HomeMy WebLinkAboutContract 44061-CO3 (2), _ ;";� ���'�ii�� p� � � 3
FORT WORTH� Cifiy of Fort Worth "�`�`��� 4��y�`Y ��
Change Order Request Breakdown
Project Name 2008 CIP Neighborhood Streets Confract 96 City Sec# 44061
Client Project #(s) DOE No. 6177 CPN 1269 (39407-0200431-5740�10—001269-004083)
Change Order Submiftal # �3
Dept
Original Contract Amount
Extras to Date
Credits to Date
Pending Change Orders (in M&C Process)
Contract Cost ta Date
`��'i/
75
Water
of Proposed Change Order
Revised CantractAmount $949,127.12
Original Funds Avallable for Change Orders $2Z0,176.94
Remaining Funds Available for this CO $220,176.94
2
Additional Funding (if necessary)
$136,511.50
$137,198.06
$686.56
Date 7/29/2015
Contract Time
Totals CD
1,429,500.00 500
�136,511.50 50
1,566,Q11.50 550
$68,419.37 64
1,634,430.87 614
$357,375.Q0
$220,863.50
CHANGE ORDERS to DATE (INCLUD/NG TH/S QNE) AS % OF ORf6lNAL CONTRACT 14.34%
MAX ALLOWABLE CONTRACT AMOUNT (ORIGINAL CONTRACT COST+ 25%J $1,786,875.00
JUSTIFICATION>(�ONS) FOR CHANGE ORDER
While stabilizing the subgrade, the contractor encountered several shalfow sfreef Ifght conduits ihat had to be replaced and lowered in order for
the paving of the streets to praceed, Upon comple6on of fhe proje�t, �e construc6on inspector and fhe contractor measured the final quantities
for the pay items assaciated with the project. There were several quantiiEy orrerruns on some of fhe existing pay items. This change order is
necessary to adjust the quantities for the averran pay items and add the uao�k associated with the street light conduits. The price for the street
light conduit is fair and reasonable. The change arder alsa adds addi�on�G contract 6me tfiat takes info consideration the additional work for
both the street light conduif, overruns to the planned quanti6es and d�9a�s �at were beyond fhe contractor's control.
OFFICiA�. RECORD
CITY S�CRETARY
��'01NORT9�1, YX
FoR� H city of Fort worth
Change Order Additions
Project Name 2008 CIP Neighborhood Streets Contract 98 City Sec � 44061
Client Project# DOE No. 6177 CPN 1269 (39407-0200431-5740010—001269-004083)
Change Order Submittal #�3 Date 7/29/2015
ADDITIONS
ITEM DE CRIPTI N DEPT ty nit Unit ost Total
0. 0
69 HMAC Transifions TPW 20.00 TN 150.00 3,OOQ.00
70 5" HMAC Driveway Transition TPW 17.00 TN $150.00 ,55 .
72 7.5" Concrete Pavement TPW 1,766.00 SY $35.00 .0
76 4' Barrier Free Rmap Type A TPW 7,00 Ea $500.00 ,5 .
78 4' Barrier Free Ramp TPW 1.00 Ea 500.00 0.0
84 21"RCP Class III TPW 13.00 LF $70.00
89 UtilityAdjustment TPW 0.8� LS $20,000.00 ,0 .0
95 Sidewalk Curb 7PW 354.00 LF $10.00 ,5 .
96 Lower SVeet Light Conduit in Conflict with Subgrade TPW 1.00 LS $12,450.00 , 5.OD
TPW $104,342.�0
Water $0.00
Sub Total Additions $104,342.06
Change Order Additions Page 1 of 1
'FoR_ r�rs City of Fort Worth
Change Order Deletions
Project Name 2008 CIP Neighborhood Streets Contract 98 Ciry Sec # 44061
Client Project# DOE No. 6177 CPN 12fi9 (39407-0200431-5740010—001269-004083)
Change Order Submittal #�3 Date 7129/2015
DELETIONS
TEM DE I ION D PT Qry Unit Unit ost otal
55 Remove Sidewalk TPW 1,579.00 SF $1.00 ,5 9.00
61 Remove Conc Valley Gutter TPW 302.00 SY $4.00
66 Lime TPW 1.77 TN $145.00
67 6" Subgrade Treatment TPW 91.10 SY $2.25
73 4" Concrete Sidewalk TPW 5,453.00 SF 4.00 2,8 .00
74 6" Concrete Driveway TPW 35.00 SF $6.OD
75 6" Concrete Driveway Dyed Concrete TPW 20.00 SF 7.00 0.00
77 4' Barrier Free Ramp Type B TPW 2.00 Ea $500.00
79 4' Barrier Free Ramp Type D TPW 1.00 Ea $500.00 500. 0
81 4' Barrier Free Ramp Type G TPW 1.00 Ea $600.00
90 Topsoil TPW 128.00 CY $16.50
93 Conc Ret Wall With Sidewalk TPW 300.00 SF 21.00 6,300.00
TPW $35,922.63
Water $0.00
Sub Totaf Deletions
OFFI�lAL IRECORD
; �IiY ��CRE'�AFtY
Change Order Deletions Page 1 of 1 �■ �����g a�
rn
M/SBE Breakdown for this Change Order
CFW Change drder Approval St-COApp�3
FURT �ORTH� City of Fort Worth
Change Order Request Approval
(Change Order Breakdown Available in Links)
Page 2 of 3
For Change Order Submittal No.: 3
Change Order No.: St-COApp03 Date Started: 2015-11-05
City Sec. No.: 44061 Date Due: 2015-12-25
Project Name: 2008 CIP Neighbarhood Streets Contract 9B
01269 DOE Numbers:
Project Numbers:
DOE 6177
Project W. Ba�tinnare, 1�.��, �Z�nc6 Terrace, W Lowden St, Ryan Place, S.
DesCl"iptiOn: Henaerson, W. �ess�u.ar.e, I�ibscamb and W_ Myrtle_
Project Manager: Roy Teal City Inspector: Ariel Duarte
Contractor; McClendon Construction Co. Inc.
COUNCIL ACTION (If Required):
M&C Log Name:
M&C Number:
COST AND DAYS SUMMARY:
Department:
TPW
Approval Status:
M&C Date:
Requested
Cost($) Fund Account Center: Days:
$ 68,419.37 39407-0200431-5740010--001269-� 64
Total Cosi: � 68,419.37 Total Requested Days: 64
https://pr�jectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&ProcessI... 11/9/2015
CFW Change Order Approval St-COApp03
Approved: Yes
Comments:
User: Tara Fishback
Date: 2015-11-05 1:27 PM
Approved: Yes
Comments:
User: Justin Blair
Date: 2015-11-05 1:59 PM
Approved: Yes
Comments: DOE No. is 6177
User: Roy Teal
Date: 20i5-i1-05 3:01 PM
Approved: Yes
Comments:
User: Najib Fares
Date: 2015-11-05 3:06 PM
Approved: Yes
Comments:
User: Andy Anderson
Date: 2015-11-05 3:14 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2015-11-05 3:35 PM
Approved: Yes
Comments:
User: Doug Black
Date: z015-11-06 4:59 PM
Approved: Yes
Comments:
User: Jay Chapa
Date: 2015-I1-07 6:03 PM
Action Required: Review and Approve
Page 3 of 3
https://projectpaint.buzzsaw.cam/ bz web/Forms/FormPrint.aspx?Siteld=51500&ProcessI... 11/9/2015
CFW Change Order Approval St-COApp03
Routinq
Assigned To:
Assigned By:
Page 1 of 3
Due Date:
Due Time:
Links 1
fortworthqov/Infrastructure Proiects/01264 - Z008 Neicahborhood Streets Contract 9B/Contractor/Chanqe Orders/Chanqe
Order Breakdown #3.xls
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�. 1 :� ,'� '� �' '-�� '�
STATE OF TEXAS
C�INTY OF TA.RR�N 1
Before me, the undersigned authority, a Notary Public in the state and county
aforesaid, on this day personaJ.ly appeared Dan McClendon, President of M[cClendon
Constructiora Coxnpany, Incorparated, 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 othez organizations
furn_ishing labor andlor materials have been paid in full;
That there are no claims pending for personal injury and /or property damages;
On Contract described as;
2008 CIP Contraci 9B
By ( (',i � � f , " __..
Dan McClendon
Subscribed an.d sworn before me on this /!! `'�'—�' day of
��.r� ��r;a ,��j . 20 tS-
/
tazy Public in Tarrant
County, Texas
;��:�'�"� MARYJ. RORTER
`*. �= MY COMMISSION EXPiRES
=�y �� September 17, 2016
;P;
C'O�IS�lti'T O�'
SI!�t��J'�` C()liPA1\4'
"i'(3 E+ItiA9. P.41'i1IE,\'i
Al.� DOCUi��i=n"� G?C;;
O1��ncr
i\rchitcct
Contractor
Sure��
OtE�cr
W92C3J�.c'"�: on 1 a��an e�:
r,c�n,.,. adures�; 20�3 C�' C�aarra�t 9� -�alt�ximsQ Av�, �leaae� �eP�ase, g,mw�eaa SS., i�ya�a i'�ace �a-.,
��mde�s�o�a St., ,��ssa�ne Si. , g+'ort �N�n't4a, �K
Tfl: �o��•rcrj AI2C�iTECT'S fl Rt}JEL"I' �i3:
City of Fort Worth, Texas
10�0 Throckmorto�n Drive
Fort Wort�a, TX 76103
CO��'R.�'iCT I'OR: Coresri-tactfloaa
CON'd'I'.ACT A1vi0i�IT: $1,552,00�.38
Ct)\'C12.aC'"F' 1?A'1'E:
CONTI2AC"f OR:
NdcCIendon Constnaction Coaanpany, Inc.
PO Sox 996
Baaa-lesan, �`X 76097
In accortlauce �i ith 12ie provisions oi� the � ontract ben� ee�i the U��°�tei• and the C:ontractar as indicatcd �bove, thc
Merchants Bondimg Company
PO Box 14498
Des Monnes, Iowa 50306-3498 ,Si.rR]ETY COR�IP:�N�'
011 t)OI1C� Of�ihcrt ir:urt na�riC uuU aiidress ui C'r;�ilracli>r)
iVYeClendoac Construction Companp, Inc.
PO Box 996
l3urleson, Tex�s 76097
.COi\ Tf�.C'i�0 i�,
hereb_y appr�� es of the tinal paynient to the Contracrar, snd agreLs thai f nal pa}�nent tu the Contract�r shal l not
:clie��e the Suret}' C OIlij�clllj' Of aIl)t Uf iis obligaCions to �I;crc inscruiamc and addres; of U�ern;rj
City of Fart Worth, Texas
1000 Throcl�orton Drive ,(>t�'V�R
Fort Worth, Texas 76108
as sct forth in thc said Surct}' Company's hond.
Il�' 11';"I'�rSS 1VHE�KEUP,
tl�e Surety Company h�,s hereunt� ict iis hand this
/ f � i:
ii/`
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Attrst: �� '
f5ca1): �j
lOth dny of December, 2015
Suret�� Cnmpa��y
Merc`hantc Bonding,Company ;'
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=�=-����=` i;i- � �,�y ' � �`l_'���� `i"� =
tii�na:�:rc of ;1Cit;iu:ircd Rcpresentai:ve
�✓' /;
Betty J. Reeh - Attorney-In-Fact ___ _
'1'itle
VOT�: "fltis iorm is to be used as a¢�ntpattion ducumrnt tu Al:\ llOCI lA1FNT G10G, CUr7'R.4C'.TOR'S A[ I�li).aVIT DF P?�YN(L�T OF
IJi:137'S .4NI� Cl_�\I�,tS. C:w�,cnt iditiun
Af11 UOC:U�4F.NT G7O7�CUKSLn'1' UF SLJRFTY C:01�1YAVY TG F?tAL YA1'b9L=NT•APRIL (970 Lll1TIQ1��Al:lk: O�l
PAGti
�i5197Q•'fllF. AYIF.RIc:AI� 1NS'f1TUTF t�F nRCHl7'L'C7S. 17 �� �IF11� i'Ul�:, AVF., h\i', N':\Si1IhGTQ�1, D.C. 2�JOOG
p �J
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Know AIf Persons By Thes2 Presents, that MERCHAN i S BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BOND WG,
INC., both being corporations of the State of lowa (herein cotlectively called the "Companies") do hereby make, constitute and appoint,
individuaily,
Be�ty J Reeh; Bryan K IVdoore; Gary Way�e 1rVheatley; Michaei D Nendrickson; �at �9
Moore
their true and lawful Attorney(s)-in-Fact, to make, execute, seal and deliver on behalf of the Companies, as Sureiy, bonds, undertakings
and other written obligetions in the nature fhereof, subject to the limitation that any such instrument shail not exceed the amount oF:
SEVEN MiL�,�ON F'IIVE T-1�JNDRED T��OiJSAND ($7,Sa0,000.00} DOLLAI2S
This Power-of-Attorney is granted and is signed and sealed by facsimile under and by authority of the following By-Laws adopted by the
Board of Directors of Merchants Bonding Company (Mutual) on Aprii 23, 2Q11 and adopted by the Board of Direciors of Merchants
National Bonding, Inc., on Octo6er24, 2011.
"The President, Secretary, Treasurer, or any Assistant Treasurer or any Assistant Secretary or any Vice President shatl have power and
authority to appoint Attorneys-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 indernnity and other writings obiigatory in the nature thereof."
"The signature of any auihorized officer and the seai 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
o6ligations of the Company, and such signature and seal whe� so used shail have ihe same force and effect as though manually fixed."
In connection with obligations in favor of fhe Florida Department of Transportation only, it is agreed that the power and authority hereby given
to the Attorney-in-Fact incfudes any and ail consents for the release of retained percentages andlor final estimates on engineering and
construction contracts required by the State of Florida Department of Transportation. It is fully understood that consenting fo the State ofFlorida
Department of Transportation making payment of the final estimate to the Contractor and/or its assignee, shall not relieve this surety company
of any of its obligations under its bond.
In connection with obiigations in favor of the Kentucky Department of Highways only, it is agreed that the power and authority hereby given
to the Attorney-in-Fact cannot be modified or revoked unless prior writfen personal notice of such intent has been given to the Comrnissioner-
Departme�t of Highways of the Commonwealth of Kentucky at feast thirty (30) days prior to the modification or revocation.
In Witness V�/hereof, the Companies have caus2d this instrument to be signed and.sealed this 15th day oi August 2015 .
. . �..�rner,,,.r,, �
"''�"'j 101�..� � •� �NG Cp' MERCHANTS BONDING COMPANY (MUTUAL)
��� �1�';.--•'••-.�'y�'�_ �•��Q••"'•�.!t1,o •� MERCHAMTS NATIONAL BONDING, INC.
� �.�' o,g •.�`J = o. R p aq �•; y
=��3;;�,Q ��.�. O =_ • �.GO '9�•2<:
_ �' -O- �" : L' • �-�-.' � -o- o: :
�t: - • z=— : 3;
= �� 2v�3 :.',� _ ' �' 1933 .• c. �
: s'•. �
�:� .._ =: ` . `'�. .�ac:• sv
�i' .�,�`,. ''�V•• "l
STATE OF IOWA . �••+ �
COUNTY OF +,l�h�rnrr..�us��"�,�` . .
Qallas ss. •• � � • Presidenf
On this 15th day of August , 2015 , before me appeared Larry Taylor, to me personally known, who being by me sworn did say that
he is Presidentof the MERCHANTS BONDING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, 1NC.; and that the seais a�xed
to the foregoing instrument are the Corporate seals of the Companies; and that the said instrument was signed and sealed in behaff of the
Companies by authority of their respective Boards of Directors.
o �';'<s WENDY VJOODY
'1 n Commission Number 734654
z.,r.;�": My Commission Expires
�owP June 20, 2017
Notary Publi , County, lo�iva
(Expiration of notary's commission
does not invalidate this i�strument)
I, William Warner, Jr., Secretary of the MERCHANTS BONQING COMPANY (MUTUAL) and MERCHANTS NATIONAL BONDING, INC.
do hereby certify that the above and foregoing is a true and correct copy pf the POWER-OF-ATi'ORNEY executed by said Companies,
wfiich is stiil in fuil force and effect and has not been amended or revoked.
In Witness Whereof, I have hereunto set my hand and affixed the seai of the Companies on this ?v° day of �1�(,�U..��;-r
POA 0014 (6/15)
..,�...,....
,� ��A-� 10/d,� j'' �,=_
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= ,�: 'A' �`�'C' -
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' ��•.
e v .ac.'
'•d��ik,•- •'`.��.
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����-�-��-�.-�/ l�wr,�.��.
Secretary
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.��_ � �.�� �-=�..�_� �� �
�'; �_� 't`4.�' �'1 I i`�� �.� €." � f��ai I=,�ti �;� '�'°
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To obtain information or make a complaint:
You may contact your insurance agent at the ielephone number provided by your insurance
agent.
You may cali Merchants Bonding Company's toll-free telephone number for informa#ion or to
make a complaint at:
�-800-678-8�i 71
You may contact the Texas Department of fnsurance to obtain information on companies,
coverages, rights or complaints at:
i -8�0-252-3439
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
Pi�EM9UM AND CLAtM DISi�lJTES: Shouid you have a dispute concerning your premium or
about a claim you should contact ihe agent first. I# the dispute is not resoived, you may contact
the Texas Department of Insurance.
ATTACN THIS NOTICE TO YOUR POLICY: This notice is for information oniy and does not
become a part or condition of the attached document.
SUP 0032 TX (1/09)
PROJECT NAME:
PROJECT NUMBER:
DOG IYUMBER:
PIPE LAID
F(RE HYDRAI\'TS: 3
PIPE ABANDONED
�� �� � ��
.�
TRANSPORTATION AND PUBLTC WORKS
PIPE REPQRT FOR:
2008 CIP Neighborhood Streets project, Contract 9B
1269
6177
SIZE
6"
g��
� �,
]4"
10"
24"
LF I
;� 1
— "O� �
40
313
40
517
VALV�S (16" OR LARGGR) I(24") ,�
STZE TYPE OF PIPE LF
6" SfP� C�' 34
g" � C2 �?4?
I O" ,.B't7'' C� 353
24" CONCRETE CILINDER 517
WATER
TYPE OF PIPE
PVC
PVC
DIP
PVC
DIP
PVC
DCNS[TIES:
NEW SERVICES:
P[PG LA(D
SIZ�
g,�
SEWER
TYP� OF PIPE
DIP
PIPE ABANDOi�'ED
DGNS[TIES:
NLW SERVICES:
szz�
g��
m
TYPE OF PIPE
CONCRETE
LF
LF
192 J
192
TR�NSPORT:�TION �ND PUBLIC �C�ORI�S
�;''`�` �� � "The Cit�� of Fort Worth • 1000 Throckmorton Street • Fort �/orth, I� 76012-6311
�" (317) 392 - 7941 • Ta�: (817) 392 - 7845
FOR'T WORTH
TRANSPORTATION AfiTD PUBLIC WORKS
CONTR.ACTOR'S EVALUATION OF CITY
I) f'(2QJGCT IIYFORMATION
_. _. ___._,.._.._..._.��
,1'irrim u/Y'nnlraclnr
' McClendon Construction
_ ,. _. ....... _.. ,___�____._.________._
. /lUl' lu.r/iL'C1�iY
�ricl Duairte
_ . ._... ... _ .. _ ..____._ �_T�
l�Cll> ;\7anhei� �Prqject Difjicrdq,
CIP Contract 9B
Teal
Date_ :11 /20/2015
aEv: o2n2io�
( � 77 j� Simple O Roudne C'y Complex ��,0 Water 0' Waste Water❑ Storm Drainage❑ Pavement
........._..._.,_.,._,_____._._ _
/n r/iu/ l'nnlracl i1 m�tml $Ffno! Contrrret Amnun�
:� �4 $,792.25 ? $685,303.75
II) f'f;12F'Of2MANCE EVALUATtON
U - In6idec�u�ite .I ;�e�cient 2 - Standard
ri,i�Mr:Nr
. _._.. . ..............-....._.--__........._.._.__._.............._._._._�
INSF'GGT(ON EVALUATION
. _...�..,..,_..�w...�._.
I nvzilzbility of ]nspector
? 14ne�wled�e csf lns�ectar_
3 Accur7cy ot Measured Quantities
4 [iispl�y C7f F'rofessionalism�
� Gitizen Complaint Etesolutiion
� ncrformance - Settin� up Valve Crews, Labs
nl)MIIYI�TRATION
w.. .�,_. ._... �._..._�
' I Ch�n�e Order ('rocessin� Time
7 "T'iml�iness of Contractor Payments
_ ........_..__._._.�___..____.__..._._
.+ f3id Upening to Pre-Con Meetin Timeframe
III) COMMEIVTS & SICNATURES
�OMMGNTS
Sis�nature Contrac
Si�rn7ture DU� In
�i�;n�ture DbG (n
�nsrccrorz'S COMNIENTS
�
,��*•
3 - Good 4 - Excellent
�, Ra'PIt�IG iEIl.E�IEh,^T'
� !(C_dr i
�PLANS & SPECIF[CATIONS
i l Accuracy of Plans to Existing Conditions
R2 Clarity & Sufficiency of Details
�� Applicabiliry of Specifications
`� Accuracy of Plan Quantities
'PROJECI' MANAGER EVALUATION
j 1 Knowledge AndlOr Problem Resolution
;2 Availability of Project Manager
',3 Cammunication
G4 Resolation of Utility Conflicu
TR.-t\SPORf'��"IO�` iliv'T� PL'BLIC \�%ORI�S
Thc Citr of Foxt `�orth • 1(JOU Throc}:andrtara Stseet • Fort iC'onh, TZ'G012-6311
(817} 392 - ?9�1 • Fa� �81'j 392 - 7S�#�
; RATING
i (� - �)
; 3
i_�
{' 3�
J�
l�
FORT�ORTH
TRANSPORTATION A�TD PUBLIC WORgS
PERFORMANCE EVALIJATIO�T OF CONTRACTOR
1) �ONTIZACTUIt & PROJECT DATA
McC lei7d�n Construction
lirNi ln,speclnr
�riel C�uarte
I:J water (�] Waste Water � Storm �rainagep pavement
l�rirrr�l C "r�nn•uc� Amornu
�Sa�.��?.zs
$(,�i 5,303.75
II) F�[;RFOFtMANCE EVALUATION
2Qd8 CIP Contract 9S
[3i�E 9'umber
61?7
PrdjeeC Manager
Roy Teal
Projut D�culry
Q S�mple C Rouiine
E3[ire
9�20f2015
REV: 02/20l07
O Complex
�� - In;idcG uale I-Ocf icient 2- St<tndard 3- Govd 4- Excellent
I-:I,I:MI?hl'I' �FJEIGHT(�) �['PLIC�E3�E(.YlPJy RATING(0-4) MAXSCOR6 SCORE
I Suhnrissien �f ISbcumcnts 2 Y 4 8 8
'_ I'ublic NaYilicutinns 5 Y 4 20 20
.i I'I�4na �n Site 5 Y 3 20 IS
4 I'ield Supervision IS Y 4 60 60
� Wcirk I'crf�rrmcci 15 Y 4 60 60
6 I'iniwhecl Pr<>duct l5 Y 4 60 60
7 .lob Sitc Strfety 15 Y 3 60 45
R "fr�il'Cc Contrcrl Maintenancc 15 Y 3 60 45
�J f�aily Cle�n Up 3 't' 3 20 1�
I(i C'itizcn'w Cam�rlaint Resalutian 5 Y 3 20 15
I i I'r��norty Rcslar�i.ic�n 5 X 4 20 20
12 nft�r Hnurs Respanse S Y 4 20 20
13 I'rUjcct ��mpictian S Y 3 20 15
TOTAL ELEMGNT SCORE (A) 398
QONIJS POINTS (2� Ma�imum) (B)
TOTAL SCORE (TS) 398
III) CONTRACTOR'S RATING
�-I,iximum Scc�re (MS) = 44£i cir sum of applicable element scare cnaxirrnr�� �vhich = .ta8
fi:itinr ( ITS / MS� * 100%) 39& / 44% = 89%
1'crft�rm;incc C�tegory Fxccllcnt
?!I% l�7adeqarate 1I)% Ip �-40% = Defrcient 4!�% to !6(1°/m = SCandard 6�% to <80% = Goad >80% = Excellent
Inspert�+r'x (;umments ((NCI,UDING I:XPLANATION OE BOl�4lIS POI�1'I'S.�R'r�RDED)
1"
SiLnnture DOG Inspector � a Signature Contractor
Si�;n7ture DOE Inspector's Superviso
E'l)N"I'ItAC'"I'C)R'S CnMME1J"I"S
TRriNS�'O�RT.i.TY(il� �."�.'D Y'L'BLIC �C'ORI�S
�`;?�.�,'` '7'lxc Ciry of Forr ��G'o�rth • if1d0 Throc�srnosrcrn Screet • Fort ��orth,'I't 76012-6311
($1?j 392 - 7�-�1 • Fa� �817y 392 - 73=��
Fo���o�T��
_
7RAtYSPl7RTA?i�N A�tiD PIIBLIC WORKS
S?AT�Yt�iEE�T OF COi`dTi2ACT "i"IM�
:;'I"A'1"G�I GNT#
I�IN,\I,5TATF,vIEtiT� 52 DOE 6177
'+',1i1i G(7F PR(7.IF,CT: 2008 CIP Neighbofiood Streefs Project Corrtract 96 Contractor McClendon
1"1�.1fi: �d��
P1tqJLCT NA.: FIN:�L L�SPEC"TION DATE 3/19/2015
1269 FVD CD
CO\TR4CT TL�IE 614 X
�I'1?I21C)n FIZqNI: 11/1/2015 TO: � 11l15l2015 '� SEC -�'Ionth DEVELOP��[G1 (1'r \) N
�"�'Uf�l: pRbLR fFFEC'1'IVE: 4/812d15 'i BEG (y! n) Y MfD (y / n) 1�4.6%
DAti' Ob' �(O\TH DAYS REASO;� FdR 'I DaY OF �[ONTH DAY'S REASON FOR
CHARGED DAYS CREDITED I CHARGED DAl'S CREDITCll
1 Sun 0 OTH 16
2 i�lir�n 0 OTH 17
3 Tue 0 OTH 18
4 Wed 0 OTH 19
5 Th�a 0 OTH 20
6 �ri 0 OTH 21
7 Sat 0 OTH 22
8 Sun 0 OTH 23
9 iVlon 0 OTH 24
10 Tue 0 OTH 25
11 Wed 0 OTFi 26
12 Thu 0 OTH 27
13 Fri 0 OTH 28
14 Sat I 0 OTH 29
15 Sun I 0 �TH 30
31
h�A Wkn & Hof 6+Vea Utl Oth
N�t Applicable 5AT,SU�I_and �;'E:�THER LTIL[TIES OTHERS DAYS TOTAL DAYS
HULIDAYS RELOCATE CHARGED
`I"IIIS PGI2IC)D 0 0 0 15 0 15
i'12f�Vi(�US PERIOD 0 642 642
"I'QTAL TO DATG 0 0 0 15 642 657
RGN(AItK5: �i�i;���C;dba' ya� ����a ',;
il ���� n��"��� i� n �`,(� ;
. � :�� !7W!�3�r�\��"1tn �;�p
5i�„n�tu
(I'rint n�ne)
D
11!'15/2015
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