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Home My WebLink AboutContract 57011-AR7 CSC No.57011-AR7 F"RT "RTH City of Fort Worth Construction Allowance Request Project Namel Trinity Boulevard Phase 1 -IH 820 to Salado Trail City Sec No. 1 57011 Project No.(s)l 102101-1 1 M&C: 21-0878 CityProj.No. 1 102101 Project Description: Trinity Boulevard Phase 1 -Roadway,Drainage,Water, Illumination,Landscape and Traffic Improvements Contractor: SJ Louis Construction of Texas LTD Allowance No: Date: 12/1/2022 City Project Mgr.1 Mitch Aiton/Preeti KC I City Inspector: I Steve Johnson Phone Number: 817-392-8092 1 Phone Number: 817-770-3664 Unit/Dept. Unit 1,IV&5 Unit II Unit III Totals Original Contract Amount $16,716,606.80 $5,063,103.22 $230,906.00 $22,010,616.02 Previous Allowances Allocated $180,370.92 $0.00 $0.00 $0.00 Amount of Proposed Allocation $0.00 $9,171.52 $0.00 1 $9,171.52 Original Allowance Available for Allocation $500,000.00 $100,000.00 $20,000.00 $620,000.00 Remaining Funds Available for this Allocation $319,629.08 $100,000.00 $20,000.00 $439,629.08 JUSTIFICATION(REASONS)FOR ALLOWANCE Allowance No. 7 will provide for the installation of a 2-8" Cut-in Valve and 1-8" Pressure Plug at the intersection on Trinity Blvd and Salado Trail in order to avoid disruption to customers in the immediate vicinity during installation of the project water main. 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. Contractor's Company Name Contractor Name Contractor Signature Date SJ Louis Construction of Texas LTD Adam Lunsford A`�16.43� Dec 2,2022 Inspector Date Project Manager Date tfteym,7Ph#fP# Dec 1 2022 Dec 5 2022 Stain Johnson(Dec 1,202219.%CST) ! � Director Water Dept) Date Construction Supervisor PW Dept) Date cha", herl+arder Dec 5!2022 '"�� Dec 2!2022 __.__�__i�_�__,-__.... 8:14 CST' ^_..,^-c 2.20222U5e cSn Assistant City Attorney Date Assistant City Manager Date IMA Dec 5 2022 Dana surandofF Dec 8,2022 Dglack(0'ec S,2022 st..__ ! Dana aurghdoR 8202211:12 CST) ATTEST: 7a�l�lett2�Goo�'al� OFFICIAL RECORD P;oFcon°r°h°oaa Jannette S.Goodall(Dec 8,2022133 CS CA C e '`S CITY SECRETARY °Due Jannette Goodall,City Secretary `° a � FT.WORTH,Tx F"iz-r W"rz-r v4 City of Fort Worth Construction Allowance Request Project Name Trinity Boulevard Phase 1 -IH 820 to Salado Trail City Sec No. 57011 Project No.(s) 102101-1 1 M&C: 21-0878 I City Proj.No. 102101 Project Trinity Boulevard Phase 1 -Roadway,Drainage,Water, Illumination,Landscape and Traffic Improvements Description Contractor SJ Louis Construction of Texas LTD Allowance No: F-T-1 Date: 12/1/2022 City Project Mgr. Mitch Aiton/Preeti KC City Inspector Steve Johnson GUN51111MMUN ALLUWANGE ITEMS TU BE ADDED DEPT Oty Unit Unit Cost Total 35 4"-12"Pressure Plug Unit II 1 EA $1,500.00 $1,500.00 36 8"Cut-in Gate Valve Unit II 2 EA $3,835.76 $7,671.52 Unit 1, IV&5 Unit II $9,171.52 Unit III Page 2 of 4 Additions Sub Total 1$9,171.52 F"RT "RTm City of Fort Worth Construction Allowance Request Project Name Trinity Boulevard Phase 1 -IH 820 to Salado Trail City Sec No. 57011 Project No.(s) 102101-1 1 M&C: 21-0878 City Proj.No. 102101 Project Description Trinity Boulevard Phase 1 -Roadway,Drainage,Water, Illumination,Landscape and Traffic Improvements Contractor SJ Louis Construction of Texas LTD Allowance No: EIJ Date 12/1/2022 City Project Mgr. Mitch Aiton/Preeti KC City Inspector F Steve Johnson CONSTRUCTION ALLOWANCE ITEMS TO BE DELETED ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total Unit 1, IV&5 Unit II Unit III Page 3 of 4 Deletions Sub Total MWWBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO Total $0.00 Previous Change Orders CO# DATE AMOUNT Total Page 4 of 4 102101 -CNAR-Trinity Boulevard CA #7 Interim Agreement Report 2022-12-06 Created: 2022-12-01 By: Andrea Munoz(Andrea.Munoz@fortworthtexas.gov) Status: Out for Signature Transaction ID: CBJCHBCAABAAg9mF5Y49HWJivOuZSUCsLEJK83-_YcRX Agreement History Agreement history is the list of the events that have impacted the status of the agreement prior to the final signature.A final audit report will be generated when the agreement is complete. "102101 -CNAR-Trinity Boulevard CA #7" History Document created by Andrea Munoz(Andrea.Munoz@fortworthtexas.gov) 2022-12-01 -10:13:08 PM GMT-IP address:204.10.90.100 Document emailed to mitchell.aton@fortworthtexas.gov for filling 2022-12-01 -10:34:33 PM GMT Document emailed to michelle.mccullough@fortworthtexas.gov for filling 2022-12-01 -10:34:33 PM GMT Document emailed to adaml@sjlouis.com for signature 2022-12-01 -10:34:33 PM GMT Document emailed to steve.johnson@fortworthtexas.gov for signature 2022-12-01 -10:34:33 PM GMT h Signer mitchell.aiton@fortworthtexas.gov entered name at signing as Mitch Aiton 2022-12-01 -10:48:37 PM GMT-IP address:204.10.90.100 Form filled by Mitch Aiton (mitchell.aton@fortworthtexas.gov) Form filling Date:2022-12-01 -10:48:39 PM GMT-Time Source:server-IP address:204.10.90.100 Email viewed by michelle.mccullough@fortworthtexas.gov 2022-12-01 -10:50:29 PM GMT-IP address:204.10.90.100 Signer michelle.mccullough@fortworthtexas.gov entered name at signing as Michelle McCullough 2022-12-01 -10:51:05 PM GMT-IP address:204.10.90.100 Form filled by Michelle McCullough (michelle.mccullough@fortworthtexas.gov) Form filling Date:2022-12-01 -10:51:07 PM GMT-Time Source:server-IP address:204.10.90.100 FORT WORTH.., Powered by `� Adobe i Acrobat Sign Email viewed by adaml@sjlouis.com 2022-12-01 -11:10:41 PM GMT-IP address: 107.115.171.20 Email viewed by steve.johnson@fortworthtexas.gov 2022-12-02-1:07:55 AM GMT-IP address:107.77.198.182 Signer steve.johnson@fortworthtexas.gov entered name at signing as Steven Johnson 2022-12-02-1:08:42 AM GMT-IP address:107.77.198.182 Document e-signed by Steven Johnson (steve.johnson@fortworthtexas.gov) Signature Date:2022-12-02-1:08:44 AM GMT-Time Source:server-IP address: 107.77.198.182 Signer adaml@sjlouis.com entered name at signing as Adam Lunsford 2022-12-02-10:43:40 PM GMT-IP address:63.145.51.2 c% Document e-signed by Adam Lunsford (adaml@sjlouis.com) Signature Date:2022-12-02-10:43:42 PM GMT-Time Source:server-IP address:63.145.51.2 Document emailed to Daniel Roy(daniel.roy@fortworthtexas.gov)for signature 2022-12-02-10:43:43 PM GMT Email viewed by Daniel Roy(daniel.roy@fortworthtexas.gov) 2022-12-03-2:58:12 AM GMT-IP address:47.4.40.183 Document e-signed by Daniel Roy(daniel.roy@fortworthtexas.gov) Signature Date:2022-12-03-2:58:55 AM GMT-Time Source:server-IP address:47.4.40.183 Document emailed to Preeti KC(Preeti.KC@fortworthtexas.gov)for signature 2022-12-03-2:58:57 AM GMT Email viewed by Preeti KC (Preeti.KC@fortworthtexas.gov) 2022-12-05-2:09:43 PM GMT-IP address:204.10.90.100 Document e-signed by Preeti KC (Preeti.KC@fortworthtexas.gov) Signature Date:2022-12-05-2:10:55 PM GMT-Time Source:server-IP address:204.10.90.100 Document emailed to Christopher Harder(christopher.harder@fortworthtexas.gov)for signature 2022-12-05-2:10:56 PM GMT Email viewed by Christopher Harder(christopher.harder@fortworthtexas.gov) 2022-12-05-2:12:16 PM GMT-IP address:204.10.90.100 c,,_ Document e-signed by Christopher Harder(christopher.harder@fortworthtexas.gov) Signature Date:2022-12-05-2:14:35 PM GMT-Time Source:server-IP address:204.10.90.100 Document emailed to Priscilla.Ramirez@fortworthtexas.gov for approval 2022-12-05-2:14:36 PM GMT FORT WORTH.., Powered by `� Adobe i Acrobat Sign Email viewed by Priscilla.Ramirez@fortworthtexas.gov 2022-12-05-3:39:08 PM GMT-IP address:204.10.90.100 Signer Priscilla.Ramirez@fortworthtexas.gov entered name at signing as Priscilla Ramirez 2022-12-05-3:40:09 PM GMT-IP address:204.10.90.100 Document approved by Priscilla Ramirez(Priscilla.Ramirez@fortworthtexas.gov) Approval Date:2022-12-05-3:40:11 PM GMT-Time Source:server-IP address:204.10.90.100 Document emailed to Douglas.Black@fortworthtexas.gov for signature 2022-12-05-3:40:13 PM GMT Email viewed by Douglas.Black@fortworthtexas.gov 2022-12-05-10:16:26 PM GMT-IP address:204.10.90.100 c% Signer Douglas.Black@fortworthtexas.gov entered name at signing as DBlack 2022-12-05-10:17:19 PM GMT-IP address:204.10.90.100 Document e-signed by DBlack(Douglas.Black@fortworthtexas.gov) Signature Date:2022-12-05-10:17:21 PM GMT-Time Source:server-IP address:204.10.90.100 Document emailed to Dana Burghdoff(Dana.Burghdoff@fortworthtexas.gov)for signature 2022-12-05-10:17:22 PM GMT FORT WORTH.., Powered by Adobe Acrobat Sign FORT WORTH. Routing and Transmittal Slip Transportation & Public Works Department DOCUMENT TITLE: Trinity Boulevard CA #7 M&C: N/A CPN: 102101 CSO: 57011 DOC#: N/A Date: 12/1/2022 To: Name Department Initials Date Out 1. Mitch Aiton TPW -Approval „. Dec 1,2022 2. Michelle McCullough TPW - Review M Dec 1,2022 3. Adam Lunsford SJ Louis - Signature A„P Dec 2,2022 4. Steve Johnson TPW - Signature 5EJ Dec 1,2022 5. Daniel Roy(Const Super) TPW - Signature Dec 2,2022 6. Preeti KC (PM Sign) Water- Signature K Dec 5,2022 7. Chris Harder(Director) Water— Signature Dec 5,2022 8. Doug Black Legal—Signature ,, Dec 5,2022 9. Dana Burghdoff(ACM) Water— Signature oa6 Dec 8,2022 10. Jannette Goodall CSO - Signature Dec 8,2022 11. TPW Contracts CC: Program Manager,Sr. CPO, TPW BSPAP Recon Team,TPW Records Room,TPW Contracts DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documents received from any and all City Departments requesting City Manager's signature for approval MUST BE ROUTED TO THE APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip,David will review and take the next steps. NEEDS TO BE NOTARIZED: ❑YES ❑No RUSH: ❑YES ®No SAME DAY: ❑YES ®No NEXT DAY: ❑YES ®No ROUTING TO CSO: ®YES ❑No Action Required: ❑ Attach Signature, Initial and Notary Tabs ❑ As Requested ® For Your Information ® Signature/Routing and or Recording ® Comment ❑ File Return To: Please notify TPWContracts(i�fortworthtexas.gov for pickup when complete. Call ext. 7233 or ext. 8363 with questions. Thank you!