CM-11-09-187ROUND ROCK, TEXAS
City Manager Approval Form
Consider executing Construction Contract Change Order No. 24 wth TxDOT for FM 1460 (Old Settlers Boulevard to U.S.
Item Caption: Hip�+Way 79) projert
Approval Date: September 9, 2011
Department Name: Transportation Department
Project Manager: Bill Stablein
Assigned Attorney: Steve Sheets
Item Summary:
The City of Round Rock entered into an agreement with Texas Department of Transportation on January 22, 2009, to jointly fund
and participate in the design and construction of FM 1460/A.W. Grimes boulevard from U.S. 79 north to Old Settlers Boulevard.
As part of the construction contract, Old Settlers Boulevard East was included from A.W. Grimes Boulevard east to Fairview
Drive.
Construction Contract Change Order No. 24 creates an item to pay for partial removal of a section of installed pedestrian rail at
Agarita Trail and FM 1460. It was discovered due to the side street grade that the pedestrian rail impeded sight distance. Items
for Ride Quality Bonus/Penalty payments on Old Settler's Boulevard (City of Round Rock) are included also because they are part
of the original state contract.
No. of Originals Submitted: Two
Project Name: FM 1460
Cost: $2,360.76
Source of Funds: RR Trans Dev Corp Construction
Source of Funds (if applicable): Select Source Fund
Account Number:
Finance Director Approval:
Department Director Approval:
Date:
Date: / L I
**Electronic signature by the Direct • is acceptable. Please only submit ONE approval form per item. **
CIP I I ❑ Budget
N/A OK
CI El
N/A OK
Purchasing
❑❑
N/A OK
Accounting
C
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
TEXAS DEPARTMENT OF TRANSPORTATION
CONSTRUCTION CONTRACT CHANGE ORDER NUMBER: 024
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:
( Existing
E Amended
[ Check one ]
E New
3. Indicate the type and amount of funding:
I— Fixed Price (Lump Sum) (Estimated Amount $2,292.00
I Actual Cost
(a) Contract Items (Bid Items): $2,292.00
(b) E&C*: (a) x 3.00 = 68.74.
enter %
(c) Indirect Cost**: (a + b) x = 0
enter %
TOTAL sit 62i 3va• 74,
CCSJ: 2211-02-015
Project: STP 2005(921)
Highway: FM 1460
County: Williamson
District: Austin
Contract 05093202
Number:
Use as needed:
I hereby acknowledge notification of the modifications
covered by this Change Order.
Typed/Printed Name
Typed/Printed Title
s`TEvE tkr?uicob
Com; E
*The percentage (%) 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 (%) 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 Project only,
unless otherwise specified in the Advance Funding Agreement. See Stand Alone Manual Notice 98-2 for instructions.
Funding for this Change Order has been arranged:
TxDOT Representative
Typed/Printed Name:
Date
TXDOT Form 2146-AFA (Rev. 7/2007) Page 1 of 1
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