HomeMy WebLinkAboutContract 44169-FP1 (2)CITY SECkErAlit
CONTRACT NO.
Departmenof I PW Const. Services
DOE#
Project Manager r(/C Date,(
Risk Management d --
D.O.E.
Bro1rton
CFA Westerman/Scanned
The Proceeding people have been Contacted concerning the request
for final payment & have released this project for such payment.
clearance Conducted By Etta Bacy
%`Recommended for Acceptance
Asst. Director, TPW - Infrastructure Design and Construction
I
CATION AND PUBLIC WORKS
OF PROJECT COMPLETION
`has 3- oo'7q I
c s -LiziJ(o9
D.O.E. Ns: 5843
tzrS
Regarding contract 00791 for CONSTRUCTION OF KELLER-HICKS RD FROM 800' as required by the
WATER DEPARTMENT as approved by City Council on 01/08/2013 through M&C C-26050 the director of the
WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation & Public Works
Department has accepted the project as complete.
Original Contract Prices:
Amount of Approved Change Orders:
Revised Contract Amount:
Total Cost Work Completed:
Less Deductions:
Liquidated Damages:
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed:
Less Previous Payments:
Final Payment Due
$214,912.00
$43,650.00 Ne 1,2,3
$258,562.00
$233,057.50
$0.00
$233,057.50
$218,079.63
$14,977.87
Accepted
Asst. Director, WATER DEPARTMENT
Asst. City Manager
Comments: FUND ACCT: P253-6021700791
SCANNED
RECEIVED AUG 2 5 2015
OFFICIAL RECORD
CITY SECRETARY
Ft WORTH, TX
Days @ / Day
Date
Date
Date
":-?4
P,53-CO7J
C.5 244I0
City Project Numbers 00791 DOE Number 5843
Contract Name Construction of Keller -Hicks Rd from 800' E of Alta Vista Rd Estimate Number 52
Contract Limits to Park Vista Blvd Payment Number 52
Project Type WATER For Period Ending 7/31/2015
Project Funding
Project Manager Weiss City Secretary Contract Number 44169
Inspectors GREGORY / ROGERS Contract Date 1/8/2013
Contractor McCLENDON CONSTRUCTION COMPANY, INC. Contract Time 469 CD
P.O. BOX 999 Days Charged to Date 494 CD
BURLESON, TX
76097 Contract is .000000 Complete.
PO #___i_ _-__
CITY OF FORT WORTH INVOICE # LtLf 161-59-
SUMMARY OF CHARGES
Line Fund Account Center Amount
Funded
Gross
Retainage Net
-5.3-007t11 r lyikila`? 350e + If,477g1 14,977K7
Total Cost of Work Completed $233,057.50
Less % Retained $0.00
WATER DEPARTMENT Net Earned $233,057.50
ENGINEERING AND FISCAL SERVICES
Earned This Period $14,977.87
Conta erso Berdena D 8429
Dcfari Apr el Si �' T etainage This Period $0.00
Less Liquidated Damages
DEPARTMENT CHLCK PICK- YES 0 Days @ $0.00 / Day $0.00
LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $218,079.63
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $14,977.87
Tuesday, August 11, 2015 Page 4 of 4
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name Construction of Keller -Hicks Rd from 800' E of Alta Vista Rd
Contract Limits to Park Vista Blvd
Project Type WATER
City Project Numbers 00791
DOE Number 5843
Estimate Number 52 Payment Number 52 For Period Ending 7/31/2015
CD
City Secretary Contract Number 44169 Contract Time 46ED
Contract Date 1/8/2013 Days Charged to Date 494
Project Manager Weiss Contract is 90.000 Complete
Contractor McCLENDON CONSTRUCTION COMPANY, INC.
Inspectors
P.O. BOX 999
BURLESON , TX 76097
GREGORY / ROGERS
Tuesday, August 11, 2015 Page 1 of 4
Arve
City Project Numbers 00791 DOE Number 5843
Contract Name Construction of Keller -Hicks Rd from 800' E of Alta Vista Rd Estimate Number 52
Contract Limits to Park Vista Blvd Payment Number 52
Project Type WATER For Period Ending 7/31/2015
Project Funding
Unit I - Water Improvements
Item
No.
Description of Items
Estimated Unit Unit Cost Estimated Completed Completed
Quanity Total Quanity Total
I-1 0241.1202 6" Water Abandonment Plug
3 EA $400.00 $1,200.00
1-2 9999.0000 Salvage Existing Water Val 4 EA $250.00 $1,000.00 1 $250.00
I-3 3311.0461 12" PVC Water Pipe 2465 LF $43.00 8105,995.00 2465 $105,995.00
I-4 3311.0241 8" PVC Water Pipe 100 LF $21.00 $2,100.00 60 $1,260.00
I-5 3311.0161 6" PVC Water Pipe 25 LF $23.00 $575.00 14 $322.00
I-6 3311.0001 Ductile Iron Water Fitting 5 To $4,950.00 $24,750.00 5 $24,750.00
1-7 3312.3005 12" Gate Valve 6 EA $2,650.00 $15,900.00 6 $15,900.00
I-8 3312.3003 8" Gate Valve (CO 43) 2 EA $1,500.00 $3,000.00 2 $3,000.00
I-9 3312.3002 6" Gate Valve 6 EA $1,000.00 $6,000.00 6 $6,000.00
1-10 0241.1510 Salvage Fire Hydrant 2 EA $750.00 $1,500.00
1-11 3312.0001 Fire Hydrant CO#2 7 EA $3,300.00 $23,100.00 6 $19,800.00
1-12 3312.2003 I" Water Service 11 EA $1,150.00 $12,650.00 11 $12,650.00
1-13 3312.2004 1" Private Service 72 LF $20.25 $1,458.00
1-15 3305.0109 Trench Safety 2590 LF $1.20 $3,108.00 2465 $2,958.00
1-16 3201.0611 6" Concreete Pavement Repa 101 SY $61.00 $6,161.00
1-17 0241.0500 Remove Fence 88 LF $2.00 $176.00
1-18 3231.0412 6' Fence, Wood 88 LF $19.00 $1,672.00
I-19 3305.0103 Exploratory Excavation of (CO #3) 3 EA $725.00 $2,175.00 3 $2,175.00
I-20 9999.0000 Vacuum Excavation of Exist 1 EA $1,500.00 $1,500.00
1-21 3201.0400 Temporary Asphalt Paving R 460 LF $13.95 $6,417.00 50 $697.50
22 12" NL Whip -Down -Install (CO #1) 2 EA $7,200.00 $14,400.00 2 $14,400.00
23 Disassemble & Remove Sign CO#1 2 EA $500.00 $1,000.00 2 $1,000.00
24 ABANDON FH & VALVE C042 1 EA $1,500.00 $1,500.00 1 $1,500.00
25 12X6 T/S & G.V. C042 1 EA $6,000,00 $6,000.00 1 $6,000.00
26 6" ANCHOR 90 BEND CO#2 1 EA $750.00 $750.00 1 $750.00
27 RELOCATE EXIST SSMH CO#2 1 EA $3,900.00 $3,900.00 1 $3,900.00
28 ADD'L DEPTH SSMH C042 3 VF $275.00 $825.00
29 REMOVAL & HAUL OFF EXIST 6" WL CO#2 1 LS $6,250.00 $6,250.00 1 $6,250.00
30 RE -CONSTRUCT SSMH & VENT PIPE (CO 43) 1 LS $3,500.00 $3,500.00 1 $3,500.00
Sub -Total of Previous Unit $258,562.00 $233,057.50
Tuesday, August 11, 2015 Page 2 of 4
Construction of Keller -Hicks Rd from 800' E of Alta Vista Rd
to Park Vista Blvd
WATER
Contract Information Summary
Original Contract Amount
Change Orders
City Project Numbers 00791
Contract Name
Contract Limits
Project Type
Project Funding
C
Inspection Supervis
Project
Director / Contracting Depa1-hngnt
Change Order Number 1
Change Order Number 2
Change Order Number 3
Date
Date
Date B r-/
j�-
Date
Design and Construction
Date
Total Contract Price
DOE Number 5843
Estimate Number 52
Payment Number 52
For Period Ending 7/31/2015
$214,912.00
$15,400.00
$22,525.00
$5,725.00
$258,562.00
Total Cost of Work Completed
Less % Retained
Net Earned
Earned This Period $14,977.87
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
$233,057.50
$0.00
$233,057.50
$0.00
$0.00
$0.00
$218,079.63
$0.00
$14,977.87
Tuesday, August 11, 2015 Page 3 of 4
FORT WORTH. City of Fort Worth
Change Order Request
Project Name' Keller Hicks Rd. Phase II
Client Project #(s)l 00791
Project Description
Water, Paving and Dainage Improvements for Keller Hicks Rd. Phase II
Contractor' McClendon Construction, Co.
City Project Mgr. I Mike Weiss
City Sec # I 44169
Change Order # I 3 I Date
City Inspector I Joe Rogers
6/24/2015
Contract Time
Dept. TPW Water Sewer Totals (CD)
Original Contract Amount $1,714,724.44 $214,912.00 $0.00 $1,929,636.44 360
Extras to Date $43,276.50 $37,925.00 $81,201.50 81
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost to Date $1,758,000.94 $252,837.00 $0.00 $2,010,837.94 441
Amount of Proposed Change Order $17,879.81 $5,725.00 $0.00 $23,604.81 28
Revised Contract Amount $1,775,880.75 $258,562.00 $0.00 $2,034,442.75 469
Original Funds Available for Change Orders $77,363.56 $8,588.00 $85,951.56
Remaining Funds Available for this CO $34,087.06 $0.00 $0.00 $34,087.06
Additional Funding (if necessary) $5,725.00 $5,725.00
CHANGE ORDERS to DATE (INCLUDING THIS ONE) AS % OF ORIGINAL CONTRACT
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST + 25%)
JUSTIFICATION (REASONS) FOR CHANGE ORDER
Relocation of State Farm sign was canceled after the permiting office declined the proposal to relocate the exisitng sign, and required a stone
monument sign if the sign is moved. Coordination costs to relocate the have already been incured, based on the original approval of the
proposal to relocate the sign and begin the permiting process Other new items included reconstruciton of an existing SSMH with vert pipe,
remove and replace sidewalk to avoid State Farm Sign, modify gates and brick colums to allow existing gates to function propertly, and
adding a stone/gravel driving surface at the Smithfield Storage Facility. In addition to the new items listed above I have included the list of
significant quantity overruns.
5.43%
$2,412,045.55
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents
payment in full (both time and money) for all costs arising out of, or incidental to, the above Change Order.
Contractors Company Name
McClendon Construction, Co.
Inspector/Inspection Supervisor,
Assistant Director (Dept)
Assistant City Attorney
Ut«!ft('c'D
Contractor (Name) Contract Signature I Date
.—.„ — -- -s1 - ..- /; r A,
Date Project Manager/Program Manager v Date t
Date Director, Contracting Department (Dept) Date \�
h
Date Assistant City Manager Date ti
•
�Iit1Ir r
.1
Council Action (if required)
M&C Number I C-26050 M&C Date Approved I 1/8/2013 I
FORT WORTH
Project Name J Keller Hicks Rd. Phase 11
Client Project # 1 00791
Project Description
City of Fort Worth
Change Order Additions
Water, Paving and Dainage Improvements for Keller Hicks Rd. Phase II
Contractor McClendon Construction, Co.
City Project Mgr. 1 Mike Weiss
Change Order #
3
City Inspector 1 Joe Rogers
City Sec # 1 44169
Date 1 6/24/2015 I
ADDITIONS
I I HUI DESCFkIN I ION DEN 1 Qty Unit Unit Cost "Total
1-8 8" Gate Valve Water 1.O0 EA $1,500.00 $1,60O.00 i
1-19 Exploratory Digging Water 1.00 EA $725.00 $725.00 /
1-30 Re -Construct SSMH & Mod. Vent Pipe & oversized conc. collar Water 1.00 LS $3,500.00 $3,600.O0 ..
11-16 7' Chain Link Fence TPW 9.00 LF $30.001 $210.00 i
11-5 Lime TPW 39.00 TN $140.001' $5,460.O0
11-8 10" Concrete Paving TPW 78.00 SY $37.50! $2,925.00
11-9 6" Concrete Driveway TPW 140.00 SF $5.00 $700.O0/
II 10 Joint Sealant TPW 271.00 LF $1.10 $298.1 O _./'
11-11 4" Concrete Sidewalk TPW 1,756.00 SF $4.00: $7,024.00'/
11-23 Raised Marker TY Y TPW 41.00 EA $3.10 $127.10
11-24 REFL. Raised Marker TY 11-A TPW 2.00 EA $4.35 : $8./01 J
11-42 Traffic Control TPW 3,00 EA $1,500.00 ` $4,500.00 /
11-45 Block Sod Placement TPW 43.00 SY $3.221 $138.46
11-78 7" Curb & Gutter TPW 217.00 LF $27.50' $5,967 501.-
11-79 Coordination of Sign Relocation/Cancellation TPW 1,00 LS $1,500.00 $1,b00.001
11-80 Raise Wrought Iron Gates @ Absolute Stone, and Add Support Braces TPW 1.00 LS $2,500.00 , $2,500.00
11-81 Remove Sidewalk @ State Farm Sign TPW 1,00 LS $1,950.00 $1,950.00
11-82 Remove,Raise, & Reset Brick Column at Flume/Storm Drain Line B TPW 1.00 LS $750.00, $750.O0 `
11-83 Gravel Parking Lot at Smithfield Storage TPW 475.00 SY $5.50 $2,612.50
11-84 24" Thermoplastic Stripping at crosswalks TPW 390.00 LF $14.00'.' $5,460.00 -
111-2 18" RCP, Class III TPW 11.00 LF $69.00 ' $759.00
III-3 21" RCP, Class Ill TPW 155.00 LF $56.00 $8,680.00 "
III-4 24" RCP, Class III TPW 259.00 LF $66.00' $17,094.00
1
1
Change Order Additions Page 1 of 2
Change Order Additions Page 2 of 2
TF1W $68,724.36
Water $5,725.00
Sewer $0.00
Sub Total Additions $74,449.36
FORT WORTH
Project Name
Client Project #
Project Description
ITEM
11-4
I1-6
11-7
City of Fort Worth
Change Order Deletions
Keller Hicks Rd, Phase II
00791
Water, Paving and Dainage Improvements for Keller Hicks Rd, Phase II
Contractor McClendon Construction, Co.
City Project Mgr. Mike Weiss
8" Lime I reatment
4" asphalt base type B
2" asphalt base type D
11-15 Remove Fence
11-17 Concrete Retaining Wall
11-19 18" SLD Pvmt Marking
11-20 12" SLD Pvmt Marking
11-21 Raised Marker TY W
11-22 REFL. Raised Markers TY I-C
11-25 Lane Legend Arrow
II-26 Install Alum. Sign Ground M
11-43 Temp. Pvmt. 6" flex base
UESCRIP PION
Change Order #
City Inspector
DELETIONS
DENT
Ii'W
TPW
TPW
TPW
TPW
TPW
TPW
ITPW
TPW
TPW
TPW
TPW
Change Order Deletions Page 1 of 2
3
Joe Rogers
city
b,116.UU
309.00
309.00
902.00
1,424,00
10.00
44,00
694,00
244.00
1.00
1.00
327.00
Unit
SY
SY
SY
LF
LF
LF
LF
EA
EA
EA
EA
SY
City Sec # I 44169
Date I 6/24/2015
Unit Cost 1 1 otal
$3.0$15,348,001
$16.00 $4,944.001
$10.50 $3,244.b01
$2.001 $1,804,00
$11.00
$10.25
$7.25
$3.10
$4, 35
$215.00
$350.00
$17,25
$15,664.00 /
-$102.50 .f
$319,00 /
$2,151,401 /
$1,061.401
$215,001 /
$350.00 /
$5,640.75 /
TPCV $50,844.55
Water $0.001
Sewer $0.001
Sub Total Deletions $50,844.551
Change Order Deletions Page 2 of 2
MIWBE Breakdown for this Change Order
Previous Change Orders
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Keller Hicks Rd. Ph. 2 - Alta Vista to Park Vista
PROJECT NUMBER: CPN 00791
DOE NUMBER: 5843
WATER
PIPE LAID SIZE TYPE OF PIPE LF
WATER 12" PVC 2465
8" PVC 60
6" PVC 14
FIRE HYDRANTS: 6
PIPE ABANDONED
NONE
SIZE
VALVES (16" OR LARGER)
TYPE OF PIPE LF
DENSITIES: ALL PASSED
NEW SERVICES: 11 1" COPPER
PIPE LAID
NONE
SIZE
SEWER
TYPE OF PIPE LF
PIPE ABANDONED SIZE TYPE OF PIPE LF
NONE
DENSITIES: N/A
NEW SERVICES: NONE
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
110
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TARRANT
Before me, the undersigned authority, a Notary Public in the state and county
aforesaid, on this day personally appeared Justin Blair, Treasurer of McClendon
Construction Company, Incorporated, known to me to be a credible person, who being
by me duly sworn, upon his oath deposed and said;
That all persons, firms, associations, corporations or other organizations
furnishing labor and/or materials have been paid in full;
That there are no claims pending for personal injury and /or property damages;
On Contract described as;
Keller Hicks Road
Subscribed and sworn before me on this
r
4y
Justin Blair
`
3
. 20 /s
day of
/ ` otary Public in Tarrant
County, Texas
s'+ Psi , MARY J. PORTER
MY COMMISSION EXPIRES
0,.4,„�fi'` September 17, 2016
CONSENT OF
SURETY COMPANY
TO FINAI, PAYMENT
AIA DOC'UMi t\TG707
Owncr
Architect
C'ontractoi
Surety
Other
PROJECT, Bond Number: TXC 604810
n;,n;e• address) Keller Hicks Road Paving Drainage (Alta Vista to Park Vista), Fort Worth, TX
TO: (owner)
City of Fort Worth, Texas
1000 Throckmortou Drive
Fort Worth, TX 76108
CONTRACTOR:
McClendon Construction Company, Inc.
PO Box 996
Burleson, TX 76097
ARCHITECT'S PROJECT NO:
CONTRACT FOR: Construction
CONTRACT AMOUNT: $1,786,460.36
CONTRACT DATE::
In accordance with the provisions of the Contract between the Owner and the Contractor as
Merchants Bonding Company
2100 Fleur Drive
Des Moines, Iowa 50321
on bond of f her insert name and uddres» qi C :at actor)
McClendon Construction Company, Inc.
PO Box 996
Burleson, Texas 76097
hereby approves of the final payment to the Contractor, and agrees that final payment to the
relieve the Surety Company of any of its obligations to (here insert name and address of Owner)
City of Fort Worth, Texas
1000 Throckmorton Drive
Fort Worth, Texas 76108
as sot forth in the said Surety Company's bond.
1 v:1NI;SS WHEREOF,
the Surety Company has hereunto sct its hand this 14th day of July,
Auc,c
(Seal):
indicated above, the
,SURETY COMPANY
.CONTRACTOR,
Contractor shall not
,O\I NER,
Surety Company 4
Merchants Bonding Company
1
Si uaturc of Atithorircd Representative
'
Betty J. Reeh - Attorney -In -Fact
I itla
2015
NOTE: This form is to be used as a companion document to MA LOCUM ENT ('706, CONTRACTOR'S AlI•IDAVIT OF PAYMENT OF
DEBTS AND CI AIMS, Current edition
:VA DOCuMIENT 0707•CONSLb i OF SURETY COMPANY TO FTIAL PAYMENT•APRII. 1970 bDITION•AIAv
PAGE
R,'1970•TiiE AMERICAN INSTITUTE OF AR('HITL•CI'S. I735 NF.W YORK, AVE., NW, WASIIINGTON, D.C. 20006
ONE
POA 0014 (7/14)
MERCHANTS
BONDING COMPANY,
POWER OF ATTORNEY
Know All Persons By These Presents, that MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING,
INC., both being corporations duly organized under the laws of the State of Iowa (herein collectively called the "Companies"),
and that the Companies do hereby make, constitute and appoint, individually,
Betty J Reeh; Bryan K Moore; Gary Wayne Wheatley; Michael D Hendrickson; Pat J
Moore
of San Antonio and State of Texas their true and lawful Attorney -in -Fact, with full power
and authority hereby conferred in their name, place and stead, to sign, execute, acknowledge and deliver in their behalf as surety
any and all bonds, undertakings, recognizances or other written obligations in the nature thereof, subject to the limitation that any
such instrument shall not exceed the amount of:
SEVEN MILLION FIVE HUNDRED THOUSAND ($7,500,000.00) DOLLARS
and to bind the Companies thereby as fully and to the same extent as if such bond or undertaking was signed by the duly
authorized officers of the Companies, and all the acts of said Attorney -in -Fact, pursuant to the authority herein given, are
hereby ratified and confirmed.
This Power -of -Attorney is made and executed pursuant to and by authority of the following By -Laws adopted by the Board of
Directors of the Merchants Bonding Company (Mutual) on April 23, 2011 and adopted by the Board of Directors of Merchants National
Bonding, Inc., on October 24, 2011.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have
power and authority to appoint Attomeys-in-Fact, and to authorize them to execute on behalf of the Company, and attach the
seal of the Company thereto, bonds and undertakings, recognizances, contracts of indemnity and other writings obligatory in
the nature thereof.
The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to
any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance,
or other suretyship obligations of the Company, and such signature and seal when so used shall have the same force and
effect as though manually fixed."
In Witness Whereof, the Companies have caused this instrument to be signed and sealed this 13thday of
STATE OF iOVVA
COUNTY OF POLK ss.
- ' 2003 �C)
-�y�••.... ':i�•��
August , 2014.
MERCHANTS BONDING COMPANY (MUTUAL)
MERCHANTS NATIONAL BONDING, INC.
By
'27 7er-710----
President
On this 13thday of August 2014, before me appeared Larry Taylor, to me personally known, who being by me duly swom did
say that he Is President of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.; and
that the seals affixed to the foregoing instrument is the Corporate Seals of the Companies; and that the said instrument was signed and
sealed in behalf of the Companies by authority of their respective Boards of Directors.
In Testimony Whereof, I have hereunto set my hand and affixed my Official Seal at the City of Des Moines, Iowa, the day and year
first above written.
STATE OF IOWA
COUNTY OF POLK ss.
?JAL WENDY WOODY
v Commission Number 784654
My Commission Expires
wP June 20, 2017
Notary Public, Polk County, Iowa
I, William Warner, Jr., Secretary of the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.,
do hereby certify that the above and foregoing is a true and correct copy of the POWER -OF -ATTORNEY executed by said Companies,
which is still in full force and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed...... seal of the Companies on
this (s:t� day of , L 0'$ •
��� OV "' �d 0- , �O ' , P O R9 9y •,. �c/
�: _0_ aSL" c •I— -o- a •
�° 1933 3� Secretary
'",,,,,,,,,,,1110.
MERCHANTS
BON DING COMPANY
IMPORTAI1
To obtain information or make a complaint:
T NOTICE
You may contact your insurance agent at the telephone number provided by your insurance
agent.
You may call Merchants Bonding Company's toll -free telephone number for information or to
make a complaint at:
1-800-678-8171
You may contact the Texas Department of Insurance to obtain information on companies,
coverages, rights or complaints at:
1-800-252-3439
You may write the Texas Department of Insurance at:
P. O. Box 149104 _
Austin, TX 78714-9104
Fax: (512) 475-1771
Web: http://www.tdi.state.tx.us
E-mail: ConsumerProtection@tdi.state.tx.us
PREMIUM AND CLAIM DISPUTES: Should you have a dispute concerning your premium or
about a claim you should contact the agent first. If the dispute is not resolved, you may contact
the Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not
become a part or condition of the attached document.
SUP 0032 TX (1/09)
Checklist for Infrequent Presenters
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!VoRT V.70 �raTH
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
REV: 02/20/07
I) CONTRACTOR & PROJECT DATA
A4ane of Contractor Project Name
McClendon Construction Co., Inc. Keller Hicks Ph. 2 -Alata Vista to Park Vista
DOE Inspector DOE Number
Joe Rogers 5843
DOE Inspector Project Manager
Q Water Waste Water Storm Drainage✓ Pavement Mike Weiss
Initial Contract Amount Project Dculty
$1,929,636.44 0 Simple ® Routine 0 Complex
Final Contract , I,nounl Date
$2,034,442.75 8/6/2015
II) PERFORMANCE EVALUATION
0 - Inadequate 1 - Deficient 2 - Standard 3 - Good 4 - Excellent
ELEMENT WEIGHT ( x) APPLICABLE (Y / N) RATING (0 - 4) MAX SCORE SCORE I
1 Submission of Documents 2 Y 3 8 6 1
2 Public Notifications 5 Y 3 20 15 i
3 Plans on Site 5 Y 3 20 15
4 Field Supervision 15 Y 3 60 45 i
5 Work Performed 15 Y 3 60 45
6 Finished Product 15 Y 3 60 45
7 Job Site Safety 15 Y 3 60 45
8 Traffic Control Maintenance 15 Y 3 60 45
9 Daily Clean Up 5 Y 3 20 15
10 Citizen's Complaint Resolution 5 Y 3 20 15
11 Property Restoration 5 Y 3 20 15
12 After Hours Response 5 Y 3 20 15
13 Project Completion 5 Y 2 20 10
TOTAL ELEMENT SCORE (A) 331
BONUS POINTS (25 Maximum) (B)
TOTAL SCORE (TS) 331
III) CONTRACTOR'S RATING
Maximum Score (MS) = 448 or sum of applicable element score maximums which = 448
Rating ( ITS / MSI * 100%) 331 / 448 = 74%
Performance Category Good
• - 20% = Inadequate 20% to <40% = Deficient 40% to <60% = Standard 60% to <80% = Good >_80% = Excellent
Inspector's Comments (INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature DOE Inspector
Signature DOE Inspector's Supervisor
CONTRACTOR'S COMMENTS
Signature Contracto
• 437
TRANSPORTATION AND PUBLIC WORKS
The City of Fort North • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORT WORTH
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1) PROJECT INFORIV1ATION
'Name oft-antuctor
McClendon Construction Co., Inc.
DOE Inspector
Joe Rogers
Date:
REV: 02/22/07
8/6/2015
Project Name
Keller Hicks- Ph. 2 - Alta Vista to Park Vista
Project Manager
Mike Weiss
DOE ,\honber Project Difficulty
5843 ; 0 Simple Q Routine 0 Complex
Initial Contract Amount
$1,929,636.44
II) PERFORMANCE EVALUATION
0 - Inade
lil_EMEN1
INSPEC
I Avail
2 Kno
3 Accu
4 Displ
5 Citiz
6 Perfo
ADMIN
• I Chan
•2 Timli
3 Bid
1 - Deficient 2 - Standard
3 - Good
Type of Contract
Watery Waste Water Storm Drainage Pavement
Final Contract Amount
$2,034,442.75
4 - Excellent
/ledge
Opening
RATING
(0 -4)
ELEMENT
RATING
(0 - 4)
TION EVALUATION
PLANS & SPECIFICATIONS
ability of Inspector 3
1 Accuracy of Plans to Existing Conditions
1
of Inspector 3
2 Clarity & Sufficiency of Details
3
racy of Measured Quantities 3
3 Ap_licability of_Specifications
3
ay Of Professionalism 3
4 Accuracy of Plan Quantities
2
n Complaint Resolution 3
PROJECT MANAGER EVALUATION
nuance - Setting lip Valve Crews, Labs 3
1 Knowledge And/Or Problem Resolution
3
ISTRATION
2 Availability of Project Manager
3
3
ge Order Processing Time
3
3 Communication
ness of Contractor Payments
3
4 Resolution of Utility Conflicts
.3
to Pre -Con Meeting Timeframe
a
111) COMMENTS & SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE inspector's Supervisor
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311
(817) 392 - 7941 • Fax: (817) 392 - 7845
FORT WORTH
'mac.--a;;3?ii.-� •-
TRANSPORTATION & PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
rev 03/05/07
FINAL STATEMENT NO.:FINAL
NAME OF PROJECT: Water, Paving, & Drainage Improvements for Keller Hicks Rd. Phase 11 - Alta Vista to Park Vista
PROJECT NO.: CPN- 00791
PERIOD FROM:07/01/15 TO: 07/31/15
WORK ORDER EFFECTIVE:6/3/2013
DAY OF
MONTH
DAYS
CHARGED
DURING
CONTRACTOR: McClendon
DOE NO.: 5843
FINAL INSPECTION DATE: 17-Feb-15
CONTRACT TIME: 469
REASON FOR DAYS
CREDITED
DAY OF
MONTH
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.
SAT, SUN, RAIN, TOO WET, UTILITIES
& HOLIDAYS & TOO COLD RELOCATIONS
THIS
PERIOD
PREVIOUS
PERIOD
TOTALS
TO DATE
*REMARKS:
DAYS
CHARGED
DURING
OTHERS
Contractor charged for 25 days of LD's
Total costs deducted from Final Payment.
Sr-13-Il
CONTI 0 DATE - INSPECTQ
ENGINEERING DEPART\
The City of Fort Worth • 1000 Throckmorton Street • Fort
(817) 392 - 7941 • Fax: (817) 392 - 784
O WCQ CD
REASON FOR DAYS
CREDITED
DAYS TOTAL
CHARGED DAYS
0 0
494 494
494 494
v(/ice
DATE
hiCille6oRD
CITY SECRETARY
FT. WORTH, TX