HomeMy WebLinkAboutContract 52367-AR4 CSC No.52367-AR4
FORT WORTH; City of Fort worth
~ *`Itloo'— Construction Allowance Request Breakdown
Construction CA# ® Date C 4/10MF---1 City Sec# 1 52367 —�
Client Project#(s)l CO2288
FAC#(s)1 34014-OM31-5740010-CO2288-2015-14010199
Project Name Timberland Boulevard Phase 3-Park Vista to US 377
Description
Contracts McNtahon ConW%LP- City inspector Mark McFadin
Funding 34014 30104 39008 Contract Time
Allocation Account Totals (CD)
Original Contract Amount $2,925.291.77 $519,973.00 $600,0D0.00 $4,045.264.77
Extras to Date $0,00 $0.00
Credits to Date SO.00 50.00
Current Contract Amount $2,925,291.77 $519,973.00 $600,000.00 $4,045,264.77
1Amount of Proposed Allocation $118,495.86 $0.00 $0.00 $118,495.96
Original Allowance Available for Allocation $300,000.00 $300,000.00
Allowance Funds Previously Allocated $162,976.54 $162,976.54
Remaining Funds Available for this Allocation $137,023.46 $137,023.46
IN ACCORDANCE WITH THIS CONSTRUCTION ALLOWANCE REQUEST,THE CONTRACTOR SHALL:Furnish all labor and material as
per attached RFi.This construction allowance request Covers RFI 18.RF118 is to remove and reconstruct pavement due to UPRR panel
construction,
BY: BY:
CONTRACTOR CITY OF FORT WORTH
MCMAHON CONTRACTING, L.P. �f
James Proulx Mark McFadirl(
Project Manager Inspector
Date: l L-to-Z22 Date: 4- is-&)Z
It is understood and agreed that the acceptance of this Construction Allowance Request by the cont acW conslitutes 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.
hL.
MAI - CI`CY 5ECRETAR-,
CITY OF FOR'
FT. �
CtTYL.:L.—, .,
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.
Raul E. Lopez / Rau[d6.-E.Lopez ayY,2020)
Name of Employee/Signature
Program Manager
Title
❑ This form is N/A as No City Funds are associated with this Contract
Printed Name Signature
� ....�.���
ATTEST:
C)4,
Mary J.Kayser, City Secretary
r
CIAIL RECOR SECRETARYWORTH, TX
FORT WORTH. City of Fort Worth
Construction Allowance Request Breakdown
Construction FOA# 4 Date 4/10/2020 City Sec# 52367
Client Project#(s)r CO2288
FAC#(s)J 34014-0200431-5740010-0O2288-2015-14010199
Project Name Timberland Boulevard Phase 3-Park Vista to US 377
Description
Contractorl McMahon Contracting L.P. City Inspector Mark McFadin
ADDITIONS
ITEM DESCRIPTION ep y Unit UnitCost Total
471 Railroad Paving Adjustments 1.00 L 495.86
34014 $118,495.86
30104 $0.00
39008 $0.00
Sub Total Additions $118,495.86
Change Order Additions Page 2 of 5
FORT WORTH._. City of Fort Worth
Construction Allowance Request Breakdown
Construction FOA# ® Date 4/10/2020 City Sec# 52367
Client Project#(s) CO2288
FAC#(s)l 34014-0200431-574001 O-CO2288-2015-14010199
Project Name Timberland Boulevard Phase 3-Park Vista to US 377
Description
Contractorl McMahon Contracting L.P. City Inspector Mark McFadin
CONSTRUCTION ALLOWANCE ITEMS TO BE REDUCED
ITEM DESUKIPTIUN DepVFAC uty UnitUnit Cost Total
34014 $0.00
30104 $0.00
39008 $0.00
Sub Total Deletions 0.00
Change Order Deletions Page 3 of 5
MWWBE 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
Initiator
Initial Review
JA
JT Auldridge
<jt.auldridge@fortworthtexas.gov>
Submitted to Reviewer 1
Construction Allowance Request#4- RFI included to justify need for additional work.
Reviewer 1
Raul Lopez
=fur 23. 9:49 AM
<raul.lopezroura@forlworthtexas.gov>
Submitted to Reviewer 2
RL reviewed and okayed to process
Reviewer 2
L
Lauren Prieur
Apr 23, 5:28 PM
<lau ren.prieur@fortworthtexas.gov>
Submitted to Reviev ci,
No comments
Reviewer 3
Initial Review 3
WJ
William Johnson
Apr 24, 8:50 AM
<william.johnson@fortworthtexas.gov>
Submitted to Reviewer 4
No additional comments
Reviewer 4
Initial Review 4
DB
Douglas Black
<doug.b lack@fortworthtexas.gov>
Submitted to Approver
approved.
Approver
Final Review
DB
Dana Burghdoff
Apr 27, 7:02 PM
<d a n a.burg h d off@fo rtwo rth texa s.g ov>
Review ended
Review closed OFF90A REC RC
CI SECRETARYTYWORTH
Tx 1
vx��
t#42 coon We
import Report . This review is closed.
Name Approval status +{r} PROGRESS
Consnuction Allowance Request No.4 COZZ88 Phase III.pdf LtA Approved Approver Final Revrew n ,
p Construction Allowance Request No.4 COZ286 Phase I1l.xi3rn L�Approved OB Dana Burphdnff Apt 2?,7A2 FAi
.dana.burghdoff 9fortworthtexas.gov-
'��' Railroad Rework Change Order.pdf `1 Approved , ;,,..,, ,-
my RFI#16Initiation Formpdf Approved q ,�r„Closed
RFI M8 Response Form.pdf Approved
I
AL RECORDSECRETARYWORTH#TX