HomeMy WebLinkAboutContract 48309-AR3 FORT WORTHCity of Fort Worth C"8ECRETARY
CONTRACT NO,
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~ � Construction Allowance Request Breakdown `u i----=
Construction CA# 0 Date 2/27/2018 City Sec# 1 48309
Client Project#(s)l City Project No. 100416
FAC#(s)
Project Name 2014 C I P Year 2 Contract 5
Description
Contractorl Peachtree Construction City Inspector Chris Bell
Funding T/PW Water Sewer Select Day Type
Allocation Account Totals
Original Contract Amount $2,531,477.50 $2,531,477.50 280
Extras to Date
Credits to Date
Current Contract Amount $2,531,477.50 $2,531,477.50 280
Amount of Proposed Allocation $7,920.00 $0.00 $0.00 $7,920.00
Original Allowance Available for Allocation $123,650.00 $123,650.00
Allowance Funds Previously Allocated $20,768.10 $20,768.10
Remaining Funds Available for this Allocation $102,881.90 $102,881.90
DATION SUMMARY
Tree Removal on 8th Street to remove 6 trees in the parkway that will destroy the sidewalk.
It is understood and agreed that the acceptance of this Construction Allowance Request by the contractor constitutes an accord and satisfaction and
represents payment in full for all costs arising out of,or incidental to,the above Construction Allowance Request.Contract Time will be adjusted on the
basis of the time shown on this Construction Allowance Request by a later Change Order,if necessary.
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
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MIWBE Breakdown for this Construction Allowance Request
MWBE Sub Type of Service Amount for this FOA
Total $0.00
Previous Construction Allowance Requests
co# DATE AMOUNT
Total $0.00
CFW Construction Allowance Request Approval CAApp-05 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Proiects/100416 - 2014 CIP Year 2 — Contract 5/Contractor/Change Orders/HMAC 2014 CIP
Year 2 Contract 5 Construction Allowance Request Breakdown #3.xlsm
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CFW Construction Allowance Request Approval CAApp-05 Page 2 of 3
FORT WORTH. C'ty of Fort Worth
~--. �••-r- Construction Allowance Request Approval
(Construction Allowance Breakdown Available in Links)
For Construction Allowance Submittal No.: 3
Construction Allowance Request Approval No.: CAApp-05
Date Started: 2018-03-12 Date Due: 2018-03-14
City Sec. No.: 48309
Project Name: 100416 - 2014 CIP Year 2 - Contract 5
100416 DOE Numbers:
Project Numbers:
Project Removal and replacement of nionfunctional driveways,
Description: curb&gutter and sidewalks; followed by the pulverization and
stabilization of the existing pavement and a 3" HMAC Overlay.
Project Manager: Kristian Sugrim City Inspector: Chris Bell
Contractor: Peachtree Construction
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 7,920.00 34014-0200431-5740010-100416-0
Total Cost: $ 7,920.00 Total Requested Days: 0
Approval Status:
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CFW Construction Allowance Request Approval CAApp-05 Page 3 of 3
Approved: Yes
Comments:
User: Lane Zarate
Date: 2018-04-26 4:38 PM
Approved: Yes
Comments:
User: Ricardo Matute
Date: 2018-04-30 1:02 PM
Approved: Yes
Comments: i
User: Doug Wiersig F0 �
Date: 2018-05-01 6:54 PMC) T
Approved: Yes * ..4
Comments:
User: Doug Black
Date: 2018-05-01 7:34 PM
ary .�• lty tary c .
Approved: Yes
Comments:
User: Susan Alanis
Date: 2018-05-08 2:16 PM
M&C: 1._..-
Action Required:
OFFICIAL RECORD
CITY SECRE AW
�e
WORTH, TX
A
https://projectpoint.buzzsaw.com/—bz—web/Forms/FormPrint.aspx?S itel d=5 15 0 O&Processl d... 5/8/2018
Contract Compliance Manager:
By signing I acknowledge that I am the person responsible
for the monitoring and administration of this contract, including
ensuring all performance and reporting requirements.
Kristian Sug_C" �--
Name of Employee/Signature
Project Manager
Title
This form is N/A as No City Funds are associated with this Contract
Kristian Su rim Z Ki&�
Printed Name Signatu
OFFICIAL RECORD
CITY SECRETARY
FT.W099,TX