CM-12-05-084ROUND ROCK, TEXAS
PURPOSE PASSION. PROSPERITY
Item Caption:
C/1/1-11.- oS -08 '-1
RECEIVED
MAY 0 2 2012
City Manager Approval Form
Consider executing Quantity Adjustment / Change Order No. 3 with Patin Construction for the Buck Egger
CDBG Park Development Phase II Project.
Approval Date: May 4, 2012
Department Name: Parks and Recreation Department
Project Manager:
David Buzzell, Park Development Manager
Assigned Attorney: J. Kay Gayle
Item Summary:
This item will approve change order/quantity adjustment number 3 to the contract with Patin Construction for the Buck Egger
Park Project. This deduct change order accounts for $2,625.00 in testing charges for work related to repairs that were
performed on the project as a result of the contractor failing to construct the parking lot to plans and specifications. The City had
an existing contract with the testing lab and therefore paid for the additional charges. This change order deducts the total
amount of additional testing charges from the contractors contract (-$2,625.00).
No. of Originals Submitted: 3
Project Name:
Cost:
Source of Funds:
Buck Egger CDBG Park, Phase II Improvements Project
- $2,625.00
CDBG HUD Entitlement Grants
Source of Funds (if applicable): Select Source Fund
Account Number: bg02egg13
Finance Director Approval: Cheryl Delaney
Department Director Approval: -.
Date: 5/1/12
Date:
**Electronic signature by the Director
CIP I I r7 Budget
N/A OK
❑✓ ❑
N/A OK
is acceptable. Please
Purchasing
only submit ONE approval form per item. **
N/A OK
Accounting
❑ ❑
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
Contract Quantity Adjustment/Change Order
ey I.1JC µ_NRA:
rev, 06/11
Department: Parks & Recreation Department
Project Buck Egger CDBG-Park Development,
Name: PH II
City Project
ID Number
Justification
Date: 20 -Apr -12
Change Order/Quantity Adjustment
No.
3
Geotechnical Engineering work and testing back charged to the Contractor.
SUMMARY
Original Contract Price:
Previous Quantity Adjustment(s):
This Quantity Adjustment:
Total Quantity Adjustment(s):
Total Contract Price with Quantity Adjustment(s):
Previous Change Order(s):
This Change Order:
Total Change Order(s) To Date:
Adjusted Contract Price [Original Contract Price Pius
Quantity Adjustment(s) Plus Change Order(s)]:
Difference between Original and Adjusted Contract Prices:
Original Contract Time:
Time Adjustment by previous Quan. Adj./Change Order:
Time Adjustment by this Quan. Adj./Change Order:
New Contract Time:
Prepared By:
Signature
Printed Contractor C
For Contractor:
Signature
120
13
0
133
Antonio A. Prete, P.E., Principal
$34,124.00
($2,625.00)
$31,499.00
0.10
(0.01)
0.09
$363,964.50
$31,499.00
0
0
0
Printed Name, Title
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Printed Name, Title
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Signature
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Printed Name, Tide
Date
20 -Apr -12
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Page 1 of
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rev, 06/11
Page2ofk
Contract Quantity Adjustment/Change Order
Project Name: Buck Egger CDBG-Park Development, PH II
Quan. Adj./Change Order No.:
3
Item #
CO3-D1
Item Descri • tion
PSI Testin. Back Cha .e
Unit
LS
.
1
Unit Price
-$2,625.00
Amount
$2,625.00
Contract
Time
Adjustment
Da s
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