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HomeMy WebLinkAboutContract 44689-FP1 FORTWORTH, ,�x,� w' TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION D.O.E. Ne: 7059 Regarding contract 44689 for HMAC SURFACE OVERLAY(2013-6) PAVING as required by the TRANSPORTATION AND PUBIC WORKS DEPARTMENT as approved by City Council on 07/16/2013 through M&C C-26338 the director of the TRANSPORTATION AND PUBIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $1,422,004.00 Amount of Approved Change Orders: $0.01 Ne 1 Revised Contract Amount: $1,422,004.01) Total Cost Work Completed: $1,349,249.37- Less Deductions: Liquidated Damages: Days @/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $1,349,249.37 Less Previous Payments: $1,281,786.90 Final Payment Due $67,462.47 .Z- Recommended for Acceptance Date Asst. Dire or, TPW - Infrastructure Design and Construction Accepted Date Director, TRANSPORTATION AND PUBI WORKS DEPARTMENT City Manager G Date $glUD Comments: PAVING-C293-2036202126$3 A CtJ0.nCC J - 1 I � 1 � TPW Construction Invoice 1111 � Contract: CS44699 P_O.# PO-13-78969 Payment Date: 10/28/2014 TO:Advanced Paving Acquisition,LTD INV.# CS44689-18 Estimate No. 18 DOE: 7059 DBA Advanced Paving Company 2257 ProjManager Kristian Sugrim Dallas TX 75229 FOR I IMAC Surface Overlay 2013-6 Contract Amount: $1,422,004.01 Total to Date: $1,349,249.37 50.00 51,349,249.37 Previous Estimate: $1,349-249.37 S67,462.47 $1281,786.90 Fsarned to Date: $0.00 (567,462.47) 567,462.47 Payments: CL93-541200-203620212683 $1,422,004.01 COIII-$0.01 -- i Total to Date: $1,349249.37 $0.00 $1,349249.37 Previous Estimate: $1,349,249.37 $67,462.47 $1,281,786.90 Earned to Date: $0.00 (S67,462.47) $67,462.47 FINAL PAY Transportation& Public Works BUSINESS S111"POR GROUP Contact Persun•MA\DY CRANL-Ext.2852 DcpartmcatApproea Signaturetir: KAREN STRIKER ACH DEPARTME 'TCHECK P CK-UP YFS Tuesday,November 11,2014 Page I of I City Project Numbers 02126 DOE Number 7059 Contract Name HMMAC SURFACE OVERLAY(2013-6) Estimate Number 18 Contract Limits AT VARIOUS LOCATIONS Payment Number 18 Project Type PAVING For Period Ending 10/28/2014 Project Funding Project Manager Sugrim City Secretary Contract Number 44689 Inspectors RODGERS / MOTAMED Contract Date 7/16/2013 Contractor ADVANCED PAVING CO. Contract Time 140 CD 2257 JOE FIELD RD. Days Charged to Date 244 CD DALLAS, TX 75229 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Work Completed $1,349,249.37 Department of TPW Const. Services Less /°Retained $0.00 DOE# ) `Date Net Earned $1,349,249.37 Project Manager J Earned This Period $67,462.47 Risk Management Jo Pae Retainage This Period $0.00 D.O.E. Brotherton CFA s rman/Scanned ❑ Less Liquidated Damages 0 Days @ $0.00 /nay $0.00 The Prdeeeding people have been Contacted concerning the request LessPavement Deficiency $0.00 for final payment&have released this project for such payment Less Penalty $0.00 ,Clearance Conducted By Etta Bacy Less Previous Payment $1,281,786.90 Plus Material on Hand Less 15% $0.00 Balance Due This Payment $67,462.47 Monday,November 10,2014 Page 5 of 5 FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name HMAC SURFACE OVERLAY(2013-6) Contract Limits AT VARIOUS LOCATIONS Project Type PAVING City Project Numbers 02126 DOE Number 7059 Estimate Number 18 Payment Number 18 For Period Ending 10/28/2014 CD City Secretary Contract Number 44689 Contract Time 14ED Contract Date 7/16/2013 Days Charged to Date 244 Project Manager Sugrim Contract is 95.000 %Complete Contractor ADVANCED PAVING CO. 2257 JOE FIELD RD. DALLAS, TX 75229 Inspectors RODGERS / MOTAMED Monday,November 10,2014 Page 1 of 5 /�4� City Project Numbers 02126 DOE Number 7059 Contract Name HMAC SURFACE OVERLAY(2013-6) Estimate Number 18 Contract Limits AT VARIOUS LOCATIONS Payment Number 18 Project Type PAVING For Period Ending 10/28/2014 Project Funding PAVING Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 MISCELLANEOUS ADJUSTMENTS(UTILITIES) 1 LS $6,000.00 $6,000.00 1.6712 $10,027.20 2 REMOVE CONCRETE PAVEMENT(CO#1) 950 SY $8.80 $8,360.00 815.77 $7,178.78 3 BUTT JOINT-MILLING(CONCRETE)(CO#1) 4 EA $275.00 $1,100.00 4 3"ASPHALT PAVEMENT TYPE D(CO#1) 66540 SY $12.30 $818,442.00 59374 $730,300.20 5 WATER VALVE BOX ADJUSTMENTS 2 EA $200.00 $400.00 (W/STEEL RISER) 6 MANHOLE ADJUSTMENTS(W/STEEL RISER) 3 FA $300.00 $900.00 7 CONCRETE PAVEMENT WEDGE MILLING(CO 13420.09 SY $3.10 $41,602.28 11857 $36,756.70 #1) 8 CONCRETE PAVEMENT SURFACE MILLING 700 SY $5.50 $3,850.00 (CO#1) 9 7"CONCRETE PAVEMENT(CO#1) 1384.93 SY $66.00 $91,405.38 672.87 $44,409.42 10 6"FLES BASE,TYPE A,GR-2 575 SY $35.00 $20,125.00 510.23 $17,858.05 I I REMOVE AND REPLACE 10'CURB INLET(CO I EA $6,600.00 $6,600.00 1 $6,600.00 #1) 12 REMOVE AND REPLACE 20'CURB INLET 1 EA $9,350.00 $9,350.00 1 $9,350.00 13 UNCLASSIFIED STREET EXCAVATION(CO#1) 46 CY $25.00 $1,150.00 14 HMAC PAVEMENT LEVELrUP(CO#1) 40 TN $120.00 $4,800.00 34.1 $4,092.00 15 ROUT AND CRACK SEAL(CONCRETE-HOT 4200 LF $1.00 $4,200.00 14040 $14,040.00 POUR,NON-SILICONE) 16 TRAFFIC CONTROL(PORTABLE MESSAGE 2 LS $2,000.00 $4,000.00 2 $4,000.00 BOARD FOR HULEN ST) 17 MISCELLANEOUS CONSTRUCTION 1 LS $58,000.00 $58,000.00 2.0859 $120,982.20 18 REMOVE/REPLACE SIDEWALK(COLLEGE 2392 SF $5.01 $11,983.92 12032 $60,280.32 AVE)CO#1 19 NEW 4"CONCRETE SIDEWALK(COLLEGE 7336 SF $4.46 $32,718.56 AVE)CO#1 20 REMOVE/REPLACE CONCRETE CURB AND 3368 LF $21.40 $72,075.20 3786 $81,020.40 GUTTER COLLEGE AVE(CO#1) 21 NEW 7"CONCRETE CURB AND GUTTER 0 LF $20.85 $0.00 COLLEGE AVE(CO#I_ 22 6"REMOVEIREPLACE CONCRETE DRIVEWAY 4695 SF $7.70 $36,151.50 5060 $38,962.00 COLLEGE AVE(CO#1) 23 REMOVE/REPLACE EXISTING RAMPS WITH 10 EA $1,150.00 $11,500.00 9 $10,350.00 STANDARD ADA RAMPS COLLGE AVE(CO#1) Monday,November 10,2014 Page 2 of 5 City Project Numbers 02126 DOE Number 7059 Contract Name HMAC SURFACE OVERLAY(2013-6) Estimate Number 18 Contract Limits AT VARIOUS LOCATIONS Payment Number 18 Project Type PANG For Period Ending 10/28/2014 Project Funding 24 REMOVE/REPLACE CONCETE VALLEY 104 SY $99.28 $10,325.12 64 $6,353.92 GUTTER COLLGE AVE(CO#1) 25 UNCLASSIFIED EXCAVATION COLLEGE AVE 400 CY $25.00 $10,000.00 (CO#I) 26 8"PAVEMENT PULVERIZATION COLLEGE 4959 SY $5.10 $25,290.90 4790 $24,429.00 AVE(CO#1) 27 CEMENT MODIFICATION 13LBSS/SY COLLEGE 33 TN $100.00 $3,300.00 33.49 $3,349.00 AVE(CO#1) 28 ROADBOND EN I SOIL STABILIZER COLLEGE 40 GL $110.00 $4,400.00 40 $4,400.00 AVE(CO#1) 29 2"ASPHALT PAVEMENT TYPE D COLLEGE 4959 SY $12.35 $61,243.65 4790 $59,156.50 AVE(CO#1) 30 PAINTING HOUSE ADDRESSES COLLEGE AVE 104 EA $10.00 $1,040.00 44 $440.00 (CO#I) 31 BLOCK SOD PLACEMENT COLLEGE AVE(CO 1310 SY $5.00 $6,550.00 1575 $7,875.00 #1) 32 WATER VALVE BOX ADJUSTMENT 5 EA $250.00 $1,250.00 4 $1,000.00 W/CONCRETE COLLARS COLLEGE AVE(CO #1) 33 MANHOLE ADJUSTEMENTS W/CONCRETE 5 EA $400.00 $2,000.00 6 $2,400.00 COLLARS COLLEGE AVE 34 REMOVEIREPLACE EXISTING CONC.CURB 275 LF $29.42 $8,090.50 229 $6,737.18 AND GUTTER HULEN ST(CO#1) 35 2"HMAC PAVEMENT TYPE D HULEN ST 4000 SY $10.95 $43,800.00 3370 $36,901.50 (COLLEGE AVE)(CO#1) Sub-Total of Previous Unit $1,422,004.01 $1,349,249.37 Monday,November 10,2014 Page 3 of 5 City Project Numbers 02126 DOE Number 7059 Contract Name HMAC SURFACE OVERLAY(2013-6) Estimate Number 18 Contract Limits AT VARIOUS LOCATIONS Payment Number 18 Project Type PAVING For Period Ending 10/28/2014 Project Funding Contract Information Summary Original Contract Amount $1,422,004.00 Change Orders Change Order Number 1 $0.01 Total Contract Price $1,422,004.01 'Ib4oe Date �/ !Y Total Cost of Work Completed $1,349,249.37 C traE r Less %Retained $0.00 ri Net Earned $1,349,249.37 ate t I �Y Inspection Supervisor Earned This Period $67,462.47 Retainage This Period $0.00 Date 1 `Z O 1 Less Liquidated Damages Project M r Days @ /Day $0.00 Date – – LessPavement Deficiency $0.00 A=. ctor/I'P��W11-Inrfr-as}tlructure Design and Construction Less Penalty $0.00 W_ (— L---,Date It Less Previous Payment $1,281,786.90 Director/&Jontracting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $67,462.47 Monday,November 10,2014 Page 4 of 5 BuySpeed Online https:/Ibso.fortworthgov.org/bso/document/approval/docApproval.sdo Buy O n f I m- Accounts Payable Department Access NIGP Code Browse I My Account I Customer service I Current Organization:CITY OF FORT WORTH December 6,2014 2:07:45 PM CST }� About HomeDocuments Brandy Crane Invoice#: CS44689-FINAL Vendor#:0000023239 Vendor Group#:01 Status:41R-Ready for Approval [3j General Items Credits Subcontractors Accounts Routing Attachments Notes Reminder Change Order Summary Back to PO General Validation Warnings II • You are going to final pay the following partially paid po items:[1]. Header Information Invoice Number: CS44689-FINAL Invoice Status: 41R-Ready for Invoice Type: 3way Approval matching Invoice Description: CS44689-FINAL HMAC Surface overlay Invoice Date: 10/28/2014 Effect Date: 12/06/2014 2013-6 Payment Amount: $67,462.47 Handling Code: ACH(DIRECT payment Date: 11122/2014 DEPOSIT) Payment Terms: Payment Term 0 Payment 0.0% Day: Discount: Paid-Bank/Check: Alternate Id: Entered By: Brandy Crane Entered Date: 12/06/2014 CreditAmount: $0.00 Updated By: Brandy Crane Updated Date: 12/06/2014 Received Date: 07/31/2014 02:01:00 PM Purchase Order Information Purchase order PO-13-00078969 PO Description CS44689 Number: PO Amount: $1,422,004.01 Remaining To $72,754.63 Buyer: Karen Striker Invoice: PoVendor Information Vendor: 0000023239-ADVANCED PAVING Address Grp: 01 COMPANY Vendor Remit-to Becky Seale Address: 2257 JOE FIELD RD ACH ONLY DALLAS,TX 75229 US Fed ID: "--9367 Remit Text: Email:bseale@advancedpavingoo.com Phone:(972)2450000 Id:39092 Misc&Freight Invoice Account Event Type Fiscal Year Account Code Transaction Amount Misc 13 C293-541200-203620212683 -$0.01 Misc 13 C293-205000-000000212600 $67,462.47 Total: $67,462.46 Item information Invoice Item#/PO Item#:1 HMAC Surface overlay 2013-6 C293-541200-203620212683 CS44689 M&C:C-26338 Date:071513 1 of 2 12/6/2014 2:07 PM BuySpeed Online https://bso.fortworthgov.org/bso/document(approval/docApproval.sdo PO Permit Invoice Discount% Original Final Item Status To Pay Amount Pay Amount Pay 3PPR-Partial Receipt $0.00 $0.01 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. 15 C293-541200-203620212683 $0.01 Enc. 15 C293-541200-203620212683 -$0.01 Approval Path: Delete Approver Order Approval Level Approver Date Date Approved]Disapproved Comment Sequence Path Type Requested Approved/Disapproved /Canceled View ID ]Canceled by Add New Primary Add/Delete Approver - Print Copyright©2014 Periscope Holdings,Inc.-Ail Rights Reserved.default 2 of 2 12/6/2014 2:07 PM Page: 1 Document Name: untitled BC AVAILABLE FUNDS INQUIRY 162 NEXT FUNCTION: ACTION: ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR C293 205000 000000212600 ACCT DESC: RETAINAGE ORIG APPROPRIATION: 0.00 CNTR DESC: HMAC 2013-6 LAST ACTIVITY: 11/11/2014 0.00 NA 0. 00 0. 00 NA - 0.00 - 0. 00 NA - 0. 00 67, 462. 47- (LIABILITY ) - 0. 00 --------------------- --------------------- 67, 462. 47 (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: 11-11-2014 Time: 11: 48: 45. 99 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. Garrett, 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 shing labor and/or materials have been paid in full- That the wage scale established by the City Council in the City of Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; HMAC Surface Overlay 2013-6 BY Sam L. Garrett Subscribed and sworn before me on this date 5th of November,2014. Not Pu is Da pT P4 G •,o�,, , BECKY SEALE +: °= Notary Public,state of Texas ' My Commission Expires <,• �'.;Fo��;p�• October 11, 2016 CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 4391989 PROJECT: (name, address)HMAC Surface overlay(2013-6) Fort Worth TX TO (Owner) ARCHITECT'S PROJECT NO: CITY OF FORT WORTH CONTRACT FOR: 1000 Throckmorton Street HMAC Surface Overlay at Various Locations(2013-6) Fort Worth TX 76102 —J CONTRACT DATE: 7/16/2013 CONTRACTOR:ADVANCED PAVING CO. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the there Insert name and address of Surety Company) SURETEC INSURANCE COMPANY 1330 Post Oak Blvd. Houston TX 77056 , SURETY COMPANY on bond of (here insert 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 (here insert name and address of Owner) CITY OF FORT WORTH 1000 Throckmorton Street Fort Worth 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 4th day of November,2014 SURETEC INSURANCE COMPANY SurCompany Attest:Li+Bnnot "- 4464,� (Seal): Signat&e of Authorized Representative Sophinie Hunter Attorney-in-Fact Title NOTE: This form is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition ONE PAGE poA#: 4221097 SnreTec In,,3urance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation 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.Reyria,V.DeLene Marshall,Sophinie Hunter its true and lawful Attorney-in-fact,with full power and authority hereby conferred in its name,place and stead,to execute,acknowledge and deliver any and all bonds,recognizances,undertakings or other instruments or contracts 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 12/31/2016 and is made under and by authority of the following resolutions of the Board of Directors 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 power and authority to appoint any one or more suitable persons as Attomey(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 execute,acknowledge 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 terminating 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 signature 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 it is attached. (Adopted at a meeting held on 201 of April, 1999.) In Witness Whereof,SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seal to be hereto affixed this 21st day of March,A.D.2013. SURETEC INSURANCE COMPANY A .-........, q C3. By: s�w j O John 4'Aoa Jr. resident State of Texas ss: �',6 d co r ? County of Harris f On this 21st day of March,A.D.2013 before me personally came John Knox Jr.,to me known,who,being by me duly sworn,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 knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. �,pra JACQUELYN MALDONADO Notary Public Stale of Texas f wl (r -ao,�+' My Comm.Exp.5118/2017 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 correct copy of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attorney are in full force and effect. tt � l/ Given under my hand and the seal of said Company at Houston,Texas tiils day of NOV r- LA1 ,A.D. ..Hre It Beaty,Assistant§ecretary Any instrument issued In excess of the penalty stated above is totally void and without any vallaity. For verification of the authority of this power you may call(713)812-0800,iny business day bkween 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 Email: ConsumerProtection@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. FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY n PROJECT INFORMATION Date: 10/28/2014 Name of Contractor Project Name Advanced Paving HMAC Surface Overlay(2013-6) DOE Inspector Project Manager Ali Motamed Kristin Sugrim DOE Number Project D cult), Type of Contract 7059 O Simple QQ Routine O Complex ❑ Water❑ Waste Water❑ Storm Drainages Pavement Initial Contract Amount Final Contract Amount $1,422,004.01 $1,349,249.37 I1)PERFORMANCE EVALUATION 0-Inadequate 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 41 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities 3 Applicability of Specifications 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 ADMINISTRATION 2 Availability of Project Manager 1 Change Order Processing Time 3 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe III)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 FORTWORTHREV:02/20/07 r TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Nanre of Contractor Project Nanre Advanced Paving HMAC Surface Overlay(2013-6) DOE Inspector DOE Nianber Ali Motamed 7059 DOE Inspector Project Manager ❑ Water❑ Waste Water❑ Storm Drainage0 Pavement Kristian Su rim Initial Contract Amount Project Di�crrlty $1,442,004.01 O Simple Routine O Complex Final Contract Amount Date $1,349,249.37 10/28/2014 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 1 Submission of Documents 2 Y 4 8 8 2 Public Notifications 5 Y 3 20 15 3 Plans on Site 5 Y 3 20 15 4 Field Supervision 15 Y 2 60 30 5 Work Performed 15 Y 2 60 1 30 6 Finished Product 15 Y 1 60 15 7 Job Site Safety 15 Y 1 60 15 8 Traffic Control Maintenance 15 Y 1 60 15 9 Daily Clean Up 5 Y 1 20 5 10 Citizen's Complaint Resolution 5 Y 3 20 15 11 Property Restoration 5 Y 2 20 10 12 After Hours Response 5 Y 3 20 15 13 Project Completion 5 Y 2 20 10 TOTAL ELEMENT SCORE(A) 198 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 198 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS] * 100%) 198 / 448 = 44% Performance Category Standard <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 Contractor Signature DOE Inspector's Supervisor CONTRACTOR'S COMMENTS TR',NSPORTATION AND PUBLIC WORKS � �` The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 FORTWORTH(.) TRANSPORTATION AND PUBLIC WORKS STATEMENT OF CONTRACT TIME STATEMENT# FINAL STATEMENT# &18 DOE 7059 NAME OF PROJECT: HMAC Surface Overlay(2013-6) Contractor Advanced Paving YEAR:j 2014 PROJECT NO.: FINAL INSPECTION DATE 2126 /J ^ WD CD CONTRACT TIME 140 1 1 PERIOD FROM: 1 10/16/2014 TO: 110/31120141 MID - Month I DEVELOPME (Y/N)I N WORK ORDER EFFECTIVE: 10/2/2013 BEG /n N MID /n Y DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR CHARGED DAYS CREDITED CHARGED DAYS CREDITED 1 16 Thu 0 NA 2 17 Fri 0 NA 3 18 Sat 0 NA 4 19 Sun 0 NA 5 20 Mon 0 NA 6 21 Tue 0 NA 7 22 Wed 0 NA 8 23 Thu 0 NA 9 24 Fri 0 NA 10 25 Sat 0 NA 11 26 Sun 0 NA 12 27 Mon 0 NA 13 28 Tue 0 NA 14 29 Wed 0 NA 15 30 Thu 0 NA 31 Fri 0 NA NA Wkn&Hol Wea Uti Oth Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS HOLIDAYS RELOCATE CHARGED THIS PERIOD 0 0 0 0 0 0 PREVIOUS PERIOD 0 r cip /it) TOTAL TO DATE 0 1 0 1 0 1 0 11, tl NO REMARKS: Waiting for punch list Signature: Signature: (Print Name) z CQ 2n Ali Niotamed CONTRACTOR P Ce, �'(�/:� DATE /7a INSPECTOR DATE 10/28/2014