HomeMy WebLinkAboutContract 48191-AR1 CITY SECRETARY
FORTWORTH® City of Fort Worth CONTRACT No. 4819 1-A9-
Construction Allowance Request Breakdown
Construction CA# Date 9/26/2017 City Sec# 1 48191
Client Project#(s)
FAC#(s)
Project Name 2016-10 HIR Street Rehabilitation
Description
Contractorl Cutler Repaving, Inc. City inspector William Mason
Funding TPW Select Day Type
Allocation Account Totals
Original Contract Amount $2,767,877.69 $2,767,877.69
Extras to Date
Credits to Date
Current Contract Amount $2,767,877.69 $2,767,877.69
Amount of Proposed Allocation $5,250.00 $5,250.00
Original Allowance Available for Allocation $133,650,00 $133,650.00
Allowance Funds Previously Allocated
Remaining Funds Available for this Allocation $133,650.00 j $133,650.00
The City has requested that two message boards be used on 8th Avenue. Two boards for 25 estimated days.
It is understood and agreed that the acceptance of this Construction Allowance Request by the contractor constitutes an accord and satisfaction and
represents payment in full for all costs arising out of,or incidental to,the above Construction Allowance Request.Contract Time will be adjusted on the
basis of the time shown on this Construction Allowance Request by a later Change Order,if necessary.
OFFICIAL RECORD
CITY SECRETARY
FT. WORTHR TX
}, a eCFW Construction Allowance Request Approval CAApp-01 Page 2 of 3
FORT WORTH, C'ty of Fort Worth
Construction Allowance Request Approval
(Construction Allowance Breakdown Available in Links)
For Construction Allowance Submittal No.: ;1
Construction Allowance Request Approval No.: CAApp-01
Date Started: 2017-09-29 Date Due: !20_17-10_01 _
City Sec. No.: 148191
Project Name: .100345 - HMAC HIR Street Rehab (2016-10)
100345 DOE Numbers:
Project Numbers:
ProjectUsage of message boards during the resurfacing of a street
Description: !segment.
Project Manager: !Kristian Sugrim City Inspector: ;William Mason
Contractor: ',Cutler Repaving, Inc.
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW 1$ 5,250.00 39412 0200431 5740010 100345 0 ;
i _
i
i
Total Cost:I 5,250.00 �.�_
Total Requested Days: __ ... _..
Approval Status:
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C FW Construction Allowance Request Approval CAApp-0I Page 3 of 3
Approved: Yes
Comments:
User: Najib Fares
Date: 2017-10-02 9:20 AM
Approved: Yes
Comments:
User: Kim Arnold
Date: 2017-10-26 5:32 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2017-11-01 2:43 PM
Approved: Yes A.
Comments: :®
User: Jay Chapa
Date: 2017-11-01 4:35 PM Eary J. Ida 8C1�
Action Required:
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX
https://projeetpoint.buzzsaw.com/ bz_web/Forms/FonnPrint.aspx?SiteId=51500&ProcessL.. 11/2/2017