HomeMy WebLinkAboutContract 58032-AR1CSC No. 58032-ARI
FORT WORTH® City of Fort Worth
irp'll— Construction Allowance Request
Project Name 28th Street at Decatur HROM City Sec # F58032
Client Project #(s)
Project Lebow Channel improvements at 28th Street. CPN103052
Description
Contractor Humphrey & Morton Construction Co, Inc. CA # 1 Date 1/12/2023
City Project Mgr. Michael Wellbaum City Inspector Charles Hayes
Dept.
Original Contract Amount
Extras to Date
Credits to Date
Current Contract Amount
TPW
Totals
Contract Time
CD
$ 4,899,910.00
$ 4,899,910.00
305
$
$
$ 4,899,910.00
$ 4,899,910.00
305
Amount of Proposed Allowance Request
$ 48,900.00
$ 48,900.00
Original Allowance Available to Allocation
Allowance Funds Previously Allocated
Remaining Funds Available for this Allocation
$ 400,000.00
$ 400,000.00
305
$ -
1
$
$ 351,100.00
$ 351,100.00
ACCORDANCE WITH THIS CONSTRUCTION ALLOWANCE REQUEST, THE CONTRACTOR SHALL: Remove and replace a 10-inch water line in conflict with the
)posed improvements and in accordance with information provided by the engineer. This work was not included in the original bid. Contract items and quantities have
aluated by City Staff and were found reasonable when compared to City standard prices and the recently bid Westcliff Drainage Improvements, Phase 1 project.
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. Contract Time
will be adjusted on the basis of the time shown on this Construction Allowance Request by a later Changer Order, if necessary. 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.
Contractor's Company N Contractor Name Contract Si nature
Humphrey& Morton Construction Company, Inc. JOsh Gill Feb 3, 2023
ector/Ins action Su ervisi
Date
Feb 3, 2023GGt%✓!�
Project and Contract Compliance Manager
Feb 3, 2023
er
Date
error a I oject Officer
Date
tAss�st:7:T7t—D'-r'ector
Feb 3, 2023-
Feb 4, 2023
(Dept)
Date
Egg— Q—t—fing Department (Dept)
Date
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Feb 5, 2023
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Feb 5, 2023
Assistant Ci Atto
Date
er
Date
DeacK
Feb 6, 2023
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Feb 7, 2023
ATTEST: U.
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Jannette Goodall, City Secretary a aonq
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OFFICIAL RECORD
CITY SECRETARY
FT. WORTH, TX
City of Fort Worth
Construction Allowance Additions
Project Name 28th Street at Decatur HROM City Sec # 58032
Client Project #
Contractor Humphrey & Morton Construction Co, Inc. PM Inspector Charles Hayes
Construction Allowance Submittal # 0 Date 1I12/2023
ADDITIONS
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Change Order Additions Page 2 of 3
FORT WORTH City of Fort Worth
-- Construction Allowance Deletions
Project Name 28th Street at Decatur HROM City Sec # 58032
Client Project #
Contractor Humphrey & Morton Construction Co, Inc. PM Inspector FCharles Hayes
Construction Allowance Submittal # 0 Date 1/12/2023
DLLL I IONS
y Unit Unit Costota
TPW $0.00
Sub Total Deletions 0.00
Change Order Deletions Page 3 of 3
FORTWORTH.
Routing and Transmittal Slip
Transportation & Public Works Department
DOCUMENT TITLE: Construction Allowance Request
M&C: N/A CPN: 103052 CSO: 58032 DOC#:
Date:
To:
Name
Department
Initials
Date Out
1
Josh Gill
josh@humphreyandmorton.com
Contractor
Feb 3, 2023
2.
Charles Hayes
TPW -Inspector
?
Feb 3, 2023
3.
Michael Wellbaum
TPW - Project Manager
?
Feb 3, 2023
4.
Linda Young
TPW - Program Manager
Feb 3, 2023
5.
Lissette Acevedo
TPW — Interim Sr. CPO
Feb 4, 2023
6.
Michael Owen
TPW - Interim Assistant Director
�0—
Feb 5, 2023
7.
Lauren Prieur
TPW - Interim Director
A
LP
Feb 5, 2023
8.
Doug Black
Legal - Assistant City Attorney
I d1Wbb
Feb 6, 2023
9.
William Johnson
CMO —Assistant City Manager
Feb 7, 2023
10.
Melissa Brunner
CSO — City Secretary
Feb 7, 2023
11.
Jannette Goodall
CSO — City Secretary
Feb 7, 2023
12.
Allison Tidwell
CSO — City Secretary
Feb 9, 2023
13.
Tpw_SW_Contract
TPW Stormwater
NEEDS TO BE NOTARIZED: ❑YES ®No
RUSH: ❑YES ❑No SAME DAY: ❑ YES ❑No NEXT DAY: ❑YES ❑No
ROUTING TO CSO: ®YES ❑No
Action Required: ® Signature/Routing and or Recording
Return To: TPWContracts @FortWorthTexas.gov at ext. 7233 for pick up when completed.