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CM-10-05-114rev. 1/10 Contract Quantity Adjustment/Change Order Department: Engineering and Development Services Project Name: Egger Acres and Dennis Drive Improvements City Project ID Number: ST12DENN Justification Page 1 of 3 Date: Change Order/Quantity Adjustment No. 5/13/2010 5 Contract Quantity Adjustment/Change Order # 5 is needed to reconcile final quantities for 24" storm sewer pipe under Base Bid Item # 5. This quantity adjustment was overlooked by the contractor and the City in preparation of Contract Quantity Adjustment/Change Order No. 4. 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: Signature City Staff Approval: .)a."14.b „ pc; Signature City Offi Approval: gnature Amount $1,237,883.00 $1,158,954.00 $48,806.38 $0.00 $48,806.38 ($79433.00) $504.00 ($78,929.00) $1,207,760.38 % Change 4.21% 0.00% 4.21% 240 Calendar Days 248 Calendar Days 248 Calendar Days Prowls Eddie Zapata, Project Manager, City of Round Rock Printed Name, Title and Company Hank Lewis, Vice President, Nelson Lewis, Inc. Printed Name, Title and Company /r../rc= Date VAS9 Date Danny Ha!den, City Engineer, City of Round Rock 5//3110 Date 5-25C-- ID Date Printed Name and Title James R. Nuse, City Manager, City of Round Rock Printed Name and Title ROUND ROCK. tI AS rev. 01/10 Contract Quantity Adjustment/Change Order Change Order Data Page 2 of 3 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 TOTALS: $0.00 0 rev. 01/10 Contract Quantity Adjustment/Change Order Quantity Adjustment Data Page 3 of 3 Bid Item# Item Description and Change Unit Qty. Unit Price Amount Contract Time Adjustment (Days) Base Bid 5 Increase 24" HDPE, all depths L.F. 12 $42.00 $504.00 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: $504.00 0 ROUND ROCK, TEXAS PURPOSE. PASSION. PROSPERITY. Item Caption: Approval Date: City Manager Approval Summary Sheet Consider executing Quantity Adjustment/Change Order No. 5 with Nelson Lewis, Inc. for the Egger Acres and Dennis Drive Improvement Project. May 28, 2010 Department: Engineering and Development Services Project Manager: Eddie Zapata Item Summary: Contract Quantity Adjustment/Change Order No. 5 is needed to reconcile final quantities for 24" storm sewer pipe under Base Bid Item # 5. This quantity adjustment was overlooked by the Contractor and the City in preparation of Contract Quantity Adjustment/Change Order No. 4. Amount % Change Original Contract $1,237,883.00 N/A Previous Quantity Adjustments ($79,433.00) N/A Quantity Adjustment No. 5 $504.00 N/A Previous Change Orders $48,806.38 4.21% Change Order No. 5 $0.00 0% Revised Contract Total $1,207,256.38 4.21% Strategic Plan Relevance: Goal No. 2.0: Prevent neighborhood deterioration. Goal No. 29.0: Provide for effective management of storm water. Cost: $504.00 Source of Funds: 2002 G.O. Bonds REV. 3/8/10 Request for City Council/City Manager Action 10 ItD City Council Mk 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: Eddie Zapata Project Coordinator. N/A Assigned Attorney: Steve Sheets City Council or City Manager Approval Date: Agenda Wording Foraimci rlat►oh LPe ONLY Receivek MAY 2 6 2010 tUti' 1•�- Tag #: Original Documents Received: Y l Project Name: Egger Acres and Dennis Drive Improvements ContractorNendor. Nelson Lewis, Inc. Funding Source: 2002 General Obligation Bonds Additional funding Source: N/A Amount: $504.00 Account Number. May 28, 2010 Consider executing Quantity Adjustment/Change Order No. 5 with Nelson Lewis, Inc. for the Egger Acres and Dennis Drive Improvements Project. Finance Information Is Funding Required? Yes No Initial Construction Contract Construction Contract Amendment u Change Order # 5 EIChange in Quantity =Unforeseen Circumstances Initial Professional Services Agreement Supplemental Professional Service Agreement Purchasing/Service Agreement Purchase Order Item(s) to be purchased Other (Please clearly identify action below) Amount $504.00 APPROVALS (to be completed ONLY by Finance) FINANCE Final Finance Approval Required N/A Approved APProwd Finance/CIP Date 0 0 Finance/Acct Date CE Purchasing Date C El Budget Date Finance Director 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 Man er Items f!1() � Project Mgr. Signature � ar„� , ate: 31/1 1/ d Yb Dept. Director Signature .• , l I• F Date: !�/ iy1011lnl a *City Attorney Signature.�• ,��f� / F Date: City Manager Signature: IIIII Date: *City Attorney signature is required for all items. REVISED 5/18/2010