HomeMy WebLinkAboutContract 51257-AR1 CITY SECRETARY
FORT WORTH® City of Fort Worth CONTRACT NO. S l a 51-PCP-..1
Construction Allowance Request
Construction FOA# Date 3/15/2019 City Sec# 1 51257
Client Project#(s)l 101602
FAC#(s)
Project Name Concrete Restoration(2019-3)at Various Locations
Description
Contractorl Select Striping LLC City Inspector Lorrie Pitts
Funding TPW Select Day Type
Allocation Account Totals
Original Contract Amount $940,678.00 $940,678.00
Extras to Date
Credits to Date
Current Contract Amount $940,678.00 $940,678.00
Amount of Proposed Allocation $2,117.50 $2,117.50
Original Allowance Available for Allocation $30,000.00 $30,000.00
Allowance Funds Previously Allocated
Remaining Funds Available for this Allocation $30,000.00 $30,000.00
IN ACCORDANCE WITH THIS CONSTRUCTION ALLOWANCE REQUEST,THE CONTRACTOR SHALL:Furnish all labor and material
as per attached proposed Construction Allowance Request(with attachments)to the Construction Allowance Request:
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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.
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FORT WORTH® City of Fort Worth
*'% � Construction Allowance Request
Construction FOA#u Date 311512019 City Sec# 1 51257
Client Project#(s)l 101602
FAC#(s)
Project Name Concrete Restoration(2019-3)at Various Locations
Description
Contractorl Select Striping LLC City Inspector Lome Pitts
LIiATION F'QR CONSTRlJCTlQN±!&D,,qME tAL.LO
IN ACCORDANCE WITH THIS CONSTRUCTION ALLOWANCE REQUEST,THE CONTRACTOR SHALL:Fumish all labor and material as
per attached proposed Construction Allowance Request(with attachments)to the Construction Allowance Request:This construction allowance
is for lowering traffic signal cable at Western Center Blvd at Old Denton Rd.This construction allowance is to compensate labor and material cost
including10%overhead.
FORT WORTH. City of Fort Worth
Construction Allowance Request
Construction FOA# 0 Date 3/1 512 0 1 9 City Sec# 51257
Client Project Ns) 1 11602
FAC#(s)
Project Name Concrete Restoration(2019-3)at Various Locations
Description
Contractorl Select Striping LLC City Inspector F- Lorrie Pitts
ITEM _7SCRIPTION ADDITIONS
ep ty Unit Unit Cost I ota
New Loweinng existing Traffic Signal Gable at Western Center and Old Denton
TPW $2,117.50
Sub Total Additions 2,117.50
Change Order Additions Page 1 of 1
FORT WORTH® City of Fort Worth
Construction Allowance Request
Construction FOA# 0 Date 3/15/2019 City Sec# 51257
Client Project#(s) 101602
FAC#(s)
Project Name Concrete Restoration(2019-3)at Various Locations
Description
Contractorl Select Striping LLC City Inspector Lome Pitts
GONSTRUGTION ALLOWANCE ITEMS TO BE REDUCED
ITEM DESCRIPTION DepVFAC QtY Unit Unit Cost Total
TPW $0.00
Sub Total Deletions 0.00
Change Order Deletions Page 1 of 1
M1WBE Breakdown for this Construction Allowance Request
MWBE Sub Type of Service Amount for this FOA
Total $0.00
Previous Construction Allowance Requests
Cog DATE AMOUNT
Total $0.00
Electrical Repair
Item Description Unit Quantity Unit Price Total
9600 6000 Traffic Signal Conduit Repair 1 LS $ 2,117.50
Total $ 2,117.50
CONTROL: 101602 HIGHWAY: Western Center Blvd
PROJECT: Concrete Restoration(2019-3) COUNTY: Tarrant
QTY: 1.00 LS
WORK DESCRIPTION: Traffice Signal Conduit Repair at 2921 Western Center Blvd
ITEM DESCRIPTION QUANTITY UNIT PRICE EXTENSION ADJ.EXT.
EQUIPMENT
Survey Equip 1.00 LS $ - $
Sub total: $
15%Equipment: $
EQUIPMENT UNIT PRICE $
LABOR BASE HOURS OT HOURS TOTAL HOURS BASE PRICE EXTENSION
Sub total: $
25%Labor: $
55%Work Comp: $
Total: $
LABOR UNIT PRICE $
MATERIAL QTY UNIT UNIT PRICE EXTENSION
Sub total: $
25%Material: $
Total: $ $
MATERIAL UNIT PRICE $
SUBCONTRACTOR WORK QTY UNIT UNIT PRICE EXTENSION
Makou,Inc. 1.00 LS $ 1,750.00 $ 1,750.00
Sub total: $ 1,925.00
10%Sub Marku $ 192.50
Total: $ 2,117.50 $ 2,117.50
SUBCONTRACT $ 2,117.50
SUBTOTAL $ 2,117.50
TOTAL $ 2,117.50
PRICE/EA $ 2,117.50
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.
Tariqul Islam
Graduate Engineer
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name . Signature
OFFICIAL RECORD
011TY SECRETARY
FT WORTH,TX