HomeMy WebLinkAboutContract 45380-FP1 -�f'ORT WORTH,
GS - 54
CITY SECRUA ,�--
TRANSPORTATION AND PUBLIC WORDS
NOTICE OF PROJECT COMPLETION
D.O.E. Ns: 6670
Regarding contract 01473 for WATER AND SANITARY SEWER REPLACEMENT CONTRACT 2009 as
required by the WATER DEPARTMENT as approved by City Council on 01/14/2014 though M&C C-26644 the
director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&
Public Works Department has accepted the project asf complete.
U
Original Contract Prices: U ; L�, u v F� $1,011,464.25
Amount of Approved Change Orders: ` JAN 2 7 2015 $240,840.00 Ns 1
Revised Contract Amount: `13 52$1,2 ,304.25
Total Cost Work Completed: $1,248,877.35
Less Deductions:
Liquidated Damages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $1,248,877.35
Less Previous Payments: $1,171,977.33
Final Payment Due $76,900.02
Recommended for Acceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
�?
/z r
AcceptedDate
Director, WATER DEPARTM T
City Manager Date
Comments: FUND ACCT:WATER:P253-6081701473/SEWER P258-7081701473
IJ t� L7
1qU
1, JAN 2 7 2015 go
City Project Numbers 01473 DOE Number 6670
Contract Name WATER ANDS NARI SEWERREPLACEMENI'CONT'RACT2009, EstimateNumber 16
Contract Limits Payment Number 16
Project Type WATER&SEWER For Period Ending 12/15/2014
Project Funding
Project Manager Sauceda City Secretary Contract Number
Inspectors RODGERS % CROWLEY Contract Date �1 1/14/2014
Contractor WOODY CONTRACTORS Contract Time 210 CD
650 TOWER DRIVE Days Charged to Date , 200 CD
FORT WORTH, TX 76060 Contract is .000000 Complete
PO #-__ia
CITY OF FORT WORTH INVOICE
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
—. 0———
' U3 _ 3 14, 332 J 11' . 1
Total Cost of Work Completed $1,248,877.35
Less %Retained $0.00
Net Earned $1,248,877.35
WATER DEPARTMENT Earned This Period $76,900.02
ENGINEERING AND FISCAL SERVICES
Contact Pers p- Derdena Hamilto •xt.8929 Retainage This Period $0.00
EDe in i pp ova Sign ,re or: ,� Less Liquidated Damages
0 Days @ $0.00 /Day $0.00
DEPARTMENT CHECK PECK-U YES LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $1,171,977.33
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $76,900.02
Tuesday,January 06,2015 Page 5 of 5
FORT WORTH.
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name WATER AND SANITARY SEWER REPLACEMENT CONTRACT 2009,WS
Contract Limits
Project Type WATER&SEWER
City Project Numbers 01473
DOE Number 6670
Estimate Number 17 Payment Number 17 For Period Ending 12/1512014
CD
City Secretary Contract Number Contract Time 21ED
Contract Date 1/14/2014 Days Charged to Date 200
Project Manager Sauceda Contract is 100.00 %Complete
Contractor WOODY CONTRACTORS
650 TOWER DRIVE
TORT WORTH, TX 76060
Inspectors RODGERS / CROWLEY
Tuesday,January 06,2015 Pagel of 5 1��`�
v
City Project Numbers 01473 DOE Number 6670
Contract Name WATER AND SANITARY SEWER REPLACEMENT CONTRACT 2009, Estimate Number 17
Contract Limits Payment Number 17
Project Type WATER&SEWER For Period Ending 12/15/2014
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 10"WATERPIPE 65 LF $36.00 $2,340.00 78 $2,808.00
2 8"WATER PIPE(CO#1) 8935 LF $30.00 8268,050.00 8974 $269,220.00
3 6"WATER ABANDONMENT PLUG(CO#1) 6 EA $130.00 $780.00 6 $780.00
4 SALVAGE FIRE HYDRANT(CO#1) 10 EA $200.00 $2,000.00 10 $2,000.00
5 5'WIDE ASPHALT PAVEMENT REPAIR 200 LF $39.00 $7,800.00 252 $9,828.00
RESIDENTIAIXCO#1 Delete)
6 ASPHALT PAVEMENT REPAIR BEYOND 900 SY $14.00 $12,600.00
DEFINED WIDTH,RESIDENTIAL
7 6'CONCRETE PAVEMENT REPAIR, 60 SY $130.00 $7,800.00 20 $2,600.00
RESIDENTIAL
8 4'CONCRETE SIDEWALK 115 SF $12.00 $1,380.00 12 $144.00
9 BLOCK SOD PLACEMENT 430 SY $10.00 $4,300.00 385 $3,850,00
10 TRENCH SAFETY 9585 LF $0.05 $479.25 9067 $453.35
11 DUCTILE IRON FITTING(CO#1) 4 TN $6,000.00 $24,000.00 3.97 $23,820.00
12 FIRE HYDRANT(CO#1) 10 EA $3,500.00 $35,000.00 10 $35,000.00
13 CONNECTION EXISTING 16"WATER MAIN 1 EA $2,800.00 $2,800.00 1 $2,800.00
14 CONNECTION EXISTING 6"-8"AND 10"WATER 23 EA $1,400.00 $32,200.00 22 $30,800.00
LINE(CO#1)
15 P WATER SERVICE,METER RECONNECTION 194 EA $200.00 $38,800.00 203 $40,600.00
(CO#1)
16 1"WATER SERVICE(CO#1) 194 EA $825.00 8160,050.00 210 $173,250.00
17 8"GATE VALVE 25 EA $1,150.00 $28,750.00 25 $28,750.00
18 10"GATE VALVE 2 EA $1,800.00 $3,600.00 2 $3,600.00
19 TRAFFIC CONTROL 7 MO $1,000.00 $7,000.00 7 $7,000.00
20 PORTABLE MESSAGE SIGN 30 WK $300.00 $9,000.00 10 $3,000.00
21 WATER LINE GROUTING 14 CY $200.00 $2,800.00
22 6"PVC WATER PIPE(CO#I) 120 LF $27.00 $3,240.00 122 $3,294.00
23 8"WATER LINE LOWERING 3 EA $3,300.00 $9,900.00 2 $6,600.00
24 TEMPRORAY WATER SERVICE(CO#1) 1.39 LS $36,000.00 $50,040.00 1.39 $50,040.00
25 COMMON FILL(CO#1) 100 SY $16.00 $1,600.00 530 $8,480.00
26 6"GV(CO#1) 10 EA $875.00 $8,750.00 11 $9,625.00
27 TEMP HMAC REPAIR(CO#1) 1800 LF $14.50 $26,100.00 1798 $26,071.00
28 1"SAMPLE STATION(CO#1) 1 EA $2,500.00 $2,500.00
Tuesday,January 06,2015 Page 2 of 5
City Project Numbers 01473 DOE Number 6670
Contract Name WATER AND SANITARY SEWER REPLACEMENT CONTRACT 2009, Estimate Number 17
Contract Limits Payment Number 17
Project Type WATER&SEWER For Period Ending 12/15/2014
Project Funding
29 PERMANENT PAVEMENT REPAIR 2:27 ONLY 10700 LF $27.00 $288,900.00 10972 $296,244.00
(CO#1)
30 2" WATER SERVICE(CO#1) 2 EA $2,200.00 $4,400.00 3 $6,600.00
31 2"SERVICE REPLACEMENT(CO#1) 2 E4 $500.00 $1,000.00 3 $1,500.00
32 11/2"MOTOR REPLACEMENT(CO#1) 4 EA $500.00 $2,000.00 3 $1,500.00
33 1 1/2"WATER SERVICE(CO#1) 4 EA $1,900.00 $7,600.00 3 $5,700.00
--------------------------------------
Sub-Total of Previous Unit $1,057,559.25 $1,055,957.35
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
---------------------------------------
1 8"SEWER PIPE 1785 LF $38.00 $67,830.00 1789 $67,982.00
2 8"DIP SEWER PIPE 130 LF $70.00 $9,100.00 115 $8,050.00
3 6"CIDP 100 LF $133.00 $13,300.00 94 $12,502.00
4 4"SEWER SERVICE 20 EA $750.00 $15,000.00 31 $23,250.00
5 6"SEWER ABANDONMENT PLUG 2 EA $130.00 $260.00 2 $260.00
6 Y WIDE ASPHALT PAVEMENT REPAIR 50 LF $39.00 $1,950.00
RESIDENTIAIXCO#1 DELETE)
8 6"CONCRETE CURB AND GUTTER 500 LF $20.00 $10,000.00 205 $4,100.00
9 PRE-CCTV INSPECTION 100 LF $5.00 $500.00 100 $500.00
10 POST-CCTV INSPECTION 2010 LF $2.00 $4,020.00 1874 $3,748.00
11 MANHOLE VACUUM TESTING 7 EA $125.00 $875.00 9 $1,125.00
12 TRENCH SAFETY 1910 LF $1.00 $1,9I0.00 1904 $1,904.00
13 TRENCH WATER STOP 4 EA $125.00 $500.00 4 $500.00
15 4'MANHOLE 6 EA $2,400.00 $14,400.00 9 $21,600.00
16 TRAFFIC CONTROL 7 MO $1,000.00 $7,000.00 7 $7,000.00
17 PORTABLE MESSAGE SIGN 30 WK $300.00 $9,000.00 10 $3,000.00
18 SANITARY LINE GROUTING 3 CY $200.00 $600.00 3 $600.00
19 WASTEWATER ACCESS CHAMBER 1 EA $3,000.00 $3,000.00 1 $3,000.00
20 REMOVE MANHOLE(CO#1) 4 EA $400.00 $1,600.00 4 $1,600.00
21 ADJUST MANHOLE 30"COVER(CO#1) 3 EA $1,500.00 $4,500.00 2 $3,000.00
22 PERMANENT PAVEMENT REPAIR 2:27 ONLY 700 LF $27.00 $18,900.00 697 $18,819.00
(CO#1)
23 TEMP HMAC REPAIR(CO#1) 700 LF $15.00 $10,500.00 692 $10,380.00
--------------------------------------
Sub-Total of Previous Unit $194,745.00 $192,920.00
---------------------------------------
Tuesday,January 06,2015 Page 3 of 5
City Project Numbers 01473 DOE Number 6670
Contract Name WATER AND SANITARY SEWER REPLACEMENT CONTRACT 2009, Estimate Number 16
Contract Limits Payment Number 16
Project Type WATER&SEWER For Period Ending 12/15/2014
Project Funding
Contract Information Summary
Original Contract Amount $1,011,464.25
Change Orders
Change Order Number 1 $240,840.00
Total Contract Price $1,252,304.25
1� Date ��SJ Total Cost of Work Completed $1,248,877.35
Cc tr c r Less %Retained $0.00
Net Earned $1,248,877.35
Date
Inspection Supervisor Earned This Period $76,900.02
Retainage This Period $0.00
Date � 21��5
Less Liquidated Damages
Project M r
Days @ /Day $0.00
Date �"Z �/� LessPavementDeiiciency $0.00
Asst. 7orW-Infras to esign/anCo ction Less Penalty $0.00
.7Dated � Less Previous Payment $1,171,977.33
Director/Contracting Dep Plus Material on Hand Less 15% $0.00
Balance Due This Payment $76,900.02
Tuesday,January 06,2015 Page 4 of 5
i
i
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
TROY WOODY PRESIDENT
OF
(NAME) (TITLE)
WOODY CONTRACTORS,INC
KNOWN TO ME TO BE A CREDIBLE
(COMPANY NAME)
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 TORT WORTH HAS BEEN PAID IN FULL;
THAT THERE ARE NO CLAIMS PENDING FOR PERSONAL INJURY
AND/OR
PROPERTY DAMAGES:
ON CONTRACT DESCRIBED AS; Water&SS Replacement Contract 2009
WSM-J
BY
r �
AME OR TMIE
SUBSCRIBED AND SWORN BEFORE ME ON THIS�DAY OF cpm 6l,2013
SHARON RIDDLE
Notary Pubic
STATE OF TEXAS
fop My Comm.Exp.02/28/2015 NOTARY PUBLIC
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT OSURETHER ❑
(SIMILAR TO AIA DOCUMENT G707)
Bond No. 8214-06-12
PROJECT: Water and Sanitary Sewer Replacement Contract 2009 WSM-J, City Project No, 01473
(name,address) Fort Worth,Texas
TO (Owner)
ARCHITECTS PROJECT NO:
City of Fort Worth CONTRACT FOR: Above Project i
1000 Throcict»orton Street
Fort Worth,Texas 76102
CONTRACT DATE: January 14,2014 j
CONTRACTOR: Woody Contractors,Inc.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the(here insert name and i
address of Surety Company) Vigilant Insurance Company
2001 Bryan Street,Suite 3400
Dallas,Texas 75201 ,SURETY COMPANY,
on bond of(here insert name and address of Contractor)
Woody Contractors,Inc.
650 Tower Drive ,CONTRACTOR,
Kennedale,Texas 76060
hereby approves of the final payment to the Contractor,and agrees that the final payment to the Contractor shall not relieve the j
Surety Company of any of its obligations to(here insert name and address of Owner) j
City of Fort Worth
1000 Throcicrnorton Street
Fort Worth,Texas 76102 ,OWNER,
i
as set forth in the said Surety Company's bond, i
IN WITNESS WHEREOF, (�
The Surety Company has hereunto set its hand this 17th day of December 2014 l
IIIb
VIGILANT INSURANCE COMPANY
Surewp,;In6�y
Attest: Signature of Authorized Repr sentativo
(Seal): Charles D. Sweeney Attorney—in—Fact
Tido
Note;This form is intended to be used as a companion document to the Contractor's Affidavit of Payment of Debts and Claims,Current Edition
j
Chubb POWER Federal Insurance Company Attn: Surety Department
OF Vigilant Insurance Company 18 Mountain View Road
Surety ATTORNEY Paciflc Indemnity Company Warren,NJ 07059
OiiUaB
Know All by These Presents, That FEDERAL INSURANCE COMPANY, an Indiana corporation, VIGILANT INSURANCE i
COMPANY,a New York corporation, and PACIFIC INDEMNITY COMPANY,a Wisconsin corporation,do each hereby constitute and
appoint Elizabeth Gray,Charles D.Sweeney,Kyle W.Sweeney and Miohaei A.Sweeney of Fort Worth,Texas—
each as their true and lawful Attorney-in•Fact to execute under such designation In their names and to affix their corporate seals to and deliver for and on their behalf as surety
thereon or otherwise,bonds and undertakings and other writings obligatory In the nature thereof(other than bell bonds)given or executed in the course of buslness,and any
Instruments amending or altering the same,and consents to the modification or alteration of any instrument referred to in sold bonds or obrigallons.
In Witness Whereof,sold FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY have each executed and attested
these presents and affitted their corporate seals on this 26th day of April,201
annex I,A stent acre cry 7 D orris,Jr„Vice President
STATE OF NEW JERSEY I
ss. 4
County ofSomeroet
on this 28th day of April,2011 before me,a Notary Public of New Jersey,personally came Kenneth C.Wendel,to me }
known to be Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY,the companies which
executed the foregoing Power of Attorney,and the sold Kenneth C.Wendel,being by me duly sworn,did depose and say that he is Assistant Secretary of FEDERAL
INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY and knows the wrporate seals thereof,that the seals affixed to the II
foregoing Power of Attorney am such corporate seals and were thereto affixed by authority of the By-Laws of sold Companles;and that he signed sold Power of Attorney as
Assistant Secretary of said Companies by tike authority;and that he is acqualnled with David B.Norris,Jr.,and knows him to be Vice President of said Companies;and that the
signature of David B.Norris,Jr.,subscribed to said Power of Attorney is Ih the genuine handwriting of David B.Nords,Jr.,and was thereto subscribed by authority of seld By. !
Laws and In deponent's presence. II
Notarial Seal
KATHERINE I ADELAAR
NOTARY PUBLIC OF NEW IERSPI
p%IRY Nv.231 dd85
C ommimian Bxpiru July 14,2014
P1"s It NotaryPublic i
CERTIFICATION
Extract from the By-Laws of FEDERAL INSURANCE COMPANY,VIG ILANT INSURANC E COMPANY,and PACIFIC INDEMNITY COMPANY:
i
'Ail powers of attorney for and on behalf of the Company may and shall be executed In the name and on behalf of the Company,either by the Chairman or the
President or a Vice Proaldant or an Assistant Vice President,jointly wllh the Seoratery or an Assistant Secretary,under their respective designations.The
signature or such officers may be engraved,printed or lithographed,The signature of each of the following officers:Chairman,President,any Vice President,any
Asolstant Vice President,any Secretary,any Assistant Secretary and the seat of the Company may be affixed by facsimile to any power of attorney or to any I
certificate relating thereto appointing Assistant Secretaries or Attameys-in.Fact for purposes only of executing and attesting bonds and undertakhigs and other !
writings obligatoryin the nature thereof,and any such power of attorney or cartftcate bearing such facsimile signature or facsimile seal shall be valid and binding
upon the Company and any such power to executed and certified by auch faesimtie signature and facsimile seat shall be valid and binding upon the Company
with re#Aot to anybond or undertaking to which it Is a0ached,' li
6 Kenneth C.Wendel,Assistant Secretary of FEDERAL INSURANCE COMPANY,VIGILANT INSURANCE COMPANY,and PACIFIC INDEMNITY COMPANY
(the'Companlas')do hereby cerilty that
p)
the foragoing extract or the By-Laws of the Companies Is true and correct,
(Ii) the Companies are duty licensed and authorized to transact surety business In all 60 of bre United Stales of America and the District of Columbia and are
authorized by the U,S.Treasury Department;further,Federal and Vigllantam licensed In Puerto Rico and the U,S,Virgin Islands,and Federal is licensed in
AmefTden Samoa,43118m,and each of the Provinces of Canada except Prince Edward Island;and
(til) thin foregoing Power otAttomey is true,correct and In full force and affect, i
Given under my hand and seals of sold Companies at Warren,NJ this
_ December 17, 2014
• e fie an t, istant Secretary I
i
IN THE EVENT YOU WISH TO NOTIFY US OF A CLAIM,VERIFY THE AUTHENTICITY OF THIS BOND OR NOTIFY US OF ANY OTHER j
MATTER,PLEASE CONTACT US AT ADDRESS LiSTED ABOVE,OR BY Telephone(908)903-3493 Fax(908)903-3650
e-mail: sura!yflchubb.conri
Form 15-11]1-02258-1.1 (Ed.5-03) CONSENT
I
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME; Water&Sewer Replacement Contract 73 part 11, 2009 WSM-J
PROJECT NUMBERS 1473
DOE NUMBER: 6670
WATER
PIPE LAID 81" TYPE OF PIPE LF
C900 l0" PVC 78 /
C900 8" PVC 8974
C900 6" PVC 122
FIRE HYDRANTSt 10. VALVES(16" OR LARGER).
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIESt
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF /
SDR-35 8" PVG 1789 ✓
Iron 8" DIP 115 14
Cast in place 6" CIPP 94
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
o° The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311
FORTWORTHREV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
CONTRACTOR&PROJECT DATA
Name ofContractor Project Name
Woody Contractors Water&Sewer Rehab Contract 2009,WSM-J
DOEInspector DOENumber
John Cpwky 6670
DOEInspector Project Manager
[21water @ Waste Water ❑Storm Drainage O Pavement Robert Sauceda
Initial ContractAmount Project Doculty
$1,011,464.25 O Simple O Routine O Complex
Final Contract-Amount Date
�2 , . a s 3 0`f 5 1/5/2015
II)PERFORMANCE EVALUATION
10-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE
1 Submission of Documents 2 Y 3 8 6
2 Public Notifications 5 Y 3 20 15
3 Plans on Site 5 Y 4 20 20
4 Field Supervision 15 Y 4 60 1 60
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 Com Taint Resolution 5 Y 4 20 20
11 Property Restoration 5 Y 3 20 15
12 After Hours Response 5 Y 3 20 15
13 Project Completion 5 Y 4 20 20
TOTAL ELEMENT SCORE(A) 366
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 366
III)CONTRACTOR'S RATING
Maximum Score(I&)=448 or sum of applicable element score maximums which= 448
Rating([TS/MS] "100%). §6 / 448 = 82%
Performance Category ( Excellent
<20%=Inadequate 20%to 0%=Deficient 40%to<60%=Standani 60%to<80%=Good >_80%=Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature DOE Inspector Signature Contractor
Signature DOE Inspector's Supervisor
CONTRACTOR'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
FORTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
PROJECT INFORMATION Date: 1/5/2015
Name of Contractor ProjectName
Noody Contractors Water&SnLtIa Sewer Rehab Contract 2009,WSM-J
DOEInspector Project-Manager
John Crowley Robert Sauceda
DOE-Number ProjectD18?culty Type of Contract
6670 1 O Simple @)Routine O Complex Q Water Q Waste Water ❑Storm Drainage ❑Pavement
Initial ContractAmount Final ContractAmount
$1,011,464,25 S—,U4 a 5 2 30
In PERFORMANCE EVALUATION
0-Inad uate 1-Deficient 2-Standard 3 -Good 4-Excellent
ELEMENT RATING ELEMENT RATING
(0-4) (0-4)
INSPECTION EVALUATION PLANS&SPECIFICATIONS
1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions
2
Knowledge of Inspector 2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities 13 Applicability of Specifications L4 1
4 Display Of Professionalism 4 Accuracy of Plan Quantities
5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution y
ADMINISTRATION 2 Availability of Project Manager
1 Change Order Processing Time 3 3 Communication
2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts /L
3 Bid Opening to Pre-Con Meeting Timeframe
III)COMMENTS&SIGNATURES
C011IlVIENTS
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
o' 1
(817)392-7941•Fax:(817)392-7845
FoRTWORTH,
TRANSPORTATION AND PUBLIC WORKS
STATEMENT OF CONTRACT TIME
STATEMENT# 'Y= '
FINAL STATEMENT# 4 " fi DOE
NAME OF PROJECT: �� ! r x f z" Contractor
YEAR' 2014
<<r
PROJECT NO.: FINAL INSPECTION DATE
WD CD
PERIOD FROM: K, ` ;/ TO: F
JO I HEG - Month I JDEVEAPAMNJ(Y!N) _
31
WORK ORDER EFFECTIVE: 4 - „'r-' BEG in) i_ MID /n
DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR
CHARGED DAYS CREDITED CHARGED DAYS CREDITED
1 Mon 0 tar 16
2 Tue 0 17 if
3 Wed 0 3 `may 18
moi'. � :e 19
4 Thu 0
5 Fri 0 20 n
6 Sat 0 a, ' X 21 r a
7 Sun 0 22 zwv,
8 Mon 0 ; - 23 +,. F
9 Tue 0 }3 A. w 24 a= `
10 Wed 0 ` z 25
11 Thu 0 26
12 Fri 0 `� -- 27 fY
13 Sat 028
14 Sun 0a 29 �.
15 Mon 033 �d 1: ' 30 Fear
31
71 W
Not Applicablo SAT,SIIN,and r _WEATHER S 1LITIES OTHERS DAYS TOTAL DAYS
HOLIDAYS RELOCATE CHARGED
THIS PERIOD 0 0 0 0 0 0
PREVIOUS PERIOD 184
s„.. - .,..Y:; Y a SIF 184
TOTAL TO DATE 1 0 0 1 0 0 200 200
REMARKS:
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