HomeMy WebLinkAboutContract 50015-AR3 Cr","lzCREMRY
RECEIVED �� An
DEC 3 0 2019 v,
CITY OF FORT WORTH
CITYSECREiARY 4*�
6� �'yVORTH City of Fort Worth
S ti E 2 Construction Allowance Request
Construction FOA# Date 2114/2019 Clly Sec# 50015
Client Projec(#(s)l 02693
FAC#(s)J 59601/39411/39412/34014-060043010200431-cO2693
Project Name 2014 CIP Year 3 Contract 2 combindd Paving,and Water Replacement in Como Neighborhood.
Description
Contractorl JI.B Contracting,LLC City Inspector Gary Deyon
Funding Water Unit 1 Paving Unit 2 Select Day Type
Allocation Account Totals
Original Contract Amount $1,748,001.05 $1,629,261.10 $3,377,262.15 300
Extras to Date $11,231.25 $11,231.25 63
Credits to Dale
Current Contract Amount $1,748,001.05 $1,640,492.35 $3,388,493.40 "363
Amount of Proposed Allocation $1,250.00 $0.00 1,250.00
Original Allowance Available for Ailocatlon $100,000.00 $100,000.00 $200,000.00
Allowance Funds Previously Allocated $5,750.00 $5,750.00
Remaining Funds Available for this Allocation 1 $100,000.00 $94,250.00 $194,250.00
k Niel
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: Anew item was required
for the removal of an existing valley gutter on Prevost as part of installing the water line.
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.
N,POWN[
y 2/19/19
Saul Davis
:iVll<
OFFICIAL RECORD;
CITY SECRETARY
FT. WORTH,TX
ORT WURTH. City of Fort Worth
Construction Allowance Request
Consttudion FOA# Dale 2/142019 City Sec# 50015
Client Project#(s)j 02ti93
FAC#(s) 5%01f39411M12M14.0M3M200431c02M
Project Name 2014 CIP Year 3 Contract cwmMned Paving,and Water Replacement in Como Neighborhood.
Descripfiai
cm*aclar JLS Cankaft LLC CYIy Inspector F- Csary Dom
ADDITIONS
y unit Unit
1.1400KeffxmGomVa8eyGutW Water
Water Unit 1 $1,250.00
Paving Unit 2 $0.00
Sub Totalions
Change Order Additions Page 2 of 4
FORT WORTH, City of Fort Worth
Construction Allowance Request
Construction FOA# Date 2114=9 Cly Sec 0 50015
Gent Project#(s) 02M
FACO(s)l 59601/39411t39412/34014-06M30t0200431-c02693
Pr*cl Name 2014 CIP Year 3 Contract 2 combined Paving,and Water Replasemenl in Como Neighborhood.
Description
dLH Cant LLC CIy Ifflimlor Gary De m
CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED
Und Wst o
a nce a r
I
Water Unit 1 $1250.00
Paving Unit 2 .00
uTotal a W=
Change Order Deletions Page 3 of 4
MMSE Breakdown for this Construction Allowance Request
MWB Sub _ Type of SeN�ce Amount for Phis FOA
Total
Previous Construction Allowance Requests
MOONT
Total
CFW Construction Allowance Request Approval CAAppr-01
FORT WORTH, ItCy of Fort Worth
Construction Allowance Request Approval
(Construction Allowance Breakdown Available in Links)
For Construction Allowance Submittal No.:
Construction Allowance Request Approval No.: ;CAAppr-01 --
Date Started: -02 9 Date Due: i02/28/2019 _
City Sec,
Project Name:'2014-CIP Year 3 -Contract 2
02 - -- - __.�- .----- :DOE Numbers:
Project Numbers:;' 2--693-- _--- ---- -_ .--_ -__
Project :This is a combined paving and water replacement in Como Neighborhood
Description:!area.
Project/Contract
Compliance 'Mary Hanna -- _ City Inspector:�ry Deyon
Manager: ---- -- ----- - ---- - ---
Contractor:'3LB Contracting, 11C
COST AND DAYS SUMMARY:
Department: Cost($) Fund Account�Center: Requested Days:
Water Department_ -' $ i,250100 '59601-0600430-5740010-c0269 r-- j
Total: b---- Total Requested Days:L__-�-._—
Approval Status:
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.
arfla /
Name 9f Employee/Signat&e
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