7495 - Change Order 1 Executed
Docusign Transmittal Coversheet
File Name
Purchasing Contact
Contract Expiration
DocuSign Envelope ID: ECB5EDCC-B91B-4B75-ACE4-754141380FEA
Cori Power
7495- Street Rehabilitation Bundle - CO#1
N/A
CHANGE ORDER NO.1
7495 CIP/ENG#PO #:195912
10,413,151.00$ -$
520,657.55$ 10,413,151.00$
10,933,808.55$ -$
-$ 150,103.95$
520,657.55$
150,103.95$ Orig Contract Days:This CO Days Request:138
370,553.60$ Approved CO Days:New Contract Days:738
Item
No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
$0.00
Install 3" ROCK (ARCHER TRAIL SUBGRADE)LS 0 1 40,337.60$ 40,337.60$
UTILITY LINE IMPACT (QUAIL RIDGE)(GAS)LS 0 1 16,344.00$ 16,344.00$
UTILITY LJNE IMPACT (ORR)(GAS)LS 0 1 20,430.00$ 20,430.00$
UTILITY LINE IMPACT (LOCKSLEY)(GAS)LS 0 1 6,129.00$ 6,129.00$
UTILITY LINE IMPACT (ARCHER TRAIL)(WATER)LS 0 1 10,215.00$ 10,215.00$
INSTALL FABRIC.FLEXBASE, & 6" CONCRETE(FOXCROFT)SF 0 1,005 30.80$ 30,954.00$
CONCRETE TRENCH REMOVAL (FOXCROFT)LF 0 912 6.00$ 5,472.00$
8" VALLEY GUTTER SF 0 185 109.31$ 20,222.35$
$150,103.95
Item
No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price
$0.00
$0.00
$150,103.95
Denton, TX 76201
CITY OF DENTON CHANGE ORDER FORM
City of Denton - Capital Projects Contractor:
401 N. Elm Street
5/18/2023
Dustin Draper, Project Manager
Project:Denton Street Rehabilitation
IFB#190057
Prior Approved Other Funded CO's:
Current Contract Amount w CO's:
This CO Other Funding Request:
Total Change Request:
600
0
PROJECT SCOPE AND REASON FOR CHANGE
Description of work
included in Contract:
A street reconstruction project that includes 47 street segments throughout the City as a part of the 2012 and 2014 Bond
Program of street segments with an OCI rating of 30 or less.
Reason for change:
Additional new items relating to various utility line impacts, subgrade issues on Archer Trail and Foxcroft, concrete trench removal, and 8" Concrete
valley gutter on Foxcroft. Addition of 138 days for subgrade issues and utility line conflicts.
TOTAL OTHER FUNDED QTY CHANGES:
CONTINGENCY ALLOWANCE AUTHORIZED (CAA) CONTRACT CHANGES
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
TOTAL CAA QTY CHANGES:
NEW ITEMS OF WORK
Contingency funds are used at City's discretion per contract spec language TOTAL CAA NEW ITEMS:
OTHER FUNDED CONTRACT CHANGES (CO)
QUANTITY CHANGES TO EXISTING ITEMS
Description of work
NEW ITEMS OF WORK
TOTAL OTHER FUNDED NEW ITEMS:
TOTAL CO AMOUNT:
Quentin Smith
Arlington Tx 76001
1903 Peyco Dr
Reliable Paving Inc
Contingency Remaining:
This CAA Request:
Available Contingency:
Prior Approved CAA's:
Total NTE Amount :
5% Contingency Amount:
Contract BID Amount:
Notice To Proceed Issued:Current Completion Date:New Completion Date:5/10/2021 12/31/2022
DocuSign Envelope ID: ECB5EDCC-B91B-4B75-ACE4-754141380FEA
10,413,151.00$
10,933,808.55$
150,103.95$
-$
10,563,254.95$
-
1.44%
0.00%
SUBMITTED BY:_______________________________
Project Manager
ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS _______________________________
Signature
ACCEPTED BY CONTRACTOR: ________________________________________________________________
Name, Title Signature
PURCHASING:_______________________________
Signature
Revised Contract Amount:
Original BID/Contract Amount:
Original Not To Exceed Amount:
Total CAA's:
Denton Street Rehabilitation Total CO's:
% of CAA Approved To-Date:
Total Change Order over Original Bid:
Percent Changes over NTE:
THE AFOREMENTIONED CHANGE, AND WORK AFFECTED THEREBY,
IS SUBJECT TO ALL CONTRACT STIPULATIONS AND COVENANTS.
DocuSign Envelope ID: ECB5EDCC-B91B-4B75-ACE4-754141380FEA
Charles M. Long President
11/23/2022
Certificate Of Completion
Envelope Id: ECB5EDCCB91B4B75ACE4754141380FEA Status: Completed
Subject: ***Purchasing Approval*** Contract 7495- Street Rehabilitation Bundle - CO#1
Source Envelope:
Document Pages: 3 Signatures: 4 Envelope Originator:
Certificate Pages: 5 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
11/10/2022 4:29:54 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
Using IP Address: 198.49.140.104
Sent: 11/10/2022 4:39:41 PM
Viewed: 11/10/2022 4:39:50 PM
Signed: 11/10/2022 4:40:00 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: 198.49.140.10
Sent: 11/10/2022 4:40:02 PM
Viewed: 11/14/2022 8:19:21 AM
Signed: 11/14/2022 8:19:30 AM
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
Using IP Address: 198.49.140.10
Sent: 11/14/2022 8:19:33 AM
Resent: 11/15/2022 4:04:31 PM
Resent: 11/22/2022 8:47:59 AM
Viewed: 11/22/2022 8:48:56 AM
Signed: 11/22/2022 8:49:24 AM
Electronic Record and Signature Disclosure:
Accepted: 11/22/2022 8:48:56 AM
ID: c2981d17-011d-4854-ae18-79b2c658cdf0
Charles M. Long
Jeremiah@reliablepaving.com
President
Security Level: Email, Account Authentication
(None)Signature Adoption: Pre-selected Style
Using IP Address: 12.171.179.82
Sent: 11/22/2022 8:49:26 AM
Viewed: 11/22/2022 8:59:30 AM
Signed: 11/22/2022 2:48:40 PM
Electronic Record and Signature Disclosure:
Accepted: 11/22/2022 8:59:30 AM
ID: 46c822ee-ffd9-4eff-a81c-6c1200d9850b
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
Using IP Address: 198.49.140.10
Sent: 11/22/2022 2:48:43 PM
Viewed: 11/22/2022 3:17:56 PM
Signed: 11/22/2022 3:18:12 PM
Electronic Record and Signature Disclosure:
Accepted: 11/22/2022 3:17:56 PM
ID: cabd1573-d977-42bc-913a-110e113d2a63
Cori Power
cori.power@cityofdenton.com
Senior Buyer
City of Denton
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 198.49.140.104
Sent: 11/22/2022 3:18:15 PM
Viewed: 11/23/2022 1:08:26 PM
Signed: 11/23/2022 1:08:30 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: 11/23/2022 1:08:33 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 11/10/2022 4:39:41 PM
Envelope Updated Security Checked 11/15/2022 4:04:30 PM
Envelope Updated Security Checked 11/15/2022 4:04:30 PM
Certified Delivered Security Checked 11/23/2022 1:08:26 PM
Signing Complete Security Checked 11/23/2022 1:08:30 PM
Completed Security Checked 11/23/2022 1:08:33 PM
Payment Events Status Timestamps
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Electronic Record and Signature Disclosure created on: 7/21/2017 3:59:03 PM
Parties agreed to: Dusty Draper, Charles M. Long, Rebecca Diviney
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