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HomeMy WebLinkAboutContract 48217-FP1 Depa"erW Const. services ,v�CPN `�DN � // T Project Manager �l WORTHORisk Management S.Canady 1 CITY SECRETARY . D.O.E. Brotherton CONTRACT N0. Water V. Gutzier CF Jane Morales/Scanned ❑ TATION AND PUBLIC WORKS A )^Ca a,/_�P a T Proce ing people have been contacted concerning the request DF PROJECT COMPLETION V for final payment&have released this project for such payment. (Developer Projects) �� Clearance Conducted By Etta Bacy City Project NO: 02628 �� gz�r Regarding contract 217489 for IMPROVEMENTS TO SERVE TANGER OUTLET CENTER LOT 1 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 Depar=ent has accepted the projec Dncp Original Contract Price: $199,483.00 Amount of Approved Change Orde y $1,150.00 Ns 1 Revised Contract Amount: $200,633.00 Total Cost Work Completed: $200,633.00 h Reco4mended for Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction 1!� f�C ,�Z 1Z 7- Accepted Date Asst. Dire or, WATER DEPARTMENT -- Asst. City Man9ber Date Comments:EMAII E" OFFICIAL RECORD CITY SECRETARY JUL 2 2017 FT.WORTH,TX IInitial: _ Rev.9/22/16 4!�7fy JUL 2 © 2017 5-9 &(5 City Project Numbers 02628 By DOE Number 7489 Contract Name IMPROVEMENTS TO SERVE TANGER OUTLET CENTER LOT 1 BLOC Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 5/25/2017 Project Funding Project Manager Sahu City Secretary Contract Number 217489 Inspectors RODGERS / TAEZAZ Contract Date 10/3/2016 Contractor RUMSEY CONSTRUCTION,LLC Contract Time 360 CD 6617 VILLAGE SPRINGS DRIVE Days Charged to Date 179 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 $200,633.00 Less %Retained $0.00 Net Earned $200,633.00 Earned This Period $200,633.00 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 $200,633.00 Tuesday,June 20,2017 Page 4 of 4 'Pa � �- � a � FART WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name IMPROVEMENTS TO SERVE TANGER OUTLET CENTER LOT 1 BLOCK Contract Limits Project Type WATER&SEWER City Project Numbers 02628 DOE Number 7489 Estimate Number 1 Payment Number 1 For Period Ending 5/25/2017 CD City Secretary Contract Numbel• 217489 Contract Time 36ED Contract Date 10/3/2016 Days Charged to Date 179 Project Manager Sahu Contract is 100.00 Complete Contractor RUMSEY CONSTRUCTION,LLC 6617 VILLAGE SPRINGS DRIVE PLANO, TX 75024 Inspectors RODGERS / TAEZAZ Tuesday,June 20,2017 Page 1 of 4 City Project Numbers 02628 DOE Number 7489 Contract Name IMPROVEMENTS TO SERVE TANGER OUTLET CENTER LOT 1 BLOC Estimate Number 1 Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 5/25/2017 Project Funding UNIT I:WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 8"PVC WATER PIPE CO#1 128 LF $34.00 $4,352.00 128 $4,352.00 2 12"PVC WATER PIPE CO#1 670 LF $44.00 $29,480.00 670 $29,480.00 4 FIRE HYDRANT/ASSEMBLY CO#1 4 EA $3,500.00 $14,000.00 4 $14,000.00 5 2"WATER SERVICE 2 EA $2,200.00 $4,400.00 2 $4,400.00 6 2"WATER SERVICE(IRR) 4 EA $2,500.00 $10,000.00 4 $10,000.00 7 8"GATE VALVE 6 EA $1,250.00 $7,500.00 6 $7,500.00 8 12"GATE VALVE CO#1 6 EA $2,200.00 $13,200.00 6 $13,200.00 9 DUCTILE IRON WATER FITTINGS 2.21 TN $5,000.00 $11,050.00 2.21 $11,050.00 W/RESTRAINT CO#1 10 TRENCH SAFETY 703 LF $1.00 $703.00 703 $703.00 11 TAPPING SLEEVE&VALVE 1 EA $6,000.00 $6,000.00 1 $6,000.00 12 6"GATE VALVE WITH VALVE BOX CO#I 1 EA $700.00 $700.00 1 $700.00 13 10"GATE VALVE WITH VALVE BOX CO#1 I EA $1,350.00 $1,350.00 1 $1,350.00 14 4"WATER METER &VAULT CO#I 1 EA $5,000.00 $5,000.00 1 $5,000.00 Sub-Total of Previous Unit $107,735.00 $107,735.00 UNIT II:SANITARY SEWER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 POST-CCTV INSPECTION 1249 LF $2.00 $2,498.00 1249 $2,498.00 2 MANHOLE VACUUM TESTING 5 EA $150.00 $750.00 5 $750.00 3 8'SEWER PIPE 1249 LF $48.00 $59,952.00 1249 $59,952.00 4 4'MANHOLE 3 EA $31,000.00 $9,000.00 3 $9,000.00 5 4'DROP MANHOLE 2 EA $5,500.00 $11,000.00 2 $11,000.00 6 TRENCH SAFETY 1249 LF $2.00 $2,498.00 1249 $2,498.00 7 4'EXTRA DEPTH MANHOLE 21 VF $175.00 $3,675.00 21 $3,675.00 8 CONCRETE ENCASEMENT 15 CY $20.00 $300.00 15 $300.00 9 8'SEWER PIPE CSS BACKFILL 20 LF $11.25 $225.00 20 $225.00 10 EPDXY MANHOLE LINER 30 VF $100.00 $3,000.00 30 $3,000.00 Sub-Total of Previous Unit $92,898.00 $92,898.00 Tuesday,June 20,2017 Page 2 of 4 City Project Numbers 02628 DOE Number 7489 Contract Name IMPROVEMENTS TO SERVE TANGER OUTLET CENTER LOT 1 BLOC Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 5/25/2017 Project Funding Contract Information Summary Original Contract Amount $199,483.00 Change Orders Change Order Number 1 $1,150.00 Total Contract Price $200,633.00 Date Total Cost of Work Completed $200,633.00 3ntcto Less %Retained $0.00 Ao_�_ h� Za R Net Earned $200,633.00 Dateio 'upervtsor Earned This Period $200,633.00 Retainage This Period $0.00 te Less Liquidated Damages Manager Days @ /Day $0.00 C" Date -zon LessPavement Deficiency $0.00 Asst.Director/TPW-Infrastruc re Design and Construction Less Penalty $0.00 �G Date 7/21/t, Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $200,633.00 Tuesday,June 20,2017 Page 3 of 4 i om > � c o ; T -n -si CgDSo 0 0 -o _z -4a - Dmm C 0-o m � zo °z v -+ ° o a -10 O D p -n{ ro m m a vol 0 o 1 -4 1i �� i�i7 p O m � D wa X C) v Y m m M D-• C! 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O m w m '� m o zzz z � � � o AW NtO WAW N-� h ID = N O y 3 010 � o anaanaDaa #oma tu 3 z f° o m 3 CD CD o D m Q�P. 0 �o m v o n p in n to f �� D m o m m m __ 00 co a _ap-+,-1'N W .0 m 00 O 00 3 m 7 �m m m V C 0 'PIm Nce jo m W y y G K m m .'ZI m CD .a D� ® m —to M. 0 m C3 < 3 QQ o m a m m D' mv c �' o o• to � � m �� m m � 'U n =mcr _ Q� „1DmQ'W g ID n \\\ Q a r. m CD t th —�m yr W CD X XID mox p m 7 t 7 0 ro w � rw m cb _ = v to 3 c CD a f V C) N 'C N? -{ Z m 1j D m 3• c d K C 9 R �+ m mCo O � O m O m Q O PO m <»to fn FA W f z a cn.•�r,�Nwm -� bw-.4 NtninfAfA O W O O O Cl O A W .n O CC 00001+;A O O O O O Q O O m O m N m .moi fA to fllr fn w f-e -� Clf to W N W�W N O -O -► .+O W V M N MD lT co y t0 O 0 0 0 0 Cl O Q W N C" N O Q O O Q O 0 0 0 0 0 N d 0 0 0 6 56 0 0 0 0 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Tanger Outlet Center PROJECT NUMBER: 2628 DOE NUMBER: 7489 WATER PIPE LAID SIZE TYPE OF PIPE LF Water 8" PVC 128 Water 12" PVC 670 FIRE HYDRANTS: 4 VALVES(16" OR LARGER) N/A PIPE ABANDONED SIZE N/A TYPE OF PIPE LF N/A DENSITIES: Yes NEW SERVICES: Water 2" Copper 2 EA Irrgation 2" Copper 4 EA SEWER PIPE LAID SIZE TYPE OF PIPE LF Sewer 8" PVC 1249 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: Yes NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS , f The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 r (817)392-7941 •Fax: (817) 392-7845 AFFIDAVIT STATE OF Texas COUNTY OF Dento Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Gary Wells, Partner/COO Of Rumsey 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; "a,.,E rGNo ,,,, K5 c,F On Contract described as; S 12'tl V% Tanger Outlet Center "Public Work", corner of State Hwy 114 and Interstate Hwy 35W, Fort Worth, Texas BY ary Wells, Partner/COO Subscribed and sworn before me on this date 26th of May, 2017- - i,,,. •r r,o� SARAH PEREZ .•P`,...�O r Notary Public, State of Texas Comm. Expires 11-21-2020 �� •:,,,��,,. Notary ID 126730867 j L� Notary Public County, State CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ TO FINAL PAYMENT CONTRACTOR SURETY ❑ A/A DOCUMENT G707 OTHER PROJECT: Tanger Outlet Center (name, address) Fort Worth, TX TO (Owner) CITY PROJECT NO: 02628 City of Fort Worth & Tanger ❑ Development Company, LLC CONTRACT FOR: $204,983.00 Fort Worth, TX CONTRACT DATE: 10/17/16 BOND NO: 1053513 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 t0 (here insert name and address of Owner) City of Fort Worth & Tanger Development Company, LLC OWNER, as set forth in the said Surety's bond. IN WITNESS WHEREOF , the Surety has hereunto set its hand this 29th day of June 12017 The Hanover Insurance Company Surety Signature of Authorized 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 0•©1970•UE 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 Gatesville,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 line 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,That the 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 otherwritings obligatory in the nature thereof,with power to attach theretothe 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. u,,a THE HANOVER INSURANCE COMPANY MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS SURANCEOMPJ4NY OF AMERICA tr�78 � ;•, Robert Thomas Vi.CA�President —� THE COMMONWEALTH OF MASSACHUSETTS ) (-+— COUNTY OF WORCESTER )ss. Joe Arenstrorn:, ice 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.GARLICK Notary Public Commonwealth of Massachusetts f, myCam;r"ssionF*i;sep!.21.2ri6 .. Barbara A.Garlick, Notary Public My Commission Expires September 21,2018 I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of 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 Companyof America) GIVEN under my hand and the seals of said Companies,at Worcester,Massachusetts,this 29th day of June 2017. THE HANOVER INSURANCE COMPANY MA SA HUSETT BAY I RA CE COMPANY GIT EN I SUR CE OF AMERICA J. h R ete,Vice s en Hanover x r Insurance Group® Texas Complaint Notice h* r 0 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 01653 Worcester, MA 01653 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: companias, 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) 490-1007 Fax: (512) 490-1007 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 1 440 Lincoln Street,Worcester,MA 01653 181-1457(10/16)Page 1 of 1 Citizens Insurance Company of America 1 808 North Highlander Way,Howell,MI 48843 hanover.com FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORDS PERFORMANCE EVALUATION OF CONTRACTOR n CONTRAC ITOR&PRO.IEC7 DATA Name of Contractor Project Name Rumesy Construction,LLC Tanger Outlet Center DOE Inspector DOE Number Habte Taezaz 7489 DOE Inspector Project Manager Water 0 waste water ❑ Storm Drainage ❑ Pavement Go al Sahu Initial Contract Amount Project Difficulty $199,483.00 10 Simple Routine 0 Complex Final Contract Amount Date $200,633.00 15/25/2017 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 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 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety IS 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 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 446 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 446 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS] * 100%) 446 / 448 = 100% 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 o �"Ile Signature Contractor �— Signature DOE Inspector's Supervisor r!�� CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (D (817)392-7941 •Fax: (817)392-7845 FoRTWORTHREV:02/22/07 TRANSFORaTATION ANIS PUISL.ItC WORKS CONTRACTOR'S EVALUATION OF CITY PROJECT INFORMATION Date: '5/25/2017 Name of Contractor Project Name Rumsey Construction Tanger Outlet Center DOE Inspector Project Manager Habte Taezaz Gopal Sahu q DOE Number Project Difficulty 'Type of Contract 7489 10 Simple OQ Routine 0 Complex ❑water ❑J waste water ❑ Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount $199,483.00 $200,633.00 Il)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING 'ELEMENT i 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 Applicability of Specifications 4 Display Of Professionalism i4 Accuracy of Plan Quantities _Citizen Complaint Resolution PROJECT MANAGER EVALUATION °6_Performance-Settiagup Valve Crews,Labs 1 Knowledge And/Or Problem Resolution `ADMINISTRA'T'ION 2 Availability ofProject 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 HE)COMMENTS&SIGNATURES COMMENTS Signature ContractorLl— d 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,Thi 76012-6311 (817) 392-7941 •Fax: (817)392-7845 FORT Yrev 03/05/07 =r TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: Tanger Outlet Center PROJECT NO.: 2628 CONTRACTOR: Rumsey Construction DOE NO.: 7489 PERIOD FROM;11/26/16 TO: 05/25/17 FINAL INSPECTION DATE: 25-May-17 WORK ORDER EFFECTIVE: CONTRACT TIME: 179 O WD 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 PERIOD 179 PREVIOUS PERIOD TOTALS TO DATE 179 *REMARKS: CONTRACTOR DATE INSPECTOR DATE ENGINEERING DEPARTMENT The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845