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HomeMy WebLinkAboutContract 56002-AR1 CSC No.56002-AR1 FORT WORTH, City of Fort Worth Construction Allowance Request Project Name 2021 Concrete Restoration Contract 4 City Sec# 1 56002 Client Project#(s)l 103207 Project Concrete pavement rehabilitation of Hulen St.,and McCart Ave. Description Contractorl Urban Infraconstruction CA#1 1 Date 4/11/2022 City Project Mgr. Iretomiwa Otuyelu City Inspectorl Matthew Wilson UNIT or DEPT TPW UNIT 2 or Dept UNIT 3 or Dept UNIT 4 or Dept Totals Original Contract Amount $1,023,300.00 $1,023,300.00 Extras to Date $243,200.00 $243,200.00 Credits to Date Current Contract Amount $1,266,500.00 $1,266,500.00 Amount of Proposed Allocation 265.02 0.00 0.00 0.00 265.02 Original Allowance Available to Allocation $60,000.00 $60,000.00 Allowance Funds Previously Allocated $0.00 Revised Allowance Balance $59,734.98 $0.00 $0.00 $0.00 $59,734.98 JUSTIFICATION(REASONS)FOR CONSTRUCTION ALLOWANCE IN ACCORDANCE WITH THIS CONSTRUCTION ALLOWANCE REQUEST,THE CONTRACT SHALL: Furnish all labor and material as per attached proposed Construction Allowance Request(with attachments):To pay for the water inspection after installing a backflow device in the City's water supply. 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(both time and money)for all costs arising out of,or incidental to,the above Construction Allowance Request. The Project/Program Manager signing below acknowledges that he/she is the person responsible for the monitoring and administration of this contract,including ensuring all performance and reporting requirements. ntractoes VWany NamM Ftor(Na Date Urban Infraconstruction Anup Tamrakar 04/14/22 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date A' elcCA 04/18/22 «r' 04/14/22 —wo,1ez—�IsIoT, Program Manager Date Senior Capital Project Officer Date Aly—E66aaalati 04/20/22 04/25/22 �anw�� a�w soon Assistant Director Date ntracting Department(Dept) Date tau✓en vneuv 04/25/22 04/26/22 w u.zoz z�n ­aoas z2zu aeon at -ty Manager ate Bpi 04/26/2z b v o4/za/zz ,�kwo,�z� ,1on ATTEST: Jannette Goodall,City Secretary pa> Fo Ova °�Sd da��p°nE.°X°n°g�oo OFFICIAL RECORD CITY SECRETARY FT.WORTH,TX Construction Allowance SUMMARY Page 1 of 4 FOR_ _T WORTH City of Fort Worth —��— Construction Allowance Additions Project Name 2021 Concrete Restoration Contract 4 City Sec# Client Project# 103207 Contractorl Urban Infraconstruction PMJ Iretomiwa Otuyelu Inspectorl Matthew Wilson Construction Allowance Submittal# = Date ADDITIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 31 BACKFLOW PREVENTION TPW 1.00 LS $265.02 $265.02 TPW $265.02 UNIT 2 or Dept $0.00 UNIT 3 or Dept $0.00 UNIT 4 or Dept $0.00 Total Additions $265.02 Construction Allowance Additions Page 2 of 4 FORT WORTH., City of Fort Worth —�+ Construction Allowance Value Project Name 1 2021 Concrete Restoration Contract 4 City Sec# Client Project# 1 103207 Contractor Urban Infraconstruction PMJ Iretomiwa Otuyelu Inspectorl Matthew Wilson Construction Allowance Submittal# © Date CONSTRUCTION ALLOWANCE VALUE BEING USED ITEM DESCRIPTION Qty Unit Unit Cost Total Construction Allowance Value 3 of 4 M/SBE for this Construction Allowance Request M/SBE Sub Type of Service Amount for this CAR Total $0.00 Previous Construction Allowance Requests CAR# DATE AMOUNT Total $0.00 Construction Allowance MSBE Data Page 4 of 4