HomeMy WebLinkAboutContract 48666-FP3 Department of TP&W Const.Services
;PN# Date
Project Manager . I'lir, 7'-'SC-'1'l T �����0Risk Management Canadv 17.-$-'t'1 1 CITY SECRETARY
D.O.E. Brotherton - '' .►� CONTRACT NO. r P 3
CFA Morales/Scanned 1Z'c1-1
Gutzler/Scanned —�
The Proceeding people have been Contacted
concerning the request for final payment&have •TION AND PUBLIC WORKS
released this project for such payment. PROJECT COMPLETION
eveloper Projects)
Clearance Conducted By 0Amd6 City Project NO: 100484
Regarding contract 100484 for BERKSHIRE LAKE BLVD 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 complete.
Original Contract Price: $266,645.20
Amount of Approved Change Orders: $37,321.50 Ns 1
Revised Contract Amount: $303,966.70
Total Cost Work Completed: $303,966.70
Recomm Acceptance Date
Asst. Dire r, TPW - Development Services
C'X /11.
Accepted Date
Asst. Director, WATER DEPARTMENT
Asst. City Manager Date
P� 12J
c Commeig: CP
s�
OFFICIAL RECORD
3 2018 ' CITY SECRETARY
tit
LSY FT.WORTH,TX
City Project Numbers 100484 DOE Number 0484
Contract Name BERKSHIRE LAKE BLVD Estimate Number 1
Contract Limits Payment Number I
Project Type WATER For Period Ending 1/26/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors LAYER / SAMANIEGO Contract Date
Contractor JACKSON CONSTRUCTION LTD Contract Time 60 CD
5112 SUN VALLEY DRIVE Days Charged to Date 229 CD
FORT WORTH, TX 76119 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 $303,966.70
Less %Retained $0.00
Net Earned $303,966.70
Earned This Period $303,966.70
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 $303,966.70
Friday,January 26,2018 Page 4 of 4
FLIRT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name BERKSHIRE LAKE BLVD
Contract Limits
Project Type WATER
City Project Numbers 100484
DOE Number 0484
Estimate Number 1 Payment Number I For Period Ending 1/26/2018
CD
City Secretary Contract Number Contract Time 6GD
Contract Date Days Charged to Date 229
Project Manager NA Contract is 100.00 Complete
Contractor JACKSON CONSTRUCTION LTD
5112 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors LAYER / SAMANIEGO
Friday,January 26,2018 Page 1 of 4
V
City Project Numbers 100484 DOE Number 0484
Contract Name BERKSHIRE LAKE BLVD Estimate Number I
Contract Limits Payment Number 1
Project Type WATER For Period Ending 1/26/2018
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
----------------------------------------
1 1 1/2"PRIVATE WATER SERVICE 1 EA $1,400.00 $1,400.00 1 $1,400.00
2 2"IRRIGATION SERVICE 1 EA $1,700.00 $1,700.00 1 $1,700.00
3 6"WATER PIPE(5')CO#1 5 EA $2,350.00 $11,750.00 5 $11,750.00
4 8"WATER PPE(5")CO#1 215 LF $35.00 $7,525.00 215 $7,525.00
5 12"WATER PIPE CO#1 3864 LF $49.50 $191,268.00 3864 $191,268.00
6 8"GATE VALVE 2 EA $1,200.00 $2,400.00 2 $2,400.00
7 12"GATE VALVE 6 EA $2,240.00 $13,440.00 6 $13,440.00
8 FIRE HYDRANT 3 EA $4,400.00 $13,200.00 3 $13,200.00
9 36"X 12"TAPPING SLEEVE&VALVE 1 EA $10,000.00 $10,000.00 1 $10,000.00
10 DUCTILE IRON WATER FITTINGS 3 TN $6,000.00 $18,000.00 3 $18,000.00
W/RESTRAINT
11 EXISTING 21"SEWER PIPE CSS BACKFILL 10 LF $134.00 $1,340.00 10 $1,340.00
12 CONCRETE ENCASEMENT FOR UTILITY PIPES 3.6 CY $220.00 $792.00 3.6 $792.00
13 TRENCH SAFETY 4047 LF $0.10 $404.70 4047 $404.70
14 PRESSURE/STERILIZATION TEST 4047 LF $1.00 $4,047.00 4047 $4,047.00
15 DUCTILE IRON FITTINGS CO#1 1.1 TN $6,000.00 $6,600.00 1.1 $6,600.00
16 PRIVATE WATER SERVICE CO#1 1 EA $2,000.00 $2,000.00 1 $2,000.00
17 3"METER BOX CO#1 1 EA $16,400.00 $16,400.00 1 $16,400.00
18 2"IRRIGATION BOX CO#1 1 EA $1,700.00 $1,700.00 1 $1,700.00
----------------------------------------
Sub-Total of Previous Unit $303,966.70 $303,966.70
--------------------------------------
Friday,January 26,2018 Page 2 of 4
City Project Numbers 100484 DOE Number 0484
Contract Name BERKSHIRE LAKE BLVD Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER For Period Ending 1/26/2018
Project Funding
Contract Information Summary
Original Contract Amount $266,645.20
Chance Orders
Change Order Number 1 $37,321.50
Total Contract Price $303,966.70
Total Cost of Work Completed $303,966.70
Contractor Less %Retained $0.00
7AZZ412— Date Z– Net Earned $303,966.70
Inspection Superyor Earned This Period $303,966.70
Z'ZU/rF Retainage This Period $0.00
' Date Less Liquidated Damages
Pro Manager
1 A
Al(�— Date F /V la� LessPavement Deficiency $0.00
Asst. or/TPW-Infrastructure Design and Construction Less Penalty $0.00
Date 3 z Less Previous Payment $0.00
Director/Contracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $303,966.70
Friday,January 26,2018 Page 3 of 4
FORTWORTH rev 03/05/07
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.: 1
NAME OF PROJECT: Berkshire Lake Boulevard
PROJECT NO.: 100484 CONTRACTOR: Jackson
DOE NO.:
PERIOD FROM:06/26/17 TO: 12/15/17 FINAL INSPECTION DATE: 14-Dec-17
WORK ORDER EFFECTIVE:6/26/2017 CONTRACT TIME: 60 0 WD 0 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.
]1. 26.
12. 27.
13. 28.
14. 29.
15. 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES OTHERS* DAYS TOTAL
& HOLIDAYS &TOO COLD- RELOCATIONS CHARGED DAYS
THIS
PERIOD 229
PREVIOUS
PERIOD
TOTALS
TO DATE 229
*REMARKS:
CONTRACTOR DATE INSPECTOR DATE
ENGINEERING DEPARTMENT
(D The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817) 392-7941 •Fax: (817) 392-7845
DEVELOPER-AWARDED-PROJECT CHANGE ORDER
PROJECT NAME: Berkshire Lake Boulevard CHANGE
CONTRACT: A Water.Sewer,Storm Drain ORDER No:
CFA# 2016-121 CITY PARTICIPATION:1 No
CITY PROJECT# 100484
DOE# None
WATER PROJECT# 59601-0600430-1004a4-001580 Al
SEWER PROJECT#
FILE#
INSPECTOR: Unknown Phone No:
PROJECT MANAGER: Fred Ehia Phone No: 817-392-8424
CONTRACT UNIT
1S-266,645.20
SEWER PAVING DR"AGEfMLIGHTS CONTRACT
e per we per we oer DAYS
at Cost Cost ORIGINAL CONTRACT 50.00 S201,S47A0 mmffmEXTRAS TO DATECREDITS TO DATE
CONTRACT TO DATE $0.00 $0.00 5201,547.00 0
AMOUNTOF PROP.CHANGE ORDER $474.00
REVISED CONTRACT AMOUNT 50.00 $0.00 $202,021.00 0
TOTAL REVISED CONTRACT AMOUNTPER UNIT $303,966.70 50.00 50.00 $202.021.00 .00
REVISED COST SHARE Dev.Coat: $505,987.70
TOTAL REVISED CONTRACT $505,987.70
Revised:10.12.2011
Page 1
You are directed to make the followin than es in the contract documents:
CITY BID REM
PAY REM# # QUANTITY UNIT ITEM DESCRIPTION UNIT PRICE TOTAL
1 3311.0010 1.1 TON Ductile Iron Water Fillings w/Restraint $6,000.00 56,600.00
2 3311.0441 7 LF 12"Water Line 549.50 S346.50
3 9999.0023 1 EA Private Water Service 52.000.00 S2,000.00
4 9999.0020 1 EA 3'Meter Box 516,400.00 S16.400.00
5 9999.0021 1 EA 2'Irrigation Box $1,700.00 $1,700.00
6 3341.0201 6 LF 21'RCP,CL III 579.00 5474.00
7 3311.0241 25 LF 6'Water Line 535.00 5675.00
0 3311.0141 4 EA 6'Water Line(S 52,350.00 59.400.00
TOTAL I 537,795.50
REASONS FOR CHANGE ORDER
Pay Nemft1.Z3.AA7 FOrOddifibrUlliedliclion ofwaftrplpe and appurtenances rahvence shoat 7-and 10
Pay Item*2 7LFaclJusmantfaraNgnmentslert3taftIng
Pay Ikon 06 1hM mow mated change In Nnearfeat Reference sheets 29 and 32
Pay Jim#7 SatlRaty sewer slab added forhNura d
evetodmeat Reference sheet 13B
NO CITY FUNDS INVOLVED IN THIS CONTRACT.DEVELOPER IS RESPONSIBLE FOR 100%OF THE CHANGE ORDER COST AND NO
REIMBURSEMENT FROM THE CITY WILL BE SOUGHT BY THE DEVELOPER.
RECOMMENDED: APPROVED: APPROVED:
7, Jack=Jacobs g
Br —LJ�� � Knox Street . � tcsan�i'��Gk+q 1.�
�j� ngBr By: r4LLs.- 1
Name: Blake Bradley Name: Ben Lrledlke Nome: Steve Habershoh
Title• Project Engineer -nge: Executive Vice President TMe; Qn ranmx Manage
Revised 10-12-2011 Page 2
FORTWORTHREV:8/20/16
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
t) CONTRACTOR&PROJECT DATA
Nance of Contractor Project Name
Jackson Construction Berkshire Lake Blvd
Inspector City Project Number
Albert Samaniego 100484
Construction Components Project Manager
R Water o Waste Water o Storm Drainage ❑ Pavement Fred Ehia
Initial Contract Amount Project Difficulty
$266,321.50 D Simple o Routine o Complex
Final Contract Amount Date
$303,966.70 2/1/2018
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 1 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)
III)CONTRACTOR'S RATING TOTAL SCORE(TS) 428
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating([TS/MS] x 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)
Inspector Signature Contractor Signature
Inspector's Supervisor Signature �
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•8851 Camp Bowie West Blvd.•Fort Worth,TK 76116•(817)392-8306
FORTWORTH REV:02'22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: ,2/1/2018
Name of Contractor Project Name
Jackson Construction Berkshire Lake Blvd
DOE Inspector Project Manager
Albert Samaniego Fred Ehia
DOE Number Project Diifjiculty Type of Contract
N/A o Simple o Routine o Complex o Water o Waste Water o Storm Drainage ❑ Pavement
Initial ContractAmount Final Contract Amount
$266,321.50 $303,966.70
In 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
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 i 3 Communication
2 Timliness of Contractor Payments 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
t The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817) 392-7941 •Fax: (817) 392-7845
CONSTRUCTION LTD.
51 12 SUN VALLEY DRIVE
FORT WORTH,TX 76119
TEL:817-572-3303
FAX:817-478-0443
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 Troy L. Jackson,
President Of Jackson Construction, Ltd, 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;
Berkshire Lake Blvd
BY ��,
Troy LI—Jackson, President
Subscribed and sworn before me on this date 6th of February, 2018.
NOt u 1C CARMEN L. ESTEP
yPze`,
Tarrant, Texas _o: . Notary Public,State of Texas
ate:•W, Comm.Expires 04-06-2020
Notary ID 2910611
CONSENT OF SURETY OTNF.R o
TO FINAL PAYMENT
,IV
ADoct n ent G707 CON:TRACTOR
SURETY ]
Bond No. BCD1054920 OT�.R
To OWNER CT'S PROJECT SIC?_:
Pewfie curd addrenvj
City of Fort Worth
1000 Throckmorton Street COlINMACfFOR. Water/Storm Draiange
Fort Worth, TX 76102
PROJECT. CON BRACi DATA:
(1Ycnxe arra adJrr�c�
Berkshire Lake Blvd
It.accordance w th the provisions of the Comma between the Owner and tl~.e Contractor as indimm—d al,)ove,the
f/rasert r:arnedrrd addrenc+Surrry)
The Hanover Insurance Company
440 Lincoln Street
Worcester, MA 01653
on band of SURETY,
f1n.�rz rrarneaxd addrrso{Cont�xctvr}
Jackson Construction, Ltd.
5112 Sun Valley Drive
Fort Worth, TX 76119
CONTRACTOR,
hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall net relieve the Surery of
any of its obligations to
(lawrtxanreand addmw afowvrer}
City of Fort Worth
1000 Throckmorton Street
Fort Worth, TX 76102
[,� ,
as set fEJrcb in said Surety's bond OWNER,
LN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: December 21, 2017
(frrsrtti inualtilWtbenronrafaffouwedhr,riVmmre7 cdak-and rear„
The Hanov surance Company
By.-
Attest: y.-
attest:
{Sea]): I �i Jack M Crowley Attorney-in-Fact
(?rixtea rralve and IIlk)
Surety Phone No. 508-853-7200 x-4476
G707--1994
THE HANOVER INSURANCE COMPANY
MASSACHUSETTS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
POWERS OF ATTORNEY
CERTIFIED COPY
KNOW ALL MEN BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY,both being
corporations organized and existing under the laws of the State of New Hampshire,and CITIZENS INSURANCE COMPANY OF AMERICA,a corporation
organized and existing under the laws of the State of Michigan,do hereby constitute and appoint
Steven R.Foster,.Pack M.Crowley, Patricia A.Smith and/or Marie Perryman
of Dallas,TX and each is a true and lawful Attorney(s)-in-fact to sign,execute,seal,acknowledge and deliver for,and on its behalf,and as its act and deed
any place within the United States,or,if the following line be filled in,only within the area therein designated any and all bonds,recognizances,undertakings,
contracts of indemnity or other writings obligatory in the nature thereof,as follows:
Any such obligations in the United States,not to exceed Thirty Five Million and No/100($35,000,000)in any single instance
and said companies hereby ratify and confirm all and whatsoever said Atiorney(s)-in-fact may lawfully do in the premises by virtue of these presents.
These appointments are made under and by authority of the following Resolution passed by the Board of Directors of said Companies which resolutions
are still in effect:
"RESOLVED,That the President or any Vice President,in conjunction with any Vice President,be and they are hereby authorized and empowered to appoint
Attomeys-in-fact of the Company,in its name and as its acts,to execute and acknowledge for and on its behalf as Surety any and all bonds,recognizances,
contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with power to attach thereto the seal of the Company.Any such
writings so executed by such Attomeys-in-fact shall be as binding upon the Company as if they had been duly executed and acknowledged by the regularly
elected officers of the Company in their own proper persons."(Adopted October 7, 1981 -The Hanover Insurance Company;Adopted April 14, 1982-
Massachusetts Bay insurance Company;Adopted September 7,2001-Citizens Insurance Company of America)
IN WITNESS WHEREOF, THE HANOVER INSURANCE COMPANY, MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE
COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,
this 5th day of December 2011,
W THE HANOVER INSURANCE COMPANY
4
ry,ss4u,,y
w,a s . MASSACHUSETTS.BAY INSURANCE COMPANY
r CITIZENS tNS€1R NCE COMPANY OF AMERICA
E8�I 127
v
RoEvr-i ThDma&Vict President �—
THE COMMONWEALTH OF MASSACHUSETTS
COUNTY OF WORCESTER )ss. Joe*enstrom Vic:Plcsiderl
On this 5th day of December 2011 before me came the above named Vice Presidents of The Hanover insurance Company,Massachusetts Bay Insurance
Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged thatthe
seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens
Insurance Company of America, respectively, and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said
instrument by the authority and direction of said Corporations.
03~°mow 5APEIAPAA.GRP!ICK
s
1 �
'x�l�y=
1.N CAtTrtM>Sica:.�ir
Barbara A.Garlick, Notary Public
My Commission Expires September 21,2018
I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,
hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies,and do hereby further
certify that the said Powers of Attorney are still in force and effect.
This Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of The Hanover Insurance Company,
Massachusetts Bay Insurance Company and Citizens Insurance Company of America.
"RESOLVED,That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed
by the President or any Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all
signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile." (Adopted October 7,1981 -The
Hanover Insurance Company;Adopted April 14,1982-Massachusetts Bay Insurance Company;Adopted September-7,2001-Citizens Insurance Company of
America)
GIVEN under my hand and the seals of said Companies,at Worcester, Massachusetts,this 21st day of December 2017.
THE HANOVER INSURANCE COMPANY
MASSACHUSEITS BAY INSURANCE COMPANY
CITIZENS INSURANCE COMPANY OF AMERICA
r 4
Glenn Margosian, (Vice President