Contract - Chasco Constructors - 7/11/2019 Page l of 3
.,� Contract Quantity Adjustment/Change Order
rev,01/16
Department: Transportation
Project
Name: Harrell Pkwy&Brushy Creek Plant Road Date: 6/17/19
City Project Change Order/Quantity
ID Number Adjustment No. 2
Vendor Chasco Constructors PO Box 1057, Round Rock,TX 78680 512-244-4600
Company Name Address Phone No.
Justification
1) Railpros invoices for flagger&observer for 24"&30"bores from Salt Lick side
2)Inland Geodetics invoices for track monitoring for 24"&30" bores from Salt Lick side
3)Add 18"gate valve with Poster adapter at tie in of new 16"WL to existing 18"WL at Salt Lick side
SUMMARY Amount %Change
Origins!Contract Price:
$3,549,994.41
Previous Quantity Adjustment(s):
This Quantity Adjustment: $0.00
Total Quantity Adjustment(s): _$0.00
Total Contract Price with Quantity Adjustment(s): t $3,549,994.40
Previous Change Order(s): $86,069.00 2%
This Change Order: $100,367.00 3%
Total Change Order(s)To Date: $186,436.00 50/0
Adjusted Contract Price (Original Contract Price Plus
Quantity Adjustment(s)Plus Change Order(s)]:
$3,736,430,40
Difference between Original and Adjusted Contract Prices: $186,436.00
Original Contract Time: - 242
Time Adjustment by previous Quan.Adj./Change Order: 20
Time Adjustment by this Quan.Adj./Change Order: 31
New Contract Time: 293
Submitted for Approval
Prepared By: 'SILL AM44 t 6R., P/4 CAWZO i —/7—/?
Signature Printed Name,Title, Company Date
Approvals
Contractor:
City Project Signature Printed Name,Title,Company Date
Manager: 13 6-17 -11
Signa re Printed Name,True Date
Mayor/City
Manager t 001 0- - -•Il -lei
Sig torePrinted Na e,Title Date
Page 2 of 3
Contract Quantity Adjustment/Change Order
rev Qsi6
Project Name: Harrell Pkwy&Brushy Creek Plant Road
Quart.Adj./Change Order No.: 2
Change order Data
Contract
Time
Adjustment
Item# Item Description Unit Qty. Unit Price Amount (Davs)
1 Railpros Inv. #CC1244991904 LS 1 $6,706.00
$6,706.00 4
2 Railpros Inv. #CC1244991905 LS 1
3 Railpros Inv, #CCR1904, 5-13-19 LS 1 $16,800.00 $16,804.00 8
$26,675.00 $26,675.00 10
4 Railpros Inv. #CCR1945,5-29-19 LS 1
$23,450.40 $23,450.00 9
5 Inland Geodetics Inv. #2342,4-3-19 LS 1 $876.44
6 Inland Geodetics Inv. #2355,4-26-19 LS 1 $462 00 0
$3,462.44 $3,462.00 0
7 Inland Geodetics Inv. #2384, 6-7-19 LS 1 $4,791.00 $4,791.00 0
8 Add 18"gate valve with Foster adapter LS 1 $17,607.00 $17,647.00 0
$0.00
$0.00
$0.40
$0.00
$0.00
$0.00
$0.00
$0.00
$0.44
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Page 3 of 3
Contract Quantity Adjustment/Change Order
ROS,
mv,ou16
Project Name: Harrell Pkwy&Brushy Creek Plant Road
Quan. Adj./Change Order No.: 2
Quantity Adjustment Data
Contract
Time
Bid Item# Item Description Unit Qty. nit Price Amount
Adjustment
t
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
50.00
$0.00
$0.00
$0.00
$0.00
$0.00
I $0.00
S0.001 0
RAILPROS 12449
o412sr201 s
V° t - t t .: E." t=om: V i <_r t.- ;h-; CC 124491904
I N V 0 1 C E
SERVICES PROVIDED TO:
Rai(Pros invoice# CCI 24491904 Chasco Constructors
Invoice Date 04/26/20319
RP Task Order No. 12449
PO# 18132
Terms Due on Receipt
Location Round Rock TX
Resod Services from 4/1/2019 through 4/26/2019
Description Quantify Rate Amount
RWIC Perkins,Timothy
Regular(Days) 5 998.40 4,990.00
Overtime 13 132.00 1,716.00
PLEASE PAY THIS AMOUNT>> Balance Due 6,706.00
Please remit payment to: RailPros Field Services, Inc.
1705 W. Northwest Hwy. Suite 150
Grapevine, TX 76051
Phone: 682-223-6897
Pax: 866.762-7619
Email: accounting.fs@railpros.com
Aging Summary
Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120
CC124491903 04.1/10/2019 2,994.00 2,994.00
00124491944 04/26/2019 6,706.010 6,706.00
Total 9,700.00 9,700.00 0.00 4.00 0.00 0.00
6 W-46/- 0//0
12449
.0!.�'�RAILPROS 06fO4/2019
..... i_- 3� 'V i c.�_ L- i-, CGI 24491905
1 N V 0 1 C E
SERVICES PROVIDED TO:
RaiiPros Invoice# CC124491905 Chasco Constructors
Invoice Date 06/04/2019 PO Sox 1057
RP Task Order No, 12449 Round Rock,TX 78660
PO# 18132
Terns Due on Receipt
Location Round Rock TX
Period Services from 4/27/2019 through 5131/2919
Description Quantity Rate Amount
KWIC LOPEZ SENIOR,SAMUEL
Regular(Days) 12 998.00 11,976.00
Overtime 27 132.00 3,564.00
Night I Weekends 1 1,260.00 1,260.{}0
PLEASE PAY THIS AMOUNT>> Balance Due 16,800.00
Please remit payment to: RailProS Field Services. Inc.
1705 W. Northwest Hwy. Suite 150
Grapevine,TX 76051
Phone: 652-223-6897
Pax: 866-762-7519
Email: accounting.fs@)ra1lpros.com
Aging Summary
Invoice Number Invoice Date Outstanding Current Over 30 Over 60 Over 90 Over 120
CC124491904 04/26/2019 6,706.00 6,706.00
CC124491905 06/04/2019 16,800.00 16,800.00
Total 23,506.00 16,800.00 6,706.00 0.00 0.00 0.00
Statement
RailPros Field Services, Inc.
1705 W Northwest Hwy Suite 150
Grapevine,TX 76051
Chasco Constructors Statement date:6114/2019
PO Box 1057
Round Rock,TX 78680
Invoice Number Invoice Date Amount
Chasco Constructors
1244912449
CC124491904 4126/2019 6,706.00
CC124491905 6/4/2019 16,800.00
Project Outstanding 23,506.00
U3070-91 P1 Chasco Constructors-Round Rock TX
CCR1904 5/13/2019 26,675.00
CCR1905 5129/2019 23,450.00
Project Outstanding 50,125.00
Client Outstanding 73,631.00
Chasco Constructors
Outstanding Current 31-60 Days 61-90 Days 91-120 Days 121+Days Prepayment
73,631.00 40,250.00 33,381.00 0.00 0.00 0.00 000
Inland Geodetics LLC Invoice
1504 Chisholm Trail Rd. 2342
Ste: 103
Round Rock, Tx. 78681 GEODETICS 4/3/2019
Plione# 512-238-1200
Fax# 512-238-1251
TBPLS Firm No. 10059 100
Bill To
Chasco Constr-Lictors
PO Box 1057
Round Rock,Tx. 78680
Description {quantity Rate Amount
[US 79 Harrell Nirkway Turn Lane-Cross Highway Utility Bores,
SuR,-e.ying Suivices through March 31,2019
Project Setup
1Z.P.L.S. 2 135.00 270.00
Technician 3 102.00 306.00
2) Person Crew 2150.00 300.00
Thook You For Your Bushim,q! Balance Due $876.00
Total $876.00
1111cauld Geodetics LLC Ir'll v 0[1
1504 Chisholm Tr6ail Rcl, 2355
Ste: 103
Round R.ock' Tx. 78681 F., 0) 4/26/2019
Phone It 512-238-1200
Fax # 512-238-1251
T13PLS Firm No. 10059100
Bill To
Ch'ISCO C011SU'LICtOlS
PO Box 1057
Round Rock,Tx. 78680 � � . }� ;�i
Description
x._ J _.
F Quantity P%at C. AmOUnt
LIS, 79 U1,11.1'eff Pai-hway Tuna Lane-Cross HfajjAvay Utility
Surveying Services throtwh April 21,2019
13�5 4-1
r .00
Technician 3
102,00
Person cr"-W
3.Person Crew 4.5 170.00 765.00
Balance Due
Thank You For Your Busill"s!
11
Total S-31,462.00
.........
Inland Geodetics LLC Invoice
1504 Chisholm Trail Rd. A 2384
Ste: 103
Round Rock, Tx. 78681 G E 0 E T I'�,»S 6/7/2019
.Phone 512-238-1200
Fax# 512-238-1251
TBPLS Finn No. 10059100
Bili To
Chasco Constructors
PO Box 1057
Pound Rock, Tx. 78680
Description Quantity Rate Amount
US 79 Harrell Parkway Turn Lane-Cross Highway Utility Bores
Saurveyim,Sem ices throe-h June 2,2019
Project Manager 1 140.00 140.00
R.P.L.S. 3 135.40 405.00
Technician 6.5 102.00 663.00
Clerical Support 1 58.00 58.00
'Person Crew150.003,525.00
5.40
Thank You For Your Business? Balance Due $4,791.00
Total 54.7101.00
Pf"). Box. 1057
Round Rock, 1'X 78680
Tel: 512-2144-0600
CONSTRUCTORS Toll free: 1-8-5.5-441-4109
Fa,x: 5 12)-.244-0489
mail(chast:o,com
Harrell Pkwy 5/22/2019
Change Proposal 02-Add 18"gate valve to existing 18"waterline at 16"tie in
Item
# description -- UOM Qty unit price subtotal
I Add 18"gate valve at existing 18"waterline EA 1 $17,175.00 $17,175.00
subtotal $17,175.00
1%insurance $171.75
$17,346.75
1.5%Bond $260.20
total $17,606.95
AIM bRA,AN SOCIEn Of
CO\'CRr-TF CON"MAM"
CERTIFICATE OF INTERESTED PARTIES
FORM 1.295
1 of 1
Complete Nos.1-4 and 6 if there are Interested parties. OFFICE USE ONLY
Complete Nos,1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number,
of business. 2019-506999
Chasco Constructors
r
Round Rock,TX United States Date Filed:
2 Name of governmental entity or stateagency that is a party to the contract for which the form is
06/19/2019
being filed.
City of Round Rock,Texas Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
18132
Railpros invoices for flagger&observer and Inland Geodetics for track monitoring and add 18"gate valve w/Foster adapter at tie
in of new 16"WL for 24"&30"bores from Salt Lick side
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Chuck,Glace Round Rock,TX United States X
Charles,King Round Rock,TX United States X
f
i
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
My name is
1�ti'`l 1
My address is
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in ( + G�3 J County, State of ,on the/�_aay of`� "''X,,20
......
(month) (year)
4c/o
Sign Are of author�(Declarant)ed agent of contracting business entity
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.391`8039c
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
10f1
Complete Nos. 1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos. 1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2019-506999
Chasco Constructors
Round Rock,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 06/19/2019
being filed.
City of Round Rock,Texas Date Acknowledged:
06/27/2019
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
18132
Railpros invoices for flagger&observer and Inland Geodetics for track monitoring and add 18"gate valve w/Foster adapter at tie
in of new 16"WL for 24"&30" bores from Salt Lick side
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Chuck, Glace Round Rock, TX United States X
Charles, King Round Rock, TX United States X
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATION
My name is and my date of birth is
My address is
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in County, State of on the day of ,20
(month) (year)
Signature of authorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.39f8039c