HomeMy WebLinkAboutContract 45105-FP2 (2), ,
[O]
' '
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
�1,366,385.00
D.O.E. Ns: 6604
Regarding contract 45105 for CHAPIN RD BRIDGE REPLACEMENT' & CR.AVENS RD as required by the
TRANSPORTATION AND PUBLIC WORgS DEPARTMEN'I' as approved by Ciry Council on 10/07/2013
thxough M&C G26492 the director of the TRt1NSPORTATION AND PUBLIC WOR%S DEPARTMENT upon
the recomtnendation of the Assistant Director of the Transportation & Public Works Departuient has accepted the
project as complete.
Original Contract Prices:
Amount of Approved Change Orders:
Revised Contract Amount:
Total Cast 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. Q-ic�ctor, TPW - Infrastructure Design and Construction
� . (�
Accepted �
,�. Director,
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
�,Z ���5
Date
�/� l��
Date
Comments: FUND ACCT: C20-205260030283
S� �u � S � � S�r'u c,7'�`�r. r
RECEIVED SEP 3 0 e01�
$168,467.40 Ns 1,2
$1,534,852.40
$1,529,332.40
Days @ $210.00/ Day
,�l�i.,c,..�,: , .a�, ._�1��_-5 "1-�
$0.00
$1,529,332.40
$1,427,413.95
�101,918.45
�/ ��/.S�
Date
O!- � exti5 , L� �
�// ► �
:� �: ��
_ �3
�
: � '�
Asst. City Manager
COIItr2Ct: CS45105
P.O. # PO-15-86948, PO-14-80462
�'p; S J Louis Construction of Te�cas �• # CS45105-; FTN ��
520 S 6th Ave
Mansfield TX 76063
FOR: Chapin Rd Q Santa Clara & Cravens Rd (a� Wildcat Branch Bridge Replacement�
Contract Amount: $1,534,852.40
�
Total to Date: $1,529,332.40 $0.00 $1,529,332.40
PreviousEstimate: $1,502,541.00 $75,127.05 $1,427,413.95 FINAL PAY
Earned to Date: 526,791.40 (575,127.05) 5101,918.45
C200 541200-20726D025983
Total to Date:
Previous Estimate:
Earned to Date:
$338,528.40
$333,937.40
$317,017.00
$16,920.40
Chapin Road - CO#1 -$12,699.00, CO#2 - $15,628.40
$0.00
$15,850.85
($15,850.85)
��
Payment Date: 5/31/zo15
Estimate No. 30 DOE: 6604
ProjManager TariqulIslam
$333,937.40
$301,166.15
$32,771.25
GR74-541z00-020302268810 $842,324.00 Cravens Rd - CO#1 -$123,520.00, CQ#2 -$16,620.00
Total to Date:
Previous Estimate:
Earned to Date:
$841,395.00
$831,524.00
$9,871.00
GS30-541200-OZ0300260580
Total to Date:
Previous Es�timate:
Eamed to Date:
$354,000.00
$354,000.00
$354,000.00
$0.00
$0.00
$41,576.20
($41,576.20)
Chapin Rd
$0.00
$17,700.00
($17,700.00)
$841,395.00
$789,947.80
$51,447.20
$354,000.00
$336,300.00
$17,700.00
Monday, July 13, 2015 Page 1 of 1
City Project Numbers 00259/00302/01533 DOE Number 6604
Contract Name CHAPIN RD BRIDGE REPLACEMENT & CRAVENS RD BRIDGE REPL Estimate Number 30
Contract Limits Payment Number 30
Project Type PAVING For Period Ending 5/31/2015
Project Funding
Project Manager �s1�
Inspectors RODGERS / BRENZ
Contractor S.J. LOUIS CONSTRUCT'ION OF 1'EXAS, LTD
P.O. BOX 834
MANSFIELD, TX 76063-0834
City Secretary Contract Number 45105
Contract Date 10/7/2013
Contract Time 2g5 CD
Days Charged to Date 366 CD
Contract is 000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded _ _ _
Depa e t of TPW Const. Services
DOE#� Date
Pro�ect Manager . �
Risk Management S. Canady �
D.O.E. Brotherton j �
CFA Westerman/Scanned ❑
The Pmceeding people have been Contacted concerniug the request
for Snal payment & have released this project for such payment
Clearance Condacted By Etta Bacy
Monday, June Ol, 2015
Total Cost of Work Completed $1,529,332.40
Less % Retained $0.00
Net Earned $1,529,332.40
Earned This Period $101,918.45
tainaee This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Haud Less 15%
Balance Due This Payment
$0.00
$0.00
$0.00
$1,427,413.95
$0.00
$101,918.45
Page 7 of 7
�ORT V��R'��
CITY OF FORT WORTH
FINAL PAYIVIENT REQUEST
Contract Name CHAPIN RD BRIDGE REPLACEMENT & CRAVENS RD BRIDGE REPL
Contract Limits
Project Type PAVING
City Project Numbers 002 5 9/0 03 02/0 1 53 3
DOE Number 6604
Estimate Number 30 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 CONSTRUCT'ION OF TEXAS, LTD
P.O. BOX 834
MANSFIELD , TX 76063-0834
Inspectors
Monday, June Ol, 2015
Contract Time ZBED
Days Charged to Date 366
Contract is 100.00 Complete
Page 1 of 7
�
�j�,
RODGERS / BRENZ
City Project Numbers 00259l00302/01533 DOE Num6er 6604
Contract Name CHAPIN RD BRIDGE REPLACEMENT & CRAVENS RD BRIDGE REPL Estimate Number 30
Contract Limits Payment Number 30
Project Type PAVING For Period Ending 5/3112015
Project Funding
IJNIT I CfIAPIN ROAD AT SANTA CLARA
Item Description of Items Esrimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
------------- ------------------------------
1 REMOVE GUARDRAII. 280 LF $8.00 $2,240.00 280 $2,240.00
2 REMOVE ASPHALT PVMT 922 SY $5.00 $4,610.00 920 $4,600.00
3 SIT'E CLEANING 1 LS $27,000.00 $27,000.00 1 $27,000.00
4 6"-12" TREE REMOVAL 6 EA $100.00 $600.00 6 $600.00
5 12"-18" TREE REMOVAL 4 EA $150.00 $600.00 4 $600.00
6 LTNCLASSIFIED EXCAVATION (CO #2) 994.5 CY $12.00 $11,934.00 ' 994.5 $11,934.00
7 EMBANKMENT 600 CY $2.00 $1,200.00 `- 480. $960.00
8 'I'WISTED GABIONS 408 CY $180.00 $73,440.00 408 $73,440.00
9 CONCRETE RIl'RAP 3 CY $300.00 $900.00 3 $900.00
10 6" FLEX BASE, TYPE A, GR-1(CO #2) 630 SY $7.00 $4,410.00 630 $4,410.00
I1 LIME(CO#I) 13.4 TN $150.00 $2,010.00 13.4 $2,010.00
12 8" LIME TREATMEN'I' (CO #I) 700 SY $5.00 $3,500.00 700 $3,500.00
13 2" ASPHALT PVMT TYPE D(CO #1) (CO #2) 1412.9 SY $13.00 $18,367.70 1412.9 $18,369.70
14 4" ASPHALT BASE T'YPE D(CO #2) 634.9 SY $23.00 $14,602.70 634.9 $14,602.70
15 7" CONC CURB AND GiJ1"IBR (CO #2) 174 LF $25.00 $4,350.00 174 $4,350.00
16 4" SLD PVMT MA[tKING HAS (VV) (CO #2) 344 LF $1.00 $344.00 344 $344.00
17 4" SLD PVMT MARKING HAS (S') (CO #2) 530 LF $1.00 $530.00 530 $530.00
18 8" SLD PVMT MARKING HAS (VV) 142 LF $1.50 $213.00 138 $207.00
19 24" SLD PVMT MARKING HAE (VV) (CO #2) 38 �F $8.00 $304.00 38 $304.00
20 LANELEGENDARROW I EA $125.00 $125.00 1 $125.00
21 LANE LEGEND ONLY 1 EA $135.00 $135.00 1 $135.00
22 REFL RAISED MARKER TY II-A-A 8 EA �4.00 $32.00 8 $32.00
23 REFL RAISED MARKER TY II-C-R 7 EA $4.00 $28.00 7 $28.00
24 BARBED WIRE FENCE, WOOD POSTS (CO #2) 478 LF $5.00 $2,390.00 478 $2,390.00
25 TOPSOII, 199 CY $15.00 $2,985_00 199 $2,985.00
26 SEEDING BROADCAST (CO #2) 1190 SY $0.50 $595.00 1188 $594.00
27 SEEDING, SOIL RE'I�N7'ION BLANKER 481 SY $3.00 $1,443.00 480 $1,440.00
28 l OX8 BOX CiJLVERT 345 LF $956.00 $329,820.00 345 $329,820.00
24 HEADWALL BOX CULVERT 141 CY $480.00 $67,680.00 141 $67,680.00
30 FURNISH/INSTALL ALUM SIGN GROUND 4 EA $400.00 $1,600.00 4 $1,600.00
MOLIN'I' TXDOT STD.
Monday, June O1, 2015 Page 2 of 7
9
City Project Numbers 00259/00302/OI533 DO� Number 6604
Contract Name CHAPIN RD BRIDGE REPLACEMENT & CRAVENS RD BRIDCiE REPL Estimate Number 30
Contract Limits Payment Number 30
Project Type PAVING For Period Ending SC3I/2015
Project Funding
31 TRAFFIC CONTROL 4 MO $1.00 $4.00 4 $4.00
32 CONC PVMT (CONT REINF-CRCP)(11") (CO #1) 1049 SY $52.00 $54,548.00 1049 $54,548.00
33 TEMPORARY SPL SHORING 1900 SF $1.00 $1,900.00 1900 $1,900.00
34 RAIL(TYC221) 200 LF $105.00 $21,000.00 200 $21,000.00
35 REMOV STR (BRIDGE 0.99 FI' LENGTI� 1 EA $20,000.00 $20,000.00 1 $20,000.00
36 MTL W. BEAM GD FEN (TIME POS'1� (CO #2) 118 LF $24.00 $2,832.00 118 $2,832.00
37 MTL BM GD FEN TRANS (TL2) 2 EA $750.00 $1,500.00 2 $1,500.00
38 INST DEL ASSM (D-SV�(SZ(TY C)GFi 4 EA $50.00 $200.00 4 $200.00
39 RAIL END TREATMENT (CO #2) 2 EA $2,900.00 $5,800.00 2 $5,800.00
40 TX DOT DELAY (CO #2) 1 LS $2,425.00 $2,425.00 1 $2,425.00
Sub-Total of Previous Unit $688,197.40 $687,937.40
UNTP 2 CRAVENS RD AT WII,DCAT BRANCH BRID('E
Item DescripHon of Items Esdmated Uuit Unit Cost Esfimated Compieted Completed
No. Quanity Total Quanity Total
--- ----------------------- - --
1 REMOVE GUARDRAIL 387 LF $8.00 $3,096.00 387 $3,096.00
2 REMOVE ASPHALT PVMT 2238 SY $5.00 $11,190.00 2238 $11,190.00
3 REMOVE 15" STORM LINE 43 LF $10.00 $430.00 43 $430.00
4 REMOVE 36" STORM LINE 41 LF $10.00 $410.00 41 $410.00
5 REMOVE STORM SEWER BOX 50 LF $20.00 $I,000.00 50 $1,000.00
6 REMOVE FIEADWALUSET (CO #i) 3 EA $500.00 $1,500.00 3 $1,500.00
7 SITE CLEARING I LS $27,000.00 $27,000.00 I $27,000.00
8 6"-12" TREE REMOVAL 33 EA $100.00 $3,300.00 33 $3,300.00
9 12"-18" TREE REMOVAL (CO #1) 31 EA $I50.00 $4,650.00 23 $3,450.00
10 18"-24"1REEREMOVAL 5 EA $200.00 $I,000.00 5 $1,000.00
I I 24" AND LARGER TREE REMOVAL 1 EA $300.00 $300.00 1 $300.00
12 UNCLASSIFIEDEXCAVATION 2450 CY $12.00 $29,400.00 2450 $29,400.00
13 EMBANKMENT 2900 CY $2.00 $5,800.00 870 $1,740.00
14 SWPP 1 ACRE 1 LS $17,000.00 $17,000.00 1 $17,000.00
15 CONCRET'E RIPRAP 140 CY $300.00 $42,000.00 140 $42,000.00
16 6" FLEX BASE TYPE A GR-1 (CO #1) (CO #2) 2430 SY $7.00 $17,010.00 2430 $17,010.00
17 2" ASPIIAI.T PVM'P TYPE D(CO #1) (CO #2) 2430 SY $ i I.00 $26,730.00 2430 $26,730.00
18 4" ASPHALT BASE T'YPE B(CO #1) (CO #2) 2430 SY $17.00 $41,310.00 2430 $41,310.00
19 4" SLD PVMT MARKING HAS (VV) (CO #2) 1324 LF $1.00 $1,324.00 1324 $1,324.00
Monday, June Ol, 2015 Page 3 of 7
20
21
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
City Project Numbers 00259/00302/01533 DOE Number 6604
Contract Name CHAPIN RD BRIDGE REPLACEMENT & CRAVENS RD BRIDGE REPL Estimate Number 30
Contract Limits Payment Number 30
Project Type PA�G For Period Ending 5/31/ZO15
Project Funding
4" SLD PVM'I' MARKING HAS (I') (CO #2)
REFL RAISED MARKER TY II-A-A
BARBED WIRE FENCE WOOD POSTS (CO # 1)
12' GATE STEEL
16' GATE STEEL
20' GATE STEEL
TOPSOIL
SEEDING BROADCAST
SEEDING SOIL RETENTION BLANKET (CO #2)
21" RCP CLASS III (CO #1) (CO #2)
36" RCP CLASS III (CO #2)
21" SET 1 PIPE (CO #1)
36" SET 1 PIPE
FURNISH/INSTALL ALUM SIGN GROUND
MOUNT TXDOT STD
TRAFFIC CONTROL
DRILL SHAFC 24 IN
Cl C CONC ABUT
C 1 C CONC BENT
Cl S CONC SLAB
Cl S CONC APPR SLAB
PRESTR CONC SLAB BEAM (4SB 12)
PRESTR CONC SLAB BEAM (SSB 12)
RAIL (TY T6)
ARMOR 70TNT WITH SEAL
TERMINAL ANCHOR 3ECTION
GUARDRAIL END TREATNiSNT INSTALL
INSTL OM ASSM (OM-2SR) TY 2(BI DIR) (FL3�
INSTL DEL ASSM (D-SV�(SZ(TY�GFI
MOBILIZATION (CO #1)
RESTORE SLOPES (CO#1)
CHANNEL EXCAV (CO #1)
HAUL OFF (CO #1)
6" FLEX BASE (CO #1)
CHAIN LINK FENCE (CO #2)
1324 LF
16 EA
1003 lF
i EA
t EA
i EA
464 CY
2784 SY
995 SY
55 LF
30 LF
3 EA
2 EA
3 EA
6 MO
224 LF
262 CY
33.8 CY
89.7 CY
64.5 CY
948 LF
237 LF
300 LF
76 LF
2 EA
2 EA
2 EA
6 EA
1 LS
I500 SY
2500 CY
2500 CY
485 SY
130 EA
$1.00 $1,324.00
$4.00 $64.00
$5.00 $5,015.00
$1,200.00 $1,200.00
$1,500.00 $1,500.00
$2,000.00 $2,000.00
$15.00 $6,960.00
$0.50 $1,392.00
$3.00 $2,985_00
$60.00 $3,300.00
$70.00 $2,100.00
$1,200.00 $3,600.00
$1,500.00 $3,000.00
$400.00 $1,200.00
$I.00 $6.00
$147.00 $32,928.00
$1,200.00 $31,440.00
$900.00 $30,420.00
$780.00 $69,966.00
$440.00 $28,380.00
$180.00 $170,640.00
$195.00 $46,215.00
$55.00 $16,500.00
$85.00 $6,460.00
$600.00 $1,200.00
$2,900.00 55,800.OD
$200.00 $400.00
$50.00 $300.00
$24,000.00 $24,000.00
$I5.00 $22,500.00
$26.50 $66,250.Q0
$6.00 $15,000.00
$12.00 $5,820.00
$18.00 $2,340.00
1324 $1,324.00
16 $64.00
1003 $5,015.00
1 $1,200.00
1 $1,500.00
1 $2,000.00
464 $6,960.00
2784 $1,392.00
995 $2,985.00
55 $3,300.00
30 $2,100.00
3 $3,600.00
2 $3,000.00
3 $1,200.00
6 $6.00
224 $32,928.00
26.2 $31,440.00
33.8 $30,420.00
89.7 $69,9b6.00
64.5 $28,380.00
948 $170,640.00
237 $46,215.00
300 $16,500.00
76 $6,460.00
2 $1,200.00
2 $5,800.00
2 $400.00
6 $300.00
1 $24,000.00
1500 $22,500.00
2500 $66,250.00
2500 $I5,000.00
485 $5,820.00
130 $2,340.00
Monday, June Oi, 2015
Page 4 of 7
City Project Numbers 00259/00302/01533 DOE Number 6604
Contract Name CHAPIN RD BRIDGE REPLACEMENT & CRAVENS RD BRIDGE REPL Estimate Number 30
Contract Limits Payment Number 30
Project Type PA�G For Period Ending 5/31/2015
Project Funding
Sub-Total of Previous Unit $846,655.00 $841,395.00
Monday, June 01, 2015
Page 5 of 7
City Project Numbers 00259/00302/01533 DOE Number 6604
Contract Name CHAPIN RD BRIDGE REPLACEMEN'I' & CRAVENS RD BRIDGE REPL Estimate Number 30
Contract Limits Payment Number 30
Project Type PAVI1`IG For Period Ending 5/31/2015
Project Funding
Contract Information Summary
Original Contract Amount
Change Orders
Chsnge Order Number 1
Change Order Number 2
- •^�� �
:! � /
� •
. �`� i/� � . .
� � .� .
Project
Director /
���� / �s--
%� Date �'��'��
' - Infrastructure Design and Construcrion
�. �`-) � te � z ���
ng Departrnent
Total Contract Price
$1,366,385.00
$136,219.00
$32,248.40
$1,534,852.40 �
Total Cost of Work Completed
Less % Retained
Net �arned
Earned This Period $101,918.45
Retainage This Period $0.00
Less Liquidated Damages
Days @ / Day
LessPavement Deficiency
Less Penalty
Less Previous Payment
Plus Material on Hand Less 15%
Balance Due This Payment
$1,529,332.40
$0.00
$1,529,332.40
$0.00
$0.00
$0.00
$1,427,413.95
$0.00
$101,918.45
Monday, June Ol, 2015 Page 6 of 7
Page: 1 Document Name: untitled
BC AVAILABLE FUNDS INQUIRY
NEXT FUNCTION:
ACTION:
1
COMP / ACCT / CNTR ALTERNATE COMP / AGCT / CNTR
C200 205000 000000025900
ACCT DESC: RETAINAGE PAYABLE ORIG APPROPRIATION: 0.00
CNTR DESC: CHAPIN ROAD BRIDGE REPLACEMENT LAST ACTIVITY: 07/11/2015
0.00 NA
- 0.00 NA -
- 0.00 NA -
- 33,550.85- (LIABILITY ) -
--------------------- -------
= 33,550.85 (AVAIL BAL) _
L OVEREXPEND A E C G
V TOLERANCE BDG YTD P EST N L R
L POST AMT PCT GRP LTD P REV EXP C COMM S P
1 Y 9999 999
STAT
L N N Y N N 2 9 0
0.00
0.00
0.00
0.00
0.00
ACTIVE
DATE
INACTIVE
DATE
Date: 07-13-2015 Time: 08:13:56.42
�r� ��s�o W4S GIOSe� ay.�} -�'� �c����a�e /�.Uvc,� � ��
(AVAIL BAL)
Page: 1 Document Name: untitled
BC AVAILAF
NEXT FUNCTION: ACTION:
INQUIRY
COMP / ACCT / CNTR AZTERNATE COMP / ACCT / CNTR
GR74 205000 000302268000
ACCT DESC: CONTRACT RETAINAGE PAYABL ORIG APPROPRIATION: 0.00
CNTR DESC: RECONSTRUCT W 7TH ST BRIDGE ZAST ACTIVITY: 07/11/2015
0.00 NA 0.00
- 0.00 NA - 0.00
- 0.00 NA - 0.00
- 41,576.20- {LIABILITY ) - 0.00
--------------------- ---------------------
= 41,576.20 (AVAIL BAL) = 0.00 (AVAIL BAL)
L OVEREXPEND A E C G
V TOLERANCE BDG YTD P EST N L R ACTIVE INACTIVE
L POST AMT PCT GRP LTD P REV EXP C COMM S P STAT DATE DATE
1 Y 9999 999 L N N Y N N 2 1 0
Date: 07-13-2015 Time: 08:15:15.70
AFFIDAVIT OF BII,LS 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 into in tlie 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 premises, to wit:
Chapin Road at Santa Clara Bridge Replacement
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 or she has paid all bills for materials furnished and labor
perfonned or materials furnishecl�upon said �ob. n
Pete J. Stahl '
Vice President
Subscribed and sworn to befare me, the undersigned authority on this the lst day of June,
2015.
DINA J WILSON
My Commissfon Expint
dune 20, 2017
Notary rublic ul ana ior
Tan•ant County, Texas
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:
ranch Bridge Replacement and Cravens Rd Water and Sanitary Sewer locations
OWNER: ity of Fort Worth, Texas 00259,00302,01533
CONTRACTOR: .J. Louis Construction of Texas, Ltd. 21325-10
ENGINEER: Kimley-Hom 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 with the project, does hereby waive and release any and a!1 liens, or
any and al! claims to liens which the Contractor may have on or affecting the project as a result of its coniract(s)
for fhe Project or for performing labor and/or furnishing materials in any way connected wifh the construction of
any aspect of the project. The Contractor further ce►tifies and warrants that all subcontractors of labor and/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 request 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
Subscribed and sworn to before me this 1 st day of J u n e , 20 15
Notary Public:
My Commissi�
General Manaqer
FORT WORTH
City of Fort Worth, TX
CONTRACTOR'S AFFIDAVIT OF
PAYMENT OF DEBTS AND CLA/MS
PRO.JECT: 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 locations •
OWNER: Ci of Fort Worth TX 00259 003�2 01533
CONTRACTOR: .J. Louis Construction of Texas Ltd. 21325-10
ENGINEER: Kimle -Hom and Associates
The Contractor, in accordance with the Contract Documents, hereby certifies that, except as listed below, all
obligations for all materials and equipment furnished, for al! work labor, and services pertormed, and for all known
indebtedness and claims against the Contractor for damages arising in any manner in connection with the
performance of the Contract referenced above for which the Owner or his property migi►t in any way be held
responsible have been paid in full or have otherwise been satisfied in full.
EXCEPTIONS: (If none, write "NONE". The Contractor shall fumish a bond, acceptable to the Owner,
for each exception.)
CONTRACTOR S.J. Louis Construction of Texas, Ltd.
�
TITLE General Manaqer
Subscribed and sworn to before me this 1 st day of June , 20 15 .
Notary Publ
My Commission Expires: Mav 10, 2017
``pS""�°"" �lIZA9L•TN AfJN lNGRAh1
rav n�.y�i�.
�°� ��_ Notary Publlc, Staze of Texas
= � �:a; Niy Commission Expires
'�;;;��•,�,��` May io, 2oi�
„���,,,�
FURT VVURTH
---- ,: 7� .. --
City of Fort Worth, TX
CONSENT OF SURETY COMPANY
TO FINAL PAYMENT
Bond No.190030204
PRO.�ECT: Chapin Rd at Santa Clara Channel Bridge Replacement, Cravens Rd at Wild Cat pROJECT N UMBER:
Branch Bridge Replacement, and Cravens Rd Water and Sanitary Sewer locarions
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 Contractorlisted above for the referenced project, in accordance wifh the
Contract Documents, hereby approves frnal payment to the Contractor, and agrees that fina! 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
urety ompany
B /
Authorized Representative
`
Address:
450 Plymouth Road, Suite 400, Plymouth Meeting, PA 19462-8284
Attach Power of Attorney
C:\Users\elizabethilDesktoplCONSENT OF SURETY COMPANYTO FINAL PAYMENT.DOC
THIS POWER'aF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
This Power of Attorney limits the acts of those named herein, and they have no authority to bind the Company except in the manner and to
the extent herein stated.
Certificate No. 6935002
LIBERTY MUTUAL FIRE INSURANCE COMPANY
WAUSAU, WISCONSIN
POWER OF ATTORNEY
vi
d
d
w
c
cC
� �
� �
�a
c> d
�
o �
d �
� (Q
� �
� �
_ ��
O �
L
aj O
o ,a;
� �
�w
N
m `
a� y
� +r
O .�
� �;
��
"a �
fC C
`Fa L
O 3
z �,
KNOW ALL PERSONS BY THESE PRESENTS: That Liberty Mutual Fire Insurance Company (the "Compan�'), 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. Lundblad; Lin Ulven; Linda K. French; Melinda C. Blodgett; Nicole Stillings; R C. Bowman; R W. Frank; Rachel Thomas;
all of the city of Minneapolis , state of MN each individually if there be more than one named, its true and lawful
attomey-in-fact to make, execute, seal, acknowiedge and deliver, for and on its behalf as surety and as its act and deed, any and all undertakings, bonds,
recognizances and other surety obligations in pursuance of these presents and shall be as binding upon the Company as if they had been duly signed by
the president and attested by the secretary of the Company in their own proper persons.
That this power is made and executed pursuant to and by authority of the following Unanimous Consent and Vote of the Board of Directors dated
May 21, 2013 wherein, among other things, it was .
VOTED that, pursuant to Article 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 officer(s) of the Company to appoint such attomeys-in-fact as may be necessary or desirable to act on behalf of
the Company to make, execute, seaf, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety
obligations. Such attorneys-in-fact, subject to the limitations set forth in their respective powers of attorney, shall have full power to bind the
Company by their signature and execution of any such instruments and to attach thereto the 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.
IN WITNESS WHEREOF, this Power of Attorney has been subscribed by an authorized officer or official of the Company and the corporate seal of
Liberty Mutual Fire Insurance Company has been affixed thereto in Plymouth Meeting, Pennsylvania this sth day of Aprif , 2015
COMMONWEALTH OF PENNSYLVANIA ss
COUNTY OF MONTGOMERY
/��AEIlSyj�_\
�` ���
V 17EOdPOSATEB �
� 1906 �
��1tC0115f�/
LIBERTY MUTUAL FIRE INSURANCE COMPANY
By �I iR�'� �
David M. Carey,
Secretary
On this sth day of April , 2015 before me, a Notary Public, personally came David M. Carev, to me known, and acknowledged thaf
he is an Assistant Secretary of Liberty Mutual Fire Insurance Company; that he knows the seal of said corporation; and that he executed the above Power
ofAttomey and a�xed 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. �P PAST COh1MONWEALTH OF PENNSYLVANIA
� ONW � Notarlal5eal
�Q p�t•� Fq�� �� Terasa Pastella, Notary Public
� U y'y Plymouth Twp., Montgomery County
OF My Commission Expires March 28, 2017
� _ Member, PennsylvanfaAssociation of Notaries
CERTIFICATE
tio�,"�'�-�.�
��4RY P���
� ��
Pastella, Notary Public
I, the undersigned, an Assistant Secretary of Liberty Mutual Fire Insurance Company, do hereby certify that the original power of attorney of which the
foregoing is a full, true and correct copy, is in full force and effect on the date of this certificate; 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 attomeys-in-fact as provided in the
Unanimous Consent and Vote of the Board of Directors of Liberty Mutual Fire Insurance Company dated May 21, 2013.
This certificate and the above power of attomey may be signed by facsimile or mechanically reproduced signatures under and by authority of the Board
of Directors of Liberty 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 fhereto
by facsimile, and any such power of attorney 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 obligations to which
it is attached.
IN TESTIMONY WHEREOF, I have hereunto subscribed
June , 2075
LMS-16792 072013
my name and affixed the corporate seal of the said company, this 2nd, day of
���rb�
e�
,? �y
�$ IMCG!/OAATEO y
^j iSUB
•hcossM /
127 of 500
�
�
d
c
.N
�
�
�
C
— O
V�
�'W
a�
�
0 Q.
�
Q M
O �
d C
3�
O �
a�
No
ta
��
O C
.�' a�i
=a 3
'� a>
> -Q
� O
d'
��
£ N
� M
C�
00
v�
H �
Gregory W. Davenport, Assistant Secretary
:��
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
n CONTRACTOR & PROJECT DATA
Name ofContractor
S J Louis
DOElnspector
Kim Brenz
r�cr».�,o�r�
❑ Water ❑ Wasbe Water ❑ Storm Drainage Q Pavement
fnitial ContractAmount
$1,366,385.00
Ginal Co»tractAmount
In PERFORMANCE EVALUATION
Project Name
Chapin Rd
DDENumber
6604
Islam
Q Simp�e
6/3/2015
Q Routine
.�
0
�v: o2i2oio�
0- Inadequate 1- Deficient 2- Standatd 3- Dood 4- Excellent
ELEMENT WEIC�IiT ( x) APPLICABLE (Y / I� RATINO (0 - 4) MAX SCORE SCORE
1 5ubmission of Documents 2 Y 4 8 8
2 P�blic Notifications 5 Y 4 20 20
3 Plans on Site 5 Y 4 20 20
4 Field S 'sion 15 Y 4 60 60
5 Work Performed 15 Y 4 60 60
6 Finished Praiuct 15 Y 4 60 60
7 Job 5ite Safe 15 Y 4 60 60
8 Traffic Control Maintenance 15 Y 3 60 45
9 Dail Clean U 5 Y 4 20 20
10 Citizen's Com laint Resolution 5 Y 4 20 20
11 Pro Restoration 5 Y 4 20 20
12 After Hours Re 5 Y 3 20 15
13 Pro'ect Com letion 5 Y 4 20 20
TOTAL ELEMENT SCORE (A) 428
BONUS POINTS (25 Maximiun) (B)
TOTAL SCOR� (TS� 428
IIn CONTRACTOR'S RATIl�TG
Maximum Score (MS) = 448 or sum of applicable element score maximums w}uch =
Rating ([TS / MS] ` 100%) 428 / 44s = 969�0
Performattce Category Excellent
<20% = Inadequate 20% to <40% = Deficient 40% to <60% = Stcmdard 60% to <80% = Good >_80% = Excellent
Lupector's Comments (INCLUDING EXPLANATION OF BONiJ3 POINT3 AWr1RDED)
Signature DOE Inspector
Signature DOE Inspector's Supervisor
.�re Contractor
� L ����
CONTRACTOR'S COMIvIENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worrh, TX 7601�6311
(81� 392 - 794i • Fax: (81'� 392 - 7845
« �
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I) PROJECT INFORMATION
A�mne ofCoitlracta•
SJLouis
DOE Inspeclor
Kim.Brenz
DOE Nrnnber Project D�ctdty
6604 � Simple QQ
Lritial C'onlr•act �Imount
$1,366,385.00
Routine Q Complex
11) PERFORMANCE EVALUATION
0- Inadequate 1- Deficient 2- Standard
ELEMENT
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
Projec! Name
chapin rd cravens rd.
Projec! �blanager•
Tariqul Islam
Ttpe ojContrac�
❑ Water ❑ Waste
Fina! Contrac[ Amotmt
$1,534,8�'L.40
1�C
Date: I 6/8/2015
3 - Good 4 - Excellent
RATWG ELEME.N"I'
(0 - 4)
�
�
�
ADMINISTRATION
1 Change Order Processing Time 4
2 Timliness of Contractor Payments 4
3 Bid Opening to Pre-Con Meeting Timeframe 4
III) COMMENTS & SICNATURES
COMNtENTS
Signature Contractor
Sib ature DOE Inspector
Signature DOE Inspector's Supervisor
INSPECTOR'S COMMCNTS
�'`
REV: 02/22/07
Storm Drainage0✓ Pavement
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 Utilitv Conflicts
PA P%NG
'IRANSPORTr1TION zll�TD PUBLIC �ORIiS
'I1ie Cit}� of Fort ��%rdi • 1000 'Ilirockmorton Street • Fort \`Vorth, T'� 76012-G311
(81'� 392 - 7941 • Fa.e: (8i� 392 - 7845
RATING
(0 - 4)
�
�
�
�
FORT WORTH:�,
r
TRANSPORTATION AND PUBLIC R'ORKS
STATEMENT OF CON'I`RACT TIl1�
FINAL STATEiI�NT# 30 DO� 6604
1vA�iE oF PROJECT: Chapin�Cravens Bridge Replacement. Contractor &�iri.�w�a
Y�AR: 21) la S..%� �.�y�5
PROJECT i0.: FIYAI, LISPECTION D�1TE G' %—�3
00259/00302/41533 �VD CD
CONTRACT TI�iE 397 w/co l
PERIOD FRODI: 5!1/2015 TO: 5/31l2015 B�G - lfonth n�J.orrtE (1' .\ � N
WORI:ORDER �FF�CTIVE: 1 /1 212 01 5 BEG ! n MID 1 n n
DAY OI' hiONTH DAYS REASON FOR DAY OF MONTFI DA1 S REASON FOR
CHARGED DAYS GREDITTD CHARG�D DAYS CREDITED
1 Fri 0 na 16 0 na
2 Sat 0 na 17 0 na
3 Sun 0 na 18 0 na
4 Mon 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
14 Mon 0 na 26 0 rta
12 Tue 0 na 27 0 na
13 Wed 0 na 28 0 na
14 Thu 0 na 29 0 na
15 Fri 0 na 30 0 na
31 0 na
NA Wkn & HoI Wea Utl Qth
Not AppGcable SAT,SLJN,aud ��'EATHER UTILITTES OTHERS DAYS TOTAL DAYS
HOLIDAYS RELOCATE CHARGED
TFIIS PERIOD 0 0 0 0 0 0
PR�VIOUS P�RIOD 0 366 366
TOTAI, TO DaT� 0 0 0 U 366 366
R�biARkS: �
ject time is stopedQ 366 cd with 397 cd w/co vraiting on final c%!
�
�� . ���:
�t.9�.�..�' ..i�k;;����'`'���'
4
- >:z- ;
BuySpeed Online
� ..;i '�:i
- �,
. _ ::ix�9���..
1VIGP Code Browse � My Account � Customer Service �
About
�i Home Documerrts I
https://bso. fortworthgov. org/bso/document/approvaUdocApproval.sdo
Accounts Payable Basfc Purchasing DepardnentAccess
Current Organizatione CI7Y OF FORT WORTH July 13, 2015 10:01:00 AM CDT p A�
�+
Brandy Crane
Invoice #: CS45105-FINAL Vendor #:0000007647 Vendor Group #:01
Invoice Status:
Generel kems Credits Subcorttractors Accounts Routing Attachments Notes Reminder Change Order Summary Back to PO
__.._ -----------__ --._.--- ---- ---------___ ----- _-------- ------ -
Generel Validation Wamings �
� • You are going to final pay the following partially paid po items :[7]. !
Header Information
Invoice Number:
Invoice Description:
Payment Amount:
Payment Terms:
CS45105-FINAL
CS45105-FINAL Chapin Road at Santa Clara
Channel Bridge Replacement
$101,918.45
Paid-Bank/Check:
Entered By: sranay crane
Credit Amount: $o.ao
Updated By: Brandy Crane
ROCeIVed D8t0: 02/12/2015 09:50:00 AM
Purchase Order Information
Purchase order p0-15-00086948
Number:
PO Amount:
PoVendor Information
$171,989.40
Vef1dOl': 0000007647 - S J LOUIS CONSTRUCTION OF
TEXAS LTD
Vendor Remit-to DINA WILSON
l�ddl'BSS: 520 S 6TH AVE
ACH ONLY
MANSFIELD, TX 76063
US
Email: DINAW@SJLouis.com
Phone:(817)477-0552
Id: 18061
Misc & Freight Invoice Account
Misc
Misc
Invoice Date:
Handling Code:
Payment Term
Day:
Altemate Id:
Entered Date:
Updated Date:
41R - Ready for
Approval
05/31/2015
ACH (DIRECT
DEPOSI�
0
07/13/2015
07/13/2015
PO Description csas�os
Remaining To
Invoice:
$5,520.00
Status: 4IR - Ready for Approval �
Invoice Type: 3 way
matching
Effect Date: o�i�sizo�s
Payment Date: os�2si2o�s
Payment
Discount:
o.o�io
Buyer:
Brandy
Crane
Address Grp:
Fed ID:
Event Type Fiscal Year Account Code
15 GR74205006-00030226800D
�5 C200.205000-000000025900
Item Information
o�
"""5294
Total:
Remit Te�ct:
Transaction Amount
$41,576.20
$33,550.85
$75,'127.05
Invoice Item #!PO Item #: 4 CO#1 -$12,699.00 - Chapin Road at Santa Clara Channel Bridge Replacement C200-541200.207260025983 CS451o5
1 of 3 7/13/2015 10:00 AM
BuySpeed Online
PO
item Status
3PCR - Complete Receipt
MAKE:
ASSET MODEL:
ASSET MANUF:
ASSET SERIAL:
ASSET VIN:
ASSET TAG:
EventType
�p-
Enc.
FiscalYear
15
15
Permit
To Pay
$0.00
Transaction Amount
$63.00
-$63.00
Invoice Item #IPO Item #: 6 CO#2 -$15,628.40 - Chapin Road at Santa Clara Channel Bridge Repiacement C200-541200-207260025983 CS45105
PO
Item Status
3PCR - Gompiete Receipt
MAKE:
ASSET MODE�:
ASSET MANUF:
ASSET SERIAL:
ASSET VIN:
ASSET TAG:
EventType
F.�tp.
Enc.
FscalYear
15
15
Pertnit
To Pay
$0.00
Discount % Original Fi�al
PayAmount Pay
0.0% $0.00 YCS
Discount %
0.0%
Original Final
PayAmount Pay
$0.00 Yes
Transaction Amount
$15,628.40
�15,628.40
((1vOiCe (tem #/PO Item #: 7 CO#2 -$16,620.00 - Chapin Road at Santa Clara Channei Bridge Replacement C200-541600-205260030283 CS45105
PO
Item Status
3PCR - Complete Receipt
MAKE:
ASSET MODEL:
ASSET MANUF:
ASSET SERIAL:
ASSET VIN:
ASSET TAG:
Event Type
�P-
Enc.
Fiscal Year
15
15
Permit
To Pay
$5,520.00
https://bso.fortworthgov.org/bso/document/approvaUdocApproval.sdo
Invoice
Amount
$63.00
AccountCode
C20Q-541200-207260025983
C200-541200.207260025983
Invoice
Amount
$15,628.40
Aarount Code
C200-541200-207260025983
C200-541200.207260025983
Invotce
Amount
$11,100.00
AccountCode
C200.541600-205260030283
C200-541600-205260030283
Discount%
0.0%
Origfnal Final
PayAmount Pay
$0.00 Yes
Transaction Amount
$11,100.00
�1'1,100_00
2 of 3 7/13/2015 10:00 AM
BuySpeed Online
Approval Path:
Delete
Add
New
3 of 3
Approver
https://bso.fortworthgov.org/bso/document/approvaUdocApproval.sdo
Order Approval Levei Approver Date Date Approved/Disapproved Comment
Sequence Path lype Requested ApprovedlDisapproved /Canceted View
ID lCanceted by
Primary
Add/Delete Approver,
Print �
Copyright � 2015 Periscope Holdings, Inc. - All Rights Reserved. defauit
7/13/2015 10:00 AM
i
FORT WORTHo
_--�
TRANSPORTATION AND PUBLIC WORKS
STATEMENT OF CONTRACT TIME
STATENIENT#
FINAL STATEMENT#
NANIE OP' PROJECT:
1 EAR: 2015
PROJ�CT NO.:
02178
7124
7/2015
CD
3T �
HMAC SURFACE OVERLAY 2013-16
DOE
Contractor �
FINAL INSPECTION DATE
ND
CONTRACT TIME
R�NIARICS: �
Final heid on 5-27-2015. Waiting on punchlist to be completed. Punchlist completed on 6-15-2015.
���� ii:. ��";�;:..
PERIOD FROM: 5/16/2015 TO: 5/31/2015 - Month DEVELOP�fEN / V N
�VORK ORDER �FFECTN�: 12/2/2013 BEG (y / n) N MID (y / n} n
DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS RCASON POR
CHARGED DA]'S CR�DITED CHARGED DAti'S CREDITED
1 16
2 17
3 18
4 19
5 20
6 21
7 22
8 23
9 24
10 25
11 26
12 27
13 28
14 29
15 30
31
NA Wkn & Hol Wea Utl Oth
Not Applicable SAT,SLJN,and WEA"I�HER UTILITIES OTHERS DAYS TOTAL DAYS
HOLIDAYS RELOCATE CHARGED
THIS PER10D 0 0 0 0 0 0
PREV[OUS PER10D 0 374 374
TOTAL TO DATC 0 0 0 0 374 374
re:
(Print Name) .�Y� �� �] t/ f S
co��rx�croa c t...t� Gs��' � 7'�� t i:
DATE
Signature:
(Print Name) R' C Mason
DATE
6/17/2015