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Home My WebLink AboutContract 51701-AR1 CITY SECRETARY CONTRACT No. I 1 a FORT NORTH, City of Fort Worth Construction Allowance Request Constriction FOA# J Date 12/5/2019 City Sec# 1 51701 Client Project#(s)l 02387&02445 FAC#(s)l 56016/39007/34014-600430/7004301200431-5740010-0O2445/CO2387-001787/CO2180 Project Name FY16-CD 9 Street Repair and Recon Program.This is a combined street paving improvements and water and sanitary Description sewer main replacements project in the Near Southside Medical District Contractorl Jackson Construction Ltd City Inspector Martina Salinas Funding Allocation Account Water Unit 1 Sewer Unit 2 T/PW Unit 3 Totals Select Day Type Original Contract Amount $3,130,449.75 $422,758.00 $2,618,148.25 $6,171,356.00 430 Extras to Date $38,811.90 $38,811.90 30 Credits to Date Current Contract Amount $3,169,261.65 $422,758.00 $2,618,148.25 $6,210,167.90 460 Amount of Proposed Allocation $0.00 $0.00 $11,705.00 $11,705.00 10 Original Allowance Available for Allocation $150,000.00 $50,000.00 $150,000.00 $350,000.00 Allowance Funds Previously Allocated Remaining Funds Available for this Allocation $150,000.00 $50,000.00 $150,000.00 $350,000.00 ,., �- IN ACCORDANCE WITH THIS CONSTRUCTION ALLOWANCE REQUEST,THE CONTRACTOR SHALL:Fumish all labor and material as per attached proposed Construction Allowance Request: This Constriction allowance will add new bid item for 3'roof drain pipe to replace existing roof drain pipe at the intersection of S.Main and Peter Smith.It will also add a new bid item to repair damaged brick pavers in Daggett Ave. 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. MWINMRA 77 Dale Ass: Eti9 RF L RECORD RETARY RTH,TX FORT WORTH City of Fort Worth Construction Allowance Request Constmction FOA# l .J Date 12l5/2019 City sec# 51701 Client Project#(s) 02387&02445 FAC#(s) 58016/390o7/34014-600430R00430/200431-5740010-0O2445/CO2387-001787/CO2180 Project Namel FY16-CD 9 Street Repair and Recon Program.This is a combined street paving improvements and water and sanitary sewer main Descriptionj replacements project in the Near Southside Medical District ContracWj Jackson ConsEructian Ltd City Inspector Martine Baines ADDITIONS ITEM UFSGKIP I ION pUnit n osTotal I aver Repair owe Is fill&replace brick pavers) cot umis install Yrootrampipe nd Water Unit 1 $0.00 Sewer Unit 2 $0.00 T/PW Unit 3 $11,705.00 Sub TotalAdditions 511,/05.001 Change Order Additions Page 2 of 4 FORT WORTH. City of Fort Worth Construction Allowance Request ConstrWion FDA# J Date 12=19 City Sec# 51701 Client Project#(s) 02387&02445 FAC#(s) 56016/39007/34014-600430f100430/200431-5740010-0O2445/CO2387-001787/CO2180 Project Name FY16-CD 9 Street Repair and Recon Program.This is a combined street paving improvements and water and sanitary sewer main Descripfionl replacements proiect in the Near Southside Medical District Con Jackson Construction Ltd City Inspector Martina Salinas 71 CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED DeptfFAC QtY Untn sTotal II Construction Allowance nd Water Unit 1 $O.DO Sewer Unit 2 $0.00 T/PW Unit 3 $11,705.00 Sub TotalDeletions Change Order Deletions Page 1 of 1 MMBE Breakdown for this Construction Allowance Request r None Total Previous Construction Allowance Requests MMI Totals 3 x w 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. Gt� Name f Employee/Signature �Y. Title ❑ This form is N/A as No City Funds are associated with this Contract Printed Name Signature E C�R®TARY,TX ,- s# y1 ' a S e �' 01 C o c J � Q O Q < m k s e a 8 E fi Y � 3 a o �J �J $ S `01 Z Z ,�J,O.................. * 5 [ • � R.i Y 0 OFFICIAL RECORD CITY SECRETARY FT. WORTH,TX