HomeMy WebLinkAboutContract 49776-AR3 RECENED
FORT WORTH® City of Fort Worth CITY SECRETARY
i;n�roF�a�wof�[ Y CONTRACT NO. �t"111a--1�IZ�
t:►1YSEC��struction Allowance Request
Construction FOA# �J� Date 312 612 0 1 9 City Sec# 1 49776
Client Project#(s)J 100994
FAC#(s)
Project Name 2017-13 HIR Street Rehabilitation
Description
Contractorl Cutler Repaving,Inc. City Inspector Jarad Souders
Funding TPW Select Day
Allocation Account Totals Tyee
Original Contract Amount $1,735,745.70 $1,735,745.70 180
Extras to Date $85,000.00 $85,000.00 130
Credits to Date
Current Contract Amount $1,820,745.70 $1,820,745.70 310
Amount of Proposed Allocation $6,527.00 $6,527.00
Original Allowance Available for Allocation $94,546.00 $94,546.00
Allowance Funds Previously Allocated $23,754.70 $23,754.70
Remaining Funds Available for this Allocation $70,791.30 $70,791.30
rim Ill »
The City has requested Bike Arrow Stang be installed on the project and no bid item exists on the original contract. This construction
allowance adds the Bike Arrow item and adjusts the quantity of 8"TYI(W)Solid90 MIL Pavement Markings and 24"Solid Pavement Markings
for Crosswalks installed on the Project
J F FORT
A by:
Mar�
J. Kayser, City S4crkary
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.
ado, fr .obese M OR _r _
'-i 6-7 , =
J
xki pea
_ ramlana eV Iaf Rro eccersstpjr
..� ��" t s�_ _ _- �� i L `r"v� •�_O ``Qom. �'-vYT.
1 18 Q
FORT WORTH® City of Fort Worth
Construction Allowance Request
Construction FOA# Date 3126/2019 City Sec# 1 49776
Client Project#(s)l 100994
FAC#(s)
Project Name 2017-13 HIR Street Rehabilitation
Description
Contractorl Cutler Repaving, Inc. City Inspector Jarad Souders
The City has requested Bike Arrow Striping on the project and no bid item exists on the original contract. This Construction Allowance add the
bid item and adjusts quantities for 8"TYI(W)Solid 90 MIL Pavement Markings and 24"Solid Pavement Markings used on the project.
� • o
0 0 •
00
o Iri
cD
oo
0
r,
r,
rn
N o
a`�
a o co c\i
U CO
_T (Sf
U � y
c
o
U
d
O O
y =0 O 't
_T
U
N
r O
� N
a O bn
o f°
N d
N C
O F- F-
0
O 0 p Q
�
O = o 0
>, o
U v �
i U
r
N
C
O
L) 0
CO U)
mcu
cn
o
cn c o c U
E m
= p_ 0 0) =
a) > C Y
m � �' RS
WT m P- a�
L O r
o o U a� 0
>
w E 0 0 > m
*k *k Z 'C3 Co
0 -O O
CD
o Cl- oo = _
0 C d Y
O N m
0
ULLI
0 Cl.
0 0
r- r-
CV N
LO LO
K}
C
O
a
Q
~ O
O
N
4-
O
N
N
qQ
m
d
C
O
Q
N
O
v
bn
c
t
v
0
Co
rn
`m
a
0
0 0 CO
ai -o c
�, ca
U
c
`o
C ❑
W
V T
_� ❑
U ❑
W
N
Q� m rl
p
Q) (OD
O
N CC 4.
C G N N
NLUC
0 M �_ o
w
ti 3 Z
l0 O Q L
a�
D O
0
O
Q c
() C1 Z ca
U
C j
O DC
V 0 �
•� z
L U
C.)
U
C
N
(n C
cr-
= fl'
M
c
QYj N
0 o U
_v
Z -
¢O L ai 0
U- a o
rT " U
F�1 `
0
U
0
o •
0 0
U)
0
� o
a �
F--
0
CO
N
v-
O
N
Q)
b0
cu
d
C
O
..i-
Q1
v
L
Q)
O
Q)
tto
m
U
MMBE Breakdown for this Construction Allowance Request
MWBE Sub Type of Service Amount for this FOA
N/A
Total $0.00
Previous Construction Allowance Requests
CO# DATE AMOUNT
N/A
Total $0.00
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 Su i�r m
Name of Employee/Signature
Project Manager
Title
❑ This form is N/A as No City Funds
are associated with this Contract
Kristian Sugrimw�-
Printed Name Signature
E
]TX