CM-2024-145 - 5/17/2024Page I of 3
�/pr7� Contract Quantity Adjustment/Change Order
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Department: UES
Project
Name: Lake Creek Wastewater Line Replacement Date: 3/22/24
City Project Change Order/Quantity
ID Number LC1P1 Adjustment No. 3
Vendor Austin Underground, Inc. P. O. Box 56SO - Lago Vista, Texas 78645 512) 535-3285
Company Name Address Phone No.
Justification
-hange Order/Quantity Adjustment No. 3 is for the additional of a concrete turnaround, wastewater vents and a reduction to the revegetation.
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) Pius 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 Quart. Adj./Change Order:
New Contract Time:
240
0
360
600
$38,745.83 1 %
$15,179.03 0%
$53,924.86 2%
$3,587 877.36
-$3,292.64
signature Printed Name, Title, Company Date
D"Of ".d W VM—n2 C—
Valentin J Gomez, Jr. 21.
Contractor: DWI. Z01{a:+23.53Si OSW Valentin Gomez, Sr Project Manager,Austin Underground , Inc.
Signatua Printed Name, Title, Company Date
City Pro!ect
S1gna+.vre
0
Name,
6"'2-o2q /q5!
Paige 2 of D
Contract Quantity Adjustment/Change Order
Project Name: Lake Creek Wastewater Line Replacement
Quan. Adj./Change Order No.:
Order Data
Contract
Time
Adjustment
Item # 4 Item Description i Unit I Otv. i Unit Price l Amount
PaKc 1 al'1
Contract Quantity Adjustment/Change Order
Project Name: Lake Creek wastewater Line Replacement
Quart. Adj_/Change Order No.: 3
QuantRy AiMustment Data
Contract
Time
Bid item A Item Description Unit Qty. Unit Price Amount Adjustment
Installation and Establishment of Hydromulch with Flexible Growth
42 Medium in Accordance with Technical Specifications SY-12,715 $4.50-657.217.50
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