HomeMy WebLinkAboutContract 44049-FP1 Received By FORTWORTHD PY StCiT`�A
Business Support Group 0T N . _ Yt
Brandy Crane 1
MAY 01 Z015, TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
D.O.E.Ns: 6307
Regarding contract 44049 for HENDERSON STREET(S.H.199)DETOUR as required by the 1///7
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 127V/2012
through M&C C-25977wthe 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: $1,929,961.63
Amount of Approved Change Orders: $419,148.59 Ns 1,2,3,4,5,6,7
Revised Contract Amount: $2,349,110.22
Total Cost Work Completed: $2,338,865.71
Less Deductions:
Liquidated Damages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $2,338,865.71
l Less Previous Payments: $2,311,764.56
Final Payment Due $27,101.15
y Recommended for Acceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
�,..�. Lj
Accepted Date
Asst. Director,
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
Asst. City Manager Date
Comments: FUND ACCT.C204-539120-2092300144
OFFICIAL RECORD�
RECEIVED SEP 3 0 2015 FT, WORTH, TX
�t
TPW Construction Invoice
ta n
Contract: CS44049 P.O.# PO-15487045,PO-13-75314 Payment Date: 4/lS/201S
TO:JIB Conmicting LLC INV.# CS44N9-FjV/'L Estimate No. 52 DOE: 6307
P O Hoz 24131 projManager Pat Buckley ACH
Fart Worth TX 76124
FOR •Henderson Street(S.H.1")Debora
Contract Amount: 32,349,11025
Total to Date: V,338,965.71 $0.00 $2,338,965.71
Previous Estimate: $2335,115.71 $23351.16 $2311,764.55
Earned to Date: $3,750.00 (SMXL16) 527,101.16 FINAL PAY
cusewwommm $74,99625 CM-»9.70 75,CON-MW f0,7-$6.3X09
Total to Date: 574,99625 $0.00 574,996.25
Previous Estimate: $73,058.75 $730.59 $77,328.16
Eamed to Date: 51.937.50 (5730.59) 52,668.09
0"44120041026M44ft $2,274,114.00 CON 1-$289,139.75,0X02-526,617.00.3-S9,545.59,4-$18,850.00
Total to Date: $2,263,869.46 $0.00 $2,263.869.46
Previous Estimate: 52,262,056.96 $22,620.57 $2,239,43639
Earned to Date: $1,812.50 (522,620.57) $24,433.07
Transportation&Public Works
BUSINESS SUPPORT GROUP
Contact Person-BRANDY CR E- .2852
Department Appro .
KAREN
STRIKE
DEPARTMENT CHECK PICK-UP YES ❑
Tuesday,May 12,2015 Page 1 of I
City Project Numbers 00144 DOE Number 6307
Contract Name Henderson Street(S.H.199)Detour Estimate Number 52
Contract Limits Pnyment Number 52
Project Type PAVING For Period Ending 4/152015
Project Funding
Project Manager Rademaker City Secretary Contract Number 44049
In pectors GREGORY / COLLIER Contract Date 12/42012
Contractor JIB CONTRACTING,LLC. Contract Time 360 W
PO BOX 24131 Days Charged to Date 587 W
PORT WORTH, TX 76124-1131 Contractis .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
Total Cost of Work Completed $2,338,865.71
Departm ?W Const.Services a Less %Retained $0.00
DOE# Date / Net Earned $2,338,865.72
Project Maaager
Risk Management S.Canadv Earned This Period $27,101.16
D.O.E. Brotherton Retainage This Period $0.00
CFA Westerman/Scanned ❑ Less Liquidated Damages
0 Days® $0.00 /Day $0.00
The Proceeding people have been Contacted concerning the request
for final payment&have released this project for such payment. LessPavement Deficiency $0.00
Clearance Conducted By Etta Bacy Less Penalty $0.00
Less Previous Payment $2,311,764.56
Plus Material on Hand Leas 15% $0.00
Balance Due This Payment $27,101.16
�Co.�,. si�il Pup 9of9
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name Henderson Street(S.H.199)Detour
Contract Limits
Project Type PAVING
City Project Numbers 00144
DOE Number 6307
Estimate Number 52 Payment Number 52 For Period Ending 4/15/2015
W
City Secretary Contract Number 44049 Contract Time 58w
Contract Date 12/4/2012 Days Charged to Date 587
Project Manager Rademarer Contract is 100.00 Complete
Contractor XB CONTRACTING,LLC.
PO BOX 24131
FORT WORTH, TX 76124-1131
Inspectors GREGORY / COLLIER
Tuesday,April 21,2015 Page 1 of 9
City Project Numbers 00144 DOE Number 6307
Contract Name Henderson Street(S.H.199)Detour Estimate Number 52
Contract Limits Payment Number 52
Project Type PAVING For Period Ending 4/15/2015
Project Funding
Base Bid of Henderson
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Qaanity Total Qaanity Total
1 Railroad Coordination 1 LA $2,100.00 $2,100.00 1 $2,100.00
2 Railroad Flagmen 15 WD $1,250.00 $18,750.00 15 $18,750.00
3 Remove Sidewalk(CO 01) 669 SF $3.20 $2,140.80 669 $2,140.80
4 Remove Concrete Drive(CO 01) 2000 SF $3.20 $6,400.00 2000 $4400.00
5 Repave Guardrail 469 LF $4.26 $1,997.94 525 $2,236.50
6 Remove Conc Pvmt 20 SY $4.14 $82.80 20 $82.80
7 Remove Asphalt Pvmt 10629 SY $3.20 $34,012.80 10629 $34,012.80
8 6'Pressure Plug 1 FA $535.00 $535.00
9 Remove Com;Curb&Gutter 985 LF $2.15 $2,117.75 1335 $2,870.25
10 Salvage 6'Weer Valve(Relocate) 1 FA $2,610.00 $2,610.00
11 Salvage Fine Hydrant(Relocate) 1 FA $2,665.00 $2,665.00
12 2'CONDI RM(RISER) 20 LF $20.00 $400.00 20 $400.00
13 3'CONDT PVC SCH 40(I) 15 LF $10.65 $159.75 15 $159.75
14 3'CONDT PVC SCH 40(B) 235 LF $1920 $4,512.00 235 $4,512.00
15 3'CONDI RM(RISER) 20 LF $21.50 $430.00 20 $430.00
16 Site Clearing 1 LS $73,500.00 $73,500.00 1 $73,500.00
17 Unclassified Excavation(CO 01) 10195 CY $9.84 $100,318.80 10195 $100,318.80
19 Embankment(CO 01) 4195 CY $7.53 $31,588.35 4195 $31,58835
20 SWPPP_>1 acre 1 LS $10,000.00 $10,000.00 1 $10,000.00
21 Asphalt Pvmt Repair Beyond Defined W 120 SY $52.19 $6,262.80
22 6'Flex Base,Type D,GR-1(Perking 1239 SY $7.00 $8,673.00 1154 $8,078.00
23 8'Flex Base,Type D,GR-1 2978 SY $8.58 $25,55124 2978 $25,55124
24 2•Asphalt Pvmt Type D(Henderson Si 50 SY $22.04 $1,102.00
25 2'Asphalt Pvmt Type D(Parking Lot 1239 SY $9.70 $12,018.30 1154 $11,193.80
26 2'Asphalt Pvmt Type D(Side Streets 2699 SY $9.61 $25,937.39 2742.5 $26,355.43
27 2'Asphalt Pvmt Type D(Henderson De 13632 SY $13.18 ;179,669.76 13832 $182,305.76
28 4'Asphalt Pvmt Type D(Henderson Si 30 SY $43.30 $1,299.00 30 $1,299.00
29 4'Asphalt Base Type B(Henderson De 13632 SY $17.51 1238,696.32 13832 $242,198.32
30 4'Asphalt Base Type B(Parking Lot 1239 SY $19.09 $73,652.51 1154 522,029.86
31 4'Asphalt Base Type B(Side Streets 2699 SY $17.97 $48,501.03 2742.5 $49,282.73
32 4'Asphalt Pvmt Type B(Henderson Si 50 SY $30.40 $1,520.00
Monday,April 20,2015 Page 2 of 9
City Project Numbers 00144 DOE Number 6307
Contract Name Henderson Suter(S.H.199)Detour Estimate Number 52
Contract Limits Payment Number 52
Project Type PAVING For Period Ending 4115!2015
Project Funding
33 8'Conc Pvmt HES 30 SY $90.00 $2,700.00 30 $2,700.00
34 4'Conc Sidewalk 450 SF 55.08 52,286.00 450 $2,28600
35 6'Concrete Driveway 3005 SF $5.09 $15,295.45 3043.34 $15,490.60
36 6'Conc Curb and Gutter 2735 LF 520.65 $56,477.75 2378 $49,105.70
37 4'SLD Pvmt Matting HAS(W) 2420 LF $1.07 52,589.40 2420 $2,589.40
38 4'SLD Pvmt Marking HAS(Y) 3925 LF $1.07 54,199.75 3925 $4,199.75
39 4'BRK Pvmt Marking HAS(W) 50 LF $1.07 $53.50
40 8'SLD Pvmt Marking HAS(W) 500 LF $1.60 $800.00 620 $992.00
41 12'SIA Pvmt Marking HAE(W) 245 LF 52.95 $722.75
42 24'SIA Pvmt Marking HAE(W) 270 LF $6.40 $1,728.00 280 $1,792.00
43 Lane Lagend RR 4 EA $480.00 $1,920.00 4 $1,920.00
44 REFL Raised Marker TY I-C 58 EA $3.75 $217.50 58 $217.50
45 REFL Raised Marker TY 19-A-A 30 EA $3.75 $112.50 30 $112.50
46 REEL Raised Marker TY II-C-R 13 EA $3.75 $48.75 13 $48.75
47 Remove 4'Pv nt Marking(Work Zone) 17490 LF $1.33 $23,261.70 17490 $23,261.70
48 Remove 24'Pvmt Marking 110 LF $4.30 $473.00 110 $473.00
49 IO'Cham Link,Steel(CO itl) 708 LF $39.50 527,966.00 1286 $50,797.00
50 10'Gate,Steel(Width varies 19'to 4 EA $11,100.00 $44,400.00 4 $44,400.00
51 Topsoil 862 CY $11.65 $10,042.30 635 $7,397.75
52 Seeding,Hydromulch 7765 SY $0.99 $7,68735 5700 $5,643.00
53 Inlet Adjustment I EA $3,100.00 $3,100.00 1 $3,100.00
54 Manhole A4justment,Misr 1 EA $530.00 $530.00 4 $2,120.00
55 Miscellaneous Structure Adjustment 1 EA $2,560.00 $2,560.00 1 $2,560.00
56 Trench Safety 495 LF $2.15 $1,064.25
57 Valve Box Adjustment 2 EA $310.00 $620.00 4 $1,240.00
58 Vault Box Adjustment(for 54'Wated 1 EA $2,400.00 52,400.00
66 30'RCP,Class 111 231 LF $116.00 $26,796.00 414 $48,024.01
67 48'RCP,Class II 244 LF $220.00 553,680.00 266 558,520.00
68 V Drop Inlet 1 EA $4,155.00 $4,155.00 I $4,155.00
69 3-Sed Signal Head Assmrbly 12 EA $960.00 511,520.0 12 $11,520.00
70 4-Sect Signal Head Assmbly 2 EA $1,280.00 52,560.00 2 $2,560.00
71 Pod Signal Head Assmbly 2 EA $695.00 SI,390.00
72 2'Ped Push BTN Station vd Sign(Sig 1 EA 5270.00 5270.00
73 2'Ped Push BTN Station w/Sign(Ped I EA 5270.00 $270.00
Monday,April 20,2015 Page 3 of 9
City Project Numbers 00144 DOE Number 6307
Contract Name Henderson Street(S.H.1")Detour Estimate Number 52
Contract Limits Payment Number 52
Project Type PAVING For Period Ending 4/15/2015
Project Funding
74 Install VIVDS 2 EA $745.00 $1,490.00 2 $1,490.00
75 4/C 14 AWG Multi-Conductor Cable 20 LF 52.15 $43.00 20 543.00
76 8/C 14 AWG Multi-Conductor Cable 400 LF $2.15 $860.00 400 $860.00
77 20/C 14 AWG Multi-Conductor Cable 245 LF $3.20 $784.00 245 $784.00
78 NO 6 Triplex OH insulated Elec Condr 170 LF 5320 5544.00
79 NO 8 Bare Ekc Condr 420 LF 51.10 $462.00 420 $462.00
80 Ground Box,Large,w/Lid Apron 2 EA $855.00 $1,710.00 2 $1,710.00
81 Salvage Traffic Signal 1 EA 52,665.00 52,665.00
82 20OW HPS PC Lighting Fixture 1 EA $535.00 $535.00 1 5535.00
83 Furnish/Install 40'Wood Light Pole 1 EA $1,600.00 51,600.00 1 51,600.00
84 FurnishAnttall 8'Wood light Pole A 1 EA 5375.00 5375.00 1 5375.00
85 Furnish/Install Alum Sign Most Arm M 2 EA $320.00 5640.00 4 $1,280.00
86 Install alum sign ground mount 19 EA 5375.00 $7,125.00 57 521,375.00
87 Traffic Control(CO N1)CON4 15 MO $1,850.00 $27,750.00 20 537,000.00
88 Miscellaneous Construction Force Ace(CO 03) 68063 EA $1.00 $68,063.00 59263.5 $59,263.50
89 Miscellaneous Utility Farce Account(CO 03) 24601.8 EA $1.00 $24,601.80 24601.8 524,601.80
90 Retaining Wall for 54'Waterline 249 SF $37.50 $9,337.50 205 $7,687.50
91 MTL BEAM GD FEN MU POST) 660 LF $22.10 $14,586.00 362.5 58,011.25
92 Terminal Anchor Section 4 EA $555.00 $2,220.00 1 $555.00
93 Guardrail End Treatment(Install) 2 EA 53,150.00 $6,300.00 2 $6,300.00
94 MTL BM OD FN(Salvage and reuse) 428 LF $22.10 $9,458.80
95 Water Traffic Barrier 550 LF $64.00 $35,200.00 600 $38,440.00
96 21'Flex Base,Type D,GR-1 14891 SY $18.75 $279,20625 15099.2 $283,110.00
97 36'YIELD TRIANGLE MARKINGS 5 EA 5270.00 $1,350.00
98 12/C 14 AWG Multi-Conductor Cable 240 LF 52.70 $648.00 240 5648.00
99 3/8'STRANDED STEEL CABLE 600 LF $320 $1,920.00 600 $1,920.00
16A SITE CLEARING(CO 01) 1 LS 524,255.00 $24,255.00 1 524,255.00
100 FWWRRAILROAD COORDINATION(CO/1) 63598.96 FA $1.00 $63,598.96 63598.96 563,598.96
101 HENDERSON STREET CLEANUP(CON 1) 1 LS 51,750.00 $1,750.00 1 51,750.00
102 CALHOUN PULVERIZATION(CO 01) 1 LS $12,500.00 512,500.00 1 512,500.00
103 SITE CLEANING COMMERCE(CO/1) 1 LS $12,000.00 $12,000.00 1 512,000.00
104 SWPPP<1ACRE(CON 1) 1 LS 51,300.00 $1,300.00 1 $1,300.00
105 UNCLASSIFIED EXCAVATION(CO 01) 250 CY 526.00 $6,500.00 250 $6,500.00
106 8'FLEX BASE TYPE D GR-1(CO 111) 570 SY 520.75 SI1,827.50 570 511,827.50
Monday,April 20,2015 Page 4 of 9
City Project Numbers 00144 DOE Number 6307
Contract Name Henderson Street(S.H.1")Detour Estimate Number 52
Contract Limits Payment Number 52
Project Type PAVING For Period Ending 4/152015
Project Funding
107 21'ASPHALT PVMT TYPE D(CO 01) 1780 SY S13.00 $23,140.00
108 4'ASPHALT BASE TYPE D(CO 01) 570 SY S24.50 $13,965.00 570 $13,965.00
109 6'CONC CURB AND GUTTER(CO#1) 430 LF 528.00 512,040.00 490 $13,720.00
110 4-SLD PVMT MARKING HAS(W)(CO/1) 1160 LF 51.50 $1,740.00
111 4'SLD PVMT MARKING HAS(Y)(CO 01) 2320 LF $1.50 $3,480.00
112 TOPSOIL(CO/1) 60 CY $17.00 $1,020.00
113 SEEDING,HYDROMULCH(CO 01) 440 SY S6.00 $2,640.00
114 INLET ADJUSTMENT(CO#I) 1 EA $1,805.00 51,805.00 1 51,805.00
115 MISC CONSTRUCTION FORCE ACCOUNT 34075.43 FA $1.00 534,075.43 34075.43 $34,075.43
FWWR CROSSING(CO til)
116 REMOVE AND RESET TYPE III BARRICADES 120 LF 521.00 $2,520.00 120 $2,520.00
ON SKIDS(CO 01)
118 REMOVE RAILROAD TRACK AND REPLACE 80 SY $100.50 $8,040.00 80 $8,040.00
PAVEMENT SECTION(CO#l)
5A REMOVE GUARDRAIL.(C041) 150 LS $16.75 $2,512.50
9A REMOVE CONC CURB alt GUTTER(CO 01) 225 LF $11.00 $2,475.00 110 51,210.00
119 REMOVE LUMINARES AT LAGRAVE FIELD 1 LS $1,500.00 $1,500.00 1 51,500.00
(CO ii4)
120 ADDITIONAL BARRICADES FOR DETOUR 2 MO $1,075.00 $2,150.00 2 52,150.00
OPEN CONDITIONS(CO N4)
121 SIGNAL MODIFICATION AT VIOLA(CO tl4) 1 LS $1,375.00 $1,375.00 1 SU75.00
122 SETTING CTB FOR BUS-STOP(CO X14) 1 LS $875.00 $875.00 1 $875.00
123 STREET LIGHTING(CO 05) 1 LS $24,021.25 524,02125 1 $24,021.25
124 4'WIDE EDGE LINES STRIPPING(CO MI5) 4550 LF $1.25 $5,687.50 4550 $5,687.50
125 COMMERCE STREET LIGHTING(CO 06)) 1 LS $38,937.50 $38,937.50 1 $38,937.50
126 ADDITIONAL POLE MOUNTED 2 EA 53,175.00 $6,350.00 2 56,350.00
CONTRACTORS FOR COMMERCE ST 11GHTS
(CO#7)
Sub-Total of Previous Unit $2,004,65628 51,992,996.02
Bid Alternate:Commercial Detour with Signal
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
Na Quanity Total Quanity Total
1 Remove Asphalt Pvmt 12414 SY S3.75 $46,552.50 11914 $44,677.50
2 2'Surface Milling 2873 SY $2.95 $8,475.35
3 Remove Curb Inlet 2 EA $1,065.00 $2,130.00 2 $2,130.00
4 2'CONDT RM(Riser) 50 LF $20.00 51,000.00 100 $2,000.00
Monday,April 20,2015 Page 5 of 9
City Project Numbers 00144 DOE Number 6307
Contract Name Henderson Street(S.H.199)Detour Estimate Number 52
Contract Limits Payment Number 52
Project Type PAVING For Period Ending 4/152015
Project Funding
5 4-CONDT RM(Riser) 20 LF $24.00 $480.00 40 $960.00
6 Unclassified Excavation 1025 CY $6.40 $6,560.00 825 $5,280.00
7 Embankment 1025 CY $6.40 $6,560.00 1025 $6,560.00
8 2-Asphalt Pvmt Type D(Henderson De 5155 SY $9.05 $46,652.75 5625 $50,906.25
9 21 Asphalt Pvmt Type D(White Settle 2626.556 SY $9.25 $24,295.64 2677 $24,762.25
10 4-SLD Pvmt Marking HAS(W) 550 LF $1.10 $605.00 692 $761.20
11 4-SLD Pvmt Marking HAS(Y) 2000 LF $1.10 $2,200.00 2000 $2,200.00
12 4-DOT Pvmt Marking HAS(W) 200 LF $1.10 5220.00 200 $220.00
13 8-SLD Pvmt Marking HAS(W) 370 LF $1.60 $592.00 372 $595.20
14 24-SLD Pvmt Marking HAE(W) 105 LF $6.40 $672.00 162 $1,036.80
15 Lane legend Arrow 6 EA $110.00 $660.00 12 $020.00
16 Lane Legend DBL Arrow 2 EA $160.00 $320.00 2 $320.00
17 Lane Legend Only 4 EA $135.00 $540.00 6 $810.00
18 REEL Raised Marker TY I-C 38 EA $3.75 $142.50 30 $112.50
19 REFL Raised Marker TY II-A-A 40 EA 53.75 $150.00 40 $150.00
20 Trench Safety 135 LF $2.15 $290.25 907 $1,950.05
21 18-RCP,Class Ill 135 LF $90.00 $12,150.00 150 $13,500.00
22 10'Curb Inlet(TxDOT Type 3) 2 EA $4,530.00 $9,060.00 2 $9,060.00
23 10'Curb Inlet(TxDOT Type 1) l EA $3,300.00 $3,300.00 1 $3,300.00
24 3-Sed Sigml Head Assmbly 8 EA $960.00 $7,680.00 8 $7,680.00
25 Install Radar Presence Detect System 3 EA $535.00 $1,605.00
26 Install Emergency Vehicle Proemption 1 LS 51,920.00 $1,920.00
27 5/C 14 AWG Multi-Conductor Cable 1285 LF $2.15 $2,762.75 1285 52,762.75
28 7/C 14 AWG Multi-Conductor Cable 180 LF $2.15 $387.00 180 $387.00
29 NO 6 Bare Elec Condr 380 LF $1.10 $418.00 30 533.00
30 NO 6 Insulated Elec Condr 190 LF $1.10 $209.00 200 $220.00
31 NO 8 Insulated Elec Condr 270 LF $1.10 $297.00 275 5302.50
32 NO 8 Bare Elec Condr 270 LF $1.10 $297.00 275 $302.50
33 TY 3 Signal Foundation 4 EA $775.00 $3,100.00 4 $3,100.00
34 Install Controller&Cabinet,Pole M 1 EA 52,545.00 $2,545.00 1 $2,545.00
35 Install 40'Wood light Pole 4 EA $1,600.00 $6,400.00 3 $4,800.00
36 Install 8'Wood Light Pok Arm 4 EA 5375.00 $1,500.00 3 $1,125.00
37 Insall Alum Sign Mast Ann Mount 5 EA $320.00 $1,600.00 7 $2,240.00
38 Install alum sign ground mount 5 EA $375.00 $1,875.00 6 52,250.00
Monday,April 20,2015 Pager 6 of 9
City Project Numbers 00144 DOE Number 6307
Contract Name Henderson Street(S.H.199)Detour Estimate Number 52
Contract Limits Payment Number 52
Project Type PAVING For Period Ending 4/152015
Project Funding
39 Water Traffic Barrier 200 LF 563.00 $12,600.00 200 $12,600.00
40 21'Flex Base,Type D,GR-1 4380 SY 318.84 582,519.20 4380 582,519.20
41 Zinc-Cost Wire Strand(3/8 IN) 1645 LF 53.20 $5,264.00 1570 55,024.00
42 E.0 SRV TY T 120-240(NS)GS(T)TP(OXCO#3) 3 EA $3,750.00 511,250.00 5 518,750.00
43 OPTICOM 764 DESCRIMINATOR 4 CHANNEL 1 EA $3,132.00 53,132.00 1 53,132.00
WITH GREEN HARNESS(CO N2)
44 OPTICOM 711 DETECTOR,1 DIRECTION,1 3 EA $457.00 51,371.00 3 51,371.00
OUTPUT(CO N2)
45 OPTICOM CABLE(CO/2) 1000 LF 50.47 $470.00 1000 $470.00
46 WX-SS-255 SMARTSENSO MATRIX 225 3 EA $4,463.00 513,389.00 3 513,389.00
CORNER-FIRE RADAR(CO N2)
47 WX-C.K-112 2 CHANNEL CONTACT MATRIX 3 EA $381.00 51,143.00 3 51,143.00
CLOSURE RACK CARD(CO#2)
48 WX-SS-BOI-0005 MATRIX 4 SENSOR 1 EA $2,877.00 52,877.00 1 $2,877.00
PREASSEMBLED BACKPI.ATE W/AC POWER
(CO N2)
49 WX-SS-H6113 AXIS SENSOR MOUNT(CO#2) 3 EA $233.00 $699.00 3 5699.00
50 WX-SS-H7012-080 80'SENSOR PIGTAIL WITH 3 EA 5512.00 51,536.00 3 51,536.00
MOLDED CONNECTOR(CO A2)
51 WX-SS-H705 MATRIX/ADVANCE LEAD IN 1000 LF $2.00 $2,000.00 1000 $2,000.00
CABLE(CO/2)
Sub-Total of Previous Unit $344,453.94 $345,869.70
Monday,April 20,2015 Page 7 of 9
City Project Numbers 00144 DOE Number 6307
Contract Name Henderson Street(S.H.1")Detour Estimate Number 52
Contract Limits Payment Number 52
Project Type PAVING For Period Ending 41152015
Project Funding
Contract Information Summary
Original Contract Amount $1,929,961.63
Chance Orders
Change Order Number 1 $289,139.75
Change Order Number 2 $26,617.00
Change Order Number 3 $9,545.59
Change Order Number 4 $18,850.00
Change Order Number 5 529,708.75
Change Order Number 6 $38,937.50
Change Order Number 7 $6,350.00
Total Contract Price $2,349,110.22
Date 2/ / Total Cost of Work Completed W38,865.71
or Less %Retained $0.00
Net Earned $2,338,865.72
Date
Inspection Supervisor Earned This Period 527,101.16
r a L_ Retainage This Period $0.00
/ Date ��� Lem Liquidated Damages
Project manae
Days @ /Day $0.00
Date i ��J Le ssPavement Deficiency $0.00
Direotor/CPW-Inf�rastrsactu a Design and Construction Less Penalty $0.00
LJ. V✓_ Date S 4 �l Y Less Previous Payment 52,311,764.56
Di /Contracting Dcpartmc Plus Material on Hand Less 15% $0.00
Balance Due This Payment $27,101.16
Monday,April 20,2015 Page 8 of 9
BuySpeed Online https://bso.fortworthgov.orglbso/documenttapproval/docApproval.s&
Buy
Online Accounts Payable Basic Purchasing Deperfinent Access
NIGPAM CDT P@0
Cede Browse I MY Account I Customer service I Current Organkatbn:CITY OF FORT WORTH May 13,201510:45:09
About ® x
Flom.__. tSaaan•afra B.wWyCmw
Invoice#: CS44049-FINAL Vendor#:0000016042 Vendor Group#:01 Status:41R-Ready for Approval
General Items Credits Subcontractors Accourds RoudM AttecM:ents Notes Reminder Change Order Summary Back to PO
General Nalpaflon Warnings
• Account code 15-C204-541200-209280014480 Is In the red by$55,012.00.
• You are going to final pay the following partially paid po iterns:(1).
Header Information
Invoice Number: CS44049-FINAL Invoice Status: 41RR--Ready for Invoice Tvalype: 3v y
matching
Invoice Description: CS44049-FINAL TRV Bridge-Henderson St Invoice Date: 04115/1015 Effect Date: 05/13/1015
(SH 199)Detour
ACH(DIRECT
PaymentAmount: $27,101.18 Handling Code: DEPOSM Payment Date: 05/10/2015
Payment Terms: Payment Terns 0 Payment 0.0%
Day: Discount:
Paid-Bank/Check: Alternate Id:
Entered By: Brandy Crane Entered Date: 05/132015
CreditAmount: $0.00
Updated By: Brandy Crane Updated Date: 05/132015
Received Date: 04/14/201510:40:00 AM
Purchase Order Information
Purchase order PO-15-00007045 PO Description GS44049
Number.
PO Amount: $87,053.29 Remaining To $10,244.54 Buyer. Brandy
Invoice: Cram
PoVendor Information
Vendor. 0000015042-rLB CONTRACTING LLC Address Grp: 01
Vendor Remit-to JAMES HUMPHREY
Address: P O BOX 24131
ACH ONLY
FORT WORTH,TX 70124-1131
US Fed ID: """5121 Remit Text
Email:IdipharN�IIJbcontraeting.corn
Phone:(817)281-2991
Id:29010
Misc&Freight Invoice Account
Evert Type Fiscal Year Account Code Transection Amount
Mise 15 C204-205000.000000014400 $22,620.57
Misc 15 C115-205000-000115032001 $730.59
Total: $23,351.18
Rom Information
Invoice Item#IPO Item#:1 Cora-$16,850.00-Henderson St(SH 199)Detour 0204541200-209290014480 CS44049
1 of2 5/13/2015 10:45 AM
BuySpeed Online hops://bso.fortworthgov.org/bso/documenttapprovaYdocApproval.sdo
PO Perms Invoke Discount% Original Final
Item Status 1b pay Amount MApmM Pay
3PCR-CwWkft ReoNpt $10,244.54 $1,812.50 0.0% $0.00 Yes
MAID=:
ASSET MODEL:
ASSET MANUF:
ASSET SEMAL
ASSET VIN:
ASSET TAG:
Event Type Fiscal Year Aoeolad Code Trmnsecdon Amount
Exp. 15 C204-541200-200280014480 $1,812.50
Eno 15 C204-541200-208280014480 -31,812.50
Invoice Item#/PO Item#:3 COMB-$311,037.50-Henderson St(SH 199)Detour c115-541200-020115032001 CS44049
PO Perna Invoke Discount% oftbal Final
Rem Status Tb pay Amount pay Amount pay
313CR-Corrlplsle Receipt $0.00 $1,037.50 0.0% $0.00 Yes
MAKE:
ASSET MODEL
ASSET MANUF:
ASSET SERIAL
ASSET VIN:
ASSET TAG:
Evert Type Foul Yew Account Code Transection Amount
Exp. 15 C11 55412004)20115032001 $1,037.50
Eric 15 C115-541200-020115032001 41,0.37.50
Approval Path:
Delete Approver Order Approval level Approver Date Data ApprovedlDlcepproved Comment
sequence Pae! type Requested Approved/Dhapproved !Canceled Herr
ID Canceled by
Add Ptrlwy
New
AdWDebb Apprpvw
Print
CapytW O 2015 Periscope HOMO,itc.-M RWft Reserved.default
2 of 2 5/13/2015 10:45 AM
Paye: 1 Doc=ent Name: untitled
Bc AVAILABLE FUNDS INQUIRY 162
NEXT FUNCTION: ACTION:
COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR
C204 205000 000000014400
ACCT DESC: RETAINAGE ORIG APPROPRIATION: 0.00
CNTR DESC: Hndrsn St Improvemnts 3rd to N LAST ACTIVITY: 05/12/2015
0.00 NA 0.00
0. 00 NA - 0.00
0.00 NA - 0.00
22, 620.57- (LIABILITY ) - 0.00
22, 620.57 (AVAIL BAL) = 0.00 (AVAIL BAL)
L OVEREXPEND A E C G
V TOLERANCE BDG YTD P EST N L R ACTIVE INACTIVE
L POST AMT PCT GRP LTD P REV EXP C COMM S P STAT DATE DATE
1 Y 9999 999 L N N Y N N 2 9 0
Date: 05-12-2015 Time: 10:49:38.25
Page: 1 Document Name: untitled
BC AVAILABLE FUNDS INQUIRY 162
NEXT FUNCTION: ACTION:
COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR
C115 205000 000115032001
ACCT DESC: RETAINAGE PAYABLE ORIG APPROPRIATION: 0.00
CNTR DESC: STREET LIGHTS LAST ACTIVITY: 05/12/2015
0.00 NA 0. 00
0.00 NA - 0. 00
0.00 NA - 0.00
730.59- (LIABILITY ) - 0.00
--------------------- ---------------------
730.59 (AVAIL BAL) = 0.00 (AVAIL BAL)
L OVEREXPEND A E C G
V TOLERANCE BDG YTD P EST N L R ACTIVE INACTIVE
L POST AMT PCT GRP LTD P REV EXP C COMM S P STAT DATE DATE
1 Y 9999 999 L N N Y N N 2 1 0
Date: 05-12-2015 Time: :49:22.57
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 SAM DAVIS, PRESIDENT of JLB CONTRACTING, LLC, known to
me to be a credible person,who being by me duly sworn,upon his oath disposed 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;and
That there are no claims pending for personal injury and/or property damages;
On contract described as; Henderson Street Detour, Fort Worth,TX,
JLB CONTRACTING,LLC
BY
Sam Davis
President
Subscribed and sworn before me on thisgag,,day of s 2015
NOT Y PUBLIC 114 AND FOR
TARR.ANT COUNTY,TEXAS
My commission expires 3-10-17
;+�.'•" LINDA OLIPHANT
'.' Notary Public,State of Texas
My Commission Expires
March 10,2017
CONSENT OF OWNER ❑
SURETY COMPANY CHrrEcT CONTRACTORNTRACTOR ❑
TO FINAL PAYMENT o. ❑
HER
(SIMMAR TO AIA DOCUMENT G707)
Bond No.6067177
PROJECT: Construction of a Four Lane Detour Along Henderson Street and Just North of White
(name,address)Settlement Road to Just South of the West Fork of the Trinity River, City Project#: 00144,
TO (Owner) Fort Worth,Texas
(� ARCHITECTS PROJECT NO:
I City of Fort Worth I CONTRACT FOR: Above Project
1000 Throckmorton Street
Fort Worth,Texas 76102
CONTRACT DATE:
CONTRACTOR: JLB Contracting,LLC
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the(h=insert name and
addreasofsunlycomp.ny) Westfield Insurance Company
555 Republic Drive, Suite 450
Plano,Texas 75074 ,SURETY COMPANY,
on bond of(here insert name aid address of Contractor)
JLB Contracting,LLC
P.O. Box 24131 ,CONTRACTOR,
Fort Worth,Texas 76124
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 Owl=)
City of Fort Worth
1000 Throckmorton Street
Fort Worth, Texas 76102 'OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS WHEREOF,
The Surety Company has hereunto set its hand this 17th day of April 2015
WESTFIELD INSURANCE COMPANY
Surety Company
B
Signature o thorized Represen ive
Attest:
(Sew): EUZA�Qw Attorney—in—Pact
Title
Note:This form is intaided 6o be tread as a cowp6ion 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/20/1
POWER III AND ISSUED PRIOR TO 041,FOR ANY PERSON OR PERSONS NAMED BELOW.
_ POWER NO. 4220052 06
General Westfield Insurance Co.
Power
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,40INTLY 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, undertakhMs, or other instruments or cadracts of
suretyshiP- - - - - - - - -- - - • - - - - - - - - - - - - - - - - - - - - • - - - - - -- - • -
LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE
bUM—MNTEE,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 at0wity 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 Attorney4n-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 arty such
Attorney-In-Fact 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 rasped to any bond or undertaking to which It is attached.' (Each adopted at a meeting
held on February B,200D).
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 .
corporatere,
YR,tp •"��iiN!iC '"" � "`�a,,, WESTFIELD INSURANCE COMPANY
sale •-•• ,c + r�,T,.• -•:WSG• S •• = WESTFIELD NATONAL INSURANCE COMPANY
Awad ..a. o' I�• OHIO FARMERS INSURANCE COMPANY
.�S SEAL•` ' T sa
� lr� =sTi: .•:O "_�:, 1848
State of Ohio ""•••#••••"`•••••• "''""•w'"" Richard L Kinnaird,Jr.,National Surety Leader and
Caxrty 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 residesin.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
r
Seal a\A L
Am�o.a !a`�f j��S
F
• William J.Kahelin,A ey at Law,Notary Public
County of Medina ss.:
State of Ohio A � o My Commission Does Not Fire(Sea 147.03 Ohio Revised Code)
y
Te. OF
1,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 Westfield Center, Ohio, this cit day of
April A.D., 20157
„N NAk
—�v, f SEAL.•'P
m: ' _,,�o�7.•'v�iS�^
t
smvtwy
:o; 1848_. _
Frank A.Camino,Secretary
BPOAC2 (combined)(06-02)
p Ci -008888xA8 ' T
• O 8 8 pT� O
N p m rl N 4 N m P 0 0 O j O s N T
88 pqq G G N N N' P
C N O f rl ♦ r b ? N N 01 �•1 N O °I OI N o OI
0 V1 rl -W T N O N N N •r ® m
• . E w Q A^v/ 44 y►Vf Al,M N N LT
< V1 N N N h N
E
e rr - -
o E l
• N
u
`•' c v o c o 3
N Z x o M c
Z u Y, o •$ v
u ® m w u n O O 'u
a @ 3.0 ; b c m a c
u 3 @J O w o o O $ x F
a w _
A.
Z r Z
o _ g `o > 2
d ar+ LL C }`O, < V V G F H U to u y0., U ,p : G
c u b 0 E E
0 cc LL E
cc al A
ncroecccs
� T L/1.N b N N W r1 �y N N N N N f`� N
� W
G °
7
^� a a � ♦ r
,9N ,9� � � ,9� "3LN
pp ..•. N
In
Q i N N N �1 N • V\1 vt v\1In In
v\f
L T w T e•I •i e/ rl ;:r 5 ri
O
LL
an
L N OI
O In
Lm
to
O a a
� f.7
O
to
$ $ $ 8 $ 88 � N : 0008
L �
o Ln
C c $ mm °Ni � � em `�` N amrg � p o,
N
V O N N �••1 1"� P T e4 N N Q T N b r•1W.
2 E fV E
Q 4 A N N h N N N V I N N a? Q yµV�V►4^4,-p
O O
m CO
C - N
V 1r1
w Y
c `
o: 3
r
O FC- r c c c '
u 2 c y
or t v :E c C
?•
LL • O ru O O o a F. � �-�
- o ° a
" i . c
oF
c = w E c ° v Y, a 0
c i f t ° p arc r«° w = o o o °
O O > O 6 Y
EL cr
go +' o —i' L a LL 3 �+ 3 3 � U- 0
c a c a E a a c u 3 0 c o
U i s 3 0 LL u c0:
7 L
CL 4 4 .i
m N N N �O O1 re•) M.1 N N N '
T W
W r� •
MI,
• y 0 � 0 0 � 0 ON O ~
.y ,
OI51 m m
FORTWORTH.
April 21,2015
Mr. Michael Collier
Inspector
City of Fort Worth
8851 Camp Bowie West,P Floor
Fort Worth,TX 76116
Re: Henderson Street(S.H. 199)Detour
DOE 6307 CPN#00144
Dear Mike,
Please closeout the project with a total of 587 days for the above project. The City of Fort Worth
has appreciated JLB Contracting's flexibility in responding to the CFW and TRWD requests for
adjustments to the schedule and the scope of work through this whole project. The City will not
exercise its option to charge any liquated damages for the work completed. This is due to the
good faith efforts of JLB Contracting to complete this job.
If you have any questions,please let me know.
Sin re ,
cture Desi and Construction
Patrick J. u ey,P.E.
Senior Professional al
ineer
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
Tw Crrr of FmT Worrrtl * 1000 T►RocKs *mm Sir * Four Worm,Tom 76102
817-392-7913 * FAx 817-392-8092
Printed on recycled wer
FORTWORTH REV:0222/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1 PROJECT INFORMATION Date: 4/20/2015
Name of Contractor Project Name
JBL Contracting LLC Henderson Street S.H. 199 Detour
DOE Inspector Project Manager
Michael Collier Patrick Buckle
DOE Number Project DOcutly Type of Contract
6307 1 0 Simple Q Routine 0 Complex ❑� water❑ waste Water Storm Drainageo Pavement
Initial Contract Amount Final Contract Amount
$1,929,961.63 $2,338,865.71
11)PERFORMANCE EVALUATION
0-Inadequate I -Deficient 2-Standard 3-Good 4-Excellent
ELEMENT RATING ELEMENT RATING
(0-4) (0-4)
INSPECTION EVALUATION A PLANS&SPECIFICATIONS
1 Availability of Inspector 1 Accuracy of Plans to Existing Conditions Z
2 Knowledge of Inspector 2 Clarity&Sufficiency of Details 3
3 Accuracy of Measured Quantities 3 Applicability of Specifications 3
4 Display Of Professionalism 4 Accuracy of Plan Quantities L
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 3 Communication
2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts
3 Bid 2geningto Pre-Con Meeting Timeframe
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supe _sor
INSPECTOR'S COMMENTS
TRANSPORTATION AND PURI IC WORKS
The City of Fort Worth•1000 Throcttnorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •I=(817)392-7845
FORTWORTHREV:0220/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
JLB Contracting LLC Henderson Street S.H. 199 Detour
DOE Inspector DOE Number
Michael Collier 6307
DOE Inspector Project Manager
❑t Water❑ Waste Water❑✓ Storm Drainage Pavement PatrickBuckle
Initial Contract Amount Project Di—Ity
$1,929,961.63 0 Simple Routine 0 Complex
Fina!Contract Amount Date
$2,338,865.71 4/20/2015
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 4 8 8
2 Public Notifications 5 Y 4 20 20
3 Plans on Site 5 Y 4 20 20
4 Field Supervision 15 Y 4 60 1 60
5 Work Performed 15 Y 4 60 60
6 Finished Product 15 Y 3 60 45
7 Job Site Safety 15 Y 3 60 45
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 3 20 15
11 Property Restoration 5 Y 3 20 15
12 After Hours Response 5 Y 3 20 15
13 Project Completion 5 Y 3 20 15
TOTAL ELEMENT SCORE(A) 378
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 378
III)CONTRACTOR'S RATING
Maximum Score(MS)-448 91 sum of applicable element score maximums which– 448
Rating(ITS/MS)* 100%) 378 / 448 – 84'X.
Performance Category Excellent
<20%=Inadequate 206/6 to<40%=DeOcient 40%to<60%=Standard 6096 to<80%=Good >_80%=FxceAent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature DOE Inspector '/ Sign ture Contractor
�JiSignature DOE Inspector's Supe sor G..
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
p The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311
(817)392-7941 -Fax:(817)392-7845
FORTWORTH03,05,07
TRANSPORTATION& PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:53
NAME OF PROJECT: Hendcaan Sbvd(S.H. 199)Dewtw
PROJECT NO. 144 CONTRACTOR: JW' g
Dolt NO.- � 63017
PERIOD FROM:04/01/15 TO: 04/15/15 FINAL INSPECTION DATE:.14-Apr-15
WORK ORDER EFFECTIVE:2/62013 CONTRACT TIME: . 587 • CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH DURING CHARGED CREDITED MONTH HARRE GGCREDITED
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
PERIOD
PREVIOUS
PERIOD
TOTALS
TO DATE 587
*REMARKS:
CONTRACTOR DATE INSPECTOR
ENGINEERING DEPARTMENT O ' I L. j R D
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 700}�b3�1SECRETARY
(817)392-7941•Far.(817)392-7845 S-! A
FT.WORTH, TX