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6389 Mayhill - CO 7 EXECUTED Docusign City Council Transmittal Coversheet File Name Purchasing Contact City Council Target Date Piggy Back Option Contract Expiration Ordinance DocuSign Envelope ID: 6228CF6D-2E94-4F7C-A4C3-7CF85F036D28 6389FILE Not Applicable Mayhill Widening Change Order 7 Jamie Cogdell June 25, 2019 N/A 19-1390 10. Contract Changes Contract Unit Price Revised Estimated Cost Type 1 drop inlet)3x3)w/apron(5'deep) PCM- 004 $0.00 $7,475.00 RCP 18" PCM-004 $0.00 $14,350.00 RCP 24" PCM-004 $0.00 $21,489.00 Manhole(complete) Type 1-C PCM-004 $0.00 $4,000.00 Juntion box(48")(JB-1-02)PCM- 004 $0.00 $13,200.00 5' TXDOT Type 1 curb inlet(5' deep) PCM-005 $0.00 $4,887.50 5' TXDOT Type 1 curb inlet w/1 extension (Type E)(5' deep) PCM-005 $0.00 $12,075.00 Type 1 Drop inlet(3x3) w/apron(5'deep)PCM-005 $0.00 $3,737.50 Modify Ex drop inlet Remove top and replace with cap PCM-005 $0.00 $2,070.00 Ex 10' TXDOT inlet remove top and cap PCM-005 $12,937.50 $0.00 New 0 1 $4,887.50 $0.00 $3,737.50 $0.00 New 0 0 2 $6,600.00 $0.00 0 2 $2,000.00 $0.00 $0.00 New New 0 1 2 $6,037.50 0 1 $2,070.00 Construct a Four Lane Divided Urban Roadway from a Two Lane Undivided Rural Roadway Negotiated C.O. Unit Price $0.00 0 247 $87.00 0 205 $70.00 Compensate the contractor for additonal work requested to install inlets at Mills, rd due to grade differential between proposed Mayhill and existing Mills rd. Addition of curb inlets at US380 that were not addressed in original plans, purchase and installation of new mailboxes along Mayhill corridor. Plans called for relocation without addressing permanent mounts and temporary mounting, and addressing a utility conflict with sanitary sewer line SS-03 and Line F storm drain. Bid Item No Original Estimated Quantity Revised Estimate Quantity $0.00 New 0 2 $3,737.50 $0.00 Exhibit 3 CITY OF DENTON CHANGE ORDER 1. Division (Department) Engineering 2. Purchase Order No. 182084 Original Estimated Cost 6. Date Prepared 4/22/2019 7. Name and Address of Contractor Zachry Construction Inc. San Antonio, TX 4. Name of Project 3. Change Order No. 7 5. Project Acct No. 350283402.1360.40100 9. Changes ordered and reason ordered Mayhill Road Improvements Project IFB 6389 8. Description of Work Included in Contract New 0 3 $4,312.50 Page 1 of 3 DocuSign Envelope ID: 6228CF6D-2E94-4F7C-A4C3-7CF85F036D28 RCP(CLASS 3)(18") PCM-005 $980.00 Purchase mailboxes $1,024.65 Install mailboxes(Single and Multi post)$13,017.54 Temp Lateral Sanitary Sewer $550.67 1% Bond $1,117.94 $112,912.30 $112,912.30 $35,490,677.81 Increase in contract price New Contract Price 12. Contract time increased/decreased by __0__days. New contract time __days. $35,603,590.11 Decrease in contract price 0 14 $70.00 New 0 45 $22.77 New 0 23 $565.98 New 0 1 $550.67 TOTAL $0.00 11. Original Contract Price + Previous CO's Page 2 of 3 DocuSign Envelope ID: 6228CF6D-2E94-4F7C-A4C3-7CF85F036D28 ATTEST: CITY SECRETARY 17. PURCHASING/FINANCE: Signature 15. ACCEPTED BY CONTRACTOR: ________________ Title Signature 18. APPROVED AS TO LEGAL FORM: Signature 16. CITY MANAGER: Signature 14. ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS Signature 13. SUBMITTED BY:Lee Perry Project Manager THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY, IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS. Signature Page 3 of 3 DocuSign Envelope ID: 6228CF6D-2E94-4F7C-A4C3-7CF85F036D28 Vice President Certificate Of Completion Envelope Id: 6228CF6D2E944F7CA4C37CF85F036D28 Status: Completed Subject: Please DocuSign: City Council Contract 6389 Mayhill Widening CO 7 Source Envelope: Document Pages: 4 Signatures: 6 Envelope Originator: Certificate Pages: 6 Initials: 1 Jamie Cogdell AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 901B Texas Street Denton, TX 76209 Jamie.Cogdell@cityofdenton.com IP Address: 129.120.6.150 Record Tracking Status: Original 6/6/2019 8:54:00 AM Holder: Jamie Cogdell Jamie.Cogdell@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp Jamie Cogdell jamie.cogdell@cityofdenton.com Senior Buyer City Of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 129.120.6.150 Sent: 6/6/2019 8:56:07 AM Viewed: 6/6/2019 8:56:13 AM Signed: 6/6/2019 8:56:49 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: 129.120.6.150 Sent: 6/6/2019 8:56:51 AM Viewed: 6/6/2019 9:01:51 AM Signed: 6/6/2019 9:02:23 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Mack Reinwand mack.reinwand@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 129.120.6.150 Sent: 6/6/2019 9:02:25 AM Viewed: 6/6/2019 1:36:44 PM Signed: 6/6/2019 1:37:34 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Gary Doty gary.doty@zachrycorp.com Vice President Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 107.77.200.208 Signed using mobile Sent: 6/6/2019 1:37:36 PM Viewed: 6/6/2019 1:44:49 PM Signed: 6/6/2019 1:49:46 PM Electronic Record and Signature Disclosure: Accepted: 6/6/2019 1:44:49 PM ID: cd301495-3a5a-4600-9f10-b6943dbaf265 Signer Events Signature Timestamp Todd Estes todd.estes@cityofdenton.com City Engineer Capital Projects Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address: 174.206.38.2 Signed using mobile Sent: 6/6/2019 1:49:48 PM Viewed: 6/6/2019 8:47:39 PM Signed: 6/6/2019 8:47:48 PM Electronic Record and Signature Disclosure: Accepted: 6/6/2019 8:47:39 PM ID: 48a90971-692f-42d2-896e-d6e9c3d4cf0d Tabitha Millsop tabitha.millsop@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 129.120.6.150 Sent: 6/6/2019 8:47:49 PM Viewed: 6/26/2019 8:40:39 AM Signed: 6/26/2019 8:40:59 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Todd Hileman Todd.Hileman@cityofdenton.com City Manager City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 47.184.66.109 Sent: 6/26/2019 8:41:02 AM Viewed: 6/26/2019 9:16:42 AM Signed: 6/26/2019 9:16:50 AM Electronic Record and Signature Disclosure: Accepted: 7/25/2017 11:02:14 AM ID: 57619fbf-2aec-4b1f-805d-6bd7d9966f21 Rosa Rios rosa.rios@cityofdenton.com Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 129.120.6.150 Sent: 6/26/2019 9:16:52 AM Viewed: 6/26/2019 11:23:43 AM Signed: 6/26/2019 11:24:32 AM Electronic Record and Signature Disclosure: Accepted: 6/26/2019 11:23:43 AM ID: afef1fb5-822c-4075-8513-f6d2adb93706 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 Tabitha Millsop tabitha.millsop@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) Sent: 6/6/2019 8:56:50 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Carbon Copy Events Status Timestamp Sherri Thurman sherri.thurman@cityofdenton.com City of Denton Security Level: Email, Account Authentication (None) Sent: 6/6/2019 8:56:51 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Annie Bunger annie.bunger@cityofdenton.com Administrative Assistant IV City of Denton Security Level: Email, Account Authentication (None) Sent: 6/6/2019 1:49:48 PM Viewed: 6/6/2019 2:00:01 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Jane Richardson jane.richardson@cityofdenton.com Assistant City Secretary City of Denton Security Level: Email, Account Authentication (None) Sent: 6/26/2019 8:41:01 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Jane Richardson jane.richardson@cityofdenton.com Assistant City Secretary City of Denton Security Level: Email, Account Authentication (None) Sent: 6/26/2019 11:24:35 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Lee Perry lee.perry@cityofdenton.com Security Level: Email, Account Authentication (None) Sent: 6/26/2019 11:24:36 AM Viewed: 6/26/2019 12:26:18 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 6/26/2019 11:24:36 AM Certified Delivered Security Checked 6/26/2019 11:24:36 AM Signing Complete Security Checked 6/26/2019 11:24:36 AM Completed Security Checked 6/26/2019 11:24:36 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, City of Denton (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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