Contract - Cruz Tec, Inc. - 6/23/2022 Page I of 4
Contract Quantity Adjustment/Change Order
ROUND ROCK 1 i
rev.01/16
Department: Utilities and Environmental Services
Project
Name: South Interceptor Wastewater Manhole Rehabilitation Date: 10/6/21
City Project Change Order/Quantity
ID Number REGSI Adjustment No. 1
Vendor Cruz Tec, Inc. 12210 Ann Lane, Houston,Texas 77064 281-469-2888
Company Name Address Phone No.
Justification
A change order was necessary due to epoxy procurement issues and production delays,thus, an alternative material coating product was
chosen.
SUMMARY Amount %Change
Original Contract Price: $784,527.00
Previous Quantity Adjustment(s): $0.00
This Quantity Adjustment: -$133,050.00
Total Quantity Adjustment(s): -$133,050.00
Total Contract Price with Quantity Adjustment(s): $651,477.00
Previous Change Order(s): $0.00 0%
This Change Order: $113,400.00 17%
Total Change Order(s)To Date: $113,400.00 17%
Adjusted Contract Price (Original Contract Price Plus
Quantity Adjustment(s)Plus Change Order(s)]: $764,877.00
Difference between Original and Adjusted Contract Prices: -$19,650.00
Original Contract Time: 160
Time Adjustment by previous Quan.Adj./Change Order: 0
Time Adjustment by this Quan. Adj./Change Order: 0
New Contract Time: 160
Prepared By: Kaitlyn Saucedo 10/6/21
a re Printed Name,Title, Company Date
Contractor Jennifer Soliz Corporate Secretary Cruz Tec, Inc. 10/8/2021
i n ture Printed Name, Title,Company Date
City ProjectL==nk ii
Manager: (kC 0 Z 1
s r Printed Na e,Title Date
Mayor/City
Manager [D e
Sign ure Printed N ,Title Date
()ag, 0212,
Page 2 of 4
Contract Quantity Adjustment/Change Order
ROUND ROCK I1 xa•,
rev,01/16
Project Name: South Interceptor Wastewater Manhole Rehabilitation
Quan. Adj./Change Order No.: 1
Change Order Data
Contract
Time
Adjustment
Item # Item Description Unit Qty. Unit Price Amount (Days)
CO-1 Change Coating Material in Bid Item 10 & VF 305 $260.00 $79,300.00 0
12 for 48-inch Manholes to GeoCast
CO-1 Change Coating Material in Bid Item 11 & VF 110 $310.00 $34,100.00 0
13 for 60-inch Manholes to GeoCast
$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: $113,400.00 0
Page 3 of 4
Contract Quantity Adjustment/Change Order
ROUND ROCK k rxAS
rev,01/16
Project Name: South Interceptor Wastewater Manhole Rehabilitation
Quan. Adj./Change Order No.: 1
Quantity Adjustment Data
EM
Contract
Time
Adjustment
Bid Item # Item Description Unit Qty. Unit Price Amount
Furnish All Materials, Equipment,Tools&
10 Labor Necessary for Corrosion Resistant VF 305 $135.00 $41,175.00 0
Lining for Concrete Manholes(48-inch
Diameter) per Technical Specifications
Furnish All Materials, Equipment,Tools&
11 Labor Necessary for Corrosion Resistant VF 110 $175.00 -$19,250.00 0
Lining for Concrete Manholes(60-inch
Diameter) per Technical Specifications
Furnish All Materials, Equipment, Tools&
12 Labor Necessary for Cementitious VF 305 $175.00 -$53,375.00 0
Manhole Coating (48-inch Diameter) per
Technical Specifications
Furnish All Materials, Equipment, Tools&
13 Labor Necessary for Cementitious VF 110 $175.00 -$19,250.00 0
Manhole Coating (60-inch Diameter) per
Technical Specifications
$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
Page 4 of 4
Contract Quantity Adjustment/Change Order
ROUND ROCK I f.%AS
rev,01/16
r.t
TOTALS: -$133,0 0.00 0