CM-10-06-123�o
rev. 04/10
Contract Quantity Adjustment/Change Order
Department: Transportation Administration
Project (2) Traf Signal Old Settler @ Greenhill & AW Grimes
Name: @ Plateau Vista
City Project
ID Number:
Justification
Date:
Page 1 of 3
6/1/2010
Change Order/Quantity Adjustment
No.
1
The # 2 Insulated was required by electric company to feed power to Signals Electric Service as shown on sheet 17 of the plans.
The # 2 Insulated was not an original contract bid item and is not subsidiary to any other item.
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:
Signatures and Approvals
Amount
$359,938.65
$359,938.65
0/0 Change
0.00%
$3,000.00 0.83%
$3,000.00 0.83%
$0.00
$0.00
$362,938.65
Prepared bb 1��� `- _ Ed Schroeder, VP- Austin Traffic Signal 6/1/2010
Signature Printed Name, Title and Company Date
Contractor
Approval:
City Staff
Approval:
City Official
Approval:
Signature Printed Name, Title and Company Date
Signature Printed Name and Title Date
ture
J0015R.1411*K.-tbMancios.k, 6-1.1- ID
Printed Name and Title Date
rev. 04/10
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)
CO 01-1
ELEC CONDUTOR (NO 2) INSULATED
LF
1200
$2.50
$3,000.00
NONE
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:
$3,000.00
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)
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:
Approval Date:
City Manager Approval Summary Sheet
Consider executing Quantity Adjustment/change Order No.1 with Austin Traffic Signal
Construction Co. LP for the Traffic Signal Improvements at the intersection of OId Settlers
Boulevard at Greenhill Drive and A. W. Grimes Boulevard at Plateau Vista Boulevard.
June 11, 2010
Department: INFRASTRUCTURE DEVELOPMENT AND CONSTRUCTION MANAGEMENT
Project Manager: Bill Stablein
Item Summary:
Due to unforeseen items that were required by Oncor Electric Company to complete the installation of the traffic
signal at OId Settlers at Greenhill, the use of #2 Insulated wire to feed the power to the electric service for the
signals was required.
Strategic Plan Relevance:
26.0 Construct major elements of the transportation and mobility system as approved by Council in the master
Transportation Plan.
Cost: $3000.00
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 IID City Manager
Submit completed form for all City Manager and City Council approvals.
Foadlititfis4atig die ONLY
Received: JUN 0 9 2010
Tag #: `p.O' 12
Original Documents Received: oz.
INFRASTRUCTURE DEVELOPMENT AND Old Settlers blvd. at Green Hill Drive and
Department Name: CONSTRUCTION MANAGEMENT Project Name: A.W. Grimes at Plateau Blvd - Traffic Signal
Contact Person: Chaz Gordon / Kathy Michna ContractorNendor: Austin Traffic Signal
Project Mgr/Resource: Bill Stablein
Project Coordinator: Michael Thane
Assigned Attorney: Steve Sheets
City Council or City Manager Approval Date:
Agenda Wording
Funding Source: 2002 General Obligation Bonds
Additional funding Source:
Amount:
Account Number:
June 11, 2010
$3,000.00
Consider executing Quantity Adjustment/change Order No.1 with Austin Traffic Signal Construction Co. LP for the Traffic Signal Improvements at
the intersection of Old Settlers Boulevard at Greenhill Drive and A. W. Grimes Boulevard at Plateau Vista Boulevard.
Finance Information
Is Funding Required?
Yes n No
EJ Initial Construction Contract
Construction Contract Amendment e
Change Order n 1
=Change in Quantity =Unforeseen Circumstances
Initial Professional Services Agreement
Supplemental Professional Service Agreement
Purchasing/Service Agreement
Purchase Order
Item(s) to be purchased
Ei
Other (Please clearly identify action below)
Amount
$ 3,000.00
FINANCE
N/A Approved
oa
ED El
Finance/CIP
FinancelAcct
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 ALL City Council and City Manager Items
Project Mgr. Signature: Date: —I? --10
Dept. Director Signature: ?;1141......,__ Date: 6/ 9/10
*City Attorney Signature:C � J Date: brit -.10
City Manager Signature: Date: -I.1-! 0
*City Attorney signature is required for all items.
REVISED 6/7/2010