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HomeMy WebLinkAboutContract 47710-FP1 Department of TPjW Const. Services CPN# 0 ?; �,�,, �Jr . Date Project Manager N*U ..5-- CITY SECRETARY Risk Management S.Can - — TWORTH. CONMCT N0. D.O.E. Brotherton -/ Water V. Gutzier 7 CFA Janie Morales/Scanned ❑ /� TION AND PUBLIC WORKS Sq tOd The Proceeding people have been Contacted concerning the request 'PROJECT COMPLETION �o -1-4 5`7 for final payment&have released this project for such payment. City Project Ns: 02446 Clearance Conducted By Etta Bac CS# 10PY0 egar contract-o—rWAI ER& WER REPLACEMENT CONTRACT 2015 WSM-E PART 1 as required 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 Department has accepted the project as Original Contract Prices: $2,522,373.75 111 Amount of Approved Change Orders: j AUG 0 S 2017 $34,430.00 Ns 1,2 Revised Contract Amount: gy $2,556,803.75 Total Cost Work Completed: $2,382,089.40 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $2,382,089.40 Less Previous Payments: $2,229,524.50 Final Payment Du $152,564.90 �XWecomi en d for A ceptance Date Asst. Director, TPW - Infrastructure Design and Construction u u S (der e) 7 Accepted Date Asst. Director, WATER DEPARTMENT ZZ4 Asst. City Manager Date Comments: M;AVlA,ILEID OFFICIAL RECORD CITY SECRETARY AUG 9 2017 FT.WORTH,TX Initlal!� ry / n CD ui a `- v ❑ uj uj F- N L } c d w LQ v\, Q LL H •�_� � ~ LI'z o PL z R w `U z L� RD z Lt] o ypW a m o r -ter � voi a n L ❑ � o � � m NN MN MMN NNN � H N � M M � � Vi Vf b9 69 Vf Vf N G h t 2 O O ud p C N 0.i rtl 'O_ O � �- �� N N d 3 Z d c a + o CO C v o U U W C F F V UCO 0 Q ` z_ F U Ca Ca ko va o o P-1 qty �3 �ay� o 7 o WWW y a o.9 0,o agg Q E o cn o v C/] o c A x d.� U @ 1 T O �1 p•' 0 6 0v� b'Z O `m . J N N O O ❑ V N'. O 4(�TS� ,"a..9 b k �.c"� ` L O F E E 2 A pT�a.9 0 0 '4 o °y 7�=— �164-4 t`ON DAU Cz C� $ a, `a 2 Q " �f U � �a�.9CD CITY SECRETARY, FORT WORTH City of Fort Worth CONTRACT NO. Change Order Request Project Name:1 Water and Sanitary Sewer Replacement Contract 2015 WSM-E,Part 1 City Sec No-: 47710 Project No.(s):l 59601159607-060043010700430-CO2446-C01783 I DOE No. 7404 City Proj.No.: 02446 Water and Sanitary Sewer Replacement on Calmont Avenue,Lafayette Avenue,Melbourne Drive,Dexter Avenue and Project Description: Carleton Avenue. Contractor: A&M Construction&Utilities,Inc. Change Order# F--7171 Date: 121512016 City Project Mgr.1 Rakesh Chaubey City Inspector: I Carlos Vasquez Phone Number: 817 392 6051 Phone Number: 817 992 2600 1 Dept. Water Sewer Totals Contract Time (Calender days) Original Contract Amount $1,283,845.00 $1,238,528.75 $2,522,373.75 240 Extras to Date Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $1,283,845.00 $1,238,528.75 $2,522,373.75 240 Amount of Proposed Change Order $7,170:00 $17,310.00 $24,480.00 060 Revised Contract Amount $1,291,015.00 $1,255,838.75 $2,546,853.75 300 Original Funds Available for Change Orders $68,000.00 $62,000.00 $130,000.00 -. Remaining Funds Available for this CO $68,000.00 $62,000.00 1, $130,000.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 0,97% MAXALLOWABLECONTRACTAMOUNT(ORIGINAL CONTRACTCOST+25%) $3;152,967.19 JtJS TIFICATION(REASQNS}FOR.CHANGE ORDER The change order will provide for the following that are necessary on the project: • 6-inch sewer service as requested and paid for by the property owner at 252 Robert Cut Off. • 6-ft x 6-ft storm drain conflict structure at a project water main existing storm drain crossing. • 4-inch sewer service main and 4-ft sewer manholes. • Removal of a section of an abandoned sewer mai in an existing storm drain line. • Point repair to a segment of L-8280 prior to c PFa�$f �. ehabilitation. A, ...... Staff concurs with the contractoess,request fo ti I ale ri Vs on the project. ` A5 It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. Contractoes Company Name Contractor Name E±tractor Signature Date A&M Construction&Utilities,Inc. Ab Beltran t-7 inspec r r°J. Date P ee Manager, Date. AssistantDirector Water Dept) Date - .Can Su isor TPW Dep j i,.,, u; Assi o Dae. Assistan . ity Manager bate D_ 3;of Council A0on If Required M&C Number NIA M&C Date Approved NIA _ -r _ City of Fort Worth Change Order Additions Project Name Water and Sanitary Sewer Replacement Contract 2015 WSM-E,Part 1 City Sec No.: 47710 Project No.(s): 59601159607-0600430/0700430-CO2446-C01783 DOENo.= City Proj.No.: 02446 Project Water and Sanitary Sewer Replacement on Calmont Avenue,Lafayette Avenue,Melbourne Drive,Dexter Avenue and Description Carleton Avenue. Contractor A&M Construction&Utilities,Inc. Change Order:= Date: 1 5 2016 City Project Mgr. Rakesh Chaubey City Inspector F Carlos Vasquez ADDITIONS Pr �Ca '.7', tar 72 Manhole accum es ng Sewer EA $175.00 $350.00 76 4"Sewer Service Sewer 2.00 EA $905.00 $1,810.00 81 4'Sewer Manhole Sewer 2.00 EA $3,800.00 $7,600.00 94 Remove Conflict Sewer from Storm Manhole Sewer 0 LS $2,250.00 $2,250.00 95 6 Sewer Service@252 Robert Cut Off Sewer 1.00 EA $1,800.00 $1,800.00 96 Point Repair on L-8280 Prior to CIPP Sewer Sewer 1.00 LS $3,500.00 $3,500.00 34A--Price Increase or "meter Vault instead of 3" Wafer 1.00 LS $670.00 $670.00 4 6x6"Storm Juction Box Water 1.00 LS $6,500.00 $6,500.00 Water $7,170.00 Sewer $17,310.00 Page 2 of 4 Additions Sub Total $24,480.00 Contract Compliance Manager: By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. ake,,& Name of Employee U -r-yy}rieZ Titlep 17 e f -//-�% CITY SECRETARY. F®YzT" 'VVC3P,-r i City of Fort Worth CONTRACT NO. Change Order Request Project Name:1 Water and Sanitary Sewer Replacement Contract 2015 WSM-E,Part 1 City Sec No.: 47710 Project No.(s): 59601/59607-0600430/0700430-CO2446-001783 DOE No. 7404 City Proj.No.: 02446 Project Description: Water and Sanitary Sewer Replacement on Calmont Avenue,Lafayette Avenue,Melbourne Drive,Dexter Avenue and Carleton Avenue. Contractor: A&M Construction&Utilities,Inc. Change Order# 0 Date: 4/21/2017 City Project Mgr. Rakesh Chaubey City Inspector: I Carlos Vasquez Phone Number: 817 392 6051 Phone Number: 817 992 2600 Dept. Water Sewer Totals Contract Time (Calender days) Original Contract Amount $1,283,845.00 $1,238,528.75 $2,522,373.75 240 Extras to Date $7,170.00 $17,310.00 $24,480.00 060 Credits to Date Pending Change Orders(in M&C Process) Contract Cost to Date $1,291,015.00 $1,255,838.75 $2,546,853.75 300 Amount of Proposed Change Order $9,950.00 $9,950.00 15 Revised Contract Amount $1,300,965.00 $1,255,838.75 $2,556,803.75 315 Original Funds Available for Change Orders $68,000.00 $62,000.00 $130,000.00 Remaining Funds Available for this CO $60,830.00 $44,690.00 $105,520.00 Additional Funding(if necessary) CHANGE ORDERS to DATE(INCLUDING THIS ONE)AS%OF ORIGINAL CONTRACT 1.36% MAXALLOWABLE CONTRACT AMOUNT(ORIGINAL CONTRACT COST+25%) $3,152,967.19 JUSTIFICATION(REASONS)FOR CHANGE ORDER The change order will provide compensation for the removal of existing serverly corroded 8-inch gate valves and the installation of one new 8-inch gate valve at the Lafayette/Sutter Street intersection.The existence of the deteriorated valves was unkown prior beginging construction of the project. Staff concurs wiht the contractor's request for 15 additional calendar days for the change order. `f 3 � 56 7 -� FORT by** --� v o 7 R � N Mary J. Kny" e ,City myfi�R�wo �b y .�XAS ��• Aqyft ` It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents - ent 1 in full(both time and money)for all costs arising out of,or incidental to,the above Change Order. Contractor's Company Name Contractor Name Contractor Signature Date A&M Construction&Utilities Inc. Ab Beltran Inspector Date Project Manager Date Lbci ZC:�- 2-,,ili- Assistant Director()Naret Date Co W(L4on Su ervisor TPWUe t Date Asss m Date Assistant Ci Manager Date Council Action If Required) M&C Number N/A M&C Date Approved O a-ri7 a-r i y City of Fort Worth Change Order Additions Project Name Water and Sanitary Sewer Replacement Contract 2015 WSM-E,Part 1 City Sec No.: 4771 Project No.(s): 59601/59607-0600430!0700430-CO2446-C01783 DOE No.= City Proj.No.: 0244 Project Water and Sanitary Sewer Replacement on Calmont Avenue,Lafayette Avenue,Melbourne Drive,Dexter Avenue and Description Carleton Avenue. Contractor A&M Construction&Utilities,Inc. Change Order:= Date: 4/2 2017 City Project Mgr. Rakesh Chaubey City Inspector F Carlos Vasquez ADDITIONS DEPT Unit __Unit Cost Connect25 o xis ng - Water Main Water 1.00 EA $1,400.00 $1,400.00 4B Remove Existing Gate Valves and fittings La ayette@Sutter ToRF7 Water 1.00 LS $8,550.00 $8,550.00 Water $970.00 Sewer Page 2 of 4 Additions Sub Total $9,950.00 Contract Compliance Manager By signing I acknowledge that I am the person responsible for the monitoring and administration of this contract, including ensuring all performance and reporting requirements. Sign ,tore Name of Employee P2C>-�EC-1 /%tGtiN zE Title FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Contract 2015 WSM-E,Part- 1 PROJECT NUMBER: 2446 DOE NUMBER: 7404 WATER PIPE LAID SIZE TYPE OF PIPE LF PVC 12" PVC 1,144 PVC 8" PVC 7,457 DIP 8" DIP 20 6" PVC 164 FIRE HYDRANTS: 10 ea VALVES(16" OR LARGER) na PIPE ABANDONED SIZE TYPE OF PIPE LF iron 6" iron 9017 DENSITIES: y NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF DIP 8" DIP 1,350 PVC 8" PVC 3868 HDPE 8" HDPE 125 CIPP 6" CIPP 269 PIPE ABANDONED SIZE TYPE OF PIPE LF iron 6" iron 5416 DENSITIES: y NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS . >` The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 s (817)392-7941 •Fax: (817) 392-7845 FORTWORTH. TRANSPORTATION AND PUBLIC WORKS INTER-OFFICE CORRESPONDENCE TO: Those Listed Below FROM: David Rolls DATE: April 19,2017 SUBJECT: FINAL INSPECTION SCHEDULE PROJECT NAME:Water and Sanitary Sewer Replacement Contract 2015 WSM-E, Part 1 CITY PROJECT NO.:02446 DATE OF INSPECTION:April 20,2017 TIME OF INSPECTION:9:00a TYPE OF INSPECTION: Final MEET AT LOCATION: Lafayette&Clover Ln MAPSCO: 75H MAIN SIZE: 8" LARGE METER SIZE: N/A TOTAL FIRE HYDRANTS: 3 FIRE HYDRANT LOCATIONS: (SEE ATTACHED) Cc:Tony Sholola, Program Manager Rakesh Chaubey, Project Manager David Rolls,Senior Inspector Carlos Vasquez, Inspector A&M Construction,Contractor Criado, Consultant Engineer E-mail Distribution: Melinda Adams, PARD Homer Garza,Water Jeffery Ryan,Water Etta Bacy,TPW Cornell Gordon, PARD Tony Salomon,Water Terry Belcher,Water Pedro Hernandez,TPW Robert Sauceda,Water Trudy Brotherton,TPW Raymond Hoffman,TPW Roy Teal,TPW Shane Calfee,TPW James Johnson,Water Mark Tijerina,Water Janet Cavallaro,TPW Darich LeVan,TPW David Townsend,Water Wendy Chi-Babulal,Water Harry Lundvall,Water Ashanti Turner,TPW Luke Coffman,Water Mike Mainord,Water Greg Webb, ITS Jose Cuellar,Water Joe Martinez,Water Marcus Williams, Fire Cody Davis,Water Jerry McDowell, PARD Clinton Wyatt, PARD Rick Davis,Water Riad Nusrallah,TPW Elizabeth Young,TPW Nowzar Dinyarian,Water Allen Patterson,Water Sandra Youngblood, PARD Christy Ezernack,TPW Rudy Puga,Water Najib Fares,TPW Kristoffer Rasmussen, PARD Fire Department Darryl Ruffin,TPW Rev.9/19/16 STATE OF § § COUNTY OF DALLAS § CONTRACTOR'S AFFIDAVIT OF ALL BILLS PAID PROJECT: #02446; 2015 WSM-E, PART 1; WTR & SAN SEW REPL; DOE#7404 Citv of Fort Worth 1000 Throckmorton St. Fort Worth, TX 76102 I, ANTONIO BANDA, am the PRESIDENT and duly authorized representative of the firm of A&M CONSTRUCTION AND UTILITIES INC (Contractor) whose address is 4950 GRISHAM DR. ROWLETT, TX 75088. 1 have been duly sworn by the undersigned Notary Public. I hereby make the following sworn statement under oath: 1. All subcontractors, suppliers, laborers, vendors and lessors of construction equipment that have supplied labor, materials and/or equipment to or for the benefit of Contractor or Project, or who have or might have any rights to make bond claims or file liens in connection with the Project have been paid in full. 2. There are no outstanding claims or liens against the Project or any bonds issued in connection therewith. 3. The Contractor has performed its work, or furnished its materials or equipment, in a good and workmanlike manner, free of defects, and in conformance with all Project requirements. Date: June 14, 2017 ANTONIO BANDA, PRESIDENT 4950 GRISHAM DR. ROWLETT, TX 75088 SUBSCRIBED and SWORN TO before me, the undersigned authority, on this the I s day of J u ru ,2017, certify which witness mThndAnd official seal. JAMES THORN *- Myr Notary IQ#125177912 Y `•;;..o . Expires January 80,2021 Notary Pub i.,_ ih and for the State of Exley My Commission Expires: CONSENT OF SURETY TO FINAL PAYMENT CONTRACT DATE: 1/12/2016 OWNER: CITY OF FORT WORTH CONSTRUCTION CONTRACTOR: A&M CONSTRUCTION & UTILITIES, INC PROJECT: 2015 WSM-E PART 1,PROJECT:2446,DOE 7457 LOCATION (City, County and State): Calmont Ave.Lafayette Ave.Dexter Ave,Melbourne Dr,Carleton Ave In accordance with the provisions of the Contract between the OWNER and CONTRACTOR as included above,the; SURETY NAME: PHILADELPHIA INDEMNITY INSURANCE COMPANY ADDRESS: ONE BALA PLAZA, STE. 100 CITY, STATE and ZIP: BALA CYNWYD, PA 19004 on bond of; CONTRACTOR: A&M CONSTRUCTION AND UTILITIES, INC. ADDRESS: 4950 GRISHAM DR. CITY, STATE and ZIP: ROWLETT,TX 75088 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 to; OWNER: CITY OF FORT WORTH ADDRESS: 1000 THROCKMORTON ST CITY, STATE and ZIP: FORT WORTH,TEXAS 76102 as set forth in the said Surety's bond. IN WITHESS WHEREOF,the Surety has hereunto set its hand on this date: 07/21/2017 Executed By: Philadelphia Indemnity Insurance Company (Sur ) i 107 (Authorized SigrTature) 07/21/2017 (Date) Brent M. Blonigan,Attorney-in-fact _ (Printed name and title) 1836 PHILADELPHIA INDEMNITY INSURANCE COMPANY One Bala Plaza.Suite 100 Bala Cynwyd.PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Debbie Palmer,Kara Pierce,Marci Luse and/or Brent M Blonigan of Grayhawk Insurance Associates,its true and lawful Attorney-in-fact with full authority to execute on its behalf bonds.undertakings.recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed$25.000.000. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 10 of November.2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company: (1) Appoint Attomey(s) in Fact and authorize the Attomey(s) in Fact to execute on behalf of the Company bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto; and (2) to remove, at any time, any such Attorney-in-Fact and revoke the authority given. And.be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power of Attorney or certificate relating thereto by facsimile.and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF.PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 14TM DAY OF NOVEMBER.2016. (Seal) Robert D.O'Leary Jr..President&CEO Philadelphia Indemnity insurance Company On this 140 day of November.2016.before me came the individual who executed the preceding instrument,to me personally known.and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY;that the seal affixed to said instrument is the Corporate seal of said Company;that the said Corporate Seal and his signature were duly affixed. comma W TN Of"14% 1YA71 � xotana�sui Xo�i xnwatE,Rotary PUDl:c tower Me,w Twp.,KOMJ3 rrr Countr Ny rammtrrion Caplres ran.0,2018 .,., .w...... ..�,�,n,� ., Notary Public: e— a 4— residing at: Bala Cvnwvd.PA (Notary Seal) My commission expires: January 8.2018 I.Edward Sayago.Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY.do hereby certify that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto on this 10 day of November.2016 are true and correct and are still in full force and effect.i do further certify that Robert D.O'Leary Jr..who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY. S - i T In Testimom i'have subscribed my name and affixed the facsimile seal of each Company this day of 20n. _ Edward Sayago.Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY IMPORTANT NOTICE ADVISO IMPORTANTE To obtain information or make a complaint: You may Para obener informacion o para someter una queja: call the Surety's toll free telephone number for Usted puede hamar al humero de telefono gratis de information or to make a complaint at: para informacion o para someter una queja al: 1-877-438-7459 1-877-438-7459 You may also write Philadelphia Indemnity Insurance Usted tanbien puede escribir a Philadelphia Company at: Indemnity Insurance Company: One Bala Plaza, Suite 100 One Bala Plaza,Suite 100 Baia Cynwyd, PA 19004 Bala Cynwyd, PA 19004 Attention: Senior Vice President and Attention: Senior Vice President and Director of Surety Director of Surety You may contact the Texas Department of Insurance Puede comunicarse con el Departamento de to obtain information on companies. coverage. rights Seguros de Texas para obtener informacion acerca or complaints at: de 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 Departmento de Seguros de Texas: at: P.O. Box 149104 P.O. Box 149104 Austin, TX 78714-9104 Austin, TX 78714-9104 Fax#512-475-1771 Fax#512-475-1771 Web: http://vjwvi.tdi.state.tx.us Web. http:tlwway.tdl.state.tx.us Email: ConsumerProtection-!�tdi.state.tx.us Email: ConsumerProtection=tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: Should you have DISPUTAS SOBRE PRIMAS O RECLAMOS: Si a dispute concerning your premium or about a claim. tiene una disputa concerniente a su prima o a un you should contact the Surety first. If the dispute is reclamo.debe comunicarse con el Surety primero. Si not resolved. you may contact the Texas Department no se resuelve la disputa, puede entonces of Insurance. comunicarrse con el departamento (TDI)_ ATTACH THIS NOTICE TO YOUR BOND: This UNA ESTE AVISO A SU FIANZA DE GARANTIA.- notice is for information only and does not become a Este aviso es solo para proposito de informacion y part or condition of the attached document. no se convierte en parte o condicion del documento adj unto. FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY n PROJECT INFORMATION Date: 6/23/2017 Name of Contractor Project Name A&M Construction&Utilities Contract 2015 WSM-E,Part-1 DOE Inspector Project Manager Carlos Vasquez/David Rolls Rakesh Chaube DOE NumberProject Difficulty Type of Contract 7404 Simple * Routine 0 Complex Water 0 Waste Water [I Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount $2,522,373.75 $2,546,835.75 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 It 1 Accuracy of Plans to Existing Conditions 3 2 Knowledge of Inspector (k 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities 4 3 AMlicability of Specifications 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution LAPROJECT MANAGER EVALUATION 6 Performance- Setting up Valve Crews,Labs LJ 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availabili of Project Mana er 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments �1 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 INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS w 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 A&M Construction&Utilities Contract 2015 WSM-E,Part-1 Inspector City Project Number Carlos Vasquez 2446 Construction Components Project Manager 0 Water 0 Waste Water ❑ Storm Drainage ❑ Pavement Rakesh Chaubey Initial Contract Amount Project Difficulty $2,522,373.75 0 Simple 0 Routine Complex Final Contract Amount Date $2,556,803.75 4/21/2017 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 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 3 60 45 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 20 20 11 Property Restoration 5 Y 3 20 15 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 401 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 401 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS] * 100%) 401 / 448 = 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 2,oz Contractor Signature r 44 Inspector's Supervisor Signature CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 8851 Camp Bowie West Blvd. •Fort Worth,TX 76116 • (817) 392-8306 IO RT WO RT H rev 03/05/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:8 NAME OF PROJECT: contract 2015 WSM-E,Part 1 PROJECT NO.: #02446 CONTRACTOR: A&M Construction DOE NO.: 7404 PERIOD FROM:04/16/17 TO: 04/20/17 FINAL INSPECTION DATE: 20-Apr-17 WORK ORDER EFFECTIVE:5/23/2016 CONTRACT TIME: 315 0 WD • CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. Sun 0 2• 17. Mon 0 3• 18. Tues 0 4• 19. Wed 0 5. 20. Thurs 0 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. 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