HomeMy WebLinkAboutContract 50014-AR2 CITY SECRETARY
FORT WORTH City of Fort Worth CONTRACT NO._ Soo I4—WL
— Construction Allowance Request Breakdown
Construction CA# Date 8/23/2018 City Sec# 1 50014
Client Project#(s)l 100744, 100747
FAC#(s)
Project Name HMAC Street Rehab at Multiple Locations(2017-4)
Description
Contractorl JLB Contracting,LLC City Inspector Kedric Smith
Funding TPW Select Day Type
Allocation Account Totals
Original Contract Amount $501,676.45 $501,676.45 90
Extras to Date $82,621.00 $82,621.00 45
Credits to Date
Current Contract Amount $584,297.45 $584,297.45 135
Amount of Proposed Allocation $18,700.00 $18,700.00 15
Original Allowance Available for Allocation $39,136.00 $39,136.00
Allowance Funds Previously Allocated $13,250.00 $13,250.00
Remaining Funds Available for this Allocation $25,886.00 $25,886.00
JUSTIFIGATIQN SUMMARY
To complete the flatwork on Andrew,and meet ADA requirements,special barrier free ramps are needed and must be poured in conjunction
with valley gutters which will serve as crosswalks. Due to the complexity of both ramps and valley gutters,existing unit prices aren't valid
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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
Zamora Concrete Flatwork $7,980.00
Total $7,980.00
Previous Construction Allowance Requests
CO# DATE AMOUNT
Total $0.00
CFW Construction Allowance Request Approval CAApp-04 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 2
fortworthgov/Infrastructure Proiects/100744- Pate Drive (Coleman to Berry)/Contractor/Chanae Orders/construction
allowance 2 - ramps&vg on andrew
fortworthoov/Infrastructure Proiects/100744 - Pate Drive (Coleman to Berry)/Contractor/Change Orders/construction
allowance 2 - ramps &ya on andrew/allowance 2 - special ramps and vq on andrew.xlsm
Attachments(0)
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CFW Construction Allowance Request Approval CAApp-04 Page 2 of 3
FORT WORTHN) city of Fort Worth
Construction Allowance Request Approval
(Construction Allowance Breakdown Available in Links)
For Construction Allowance Submittal No.: 2
Construction Allowance Request Approval No.: CAApp-04
Date Started: 2018-09-04 Date Due: 2018-09-06
City Sec. No.: 50014
Project Name: 100744 - Pate Drive (Coleman to Berry)
100744 DOE Numbers:
Project Numbers:
Project Removal and replacement of nonfunctional curb&gutter,
Description: driveways and sidewalks; followed by the pulverization and
stabilization of the existing pavement and a 2" HMAC overlay
Project Manager: Kristian Sugrim City Inspector: Kedric Smith
Contractor: JLB Contracting, LLC.
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 18,700.00 39406-0200431-574--10-100744-OC 15
Total Cost: $ 18,700.00 Total Requested Days: 15
Approval Status:
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CFW Construction Allowance Request Approval CAApp-04 Page 3 of 3
Approved: Yes
Comments:
User: Lane Zarate
Date: 2018-09-05 7:19 PM
Approved: Yes
Comments:
User: Ricardo Matute
Date: 2018-09-07 1:31 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2018-09-12 2:01 PM
Approved: Yes
Comments: U
User: Susan Alanis
Date: 2018-09-17 8:27 AM
�XAS
Action Required:
IUB&r` N -
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX
https://projectpoint.buzzsaw.com/ bz web/Forms/FonnPrint.aspx?SiteId=51500&ProcessI... 9/17/2018
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 Sugrim /
Name of Employee/Signature `
Project Manager
Title
❑ This form is N/A as No City Funds are associated with this Contract
1 - _
Kristian Su rim wry> ---
Printed Name Signature
OFFICIAL RECORD
CITY SECRETARY
FT.WORTH,TX