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7413 - Change Order 3 Executed Docusign City Council Transmittal Coversheet File Name Purchasing Contact City Council Target Date Piggy Back Option Contract Expiration Ordinance DocuSign Envelope ID: DA9E846C-5C20-499A-931F-ED8F109D16EE Not Applicable Cori Power 7413 2019 Intersection Improvements IFB MAY 3, 2022 N/A 22-850 Contractor:Quality Excavation, LTD 5580 US-377 Aubrey, TX 76227 Robin Mallon 2019 Intersection Improvements Project CHANGE ORDER NO.3 7413 CIP/ENG#PO #:195342 Contract BID Amount:1,723,400.60$ Prior Approved Other Funded CO's:-$ 5% Contingency Amount:86,170.03$ Current Contract Amount w CO's:1,723,400.60$ Total NTE Amount : 1,809,570.63$ This CO Other Funding Request:$309,521.05 Prior Approved CAA's:86,121.90$ Total Change Request:$309,569.18 Available Contingency:48.13$ This CAA Request:48.13$ Orig Contract Days:This CO Days Request:229 Contingency Remaining:0.00$ Approved CO Days:New Contract Days:425 Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price 17 305-6003 SY 4,723 8 6.00$ 48.13$ -$ $48.13 -$ $0.00 Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price Sherman & Loop 288 9 110-6001 CY 2,300 987 16.00$ 15,792.00$ 17 305-6003 SY 4,723 862 6.00$ 5,171.87$ 18 340-6070 SY 7,970 870 11.00$ 9,570.00$ 27 420 - 6066 CY 107 102 236.00$ 24,072.00$ 28 432 - 6045 CY 7 12 580.00$ 6,960.00$ 29 432 - 6047 CY 17 200 570.00$ 114,000.00$ 44 502 - 6001 MO 4 1 5,500.00$ 5,500.00$ 59 636 - 6001 SF 73 80 16.00$ 1,280.00$ 60 644 - 6001 EA 6 5 615.00$ 3,075.00$ 61 644 - 6028 EA 2 5 670.00$ 3,350.00$ 65 644 - 6076 EA 10 3 177.00$ 531.00$ 68 666 - 6035 LF 1,503 443 2.00$ 886.00$ 69 666 - 6041 LF 849 745 4.00$ 2,980.00$ 71 666 - 6053 EA 15 5 140.00$ 700.00$ 72 666 - 6077 EA 15 1 140.00$ 140.00$ Contingency funds are used at City's discretion per contract spec language OTHER FUNDED CONTRACT CHANGES (CO) QUANTITY CHANGES TO EXISTING ITEMS Description of work EXCAVATION (ROADWAY) TOTAL CAA NEW ITEMS: REFL PAV MRK TY I (W)(WORD)(090MIL) REFL PAV MRK TY I (W)12"(SLD)(090MIL) REFL PAV MRK TY I (W)(ARROW)(090MIL) Project: Reason for change: Dustin Draper, Project Manager CITY OF DENTON CHANGE ORDER FORM City of Denton - Capital Projects 401 N. Elm Street Denton, TX 76201 IFB# PROJECT SCOPE AND REASON FOR CHANGE 120 76 180022-1 Notice To Proceed Issued: 4/1/2021 Current Completion Date: Project Scope included in Contract: Signal Light and traffic improvements at the following locations: Unversity/Nottingham; Sherman/Loop 288; Hercules/Locust; McKinney/Loop 288; McKinney/Woodrow. CONTINGENCY ALLOWANCE AUTHORIZED (CAA) CONTRACT CHANGES QUANTITY CHANGES TO EXISTING ITEMS TOTAL CAA QTY CHANGES: Description of work Additional quantities needed due to utility conflicts at Unversity/Nottingham; Sherman/Loop 288; Hercules/Locust; McKinney/Loop 288; McKinney/Woodrow locations. New items needed to address TxDOT concerns and due to current TxDOT requirements. Added quantites for signage, striping, concretesidewalk for ADA requiements. 10/14/2021 New Completion Date: 5/31/2022 NEW ITEMS OF WORK SALV, HAUL & STKPL RCL APH PV (VAR DEPTH) 1.5" D-GR HMA(SQ) TY-C CL C CONC (RAIL FOUNDATION) RIPRAP (MOW STRIP)(4 IN) RIPRAP (MOW STRIP)(6 IN) BARRICADES, SIGNS AND TRAFFIC HANDLING ALUMINUM SIGNS (TY A) IN SM RD SN SUP&AM TY10BWG(1)SA(P) IN SM RD SN SUP&AM TYS80(1)SA(P-BM) REMOVE SM RD SN SUP&AM REFL PAV MRK TY I (W)8"(SLD)(090MIL) SALV, HAUL & STKPL RCL APH PV (VAR DEPTH) DocuSign Envelope ID: DA9E846C-5C20-499A-931F-ED8F109D16EE 74 666 - 6125 LF 1,087 2,604 1.00$ 2,604.00$ 77 672 - 6007 EA 6 151 23.00$ 3,473.00$ 94 618-6023 LF 160 350 14.00$ 4,900.00$ CO1-4 LF 784 6 59.00$ 354.00$ CO2-1 SY 3,300 1,139 18.00$ 20,502.00$ Nottingham & University 4 104-6015 SY 277 24 9.00$ 216.00$ 55 531 - 6001 SY 317 24 49.00$ 1,176.00$ Loop 288 & McKinney 9 110-6001 CY 2,300 129 16.00$ 2,064.00$ 11 160 - 6003 SY 3,111 655 7.00$ 4,585.00$ 12 247 - 6231 SY 4,390 463 20.00$ 9,260.00$ 55 531 - 6001 SY 317 12 49.00$ 588.00$ Locust & Hercules 10 132 - 6004 CY 1,622 89 10.00$ 890.00$ 77 672-6009 EA 6 6 6.00$ 36.00$ 55 531 - 6001 SY 317 6 49.00$ 294.00$ Audra & McKinney 9 110-6001 CY 2,300 8 16.00$ 128.00$ 10 132-6004 CY 1,622 34 20.00$ 680.00$ 11 160 - 6003 SY 3,111 16 7.00$ 112.00$ 40 479-6001 EA 0 1 1,750.00$ 1,750.00$ $247,619.87 Sherman & Loop 288 NEW SSTR RAIL WITH MODIFIED FOUNDATION LF 100 125.00$ 12,500.00$ NEW FL BS (CMP IN PLACE)(TY A GR 1-2)(12")SY 98 26.00$ 2,548.00$ NEW GUARDRAIL END TREATMENT (INSTALL)EA 1 6,785.00$ 6,785.00$ NEW 4" REFL TY II AA SQ MRMK EA 166 6.90$ 1,145.40$ NEW 12" YELL SOL THERMO X HATCH LF 432 4.54$ 1,961.28$ NEW ELC CONDR (NO.4) INSULATED LF 700 2.59$ 1,813.00$ NEW ELEC CONDR (NO.4) BARE LF 350 2.30$ 805.00$ NEW ELECT METER PEDISTAL TY D (120/240)100(NS)AL(E)PS(U)EA 1 8,791.75$ 8,791.75$ NEW PVMT MRK REMOVAL - HYDROBLAST LS 1 7,739.50$ 7,739.50$ Nottingham & University NEW FL BS (CMP IN PLACE)(TY A GR 1-2)(6")SY 178 16.00$ 2,848.00$ NEW MODIFY SIGNAL FOUNDATION FOR PED LS 1 1,949.25$ 1,949.25$ Loop 288 & McKinney NEW CRASH TRUCK ATTENUATOR DAY 19 685.00$ 13,015.00$ $61,901.18 TOTAL THIS CHANGE REQUEST $309,521.05 1,723,400.60$ 1,809,570.63$ 2019 Intersection Improvements Project 86,170.03$ 309,521.05$ 2,119,091.68$ 100.00% 22.96% 17.10% Total CAA's: Original Total Not To Exceed Amount: Revised Contract Amount: Percent Changes over NTE: Total Change Order over Original Bid: Total CO's: % of CAA Approved To-Date: Original BID/Contract Amount: NEW ITEMS OF WORK TOTAL OTHER FUNDED QTY CHANGES: REFL PAV MRK TY I (Y)4"(SLD)(090MIL) REMOVING CONC (SIDEWALK) TOTAL OTHER FUNDED NEW ITEMS CHANGES: FURNISHING AND PLACING TOPSPOIL FL BS (CMP IN PLACE)(TY A GR 1-2)(8") ADJUSTING MANHOLES EMBANKMENT (FINAL)(DENS CONT)(TY B) REFL PAV MRKR TY II-A-A CONC SIDEWALKS (4") EXCAVATION (ROADWAY) EMBANKMENT (FINAL)(DENS CONT)(TY B) CONC SIDEWALKS (4") EXCAVATION (ROADWAY) FURNISHING AND PLACING TOPSPOIL FL BS (CMP IN PLACE)(TY A GR 1-2)(10") CONC SIDEWALKS (4") REFL PAV MRKR TY I-C CONDT (PVC) (SCH 40) (2") SSTR Rail DocuSign Envelope ID: DA9E846C-5C20-499A-931F-ED8F109D16EE Signatory Lines will be updated by Purchasing if required SUBMITTED BY:_______________________________ ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS _______________________________ ACCEPTED BY CONTRACTOR: ____________________________________________________________ Name, Title CITY MANAGER:_______________________________ ATTEST: CITY SECRETERY _______________________________ PURCHASING:_______________________________ APPROVED AS TO LEGAL FORM:_______________________________ Signature IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS. Signature Signature Signature Signature Signature THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY, Project Manager DocuSign Envelope ID: DA9E846C-5C20-499A-931F-ED8F109D16EE Vice PresidentGarland Wilson Certificate Of Completion Envelope Id: DA9E846C5C20499A931FED8F109D16EE Status: Completed Subject: Please DocuSign: City Council Contract 7413 - 2019 Intersection Improvements - CO#3 Source Envelope: Document Pages: 4 Signatures: 7 Envelope Originator: Certificate Pages: 7 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 3/30/2022 1:41:35 PM Holder: Cori Power cori.power@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp Cori Power cori.power@cityofdenton.com Senior Buyer City of Denton Security Level: Email, Account Authentication (None) Completed Signed by link sent to cori.power@cityofdenton.com Using IP Address: 198.49.140.10 Sent: 3/30/2022 2:04:21 PM Viewed: 3/30/2022 2:04:33 PM Signed: 3/30/2022 2:05:18 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 Signed by link sent to lori.hewell@cityofdenton.com Using IP Address: 198.49.140.10 Sent: 3/30/2022 2:05:19 PM Viewed: 3/30/2022 2:14:11 PM Signed: 3/30/2022 2:14:37 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Dusty Draper Dustin.Draper@cityofdenton.com Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Signed by link sent to Dustin.Draper@cityofdenton.com Using IP Address: 198.49.140.10 Sent: 3/30/2022 2:14:39 PM Viewed: 3/30/2022 4:39:56 PM Signed: 3/30/2022 4:40:10 PM Electronic Record and Signature Disclosure: Accepted: 3/30/2022 4:39:56 PM ID: 82eef29a-0100-4be6-9592-077baec88524 Marcella Lunn marcella.lunn@cityofdenton.com Deputy City Attorney City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Signed by link sent to marcella.lunn@cityofdenton.com Using IP Address: 107.127.0.18 Signed using mobile Sent: 3/30/2022 4:40:12 PM Viewed: 3/31/2022 3:52:34 PM Signed: 3/31/2022 3:54:23 PM Electronic Record and Signature Disclosure: Signer Events Signature Timestamp Not Offered via DocuSign Garland Wilson garland@qualityexcavationltd.com Vice President Quality Excavation, Ltd. Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Signed by link sent to garland@qualityexcavationltd.com Using IP Address: 173.219.29.14 Sent: 3/31/2022 3:54:25 PM Resent: 4/4/2022 2:43:46 PM Resent: 4/4/2022 2:43:59 PM Viewed: 4/4/2022 2:52:09 PM Signed: 4/4/2022 2:55:16 PM Electronic Record and Signature Disclosure: Accepted: 10/6/2017 11:03:26 AM ID: 686fb2c9-818b-4c5d-90e2-8c7008b347bf Rebecca Diviney Rebecca.Diviney@cityofdenton.com Director of Capital Projects/City Engineer Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Signed by link sent to Rebecca.Diviney@cityofdenton.com Using IP Address: 198.49.140.10 Sent: 4/4/2022 2:55:19 PM Viewed: 4/4/2022 3:18:11 PM Signed: 4/4/2022 3:19:08 PM Electronic Record and Signature Disclosure: Accepted: 4/4/2022 3:18:11 PM ID: a9f4d952-86fc-477d-a1d7-fe7ecce2ea7f Cheyenne Defee cheyenne.defee@cityofdenton.com Procurement Administration Supervisor City of Denton Security Level: Email, Account Authentication (None) Completed Signed by link sent to cheyenne.defee@cityofdenton.com Using IP Address: 198.49.140.10 Sent: 4/4/2022 3:19:12 PM Viewed: 5/4/2022 10:23:22 AM Signed: 5/4/2022 10:23:48 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Sara Hensley sara.hensley@cityofdenton.com City Manager City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Signed by link sent to sara.hensley@cityofdenton.com Using IP Address: 107.77.200.110 Signed using mobile Sent: 5/4/2022 10:23:51 AM Viewed: 5/4/2022 10:31:36 AM Signed: 5/4/2022 10:31:42 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 Signed by link sent to rosa.rios@cityofdenton.com Using IP Address: 198.49.140.10 Sent: 5/4/2022 10:31:45 AM Viewed: 5/4/2022 11:46:49 AM Signed: 5/4/2022 11:47:04 AM Electronic Record and Signature Disclosure: Accepted: 5/4/2022 11:46:49 AM ID: cde1b9da-2689-4d1e-9cd5-9401fb36df6f 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: 3/30/2022 2:05:19 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: 4/4/2022 3:19:11 PM Viewed: 4/4/2022 3:34:14 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign City Secretary Office citysecretary@cityofdenton.com Security Level: Email, Account Authentication (None) Sent: 5/4/2022 11:47:07 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Dusty Draper Dustin.Draper@cityofdenton.com Security Level: Email, Account Authentication (None) Sent: 5/4/2022 11:47:09 AM Electronic Record and Signature Disclosure: Accepted: 4/21/2022 3:31:44 PM ID: d990166b-acb9-49a6-9ee5-3eb6cd85401d Cheyenne Defee cheyenne.defee@cityofdenton.com Procurement Administration Supervisor City of Denton Security Level: Email, Account Authentication (None) Sent: 5/4/2022 11:47:10 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 3/30/2022 2:04:21 PM Certified Delivered Security Checked 5/4/2022 11:46:49 AM Envelope Summary Events Status Timestamps Signing Complete Security Checked 5/4/2022 11:47:04 AM Completed Security Checked 5/4/2022 11:47:10 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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