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Contract 47397-FP1
Department of TPW Const. Services CPN# , Da Project Manager-L1 TWORTH@ Risk Management S.Gatewood CITY SECRETARY D.O.E. Brotherton CONTRACT N0. -4-7S l...L.._f Water V. Gutzier _ CFA Janie Morales/Scanned 'CATION AND PUBLIC WORKS r-q (oo) ,,,G Q ?5-9 9 )F PROJECT COMPLETION a �, Q c The Proceeding people have been Contacted concerning the request Developer Projects) for final payment&have released this project for such payment City ProjectX2: 02589 Clearance Conducted By Etta Bacy _._ e6wq 3 Regarding contract 02589 for BUCEES BLVD,PILGRIM DRIVE& OUTLET 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 ar0D ' j,�7���77 3 2M i Original Contract Price: t $439,749.51 Amount of Approved Change Orders: $14,304.77 Ns 1 Revised Contract Amount: 54,054.28 Total Cost Work Completed: $454,08232 Recommend d f eptance Date Asst. Directo N evelopment Services �fz x/(' Accepted Date Asst. Director, WATER DEPARTMENT rill Asst. City Manager % Date �& �13��aagr�' o,n e . FF . RECORD ETARY °&�° Q P�� IH,1'X I Rev.9/22/16 t D' �� 1r' i� I/JE MAY 0 3 2q C� c71City Project Numbers 02589y:w . .�,.rDOE Number 7467 Contract Name BUCEES BLVD,PILGRAM DRIVE&OUTLET BLVD Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 4/30/2018 Project Funding Project Manager Ehia City Secretary Contract Number 117467 Inspectors RODGERS / MEDELLIN Contract Date Contractor SCOTT DENNETT CONSTRUCTION,INC. Contract Time 305 CD 2808 W.7TH ST.,#B Days Charged to Date 745 CD FORT WORTH, TX 76107 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 $454,082.32 Less %Retained $0.00 Net Earned $454,082.33 Earned This Period $454,082.33 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 $454,082.33 Tuesday,April 24,2018 Page 5 of 5 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name BUCEES BLVD,PILGRAM DRIVE&OUTLET BLVD Contract Limits Project Type WATER&SEWER City Project Numbers 02589 DOE Number 7467 Estimate Number I Payment Number 1 For Period Ending 4/30/2018 CD City Secretary Contract Number 117467 Contract Time 30CD Contract Date Days Charged to Date 745 Project Manager Ehia Contract is 100.00 Complete Contractor SCOTT DENNETT CONSTRUCTION,INC. 2808 W.7TH ST.,#B FORT WORTH, TX 76107 Inspectors RODGERS / MEDELLIN Tuesday,April 24,2018 Page 1 of 5 ez City Project Numbers 02589 DOE Number 7467 Contract Name BUCEES BLVD,PILGRAM DRIVE&OUTLET BLVD Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 4/30/2018 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total -------- -- ------ --------------- ---- --- ---- 1 FITTINGS,TEES AND CROSSINGS 2.13 TN $9,482.64 $20,198.02 2.13 $20,198.02 2 8"PVC WATERLINE(CO Al) 559.5 LF $21.44 $11,995.68 559.5 $11,995.68 3 12"PVC WATERLINE 4149 LF $34.60 $143,555.40 4149 $143,555.40 4 6"GATE VALVE&BOX(CO Al) 2 EA $1,153.21 $2,306.42 2 $2,306.42 5 8"GATE VALVE&BOX(CO Al) 5 EA $1,593.11 $7,965.55 5 $7,965.55 6 12"GATE VALVE&BOX 14 EA $2,592.48 $36,294.72 14 $36,294.72 7 24"X 12"TAPPING SLEEVE&VALVE 1 EA $17,427.54 $17,427.54 1 $17,427.54 8 CONNECT TO EX 12"WATERLINE 2 EA $2,085.66 $4,171.32 2 $4,171.32 9 CONNECT TO EX 24"WATERLINE 1 EA $3,084.76 $3,084.76 1 $3,084.76 10 FIRE HYDRANT ASSEMBLY 1 EA $3,930.53 $3,930.53 1 $3,930.53 11 TRENCH SAFETY(CO Al) 4755.5 LF $0.52 $2,472.86 4755.5 $2,472.86 12 TESTING 4625 LF $0.52 $2,405.00 4625 $2,405.00 13 TESTING(EXCLUDING GEOTECH)(CO Al) 130.5 LF $1.29 $168.35 130.5 $168.35 14 CONCRETE TO EXIT 4"-12"WATER LINE(CO 1 LS $2,250.00 $2,250.00 1 $2,250.00 Al) 15 6"PVC WATER PIPE(CO Al) 19 LF $31.00 $589.00 19 $589.00 16 4"GATE VALVE&BOX 1 EA $1,015.00 $1,015.00 1 $1,015.00 17 DUCT LINE IRON WATER FITTINGS I LS $2,100.00 $2,100.00 1 $2,100.00 W/RESTRAINTS(CO Al) 18 4"PVC WATER PIPE(CO#1) 28 EA $26.00 $728.00 28 $728.00 19 1 1/2"PRIVATE WATER SERVICE(CO#1) 1 LS $2,850.00 $2,850.00 1 $2,850.00 Sub-Total of Previous Unit $265,508.15 $265,508.15 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total -------------- ---- -------- ------------ ------ 1 8"PVC PIPE 2486 LF $21.58 $53,647.88 2486 $53,647.88 2 12"PVC PIPE 986 LF $30.54 $30,112.44 986 $30,112.44 3 ADDITIONAL LINE DEPTH 1948 VF $5.27 $10,265.96 1948 $10,265.96 4 4'MANHOLE 5 EA $4,010.32 $20,051.60 5 $20,051.60 5 5'MANHOLE 6 EA $5,175.46 $31,052.76 6 $31,052.76 6 5'DROP MANHOLE 1 EA $6,744.93 $6,744.93 1 $6,744.93 Tuesday,April 24,2018 Page 2 of 5 City Project Numbers 02589 DOE Number 7467 Contract Name BUCEES BLVD,PILGRAM DRIVE&OUTLET BLVD Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 4/30/2018 Project Funding 7 EXTRA SEPTH MH 80 VF $280.49 $22,439.20 80 $22,439.20 8 CONNECT TO EXIST SS MH 1 EA $4,017.01 $4,017.01 1 $4,017.01 9 TRENCH SAFETY 3472 LF $1.66 $5,763.52 3472 $5,763.52 10 POST CCTV INSPECTION 3472 LF $1.29 $4,478.88 3472 $4,478.88 Sub-Total of Previous Unit $188,574.18 $188,574.18 ------------------------------------------ Tuesday,April 24,2018 Page 3 of 5 City Project Numbers 02589 DOE Number 7467 Contract Name BUCEES BLVD,PILGRAM DRIVE&OUTLET BLVD Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 4/30/2018 Project Funding Contract Information Summary Original Contract Amount $439,749.51 Chance Orders Change Order Number 1 $14,304.77 j 1 Total Contract Price $454,082.32 Date JJC' Total Cost of Work Completed $454,082.32 Contr�or Less %Retained $0.00 9f Net Earned $454,082.33 ate I p ction upervi Earned This Period $454,082.33 ^ Retainage This Period $0.00 Date 5 -3 I Less Liquidated Damages Project ger Days @ /Day $0.00 Date 7 G LessPavement Deficiency $0.00 Asst.Dire : / W /Infrastructure Design and Constru ion Less Penalty $0.00 AMCw L Date Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $454,082.33 Tuesday,April 24,2018 Page 4 of 5 DEVELOPER-AWARDED-PROJECT CHANGE ORDER PROJECT NAME: Bucees Blvd,Pil rim Drive,&Outlet Blvd CHANGE CONTRACT: Water,Sewer,Paving,Drainage,Street Lights ORDER No: CFA# 2015-071 CITY PARTICIPATION: NO CITY PROJECT# 02589 DOE# 7467 WATER PROJECT# P265-6071502589-00 Al SEWER PROJECT I P275-7071302589-00 FILE# INSPECTOR: Jimmy Raines Phone No: 2145433255 PROJECT MANAGER: Fred Ehia,P.E. Phone No: 817-392-8525 CONTRACT UNIT WATER SEWER PAVING DRAINAGE STREET LIGHTS CONTRACT DAYS Developer Developer Cost Citv Cost Develo er cost City Cost Developer Cost city Cost Developer Cost City Cost Cost Citv Cost ORIGINAL CONTRACT $251,180.26 $188,569.25 $1,057,554.66 $2,967,487.12 $230,703.00 EXTRAS TO DATE CREDITS TO DATE CONTRACT TO DATE $251,180.26 $0.00 $188,569.25 $0.00 $1,057,554.66 $0.00 $2,967,487.12 $0.00 $230,703.00 $0.00 0 AMOUNT OF PROP.CHANGE ORDER $14,304.77 $219,682.66 $103,787.85 REVISED CONTRACT AMOUNT $265,485.03 1 $0.00 $188,569.25 $0.00 $1,277,237.32 $0.00 $2,863,69927 $0.00 $230,703.00 1 $0.00 0 TOTAL REVISED CONTRACT AMOUNT PER UNIT $265,485.03 $188,569.25 $1,277,237.32 $2,863,699.27 $230,703.00 REVISED COST SHARE Dev.Cost $4,825,693.87 City Cost: $0.00 TOTAL REVISED CONTRACT $4,825,693.87 Revised:10.12-2011 Page 1 You are directed to make the followingthan es in the contract documents: CIN BID REM PAY ITEM# # QUANTITY I UNIT ITEM DESCRIPTION UNIT PRICE TOTAL 3137.0101 -2,150 SY ROCK RIPRAP $42.59 ($91,568.50) 9999.0005 -1 EA CONCRETE ENERGY DISSIPATOR $6,914.39 ($6,914.39) 3213.0103 -22864 SY 8"REINFORCED CONCRETE STREET PVMT $45.63 ($1,047,857.12 3341.0602 -108 LF 60"R.C.P $221.08 ($23,876.64) 3341.0409 108 LF 48"R.C.P. $171.96 $18,571.68 NEW LINE ITEM 3211.0502 22971 BY 6"LIME-STABILIZED SUBGRADE $11.44 $262,788.24 NEW LINE ITEM 3213.0102 22971 SY 7"REINFORCE CONCRETE STREET PVMT $43.74 $1,004,751.54 NEW LINE ITEM 3312.0117 1 LS I CONNECT TO EXISTING 4"-12"WATERLINE $2,250.00 $2,250.00 311.0261 83.5 LF 1 8"PVC WATERLINE $21.44 $1,79024 NEW LINE ITEM 3311.0141 1 19 LF 6"WATER PIPE $31.00 $589.00 NEW LINE ITEM 3311.0061 28 LF 4"PVC WATER PIPE $26.00 $728.00 NEW LINE ITEM 3312.3001 1 EA 4"GATE VALVE&BOX $1,015.00 $1,015.00 3312.3002 1 EA 6"GATE VALVE&BOX $1,153.21 $1,153.21 3312.3003 1 EA 8"GATE VALVE&BOX $1,593.11 $1,593.11 NEW UNE ITEM 3311.0001 1 LS' DUCTILE IRON WATER FITTINGS W/RESTRAINT $2,100.00 $2,100.00 3305.0109 130.5 LF TRENCH SAFETY $0.52 1 $67.86 9999.0004 130.5 LF TESTING EXCLUDING_GEOTEC $1.29 $168.35 NEW LINE ITEM 2212.2104 1 LS 1 1!2"PRIVATE WATER SERVICE $2,850.00 $2.850.00 TOTAL $130,199.58 REASONS FOR CHANGE ORDER -Rock riprep and concrete energy dissipator will be installed by TxDOT after SBFR construction is complete. -Driveway addition to Lot 1 Block 11 -Storm Lateral C9(originally 60"R.C.P.)was revised to a 48"R.C.P.to avoid existing gas lines -Pavement section was revsied to reduce thickness of concrete to 7 inches,and include 8 inches of lime-stablized subgrade -Water service was revised to provide service based on revised lot lines -Irrigation tap was added to 12"water line at Outlet&Pilgrim 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: A.-PROVED: o Roanoke' /";1_`^Cwsu Services ino. /1 4 LP�1 �- ���\\\),,,5559D Ag Denneit Constr�uc5on BYart `A .Q.,� �--�-BY• 51tame: David M.PaScher Name: IJP� t W� 6'r`V l ww'gel Mame: Nacshau Sharp Title:CIVIL DESfGNEP. Tale: TrOe: ProjectManager Revised:10-12-2011 Page 2 Jimmy Raines From: Pitcher, David <David.Pitcher@stantec.com> Sent: Monday, April 02, 2018 9:57 AM To: Jimmy Raines Cc: Wilson, Kylon Subject: Bucees, Pilgrim, &Outlet Timeline Jim, We are aware that the original duration of the construction of the public infrastructure at Bucees Blvd, Pilgrim Dr, and Outlet Blvd at Champions Circle was scheduled to be 305 days. We would like to inform you and the City of Fort Worth that although the construction has extended past 700 days, there have been no liquidated damages during the construction process. Thanks again, Civil Designer Direct: (469)329-3659 Mobile: (214)801-4936 Stantec Consulting Services Inc. 12222 Merit Drive Suite 400 Dallas TX 75251-2268 US The content of this email is the confidential property of Stantec and should not be copied,modified,retransmitted,or used for any purpose except with Stantec's written authorization.If you are not the intended recipient,please delete all copies and notify us immediately. 1 -AIA Ou Document G707TM - 1994 Consent Of Surety to Final Payment Bond No: PB11509800745 PROJECT:(Name and address) ARCHITECT'S PROJECT NUMBER: OWNER: Bucees Blvd.,Pilgrim Drive and Outlet Blvd. ARCHITECT:E] Project#02589 CONTRACTOR: Fort Worth,TX CONTRACT FOR:Scott Dennett SURETY:❑ Construction,LC ❑ TO OWNER:(Name and address) CONTRACT DATED:October 8,2015 OTHER: Roanoke 35/114 Partners,LP 201 Main Street,Suite 3100 Fort Worth,TX 76102 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (Insert name and address of Surety) Philadelphia Indemnity Insurance Company One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004 on bond of SURETY, (Insert name and address of Contractor) Scott Dennett Construction,LC 2313 Cullen Street Fort Worth,TX 76107 ,CONTRACTOR, hereby approves of the final payment to the Contractor,and agrees that final payment to the Contractor shall not relieve the Surety of any of its obligations to (Insert name and address of Owner) Roanoke 35/114 Partners,LP 201 Main Street,Suite 3100 Fort Worth,TX 76102 OWNER, as set forth in said Surety's bond. IN WITNESS WHEREOF,the Surety has hereunto set its hand on this date: January 18, 2018 (Insert in writing the month followed by the numeric date and year.) Philadelphia Indemnity Insurance Company (Surety) f (Signature ofauthorized representative) Attest: L�'� Tom Young, Attorney-in-Fact (Seal): (Printed name and title) AIA Document G707——1994.Copyright®1982 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIA' Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA°Document,or any portion of it, 1 may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 10:24:19 on 01118/2018 under Order No.6759246117 which expires on 07/31/2018,and is not for resale. User Notes: (3B9ADA41) 4611 PHILADELPIIIA INDEMNITY INSURANCE COMPANY Bond No: PB11509800745 One Bala Plaza,Suite 100 Bala Cynwyd,PA 19004-0950 Power of Attorney KNOW ALL PERSONS BY THESE PRESENTS:That PHILADELPHIA INDEMNITY INSURANCE COMPANY(the Company),a corporation organized and existing under the laws of the Commonwealth of Pennsylvania,does hereby constitute and appoint Jared Young,Fred A.Thetford,Jr.,Tobin Tucker,Tom Young and/or Fred A.Thetford,III of Contract Bond Agency,LLC.,its true and lawful Attorney-in-fact with full authority to execute on its behalf bonds,undertakings, recognizances and other contracts of indemnity and writings obligatory in the nature thereof,issued in the course of its business and to bind the Company thereby,in an amount not to exceed 525,000,000. This Power of Attorney is granted and is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Board of Directors of PHILADELPHIA INDEMNITY INSURANCE COMPANY on the 14"'of November,2016. RESOLVED: That the Board of Directors hereby authorizes the President or any Vice President of the Company: (1) Appoint Attorney(s) in Fact and authorize the Attomey(s) in Fact to execute on behalf of the Company bonds and undertakings,contracts of indemnity and other writings obligatory in the nature thereof and to attach the seal of the Company thereto, and (2) to remove, at any time, any such Attorney-in-Fact and revoke the authority given. And,be it FURTHER RESOLVED: That the signatures of such officers and the seal of the Company may be affixed to any such Power ofAttorney or certificate relating thereto by facsimile,and any such Power of Attorney so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. IN TESTIMONY WHEREOF, PHILADELPHIA INDEMNITY INSURANCE COMPANY HAS CAUSED THIS INSTRUMENT TO BE SIGNED AND ITS CORPORATE SEALTO BE AFFIXED BY ITS AUTHORIZED OFFICE THIS 14""DAY OF NOVEMBER,2016. : (Seal) Robert D.O'Leary Jr.,President&CEO Philadelphia Indemnity Insurance Company On this 14`h day of November,2016,before me came the individual who executed the preceding instrument,to me personally known,and being by me duly sworn said that he is the therein described and authorized officer of the PHILADELPHIA INDEMNITY INSURANCE COMPANY.that the seal affixed to said instrument is the Corporate seal of said Company,that the said Corporate Seal and his signature were duly affixed. COMMONWEA TN OF PENNMV U Notarial Sul Nora Howero,Nntat'y Pub}!c lower Merlon Twp,,MontOomory County My Commission Expires W.5,2018 �r..<.,...... �y,a.o Notary Public: residing at: Bala Cvmvyd,PA (Notary Seal) My commission expires: January 8 2018 1,Edward Sayago,Corporate Secretary of PHILADELPHIA INDEMNITY INSURANCE COMPANY,do hereby certify that the foregoing resolution of the Board of Directors and this Power of Attorney issued pursuant thereto on this 14"day of November,2016 are true and correct and are still in full force and effect.I do further certify that Robert D.O'Leary Jr.,who executed the Power of Attorney as President,was on the date of execution of the attached Power of Attorney the duly elected President of PHILADELPHIA INDEMNITY INSURANCE COMPANY, In Testimony Whereof I have subscribed my name and affixed the facsimile seal of each Company this 18th day of January 20 18 :57 Edward Edward Sayago,Corporate Secretary PHILADELPHIA INDEMNITY INSURANCE COMPANY AIA Document G706ATM - 1994 Contractor's Affidavit of Release of Liens PROJECT: (Name and address) ARCHITECT'S PROJECT NUMBER: OWNER: ❑ Bucees Blvd,Pilgrim Drive&Outlet Blvd ARCHITECT: ❑ Fort Worth,TX CONTRACT FOR:General CONTRACTOR: ❑ Construction TO OWNER: (Name and address) CONTRACT DATED:October 08,2015 SURETY: ❑ Roanoke 35/114 Partners,L.P. OTHER: ❑ 201 Main Street,Suite 3100 Fort Worth,TX 76102 STATE OF: Texas COUNTY OF: Tarrant The undersigned hereby certifies that to the best of the undersigned's knowledge,information and belief, except as listed below,the Releases or Waivers of Lien attached hereto include the Contractor,all Subcontractors,all suppliers of materials and equipment,and all performers of Work,labor or services who have or may have liens or encumbrances or the right to assert liens or encumbrances against any property of the Owner arising in any manner out of the performance of the Contract referenced above. EXCEPTIONS: Draw 16,dated 12/29/2017,in the amount of$277,033.86. SUPPORTING DOCUMENTS ATTACHED HERETO: CONTRACTOR: (Name and address) 1. Contractor's Release or Waiver of Liens, Scott Dennett Construction,L. . conditional upon receipt of final payment. 2313 Cullen Street Fort Worth,TX 76107 2. Separate Releases or Waivers of Liens from BY: Subcontractors and material and equipment (Sr,"a4weof authorized suppliers,to the extent required by the Owner, representative) accompanied by a list thereof. Scott Dennett,President (Printed name and title) Subscribed and sworn to before me on this date: I?✓O I Zol N6Ary Public:Janelle McElyea My Commission Expires:August 21,2018 JANELLE NiCELYEA ; 1� = Notary Public,State of Texas >•./\:h_ My Commission Expires August 21, 2018 AIA Document G706ATM—1994.Copyright©1982 and 1994 by The American Institute of Architects.All rights reserved.WARNING:This AIA,, Document is protected by U.S.Copyright Law and International Treaties.Unauthorized reproduction or distribution of this AIA"' Document,or any portion of it, 1 may result in severe civil and criminal penalties,and will be prosecuted to the maximum extent possible under the law.This document was produced by AIA software at 17:42:21 on 01/30/2018 under Order No.6759246117 which expires on 07/31/2018,and is not for resale. User Notes: (369ADA46) CO E N N E TT 2313 Cullen Street (817)882-9420 Office CONSTRUCTION Fort Worth,TX 76107 (817) 882-9424 Fax CONDITIONAL WAIVER AND RELEASE ON FINAL PAYMENT Project:Bucees Pilgrim Outlet Owner: Roanoke 35/114 Partners, LP Job No.: 15185 Contract For: Scott Dennett Construction, LC 1. On receipt by the signer of this document of a check from Roanoke 35/114 Partners, LP (maker of check) in the sum of$277,033.86 payable to Scott Dennett Construction, LC (payee or payees of check) and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any mechanic's lien right, any right arising from a payment bond that complies with a state or federal statute, any common law payment bond right, any claim for payment, and any rights under any similar ordinance, rule, or statute related to claim or payment rights for persons in the signer's position that the signer has on the property of Roanoke 35/114 Partners, LP (owner) located at 201 Main St. Suite 3100, Ft Worth, TX 76102 (location) to the following extent: (job description). 2. This release covers the final payment to the signer for all labor, services, equipment, or materials furnished to the property or to Scott Dennett Construction, LC (person with whom signer contracted). 3. Before any recipient of this document relies on this document, the recipient should verify evidence of payment to the signer. 4. The signer warrants that the signer has already paid or will use the funds received from this final payment to promptly pay in full all of the signer's laborers, subcontractors, material men, and suppliers for all work, materials, equipment, or services provided for or to the above referenced project up to the date of this waiver and release. Date: 2-01-2018 Scott Dennett Construction, LC (Comps , Name) By: Printed Name: Geri Little Title: Accountant STATE OF TEXAS § COUNTY OF Tarrant § This instrument was acknowledged before me on this 01 day of February 20 18 , by Shawn D Massey (name) Sr. Accountant Oob title of Scott Dennett Construction, LC (company name). SHAWN MASSEY : ;Notary Pubic.State ot7sXesoe�- Ooff-e� Co nm.Expires 07-17-2021 Nota u tc, ate of Tex Notary ID 12627901-6 dnn FORTWORTHREV:02/22'0' TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 19/04/2018 Name of Contractor Project Name Scott Dennett Construction,LC Champions Circle Bucees Blvd,Pilgrim Drive& Outlet Blvd. DOE Inspector Project Manager Habte Taezaz Ehia,Fred DOE Number I Project Difficulty Type of Contract 2589 io Simple QQ Routine O Complex Q water ❑✓ wastewater ❑ Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount $439,749.51 1$454,082.32 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2- Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING INSPECTION EVALUATION PLANS& SPECIFICATIONS 1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector c4 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities 13 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 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 ? The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817) 392-7941 •Fax: (817) 392-7845 FORTWORTHREV:8/20/16 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR n CONTRACTOR&PROJECT DATA Name of Contractor Project Name Scott Dennet Construction LC Champions Circle Bucees Blvd,Pilgrim Drive&Outlet Blvd. Inspector City Project Number Habte Taezaz 2589 Construction Components Project Manager Q Water Q Waste Water ❑ Storm Drainage ❑ Pavement Ehia,Fred Initial Contract Amount Project Difficulty $439,749.51 0 Simple Routine 0 Complex Final Contract Amount Date $454,082.32 19/04/2018 In 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 II1)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating(ITS/MSI *100%) 438 / 448 = 98% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >80%=Excell t Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) P Inspector Signature L- A Contractor Signature Inspector's Supervisor Signature 9���;C;Z;0001 CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•8851 Camp Bowie West Blvd.•Fort Worth,TX 76116 • (817)392-8306 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Champions Circle Bucees Blvd.,Pilgrim Drive&Outlet Blvd. PROJECT NUMBER: 2589 DOE NUMBER: 7467 WATER PIPE LAID SIZE TYPE OF PIPE LF 12" PVC 4149 8" PVC 559.5 6" PVC 19 4" PVC 28 FIRE HYDRANTS: 1 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 8" PVC 2486 12" PVC 986 PIPE ABANDONED SIZE TYPE OF PIPE LF N/A DENSITIES: Yes NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 a (817)392-7941 •Fax: (817) 392-7845 FORTWORTH, TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENT# FINAL STATEMENT# 1 CPN 2589 NAME OF PROJECT: Champions Cicle Bucees Blvd,Pilgrim Drive and Outlet Blvd. Contractor Scott Dennett LC YEAR:j 2018 PROJECT NO.: FINAL INSPECTION DATE 3115118 2589 WD CD CONTRA�TIME3051 1 g PERIOD FROM: 4116118 TO: 4130118 MID - Month JDFVELOPMEY WORK ORDER EFFECTIVE: 03/01/2016 BEG�V/n) MID t t n'p Y 244.3% DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR CHARGED DAYS CREDITED CHARGED DAYS CREDITED 1 Thu 16 Fro 0 OTH 2 Fri 17 Sat 0 OTH 3 Sat 18 Sur 0 OTH 4 Sun 19 Mon 0 OTH 5 1 Mon 20 Tue 0 OTH 6 Tue 21 Wed 0 OTH 7 Wed 22 Thu 0 OTH 8 Thu 23 Fri 0 OTH 9 Fri 24 Sat 0 OTH 10 Sat 25 Sun 0 OTH 11 Sun 26 Mon 0 OTH 12 Mon 27 Tue 0 OTH 13 Tue 28 Wed 0 OTH 14 Wed 29 Thu 0 OTH 15 Thu 30 Fri 0 OTH 31 Sat 0 OTH CdA Wkn B.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 0 745 745 TOTAL TO DATE 0 0 0 0 745 745 REMARKS: r Signature: Signature: 10 (Print Nam o Habte Taezaz CONTRACTOR- r M DATE INSPECTOR DATE 4/16118 City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 02589 Contract Name BUCEES BLVD,PILGRAM DRIVE&OUTLET BLVD DOE Number 7467 Contract Limits Estimate Number 1 Project Type WATER&SEWER Payment Number 1 Control Number 746701 For Period Ending / / Contract: 117467 Contract Date Contract Tim 305 CD Inspectors RODGERS / -- Days Charged to Date� _ CD Date Prepared by Inspector ��!—QiL//�� Contract is;/'Q %Complete Construction ID: 10620 Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity Quanity for Month Quanity ------------ --- WATER — ---- --------- 1 FITTINGS,TEES AND 2.13 TN $9,482.64 CROSSINGS -�� -- - 2 8"PVC WATERLINE t P 476 LF $21.44 - - 3 -3 12"PVC WATERLINE 4149 LF $34.60 r ° 4 6"GATE VALVE&BOX +1, �I EA $1,153.21 t,: 71 2, -�5 8"GATE VALVE&BOX-{- 1ILJ EA $1;593.11 79 5�_S� 6 12"GATE VALVE&BOX 14 EA $2,592.48 7 24"X 12"TAPPING SLEEVE& 1 EA $17,427.54 VALVE _ I 17,,Y2-7--5f 17 If Z-7_514, 8 CONNECT TO EX 12" 2i EA $2,085.66 WATERLINE 9 CONNECT TO EX 24" 1' EA $3,084.76 WATERLINE 10 FIRE HYDRANT ASSEMBLY 11 EA $3,930.53 11 TRENCH SAFETY-I-1Z, �_ LF S0.52 �I / 12 TESTING 4625 LF S0.52 a e 1t i -�, i�i cs� .x�.t!�.I Vt& Y�4_Tu: 3 6's a- -w i•z r 3�.5 I.2 168 ILJ y"-lfWNiEiL,NE 1 LS :stimated Total This Unit 8g-2g— r• w t5 "?Yc wA, - !9 ' - 31 _`�' ' —=ice k6—'-L�•�;+` �F. ���k t �+;- � I a�": ,- -- - -----i --Ire`- -� 1 5 - =SL 1-7 -C>UCT ►raE I-xc)t- wA;�'EZ r,s, l{" pVC N/ATZ:!(Z. f1pi Tues&Ly,April 102018 s r SSD Pagel r tq - IyZ plz ✓l City of Fort Worth Inspector's Estimate Worksheet City Project Numbers 02589 Contract Name BUCEES BLVD, PILGRAM DRIVE&OUTLET BLVD DOE Number 7467 Contract Limits Estimate Number 1 Project Type WATER&SEWER Payment Number 1 Construction ID: 10621 Item Description of Items Estimated Uni Unit Cost Previous Quanity Completed Total Cost No. Quanity Quanity for Month Quanity ————————————————— SEWER 1 8"PVC PIPE 2486 LF $21.58 5 j 6 7. / 2 12"PVC PIPE 986 LF $30:54- 3 ADDITIONAL LINE DEPTH 1948 VF $5.27 q r 10 o 4 4'MANHOLE 5 EA $4,010.32 5 5'MANHOLE 6 EA $5,175.46 (� (o l-75 u,_ p �� 6 5'DROP MANHOLE 1 EA $6,744.93 7 EXTRA SEPTH MH 80 VF $280.49 3, ,D/ 8 CONNECT TO EXIST SS MH 1 EA $4,017.01 i.�l 0 i y ,d 7 I�3 9 TRENCH SAFETY 3472 LF $1.66 3 10 POST CCTV INSPECTION 3472 LF $1.29 3 u 72- ;stimated Total This Unit $7�5 Completed Total This Unit ———————————— Total Itemized Amount(Including Change Order —$439;7-4:50- .Z � k I L---DATE f 5 Total Cost of Work Completed r Inspector Less e'" %Retained _ Net Earned _G1 S;-raj ass . 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