Contract - Thalle Construction - 11/18/2021 Page 1 of 2
Contract Quantity Adjustment Change Order
ROUND ROCJ[I r W;
ev,01/16
Department:
Project
Name: Brushy Creek Regional Wastewater System — East Plant Date: 10/5/21
City Project Change Order/Quantity
ID Number R-2020-0090 Adjustment No. CO-02
Vendor Thalle Construction Company 900 NC 86 North, Hillsborough, NC 27278
Company Name Address Phone No.
Justification
Reduction in the amount of coating required and some equipment across the project.
Temporary feeding of refurbished BFP to assist operations as loadings increase prior to project completion.
Extended redundant power feed to provide backup during switch overs.
Additional access hatch supports required above what was designed.
Some minor adjustments to conduit and control systems.
SUMMARY Amount %Change
Original Bid Price: $107,351,712.60
Previous Quantity Adjustment(s):
This Quantity Adjustment:
Total Quantity Adjustment(s):
Total Contract Price with Quantity Adjustment(s): $107,351,717.6
Previous Change Order(s): $615,302.02 0.6%
This Change Order: $83,266.99 0.1%
Total Change Order(s)To Date: $698,569.01 0.7%
Adjusted Contract Price [Original Contract Price Plus
Quantity Adjustment(s)Plus Change Order(s)]: $108,050.281.61
Difference between Original and Adjusted Contract Prices: $698,569.01
Original Contract Time: 975
Time Adjustment by previous Quan.Adj./Change Order: 57
Time Adjustment by this Quan.Adj./Change Order: 24
New Contract Time: 1056
Prepared By:
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City Project
Manager:
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Pace 2 of 2
Project Name: Brushy Creek Regional Wastewater System—East Plant
Quan. Adj./Change Order No.: CO-02
Chan a Order Data
Contract
Time
Adjustment
Item# Item Description Unit Qty. Unit Price Amount
PCM-008 Deletion of Pressure Relief Dampers 1 1 (',b,399.b3) -$6,399.63 0
PCM-028 UV Channel Wall 1 1 $1,350.00 $1,350.00 1
PCM-031 UV System Electrical Wiring 1 1 $3,891.71 $3,891.71 1
PCM-034 Grit Classifier Arrangement 1 1 $5,974.12 $5,974.12 0
PCM-035 Overhead Coiling Doors Change 1 1 ($2,956.50) -$2,956.50 0
PCM-036 Lift Station 2 Level Sensor 1 1 $13,145.94 $13,145.94 0
PCM-039 Belt Filter Press Temp Feed Piping 1 1 $36,415.58 $36,415.58 2
PCM-040 Raven Coating Thickness Change 1 1 ($162,700.00) -$162,700.00 0
PCM-041 Se to e Station Conduit 1 1 $5,328.67 $5,328.67 1
PCM-042 Odor Control Feeder Wire Size 1 1 $9,479.90 $9,479.90 2
PCM-043 Filter Weir Plate 1 1 $4,095.31 $4,095.31 1
PCM-45 Flow Meter Relocation 1 1 $23,327.84 $23,327.84 1
Belt Filter Press Control Panel Power $7,968.19
PCM-47 Feed 1 1 $7,968.19 0
CMR-05 Additional Conduits per RFI 17 1 1 $20,000.00 $20,000.00 3
CMR-11 Added Structural Support Beams 1 1 $31,101.88 $31,101.88 3
CMR-13 Lost days due to rain 1 1 $0.00 $0.00 8
CMR-14 Extended Redundant Power Feed Supply 1 1 $90,709.91 $90,709.91 0
CMR-15 Existing Controller Relocation 1 1 $2,534.07 $2,534.07 1
TOTALS: $83,266.99 24
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. 2021-819741
Thalle Construction Co., Inc
Hillsborough, NC United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 11/03/2021
being filed.
City of Round Rock Date Acknowledged:
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.
Change Order#2
Brushy Creek Regional Wastewater Systtem East Plant Expansion
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 Stephen E.Kohler and my date of birth is_
My address is 900 NC Hwy 86 North Hillsborough NC 27278 USA
(street) (city) (state) (zip code) (country)
I declare under penalty of perjury that the foregoing is true and correct.
Executed in Orange County, State of NC on the 3 day of Nov. 20 21
(month) (year)
ignature of authorized agent of contracting business entity
(Declarant)
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Version V1.1.191b5cdc
CERTIFICATE OF INTERESTED PARTIES
FORM ZZSJ
lofl
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. 2021-819741
Thalle Construction Co., Inc
Hillsborough, NC United States Date Filed:
2 Name of governmental entity or state agency that is a party to the contract for which the form is 11/03/2021
being filed.
City of Round Rock Date Acknowledged:
11/12/2021
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.
Change Order#2
Brushy Creek Regional Wastewater Systtem East Plant Expansion
Nature of interest
4 Name of Interested Party City,State,Country(place of business) (check applicable)
Controlling I 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 I ,
(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 V1.1.191b5cdc