CM-2024-210 - 8/16/2024Pate I of 3
Contract Quantity Adjustment/Change Order
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Department: TRANSPORTATION ADMINISTRATION
Project TRAFFIC SIGNAL - US79 (PALM VALLC BLVD) AND AFFRICA LAW (BRUSHY CREEK
Name: PLANT ROAD) Date: 6/17/24
City Project Change Order/Quantity
ID Number Adjustment No. 2
Vendor ATSCC INC. 4615 PRIEM LANE PFLUGERVILI.F TY 78r!><1 512-255-9951
Company Name Address Phone No.
Justification
]NE ITEM "REMOVE/REPLACE PULL BOX (LARGE)" WAS NOT ON THE ORIGINAL ESTIMATE. NEED THIS ITEM TO DO THE ASSOCIATED WORY
INE ITEM FOR RAILPRO INVOICE: REQUIRED BY THE RAILROAD TOTAL FOR SEPTEMBER WORK.
SUMMARY
Amount % Change
Original Contract Price:
s219,9'53.50
Previous Quantity Adjustment(s):
$0.00
This Quantity Adjustment:
$040
Total Quantity Adjustment(s):
som
Total Contract Price with Quantity Adjustment(s):
$219,953
Previous Change Order(s):
$8,800.00 �
This Change Order:
s15,,360,p0 7%
Total Change Order(s) To Date:
$24,160.00 11%
Adjusted Contract Price [Original Contract Price Plus
Quantity A.djustrnent(s) Plus Change Order(s)]:
5244,1]3.50
Difference between Original and Adjusted Contract Prices:
$24,160.00
Original Contract Time:
Time Adjustment by previous Quan. Adj./Change Order:
Time Adjustment by this Quan. Adj./Change Order:
New Contract Time:
0
417
Prepared By:
GARRETT ROWLAND� ACCOUNTING, ATSGC, INC._17
Signature Printed Name, Tltle, Company( Date q
l4ayor/CAy , , .2. „1
r1 iA 1.�.
Page 2 of 3
Contract Quantity Adjustment/Change Order
rev, OW6
TRAFFIC SIGNAL - US79 (PALM VALLE BLVD) AND AFFRICA LANE (BRUSHY CREEK
Project Name: PLANT ROAD)
Quan. Adj./Change Order No.:
Chance Order Data
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,g,
Item #
Item Description
Unit
Q#y.
Unit Price
Amount
Contract
Time
Adjustment
p
9003-0644
RELOCATE & RMV EXIST GR MNT SIGN
EA
4
$1,200.00
$4,800.00
9003-1644
MODIFY EXISTING GR MNT SIGN
EA
4
$900.00
$3, .00
9003-2644
INSTL NEW GRNO MNT SIGN
EA
4
$1,740.00
$6,960.00
$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
Pagc 3 of 3
Contract Quantity Adjustment/Change Order
r0w, OUs
TRAFFIC SIGNAL - US79 (PALM VALLE BLVD) AND AFFRICA LANE (BRUSHY CREEK
Project Name: PLAN' ROAD)
Quan. Adj./Change Order No.: 2
Quantity Adjustment Data
Item Description•Unit
Price
Contract
AdJustment
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