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Contract 44787-FP1
DepaVn TP W Const.Services I DOE# Da I Projer i tTWORTH,Risk Management J. age L/C D.O.E. Broth ertonI �✓ CITY 44q CFA Westerman/Scanned rf, ®F The Proceeding people have been Cofitacted concerning the request for final payment 8 have released this project for such payment. ATION AND PUBLIC WORKS Clearance Conducted By Shameka Kennedy F PROJECT COMPLETION D.O.E.Ns: 7088 Regarding contract 117088 for NORTH RIVERSIDE SENIOR LIVING CENTER as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on N/A through M&C N/A the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Original Contract Prices: $10,238.00 Amount of Approved Change Orders: Ns 1 Revised Contract Amount: $10,238.00 Total Cost Work Completed: $10,238.00 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $10,238.00 Less Previous Payments: Final Payment Due $10,238.00 ::::6z 2:/= Recommended for Acceptance Date Asst. Dir or, TPW - Infrastructure Design and Construction Accepted Date Director, TRAN ORTATION AND PUBLIC WORKS DEPART NT 31��,s Asst. City Manager Date Comments: FUND ACCT:C205-2047602146 rFY. CIAL RECORD Y SECRETARY WORTH,TX FORT WORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name NORTH RIVERSIDE SENIOR LIVING CENTER Contract Limits Project Type DRAINAGE City Project Numbers 02146 DOE Number 7088 Estimate Number I Payment Number I For Period Ending 2!26!2015 CD City Secretary Contract Number 117088 Contract Time NED Contract Date Days Charged to Date 275 Project Manager Jaafari Contract is 100.00 Complete Contractor HU TON CONSTRUCTION CORP. 2229 S.WEST ST WICHITA, KS 67213 Inspectors LAYER / ODEN Monday,March 02,2015 Page 1 of 4 City Project Numbers 02146 DOE Number 7088 Contract Name NORTH RIVERSIDE SENIOR LIVING CENTER Estimate Number 1 Contract Limits Payment Number 1 Project Type DRAINAGE For Period Ending 2/26/2015 Project Funding DRAINAGE Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total l REMOVE RIP RAP 514 SF $5.00 $2,570.00 514 $2,570.00 2 REMOVE HEADWALL 1 EA $500.00 $500.00 1 $500.00 3 6"-12"TREE REMOVAL I EA $100.00 $100.00 1 $100.00 4 UNCLASSIFIED EXCAVATION BY PLAN 10 CY $15.00 $150.00 10 $150.00 5 SEEDING,HYDROMULCH 237 SY $3.00 $711.00 237 $711.00 6 TRENCH SAFETY 44 LF $2.00 $88.00 44 $88.00 7 21"RCP 21 LF $44.00 $924.00 21 $924.00 8 30"RCP 23 LF $65.00 $1,495.00 23 $1,495.00 9 21"SET,1 PIPE I EA $1,200.00 $1,200.00 1 $1,200.00 10 4'DROP INLET I EA $2,500.00 $2,500.00 1 $2,500.00 Sub-Total of Previous Unit $10,238.00 $10,238.00 Monday,March 02,2015 Page 2 of 4 City Project Numbers 02146 DOE Number 7088 Contract Name NORTH RIVERSIDE SENIOR UVING CENTER Estimate Number I Contract Limits Payment Number 1 Project Type DRAINAGE For Period Ending 206/2015 Project Funding Contract Information Summary Original Contract Amount $10,238.00 Change Orders Total Contract Price $10,238.00 to �j Total Cost of Work Completed $10,238.00 tr� r Less %Retained $0.00 r Net Earned $10,238.00 Date 3/� �.S bupection a Earned This Period $10,238.00 Retainage This Period $0.00 ��L o,a a.✓ Dae 14�`3''!!� Project Man Less Liquidated Damages Days rQ /Day $0.00 Date /f LessPavement Deficiency $0.00 Z or/TPW-infrastructure Design and Construction Less Penalty $0.00 U' �JL, Date 7 .3d / less Previous Payment $0.00 ontracting Dep t �.I`1 Plus Material on Hand Leas 15% $0.00 Balance Due This Payment $10,238.00 Monday,March 02,2015 Page 3 of 4 City Project Numbers 02146 DOE Number 7088 Contract Name NORTII RIVERSIDE SENIOR LIVING CENTER Estimate Number 1 Contract Limits Payment Number I Project Type DRAINAGE For Period Ending 2/26/2015 Project Funding Project Manager Jaafari City Secretary Contract Number 117088 Inspectors LAYER / ODEN Contract Date Contractor HUTTON CONSTRUCTION CORP. Contract Time 30 CD 2229 S.WEST ST Days Charged to Date 275 CD WICHITA, KS 67213 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 $10,238.00 Less %Retained $0.00 Net Earned $10,238.00 Earned This Period $10,238.00 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% $0.00 Balance Due This Payment $10,238.00 Monday,March 02,2015 Page 4 of 4 FORTWORTH rev 03/05/07 TRANSPORTATION AND PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:1 NAME OF PROJECT: North Rir enkle Senior Living Center PROJECT NO.: 02146 CONTRACTOR: Hutton Construction DOE NO.: 7029 PERIOD FROM:05/27/15 TO: 02/25/15 FINAL INSPECTION DATE: 2/26/2015 WORK ORDER EFFECTIVE:5/27/2615 CONTRACT TIME: 30 • m DAY OF DAYS REASON FOR DAYS DAY OF DAYSREASON FOR DAYS MONTH CHARGED CREDITED MONTH LDURlRGED CREDITED DURING NG 1. 16. 2. 17. 3. 18. 4. 19. S. 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 0 275 275 PERIOD PREVIOUS 0 0 0 0 0 275 PERIOD TOTALS 0 0 0 0 275 275 TO DATE *REMARKS: 3-a- t C T CTOR DATE INSPECTOR DATE TRANSPORTA ON AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth, L RECORD (817)392-7941 •Fax:(817)392-7845 CITY SECRETARY FT.WORM TX FORTWORTHRE02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY PROJECT INFORMATION Date: 13=015 Name of Contractor Project Name Hutton Construction North Riverside Senior Living Center DOE inspector Project Manager We an Oden Khal Jaafari DOE Number Projecl Difficulty Type of Contract 7088 0 Simple @) Routine 0 Complex ❑ water❑ waste waber❑✓ Storm DralnagtEl Pavement Initial Contract Amount Final Contract Amount $10,238.00 $10,238.00 II)PERFORMANCE EVALUATION 0-Inadequate 1 -Deficient 2-Standard 3-Good 4-Excellent ELEMENT RATING ELEMENT RATING (0-4) (0-4) INSPECTION EVALUATION IPLANS&SPECIFICATIONS 1 Availability of inspector 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity&Sufficienc of Details 3 Accuracy of Measured Quantities 3 Applicability of Specifications 4 Display Of Professionalism 4 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution 41 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 C i ,r Signature DOE Inspector's Supervisor 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 FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR I CONTRACTOR&PROJECT DATA Name of Contractor Project Name Hutton Construction North Riverside Senior Living Center DOE Inspector DOE Number We an Oden 7088 DOE Dupector Project Manager ❑ Water❑ Waste WaterO Storm Drainage❑ Pavement Khal Jaafari Initial Contract Amount Project Difficulty $10,238.00 0 Simple © Routine 0 Complex Final Contract Amount Date 10,238.00 3/2/2015 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 3 8 6 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Su rvision 15 Y 4 60 60 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 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 II Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 406 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 406 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 428 Rating(ITS/MSS* 100%) 406 / 428 — 95% Performance Category Excdtm t <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 Contract Signature DOE Inspector's Supervisor 14,A CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The Cit'of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (a (817)392-7941 •Fax:(817)392-7845 PO" 0 ��� ;EM) SENIOR LIVING March 2,2015 Ryan Rowley Hutton Construction 2229 S West Street Wichita,KS 67213 To whom it may concern: Hutton Construction has completed the off-site storm sewer work within the timeframe allowed,and I hereby certify that no liquidated damages will be assessed for this work. Sincerely, i�jKrman� Senior Project Manager DFW/LLF2,LLC 316-616-6288 8415 East 21"Street North Suite 100 Wichita,KS 67206 AFFIDAVIT STATE OF KANSAS COUNTY OF SEDGWICK Before me, the undersigned authority,a notary public in the state and county aforesaid. on this day personally appeared Jim Costello, Vice President Of Hutton Construction Corporation,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; D.O.F. NO. 7088 File No. SD-0387 City project No. 02146 � u BY Jim ostello,VP Subscribed and sworn before me on this Second day of arch,2015. IAT NOTARY R"-State of Kansas N} a T mpson,Notary Public t�YIA THpMPSON Sedg-w- ck County, Kansas F--- lres — Expires 01-16-19 CONSENT OF SURETY OWNIM 0 TO FINAL PAYMENT ARCMECT ❑ AIA Document G707 CONTRACTOR ❑ 5unw LI Bond No. 09143704 OTM O TO OVngm- ARCHITECT'S PROJECT NO.: O&W aa<aia no City of Fort Worth 1000 Throckmorton Street CONTRACT FOR Construction Fort Worth,TX 76102 PROJECT CONTRACT DATED:November 18,2013 (ft—and• A 0 The Legend at Riverside Drive,8708 Old Denton Rd.,Ft Worth,TX 76244 In accatdsnae whh the ptovbions ofthe Contract between the Owner and the Contractor as indicated*bow,the nwMr+,wome&ar.rr 1 43wnW Fidelity and Deposit Company of Maryland 10 South Riverside Plaza,5th Floor Chicago,IL 60606 . "My. on bond of fh"Wnem.AWAd*xWgfCxV 000 Hutton Construction Corporation 2229 S.West Street Wichita,KS 67213 hereby appraves dtthe Mat payment to the Contractor,and agrees that Mal psyrnem to the Contractor shall net reheve the Surety of any of ks obbgationa to provernAmead In 1t1VONWAI City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102 owma as set forth in said SureWs board. IN WITNESS WHMOOF,the Surety las hueunto set its hand on this dace: March 6,2015 (bra+r►4i�1d�f dtr iworN�b/611bwrr�Y etr n+nr�f�c rMir odlwnl Fidelity and Deposit Company of Maryland (ar•tri i rs1p�»arrnrcyruar reyo►rxnlWhlr! Cindy Fowler Attorney-in-Fact fSeAD` Eee Carter rPrramdrw11rawarAY41 Surety Phone No. 214-706-5464 0707-1994 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Maryland,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland(herein collectively called the "Companies"), by THOMAS O. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate, constitute, and appoint Craig E. HANSEN, Jay D. FREIERMUTH,Brian M. DEIMERLY,Anne CROWNER, Mark R. DEWITT,Rosemary WEAVER,Stacy VENN,Cindy BENNETT,Cindy FOWLER and Jacqueline KIRK,all of West Des Moines, Iowa, EACH its true and lawful agent and Attorney-in-Fact,to make,execute,seal and deliver,for,and on its behalf as surety,and as its act and deed:any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Companies,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills,Maryland.,and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF,the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 15th day of January,A.D.2015. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND � Y �y�a`f�p4t4+�1p�~Lr�4'i w be BY Secretary Vice President Eric D.Barnes Thomas O.McClellan State of Maryland County of Baltimore On this 15th day of January,A.D.2015,before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,THOMAS O. MCCLELLAN,Vice President,and ERIC A BARNES,Secretary,of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly swom,deposeth and saith,that helshe is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. YuW `F 1j111111\\' Maria D.Adamski,Notary Public My Commission Expires:July 8,2015 POA-F 088-6828A EXTRACT FROM BY-LAWS OF THE COMPANIES "Article V,Section 8,AagMM a-in-Fad. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate Seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognisances,stipulations,undertakings,or other like instruments on behalf of the Company,and may authorize any officer or my such attorney-in-fad to affix the corporate seal thereto;and may with or without cause modify of revoke may such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND,do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V,Section 8,of the By-LAWS of the Companies is still in form This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following revolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: 'Pkat the Signature of the President or a Via President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be Signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994,and the following resolution of the Board of Directors of the FlDELi1Y AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and bald on the 10th dry of May,1990. RESOLVED: 'Pkat the facsimile or mechanically reproduced Seal of the company and facsimile or mechanically reproduced signature of any Vice-President,Secretary,or Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIM HERE •,I have hqWpto subscribed my name and affixed the corporate seals of the said Companies, this day of 20 -r4perr"o"a �ilow— BRAL Michael Bond,Vice President