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Home My WebLink AboutContract 50124-AR1 CFW Construction Allowance Request Approval CAAppr-01 Pagel of 3 CITY SECRETARY Routing CONTRACT No. 5 0 t a y -ArA Assigned To: Due Date: Assigned By: Due Time: Links 1 fortworthgov/Infrastructure Proiects/02694-2014 CIP Year 3 - Contract 5/Contractor/Change Orders/2694 2014 CIP Year 3 Contract 5- allowance request 1.x1sm Attachments(0) No Attachments have been added to this form. OFFICIAL RECORD CITY SECRETARY FT. WORTH,TX https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=5150O&ProcessI... 6/29/2018 CFW Construction Allowance Request Approval CAAppr-OI Page 2 of 3 CITY SECRETARY MNITRACTNO."5012 �- FORT WORTH @ C'ty of Fort Worth —r•� Construction Allowance Redi.iest Approval (Construction Allowance Breakdown Available in Links) For Construction Allowance Submittal No.: Construction Allowance Request Approval No.: CAAppr-01 Date Started:,2018-06-11 Date Due:12018-07-31 City Sec. No.: 50124 Project Name: 2014 CIP Year 3 - Contract 5 Project Numbers: 02694 DOE Numbers: Project 2014 CIP Year 3 Contract 5- Combined street paving Description: improvements and water and saintary sewer main replacemnets in jNorthside area. Project/Contract Compliance Mary Hanna City Irspector: Daniel Roy Manager: Contractor: ]LB Contracting, LLC COST AND DAYS SUMMARY: Requested Department: Cost($) Fund Account Center: Days: TPW $ 2,550.00 39412/34014-200431-5740010-c02( 0 Total Cost: $ 2,550.00 Total Requested Days: 0 Approval Status: https://projectpoint.buzzsaw.com/ bz web/Forms/ForrnPrint.aspx?";ite1d=51500&ProcessI... 6/29/2018 CFW Construction Allowance Request Approval CAAppr-01 Page 3 of 3 Approved: Yes Comments: User: Lane Zarate Date: 2018-06-12 9:32 PM IApproved: Yes iComments: :User: Ricardo Matute Date: 2018-06-13 12:35 PM Approved: Yes Comments: User: Doug Wiersig Date: 2018-06-13 3:55 PM jApproved: Yes 'Comments: User: Doug Black Date: 2018-06-15 5:12 PM .Approved: Yes Comments: User: Susan Alanis Date: 2018-06-28 8:12 PM Action Required: Please review and approve Cn, FT https:Hprojectpoint.buzzsaw.com/ bz web/Forms/ForrnPrint.aspx?Site1d=51500&ProcessI... 6/29/2018 FORT WORTH City of Fort Worth �f`vpro� Construction Allowance Request Breakdown Construction CA# Date 6/7/2018 City Sec# 1 50124 Client Project#(s)l 02694 FAC#(s)1 59601/59607/39412/34014-600430/700430/200431-574001 O-CO2694-CC 1783/CO2483 Project Name 2014 CIP Year 3 Contract 5-Combined street paving improvemnts and water and saintary sewer main replacemnets in Description Northside area Contractorl JLB Contracting,LLC City Inspector Daniel Roy Funding Water Unit 1 Sewer Unit 2 Paving Unit 3 Contract Time Allocation Account Totals D Original Contract Amount $1,859,812.75 $967,037.88 $1,864,066.79 $4,690,917.42 425 Extras to Date Credits to Date _ Current Contract Amount $1,859,812.75 $967,037.88 $1,864,066.79 $4,690,917.42 425 Amount of Proposed Allocation $0.00 $0.00 $2,550.00 $2,550.00 0 Original Allowance Available for Allocation $150,000.00 $60,000.00 $100,000.00 $310,000.00 Allowance Funds Previously Allocated _ Remaining Funds Available for this Allocation $150,000.00 $60,000.00 $100,000.00 $310,000.00 JUSTIFICATIQN SUMMARY_ 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: Due to high bank on Market,additional sloping was required to achieve acceptable slopes. As a result,a water meter and mailbox needed to be relocated. 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 Ordgr,if necessary, FORT WORTH_, City of Fort Worth 411111� Construction Allowance Request Breakdown Construction i 0 Date 6/712018 City Sec# 50124 Client Project#(s)l 02694 FAC#(s)l 59601/59607/39412/34014-600430/700430/200431-574001O-CO2694-COl783/CO2483 Project Name 2014 CIP Year 3 Contract 5-Combined street paving improvemnts and water and saintary sewer main replacemnets in Northside area Description Contractorl JLB Contracting,LLC City Inspector Daniel Roy ADDI I IUi Dept/FAG y Unit UnitCost o a Additional yard sloping 777gM 77—Relocate Water Meter Box aving mt . Relocate Mailbox av ng Tnit Water Unit 1 $0.00 Sewer Unit 2 $0.00 Paving Unit 3 $2,550.00 Sub Totalions Change Order Additions Page 2 of 5 ORT WO T City of Fort Worth Construction Allowance Request Breakdown Construction FOA# Date 6/7/2018 City Sec# 50124 Client Project#(s)J 02694 FAC 9(s) 59601159607/39412/34014-600430/700430/200431-5740010-0O2694-001783/CO2483 Project Name 2014 CIP Year 3 Contract 5-Combined street paving improvemnts and water and saintary sewer main replacemnets in Northside area Description Contractorl JLS Contracting,LLC City Inspector Daniel Roy GONSI RUG ION ALLOWANCE If EMS TO UE REUUCEU ep — y Unit UnitCost o a construction Allowance among among ni Water Unit 1 0.00 Sewer Unit 2 $0.00 Paving Unit 3 $2,550.00 u Totala etions Change Order Deletions Page 3 of 5 MIWBE Breakdown for this Construction Allowance Request MWBE Sub Type of Service Amount for this FOA Total $0.00 Previous Construction Allowance Requests CO# DATE AMOUNT Total $0.00