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Contract 48258-FP1
Department of" ' W Uonst.cervices CPN#i� ,� Date Project Manager ''L.� CITY SECRETARY �J Risk Management 5-.-C-an-ad-Y RT WDRTH@ 0` rn D.O.E. Brotherton �'�Z3-1'� 40 CONTRACT N0. r Ir Water V Gutzier CFA Janie rales/Scanned ❑ CATION AND PUBLIC WORKS q(o1b'1—GbQ(Pg3 The Proceedi ple have been Contacted concerning the request )F PROJECT COMPLETION "I � l for row pay enc&have released this project for such payment. (Developer Projects) D 0 �� 1 Clearance Conducted By Etta Bacy City Project Ns: 02643 d.?*" fs8 Regarding contract 112643 for AIR FORCE PLANT#416"WATER MAIN REALIGNMENT 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 recommen a Assistant Director of the Transportation&Public Works Department has accepted the prIBY 10ft ti V E L 2 0 2017 Original Contract Price: $519,597.50 Amount of Approved Change ONs 1 Revised Contract Amount: $519,59750 Total Cost Work Completed: $519,59750 \-�, 0 Re om ended for Acceptance D to Asst. Director, TPW - Infrastructure Design and Construction LJ Accepted Date Asst. Director, WATER DEPARTMENT D, a L'-) - �'J'-, .41� Asst. City Yanager Date OFFI9q3 CITY Comments: FT.Ar'AZZ,.Er� JUL 4 2017 hnittul,_ L'l f Rev.9/22/16 �.� L5 kk.P LG U W LC;U JUL 2 0 2017 City Project Numbers 02643 DOE Number�i2 43'-f7S 0 Contract Name AIR FORCE PLANT#4 16"WATER MAIN REALIGNMENT Estimate Number 1 Contract Limits Payment Number I Project Type WATER IMPROVEMENT For Period Ending 5/31/2017 Project Funding Project Manager NA City Secretary Contract Number Inspectors RODGERS / MCKINNON Contract Date 6/10/2016 Contractor HD COOKS ROCK SOLID INC. Contract Time 90 CD 664 MANOR DR. Days Charged to Date 199 CD ARGYLE, TX 76226 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 $519,597.50 Less %Retained $0.00 Net Earned $519,597.50 Earned This Period $519,597.50 Retainage This Period 50.00 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 $519,597.50 Wednesday,May 31,2017 Page 4 of 4 Tip FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name AIR FORCE PLANT#4 16"WATER MAIN REALIGNMENT Contract Limits Project Type WATER IMPROVEMENT City Project Numbers 02643 DOE Number 2643 Estimate Number 1 Payment Number 1 For Period Ending 5/31/2017 CD City Secretary Contract Number Contract Time NED Contract Date 6/10/2016 Days Charged to Date 199 Project Manager NA Contract is 100.00 Complete Contractor FID COOKS ROCK SOLID INC. 664 MANOR DR. ARGYLE, TX 76226 Inspectors RODGERS / MCKINNON Wednesday,May 31,2017 Page 1 of 4 City Project Numbers 02643 DOE Number 2643 Contract Name AIR FORCE PLANT#4 16"WATER MAIN REALIGNMENT Estimate Number 1 Contract Limits Payment Number I Project Type WATER IMPROVEMENT For Period Ending 5/31/2017 Project Funding UNIT I:WATER IMPROVEMENTS Item Description of Items Estimated Unit Unit Cost. Estimated Completed Completed No. Quanity Total Quanity Total 1 REMOVE CONCRETE WATER VAULT I EA $11,455.27 $11,455.27 1 $11,455.27 2 TRENCH SAFETY 1277 LF $5.00 $6,385.00 1277 $6,385.00 3 30"CASING BY OPEN CUT 471 LF $133.78 $63,010.38 471 $63,010.38 4 16"PVC C905 WATER PIPE SELECT BACKFILL 1277 LF $127.05 3162,242.85 1277 $162,242.85 5 CONNECTION TO EXISTING 16"WATER MAIN 3 EA $13,860.00 $41,580.00 3 $41,580.00 6 2"COMBINATION AIR VALVE ASSEMBLY FOR 1 EA $20,790.00 $20,790.00 1 $20,790.00 WATER 7 6"BLOW OFF VALVE 1 EA $25,410.00 $25,410.00 1 $25,410.00 8 CUT FILL WITH GROUL AND PLUG EXISTING 1200 LF $17.50 $21,000.00 1200 $21,000.00 16"STEEL WATER 9 DEMOLISH EXISTING AIR RELEASE VALVE 1 EA $3,234.00 $3234.00 1 $3,234.00 10 INSTALL 16"45 DEGREE BENDS DUCTILE 2 EA $2,500.00 $5,000.00 2 $5,000.00 11 INSTALL 16"TEE FITTING DUCTILE IRON 2 EA $500.00 $1,000.00 2 $1,000.00 12 INSTALL 16"DUCTILE IRON CLEANING WYES 2 EA $500.00 $1,000.00 2 $1,000.00 13 INSTALL 6'X6'AIRCRAFT RATED MANHOLE 3 EA $29,000.00 $87,000.00 3 $87,000.00 STD DETAIL 14 INSTALL MJ X MJ X MJ TANGENTIAL OUTLET I EA $2,500.00 $2,500.00 1 $2,500.00 FITTINGS 15 CEMENT STABILIZED BACKFILL 10 CY $100.00 $1,000.00 10 $1,000.00 16 INSTALL 16"DUCTILE IRON GATE VALVE 2 EA $33,495.00 $66,990.00 2 $66,990.00 Sub-Total of Previous Unit $519,597.50 $519,597.50 Wednesday,May 31,2017 Page 2 of 4 City Project Numbers 02643 DOE Number 2643 Contract Name AIR FORCE PLANT#4 16"WATER MAIN REALIGNMENT Estimate Number I Contract Limits Payment Number I Project Type WATER IMPROVEMENT For Period Ending 5/31/2017 Project Funding Contract Information Summary Original Contract Amount $519,597.50 Change Orders Total Contract Price $519,597.50 Date ' — —? Total Cost of Work Completed $519,597.50 ;nspection Less %Retained $0.00 ,2 /�6/) Net Earned $519,597.50 ate ` // pervi r Earned ThisPeriod $519,597.50 �i l CC./ 7 O 1 7 Retainage This Period $0.00 Date / / Less Liquidated Damages Pr ect Manager p� Days @ /Day $0.00 Date l z ILessPavement Deficiency $0.00 st.Direecctor//TPW-Infrastructure Design ant Con ruct. n Less Penalty $0.00 (Di/u `1 Date Y�Z �� Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $519,597.50 Wednesday,May 31,2017 Page 3 of 4 FoRTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Air Force Plant#4 16" Watermain Realignment PROJECT NUMBER: CPN#02643 DOE NUMBER: DOE#7501 WATER PIPE LAID SIZE TYPE OF PIPE LF Domestic Water Main 16" PVC 1,277 LF FIRE HYDRANTS: No Hydrants installed on this project VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF Domestic Water Main 16" Cast Iron 1,200 LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throdunorton Street•Fort Worth,'I176012-6311 (817)392-7941 •Fax: (817)392-7845 s SURETEC INSURANCE COMPANY 9737 Great Hills Trail, Suite 320, Austin, Tx 78759 OWNER ❑ CONSENT OF SURETY ARCHITECT 11 CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ BOND NO.: 4406384 OTHER El TO OBLIGEE: (Name and Address) CONTRACT FOR: City of Fort Worth Excavation &Site Utilities 1000 Throckmorton Street, Fort Worth, TX 76102 PROJECT: CONTRACT DATED: N/A (Name and Address) #02643, Air Force Plant#4—Water Main Relocation PRINCIPAL: HD Cooks Rock Solid, Inc. At the request of the Obligee and the Principal indicated above, (Insert name and address of Surety) SureTec Insurance Company, 9737 Great Hills Trail, Suite 320, Austin, TX 78759 on bond of SURETY, (Insert name and address of Contractor) HD Cooks Rock Solid, Inc. , CONTRACTOR, and conditioned on the representation by Obligee that all Contract provisions relating to the payment of final payment under the Contract have been satisfied by Principal as of the date of final payment, and that no claims by Obligee or any third party are known or believed by Obligee or its representatives to exist as of the date of final payment, representations as to the truth and accuracy of the foregoing conditions being deemed to have been made by Obligee in connection with this request for Consent of Surety, hereby approves of the final payment to the Principal, and agrees that final payment in accordance with the terms hereof shall not relieve the Surety of its obligations to (Insert name and address of Obligee) City of Fort Worth, 1000 Throckmorton Street, Fort Worth, TX 76102 , as set forth in said Surety's bond. OBLIGEE, IN WITNESS WHEREOF, the Surety has hereunto set its hand on this date: May 24, 2017 (Insert in writing the month followed by the numeric date and year) Srkc o e resentative) Attest: Ki , rney-n-Fact (Seal): (Printed name and titter p0,4,#. 4221060 SureTec Insurance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make,constitute and appoint Frank Swingle,Warren Gravely,Jr., Ed Veale,Chris W. Peterie, Matthew B. Elmore, Kirk D. Dreyer its true and lawful Attomey-in-fact,with full power and authority hereby conferred in its name,place and stead,to execute, acknowledge and deliver any and all bonds, recognizances, undertakings or other instruments,or contracts of suretyship to include waivers to the conditions of contracts and consents of surety for,providing the bond penalty does not exceed Four Million Dollars and no/100($4,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate seal of the Company and duly attested by its Secretary,hereby ratifying and confirming all that the said Attomey-in-Fact may do in the premises. Said appointment shall continue in force until 12131/2019 and is rade under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attomey(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company, to execute, acknowledge and deliver,any and all bonds,recognizanccs,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attomey-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved,that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20`h of April, 1999) In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, is corporate seal to be hereto affixed this 11th day of May ,A.D. 2017 . SURETEC SURAN C By: W l W :;aJohn Knox resid t State of Texas ss: County of Harris �''~............ �Wpirio'iikinnNh�M On this itch day of May ,A.D. 2017 before me personally came John Knox Jr.,to me known,who,being by me y sworn,did depose and say,that he resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above instrument;that he knows the seal of said Company,that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. JACQUELYN GREENLEAF 3i. _Notary Public,State of Texas 9�e,•••jE,}PE Comm.Expires 05-16-2021 Jacq elyn Greenleaf,Notary Public °;,,a` Notary ID 126903029 My commission expires May 18,2021 I,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors, set out in the Power of Attorney are in full force and effect. Given under my hand and the seal of said Company at Houston,Texas this_kt day of Z A.D. M.Brent Beaty,Assistant Sec etary Any instrument issued in excess of the penalty stated above is totally void and without any validity. For verification of the authority of this power you may call(713)812-0800 any business day between 8:00 am and 5:00 pm CST. AFFIDAVIT STATE OF TEXAS COUNTY OF DENTON Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared CHARLES COOK, PROJECT MANAGER Of HD COOKS ROCK SOLID INC, 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; AIR FORCE PLANT#4- 16 INCH WATER MAIN REALIGNMENT BY CHA ES COOK-PROJECT MANAGER Subscribed and sworn before me on this date 23 of MAY, 2017. THOMAS TODAR ` � a Notary Public,State of Texas �© �= Comm. Expires 04.01-2020 f Notary Public I ieiolary 1® 130603300 DENTON, TEXAS REV:02/20/07 TRANSPORTATION AND PUBLIC WORDS PERFORMANCE EVALUATi EON OF CONTRACTOR I) CONTRACTOR&PRGJ EOTi DATA Name of Contractor Project Name H.D.Cooks Rock Solid Air Force Plant#4 16" Water Main Realignment DOE Inspector DOE Number Tommy McKinnon N/A DOE Inspector Project Manager O Water ❑ Waste Water ❑ Storm Drainage ❑ Pavement Fred Ehia Initial Contract Amount Project Difficulty $519,597.50 O Simple O Routine O Complex Final Contract Amount Date $519,597.50 5/31/2017 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 N 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 15 Y 4 60 60 8 Traffic Control Maintenance 15 N 9 Daily Clean Up 5 Y 4 20 20 10 Citizen's Complaint Resolution 5 N I 1 Property Restoration 5 N 12 After Hours Response 5 N 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 306 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 306 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 308 Rating([TS/MSl* 100%) 306 / 308 = 99% 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 / ign ture Contractor Signature DOE Inspector' upervisor �J�.�7 �Z�GV► ` CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS r The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TK 76012-6311 (817) 392-7941 •Fax: (817)392-7845 REV:02/22/07 $, �3� f' RTH TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: 5/31/2017 Name of Contractor Project Name H.D. Cooks Rock Solid Air Force Plant#4 16" Water Main Realignment DOE Inspector Project Manager Tommy McKinnon Fred Ehia DOE Number Project Difficulty Type of Contract N/A CPN902643 O Simple O Routine O Complex El Water ❑ Waste Water ❑ Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount $519,597.50 W19,597.50 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 Applicability of Specifications Jr-4 4 Display Of Professionalism 4 Accuracy of Plan Quantities 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 Z- 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 III)COMMENTS& SIGNATURES COMMENTS i Signature Contractor C Signature DOE Inspector Signature DOE Inspector's Superviso INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORDS � E The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-7941 •Fax: (817) 392-7845 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENT# FINAL STATEMENT# 1 " CPN# 2643 NAME OF PROJECT: Air Force Plant#4 1.6"Water Main Realignment Contractor Cooks Rock Solid YEAR: 2017 PROJECT NO.: FINAL INSPECTION DATE 5/24/2017 P26"071402643XX CD P258-######W##XX - CONTRACT TIME 90 X PERIOD FROM: 5112016 TO: Month nt:vi;a,oPMN:rvr v Beg of Month End of Month WORK ORDER EFFECTIVE: 1111712016BEG(y) nla MID(y) n/a 221.1% LIP YR(y 1 n) DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR CHARGED DAYS CREDITED CHARGED DAYS CREDITED 1 Sun 1 16 Mon 1 2 Mon 1 17 Tue 1 3 Tue 1 18 Wed 1 4 Wed 1 19 Thu 1 5 Thu 1 20 Fri 1 6 Fri 1 21 Sat 1 7 Sat 1 22 Sun 1 8 Sun 1 23 Mon 1 1 9 Mon 1 24 Tue 1 I 10 Tue 1 25 Wed 0 11 Wed 1 26 Thu 0 12 Thu 1 27 Fri 0 f 13 Fri 1 28 Sat 0 i 14 Sat 1 29 Sun 0 _1 15 Sun 1 30 Mon 0 31 Tue 0 -E NA - Wkn&Hol Wea. 'Utl Oth a-add ---1 Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGED THIS PERIOD 0 0 0 0 24 24 ^� -- PREVIOUS PERIOD 0 175 175 TOTAL TO DATE 1 0 0 0 0 199 199 REMARKS: 1 — Signature; '- i Z_ I (r signature: (Print Name) INSPE 'OR(Tommy McKinnon) CONTRACTOR DATE INSPECTOR �y J DATE.