HomeMy WebLinkAboutContract 46176-FP2The Proceeding people have been Co
payment & have released this project for such payment
Clearance Conducted By Shameka Kennedy
A -FA .-tre)
Depart e $ t • f P &W Const. Services
DOE# -
Project ' ana
Risk Management J. Page
D.O.E. Brotherton 1D-
CFA Westerman/Scanned
concerning the request for final
0))
cia
cta,
EMAILED
art as
el I,
NOV 0 2015
C.�
LT WORTH®
flION AND PUBLIC WORKS
F PROJECT COMPLETION
Ii7/'ri2i
nor _ ,.c
5%01
D.O.E. N2: 7268
CS PE ty 1 � i
Regarding contract 117268 for QUIK TRIP STORE #0954 as required by the WATER DEPARTMENT as
approved by City Council on N/A through Ivi&C N/A the director of the WATER DEPARTMENT upon the
recommendation of the Assistant Dire �: ti f.: 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
Accepted
Asst. Director, WATER DEPARTMENT
Asst. City Manager
Comments: 2265-541200-606150231783, P275-541200-706130231783
Initial:
$134,421.00
$1279101.00
Ns
Days @ $210.00/ Day
$127,101.00
$0.00
$127,101.00
/7-eir/S—e-
Date
Date
Date
•
OFFICIAL RECORD
CITY SECRETARY
Pr, WORTH, TX
a 'am-J.-any...
1� 265- 0 Q3/i
NOV 201 V E"i
�. 231
City Project Numbers 02317 DOE Numbed- 7268
Contract Name QUIK TRIP#954 ��.m„,„W�,,,,,�,, Estimate Number I
r
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 6/10/201 i
i
Project Funding
I
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
i
CITY OF FORT WORTH
SUMMARY OF CHARGES
Line Fund Account Center Amount Gross Retainage Net
Funded
— — .._.... ------------------------------
I
Total Cost of Work Completed $127,101.00
Less %Retained $0.00
Net Earned $127,101.00
Earned This Period $127,101.00
Retainage This Period $0.00
Less Liquidated Damages
0 Days @ $0.00 /Day $0.00
LessPavement Deficiency $0.00 j
Less Penalty $0.00
Less Previous Payment $0.00
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $127,101.00
Wednesday,June 10,2015 Page 4 of 4
() ;W3
FORTWORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name QUIK TRIP#954
Contract Limits
Project Type WATER&SEWER
City Project Numbers 02317
DOE Number 7268
Estimate Number I Payment Number I For Period Ending 6/10/2015
CD
City Secretary Contract Number 117268 Contract Time 9CD
Contract Date Days Charged to Date 85
Project Manager Buckley Contract is 95.000 Complete
Contractor MORA CONSTRUCTION,INC.
109 S.STORY#E
IRVING, TX 75060
Inspectors DICKINSON / CAZORLA
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 WATER&SEWER For Period Ending 6/10/2015
Project Funding
WATER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
--------------------------- -------------
1 6"PVC WATER PIPE 15 LF $40.00 $600.00 15 $600.00
2 FIRE HYDRANT 1 EA $2,600.00 $2,600.00 1 $2,600.00
3 1 1/2"WATER SERVICE I EA $2,300.00 $2,300.00 1 $2,300.00
4 2"WATER SERVICE 1 EA $2,400.00 $2,400.00 1 $2,400.00
5 6"GATE VALVE I EA $1,100.00 $1,100.00 1 $1,100.00
6 6"X 6"TEE I EA $3,600.00 $3,600.00 1 $3,600.00
Sub-Total of Previous Unit $12,600.00 $12,600.00
SEWER
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 ABANDONEI2"SEWERLINE 181 LF $125.00 $22,625.00 181 $22,625.00
2 REMOVE 4'SEWER MANHOLE 2 EA $2,100.00 $4,200.00 2 $4,200.00
3 6'WIDE ASPHALT PVMT REPAIR 12 LF $10.00 $120.00
4 ASPHALT PVMT REPAIR BEYOND DEFINED 90 SY $80.00 $7,200.00
WIDTH
5 TRENCH SAFETY 364 LF $1.00 $364.00 364 $364.00
6 12"SEWER PIPE 344 LF $123.00 $42,312.00 344 $42,312.00
7 4'MANHOLE 3 EA $7,000.00 $21,000.00 3 $21,000.00
8 4'DROP MANHOLE 1 EA $9,600.00 $9,600.00 1 $9,600.00
9 4'EXTRA DEPTH MANHOLE 32 VF $100.00 $3,200.00 32 $3,200.00
10 4'DIAMETER MH OVER EXISTING MAIN 1 EA $8,800.00 $8,800.00 1 $8,800.00
11 6"PVC SANITARY SEWER STUB OUT I LS $2,400.00 $2,400.00 1 $2,400.00
Sub-Total of Previous Unit $121,821.00 $114,501.00
Wednesday,June 10,2015 Page 2 of 4
City Project Numbers 02317 DOE Number 7268
Contract Name QUIK TR1P#954 Estimate Number I
Contract Limits Payment Number I
Project Type WATER&SEWER For Period Ending 6/10/2015
Project Funding
Contract Information aummary
Original Contract Amount $134,421.00
Change Orders
Total Contract Price $134,421.00
Total Cost of Work Completed
Date $127,101.00
Contrac Less %Retained $0.00
Net Earned $127,101M
Date./V 7;2 '—/,6
Earned This Period $127,101.00
C do P is
4 P Retainage This Period $0.00
1 Z, U— Date Less Liquidated Damages
Project M r
Days @ Day $0.00
Date- LessPavement Deficiency $0.00
c
"Asst. or Design d C truction Less Penalty $0.00
Date Less Previous Payment $0.00
Director Contracting Dep. t Plus Material on Hand Less 15% $0.00
Balance Due This Payment $127,101.00
Wednesday,June 10,2015 Page 3 of 4
FORTWORTH rev 03/05f07
TRANSPORTATION &PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:1
NAME OF PROJECT: Quik Trip#954
PROJECT NO.: 2317 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:.11/4/2614 CONTRACT TIME: 90 Q Wo* CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH DURING CREDITED MONTH DURING CREDITED
1. 16. J
f
2. 17.
3. 18.
4. 19.
5. 20.
6. 21.
7. 22.
8. 23.
1
9. 24. r
10. 25. 1
i
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
PERIOD 0 0
PREVIOUS
PERIOD 85 85
TOTALS
TO DATE 85 85 E
*REMARKS:
}
i
t
c
C C DATE INSPE T r DATEti
ENGINEERING DEPAR2TUIENT
The City of Fort Worth-1000 Throckmorton Street-Fort Forth,TX 76012 6311 t> ,y
(817)392-7941 Fax:(817)392-7845 "
�'
CONSENT OF OWNER
��
SURETY COMPANY xKcorosCr
1P0o FINAL PAYMENT CONTRACTOR
SURETY
AIA DOCUMENT G707 OTHER
Bond No. 4396975
PROJECT: QoiliTm|p Store#0954-Utilities,Ft.Worth TX
(name,address)
TO(Owner) [ City or Fort Worth l ARCHITECT'S PROJECT NO:
1000][bmockmoutomStreet
Fort Worth,3X761&2-6312 C0NT]lACIF0BL: Coawtrouduu
[ l
CONTRACT DATE: 9/11/2014
CONTRACTOR: Mora Construction,Inc.
Po Box 154097
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 vf Surety Company)
SureTmo Insurance Company
5741 Legacy Dr.,Suite 21O
8DB�T�C0/�����'
��U T��758% ' -'
oo bond of(homiv,ou name�ndaddress vrContractor)
Mora Construction,Inc.
D»*Box 154097
Dmdm0 TX 75015 CONTRACTOR,�-
boco puynnenttotbuConbuotom,undu8rceat6o1fina(puymcnttothuCmnbaotormho]luotrebuvu
the Surety Company of any of its obligations to(here insert name and address of Owner)
City oy Fort Worth
1VO0][brockmortooStreet
Fort Worth,TX7610%-6312 ,OWNER,
um set forth iu the said Surety Company's bond.
DN WITNESS WBOBRBOF,
the Surety Company has hereunto set its hand this 2nd day of Dr*6roury , 2015
0oreTec Insurance Company
Surety Company
Signature of Authorized Representative
'-
Attest: P)vv—�,
(8uoD: Debra Lee Moon
Tide
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 omEnumE
1970 THE AMERICAN INSTITUTE np ARCHITECTS,/r35 New York A, ,wW,wxoxovo7ow.o.c 20006
PoA#: 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,Harris 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 Affoiney-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,($5,000,000.00)
and to bind the Company thereby as fully and to the same extent as if such bond were signed by the President,scaled with the corporate
sea]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 bonds,recognizances,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`h of April,
1999.)
lit Witness Whereof,SURETEC INSURANCE COMPANY has caused these presents to be signed by its President,and its corporate seal
to be hereto affixed this 21st day of March,A.D.2013.
—",%. SURETEC INSURANCE COMPANY
SAN
By:
W w John kolox Jr: resident
State of Texas ss:
County of Harris ...... JJJ
On this 21st day of March,A.D.2013 before me personally Caine John Knox Jr.,to me known,who,being by me duly sworn,did depose and say,that be
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.
7,
f �
6&JA0QUE2YN MA.uLb D lic c O
N
AO
O
Notary P
St ate of Texas 7My Comm.Ex p.5118 1201 7
Jacq6liyn 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 N' -J
Beaty,Assistant -," -y
M.Bredt Beaty, Secreta;
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 6:00 pin CST.
i
i
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
i
You may contact the Texas Department of Insurance to obtain information on companies,coverage,rights or complaints
at 1-800-252-3439.You may write the Texas Department of Insurance at: i
PO Box 149104
Austin,TX 78714-9104
Fax#:512-475-1771
Web:http://www.tdi.state.tx.us
Email: ConsumerProtection @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
Exclusion of Liability for
Mold,Mycotoxins,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,
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,no the remediation thereof,nor the consequences to persons, property,or the performance of the bonded
obligations,of the occurrence,existence,or appearance thereof.
1
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
BY
Roger Mora, Pres.
Subscribed and sworn before me on this date 28th of January, 2015.
� BRETT CHARLES LEDBETTE£'
e MY COMMISSION EXPIRES
N y blic ^j January29,2015
Dallas, TX
REV:02/22/07
ioai
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date:
Name of Contractor Project Name
Mora Construction _Quick Trip_±951_
DOE Inspector Project Manager
Adilda Cazorla --- ---lP4ect,DiJfzcu1v Patrick Buckley
DOENumber Type of Contract
7268 _Simple 0 Routine 0 Complex n/ Water El wastewaterE Storm Drainages Pavement
Initial Contract Amount Final Contract 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 Availabilit tor Accuracy of Plans to Existing Conditions
y of I
2 Kn Dwledge of Ins pector_--.. 2 Clari ty&Sufficiency of Details
.3 . Accurag of Measured Quantities 3 Applicabilily of Specifications
4 Displg Of Professionalism —47-4 Ac curacy of Plan uantities
5 Citizen Complaint Resolution PROJECT MANAGER EVALUATION
6 Performance �up Valve Crews,Labs E�- I K nowleqge And/Or Problem Resolution
ADMINISTRATION 2 Availabili ty of Project Manager
-1 gharge Order Processing Time 3 Communication
2 Tiniliness of Contractor Payments 4 Resolution of Utili Conflicts
3_Bid_Qgenjja.10 Pre-Con
111)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 Throckraorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845
REV:02/20107
FORTWORTH
...........
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
1) CONTRACTOR&PROJECT DATA
Name of Contractor Project Name
Mora Construction Quik Trip#954
DOE Inspector DOE Number
Adilda Cazorla 7268
DOE Inspector Project Manager
.D water R] waste waterEl Storm DrainageD Pavement Patrick Buckley
Initial Conti-act Amount Project Difficulty
* Simple 0 Routine 0 Complex
Final Contract Amount Date
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 4 8 8
2 Public Notifications 5 N
3 Plans on Site 5 Y 4 20 20
4 Field Supervision 15 Y 4 60 1 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
113 Project Completion 5 Y 4 20 20
TOTAL ELEMENT SCORE(A)
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 373
111)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 388
Rating(ITS/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 �91 Sign Contractor
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
FORTWORTH
TRANSPORTATION AND PUBLIC WORKS
PIPE REPORT FOR:
PROJECT NAME: Quik Trip#954
PROJECT NUMBER: 2317
DOE NUMBER: 7268
WATER
PIPE LAID SIZE TYPE OF PIPE LF
FIRE HYDRANTS: VALVES(1611 OR LARGER)
PIPE ABANDONED SIZE TYPE OF PIPE LF
DENSITIES:
NEW SERVICES:
SEWER
PIPE LAID SIZE TYPE OF PIPE LF
12" PVC 344
PIPE ABANDONED SIZE TYPE OF PIPE LF
1211 clay 181
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