Contract - Thalle Construction - 5/27/2021Page 1 of 2
Contract Quantity Adjustment/Change order
F
a�arUNO ROCK rExAS
rev, 01/ 16
Department:
Project
Name: Brushy Creek Regional Wastewater System — East Plant Date: 5/4/21
City Project Change Order/Quantity
ID Number R-2020-0090 Adjustment No. CO-01
Vendor Thalle Construction Company 900 NC 86 North, Hillsborough, NC 27278
Company Name Address Phone No.
3ustification
Optional Deduct Items removed from the project after design.
Unforseen conditions related to Industrial type doors, stainless steel plate at primary treatment unit, unknown conflict for communication fiber
at East electrical building and Main power transformer pads requirements added by Oncor.
Unknown buried utilities resulting in additional work for removal and shoring for impacted construction sequencing.
Switching from low bidder for instrumentation equipment to match existing equipment.
Refurbishment of existing BFP equipment to include additional work.
SUMMARY
Amount % Change
Original Bid Price:
$1071351,712.60
Previous Quantity Adjustment(s):
This Quantity Adjustment:
Total Quantity Adjustment(s):
Total Contract Price with Quantity Adjustment(s):
$1071351,712.6
Previous Change Order(s):
$0.00 0%
This Change Order:
$615,302.02 0.6%
Total Change Order(s) To Date:
$615,302.02 0.6%
Adjusted Contract Price [Original Contract Price Plus
Quantity Adjustment(s) Plus Change Order(s)]:
$107,967,014.62
Difference between Original and Adjusted Contract Prices:
$615,302.02
Original Contract Time: 975
Time Adjustment by previous Quan. Adj./Change Order: 57
Time Adjustment by this Quan. Adj./Change Order:
New Contract Time: 1032
Submitted for ApPva
Prepared By: �j..
Sign& re Printed Nam , Title, ompany Date
Approval
Contractor: c06 4�1 0.5 • Z. Zs1
Signatur Printed Name, Title, Company Date
City Project f '
Manager: Lj� � -�) �
Signat Printed Name, Title Date
Mayor/City I MManager 1M'2ma SignaturPrinteame, Tit Date
��1���
Page 2 of 2
Project Name: Brushy Creek Regional Wastewater System —East Plant
Quan. Adj./Change Order No.: CO-01
Chance Order Data
Item #
Item Description
Unit
Qty.
Unit Price
Amount
Contract
Time
Adjustment
PCM-005
Alternative Analytical Instruments
Manufacturer
1
1
$520734.36
$52,734.36
0
PCM-007
Modifications to Alum. chemical feed
1
1
$5,254.06
$5,254.06
0
PCM-009
PTU Dumpster Track Plate Material
1
1
$17,867.94
$17,867.94
0
PCM -013
Hurricane rated doors vs Torrnado rated
1
1
$35,126.00
$35,126.00
0
PCM-014
Plant NPW Pumps to Remain
1
1
$2,496.63
$2,496.63
PCM-015
Fiber Optic Re -Route at East Electrical
Building
1
1
$13,455.86
$13,455.86
0
PCM-016
Oncor Transformer Pad Piers Addition
1
1
$10,538.35
$10,538.35
1
PCM-023
Additional Walls at AB 1 & 2
1
1
$7,687.22
$7,687.22
1
PCM-025
Flow Meter Manufacturer Change
1
1
$1,685.67
$1,685.67
0
PCM-026
AB3 - Removal of Duct Banks
1
1
$15,000.00
$15,000.00
30
PCM-027
NPW Yard Piping at Se to a Station
1
1
5 331.65
$5,331.65
1
CMR-2
Electrical & Comms Relocation
1
1
$13,455.86
$13,455.86
0
CMR-4
PTU Pier Casing
1
1
$55,610.17
$55,610.17
10
CMR-6
Additional Conduits per RFI 18
1
1
$9,867.93
$9,867.93
7
CMR-7
Electrical assitance to Plant staff
1
1
$1,241.30
$1,241.30
0
CMR-8
Existing Duct Exploration
1
1
$2,668.98
$2,668.98
0
CMR-9
Belt Filter Refurbishment
1
1
$365,280.04
$365,280.04
0
'ABaed
CMR-10
Construction Days Due to Weather
February 2021
1
1
$0.00
$0.00
7
TOTALS:
$615.302
CERTIFICATE OF INTERESTED PARTIES FORM 1295
10fl
Complete Nos, 1 4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos, 1, 21 31 5, and 6 if there are no interested parties. CERTIFICATION OF FILING
i
Name of business entity filing form, and the city, state and country of the business entity's place Certificate Number:
of business. 2021-743976
Thalle Construction
Alvarado, 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 04/27/2021
being filed.
City of Round Rock Date Acknowledged:
04/27/2021
g
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.
000000
Change Order No. 1 regarding the Wastewater Treatment Plant Expansion Project
Nature of interest
4
Name of Interested Party
City, State, Country (place of business)
(check applicable)
Controlling
Intermediary
Thalle Construction Company Inc.
Alvarado, 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 �1
(street) (city) (state) (zip code) (country)
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 wwweth-ics.state,tx,us version vl.t.cenayua
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