HomeMy WebLinkAboutContract 48191-AR2 CITY SECRETARY
FORT WORTH. City of Fort Worth CONTRACT NO.
Construction Allowance Request Breakdown
Construction CA# 0 Date 3/6/2018 City Sec# 1 48191
Client Project#(s) 0%
FAC#(s)
Project Name 2016-10 HIR Street Rehabilitation
Description
Contractorl Cutler Repaving, Inc. City Inspector William Mason
Funding TPW Select Day Type
Allocation Account Totals
Original Contract Amount $2,767,877.69 $2,767,877.69
Extras to Date
Credits to Date
Current Contract Amount $2,767,877.69 $2,767,877.69
Amount of Proposed Allocation $7,560.00 $7,560.00
Original Allowance Available for Allocation $133,650.00 $133,650.00
Allowance Funds Previously Allocated $5,250.00 $5,250.00
Remaining Funds Available for this Allocation $128,400.00 $128,400.00
JUSTIFICATION SUMMARY
The City is requesting Message Boards be used on McCart Street and Trinity. It is estimated that 60 Board Days will be necessary. The
additional 12 Board days adjusts the quantity of actual Board days used on 8th Avenue.
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CITY SECRETARY
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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 s o on this Construction Allowance Request by a later Change Order,if necessary.
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WWBE 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 $0.00
CFW Construction Allowance Request Approval CAApp-02 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
Fortworthgov/Infrastructure Proiects/100345 - HMAC HIR Street Rehab (2016-10)/Contractor/Change Orders/Constr
Allow Request Breakdown #2 2016-10.xlsm
Attachments(0)
No Attachments have been added to this form.
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CFW Construction Allowance Request Approval CAApp-02 t'age 2 of -3
FORT WORTHR City of Fort Worth
Construction Allowance Request Approval
(Construction Allowance Breakdown Available in Links)
For Construction Allowance Submittal No.: 2
Construction Allowance Request Approval No.: CAApp-02
Date Started: 2018-03-12 Date Due: 2018-03-14
City Sec. No.: 48191
Project Name: 100345 - HMAC HIR Street Rehab (2016-10)
100345 DOE Numbers:
Project Numbers:
Project Removal and replacement of nonfunctional curb&gutter,
Description: driveways, and sidewalks; followed by Hot-in-Place recycling
of the existing pavement and a 1" HMAC overlay.
Project Manager: Kristian Sugrim City Inspector: William Mason
Contractor: Cutler Repaving, Inc.
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 7,560.00 39412-0200431-570010-100345-00 -
Total
9412-0200431-570010-100345-00 -Total Cost: $ 7,560.00 Total Requested Days: 0
Approval Status:
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C:F W Construction Allowance Request Approval UAApp-U2 rage or
Approved: Yes
Comments:
User: Lane Zarate
Date: 2018-05-23 10:07 AM
Approved: Yes
Comments:
User: Ricardo Matute
Date: 2018-05-23 2:50 PM
Approved: Yes
Comments:
User: Doug Wiersig
Date: 2018-05-30 11:57 AM
Approved: Yes
M&C: NP
Comments: 1295: NA
User: Doug Black
Date: 2018-05-30 3:08 PM
Approved: Yes Afteftd ,
Comments: by F FO.....
User: Susan Alanis S� .
Date: 2018-06-07 1:55 PM
Mary J. K"r, ty cretary
P
Action Required: �XAS
OFFICIAL RECORD
CITY SECRETARY
FT YVORTHI TX
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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 Sugrim / -GA�z
Name of Employee/Signature
Project Manager
Title
❑ This form is N/A as No City Funds are associated with this Contract
%
Kristian Su rim �--
Printed Name Signatur
oFFrCIALRIECORD
CITY gECREfARY
FT.WORTHI TX