CM-2016-1012 - 1/15/2016r'
-. ROUNo NocH nxak
tev, 06115
Department:
Project
Name:
City Project
TD Number
Justification
Contract Quantity Adjustment/Change Order
General Services
Building B
teduce the contract by 1391.00 to close the project
Page i of 3
Date: 1/4/10
Change Order/Quantity
Adjustment No. 3
SUMMARY
Amount _
0/a Change
Original Contract Price:
$1,120,134.00
Previous Quantity Adjustment(s):
This Quantity Adjustment:
Total Quantity Adjustment(s):
Total Contract Price with Quantity Adjustment(s):
$1,120,134.00
Previous Change Order(s):
$46,763.00
0.04
This Change Order:
-$1,391.00
0.00
Total Change Order(s) To Date:
$45,372.00
0.04
Adjusted Contract Price (Original Contract Price Plus
Quantity Adjustment(s) Plus Change Order(s)):
$1_165,506.00
Difference between Original and Adjusted Contract Prices:
$45,372.00
Original Contract Time:
Time Adjustment by previous Quan. Adj./Change Order:
Time Adjustment by this Quan. Adj./Change Order:
New Contract Time:
0
Submitted for Approval
Prepared B.Vl
Travis Wilkes Building Construction Manager CORR
o ,2V/
Si ature
Printed Name, Title, Company
Date
��•
Approvals
Contractor:
Kyle Little, Vice -President, Chaney -Cox Construction
01/05/2016
Signature
Printed Name, Title, Company
Date
City Project
Manager:
Chad McDowell General Services
Director CORR
Sig ature
Printed Name, Title
Date
Mayor/City
Manager
l
t, ` l
_C
Signature %IL-- Printed Name, Title
Contract Quantity Adjustment/ Change Order
ROUND ROCK TE%AS
rev, 06/15
Project Name: Building B
Quan. Adj./Change Order No.:
ChanaP Ardpr rata
Page 2 of 3
Item # Item Description Unit Qty. Unit Price Amount
Contract
Time
Adjustment
Adjusus s
1 decution from betterment 1 -$1,391.00 -$1,391.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
TOTALS: 1391.00
0