HomeMy WebLinkAboutContract 55573-AR5 CSC No.55573-AR5
FORT WORTH City of Fort Worth
Construction Allowance Request
Project Name I Water and Sanitary Sewer Replacements Contract 2019,WSM-E City Sec No. 55573
Project No.(s) 56002-0600430/0700430-102301-001780 M&C: 21 0127 City Proj.No. 102301
Project Description: The replacement of water(including lead services)and sewer mains on several streets.
Contractor: Woody Contractors,Inc. Allowance No: 0 Date: 1 12/30/2021
City Project Mgr.1 Brenda Oropeza City Inspector: I Pedro Hernandez
Phone Number:1 817-392-8271 Phone Number: 817-992-3991
Dept. Water Sewer Paving Totals
Original Contract Amount $1,263,052.00 $1,739,313,80 $771,157.65 $3,773,523.45
Previous Allowances Allocated $0.00 $68,905.00 $0.00 $0.00
Amount of Proposed Allocation $0.00 $12,000.00 $0.00 $12,000.00
Original Allowance Available for Allocation $100,000.00 $140,000.00 $80,000.00 $320,000.00
Remaining Funds Available for this Allocation $100,000.00 $71,095.00 $80,000.00 $251,095.00
JUSTIFICATION(REASONS)FOR ALLOWANCE
Allowance No.5 will provide for the installation of a 4'drop manhole necessary to re-connect an existing sewer line that will be converted to
a private service.
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
Woody Contractors,Inc. Troy Woody
Inspector Date Project Manager Date
1-6-2022 �� �26 C� 1/6/2022
Director Water Dept) Date Construction Supervisor P ept Date
d o a36 n T Jan 7,2022 ,41Z� DuG� 1/6/22
Assistant City Attorney Dale Assistant City Manager Date
.k1�72-124CST) Jan 10,2022�4e d Jan 11,2022
4
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
F!n�yWORT'H City of Fort Worth
Construction Allowance Request
Project Name Water and Sanitary Sewer Replacements Contract 2019,WSM-E City Sec No. 55573
Project No.(s) 56002-0600430/0700430-102301-001780 M&C: 21 0127 City Proj. No. 102301
Project Description The replacement of water(including lead services)and sewer mains on several streets.
Contractor Woody Contractors,Inc. Allowance No: l_"J Date: 12130/2021
City Project Mgr. Brenda Oropeza City Inspector F Pedro Hernandez
CONSTRUGTION ALLOWANCE ITEMS TO BE ADDED
ITEM-- DESCRIPTION DEPT City lUnit Unit Cost Total
62 4'Drop Manhole Sewer 1 EA $12,000. 00 $12,000.00
Water
MiE=
Page 2 of 4
FORT WORTH City of Fort Worth
30 Construction Allowance Request
Project Name F Water and Sanitary Sewer Replacements Contract 2019,WSM-E City Sec No. 55573
Project No.(s) 56002 0600430/0700430-102301-001780 M&C: [ 21 0 2271 City Proj.No. 102301
Project Description The replacement of water(including lead services)and sewer mains on several streets.
Contractor Woody Contractors, Inc. Allowance No: 0 Date 12/30/2021
City Project Mgr. Brenda Oropeza City Inspector Pedro Hernandez
CONSTRUCTION ALLOWANCE ITEMS TO BE DELETED
ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total
Water
Sewer
Paving
Page 3 of 4 Deletions Sub Total
MIWBE Breakdown for this Change Order
Total
Previous Change Orders
0-MIM
M
Total
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.
Signature
Brenda Oropeza
Name of Employee
Graduate Engineer
Title
ATTEST: 01;��.y_11 T
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J nette S.Goodall(Jan 11,202215' CSTT) {�_o [�
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City Secretary �tl TEXpSoaQ
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX