HomeMy WebLinkAboutContract 44209-FP2 s v
FORTWORTHe CITY SECRETA _
Received By CONTRACT NC). .-.���v�
Business Support Group
Brandy Crane
AUG 0 5 2015 TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
�! f D.O.E.Ns: 6706
j ✓f c4 �icfi�n�y On g G
Regarding contract 44209 for CONSTRUCTION OF PENNSYLVANIA AVE as required by the
TRANSPORTATION&PUBLIC WORKS DEPARTMENT as approved by City Council on 02/19/2013'through
-M&C C-26104 the director of the TRANSPORTATION&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: $653,432.10
Amount of Approved Change Orders: $0.00 Ns 3
Revised Contract Amount: $653,432.10'
Total Cost Work Completed: $650,68&74'
Less Deductions:
Liquidated Damages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $650,688.74'r
Less Previous Payments: $613,242.80'
Final Payment Due $37,44594`
ecommended for Acceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
2
cepted Date
Director,
TRANSPORTATION &PUBLIC WORKS DEPARTMENT
Asst. City Manager Date
SYI��
Comments: FUND ACCT:PAVING C204-209230174213
n
CO
1 5�6%c. OFFICIAL RECORD
I CITY 5E RETARY
5T. WORTH, T
RECEIVED SEP 302015 � _ , g
9 i „ TPW Construction Invoice%
Contract: 0344209 P.O.3 P045-37049,PO-14412474 PmtDaft: 7n4R015
TO:McClendon Caashuction Company Inc INV•# CS44209-FUAL. Estimate No. 33 DOE: 6706
P O Box 996 Proj Manger LEON Wff.SM
Burkson TX 76097 ACH
FOR: PEWSYLVANIA AVE STREET MEI MON-10TH AVE TO 127H AVE
Contract Amount: (653,43210
Total to Date: 5650,688.74 $0.00 $650,688.74
Previous Estimate: 5645,518.74 $32,275.94 $613,242.80
Earned to Date: 55,170.00 (532,27594) 537,44594
Pa},pyetstr:
^ S41200e2QYM17422$ SM.43110
Total to Date: $650,688.74 $0.00 5650,688.74
Previous Estimate: $645,513.74 532,275.94 $613,24280
Earned to Date: $5,170.00 ($32,275.94) $37,445.94
Transportation&Public Works
BUSINESS SUPPORT GROUP
Contact Perm.BRANDY CRA. E-Ext 2852 I
Department Apprm
KAREN
STRIKER
DEPARTMENT CHECK PICK-UP YES C3
Manday,August 17,2015 - - Page 1 of 1
i
I
1
City Project Numbers 01742 DOE Number 6706
Contract Name Construction of Penmylaoia Ave from Estimate Number 33
Contract Limits Tenth St to West Canon St Payment Number 33
Project Type PAVING&DRAINAGE For Period Ending 7/142015
Project Funding
Project Manager Wilson City Secretary Contract Number 44209
Inspectors GREGORY / COLLIER Contract Date 2/192013
Contractor McCLENDON CONSTRUCTION COMPANY,INC. Contract Time 431 CD
P.O.BOX 999 Days Charged to Date 430 CD
BURLESON, TX 76097 Contractis .000000 Complete
CITY OF FORT WORTH
SUNOAARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
Total Cost of Work Completed $650,688.74
w e6 t.�Ces Less %Retained $0.00
/�rr // Net Earned $650,688.74
Project Manage-Wl r�+rY✓ Earned This Period $37,445.94
Risk Management S.Cana
Retainage This Period $0.00
D.O.L BrotheTtoII20"�j_ Less Liquidated Damages
CFA Westumaln/Scanned❑
0 Days @ $0.00 /Day $0.00
The PrOccediogPeople have been Contacted concerning the rem LessPavement Deficiency $0.00
lerCAOX 0160 "Lacea'relex"Adds.P#*ectforsashPayment,
Less Penalty $0.00
raaComkdadBy Etu Baicy Less Previous Payment $613,242.80
Plus Material on Hand Less 15`/. $0,00
Balance Due This Payment $37,445.94
Tuesday,July 14,2015 Page 5 of 5
FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name Construction of Penosylaaia Ave from
Contract Limits Tenth St to West Cannon St
Project Type PAVING&DRAINAGE
City Project Numbers 01742
DOE Number 6706
Estimate Number 33 Payment Number 33 For Period Ending 7/142015
CD
City Secretary Contract Number 44209 Contract Time 43CD
Contract Date 2/192013 Days Charged to Date 430
Project Manager Wilson Contract is 100.00 Complete
Contractor McCLENDON CONSTRUCTION COMPANY,INC.
P.O.BOX 999
BURLESON, TX 76097
Inspectors GREGORY / COLLIER
Tuesday,July 14,2015 Page 1 of 5
City Project Numbers 01742 DOE Number 6706
Contract Name Constriction of Peomylaoia Ave from Estimate Number 33
Contract Limits Tenth St to West Cannon St Payment Number 33
Project Type PAVING&DRAINAGE For Period Ending 7/142015
Project Funding
Unit III-Paving&Drainage its
Item Description of Items Estimated Unit Unit Corti Estimated Completed Completed
No. Qoanty Total Quaaity Total
1 0241.0401 Remove Concrete Drive 187 SF S1.00 $187.00 187 $187.00
2 0241.0550 Remove Guardrail 28 LF $10.00 $280.00 28 $280.00
3 0241.0700 Remove Mailbox 1 EA $75.00 $75.00
4 0241.1000 Remove Cone Pvmt 179 SY $7.50 $1,342.50 179 $1,342.50
5 0241.1100 Remove Asphalt Pvmt 925 SY $5.00 54,625.00 925 54,625.00
6 2605.3011 2"CONDT PVC SCH 40 m 1237 LF $5.00 $6,185.00 1237 $6,185.00
7 3110.0101 Site Clearing 1 LS $32,495.00 $32,495.00 1 532,495.00
8 3110.0104 18"-24" Tree Removal 3 EA $550.00 $1,650.00 3 $1,650.00
9 3123.0101 Unclassified Excavation 3079 CY $13.50 541,566.50 3079 $41,566.50
10 3124.0101 Embankment 2477 CY $8.50 $21,054.50 2477 $21,054.50
11 3125.0101 SWPPP >_1 acre 1 LS 58,500.00 58,500.00 1 $8,500.00
12 3137.0101 Concrete Riprap 2 SY 5150.00 $300.00 8 $1,200.00
13 3137.0104 Medium Stonc Riprap,dr 24 SY $87.00 $2,088.00
14 3211.0400 Lime 111 TN $145.00 $16,095.00 110 $15,950.00
15 3211.0502 8"Lime Treatment 5540 SY $3.50 $19,390.00 5540 $19,390.00
16 3212.0401 HMAC Transition 19 TN $250.00 54,750.00 23 $5,750.00
17 3213.0104 9"Cone Pvmt 5191 SY $39.50 1205,044.50 5200.33 $205,413.04
18 3213.0301 4"Cone Sidewalk 5121 SF 54.00 $20,484.00 5230 $20,920.00
19 3213.0401 6"Concrete Driveway 709 SF $5.50 53,899.50 500 52,750.00
20 3216.0102 7'Conc Curb and Gutter 24 LF $19.00 5456.00 24 $456.00
21 3217.0009 4-SLD Pvmt Marking Pai 1787 LF $0.95 $1,697.65 1790 $1,700.50
22 3217.0010 4"SLD Pvmt Marking Pai 1770 LF $0.95 $1,681.50 1782 $1,692.90
23 3217.1002 Lege Legend Arrow 8 EA $215.00 $1,720.00 10 $2,150.00
24 3217.1006 Lane Legard Bike 8 FA $295.00 52,360.00 10 52,950.00
25 3217.1007 Lore Legend Sharrow 2 FA $325.00 $650.00
26 32172103 REFL Raised Marker TY 1 23 EA $435 $100.05 24 $104.40
27 3232.0203 TxDOT Std Ret Wall-RW 1721 SF $39.00 $67,119.00 1721 $67,119.00
28 3291.0100 Topsoil(CO M3) 456 CY $16.00 $7,296.00 288 $4,608.00
29 3292.0500 Seeding,Soil Retention 5544 SY $135 $7,484.40 5544 $7,484.40
30 3301.0002 Post-CCPV Inspection 330 LF 52.00 $660.00 248 $496.00
31 3305.0109 Trench Safety 544 LF $2.00 $1,088.00 544 $1,088.00
Tuesday,July 14,2015 Page 2 of 5
City Project Numbers 01742 DOE Number 6706
Contract Name Construction of Penwylma Ave from Estimate Number 33
Contract Limits Tenth St to West Cannon St Payment Number 33
Project Type PAVING dr DRAINAGE For Period Ending 7/142015
Project Funding
32 3341.0202 21'RCP,Class IV 98 LF $95.00 $9,310.00 98 $9,310.00
33 3341.0205 24'RCP,Class 111 18 LF $100.00 $1,800.00 18 $1,800.00
34 3341.0206 24"RCP,Class IV 180 LF $110.00 $19,800.00 180 $19,800.00
35 3341.0303 30"RCP,Class IV 34 LF $125.00 $4,250.00 34 $4,250.00
36 3349.1003 24'Flared Headwall,1 1 EA $2,750.00 $2,750.00 1 52,750.00
37 3349.1105 30"Flared Headwall,2 1 EA S3,150.00 53,150.00 1 $3,150.00
38 3349.6001 10'Recessed Inlet 7 EA $3,600.00 $25,200.00 7 525,200.00
39 3441.1502 Ground Bax,Small,w/L 2 EA $500.00 $1,000.00 2 $1,000.00
40 34413021 Ornarnental Assmbly,Sire 15 EA $2,500.00 $37,500.00 15 537,500.00
41 3441.3303 Rdwy Blum Foundation T 15 EA $580.00 $9,700.00 15 $9,700.00
43 3441.3411 Reconnect Conductor 3 EA $100.00 $300.00 3 5300.00
44 3441.4006 Install Alum Sign Groom 8 EA $350.00 52,800.00 13 $4,550.00
45 3441.4007 Install Alum Sign Ex Po 4 EA $395.00 51,580.00 2 5790.00
46 3471.0001 Traffic Control 6 MO $600.00 $3,600.00 6 $3,600.00
47 9999.0001 Salvage&Relocate Ex. 1 EA $2,350.00 $2,350.00 1 52,350.00
48 9999.0003 Metal Beam Guard Farce 288 LF $20.00 $5,760.00 288 55,760.00
49 9999.0004 Downstream Anchor Ternu 1 EA $1,200.00 $1,200.00 1 $1,200.00
50 9999.0005 Type 1 Single Guardrail 1 EA 5500.00 $500.00 1 $500.00
51 9999.0006 4'Mow Strip 1402 SF $3.50 $4,907.00 1200 $4,200.00
52 9999.0007 Type F Ped Rail 190 LF 585.00 516,150.00 190 516,150.00
53 9999.0008 #6 3a*M Alum Conductor 3711 LF 51.00 53,711.00 3711 $3,711.00
54 9999.0009 Barrier Free Ramp,Type I EA $550.00 $550.00 1 $550.00
55 9999.0010 Barrier Free Ramp,Type 2 EA $450.00 $900.00 2 $900.00
56 9999.0011 Barrier Free Ramp,Type 1 EA $1,100.00 $1,100.00 1 51,100.00
57 9999.0012 Barrier Free Ramp,Type 1 EA $950.00 $850.00 1 $850.00
58 9999.0018 Irrigation System I LS $4,900.00 $4,900.00 1 54,900.00
59 3292.0100 Block Sod Placement 600 SY $2.20 51,320.00 700 $1,540.00
60 Contact Enclosure Ground Mount(CO#3) 1 EA $5,170.00 $5,170.00 1 $5,170.00
Sub-Total of Previous Unit $653,432.10 $650,688.74
Tuesday,July 14,2015 Page 3 of 5
City Project Numbers 01742 DOE Number 6706
Contract Name Coon of Peonniania Ave from Estimate Number 33
Contract Limits Tcoth St to West Ca®on St Payment Number 33
Project Type PAVING&DRAINAGE For Period Ending 7/148015
Project Funding
Contract Information Summary
Original Contract Amount $653,432.10
Change Orders
Change Order Number 3 $0.00
Total Contract Price $653,432.10
Date 7 Total Cost of Work Completed $650,688.74
ontmaor Las %Retained $0.00
Net Earned $650,688.74
res —Date �� _(� Earned This Period 537,445.94
lnspection Su r
Retainage This Period $0.00
Date�'Z�.t Las Liquidated Damages
P[ojoct Man
Days @ i Day $0.00
Date —Lg LessPavement Deficiency $0.00
Apt-pitodCPW-Infrastructure Design—antd Construction Less Penalty $0.00
U Date / 2�/)� Las Previous Payment $613,242.80
Dinxt /Contracting ent Plus Material on Hand Las 15% $0.00
Balance Due This Payment 537,445.94
Tuesday,July 14,2015 Page 4 of 5
BuySpeed Online https://bso.fortworthgov.org/bso/documenttapprovaltdocApprovaLs&
Buy
Online Accounts Payable Basic Purchasing Deparbnod Access
PRGP Code Browse I My Account I Customer Service 1 Currant Orq=dzsdDru CCrTY OF FORT WORTH August 18,2015 7:05:40 AM CDT .0 0 X
About �7
Home —pnp =7 BrandyCrans
Invoice#: CS44209-FINAL Vendor#:0000007403 Vendor Group#:01 Status:41R-Ready for Approval 1h
General Nems Credits Subcontractors Accounts Routing Attachnenb Nobs Reminder Chang Order Summary Back to PO
• '+bet ala gaup to biel pty titR 1ACllonfrp c%*paid p D ftm:[1�
Header Information
Invoice Number. CS44209-RNAL Invoice Status: 4I33Approval way
for Invoice Type:
Invoice Description: CS44209fRU1L Pennsybrania Ave Sheet E4wff r Invoice Date: 07114=15 Effect Date: 081182015
-10th to 12th Ave
PaymentAmount ACH(DIRECT Payment*37,445.94 Handling Code: DEPOSM Dabs: OBlOal201s
Payment Terms: Payment Tenn 0 Duca nt:nt 0.0%
Paid-Bank/Check: Alternate Id:
Entered By: Brandy Cram Entered Date: oa/1a12015
CreditAmount: *0.00
Updated By: Brandy Crane Updated Date: o8H82o15
Received Date: 05/21/2015 07:04:00 AM
Purchase Order Information
Purchase order X15.00087049 PO Description CS44209
Number.
PO Amount: *ss,e25.15
Remaining To 743.39 Buyer. Brandy
Invoice: Crane
PoVendor Information
Vendor. Ixnxro07M-MCCLENDON CONSTRUCTION Address G 01
COMPANY INC �:
Vendor Remit-to JUSTIN BLAIR
Address: P O BOX Sea
ACH ONLY
BURLESON,TX 76097-0996
Us Fed ID: —1208 Remit Text
ErtMit .corn
Phone:(817)295-0088
Mlebsits:wrvw.?m.00rn
Id:17717
Mise&Freight Invoice Account
Evart Type Fiscal Year Acmurd Code Transection Amount
Misc 15 C204-205000-000000174200 :32,275.94
Total: *32,275.94
Item information
Invoice Item#/PO Item g 1 Pe� �eAve Street Extenbon C204-541200-209230174283 CS442M M&C:C-26104 Dab:021913 On&W
PO-14.82474
1 of 2 _ 8/182015 7:05 AM
BuySpeed Online https://bso.fortworthgov.org/bso/document/approvaudocAppmval.sdo
PO Permit Invoke Discount% Original Final
Rem Status To Pay Amount Pay Amount Pay
3PPR-Partial Receipt $0.00 $5,170.00 0.0% $0.00 Yes
MAKE:
ASSET MODEL:
ASSET MANUF:
ASSET SERIAL:
ASSET VIN:
ASSET TAG:
Event Type Fiscal Year Account Code Transaction Amount
Exp. 15 C204-541200-208230174283 $5,170.00
Enc. 15 C204-541200.208230174203 -$5,170.00
Approval Path:
Delete Approver Order Approval level Approver Dab Date ApprovedMisapproved Comment
Sequence Path Type Requested Approved/Disapproved Canceled Naw
ID (Canceled by
Add Ply
New
Add/Delete Approver
Print
Copyright O 2015 Periscope Holdings,Inc.-All Rights Reserved.default
2 of 8/18/2015 7:05 AM
Page: 1 Document Name: untitled
BC AVAILABLE FUNDS INQUIRY 162
NEXT FUNCTION: ACTION:
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR
C204 205000 000000174200
ACCT DESC: RETAINAGE ORIG APPROPRIATION: 0.00
CNTR DESC: Pennsylvania - 10th Ave to 12 LAST ACTIVITY: 08/15/2015
0.00 NA 0.00
0.00 NA - 0. 00
0.00 NA - 0.00
- 32, 275. 94- (LIABILITY ) - 0.00
--------------------- ---------------------
32, 275. 94 (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: 08-17-2015 Time: 07:43:36.65
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 Dan McClendon,President of McClendon
Construction Company,Incorporated,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 there are no claims pending for personal injury and/or property damages;
On Contract described as;
Pennsylvania Ave. from Tenth St to West Cannon Street
ByZ,6j 1 A
tl an cC endon
Subscribed and sworn before me on this day of
20 /57
.► JUSTIN K BLANC Notary Public in Tarrant
NffmyP cMN=s County,Texas
�tose� 02-00-2017
Owner
CONSENT OF Architect
St1RETY COMPANY Contractor
TO FINAL.PAYMENT Surety
AIA VOCUM FNT G707 Other
PROJECT: Bond Number:
(name,address) Pennsylvania Avenue from Tenth Street to West Cannon Street,City Project#:01742,Fort
Worth,TX
TO:(owner) ARCHITECT'S PROJECT NO:
City of Fort Worth,Texas
1000 Throckmorton Drive CONTRACT FOR: Construction
Fort Worth,TX 76108 CONTRACT AMOUNT: $781,128.74
CONTRACT DATE:
CONTRACTOR:
McClendon Construction Company,Inc.
PO Box 996
Burleson,TX 76097
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
Merchants Bonding Company
2100 Fleur Drive
Des Moines,Iowa 50321 ,SlrRETY COMPANY
on bond Of lhm inhert nantc and address of C'ontractnrl
McClendon Construction Company,Inc.
PO Box 996
Burleson,Texas 76097 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(Iter[:insert[tame and address of(Amer)
City of Fort Worth,Texas
1000 Throckmorton Drive .ONNNER.
Fort Worth,Texas 76108
as set forth in the said Surety Company's bond.
1N W;* :N F.SS WHEREOF,
the Surety C,arnpany has hereunto set its hand this 14th day of July, 2015
AiaturcofAyuiri/v
mnany�
s Bondi C pan
LJ
Representative
(Seat). Betty J.Rah-Attorney-In-Fact
i'itle �_—
NOTE:This form is to W uscd as a contpanton ducurra-nt to AIA DOC'UMF.NT 0706,CONTRA. R'S AFFIDAVIT OF PAYSU T OF
DEBTS AND CLAIMS,C'turcnt iidititm
AIA DOCUMENT 0707-CONSENT OF SURETY C 0161PANY TO MNAL PAYMENT-APRIL.1070 EDITION-AIAX ONE
PAGE
+1;1970-T11F.AMERICAN INSTITUTE OF ARC'HI'11•'CM.1735 NFW YORK.AVE..,Kw,WASHINGTON,D.C.20006
MERCHANTTS�
BONDING COMPANY.
POWER OF ATTORNEY
Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,
INC.,both being corporations duly organized under the laws of the State of Iowa(herein collectively called the`Companies"),
and that the Companies do hereby make,constitute and appoint,individually,
Betty J Reeh; Bryan K Moore; Gary Wayne Wheatley; Michael D Hendrickson; Pat J
Moore
of San Antonio and State of Texas their true and lawful Attorney-in-Fad,with full power
and authority hereby conferred in their name,place and stead,to sign,execute,acknowledge and deliver in their behalf as surety
any and all bonds,undertakings,recognizances or other written obligations in the nature thereof,subject to the limitation that any
such instrument shall not exceed the amount of:
SEVEN MILLION FIVE HUNDRED THOUSAND($7,500,000.00)DOLLARS
and to bind the Companies thereby as fully and to the same extent as if such bond or undertaking was signed by the duly
authorized officers of the Companies,and all the acts of said Attorney-in-Fact, pursuant to the authority hereon given,are
hereby ratified and confirmed.
This Power-of-Attorney is made and executed pursuant to and by authority of the following By-Laws adopted by the Board of
Directors of the Merchants Bonding Company(Mutual)on April 23,2011 and adopted by the Board of Directors of Merchants National
Bonding,Inc.,on October 24,2011.
'The President,Secretary,Treasurer,or any Assistant Treasurer or any Assistant Secretary or any Vice President shall have
power and authority to appoint Attomeys-in-Fact,and to authorize them to execute on behalf of the Company,and attach the
seal of the Company thereto,bonds and undertakings,recognizanoes,contracts of indemnity and other writings obligatory in
the nature thereof.
The signature of any authorized officer and the seal of the Company may be affixed by facsimile or electronic transmission to
any Power of Attorney or Certification thereof authorizing the execution and delivery of any bond,undertaking,recognizance,
or other suretyship obligations of the Company,and such signature and seal when so used shall have the same force and
effect as though manually fixed.'
In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 13thday of August , 2014.
004►.. .......
101 qC''s,- ••-Q\.....COij,.o•. MERCHANTS BONDING COMPANY(MUTUAL)
��•;_ApQR'�'00; �•00,.QRPO,y9. ly MERCHANTS NATIONAL BONDING,INC.
�Y
_�•• 2003 '.Z: 1933 c:
�yo�. o BY
...........
STATE OF IOWA "'••na, ,•.u"" •••.
COUNTY OF POLK ss. President
On this 13thday of August 2014,before me appeared Larry Taylor,to me personally known,who being by me duly swom did
say that he is President of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.;and
that the seals affixed to the foregoing instrument is the Corporate Seals of the Companies;and that the said instrument was signed and
sealed in behalf of the Companies by authority of their respective Boards of Directors.
In Testimony Whereof,I have hereunto set my hand and affixed my Official Seal at the City of Des Moines,Iowa,the day and year
first above written.
A�tyLIAZ WENDY WOODY
Z' . My Commission Number 784654
Commission Expires
• r t- June 20 2017
Notary Public,Polk County,Iowa
STATE OF IOWA
COUNTY OF POLK ss.
1, William Warner,Jr.,Secretary of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,
do hereby certify that the above and foregoing is a true and correct copy of the POWER-OF-ATTORNEY executed by said Companies,
which is still in full force and effect and has not been amended or revoked.
In Wdness Wttereof,f,have hereunto set my hand and affixed the seal of the Companies on
this r day of
l vests. •.••...
iP09� 9.
bdva 44i• a • m �® �6✓� Tri
__= 2003 n: •y 1933 ;•y� secretary
POA 0014(7/14) "i'da►jy-. ..•;;fitsr' •••�b•�W ����'
MERG-TANTS °Z
BONDING COMPANY
IMPORTANT NOTICE
To obtain information or make a complaint:
You may contact your insurance agent at the telephone number provided by your insurance
agent.
You may call Merchants Bonding Company's toll-free telephone number for information or to
make a complaint at:
1-800-678-8171
You may contact the Texas Department of Insurance to obtain information on companies,
coverages, rights or complaints at:
1-800-252-3439
You may write the Texas Department of Insurance at:
P.O. Box 149104
Austin,TX 78714-9104
Fax: (512)475-1771
Web: http://www.tdi.state.tx.us
E-mail:ConsumerProtection@tdi.state.tx.us
PREMIUM AND CLAIM DISPUTES: Should you have a dispute concerning your premium or
about a claim you should contact the agent first. If the dispute is not resolved,you may contact
the Texas Department of Insurance.
ATTACH THIS NOTICE TO YOUR POLICY: This notice is for information only and does not
become a part or condition of the attached document.
SUP 0032 TX(1/09)
FO RT VSO RT H REV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
1) CONTRACTOR& PROJECT DATA
Name of Contractor Project Name
McClendon Pennsylvania Avenue Street Extension
DOE Inspector DOE Number
Michael Collier 6706
DOE bupector Project Manager
❑ Water❑ Waste WaterE Storm DrainageQ Pavement Leon wilson
Initial Contract Amount Project Difftcuhy
$653,432.10 Q Simple Routine Q Complex
h final Contract.4mount Date
S65"99 ZA 3 1 D 7/17/2015
11) 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 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 60
5 Work Performed 15 Y 3 60 45
6 Finished Product 15 Y 4 60 60
7 Job Site Safety 15 Y 3 60 45
8 Traffic Control Maintenance 15 Y 3 60 45
9 Daily Clean Up 5 Y 4 20 20
10 Citizen's Complaint Resolution 5 Y 4 20 1 20
11 Property Restoration 5 Y 4 20 20
12 After Hours Response 5 Y 4 20 20
13 Project Completion 5 Y 3 20 15
TOTAL ELEMENT SCORE(A) 398
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 398
111)CONTRACTOR'S RATING
Maximum Score(MS)=448 Q sum of applicable element score maximums which= 448
Rating(ITS/MSS* 100%) 398 / 448 = 89%
Performance Category Excellent
20.16_/nadequate 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 et'/`► ature Contractor
Signature DOE Inspector's Supervisor
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
js The City of Fort Worth•1000 Throckmorton Street-Fort Worth,TX 76012-6311
(817)392-7941 -Fax:(817)392-7845
FORTWORTH REV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date: 7/17/2015
Name of Contractor Project Nameen
McClendon Pns lvaniaAvenue Street Extension
IX)E Inspector Project Manager
!Michael Collier Leon Wilson
1WE Number Project D91eulty Type of Contract
6706 0 Simple •0 Routine 0 Complex ❑ water El waste water0 Storm Drainage❑ Pavement
Initial Contract.4mount Final Contract Amount
5653,432.10 WA488. 4. C�
11)PERFORMANCE EVALUATION
0-Inadequate I -Deficient 2-Standard 3-Good 4-Excellent
ELEMENT RATING ELEMENT RATING
(0-4) (0-4)
:INSPECTION EVALUATION PLANS&SPECIFICATIONS
I Availability of Inspector I Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector 2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities 3 Applicability of Specifications
4 Display Of Professionalism 4 Accuracy of Plan Quantities
,5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availability ofProject Mana er
!I Change Order Processing Time 3 Communication
i2 Timliness of Contractor Payments 4 Resolution of UtilityConflicts
13 Bid Opening to Pre-Con Meeting Timeframe -Z
111)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspectors Supervi r
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
i ! The City of Fort Worth-1000 Throckmortcm Street-Fort Worth,TX 76012-6311
!
(817)392-7941 -Fax:(817)392-7845
FORTWORTH rev 03/05/07
TRANSPORTATION& PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:33
NAM E OF PROJECT: Construction of Pennsylvania Avcm Seat Extension
PROJECT NO.: 1273 CONTRACTOR McClendon
DOE NO.: 670E
PERIOD FROM;07/01/15 TO: 07/14/15 FINAL INSPECTION DATE: Zl-May-15 _
WORK ORDER EFFECTIVE:3/12/2014 CONTRACT TIME: 431
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH CHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
1. 16.
2. 17.
3. 18.
4. 19.
5. 20.
6. 21.
7. 22.
8. 23.
9. 24.
10. 25.
11. 26.
12. 27.
13. 28.
14. 29.
15. 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS OTHERS' CHARGED DAYS
THIS
PERIOD 14
PREVIOUS
45
PERIOD
TOTALS 59 430 489
TO DATE
*REMARKS:
TRACTOR DATE INSPECTOR nA
ENGINEERING DEPARTMENT ftEeftm
The City of Fort Worth•1000 Throckmorton Street•Fort Worth, 1 -
(817)392-7941 •Far.(817)392-7845 CITY SECRETARY
FT WORTH,TX