HomeMy WebLinkAboutContract 49862-FP1 FORTWORTH. ' r%RET
CT
ARy
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
((,Developer Projects)
�I26bg City Project Ns: 101063
Regarding contract 101063 for BLUE LAGOON COURT ADDITION as required by the
TRANSPORTATION&PUBLIC WORKS as approved by City Council on N/A through M&C N/A the director
of the TRANSPORTATION&PUBLIC WORKS upon the recommendation of the assistant Director of the
Transportation&Public Works Department bas accepted the project as complete.
Original Contract Price: $58,356.46
Amount of Approved Change Orders: Ns
Revised Contract Amount:
Total Cost Work Completed: $58,356.46
4 4C
Recommecceptance Date
Asst. D' e T W - Development Services
U. 1-J
Accepted Date
Director, TRANSPORTATION & PUBLIC WORKS
sst. City Manager Date
Department of TP&W Const.Services
CPN# �Q(AO a Date
Project Manager — 11
Risk Management Canad OFFICIAL RECORD
Comments: D.O.E. Brotherton
CFA Morales/Scanned CITY SECRETARY
Gutzler/Scanned FT.*WORTH TX
The Proceeding people have been Contacted s
concerning the request for final payment&have
used this project for such payment.
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Rev.9/22/1 clearance Conducted By /wno(a
FORTWQRTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name BLUE LAGOON COURT ADDITION
Contract Limits
Project Type STORM DRAIN
City Project Numbers 101063
DOE Number 1063
Estimate Number 1 Payment Number 1 For Period Ending 1/17/2018
CD
City Secretary Contract Number Contract Time 3aD
Contract Date Days Charged to Date 30
Project Manager NA Contract is 100.00 Complete
Contractor PENNINGTON UTILITY CONSTRUCTION,LLC
13350 EULESS ST
EULESS, TX 76040
Inspectors DICKINSON / WATSON
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Wednesday,January 17,2018 Page 1 of 4
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City Project Numbers 101063 DOE Number 1063
Contract Name BLUE LAGOON COURT ADDITION Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN For Period Ending 1/17/2018
Project Funding
STORM DRAIN
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 REMOVE CONCRETE DRIVEWAY 100 SF $2.90 $290.00 100 $290.00
2 REMOVE ASPHALT PAVEMENT 20 SF $17.50 $350.00 20 $350.00
3 CONNECT 24"RCP TO EXIST CONCRETE Y 1 EA $1,000.00 $1,000.00 1 $1,000.00
INLET
4 24"CL III RCP 118 LF $202.55 $23,900.90 118 $23,900.90
5 18"CL III RCP 54 LF $221.30 $11,950.20 54 $11,950.20
6 4'STORM DRAIN JUNCTION BOX 1 EA $6,500.00 $6,500.00 1 $6,500.00
7 18"SLOPED END TREATMENT 1 EA $1,500.00 $1,500.00 1 $1,500.00
8 12"WATER MAIN LOWERING 1 EA 1
9 CONCRETE DRIVEWAY 100 SF $36.00 $3,600.00 100 $3,600.00
10 ASPHALT STREET PAVEMENT REPAIR 20 SY $131.25 $2,625.00 20 $2,625.00
11 SEEDING,HYDROMULCH 80 SY $2.50 $200.00 80 $200.00
12 TRENCH SAFETY 172 LF $11.63 $2,000.36 172 $2,000.36
13 EROSION CONTROL 1 LS $200.00 $200.00 1 $200.00
14 TRAFFIC CONTROL 1 MO $4,240.00 $4,240.00 1 $4,240.00
Sub-Total of Previous Unit $58,356.46 $58,356.46
Wednesday,January 17,2018 Page 2 of 4
City Project Numbers 101063 DOE Number 1063
Contract Name BLUE LAGOON COURT ADDITION Estimate Number I
Contract Limits Payment Number I
Project Type STORM DRAIN For Period Ending 1/17/2018
Project Funding
Contract Information Summary
Original Contract Amount $58,356.46
Chance Orders
Total Contract Price $58,356.46
Date /� S �(� Total Cost of Work Completed $58,356.46
Contrac ' Less %Retained $0.00
;,
/ �/� Net Earned $58,356.46
Date `"
Inspection Supervisor Earned This Period $58,356.46
Retainage This Period $0.00
I , 14 Date i Z� I
Less Liquidated Damages
Projet anag
�.} v Days @ /Day $0.00
t� Date ` LessPavement Deficiency $0.00
Asst.D W-Iufrasmte 1 4-- Less Penalty $0.00
Less Previous Payment $0.00
Director/Contractin Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $58,356.46
Wednesday,January 17,2018 Page 3 of 4
City Project Numbers 101063 DOE Number 1063
Contract Name BLUE LAGOON COURT ADDITION Estimate Number I
Contract Limits Payment Number 1
Project Type STORM DRAIN For Period Ending 1/17/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors DICKINSON / WATSON Contract Date
Contractor PENNINGTON UTILITY CONSTRUCTION,LLC Contract Time 30 CD
13350 EULESS ST Days Charged to Date 30 CD
EULESS, TX 76040 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 $58,356.46
Less %Retained $0.00
Net Earned $58,356.46
Earned This Period $58,356.46
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 $58,356.46
Wednesday,January 17,2018 Page 4 of 4
FORTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:1
NAME OF PROJECT: Blue Lagoon Court Addition
PROJECT NO.: 101063 CONTRACTOR: Pennington Utility Constructi
DOE NO.: 1063
PERIOD FROM:11/27/17 TO: 01/16/18 FINAL INSPECTION DATE: 16-Jan
WORK ORDER EFFECTIVE:1/16/2018 CONTRACT TIME: 30/CD O WC* CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
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 DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS
THIS 0 0 0 21 30 51
PERIOD
PREVIOUS 0 0 0 0 0 0
PERIOD
TOTALS 0 0 0 21 30 51
TO DATE
*REMARKS:
.s
CONTRACTOR DATE INSPECTOR DATE
ENGINEERING DEPART-2\IENT
r The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TZ 76012-6311
(817)392-7941 •Fat: (817) 392-7845
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FORTWORTHREV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Pennington Utility Construction Storm Drainge
DOE Inspector DOE Number
Donald Watson 101063
DOEInspector Project Manager
❑ Water❑ Waste Water❑✓ Storm Drainage[] Pavement Khal Jaafari
Initial Contract Amount ProjectDiffzculty
$58,356.46 0 Simple Routine 0 Complex
Final Contract Amount Date
$58,356.46 1/17/2018
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 3 60 45
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 4 20 20
13 Project Completion 5 Y 4 20 20
TOTAL ELEMENT SCORE(A) 428
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 428
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating([TS/MS] *100%) 428 / 448 = 96%
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) f
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Signature DOE Inspector Signature Contract
Signature DOE Inspector's Supervisor
CONTRACTOR'S COMMENTS
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_ 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: 1/17/2018
Name of Contractor Project Name
Pennington Utility Construction Blue Lagoon Court Addition
DOE Inspector Project Manager
Donald Watson Khal Jaafari
DOE Number Project Dculty T)pe of Contract
101063 O Simple QQ Routine Q Complex ❑
Fina
$58water E] Waste Water❑ StormDrainag� Pavement
Initial Contract Amount l Contract Amount
$58,356.46 ,356.46
II)PERFORMANCE EVALUATION
0 -Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent
ELEMENT RATING JELEMENT 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 4(' 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 4 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con Meeting Timeframe
III)COMMENTS& SIGNATURES
COMMENTS
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Signature Contractor
Signature DOE Inspector �--
Signature DOE Inspector's Supervisor r
INSPECTOR'S COMMENTS
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TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
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(817)392-7941 •Fax:(817)392-7845
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CNB-25293-00
CONSENT OF OWNER ❑x
ARCHITECT ❑
SURETY COMPANY CONTRACTORSURETY
❑
TO FINAL PAYMENT OTHER ❑
AIA DOCUMENT G707
PROJECT:
(name,address)
TO (Owner)
(—Blue Lagoon Properties and City of Ft.Worth --j ARCHITECT'S PROJECT NO:
4148 Slick Road Chase CnNTRACT FOR-, Court Storm Improvements
Euless,TX 76040
(_ CONTRACT DATE: 9/27/17
CONTRACTOR:
Pennington Utility Construction, LLC
13350 Euless Street
Euless,TX 76040
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
there insert name and address of Surety Company)
Insurors Indemnity Company, PO Box 2683,Waco,TX 76702-2683 , SURETY COMPANY,
on bond of (here insert name and address of Contractor)
Pennington Utility Construction, LLC 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)
Blue Lagoon Properties and City of Fort Worth , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
the Surety Company has hereunto set its hand this 22nd day of January, 2018
Insurors Indemnity Company
Surety Company
Signature of Autho I d iepresentativ
Attest:
(Seal): Attorney-in-Fact
Title
NOTE: This form is to be used as a companion document to AIA DOCUMENT G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT 0,; DEBTS AND
CLAIMS,Current Edition
AIA DOCUMENT C707•CONSENT OF SURETY COMPANY TO FINAL PAYMENT•APRIL 9970 EDITION•ALAS ONE PACE
to 1970•THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE., NW, WASHINGTON, D.C. 20006
tiOE MNIti I.UM PANIIS
POWER OF ATTORNEY of INSURORS INDEMNITY COMPANY
Waco, Texas
KNOW ALL PERSONS BY THESE PRESENTS: Number: CNB-25293-00
That INSURORS INDEMNITY COMPANY, Waco, Texas, organized and existing under the laws of the State of
Texas, and authorized and licensed to do business in the State of Texas and the United States of America, does
hereby make, constitute and appoint
Monica Hernandez of the City of Waco, State of TX
as Attorney in Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and
deliver for and on its behalf as Surety and as its act and deed, all of the following classes of document, to-wit:
Indemnify, Surety and Undertakings that may be desired by contract, or may be given in any action
or proceeding in any court of law or equity: Indemnity in all cases where indemnity may be lawfully
given and with full power and authority to execute consents and waivers to modify or change or
extend any bond or document executed for this Company.
INSURORS INDEMNITY COMPANY
Attest: ;:
Tammy Tiepe'rmO , Secretary`' Dave:ETalbert, President
State of Texas
County of McLennan
On the 11th day of November, 2014, before me a Notary Public in the State of Texas, personally appeared Dave E.
Talbert and Tammy Tieperman,who being by me duly sworn, acknowledged that they executed the above Power of Attorney in
their capacities as President, and Corporate Secretary, respectively, of Insurors Indemnity Company, and acknowledged said
Power of Attomey to be the voluntary act and deed of the �o pany. �C,�
ymy c*"M EV.52 rLlu.� — tPAft sum of e
otary Public, State of Texas nomryr°z?as��
Insurors Indemnity Company certifies that this Power of Attorney is granted under and by authority of the
following resolutions of the Company adopted by the Board of Directors on November 11, 2014:
RESOLVED, that all bonds, undertakings, contracts or other obligations may be executed in the narne of the Company
by persons appointed as Attorney in Fact pursuant to a Power of Attorney issued in accordance with these Resolutions. Said
Power of Attorney shall be executed in the name and on behalf of the Company either by the Chairman and CEO or the
President, under their respective designation. The signature of such officer and the seal of the Company may be affixed by
facsimile to any Power of Attorney, and, unless subsequently revoked and subject to any limitation set forth therein, any such
Power of Attorney or certificate bearing such facsimile signature and seal shall be valid and binding upon the Company and any
such power so executed and certified by facsimile signature and seal shall be valid and binding upon the Company with respect
to any bond or undertaking to which it is validly attached.
RESOLVED, that Attorneys in Fact shall have the power and authority, subject to the terms and limitations of the
Power of Attorney issued to them, to execute and deliver on behalf of the Company and to attach the seal of the Company to
any and all bonds and undertakings, and any such instrument executed by such Attorneys in Fact shall be binding upon the
Company as if signed by an Executive Officer and sealed and attested to by the Secretary or Assistant Secretary of the
Company.
I, Tammy Tieperman, Secretary of Insurors Indemnity Company, do hereby certify that the foregoing is a true excerpt
from the Resolutions of the said Company as adopted by lis Burn'd of Directors on November 11, 2014, and that this Resolution
is in full force and effect. I certify that the foregoing Power of Attorney is iii full force and effect and has not been revoked.
In Witness Whereof, I have set my hand and the seal of INSURORS INDEMNITY COMPANY on this 22nd
day of January
Tarrtrfly Tieperman, Secre a
NOTE: IF YOU HAVE ANY QUESTION REGARDING THE VALIDITY OR WORDING OF THIS POWER OF ATTORNEY,
PLEASE CALL 800 933 7444 OR WRITE TO US AT P, O. BOX 2683,WACO,TEXAS 76702-21383 OR EMAIL US AT
CON FIRMA TION&INS� 0.010,
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 Jeff Maddox, Co-
Owner Of Pennington Utility Construction, LLC, 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 Counci`I`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;
Blue Lagoon
BY
Name or Title
Subscribed and sworn before me on this date of p , )3 ao I
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Notary Public
Tarrant, Texas
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"� COLIN WARREN 4Ii
UB'44Notary Public, State of TexasComm.Expires 08 23 2020Notary ID 130791099s
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