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HomeMy WebLinkAboutContract 55324-AR1 CSC No.55324-AR1 FORT WORTH City of Fort Worth Construction Allowance Request Project Namel Water and Sanitary Sewer Rehabilitation Contract 101 City Sec No. 55324 Project No.(s) 56002-0700430-0O2722-001780 M&C: L21-0056 City Proj.No. 2722 Project Description: Water,Sanitary Sewer and Paving Improvements on Winton Terrace East and Winton Terrace West Contractor: William J Schultz, Inc dba Circle C Const Allowance No: Date: 1 7/2/2021 City Project Mgr.1 J.Chris Underwood City Inspector: I Stephen Martinez Phone Number: 817-392-2629 Phone Number: 682-432-5485 Dept. Water Sewer Paving Totals Contract Time (Calender days) Original Contract Amount $1,333,263.00 $1,345,890.00 $336,025.00 $3,015,178.00 420 Previous Allowances Allocated $0.00 $0.00 $0.00 $0.00 0 Amount of Proposed Allocation $10,000.00 $20,000.00 $0.00 $30,000.00 0 Original Allowance Available for Allocation $60,000.00 $90,000.00 $20,000.00 $170,000.00 Remaining Funds Available for this Allocation $60,000.00 $90,000.00 $20,000.00 1 $170,000.00 Revised Contract Time 420 JUSTIFICATION (REASONS) FOR ALLOWANCE Allowance No. 1 will provide imported embedment/baclill,acceptable material to replace existing unsuitable material that was encountered during construction. 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. Contractor's Company Name Contractor Name Contractor Signature Date William J Schultz,Inc dba Circle C Const Teri Skelly ) � 7/6/2021 Inspector Date Project Manager Date Director.(Water Dept) -ambow. Date onstruction Supervisor(Water Dept) Date ZA(J�[16.2 21=41COT, 7� S J u 116,2021 Assistant City Attorney Date Assistant Manager =Date 71-(Ju Ju119,2021 Dana Bu�gh14 ,1,2��:48 CDT) JUl 21,2021 OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX __ ORT WOP,-r m City of Fort Worth Construction Allowance Request Project Name Water and Sanitary Sewer Rehabilitation Contract 101 City Sec No. 55324 Project No.(s) 56002-0700430-CO2722-CO1780 M&C: 21 0056 City Proj.No. 2722 i Project Water,Sanitary Sewer and Paving Improvements on Winton Terrace East and Winton Terrace West Description Contractor William J Schultz,Inc dba Circle C Const Allowance No: [= Date: 7/2/2021 City Project Mgr. J.Chris Underwood City Inspector Stephen Martinez CONSTRUCTION ALLOWANCE ITEMS TO BE ADDED DEPT Qty; Unit Unit Cost Total 48 Imported Embedment/Backfill,Acceptable Material Water 500 CY $20.00 $10,000.00 54 Imported Embedment/Backfill,Acceptable Material Sewer 1000 CY $20.00 $20,000.00 I (s 1 I I 4 t i i I r: z Water $10,000.00 Sewer $20,000,0, Paving Page 2 of 4 Additions Sub Total $30,000.00 FOR- OP,-Fm City of Fort Worth Construction Allowance Request Project Name Water and Sanitary Sewer Rehabilitation Contract 101 City Sec No. 55324 Project No.(s) 56002-0700430-CO2722-001780 M&C: 21 0056 City Proj.No. 2722 i Project Description Water,Sanitary Sewer and Paving Improvements on Winton Terrace East and Winton Terrace West Contractor William J Schultz, Inc dba Circle C Const Allowance No: FFI Date 1 7/2/2021 City Project Mgr. J.Chris Underwood City Inspector F Stephen Martinez CONSTRUCTION ALLOWANCE ITEMS TO BE DELETED ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total c fr I i i E i E r i I i 1, Water Sewer Paving Page 3 of 4 IDeletions Sub Total i M(WBE Breakdown for this Change Order MWBE Sub Type of Service Amount for this CO i i Total $0.00 Previous Change Orders CO# DATE AMOUNT Total $0.00 i f f i i (k t i fi I k Page 4 of 4 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. 0 S gnature Name of Employee Title ,oaf°FOR r�a� A ATTEST; �' �o° °° Ro ldo on,oPs P~° °040, ona orua es(ulz, 3e cord ° 0vo °Zd ° ° ° � o o*mod Ronald Gonzales � Acting City Secretary ���r x41Sa4p OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Circle C Construction 17-Jun-21 Mr.Chris Underwood City of Fort Worth 1000 Throckmorton Stret Fort Worth,Texas 76102 RE: Water and Sanitary Sewer Rehabilitation Contract 101 Chris, Below is the price for acceptable backfill for Contract 101 Acceptable backfill material 1000 CY $ 20.00 $ 20,000.00 Total $ 20,000.00 Sincerely, �� Teri Skelly President Circle C Construction APPROVE K'� DATE I7 2D Pt�OJECT MA / IAPPROVED /°ny 7,01 DATE PRn ,RAM NAANA(;FR 500 W TRAMMEL ANTE FORT WORTH,TEXAS 76140 T 817-293-1863 i