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
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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
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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
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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
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Water
Sewer
Paving
Page 3 of 4 IDeletions Sub Total
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M(WBE Breakdown for this Change Order
MWBE Sub Type of Service Amount for this CO
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Total $0.00
Previous Change Orders
CO# DATE AMOUNT
Total $0.00
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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.
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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 °
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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
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