HomeMy WebLinkAbout8775 - Change Order 2 Executed
DocuSign Transmittal Coversheet
File Name
Purchasing Contact
Docusign Envelope ID: E8FF6D09-DE55-8D6C-808E-6756E6A8DD82
Erica Garcia
8775 Riney Road East Change Order #2
Contractor:Quality Excavation, LLC
104 Redfearn Road
Aubrey, TX 76227
Jason Roberts, Vice President
Proj:Riney Road East Improvement Project CHANGE ORDER NO.2
IFB#8775 ENG/PMO#230013-1 PO#214082
Contract BID Amount:1,854,699.32$ Prior Approved Other Funded CO's:-$
5% Contingency Amount:92,734.97$ Current Contract Amount w CO's:1,854,699.32$
Total NTE Amount : 1,947,434.29$ This CO Non-Contingency Fund Request:-$
Prior Approved CUA's:32,686.58$ Total Change Request:16,050.47$
Available Contingency:60,048.39$
This CUA Request:$16,050.47 Orig Contract Days:This CO Days Request:3
Contingency Remaining:43,997.92$ Approved CO Days:New Contract Days:279
COR6
COR8
COR8
COR8
Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
-$
$0.00
COR6 9999-015 EA 0 1 2,510.27$ 2,510.27$
COR8 0101-138 EA 0 1 1,432.76$ 1,432.76$
COR8 0101-161 Install TxDoT Type C 2 Grate Inlet EA 0 1 8,848.03$ 8,848.03$
COR8 0101-262 Install 4" Thick Concrete Rip Rap SY 0 17 191.73$ 3,259.41$
-$
-$
$16,050.47
Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
-$
-$
-$
$0.00
City requested for a pay item(s) to cover the installation of a new TxDoT Type C 2 Grate Inlet to the project proposal. (1) additional
calendar day being requested.
NEW ITEMS OF WORK
TOTAL CUA NEW 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 funds are used at City's discretion per contract spec language
Contingency funds are used at City's discretion per contract spec language
Remove & Dispose Existing Inlet
CONTINGENCY USE ALLOWANCE (CUA) CONTRACT CHANGES
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
Production of Revised 4' Sewer Manhole
TOTAL CUA EXISTING ITEMS:
City requested for a pay item(s) to cover the removal and disposal of an existing storm inlet to the project proposal. (1) additional
calendar day being requested.
6
PROJECT SCOPE AND REASON FOR CHANGE
Description of work included
in Contract:
The project scope is to reconstruct two sections Riney Road from and the inew installation of two sections of a 10-
foot wide multi-use path in North Lake Park. The reason for the additional pay items to the Contract Proposal is
to 1.) allow the Contractor to dispose of an approved sewer manhole and reorder a new sewer manhole due to a
plan revision and 2.) allow the Contractor to demo an existing storm inlet and 3.) allow the Contractor to install a
new TxDoT Type C2 Grate inlet and 4.) allow the Contractor to install 4" concrete rip rap.
Reason for change:
Jesus Perez, Project Manager
City requested for a pay item(s) to cover the installation on a new 4" thick conrete rip rap to the project proposal. (1) additional calendar
day being requested.
CITY OF DENTON CHANGE ORDER FORM
City of Denton - Capital Projects
401 N. Elm Street
Denton, TX 76201
Notice To Proceed Issued:Current Completion Date:New Completion Date:
3/16/2026 12/17/2026 12/20/2026
270
Contractor requested for a pay item(s) to cover the costs associated not to use an approved sewer manhole due to a plan revision.
Docusign Envelope ID: E8FF6D09-DE55-8D6C-808E-6756E6A8DD82
N/A 0 -$
$0.00
$16,050.47
1,854,699.32$
1,947,434.29$
48,737.05$
-$
1,903,436.37$
53%
2.63%
0.00%
SUBMITTED BY:_______________________________
Jesus Perez, 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.
THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY,
% of CUA Approved To-Date:
Total Changes over Original Bid:
Percent Changes over NTE:
Riney Road East Improvement Project
Total CO's:
Revised Contract Amount:
TOTAL CO AMOUNT:
Original BID/Contract Amount:
Original Not To Exceed Amount:
Total CUA's:
NEW ITEMS OF WORK
TOTAL PROJECT (NON-CONTIGENCTY) FUNDED NEW ITEMS:
Docusign Envelope ID: E8FF6D09-DE55-8D6C-808E-6756E6A8DD82
Jason Roberts/V.P.Jason Roberts
Certificate Of Completion
Envelope Id: E8FF6D09-DE55-8D6C-808E-6756E6A8DD82 Status: Completed
Subject: ***Purchasing Approval*** 8775 Riney Road East Change Order #2
Source Envelope:
Document Pages: 3 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: 198.49.140.104
Record Tracking
Status: Original
8/4/2026 2:43:17 PM
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: 198.49.140.104
Sent: 8/4/2026 2:49:21 PM
Viewed: 8/4/2026 2:49:30 PM
Signed: 8/4/2026 2:49:44 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
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: 198.49.140.10
Sent: 8/4/2026 2:49:46 PM
Viewed: 8/5/2026 3:13:19 PM
Signed: 8/5/2026 3:16:46 PM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Jesus Perez
jesus.perez@cityofdenton.com
Construction Project Manager
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.10
Sent: 8/5/2026 3:16:48 PM
Viewed: 8/5/2026 3:51:56 PM
Signed: 8/5/2026 3:52:21 PM
Electronic Record and Signature Disclosure:
Accepted: 8/5/2026 3:51:56 PM
ID: 709f01a3-d997-4d61-96c5-22d7ca4da01d
Jason Roberts
jasonr@qualityexcavationltd.com
Jason Roberts/V.P.
Quality Excavation
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 173.219.29.14
Sent: 8/5/2026 3:52:23 PM
Viewed: 8/5/2026 4:17:04 PM
Signed: 8/5/2026 4:17:15 PM
Electronic Record and Signature Disclosure:
Accepted: 8/5/2026 4:17:04 PM
ID: fca0b691-426b-4cb3-8a23-37dccf19fbd7
Signer Events Signature Timestamp
Seth Garcia
seth.garcia@cityofdenton.com
Director of Capital Projects
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 2600:387:1:817::54
Signed using mobile
Sent: 8/5/2026 4:17:17 PM
Viewed: 8/5/2026 4:48:35 PM
Signed: 8/5/2026 4:49:05 PM
Electronic Record and Signature Disclosure:
Accepted: 8/5/2026 4:48:35 PM
ID: 292bba80-68ed-4217-9486-66cb354107d1
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: 8/5/2026 4:49:06 PM
Viewed: 8/6/2026 9:47:38 AM
Signed: 8/6/2026 9:47:51 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: 8/6/2026 9:47:52 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 8/4/2026 2:49:21 PM
Certified Delivered Security Checked 8/6/2026 9:47:38 AM
Signing Complete Security Checked 8/6/2026 9:47:51 AM
Completed Security Checked 8/6/2026 9:47:52 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 Roberts, Seth Garcia
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