7452 - Change Order 3 Executed
Docusign City Council Transmittal Coversheet
File Name
Purchasing Contact
City Council Target Date
Piggy Back Option
Contract Expiration
Ordinance
DocuSign Envelope ID: F15070D9-7CD7-4C89-A501-29EBC9D50223
IFB 7452
DDSC Parking Lot Improvements CO#3
Not Applicable
Cori Power
JULY 27, 2021
N/A
21-1492
Contractor:MSB Constructor, INC.
103 Oak Grove Lane
Boyd, TX. 76203
David Stansfield
CHANGE ORDER NO.3
7452 PO #:195214
12/7/2020 7/30/2021
880005 Date Prepared:6/10/21
Contract BID Amount:899,966.00$
5% Contingency Amount:44,998.30$
944,964.30$
Prior Approved CAA's:44,998.30$
Available Contingency:-$
-$ 30
Contingency Remaining:-$ 235
Item
No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
-$
-$
$0.00
-$ -$
-$ -$
$0.00
Item
No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
-$
-$
$0.00
1 LS 1 1 16,571.24$ 16,571.24$
2 Electrical and Illumination Scope Change LS 1 1 11,597.22$ 11,597.22$
3 LS 1 1 17,227.28$ 17,227.28$
$45,395.74
$45,395.74
899,966.00$
944,964.30$
DDSC Parking Lot Improvement $44,998.30
$93,261.53
$1,038,225.83
100.00%
15.36%
9.869%
This Change order is comprised of multiple scope changes. These scope changes include demolition and repair of
exterior stairwell, electrical and illumination changes and pavement marking changes.
CONTINGENCY ALLOWANCE AUTHORIZED (CAA) CONTRACT CHANGES
QUANTITY CHANGES TO EXISTING ITEMS
TOTAL CAA QTY CHANGES:
Amount CAA approved to Date :
TOTAL OTHER FUNDED NEW ITEMS:
TOTAL CO AMOUNT:
Total CAA's :
Total Not to Exceed Amount :
Revised Contract Amount:
Total CO's :
TOTAL CAA NEW ITEMS:
QUANTITY CHANGES TO EXISTING ITEMS
NEW ITEMS OF WORK
TOTAL OTHER FUNDED QTY CHANGES:
Description of work
Project:
IFB#
CIP/ENG#
This CAA Request:
992,830.09$
45,395.74$
This CO Days Request:
Trevor Crain, Project Manager
DDSC Parking Lot Improvement
Prior Approved Other Funded CO's:47,865.79$
Current NTE Contract Amount w CO's:
CITY OF DENTON CHANGE ORDER FORM
City of Denton - Capital Projects
901-A Texas Street
Denton, TX 76209
Percent Changes over NTE:
Work includes reconstruction of the DDSC parking lot. It also includes drainage, irrigation, and
landscaping upgrades.
Original BID/Contract Amount:
Contingency funds are used at City's discretion per contract spec language
Concrete Stairwell Scope Change
Total Change Order over original Bid:
Electrical, markings, and asphalt scope change
OTHER FUNDED CONTRACT CHANGES (CO)
NEW ITEMS OF WORK
Description of work
Description of work
included in Contract:
Reason for change:
PROJECT SCOPE AND REASON FOR CHANGE
New Contract Days:
Total Change Request:45,395.74$
Approved CO Days:25
180
This CO Other Funding Request:
NTP Date:Project Complete Date:
Total NTE Amount :
Original Contract Days:
DocuSign Envelope ID: F15070D9-7CD7-4C89-A501-29EBC9D50223
Signatory Lines will be updated by Purchasing if required
SUBMITTED BY:_______________________________
ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS _______________________________
ACCEPTED BY CONTRACTOR: ____________________________________________________________
Name, Title
CITY MANAGER:_______________________________
ATTEST: CITY SECRETERY _______________________________
PURCHASING:_______________________________
APPROVED AS TO LEGAL FORM:_______________________________
THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY,
Project Manager
Signature
IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS.
Signature
Signature
Signature
Signature
Signature
Contractor Name Project Name - Phase CO#3 $45,395.74
DocuSign Envelope ID: F15070D9-7CD7-4C89-A501-29EBC9D50223
Mark Berry President
SARA HENSLEY, INTERIM
Certificate Of Completion
Envelope Id: F15070D97CD74C89A50129EBC9D50223 Status: Completed
Subject: Please DocuSign: City Council Contract 7452 DDSC Parking Lot Improvements - CO#3
Source Envelope:
Document Pages: 3 Signatures: 7 Envelope Originator:
Certificate Pages: 6 Initials: 1 Cori Power
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
cori.power@cityofdenton.com
IP Address: 198.49.140.104
Record Tracking
Status: Original
7/21/2021 10:13:41 AM
Holder: Cori Power
cori.power@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Cori Power
cori.power@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.104
Sent: 7/21/2021 10:15:05 AM
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Signed: 7/21/2021 10:15:54 AM
Electronic Record and Signature Disclosure:
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Lori Hewell
lori.hewell@cityofdenton.com
Purchasing Manager
City of Denton
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Marcella Lunn
marcella.lunn@cityofdenton.com
Deputy City Attorney
City of Denton
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Trevor Crain
Trevor.Crain@cityofdenton.com
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Electronic Record and Signature Disclosure:
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Signer Events Signature Timestamp
Mark Berry
mark@msbconstructorsinc.com
President
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Rebecca Diviney
Rebecca.Diviney@cityofdenton.com
Director of Capital Projects/City Engineer
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Signed using mobile
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Electronic Record and Signature Disclosure:
Accepted: 7/21/2021 11:26:13 AM
ID: cdfa88b6-5ccd-4574-8b16-e9847d22aed7
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
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(None)
Completed
Using IP Address: 198.49.140.10
Sent: 7/21/2021 11:26:34 AM
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Signed: 7/28/2021 10:26:30 AM
Electronic Record and Signature Disclosure:
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Sara Hensley
sara.hensley@cityofdenton.com
Interim City Manager
City of Denton
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Signed using mobile
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Signed: 7/28/2021 10:26:52 AM
Electronic Record and Signature Disclosure:
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Rosa Rios
rosa.rios@cityofdenton.com
City Secretary
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Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
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Gretna Jones
gretna.jones@cityofdenton.com
Legal Secretary
City of Denton
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Carol Roberts
Carol.Roberts@cityofdenton.com
City of Denton
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Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
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(None)
Sent: 7/28/2021 11:43:19 AM
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Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 7/21/2021 10:15:05 AM
Certified Delivered Security Checked 7/28/2021 11:42:35 AM
Signing Complete Security Checked 7/28/2021 11:43:14 AM
Completed Security Checked 7/28/2021 11:43:19 AM
Payment Events Status Timestamps
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Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM
Parties agreed to: Trevor Crain, Mark Berry, Rebecca Diviney, Rosa Rios
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