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7252 - Change Order 4 Executed Docusign Transmittal Coversheet File Name Purchasing Contact Contract Expiration DocuSign Envelope ID: B7CD1785-5248-4A7C-AC0C-A0B3A019538E 7252 - Hickory Creek Interceptor 1&2 - CO#4 Cori Power N/A Contractor:Mountain Cascade of Texas 11729 E. FM 917 Alvarado, TX 76009 Jamie Voris Hickory Creek Interceptor Phase I & II CHANGE ORDER NO.4 7252 CIP/ENG#PO #:196842 Contract BID Amount:7,175,985.00$ 5% Contingency Amount:358,799.25$ 7,534,784.25$ Prior Approved CAA's:150,667.63$ Available Contingency:208,131.62$ 149,752.94$ 0 Contingency Remaining:58,378.68$ 519 Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price 7 33 05 23.33 LF 399 16 1,500.00$ 24,000.00$ $24,000.00 41 New LF 0 167 103.25$ 17,242.75$ 42 New EA 0 2 750.00$ 1,500.00$ 43 New RailPros Observation and Flagging LS 0 1 107,010.19$ 107,010.19$ $125,752.94TOTAL CAA NEW ITEMS: Jack, Bore, or Tunnel (Steel Casing)(72") 8" Sanitary Sewer Extension (City Supplied Pipe) Core Manhole Contingency funds are used at City's discretion per contract spec language Project: New Contract Days: Total Change Request:149,752.94$ Reason for change: IFB# This CAA Request: PROJECT SCOPE AND REASON FOR CHANGE Prior Approved Other Funded CO's:-$ Current Contract Amount w CO's: Orig Contract Days: Approved CO Days: 365 154 Tracy Beck, P.E. , Project Manager CITY OF DENTON CHANGE ORDER FORM City of Denton - Capital Projects 401 M. Elm Street Denton, TX 76201 7,175,985.00$ 880004-1 Notice To Proceed Issued: 8/2/2021 Current Completion Date: -$ 8/2/2022 New Completion Date: 8/2/2022 This CO Days Request: Total NTE Amount : This CO Other Funding Request: Project Scope included in Contract: Install approx. 13,000 linear feet of 36", 42", and 54" gravity sewer main, 3‐barrel siphon structure, and supporting appurtenances CONTINGENCY ALLOWANCE AUTHORIZED (CAA) CONTRACT CHANGES QUANTITY CHANGES TO EXISTING ITEMS TOTAL CAA QTY CHANGES: NEW ITEMS OF WORK Description of work 1) Cost of Additional Railroad Coordination with UPRR. Original cost was based on design plans to tunnel approx. 400‐foot of which 150‐foot was under the UPRR Right‐of‐Way and 250‐foot was under US 377/TxDOT ROW. There were two bore pits (one on each end of the tunnel). The Railroad Coordination costs were estimated based on the 150‐foot section of tunnel under the UPRR ROW (not the entire 400‐feet). Once tunneling started on the downstream end (eastern TxDOT ROW), UPRR/Railpros began inspecting immediately stating the UPRR tunnel actually started at the beginning of the 400‐foot tunnel at the eastern TxDOT ROW line not at the eastern UPRR ROW line. This added 250‐feet of additional Railpros inspection. As risk managment, an option was considered that would create an intermediate bore pit in TxDOT ROW along the UPRR eastern ROW line (effectively breaking the single 400‐foot tunnel into two sections). An intermediate bore pit was not considered necessary during design for a tunnel length of 400‐ft. The contractor and design engineer evaluated the option to add a "intermediate" bore pit for the purpose to define a 150‐foot tunnel under UPRR. The grades, access, and weather conditions were too difficult to expedite a bore pit design and construction and would still require additional coordination and permitting with TxDOT to approve a bore pit in TxDOT ROW. To maintain schedule, the contractor proceeded with the original plan for a single 400‐foot long tunnel, two bore pits, and they expedited construction as much as possible by working overtime and weekends. 2) Extend pipe and provide connection between Glenwood Meadows development and HCI 1&2. Development was not required to extend a pipe for tie to HCI 1&2. In order to abandon the existing interceptor, the extension and connection were required. Denton Utilities/Wastewater provided the 8" pipe for the extension. 3) Overrun of estimated quantity for Bore Length Item 7 (Estimated length = 399 feet, actual length = 415 feet) DocuSign Envelope ID: B7CD1785-5248-4A7C-AC0C-A0B3A019538E Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price $0.00 -$ -$ $0.00 $149,752.94 7,175,985.00$ 7,534,784.25$ Hickory Creek Interceptor Phase I & II 300,420.57$ -$ 7,476,405.57$ 83.73% 4.19% 0% Signatory Lines will be updated by Purchasing if required SUBMITTED BY:_______________________________ ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS _______________________________ ACCEPTED BY CONTRACTOR: __________________________________________________________________ Name, Title PURCHASING:_______________________________ IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS. Signature Signature Signature Project Manager QUANTITY CHANGES TO EXISTING ITEMS NEW ITEMS OF WORK TOTAL OTHER FUNDED QTY CHANGES: Description of work N/A Revised Contract Amount: Percent Changes over NTE: TOTAL CO AMOUNT: 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: N/A OTHER FUNDED CONTRACT CHANGES (CO) THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY, TOTAL OTHER FUNDED NEW ITEMS: ] DocuSign Envelope ID: B7CD1785-5248-4A7C-AC0C-A0B3A019538E Andrew McCulloch Vice-President 6/27/2022 Certificate Of Completion Envelope Id: B7CD178552484A7CAC0CA0B3A019538E Status: Completed Subject: ***Purchasing Approval*** 7252 - Hickory Creek Interceptor I&II CO #4 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 6/21/2022 9:49:04 AM 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: 6/21/2022 9:54:51 AM Viewed: 6/21/2022 9:55:01 AM Signed: 6/21/2022 9:55:22 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 Signed by link sent to lori.hewell@cityofdenton.com Using IP Address: 198.49.140.104 Sent: 6/21/2022 9:55:23 AM Viewed: 6/21/2022 10:17:04 AM Signed: 6/21/2022 10:17:11 AM Electronic Record and Signature Disclosure: Not Offered via DocuSign Tracy L. Beck Tracy.Beck@cityofdenton.com Project Mngr Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Signed by link sent to Tracy.Beck@cityofdenton.com Using IP Address: 198.49.140.10 Sent: 6/21/2022 10:17:12 AM Viewed: 6/21/2022 10:52:43 AM Signed: 6/21/2022 10:53:35 AM Electronic Record and Signature Disclosure: Accepted: 6/21/2022 10:52:43 AM ID: d49b270a-68b0-47d6-9412-9f76124fdbcc Andrew McCulloch AMcCulloch@mountaincascade.com Vice-President Harber Co.Inc. dba Mountain Cascade of Nevada Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Signed by link sent to AMcCulloch@mountaincascade.com Using IP Address: 24.234.153.153 Sent: 6/21/2022 10:53:37 AM Viewed: 6/21/2022 11:08:34 AM Signed: 6/21/2022 11:11:19 AM Electronic Record and Signature Disclosure: Signer Events Signature Timestamp Accepted: 6/21/2022 11:08:34 AM ID: 846904e8-863e-45d5-b561-1cfc84d01ee2 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: 6/21/2022 11:11:21 AM Resent: 6/24/2022 8:50:47 AM Viewed: 6/27/2022 3:06:55 PM Signed: 6/27/2022 3:07:06 PM Electronic Record and Signature Disclosure: Accepted: 6/27/2022 3:06:55 PM ID: c491bece-40f7-4716-b6ee-f41835940753 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: 6/27/2022 3:07:08 PM Viewed: 6/27/2022 4:38:49 PM Signed: 6/27/2022 4:38:54 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 Cheyenne Defee cheyenne.defee@cityofdenton.com Procurement Administration Supervisor City of Denton Security Level: Email, Account Authentication (None) Sent: 6/27/2022 4:38:55 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 6/21/2022 9:54:52 AM Certified Delivered Security Checked 6/27/2022 4:38:49 PM Signing Complete Security Checked 6/27/2022 4:38:54 PM Completed Security Checked 6/27/2022 4:38:55 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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