HomeMy WebLinkAboutContract 44515-FP2 FORTWORTH, C'Ty SEM
CONTRACT NO,
TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
D.O.E.Ns: 6180
Regarding contract 44515 for 2008 CAPITAL IMPROVEMENT PROJECT CONTRACT 8D as required by the
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 06/04/2013
through M&C C-26280 the 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: $255,017.17`
Amount of Approved Change Orders: $19,902.18'N2 l
Revised Contract Amount: $274,919.35
Total Cost Work Completed: $274,919.35-
Less Deductions:
Liquidated Damages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $274,91935'
Less Previous Payments: $229,251.26
Final Payment Due $45,668.09
Recommended for Acceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
Accepted Date
Director, TRANSPORTATION AND PUB WORKS DEPARTMENT
3i'IGA;
City Manager Date
Comments: FUND:C204 541200 208400127283
i
OFFICJAL RECORD
CITY SECRETARY
TPW Construction Invoice
COnttaa CS44515 P.O.# PO-1546965,PO-13-78077 1'AYMCDt Daft= 12/318014
TO:McClendon Consfttcrion Cc®pany Inc INV•# cs"Sm.. �N'I L Estimate No. 22 DOE: 6180
P O Box 996 ProjManager Khal Jsafah
Burleson TX 76097
FOR Penland St,Wade Ave-2008 CIP CD8 Confect 8D FINAL PAY
Contract Amount: $274,919.35
Total to Date: $274,91935 $0.00 $274,919.35
Previous Estimate: 5254,773.62 525,47236 5729,251.26 ACH
Earned to Date: 520,195.73 (525,47236) 545,668.09
T l C Syt O'U$4d8t2 $74,419.35 cool-519,902.18
Total to Date: $274,91935 $0.00 $274,919.35
Previous Estimate: $254,723.62 525,47236 5229,251.26
Earned to Date: $20.195.73 ($25,47236) $45,668.09
Transportation&Public Works
BUSINESS SUPPORT GROUP
Contact Person-BRAN Y CRA E-but.2852
Deparottcnt Approval 8nature
KAREN
STRIKER
DEPARTMENT CHEC 1CK-UP YES ❑
llmday,March 17.2015 Pap 1 of 1
f
City Project Numbers 01272 DOE Number 6180
Contract Name 2008 Capital hnpmvement Project Contract 8D Estimate Number 22
Contract Limits Penland St&Wade Ave Payment Number 22
Project Type PAVING&DRAINAGE For Period Ending 12/312014
Project Funding
Project Manager Jaafari City Secretary Contract Number 44515
Inspectors RODGERS / BRENZ Contract Date 61412013
Contractor McCLENDON CONSTRUCTION COMPANY,INC. Contract Time 279 CD
P.O.BOX 999 Days Charged to Date 273 CD
BURLESON, TX 76097 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 $274,919.35
De Less X Retained $0.00
�1��W CO>uSt-ServiCe3 Net Earned $274,919.35
�p Date ,r
Project Manager Earned This Period 545,668.09
Risk Management r Retainage This Period $0.00
D.O.E. Brotherton Less Liquidated Damages
CFA Westerman/Scanned ❑ 0 Days p $0.00 /Day $0.00
LessPavement Deficiency $0.00
�
$�eeding people have been Contacted concerning the request Less Penalty $0.00
payment&have released this project for such payment
Less Previous Payment $229,251.26
Clearance Conducted By Etta Bacy Plus Material on Hand Less 15% $0.00
Balance Due This Payment $45,668.09
Thursday,January 08,2015 Page 5 of 5
FORT NORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name 2008 Capital Improvement Project Contract 8D
Contract Limits Penland St dt Wade Ave
Project Type PAVING dt DRAINAGE
City Project Numbers 01272
DOE Number 6180
Estimate Number 22 Payment Number 22 For Period Ending 12/3 120 14
CD
City Secretary Contract Number 44515 Contract Time 27CD
Contract Date 6142013 Days Charged to Date 273
Project Manager Jaafari Contract is 100.00 %Complete
Contractor McCLENDON CONSTRUCTION COMPANY,INC.
P.O.BOX 999
BURLESON, TX 76097
Inspectors RODGERS / BRENL
Thursday,January 08,2015 Page 1 of 5
-SX"
City Project Numbers 01272 DOE Number 6180
Contract Name 2008 Capita Improvement Project Contract 81) Estimate Number 22
Contract Limits Penland St&Wade Ave Payment Number 22
Project Type PAVING&DRAINAGE For Period Ending 12/31/2014
Project Funding
Unit II:Pavmg&Drainage-TxDOT ROW
Item Description of Items Estimated Unit Unit Coat Estimated Completed Completed
No. Quanity Total Quanity Total
-------------- -----------------
21 3305.0107 Manhole Adjustment,Min 1 EA 5150.00 5150.00 1 5150.00
22 3123.0101 Unclassified Excay.by P 32 CY $65.00 $2,080.00 32 $2,080.00
23 3232.01 Conc.Ret Wall w/SidewalkF(CO N1) 26.5 SF 58.00 5212.00 26.5 5212.00
1 0241.1100 Remove Asphalt Pvmt 930.6 SY S3.00 $2,791.80 930.6 52,791.80
2 0241.1300 Remove Conc Curb&Gutter 552.5 LF $2.00 51,105.00 552.5 51,105.00
3 0241.0100 Remove Sidewalk 394 SF $1.00 $394.00 394 $394.00
4 0241.0401 Remove Concrete Drive 69 SF $2.00 $138.00 69 $138.00
6 0241.4202 Remove 5'Drop Inlet 1 EA 5750.00 $750.00 1 5750.00
7 3211.0400 Lime(CO N1) 21 TN $140.00 52,940.00 21 52,940.00
8 3211.0501 6"Lime Treatment(30* 989 SY $2.25 52,225.25 989 $2,225.25
9 3213.0102 8"Conc Pvent(3,600 psi(CO N1) 945.6 SY S5425 551,298.80 945.6 $51,298.80
10 3212.0503 6"Asphalt Base Type B 989 SY $30.00 529,670.00 989 $29,670,00
11 3213.0401 6"Concrete Driveway(CO#1) 906.19 SF $6.00 55,437.14 906.19 55,437.14
12 3213.0301 4"Conc Sidewalk(Alden(CO#1) 1730.5 SF $4.50 $7,78725 1730.5 57,787.25
14 3349.5001 10'Curb Inlet 1 EA $4,000.00 $4,000.00 1 $4,000.00
15 3292.0500 Sodding(Addendum#2XCO til) 688 SY S5.00 $3,440.00 688 $3,440.00
16 3291.0100 Topsoil(Addendum#2&(CO Nl) 8 CY S20.60 $164.80 8 $164.80
17 3213.0502 S Barrier Free Ramp,T 2 EA $800.00 51,600.00 2 51,600.00
18 3212.0401 HMAC Transition(CO N 1) 921 TN $315.00 $2,901.15 921 $2,901.15
19 3305.0107 Water Valve Box Adjustor 1 EA 550.00 550.00 1 $50.00
20 3305.0107 Water Meter Box Adjustm 3 EA S15.00 $45.00 3 $45.00
Sub-Total of Previons Unit 5119,180.19 5119,180.19
Unit H:Paving&Drainage-COFW ROW
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
------------------ -
1 0241.1100 Remove Asphalt Pvmt 1780.8 SY $3.00 55,342.40 1780.8 55,342.40
2 0241.1300 Remove Conc Curb&Gutter 706 LF 52.00 $1,412.00 706 $1,412.00
3 0241.0100 Remove Sidewalk 462 SF $1.00 $462.00 462 $462.00
4 0241.0401 Remove Concrete Drive 1757 SF $2.00 $3,514.00 1757 $3,514.00
5 3211.0400 Lime(COSI) 40 TN $140.00 $5,600.00 40 $5,600.00
Thursday,January 08,2015 Page 2 of 5
City Project Numbers 01272 DOE Number 6180
Contract Name 2008 Capital Improvement Project Contract 81) Estimate Number 22
Contract Limits Penland St&Wade Ave Payment Number 22
Project Type PAVING do DRAINAGE For Period Ending 12/31/2014
Project Funding
6 3211.0501 6"Lime Treatment(30# 1891 SY S2.25 $4,254.75 1891 $4,254.75
7 3213.0102 7"Conc Pvmt(3,600 psi 1852.6 SY $37.00 $68,54620 1852.6 $68,546.20
8 3213.0401 6"Concrete Driveway(CO#1) 210736 SF $6.00 $12,644.16 210736 512,644.16
9 3213.0301 4"Cenc Sidewalk(Adder(CO#1) 39133 SF $4.53 $17,72725 3913.3 $17,72725
10 3292.0500 Sodding(Addendum#2)(CO#1) 562 SY $5.00 $2,810.00 562 52,810.00
11 3291.0100 Topsoil(Addendum#2 dt(CO#1) 14 CY $20.60 $288.40 14 $288.40
12 3213.0502 5'Barrier Free Ramp,T 2 EA $800.00 $1,600.00 2 $1,600.00
13 3212.0401 HMAC Transition(CO#1) 10.12 TN $250.00 $2,530.00 10.12 52,530.00
14 3305.0107 Water Valve Box Adjustm 3 EA $50.00 $150.00 3 $150.00
15 3305.0107 Water Meter Box Adjustm 12 EA $15.00 $180.00 12 $180.00
16 3305.0107 Fire Hydrant Adjustment 1 EA $750.00 $750.00 1 $750.00
17 3471.0001 Traffic Control 4 MO $200.00 $800.00 4 $800.00
18 3125.0101 SWPPP<lAcre 1 LS $400.00 $400.00 1 $400.00
19 3123.0101 Unclassified Excay.by P(CO#1) 842 CY $65.00 $5,473.00 842 $5,473.00
20 3232.01 Cone.Rd Wall w/Sidewalk F(CO#1) 68.5 SF $8.00 $548.00 68.5 $548.00
Sub-Total of Previous Unit $135,032.16 $135,032.16
Unit IIA:Paving&Drainage Additive Alternate Bid
Item Description of Items Estimated Unit Unit Coat Estimated Completed Completed
No. Quanity Total Qaanity Total
--- ------ --------- ------- ---
1 3441.1501 Ground Box,Small,w/L 1 EA $1,075.00 $1,075.00 1 $1,075.00
2 3441.3301 Rdwy Ills®Foundation T 4 EA $1,607.00 $6,428.00 4 $6,428.00
3 3441.3002 Rdwy Illmn Assmbly TY 8 4 EA $2,085.00 $8,340.00 4 $8,340.00
4 3441.3101 100W HPS PC Lighting Fi 4 EA 5365.00 $1,460.00 4 $1,460.00
5 26053011 2"CONDI PVC SCH 40(T)(CO#1) 460 LF $7.40 53,404.00 460 $3,404.00
Sub-Total of Previous Unit $20,707.00 $20,707.00
Thursday,January 08,2015 Page 3 of 5
City Project Numbers 01272 DOE Number 6180
Contract Name 2008 Capita Improvement Project Contract 8D Estimate Number 22
Contract Limits Penland St&Wade Ave Payment Number 22
Project Type PAVING&DRAINAGE For Period Ending 12/31/2014
Project Funding
Contract Information Summary
Original Contract Amount $255,017.17
Change Orders
Change Order Number 1 $19,902.18
Total Contract Price $274,919.35
Date Total Cost of Work Completed 5274,919.35
C tr or Less %Retained $0.00
Date l A&6
Net Earned $274,919.35
5
Inspection Supervisor Earned This Period $45,668.09
Retainage This Period $0.00
Date Les Liquidated Damages
Project M
Days(rt3 /Day $0.00
Date 2---714
If LesPavement Deficiency $0.00
/AQt"or,/TPW-hiliastructure Design and Construction Less Penalty 50.00
Date Z7 /Sv Lea Previous Payment $229,25126
Director ontracting Departrn Plus Material on Hand Les 15% $0.00
Balance Due This Payment $45,668.09
Thursday,January 08,2015 Page 4 of 5
BuySpeed Online https://bso.fortworthgov.org/bso/document/Wmval/docApproval.sdo
Buy rR
Online Accounts Payable Bask Purchasing Department Access
NZGP Code Browse I Ply Account I Customer Service I Current Orgenb ullonsC OF FORT WORTH March 18,2015 10:11:52 AM CDT P 0&
About
Howie oomweftft BrsrdyCrww
Invoice#: CS44515-FINAL Vendor#:0000007403 Vendor Group#:01 Stab=4IR-Ready for Approval �
General Items Credits Subcontractors Accounts Routing Attactunents Notes Reminder Change Order Summary Back to PO
aw Met 11 11111MawVol I a
• A Ont rota 15Cw211.64120000s$00127283 Yin to red by$7,150.00.
Header Information
Invoice Number. CS44515-FINAL Invoice Status: Ml Ready for Invoice Type:App-waung
Invoice Description: CS44515-mNAL Penland Sheet and VWe Avenu Invoice Date: 12/31/2014 Effect Date: 03118=15
Payment Amount $45,888.09 Handling Code: ACP(DIRECT DEPOSIT) Payment Date: 0112512015
ment
Payment Terms: Payment Term 0 Discn 0.0%
Y
Paid-Bank/Check: Alternate Id:
Entered By: Brandy Cam Entered Date: 03/182015
CredltAmount: $0.00
Updated By: Brandy Crane Updated Date: 0 311 82 0 1 5
Received Date: 07/11/2014 10:08:00 AM
Purchase Order Information
Purchase order PO-15-00086965 PO Description CS44515
Number.
PO Amount $20,195.73 Remaining To SO 00 Buyer. Brandy
Invoice: Crane
PoVendor Information
Vendor. 0000007403-MCCLENDON CONSTRUCTION Address Grp: 01
COMPANY INC
Vendor Remit-to JUSTIN BLAIR
Address: P O BOX 996
ACH ONLY
BURLESON,TX 76097-0998
us Fed ID: —1206 Remit Text
Emai: oom
Phone:(817)295.0086
Website.www.m.com
Id:17717
Misc&Freight Invoice Account
Evem Type Fiscal Year Account Code Transac ion Amourd
Misc 15 C204-205000.000000127200 $25,472.36
Total: $25,472.36
Rom Information
Invoice Item#/PO Item al 1 Pence Street and Vlmd8400
e Avenue 0204-541200-20127283 CS44515 M&C:C-26280 Date:080413 Orlglnal
PQ13-70077
1 of2 3/18/2015 10:11 AM
BuySpeed Online httpsJ/bso.fortworthgov orglbso/document/approval/docApproval.sdo
PO Penns Invoice Discount% Original Final
item Status To Pay Amount Pay Amount Pay
3PCR-Complete Receipt $0.00 $20,195.73 0.0% $0.00 Yes
MAKE:
ASSET MODEL:
ASSET MANUF:
ASSET SERIAL•
ASSET VIN:
ASSET TAG:
Event Type Farm Year Account Code Traraacdon Amaart
Exp. 15 C204-541200-208400127283 $20,195.73
Enc. 15 C204-541200-208400127283 X20,195.73
Approval Path:
Delete Approver Order Approval level Approver Date Date ApprovedlDWpprov,ed Cooaoem
sequence Poo Type Requested Approved/DNapproved lCanceRd Vier
ID Canceled by
Add PrYrtary
New
AddMekft Approver
Print
Copyright O 2015 Periscope Holdings,Inc.-AM Rights Reserved.default
2of2 3/182015 10:11 AM
Page: 1 Document Name: untitled
BC AVAILABLE FUNDS INQUIRY -M2—
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2NEXT FUNCTION: ACTION:
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COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR
C204 205000 000000127200
ACCT DESC: RETAINAGE ORIG APPROPRIATION: 0.00
CNTR DESC: Penland St, Wade Ave, 2008 CIP LAST ACTIVITY: 03/16/2015
0.00 NA 0.00
- 0.00 NA - 0.00
0.00 NA - 0. 00
25, 472.36- (LIABILITY ) - 0.00
--------------------- ---------------------
25, 472.36 (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
I Y 9999 999 L N N Y N N 2 9 0
Date: 03-17-2015 Time: 13:18:35.58
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 BJ Blair,Vice President of McClendon
Construction Company,Incorporated,]mown 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;
2008 CIP Contract 8D
w
By
BJ Blair
Subscribed and sworn before me on this )3 day of
r 20�.
le
JUSTIN K.BLAIR Notary Public in Tarrant
WMrMKffAW4F=►s County,Texas
CGW o M:�02-0S-2017
Owner
CONSENT OF Architect
SURETY COMPANY Contrlctor
TO FINAL PAYMENT Surety
AIA DOCUMENT C707 Othcr
PROJECT: 2008 C1JP Contract 8D,
(nanw.address)
TO:(Owner) ARCHITECT'S PROJECT'NO:
City of Fort Worth,Texas
1000 T'hrockmortou Drive CONTRACT FOR: Construction
Fort Worth,TX 76108 CONTRACT AMOUNT: $373,286.53
CONTRACT DATE: June 4+,2013
CONTRACTOR:
McClendon Construction Company,Inc.
PO Box 996
Burleson,TX 76097
In accordance with the provisions of the Contract behveen the Owner and the Contractor as h-dicatcd above,the
Merchants Bonding Company
2100 Fleur Drive
Des Moines,Iowa 50321 ,STTRETY COMPANY
on bond of(here inert name and address of Contractor)
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(herr insert name and address of Owoer)
City of Fort Worth,Texas
1000 Throckmorton Drive ,OWNER,
Fort Worth,Texas 76108
as set forth in the said Surety Company's bond.
IN W"MESS WHEREOF,
the Surety Company hos hereunto set its hand this 13th day of January, 2015
Surety.Company
Mer ants Bondin Co pang
KM4
Si naturcOfA trine Re rcsenlative
Attawt: / ,
(St�i7 �— Betty J.Reeh-Attorney-In-Fact
'litie
NOTF:This form is to be tonal as a tompa lion document to AIA DOC UMFNT 0706,CON IVACTOR'S AFMDAVIT OF PAYMENT OF
DE'MS AND CLAIMS,Curran idilion
AIA DOCUMENT G707d'ONSL'N7'OF SURITY C0161PANY TO FNAL PAYMENT-APRIL 1970 UVrfION•AIAZ ONE
PAGE
01970•TIIF.AMERICAN 1NS'1TTUTE OF ARCHrIlKlS.1733 NFW YORK,AVE.,NW,WASHINGTON,D.C.20006
'q"�
MERCHANTS
BONDING COMPANY,
POWER OF ATTORNEY
Know All Persons By These Presents,that MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,
INC.,both being corporations duty 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 Attomey-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-Fart pursuant to the authority herein given,are
hereby ratified and confirmed.
This Power-of-Attorney is made and executed pursuant to and by authority of the following By-Iowa 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,Ir>c.,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 Attorneys-in-Fad,and to authorize them to execute on behalf of the Company,and attach the
seal of the Company thereto,bonds and undertakings,recognizances,contrails of Indemnity and other writings obligatory in
the nature thereof.
The signature of any authorized officer and the seal of the Comparry 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 merway fired."
In Witness Whereof,the Companies have caused this instrument to be signed and sealed this 13thday of August , 2014.
Co
••,.•�*110144� �.,` •.��%... .... MERCHANTS BONDING COMPANY(MU(MUTUAL)
:meg:- �aR`j �a 3 O� pR99
P� ��y` MERCHANTS NATIONAL BONDING,INC.
1933
s V' .S►. 1r. By
STATE OF IOWA
COUNTY OF POLK as. •tih�h N11N'�p •`'•{;••• President
On this 13thday of August 2014,before me appeared Larry Taylor,to me personally(mown,who being by me duly sworn 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.
"VgL1A4,P WENDY WOODY
Z S Commission Number 784654
My Commission Expires
iovvr June 20, 2017
Notary Public,Pour Counl y,Iowa
STATE OF IOWA
COUNTY OF POLK as.
I, Wiliam Warner,Jr.,Secretary of the MERCHANTS BONDING COMPANY(MUTUAL)and MERCHANTS NATIONAL BONDING,INC.,
do hereby ear*that the above and foregoing is a true and correct copy of the POWER-0F-ATTORNEY executed by said Companies,
which is still in full force and effect and has not been amended or revoked.
In WIVess Whereof,I have hereunto set m hand and affixed the seal of the Compares on
this ( of 9 ni
.l, ....
''.*J ••PP R-• pa-
$OC7°
1933 c; �'�'
i •J4;. '�1r•
POA 0014(7114) Jda`jy- .. .;;����_'• •. .� , • •.•`;�i••
MERCHANTS
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)
FORT WORTH REV.
°may°'
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
PROJECT INFORMATION Date: 1/12/2014
Nano of Contractor Project Name
McClendon Construction 2008 Capital Improvement Project Contract 8D
DOE Inspector Project Manager
Kim Brenz/Luisa A11bri t Khal Jaafari
DOE Number Project Diculry Type of Contract
6180 O Simple *Routine O Complex ❑water ❑waste water 21 Storm Drainage 0 Pavement
Initial Contract Amount Final Contract Amount
$255 017.17 $274,919.35
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 1 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 Com Taint Resolution PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs 1 Knowledge And/Or Problem Resolution
ADMINISTRATION 2 Availability of Project Manager
1 Chane Order Processing Time Z 3 Communication
2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3
3 Bid Opening to Pre-Con Meeting Timeframe
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector r
tb
Signature DOE Inspector's Supervisor I
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fore Worth•1000 Throd=orton Suet•Fort Worth,TX 76012-6311
(817)392-7941•F=(817)392-7845
FORT WORTH REV:
0 0/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
CONTRACTOR&PROJECT DATA
Name of Contractor Project name
McClendon Construction 2008 Capital Improvements Project Contract 8D
DOE Inspector DOE Number
Luisa Allbright 6180
DOE Inspector Project Manager
❑Water ❑Waste Water Q Storm Drainage ❑Pavement Khal Jaafari
Initial Contract Amount Project Difficulty
$255,017.17 0 Simple Routine 0 Complex
Final Contract Amount Date
$274,919.35
In PERFORMANCE EVALUATION
0-Inadequate l-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 3 8 6
2 Public Notifications 5 Y 3 20 15
3 Plans on Site 5 Y 4 20 20
4 Field Supervision 15 Y 4 60 1 60
5 Work Performed 15 Y 3 60 45
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 Dai!y Clean Up 5 Y 3 20 15
10 Citizen's Complaint Resolution 5 Y 3 20 15
11 Propffty Restoration 5 Y 3 20 15
12 After Hours Response 5 Y 4 20 20
13 Project Completion 5 Y 3 20 15
TOTAL ELEMENT SCORE(A) 361
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 361
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 pr sum of applicable element score maximums which— 448
Rating([TS/MSS•100%) 361 / 448 — 81%
Performance Category Excellent
<20%—Inadequate 20016 to<4M—Deficient 40%to<60%—Standard 6096 to<80%—Good 2_80%—Excellent
inspectors Comments ONCLUDING EXPLANATI7S POINTS AWARDED)
:1 �kA
Signature DOE Inspector l - Signature Contrac
Signature DOE Inspector's Spervisor Ud f hc,�515
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth-1000 Throctraorton Street-Fort Worth,TX 76012-6311
(9) (817)392-7941 -Fam(817)392-7845
FORT WORTH,
TRANSPORTATION AND PUBLIC WORKS
STATEMENT OF CONTRACT TIME
STATEMENT#
FINAL STATEMENT# 2V,-,- DOE !618F
NAME OF PROJECT: 00.8 CIP�ContractpD. Contractor
YEAR: 2014 -r �'
PROJECT NO.: FINAL INSPECTION DATE
_b1272 4 $e '" 9 :5 t :'g, a . -r HYD CD
- * =CONTRACT TIME y Tl9 � b ;
PERIOD FRONt161Z0rj4, TO: MSD - Month I JDXVIMOP�
WORK ORDER EFFECTIVE: 9, &W- BEG /n t`3 MID f n
DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR
CHARGED DAYS CREDITED CHARGED DAYS CREDITED
1 0 _ na 16 Tue 0 na
2 0 na,} 17 Wed 0na X.
3 0Cta 18 Thu 0 _ -isba
4 0 __`ina - 19 Fri 0
5 0 na'._% 20 Sat 0 na
6 0 vvi;i=4 21 Sun 0
7 0 F22 Mon 0 na
8 0 .�1 =rtr: 23 Tue 0 na
9 0 ,. i 7 24 Wed 0 ala
10 0i- :. 25 Thu 0
11 0 tra km— 26 Fri 0 _na
12 0 ' 27 Sat 0 na
13 0 � oa' �."�- 28 Sun 0 na
14 0 29 Mon 0 na
15 0 = Ina 30 Tue 0 na
31 Wed 0 " rta
Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS
HOLIDAYS RELOCATE CHARGED
THIS PERIOD 0 0 0 0 0 0
PREVIOUS PERIOD :_ _` .� ism _ s �x>c �r
273
TOTAL TO DATE 0 0 0 0 273 273
RE,-vLAM<S: OFFICIAL RECORD
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