CM-2023-214 - 9/22/2023Page I of 3
,No.o,�k�•, Contract Quantity Adjustment/Change Order
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Department: City of Round Rock
Project
Name: 2022 Downtown Street Maintenance Program Date: 9/8/23
City Project Change Order/Quantity
ID Number 23-401 Adjustment No. i
Vendor Bennett Paving, Inc. P.O. Box 2309, Leander, TX 78646 _ _ (512) 740-8603
Company Name Address Phone No.
Justification
Additional sidewalk, curb and gutter were required based on field conditions. Additional striping was added to the
intersection of Georgetown St and Main St. Blue pavement markers, placed at fire hydrant locations, were not
included in the original bid form.
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 Anoroval
Amount % Change
$3,543,440.05
$0.00
$37,741.10
$37,741.10
$3,581,181.15
$0.00 0%
$399.00 0%
$399.00 0%
$3, 581, 580.15
$38,140.10
9/9/2023 Completion date
0
0
0
Prepared By: Adam_Ouda, Office Assistant, Bennett Paving, Inc, 9/8/23
Signature Printed Name, Title, Company Date
Approvals
Contractor: Bryan Bennett, President, Bennett Pavin% Inc. 9/8/23
Signature Printed Name, Title, Company Date
City Project
Manager: = Matt Bushak, P.E., Transportation Engineer 9/12/23
ignature ranted Name, Title Date
Mayor/Ci
Manager ,�ri�,e r 1$1NS
Sign ture Printed Name, Title Date
��,�• �0�-3- a-r� f-
Page 2 of 3
Contract Quantity Adjustment/Change Order
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Project Name: 2022 Downtown Street Maintenance Program
Quan. Adj./Change Order No.:
Change Order Data
Item #
Item Description
p
Unit
Qty.
Unit Price
Amount
Contract
Time
Adjustment
Da s
24
REFL PAV MRKR TY II -BB
EA
57
$7.00
$399.00
0
$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:
399.00
0
Page 3 of 3
Contract Quantity Adjustment/Change Order
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- .. -,
Project Name: 2022 Downtown Street Maintenance Program
Quan. Adj./Change Order No.
Quantity Adjustment Data
Bid Item #
Item Description
Unit
Qty.
Unit Price
Amount
Contract
Time
Adjustment
Inaurl
2
Remove and Replace Conc Curb and
Gutter
LF
204
$65.00
$13,260.00
0
3
Remove and Replace Conc Sidewalk
SF
643
$31.00
$19,933.00
0
11
REFL PAV MRK TY I (W)6"(BRK)(100 MIL)
LF
20
$0.96
$19.20
0
12
REFL PAV MRKR TY I-C
EA
33
$5.85
$193.05
0
13
REFL PAV MRK TY I (Y)6"(SLD)(100 MIL)
LF
495
$0.91
$450.45
0
14
REFL PAV MRK TY I (Y)6"(BRK)(100 MIL)
LF
55
$0.96
$52.80
0
15
REFL PAV MRKR TY II -A -A
EA
111
$4.40
$488.40
0
16
REFL PAV MRK TY I (W)8"(SLD)(100 MIL)
LF
212
$2.85
$604.20
0
17
REFL PAV MRK TY I (W)12"(SLD)(100
MIL)
LF
250
$4.50
$1,125.00
0
18
REFL PAV MRK TY I (Y)12"(SLD)(100
MIL)
LF
170
$5.00
$850.00
0
20
REFL PAV MRK TY I (W)(ARROW)(100
MIL)
EA
1
$165.00
$165.00
0
21
REFL PAV MRK TY I (W)(WORD
"ONLY")(100 MIL)
EA
3
$200.00
$600.00
0
$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:
$37,741.101
0