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Contract 47679-FP1
Depart o T &W Const.Services CPN# Project Manager ZT WORTHS Risk Management Cana CITY SEe�„ D.O.E. Brotherton o CFA Morales/Scanned C©NCTNO Gutzler/Scanned The Proceeding people have been Contacted concerning the request for final payment&have ATION AND PUBLIC WORKS S released this project for such payment. �F PROJECT COMPLETION J q to(,) Developer Projects) Clearance Conducted By RA �',ra~6 W City Project Ns: 100059 Regarding contract 100059 for THE VILLAGES OF EAGLE MOUNTAIN-WATER&SEWER as required by the WATER DEPARTMENT as approved by City Council on N/A through M&C N/A the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. D E C C �IV IF � Original Contract Price: $835,876.40 APR 2 0 2017 IV Amount of Approved Change Orders: Ns 1 Revised Contract Amount: $835,876.40 Total Cost Work Completed: $835,876.40 Recom nded for Acceptance Dat Asst. Director, TPW - Infrastructure Design and Construction Accepted Date Asst. Director, WATER DEPARTMENT Asst. C6 Manager Date E1 AILED Comments: APR 2 7-2017 FOFFIC,IALREC®RDRETARY FT.WORTH,TX _ Rev.9/22/16 ' ' DF- CEWE APR 2 0 2017 Scl (o a l - C60 City Project Numbers 100059 By DOE Number 0059 Contract Name THE VILLAGES OF EAGLE MOUNTAIN Estimate Number I Contract Limits PHASE II Payment Number I Project Type WATER&SEWER For Period Ending 3/21/2017 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / WATSON Contract Date Contractor GILCO CONTRACTING,INC. Contract Time 150 CD 6331 SOUTHWEST BLVD. Days Charged to Date 319 CD BENBROOK, TX 76132-1063 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 $835,876.40 Less %Retained $0.00 Net Earned $835,876.40 Earned This Period $835,876.40 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 $835,876.40 Friday,March 24,2017 Page 5 of 5 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name THE VILLAGES OF EAGLE MOUNTAIN Contract Limits PHASE II Project Type WATER&SEWER City Project Numbers 100059 DOE Number 0059 Estimate Number 1 Payment Number 1 For Period Ending 3/21/2017 CD City Secretary Contract Number Contract Time 150:D Contract Date Days Charged to Date 319 Project Manager NA Contract is 100.00 Complete Contractor GILCO CONTRACTING,INC. 6331 SOUTHWEST BLVD. BENBROOK, TX 76132-1063 Inspectors DICKINSON / WATSON Friday,March 24,2017 Page 1 of 5 City Project Numbers 100059 DOE Number 0059 Contract Name THE VILLAGES OF EAGLE MOUNTAIN Estimate Number I Contract Limits PHASE II Payment Number I Project Type WATER&SEWER For Period Ending 3/21/2017 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 TRENCH SAFETY 7368 LF $0.40 $2,947.20 7368 $2,947.20 2 DUCTILE IRON WATER FITTINGS 4 TN $6,500.00 $26,000.00 4 $26,000.00 W/RESTRAINT 3 8"WATER PIPE 5226 LF $24.40 $127,514.40 5226 $127,514.40 4 12"WATER PIPE 2142 LF $46.50 $99,603.00 2142 $99,603.00 5 FIRE HYDRANT 7 EA $3,500.00 $24,500.00 7 $24,500.00 6 CONNECTION TO EXISTING 4"-12"WATER 1 EA $500.00 $500.00 1 $500.00 MAIN 7 1"WATER SERVICE 170 EA $710.00 $120,700.00 170 $120,700.00 8 8"GATE VALVE&BOX 16 EA $1,250.00 $20,000.00 16 $20,000.00 9 12"GATE VALVE&BOX 8 EA $2,150.00 $17,200.00 8 $17,200.00 10 16"X 12"TAPPING SLEEVE&VALVE I EA $5,500.00 $5,500.00 1 $5,500.00 11 4"CONDUIT SLEEVE 688 LF $6.00 $4,128.00 688 $4,128.00 12 1"IRRIGATION SERVICE I EA $900.00 $900.00 1 $900.00 13 1.5"AMENITY CENTER SERVICE 1 EA $1,300.00 $1,300.00 I $1,300.00 14 2"IRRIGATION SERVICE 1 EA $1,600.00 $1,600.00 1 $1,600.00 Sub-Total of Previous Unit $452,392.60 $452,392.60 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 MANHOLE VACUUM TESTING 26 EA $110.00 $2,860.00 26 $2,860.00 2 POST CCTV INSPECTION 7037 LF $1.40 $9,851.80 7037 $9,851.80 3 TRENCH SAFETY 7037 LF $1.00 $7,037.00 7037 $7,037.00 4 TRENCH WATER STOPS 23 EA $250.00 $5,750.00 23 $5,750.00 5 4"SEWER SERVICE 158 EA $600.00 $94,800.00 158 $94,800.00 6 8"SEWER PIPE 4257 LF $25.00 $106,425.00 4257 $106,425.00 7 8"SEWER PIPE 2780 LF $26.00 $72,280.00 2780 $72,280.00 8 4'MANHOLE 25 EA $2,310.00 $57,750.00 25 $57,750.00 9 4'EXTRA DEPTH MANHOLE 135 VF $110.00 $14,850.00 135 $14,850.00 10 CS BACKFILL 720 LF $14.00 $10,080.00 720 $10,080.00 11 CONNECT TO EXISTING MANHOLE I EA $1,000.00 $1,000.00 1 $1,000.00 Friday,March 24,2017 Page 2 of 5 City Project Numbers 100059 DOE Number 0059 Contract Name THE VILLAGES OF EAGLE MOUNTAIN Estimate Number I Contract Limits PHASE 11 Payment Number I Project Type WATER&SEWER For Period Ending 3/21/2017 Project Funding 12 CLEANOUT 1 EA $800.00 $800.00 1 $800.00 Sub-Total of Previous Unit $383,483.80 $383,483.80 Friday,March 24,2017 Page 3 of 5 City Project Numbers 100059 DOE Number 0059 Contract Name THE VILLAGES OF EAGLE MOUNTAIN Estimate Number I Contract Limits PHASE II Payment Number I Project Type WATER&SEWER For Period Ending 3/21/2017 Project Funding Contract Information Summary Original Contract Amount $835,876.40 Chanae Orders "Total Contract Price $835,876.40 JJ�2- Date 3^3— Total Cost of Work Completed $835,876.40 o tract - Less %Retained $0.00 _�J Net Earned $835,876.40 � Date — � /7 I �Sypeer'-visor Earned This Period $835,876.40 Retainage This Period $0.00 Date Less Liquidated Damages roject a er Days @ /Day $0.00 '70,Date LessPavement Deficiency $0.00 Asst.Director/TPW-Infras cture Design abdlConJnictiorl Less Penalty $0.00 /�� Date Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $835,876.40 Friday,March 24,2017 Page 4 of 5 FORT WORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:I NAME OF PROJECT: The Villages Of Eagle Mountain PROJECT NO.: 100059 CONTRACTOR: Burnsco Construction, Inc. DOE NO.: 59 PERIOD FROM:05/09/16 TO: 03/16/17 FINAL INSPECTION DATE: 16-Mar-17 WORK ORDER EFFECTIVE:3/24/2017 CONTRACT TIME: 319 Q WO 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 0 0 319 319 PERIOD PREVIOUS 0 0 0 0 0 0 PERIOD 0 0 319 319 TOTALS 0 0 TO DATE *REMARKS: I ' d i CONT CTOR DATE INSPECTOR DATE ENGINEERING DEPARTMENT The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TZ 76012-6311 (817)392-7941 •Fat: (817) 392-7845 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: The Villages of Eagle Mountain PROJECT NUMBER: 100059 DOE NUMBER: 59 WATER PIPE LAID SIZE TYPE OF PIPE LF C900 8" PVC 5226 C900 12" PVC 2142 FIRE HYDRANTS: 7 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF SR26 4" PVC 158 SR26 8" PVC 4,257 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817) 392-7845 FO7 O T 17 i7 REV:02/20/07 C .1 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR n CONTRACTOR&PROJECT DATA Name of Contractor Project Name Burnsco Construction Inc. The Villages of Eagle Mountain DOE Inspector DOE Number Don Watson 100059 DOE Inspector Project Manager Q Water E Waste Water[:] Storm Drainage Pavement Sahu Gopal Initial Contract Amount Pro/eclDifficulty $835,876.40 0 Simple Routine 0 Complex Final Contract Amount Date $835,876.40 3/28/2017 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 I Submission of Documents 2 Y 4 8 8 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 4 20 20 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 3 20 15 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 N TOTAL ELEMENT SCORE(A) 418 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 418 IIn CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 428 Rating(ITS/MS] * 100%) 418 / 428 = 98% 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 CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS - The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,Thi 76012-6311 d (817)392-7941 •Fax: (817)392-7845 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 022054638 PROJECT: The Villages of Eagle Mountain Phase II (name, address) Fort Worth Texas TO (Owner) F.R.HORTON-TEXAS,LTD AND CITY OF FORT ARCHITECT'S PROJECT NO: WORTH CONTRACT FOR: 6751 North Freeway The Villages of Eagle Mountain Phase II-Water,Sanitary Sewer and Storm Drainage Improvements Fort Worth TX 76131 CONTRACT DATE: CONTRACTOR: BURNSCO 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) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of (here insert name and address of Contractor) BURNSCO CONSTRUCTION, INC. 6331 Southwest Boulevard Benbrook TX 76132 , 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) D.R. HORTON-TEXAS, LTD AND CITY OF FORT WORTH 6751 North Freeway Fort Worth TX 76131 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 9th day of March,2017 LIBERTY MUTUAL INSURANCE COMPANY L Sur ty Company AOI Attest4ellyA. esib�ook iifit-p (Seal): Signa i9re of Authorized Representative Sophinie Hunter 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 -THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the.acts of those named herein,and they have no authority to bind the Company except in manner and to the extent herein stated. Certificate No.7555759 Liberty Mutual Insurance-Company The Ohio Casualty Insurance Company WestAmerican Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation.duly organized under the laws of the State of Indiana(herein collectively called the .Companies"),pursuant to and:by authority,herein set forth,does hereby name,constitute and appoint, Don E.Cornell;Kelly A.Westbrook;:Ricardo J R.eyna Robbi Mor-ales Soplainie Hunter Tina McE. rV t3e iene Marshall all of the city of Dallas state of TX ea6lilri.dlvidually if there be more than one named,its tr68 dntl lawful attorney m fact to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its ast and deed,any and all undertakings,bonds lrecognizances and other surety obligations in pursuance of these presents and shall be as binding-upon the Companies as if they Kaye been duly signed:by the president and attested by:the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF;this Power Of Attorney as been subscribed byan authorized officer orofficial of the:Companie.s and the corporate seals of the Companies have been affixed` thereto this 30th day of November -"2016 _ �qV INSU ',tNSUq •1tN5Uq JP FPo,gr.g9 JPoFvna�,gti vh 2m �c Tri The Ohio Casualty Insurance Company V V O 1919 q 1191x . - 1991 - Liberty Mutual-Insurance Company --a s y a WestAmerican Insurance Company _ 40) STATE OF PENNSYLVANIA ss David M.Care ;Assistant Secretary R +_+ COUNTY OF MONTGOMERY On this 30th day of November I 2016,before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary-of Liberty Mutual Insurance ta:C c�-H v 4, Company,The Ohio Casualty Company,and West American Insurance Company, and that he, as such, being authorized so to.do; execute the foregoing instrument for the purposes >(r — therein contained by signing on behalf of the corporations by himself as a duly authorized officer. d LL cc G� > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. O G N PAs COMMONWEALTH.OF PENNSYLVANIA ��tioNwTF�` Notarial Seal � f�' y /�%(� C'y v r e v Teresa Pastella;Notary Public B 0-1 Co CD of Upper Merion Twp.,Montgomery County y. O L' 9 �A��P My Commission Expires March 28,2017 Teresa P2Stel12,Notary PUbIiC- L 'S Y O - - 4; pw��' Member,Pennsylvania Association of Notaries: - - - 'O:� C CZ This Power of Attorney is made and executed pursuant-to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual y.c 6 Z Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: C c co a?- ARTICLE IV-OFFICERS-Section 12.Power of Attorney.Any officer or other official-of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject- O,c 4) to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make_,execute,seal, +a O C acknowledge and deliveras surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in=tact,subject to the limitations set forth in their respective 1-0_: y. powers of attorney;shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so '� a p M executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under >_s 4- the provisions of this article maybe revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. .a) _ ARTICLE XIII-Execution of Contracts-SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, a, L _and subject to such limitations as the chairman or the president may prescribe,shall appoint such attomeys-in-fact,as may necessary to actin behalf of the Company to make,execute, Z seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other sure y obligations. Such attorneys-in-fact subject to the-limitations set forth in their respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such Instruments and to attach thereto the seal of the Company.When so v executed such instruments shall be as binding as if signed by:the president and attested bythe secretary. O� Certificate of Designation-The Presldent:of the Company;acting parsuant to the Bylaws of the Company authorizes David M.Carey;Assistant.Secretary to appoint such attorneys-in- ~ fact as may be necessary to act on behalf of::the Company to=make. execute,seal,acknowledge and deliver ad surety aoy and all undertakings bonds,recognizances and other surety obligations. Authorization-By unanimous consent of the Companys Board of Directors,the Company conseri#s:thaifacslmile or mechanically reproduced signature of any assistant secretaryof the Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually-affxed. I, Renee C. Llewellyn, the undersigned, Assistant:Secretary, The Ot1lo':Casualty Insurance:Company, Liberty Mutual In Company, and West American Insurance Company do hereby certify that the original power of attorney of whlckt the foregoing full tree:and corFect copy of the Pgwer of AttomBy executed:by said Companies,is in full force and effect and has not been revoked. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this day,of Mardi -20 N(Y iNSU �,lNS Uga,4N5UP,� - - eJPLOFPOAA�O92fi p 1919 > 1912 3 < 1991 b By.. 0 o -t- Renee C.Llewe Assistant Secretary ,1�jy� H�PSa`�aa �) SACHU`� ;` � WOIAY•P t rt � 242 of 300 LMS_12873_082016 Liberty mutuA SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una queja: You may call toll-free for information or to Usted puede Ilamar al numero de telefono gratis make a complaint at para informacion o para someter una queja al 1-877-751-2640 1-877-751-2640 You may also write to; Usted tambien puede escribir a: 2200 Renaissance Blvd., Ste. 400 2200 Renaissance Blvd., Ste. 400 King of Prussia, PA 19406-2755 King of Prussia, PA 19406-2755 You may contact the Texas Department of Puede comunicarse con el Departamento de Insurance to obtain information on companies, Seguros de Texas para obtener informacion coverages, rights or complaints at acerca de companias, coberturas, derechos o 1-800-252-3439 quejas al 1-800-252-3439 You may write the Texas Department of Insurance Puede escribir al Departamento de Seguros Consumer Protection (111-1A) de Texas Consumer Protection (111-1A) P. O. Box 149091 P. O. Box 149091 Austin, TX 78714-9091 Austin, TX 78714-9091 FAX: (512) 490-1007 FAX# (512) 490-1007 Web: http://www.tdi.texas.gov Web: http://www.tdi.texas.gov E-mail: ConsumerProtectiongtdi.texas.gov E-mail: ConsumerProtectionga tdi texas.gov PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your Si tiena una disputa concerniente a su prima o a premium or about ' a claim you should first un reclamo, debe comunicarse con el agente o contact the agent or call 1-800-843-6446. primero. Si no se resuelve la disputa, puede If the dispute is not resolved, you may contact the entonces comunicarse con el departamento (TDI) Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR UNA ESTE AVISO A SU POLIZA: POLICY: This notice is for information only and does not Este aviso es solo para proposito de informacion become a part or condition of the attached y no se convierte en parte o condicion del document. documento adjunto. NP 70 68 09 01 LMS-15292 10/15 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 Ab Grantges, Contract Mgr, Of Burnsco construction, Inc., 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; Villages of Eagle Mountain Ph. 2-Water, Sanitary Sewer and Storm Drain BY y L` Ab Grantges, Con��act Manager Subscribed and sworn before me on this date 15th of March, 2017. MARY PANNELL s Notary Public.State of Texas hComm.Expires 10-19-2018 Not&r SPublic Notary ID 5144239 Tarrant County, Texas FORT ` REV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY n PROJECT INFORMATION Date: 3/28/2017 Name of Contractor Project Name Burnsco Construction,Inc. The Villages of Eagle Mountain DOE Inspector Project Manager Don Watson Sahu Gopal DOE Number Project Diffculty Type of Contract 100059 O Simple QQ Routine Q Complex 0 water waste water0 Storm Drainage Pavement I Initial Contract Amount Final Contract Amount $835,876.40 $835,876.40 In 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 t4 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities `� 13 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER 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 Contractor Payments 4 Resolution of Utility Conflicts �{ 3 Bid Opening to Pre-Con Meeting Timeframe 4 III)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 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fat: (817)392-7845