CM-2023-136 - 6/16/2023Page I of-3
-f-P 0--- 11 -
rev, 01r16
Department:
Project
Name:
City Project
ID Number
Contract Quantity Adjustment/Change Order
Parks and Recreation
100'x150' Synthetic Turf Conversion Project • - Date: 04.21.23
Change Order/Quantity
Buck Egger Park Adjustment No.
Vendor Act Global Americas Inc 4201 W. Parmer Ln. Austin TX, 78727
Company Name Address
Justification
Vew logo for synthetic turf field. Includes manufacturing and isntallation. Grand Total $7,945.69
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:
i
512.733.5300
Phone No.
Amount
% Change
$306,880.00
$0.00
$0.00
.
$0.00
$306,880.00
$0.00
0%
$7,945.00
3%
$7,945.00
3%
$314.825.00
$7,945.00
60
Time Adjustment by previous Quan. Adj./Change Order: 0
Time Adjustment by this Quan. Adj./Change Order: 1
New Contract Time:
Submitted for Approval
61
Prepared By: Allen Zacharczuk - Project Manager - Act Global 06.07.23
Signature Printed Name, Title, Company Date
Approvals
Contractor: 4&.i1, Allen Zacharczuk - Project Manager - Act Global 06.07.23
5ignatur Printed Name, Title, Company Date
City Project 1
Manager: #12tC1'2f}3#4L1t,4 . `f 17!E4ar0KEKC�auTiill't7?
Signat e Printed Name, Title Date ! t
Mayor/City (� L
Manager �� ��'ir I_"T� .�{`f,! J V ,
(94-2&2-&-/3(,
elll-
Page 2 ofjr
Contract Quantity Adjustment/Change Order
t OROCKN -
Project Name: 100'x150' Synthetic Turf Conversion Project
Quan. Adj./Change Order No.:
Chance Order Data
Item #
Item Description
Unit
Qty.
Unit Price
Amount
Contract
Time
Adjustment
(Days)
1
Turf field logo
ea
1
$7,945.00
$7,945.00
add 1
$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
TOTA
r
IROUND ROCK
x ,
City of Round Rock
Agenda Item Summary
Agenda Number:
Title: Conslder executing Quantity Adjustment/Change Order No.1 with Act Global
Americas, Inc. for the Buck Egger Park Synthetic Turf Conversion Project.
Type: Clty Manager Item
Governing Body: City Manager Approval
Agenda Date: 6/16/2023
Dept Director: Rick Atk:ns, Parks and Recreation Director
Cost: $7,945.00
Indexes: General Se f-financed Construction
Attachments: LAF - QA-CO#1 with Act Global Americas Inc. - Buck Egger Park Synthetic Turf
Conversion, Change Order_CO1 Buck Egger Act Global
Department: Parks & Recreation
Text of Legislative File CM-2023-136
New logo for synthetic turf field. Includes manufacturing and installation.
Cost. $7,945.00
Source of Funds: General Self -Financed Construction
City of Round Rock page I of I