HomeMy WebLinkAboutContract 54692-AR2CSC No. 54692-AR2
FO�T W[�RTH �ity of �orfi Worth
Con�truction ,411owance Request
Project Name Water and Sanitary Sewer Replacement Contract 2019 WSM-A Ciry Sec No. 54692
Project No.(s) 56002-060043010700430-001780 M&C: 20-0708 City Proj. No. 102168
Project Description:l Water and Sanitary Sewer Replacement (Lead replacement project)
Contractor: Gra-Tex Utilities Allowance No: �2 Date: 4/19/2021
City Project Mgr. Suby Varughese City Inspector: Shawn Fargo
Phone Number: 817 392 7803 Phone Number: 682 760 7195
Dept.
Original ContractAmount
Previous Allowances Allocated
Amount of Proposed Allocation
Original Allowance Available for Allocation
Remaining Funds Available for this Allocation
ksslstant
BB��i
WATER I SEWER
403,601.30
$8,912.00
$0.00
$150,000.00
$141, 088.00
�ats
Date� Assi�tanr�ify�l
May 4, 2021 , ;r,,= ��:,- �l°ff .
00
Totals I Contract Time
(Calender daysl
00
�so,000.00� $Zso,000.00 �
�so,000.00 � $22�,oss.00
Revised Contract Time 630
4/28/2021 � �
D�te Con ruction
May3,2021 ��
5/3/2021
, i
5/3/2021
Date
May 4, 2021
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
it is understood and agreed that the acceptance of this Construction Allowance Request by the contractor constitutes an accord and safisfaction and
represents payment in full for all costs arising out of, or incidental to, the above Construction Alloavance Request.
ConUactor's Cor� ah Neme Cortitractee IUa��e % Cor� o r ignature af.
Gra-Tex Ufilities Jim Brent ��i.dr„ /,� i%/ `]f% �p
F�1�T �VCIRTH Clty Of FOrt WOrth
Construction Allowance Request
Project Name Water and Sanitary Sewer Replacement Contract 2019 WSM-A City Sec No. 54692
Project No.(s) 56002-0600430/0700430-001780 M&C: 20-0708 City Proj. No. 102168
Project
Description
Water and Sanitary Sewer Replacement (Lead replacement project)
Contractor Gra-Tex Utilities Allowance No: �2 Date: 4I1912021
City Project Mgr. Suby Varughese City Inspector Shawn Fargo
GONSTRUGTION ALLOWANGE ITEMS TO 6E ADDETED
DEPT Qt Unit Unit Cost Total
Install Sanitary Sewer Access chamber with 24" Ring and Cover
92 Sewer 1.00 Ea $3,650.00 $3,650.00
WATER
SEWER $3,650.00
I�aee 1 of 1 Additions Sub Total $3,650.00
FQRT ���1�TH City of Fort Worth
Construction Allowance Request
Project Name Water and Sanitary Sewer Replacement Contract 2019 WSM-A City Sec No. 54692
Project No.(s) 56002-060043010700430-001780 M&C: 20-0708 City Proj. No. 102168
Project Description
Water and Sanitary Sewer Replacement (Lead replacement project)
Contractor Gra-Tex Utilities Allowance No: �2 Date 4119/2021
City Project Mgr. Suby Varughese City Inspector Shawn Fargo
CONSTRUCTION ALLOWANCE ITEMS TO BE DELETED
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
WATER
SEWER
f'a�e 1 of 1 �Deletions Sub Total
Page 1 of 1
MIWBE Breakdown for this Change Order
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.
Signature
Name of Employee
Title
Mary J. Kayser
City Secretary
,,uua-HE SE