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Contract 48742-FP3
Department 9,f TP &W Const. Services CPN# Date Project Manager " 1"- r�- Risk Management Canad ,� r I `® 1, WORTH O CITY SECRETARY D.O.E. Brotherton CONTRACT NO. 3 CFA Morales/Scanned — `�Y'�'�;""ti jONVIr Gutzler/Scanned !El—l-1:1 The Proceeding people have been Contacted concerning the request for final payment& have TION AND PUBLIC WORKS Q released this project for such payment. PROJECT COMPLE'T'ION Sb 0©©O -- I o 0 O eveloper Projects) Clearance Conducted By pa"A66 qrm i City Project Ns: 100875 Regarding contract 100875 for ATHLOS ACADEMIES E FORT WORTH K-8 CHARTER SCHOOL 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 Department has accepted the project as c 1E Original 1E Original Contract Price: DEC 01 2017y $40,076.00 Amount of Approved Chante Orders: Ne Revised Contract Amount: Total Cost Work Completed: 540,076.00 't p Recorn or Acceptance Gate Asst. Dir to , TPW - ure esign n on Accepted Date Asst. (Director, WATER DEPARTMENT Asst. City Manager Date Comments: OFFICIAL RECORD E11�„cam S te' CITY SECRETARY 2017 FT.WORTH,TX L IV DEC 0.1 2017 (Do -- 1 bbg 77 City Project Numbers 100875 DOE% ""'•_•— DOE Number 0875 Contract Name ATHLOS ACADEMICS Estimate Number I Contract Limits EAST FORT WORTH K-8 CHARTER SCHOOL Payment Number 1 Project Type WATER For Period Ending 8/31/2017 Project Funding Project Manager NA City Secretary Contract Number Inspectors DICKINSON / HORTON Contract Date Contractor MAVERICK UTILITIES Contract Time 65 CD Days Charged to Date 65 CD 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 $40,076.00 Less %Retained $0.00 Net Earned $40,076.00 Earned This Period $40,076.00 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 $40,076.00 Thursday,August 31,2017 Page 4 of 4 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name ATHLOS ACADEMICS Contract Limits EAST FORT WORTH K-8 CHARTER SCHOOL Project Type WATER City Project Numbers 100875 DOE Number 0875 Estimate Number 1 Payment Number 1 For Period Ending 8/31/2017 CD City Secretary Contract Number Contract Time 66D Contract Date Days Charged to Date 65 Project Manager NA Contract is 100.00 Complete Contractor MAVERICK UTILITIES Inspectors DICKINSON / HORTON Thursday,August 31,2017 Page 1 of 4 City Project Numbers 100875 DOE Number 0875 Contract Name ATHLOS ACADEMICS Estimate Number I Contract Limits EAST FORT WORTH K-8 CHARTER SCHOOL Payment Number I Project Type WATER For Period Ending 8/31/2017 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 12"X 6"TAPPING SLEEVE&VALVE I EA $3,941.00 $3,941.00 1 $3,941.00 2 8"X 6"TAPPING SLEEVE&VALVE 1 EA $3,089.00 $3,089.00 1 $3,089.00 3 2"WATER SERVICE 2 EA $3,083.00 $6,166.00 2 $6,166.00 4 6"DOUBLE DETECTOR CHECK VALVE 2 EA $12,458.50 $24,917.00 2 $24,917.00 W/VAULT 5 DUCTILE IRON WATER FITTINGS 1 LS $425.00 $425.00 1 $425.00 W/RESTRAINT 6 REMOVE 6"WATER LINE 1 EA $569.00 $569.00 1 $569.00 7 ASPHALT PVMT REPAIR 179 SF $5.00 $895.00 179 $895.00 8 TRENCH SAFETY 74 LF $1.00 $74.00 74 $74.00 Sub-Total of Previous Unit $40,076.00 $40,076.00 Thursday,August 31,2017 Page 2 of 4 City Project Numbers 100875 DOE Number 0875 Contract Name ATHLOS ACADEMICS Estimate Number 1 Contract Limits EAST FORT WORTH K-8 CHARTER SCHOOL Payment Number I Project Type WATER For Period Ending 8/31/2017 Project Funding Contract Information Summary Original Contract Amount $40,076.00 Change Orders Total Contract Price $40,076.00 �✓/ Date 1 ( Total Cost of Work Completed $40,076.00 Contra q r Less %Retained $0.00 //—/ // �y Net Earned $40,076.00 ate / lnsWnupeis Earned This Period $40,076.00 Aa �� Retainage This Period $0.00 Date Less Liquidated Damages PV er �1� �� Days @ /Day $0.00 Date Ki- LessPavement Deficiency $0.00 As D' to TPW-II g uutlun1�{Cvt� �,qs�} Less Penalty $0.00 / C"'(— Date �z����� RJv T Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $40.076.00 Thursday,August 31,2017 Page 3 of 4 FORTWORTH rev 03/0i/07 TRANSPORTATION & PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.: NAME OF PROJECT: East Fort Worth K-8 Charter School Water Improvements PROJECT NO.: 100875 CONTRACTOR: Maverick Utility DOE NO.: N/A PERIOD FROM 04/03/17 TO: 08 2 '17 FINAL INSPECTION DATE: 25-Au<--17 WORK ORDER EFFECTIVE: CONTRACT TIME: 65 WD 0 CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED DURING DURING CREDITED 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. IL 26. 12. 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO "'ET, UTILITIES DAYS TOTAL & HOLIDAYS & TOO COLD RELOCATIONS OTHERS * CHARGED DAYS THIS PERIOD PREVIOUS PERIOD TOTALS TO DATE 65 *REMARKS: �1 t C NT TOR OXA SPECTOR DATE ENGTNF.F.RINC' Ill"AR'I I'N 1' l'hc'Cit. (A I c,rt Worth • l(ii)(i'l"ihrockmorton Street• Fort Worth,'I"_\ -6012-6311 '8F, 39, -1:41 • Fax: (81,) 392--845 P � III FORTWORTHREV:8120/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Maverick Utility Athlos Academies East Ft Worth K-8 Charter School Inspector City Project Number James Ruiz 100875 Construction Components Project Manager [21 Water ❑Waste Water E]Storm Drainage ❑ Pavement Patrick Buckley Initial Contract Amount Project Difficulty $428,269.00 O Simple Routine Q Complex Final Contract Amount Date $428,269.00 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 3 20 15 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 4 20 20 12 After Hours Response 5 Y 3 20 15 13 Project Completion 5 Y 4 20 20 TOTAL,ELEMENT SCORE(A) 401 BONUS POINTS(25 Maximum)(B) CONTRACTOR'S RATING TOTAL SCORE(TS) 401 III) 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 4076 to<60%=Standard 60%to<80%=Good >_80%=Excellent Inspector's Comments(INCLUDING E LANATION OF BONUS POINTS AWARDED) Inspector Signature Contractor Signature l( 7 Inspector's Supervisor Sign e 7 CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•8851 Camp Bowie West Blvd.•Fort Worth, IX 76116• (817)392-8306 FORTWORTHREV:02/22ro7 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY n PROJECT INFORMATION Date: 9/6/2017 Name of Contractor Project Name Maverick Utility Athlos Academies East Ft Worth K-8 Charter School DOE Inspector Project Manager N/A Patrick Buckley DOE Number Project Difizculty Type of Contract N/A Q Simple QQ Routine O Complex 2 Water ❑Waste Water 7 Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount e $428,269.00 i$428,269.00 I II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING (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 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 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid O !Hina to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor loe INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 -Fax: (817)392-7845 FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Athlos Acedemies E.Fort Worth K-8 Charter Scholl PROJECT NUMBER: 100875 DOE NUMBER: N/A WATER PIPE LAID SIZE TYPE OF PIPE LF N/A N/A N/A N/A FIRE HYDRANTS: N/A VALVES (16" OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF 6"existing water line removed 6" pvc approx.400' DENSITIES: Yes and All Test Passed(On 2" SERVICE LINES) NEW SERVICES: 2" Service line(2) SEWER PIPE LAID SIZE TYPE OF PIPE LF ti PE ABANDONED SIZE TYPE OF PIPE LF DZNSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS ,- The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,Thi 76012-6311 (817)392-7941 •Fax: (817)392-7845 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 Rick Wojciechowski, President Of Parkway C &A, LP, 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; Athlos -Ft. Worth, TX 41 BY Rick Woj4echowski, President Subscribed and sworn before me on this date 16th of kovember, 2017. UM�� 44o� AotaryJ lie Denton County, State of Texas SUZANNE SEMONES Notary Public STATE OF TEXAS y' 1M.�` M Comm 5v ik'u6312,Eb21