HomeMy WebLinkAboutContract 45972-FP2 CITY t SEC r
Depa &W Const.Services TRACT NO. �+
DOE# e
Project r
Risk Managemen J.Pam T AVO R T H, r
D.O.E. Brotherton r ° '3 -- G -233 a
CFA Westerman/Scann
The Proceeding people have been concerning the request for final
payment i have mleased this ptoleet br wdi payeeeft TION AND PUBLIC WORIKS
Clearance Conducted By Shamaka Kennedy F PROJECT COMPLETION 45#45q72—
D.O.E.
5#45q7;LD.O.E.Ns: 7273
Regarding contract 117273 for QUAIL VALLEY NORTH as required by the WATER DEPARTMENT as approved
by City Councd 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: D
HUM�iJ(2 5102,326.80
Amount of Approved Change Orders: � 2 5
JUNN 15 2 3 2015
Revised Contract Amount:
Total Cost Work Completed: BY 5102,326.80
Leas Deductions:
Liquidated Damages: Days®5210.00/Day
Pavement Deficiencies:
Total Deduction Amount:
Total Cost Work Completed: 5102,326.80
Less Previous Payments: 50.00
Final Payment Due S102,326.80
Recommended for Acceptance Date
Asst. Director,TPW -Infrastructure Design and Construction
/-�
Accepted------------ — - ---- - Date
Asst. Director, WATER DEPAR 41f I`
Asst. City Manager Date
M r
C-) Comments: P265-541200-604150233283,P275-5412OD-704130233283
M
< r
M
v
c
OFFICIAL RECORD
^; CITY SECRETARY
F T. WORTH TX
i
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name QUAIL VALLEY NORTH
Contract Limits
Project Type WATER&SEWER
City Project Numbers 02332
DOE Number 7273
Estimate Number 1 Payment Number I For Period Ending 5/29/2015
CD
City Secretary Contract Number 117273 Contract Time 9CD
Contract Date 9/18/2014 Days Charged to Date 220
Project Manager Buckley Contract is 100.00 Complete
Contractor PCI CONSTRUCTION,INC.
P.O.BOX 2967
McK1NNEY, TX 75070
Inspectors LAYER / BL.EVINS
Friday,May 29,2015 PW lot'4
City Project Numbers 02332 DOE Number 7273
Contract Name QUAIL VALLEY NORTH Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 5/29/2015
Project Funding
UNIT 1:WATER IMPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
-- - - -- - --- - -- ----- ---
1 TRENCH SAFETY 10 LF $2.00 $20.00 10 $20.00
2 6"WATER PIPE 5 LF $47.50 $237.50 5 $237.50
3 8"WATER PIPE 5 LF $57.30 $286.50 5 $286.50
4 FIRE IIYDRANT 1 EA $7,266.00 $7,266.00 1 $7,266.00
5 CONNECTION TO EXISTING 4"-12"WATER 5 EA $1,250.00 $6,250.00 5 $6,250.00
MAIN
6 1"WATER SERVICE 2 EA $1,350.00 $2,700.00 2 $2,700.00
7 2"WATER SERVICE 2 EA $1,800.00 $3,600.00 2 $3,600.00
8 6"GATE VALVE 2 EA $624.20 $1,248.40 2 $1,248.40
9 DUCTILE IRON WATER FITTINGS 0.3 TN $350.00 $105.00 0.3 $105.00
W/RESTRAiNT
Sub-Total of Previous Unit $21,713.40 $21,713.40
UNIT 11:SANITARY SEWER RAPROVEMENTS
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
Nu. Quanity Total Quanity Total
1 4"-12"PRESSURE PLUG 1 EA $100.00 $100.00 1 $100.00
2 PRE-CCTV INSPECTION 858 LF $1.00 $858.00 858 $858.00
3 POST-CCTV INSPECTION 858 LF $1.00 $858.00 858 $858.00
4 MANHOLE VACUUM TESTING 6 EA $155.00 $930.00 6 $930.00
5 TRENCH SAFETY 858 LF $2.00 $1,716.00 858 $1,716.00
6 TRENCH WATER STOPS 4 EA $125.00 $500.00 4 $500.00
7 6"SEWER SERVICE 4 EA $2,042.50 $8,170.00 4 $8,170.00
8 8"SEWER PIPE 826 LF $37.00 $30,562.00 826 $30,562.00
9 4'MANHOLE 5 LF $5,673.38 $28,366.90 5 $28,366.90
10 4'DROP MANHOLE 1 EA $7,052.50 $7,052.50 1 $7,052.50
11 4'EXTRA DEPTH MANHOLE 13 VF $98.46 $1,279.98 13 $1,279.98-
12 EPDXY MANHOLE LINER 55 VF $4.00 $220.00 55 $220-00
Sub-Total of Previous Unit $80,613.38 $80,613.38
Friday,May 29,2015 Page 2 of 4
City Project Numbers 02332 DOE Number 7273
Contract Name QUAIL VALLEY NORTH Estimate Number 1
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 529/2015
Project Fuadug
Contract Information Summary
Original Contract Amount $102,326.80
Chani:e Orders
Total Contract Price $102,326.78
Date G/S b/s Total Cost of Work Completed S 102,3268V
Con Less %Retained $0.00
41a
Net Earned 5102 260
rDateEarned This Period 5102,326.78
Date l l� 1 7 Retainage This Period 50.00
Less Liquidated Damages
lett M
Days Q /Day $0.00
i
Dat LessPavement Deficiency $0.00
Asst ctor/TP -Infrastru csiWC ?-3
n Less Penalty 50.00
Da5 Less Previous Payment 50.00
Director/Contracting Departm Plus Material on Hand Less 15% $0.00
Balance Due This Payment $102,326,*
Friday,May 29,2015 Page 3 of 4
p {��to� --� P33-4
JUN 13 2015
City Project Numbers 02332 DOE Number 7273
Contract Name QUAIL VALLEY NOR Estimate Number I
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 529/2015
Project Funding
Project Manager Buckley City Secretary Contract Number 117273
Inspectors ]LAYER / BLEVINS Contract Date 9/18/2014
Contractor PCI CONSTRUCTION,INC. Contract Time 90 CD
P.O.BOX 2967 Days Charged to Date 220 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 $102,326.78
Less %Retained $0.00
Net Earned $102,326.78
Earned This Period $102,326.78
Retainage This Period $0.00
Less Liquidated Damages
0 Days(g $0.00 /Day $0.00
LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $0.00
Pius Material on Hand Leas 15% $0.00
Balance Due This Payment $102,326.78
Friday,May 29,2015 Page 4 of 4
FORTWORTH rev 03/05/07
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:1
NAME OF PROJECT: Quail Valley North
PROJECT NO.: 2332 CONTRACTOR: PCI Consuuctkm Inc.
DOE NO.: 7.273
PERIOD FROM 10/06/14 TO: 05/13/15 FINAT,INSPECTION DATE: 13-May-15
WORK ORDER EFFECTIVE:10/6/2014 CONTRACT TIME: 90 O WD 0 CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED
URIN
CREDITED MONTH DCHARGGG 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 OTHERS* DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS
THIS 0 0 0 0
PERIOD
PREVIOUS
PERIOD 0 0 0 0 0 CIT WmRr-jAn
TOTALS
TO DATE 0 0 0 0 22 ",MR ng TX
*REMARKS:
i
®5 13 i
CONTRACTOR DATE INSPECTOR DA
ENGZTEERING DEPARTMENT
, ! The City of Fort Worth•1000 Tluockmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fm(817)392-7845
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: (mil Va11ey Nath
PROJECT NUMBER: 2332
DOE NUMBER: 7273
WATER
PEPE LAID SIZE TYPE OF PIPE LF
Yes 8" PVC 5
6" Pyc 5
f
FIRE HYDRANTS: 1 VALVES(16"OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
No
DENSITIES: Yes
NEW SERVICES: 2" Copper 20
1" Copper 20
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
Yes 8" PVC 826
6" PyC 4
PIPE ABANDONED SIZE TYPE OF PIPE LF
No
DENSITIES: Yes
NEW SERVICES:
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Throckmortm Street•Fort Worth,TX 76012-6311
Q9 (817)392-7941 •F=(817)392-7945
FORTWORTHREV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
1) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
PCI Construction Inc. Quail Valley North
DOE Inspector DOE Number
Habte Taezaz 7273
EInrpector Project Manager
R1 Waxer p Waste water El Storm DrainageRl Pavement Patrick Buckle
Initial Contract Amount ProjectDifficulty
$102,326.80 O Simple OO Routine O Complex
Final Contract Amount Date
$102,326.80 6/5/2015
Il)PERFORMANCE EVALUATION
0-lnad nate 1-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPLICABLE Y/N RATING 0-4 MAX SCORE SCORE
I Submission of Documents 2 Y 4 8 8
2 Public Notifications 5 N
3 Plans on Site 5 Y 4 20 20
4 Field Supervision 15 Y 3 60 45
5 Work Performed 15 Y 3 60 45
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 Com Taint Resolution 5 N
11 Property Restoration 5 Y 3 20 15
12 After Hours Response 5 N
13 Project Completion 5 Y 3 20 ;5�]
TOTAL ELEMENT SCORE(A) 328
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(I'S) 328
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 4I sum of applicable element score maximums which= 388
Rating(ITS/MS]+100%) 328 / 3U — 85%
Performance Category Excellent
<20%=Inadequate 20%to<40%=Dsfreient 40%to<60%—Standard 600016 to<80%=Good >_80%—Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature DOE Inspector Signature Contractor 017
Signature DOE Inspector's Supervisor
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(a (817)392-7941 •F=(817)392-7945
FORTWORTH RE021W0'
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
PROJECT INFORMATION Date: 11/27/2012
Name of Contractor Project Name
PCI Construction Inc. Quail Valley North
DOE Inspector Project Manager
Habte Taezaz Patrick Buckle
DOE Number Type of Contact
7273 10 Simple OO Routine O Complex Q waterEl Waste Waber❑ Storm Drainage❑ Pavement
Initial Contract Amount Final Contract Amount
$32,347.04 $32,347.04
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 11(
2 Knowledge of Inspector y 2 Clarity&Sufficiency of Details y
3 Accuracy of Measured Quantities 3 Applicability of Specifications
4 Display Of Professionalism Y 4 Accuracy of Plan Quantities `
5 Citizen Complaint Resolution Y PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution y
ADMINISTRATION 2 Availability of Project Manager y
1 Chane Order Processing Time e/ 3 Communication
2 Timliness of Contractor Payments S' 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 760+E6651
(817)392-7941 -Faa:(817)392-7845 OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
CONSENT OF OWNER
SURETY COMPANY ARCHITECT
TO FINAL PAYMENT CONTRACTOR
SURETY
AIA DOCUMENT G707 OTHER
Band No. 21MI2
PROJECT: Quail Valley North-CFA,City Project#02332,Fort Worth,TX
(name,address)
TO(Owner) [ City of Fort Worth ] ARCHITECTS PROJECT NO:
1000 Throckmorton Street
Fort Worth,TX 76102-6312 CONTRACT FOR: Construction
[ ] CONTRACT DATE: 8/28/2014
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(here 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 27th day of May , 2015
North American Specialty Insurance Company
Surety Company
0/y,7V,2 Signature of Authorized Representative
Attest:
(Seal): Debra Lee Moon Attorney-In-Fact
Title
NOTE: This forth 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 0707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE
1970 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,WASHINGTON,D.C. 20006
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 Hampshire,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 Power 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 9th 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."
Wunlus
cu-Tv".
1/1
By
j'�lj - SIONnnnyr
=�;• S�� in Steven P.Anderson,Senior Vire President or Washington International Insurance Company _', SEAL�':�c,
¢ys¢ 1873 eW h` &Senior Vice President or Nonh American specialty Insurance Company –a ;rn„
fillill By
David NI.Layman,Vice President or Washington International Insurance Company Bantu
&Vice president orNorth 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." !�raMay
DONNA D,SKLENS
Notary Public,State of IllinoiaD.Sklens,Notary ublie
My CornmWon Expires 10/06x2AL�RECORD
I, Jeffrey Goldbere . the duly elected Assistant Secretary of North American Sce om an and W hington
[ntemational Insurance Company,do hereby certify that the above and foregoing is a true and co � �g en by said North
American Specialty Insurance Company and Washington International Insurance Company,whiforce
OR d1IN WITNESS WHEREOF,I have set my hand and affixed the seals of the Companies this 27th y „20 15
Jeffrey Goldberg,Vice Presided&Assistant Secretary or
Washington Inlemnuonal Insurance Company&North American Speciale'Insurance Company
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,al 1-800-338-0753
You may call Washington International Insurance Usted puede Ilamr al 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 1-800-338-4753
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 al:
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 al:
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: htty:llvvww,tdi,state.tx.us Web: htty://www.tdi.state.tx.us
Email:ConsumerProtection@tdi.state.tx.us Email:ConsumerProtection@tdLstate.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 cors of 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 Ia disputa,puede entonces
Department of Insurance. comunicarse con of 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.Maningale Road,Suite B50.Schaurnburg,IL 60113
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 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: Quail Valley North
Water Project No.: P265-541200604150233283
Sewer Project No.: P275-541200704130233283
DOE No.: 7273
X No.: 22751
City Project No.: 02332
BYController
Eric MLindberg-
Subscribed and sworn before me on this date 27th of May,2015.
T
ETTA F.RACY
My Commission Expires
Notary Public a„�p,d•
Aupust 22,2015
Collin County,Te