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Home My WebLink AboutContract 46019-FP2 (2)CricCe..116„At\finateC;Lih Digs-fati 1' Department of TPW Const. Services DOE# Date Project Manager Risk Management S. Canady D.O.E. fBrotherton CFA Westerman/Scanned ❑ The Proceeding people have been Contacted concerning the request for final payment & have released this project for such payment. Clearance Conducted By Etta Bacy rr WORTH tiTION AND PUBLIC WORKS PROJECT COMPLETION P agt-OQQY3 C. q0/Lj D.O.E. Ng; 7227 Regarding contract 117227 for PRIMORIS COURT 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 as complete. Original Contract Prices: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Work Completed: Less Deductions: Liquidated Damages: Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: Final Payment Due Recommended for Acceptance Asst. Director, TPW - Infrastructure Design and Construction Accepted Asst. Director, WATER DEPARTMENT Asst. City Manager $29,278.00 Ns 1 $29,278.00 $29,278.00 Days @ $210.00/ Day $0.00 $29,278.00 $29,278.00 ga/Z Date e 41fr Date Date Comments: FUND ACCT: WATER: P275-7081300283 / SEWER: P265-6081502283 • RECEIVED AUG 171015 OFFICIAL 'RECORD CITY SECRETARY FT. WORTH, TX ---/ V' —75- A-77 FORT WORTH -ft-sainNisr CITY OF FORT WORTH F1NAI, PAYMENT REQUEST Contract Name PRIMORIS COURT Contract Limits Project Type WATER & SEWER City Project Numbers 02283 DOE Number 7227 Estimate Number 1 Payment Number 1 For Period Ending 6/30/2015 CD City Secretary Contract Number 117227 Contract Time 13ED Contract Date Days Charged to Date 184 Contract is 100.00 Complete Project Manager Ehia Contractor MUCKLEROY & FALLS P.O. BOX 100206 FORT WORTH , TX 76185 Inspectors RODGERS / GLOVER Monday, July 06, 2015 Page 1 of 4 City Project Numbers 02283 Contract Name PRIMORIS COURT Contract Limits Project Type WATER & SEWER Project Funding UNIT I• WATER IMPROVEMENTS Item No. 1 10"X08" TAP SLEEVE & VALVE Description of Items 2 08" PVC WAFER LINE INCLUDING FITTING & BLOCKING 3 1-1/2" DOMESTIC / IRRGATION WATER SERVICE 4 LOWER EXISTING 10" DI WATER LINE 5 WA1ER LINE TESTING & TRENCH SAFETY DOE Number 7227 Estimate Number Payment Number For Period Ending Estimated Unit Unit Cost Estimated Completed Quanity Total Quanity 1 EA $3,726.00 20 LF $48.60 2 EA $2,754.00 2 EA 1 LS Sub -Total of Previous Unit UNIT II: SANITARY SEWER IMPROVEMENTS Item No. Description of Items 1 CORE & CONNECT TO EXIST. SSMH 2 06" PVC SANITARY SEWER 3 SS TESTING & TRENCH SAFETY 4 PRECONSTRUCTION TV EXISTING SEWER 5 POSTCONSTRUCTION TV EXISTING SEWER Monday, July 06, 2015 $6,210.00 $594.00 Estimated Unit Unit Cost Quanity 1 15 1 1000 1000 EA LF LS LF LF Sub -Total of Previous Unit $1,026.00 $54.00 $162.00 $2.16 $1.90 $3,726.00 $972.00 $5,508.00 $12,420.00 $594.00 $23,220.00 Estimated Total $1,026.00 $810.00 $162.00 $2,160.00 $1,900.00 $6,058.00 1 1 6/30/2015 Completed Total 1 $3,726.00 20 $972.00 2 $5,508.00 2 $12,420.00 1 $594.00 $23,220.00 Completed Completed Quanity Total 1 $1,026.00 15 $810.00 1 $162.00 1000 $2,160.00 1000 $1,900.00 $6,058.00 Page 2 of 4 City Project Numbers 02283 Contract Name PRINTORIS COURT Contract Limits Project Type WATER & SEWER Project Funding Contract Information Summary Original Contract Amount Change Orders Contractor Inspection Supervilor ler Project M Asst. Dir ctor bras .tI lisi' Director / Contracting Depa Monday, July 06, 2015 Total Contract Price Date .2ItI l Date%/2%/7C 1 5" �� 1(7 �/ f�t. Date '= - Date v"%z b i5 Design and Construction Date 8 tilts -- DOE DOE Number 7227 Estimate Number 1 Payment Number For Period Ending 6/30/2015 $29,278.00 $29,278.00 Total Cost of Work Completed Less % Retained Net Earned Earned This Period Retainage This Period $29,278.00 $0.00 Less Liquidated Damages Days @ / Day LessPavement Deficiency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment 1 $29,278.00 $0.00 $29,278.00 $0.00 $0.00 $0.00 $0.00 $0.00 $29,278.00 Page 3 of 4 City Project Numbers 02283 Contract Name PRIMORIS COURT Contract Limits Project Type WATER & SEWER Project Funding Project Manager Ehia Inspectors RODGERS / GLOVER Contractor MUCKLEROY & FALLS P.O. BOX 100206 FORT WORTH , TX 76185 Line Fund Account Center Monday, July 06, 2015 j\) AUG 1 3 2015 UJ BY p 2cige a aoRsi DOE Number 7227 Estimate Number Payment Number For Period Ending City Secretary Contract Number 117227 Contract Date Contract Time Days Charged to Date Contract is .000000 CITY OF FORT WORTH SUMMARY OF CHARGES Amount Funded Gross Retainage Total Cost of Work Completed Less % Retained Net Earned Earned This Period Retainage This Period $29,278.00 $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 1 1 6/30/2015 135 CD 184 CD Complete Net $29,278.00 $0.00 $29,278.00 $0.00 $0.00 $0.00 $0.00 $0.00 $29,278.00 Page 4 of 4 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 Marshall Sharp, Project Manager Of Muckleroy & Falls, 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; Primoris Court, CFA 2014-047, DOE: 7227, City Project No: 02283 BY Marshall Sharp Subscribed and sworn before me on this date 13th of July, 2015. liee-V Notar / P blic Tarr. t, Texas t. LUCILLE J. KITCHELL Notary Public, State or Texas My Commission Expires June 011 2020 CONSEN'Ir F SUMETY COMPANY TO FILNATL PAYMENT AIA DOCUMENT G707 PROJECT: (name, address) TO (Owner) [ OWNER ARCHITECT CONTRACTOR SURETY OTHER Bond No. 2189873 Primoris Court - Pavement, Water and Sewer Improvements, Ft Worth TX City of Fort Worth 1000 Throckmorton Ft. Worth, TX 76102 CONTRACTOR: Muckleroy & Falls 5801 Edwards Ranch Rd Fort Worth, TX 76109 ARCHITECT'S PROJECT NO: CONTRACT FOR: Construction CONTRACT DATE: 9/4/2014 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) North American Specialty Insurance Company 650 Elm Street , SURETY COMPANY, Manchester, NH 03101 on bond of (here insert name and address of Contractor) Muckleroy & Falls 5801 Edwards Ranch Rd Fort Worth, TX 76109 hereby approves of the final payment to the Contractors, and agrees that 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 1000 Throckmorton Ft. Worth, TX 76102 as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 13th day of July Attest: (Seal): , CONTRACTOR, ,OWNER, , 2015 North American Specialty Insurance Company Surety Company C) _ `� -_ Signature of Authorized Representative Debra Lee Moon Title AttornevaIn-Fact NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE 1970 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 New York Ave., NW, WASHINGTON, D.C. 20006 NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS, THAT North American Specialty Insurance Company, a corporation duly organized and existing under laws of the State of New Hampshire, and having its principal office in the City of Manchester, New Hampshire, and Washington International Insurance Company, a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg, Illinois, each does hereby make, constitute and appoint: SAMMY JOE MULLIS, JR., JOHN WILLIAM NEWBY, JULIE STORM, CHERI LYNN IRBY, WILBERT RAYMOND WATSON, CAROLYN J. GOODENOUGH, MICHAEL L. TULLIS, SANDRA LEE RONEY, DEBRA LEE MOON, ANDREA ROSE CRAWFORD, MARY JO ZAKRZEWSKI, JAMES B ROGERS JR., TROY RUSSELL KEY, and DAVID MICHAEL LAYMAN JOINTLY OR SEVERALLY Its true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver, for and on its behalf and as its act and deed, bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies, as surety, on contracts of suretyship as are or may be required or permitted by law, regulation, contract or otherwise, provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION ($50,000,000.00) DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9th of May, 2012: "RESOLVED, that any two of the Presidents, any Managing Director, any Senior Vice President, any Vice President, any Assistant Vice President, the Secretary or any Assistant Secretary be, and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attomey named in the given Power of Attorney to execute on behalf of the Company bonds, undertakings and all contracts of surety, and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED, that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile, and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond, undertaking or contract of surety to which it is attached." ss: Steveny StP. Anderson, SeniorVice President of Washington International Insurance Company & Senior Vice President of North American Specialty Insurance Company Michael A. Ito, Sent or Vice rresiaent of Wasnneon�tional insurance company & Senior Vice President of North American Specialty Insurance Company By IN WITNESS WHEREOF, North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed, and these presents to be signed by their authorized officers this 1st day of July , 2015 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook On this 1st day of July , 2015 before me, a Notary Public personally appeared Steven P. Anderson Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and Michael A. Ito , Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company, personally known to me, who being by me duly sworn, acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. OFFICIAL SEAL. M KENNY` ti NOTARY PUBLIC, STATE OF ILLINOIS M. Kenny, Notary Public \, MYCOMMISSION EXPIRES 12104/2017 I, Jeffrey Goldberg , the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington Intemational Insurance Company, do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington Intemational Insurance Company, which is still in full force and effect. IN WITNESS WHEREOF, I have set my hand and affixed the seals of the Companies this 13th day of July , 20 15 Jeffrey Goldberg, Vice President & Assistant Secretary of Washington International Insurance Company & North American Specialty' Insurance Company North American Specialty Insurance Company Washington International Insurance Company IMPORTANT NOTICE In order to obtain information or make a complaint: You may contact Jeffrey Goldberg, Vice President -- Claims at 1-800-338-0753 You may call Washington International Insurance Company and/or North American Specialty insurance Company's toll -free number for information or to make a complaint at: 1-800-338-0753 You may also write to Washington international insurance Company andror North American Specialty Insurance Company at the following address; 475 N. Martingale Road Suite 850 Schaumburg, IL 60173 You may contact the Texas Department of Insurance to obtain information on companies, coverages, rights or complaints at: 1-800-252-3439 You may write the Texas Department of Insurance: P.O. Box 149104 Austin, TX 78714-91 04 Fax: (512) 475-1771 Web: http.Uwww,tdi.state.tx.us Email: consumerProtection@tdi.$tate.tx.us PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim you should first contact the Washington International Insurance Company and/or North American Specialty Insurance Company, if the dispute is not resolved, you rnay contact the Texas Department of Insurance. ATTACH THIS NOTICE TO YOUR POLICY: This notice is for Information only and does not become a part or condition of the attached document: Revised 5/12 TEXAS CLAIMS INFORMATION ADVISO IMPORTANTE Para obtener informacion o para someter un queja: Puede comunicarse con Jeffrey Goldberg, Vice President _ Claims, al 1-800-338-0753 Usted puede Ilamr al numero de telefono gratis de Washington International Insurance Company and/or North American Specialty Insurance Company's para mformacion a para someter una queja al: 1-800-338-0753 Usted tambien puede oscribira Washington International Insurance Company and/or North American Specialty Insurance Company al 475 N. Martingale Road Suite 850 Schaumburg, IL 60173 Puede escribir al Department° de Seguros de Texas pure obtener informacion.acerca de companias, coberturas, derechos o quejas al: 1.800-25 2-3439 Puede escribir al Department° de Seguros de Texas: P.O. Box 149104 Austin, TX 7871 4-9104 Fax: (512) 475-1771 Web: htto://www.tdiestate.tx.us Email: ConsumerProtection@tdi.state.tx:us DISPUTAS SOBRE PRIMAS 0 REGLAMOS: Si tiene una disputa concerniente a su prima o a un reclamo, debe comunicarse con el Washington International Insurance Company and/or North American Specialty Insurance Company primero. Si no se resueive la disputa, puede entonces comunicarse con el Department° de Seguros de Texas. UNA ESTE AVISO A SU POLIZA Este aviso es solo para proposito de infromacion y no se convene en parte o condicion del document° adjunto. 475 N. Martingale Road, Suite 850. Schaumburg, IL 60173 Pr marts BarvtaoP C CITY OF FORT WORTH PLANNING & DEVELOPMENT DEPARTMENT CFA DIVISION 1000 Throckmorton Street, Fort Worth, Texas_ 76102 Ref: Community Facilities Agreement rporation July 15, 2015 DOE NO. 7227 CITY PROJECT NO, 02283 WATER PROJECT NO. P264-6081502283-83 SEWER PROJECT NO. P274-70.81302283-83 X-22633 FILE NO. K-2315 To The City of Fort Worth: The above completed Project has been accepted by the Owner, Primoris Services Corporation (PSC). The work is satisfactory and according to the Contract Documents. The Owner, PSC, waives any Liquidated Damages due to the late .completion of the Project. Sincerely, Don Hoon Special Projects Primons Services Corporation RT RT H TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Primoris Court PROJECT NUMBER: 02283 DOE NUMBER: 7227 WATER PIPE LAID SIZE TYPE OF PIPE LF Water 8" PVC 20 v Water--1434(- ,DI°""- ,1.611.- FIRE HYDRANTS: 0 VALVES (16" OR LARGER) 0 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: YES 1-1/2" Irr Copper 1-1/2" Dom Copper SEWER PIPE LAID SIZE TYPE OF PIPE LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: 6" 10 10 PVC 15 ,i TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Thiockmorton Street Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 FORT WORTH r„, TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR & PROJECT DATA !Name of Contractor Muckleroy Falls DOE Inspector Mike Glover DOE Inspector Water 4 Waste Water ❑ Storm Drainage J Initial Contract Amount $29,278.00 Final Contract Amount $29,278.00 II) PERFORMANCE EVALUATION 10 - Inadequate 1 - Deficient 2 - Standard 'ELEMENT I1 Submission of Documents 12 Public Notifications Plans on Site Field Supervision 15 Work Performed 16 Finished Product 7 Job Site Safety 8 Traffic Control Maintenance 19 Daily Clean Up 10 Citizen's Complaint Resolution 11 Property Restoration 12 After Hours Response 113 Project Completion 13 4 3 - Good WEIGHT (x ) 2 5 5 15 15 15 15 15 5 5 5 5 5 Project Name Primoris Court DOE Number 7227 Project Manager Pavement Fred Ehia Project Dculty 0 simple Date 7/10/2015 4 - Excellent APPLICABLE (Y / N) Y Y Y Y Y Y Y Y Y Y Y Y Y Routine RATING (0 - 4) 3 3 3 3 3 3 3 2 3 3 3 3 3 REV: 02/20/07 0 Complex MAX SCORE SCORE 8 6 20 20 60 60 60 60 60 20 20 20 20 20 TOTAL ELEMENT SCORE (A) BONUS POINTS (25 Maximum) (B) TOTAL SCORE (TS) III) CONTRACTOR'S RATING Maximum Score (MS) = 448 or sum of applicable element score maximums which = 448 Rating ( [TS / MS] * 100%) 321 / 448 = 72% Performance Category Good <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) Signature DOE Inspector Signature DOE Inspector's Supervisor CONTRACTOR'S COMMENTS Signature Contractor 7 Z7(2v15 TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 15 15 45 45 45 45 30 15 15 15 15 15 321 321 Availability of Inspector Availability of Inspector 12 Knowledge of Inspector 3 Accuracy of Measured Quantities 4 Display Of Professionalism 5 Citizen Complaint Resolution 6 Performance - Setting up Valve Crews, Labs ADMINISTRATION 11 Change Order Processing Time 12 Timllness of Contractor Payments 13 Bid Opening to Pre -Con Meeting Timeframe III) COMMENTS & SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS I) PROJECT INFORMATION Naive of Contractor Muckleroy & Falls DOE Inspector Mike Glover DOE Number 7227 Initial Contract Amount $29,278.00 c , r__s c HID TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY Date: 17/10/2015 Project Difficulty 0 Simple Routine 0 Complex II) PERFORMANCE EVALUATION 0 - Inadequate 1 - Deficient 2 - Standard ELEMENT Project Araine Primoris Court Project Manager Fred Ehia Type of Conti act J Water Waste Water Final Contract Amount $29,278.00 3 - Good 4 - Excellent RATING ELEMENT (0 - 4) JINSPECTION EVALUATION 11 4 4 4 4 4 14 4 4 14 Storm Drainage REV: 02/22/07 Pavement PLANS & SPECIFICATIONS 1 Accuracy of Plans to Existing Conditions 4 2 Clarity & Sufficiency of Details 4 3 Applicability of Specifications 4 4 Accuracy of Plan Quantities 4 PROJECT MANAGER EVALUATION 1 Knowledge And/Or Problem Resolution 4 2 Availability of Project Manager 4 3 Communication 4 4 Resolution of Utility Conflicts 4 TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth 01000 Throckmorton Street °Fort Worth, TX 76012-6311 (817) 392 - 7941 'Fax: (817) 392 - 7845 RATING (0 - 4) FORT WORTH,., TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME I STATEMENT# 'FINAL STATEMENT# NAME OF PROJECT: YEAR:I 2015 PROJECT NO.: 02283 (PERIOD FROM: I 11/12/2014 (WORK ORDER EFFECTIVE: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 DAY OF MONTH Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Tue Wed NA Not Applicable THIS PERIOD PREVIOUS PERIOD (TOTAL TO DATE REMARKS: Signature: r (Print Name) CONTRACTOR I 1 I DAYS CHARGED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ITO: I ( 11/12/2014 I REASON FOR DAYS CREDITED NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA Wkn & Hot SAT,SUN,and HOLIDAYS 0 0 c:e3 se—P0 I DATE I I 1 Wea WEATHER BEG (v / n) 0 0 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 I CONTRACT TIME MID - Month I I MID(v/n) DAY OF MONTH Wed Thu Fri Sat Sun Mon Tue Wed Thu Fri Sat Sun Mon Utl UTILITIES RELOCATE 0 0 ignature: er.sta MOW SEMI enTAitt f FT. WORTH, TX Oth OTHERS 0 0 0 DOE I Contractor I FINAL INSPECTION DATE WD 135 (DEVELOPMENT (V J N) Y I DAYS CHARGED 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7227 7/1 /2015 CD X 1 REASON FOR DAYS CREDITED NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA NA DAYS TOTAL DAYS CHARGED 0 0 184 184 184 184 7/2l2015