HomeMy WebLinkAboutContract 46045-FP1 FORTWORTH.CITY SECRE , - � 1
CONTRACT NO.
TRANSPOJ ATION AND PUBLIC WORKS
NOTICF F PROJECT COMPLETION
City Project Ns: 01894
.unu� . �_ � LSA(zil f5
Regarding contract 46045 for E+ ROSEDALE ST RETROFIT-IH35W TO US287 (TPW)as required by the
TRANSPORTATION&PUBLIC WORKS as approved by City Council on 9/9/2014 through M&C C-26966 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 Prices: $2,660,128.70
Amount of Approved Change Orders: $86,993.55 NO 1
Revised Contract Amount: $2,747,122.25
Total Cost Work Completed: $2,745,114.75
Less Deductions:
Liquidated Damages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed: $2,745,114.75
Less Previous Payments: $2,506,841.24
Val Paym $238,273.51
en Due
lj�� C ot I ��
Recommended for Acceptance Date
Asst. irector, TPW - Infrastructure Design and Construction
Accepted Date
Director, TRANSFORTATIO & PUBLIC WORKS
ity Manager 525 I Departme��}}t TP Const. Services
CPN# L V ,Date
Comments: Project Managerx�
,� �
Risk Management S.Canady
D.O.E. Brotherton
E, AlZoZn OFFICIAL RECORD Water V. Gutzier -�
CITY SECRETARY CFA Janie Morales/Scanned
JUN if 2917 FT.WORTH,TX r
The Proceeding pe ple have been Contacted concerning the request
Tsaitlath for final payment&have released this project for such payment.
_Clear--,-9---4-icted By Etta Bacy
TPW Construction Invoice
il3C
Contract: CS46045 P.O.# PO-15-87858 Payment Date: 5/18/2017
TO:McClendon Construction Company Inc INV.# CS46045-46-* Estimate No. 46 DOE: 6836
P O Box 996 ProjManager DENA JOHNSON
Burleson TX 76097
FOR: East Rosedale Street Enhancement Improvements-IH-35 to HWY 287
Contract Amount: $2,747,636.25
Completed Ret Adj Pay
Total to Date: $2,745,114.75 $0.00 $0.00 $2,745,114.75
Previous Estimate: $2,638,780.25 $131,939.01 $0.00 $2,506,841.24
Earned to Date: $106,334.50 (5131,939.01) 50.00 5238,273.51
Payments:
GR74-541200-020302596830 $2,747,636.25 34014-0201000-5740010-CO2438-CO2483-2015-
Total to Date: $2,745,114.75 $0.00 $0.00 $2,745,114.75
Previous Estimate: $2,638,780.25 $131,939.01 $0.00 $2,506,841.24
Earned to Date: $106,334.50 ($131,939.01) $0.00 $238,273.51
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Thursday,June 8,2017 Page I of I
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name E ROSEDALE ST RETROFIT-IH35W TO US287(TPW)
Contract Limits
Project Type PAVING&DRAINAGE
City Project Numbers 01894
DOE Number 6836
Estimate Number 46 Payment Number 46 For Period Ending 5/18/2017
CD
City Secretary Contract Number 46045 Contract Time 24aD
Contract Date 9/9/2014 Days Charged to Date 567
Project Manager Johnson Contract is 100.00 Complete
Contractor McCLENDON CONSTRUCTION COMPANY,INC.
P.O.BOX 999
BURLESON, TX 76097
Inspectors DICKINSON / HORTON
Thursday,May 18,2017 Page 1 of 6
City Project Numbers 01894 DOE Number 6836
Contract Name E ROSEDALE ST RETROFIT-IH35W TO US287(TPW) Estimate Number 46
Contract Limits Payment Number 46
Project Type PAVING&DRAINAGE For Period Ending 5/18/2017
Project Funding
E ROSEDALE ST RETROFIT-IH35W TO US287(TPW)
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
-------- ------- ------ ----------------- -
I-1 Remove Sidewalk 13880 SF $4.00 $55,520.00 13880 $55,520.00
I-2 Remove ADA Ramp 30 EA $325.00 $9,750.00 30 $9,750.00
1-3 Remove Concrete Drive 2430 SF $4.00 $9,720.00 2430 $9,720.00
1-4 Remove Concrete Pavement 4540 SY $24.00 $108,960.00 4540 $108,960.00
1-5 Remove Concrete Curb 4030 LF $9.00 $36,270.00 4030 $36,270.00
I-6 Remove 10'Curb Inlet 7 EA $1,500.00 $10,500.00 7 $10,500.00
1-7 Remove 15'Curb Inlet 3 EA $1,650.00 $4,950.00 3 $4,950.00
1-8 Remove 20'Curb Inlet 1 EA $1,700.00 $1,700.00 1 $1,700.00
1-9 Manhole Adjustment,W/Cover 5 EA $1,150.00 $5,750.00 5 $5,750.00
1-1 Traffic Control 1 LS $99,950.00 $99,950.00 1 $99,950.00
I-1 Unclassified Excavation 3000 CY $29.00 $87,000.00 3000 $87,000.00
I-1 Embankment 200 CY $21.00 $4,200.00 200 $4,200.00
1-1 SWPPP >1 acre 1 LS $9,375.00 $9,375.00 1 $9,375.00
1-1 Lime Material(42 lbs/SY) 44.5 TO $160.00 $7,120.00 43 $6,880.00
I-1 6"Lime Treatment 2120 SY $6.50 $13,780.00 2120 $13,780.00
1-1 6"Cone Pvmt 1890 SY $50.00 $94,500.00 1890 $94,500.00
1-1 9"Cone Pvmt CO#1 2093 SY $87.50 $183,137.50 2093 $183,137.50
1-2 4"Conc Sidewalk Stamped/Integral 30979 SF $8.50 $263,321.50 30979 $263,321.50
1-2 4"Cone Sidewalk 8300 SF $6.50 $53,950.00 8300 $53,950.00
1-2 6'Type 9-1 Ramp 24 EA $1,400.00 $33,600.00 24 $33,600.00
1-2 6'Type M-1 Ramp 1 EA $1,500.00 $1,500.00 1 $1,500.00
I-2 CONC Ret Wall with Sidewalk,Face 615 SF $34.50 $21,217.50 600 $20,700.00
1-2 CONC Ret Wall with Sidewalk,Sidewal 1230 SF $12.50 $15,375.00 1200 $15,000.00
1-2 18"RCP,Class III CO#1 285 LF $105.00 $29,925.00 285 $29,925.00
1-2 24"RCP,Class III CO#1 102 LF $115.00 $11,730.00 102 $11,730.00
I-2 36"RCP,Class III CO#1 22 LF $165.00 $3,630.00 22 $3,630.00
1-2 Concrete Collars 22 EA $550.00 $12,100.00 22 $12,100.00
1-2 10'Curb Inlet 3 EA $3,500.00 $10,500.00 3 $10,500.00
I-3 15'Curb Inlet I EA $5,100.00 $5,100.00 1 $5,100.00
1-3 20'Curb Inlet 1 EA $6,500.00 $6,500.00 1 $6,500.00
I-3 10'Open Back Inlet 3 EA $3,800.00 $11,400.00 3 $11,400.00
Thursday,May 18,2017 Page 2 of 6
City Project Numbers 01894 DOE Number 6836
Contract Name E ROSEDALE ST RETROFIT-IH35W TO US287(TPW) Estimate Number 46
Contract Limits Payment Number 46
Project Type PAVING&DRAINAGE For Period Ending 5/18/2017
Project Funding
1-3 15'Open Back Inlet 2 EA $5,250.00 $10,500.00 2 $10,500.00
I-3 Concrete Flume 5 EA $2,850.00 $14,250.00 5 $14,250.00
I-3 Soil(Bioswale) 225 CY $65.00 $14,625.00 225 $14,625.00
I-3 Gravel(Bioswale) 65 CY $87.00 $5,655.00 65 $5,655.00
I-3 Geotextile Fabric(Bioswale) 890 SY $3.25 $2,892.50 890 $2,892.50
I-3 6"Pipe Underdrain,Type 8(PVC)(Bi 150 LF $28.00 $4,200.00 150 $4,200.00
I-3 8"Pipe Underdrain,Type 8(PVC)(Bi 150 LF $31.00 $4,650.00 150 $4,650.00
I-4 Medium Stone Riprap,grouted 85 SY $32.00 $2,720.00 85 $2,720.00
I-4 Gabion Flow Spreader(Bioswale) 10 CY $300.00 $3,000.00 10 $3,000.00
1-4 4"SLD Pvmt Marking(HAE)(W)CO#1 12463 LF $0.85 $10,593.55 12463 $10,593.55
I-4 8"SLD Pvmt Marking(HAE)(W) 3690 LF $1.40 $5,166.00 3690 $5,166.00
I-4 24"SLD Pvmt Marking(HAE)(W) 630 LF $5.00 $3,150.00 693 $3,465.00
1-4 18"Wide,9'Long,3'Spacing Pvmt M 2740 LF $4.00 $10,960.00 2740 $10,960.00
I-4 Lane Legend(W)Bike Lane 12 EA $450.00 $5,400.00 12 $5,400.00
I-4 Furnishing and Installing Ground Mon CO#1 23 EA $600.00 $13,800.00 23 $13,800.00
I-4 Furnish/Install Elec Ser Pedestal 1 EA $3,709.00 $3,709.00 1 $3,709.00
1-4 2"CONDT PVC SCH 80(T) 5050 LF $6.60 $33,330.00 5050 $33,330.00
I-5 2"CONDT PVC SCH 80(B) 695 LF $11.74 $8,159.30 695 $8,159.30
1-5 6-6-6 Triplex Alum Elec Conductor 6190 LF $1.69 $10,461.10 6190 $10,461.10
I-5 Salvage Street Light Pole 57 EA $194.00 $11,058.00 57 $11,058.00
I-5 Furnish/Install Rdwy Ilium Assmbly S CO#1 59 EA $5,266.00 $310,694.00 59 $310,694.00
I-5 Furnish/Install Ped Ilium Assmbly(O CO#1 69 EA $2,670.00 $184,230.00 69 $184,230.00
I-5 Rdwy Ilium Foundation Ty 3 1 EA $1,301.00 $1,301.00 1 $1,301.00
1-5 Rdwy Ilium Foundation Ty 7 68 EA $1,001.00 $68,068.00 68 $68,068.00
1-5 Ground Box W/Concrete Apron 31 EA $477.00 $14,787.00 31 $14,787.00
I-5 C1 Fiber Ground Box 12 EA $3,128.00 $37,536.00 12 $37,536.00
I-5 C3 Fiber Ground Box 5 EA $2,190.00 $10,950.00 5 $10,950.00
1-6 4"SCH 80 Multi Duct PVC(T) 2840 LF $12.12 $34,420.80 2840 $34,420.80
I-6 4"SCH 80 Multi Duct PVC(B) 4240 LF $20.55 $87,132.00 4240 $87,132.00
I-6 Block Sod Placement 15030 SY $3.00 $45,090.00 15030 $45,090.00
1-6 Plant 4"Bioswale Groundcover 1767 EA $5.00 $8,835.00 1767 $8,835.00
I-6 Plant Class#1 Bioswale Plants 60 EA $10.50 $630.00 60 $630.00
I-6 Plant Class#3 Bioswale Plants 99 EA $25.00 $2,475.00 99 $2,475.00
I-6 Plant 4"Groundcover 1856 EA $5.00 $9,280.00 1856 $9,280.00
Thursday,May 18,2017 Page 3 of 6
City Project Numbers 01894 DOE Number 6836
Contract Name E ROSEDALE ST RETROFIT-IH35W TO US287(TPW) Estimate Number 46
Contract Limits Payment Number 46
Project Type PAVING&DRAINAGE For Period Ending 5/18/2017
Project Funding
I-6 Plant Class#3 Plants 999 EA $25.00 $24,975.00 999 $24,975.00
I-6 Plant Class#45 Tree 143 EA $495.00 $70,785.00 143 $70,785.00
1-6 Plant Class#60 Tree 190 EA $595.00 $113,050.00 188 $111,860.00
1-7 Landscape Edge Detail CO#1 1557 LF $14.00 $21,798.00 1557 $21,798.00
I-7 Stamped Integral Colored Concrete Me 4760 SF $12.50 $59,500.00 4760 $59,500.00
1-7 Irrigation(Entire Project) I LS $171,250.00 $171,250.00 1 $171,250.00
I-7 Bench 5 EA $1,600.00 $8,000.00 5 $8,000.00
1-7 Bike Rack 3 EA $1,000.00 $3,000.00 3 $3,000.00
I-74 2"BORE&SLEEVE CO#1 715 LF $25.80 $18,447.00 715 $18,447.00
1-75 4"BORE&SLEEVE CO#1 720 LF $28.60 $20,592.00 720 $20,592.00
I-76 6"BORE&SLEEVE CO#1 415 LF $33.70 $13,985.50 415 $13,985.50
1-77 DEAD END BARRICADES CO#1 3 EA $2,000.00 $6,000.00 3 $6,000.00
----------------------------------- - --
Sub-Total of Previous Unit $2,747,122.25 $2,745,114.75
--------------------------------------
Thursday,May 18,2017 Page 4 of 6
City Project Numbers 01894 DOE Number 6836
Contract Name E ROSEDALE ST RETROFIT-IH35W TO US287(TPW) Estimate Number 46
Contract Limits Payment Number 46
Project Type PAVING&DRAINAGE For Period Ending 5/18/2017
Project Funding
Contract Information Summary
Original Contract Amount $2,660,128.70
Change Orders
Change Order Number 1 $86,993.55
Total Contract Price $2,747,122.25
Date Total Cost of Work Completed $2,745,114.75
ntract Less %Retained $0.00
a
Net Earned $2,745,114.75
Inspection Supervisor Earned This Period $238,273.51
Retainage This Period $0.00
Date S- 17 Less Liquidated Damages
Pr ect Man ger
�j Days @ /Day $0.00
Dates� " LessPavement Deficiency $0.00
t
ctor/TPW-Infrastructure Design and Constructidn Less Penalty $0.00
W Date � Z� Less Previous Payment $2,506,841.24
Contracting Depar lent Plus Material on Hand Less 15% $0.00
Balance Due This Payment $238,273.51
Thursday,May 18,2017 Page 5 of 6
City Project Numbers 01894 DOE Number 6836
Contract Name E ROSEDALE ST RETROFIT-IH35W TO US287(TPW) Estimate Number 46
Contract Limits Payment Number 46
Project Type PAVING&DRAINAGE For Period Ending 5/18/2017
Project Funding
Project Manager Johnson City Secretary Contract Number 46045
Inspectors DICKINSON / HORTON Contract Date 9/9/2014
Contractor McCLENDON CONSTRUCTION COMPANY,INC. Contract Time 240 CD
P.O.BOX 999 Days Charged to Date 567 CD
BURLESON, TX 76097 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 $2,745,114.75
Less %Retained $0.00
Net Earned $2,745,114.75
Earned This Period $238,273.51
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 $2,506,841.24
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $238,273.51
Thursday,May 18,2017 Page 6 of 6
CITY SECRETARY/6'
,
-, t )
FORT WORTH. City of Fort Worth CONTRACT NO. ('t
Change Order Request Breakdown
Project Namel E Rsedael Retrofit-IH35 to US 287 Cily Sec# 46045
Client Pfojec(#(s)J 01894
Change Order Submittal Date 1/20/2017
Dept. TPW Contract Time
Totals CD
Original Contract Amount $2,660,128.70 $2,660,128.70 240
Extras to Date
Credits to Date
Pending Change Orders(In M&C Process)
Contract Cost to Date $2,660,128.70 $2,660128.70 240
Go to HDC 8 DEL Tabs to Enter CO Backup $86,993.55 $86,993. 5 327
Revised Contract Amount $2,747,122.25 $2,747,122.25 567
Original Funds Available for Change Orders $665,032.18 $665,032.18
Remaining Funds Available for this CO $665,032.18 $665,032.18
Additional Funding(it necessary)
CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 3.270k
MAX ALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $3,325,160.88
JUSTIFICATION(REASONS)FOR CHANGE ORDER
"Irrigation system had to be redesigned to accommodate additional bores under the existing roadway.
i g inch Concrete was a field change to match existing joints and repair adjacent panels.The concrete joints were adjusted forcing the
pavement section to widen at these areas.
2 street signs were added to clarify the right lane ends.
Landscape Edge Detail was an overrun of the plan quantity,most notably at the bio-swale areas.
*Dead End Barricades needed to be added at the 3 south side streets that were blocked off to keep people from driving thought the newly
planted sod.
k 2 Street Light Poles&1 Sidewalk/Pedestrian Light Pole were hit by traffic&destroyed. All 3 light poles had to be replaced,
A fled` �
ary A er,C- ty Secretary
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Change Order Additions
Project Name I E Rsedael Retrofit-IIt35 to US 287 _ Gty Seal 46045
Client Prajact 11 1 01094
Change Order Submittal N pate 1 12 012 0 1 7
AUDITIONS
IfEm DESCRIPTION
URI Unitos a a
Concrete Pavement J, IT)
1• um sh aad Installcan ounte Street Sbn a 0 .
an scaop Edge eta T
re -ever f '
I• re 9 Sleeve TPV11 a1
--777—0"Bore a Sleeve 00 LP
1-77 Dead End Bamcade I wl $2,000.50
1.53 11 tum Assem1by Sped9l TV—N-- 5,'. O.00
I.5 It Ved num Assemble-Washington a l,6
-TPW 103,887.00
Sub Tota iliws
Change Order Additions Page I of 1
ro trWor 'll City of Fort Worth
Change Order Deletions
Project Name f-Rredael Relfof l IH35 to US 287 City Sac# 4G045
Cllenl Project k 01894 _
Change Order Submittal N Date112012017
DELETIONS
ITEM 13ESCHIP]ION
QtyUnit— ni os -Total
a essage.ign s 50.
13us ter a 9
ass I
assll
assIII TRF- 30.00 $4,050,001
-
ss �.
. Pvml arkng(_
3 ml Marking 1 1 J.,
TPW 1G,893. 5
u oa oe'ans
Change Order Deletions Pike 1 of 1
MISBE Breakdown for this Change Order
MISBE Sub Type of Service Amount for this CO
Green Scaping 2",4"&6" Bore&Sleeve, &Landscape Edge $62,222,50
Total $62,222.50
Previous Change Orders
Co It DATE AMOUNT
Total $0.00
'CF W Change Order Approval St-COApp02 Page 1 of 5
Routine
Assigned To: Due Date:
Assigned By: Due Time:
Linke 1
fortworthow/Infrastructure Proiects/01894 East Rosedale Street Retrofit- IH35 to US287(Contractor/Change
Orders/Change Order Breakdown #I.xLs
Attachments t01
�^ No Attachments have been added to this form.
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ell
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CFW Change Order Approval St-COApp02 Page 2 of.5
FORTWORTHcu City oar: G=OOK Worth
Change Order bequest Approval
(Change Order Breakdown Available in Finks)
For Change Order Submittal No.: 1
Change Order No.: St-COApp02 Date Started: 2017-03-08
City Sec. No.: Date Due: ,2017-04-27
Project Name: 1894 - East Rosedale Street Retrofit - IH35 to US287
C01894 DOE Numbers:
Project Numbers: 6836
Project Gast Rosedale Street- Retrofit - IH35 to US287
Description:
Project Manager: Martin Phillips City Inspector: Randy Horton
Contractor: McCLENDON CONSTRUCTION COMPANY, INC.
COUNCIL ACTION (If Rcquired):
M&C Log Name:
M&C Number: ' M&C Date:.
COST ,AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
0200431 $ 86,993.55 39001-0200431-5740010-C01894-c 327
Total Cost:j$ 86,993.55 Total Requested Days: 327
Approval Status:
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C:I VJ Change Order Approval St-COApp02 Page 4 of 5
Approved: Yes
Comments:
User: Tara Fishback
Date: 2017-03-08 1:34 PM
Approved: Yes
Comments:
User: Justin Blair
Date: 2017-03-09 12:0313M
Approved: Yes
Comments:
User: Martin Phillips
Date: 2017-03-09 1:34 PM
Approved: Yes
Comments:
User: Martin Phillips
Date: 2017-03-09 3:10 PM
Approved: Yes
Comments:
User: Justin glair
Date: 2017-03-30 4:25 PM
Approved: Yes
Comments:
User: Mitch Alton
Date: 2017-03-31 8:48 AM
Approved: Yes
Comments:
User: Martin Phillips
Date: 201704-03 7:53 AM
Approved: Yes
Comments:
User: Kim Arnold
Date: 2017-04-03 10:12 AM
Approved: Yes
'Comments:
'User: Doug Wiersig
Date: 2017-04-20 12:38 PM
Approved: Yes
Comments:
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'CFW Change Order Approval St-COApp02 Page 5 of 5
User: Doug Black
Date: 2017-04-27 5:08 PM
Approved: Yes
Comments:
User: Jay Chapa
Date: 2017-04-28 3:10 PM
Approved: Yes
Comments:
User: Justin Blair
Date: 2017-04--28 4:32 PM
Approved: Yes
Comments:
User: Martin Phillips
Date: 2017-05-01 8:14 AM
Approved: Yes
Comments:
User: Martin Phillips
Date: 2017-05-018:16 AM
Action Required: iPlease review, approve and submit. _
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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 Justin Blair, Treasurer of McClendon
Construction Company,Incorporated,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 there are no claims pending for personal injury and/or property damages;
On Contract described as;
E Rosedale Retrofit-IH35 to ITS 287
Justin air
Subscribed and sworn before me on this day of
20 /7
tary Public in Tarrant
County, Texas
?aq%P.; MARY J.PORTER
My Notary ID#185864
Expires September 17,2020
ua
Bond Number TXC 606033
Owncr.
CONSENT OF Architect
811RETY COMPANY Contractor
TO FINAL PAYMENT Suretv
AIA t)(_)CL)M:N'f 6707 Other
PROJECT: East Rosedale Street
innmc,address)
TO:(0%vner) ARCHITECT'S PROJECT NO:
City of Fort Worth,Texas
1000 Throckmorton Drive CONTRACT FOR: Construction
Fort Worth,TX 76108 CONTRACT AMOUNT: $2,745,144.75
CONTRACT DATE: 9/9/2014
CONTRACTOR:
McClendon Construction Company,Inc.
PO Box 996
Burleson,TX 76097
In accordance with the provisions of the Contract bemeen the Owner and the Contractor as indicated above,the
Merchants Bonding Company [Mutual]
101 E.Park Blvd.,#600
Plano,Texas 75074 STTRETY COMPANY
on bond of(here insert name and address of Conu actor)
McClendon Construction Company,Inc.
PO Box 996
Burleson,Texas 76097 CONTRACTOR,
hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not
relieve the Surety ConIpany of any of Its obligations to(here insert name and address of Owner)
City of Fort Worth,Texas
1000 Throckmorton Drive ,OWNER,
Fort Worth,Texas 76108
as set forth in the said Surety Company's bond.
IN 1 TNI ESS WHEREOF,
the Surety Company has hereunto set its hand this 18th day of May, 2017
4MeutsV
pany [Mutual]
entative
Atteet. Betty J.Reeh-Attorney-In-Fact
(Scat i j.4
'l'itle
NOTE:1-his form is to be used as a companion document to AIA DOCUMENT 6700,CONTRACTOR'S AFFIDAVIT OF PAYMENT OF
DEB I S AND CLAIMS,Current Edition
AIA DOCUMENT G707•CONSENT OF SURETY COMPANY TO FINAL PAYMENT-APRIL 1970 EDIT1ON•AIACts• ONE.
PAGE
+i'1970•THF.AM I-RICAN INST 11 UTE OF ARCHfrL•C'rs. 1735 NEW YORK,AVF..,NW.WASHINGTON,D.C.20000
MERCH1
BONDING COMPANY,„
POWER OF ATTORNEY
Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,
INC.,both being corporations of the State of Iowa(herein collectively called the"Companies")do hereby make,constitute and appoint,
individually,
Betty J Reeh; Bryan K Moore; Gary Wayne Wheatley; Michael D Hendrickson
their true and lawful Attorney(s)-in-Fact,to make,execute,seal and deliver on behalf of the Companies,as Surety,bonds,undertakings
and other written obligations in the nature thereof,subject to the limitation that any such instrument shall not exceed the amount of:
TWELVE MILLION($12,000,000.00)DOLLARS
This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the
Board of Directors of Merchants Bonding Company(Mutual)on April 23,2011 and adopted by the Board of Directors of Merchants
National Bonding,Inc.,on October 24,2011.
"The President,Secretary,Treasurer,or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have power and
authority to appoint Attorneys-in-Fact,and to authorize them to execute on behalf of the Company,and attach the seal of the Company
thereto,bonds and undertakings,recognizances,contracts of indemnity and other writings obligatory in the nature thereof."
"The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to any Power of
Attorney or Certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance,or other suretyship
obligations of the Company,and such signature and seal when so used shall have the same force and effect as though manually fixed."
In connection with obligations in favor of the Florida Department of Transportation only,it is agreed that the power and authority hereby given
to the Attorney-in-Fact includes any and all consents for the release of retained percentages and/or final estimates on engineering and
construction contracts required by the State of Florida Department of Transportation.It is fully understood that consenting to the State of Florida
Department of Transportation making payment of the final estimate to the Contractor and/or its assignee,shall not relieve this surety company
of any of its obligations under its bond.
In connection with obligations in favor of the Kentucky Department of Highways only,it is agreed that the power and authority hereby given
to the Attorney-in-Fact cannot be modified or revoked unless prior written personal notice of such intent has been given to the Commissioner-
Department of Highways of the Commonwealth of Kentucky at least thirty(30)days prior to the modification or revocation.
In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 22nd day of August 2016
MERCHANTS BONDING COMPANY.orrvrv,
,`<<�.` '�{tO1J�1�''r- • ,��\NG CQ,y�A�� (MUTUAL)MERCHANTS NATIONAL BONDING,INC.
RPt7q '9
CID
,j\• 2003 :.�- �Q. 1933
.yJ. 'moo• By
STATE OF IOWA 'v, ���`��� °•'•,® �
COUNTY OF Dallas ss. "" ••• President
On this 22nd day of August 2016 ,before me appeared Larry Taylor,to me personally known,who being by me sworn did say that
he is President of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING, INC.;and that the seals affixed
to the foregoing instrument are the Corporate seals of the Companies;and that the said instrument was signed and sealed in behalf of the
Companies by authority of their respective Boards of Directors.
�Pµ'P s WENDY WOODY
o > Commission Number 784654
Z '1°° `- My Commission Expires
June 20, 2017
Notary Publi , County,Iowa
(Expiration of notary's commission
does not invalidate this instrument)
I,William Warner,Jr.,Secretary of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,
do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,
which is still in full force and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed the seal of the Companies on this tl of
p p 'Oy• ���
/.�'.CPQ O�at',•�C7�' ��'C�� 9��:�.c: G�?�� SCJ , !,
z:` Secretary
1933 c,
POA 0014 (6/15) ..,,,,,,ra"�` •....
I
i
,4"*
-MERCHANTS
BONDING CC-)MPANY
IIIWIPOR1 7AN7 I` OUCIE
To obtain information or make a complaint:
You may contact your insurance agent at the telephone number provided by your insurance
agent.
You may call Merchants Bonding Company's toll-free telephone number for information or to
make a complaint at:
1-800-678-8171
You may contact the Texas Department of Insurance to obtain information on companies,
coverages, rights or complaints at:
1-800-252-3439
You may write the Texas Department of Insurance at:
P. O. Box 149104
Austin, TX 78714-9104
Fax: (512) 475-1771
Web: http://www.tdi.state.tx.us
E-mail: ConsumerProtection@tdi.state.tx.us
PREMIUM AND CLAIM DISPUTES: Should you have a dispute concerning your premium or
about a claim you should contact the agent first. If the dispute is not resolved, you may contact
the Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not
become a part or condition of the attached document.
SUP 0032 TX (1/09)
FORTWORTHREV.8/20/16
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Name of Contractor Project Nanue
McClendon Construction E.Rosedale St.Retrofit I-35 to US 287
Inspector City Project Number
Randy Horton 1894
Construction Components Project Manager
❑ Water ❑ Waste Water O Storm Drainage 0 Pavement Mith Aiton
Initial Contract Amount Project Difficulty
$2,660,128.70 0 Simple O Routine O Complex
Final Contract Amount Dale
$2,745,114.75 5/19/2017
II)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 4 20 20
4 Field Supervision 15 Y 4 60 60
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 3 20 15
12 After Hours Response 5 Y 4 20 20
13 Project Completion 5 Y 3 20 15
TOTAL ELEMENT SCORE(A) 423
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 423
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating(ITS/MS] * 100%) 423 / 448 = 94%
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)
Inspector Signature -4,a r C tractor 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
FORTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 5/19/2017
Name ofContraclor Projecl Name
McClendon Construction E. Rosedale St. Retrofit I-35 to US 287
DOE Inspector Project Manager
Randy Horton Mitch Aiton
DOE Number Project Dculq, Tjpe of Contract
6836 O Simple O Routine O Complex ❑ Water ❑ Waste Water 0 Storm Drainage 21 Pavement
/nitial Contract Amount Final Contract Amount
$2,660,128.70 $2,645,114.75
II)PERFORMANCE EVALUATION
0-Inadequate 1 - Deficient 2- Standard 3 -Good 4-Excellent
ELEMENT RATING ELEMENT RATING
70-4)
(0-4)
INSPECTION EVALUATION PLANS&SPECIFICATIONS
I Availability of Inspector 1 Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector 2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities A 3 Applicability of Specifications Aj
4 Display Of Professionalism Aq 14 Accuracy of Plan Quantities
5 Citizen Complaint Resolution t 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 3 Communication
2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con Meeting Timeframe
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
a The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845
FORTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:46
NAME OF PROJECT: E. Rosedale Retrofit-I-35 to US 287
PROJECT NO.: 1894 CONTRACTOR: McClendon Const.
DOE NO.: 6836
PERIOD FROM;05/01/17 TO: 05/15/17 FINAL INSPECTION DATE: 13-Dec-16
WORK ORDER EFFECTIVE:5/15/2015 CONTRACT TIME: 240 O Wb0 CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
1. MON 0 16.
2. TUE 0 17.
3. WED 0 18.
4. THU 0 19.
5. FRI 0 20.
6. SAT 0 21.
7. SUN 0 22.
8. MON 0 23.
9. TUE 0 24.
10. WED 0 25.
11. THU 0 26.
12. FRI 0 27.
13. SAT 0 28.
14. SUN 0 29.
15. MON 0 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL
& HOLIDAYS &TOO COLD RELOCATIONS OTHERS * CHARGED DAYS
THIS 0 0
PERIOD
PREVIOUS
567 567
PERIOD
TOTALS 567 567
TO DATE
*REMARKS: Project complete.
5- 7-/7
C NTRACT R DATE INSPECT DATE
ENGINEERING DEPARTMENT
sThe Cit},of Fort North • 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 • Fax: (817) 392-7845
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Online Accounts Payable Department Ac
NIGP Code Browse I My Account I Customer Service I About Current Organization:CITY OF FORT WORTH June 9,2017 1:52:48 PM CDT 1p 4j
Home Documenls Andrea Mi
hvOice #: 46045-46k Vendor #,:0000007403 Vender Grom .�rro0„i 6tnhrs:dlR-RAePPotor
General Items Subcontractors Accounts Routing Attachments Notes Reminder Change Order Summary Back to PO
i General validation Warnings
i
I • The letlovdng complete receipt PO items era fully paid Icunenl invoice amount f previous approvedrpaid involee amount=total received dollar ameunQ.but chair final pay indicators are not checked.These slams vA1 not l+e dosed z
1 the time the invoice is approved:(1). _.. _..
Header Information
Invoice Number: CS46045-46' Invoice Status: 41R-Ready for Approval Invoice Type: away matching
Invoice Description: CS46045-46 East Rosedale Street Enhancement Improvements-IH-35 to HVVy Invoice Date: 05/182017 Effect Date: 06/092017
287
Payment Amount: $2381 Handling Code: Payment Date: 06/122017
Payment Terms: Payment Term Day: 0 Payment Discount: 0.0%
Paid-Bank/Check: Alternate Id:
Entered By: Andrea Munoz Entered Date: 0610912017
Updated By: Andrea Munoz Updated Date: 061092017
Received Date: 05/182017 01:14:00 PM
Attachments
Agency Files:
Agency Forms:
Vendor Files:
Vendor Forms:
Purchase Order information
Purchase order Number: PO-15-00087858 PO Description C546045 001894
PO Amount: $2,747,636.25 Remaining To Invoice: $2,521.50 Buyer: Karen Striker
PoVmldor Information
Vendor: 0000007403-MCCLENDON CONSTRUCTION COMPANY INC Address Grp: 01
Vendor Remit-to Address: JUSTIN BLAIR
P O BOX 996
BURLESON,TX 76097-0996
USA Fed ID: ...1206 Remit Text:
Email:j'blair@mcciendonconstructon.com
Phone:(817)295-0066
Id:115011(EFT Enabled)
Misc&Freight Invoice Account
Event Type Fiscal Year Account Code Transaction Amount
Misc 17 31002-2060000—C01894-CRETAN— $131,939.01
Total: $131,939.01
Item Information
Invoice Item#/PO Item#:1 East Rosedale Street Enhancement Improvements-IH-35 to HWY 287 GR74-541200-020302596830 CS46045 MBC C-26966 Dale 090914
PO Permit Invoice Discount% Original Final
Item Status To Pay Amount Pay Amount Pay
3PCR-Complete Receipt $0.00 $217862.45 0.0% $0.00 No
MAKE:
ASSET MODEL:
ASSET MANUF:
ASSET SERIAL:
ASSET VIN:
ASSET TAG:
Event Type Fiscal Year Account Code Transaction Amount
Exp. 17 31002-0200431-5740010--C01894-CO2383-- $21,862.45
Enc. 17 31002-0200431-5740010--C01894-CO2383-- 521,862.45
Invoice Item#/PO Item#:2 COCS-$86,993.55-East Rosedale Street Enhancement Improvements-IH-35 to HWY 287 31002-0200431-5740010--C01894-CO2383--CS46045
PO Permit Invoice Discount% Original Final
Item Status To Pay Amount Pay Amount Pay
3PPR-Partial Receipt $0.00 $84,472.05 0.0% $0.00 No
MAKE:
https://bso.fortworthtexas.gov/bso/purchaseorder/invoice/invoiceSummary.sdo?invoiceNbr... 6/9/2017
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ASSET MODEL:
ASSET MANUF:
ASSET SERIAL:
ASSET VIN:
ASSET TAG:
Event Type Fiscal Year Account Code Transaction Amount
Exp. 17 31002-0200431-5740010--C01894-CO2383-- $84,472.05
Enc. 17 31002-0200431-5740010--C01894-CO2383— -$84,472.05
Approval Path:
Delete Approver Order Approval Level Approver Date Date Approved/Disapproved/Canceled Comma
Sequence Path Type Requested Approved/DisapprovedlCanceled by View
ID
Add I� v
New Primary
I
f
Add l Tete Approver
Pdnt
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