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Home My WebLink AboutContract 48336-FP6 Department of TPW Const. Services CPN#�� at Project Manager , a WO RTH@ Risk Management S. Can y D.O.E. Brotherton CITY SECRETARY 0MIP-H& Water V. Gutzier — CONTRACT NO. Ut Ja ie Morales/Scanned o TION AND PUBLIC WORKS �j O' _1 72 The Proceeding p le have been Contacted concerning the request F PROJECT COMPLETION for final payment&have released this project for such payment Developer Projects) City Project Ns: 100472 Clearance Condacte �Etta$ ��.rvw�___.��_ 0 q 8336 Regarding contract for WEST FORK RANCH PHASE 6A-WATER&SANITARY 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 up _ e Assistant Director of the Transportation&Public Works Department has accepted the pr t coixte � g3 t L6= 1 t� JUN 2 7 2017 Original Contract Price: $221,55330 pY-_. . .�.. ... ., -.. Amount of Approved Change Or -er ° ""`" Ns 1 Revised Contract Amount: $221,55330 Total Cost Work Completed: Recommended for Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction Accepted Date Asst. Director, WATER DEPARTMENT Asst. City Manager Date Comments: OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX Rev.9/22/16 ��/ ! ' Et h fie, JUN 27 2017 1O Cit Project Numbers 100472 Y J DOE Number 0472 Contract Name WEST FORK RANCH PHASE 6A Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 6/16/2017 Project Funding Project Manager NA City Secretary Contract Number Inspectors LAYER / MATTEGAT Contract Date Contractor QURNSCO CONSTRUCTION,INC. Contract Time 180 CD 6331 SOUTHWEST BLVD Days Charged to Date 138 CD FORT WORTH, TX 76132 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 $221,553.30 Less %Retained $0.00 Net Earned $221,553.30 Earned This Period $221,553.30 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 $221,553.30 Monday,June 12,2017 Pa.-e 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name WEST FORK RANCH PHASE 6A Contract Limits Project Type WATER&SEWER City Project Numbers 100472 DOE Number 0472 Estimate Number I Payment Number 1 For Period Ending 6/16/2017 CD City Secretary Contract Number Contract Time 18(ED Contract Date Days Charged to Date 138 Project Manager NA Contract is 100.00 Complete Contractor BURNSCO CONSTRUCTION,INC. 6331 SOUTHWEST BLVD FORT WORTH, TX 76132 Inspectors LAYER / MATTEGAT Monday,June 12,2017 Page 1 of TAY City Project Numbers 100472 DOE Number 0472 Contract Name WEST FORK RANCH PHASE 6A Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 6/16/2017 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 8"PVC WATER PIPE 2837 LF $20.00 $56,740.00 2837 $56,740.00 2 8"GATE VALVE 6 EA $1,240.00 $7,440.00 6 $7,440.00 3 CONNECTION TO EXISTING 4"-12"WATER 4 EA $800.00 $3,200.00 4 $3,200.00 MAIN 4 FIRE HYDRANT 2 EA $3,500.00 $7,000.00 2 $7,000.00 5 1"WATER SERVICE 86 EA $720.00 $61,920.00 86 $61,920.00 6 1 1/2"WATER SERVICE 1 EA $1,200.00 $1,200.00 1 $1,200.00 7 TRENCH SAFETY 2837 LF $0.10 $283.70 2837 $283.70 8 DUCTILE IRON WATER FITTINGS 1.22 TN $4,900.00 $5,978.00 1.22 $5,978.00 W/RESTRAINT Sub-Total of Previous Unit $143,761.70 $143,761.70 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total. 1 8"SEWER PIPE 1139 LF $26.00 $29,614.00 1139 $29,614.00 2 8"SEWER PIPE CSS BACKFILL 160 LF $38.00 $6,080.00 160 $6,080.00 3 4'MANHOLE 3 EA $2,400.00 $7,200.00 3 $7,200.00 4 4'DROP MANHOLE 1 EA $2,900.00 $2,900.00 1 $2,900.00 5 MANHOLE VACUUM TESTING 4 EA $110.00 $440.00 4 $440.00 6 EPDXY MANHOLE LINER 2 VF $200.00 $400.00 2 $400.00 7 4"SEWER SERVICE 49 EA $560.00 $27,440.00 49 $27,440.00 8 POST CCTV INSPECTION 1299 LF $1.40 $1,818.60 1299 $1,818.60 9 CONNECT TO EX 8"SANITARY SEWER 3 EA $200.00 $600.00 3 $600.00 10 TRENCH SAFETY 1299 LF $1.00 $1,299.00 1299 $1,299.00 Sub-Total of Previous Unit $77,791.60 $77,791.60 Monday,June 12,2017 Page 2 of 4 City Project Numbers 100472 DOE Number 0472 Contract Name WEST FORK RANCH PHASE 6A Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 6/16/2017 Project Funding Contract Information Summary Original Contract Amount $221,553.30 Change Orders Total Contract Price $221,553.30 �Wul Date � �� r� Total Cost of Work Completed $221,553.30 Contractor Less %Retained $0.00 Date Earned $221,553.30 Inspection Supervisor Earned This Period $221,553.30 Retainage This Period $0.00 Date 7 PLess Liquidated Damages ro ct Manager �^ Days @ /Day $0.00 Date v►� I LessPavement Deficiency $0.00 Asst.Director/TPW-Infrastructure Design and Cons ruction Less Penalty $0.00 zr/ ` 1 / Date <'/Z �1 Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $221,553.30 Monday,June 12,2017 Page 3 of 4 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: West Fork Ranch Phase 6A PROJECT NUMBER: 100472 DOE NUMBER: N/A WATER PIPE LAID SIZE TYPE OF PIPE LF 8" PVC 2,837 FIRE HYDRANTS: 2 VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Yes NEW SERVICES: 1" Copper 1,462 SEWER PIPE LAID SIZE TYPE OF PIPE LF 8" PVC 1,299 PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Yes NEW SERVICES: 4" PVC 1,225 TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (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 022056014 PROJECT: West Fork Ranch Phase 6A-Water, Sanitary Sewer and Storm Drain Improvements (name, address) Fort Worth Texas TO (Owner) PULTE HOMES OF TEXAS,L.P.AND CITY OF FORT? ARCHITECT'S PROJECT NO: WORTH CONTRACT FOR: 4800 Regent Blvd. Suite 100 West Fork Ranch Phase 6A-Water,Sanitary Sewer and Storm Drain Improvements Irving TX 75063 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) PULTE HOMES OF TEXAS, L.P.AND CITY OF FORT WORTH 4800 Regent Blvd. Suite 100 Irving TX 75063 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 19th day of ,lune,2017 LIBERTY MUTUAL INSURANCE COMPANY E I r' 4r Surety Company Attest:V1 D Lene Marshall �� (Seal): Signa re 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 the manner and to the extent herein stated. Certificate No.7663113 Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American 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"Co.mpaaies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint, Don E.Cornell;-Kelly A.Westbrool&Ricardo J Reyna<Robbl Morales Sophinie Hunter Tlne McEwan%V DeLene Marshall all of the city of Dallas state of TX: each indl.vidually if there be morethan one named,its true-.arid lawful attorney In fact.to make,execute,seal,acknowledge and deliver,for and on its behalf as suretyandas:its act and deed y.-and all undertakings,bonds,recognizances and othersurety obligations riursuance of these presents and shall be as binding upon the Companies as if they have:beetrduly signed by the president and attesfed bythe secretary of the Cbnipanies in their own{iFoper persons: IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed thereto this 10th day of March 2017 (Y INS(, a SNsijq ` YSUF �C The Ohio Casualty Insurance Company to r x n 0 919 ^ 1912 ° 1991 $ Liberty Mutual Insurance Company m WesAmerican Insurance Company 0 _. Jy�`r'Hn vSF��J� �fli7r tr�cHU;✓.h? moragP // ,� Q By: STATE OF PENNSYLVANIA ss David M.Carey Assistant Secretary COUNTY OF MONTGOMERY — O On this 10th day of March 2017,before me personally appeared David M.Carey;who acknowledged himself to be-the Assistant Secretary of Liberty Mutual Insurance V f- a) "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 >,U) p therein contained bysignng on behalfrof the corporations by himself as a duly authorized officer, e�W > rIN WITNESS WHEREOF;I have hereunto-subscribed-nyname and affixed my notarial seal at King of Prussia;Pennsylvania,on the day and year first above written. O Q JN PASA COMMONWEALTH OF PENNSYLVANIA *'C SON W- F< M Notarial Seai. /,, ' ,, k%��--wGv y... .. N u z B Teresa Pasteila,Notary Public By: �y� O O ° Upper MerionTwp.,Montgomery County Teresa Pastella,Notary Public i d O a�a My Commission Expires March 28,202'1 � O O _ - �� L4 My Member,Pennsylvania Association of Notaries E0 E Cis a 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 .N c 6 Y Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: �o 0) ARTICLE IV–OFFICERS–Section t2.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 �) 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, > O E -acknowledge and deliver as surety any and all undertakings;bonds,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective E-e 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 d O to 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 > Athe provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. ARTICLE X111–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, ? "'_and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute, E M vseal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their _o0 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 O o v .executed such instruments-shall be as biiidirig as if signed by the president anet attested by thesecretary. O tD Certificate of Designation–The Presldentof the Company acting pursuant to tfie Bylaws of tne`Company,authorizes bavldl M CareyAssl. rit,Secretary to appoint such attorneys-in- ~ fact as may be necessary to act on behalf of the Company o make execute,seal,acknowledge and deliver as:surety any apd all undertakings bonds,recognizances and other surety obligations. Authorization-By unanimous consent of the Company s Board of Directors,the Company consents.that facsimileror mechafticaliy reproduced signature of any assistant secretary of the Company rtifi wherever appearing upon a ceed copy of ah*'p er of attorney issued by the Compaby in connection with surety bonds,shall be Wid.and binding upon the Company with the same force and effect as though manualiy aff'ixed I, Renee C. Llewellyn, the undersigned, Assistant 5ecrefary, The Oliio.Casualty Insurance lClgmpany, Liberty Mutual Ilsurance Company and W1 t American Insurance Company do hereby certify that the original power of attorney of whrgh;the foregoing is>a full #nler_atld cornkt.lcopy o-the Power.of Attarney`exeeuaed by sp dCompanies, is in full force and effect and :- _. has not been revoked. a IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this day of 20 �tY.INSU INSt/� ,*,c,tNSUF� - �JP. 0 1919 o r 1912 0 `_ ., 1991 By: Renee C.Uewe ssistant Secretary � t�,4nrav^>r'`,a I`Snatus� wrtac�M 275 of 300 LMS_12873 022017 Liberty SURETY TEXAS TEXAS IMPORTANT NOTICE AVISO IMPORTANTE To obtain information or make a complaint: Para obtener informacion o para someter una quej a: You may call toll-free for information or to Usted puede llamar 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 4 (512) 490-1007 Web: http://vvww.tdi.texas.gov Web: http://www.tdi.texas.gov E-mail: ConsumerProtectiongtdi.texas.gov E-mail: ConsumerProtectionntdi.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 FORTWORTHREV:02'22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 16 19 2017 Name of Contractor Project Name Burnsco Construction West Fork Ranch Phase 6A DOE Inspector Project Manager William Mattegat Aaron Lona DOE Number ProjectD culty Type of Contract CPN 100472 Simple Q Routine O Complex 0 water0 Waste water Storm Drainage0 Pavement Initial Contract Amount Final Contract Amount $221,553.30 $221,553.30 II)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 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities 3 Alicability of S ecifications 4 Dis lay Of Professionalism 4 Accuracy of Plan Quantities �f 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 Lf 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 Supervzor — .. INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS �' The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-7941 •Fax: (817)392-7845 FORTWORTHREV:8/20/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Burnsco Construction West Fork Ranch Phase 6A Inspector City Project Number William Mattegat 100472 Corstrucnon Components Project Manager ❑� Water[2] Waste Water❑ Storm Drainage[] Pavement Aaron Long Initial Contract Amount Project Difficulty $221.553.30 0 Simple Routine O Complex Final Contract Amount Date $221,553.30 6 192017 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 g 8 2 Public Notifications 5 N 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 3 60 45 8 Traffic Control Maintenance 15 Y 4 60 60 9 Daily Clean Up 5 Y 3 20 15 10 Citizen's Complaint Resolution 5 N 11 Property Restoration 5 N 12 After Hours Response 5 N 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 333 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 333 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 368 Rating(ITS/MS] * 100%) 333 / 368 = 90% 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 / ,� Contractor Signature 7/ Inspector's Supervisor S'gnature CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 8851 Camp Bowie West Blvd. •Fort Worth,TX 76116 • (817)392-8306 FORTWORTH rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: West Fork Ranch phase 6A PROJECT NO.: 100472 CONTRACTOR: Burnsco Contracting DOE NO.; PERIOD FROM 01/26/17 TO: 06/16/17 FINAL INSPECTION DATE: 16-Jun-17 WORK ORDER EFFECTIVE:1/26/2017 CONTRACT TIME: 180 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. S. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS CHARGED DAYS THIS PERIOD PREVIOUS PERIOD TOTALS TO DATE 138 138 *REMARKS: J✓-4j� )" / 6�'.zn7�t7 CONTRACTOR DATE E� SWDATE DEM / ENGINEERE PARTE The City of Fort Worth• 1000 Throckinorton Street•Fort Worth,TZ 76012-6311 (817) 392-7941 •Fax: (817) 392-7845