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Contract 47566-FP3
Departm of TP W Const.Services CPbd# ' Date' a Project anager `; 1 41 ' Risk Management_Ca6idy tT NVQ RT H D.O.E. Brotherton CFA Morales/Scanned - - 1110 C{TY SECRETARY Gutzler/Scanned 5i 1 �,Y The Proceeding people have been-Contacted CONTRACT NO. "r ( ►3 concerning the request for final payment&have CATION AND PUBLIC WORKS released this project for such payment. ►F PROJECT COMPLETION Developer Projects) W11506 Clearance Conducted By (AwwI6 gcv'M Ci Project City 1 !f f Ns: 02664 t / cs�y�st� Regarding contract 117520 for REMINGTON FALLS 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: $969,444.65 Amount of Approved Change Orders: Ne Revised Contract Amount: Total Cost Work Completed: $969,444.65 V l� C RecommdXded for Acceptance Da e Asst. Director, TPW - Infrastructure Design and Construction DZL Accepted Date Direct , TRANSPORTATION & PUBLIC WORKS Asst.Zky Manager Date Comments: EML�ED APR' 2 4 2011 OFFICIAL RECORD � A CITY SECRETARY FT.WORTH,TX Rev.9/22/16 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name PAVING,WATER,SS&STORM DRAIN IMPROV TO SERVE REMINGTO Contract Limits Project Type PAVING&STORM DRAIN City Project Numbers 02664 DOE Number 7520 Estimate Number I Payment Number I For Period Ending 3/8/2017 CD City Secretary Contract Number 117520 Contract Time 6aD Contract Date Days Charged to Date 334 Project Manager Sahu Contract is 100.00 Complete Contractor KODIAK TRENCHING 7 BORING,LLC P O BOX 93929 SOUTHLAKE, TX 76092 Inspectors LAYER / MILLER,T Wednesday,March 8,2017 Page 1 of 5 City Project Numbers 02664 DOE Number 7520 Contract Name PAVING,WATER,SS&STORM DRAIN IMPROV TO SERVE REMINGT Estimate Number I Contract Limits Payment Number 1 Project Type PAVING&STORM DRAIN For Period Ending 3/8/2017 Project Funding UNIT III:STORM DRAIN IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 21"RCP CLASS III 80 LF $53.90 $4,312.00 80 $4,312.00 2 24"RCP CLASS III 499 LF $63.10 $31,486.90 499 $31,486.90 3 27"RCP CLASS III 97 LF $69.90 $6,780.30 97 $6,780.30 4 30"RCP CLASS III 30 LF $77.05 $2,311.50 30 $2,311.50 5 33"RCP CLASS III 29 LF $92.50 $2,682.50 29 $2,682.50 6 36"RCP CLASS III 13 LF $107.80 $1,401.40 13 $1,401.40 7 3X3 BOX CULVERT 72 LF $150.75 $10,854.00 72 $10,854.00 8 5X4 BOX CULVERT 422 LF $239.15 $100,921.30 422 $100,921.30 9 6X4 BOX CULVERT 496 LF $298.70 $148,155.20 496 $148,155.20 10 8X4 BOX CULVERT 138 LF $397.50 $54,855.00 138 $54,855.00 11 27"FLARED HEADWALL 1 PIPE 1 EA $2,813.00 $2,813.00 1 $2,813.00 12 24"FLARED HEADWALL 1 PIPE 2 EA $2,557.00 $5,114.00 2 $5,114.00 13 24"SLOPING HEADWALL 2 EA $1,653.00 $3,306.00 2 $3,306.00 14 HEADWALL BOX CULVERT 4.5 CY $560.00 $2,520.00 4.5 $2,520.00 15 10'CURB INLET 9 EA $3,766.00 $33,894.00 9 $33,894.00 16 15'CURB INLET I EA $4,925.00 $4,925.00 1 $4,925.00 17 4'DROP INLET 7 EA $3,825.00 $26,775.00 7 $26,775.00 18 LARGE STONE RIPRAP DRY 200 SY $85.00 $17,000.00 200 $17,000.00 19 4'MANHOLE RISER 1 EA $941.00 $941.00 1 $941.00 20 TRENCH SAFETY 1876 LF $0.30 $562.80 1876 $562.80 21 ASPHALT PVMT REPAIR BEYOND DEFINED 28 SY $90.00 $2,520.00 28 $2,520.00 WIDTH RESIDENTIAL 22 10"PVC DRAIN PIPE 405 LF $25.65 $10,388.25 405 $10,388.25 23 8"PVC DRAIN ASSY 9 EA $1,030.00 $9,270.00 9 $9,270.00 Sub-Total of Previous Unit $483,789.15 $483,789.15 UNIT IV:PAVING IMPROVEMENTS ItemDescriptimi of Items Unit Unit Cost Estimated Estimated Completed Completed No. Quanity Total Quanity Total 1 6"CONC PVMT 11407 SY $35.00 $399,245.00 11407 $399,245.00 2 6"LIME TREATMENT 12194 SY $2.25 $27,436.50 12194 $27,436.50 Wednesday,March 8,2017 Page 2 of 5 City Project Numbers 02664 DOE Number 7520 Contract Name PAVING,WATER,SS&STORM DRAIN IMPROV TO SERVE REMINGT Estimate Number I Contract Limits Payment Number I Project Type PAVING&STORM DRAIN For Period Ending 3/8/2017 Project Funding 3 HYDRATED LIME 183 TN $160.00 $29,280.00 183 $29,280.00 4 BARRIER FREE RAMP TYPE R-1 8 EA $1,100.00 $8,800.00 8 $8,800.00 5 BARRIER FREE RAMP TYPE P-1 4 EA $1,100.00 $4,400.00 4 $4,400.00 6 TRAFFIC CONTROL DETAILS 1 EA $2,890.00 $2,890.00 1 $2,890.00 7 REFL RAISED MAKER TY I I-A-A 12 EA $12.50 $150.00 12 $150.00 8 4"SLD PVMT MARKING PAINT(Y) 596 LF $2.00 $1,192.00 596 $1,192.00 9 REMOVE SIDEWALK 381 SF $2.00 $762.00 381 $762.00 10 4"CONC SIDEWALK 2875 SF $4.00 $11,500.00 2875 $11,500.00 Sub-Total of Previous Unit $485,655.50 $485,655.50 Wednesday,March 8,2017 Page 3 of 5 City Project Numbers 02664 DOE Number 7520 Contract Name PAVING,WATER,SS&STORM DRAIN IMPROV TO SERVE REMINGT Estimate Number I Contract Limits Payment Number I Project Type PAVING&STORM DRAIN For Period Ending 3/8/2017 Project Funding Contract Information Summary Original Contract Amount $969,444.65 Chante Orders Total Contract Price $969,444.65 1 � tl<< `G n h�h �lr�M Date Total Cost of Work Completed $969,444.65 Contra Ut G gc-'AfP S Less %Retained $0.00 ' Date l' %,I Net Earned $969,444.65 Inspectio Su e or ` Earned This Period $969,444.65 Retainage This Period $0.00 Datel' /151Less Liquidated Damages of t Manager Days @ /Day $0.00 DateLessPavement Deficiency $0.00 Asst.Di ector//T'PW--Infrastructure Design and C/on /ruction Less Penalty $0.00 �"• �`-' Date /�(� Less Previous Payment $0.00 Dire'49 Contracting Departm i t Plus Material on Hand Less 15% $0.00 Balance Due This Payment $969,444.65 Wednesday,March 8,2017 Page 4 of 5 City Project Numbers 02664 DOE Number 7520 Contract Name PAVING,WATER,SS&STORM DRAIN IMPROV TO SERVE REMINGT Estimate Number 1 Contract Limits Payment Number I Project Type PAVING&STORM DRAIN For Period Ending 3/8/2017 Project Funding Project Manager Sahu City Secretary Contract Number 117520 Inspectors LAYER / MILLER,T Contract Date Contractor KODIAK TRENCHING 7 BORING,LLC Contract Time 60 CD P O BOX 93929 Days Charged to Date 334 CD SOUTHLAKE, TX 76092 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 $969,444.65 Less %Retained $0.00 Net Earned $969,444.65 Earned This Period $969,444.65 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 $969,444.65 Wednesday,March 8,2017 Page 5 of 5 FORTWORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:I NAME OF PROJECT: Remington Falls PROJECT NO.: 02664 CONTRACTOR: Kodiak DOE NO.; NA PERIOD FROM 04/08/16 TO: 03/07/17 FINAL INSPECTION DATE: 13-Mar-17 WORK ORDER EFFECTIVE,4/8/2016 CONTRACT TIME; 60 O W11* 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. S. 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 PREVIOUS PERIOD TOTALS 334 TO DATE *REMARKS: r ? �IVLV. CONTRACTOR I w yl nq PS D E ANSPECTOR DATE ENGINEERING DEPARTMENT 0The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 0 (817)392-7941 •Fax: (817)392-7845 FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: F3/T/2017� Name of Contractor Project Name Kodiak Trenching and Boring Remington Falls DOE Inspector Project Manager Thomas Miller Gopal Sahu DOE Number ProjectD cub), T)pe of Contract CPN 02664 O Simple Q Routine Q Complex � water waste water0 Storm Drainage Pavement Initial Contract Amount Final Contract Amount $969,444.65 $969,444.65 ID 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 "A 1 Accuracy of Plans to Existing Conditions 14 2 Knowledge of Inspector 4 2 Clarity& Sufficiency of Details y 3 Accuracy of Measured Quantities_ %A 3 Applicability of Specifications 4 Display Of Professionalism 1 4 Accuracy of Plan Quantities 4 5 Citizen Complaint Resolution y PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs I Knowledge And/Or Problem Resolution L4 _ADMINISTRATION 2 Availability of Project Manager 4 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts y 3 Bid Opening to Pre-Con Meeting Timeframe IID COMMENTS& SIGNATURES COMMENTS Signature Contractor l� C� c 6(1(,-,5 Signature DOE Inspector Signature DOE Inspector's Supery r / INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 FORTWORTHREV:8/20/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Kodiac Trenching and Boring Remington Falls Inspector City Project Number Thomas Miller 02664 Conskucljon Components Project Manager ❑ Water❑ Waste Water❑ Storm DrainageE] Pavement Gopal Sahu Initial Contract Amount Project Difificully $969,444.65 O Simple QQ Routine Q Complex Final Contract Amount Date $969,444.65 3/7/2017 In 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 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 2 60 30 5 Work Performed 15 Y 2 60 30 6 Finished Product 15 Y 2 60 30 7 Job Site Safety 15 Y 2 60 30 8 Traffic Control Maintenance 15 Y 2 60 30 9 Daily Clean Up 5 Y 2 20 10 10 Citizen's Complaint Resolution 5 Y 2 20 10 11 Property Restoration 5 Y 2 20 10 12 After Hours Response 5 Y 2 20 10 13 Project Completion 5 Y 2 20 10 TOTAL ELEMENT SCORE(A) 224 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 224 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS] x 100%) 224 / 448 = 50% Performance Category Standard <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) Inspector Signature Contractor Signature k V I f�k ��►n �U��'n� 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 CONSENT OF OWNER ❑X SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR ❑ SURETY ❑ AIA DOCUMENT G707 OTHER PROJECT: Remington Falls (name, address) TO (Owner) ARCHITECT'S PROJECT NO: CADG Golden Triangle 33, LLC —] 1221, E-135, Ste. 200 CONTRACT FOR: $1,505,073.85 Carrollton, TX 75006 CONTRACT DATE: BOND NO: 1045785 CONTRACTOR: Kodiak Trenching & Boring, LLC 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 as it appears in the bond). The Hanover Insurance Company , SURETY COMPANY, on bond of(here insert name and address of Contractor as it appears in the bond), Kodiak Trenching & Boring, LLC CONTRACTOR, hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (here insert name and address of Owner) CADG Golden Triangle 33, LLC OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF , the Surety has hereunto set its hand this 15th day of March 2017 The Hanover Insurance Company Surety Signature of Author.' ed Representative Attest: � ,,' Douglas Moore, Attorney-in-Fact (Seal): `"�— Title AIA DOCUMENT G707•CONSENT OF SURETY TO FINAL PAYMENT•APRIL 1970 ONE PAGE EDITION•AIA 0•©1970•THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW,WASHINGTON,D.C.20006 Hanover Insurance Group- Texas Complaint Notice Commercial Lines 0000P IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una queja: You may call The Hanover Insurance Company/ Usted puede Ilamar al numero de telefono gratis de Citizens Insurance Company of America's toll-free The Hanover Insurance Company/Citizens Insurance telephone number for information or to make a Company of America's para informacion o para complaint at: someter una queja al: 1-800-608-8141 1-800-608-8141 You may also write to The Hanover Insurance Company/ Usted tambien puede escribir a The Hanover Insurance Citizens Insurance Company of America at: Company/Citizens Insurance Company of America al: 440 Lincoln Street 440 Lincoln Street Worcester, MA 01615 Worcester, MA 01615 You may contact the Texas Department of Insurance Puede comunicarse con el Departamento de Seguros to obtain information on companies, coverages, de Texas para obtener informacion acerca de rights or complaints at: compannas, coberturas, derechos o quejas al: 1-800-252-3439 1-800-252-3439 You may write the Texas Department of Insurance: Puede escribir al Departamento de Seguros de Texas: P. O. Box 149104 P. O. Box 149104 Austin, TX 78714-9104 Austin,TX 78714-9104 Fax: (512)475-1771 Fax: (512) 475-1771 Web: http://www.tdi.texas.gov Web: http://www.tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov E-mail: ConsumerProtection@tdi.texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un or about a claim you should contact the agent or the reclamo, debe comunicarse con el agente o la com- company first. If the dispute is not resolved, you may pania primero. Si no se resuelve la disputa, puede contact the Texas Department of Insurance. entonces comunicarse con el departamento (TDI). ATTACH THIS NOTICE TO YOUR POLICY:This UNA ESTE AVISO A SU POLIZA: Este aviso es solo notice is for information only and does not become para proposito de information y no se convierte en a part or condition of the attached document. parte o condition del documento adjunto. The Hanover Insurance Company 1440 Lincoln Street,Worcester,MA 01653 161-1457(11113)Pagel of 7 Citizens Insurance Company of America 1808 North Highlander Way,Howell,MI 48843 hanover.com THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWERS OF ATTORNEY CERTIFIED COPY KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation organized and existing under the laws of the State of Michigan,do hereby constitute and appoint John R.Ward,Douglas Moore,Emily Mikeska and/or Eva O.Limmer of Ward&Moore Insurance Services LP of Galesville,TX and each is a true and lawful Attorney(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed any place within the United States,or,if the following line be filled in,only within the area therein designated any and all bonds,recognizances,undertakings,contracts of indemnity or other writings obligatory in the nature thereof,as follows: Any such obligations in the United States,not to exceed Thirty Five Million and No/100($35,000,000)in any single instance and said companies hereby ratify and confirm all and whatsoever said Attorney(s)-in-fact may lawfully do in the premises by virtue of these presents. These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions are still in effect: "RESOLVED,That the President or any Vice President,in conjunction with any Vice President,be and they are hereby authorized and empowered to appoint Attorneys-in-fact of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances, contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company.Any such writings so executed by such Attorneys-in-fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own'proper persons."(Adopted October 7, 1981 -The Hanover Insurance Company;Adopted April 14, 1982- Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of America) IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents, this 22nd day of May 2014. THE HANOVER INSURANCE COMPANY gim H4NlIl,r �a�A MASSACHUSETTS BAY INSURANCE COMPANY CITIZE4SSUFiANCE OMPANY OF AMERICA 1974 Robert Thomas,View Presi(lent THE COMMONWEALTH OF MASSACHUSETTS ) foc irc�rtstroral,Vtc President COUNTY OF WORCESTER )ss. On this 22nd day of May 2014 before me came the above named Vice Presidents of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged thatthe seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America, respectively,and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. M,,IIARIAIIAA.GA111ICK NotaryPubticcfiGOmIf.:S3tiX+ETpi:�s Sept.21,2Df8 Barbara A.Garlick,Notary Public My Commission Expires September 21,2018 I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America, hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further certify that the said Powers of Attorney are still in force and effect. This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America. "RESOLVED,That any and all Powers ofAttorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile." (Adopted October 7,1981 -The Hanover Insurance Company;Adopted April 14,1982-Massachusetts Bay Insurance Company;Adopted September 7,2001-Citizens Insurance Company of America) GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 15th day of March 2017. THE HANOVER INSURANCE COMPANY MA SA HUSETT BAY I RA14CE COMPANY CIT ZEN I SUR CE OF AMERICA J.ry 046I eta,Vice Pfeskifeent 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 Matthew Mahone, Managing Director Of Kodiak Trenching and Boring,LLC, 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; Remington Falls D.O.E NO. 7520 BY Tim Crawford Subscribed and sworn before me on this date 21 of March, 2017. i ary Public f arrant, Texas `�paY pVB�i JENNIFER NAVARRO :rte.• Notary Public,State of Texas '?z2: Comm. Expires 04-28-2020 Notary ID 130640644 it I