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Contract 48191-AR3
Aw RtFC'tzJ PR3 0 '�D CITY SECRETARY AO, 24bRT WORTHn City of Fort Worth CONTRACT NO. a$t I -AR3 � n`S�R�AR�1H Construction Allowance Request Construction FOA# Date 4/3/2019 City Sec# F 48191 Client Project#(s)l 100345 FAC#(s) Project Name HMAC(2016-10)HIR STREET REHABILITATION Description Contractorl CUTLER REPAVING, INC. City Inspector WILLIAM MASON Funding TPW Select Day Allocation Account Totals TyRe Original Contract Amount $2,767,877.69 $2,767,877.69 185 Extras to Date $95,060.00 $95,060.00 484 Credits to Date Current Contract Amount $2,862,937.69 $2,862,937.69 669 Amount of Proposed Allocation $32,642.43 $32,642.43 200 Original Allowance Available for Allocation $133,650.00 $133,650.00 Allowance Funds Previously Allocated $12,810.00 $12,810.00 Remaining Funds Available for this Allocation $120,840.00 $120,840.00 I F - 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:The City requested the Contractor to rehabilitate an existing concrete Valley Gutter on Mc Cart Avenue @ Pafford Street,to reduce the dip.The work consisted of two traffic control set-ups,removing two ADA ramps and installing three ADA ramps;installation of two poles for the cross walks push buttons and repaving 480 SY.The City concurs with the contractor's request for an additional 200 calendar day tact,because the construction activities had to be scheduled around the Rosemount Middle School vacation. FORT Attested by: .0 ecretary It is understood and agreed that the acceptance of this Construction Allowance Request by the coil 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. Con c is Re rese tive u- c Charles K Veskema Program Manager Date 000b fted011ooffissLDir C orDate A r J _ yllshv oft J FORT WORTH City of Fort Worth Construction Allowance Request Construction FOA#I� Date 4/3/2019 City Sec# 1 48191 Client Project#(s)l 100345 FAC#(s) Project Name HMAC(2016-10)HIR STREET REHABILITATION Description Contractorl CUTLER REPAVING, INC. City Inspector WILLIAM MASON 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: The City requested the Contractor to rehabilitate an existing concrete Valley Gutter on Mc Cart Avenue @ Pafford Street,to reduce the dip.The work consisted of two traffic control set-ups,removing two ADA ramps and installing three ADA ramps;installation of two poles for the cross walks push buttons and repaving 480 SY.The City concurs with the contractor's request for an additional 200 calendar days to the contract,because the construction activities had to be scheduled around the Rosemount Middle School vacation. 0 rn 0o z � O U < U) 00 `') CIJ N Q C � J �+ J U Z 00 0 a� n CU �.+ N O 3 —1 cr d m � N a HVat- IL 0- Li o o v C _ 'C� Q w O Z J 41 to V Q Z m V co Q Q O w V elf � Z W Of elf u' z Q � O � z = z z - Q J LU E M N �' xLO E COCh Q 0 Q J a = U 0 LU o _ �* m = < Q Z w QO o > - a U- D u_ o g a u1 U � ~ rT 2 U N O U Cl) CV cli CV CN Cl) 69 N C O 70 H O N O N O OA (O d C O a a a a O a� bo c �o t u c � 0 G \ 0 g co G \ & « \ � / coe 3 � e \ g R \ y@ q � ' / w 3 � G � CY LU w y q m e c ¥ (D LL t d g ) o / § LU % $ � � / « oc q // / G z < U- g2 9 « 2 $ % � § / � 2 co \ \ o � c U ui / /_� L 2 of ƒ D / / Cl) O \ / e 2 2 / 6 0 \ co \ / / © ® 0 r < / ± CD 7 / i / .2 ± � ƒ \ / cocz / / / r \ 2 \ / / \ e / q 21 11 / / R b / m r N N (�O CEO (V N Cl) M O O 0 H O H CO N O N aJ tiA f0 d C O aJ a! 0 i a! 0 a! tiA C to L U MIWBE Breakdown for this Construction Allowance Request MWBE SO Tme of erricc- Amount for tOis FOA I Total $0.00 Previous Construction Allowance Requests CO# DATE AMOUNT Total $0.00 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. r - Kristian Su r im /�ZZL -�— Name of Employee/Signature Project Manager Title ❑ This form is N/A as No City Funds are associated with this Contract Kristian Su rim ZPrinted Name Name Signatu OFFICIAL RECORD CITY SECRETARY FT WORTH,TX