CM-09-10-205CITY OF ROUND ROCK
QUANTITY ADJUSTMENT / CHANGE ORDER
PAGE 1 OF 2
DEPT: Engineering and Development Services DATE:
PROJECT: Additions and Renovations to ORDER NO:
JUSTIFICATION:
Vehicle Shop Facility
ORIGINAL CONTRACT PRICE:
PREVIOUS QUANTITY ADJUSTMENTS:
PREVIOUS CHANGE ORDERS:
CURRENT CONTRACT PRICE:
$220,792.00
$8,173.00
$868.95
$9,041.95
10/9/09
5
QUANTITY ADJUSTMENT DATA
ITEM #
DESCRIPTION OF
CHANGES
UNIT
QTY.
UNIT
PRICE
AMOUNT
ADDED DAYS
CALENDAR/
WORKING
1
Installation of a 40" door and frame
to replace existing door that had
previous damage and not operating
properly.
1
1
$868.95
$868.95
0
TOTAL:
S868.95
0
CA -09-10.205
CITY OF ROUND ROCK
QUANTITY ADJUSTMENT / CHANGE ORDER
PAGE 2 OF 2
SUMMARY
CURRENT CONTRACT PRICE:
$220,792.00
THIS QUANTITY ADJUSTMENT:
$868.95
SUB -TOTAL:
$221,660.95
PREVIOUS CHANGE ORDER(S):
$8,173.00
THIS CHANGE ORDER:
$868.95
TOTAL CHANGE ORDER(S):
$9,041.95
TOTAL % CHANGE ORDER:
4.09%
ADJUSTED CONTRACT PRICE:
$229,833.95
CONTRACT TIME PRIOR TO THIS QUANTITY ADJUSTMENT/CHANGE ORDER: 9/14/2009
NET INCREASE (DECREASE) OF THIS QUANTITY ADJUSTMENT/CHANGE ORDER: 0
REVISED CONTRACT TIME WITH ALL APPROVED QUANTITY ADJUSTMENT/CHANGE ORDERS: 9/14/2009
PREPARED BY: Larry Madsen
Con ruction Manager DATE
SIGNATURE:
NAME OF CONTRACTOR: ,Prism Develo ment, Inc.
DATE
SIGNATURE:
PRINT NAME/TITLE: Michael von Ohlen, President
NAME OF ARCHITECT: Architectural Plus, Inc. (0- aj - Oe,
DATE
SIGNATURE:(�Colc_
PRINT NAME/TITLE: Mac Ragsdale, Architect
APPROVED:
OF ROUND ROCK- JW 1e5.F,Nll,?•E
Cl '1IOACitt .
Change Order No 6.XLS
Prism Development, Inc.
CHANGE ORDER PROPOSAL
1‘ ATE: Seplornber 24, 2009
A.TTN.... Pete Dontinguez
COMPANY: City oi Round Rock
VIA EMAIL:
1013 NAME: Vehicle Maintenance , (minty
L0( kTION: 901 Luther Petercon Place
INF 1 11 R1j11\ mitertaind 1,tbot,' ,:oirtplete in with !hest.
for:
cliANC.1* gRri:K MOPOSAI, 1NCI UPI
,WNER, COSI LAH'JRAN1MA1IRLA1, 7 MS -FAIL A
4(- Doc* FRAME zs.,-12 000R,THP t -z7 1 jt .D ANI)
A1 FOR THE SUM OF: 868.'17
EVC '1 -NS: P-* :' At '7; FEF‘ ANC,. I, AY01,1 .E, ”Ecr
U " ANL- - • • I •1--K "FR, .• HPI' )rin \ V Alit AUL, T ^.f US.
RAC.1-FITI-ING. V mri frc Al AKTON fORN fiUB( P A )t1 PARATit SFA! (41 ' 1,01Z, G
FI 1:.`,,rA1LD P' .11,1N1PING. Si ' 175, F' 'S, F.XE:oXATION, 1-3 EIE r,f.r. (t )1\ rs
Rt DES. MUST ' i•-\ ND CI E' r,••"' • ' A' Ot'Ti- '
CI _EARL Y' \rEr IN I
Items aisd priE•,- ire broken and separated to aggist in bidding purposes ontv and ate nut intended to he hieprat
deleted wittimit prior consent. All material is euaranifsed to he a,..= specifir.,1 A11 w'rk to ,,.'tnpleted in wotkmanlike mann
accurcli—**, stancl, I ice". any alit-v:410n or deviation from annvt involving. .osts w11 itoxectiteri
tIJ or/e ar' chir, over antl .mate. Ail agreements Are upon.
str:: accicierf,nrdelays 1-evend ottr controi. &Iry •( noral Cr,n, a=, 14 >i ,s rrry fire, tosnado, at, = =thot ••qary
A1,4. tr441Iy covrn-ti-twASTorietimrentiatitglo
„-
Authorized Sill:nature
.
f
NOM FiT:;-
is proof may he withdrawn bv us if not accepted withill 10 days.
\-Crir. %1UI IML PM'? GOOn 1-4 :it liIPYS \I t TH:. GC WILL
1;7 •-:!'ONSIBLE11.11? ALL 1 SCAJIATIONTS 10 DAYS ATITY THE OPOSAU DATE 7.1 \-1 Fc9 V
i" A rtft7 \IP PROPOSA WM/IN 'IT 11,117'7,
- ACITPTNNI:!-,
e abovei-,rs, sperif ir Ions and cone i. -ns are r,itisfactory and ar- hereby accepted. You ire
author -01 to c o the work as talecified. Alt invokes tinin 30 elP, A late Kte of L';', interest will ht
billed if vr-A- received within 30 days.
DATE: October 14, 2009
SUBJECT: City Manager - October 16, 2009
ITEM: Consider executing Change Order No. 5 with Prism
Development, Inc. for the Additions and Renovations to the
Vehicle Shop Facility.
Department: Engineering and Development Services
Staff Person: Tom Word, Chief of P.W. Operations
Larry Madsen, Construction Manager
Justification:
Installation of a 40" door and frame to replace existing door that had previous
damage and not operating properly.
funding:
Cost: $868.95
Source of funds: General Self Finance Construction
Outside Resources: Architecture Plus, Inc.
Background Information:
Original construction contract with Prism Development was approved by City Council
on 12/16/2008.
Public Comment: N/A
Amount
% Change
Original Contract
$220,792.00
N/A
Previous Change Orders
$8,173.00
3.70%
Change Order No. 5
$868.95
0.39%
Revised Contract
$229,833.95
4.09%
Outside Resources: Architecture Plus, Inc.
Background Information:
Original construction contract with Prism Development was approved by City Council
on 12/16/2008.
Public Comment: N/A
5/,m
Request for City CounciUCity Manager Action
I City Council p City Manager
Submit completed form for all City Manager and City Council approvals.
Department Name: Engineering and Development Services
Contact Person: Chaz Gordon /Kathy Michna
Project Mgr/Resource: Larry Madsen
Project Coordinator. Lary Madsen
Assigned Attorney: Steve Sheets
City Council or City Manager Approval Date:
Agenda Wording
Adm i7istration Use
Received:
Tag #: CIVI- CA -10- 205
Original Documents Received: 2.
Project Name: Additions and Renovations to Vehicle Shop Facility
ContractorNendor. Pdsm Development Inc.
Funding Source: General ser -Financed Ccnsbuction
Additional funding Source:
Amount:
Account Number:
10/16/2009
$868.95
Consider executing Change Order Na 5 with Prism Development, Inc. ter the Additions and Renovations to the Vehicle Shop Facility.
Finance Information
Is Funding Required?
Initial Construction Contract
Construction Contract Amendment #
Change Order # 5
Yes D No Q
LlChange in Quantity ❑Unforeseen Circumstances
Initial Professional Services Agreement
Supplemental Professional Service Agreement #
Purchasing/Service Agreement
Purchase Order
Item(s) to be purchased
Other (Please dearly identify action on lines below)
Amount
$$68.95
FINANCE
WA Approved
c1 Finance/CIP
Finance/Acct
El a Purchasing
O EJ Budget
Date
Date
Date
Date
APPROVALS
(to be completed ONLY by Finance)
Final Finance Approval Required
Finance Director
Once approvals have been obtained, please forward the RFA, blue sheet. backup information and originals to City Secretary, Sara White.
ITEMS WILL NOT BE PLACED ON THE COUNCIL AGENDA WITHOUT FINANCE AND LEGAL APPROVAL PRIOR TO SUBMISSION.
for Submission of
Project Mgr. Signature:
Dept. Director Signature'
*City Attomey Signature:
City Manager Signature:
C C
Date: ro" 9
Date: ,
Date:
Date:
IO -its -09
l O- I to -O°1
Date
REVISED 10/92009
5/11/2009
Request for City CounciUCity Manager Action
n City Council p City Manager
Submit completed form for all City Manager and City Council approvals.
Department Name: Engineering and Development Services
Contact Person: Chaz Gordon / Kathy Michna
Project Mgr/Resource: Lany Madsen
Project Coordinator:
Lany Madsen
Assigned Attomey: Steve Sheets
City Council or City Manager Approval Date:
Agenda Wording
For Administration Use ONLY
Received:
Tag #:
Original Documents Received:
Project Name: Additions and Renovations to Vehicle Shop Facility
ContractorNendor: Prism Development Inc.
Funding Source: General Sen -Financed Construction
Additional funding Source:
Amount:
Account Number:
10/16/2009
$868.95
Consider executing Change Order No. 5 with Prism Development, Inc. for the Additions and Renovations to the Vehicle Shop Facility.
Finance Information
Is Funding Required? Yes n No
Initial Construction Contract
Construction Contract Amendment
Change Order
ElChange in Quantity
Initial Professional Services Agreement
Supplemental Professional Service Agreement
JJ Purchasing/Service Agreement
Purchase Order
Item(s) to be purchased
9
a 5
Unforeseen Circumstances
Other (Please clearly identify action on lines below)
Amount
$868.95
FINANCE
N/A Approved
El ElE
CI CD
APPROVALS
{to be completed ONLY by Finance)
Final Finance Approval Required
Approved
Finance/CIP L. Olsen Date 10/13/2009
Finance/Acct E. Wilson Date 10/14/2009
Purchasing EE Bowden Date 10/14/2009
Cheryl Delaney 10/13/2009
Finance Director Date
Budget P. Bryan Date 10/13/2009
Once approvals have been obtained, please forward the RFA. blue sheet. back up information 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:
'City Attomey signature is required for all items.
REVISED 10/14/2009
LEGAL DEPARTMENT APPROVAL FOR CITY COUNCIL/CITY MANAGER ACTION
Required for Submission of ALL City Council and City Manager Items
Additions and Renovations to Vehicle Shop
Department Name: PW/Engineering and Development Project Name: Facility
Project Mgr/Resource: Larry Madsen
Council Action:
ORDINANCE
Agenda Wording
ContractorNendor: Prism Development, Inc.
n RESOLUTION
City Manager Approval
CMA Wording
Consider executing Quantity Adjustment/Change Order No. 5 with Prism Development, Inc. for the Additions and Renovations to
the Vehicle Shop Facility Project.
ASV
Attorney Approval
Attorney
Notes/Comments
Date
O:\wdox\SCCIn is\0199\70011M IS C\00173530. XLS
Updated 6/3/08