CM-2024-309 - 11/22/2024Page t of a
Pt— - Contract Quantity Adjustment/ Change Order
'", Ot 16
Department: Transportaion Administration
Project
Name: Traffic Signal - US79 Palm Valle Blvd and Africa Lane (Brushy Creek Plant Rd Date: 12/31/23
City Project Change Order/Quantity
ID Number Adjustment No. 3
Vendor Austin Traffic Signal Const. Co., Inc. PO Box 130 Round Rock, TX 78680 - 5812-255-9951_
Company Name Address Phone No.
Justification
FINAL QUANTITY ADJUSTMENT FOR OVERRUNS/UNDERRUNS.
SUMMARY
Amount
% Change
Original Contract Price:
$219,953.50
Previous Quantity Adjustment(s):
This Quantity Adjustment:
$3,532.00
Total Quantity Adjustment(s):
$3,532.00
Total Contract Price with Quantity Adjustment(s)
$223,465.50
Previous Change Order(s):
$24,160.00
11%
This Change Order:
$Q.00
0%
Total Change Order(s) To Date:
$24,160.00
11%
Adjusted Contract Price [Original Contract Pr ce Plus
Quantity Adjustment(s) Plus Change Order(s)):
$247,645.50"
Difference between Original and Adjusted Contract Prices:
$27,692.00
Original Contract Time:
Time Adjustment by previous Quan. Adj./Change Order:
Time Adjustment by this Quan. Adj./Change Order:
New Contract Time:
0
Prepared By:
Signature
Submitted far Ap~
Moron Myska, Controller, ATSI
Printed Name, Title, Company
Apprayeis
Inc.
Date
Contractor-N.— !x \A 1 Ed Schroeder, VP, ATSCC, Inc. 10/2412_4_
Signature Printed Name, Title, Company Date
City Project 1
Manager: � A Lp 1 ,L t '�7t,c f t.1 +y _ P M _ _ 11 - 1 ` 2 4
/eIgnature Printed Name, Title Date
Mayor/City
Manager y fj
Signature Printed Name, Title t Date
Page 3 ot'3
Contract Quantity Adjustment/Change Order
In_
i .
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Project Name. Traffic Signal - US79 (Palm Valley Blvd) and Africa Lane (Brushy Creek Plant Rd)
Quan. Adj./Change Order No.: 3
Ouantity Adjustment Data
Bid Item #
Item Description
Unit
Qty.
Unit Price
Amount
Contract
Time
Adjustment
003-0618
CONDT PVC SN 80 2"
-81
$22.00
-$1,782.00
006-0618 ICONOT
PVC SH 80 4"
-30
$42.00
-$1,260.00
028-0684 JTRF
SIG CBL TY A 12AWG 2CONDR
716
$1.50
$1,074.00
032-06 6 JINSTL
TSPA S MAST DBL INSTL
2
$2,750.00
$5,500.00
2.
0
Popr 2 of �
Contract Quantity Adjustment/Change Order
vpu..o vppr i u
Project Name_ Traffic Signal - U579 (Palm Valley Blvd) and Africa Lane (Brushy Creek Plant Rd)
Quan. Adj./Change Order No.: 3:
Change Order Data
Item #
Item Description
Unit
Qty.
Unit Price
Amount
Contract
Time
Adjustment
Da
�
n
$0.00