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Home My WebLink AboutContract 45105-FP1 (2).. ��,��—"�'' ; . ; >� '� °'�y �� , , ��F�� l - SEP 14 2015 G1�"� ��;��C11�'. r FORT WORTH� TRANSPORTATION AND PUBLIC WOR%S NOTICE OF PROJECT COMPLETION �°��'��5��r_" i 5 /0 5-�'l��l � � 3 --�'j 15�3 C S 1-1 �''145 D.O.E. Ns: 6604 Regarding contract 45105 for CHAPIN RD BRIDGE REPLACEMENT & CRAVENS RD as required by the WATER DEPARTMENT as approved by City Coundl on 10/07/2013 through M&C G26492 the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation & Public Works Department has accepted the project as�r�a^�P*P 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 $1,049,025.00 $1,049,025.00 $1,049,025.00 50.00 $1,049,OZ5.00 S996,573.75 $52,451.25 Recommended for Acceptance Asst. Director, TPW - Infrastructure Design and Construction L��C��E� �/ . Accepted Asst. Direckor, WATER �� iLvca...,..�o Asst. City Manager Ns 1 Days @ 5210.00/ Day �'� s e��2 V----- - Date �Z3�s' Date -- - - - --- ��Z*�S Date Comments: FUND ACCT': P253-G05170153383 / SEWER P258-705170153383 � � I' �i� ' �' ` " : i�� '� �� k � �. � _ >` r �- �, ,, _ s, C,' � � � , City Project Numbers 00259/00302/0153: Contract Name CHAPIN FtD BRII?GE Contract Limits Project Type WATER & SEWER Project Funding Project Manager ts�am Tnspectors RODGERS / BRENZ Contractor S.J. LOUIS CONSTRUCT[ON OF TEXAS, LTD P.O. BOX 834 MANSFIELD � TX 76063-0834 t�a� 3 --b l533 C S � S"-1 b .� DOE Number 6604 REPL Estimate Number 30 Payment Nomber 30 For Period Ending �� 1/2015 City Secretary Contract Number 45105 Contract Date 10/7/2013 Contract Time 285 CD Days Charged to Date 366 CD Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES �(j�#� 5��1_ �-�'�'�----- INVOICE #_ �5i�5 -3a Line Fund Account Ceuter Amount Gross Retainage Net Fuoded - - - �.�- G5 .3 3 - - y l - � � �� - - -�„- - -+' -rZ 1. 5.5 �� .r-� - .�',%-'QL,�� `�'.3 , `v �, C� � •1(1 �13.?r-.� ��2�� Thursday, May 28, 2015 Total Cost ofR'ork Completed $1,049,025.00 Less % Retained $0.00 NetEarned $1,049,025.00 Earned This Period $52,451.25 Retainage This Period 50.00 Less Liquidated Damages 0 Days Q $0.00 / D$y LessPavement Deficiency Less Peoalty Less Previous Payment Plus Material on Hand Less 15°/a Balance Due This Payment $0.00 $0.00 $0.00 $996,573.75 $0.00 $52,451.26 Page 5 of 5 i 1 F�RT WORTH CITY OF FORT WORTH FINAL PAYlV�NT REQUEST Contract Name CHAPIN RD BRIDGE REPLACEMEN'I' & CRAVENS RD BRIDGE REPL Contract Limits Project Type WATER & SEWER City Project Numbers 0 02 5 9/0 03 02/0 1 53 3 DOE Number 6604 Estimate Number 3� Payment Number 30 City Secretary Contract Number 45105 Contract Date 10/7/2013 For Period Ending 5/31/2015 CD Project Manager Islam Contractor S.J. LOUIS CONSTRUCTION OF TEXAS, LTD P.O. BOX 834 MANSFIELD, TX 76063-0834 Inspectors RODGERS / BRENZ Thursday, May 28, 2015 Contract Time 28�D Days Charged to Date 366 Contract is 100.00 Complete Page 1 of 5 / ' �'� r�1 i City Project Numbers 00259l00302/oI533 DOE Namber 6604 Contract Name CHAPIN RD BRIDGE REPLACEMENT & CRAVENS RD BRIDGE REPL Estimate Number 30 Con[ract Limits Payment Number 30 Project Type WATER & SEWER For Period Ending 5/31/2015 Project Funding UNTI' 3 CRAVENS RD AT WiT_.DCAT BRANCH WATER Item Descripfion of Items �s6mated Unit Unit Cost Estimated Complefed Completed No. Quanity Total Quanity Total 1 12" PVC WATER PIPE CSS BACKFILL 493 LF $270.00 $133,I I0.00 493 $133,11Q.00 2 12"WATER CARRIER PIPE 142 LF $250.00 $35,500.00 142 $35,500.00 3 12" DIP WATER 20 LF $255.00 $5,100.00 20 $5,100.00 4 24" CASING BY OTHER TEiAN OPEN CLJT' 142 LF $510.00 $72,420.00 142 $72,420.00 5 10" WATERABANDONMENTPLUG 2 EA $500.00 $1,000.00 2 $1,000.00 6 REMOVE 6" WATER VALVE 1 EA $300_00 $300.00 1 $300.00 7 REMOVE 10" WATER VALVE 1 EA $300.00 $300.00 1 $300.00 8 3ALVAGE PIRE FlYDRANT' 1 EA $400.00 $400.00 1 $400A� 9 EXPLORATORY EXCAVATION OF EXISTING 2 EA $1,000.00 $2,000.00 2 $2,000.00 UTILITIES 10 TRENCH SAFETY 495 LF $0.40 $198.00 495 $198.00 li UTII,ITYMARKERS 1 LS $1.00 $1.00 1 $1.00 12 DUCTILE II20N WATER FITTINGS I.5 TN $2.00 $3.00 1.5 $3.00 13 6" PVC WA'PER PIYE, CSS BACKFILL 10 LF $80.00 $800.00 10 $800.00 14 CONNECTION TO EXISTII�IG IO° WATER MAIN 2 EA $1,500.00 $3,000.00 2 $3,000.00 I S 6" GAT'E VALVE 1 EA $700.00 $700.OD 1 $700.00 16 12" GATE VALVE 2 EA $1,800.00 $3,600.00 2 $3,600.00 17 FIRE HYDRANT 1 EA $4,000.00 $4,000.00 1 $4,000.00 Sub-Total of Previous Unit $262,432.00 $262,432.00 UNI"r 4 CRAVENS RD AT WII.DCAT BRANCH SS REL Item Descriprion of Itcros EsNmated Unit Unit Cost �stimated Comp[eted Completed 11To_ Quanity 7'otal Quanity Total 1 54" SEWER CARRlER PIPE 261 LF $640.00 $167,040.00 261 $167,040.00 2 24" SEWER DIP CSS BAC:KFII.L 103 LF $460.00 $47,380.00 103 $47,380.00 3 54" FIBERGLASS SEWER PIPE CSS BACKFILL l03 LF $620.00 $63,860.00 103 $63,860.00 4 72" CASING BY OPEN CUT 86 LF $620.00 $53,320.00 86 $53,320.00 5 24" SEWER ABANDONMEN'I' PLUG 2 EA $500.00 $1,000.00 2 $1,000.00 6 REMOVE 5' SEWER MANFtOLE 3 EA $1,000.00 $3,000.00 3 $3,000.00 7 PRE CCTV INSPECTION 450 LF $1.50 $675.00 450 $675.00 8 POST CCTV INSPECTION 470 LF $1.00 $470.00 470 $470.00 Thursday, May 28, 2015 Page 2 of 5 City Project Numbers 00259/00302/�1533 DOE Number 6604 Contract Name CHAPIN RD BRIDGE REPLACEMENT' & CRAVENS RD BRIDGE REPL Estimate Number 30 Contract I�imits Payment Number 3� Project Type WATER & SEWER For Period Ending 5/31/2015 Project Funding 9 MANHOLE VACLJUM TESTING 10 BYPASS PLTMPING 11 EXPLORATORY EXCAVATION OF EXISTING UTII.ITIES 12 TRENCH SAFETY 13 U'I�.1TY MARKERS 14 CONCRETE COLLAR I S EPDXY MANI IOLE I.INER '7 EA $100.00 $700.00 7 $'700.00 1 LS $1.00 $1.00 1 $1.00 3 EA $1,000.00 $3,000.00 3 $3,000.00 292 LF 1 LS 7 EA 55 VF $0.50 $1.00 $500.00 $160.00 $146.00 $1.00 $3,500.00 $8,800.00 292 1 � 55 $146.00 $1.00 $3,500.00 $8,800.00 16 5'MANHOLE i EA $17,000.00 $17,000.00 1 $17,000.00 17 5' TYPE A MANIIOLE 2 EA $22,000.00 $44,000.00 2$44,000.00 ~ 18 96"X48" PRECAST CONCRETE SANITARY 2 EA $25,000.00 $50,0�0.00 %' 2 $50,000.00 SEWER MANFIOLE 19 72° CASINGBY AERIAL CROSSING 175 LF $800.00 £140,000.00 175 $14Q000.00 20 5' FIBERGLASS TEE BASE MANHOLE 2 EA $25,000.00 $50,000.00 2 $50,000.00 21 CONCRETE SUPPORT STRUCT'URE 6 EA $21,000.00 £126,000.00 6$126,000.00 22 MANHOLE MEDIC ODOR CONTROL INSERT I EA $5,500.00 $5,500.00 I $5,500.00 23 39" SEWER ABANDONMENT PLUG 2 EA $600.00 $1,200.00 2 $1,200.00 Sub-Total of Previous Unit $786,593.00 $786,593.00 Thursday, May 28, 2015 Page 3 of 5 City Project Numbers 00259/00302/01533 DOE Number 6604 Contract Name CHAPIN RD BRIDGE REPLACEMEN"T & CRAVENS RD BRIDGE REPL Esfimate Number 30 Contract Limits Payment Number 30 Project Type WATER & SEWER For Period Ending 5/31/2015 Project Funding Contract Information Summary Origival Contract Amount Chan�e Orders Total Contract Price Project ��---'tL- Director / Contracting $1,049,025.00 $1,049,025.00 � Total Cost of Work Completed �� Less % Retained /_ Net Earned l9 Earned This Period $52,451.25 Retainage This Period 50.00 6 �7 /� Less Liquidated Damages Days @ / Day �� $�� LessPavemeut Deficiency and C nstruct on Less Penalty � Z 3 /� Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $1,049,025.00 $0.00 $1,049,025.00 $0.00 $0.00 $0.00 $996,573.75 $0.00 $52,451.25 Thursday, May 28, 2015 Page 4 of 5 r�I�Two►�� ; City of Fort Worth, TX CONSENT OF SURETY COMPANY TO FINAL PAYMENT Bond No.19003�204 PROJECT: Cl�apin Rd at Santa Clara Channel Bridge Replacement, Cravens Rd at Wild Cat pROJECT NUMBER: Branch Bridge Replacement, and Cravens Rd Water and Sanita�y Sewer locations OWNER: Cit of Fort Worth, Texas 00259,00302,01533 CONTRACTOR: S.J. Louis Construction of Texas, Ltd. 21325-10 ENGINEER: Kimle -Horn and Associates The Surety Company, on bond of the Contractorlisied above for the referenced project, in accordance with ihe Contract Documents, hereby approves 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 the Owner under the terms of the Contract and as set forth in said Surety Company's bond. In witness whereof, the Surety Company has hereunto set its hand this 2"d, day of June, 2015. Liberty Mutual Fire Insurance Company Surety Company By � � Authorized Representative Address: 450 Plymouth Road, Suite 400, Plymouth Meeting, PA 19462-8284 Attach Power of Attorney C:\Userslelizabeihi\Desktop\CONSENT OF SURETY COMPANY TO FINAL PAYMENT.DOC THIS POWER OF ATTOf�NEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This'Power of Atforney 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. 6935001 LIBERTY MUTUAL FIRE INSURANCE COMPANY WAUSAU, WISCONSIN POWER OF ATTORNEY KNOW AL[. PERSONS BY THESE PRESENTS: That Liber(y Mutual Fire Insurance Company (the "Company"), a Wisconsin stock insurance company, through its Assistant Secretary, pursuant to and by authority of the Board of Directors hereinafter set forth, does hereby name, constitute and appoint, Brian J. Oestreich; Craig Remick; D. R. Dougherty; Donald R. Olson; Emily Keiser; Jack Cedarleaf II; Jerome T. Ouimet; John E. Tauer; Joshua R. Loftis: Kurt C. Lundbiad: Lin Ulven: �inda K. French: Melinda C. Blodaett: Nicole Stiilinps: R C. Bowman: R W. Frank: Rachel Thomas: aii of the city of Minneapoiis , state of MN 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, recrognizances and other surety obligations in pursuance of these presents and shall be as binding upon the Company as if they had been duiy signed by the president and attested by the secretary of the Company in their own proper persons. That this power is made and execufed pursuant to and by aufhority of fhe following Unanimous Consent and Vote of the Board of Directors dated May 21, 2013 wherein, among other things, it was . VOTED that, pursuant to Articie VI, Section 1 of the By-Laws, the Chairman, the President and the Secretary, either jointly or severally, are authorized to delegate authority to any o�cer(s) of the Company io appoint such attorneys-in-fact as may be necessary or desirable to act on behaif of the Gompany to make, execute, seai, acknowfedge a�d 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 powers of attorney, shall have full power to bind the Company by their signature and execution of any such insfruments and to attach thereto the seal of the Company. When so executed such instruments shall be as binding as if signed by the President and attested by the Secretary. That the Resolution set forth above is a true copy thereof and is now in full force and effect. !N WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or of�cial of fhe Company and the corporate seal of Liberty Mutual Fire lnsurance Company has been affixed thereto in Plymoufh Meeiing, Pennsylvania this sih day of APril , 2015 COMMONWEALTH OF PEtVNSYLVANIA ss COUNTY OF MONTGOMERY 41AE 4Y,tp /�J�,� �� w �IME6NPORATEO � � 1906 \\ � ��7SCO85l:� / LIBERTY MUTUAL FIRE INSURANCE COMPANY M. Carey, �istant Secretary On this st� day of April 2015 before me, a Nofary Public, personally came David M. Carev, to me known, and acknowledged thaf he is an Assistant Secretary of Liberty Mutuat Fire Insurance Company; that he knows the seal of said corporation; and that he executed the above Power of Attorney and affixed the corporate seal of Liberty Mutual Fire Insurance Company thereto with the authority and at the direction of said corporation. IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting, Pennsylvania, on the day and year first above written. yQ p�� COMMOhIWEALTH pF PENNSYlVANfA Qr ��,y �:`' Notarial Seal F,.��V�� 4�y � Plymouth Twp teMo gomery County �� My Commission Expires March 28, 2017 � _. Member, PennsyNaniaAssociaiion of Notaries ti "`��c� CERTIFICATE �1`a�Y ,�g� a Pasteila, Notary Pu6lic I, the undersigned, an Assistant Secretary of Liberty Mutual Fire Insurance Company, do hereby certify thai the original powet of aftorney of which the foregoing is a full, true and correct copy, is in fuli force and effecf on fhe date of this certifcate; and I do further certify that the officer or official who executed the said power of attorney was one of the officers or officials specially authorized by the Board of Directors to appoint attorneys-in-fact as provided in the Unanimous Consent and Vote of the Board of Directors of Libehy Mutual Fire Insurance Company dated May 21, 2013. This certificate and fhe above power of attomey may be signed by facsimile or mechanically reproduced signatures under and by authorify of ihe Board of Directors of Liberry Mutual Fire Insurance Company evidenced by the Unanimous Consent and Vote of the Board of Directors dated June 28, 2006 wherein it was VOTED that the signatures 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 attomey or certificate bearing such facsimile signature and facsimile seal shall be valid and binding upon the Company when so affixed and in the future with respect to any surety undertakings, bonds, recognizances and other surety obiigations to which it is attached. IN TESTIMONY WHEREOF, I have hereunto subscribed my June 20T5 . LMS-16792 072013 and affixed the cotporate seal of the said company, this 2nd� day of �a��yFI0.E fYabq�t+\ � IY6�pP0ARTf0 9 � 1908 \aneoas,r / r---� Gregory W. Assistant Secretary 126 of 5Q0 FORT WORTH The City of Fort Worth CONTRACTOR'S AFFIDAVIT OF RELEASE OF LIENS PROJECT: Chapin Rd at Santa Clara Channel Bridge Replacement, Cravens Rd at Wild Cat pROJECT NUMBER: Branch Bridge Replacement, and Cravens Rd Water and Sanitary Sewer locatlons OWNER: City of Fort Worth, Texas 00259,00302,01533 CONTRACTOR: S.J. Louis Construction of Texas, Ltd. 21325-10 ENGINEER: Kimley-Horn and Associates The Contractor, in accordance with the Contract Documents, and in consideration for the full and final payment to the Contractor for all services in connection wifh the project, does hereby waive and release any and all liens, or any and all claims to liens which the Contractor may have on or affecting the project as a result of its contract(s) for the Project or for performing labor and/or furnishing materials in any way connected with ihe construction of any aspect of the project. The Contractor further certifies and warrants that al! subcontractors of labor anrl/or materials for the Project, except as listed below, have been paid in full for all labor and/or materials supplied to, for, through or at the direct or indirect reguest of the Contractor prior to, through and including the date of this affidavit. EXCEPTIONS: (if none, write "NONE". The Contractor shall furnish a bond, acceptable to the Owner, for each exception.) CONTRACTOR S.J. Louis Construction of Texas. Ltd. � Title General Subscribed and Notary Public: My Commission Expi —� L;��=;-•'-�f��rl t(�l�i:A�1 �lofiary Fublic, Sta�e of Texas f�6y Cornmission Expiros ivlay 10, 2f71 7 hitman to before me this 1 st day of J u n e , 20 15 FQRT WORTH �� City of Fort Worth, 7X CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLA/MS The Contractor, in accordance with the Contract Documents, hereby certifies that, except as listed below, all obligations for a!1 materials and equipment furnished, for al! work labor, and services performed, and for all known indebtedness and claims against the Contractor for damages arising in any manner in connection with the performance of fhe Contract referenced above for which the Owner or his property might in any way be held responsible have been paid in ful/ or have otherwise been satisfied in full. EXCEPTIONS: (If none, write "NONE". The Contractor shall furnish a bond, acceptable to the Owner, for each exception.) CONTRACTOR S.J. Louis Construction of Texas, Ltd. C�1 =1 V. Whitman TITLE General Manaqer Subscribed and sworn to before me this 1 st day of C-'� � ; Notary Public: � ��i �. v- �. My Commission F�cpires: Mav 10, 2017 20 15 ELILABiiIN afQfJ !f�lGl;Ai:l P;•oiary Fublic, Si�;e of 7exas (�y Commission E.r.pires Nlay 10, 2(l17 , AFFIDAVIT OF BILLS PAID AND WAIVER OF ALL CLAIMS BEFORE ME, the undersigned authority, on this day personally appeared Pete J. Stahl, party to that certain Contract entered ulto in the month of November, 2013, between the City of Fort Worth, Texas and S.J. Louis Construction of Texas Ltd. for the erection, construction, and completion of certain improvements and/or additions upon the following described preinises, to wit: Chapin Road at Santa Clara Bridge Replaceinent City of Fort Worth, Texas Said party being by me duly sworn states upon oath that the said improvements have been erected and functionally completed in full compliance with the above referenced Contract, Project Manuals and Plans. Deponent further states that he ar she has paid all bills for materials furnished and labor perfoi7ned or materials furnished upon said jolyi Pete J. Vice President Subscribed and sworn to before me, the undersigned authority on this the 1 S` day of June, 2015. � OINA J WILSON 1—� Ut"101 C� c�iSi�� My Commisalon Expires Notary Public in and for June 20, 2017 Tarrant County, Texas PROJECT NAME: PROJECT NUMBER: DOE lYUMBER: PIPE LAID FIl2E HI'DRANTS: PIPE ABANDONED DENSITIES: NEW SERVICES: PIPE LAID PIPE ABANDONED CUT/PLUG CUT/PLUG DENSITIES: NEW SERVICES: .` : - �► . . �' I �; �i�;� TRANSPORTATION AND PUBLIC WORK� PIPE REPORT FOR: CHAPIN RD/CRAVENS RD #01533/002�9/00302 6604 SIZE 12" 6" 12" SIZE 6" WATER TYPE OF PIPE VALVES (16" OR LARGER) TYPE OF PIPE YES N/A SIZE 54" 24" SEWER TYPE OF PIPE SIZE TYP� OF PIPE 3 9" DI 24" DI YES N/A TR��TSPORT:iTI01�T �ND PUBLIC ��'OR� S The Cit�� of Fort CY/orth • 1000 Tluockmorton Stseet • Fort �Uordi, T� 7G012-6311 (81� 392 - 79�}1 • Fas: (817) 392 - 7845 LF 635' 10' 20' LF 63 5' LF 3 64' 103' LF 363' 148' �ORT WORTH TRANSPORTATION AND PUBLIC WORg.S PERFORMANCE E�TALUATION OF CONTRACTOR Projecl ��'mne CHAPIN RD /CRAVINS RD. DOE A'tnnber 6604 Pavement IT �❑ ;t hlaita�er IQIIL ISLAM .t Di�c:dh� Simple 1S QQ Routine �v: o2izoio� Q Complex n CONTRACTOR & PROJECT DATA A'ame o%Conh-acror S.J.LOiIIS D06 Ltspector KIM.BRENZ DOE I��spect�r 0 Water 0 Waste Water� Storm Drainac Initial Co�rh•act fl�noiu�t 1,049,025.00 Firral Conh�act AmomN $1,049,02�.00 In P�RFORMANCE EVALUATION 0-[nadequate 1- Def cient 2- Standazd 3- Good 4- Excellent ELE\dENT WEIGHT (%� ) 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 � 1' 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work Performed 15 I' 4 60 60 6 Finished Product 1� Y �} 60 60 7 Job Site Safety 1� Y � 60 60 8 Traftic Control Maintenance 1� Y 3 60 �5 9 Daily Clean Up � Y 4 20 20 10 Citizen's Complaint Resolution � Y 4 20 20 ll Propert}� Restoration � Y 4 20 20 12 After Hours Response 5 Y 3 20 I � 13 Project Completion 5 N 'l�(31�AL tL�MEN7� JCUKE (A) BONUS POINTS (2� Ma�imum) (B) TOTAL SCORC (TS) IIn CONTRACTOR'S RATING Maximum Score (MS) = 448 or sum of applicable element score maximums tvhich = 428 Rating ( [TS / MS] r 100%) �los / }23 = 95% Performance Category Excellent <-20% = I�:aclequate 20% to <�10% = Deficie�it =�0% to <60% = Stm:dnrd 60% to <80% = Good >80% = Exceller:t Inspector's Comments (INCLUDING �:Q'LAYATION OF BONiJS POINTS A��'ARDED) Signature DOE Inspector Sib ahu•e DOE Inspector's Supeivisor CONTRACTOR'S COMMENTS :� O '•� G12, � f, � ✓ . `�-sri-F,� Sijnature Contractor �� TR=INSPORT�-�TION :1ND PUBLIC WORI�S The Cit�� of Fort ��orth • 1000 Thxockmorton Street • Fort `Vorth, TY 7G012-G311 (817) 392 - 7941 • F�.1: (81 � 392 - 7845 REV: �2,22,�� FORT WORTH TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY n PROJECT INFORMATION A'ameofConh•actor .a.��_---�----- , SJLouis _ - - - - - _ _ , — - - — --- --_ _.. ' DOE lnspector Kim.Brenz �- .=--F----- -- -- _ —z,_-__ _ _ __ -�--- - IDDE�titunber ProjectDJficulh� , 6604 s _ I � 5imple QQ Routine 0 Complex 'Initia! Conh•act �moimt � ��e� _/_� o�-� ozs=°= _----- - In PERFORMANCE �VALUATION 0- Date: ; 6/8/2015 , - � T _ - - - ___ _ . ---_a_4 _� Projecl Nanre chapin rd cravens rd. Projec! Alanager _ _ Tariqul Islam - - - - _ u _.__.__�_.� T, pe of Conn•ocr Q Water� Waste WaterO Storm Drainage0 Pavement � Final Contract Anrount ` _ �a�-�e �� o y9� � z s— °b ----- - _ — -- - l- Deficient 2- Standard 3- Good 4- Excellent � � • tT__ . _. Signature Contractor Si;nahire DOE lnspector Signariire DOE Inspector's Supervisor iNSPECTOR'S COIVIMENTS � ! � / O :`�_: '11t�1NSPORT�TION 1�ND PUBLIC WORKS The Cits of Fort R�orth • 1000 Throckmorton Stieet • Fort ZUortli, 'I� 76012-6311 (81� 392 - 7941 • Fa.i: (S17) 392 - 78�45 Ill) COMMENTS & SIGNATURES CONll4iENTS li'.�TER/SEIT'ER/STOP�i1DR.9IN � . „ o FORTWORTH "TRANSPORTATION AND PUBLIC WORKS STATEMENT OF COIVTRACT TIME STATEIIIENT# FIN�L STATE�IEIT# 30 ti�:li� OP PROJECT: Chapin�ravens Bridge Y'EAR: ?��t� PROJECT \O.: llOE I 6604 Contractor . L.0u��5 PL\_1L IISPLCTIOti D.�TE r(G �� CD COtiTR�CT TPtIE 397 w/co t P�RIOD FRO\i: 5/7f2015 TO: 5/31/2015 B�G - Aiontl� nE�'ei.or�tE�� , N R'ORIk ORDER EFF�CTI�"E: 1/12/2015 BEG y/ nJ y MID (y ! n) n D:11' OI' 11I0\TFI D.�,1'S RLASON I'OR Da1” OF hiONTH llA1'S RE.�SON FOR C'H:U2GED DAti'S C'RTDiTiiD C'H.aRGGD D:�.1'S CRF,DIT�D 1 Fri 0 na 16 0 na 2 Sat 0 na 17 0 na 3 Sun 0 na 18 0 na 4 Nlon 0 na 19 0 na 5 Tue 0 na 20 0 na 6 Wed 0 na 21 0 na 7 Thu 0 na 22 0 na 8 Fri 0 na 23 0 na 9 Sat 0 na 24 0 na 10 Sun 0 na 25 0 na i1 Mon 0 na 26 0 rta 72 Tue 0 na 27 0 na 13 Wed 0 na 28 0 na 14 Thu 0 na 29 0 na 15 Fri D na 30 0 na 31 0 na NA !'!kn 8 Hol 4^,iea Uti Oth Not :�pplicnble S�1T.Stnv,and «'E:�THER LITILITIES OTHERS DAYS TOTAL, DA�'S HOLIDAI"S RELOCATE CH.�ItGED TF1I5 P�RIOD 0 0 0 0 0 0 PR��TOtiS PERIOD 0 366 366 TOTAL TO D,�T� 0 0 0 0 366 366 REbLaRIC.S: � project time is stoped@ 366 cd with 397 cd w/co vrafing on final c/o! �I'Tl( ��REiAR�° � f �