7038 - Change Order 1 Executed
Docusign City Council Transmittal Coversheet
File Name
Purchasing Contact
City Council Target Date
Piggy Back Option
Contract Expiration
Ordinance
DocuSign Envelope ID: 8DA11701-3AA2-4935-8B0B-6727082C38E7
&&+"!)$(%("-"+%("
$(#"+!"+
)-**&% &"
.+"+'),%&&)
-)"+
RFCO # 1
Date 7/26/2019
Item Unit
Add To
Contract
Qty
Unit Item Bid Total Line Item Total
2 LF 1500 $ 212.40 $318,600.00
3 LF -1061 $ 136.20 ($144,508.20)
4 LF -12 $ 223.62 ($2,683.44)
5 LF -60 $ 947.60 ($56,856.00)
6 EA 2 $ 45,750.00 $91,500.00
9 EA -1 $ 3,390.00 ($3,390.00)
10 EA 1 $ 19,500.00 $19,500.00
14 LF 547 $ 0.60 $328.20
Job Information
12-Inch Water Pipe w/ Fittings
48-Inch Steel Casing Pipe by Other than Open Cut with
30-Inch Water Carrier Pipe w/ Restrained Joints
30-Inch Resilient Seated Gate Valve and Vault
2018-010
Description
30-Inch Water Pipe w/ Fittings and Restrained Joints
24-Inch Water Pipe w/ Fittings and Restrained Joints
Engineer Information
Owner Information
Fax (817) 335-5070
Owner Name
Email
Address City of Denton Texas
Job #
Job Name ALLRED AND JOHN PAINE ROAD WATER TRANSMISSION MAIN IFB# 7038
Address 0
REQUEST FOR CHANGE ORDER
josh.kercho@kimley-horn.com
Address Fort Worth, TX 76102
P.E. (Attn)Mr. Josh Kercho, P.E.
Phone (817) 335-6511
City of Denton
Address 901-B Texas Street
Address
Phone
Denton, TX 76209
(940) 349-7100
Name Kimley Horn & Associates
Address 801 Cherry St. Suite 1300
940-243-1174 Office
940-898-1175 Fax
www.WilsonContractorServices.Com
Wilson Contractor Services, LLC
3985 Mingo Rd.
Denton, Texas 76208
Plan Revisions Dated 07/12/2019
Water Line Alignment Revisions City IFB# 7038, Ordinance#19-1386, KH No: 061024021
12-Inch Resilient Seated Gate Valve w/ Box
4-Inch Combination Air Release/Vacuum Relief Valve,
Vault and Vent Piping
Trench Safety
DocuSign Envelope ID: 8DA11701-3AA2-4935-8B0B-6727082C38E7
18 LF -7400 $ 4.41 ($32,634.00)
18 LF -2000 $ 5.50 ($11,000.00)
20 CY 419 $ 8.00 $3,352.00
21 SY 7550 $ 1.06 $8,003.00
22 SY -56 $ 89.60 ($5,017.60)
24 SY -85 $ 20.00 ($1,700.00)
CO1.1 LF 10200 $ 5.75 $58,650.00
CO1.2 LF 2000 $ 8.50 $16,995.00
CO1.3 LF 2000 $ 15.00 $30,000.00
CO1.4 LF 2000 $ 10.00 $20,000.00
CO1.4 LF 120.00 $ 684.80 $82,176.00
CO1.5 L.S. 1.00 $ 7,826.30 $7,826.30
$399,141.26
30 Calendar DaysAdditional Time Requested for Change Orde
Substantially completed by July 6th 2020
Add Temporary 5-Strand Barbwire Fencing with Metal
T Post 8'OC
Add Permanent 7-Strand Barbwire Fencing with Metal
T Post 8'OC
Delete Permanent 5-Strand Barbwire Fencing
Revised Alignment 30-Inch Water Pipe w/ Fittings and
Restrained Joints Extra Depth (5vf additional Depth)
Sta 63+00 to 83+00)
Revised Alignment 30-Inch Water Pipe w/ Fittings and
Restrained Joints Rock Excavation Adder (If Rock) Sta
63+00 to 83+00)
Additional Bond Fee Premium 2% for Contract Value
Increase
Prepared By:7/26/2019
Date
C/O Request Total:
Asphalt Pavement Repair
Hydromulch Seeding
8" Flexible Base Type D GR-2
48-Inch Steel Casing Pipe by Open Cut with 30-Inch
Water Carrier Pipe w/ Restrained Joints
Top Soil
Delete Temporary 3-Strand Barbwire Fencing
DocuSign Envelope ID: 8DA11701-3AA2-4935-8B0B-6727082C38E7
$399,141.26
New contract time: 330 days
Capital Projects 190172 1
4. Name of Project 5. Project Acct No.6. Date Prepared
CITY OF DENTON CHANGE ORDER
1. Division (Department)2. Purchase Order No.3. Change Order No.
Wilson Contractor Services, LLC.
3985 Mingo Rd., Denton, TX 76208
Allred and John Paine Road Water
Transmission Main
630385523.1365.40100 Monday, September 23, 2019
7. Name and Address of Contractor
8. Current Contract Price $4,876,225.38 Increase in contract price
9. Contract time increased/decreased by:30 day(s)
New Contract Price $5,275,366.64 Decrease in contract price
THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY, IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS.
14. ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS:_________________________________
Signature Date
13. SUBMITTED BY:________________________________
Project Manager Date
15. ACCEPTED BY CONTRACTOR: _________________________________________________
Title Signature Date
ATTEST: CITY SECRETARY _________________________________
Signature Date
16. CITY MANAGER:_________________________________
Signature Date
18. PURCHASING/FINANCE:_________________________________
Signature Date
19. APPROVED AS TO LEGAL FORM:_________________________________
Signature Date
DocuSign Envelope ID: 8DA11701-3AA2-4935-8B0B-6727082C38E7
Exhibit
CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ
For vendor or other person doing business with local governmental entity
This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session.
This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as
defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a).
By law this questionnaire must be filed with the records administrator of the local government entity not later than the 7th business day after
the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code.
A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a
misdemeanor.
1 Name of vendor who has a business relationship with local governmental entity.
2
Check this box if you are filing an update to a previously filed questionnaire.
(The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business
day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.)
3 Name of local government officer about whom the information in this section is being disclosed.
Name of Officer
This section, (item 3 including subparts A, B, C & D), must be completed for each officer with whom the vendor has an employment or other business relationship
as defined by Section 176.001(1-a), Local Government Code. Attach additional pages to this Form CIQ as necessary.
A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the vendor?
Yes No
B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer
named in this section AND the taxable income is not received from the local governmental entity?
Yes No
C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer serves as an
officer or director, or holds an ownership of one percent or more?
Yes No
D. Describe each employment or business and family relationship with the local government officer named in this section.
4
I have no Conflict of Interest to disclose.
5
Signature of vendor doing business with the governmental entity Date
DocuSign Envelope ID: 8DA11701-3AA2-4935-8B0B-6727082C38E7
Certificate Of Completion
Envelope Id: 8DA117013AA249358B0B6727082C38E7 Status: Completed
Subject: Please DocuSign: City Council Contract 7038 - Changer Order #1
Source Envelope:
Document Pages: 5 Signatures: 8 Envelope Originator:
Certificate Pages: 6 Initials: 1 Laura Hermosillo
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
laura.hermosillo@cityofdenton.com
IP Address: 129.120.6.150
Record Tracking
Status: Original
9/24/2019 1:47:14 PM
Holder: Laura Hermosillo
laura.hermosillo@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Laura Hermosillo
laura.hermosillo@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 129.120.6.150
Sent: 9/24/2019 2:00:19 PM
Viewed: 9/24/2019 2:00:31 PM
Signed: 9/24/2019 2:00:34 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Lori Hewell
lori.hewell@cityofdenton.com
Purchasing Manager
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 129.120.6.150
Sent: 9/24/2019 2:00:36 PM
Viewed: 9/24/2019 3:53:00 PM
Signed: 9/24/2019 3:53:19 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Mack Reinwand
mack.reinwand@cityofdenton.com
City of Denton
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 129.120.6.150
Sent: 9/24/2019 3:53:22 PM
Viewed: 9/25/2019 11:12:08 AM
Signed: 9/25/2019 11:13:02 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Anthony Martinez
tony@wilsoncontractorservices.com
Vice President
Anthony Martinez
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address: 71.123.233.98
Sent: 9/25/2019 11:13:04 AM
Viewed: 9/25/2019 11:56:36 AM
Signed: 9/25/2019 11:59:10 AM
Electronic Record and Signature Disclosure:
Accepted: 5/31/2019 12:59:38 PM
ID: 36c8e01f-ae4b-479b-b2eb-f4df0c7f688d
Signer Events Signature Timestamp
Tracy L. Beck, P.E.
Tracy.Beck@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 129.120.6.150
Sent: 9/25/2019 11:59:13 AM
Viewed: 9/25/2019 1:28:59 PM
Signed: 9/25/2019 1:31:07 PM
Electronic Record and Signature Disclosure:
Accepted: 9/25/2019 1:28:59 PM
ID: c9d77351-c309-4c4a-92ef-422615cc922e
Todd Estes
Todd.Estes@cityofdenton.com
City Engineer
Capital Projects
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address: 174.206.7.109
Signed using mobile
Sent: 9/25/2019 11:59:13 AM
Viewed: 9/25/2019 1:38:11 PM
Signed: 9/25/2019 1:38:51 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 129.120.6.150
Sent: 9/25/2019 1:38:53 PM
Viewed: 10/23/2019 10:11:12 AM
Signed: 10/23/2019 10:11:26 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Todd Hileman
Todd.Hileman@cityofdenton.com
City Manager
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 129.120.6.150
Sent: 10/23/2019 10:11:29 AM
Viewed: 10/23/2019 11:05:34 AM
Signed: 10/23/2019 11:05:40 AM
Electronic Record and Signature Disclosure:
Accepted: 7/25/2017 11:02:14 AM
ID: 57619fbf-2aec-4b1f-805d-6bd7d9966f21
Rosa Rios
rosa.rios@cityofdenton.com
City Secretary
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 129.120.6.150
Sent: 10/23/2019 11:05:43 AM
Viewed: 10/23/2019 11:10:11 AM
Signed: 10/23/2019 11:12:02 AM
Electronic Record and Signature Disclosure:
Accepted: 10/23/2019 11:10:11 AM
ID: a5676d06-70a1-49d3-b9e0-e6b2196ad89b
In Ierson Signer Events Signature Timestamp
Editor DeliverI Events Status Timestamp
Igent DeliverI Events Status Timestamp
IntermediarI DeliverI Events Status Timestamp
CertiIied DeliverI Events Status Timestamp
CarIon CopI Events Status Timestamp
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 9/24/2019 2:00:36 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Sherri Thurman
sherri.thurman@cityofdenton.com
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 9/24/2019 2:00:36 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Jane Richardson
jane.richardson@cityofdenton.com
Assistant City Secretary
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 10/23/2019 11:05:43 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Annie Bunger
Annie.Bunger@cityofdenton.com
Contract Control Specialist
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 10/23/2019 11:12:04 AM
Viewed: 10/23/2019 11:38:36 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Iitness Events Signature Timestamp
IotarI Events Signature Timestamp
Envelope SummarI Events Status Timestamps
Envelope Sent Hashed/Encrypted 10/23/2019 11:12:04 AM
Certified Delivered Security Checked 10/23/2019 11:12:04 AM
Signing Complete Security Checked 10/23/2019 11:12:04 AM
Completed Security Checked 10/23/2019 11:12:04 AM
IaIment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, City of Denton (we, us or Company) may be required by law to provide to
you certain written notices or disclosures. Described below are the terms and conditions for
providing to you such notices and disclosures electronically through your DocuSign, Inc.
(DocuSign) Express user account. Please read the information below carefully and thoroughly,
and if you can access this information electronically to your satisfaction and agree to these terms
and conditions, please confirm your agreement by clicking the 'I agree' button at the bottom of
this document.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available
electronically to you by us. For such copies, as long as you are an authorized user of the
DocuSign system you will have the ability to download and print any documents we send to you
through your DocuSign user account for a limited period of time (usually 30 days) after such
documents are first sent to you. After such time, if you wish for us to send you paper copies of
any such documents from our office to you, you will be charged a $0.00 per-page fee. You may
request delivery of such paper copies from us by following the procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. To indicate to us that you are changing your mind, you must
withdraw your consent using the DocuSign 'Withdraw Consent' form on the signing page of your
DocuSign account. This will indicate to us that you have withdrawn your consent to receive
required notices and disclosures electronically from us and you will no longer be able to use your
DocuSign Express user account to receive required notices and consents electronically from us
or to sign electronically documents from us.
All notices and disclosures will be sent to you electronically
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through your DocuSign user account all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or
made available to you during the course of our relationship with you. To reduce the chance of
you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
&$#"#$""&'$% #%'$$&#"
$&%$&#
"&#"($&")$(# !"#%#%
How to contact City of Denton:
You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to: purchasing@cityofdenton.com
To advise City of Denton of your new e-mail address
To let us know of a change in your e-mail address where we should send notices and disclosures
electronically to you, you must send an email message to us at melissa.kraft@cityofdenton.com
and in the body of such request you must state: your previous e-mail address, your new e-mail
address. We do not require any other information from you to change your email address..
In addition, you must notify DocuSign, Inc to arrange for your new email address to be reflected
in your DocuSign account by following the process for changing e-mail in DocuSign.
To request paper copies from City of Denton
To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an e-mail to purchasing@cityofdenton.com and in
the body of such request you must state your e-mail address, full name, US Postal address, and
telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with City of Denton
To inform us that you no longer want to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your DocuSign account, and on the subsequent
page, select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an e-mail to purchasing@cityofdenton.com and in the body of such request you
must state your e-mail, full name, IS Postal Address, telephone number, and account
number. We do not need any other information from you to withdraw consent.. The
consequences of your withdrawing consent for online documents will be that transactions
may take a longer time to process..
Required hardware and software
Operating Systems: Windows2000? or WindowsXP?
Browsers (for SENDERS): Internet Explorer 6.0? or above
Browsers (for SIGNERS): Internet Explorer 6.0?, Mozilla FireFox 1.0,
NetScape 7.2 (or above)
Email: Access to a valid email account
Screen Resolution: 800 x 600 minimum
Enabled Security Settings:
•Allow per session cookies
•Users accessing the internet behind a Proxy
Server must enable HTTP 1.1 settings via
proxy connection
** These minimum requirements are subject to change. If these requirements change, we will
provide you with an email message at the email address we have on file for you at that time
providing you with the revised hardware and software requirements, at which time you will
have the right to withdraw your consent.
Acknowledging your access and consent to receive materials electronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please verify that you
were able to read this electronic disclosure and that you also were able to print on paper or
electronically save this page for your future reference and access or that you were able to
e-mail this disclosure and consent to an address where you will be able to print on paper or
save it for your future reference and access. Further, if you consent to receiving notices and
disclosures exclusively in electronic format on the terms and conditions described above,
please let us know by clicking the 'I agree' button below.
By checking the 'I Agree' box, I confirm that:
• I can access and read this Electronic CONSENT TO ELECTRONIC RECEIPT OF
ELECTRONIC RECORD AND SIGNATURE DISCLOSURES document; and
• I can print on paper the disclosure or save or send the disclosure to a place where I can
print it, for future reference and access; and
• Until or unless I notify City of Denton as described above, I consent to receive from
exclusively through electronic means all notices, disclosures, authorizations,
acknowledgements, and other documents that are required to be provided or made
available to me by City of Denton during the course of my relationship with you.