HomeMy WebLinkAboutContract 45862-FP1 (2)Departm n �' Const. Services
DOE#_�� Date
Project Manager
Risk Management S. Canda '
D.O.E. Brotherton %�
CFA Westerman/Scanned ❑
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The Proceeding people ha�•e been Cootacted concerniog the request
Cor final payment & har�c rcleascd this project tor such paymeot.
Clearance Conducted By Etta Sacy
ATION AND PUBLIC WORSS
F PROJECT COMPLETION
G,5 �-!.�'�(o�
D.O.E. Ns: 6618
' STM—M
Regarding contract 45862 for WATER & SANITARY SEWER REPLACEMENT CONTRACT 2009 as required
bp the WATER DEPARTMENT as approved bp City Council on 06/10/2014 through M&C G26836 t�e director of
the WATER DEPARTMENT upon the recommendation of the �ssistant Director of the Transportation & Public
Works Department has accepted the pto'ecLas,_cc,���te.
Original Contract Prices:
Amount of Approved Change
Revised Contract Amount:
Total Cost Work Completed:
Less Deductioos:
Liquidated Damages:
Pavement Deficiencies:
Total Deduction Amouat:
Total Cost Work Completed:
Less Previous Payments:
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S9�ol — � oaU'77
Final Payment Due
Recommended for Acceptance
Asst. Dlrector, TPW - Infrastructure Design and Construction
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Accepted
Asst. Director, WATER DEPARTMENT
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Date�
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Asst. City Manager �
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--�------ �li-�-� -- -
Date
Comments: FUND ACCT: �F%ATER P253 6031701477 /
SEWER P258-7031701477
.. �
NOV 1:1 2015
�,f
,
�t�: �
c,,,� �„ ,�
50.02 Ms 1
$950,000.01
$931,398.08
Days @ $210.00/ Day
50.00
$931,398.08
5863,793.25
$67,604.83
- — //�3 -/,S� --
Date
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City Project Numbers 01477 ���.� � �__._.!
Contract Name Water and Sanitary Sewer Replacement Contract 2009, STM-M
Contract Limits
Project Type WATER & SEWER
Project Fundiog
Project Manager Chaubey
Inspectors RODGERS / DAVII.A
Contractor CD BUll.DERS,INC.
PO BOX 1002
HURST , TX 76053
DOE Number fi61A
Estimate Number ! `
Payment Number (5
For Period Ending �'�'�''!'1 �
City Secretary Contract Number
Contract Date
Cootract Time
Days Charged to Date
Contract is 000000
CITY OF FORT WORTH
SLIMMARY OF CHARGES
Lme Fund Account Center Gross Retamage -'-`N
Funded
_L__ SL]�al-ev���7 5 �+sl �,� g � �� _t�, ___��� 3 8��g1 ,��
��`i�c��- Cr1L�l1 �Ki 1 � 5� K 3�' I 3�$� ?�-t + g� � 5X
�586?
6/10/2014
180 CD
200 CD
Complete
�c� #�a7_� _
Amount - " � � —� �
7'tmrsday, July 02, 2015
Total Cost of Work Completed
Less % Retained
Net Earned
Earned This Period $67,604.83
Retainage This Period $0.00
l,ess Liquidated Damages
0 Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Materiel on Hand Less 15%
Balance Due This Payment
$931,398.08
$0.00
$931,398.08
$0.00
$0.00
$0.00
$863,793.25
$0.00
$67,604.83
Page 5 of 5
�2�3 -c�►��7
FORT WURTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name Water and Sanitary Sewer Replacement Contract 2009, STM-M
Contract Limits
Pro,ject Type WATER & SEWER
City Project Numbers 01477
DOE Number 6618
Estimate Number 15 Paymeut Number 15
City Secretary Contract Number 45862
Contract Date 6/10/2014
Project Manager Chaubey
Contractor CD BUILDERS, INC.
PO BOX 1002
HURS'I' , TX
Inspectors
Thursday, July 02, 2015
RODGERS / DAVII,A
76053
For Period Ending 6/30/2015
CD
Contract Time 18�D
Days Charged to Date 200
Contract is 93.000 Complete
Page 1 of 5
����-�
City Project Numbers 01477
Contract Name Water and Sanitary Sewer Replacement Contract 2009, STM-M
Contract Limits
Project Type
Project Funding
1a � � : . ./ :
Unit I: VJater Improvements
DOE Number 6618
EsiimateNumber js
Payment Number 15
For Period Ending 6/30/2015
Item Description of Items Esfimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanify Tofat
------------------ ------------------
1 3311.0441 12" WaterPipe 61 LF $49.95 $3,046.95 62 $3,096.90
2 33l 1.0241 8° Water Pipe (CO # I) 6632 LF $31.35 $207,913.20 6632 $207,913.20
3 3311A141 6" WaterPipe 78 LF $28.00 $2,184.00 72 $2,016.00
4 3312.3005 12" Gate Valve 2 EA $1,865_IS $3,730.30 2 $3,730.30
5 33123003 8" Gate Valve (CO #1) 22 EA $1,055.81 $23,227.82 22 $23,227.82
6 33123002 6" Gate Vaive 6 EA $697.79 $4,186,74 7 $4,884.53
7 3312.2203 2" Water Service 8 EA $237.38 $1,899.04 10 $2,373.80
8 2" Water Service Meter Re[ocation (CO #1) 10 EA $1,434.70 $14,347.00 IO $14,347.00
9 3312.2003 1" WaferService 180 EA $569.96 £102,592.80 1S3 $104,302.68
10 3312.0001 FireHydrant 7 EA $2,726.09 $19,082.63 6$16,356.54
11 331 I.0001 Ducti(e Iron Water Fittin 1.62 TO $4,213.05 $6,825.14 I.59 $6,b98.75
I2 1" Water Service Meter ReIocation 180 EA $297.40 $53,532.00 183 $54,424.20
13 0241.1302 Remove 6" Water Vaive 9 EA $148.70 $1,338.30 11 $1,635.70
14 0241.1303 Remove8"WaterValve 5 EA $198.27 $99135 I1 $2,180.97
15 3201.0400 TemporaryAsphaltPaving 9609 LF $11.90 £ll4,347.10 7160 $85,204.00
16 3201.0614 Conc Pvmt Repair, Residen 100 SY $47.59 $4,759.00 18 $856.62
17 3213.04D0 6" Concrete Driveway (CO #1) 1135 SF $3.57 $4,051_95 1135 $4,05195
18 3216.0102 6" Conc Curb and Gutter 1037 LF $11.12 $11,531.44 567 $6,305.04
19 3305.0003 8" Waterline Lowering 9 EA $5,45218 $49,069.62 9$49,Ob9.62
20 3304.0101 Temporary WaterServices 1 LS $4,956.53 $4,956.53 1 $4,956.53
21 3292.0100 Block Sod Placement 770 SY $3.97 $3,056.90 675 $2,679.75
22 0241.1510 Remove and Salvage Fire H 7 EA $198.27 $1,387.89 7 $1,387.89
23 Permanent Asphalt Pvmt Repair 200 SY $44.61 $8,922.00
24 3312.0117 ConnectiontoE�sting6" I4 EA $793.05 $11,102.70 15 $1I,895.75
25 3471.0001 Traffic Control 1 LS $2,500.00 $2,500.00 1 $2,500.00
26 3125.O10I SWPPP >_ 1 acre 1 LS $1,340.00 $1,340.00 1 $1,340.00
27 3305.0103 Exploratory Excavafion of 4 EA $99.74 $396.56 4 $396.56
28 Dig Test Holes (1 Cover -1 Waverly Way (CO #1) 2 EA $1,100.00 $2,200.00 2 $2,200.00
Sub-Total of Previous Unit $664,518.96 $620,032.10
Thursday, July 02, 2015 Page 2 of 5
City Project Numbers 01477
Contract Name
Contraci Limits
Project Type
Project Funding
Water and Sanitary Se�4�er Replacemeot Contract 2009, STM-M
WATER & SEWER
Unit II: Sewer Improvements
DOE Number 6618
Estimate Number 15
Payment Num6er 15
For Period Endiug 6/30/2015
Item Description of Items Estimated Unit Unit Cost Estimated Compleied Completed
No. Quanify Total Quanity Total
1 3331.4ll5 8"SewerPipe(CO#1) 3208 LF $33A4 i145,99232 3208 $1Q5,992.32
2 3331.3101 4"Se�verService 66 EA $356.53 $23,530.98 62 $22,104.86
3 33313102 4" 2-Way Cleanout 66 EA $495.66 $32,713.56 62 $30,730.92
4 33391001 4' Manhole (CO #1) 26 EA $2,280.00 $59,280.00 26 $59,280.00
5 3339.1002 4' Drop Manhole 1 EA $3,958.95 $3,958.95 1 $3,958.95
6 3339.1003 4' Extra Depth Manhole 60 VF $247.83 $14,869.80 40 $9,91320
7 3339.0001 Epoary Muiliole Liner (CO #I) 49 VF $61.47 $3,012.03 49 $3,012.03
8 3305.OI12 Concrete Collar 23 EA $99.14 $2,280.22
9 3305.0I09 Trench Safety (CO #1) 3208 LF $1.00 $3,208.00 3208 $3,208.00
10 3305.0103 Exploratory Excavarion of 6 EA $99.14 $594.84 6 $594.84
11 3301.0101 Manhole Vacuum Testing (CO #Il) 28 EA $9914 $2,775.92 27 $2,676.78
12 3301.0002 Post-CCT'V Inspection (CO #1) 3208 LF $2.12 $6,800.96 3208 $6,800.96
13 3213.040] 6" Concrete Driveway 1462 SF $3.57 $5,21934
14 3471.00OI Traffic Control 1 LS $2,500.00 $2,500.00 03 $750.00
15 3125A101 SWPPP > 1 acre 1 LS $1,340.00 $1,340.00 1 $1,340.00
16 3201.0400 Temporary Asphalt Paving (CO #I ) 5579 LF $12.72 $70,964.88 467I $59,41512
17 3292.0100 Block Sod Placement 400 SY $3.97 $1,588.00 400 $1,588.00
Sub-Total of Previous Unit $340,629.80 $311,365_98
r
Thursday, July 02, 2015 Page 3 of 5
City Project Numbers 01477
Contract Name
Conh�act Limits
Project Type
Project Funding
Water and Sanitary Sewer Replacement Contract 2009, STM-M
WATER & SEWER
Contract Information Summary
Original ContractAmount
Chan�e Orders
Change Order Number 1
��' ��� ���,s
� � Date
Contractor
/ Date / �is �,� �
Inspection Supervisor ��
DOE Number 6618
Estimate Number
Payment Number
Total Contract Price
For Period Ending
$949,999.99
$0.02
i i�r i
Total Cost of Work Completed
Less % Retained
Net Earned
Earned This Period
Retainage This Period
Less Liquidated Damages
,i �i
IS
IS
6/30/2015
$931,398.03
$0.00
$931,398.08
r
Days @ / Day $0.00
LessPavement Deficieucy
��� Fne,u3
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$0.00
$0.00
$863,793.25
,
$0.00
$67,604.83 ?
Thursday, July 02, 2015 Page 4 of 5
Asst. ir cto�'t � Infras c re�Design and o�uction
,��
� --'t� • ��/Date �j � f �
Director / Conhacting Dep en
F'« � � Wc� r � - � -r
��—
city of Fort wortn
Ghange Order Request
�:i� �������P
��.�:y ���� �: I
Project Name: Water antl Sanitary Sewer Replacement Contract 2009, STM-M City Sec No.: 45862
Project No,(s): P253-603170147783 and P258-703170147783 DOE No. 6618 City Proj. No.: 01477
Project Description:l Water and sanitary sewer main replacements on Sapping Place, Waverty Way, Lubbock Street and Covert Avenue. I
Conhactor: CD Builders, Inc Change Order #�1 Date: 6/9/2015
City Project Mgr. Chaubey Rakesh Ciry Inspector: Edward D'avila
Phone Number: (817) 392-6051 Pl�one Number: (817) 223-2268
Dept.
Original Contract Amount
ExUas to Date
Credits to Date
Pentling Change Orders (in M&C Process)
ContractCostto Date
Originai Funds Available for Change Orders
Remaining Funds Available for fhis CO
AdtliUonal Funding (if necessary)
�1
CNANGE ORDERS to DATE (INCLUDING TNIS ONEJ AS % OF ORIGINAL CONTR,4CT
MAXALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%J
iotals
i i��.�
; ,.� ��
Contract Time
o�� � �ri+±n t i�n ���rtn�� ruR 4nMnuc-vnutR
cliauge order will provide for the installation of additional footage of sanitary sewer pipe that is necessa�y to
plete the project.
change order will also allow for the deletion of pay item quantities that are no longer necessaiy on the
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concurs with the contractor's cequest 20
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it is understood and agreed ihatthe
Water I Sewer
.62
days on the project.
e
0
' OCdO��'
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lhe contractorconstitutes an accord and saGsfacGon and represents payment
in full (bolh time and money) for all costs arising oul of, or incidenial to, the above Change Order,
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city of Fort wortn
Change Order Additions
Project Name Water and Sanitary Sewer Replacement Contract 2009, STM-M
Project No.(s): P253-603170147783 and P258-703170147783 DOE No. 6618
Project
Descripiion
Contractor
City Project Mgr.
City Sec No.: 45862
City Proj. No.: 01477
Water and sanitary sewer main repiacements on Sapping Place, Waverty Way, Lubbock Street and Covert Avenue.
CD Builtlers, Inc Change Order:� Date: 6/9/2015
Chaubey Rakesh City Inspector Edward D'avila
,�� - � -
FO'RT ��O RT H City of �ort Worth
Change Order Deletions
I�roject Name Water and Sanifary Sewer Replacement Contract 2009, STM-M
Project No.(s): P253-603170147783 antl P258-703170147783 DOE No. 6618
Project Description Water and sanitary sewer main replacements on Sapping Place, WaveRy Way, Lubbocl
Avenue.
City Sec No.
City Proj. No.:
Street antl Covert
45862
01477
Contractor CD Builders, Inc Change Order: 1� Date 6/9/2015
City Project Mgr. Chaubey Rakesh City Inspector: Etlward D'avila
DELETIONS
ITEM
3 3311.0141 6" Water Pipe
15 3201.0400 Temporary Asphalt Pavir
18 3216.0102 6" Conc Curb and Gutter
21 3292.0100 Block Sod Placement
23 Permanent Asphait Pvmt Repair
2 4° Sewer 5ervice
3 4" Clean out
6 4' Manhole Extra Depth
8 Concrete Collar
13 6°Concrete Driveway
Water
Water
Sewer
Sewer
Sewer
Sewer
Sewer
f�l��i
Qty Un
6.00 LF
2,066.41 LF
470,00 LF
95.00 SY
200.OD SY
4.00
:0.00 VF
'3.00 EA
462.00 SF
Sewer
Page 3 of 4
it Cost Total
$28.00 $168.00
$11.90 $24,590.28
$11,12 $5,226.40
$3.97 $377.15
$44.61 $8,922.00
$356.53 $1,426.12
$495.66 $1,982.64
$247.83
$99.14
Sub Total
280.22
219.34
39,283.83
15,864.92
148.75
I
Page 4 of 4
F cuid Appropriation Requests
M&C Required?: No
M&C Number:
Fund Appropriation Requests
� General
Project Number: 01477
Project Name: W& SS Repl. Contract 2009
STM-M
Title: FAR to fund C.O. 1
Recard Number: FAR-00007
Amount Requested: 31,203.80
Fund Appropriation Request Internal FAR
Type:
Target Completion Date:
Effective Date:
Data Type Code: 2
Page 1 of 1
Creator: Rakesh Chaubey
Status: Pending
Creation Date: 06/09/2015 07:30 AM Local
(GMT-6)
Remarks:
Explanation:
Comments: FAR to fund C.O. 1
M&C Approval Date:
c<•,r
�J Task Details
From:
To:
Cc:
Sent For:
Joumal Voucher Required?: No
Description 3 (Journal Voucher
No.):
Task Due Date:
Dan Pepon
2 Review
Workflow Progress
0 Line Item
1 Item(s)
No. �FBS Code �Fundina FAC IShort
BONDS-
SEWERCP-
S WERPROJ- P258-476045-fund C.O.
P258-13-70- 701139990100�
476045-
701139990100
Task Status
Not Applicable
L'Task Notes (0)
2 IWBS Code
A-SEWER-
SEWERPROJ-
17-83-70-
541200-P258
View Only
otal Amount �WBS FAC �Original FAC
31,203.80 P258-541200-
703170147783
Total Amount: $ 31,203.80
Attachments (0)
Linked Records(0)
Linked Mail (0)
https://primavera-unifier23 . oracleindushy.com/bp/studio/print/open?id=3 3 006&model=ufar... 6/9/2015
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Project oescrip�ion:j Water and sanitary sewer main replacements on Sapping Place, Waverty Way, Lubbock Sfreei and Cover# Ayenue. j
t {
Contractor: CO Builders, Inc Change Order# �1 Date: 619(2015 �
Ci(y Project Mgr. Chatibey Rakesh � Ciiy Inspecfor: Edward D'avila ��
Phone Number:� {817) 392-6051 Phone Number: (817) 223-2268—��
Depf,
Original Contract Amount
Extras fo Dafa
Credits fo Date
Pending Change Orders (in M&G Process)
Coniract Cost to Date
►l1'd�
Sewer
Amount af Praposed Chanc�e Order =���,��� q.�; �_��',���� . _ -_
Revised ConUact Amount 625,23v 13 ;; , `���qf7�ta�' ; � , , _
Origina( Funds Available fior Ghange Orders $25,OQ0.38 $14,877,63
Remaining Funds Available for ihis GO -�2��(?Q, 38, i $1d,��7,63 ,, ��
Addi6anai Funding (if necessaryj _ _ _ $��;3�g;$g _ _ -3
CXAN�E ORDERS ta DAi� (lNCLUDt�V6 THIS ONE) AS % OFORI�S]fVAL CONTRACT
MAXALLOWA�LE CQNTRACTAMDU�i7'(OR/GlNAL COIUTRACT COST+ ��%)
Tofials � �antract Time
change order will provide for the installation of addi#ionai footage of sanitary sewer pipe that is necessary to
�lete the project.
�hange ordar will also allow for the deletion of pay item quantities that are no Ionger necessary on the
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concurs with the cont�•actor's request 20
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days on the projecf.
0
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It is understood and agreed that the acceptance of this Change Order by the contractar constitutes an accord and satistacHon and represents paymenf
in full {boUt fime and money) for all costs arising out of, or incidentai to, fhe a6ave Ghange Ordec
�'� 1�T' �+C� ��' i� Ciiy of For� Worth
� � Change Ord�r Addifiions
Project Name Water and Sanitary Sewer Replacement Contract 2009, STM-M
Project No.(s): P253-603170147783 and P258-703170147783 DOE No. 6618
Project
Description
City Sec No.: 45862
City Proj. No.: 01477
Water and sanitary sewer main replacements on Sapping Place, Waverty Way, Lubbock Sfreet and Covert Avenue.
Contracfor CD Builders, inc �� Change Order: � Oate: 6/9/2015
City Project Mgr. Chaubey Rakesh City Inspector Edward D'avila
ADDITIONS
__ DEPT Qty Unit Unit Cost
Sewer
Sewer
7 Epoxy Manhole Liner
9 Trench Safety
11 Manhole Vacuum Te:
12 Post-CCTV Inspectio►
16 Temporary Asphalf P�
28 Dig test holes (1 Cove
2 8" PVC Water Pipe
5 8" Gate Valve
8 2" Water Service MetE
Sewer
Sewer
Sewer
Water
535.00 LF $33.04 $17,
5.00 EA $2,280,00 $11,
7.00 VF $61.47 $43(
535.00 LF $1.00 $53;
5.00 EA $99.14 $49f
535.00 LF $2.12 $�,1
897.00 LF $12.72 $11;
2.00 EA $1,100.00 $2,2
31.00 LF $31.35 $971
EA $1,055,81 $4,2;
EA $1,434.70 $2,81
505.00 ISF
00
70
4.20
09.84 ,
0.00
$1,802.85
Page 2 of 4 Addifions Sub Total �55,148.77
�� _
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Water and Sanitary Sewer Replacement Contract 20Q9; STM-M
Project No.(s): P253-6031701417$3 and P258-703170147783
DOE No, 6618
Cify Sec Na.: 45862
Ci#y Proj. No.: 01477
Project Description �aier and sani#ary sewer main replacemenfs on Sappin� Place, Waverty Way, Lubbock S(reet and Coverf
A�renue.
Contracfo� CD Builders, Inc
City Project Mgr. Chaubey Rakesh
� Change Order: � Date �6/9/20�5
City Inspec#or: Edward D'avila
DELETI�NS
Page 4 of 4
Fund Appropriuiion Requests
Page 1 of 1
Fund Appropriation Requesfis
� General
Project Number: 01477
Projecf Name: W& SS Repl. Gontract 2009
STM-M
Titfe: FAR to fund GO. 1
Record Number: FAR-00007
Amount Requested: 31,203.80
Fund Appropriation Request lnternai FAR
Type_
Creator: Rakesh Chaubey
S[afus: Pending
Creation Dafe: 06109/2015 07_30 AM Lacai
(GMT-6}
Target Completion Date:
Effective Date:
Data Type Code: 2
Remarks:
Explanation:
Comments: FAR to fand C.O. 1
M8�C Required?: No
M&C Number.
M&C Approval date:
«��
� Task Defails
From:
To: Dan Pepon
Cc:
Sent For: 2 Review
Vl/orkflow Progress
0 Line ifem
1 ltem{s)
No_ (FBS Code �Funding FAC IDescriptic
BOAlDS-
SEWERCP-
SEWER- P25g_476Q45- FAR fo
)01 SEWERPROJ-701139990100 fund C.O_
P258-13-70- 1
476Q45-
70'I'139990100
Journai Voucher Required?: No
bescription 3 (Journal Voucher
No.}:
Task D�e Date:
Task Stafus:
2 IWBS Code
A-SEti/VER-
SEWERPROJ-
17-83=70-
5412DQ-P258
Not App[icable
View Only
otal Amount
�%''Task Notes (0)
FAC
31,203.80 ��$8-541200-
7Q3170147783
FAC
Total Amount: $ 31,203.80
Attachments (Of
Linked Records(0)
Linked Mail (0)
�
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
`"'Y'ROJECT NAME: Water and Sanitary Sewer Replacement Contract 2009, STM-M
PROJECT NUMBER: # 01477
DOE NiTIVIBER: DOE 6618
C.�l�l��.�
' 1' - �11
I'
I'IRE HYDRANTS: 7
PTPE ABANDONED
Ductile
Ductile
DENSITIES:
NEW SERVICES:
SIZE
12"
8��
6"
SIZE
12"
8��
6"
TYPE OF PIPE
PVC
PVC
PVC
VALVES (16" OR LARGER)
TYPE OF PIl'E
YES
SEWER
PIPE LAID
Clay
PIPE ABANDONED
SIZE
g��
SIZE
TYPE OF' PIPE
PVC
TYPE OI' PIPE
LF
LF
LF
LF
61
6632
72
61
6632
72
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DENSITIES: �S
NEW SERVICES:
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T'Rt1NSPORTATION AND PUBLIC WORKS
The Citq of Fort Worth • 1000 Thtockmorton Stseet � Fort Worth, TY 76012-6311
(81'� 392 - 7941 • Fas: (&17) 392 - 7845
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5' .�;3
E� Et�CiUCC�t�C�
August 4, 2015
City of Fort Worth
RE: Water and Sanitary Sewer replacement contract 2009, STM-M, City Project No. 01477.
Bond No.: 1301148000828
Gentlemen:
At the request of CD Builders, Inc., contractor under the project in caption, we wish to confirm that we
have no objection to the release of any amounts due to them for work performed on this 'contract,
inasmuch as the contractor advises that they have no bills pending payment and also that they have
paid for all labor employed in this contract.
This release in no way affects our obligation under the bond whereby the Company assumes
responsibilities for any claim that may arise against this contractor under the terms and conditions of
the bond.
Cordially yours,
� ��' t..��''y�� � �
�oberto DP Soto I,opez
1�ttorney in Fact
lncotionn Endur.anc�r F:cirs.tvr.�n�:c: Car�crnr:tcic�n orf�Rmarii-❑ Tcieplwonaz E714, t�ft_St3(?O
3�3 �r.teli�'�eer rlvcrittc . poesirnila: 914_�J�7_Q337
Wliite I'i:�ins. Nl' ] VGU-�
AFFIDAVIT OF SILLS PAID
STATE OF TEXAS
COUNTY OF DENTON
.
KNOW ALL MEN BY THESE PRESENTS:
Personally, before me the undersigned authority, on this day appeared Ismael Carrasquillo, who
being duly sworn on oath, says that he is a legal representative of CD BUILDERS INC., and that
the contract for the construction of the project, designated as:
WATER & SANITARY SEWER REPLACEMENT CONTRACT 2009, STM-M
has been satisfactorily completed and that all bills for materials, apparatus, fixtures,
machinery, labor, and equipment used in connection with the construction of this project have
been fully paid.
Title
Sworn to and subscribed before me this, the S�ay of August, 2015.
�
Notary Publ in
Tarrant Cou ty,
for
REBECA I CRUZ
My Commission Expires
October 20, 2018
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATIOIu OF CITY
� PROJECT IN�'ORMATIOIV
Name of Contractor
CD Buiiders
DOE Inspector �
Edward D'avila
DDENumber ProjectD�cu/tv
6618 � Simple Q
Contract Amount
�
Routine Q Complex
In PERFORMANCE EVALUATION
��
0- Inadequate 1- Deficient 2- Standard 3- Good 4- Excellent
ELEMENT RATIlVG ELEMINT
�� - 4)
INSPECTION EVALUATION
1 Availability of Inspector
3 Accuracy of Measured Quantiti
4 Display Of Professionalism
5 Citizen Complaint Resolution
6 Performance - Setting up Valve
ADMINISTRATION
1 Change Order Processing Tune
2 Timliuess of Contractor Payme�
3 Bid Onenin� to Pre-Con Meetir
��-r��
Date: I 6/28/2015
Project Name
Water and Sanitary Sewer Re
Project Manager
Chaubey Rakesh
Tvpe of Conirac!
Q Water Waste Water�
Final Contract Amomzt
Storm
O C� �
�v: o2i22lo�
Contract 2009. STM-
PLANS & SPECIFICATIONS
1 Accuracy of Plans to E�sting Conditions
2 Clarity & Sufficiency of Details
3 Applicability of Specifications
4 Accuracy of Plan Quantities
PROJECT MANAGER EVALUATION
1 Knowled�e And/Or Problem Resolution
Availability of F
Communication
Resolution of U
u-�,u-
IL� COMMENTS & SIGNATURES
COMMENTS
Conflicts
Pavement
RATING
rn _ a�
�'
�
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Super
IN3PECTOR'S COMMENTS
_ � ,
:����:
=.:��
TR.t1NSPORTATION t1ND PUBLIC �VORKS
The Ciry of Fort Worth • 1000 Throckmorton Stceet • Fost Worth, TX 76012-6311
(817) 392 - 7941 • Fas: (817) 392 - 7845
oRTWoR�rH
TRANSPORTATION Al�iD PUBLIC W�RKS
PERFORMANCE EVALUATION OF CONTRACTOR
CONT'RACTOR & PROJECT DATA
�v: o�,,a,o,
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 1 8 2
2 Public Norificarions 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 3 60 45
6 Finished Product I S Y 4 60 60
7 Job Site Safety 15 Y 3 60 45
8 Traffic Control Maintenance 15 Y 3 60 45
9 Daily Clean Up 5 Y 4 20 20
10 Citizen's Complaint Resolution 5 Y 3 20 15
11 Property Restoration 5 Y 3 20 15
12 After Hours Response 5 Y 2 20 10
13 Project Completion 5 Y 4 20 20
TOTr1L ELEMENT SCORE (A)
BONUS POINTS (25 Ma�mum) (B)
TOTAL SCORE (TS)
III) CONTRACTOR'S RATING
Maximum Score (MS) = 448 or sum of applicable element score maximums which =
Rating ([TS / MS] * 100%) 377 / 448 = 84%
Cg]
Performance Category Excellent
<20% = Inadequate 20% to <40% = Def:cient 40% to <60% = Standard 60% to <80% = Good >80% = EYcellent
Inspector's Comments (INCLUDING EXPLANATION OF BONiJS POINTS AWARDED)
Signature DOE Inspector
Signature DOE Inspector's Supervisor
CONTRACTOR'S CObiMENTS
�re Contractor
377
377
��t�_�������
� TR=INSPORTt1TTON r1ND PUBLIC WORKS
;,�-`� The City of Fort �'Uorth • 1000 Throckmorton Sueet • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fas: (81� 392 - 7845
In PERFORMANCE EVALUATION
FORTWORTH�
�.:. �,: . � �� ��
STATEMENT OF CONTRACT TIME
STATEMENT#
FINAL STATEMENT#
NAM1tE OF PROJECT:
;?i11;
NO.:
15 DOE 6618
and Sanitary Sewer Replacements Contract 2U09 STM-M Contractor CD Builders
FINAL INSPECTION DATE 5/2W2015
WD CD
CONTRACT TIME 200 X
PERIOD FROM: 6116/2015 TO: 6/30/2015 MID - Month DEVELOP�iE � 1�'�: � N
R'ORK ORDER EFFECTIVE: 1N212015 BEG 1� i n) n MID (y ; n) 100.0%
DAY OF biONTH DAYS REASON FOR DAY OF B10NTH DAYS REASOY FOR
CHARGED DAYS CREDI'T�D CFIARGED DAYS CR�DIT�D
1 16 Tue 0 na
2 17 �Ved 0 na
3 18 Thu 0 na
4 19 Fri 0 na
5 20 Sai 0 na
6 21 Siin 0 na
7 22 Pilon 0 na
8 23 iu� 0 na
9 24 4V�d 0 na
10 25 Thu 0 na
17 26 Fri 0 na
12 27 Sat 0 na
13 28 Sun 0 na
14 29 iJ1on 0 na
15 30 Tua 0 na
31
(�:t�, i��,'�'.n $ �inl '�' i.•-1 (%ifi
Not Applicable SAT,SLTN,and WEATf�R ITTII.ITIES OTi�RS DAYS TOTAL DAYS
HOLIDAYS RELOCATE CHARGED
TffiS PERIOD 0 0 0 0 0 0
PREVIOUS PERIOD 0 200 200
TOTAL TO DATE 0 0 0 0 200 200
REMARKS:
Project Complete
Signature:
(Print Name) jl/f �
i rc1
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