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Contract 48035-FP1
Depa e t 9f TP>V'Const. Services CPN# Date Project Manager i3 f Risk Management S.Canad -/ 1T Wim./nn RT H® CITY SECRETARY D.O.E. Brotherton CONTRACT NO. — Water V. Gutzier — / CFA Janie Morales/Scanned ❑ ; Q �ATION AND PUBLIC WORKS r.,�.-Q The Proceeding people have been Contacted concerning the request F PROJECT COMPLETION � I (� for final payment&have released this project for such payment. eveloper Projects) Clearance Conducted By Etta Bacy City Project Ns: 100386 zl8o'3s Regarding contract 1100386 for BIRD STREET REHABILITATION-WATER 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 theproject oe:-=_------� It E JUN1 Original Contract Price: 1 s $219,336.25 I Amount of Approved Change Ordersf $0.00 NQ 1 Revised Contract Amount: $219,336.25 Total Cost Work Completed: $219,336.25 / *�- C " I(VJu Recommended for Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction /7- Accepted Date Asst. Director, WATER DEPARTMENTea4�'?/17 Asst. City Manager 61 61 Date Comments: OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX JUN, v .,017 Rev.9/2 -1 JUN 16 2017 E.0 .LL lwi Y. r jb63fl� City Project Numbers 100386 DOE Number 0386 Contract Name BIRD STREET REHABILITATION Estimate Number 1 Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 5/31/2017 Project Funding Project Manager NA City Secretary Contract Number Inspectors LAYER / ROGERS Contract Date Contractor RUMSEY CONSTRUCTION,LLC Contract Time 60 CD 6617 VILLAGE SPRINGS DRIVE Days Charged to Date 274 CD PLANO, TX 75024 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 $219,336.25 Less %Retained $0.00 Net Earned $219,336.25 Earned This Period $219,336.25 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 $219,336.25 Tuesday,May 23,2017 Page 5 of 5 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name BIRD STREET REHABILITATION Contract Limits Project Type WATER&SEWER City Project Numbers 100386 DOE Number 0386 Estimate Number 1 Payment Number 1 For Period Ending 5/31/2017 CD City Secretary Contract Number Contract Time 6(ED Contract Date Days Charged to Date 274 Project Manager NA Contract is 100.00 Complete Contractor RUMSEY CONSTRUCTION,LLC 6617 VILLAGE SPRINGS DRIVE PLANO, TX 75024 Inspectors LAYER / ROGERS Tuesday,May 23,2017 Page 1 of 5 City Project Numbers 100386 DOE Number 0386 Contract Name BIRD STREET REHABILITATION Estimate Number 1 Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 5/31/2017 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 WATER LINE GROUTING 9 CY $230.00 $2,070.00 9 $2,070.00 2 REMOVE 6"WATER LINE 313 LF $18.31 $5,731.03 313 $5,731.03 3 WATER CUT AND PLUG SERVICE 19 EA $344.90 $6,553.10 19 $6,553.10 4 REMOVE 6"WATER VALVE 1 EA $135.00 $135.00 1 $135.00 5 SALVAGE FIRE HYDRANT I EA $281.94 $281.94 1 $281.94 6 SALVAGE 2"WATER METER 8 EA $300.00 $2,400.00 8 $2,400.00 7 WATER TRENCH SAFETY 1477 LF $7.85 $11,594.45 1477 $11,594.45 8 DUCTILE IRON WATER FITTINGS 2 TN $4,349.87 $8,699.74 2 $8,699.74 W/RESTRAINT 9 4"PVC WATER PIPE 187 LF $30.00 $5,610.00 187 $5,610.00 10 6"PVC WATER PIPE 75 LF $35.48 $2,661.00 75 $2,661.00 11 8"PVC WATER PIPE 1120 LF $31.97 $35,806.40 1120 $35,806.40 12 FIRE HYDRANT 2 EA $2,851.48 $5,702.96 2 $5,702.96 13 CONNECTION TO EXISTING 4"-12"WATER 3 EA $4,000.00 $12,000.00 3 $12,000.00 MAIN 14 2"WATER SERVICE 8 EA $1,524.98 $12,199.84 8 $12,199.84 15 6"GATE VALVE 10 EA $878.22 $8,782.20 10 $8,782.20 16 8"GATE VALVE 7 EA $1,126.67 $7,886.69 7 $7,886.69 18 WATER TRENCH SAFETY(CO#Al) 15 LF $1.00 $15.00 15 $15.00 19 CONNECTION TO EXISTING 4"-12"WATER I EA $519.40 $519.40 1 $519.40 MAIN(CO#Al) 20 8"PVC WATER PIPE(CO#Al) 15 LF $28.75 $431.25 15 $431.25 21 1"WATER SERVICE(CO#Al) 11 EA $425.00 $4,675.00 11 $4,675.00 22 8"GATE VALVE(CO#Al) 2 EA $500.00 $1,000.00 2 $1,000.00 Sub-Total of Previous Unit $134,755.00 $134,755.00 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 SEWER CUT AND PLUG SERVICE 19 EA $198.00 $3,762.00 19 $3,762.00 2 REMOVE 6"SEWER LINE 220 EA $20.00 $4,400.00 220 $4,400.00 3 6"SEWER ABANDONMENT PLUG I EA $820.00 $820.00 1 $820.00 Tuesday,May 23,2017 Page 2 of 5 City Project Numbers 100386 DOE Number 0386 Contract Name BIRD STREET REHABILITATION Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 5/31/2017 Project Funding 4 REMOVE 4'SEWER MANHOLE 2 EA $859.26 $1,718.52 2 $1,718.52 5 POST CCTV INSPECTION 775 LF $1.60 $1,240.00 775 $1,240.00 6 MANHOLE VACUUM TESTING 8 EA $107.16 $857.28 8 $857.28 7 MANHOLE ADJUSTMENT MINOR l EA $1,358.33 $1,358.33 1 $1,358.33 8 SEWER TRENCH SAFETY 775 LF $7.85 $6,083.75 775 $6,083.75 9 4"SEWER SERVICE 5 EA $313.60 $1,568.00 5 $1,568.00 10 8"SEWER SERVICE,RECONNECTION 4 EA $883.04 $3,532.16 4 $3,532.16 11 8"SEWER PIPE 620 LF $29.03 $17,998.60 620 $17,998.60 12 EPDXY MANHOLE LINER 26 VF $161.94 $4,210.44 26 $4,210.44 13 4'MANHOLE 7 EA $2,413.66 $16,895.62 7 $16,895.62 14 4'EXTRA DEPTH MANHOLE 24 VF $169.95 $4,078.80 24 $4,078.80 16 4"SEWER SERVICE 17 EA $675.00 $11,475.00 17 $11,475.00 17 4'DROP MAN HOLE(CO Al) 1 EA $4,582.75 $4,582.75 1 $4,582.75 Sub-Total of Previous Unit $84,581.25 $84,581.25 Tuesday,May 23,2017 Page 3 of 5 City Project Numbers 100386 DOE Number 0386 Contract Name BIRD STREET REHABILITATION Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 5/31/2017 Project Funding Contract Information Summary Original Contract Amount $219,336.25 Chanae Orders Change Order Number Al $0.00 Total Contract Price $219,336.25 OIL / Date t Total Cost of Work Completed $219,336.25 Co Less %Retained $0.00 / �"7� Date C�r� 0 Net Earned $219,336.25 Inspection Supervis r Earned This Period $219,336.25 A� ! �IRetainage This Period $0.00 Date / 7 Less Liquidated Damages Pro' et Manager Days @ /Day $0.00 Date( (e LessPavement Deficiency $0.00 Asst.Director/TPW-Infrastructure Design anJ Construction Less Penalty $0.00 L/XC r/�� Date G//6 P �� Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $219,336.25 Tuesday,May 23,2017 Page 4 of 5 DEVELOPER-AWARDED-PROJECT CHANGE ORDER PROJECT NAME: Bird Street Water/Wastewater Rehabilitation CHANGE CONTRACT: Water,Sewer ORDER No: CFA# 2016-031 CITY PARTICIPATION:1 YES CITY PROJECT# 100386 DOE# Al WATER PROJECT# 59601-0600430-100386-001580 SEWER PROJECT# 59607-0700430-100386-001380 FILE# X-23607 INSPECTOR: Russel Rogers Phone No: 214-980-2068 PROJECT MANAGER: Fred Ehia Phone No: 817-392-8424 CONTRACT UNIT WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT Developer Developer Developer Developer Developer DAYS Cost City Cost Cost City Cost Cost City Cost Cost City Cost Cost City Cost ORIGINAL CONTRACT $134,755.00 $84,581.25 EXTRAS TO DATE CREDITS TO DATE $8.00 $0.00 CONTRACT TO DATE $134,755.00 $84,581.25 $0.00 S0.00 $0.00 $0.00 $0.00 $0.00 0 AMOUNT OF PROP.CHANGE ORDER $0.00 $0.00 REVISED CONTRACT AMOUNT $0.00 $134,755.00 $0.00 $84,581.25 $0.00 T $0.00 $0.00 1 $0.00 $0.00 1 $0.00 0 TOTAL REVISED CONTRACT AMOUNT PER UNIT $134,755.00 $84,581.25 $0.00 $0.00 $0.00 REVISED COST SHARE Dev.Cost: $0.00 .City Cost: $219,336.25 TOTAL REVISED CONTRACT $219,336.25 Revised:10-03-2016 Page 1 You are directed to make the followingchanges in the contract documents: CITY BID ITEM PAY ITEM# # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL UNIT I-WATER 17 9999.0001 1 EA WATER PROJECT CONSTRUCTION CONTINGENCY $ 6,640.65 $ 6,640.65 18 3305.0109 15 LF WATER TRENCH SAFETY $ 1.00 $ 15.00 19 3312.0117 1 EA CONNECTION TO EXISTING 4"-12"WATER MAIN $ 519.40 $ 519.40 20 3311.0261 15 LF 8"PVC WATER PIPE $ 28.75 $ 431.25 21 3312.2003 11 EA 1"WATER SERVICE $ 425.00 $ 4,675.00 22 3312.3003 2 EA 8"GATE VALVE $ 500.00 $ 1,000.00 UNIT II-SEWER 15 9999.0002 1 EA SEWER PROJECT CONSTRUCTION CONTINGENCY $ 16,057.75 $ 16,057.75 16 3331.3101 17 EA 4"SEWER SERVICE $ 675.00 $ 11,475.00 17 3339.1002 1 EA 4'DROP MANHOLE $ 4,582.75 $ 4,582.75 TOTAL $ REASONS FOR CHANGE ORDER WATER AND SEWER SERVICES TO SERVE FUTURE DEVELOPMENT TO THE NORTH. CHANGES CORRESPOND TO REVISION NO.1 AS SHOWN ON SHEETS 7,8,AND 12 OF THE CONSTRUCTION PLANS. RECOMMENDED: APPROVED: APPROVED: By: KIMLEY-HORN AND ASSOCIATE,INC. By: FW BLUFF APARTMENTS,L.P. By: RUMSEY CONSTRUCTION,LLC Name: HUGO MORALES Name: CHAD COLLEY Name: GARY WELLS Title:PROJECT MANAGER Title: VP Title: COO Revised:10-03-2016 Page 2 13� FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Bird Street Rehabilitation PROJECT NUMBER: cpn 100386 DOE NUMBER: N/A WATER PIPE LAID SIZE TYPE OF PIPE LF 8"pvc 8" pvc 1135 6"pvc 6" pvc 75 4"pvc 4" pvc 187 FIRE HYDRANTS: 2 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF pvc 6 pvc 313 DENSITIES: yes NEW SERVICES: 2" copper 8 V copper 11 SEWER PIPE LAID SIZE TYPE OF PIPE LF 8"pvc sdr 26 8" pvc 620 PIPE ABANDONED SIZE TYPE OF PIPE LF 6" sewer 6" pvc 220 DENSITIES: yes NEW SERVICES: 4" pvc 22 8" pvc 4 TRANSPORTATION AND PUBLIC WORKS i ;` The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TZ 76012-6311 AFFIDAVIT STATE OF TEXAS COUNTY OF DALLAS Before me,the undersigned authority,a notary public in the state and county aforesaid,on this day personally appeared CHAD A. COLLEY, DIRECTOR OF DEVELOPMENT of FW BLUFF APARTMENTS, L.P., 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; CITY PROJECT 100386 BY CHAD OLLEY Director of Development FW BLUFF APARTMENTS, L.P. a Delaware limitied partnership By: CD Oakhurst Apratments GP, LLC A Delaware limited liability company Managing General Partner Subscribed and sworn before me on this date 21 of APRIL, 2017. P LAURA B KARLS Notary Public ' State of Texas r ID i«12884924-6 tpEOP�e� My Comm.Exp.01-11-2020 a Notary Public DALLAS,TEXAS CONSENT OF OWNER SURETY COMPANY ARCHITECT TO FINAL PAYMENT CONTRACTOR OX SURETY AIA DOCUMENT G707 OTHER PROJECT: Bird Street (name, address) Fort Worth, TX TO (Owner) CITY PROJECT NO: 100386 C ti y of Fort Worth & FW Bluff y Apartments, LP CONTRACT FOR: $219,336.25 Fort Worth, TX CONTRACT DATE: 7121/2016 BOND NO: 1053506 CONTRACTOR: Rumsey Construction, LLC 4329 Reeder Drive Carrollton, TX 75010 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), Rumsey Construction, 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) City of Fort Worth & FW Bluff Apartments, LP , OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF , the Surety has hereunto set its hand this 13th day of April 12017 The Hanover Insurance Company Sure Signature of Auth rized Representative Attest: Douglas Moore,Attorney-in-Fact (Seal): �� Title AIA DOCUMENT G707.CO ENT OF SURETY TO FINAL PAYMENT•APRIL 1970 ONE PAGE EDITION•AIA @•©1970•VE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE.,NW,WASHINGTON,D.C.20006 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 tine 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,Thatthe 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 powerto attach thereto the seal of the Company.Anysuch 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 ' ` MASSACHUSETTS BAY INSURANCE COMPANY 4;a CITIZENS/tPSURANCE QMPANY OF AMERICA t8P8 Robert Thomas,Vice President THE COMMONWEALTH OF MASSACHUSETTS ) - f--" '" COUNTY OF WORCESTER )ss. .foe Arenstrom, ,iec President 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 that the 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. BARBARA A.OAflUCK CommomveaMotMassachusetls C.C�'� •:tC,.0 �l AtyGommssienEtpirsSep1.21,20tS Barbara A.Garlick,Notary Public My Commission Expires September 21,2018 1,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Companyof 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 of Attorney 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 September7,2001-Citizens Insurance Company of America) GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 13th day of April 2017. THE HANOVER INSURANCE COMPANY MA SA HUSETT BAY I RA CE COMPANY CIT EN 1 SUR CE OF AMERICA J. h I ete,Vice s ant r Insurance Group- Texas Complaint Notice Commercial Lines 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: companies, 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)47571771 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 informacion y no se convierte en a part or condition of the attached document. parte o condicion del documento adjunto. The Hanover Insurance Company 1440 Lincoln Street,Worcester,MA 01653 181.1457(1Z1VQ Pogo 1 of 1 Citizens Insurance company of America 1808 North Highlander Way,Howell,MI 48843 hanover.com FORTWORTHREV:0212210' TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 6/1/2017 Name of Contractor Project Name ti Rumsey Construction Bird Street Rehab DOE Inspector Project Manager Russell Rogers Fred Ehia DOE Number I Project Difficulty Type of Contract cpn 100386 Simple e Routine o Complex o water o waste water 13 Storm Drainage o Pavement Initial Contract Amount Final Contract Amount $219,336.25 IS219,336.25 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING JELEMENT 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 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities L ( 3 Applicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities L 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 I11)COMMENTS& SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector 7y Signature DOE Inspector's Super or E INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TZ 76012-6311 (817) 392-7941 •Fax: (817) 392-7845 FORTWORTH REV:8/20/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Rumsey Construction Bird Street Rehab Inspector City Project Number Russell Rogers 100386 Construction Components Project Manager o Water o Waste Water 0 Storm Drainage o Pavement Fred Ehia Initial Contract Amount Project Difficulty $219,336.25 Simple • Routine o Complex Final Contract Amount Date $219,336.25 6/1/2017 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 3 8 6 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 3 20 15 4 Field Supervision 15 Y 3 60 45 5 Work Performed 15 Y 3 60 45 6 Finished Product 15 Y 3 60 45 7 Job Site Safety 15 Y 3 60 45 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 Y 3 20 15 11 Property Restoration 5 Y 3 20 15 12 After Hours Response 5 Y 3 20 15 13 Project Completion 5 Y 2 20 10 TOTAL ELEMENT SCORE(A) 331 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 331 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MSJ x 100%) 331 / 448 = 74% Performance Category Good <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 SignatureZ,�� '✓' Contractor Signature Inspector's Supervisor Signaturer�- CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 8851 Camp Bowie West Blvd. •Fort Worth,TZ 76116 • (817) 392-8306 FORTWORTH rev 03/05/07 TRANSPORTATION& PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: Bird Street Rehabilitation PROJECT NO.: 100386 CONTRACTOR: Rumsey DOE NO.: N/A PERIOD FROM:05/01/17 TO: 05/31/17 FINAL INSPECTION DATE: 1-Jun-17 WORK ORDER EFFECTIVE:7/5/2016 CONTRACT TIME: 60 Q WE CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 1 16. 1 2. 11 17. 1 3. 1 18. 1 4. 1 19. 1 5. 1 20. 1 6• 1 21. 1 7. 1 22. 1 8. 1 23. 1 9. 1 24. 1 10. ] 25. 1 IL. 1 26. 1 12. 1 27. ] 13. 1 28. 1 14. 1 29. 1 15. 1 30. 1 31. 1 SAT,SUN, RAIN,TOO WET, UTILITIES OTHERS* DAYS TOTAL & HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS THIS PERIOD 31 31 PREVIOUS PERIOD 243 243 TOTALS TO DATE 274 274 *REMARKS: (,� ') 4— NTRACTOR D TE INSPECTOR DATE ENGINEERING DEPARTMENT � c The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,T176012-6311 (817) 392-7941 •Fax: (817) 392-7845