HomeMy WebLinkAboutContract 50015-AR5 CITY SECRETAR Y
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City of Fort Worth �CONTRACTNO.
<P 500I��5
��'� GF^ Construction Allowance Request
J �hstrn'FDA# Date 12/5/2019 City Sec# 50015
project#(s)1 02693
FAC#(s)J 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 City Inspector Gary Deyon
Funding Water Unit 1 Paving Unit 2 Select Day Type
Allocation Account Totals
Original Contract Amount $1,748,001.05 $1,629,261.10 $3,377,262.15 300
Extras to Date $11,231.25 $11,231.25 84
Credits to Date
Current Contract Amount $1,748,001.05 $1,640,492.35 $3,388,493.40 384
Amount of Proposed Allocation $0.00 $84,371.20 $84,371.20
Original Allowance Available for Allocation $100,000.00 $100,000.00 $200,000.00
Allowance Funds Previously Allocated $1,250.00 $10,750.00 $12,000.00
Remaining Funds Available for this Allocation $98,750.00 $89,250.00 $188,000.00
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:This construction
allowance for intersection improvements at Goodman and Prevost requested by Stormwater Division to alleviate some flooding problem
occurring at 5301 Goodman Ave:The request was received after the Final Inspection for this project,so the unit prices as part of this allowance
include remobilization and traffic control items.
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.
Date Date
1216/2019
P
t Date Asst -A .
FORT WORTHS. City of Fort Worth
Construction Allowance Request
Construction FOA# -5—� Date 12/5/2019 City Sec# 50015
Client Project#(s)J 02693
FAC#(s)I 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 City Inspector Gary Deyon
ADDITIONS
ITEM DESCRIP I ION ep
y unitUnits o a
one valley gutter amongtUm
II Unclassified Excavation a
ex se Paving Unit
I Asphalt wn F
Water Unit 1 0.00
Paving Unit 2 $84,371.20
Sub Total Additions 7 .
Change Order Additions Page 3 of 5
FORT WORTH. City of Fort Worth
Construction Allowance Request
Construction FDA# 5—� Date 12/5/2019 City Sec# 50015
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
Contractor JLB Contracting City Inspector Gary Deyon
CONSTRUCTION ALLOWANCE ITEMS TO 6E REDUCED
ITEM DIEKKIP I ION DepVFAG Oty Unit Uni os I o a
avmg ns ruc ion owance aving Unit
Water Unit 1 0.00
Paving Unit 2 $84,371.20
Sub Total DeletUn—s 7 .
Change Order Deletions Page 1 of 1
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
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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
Title U
❑ This form is N/A as No City Funds are associated with this Contract-
Printed Name Signature
UFFiCUAL RECORD
CITY SECRETARY