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7061 - Change Order 2 Executed Docusign City Council Transmittal Coversheet File Name Purchasing Contact City Council Target Date Piggy Back Option Contract Expiration Ordinance DocuSign Envelope ID: 02A3DE27-04AB-4051-BE70-6AE9266D3866 Not Applicable RFP 7061 HICKORY CREEK DETENTION FACILITY CONSTRUCTION CO #2 Crystal Westbrook N/A OCTOBER 12, 2021 21-2131 CHANGE ORDER/CONTRACT REVISION CITY OF DENTON, TEXAS - OWNER BID/RFP # P.O. # CHANGE ORDER #: PROJECT: DATED: CONTRACTOR: CONTRACT DATE: JDE ACCT # THIS CHANGE ORDER/REVISION MAKES THE FOLLOWING CHANGES IN THIS CONTRACT: (written description or attach back up) THE ORIGINAL(CONTRACT SUM)……………………………………………………$14,458,000.00   NET CHANGE BY PREVIOUSLY AUTHORIZED CHANGE ORDERS……………$811.13   THE(CONTRACT SUM)PRIOR TO THIS CHANGE ORDER ……………$14,458,811.13   THE (CONTRACT SUM) WILL BE(INCREASED)BY THIS CHANGE ORDER…………………………………………………………………………………………………………$128,824.49  THE NEW(CONTRACT SUM)INCLUDING THIS CHANGE ORDER WILL  BE…………………………………………………………………………………………………………………$14,587,635.62   THE CONTRACT TIME WILL BE (INCREASED)BY……………………………………NA THE DATE OF SUBSTANTIAL COMPLETION AS OF THE DATE OF THIS CHANGE ORDER THEREFORE IS…………………………………………………………………        City of Denton CONTRACTOR (as above) OWNER 901-B Texas Str. ADDRESS ADDRESS Denton, TX 76209 SIGNATURE SIGNATURE PRINT NAME PRINT NAME AND TITLE DATE DATE DocuSign Envelope ID: 02A3DE27-04AB-4051-BE70-6AE9266D3866 ARCHER WESTERN CONSTRUCTION 01/26/2020 HICKORY CREEK DETENTION FACILITY CONSTRUCTION 2 IRVING, TX 75038 7061 14110 GREENWAY DRIVE 640163541.1360.40100 192392 9/17/2021 Grady Hill Irving Texas 75038 Archer Western Construction Scott Smiley 1411 Greenway Drive 9/17/2021 10/12/2021 SARA HENSLEY, INTERIM CITY 10/12/2021 10/13/2021 Sara Hensley ATTEST: ROSA RIOS, CITY SECRETARY By: __________________________________ APPROVED AS TO LEGAL FORM: By: ___________________________________ THIS AGREEMENT HAS BEEN BOTH REVIEWED AND APPROVED as to financial and operational obligations and business terms. _______________ ________________ SIGNATURE PRINTED NAME __________________________________ TITLE __________________________________ DEPARTMENT DocuSign Envelope ID: 02A3DE27-04AB-4051-BE70-6AE9266D3866 Director, Water Utilities Stephen D. Gay Water Utilities MACK REINWAND, CITY ATTORNEY Job no 60702-005 hazenandsawyer.com Hazen and Sawyer 8150 N. Central Expressway, Suite 700 Dallas, TX 75206 • 214.382.5750 August 3, 2021 Chris Campbell Superintendent – Capital Projects Water & Wastewater Utilities City of Denton Re: Outstanding Proposed Contract Modifications Dear Mr. Campbell: As requested, find below a summary of current open proposed contract modifications (PCMs). PCM-005 Pecan Creek Pipe Support Modifications PCM-006 Hickory Creek Waterline Change PCM-007 Color Coded C900 Pipe PCM-009 Primary Power Underground and Bollards PCM-011 Hickory Creek Foundation Piers PCM-012 Ultrasonic Level Element Mount PCM-013 Pecan Creek Access Doors Description of Change: PCM-005 Pecan Creek Pipe Support Modifications Change materials for pipe supports inside Pecan Creek WRP WPFPS wet well from galvanized steel to stainless steel. Contract requirement is for galvanized pipe supports for exposed wastewater pipe in all locations. Hazen and COD discussed during submittal review that stainless steel supports are preferred inside the wet well due to corrosive environment. PCM-006 Hickory Creek Waterline Change Change waterline at the Hickory Creek Detention Facility to reflect new requirements during permitting. Increase pressure class from DR18 to DR14, decrease pipe size from 8” to 6”, increase casing thickness at railroad crossing from 3/8” to 1/2”, and increase pipe depth at railroad crossing by 4 feet. DocuSign Envelope ID: 02A3DE27-04AB-4051-BE70-6AE9266D3866 Chris Campbell August 3, 2021 Page 2 of 3 hazenandsawyer.com Add 6” water meter vault – design intent was for City of Denton to arrange installation separately. PCM-007 Color Coded C900 Pipe Cost increase to provide C900 pipe in City of Denton’s preferred color. Cost increase affected by material shortages and market volatility. PCM-009 Primary Power Underground and Bollards During coordination during construction, Denton Municipal Electric stipulated design changes to move the proposed overhead power drop 230 feet away from the transformer and move the transformer into the driveway. Add 230 linear feet of direct bury underground conduit between revised power drop from Denton Municipal Electric and transformer. Add bollards in order to move transformer into driveway. PCM-011 Hickory Creek Foundation Piers The Hickory Creek Detention Facility Pump Station excavation was laid back rather than vertical as shown in the Contract Drawings. In order to mitigate increased settlement and heave potential near pump station: modify equipment pads to reflect pier foundations and void forms, modify ductbank routing and connections. Credit off-site select fill no longer required per geotechnical testing during construction. 60% of net cost borne by Contractor. PCM-012 Ultrasonic Level Element Mount The detail for sensor installation through the roof is in conflict with the beams at HCDF Pump Station and at PCWRP WPF Pump Station. Change to swivel mount in order to provide external maintenance access to the level sensor. PCM-013 Pecan Creek Access Doors Change from supplier’s quoted lift off aluminum cover plate to specified access door. Increase size of access door to accommodate upgraded / enlarged pumps proposed during construction. DocuSign Envelope ID: 02A3DE27-04AB-4051-BE70-6AE9266D3866 Chris Campbell August 3, 2021 Page 3 of 3 hazenandsawyer.com Contract Change Summary: PCM Description Cost Time 005 Pecan Creek Pipe Support Modifications $9,702.05 0 days 006 Hickory Creek Waterline Change $39,448.59 0 days 007 Color Coded C900 Pipe $9,420.84 0 days 009 Primary Power Underground and Bollards $13,934.61 0 days 011 Hickory Creek Foundation Piers $41,595.99 0 days 012 Ultrasonic Level Element Mount $5,407.50 0 days 013 Pecan Creek Access Doors $9,314.91 0 days TOTAL: $128,824.49 0 days CONTRACTOR APPROVED: ____________________________________________________________________________________ Grady Hill, Construction Project Manager, Archer Western Date ENGINEER APPROVED: ____________________________________________________________________________________ Brandt Miller, Project Manager, Hazen Date OWNER APPROVED: ____________________________________________________________________________________ Chris Campbell, Superintendent of Capital Projects, City of Denton Date ____________________________________________________________________________________ Pritam Deshmukh, Deputy Director Water and Wastewater, City of Denton Date DocuSign Envelope ID: 02A3DE27-04AB-4051-BE70-6AE9266D3866 CONFLICT OF INTEREST QUESTIONNAIRE - FORM CIQ For vendor or other person doing business with local governmental entity This questionnaire reflects changes made to the law by H.B. 23, 84th Leg., Regular Session. This questionnaire is being filed in accordance with Chapter 176, Local Government Code, by a vendor who has a business relationship as defined by Section 176.001(1-a) with a local governmental entity and the vendor meets requirements under Section 176.006(a). By law this questionnaire must be filed with the records administrator of the local government entity not later than the 7th business day after the date the vendor becomes aware of facts that require the statement to be filed. See Section 176.006(a-1), Local Government Code. A vendor commits an offense if the vendor knowingly violates Section 176.006, Local Government Code. An offense under this section is a misdemeanor. 1 Name of vendor who has a business relationship with local governmental entity. 2 Check this box if you are filing an update to a previously filed questionnaire. (The law requires that you file an updated completed questionnaire with the appropriate filing authority not later than the 7th business day after the date on which you became aware that the originally filed questionnaire was incomplete or inaccurate.) 3 Name of local government officer about whom the information in this section is being disclosed. Name of Officer This section, (item 3 including subparts A, B, C & D), must be completed for each officer with whom the vendor has an employment or other business relationship as defined by Section 176.001(1-a), Local Government Code. Attach additional pages to this Form CIQ as necessary. A. Is the local government officer named in this section receiving or likely to receive taxable income, other than investment income, from the vendor? Yes No B. Is the vendor receiving or likely to receive taxable income, other than investment income, from or at the direction of the local government officer named in this section AND the taxable income is not received from the local governmental entity? Yes No C. Is the filer of this questionnaire employed by a corporation or other business entity with respect to which the local government officer serves as an officer or director, or holds an ownership of one percent or more? Yes No D. Describe each employment or business and family relationship with the local government officer named in this section. 4 I have no Conflict of Interest to disclose. 5 Signature of vendor doing business with the governmental entity Date Exhibit DocuSign Envelope ID: 02A3DE27-04AB-4051-BE70-6AE9266D3866 ARCHER WESTERN CONSTRUCTION, LLC CIQ 9/17/2021 None X None Certificate Of Completion Envelope Id: 02A3DE2704AB4051BE706AE9266D3866 Status: Completed Subject: Please DocuSign: City Council Contract 7061-Hickory Creek Detention Facility Construction Source Envelope: Document Pages: 7 Signatures: 7 Envelope Originator: Certificate Pages: 6 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: 198.49.140.104 Record Tracking Status: Original 9/7/2021 2:18:39 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: 198.49.140.104 Sent: 9/7/2021 2:26:19 PM Viewed: 9/7/2021 2:26:35 PM Signed: 9/7/2021 2:31:28 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: 198.49.140.104 Sent: 9/7/2021 2:31:30 PM Viewed: 9/8/2021 8:28:13 AM Signed: 9/8/2021 8:29:09 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Marcella Lunn marcella.lunn@cityofdenton.com Catherine Clifton, Interim City Attorney City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 68.185.202.16 Sent: 9/8/2021 8:29:11 AM Viewed: 9/8/2021 3:27:21 PM Signed: 9/8/2021 3:27:55 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Grady Hill ghill@walshgroup.com Security Level: Email, Account Authentication (None) Signature Adoption: Uploaded Signature Image Using IP Address: 174.246.132.0 Sent: 9/17/2021 12:37:06 PM Viewed: 9/17/2021 12:40:32 PM Signed: 9/17/2021 1:03:44 PM Electronic Record and Signature Disclosure: Accepted: 2/11/2021 11:23:06 AM ID: deb9c42f-4257-486e-a578-d5cd3580e323 Signer Events Signature Timestamp Scott Smiley ssmiley@walshgroup.com Business Group Leader Archer Western Construction Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 159.63.135.38 Sent: 9/8/2021 3:27:57 PM Resent: 9/17/2021 10:40:10 AM Resent: 9/17/2021 1:03:46 PM Viewed: 9/9/2021 7:20:43 AM Signed: 9/17/2021 1:43:50 PM Electronic Record and Signature Disclosure: Accepted: 9/17/2021 1:27:36 PM ID: 612e2f60-0c1e-442a-9160-1028fb289061 Stephen D. Gay stephen.gay@cityofdenton.com Director, Water Utilities Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 9/17/2021 1:43:53 PM Viewed: 9/17/2021 1:44:39 PM Signed: 9/17/2021 2:25:58 PM Electronic Record and Signature Disclosure: Accepted: 9/17/2021 2:25:30 PM ID: 90856e89-a67c-4c67-bb64-5fc7a2680d94 Cheyenne Defee cheyenne.defee@cityofdenton.com Contract Administrator City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 198.49.140.104 Sent: 9/17/2021 2:26:01 PM Viewed: 10/13/2021 10:23:50 AM Signed: 10/13/2021 10:25:10 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Sara Hensley sara.hensley@cityofdenton.com Interim City Manager City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 10/13/2021 10:25:14 AM Viewed: 10/13/2021 10:30:19 AM Signed: 10/13/2021 10:30:24 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Rosa Rios rosa.rios@cityofdenton.com City Secretary Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 10/13/2021 10:30:27 AM Viewed: 10/13/2021 12:10:28 PM Signed: 10/13/2021 12:11:01 PM Electronic Record and Signature Disclosure: Accepted: 10/13/2021 12:10:28 PM ID: 84c95bc7-4653-487c-b1d0-551b8f4f4ab5 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 Contract Administrator City of Denton Security Level: Email, Account Authentication (None) Sent: 9/7/2021 2:31:30 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Gretna Jones gretna.jones@cityofdenton.com Legal Secretary City of Denton Security Level: Email, Account Authentication (None) Sent: 9/17/2021 2:26:01 PM Viewed: 9/17/2021 2:56:57 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign City Secretary Office citysecretary@cityofdenton.com Security Level: Email, Account Authentication (None) Sent: 10/13/2021 12:11:04 PM Viewed: 10/13/2021 12:53:27 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Annie Bunger annie.bunger@cityofdenton.com Contract Control Specialist City of Denton Security Level: Email, Account Authentication (None) Sent: 10/13/2021 12:11:05 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Chris Campbell chris.campbell@cityofdenton.com Vertical Infrastructure Manager Security Level: Email, Account Authentication (None) Sent: 10/13/2021 12:11:05 PM Electronic Record and Signature Disclosure: Accepted: 10/13/2021 8:48:57 AM ID: a5f1a61f-c6e3-4442-8856-7a77423ac3f0 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 9/7/2021 2:26:19 PM Certified Delivered Security Checked 10/13/2021 12:10:28 PM Signing Complete Security Checked 10/13/2021 12:11:01 PM Completed Security Checked 10/13/2021 12:11:05 PM 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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