Loading...
HomeMy WebLinkAboutContract 45147-FP1 FORT WORTH, JAN 16 20'5 By i� TRANSPORTATION AND PUBLIC WO CC RACT NAIq(l. `—t NOTICE OF PROJECT COMPLETION � D.O.E. Ne: 7104 Regarding contract 02158 for PARK PLACE SURGICAL HOSPITAL as required by the WATER DEPARTMENT as approved by City Council on N/A through M&C N/A 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: $110,284.30 Amount of Approved Change Orders: Ns 1 Revised Contract Amount: $110,284.30 I Total Cost Work Completed: $110,284.30 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $110,284.30 Less Previous Payments: Final Payment Due $110,284.30 77/ Recomme ded fo Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction Accepted D to Director, WATER DEPARTM City Manager Date Comments: FUND:P265-609150215883 /P275-709130215883 if i .FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name PARK PLACE SURGICAL HOSPITAL Contract Limits Project Type WATER&SEWER City Project Numbers 02158 DOE Number 7104 Estimate Number 1 Payment Number I For Period Ending 9/19/2014 CD City Secretary Contract Number 117104 Contract Time 36ED Contract Date Days Charged to Date 194 Project Manager .Iaafari Contract is .000000 Complete Contractor HILL&WILKINSON,INC. 800 KLEINRD it 100 PLANO, TX 75074-7478 Inspectors LAYER / DIESTEL Friday,September 19,2014 Pagel of 5 i City Project Numbers 02158 DOE Number 7104 Contract Name PARK PLACE SURGICAL HOSPITAL Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 9/19/2014 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total ------ ---- ------ ----- 1 SALVAGE FIRE HYDRANT 2 EA $300.00 $600.00 2 $600.00 2 6"PRESSURE PLUG I EA $550.00 $550.00 1 $550.00 3 8"PRESSURE PLUG 1 EA $550.00 $550.00 1 $550.00 4 REMOVE 6"WATER LINE 100 LF $5.00 $500.00 100 $500.00 5 REMOVE 8"WATER LINE 120 LF $5.00 $600.00 120 $600.00 6 4"PVC WATER PIPE 62 EA $18.00 $1,116.00 62 $1,116.00 7 6"PVC WATER PIPE 9 EA $20.00 $180.00 9 $180.00 8 8"PVC WATER PIPE 430 EA $23.00 $9,890.00 430 $9,890.00 9 12"PVC WATER PIPE 118 EA $55.00 $6,490.00 118 $6,490.00 .10 DUCTILE 1RON WATER FTITINGS 1.6845 EA $7,400.00 $12,465.30 1.6845 $12,465.30 W/RESTRAINI' I I CONNECTION TO EXISTING 6"WATER MAIN 1 FA $950.00 $950.00 1 $950.00 12 CONNECTION TO EXSITING 12"WATER MAIN 2 EA $1,100.00 $2,200.00 2 $2,200.00 13 REMOVE&REPLACE l"WATER SERVICE& 1 EA $2,100.00 $2,100.00 1 $2,100.00 METER 14 SALVAGE 3/4"WATER METER 2 EA $300.00 $600.00 2 $600.00 15 2"IRRIGATION SERVICE I EA $3,125.00 $3,125.00 1 $3,125.00 16 2"WATER SERVICE I EA $2,750.00 $2,750.00 l $2,750.00 17 3"WATER METER&VAULT 2 CY $15,500.00 $31,000.00 2 $31,000.00 18 REMOVE CONCRETE WATER VAULT 1 LF $650.00 $650.00 1 $650.00 19 WATER SAMPLING STATION I LF $2,450.00 $2,450.00 1 $2,450.00 20 PERMANENT ASPHALT PVMT REPAIR 985 LF $10.00 $9,850.00 985 $9,850.00 21 8"GATE VALVE 2 LF $1,300.00 $2,600.00 2 $2,600.00 22 12"GATE VALVE 2 LF $2,425.00 $4,850.00 2 $4,850.00 23 TRENCH SAFETY 619 LF $2.00 $1,238.00 619 $1,238.00 24 TRAFFIC CONTROL 1 LF $4,500.00 $4,500.00 1 $4,500.00 Sub-Total of Previous Unit $101,804.30 $101,804.30 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total - -------- ----------------------- ---- I MANHOLE VACUUM TESTING 1 EA $200.00 $200.00 1 $200.00 Friday,September 19,2014 Page 2 of 5 City Project Numbers 02158 DOE Number 7104 Contract Name PARK PLACE SURGICAL HOSPITAL Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 9/19/2014 Project Funding 2 4"SEWER SERVICE I EA $630.00 $630.00 1 $630.00 3 CONNECTION TO EXISTING 4'DIA SSMH 1 EA $2,750.00 $2,750.00 1 $2,750.00 4 4'MANHOLE 1 EA $4,200.00 $4,200.00 1 $4,200.00 5 4'EXTRA DEPTH MANHOLE 2 VF $350.00 $700.00 2 $700.00 Sub-Total of Previous Unit $8,480.00 $8,480.00 -------------------------------------- Friday;September 19,2014 Page 3 of 5 City Project Numbers 02158 DOE Number 7104 Contract Name PARK PLACE SURGICAL HOSPITAL Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 9/19/2014 Project Funding Contract Information Summary Original Contract Amount $110,284.30 Change Orders Total Contract Price $110,284.30 r f-n Date Total Cost of Work Completed $110,284.30 Jon Less %Retained $0.00 l Date Net Earned $110,284.30 9 3v Inspection p wr Earned This Period $I10,284.30 Retainage'rhis Period $0.00 O Date Less Liquidated Damages Projec ana Days @ /Day $0.00 Dat s LessPavement Deficiency $0.00 Asst Less Penalty $0.00 Date �6 Less Previous Payment $0.00 Director/Contracting Dep t �93o I Plus Material on Hand Less 15% $0.00 Balance Due This Payment $110,284.30 Friday,September 19,2014 Page 4 of 5 City Project Numbers 02158 DOE Number 7104 Contract Name PARK PLACE SURGICAL HOSPITAL Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 9/19/2014 Project Funding Project Manager Jaafari City Secretary Contract Number 117104 Inspectors LAYER j DIESTEL Contract Date Contractor RILL&WILKINSON,INC. Contract Time 365 CD 800 KLEIN RD 4 100 Days Charged to Date 194 CD PLANO, TX 75074-7478 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 $110,284.30 Less %Retained $0.00 Net Earned $110,284.30 Earned This Period $110,284.30 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $0.00 Plus Material on Hand Less 15"/0 $0.00 Balance Due This Payment $110,284.30 Friday,September 19,2014 Page 5 of 5 FORT WORTH rev 03/05/07 TRANSPORTATION& PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:I NAME OF PROJECT: Park Place Surgical Hospital PROJECT NO.: P265-609150215883 CONTRACTOR: Hill&Wilkinson P275-709130215883 DOE NO.: 7104 PERIOD FROM:02/24/14 TO: 09/19/14 FINAL INSPECTION DATE: 24-Sep-14 WORK ORDER EFFECTIVE:2/24/2014 CONTRACT TIME: 365 O WE)* CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 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 DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* CHARGED DAYS THIS PERIOD 194 194 PREVIOUS PERIOD TOTALS TO DATE l94 194 *REMARKS: ONTRACTOR DATE I CTOR 6AA ENGINEERING DEPARTMENT E� The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 AFFIDAVIT STATE OF Texas COUNTY OF Collin Before me,the undersigned authority,a notary public in the state and county aforesaid,on this day personally appeared Jacob Riney, Executive Vice President Of Hill&Wilkinson Construction Group,Ltd., 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 Fort Worth has been paid in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Water,Sanitary Sewer,Paving,Drainage Improvements and Street Lighting to Serve-Baylor Surgical Hospital BY (�d� Jac ey xe tive Vice President Subscribed and sworn before me on this date 19th of September,2014. Notary Public Collin County - State of Texas Tina Hankins ECY,�; -� TINA R. HANKINS trot ry Public State of Texas 'ry comm.Expires 06/09!2017 I t)tvhcr SUM"I' ' OF nrc),itcct coply SUIIl•;'f'1'C'O19l'ANY Contractor TO FINAL PAYMENT Surety AIA UOCIACNI'0707 Other h12OJFC:T: Community Facilities for Park P ace.Surgieal Hospital tnnnx•.ed(hcss) Bond# 46BCSCP1693 TO:(Owlier) ARCHITECT'S PROJECT NO: City of Fort Worth 1000 Throckmorron Street CONTILkCT FOR: Construction Fort Worth,TX 76102 CON INACI" I)ATE: 11/19/2013 CONTRACTOR; Hill&Wilkinson Construction Group,Lid. 2703 Telecom Parkway,Suite 120 Richardson,TX 75082 In accordance with the proyisious of the Conlracl between the Owner anis the Contractor as indicated above, the Hartford Fire Insurance Company 3000Iuternet Drive,Suite 600 Frisco, Texas 75034-1991 SI'RI TY COMPANY Oil bond of I Ituv intim umnc-uiiil uddress nr('oaUtu 10t9 IJill&Wtlldtison Construction Group,Ltd. 2703 Telecom Parkway,Suite 120 Richardson,Texas 75082 C:ONTRAC'TO R, hereby npproves ofthc final payment to the Contraclor,and aq)rees that final pu)'munt to the Col,u•acior shall not relieve the Surety Company of any of its obligations to(here immi hank acid addi-mi or omicr) City of Fort Worth 1000 Throekmorton Street OWNER, Fort Worth,Texas 76102 as srt lor'ili in Clic tiald SIIreLy Company's bund. IN W;'I NFSS WHLAEOF, (lie Surety Company has herelilito Set its hand lhis 24th drty of September 2014 Sures.)'Company Hartford Fire Insuraiice Company ti;gnautrc al'Aulhoriicd Rcpreseilluti,•u ttie:,t): pebble Smith-Attorney-In-Fact Tide^ NQTF.:'rhis 1'tnnt is:o uu used as a epmpmion document G)AIA DC)CUMGNf 0706.C'ONTRACTOR'S AFFIDAVIT OF PAYML'N'r Oh ULBTS'AND CTA IMS,Om'cnt edition AIA Ur?Cll3lt.i!f(:7O7 C'OnYIiK'1'Ul"SURF-IY CC)MP..1;ti1'TO 1970 1;1)1'1'ION-AIAk- 0114J.; PAU (I"1970-I11F.AMIJ1ICAN INS1'11 L;IT 01:ARC I I1T1_("IS. 17,15 NH11'TURK.A V F_Kw,%VA SIIINQ1*0N.1).('.20006 01wt Inqulrles/Clalms to: POWER OF ATTORNEY THE HARTFORD Bond TA Ono Hartford Plaza Hartford,Connecticut 06155 calla 888-288-3488 or fax:860-757-5836) KNOW ALL PERSONS BY THESE PRESENTS THAT: Agency Code:46-461496 © Hartford Fire Insurance Company,a corporation duly organized under the laws of the State of Connecticut 0 Hartford Casualty Insurance Company,a corporation duly organized under the laws of the State of Indiana © Hartford Accident and Indemnity Company,a corporation duly organized under the laws of the State ofConnecticut Hartford Underwriters Insurance Company,a corporation duly organized under the laws ofthe State of Connecticut Twin City Fire insurance Company,a corporation duly organized under the laws of the State of Indiana Hartford Insurance Company of Illinois,a corporation duly organized under the laws of the State of Illinois Q Hartford Insurance Company of the Midwest,a corporation duly organized under the laws of the Statc of Indiana 0 Hartford Insurance Company of the Southeast,a corporation duly organized under the laws of the State of Florida having their home office in Hartford, Connecticut(hereinafter collectively referred to as the'Companies')do hereby make,constitute and appoint, up to the amount of Unlimited Dawn Davis, Walter J. DeLaRosa, DONNIE DOAN, Dennis Dowd, TOM P. ELLIS, JOHN FULKERSON, Kristi Meek, Kae Perdue, Debbie Smith of DALLAS, Texas their true and lawful Attorney(s)-la-Fact,each in their separate capacity if more than one Is named above,to sign Its name as surety(les)only as delineated above by®,and to execute,seal and acknowledge any and all bonds,undertakings,contracts and other written Instruments In the nature thereof,on behalf of the Companies In their business of guaranteeing the fidelity of persons,guaranteeing the performance of contracts and executing or guaranteeing bonds and undertakings required or permitted In any actions or proceedings allowed by law. In Witness Whereof,and as authorized by a Resolution of the Board of Directors of the Companies on August 1,2009,the Companies have caused these presents to be signed by Its Vice President and its corporate seats to be hereto affixed, duly attested by Its Assistant Secretary.Further, pursuant to Resolution of the Board of Directors of the Companies,the Companies hereby unambiguously affirm that they are and will be bound by any mechanically applied signatures applied to this Power of Atlomey. :;��w,� _ ►ver � : ��ti l Wesley W.Cowling,Assistant Secretary M.Ross Fisher. Vice President STATE OF CONHECTiQIT COUNTY OF HARTFORD I ss. Hartford On this 12th day of July,2012,before me personally came M. Ross Fisher,to me known,who being by me duly swom,did depose and say:that he resides in the County of Hartford,State of Connecticut;that he is the Vice President of the Companies,the corporations described in and which executed the above Instrument;that he knows the seals of the said corporations;that the seals affixed to the said instrument are such corporate seats;that they were so affixed by authority of the Boards of Directors of said corporations and that he signed his name thereto by like authority. . •orae , K.W"n T.Maynard CEFtTIFICAIE Nowy Public My Commi»ioa F—i=Juiv 31.2016 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Park Place Surgical Hospital PROJECT NUMBER: 02158 DOE NUMBER: 7104 WATER PIPE LAID SIZE TYPE OF PIPE LF 7" PVC 9 8" PVC 43V 12" PVC 118 FIRE HYDRANTS: L VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF NONE DENSITIES: YES NEW SERVICES: 4" PVC 72 2" Copper 15 SEWER PIPE LAID SIZE TYPE OF PIPE LF 4" PVC IV PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS FORTWORTH REV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name oJContractor Project Name Hill and Wilkinson Park Place Surgical Hospital DOE Inspector DOE Number Jim Diestel 7104 DOE Inspector Project Manager RI Water O Waste Water ❑ Storm Drainage❑ Pavement Khal Jaafari bzilial Contract Amount Project Dculty $110,248.30 O Simple O Routine O Complex Final Cavract Amount Date $110,248.30 9/23/2014 I1)PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y I 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 3 60 45 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 N 4 60 60 7 Mb Sete Safety 15 N 3 60 45 8 Traffm Control Maentenance 15 N 4 60 60 9 Daely Clean Up 5 N 3 20 15 10 Ceezen's Com laeit Resolutenn 5 N 3 1 20 1 15 11 Property Restorateon 5 N 4 20 20 12 After Hours Response 5 N 13 Project Com letaon 5 Y 4 20 20 TOTAL ELEI ENT CCORE(A) 378 BONUOPOINTO(25 I aximum)(B) TOTAL SCORE(TS) 378 Iln CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 428 Rating([TS/MSl * 100%) 378 / 428 = 88% Performance Category Excellent <20%=Inadegzrate 20%to<40%=Deficient 40%to<60'Ioo=Standard 60%to<80%=Good ?:80%—Excellent Lispector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector 6Zb1A IJ/- Signature Contractor Signatw-e DOE Inspector's Otperve;or 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 r FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: 9/23/2014 Name of Contracror Project Name Hill and Wilkinson Park Place Surgical Hospital DOE Inspector Project Manager Jim Diestel Khal Jaafari DOE Number Project Diffliculq, Ti)pe of Conlraci 7104 O Simple O Routine O Complex 12 Water 121 Waste Water ❑ Storm Drainage❑ Pavement Initial Contract Amouni Final Contract Amount $110,248.30 $110,248.30 11)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS I Availability of Inspector I Accuracy of Plans to Existing Conditions 3 2 Knowledge of Inspector q 2 Clarity& Sufficiency of Details 3 3 Accuracy of Measured Quantities •- 3 Applicability of Specifications 3 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 y 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe J 11I)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor ,d ----�� INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS (a The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845