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Contract 51702-AR3
CSC No.51702-AR3 FORTWORTH. City of Fort Worth Construction Allowance Request ProjectNamel 2014 CIP Year 3 Contract 1 City Sec# ' 51702 Client Project#(s) C 22693 Project This is a combined street paving improvements and water and sanitary sewer main replacements project in the Ridglea North Neighborhood 1 Description Contractor Texasbt-JLB J CA# 3 Date 2/3i2021 City Project Mgr. Mary Hanna City Inspector[ William Mattegat UNIT or DEPT k;152�527.00 er Sewer 2014 CIP TPW's 50/50 Pav Totals Contract Time Original Contract Amount 1, 1 , 0 730 Extras to Date 5 ,5 7.00 7 I Credits to Date Current Contract Amount 9913.70 311868 00.70 7276f,226. 0 $515,88 .0 5 893.ti4 737 Amount o ro ose ocation 0 originalAllowance Available to Allocation 1 0,000.00 $70.000.00 1 $150,000.000, 0 00 00 737 Allowance Funds Previously Allocated 0.00 8,250.00 $84,912.26 5 ,1 Revised Allowance Balance 150,000.00 $511.7 0.qq 1 562,88774 274,637.74 JUSTIFICATION(W NS)FOR CONSTRUCTION ALLOWANCE IN ACCORDANCE WITH THIS CONSTRUCTION ALLOWANCE REQUEST,THE CONTRACT SHALL: Furnish all labor and material as per attached proposed Construction Allowance Request This Construction allowance will add a bid item for the Contractor to adjust existing sewer clean out located in the alleyway off Halloran St between Malvey Ave and Locke 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(both time and money)for all costs arising out of,or incidental to,the above Construction Allowance Request. 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. Contractor's Conrl Name ntractor Nam t*nor*nal Date Texasbit J GrpWt -J Inspector/Inspection Supervisor Date Project and Contract lance Manaaer Date Febn.ml —17,2 •Nw� Feb17,2021 Program Manager Date Senior Capital Pro t Officer Date Feb 17,2021 Feb 17,2021 Assistant Director(Dept) Date rector,Contracting Department(Dept) Date Lauren➢riou✓ Feb 18,2021 Feb 18,2021 Assistant City Attorney Date AssistantCft .Man __ Gate Feb 22,2021 ZW & �d? Feb 22,2021 ,d�vnnp� ATTEST' /Nla r,�(a-� opt .OR t 4aa Op° oo G� O Mary J.Kayser,City Secretary p�oo G~° o40. 0,vo o=d $ o° d ° °�` OFFICIAL RECORD ° ° �aaar,nEapS�aa CITY SECRETARY FT. WORTH, TX Construction Allowance SUMMARY Page 1 of 4 Fog . City of Fort Worth Construction Allowance Additions Project Name 1 2014 CIP Year 3 Contract 1 City Sec# Client Project# I CO2693 Contractor Texasbit-JLB PM Mary Hanna Inspector William Mattegat Construction Allowance Submittal# © )ate ADDITIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 111-48 Adjusting Sewer Clean Out wi ollar 2014 CIP 4. 0000 EA S550.0012,200.00 I 1 Water 50.00 Sewer $0.00 2014 CIP $2,200.00 TPW`s 50150 Pav $0.00 o I Additions 2,200.0 Construction Allowance Additions Page 2 of 4 Construction Allowance Value Fp Tpg� City of Fort Worth Construction Allowance Value Project Name I 2014 CI Year ontract 1 City Sec# Client Project# I CO2693 Contractor Texasbit-.ILB PMj Inspector William Mattegat Construction Allowance Submittal# © Date CONSTRUCTION ALLOWANCE VALUE BEING USED ITEM DESCRIPTION Qty Unit Unit Cost Total 111-43 Construction Allowance 0.014667 LS $150,000.00 $2,200.00 Construction Allowance Value 3of4 M/SBE for this Construction Allowance Request M/SBE Sub Type of Service Amount for this CAR Total F $0.00 Previous Construction Allowance Requests CAR# DATE AMOUNT Total $0.00 Construction Allowance MSBE Data Page 4 of 4