8653 - Change Order 1 Executed
DocuSign Transmittal Coversheet
File Name
Purchasing Contact
Docusign Envelope ID: 26BEFCFE-7F96-4AF7-BEE1-C7FBDA3717ED
8653 Roadway Expansion and Wheel Wash Facility-CO #1
Crystal Westbrook
Contractor: Hammett
Address 1545 Co Rd 2917,
City, State Zip Dodd City, TX 75438
Contact Name Julian Reyes
CHANGE ORDER NO.
8653 PO #: 2103986
Contract BID Amount:1,983,234.89$
5% Contingency Amount 99,161.74$
2,082,396.63$
Prior Approved CUA's:$0.00
Available Contingency:99,161.74$
$95,315.63 45
Contingency Remaining:3,846.11$ 175
Item
No.Spec. Section No. UOM BID QTY +/- QTY Unit Price Extended Price
‐$ ‐$
‐$ ‐$
5
10‐inch Reinforced
Concrete Pavement SY 2,800 ‐577.62 149.00$ (86,065.38)$
6
12‐inch Lime Treated
Stabilized Structural
Fill SY 2,800 ‐577.62 46.48$ (26,847.78)$
7 12‐inch RCP Culvert
Extension LF 15 ‐15 132.00$ (1,980.00)$
9 Traffic Control LS 1 ‐1 9,000.00$ (9,000.00)$
10 Striping and Signage LS 1 ‐1 8,129.28$ (8,129.28)$
17 Pad Mounted
Transformer LS 1 ‐1 5,500.00$ (5,500.00)$
20 Wheel Wash Facility LF 1 ‐1 110,985.00$ (110,985.00)$
22 Insulated Concrete
Building LS 1 ‐1 115,000.00$ (115,000.00)$
00 ‐$ ‐$
-$363,507.44
20 Wheel Wash Facility LS 1 1 202,650.00$ 202,650.00$
20 Wheel Wash Facility LF 0 161 201.87$ 32,501.07$
20 Wheel Wash Facility LS 1 1 55,000.00$ 55,000.00$
20 Wheel Wash Facility LS 1 1 18,000.00$ 18,000.00$
20 Wheel Wash Facility LS 1 1 23,000.00$ 23,000.00$
23 Bollards EA 8 5 900.00$ 4,500.00$
20 Wheel Wash Facility EA 0 4 1,500.00$ 6,000.00$
20 Wheel Wash Facility LS 0 1 15,000.00$ 15,000.00$
22
Insulated Concrete
Building LS 1 1 102,172.00$ 102,172.00$
‐$
$458,823.07
Item
No.Spec. Section No. UOM BID QTY +/- QTY Unit Price Extended Price
‐$
‐$
$0.00
Description of work
Contingency funds are used at City's discretion per contract spec language
OTHER FUNDED CONTRACT CHANGES (CO)
QUANTITY CHANGES TO EXISTING ITEMS
TOTAL CUA NEW ITEMS:
TOTAL OTHER FUNDED QTY CHANGES:
RFP#
This CUA Request:
PROJECT SCOPE AND REASON FOR CHANGE
Prior Approved Other Funded CO's:-$
Current Contract Amount w CUA & CO's:
Orig Contract Days:
Approved CO Days:
130
0
CEP24-0019
New Completion Date:
12/23/2025
1,983,234.89$
Notice To Proceed Issued:
7/1/2025
CITY OF DENTON CHANGE ORDER FORM
City of Denton - Solid Waste & Recycling
1527 S Mayhill Rd.
Denton, TX 76208
Art Garcia, Project Manager
This CO Days Request:
Total NTE Amount : This CO Other Funding Request:
Project Scope
included in Contract:
The landfill Site Operating Plan states: in order to minimize the tracking of mud onto public roadways, the facility will provide and
maintain an onsite wheel wash system. The wheel wash removes accumulated mud from the vehicle wheels, tires, and undercarriage
CONTINGENCY USE AUTHORIZED (CUA) CONTRACT CHANGES
QUANTITY CHANGES TO EXISTING ITEMS
TOTAL CUA QTY CHANGES:
NEW ITEMS OF WORK
Description of work
As we make progress with the acquisition of the wheel wash, we have found that there are a few missing pieces in the engineering design. Some of these safety
items consist of concrete barriers and bollards to ensure the wheel wash is protected from vehicle impacts. A safety handrail surrounds the recirculation tanks.
Enlarged tanks for increased water capacity and circulation. Steel push blocks in the tanks to extend life expectancy.
The wheel wash itself will be upgraded with an undercarriage wash and tracinator pads to slow down and shake off heavy solids from the vehicles. A dry flocculent
disperser to remove suspended solids.
These additional items will ensure we have the right‐sized wheel wash and will not need any additional after‐the‐fact modifications.
Project:
New Contract Days:
Total Change Request:
Current Completion Date:
Hand Rails
Additional Bollards
$0.00
11/8/2025
$95,315.63
Reason for change:
Redesigned Wheel Wash Facility
Original Wheel Wash Facility
12" Lime Stabilization
K‐Rails
Electrical equipment protective cover
Enlarged Tank Pits
Steel Push Blocks for Tank Pits
Concrete Ramps
Concrete Swale
10" Reinforced Concrete Pavement
Traffic Control
12" RCP
Insulated Concrete Building
Transformer and Components
Striping and Signage
Docusign Envelope ID: 26BEFCFE-7F96-4AF7-BEE1-C7FBDA3717ED
‐$
‐$
`‐$
$0.00
$95,315.63
1,983,234.89$
2,082,396.63$
$0.00 95,315.63$
-$
2,078,550.52$
96.12%
4.81%
0%
SUBMITTED BY:_______________________________
ACCEPTED BY THE PROJECT MANAGER/DIRECTOR OF SOLID WASTE _______________________________
ACCEPTED BY CONTRACTOR: ____________________________________________________________
Name, Title
PURCHASING:_______________________________
Signature
Signature
Project Manager
Total CO's:
% of CUA Approved To-Date:
Total CUA's:
Original Total Not To Exceed Amount:
Original BID/Contract Amount:
IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS.
Signature
Revised Contract Amount:
Percent Changes over NTE:
Total Change Order over Original Bid:
THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY,
TOTAL CO AMOUNT:
NEW ITEMS OF WORK
TOTAL OTHER FUNDED NEW ITEMS:
]
Docusign Envelope ID: 26BEFCFE-7F96-4AF7-BEE1-C7FBDA3717ED
PresidentGAYLON HAMMETT
Certificate Of Completion
Envelope Id: 26BEFCFE-7F96-4AF7-BEE1-C7FBDA3717ED Status: Completed
Subject: ***Purchasing Approval*** 8653 Change Order #1
Source Envelope:
Document Pages: 3 Signatures: 4 Envelope Originator:
Certificate Pages: 5 Initials: 1 Crystal Westbrook
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-06:00) Central Time (US & Canada)
901B Texas Street
Denton, TX 76209
crystal.westbrook@cityofdenton.com
IP Address: 198.49.140.10
Record Tracking
Status: Original
6/30/2025 3:24:21 PM
Holder: Crystal Westbrook
crystal.westbrook@cityofdenton.com
Location: DocuSign
Signer Events Signature Timestamp
Crystal Westbrook
crystal.westbrook@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 198.49.140.10
Sent: 6/30/2025 3:27:03 PM
Viewed: 6/30/2025 3:27:13 PM
Signed: 6/30/2025 3:27:38 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
Using IP Address: 198.49.140.10
Sent: 6/30/2025 3:27:40 PM
Resent: 7/1/2025 4:38:18 PM
Viewed: 7/2/2025 9:19:11 AM
Signed: 7/2/2025 9:19:21 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Arturo Garcia
Arturo.Garcia@cityofdenton.com
Solid Waste Project Manager
Solid Waste & Recycling
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address:
2607:fb90:8a22:c5e:ad2:251:98e1:4bfb
Signed using mobile
Sent: 7/2/2025 9:19:22 AM
Viewed: 7/2/2025 9:28:34 AM
Signed: 7/2/2025 9:29:17 AM
Electronic Record and Signature Disclosure:
Accepted: 7/2/2025 9:28:34 AM
ID: ff3aa317-1666-4c1b-8041-b3ae5a35ff71
GAYLON HAMMETT
gaylon@hammett-excavation.com
President
Hammett Excavation, Inc
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 172.108.176.202
Sent: 7/2/2025 9:29:18 AM
Viewed: 7/2/2025 9:30:53 AM
Signed: 7/9/2025 1:53:56 PM
Electronic Record and Signature Disclosure:
Accepted: 1/27/2021 5:33:29 PM
ID: 89c4faab-4f90-4aa1-b842-3181a6ab6282
Signer Events Signature Timestamp
Brenda Haney
brenda.haney@cityofdenton.com
Deputy Director
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 7/9/2025 1:53:58 PM
Viewed: 7/9/2025 3:01:14 PM
Signed: 7/9/2025 3:01:33 PM
Electronic Record and Signature Disclosure:
Accepted: 7/9/2025 3:01:14 PM
ID: 54be6cf8-5133-4cd3-83c6-ab350bde5c99
Crystal Westbrook
crystal.westbrook@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: 7/9/2025 3:01:35 PM
Viewed: 7/9/2025 3:08:22 PM
Signed: 7/9/2025 3:08:36 PM
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: 7/9/2025 3:08:38 PM
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 6/30/2025 3:27:03 PM
Certified Delivered Security Checked 7/9/2025 3:08:22 PM
Signing Complete Security Checked 7/9/2025 3:08:36 PM
Completed Security Checked 7/9/2025 3:08:38 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: Arturo Garcia, GAYLON HAMMETT, Brenda Haney
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