HomeMy WebLinkAboutContract 48821-FP3 FORT WORTH,
CITY SECRETARY I9
$BRACT NO. J
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
(Developer Projects)
City Project Ns: 100015
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Regarding contract 100015 for DEER MEADOW PHASE 3A 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: ` d $109,156.36
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Amount of Approved Change Orders: y 1 0 Ns
Revised Contract Amount: y
n M c.
Total Cost Work Completed: a $109,156.36
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Recommor Acceptance Date
Asst. Dire , TPW - Development Services
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Accepted b Date
40 Director, TRANSPORTA ON & PUBLIC WORKS
Asst. City anager DateL
Comments: CES OFFICIAL RECORD
R�pR 1 T CITY SECRETARY
FT.WORTH,TX
Rev.9/22/16
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name DEER MEADOW PH 3A
Contract Limits
Project Type PAVING
City Project Numbers 100015
DOE Number 0015
Estimate Number 1 Payment Number 1 For Period Ending 3/15/2018
CD
City Secretary Contract Number Contract Time 18aD
Contract Date Days Charged to Date 323
Project Manager NA Contract is 100.00 Complete
Contractor JLB CONTRACTING,L.L.C.
PO BOX 24131
FORT WORTH, TX 76124-1131
Inspectors LAYER/ SMITH
4��•V
Thursday,March 15,2018 Page 1 of 4
I
City Project Numbers 100015 DOE Number 0015
Contract Name DEER MEADOW PH 3A Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 3/15/2018
Project Funding
PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 6"R.C.STREET PAVEMENT 2677 SY $31.38 $84,004.26 2677 $84,004.26
2 T W1D E CONC SIDEWALK 200 LF $18.45 $3,690.00 200 $3,690.00
3 6"CONC CURB&GUTTER 1510 LF $1.85 $2,793.50 1510 $2,793.50
4 6"LIME STABILIZED SUBGRADE 2945 SY $2.30 $6,773.50 2945 $6,773.50
5 TYPE III BARRICADE 1 EA $842.00 $842.00 1 $842.00
6 HYDRATED LIME 59.95 TN $158.00 $9,472.10 59.95 $9,472.10
7 METAL SIDEWALK CROSS DRAIN 1 EA $1,581.00 $1,581.00 1 $1,581.00
- ------------- ---------------------------
Sub-Total of Previous Unit $109,156.36 $109,156.36
Thursday,March 15,2018 Page 2 of 4
City Project Numbers 100015 DOE Number 0015
Contract Name DEER MEADOW PH 3A Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 3/15/2018
Project Funding
Contract Information Summary
Original Contract Amount $109,156.36
Chanlle Orders
Total Contract Price $109,156.36
Date LI,Z/ Total Cost of Work Completed $109,156.36
Date
Contractor Less %Retained $0.00
Date Net Earned $109,156.36`�c—�c•_ _ 7
Inspection pervisor Earned This Period $109,156.36
Retainage This Period $0.00
Date
Less Liquidated Damages
JProjtanagerDays @ /Day $0.00
Date ' r Y LessPavement Deficiency $0.00
'W n Less Penalty $0.00
Lt/ � Date Less Previous Payment $0.00
Director/ ontracting DepartmePlus Material on Hand Less 15% $0.00
�J Balance Due This Payment $109,156.36
Thursday,March 15,2018 Page 3 of 4
City Project Numbers 100015 DOE Number 0015
Contract Name DEER MEADOW PH 3A Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 3/15/2018
Project Funding
Project Manager NA City Secretary Contract Number
Inspectors LAYER / SMITH Contract Date
Contractor JLB CONTRACTING,L.L.C. Contract Time 180 CD
PO BOX 24131 Days Charged to Date 323 CD
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 $109,156.36
Less %Retained $0.00
Net Earned $109,156.36
Earned This Period $109,156.36
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 $109,156.36
Thursday,March 15,2018 Page 4 of 4
FORTWORTH rev 03/05/07
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO. 1
NAME OF PROJECT: Deer Meadow Phase 3A
PROJECT NO.: 100015 CONTRACTOR: JLB Contracting
DOE NO. N/A
PERIOD FROM 04/10/17 TO: 02/19/18 FINAL INSPECTION DATE: 15-Mar-18
WORK ORDER EFFECTIVE 4/10/2017 CONTRACT TIME 180 o WD o 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 0 323 323
PERIOD
PREVIOUS 0 0 0 0 0 0
PERIOD
TOTALS 0 0 0 0 323 323
TO DATE
"REMARKS
CONTRACTOR DATE INSPECT R DATE
ENGINEERING DEPARTl1ENT
T0he City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TZ 76012-6311
a
(817)392-7941 •Fax: (817)392-7845
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Deer Meadows Phase 3A
PROJECT NUMBER: 100015
DOE NUMBER: N/A
WATER
PIPE LAID SIZE TYPE OF PIPE LF
Water 8" inch SDR-14 PVC 1134 LF
FIRE HYDRANTS: 1 VALVES(16" OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES:
NEW SERVICES:
1" inch copper 540 LF
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Sewer 8" inch SDR-26 PVC 5816 LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES:
NEW SERVICES: 8" inch SDR-26 PVC 3975 LF
TRANSPORTATION AND PUBLIC WORKS
nlAu The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311
FoRTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date: 3/14/2018
Name of Contractor Project Name
JLB Contracting,LLC Deer Meadow Phase 3A
DOE Inspector Project Ntanager
Kedric Smith Gopal Sahu
DOE Number Project Difficulty Tjpe of Contact
100015 P Simple o Routine O Complex ❑ Water ❑ Waste Water ❑ Storm Drainage o Pavement
Initial Contract Amount Final Contract Amount
$109,156.36 $109,156.36
11)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 ?i 1 Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availability of Project Manager 3
1 Change Order Processing Time 3 Communication
2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con Meeting Timeframe -Z/
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor !!KI3
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(D (817)392-7941 •Fax:(817)392-7845
FORTWORTHREV.8/20/16
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
1) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
JLB Contracting,LLC Deer Meadows Phase 3A
Inspector City Project Number
Kedric Smith 100015
Construction Components Project Manager
❑ Water ❑ Waste Water ❑ Storm Drainage o Pavement Gopal Sahu
Initial Contract Amount Project Difficulty
$109,156.36 D Simple o Routine O Complex
Final Contract Amount Date
$109,156.36 3/14/2018
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 1 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 4 20 20
TOTAL ELEMENT SCORE(A) 448
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 448
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums W 448
Rating(ITS/MS] * 100%) 448 / 448 = 100%
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 ANVARDED)
Inspector Signature 9 Contractor Signature
Inspector's Supervisor Signature 1�5
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 8851 Camp Bowie West Blvd. •Fort Worth,TX 76116•(817)392-8306
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
OTHER
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 4598234
PROJECT: City Project#100015 for Deer Meadow Phase 3A, Fort Worth, Texas
(name,address)
TO (Owner)
ARCHITECT'S PROJECT NO:
City of Fort Worth, Texas CONTRACT FOR: Above Project
1000 Throckmorton 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 2nd day of April 2018
WESTFIELD IN&4LN,J9E,COMPANY
Surety Company
By
Signature of thorized Representative
Attest:
(Seal): Kyle W. Sweeney Attorney—in—Fact
Title
Note:This form is intendcd to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition
THIS,POWER OF ATTORNEY SUP ERCEDES ANY PREVIOUS POWER SEARINU 1 H15 SAMt
POWE-R#AND ISSUED PRIOR TO 04120111, 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
• " ' WESTFIELD INSURANCE COMPANY
Corporate �. h,,
a UR �� ,� ()NAL S
Seals �r'Q',y ;C�;� ;ap.�•......•�N,p'.; S�N.U � WESTFIELD NATIONAL INSURANCE COMPANY
Affixed �v,. .os. Q. •GA= ��:' '•.�^ OHIO FARMERS INSURANCE COMPANY
x� to's .y
g N4 Ju 'fro �; ca
SEALCNkRTER�p 3c -
�y,'�r%. .so.� � J z'•, •o �. 1848.`a
State of Ohio ByRichard L. Kinnaird, Jr., 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 N••`�"'""'"•.
Seal A L
Affixed A,Q; /� �''S L
`
•' William J. Kahelin, A rney at Law, Notary Public
State of Ohio N dip My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code)
County of Medina ss.:
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 Attorn7y are
in full force and effect.
In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this ��day of
:�•�asuR.rp�,�; ,.•P.�`0 NA(
$N 8 •'A :N; SEAL :m_ 'o a 3 ��: ! / Secretary
� •'•.�•.�. 1�� :o, ='•.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 and county
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 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;
Deer Meadows — Phase 3A
BY
Sam Davis
President
JLB Contracting, LLC
eJ "
Subscribed and sworn before me on this y of Wvn , 2018.
JAMIE GREENWAY
S' otary Public,State of Texas
^ + Comm. Expires 09-25-2020 N A PUBLIC I AND F R
'q;��� �` Notary ID 1211545-4
T R NT COUNTY, TEXAS
My commission expires ��