CM-2023-270 - 11/10/2023Page I of 3
Contract Quantity Adjustment/Change Order
ROIINO RO[N
nv, 01116
Department: Utilities and Environmental Services
Project
Name: Chandler Branch and Dry Branch Channel Maintenance Improvements Date: 10/31/23
City Project Change Order/Quantity
ID Number CBDBM Adjustment No. 1
Vendor Patin Construction, I.LC _ _ 3800 W. 2nd St. Taylor TX 76574 _ 512-212-7214
Company Name Address Phone No.
Justification
This quantity adjustment is to adjust for the materials and labor that weren't used in the project.
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 Approimj
Amount
Change
0%
$0,00 0%
$0.00 0%
$603,155.00
-$41,084.00
120
0
0
120
Prepared By:
NB2h2G ,cQ
Noemi Avila, Engineering Associate, City of Round Rock 10/31/2023
Signature
Printed Name, Title, Company
Date
.
Apjprovals
Contractor:
Q�n�t D A % i — Pio
M/, Tu It,�n ,r{ • - r -
natu
Printed ame, Title, Company
Date
City Project
Manager:
� lJ �I /J
/lJBdMe, ,cIrW,9z,
Noemi Avila, Engineering Associate
10/31/2023
Sig re
Printed Name, Title
Date
Manager
Aut,�lp'2d
Signature U
Printed Name, Title
Ii Date
Contract Quantity Adjustment/Change Order
ROUNPROCKiL1Ul5
MV, 01115
Project Name: Chandler Branch and Dry Branch Channel Maintenance Improvements
Quan. Adj./Change Order No.:
Chanee Order Data
Page 2 of 3
Item #
Item Description
Unit
Qty.
Unit Price
Amount
Contract
Time
Adjustment
Davs)
$0.00
r7
0.00
0,00
0.00
0.00
$0.00
0.00
0.00
0.00
$0.00
$0.00
0.06
0.00
$0,00
0.00
$0.00
0.00
0.00
$0.00
0.00
0.00
$0.00
$0.05
$0.00
0.00
Page 3 of 3
Contract Quantity Adjustment/Change Order
t
RUCK Tex"
rev, 01116
Project Name; Chandler Branch and Dry Branch Channel Maintenance Improvements
Quan. Adj./Change Order No.
quantav
w ustment data
Bid Item #
Item Description
Unit
Qty.
Unit Price
Amount
Contract
Time
Adjustment
3
Cutting and Restoring Asphalt Pavement
(Parking Lot)
SY
-3--6
$30.00
$100.00
-$9,480.00
-$1,000.00
5
Rock Filter Dams (Install an Remove)
Type 3
LF
-10
12
Stabllized Canstructlon Entrance
EA
-1
$1,800.00
41,800.00
13
Retror ecto id Pavement Markings
(Parking Lot)
LF
-325
$20.00
-$6,500.00
27
Soil Retention Bla et 11, -ype C
SY
-100
_ 10.00
- 1,000.00
29
Stabl ized Constructlan Entrance
EA
-1
00
-$1,800.00
30
Erosion Control Log 18"
LF
-580
$8.00
-$4,640.00
31
Removing and Relocating Ex. 4' Chain n
Fence
LF
-25
$80.00
-$2,000.00
33
Safety enc ng
LF
5,00
- ,400. 0
37
Barricades, Signs, Traffic Handling
MO
-1
-247
$7,500.00
12.00
-$7,500'.00
-$2,964.00
AA1-7
Sodding for Erosion Control
TSY
$0.00
0.00
$0.00
s0.00
--�
$0.00,
$0.00
- --
$0.00
-
$0.00
..
$0.00
- --
50.00
$0.00
$0.00,
50.00
— -
$0.00
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