7567 - Change Order 2 Executed
Docusign Transmittal Coversheet
File Name
Purchasing Contact
Contract Expiration
DocuSign Envelope ID: 974750BF-FC3E-4F51-9EC0-40BD96D8C0A2
CSP
NA
Crystal Westbrook
7567
GAS AND WATER LINE ROAD CONSTRUCTION-CHANGE ORDER #2
Contractor:Hammett Excavation
1545 CR 2917
Dodd City, TX 75488
Mike Barton
Gas and Water Line Road Construction CHANGE ORDER NO.2
7567 CIP/ENG#PO #: 197060
Contract BID Amount:3,310,854.61$
5% Contingency Amount:165,542.73$
3,476,397.34$
Prior Approved CAA's:23,580.15$
Available Contingency:141,962.58$
$29,919.93
Contingency Remaining:112,042.65$ 230
Item
No.Spec. Section No. UOM BID QTY +/- QTY Unit Price Extended Price
2.1 LS 1 5,850.00$ 18,850.00$
2.2 LS 1 10,400.00$
2.3 EA 6 2 625.00$ 1,250.00$
2.4 Additional 5' to 7' trench LF 1,267 153 5.63$ 861.39$
2.5 Reduction 7' to 10' trench LF 2,328 ‐324 8.75$ (2,835.00)$
2.6 Additional 10' to 12' trench LF 537 168 15.00$ 2,520.00$
2.7 Additional 4" x 8" Leachate Forcemain LF 950 26 22.50$ 585.00$
2.8 Deduction for 48" Pipe Installation Cost LF 360 ‐110 157.50$ (17,325.00)$
2.9 48" Pipe on site but not installed kepy by City LF 360 120 81.32$ 9,758.40$
2.10 EA 2 81.32$ 162.64$
2.11 TON 237 18.00$ 4,269.60$
2.12 LS 1 1,422.90$ 1,422.90$
$29,919.93
$0.00
Item
No.Spec. Section No. UOM BID QTY +/- QTY Unit Price Extended Price
$0.00
‐$ ‐$
$0.00
$29,919.93
New Completion Date:
3/4/2022
3,334,434.76$
CONTINGENCY ALLOWANCE AUTHORIZED (CAA) CONTRACT CHANGES
QUANTITY CHANGES TO EXISTING ITEMS
TOTAL CAA QTY CHANGES:
NEW ITEMS OF WORK
Description of work
This CO Days Request:
Total NTE Amount : This CO Other Funding Request:
Project Scope
included in Contract:Installation of LFG system, perimeter road, and waterline extension
Unit price escalation of concrete and rebar due to Covid‐19 AND additional materials needed to complete the project
Additional Rock under RCBs
-$
Notice To Proceed Issued:
7/8/2021
Current Completion Date:
Arturo Garcia, Project Manager
3/4/2022
CITY OF DENTON CHANGE ORDER FORM
City of Denton - Solid Waste
1527 S. Mayhill Rd
Denton, TX 76208
Project:
New Contract Days:
Total Change Request:29,919.93$
Reason for change:
RFP#
This CAA Request:
PROJECT SCOPE AND REASON FOR CHANGE
Prior Approved Other Funded CO's:23,580.15$
Current Contract Amount w CO's:
Orig Contract Days:
Approved CO Days:
230
0
Concrete Escalation
Rebar Escalation
Additional Speed Bumps
Profit and Overhead as per contract
TOTAL CO AMOUNT:
2 Bands for 48" pipe kept by City
Contingency funds are used at City's discretion per contract spec language
N/A
OTHER FUNDED CONTRACT CHANGES (CO)
QUANTITY CHANGES TO EXISTING ITEMS
NEW ITEMS OF WORK
TOTAL OTHER FUNDED QTY CHANGES:
Description of work
N/A
TOTAL CAA NEW ITEMS:
TOTAL OTHER FUNDED NEW ITEMS:
DocuSign Envelope ID: 974750BF-FC3E-4F51-9EC0-40BD96D8C0A2
3,310,854.61$
3,476,397.34$
Gas and Water Line Road Construction 53,500.08$
23,580.15$
3,387,934.84$
32.32%
2.33%
1%
SUBMITTED BY:_______________________________
ACCEPTED BY DESIGN ENGINEER _______________________________
ACCEPTED BY CONTRACTOR: ____________________________________________________________
Name, Title
PURCHASING:_______________________________
DEPARTMENT DIRECTOR:_______________________________
THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY,
Revised Contract Amount:
Percent Changes over NTE:
Total Change Order over Original Bid:
Total CO's:
% of CAA Approved To-Date:
Total CAA's:
Original Total Not To Exceed Amount:
Original BID/Contract Amount:
Signature
IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS.
Signature
Signature
Signature
Project Manager
]
DocuSign Envelope ID: 974750BF-FC3E-4F51-9EC0-40BD96D8C0A2
GAYLON HAMMETT President
Change Order
Hammett Excavation
1545 CR 2917
Dodd City, TX 75438
Distribution Perimeter LFG Header, Perimeter Road, and Water Line Ext.
Office
Other
Field
Project: City of Denton LFG, Water Line and Road Contract Number:
, Proposed Change Order #:
Change Order Date :
C.O.
Item Contract Item Description
1722. Perimeter LFG Header, Perimeter Road, and Water Line Ext.
PCO 2 Addtional Work and Concrete and Rebar Escalation
Amount
You are directed to make the following changes in this Contract:
06/02/22
in Days
Change
UM Units Unit Price
Denton, TX 76201
City of Denton
215 E. McKinney Street
To (Owner):
Concrete Escalation 18,850.00 2.1 LS 1.000 5,850.00000
Due to COVID-19
Rebar Escalation 10,400.00 2.2 LS
Due to COVID-19
Addtional Speed Bumps 1,250.00 2.3 EA 2.000 625.00000
Addtional 5' to 7' Trench 861.39 2.4 LF 153.000 5.63000
Plan 1267' / Installed 1420'
Reduction 7' to 10' Trench -2,835.00 2.5 LF -324.000 8.75000
Plan 2328' / Installed 2004''
Addtional 10' to 12' Trench 2,520.00 2.6 LF 168.000 15.00000
Plan 537' / Installed 705'
Addtional 4" x 8" Leachate Forcemain 585.00 2.7 LF 26.000 22.50000
Plan 950' / Installed 978'
Deduction for 48" Pipe Instalation Cost -17,325.00 2.8 LF -110.000 157.50000
Bid sheet called for 350' of pipe installed 240'
48" Pipe on site but not installed kept by City 9,758.40 2.9 LF 120.000 81.32000
Bid called for 350' of pipe only needed 240'. 360' delivered = 120' kept by City
2 Bands for 48" pipe kept by City 162.64 2.10 EA 81.320 2.00000
Addtional Rock Under RCBs 4,269.60 2.11 TON 237.200 18.00000
Profit and Overhead as per contract 1,422.90 2.12 LS
Total For Change Order: 29,919.93
The net change by previously authorized Change Orders was . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3,310,854.61The original Contract Sum was . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Not valid until signed by both the Owner and Architect. Signature of the Contractor indicates the Contractor's
agreement herewith, including any adjustment in the Contract Sum or Contract Time.
______________________________
_____
29,919.93
_____________________________Date:_____________________________Date:___________________________
____________________________
____
By: By: ______________________________
__
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
,
By:
Dodd City, TX 75438Denton, TX 76201
215 E. McKinney Street 1545 CR 2917
City of Denton Hammett Excavation
Authorized By Owner:Architect/Engineer:Accepted By Contractor:
Date:
The new Contract Sum will be 3,364,354.69
The Contract Sum will be increased by this Change Order
3,334,434.76The Contract Sum prior to this Change Order was
23,580.15
1 Hammett Excavation Page 1
PMPendChangeOrder.rptDate Format - MM/DD/YY
06/02/22 10:50:51 AM
DocuSign Envelope ID: 974750BF-FC3E-4F51-9EC0-40BD96D8C0A2
6/22/20226/22/20226/22/2022
Certificate Of Completion
Envelope Id: 974750BFFC3E4F519EC040BD96D8C0A2 Status: Completed
Subject: ***Purchasing Approval*** 7567-Change Order #2
Source Envelope:
Document Pages: 4 Signatures: 8 Envelope Originator:
Certificate Pages: 6 Initials: 0 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: 198.49.140.10
Record Tracking
Status: Original
6/22/2022 11:55:41 AM
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
Signed by link sent to
crystal.westbrook@cityofdenton.com
Using IP Address: 198.49.140.10
Sent: 6/22/2022 12:04:08 PM
Viewed: 6/22/2022 12:06:24 PM
Signed: 6/22/2022 12:06:54 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Sandeep Saraf
SSaraf@scsengineers.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Signed by link sent to SSaraf@scsengineers.com
Using IP Address: 99.48.161.145
Sent: 6/22/2022 12:06:56 PM
Viewed: 6/22/2022 12:08:29 PM
Signed: 6/22/2022 12:10:44 PM
Electronic Record and Signature Disclosure:
Accepted: 6/22/2022 12:08:29 PM
ID: a5183063-d647-4fea-9eb1-a5831277cba3
Arturo Garcia
Arturo.Garcia@cityofdenton.com
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Signed by link sent to
Arturo.Garcia@cityofdenton.com
Using IP Address: 198.49.140.10
Sent: 6/22/2022 12:10:46 PM
Viewed: 6/22/2022 12:26:48 PM
Signed: 6/22/2022 12:27:32 PM
Electronic Record and Signature Disclosure:
Accepted: 6/22/2022 12:26:48 PM
ID: 4ff19dd9-e8d0-4568-919b-c41996d72bfe
Signer Events Signature Timestamp
GAYLON HAMMETT
gaylon@hammett-excavation.com
President
Hammett Excavation, Inc
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Signed by link sent to
gaylon@hammett-excavation.com
Using IP Address: 172.108.176.202
Sent: 6/22/2022 12:27:34 PM
Viewed: 6/22/2022 1:36:10 PM
Signed: 6/22/2022 1:46:33 PM
Electronic Record and Signature Disclosure:
Accepted: 1/27/2021 5:33:29 PM
ID: 89c4faab-4f90-4aa1-b842-3181a6ab6282
Brian Boerner
brian.boerner@cityofdenton.com
Director of Solid Waste
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Signed by link sent to
brian.boerner@cityofdenton.com
Using IP Address: 198.49.140.10
Sent: 6/22/2022 1:46:35 PM
Viewed: 6/22/2022 1:47:40 PM
Signed: 6/22/2022 1:47:57 PM
Electronic Record and Signature Disclosure:
Accepted: 6/22/2022 1:47:40 PM
ID: e1458938-4cdb-4802-8730-75fee7e79175
Crystal Westbrook
crystal.westbrook@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Signed by link sent to
crystal.westbrook@cityofdenton.com
Using IP Address: 198.49.140.10
Sent: 6/22/2022 1:47:59 PM
Viewed: 6/22/2022 2:15:38 PM
Signed: 6/22/2022 2:15:43 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
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Intermediary Delivery Events Status Timestamp
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Carbon Copy Events Status Timestamp
Cheyenne Defee
cheyenne.defee@cityofdenton.com
Procurement Administration Supervisor
City of Denton
Security Level: Email, Account Authentication
(None)
Sent: 6/22/2022 2:15:45 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 6/22/2022 12:04:08 PM
Certified Delivered Security Checked 6/22/2022 2:15:38 PM
Signing Complete Security Checked 6/22/2022 2:15:43 PM
Completed Security Checked 6/22/2022 2:15:45 PM
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Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM
Parties agreed to: Sandeep Saraf, Arturo Garcia, GAYLON HAMMETT, Brian Boerner
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