HomeMy WebLinkAboutContract 50015-AR2 CITY SECRETARY
CONTRACT NO. 50015-�12 a
FORTWORTH City of Fort Worth
Construction Allowance Request Breakdown
Construction CA# Date 10/12/2018 City Sec# 1 50015
Client Project#(s)l 02693
FAC#(s)l 59601/39411/39412134014-0600430/0200431-c02693
Project Name 2014 CIP Year 3 Contract 2,combined Paving,and Water Replacement in Como Neighborhood.
Description
Contractor JLB Contracting,LLC City Inspector Gary Deyon
Funding Water Unit 1 Paving Unit 2 Contract Time
Allocation Account Totals D
Original Contract Amount $1,748,001.05 $1,629,261.10 $3,377,262.15 300
Extras to Date
Credits to Date
Current Contract Amount $1,748,001.05 $1,629,261.10 $3,377,262.15 300
Amount of Proposed Allocation $0.00 $3,500.00 $3,500.00 7
Original Allowance Available for Allocation $100,000.00 $100,000.00 $200,000.00
Allowance Funds Previously Allocated $2,250.00 $2,250.00
Remaining Funds Available for this Allocation $100,000.00 $97,750.00 $197,750.00
JUSTIFICA ON SUMMARY
IN ACCORDANCE WITH THIS CONSTRUCTION ALLOWANCE REQUEST,THE CONTRACTOR SHALL:Fumish all labor and material as
per attached proposed Construction Allowance Request(with attachments)to the Construction Allowance Request:JLB Contracting,LLC
requesting additional funds to remove forms,cut more street and reset the forms on Wellesley Lane due to change in street profile.
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 tl��,e shown on this Construction Allowance Request by a later Change Order,if necessary.
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RECEIVED
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DEC 2019 n�
CITY OF FORT WCRTI•!
CITYSECRETARY
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FORT WORTH. City of Fort Worth
—� � Construction Allowance Request Breakdown
Construction FOA# I I Date 1 0/1 212 01 8 City Sec# 50 115
Client Project#(s)l 02693
FAC#(s)1 59601/39411/39412/34014-0600430/0200431-c02693
Project Name 2014 CIP Year 3 Contract 2,combined Paving,and Water Replacement in Como Neighborhood.
Description
Contractorl JLB Contracting,LLC City Inspector Gary Deyon
ADDITIONS
ep y Unit UnitCost o a
Remove Torms,Cut more,Reset Forms aving M71
Water Unit 1 0.00
Paving Unit 2 $3,500.00
Sub-Total Additions 5
Change Order Additions Page 2 of 4
O TWO T . City of Fort worth
Construction Allowance Request Breakdown
Construction FOA# F--2 Date 10/12/2018 City Sec# 50015
Client Project Ns)l 02693
FAC#(s) 59601/39411/39412/34014-0600430/0200431-c02693
Project Name 2014 CIP Year 3 Contract 2,combined Paving,and Water Replacement in Como Neighborhood.
Description
Contractorl JLB Contracting,LLC City Inspector Gary Deyon
CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED
ITEM --7ESGHIPM7 Dept/FAG yUnit- Unit Cost o a
Paving Constrution Allowance among ni
Water Unit 1 0. 00
Paving Unit 2 $3,500.00
Sub TotalDeletions
Change Order Deletions Page 3 of 4
M/WBE 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 $0.00
CFW Construction Allowance Request Approval CAAppr-01 Page 2 of 3
FORT WORTHO city of Fort Worth
Construction Allowance Request Approval
(Construction Allowance Breakdown Available in Links)
For Construction Allowance Submittal No.: [2
Construction Allowance Request Approval No.: ppr-01
Date Started: Flo/ 6 21 018 �T Date Due: 112/5/2018
City Sec. No.: 50015
Project Name: 2014 CIP Year 3 - Contract 2
i02693 DOE Numbers:
Project Numbers:
Project This is a combined paving and water replacement in Como Neighborhood
Description:larea
Project/Contract
Compliance Mary Hanna City Inspector: ;Gary Deyon J
Manager:
Contractor:']LB Contracting, LLC
COST AND DAYS SUMMARY:
Department: Cost($) Fund Account Center: Requested Days:
.._ .�___._ ,_. ._ __.._-__.- . '-_ . ,' _ . '
TPW ;$ 3,500.00 34014-0200431-5740010-c026���
1
Total::- 3,5- - Total Requested Days:
Approval Status:
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CFW Construction Allowance Request Approval CAAppr-01 Page 3 of 3
Approved: Yes
Comments:
User: Lane Zarate
Date: 2018-10-26 8:04 PM
Approved: Yes
Comments:
User: Ricardo Matute
Date: 2018-10-30 9:27 AM
Approved: Yes
Comments:
User: Signing for TPW Director Role Approvals
Date: 2018-10-30 9:48 AM
Approved: Yes
Comments:
User: Doug Black
Date: 2018-10-30 4:31 PM
Approved: Yes
Comments:
User: Susan Alanis
Date: 2018-11-07 10:44 AM
Action Required: Please review and approve
0MCUAL RECORD
CITE'SECRETARY
FT WORTH,TX
https://projectpoint.buzzsaw.com/ bz web/Forms/FormPrint.aspx?SiteId=51500&Proces... 11/27/2018