HomeMy WebLinkAboutContract 49182-FP2 FORTWORTH, GOCR� ii ff
fttTRACTNU.
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
(Developer Projects)
City Project Ns: 100872
trA 3e-Wifled 1/27118 e6'W-1/fF/,f2
Regarding contract 100872 For PRIMROSE CROSSING PHASE 3C 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 has accepted the project as complete.
Original Contract Price: $412,558.42 ~
Amount of Approved Change Orders: NQ
Revised Contract Amount:
Total Cost Work Completed: $412,558.42
4K�__ '0111
Recommendeptance Date
Asst. Director, - Development Services
Z�ALJ
Accepted 6 Date
Director, TRANSPORTATION & PUBLIC WORKS
Asst. City Manager - Date
Departm nt f TP&W Const.Services
CPN# Date
101i 17 Project Manager
$� Risk Management Canady
1 enters,: D.O.E. Brotherton
co �V CFA Morales/Scanned — l0
\� GutzlerlScanned —t� --I�b OFFICIAL RECORD
The Proceeding people have been Contacted
0� �� concerning the request for final payment& have CITY SECRETARY
��' � j` released this project for such payment. . WPI11 H .
Rev.9/22/16 Clearance Conducted By 04ar 6 9Gnet# ����
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name PRIMROSE CROSSING PHASE 3C
Contract Limits
Project Type PAVING
City Project Numbers 100872
DOE Number 8720
Estimate Number 1 Payment Number 1 For Period Ending 2/9/2018
WD
City Secretary Contract Number 2110872 Contract Time I IWD
Contract Date 5/16/2017 Days Charged to Date 198
Project Manager NA Contract is 100.00 Complete
Contractor JLB CONTRACTING,L.L.C.
PO BOX 24131
FORT WORTH, TX 76124-1131
Inspectors DICKINSON / DIVER
Friday,February 9,2018 Page 1 of 4
City Project Numbers 100872 DOE Number 8720
Contract Name PRIMROSE CROSSING PHASE 3C Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 2/9/2018
Project Funding
UNIT IV:PAVING IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
I HYDRATED LIME(32 LBS/SY) 166 TN $162.50 $26,975.00 166 $26,975.00
2 6"LIME TREATMENT 10354 SY $2.30 $23,814.20 10354 $23,814.20
3 6"CONE PVMT 9707 SY $34.91 $338,871.37 9707 $338,871.37
4 BARRIER FREE RAMP TYPE M-I 1 EA $686.00 $686.00 1 $686.00
5 BARRIER FREE RAMP TYPE P-1 2 EA $686.00 $1,372.00 2 $1,372.00
6 BARRIER FREE RAMP TYPE P-1(X-2) 10 EA $927.00 $9,270.00 10 $9,270.00
7 REMOVE&RELOCATE STANDARD EOR 1 EA $996.00 $996.00 1 $996.00
BARRICADE
8 REMOVE&RELCOATE STANDARD EOR 2 EA $1,440.00 $2,880.00 2 $2,880.00
BARRICADE AND ROCK RIPRAP
9 CONCRETE PAVEMENT HEADER 87 LF $10.15 $883.05 87 $883.05
10 STOP SIGNS 3 EA $268.80 $806.40 3 $806.40
11 STREET NAME BLADE 12 EA $268.80 $3,225.60 12 $3,225.60
12 STREET SIGN POLE 1 EA $305.00 $305.00 1 $305.00
13 REMOVE&RELOCATE STOP SIGN AND 1 EA $573.80 $573.80 1 $573.80
STREET SIGN POLE
14 TRAFFIC CONTROL 1 MO $1,900.00 $1,900.00 1 $1,900.00
Sub-Total of Previous Unit $412,558.42 $412,558.42
Friday,February 9,2018 Page 2 of 4
City Project Numbers 100872 DOE Number 8720
Contract Name PRIMROSE CROSSING PHASE 3C Estimate Number 1
Contract Limits Payment Number I
Project Type PAVING For Period Ending 2/9/2018
Project Funding
Contract Information Summary
Original Contract Amount $412,558.42
Change Orders
Total Contract Price $412,558.42
Date Z // Total Cost of Work Completed $412,558.42
Contractor Less %Retained $0.00
Net Earned $412,558.42
Earned This Period $412,558.42
Inspection Supervisor
l I Retainage This Period $0.00
1G d 1. 011e^Date 7 t Less Liquidated Damages
Proje t anager
Days @ /Day $0.00
Date ��i �/ LessPavement Deficiency $0.00
Asst. 'r or PW tj
Less Penalty $0.00
ate �' Z� �D Less Previous Payment $0.00
Director/Antracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $412,558.42
Friday,February 9,2018 Page 3 of 4
City Project Numbers 100872 DOE Number 8720
Contract Name PRIMROSE CROSSING PHASE 3C Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 2/9/2018
Project Funding
Project Manager NA City Secretary Contract Number 2110872
Inspectors DICKINSON / DIVER Contract Date 5/16/2017
Contractor JLB CONTRACTING,L.L.C. Contract Time 115 WD
PO BOX 24131 Days Charged to Date 198 WD
FORT WORTH, TX 76124-1131 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 $412,558.42
Less %Retained $0.00
Net Earned $412,558.42
Earned This Period $412,558.42
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 $412,558.42
Friday,February 9,2018 Page 4 of 4
FORTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:I
NAME OF PROJECT: Primrose Crossing Phase 3 C
PROJECT NO.: 100872 CONTRACTOR: JLB Contracting LLC
DOE NO.:
PERIOD FROM;07/05/17 TO: 01/19/18 FINAL INSPECTION DATE: 19-Jan-18
WORK ORDER EFFECTIVE:7/5/2017 CONTRACT TIME: 115 WKD 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 198
PERIOD
PREVIOUS
PERIOD
TOTALS 198
TO DATE
*REMARKS:
CONTRACTOR DATE ' INSPaR D TE
ENGINEERING DEPATT
The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
Q9 (817)392-7941 •Fax: (817)392-7845
CONSENT OF OWNER ❑
SURETY COMPANY CHITECT Q
CONTRACTOR
TOR ❑
TO FINAL PAYMENT SURETY ❑
OTHER
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 5063196
PROJECT: Paving for Primrose Crossing, 3C
(name,address)City Project #100872
TO (Owner)
ARCHITECT'S PROJECT NO:
F—City of Fort Worth, Texas CONTRACT FOR: Above Project
1000 Throclu-norton Street
Fort Worth, Texas 76102
CONTRACT DATE:
CONTRACTOR: JLB Contracting, LLC
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) Westfield Insurance Company
555 Republic Drive, Suite 450
Plano, Texas 75074 ,SURETY COMPANY,
on bond of(here insert name and address of Contractor)
JLB Contracting, LLC
P.O. Box 24131 ,CONTRACTOR,
Fort Worth, Texas 76124
hereby approves of the final payment to the Contractor, and agrees that the final payment to the Contractor shall not relieve the
Surety Company of any of its obligations to(here insert name and address of Owner)
City of Fort Worth, Texas
1000 Throcicmorton Street
Fort Worth, Texas 76102 'OWNER'
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 5th day of February 2018
WESTFIELD INSURANCE COMPANY
Surety Company
By
Signature of Au orized Representative
Attest:
(Seal): Kyle W. Sweeney Attorney—in—Fact
Title
Note:This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition
THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARINV I His sAMt
POWER#AND ISSUED PRIOR TO 04120/11, FOR ANY PERSON OR PERSONS NAMED BELOW.
POWER NO. 4220052 06
General Westfield Insurance Co.
Power
of Attorney Westfield National Insurance Co.
Ohio Farmers Insurance Co.
CERTIFIED COPY Westfield Center, Ohio
Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO
FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a "Company' and collectively as 'Companies," duly
organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County, Ohio, do by these
presents make, constitute and appoint
CHARLES D. SWEENEY, MICHAEL A. SWEENEY, KYLE W.SWEENEY, ELIZABETH GRAY, JOINTLY OR SEVERALLY
of FORT WORTH and State of TX its true and lawful Attorney(s)-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- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - --
LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE
GUARANTEE, OR BANK DEPOSITORY BONDS.
and to bind any of the Companies thereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate
seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorneys)-in-Fact may do in
the.premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the
WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY:
"Be It Resolved,that the President, any Senior Executive, any Secretary or any Fidelity& Surety Operations Executive or other Executive 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:
The Attorney-in-Fact. may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and
deliver, any and all bonds, recognizances, contracts, agreements of 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 as binding upon the Company as if signed by the President and sealed and attested by the Corporate Secretary."
"Be it Further Resolved,that the signature of any such designated person and the 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 signatures or facsimile
seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached." (Each adopted at a meeting
held on February 8, 2000).
In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE
COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of
APRIL A.D.,2011 .
•.,,,,a..u,w,a,.. _ ,,.,,u,...,,,., ,,...«u,..,,,,
corporate �.�spgt�ry,, .•��nNAI r �11SU WESTFIELD INSURANCE COMPANY
Seals `r'Q�,.•••'•• .,,L`�t:'•� ,:'aF.••'" lsG:; �• ••••�jC'°,� WESTFIELD NATIONAL INSURANCE COMPANY
Affixed �v; .a. p ;=o; ••..P c �•'• — '•, OHIO FARMERS INSURANCE COMPANY
SEAL z� ERfp- � -
,�?j.'•�••�� jl`S� '�i ,:p; :, 148:
...... , Richard L. Kinnaird, Jr.,State of Ohio National Surety Leader and
County of Medina ss.: Senior Executive
On this 20th day of APRIL A.D.,2011 , before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly
sworn, did depose and say,that he resides-in Medina, Ohio; that he is Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD
NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described in and which executed the above
instrument;that he knows the seals of said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed
by order of the Boards of Directors of said Companies;and that he signed his name thereto by like order.
Notarial
Seal A I-
Affixed AA,,:
•' ^l William J. Kahelin,A rney at Law, Notary Public
State of Ohio =N f. o My Commission Does Not Expire(Sec.147.03 Ohio Revised Code)
County of Medina ss.: ,4 �'�ll
I, Frank A..Carrino, Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS
INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said
Companies,which is still in full force and effect; and furthermore,the resolutions of the Boards of Directors,set out in the Power of Attorney are
in full force and effect.
In Witness Whereof, I have hereunto set my hand and affixed the seals of said Cornpancas. at Westfield Center, Ohio, this f 4, day of
AQ
1 e �U �•`a�,uR.(&� ) P��ONA( VKSuQ,%%'
•.aa.• p r O;
4 N•`.
SEAUV SEAL 17M.1
Secretaty
.••y.�..- Y� :o; s'sfj•��1848 :�? Frank A. Carrino, Secretary
BPOAC2 (combined) (06-02)
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a Notary Public in the state aforesaid, on this day
personally appeared SAM DAVIS, PRESIDENT OF JLB CONTRACTING, LLC, known to me
to be a credible person, who being by me duly sworn, upon his oath disposed and said:
That all persons, firms, associations, corporations or other organizations furnishing labor
and/or materials have been paid in full;
That there are no claims pending for personal injury and/or property damages;
On contract described as Primrose Crossing Phase 3C — City of Fort Worth, Tarrant
County, Texas
JLB CONTRACTING, LLC
BY
President
Subscribed and sworn before me on this y ofQb�L(-C' 2018.
G-9t1916Z1 41 ARION
j UZO7,-9Z-60 sej!dx3 'WWOD
<iexn-L}0 aleiS'O!Ign j AMON
J
I -i�nI�`�dA "% NO RY UBLIC IN AN FOR
,l�MN33a3fWb'f _
T RANI COUNTY, TEXAS
My commission expires 9-25-2020.
FORTWORTH REV:8/20/16
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
JLB Contracting LLC Primrose Crossing Phase 3C
Inspector City Project Number
James Diver 100872
Constnction Components Project Manager
❑ Water❑ Waste Water❑ Storm Drainage❑ Pavement Khal Jaafari
Initial Contact Amount Project Difficulty
$412,558.42 0 Simple Routine 0 Complex
Final Contract Amount Date
$412,558.42 2/13/2018
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 3 20 15
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 4 20 20
13 Project Completion 5 Y 3 20 15
TOTAL ELEMENT SCORE(A) 403
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 403
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating([TS/MS] * 100%) 403 / 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 ` -C-on E ctor Signature
Inspector's Supervisor Signature
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•8851 Camp Bowie West Blvd. •Fort Worth,Thi 76116 • (817)392-8306
FORTWORTHREV:02'22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
n PROJECT INFORMATION Date: 2/13/2018
Name of Contractor Project Name
JLB Contracting LLC Primrose Crossing Phase 3C
DOE Inspector Project Manager
James Diver Khal Jaafari
DOE Number ProjectD culo, T}pe ofCon&act
100872 0 Simple Q Routine 0 Complex ❑ Water❑ Waste Water❑ Storm Drainage[2] Pavement
Initial Contract Amount Final Contract Amount
$412,558.42 1$412,558.42
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 1 Accuracy of Plans to Existing Conditions 3
2 Knowledge of Inspector 2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities 3 Applicability of Specifications -3
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 3
1 Chane Order Processing Time N 3 Communication 3
2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts
3 Bid O enin to Pre-Con Meeting Timeframe N
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor 0
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