CM-2024-266 - 10/25/2024Page I of 3
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Department:
Project
Name:
City Project
ID Number
Contract Quantity Adjustment/ Change Order
Public Works - Utilities & Environmental Services
30" Raw Waterline Relocation on DB Wood Road Date: 10/16/24
Change Order/Quantity
CIP24-00002 Adjustment No. 2
Vendor Royal Vista, Inc. 350 CR 260, Liberty Hill, TX 78642 512-515-6824
Company Name Address Phone No.
Justification
Additional quantity of encasement and pipe is needed to make the connection along DB Wood Road due to a conflict with a curb inlet installed
with the DB Wood Road widneing by the City of Georgetown
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 Quan. Adj./Change Order:
240
0
0
New Contract Time: 240
n
Prepared By: Adam Levy, P.E. City of Round Rock 10/17/24
Signature Printed Name, Title, Company Date
0%
$0.00 0%
$0.00 0%
$1,613,701.00
-$8,720.00
Contractor: c� Q,H, 7�)2./ ",I, Stevan DeLeon, Project Manager, Royal Vista Inc. 10/17/2024
Signature Printed Name, Title, Company Date
City Project
Manager: %�' Adam Levy,P.E., City of Round Rock 10/17/24
Signature �% Printed /Name, Title Date
Mayor/City ! N r � "�/ I� r� A o,4 , + 0 ^�,y fr l0
Manager ,�py�w.�.
Signature Printed Name, Title Date
e�� 2-,(� -,-2-� 2-&(
Page 2 of 3
Contract Quantity Adjustment/Change Order
Project Name: 30" Raw Waterline Relocation on DB Wood Road
Quan. Adj./Change Order No,:
Chance Order Data
Item #
Item Description
Unit
Qty.
Unit Price
Amount
Contract
Time
Adjustment
Davs
$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
$0.00
Page 3 of 3
Contract Quantity Adjustment/Change Order
4-*119"
m., alrlk
Project Name: 30" Raw Waterline Relocation on DB Wood Road
Quan, Adj./Change Order No,:
uanti
Adjustment Data
Bid Item #
Item Description
Unit
Qty.
Unit Price
Amount
Contract
Time
Adjustment
f naval
15
Trench Excavation Safety Protective
Systems All Depths)
LF
20
$5.00
$100.00
0
17
Factory Restrained Joint Pipe, 30" Dia,
Class 250 Ductile Iron (All Depths)
LF
20
$535.00
$10,700.00
0
19
Encasement Pipe 48" Dia., Steel, Open
Cut, 3/8" Thick
LF
20
$275.00
$5,500.00
0
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
$0.00
$0.00
$0.01)
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$D.00
0.00
$0.04
$0.00
$0.00
16 300.00
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