HomeMy WebLinkAboutContract 49776-AR1 .'CFW Construction Allowance Request Approval CAAppr-02 Page 2 of 3
CITY SECRETARY 4I'-�1��_
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FORT WORTH. City of Fort Worth CONTRACTNO.
Construction Allowance Request Approval
(Construction Allowance Breakdown Available in Links)
For Construction Allowance Submittal No.: 1
Construction Allowance Request Approval No.: CAAppr-02
Date Started: 2018-11-13 Date Due: 2019-01-02
City Sec. No.: 49776
Project Name: HMAC 2017-13 HIR Street Rehab
Project Numbers: 100994 DOE Numbers:
Project Removal and replacement of non-functional curb and gutter,
Description: driveways and sidewalks, followed by an HIR overlay of 1"
virgin MAC.
Project/Contract
Compliance Kristian Sugrim City Inspector: Jarad Sounders
Manager:
Contractor: Cutler Repaving, Inc.
COST AND DAYS SUMMARY:
Requested
Department: Cost($) Fund Account Center: Days:
TPW $ 20,679.70 30100-0200431-5740010-100994 20
Total Cost: $ 20,679.70 Total Requested Days: 20
Approval Status:
OFFICIAL RECORD
CITY SECRETARY
FT WORTH,TX
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CFW Construction Allowance Request Approval CAAppr-02 Page 3 of 3
Approved: Yes
Comments:
User: Lane Zarate
Date: 2018-11-13 8:25 PM
Approved: Yes
Comments:
User: Ricardo Matute
Date: 2018-11-16 3:00 PM
Approved: Yes
Comments:
User: Signing for TPW Director Role Approvals
Date: 2018-11-16 3:36 PM
y .��o�r
Approved: Yes AftSted
Comments:
User: Doug Black
Date: 2018-11-16 11:01 PM
N[ J.10sAr, CIty Secretary *"'•
Approved: Yes TE)(
Comments:
User: Susan Alanis
Date: 2018-11-19 8:18 AM
Action Required:
1295: ��
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,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.
ua"O' 0 2-
Name of Employee
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Title
OFFICIAL.RECORD
CITY SECRETARY
FT. WORT,TX
FORT WORTH® City of Fort Worth
`"'r� Construction Allowance Request Breakdown
Construction CA# 0 Date 1 11/3/2018 City Sec# J 100994
Client Project#(s)
FAC#(s)
Project Name 2017-13 HIR Street Rehabilitation
Description
Contractorl Cutler Repaving, Inc. City Inspector Jarad Souders
Funding TPW Select Day Type
Allocation Account Totals
Original Contract Amount $1,735,745.70 $1,735,745.70
Extras to Date
Credits to Date
Current Contract Amount $1,735,745.70 $1,735,745.70
Amount of Proposed Allocation $20,679.70 $20,679.70
Original Allowance Available for Allocation $94,546.00 $94,546.00
Allowance Funds Previously Allocated
Remaining Funds Available for this Allocation $94,546.00 $94,546.00
.ILISTIFICA710N SUMMARY
The City has requested a raised crosswalk and additional striping be installed on Evans Avenue resulting in an increase of twenty Contract
days.
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.
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FORT WORTH® City of Fort Worth
.�' .� Construction Allowance Request Breakdown
Construction FOA# 1 Date 11/3/2018
Client Project#(s)
FAC#(s)
Project Name 2017-13 HIR Street Rehabilitation
Description
Contractorl Cutler Repaving, Inc. City Inspector C
ADDITIONS
ITEM UESCRIPTION ep yUnit'
Raised Crosswalk
Crosswalk Striping TPW 1.00 L
Re ective Pavemnt Markings TPW 210 EA
87Y I Solid W 90 MIL Pament Marking TPW 1,000.00 LF
Change Order Additions Page 1 of 4
Sub
Change Order Additions Page 2 of 4
City Sec# 100994
Jarad Souders
Unit os o a
3,162.50 $3,1627
5.60 $11,200.77
1.5
Change Order Additions Page 3 of 4
TPW $20,679.70
Total Additions20,679.70
Change Order Additions Page 4 of 4
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M1WBE 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 CAAppr-02 Page 1 of 3
Routing
Assigned To: Due Date:
Assigned By: Due Time:
Links 1
fortworthgov/Infrastructure Projects/100994 - HMAC 2017-13 HIR Street Rehab/Contractor/Change Orders/Constr Allow
Request Breakdown #1R 2017-13.xlsm
Attachments(0)
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