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7819 - Change Order 2 ExecutedContractor:Infra Construction. LLC 539 W. Commerce St. STE 1685 Dallas, TX 75208 Rohit Singla 7819 - Construction of Service Center Fence CHANGE ORDER NO.2 7819 PO #: 199023 4/1/2022 230 days after work commences Date Prepared: 4/4/22 Contract BID Amount:677,856.00$ 5% Contingency Amount: 677,856.00$ Prior Approved CAA's: Available Contingency:-$ -$ 0 Contingency Remaining:-$ 230 Item No.Spec. Section No. UOM BID QTY +/- QTY Unit Price Extended Price ‐$ ‐$ ‐$ ‐$ ‐$ ‐$ ‐$ $0.00 ‐$ ‐$ ‐$ ‐$ ‐$ $0.00 Item No.Spec. Section No. UOM BID QTY +/- QTY Unit Price Extended Price 1 1 4,952.00$ 4,952.00$ Project Scope included in Contract: Total NTE Amount : Original Contract Days: Provide building construction for the Service Center Fence located at 804 Texas Street Denton, Texas 76209. This project will require new construction to existing real property. QUANTITY CHANGES TO EXISTING ITEMS Total Change Request:13,352.00$ Approved CO Days: Temporary security fence to be used on the south side to prevent the Service Center from being open to the public during the construction of the fence. Trees blocking the mow strip that were not shown on the drawings. Submitted a tree preservation plan with Sean Jacobson from Development Services that also included some dead trees nearby the fence that need to be taken out so that they don’t eventually fall on our new fence and cause damage. Reason for Requested Change Order: Project: IFB# CIP/ENG# This CAA Request: PROJECT SCOPE AND REASON FOR CHANGE New Contract Days: NTP Date: This CO Other Funding Request: 230 $13,352.00 This CO Days Request: Jared Green, Project Manager Prior Approved Other Funded CO's:12,860.17$ Current Contract Amount w CO's: Project Complete Date: 690,716.17$ CITY OF DENTON CHANGE ORDER FORM City of Denton 901 Texas Street Denton, TX 76209 Contingency funds are used at City's discretion per contract spec language Temporary Fence CONTINGENCY ALLOWANCE AUTHORIZED (CAA) CONTRACT CHANGES OTHER FUNDED CONTRACT CHANGES (CO) NEW ITEMS OF WORK TOTAL CAA QTY CHANGES: NEW ITEMS OF WORK Description of work TOTAL CAA NEW ITEMS: QUANTITY CHANGES TO EXISTING ITEMS Description of work Page 1 7819 - Change Order 2 DocuSign Envelope ID: 37F8AFFE-A782-4F73-89C3-B5973AD8BADA 2 1 8,400.00$ 8,400.00$ $13,352.00 $13,352.00 677,856.00$ 677,856.00$ 7819 - Construction of Service Center Fence $0.00 $26,212.17 $704,068.17 0.00% 3.87% 3.867% Signatory Lines will be updated by Purchasing if required SUBMITTED BY:Jared Green _______________________________ ACCEPTED BY DIRECTOR OF FACILITIES Scott Gray _______________________________ ACCEPTED BY CONTRACTOR: Rohit Singla _______________________________ PURCHASING:Christa Christian, CPPB _______________________________ Signature Signature Tree Removal Total Change Order over original Bid: Original BID/Contract Amount: Total CO's : % of CAA approved to-date : TOTAL OTHER FUNDED NEW ITEMS: TOTAL CO AMOUNT: Total CAA's : Original Total Not to Exceed Amount: Revised Contract Amount: Signature THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY, Project Manager Percent Changes over NTE: IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS. Page 2 7819 - Change Order 2 DocuSign Envelope ID: 37F8AFFE-A782-4F73-89C3-B5973AD8BADA Project: Owner Attention: Location: Description: Temporary Fence for the Service Center Project Qty /Month Amount 1 Temporary Fence 700 LF 2 Mon 2,226.00$ 4,452.00$ 2 Relocate Temporary Fence 1 EA 500.00$ 500.00$ TOTAL PROPOSED CHANGE ORDER 4,952.00$ Denton, Texas Proposed Change Order #2 Service Center Fence City of Denton Jared Green Unit Price DocuSign Envelope ID: 37F8AFFE-A782-4F73-89C3-B5973AD8BADA Project: Owner Attention: Location: Description: Tree Removals Tree Removals as per attached map Qty Unit Amount 1 Tree Removals 1 LS 8,400.00$ TOTAL PROPOSED CHANGE ORDER 8,400.00$ Denton, Texas Proposed Change Order #2 Service Center Fence City of Denton Jared Green Note: Will grind tree Stumps 12 inches below grade/ground level DocuSign Envelope ID: 37F8AFFE-A782-4F73-89C3-B5973AD8BADA Location A (2 Trees) Location B (2 Trees) Location C (1 Tree)Location D (2 Trees) DocuSign Envelope ID: 37F8AFFE-A782-4F73-89C3-B5973AD8BADA Location A (2 Trees)Location B (2 Trees) Location C (1 Trees) Location D (2 Trees) DocuSign Envelope ID: 37F8AFFE-A782-4F73-89C3-B5973AD8BADA Certificate Of Completion Envelope Id: 37F8AFFEA7824F7389C3B5973AD8BADA Status: Completed Subject: Please DocuSign: 7819 - Change Order 2 Source Envelope: Document Pages: 6 Signatures: 4 Envelope Originator: Certificate Pages: 5 Initials: 0 Christa Christian AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 901B Texas Street Denton, TX 76209 Christa.Christian@cityofdenton.com IP Address: 198.49.140.104 Record Tracking Status: Original 5/2/2022 4:49:39 PM Holder: Christa Christian Christa.Christian@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp Christa Christian christa.christian@cityofdenton.com Senior Buyer City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Signed by link sent to christa.christian@cityofdenton.com Using IP Address: 198.49.140.104 Sent: 5/2/2022 5:00:52 PM Viewed: 5/2/2022 5:01:02 PM Signed: 5/2/2022 5:01:09 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Jared Green jared.green@cityofdenton.com Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Signed by link sent to jared.green@cityofdenton.com Using IP Address: 198.49.140.10 Sent: 5/2/2022 5:01:11 PM Viewed: 5/3/2022 8:19:03 AM Signed: 5/3/2022 8:34:00 AM Electronic Record and Signature Disclosure: Accepted: 6/28/2021 8:23:42 AM ID: e9bdae72-57e7-4fa3-8a28-6b2f2251f048 Scott Gray scott.gray@cityofdenton.com Director - Airport & Facilities x Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Signed by link sent to scott.gray@cityofdenton.com Using IP Address: 198.49.140.10 Sent: 5/3/2022 8:34:02 AM Viewed: 5/3/2022 8:56:09 AM Signed: 5/3/2022 8:56:39 AM Electronic Record and Signature Disclosure: Accepted: 5/3/2022 8:56:09 AM ID: 2efbb5c2-ee3a-4afc-a2ae-6b676f3cf521 Signer Events Signature Timestamp Rohit Singla rsingla@infra-construction.com President Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Signed by link sent to rsingla@infra-construction.com Using IP Address: 70.224.90.210 Sent: 5/3/2022 8:56:40 AM Viewed: 5/4/2022 11:08:54 AM Signed: 5/4/2022 11:09:54 AM Electronic Record and Signature Disclosure: Accepted: 5/4/2022 11:08:54 AM ID: 92cf0d92-4691-4f7b-a71d-6d55727f0693 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 Procurement Administration Supervisor City of Denton Security Level: Email, Account Authentication (None) Sent: 5/4/2022 11:09:55 AM 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 5/2/2022 5:00:52 PM Certified Delivered Security Checked 5/4/2022 11:08:54 AM Signing Complete Security Checked 5/4/2022 11:09:54 AM Completed Security Checked 5/4/2022 11:09:55 AM 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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