Contract - DeNucci Constructors - 7/22/2021 Page I of 4
Contract Quantity Adjustment/Change Order
rev,,01/16
Department: Transportation
Project
Name: 13001.01 University Blvd Widening Date: 6/17/21
City Project Change Order/Quantity
ID Number 13001.01 Adjustment No. 3
Vendor DeNucci Constructors LLC 8310 Capital of TX Hwy N Ste 275 Austin TX 78731 512-335-0600
Company Name Address Phone No.
Justification
PER COP*8(Attached) 1.(Attached SWPPP Map)Additional erosion control measures requested to be added by TDPES agent.
2.REALLOCATION of conduit quantites for bore quantities to be billed under 3"PVC SCH 80 trenched. 3.Quantity overrun of trench safety
systems.
Amount %Change
Original Contract Price:
$12,028,913.00
Previous Quantity Adjustment(s): $9,378.05
This Quantity Adjustment: $65,429.00
Total Quantity Adjustment(s): $74,807.05
Total Contract Price with Quantity Adjustment(s): $12,103,720.05
Previous Change Order(s): $58,429.01 0%
This Change Order: $8,734.29 0%
Total Change Order(s)To Date: $67,163.30 1%
Adjusted Contract Price [Original Contract Price Plus Quantity
Adjustment(s)Plus Change Order(s)]: $12,170,883.35
Difference between Original and Adjusted Contract Prices: $141,970.35
Original Contract Time: 760
Time Adjustment by previous Quan.Adj./Change Order: 11
Time Adjustment by this Quan.Adj./Change Order: 3
New Contract Time: 774
Prepared By: Aaron DeNucci Project Engineer,DeNucci Constructors LLC 6/17/21
nature Printed Name,Title,Company Date
Contract : Aaron DeNucci Project Engineer,DeNucci Constructors LLC 6/17 21
4re Printed Name, Title Date
City Project 11 II
Manager: �j 111 e lh 6-,7Z -21
Sign re Printed Name,Title Date
Mayor/City
Manager A
Signat a r - I/ Printed Name,Title Date
iR-?o2(-2o0
Page 3 of 4
Contract Quantity Adjustment/Change Order
r ?t 16
Project Name: 13001,01 University Blvd Widening
Quan. Adj./Change Order No.: 3
Chan a Order Data
Contract
Time
Adjustment
Item # Item Description Unit Qty. Unit Price Amount
1 8" EROSION CONT MULCH LOG LF 1000 8.00 $8,000.00 3
2 BOND _ LS 1 $734.29 $734. 9 0
$0.00
$0.00
$0.
0.00
$0.00
0.00
$0.00
0.
$0.00
$0.0
0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
$0.00
$0.00
O-00
0.00
0.00
Page 4 of 4
Contract Quantity Adjustment/Change Order
rev,01116
Project Name: 13001.01 University Blvd Widening
Quan.Adj./Change Order No.: 3
Quantity Ad ustment Data
Contract
Time
Bid Item# Item Description Unit Qty. Unit Price Amount Adjustment
618 CONDT(PVC) 80 3 LF 4095 $15.00 $61,425.00 0
509 TRENCH SAFETY 5Y5TEMS LF 2002 $2.00 $4,004.00
0.00 0
0.00 0
0.00 0
0.001 0
0.00
0.
O
$ •
0.00
0.00
0.00
0.00
$0.00
$0.00
OAO
$0.60
OAO
$0.00
$0.00
0.00
65 429.00 O
CHANGE ORDER PROPOSAL
Contractor: DeNucci Constructors,LLC.
Project Name: 13001.01 University Blvd Widening
Change Order Proposal Number 8 REV 2 Date: 6/17/2021
Description: 1.Added erosion control measures per SWPPP representative reccomendation(SWPPP map attached).2.Bore conduit to be
paid for under trenched 3"PVC SCH80 3.Quantity overrun of trench safety systems
Labor: Position Ouantity RT Hns OT Hrs RT Rate OT Rate Total
0 $42.50 $63.75 $0.00
0 $24.00 $36.00 $0.00
0 $23.00 $34.50 $0.00
0 $20.00 $30.00 $0.00
0 $0.00 $0.00 $0.00
0 $0.00 $0.00 $0.00
0 $0.00 S0.00 $0.D0
0 $0.00 S0.00 $0.00
Subtotal $0.00
Materiel Description Quantity Unit Rate Total
$0.00
$0.00
$0 00
$0.00
$0.00
$0.00
Subtotal $0.00
SubcontractonsNendors: Description Total
Subtotal $0.00
Unit Pricing Description Quantity Unit Price Total
EROSION CONTROL LOG 8" 1000 LF S8.00 S8 000.00
CONDT PVC SCH 80 3" 4095 LF $15.00 $61.425.00
TRENCH SAFETY SYSTEMS 2002 LF $2.00 $4,004.00
$0.00
S0.D0
$0.D0
$0.00
Subtotal $73.429.00
Operating
Equipment: Descnpbon Quantity Unit COSUDOY FHWA Rate Total
0 HR S0.00 $0.00
0 HR $0.00 $0.00
0 HR $0.00 $0.00
0 HR $0.00 $D.00
0 HR $0.00 $0.00
$0.00
Subtotal $0.00
Labor $0.00
Labor Burden 55% $0.00
Labor P&O 25% $0.00
Material $0.00
Material P&0 25% 50.00
Subcontractor $0.00
Subcontractor P&0 25% $0.00
Bid Item $73,429.00
Equipment 50.00
Bond 1% $734.29
TOTAL $74,163.29
Additional days requested: 3
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I
Page 2 of
Contract Quantity Adjustment/Change Order
wouwo Aucx r.�,
rev,01/16
CERTIFICATE OF INTERESTED PARTIES
FORM 1295
loll
77-7 Complete Nos. i-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. 2021-771619
DeNucci Constructors, LLC
Austin,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 06/26/2021
being filed.
City of Round Rock Date Acknowledged:
3 Provide the identification number used by the governmental entity or state agency to track or identify the contract,and provide a
description of the services,goods,or other property to be provided under the contract.
13001.01
University Blvd Road Widening project QA/CO No.3
Nature of interest
4 Name of Interested Part City,State,Country lace of business y y, y(p ) (check applicable)
Controlling Intermediary
5 Check only if there is NO Interested Party. ❑
6 UNSWORN DECLARATIO.NN�
My name is��y L I j21JVU r% c' 1 and my date of birth is
My address is Q �d— ' C��{IW - Dc-H W J/• /Y. , U'S r I /V � L, Ll
(st eet) �— (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct. T y
Executed in �-'flat C� County, State ofI—X on theay of V Ulu IL.20_4j.
/ (month) (year)
l
Signature of authorized agent of c ntracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.ceffd98a