7968-002 - Change Order 1 Executed
Docusign Transmittal Coversheet
File Name
Purchasing Contact
Contract Expiration
DocuSign Envelope ID: 29DAD18A-B3C2-42A2-8911-E32ABF264531
NA
7968-002 NW Water Transmission Change Order 1
Erica Garcia
Contractor:Mountain Cascade of Texas
5340 E. US Highway 67
Alvarado, TX 76009
Jason Williford
Proj:Northwest Water Transmission Line Improvement Project CHANGE ORDER NO.1
IFB#7968-002 ENG/PMO#PO#202704
Contract BID Amount:14,870,754.00$ Prior Approved Other Funded CO's:-$
5% Contingency Amount:743,537.70$ Current Contract Amount w CO's:14,870,754.00$
Total NTE Amount : 15,614,291.70$ This CO Non-Contingency Fund Request:
Prior Approved CUA's:-$ Total Change Request:1,514.65$
Available Contingency:743,537.70$
This CUA Request:$1,514.65 Orig Contract Days:This CO Days Request:118
Contingency Remaining:742,023.05$ Approved CO Days:New Contract Days:568
Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
2B 33 14 12 LF 9,845 155 402.00$ 62,310.00$
10 33 14 10 LF 1,747 -68 1,650.00$ (112,200.00)$
14B 33 14 12 LF 2040 -136 350.00$ (47,600.00)$
-$
450
220021-1
Notice To Proceed Issued:Current Completion Date:New Completion Date:
3/27/2023 6/19/2024 10/15/2024
Jesus Perez, Project Manager
CITY OF DENTON CHANGE ORDER FORM
City of Denton - Capital Projects
401 N. Elm Street
Denton, TX 76201
1. A $1,514.65 increase in Contract Price due to a realignment of the 36-inch water main.
2. A 118 calendar day increase in Contract Time for (2) delays due to lack of jobsite access within TxDoT right-of-way and within the
UNT developed property.
0
PROJECT SCOPE AND REASON FOR CHANGE
Description of work included
in Contract:
The project consist of the installation of 4,988 linear feet of 36-inch water main from the Riney Road
Elevated Storage Tank to the Northwest Elevated Storage Tank. The project also consist of the installation
of 30-inch, 24-inch,20-inch,16-inch,12-inch and 8-inch along the transmission main route.
Reason for change:
54" Casing by Other Than Open Cut
CONTINGENCY USE ALLOWANCE (CUA) CONTRACT CHANGES
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
36" AWWA C303 Concrete Water Pipe
36" AWWA C303 Water Carrier Pipe
DocuSign Envelope ID: 29DAD18A-B3C2-42A2-8911-E32ABF264531
Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
LS 1 99,004.65$ 99,004.65$
$1,514.65
Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
$0.00
$1,514.65
14,870,754.00$
15,614,291.70$
1,514.65$
-$
14,872,268.65$
0%
0.01%
0.00%
Contingency funds are used at City's discretion per contract spec language
Thompson Pipe Group Change Order 6-Rev-0
Total CUA's:
TOTAL CAA EXISTING ITEMS:
PROJECT (NON-CONTIGENCTY) FUNDED CONTRACT CHANGES (CO)
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
TOTAL PROJECT (NON-CONTIGENCTY) FUNDED EXISTING QTY CHANGES:
CONTINGENCY USE ALLOWANCE (CUA) CONTRACT CHANGES
QUANTITY CHANGES NEW ITEMS
Description of work
% of CUA Approved To-Date:
Total Changes over Original Bid:
Percent Changes over NTE:
Northwest Water Transmission Line Improvement
Project
Total CO's:
Revised Contract Amount:
TOTAL CO AMOUNT:
Original BID/Contract Amount:
Original Not To Exceed Amount:
DocuSign Envelope ID: 29DAD18A-B3C2-42A2-8911-E32ABF264531
SUBMITTED BY:_______________________________
Jesus Perez, Project Manager
ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS _______________________________
Signature
ACCEPTED BY CONTRACTOR: ____________________________________________________________
Name, Title Signature
PURCHASING:_______________________________
Signature
Northwest Water Transmission Line Improvement Project
CHANGE ORDER NO.1
Total Change Request:1,514.65$
IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS.
THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY,
DocuSign Envelope ID: 29DAD18A-B3C2-42A2-8911-E32ABF264531
Jason Williford , Project Manager
Certificate Of Completion
Envelope Id: 29DAD18AB3C242A28911E32ABF264531 Status: Completed
Subject: ***Purchasing Approval*** 7968-002 Construction of NW Water Transmission Main - Change Order 1
Source Envelope:
Document Pages: 4 Signatures: 4 Envelope Originator:
Certificate Pages: 5 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: 198.49.140.10
Record Tracking
Status: Original
3/7/2024 9:12:42 AM
Holder: Erica Garcia
erica.garcia@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Erica Garcia
erica.garcia@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.10
Sent: 3/7/2024 9:30:26 AM
Viewed: 3/7/2024 9:30:43 AM
Signed: 3/7/2024 9:31:28 AM
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
Using IP Address: 198.49.140.10
Sent: 3/7/2024 9:31:29 AM
Viewed: 3/7/2024 9:46:52 AM
Signed: 3/7/2024 9:51:22 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Jesus Perez
jesus.perez@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 3/7/2024 9:51:24 AM
Resent: 3/11/2024 8:45:31 AM
Resent: 3/12/2024 11:43:09 AM
Viewed: 3/12/2024 11:44:01 AM
Signed: 3/12/2024 11:44:50 AM
Electronic Record and Signature Disclosure:
Accepted: 3/12/2024 11:44:01 AM
ID: d929a034-5a18-459e-8c49-18c7d8e9db8b
Jason Williford
JasonW@mountaincascade.com
, Project Manager
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 32.132.177.214
Sent: 3/12/2024 11:44:51 AM
Viewed: 3/12/2024 12:53:31 PM
Signed: 3/12/2024 1:04:33 PM
Electronic Record and Signature Disclosure:
Accepted: 3/12/2024 12:53:31 PM
ID: adfb0050-2b1a-4ebb-b2e2-3d12a7e18506
Signer Events Signature Timestamp
Trevor Crain, PMP
Trevor.Crain@cityofdenton.com
Director of Capital Projects
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 3/12/2024 1:04:35 PM
Viewed: 3/12/2024 1:07:48 PM
Signed: 3/12/2024 1:08:16 PM
Electronic Record and Signature Disclosure:
Accepted: 3/12/2024 1:07:48 PM
ID: fd7afda4-1e5e-4409-bee7-09648df741e5
Erica Garcia
erica.garcia@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 3/12/2024 1:08:18 PM
Viewed: 3/13/2024 8:21:21 AM
Signed: 3/13/2024 8:21:25 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
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: 3/13/2024 8:21:27 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 3/7/2024 9:30:26 AM
Certified Delivered Security Checked 3/13/2024 8:21:21 AM
Signing Complete Security Checked 3/13/2024 8:21:25 AM
Completed Security Checked 3/13/2024 8:21:27 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: Jesus Perez, Jason Williford, Trevor Crain, PMP
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