CM-2025-073 - 3/21/2025�A[R IEIUS
rev, 01116
Department: Transportation
Project
Name:
City Project
ID Number 2419
Old Settlers Extension
Contract Quantity Adjustment/Change Order
Date: 3/4/25
Change Order/Quantity
Adjustment No.
Page ! of 3
Vendor Patin Construction LLC 3800 W. 2nd Street, Taylor, TX 76574 512-269-1071
Company Name Address Phone No.
3ustiHtation
Water Line plan revisions
SUMMARY Amount % Change
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) Plus Change Order(s)],
DhTerence 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:
$0.00 0%
$32,375.00 0%
$32 375.00 0%
E—sl4,957,107.10
$36,260.00
365
0
10
New Contract Time: 375
Prepared By: �.L.i✓ Todd Keltgen, Project Manager, Patin Construction LLC 3/4/25
Signature Printed Name, Tide, Company Date
a
Contractor., .T,J1.i%.�,► Todd Keltgen, Project Manager, Patin Construction LLC 3/4/25
Signature ( Printed Name, Title, Company Date
CityMan Projr�� LA SY\� k Q e ]C C�lf►,�7�1 � '1 e. — ` , I
Manager: � �l � � � 1 L . �i ['Z 12-0`
Managerty j 1
Manager _ .ram^-'-� _ � t'a� � j)�Ss, S�a�n`� C�-f �l l b►p�e�
Signature
M--2-6Z5-- 0-7?
Page 2 of 3
Contract Quantity Adjustment/Change Order
I'M
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rev, 01/16
Project Name: Old Settlers Extension
Quan. Adj./Change Order No.:
Page 3 of 3
1)1—*0--Contract Quantity Adjustment/Change Order
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Project Name: Old Settlers Extension
Quan. Adj./Change Order No.:
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