HomeMy WebLinkAboutContract 60264-AR2fORTWORTH. City of Fort Worth
Construction Allowance Request
CSC No. 60264-AR2
ProjectNamel,--H_a _lt-om-Rd-HR_O_M _____________________ ___,, City Sec# 60264
Client Project #(s) 103887 ::================================================================================� Project Purpose of project is to prevent storm water from flowing over Haltom Road. Large storm drain systems will be implemented, road will be
Description widened, installation of sidewalk and side path, erosion control measures, guardrails, fences, and street lights.
ContractorlKlutz Construction, L.L.C.
City Project Mgr. I Mike Crenshaw
UNIT or DEPT
Original Contract Amount Extras to Date Credits to Date Current Contract Amount
Revised Allowance Balance
Water Sewer
CA# .... I ___ 2 __ _,Datel 5/14/2025
TPW
City Inspector! Randall Horton
UNIT 4 or DEPT Totals
IN ACCORDANCE WITH THIS CONSTRUCTION ALLOWANCE REQUEST, THE CONTRACT SHALL: Furnish all labor and material as per the
attached proposed Construction Allowance Request (with attachments):
This Construction Allowance Request includes revised quantities for existing bid items. This allowance includes 375 LF of 4' chain-link fence. The justification is that the chain
link fence was added to replace the existing fencing based on construction conditions.
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.
Contractor's Com n Name
Klutz Construction, L.L.C.
rvisor
�;,. �
Jannette Goodall, City Secretary
Contractor Name Contractor Si nature
Charlie Klutz
Date Contract Com liance Mana er
05/16/2025
Date • ect Officer
05/16/2025
Date
05/21/2025
Date
05/22/2025
Construction Allowance SUMMARY
Page 1 of 1
Date
05/16/2025
Date
05/16/2025
Date
05/19/2025
Date
05/21/202
Date
05/30/2025
FORT WORTH,, City of Fort Worth
� Construction Allowance Additions
Project Name Haltom Rd HROM City Sec #�
Client Project # 103887
Contractor Klutz Construction, L.L.C. PM Mike Crenshaw Inspector Randall Horton
Construction Allowance Submittal # 0 �ate �
ADDITIONS
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Construction Allowance Additions
Page 1 of 1
FORT WORTH,. City of Fort Worth
��—� Construction Allowance Value
Project Name Haltom Rd HROM City Sec #�
Client Project # 103887
Contractor Klutz Construction, L.L.C. PM Mike Crenshaw Inspector Randall Horton
Construction Allowance Submittal # � Date �
CONSTRUCTION ALLOWANCE VALUE BEING USED
ITEM DESCRIPTION Qty Unit Unit Cost Total
26B Water Construction Allowance 0.00 LS $70,000.00 $0.00
32B Sanitar Sewer Construction Allowance 0.00 EA $30,000.00 $0.00
79 Pavin and Draina e Construction Allowance 1.00 EA $100,000.00 $18,750.00
Construction Allowance Value
1of1
Previous Construction Allowance Requests
CAR # DATE AMOUNT
10/16/2024
$55,615.00
Total � $55,615.00
Construction Allowance MSBE Data
Page 1 of 1
MISBE for this Construction Allowance Request
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Routing and Transmittal Slip
Transportation & Public Works Department
DOCUMENT TITLE: Haltom Rd HROM — Construction Allowance 2
M&C: 23-0758 CPN: 103887 CSO: CS60264 DOC#: 1
Date:
To: Name Department Initials Date Out
1 Charlie Klutz �K 05/16/2025
charlie@klutzconstruction .com Contractor
2. Mike Crenshaw TPW ,,,�<,,.,,,,,,,-� 05/16/2025
3. Randall Horton TPW � 05/16/2025
4. Thanaa Maksimos TPW � 05/16/2025
5. Lissette Acevedo TPW � 05/19/2025
6. Patricia Wadsack TPW PL'W' 05/21 /2025
7. Lauren Prieur TPW l/l�� ( 05/21 /2025
8. Doug Black Legal 05/22/2025
9. Jesica McEachern CMO �� 05/30/2025
10. Ronald Gonzales CSO � 05/30/2025
11. Jannette Goodall CSO 05/30/2025
12. A1lison Tidwell CSO � 06/04/2025
13. TPW SW Contracts TPW SW
CC: Pro ram Mana er, Sr. CPO, TPW BSAP Recon Team, TPW Records Room, TPW Contracts
DOCUMENTS FOR CITY MANAGER'S SIGNATURE: All documcnts rcccivcd from any and all
City Dcpartmcnts rcqucsting Ciry Managcr's signaturc for approval MUST BE ROUTED TO THE
APPROPRIATE ACM for approval first. Once the ACM has signed the routing slip, David will review
and take the next steps.
NEEDS TO BE NOTARIZED: ❑YES �No
RUSH: ❑YES �No SAME DAY: ❑YES �No NEXT DAY: ❑YES �No
ROUTING TO CSO: �YES ❑No
Action Required:
❑ As Requested
❑ For Your Information
� Signature/Routing and or Recording
❑ Comment
❑ File
❑ Attach Signature, Initial and Notary Tabs
Return to: tpw sw contracts(a�fortworthtexas.gov Ca11817-229-3283 with questions. Thank you!