HomeMy WebLinkAboutContract 50573-AR2 4 CITY SECRETARY
<� aEc,5IV�o YMTRAC:T NO. 5.05 73 A R9
C� t9 t RTH, . -4 2019 city of Fort worm
L OVOFFpRTwpp Construction Allowance Request#2
�ame Kimbo Road from yania to Mesquite Road City Sec# 50573
CII ent%ject#Is CO2661
t is is a street reconstruction project including Water/Sanitary Sewer Main and Storm Water Improvements
Descdption
ContractoA Conatser Construction TX,LP City Inspectoq Ryan Miller
Funding Allocation Account Sewer Water Stormwater TPW Paving Totals Select Day
T e
Original Contract Amount $945,233.00 $921,815.00 $899,455.00 ,823.00 2,326.00 500
Extras to Date
Credits to Date
Current Contract Amount $945,233.00 $921,815.00 $899,455.00 $2,215,823.00 $4,982,326.00 500
Amount of Proposed Allocation $4,680.00 $0.00 $0,00 0.00 4,6
Original Allowance Available for Allocation $80,000.00
Allowance Funds Previously Allocated $20,890.00 $20,890.00
Remaining Funds Available for this Allocation $80,000.00 $60,000.00 1 $60,000.00 99,110.00 $299,110.00
TiQI`t: - Q ,
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 Conractor found a sag point in the existing sewer line behind 3400 Kimbo
Road.In order to point repairthis sag,the Contractor needs to remove and replace an existing metal shed located in the sewer easement,
It is understood and agreed that the acceptance of this Change Order by the contractor constitutes an accord and satisfaction and represents payment in
full(both time and money)for all costs arising out of,or incidental to,the above Change Order. The Project/Program Manager signing below
acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and
reporting requirements.
Corrtradrn'4 q2M Lyy Name Conttadflr(Name) C�nirac_t nature tTaGe
Cyr fru e u t�(n ►y. a $lYll
rm Ne
Me a ram Dote
Sl-i Y—1
Ass t Director !e Director, Date
n o /Sl1
Arista bate Assistant City Erie WE
ZD
4
x-O
AdiGn ff aired
,w
M&C Number NSA V®R M&C Date Approved
�3� '��• ��1 OFFICIAL RECORD
ld P. Gon es, CITY SECRETARY
FT. WORTH,TX
City of Fort Worth
Construction Allowance#2 Additions
Project Name I Kimbo Road from N.Sylvania to Mesquite Road City Sec# 50573
Client Project# I CO2661
Contractor Conatser Construction TX,LP Inspector Ryan Miller
ADDITIONS
Unit Unit Cost Total
Unit - Remove and epace Outdoor Shed ewer
Sewer $4,680.00
Water $0.00
Stormwater $0.00
TPW Paving $0.00
Sub Total Additions $4,680.00
Change Order Additions Page 2 of 4
F City of Fort Worth
Construction Allowance#2 Deletions
Project Name F Kimbo Road from N.Sylvania to Mesquite Road City Sec# 50573
Client Project# I CO2661
Contractor Conatser Construction TX,LP Inspector Ryan Miller
DELETIONS
ty Unit Unit Cost I ota
Unit 5 banitary bewer improvements Construction Allowance ewer
Sewer $4,680.00
Water $0.00
Stormwater $0.00
TPW Paving
Sub Total Deletions
Change Order Deletions Page 3 of 4
M/SBE Breakdown for this Construction Allowance#2
M/SSE Sub Type of Service Amount for this CO
Total $0.00
Previous Construction Allowance
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.
a✓ /
Name 9f Employee/Signs re
Sr. i t/O.i lei �t84r-'2
Title
u This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH,TX