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Contract - Patin Construction - 8/28/2015
Page 1 of 3 Contract Quantity Adjustment/Change Order ROUND NOCK 1 CKF15 rev,06/15 Department: Transportation Project Name: Seton Parkway Extension Medical Center Parkway Date: 7/31/15 City Project Change Order/Quantity ID Number Adjustment No. 1 Justification Quantity Adjustment/Change Order#1 Water relocation South end and 63 days contract time for weather. Electrical Conduit,Steel Encasement Piping, Electrical Bore for the Developer and 14 days contract time. SUMMARY Amount %Change Original Contract Price: $2,730,287.50 Previous Quantity Adjustment(s): This Quantity Adjustment: $0.00 Total Quantity Adjustment(s): $0.00 Total Contract Price with Quantity Adjustment(s): $2,730,287.50 Previous Change Order(s): 0.00 This Change Order: $127,800.00 0.05 Total Change Order(s)To Date: $127,800.00 0.05 Adjusted Contract Price [Original Contract Price Plus Quantity Adjustment(s)Plus Change Order(s)]: $2,858,087.50 Difference between Original and Adjusted Contract Prices: $127,800.00 Original Contract Time: 220 Time Adjustment by previous Quan.Adj./Change Order: Time Adjustment by this Quan.Adj./Change Order: 77 New Contract Time: 297 Submitted for Approval -::7Prepared By: Signature _ Printed Name,Title,Company Date _ Approvals Tol Contractor.Project Signa re Printed Name,Title,Company Date Matnager:: ?-�u `t V 0.`V`�� 9 - 4 - (S- nature - 4 - (Jnature Printed Name,Title Date Mayor/CityIM G � Manager GI1/t w 2�- ignature Printed Name,Title Date Pace 2 of 3 aouNOHo[H <:;, Contract Quantity Adjustment/Change Order rev,06/15 Project Name: Seton Parkway Extension Medical Center Parkway Quan. Adj./Change Order No.: 1 Change Order Data Contract Time Adjustment Item # Item Description Unit Qty. Unit Price Amount (Days) C01-1 Concrete Crew Box Culvert Headwall Days 5 $2,500.00 $12,500.00 C01-2 12" Ductal Iron Pipe- Relocated LF 60 $85.00 $5,100.00 C01-3 12"45 Degree Bends EA 4 $150.00 $600.00 Electrical Conduit Bore Under Existing COI-4 Seton Parkway EA 4 $3,800.00 $15,200.00 C01-5 2 Each 6"Conduits LF 1200 $18.00 821,600.00 COI-6 2 Each 4"Conduits LF 1200 $16.00 $19,200.00 C01-7 1 Each 2"Conduits LF 1200 $8.00 $9,600.00 C01-8 30"Steel Casing Pipe LF 100 $120.00 $12,000.00 C01-9 12"Steel Casing Pipe LF 400 $80.00 $32,000.00 $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: $127800.00 0 Page 3 of 3 / cK Contract Quantity Adjustment/Change Order rev,06/15 Project Name: Seton Parkway Extension Medical Center Parkway Quan.Adj./Change Order No.: 1 Quantity Adjustment Data Contract Time Adjustment Bid Item # Item Description Unit Qty. Unit Price Amount $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: $0.0010