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FORT WORTH
CITY OF FORT WORTH
MAL PAYMENT U;QUE ST
Contract Name IJIGH POINT ML DRAINAGE IMPROVEMENTS
Contract Limits
Project Type DRAINAGE
City Project Numbers 02542
DOE Number 7424
Estimate Number I Payment Number I For Period Ending 4/11 o15
CD
City Secretary Contract Number 117424 Contract Time XD
Contract Date Days Charged to Date 52
Project Manager Long Contract is 100-00 Complete
Contractor CONATSERCONSTRUC11OKULP
5327 WICHITA ST
FORT WORTH, TX 76119
Inspectors lAYER / ODEN
Frkhofw,Saptwihw 11,2015 Pop 1 of 4
City Project Numbers 02542 DOE Number 7424
Contract Name HIGH POINT HILL DRAINAGE IMPROVEMENTS Estimate Number I
Contract Limits Payment Number I
Project Type DRAINAGE For Period Ending 9/11/2015
Project Funding
DRAINAGE
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
I SITE CLEARING I LS $2,500.00 $2,500-00 1 $2,500.00
2 UNCLASSIFIED EXCAVATION BY PLAN 63 CY $100.00 $6,300.00 63 $6,300.00
3 SEEDING 475 SY $6.00 $2,850.00 475 $2,850.00
4 TRENCH SAFETY 92 LF $20.00 $1,840.00 92 $1,840.00
5 IMPORTED EMBEDMENT/BACKFILL 20 CY $150.00 $3,000.00 20 $3,000.00
6 5X2 BOX CULVERT 81 LF $255.00 $20,655.00 81 $20,655.00
7 STORM DRAIN INLET BOX W[SAFETY END I EA $19,500.00 $19,500.00 1 $19,500.00
TREATMENTS
— -- ——— ——— —————
Sub-Total of Previous Unit $56,645.00 $56,645.00
Friday,September 11,2015 Page 2 of 4
City Project Numbers 02542
DOE Number 7424
Contract Name HIGH POWHILI,]DRAINAGE IMPR(1Vi ;i rS0 Estimate Number i
Contract Limits Payment Number 1
Project y DRAINAGE For Period Ending 9/11!2015
Project Funding
Contract Information Stones
Original ContractAmount 556,645 00
Chany.e Orders
Total Contract Price S56,645,00
-Date Total Cost of or Completed $56,64500
a Len %Retained
i { 5
bate Met Earned S56,645.00
lass i S J� Earned This Period $56,645.00
Retainage This Period $0.00
ate 7 /1"
Liquidated Damages
ivf
Bays @ /Day $0.00
at _ — LessPavement Deficiency
;t,Directorfl"PW-Inlimtructurc Desip and Construction Less Penalty $0.00
Date < / Less Previous Payment $0.00
tar/Contr wating Mpffent t,1 Plus Material on Hand Less % $0.00
Balance Due This Payment $56,645.00
1
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Friday,UTIernber 11.2015 Page 3 of 4
City Project Numbers 02542 DOE Number 7424
Contract Name HIGH POINT HILL DRAINAGE IN4PROVEMENTs Estimate Number I
Contract Limits Payment Number I
Project Type DRAINAGE For Period Ending 9811/2015
Project Funding
Project Manager Long City Secretary Contract Number 117424
Inspectors LAYER / ODEN Contract Date
Contractor CONATSER CONSTRUCTION TxLP Contract Time 30 CD
5327 WICHnA ST Days Charged to Date 52 CD
FORT WORTH, I-A 76119 Contract is .000000 Complete
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
Total Cost of or Completed $56,645A
Less %Retained $0.00
Net Earned $56,645.00
Earned This Period $56,645.00
Retainage This Period $0.00
Less Liquidated Damages
0 Days@ $0.00 /Day KOO
LessPavement Deficiency $0.00
Less Penalty $0.00
Less Previous Payment $0.00
Plus Material on Hand Less 15%
$0.00
Balance Due This Payment $56,645.00
Friday.September 11,2015 Page 4 o£4
F,'0RT WORTH rev 03/05/07
TRANSPORTATION AND PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:I
NAME OF PROJECT: DraiNaa�c To Serve Higli Point Hill
PROJECT NO.: ff0-5-2067602542 CONTRACTOR: Conan ter Construction
DOE NO.: 7424
PERIOD FROM:07/22/1 5 TO. 09/11/115 FINAE TINSPECTION DATE: '9/11/2015
WORK RDER EFFE4C TI :7/22/21115 CONTRACT TIME: 30
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH H ICHARGED CREDITED MONTH CHARGED CREDITED
DURING DURING
• 16.
• 17.
3. 18.
• 19.
5. 20.
7. 22.
8. 23.
10. 25.
11. 26.
12. 27.
13. 28.
14. 29.
15. 30.
31.
SAT,SUN, RAIN,TOO WET, UTILITIES OTHERS" DAYS TOTAL
&HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS
THIS 0 0 0 0 52 52
PERIOD
PREVICJUS 0 0 0 0 0 0
PERIOD
TOTALS 0 0 0 0 52
TO DATE
*REMARKS:
ct I
eo&TRACTOR t)AfrE 'rNsvEctop, DATE
IIIANSPORTATION AND PU111C WORICS
The,(it y of Fort Worth-10001hrockmorton Street•Fort Worth,TX 76 TWA( REC01to!
(817)392-7941 -Fm(817)392-7845
WORTHf TX
AFFIDAVIT
STATE OF TEXAS
COUNTY OF TA ITT
Before me, the undersigned authority, a Notary Public in the state and county aforesaid,
on this day personally appeared Brock Huggins, Vice-President of Conatser Management Group,
Inc.,general partner of C..onatser Construction TXLP,known to me to be a credible person,who
being by me duly swom,upon his oath deposed and said:
That all persons, firms, associations, corporations or other organizations ftimishing
labor and/or materials have been paid in fidl;
That the wage scale established by the City Cotm,cil in the City of Fort Worth, has
been paid in full;and
That there are no claims pending for personal injury and/or property damages;
On Contract described as:
HIGH POINT HILL DRAINAGE IMPROVEMENTS
STORM DRAIN IMPROVE,MENTS
DOE#N/A
CITY OF FORT WORTH
STATE OF TEXAS
CON CONS" UCTION TX,LP
Brock Huggins
Subscribed and swom to before me this 28th day of's
)15.
Notary Public in Tarrant County,Texas
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F,,- Septembef IS 2019
"1"17
CONSENT OF OWNER
SURETY COMPANY ARCHITECT
TO FINAL PAYMENT CONTRACTOR
Sl1RETY
Conforms with the American Institute of OTHER
Architects,AIA Document 6707
Bond No 0191903
PROJECT:
(name, addrfsSs)Hi h Paint Hill Drainage Improvements
Fart art TX
T (Owner)COry
nH DEVELOPMENT t0,LR,AND THE ICI OF 7 ARCHITECT®S PROJECT NO:
FORT WORTH CONTRACT FOR:
Summit Avenue High point Hill Drainage improvements
Fors Worth TX 76102 CONTRACT DATE:
CONTRACTOR:CONATSER CONSTRUCTION TX„ Le P.
In accordance with the provisions of the Contract between the and the Contractor as indicated above,the
(two Insert name and address of Surety Company)
BERKLEY INSURANCE COMPANY
Steamboat Road
Greenwich CT 06930 . SURETY COMPANY
On bond of there hum name and address of Contracted
CONAT SER CONSTRUCTION TX, L.P.
5327 Wichita St,
Fort Worth TX 76119-6035 ® 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 Ih a Insert name and address of Owner)
BH DEVELOPMENT TWO,L,P,AND THE CITY OF FORT WORTH
Summit Avenue
Fort Worth TX 76102
. OWNER,
as set forth in the said Sure ''Company's� p Ys .�
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 24th day of September,2015
BERKLEY INSURANCE COMPANY
Surety Company
Attest: ��, ��.
(Seal); Signature ofAuthorized Representative
AttDrne ;in-Fact
Title
NOTE: This form Is to be used as a companion document to AIA DOCUMENT 0706, CONTRACTOR°s AFFIDAVIT OF PAYMENT OF DE9TS AND CLAIMS,
sai
ONE PAGE
POWER OF A77ORNEY
BERKLEY INSURANCE COMPANY
WILMINGTON,DCLAWARE
NOTICE 'The warming found elsewhere in this Power of'Attorney affects the validity thereof. Please review carefully.,
KNOW A1.1 MEN BY THESE PRESENTS, that BERKLEY INSURANCE COMPANY (the "Cornpany"), a corporaflon duly
organized and existing under the laws ofthe State of'Delaware,having its prin6pal office in Greoll%Och,C11', has made,consfiiuked
and appointed, and does by these presents make, constitute and apipoinc Ricardo J. Rewa; Don F.*, C"ornelf; Vena DeLenc
Marshall,°Soplihole flunter;Robb i Aforales;or Nelfy A. lVestbrook of Aon Risk Services Soathfvevt, Inc. of Dallas, TV its truce
and lawful Attor►cy-in-Fact,to sign its name as surety only as dchneated below and to execute, seal,acknowledge and deliver any
and ail bonds and undertakings, with dire exception of Financial Guaranty Insurance, providing that no single obhgatflon shall
exceed Fifty Million and 00/100 U.S. Dollars (IJ,S,5 50,000,000,00),to the same extent as if"such bonds had been duiy, executed
and acknowledged by the regiflarly elected officers of the Company at its principal'office in their own proper persons.
"Mis Power of Attorney shall be construed and enforced in accordance with, and goverincd by,the laws of the State of DcIaware•
without giving effect to the principlcs of conflicts of laws thereof, This Power of Attorney is giranted pursuant to the following
resolutions which were duly and validly adopted at a ineeting of the Board of Directors of the Collripany held on Januiary 25,2010:
RESOLVED, that, with respect to the Surety business written by Berkley Surety Group, the Chin► nan of the Board, Chief
Executive Officer, President or any "ice President of the Coirnpany, m conjunction with the Sccwvtary or any Assistant
Secretary are hereby authorized to execute powers of attorney authorizilng and quialif�iing the attorney-in-fact named therein
to execute bonds, undertakings, recognizances, or other suretyship obligations on behalf of the Company, and to affix the
corporate seal of the Cornpany to powers of attorney executed pursuant Itereto; and said officers may remove any such
attorney in-fact and revolve any power of attorney previously granted;and Further
RESOLVED, that such power of anorney hnihs the acts of those named therein to the bonds, undertakings, recognizalices,
or other suretyship obligations specifically named therein, and fl'iey have no authoflty to bind the Company except in the
manner and to the extent therein stated;and further
RESOLVED, that such power of attorney revokes all previous powers issued on behalf of the attorney-in-fact named; and
further
RESOLVED, that the signature of any authorized officeir and the seal of1he Cornpany may be affixed by facsiaffle to any
power of attorney or certificaflon thereof authorizing the execution and delivery of any bond, undertaking, recogn izal!lice, or
other suretyship obligation of the Company;and such signature and seal when so used shall have the same force and effect as
though manually affixed. The Co►tipany may continue to use for the purposes herein stated the facsimile signature of any
person or persons who shall have been such officer or officers of the Company, notwithsianding the fact that they may have
ceased to be such at the tame when such instruments shaI@ be issued,
IN WITNESS WHEREOF, the Company has cause przsents to be signed and attested by its appropriate officers and its
as cause- It,
corporate seal hereunto affixed this of
Attest: Beirkley Insurance Company
..............................
Ira S,,.,,?.e` eirnan
(Seal) By, B ye -ft
c Preside
Senior Vice President&Secretary
WARNING, THIS POWER INVALID IF NOT PRINTED ON BLUE"BERKLEY"SECURITY PAPER.
STATE OF CONNECTICUT)
) ss:
COUNTY OF FAIRFIELD ) A "'i
Sworn to before me,a Notary Public in the State of Connecticut, this da i of L
2W5, by Ira S. I.,ederman and
"a ........._ —c'
Jeffrey M. I-lafter who are swom to me to be the Senior Vice President and SeCTC ry,and the Senior Vice Ere-ident res1r.efively,of
Berkicy Insurance Company MARIA C.RUNDBAKEN
-A—L/.
NOTARY PUBLIC
.W" 11...........
MY COMMISSION EXPIRES )O�te ry Public,State of Connecticut
APRIL 30,2019
CERTIFICATE
1,flie undersigned, Assistant Secretary of BERKLEY INSURANCE COMPANY, DO iiEREBY Cf'-I'RTIFY that the Foregoing !is a
true,correct and complete copy of the original flower of Atlorney� that said Power of Attorney has not been revoked or rescinded
and that the authority of the Attorney-in-Fact set forth they-6n, who executed the bond or anderlaking to which this Power of
Attorney, is attached, is in full force and effect as of this date.
Given undCTmy hand and seal of the Company,this24th,., day of ...Se Member
2015
t
(Seal) ................
A
a-
FOR1 H REV.-02120/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
1) COOT RACTOR&PROJECT DATA
Maine of Contractor Project dame
Conatser Draina e Hi Point Hill
DOE Impector DOE Num
Wginan Oden 7424
DO.EbzVector Prqject Manager
El water 0 waste water(D SbDrM DralnagU Pavement Aaron Long
Initial Conmwi Amount Project Doiculty
556,645.00 0 simple Routine 0 complex
Final Contract Amount Date
$56,645.00 9/1412015
11)PERFORMANCE EVALUATION
0-Inadequate I-Deficient 2.Standard- 3-Good 4-Excellent
ELEMENT WEIGMT0c) A.PfJC-ADI,F-(Y/N) RATING(0-4) SCORIESCORE
I Submission of Documents 2 Y 4 8 8
Public Notifications 5 Y 4 20 20
3 Plans on Site 5--Y 3 20) 15
4 Field Supervision 15 Y 4 MAX E6 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 4 60 60
9 Daily Clean Up 5 Y 4 20 20
10 Citizen's Cora faint Resatution 5 Y 3 20 15
I I Property Restoration 5 Y 4 20 20
12 After Hours Response 5 Y 4 20 20
13 Project Com letion 5 Ivi
TOTAL EI.1-MENT SCORE(A) 418
90 NUS POINTS(25 Maximum)(B)—
TOT Ili,SCOREM) 418
1.11)CONTRACTORS RATING
Maxiinum Score(MS)=448 pr sum of applicable element score maxiniums which 428
Rating(ITS/MSI*100%) 413 1 429
Performance Category Excellent
<20%-Inadequate 20%to<40%-LWWen( 40%to<60%-Sivndard 60%to<80%-Good ;0%-,Excellent
Inspector's Comments(INCLUDING EXPLANAT)ION OF BONUS POINTS AWAIMED)
Si at DOE Inspector Signature Conlractor
Signature DOE Inspectoes Supervisor
CONTRACTORS COMMFW. S
"MVNSPOR'1A'1'1(')N AND PUBLIC WORKS
The City of Fort Worth•100011rockniortort Street•Fort Worth,TX.76012-6311
—(81-7)392-7941 -.r-2x.(817)392-784.5
BH DEvELO,PMENT Two,L.P.
600 Sunimit Ave
Fort Worth,Texas 76102
817-377-2900
September 14,2015
City of Fort Worth
1000 Throckmorton Street
Fort Worth,TX 76102
Re: Storm in Project FM 1187
To Whom it May Concern:
BH Development Two, L.P. does not intend to pursue liquidated delling"es against Collatser colls(ructioll
for this pmject.
Thank you very much.
BH Development Two, L.P.
By M 187 Management, LL C,general partner
<
By: ........
Robert 11. Bill-lu'llill" povskileill
of Badiam Intetests, Inc. its
FORT WORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
I PROJECT INFORMATION Date: 9/14/2015
'.a
:t. '�c'.
Now of Conty actor Project Monte
Conatser Construction Draina e H i Point Hill
DOE lutpectar Project Manager
Y We 18
V�mn en Aaron I on
Effianber Project Dirl-Ity Type of Contract
7424 0 Simple 00 Routine 0 Complex El WaterEl Waste Waterf2l Storm Drainageo Pavement
r.............................. —............................
Initial Contract Amount Final Contract Amount
$56,645.00 $56,645.00
11)PERFORMANCE EVALUATION
0-made uate 1 - e icient 2-Standard 3-Good 4 Excellent
ELEMENT RXIING EL,EMEN'r RATING
(0-4) =(OT-4)
INSPECTION EVALUATION PLANS&SPECIFICATIONS
I ikvailtqi oflns actor I Aft�ecurac of Plans to Exist ons
2 owled a ofIns actor 2 Clarity&Suciency
3 Ace a o Measured Onnnt tii-.q Details
4 Display Of Professionalism 4 Accuracy,of Plan Quantities
5 PROJECT MANAGER EVALUATION
6 Performance-Sertinj� halve Crews,Labs
ADMINISTRATION 2 Availability of Pi2iect rlanu er
I Chan),e Order Proces ing Time 3 Corm-nunication
2 Timliness of Contractor Payments 4 Resolution of t—ilk Conflicts
Did Opening to Pre-Con Meeting Tirriefratne
HI)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector RJ
Signature DOE Inspector's Supervisor
INSPECTOR'S COMMENTS
T11ANSPORT,XTION AND PI B11C WORKS
The City of Fort Worth•1000'llitrockmorton Street•Fort Worth,"I 76012-6311
(817)392-7941 -Fax.(817)392-7845
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