CM-11-08-165:V1 -1 1-v7 iSs
(2.)
City Manager Approval Form
Item Caption: Consider executing Quantity Adjustment/Change Order No. 2 with Austin Traffic Signal Construction Cora
Approval Date: August 19, 2011
Department Name: Transportation Department
Project Manager:
Bill Stablein
Assigned Attorney:
Steve Sheets
Item Summary:
Traffic Signal Replacement - U.S. 79 at Sunrise Road was approved by the City Council on February 24, 2011, to replace the traffic
signal poles with a mast arm set up and to install upgraded equipment at a cost of $194,932. Quantity Adjustment/Change Order
No. 1 was approved to purchase and install a new double mast arm at the cost of $4,284.66.
Quantity Adjustment/Change Order No. 2 is needed to add a steel sidewalk plate over an existing flume structure and to adjust
the sidewalk to accomodate the flume structure at the cost of $1,536.77. The revised contract total would be $200,653.43
No. of Originals Submitted: Two
Project Name: US 79 at Sunrise Road - Traffic Signal Replacement
Cost: $1,436.77
Source of Funds: RR Trans Dev Corp Construction
Source of Funds (if applicable): Select Source Fund
Account Number:
Finance Director Approval:
Department Director Approval:
NOCT ?Arae- Date:
Date:
**Electronic signature by the Director is acceptable. Please only submit ONE approval form per item. **
CIP I I n Budget
N/A OK
El El
Purchasing
LILI
N/A OK N/A OK
s://i
Accounting n n
N/A OK
ITEMS WILL NOT BE PLACED ON THE COUNCIL OR CM AGENDA W/OUT PRIOR FINANCE AND/OR LEGAL APPROVAL
REV. 6/20/11
rev. 1/10
Contract Quantity Adjustrnent/Change Order
Department: Transportation Administration
Project
Name:
Traffic Signal -- US 79 at Sunrise
City Project
ID Number: 230.11.04
justification
Page 1 of 3
Date:
7/26/2011
Change Order/Quantity Adjustment
No. 2
Change in Scope of Work. ADD STEEL SIDEWALK PLATE
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 Amis
/„Lezz2,1.
Prepared by:
Contractor
Approval:
City Staff
Approval:
aty Of da
Approval:
re
Aik
g
Amount
$194,932.00
$199,216.66
$4,284.66
$1,436.77
$5,721.43
$0.00
$0.00
$200,653.43
% Change
2.15%
0.72%
2.87%
collette Phillips, Asst Contrl Austin Traffic Signal
Printed Name, Tie and Company
Ed Schroeder, VP Austin Traffic Signal
Printed Name, Title and Company
eh& '01 WOO — (QANif'b1Vri'N EN4iNeei .
Printed Name and Title
/7 -
ll-Octs-ims
Printed Name and Title
rev. 01/10
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)
53-2001
STEEL SIDEWALK PLATE
EA
1
$1,436.77
$1,436.77
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:
$1,436.77
0
rev. 01/10
Contract Quantity Adjushnent/Change Order
ua
Page 3 of 3
TOTALS:
#0.00
Bid Item#
Item Description and Change
Unit
Qty.
Unit Price
Amount
Contract Time
Adjustment
(Days)
LF
LF
LF
LF
LF
LF
LF
LF
LF
LF
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