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Home My WebLink AboutContract 44851-FP1 (2)ReceiveC Sy Business Support Group R��ndy Crane MAR 3 0 2015 �ORT �VORTH� -.:1 :�; -_:, �., � ,t,� � t ��,�, . ��,�. �� 51-1-. � i � °d�l°��tA,�.� d�� , � -�. _ TRANSPORTATION AND PUBLIC WORBS NOTICE OF PROJECT COMPLETION D.O.E. Ns: 7156 Regarding contract 44851 f r BRICg PAVEMENT REPAIR (20�3-12) as required by the TRANSPORTATION�A�ND PUBLIC WORKS DEPARTMENT as approved by Ciry Council on 08/06/2013 through M&C G26373 the director of the TKAIVSPORTATION .AND PUBLIC WORBS DEPARTMENT upon the recommendarion of the Assistant Director of the Transportauon & Public Works Deparpnent 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 � $375,760.00� � $7,752.00 Ns i $383,512.00f $383,086.88 � Days @ $210.00/ Day $0.00 � $383,086.88'� �371,581.5� 3�� $11,505.3¢'3 �`2��.� Date C.-J Accepted � Director, TRANSPORTATION AND PUBLI WORKS DEPARTMENT 3 z� /r' Date (�w� �/ 3�IS City Manager Date Comments: FUND ACCT: GG01-537110-0202002 C30I- 53711b- Z 00000l oo215r C/� Scc• ; � L'° ,, 11rC{h � 5 � SCANNED REC�I�s`�,^ �r� � 0 2015 -_-_.,_--- _ __ --� C��F{�1�Id�L ��Ci21�b ��'� �� ao pA��fl�a 7 � _—`_--`�._, _.__:._ �� Recommended for Acceptance Asst. Director, TPW - Infrastructure Design and Construction l�Y W �;onstructlon lnvoice Contract: CS44851 P.O. # PO-15-87683, PO-15-86958, PO rayment i�ate: 3/15/2015 TO: C Green Scaping LP dba Green Scaping C�'• # CS44851�F=,'�/� (� Esrimate No. 30 DOE: 7156 8917 Hawk Ave ProjManager Tariqul Islam North Richland Hills T'X 76180 �� FOR: Brick Pavement Repair 2013-12 Contract Amount: $383,512.00 Total to Date: $383,086.88 $0.00 $383,086.88 Previous Estimate: $375,334.88 $3,753.35 $371,581.53 Earned to Date: 57,752.00 (53,753.35) $11,505.35 FINAL PAY C301-537110-200000100215 Total to Date: Previous Estimate: Earned to Date: Saturday, April 11, 2015 $383,512.00 CO#1-$7,752.00 $383,086.88 $0.00 $375,334.88 $3,753.35 $7,752.00 ($3,75335) $383,086.88 $371,581.53 $11,505.35 Pagc 1 of 1 City Project Numbers Contract Name BRICK PAVEMENT REPAIR (2013-12) Contract Limits VARIOUS LOCATIONS Project Type PAVING Project Funding Project Manager Islam Inspectors RODGERS / KLENK Contractor C. GREEN SCAPING, LP 8917 HAV✓K AVE. NORTH RICHLAND , TX 76180 HILLS DOE Number 7156 Estimate Number 30 Payment Number 30 For Period Ending 3/15/2015 City Secretary Contract Number 44851 Contract Date 8/6/2013 Contract Time 150 CD Days Charged to Date 320 CD Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Department of TPW Const. Services Total Cost of Work Completed DOE#�� D e Less % Retained Projec Manager�S�a�^�- , �" �� NetEarned Risk Management Joey Pa�e Earnea Tnis rer�oa �ii,sos.3s D.�.E. Brotherton - -' Retainage This Period $0.00 CFA Westerman/Scanned ❑ Less Liquidated Damages The Proceeding people have been Contacted conceruing the request 0 Days @ $0.00 / Day for final puyment & have released this project for such payment LessPavement Deficiency Clearance Conducted By Etta Bacy Less Penalty - - -- Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment Monday, March 16, 2015 $383,086.88 $o.00 $383,086.89 $0.00 $0.00 $0.00 $371,581.54 $0.00 $11,50535 Page 4 of 4 Contract Name BRICK PAVEMENT REPAIR (2013-12) Contract Limits VARIOUS LOCATIONS Project Type PAVING City Project Numbers DOE Number 7156 Estimate Number 30 FQRTWURTH CITY OF FORT WORTH F1NAL PAYMENT REQUEST Payment Number 3� For Period Ending City Secretary Contract Number 44851 Contract Date 8/6/2013 Project Manager Islam Contractor C. GREEN SCAPING, LP 8917 HAWK AVE. NORTH RICHLAND , TX 76180 HILLS Inspectors Monday, March 16, 2015 RODGERS/ KLENK 3/15/2015 CD Contract Time 15�D Days Charged to Date 320 Contract is 100.00 Complete Page 1 of 4 City Project Numbers Contract Name BRICK PAVEMENT REPAIR (2013-12) Contract Limits VARIOUS LOCAT[ONS Project Type PAVING Project Funding PAVING DOE Number 7156 Estimate Number 30 Payment Number 30 For Period Ending 3/IS/2015 Item Description of Items Estimated Unit Uait Cost �stimated Completed Completed No. Quanity Total Quanity Total _ _ _ __- - . -- — — _ - — -- -__ _ _. . _ __ . __ _ _ - - _ _ _ _ _ -- __ _ _ _ _ _ _ .. 1 REMOBILIZATION 1 EA $500.00 $500.00 2 REMOVE CONC BASE 1000 SY $18.90 $18,900.00 3 REMOVE BRICK PAVEMENT 2200 SY $22.90 $50,380.00 3348.58 $76,682.48 4 REMOVE CONCRETE CURB & GUTTER 300 LF $15.40 $4,620.00 35 $539.00 5 6" CONC BASE HES 1000 SY $73.90 $73,900.00 6 CUNC HES (EXTRA DEPTI-n 20 CY $248.00 $4,960.00 7 JOINT SEALANT 500 LF $2.60 $1,300.00 8 BRICK PAVEMENT 2200 SY $88.80 $195,360.00 3348.58 $297,353.90 9 BRICK 1'AVEMENT JOINTS 700 SY $21.90 $15,330.00 10 CONCRETE CURB AND GUTTER 300 LF $21.70 $6,510.00 35 $759.50 ll MISCELLANEOUS ADJUSTMENT (UTILITtES) 1 LS $4,000.00 $4,000.00 l2 REMOVE BRICK HANDICAP RAMPS 2 AREAS 510 SF $3.80 $1,938.00 510 $1,938.00 SIZE 17'X15 MAGNOLIA AVE (CO #i) 13 FURNISH AND INSTALL BRICK HANDICAP Sl0 SF $11.40 $5,814.00 510 $5,814.00 RAMPS PAVERS ON CONCRETE BASE (CO # 1) Sub-Total of Previous Unit $383,512.00 $383,086.89 Monday, Mazch 16, 2015 Page 2 of 4 City Project Numbers Contract Name BRICK PAVEMENT REPAIR (2013-12) Contract Limits VAR[OUS LOCATIONS Project Type PAVING Project Funding Contract Information Summary Original ContractAmount Chan�e Orders Change Order Number 1 dYe S C ntr cto Date�'J 2 as Inspection Supervi r �— �I�/�� Date Project Man Date Z �' ,� Asst. �rectorll'PW - Infiastructure Design and Conshuction � l� Date 3 �7� S Director / ontracting Departrne Total Contract Price DOE Number 7156 Estimate Number 30 Payment Number 30 For Period Ending 3/15/2015 $375,760.00 $7,752.00 $383,512.00 V Total Cost of Work Completed $383,086.88 Less % Retained $0.00 Net Earned $383,086.89 Earned This Period $11,505.35 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 $0.00 $0.00 $0.00 $371,581.54 $0.00 $11,505.35 Monday, March 16, 2015 Page 3 of4 BuySpeed Online https://bso, fortworthgov. org/bso/documendapprovaUdocApproval.sdo ,,. �uy � ri I i r� �; Accounts Payable Basic Purchasing DepartmentAccess NIGP Code Browse � My Account � Customer Servlce � Current Organaation� TY OF FORT WORTH pp�il 15, 2015 7:35:57 AM CDT r A�- �r About Home Doaments � BrandyCrane invoice #: CS44851-FINAL Vendor #:0000008098 Vendor Group #:01 Status:41R-ReadyforApproval ['__sj General Items Credits Subcontractors Accounts Routing Attachments Notes(1) Reminder Change Order Summary Back to PO _ General Validation Wamings • Account code 15-C301-537110-200000100215 (s in the red by $8,176.00. i • You are going to final pay the following partially paid po items :[2]. � ! _. . _ .. _ . . _ _ _ _ . ; Headerinformation Invoice Number: csaass�-FiNA� InVolCe S1�tUS: 4IR - Ready for Invoice Type: 3""�y Approval matching II7VOICeDeSC�lptl0�: CS44851-FINALBrickPavementRepair201&12at If1VO1C@D8t0: 03/15/2015 EffectDate: oai��rzo�s Various Loptions Payment Amount: $»,505.35 Helldlillg COde: ACH (DIRECT Payment oaiosi2o�s DEPOSIn Date: Payment Terms: Payment Term o Payment o.o°io Day: Discount: Paid-Bank/Check: Aiternate Id: Entered By: Brandy Crane Entered Date: aai�si2o�s Credit Amount: ao.ao Updated By: Brandy Crane Received Date: osMsi2olsos:o�:oonM NOtCS: Retum per Brandy Crane Purchase Order Information Purchase order p0-15-00067683 Number: PO Amount: Ss,�n.�2 PoVendor Information V@I1C101': 0000008098 - C GREEN SCAPING LP Vendor Remit-to DANA LOUCKS AC1CI�eS5: DBA GREEN SCAPING CO 2401 Handley Ederviile Rd. ACH ONLY Fort Worth, TX 76118 us Email: DLOUCKS@GREENSCAPING.COM Phone: (817)577-9299 FAX:(817)577-9331 Website: www.???.com Id: 18B72 Misc & Freight Invoice Account Event Type Fiscal Year Account Code GG01-205000-0000000 Misc 15 Item Information Updated Date: oansi2o�s PO Description Csaass� Remaining To g425.12 Invoice: Address Grp: o� Fed ID: Buye1': Brandy Crane •,•••,2913 Remit Text: Total: Transaction Amount $3,753.35 $3,753.35 1 of 2 4/15/2015 7:36 AM BuySpeed Online https://bso.foriworthgov.org/bso/document/approval/docApproval. sdo Invoice Item #IPO Item #: 1 Brick Pavement Repair 2013-12 at Various Locations C301-537110-200000100215 GS44851 MRC: G26373 Date: 080613 Original PO-13-79733 PO Item Status 3PCR - Complete Receipt MAKE: ASSET MODEL: ASSET MANUF: ASSET SERIAL: ASSET VIN: ASSET TAG: Event Type Fiscal Year F�cp. 15 Enc. 15 Permit Invoice D{scount% To Pay Amount $0.00 $425.12 Account Code C301-537110-200000100215 C301-537110-200000100215 Transaction Amount $425.12 $425.12 Invoice Item #/PO Item #: 2 CO#1 -$7,752.00 - Brick Pavement Repair 2013-12 at Various Locations C301-537110.200000100215 CS44851 M&C: C-26373 Date: 080613 Original PO-13-79733 PO Permit Involce Dlacount % Original Finai Item Status To Pay Amount payAmount Pay 3PCR - Complete Receipt $425.12 $7,326.88 0.0% $0.00 Yes MAKE: ASSET MODE�: ASSET MANUF: ASSET SERIAL: ASSET VIN: ASSET TAG: Event Type Fispl Year Exp. 15 Enc. 15 Axount Code C301-537110-200000100215 C301-537110-200000100215 Transaction Amount $7,326.88 -$7,326.88 Approval Path: �elete Approver Order Approval Level Approver Date Date rovedlDisa App pproved Comment Sequence Path Type Requested Approved/Disapproved /Canceled View ID /Canceled by Add New Primary Add/Delete Approver Print ; Copyright O 2015 Periscope Holdings, Inc. - All Rights Reserved. default Original Finai PayAmount Pay 0.0% $0.00 Yes 2 of 2 4/15/2015 7:36 AM FUND ACCOUNTI CENTERID TRANSAMO EFFECTIVEDATE DESC1 DESC2 DESC3 GG01 205000 0$ (319.07) 11/26/2013 CS44851-1 BSAP 8098 403604 GG01 205000 0$ (207.06) 12/17/2013 CS44851-2 BSAP 8098 403604 GG01 205000 0$(1,254.40) 12/30/2013 CS44851-3 BSAP 8098 403604 GG01 205000 0$(1,226.47) 1/29/2014 CS44851-5 BSAP 8098 403604 GG01 205000 0$ (411.17) 2/12/2014 CS44851-6 BSAP 8098 403604 GG01 205000 0$ (305.63) 2/26/2014 CS44851-7 BSAP 8098 403604 GG01 205000 0$ (666.53) 3/12/2014 CS44851-8 BSAP 8098 403604 GG01 205000 0$(7,670.31) 3/28/2014 CS44851-9 BSAP 8098 403604 GG01 205000 0$(2,142.18) 4/11/2014 CS44851-10 BSAP 8098 403604 GG01 205000 0$(2,196.81) 4/28/2014 CS44851-11 BSAP 8098 403604 GG01 205000 0$(1,783.51) 5/27/2014 CS44851-12 BSAP 8098 403604 GG01 205000 0$(1,886.50) 5/27/2014 CS44851-13 BSAP 8098 403604 GG01 205000 0$(1,974.63) 6/11/2014 CS44851-14 BSAP 8098 403604 GG01 205000 0$(1,606.03) 7/14/2014 CS44851-15 BSAP 8098 403604 GG01 205000 0$(1,914.98) 7/14/2014 CS44851-16 BSAP 8098 403604 GG01 205000 0$(1,865.39) 7/30/2014 CS44851-17 BSAP 8098 400062 GGO1 205000 0$(2,229.09) 8/13/2014 CS44851-18 BSAP 8098 403604 GG01 205000 0$(2,950.10) 8/27/2014 CS44851-19 BSAP 8098 403604 GG01 205000 0$(1,947.27) 9/12/2014 CS44851-20 BSAP 8098 9/12/2014 GG01 205000 0$(1,920.12) 9/29/2014 CS44851-21 BSAP 8098 9/29/2014 GG01 205000 0$(1,056.24) 10/14/2014 CS44851-22 BSAP 8098 9/30/2014 GG01 205000 0$ 33,780.14 1/28/2015 CS44851-29 BSAP 8098 1/15/2015 $ (3,753.35) Page: 1 Document Name: untitled BC AVAILABLE FUNDS INQUIRY 162 NEXT FUNCTION: ACTION: ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR GGOl 205000 0000000 ACCT DESC: CONTRACT RETAINAGE PAY ORIG APPROPRIATION: 0.00 CNTR DESC: FUND LEVEL REPORTING LAST ACTIVITY: 04/11/2015 0.00 NA 0.00 - 0.00 NA - 0.00 - 0.00 NA - 0.00 - 114,664.53- (ZIABILITY ) - 0.00 --------------------- --------------------- = 114,664.53 (AVAIL BAL) = 0.00 (AVAIL BAL) L OVEREXPEND A E C G V TOLERANCE BDG YTD P EST N L R ACTIVE INACTIVE Z 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: 04-11-2015 Time: 09:08:28.67 AFFIDAVIT STATE OF TEXAS COUNTY OF TARIZANT Before me, the undersigned authority, a Notary Public in the state and county aforesaid, on this day personally appeared Curtis Green, Vice President, of C. Green Scaping LP., 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 andJor materials have been paid in fitll; and that there are no claims pending for personal injury and/or property damages; on Contract described as; Brick Pavement Repair (2013-12) DOE Number 7156 Contract number 44851 _ -.----�' .....---___—'-- . �--_ Subscribed and sworn before me on this l� day of ��.2�,� 1��, 2014. .� P DANA OUCKS � /� _ _ A * � * NOTARY PUBUC W v�•��.��_� �j��L,�- StffieofTexas Notar Public in Tarrant Coun Texas Comm. Ex�,. 02/08(2017 Y rS'� a+o,.......... CONSENT OF SURETY COMPANY TO FINAL PAYMENT OWNER � ARCIIITECT � CON'1'RACTOR � suxe�ry � ,ai,� Docu,►�E�vTr�o� OTHER PROJECT: City of Fort Woirth Bi•ick Pavement Repair 2013-12. Bond #022036889 (name, address) '1'O (Owner) City of Fort Worth 1000 Throckmorton Street Fort Worth, TX 76102 ARCHI'I'EC'I''S PROJGC"C NO: CONTRAC'I' FOR: CONTRACT DATE: CON'I'RACT02 �, (;i•een Scaping, LP In accordance with the provisions of the Cont�act bet�veen the O��ner and tlte Contractor ac indicated above, the (here insert name and address of Surety Company) West American Insurance Company 136 N. Third Sh�eet Hamilton, Ohio 45025 ,SIJRETY COMPANY, on bond of (here insert name and address of Contractor) C. Green Scaping, LP 2�01 Handley Ederville Road Fort Worth, TX 76118 , CONTRACTOR, hereby approves of the final payment to the Contracror, and agrees that final paymeni to the Contractor shall not relieve the Surety Company of any� of its obligations to (here insert name and address of O�vner) City of P'ort Worth 1000 Throckmorton Street Fort Worth, "['X 76102 ,OWNER, as set foith in the said Surety Company's bond [N WI'I'NESS WHEREOF, the Sw�ety Company has hereunto set its hand this 19 day of December , 2014 West American Insurance Company . . . ___ -- u ety Company � Aftest: J- _= Rachyl Mullins Signature of Authorized Representative (Seal)_ _ - =_ Attomey-in-Cact S_;}g69 . � Title NOTE: This Form is to be used as a companion document to AIA DOCUMF,N7' G706, CONTRACTOR'S AFFIDAVIT' OF PAYMENT OF DEF3TS AND CLAIMS, Current Edition A IA DOCUMENT G707, CONSENT' OF SURETY COMPANY "I'O FINAL PAYMENT , APRIL 1970 EDITION I AIAS ONE PAGE C 1970,'I'HE AMERICAN WS'PITUTE OF ARCHITEC'rS, U35 NGW YORK AVE., NW, WASHINGTON, U.C, 30006 THIS POWE`t OF 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 authorityto bind the Company except in the manner and to the extent herein stated. Certificate No, s�s�ooe American Fire and Casualty Cpmpany Liberty Mutual Insurance Company The Ohio Casualty Insurance Company West American Insurance Company POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire � Casoalty Company and The Ohio Casualty Insurance Company are co�poraiions duly organized under the laws of 1he Staie of New Hampshire, that Liberty Mutual Insurance Company is a corpora6on duiy organized underthe laws of ihe State of Massachusetts, and WestAmerican Insurance Company is a corpora6on duly organized underthe laws of the State of Indiana (herein colleciively called the "Companies"), pursuant to and by auihority herein set forih, does hereby name, constitute and appoint, James E. Ki�q: Jeff P. Kina; Kylie Kelsoe; Rachvl Muliins ali of the ciiy of oenton , siate of TX each individualty if there be more than one named, iis true and law(ui attomey-in-fact to make, execuie, seai, acknowiedge and deliver, tor and on fls behalf as sureiy and as its act and deed, any and all undertakings, bonds, recognizances and oiher surety obligations, in pursuance of these presents and shall be as binding upon ihe Companies as if ihey have been duly signed by ihe president and attested by the secretary of ihe Companies in their own proper persons. IN WITNESS WHEREOF, this Power of Attomey has been subscribed by an autfwrized oificer or o�cial of the Companies and the corporate seals of ihe Companies have been affixed theretothis a�s� dayof October , 2ota !.. �� :;��_ - ,_ . _ � STATE OF PENNSYLVANIA CQUNTY OF MONT60MERY American Fire and Casualty Company The Ohio Casualty Insurance Company Liberty Mutual insurance Company WestAmerican insurance Company By: -_�Y� ` G"� David M. Care , Assistant Secretary On this 31st day of October 2oia before me personaity appeared David M. Carey, who acknowledged himself to 6e ihe Assistani Secretary of American Fire and Casualty Company, Liberty Mutual Insurance Company, The Ohio Casualty insurance Company, and WestAmerican Insurance Company, and thai he, as such, being authorized so to do, execute the foregoing instrument for the purposes iherein conteined by signing on behalf of the co�porations by himself as a duty authorized officer. IN WITNESS WHEREOF, I have hereunto subscr�bed°myname and aifaed my notanai seal at Plymouth MeeGng, PennsyNania, on the day and year firsi above written. e t;; ,,�� ,� , � �.�* � 3 � �tt��v� =t � x� /� " 5<}t'31 ii' `�.r i i .__ ..` . .. .' ��:/t�C.u'dLi /G��SZ��i.�t��R/ xC' _. _ ,...�,y� ...c gy; ' "' '� �' � � Teresa Pastella , Notary Public � E �; � I ...- c � .. �._. a,.� _ .. _ ._. i...< . � ' � .._,.� , ,_� _.�� _ �s� ....... .._ 9 r � r ._ . . � � �-< This Power ofAttomey is made and executed{iuiSuaniioand�ZyBuUiority of the foilowing By-laws and Auihorizations ofAmerican Fire and CasuaHy Company, The Ohio Casualty Insurance Company, liberiy Mutua� Insurance Company, and�We`stl�me�n Insurance Company which resolutions are now in fuli force and effect reading as folbws: ARTICLE IV— QFFICERS — Section 12. PowerofAttomey. Any officer or oiher official of the Corporation authorized for that purpose in writing by the Chairman or ihe President, and subject to such limitation as the Chairman or the President may prescribe, shall appoint such attomeys-in-fact, as may be necessary io act in behalf of the Corporation to make, execute, seal, acknowledge and deliver as surety any and all underiakings, bonds, recognizances and other surety obligations. Such attomeys-in-fact, subject to ihe fimitations set forth in their respec6ve powers of ariomey, shail have full power to bind ihe Corporation by their signature and execution of any such instruments and to ariach thereto the seal of 1he Co�poration. When so executed, such insUumenis shall be as binding as if signed by ihe President and attested to by the Secretary. Any power or authority granted to �y representative or aitomey-in-fact under the provisions of this article may be revoked at any time by ihe Board, the Chairrnan, the President or by the oificer or oflicers granting such power or aulhority. ARTICLE Xili — Execution of Contracts — SECTION 5. Surety Bonds and Undertakings. Any o�cer of the Company auihorized for ihat purpose in writing by ihe chairman or ihe president, and subject to such limitations as the chairman ar the president may prescribe, shall appoint such attomeys-in-faci, as may be necessary to act in behalf of the Company to make, execuie, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligaiions. Such attomeys-in-fact subject to the limitations set forth in their respective powers oi attomey, shall have full powerto bind ihe Company by their signature and execufion of any such insUuments and to attach ihereio the seai of the Company. When so executed such instruments shall be as binding as if signed by the president and aflested by the secretary. Certiftcate of Designation — The President of the Company, acting pursuant to ihe Bylaws of the Company, authorizes David M. Carey, Assistant Secreiary to appoint such attomeys-in- fact as may be necessary to act on behaif of the Company to make, execute, seal, acknowledge and deliver as surety any and all undertakings, bonds, recognizances and other surety obligations. Authorization — By unanimous consent of the Companys Boarcl of Directors, the Company consents that facsimile or mechanically reproduced signaiure of any assisiant secretary of the Company, wherever appearing upon a certfied copy of any power of attomey issued by ihe Company in connection with surety bonds, shall be va�id and binding upon ihe Company with the same force and effect as though manually affixed. I, Gregory W. Davenport, ihe undersigned, Assistant Secratary, of American Fire and Casualty Company, The Ohio Casualty Insurance Company, Lfberty Nk�tuai Insurance Company, and Wesi American Insurance Company do hereby ceAify that the original power of aitomey of which the foregoing is a tuli, true and correct copy of the Power of Attomey executed b� id Companies, is in full force and eNeci and has not been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed ihe seals of said Companies this � day of _��Q�'�� , 20,�._ . -a., ,,�- �. � �e+' � �, t�.��.A t'�� I � �, f y A,{v � 4 ta�� `1 L. R �..� ��4 j 1 �'� � �! .: :� 1\�, ,y��_ � � �Jv i . � � .i� st t {j �..T � f ,S . B}/: '1'_ - � `;\ „� � � , . ,�r :� �, , � ,� ,` f GregoryW. Davenport,AssistantSecrehary �., % _ � � I �. % _,. �.�.�' �� .�'�' _ � r t 4 - - �-� � � �.«"" ».� `.'TA "°`,,�. � r v�`' `>- .°v"'.. -''`� � LMS_12873_122013 54 Of 100 FORTWORTH TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I) PROJECT INFORMATION Nante ofConlractor ' C. GreenscaninQ. LP DOE Inspector Candace Klenk DOE N:onber Project D�cidtp 7156 0 Simple Di Routine Q Complex Initral Contract Amam1 $375,760.00 II) PERFORMAiYCE EVALUATION 0- Inadequate 1- Deficient 2- Standard REV: 02/22/07 Date: 3/17/2015 ____ Projec! Nanre Brick Pavement Repair (2013-12) Project Mnnager Tariqul Islam Type of Conlrac( ❑ Water� Waste Water� Storm Drainag� Pavement Final Cont�•act Anrount $383.086.88 3 - Good 4 - Excellent RATING ELEMENT ro-a� INSPECTION EVALUATION _ 1 Availability of Inspector 2 ICnowledge of Inspector 3 Accuracy of Measured Quantities 4 Display Of Professionalism 5 Citizen Complaint Resolution 6 Performance - Setting up Valve Crews, Labs ADMINISTRATION 1 Change Order Processing Time 2 Timliness of Contractor Payments � 3 Bid Opening to Pre-Con Meeting Timeframe IIn COMMENTS & STGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supe�visor INSPECTOR'S COMM�NTS 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 �VALUATION 1 Knowledge And/Or Problem Resolution 2 Availabilit of Project Mana er 3 Communication 4 Resolution of Utilitv Conflicts ` • // ' � � 1.1: �� / � �� r i� r RATING rn _ a� TR�II�TSPORTt1TTON r1ND PUBLIC WORKS �° The City of Fort Woxth • 1000 Thxockmorton Street • Fort Woxth, TX 76012-6311 (817) 392 - 7941 • Fas: (817) 392 - 7845 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR & PROJECT DATA Name oJCon[rac�o�• C. Greenscapina. LP DOE Inspeclor Candace Klenk DOE Inspeclor ❑ Water ❑ Waste Water❑ Storm Drainag� Pavement Initral Contract Aniomrt $375,760.00 Final Conlract Amo:nrt $383,086.88 II) PERFORMANCE EVALUATION Project Nmne Brick Pavment DOE N��vrber 7156 Project Mcmager Tariqul Islam Projecl Diffrculty Q Simple Dule 3/17/2015 13-1 Q Routine REV: 02/20/07 � Complex 0- Inadequate 1- Deficient 2- Standard 3- Good 4- Excellent ELEMENT WE[GHT ( x) 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 5 Y 4 20 20 4 Field Supervision 15 Y 4 60 60 5 Work PerFormed 15 Y 3 60 45 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 3 60 45 9 Daily Clean Up 5 Y 4 20 20 10 Citizen's Com laint Resolution 5 Y 4 20 20 I 1 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Com letion 5 Y 3 20 15 TOTAL ELEMENT SCORE (A) BONUS POINTS (25 Maximum) (B) TOTAL SCOR� (TS) III) CONTRACTOR'S RATING Maximum 5core (MS) = 448 or sum of applicable element score maximums �vhich = 448 Rating ((TS / MS] * 100%) 413 / 448 = 92% Performance Categary Excellent <20% _ lnadeqnate 20% to <40% = Deficient �0% ro <60% = Standa��d 60% to <80% = Good >_80% = E.rce!lent Inspector's Comments (INCLUDING E`CPLANATION OF BONUS POINTS ANARDED) Signature DOE Tnspectar "� Signature Contractor Signature DOE Inspector's Supervisor Q4„S CONTRACTOR'S COMM�NTS T12r1NSPORTIITION �1i�ID PUBLIC WORILS 413 413 � .� .�-i �'Yl The City of Fort Woxdi • 1000 Tfuockmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fas: (817) 392 - 7845 FORT�V4RTH�„� _---�, TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIM� STATGD4�NT# FINAL STATCAZCNT# NA�IG OF PROJ�CT: YGAR: 2015 30 � Brick Pavement Repairs (2013-12) at Various Locations DOE 7156 Contractor Greenscapini PROJECT NO.: I'INAL INSPECTION DAT� 9/26/2014 GG01-537110-0202002 �VD CD CONT�CT TID4E 326 X PERIOD FRONI: 3/1/2015 TO: 3/15/2015 B�G - Month DEVELOP�7EN (1' / N) N �VORK ORD�R �FI'�CTIVG: 11/11/2013 BEG / n Y MID / n N DAY Or NIONTH DAYS RLASON FOR DAY OF MONTII DAYS REASON FOR CHARG�D DAY'S CRLDITED CHARG�D DAYS CR�DITED 1 Sun 0 NA 16 2 Mon 0 NA 17 3 Tue 0 NA 18 4 Wed 0 NA 19 5 Thu 0 NA 20 6 Fri 0 NA 21 7 Sat 0 NA 22 8 Sun 0 NA 23 9 Mon 0 NA 24 10 Tue 0 NA 25 11 Wed 0 NA 26 12 Thu 0 NA 27 13 Fri 0 NA 28 14 Sat 0 �NA 29 15 Sun 0 NA 30 31 NA Wkn & Hol Wea Utl Oth Not Applicable SA'P,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGGD THIS PLRIOD 0 0 0 0 0 0 PR�VIOUS PERIOD 320 320 TOTAL TO DAT� 0 0 0 0 320 320 REMARKS: is is the final estimate. Signature: (Print Name) 0 Y�(�, Signature: � � Ca�tdttce Klenlc 17 DATE ,� � I�/'� i S wSPECTOR ��iii�� '��.4'I ', ` . �:1'�'1( ��Gl�EY�`.. �� A�.�.� ;�"•� ,.. k