7716-02 - Change Order 5 Executed
Docusign Transmittal Coversheet
File Name
Purchasing Contact
Contract Expiration
DocuSign Envelope ID: BF76C535-165C-4BA4-AB3B-CF7C6184B684
NA
Erica Garcia
7716-002 NL Tennis Courts CO#5
Contractor:North Rock Construction, LLC
525 S. Loop 288, Suite 105
Denton, TX 76205
Contact Name
North Lakes Tennis Courts CHANGE ORDER NO.5
7716-02 CIP/ENG#PO #: 199411
Contract BID Amount:4,724,987.75$
10% Contingency Amount 472,498.78$
5,197,486.53$
Prior Approved CAA's:32,595.44$
Available Contingency:439,903.34$
$5,704.00
Contingency Remaining:434,199.34$ 240
Item
No.Spec. Section No. UOM BID QTY +/- QTY Unit Price Extended Price
‐$ ‐$
‐$ ‐$
‐$ ‐$
$0.00
1 LS ‐$ 4,960.00$
2 LS 744.00$
3 LS ‐$ ‐$
4 EA ‐$ ‐$
5 EA ‐$ ‐$
6 LS
$5,704.00
Item
No.Spec. Section No. UOM BID QTY +/- QTY Unit Price Extended Price
$0.00
‐$ ‐$
$0.00
$5,704.00
4,724,987.75$
5,197,486.53$ North Lakes Tennis Courts 38,299.44$
-$
4,763,287.19$
8.11%
0.81%
0%
New Completion Date:
CITY OF DENTON CHANGE ORDER FORM
City of Denton
901 Texas Steet
Denton, TX 76201
Jason Donnell, Project Manager
Project:
RFP#
Notice To Proceed Issued:Current Completion Date:
This CAA Request:Orig Contract Days:240 This CO Days Request:
3/1/2022 11/30/2022 6/1/2023
Prior Approved Other Funded CO's:-$
Current Contract Amount w CO's:4,724,987.75$
Total NTE Amount : This CO Other Funding Request:-$
Total Change Request:5,704.00$
Approved CO Days:0 New Contract Days:
PROJECT SCOPE AND REASON FOR CHANGE
Project Scope
included in Contract:
Reason for change:
CONTINGENCY ALLOWANCE AUTHORIZED (CAA) CONTRACT CHANGES
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
OTHER FUNDED CONTRACT CHANGES (CO)
TOTAL CAA QTY CHANGES:
NEW ITEMS OF WORK
Add 4' chainlink fence to NW detention pond wall
Overhead and Profit 15%
Contingency funds are used at City's discretion per contract spec language TOTAL CAA NEW ITEMS:
Total CAA's:
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
N/A
TOTAL OTHER FUNDED QTY CHANGES:
NEW ITEMS OF WORK
N/A
TOTAL OTHER FUNDED NEW ITEMS:
TOTAL CO AMOUNT:
Original BID/Contract Amount:
Original Total Not To Exceed Amount:
Total CO's:
Revised Contract Amount:
% of CAA Approved To-Date:
Total Change Order over Original Bid:
Percent Changes over NTE:
DocuSign Envelope ID: BF76C535-165C-4BA4-AB3B-CF7C6184B684
SUBMITTED BY:_______________________________
ACCEPTED BY DEPARTMENT DIRECTOR _______________________________
ACCEPTED BY CONTRACTOR: __________Garrett Harden, Project Engineer _______________________________
Name, Title
PURCHASING:_______________________________
THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY,
IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS.
Project Manager
Signature
Signature
Signature
DocuSign Envelope ID: BF76C535-165C-4BA4-AB3B-CF7C6184B684
521 South Loop 288, Suite 125
Denton, TX 76205
Phone: 940-220-5500
Project
Contract #
Attention
Contract Date
OH&P
NR Project #
Start Date
Compl Date
Today's Date
Proposed Change Order
Line
Item
Quantity Unit Unit
Price
1 1 LS 4,960.00$
2 1 LS
3 1 LS
4 5 EA
5
6 2 EA
3 1 LS 15%
Total Add: 5,704.00$
Deductions
1 4 EA
2 1 LS
LS
Total Deduct: -$
Total:5,704.00$
Date:
North Rock Construction Garrett Harden (Project Engineer)
Accepted By:
North Lakes Tennis
RFP #7716
O.C.0. # 5
Original Contract Amount $ 4,724,987.75
Jason Donnell Previous Change Orders $32,595.44
02/15/2022 Current Change Order $5,704.00
15%Revised Contract Amount 4,763,287.19$
21N-068 Original Contract Day 240
03/14/2022 Previous Added Days 204
06/1/2023 Current CO Days Added 0
12/20/2022 Revised Contract Days 444
Description
OCO #4
Total
Price
-$
-$
Add 4' chainlink fence to NW detention pond wall 4,960.00$
-$
-$
Subtotal 4,960.00$
Overhead & Profit 744.00$
$ -
$ -
$ -
Tuesday, December 20, 2022
$ -
DocuSign Envelope ID: BF76C535-165C-4BA4-AB3B-CF7C6184B684
Estimate
Date
12/1/2022
Estimate #
22378
N ROCK CONSTRUCTION
GARRETT HARDEN
525 SO LOOP 288 STE 105
DENTON, TX 76205
NORTH LAKES TENNIS CENTER
Estimate for material & Labor. Please call us if you have any questions. Thank you, Brent and
Doro!
Date:Signature:
Total
Alpha Fence accepts no responsibility for underground utility lines sprinkler lines or other obstruction. Dirt, rock, trees and shrubs shall not be moved or re-moved
under these prices unless stipulated. Total invoice subject to adjustment based on quantities.
Alpha Fence requires an upfront material deposit of 35% of the total amount due. The remainder of the balance is due upon completion of the work.
I hereby authorize Alpha Fence to furnish all material and labor required to complete the work mentioned in the above proposal for witch I agree to pay the amount
mentioned in said proposal and according to the terms thereof. Proposal prices are good for 30 days.
I have read and agree to Alpha Fence's Limited Warranty.
5904 Edgewood Place, Little Elm, TX 75068
This quote is valid for 30 days
Description OptionsQty Total
4' CHAIN LINK ON HEADWALL 2 400.00
4' CHAIN LINK WALL MOUNTED 120 4,200.00
STRETCH POINTS 2 360.00
_____________________________________ _____________________________________
$4,960.00
DocuSign Envelope ID: BF76C535-165C-4BA4-AB3B-CF7C6184B684
Certificate Of Completion
Envelope Id: BF76C535165C4BA4AB3BCF7C6184B684 Status: Completed
Subject: ***Purchasing Approval***7716-02- NL Tennis Court Change Order 5
Source Envelope:
Document Pages: 5 Signatures: 5 Envelope Originator:
Certificate Pages: 6 Initials: 1 Erica Garcia
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
erica.garcia@cityofdenton.com
IP Address: 198.49.140.104
Record Tracking
Status: Original
1/13/2023 6:31:05 AM
Holder: Erica Garcia
erica.garcia@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Erica Garcia
erica.garcia@cityofdenton.com
Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.104
Sent: 1/13/2023 6:37:30 AM
Viewed: 1/13/2023 6:37:39 AM
Signed: 1/13/2023 6:38:00 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Jason Donnell
Jason.Donnell@cityofdenton.com
Park Planner
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 1/13/2023 6:38:03 AM
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Signed: 1/13/2023 7:12:45 AM
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Lori Hewell
lori.hewell@cityofdenton.com
Purchasing Manager
City of Denton
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Sent: 1/13/2023 6:38:03 AM
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Signed: 1/13/2023 8:55:20 AM
Electronic Record and Signature Disclosure:
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Garrett Harden
gharden@nrockconstruction.com
Project engineer
Security Level: Email, Account Authentication
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Signed using mobile
Sent: 1/13/2023 8:55:24 AM
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Signed: 1/13/2023 8:57:48 AM
Electronic Record and Signature Disclosure:
Accepted: 3/11/2022 2:29:04 PM
ID: 514a4180-09a5-470d-b2ee-8b005e37a83b
Signer Events Signature Timestamp
Gary Packan
Gary.Packan@cityofdenton.com
Director of Parks and Recreation
Parks and Recreation
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Electronic Record and Signature Disclosure:
Accepted: 1/13/2023 9:07:10 AM
ID: dbbe4973-34ec-4cc9-a251-48556053e0b5
Erica Garcia
erica.garcia@cityofdenton.com
Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 97.94.198.112
Sent: 1/13/2023 9:07:31 AM
Viewed: 1/17/2023 7:51:43 AM
Signed: 1/17/2023 7:51:51 AM
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Cheyenne Defee
cheyenne.defee@cityofdenton.com
Procurement Administration Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 1/17/2023 7:51:56 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Jason Donnell
Jason.Donnell@cityofdenton.com
Park Planner
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 1/17/2023 7:51:56 AM
Electronic Record and Signature Disclosure:
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Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 1/13/2023 6:37:30 AM
Certified Delivered Security Checked 1/17/2023 7:51:43 AM
Signing Complete Security Checked 1/17/2023 7:51:51 AM
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Completed Security Checked 1/17/2023 7:51:56 AM
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Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM
Parties agreed to: Garrett Harden, Gary Packan
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