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Contract 50172-AR4
c�os�c�� CITY SECRETARY CONTRACT NO. ©I7a-Aiz4 *�r WORTH. City of Fort Worth 6 18 L S 5 Construction Allowance Request Construction FOA#t�=� Date 517/2019 City Sec# 1 50172 Client Project 4(s)l c02695 FAC#(s)1 59601/59607/34014/52002-0600430/0700430/0200431-5740010-c02695-c01783/c02483/c02883 Project Namel 2014 CIP Year 3 Contract 7- This is a combined paving,waterisanitary sewer main,stormwater and box culvert Descriptioni improvements project in Eastern Hills and Lakewood addition neighborhoods. Contractor Circle C Construction Company City Inspector I OscarAugillon Funding TPW 1 Select Day Allocation Account Stormwater Water Sewer Totals lipe Orig!net Contract Amount $2,771,178.00 $1,123,459.00 $1,577,404.50 $5,472, 441.50 450 Extras to Date $399,055.50 $399,055.50 120 Credits to Date Current Contract Amount $3,170,233.50 $1,123 459.00 $1,577 404.50 $5,871,097.00 570 Amount of Proposed Allocation $0.00 $0.00 $28 500.00 $28,500.00 Original Allowance Available for Allocation $180,000.00 120,000.00 $80,000.00 $380,0100.00 Allowance Funds Previously Allocated $122,216.00 $122,216.00 Remaining Funds Available for this Allocation $57,784,00 $120,000.00 $80,000.00 $257 784.00 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 Contractor has been requested to adjust the manholes cover with new over. F� A b y: V; Mary J. , C' Secretary * _ 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 an this Construction Allowance Request by a later Change Order,If necessary. Archit -- Engloeer 05 Pr Bate" _ Dir or 4 coy l7 e r IAL RECORD SECRETARYWORTH TX FOI;T WO1 City of Fort Worth Construction Allowance Request Construction FOA#f� Date 51712019� City Sec# 1 50172 Client Project#(s)l c02695 FAC#(s)l 59601l59607l34014l52002-0600430l0700430l0200431-5740010-c02695-c01783/c024831c02883 Project Name 2014 CIP Year 3 Contract 7- This is a combined paving,water/sanitary sewer main,stormwater and box culvert Description improvements project in Eastern Hills and Lakewood addition neighborhoods, Contractorl Circle C Construction Company City Inspector I Oscar Augillon DETAILE0.JUSTIFICATION FOR CONSTRUCTION FIELD ORDER ALLOWANCE 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 Contractor has been requested to adjust the manholes cover with new 30"ring and cover. &RT WORTH- City of Fort Worth �` IV Construction Allowance Request Construction FOA# Data 5/7/2019 City Sec# 50172 Client Project#(s) c02695 FAC#(G)l 59601/59607/34014/52002-0600430/0700430/0200431-5740010-c02695-c01783/c02483/c02883 Project Name 2014 CIP Year 3 Contract 7-This is a combined paving,waterlsanitary sewer main,stormwater and box culvert improvements project Descriptionj in Eastern Hills and Lakewood addition neighborhoods. Contraclorl Circle C Construction Company City Inspector r Oscar Augdlon ADDITIONS ep y nn unit costioa emo i iza on ewer 3405.0109 Manhole jus ent,NWjor ewer ETPW/Stormwater Water $0.00 Sewer $28,500.00 ub o ions T WO] T . City of Fort Worth Construction Allowance Request Construction FOA# Date 5/7/2018 City Sec# 50172 Client Project#(s) c02695 FAC#(s)I 59601/59607/34014152002-060043010700430/0200431.5740010-c02695-c01783/c02483/c02883 Project Narnel 20 M CIP Year 3 Contract 7- This is a combined paving,water/sanitary sewer main,stormwater and box culvert improvements project Descripflonj in Eastern Hills and Lakewood addition neklhborhoods. Contractorl Circle C Consbuction Company City inspector Oscar Augilien CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED m[ unit Cost I ota Sewer construction Allowance bower w/ tormwater Water $0.00 Sewer $28,500,00 bub Totalons KIWBE Breakdown for this Construction Allowance Request P�tSE Sub Type of Service Amount for this FOA 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. Signature Name of Employee Title rOFFICIAL RECORD ECRETARY ORTH,TX