Contract - Lone Star Site Work, LLC - 12/5/2024 Page I of 3
Contract Quantity Adjustment/Change Order
R°JM R°CN it-1
rev,01116
Department: Department of Transportation
Project
Name: Chisholm Trail at OSB Right Turn Lane Date: 10/23/24
City Project Change Order/Quantity
ID Number Adjustment No. 1
Vendor Lone Star Site Work
Company Name Address Phone No.
Justification -
Relocation of a sewer cleanout at Regions Bank, upgrade of conduit crossing to a bore and additional
conduit for due to a quantity error. Additional items for an unforseen waterline relocation, trench drain
installation, conduit and pull box relocation.
SUMMARY Amount %Change
Original Contract Price: $628,309.90
Previous Quantity Adjustmengs): $0.00
This Quantity Adjustment: $22,488.00
Total Quantity Adjustment(s): $22,488.00
Total Contract Price with Quantity Adjustment(s): $650,797.90
0%
Previous Change Order(s): $0.00
This Change Order: $79,441.69 12%
Total Change Order(s)To Date: $79,441.69 12%
Adjusted Contract Price [Original Contract Price Plus
Quantity Adjustment(s)Plus Change Order(s)]: $730,239.59
Difference between Original and Adjusted Contract Prices: $101,929.69
Original Contract Time: 120
Time Adjustment by previous Quan.Adj./Change Order: 0
Time Adjustment by this Quan.Adj./Change Order:
120
New Contract Time:
Submitted for Approval
Prepared By:
Printed Name,Title,Company Date
Signature
Approvals
Contractor: - y C 7 _ - f C ti .Vl lJ r t f c�
Signa Printed 6me,Title\,company Date
City Projectn Greg Clamio
Manager: )q 2024.11.12 15:49:52-06'00'
Si ature Printed Name,Title Date
Mayor/City 121512-4
Manager r Q
Stature Printed N e,Title Date
�- Zo2q - 32-5
PaL,c 2 of 3
" Contract Quantity Adjustment/Change Order
rev,01/16
Project Name: Chisholm Trail at OSB Right Turn Lane
Quan. Adj./Change Order No.: 1
Change Order Data
Contract
Time
Adjustment
Item# Item Description Unit Qty. Unit Price Amount (Davs)
CO#1-1 Relocation of Sanitary Sewer Clean out LS 1 $1,940.79 $1,940.79
CO#1-2 CONDT(PVC) (SCHD 40) (4")BORE LF 1 172 $145.43 $25,013.96
Relocation of 12" PVC Waterline&Water
CO#1-3 valve risers LS 1 $35,486.00 $35,486.00
CO#1-4 Valve Extension 3 locations LS 3 $800.00 $2,400.00
CO#1-5 Lower Signal Conduit 30" LF 17 $62.00 $1,054.00
CO#1-6 Trench Drain install and tie in LS 1 $13,546.94 $13,546.94
$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
TOTAI $79,441.99
Page 3 of 3
Contract Quantity Adjustment/Change Order
'ev,01/16
Project Name: Chisholm Trail at OSB Right Turn Lane
Quan. Adj./Change Order No.: 1
Quantity Adjustment Data
Contract
Time
Adjustment
Bid Item # Item Description Unit Qty. Unit Price Amount
CONDT(PVC)(SCHD 40)(4")-INCREASE
QTY FOR QTY ISSUE ON PLAN LF 428 $46.00 $19688.00
6246009 GROUND BOX TY D EA 1 $2,800.00 $2,800.00
$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
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTALS: $22,488.00,