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Contract 47154-FP1
FORTWORTH. -� CITY SECRETARY CONTRACT NO. F TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION C�X -SCAnoo 51ilke City Project Ns: 02120 Regarding contract 02120 for BASSWOOD BLVD &ROBERT W DOWNING ROAD as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on N/A through M&C N/A the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $6,625,127.45 m Amount of Approved Change Orders _� r r r Ns 1 y Revised Contract Amount: 1 t r c $6,625,127.45 rJcJ� r c °' c OE Total Cost Work Completed: 0 , E $6,595,175.07 Q >' Less Deductions: v� �o n. ..o c > -=— Liquidated Damages: c m 0 .c rm Days @$210.00/Day 16. 'Ct N .a L d O Pavement Deficiencies: 06 �j m d 1 Total Deduction Amount: ,~� c r b- c $0.00 O— fE G1 N c '8 *a N V G) CC 41 C1.0 Total Cost Work Completed: o y c c c $6,595,175.07 0 Less Previous Paym nts: 4Z c d O .4 �! $6,265,416.32 m O. f :_ u_ t O Final Payment Due $329,758. 5 Recommended foc ance Date Asst. Director, TP - I frastructure Design and Construction a� ti, LJ, , Fl�/—y Accepted Date i Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT As t . Ci r r2 Dat Co ts: A� OFFICIAL RECORD CITY SECRETARY V , FT.WORTH,TX o. QNP L M6C/ ' m m IL 0 m c rn iq N r r vi vi � M V• �O V V1 N M N 6A £A fA fA fA Y3 69 69 69 b9 69 /�^ 0 ^O bD `viol N a elT = H R a o� U p o e 6 ( Q n q q q Lp N 0 � �O• o i O u o .a J ? 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Contractor Partial Pay Request Approval Date Started: 4/18/2018 - Date Due: 5/2/2018 Invoiced Amount: (Amount from $ 329,758.75 Request No.: Partial- 024 -Esti Line 8 of C-620) Project Name: Basswood Blvd and Robert Downing Road Project Number: 02120 Invoice No.: 21 Reference: Contractor: Sam Davis d Discussion: final estimate (Limit 5000) s — — I Approval Status: - Approved: Yes Comments: User: Mike Glover Date: 2018-04-18 3:20 PM Approved: Yes Comments: User: Etta Bacy Date: 2018-04-18 3:21 PM Approved: Yes Comments: User: Mike Glover Date: 2018-04-18 3:29 PM i Approved: Yes Comments: User: Patrick Buckley Date: 2018-04-20 3:45 PM s 6 t: r v https://projectpoint.buzzsaw.com/ bz web/Forms/FoinWrint.aspx?SiteId=51500&Processl... 4/20/2018 Contractor Partial Payment Request Partial- 024-Estimate Page 1 of 2 Routing Assigned To: Due Date: Assigned By: Due Time: Links 1 Fortworthgov/Infrastructure Proiects/02120- Basswood Blvd and Robert Downing Road/Contractor/Submitted Invoices/Estimate 021/working C-620 Contractor\'s Unit Price Application for Payment 4-18-18 final.xism Attachments(0) No Attachments have been added to this form. https://projeetpoint.buzzsaw.com/ bz web/Forms/ForniPrint.aspx?SiteId=51500&ProcessI... 4/20/2018 /F- V) ® S -I S � } \ I k ` I § ) [ { \ � 6\ \ \ ) U) / ± \ Lo / § \ \ \ ^ M ° Ili C� , / « / A 4 &� ) / ) \ ( { / \ \ / / 2 \ LLJ \ / \ \ ƒ ) \ ƒ ) $ ( 41) \ d ° aD RS / ) E ti \ \ _ \ / / / / \ / 2M § �k / y \ » ) m / \ ) /I § 3 / / ) \ \ k ® \ 2 y f e 8 2 ® % \ j \ \ § j § A a 3 \ 2 e § e / ° } , Z } e � © / } } ) , 2 \ ® \ \ / ` © ° ` G � \ § \ @ \ \ / \ § \ ) \ ( (� / § C) d = = e ® o / R c o e 3 2 § � i # / \ u § \ / r J 2 G ` ) / § { x u e 4 u 0- o o § a & § ° / ) ƒ j\ \ § / § / / ƒ § [ 0 ° 4 § R J N O O O 0 0 0 0 0 0 0 0 O W 0 0 00 w N 0 00 0 0 000 9C M Qty 0000 r @ J O N O t0 O O O O f� O (O Q7 O N N Q N U)to 40 O O N _O N [0 t`h 0 Fa- Q O O N N m N d0 n N co m h N vi N M M M to N M Q M69 A)69 in Jsm V t1f M HJ M f9 Hf Vi 0 0 0 00 0 0 0 0 0 0 c0 O O O O W 000 O O O O O O O U ONO viOO r) n M t0 N M(�O o SII 61 19_O N Q7 m lA Q Q M N N N Q !9 W Vi V3 f9 r vj 69 M E9 f9!9 09 /9 t9 z 19 D tD U)Q U U ww0 >W >mW [TZ WJ m o J }w w >-LL wWM w� Z O= 2 o jhw LU 4�Z(LCCwi J aQ� _a �Q��W� � 5r00 a� OJ LLJV)[n J R Q K > U t-t-J(n U` SSU W Wn.4' z W Jvap ami= �zso z�� O_ a >Z w o O� a U Q O w m r LijNF �OOz �~N,g zW O � �0QwZg U �0p w�w�Ow w wcw7 z •-Lu �wg Z CL tea, O �N g a M W U J Z W w Q r E-w r U Or (W7 Z Z w z UOLUw U � p a z > a ~ QLL } >- w U- LLLLL(n >-}} W J W w>UU-iJ>JJ (A(A(n h G O O O O O N 7 N Z a- M r Q O N "r(O m — -M C'> O Q N N N r N Q N ' (?N Q Z) C a M O N S` tD c0 N M t0<D W W Q Cl)O 1O ._. ~ O Q 1n O N O p O O O m0 -V p M Q O O .- O O N N 0 0 0 O O O O f7 M O O M O W M M M O M M M M M M M Q Q M M dl @ M M M M M M co N N M M m M M M M z U U M C T O � 'O W t M z p 0 G ro W m y 2 w Z O OW > .- N M Q M w n O 01 O �- N d r N M J m R' } >W RRQ z N N r Q a 0 Q N U ZO FW- > trFn i m o ¢ ot m > ° otm W W _ = N H r Z z N � >> a (L _L > U Q a � 6 CC L a) C � L O o ai � U c a m E d a J i m r m ¢ � m z i= r 0 d ro a N � m a m m m � fV m C a � vJ N O U W 7 Ou iv W O o ai < 0 > a m O v m ¢ O m z i= v 0 J N W J z W M LL O r W 7 m 17 N � C d C 6 N W v W p o o m o t w wo m a l7 O z w u ¢ g m 0 K O a H K d m v m E F W z w O m M O 5 3 w N Q Z ui Z C U N J a Z U O ¢ � w of m FO RT WO RT H. TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENT# FINAL STATEMENT# 1 CPN 2120 NAME OF PROJECT: Basswood Blvd.Robert Downing Contractor JLB Contractin j] YEAR:j 2018 PROJECT NO.: FINAL INSPECTION DATE 12/18/17 2120 1 WD CD CONTRACT TIME 463 1 % PERIOD FROM: 4116118 TO: 4130118 MID Month DEVELOPNIEN (1'/N Y WORK ORDER EFFECTIVE: 1/3/2016 BEG(y/n) MID(y/n) Y T 100.0% DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR CHARGED DAYS CREDITED CHARGED DAYS CREDITED 1 Thu 16 Mon 0 OTH 2 Fri 17 Tue 0 OTH 3 Sat 18 Wed 0 OTH 4 Sun 19 Thu 0 OTH 5 Mon 20 Fri 0 OTH 6 Tue 21 Sat 0 OTH 7 Wed 22 Sun 0 OTH 8 Thu 23 Mon 0 OTH 9 Fri 24 Tue 0 OTH 10 Sat 25 Wed 0 OTH 11 Sun 26 Thu 0 OTH 12 Mon 27 Fri 0 OTH 13 Tue 28 Sat 0 OTH L14 Wed 29 Sun 0 OTH 15 Thu 30 Mon 0 OTH 31 Tue NA Wkn&Hol Wea Utl Oth Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGED THIS PERIOD 0 0 0 0 0 PREVIOUS PERIOD 0 463 463 TOTAL TO DATE 1 0 1 0 1 0 0 463 463 REMARKS: s Signature: ___ Signature: 1 u (Print Name) + (j Habte Taezaz CONTRACTOR ^1 DATE Z 71/Z -SPECCOR DATE 4/16/18 FORTWORTH 0" TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Basswood Blvd. and Robert Downing PROJECT NUMBER: 2120 DOE NUMBER: 7529 WATER PIPE LAID SIZE TYPE OF PIPE LF 16" DPI 211 8" PVC 54 FIRE HYDRANTS: N/A VALVES(16" OR LARGER) N/A PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Yes NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF 30" Fiberglass SN 46 233 PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Yes NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS r` The City of Fort Worth•1000 T1rockmorton Street•Fort Worth,TX 76012-6311 r (817)392-7941 •Fax:(817)392-7845 FORTWORTHREV:8/20/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Name of Contractor Project Name JLB Contracting LLC Basswood.And Robert W.Dowining Inspector City Project Number Habte Taezaz 2120 Construction Components Project Manager ❑✓ water ❑� waste water ❑� Storm Drainage Pavement Patric Buckley Initial Contract Amount Project Difficulty $6,625,127.45 0 Simple 0 Routine 0 Complex Final Contract Amount Date $6,595,175.07 25/04/2018 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 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) 438 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 438 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating(ITS/MS] *100%) 438 / 448 = 98% 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 SignatureContractor Signature Inspector's Supervisor Signature CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 8851 Camp Bowie West Blvd. •Fort Worth,TX 76116 •(817)392-8306 S 1 FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: 25/04/2018 - Name of Contractor Project Name JLB Contracting LLC Basswood Blvd,and Robert W.Dowing DOE Inspector Project Manager Habte Taezaz Patric Buckley DOE Number Project Difficulty Type of Contract 2120 0 Simple OQ Routine 0 Complex ❑Q Water 21 Waste Water ❑✓ Storm Drainage 0 Pavement Initial Contract Amount Final Contract Amount $6,625,127.45 $6,595,175.07 I1)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 3 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities 3 3 Applicability of Specifications =R= 4 Display Of Professionalism 3 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution 2PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution 3 ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 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 WORDS The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311 D (817)392-7941 -Fax:(817)392-7845 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; Basswood Boulevard & W. Robert Downing Road City Project 02120 BY Sam Davis President JLB Contracting, LLC Subscribed and sworn before me on thisa day of r I , 2018. �tl NXARY PbUl IC IN AND FOR TARRANT COUNTY, TEXAS My commission expires 01/Dla�aDdp E:MMA J.COLESON A: MY Notary ID#128842939 xaires January 6,2020 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ OTHER (SIMILAR TO AIA DOCUMENT G707) Bond No. 4075949 PROJECT: Paving, Storm Drain& Street Lighting Improvements to Basswood Boulevard & Robert W (name,address)Downing Road, City Project No. 02120 TO (Owner) Fort Worth, Texas ARCHITECTS PROJECT NO: F_City of Fort Worth, Texas CONTRACT FOR: Above Project 200 Texas 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 200 Texas 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 27th day of April 2018 WESTFIELD INSURANCE COMPANY Surety Comp By Signator uthort epresentative Attest: (Seal): Kyle W. Sweeney Attorney—in—Fact Title Note:This form is intended!o be used as a companion document to the Contractors Affidavit of Payment of Debts and Claims,Current Edition THIS:POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING I H15 SAML POWL=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 Attorney(s)-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 . w..a•u,N, „.uua.••a,, „a.uaw Corporate r�•aSUR.(�f"', \\ONA( SU "' WESTFIELD INSURANCE COMPANY Seals Q',..•• •••,�'�p% ,r�a?.••"• !�'sG•; ...... /ijc;� WESTFIELD NATIONAL INSURANCE COMPANY Affixed �v,. .as. t�, c o. p: -�:' '•.�` OHIO FARMERS INSURANCE COMPANY LQ J•. .•9• -��• 4 10 TER�� SEAL m =:O�:��NAR $� - _ _ ar 1848 .-alrV By State of Ohio ........... """"""�••• Richard 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 Seal R\A L Affixed A, F•" ?fes.A_l Ir • William J. Kahelin,A rney at Law, Notary Public State of Ohio =;N d o My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code) County of Medina ss.: y 0 r ., ............." 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 Companias at Westfield Center, Ohio, this 27th day of April •'"wA Df,, 018 tIRONA ' �aS tkc, Qt)%o ..�!4 el act S�e Z. •` ?� N; SEAL cret Seary EAL 's ":.�•,� ::o :,1848 ;'`�_ Frank A. Carrino, Sec{erary i BPOAC2 (combined) (06-02) t i