HomeMy WebLinkAboutContract 46271-FP11
Depart J ntf TP &W Const. Services
DOE# Date
Project Manage ,r1r
Risk Management J. Page A It
D.O.E. Brotherton .n, f
CFA Westerman/Scanned lo e •-•ir
The Proceeding people have been C • ' ed concerning the request for final
payment & have released this project for such payment
Clearance Conducted By Shameka Kennedy
kTION AND PUBLIC WORKS
a PROJECT COMPLETION
MY SECRETARY u co,/
CONTRACT NO. 6'1 reit
514701 -Lo233Y
D.O.E. Art: 7281
CtsffLu2)5 1
Regarding contract 117281 for WEST FORK RANCH PH 8B-WATER & SEWER as required by the
WATER DEPARTMENT as approved by City Council on N/A through M&C N/A the director of the
WATER DEPARTMENT upon the : commendation of the Assistant Director of the Transportation & Public Works
Department has accepted the project a
Original Contract Prices:
Amount of Approved Change Orders:
Revised Contract Amount:
Total Cost Work Completed:
Less Deductions:
Liquidated Damages:
Pavement Deficiencies:
Tntal Ilarinrtien Amntint-
Total Cost Work Completed:
Less Previous Payments:
Final Payment Due
Recommended for Acceptance
Asst. Director, TPW - Infrastructure Design and Construction
r
Accepted
Asst. Director, WATER DEPARTMENT
-
Asst. City Manager
Comments: P265-541200-602150233883, P275-541200-702130233883
jr, NIA amp
NOV 0 -, ZUth
$512,149.20
$512,149.20
Days @ $210.00/ Day
$512,149.20
$0.00
S512,149.20
1/724—e---
Date
//
Date
Date
OFFICIAL RECORD
CITY SECRETARY
Ft WORTH, TX
--P-2t45-- bQ33F
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City Project Numbers 02338 r DOE Number 7281
Contract Name WEST FORK RANCH PH 8B "" "'"" ""'°°"" Estimate Number 1
Contract Limits Payment Number 1
Project Type WATER&SEWER For Period Ending 9/24/2015
Project Funding
Project Manager Buckley City Secretary Contract Number 117281
Inspectors LAYER / DOVERS Contract Date
Contractor BURNSCO CONSTRUCTION,INC. Contract Time 180 CD
6331 SOUTHWEST BLVD Days Charged to Date 250 CD
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FORT WORTH, TX 76132 Contract is .000000 Complete
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CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
Total Cost of Work Completed $512,149.20
Less %Retained $0.00
Net Earned $512,149.20
I
Earned This Period $512,149.20
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 /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 $512,149.20
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Thursday,September 24,2015 Page 5 of 5
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CITY OF FORT WORTH
FINAL PAYMENT REQUEST
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Contract Name WEST FORK RANCH PH 8B
Contract Limits
Project Type WATER&SEWER
City Project Numbers 02338
DOE Number 7281
Estimate Number 1 Payment Number 1 For Period Ending 9/24/2015
CD
City Secretary Contract Number 117281 Contract Time 18ED
Contract Date Days Charged to Date 250
Project Manager Buckley Contract is 100.00 Complete
Contractor BURNSCO CONSTRUCTION,INC.
6331 SOUTHWEST BLVD
FORT WORTH, TX 76132
Inspectors LAYER / DOVERS
Thursday,September 24,2015 Page 1 of 5
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City Project Numbers 02338 DOE Number 7281
Contract Name WEST FORK RANCH PH 8B Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 9/24/2015
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
------------------------------
1 12"PVC WATER PIPE 1578 LF $37.60 $59,332.80 1578 $59,332.80
2 8"PVC WATER PIPE 3870 LF $20.60 $79,722.00 3870 $79,722.00
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3 12"GATE VALVE 3 EA $2,100.00 $6,300.00 3 $6,300.00
4 8"GATE VALVE 12 EA $1,200.00 $14,400.00 12 $14,400.00
5 20"CASING BY OTHER THAN OPEN CUT 53 LF $260.00 $13,780-00 53 $13,780.00
6 CONNECTION TO EXISTING 4"-12"WATER 2 EA $700.00 $1,400.00 2 $1,400.00
MAIN
7 FIRE HYDRANT 5 EA $3,100.00 $15,500.00 5 $15,500.00
8 16"CASING BY OTHER THAN OPEN CUT 64 LF $250.00 $16,000.00 64 $16,000.00
9 1"WATER SERVICE 101 EA $700.00 $70,700-00 101 $70,700.00
10 2"WATER SERVICE I EA $1,700.00 $1,700.00 1 $1,700.00
11 TRENCH SAFETY 5448 LF $0.10 $544.80 5448 $544.80
12 4"CONDT PVC SCH 40 140 LF $10.00 $1,400.00 140 $1,400.00
13 4"CONDT PVC SCH 40 160 LF $40.00 $6,400.00 160 $6,400.00
14 DUCTILE IRON WATER FTTTINGS 1 TN $6,350.00 $6,350.00 1 $6,350.00
15 CONCRETE BLOCKING 2 CY $500.00 $1,000.00 2 $1,000.00
Sub-Total of Previous Unit $294,529.60 $294,529.60
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
--- -----------------------------------
I 8"SEWER PIPE 3586 LF $24.40 $87,498.40 3586 $87,498.40
2 8"SEWER PIPE 240 LF $39.80 $9,552.00 240 $9,552.00
3 4"SEWER SERVICE 101 EA $540.00 $54,540.00 101 $54,540.00
4 4'MANHOLE 15 EA $2,550.00 $38,250.00 15 $38,250.00
5 4'MANHOLE I EA $2,700.00 $2,700.00 1 $2,700.00
6 4'DROP MANHOLE 1 EA $3,900.00 $3,900.00 1 $3,900.00
7 MANHOLE VACUUM TESTING 17 EA 17
8 TRENCH SAFETY 3586 LF $1.00 $3,586.00 3586 $3,586.00
9 POST CCTV INSPECTION 3586 LF $110 $4,303.20 3586 $4,303.20
10 EPDXY MANHOLE LINER 61 VF $190.00 $11,590.00 61 $11,590.00
Thursday,September 24,2015 Page 2 of 5
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City Project Numbers 02338 DOE Number 7281
Contract Name WEST FORK RANCH PH 8B Estimate Number i
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 9/2412015
Project Funding
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11 4`EXTRA DEPTH MANHOLE 17 VF $100.00 $1,700.00 17 $1,700.00
Sub-Total of Previous Unit $217,619.60 $217,619.60
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Thursday,September 24,2015 Page 3 of 5
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City Project Numbers 02338 DOE Number 7281
Contract Name WEST FORK RANCH PH 813 Estimate Number 1
Contract Limits Payment Number i
Project Type WATER&SEWER For Period Ending 9/24/2015
Project Funding
Contract Information Summary
Original Contract Amount $512,149.20
Change Orders
Total Contract Price $512,149.20
Total Cost of Work Com leted
Date °c✓ �� P $512,149.20
r I Less %Retained $0.00
Date I0 Net Earned $512,149.20
Ins c'o S i r Earned This Period $512,149.20
tl etainage This Period $0.00
Date &�
Project M Less Liquidated Damages
Days @ /Day $0.00
Date _ LessPavement Deficiency $0.00
Ass ,D'rec 11'PyU,;Infras ture T e ign;anda 4Cnstruction Less Penalty $0.00
Less Previous Pa ment $0.00
I ate Y
Director/Contracting Departure Plus Material on Hand Less 15% $0.00
Balance Due This Payment $512,149.20
Thursday,September 24,2015 Page 4 of 5
rcv 03/05/07
FORTWORTH
TRANSPORTATION& PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
f;INA L STATEMENT NO.:I
NAME OF PROJECT: West Fork Ranch Phase 8B
i,imu"c"r NO.: 2.338 CONTRACTOR: Burnsco Construction
DOE NO.: 7281
PERIOD FROM:05/18/15 TO: 09/14/15 FINAL INSPECTION DATE: 30-Sep-I5
WORK ORDER EFFECTIVE:5/18/2015 CONTRACT TIME: 180 0 W004 CD
DAYS DAYS
DAY OF REASON FOR DAYS DAY OF REASON FOR DAYS
CHARGED CHARGED
MONTH DURING CREDITED MONTH DURING CREDITED
1. 16.
2. 17.
3.
4. 19.
5. 20.
21.
7. 22.
8. 23.
9 24.
1). 25.
IL 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
PERIOD 250
PRENAOUS
PERIOD
IOTA LS
TO DATE
.REMARKS:
CON r t R DATE 6WSPECTbk DATE
li'()
ENGINEERING DEPARTMENT
'Ile City of Fort Worth • I000 Throckmortost Street-Fort Worth, 1-'K 76012-6 3 It
(817)392-7941 Fax:(817)392-7845 V[P F"I CNAL RECORD
REV:02/20/07
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
1) CONTRACTOR&PROJECT DATA
lVaine of Contractor Project Name
Burnsco Construction West Fork Ranch Phase 8B
DOE Inspector DOE Number
Jim Diestel 7281
DOEInspector Project Manager
121 Water B Waste Water❑ Storm Drainage❑ Pavement Pat Buckley
Initial Contract Amount Project Dculty
$512,149.20 0 Simple 0 Routine 0 Complex
Final Contract Amount Date
1$512,149.20 19/30/2015
II)PERFORMANCE EVALUATION
0-Inadequate I-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPLICABLE(YIN) RATING(0-4) MAX SCORE SCORE
I Submission of Documents 2 Y 4 8 8
2 Public Notifications -5 N
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 3 60 45
8 Traffic Control Maintenance 15 Y 4 60 60
9 Daily Clean Up 5 Y 3 20 15
10 Citizen's Complaint Resolution 5 N
11 Property Restoration 5 Y 4 20 20
12 After Hours Response 5 N
13 Project Completion 5 Y 4 20 20
TOTAL ELEMENT SCORE(A) 368
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 368
IM CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 388
Rating((TS/MS1* 100%) 368 388 = 95%
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)
Signature DOE Inspector 1110",9 Signature Contractor
77
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
(817)392-7941 •Fax:(817)392-7845
CONSENT OF OWNER
ARCHITECT LJ
SURETY COMPANY [�
-- CONTRACTOR ^�
TO FINAL PAYMENT SURETY U
Conforms with the American Institute vf OTHER
Architects,AIADocument G707
Bond NoU22U5OO15
PROJECT/ West Fork Ranch Phase ua'Water,Sanitary Sewer,and Storm Drain Improvements
(name, address) Fort Worth,Tx
TO (Owner)
HOMES op TEXAS,L.p.AND CITY oppo-7 ARCHITECT'S PROJECT NO:
WORTH CONTRACT FOR:
*aoo Regent Blvd. Suite 1oo West Fork Ranch Phase uo'Water,aunit�r Sewer,and Storm Drain
Improvements
hmmo Tx nmao | CONTRACT DATE:
CONTRACTOR:BURN8CO CONSTRUCTION,INC,
In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above,the
(here insert name and address m Surety Company)
LIBERTY MUTUAL INSURANCE COMPANY
175 Berkeley Street
Boston MA 02116 SURETY COMPANY
ou bond uf (here insert name and address o+Contractor)
BURNSCO CONSTRUCTION, INC.
O381 Southwest Boulevard
oonbmok Tx 76132 , CONTRACTOR'
hereby approves of the final payment to the Contractor, and agrees that fiuul payment tothe Contractor shall not relieve
the Surety Company ot any of its obligations to (here insert name and address"ru*mv,/
PULTE HOMES OF TEXAS, LP.AND CITY OF FORT WORTH
*8OO Regent Blvd. Suite 100
Irving TX 75063 ^ OWNER,
as set forth in the said Surety Company's bond.
IN WITNESS,WHEREOF,
the Surety Company has hereunto set its hand this 5th day of October,2015
LIBERTY MUTUAL INSURANCE COMPANY
3 Company
/��at:RobbiMo/a|ou ��
(Seal--, 8ignabn:of Authorized Representative
SoDhinle Hunter Attorney-in-Fact
Title
NOTE: This form Is to be used as a companion document to AIA DOCUMENT G706, CONTRACTOR'S AFFIDAVIT OF PAYMENT OF DEBTS AND CLAIMS,
Current Edition
ONE PAGE
THIS 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.
Certificate No.7111257
American Fire and Casualty Company Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company West American Insurance Company
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 to and by authority herein set forth,does hereby name,constitute
and appoint, Don E.Cornell;Kelly A.Westbrook;Ricardo J.Reyna;Robbi Morales;Sophinie Hunter;V.DeLene Marshall
all of the city of Dallas state of TX each individually if there be more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge
and deliver,for and on its behalf as surety and as its act and deed,any and all undertakings,bonds,recognizances and other surety obligations,In pursuance of these presents and shall
be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 11th day of September 2015
American Fire and Casualty Company
The Ohio Casualty Insurance Company
0
1906
Liberty Mutual Insurance Company 4)
1912 1991 R
<
West mencan insurance Company
4) By:
S David M.Carey,'Assistant Secretary q
STATE OF PENNSYLVANIA ss
COUNTY OF MONTGOMERY
0
(D On 11th dayof September 2015 before me personally appeared David M. Carey,who acknowledged himself to be the Assistant Secretary of American Fire and
lim I— fj F-
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, >,U)
to- = 0 UJI
0 j; execute the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. E
L" >
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.
Six PAS� COMMONWEALTH OF PENNSYLVANIA
���'�t,f'+r4R-i In
A"W < Notarial Seal
f, 0
Teresa Pastella,Notary Public By:
0) Plymouth Twp.,Montgomery County
0 7 Teresa Pastella,Notary Public
My Expires March 28,201 tp
60 Member,Pennsylvania Association of Notaries 0 E
*6 dry P-1 CL M
G q 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 .00
Company,Liberty Mutual Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows:
tm U)
M 2! ARTICLE IV—OFFICERS—Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject 0 r-
V 02 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, ?,%0
_.C acknowledge and deliver as surely any and all undertakings,bonds,recognizances and other surely obligations. Such attomeys-in-fact,subject to the limitations set forth in their respective IS
0 — .—S
E powers of attorney,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 -ro 4)
0 2
executed,such instruments shall be as binding asifsigned by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under >
d,
.1 the provisions of this article may be revoked at any lime by the Board,the Chairman,the President or by the officer or officers granting such power or authority. 't 0
0?
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 the president, E
> Ld) 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, -N
*0 t=
0 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 r_
Z 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 00
0 V-
executed such instruments shall be as binding as if signed by the president and attested by the secretary. 0 1?
Certificate of Designation—The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in-
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surely
obligations.
Authorization—By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection With 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,of American Fire and Casualty Company,The Ohio Casualty Insurance Company,Liberty Mutual Insurance Company,and
West American Insurance Company do hereby certify that the original power of attorney of which the foregoing is a full,true and correct copy of the Power of Attorney executed by said
Companies,is In full force and effect and has not been revoked, 11-4 h
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this day of 20
04"
"A n5',
1906 By.
0 0 19 9 0 1912 1991
Gregory W.Davenport,-A ss-is
tant Secretary
29 of 500
...........
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0 Liberty
�Mutual,,
SURETY
Important Notice
TO OBTAIN INFORMATION OR TO MAKE A COMPLAINT:
I
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. O. 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.
Attach This Notice To Your Policy:
This notice is for information only and does not become a part or condition of the
attached document.
LMIC-3500
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 John Burns,
President Of Burnsco construction, Inc., 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;
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;
West Fork Ranch 8B -Water, Sanitary Se r, Storm Drain Improvements
BY
John Burns, President
Subscribed and sworn before me on this date 6th of October, 2015.
No Public
Tarrant County, Texas M AMY PANNELL
Nokir(Put)iBc,Stcj e of Texas
PAY C0fTU'MSM01n Exp4es
0dober '�9, m 8
.................I........................................................"I'l""I'll,""",;"""""""""",,,�������,�������������"I'll"'ll,Ill""I'll""Ill,",'ll""I'i�.l""11,111,11111,111,111,'lI'll""I'll'll,'ll""I'll""I'll",'ll""I'll",umIll""I'll',"""",Ill""I",,,,""""'ll""I'll,'ll,Ill""I'll',"""'',ll,","","""'"',11,111,11, "I..............
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September 8\ ZQl5
Mr.John Burns /
Bunaco Construction, mL. |
/
633l Southwest Blvd,
Henbnzok, Texas 76132
�
Re: Contract for West Fork Ranch Phase 8B !
[mFVV Project No.D2338
CoFVV CFA No. 2O14'O65
[oFVV DOE No.7l81
Dear John Burns:
-This letter will document that Pulte Hornes of Texas, L.P.confirnis that Burnsco Construction, Inc. has
completed the Work associated with the above-referenced conbactinanappropria1e\imeframe,
Subject to completion of any warranty or maintenance work as identified and required by the City of
Fort Worth, and that no liquidated damaQeswiN be assessed byPu|te Humes in connection with the
Work,
PulteHomssof TX, LP.
Curt KA. K0U|mard
Land Development Project Manager
Cc Otyof Fort Worth
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: West Fork Ranch Phase 813
PROJECT NUMBER: 02339
DOE NUMBER: 7281
WATER
PIPE LAID SIZE TYPE OF PIPE LF
12" PVC 1578
811 PVC 3870
FIRE HYDRANTS: 5 VALVES(1611 OR LARGER) N/A
PIPE ABANDONED SIZE TYPE OF PIPE LF
None
DENSITIES: Yes
NEW SERVICES: 211 Copper 10
Ito Copper 2000
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
811 PVC 3586
PIPE ABANDONED SIZE TYPE OF PIPE LF
None
DENSITIES: Yes
NEW SERVICES: 411 PVC 1200
Aink TRANSPORTATION AND PUBLIC WORKS
REV:02/22107
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date:
Name of Contractor Project Name
Bumsco Construction West Fork Ranch Phase 8B
DOE Inspector Project Manager
Jim Diestel Pat Buckley
DOE Number lProject Difficulo, Type of Contract
7281 C) Simple 0 Routine O Complex
121 Water 21 Waste Water❑ Storm Drainage❑ Pavement
Initial Contract Amount Final Contract Amount
$512,149.20 $512,149.20
II)PERFORMANCE EVALUATION
0-Inadequate I -Deficient 2-Standard 3 -Good 4-Excellent
ELEMENT RATING ELEMENT FRATING
(0-4) (0-4)
INSPECTION EVALUATION PLANS&SPECIFICATIONS
I Availability of Inspector
I Accuracy of Plans to Existing Conditions
2 Knowledge of Inspector 2 Clarity&Sufficiency of Details 15
3 Accuracy of Measured Quantities 3 Applicability of Specifications 1l
4 Display Of Professionalism 4 Accuracy of Plan Quantities
5 Citizen Complaint Resolution
PROJECT MANAGER EVALUATION
.6 Performance-Setting up Valve Crews,Labs— I Knowledge And/Or Problem Resolution tf
ADMINISTRATION 2 Availability of Project Manager
I Change Order Processing Time 3 Communication
12 Timliness of Contractor Payments 4 Resolution of Utility Conflicts
13 Bid Opening to Pre-Con Meeting Tinieframe
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor
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