Days Charged to Date 175
Contract is 100.00 Complete
Project Manager NA
Contractor INDEPENDENT UTILITY CONSTRUCTION
5109 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors DICKINSON / BENNETT
Wednesday,March 1,2017 Page 1 of 4
City Project Numbers 02747 DOE Number 1054
Contract Name MATADOR ADDITION PHASE 11 B Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHT For Period Ending 3/1/2017
Project Funding
STREET LIGHT
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 2"CONDT PVC SCH 80 430 LF $9.26 $3,981.80 430 $3,981.80
2 NO 6 INSULATED ELEC CONDR 1290 LF $1.03 $1,328.70 1290 $1,328.70
3 TRANSFORMER 9 EA
4 RDWY ILLUM ASSEMBLY 9 EA $3,511.00 $31,599.00 9 $31,599.00
Sub-Total of Previous Unit $36,909.50 $36,909.50
Wednesday,March 1,2017 Page 2 of 4
City Project Numbers 02747 DOE Number 1054
Contract Name MATADOR ADDITION PHASE II B Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHT For Period Ending 3/1/2017
Project Funding
Contract Information Summary
Original Contract Amount $36,909.50
Chance Orders
Total Contract Price $36,909.50
Date — Total Cost of Work Completed $36,909.50
ontractor Less %Retained $0.00
Net Earned $36,909.50
Dat '' ' Earned This Period $36,909.50
I spection Supe isor
Retainage This Period $0.00
ePctM.nag
Date ' ��� Less Liquidated Damages
er
Days @ /Day $0.00
h
v ` Date J <� LessPavement Deficiency $0.00
VL* tJ.
tor/TPW�-Infrastru ture Design and C2onstruction Less Penalty $0.00
W J
Date I I7 Less Previous Payment $0.00
Direct /Contracting Departm nt Plus Material on Hand Less 15% $0.00
Balance Due This Payment $36,909.50
Wednesday,March 1,2017 Page 3 of 4
City Project Numbers 02747 DOE Number 1054
Contract Name MATADOR ADDITION PHASE II B Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHT For Period Ending 3/1/2017
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / BENNETT Contract Date
Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD
5109 SUN VALLEY DRIVE Days Charged to Date 175 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 $36,909.50
Less %Retained $0.00
Net Earned $36,909.50
Earned This Period $36,909.50
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 $36,909.50
Wednesday,March 1,2017 Page 4 of 4
FORTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:1
NAME OF PROJECT: Matador Addition Ph II B
PROJECT NO.: 02747 CONTRACTOR: Independent
DOE NO.: N/A
PERIOD FROM:02/01/17 TO: 02/08/17 FINAL INSPECTION DATE: 16-Feb-17
WORK ORDER EFFECTIVE:6/20/2016 CONTRACT TIME: 175 WOO CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON 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. 28.
14. 29.
15. 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL
& HOLIDAYS &TOO COLD RELOCATIONS OTHERS CHARGED DAYS
THIS 0 0
PERIOD
PREVIOUS 175 175
PERIOD
TOTALS 175 175
TO DATE
*REMARKS:
CONT R DATE INP CTOR DATE
ENGINEERING DEP ARTT\ENT
The City of Fort Worth• 1000 Throckinorton Street•Fort Worth,TZ 76012-6311
(817)392-7941 •Fax: (817)392-7845
FORTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 3/3/2017
Nanie of Contractor Project Name
Independent Utility Matador Addition Ph 11
DOE Inspector Project Manager
Karl Bennett Aaron Lon
DOE Number Project Difficulh, Type of Contract
N/A O Simple * Routine0 Complex ❑ water[:] Waste Water❑ Storm Drainageo Pavement
Initial Contract Amount Final Contract Amount
$36,909.50 $36,909.50
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 1 Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector 2 ClarUy& Sufficiency of Details
3 Accuracy of Measured Quantities or 3 Ap licabili of Specifications
4 Display Of Professionalism 4 Accuracy of Plan Quantities
5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance-Settin up Valve Crews,Labs i1 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
111)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 Thtocicmorton Street•Fort Worth,TK 76012-6311
D
(817)392-7941 •Fax: (817)392-7845
FORTWORTH REV:8/20/16
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Independent Utility Madador Addition Ph II
Inspector City Project Number
Karl Bennett 2747
Cwistruction Components Project Manager
❑ Water❑ Waste water[:] Storm Drainage❑ Pavement Aaron Lon
Initial Contact Amount Project Difficulty
$36,909.50 0 Simple Routine 0 Complex
Final Contract Amount Date
$36,909.50 3/3/2017
I1)PERFORMANCE EVALUATION
0-Inadequate I-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 4 20 20
4 Field Supervision 15 Y 3 60 45
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
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) 418
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 418
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating(ITS/MS] * 100%) 418 / 448 = 93%
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 ANVARDED)
Inspector Signature Contractor Signature
Inspector's Supervisor Signature
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•8851 Camp Bowie West Blvd. •Fort Worth,TX 76116 • (817)392-8306
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: Matador Addition Phase 2B - City Project No. 02747
BY.
RichardWol e, Vice President
SUBSCRIBED AND SWORN TO BEFORE ME on this 1?6 day of
J a r , 20io.7
Notary Public, State of Texas
CHRISTINA GARCIA
Notary Public,State of Texas
Comm, Expires 12-20-2020
Notary ID 130940785
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT
CONTRACTOR El
TO FINAL PAYMENT SURETY ❑
OTHER
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 7992090
PROJECT: Street Lights for Lots 10-40, Block 1 & Lots 1-16, Block 2, Matador Addition Phase IIB
(name,address)Fort Worth, Texas
TO (Owner)
ARCHITECT'S PROJECT NO:
F—City of Fort Worth CONTRACT FOR: Above Project
1000 Throcicmorton 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) Westfield 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 Tht•ocicmorton Street
OR'
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
WESTFI LD INSU NCE COMPANY
Surety C
By
Signa o orized Representativ
Attest:
(Seal): Kyle W. Sweeney Attorney—in—Fact
Title
Note:This fonn is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition
THW POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING I H15 5AMt
POWER#AND ISSUED PRIOR TO 04/20/11, 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 Attorney(s)-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 Attorney(s)-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 .
.�" •"'"'" •". """'• �""""p""�'� WESTFIELD INSURANCE COMPANY
Corporate y�asUR "'•,� ••��P\\ON 1L rti'., ,a'
'As U, 'a
Seals trQ�,.• .�`�v''s ;SG•; •.�,•.fc% WESTFIELD NATIONAL INSURANCE COMPANY
Affixed `v; .oa. tp o: A= ��:'• ••E' OHIO FARMERS INSURANCE COMPANY
TE
4 ji J! SUL •ro scA SEAL ;rn_ a •bc `
1848
Q« "�•. * °
By:
Richard
State of Ohio 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 - •N •�""u�key e '
Seal L S,,
AffixedIr
O`��,It��% •t
William J. Kahelin,A rney at Law, Notary Public
State of Ohio ;N �o My Commission Does Not Expire(Sec.147.03 Ohio Revised Code)
County of Medina ss.: %y o•P,
Cov
1, Frank A. Carrino, Secretary of WESTFIELD-INSURANCE 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 set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 20th day of
A o. 2017
Januar•,r•w
3`•• Pp ��� •-F ate•• T � �i!� � I
IX °� :m, SF•AL. : - r =d7 •�_s Secretary
V� • ��• .:o ;x:••1848 ; Frank A. Carrino,Secretary
t3POAC2 (combined) (06-02)