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Home My WebLink AboutContract 46176-FP1Depart ' • nt of P : Co st. Services DOE# 1 i _ ate Project anager Risk Management J. Page D.O.E. Brotherton CFA Westerman/Scanned ko The Proceeding people have been Contacted concerning the reques for final payment & have released this project for such payment. Clearance Conducted By Shameka Kennedy ;T WORTH CITY SECRETARY CONTRACT NO. .9�1 a � ATION AND PUBLIC WORKS F PROJECT COMPLETION Lcrisk egeaatreet VW/ 5ar Regarding contract 117268 for QUID Time 5 t uiO #0954 as required by the TRANSPORTATION & PUBLIC WORKS as approved by City Council on N/A through IVI&C N/A the director of the TRANSPORTATION & PUBLIC WORKS upon the recommendation of the Assistant Director of the Transportation & Public Works Department has accepted the project as complete. Original Contract Prices: Amount of Approved Change Orders: Revised Contract Amount: Total Cost Work Completed: Less Deductions: Liquidated Damages: Pavement Deficiencies: Total Deduction Amount: Total Cost Work Completed: Less Previous Payments: Final Payment Due Recommended for Acceptance Asst. Director, TPW -Infrastructure Design and Construction tJ CtTh Accemg pted � X Director NSPORTATION &PUBLIC WORKS Asst. City Manager ments: C205-541200-206760231783 en zobr) FMAILED NOV5 nit C=P Initial:� OSeir% $53,966.00 $53,966.00 D.O.E. Ns: 7268 C5 it '7 Ns Days @ $210.00/ Day $53,966.00 $0.00 $53,966.00 jA.1"/,5 Date 0.3/K Date // t/r 7S/ Date OFFICIAL RECORD CITY SECRETARY FT. WORTH, TES FORTWORTH q„ CITY OF FORT WORTH FINAL PAYMENT REQUEST Contract Name QIJIK TRIP#954 Contract Limits Project Type DRAINAGE&ST LIGHT City Project Numbers 02317 DOE Number 7268 Estimate Number I Payment Number 1 For Period Ending 6/10/2015 CD City Secretary Contract Number 117268 Contract Time 9111) Contract Date Days Charged to Date 85 Project Manager Buckley Contract is 100.00 Complete Contractor MORA CONSTRUCTION,INC, 109 S.STORY#E IRVING, TX 75060 Inspectors DICKINSON / CAZORLA I I i i Wednesday,June 10,2015 Page 1 of 4 City Project Numbers 02317 DOE Number 7268 Contract Name QUIK TRIP#954 Estimate Number 1 Contract Limits Payment Number I Project Type DRAINAGE&ST LIGHT For Period Ending 6/10/2015 Project Funding DRAINAGE Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 REMOVE 10'RECESSED INLET 1 FA $2,200.00 $2,200.00 1 $2,200.00 2 24"RCP CLASS III 5 LF $80.00 $400.00 5 $400.00 3 10'CURB INLET 1 EA $5,000.00 $5,000.00 1 $5,000.00 4 TRAFFIC CONTROL i LS $750.00 $750.00 1 $750.00 5 REMOVE ONE SECTION OF 78"RCP I LS $1,500.00 $1,500.00 1 $1,500.00 6 REMOVE ONE SECTION OF 66"RCP I LS $1,500.00 $1,500.00 1 $1,500.00 7 INSTALL 78"MANHOLE TEE W/48"RISER TO 1 LS $18,600.00 $18,600.00 1 $18,600.00 FINISHED GRADE 8 INSTALL 66"MANHOLE TEE W/48"RISER TO I LS $17,400.00 $17,400.00 1 $17,400.00 FINISHED Sub-Total of Previous Unit $47,350.00 $47,350.00 STREET LIGHT Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed No. Quanity Total Quanity Total 1 INSTALL LIGHTING FIXTURE 4 EA $1,500.00 $6,000.00 4 $6,000.00 2 REMOVE EXISTING COBRA HEADS 4 FA $154.00 $616.00 4 $616.00 Sub-Total of Previous Unit $6,616.00 $6,616.00 t Wednesday,June 10,2015 Page 2 of 4 i , i i City Project Numbers 02317 DOG Number 7268 Contract Name QUIK TRIP#954 Estimate Number 1 Contract Limits Payment Number 1 Project Type DRAINAGE&ST LIGHT For Period Ending 6110/2015 Project Funding Contract Information Summary Original Contract Amount $53,966.00 Change Orders, Total Contract Price $53,966.00 Date 6 Total Cost of Work Completed $53,966.00 Contrac r Less %Retained $0.00 Net Earned $53,966.00 Date v' 7� Ins ec ion e o Earned This Period $53,966.00 Retainage This Period $0.00 Date Less Liquidated Damages Project Man Days @ /Day $0.00 Date /` "' LessPavement Deficiency $0.00 A t.Director/TPW-Jgfiastructure Design and Construction Less Penalty $0.00 i~ Date Less Previous Payment $0.00 Directo Contracting Departs nt Plus Material on Hand Less 15% $0.00 Balance Due This Payment $53,966.00 Wednesday,June 10,2015 Page 3 of 4 City Project Numbers 02317 DOE Number 7268 Contract Name QUIK TRIP#954 Estimate Number 1 Contract Limits Payment Number 1 Project Type DRAINAGE&ST LIGHT For Period Ending 6/10/2015 Project Funding Project Manager Buckley City Secretary Contract Number 117268 Inspectors DICKINSON / CAZORLA Contract Date Contractor MORA CONSTRUCTION,INC. Contract Time 90 CD 109 S.STORY#E Days Charged to Date 85 CD IRVING, TX 75060 Contract is .000000 Complete CITY OF FORT WORTH SUMMARY OF CHARGES Line Fund Account Center Amount Gross Retainage Net Funded Total Cost of Work Completed $53,966.00 Less %Retained $0.00 Net Earned $53,966.00 Earned This Period $53,966.00 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 $53,966.00 4 t Wednesday,June 10,2015 Page 4 of 4 i i t E FORT WORTH rev 03/05107 TRANSPORTATION&PUBLIC WORKS FINAL STATEMENT OF CONTRACT TIME FINAL STATEMENT NO.:I NAME OF PROJECT:. Quik Trip#954 PROJECT NO.: 2'17 CONTRACTOR. Mora Construction Inc. DOE NO.: 7268 PERIOD FROM�02/01/15 TO: 02/15/15 FINAL INSPECTION DATE: 11-Feb-15 WORK ORDER EFFECTIVE:1114/2014 CONTRACT TIME:— 90 0 0 CD DAY OF DAYS REASON FOR DAYS DAY OF DAYS MONTH CHARGED CREDITED MONTH CHARGED REASON FOR DAYS DURING DURING CREDITED 1. 16. 2. 17. 3. is. 4. 19. 5. 20. 6. 21. 7. 22. S. 23. 9, 24. 10. 25. 11. 26. 12, 27. 13. 28. 14. 29. 15. 30. 31. SAT,SUN, RAIN,TOO WET, UTILITIES DAYS TOTAL &HOLIDAYS OTHERS* &TOO COLD RELOCATIONS CHARGED DAYS TFIIS PERIOD 0 0 PREVIOUS PERIOD 85 85 TOTALS TO DATE 85 85 1 ARKS: — IRL M 7-/�9-1 CONTRA CX4)R-,, DATE INSPECTOY DATE ENGRT�G DEPARMfENT The City of Fort Worth-1000 Tbrockmorton Street-Fort Worth,'IX 76012-6311-- (817)392-7941 Fax:(817)392-7845 0 Fit 0 r Tx FORTWORTHREV:02/22/07 TRANSPORTATION AND PUBLIC WORKS CONTRACTOR'S EVALUATION OF CITY 1)PROJECT INFORMATION Date: 6/12/2015 Nante of Contractor Project Name Mora Construction Quick Trip_#951__ DOE hispector Project Manager Adilda Cazorla Patrick Buckley DOE Number lProject Dfficulo, Type of Contract 7268 10 Simple 0 Routine 0 Complex E] water E Waste WaterE] Storm DrainageD Pavement Initial Contract Amount Fina!Cwrbact Amount 11)PERFORMANCE EVALUATION 0-Inadequate I -Deficient 2-Standard 3 -Good 4-Excellent ELEMENT RATING ELEMENT RATING 1 (0-4) (0-4) INSPECTION EVALUATION PLANS&SPECIFICATIONS I Avai!abili of Inspector I Accuracy of Plans to Existin Conditions 2 Knowled e of Inspector e) 2 Clari!l.&. ufficiency of Details 3 Accuracy of MeasureLQuantities r 3 A licabilit of S ecifications 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 ADMINISTRATION 2 Availability of Pro•ect Mana er I Change Order Processing Time 3 Communication 2 Timliness of Contractor P 4 Resolution of Utility Conflicts 13 Bid OpeninL12_Pre-Con Meeting Timefi-arne III)COMMENTS&SIGNATURES COMMENTS Signature Contractor Signature DOE Inspector Signature DOE Inspector's Supervisor C,— INSPECTOR'S COMMENTS TRANSPORTATION AND PUBLIC WORKS The City of Fort Worth•1000 Throckmotton Street•Fort Worth,IX 76012-6311 (817)392-7941 -Fax: (817)392-7845 CONSENT OF OWNER SURETY COMPANY ARCHITECT TO FINAL PAYMENT CONTRACTOR SURETY AIA DOCUMENT G707 OTHER Bond No. 4396975 PROJECT: QuikTrip Store#0954-Utilities,Ft.Worth TX (name,address) TO(Owner) [ City of Fort Worth ] ARCHITECT'S PROJECT NO: 1000 Throclmortoii Street Fort Worth,TX 76102-6312 CONTRACT FOR: Construction [ ] CONTRACT DATE: 9/11/2014 CONTRACTOR: Mora Construction,Inc. Po Box 154897 Irving, TX 75015 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) SureTec Insurance Company 5741 Legacy Dr.,Suite 210 Plano,TX 75024 , SURETY COMPANY, on bond Of(here insert name and address of Contractor) Mora Construction,Inc. Po Box 154897 Irving,TX 75015 , CONTRACTOR, hereby approves of the final payment to the Contractors, and agrees that final payment to the Contractor shall not relieve the Surety Company of any of its obligations to(here insert name and address of Owner) City of Fort Worth 1000 Throckmorton Street Fort Worth,TX 76102-6312 ,OWNER, as set forth in the said Surety Company's bond. IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 2nd day of February , 2015 SureTec Insurance Company Surety Company Signature of Authorized Representative Attest: i V� (Seal): Debra Lee Moon Attorney-Tn_-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 } AIA DOCUMENT G707 CONSENT OF SURETY COMPANY TO FINAL PAYMENT APRIL 1970 EDITION AIA ONE PAGE I 1970 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 New York Ave.,NW,WASHINGTON,D.C. 20006 I i s 1 i 1 "OA#; 4221127 SureTec Insurance Company LIMITED POWER OF ATTORNEY Know All Men by These Presents, That SURETEC INSURANCE COMPANY (the "Company"), a corporation duly organized and existing under the laws of the State of Texas, and having its principal office in Houston, Hams County, Texas, does by these presents make,constitute and appoint Sammy J.Mullis Jr.,John William Newby,Wilbert Raymond Watson,Carolyn J.Goodenough, Troy Russell Key,Sandra Lee Roney,Debra Lee Moon,Andrea Rose Crawford its true and lawful Attomey-in-fact,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 to include waivers to the conditions of contracts and consents of surety for: Five Million and 00/100 Dollars($6,000,000.00) and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President,sealed with the Corporate seal of the Company and duly attested by its Secretary,hereby ratifying and confirming all that the said Attorney-in-Fact may do in the premises. Said appointment shall continue in force until 12/31/2015 and is made under and by authority of the following resolutions of the Board of Directors of the SureTec Insurance Company: Be it Resolved, that the President, any Vice-President, any Assistant Vice-President,any Secretary or any Assistant Secretary shall be and is hereby vested with full power and authority to appoint any one or more suitable persons as Attorneys)-in-Fact to represent and act for and on behalf of the'Company subject to the following provisions: Attorney-in-Fact may be given full power and authority for and in the name of and of behalf of the Company,to execute, acknowledge and deliver,any and all bondsi recogaizances,contracts,agreements or indemnity and other conditional or obligatory undertakings and any and all notices and documents canceling or terminating the Company's liability thereunder, and any such instruments so executed by any such Attomey-in-Fact shall be binding upon the Company as if signed by the President and sealed and effected by the Corporate Secretary. Be it Resolved,that the signature of any authorized officer and seal of the Company heretofore or hereafter affixed to any power of attorney or any certificate relating thereto by facsimile,and any power of attorney or certificate bearing facsimile signature or facsimile seal shall be valid and binding upon the Company with respect to any bond or undertaking to which it is attached. (Adopted at a meeting held on 20 of April, 1999.) In Witness Whereof,SURETEC INSURANCE COMPANY has caused these presents to be signed by its President, and its corporate seal to be hereto affixed this 21 st day of March,A.D.2013. S�i�ANCF SURETEC INSURANCE COMPANY ........... .off ', By: W(Lu b - � _ John Yooz Jr**.* r. President State of Texas ss: � County of Harris s On this 21st day of March,A.D.2013 before me personally came John Knox Jr.,to me known,who,being by me duly swom,did depose and say,that he resides in Houston, Texas, that he is President of SURETEC INSURANCE COMPANY, the company described in and which executed the above instrument;that he knows the seal of said Company;that the seal affixed to said instrument is such corporate seal;that it was so affixed by order of the Board of Directors of said Company;and that he signed his name thereto by like order. i �Wr,u JACQUELYN MALDONADO y Notary Public State ofTexas 'E., h1y Comm.Exp.5118/2017 Jacquelyn Maldonado,Notary Public My commission expires May 18,2017 1,M.Brent Beaty,Assistant Secretary of SURETEC INSURANCE COMPANY,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney,executed by said Company,which is still in full force and effect;and furthermore,the resolutions of the Board of Directors,set out in the Power of Attorney are in full force and effect. Given under my hand and the seal of said Company at Houston, Texas this• day of A.D. .Bre t Beaty,Assistant 'ecretary Any instrument issued in excess of the penalty stated above is totally void and without any validity. For verification of the authority of this power you may call(713)812-0800 any business day between 8:00 am and 5:00 pm CST. i F E SureTec Insurance Company THIS BOND RIDER CONTAINS IMPORTANT COVERAGE INFORMATION Statutory complaint Notice To obtain information or make a complaint:You may call the Surety's toll free telephone number for information or to make a complaint at: 1-866-732-0099.You may also write to the Surety at: SureTec Insurance Company 9737 Great Hills Trail,Suite 320 Austin,Tx 78759 You may contact the Texas Department of Insurance to obtain information on companies,coverage, rights or complaints at 1-800-252 73439.You may write the Texas Department of Insurance at: PO Box 149104 Austin,TX 76714-9104 Fax#:512-475-1771 Web:http://wWw.tdi.stbte,N.us Email: CorisumerProtection @tdi.state.tx.us PREMIUM OR CLAIM DISPUTES:Should you have a dispute concerning your premium or about a claim,you should contact the Surety first. If the dispute is not resolved,you may contact the Texas Department of Insurance. -----------------------------------------------------------------------------------------------------------------------------------------=------------------ Terrorism Risks Exclusion The Bond to which this Rider is attached does not provide coverage for,and the surety shall not be liable for, losses caused by acts of terrorism, riot,civil insurrection,or acts of war. i ----------- -------------------------- -. -------------------------------------------- ----------- .-------------------------------------------- I Exclusion of Liability for Mold, Mypotoxins,Fungi&Environmental Hazards The Bond to which this Rider is attached does not provide coverage for, and the surety thereon shall not be liable for, E molds, living or dead fungi, bacteria, allergens, histamines, spores; hyphae, or mycotoxins,or their related-products or parts,nor for any environmental hazards,bio-hazards, hazardous materials,environmental spills,contamination,or cleanup, nor the remediation thereof, nor the consequences to persons, property,or the performance of the bonded obligations,of the occurrence,existence,or appearance thereof. 3 jI P I I i V� 3 FF f i r i AFFIDAVIT STATE OF Texas COUNTY OF Dallas Before me,the undersigned authority, a notary public in the state and county aforesaid, on this day personally appeared Roger Mora, President Of Mora 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; QuikTrip Store#0954 City Project#02317 i BY Roger Mora,Pres. Subscribed and sworn before me on this date 28th of January, 2015. BRETT CHARLES LEDBETTE( �. MY COMMISSION EXPIRES N y blic January 29,2055 Dallas,TX i t f E I FORTWORTHREV:02/20/07 TRANSPORTATION AND PUBLIC WORDS PERFORMANCE EVALUATION OF CONTRACTOR 1) CONTRACTOR&PROJECT DATA Nance of Conti-actor Project Name Mora Construction Quik Trip#954 DOE Inspector DOE Number Adilda Cazorla 7268 DO—Fb speclor Project Manager 2 Water El Waste Water✓ Storm Drainage Pavement Patrick Buckle Initial Contract Amount ProjectDiiculty ® Simple Q Routine Q Complex Final Contract Amount Date II)PERFORMANCE EVALUATION 0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent ELEMENT WEIGHT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE 1 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 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 4 20 20 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) 373 BONUS POINTS(25 Maximum)(B) TOTAL SCORE(TS) 373 III)CONTRACTOR'S RATING Maximum Score(MS)=448 or sum of applicable element score maximums which= 388 Rating([TS/MS]*100%) 373 ! 388 = 96% 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 (" Signature Contractor r 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