Contract - Royal Vista, Inc - 4/28/2022Page I of 3
Contract Quantity Adjustment/Change Order
rev, 0l/16
Department:
Project
Name: Chisholm Valley Water, Wastewater, and Storm Drain Improvements Area 3 Date: 4/11/22
Change Order/Quantity
CVDAS Adjustment No. 2
Royal Vista, Inc. 350 Co Rd. 260, Liberty Hill, Tx, 78642 (512) 515-6824
Company Name Address Phone No.
City Project
ID Number
Vendor
Utilities and Environmental Services
lustification
Zepair four wastewater pipe joints externally on a 36-inch wastewater main and three manhole pipe seal penetration failures to reduce ground
eater infiltration into the wastewater system.
SUMMARY
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:
Submitted for Approval
i:tt
3
$0.00 0%
$250,000.00 12%
$250,000.00 12%
$2,284,702.90
$297,205.90
Prepared By: / � ��_ Christopher Perkins �� 12
5ignature Printed Name, Title, Company Date
Signature / Printed Name, Title, Company Dafe
City Project // , L cti �/ _ , '
M
Manager. i ,l.L� l6 � i .i f l /�� hC�/- In I Z
Mayor/City
Date
I_p2Z 0-E
Page 2 of 3
Contract Quantity Adjustment/Change Order
0N6
Project Name: Chisholm Valley Water, Wastewater, and Storm Drain Improvements Area 3
Quan. Adj./Change Order No.:
Change Order Data
Item Description
Unit
Qty.
Unit Price
Amount
Contract
Time
Adjustment
(Days)
Item #
30
1
Four point repairs and three manhole
pipe seal repairs.
TM
1
$250,000.00
$250,000.00
$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
$0.00
T TALS:
Page 3 of 3
Contract Quantity Adjustment/Change Order
rev, 01/16
Project Name: Chisholm Valley Water, Wastewater, and Storm Drain Improvements Area 3
Quan. Adj./Change Order No.: 2
Quantity Adjustment Data
Item Description
Contract
Time
Adjustment
¢bra
111a