HomeMy WebLinkAboutContract 49217-FP1 CITY SECRETARY r
FORT WORT Ho CONTRACT NO.
A;-- TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
City Ptoject Ns: 100632
Regarding contract 49217 for BRICK PAVEMENT REHAB 2017 AT VARIOUS LOCATION as required by the
TRANSPORTATION&PUBLIC WORKS as approved by City Council on 4/4/2017 through M&C C-28166 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 Prices: $337,685.00
Amount of Approved Change Orders: $2,202.75 Ns 1 .-`
Revised Contract Amount: $339,887.75
Total Cost Work Completed: $339,784.86 /
Less Deductions:
Liquidated Damages: Days Q$210.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $339,784.86
Less Previous Pgue
$322,795.62/
Final Payment $16,989.24
Recommended for Acceptcl6ce Date
Asst. Director,TPW - Infra tructure Design and Construction
Accepted Date
Directo, TRANSPORTATIOX PUBLIC WORKS
DePartmen
Assd,g4 Manager CPN# �U�oo�TPw Canst. Service,
"'�'--- -
Comments: Project Alunager Bate
Pisk
�I01J-- ZQ(o 0040'- 00(y 3Z - CA I N 411,1 n.0. an�agement S. Gaa'�,00d C
Fater Brotherton
V. Gutzier �✓�
Received BY CFA Janie Morales/Sca
T/PWProject Support — LZ( need p
Itzel Ai naguer fOhP OCeediag People have been
PaYment&have released thistse;d COnecrnRuY the requyt
Cond
AUG 31'2018 Clearance Pro'ectforsuch payment
�_ ucted$ Etta Bac
m aa 7-7 '
TPW Construction Invoice
Il� t" r�
Contract: CS49217 P.O.# PO-17-00100257 Payment Date: 8/9/2018
TO:C.Green Scaping INV.# CS49217-12 FI MAt_- Estimate No. 12 DOE:
9025 Cardinal Lane ProjManager Tariqul Islam
North Richland Hills TX 76180
FOR: Brick Pavement Rehabilitation 2017 -Da
PA " ict – 000091,55
Contract Amount: $339,887.75
Completed Ret Pen Ado Pay
Total to Date: $339,784.86 $0.00 $0.00 $0.00 $339,784.86
Previous Estimate: $339,784.86 $0.00 $0.00 $0.00 $322,795.62
Earned to Date: $0.00 ($16,989.24) $0.00 $0.00 $16,989.24
Payments:
30100-0200431-5740010-100632-006480-9999 $339,887.75
Orginal: $337,685.00
CO#1: $2,202.75
Total to Date: $339,784.86 $0.00 $0.00 $0.00 $339,784.86
Previous Estimate: $339,784.86 $16,989.24 $0.00 $0.00 $322,795.62
Earned to Date: $0.00 ($16,989.24) $0.00 $0.00 $16,989.24
R PURCHASE ORDER MUST
APPEAR ON INVOICE
I'nnwSportation&Pudic Works
IlUSIMESS SUPPORT GROUP
d At�ritrt A Personieno?)e Number
0MA GUTHEIL X 89 2
lJe rttnent App Mill Signa--1ure(Printed)
OL SUKOVIC X WA8
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Friday,October 5,2018 Page 1 of 1
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Contractor Final Estimate Approval Final-8-Estimate Page 2 of 3
FORT WContractor Final Estimate Approval
Date Started: 8/13/2018 Date Due: 8/27/2018
Invoiced Amount: / j�_
(Amount from $ 16,989.24 1/ Request No.: Final Estimate
Line 8 of C-620)
Project Name: 100632 - Brick Pavement Rehabilitation 2017
Project Number: 100632
Invoice No.:
Reference:
Contractor: Dana Loucks
Discussion:
(Limit 5000)
Approval Status:
Approved: Yes
Comments:
User: Ariel Duarte
Date: 2018-08-13 4:10 PM
Approved: Yes
Comments:
User: Shameka Kennedy
Date: 2018-08-14 7:42 AM
Approved: Yes
Comments:
User: Dana Loucks
Date: 2018-08-14 9:17 AM
Approved: Yes
Comments:
User: Ariel Duarte
Date: 2018-08-14 9:44 AM
Approved: Yes
Comments:
User: Lauren Prieur
Date: 2018-08-16 5:23 PM
https://projeetpoint.buzzsaw.com/ bz_web/Forms/FormPrint.aspx?Siteld=51500&Processl... 8/31/2018
Contractor Final Estimate Approval Final-8-Estimate Page 1 of 3
Routin
Assigned To: TPW AP Reconciliation Due Date: 8/21/2018
Assigned By: Dana Loucks Due Time: 12:23 PM
Links 1
fortworthgov/Infrastructure Proiects/100632- Brick Pavement Rehabilitation 2017/Contractor/Submitted Invoices/Copy
of Coov of C-620 Contractor\'s Unit Price Application for Payment 12 final.xism
Attachments(0)
No Attachments have been added to this form.
https://projectpoint.buzzsaw.com/ bz web/Forms/FonnPrint.aspx?SiteId=51500&ProcessI... 8/31/2018
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 Curtis Green, Vice President, of C. Green
Scaping LP.,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; and
that there are no claims pending for personal injury and/or property damages;
on Contract described as;
Brick Pavement Rehabilitation 2017 at Various Locations
B .
Subscribed and sworn before me on this day of n 2018.
"""" DANA M LOL
,`�PaY°�a'a
__' �%Notary Public.Stas
;1: 'P= Comm.Expires 1
�r' +,� Notar Public in Tarrant Coun Texas
'�.,;�„���` Notary ID 10Y n'�
Liberty
Mutual
SURETY
OWNER
CONSENT OF SURETY ARCHITECT El
TO FINAL PAYMENT CONTRACTOR ❑
Conforms with the American institute of SURETY ❑
Architects,AIA Document G707 OTHER El
TO OWNER: City of Fort Worth ARCHITECT'S PROJECT NO.:
(Name and address) 1000 Throdtmorton Street CONTRACT FOR:
Fort Worth,TX 76102 Brick Pavement Rehabilitation 2017 at Various Locations
PROJECT: City Project No: 100632 CONTRACT DATED:
(Name and address) Fort Worth,TX April 4th,2017
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(Insert name and address of Surety)
Liberty Mutual Insurance Company
175 Berkeley Street,Boston,Massachusetts 02116
,SURETY.
on bond of
(Insert name and address afCona—tor)
C.Green Scaping,LP
2401 Handley Ederville,Fort Worth,TX 76201
,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(Toner)
City of Fort Worth
1000 Throckmorton Street
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: February 23rd,2018
(Insert in unfing the month foflow•ed by the numeric date and year)
Liberty Mutual Insurance Company
r2t.
(Surety)e kylBaffle P, CeSSOr (St to fauthorrzedrepr entattve
INSu�p
JP pRrat�r"y
?` �o om Kylie Kelsoe Attorney in Fact
Y'1912 e; (Printed name and title)
d�as,eH�g�aD
9jy * tev
WS-12134 10)01
THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
ThisPower of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated.
Certificate No 7952723
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duty organized under the laws of the State of Massachusetts. and West American Insurance Company is a corporation duly
organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint,
Kylie Kelsoe;James E.King;Jeff P.King;Rachyl Mullins
all of the city of Denton state of TX each individually if there be more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge
and deliver,for and on its behalf as surety and as its act and deed:any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall
be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 30th day of November 2017
i
Z
The Ohio Casualty Insurance Company
Liberty Mutual Insurance Company c
I U:
1 West merican Insurance Company c
to �
tY x x * �l
e STATE OF PENNSYLVANIA ss David M.Carey;Assistant Secretary
COUNTY OF MONTGOMERY i
_ C
pOn this 30th day of November 2017,before me personally appeared David M Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance v}.
V d Company.The Ohio Casualty Company: and West American Insurance Company, and that he,as such, being authorized so to do,execute the foregoing instrument for the purposes >,u
O therein contained by signing on behalf of the corporations by himself as a duly authorized officer U
N > IN WITNESS WHEREOF.I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written O L
y 3 SP PtiSr COMMONWEALTH OF PENNSYLVANIA Q C
e, Normal Seal O d
Teresa f asteria,Notary Public By: _.
0 ` or Upper MzncnTwp_MontOomary county Teresa Pastella,Notary Public z
` as My Commission Expires March 28,2021 3 0
yr ✓rr„yLV4 G
� qAY PFJ �Membar Pcnnsylvanw Pssoo,ntion of Natarlos CL n
O
C p This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company. Liberty Mutual N C
y" Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: y C
C
cc d ARTICLE IV-OFFICERS-Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O C
m to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, z a
O C acknowledge and deliver as surety any and all undertakings,bonds.recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective ;a
E y' powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so = a
O executed.such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attomey-in-fact under >t
the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. L d
•cc c ARTICLE XIII-Execution of Contracts-SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, E
yes
> d and subject to such limitations as the chairman or the president may prescribe,shall appoint such attomeys-in-fact,as may be necessary to act in behalf of the Company to make,execute, C"
O seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attomeys-in-fact subject to the limitations set forth in their C«
Z c) respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seat of the Company When so 0�
executed such instruments shall be as binding as if signed by the president and attested by the secretary. O cG
Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in- ~
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety
obligations.
Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned, Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
Hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of AttorneY-Ay executed by said Companies,is in full force and effect and
has not been revoked.
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this 12day of 20 .
( 1)9 t By:
19 z
-fy l Renee C.Lle ssistant Secretary
66 of 300
LMS 12873 022017
FORTWORTH.
TRANSPORTATION AND PUBLIC WORKS
STATEMENT OF CONTRACT TIME
STATEMENT#
FINAL STATEMENT# 1 CPN 100632
NAME OF PROJECT: Brick Pavement Rehabilitation 2017 at Various LocationsContractor C.Green Scapin
YEAR: 2018
PROJECT NO.: FINAL INSPECTION DATE 7/20/2018
100632 1 WD CD
CONTRACT TIME 210 1X
PERIOD FROM: 8/1/2018TO: 8/15/2018 BEG - Month nEVEEOPMENT (Y/N)I N
WORK ORDER EFFECTIVE: 1 8/14/2017 BEG I n Y MID /n 69.5%
DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR
CHARGED DAYS CREDITED CHARGED DAYS CREDITED
1 Wed 0 OTH 16
2 Thu 0 OTH 17
3 Fri 0 OTH 18
4 Sat 0 OTH 19
5 Sun 0 OTH 20
6 Mon 0 OTH 21
7 Tue 0 OTH 22
8 Wed 0 OTH 23
9 Thu 0 OTH 24
10 Fri 0 OTH 25
11 Sat 0 OTH 26
12 Sun 0 OTH 27
13 Mon 0 OTH 28
14 Tue 0 OTH 29
15 Wed 0 OTH 30
31
NA Wkn&Hol
Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS
HOLIDAYS RELOCATE CHARGED
THIS PERIOD 0 0 0 0 0
PREVIOUS PERIOD 0 146 146
TOTAL TO DATE 0 0 0 0 146 146
REMARKS:
Signature: �' Signature: F77 ; ^-
(Print Name) Ariel Duarte
CONTRACTO
DATE INSPECTOR DATE 8110/2018
Gutheil, Dana
From: Dana Loucks <dloucks@greenscaping.com>
Sent: Wednesday, October 17, 2018 12:05 PM
To: Gutheil, Dana
Subject: RE: 100632 Brick Pavement Rehab 2017
The last time we were on this job was 1/27/2018. This invoice is for retainage only.
Thanks,
Dana Loucks
From: Gutheil, Dana [mailto:Dana.Gutheil fortworthtexas.gov]
Sent:Tuesday, October 16, 2018 12:44 PM
To: Dana Loucks<dloucks@@greenscaping.com>
Subject: 100632 Brick Pavement Rehab 2017
Hi Dana,
I am processing the final payment but I need to know the invoicing period because all it has is final and I don't want it
kicked back. Please confirm,
Thank you!
Dana Gutheil
Transportation and Public Works
Capital Delivery Fiscal Coordinator
200 Texas St.
Fort Worth, TX 76102
(0) 817-392-8972
Email: Dana.Gutheit@fortworthtexas.gov
City of Fort Worth— Working together to build a strong community.
TORT
10/17/2018 BuySpeed Online
LZMINM�
`"�#r� Bu7speed Online Department Access
NIGP Code Browse I My Account I Customer Service I About Current Organization:CITY OF FORT WORTH October 17,2018 1:19:17 PM CDT
Ev L?:�cu:T3vnts lana Gutheli
Invoice CS49217-12 FINAL Vendor#:0000008098 Vendor Group#:01 Status:41R-Ready for Approval
General Items Subcontractors Accounts Routing Attachments Notes Reminder Change Order Back to PO
Header Information
Invoice Number: CS49217-12 FINAL V/ Invoice Status: 41R-Ready for Approval Invoice Type: 3 way matching
Invoice Description: Auto-generated RPA Invoice Invoice Date: 08/09/2018 ✓ Effect Date: 09/28/2018
Payment Amount: $16,989.24 Handling Code: Payment Date: 10/09/2018
Payment Terms: ACH(DIRECT DEPOSIT) Payment Term Day: 0 Payment 0.0%
Discount:
Paid-Bank/Check: Alternate Id:
Entered By: Dana Gutheil Entered Date: 10/17/2018
Updated By: Dana Gutheil Updated Date: 10/17/2018
Received Date: 08/01/2018 01:04:00 PM
ttach€Y°lent.
Agency Files:
Agency Forms:
Vendor Files:
Vendor Forms:
Purchase Order Information
Purchase order Number: DRPA-19-00009155 PO Description CS49217-100632-2017 Brick
Pave
PO Amount: $16,989.24 Remaining To $0.00 Buyer: Karen Striker
Invoice:
:'oVendor Informatiot
Vendor: 0000008098-C GREEN SCAPING LP Address Grp: 01
Vendor Remit-to remit
Address: 8917 CARDINAL LN
N RICHLAND HILLS,TX 76180
USA
Email: Fed ID: """2913 Remit Text:
DLOUCKS@GREENSCAPING.COM
Phone:(000)000-0000
Id:45757 (EFT Enabled)
Invoice Item#/PO Item#: 1 100632-2017 Brick Pavement-Refunding Retainage-30100-2060000-100632-RETAIN—$16,989.24
PO Permit Invoice Discount% Original Final
Item Status To Pay Amount Pay Amount Pay
3PCR-Complete Receipt $0.00 $16,989.24 0.0% $0.00 Yes
MAKE:
ASSET MODEL:
ASSET MANUF:
ASSET SERIAL:
ASSET VIN:
ASSET TAG:
Event Type Fiscal Year Account Code Transaction Amount
Exp. 18 30100--2060000--100632-RETAIN-- $16,989.24
Enc. 18 30100--2060000--100632-RETAIN-- -$16,989.24
Delete Approver Order Approval Level Approver Date Date Approved/Disapproved/Canceled Comment
Sequence Path Type Requested Approved/Disapproved/Canceled by View
ID
https:Hbso.fortworthtexas.gov/bso/pu rchaseorder/i nvoice/invoiceSu m mary.sdo?vendorld=0000008098&docid=D RPA-19-00009155&releaseNbr=O&do... 1/2
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TPW Construction Invoice
Contract: CS49217 P.O.# PO-17-00100257 Payment Date: 7/31/2018
TO:C.Green Scaping INV.# CS49217-11 EstimateXLI�
I 1 DOE:
9025 Cardinal Lane ProjMan ),Islarn
North Richland Hills TX 76180
FOR: Brick Pavement Rehabilitation 2017
Contract Amount: $339,887.75
Completed Ret Pen Adi Pay
Total to Date: $339,784.86 $16,989.24 $0.00 $0.00 $322,795.62
Previous Estimate: $339,784.86 $16,989.24 $0.00 $0.00 $322,795.62
Earned to Date: $0.00 $0.00 $0.00 $0.00 $0.00
Payments:
30100-0200431-5740010-100632-006480-9999 $339,887.75
OrginaL $337,685.00
C0#1: $2,202.75
Total to Date: $339,784.86 $16,989.24 $0.00 $0.00 $322,795.62
Previous Estimate: $339,784.86 $16,989.24 $0.00 $0.00n21- 2Earned to Date: $0.00 $0.00 $0.00 $0.00 0
Thursday,August 16,2018 Page 1 of 1
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Contractor Partial Payment Request Partial- 011 -Estimate Page 2 of 2
FORTWORTHO Contractor Partial Pay Request
Approval
Date Started: 8/3/2018 Date Due: 8/17/2018
Invoiced Amount:
(Amount from $ 0.00 Request No.: Partial- 011 -Esti
Line 8 of C-620)
Project Name: 100632 - Brick Pavement Rehabilitation 2017
Project Number: 100632
Invoice No.:
Reference:
Contractor: Dana Loucks
Discussion:
(Limit 5000)
Approval Status:
Approved: Yes
Comments:
User: Ariel Duarte
Date: 2018-08-09 7:18 AM
Approved: Yes
Comments:
User: Etta Bacy
Date: 2018-08-09 12:23 PM
Approved: Yes
Comments:
User: Ariel Duarte
Date: 2018-08-10 7:18 AM
Approved: Yes
Comments:
User: Tariqul Islam
Date: 2018-08-10 11:33 AM
https://projectpoint.buzzsaw.com/ bz_web/Forms/FormPrint.aspx?SiteId=51500&ProcessL.. 8/10/2018
Contractor Partial Payment Request Partial- 011 -Estimate Page 1 of 2
Routing
Assigned To: TPW AP Reconciliation Due Date: 8/13/2018
Assigned By: Dana Loucks Due Time: 11:33 AM
Links 1
fortworthgov/Infrastructure Projects/100632 - Brick Pavement Rehabilitation 2017/Contractor/Submitted Invoices/Copy
of C-620 ContractorVs Unit Price Application for Payment 11.xlsm
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