HomeMy WebLinkAboutContract 51200-AR1 CITY SECRETARY
FORT WORTH City of Fort Worth CONTRACT NO. 51200
Construction Allowance Request
Project Namel Campbell Street From Crenshaw Avenue to Avenue J City Sec No. 51200
Project No.(s)J 100733 M&C: C-28771 City Proj.No. 100733
Project Description: This project include the design and the reconstruction of Campbell Street from Ave J to Crenshaw Avenue.
Contractor: JLB Contracting,LLC Allowance No: Date: 2/20/2019
City Project Mgr,l Maged Zaki City Inspector: I Adilda Cazorla
Phone Number: 817-392-5448 Phone Number: 817-223-2282
Dept. Water Sewer Paving Totals Contract Time
(Calender days)
Original Contract Amount $139,599.95 $69,086.50 $1,098,223.03 $1,306,909.48 180
Previous Allowances Allocated $0.00 $0.00 $0.00 $0.00 0
Go to ADD&DEL Tabs to Enter CO Backup $4,400.00 $0.00 $0.00 $4,400.00 0
Original Allowance Available for Allocation $30,000.00 $30,000.00 $80,000.00 $140,000.00
Remaining Funds Available for this Allocation $30,000.00 $30,000.00 $80,000.00 $140,000.00
Revised Contract Time 180
_JWTIFICATIQN(RW,- -0NSj EORAIrOWANCE
While putting in the water line on Line A and Line B we encountered an existing water service on each line in
the construction area. These each needed to be replaced in order to restore water to the existing houses. The
following services were tied in at 3600 Ave K and 3600 Ave L
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Atte
Mary J. K sff,tity Secretary
It is understood and agreed that the acceptance of this Construction Allowance Request by the contractor constitutes an accord and satisfaction and
represents payment in full for all costs arising out of,or incidental to,the above Construction Allowance Request.
Con tract9f,&.000ariMafne Contractor Name (Contractor$ignatute Date
JLB Contracting,LLC Aaron Perez 3/1/2019
Inspector Date Project Magag _ Date
Dire for . avec A
Date Construct pta; uAe tsar.T/FWDept}- - - Date
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As l tang _ drn , _ Date Assistant City�Mana-ger __ Bate
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FOP,. F W43kR'TH City of Fort Worth
Construction Allowance Request
Project Name I Campbell Street From Crenshaw Avenue to Avenue J City Sec No. 51200
Project No.(s) 100733 M&C: G28771 City Proj. No. 100733
Project This project include the design and the reconstruction of Campbell Street from Ave J to Crenshaw Avenue.
Description
Contractor JLB Contracting,LLC Allowance No: F-T-1 Date: 2/20/2019
City Project Mgr. Maged Zaki City InspectorAdilda Cazorla
CONSTRUCTION ALLOWANCE ITEMS TO BE ADDED
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
Unit 1
21 1"Tap for Water Service on Line A,service to 3541 Ave K. Water 2.00 EA $2,200.00 $4,400.00
Water $4,400.00
Sewer
Paving
Page 1 of 3 JAdditions Sub Total $4,400.00
F4 RT WC RT H City of Fort Worth
1W'�'''� Construction Allowance Request
Project Name Campbell Street From Crenshaw Avenue to Avenue J City Sec No. 51200
Project No.(s) 100733 M&C: C 28771 City Proj.No. 100733
Project Description This project include the design and the reconstruction of Campbell Street from Ave J to Crenshaw Avenue.
Contractor JLB Contracting,LLC Allowance No: 0 Date 2/20/2019
City Project Mgr. Maged Zaki City Inspector Adilda Cazorla
CONSTRUCTION ALLOWANCE ITEMS TO BE DELETED
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
Water
Sewer
Paving
Page 2 of 3 Deletions Sub Total
MIWBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
Page 3 of 3
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
requireTgnts.
Maged Zaki
Project Manager
OFFICIAL.RECORD
CITY SECRETARY
FT. WORTH,TX