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Home My WebLink AboutContract 44780-FP1 (2)FOR'��ORTH� - ,..:.:i�.« -:� '.9�`��' ��G_�,��t>1`l��e.. E�;�:ceive�l E�y Rusin�ss ; u;�{�c�rt Grou�� ":�Ic; �;R��`�' i411�. �,r:�ndy Crane I�) F. (, j. � i Q jQ TRANSPORTATION AND PUBLIC WORgS NOTICE OF PROJECT COMPLETION ._.'�`��Q._�� I D.O.E. Ns: 7075 � � ✓ Regaxding contract 44780 for HMAC SURFACE OVERLAY (2013-8) as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 07/23/2013' through M&C C-2G352�the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Dixector oE the Transportation & Public Works Depattment 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 Wark Completed: Less Previous Payments: Final Paymen�Duen , l � y Recomr�Sjerided for Acceptance Asst. Qrector, TPW - Infrastructure Design and Construction � �...): �--� � Accepted U � Date Director, TRANSPORTATION AND PUBLIC WORKS DEPARTMENT rL//sl� � (..�� /�29 � S City Manager Date � Comments: FLTND ACCTC293-541200-206620123183 ��ti/anceci `°•v`� �Gy,u;S;�tio�, L►,U U RECEIVED SEP 3 0 2015 �`�° 2 9 P. M. � ��C�1V�D �A� SCAN�IE� a__ .__: ��'�'dC;:dl� ��(��dL� �!�'� ��!'��'A��?;" � �r �"� �1�9�T6�, '�'"�: � _-_--_ + $754,602.35'� $4,453.62'�Ns 1 $759,055.97 ✓ �758,763.70� Days @ $210.00/ Day $0.00 ✓ $758,763.70 � $720,065.51 $38,698.19'� / Z -/S- 1 �--- Date � ;:�...�;;� TPW Construction Invoice Contract: CS44780 P.O. # PO-13-79462 Payment Date: I1l15l2014 TO: �dvanced Paving Acquisition, LTD �v # CS44780. r�N � L. Estimate No. 12 DOE: 7075 DBA Advanced Paving Company 2257 ProjManager Kristian Sugrim Dallas TX 75229 FOR: HMAC Surface Overlay 2013-8 Contract Amount: $759,055.97 Total to Date: $758,763.70 $0.00 $758,763.70 Previous Estimate: $757,963.70 $37,898.19 $720,065.51 Eamed to Date: 5800.00 (537,898.19) 538,698.19 Payments: --- —_ — C293-541200-206620213183 $759,055.97 CO#1 -$4,453.62 Totalto Date: $758,763.70 $0.00 $758,763.70 Previous Estimate: $757,963.70 $37,898.19 $720,065.51 Earned to Date: $800.00 ($37,898.19) $38,698.19 14CH F I N�►L PAY Thursday, December 18, 2014 Pa e 1 of 1 g City Project Numbers 02131 Contract Name HMAC SURFACE OVERLAY (2013-8) Contract Limits AT VARIOUS LOCAT[ONS Project Type PAVING Project Funding Project Manager Sugrim Inspectors RODGERS / DEYON Contractor ADVANCED PAVING CO. 2257 JOE FIELD RD. DALLAS, TX 75229 DOE Number 7075 Estimate Number 12 Payment Number 12 For Period Ending 11/15/2014 City Secretary Contract Number 44780 Contract Date 7/23/2013 Contract Time ll 0 CD Days Charged to Date 124 CD Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Work Compteted Departm t of TPW Const. Services L�S % Retained DOE#_�� Date Net �arned Pro�ect Manager /%�s l � Earned This Period `'$38;F48-�8— Risk Management Joe Pa e -� Retainage This Period -�a:ao; D.O.E. Brotherton i CFA Westerman/Scanned ❑ Less Liquidated Damages 0 Days @ $0.00 / Day The Proceeding people have been Contacted concerning the request LessPuvement Deficiency for final payment & have released this project for such payment. Less Penalty Clearance Conducted By Etta Bacy Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment Thursday, November 20, 2014 $758,763.70 $o.00 $758,763.69 $0.00 $0.00 $0.00 $720,065.51 $0.00 $38,698.1 Sri Page 5 of 5 i FORTWORT� CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name HMAC SURFACE OVERLAY (2013-8) Contract Limits AT VARIOUS LOCATIONS Project Type PAVING City Project Numbers DOE Number 7075 Estimate Number 12 02131 Payment Number 12 City Secretary Contract Number 4478U Contract Date 7/23/2013 For Period Ending 11/15/2014 CD �P Project Manager Sugrim Contructor ADVANCED PAVING CO. 2257 JOE FIELD RD. DALLAS, TX 75229 Inspectors RODGERS / DEYON Thursday, November 20, 2014 Contract Time .1-�D t2 Days Charged to Date 124 Contract is 100.00 % Complete Page 1 of 5 l.� 1 � CHECKED DEC 0 2 Z014 City Project Numbers 02131 Contract Name HMAC SURFACE OVERLAY (2013-8) Contract Limits AT VARIOUS LOCATIONS Project Type PAVING Project Funding PAVING DOE Number 7075 Estimate Number 12 Payment Number 12 For Period Ending I 1/15/2014 Item Description of Items Estimatcd Unit Unit Cost EsHmated Completed Comp►eted No. Quauity Total Quanity Total --- ----- _ ----------. _.._---------------------- ---- ----------- _ __ - 1 MISCELLANEOUS ADJUSTMENTS (U1'II.ITIES) i LS $6,000.00 $6,000.00 2 REMOVE/REPLACE CONCRETE CURB & 3450 LF $22.60 $77,970.00 2271.74 $51,341.32 GU'ITER 4 REMOVE / REPLACE CONCRETE DRIVEWAY 6960 SF $6.60 $45,936.00 2974.06 $19,628.80 6 REMOVE/REPLACE 4" CONCRETE SIDEWALK 1732.97 SF $5.00 $8,664.85 1732.97 $8,664.85 (CO # 1) 7 REMOVE/REPLACE CONCRETE VALLEY 50 SY $88.00 $4,400.00 19 $1,672.00 GUTTEIZ 8 8" PAVEMENT PULVERIZAT'ION 4850 SY $4.20 $20,370.00 4800 $20,160.00 9 ROADBOND ENl SOIL STABILIZER 38 GA $120.00 $4,560.00 40 $4,800.00 10 CEMENT MODIFICATION (13LBS/S17 32 TN $100.00 $3,200.00 32.19 $3,219.00 I 1 ASPHALT PAVEMENT AND BASE REPAIR (CO 44.8 CY $220.00 $9,856.00 #1) 12 ASPHALT PAVEMENT LEVEL-UP 30 TN $140.00 $4,200.00 13 PAVEMENT WEDGE MILLING (2" to 0") DEPTH, 7054 SY $1.65 $11,639.10 7336.66 $12,105.49 5' WIDE 14 2" PAVEMEN'I' SURFACE MILLING 23840 SY $1.65 $39,336.00 42253.07 $69,7I7.57 15 BUTI'JOINT-MILLING 6 EA $275.00 $1,650.00 6 $1,650.00 16 CRACK SEALING OF EXISTINC PAVEMENT 122 GA $36.00 $4,392.00 478 $17,208.00 17 2" ASPHALT PAVEMENT TYPE D(CO #1) 52961.51 SY $7.93 £419,984.77 66135.85 $524,457.29 18 WATERVALVEBOXADJUSTMENTS 9 EA $I50.00 $1,350.00 (W/STEEL RISER) 19 WATER VALVE BOX ADJUSTMENTS 5 EA $250.00 $1,250.00 2 $500.00 (W/CONCRETE COLLAR) 20 MISCELLANEOUS STRUCTURE 6 EA $40.00 $240.00 ADJUSTMENTS WATER METER BOX 21 MANHOLE ADJUSTMENTS W/STEEL RISER 10 EA $300.00 $3,000.00 22 MANHOLE ADJUSTMENTS W1TH CONCRETE 10 EA $400.00 $4,000.00 7 $2,800.00 COLLAR 23 PAINTINGHOUSEADDRESSES 80 EA $15.00 $1,200.00 90 $1,350.00 24 BLOCK SOD REPLACEMENT 355 SY $4.95 $1,757.25 303.1 $1,500.35 25 REMOVE / REPLACE 30' SPEED CUSHIONS 15 EA $2,500.00 $37,500.00 4$10,000.00 WITH STRIPPING 26 UNCLASSIFIED STREET EXCAVATION 130 CY $25.00 $3,250.00 27 CRUSHEDLIMESTONE 30 CY $45.00 $1,350.00 Thursday, November 2Q 2014 Page 2 of 5 City Project Number Contract Name Contract Limits Project Type Project Funding 02131 HMAC SURFACE OVERLAY (2013-8) AT VAR[OUS LOCATIONS PAVING DOE Number 7075 Estimate Number 12 Payment Number 12 For Period Endiog I1/IS/2014 28 MISCELLANEOUS CONSTRUCTION 1 LS $42,000.00 $42,000.00 0.190215 $7,989.03 Sub-Total of Previous Uuit $759,055.97 $758,763.69 Thursday, November 20, 2014 Page 3 of 5 City Project Numbers 02131 Contract Name HMAC SURFACE OVERLAY (2013-8) Contract Limits AT VARIOUS LOCATIONS Project Type PAVING Project Funding Contract Information Summary Original Contract Amount Chan�e Orders Change Order Number 1 Thursday, November 20, 2014 Total Contract Price DOE Number 7075 Estimate Number 1z Payment Number iz For Period Ending I1/IS/2014 $754,60235 $4,453.62 $759,055.97 Total Cost of Work Completed $758,763.70 Less % Retained $0.00 Net Earned $758,763.69 Earned This Period �38,698.18 Retainage This Period $0.00 Less Liquidated Damages Days @ / Day LessPavement DeSciency Less Penalty Less Previous Payment Plus Material on Hand Less 15% Balance Due This Payment $0.00 so.00 $0.00 $720,065.51 $0.00 $38,698.18 Page 4 of 5 ate / 2 - �5- �� Direct PW - nfrashucture Design and Construction L-J- �i✓ ate � z�ls" i� Director Contracting Dep t BuySpeed Online https://bso. fortworthgov.org/bso/document/approval/docApproval. sdo �� _� 4 7 11 I� C' Accounts Payable Department Access NIGP Code Browse � My Account � Customer Servke � Current Organization: CITY OF FORT WORTH January 19, 2015 11:16:44 AM CST /1!! e� A6out �� I'o1 Home Doaments l BrandyCrane �--- -J Invoice #: CS44780-FINAL Vendor #:0000023239 Vendor Group #:01 Status:41R-ReadyforApprovat [?j General Items Credffs Subcontractors Accounts Routing Attachments Notes Reminder Change Order Summary Back to PO . _ _ _ --- - -- - - - -- - -- -- -- - _ - - - ----- - � - - - -- --. _. _.._--- - _. _ _ General Validation Wamings j f • Account code 13-C293-541200-206620213183 is in the red by $4,453.00. I • You are going to final pay the following paRially paid po items :[1, 2]. I ' __ _. -- - ___ _ - _. -- - __ _ i Header InfoRnation Invoice Number: CSQa�saFiNn� IfIVO1C0 S�tUS: 41R - Ready for �nvoice Type: 3 way Approval matching IIIVOICe D@SCI'IptlOn: CS44780-FINAL HMAC Surface Overlay II1VOlC2 DBtC: 11/15l2014 Effect Date: o�i�sizo�a 201&8 Pa ment Amount: Sse,698.19 Handlin COde: ACH (DIRECT payment Date: �v�oi2o�a Y 9 DEPOSI� Payment Terms: Payment Term Day: Paid-Bank/Check: Alternate Id: Entered By: srandy crane Entered Date: CreditAmount: So.00 Updated By: Brandy Crane ReceivedDate: osi22i2o�a��:�s:ooaM Purchase Order Information Purchase order Number: Po-�s-000�sasz PO Amount: $�ss,055.97 PoVendor Information V211d0I': 0000023239 - ADVANCED PAVING COMPANY Vendor Remit-to B�kY Seale Address: zz57 JOE FIELD RD ACH ONLY DALLAS, TX 75229 us Email: bseale@advancedpavingco.com Phone:(972)245-0000 Id: 39092 Misc & Freight Invoice Account 0 01/19/2015 Payment o.o�io Discount: Updated Date: ov�sizo�e PO Description csa47so Remaining To Invoice: $Z92_2� Buyer: Address Grp: o� Fed ID: •`•"'9367 Remit Te�ct: Karen Striker Event Type Fiscal Year Account Code Transadion Amount Misc 13 C293-205000-000000213100 $37,898.19 Total: $37,898.19 Item Information Invoice Item #IPO Item #: 1 HMAC Surface Overlay 20138 C293-541200-206620213183 CS44780 M&C: C-26352 Date:072313 1 of 2 1/19/2015 11:16 AM BuySpeed Online PO �tem Status 3PPR - Partial Receipt MAKE: ASSET MODEL: ASSET MANUF: ASSET SERIAL: ASSET VIN: ASSET TA�: Eve�t Type Fiscal Year Exp. 15 Enc. 15 https://bso.fortworthgov.org/bso/documendapprovaUdocApproval.sdo Permit Invoice Discount % Original F(nal To Pay Amount PayAmount Pay $0.00 $0.00 0.0% $0.00 Yes Account Code C293-541200-206820213183 C293-541200-206620213183 Transaction Amount $0.00 $0.00 Invoice Item #/PO Item #: 2 CO#1 -$4,453.62 - HMAC Surface Overlay 201&8 C293-54'1200-206620213183 CS44780 PO Permit invoice Discount % Original Ffnal Item Status To Pay Amount Pay Amount Pay 3PPR - Partial Receipt $0.00 $800.00 0.0% $0.00 Yes MAKE: ASSET MODEL: ASSET MANUF: ASSET SERIAL: ASSET VIN: ASSET TAG: Event Type Fiscal Year Account Code Transaction Amount Exp. 13 C293-541200-208620213183 3800.00 Enc. 13 C293-54120a206620213183 -$800.00 Approval Path: Oelete Approver Order Approval Levei Approver Date Date Approved/D(sapproved Comment Sequence Path 7ype Requested Approved/Disapproved lCanceled View IU /Canceled by Add Primary New Add/Delete Apprpver Print i Copyright � 2015 Periscope Holdings, Inc. - Ali Rights Reserved. default 2 of 2 1/19/2415 11:16 AM Page: 1 Document Name: untitled BC AVAILABLE FUNDS TNQUIRY 162 NEXT FUNCTION: ACTION: ------------------------------------------------------------------------------ ------------------------------------------------------------------------------ COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR C293 205000 000000213100 ACCT DESC: RETAINAGE ORIG APPROPRIATION: 0.00 CNTR DESC: HMAC 2013-8 SURFACE OVERLAY LAST ACTIVITY: 01/17/2015 0.00 NA 0.00 - 0.00 NA - 0.00 - 0.00 NA - 0.00 - 37,898.19- (LIABILITY ) - 0.00 --------------------- --------------------- = 37,898.19 (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 9 0 Date: 01-19-2015 Time: 11:14:02. AFFIDAVIT STATE OF Texas COUNTY OF Dallas Before me, the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Sam L. Ganett, Owner Of Advanced Paving Company, 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 the wage scale established by the City Council in the City of `� i �I Fort Worth has been paid in full; Q�7ti �i1. �5��j L��CC� �i"1 fi�. That there are no clauns pending for personal injury and/or property damages; On Contract described as; HMAC Surface Overlay 2013-08 BY v Sam L. Garrett Subscribed and sworn before me on this date 1 st of December, 2014. � l�-t ,: Not Pu lic Dall , Texas ,,,,,,,,, `��RPRYPUB�`r BECKY SEA :s,� s Notary Public, State of Texas '��.,c My Commission Exp�res '�';;Sp��„� 401ober 11, 2016 CONSENT OF SURETY COMPANY TO FINAL PAYMENT Conforms with the American Institute of Architects, AIA Document G707 OWNER ❑ ARCHITECT ❑ CONTRACTOR ❑ SURETY ❑ OTHER Bond No 4391993 PROJECT: (name, add�eSs)HMAC Surface Overlay (2013-8), 02131 Fort Worth, TX TO (Owner) � CITY OF FORT WORTH 1000 Throckmorton Street Fort Worth TX 76102 � ARCHITECT'S PROJECT N0: CONTRACT FOR: HMAC Surface Overlay at Various Locations (2013-8) � CONTRACT DATE: 7/23/2013 CONTRACTOR: ADVANCED PAVING CO. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the (here insert nama and eddress of Surety Company) SURETEC INSURANCE COMPANY 1330 Post Oak Blvd. Houston TX 77056 , SURETY COMPANY on bond of Ihara Insart name and address of Contractor) ADVANCED PAVING CO. 2257 Joe Field Rd. Dallas TX 75229-3326 , CONTRACTOR, hereby approves of the 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 (hare insert name and address of Owner� CITY OF FORT WORTH 1000 Throckmorton Street Fortworth Tx 76102 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS, WHEREOF, the Surety Company has hereunto set its hand this 24th day of October, 2014 �� Attest: Don E. Cornell ~�� (Seal): - SURETEC INSURANCE COMPANY Su Company L!/lL� %7LC�7 f %2 Sign ture of Authorized Representative Sophinie Hunter Attorney-in-Fact Title NOTE: This i�rm is to be used es a companion documant to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Currant Edition ONE PAGE POA �: 4221097 Sure'I'ec Insux ��c� Company LIMITED POWER OF ATTORNEY Know All Men by These Presenis, That SURETEC INSURANCE COMPANY (the "Company"), a corporarion duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Harris County, Texas, does by these presents make, constitute and appoint Lisa M. Bonnot, Don E. Cornell, Ricardo J. Reyna, V. DeLene Marshali, Sophinie Hunter its �ue and lawful Attomey-in-fact, with full power and authority hereby conferred in its name, place and stead, to execute, aclrnowledge and deliver any and all bonds, recognizances, undertakings or other inshuments or con�acts of suretyship to include waivers to the conditions of contracts and consents of surety for: Five Million and 00/100 Dollars ($5,000,000.00) ,. and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President, sealed with the corporate seal of the Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attomey-in-Fact may do in the premises. Said appointment shall continue in force until tvs»zo�s and is made under and by authority of the following resolutions of the Board of D'uectors of the SureTec Insurance Company: Be it Resolved, that the President, any Vice-President, any Assistant Vice-President, any Secretary or any Assistant Secretary shall be and is hereby vested with full po�ver and authority to appoint any one or more suitable persons as Attorney(s)-in-Fact to represent and act for and on behalf of the Company subject to the following provisions: Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company, to execnte, aclrnowledge and deliver, any and all bonds, recognizances, contracts, agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or teaninating the Company's liability thereunder, and any such instruments so executed by any such Attomey-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved, that the signahue of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile, and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which i[ is attached. (Adopted at a meeting he/d on 20�' of April, 1999.) In Wimess Whereof, SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, and its corporate seal to be hereto affixed this 21 st day of March, A.D. 2013. �� SURETEC INSURANCE COMPANY �,y+s'SVRANp�a,r �� \� ,... .. � ��Ur, X �, tO� �y• ~� i n� John os Jr: resident State of Texas ss: �� W� `� ;'�: County of Harris �,rs '^^.m.,ti .a"d'a . On this 21st day of Mazch, A.D. 2013 before me personally came John Knox Jr., to me ]rnown, who, being by me duly swom, did depose and say, that he resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above instrument; that be lmows the seal of said Company; that the sea] affixed to said instrument is such corporate seal; that it was so affixed by order of the Boazd of D'uectors of said Company; and that he signed his name thereto by like order. ��n++ue�, JAC�UELYN MALDONADO n Nolary Public State ot Texas �''•f or.E*' My Comm. Exp. 5l1812017 Jacq elyn Maldonado, Notary Public My commission expires May 18, 2017 I, M. Brent Beaty, Assistant Secretary of SURETEC INSURANCE COMPANY, do hereby certify that the above and foregoing is a true and coaect copy of a Power of Attomey, executed by said Company, which is still in ful] force and effect; and furthermore, the resolutions of the Board of Directors, set out in the Power of Attorney aze in full force and effect. Given under my hand and the seal of said Company at Houston, Texzs ibis �_ day of (J �c�' , t�U1� , A.D. . 1, Bre t Beaty, Assistant ecretary Any instrument issued In excess of the penalty stated above is totall; ��id a�id :without �ny validity. For verification of the authority of this power you may call (713) 812-Do00 �ny business day between 8:00 am and 5:00 pm CST. SureTec insurance Company THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION Statutory Complaint Notice To obtain information or make a complaint: You may call the Surety's toll free telephone number for information or to make a complaint at: 1-866-732-0099. You may also write to the Surety at: SureTec Insurance Company 9737 Great Hills Trail, Suite 320 Austin, Tx 78759 You may contact the Texas Department of Insurance to obtain information on companies, coverage, rights or complaints at 1-800-252-3439. You may write the Texas Department of insurance at: PO Box 149104 Austin, TX 78714-9104 Fax#: 512-475-1771 Web: http://www.tdi.state.tx.us Emaii: ConsumerProtecfion@tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: Should you have a dispute concerning your premium or about a claim, you should contact the Surety first. If the dispute is not resolved, you may contact the Texas Department of Insurance. Terrorism Risks Exclusion The Bond to which this Rider is attached does not provide coverage for, and the surety shall not be liable for, losses caused by acts of terrorism, riot, civil insurrection, or acts of war. Exclusion of Liability for Mold, Mycotoxins, Fungi & Environmental Hazards The Bond to which this Rider is attached does not provide coverage for, and the surety thereon shall not be liable for, molds, living or dead fungi, bacteria, allergens, histamines, spores, hyphae, or mycotoxins, or their related products or parts, nor for any environmental hazards, bio-hazards, hazardous materials, environmental spills, contamination, or cleanup, nor the remediation thereof, nor the consequences to persons, property, or the performance of the bonded obligations, of the occurrence, existence, or appearance thereof. FORTWORTH TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR & PROJECT DATA Nanre ofContractor Advanced Paving Co. DOE Inspector G�OLlnspector ❑ Water ❑ Waste Water❑ Storm Drainag� Pavement Inilia! Caitrac! Anrotm! $754,602.35 Frnal Contract Anrowr� $759,055.97 II) PERFORMANCE EVALUATION Projecf Name HMAC Surface DOE N:nnber 7075 Projecl Manager Kristian Sugrim Project D�culry � Simple 1-Dec-14 13-8 QQ Routine REV: 02/20/07 � Compiex 0- Inadequate 1- Deficient 2- Standazd 3- Good 4- Excellent �LGMENT WE►GHT ( x) APPLICABLE (Y / N) RATING (0 - 4) MNC SCORE SCORE 1 Submission of Documents 2 Y 4 8 8 2 Public Notifications 5 Y 3 20 15 3 Plazis on Site 5 Y 3 20 15 4 Field Su ervision I S Y 3 60 45 5 Work Performed I S Y 3 60 45 6 Finished Product IS Y 3 60 45 7 Job Site Safety I S Y 3 60 45 8 Traffic Control Maintenance IS Y 3 60 45 9 Dai(y Clean U 5 Y 3 20 I S 10 Citizen's Complaint Resolution 5 Y 3 20 I S I1 Property Restoration 5 Y 3 20 IS 12 After Hours Res onse 5 Y 4 20 20 13 Pro'ect Com letion 5 Y 3 20 15 TOTAL ELEMENT SCORE (A) 343 BONUS POINTS (25 Maximt�m) (B) TOTAL SCOR� (TS) 343 III) CONTRACTOR'S RATING Masimum Score (MS) = 448 or sum of applicable element score maYimums which = 448 Rati�lg ([TS / MS] * 100%) 343 / 448 = 77% Performance Category Good <20% = Inadeqtrate 20% to <40% = Deficient 40% to <60% = Standar•d 60% to <80% = Good >80% = l�ceUent Inspector's Comments (INCLUDING E�PLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector Signature Contractor J Signature DOE Inspector's Supervisor CONTRACTOR'S COMMENTS 'TRc1NSPORT�,TION r1ND PUBLIC WORIiS The City of Fort Worth • 1000 Throckmorton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fax: (817) 392 - 7845 PROJECT INFORMATION nte ofContractor ivanced Paving Co. >E Inspector FORTWORTH TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY Date: December Project Name HMAC Surface Overla 201 Projecl tifanager PLANS & SP�CIFICATIONS 1 Accuracy of Plans to Existing Conditions 2 Clarity & Su�ciencv of Detai(s DOE Ntanber Projecf D�culry Type of Contract 7075 � Simple QQ Routine Q Complex ❑ Water� Waste WaterO Storm Drainag� Pavement Inilia! Contrnct Ainount Firia! Conb•acl Anrounl $754,602.35 $759,055.97 II) PERFORMANCE EVALUATION 0- Inadequate 1- Deficient 2- Standard 3- Good 4- Excellent ELEMEN'C �RA1'ING ELEMENT ro_a� 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 ADMINISTRATION 1 Change Order Processing Time 2 Timliness of Contractor Payments 3 Bid Opening to P►•e-Con Meeting Timeframe III) COMMENTS & SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS 4 3 Applicability of Specifications 4 Accurac of Plan Quantities ¢ PROJECT MANAGER EVALUATION 1 Knowled e And/Or Problem Resolution 2 Availabilit of Pro'ect Mana er � 3 Communication 4 4 Resolution of Utilitv Conflicts REV: 02/22/07 14 RATING ro_a� 4 TR�INSPORT�ITION t1ND PUBLIC ��ORI{S ��° T1ie City of Fort Wordi • 1000 Thiockmoxton Street • Fort Worth, TX 76012-6311 (817) 392 - 7941 • Fas: (817) 392 - 7845 FORTWORTH� TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATENIGNT# FINAL STATC�IGNT# 12 NAME OF PROJECT: HMAC Surface Overiay (2013-8) YEAR: 2014 PROJECT NO.: 21131 DOE � 7075 Advanced Paving �INAL INSP�CTION DATE � j�,(p _ \VD C� CONTRACT T[ME � PGRIOD TROD'L• 11/1/2014 TO: 11N5/2014 B�G - blonth DEVELOPNEN7 (1' / l� N R'ORI< ORDER ErTGCTIVE: 10/15/2013 BEG / n MID / n n DAY OF MONTH DAYS R�ASON FOR DAY OI' bIONTH DAYS REASON FOR CHARGGD DAYS CREDITED CHARGGD DAYS CRGD[TGD 1 Sat 0 na 16 2 Sun 0 � na 17 3 Mon 0 na 18 4 Tue 0 na 19 5 Wed 0 na 20 6 Thu 0 na 21 7 Fri 0 na 22 8 Sat 0 na 23 9 Sun 0 na 24 10 Mon 0 na 25 11 Tue 0 na 26 12 Wed 0 na 27 13 Thu 0 na 28 14 Fri 0 na 29 15 Sat 0 na 30 31 NA Wkn 8 Hol Wea Ufl Oth Not Applicable SAT,SUN,and 4�BATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATG CHARGED THIS PERIOD 0 0 0 0 0 0 PRGVIOUS P�RIOD 0 124 124 TOTAL TO DATE 0 0 0 0 124 124 RGNIARICS: � All Paving Completed on 2/17, waiting for speed humps and utility concrete pad . Decided not to do speed humps. Project completed 2/17/14. Will need a Change Order for time (16 days) i r. Next estimate will be final. Change Order submitted in early August, and has been sitting in fiscal staff's queue. Change rder �pproved on October 20, 2014. a� fio�a �5 i�wa1 �`� �a �� `�r'� Signature: (Print Name) Signature: (Print Nan DATE I �Z'1'