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7495 - Change Order 2 Executed DocuSign Transmittal Coversheet File Name Purchasing Contact Contract Expiration DocuSign Envelope ID: 0C5BB4A6-8EFD-49AF-A082-0794103BF221 NA 7495 Street Rehab Bundle CO#2 Erica Garcia Reliable Paving Inc CHANGE ORDER NO.2 7495 CIP/ENG#PO #:195912 Contract BID Amount:10,413,151.00$ 5% Contingency Amount:520,657.55$ 10,563,254.95$ Total NTE Amount : 10,933,808.55$ -$ Prior Approved CAA's:150,103.95$ 362,891.68$ Available Contingency:370,553.60$ This CAA Request:$362,891.68 Orig Contract Days:This CO Days Request:103 Contingency Remaining:7,661.92$ Approved CO Days:New Contract Days:841 Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price SECTION 6 -18 SAWCUT, RMV & RPLC CONCRETE CURB & GUTTER LF 435 1 $ 41.50 $ 41.50 SECTION 7-18 SAWCUT, RMV & RPLC CONCRETE CURB & GUTTER LF 480 135 $ 41.50 $ 5,602.50 SECTION 11 - 13 SAWCUT, RMV & RPLC ASPHALT PAVEMENT (FULL DEPTH) FOR RESIDENTIAL STREET TYPESY1300582 $ 67.50 $ 5,535.00 SECTION 11 - 18 SAWCUT, RMV & RPLC CONCRETE CURB & GUTTER LF 6040 2126 $ 41.50 $ 88,229.00 SECTION 14 - 12 107.24 LS 1 1 $ 4,175.00 $ 4,175.00 SECTION 14 - 18 SAWCUT, RMV & RPLC CONCRETE CURB GUTTER LF 1645 542.85 $ 41.50 $ 22,528.28 SECTION 16 - 14 SAWCUT, RMV & RPLC ASPHALT PAVEMENT (FULL DEPTH) FOR RESIDENTIAL COLLECTOR STREET TYPESY29851256.75 $ 72.50 $ 91,114.38 SECTION 16 - 18 SAWCUT, RMV & RPLC CONCRETE CURB & GUTTER LF 1385 753 $ 41.50 $ 31,249.50 SECTION 19 - 13 SAWCUT, RMV & RPLC ASPHALT PAVEMENT (FULL DEPTH) FOR RESIDENTIAL STREET TYPESY4070869 $ 68.00 $ 59,092.00 SECTION 19 - 18 SAWCUT, RMV & RPLC CONCRETE CURB & GUTTER LF 2005 662 $ 41.50 $ 27,473.00 SECTION 23 - 18 SAWCUT, RMV & RPLC CONCRETE CURB & GUTTER LF 1395 876 $ 41.50 $ 36,354.00 SECTION 13 - 12 107.24 LS 1 -1 $ 2,300.00 $ (2,300.00) SECTION 13 - 14 SAWCUT, RMV & RPLC ASPHALT PAVEMENT (FULL DEPTH) FOR RESIDENTIAL COLLECTOR STREET TYPESY2550-2550 $ 73.00 $ (186,150.00) SECTION 13 - 18 SAWCUT, RMV & RPLC CONCRETE CURB & GUTTER LF 895 -895 $ 41.50 $ (37,142.50) SECTION 13 - 19 ADJUST EXISTING MISCELLANEOUS ABOVE GROUND UTILITY APPURTENANCE TO FINAL GRADEEA1-1 $ 825.00 $ (825.00) SECTION 13 - 21 ADJUST EXISTING WATER VAVLE TO FINAL GRADE EA 2 -2 $ 550.00 $ (1,100.00) SECTION 13 - 23 LS 1 -1 $ 6,000.00 $ (6,000.00) SECTION 24 - 12 107.24 LS 1 -1 $ 1,500.00 $ (1,500.00) SECTION 24 - 13 SAWCUT, RMV & RPLC ASPHALT PAVEMENT (FULL DEPTH)FOR RESIDENTIAL STREET TYPESY1290-1290 $ 69.00 $ (89,010.00) SECTION 24 - 18 SAWCUT, RMV & RPLC CONCRETE CURB & GUTTER LF 415 -415 $ 41.50 $ (17,222.50) SECTION 24 - 20 ADJUST EXISTING SANITARY SEWER MANHOLE OR CLEANOUT TO FINAL GRADEEA4-4 $ 825.00 $ (3,300.00) $26,844.15 PCO 6 FLOWABLE FILL LS 1 14,850.00$ 14,850.00$ PCO 7 REMOVE & REPLACE CURB/VALLEY GUTTER LS 1 14,520.00$ 14,520.00$ PCO 8 ANGELINA BEND TRENCH DRAIN LS 1 225,894.30$ 225,894.30$ PCO 9 S&Y CREEK ROCK LS 1 55,563.20$ 55,563.20$ PCO 10 ANGELINA BEND 1308 DRIVEWAY LS 1 10,433.83$ 10,433.83$ PCO 11 S&Y CREEK VALLEY GUTTER LS 1 14,786.20$ 14,786.20$ $336,047.53 Arlington Tx 76001 Description of work TOTAL CAA QTY CHANGES: Description of work included in Contract: A street reconstruction project that includes 47 street segments throughout the City as a part of the 2012 & 2014 Bond Program of street segments with an OCI rating of 30 or less. Reason for change: Overruns and underruns for quantity reconcelliation, new items relating to utility line impacts, subgrade issues on Angelina Bend & Sandy Creek, concrete driveway installtion, and 8" Concrete valley gutter on Sandy Creek. Addition of 103 days for subgrade issues and utility line conflicts. 138 CONTINGENCY ALLOWANCE AUTHORIZED (CAA) CONTRACT CHANGES QUANTITY CHANGES TO EXISTING ITEMS Quentin Smith CLEANUP CLEANUP PAVEMENT MARKINGS 5/10/2021 Denton Street Rehabilitation Prior Approved Other Funded CO's: Current Contract Amount w CO's: This CO Other Funding Request: NEW ITEMS OF WORK Contingency funds are used at City's discretion per contract spec language TOTAL CAA NEW ITEMS: 5/18/2023 8/29/2023 600 CLEANUP CITY OF DENTON CHANGE ORDER FORM PROJECT SCOPE & REASON FOR CHANGE Total Change Request: Project: IFB#190057 Notice To Proceed Issued:Current Completion Date:New Completion Date: City of Denton - Capital Projects 401 N. Elm Street Denton, TX 76201 Dustin Draper, Project Manager Contractor: 1903 Peyco Dr DocuSign Envelope ID: 0C5BB4A6-8EFD-49AF-A082-0794103BF221 Item No.Spec. Section No.UOM BID QTY +/- QTY Unit Price Extended Price $0.00 $0.00 $362,891.68 10,413,151.00$ 10,933,808.55$ 512,995.63$ -$ 10,926,146.63$ - 4.93% 0.00% SUBMITTED BY:_______________________________ Project Manager ACCEPTED BY CITY ENGINEER/DIRECTOR OF CAPITAL PROJECTS _______________________________ Signature ACCEPTED BY CONTRACTOR: ____________________________________________________________ Name, Title Signature PURCHASING:_______________________________ Signature THE AFOREMENTIONED CHANGE, & WORK AFFECTED THEREBY, IS SUBJECT TO ALL CONTRACT STIPULATIONS & COVENANTS. Total CAA's: TOTAL OTHER FUNDED QTY CHANGES: NEW ITEMS OF WORK Description of work OTHER FUNDED CONTRACT CHANGES (CO) QUANTITY CHANGES TO EXISTING ITEMS Percent Changes over NTE: TOTAL OTHER FUNDED NEW ITEMS: TOTAL CO AMOUNT: Original BID/Contract Amount: Original Not To Exceed Amount: Denton Street Rehabilitation Total CO's: Total Change Order over Original Bid: Revised Contract Amount: % of CAA Approved To-Date: DocuSign Envelope ID: 0C5BB4A6-8EFD-49AF-A082-0794103BF221 PMQuentin Smith Certificate Of Completion Envelope Id: 0C5BB4A68EFD49AFA0820794103BF221 Status: Completed Subject: Subject: ***Purchasing Approval*** Contract 7495- Street Rehabilitation Bundle - CO#2 Source Envelope: Document Pages: 3 Signatures: 4 Envelope Originator: Certificate Pages: 5 Initials: 1 Erica Garcia AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 901B Texas Street Denton, TX 76209 erica.garcia@cityofdenton.com IP Address: 198.49.140.10 Record Tracking Status: Original 10/12/2023 12:01:20 PM Holder: Erica Garcia erica.garcia@cityofdenton.com Location: DocuSign Signer Events Signature Timestamp Erica Garcia erica.garcia@cityofdenton.com Senior Buyer City of Denton Security Level: Email, Account Authentication (None) Completed Using IP Address: 198.49.140.10 Sent: 10/12/2023 12:05:44 PM Viewed: 10/12/2023 3:46:24 PM Signed: 10/12/2023 3:51:42 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: 198.49.140.104 Sent: 10/12/2023 3:51:43 PM Viewed: 10/12/2023 4:11:35 PM Signed: 10/12/2023 4:11:44 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Dustin Draper dustin.draper@cityofdenton.com Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 10/12/2023 4:11:45 PM Viewed: 10/12/2023 4:32:44 PM Signed: 10/12/2023 4:32:55 PM Electronic Record and Signature Disclosure: Accepted: 10/12/2023 4:32:44 PM ID: 92cda95a-3fbe-495e-9906-639eebd95467 Quentin Smith Quentin@reliablepaving.com PM Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 12.171.179.82 Sent: 10/12/2023 4:32:57 PM Resent: 10/17/2023 2:27:17 PM Viewed: 10/17/2023 2:56:33 PM Signed: 10/17/2023 2:57:03 PM Electronic Record and Signature Disclosure: Accepted: 10/17/2023 2:56:33 PM ID: 4ede9ad9-3b93-4e48-80a9-6158fca6eca4 Signer Events Signature Timestamp Rebecca Diviney Rebecca.Diviney@cityofdenton.com General Manager of Public Works/City Engineer Capital Projects/Engineering Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 47.222.11.59 Signed using mobile Sent: 10/17/2023 2:57:05 PM Viewed: 10/17/2023 4:31:52 PM Signed: 10/17/2023 4:32:11 PM Electronic Record and Signature Disclosure: Accepted: 10/17/2023 4:31:52 PM ID: 074e783e-bb44-4fd3-8661-86ae6f2a9ed9 Erica Garcia erica.garcia@cityofdenton.com Senior Buyer City of Denton Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 198.49.140.10 Sent: 10/17/2023 4:32:13 PM Viewed: 10/17/2023 4:36:39 PM Signed: 10/17/2023 4:36:44 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: 10/17/2023 4:36:45 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 10/12/2023 12:05:44 PM Envelope Updated Security Checked 10/17/2023 2:27:16 PM Envelope Updated Security Checked 10/17/2023 2:27:16 PM Certified Delivered Security Checked 10/17/2023 4:36:39 PM Signing Complete Security Checked 10/17/2023 4:36:44 PM Completed Security Checked 10/17/2023 4:36:45 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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