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7540 - 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: A9B55F7C-B83F-48E2-B8A2-0B46E0752965 LANDFILL CELL 4 CONSTRUCTION--CHANGE ORDER #1 Not Applicable Crystal Westbrook RFP 7540 JULY 20, 2021 N/A 21-1427 Change Order Hammett Excavation 1545 CR 2917 Dodd City, TX 75438 Distribution City of Denton Landfill Cell 4 Office Other Field Project: City of Denton Cell 4 Contract Number: , Proposed Change Order #: Change Order Date : C.O. Item Contract Item Description 1691. City of Denton Landfill Cell 4 PCO 1 Underdrain Extension Amount You are directed to make the following changes in this Contract: 0 in Days Change UM Units Unit Price Denton, TX 76201 City of Denton 215 E. McKinney Street To (Owner): Underdrain Pipe (4" Corrugated Slotted Pipe) 2,107.50 1 3 LF 750.000 2.81000 Underdrain Trench 5,995.00 2 3 LF 550.000 10.90000 Geocomposite Drainage Layer, Complete in Place (23 Rolls) 61,200.00 3 4 SF 72,000.000 0.85000 Drainage Pea Gravel 2,464.00 4 CY 50.000 49.28000 Additional Sump Excavation (2' Deeper) 840.00 5 CY 500.000 1.68000 Total For Change Order: 72,606.50 The net change by previously authorized Change Orders was . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,247,974.84The original Contract Sum was . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Not valid until signed by both the Owner and Architect. Signature of the Contractor indicates the Contractor's agreement herewith, including any adjustment in the Contract Sum or Contract Time. ______________________________ _____ 72,606.50 _____________________________Date:_____________________________Date:___________________________ ____________________________ ____ By: By: ______________________________ __ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , By: Dodd City, TX 75438Denton, TX 76201 215 E. McKinney Street 1545 CR 2917 City of Denton Hammett Excavation Authorized By Owner:Architect/Engineer:Accepted By Contractor: Date: The new Contract Sum will be 3,320,581.34 The Contract Sum will be increased by this Change Order 3,247,974.84The Contract Sum prior to this Change Order was 0.00 1 Hammett Excavation Page 1 PMPendChangeOrder.rptDate Format - MM/DD/YY 06/17/21 04:39:21 PM DocuSign Envelope ID: A9B55F7C-B83F-48E2-B8A2-0B46E0752965 7540 EXECUTED DATE: 6/30/2021 Parkhill 6/30/2021 Civil Engineer 07/20/2021 07/20/2021 THIS AGREEMENT HAS BEEN BOTH REVIEWED AND APPROVED as to financial and operational obligations and business terms. _______________ ________________ SIGNATURE PRINTED NAME __________________________________ TITLE __________________________________ DEPARTMENT ATTEST: ROSA RIOS, CITY SECRETARY BY: _______________________________ APPROVED AS TO LEGAL FORM: BY: _______________________________ DocuSign Envelope ID: A9B55F7C-B83F-48E2-B8A2-0B46E0752965 Director of Solid Waste Brian Boerner Solid Waste and Recycling CATHERINE CLIFTON, INTERIM CITY MANAGER Certificate Of Completion Envelope Id: A9B55F7CB83F48E2B8A20B46E0752965 Status: Completed Subject: Please DocuSign: City Council Contract 7540--Landfill Cell 4 Construction--Change Order #1 Source Envelope: Document Pages: 3 Signatures: 6 Envelope Originator: Certificate Pages: 6 Initials: 1 Crystal Westbrook AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 901B Texas Street Denton, TX 76209 crystal.westbrook@cityofdenton.com IP Address: 198.49.140.104 Record Tracking Status: Original 6/28/2021 9:39:35 AM Holder: Crystal Westbrook crystal.westbrook@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp Crystal Westbrook crystal.westbrook@cityofdenton.com Senior Buyer City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 198.49.140.104 Sent: 6/28/2021 1:07:45 PM Viewed: 6/28/2021 1:25:58 PM Signed: 6/28/2021 1:56:02 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: 198.49.140.10 Sent: 6/28/2021 1:56:04 PM Viewed: 6/29/2021 7:48:03 AM Signed: 6/29/2021 7:48:17 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Marcella Lunn marcella.lunn@cityofdenton.com Deputy City Attorney City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 68.185.202.16 Sent: 6/29/2021 7:48:19 AM Viewed: 6/29/2021 4:42:35 PM Signed: 6/29/2021 4:42:54 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign GAYLON HAMMETT gaylon@hammett-excavation.com President Hammett Excavation, Inc Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 172.108.176.202 Sent: 6/29/2021 4:42:55 PM Viewed: 6/30/2021 8:07:56 AM Signed: 6/30/2021 8:08:36 AM Electronic Record and Signature Disclosure: Accepted: 1/27/2021 5:33:29 PM ID: 89c4faab-4f90-4aa1-b842-3181a6ab6282 Signer Events Signature Timestamp Sonia Samir SSamir@Parkhill.com Civil Engineer Parkhill Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 12.233.245.139 Sent: 6/30/2021 8:08:39 AM Viewed: 6/30/2021 8:09:54 AM Signed: 6/30/2021 9:16:28 AM Electronic Record and Signature Disclosure: Accepted: 6/30/2021 8:09:54 AM ID: 6dfbddbe-c911-437b-b49d-117e18a5683d Brian Boerner brian.boerner@cityofdenton.com Director of Solid Waste Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 6/30/2021 9:16:30 AM Viewed: 6/30/2021 9:17:59 AM Signed: 6/30/2021 9:18:38 AM Electronic Record and Signature Disclosure: Accepted: 6/30/2021 9:17:59 AM ID: b1d8fa41-ce61-4b0b-a1d4-6b5d66e09892 Cheyenne Defee cheyenne.defee@cityofdenton.com Contract Administrator City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 198.49.140.10 Sent: 6/30/2021 9:18:40 AM Viewed: 7/21/2021 9:45:27 AM Signed: 7/21/2021 9:46:36 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Sara Hensley sara.hensley@cityofdenton.com Interim City Manager City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 47.190.47.120 Signed using mobile Sent: 7/21/2021 9:46:38 AM Viewed: 7/21/2021 10:28:33 AM Signed: 7/21/2021 10:28:38 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Rosa Rios rosa.rios@cityofdenton.com City Secretary Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 7/21/2021 10:28:40 AM Viewed: 7/21/2021 12:43:25 PM Signed: 7/21/2021 12:43:50 PM Electronic Record and Signature Disclosure: Accepted: 7/21/2021 12:43:25 PM ID: 7838adb9-4877-4ddb-94e0-9387d7bc3d96 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Cheyenne Defee cheyenne.defee@cityofdenton.com Contract Administrator City of Denton Security Level: Email, Account Authentication (None) Sent: 6/28/2021 1:56:04 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Gretna Jones gretna.jones@cityofdenton.com Legal Secretary City of Denton Security Level: Email, Account Authentication (None) Sent: 6/30/2021 9:18:40 AM Viewed: 7/2/2021 2:09:25 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Arturo Garcia Arturo.Garcia@cityofdenton.com Security Level: Email, Account Authentication (None) Sent: 7/21/2021 12:43:52 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign City Secretary Office citysecretary@cityofdenton.com Security Level: Email, Account Authentication (None) Sent: 7/21/2021 12:43:52 PM Viewed: 7/21/2021 1:18:33 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 6/28/2021 1:07:45 PM Certified Delivered Security Checked 7/21/2021 12:43:25 PM Signing Complete Security Checked 7/21/2021 12:43:50 PM Completed Security Checked 7/21/2021 12:43:52 PM Payment 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. 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