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FORT WORTH
CITY OF FORT WORTH
FINAL PAYMENT REQUEST
Contract Name BERKELEY PHASE 11
Contract Limits
Project Type PAVING
City Project Numbers 02295
DOE Number 7245
Estimate Number I Payment Number I For Period Ending 8/31/2015
CD
City Secretary Contract Number 117245 Conti-act Time INED
Contract Date Days Charged to Date 420
Project Manager Long Contract is 100-00 Complete
Contractor KENT COMPANIES TEXAS,LLC
830 E VALLEY RIDGE BLVD
LEWISVILLE, TX 75057
Inspectors LAYER I NIETO
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Wednesday,September 09,2015 Page 1 of 4
City Project Numbers 02295 DOE Number 7245
Contract Name BERKELEY PHASE 11 Estimate Number I
Contract Limits Payment Number I
Project Type PANG For Period Ending 8/31/2015
Project Funding
PAVING
Item Description of Items Estimated Unit Unit Cost Estimated Completed Completed
No. Quanity Total Quanity Total
1 REMOVE CONCRETE DR 60 SF $75.00 $4,500.00 60 $4,500.00
2 REMOVE CONC CURB&GUTTER 40 LF $75.00 $3,000.00 40 $3,000.00
3 REMOVE ASPHALT PVMT 80 SY $15.00 $1,200.00 80 $1,200.00
4 UNCLASSIFIED EXCAVATION BY PLAN 115 CY $15.00 $1,725.00 115 $1,725.00
5 4"CONC SIDEWALK 9240 SF $5.30 $48,972.00 9240 $48,972.00
6 BARRIER FREE RAMP 2 EA $500.00 $1,000.00 2 $1,000.00
I
7 BARRIER FREE RAMP 2 EA $500.00 $I,000.00 2 $1,000.00 �
8 6"CONC CURB&GUTTER 715 LF $15.00 $10,725.00 715 $10,725.00
f
9 HMAC TRANSITION 39 TN $15.00 $585.00 39 $585.00
10 TRAFFIC CONTROL 1 LS $623.00 $62100 1 $623.00
Sub-Total of Previous Unit $73,330.00 $73,330.00
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Wednesday,September 09,2015 Page 2 of 4
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City Project Numbers 02295 DOE Number 7245
Contract Name BERKELEY PHASE Il Estimate Number 1
Contract Limits Payment Number 1
Project Type PAVING For Period Ending 8/31/2015
Project Funding
Contract Information Summary
Original CoutractAmount $73,330.00
Change Orders
Total Contract Price $73,330.00
Date 16 1 / Total Cost of Work Completed $73,330.00
Contrac Less %Retained $0.00
Date MAO�J Net Earned $73,330.00
Inspection Su ►s Earned This Period $73,330.00
Retainage This Period $0.00
s'` q
;��;"?7 Date '�� P®°�'"�
Less Liquidated Damages
Project Mana
Days @ /Day $0.00
Date -'� — LessPavement Deficiency $0.00
Asst f i ctor/TP -Infrastructure Design and Construction Less Penalty $0.00
r Date 11113
i S� Less Previous Payment $0.00
Director/ ntracting Department Plus Material on Hand Less 15% $0.00
Balance Due This Payment $73,330.00
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Wednesday,September 09,2015 Page 3 of 4
City Project Numbers 02295 DOE Number 7245
Contract Name BERKELEY PHASE II Estimate Number I
Contract Limits Payment Number I
Project Type PAVING For Period Ending 8/3I/2015
Project Funding
Project Manager Long City Secretary Contract Number 117245
Inspectors LAYER / NIETO Contract Date
Contractor KENT COMPANIES TEXAS,LLC Contract Time 120 CD
830 E VALLEY RIDGE BLVD Days Charged to Date 420 CD
LEWISVILLE, TX 75057 Contract is .000000 Complete j
CITY OF FORT WORTH f
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SUMMARY OF CHARGES E
k,
s
Line fund Account Center Amount Gross Retainage Net
Funded
— ———————
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Total Cost of Work Completed $73,330.00
Less %Retained $0.00
Net Earned $73,330.00
Earned This Period $73,330.00
Retainage This Period $0.00
2
Less Liquidated Damages
0 Days @ $0.00 /Day $0.00
LessPavement Deficiency $0.00
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Less Penalty $0.00 R
Less Previous Payment $0.00
Plus Material on Hand Less 15% $0.00
Balance Due This Payment $73,330.00
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Wednesday,September 09,2015 Page 4 of j
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AFFIDAVIT
STATE OF TEXAS
COUNTY OF DENTON
Before me, the undersigned authority, a notary public in the state
and county aforesaid, on this day personally appeared Keith Collinsworth,
President Of Kent Companies Texas LLC , 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;
i
On Contract described as;
City Sidewalks &Prive Driveway with Curb
BY
Keith Collins firth,President
Subscribed and sworn before me on this date Ist of October, 2015.
4., �
otaryy Public
Denton County, Texas Res
m # ,
CONSENT OF OWNER ❑
SURETY COMPANY ARCHITECT ❑
CONTRACTOR ❑
TO FINAL PAYMENT SURETY ❑
AIA DOCUMENT G707 OTHER ❑
PROJECT: Berkeley Phase II Apartments
(name, address) 2751 Frazier Avenue, Fort Worth, TX 76110
TO (Owner)
F_ LPC Contractors of Texas Inc ARCHITECT'S PROJECT NO:
& City of Fort Worth, Texas CONTRACT FOR: Concrete Public Curb, Gutter
2000 McKinney Ave., Suite 1000 and Flatwork
L Dallas, TX 75021 CONTRACT DATE: 04/17/2014
FINAL CONTRACT PRICE:
CONTRACTOR: Kent-Companies Texas, LLC
830 East Village Ridge Blvd
Lewisville TX 75057
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)
NGM Insurance Company
55 West Street
Keene, NH 03431 SURETY COMPANY,
On bond Of(here insert name and address of Contractor)
Kent-Companies Texas, LLC
830 E Valley Ridge Blvd.
Lewisville, TX 75057 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)
LPC Contractors of Texas, Inc.
and The City of Fort Worth,Texas
2000 McKinney Ave., Suite 1000
Dallas. TX 75201 OWNER,
as set forth in the said Surety Company's bond. i
I
IN WITNESS WHEREOF, i
the Surety Company has hereunto set its hand this 1st day of October 2015.
i
E
NGM Insurance Company
Su ty Company
,Attest: Signature of Authorized Representative
(Seal):
Attorney-in-Fact
Title
I
NOTE: This form is to be used as a companion document to AIA DOCUMENT,G706,CONTRACTOR'S AFFIDAVIT OF PAYMENT t
OF DEBTS AND CLAIMS,Current Edition
Printed in cooperation with the American Institute of Architects(AIA)by the NGM Insurance Company.The language in this document
conforms exactly to the language used in AIA document G707,April 1970 Edition.
E
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68-5089(06/2006)
s
F
IMPORTANT NOTICE
7v obtain information m make ocomplaint:
You may contact your surety underwriter ot
1-904-300-781
You may also write in Main Street America Group and NGM Insurance Company at:
46UlTouubton Road East
Suite 330
Jacksonville,I032240
Attn:Bond Underwriting
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 ofInsurance:
P.0.0ox 140104
Austin,1X787l4'01O4
Fax:(5l2)4?5-l77l
E-mail:
PRE MIUM0R CLAIM DISPUTES
Should you have a dispute concerning your premium or about a claim you should contact the agent or the company
first.If the dispute is not resolved,you may contact the Texas Department of Insurance.
This notice is for information only and does not become a part or condition of the attached document.
AVISO IMPORTANTE
Para ohteu*riufbnnaoionoyamoomoteruouqueju:
yuudeuomou|onrso con ao surety underwriter o|
1-904-300-7403
Ubkodmm6|enpucdoenxHbiru Main Street America Group and yJGK8 insurance Company at:
46O1IowukNn Road East
Suite 330
Jacksonville,F|32246
Attn:Bond Underwriting
Puod000municumu con o|DupoUumen{odoBoOunzedo Texas pumobtnoor|nA/nnucioxaoumodocompanies,
oohortmux'donouk000quejuao|:
1-000-282-3439
Puede escribir al Departamento JoSegumudoTexas:
P.O.Box 149704
Austin,1X787\4'A104
Fax:(5i2)475-l?77
E-mail:
D%9P0TA8SOBRE PRI&8AS 0 RECLAMO8;
8|tienoouodiapntoonnoeruicn(onou prima ouuurec|omo dohuxomonivame con eluQeo0eol000mpun|oydmum.
Di000e/euoo|vu|ud/yputo,puodonnronoexoomuniuomu con oldepurtnmcnin(7I)l)
68'TX-N08i
®NGM INSURANCE COMPANY POWER OF ATTORNEY - 0291-304
A member of The Main Street America G=p
KNOW ALL MEN BY THESE PRESENTS: That NGM Insurance Company,a Florida corporation having its principal
office in the City of Jacksonville,State of Florida,pursuant to Article IV, Section 2 of the By-Laws of said Company,to wit:
"Article IV, Section 2. The board of directors, the president, any vice president,secretary, or the treasurer
shall have the power and authority to appoint attorneys-in-fact and to authorize them to execute on behalf of
the company and affix the seal of the company thereto, bonds, recognizances, contracts of indemnity or
writings obligatory in the nature of a bond,recognizance or conditional undertaking and to remove any such
attorneys-in-fact at any time and revoke the power and authority given to them.-"
does hereby make,constitute and appoint David Barnett,Don Barnett,S.Michael Boyd,Darlene Thomas,
J.Timothy Shaeldeford----------------------------------------------------------------------------------------------
its true and lawful Attorneys-in-fact;to make,execute,seal and deliver for and on its behalf, and as its act and deed,bonds,
undertakings,recognizances,contracts of indemnity,or other writings obligatory in nature of a bond subject to the following
limitation:
1. No one bond to exceed Five Million Dollars($5,000,000.00)
and to bind NGM Insurance Company thereby as fully and to the same extent as if such instruments were signed by the duly
authorized officers of the NGM Insurance Company;the acts of said Attorney are hereby ratified and confirmed.
This power of attorney is signed and sealed by facsimile under and by the authority of the following resolution adopted by
the Directors of NGM Insurance Company at a meeting duly called and held on the 2nd day of December 1977.
Voted:That the signature of any officer authorized by the By-Laws and the company seal may be affixed by facsimile to
any power of attorney or special power of attorney or certification of either given for the execution of any bond,
undertaking,recognizance or other written obligation in the nature thereof; such signature and seal,when so used being
hereby adopted by the company as the original signature of such office and the original seal of the company,to be valid
and binding upon the company with the same force and effect as though manually affixed.
IN WITNESS WHEREOF,NGM Insurance Company has caused these presents to be signed by its Vice President,
General Counsel and Secretary and its corporate seal to be hereto affixed this 20th day of March,2013.
%
NGM INSURANCE COMPANY By: � J~:
a
az 1923
Bruce R Fox
Vice President,General J��'"%nn 1,11,01111
Counsel and Secretary
State of Florida,
County of Duval.ft On this March 20th,2013,before the subscriber a Notary Public of State of Florida in and for the County of Duval duly commissioned an
qualified, came Bruce R Fox of the NGM Insurance Company, to me personally known to be the officer described herein, and who
executed the preceding instrument,and he acknowledged the execution of same, and being by me fully sworn,deposed and said that he i
an officer of said Company, aforesaid:that the seal affixed to the preceding instrument is the corporate seal of said Company,and the sai
corporate seal and her signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the sai
Company;that Article IV,Section of the By-Laws of said Company is now in force.
IN WITNESS WHEREOF,I have hereunto set my hand and affixed my official seal at Jacksonville,Florida this 20th day of March,
2013.
ajo�� r TASM MUW
�+ �:ia�rmts
I,Brian J Beggs,Vice President of the NGM'Llsurance Company,do hereby certify that the above and foregoing is a true and correct copy
of a Power of Attorney executed by said CoImpany`,Bich is still in full force and effect.
IN WITNESS WHE E F,I have hereunto,ret myltand and affixed the seal of said Company at Jacksonville,Florida this
1 day of heir, oL`
WARNING:Any unauthor,7ed reproduction or alteration of this document is prohibited,
TO CONFIR M'VALWI'l Y of die attached bond please call 1-800-225-5646.
TO SUBMIT A CLAIM:Send all correspondence to 55 West Street,Keene,NH 03431 Attn:Bond Claims:
w�
d�¢ae;fr6ror�f�"�1�4"5 rcra:CSdf�s,�sec�ra��yra�atr��es��ta,tNdds�;,b�xh5rorrsrur�atsa�-wrra.�dras�r^dadh>r°:aara-rt�aa�tw`ure��siz^fr�aa ,:rr��rsiccaavt�atg2e�pdtdrro�p a��r ra�artOsa;. °""^a��� ",<�
UNCOLN
rROPERTY
COMPANY Jeff Courtwright
Lincoln Property Company
2000 McKinney Ave.,Suite 1000
Dallas,TX 75201
Office:214-740-3300
Email:jeffc@lpsi.com
VIA EMAIL AND USPS
October 23, 2015
Emanuel Nieto
Senior Construction Inspector—Transportation and Public Works
8851 Camp Bowie West.
Fort Worth, TX 76116
Re: The Berkeley Phase //, DOE# 7245
Dear Mr. Nieto:
Please accept this letter as record that LPC Southwest Acquisition, Inc. as developer for
the The Berkeley Phase /I / DOE# 7245, will not charge any contractor liquidated
damages for any delays in the project. If you should have any further questions, please
don't hesitate to contact me at the number above.
Regards,
4
3
e
FORTWORTHREV:02/20/07
TRANSPORTATION AND PUBLIC WORKS
PERFORMANCE EVALUATION OF CONTRACTOR
I) CONTRACTOR&PROJECT DATA
Name of Contractor Project Nome
Kent Companies Texas,LLC Berkeley Phase 11
DOE Inspector DOE Number
Emanuel Nieto 7245
DOEInspector Project Alanager
❑ water[—] Waste Water❑ Storm Drainage Pavement Aaron Long
Initial Contract Amount Project D1601culty
$73,330.00 0 Simple @) Routine 0 Complex
Final Contract Amount Date
,$73,330.00 9/21/2015
11)PERFORMANCE EVALUATION
0-Inadequate I-Deficient 2-Standard 3-Good 4-Excellent
ELEMENT WE-IGFIT(x) APPLICABLE(Y/N) RATING(0-4) MAX SCORE SCORE
I Submission of Documents 2 y 3 8 6
2 Public Notifications 5 y 3 20 15
Plans on Site 5 y 4 20 20
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 3 60 45
9 Daily Clean Up 5 y 4 20 20
10 Citizen's Complaint Resolution 5 y 4 20 20
I I Property Restoration
5 y 3 20 15
12 After Hours Response 5 y 4 20 20
13 Project Completion 5 y 3 20 15
TOTAL ELEMENT SCORE(A) 371
BONUS POINTS(25 Maximum)(B)
TOTAL SCORE(TS) 371
III)CONTRACTOR'S RATING
Maximum Score(MS)=448 or sum of applicable element score maximums which= 448
Rating(ITS/MSI*100%) 371 448 = 83%
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)
("2 2,�O
Signature DOE Inspector Contractor
I C
Signature DOE Inspectorsrup--elr/visor
CONTRACTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORK S
The City of Fort Worth-1000 Throckmorton Street•Fort Worth,TX 76012-6311
(817)392-7941 •Fax:(817)392-7845
FORTWORTHREV:02/22/07
uulVt
TRANSPORTATION AND PUBLIC WORKS
CONTRACTOR'S EVALUATION OF CITY
1)PROJECT INFORMATION Date 9/21/2015
Nacre o Contacror Pro'ec!Nacre
ISent Companies Texas,LLC Berkeley Phase H
DOE Inspector Project Manager
Emanuel Nieto Aaron Long
DOENumber Pro,/ ,If ect Di rcult} Tvpe gfContad
7245 0 Simple Q Routine 0 Complex Q Water❑ Waste Water[:] Storm Drainagem Pavement
Initial Cant aG Amount Final Contract Anionn!
$73,330.00 $73,330.00
Ii)PERFORMANCE EVALUATION
0 Inadequate 1 Deficient 2-Standard 3 Good 4 Excellent
ELEMENT RATING ELEMENT RATING
_......... .......... .....
(0-4) f .. (0-4)
INSPECTION EVALUATION PLANS&SPECIFICATIONS
I Availability of Inspector 1 Accuracy of Plans to Existing Conditions
2 I{nowledge of Inspector
2 Clarity&Sufficiency of Details
3 Accuracy of Measured Quantities 3 Applicability of Specifications
4 Display Of Professionalism 14 Accuracy cf Plan Quantities
5 Citizen Complaint Resolution `-f PROJECT MANAGER EVALUATION
ADMINISTRATION 2 AvailabiHt And/Oi Problem Resolution 11 p 1 knowledge-
nowl 11111-1-6
Performance bih of Pt o ect Mana et
1 Chan e Order Procressi Tilve Crews,Labs _ ...._..,1. ._. . .g___ ..... . ...w.11
ng me , l 3 Communication
2 Timliness of gContraotor Payments �{ 4 Resolution of Utility Conflicts
m
3 Bid Open to Pie Con Meeting Timeframe
111)COMMENTS&SIGNATURES
COMMENTS
i
Signature Contractor
I
Signature DOE Inspector — r
Signature DOE Inspector's Supervisor '
INSPECTOR'S COMMENTS
TRANSPORTATION AND PUBLIC WORKS
The C ity of Fort Worth•1000 Thraclunorton Street a Fort Worth,TX 76012-6311
(817)392-7941 a Fax:(817)392-7845
FORT WORTH rev 03/05/07
TRANSPORTATION&PUBLIC WORKS
FINAL STATEMENT OF CONTRACT TIME
FINAL STATEMENT NO.:I
NAME OF PROJECT: The Berkeley Phase 11
PROJECT NO.: 02295 CONTRACTOR: Kent Companies Texas,LLC
DOE NO.: 72245
PERIOD FROM.07/02/14 TO: 08/25/15 FINAL INSPECTION DATE: 10-Sep-15
WORK ORDER EFFECTtVE:7/2/2014 CONTRACT TIME: 120 0 WICO) CD
DAY OF DAYS REASON FOR DAYS DAY OF DAYS REASON FOR DAYS
MONTH 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.
it. 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 420 420
PREVIOUS
PERIOD
,irOTAL, 4
TO DATE 20 420
*REMARKS:-
CONTRACTOR- DATE * SPE DATE
ENGINEERING DEPARTNffi NT
The City of Fort Worth -1.000 Throc.kmorton Street o Fort Worth,"I' 76012- 311
la (817)392-7941 •Fax:(817)392-7845 "-4