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Contract 46269-FP1
Depa nt TP SW Co11at Services Project Manager ate Risk Managernent J.Pae T Wll((�� RT H D.O.E. - Brotherton CFA W"terman/Scanned The p10C� p Poo*tw,taw, ea+eetrstnp the req for tul "�h"''rHas��polatct for such �� TION AND PUBLIC WORKS =PROJECT COMPLETION Clt:aranca Conducted By Shameka Kennedy D.O.E. NY: 7357 Regarding contract U7357 for EDWARDS trAtvt'H CJX—k FORS 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 Deparmnent has accepted the profD E E it WE Original Contract Prices: tl 5 $107„31037 JUL 0� 2015 Amount or Approved Change Orde 520.999.10 N4 1 Revised Contract Amount: $128,.309.37 Total Cost Work Completed: S12VO937 Len Deductions: Liquidated DawAges: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: $128-309.37 Less Previous Payments: 50.00 l Final Payment Due $128,30937 Recommended for Acceptance Date Asst. Director, TPW - Infrastructure Design and Construction dDate Asst Director, WATER DEPARTMENT ( �l I�� Asst. City Manager Dat6 9 l Comments: P265-541200-603150240783,P275-541200-703130240783 s RECEIVED JUL 07 2015 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TK FORT NORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name EDWARDS RANCH CLEARFORK ADDITION Contract Limits Project Type WATER&SEWER City Project Numbers 02407 DOE Number 7357 Estimate Number I Payment Number 1 For Period Ending 5/15/2015 CD City Secretary Contract Number 117357 Contract Time 4ED Contract Date Days Charged to Date 95 Project Manager Buckley Contract is 100.00 Complete Contractor CONATSER CONSTRUCTION TxLP 5327 WICHITA ST FORT WORTH, TX 76119 Inspectors LAYER / TAEZAZ Friday,May 15,2015 Page 1 of 5 I City Project Numbers 02407 DOE Number 7357 Contract Name EDWARDS RANCH CLEARFORK ADDITION Estimate Number I Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 5/15/2015 Project Funding WATER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total --------------------------------------- 1 -------- ---------------------------1 8"PVC WATER PIPE co#1 1137.57 LF $34.00 $38,677.38 1137.57 $38,677.38 2 8"GATE VALVE co#1 7 EA $1,050.00 $7,350.00 7 $7,350.00 3 FIRE HYDRANT 1 EA $3,600.00 $3,600.00 1 $3,600.00 4 6"PVC WATER PIPE 40 LF $40.00 $1,600.00 40 $1,600.00 5 6"GATE VALVE I EA $950.00 $950.00 1 $950.00 6 2"WATER SERVICE cool 2 EA $2,250.00 $4,500.00 2 $4,500.00 7 DUCTILE IRON WATER FITTINGS 1.25 TN $4,000.00 $5,000.00 1.25 $5,000.00 W/RESTRAINT 8 CONCRETE BLOCKING co#1 3.02 CY $80.00 $241.60 3.02 $241.60 9 CONNECTION TO EXISTING 4"-12"WATER I EA $500.00 $500.00 1 $500.00 MAIN 10 TRENCH SAFETY cc#1 1137.57 LF $0.25 $284.39 1137.57 $284.39 11 REMOVE 12"WATERLINE CONI 121 LF $12.00 $1,452.00 121 $1,452.00 12 1"WATER SERVICE CONI -_ I EA -$1,050.00 -$1,050.00 --- 1 $1_050.00 Sub-Total of Previous Unit $65,205.37 $65,205.37 SEWER Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 8"SEWER PIPE CON 1 702 LF $40.00 $28,080.00 702 $28,080.00 2 8"SEWER PIPE,CSS BACKFILL 126 LF $48.00 $6,048.00 126 $6,048.00 3 TRENCH WATER STOPS 3 EA $300.00 $900.00 3 $900.00 4 4'MANHOLE CONI 2 EA $3,500.00 $7,000.00 2 $7,000.00 5 4'EXTRA DEPTH MANHOLE 12 VF $37.50 $450.00 12 $450.00 6 CONNECT TO EXISTING MANHOLE 1 EA $1,200.00 $1,200.00 1 $1,200.00 7 MANHOLE ADfUSTMENT 1 EA $1,000.00 $1,000,00 1 $1,000.00 9 MANHOLE VACUUM TEST 4 EA $300.00 $1,200.00 4 $1,200.00 10 4"SEWER SERVICE 4 EA $650.00 $2,600.00 4 $2,600.00 11 4"CLEANOUT 4 EA $250.00 $1,000.00 4 $1,000.00 12 TRENCH SAFETY CON 1 828 LF $2.00 $1,656.00 828 $1,656.00 13 POST CCTV INSPECTION CONI 828 LF $2.50 $2,070.00 828 $2,070.00 Friday,May 15,2015 Page 2 of 5 City Project Numbers 02407 DOE Number 7357 Contract Name EDWARDS RANCH CLEARFORK ADDITION Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 5/15/2015 Project Funding 14 INSTALL EXTERNAL DROP ON EXISTING I EA $4,900.00 $4,900.00 1 $4,900.00 MANHOLE CO#1 15 4'DIA DROP MANHOLE CO#1 1 EA $5,000.00 $5,000.00 1 $5,000.00 Sub-Total of Previous Unit $63,104.00 $63,104.00 Fnday,May 15,2015 Page 3 of 5 City Project Numbers 02407 DOE Number 7357 Contract Name EDWARDS RANCH CLEARFORK ADDITION Estimate Number 1 Contract Limits Payment Number 1 Project Type WATER&SEWER For Period Ending 5/15/2015 Project Funding Contract Information Summary Original Contract Amount $107,310.27 Change Orders Change Order Number 1 $20,999.10 Total Contract Price $128,309.37 'J Dates^�6-�� Total Cost of Work Completed $128,309.37 Less %Retained $0.00 �l8/1s Date Earned Net $128,309.37 J S i Earned This Period $128,309.37 Retainage This Period $0.00 Date Less Liquidated Damages Project M Days @ /Day $0.00 Date — LessPavement Deficiency $0.00 L it or/TP, -Infras Design and Construction Less Penalty $0.00 Date `i S— Less Previous Payment $0.00 Director/Contracting Department Plus Material on Hand Less 15% $0.00 i Balance Due This Payment $128,309.37 Friday,May 15,2015 Page 4 of 5 rJUL T/ M 06 2015 ads -- d zol City Project Numbers 02407 DOE Number 7357 Contract Name EDWARDS RANCH CLEARFORK ADDITION Estimate Number 1 Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 5/15/2015 Project Funding Project Manager Buddey City Secretary Contract Number 117357 Inspectors LAYER / TAEZAZ Contract Date Contractor CONATSER CONSTRUCTION TxLP Contract Time 45 CD 5327 WICHITA ST Days Charged to Date 95 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 $128,309.37 Less %Retained $0.00 Net Earned $128,309.37 Earned This Period $128,309.37 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 $128,309.37 Friday,May 15,2015 Page 5 of 5 FORTWORTH rev 03105/07 TRANSPORTATION& PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATF.VIENT NO.; I NAME OF PROJECT: Edwards Ranch Cleartork Addition PROJECT NO.: 2407 CONTRACTOR: Conatser Construction DOE,NO.: 7357 PERIOD FROM 01"0'15 TO: 02174115 FINAL INSPECTION DATE: 24-Apr-15 WORK ORDER EFFECTIVE:1!20?2015 CONTRACT TIME: 45 O WD @) 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 OTHERS* DAYS TOTAL & HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS THIS 0 0 0 0 95 95 PERIOD PREVIOUS 0 0 0 0 0 0 PERIOD TOTALS 0 0 0 0 95 95 TO DATE *REMARKS: s -r9-r� �3 to ti coO RACTOR DATE INSPECTOR DATE ENGINEERING DEPARTI MNT 9 The City of Fort Worth• 1000 Throckmorton Street•Fort Worth,T-%76012-6311 0 CIAL RECORD (8 17)392-7941 •Fax:(817)392-7845 CITY SECRETARY FT.WORTH,TX CD $G� k g g S ® , ■ 2 k 3 � § f. 2 7 �� ■ } s k3 ■ m fa s s ° 0 § ; k \IT o /§ z LU § \\ § \ 22 \ / \ Gco k < E © 44 2 / Q. �\ $ C , j§ ! & 2 \ \ ) \ \/ § a. 2 7 # ƒ p m a s m k § < } & B f / ) / > \ § � � ■ \LU \2 \ ( } § IL § k $ / C? eq 7 2 f g § $ ° 7 ¥ B G p 2 a / k & 2 2 ) 0 3w # .U: § , 0 Q # o o / f z k / w w $ } u a U � U 8 2 o § 7 A u 3 / ° < ° 2 m 8 § 6 I o o CL c } D- n- F-\ } 2 ` & \ § § \ / - ~ It w\ � § ° [ \ Z 2 ] ) s o f o < ƒ u m E § * z o § \ ) = 0 0 o e # @ _ o ui o o < w - ) C, C, G°a#8a&S k©2$/$ @ [k■2 a� [2a2- fes CIL* mm#� 88#RR C4 §§ ' §§oma §})§ o 40) Z9 £ (L in/ _ CL_¥0--2 z G K § � S } � d � . ) » k \ a LU \ & z k ` c} LL o 3� - Ss § 22 �± . CD � \ M k$L K. 3to �_k �I,>ro©$�U) \� oLL w .--9_ ■ . q)�3 §= t . E� (L 2§ vxi»S ■�2o§ ix0/§G §§ § § � §%w���UJ-i § I-i-iII �■ fLLJ | 2 ( >( §§a 2 � � ka--aa ; r §§ - ; J Z kuj U. $ ■ , } § %§ §��` § §§n2 $k S ow 2 ■ ƒ ■ ° J ■ / g Z ° a © 0 2 « 2 U- _0 z \ & ° 0 2 } AFFIDAVIT STATE OF TEXAS COUNTY OF TARR.ANT Before me, the undersigned authority, a Notary Public in the state and county aforesaid, on this day personally appeared Brock Huggins, Vice-President of Conatser Management Group, Inc.,general partner of Conatser Construction TX,LP, 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;and That there are no claims pending for personal injury and/or property damages; On Contract described as: EDWARDS RANCH CLEARFORK ADDITION BLOCK SW-3,LOT 1& SW-8 WATER, SANITARY SEWER, PAVING,DRAINAGE City Project#:02407 CITY OF FORT WORTH STATE OF TEXAS CON ER CONSTRUCTION TX, LP Brock Huggins Subscribed and sworn to before me this 241h day of April, Bertha Gianulis Notary Public for Notary Public in Tarrant County, Texas CIM State of Texas t:;; commission expires:0911812015 CONSENT OF OWNER ❑ ARCHITECT SURETY COMPANY ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document G707 Bond No 0187847 PROJECT: (name, addresS)Edwards Ranch Clearfork Addition Fort Worth TX TO (Owner) City Project No. CASSCO DEVELOPMENT COMPANY,INC.AND CITY ARCHITECT'S PROJECT NO: 02407 OF FORT WORTH CONTRACT FOR: Edwards Ranch Clearfork Addition Block SW-3,Lot 1 &SW-8,Lot 1 - Public Water&Sanitary Sewer and Private Paving&Drainage Im rov merits Fort wonn Tx MRRACT DATE: CONTRACTOR:CONATSER CONSTRUCTION TX, L.P. 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) BERKLEY INSURANCE COMPANY 475 Steamboat Road Greenwich CT 06830 , SURETY COMPANY on bond of (here insert name and address of Contractor) CONATSER CONSTRUCTION TX,L.P. 5327 Wichita St. Forest Hill TX 76119-6035 , 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 (here insert name and address of Owner) CASSCO DEVELOPMENT COMPANY, INC.AND CITY OF FORT WORTH Fort Worth TX , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 8th day of April,2015 BERKLEY INSURANCE COMPANY �Surety Company Attest: (Seal): Signature of Authorized Representative Robbi Morales 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 ONE PAGE No.BI-7280e POWER OF ATTORNEY BERKLEY INSURANCE COMPANY WILMINGTON,DELAWARE NOTICE: The warning found elsewhere in this Power of Attorney affects the validity thereof. Please review carefully. KNOW ALL MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Delaware,having its principal office in Greenwich,CT,has made, constituted and appointed, and does by these presents make, constitute and appoint: Ricardo J. Reyna; Don E. Cornell; Lisa M. Bonnot; Vena DeLene Marshall; Sophinie Hunter; Robbi Morales; or Kelly A. Westbrook of Aon Risk Services Soulliwest, Inc. of Dallas, TX its true and lawful Attorney-in-Fact, to sign its name as surety only as delineated below and to execute, seal, acknowledge and deliver any and all bonds and undertakings, with the exception of Financial Guaranty Insurance, providing that 4 no single obligation shall exceed Fifty Million and 00/100 U.S. Dollars(U.S.$50,000,000.00),to the same extent as if such bonds had been duly executed and acknowledged by the regularly elected officers of the Company at its principal office in their own vproper persons. E = This Power of Attorney shall be construed and enforced in accordance with, and governed by, the laws of the State of Delaware, c without giving effect to the principles of conflicts of laws thereof. This Power of Attorney is granted pursuant to the following resolutions which were duly and validly adopted at a meeting of the Board of Directors of the Company held on January 25,2010: ems, y RESOLVED, that, with respect to the Surety business written by Berkley Surety Group, the Chairman of the Board, Chief Executive Officer, President or any Vice President of the Company, in conjunction with the Secretary or any Assistant a Secretary are hereby authorized to execute powers of attorney authorizing and qualifying the attorney-in-fact named therein o to execute bonds, undertakings, recognizances, or other suretyship obligations on behalf of the Company, and to affix the corporate sea] of the Company to powers of attorney executed pursuant hereto; and said officers may remove any such �.� attorney-in-fact and revoke any power of attorney previously granted;and further P RESOLVED, that such power of attorney limits the acts of those named therein to the bonds, undertakings, recognizances, or other suretyship obligations specifically named therein, and they have no authority to bind the Company except in the z o manner and to the extent therein stated;and further s0 RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney-in-fact named; and = further a.= RESOLVED, that the signature of any authorized officer and the seal of the Company may be affixed by facsimile to any = E power of attorney or certification thereof authorizing the execution and delivery of any bond, undertaking, recognizance, or U other suretyship obligation of the Company;and such signature and seal when so used shall have the same force and effect as E .= though manually affixed. The Company may continue to use for the purposes herein stated the facsimile signature of any person or persons who shall have been such officer or officers of the Company, notwithstanding the fact that they may have £ ceased to be such at the time when such instruments shall be issued. c IN WITNESS WHEREOF, the Corppany has cathese presents to be signed and attested by its appropriate officers and its Y corporate seal hereunto affixed this J"`day of D./f k 2015. J CA Attest: — Berkley Insurance Company CU Uc F (Sea[) By i By c v Ira S. ederman Je Hafter Senior Vice President&Secretary S e President r WARNING: THIS POWER INVALID IF NOT PRINTED ON BLUE"BERKLEY"SECURITY PAPER. �.w E STATE OF CONNECTICUT) v ° ) ss: C COUNTY OF FAIRFIELD ) _ s Sworn to before me, a Notary Public in the State of Connecticut,this 21 day of ,V-t/, - , 2015, by Ira S. Lederman and Jeffrey M. Hafter who are sworn to me to be the Senior Vice President and Secreta and the Senior Vice ident,respectively,of T Berkley Insurance Company. MARIA C.RUNDBAKEN d a NOTARY PUBLIC MY COMMISSION EXPIRES APRIL 30,20t9 Notary Public State of Connecticut CERTIFICATE Z ;1,the undersigned,Assistant Secretary of BERKLEY INSURANCE COMPANY,DO HEREBY CERTIFY that the foregoing is a 3 true, correct and complete copy of the original Power of Attorney;that said Power of Attorney has not been revoked or rescinded and that the authority of the Attorney-in-Fact set forth therein, who executed the bond or undertaking to which this Power of Attorney is attached,is in full force and effect as of this date. Given under my hand and seal of the Company,this8th day of Aril 2015 (Seal) Andr'w FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Conatser Construction Edwards Ranch Clearfork Addition DOE Inspector DOE Number Habte Taezaz 7357 DOE Inspector Project Manager O Water O Waste Water O Storm Drainage O Pavement Patrik Burkley Initial Contract Amount Project Difficulty $107,310.27 0 Simple O Routine O Complex Final Contract Amount Date $128,309.37 4/24/2015 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 I 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 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 IIl)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 408 Rating([TS/MS] * 100%) 341 / 408 = 84% Performance Category Excellent <20%=Inadequate 20'0 to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good >_80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) r Signature DOE lnspectorU l.,i—, ,�_ ,i.� Signature Contractor 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 (817)392-7941 •Fax: (817)392-7845 EDWARDS RANCH ESTABLISHED 1848 June 5,2015 Mr. Scott Nyre Conatser Construction TX,LP P O BOX 15448 Fort Worth,TX 76119 RE: Edwards Ranch Clearfork SW BLK 2&8 Water&Sewer Project City of Fort Worth, State of Texas Dear Mr.Huggins, Cassco Development Co.,Inc.hereby acknowledges that Conatser Construction TX,LP has completed the Water and Paving portions of the above captioned project in a timely manner. Although the contractual time was exceeded,Cassco Development Co.,Inc. will not assess any penalties or liquidated damages due to time extensions. If you have any questions,please feel free to contact our office. Sincerely, Cassco velopment Co.,Inc. Vice President 4200 S Hulen Street, Suite 614, Fort Worth, TX 76109 1 817.73 1.739 6 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Edwards Ranch Clearfork Addition(Bike Shop) PROJECT NUMBER: 2407 DOE NUMBER: 7357 WATER PIPE LAID SIZE TYPE OF PIPE LF Yes 8" PVC 1138 6" PVC 40 FIRE HYDRANTS: 1 VALVES(16"OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF Removed 12" PVC 121 DENSITIES: Yes NEW SERVICES: 2" Copper 40 1" Copper 20 SEWER PIPE LAID SIZE TYPE OF PIPE LF Yes 8" PVC 702 PIPE ABANDONED SIZE TYPE OF PIPE LF No DENSITIES: Yes NEW SERVICES: ;f. r _ TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth• 1000 Thtockmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845 FORT WORTH REV 02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 4/24/2015 Name of Contractor Project Name Conatser Construction Edwards Ranch Clearfork Addition DOE Inspector Project Manager Habte Taezaz Patrick Buckley DOE Number Project Difficulty Type of Contract 7357 O Simple O Routine O Complex O Water O Waste Water ❑ Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount $107,310.27 1$128,309.37 II)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 t / 1 Accuracy of Plans to Existing Conditions 2 Knowledge of Inspector 2 Clarity&Sufficiency of Details L 3 Accuracy of Measured Quantities Li 3 Applicability of Specifications Ll 4 Display Of Professionalism 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION 6 Performance-Setting up Valve Crews,Labs t 1 Knowledge And/Or Problem Resolution ADMiMSTRATION 2 Availability of Project Manager 1 Change Order Processing Time rl 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 L4 ,,o_, A 1 j Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS 10 The City of Fort Worth• 1000 Throckmorton Street• Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845