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Days Charged to Date 235 CD i BENBROOK, TX 76132-1063 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded f Total Cost of Work Completed $406,858.20 Less %Retained $0.00 Net Earned $406,858.20 Earned This Period $406,858.20 Retainage This Period $0.00 Less Liquidated Damages 0 Days @ $0.00 1 Day $0.00 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 $406,858.20 Thursday,October 08,2015 Page 4 of 4 i i CITY OF FORT WORTH i FINAL PAYMENT REQUEST Contract Name PRESIDIO WEST PHASE V Contract Limits Project Type WATER&SEWER City Project Numbers 02368 DOE Number 7299 Estimate Number 1 Payment Number 1 For Period Ending 10/8/2015 CD City Secretary Contract Number 117299 Contract Time 17ED 1 Contract Date Days Charged to Date 235 Project Manager Ebia Contract is 100.00 Complete 1 f Contractor GILCO CONTRACTING,INC. 6331 SOUTHWEST BLVD. BENBROOK, TX 76132-1063 Inspectors LAYER / TAEZAZ I 1 i C i i Thursday,October 08,2015 Page 1 of 4 I i I f City Project Numbers 02368 DOE Number 7299 1 Contract Name PRESIDIO WEST PHASE V Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 10/8/2015 Project Funding I I WATER I Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 TRENCH SAFETY FOR WATER 4116 LF $0.10 $411.60 4116 $411.60 2 8"WATER PIPE 2711 LF $17.20 $46,629.20 2711 $46,629.20 I 3 12"WATER PIPE 1405 LF $37.00 $51,985.00 1405 $51,985.00 4 FIRE HYDRANT 5 EA $3,175.00 $15,875.00 5 $15,875.00 5 CONNECTION TO EXISTING 4"42"WATER 5 EA $650.00 $3,250.00 5 $3,250.00 6 1"WATER SERVICE 75 EA $690.00 $51,750.00 75 $51,750.00 7 8"GATE VALVE 6 EA $1,200.00 $7,200.00 6 $7,200.00 8 12"GATE VALVE 3 EA $2,200.00 $6,600.00 3 $6,600.00 9 DUCTILE IRON WATER FITTINGS 2.1 TN $6,100.00 $12,810.00 2.1 $12,810.00 W/RESTRAINT 10 CITY BONDS FOR ALL IMPROVEMENTS I LS $18,355.00 $18,355.00 1 $18,355.00 Sub-Total of Previous Unit $214,865.80 $214,865.80 SEWER i Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total r 1 POST CCTV INSPECTION 3282 LF $1.40 $4,594.80 3282 $4,594.80 2 MANHOLE VACUUM TESTING 12 EA $100.00 $1,200.00 12 $1,200.00 3 TRENCH SAFETY 3282 LF $1.00 $3,282.00 3282 $3,282.00 4 TRENCH WATER STOPS 2 EA $250.00 $500.00 2 $500.00 III 5 4"SEWER SERVICE CO91 70 EA $590.00 $41,300.00 70 $41,300.00 6 8"SEWER PIPE 3194 LF $25.40 $81,127.60 3194 $81,127.60 7 8"SEWER PIPE CSS BACKFILL 88 LF $36.00 $3,168.00 88 $3,168.00 8 4'MANHOLE I2 EA $2,340.00 $28,080.00 12 $28,080.00 9 4'EXTRA DEPTH MANHOLE 21.4 VF $100.00 $2,140.00 21.4 $2,140.00 j 11 CONNECT TO EXISTING SANITARY SEWER 4 EA $500.00 $2,000.00 4 $2,000.00 12 MANHOLE INTERNAL CORROSION 1 EA $1,900.00 $1,900.00 I $1,900.00 I PROTECTION i 13 CONCRETE ENCASEMENT FOR UTILITY PIPES 44 LF $60.00 $2,640.00 44 $2,640.00 j 14 4"SEWER SERVICE(SDR 26)CO#1 34 EA $590.00 $20,060.00 34 $20,060.00 Sub-Total of Previous Unit $191,992.40 $191,992.40 i Thursday,October 08,2015 Page 2 of 4 City Project Numbers 02368 DOE Number 7299 Contract Name PRESIDIO WEST PHASE V Estimate Number I Contract Limits Payment Number I Project Type WATER&SEWER For Period Ending 10/8/2015 Project Funding Conti-act Information Summary Original Contract Amount $385,518.20 Change Orders Change Order Number 1 $21,340.00 Total Contract Price $406,858.20 Date Total Cost of Work Completed $406,858.20 Contracto Less %Retained $0.00 Net Earned $406,858.20 Date Inspection S PC Earned This Period $406,858.20 Date1c, Retainage This Period $0.00 Project M er Less Liquidated Damages Days @ Day $0.00 DatV,�2- LessPavement Deficiency $0.00 A ir, r P -Ina re esign and Co true" Less Penalty $0.00 Date ® Less Previous Payment $0.00 Director Contracting Dep n Plus Material on Hand Less 15% $0.00 Balance Due This Payment $406,85820 Thursday,October 08,2015 Page 3 of 4 FORTWORTH rev 03/05/07 TRANSPORTATION&PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT N0.:1 NAME OF PROJECT: Presidio West Pase V PROJECT NO.: 2368 CONTRACTOR: Gilco Contracting,Inc DOE NO.: 7299 PERIOD FROM;02/09/15 TO: 10/02/15 FINAL INSPECTION DATE: 28-Sep-15 WORK ORDER EFFECTIVE:2/9/2015 CONTRACT TIME: 170 0 WD 0 CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS MONTH CHARGED CREDITED MONTH CHARGED CREDITED DURING DURING I I 1. 16. 2. 17. 3. is. 4. 19. 5. 20, 6. 21. 7. 22, 8. 23. 9. 24. 10. 25. 11. 26, 12. 27, 13. 28. 14. 29. 15, 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES * DAYS TOTAL OTHERS &HOLIDAYS &TOO COLD RELOCATIONS CHARGED DAYS THIS 0 0 0 0 235 235 PERIOD PREVIOUS 0 0 0 0 0 0 PERIOD TOTALS 0 0 0 0 235 235 TO DATE *REMARKS: & CONTRACT INSPECTOR DATE ENGINEERING DEPARTMENT The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311 e (817)392-7941 •Fax: (817)392-7845 R ;u > 0 0 m 0 ;u F u kJ C- 0 -0 m m > Z 0 CD v C- r z m m 4t 0 -4 m X M o X ;u 0 -A r C) > D Q on - 0 o -0 r -1 0 0 0 U) U) :�i 'U 0 0 0 C- m M ;u 9: m z 0 0 0 M rn M > C. t- > > z z o ;u o . 4 m m m 0 C 0 0 M > m o 0 z Z > >:E G) =1-i g co � 0 z m z = 0 C G) i > , z M ;mu > I () E ;u 0 c m z X I i I 00 x T T -4 0 N) 0 M I'j N K) N 14 (D w (0 0) 0 a. a a 0 -4 OD 0 w 0 (0 -4 (3) U) CD m N) 0 0 Co rf, p P -4 -4 -j CL w 0, 00 W ul C) 0 IN f m M rr m C. 0 =r 9D (jO 00 00 c) m =r CD < 0 N m 4A m Ch .00 3 (D co 0 ca to %i///%/ m 0 0 CD (D T z z > 0 0 0 p p 0 z 0 > z 03 00 " G) m G) C b rt.) 0 00 Cn m z 41 (n 0 0 ly fl m > % j�j� /fJj % z z G) m 00 0 ;u rn p m il/d/l/m/l/s/i/mis MR, ' o iii 0 0 z w NAA aa . � I » 0 . « � o \ § § - § ƒ � § \ 0 i f 2 ( } m ^ (D r - ( � � \ } E m m§ $f zz � } ( G ~ § § § q� � { a � 1 % m� § » ; ( \ / R §Z 2; g } ) k \ \} \ )§ cb CD . nw f7 J P) \� d \� / -0i / }\ 2 k } § §2 \\ �m @o £ j§ 4 2 X§ & 2 ƒ @M k % 0l \2\ ® } ) 222— § } qq§2 m § mmmR ) \§§S ' 2 mmm] ) \ §@@# q «ef a 9 m « x z 7 ( §km / q ' , / , \ § / \ ® m \ m 2 / k\)\ \ i n C3 - � I \ � °° ; CONSENT OF OWNER ❑ SURETY COMPANY ARCHITECT ❑ CONTRACTOR ❑ TO FINAL PAYMENT SURETY ❑ Conforms with the American Institute of OTHER Architects,AIA Document 6707 Bond No 022050628 PROJECT: (name, eddress)Presidio West Phase V-Water&Sanitary Sewer Improvements Fort Worth TX TO (Owner) FIRST TEXAS HOMES,INC.AND CITY OF FORT ARCHITECT'S PROJECT NO: WORTH CONTRACT FOR: 500 Crescent Court Suite 350 Presidio West Phase V-Water&Sanitary Sewer Improvements Dallas TX 75201 CONTRACT DATE: CONTRACTOR:GILCO CONTRACTING, INC. In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the (here insert name and address of Surety Company) LIBERTY MUTUAL INSURANCE COMPANY 175 Berkeley Street Boston MA 02116 , SURETY COMPANY on bond of (here insert name and address of Contractor) GILCO CONTRACTING,INC. 6331 Southwest Boulevard Benbrook TX 76132 , 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) FIRST TEXAS HOMES, INC. AND CITY OF FORT WORTH 500 Crescent Court Suite 350 Dallas TX 75201 , OWNER, as set forth in the said Surety Company's bond. IN WITNESS,WHEREOF, the Surety Company has hereunto set its hand this 21 st day of September,2015 LIBERTY MUTUAL INSURANCE COMPANY Sure Company Attest:Robbi Morales ( itl (Seai); Signattfre of Authorized Representative Sophinie Hunter Attorney-in-Fact Title NOTE; This form is to be used as a companion document to AIA DOCUMENT (3706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS, Current Edition ONE PAGE PHIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND. This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. t Certificate No.7111245 American Fire and Casualty Company Liberty Mutual Insurance Company The Ohio Casualty Insurance Company WestAmerican Insurance Company 1 I POWER OF ATTORNEY KNOWN ALL PERSONS BY THESE PRESENTS: That American Fire&Casualty Company and The Ohio Casualty Insurance Company are corporations duly organized under the laws of the State of New Hampshire,that Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts,and West American Insurance Company is a corporation duly organized under the laws of the State of Indiana(herein collectively called the°Companies°),pursuant toand.by authority herein set forth,does hereby name,constitute and appoint, Don E.Cornell-Kelly A Westbrook Ricardo J.Rey la Robbi Morales;Sophlnie:Hunter .V,:DeLene'Marshall i all of the city of Dallas state of TX each individually if there be more than one riamed its true and lawful attorney m-fact-to make,execute,seal,acknowledge and deliver,for and on its behalf as surety and as its act end deed,any and all undertakings,bonds recognizances and othersurety obligations In:pursuance of these presents and shall be as binding upon the Companies as if they have beeri-duly signed by the president and attestedb'y_the secretary of the Companies in their own proper persons. IN WITNESS WHEREOF,this Power of Attomey has Been subscribed by an authorized officer orofficiai of the:Compames and-the corporate seals of the Companies have been affixed thereto this 11th day of September ;2015 PNO c1SL �(Y INS( Nsu� NwsuR American Fire and Casualty Company O `�`or'^'Nw oRli �J�o ^P�G9�r'� jJ SO'v`oaaJY(•F ye�orratU��rF The Ohio Casualty Insurance Company s West American Insurance Company a C 1906 0 0 1919 ^ 7912 ° 1991 .3 Liberty Mutual Insurance Company y rfj c * 1 * * * By. David M.Care ,Assistant Secretary C STATE OF PENNSYLVANIA ss ro COUNTY OF MONTGOMERY _ On this 11th day of September 2015—before me personally appeared David M. Carey,who acknowledged himself to he the Assistant Secretary of American Fire and v O a) Casualty Company,Liberty Mutual Insurance Company,The Ohio Casualty Insurance Company,and West American Insurance Company,and that he,as such,being authorized so to do, >,W p execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. y am_> IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at Plymouth Meeting,Pennsylvania,on the day and year first above written. o Q- gP PASp COMMONWEALTH OF PENNSYLVANIA � Q in -a Q�-�,taon�veq F!{ Notarial Seal �� "'�`"' ��'�'�""�`' 0 C'� ti ry v Teresa Pastella,Notary Public By: O d of Plymouth Ttvp.,Montgomery County Teresa Pastella,Notary Public y L y, My Commission Expires March 28,2017 3 � y h3y{VP G OO Member,Pennsylvania Association of Notaries O E N �qhl PVBy C ca This Power ofAttomey is made and executed pursuant to an by authority of the following By-laws and Authorizations of American Fire and Casualty Company,The Ohio Casualty Insurance U)p y Company,Liberty Mutual Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows; _ .D rn t�L ARTICLE IV—OFFICERS—Section 12.Power ofAttomey.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O C +; to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, i>,+y acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations.Such attorneys-in-fact,subject to the limitations set forth in their respective F3 3 E powers of alomey,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so F, d L_N executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-In-fact under >o the provisions of this article,may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. OC .1..,N R -ARTICLE XIII—Execution of Contracts—SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or president, E 00 > ;v and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute, L M cl seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their oo Z 0 respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such Instruments and to attach thereto the seal of the Company.When so 0 o executed such instruments shall be as binding as if signed by the presidentand attested bythe secretary. t0 u? Certificate of Designation—The PresidenCOf the Company acting pursuant to the Bylaws of the-Company author zes Davld_M Carey-Assistant:Secretary to appoint such attorneys-in- Y fact as may be necessary to act on behalf of.the Company:to make;ezeciite,seal,acknowledge-and deliver as:surety any and all undertakings;bonds,recognizances and other surety obligations. = Authorization—By unanimous consent ofthe Companys Board of Directors,the Company consents that f6' irmie or mechanically reproduced signature of any assistant secretary of the Company,wherever appearing upon a cerllffed copy of any power of attomey issued by the Companyin connection wdh surety bonds,shall be valid and binding upon the Company with the same force and effect as though manually affixed -_ 1,Gregory W.Davenport,the undersigned Assistant Secretary,ofAm*6r can Fire.and Casualty Contpany,The Ohib Casualty insurance Gompany Liberty Mutual Insurance Company,and West American Insurance Company do hereby certify that the original power of afl_orney of which the foregomg;is a full true_arid correct copy of the Power of Attorney executed by said Companies,is in full force and effect and has not been revoked. t IN TESTIMONY WHEREOF;I have hereunto set my hand and affixed the seals of said Companies this S day of 201 0-0A5�9, 1906 : p o 1919 191? n a . r 1941 3 By' 3 ° y a° Gregory W.Davenport,Assistant Secretary t t 17 of 500 f LMS 12873 122013 - Liberty Mutual, SURETY Important Notice TO OBTAIN INFORMATION OR TO MAKE A COMPLAINT: t You may write to Liberty Mutual Surety at: Liberty Mutual Surety Interchange Corporate Center 450 Plymouth Road, Suite 400 Plymouth Meeting, PA 19462-8284 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: P. 0. Box 149104 Austin, TX 78714-9104 Fax: (512) 475-1771 Web: http://www.tdi.state.tx.us E-mail: ConsumerProtection(a-)tdi.state.tx.us Premium or Claim Disputes Should you have a dispute concerning a premium, you should contact the agent first. If you have a dispute concerning a claim, you should contact the company first. If the dispute is not resolved, you may contact the Texas Department of Insurance. i Attach This Notice To Your Policy: i r This notice is for information only and does not become a part or condition of the attached document. LMIC-3500 J_ i i i September 17,2015 i City of Fort Worth CFA Administration 1000 Throckmorton St. j Fort Worth,TX 76102 RE: Final Waiver of Lien;Paving and Street Light Improvements to serve Presidio West Phase 5: DOE#7299 City Project#02368 The purpose of this letter is to acknowledge that we have been paid in full by First Texas Homes for the public improvements constructed to serve Presidio West Phase 5, in Fort Worth, Texas. As a result, we hereby waive, release and relinquish all rights to assert any claim or demand for lien in connection with this project. Please feel free to contact me with any questions you may have. 3 i Sincerely, Leia Hubbard Operations Director _ I�I 1 I 1 6331 Southwest Blvd. Benbrook,Texas 76132 { Office: 817.735.1 600 Fax: 817.735.1613 AFFIDAVIT STATE OF TEXAS COUNTY OF TARRANT Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Leia Hubbard, Operations Director Of Gilco Contracting, Inc.,known to me to be a credible person,who being by me duly sworn,upon her oath deposed 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 in full; That there are no claims pending for personal injury and/or property damages; On Contract described as; Paving and Street Light Improvements to serve: Presidio West Phase 5 BY Leia Hubbard Subscribed and sworn before me on this 17 of September ,2015. �RY P�NPdELL Notary ublic tv1 Notary Public,Stote of TexOS my Commisslan EExplrjas Tarrant County, TX y rT`01'Ci N; octobal 19, /ryuv PAN, i FIRST HOMES ° September 17,2015 Mr.Dale Gilreath Gilco Contracting,Inc. 6331 Southwest Blvd. Benbrook,Texas 76132 Re: Paving and Street Lights contract for Presidio West Phase 5 City Project No.02368 Water Project No. P265-6071502368-83 Sewer Project No.P275-7071302358-53 D.D.E.No.7299 "X"No.X-22792 Dear Dale: I This letter will document that First Texas Homes confirms that Glico Contracting,Inc,has completed the Work associated with the above-referenced contract in an appropriate time frame,subject to completion of any warranty or maintenance work as identified and required by the City of Fort Worth, and that no liquidated damages will be assessed by First Texas Homes in connection with the Work, First Texas Homes Cc: Patrick ckley,City of Fort Worth I L 500 Crescent Court, Suite 350 a Dallas, Texas, 75201 (214) 613-3400 a Fax (214) 432-0350 FORT 'WORTH REV:02122/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY I)PROJECT INFORMATION Date: 10/7/2017 Name of Conlractor Project Name Burnsco Construction Inc. Presidio West Phase V DOE Inspector Project Manager 7299 Fred DOE Number Project Difficulty Type of Contract 2368 O Simple O Routine O Complex (21 Water 171 Waste Water ❑ Storm Drainage ❑ Pavement Initial Contract Amount Final Contract Amount 385 518.20 $406,858.20 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 e4 1 Accuracy of Plans to Existing Conditions Ll 2 Knowledge of Inspector 44 2 Clarity&Sufficiency of Details 3 Accuracy of Measured Quantities 4q 13 Applicability of Specifications Me 4 Display Of Professionalism Al 4 Accuracy of Plan Quantities 5 Citizen Complaint Resolution 4 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 3 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 1 , Signature DOE Inspector's Supervisor INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS 3f The City of fort Worth•1000 Throckmorton Street•Fort Worth,Tai 76012-6311 (817)392-7941 •Fax:(817)392-7845 REV:02/20/07 FORTWORTH TRANSPORTATION AND PUBLIC WORKS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Name of Contractor Project Name Gilco Contracting Inc. Presidio West Phase V DOE Inspector DOE Number Habte Taezaz 7299 DOE Inspector Project Manager B Water El Waste Water ❑ Storm Drainage ❑ Pavement Fred Ehia Initial Contract Amount Project Difftulty $385,518.20 0 Simple 0 Routine 0 Complex Final Contract Amount Date $406,858.20 10/7/2015 11)PERFORMANCE EVALUATION 0-Inadequate I-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE I Submission of Documents 2 Y 3 8 6 2 Public Notifications 5 N 3 Plans on Site 5 Y 3 20 15 4 Field Supervision 15 Y 3 60 45 5 Work Performed 15 Y 3 60 45 6 Finished Product 15 Y 3 60 45 7 Job Site Safety 15 Y 4 60 60 8 Traffic Control Maintenance 15 Y 4 60 60 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 3 20 15 TOTAL ELEMENT SCORE(A) 341 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 341 111)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 408 Rating([TS/MSI * 100%) 341 408 = 84% Performance Category Excellent <20%=Inadequate 20%to<40%=Deficient 40%to<60%=Standard 60%to<80%=Good �!80%=Excellent Inspector's Comments(INCLUDING EXPLANATION OF BONUS POINTS AWARDED) Or Signature DOE Inspector ILJ-A, A Signature Contractor Signature DOE Inspector's Supervisor CONTRACTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Tlirockmorton Street•Fort Worth,TX 76012-6311 (817)392-7941 •Fax: (817)392-7845 i i FORTWORTH TRANSPORTATION AND PUBLIC WORKS PIPE REPORT FOR: PROJECT NAME: Presidio West Phase V i PROJECT NUMBER: 2368 DOE NUMBER: 7299 WATER PIPE LAID SIZE TYPE OF PIPE LF Yes 8" PVC 2711 Yes 12" PVC 1405 Yes i I i FIRE HYDRANTS: 6 VALVES(16"OR LARGER) PIPE ABANDONED SIZE TYPE OF PIPE LF No DENSITIES: Yes NEW SERVICES: V Copper 1500 SEWER PIPE LAID SIZE TYPE OF PIPE LF Yes 8" PVC 3194 PIPE ABANDONED SIZE TYPE OF PIPE LF No DENSITIES: Yes NEW SERVICES: 4" PVC 950 TRANSPORTATION AND PUBLIC WORKS n The City of Fort Worth•1000 Throckmorton Street-Fort Worth,TX 76012-6311 (817)392-7941•Fax:(817)392-7845