HomeMy WebLinkAboutContract 45115-FP1 FORTWORTH. M SEcRETAtIN _
Received By CONTRACT NO, ` `J
Business SypCrane roup
AUG 17 2015 TRANSPORTATION AND PUBLIC WORKS
NOTICE OF PROJECT COMPLETION
4 5115" D.O.E.Ns: 7102
Regarding contract QU2 for HMAC SURFACE OVERLAY 2013-15 as required by the ,
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved by City Council on 10/15/2013
through M&C C-26499 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: $970,87735
Amount of Approved Change Orders: $101,851.56rNs 1,2
Revised Contract Amount: $1,072,728.91 r
Total Cost Work Com `�
Completed: S1,039,047.45
Less Deductions:
Liquidated Damages: Days @$210.00/Day
Pavement Deficiencies:
Total Deduction Amount: $0.00
Total Cost Work Completed: $1,039,047.45'
Less Previous Payments: $987,095.08
'Final Payment Due $51,95237
Recommended for Acceptance Date
Asst. Director, TPW - Infrastructure Design and Construction
Accepted Date
M Director,
TRANSPORTATION AND PUBLIC WORKS DEPARTMENT
Asst. City Manager Date
Comments: FUND ACCT:C293-2056202162C1rAL
OECORD
r
RECEIVED SEP 3 0 2015 '
" I TPW Construction Invoice
COntr8Ct: CS45115 P.O.# PO-15-86947,1.0-14-804% Payment Dift= 7!312015
TO:Advanced Paving Acquis� LTD INV.# CS451L5—FZ'#*L Estimate No. 22 DOE: 7102
DBA Advanced Paving Company 2257 ProjManager Kristian Sugrim
Dallas TX 75229
FOR: HMAC Sruface Overlay2013-I S ACH
Con h2d Amount: $1,072,728.91
Total to Date: $1,039,047.45 $0.00 $1,039,047.45
Previous Estimate: $1,039,047.45 $51,95237 $
987,095.08 FINAL PAY
Earned to Date: 50.00 (551,952.37) S51,95237
q&P 11_0 SAN $1,072.72391 00/1-33.351-%0002-s93„000.00
Total to Date: $1,039,047.45 $0.00 $1,039,047.45
Previous Estimate: $1,039,047.45 $51,95237 $987,095.08
Earned to Date: $0.00 (S51,95237) 551,952.37
Transportation&Public Works
BUSMESS SUPPORT GROUP
Contact Person-BRAND -E 2852
Department Approv
KAREN
STRIKER
DEPARTMENT CHECK PICK-UP -ITS 0
Monday,August 24,2015 Page 1 of 1
City Project Numbers 02162 DOE Number 7102
Contract Name HMAC SURFACE OVERLAY(2013-15) Estimate Number 22
Contract Limits AT VARIOUS LOCATIONS Payment Number 22
Project Type PAVING For Period Ending 7/31/2015
Project Funding
Project Manager Swim City Secretary Contract Number 45115
Inspectors RODGERS / MOTAMED Contract Date 10/15/2013
Contractor ADVANCED PAVING CO. Contact Time 181 CD
2257 JOE FIELD RD. Days Charged to Date 181 CD
DALLAS, TX 75229 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 $1,039,047.45
De=V*%tw of 17W COUSI.-%Mces Less %Retained $0.00
Net Earned $1,039,047.45
P1'Q] Al1Aget�� Earned This Period $51,95237
Man ement S. ana ''
� S. .i Retainage This Period $0.00
I big. Brotherton
CPA Westerman/Scanned a Less Liquidated Damages
0 Days(@ $0.00 /Day $0.00
'i(*b*oadhW people have been Contacted concerning the repeat LessPavement Deficiency $0.00
for'S"paymotrt bwenleascdtbisproject for swehpaaymat. Leu Penalty $0.00
By Etta Racy Less Previous Payment $987,095.08
Plus Material on Hand Less 15% $0.00
Balance Due This Payment S51,952.37
Monday,July 13,2015 Page 5 of 5
FORT NORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name HMAC SURFACE OVERLAY(2013-15)
Contract Limits AT VARIOUS LOCATIONS
Project Type PAVING
City Project Numbers 02162
DOE Number 7102
Estimate Number 22 Payment Number 22 For Period Ending 7/31/2015
CD
City Secretary Contract Number 45115 Contract Time ISCD
Contract Date 10/15/2013 Days Charged to Date 181
Project Manager Sm Contract is 97.000 Complete
Contractor ADVANCED PAVING CO.
2257 JOE FIELD RD.
DALLAS, TX 75229
Inspectors RODGERS / MOTAMED
Monday,Judy 13,2015 Pop I of 5
City Project Numbers 02162 DOE Number 7102
Contract Name HMAC SURFACE OVERLAY(2013-15) Estimate Number 22
Contract Limits AT VARIOUS LOCATIONS Payment Number 22
Project Type PAVING For Period Ending 7/31/2015
Project Funding
PAVING
Item Description of Items Estimated Unit Unit Cast Estimated Completed Completed
No. Quanity Total Quaaity Total
--------------- — — _ _---�
I MISCELLANEOUS ADJUSTMENTS(UTILITIES) 1 LS $6,000.00 $6,000.00 02537 51,52220
2 REMOVE CONCRETE CURB&GUTTER 2614 LF 55.00 513,070.00 4540 522,700.00
3 7'CONCRETE CURB&GUTTER 2714 LF 519.10 551,837.40 4540 586,714.00
4 REMOVE CONCRETE DRIVEWAY 8790 SF 52.15 518,898.50 2340 55,031.00
5 6'CONCRETE DRIVEWAY 8890 SF 55.70 550,673.00 2340 513,338.00
6 REMOVE SIDEWALK 1105 SF 52.00 $2,210.00 2675 55,350.00
7 4"CONCRETE SIDEWALK 1105 SF $4.40 54,862.00 2675 511,770.00
8 REMOVE CONCRETE VALLEY GUTTER 144 SY 519.30 $2,77920 84.81 51,636.83
9 6'CONCRETE VALLEY GUTTER 144 SY 566.00 59,504.00 84.81 55,597.46
10 8"PAVEMENT PULVERIZATION 34422 SY $4.15 3142,85130 32557 5135,111.55
11 ROADBOND ENI SOIL STABILIZER 270 GA 5110.00 $29,700.00 284 $31,240.00
12 CEMENT MODIFICATION(13LBS/SY) 223 TN 5100.00 $22,300.00 233 $73,300.00
13 PAVEMENT WEDGE MII.LING(2'TO 0'DEPT, 6100 SY 52.75 516,775.00 13881 $38,172.75
5'WIDE)
14 CRACK SEALING OF EXISTING PAVEMENT 39 GA 535.00 51,365.00 134 $4,690.00
15 2'ASPHALT PAVEMENT TYPE D 51311 SY 58.95 ;459,233.45 67068 5600,258.60
16 WATER VALVE BOX ADJUSTMENTS 13 EA 5150.00 51,950.00 14 52,100.00
(W/STEEL RISER)
17 WATER VALVE BOX ADJUSTMENTS(WITH 20 EA 5300.00 $6,000.00 9 52,700.00
CONCRETE COLLAR)
18 UNCLASSIFIED STREET EXCAVATION 415 CY 525.00 510,375.00
19 CRUSHED LIMESTONE 58 CY 550.00 52,900.00
20 ASPHALT PAVEMENT LEVEL-UP 114 TN $135.00 515,390.00
21 ASPHALT PAVEMENT BASE REPAIR 119 CY 5200.00 523,800.00
22 MANHOLE ADJUSTMENTS(W/STEEL RISER) 10 EA 5275.00 52,750.00 12 53,300.00
23 MANHOLE ADJUSTMENTS(WITH CONCRETE 21 EA 5500.00 $10,500.00 16 58,000.00
COLLAR)
24 PAINTING HOUSE ADDRESSES 95 EA 513.00 51,235.00 72 5936.00
25 BLOCK SOD REPLACEMENT 367 SY 55.50 52,018.50 735 $4,042.50
26 REMOVEJREPLACE 30'SPEED CUSHION(WITH 3 EA 52,500.00 57,500.00
STRIPPING)
27 BUTT JOINT-MILLING 14 EA $275.00 53,850.00 25 $6,875.00
Monday,July 13,2015 Page 2 of 5
City Project Numbers 02162 DOE Number 7102
Contract Name HMAC SURFACE OVERLAY(2013-15) Estimate Number 22
Contract Limits AT VARIOUS LOCATIONS Payment Number 22
Project Type PAVING For Period Ending 71312015
Project Funding
28 MISCELLANEOUS ADJUSTMENTS(WATER 3 EA $50.00 $150.00 13 $650.00
METER BOX)
29 MISCELLANEOUS CONSTRUCTION 1 LS $50,400.00 $50,400.00 0.4 $20,160.00
30 REFL PAV MRK TY COM I 230 LF $3.30 $759.00 230 $759.00
31 REFL PAV MRK TY COMI 112 LF $8.58 $960.96 112 $960.96
32 REFL PAV MRK TY COM 1 28 LF $1320 $369.60 28 $369.60
33 REFL PAV MRK TY COM I 2 EA $252.00 $504.00 2 $504.00
34 REFL PAV MRK TY COM 1 1 EA $325.00 $325.00 1 $325.00
35 REFL PAV MRK TY COM I 1 EA $933.00 $933.00 1 $933.00
36 FUNDING FROM STORM WATER TO PAVE 1 LS $98,000.00 $98,000.00
HEREFORD/BOB HANGER/MARVIN BROWN
COM2
Sub-Total of Previous Unit $1,072,728.91 $1,039,047.45
Monday,July 13,2015 Page 3 of 5
City Project Numbers 02162 DOE Number 7102
Contract Name [ILIAC SURFACE OVERLAY(2013-15) Estimate Number 22
Contract Limits AT VARIOUS LOCATIONS Payment Number 22
Project Type PAVING For Period Ending 7!312015
Project Funding
Contract Information Summary
Original Contract Amount $970,87735
CLanEe Orders
Change Order Number 1 53,851.56
Change Order Number 2 $98,000.00
Total Contract Price $1,072,728.91/
Total Cost of Work Completed $1,039,047.45
Date �S
o tractor Less %Retained 50.00
L Net Earned $1,039,047.45
Date 0�5 Earned This Period $51,95237
Inspection Su
Retainage This Period $0.00
w.. Date g 13 rj Lm Liquidated Damages
Project M
Days @ /Day $0.00
.�
tom-- Date g' ,3' .S LcssPavement Deficiency 50.00
T
or W-InfiwbucWm Design and Construction Less Penalty $0.00
fV0 La. 2ate ��S� Lm Previous Payment $987,095.08
Director/ ntracting Departmen Plus Material on Hand Lm 15% $0.00
Balance Due This Payment $51,952.37
Monday,July 13,2015 Page 4 of 5
BuySpeed Online httpsJ/bso.fortworthgov mg/bWdocument/appmval/docApproval.s&
Buy 'u
Online Accounts Pay" Bask Purchasing Department Access
NIGP Code Browse 114y Account I Customer service I Conant Organl®flom,�C.7ITY OF FORT WORTH August 24,2016 7:15:31 AM CDT P 0 6
About ! x
DOCrenMrte BrardyCnan
Invoice#: CS45115-FINAL Vendor#:0000023239 Vendor Group#:01 Statue:+IR•Ra.er for Approval 81
General Items Credos Subcontractors Accounts Routhg At aclunenb Nobel Rwnindsr Charge Order Sunnary Back to PO
Genal Vi6dstlon Vilow gs _—
s Accant code 1 S.C293-541200-205820218283 is in the red by$101,851.00.
Amount code IV200454=00MMIG2113 Is Into red by$101,061.00.
• Yw are gobw ID$nsl pa the tloil-ft p•Deft paid po awnt:n
Header Information
Invoice Number. CS45115-FINAL Invoice Status: 4I for Invoice Type: 3
way
Invoice Description: CS45115-FINAL HMAC Surt'ace Overlay Invoice Date: 07/31/2015 Effect Data: 08/24/2015
2013-15
Payment Amount: $51,952.37 Handling Code: A(DIRECT Payment Data: 06125rm15
DEPOSM
Payment Terms: Payment Term 0 Payment 0.0%
Day: Discount:
Paid-Bank/Check: Alternate Id:
Entered By: Brandy crane Entered Data: 0e124r2015
Credit Amount: $0.00
Updated By: Brandy crane Updated Data: 08x4/2015
Received Date: 01/18x015 07:07:0o AM
Purchase Order Information
Purchase order PO-15-00088947 PO Description CS45115
Number.
PO Amount: $33,681.48 Remaining To $33,881.45 Buyer. Brandy crane
Invoice:
PoVendor Information
Vendor. 22R 239-ADVANCED PAVING Address Grp: 01
COMPA
Vendor Remit-to Em MR1W
Address: 2311 JOE FIELD RD
ACH ONLY
DALLAS'TX 75229
us Fed ID: ~~~9367 Remit Text:
Email:baesls®edvanoadpavbVw.com
Phone:(972)24540000
Id:39092
Misc S Freight Invoice Account
Event Type Ffsrxl Year Ac=xd Code Transaction AninwU
Misc 15 0293541200-205620218283 40.01
Misc 15 C293-205000-000000218200 $51,952.37
Total: $51,952.38
Item Information
1 of 2 8/24/2015 7:15 AM
BuySpeed Online httpsJ/bso.fomvorthgoy.o%lbs&document/approvaYdocApproval.sdo
Invoice Item WPO Item M 1 HMAC Surface Overlay 2013-15 C293-541200-205620216283 CS45115 M&C:C-26489 Date:101513 Original
PO-1480496
PO Permit Invoke Discount% Original Final
Rom status To Pay Amount PayAaysunt Pay
3PPR-Partial Receipt $0.00 $0.01 0.0% $0.00 Yea
MAKE:
ASSET MODEL
ASSET MANUF:
ASSET SERIAL:
ASSET VIN:
ASSET TAG:
Event Type Fiscal Year Accent Code Transection Amount
Exp. 15 C293-541200-205620216283 $0.01
Enc. 15 C293-541200-205620216283 40.01
Approval Path:
Delete Approver Order Approval Laval Approver Data Date
Approved/Disapproved COrrlrrMnt
Sequence Path 1p1* Requested Approved/Disapproved /Canceled View
ID (Canceled by
Add
New Primary
Add/Delaia Approver
Pratt
CopyrWd O 2015 Periscope Holdings.Inc.-AL Riphb Reserved.default
2 of 2 8/24/2015 7:15 AM
Page: 1 Document Name: untitled
BC AVAILABLE FUNDS INQUIRY 162
NEXT FUNCTION: ACTION:
-------------------------------------------------------------------------------
-------------------------------------------------------------------------------
COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR
C293 205000 000000216200
ACCT DESC: RETAINAGE ORIG APPROPRIATION: 0.00
CNTR DESC: HMAC Surface Overlay (2013-15) LAST ACTIVITY: 08/22/2015
0.00 NA 0. 00
0.00 NA - 0.00
0.00 NA - 0.00
- 51, 952.37- (LIABILI`IY ) - 0.00
--------------------- ---------------------
51, 952.37 (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: 08-24-2015 Time: 06:44:46.59
AFFIDAVIT
STATE OF Texas
COUNTY OF Dallas
Before me,the undersigned authority,a notary public in the state
and county aforesaid,on this day personally appeared Sam L. Garrett,
Owner Of Advanced Paving Company,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; Uk',Ik
,t4 44
That the wage scale established by the City Council in the City of
Fort Worth has been paid in full;
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
HMAC Surface Overlay 2013-15
BY
Sam L. Garrett
Subscribed and sworn before me on this date 16th of July, 2015.
N Public
D las,Texas
BECKY SEALE
Notary Public,state o}Texas
My Commission Expires
October 11, 2016
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
Conforms with the American Institute of OTHER
Architects,AIA Document G707
Bond No 4393378
PROJECT:
(name, address)HMAC Surface Overlay at Various Locations(2013-15)
Fort Worth TX
TO (Owner)
F ARCHITECT'S PROJECT NO:
CITY OF FORT WORTH CONTRACT FOR:
1000 Throckmorton Street HMAC Surface Overlay at Various Locations(2013-15)
Lt worth TX 76102 J CONTRACT DATE:
CONTRACTOR:ADVANCED PAVING CO.
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(here Insert name end address of Surety Company)
SURETEC INSURANCE COMPANY
1330 Post Oak Blvd.
Houston TX 77056 , SURETY COMPANY
on bond of there Insert name and address of Contractor)
ADVANCED PAVING CO.
2257 Joe Field Rd.
Dallas TX 75229-3326 , 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)
CITY OF FORT WORTH
1000 Throckmorton Street
Fort Worth TX 76102 , OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 20th day of July,2015
SURETEC INSURANCE COMPANY
` Sur Company
Attest: eL�rfa�0l�llTil 2(nci Lt�l
W4
(Seal): Signa re of Authorized Representative
Soohinle HUD& Attorney-in-Fact
Title
NOTE: This form is to be used as a companion document to AW DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
ONE PAGE
POA#. 4221097
SureTec Insurance Company
LIMITED POWER OF ATTORNEY
Know All Mai by These Presentr, That SURETEC INSURANCE COMPANY (the "Company"I a corporation duly organized and
existing under the laws of the State of Texas,and having its principal office in Houston,Harris County, Texas,does by these presents
make,constitute and appoint
Lisa M.Bonnot,Don E.Cornell,Ricardo J.Reyna,V.DeLene Marshall,Sophinie Hunter,Robbi Morales,Kelly A Westbrook
its true and lawful Attorney-in-fact,with full power and authority hereby conferred in its name,place and stead,to execute,aclmowledge
and deliver any and all bonds,recognizances,undertakings or other instruments or contracts of suretyship to include waivers to the
conditions of contracts and consents of surety for.
Five Million and 00/100 Dollars($5,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President,sealed with the corporate
sea]of the Company and.duly attested by its Secretary,herebv ratifying and confirming all that the said Attorney-in-Fact may do in the
premises. Said appointment shall continue in force until 12131/2018 and is made under and by authority of the following
resolutions o:tae Boas-A-efDiroctws of the SureTec Insurance Con*any:
Be it Resolved that the President,any Vice-President,any Assistant Vice-Presided any Secretary or any Assistant Secretary shall be and is
hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys}in-Fact to rep and ad for and on
behalf of the Company subject to the following provisions:
Attorney-in-Fad may be given full power and authority for and in the name of and of behalf of the Company,to execute,ac]mowledge and
deliver,any and all bonds,recogaizsnces,contracts,agreements or 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 any such
Attorney-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Samtary.
Be It Resolved that the signature of any authorized officer and 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 signature or facsimile seal shall be valid
and binding upon the Company with respect to any bond or rmdataldng to which it is attached (Adapted at a neethW held on 20e ofAprfb
1999.)
In Wimess Whereof,SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seal
to be hereto affixed this sa, day of march ,A,D, 2015
SURETEC INSURANCE COMPANY
u�Hc
01 )t X q� c3 By:
w'w ., John ox Ji: resident
State of Texas ss: '� 1 `°i1Y
County of Hairis
On this gar day of Maras,A.D. 2015 before me personally came John Knox Jr.,to me known,who,being by me duly sworn,did depose and say,that he
resides in Houston,Texas, that he is President of SURETEC INSURANCE COMPANY,the company desc nbed in and which executed the above
mstrvment;that he lmows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the
Board of Directors of said Company;and that he signed his name thereto by like order.
u•+' JACQUELYN MALDONADO
Notary Pubic
Sato 01 Teras
•' wb comm.Exp.5M&W17 JacqViclyn Maldonado,Notary Public
My commission expires May 18,2017
I,M Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set
out in the Power of Attorney are in full force and effect
Given under my hand and the seal of said Company at Houston,Texas this Jam—day of lh ,A.D.
Z-A�ZI?14—
Brei(t Beaty,Assistant Secretary
Any instrument Issued in excess of the penalty stated above is totally void and without any validity.
For verification of the authority of this power you may call(713)812.0800 any business day between 8:00 am and 5:00 pm CST.
SureTec Insurance Company
THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION
Statutory Complaint Notice/Filing of Claims
To obtain information or make a complaint:You may call the Surety's toll free telephone number for information or to make a
complaint or file a claim at: 1-866-732-0099.You may also write to the Surety at:
SureTec Insurance Company
9737 Great Hills Trail, Suite 320
Austin,Tx 78759
You may contact the Texas Department of Insurance to obtain information on companies,coverage,rights or complaints at 1-800-252-
3439.You may write the Texas Department of Insurance at
PO Box 149104
Austin,TX 78714-9104
Fax#:512490-1007
Web:htM://www.tdi.state,tx.us
Email:ConsumerProtection@tdi.texas.gov
PREMIUM OR CLAIM DISPUTES:Should you have a dispute concerning your premium or about a claim,you should contact the
Surety first. If the dispute is not resolved,you may contact the Texas Department of Insurance.
Texas Rider 06042014 1
FORTWORTH RE02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
PROJECT INFORMATION Date: 7/132015
Name ofContractor Project Name
Advanced Paving HMAC Surface Overlay 2013-15
DOE Inspector Project Mangier
Ali Motamed Kristian Sugrim
DOE Number Project Duculty Type of Contract
7102 0 Simple QQ Routine Q Complex ❑ water[:] waste Water❑ Storm Drainages Pavement
Initial Contract Amount Final Conowt Amount
$97 a 71, $1,039,047.45
II)PERFORMANCE EVALUATION
0-Inadequate I -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 Clari &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 11 PROJECT MANAGER EVALUATION
6 Performance-Setting up Valve Crews,Labs I Knowled a And/Or Problem Resolution
ADMINISTRATION 1!;q2 Availability of Project Manager
1 Change Order Processing Time 3 Communication
2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con Meeting Timeframe
III)COMMENTS&SIGNATU S
COMMENTS 1
c
Signature Contractor
Signature DOE Inspector jl
Signature DOE Inspector's Supervisors
INSPECTOR'S COMMENTS
TRANSPORTS UON AND PUBLIC WORKS
CAW The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311
Nftlw (817)392-7941 -Fez(817)392-7845
FORTWORTH REV:00/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Advanced Paving HMAC Surface Overlay 2013-15
DOE Inspector DOE Number
Ali Motamed 7102
DOElnspector Project Manager
❑ Water❑ Waste Water❑ Storm Drainagep] Pavement Kristian Sugrnn
Initial Contract Amount Project Difficulty
$97(J TJ. O Simple Routine O Complex
Final Contract Amount Date
$1,039,047.45 17/13/2015
ll)PERFORMANCE EVALUATION
0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPLICABLE(YIN) 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 3 20 15
4 Field Supervision 15 Y 2 60 30
5 Work Performed 15 Y 2 60 30
6 Finished Product 15 Y 2 60 30
7 Job Site Safe 15 Y 1 60 15
8 Traffic Control Maintenance 15 Y 2 60 30
9 Daily Clean Up 5 Y 1 20 5
10 Citizen's Complaint Resolution 5 Y 1 2 20 10
11 Property Restoration 5 Y 2 20 10
12 After Hours Response 5 Y 3 20 15
13 Project Completion 5 Y 1 20 5
TOTAL ELEMENT SCORE(A) 216
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 214
111)CONTRACTOR'S RATING
Maximum Score(MS)=448 gt sum of applicable element score maximums which— 448
Rating(ITS/MSI*100%) 216 / 448 48%
Performance Category Standard
<20•/=Inadequate 20%to<40%-Deficient 409*to<609*—Standard 60%to<80%=Good X80%—Excellent
Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED)
Signature DOE Inspector (N� Signature Contractor iAp�
Signature DOE Inspector's Supervisor 7 T�M
CONTRACTOR'S COMMENTS
TIL-kNSPORTATION AND PUBLIC WORKS
The City of Fort Worth• 1000 Thaockmorton Street•Fort Worth,TX 76012-6311
(a (817)392-7941 •Fan:(817)392-7845
FORT WORTH,,,
TRANSPORTATION AND PUBLIC WORKS
STATEMENT OF CONTRACT TIME
STATEMENT#
FINAL STATEMENT# &22 DOE 1 7W
NAME OF PROJECT: HMAC Surface Overlay(2013-15) Contractor I Advancedmom
YEAR: 1900
PROJECT NO.: FINAL INSPECTION DATE
6 WD CD
CONTRACT TIME 4$1
(PERIOD FROM: f V1121115 TO: ,9bftkj BEG - Month I IDENEWPFA0Y/1V
WORK ORDER EFFECTIVE: I IMW4 , BEG /n MID /n
DAY OF MONTH DAYS REASON FOR DAY OF MONTH DAYS REASON FOR
CHARGED DAYS CREDITED CHARGED DAYS CREDITED
1 Wed 0 NA 16
2 Thu 0 NA 17
3 Fri 0 NA 18
4 Sat 0 NA 19
5 Sun 0 NA 20
6 Mon 0 NA 21
7 Tue 0 NA 22
8 Wed 0 NA 23
9 Thu 0 NA 24
10 Fri 0 NA 25
11 Sat 0 NA 26 _
12 Sun 0 NA 27 _
13 Mon 0 NA 28
14 Tue 0 NA 29
15 Wed 0 NA 30
31
WmAliol Wea tib
Not Applicable SAT,SUN,and WEATHER UTILITIES OTHERS DAYS TOTAL DAYS
HOLIDAYS RELOCATE CHARGED
THIS PERIOD 0 0 0 0 0 0
PREVIOUS PERIOD 0 181 181
TOTAL TO DATE 0 0 0 0 181 181
REMARKS:
Waiting for final OFFICIAL RECORD
TT SEMETARY ,
p
.T i t
1-2
$gnAtHltx; Signature:
( tn �itu Y �$ jL Ali Motamed
CW*A"OR DATE 9'EC'0R ,ZiT V43/2015