7601 - Change Order 1 Executed
Docusign Transmittal Coversheet
File Name
Purchasing Contact
Contract Expiration
DocuSign Envelope ID: 49A8B141-807A-4B8C-8723-F37A68359AFA
N/A
LOFT Residential Street Reconstruction - CO#1
Cori Power
Contractor:SEMA Construction, INC.
2331 Mustang Drive Suite 300
Grapevine, TX 76501
Sam Reynolds
Proj:2019 Street Reconstruction Bond Residential Streets Phase 2 (LOFT)CHANGE ORDER NO.1
IFB#CSP #7601 ENG/PMO#PO#196623
Contract BID Amount:1,548,247.25$ Prior Approved Other Funded CO's:-$
5% Contingency Amount:77,412.36$ Current Contract Amount w CO's:1,548,247.25$
Total NTE Amount : 1,625,659.61$ This CO Other Funding Request:(6,626.56)$
Prior Approved CAA's:-$ Total Change Request:(6,626.56)$
Available Contingency:77,412.36$
This CAA Request:-$ Orig Contract Days:This CO Days Request:143
Contingency Remaining:77,412.36$ Approved CO Days:New Contract Days:323
Existing:
New:
Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
-$
$0.00
-$
$0.00
Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
6 EA 3 2 650.00$ 1,300.00$
7 203 SY 10,525 40 5.00$ 200.00$
8 203 SY 1,405 552.97 10.00$ 5,529.70$
9 203 SY 6 81 40.00$ 3,240.00$
12 301.2 TON 300 65 150.00$ 9,750.00$
13 301.3 SY 130 -130 150.00$ (19,500.00)$
14 305 SY 612 28.7 80.00$ 2,296.00$
17 305 SY 1,410 312.72 85.00$ 26,581.20$
18 305 SY 6 81 160.00$ 12,960.00$
20 302 SY 10,325 -45 12.00$ (540.00)$
22 302 SY 12,620 180 12.00$ 2,160.00$
24 EA 9 -9 1,000.00$ (9,000.00)$
25 EA 17 -17 875.00$ (14,875.00)$
26 EA 59 -30 700.00$ (21,000.00)$
27 202 SY 4,545 -3395 5.25$ (17,823.75)$
-$18,721.85
28 NA LS 0 1 17,093.37$ 17,093.37$
29 NA CO #02 - ASPHALT DAMAGE CREDIT LS 0 1 (4,998.08)$ (4,998.08)$
$12,095.29
-$6,626.56
8" CONCRETE PAVEMENT - INTERSECTION APPROACH
6" CONCRETE PAVEMENT - DRIVEWAY APPROACH
4" CONCRETE SIDEWALK
BLOCK SODDING
CO #01 - PATCHING AT LIDO AND BELL
ASPHALT PAVEMENT SURFACE COURSE (2" HMAC) (TY D)
ASPHALT PAVEMENT CURB UNDERLAYMENT COURSE (2"
HMAC) (TY B)
MASONRY MAILBOX (REMOVE & REPLACE)
STANDARD MAILBOX (REMOVE & REPLACE)
STANDARD MAILBOX (REMOVE & REINSTALL)
Kyle Pedigo, Project Manager
CITY OF DENTON CHANGE ORDER FORM
City of Denton - Capital Projects
401 N. Elm Street
Denton, TX 76201
210001-2
Notice To Proceed Issued:Current Completion Date:New Completion Date:
7/19/2021 1/15/2022 6/7/2022
180
0
PROJECT SCOPE AND REASON FOR CHANGE
Description of work
included in Contract:
This project included early out street reconstruction on 4 segments of the 2019 bond including Lido, Balboa, Olympia, Fox
Hollow, and Timberridge Streets.
Reason for change:
Quantity reconcilliation at completion of project to existing items
Added T&M patching on Lido at Bell due to asphalt degredation at project tie-in point. Credit applied for surface damage to asphalt on
Olympia and Windsor due to contractor driving sheeps foot roller on pavement.
CONTINGENCY ALLOWANCE AUTHORIZED (CAA) CONTRACT CHANGES
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
Contingency funds are used at City's discretion per contract spec language TOTAL CAA NEW ITEMS:
TOTAL CAA QTY CHANGES:
NEW ITEMS OF WORK
OTHER FUNDED CONTRACT CHANGES (CO)
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
TOTAL OTHER FUNDED EXISTING QTY CHANGES:
NEW ITEMS OF WORK
TOTAL OTHER FUNDED NEW ITEMS:
TOTAL CO AMOUNT:
TEMPORARY PROJECT SIGNS
REMOVE ASPHALT PAVEMENT
REMOVE CONCRETE PAVEMENT
REMOVE CONCRETE SIDEWALK
LIME (66 LBS/SY)
CEMENT (66 LBS/SY)
DocuSign Envelope ID: 49A8B141-807A-4B8C-8723-F37A68359AFA
1,548,247.25$
1,625,659.61$
-$
(6,626.56)$
1,541,620.69$
-
-0.43%
-0.41%
Signatory Lines will be updated by Purchasing if required
SUBMITTED BY:_______________________________
Kyle Pedigo, Program Manager
ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS _______________________________
Signature
ACCEPTED BY CONTRACTOR: ______________________________________________________________________
Name, Title Signature
PURCHASING:_______________________________
Signature
Original Not To Exceed Amount:
Original BID/Contract Amount:
Percent Changes over NTE:
THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY,
IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS.
Total CAA's:
2019 Street Reconstruction Bond Residential Streets
Phase 2 (LOFT)
Total CO's:
Revised Contract Amount:
% of CAA Approved To-Date:
Total Changes over Original Bid:
DocuSign Envelope ID: 49A8B141-807A-4B8C-8723-F37A68359AFA
Project ManagerSam Reynolds
6/7/2022
Certificate Of Completion
Envelope Id: 49A8B141807A4B8C8723F37A68359AFA Status: Completed
Subject: ***Purchasing Approval*** 7601 - LOFT Residential Street Reconstruction - CO#1
Source Envelope:
Document Pages: 3 Signatures: 4 Envelope Originator:
Certificate Pages: 6 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: 198.49.140.104
Record Tracking
Status: Original
6/3/2022 12:15:48 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: 198.49.140.104
Sent: 6/3/2022 12:18:43 PM
Viewed: 6/3/2022 12:18:54 PM
Signed: 6/3/2022 12:19:06 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: 6/3/2022 12:19:07 PM
Viewed: 6/3/2022 12:59:21 PM
Signed: 6/3/2022 12:59:41 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Kyle Pedigo
kyle.pedigo@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Signed by link sent to kyle.pedigo@cityofdenton.com
Using IP Address: 198.49.140.10
Sent: 6/3/2022 12:59:42 PM
Viewed: 6/6/2022 7:56:58 AM
Signed: 6/6/2022 7:57:07 AM
Electronic Record and Signature Disclosure:
Accepted: 6/6/2022 7:56:58 AM
ID: 5e2bba2a-f0b6-448f-83ef-e8961158c0b2
Sam Reynolds
sreynolds@sema.inc
Project Manager
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Signed by link sent to sreynolds@sema.inc
Using IP Address: 173.175.236.187
Sent: 6/6/2022 2:40:48 PM
Viewed: 6/6/2022 4:01:26 PM
Signed: 6/6/2022 4:03:36 PM
Electronic Record and Signature Disclosure:
Accepted: 6/6/2022 4:01:26 PM
ID: cfe67191-576f-4d3c-a913-c65e165bc83c
Signer Events Signature Timestamp
Rebecca Diviney
Rebecca.Diviney@cityofdenton.com
Director of Capital Projects/City Engineer
Capital Projects/Engineering
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: 6/6/2022 4:03:37 PM
Viewed: 6/7/2022 12:26:30 PM
Signed: 6/7/2022 12:26:41 PM
Electronic Record and Signature Disclosure:
Accepted: 6/7/2022 12:26:30 PM
ID: db5bebd9-c565-477c-b2ef-0ce37d40b8e2
Cori Power
cori.power@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Signed by link sent to cori.power@cityofdenton.com
Using IP Address: 198.49.140.10
Sent: 6/7/2022 12:26:43 PM
Viewed: 6/7/2022 4:53:20 PM
Signed: 6/7/2022 4:53:25 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
Steven C. Mills
smills@sema.inc
Corporate V.P., Contracts
SEMA Construction, Inc.
Security Level: Email, Account Authentication
(None)
Sent: 6/6/2022 2:40:50 PM
Electronic Record and Signature Disclosure:
Accepted: 4/2/2021 11:29:37 AM
ID: 39b0f6b0-a83d-48a1-8553-fa8a2f2e07b7
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Procurement Administration Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 6/7/2022 4:53:27 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 6/3/2022 12:18:43 PM
Certified Delivered Security Checked 6/7/2022 4:53:20 PM
Signing Complete Security Checked 6/7/2022 4:53:25 PM
Completed Security Checked 6/7/2022 4:53:27 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
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Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM
Parties agreed to: Kyle Pedigo, Sam Reynolds, Rebecca Diviney, Steven C. Mills
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