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Home My WebLink AboutContract 45403-FP1 ran pC By oRT WORT Business Su ort Group " Brandy cane rary JUL 2 5 2015 CONTRACT NO, - '54tbltrft TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION D.O.E.Ns:7176 Regarding contract CS45403 for RECONSTRUCTION OF THE INTERSECTION OF N RIVERSIDE DR& FOSSIL CREEK BLVD ROUNDABOUT as required by the TRANSPORTATION AND PUBLIC WORKS as approved by the City Council on 2/18/20140 through M&C C-26677 the director of the TRANSPORTATION AND PUBLIC WORKS upon the recommendation of the Assistant Director of the Transportation&Public Works Department has accepted the project as complete. Contractor.JLB CONTRACTING,LLC Original Contract Prices: $1,370,926.35 Amount of Approved Change Orders: $121,564.60 N2:1,2,3&4 Revised Contract Amount: $1,492,490.95 Less Deductions: Liquidated Damages: Days @ 420.00/Day Pavement Deficiencies: Less Penalty: $0.00 Total Cost of Work Completed: $1,453,755.77 Less Previous Payments: $1,439,218.21 Bonus:Work Completed Early $54,000.00 18 Days @$3000.00 per day Final Payment Due:- $68,537.56 7—Z i Recommended for Acceptance Date Asst. irector, TPW — Infrastructure Design and Construction AcceptedU Pate Director, TRANSPORTATION & 41BLIC WORKS City Manager Date. - OMML RECORD FAC:C203-541200-204390218383 R E C E I V E D SEP 3 01015 CITY SECRETARY FORT WORTH TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION D.O.E.Ns:7176 City Secretary Contract Number:CS45403 Project Name:RECONSTRUCTION OF THE INTERSECTION OF N RIVERSIDE DR&FOSSIL CREEK BLVD ROUNDABOUT Comments: BONUS FOR WORK COMPLETED 18 DAYS EARLY;REFER TO SECTION 3.4 OF THE AGREEMENT FOR DETAILS. FAC: 0203-541200-204390218383 FORTWORTH, Received B By usiness Supp ort Group Brandy iroane JUL 10 2015 TRANSPORTATION AND PUBLIC WORKS NOTICE OF PROJECT COMPLETION D.O.E.Ns: 7176 Regarding contract 45403 for RECONSTRUCTION OF THE INTERSECTION O N. RSIDE as required by the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT as approved y City Council on 02/18/2014 through M&C C-26677 the director of the TRANSPORTATION AND PUBLIC WORKS DEPARTMENT upon the recd endation of the Assistant Director of the Transportation&Public Works Department has accepted the proj as complete. Original Contract Prices: ,370,92635 Amount of Approved Change Orders: $121,564.60 NO 1,2,3,4 Revised Contract Amount: $1,492,490.95 Total Cost Work Completed: $1,453,755.77 Less Deductions: Liquidated Damages: Days @$210.00/Day Pavement Deficiencies: Total Deduction Amount: $0.00 Total Cost Work Completed: $1,453,755.77 Less Previous Payments: $1,439,218.22 Final Paymen a $14,53755 AdAkfs .6404"64 8 �ova/ �re/f r Recommended for Acceptance Date /S^ Asst. Dir or, TPW - Infrastr cture Design and Construction 7/44z-a/Z- Accepted Fte - Director, TRANSPORTATION AN PUBLIC WORKS DEPARTMENT Asst. City Manager Date Comments: BONUS IN THE AMOUNT OF$54,000.00,TOTAL FINAL PAYMENT DUE$68,537.55/FUND ACCT:C295-2043902183 TPW Construction Invoice CO&Ut CS45403 P.O.# PO-154036,P04482294 Payment Data: 611YMlS TO:JIB Com&UC INV•# CS45403- rl NAL Estimate No. 28 DOE: 7176 P O Boz 24131 ProjManagcr WE=Smiffi FINAL PAY Fort Worth TX 76124 FOR N Riverside Drive and Fossil Creels Rotmdabout Contract Amount. $1,478,866.75 Total to Date: $1,507,755.77 $0.00 $1,507,753.77 Previous Estimate: 51,453,755.77 514,537.56 $1,439,218.21 ACH Earned to Date: 554,000.00 (514,537.56) S68,53756 paymom $1,478,866.75 0004-$47,261.40,00#1-$47,770.QQ.CM 412".00 Total to Date: 51,507,755.77 $0.00 51,507,755.77 Previous Estimetc: $1,507,755.77 $14,537.56 $1,493,218.21 Eamed to Date: $0.00 ($14,537.56) $14,537.56 Total to Date: 51,507,755.77 $0.00 51,507,735.77 Previous Estimate: 51,453,755.77 $0.00 51,453,755.77 Earned to Dec. 554,000.00 $0.00 S54,000.00 Transportation do Public Works BUSINESS SUPPORT GROUP Contact Person-BRANDY RANE-,fat.2852 KAREDepartment ApSrgvat Sig re for KARf]J fAl,/ ' STRIKER DEPARTMENT C CK P19-UP YES ❑ Wednesday,July 22,2015 Pa8e 1 of 1 City Project Numbers 02183 DOE Number 7176 Contract Name Reconstruction of the Intersection of N.Riverside Dr at Estimate Number 28 Contract Limits Fossil Creek Blvd as a Muld-lanc Roundabout Payment Number 28 Project Type PAVING&DRAINAGE For Period Ending 6115/7015 Project Funding Project Manager SmithW City Secretary Contract Number- 45403 Inspectors GREGORY / ROGERS Contract Date 2/182014 Contractor IIB CONTRACTING,,LLC. Contract Time 173 CD PO BOX 24131 Days Charged to Date 102 CD FORT WORTH, TX 76124-1131 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded rtm t W Ct)]fl . Services Total cost of Work Completed $1,453,755.77 Leas %Retained $0.00 DOE# Date � Net Earned $1,453,755.7'7 rrojt�:t anager.�/�5�� Risk Management S.Canadv �� Earned This Period $14,537.55 D.U.E. Brotherton Retainage This Period ($541000.00) CFA Westerman/Scanned ❑ Less Liquidated Damages -e Proceeding people have been Contacted concerning the request 0 Days* $0.00 1 Day $0.00 for final payment&have released this project for such payment. L=Pavement Deficiency $0.00 Ckarnnce Conducted By Etta Bacy Less Penalty $0.00 Less Previous Payment $1,439,218.22 Plus Material on Hand Less 15% $54,000.00 Balance Due This Payment $68,537.55 Friday,June 19,2015 Page 8 of 8 FORT NORTH CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name Reconstruction of the Intersection of N.Riverside Or at Contract Limits Fossil Crede Blvd as a Muhi4ane Roundabout Project Type PAVING&DRAINAGE City Project Numbers 02183 DOE Number 7176 Estimate Number 28 Payment Number 28 For Period Ending 6/15/2015 CD City Secretary Contract Number 45403 Contract Time 171CD Contract Date 2/18/2014 Days Charged to Date 102 Project Manager SmithW Contract is 97.000 Complete Contractor JLB CONTRACTING,L.L.C. PO BOX 24131 FORT WORTH, TX 76124-1131 Inspectors GREGORY / ROGERS Friday,lune 19,2015 Page 1 of 8 e_"V. City Project Numbers 02183 DOE Number 7176 Contract Name Reconstruction of the Intersection of N.Riverside Dr at Estimate Number 28 Contract Limits Fossil Creek Blvd as a Multi-lane Roundabout Payment Number 28 Project Type PAVING&DRAINAGE For Period Ending 6/15/2015 Project Funding Unit I-Pawing t Drainage Improvements, Item Description of Items Estimated Unit Unit Coat Estimated Completed Completed No. Quanity Total Quanity Total 1 Remove Concrete Drive 1042 SF 50.70 $729.40 1042 $729.40 2 Remove Conic Pant 9078 SY $7.80 $70,808.40 9078 $70,808.40 3 Salvage Fre Hydrant 1 EA 5600.00 5600.00 1 5600.00 4 Remove 10'Curb Inlet 5 EA $900.00 54,500.00 5 54,500.00 5 Remove 18'Storm Lime 25 LF 562.00 $1,550.00 25 $1,550.00 6 18'Storm Abandonment Plug 1 EA $1,000.00 $1,000.00 1 51,000.00 7 Site Clearing 1 LS $35,000.00 $35,000.00 1 $35,000.00 8 6'-12"Tree Removal 5 EA $120.00 $600.00 2 $240.00 9 12"48"Tree Removal 3 EA $200.00 $600.00 3 $600.00 10 24'and Larger Tree Removal 6 EA $350.00 52,100.00 4 $1,400.00 11 Unclassified Excavation by Plan 2790 CY $14.50 $40,455.00 1325 $19,212.50 12 Embanl®ent by Plan 3160 CY 54.00 $12,640.00 3160 $12,640.00 13 SWPPP >_1 acre 1 LS 55,700.00 $5,700.00 1 $5,700.00 14 Remove Ex Street Sign 8 EA $300.00 52,400.00 8 52,400.00 15 Concrete Collar 5 EA $900.00 54,500.00 5 54,500.00 16 Manhole Adjustm cnt,Major w/Cover 1 EA $2,100.00 52,100.00 1 $2,100.00 17 Utility Markers 1 LS 5600.00 $600.00 1 5600.00 18 Valve Box Adjustment 6 EA $350.00 52,100.00 6 $2,100.00 19 Salvage Street Light Pole 6 EA $250.00 $1,500.00 6 $1,500.00 20 Traffic Control 1 LS $11,000.00 511,000.00 1 $11,000.00 21 Portable Message Sign 3 EA 59,120.00 527,360.00 4 $36,480.00 22 Borrow Material(CO/1) 1840 CY $20.50 $37,720.00 1840 537,720.00 Sub-Total of Previous Unit $265,562.80 5252,380.30 Unit I-Paving Item Description of Items Estimated Unit Unit Coat Estimated Completed Completed No. Quanity Total Quanity Total 22A 8"Flexible Base,Type A,GR-1 8800 SY 50.00 $0.00 22B Hydrated Lime(CO N1) 220 TO $180.00 $39,600.00 216 $38,880.00 22C 8"Lune Treatment(42 LBS/SY) 8800 SY 54.05 $35,640.00 9000 $36,450.00 23 10'Cone Pvmt 8320 SY $77.20 1.642,304.00 8156.6 $629,689.52 Friday,June 19,2015 Page 2 of 8 City Project Numbers 02183 DOE Number 7176 Contract Name Reconstruction of the Intersection of N.Riverside Dr at Estimate Number 28 Contract omits Fossil Creek Blvd as a Multi-lane Roundabout Payment Number 28 Project Type PAVING&DRAINAGE For Period Ending 61152015 Project Funding 25 Integral Cdored(rexnaed 10'Concae 480 SY $125.00 560,000.00 480 (60,000.00 26 6-Concrete Curb(Trutt Apron) 245 LF 527.00 $6,615.00 245 $6,615.00 Sub-Total of Previous Unit $784,159.00 5771,634.52 Unit I-Drainage Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quaaity Total 27 Trench Safety 255 LF $120 $306.00 212 $254.40 28 18'RCP,Class 111 170 LF $145.00 524,650.00 156 522,620.00 29 21'RCP,Class 111 45 LF $155.00 $6,975.00 32 $4,960.00 30 24'RCP,Class III 40 LF 5170.00 56,800.00 24 $4,080.00 31 10'Recessed Inlet 1 EA 54,650.00 54,650.00 1 $4,650.00 32 20'Recessed Inlet 2 EA $7,500.00 $15,000.00 2 $15,000.00 33 5'Recessed Irdet 1 EA $3,500.00 $3,500.00 1 $3,500.00 34 20'Type 2 Inlet 2 EA $7,600.00 $15,200.00 2 $15,200.00 33 4'Storm Junction Box 1 EA $7,125.00 $7,125.00 2 $14,250.00 Sub-Total of Previous Unit $84,206.00 $84,514.40 Unit I-Pavement,Marking,Signage Item Description of Ices Estimated Unit Unit Cast Estimated Completed Completed No. Quanity Total Quanity Total 42 Install 18'Yield Triangles 72 EA 530.00 $2,160.00 122 $3,660.00 43 Furnish/Install Type 42 Signal Pole 4 EA 54,700.00 $18,800.00 4 $18,800.00 44 Furnish/fastall Mast Arm 16'-36' 4 EA $2,150.00 58,600.00 4 58,600.00 45 TY 3 Signal Foundation 4 EA $1,675.00 $6,700.00 4 $6,700.00 46 FumisWInstall Alum Sign Mast Arm M 8 EA $650.00 $5,200.00 8 $5,200.00 47 FurnisWInstall Alum Sign Grand Mou 20 EA $370.00 $7,400.00 20 $7,400.00 48 Install Alum Sign Mast Arm Mount(Me 4 EA 5750.00 $3,000.00 4 53,000.00 49 FumisiOnstall Type 18 Poles with S 16 EA 52,300.00 $36,800.00 16 $36,800.00 36 8'SLD Pvmt Malting HAS(1V) 1025 LF 52.00 $2,050.00 874 $1,748.00 37 12'SLD Pvmt Marking HAE(W) 195 LF 53.00 $585.00 92 $276.00 38 Lame Legend DBL Arrow 16 EA $205.00 53,280.00 16 $3,280.00 39 Raised Marker TY W 180 EA 54.00 $720.00 144 $576.00 40 REFI.Raised Marker TY II-C-R 45 EA $4.00 $180.00 36 $144.00 Friday,June 19,2015 Page 3 of 9 City Project Numbers 02183 DOE Number 7176 Contract Name Rcoonst action of the Intersection of N.Riverside Dr at Estimate Number 28 Contract Limits Fossil Crock Blvd as a Multi-law Roundabout Payment Number 28 Project Type PAVING&DRAINAGE For Period Ending 6/152015 Project Funding 41 Lane Legend Yield Ted 8 EA $160.00 $1,280.00 8 $1,280.00 -------------- Sub-Total of Previous Unit $96,755.00 $97,464.00 Unit I-Illumination Item Description of Items Estimated Unit Usk Cost Estimated Completed Completed No. Qsasity Total Qoasity Total 50 Ground Bout,Small,al Lid Apron 9 EA $600.00 $5,400.00 9 $5,400.00 51 20OW HPS PC Lighting Rinne 16 EA $400.00 $6,400.00 16 $6,400.00 52 Rdwy Num Foundation TY 3,5,6,and 16 EA $1,100.00 $17,600.00 15 $16,500.00 53 2-2-2-4 Quadplex Alum Elec Conductor 2421 LF $2.75 $6,657.75 2421 $6,657.75 54 2'CONDI PVC SCH 80(T) 2421 LF 55.00 $12,105.00 2421 $12,105.00 55 3'CONDI PVC SCH 80(T) 1333 LF $6.60 $8,797.80 1333 $8,797.80 56 Temporary Lighting for Construction 1 LS $5,650.00 $5,650.00 1 $5,650.00 57 Add9 Temp Lighting(CO N 1) 1 LS $3,750.00 53,750.00 1 $3,750.00 59 STRIPING REVISIONS CON2 1 LS $2,200.00 52,200.00 1 $2,200.00 60 10'-16'COLORED CONCRETE SPLITTER 1056 SF $19.00 520,064.00 1056 $20,064.00 ISLAND C002 61 MONOLITHIC NOSE CON2 8 EA $312.50 52,500.00 8 $2,500.00 62 EXPLORATORY EXCAVATIONCON2 3 EA $500.00 $1,500.00 3 $1,500.00 63 24'WHITE DOT LANE SYMBOL CON3 8 EA 535.00 $280.00 8 $280.00 64 REMOVE CONC PVMT CON3(CO N4) 497.6 SY $10.75 $5,349.20 497.6 $5,34920 65 GRASS SOD 0003(CO N4) 500 SY $6.50 53,250.00 500 53,250.00 66 CURB RAMP P-1 CON3 3 EA $825.00 $2,475.00 67 CURB RAMP M-1 CON3 1 EA $875.00 $875.00 68 6'CONC CURB&GUTTER CON3 310 LF $16.50 $5,115.00 310 $5,115.00 69 8'PVMT MARKING HAS W CON3 350 LF $2.30 $805.00 350 $805.00 70 8'PVMT MARKING HAE W CON3 820 LF 52.30 $1,886.00 820 $1,886.00 71 4'PVMT MARKING HAS W CON3 4800 LF $1.15 $5,520.00 4800 $5,520.00 72 4'PVMT MARK HAS W BROKEN CON3 1230 LF $1.15 $1,414.50 1230 $1,414.50 73 4'PVMT MARK HAE W SKIP CON3 30 LF $1.15 $34.50 30 $34.50 74 4'PVMT MARK HAE Y C003 4500 LF $1.15 $5,175.00 4500 $5,175.00 75 8'PVMT MARK HAE Y C003 180 LF $2.30 $414.00 180 $414.00 76 24'PVMT MARK HAE W CON3 50 LF $6.90 $345.00 50 5345.00 77 4'RAISED MARK 11-CR CON3 58 EA $435 $25230 58 $252.30 78 4'RAISED MARK I-C CON3 106 EA $435 $461.10 106 $461.10 Friday,June 19,2015 Page 4 of 9 City Project Numbers 02183 DOE Number 7176 Contract Name Reconstruction of the Intersection of N.Riverside Dr at Estimate Number 28 Contract Limits Fossil Creek Blvd as a Multi-lane Roundabout Payment Number 28 Project Type PAVING&DRAINAGE For Period Ending 6/152015 Project Funding 79 S"W X 24 L X 24'GAP W CON3 80 LF 5230 $184.00 80 $184.00 80 1S"PVMT MARK HAE W CON3 340 LF $4.85 $1,649.00 340 $1,649.00 81 8"RAISED MARKER W CON3 92 FA 575.00 $6,900.00 92 56,900.00 82 36"TAW FLEXIBLE TUBING CON3 11 FA $110.00 $1,210.00 11 $1,210.00 83 LANE LEGEND ARROW SINGLE CON3 4 FA $145.00 $580.00 4 $580.00 84 LANE LEGEND DBL ARROW CON3 l FA $215.00 $215.00 1 $215.00 85 LANE LEGEND TEXT(ONLY)CON3 1 FA $170.00 $170.00 1 $170.00 86 18'YIELD TRIANGLES CON3 18 FA $32.00 $576.00 18 $576.00 87 ALUM.SIGN GROUND MNT.CON3 9 FA $425.00 $3,825.00 9 $3,825.00 88 Addl Saw-Cut Ex PVMT(CO N4) 345 LF $6.00 $2,070.00 345 $2,070.00 89 4'Median Nose Cone.Cap(CO N4) 245 SF $8.50 52,082.50 245 $2,082.50 90 Cone.Pvmt-Match Ex THK(CO N4) 72.6 SY $65.00 $4,719.00 72.6 54,719.00 91 Ground Box Cement Water Meter(CO N4) 1 FA $1,000.00 $1,000.00 1 $1,000.00 Sub-Total of Previous Unit $151,456.65 $147,006.65 Unit II-Water Improvement Item Description of Items Estimated Unit Unit Cat Estimated Completed Completed No. Quanity Total Quanity Total 1 Ductile hon Water Fittings w/Restr 1 TO $150.00 $150.00 0.05 $7.50 2 Connection to Existing 4"-12"Water 1 FA $2,200.00 52,200.00 1 $2,200.00 3 1"Water Service 1 FA $1,000.00 $1,000.00 1 $1,000.00 4 2'Water Service,Meter Reconnectio 4 FA 52,050.00 $8,200.00 4 $8,200.00 5 6"Water Pipe 10 LF $135.00 $050.00 5 $675.00 6 Fire Hydrant Relocation(as shown in 1 LS $4,400.00 $4,400.00 1 54,400.00 7 Air Release Valve Adj 1 LS $1,750.00 $1,750.00 1 $1,750.00 Sub-Total of Previous Unit $19,050.00 $18,2332.50 Unit M-Landscapt B Irrigation Improvements Item Description of Items Eshnutted Unit Unit Cost Estimated Completed Completed No. Quaaity Total Quanity Total 1 Topsoil-4"(CO N4) 991 CY $18.50 $18,333.50 991 $18,333.50 2 Block Sod Placement CON2 1680 SY $4.10 $6,888.00 1680 $6,888.00 3 1"Locked Gate Valve for Irrigation 1 FA $350.00 $350.00 1 $350.00 4 Allowance-Irrigation Restoration-Medians 1 LS $10,000.00 $10,000.00 025929 $2,592.90 Friday,June 19,2015 Page 5 of 8 City Project Numbers 02183 DOE Number 7176 Contract Name Reconstruction of the Intersection of N.Riverside Dr at Estimate Number 28 Contract Limits Fossil Creek Blvd as a Multi-lane Roundabout Payment Number 28 Project Type PAVING&DRAINAGE For Period Ending 6/192015 Project Funding 5 Allowance-Irrigation Restoration-Parkway 1 LS $10,000.00 $10,000.00 0.8629 $8,629.00 6 Drip Irrigation System-Central Is] 1 LS $7,250.00 $7,250.00 1 $7,250.00 7 Landscape-Central band COli2 0.92 LS $26,500.00 $24,380.00 0.92 $24,380.00 8 HYDROMULCH COE2 3700 SY $1.50 55,550.00 3700 55,550.00 9 COBBLESTONE 0002 950 SY $9.00 58,550.00 950 $8,550.00 Sub-Total of Previous Unit $91,301.50 $82,523.40 Friday,June 19,2015 Page 6 of 9 City Project Numbers 02183 DOE Number 7176 Contract Name Reconstruction of the Intersection of N.Riverside Dr at Estimate Number 28 Contract Limits Fossil Crede Blvd as a Mufti-lane Roundabout Payment Number 28 Project Type PAVING do DRAINAGE For Period Ending 6/15/2015 Project Funding Contract Information Summary Original Contract Amount $1,370,92635 Change Orders Change Order Number 1 $47,770.00 Change Order Number 2 $12,909.00 Change Order Number 3 $47,261.40 Change Order Number 4 $13,62420 Total Contract Price $1,492,490.95 A r Date S Total Cast of Work Completed $1,453,755.77 Less %Retained $0.00 Net Earned $1,453,755.77 LO Date Earned This Period $14,537.55 Retainage This Period ($54,000.00) Prqect M Less Liquidated Damages Days® /Day $0.00 r. Date/� %s L=Pavement Deficiency $0.00 or/CPW-(Infrastructure Design and Consftuction Less Penalty $0.00 W. `� ^ Date / Less Previous Payment $1,439,21822 Di Contracting Departaf $54,000.00 Aw 60 Balance Due This Payment $68,537.55 Friday,June 19,2015 Page 7 of 8 BuySpeed Online httpsJ/bso.fortworthgov mg/bso/docmnent/approval/docApproval.s& Buy Online Accounts Payable Bask Purchasing D"a,trnent Access NIGP Code Drowse I My Account I Customer Service I Com sot Organkelloa®OF FORT WORTH August 7,2015 8:52:11 AM CDT P 0 6 About 1 •""s Dmum nts Brandy Crane Invoice#: CS45403-FINAL Vendor#:0000016042 Vendor Group#:01 Status:4I11-Ready fbr Approval 1h General Deme Credits Subcontractors Accounts Routing Attachnwnts Notes(1) Reminder Charge Order Summary Back to PO Header Information Invoice Number. CS45403-FINAL Invoice Status:for Invoice Type: 3�ing Invoice Description: F� ��Riverside Drive and Invoice Date: 06/15=15 Effect Date: 01107/2015 Payment Amount $68,537.56 Handling Code: DDEPCrook OSIT) Payment Date: 07/10=15 Payment Terms: Payment Term 0 Day �ment 0.0x. Paid-Bank/Check: Alternate Id: Entered By: Brandy Crane Entered Date: 08/07/2015 CreditAmount $0.00 Updated By: Branny Crane Updated Date: 08107/2015 Received Date: 08/15/2015 08:43:00 AM Notes: lords paid out in tie amount of$54,000.00 is a tonus for work completed early Purchase Order Information Purchase order PO-15-00086936 PO Description CS45403 Number. PO Amount $54,334.38 Remaining To $0.00 Buyer. Brandy Crww Invoice: PoVendor Information Vendor: 0000016042-JLB CONTRACTING LLC Address Grp: 01 Vendor Remit-to JAMES HUMPHREY Address: P O BOX 24131 ACH ONLY FORT WORTH,TX 76124-1131 us Fed ID: """'5121 Remit Text Email:Mphant@lboontrading.com Phaco:(817)281-2991 Id:28010 Misc 3 Freight Invoice Account Event Type Fiscal Year Account Code Transaction Amount Misc 15 C203-541200-20439021 tt383 $11,004.82 Misc 15 C203-2050D0-000000218300 $14,537.56 Total: $25,542.98 Item Information Invoice Item#1120 Item* 2 COF3-$47.261.40-RAB Riverside Drive and Fossil Crook CPA02183 C209-541200-204390218383 CS45403 Orlginel PO-14$2294 1 oft 8/712015 8:52 AM BuySpeed Online httpsJ/bso.fortworthgov mVbso/doeumentla ppmvaVdocApproval.sdo Po Permlt Invoke Discount% Orwrtel Final Item Status To Pay Amount hyA®ount Pay 3PCR-CM00b Receipt $0.00 $28,370.98 0.0% $0.00 Yea MAKE: ASSET!-MODEL- ASSET SSETMODEL_ASSET MANUP ASSET SERIAL: ASSET YIN: ASSET TAG: Event Type Fiscal Year A000lrlt Code Trarnaction Arno rd Exp. 15 0203-541200-204390218383 $29,370.88 Enc 15 C203-541200-204390218383 329,370.98 Invoice h m WPO Item#:3 CON-$13,824.20-RAB Rh erside Me and Fossil Creek CPNO2183 C203-5412DO-204390218383 CS45403 Po Permit Invoke Discount% OrRNbal Final Item Shins To Pay Mount PsyAaount pay 3PCR-Compbb Receipt $0.00 $13,824.20 0.0% $0.00 Yes MAKE: ASSET MODEL ASSET MANUF: ASSET SERIAL ASSET Vlk: ASSET TAG: Event Type Rawl Year Aacprlt Code Trenaaction Amount Exp. 15 C203-41200-204390218383 $13,824.20 Enc 15 C203541200-204390218383 313,824.20 Approval Path: Delete Approver Order Approval Laval Approval, Date Date Approra42Dlsapprov6d Comment Sequence Path Typo Requested ApprovedlDle"provsd ICaneeled New ID Conceited by Add New Printery AddMek to Approver Print Copyright O 2015 Periscope HoWKM Inc—-AN Rights Reserved.default 2 of 2 8/7/2015 8:52 AM Page: 1 Document Name: untitled BC AVAILABLE FUNDS INQUIRY 62 NEXT FUNCTION: ACTION: ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- COMP / ACCT / CNTR ALTERNATE COMP / ACCT / CNTR C203 205000 000000218300 ACCT DESC: RETAINAGE PAYABLE ORIG APPROPRIATION: 0.00 CNTR DESC: N. Riverside Roundabouts LAST ACTIVITY: 07/22/2015 0.00 NA 0. 00 0.00 NA - 0.00 0.00 NA - 0.00 14, 537.56- (LIABILITY ) - 0.00 --------------------- --------------------- 14,537.56 (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: 07-22-2015 Time: 08:18:07.55 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 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; Riverside Drive-Fossil Creek Blvd Roundabout, Fort Worth,TX. JLB CONTRACTING,LLC BY / Sam Davis President Subscribed and sworn before me on this �d 2015 JAMIE GREENWAY Notary Public,State of Texas My Commission Expires NO P L C 1N AND F September 25,2014 T T COUNTY, TEXAS My commission expires 9-25-16 CONSENT OF OWNER ❑ SURETY COMPANY ARcHrrEcr r-1 CONTRACTOR ❑ TO FINAL PAYMENT SMETY OTHM (SDBLAR TO AIA DOCUMENT G707) Bond No.6067232 PROJECT: Riverside Drive-Fossil Creek Boulevard Roundabout;City Project No. 02183 (name,address)Fort Worth,Texas TO (Owner) ARCHITECTS PROJECT NO: City of Fort Worth 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(here insert name and add=of suety Company) Westfield Insurance Company 555 Republic Drive, Suite 450 Plano,Texas 75074 ,SURETY COMPANY, on bond of(hue insert name and 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 owner) City of Fort Worth 1000 Throckmorton Street Fort Worth,Texas 76102 'Oma' as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, The Surety Company has hereunto set its hand this 18th day of June 2015 WESTFIELDDqEDRANCE COMPANY Surety Comp By Signature6V ,U&o-&ed4epresenta1i Attest: (Seal): kyle W. Sweeney Attorney—in-Fact ride Note:Ibis form is ifitei"rded 6 be used as a Zo ion 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 POWER III AND ISSUED PRIOR TO 04120/11,FOR ANY PERSON OR PERSONS NAMED BELOW. General POWER NO. 4220052 06 Power Westfield Insurance Co. of Attorney Westfield National Insurance Co. CERTIFIED COPY Ohio Farmers Insurance Co. 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,JOINTLY OR SEVERALLY of FORT WORTH and State of TX its true and lawful Attorney(s)4n-Fad,with full power and authority hereby conferred in its name, place and stead, to execute, acknowledge and deliver any and all bonds, recognizances, undertakings, or other instruments or contracts of suretyshiP- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - -- - - - -• LIMITATION: THIS POWER OF ATTORNEY CANNOT BE USED TO EXECUTE NOTE GUARANTEE, MORTGAGE DEFICIENCY, MORTGAGE GUARANTEE,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-Fad 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 authority to appoint any one or more suitable persons as Attorney(s)-In-Fad to represent and ad for and on behalf of the Company subjed to the hollowing provisions: The AKorney4n,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 any such Attorney-In-Fad 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 respect to any bond or undertaking to which It is attached.' (Each adopted at a meeting held on February 8,2000). 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 . .. corporate Saw$re. S,••At�t�Nat�N•. f,'�" '"w, WESTFIELD INSURANCE COMPANY AffixedC �aGS _� �,, WESTFIELD NATIONAL INSURANCE COMPANY _ •L y ��• SE�I.::9m- .`�:�T�,;� OHIO FARMERS INSURANCE COMPANY 164 •� t State of Ohio ~•�N••��N•�� ""'"�•~"'�•�� B Richard L Kinnaird,Jr., National Surety Leader and County 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 resides-in.Medina,Ohio;that he is Senior Exec utive of WESTFIELD INSURANCE COMPANY,WESTFIELD and NATIONAL INSURANCE COMPANY aOHIO 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 , Seala\A L Affixed �P`'�111i'`SC`s , r •) .. William J.Kahelin,A mey at Law, Notary Public State of Ohio = o My Commission Does Not Expire(Sec.147.03 Ohio Revised Code) County of Medina ss.: 'bpT- OAd I,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. M Witness Whereof, 1 have hereunto set my hand and affixed the seals of said Companies at Westfield Center, Ohio, this 1 gth day of lime �gd DD�'',�► X1115 •r,...s�.... -.....«...,,,,� v. W. s a•O,• G .�: � �3 Al, }}}rrrYYO a„ •P' A , -� A. •�3e ice." A SF Te�'�,•. h :`°• •`�' :�t 1648 .'i= Sstarrtary -,3: •�f•.�: ; Frank A.Camino,Secretary BPOAC2(combined)(06-02) Rogers, Joseph From: Smith,Wilma Sent: Friday, December 12,2014 2:02 PM To: Rogers,Joseph Cc: Estes,William Todd Subject: RE: DOE 7176-Fossil Creek Bonus amount? Joe, (�Thje:binus64,000and isbased on 18days. Thank you. Wilma J. Smith, P. E. Project Manager T/PW—Infrastucture Design& Construction 1000 Throckmorton Street Fort Worth,TX 76102 Office:817392.8785 Email: Wilma.Smithla�FortWorthTexas.eov City of Fort Worth— Working to build a strong community. FORT WORTH How am I doiiog? Please feel free to contact my supervisor. William.Estg$Ca FortWorthTexas.eov From: Rogers,Joseph Sent: Wednesday, December 03, 2014 2:46 PM To: Smith, Wilma Cc: Estes, William Todd Subject: DOE 7176-Fossil Creek Bonus amount? Wilma; How much was JLB's bonus going to be? I remember it to be somewhere between$21,000 to$24,000.Q) Respectfully; Joe Rogers T/PW Infrastructure Design and Construction Group 8851 Cannp Bowie Blvd. Ft. Worth,TX 76116 Ofc. 817-392-8306 Fax. 817-392-7895 i Rogers, Joseph From: Estes,William Todd Sent: Thursday, May 21,2015 4:01 PM To: Smith,Wilma;Rogers,Joseph Cc: Gregory, Lewis Subject: RE: DOE 7176-Fossil Creek Bonus amount-PACS punch-list status Joe, In accordance with the original construction contract and the follow ast fall,JLB is due$3,000/day for a total of 18-days. This would net an early substantial completion bonus f$54,000.00. lease consider this email as authorization to pay. If you need something more detailed or formal, please let me know. W. Todd Estes, P.E. From:Smith,Wilma Sent:Thursday,May 21,2015 3:40 PM To:Estes,William Todd Subject:FW: DOE 7176-Fossil Creek Bonus amount-PACS punch-list status Todd, I need to reply to Joe on: What's the status of my receiving an authorized letter for JLB's Bonus? Thank you. Wilma J. Smith, P. E. Project Manager T/PW—Infrastucture Design&Construction 1000 Throckmorton Street Fort Worth,TX 76102 Office: 817.392.8785 Email: Wilma.SmithnFortWorthTexas.eov City of Fort Worth—Working to build a strong community. FORTWORTH How am I doing:? Please feel free to contact my supervisor. William.Estes(u)FortWorthTexas.eov From: Rogers,Joseph Sent: Friday, May 15, 2015 12:44 PM To: Smith,Wilma; Gordon, Cornell K.; bhurst(abjlbcontracting.com 1 FORT WORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: N.Riverside and Fossil Creek Roundabout PROJECT NUMBER: CPN 02183 DOE NUMBER: 7176 WATER PIPE LAID SIZE TYPE OF PIPE LF Water 6" pvc 5 FIRE HYDRANTS: 1 -relocate VALVES(16"OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: All Passed NEW SERVICES: 1" copper 30' SEWER PIPE LAID SIZE TYPE OF PIPE LF PIPE ABANDONED SIZE TYPE OF PIPE LF DENSITIES: NEW SERVICES: TRANSPORTATION AND PUBLIC WORKS e' The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311 (817)392-7941 -Fns:(817)392-7845 FORTWORTHREV.02/20/07 TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR CONTRACTOR&PROJECT DATA Name of Contractor Project Name JLB Contracting,LLC N.Riverside and Fossil Creek Roundabout DOE Inspector DOE Number Joe Rogers 7176 DOE Inspector Project Manager ❑ Water❑ Waste Water❑ Storm Drainage✓ Pavement Wilma Smith Initial Contract Amount Project Difficulty $1,370,926.35 O Simple 0 Routine QQ Complex Final Contract Amount Date $1,492,490.95+$54,000.Bonus=Grand Total$1,546,490.9516/17/2015 11)PERFORMANCE EVALUATION 0-Inadequate I-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y I 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 60 5 Work Performed 15 Y 4 60 60 6 Finished Product 15 Y 4 60 60 7 Job Site Safety 15 Y 4 60 60 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 4 20 20 11 Property Restoration 5 Y 3 20 15 12 After Hours Response 5 N 13 Project Completion 5 Y 4 20 20 TOTAL ELEMENT SCORE(A) 403 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 403 III)CONTRACTOR'S RATING Maximum Score(MS)—448 or sum of applicable element score maximums which= 428 Rating(ITS/MSS* 100%) 403 1 428 = 94:4 Performance Category Excellent <20%—Inadequate 20'09 to<40%—Deficient 40%to<60%—Standard 60%to<80%=Good >_80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Signature DOE Inspector11!1�j�� Signature Contractor __K�Wa6��_ Signature DOE Inspector's Supervisor CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311 (a (817)392-7941 -Fax:(817)392-7845 FORTWORTH REV:02W07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 6/17/2015 Name of Contractor Project Name JLB Contracting,LLC N.Riverside and Fossil Creek Roundabout DOE Inspector Project Manager Joe Rogers Wihna Smith DOE Number Project DOL-1N Tvpe of Contract 7176 O Simple Q Routine O Complex ❑ Water[:] Waste Water❑ Storm DrainageE Pavement Initial Contract Amount Final Contract Amount $1,370,926.35 1$1,492,490.95+$54,000.Bonus=Grand Total$1,546,490.95 11)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 z1 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 J 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 of Project Manager 1 Change Order Processing Time Z, 13 Communication 2 Timliness of Contractor Payments 4 Resolution of Utility Conflicts 3 Bid Opening to Pre-Con Meeting Timeframe III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor rr INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth-1000 Throckmorton Street-Fort Worth,TX 76012-6311 (817)392-7941 -Fax:(817)392-7845 FORTWORTH �03'05'0' TRANSPORTATION&PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:FINAL NAME OF PROJECT: N.Riverside and Fossil Creek Roundabout PROJECT NO.: CPN 02183 CONTRACTOR RM CoaMw ing,LLC DOE NO.: 7176 PERIOD FROM:06/01/15 TO: 06/15/15 FINAL INSPECTION DATE: 304X-15 WORK ORDER EFFECTIVE:4/16/2014 CONTRACT TIME: 173 0 W' CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING 1. 16. 2. 17. 3. 18. 4. 19. 5. 20. 6. 21. 7. 22. 8. 23. 9. 24. 10. 25. 11. 26. 12. 27. OFFICIAL RECORD 13. 28. CITY SECRETARY 14. 29. FT. WORTH TX 15. 30. L - 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS &TOO COLD RELOCATIONS OTHERS* • CHARGED DAYS THIS PERIOD PREVIOUS 102 102 PERIOD TOTALS 102 102 TO DATE *REMARKS: ORIG.CONTRACT CD`S 12.0 102 DAYS CHARGED PER PROJECT MANAGER=$54,000.BONUS.TO BE PAID ON THIS FINAL ADDITIONAL DAYS ACCURED DUE TO CO'S f 2 3 &4=TOTAL 173 CD'S AWARDED TO DATE. . -�-" CONT CTOR DATE INSP O DATE ENGINEERING DEP. NT 3 The City of Fort Worth*1000 Throckmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax:(817)392-7845