Loading...
CM-09-10-195TEXAS DEPARTMENT OF TRANSPORTATION CONSTRUCTION CONTRACT CHANGE ORDER NUMBER: 01 Third Party Funding Notification Sheet This form is used when the subject change order involves funding by a source other than TxDOT/U.S. DOT, and involves third parties who are providing funding under an Advance Funding Agreement or Donation Agreement. 1. Outside funding provided by: City of Round Rock (Outside Entity's Legal Name) 2. Type of outside funding agreement for this change: IX Existing E Amended [ Check one j I- New 3. Indicate the type and amount of funding: (- Fixed Price (Lump Sum) (Estimated Amount >x Actual Cost (a) Contract Items (Bid Items): (b) E&C*: (a) x 3.00 enter % (c) Indirect Cost**: (a + b) x 4.83 = . / r b g c(, a $ enter To TOTAL +23/533.13 521,795.00 } CCSJ: 2211-02-015 Project: STP 2005(921) Highway: FM 1460 County: Williamson District: Austin Contract Number: 05093202 521,795.00 Use as needed: I hereby acknowledge notification of the modifications (' 5-85 covered by this Change Order. Date 16'1'01 ameJllsIGJ K•Ikiuse RE By Typed/Priri Typed/Printed Title .1 M0A4 OLT R._ *The percentage (%) for E&C (Engineering and Contingencies) charges varies from project to project depending on the contract amount of the project. Projects with a higher contract amount will have a lower rate of E&C charge. For a specific project, E&C rate (%) can be derived from the cost of "Engineering and Contingencies" in the "Estimated Cost" of the project. ** Use the statewide district rate as established by Finance Division each year. This line 3(c) is for Service Project only, unless otherwise specified in the Advance Funding Agreement. See Stand Alone Manual Notice 98-2 for instructions. Funding for this Change Order has been arranged: TxDOT Representative Date Typed/Printed Name: TXDOT Form 2146-AFA (Rev. 7/2007) Page 1 of 1 It ant -09-to- ie5— Texas Department of Transportation MEMORANDUM TO: Mr. Timothy J. Weight, P.E. FROM: Mr. John R. Wagner, P.E. SUBJECT: Change Order 1 DATE: September 21, 2009 Project: STP 2005(921) CSJ: 2211-02-015 County: Williamson Hwy: FM 1460 Attached is Change Order No. 1 for the above mentioned project. This Change Order provides items for adjusting and relocating water services discovered in the new Kiphen Road alignment. Two different services were found and were not addressed in the plans. The prices for these items were reviewed and approved by the City of Round Rock. This Change Order is 100% funded by the City of Round Rock (Non-Reimburseable) The change is considered "Minor" and increases the contract amount by $21,795.00. If you have any questions give this office a call. CC: Project Files Linda Grunke Leslie Haak } 0 \ 7 / \2/ z { w & '- 2 '�2 &z \) \\ on ILI \\ LID 7 CD a DJ 0 ry \to ca./ }\ \\ Iv o o ro \} o CD \\ /\ \}o. rr 2rn uol;eJado •Bu3 ao3 Q3y rn :NOISIA10 NOI10f1a1SNO0 `a0103?JIO :2133NION3 10WJSI0 a »/q 0 /j\ \\ �\ƒm ( & \ \ a= t o =oaz k/} :13A11AaddV :11"41101,4V AtVd Oa£ 0 } :1Nf10WV 00 0=>o-0 Z0>Z0 /§0}§ o@>0M -1 "1 )j j :0I i0VaiN00 /qe- 069_0 » E /ƒk 03> \//m2� Q o m/// 1JJG©� /- o- _ o3s®G\ &\ 0 0 /§\�®& CD «~ °/° \88CD Iv m o — _ _ m\ 0 ! 2 w z k z / z 0 ( 0 / 0 \ \ Z 0 / F z0 > iii $ r 2 Z a. ET ) / j ® n g / z 2 0 § ƒ / 2 \Z @ q 4¢ Cl E& } Z0 >>zx* o e o z z m a e» \ £ > - k 0 ®» ] _ « 3 = £ . 2 -<M m 3 / > 9 } § --i § \ q ) § \ § \ ƒ § \ z '2:18N a3a210 3JNVHO :31Vo la0daa CO .Nf OWV2!3021030NVH0 c3 O m co 0 CO 0 CO 0 • c Z m 0 • c 'o m Nt • m m 0 C 11311 213021 0 0 O 0 0 N 0 0 m O O 0 0 0 r 0 0 0 U 0 0 0 0 m tO 0 CO 0 0 302!0 3SNVHO 3f)OINn O 0 r fA • O O O O 0 0 0 N O O 0 0 0 0 A N 0 O Z W 73 r m z m A O m -f m Z fn 03 NOli41110S30 Z 1 C F_ Z 0 -i m S ('A A 0 { A m --i D O C77c n 0 -I 218N i3 r02id SW3it 10V21.1.N00 01.0 V8iN00 11EIN 21302f0 30NVH0 DATE: October 7, 2009 SUBJECT: City Manager Approval — October 9, 2009 ITEM: Consider executing Change Order No. 1 with TxDOT for the FM 1460 expansion project. Department: Transportation Services Staff Person: Thomas E. Word, P.E., Chief of Public Works Operations Justification: Change Order No. 1 with TxDOT for the FM 1460 expansion project provides items for adjusting and relocating water line services discovered in the roadway alignment during construction. Two different services, CASA Mechanical and Chasco Construction, were found in the field were but were not addressed in the original plans. The City staff reviewed the change order and recommends their approval. Items included are 120 LF of 6" casing and 4" carrier water pipe, 425 LF of 2" carrier water pipe and 200 LF of 4" casing and 2" carrier water pipe. The grand total for the water line relocates comprises this Change Order No. 1. Funding: Cost: $23,533.13 Source of funds: 4B — Round Rock Transportation Development Corporation Construction Outside Resources: TxDOT Background Information: The Standard Utility Agreement and the Utility Joint Use Acknowledgement Reimbursable Utility Adjustment with TxDOT was approved by City Manager on May 15, 2009. (CM -09-05- 088). A portion of the water lines were located in public utility easements. Public Comment: N/A UPDATED APRIL 2008 5/12/2009 Request for City Council/City Manager Action n City Council 17 City Manager Submit completed form for all City Manager and City Council approvals. Department Name: Transportation Services Contact Person: Chaz Gordon / Kathy Michna Project Mgr/Resource: sa stablein Project Coordinator: Tom Word, P.E. Assigned Attorney: Stephan Sheets City Council or City Manager Approval Date: Agenda Wording Original 1 • uments Received: Project Name: FM 1460 Expansion Contractor/Vendor: TxDOT Funding Source: RR Trans Dev Corp Construction Additional funding Source: Amount: $ Account Number: 105/2009 23,533.13 Consider executing Change Order No. 1 with TxDOT for the FM 1460 expansion project. Finance Information Is Funding Required? Initial Construction Contract Construction Contract Amendment Change Order Change in Quantity Initial Professional Services Agreement Supplemental Professional Service Agreement Purchasing/Service Agreement Purchase Order Item(s) to be purchased Yes to I No U Unforeseen Circumstances Other (Please clearly identify action on lines below) Amount 5 23,533.13 FINANCE N/A Approved oa Finance/CIP iiFinance/Acct CIPurchasing ED ED Budget Date Date Date Date APPROVALS (to be completed ONLY by Finance) rir.al Finance Approval Required Approved Finance Director Once approvals have been obtained. please forward the RFA. bide sheet. back dp infor,mation and originals to City Secretary, Sara White. ITEMS WILL NOT BE PLACED ON THE COUNCIL AGENDA WITHOUT FINANCE AND LEGAL APPROVAL PRIOR TO SUBMISSION. Required for Submission of ALL City Council and City Manager Items Project Mgr. Signature: Dept. Director Signature: *City Attorney Signature: City Manager Signature: Date Date: Date: Date: Date: 9-,2q -09 5/0 10.J -rt *City Attorney signature is required for all items. REVISED 9/28/2009 LEGAL DEPARTMENT APPROVAL FOR CITY COUNCIL/CITY MANAGER ACTION Required for Submission of ALL City Council and City Manager Items Department Name: PWlTransportation Project MgrlResource: Bill Stablein Council Action: ORDINANCE Agenda Wording Project Name: FM 1460 Expansion Contractor/Vendor: TxDOT n RESOLUTION f]City Manager Approval CMA Wording Consider executing Change Order No. 1 with TxDOT for the FM 1460 expansion project. Attorney Approval Attorney Notes/Comments Date 0:1wdox\SCClnts10199170391M ISC100172262.XLS Updated 6/3/08