HomeMy WebLinkAboutContract 55735-AR1 CSC No.55735-AR1
Fo RT' W"12T H City of Fort Worth
Construction Allowance Request
Project Namel Water and Sanitary Sewer Replacement Contract 2019 WSM-F City Sec No. 55735
Project No.(s) 56002-0700430-102302-001780 M&C: F--21-0-29-3--1 City Proj.No. 102302
Water, Sanitary Sewer and Paving Improvements on Desert Ridge Drive,Kilpatrick Avenue,Marion Avenue,Avenue J,
Project Description: Avenue K and alley between Marion Avenue and Mulkey Street
Contractor: Woody Contractors, Inc Allowance No: 0 Date: 1/19/2022
City Project Mgr.I J.Chris Underwood City Inspector: I Rodrick Wallace
Phone Number: 817-392-2629 Phone Number:1 817-350-3321
Dept, Water Sewer Paving Totals
Original Contract Amount $1,633,552.50 $278,765.00 $399,742.50 $2,312,060.00
Previous Allowances Allocated $0.00 $0.00 $0.00 $0.00
Amount of Proposed Allocation $0.00 $3,500.00 $0.00 $3,500.00
Original Allowance Available for Allocation $120,000.00 $20,000.00 $51,225.00 $191,225.00
Remaining Funds Available for this Allocation $120,000.00 $20,000.00 $51,225.00 $191,225.00
JUSTIFICATION (REASONS)FOR ALLOWANCE
Allowance No. 1 will provide for the major manhole adjustment on existing manhole (changing the 24-inch
opening to a 30-inch opening) in the alley between Marion Avenue and Mulkey Street at Mississippi Avenue
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 Co actor Signature Date
Woody Contractors,Inc Troy Woody /- /9
Inspector Date Project Man er Date
1/20/22 `
Director Water Dept) Date onstruction Supervisor T/PW Dept) Date
CG�i4.411ev --III 20,2022 4,LI D� 1/20/22,o e� � S
Assistant City Attorney Date Assistant City Manager Date
c(anu,ao na Burghdoff an 22 Jan 21,2022 ° Jan 22,2022
,202209:03 CSr)
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
FCC RT W"RT H City of Fort Worth
Construction Allowance Request
Project Name Water and Sanitary Sewer Replacement Contract 2019 WSM-F City Sec No. 55735
Project No.(s) 56002-0700430-102302-001780 1 M&C: 21 0293 City Proj,No. F 102302
Project Water,Sanitary Sewer and Paving Improvements on Desert Ridge Drive,Kilpatrick Avenue,Marion Avenue,Avenue J,
Description Avenue K and alley between Marion Avenue and Mulkey Street
Contractor Woody Contractors, Inc Allowance No: 0 Date: 1/19/2022
City Project Mgr. J.Chris Underwood City Inspector I Rodrick Wallace
CUNS-I-RUCTION ALLOWANCE ITEMS TO BE ADDED
DEPT Qty Unit Unit Cost Total
S-26 Major Manhole Adjustment Sewer 1.00 EA $3,500.00 $3,500.00
Water
Sewer $3,500.00
Paving
Page 2 of 4 Additions Sub Total $3,500.00
FO_ RT WO RT H City of Fort Worth
Construction Allowance Request
Project Name Water and Sanitary Sewer Replacement Contract 2019 WSM-F City Sec No. 55735
Project No.(s) 56002-0700430-102302-001780 M&C: 21-0293 City Proj.No. 102302
Project Description Water,Sanitary Sewer and Paving Improvements on Desert Ridge Drive,Kilpatrick Avenue, Marion Avenue,
Avenue J,Avenue K and alley between Marion Avenue and Mulkey Street
Contractor Woody Contractors,Inc Allowance No: 0 Date 1/19/2022
City Project Mgr. J.Chris Underwood City Inspector Rodrick Wallace
CONSTRUCTION ALLOWANCE ITEMS TO BE DELETED
ITEM DESCRIPTION DEPT Oty Unit Unit Cost Total
Water
Sewer
Paving
Page 3 of 4 IDeletions Sub Total
MIWBE Breakdown for this Change Order
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Total
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Previous Change Orders
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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.
S/ignature
Name of Employee
SP_ C-40WE AJ61E i
Title
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ATTEST: a
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Jan nette S.Good aII(Jan 24,202207:38 CST) U.
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Jannette Goodall °OOppO°° o
City Secretary
OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
WOODY CONTRACTORS INC, CONTRACTOR
�y.
650 TOWER RD
KENNEDAI_E,TX 76060
PHONE--817-483-4787
FAX 81 7-483-2048
Job: CONTRACT 2019 WSM-F
Date January 10, 2022
CHANGE ORDER 1
Item Description Quantity Unit Price Total Price
1 M.H ADJ, MAJOR 1 EA $ 3,600.00 $ 3,500.00
Total for Sheet $ 3,500.00
Total For Job $ 3,500.00
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