Contract - Cash Construction Co., Inc. - 1/26/2017 Page 1 of 3
Contract Quantity Adjustment/Change Order
rev,08/12
Department: Transportation
Project
Name: CORR SWDT Ph 5A Date: 11/21/16
City Project Change Order/Quantity
ID Number SWDT5 Adjustment No. 5
Justification
Concrete quantity adjustments for overruns,and electrical additions to our scope of work.
SUMMARY Amount %Change
Original Contract Price: $13,773,063.00
Previous Quantity Adjustment(s): $1,079,000.40'
This Quantity Adjustment: $416,913.50
Total Quantity Adjustment(s): $1,495,913.90
Total Contract Price with Quantity Adjustment(s): $15,268,976.90
Previous Change Order(s): $771,433.30 5%
This Change Order: $165,872.00 1%
Total Change Order(s)To Date: $937,305.30 6%
Adjusted Contract Price [Original Contract Price Plus Quantity Adjustment(s)
Plus Change Order(s)]: $16,206,282.20
Difference between Original and Adjusted Contract Prices: $2,433,219.20
Original Contract Time: 720 Calendar Days
Time Adjustment by previous Quan.Adj./Change Order: 35 Calendar Days
Time Adjustment by this Quan.Adj./Change Order: 0 Calendar Days
New Contract Time: 755 Calendar Days
Submitted for Approval
Prepared By: �� cy-y ' B.J.Cash,Cash Construction
Signature Printed Name,Title,Company Date
Approvals -- - - _
Contractor: B.J.Cash,Cash Construction I/L' 11
Siga re Printed Name,Title,Company Date
City Project
Manager: Bill Stablein, Project Manager,CORR J/ l
-Si ire Printed Name,Title Date
Mayor/City I •U
Manager Alan McGraw,Mayor,CORR `
Signature Printed Name,Title Date
-J;Z.'2t)��
Page 2of3
.�/�. Contract Quantity Adjustment/Change Order
rev,08/12
Project Name: CORR SWDT Ph 5A
Quan.Adj./Change Order No.: 5
Change Order Data
Contract
Time
Adjustment
Item# Item Description Unit Qty. Unit Price Amount (Days)
354 Median Toe Beam and Expansion LF 872 $4.00 $3,488.00
355 Re-form Driveway Area March 2016 LS 1 $5,015.00 $5,015.00
356 Curb Re-work East Mays @ Liberty LS 1 $4,540.00 $4,540.00
357 Retainer Curb Formed/Changed to Rock Wall LS 1 $1,150.00 $1,150.00
358 Pour Curb Across Driveway at Bagdad&Mays LS 1 $3,850.00 $3,850.00
359 Retaining Wall at Anderson LS 1 $12,260.00 $12,260.00
360 Sidewalk with Toe Beam Mays&Austin Street LS 1 $4,985.00 $4,985.00
361 Retaining Wall C LF 125 $182.00 $22,750.00
362 Milling Mobilization for Donut Shop LS 1 $3,150.00 $3,150.00
363 Paving Mobilization for Donut Shop LS 1 $5,680.00 $5,680.00
364 Improved Halo Lighting for Gateway Arch Lettering LS 1 $1,500.00 $1,500.00
365 Hand Rail at Life Force Fitness on 8"Concrete Wall LF 321 $68.00 $21,828.00
366 Demo Street Light Base EA 1 $870.00 $870.00
Ty—p—e-9=6minaire With ac finish,as specified int e
Drawings,to include light pole,lighting fixture,lamp,
ground rod,and(2)GFCI power receptacle with WP
covers,and all specified associated conductors and
367 raceway as per specifications(Damaged by Public) EA 9 $4,250.00 $38,250.00
368 CURB RAMPS(TY 1)(TXDOT-531) EA 15 $1,000.00 $15,000.00
Field Enginering to determine where street light and
receptacle circuits can be fed from. Excavate,locate,
369 and repair existing conduit LS 1 $6,300.00 $6,300.00
370 2 Each Immortal 10 Signs EA 2 $4,400.00 $8,800.00
371 Deduction of Cast Stone from Immortal 10 Column EA -1 $1,832.00 -$1,832.00
372 Bollard and Chains LF 54 $116.00 $6,264.00
373 Hand Rail at Cocos Lounge LF 22 $92.00 $2,024.00
$0.00 $0.00
Page 3 of 3
Contract Quantity Adjustment/Change Order
rev,09(12
Project Name: CORR SWDT Ph 5A
Quan.Adj./Change Order No.: 5
Quantity Adjustment Data
Contract
Time
Adjustment
Bid Item# Item Description Unit Qty. Unit Price Amount (Days)
13 P.C. Reinforced Concrete Curb and Gutter LF 1265 $22.00 $27,830.00
15 P.C. Reinforced Concrete Valley Gutte SY -4 $100.00 -$400.00
16 P.C. Reinforced Concrete Driveway SF 4386 $12.00 $52,632.00
Portan ement Reinforced oncrete Sidewalks to 4-
inch Thickness(as needed to match existing sidewalk
on-site for each address at ROW in conformance to ADA
19 requirements) SF 65 $10.00 $650.00
P.C. Reinforced Concrete Retainer Curb,Type A,
20 Including Tree Wells LF 949.5 $19.00 $18,040.50
12"Retainer Curb with Mortared Rock Limestone Block
(6"x6"xup to 24")Wall,with mortared joints up to 3-
feet tall, including foundation,(measured square feet of
21 face of block)complete in place per square foot LF 16 $83.00 $1,328.00
161 ROW Retainer Curb LF 508 $180.00 $91,440.00
162 P.C.Concrete Driveways SF 3891 $13.00 $50,583.00
163 Concrete Valley Gutters SF 169 $12.00 $2,028.00
234 New P.C.Concrete Sidewalks,5 in Thick SF 8309 $11.00 $91,399.00
245 Plane ASPH Conc Pav(2")(TXDOT-354)(Donut Shop) SY 894 $6.50 $5,811.00
Sae Tree Installation Only(includes excavation,
planting mix backfill,staking/guying, mulch)-3"caliper
120 min. Shade Tree provided by owner EA -20 $500.00 -$10,000.00
Ornamental Tree Installation Only(includes excavation,
planting mix backfill,staking/guying, mulch)-20
121 gal.min.Ornamental Tree provided by owner EA -8 $300.00 -$2,400.00
266 PVC CONDUIT(SCH 80)(2")(TXDOT-618) LF 75 $30.00 $2,250.00
Remove Existing Ornamental Street Lights,along with
8 wiring and base,refer to City for disposal EA 7 $6,000.00 $42,000.00
Remove Existing TXDOT Cobra Head Type Fixtures,
9 along with wiring and base,refer to City for disposal EA 4 $6,000.00 $24,000.00
17 x30'x12 concrete electrical pull ox plus AASHTO H-
20 traffic-rated steel non-slip cover,as specified,
290 complete in place EA 1 $2,100.00 $2,100.00
Electrical conductor,#10 AWG,solid copper conductor,
291 THWN-2 insulation,(TX-DOT-620) LF 3204 $5.50 $17,622.00
$0.00
TOTALS:1 416,913.50
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
10f1
Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2017-153473
Cash Construction Company,Inc.
Pflugerville,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 01/12/2017
being filed.
City of Round Rock Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
CORR SWDT Ph 5A
Concrete quantity adjustments for overruns and electrical additions to our scope of work
4
Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
Cash, Bruce Pflugerville,TX United States X
Cash,BJ(Bruce Jr) Pflugerville,TX United States X
Gentry,Nathan Pflugerville,TX United States X
5 Check only if there is NO Interested Party. ❑
6 AFFIDAVIT 1 swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
STACY SMALL
`�J4�RY,P(ig i
Notary Public.State of Texas
Comm.Expires 03-04-2020
NofatY ID T T 06893d Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE
7
Sworn to and subscribed before me,by the said (a this the ` day o
20 j� to certify which,witness my hand and seal of office.
igriature of o icer administering oath Printed name officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
1 of 1
Complete Nos.1-4 and 6 if there are interested parties. OFFICE USE ONLY
Complete Nos.1,2,3,5,and 6 if there are no interested parties. CERTIFICATION OF FILING
1 Name of business entity filing form,and the city,state and country of the business entity's place Certificate Number:
of business. 2017-153473
Cash Construction Company, Inc.
Pflugerville,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 01/12/2017
being filed.
City of Round Rock Date Acknowledged:
01/12/2017
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
CORR SWDT Ph 5A
Concrete quantity adjustments for overruns and electrical additions to our scope of work
Nature of interest
4
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling I Intermediary
Cash, Bruce Pflugerville,TX United States X
Cash, BJ (Bruce Jr) Pflugerville,TX United States X
Gentry, Nathan Pflugerville,TX United States X
5 Check only if there is NO Interested Party. ❑
6 AFFIDAVIT I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct.
Signature of authorized agent of contracting business entity
AFFIX NOTARY STAMP/SEAL ABOVE
Sworn to and subscribed before me,by the said this the day of
20 ,to certify which,witness my hand and seal of office.
Signature of officer administering oath Printed name of officer administering oath Title of officer administering oath
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.0.277