CM-10-05-115rev. 04/10
Contract Quantity Adjustment/Change Order
Department: Engineering and Development Services
Project Red Bud Lane Phase IV Street & Drainage
Name: Improvements
City Project
ID Number:
TX02REDB4
Justification
Date:
Page 1 of 3
5/13/2010
Change Order/Quantity Adjustment
No.
1
Contract Quantity Adjustment/Change Order No. 1 is needed to add a 2" water service with 265 linear feet of 3" PVC conduit and
additional crosswalk striping and signage. An existing air release valve and tap at Station 71+97.72 needs to be relocated also.
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
b
Signatur
Contractor
Approval:
City Staff
Approval:
City Official
Approval:
Sign. ire
ignatur5
Amount
$1,043,750.00
$1,043,750.00
$0.00
$13,470.38
$13,470.38
$0.00
$0.00
$0.00
$1,057,220.38
270
0.00%
1.29%
1.29%
270
270
gnatnres and Approvals
Lance Shellenberger; Project Manager; CORR /,3 —/a
Printed Name, Title and Company
Patrick Baker; Vice President; F.T. Woods
------Printed Name, Title and Company
Danny Halden, P.E.; City Engineer; CORR
Printed Name and Title
James R. Nuse, P.E.; City Manager; CORR
Printed Name and Title
Date
Date
1 /it1'3yiZ
Date
Date
rev. 04/10
Contract Quantity Adjustment/Change Order
Change Order D
Page 2 of 3
Bid Item#
Item Description and Change
Unit
Qty.
Unit Price
Amount
Contract Time
Adjustment
(Days)
Add water service & aproximately 265
linear feet of 3" PVC conduit per Rev. #
1.
L.S.
1
$6,070.90
$6,070.90
0
Add additional crosswalk stripings &
signage per Rev. # 1.
L.S.
1
$3,491.60
$3,491.60
0
Relocate existing air release valve & tap
at Station 71+97.72 per Rev. # 2.
L.S.
1
$3,907.88
$3,907.88
0
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:
$13,470.38
0
RO(N[)HOCK II iM11
rev. 01/10
Contract Quantity Adjustment/Change Order
uantity A
Page 3 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
0
$0.00
$0.00
TOTALS:
$0.00
0
ROUND ROCK, TEXAS
PURPOSE. PASSION. PROSPERITY.
Item Caption:
City Manager Approval Summary Sheet
Consider executing Quantity Adjustment/Change Order No. 1 with F. T. Woods
Construction Services, Inc. for the Red Bud Lane Phase IV Project.
Approval Date: May 28, 2010
Department: Engineering and Development Services
Project Manager: Lance Shellenberger
Item Summary:
Quantity Adjustment/Change Order No. 1 is needed to add a 2" water service with 265 linear feet of 3" PVC conduit
and additional crosswalk striping and signage. An existing air release valve needs to be relocated also.
Amount % Change
Original Contract $1,043,750.00 N/A
Previous Quantity $0.00 N/A
Adjustments
Quantity Adjustment No. 1 $0.00 N/A
Previous Change Orders $0.00 0%
Change Order No. 1 $13,470.38 1.29%
Revised Contract Total $1,057,220.38 1.29%
Strategic Plan Relevance:
Goal No. 26.0: Construct major elements of the transportation and mobility system as approved by Council in the
Master Transportation Plan.
Cost: $13,470.38
Source of Funds: 4B - Round Rock Transportation Development Corporation Construction
REV. 3/8/10
10.19.09
Request for City Council/City Manager Action
City Council lel City Manager
Submit completed fonn for all City Manager and City Council approvals.
Department Name: PW - Engineering
Contact Person: Chaz Gordon / Kathy Michna
Project Mgr/Resource: Lance Shellenberger
Project Coordinator. N/A
Assigned Attorney: Steve Sheets
City Council or City Manager Approval Date:
Agenda Wording
Y
For c=nir,t; tmti r '.J ,ONLY
v A) 2 E
Receivedn
Original Documents Received: 1
Project Name: Red Bud Lane Phase IV Project
ContractorNendor. F.T. Woods Construction Services, Inc.
Funding Source: RR Trans Dev Corp Construction
Additional funding Source: N/A
Amount:
Account Number.
May 28, 2010
$13,470.38
Consider executing Quantity Adjustment/Change Order # 1 with F.T. Wood Construction Services, Inc. for the Red Bud Lane Phase IV Improvement 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 n No fl
# 1
EX Unforeseen Circumstances
Other (Please clearly identify action below)
Amount
$13,470.38
FINANCE
WA 'wooed
ED
ED El
El CDC:1 Budget
Finance/CIP
Finance/Acct
Purchasing
Date
Date
Date
Date
APPROVALS
(robe con p eledONLYbyFinance)
Final Finance Approval Required
Atwood
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 WRHOUT FINANCE AND LEGAL APPROVAL PRIOR TO SUBMISSION.
Required for Submission of ALL C * di and City M
41r' �'
Project Mgr. Sign
Dept Director gnatur J\ .
'City Attomey Signature:
City Manager Signature:
Date: `) ' 23 1O
Date: SI2.0
Date:
Date:
5- Zg-to
5.215-1
Ci(y Attomey signature is required for an items.
Date
REVISED 5/20/2010