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CM-12-05-095CM-ioS-s RECEIVED MAY23 2012 ROUND ROCK, TEXAS City Manager Approval Form PURPOSE. RYSSIO . PROSPERITY item Caption: Consider executing Quantity Adjustment/Change Order No. 1 with RGM Constructors of Texas, LLC for the Resters Crossing Road & La Frontera Boulevard Street Reconstruction Project. Approval Date: May 25, 2012 Department Name: Transportation Department Project Manager: Bill Stablein Assigned Attorney: Stephan L. Sheets Item Summary: Install low profile barriers to save existing median trees and additional quantities for work zone striping removal. No. of Originals Submitted: 2 Project Name: Nesters Crossing Rd & La Frontera Blvd Street Reconstruction Cost: $25,685.00 Source of Funds: RR Trans Dev Corp Construction Source of Funds (if applicable): Select Source Fund Account Number: Finance Director Approval: LO for C. Delaney Department Director Approval: Gary Hudder Date: 5-22-2012 Date: 5/21/12 -"'Eiectronic. s;,,n; ttir_> by the Dir P,C7Se J., ysubrr) y;.c "7, ! t:.; :oe, CIP n n Budget n n Purchasing E Accounting El N/A OK N/A OK N/A OK 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 4411°2=DIII.Aoac.;..rftsr, rev, 04/11 Contract Quantity Adjustment/Change Order Department: Transportation Department Project Resters Crossing Rd. & La Frontera Name: Blvd Street Reconstruction City Project ID Number WRO1OSP Justification Date: Change Order/Quantity Adjustment No. Page 1 of 3 5/10/2012 1 INSTALL LOW PROFILE BARRIERS TO SAVE EXISTING MEDIAN TREES AND ADDITIONAL QUANTITIES FOR WK ZN STRIPING REMOVAL 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: 2 Amount % Change $0.00 $25,685.00 25 685.00 1 $0.00 $0.00 $0.00 $2,954,131.71 $25,685.00 0.00 0.00 0.00 0 0 2 0 For Contractor: For City of- Round Rock: Printed Contractor Company Name: Signature RGM Constructors of Texas, LLC "11.016.)40 6A4 Printed Name, Title ate ci-Nzi\AVoodi btu' Zvi tuna r QS z" T Printed Name, Title Date rev. 06/11 Item # Contract Quantity Adjustment/Change Order Project Name: Quan. Adj./Change Order No.: Item Description Hesters Crossing Rd. & La Frontera Blvd Street Reconstruction 1 Cha • Order Data Page 2 of 3 Q Unit Price Amount Time Adjustment Days $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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 TOTALS: $0.00 rev, 06/11 Contract Quantity Adjustment/Change Order Project Name: Quan. Adj./Change Order No.: Resters Crossing Rd. & La Frontera Blvd Street Reconstruction 1 Bid Item # Item Descri . . on 32 33 56 Unit Qty. Unit Price (: '&I�— L.W PROFXTY 1) PORT CTB (FUR & IN 5T)(LOW PROF)(TY 2) EUMINATING EXISTING PAVEMENT MARKINGS (4") LF 2480 Amount $8.00 $19,840.00 $2,520.00 LF 665 $5.00 $3,325.00 $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 $L0.00 $0.00 $0.00 $o $0.00 $0.00 $0.00 $0 $0.00 LF 140 $18.00 .00 .00 Page 3 of 3 Time Adjustment Da s 1 1 TOTALS: $25,685.00