7200-1 - 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: FCF6BE27-9208-4C0E-811A-5AAED7FBBDE5
Cori Power
North-South Water Main Ph3 - Change Order #1
Not Applicable
7200-1FILE
N/A
APRIL 5, 2022
22-631
Mountain Cascade of Texas, LLC
CHANGE ORDER NO.1
7200-1 CIP/ENG#PO #:197078
Contract BID Amount:3,963,902.04$ -$
5% Contingency Amount:-$ 3,963,902.04$
Total NTE Amount : 3,963,902.04$ 255,476.70$
Prior Approved CAA's:-$ 255,476.70$
Available Contingency:-$
This CAA Request:-$ Orig Contract Days:This CO Days Request:45
Contingency Remaining:-$ Approved CO Days:New Contract Days:310
45
26, 46
Item
No.Spec. Section No.UOM BID
QTY +/- QTY Unit Price Extended Price
This contract does not have Contingency -$
$0.00
Item
No.Spec. Section No.UOM BID
QTY +/- QTY Unit Price Extended Price
26 SY 7200 -7200 46.00$ (331,200.00)$
-$
-$331,200.00
45 LS 0 1 8,634.20$ 8,634.20$
46 SY 16,750 34.51$ 578,042.50$
$586,676.70
$255,476.70
3,963,902.04$
3,963,902.04$
-$
255,476.70$
42" Transmission Main 4,219,378.74$
-
6.45%
6.45%
Denton, TX 76201 Alvarado, TX 76009
CITY OF DENTON CHANGE ORDER FORM
City of Denton - Capital Projects Contractor:
401 N. Elm Street 11729 E. FM 917
Robin Davis, Project Manager Jamie Voris
Project:North-South Phase 3 - 42" Water
Transmission MainIFB#180006
Notice To Proceed Issued:Current Completion Date:New Completion Date:7/12/2021 4/3/2022 5/18/2022
Paving profile & quantity change from 2 to 4 lanes from 35E to north of the Scripture Roundabout.
Prior Approved Other Funded CO's:
Current Contract Amount w CO's:
This CO Other Funding Request:
Total Change Request:
265
0
PROJECT SCOPE AND REASON FOR CHANGE
Description of work included
in Contract:
Installation of approx. 4,300 LF of 42 Inch Water Transmission Main and 900 LF of 12 Inch Water Main
along Bonnie Brae from I-35E to Panhandle
Reason for change:
During excavation in front of gas station it was necessary to test the area for tank leaks prior to installation.
Industrial Hygeniest
CONTINGENCY ALLOWANCE AUTHORIZED (CAA) CONTRACT CHANGES
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
TOTAL CAA QTY CHANGES:
OTHER FUNDED CONTRACT CHANGES (CO)
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
Asphalt Pavement Repair
TOTAL OTHER FUNDED QTY CHANGES:
NEW ITEMS OF WORK
Total Changes over Original Bid:
Asphalt Pavement Repair
TOTAL OTHER FUNDED NEW ITEMS:
TOTAL CO AMOUNT:
Original BID/Contract Amount:
Original Not To Exceed Amount:
Total CAA's:
North South Water Phase 3 Total CO's:
Revised Contract Amount:
% of CAA Approved To-Date:
Percent Changes over NTE:
DocuSign Envelope ID: FCF6BE27-9208-4C0E-811A-5AAED7FBBDE5
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:_______________________________
Project:North-South Phase 3 - 42" Water Transmission Main Mountain Cascade of Texas, LLC
IFB#7200-1 Change Order Number:1
PO#197078 Amount:$255,476.70
Signature
Signature
Signature
Signature
THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY,
IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS.
Project Manager
Signature
Signature
DocuSign Envelope ID: FCF6BE27-9208-4C0E-811A-5AAED7FBBDE5
Andrew McCulloch Vice-President
Certificate Of Completion
Envelope Id: FCF6BE2792084C0E811A5AAED7FBBDE5 Status: Completed
Subject: Please DocuSign: City Council Contract 7200-1 Change Order #1
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
3/11/2022 1:52:40 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
Signed by link sent to cori.power@cityofdenton.com
Using IP Address: 198.49.140.104
Sent: 3/11/2022 1:58:26 PM
Viewed: 3/11/2022 1:58:45 PM
Signed: 3/11/2022 1:59:22 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
Signed by link sent to lori.hewell@cityofdenton.com
Using IP Address: 198.49.140.104
Sent: 3/11/2022 1:59:25 PM
Viewed: 3/11/2022 2:15:31 PM
Signed: 3/11/2022 2:18:46 PM
Electronic Record and Signature Disclosure:
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Robin Davis
Robin.Davis@cityofdenton.com
Security Level: Email, Account Authentication
(None)
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Signed by link sent to
Robin.Davis@cityofdenton.com
Using IP Address: 198.49.140.104
Sent: 3/11/2022 2:18:48 PM
Viewed: 3/11/2022 2:33:30 PM
Signed: 3/11/2022 2:58:37 PM
Electronic Record and Signature Disclosure:
Accepted: 3/11/2022 2:33:30 PM
ID: f227025f-a213-44b7-90e9-5c9c461c63d2
Marcella Lunn
marcella.lunn@cityofdenton.com
Deputy City Attorney
City of Denton
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Signed by link sent to
marcella.lunn@cityofdenton.com
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Signed: 3/11/2022 4:24:12 PM
Electronic Record and Signature Disclosure:
Signer Events Signature Timestamp
Not Offered via DocuSign
Andrew McCulloch
AMcCulloch@mountaincascade.com
Vice-President
Harber Co.Inc. dba Mountain Cascade of Nevada
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Signed by link sent to
AMcCulloch@mountaincascade.com
Using IP Address: 206.248.39.237
Sent: 3/11/2022 4:24:14 PM
Viewed: 3/11/2022 4:30:33 PM
Signed: 3/11/2022 4:55:26 PM
Electronic Record and Signature Disclosure:
Accepted: 3/11/2022 4:30:33 PM
ID: fa50e959-2db3-4ffa-9250-d28bc83de37f
Rebecca Diviney
Rebecca.Diviney@cityofdenton.com
Director of Capital Projects/City Engineer
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Signed by link sent to
Rebecca.Diviney@cityofdenton.com
Using IP Address: 166.205.97.101
Signed using mobile
Sent: 3/11/2022 4:55:28 PM
Viewed: 3/11/2022 4:57:55 PM
Signed: 3/11/2022 4:58:14 PM
Electronic Record and Signature Disclosure:
Accepted: 3/11/2022 4:57:55 PM
ID: 803344fd-3af8-4696-b07a-b026bfcece13
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Procurement Administration Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Signed by link sent to
cheyenne.defee@cityofdenton.com
Using IP Address: 198.49.140.10
Sent: 3/11/2022 4:58:16 PM
Viewed: 4/6/2022 8:22:33 AM
Signed: 4/6/2022 8:23:11 AM
Electronic Record and Signature Disclosure:
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Sara Hensley
sara.hensley@cityofdenton.com
City Manager
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Signed by link sent to
sara.hensley@cityofdenton.com
Using IP Address: 198.49.140.10
Sent: 4/6/2022 8:23:15 AM
Viewed: 4/6/2022 8:25:54 AM
Signed: 4/6/2022 8:26:00 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Rosa Rios
rosa.rios@cityofdenton.com
City Secretary
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(None)Signature Adoption: Pre-selected Style
Signed by link sent to rosa.rios@cityofdenton.com
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Sent: 4/6/2022 8:26:03 AM
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Electronic Record and Signature Disclosure:
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Intermediary Delivery Events Status Timestamp
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Carbon Copy Events Status Timestamp
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Procurement Administration Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 3/11/2022 1:59:25 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: 4/6/2022 8:23:14 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
City Secretary Office
citysecretary@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Sent: 4/6/2022 10:46:14 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Robin Davis
Robin.Davis@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Sent: 4/6/2022 10:46:14 AM
Electronic Record and Signature Disclosure:
Accepted: 3/11/2022 2:33:30 PM
ID: f227025f-a213-44b7-90e9-5c9c461c63d2
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Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 3/11/2022 1:58:26 PM
Certified Delivered Security Checked 4/6/2022 10:45:55 AM
Signing Complete Security Checked 4/6/2022 10:46:12 AM
Completed Security Checked 4/6/2022 10:46:14 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: Robin Davis, Andrew McCulloch, Rebecca Diviney, Rosa Rios, Robin Davis
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