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Contract 44066-FP1
CITY SECRETAW _ } Depa TP&W Coast.Services CONTRACT NO. 1 DOE# pate Pro; Hager / �- tT WO RT H Risk Managemen(A48ae D.O.E. Brotherton �%��oJ� — 0jgy(o CFA Westerman/Scanne !! ,f The Proceeding people hwe been Co acled coneern4rg the request for final ,S eC J(J O P alve n d himad this project fog such patmurrt TION AND PUBLIC WORKS """111 7 Clearance Conducted By Shamalta Kennedy PROJECT COMPLETION D.O.E.M-. 6882 <'3f;'V�/o 6 Regarding contract 116882 fare QUADRANT PARK VISTA ADDITION-WATER&SEWER 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((� -- (� n-- Original Contract Prices: D E C E O iJ E]D�LJ 544,184.00 Amount of Approved C6aege Orders: MAR 33 Z01 ($2,964.00) Nt 1 Revised Contract Amount: $41,220.00 By Total Coot Work Completed: 541,220.00 Less Deductions: Liquidated Damages: Days®S210.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: 541,220.00 Less Previous Payments: $0.00 Final Payment $41,220.00 Due ig� L S:ALZE - Recommended for Acceptance Date Asst. Director,TPW - Infrastructure Design and Construction Accepted D Director, WATER DEPARTME 14 j /Sf/S AS— City Manager Date Comments: P265-541200-604150194683,P275-541200-704130194683 OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX FORT WORTH CITY OF FORT'WORTH FINAL PAYMENT REQUEST Contract Name QUADRANT PARK VISTA ADDITION Contract Limits Project Type WATER&SEWER City Project Numbers 01946 DOE Number 6882 Estimate Number I Payment Number I For Period Ending 1/6!2015 CD City Secretary Contract Number 116882 Contract Time 4ED Contract Date Days Charged to Date 323 Project Manager J-fari Contract is .000000 Complete Contractor PCI CONSTRUCTION,INC. P.O.BOX 2967 McKINNEY, TX 75070 Inspectors LAYER / ODEN OFFICIAL RECORD CITY SECRETARY 8 Tuesday,January 06,2015 1 of 5 City Project Numbers 01946 DOE Number 6882 Contract Name QUADRANT PARK VISTA ADDITION Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 1/6/2015 Project Funding WATER ItemEstimated Estimated Completed Completed Description of Items Unit [,nit Cost No. Quanity Total Quanity Total ----- -- - -- - -- -- -- -- I CONNECT TO EXIST 12"WATER INSTALL I EA $1,200.00 $1,200.00 1 $1,200.00 2 STREET OPEN CUT FOR 8"PIPE INSTALL 75 SF $8.00 $600.00 75 $600.00 3 8"GATE VALVE&BOX INSTALL 3 EA $950.00 $2,850.00 3 $2,850.00 4 FIRE HYDRANT W/6"LEAD&GATE VALVE I EA $2,500.00 $2,500.00 1 $2,500.00 INSTALL. 5 FITTINGS INSTALL 0.26 TN $500.00 $130.00 0.26 $130.00 6 12"X 8"TAPPING SLEEVE&VALVE I EA $3,000.00 $3,000.00 1 $3,000.00 7 8"WATERLINE INSTALL CO#1 168 LF $28.00 $4,704.00 168 $4,704.00 8 TESTING INSTALL 1 LS $4,500.00 $4,500.00 1 $4,500.00 9 TRENCH SAFETY INSTALL CO#1 168 LF $0.50 $84.00 168 $84.00 10 SODDING INSTALL 513 SY $4.00 $2,052.00 513 $2,052.00 11 CONCRETE REPLACEMENT 33 SY $40.00 $1,320.00 33 $1,320.00 12 TRAFFIC CONTROL INSTALL 1 LS $2,500.00 $2,500.00 1 $2,500.00 Sub-Total of Previous Unit $25,440.00 $25,440.00 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 8"SANITARY SEWER PIPE 136 LF $45.00 $6,120.00 136 $6,120.00 2 6"SANITARY SEWER PIPE 16 LF $30.00 $480.00 16 $480.00 3 MANHOLES 4'DIA INSTALL I EA $2,800.00 $2,800.00 1 $2,800.00 4 MANHOLE 4'DIA ADDED DEPTH OVER 6' l VF $148.00 $148.00 1 $148.00 5 MANHOLES 4'DIA DROP CONNECTION 1 EA $3,500.00 $3,500.00 1 $3,500.00 INSTALL 6 DROP MANHOLE 4'DIA ADDED DEPTH OVER 7 VF $160.00 $1,120.00 7 $1,120.00 6' 7 CONCRETE COLLAR INSTALL 2 EA $40.00 $80.00 2 $80.00 8 CLAY DAM INSTALL I EA $200.00 $200.00 1 $200.00 9 TV INSPECTION INSTALI. 136 LF $1.00 $136.00 136 $136.00 10 TRENCH SAFETY INSTALL 136 LF $1.00 $136.00 136 $136-00 11 SODDING INSTALL 240 SY $4.00 $960.00 240 $960.00 12 VACUUM TEST ON MH 2 EA $50.00 $100.00 2 $100.00 Tuesday,January 06,2015 Page 2 of 5 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX City Project Numbers 01946 DOE Number 6882 Contract Name QUADRANT PARK VISTA ADDITION Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 1/6/2015 Project Funding Sub-Total of Previous Unit $15,780.00 $15,780.00 Tuesday,January 06,2015 Page i o OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX City Project Numbers 01946 DOE Number 6882 Contract Name QUADRANT PARK VISTA ADDITION Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 1/612015 Project Funding Contract Information Summary Original Contract Amount $44,184.00 ChanEe Orders Change Order Number 1 (52,964.00) Total Contract Price $41,220.00 ,�2a is- Date Total Cost of Work Completed $41,220.00 Con Less %Retained $0.00 )`s/�S Net Earned $41,220.00 Date Earned This Period $41,220.00 Inspection r Retainage This Period $0.00 Date t Less Liquidated Damages �rt Days @ /Day $0.00 Date,50-1--I LessPavement Deficiency $0.00 Asst. '.re or sign and C struc' n Less penalty $0.00 Date Less Previous Payment $0.00 Director/Contracting Dep t f Q Plus Material on Hand Less 15% $0.00 �Phf J Balance Due This Payment $41,220.00 OFFICIAL RECORD CITY SECRETARY FT. WORTH,TX Tuesday,January 06,2015 Page 4 of 5 FDBY G� C� EUML�MAR 2 3 2015 City Project Numbers 01946 DOE Number 6882 Contract Name QUADRANT PARK VISTA ADDITI iEstimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 1/62015 Project Funding Project Manager Jaafari City Secretary Contract Number 116882 Inspectors LAYER / ODEN Contract Date Contractor PCI CONSTRUCTION,INC. Contract Time 45 CD P.O.BOX 2967 Days Charged to Date 323 CD McKINNEY, TX 75070 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 $41,220.00 Less %Retained $0.00 Net Earned $41,220.00 Earned This Period $41,220.00 Retainage This Period 50.00 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% $0.00 Balance Due This Payment $41,2.20.00 Tuesday,January 06,201 S OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX � XI'ISS M AS¥1■H�§$A113 �© �2 WON IVI 1 10 o lu § \ / \ \ ■ w : ui — o§ B 240 ■ - | ! 2 §� ° - �§ E , z i /2 / ■( � 2} ^ J s ■ coco & E § g z ` a § § � § IL/ § , § ■ o as < . LL \ 4u kLL � « CL � � ® s « § ) om cco } k &ty\ ^ \\ . 2 � '31 • a $. o § J « R G; § ax !o ® o # � IL m LU z w w §■ \ a ■ w § ) §,. 2 0 m ƒ 8 u m cr C < ® o w �z § § - z W L \ / J § � w k § § k § § tr LU UJ F-0 § i / & / 2 K e ■ ■ w E e w } \ S * B o z < » w w w o ) ! § y am < � a cr o � E o < 0: o > e a 0 o Q u o R m 'L Z—a. 3 [ 3 0 ! £ 2 | YU'H 1HOM M AHVI31133$AW all033H IVIDIJJ0 to ° s e # P a � � | | | | | | | § Q k I k § � A � � « � � 2 P ■ K � � A 0 a . ■ � 2! 2 t � & k � « $ � . � ( � ' � $ R ■ 3 � ■ k � \ � -IV � � � � � tCL � k } 2 j : o� � . o m . o � � � 2 2 ; { LL ■ ! a o ( FORTWORTH REV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: :I/5/20_I5_'___'__ Name ofControctor Project Name PCI Construction Quadrant Park Vista addition DOE Inspector Project Mmtager Weyman Oden Klial Jaafari -_--------- DOE Number iProject Di fcully Tvpe of Contract 6882 0 Simple Routine 0 Complex .2] waterE wastewatero Storm DrainageC-] Pavement Initial Contract Amount JFinal Contract Amount $44,184.00 '$40 270.00 11) PERFORMANCE EVALUATION 0-Inadequate I -Deficient 2 -Standard 3-Good 4-Excellent —--------- ELEMENT RATING :ELEMENT RATING 4) "____(O-4) INSPECTION EVALUATION ;PLANS&SPECIFICATIONS I Availability of Inspector J Accuracy of Plans to Existing Conditions .................... 2 Knowledge oflas pector ;2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities Y 13 Applicability of Specifications 4 Display Of Professionalism 14 Accuracy of Plan Quantities '5 Citizen Complaint Resolution _.eY.............PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs y I Knowledge And/Or Problem Resolution ,ADMINISTRATION '2 Availability of Project Manager 'I Change Order Processing Time 13 Communication 2 -riniliness of Contractor Payments y 14 Resolution of Utility Conflicts 3 Bid Opening to PreConMeeting Timeframe 111)COMMENTS&SIGNATURES COMMENTS ........... Signature Conti-actor Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS .......... ................ ...... TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth- 10001'hiockmortoil Street-Fort Worth,T176012-63 (817)392-7941 -Fax: (817) 392-78,15 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Quadrant Park Vista Addition PROJECT NUMBER: P265-604150194683-P275-704130194683 DOE NUMBER: 6882 WATER PIPE LAID SIZE TYPE OF PIPE LF Water 8in Pvc SDR-14 168 FIRE HYDRANTS: 1 VALVES(16"OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yes NEW SERVICES: it SEWER PIPE LAID SIZE TYPE OF PIPE LF Sewer 8in PVC SDR-26 136 SEWER 6in PVC SDR-26 16 PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: yes NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 760 'dIVICIAL, RECORD (817)392-7941 •Fax:(817)392-7845 CITY SECRETARY FT.WORTH,TX FORTWORTH REV 02,20/ TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I) CONTRACTOR&PROJECT DATA Alame of Contractor Project Name PCI construction Quadrant Park Vista Addition DOE Inspector DOE Number Weyman Oden 6882 DOE LtsPPrla- Project Manager Water 2 Waste Water Storm Drainage Pavement Khal Jaafari Initial Contract Amount Project Di fculty $44,184.00 O Simple Routine O Complex Final Contract Amount Date $40,270.00 1/5/2015 II)PERFORMANCE EVALUATION 0-Inadequate I 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 2 8 4 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision 15 Y 3 60 1 45 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 Complaint Resolution 5 N I I Property Restoration 5 Y 3 20 15 12 After Hours Response 5 Y 3 20 15 13 Project Completion 5 Y 3 20 15 TOTAL ELEMENT SCORE(A) 329 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 329 III) CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 428 Rating(ITS/MSI * 100%) 329 428 = 77% Performance Category Good <20%—Inadequate 20%to<40%=Deficient 40 oto<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 J c CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX7 760121 (817) 392-7941 •Fax: (817)392- 7845 OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX 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 Eric M Lindberg, Controller Of PCI Construction, Inc.,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; Project Name: Quadrant Park Vista Addition Water Project No.: P265-604150194683 Sewer Project No.: P275-704130194683 DOE No.: 6882 X No.: 21919 City Project No.: 01946 OFFICIAL RECORD CITY SECRETARY FT. WORTH,TX BY_ Eric M Lindberg- Controller Subscribed and sworn before me on this date 9th of January, 2015. l� Q ISI ,C 111- Notary Public Collin County, Texas =STEPHANIEMARRARAof Texaspires01 7 i OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX I� CONSENT OF OWNER SURETY COMPANY ARCHITECT TO FINAL PAYMENT CONTRACTOR SURETY AIA DOCUMENT G707 OTHER Bold No 2176785 PROJECT: Quadrant Park Vista-Water and Sanitary Sewer Improvements (name,address) TO(Owner) [ City of Fort Worth ] ARCHITECTS PROJECT NO: 1000 Throckmorton Street Fort Worth,TX 76102-6312 CONTRACT FOR: Construction [ ] CONTRACT DATE: 12/27/2013 CONTRACTOR: PCI Construction,Inc. P.O.Boa 2967 McKinney, TX 75070 In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (here insert name and address of Surety Company) North American Specialty Insurance Company 650 Elm Street Manchester,NH 03101 ,SURETY COMPANY, on bond of(hero insert name and address of Contractor) PCI Construction,Inc. P.O.Boa 2967 ,CONTRACTOR, McKinney,TX 75070 hereby approves of the final payment to the Contractors,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 76102-6312 +OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 9th day of January , 2015 North American Specialty Insurance Company Surety Company Cam Signature of Authorized Representative Attest: (Seal): Debra Lee Moon 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 AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE 1970 THE AMERICAN INSTTIUTE OF ARCHITECTS,1735 New York Ave.,NW,WASHINGTON,D.C. 20006 OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX NAS SURETY GROUP NORTH AMERICAN SPECIALTY INSURANCE COMPANY WASHINGTON INTERNATIONAL INSURANCE COMPANY GENERAL POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS,THAT North American Specialty Insurance Company,a corporation duly organized and existing under laws of the State of New Hampshire,and having its principal office in the City of Manchester,New l lampshire,and Washington International Insurance Company,a corporation organized and existing under the laws of the State of New Hampshire and having its principal office in the City of Schaumburg,Illinois,each does hereby make,constitute and appoint: SAMMY JOE MULLIS,JR.,JOHN WILLIAM NEWBY,JULIE STORM,CHERI LYNN IRBY,WILBERT RAYMOND WATSON, CAROLYN J.GOODENOUGH,MICHAEL L.TULLIS,SANDRA LEE RONEY,DEBRA LEE MOON,ANDREA ROSE CRAWFORD, MARY JO ZAKRZEWSKI and TROY RUSSELL KEY JOINTLY OR SEVERALLY Its true and lawful Attomey(s)-in-Fact,to make,execute,seal and deliver,for and on its behalf and as its act and deed,bonds or other writings obligatory in the nature of a bond on behalf of each of said Companies,as surety,on contracts of suretyship as are or may be required or permitted by law,regulation,contract or otherwise,provided that no bond or undertaking or contract or suretyship executed under this authority shall exceed the amount of: FIFTY MILLION($50,000,000.00)DOLLARS This Powcr of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9a'of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard to any bond,undertaking or contract of surety to which it is attached." A. F•; ByRiT" Steven P.Anderson,Senior Via President of Washington luternatimsal Insurance Companygg • SEAL 1A73 &Smior Vice President of North Ameriran5 sial Insurance Company "d7 P ty m P•�� OI IIIIIN `\l B David M.Layman,Vice President of Washington International Insurance Company "� . &Via President of North American Specialty Insurance Company IN WITNESS WHEREOF,North American Specialty Insurance Company and Washington International Insurance Company have caused their official seals to be hereunto affixed,and these presents to be signed by their authorized officers this 12th day of December 2013 . North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 12th day of December 2013 before me,a Notary Public personally appeared Steven P.Anderson ,Senior Vice President of Washington International Insurance Company and Senior Vice President of North American Specialty Insurance Company and David M.Layman, Vice President of Washington International Insurance Company and Vice President of North American Specialty Insurance Company, personally known to me,who being by me duly sworn,acknowledged that they signed the above Power of Attorney as officers of and acknowledged said instrument to be the voluntary act and deed of their respective companies. "OFFICIAL SEAL," DONNA D.SKLENS Notary Public,State of Illinois Donna D.Sklens,Notary Public My Commission Expires 10/0612015 I, Jeffrey Goldberg , the duly elected Assistant Secretary of North American Specialty Insurance Company and Washington International Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney given by said North American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 9th day of January 20 I ��/���4 OFFICIAL RECORD v q! rRr-'-ARY Jeffrey Goldberg,Via President&Assistant S=my of Washington International insurance Company&Nonh Am rican$Wie!ty b§([n=Com"y TY North American Specialty Insurance Company Washington International Insurance Company TEXAS CLAIMS INFORMATION IMPORTANT NOTICE ADVISO IMPORTANTE In order to obtain information or make a complaint: Para obtener informacion o para someter un queja: You may contact Jeffrey Goldberg,Vice President— Puede comunicarse con Jeffrey Goldberg,Vice Claims at 1-800-338-0753 President—Claims,at 1-800-338-0753 You may call Washington International Insurance Usted puede liamr at numero de telefono gratis de Company and/or North American Specialty Insurance Washington International Insurance Company and/or Company's toll-free number for information or to North American Specialty Insurance Company's para make a complaint at; informacion o para someter una queja al: 1-800-338-0753 1-800-338-0753 You may also write to Washington International Usted tambien puede escribir a Washington Insurance Company and/or North American Specialty International Insurance Company and/or North Insurance Company at the following address: American Specialty Insurance Company at: 475 N. Martingale Road 475 N. Martingale Road Suite 850 Suite 850 Schaumburg,IL 60173 Schaumburg,IL 60173 You may contact the Texas Department of Insurance Puede escribir al Departmento de Seguros de Texas to obtain information on companies, coverages, para obtener informacion acerca de companias, rights or complaints at: coberturas,derechos o quejas at: 1-800-252-3439 1-800-252-3439 You may write the Texas Department of Insurance: Puede escribir al Departmento de Seguros de Texas: P.O, Box 149104 P.O. Box 149104 Austin,TX 78714-9104 Austin,TX 78714-9104 Fax: (512)475-1771 Fax: (512)475-1771 Web: httv:f1m8 w.tdi.state.tx.us Web: htta://www.tdi.state.tx.us Email:ConsumerProtection@tdi.state.tx,us Email:ConsumerProtection@tdi.state.tx.us PREMIUM OR CLAIM DISPUTES: DISPUTAS SOBRE PRIMAS O RECLAMOS: Should you have a dispute concerning your premium Si tiene una disputa concerniente a su prima o a un or about a claim you should first contact the reclamo, debe comunicarse con el Washington Washington International Insurance Company and/or International Insurance Company and/or North North American Specialty Insurance Company. If the American Specialty Insurance Company primero. Si dispute is not resolved,you may contact the Texas no se resuelve la disputa,puede entonces Department of Insurance, comunicarse con el Departmento de Seguros de Texas. ATTACH THIS NOTICE TO YOUR POLICY: UNA ESTE AVISO A SU POLIZA This notice Is for information only and does not Este aviso es solo para proposito de infromacion y no become a part or condition of the attached se converte en parte o condition del documento document. adjunto. Revised 5/12 475 N.Martingale Road,Suite 650.Schaumburg,IL 60173 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX January 14, 2015 Mr.Oden Weyman Construction Inspector City of Fort Worth,TX Re: CFA 2012-050, DOE 6882 Quadrant North Tarrant Partners, Ltd. Dear Mr Weyman: There were no Liquidated damages on this project. Sincerely, Rolland Uphoff, P, E. Principal Rolland L-Uphoff 14801 Quorum Drive-Suite 160-Dallas,TX 75254 972-980-8806-972-980-8789 far RUphoff@MQPartners.com OFFICIAL RECORD CITY SECRETARY FT.WORTHS TX FORTWORTH n~03'05/07 TRANSPORTATION& PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: Quadrant Park Vista Addition PROJECT NO.: P265-604150194683 CONTRACTOR: PCI Construction P275-704130194683 DOE NO.: 6882 PERIOD FROM:02/17/14 TO: 01/05/15 FINAL INSPECTION DATE: 5-Ian WORK ORDER EFFECTIVE:1/5/2015 CONTRACT TIME: 45 O Wl* CD DAY OF DAYS DAYS REASON FOR DAYS DAY OF CHARGED REASON FOR DAYS MONTH DAG CREDITED MONTH DURING CREDITED 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 0 0 0 0 323 323 PERIOD PREVIOUS 0 0 0 0 0 0 PERIOD TOTALS 0 0 0 0 0 323 TO DATE *REMARKS: CONTRACTOR DATE INSPECTOR DATE ENGINEERING DEPARTTIENT la The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 7 ORD+ (817)392--7941 •Fax:(817)392-7845 CITY SECRETARY FT. WORTH, TX