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CM-11-04-072ROUND ROCK, TEXAS PURPOSE. PASSION. PROSPERITY Item Caption: Approval Date: Department: Project Manager: Item Summary: City Mana: er Approval Summar Sheet Consider executing Construction Contract Change order No. 22 with TxDOT for the FM 1460 (Old Settlers Blvd. to U.S. Hwy 79) Project. April 1, 2011 Infrastructure Development & Construction Management Bill Stablein Construction Contract Change Order # 22 with the Texas Department of Transportation (TxDOT) is needed to relocate a water service uncovered during construction at Lantana Drive and FM 1460. This change order is third party funded by the City of Round Rock. The current Advanced Funding Agreement covers this extra work. Strategic Plan Relevance: 22.0 - Foster transportation systems that would support the development of major density centers. 26.0 - Construct major element of the transportation and mobility system as approved by the Council in the Transportation Master Plan. 27.0 - Ensure there is an adequate and safe water supply. Cost: $5,999.75 Source of Funds: Round Rock Transportation Development Corporation Construction TEXAS DEPARTMENT OF TRANSPORTATION CONSTRUCTION CONTRACT CHANGE ORDER NUMBER: 022 Third Party Funding Notification Sheet This form is used when the subject change order involves funding by a source other than TxDOT/U.s. DOT, and involves third parties who are providing funding under an Advance Funding Agreement or Donation Agreement. 1. Outside funding provided by: City of Round Rock (Outside Entity's Legal Name) 2. Type of outside funding agreement for this change: IR Existing r Amended E New f Check one j 3. Indicate the type and amount of funding: Fixed Price (Lump Sum)55,825.00 (Estimated Amount ) V Actual Cost (a) Contract Items (Bid Items): $5,825.00 (b) E&C*: (a) x 3.00 = #fly.75 enter% (c) indirect Cost": (a + b) x _ 0 enter% TOTAL T,99.75- * The percentage (96) for E&C (Engineering and Contingencies) charges varies from project to project depending on the contract amount of the project. Projects with a higher contract amount will have a lower rate of E&C charge. For a specific project, E&C rate (96) can be derived from the cost of 'Engineering and Contingencies" in the "Estimated Cost" of the project. ** Use the statewide district rate as established by Finance Division each year. This line 3(c) Is for Service Protect only, unless otherwise specified in the Advance Funding Agreement. See Stand Alone Manual Notice 98-2 for instructions. CCSJ; 2211-02-015 Project: STP 2005(921) Highway: FM 1460 County: Williamson District: Austin Contract Number: 05093202 Use as needed: I hereby acknowledge notification of the modifications covered by this Change Order. Date By Typed/Printed Na Typed/Printed Title Funding for this Change Order has been arranged: TxDOT Representative Typed/Printed Name: D(OOT Form 2146-AFA (Rev. 7/20071 Page 1 of 1 city t t-0'4- 0'lZ Date Contact/Help II — mai _/i Print Form REPORT DATE: A E . o _ \ a. } k k k k K,_ca CO CO Q a. u_ o o E 0000 / / m III / k 0 .1---.. -_ $*J/ o f2 k■/ 2 7 z 0 \» )° 2 g&! J 03 P ■ f uNOP Z z2 es f MOOD 0 §{03 0 G w = 0 0 / )\ E. / \ ., �� o I, f« m CD �_En C £ Z �k 0 , }` ) 2 �[ {\ E k -C 5 _c §- B cr \} / Xc _{ z al 2 k I»»a§ £6 UI '''6 - $ § j To' 0 0 o a /u § al # k Z/ 9E o V. § 42 )/ k k� ) ) C 8§ b / 0 © w z * u B #» X « $I-•'Zk ƒ.\ Z kk re Q ƒ t2 w 30Z 22f EI - �w� » °- X0044 kzo 0\/ k) eaO s@ 7§ 03ƒ 0§ o )& o o a a ■' £ 0 a o a o c § i� 71-0 � --0 CHANGE ORDER NBR. Vi Z CC 09En 2 sa z I CU •c) 0C 4 \ on co 0• �� 0 I \ 77 «Z § \ 1f§ »2 § U- re $ § 00I k k ik /§ �A ems£ § § z2o ® # & aoo,» ¢§2± k k§ o /k I�--a.§//$ §.< \ 1- § §& ! �(§&a2■A inCO■J �.2 Ili / �$ } � / 0 � t3: 15 / 8 %_ $ P 0 .- } 0 0 Z P m 1 e 3 K J § ƒ k ® c .15 ._ z OP:a §I. 2� wok - fk>£ Aut. 1-. 0 0 0 R <� X© e « / 0 ,C4 -c) 0<,-0 AGE§ � k § `°- 7 , 2 W _ < o , £ o , z /: f- w EL«> P 3 z z o z« o z $ a u° t 3 ƒƒ@ o RESba.0 §/k\ a// $ /§ et § z 0©i- CO TYPED/PRINTED NAME: TYPED/PRINTED TITLE: AREA ENGINEER: AREA ENGINEER'S SEAL: R CHANGE ORDER NBR, o co § Lo 0 § ) § § �0 P4 8} �§ §0< I- / § CONTRACT ID CONTRACT ITEMS Z la 3 / k IL \ et z �k CHANGE ORDER AMOUNT 0 0 • 0 0 m A a N CHANGE ORDER NBR. FUNDING SOURCES O E 0 O co asd 0 8 O 1. Work Program: