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CM-2026-219 - 8/28/2026
Page I of 3 Contract Quantity Adjustment/Change Order RouNO ROCK TEXAS rev.06/25 Department: Public Works Date: 8/12/26 Project Name: Forest Creek Drive Left Turn Lane Roadway Improvement City Project ID Change Order/Quantity Number: Adjustment No. 1 Vendor: Lone Star Site Work, LLC P.O. Box 1867 Wimberly,TX 78676 Company Name Address Phone No. Justification Additional quantity for planing and asphalt for improved roadway performance, and additional quanitity for illumination relocation. SUMMARY Amount %Change Original Contract Price: $172,005.14 Previous Quantity Adjustment(s): $0.00 This Quantity Adjustment: $1,504.40 Total Quantity Adjustment(s): $1,504.40 1% Total Contract Price with Quantity Adjustment(s): $173,509.54 Previous Change Order(s): $0.00 This Change Order: $23,653.25 Total Change Order(s)To Date: $23,653.25 14% Adjusted Contract Price: [Original Contract Price Plus Quantity Adjustment(s)Plus Change Order(s)] $197,162.79 Difference between Original and Adjusted Contract Prices: $25,157.65 15% Original Contract Time: 85 Time Adjustment by previous Quan.Adj./Change Order: 0 Time Adjustment by this Quan.Adj./Change Order: 0 New Contract Time: 85 Submitted for Approval Prepared By: Printed Name,Title,Company Signature Date Approvals Megan Harrison,Controller-Lone Star Sitework,LLC A Contractor: , 8/19/2026 Printed Name,Tille Corr Qa� Signature Date l�j sign y Ciec6o City Project Greg Ciaccio dCaNcdCgCnoacdroc kt oexas.gov,O=City Manager: o.te20ze.oe.,s,a:az:z7-os'oo'Print�Marne,Title Signature Date Mayor/City � Atzia (*xi"- /en/via Manager: Printed Name,Title Signature IDate CAI- 2_02/,-2/1 Page 2 of 3 Project Name: Forest Creek Drive Left Turn Lane Roadway Improvement Change Order/Quantity Adjustment No. Change Order Data Contract Time Bid Item # Item Description Unit Qty. Unit Price Amount Adjustment(Days) CO 1 -1 PLANE ASPH CONC PAV(0"TO 2") LS 1 $6,893.25 $6,893.25 CO 1 - 2 2" SCH 80 Conduit LF 350 $22.05 $7,717.50 CO 1 -3 12 x 12 Pull Box EA 2 $1,942.50 $3,885.00 CO 1 -4 Flowable Fill for electrical Trench CY 1 $2,900.00 $2,900.00 CO 1 -5 Additional "Arrow"and "Only" LS 1 $2,257.50 $2,257.50 * Includes Mobilization of Thermo and $0.00 Traffice Control Crew to add arrow $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 $0.00 $0.00 $0.00 TOTALS: $23,653.25 0 Page 3 of 3 Project Name: Forest Creek Drive Left Turn Lane Roadway Improvement Change Order/Quantity Adjustment No. 1 Quantity Adjustment Data Contract Time Bid Item # Item Description Unit Qty. Unit Price Amount Adjustment(Days) 6 D-GR HMA TY-B PG64-22 TON -8.52 $180.00 -$1,533.60 7 D-GR HMA TY-D PG64-22 TON 14 $217.00 $3,038.00 $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 TOTALS: $1,504.40 0