Contract - G. Hyatt - 10/22/2020 Page 1 of 3
Contract Quantity Adjustment/Change Order
mv,06/12
Department: Transportation Department
Project City of Round Rock-Streetscapes
Name: Improvements Date: 9/24/20
City Project Change Order/Quantity
ID Number Adjustment No. 6
Justification Vewr 7,N IWA raw Trai I -7 12do5b.5 IPTI
1. Change Proposal #23: Power for landscape controls: $1580.70
2. Change Proposal # 24: Credit for Dumor benches and torten bridge: ($13,500)
3. Change Proposal # 25: Masonry repairs to staircase outside City hall: $891
4. Change Proposal # 26: Colored concrete curb in Parklet E: $1826.55
SUMMARY Amount _ %Change
Original Contract Price: $2,390,391.58
Previous Quantity Adjustment(s): $144,343.72
This Quantity Adjustment: -$13,500.00
Total Quantity Adjustment(s): $130,843.72
Total Contract Price with Quantity Adjustment(s): $2,521,235.30
Previous Change Order(s): $23,025.11 0.01
This Change Order: $54,663.49 0.02
Total Change Order(s)To Date: $77,688.60 0.03
Adjusted Contract Price (Original Contract Price Plus
Quantity Adjustment(s)Plus Change Order(s)]: $2,598,923.90
Difference between Original and Adjusted Contract Prices: $208,532.32
Original Contract Time: 275
Time Adjustment by previous Quan.Adj./Change Order: 32
Time Adjustment by this Quan.Adj./Change Order: 43
New Contract Time: 350
Submitted for Approval
Prepared By:
Signature Printed Name,Title,Company Date
Approvals
Contractor: Justin Hyatt, President,G. Hyatt Construction, Inc. 9/24/20
Printed Name,Title,Company Date
City Project
Manager: \ Lc')
Sig ture Printed Name,Title I Date
Mayor/City
Manager 41V
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Sign ture Printed Ndne,Title V Date
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Page 2 of 3 j
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Contract Quantity Adjustment/Change Order
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rev,08/12
Project Name: City of Round Rock- Streetscapes Improvements j
Quan. Adj./Change Order No.: 6
Change Order Data
Contract
Time
Adjustment
Item # Item Description Unit Qty. Unit Price Amount (Davs)
1
Change Proposal # 23 LS 1 1 580.70
g p $ , $1,580.70 0 j
$0.00 0 i
2 Change Proposal # 25 LS 1 $891.00 $891.00 0
3 Change Proposal # 26 LS 1 $1,826.55 $1,826.55 0
4 Change Proposal # 27 LS 1 $7,541.00 $7,541.00 5
5 Change Proposal # 28 LS 1 $2,750.96 $2,750.96 0
6 Change Proposal # 29 LS 1 $11,733.96 $11,733.96 10
7 Change Proposal # 30 LS 1 $1,683.96 $1,683.96 0
8 Change Proposal # 31 LS 1 $20,740.36 $20,740.36 28
9 Change Proposal # 32 LS 1 $5,915.00 $5,915.00 0
$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
g $0.00
4 rWWW..
TOTALS: $54663.49 43
Page 3 of 3
Contract Quantity Adjustment/Change Order
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rev,08112
Project Name: City of Round Rock-Streetscapes Improvements
Quan.Adj./Change Order No.: 6
Quantity Adjustment Data
Contract
Time
Adjustment
Bid Item # Item Description Unit Qty. Unit Price Amount
$0.00 0
1.37 Dumor Benches EA 8 -$1,500.00 -$12,000.00 0
$0.000
$0.000
$0.000
$0.00 0
$0.00 0
$0.000
$0.00 0
$0.00 0
1.36 Corten Plate Bridge EA 1 -$1,500.00 -$1,500.0010
$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
TOTALS: - 13 500.00 0
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
l of l
Complete Nos.l-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. 2020-680047
G Hyatt Construction,Inc.
Leander,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 10/19/2020
being filed.
City of Round Rock 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.
Downtown Round Rock Streetscap
General Construction Services
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling intermediary
Hyatt,Justin Leander,TX United States X
5 Check only if there is NO Interested Party.
6 UNSWORN DECLARATION
My name is "a'n and my date of birth is
My address is , p / l ��yss (Er✓ ( / 05
(street) (city) (state) (zip code) (country)
I declare under penal of per' that the foregoing is true and correct. �y
Executed in ff( 'f County, State of on the ay of D 2?-JL
(month) (year)
Signatureof u ;
t of c tracti business entity
rant)
Forms provided by Texas Ethics Commission www.ethics.state. .us Version V1.1.3a6aaf7d
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