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FoRTWORTH
f
CITY OF FORT WORTH f
t
FINAL PAYMENT REQUEST
f
Contract Name VICKERY APARTMENT BUILDING
Contract Limits
Project Type WATER&SEWER
City Project Numbers 02271
I
DOE Number 7217
Estimate Number 1 Payment Number 1 For Period Ending 10/8/2015
CD
City Secretary Contract Number 117217 Contract Time 180;D
Contract Date Days Charged to Date 451
Project Manager Ebia Contract is 100.00 Complete
Contractor CRIMSON BUILDING COMPANY
1903 CENTRAL DR,#406
BEDFORD, TX 76021
Inspectors LAYER / ODEN
Thursday,October 08,2015 Page 1 of 4
City Project Numbers 02271 DOE Number 7217
Contract Name VICKERY APARTMENT BUILDING Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 10/8/2015
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
I TRENCH SAFETY 10 LF $8.00 $80.00 10 $80.00
2 UTILITY MARKERS 1 LS $1,000.00 $1,000.00 1 $1,000.00
3 6"WATER PIPE 46 LA $28.00 $1,288.00 46 $1,288.00
4 CONNECTION TO EXISTING 4"-12"WATER 2 EA $1,200.00 $2,400.00 2 $2,400.00
MAIN
5 2"PRIVATE WATER SERVICE 4 LF $1,100.00 $4,400.00 4 $4,400.00
6 8"CUT-IN GATE VALVE 1 EA $3,370.00 $3,370.00 1 $3,370.00
7 8"X 6"TAPPING SLEEVE&VALVE 1 EA $4,900.00 $4,900.00 1 $4,900.00
Sub-Total of Previous Unit $17,438.00 $17,438.00
SEWER
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Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
--- -----------------------------------
I REMOVE 4"SEWER LINE 55 LF $35.00 $1,925.00 55 $1,925.00
2 ASPHALT PVMT REPAIR 45 LF $55.00 $2,475.00 45 $2,475.00
3 UTILITY MARKERS 1 LS $500.00 $500.00 1 $500.00
4 6"2-WAY CLEANOUT 4 EA $1,200.00 $4,800.00 4 $4,800.00
5 6"PRIVATE SEWER SERVICE 84 LF $24.00 $2,016.00 84 $2,016,00
6 6"SEWER SERVICE,RECONNECTION 1 EA $2,399.00 $2,399.00 1 $2,399.00
7 CONCRETE ENCASE SEWER PIPE 1.3 CY $500.00 $650.00 1.3 $650.00
8 POST CCTV INSPECTION 84 LF $10.00 $840.00 84 $840.00
9 MANHOLE VACUUM TESTING I EA $1,500.00 $1,500.00 I $1,500.00
10 BYPASS PUMPING 1 EA $1,000.00 $1,000.00 1 $1,000.00
11 TRENCH SAFETY 84 LF $8.00 $672.00 84 $672.00
Sub-Total of Previous Unit $18,777.00 $18,777.00
Thursday,October 08,2015 Page 2 of 4 1
i
City Project Numbers 02271 DOE Number 7217
Contract Name VICKERY APARTMENT BUILDING Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 10/8/2015
Project Funding
I�I
Contract Information Summary
Original Contract Amount $36,215.00
i
Change Orders
i
Total Contract Price $36,215.00
Date t Total Cost of Work Completed $36,215.00
Contra Less %Retained $0.00 j
Net Earned $36,215.00
i Date Earned This Period $36,215.00
Inspection Su ery r
�j Retainage This Period $0.00
.r Date u ' Less Liquidated Damages
Project Man
a
Days @ /Day $0.00
Date LessPavement Deficiency $0.00
Asst. true Design and Construction Less Penalty $0.00 I
Date �� %� Less Previous Payment $0.00
/'�,Dircctor!Contracting Dep mertt Plus Material on Hand Less 15% $0.00
Balance Due This Payment $36,215.00
II
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Thursday,October 08,2015 Page 3 of
D ECEBY U5
NOV 11 20'15
S9461- UQZ
City Project Numbers 02271
DOE Number 7217
Contract Name VICKERY APARTMENT BUILDING Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 10/8/2015
Project Funding
Project Manager Ehia City Secretary Contract Number 117217
Inspectors LAYER / ODEN Contract Date
Contractor CRIMSON BUILDING COMPANY Contract Time 180 CD
1903 CENTRAL DR,#406 Days Charged to Date 451 CD
BEDFORD, TX 76021 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 $36,215.00
Less %Retained $0.00
Net Earned $36,215.00
Earned This Period $36,215.00
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 $36,215.00
Thursday,October 08,2015 Page 4 of 4
-.?US
FORTWORTH rev 03/05/07
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO. I
NAME OF PROJECT: Vickery Apartment Building
PROJECT NO.: 2271 CONTRACTOR: Crimson Building Co.LLC
DOE NO. 7217
PERIOD FROM 06/12/14 TO: 10/02/15 FINAL INSPECTION DATE: 2-Oct-15
WORK ORDER EFFECTIVE 6/12/2014 CONTRACT TIME 180 0 WD *CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTHI 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.
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 0 451 451
PERIOD
PREVIOUS 0 0 0 0 0 0
PERIOD
TOTALS 0 0 0 0 451 451
ITO DATE, I I I I I I I
*REMARKS:
COWRACTOR DATE' INSPWEC
NT
DATE
ENGINEEFUNG DEPAIR ENT
The City of Fort Worth•1000 Throckmorton Street-Fort Worth,1X 76012-6311
(817)392-7941 •Fax:(817)392-7845
0 r
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Vickery Apartment Building
PROJECT NUMBER: 2271
DOE NUMBER: 7217
WATER
PIPE LAUD SIZE, TYPE OF PIPE LF
6"inch PVC 46 LF
FIRE HYDRANTS: 0 VALVES(16"OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
N/A
DENSITIES:
NEW SERVICES: 2"inch copper 4 LF
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
N/A
PIPE ABANDON-ED SIZE TYPE OF PIPE LF
N/A
DENSITIES:
NEW SERVICES:
'TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth•1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 -Fax:(817)392-7845
FORTWORTHREV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
1) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Crimson Builders Vickery Apartment Builditqg
DOE Inspector DOE Number
Garey Houston 7217
DOE Inspector Project Manager
Water 2 Waste Water ❑Storm Drainage [--1 Pavement Fred Ehia
Initial Contractlinount Project Difficulty
$36,215.00 0 Simple O Routine 0 Complex
[Final Contract Amount Date
$36,215.00 10/7/2015
H)PERFORMANCE EVALUATION
0-Inadequate 1-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WEIGHT(x) APPIJCABLE(Y"/N) RATING(0-4) MAX SCORE SCORE
I Submission of Documents 2 Y 4 8 8
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 f
8 Traffic Control Maintenance 15 Y 4 60 60
9 Daily Clean Up 5 Y 4
20 20
10 Citizen's Complaint Resolution 5 Y 4 20 20
11 Property Restoration 5 Y 4 1 20 1 20
12 After Hours Response 5 Y 4 1 20 1 20
113 Project Completion 5 Y 4 20 20
TOTAL ELEMENT SCORE(A) 448
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 448
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating([TS/MS]*100%) 448 1 448 = 100%
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 Signature DOE Inspector Contractor
Signature DOE Inspector's Supervisor 2,kji2A -r—
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The City of Fort Worth.•1000 Throckmorton Street•Fort Worth,TX 76012-6311
10 (817)392-7941 •Fax:(817)392-7845
FORTWORTHREV:02/22/07
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date: 1! 7/
Name ofContractor
ProjectNaine
Crimson Builders 'Vickery Apartment Building
DOE Inspector Project Manager
Garey Houston Fred Ehia
DOENumber ProjectDiculty Type of Contract
7217 0 Simple *Routine 0 Complex R1 water El waste water El Storm Drainage El Pavement
$36,215.00 $36,215.00
It)PERFORMANCE EVALUATION
0-Inadequate I-Deficient 2-Standard 3-Good _4-Excellent
ELE�
=hffi'NT
(0-4) (0-4)
INSPECTION EVALUATION m P N mm PLANS&SPECIFICATIONS
1 Availability of Inspector I
_A��cacy oQl2p�.L stiRg Conditions
2 Knowledge of Inspector 2 Clari ty&Sufficiency of Details
3 Accuracy of Measured Quantities
3 App cabjlity of S cific�ai2ns
T 6i�pf�y—Of Professionalism �—'Accuracy of Plan Quantities
PROJECT MANAGER EVALUATION
5 Citizen Com Taint 6 Performance-Setting up Valve Cr�ws—lfi��S-- K—no,-,w"l-e—d,g"e--And/Or,-Problem—Res—olution---"',
ADMINISTRATION 2 Availability of Project Manager
f -Change Or—der P'ro—ces-si-n"g—Ti,m—e--,-,"--,-,-,--'"I IL 3 Communication
2 Timliness of Contractor Payments 14 Resolution of Utility Conflicts
3 Bid Opening to Pre-Con
�Setj!j
Timeframe
III)COMMENTS&SIGNATURES
COMMENTS
Signature Contractor
Signature DOE Inspector
Signature DOE Inspector's Supervisor
INSPECTOR'S COMMENTS
.............
TRANSPORTATION AND PUBLIC WORKS
-Si;,-eT--To-r-t--Worth,-T—Y-7-6,-0-1-2---6--3-1-1......
(817)392-7941 •Fax:(817)392-7845
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 Chet Farnsworth,
I
VP Of Crimson Building Company LLC,known to me to be a credible
person, who being by me duly swop,upon his oath deposed and said;
That all persons, firms,associations, corporations,or other
organizations fiirnishing labor and/or materials have been paid in full; I
That the wage scale established by the City Council in the City of
Fort Worth has been paid in full;
i
That there are no claims pending for personal injury and/or
property damages;
On Contract described as;
Vickery Aprtmnt City Proj_-DOE#7217 City#02271 CFA#2014-013
I
BY
Chet Farnsworth,VP for Crimson Building Co.,LLC
i
Subscribed and sworn before me on this date 5th of October,2015.
I
JIM, TAMARA 1.YACKEL
(! �d�,�? ;,I TAMARA
Public,Slate of Texas
I�l i mil/ ,AV commission Expires
otary bhC ;e o;E;. Match 1 1, 2018
Tarrant County,Tex
i
0
�7,�
1900 Airport Freeway
Bedford, TX 76022
Ph: 817-684-3444
Fx: 817-684-3465
September 25th, 2015 . I
City of Fort Worth
1000 Throckmorton St
Fort Worth, TX 76120
REF: NO LIQUIDATED DAMAGES
PROJECT: VICKERY APARTMENT BUILDING
City Project No. DOE#7217 City#02271
CFA 92014-013
I
This letter is being written to confirm that there will be no liquidated damages assessed to
the contractor for the above mentioned project.
Respectfully submitted,
Randy Primrose
Manager
A Developers Surety and Indemnity Company
Indemnity Company of California
CorePointe insurance Company
AmTruSt Surety 17771 Cowan,Suite 100-Irvine,California 92614,(949)263-3300
dr A.T! i=fi_jxial C. T;,, wviw.ArnTntstS ire tvcnm
CONSENT OF SURETY
BOND NO.
7125245
PRINCIPAL: .
Crimson Building Company, LLC, 1900 Airport Freeway. Bedford,TX 76022
OBLIGEE:
Cibj of Fort Worth, 1000 Throckmorton Street,Fort Worth,TX 76102
PROJECT NAME:
Vickery Apartment Bldg/Water&Wastewater
CONTRACT DATED: March 10.2014 CON T RACTIPROJEC'1 NO:
The Developers Surety and Indemnity Company hereby
(Name o Surety)
consents to:
FINAL PAYMENT
Nothing herein contained shall be held to vary,waive, alter or extend any of the terms, conditions, agreements,
or warranties of the above mentioned bond or contract.
Signed and dated on October 2,2015
Developers Surety and Indemnity Company
Surety Company
By:
I
Signature of Authorized Representative
Kathy Sells. Attomey-ln-Fact
Name and Title
ID-1180(TX)(Rev.7115)
i
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1B c f �, 2 -5
POWER OF ATTORNEY FOR
DEVELOPERS SURETYAND INDEMNITY COMPANY
PO Box 19725,IRVINE.CA 92623 (949)%3-3300
KNOW ALL BY THESE PRESENTS that except as expressf'y limited,DEVELOPERS SURETY AND INDEMNITY COMPANY,does hereby make,constitute and appoint:
—Dustin Parker,Kathy Sells,Casey Here,Martin Day,jointly or severally,.-'
as its true and lawful Ati.;meyjs'n--arl,to rnake.execute dehver and acknowledge,for and up behalf of sad serporation,as surety,bonds,underakmgs and contracs of surclysl:ip
gr,ing and granting unto said Aaorney(s)-in-Fact full povrer and awtority,to do and to perform every act necessary,requisite or praper to be done is connection IhereNilh as each of said
corporation could do.but reserving to each cf seid cerperaaen fill pc•,ver of sub5Ltut=on and revccaucn.and all w the acts of said Alfomey(s)-in-Fact,pursuant to these presents.are
hereby ratified and ccrifi reed.
This Power of Attorney is granted and is signed by facsimile under and by authorty of;he following resolution adopted by the:.!card of Directors of DEVELOPERS SURETY A.ND
INDEMNITY COIAPANY.effective as of laruary Ist,2003.
RESOLVED,hat a combination of any true of zhe Chairman of the Board,the President,any Executive Vice-President,Senior Vice President or Vice President of the
corporation be.and that each of them hereby is.authorized to execute this Power of A!tomey,qualifying the atlorney(s)named in the Power of Aflomey to execute,on behalf of the
corporation,bonds,undertakings and contracts of suretyship:and that the Secretary or any Ass stam Secretary of the corporation be,and each of them hereby is.aulhorized to attest the
execution of any such Pourer of Attemey,
RESOLVED,FURTHER,that the signatures of such officers may be affixed le any such Power of A.ttomey or to any certificate relating thereto by facsimile,and any such
Power of At orney of certmcate bearing such facsimile signatures shell be valid and bindina upon the corporation when so affixed and in the future with respect to any bond,undertaking
or rontract of suretyship to:which it is arched,
IN 1VITNESS VIHEREOF.DEVELOPERS SURETY AND INDEMNITY COMPANY has caused these presents to be signed by its officers and allested by its Secretary or Assistant 9
Secretary this November 21.2013,
By. 7Young, Altp,D `Ace-President P;......B � _ —� OCT. 1
/ -�'• 1936 0'
Mark J.Larsdon,Vic President —
a
tea'-
State of CaHrmia
County of Orange
On November 21,2013 before me, Antonio Alvarado Notary Public
Date Here Insert Name and Title of the Officer
personally appeared Daniel Young and Mark J.Lansdon
Name(s)of 3ignef(s)
who proved to ma on the basis of satisfactory evidence to be[tie persons)whose name(s)is'are subscribed to
Me within instrument and acknowledged to me That hetshetthey executed the same in his,'herAheir authorized
*a capadlyQes).and that by histherlthei-sinrature(s)on the instrument the person(s),or the entity upon behalf of
ANTONIO ALVARADO which the person(s)acted,executed the instrument.
COMM,0 20336u 6 �
r NOTARY PUELtC CALIFUR" i cedify under PENALTY OF PERJURY under the laves of the State of California that the foregoing paragraph is
ORANGE COUNTY true and correct
My Comm-e0ras Aug,9.2017
WITNESS my hand and offidal seal.
Place Notary SeatAbove Signature
Antonio Alvarado,Notary Public
CERTIFICATE
The undersigned,as Secretary orAssistant Secretary of DEVELOPERS SURETY AND 1NDUAN(TY COMPANY does hereby certify that the foregoing Power of Attorney
remains in full fore and has not been revoked and,furthermore,that the provisions of the resolution of the Board of Directors of said corporation set forth in the Power of Attomey are in
force as of the date of this Certificate.
This Certificate is executed in the City of Irvine,Gali(omia,this L� day of
Id
By;
Cassie J.Bemsfor , istant Secretary
ID-1438(Rev.11113)
i
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