CM-06-03-043Change Order
AIA Document G701
Electronic Format
Owner ( )
Architect ( )
Contractor ( )
Field ( )
Other ( )
THIS DOCUMENT HAS IMPORTANT LEGAL CONSEQUENCES; CONSULTATION WITH AN ATTORNEY IS ENCOURAGED WITH RESPECT
TO ITS COMPLETION OR MODIFICATION. AUTHENTICATION OF THIS ELECTRONICALLY DRAFTED AIA DOCUMENT MAY BE MADE
BY USING AIA DOCUMENT D401.
PROJECT: CHANGE ORDER NUMBER: CO 01
(name, address) DATE: 03/03/06
City of Round Rock ARCHITECT'S PROJECT NO.:
221 East Main Street CONTRACT DATE: 12/9/2005
Round Rock, TX 78664-5299 CONTRACT FOR: Bunker Renovation at Forest Creek Golf Course
TO CONTRACTOR:
(name, address)
Landscapes Unlimited, LLC
1201 Aries Drive
Lincoln, NE 68512
The Contract is changed as follows:
Level A - Extra Sq. Ft. - Bunkers
Level B - Extra Sq. Ft. - Bunkers
Level C - Credit
Level D - Extra Sq. Ft. - Bunkers
Total Change Order #01
$ 42,176.23
$ (4,701.00)
$(41,166.20)
$ 26,261.25
$ 22,570.28
Not valid until signed by the Owner, Architect and Contractor.
The original (Contract Sum) (Guaranteed Maximum Price) was
Net change by previously authorized Change Orders
The (Contract Sum) (Guaranteed Maximum Price) prior to this Change Order was
The (Contract Sum) (Guaranteed Maximum Price) will be increased
(unchanged) by this Change Order in the amount of
The new (Contract Sum) (Guaranteed Maximum Price) including this Change Order will be
$ 186,561.10
$ 186,561.10
$22,570.28
$ 209,131.38
The Contract Time will be (increased) (decreased) (unchanged) by ( ) days.
The Date of Substantial Completion as of the date of this Change Order therefore is
NOTE: This summary does not reflect changes in the Contract Sum, Contract Time or Guaranteed Maximum Price
which have been authorized by Construction Change Directive:
FazEsl-Cs
Landscapes Unlimited, LLC
99 lt.d) ,.) 9_ tib( 7
Address:,. Address:
1201 Aries Drive
Lincoln, NE 685
By: I _ By:
CONTRACTOR
Date:
City of Round Rock
OWNER
Address:
221 East Main Street
Round Rock, 78664-5299
By:
Date: 03/03/06 Date:
3-Jti -oG
AIA DOCUMENT G701 CHANGE ORDER 1987 EDITION AIA COPYRIGHT 1987 TME AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW
YORK AVENUE,. N.W., WASHINGTON, D.C. 20006-5292. WARNING: Unlicensed photocopying violates U.S. copyright laws and is subject to legal
prosecution. This document was electronically produced with permission of the ADA and can be reproduced without violation until the date of expiration as noted below.
Civ- o(e-d5-043
Electronic Format G-701-1987
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DATE: March 15, 2006
SUBJECT: City Managers Approval - March 24, 2006
ITEM: Action authorizing the City Manager to execute change order
NO. 1 to the Bunker Renovation project with Landscapes
Unlimited, L.L.C. for Forest Creek Golf Course.
Department: Engineering & Development Services
Staff Person: Larry Madsen, Liaison Construction Manager
Justification:
Upon completion of project, quantity adjustments were made per approval of
Jim Pappa, Golf Course Manager. Bunker work was measured per specifications
and the additional work is counted for in attached change order.
Funding:
Cost: $22,570.28
Source of funds: Golf Course Construction Fund
Outside Resources: N/A
Background Information: N/A
Public Comment: N/A
Request for City Council/City Manager Action
Col City Council o City Manager
For Administration Use ONLY
•
Tag ISI V I rL/V
Submit completed form for all City Manager and City Council approvals.
Department Name: Engineering & Development Services
Contact Person: Lathe Kumar/Tiffany Caffey
Project
Manager/Resource: Larry Madsen
Project Coordinator: Larry Madsen
Assigned Attorney:
Council or City Manager Approval Date:
Blue Sheet Wording
Original Documents Received: t a
Project Name: Forest Creek Goff Course
ContractorNendor:
Funding Source:
Amount:
Account Number:
3/24/2006
Landscapes Unlimited, L.L.C.
Golf Course Construction Fund
$22,570.28
Authorizing City Manager to approve change order NO. 1 to the Bunker Renovation project with Lanscapes Unlimited, L.L.C. for Forest Creek Goff Course.
Finance Information
Is Funding Required? El Yes Q No
X
Initial Construction Contract
Construction Contract Amendment #
Change Order
Change in Quantity
Unforeseen Circumstances
Initial Professional Services Agreement
Supplemental Professional Svcs. A #
Purchasing/Service Agreement
Purchase Order
Item(s) to be purchased:
Amount
22,570.28
Other (Please clearly identify action on lines below)
Finance Approval
OFinance Date
0Finance Date
0Purchasing Date
0 Budget Date
Required for Submission of ALL/ Council a d City Manaaer items
Project Mgr. Signature:
Dept. Director Signature:
City Attomey Signature*:
City Manager Signature:
prove/ /s required for all items.
Date:.3' 0° 444
Date: 3
Updated 2/16/06
Request for City Council/City Manager Action
City Council o City Manager
For Administration Use ONLY
Received:
Tag#,
Submit completed form for all City Manager and City Council approvals.
Department Name: Engineering & Development Services
Contact Person: Latha Kumar/Tiffany Calley
Project
Manager/Resource: Larry Madsen
Project Coordinator: Larry Madsen
Assigned Attorney:
Council or City Manager Approval Date:
Blue Sheet Wording
Authorizing City Manager to approve change order NO. 1 to the Bunker Renovation project with Lanscapes Unlimited, L.L.C. for Forest Creek
Golf Course.
Original Documents Received:
Project Name: Forest Creek Golf Course
ContractorNendor:
Funding Source:
Amount:
Account Number:
3/24/2006
Landscapes Unlimited, L.L.C.
Golf Course Construction Fund
$22,570.28
Finance Information
Is Funding Required?
0
0
0
0
0
CI
X
Yes No
Initial Construction Contract
Construction Contract Amendment #
Change Order
Change in Quantity
Unforeseen Circumstances
Initial Professional Services Agreement
Supplemental Professional Svcs. A #
Purchasing/Service Agreement
Purchase Order
Item(s) to be purchased:
Amount
22,570.28
Other (Please clearly identify action on lines below)
Finance Approval
x❑Finance L. Olsen Date 3/22/2006
Finance N/A E. wilson Date 3/21/2006
EJPurchasing Date
Budget N/A CYD Date 3/21/2006
Required for Submission of ALL City Council and City Manager Items
Project Mgr. Signature: Date:
Dept. Director Signature: Date:
City Attorney Signature*: Date:
City Manager Signature: Date:
* Legal Approval is required for all items.
Updated 2/16/06