HomeMy WebLinkAboutContract 47560-FP1 Department of TP&W Gonst.services
CPN# Date
Project Manager '1• ')�l CITY S�CR�A '
Risk Management Can T WORTH, CONTRACT NO. 1� "
D.O.E. Brotherton
CFA Morales/Scanned
Gutzler/Scanned
The Proceeding people have been Contacted
concerning the request for final payment&have TION AND PUBLIC WORKS
released this project for such payment. PROJECT COMPLETION �Q�QC0600-41,30
eveloper Projects)
Clearance Conducted By OA~6 City Project Ns: 100035
Regarding contract 10000035 for �� e ed by the WATER DEPARTMENT as approved by City
Council on N/A through M& I di o o ATER DEPARTMENT upon the recommendation of the
Assistant Director of the Trans tali n&Public Wor epartment has accepted the project as complete.
SCEP 0.6 2017
By
Original Contract Price: $94,730.00 �+
Amount of Approved Change Orders: Ne �
Revised Contract Amount:
Total Cost Work Completed: $94,730.00
AAl
Recommen d fo cceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
Accepted Date
Asst. Director ATER DEPARTMENT
Asst. City Manager Date
Comments:
OFFICIAL RECORD
CITY SECRETARY
Rev.9/22/16 FT.WORTH,TX
U `t SEP 0 6 2017 tN co(100 X130
i 01
City Project Numbers 100035 ByDOE Number 0035
Contract Name HUFFINES BOULEV Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 8/7/2017
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / CAZORLA Contract Date
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 30 CD
6331 SOUTHWEST BLVD Days Charged to Date 399 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 $94,730.00
Less %Retained $0.00
Net Earned $94,730.00
Earned This Period $94,730.00
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 $94,730.00
Monday,August 7,2017 Page 4 of 4
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name HUFFINES BOULEVARD
Contract Limits
Project Type WATER&SEWER
City Project Numbers 100035
DOE Number 0035
Estimate Number 1 Payment Number 1 For Period Ending 8/7/2017
CD
City Secretary Contract Number Contract Time 3GD
Contract Date Days Charged to Date 399
Project Manager NA Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors DICKINSON / CAZORLA
Monday,August 7,2017 Page 1 of 4
City Project Numbers 100035 DOE Number 0035
Contract Name HUFFINES BOULEVARD Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 8/7/2017
Project Funding
WATER
Item Descri tion of Items Estimated Estimated Com leted Com leted
No. P Unit Unit Cost P P
—— ——_ Quanity Total Quanity Total
1 SALVAGE FIRE HYDRANT 3 EA $600.00 $1,800.00 3 $1,800.00
2 MANHOLE ADJUSTMENT MAJOR 2 EA $2,000.00 $4,000.00 2 $4,000.00
3 MANHOLE ADJUSTMENT MINOR 2 EA $600.00 $1,200.00 2 $1,200.00
4 TRENCH SAFETY 99 LF $2.00 $198.00 99 $198.00
5 20"CASING BY OTHER THAN OPEN CUT 45 LF $340.00 $15,300.00 45 $15,300.00
6 VALVE BOX ADJUSTMENT 4 EA $300.00 $1,200.00 4 $1,200.00
7 8"DIP WATER 61 LF $135.00 $8,235.00 61 $8,235.00
8 8"PVC WATER PIPE 38 LF $119.00 $4,522.00 38 $4,522.00
9 FIRE HYDRANT 3 EA $6,700.00 $20,100.00 3 $20,100.00
10 CONNECTION TO EXISTING 16"WATER MAIN 1 EA $6,000.00 $6,000.00 1 $6,000.00
11 REMOVE AND REPLACE SIDEWALK 40 SF $10.00 $400.00 40 $400.00
Sub-Total of Previous Unit $62,955.00 $62,955.00
SEWER
Item Completed
No. Description of Items Estimated Estimated Completed Com P Unit Unit Cost P P
— Quanity Total Quanity Total
1 POST CCTV INSPECTION 68 LF $8.00 $544.00 68 $544.00
2 MANHOLE VACUUM TESTING 1 EA $120.00 $120.00 1 $120.00
3 TRENCH SAFETY 68 LF $2.00 $136.00 68 $136.00
4 16"CASING BY OTHER THAN OPEN CUT 45 LF $375.00 $16,875.00 45 $16,875.00
5 8"SEWER PIPE 23 LF $120.00 $2,760.00 23 $2,760.00
6 4'EXTRA DEPTH MANHOLE 5 VF $500.00 $2,500.00 5 $2,500.00
7 8"SEWER PIPE 45 LF $120.00 $5,400.00 45 $5,400.00
8 —4'MANHOLE OVER EXISTING LINE — —— 1 EA $3,440.00 $3,440.00 1 $3,440.00
Sub-Total of Previous Unit $31,775.00 $31,775.00
Monday,August 7,2017 Page 2 of 4
City Project Numbers 100035 DOE Number 0035
Contract Name HUFFINES BOULEVARD Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 8/7/2017
Project Funding
Contract Information Summary
Original Contract Amount $94,730.00
Change Orders
Total Contract Price $94,730.00
Date :9 --2 /-7 Total Cost of Work Completed $94,730.00
Contr for Less %Retained $0.00
gir
Net Earned $94,730.00
Inspecti pervisor Earned This Period $94,730.00
Retainage This Period $0.00
ect Manaa r Date Less Liquidated Damages
s
Days @ /Day $0.00
7 LessPavement Deficiency $0.00
st.D eector//TPW-Infrastructure Design and Construction Less Penalty $0.00
/
`"� Date 2 Less Previous Payment $0.00
Director/Contracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $94,730.00
Monday,August 7,2017 Page 3 of 4
FORTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO. 1
NAME OF PROJECT: Huffines Boulevard
PROJECT NO.: 100035 CONTRACTOR: Bumsco
DOE NO.
PERIOD FROM TO: FINAL INSPECTION DATE: 20-Dec-16
WORK ORDER EFFECTIVE 4/27/2016 CONTRACT TIME 30 O WD* CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH DURING CREDITED MONTH DURING CREDITED
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 OTHERS* DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS
THIS
PERIOD
PREVIOUS
PERIOD
TOTALS
TO DATE 1399
*REMARKS;
CONTRA OR `DATE INSP CTbV (DATE
ENGINEERING DEPARTMENT
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 022053059
PROJECT: Huffines Boulevard -Water, Sanitary Sewer and Drainage Improvements
(name, address) Fort Worth TX
TO (Owner)
M&C DEVELOPMENT LTD.AND CITY OF FORT ARCHITECT'S PROJECT NO:
WORTH CONTRACT FOR:
3825 Camp Bowie Blvd. Huffines Boulevard-Water,Sanitary Sewer and Drainage
Improvements
Fort worth TX 76107 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)
M&C DEVELOPMENT LTD.AND CITY OF FORT WORTH
3825 Camp Bowie Blvd.
Fort Worth TX 76107 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 26th day of October, 2016
LIBERTY MUTUAL INSURANCE COMPANY
` \ Sure Company
.
Attest:Kell A.Westbrook
(Seal): Signa re of Authorized Representative
Soohinie 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.
American Fire and Casualty Company Liberty Mutual Insurance Company Certificate No.7444ols
The Ohio Casualty Insurance Company West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS: ThatAmedcan Fire&Casualty Company and The Ohio Casualty Insurance Company are corporations 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"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute
and appoint, Don E.Cornell;Kelly A.Westbrook;Ricardo J. Reyna; Robbi Morales;Sophinie Hunter;Tina McEv✓an•V DeLene Marshall
all of the city of Dallas state of Tx each individually if there be more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge
and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall
be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper 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 5th day of August 2016
,p40 CAS
P� INS& P,JNSUgq/ PN,Nsuq�^ American Fire and Casualty Company �
The Ohio Casualty Insurance Company
a 1906 0 0 1919 } 1912 ° 2 1991 Liberty Mutual Insurance Company ayi
a' 0 4� D y West merican Insurance Company
y Glib�f/AMP`+ rC1 Jay 'NAMPS"��`L /�'SSACHUS�tC� /NDIANP Y n I •�
r By: L
STATE OF PENNSYLVANIA ss David M.Carey;Assistant Secretary C
COUNTY OF MONTGOMERY CU
_ c
O On this 5th da of August 2016 O
L a► Y before me personally appeared David M. Carey,who acknowledged himself to be the Assistant Secretary of American Fire and
a) Casualty Company,Liberty Mutual Insurance Company,The Ohio Casualty Insurance Company,and West American Insurance Company,and that he,as such,being authorized so to do,
O its execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. =W
as > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting,Pennsylvania,on the day and year first above written. O
d 3 eP PASS, COMMONWEALTH OF PENNSYLVANIA ,,C
'a
NW Notarial Ftt Notarial Seal Q M
Teresa Pastella,Notary Public By: O d
O i of Plymouth Twp.,Montgomery County Teresa Pastella,Notary Public L
My Commission Expires March 28,2017 3
a 'L ppb Member,Pennsylvania Association of Notaries O
4 a
C i This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of American Fire and Casualty Company,The Ohio Casualty Insurance cD
N
ai Company,Liberty Mutual Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: s o
r�
m i ARTICLE IV—OFFICERS—Section 12.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
2) 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, �•y
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 y 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 '� m
`O i 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 >
.0 the 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. s C�l
cc av ARTICLE XIII—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, r 00
and subject to such limitations as the chairman orthe president may prescribe,shall appoint such attome s m-fact,as may be necessary to act in behalf of the Company to make,execute, L M
I PP Y= Y ry P Y
o seal,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 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 e
executed such instruments shall be as binding as if signed by the president and attested by the secretary. v
O .
Certificate of Designation—The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- F
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety
obligations.
Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I,Gregory W.Davenport,the undersigned,Assistant Secretary,of American Fire and Casualty Company,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and
West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is A full,true and correct copy of the Power of Attorney executed by said
Companies,is in full force and effect and has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this — day of / 20
�PDI0 ASG P�ZY INSU P�•NSUq,,�L° R9T�9`�.G FJ pPPORq/�9iL� J.<'°µp°R9TF��F 1?
1906 � —
0 o 1919 0 1912 3 h 1991 By:
c�y N*Psa far � 1'SSncF,u>�4 � '' o-n,ANP F$ Gregory W.Davenport,Assistant Secretary
* *
178 of 300
LMS 12873 122013
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Ab Grantges,
Contract Mgr, Of Burnsco construction, 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;
Huffines Boulevard-Water, Sanitary Sewer and Storm Drain
BY 0 �Al 9-2-16
Ab Grantges, Contract Manager
Subscribed and sworn before me on this date 27th of October, 2016.
No Public
Tarrant County, Texas MARY PANNELL
SpµY PVA Z
Nota(Y Public,Sfate of Texas
=a y Comm.Expires 10-19 2018
es
Notary ID 5144239
i OF
nnaq
h
October 27, 2016
Citv of Fort Worth
CFA Administration
1000 Throckmorton St.
Fort Worth, TX 76102
RE: Final Waiver of Lien; Water, Sanitary Sewer& Drainage Improvements to serve
Huffines Boulevard.- City Project 4100035
The purpose of this letter is to acknowledge that we have been paid in full by Hayco
Realty, Ltd. for the public improvements constructed to serve Huffines Boulevard, in Fort
Worth, Texas. As a result, we hereby waive, release and relinquish all rights to assert any
claim or demand for lien in connection with this project.
Please feel free to contact me with any questions you may have.
Sincerely,
Ab Grantges
Contract Manager
6331 Southwest Blvd
Benbrook, Texas 76132
Office: 817-738-3200
Fax: 817-738-3435
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Huffines Blvd
PROJECT NUMBER: 100035
DOE NUMBER:
WATER
PIPE LAID SIZE TYPE OF PIPE LF
8" PVC 38
8" DIP 61
FIRE HYDRANTS: VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
8" PVC 68
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
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 AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 5/31/2017
Name of Contractor Project Name
Burnsco Huffines Blvd
DOE Inspector Project Manager
Adilda Cazorla Gopal Sahu
DOE Number ProjectDifficulfij TjpeofContract
CP 100035 10 Simple O Routine O Complex 0 Water 2l Waste waterEl Storm Drainage[] Pavement
Initial Contract Amount Final Contract Amount
$94,730.00 $94,730.00
II)PERFORMANCE EVALUATION
0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent
ELEMENT RATING JELEMENT RATING
INSPECTION EVALUATION (0-4) PLANS&SPECIFICATIONS (0-4)
1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions U
2 Knowled e of Inspector 2 Clarity&Sufficiency of Details Qf
3 Accuracy of Measured Quantities C 3 Applicability of Specifications
4 Display Of Professionalism 4 Accuracy of Plan Quantities
5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs t 1 Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availability of Project Manager
1 Change Order Processing Time 13 Communication la
2 Timliness of Contractor Payments LJ 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 Supervisor 'GvY� /
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
(a 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 Huffmes Blvd(Water,sewer and storm
Inspector City Project Number
Adilda Cazorla 100035
Construction Components Project Manager
21 Water 21 Waste Water Z Storm DrainageD Pavement Gopal Sahu
Initial Contract Amount Project Difficulty
$94,730.00 O Simple OO Routine O Complex
Final Contract.4mount Date
$94,730.00 7/31/2017
II)PERFORMANCE EVALUATION
0-Inadequate I-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 2 8 4
2 Public Notifications 5 N
3 Plans on Site 5 Y 4 20 20
4 Field Supervision 15 Y 2 60 30
5 Work Performed 15 Y 2 60 30
6 Finished Product 15 Y 2 60 30
7 Job Site Safety 15 Y 4 60 60
8 Traffic Control Maintenance 15 Y 3 60 45
9 Daily Clean Up 5 Y 2 20 10
10 Citizen's Complaint Resolution 5 N
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) 259
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 259
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 388
Rating([TS/MS] * 100%) 259 / 388 = 67%
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 Signature /Contractor Signature
Inspector's Supervisor Signature --Y ✓L C✓� ./ i
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 8851 Camp Bowie West Blvd. •Fort Worth,TX 76116 • (817)392-8306