HomeMy WebLinkAboutContract 50124-AR3 CITY SECRETARY
CONTRACT NO.•_5 O�a 4*K13
FORTW4RTH. City of Fort Worth
*_� Construction Allowance Request
Construction FOA# Date 5/13/2019 City Sec# 1 50124
Client Project#(s)l02694
FAC#(s)J 59601/59607/3941213401600430/700430/200431-5740010-0O2694-001783/CO2483
Project Name 2014 CIP Year 3 Contract 5,Combined Street Paving Improvements and Water and Sanitary Sewer Main Replacements
Descriptionl—project
Contractor JLB Contracting City Inspector Daniel Roy
Funding Water Unit 1 Sewer Unit 2 T/PW Unit 3 Select Day Type
Allocation Account Totals
Original Contract Amount $1,859,812.75 $967,037.88 $1,864,066.79 $4,690,917.42 425
Extras to Date $83,919.40 $83,919.40
Credits to Date
Current Contract Amount $1,859,812.75 $967,037.88 $1,947,986.19 $4,774,836.82 1 425
Amount of Proposed Allocation $0.00 $22,038.00 $0.00 $22,038.00 1 21
Original Allowance Available for Allocation $150,000.00 $60,000.00 $100,000.00 $310,00 .00
Allowance Funds Previously Allocated $21,000.00 $21,000.
Remaining Funds Available for this Allocation $150,000.00 $39,000.00 $100,000.00 $289,000.0
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 Added
Manhole Changes that are out of the original scope that require time and mobili C
u Transition is to cover the small amount of
work to repave around the manhole after it is replaced.
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Attest �y
w. ;.�
Mary J. Kay , Ci Cretary
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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.
5/23/20
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OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX
FORT WORTH, City of Fort Worth
Construction Allowance Request
Construction FOA# C 3� Date 5/13/2019 City Sec# 50124
Client Project#(s)l 02694
FAC#(s)l 59601/59607/39412/3401600430f7004301200431-574001O-CO2694-COl783/CO2483
Project Name 2014 CIP Year 3 Contract 5,Combined Street Paving Improvements and Water and Sanitary Sewer Main Replacements project
Description
Contractorl JLB Contracting City Inspector Daniel Roy
ADDITIONS
ITEM UEbGHIH I ION p y Unit Units oa
Mobilization ewer n
5 'Major Manhole Adjustment ewer nit EA 5
Manhole w B Back fill ewer Unit A
55 HMAC Transitions Sewer Unit 2 T N 7777
Water Unit 1 0.00
Sewer Unit 2 $22,038.00
T/PW Unit 3
Sub Total Additions
Change Order Additions Page 2 of 4
FORT WORTH. City of Fort Worth
Construction Allowance Request
Construction FOA# 0 Date 5/13/2019 City Sec# 50124
Client Project#(s)l 02694
FAC#(s)J 59601/59607/39412/3401600430/700430/200431-5740010-0O2694-001783/CO2483
Project Name 2014 CIP Year 3 Contract 5,Combined Street Paving Improvements and Water and Sanitary Sewer Main Replacements project
Description
Contractorl JLB Contracting City Inspector Daniel Roy
CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED
ITEM DESCRIP I ION DepUFAC Qty Unit Units o a
29 Construction Allowance ewer wer ni
Water Unit 1 $0.00
Sewer Unit 2 $22,038.00
T/PW Unit 3 $0.00
Sub otal Deletions
IVIMBE Breakdown for this Construction Allowance Request
MWBE Sub Type of Service Amount for this FOA
Total $0.00
Previous Construction Allowance Requests
CO# DATE AMOUNT
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.
a✓ /
Name 9f Employee/Signature
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX