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Contract 55381-AR3
CSC No. 55381-AR3 FORT WORTH. City of Fort Worth Construction Allowance Request Project Name 2021 Concrete Rehabilitation U(Elizabeth Boulevard from 8th Ave to S Adam St) City Sec# 1 55381 Client Project#(s)l 102884-TO#4 Project Removal and replacement of concrete curb&gutter,sidewalks,ADA ramps,and driveways at Elizabeth Blvd. Description Contractor Makou Inc. CA# 3 Date 6/28/2022 City Project Mgr.1 Iretomiwa Otuyelu City Inspectorl Brian McGill UNIT or DEPT TPW UNIT 2 or Dept UNIT 3 or Dept UNIT 4 or Dept Totals Original Contract Amount $467,533.74 $467,533.74 Extras to Date $18,700.00 $18,700.00 Credits to Date Current Contract Amount $486,233.74 $486,233.74 Amount of Proposed Allocation $400.00 $0.00 $0.00 $0.00 $400.00 Original Allowance Available to Allocation $23,153.99 $23,153.99 Allowance Funds Previously Allocated $19,069.70 $19,069.70 Revised Allowance Balance 1 $3,684.29 $0.00 $0.00 $0.00 $3,684.29 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 add Bid Item No 4 Remove ADA Ramps,from the Original Contract Proposal Form to the Task Order Proposal Form. 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. ontrac&s Company Nam ontractor(Nam Contractor Signature Date MAKOU INC Magsood Khan 06/29/22 Inspector/Inspection Supervisor Date Project and Contract Compliance Manager Date t�wanr,�;rc 06/29/22a 06/29/22 Program Manager Date Senior Capital Project Officer Date 06/29/22 06/29/22 Assistant Director(Dept) Date Director,Contracting Department(Dept) Date P;, 07/01/22 07/05/22 Assistant Ciiy Attorney Date Assistant City Manager Date Jul 7,2022 1jul 7,2022 ATTEST:TgY1Y1OftOS.Good S. GOOGIgII O��OR�o as Jannette S.Goodall(Jul 8,202210:01 CDT) a 000000*� 000� Jannette Goodall,City Secretary '�-oo o00000� S � OFFICIAL RECORD CITY SECRETARY FT. WORTH, TX Construction Allowance SUMMARY Page 1 of 4 FORT WORTH City of Fort Worth — �" Construction Allowance Additions Project Name 1 2021 Concrete Rehabilitation U Elizabeth Boulevard from 8th Ave to S Adam St City Sec# Client Project# I 102884-TO#4 Contractor Makou Inc. PmE Iretomiwa Otuyelu I nspectorl Brian McGill Construction Allowance Submittal# = Date 6/28/2022 ADDITIONS ITEM DESCRIPTION DEPT Qty Unit Unit Cost Total 4 0241.0300 Remove ADA Ramp TPW 2.00000000 EA $200.00 $400.00 TPW $400.00 UNIT 2 or Dept UNIT 3 or Dept UNIT 4 or Dept Total Additions 400.00 Construction Allowance Additions Page 2 of 4 FORT WORTH City of Fort Worth , 111v� Construction Allowance Value Project Name 1 2021 Concrete Rehabilitation U Elizabeth Boulevard from 8th Ave to S Adam St City Sec# Client Project# 1 102884-TO#4 Contractor Makou Inc. PM1 Iretomiwa Otuyelu I Inspector Brian McGill Construction Allowance Submittal# © Date CONSTRUCTION ALLOWANCE VALUE BEING USED ITEM DESCRIPTION Qty Unit Unit Cost Total 4 Allowance 2.00 EA $200.00 $400.00 Construction Allowance Value 3 of 4 MISBE 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 1 2/24/2022 $4,400.00 2 5/17/2022 $14,669.70 Total $19,069.70 Construction Allowance MSBE Data Page 4 of 4