Contract - DeNucci Constructors - 8/12/2021Pagel of 3
Contract Quantity Adjustment/Change Order
1�71►N U Ft l) i. i� � +
mv, al/la
Department: Transportation
Project
Name: 13001.01 University Blvd Widening _ Date: 6/17/21
City Project Change Order/Quantity
ID Number 13001.01 Adjustment No. 4
Vendor DeNucci Constructors LLC 8310 Capital of TX Hwy N Ste 275 Austin TX 78731 512-335-0600
Company Name Address Phone No.
Justification
PER COP #7 (Attached) Luminary Poles and Fixtures added to DeNucci scope of work per REV 7.
Original Contract Price:
Previous Quantity Adjustment(s):
This Quantity Adjustment:
Total Quantity Adjustment(s):
Total Contract Price with Quantity Adjustment(s):
Previous Change Order(s):
This Change Order:
Total Change Order(s) To Date:
Adjusted Contract Price [Original Contract Price Plus Quantity
Adjustment(s) Plus Change Order(s)] :
Difference between Original and Adjusted Contract Prices:
Original Contract Time:
Time Adjustment by previous Quan. Adj./Change Order:
Time Adjustment by this Quan. Adj./Change Order:
New Contract Time:
Prepared By:
natu
is
Contract
i /J�
Signafure
City Project
Manager:
Signat e
Mayor/City
Manager
&/
Signat e
Amount % Change
$12,0281913,00
,'
$74,807.05M.
.� sY
s xf^ .
$0.00
$74,807.05
:i
$12,103,720.05?
$67,163.30 1 %
$135,927.77 1%
$203,091.07 2%
$12, 306, 811.12 i s
$277,898.12
760
14
10
784
Subm tted for Approval
Aaron DeNucci, Project Engineer, DeNucci Constructors LLC
Printed Name, Title, Company
Apprc►"Is
Aaron DeNucci, Project Engineer, DeNucci Constructors, LLC
Printed Name, Title
ill ej
Printed Name, Title
w-WA M02:n�IN, MAY-0�
Print d Name,
6/17/21
Date
6/17/21
Date
6-;22-21
Date
Date
*?, 00 20 2-t — ou (
Page 2 of 3
Contract Quantity Adjustment/Change Order
tfltUNt� t111C 11 ,a � .
rP.v, O 1/ 16
Project Name: 13001.01 University Blvd Widening
Quan. Adj./Change Order No.:
Chanae Order Data
Item #
Item Description
Unit
Qty.
Unit Price
Amount
Contract
Time
Adjustment
1
Per COP 07
LS
1
$135,927.77
$135,927.77
10
$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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTALS:
135, 27.77
1
Page 3 of 3
Contract Quantity Adjustment/+Change Order
ROUND Nc�ac r t •.
rev, 01/16
Project Name: 13001.01 University Blvd Widening
Quan. Adj./ChangeOrder No.: 4
Quantity Adjustment Data
Bid Item #
Item Description
Unit
Qty.
Unit Price
Amount
Contract
Time
Adjustment
$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
$0.001
_
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTALS:
0.00
0
CHANGE ORDER PROPOSAL
Contractor: DeNucci Constructors, LLCG
Project Name,-, 13001 - 01 University Blvd Widening
Change Order Proposal Number: 7 Date: 6/17/2021
1
Description:
Labor:
Material
SubcontractoreNendors:
Unit Pricing
Equipment:
(Material Backup Attached) (27) Luminary poles + ftxwres. (2) TY A etectrt services added to- DeNucds scope of work
��
[REV 7.
Position
Ouantiv RT Nr% C)T Wm_
RT Qatm nT aM&M
Util Foreman
75 �
g,q a MW ��
UfflityLead Man 1
169
$42-50
$63.75
noun"
$70182.50
O ota 2
16969
$24.00
$36,00
$8o 112.00
TS Tech 1
1
$2100
$34.50
$31887,00
Laborers 1
169
$20,00
$30.00
$39380.00
0
$0.100
$04,00
$0.00
0
$0,00
$0.00
$0.00
o
$0.00
$0.00
$0.00
Truck Driver 0
$0.00
$0.00
$0.00
buototal $316011.50
Descrintion Qunnf#v l lnit Data 704ftl
Per attached material invoice
1
LS
$56,1809-00
$0.00
$0.00
$0.00
$0.00
$0.00
5uD10181 *559me.00
Subtotal 50.E
Operating
Descrintion Qusanetu t 1nH C'Mt/[Uw FIawA Rate T.,*ei
Hj1gh:r:aanger Bucket Truck
185
HIR
$35.00
$6%475P00
Gooseneck Trailer
85
HR
$15.00
$19275,oOO
0
HR_
$0,00
$0.00
0
HR
$0.00
50.E
0
HR
$0.00
50.00
W
$0*00
biDWW1 :V 50.00
Labor
$31,011-50
Labor Burden
55%
$171056.33
Labor P 8 O
25%
$7,752,88
Material
$56e809.00
Material P 8 O
25%
$141202,25
Subcontractor
$0.00
Subcontractor P 8 O
25%
$0.00
Bid Item
$0.00
Equipment
$79750-00
Bond
1%
51,345.82
TOTAL
Boom*
$1351927.77
Additional days requested: 10
Inc.
1578 Wald Rd
New Braunfels, TX 78132
Phone (830) 608=0497
Fax (830) 6O8mO499
Tom's Mobile 210-844-2885
tom.,soltistmtechlinembi xom
Tracy"s Mobile 2104894867
tragy.-solfisQtechlineswinc- com
Nick's Mobile 85OW3354492
nicholas.!Laly@,techline,minc.com
Quoted To DeNucci Constructors, LLC
Date May 5, 2021
8310-1 Capitol of Texas Hwy STE 275
Control
Austin, TX 78731
Project
Highway
Attn: Aaron DeNucci
County
Protect: Citv of Round Rock University Blvd
item
r-Quantity
Catalog an or escr p onlUnitPriceIUIMPrice
6214
27
--- - -610
IN RD IL (TY SA) 40T-8 (250W EQ)
$1,913.0-- 0
E
$51,651900
LUMINAIRES INCLUDED IN ABOVE
626
6003
2
ELC SRV TY A 120/240(NS)AL(E)PS(U)
$2,579.00
E
$5158,000
TOTAL
$562809400
F.O.B. Point of Shipment, Terms: Net 30, Freight: Prepaid and ALLOWED
Unless otherwise stated, this quotation expires 30 days from the above date, All orders are subject
to approval by our credit department This proposal is offered as a complete package and any
deviations from the quantites listed could result in price adjustments and/or withdrawal of the entire proposal.
Techline, Inc. reserves the right to withdraw this quotation at any time prior to execution of a purchase order by both parties.
DeNucc, Round Rork University Biv d Rev 7 05052021 R1
CEI�TIFtCATE t�F ltttTERESTE[3 PARI'"iES FORM 129.------------------------------------ -------
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*: - 4 and 6 tY there are interested''"
parties. UF�ICE USE CINE�----
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1 Name of busines0-en#its filing farm, end the city, state and ccur�try of the business entity#s.p{act COI'Ate.rtCrNumber;
----
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of buslnesS. 2{ 21-771620
DeNUCCi GOnstructars, LL.0
Austin,. TX*United States Daze Filedk
2WAne o governmentaentItW orstate agency at a party to the contract ar wh ch t e form is ��+f��/2021
befir�g filed.
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Ito.Round Rock gate ackwled9sas
g PrVVlde-the ldentiiicat ott number used bylhoVovernmonta -,-------
l8ntitY*r:stat e agency Co tack or [denfliy the contract-nd:orov.dea
description of th0-SenViaes, goods5 ar other property to be provided unAert he contract.
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1300L01
university elvd'Raad Widening project QA/GO No.4
4 Natum.ofInt6rest
Name of lnterested Party-
.. C- - ------ --------------- -----------txy, State, Country {place of business} (check appllC�bl� )
CantrailIng in*te'.r'me.*.iary-------- M i NWW N1. W NN --- i M-MM1.0-p-11 --- 1.1pe"I.111-11m, M-UNNOMM- M ---- -- OMMMMUM - ------- W_ MR0000-- P-0
5 Check only Wthete.is NO Interested Rarty. n
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�xECUt@Cl 111 �kL�_�, �OUt11'�, SfBfB 0/KvA -,-- � Ot1 ��TB> QBj� of, , 2ii
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Forms provided*by"Texas.-Et,hics-Con.-mi-s--- s--- ton
www*.eth�es.,
.state.t�c.us VersionV1,17X
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8a
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
10fl
Complete Nos, 1 = 4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos. i, 21 39 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. 2021m771620
DeNucci Constructors, LLC
Austin, 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 06/28/2021
being filed.
City of Round Rock Date Acknowledged:
08/11/2021
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.
1300loOl
University Blvd Road Widening project QA/CO No.4
4 Name of Interested PartyCity,State
Country of business)
Nature of interest
a licable PP
Controlling -
Intermediary
5 Check only if there is NO Interested Party. X
6 UNSWORN DECLARATION
My name is ,and my date of birth is
My address is �1 ---9 � -- �9
(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 www,ethics.state,tx,us Version via.cettaq8a