HomeMy WebLinkAboutContract 46107-FP2 cmr sEcRiErAW IfI a�,
[Risk
epartm rpt of TP&W Const, Services CONTRACT NO. 4
OE# A ate 5
roject age r _ g_ f' CT WORTH,
Mana ement J. Page
D.O.E. Brotherton
CFA Westerman/Scann'SCLEb
The Proceeding people have been C ntacted concerning the request for final
payment&have released this project for such payment. ATION AND PUBLIC WORKS
Clearance Conducted By Shameka Kennedy F PROJECT COMPLETION
D.O.E.Ne: 7097
Regarding contract 317097 for ROLLING MEADOWS PHASE 2A2-ST LIGHT as required by the
TRANSPORTATION&PUBLIC WORKS as approved by City Council on N/A through M&C N/A the director
of the TRANSPORTATION&PUBLIC WORKS upon the recommendation of the Assistant Director of the
Transportation&Public Works Department has accepted the project as complete.
Original Contract Prices: $35,127.05
Amount of Approved Change Orders: Ne
Revised Contract Amount:
Total Cost Work Completed: $35,127.05
Less Deductions:
Liquidated Damages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed: $35,127.05
Less Previous Payments: $0.00
Final Payment Due $35,127.05
Recommended for Acceptance Date i
Asst. Dir ctor, TPW - Infrastructure Design and Construction
m Accepted f Date
C-) Asst. Director, TRANSPORTATION & PUBLIC WORKS
m
m
0
z Asst. City Manager Date
0
�.. Comments: C205-541200-207320215483
N �
O
r
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
FoRTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name ROLLING MEADOWS PHASE 2A2
Contract Limits
Project Type STREET LIGHTING
City Project Numbers 02154
DOE Number 7097
Estimate Number I Payment Number I For Period Ending 4/20/2015
CD
City Secretary Contract Number 317097 Contract Time 3CD
Contract Date 8/22/2014 Days Charged to Date 185
Project Manager Buckley Contract is 100.00 Complete
Contractor INDEPENDENT UTILITY CONSTRUCTION
5109 SUN VALLEY DRIVE
FORT WORTH, TX 76119
Inspectors LAYER / BI,EVINS
Tuesday,April 21,2015 Page I of 4
City Project Numbers 02154 DOE Number 7097
Contract Name ROLLING MEADOWS PHASE 2A2 Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTING For Period Ending 4/20/2015
Project Funding
UNIT I:STREET LIGHTING IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 RDWY ILLUM ASSMBLY TY 8,11,D-25 AND D 7 EA $1,763.00 $12,341.00 7 $12,341.00
30
2 RDWY ILLUM FOUNDATION TY 1,2,AND 4 7 EA $1,007.00 $7,049.00 7 $7,049.00
3 2"CONDT PVC SCH 40(7) 1035 LF $8.35 $8,642.25 I035 $8,642.25
4 NO 6 INSULATED ELEC CONDR 3105 LF $0.76 $2,359.80 3105 $2,359.80
5 GROUND BOX,SMALL,W/LID APRON 5 EA $947.00 $4,735.00 5 $4,735.00
Sub-Total of Previous Unit $35,127.05 $35,127.05
------------------- -- -------------------
Tuesday,April 21,2015 Page 2 of 4
City Project Numbers 02154 DOE Number 7097
Contract Name ROLLING MEADOWS PHASE 2A2 Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGHTING For Period Ending 4/20/2015
Project Funding
Contract Information Summary
Original Contract Amount $35,127.05
Change Orders
Total Contract Price $35,127.05
Date l Total Cost of Work Completed $35,127.05
Con Less %Retained $0.00
Date s)z1 s Net Earned $35,127.05
Insti pe r Earned This Period $35,127.05
OKi�� Retainage This Period $0.00
Date !!!! � Less Liquidated Damages
Pro ect M
Days @ /Day $0.00
Date LessPavement Deficiency $0.00
As t. TtUPW,-Infrastructure Design and Construction Less Penalty $0.00
w-Z " ate 5�Z /��� Less Previous Payment $0.00
Director&ontracting Departrmfi Plus Material on Hand Less 15% $0.00
1/'3 Balance Due This Payment $35,127.05
7 a-�
.JJ
Tuesday,April 21,2015 Page 3 of 4
City Project Numbers 02154 DOE Number 7097
Contract Name ROLLING MEADOWS PHASE 2A2 Estimate Number I
Contract Limits Payment Number I
Project Type STREET LIGH'T'ING For Period Ending 4/20/2015
Project Funding
Project Manager Buckley City Secretary Contract Number 317097
Inspectors LAYER / BLEVINS Contract Date 8/22/2014
Contractor INDEPENDENT UTILITY CONSTRUCTION Contract Time 30 CD
5109 SUN VALLEY DRIVE Days Charged to Date 185 CD
FORT WORTH, TX 76119 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 $35,127.05
Less %Retained $0.00
Net Earned $35,127.05
Earned This Period $35,127.05
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 $35,127.05
Tuesday,April 21,2015 tOFFICIAL RECJ
Page 4 of 4
SECRETWORTH,
FORTWORTH rev 03/05/07
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:I
NAME OF PROJECT: Rolling Meadow East Phase 2A2
PROJECT NO.: 2154 CONTRACTOR: Independent
DOE NO.: 7097
PERIOD FROM:10/13/14 TO: 04/15/15 FINAL INSPECTION DATE: 21-Apr-15
WORK ORDER EFFECTIVE:10/13/2014 CONTRACT TIME: 50 O WD O 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 0 0 0 0 185 185
PERIOD
PREVIOUS 0 0 0 0 0 0
PERIOD
TOTALS 0 0 0 0 185 185
TO DATE
*REMARKS:
91 V,
- l ►� ���
CONT CTOR ATE INSPECTOR DATE
ENGINEERING DEPARTMENT
0 The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311
(817)392-7941 -Fax:(817)392-7845
FORTWORTH REV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PRO,IECT DATA
Name of Contractor Project Name
Independent Utility Construction,Inc. Rolling Meadows East Phase 2A2
DOE Inspector DOE Number
Habte Taezaz 7097
DOE Inspector Project Manager
❑ Water ❑ Waste Water ❑ Storm Drainage ❑ Pavement
Initial Contract Amount Project Difficulty
$35,127.05 0 Simple OO Routine O Complex
Final Contract Amount Date
$35,127.05 4/27/2015
In 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 N
3 Plans on Site 5 Y 3 20 15
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 4 60 60
8 Traffic Control Maintenance 15 Y 4 60 60
9 Daily Clean Up 5 Y 3 20 15
10 Citizen's Complaint Resolution 5 Y 4 20 1 20
11 Property Restoration 5 Y 3 20 15
12 After Hours Response 5 N
13 Project Completion 5 Y 3 20 15
TOTAL ELEMENT SCORE(A) 341
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 341
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 408
Rating([TS/MSI*100%) 341 / 408 = 84%
Performance Category Excellent
<20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good 2:80%=Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature DOE Inspector tLu, A -(�- — Signature Contractor
Signature DOE Inspector's Supervisor 7ff.&G�c.._
CONTRACTOR'S COMMENTS
OFFICIAL RECORD
_ TRANSPORTATION AND PUBLIC WORKS CITY SECRETARY
The City of Fort Worth• 1000 Thtockmorton Street•Fort Worth,TX 7012mW1WORTHI TX
(817)392-7941 •Fax:(817)392-7845
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT
CONTRACTOR ❑
TO FINAL PAYMENTSURETY R El
OTHE(SIMILAR TO AIA DOCUMENT G707)
Bond No. 0965579
PROJECT: Fort Worth&Beazer Homes Texas,L.P. /Street Lighting Improvements to serve
(name,address) Rolling Meadows, Phase 2A2,Fort Worth, Texas
TO (Owner)
ARCHITECTS PROJECT NO:
City of Fort Worth I CONTRACTFOR: Above Project
1000 Throckmorton Street
Fort Worth, Texas 76102
CONTRACT DATE:
CONTRACTOR: Independent Utility Construction,Inc.
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) Ohio Farmers Insurance Company
555 Republic Drive, Suite 450
Plano, Texas 75074 ,SURETY COMPANY,
on bond of(here insert name and address of Contractor)
Independent Utility Construction, Inc.
5109 Sun Valley Drive ,CONTRACTOR,
Fort Worth, Texas 76119
hereby approves of the final payment to the Contractor, and agrees that the 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 ,OWNER,
Fort Worth, Texas 76102
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 27th day of April 2015
OHIO FARMERS INSURANCE COMPANY
Surety
By
Sig re of Au orized Repres ive
Attest:
(Seal): Kyle W. Sweeney Attorney—in—Fact
Title
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
THIS POWER OF ATTORNEY SUPERCEDES ANY PREVIOUS POWER BEARING THIS SAME
POWER`/#AND ISSUED PRIOR TO 04/20/11, FOR ANY PERSON OR PERSONS NAMED BELOW.
General POWER NO. 4220052 06
Power Westfield Insurance Co.
of Attorney Westfield National Insurance Co.
Ohio Farmers Insurance Co.
CERTIFIED COPY Westfield Center, Ohio
Know All Men by These Presents, That WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO
FARMERS INSURANCE COMPANY, corporations, hereinafter referred to individually as a 'Company' and collectively as 'Companies," duly
organized and existing under the laws of the State of Ohio, and having its principal office in Westfield Center, Medina County,Ohio,do by these
presents make,constitute and appoint
CHARLES D.SWEENEY,MICHAEL A.SWEENEY, KYLE W.SWEENEY, ELIZABETH GRAY,JOINTLY OR SEVERALLY
of FORT WORTH and State of TX its true and lawful Attorney(s)-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- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - -
LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE
GUARANTEE,OR BANK DEPOSITORY BONDS.
and to bind any of the Companies.thereby as fully and to the same extent as if such bonds were signed by the President,sealed with the corporate
seal of the applicable Company and duly attested by its Secretary, hereby ratifying and confirming all that the said Attorney(s)-in-Fact may do in
the.premises. Said appointment is made under and by authority of the following resolution adopted by the Board of Directors of each of the
WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY:
'Be It Resolved,that the President,any Senior Executive,any Secretary or any Fidelity&Surety Operations Executive or other Executive shall
be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys)-in-Fact to represent and act for
and on behalf of the Company subject to the following provisions:
The Attorney-in-Fact. may be given full power and authority for and in the name of and on behalf of the Company,to execute,acknowledge and
deliver,any and all bonds, recognizances, contracts, agreements of 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
Attorney4n-Fad shall be as binding upon the Company as If signed by the President and sealed and attested by the Corporate Secretary.'
'Be It Further Resolved,that the signature of any such designated person and the 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 signatures or facsimile
seal shall be valid and binding upon the Company with respect to any bond or undertaking to which It is attached.' (Each adopted at a meeting
held on February 8,2000).
In Witness Whereof, WESTFIELD INSURANCE COMPANY, WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE
COMPANY have caused these presents to be signed by their Senior Executive and their corporate seals to be hereto affixed this 20th day of
APRIL A.D.,2011 .
Corporate u.wl �. u••" �„w r.u..,y
,r"asY�,(p �, •'�%oNnLi'.,, 4 WESTFIELD INSURANCE COMPANY
Seals ..••-•..,0� y4 r•`�P..••• •.!lsG,; �NSUR{�C WESTFIELD NATIONAL INSURANCE COMPANY
Affixed �vr .aK.r tp� O; r 17 Z;n +t�:H�T� • OHIO FARMERS INSURANCE COMPANY
�"v► . L i�.a fro. N SEAL :r0n_ ^CM11348 -:59 f
�4
•.� .....•.• 4 •'•. .••• J
By
4,� :
State of Ohio "•' ...........•••`� '"• •.•' .
Richard L. Kinnaird, Jr., National Surety Leader and
County of Medina ss.: Senior Executive
On this 20th day of APRIL A.D.,2011 ,before me personally came Richard L. Kinnaird, Jr. to me known, who, being by me duly
sworn, did depose and say,that he resides-In.Medina, Ohio;that he Is Senior Executive of WESTFIELD INSURANCE COMPANY,WESTFIELD
NATIONAL INSURANCE COMPANY and OHIO FARMERS INSURANCE COMPANY, the companies described In and which executed the above
instrument;that he knows the seals of said Companies;that the seals affixed to said instrument are such corporate seals;that they were so affixed
by order of the Boards of Directors of said Companies;and that he signed his name thereto by like order.
Notarial nN,••�«w,,,w
Seal Rt A L ti4
Affixed ,�P,.• ""'-.5�+�
a.: \ill/��ti
William J. Kahelin,A rney at Law, Notary Public
State of Ohio :N n1ll o My Commission Does Not Expire(Sec. 147.03 Ohio Revised Code)
County of Medina ss.: ss y %. '
b r
I,Frank A.Carrino,Secretary of WESTFIELD INSURANCE COMPANY,WESTFIELD NATIONAL INSURANCE COMPANY and OHIO FARMERS
INSURANCE COMPANY, do hereby.certify that the above and foregoing is a true and correct copy of a Power of Attorney, executed by said
Companies,which is still In full force and effect;and furthermore,the resolutions of the Boards of Directors, set out in the Power of Attorney are
In full force and effect.
In Witness Whereof, I have hereunto set my hand and affixed the seals of said Companies at 7tlday of
Aril ..»•a°;'^ 2015.,,.-
•�" �ttsu" 4� OFFICIA
p �asua,c,y� , +ntif. ••� �'•.. L RECORD
I E�ARY
Ni 3>c za: ,,nT /� .may
SE m e g 0• :�'= J f J�d/!!
' ' '' � 'y' o,' •�.1848 '�=AF
Frank A. Carrino, Secr to
BPOAC2 (combined)(06-02)
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 Richard Wolfe, VP
Of Independent Utility 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;
Rolling Meadows East Phase 2A-2
BY
Richard Wolfe/Vice esi nt
Subscribed and sworn before me on this date.27th of April, 2015.
Dolvona Andwry
*, Public
STATE
STATETE O OF TEXAS
Notary Public mea My Coram,expiros May 11,2017
�y I
Tarrant County, Texas
FORTWREV:02/22/07
TRANSPORTATION AND PUBLIC,WORKS
CONTRACTOR'S EVALUATION OF CITY
I)PROJECT INFORMATION Date: 4/27/2015
Name of Contractor Project Name
Independent Utility Construction,Inc. Rolling Meadow East Phase 2A2
DOE Inspector Project Manager
Habte Taezaz Patrick Buckly
DOE Number Project Difficulty Type of Contract
7097 10 Simple O Routine O Complex 0 Water O Waste Water ❑ Storm Drainage 0 Pavement
Initial Contract Amount Final Contract Amount
$35,127.05 1$35,127.05
Il)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 k 2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities Ll 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 11 3 Communication
2 Tim liness of Contractor Payments 4 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con Meeting Timeframe
Ill)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
d 1
(817)392-7941 •Fax:(817)392-7845