CM-10-06-125ROUSE) ROCKTEXAS
01141,1, 14,1i.11.1,11111,
rev. 04/10
Contract Quantity Adjustment/Change Order
Department: Transportation Administration
Project
Name:
Ledbetter Street Improvements
City Project
ID Number: ST38LDBTR
Justification
Page 1 of 3
Date:
Change Order/Quantity Adjustment
No.
5/26/2010
1
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:/ -4-'--
Signature
Amount
$249,807.00
$249,807.00
$0.00
$9,004.55
$9,004.55
$0.00
$0.00
$258,811.55
0/0 Change
120 Days
0.00%
3.60%
3.60%
120 Days
120 Days
Signatures and Approvals
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Printed Name, Title and Company
Contractor
Approval:�`l,,vr� '&11;v:it r -
Signature
City Staff
Approval:
City Official
Approval:
Signature
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Printed Name, Title and Company
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Printed Name and Title
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Date
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Date
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Date
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Printed Name and Title Date
ROLNO R(R7(, 1EXAS
rev. 04/10
Contract Quantity Adjustment/Change Order
Change Order
Page 2 of 3
Bid Item#
Item Description and Change
Unit
Qty.
Unit Price
Amount
Contract Time
Adjustment
(Days)
4
Channel Excavation
CY
-125
$14.00
($1,750.00)
6
Flexible Base
CY
211
$40.00
$8,440.00
7
Hot Mix Type "A"
TON
-62
$100.00
($6,200.00)
8
Hot Mix Type "C"
SY
128
$9.00
$1,152.00
13
PC Concrete Curb
LF
200
$7.50
$1,500.00
14
PC Concrete Driveways
SF
125
$7.00
$875.00
18
Pipe --1" Polyethylene Tubing
LF
121
$35.00
$4,235.00
19
Pipe --18" RCP
LF
174
$52.00
$9,048.00
24
Relocate Existing Mailboxes
EA
-4
$450.00
($1,800.00)
25
Relocate Existing Rock Mailboxes
EA
-1
$900.00
($900.00)
26
Install Temporary Mailboxes
EA
-9
$350.00
($3,150.00)
30
Protective Fencing Type A, Chain Link
LF
-478
$2.50
($1,195.00)
32
Mortared Rock Wall
SF
-500
$10.00
($5,000.00)
34
Silt Fence for Erosion Control
LF
-951
$1.75
($1,664.25)
38
Project Signs
EA
-1
$700.00
($700.00)
40
Relocate Existing Traffic Signs
EA
-2
$350.00
($700.00)
41
Sleeves for 1" Water Services
LF
240
$2.00
$480.00
**
Waterline Tie -In
LS
1
$2,500.00
$2,500.00
**
Relocate Existing 1' Water Service
LS
1
$750.00
$750.00
**
Install 3x3 Grate Inlet
LS
1
$1,850.00
$1,850.00
**
Lower Existing Electric Line
LS
1
$500.00
$500.00
**
Rebar For Ribbon Crub
EA
210
$2.78
$583.80
**
Replaced Well Connection to 1401
LS
1
$150.00
$150.00
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:
$9,004.55
0
rev. 01/10
Contract Quantity Adjustment/Change Order
uantity Adjustm
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
City of Round Rock
City Manager Approval Summary Sheet — Page 2
Consider executing Quantity Adjustment/Change Order No. 1 with EBC Construction LLC
Item Caption: for the Ledbetter Street Improvements Project.
Approval Date: June 11, 2010
Department: INFRASTRUCTURE DEVELOPMENT AND CONSTRUCTION MANAGEMENT
Project Manager: Bill Stablein/Joe Bledsoe
Item Summary:
Due to some additional quantity over runs and some quantity adjustments that were under the estimated contract
amount, this quantity adjustment needs to be executed in order to complete the contract close out.
Strategic Plan Relevance:
This was a 2002 GO Bond Project to improve the safety and mobility of the newly Plated Subdivision of Ledbetter
Street.
Cost: $ 9,004.55
Source of Funds: 2002 General Obligation Bonds
10.19 09
Request for City Council/City Manager Action
® City Council [CO City Manager
Submit completed form for all City Manager and City Council approvals.
RFCFIVFD
For Administration Use ONLY
JUN 092010
Received:
Tag#: Nett
Original Documents Received:
INFRASTRUCTURE DEVELOPMENT AND
Department Name: CONSTRUCTION MANAGEMENT Project Name: Ledbetter Street Improvement
Contact Person: Chaz Gordon / Kathy Michna
Project Mgr/Resource: Bill Stablein
Project Coordinator. Michael Thane
Assigned Attorney: Steve Sheets
City Council or City Manager Approval Date:
Agenda Wording
ContractorNendoc EBC Construction LLC
Funding Source: 2002 General Obligation Bonds
Additional funding Source:
Amount:
Account Number:
June 11, 2010
$9,004.55
Consider executing Quantity Adjustment/Change Order No. 1 with EBC Construction LLC for the Ledbetter Street Improvements Project.
Finance Information
Is Funding Required?
Initial Construction Contract
Construction Contract Amendment
Yes n No 0
Change Order # 1
Change 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
$ 9,004.55
FINANCE
N/A Approved
aFinancelClP Date
EDO Finance/Acct Date
Date
Date
APPROVALS
(to be completed ONLY by Finance)
Final Finance Approval Required
Approved
I= CI Purchasing
Budget
Finance Director Date
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.
R . uired for Submission of ALL C' Council and C Mana ' er Items
Project Mgr. Signature:
Dept. Director Signature:
*City Attorney Signature:
City Manager Signature:
Date:
Date:
Date:
Date:
*City Attorney signature is required for all items.
REVISED 6/7/2010