7968-003 - Change Order 2 Executed
DocuSign Transmittal Coversheet
File Name
Purchasing Contact
Docusign Envelope ID: 4D95C397-5D00-4A97-927D-815434830A3B
Cori Power
7968-003 Utility Relocation 380 to Milam CO#2
Contractor:Mountaion Cascade of Texas, LLC
540 E US HWY 67
Alvarado, TX 76009
Chris Windsor
I-35 Utility Relocation (From US380 to Milam CUA NO.2
7968-003 CIP/ENG#220002-1 PO #:204023
Contract BID Amount:16,294,366.00$ Prior Approved Other Funded CO's:-$
Contingency Amount:814,718.30$ Current Contract Amount w CO's:16,308,366.00$
Total NTE Amount : 17,109,084.30$ This CO Other Funding Request:-$
Prior Approved CAA's:14,000.00$ Total Change Request:68,691.00$
Available Contingency:800,718.30$
This CAA Request:68,691.00$ Orig Contract Days:This CO Days Request:124
Contingency Remaining:732,027.30$ Approved CO Days:New Contract Days:424
1- Finalizing of the overrun/underruns
Item
No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
22 32 93 00 SY 2,861 -2,861.00 7.00$ (20,027.00)$
33 33 14 11 LF 911 935 340.00$ 317,900.00$
34 33 14 11 LF 6,133 -804 236.00$ (189,744.00)$
51 34 71 13 MO 1 4 15,000.00$ 60,000.00$
57 02 41 14 EA 1 1 25,000.00$ 25,000.00$
58 32 01 17 SY 564 -251 140.00$ (35,140.00)$
59 32 01 29 SY 933 -362 220.00$ (79,640.00)$
63 32 93 00 SY 951 -951 7.00$ (6,657.00)$
96 32 01 17 SY 15 -15 200.00$ (3,000.00)$
99 33 01 12 EA 1 -1 1.00$ (1.00)$
$68,691.00
$0.00
Item
No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
$0.00
$0.00
$68,691.00
PCO 2:
Attn: Shawn Messick-Capital Projects
CITY OF DENTON CHANGE ORDER FORM
City of Denton - Capital Projects
401 N Elm Street
Denton, TX 76201
Reason for change:
Project:
IFB#
Notice To Proceed Issued:Current Completion Date:New Completion Date:
8/7/2023 6/2/2024 10/4/2024
300
0
PROJECT SCOPE AND REASON FOR CHANGE
Project Scope included in
Contract:Relocation of 30,700 linear feet of water and wastewater utilities.
CONTINGENCY ALLOWANCE AUTHORIZED (CAA) CONTRACT CHANGES
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
TOTAL CAA QTY CHANGES:
NEW ITEMS OF WORK
Contingency funds are used at City's discretion per contract spec language TOTAL CAA NEW ITEMS:
OTHER FUNDED CONTRACT CHANGES (CO)
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
Sodding
8" PVC Pressure Water Pipe
12" PVC Pressure Water Pipe
Traffic Control
Remove Utility Junction Structure (Lift Station)
TOTAL OTHER FUNDED NEW ITEMS:
TOTAL OTHER FUNDED QTY CHANGES:
NEW ITEMS OF WORK
Flexible Paving Repair for Utility Trench
Flexible Paving Repair for Utility Trench
Concrete Paving Repair for Utility Trench
Sodding
Cathodic Protection System
TOTAL CO AMOUNT:
Docusign Envelope ID: 4D95C397-5D00-4A97-927D-815434830A3B
16,294,366.00$
17,109,084.30$
I-35 Utility Relocation (From US380 to Milam 82,691.00$
-$
16,377,057.00$
10.15%
0.51%
0.00%
SUBMITTED BY:_______________________________
Shawn Messick, Project Manager
ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS _______________________________
Signature
ACCEPTED BY CONTRACTOR: ___________________________________________________________________
Name, Title Signature
PURCHASING:_______________________________
Signature
IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS.
Original BID/Contract Amount:
Original Total Not To Exceed Amount:
Total CAA's:
Total CO's:
Revised Contract Amount:
% of CAA Approved To-Date:
Total Change Order over Original Bid:
Percent Changes over NTE:
THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY,
Docusign Envelope ID: 4D95C397-5D00-4A97-927D-815434830A3B
Andrew McCullochVice-President
10/7/2024
Certificate Of Completion
Envelope Id: 4D95C3975D004A97927D815434830A3B Status: Completed
Subject: ***Purchasing Approval*** 7968-003 Utility Relocation 380 to Milam CO#2
Source Envelope:
Document Pages: 3 Signatures: 4 Envelope Originator:
Certificate Pages: 5 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: 198.49.140.10
Record Tracking
Status: Original
10/7/2024 9:22:02 AM
Holder: Cori Power
cori.power@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Cori Power
cori.power@cityofdenton.com
Purchasing Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.10
Sent: 10/7/2024 12:09:51 PM
Viewed: 10/7/2024 12:10:00 PM
Signed: 10/7/2024 12:10:11 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Lori Hewell
lori.hewell@cityofdenton.com
Purchasing Manager
City of Denton
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Using IP Address: 198.49.140.10
Sent: 10/7/2024 12:10:13 PM
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Signed: 10/7/2024 1:52:32 PM
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Shawn Messick
Shawn.Messick@cityofdenton.com
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(None)
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Sent: 10/7/2024 1:52:34 PM
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Signed: 10/7/2024 1:54:09 PM
Electronic Record and Signature Disclosure:
Accepted: 10/7/2024 1:53:57 PM
ID: 954d11de-67f3-4ba4-b2e6-5e30df13f188
Andrew McCulloch
AMcCulloch@mountaincascade.com
Vice-President
Harber Co.Inc. dba Mountain Cascade of Nevada
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Electronic Record and Signature Disclosure:
Accepted: 10/7/2024 2:11:16 PM
ID: 087b1faa-91c0-435f-963e-4145f025eb93
Signer Events Signature Timestamp
Trevor Crain
Trevor.Crain@cityofdenton.com
Director of Capital Projects
City of Denton
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(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 10/7/2024 2:28:03 PM
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Signed: 10/7/2024 2:49:19 PM
Electronic Record and Signature Disclosure:
Accepted: 10/7/2024 2:48:56 PM
ID: e8032418-076d-4df5-903a-355e5d4ff53c
Cori Power
cori.power@cityofdenton.com
Purchasing Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 97.134.205.47
Signed using mobile
Sent: 10/7/2024 2:49:21 PM
Viewed: 10/7/2024 4:20:00 PM
Signed: 10/7/2024 4:20:08 PM
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Not Offered via DocuSign
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Cheyenne Defee
cheyenne.defee@cityofdenton.com
Procurement Administration Supervisor
City of Denton
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(None)
Sent: 10/7/2024 4:20:10 PM
Electronic Record and Signature Disclosure:
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Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 10/7/2024 12:09:51 PM
Certified Delivered Security Checked 10/7/2024 4:20:00 PM
Signing Complete Security Checked 10/7/2024 4:20:08 PM
Completed Security Checked 10/7/2024 4:20:10 PM
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: Shawn Messick, Andrew McCulloch, Trevor Crain
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