Contract - SKE Construction - 5/13/2021 Page I of 4
Contract Quantity Adjustment/Change Order
11011NOIIpIX ik14tS
ev,01/16
Department: Utilities And Environmental Services
Project
Name: Kensington Place Asbestos-Cement Waterline Replacement Date: 3/30/21
City Project Change Order/Quantity
ID Number KENAC Adjustment No. 1
Vendor SKE Construction,LLC PO Box 1111 Cypress,TX 77410 281-585-4100
Company Name Address Phone No.
Justification
We under estimated line items 6,9,10,19,21,23,28,and 35.To help balance this out we subtracted the line items that we over estimated.
SUMMARY Amount %Change
Original Contract Price: $1,672,874.73
Previous Quantity Adjustment(s):
This Quantity Adjustment: $73,611.58
Total Quantity Adjustment(s): $73,611.58
Total Contract Price with Quantity Adjustment(s): $1,746,486.31
Previous Change Order(s):
0%
This Change Order: 0%
Total Change Order(s)To Date: $0.00 0%
Adjusted Contract Price [Original Contract Price Plus Quantity Adjustment(s)Plus Change Order(s)j: $1,746,486.31
Difference between Original and Adjusted Contract Prices: $73,611.58
Original Contract Time: 150
Time Adjustment by previous Quan.Adj./Change Order:
Time Adjustment by this Quan.Adj./Change Order:
New Contract Time: 150
P Shelly A.Eberhart,President/CEO,SKE Construction LLC 3/30/21
re Printed Name,Title,Company Date
'5i)nature Printed Name,Title,Company Date
City Project ` // --
Manager: kli� 616i-r f I 2>I- L/t NA5SaCACAk q L
Mayor/Ci
Signa ure Printed Name,Title D e
n OManagerer i /3 G
Signature rin ed Name, itle Dat
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Page 2 of 4
Contract Quantity Adjustment/Change Order
rev,Ol/16
Project Name: Kensington Place Asbestos-Cement Waterline Replacement
Quan.Adj./Change Order No.: 1
Chan a Order Data
Contract
Time
Adjustment
Item# Item Description Unit Qty. Unit Price Amount Da s
$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
T T
Paec�of 4
Contract Quantity Adjustment/Change Order
�,ouLe
Project Name: Kensington Place Asbestos-Cement Waterline Replacement
Quan.Adj./Change Order No.: 1
uanti Adjustment Data
Contract
Time
Bid Item# Item Description Unit Qty. Unit Price Amount Adjustment
TRENCH SAFETY SYSTEMS INCLUDING PLAN SIGNED AND SEALED BY REGISTERED
2 PROFESSIONAL ENGINEER IN TEXAS LS -1 $1,500.00 -$1,500.00
4 EROSION CONTROL LOGS FOR CURB INLET PROTECTION,AS PER DETAIL EC-13 LF -850 $8.00 -$6,800.00
FOR DEPTHS OF Y OR LESS,COORDINATE AND PERFORM LOCATION AND MARKING OF ALL
BURIED EXISTING UTILITIES PRIOR TO COMMENCING WORK(EXAMPLE:BURIED CABLES,
FIBER OPTICSM GAS LINES,ETC).PERFORM PRE-CHLORINATED PIPE BURSTING OF EXISTING
8"ASBESTOS CEMENT WATER LINE,REPLACE WITH 8"HDPE DR11 WATER LINE,COMPLETE,
INCLUDING EXCAVATIONS,BACKFILL,HYDROSTATIC PRESSURE TESTING,POST-BURS TING
CLOSED CIRCUIT TV INSPECTION OF ALL SANITARY SEWER LINES AS DESCRIBED IN
ATTACHEMENT A OF SECTION 01000(TECHNICAL SPECIFICATIONS)AND DELIVER TO CITY,
REPLACEMENT OR REPAIR OF MAILBOXES,FENCING,LANDSCAPE AND IRRIGATION SYSTEMS
5 WITH REVEGETATION(SOD),SAME VARIETY AS REMOVED LF 1 -1350 $72.50 -$97,875.00
FOR DEPTHS OF 5'OR LESS,COORDINATE AND PERFORM LOCATION AND MARKING OF ALL
BURIED EXISTING UTILITIES PRIOR TO COMMENCING WORK(EXAMPLE:BURIED CABLES,
FIBER OPTICSM GAS LINES,ETC).PERFORM PRE-CHLORINATED PIPE BURSTING OF EXISTING
6"ASBESTOS CEMENT WATER LINE,REPLACE WITH 8"HDPE DR11 WATER LINE,COMPLETE,
INCLUDING EXCAVATIONS,BACKFILL,HYDROSTATIC PRESSURE TESTING,POST-BURSTING
CLOSED CIRCUIT TV INSPECTION OF ALL SANITARY SEWER LINES AS DESCRIBED IN
ATTACHEMENT A OF SECTION 01000(TECHNICAL SPECIFICATIONS)AND DELIVER TO CITY,
REPLACEMENT OR REPAIR OF MAILBOXES,FENCING,LANDSCAPE AND IRRIGATION SYSTEMS
6 WITH REVEGETATION(SOD),SAME VARIETY AS REMOVED LF 255 $77.00 $19,635.00
FOR DEPTHS GREATER THAN 5',COORDINATE AND PERFORM LOCATION AND
MARKING OF ALL BURIED EXISTING UTILITIES PRIOR TO COMMENCING WORK
(EXAMPLE:BURIED CABLES,FIBER OPTICSM GAS LINES,ETC).PERFORM PRE-
CHLORINATED PIPE BURSTING OF EXISTING 8"ASBESTOS CEMENT WATER LINE,
REPLACE WITH 8"HDPE DR11 WATER LINE,COMPLETE,INCLUDING EXCAVATIONS,
BACKFILL,HYDROSTATIC PRESSURE TESTING,POST-BURSTING CLOSED CIRCUIT TV
INSPECTION OF ALL SANITARY SEWER LINES AS DESCRIBED IN ATTACHEMENT A OF
SECTION 01000(TECHNICAL SPECIFICATIONS)AND DELIVER TO CITY,REPLACEMENT
OR REPAIR OF MAILBOXES,FENCING,LANDSCAPE AND IRRIGATION SYSTEMS WITH
REVEGETATION(SOD),SAME VARIETY AS REMOVED
8 LF -100 $120.00 -$12,000.00
FOR DEPTHS OF V OR LESS,FURNISH AND INSTALL SHORT SINGLE SERVICE,
INCLUDING 1"SERVICE SADDLE(EPDXY COATED WITH DUAL SST BANDS)V FORD OR
APPROVED EQUAL BRASS CORPORATION STOP,1"POLYETHYLENE DR9 WATER
SERVICE TUBING,1"X 5/8"FORD OR APPROVED EQUAL,LOCKING ANGLE STOP,AS
PER DETAIL DRAWING NO,WT-02
9 EA 4 $800.00 $3,200.00
FOR DEPTHS OF V OR LESS,FURNISH AND INSTALL LONG SINGLE SERVICE,
INCLUDING 1"SERVICE SADDLE(EPDXY COATED WITH DUAL SST BANDS)1"FORD OR
APPROVED EQUAL BRASS CORPORATION STOP,1"POLYETHYLENE DR9 WATER
SERVICE TUBING,1"X 5/8"FORD OR APPROVED EQUAL,LOCKING ANGLE STOP,AS
PER DETAIL DRAWING NO,WT-02
10 EA 8 $850.00 $6,800.00
FOR DEPTHS OF V OR LESS,FURNISH AND INSTALL SHORT DUAL SERVICE,INCLUDING
1-1/2"SERVICE SADDLE(EPDXY COATED WITH DUAL SST BANDS)2"FORD OR
APPROVED EQUAL BRASS CORPORATION STOP,1-1/2"POLYETHYLENE DR9 WATER
SERVICE TUBING,1-1/2"X 3/4"MIP FORD OR APPROVED EQUAL U-BRANCH,2-3/4X5/8"
FIT FORD OR APPROVED EQUAL LOCKING ANGLE STOP,AS PER DETAIL DRAWING NO,
11 WT-04 EA -22 $850.00 -$18,700.00
FOR DEPTHS OF 5'TO 10',FURNISH AND INSTALL SHORT DUAL SERVICE,INCLUDING 1-
1/2"SERVICE SADDLE(EPDXY COATED WITH DUAL SST BANDS)2"FORD OR
APPROVED EQUAL BRASS CORPORATION STOP,1-1/2"POLYETHYLENE DR9 WATER
SERVICE TUBING,1-1/2"X 3/4"MIP FORD OR APPROVED EQUAL U-BRANCH,2-3/4X5/8"
FIT FORD OR APPROVED EQUAL LOCKING ANGLE STOP,AS PER DETAIL DRAWING NO,
12 WT-04 I EA 1 -2 $900.00 -$1,800.00
Page 4 of 4
Contract Quantity Adjustment/Change Order
murmena rtxafi
e,01/16
FOR DEPTHS OF 5'OR LESS,FURNISH AND INSTALL LONG DUAL SERVICE,INCLUDING
1-1/2"SERVICE SADDLE(EPDXY COATED WITH DUAL SST BANDS)2"FORD OR
APPROVED EQUAL BRASS CORPORATION STOP,1-1/2"POLYETHYLENE DR9 WATER
SERVICE TUBING,1-1/2"X 3/4"MIP FORD OR APPROVED EQUAL U-BRANCH,2-3/4X5/8"
FIT FORD OR APPROVED EQUAL LOCKING ANGLE STOP,AS PER DETAIL DRAWING NO,
13 WT-04 EA -8 $950.00 -$7,600.00
FOR DEPTHS OF U TO 10',FURNISH AND INSTALL TONG DUAL SERVICE,INCLUDING 1-
1/2"SERVICE SADDLE(EPDXY COATED WITH DUAL SST BANDS)2"FORD OR
APPROVED EQUAL BRASS CORPORATION STOP,1-1/2"POLYETHYLENE DR9 WATER
SERVICE TUBING,1-1/2"X 3/4"MIP FORD OR APPROVED EQUAL U-BRANCH,2-3/4X5/8"
FIT FORD OR APPROVED EQUAL LOCKING ANGLE STOP,AS PER DETAIL DRAWING NO,
14 WT-04 EA 1 -2 $610.00 -$1,220.00
FOR ALL DEPTHS,REMOVE AND REPLACE EXISTING 8"INLINE DUCTILE IRON FITTINGS,
15 INCLUDING MEGALUG RESTRAINTS TON -49 $250.00 -$12,250.00
FOR ALL DEPTHS,REMOVE AND REPLACE FIRE HYDRANT AC PIPE LEAD-REPLACE
WITH 6"DUCTILE IRON PIPE,CLASS 150,INCLUDING GATE VALVE AND TEE,AS PER
17 DETAIL WT-05 EA -1 $4,318.01 -$4,318.01
FURNISH AND INSTALL CLOW OR APPROVED EQUAL FIRE HYDRANT AND ASSEMBLY,
AS PER DETAIL DRAWING NO WT-05,AS DIRECTED BY INSPECTOR
18 EA -1 $8,700.00 -$8,700.00
FURNISH AND INSTALL 8"CLOW GATE VALVE,OR APPROVED EQUAL,INCLUDING
BOOT,RISER AND LID,AND CONCRETE COLLAR,AS PER DETAIL DRAWINGS WT-11
19 AND WT-06 EA 16 $2,500.00 $40,000.00
FURNISH AND INSTALL 3/4"BRONZE NON-RISING STEM GATE VALVE AND FITTINGS,
BOX AND LID(PROPERTY OWNERS CUT-OFF VALVE ASSEMBLY OUTSIDE METER BOX)
20 AS DIRECTED BY INSPECTOR EA -1 $90.22 -$90.22
INSTALL PLASTIC SINGLE METER BOX,AS DIRECTED BY INSPECTOR,PER DRAWING
21 WT-02 EA 1 16 $156.00 $2,496.00
INSTALL PLASTIC DUAL METER BOX,AS DIRECTED BY INSPECTOR,PER DRAWING WT-
22 02 EA -43 $217.97 -$9,372.71
TRENCH AND PLACE 4"SDR35 CASING PIPE FOR LONG WATER SERVICE AS PER
DETAIL DRAWING WT-01(INCLUDING PAVEMENT REPAIR,SEPARATE AND APART FROM
23 BID ITEM 40). LF 174 $550.00 $95,700.00
24 FURNISH AND INSTALL 6"SDR26 PVC SEWER SERVICE PIPING LF -64 $10.00 -$640.00
FURNISH AND INSTALL 6"WASTEWATER CLEAN-OUT ASSMEBLY(NON-PAVED
25 SURFACE)AS PRE DETAIL WW-14 EA -7 $173.00 -$1,211.00
PERFORM CONCRETE PEDESTRIAN RAMP REPAIRS,COMPLYING WITH ADA
27 REGULATIONS AND MATCHING EXISTING STYLE EA -4 $3,184.53 -$12,738.12
PERFORM CONCRETE DRIVEWAY REPAIR AS PER DETAIL DRAWING NO.S-02.APPROX.
28 216 SF EACH EA 21 $5,000.00 $105,000.00
31 6"DIAMETER x 2"AIR RELEASE VALVE EA -1 $1,627.56 -$1,627.56
32 8"DIAMETER x 2"AIR RELEASE VALVE EA -1 $1,676.80 -$1,676.80
FOR DEPTHS OF TOR LESS,FURNISH AND INSTALL LONG SINGLE SERVICE,INCLUDING 2"
SERVICE SADDLE(EPDXY COATED WITH DUAL SST BANDS)2"FORD OR APPROVED EQUAL
BRASS CORPORATION STOP,2"POLYETHYLENE DR9 WATER SERVICE TUBING,2"X 5/8"
35 FORD OR APPROVED EQUAL,LOCKING ANGLE STOP,AS PER DETAIL DRAWING NO,WT-02 EA 1 $900.00 $900.00
$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:L 11. s
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
loll
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. 2021-743779
SKE Construction, LLC
Cypress,TX United States Date Filed:
2 Name of governmental entity or state agency that is a party tot the contract for which the form is 04/27/2021
being filed.
City of Round Rock Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identity the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
000000
City of Round Rock-Kensington Place A/C Waterline Replacement
4 Nature of interest
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party.
X
6 LINSWORN DECLARATION
My address istsga islmQ. — '� „LQ O
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in � � County, State of� a� on the;tl ay of�.20al•
( onth) (year)
la
signature of a t
orized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us
Version V1.1.3a6aaf7d
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. 2021-743779
SKE Construction, LLC
Cypress,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 04/27/2021
being filed.
City of Round Rock Date Acknowledged:
04/27/2021
g 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.
000000
City of Round Rock-Kensington Place A/C Waterline Replacement
Nature of interest
4
Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party.
X
6 UNSWORN DECLARATION
My name is and my date of birth is
My address is
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in County, State of on the day of ,20
(month) (year)
Signature of authorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.3a6aaf7d