HomeMy WebLinkAboutContract 45669-FP1 FORTWORTHORYCITY SECRETACONTRACT NO.
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
(Developer Projects)
/i A 4/9-6// City Project NsQ: 02269
U
Regarding contract 217213 for ALLIANCE PROFESSIONAL OFFICE BUILDING LOT 1R-1R 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: $30,582.95
Amount of Approved Change Orders: Ns
Revised Contract Amount:
Total Cost Work Completed: $30,582.95
C"
Recommended for Acceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
Accepted Date
• Director, TRANSPORTATIO I Rt PUBLIC WORKS
- --•2 -' ?
Asst. City Ma ge Date
Departpient of TPW Const. Services I
CPN# &10 Date
ProJect Man ger
Comments: Risk Management S. Cana --F--f
D.O.E. Brotherton OFFICIAL RECORD
Water V. Gutzier
ff Janie Mor les/Scanned ❑ CITY SECRETARY
FT.WORTH,TX
The Proceeding people have been Contacted concerning the request
for final payment&have released this project for such payment.
Rev.9/22/16 Clearance Conducted_By Etta Bacy
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name ALLIANCE PROFESSIONAL OFFICE BUILDING-LOT 1R-IR
Contract Limits
Project Type PAVING
City Project Numbers 02269
DOE Number 7213
Estimate Number 1 Payment Number 1 For Period Ending 2/3/2017
WD
City Secretary Contract Number 217213 Contract Time 12WD
Contract Date Days Charged to Date 367
Project Manager Buckley Contract is 100.00 Complete
Contractor TAS COMMERCIAL CONCRETE CONST.,LP
4800 CASH RD.
DALLAS, TX 75247
Inspectors LAYER / CORDOVA
Friday,February 3,2017 Page 1 of 4
City Project Numbers 02269 DOE Number 7213
Contract Name ALLIANCE PROFESSIONAL OFFICE BUILDING-LOT 1R-1 R Estimate Number I
Contract Limits Payment Number 1
Project Type PAVING For Period Ending 2/3/2017
Project Funding
PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 4"CONC SIDEWALK 5095 SF $5.61 $28,582.95 5095 $28,582.95
2 MANHOLE ADJUSTMENT MINOR I EA $1,000.00 $1,000.00 1 $1,000.00
3 MISC STRUCTURE ADJUSTMENT 1 EA $1,000.00 $1,000.00 1 $1,000.00
Sub-Total of Previous Unit $30,582.95 $30,582.95
Friday,February 3,2017 Page 2 of 4
City Project Numbers 02269 DOE Number 7213
Contract Name ALLIANCE PROFESSIONAL OFFICE BUILDING-LOT 1R-1R Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 2/3/2017
Project Funding
Contract Information Summary
Original Contract Amount $30,582.95
ChanIze Orders
Total Contract Price $30,582.95
Ilk
Date�/?' I-7 Total Cost of Work Completed $30,582.95
Contractor - Less %Retained $0.00
Net Earned $30,582.95
Date
pec Su rv" r Earned This Period $30,582.95
f/ 4 Retainage This Period $0.00
Date V / Less Liquidated Damages
r ect Ivinager
Days @ /Day $0.00
Date c 2 LessPavement Deficiency $0.00
Ass i irector/TPW-Infrast cture Design and Cons ctioLess Penalty $0.00
Date LZ �� Less Previous Payment $0.00
Director rcontracting Dep rtment Plus Material on Hand Less 15% $0.00
Balance Due This Payment $30,582.95
Friday,February 3,2017 Page 3 of 4
City Project Numbers 02269 DOE Number 7213
Contract Name ALLIANCE PROFESSIONAL OFFICE BUILDING-LOT IR-1R Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 2/3/2017
Project Funding
Project Manager Buckley City Secretary Contract Number 217213
Inspectors LAYER / CORDOVA Contract Date
Contractor TAS COMMERCIAL CONCRETE CONST.,LP Contract Time 120 WD
4800 CASH RD. Days Charged to Date 367 WD
DALLAS, TX 75247 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 $30,582.95
Less %Retained $0.00
Net Earned $30,582.95
Earned This Period $30,582.95
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 $30,582.95
Friday,February 3,2017 Page 4 of 4
CONSENT OF OWNER
ARCHITECT
SURETY COMPANY CONTRACTOR
TO FINAL PAYMENT SURETY
AIA DOCUMENT G707 Bond No. 83BI10235 OTHER
PROJECT: For the construction of community facilities in the City of Fort worth by and through a Community
Facilities Agreement, CFA Number 2014-018
TO (Owner) ARCHITECT'S PROJECT NO:
HCA Heath Services of Texas,Inc.
And CONTRACT FOR: Construction
City of Fort Worth
I� CONTRACT DATE: May l 2, 2014
CONTRACTOR: TAS Concrete
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 Fire Insurance Company , SURETY,
175 Berkeley Street
Boston,MA 02116
on bond of(here insert name and address of Contractor)
TAS Concrete , CONTRACTOR,
2727 LBJ Freeway, Suite 1000
Dallas,Texas 75234
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)
HCA Health Services of Texas, Inc. OWNER,
And
City of Fort Worth
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 18th day of April 2017
Liberty Mutual Fire Insurance 4mpany
Su Compan
Witness:
;?:::�
2
(Seal): 5iofatur of Autho ized Representative
Ashley S. Uleman seph R. Aulbert,Attorney-in-Fact
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
AIA DOCUMENT G707 • CONSENT OF SURETY COMPANY TO FINAL PAYMENT • APRIL 1970 EDITION • AIA® 0 1970 • THE
AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE.,NW,WASHINGTON,D.C.2000
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 the manner and to
the extent herein stated.
Certificate No. 7688912
LIBERTY MUTUAL FIRE INSURANCE COMPANY
WAUSAU,WISCONSIN
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS: LIBERTY MUTUAL FIRE INSURANCE COMPANY,being a Wisconsin Corporation having its principal
office in the City of Wausau,State of Wisconsin does hereby make,constitute and appoint Ashley Koletar;Joseph R."Aulbert;Marc W.Boots;Marla D.
Zuniga•Richard Covington;Susan Golla•Vickie Lacy
all of the city of Houston state of-TX each individually if there be more than one named, its true and lawful
attorney(s)-in-fact,with full power and authority hereby conferred in their/its name,place and stead,to sign,execute,acknowledge and deliver in their/its
behalf,and as their/its act and deed,without power of redelegation,as follows:
bonds,undertakings,recognizances,contracts of indemnity,and all other surety obligations,as required,unlimited as to Dollar amount
and to bind the Company(ies)making this appointment thereby as fully and to the same extent as if such bond or undertaking was signed by the duly
of the Company(ies),and all the acts of said attorney(s),pursuant to the authority herein given,are hereby ratified and confirmed.
ca
AUTHORITY FOR MAKING APPOINTMENT OF ATTORNEYS-IN-FACT
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Appointment of Attorneys-in-Fact by Liberty Mutual Fire Insurance Company are made pursuant to Article V,Section 10 of Liberty Mutual Fire Insurance a)
Company's By-Laws,as amended and by Unanimous Consent of the Board of Directors dated May 21st,2013. Further,the President of Liberty Mutual S
Fire insurance Company,executed a Delegation of Authority and authorized the assistant secretary signing below to appoint attorneys-in-fact as may be
aNi necessary to act on behalf of Liberty Mutual Fire Insurance Company to make execute,seal,acknowledge and deliver as surety any and all undertakings,
bonds,recognizances,and other surety obligations. C
ars
i9 In Witness Whereof, Liberty Mutual Fire Insurance Company has caused these presents to be signed by its authorized representatives, and its C
�-M Corporate Seal to be hereto affixed,this 23rd day of March 2017 is O
l-
aC. LIBERTY MUTUAL FIRE INSURANCE COMPANY GniLU
d ` ear Y Q.
By am Q M
�seoas David M.Carey, ssistant Secretary C
O L O
R
a;0 Attest: (L M
02 Lisa Love
r T L STATE OF PENNSYLVANIA t p
N COUNTY OF MONTGOMERY vim-Qi
M LO C
,20 The foregoing instrument was acknowledged before me this 23rd day of March 2017 by David M.Carey,an authorized representative z,d
O,E- of Liberty Mutual Fire Insurance Company.
� � d
E a+ >
i rip, j COMMONWEALTH OF PENNSYLVANIA p
d
a komW� Notarial Seal
<A Teresa Pastella,Notary Public By pp
tC = UpperMenonTwp.,Montgomery County
> L OF My commission Expires March 28,202 Teresa Pastella,Notary Public �M
,� Member,Pennsylvania Association of Notaries E 0?
Z vsy 0 o
CERTIFICATE C'
Y H
I,the undersigned, an Assistant Secretary of Liberty Mutual Fire Insurance Company,do hereby certify that the original power of attorney of which the
foregoing is a full,true and correct copy,is in full force and effect on the date of this certificate;and I do further certify that the officer or official who executed
the said power of attorney was one of the officers or officials specially authorized by the Board of Directors to appoint attomeys-in-fact as provided in the
Unanimous Consent and Vote of the Board of Directors of Liberty Mutual Fire Insurance Company dated May 21,2013.
1 1
This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority of the Board
of Directors of Liberty Mutual Fire Insurance Company evidenced by the Unanimous Consent and Vote of the Board of Directors dated June 28, 2006
wherein it was
VOTED that the signatures of such officers and the seal of the Company maybe affixed to any such power of attorney or to any certificate relating thereto
by facsimile,and any such power of attorney or certificate bearing such facsimile signature and facsimile seal shall be valid and binding upon the
Company when so affixed and in the future with respect to any surety undertakings,bonds,recognizances and other surety obligations to which
it is attached.
IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed the corporate seal of the said company, this 18th day of
April 2017. 4r
By �.+�^'ti`" t�� -•
Renee C.Llewel yn,Assistant Secretary 6 of 100
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 Matt Stickney,
Project Manager Of T.A.S. Commercial Concrete Construction, 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#02269
BY ,KdJEC�r
Name or Title
Subscribed and sworn before me on this date 20th of April, 2017.
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County, State b a l(a S -PJ�•4S 9r
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FORTWORTHREV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
TAS CONCRETE Alliance Professional Office Bldg.Lot IR-IR
DOE Inspector DOE Number
EDDIE DEE WALKER II 7213
DOE Inspector Project Manager
❑ Water ❑ Waste Water ❑ Storm Drainage R1 Pavement Pat Buckley
Initial Contract Amount Project Diffculgy
$30,582.95 0 Simple O Routine O Complex
Final Contract Amount Date
$30,582.95 2/13/2017
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
I Submission of Documents 2 Y 4 8 8
2 Public Notifications 5 N
3 Plans on Site 5 Y 3 20 15
4 Field Supervision 15 Y 3 60 45
5 Work Performed 15 Y 4 60 60
6 Finished Product 15 Y 3 60 45
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 1 20 1 20
11 Property Restoration 5 Y 3 20 15
12 After Hours Response 5 N
13 Project Completion 5 Y 3 20 15
TOTAL ELEMENT SCORE(A) 358
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 358
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 408
Rating(ITS/MS] * 100%) 358 / 408 = 88%
Performance Category Excellent
<20%=Inadegnate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
i
tl
Signature DOE Inspector Signature Contractor
Signature DOE Inspector's Supervisor 19.
CONTRACTOR'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:02/22/07
TRANSPORTATION ANIS PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 2/13/2017
Name of Contractor Project Name
TAS CONCRETE Alliance Professional Office Bldg.Lot IR-IR
DOEInspector Project Manager
EDDIE DEE WALKER II Pat Buckley
DOE Number I Project Diffitculty Type of Contract
7213 O Simple OO Routine O Complex ❑ Water ❑ Waste Water ❑ Storm Drainage 0 Pavement
Initial Contract Amount Final Contract Amount
$30,582.95 $30,582.95
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
I Availability of Inspector �3 1 Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector 2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities 3 Applicability of Specifications 3
4 Display Of Professionalism 4 Accuracy of Plan Quantities
T Citizen Complaint Resolution /JL4 PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs I Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availability of Project Manager 2-
1
1 Change Order Processing Time 3 Communication 2
2 Timliness of Contractor Payments VA 4 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con Meeting Timeframe
IM COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor C
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
FORT WORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:1
NAME OF PROJECT: Alliance Professional Office Building Lot 1R 1R
PROJECT NO.: 02269 CONTRACTOR: Tas Concrete
DOE NO.: 7213
PERIOD FROM: TO: FINAL INSPECTION DATE: 2-Feb-17
WORK ORDER EFFECTIVE:6/30/2014 CONTRACT TIME: 120 0 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 367
PERIOD
PREVIOUS 0
PERIOD
TOTALS [367
TO DATE
*REMARKS:
Z xUi �
CONTRACTOR DATE INSPECTOR DATE
ENGINEERING DEPARTMENT
y The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax: (817)392-7845