7413 - Change Order 2 Executed
Docusign Transmittal Coversheet
File Name
Purchasing Contact
Contract Expiration
DocuSign Envelope ID: FC107712-0693-4117-8418-1A93454BE739
Cori Power
N/A
7413 2019 Intersection Improvements - CO#2
Contractor:Quality Excavation, LTD
5580 US-377
Aubrey, TX 76227
Robin Mallon
2019 Intersection Improvements Project CHANGE ORDER NO.2
7413 CIP/ENG#PO #:195342
Contract BID Amount:1,723,400.60$ Prior Approved Other Funded CO's:
5% Contingency Amount:86,170.03$ Current Contract Amount w CO's:1,723,400.60$
Total NTE Amount : 1,809,570.63$ This CO Other Funding Request:-$
Prior Approved CAA's:25,531.54$ Total Change Request:60,590.36$
Available Contingency:60,638.49$
This CAA Request:60,590.36$ Orig Contract Days:This CO Days Request:55
Contingency Remaining:48.13$ Approved CO Days:New Contract Days:196
Item
No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
7 104 - 6037 REMOVE CONC (RAIL)SY 516 -516 16.00$ (8,256.00)$
8 104 - 6067 REMOVING CONC (SAWCUT)LF 5,487 597 2.00$ 1,194.00$
12 247 - 6231 FL BS (CMP IN PLACE)(TY A GR 1-2)(10")SY 3,551 -204 20.00$ (4,080.00)$
13 260 - 6006 LIME TRT (EXST MATL)(6")SY 1,759 -178 8.00$ (1,424.00)$
14 260 - 6009 LIME TRT (EXST MATL)(10")SY 463 -463 10.00$ (4,630.00)$
15 260 -6016 LIME (HYD, COM,OR QK(SLURRY)TN 6 -6 350.00$ (2,100.00)$
16 260 - 6027 LIME TRT (EXST MATL)(8")SY 3,963 -3,963 9.00$ (35,667.00)$
19 *340 - 6142 1.5" D-GR HMA TY-D SY 1,351 48 11.00$ 528.00$
20 *341 - 6003 3" D-GR-HMA TY A SY 3,306 -204 19.00$ (3,867.64)$
26 420 - 6062 CL C CONC (RETAINING WALL)CY 4 -4 1,100.00$ (4,400.00)$
27 420-6066 CL L CONC (RAIL FOUNDATION)CY 107 30 236.00$ 7,080.00$
44 502 - 6001 BARRICADES, SIGNS, AND TRAFFIC HANDLING MO 4 3 5,500.00$ 16,500.00$
61 644 - 6028 EA 2 1 670.00$ 670.00$
-$38,452.64
147 NEW ADA RAMP EA 17 2,125.00$ 36,125.00$
148 NEW FL BS (CMP IN PLACE)(TY A GR 1-2)(8")SY 3,300 18.00$ 59,400.00$
149 3002 - 6001 MEMBRANE UNDERSEAL GAL 1,270 2.00$ 2,540.00$
150 432 - 6044 CONC FLUME LS 1 978.00$ 978.00$
$99,043.00
Description of work
Current Completion Date:
8/20/2021
New Completion Date:
10/14/2021
Project Scope
included in Contract:
Signal Light and traffic improvements at the following locations: Unversity/Nottingham; Sherman/Loop 288;
Hercules/Locust; McKinney/Loop 288; McKinney/Woodrow.
CONTINGENCY ALLOWANCE AUTHORIZED (CAA) CONTRACT CHANGES
QUANTITY CHANGES TO EXISTING ITEMS
TOTAL CAA QTY CHANGES:
NEW ITEMS OF WORK
Project:
Reason for change:
Dustin Draper, Project Manager
CITY OF DENTON CHANGE ORDER FORM
City of Denton - Capital Projects
401 N. Elm Street
Denton, TX 76201
IFB#
PROJECT SCOPE AND REASON FOR CHANGE
120
21
180022-1
Notice To Proceed Issued:
4/1/2021
Additional quantities needed due to utility conflicts at Unversity/Nottingham; Sherman/Loop 288; Hercules/Locust; McKinney/Loop 288;
McKinney/Woodrow locations. New items needed for ADA needs at four locations, additional underseal for pavement at Locust/Hercules,
additional flexbase for Sherman/Loop 288, and a flume quantity for required work at Audra/McKinney. Additional quantities due to existing
conditions of pavement at the connection points on Sherman/Loop 288 and a reduction in quantities due to utility conflicts.
IN SM RD SN SUP&AM TYS80(1)SA(P-BM)
Contingency funds are used at City's discretion per contract spec language TOTAL CAA NEW ITEMS:
DocuSign Envelope ID: FC107712-0693-4117-8418-1A93454BE739
Item
No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
$0.00
-$ -$
$0.00
$60,590.36
1,723,400.60$
1,809,570.63$
2019 Intersection Improvements Project 86,121.90$
-$
1,809,522.50$
99.94%
5.00%
0.00%
Signatory Lines will be updated by Purchasing if required
SUBMITTED BY:_______________________________
ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS _______________________________
ACCEPTED BY CONTRACTOR: ____________________________________________________________
Name, Title
PURCHASING:_______________________________
Total CO's:
% of CAA Approved To-Date:
TOTAL OTHER FUNDED NEW ITEMS:
TOTAL CO AMOUNT:
Total CAA's:
Original Total Not To Exceed Amount:
Revised Contract Amount:
Signature
Project Manager
THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY,
Original BID/Contract Amount:
N/A
OTHER FUNDED CONTRACT CHANGES (CO)
QUANTITY CHANGES TO EXISTING ITEMS
NEW ITEMS OF WORK
TOTAL OTHER FUNDED QTY CHANGES:
Description of work
N/A
Percent Changes over NTE:
Total Change Order over Original Bid:
IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS.
Signature
Signature
DocuSign Envelope ID: FC107712-0693-4117-8418-1A93454BE739
Emily Culp Project Manager
10/4/2021
DESCRIPTION UNIT QUANTITY $/UNIT TOTAL
Sherman & Loop 288
12 247 - 6231 FL BS (CMP IN PLACE)(TY A GR 1-2)(10")SY -204 $20.00 -$4,080.00
15 260-6016 LIME (HYD, COM, OR QK(SLURRY))TON -4 $350.00 -$1,400.00
16 260-6027 LIME TRT (EXST MATL)(8")SY -3963 $9.00 -$35,667.00
20 341-6003 3" D-GR HMA TY A SY -203.56 $19.00 -$3,867.64
27 420-6066 SSTR FOUNDATION CY 30 $236.00 $7,080.00
61 644-6028 IN SM RD SN SUP&AM TYS80(1)SA(P-BM)EA 1 $670.00 $670.00
NEW NEW FL BS (CMP IN PLACE)(TY A GR 1-2)(8")SY 3300 $18.00 $59,400.00
Nottingham & University
13 260-6006 LIME TRT (EXST MATL) (6")SY -178 $8.00 -$1,424.00
15 260-6016 LIME (HYD, COM, OR QK(SLURRY))TON -1 $350.00 -$350.00
NEW NEW ADA Ramp EA 8 $2,125.00 $17,000.00
Loop 288 & McKinney
8 104-6067 REMOVING CONC (SAWCUT)LF 597 $2.00 $1,194.00
14 260 - 6009 LIME TRT (EXST MATL)(10")SY -463 $10.00 -$4,630.00
15 260-6016 LIME (HYD, COM, OR QK(SLURRY))TON -1 $350.00 -$350.00
26 420-6062 CLS CONC RETAINING WALL CY -4 $1,100.00 -$4,400.00
NEW NEW ADA Ramp EA 4 $2,125.00 $8,500.00
Locust & Hercules
19 340-6142 1.5" D-GR HMA TY-D SY 48 $11.00 $528.00
NEW NEW ADA Ramp EA 4 $2,125.00 $8,500.00
NEW 3002-6001 MEMBRANE UNDERSEAL GAL 1270 $2.00 $2,540.00
Audra & McKinney
NEW 432-6044 Concrete Flume LS 1 $978.00 $978.00
NEW NEW ADA Ramp EA 1 $2,125.00 $2,125.00
7 104-6037 REMOVING CONC (RAIL)LF -516 $16.00 -$8,256.00
44 502-6001 BARRICADES, SIGNS & TRAFFIC HANDLING MO 3 $5,500.00 $16,500.00
$60,590.36
Item Sent Response Duration
RFI 3, 5, 6, & 7 - Sherman & Loop 288 Conflicts 4/22/2021 6/16/2021 55
Exceptionally High Volume of Rain Days 18
Approved
Printed Emily Culp
55
Purchase Order Number
Date
Project Number
Project Name
Total
2019 Denton Intersection Improvements
20099
195342
$1,748,932.14
$60,590.36
7/28/2021
BID ITEM
Time Extension Request:
Requested Change Order Amount
Current Contract Amount
Emily Culp 7-28-21
Because the rain days overlap with the RFI response delay time the total requested days are:
DocuSign Envelope ID: FC107712-0693-4117-8418-1A93454BE739
Certificate Of Completion
Envelope Id: FC1077120693411784181A93454BE739 Status: Completed
Subject: ***Purchasing Approval*** 7413 2019 Intersection Improvements - CO#2
Source Envelope:
Document Pages: 4 Signatures: 4 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
9/23/2021 2:17:30 PM
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: 9/23/2021 2:24:59 PM
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Signed: 9/23/2021 2:25:37 PM
Electronic Record and Signature Disclosure:
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Lori Hewell
lori.hewell@cityofdenton.com
Purchasing Manager
City of Denton
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Dusty Draper
Dustin.Draper@cityofdenton.com
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Resent: 9/28/2021 9:43:33 AM
Viewed: 9/29/2021 11:39:20 AM
Signed: 9/29/2021 11:39:35 AM
Electronic Record and Signature Disclosure:
Accepted: 9/29/2021 11:39:20 AM
ID: b4108b9d-13f0-473c-9fca-b6c6ccefd6b6
Emily Culp
Emily@qualityexcavationltd.com
Project Manager
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Signer Events Signature Timestamp
Rebecca Diviney
Rebecca.Diviney@cityofdenton.com
Director of Capital Projects/City Engineer
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Cori Power
cori.power@cityofdenton.com
Senior Buyer
City of Denton
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(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.104
Sent: 10/3/2021 1:35:30 PM
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Cheyenne Defee
cheyenne.defee@cityofdenton.com
Contract Administrator
City of Denton
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Sent: 10/4/2021 10:14:52 AM
Electronic Record and Signature Disclosure:
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Dusty Draper
Dustin.Draper@cityofdenton.com
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(None)
Sent: 10/4/2021 10:14:53 AM
Electronic Record and Signature Disclosure:
Accepted: 9/29/2021 11:39:20 AM
ID: b4108b9d-13f0-473c-9fca-b6c6ccefd6b6
Garland Wilson
garland@qualityexcavationltd.com
Vice President
Quality Excavation, Ltd.
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Sent: 10/4/2021 10:14:53 AM
Electronic Record and Signature Disclosure:
Accepted: 10/6/2017 11:03:26 AM
ID: 686fb2c9-818b-4c5d-90e2-8c7008b347bf
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Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 9/23/2021 2:24:59 PM
Certified Delivered Security Checked 10/4/2021 10:14:42 AM
Signing Complete Security Checked 10/4/2021 10:14:50 AM
Completed Security Checked 10/4/2021 10:14:53 AM
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Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM
Parties agreed to: Dusty Draper, Emily Culp, Rebecca Diviney, Dusty Draper, Garland Wilson
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