HomeMy WebLinkAboutContract 48876-FP1 FORTWORTH®
--�� •-' r_[M►SECRV
CONT
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
(Developer Projects) i
�FA 3CQ1)A-eeL 1111,9)lq CitV Project : 100770
Regarding contract for HILLWOOD AREA 1 WATER& SANITARY SEWER-PAVING as required by the
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on N/A through
TVI&C N/A the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the
recommendation of the assistant Director of the Transportation&Public Works Department has accepted the project
as complete.
Original Contract Price: $3,175.90
Amount of Approved Change Orders: Ns 1
Revised Contract Amount: $3,175.90
Total Cost Work Completed: $3,175.90
a e/L I
Recommend f Acceptance Date
Asst. Directo , I e fgn-4—nd construction
tJ
11 1?k/r ------
Accepted 0 Date
Director,
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
Asst. City Manager Depart ent of TPW Const. Services I Date
CPN# U����, Dat
Project Manager
Risk Management S. Gatewood I 0— —11 OFFICIAL RECORD
. X&,PJ=-E;L) D.O.E. Brotherton JU—L--12 CITY ' ,1,,. °,d RY
Water V. Gutzier 0- —1 FT.WORTH,TX
DEC 1 2017 CFA Janie Morales/Scanned
k b--it
` _— The Proceeding people have been Contacted concerning the request
for final payment&have released this project for such payment.
FORT VSO RT H
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name HILLWOOD AREA 1 WATER AND SANITARY SEWER
Contract Limits
Project Type PAVING
City Project Numbers 100770
DOE Number 7700
Estimate Number I Payment Number 1 For Period Ending 10/31/2017
CD
City Secretary Contract Number 31077 Contract Time XD
Contract Date 3/27/2017 Days Charged to Date 31
Contract is 100.00 Complete
Project Manager NA
Contractor STRIPE-A-ZONE
2714 W SHERMAN ST
GRAND PRAIRIE, TX 75051
Inspectors LAYER / KINGSMORE
Friday,October 13,2017 Page 1 of 4
�y
City Project Numbers 100770 DOE Number 7700
Contract Name HILLWOOD AREA 1 WATER AND SANITARY SEWER Estimate Number I
Contract Limits Payment Number I
Project Type
PAVING For Period Ending 10/31/2017
Project Funding
PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 4"SLD PVMT MARKING HAS(W) 73 LF $1.50 $109.50 73 $109.50
2 4"SLD PVMT MARKING HAS(Y) 64 LF $1.50 $96.00 64 $96.00
3 REMOVE 8"BRK PVMT MARKING HAS(W) 86 LF $1.08 $92.88 86 $92.88
4 8"BRK PVMT MARKING HAS(W) 48 LF $3.24 $155.52 48 $155.52
5 24"SLD PVMT MARKING HAE(W) 22 LF $13.50 $297.00 22 $297.00
6 LANE LEGEND ARROW 4 EA $150.00 $600.00 4 $600.00
7 REMOVE LANE LEGEND ARROW 1 EA $75.00 $75.00 1 $75.00
8 STOP SIGN RI-1 I EA $550.00 $550.00 1 $550.00
9 SIGN BWAY R3-8 1 EA $500.00 $500.00 1 $500.00
10 DO NOT ENTER R5-I 2 EA $350.00 $700.00 2 $700.00
Sub-Total of Previous Unit $3,175.90 $3,175.90
Friday,October 13,2017 Page 2 of 4
City Project Numbers 100770 DOE Number 7700
Contract Name HILLWOOD AREA 1 WATER AND SANITARY SEWER Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 10/31/2017
Project Funding
Contract Information Summary
Original Contract Amount $3,175.90
Chane Orders
Total Contract Price $3,175.90
` Total Cost of Work Completed $3,175.90
Date Z� 2 JT
Cont actor ~ Less %Retained $0.00
/� Net Earned $3,175.90
Date / - Earned This Period $3,175.90
Inspection Supervisor
/ r Retainage This Period $0.00
�bt✓/ Date /I h ` Less Liquidated Damages
Proje ana er $0.00
t� Days @ /Day
Date LessPavement Deficiency $0.00
AzJDi t r PW-In Z4 „XI Less Penalty $0.00
• r �f, Less Previous Payment $0.00
W• Date I�
Director/Contracting Dc, rtment Plus Material on Hand Less 15% $0.00
Balance Due This Payment $3,175.90
Friday,October 13,2017 Page 3 of 4
City Project Numbers 100770 DOE Number 7700
Contract Name HILLWOOD AREA 1 WATER AND SANITARY SEWER Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 10/31/2017
Project Funding
Project Manager NA City Secretary Contract Number 31077
Inspectors LAYER / KINGSMORE Contract Date 3/27/2017
Contractor STRIPE-A-ZONE Contract Time 30 CD
2714 W SHERMAN ST Days Charged to Date 31 CD
GRAND PRAIRIE, TX 75051 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 $3,175.90
Less %Retained $0.00
Net Earned $3,175.90
Earned This Period $3,175.90
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 $3,175.90
Friday,October 13,2017 Page 4 of 4
Contractor's Affidavit of Payment of Debts and Claims
Document G706
TO OWNER: (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER:❑
Centreport Industrial Bldg. 7, LLC Hillwood Project: 401627
3000 Turtle Creek Blvd. ARCHITECT:❑
Dallas, Texas 75219
CONTRACT FOR:
CONTRACTOR:®
Site Utilities
PROJECT: (Name and address)
Centreport Building 7, Tract 7 SURETY:❑
Centreport Industrial Bldg. 7, LLC
Service Road of SH360 CONTRACT DATED:
Fort Worth, Texas 76155 OTHER:❑
February 20, 2017
STATE OF: TEXAS
COUNTY OF: TARRANT
The undersigned hereby certifies that, except as listed below, payment has been made in full and all obligations have
otherwise been satisfied for all materials and equipment furnished, for all work, labor, and services performed, and for all
known indebtedness and claims against the Contractor for damages arising in any manner in connection with the
performance of the Contract referenced above for which the Owner's property might in any way be held responsible or
encumbered.
EXCEPTIONS:
None
SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address)
1. Consent of Surety to Final Payment. Whenever Surety is Wright Construction Co., Inc.
involved, Consent of Surety is required. 601 W. Wall St., Grapevine, TX 76051
Indicate Attachment:
El ❑ no
BY:
The following supporting documents should be attached (Signat re of authorized representative)
hereto if required by the Owner:
Gary A. Oostveen, Controller
1. Contractor's Release or Waiver of Liens, conditional (Printed name and title)
upon receipt of final payment.
Gary A. Oostveen, Controller, personally appeared before
2. Separate Releases or Waivers of Liens from me, the undersigned notary public, and provided satisfactory
Subcontractors and equipment suppliers, to the extent evidence of identification to be the person who signed this
required by the Owner, accompanied by a list thereof, document in my presence and swore or affirmed to me that
the contents of this document are truthful and accurate to the
3. Contractor's Affidavit of Release of Liens. best of his/her knowledge and belief.
Date: (D— / 8 ?-017
�.� LY7.IL�
N111,� ZINA CHRISTINE GOOLSBY
=r°' Notary Public,State of Texas Notary Public: .�iN1��
Q� Comm. Expires 05-14-2021
Notary ID 3215158 My Commission expires:
CAUTION:You shoo d sign an ngina o i e _ which this text appears in RED.An Original Document assures that changes will not be obscured.
IJ QC P%irn
Bond No. 4409307
OWNER
CONSENT OF SURETY ARCHITECT El
TO FINAL PAYMENT CONTRACTOR ❑
Conforms with the American Institute of SURETY
Architects,AIA Document G707 OTHER ❑
TO OWNER: Centreport Industrial Bldg 7, LLC ARCHITECT'S PROJECT NO.:
(iva ne and address) 3090 Olive Street,Suite 300 CONTRACT FOR:
Dallas,TX 75219 Pavement Markings
PROJECT: City of Fort Worth Community Center CONTRACT DATED:
(Name and address)
March 8,2017
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(Insert name and address of Surety)
SureTec Insurance Company
9737 Great Hills Trail,#320
Austin,TX 78759 SURETY,
on bond of
(Insert name and address of Contractor)
Stripe-A-Zone, Inc.
2714 West Sherman
Grand Prairie,TX 75051
,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 to
(Insert name and address of Owner)
Centreport Industrial Bldg 7, LLC
3090 Olive Street, Suite 300
Dallas,TX 75219 OWNER,
as set forth in said Surety's bond.
IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: October 20,2017
(Insert in writing the month Jbllowed by the numeric date and year.)
SureTec Insurance Company _
(St r)
Attest: (Signaho• of authorized'-presenta ioe)
"J'RA
Pamela J. King,Attorney-in-fact
(Printed name and title)
LMS-12134 10/01
POA#: 4221226
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
Steven Craig Barnett, Morresa L.Shepherd,Judy J. Bauman, Keith Montgomery,Pamela J. King,Stephen Ronald Rose, Michele Tweddle
its true and lawful Attorney-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
Five Million and 00/100 Dollars($5,000,000.00)
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 Attorney-in-Fact may do in the i
premises. Said appointment shall continue in force until 12/31/2019 and is made 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 Attorney(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
Attorney-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 field on 20'h of April,
1999)
In Witness Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,a is corporate seal
to be hereto affixed this 12th day of May ,A.D. 2017 .
��NVIYIRVIp,V SURETEC SURAN C
SVRANCFw,w
tui 9 %to By:
John Knox , resid i
State of Texas ss:
CC
1
County of Harris "
llmN*nN� i
On this 121h 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
;Notary Public,State of Texas
Comm.Expires 05-18-2021
;9.•...• +. Jacq elyn Greenleaf,Notary Public
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. y
Given under my hand and the seal of said Company at Houston, Texas this� day of 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.
SureTec Insurance Company
THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION
Statutory Complaint Notice/Filing of Claims
To obtain information or make a complaint:You may call the Surety's toll free telephone number for information or to make a
complaint or file a claim at: 1-866-732-0099.You may also write to the Surety at:
SureTec Insurance Company
9737 Great Hills Trail, Suite 320
Austin, Tx 78759
You may contact the Texas Department of Insurance to obtain information on companies,coverage,rights or complaints at 1-800-252-
3439.You may write the Texas Department of Insurance at
PO Box 149104
Austin,TX 78714-9104
Fax#: 512-490-1007
Web:http://www.tdi.state.tx.us
Email: ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim,you should contact the
Surety first. If the dispute is not resolved,you may contact the Texas Department of Insurance.
------------------------------------------------------------------------------------------------------------------------------
Texas Rider 06042014 1
FORTWORTHREV:8/20/16
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
n CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Stripe-A-Zone Hillwood Area 1
Inspector City Project Number
Alan Kingsmore 100770
Construction Components Project Manager
❑ Water❑ wastewater[-] Storm DrainageRl Pavement Khal Jaafari
Initial Contract Amount T-pyetDifficulty
$3,175.90 0 Simple Routine 0 Complex
Final ContractAn:ount Date
$3,175.90 10/17/2017
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 4 8 8
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 15 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 3 20 15
TOTAL ELEMENT SCORE(A) 443
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 443
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating([TS/MS] x 100%) 443 / 448 = 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)
Inspector Signature Contractor Signature `l
Inspector's Supervisor Signatures
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 8851 Camp Bowie West Blvd. •Fort Worth,TX 76116 • (817)392-8306
00 RT
WO R REV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 17-6ct-17
Name of Contractor 4illwood-Area
oject Name
Stripe-A-Zone 1
DOE Inspector Project Allanager
Alan Kingsmore Khal Jaafari
DOE Number Project Dculh, Irpe of Contract
100770 0 Simple * Routine Q Complex ❑ water❑ wastewater[:] Storm Drainage Pavement
Initial Contract Amount Final Contract Amount
$3,175.90 1$3,175.90
I1)PERFORMANCE EVALUATION
0-Inade_quate 1 -Deficient 2-Standard 3 -Good 4-Excellent
ELEMENT RATING ELEMENT RATING
(0-4) (0-4)
INSPECTION EVALUATION PLANS& SPECIFICATIONS
1 Availability of Inspector 4f 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 7
-_ -
4 Display Of Professionalism �4 Accuracy of Plan Quantities 7
5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 3
6 Performance- Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution-
ADM-I,NI S-TRATION
esolutionADMINISTRATION 12 Availability of Project Manager 3
1 Change Order Processing Time 3 13 Coinrnunication ?
2 Timliness of Contractor Payments 3 14 Resolution of Utility Conflicts ?
3 Bid Opening to Pre-Con Meeting Timeframe j
III)COMMENTS &SIGNATURES
COMMENTS
Signature Contractor �-
c
Signature DOE Inspector
Signature DOE Inspector's Supervisor ,2�
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
(D The City of Fort Worth• 1000 Throckmorton Street•FortWorth,TX 76012-6311
(817) 392-7941 •Fax: (817)392-7845
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
STATEMENT OF CONTRACT TIME
STATEMENT# 1
FINAL STATEMENT# Final CPN# 1 100770
NAME OF PROJECT: Hillwood Area 1 Contractor Stripe-A-Zone
YEAR: 2017
PROJECT NO.: FINAL INSPECTION DATE 10/6/2017
100770 CD
CONTRACT TIME 30 X
PERIOD FROM: 1 5/30/2017 TO: Ii e1(7/'-CY,C;' - Month DEVELOWIENT y
Beg of Month End of Month
WORK ORDER EFFECTIVE: 5/30/2017 BEG(y) n/a MID(y) n/a 426.7%
LIP YR(y/n)
DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR
CHARGED DAYS CREDITED CHARGED DAYS CREDITED
1 Tue 1 16 Wed 1
2 Wed 1 17 Thu 1
3 Thu 1 18 Fri 1
4 Fri 1 19 Sat 1
5 Sat 1 20 Sun 1
6 Sun 1 21 Mon 1
7 Mon 1 22 Tue 1
8 Tue 1 23 Wed 1
9 Wed 1 24 Thu 1
10 Thu 1 25 Fri 1
11 Fri 1 26 Sat 1
12 Sat 1 27 Sun 1
13 Sun 1 28 Mon 1
14 Mon 1 29
15 Tue 1 30
31
NA Wkn&Hol Wea utl Oth a=add
Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS
HOLIDAYS RELOCATE CHARGED
THIS PERIOD 0 0 0 0 28 28
PREVIOUS PERIOD 0 100 100
TOTAL TO DATE 0 0 0 0 128 128
REMARKS:
STREET: No Work. STREET: No Work STREET: No Work STREET: No Work.
STREET: No Work STREET: No Work. STREET: No Work.
Time used 1.0%
Signature: �� ' Signature:
(Print Name) INSPECTOR(Type Name)
CONTRACTOR DATE -1�-I� INSPECTOR q„ �,� DATE