CM-10-01-017rev. 1/10
)IiN11110( IIAA,
Contract Quantity Adjustment/Change Order
Department: Engineering and Development Services
Project
Name:
Egger Acres & Dennis Drive Improvements
City Project
ID Number: ST12DENN
Page 1 of 3
Date:
Change Order/Quantity
Adjustment No.
1/7/2010
2
Justification: Change Order # 2 adds the removal and replacement of six (6) residential driveway approaches on Dennis
Drive, Sara Drive, Karen Cove, and Heather Drive.
SUMMARY
Original Contract Price:
Total Contract Price with Quantity Adjustment(s):
Previous Change Order(s):
This Change Order:
Total Change Order(s) To Date:
Previous Quantity Adjustment(s):
This Quantity Adjustment:
Total Quantity Adjustment(s):
Original Contract Price Plus Change Order(s) Plus
Quantity Adjustment(s):
Original Contract Time:
Contract Time Prior to this Change Order:
Contract Time with All Approved Change Orders:
Prepared by/
Contractor
Approval:
City Staff
Approval:
Signatures and Approvals
r
Printed Name, Title and/Company
Amount
$1,237,883.00
$1,225,883.00
$21,200.00
$12,343.55
$33,543.55
-$12,000.00
$0.00
-$12,000.00
0/0 Change
$1,259,426.55
210 Calendar Days
1.73%
1.01%
2.74%
210 Calendar Days
210 Calendar Days
Da e
It i; k
Printed Name, Title and Company Date
rif.t:., e, ��, ^ ` �^ /17/,
Date
Signature 1
City Official
Approval:
?Signature
CM- 10- 01- 011
Printed Name Title
Printed Name and Title1=..E k3aiMetrato 1-
Date154O
rev. 12/09
Contract Quantity Adjustment/Change Order
Page 2 of 3
Bid Item#
Item Description and Change
Unit
Qty.
Unit Price
Amount
Contract Time
Adjustment
(Days)
CO 2-1
CO 2-2
CO 2-3
CO 2-4
CO 2-5
CO 2-6
530 Dennis Drive
506 Sara Drive
508 Sara Drive
511 Sara Drive
1604 Karen Cove
501 Heather Drive
S.F.
S.F.
S.F.
S.F.
S.F.
S.F.
270
$8.65
$2,335.50
0
207
$8.65
$1,790.55
0
270
$8.65
$2,335.50
0
230
$8.65
$1,989.50
0
180
$8.65
$1,557.00
0
0
270
$8.65
$2,335.50
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
TOTALS:
$12,343.55
0
rev. 12/09
Contract Quantity Adjustment/Change Order
Page 3 of 3
TOTALS:
$0.00
0
Bid Item#
Item Description and Change
Unit
Qty.
Unit Price
Amount
Contract Time
Adjustment
(Days)
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
0
$0.00
$0.00
TOTALS:
$0.00
0
DATE: January 13, 2010
SUBJECT: City Manager Approval —January 15, 2010
ITEM: Consider executing Change Order # 2 with Nelson Lewis, Inc. for the Egger Acres
and Dennis Drive Improvements Project.
Department: Engineering and Development Services
Staff Person: Danny Halden, P.E., City Engineer
Justification:
Change Order # 2 adds the removal and replacement of six (6) residential driveway approaches
on Dennis Drive, Sara Drive, Karen Cove, and Heather Drive.
Strategic Plan Relevance:
Goal # 2.0: Prevent neighborhood deterioration.
Goal # 29.0: Provide for effective management of storm water.
Funding:
Cost: $12,343.55
Source of funds: 2002 G.O. Bonds
Amount % Change
Original Contract $1,237,883.00 N/A
Previous Quantity Adjustments ($12,000.00) N/A
Previous Change Orders $21,200.00 1.73%
Change Order # 2 $12,343.55 1.01%
Revised Contract $1,259,426.55 2.74%
Outside Resources :
Nelson Lewis, Inc.
Public Comment: N/A
UPDATED APRIL 2008
3/9/2009
Request for City Council/City Manager Action
101
City Council 12 City Manager
Submit completed form for all City Manager and City Council approvals.
Department Name: Engineering & Development Services
Contact Person: Chaz Gordon / Kathy Michna
Project Mgr/Resource: Eddie Zapata
Project Coordinator:
r
Tag#: L.11r tO°01' QI 7
Original Documents Received: h
Project Name: Egger Acres & Dennis Drive Improvements
Contractor/Vendor: Nelson Lewis, Inc.
Funding Source: 2002 G.O. Bonds
Amount: $12,343.55
Assigned Attorney: Steve Sheets
Account Number:
City Council or City Manager Approval Date: January 13, 2010
Agenda Wording
Consider executing Quantity Adjustment/Change Order No. 2 with Nelson Lewis, Inc. for the Egger Acres and Dennis Drive Improvements
Project.
Finance Information
Is Funding Required?
Yes 1E1 No
0
Q Initial Construction Contract
Construction Contract Amendment #
0 Change Order/Quantity Adjustment # 2
=Change in Quantity =Unforeseen Circumstances
Initial Professional Services Agreement
Q Supplemental Professional Service Agreement
Purchasing/Service Agreement
Q Purchase Order
Item(s) to be purchased
Other (Please clearly identify action on lines below)
Amount
$12,343.55
FINANCE
N/A Approved
CI El
Finance/CIP
Finance/Acct
Purchasing
Budget
Date
Date
Date
Date
APPROVALS
(to be completed ONLY by Finance)
Final Finance Approval Required
Approved
Finance Director
Date
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 ALt 9itvvCouitcil Ntd City Manager Items
Project Mgr. Signature:
Dept. Director Signature:
*City Attorney Signature:
City Manager Signature:
Date: i f [_
Date: alitifo
Date: I "lc—"lc—f� I v
Date: I -15", v
*City Attorney signature is required for all items.
REVISED 1/11/2010
3/9/2009
Request for City Council/City Manager Action
E City Council El City Manager
Submit completed form for all City Manager and City Council approvals.
For Administration Use ONLY
Received:
Tag #:
Original Documents Received:
Department Name: Engineering & Development Services Project Name: Egger Acres & Dennis Drive Improvements
Contact Person: Chaz Gordon / Kathy Michna
Project Mgr/Resource: Eddie Zapata
Project Coordinator:
ContractorNendor: Nelson Lewis, Inc.
Funding Source: 2002 G.O. Bonds
Amount: $12,343.55
Assigned Attorney: Steve Sheets
Account Number:
City Council or City Manager Approval Date: January 13, 2010
Agenda Wording
Consider executing Quantity Adjustment/Change Order No. 2 with Nelson Lewis, Inc. for the Egger Acres and Dennis Drive Improvements
Project.
Finance Information
Is Funding Required?
Initial Construction Contract
Construction Contract Amendment #
Change Order/Quantity Adjustment
=Change in Quantity
Initial Professional Services Agreement
Supplemental Professional Service Agreement
Purchasing/Service Agreement
Purchase Order
Item(s) to be purchased
Yes
No
# 2
=Unforeseen Circumstances
Other (Please clearly identify action on lines below)
Amount
$12,343.55
APPROVALS
(to be completed ONLY by Finance)
FINANCE Final Finance Approval Required
N/A Approved Approved
Q CI Finance/CIP L. Olsen Date 1/12/2010 0 Cheryl Delaney
0 ED Finance/Acct E. Wilson Date 1/13/2010 Finance Director
0 0 Purchasing EE Bowden Date 1/12/2010 1/13/2010
Q [ Budget P. Bryan Date 1/12/2010
Date
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: Date:
Dept. Director Signature: Date:
*City Attorney Signature: Date:
City Manager Signature: Date:
*City Attomey signature is required for all items.
REVISED 1/13/2010
LEGAL DEPARTMENT APPROVAL FOR CITY COUNCIL/CITY MANAGER ACTION
Required for Submission of ALL City Council and City Manager Items
Department Name: Pw/Engineering
Project Mgr/Resource: Danny Halden/Eddie Zapata
Council Action:
ORDINANCE
Agenda Wording
Project Name: Egger Acres and Dennis Drive Improvements
ContractorNendor: Nelson Lewis, Inc.
RESOLUTION
City Manager Approval
CMA Wording
Consider executing Quantity Adjustment/Change Order No. 2 with Nelson Lewis, Inc. for the Egger Acres and Dennis Drive
Improvements Project.
Attorney Approval
0Attorney Date
Notes/Comments
0:\ardox\SCClnts\0190\7116\MISC\00179985.XLS
Updated 6/3/08