CM-2023-268 - 11/3/2023�IQ T4l[!1s
—. 01l16
Department:
Project
Name: Lake Creek Wastewater Line Replacement Date: 2/23/23
Change Order/Quantity
LC1P1 Adjustment No. 2
Austin Underground, Inc. P. O. Box 5650 - Lago Vista, Texas 78645 (512) 535-3285
Company Name Address Phone No,
Contract Quantity Adjustment/ Change Order
City Project
1D Number
Vendor
Page 1 0173
UES
iustiflcation
Change Order/Quantity Adjustment No. 2 is for asphalt and sidewalk repair across and along Round Rock West Drive
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($):
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:
0
Amount %
$0.00
$0.00
$22,764.20 1%
$15,981.63 OMo
$38 745.83 1%
$3 629 915.83
$38,745.83
Valentin 1
Contractor: Gomez,lr. «. """'" Valentin Gomez, Project Manager,Austin Underground , Inc_.
Signature Printed Name, Title, Company Date
City Project
Manager:
nature
Mang er
ignature
_ Eddie Zapata, Senior Project Manager
Printed Name, Title
_ Laurie Hadlt�, City Manager
Printed Name, Title
Date
Date
I'Agc � Ol .1
Contract Quantity Adjustment/Change Order
fly. 4'J li
Project Name: Lake Creek Wastewater Line Replacement
Quan. Adj./Change Order No.
Chamne Order Data
Item A
Item Descri tion
Unit
Unit Price
Amount
Contract
Time
Adjustment
CO 2-1
Asphalt Repair
SY
42
$108.00
4 S36.00
CO 2-2
Sidewalk Replacement 4'
SY
5
$308.00
$1 540.00
CO 2-3
Sidewalk Replacement 5'
SY
6
$301.00
$1,806.00
CO 2-4
Curb and Gutter
LF
22
$98.00
2 156.00
CO 2-5
Asphalt M! ling
SY
34
$52.00
11,768.00
CO 2-6
VXlDinQ Double Yellow Thermoplastic
LF
10
$180.00
1800.00
CO 2.7
Trudtin
LS
1
$395.63
$395.63
CO 2-8
Traffic Controls
LS
1
1580.00
5.80.00
CO 2-9
Mobilize Paving Equipment
LS
1
$1,400.00
$1,400.00
TOTALS:
15 9a1.63
0
Fait i ui A
Po— Contract Quantity Adjustment/Change Order
.;... Ul i
Project Name: Lake Creek Wastewater Une Replacement
Quantity AdjustmentData
1 Iu
1 1 �