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Contract - Joeris General Contractors - 3/23/2017 Page I of 3 Contract Quantity Adjustment/Change Order ROUNO ROCt(Tf.Xi15 rev,06/15 Department: General Services Buidling Construciton Project Name: Old Settlers Multi purpose fields Date: 2/21/17 City Project Change Order/Quantity ID Number Adjustment No. 4 Justification SUMMARY Amount %Change Original Contract Price: $24,378,800.21 Previous Quantity Adjustment(s): This Quantity Adjustment: Total Quantity Adjustment(s): $0.00 Total Contract Price with Quantity Adjustment(s): $24,378,800.21 Previous Change Order(s): $1,383,827.21 0.06 This Change Order: $416,735.00 0.02 Total Change Order(s)To Date: $1,800,562.21 0.07 Adjusted Contract Price [Original Contract Price Plus Quantity Adjustment(s) Plus Change Order(s)]: $26,179,362.42 Difference between Original and Adjusted Contract Prices: $1,800,562.21 Original Contract Time: Time Adjustment by previous Quan.Adj./Change Order: Time Adjustment by this Quan.Adj./Change Order: New Contract Time: 0 Submitted for Approval Prepared By: Travis Wilkes Building Construction Manager CORR Signature Printed Name,Title,Company Date Approvals Contractor: /•�• 5 0.r�� Y r�T'C c e ti l� 4���Z G C Si nature Printed Name,Title, Company Date City Project Manager: Chad McDowell General Services Director CORR Si ture Printed Name,Title Date Mayor/Cityrl-Y7 Manager 1 `Amo Signature Printed Name,Title Date Page 2 of 3 -- Contract Quantity Adjustment/Change Order HOUND HpCN It:":,i rev,06/15 Project Name: Old Settlers Multi purpose fields Quan.Adj./Change Order No.: 4 Change Order Data Contract Time Adjustment Item # Item Description Unit Qty. Unit Price Amount (Davs) 1 30 additional days due to weather delays 1 $28,457.00 $28,457.00 Arch errors and owner requested 2 additions 1 $388,278.00 $388,278.00 $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:J $416735.0010 . J "'R' Change Order Request General Contractors, Ltd. i Rock Old Settlers Park Sports • - Friday, February 24,2017 Travis Wilkes City of Round Rock Parks& Recreation 212 Commerce Blvd. Round Rock,TX 78664 Re: Arch Errors&Owner Requested Additions Mr.Wilkes, The additional cost associated with the work outlined in Change Order Request #079 - Arch Errors & Owner Requested Additions is attached for your review and approval, along with the subcontractor quotes and a detailed breakdown. Total Cost: $388,278.00 In addition to the cost of work noted above, we are also requesting 0 additional calendar days to perform this work. Please advise how you would like us to proceed. This proposal is valid until Sunday.March 26.2017 unless otherwise noted. Sincerely, James Ekstrom,Assistant Project Manager Joeris General Contractors, Ltd 9211 Waterford Centre Blvd., Suite 150 Austin, Texas 78758 512-920-0338 512-920-0339 Fax Printed on: 2/24/2017 Page 1 JERIS COR Cost Breakdown General Contractors, Ltd. 16010-0 Rock Old Settlers Park Sports • - 079 Date 02/24/17 Days Req 0 PCO# Description FPR 049 Arch Error-Rooftop mechanical screen not in design,but required by city code 001 M&M Metals-Fab and Install hot dipped galvanized HSS steel supports.Install hat channel $45,180.00 per proposal dated 2/9/17 002 American Roof Solutions-Provide and Install Berridge panels per proposal dated 2/9/17 $28,100.00 003 Alterman-Add lightning protection required for mech screening per AEC 19 dated 2/10/17 $1,784.00 Total For:FPR 049 $75,064.00 FPR 052 Arch Error-Miscellaneous 001 Arch Error-Install astrogals not included in hardware schedule per RFI 216 $495.00 002 Arch Error- Additional return air grilles not shown on MEP.Ref RFI 218. $650.00 003 Arch Error-Reorder masonry column caps due to incorrect detail in plans $2,177.00 004 Arch Error-Add support members at(14)gates due to incorrect detail in plans $1,400.00 Total For:FPR 052 $4,722.00 FPR 054 Arch Error-6"Additional Gravel due to incorrect detail 001 Arch Error-6"Additional Gravel due to incorrect detail not per city code $15,000.00 Total For:FPR 054 $15,000.00 FPR 055 Owner Change-Paint Balcony Guardrails 001 Owner Change-NTE amount to paint galvanized balcony railings $5,000.00 Total For:FPR 055 $5,000.00 PR 008 Owner Change-South Parking Lot Access Rd 001 Ranger Excavating-Quote Dated Feb 1,2017 $131,123.00 002 Capitol Concrete-3200 LF of 16"Ribbon Curb $46,656.00 003 Joeris Supervision&GC's $8,730.00 004 OH&P $18,651.00 005 Ranger Excavating-Allowance for subgrade rework prior to asphalt placement $15,000.00 Total For:PR 008 $220,160.00 PR 010 Owner Change-Haul Rd to access Phase B w/reusable base for future Kenney Fort Rd 001 Ranger Quote Dated Feb.1,2017-2 Lane Option $62,120.00 002 OH&P $6,212.00 Total For:PR 010 $68,332.00 Total For:COR: 079 $388,278.00 Qualifications: Printed on: 2/24/2017 Page 2 EIs Change Order Request General Contractors, Ltd. Project#16010-0-Round Rock Old Seftlers Park Sports Complex COR: 075, Friday, February 24,2017 Travis Wilkes City of Round Rock Parks& Recreation 212 Commerce Blvd. Round Rock, TX 78664 Re: 30 additional days due to weather delays Mr.Wilkes, The additional cost associated with the work outlined in Change Order Request #075 - 30 additional days due to weather delays is attached for your review and approval,along with the subcontractor quotes and a detailed breakdown. Total Cost: $28,457.00 In addition to the cost of work noted above, we are also requesting 29 additional calendar days to perform this work. Please advise how you would like us to proceed. This proposal is valid until Sunday.March 26.2017 unless otherwise noted. Sincerely, James Ekstrom,Assistant Project Manager Joeris General Contractors, Ltd 9211 Waterford Centre Blvd., Suite 150 Austin,Texas 78758 512-920-0338 512-920-0339 Fax Printed on: 2/24/2017 Page 1 JOERICOR Cost Breakdown General Contractors, Ltd. 'Project#16010-0-Round Rock Old Seftlers�Park Sports Complex :COR: -VMI Date 02/17/17 Days Req 29 PCO# Description FPR 051 30 additional days due to weather delay 001 Joeris-Estimate breakdown for 1 month additional supervision and misc jobiste costs. $25,870.00 002 10%GC FEE $2,587.00 Total For:FPR 051 $28,457.00 Qualifications: Approved By: Signature Name Date Printed on: 2/24/2017 Page 2 CERTIFICATE OF INTERESTED PARTIES FORM 1295 101`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. 2017-177362 Joeris General Contractors, Ltd. San Antonio,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 03/10/2017 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. Old Settlers Park Improvements Construction Manager 4 Nature of interest Name of Interested Party City,State,Country(place of business) (check applicable) Controlling I Intermediary Joeris,Gary San Antonio,TX United States X O'Rourke,Stephanie San Antonio,TX United States X 5 Check only if there is NO Interested Party. 6 AFFIDAVIT AAA AAAAAAdA�.AAA AAA A)> I swear,or affirm,under penalty of perjury,that the above disclosure is true and correct. =otrRY"�a�� C.TORRES Notary Punlic � STAI"E OF'SxAs , pF% My Comm.Exp.06-18.2017 D 1,7 n re of hori ed agent of contracting business entity AFFIX NOTARY STAMP/SEAL ABOVE / Sworn to and subscribed before me,by the said C e i,, So fit S -this the I DSL' day of iU 6o tj�. 20 to to certify which,witness my hand and seal of office. 01 �6- uJll�- Lam° Ca I r 4 = /V .,. ,. Signature of officer administering oath Printed name of officer administering oath Title of officer admi istering 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 7-7 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. 2017-177362 Joeris General Contractors, Ltd. San Antonio,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 03/10/2017 being filed. City of Round Rock Date Acknowledged: 03/14/2017 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. Old Settlers Park Improvements Construction Manager Nature of interest 4 Name of Interested Party City,State,Country(place of business) (check applicable) Controlling I Intermediary Joeris,Gary San Antonio,TX United States X O'Rourke , Stephanie San Antonio,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