HomeMy WebLinkAboutContract 46804-FP2ram
L Vpa`nm v� .quo Ow--�----v w u
-onsts
_ -
CPN## ■
Project tanager JONO
Risk Management Canadv\J
D.O.E. Brotherton
CFA Westerman/Scanned S-,L 1 11 1
Esteban Perez/Scanned erTh; 1
The Proceeding people have been Contacted
concerning the request for final payment & have ATION AND PUBLIC WORKS5-q11__oreleased this project for such payment.
�0
Clearance Conducted By aunt& Sze*
tT WORTH
rF PROJECT COMPLETION
CITY SECRETARY'`�,-
CONTRACT NO. Lit - � oTh
*DOE 7364
City Project Ns: 02417
CSielf Weal/
Regarding contract 117366 for 7TH AVE IMPROVEMENTS 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 project
accepted the
as complete.
Original Contract Price:
Amount of Approved Change Orders:
Revised Contract Amount:
Total Cost Work Completed:
irec.ka
Developer Projects)
iZr�"r
• *eel!
.
'i ti'VFEB 2 7 2017
lay
Recommended for Acceptance
Asst. Director, TPW - Infrastructure Design and Construction
Accepted
Asst. Director, WATER DEPARTMENT flJa//fl�
Asst. City Manager
2MA ILED
MAR t 2017
$100,844.00
($7,206.40) N(2 1
$93,637.60
$93,637.60
Date
Z/0307--
Date
Date
•
OFFICIAL RECORD
CITY SECRETARY
Ft WORTH, TX '
PQL95--- o 4-11 `7
Rev. 9/22/16
`��I5vI5u v �
FEB 21 2017.
By
City Project Numbers 02417 DOE Number 7366
Contract Name 7TH AVE IMPROVEMENTS Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 1/18/2017
Project Funding
Project Manager Long City Secretary Contract Number 117366
Inspectors LAYER / HOUSTON Contract Date
Contractor TRI DAL EXCAVATION & UTILITIES INC Contract Time 229 CD
540 COMMERCE ST Days Charged to Date 497 CD
SOUTHLAKE, TX 76092 Contract is .000000 Complete
Line Fund Account Center
CITY OF FORT WORTH
SUMMARY OF CHARGES
Amount
Funded
Gross
Retainage Net
Total Cost of Work Completed $93,637.60
Less % Retained $0.00
Net Earned $93,637.60
Earned This Period $93,637.60
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$0.00
$0.00
$0.00
$0.00
$0.00
$93,637.60
Thursday, January 19, 2017 Page 4 of 4
pa cis- o n
5i(pb1- Cc1P7
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name 7TH AVE IMPROVEMENTS
Contract Limits
Project Type WATER & SEWER
City Project Numbers 02417
DOE Number 7366
Estimate Number 1 Payment Number 1 For Period Ending 1/18/2017
CD
City Secretary Contract Number 117366 Contract Time 22OD
Contract Date Days Charged to Date 497
Project Manager Long Contract is 100.00 Complete
Contractor TRI DAL EXCAVATION & UTILITIES INC
540 COMMERCE ST
SOUTHLAKE , TX 76092
Inspectors LAYER / HOUSTON
Thursday, January 19, 2017 Page 1 of 4
City Project Numbers 02417
DOE Number 7366
Contract Name 7TH AVE IMPROVEMENTS Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 1/18/2017
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
I REMOVE6"WATER LINE 9 LF $115.00 $1,035.00 9 $1,035.00
3 REMOVE 6" WATER LINE 1 EA $485.00 $485.00 1 $485.00
5 SALVAGE FIRE HYDRANT I EA $990.00 $990.00 1 $990.00
6 TRENCH SAFETY 268 LF $4.00 $1,072.00 268 $1,072.00
7 DUCTILE IRON WATER FITTINGS 1.5 TN $5,810.00 $8,715.00 1.5 $8,715.00
W/RESTRAINT
8 6" WATER PIPE
9 12" WATER PIPE
10 FIRE HYDRANT
11 CONNECTION TO EXISTING 4"-12" WATER
MAIN
14 6" GATE VALVE
15 8" GATE VALVE
16 12" GATE VALVE
17 2" WATER SERVICE CO#1
18 2" WATER ABOUND PLUG CO#1
19 2" WATER METER CO#1
20 WATER LINE GROUTING CO#1
21 1" WATER SERVICE CO/11
6 LF $78.00 $468.00 6 $468.00
223 LF $129.00 $28,767.00 223 $28,767.00
1 EA $4,120.00 $4,120.00 1 $4,120.00
2 EA $2,120.00 $4,240.00 2 $4,240.00
1 EA
1 EA
4 EA
1 EA
1 EA
1 EA
172 CY
2 EA
$1,350.00
$1,730.00
$3,340.00
$4,435.00
$1,355.00
$1,850.00
$61.05
$3,970.00
$1,350.00
$1,730.00
$13,360.00
$4,435.00
$1,355.00
$1,850.00
$10,500.60
$7,940.00
1 $1,350.00
1 $1,730.00
4 $13,360.00
1 $4,435.00
1 $1,355.00
1 $1,850.00
172 $10,500.60
2 $7,940.00
Sub -Total of Previous Unit
SEWER
$92,412.60 $92,412.60
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 MANHOLE ADJUSTMENT
1 EA $1,225.00 $1,225.00 1 $1,225.00
Sub -Total of Previous Unit
$1,225.00 $1,225.00
Thursday, January 19, 2017 Page 2 of 4
City Project Numbers 02417
DOE Number 7366
Contract Name 7TH AVE IMPROVEMENTS Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER & SEWER For Period Ending 1/18/2017
Project Funding
Contract Information Summary
Original Contract Amount
Chance Orders
Date
Date
Inspection Su ry
'
L j
! Date s"
Project Manager L
$100,844.00
Change Order Number 1 ($7,206.40)
z/%i7
2M7
7
b4 04 Date -7/ 17
Asst. DiTector/TPW - Infrastructure Design and onstruction
e l�� t_
Director / Contracting Department
Date Ziggif?
1 't
Total Contract Price $93,637.60
Total Cost of Work Completed $93,637.60
Less % Retained $0.00
Net Earned $93,637.60
Earned This Period $93,637.60
Retainage This Period $0.00
Less Liquidated Damages
Days @ / 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 $93,637.60
Thursday, January 19, 2017 Page 3 of 4
FORT WORTH
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO. 1
NAME OF PROJECT: 7th Ave Improvements
PROJECT NO.: 02417
PERIOD FROM 07/13/15 TO: 11/30/16
WORK ORDER E1414ECTIVE 7/13/2015
DAY OF
MONTH
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
THIS
PERIOD
PREVIOUS
PERIOD
TOTALS 0
TO DATE
*REMARKS:
CHARGED
DAYS REASON FOR D
CREDITED
DURING
SAT, SUN,
& HOLIDAYS
0
RAIN, TOO WET,
& TOO COLD
0
0 0
0
CONTRACTOR:
DOE NO.
FINAL INSPECTION DATE: 11-Jan-17
CONTRACT TIME
DAYS
AYS MOYNIDAH CHARGED
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
UTILITIES
RELOCATIONS
0
0
0
DURING
OTHERS *
0
0
0
DATE 1NSI'ECTO
ENGINEERING DEPARTMENT
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
rev 03/05/07
Tri - Dal Utilities, Ltd
7366
229 O WD OO CD
REASON FOR DAYS
CREDITED
DAYS TOTAL
CHARGED DAYS
497 497
0 0
497 497
j-ice / 7
DATE
PROJECT NAME:
CONTRACT:
CFA #
CITY PROJECT #
DOE #
WATER PROJECT #
SEWER PROJECT #
FILE #
INSPECTOR:
PROJECT MANAGER:
ORIGINAL CONTRACT
EXTRAS TO DATE
CREDITS TO DATE
CONTRACT TO DATE
AMOUNT OF PROP, CHANGE ORDER
REVISED CONTRACT AMOUNT
TOTAL REVISED CONTRACT AMOUNT
PER UNIT
REVISED COST SHARE
TOTAL REVISED CONTRACT
Revised: 10-12-2011
DEVELOPER -AWARDED -PROJECT CHANGE ORDER
7th Avenue Paving Improvements
(A) Water. (B) Paving, (C) Drainage
2015-042
2417
7366
P265-602150241783
P275-709130241783
K-2337
Garey Houston
Aaron Long
WATER
Developer
Cost
$99,619.00
$0.00
$0.00
$99,619.00
($7,206.40)
$92,412.60
City Cost
$92.412.60
Dev. Cost;
$0.00
Developer
Cost
CITY PARTICIPATION:
Phone No:
Phone No:
SEWER
$1,226.00
$0.00
$0.00
$1,225.00
$0.00
$1,225.00
City Cost
$0.00
$0.00
$1,226.00
$477,120.60
NO
817-374-0480
817-392-7818
CONTRACT UNIT
PAVING
Developer
Cost
$335,402.00
$0.00
$0.00
$335,402.00
$27,274.00
$362,676.00
City Cost
$0.00
$0.00
$362,670.00
City Cost:
$477,120.60
CHANGE
ORDER No:
DRAINAGE
Developer
Cost
$20,373.00
$0.00
$0.00
$20,373.00
$434.00
$20,807.00
1
City Cost
$0.00
Developer
Cost
$20,807.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
STREET LIGHTS 1 CONTRACT
DAYS
City Cost
$0.00
$0.00
$0.00
229
229
Page 1
You are directed to make the following changes in the ntract docu ents:
I
CITY BID ITEMPAY ITEM # # QUANTITY UNIT
Developer Cost
WATER BID
2
4
12
12
13
17'
18'
19'
19*
PAVING BID
9
13
14'
15*
16*
17'
18'
DRAINAGE BID
1
2
5
6
REASONS FOR CHANGE ORDER
0241.1015 (219)
0241.1218 )1)
3312.2204 (39)
3312.2203 1
3312.2801 (11
9999.0001 1
9999.0002 1
0241.1001 172
3312.2003 2
3213.0302
9999.0001
3201.0111
3216.0101
9999.0002
9999.0003
9999,0004
0241,3013
0241.3017
3341,0201
3341.0201
650
31
62
15
28
20
1
2
LF
EA
LF
EA
EA
EA
EA
CY
EA
SF
SY
LF
LF
LF
SY
SY
LF
LF
LF
LF
ITEM DESCRIPTION
Remove 12" Water Line
4"-12" Water Abandonment Plup
2" Private Water Service
2" Water Service
3" Water Meter and Vault
2" Water Abandonment Plug
2" Water Meter
Water Lintz.: routing
1" Water Service
5" Conc Sidewalk
7 1rzi Co c Pvmt
4' wide As It vmtReoair. Residential
one Curb and Gutter
6" Mountable Curb
7 1/2" "Licht Blue" Color Conc Pvmt
7 1/2" "Liaht Peach" Color Conc Pvmt
Remove 18" Storm Line
Remove 30" Storm Line
21" RCP, Class Ill
30" RCP, Class III
TOTAL
TOTAL
TOTAL
I UNIT PRICE I TOTAL
$38.00
$1,355.00
$113.72
$4, 435.00
$19,175.00
$1,355,00
$1.850.00
$61.05
$3,970.00
$13.00
S132.00
$137.00
$39.00
$17.00
$380.00
$380.00
S47.00
$59.00
$121.00
$168.00
(:;8,322.00)
($1.355.00)
($4,43S.00)
$4,435.00
($19.175.00)
$1,355.00
$1,850.00
$10,500.60
$7,940.00
($7,206.40)
$8,450.00
($6.336.00)
$4,247, 00
$2.418.00
$255.00
$10,640.00
$71600.00
$27,274.00
(5141.00)
118.00
$121.00
$336.00
$434.00
Developer. Additional paving and storm changes relate to giving access to public alley, existing utility location updates, and shifting the proposed sidewalk to create
similairity between the rest of the Cook Children's Medical Center campus North of Cooper. Changes correspond to Revision No. 1 as shown on sheets 3, 4, 5,
9, 10, 11, 15, 16, 18 of the construction plans,
Developer. Removal of driveway requires portion of asphalt repair. Change corresponds to Revision No. 1 shown on sheet 9 of the construction plans.
Developer. Water extensions required to serve a future drinking fountain and water features for a future garden West of 7th Avenue. Changes correspond to Revision No. 1
as shown on sheets 4, 5 of the construction plans .
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.
Revised: 10-12-2011 Page 2
RECOMMENDED:
Revised: 10-12-2011
APPROVED: APPROVED:
(Developer) (Contraclo Tri Dal Utilities, hid.
By: . 1 By:
Name: 6 A-(anDaA) i S Name: Tim Mullikin
Title: Ch k€4 Ofo-Ci* (5) Tti CErTrtIe: Vice President of Operations
Page 3
CONSENT OF
SURETY COMPANY
TO FINAL PAYMENT
AM DOCUMENT G707
PROJECT:
(name, address)
OWNER ❑
ARCH ITECT ❑
CONTRACTOR ❑
SURETv ❑
OTHER
0
7th Avcnuc Paving Improvements- Fort Worth, TX
TO: (Owner)
Cook Children's Medical Center,
801 7th Avcnuc
Fort Worth, TX 76104
CONTRACTOR:
Tri Dal Utilities, Ltd.
BOND # 106289588
CONTRACT FOR: Water, sanitary sewer, slonn drainage and paving
CONTRACT DATE:
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the
(here insem t name and address of Su e!r Company)
Travelers Casualty and Surety Company of America
One Tower Square
Hartford, CT 06183
on bond of
(here insert name and address of Contracloi)
Tri Dal Utilities, Ltd.
540 Commerce St.
Southlakc, TX 76092
,SURETY COMPANY,
,CONTRACTOR,
hereby approves of the final payment to the Contractor, and agrees that final payment to the Contractor shall
not relieve the Surety company of any of its obligations to
(hare insert name and address of Owner)
Cook Children's Medical Ccntcr
801 7th Avcnuc
Fort Worth, TX 76104
as set forth in the said Surety Company's bond
IN WITNESS WI-IEROF,
The Surety Company has hereunto set its hand this t2th day of
Attest —.
(seal): Jennifer
Witness
January , 2017 .
Travelers Casualty and Surety Company of America
Surety Company
ORAOLer"---
Inaturc of Authorized Representative
Linda Staldcr
Title
,OWNER,
Attorney -in -Fact
AIX DOCUMENT G707 * CONSENT OF SURETY COMPANY TO FINAL PAYMENT *APRIL 19701:DIT10N `A1A
.1970 THE ANIERICAN INSTITUTE OF ARCHI EEC S, 1735 NEW YORK AVE. NW WASt11NGTON, D.C. 2006
.ARl;!IUG: 71 UUS R'O:':i:RI Oi',1ITOHNEY iS INVALID WITHOUT 11 t1' 1 t) f.;C):tnE
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atlttrtie -In Dart No.
l'()\VI :R OF :Vrr()RNEY
Farmin_titctn ('a.tl;tit. (.'on.p,ui
J'iddif • rind (;uaranq Insurance Cumpan)
Fidelity and Guaranty itburanrc Undcr%ttiter., Inc.
St. Paul Fire and Nhiriuc lti.urance Company
St. Paul Guardian in,uranet• Company
230601
tit. Paid tit•r•curt ltt•ttrant-t• Company
'Ira%elt•r, ('asuattand tiuretti Company
Travelers t':t,ualtand Surety Company id -America
United State. Fidelity and guarani) ('nnip:m
c\i.'rtir"tt,'tl. 006788040
NN011' AI.1. 1IEN I11' 'I'il1;.til: PRESENT'S: That Farmington Casualty C'omp:tiiv. St. Paul lire ;lull ?laritte Instiranee Company. St. Paul Guardian Insurance
Company. St. Paul NI'.•reuty In.urutct.• Company. Travelets Casualty and Surety C'onist ty. Traveler. Casualty and Surety Company of America. and lliutcd States
Fidelity and Guaranty C'ttnip:uty are corporations duly organized tinder the law:. of the State of C ntiteetictrt. that Fidelity and (ivaraifly ittatrance Company is ;t
corporation duly organized under the heel. of th_ State of and that Fidelity rind Guaranty Illalitattt.•t:• 1'aticrwtitt;t,, Iu .. i . a t-'nptlration tluly o rani./ d under the
taw` ttt illt' Stale tt1 WiN "suit (herein i t►llet'ti‘clr Iled the-ContIutlie'').:tttti tliat the Companies tin hereby trim:e. t•tttl.tittne and appoint
Clem i;. 1. sdi. Steven W. Lewis. Erie Lcsclt. Jt.\nnilccr Picchi. and Linda Staidcr
ni the City tit' ._.._Iryintl . State ctl' Texas , their true and lawful Attcttnev(a1-in-Dart.
each in their . rj!•tr;cte Capacity if more than elite is named above. to sign. execute. seal and achnatyletlt t :my anti all Motel.. tecognii:races. conditional undertakings and
other writing. obligatory in the nature thereof 4111 hthalf Of tilt" C OIlipauic• in their business of ,'uartntcein,_ the fidelity of person•. �iluaratttecin t the performance of
contract. and executing air guaranteeing bonds and undertakin•t' requited or permitted in any action% stir prate tlim,, allowed by kit.
IN 1V1't N'ISS 1EREOI=. the: Companies have tau•tti Chi• in.trutucnt to h; si•_ncd and ilk.; corporate seal. to I . hc•tcto aliix.•il, Chi•
claw of NIav _ _ • 20I6
Farmington Casualty Cuiup:utt
Fidelity and Guaranty insurance ('cttnp;tuy
Fidelity ;i.ul Guaranty Itl.tirance tlrich rtriters, lire.
St. Paul Fire and :Marine Insurance Company
St. I':tul Guardian Insurance Company
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r.i A•,•t .
State tit i't►lttle:tient
C'itt of 1lartford `..
10111
St. Paul MIti•tury Insurance Company
'I'rati'lcrs Casualty and Surety Company
Travelers Casualty and Surety Company id -America
United States Fidelity and Guaranty Company
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I4,11•:,t i • l..u:.•%, ti: tior \'it'. 1'rr•iticnl
On lets• the I(hh Clay of \ 1aY 2016 .ta,r. me personally h appeared Ltthtll l..nutklrnwlet,td himself to
be the onion Vice President of I :trn111I_!toit (':.realer Company. Fidelity reeler t,itl;tt:tilly Insurance ('oJllpall1. Fiticjlty and (ilt;tl:tlttti Ilisttl:itlt;t' Underwriters. Inc.. St. Paul
girt- :rntl Marine Insurance Company. Si. Paul Guardian lit:t ante C'nntp,m.-. Si. Patti Mercury Iii.urt*i c Company. Tiaxelec. (':c.tr::ltt• and Surety Company. Travelers
44
Casualty and Surety t'tunp;uty of :America. and United State. Fidelity and Guaranty Company. and that he. a. ,nrh. beinv authorized ,o to Flo. eNectited life foregoint
instrument for tttt- tutiposes therein t;t,cttained by signing on behalf of the corporations by himself a. a duly ;uttht►tited officer.
In, 11'itrlt•�,1\'ht,•reul'.1 hereunto
.et my hand and official .t:al.
My expire. the 330th day of June. 2011.
584.10-5• i u Printed in U.S.A.
afti/G c.
\1.tcie C. 'Ictt..tl.tit. \altar 1'ut\Iic
WARNING: THIS POWER OF ATTORNEY iS INVALID WITHOUT THE RED BORDER_
•
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WARNING: THIS POWER OF ATTORNEY is iNVALID WITHOUT THE RED BORDER
*I his Poue'rof:lltotrtcy is granted tititlt•1 ;►litl by Ilie :nultu;ilk' tit li . ltiIlelttiil it.•st►itliltin%;aligne I by the Iiel:irti,.oI l)ire,'ctor.01 Fat itlllt��tt'U Casualty �'oU11l�:i11t. 1'itlt'l►lt
:ld Guaranty Iusttt:l►tt:e• (ompattt. Fidelity and t.iu;tt:tttt�' •Instil:tt<<..' l.illclrttttiters. let:.. St. Paul Dire and NZ;uiite Insurance Company. tit. Paul Guardian insurance
Company. St. Paul l Nle'rt Itr• Insliratle't' CtuiIpalty. •I i:i\'c:lets Casualty and Surety Company. Trawlers Casualty and Surety Company of Ansel it';t. ;tiltl United States
Fidelity and Guaranty Company. are ntbW in hill force and effect. leading. as follows:
RESOLVED, that 11i. Chairman. the I'14sitle'nt. al Vice Chairman. ;III) Executive Vice President. any Senior Fite l'resitlttlt. ;my Vice 1'te•sltle'nt. any Se'ctlnti Vice
President. the Treasurer. any Assistant lit':isillt.'r. the Cot rotate Secretary "i any :assistant Secretary may appoint Attuine}sin-1'att and Agents to act for and on Muth*
of the Company and may give such appointee such authority as ttis to It:r eeitilicatc or authority may prestitihe to sign with the Company's name and te;IL atilt the
Company's Meal minds. rett1`tli/.;lice''. contacts o1 indemnity. and other %%T11i11;;s tlhll__aiory in the nature or blind. tcct1grlll;tll'.\, (►r C(iilllitit►il;ll Wide' taking. and ;Ill}
(1f said %litleers or the Ito.Ittl of INK -chit. at ;111r tittle may remove i111y such appointee and re:t'o!;t; the pou.t:r given hint or iter: and it is
FU1t'1'III;It �tl:.tiO1.1'ha). ihzii the• Coalman. the President. any Vice Cb;►itman.:my Executive Vice President. any Senior Vice President or any Vitt I'reitlent Ina:
delegate all or any pan of the foregoing authority li' one or more officers or t'rlllllovees a1 Ibis Company. provided that each such delegation 1s in tit'rilili,, and a copy
thereof is tiled in the orrice of the Se't;ret;UV: ;wd it i•
FUItTlllat ltES01.\'la). that any bond. iceofili/;ulce. t:<+lllract of indemnity. t►r vs riling obligatory in the nature of ;t bond, reCtlgniiance. or conditional untle:italtill;'
shall be Nall(' and binding tllxm the (omll.11ly t:•lictl tat •i_ Ited by the Pre'sicle'nl.any Vice- Chairman. any Executive Vice President. any &'unit Vice Prt'•itlenl or any Vice
President. any Second Mice President. the 7 reasute'r. any Assistant 'Treasurer. the Corporate Secretary or any A•sisia11t Secretary and duly attested :tntl sealed with the
Company'. seat by a Set:IC•I:try or Assistant Secrelai : fir ib) Hutt executed (under seal. if required) by on or MOW ,\tttime•ys•in-i=aet and Aeents Imistrant to the hosse'r
prescribed in his or her certificate or their cettilirall', of authority or by one or more Company officers pursuant t1' a written delegation of :Inlhinil : and it is
i� Ult'I'Eil;R RESOLVED. that the aignature Alt -each of the Collowine oitieers: President. any Executive Mee President. any Senior Vita President. any Vice President.
any Assistant Vice Prc`sitlent. any Secretary. any Assistant Secrctaiy. and the seal of the Company may he affixed by fae',iii ile ttl any Ptlwi`r or 21ttonicy or ttl ;my
ceitilicate whiting thereto appointing Itt.•'IticIlt rice Presidents. Resilient :\ssist;iltt Secretaries oI Attorneys -in -Fact act for llllrlltise. tint of cm:t'1i11i1, alid :attesting Bond%
litalltlry in the nature thereolf.:uitl any such Power of Attorney ter t.'t'rtlllc:itc' bearing such 1'lcsiiiiile si_*11'lllir' in Inesiinile Neal
and ultdeetakill'!.:utd other ttlitinz• oft ��• .. = , .
Shall be valid and binding upon the Company and :any sm tit power so c•\t'.t.mi iS and Certified Ili• Ntwwh 1itc' imilt: signature and facsimile seal shall be valid and binding tin
the Company in the future with re•.pe'c( to any bond or understanding to which it is attached.
1, Kevin IL Iit1011:N. fife tlndersitn il. Atilihtilnt Se'ere't uy, (lt: Farnliill_tott C i' tv;tlty Company. Fidelity and Guaranty Itt•ttrattce C't►titll:try.lidelity ;tad Cu:minty Ittstttattee
Underwriters. Inc., St. Paul Fire and Marine Insurince tCompany, tit, foal Gi;trtli;m Insurance Comp:lny. St. Pull NlerRtlry Insurance ("olltllany.Ttavelers Casualty and
Surety Colnpany.7 iave ter s Casually and Surety C iilnpatly of America. and United States Fidelity and Guaranty Company dun hereby t:etlily that the above and foregoing
is a true and comet copy of the Power of Attorney executed by said Companies. is in full Coax.. and effect and has not been rcvtil ed.
... - . ,. .. ' Companies (I:tr of
IN'1 ES I'IMIO`V WHEREOF.1 have hereunto set my hand and affixed the :eat% of said Companies this _
4.etuLet.Ki,J-•
~Kevinn E. iitmites.Assistant Sec: eta*
il /7
•
To verify the authenticity of this Ptit:rr of Attorney. call I-ti(ltl-.1.I.3*II tit etttli;Itt US at w ww.tr1Vcler.bontl.t.•cln1. 1'leaw refer to tilt Aniline) -1I1 Fact number. the
above -named individuals and the details of the fund to ::filch the pt+ttcr attached.
WARNING: THIS POWER OF ATTORNEY IS INVALID WITHOUT THE RED BORDER
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 Scott Langham,
Project Manager Of Tri Dal Utilities, known to me to be a credible person,
who being by me duly sworn, upon his oath deposed and said;
That all persons, fines, 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;
7th AVE Paving Improvements City Project No. 2417 DOE #: 7366
CFA #: 2015-042
1
BY : JC 'r/ / `1'%�
S,6gft Langham Project Manager
Subscribed and sworn before me on this date 12th of January, 2017.
��•o�!".'!?�o � JURY SAWBERGER
y Public
_ e, 4o c Notary Public, State of Texas
Tarrant County State of _�'`�_
,9,•.,.P, Comm. Expires 08-28-2018 '
%,FOF "•+,,, Noiary ID 2885266
Texas "' ..
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: 7th Ave Water, Paving, and Drainage
PROJECT NUMBER: 02417
DOE NUMBER: 7366
PIPE LAID
FIRE HYDRANTS: 1
PIPE ABANDONED
N/A
WATER
SIZE TYPE OF PIPE
6" inch PVC
12" inch PVC
SIZE
LF
VALVES (16" OR LARGER)
TYPE OF PIPE LF
6 LF
223 LF
DENSITIES:
NEW SERVICES: 1- 2" inch copper 39 LF C 1)
(— I" we tor Viviu. G2)
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
PIPE ABANDONED SIZE, TYPE OF PIPE LF
N/A
DENS11'II, S:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR & PROJECT DATA
Name of Contractor
Tri- Dal Utilities, Ltd
Inspector
Garey Houston
Construction Components
0 Water 0 Waste Water E Storm Drainage ❑ Pavement
Initial Contract Amount
$100,844.00
Final Contract Amount
$93,637.60
II) PERFORMANCE EVALUATION
0 - Inadequate 1 - Deficient 2 - Standard 3 - Good 4 - Excellent
ELEMENT
1 Submission of Documents
2 Public Notifications
3 Plans on Site
4 Field Supervision
15 Work Performed
16 Finished Product
7 Job Site Safety
8 Traffic Control Maintenance
9 Daily Clean Up
10 Citizen's Complaint Resolution
11 Property Restoration
12 After Hours Response
113 Project Completion
Project Name
7th Ave Improvements
City Project Number
02417
Project Manager
Aaron Lona
Project Difficulty
O Simple
Date
1/11/2017
® Routine
REV: 8/20/16
0 Complex
WEIGHT ( x) APPLICABLE (Y / N) RATING (0 - 4) MAX SCORE
2 Y 4 8
5 Y 4 20
5 Y 4 20
15 Y 4 60
15 Y 4 60
15 Y 4 60
15 Y 4 60
15 Y 4 60
5 Y 4 20
5 Y 4 20
5 Y 4 20
5 Y 4 20
5 Y 4 20
TOTAL ELEMENT SCORE (A)
BONUS POINTS (25 Maximum) (B)
TOTAL SCORE (TS)
SCORE
8
20
20
60
60
60
60
60
20
20
20
20
20
448
448
III) CONTRACTOR'S RATING
Maximum Score (MS) = 448 or sum of applicable element score maximums which = 448
Rating ( [TS / 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 AWARDED)
Inspector Signature
Inspector's Supervisor Signature
CONTRACTOR'S COMMENTS
Contractor Signature
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 8851 Camp Bowie West Blvd. • Fort Worth, TX 76116 • (817) 392-8306
I) PROJECT INFORMATION
Name of Contractor
Tri-Dal Utilities, Ltd
DOE Inspector
Garey Houston
DOE Number Project DOlculty
7366 0 Simple OO Routine
Initial Contract Amount
$100,844.00
II) PERFORMANCE EVALUATION
0 - Inadequate 1 - Deficient 2 - Standard
ELEMENT
FORT WORTH
REV: 02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
Date: 11/11/2017
0 Complex
INSPECTION EVALUATION
1 Availability of Inspector
2 Knowledge of Inspector
3 Accuracy of Measured Quantities
4 Display Of Professionalism
5 Citizen Complaint Resolution
6 Performance - Setting up Valve Crews, Labs
ADMINISTRATION
1
2
3
Change Order Processing Time
Timliness of Contractor Payments
Bid Opening to Pre -Con Meeting T imeframe
III) COMMENTS & SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor
INSPECTOR'S COMMENTS
Project Name
7th Ave Improvements
Project Manager
Aaron Long
Type of Contract
L Water LJ Waste Water ❑ Storm Drainage ❑ Pavement
Final Contract Amount
$93,637.60
3 - Good 4 - Excellent
I RATING ELEMENT
(0 - 4)
PLANS & SPECIFICATIONS
1 Accuracy of Plans to Existing Conditions
2 Clarity & Sufficiency of Details
3 Applicability of Specifications
4 Accuracy of Plan Quantities
PROJECT MANAGER EVALUATION
1 Knowledge And/Or Problem Resolution
2 Availability of Project Manager
3 Communication
4 Resolution of Utility Conflicts
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
RATING
(0 - 4)
Developer and Project Information Cover Sheet:
Developer Company Name: Cook Children's Medical Center
Address, State, Zip Code: 801 7th Avenue Fort Worth, Texas 76104
Phone, E-Mail:682-885-4000, Stan.Davis@cookchildrens.org
Authorized Signatory/Title:Stan Davis, Vice President Facilities and Ancillary Services
Project Name and Brief Description: 7t1' Avenue Paving Improvements
Project Location:801 7° Avenue, Fort Worth, Texas 76104
Plat Case No.N/A Plat Name: 7th Avenue Paving Improvements
Mapsco: Council District: 9
CFA: 2015-042 DOE: 7366
To be compl et
Received by:
City Project No: 02417
70110 i�► IDS
Date: