HomeMy WebLinkAboutContract 40975-A1 (2)OFFICIAL RECORD
CITY SECRETARY
WORTH,'TX
MISCELLANEOUS — TxDOT to contract for AWOS maintenance, Sponsor -to contrac` for
AWOS AviMet Data Link, AWOS. repairs/parts replacement; gate opener and 10-key pad for
Control Tower fence; air conditioning unit for electrical vault: and airfield lighting. Other
projects to be determined and added by amendment.
CITY SECRETARY
TOOT CSJ No.: M102SPNKS CONTRACT NCd,
Amendment No. 01
Attachment A - Scope of Services
Eligible Scope Items:
PAVEIIN TS
GENERAL MAINTENANCE
PAVEMENT MARKINGS
GRADING/DRAINAGE
MISCELLANEOUS -
AWOS
Total
Estimated Costs
Amount A
$0.00
$0.00
$10,00 0.00
$0.00
$87,060.00
$2,940.00
$100,000.00
State Share
Amount B
$0.00
$0.00
$5, 000.00
$0.00
$43,530.00
$1,470.00
$50,000.00
Sponsor Share
Amount C
$0.00
$0.00
$5,000.00
$0.00
$43,530.00
$50,000.00
Notes: (explanations of any specifications or variances as needed for above scope items)
ORIGINAL SCOPE OF SERVICES DESCRIPTION:
PAVEMENT MARKINGS — Sponsor to contract for pavement markings.
ADDITIONAL WORK ITEM:
MISCELLANEOUS — Sponsor to contract for access gate security cameras and improvements to
securityfencingd associated work. Other projects to be determined and added byamend e `1 :r p � � �-,:�
t Q1
OdtVatt 00000000NX
Please indicate your concurrence with current description by signing the bottom of this Atilt& `)0 v
and fax to TxDOT Aviation Division at (512) 416-4510. elik :�0 \ a
asl)
o 0004
as,
p0� a
(� \ . g
RP -C, /°P
�IK
Date
APPROVED AS TO FORM AND LEGALITY:
iI
ltk,yF CIT ATTORNEY
Signature
Fernando Costa, Assistant City Manager
Printed Name d Title
ge/ec�ii
0
Attested by:
Marty Hendrix, y Secretary
a4r...m-.:..—s--#— --_
iviiik.C70 i17O U1 ED
, Texas Department of Transportation
/1VIATION DIVISION
125 E 11TH STREET • AUSTIN. TEXAS 78701-2483 • 512/416-4500 • FAX 512/416-4510
February 23, 2011
Mr. James Burris
Grant Specialist, City of Fort Worth TxDOT Project No.: 2011 SPNKS
4201 N. Main Suite 200 TxDOT CSJ No.:
Fort Worth, Texas 76106 M 102SPNKS
Dear Mr. Burris:
Enclosed are two copies of Amendment Number 1 to Attachment A - Scope of Services of the
Grant for Routine Airport Maintenance between the City of Fort Worth and the Texas
Department of Transportation for this project. This amendment will add an item for the Sponsor
to contract for access gate security cameras and improvements to security fencing and associated
work. Under this new agreement all work described in Attachment A shall be accomplished by
August 31, 2011.
It is our understanding that the City of Fort Worth will procure the services required to the
additional work and will request reimbursement for 50% of the actual costs from the State.
Enclosed is a revised reimbursement form that should be submitted with copies of the invoices to
the Aviation Division. If you have questions concerning this please contact me at 1-800-687-
4568 (68PILOT) or your RAMP district contact, Alan Easterling, Fort Worth District, at (817)
370-6746.
Please return one copy of the fully signed document to the address below and retain the
other copy for your records.
Sincerely,
aba
Texas Department of Transportation - Aviation Division
125 E. l 1 tli Street
Austin, Texas 78701-2483
Kari Campbell
RAMP Grant Manager
cc: Alan Easterling, Fort Worth District
OFFICIAL RECORD
CITY SktatiETARY
Ft WORTH, TX
TEXAS DEPARTMENT OF TRANSPORTATION o DIVISION OF AVIATION
RAMP GRANT o Request for Reimbursement Form
SECTION A [TxDOT COMPLETES 1-5]
Estimated Due Date:
Airport: Fort Worth Spinks
Name of Payee: City of Fort Worth
Texas Payee Identification Number: 17560005286601
Address: 4201 N. Main Ste. 200 Fort Worth TX 76106
Date Received:
TxDOT CST: M102SPNKS
P 4 V AS A KIND 31 VOUCHER
Fiscal Year: 2011
Segment 76
Dist/Div 42
Function Code 370S
Object Code 384
1. Grant Amount $ 50,000.00
2. Less Previous Approved Payments
3. AMOUNT APPROVED THIS PAYMENT
APPROVAL:
4. Project Manager Date
5. Grant Manager Date
SEC'I'ION B: [SPONSOR COMPLETES 1-7]
1. Final Reimbursement Request [ 1 Yes [ I No
2. DATE OF REQUEST:
3. Request No.:
4. Total amount for invoices attached $
5. Less 50% Sponsor Share $
6. AMOUNT OF THIS PAYMENT REQUEST $
ATTACH COPY OF INVOICES TO THIS REQUEST
7 CERTIFICATIOr1 OF SPONSOR
I, do hereby certify that I am
(Title of person certifying)
and that I am duly authorized to make this certification for and on behalf of the City of Fort
Worth. I further certify that the attached invoice is correct and that it corresponds in every
particular with the supplies and/or services contracted for. I further certify that the account is
true, correct, and unpaid.
SIGNATURE
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
i
TEXAS DEPARTMENT OF TRANSPORTATION -- DIVISION OF AVIATION
RAMP Grant Summary of Expenditures
Project Total Expenditure
Date of Notice to proceed:
Comments:
Project Total Expenditure
Date of Notice to Proceed:
Comments:
Project Total Expenditure
Date of Notice to Proceed:
Comments:
Project Total Expenditure
Date of Notice to Proceed:
Comments:
OFFICIAL RECORD
CITY SECRETARY
Ft WORTH, TX