Contract - JD Abram - 11/18/2021 Page I of 3
RWNO RO«fF%AS Contract Quantity Adjustment/Change Order
rev,01/16
Department: TrQ��LiO� rvf I Vh
Project
Name: UNIVERSITY BLVD EXPANSION Date: I�
City Project Change Order/Quantity
ID Number Adjustment No. 1
Vendor 3. D.ABRAMS L.P. 5811 Trade Center, Bldg 1,Austin TX 78744 512-322-4000
Company Name Address Phone No.
Justification
Traffic Signal revisions and added bid items.Correcting pavement marking bid items.Adding item for off-duty law enforcement for traffic safety
during lane closures.Additional need for erosion control fence identified on site.
SUMMARY Amount % Change
Original Contract Price: 1 $11,104,890.47
Previous Quantity Adjustment(s): $0.00 .
1 i fi�e k t`
This Quantity Adjustment: $14,469.34 , +,
Total Quantity Adjustment(s): -$14,469.34
Total Contract Price with Quantity Adjustment(s): $11,090,421.13
Previous Change Order(s): $0.00 0%
This Change Order: $177,851.13 2%
Total Change Order(s)To Date: $177,851.13 2%
Adjusted Contract Price [Original Contract Price Plus
Quantity Adjustment(s)Plus Change Order(s)]: $11,268,272 26 "(i
Difference between Original and Adjusted Contract Prices: $163,381.79
Original Contract Time:
Time Adjustment by previous Quan.Adj./Change Order:
Time Adjustment by this Quan.Adj./Change Order:
New Contract Time: 0
'SwbnftW for Approval
Prepared By: Jacob Woehr, Project Manager, J. D. Abrams, LP 10/14/2021
Signature Printed Name,Title,Company Date
Q� Approvals
Contractor: Steven Zbranek, VP of Operations, J.D. Abrams, L.P. 10/14/2021
Signature Printed Name,Title,Company Date
City Projec" �� �C� ' (� ��� c ! .L �l" 1�( O
Manager• �� Q JCYItLI`2,G W( c an Q�E.(- ( 11S 1 7za
igXure Printed Name,Title J Date
Mayor/City cY
Manager 3
?=I-
-sioAat6re Printed Name,Title Date
R-2021� 30q
Page 2 of 3
NORr'X4 Contract Quantity Adjustment/Change Order
ev,01/16
Project Name: UNIVERSITY BLVD EXPANSION
Quan.Adj./Change Order No.: 1
Change Order Data
Contract
Time
Adjustment
Item # Item Description Unit Qty. Unit Price Amount (Days)
0624-6008 GROUND BOX TYPE C W/APRON EA 28.00 $1,540.00 $43,120.00
0680-6004 REMOVING TRAFFIC SIGNALS EA 2.00 $4,162.50 $8,325.00
INS TRF SIG PL AM (S) 1 ARM(55') LUM
0686-6060 &ILSN EA 2.00 $27,390.00 $54,780.00
REFL PAV MRK TY I(Y)4"
0666-6126 (SLD)(100MIL) LF 37,832.00 $0.39 $14,754.48
REFL PAV MRK TY I(W)4"
0666-6012 (SLD)(100MIL) LF 36,830.00 $0.44 $16,205.20
0620-6009 ELEC CONDR-NO. 6 BARE LF 363.00 $1.65 $598.95
0624-6002 GROUND BOX TYP A(122311)W/APRON EA 4.00 $990.00 $3,960.00
0628-6002 REMOVE ELEC SERVICES EA 1.00 $357.50 $357.50
ELC SRV TY D 120/240 070-NS-AL-E-TP-
0628-6167 0 EA 1.00 $4,950.00 $4,950.00
9606-6053 LAW ENFORCEMENT PERSONNEL DOL 30,800.00 $1.00 $30,800.00
$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: 1 , .1
Page 3 of 3
Contract Quantity Adjustment/Change Order
ROUND ROQt tkXTS
rev,01/16
Project Name: UNIVERSITY BLVD EXPANSION
Quan. Adj./Change Order No.: 1
Quantity Adjustment Data
Contract
Time
Adjustment
Bid Item # Item Description Unit Qty. Unit Price Amount fnavci
0666-6140 REFL PAV MRK TY I(Y)12"(SLD)(090MIL) LF (37,478.00) $0.39 -$14,616.42
REFL PAV MRK TY I
0666-6008 (W)4"(LNDP)(090MIL) LF (36,830.00) $0.44 -$16,205.20
0618-6046 CONDT(PVC) (SCH 80)(2 IN) LF 247.00 $10.50 $2,593.50
0618-6047 CONDT(PVC) (SCH 80)(2 IN)(BORE) LF 186.00 $26.25 $4,882.50
0620-6007 ELEC CONDR(NO. 8) BARE LF 105.00 $1.58 $165.90
0620-6008 ELEC CONDR(NO. 8)INSULATED LF (192.00) $1.26 -$241.92
0620-6010 ELEC CONDR(NO. 6)INSULATED LF 622.00 $3.15 $1,959.30
0506-6038 TEMP SEDMT CONT FENCE(INSTALL) LF 1,332.00 $5.25 $6,993.00
$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
TOTAL : 14 469.34 0
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
t �rl t
G.nnplew Nos.1-4 taxl 6 it there are interested parties. OFFICE USE ONLY
Complew Nos.1,2,3,b,and 6 it there are no intereste(I parue`` 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. 2021-18!)094
J.D.Abrams L. P.
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 (Idf(!21?OJI
being filed.
City of Round Rods Transportation Department 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 tinder the contract.
Kenney Fort Blvd-Seg 2&3
Furnishing all labor,materials and equipment and perfortrling all work required for the ConsbA d on of K(quiey I ott Blvd Segrnentc;
2 and 3
el Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling I internteriiav
Gallaghei,Kelly Austin,TX United States X
Fernandez,Alfonso Austin, TX United States X
Everett,Brad Austin, TX united States X
Abrams,Jon Austin,TX United States X
5 Check only if there is NO Interested Party. Q
6 UNSWORN DECLARATION
My name is 14,t _. and my date of birth is
My address is J� .{sltraJit) f , � UI
(-dty) (state) (zipccxfe) (ctww
I declare under pena-llt'yy(A perjury
that the foregoing is true and correct.Executed it) ! F I Try i� County, State of X AS__ on the 3 Y ay of 20 2— .
(m- (year)
l
{)nature of autl r: ell agent of contract business entity
{Oetclar.mt}
I orris provided by Texas Ethics Commission vMv.e(hics.StaIe.tx.US Version V1.Lc.cffd98;1
CERTIFICATE OF INTERESTED PARTIES FORM 1295
10fl
Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 it 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. 2021-817619
J.D.Abrams,LP
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 10/27/2021
being filed.
City of Round Rock Transportation Department Date Acknowledged:
10128/2021
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.
000000 University Blvd C0#1
University Blvd QA1CO#1
— Nature of interest
4 Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Gallagher,Kelly Austin,TX United States X
Everett,Brad Austin,TX United States X
Fernandez,Alfonso Austin,TX United States X
Abrams,Jon Austin,TX United States X
5 Check only if there Is NO Interested Party. El
6 UNSWORN DECLARATION
My name is and my date of birth is
My address is
(street) (city) (state) (lip 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
(DLdarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.191b5cdc