CM-10-06-130�kDUND K(X:K, 1 ERAS
rev. 04/10
Department: Parks and Recreation
Contract Quantity Adjustment/Change Order
Project
Name:
OSPV Multipurpose Practice Field Project
City Project
ID Number: PKO1MPFLD
Justification
Page 1 of 3
Date:
Change Order/Quantity Adjustment
No.
5/27/2010
1
Due to a grade bust in the subgrade preparation (performed by City crews) additional laser grading was needed to properly
grade the field to drain and meet play field specifications.
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:
City Olticial
Approval:
Signature
Amount
$126,128.67
$126,128.67
0/0 Change
$0.00 0.00%
$1,700.00 1.35%
$1,700.00 1.35%
$0.00
$0.00
$0.00
$127,828.67
30 days
30 days
40 days
Signatures and Approvals
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Printed Name, Titl� and Company Date
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Printed Name, T e nd Company Datp
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Printed Name and Title -Date
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Printed Name and Title
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rev. 04/10
Contract Quantity Adjustment/Change Order
Chan s e Order Data
Page 2 of 3
Bid Item#
3
Item Description and Change
Laser Grading within Athletic Field
Unit
LS
qty.
1
Unit Price
Amount
$1,700.00
$1,700.00
Contract Time
Adjustment
(Days)
10
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:
$1,700.00
10
EL':�:CkttdN:ti, 9'I::X.r�S
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
0
$0.00
$0.00
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
$0.00
$0.00
$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
TOTALS:
$0.00
$0.00
0
ROUND ROCK, TEXAS
PURPOSE. PASSION. PROSPERITY
Item Caption:
Approval Date:
ty Manager Approval Summary Sheet
Consider executing Quantity Adjustment/Change Order No. 1 with Towns Texascape for
the Old Settlers Park Multipurpose Practice Field Project.
June 18, 2010
Department: Parks and Recreation Department
Project Manager: David Buzzell
Item Summary:
Due to a grade bust in the subgrade preparation (performed by City crews), additional laser grading was needed to
properly grade the field to drain and meet play field specifications.
Strategic Plan Relevance:
Cost: $1,700.00
Source of Funds: General Self -Financed Construction
REV. 6/10/10