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HomeMy WebLinkAboutContract 44775-FP1 FORT WORTH, (3Wg3 CS _e4-4/t� r75 TRANSPORTATION.AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION D.O.E. NQ: 3890 RWding contract 44775 for SANITARY SEWER REHAB CONTRACT 64 PT 2 as required by the WATER DEPARTMENT as approved by City Council on 6/4/2013 through iii&C C-26294 the director of the WATER DEPARTMENT upon the recommendation of the Assistant Director of the Transportation&public Works Department has accepted the project a _ Q. (t�'- E ly(r�'� �1 Original Contract Prices: �.`� Lia t� $912,795.00 L� Y !'ECMTAW tA� 1�E' JUL 01 2015 t -WRACT MO. Amount of Approved Change Orders: j $34,500.00 NQ 1 &3 Revised Contract Amount: 8y I $947,295.00 Total Cost Work Completed: $946,318.40 Less Deductions: Liquidated Damages: Days Q 5210.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $946,318.40 Less Previous Payments: $899,002.48 Final Payment Due $47,315.92 Recommended for Acceptance Date Asst ctor, TPW - Infrastructure Design and Construction Accepted Date Asst. Director, WATER DEPARTMENT _7�: Asst. City Manager Date 6 w Comments: P25-541200-702170149383 OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX RECEIVED JUL 08 7015 - -- - L2in UL 01 2015 City Project Numbers 01493 DOENumber 3890 Contract Name SS Rehab Contract 64,Pv Estimate Number 29 Contract Limits 30th St,Grafton St.Chester St,Loving Ave&Prairie Ave. Payment Number 29 Project Type SEWER For Period Ending 6/10/2015 Project Funding P254 702170149387 Project Manager Cbaubey City Secretary Contract Number 44775 Inspectors DICKINSON / CAZORLA Contract Date 6/4/2013 Contractor ARK CONTRACTING SERVICES,LLC Contract Time 397 CD 420 SOM DICK PRICE ROAD Days Charged to Date 393 CD KENNEDALE, TX 76060 Contract is .000000 Complete CITY OF FORT WORTH po # I O SUMMARY OF CHARGES INVOICE # _ Line Fund Account Center Amount Gross Retainage Net Funded A JL - , t Total Cost of Work Completed $946,318.40 Less %Retained $0.00 Net Earned $946,318.40 WATER DEPARTMENT Earned This Period $47,315.92 ENGINEERING AND FISCAL SERVICES etainage This Period $0.00 Contact Puson• Berdena Diggs-Ext.8429 pprov Signat or. Less Liquidated Damages 0 Days @ $0.00 /Day $0.00 DEPARTMENT CHECK PICK-UP YES LessPavement Deficiency $0.00 Less Penalty $0.00 Less Previous Payment $899,002.48 Plus Material on Nand Less 15% $0.00 Balance Due This Payment $47,315.92 Wednesday,lune 10,2015 Page 6 of 6 FORT NORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name SS Rehab Contract 64,Part 2 in Several Alleys&N Main St, Contract Limits 30th St,Grafton St.Chester St,Loving Ave&Prairie Ave. Project Type SEWER City Project Numbers 01493 DOE Number 3890 Estimate Number 29 Payment Number 29 For Period Ending 6/10/2015 CD City Secretary Contract Number 44775 Contract Time 39ED Contract Date 6/4/2013 Days Charged to Date 393 Project Manager Chaubey Contract is 100.00 Complete Contractor ARK CONTRACTING SERVICES,LLC 420 SOUTH DICK PRICE ROAD KENNEDALE, TX 76060 Inspectors DICKINSON / CAZORLA Wednesday,lune 10,2015 Page l of 6 City Project Numbers 01493 DOE Number 3890 Contract Name SS Rehab Contract 64,Part 2 in Several Alleys&N Main St, Estimate Number 29 Contract Limits 30th St,Grafton St.Chester St,Loving Ave&Prairie Ave. Payment Number 29 Project Type SEWER For Period Ending 6/10/2015 Project Funding P254 702170149387 Unit I-SRF Funded P254 702170149387 Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quauity Total ------_ --- - - .._ - ------------- I Storm 'Vater Polution Prevention Plan I LS $2,000.00 $2,000.00 1 $2,000.00 2 Grass-Bermuda Hydromulch-install 670 SY $3.00 $2,010.00 30 $90.00 3 Traffic Control--Install I LS $4,000.00 $4,000.00 1 $4,000.00 4 Collar-Manhole-32 Inch-Frame&Cover 24 EA $400.00 $9,600.00 23 $9,200.00 5 Inspection-Post Construction Cleanin 4620 LF $1.00 $4,620.00 4236 $4,236.00 6 Inspection-Preconstruction Cleaning 5160 LF $2.00 $10,320.00 5100 $10,200.00 7 Manhole-Remove 19 EA $300.00 $5,700.00 13 $3,900.00 8 Manhole-Remove Upper,Abandon Lowe 2 EA $250.00 $500.00 1 $250.00 9 Manhole-Paint&Coating-Interior Pro 30 VF $150.00 $4,500.00 28 $4,200.00 10 Manhole-Std 4 Ft Diam-(to 6 Ft Depth 23 EA $3,000.00 $69,000.00 23 $69,000.00 11 Remove Existing Vent 1 EA $200.00 $200.00 1 $200.00 12 Manhole-Std 4 Ft Diam-Added Depth(o 47 VF $100.00 $4,700.00 57 $5,700.00 13 Manhole-Vacuum Test-Services 23 EA $150.00 $3,450.00 23 $3,450.00 14 Pipe-Sag Adjustment for Pipe-Rehab 25 LF $70.00 $1,750.00 15 Pipe-Sewer-8 Inch(All Depths)-Ins 375 LF $84.00 $31,500.00 305 $25,620.00 16 Pipe-Sewer-8 Inch(All Depths)with 20 LF $90.00 $1,800.00 17 Pipe-Sewer-8 Inch(All Depths)-Ins 315 LF $220.00 $69,300.00 384 $84,480.00 18 Pipe-Sewer-8 Inch-SDR 26(All Depths 710 LF $60.00 $42,600.00 875 $52,500.00 19 Pipe-Sewer-8 Inch-PVC(All Depths)- 2675 LF $60.00 $160,500.00 2143 $128,580.00 20 Pipe-Sewer-8 Inch-PVC(All Depths)w 20 LF $85.00 $1,700.00 21 Sewer Service-4 Inch-Install on Pr 90 LF $25.00 $2250.00 206 $5,150.00 22 Scwcr Service-6 Inch-Install on Pr 35 LF $35.00 $1,225.00 23 Sewer Service4 Inch Service Tap-1 100 EA $320.00 $32,000.00 115 $36,800.00 24 Sewer Service-4 inch-2 Way Clean Out 2 EA $500.00 $1,000.00 2 $1,000.00 25 Trench Safety System 5 Foot Depth- 3500 LF $2.00 $7,000.00 2911 $5,822.00 26 Alley-Crushed Stone-Install 195 SY $12.00 $2,340.00 166 $1,992.00 27 Curb&Gutter-Install 15 LF $35.00 $525.00 78 $2,730.00 28 Pavement-Addhoinal HMAC Repair Be 300 SY $30.00 $9,000.00 538.56 $16,156.80 29 Pavement-2 Inch Min HNIAC on 2/27 Con 2825 LF $22.00 $62,150.00 2542 $55,924.00 30 Pavement-Concrete on 2/27 Concrete B 235 SY $65.00 $15,275.00 513 $33,345.00 31 Pavement-ValleyGutter-Install 25 SY $60.00 $1,500.00 13.11 $786.60 Wednesday,June 10,2015 Page 2 of 6 City Project Numbers 01493 DOE Number 3890 Contract Name SS Rehab Contract 64,Part 2 in Several Alleys&N Main SL Estimate Number 29 Contract Limits 30th St,Grafton St.Chester St,Loving Ave&Prairie Ave. Payment Number 29 Project Type SEWER For Period Ending 6/10/2015 Project Funding P254 702170149387 32 Walk-Concrete-Install 45 SF $7.00 $315.00 33 Dehole-Exploratory Excavation--Stud 7 EA $600.00 $4,200.00 2 $1,200.00 34 Concrete-Type B--instal( 5 CY $100.00 $500.00 35 Concrete-Type£-Install 5 CY $80.00 $400.00 36 Concrete-Encasemeut-Install 20 LF $35.00 $700.00 37 Pipe-Abandon and Fill with Flowabl 770 LF $6.00 $4,620.00 1035 $6,210.00 38 Pipe-8 Inch HDPE by Pipe Enlargement 365 LF $75.00 $27,375.00 365 $27,375.00 Sub-Total of Previous Unit $602,125.00 $602,097.40 Unit 2-City Funded P254 702170149387 Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total -- ----------- - - - - ----- - ------- ----- I Erosion Control-Mattress(9"Gabion) 30 CY $300.00 $9,000.00 45 $13,500.00 2 Storm Water Polution Prevention Plan I LS $2,000.00 $2,000.00 1 $2,000.00 3 Fence-Stone-install 40 LF $20.00 $800.00 4 Grass-Bermuda Hydromulch--Install 845 SY $2.00 $1,690.00 5 Grass-Bermuda Sod--Install 95 SY $5.00 $475.00 150 $750.00 6 Traffic Control-Install I LS $4,000.00 $4,000.00 l $4,000.00 7 Collar-Manhole-32 Inch-Frame&Cover 13 EA $500.00 $6,500.00 13 $6,500.00 8 inspection-Post Construction Cleanin 2195 LF $1.00 $2,195.00 2195 $2,195.00 9 Inspection-Preconstruction Cleaning 3875 LF $2.00 $7,750.00 3750 $7,500.00 10 Inspection-Post Construction Cleanin 250 LF $1.00 $250.00 11 Inspection-Preconstruction Cleaning 250 LF $2.00 $500.00 150 $300.00 12 Manhole-Abandon 2 EA $250.00 $500.00 3 $750.00 13 Manhole Remove 3 EA $300.00 $900.00 14 Manhole-Paint&Coating-Interior Pro 18 VF $150.00 $2,700.00 15 Manhole-Std 4 Ft Diam-(to 6 Ft Depth 13 FA $3,000.00 $39,000.00 13 $39,000.00 16 Manhole-Std 4 Ft Diam-Added Depth(o 47 VF $100.00 $4,700.00 54 $5,400.00 17 Manhole-Vacuum Test-Services 13 EA $150.00 $1,950.00 13 $1,950.00 18 Pipe-Sewer-6 Inch-PVC(All Depths)- 125 LF $55.00 $6,875.00 125 $6,875.00 19 Pipe-Sewer-8 Inch(All Depths)-Ins 80 LF $85.00 $6,800.00 60 $5,100.00 20 Pipe-Sewer-8 Inch-SDR 26(All Depths 820 LF $60.00 $49,200.00 890 $53,400.00 21 Pipe-Sewer-8 Inch-PVC(All Depths)-COtl3 1670 LF $58.00 $96,860.00 1666 $96,628,00 22 Sewer Service-4 Inch-Install on Pr 645 LF $20.00 $12,900.00 670 $13,400.00 Wednesday,June 10,2015 Page 3 of 6 i City Project Numbers 01493 DOE Number 3890 Contract Name SS Rehab Contract 64,Part 2 in Several Alleys&N Main St, Estimate Number 29 Contract Limits 30th St,Grafton St.Chester St,Loving Ave&Prairie Ave. Payment Number 29 Project Type SEWER For Period Ending 6/10/2015 Project Funding P254 702170149387 23 Sewer Service4 Inch Service Tap—1 15 Fla $300.00 $4,500.00 8 $2,400.00 24 Sewer Service4lnch-2 Way Clean Out 15 EA $500.00 $7,500.00 11 $5,500.00 25 Sewer-Service-6 Inch-2 Way Clean Out 1 EA $800.00 $800.00 26 Trench Safety System 5 Foot Depth-- 2020 LF $2.00 $4,040.00 2243 $4,486.00 27 Driveway--6 Inch—Install 75 SF $8.00 $600.00 75 $600.00 28 Alley-Crushed Stone—Install 20 SY $12.00 $240.00 20 $240.00 29 Curb&Gutter—Install 35 LF $35.00 $1,225.00 35 $1,225.00 30 Pavement-Additoinal HMAC Repair Be 300 SY $40.00 $12,000.00 31 Pavement-2 Inch Min HMAC on 2/27 Con 1325 LF $24.00 $31,800.00 2240 $53,760.00 32 Walk-Concrete—Install 20 SF $8.00 $160.00 60 $480.00 33 Dehole-Exploratory Excavation—Stud 3 EA $600.00 $1,800.00 2 $1,200,00 34 Concrete-Type B--Install 5 CY $100.00 $500.00 35 Concrete-Type E—install 5 CY $80.00 $400.00 36 Concrete-Encasement Install 60 LF $25.00 $1,500.00 37 Pipe--Abandon and Fill with Flowabl 2510 LF $6.00 $15,060.00 1597 $9,582.00 38 8"DIP WATER LINE COLI I 1 LS $5,500.00 $5,500.00 1 $5,500.00 Sub-Total of Previous Unit $345,170.00 $344,221.00 Wednesday,June 10,2015 Page 4 of 6 City Project Numbers 01493 DOE Number 3890 Contract Name SS Rehab Contract 64,Part 2 in Several Alleys&N Main St, Estimate Number 29 Contract Limits 30th St,GraRon St.Chester St,Loving Ave&Prairie Ave. Payment Number 29 Project Type SEWER For Period Ending 6/10/2015 Project Funding P254 702170149387 Contract Information Summary Original Contract Amount $912,795.00 Change Orders Change Order Number l $5,500.00 Change Order Number 3 $29,000.00 Total Contract Price $947,295.00 Date 611411,S Total Cost of Work Completed $946,318.40 Contractor Less %Retained $0.00 �� Dane SCJ �� Net Earned $946,318.40 pection Supervisor Earned This Period $47,315.92 Retainage This Period $0.00 Date � )� Less Liquidated Damages Pr 'ect M Days @ /Day $0.00 Date — -Zr LessPavement Deficiency $0.00 ctodTPW Infras rGDesign and Construction Less Penalty $0.00 Date � 1 Less Previous Payment $899,002.48 rector/Con acting Department Plus Material on Hand Less 15% $0.00 Balance Due This Payment $47,315.92 Wednesday,June 10,2015 Page 5 of 6 FORT WORTH rev 03/05/07 TRANSPORTATION&PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:29 NAME OF PROJECT: Sanitary Sewer rehabilitation Contract 64 Part 2 PROJECT NO.: 1493 CONTRACTOR: ARK DOE NO.: 3890 PERIOD FROM:06/01/15 TO: 05/15/15 FINAL INSPECTION DATE: 6-Mar-15 WORK ORDER EFFECTIVE: CONTRACT TIW: 393 Q wC C© DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS NIONTII CFLARGED CREDITED MONTH CHARGED CREDITED DURING DU R V i G 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 &HOLIDAY'S &TOO COLD RELOCATIONS CHARGED DAYS THIS PERIOD PREVIOUS PERIOD TOTALS ,9; TO DATE *REINAR.KS: CONTRACTOR DATE SPE TOR DATE ENGINEERING DEPARTMENT The City of Fon Worth•1000 Throckmorton Street•Fort Worth,TX 76012-(311 (817)392-7941 •Fax:(817)392-7845 OFFICIAL RECORD g CITY SECRETARY '{I ' FT. WORTH, TX FORTWORTHREV.02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR CONTRACTOR&PROJECT DATA Name of Contractor Project Name ARK Contracting Services Sanitary Sewer Rehab Contract 64 Part 2 DOE Inspector DOE Number Adilda Cazorla/Mike Meyers/Quincy Jones 3890 DOEInspecior Project Manager ❑ Water❑✓ Waste water E:1 StormDrainage[] Pavement Rakesh Chaube Initial Contract Amount Project Difficulty $912,795.00 O Simple Routine O Complex Final Contract Amount Date $946,318.40 15/15/2015 I1)PERFORMANCE EVALUATION 0-Inadequate l -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 3 8 6 2 Public Notifications 5 Y 4 20 20 3 Plans on Site 5 Y 4 20 20 4 Field Supervision I S 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 Y 4 20 20 11 Property Restoration 5 Y 4 20 20 12 After Hours Response 5 Y 4 20 20 13 Project Com Iction 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 426 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 426 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 448 Rating([TS/MS]*100%) 426 / 448 = 95% Performance Category Excellent <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 Contractor Signature DOE Inspector's Supervisor &Im6 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 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: SS Rehab.Contract 64,part 2 PROJECT NUMBER: 1493 DOE NUMBER: 3890 WATER PIPE LAID SIZE TYPE OF PIPE LF FIRE HYDRANTS: VALVES(16" OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: SEWER PIPE LAID SIZE TYPE OF PIPE LF 8" PVC 6688 8" HDPE 365 PIPE ABANDONED SIZE TYPE OF PIPE LF 6 clay 2632 DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 WAIVER AND RELEASE ON FINAL PAYMENT Project: SS Rehab Contract 64,Part 2-City Project No.01493 On receipt by the undersigned of a check from City of Fort Worth,Tx in the sum of $47,315.92 (Amount of Check) payable to ARK CONTRACTING SERVICES, LLC and when the check has been properly endorsed and has been paid by the bank on which it is drawn, this document becomes effective to release any Mechanic's Lien, any state or federal statutory bond right, any private bond right, any claim for payment and any rights under any similar ordinance, rule or statute related to claim or payment rights for persons in the undersigned's position that SS Rehab Contract 64, Part 2- city the undersigned has on the job of Project No. 01493 located at Fort Worth,Texas to the following extent. This release covers the final payment to the undersigned for all labor, services, equipment or materials furnished to the jobsite or to City of Fort Worth,Tx except for disputed claims in the amount of $ 0.00 Before any recipient of this document relies on it, the person should verify evidence of payment to the undersigned. The undersigned warrants that he has already paid in full all of his laborers, subcontractors, materialmen and suppliers for all work, materials, equipment or services provided for or to the equipment or services provided for or to the above referenced project up to the date of this waiver. June 11, 2015 ARK CONTRACTING SERVICES, LLC (Company Name) (Signature) Mary Beth Stephens, Treasurer (Title) Before me, the above signed authority, on this 11th Day of June 2015, personally appeared Mary Beth Stephens, known to be the person whose name is subscribed to the foregoing instrument, and acknowledged to me that she executed the same as the act and deed of President for the purposed and consideration therein expressed and in the capacity therin stated. Given Under My Hand and Seal of the Office this 11th day of June, 2015 +�° d TANA 5TEPFiENS F s� (^,:' '£Notary Public.State of Texas My Commission Expires otary Publ' d for the State of Texas *g?�� February 07, 2016 CONSENT OF SURETY COMPANY TO FINAL PAYMENT Bond #2163027 Project: Sanitary Sewer Rehabilitation Contract LXIV (64),Part 2 DOE#3890, City Project Number 01493 To(Owner): City of Fort Worth,Texas 1000 Throckmorton St. Contract For: See above Ft Worth,TX 76102 Contract Date: June 4, 2013 Contractor: Ark Contracting Services, LLC In accordance with the provision of the Contract between the Owner and the Contractor as defined above, the North American Specialty Insurance Company 650 Elm Street Manchester,NH 03101 ,Surety Company, on bond of Ark Contracting Services,LLC 420 S Dick Price Road Kennedale,TX 76060 ,Contractor hereby approves of the final payment to the contractor and agrees that final payment to the contractor shall not relieve the Surety Company of any of its obligations to the City of Fort Worth,Texas 1000 Throckmorton Street Ft Worth,TX 76102 ,Owner as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 11th day of June,2015. North American Specialty Insurance Company Surety Company W itne W�& Tracy Tucker, ttorney-in-Fact - 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: W.LAWRENCE BROWN,TRACY TUCKER, KEVIN J.DUNN and STEVEN TUCKER 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($50,000,000.00)DOLLARS This Power of Attorney is granted and is signed by facsimile under and by the authority of the following Resolutions adopted by the Boards of Directors of both North American Specialty Insurance Company and Washington International Insurance Company at meetings duly called and held on the 9`h of May,2012: "RESOLVED,that any two of the Presidents,any Managing Director,any Senior Vice President,any Vice President,any Assistant Vice President, the Secretary or any Assistant Secretary be,and each or any of them hereby is authorized to execute a Power of Attorney qualifying the attorney named in the given Power of Attorney to execute on behalf of the Company bonds,undertakings and all contracts of surety,and that each or any of them hereby is authorized to attest to the execution of any such Power of Attorney and to attach therein the seal of the Company; and it is FURTHER RESOLVED,that the signature of such officers and the seal of the Company may be affixed to any such Power of Attorney or to any certificate relating thereto by facsimile,and any such Power of Attorney or certificate bearing such facsimile signatures or facsimile seal shall be binding upon the Company when so affixed and in the future with regard /to any bond,undertaking or contract of surety to which it is attached." J�\y }tPOq'M'pGION ..........& By ` ?:' F•. Stevca P.Anderson,Senior Vice Presldrot of Washington International fasurancr Company 2i sSEAL ��{ o W,Z 1873 eWf t1` &Senior Vice President of North American Specialty Insurance Company d; tm$ B �.c�tJ� pihy`Pd.'+.'...�..•��y�,s{. /Y4AP5r'x�"'a David M.Layman,Vice Ptesideot of Washington International insurance Company �nnttauatN &Vice Rssident of North American Specialty Insurnnce 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 this26th day of June 2012 North American Specialty Insurance Company Washington International Insurance Company State of Illinois County of Cook ss: On this 26th day of June ,20 12 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 ofNorth American Specialty Insurance Company, personally known to me,who being by me duly swom,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" /�y t p � DONNA D.SKLENS Notary Public,State of Illinois Donna D.Sklens,Notary Public My commission&pires 10/06/2015 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 worth American Specialty Insurance Company and Washington International Insurance Company,which is still in full force and effect. IN WITNESS WHEREOF,1 have set my hand and affixed the seals of the Companies this l l th day of June 20 15 . Jeffrey Goldberg,Vice President&Anistanl Secretary of Washington International Insurance Company&North American Specialty insurance Company FORTWORTHREV:°M2'0' TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: Name ojContractor Project Name ARK Contacting Services Sanitary Sewer Rehab.Contract 64 Part 2 DOEInspector Project Manager Adilda Cazorla/Mike Meyer Quincy Jones Rakesh Chaube DOE Number Project Difficulty Type ojContract 3890 O Simple Q Routine O Complex ❑ Water Waste Water❑ Storm DrainageE] Pavement Initial Contract Amount Final Contract Amount $912,795.00 $946,318.40 U)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 I Accuracy of Plans to Existing Conditions 2- 2 Knowledge of Inspector 3 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities It 3 ApplicabiLity Applicabilityof Specifications 4 Display Of Professionalism y 4 Accuracy of Plan Quantities 3 5 Citizen Complaint Resolution -1 PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews Labs y 1 Knowledge And/Or Problem Resolution ADMINISTRATION 2 Availability of Project Manager 1 1 Change Order Processing Time 3 Communication Z 2 Tim]iness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe H "COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS 0 The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax-(817)392-7845