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Home My WebLink About2025-07-07 I01H_02 Waukee Public Safety_Change Order 14\AGENDA ITEM: CITY OF WAUKEE, IOWA CITY COUNCIL MEETING COMMUNICATION MEETING DATE: July 7, 2025 AGENDA ITEM:Consideration of approval of Change Order No. 14 (Combined) for the Waukee Public Safety Building Project, increasing the contract in the amount of $19,033.47 FORMAT:Consent Agenda SYNOPSIS INCLUDING PRO & CON: Substantial completion of the Waukee Public Safety Building has been completed. As the project has begun to wrap up there are several small change orders that are necessary. These changes include additional equipment needed for the police wash bay to meet code requirements and locker/breakroom GFI additions as well several other minor items. FISCAL IMPACT INCLUDING COST/BENEFIT ANALYSIS:The net result of this Change Order increases the contract price in the amount of $19,033.47. In total, there have been 14 change orders for $433,855.00 to date which is approximately 27% of the total contingency budget. COMMISSION/BOARD/COMMITTEE COMMENT: STAFF REVIEW AND COMMENT: RECOMMENDATION: Approve the Change Order. ATTACHMENTS: I. Change Order 14 PREPARED BY: Brad Deets, City Administrator REVIEWED BY: I1H2 Ryan Companies 111 East Grand Avenue, Suite 200 Des Moines, Iowa 50309 ph: 515-309-8500 ryancompanies.com June 26, 2025 Brad Deets, City Administrator City of Waukee 230 W. Hickman Road Waukee, IA 50263 Re: Waukee Public Safety Building: Change Order No. 14: Multiple Pricing Request Approvals Dear Brad: Change Order No. 14 for the Waukee Public Safety Building includes the following revisions: · CR 99 RFI-135 Wash Bay Add $9,840.04 · CR 121 FDC Plate and Break Metal Add $1,045.00 · CR 122 Sealed Concrete & Caulking Credit Deduct $1,563.00 · CR 128 RFI-165 Add Metal Trim Add $1,135.00 · CR 131 Gen Pad and Sidewalk Add $1,350.00 · CR 132 Locker and Breakroom GFI Add $5,142.09 · CR 136 Irrigation System Requirements Add $1,237.34 · CR 139 Hose Reels Add $847.00 Ryan Companies recommends approval of the Prime Contractors for Change Order No. 14 at a combined value of $19,033.47. Please see attached Change Order No. 14 individual change orders and associated back up for each individual change request (CR) for additional information. If you have any questions or comments regarding this information, please contact me at your convenience. Thank you. Sincerely, RYAN COMPANIES US, INC. Jill Boetger Project Manager Ryan Companies 111 East Grand Avenue, Suite 200 Des Moines, Iowa 50309 ph: 515-309-8500 ryancompanies.com Enclosed: WPS Prime CO No. 14 CC: Matt Van Loon, Ryan Companies Ryan Pigneri, Ryan Companies Angie Pfannkuch, Sidekick Development Danielle Hermann, OPN Architects Aaron Twedt, OPN Architects Alex Streyffeler, OPN Architects Document G731™ – 2019 Change Order, Construction Manager as Adviser Edition AIA Document G731 – 2019 (formerly G701™CMa – 1992). Copyright © 1992 and 2019. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:48:55 ET on 07/01/2025 under Order No.4104251064 which expires on 08/13/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA49) 1 PROJECT: (name and address)CONTRACT INFORMATION:CHANGE ORDER INFORMATION: Waukee Public Safety Facility (WPS)Contract For: Bid Package #1 General Construction Change Order Number: WPS CO 13 (DDVI No. 11) 815 NW 20th Street Waukee, IA 50263 Date: 12.18.2023 Date: 7.7.2025 OWNER: (name and address)ARCHITECT: (name and address)CONSTRUCTION MANAGER: (name and address) City of Waukee OPN Architects Ryan Companies US, Inc. 230 W Hickman Road Waukee, IA 50263 100 Court Avenue, #100 Des Moines, IA 50309 111 East Grand Avenue, Des Moines, IA 50309 CONTRACTOR: (name and address) DDVI Inc PO Box 743 Indianola, IA 50125 THE CONTRACT IS CHANGED AS FOLLOWS: (Insert a detailed description of the change and, if applicable, attach or reference specific exhibits. Also include agreed upon adjustments attributable to executed Construction Change Directives.) Scope modifications will include: WPS CR 99 RFI-135 Wash Bay $4958.80 WPS CR 139 Hose Reel ADD $847.00 The original Contract Sum was $2,905,000.00 Net change by previously authorized Change Orders $100,543.70 The Contract Sum prior to this Change Order was $3,005,543.70 The Contract Sum will be increased by this Change Order in the amount of $5,805.80 The new Contract Sum including this Change Order will be $3,011,349.50 The Contract Time will be increased by (0) days. The Contractor’s Work shall be substantially complete on June 18, 2025. NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONSTRUCTION MANAGER, CONTRACTOR, AND OWNER. OPN Architects Ryan Companies US, Inc. ARCHITECT (Firm name)CONSTRUCTION MANAGER (Firm name) SIGNATURE SIGNATURE Danielle Hermann, Principal Ryan Pigneri, Sr Project Manager PRINTED NAME AND TITLE PRINTED NAME AND TITLE DATE:DATE: DDVI Inc.City of Waukee Iowa CONTRACTOR (Firm name)OWNER (Firm name) Docusign Envelope ID: 780ADF14-1A20-445F-8324-BD42151E3D5D 7/2/20257/2/2025 AIA Document G731 – 2019 (formerly G701™CMa – 1992). Copyright © 1992 and 2019. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:48:55 ET on 07/01/2025 under Order No.4104251064 which expires on 08/13/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA49) 2 SIGNATURE SIGNATURE PRINTED NAME AND TITLE PRINTED NAME AND TITLE Brad Deets, City Administrator DATE:DATE: Docusign Envelope ID: 780ADF14-1A20-445F-8324-BD42151E3D5D Rich Piper 7/2/2025 VP Waukee Public Safety - Change Request Summary 6/19/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 99.0 DDVI Furnish and install curtain per RFI-135 response.$4,958.80 99.1 Jordison Construction No response $0.00 99.2 Enterprise Precast No response $0.00 99.3 TSF Structures No response $0.00 99.4 Northwest Steel No response $0.00 99.5 Forman Ford No response $0.00 99.6 Academy Roofing No response $0.00 99.7 Ford Metro No response $0.00 99.8 Skold Door No response $0.00 99.9 Hilsabeck Schacht No response $0.00 99.10 Elite Fire Sprinkler No response $0.00 99.11 Kruck Plumbing and Heating No response $0.00 99.12 Van Maanen Change electrical boxes and conduit to PVC and weatherproof in Wash Bay. $4,881.24 99.13 TriCity Electric No response $0.00 99.14 Wenthold No response $0.00 99.15 Absolute No response $0.00 99.16 Jordison Construction No response $0.00 99.17 Alpha Landscapes No response $0.00 $9,840.04 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$319.80 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $10,159.84 Change Request 099 Summary: Wash bay updates per RFI-135 Change Request 099 Subtotal Change Request 099 Cost Change Total Docusign Envelope ID: 780ADF14-1A20-445F-8324-BD42151E3D5D Docusign Envelope ID: 780ADF14-1A20-445F-8324-BD42151E3D5D Docusign Envelope ID: 780ADF14-1A20-445F-8324-BD42151E3D5D Docusign Envelope ID: 780ADF14-1A20-445F-8324-BD42151E3D5D Docusign Envelope ID: 780ADF14-1A20-445F-8324-BD42151E3D5D Waukee Public Safety - Change Request Summary 6/17/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 139.0 DDVI Furnish and install (2) hose reels where drawn on P111A per 3/P400 but no specification. $847.00 139.1 Jordison Construction No response $0.00 139.2 Enterprise Precast No response $0.00 139.3 TSF Structures No response $0.00 139.4 Northwest Steel No response $0.00 139.5 Forman Ford No response $0.00 139.6 Academy Roofing No response $0.00 139.7 Ford Metro No response $0.00 139.8 Skold Door No response $0.00 139.9 Hilsabeck Schacht No response $0.00 139.10 Elite Fire Sprinkler No response $0.00 139.11 Kruck Plumbing and Heating No response $0.00 139.12 Van Maanen No response $0.00 139.13 TriCity Electric No response $0.00 139.14 Wenthold No response $0.00 139.15 Absolute No response $0.00 139.16 Jordison Construction No response $0.00 139.17 Alpha Landscapes No response $0.00 $847.00 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$27.53 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $874.53 Change Request 139 Summary: Furnish and install (2) hose reels with garden hose for Apparatus Bay. Change Request 139 Subtotal Change Request 139 Cost Change Total Docusign Envelope ID: 780ADF14-1A20-445F-8324-BD42151E3D5D Docusign Envelope ID: 780ADF14-1A20-445F-8324-BD42151E3D5D Docusign Envelope ID: 780ADF14-1A20-445F-8324-BD42151E3D5D Docusign Envelope ID: 780ADF14-1A20-445F-8324-BD42151E3D5D Docusign Envelope ID: 780ADF14-1A20-445F-8324-BD42151E3D5D Certificate Of Completion Envelope Id: 780ADF14-1A20-445F-8324-BD42151E3D5D Status: Completed Subject: Complete with Docusign: DDVI CO No. 11_Project Manual.pdf Source Envelope: Document Pages: 12 Signatures: 3 Envelope Originator: Certificate Pages: 5 Initials: 0 Beth Bertlshofer AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 533 South Third Street, Suite 100 Minneapolis, MN 55415 Beth.Bertlshofer@RyanCompanies.com IP Address: 4.43.134.74 Record Tracking Status: Original 7/2/2025 10:04:20 AM Holder: Beth Bertlshofer Beth.Bertlshofer@RyanCompanies.com Location: DocuSign Signer Events Signature Timestamp Ryan Pigneri Ryan.Pigneri@RyanCompanies.com Project manager Ryan Companies US, Inc. Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 216.251.164.114 Sent: 7/2/2025 10:05:11 AM Viewed: 7/2/2025 10:06:56 AM Signed: 7/2/2025 10:07:45 AM Electronic Record and Signature Disclosure: Not Offered via Docusign Danielle Hermann dhermann@opnarchitects.com Associate Principal, OPN Architects Security Level: Email, Account Authentication (None)Signature Adoption: Drawn on Device Using IP Address: 2604:2d80:7d83:4200:e8e9:c92f:24ca:6891 Sent: 7/2/2025 10:07:46 AM Viewed: 7/2/2025 10:46:36 AM Signed: 7/2/2025 11:15:34 AM Electronic Record and Signature Disclosure: Accepted: 3/8/2024 9:41:52 AM ID: b5094507-12ff-4a23-a34a-4f95064c0e54 Rich Piper rich@ddvi.net VP Security Level: Email, Account Authentication (None)Signature Adoption: Drawn on Device Using IP Address: 63.224.190.11 Sent: 7/2/2025 11:15:35 AM Viewed: 7/2/2025 11:18:22 AM Signed: 7/2/2025 11:18:49 AM Electronic Record and Signature Disclosure: Accepted: 7/2/2025 11:18:22 AM ID: 9a8d345e-2446-48d3-b5c0-7760ecfa4ce3 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 7/2/2025 10:05:11 AM Certified Delivered Security Checked 7/2/2025 11:18:22 AM Signing Complete Security Checked 7/2/2025 11:18:49 AM Completed Security Checked 7/2/2025 11:18:49 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Ryan Companies US, Inc. 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All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:50:37 ET on 07/01/2025 under Order No.4104251064 which expires on 08/13/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA42) 1 PROJECT: (name and address)CONTRACT INFORMATION:CHANGE ORDER INFORMATION: Waukee Public Safety Facility (WPS)Contract For: Bid Package #8 Glass & Glazing Change Order Number: WPS CO 13 (Ford Metro No. 7) 815 NW 20th Street Waukee, IA 50263 Date: 12.18.2023 Date: 7.7.2025 OWNER: (name and address)ARCHITECT: (name and address)CONSTRUCTION MANAGER: (name and address) City of Waukee OPN Architects Ryan Companies US, Inc. 230 W Hickman Road Waukee, IA 50263 100 Court Avenue, #100 Des Moines, IA 50309 111 East Grand Avenue, Des Moines, IA 50309 CONTRACTOR: (name and address) Ford Metro, Inc. 3121 40th Avenue NW Rochester, MN 55901 THE CONTRACT IS CHANGED AS FOLLOWS: (Insert a detailed description of the change and, if applicable, attach or reference specific exhibits. Also include agreed upon adjustments attributable to executed Construction Change Directives.) Scope modifications will include: WPS CR121 FDC Plate and Break Metal ADD $1045.00 The original Contract Sum was $1,069,100.00 Net change by previously authorized Change Orders $2,879.33 The Contract Sum prior to this Change Order was $1,071,979.33 The Contract Sum will be increased by this Change Order in the amount of $1,045.00 The new Contract Sum including this Change Order will be $1,073,024.33 The Contract Time will be increased by (0) days. The Contractor’s Work shall be substantially complete on June 18, 2025. NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONSTRUCTION MANAGER, CONTRACTOR, AND OWNER. OPN Architects Ryan Companies US, Inc. ARCHITECT (Firm name)CONSTRUCTION MANAGER (Firm name) SIGNATURE SIGNATURE Danielle Hermann, Principal Ryan Pigneri, Sr. Project Manager PRINTED NAME AND TITLE PRINTED NAME AND TITLE DATE:DATE: Ford Metro, Inc. City of Waukee Iowa CONTRACTOR (Firm name)OWNER (Firm name) Docusign Envelope ID: 74D4E378-F244-48C0-A37C-FC621DB6CBAC 7/2/20257/2/2025 AIA Document G731 – 2019 (formerly G701™CMa – 1992). Copyright © 1992 and 2019. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:50:37 ET on 07/01/2025 under Order No.4104251064 which expires on 08/13/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA42) 2 SIGNATURE SIGNATURE PRINTED NAME AND TITLE PRINTED NAME AND TITLE Brad Deets, City Administrator DATE:DATE: Docusign Envelope ID: 74D4E378-F244-48C0-A37C-FC621DB6CBAC Nick Hanrahan Project Manager 7/2/2025 Waukee Public Safety - Change Request Summary 5/23/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 121.0 DDVI No response $0.00 121.1 Jordison Construction No response $0.00 121.2 Enterprise Precast No response $0.00 121.3 TSF Structures No response $0.00 121.4 Northwest Steel No response $0.00 121.5 Forman Ford No response $0.00 121.6 Academy Roofing No response $0.00 121.7 Ford Metro Furnish and install FDC plate and break metal for light fixture concealment at lobby $1,045.00 121.8 Skold Door No response $0.00 121.9 Hilsabeck Schacht No response $0.00 121.10 Elite Fire Sprinkler No response $0.00 121.11 Kruck Plumbing and Heating No response $0.00 121.12 Van Maanen No response $0.00 121.13 TriCity Electric No response $0.00 121.14 Wenthold No response $0.00 121.15 Absolute No response $0.00 121.16 Jordison Construction No response $0.00 121.17 Alpha Landscapes No response $0.00 $1,045.00 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$33.96 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $1,078.96 Change Request 121 Summary: Add plate behind FDC and caulk flutes per OPN observation report #9. Add break metal at lobby that was not specified. Change Request 121 Subtotal Change Request 121 Cost Change Total Docusign Envelope ID: 74D4E378-F244-48C0-A37C-FC621DB6CBAC Date:5/22/2025 Project:WAUKEE PUBLIC SAFETY Description:ADD BRAKE METAL MATERIAL COSTS BRAKE METAL - BENT 575.00$ MATERIAL TOTAL: 575.00$ LABOR $125/hr 375.00$ SUM:950.00$ OH&P:95.00$ 10% TOTAL CHANGE:1,045.00$ BRAKE METAL ADDED AT EXTERIOR PENETRATION AND ALONG STEEL C-CHANNEL AT MAIN ENTRY PER RYAN CO. Docusign Envelope ID: 74D4E378-F244-48C0-A37C-FC621DB6CBAC Docusign Envelope ID: 74D4E378-F244-48C0-A37C-FC621DB6CBAC Docusign Envelope ID: 74D4E378-F244-48C0-A37C-FC621DB6CBAC Certificate Of Completion Envelope Id: 74D4E378-F244-48C0-A37C-FC621DB6CBAC Status: Completed Subject: Complete with Docusign: Ford Metro CO No. 7_Project Manual.pdf Source Envelope: Document Pages: 6 Signatures: 3 Envelope Originator: Certificate Pages: 5 Initials: 0 Beth Bertlshofer AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 533 South Third Street, Suite 100 Minneapolis, MN 55415 Beth.Bertlshofer@RyanCompanies.com IP Address: 4.43.134.74 Record Tracking Status: Original 7/2/2025 10:01:00 AM Holder: Beth Bertlshofer Beth.Bertlshofer@RyanCompanies.com Location: DocuSign Signer Events Signature Timestamp Ryan Pigneri Ryan.Pigneri@RyanCompanies.com Project manager Ryan Companies US, Inc. Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 216.251.164.114 Sent: 7/2/2025 10:02:42 AM Viewed: 7/2/2025 10:03:34 AM Signed: 7/2/2025 10:03:51 AM Electronic Record and Signature Disclosure: Not Offered via Docusign Danielle Hermann dhermann@opnarchitects.com Associate Principal, OPN Architects Security Level: Email, Account Authentication (None)Signature Adoption: Drawn on Device Using IP Address: 2604:2d80:7d83:4200:e8e9:c92f:24ca:6891 Sent: 7/2/2025 10:03:52 AM Viewed: 7/2/2025 11:17:05 AM Signed: 7/2/2025 11:17:10 AM Electronic Record and Signature Disclosure: Accepted: 3/8/2024 9:41:52 AM ID: b5094507-12ff-4a23-a34a-4f95064c0e54 Nick Hanrahan nhanrahan@fordmetro.com Project Manager Ford Metro, Inc. Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 216.188.205.178 Sent: 7/2/2025 11:17:11 AM Viewed: 7/2/2025 11:21:02 AM Signed: 7/2/2025 11:21:26 AM Electronic Record and Signature Disclosure: Accepted: 7/2/2025 11:21:02 AM ID: 4360d58f-592a-4891-b0ee-ce3d51d78051 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 7/2/2025 10:02:42 AM Certified Delivered Security Checked 7/2/2025 11:21:02 AM Signing Complete Security Checked 7/2/2025 11:21:26 AM Completed Security Checked 7/2/2025 11:21:26 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Ryan Companies US, Inc. (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 3/8/2022 10:52:08 AM Parties agreed to: Danielle Hermann, Nick Hanrahan Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Ryan Companies US, Inc.: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: graham.belmont@ryancompanies.com To advise Ryan Companies US, Inc. of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at graham.belmont@ryancompanies.com and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from Ryan Companies US, Inc. To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with Ryan Companies US, Inc. To inform us that you no longer wish to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:  You can access and read this Electronic Record and Signature Disclosure; and  You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and  Until or unless you notify Ryan Companies US, Inc. as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Ryan Companies US, Inc. during the course of your relationship with Ryan Companies US, Inc.. Document G731™ – 2019 Change Order, Construction Manager as Adviser Edition AIA Document G731 – 2019 (formerly G701™CMa – 1992). Copyright © 1992 and 2019. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:46:23 ET on 07/01/2025 under Order No.4104251064 which expires on 08/13/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA42) 1 PROJECT: (name and address)CONTRACT INFORMATION:CHANGE ORDER INFORMATION: Waukee Public Safety Facility (WPS)Contract For: Bid Package #10 Framing, Drywall, & Ceilings Change Order Number: WPS CO 13 (HSI No. 9) 815 NW 20th Street Waukee, IA 50263 Date: 12.18.2023 Date: 7.7.2025 OWNER: (name and address)ARCHITECT: (name and address)CONSTRUCTION MANAGER: (name and address) City of Waukee OPN Architects Ryan Companies US, Inc. 230 W Hickman Road Waukee, IA 50263 100 Court Avenue, #100 Des Moines, IA 50309 111 East Grand Avenue, Des Moines, IA 50309 CONTRACTOR: (name and address) Hilsabeck Schacht, Inc. 617 S. 19th Street West Des Moines, IA 50265 THE CONTRACT IS CHANGED AS FOLLOWS: (Insert a detailed description of the change and, if applicable, attach or reference specific exhibits. Also include agreed upon adjustments attributable to executed Construction Change Directives.) Scope modifications will include: WPS CR128 RFI-165 Add Metal Trim Add $1135.00 The original Contract Sum was $2,562,500.00 Net change by previously authorized Change Orders $38,288.33 The Contract Sum prior to this Change Order was $2,600,788.33 The Contract Sum will be increased by this Change Order in the amount of $1,135.00 The new Contract Sum including this Change Order will be $2,601,923.33 The Contract Time will be increased by (0) days. The Contractor’s Work shall be substantially complete on June 18, 2025. NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONSTRUCTION MANAGER, CONTRACTOR, AND OWNER. OPN Architects Ryan Companies US, Inc. ARCHITECT (Firm name)CONSTRUCTION MANAGER (Firm name) SIGNATURE SIGNATURE Danielle Hermann, Principal Ryan Pigneri, Sr Project Manager PRINTED NAME AND TITLE PRINTED NAME AND TITLE DATE:DATE: Hilsabeck Schacht, Inc. City of Waukee Iowa CONTRACTOR (Firm name)OWNER (Firm name) Docusign Envelope ID: B1D0F22C-554D-49CE-B697-A3B1A2DBBD16 7/2/20257/2/2025 AIA Document G731 – 2019 (formerly G701™CMa – 1992). Copyright © 1992 and 2019. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:46:23 ET on 07/01/2025 under Order No.4104251064 which expires on 08/13/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA42) 2 SIGNATURE SIGNATURE PRINTED NAME AND TITLE PRINTED NAME AND TITLE Brad Deets, City Administrator DATE:DATE: Docusign Envelope ID: B1D0F22C-554D-49CE-B697-A3B1A2DBBD16 7/2/2025 Dean Hixenbaugh Project Manager Waukee Public Safety - Change Request Summary 6/20/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 128.0 DDVI No response $0.00 128.1 Jordison Construction No response $0.00 128.2 Enterprise Precast No response $0.00 128.3 TSF Structures No response $0.00 128.4 Northwest Steel No response $0.00 128.5 Forman Ford No response $0.00 128.6 Academy Roofing No response $0.00 128.7 Ford Metro No response $0.00 128.8 Skold Door No response $0.00 128.9 Hilsabeck Schacht Modifications to steel flanges and metal trim at corners.$1,135.00 128.10 Elite Fire Sprinkler No response $0.00 128.11 Kruck Plumbing and Heating No response $0.00 128.12 Van Maanen No response $0.00 128.13 TriCity Electric No response $0.00 128.14 Wenthold No response $0.00 128.15 Absolute No response $0.00 128.16 Jordison Construction No response $0.00 128.17 Alpha Landscapes No response $0.00 $1,135.00 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$36.89 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $1,171.89 Change Request 128 Summary: Modify steel flanges to accept WD-2 ceiling per RFI-165 and addition of metal trim at 45 degree corners of soffits. Change Request 128 Subtotal Change Request 128 Cost Change Total Docusign Envelope ID: B1D0F22C-554D-49CE-B697-A3B1A2DBBD16 Date: GC/CM: Attn: Hilsabeck Schact Inc. 617 S 19th St. WDM, IA 50265 Phone: 515-221-3243 5/30/2025 Change Reason:Design Development Change Description: Ryan Companies RFQ-12 Requested by: Break Metal for WD-2 due to steel discrepancies Ryan Companies Ryan Pigneri Waukee Public Safety Materials LaborProposed Scope 2,675.00$ 1,135.00$ Custom Wood Finish Break Metal 1,135.00$ Thank you, and feel free to reach out with any questions. Sincerely, Dean Hixenbaugh Deducts Materials 2,675.00$ Project Manager Added Days: 0.00 Re: Change Reference: 1,135.00$ -$ Sub-Totals: Labor Total: Docusign Envelope ID: B1D0F22C-554D-49CE-B697-A3B1A2DBBD16 1 Ryan Pigneri From:Dean Hixenbaugh <DeanH@HSI123.com> Sent:Friday, May 30, 2025 7:02 AM To:Ryan Pigneri; Randall Miller Jr. Cc:Tod Mullins Subject:Waukee Public Safety: RFQ-12 Custom Break Metal due to Steel Variances Attachments:RFQ-12 HSI Pricing.pdf EXTERNAL EMAIL: If unknown sender, DO NOT click links/attachments. NEVER give out your user ID or password. Good morning Ryan team, Following up per our previous conversations regarding the closed change order and the steel variance. Please see attachment for the pricing. Please see below for additional clarifications. · The labor was reduced as discussed with @Randall and @Ryan. o The labor is shown in the add column, but deducted in the deduct column. · The HSI team simply wants the materials covered. Sincerely, Dean Hixenbaugh Project Manager Email:DeanH@hsi123.com Cell: 515-587-2144 Office: 515-221-3243 617 S 19th St. WDM, IA 50265 Docusign Envelope ID: B1D0F22C-554D-49CE-B697-A3B1A2DBBD16 Certificate Of Completion Envelope Id: B1D0F22C-554D-49CE-B697-A3B1A2DBBD16 Status: Completed Subject: Complete with Docusign: HSI CO No. 9_Project Manual.pdf Source Envelope: Document Pages: 5 Signatures: 3 Envelope Originator: Certificate Pages: 5 Initials: 0 Beth Bertlshofer AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 533 South Third Street, Suite 100 Minneapolis, MN 55415 Beth.Bertlshofer@RyanCompanies.com IP Address: 4.43.134.74 Record Tracking Status: Original 7/2/2025 10:06:32 AM Holder: Beth Bertlshofer Beth.Bertlshofer@RyanCompanies.com Location: DocuSign Signer Events Signature Timestamp Ryan Pigneri Ryan.Pigneri@RyanCompanies.com Project manager Ryan Companies US, Inc. Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 216.251.164.114 Sent: 7/2/2025 10:07:48 AM Viewed: 7/2/2025 10:09:13 AM Signed: 7/2/2025 10:09:47 AM Electronic Record and Signature Disclosure: Not Offered via Docusign Danielle Hermann dhermann@opnarchitects.com Associate Principal, OPN Architects Security Level: Email, Account Authentication (None)Signature Adoption: Drawn on Device Using IP Address: 2604:2d80:7d83:4200:e8e9:c92f:24ca:6891 Sent: 7/2/2025 10:09:48 AM Viewed: 7/2/2025 10:11:12 AM Signed: 7/2/2025 10:11:21 AM Electronic Record and Signature Disclosure: Accepted: 3/8/2024 9:41:52 AM ID: b5094507-12ff-4a23-a34a-4f95064c0e54 Dean Hixenbaugh deanh@hsi123.com Project Manager Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 136.44.64.29 Sent: 7/2/2025 10:11:22 AM Viewed: 7/2/2025 1:12:23 PM Signed: 7/2/2025 1:13:12 PM Electronic Record and Signature Disclosure: Accepted: 7/2/2025 1:12:23 PM ID: 8cef594e-4b25-4e33-a0f1-8f3fd747e97e 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 7/2/2025 10:07:48 AM Certified Delivered Security Checked 7/2/2025 1:12:23 PM Signing Complete Security Checked 7/2/2025 1:13:12 PM Completed Security Checked 7/2/2025 1:13:12 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Ryan Companies US, Inc. (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 3/8/2022 10:52:08 AM Parties agreed to: Danielle Hermann, Dean Hixenbaugh Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Ryan Companies US, Inc.: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: graham.belmont@ryancompanies.com To advise Ryan Companies US, Inc. of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at graham.belmont@ryancompanies.com and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from Ryan Companies US, Inc. To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with Ryan Companies US, Inc. To inform us that you no longer wish to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:  You can access and read this Electronic Record and Signature Disclosure; and  You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and  Until or unless you notify Ryan Companies US, Inc. as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Ryan Companies US, Inc. during the course of your relationship with Ryan Companies US, Inc.. Document G731™ – 2019 Change Order, Construction Manager as Adviser Edition AIA Document G731 – 2019 (formerly G701™CMa – 1992). Copyright © 1992 and 2019. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:52:20 ET on 07/01/2025 under Order No.4104251064 which expires on 08/13/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA3C) 1 PROJECT: (name and address)CONTRACT INFORMATION:CHANGE ORDER INFORMATION: Waukee Public Safety Facility (WPS)Contract For: Bid Package #2 Building Concrete Change Order Number: WPS CO 13 (Jordison No. 3) 815 NW 20th Street Waukee, IA 50263 Date: 12.18.2023 Date: 7.7.2025 OWNER: (name and address)ARCHITECT: (name and address)CONSTRUCTION MANAGER: (name and address) City of Waukee OPN Architects Ryan Companies US, Inc. 230 W Hickman Road Waukee, IA 50263 100 Court Avenue, #100 Des Moines, IA 50309 111 East Grand Avenue, Des Moines, IA 50309 CONTRACTOR: (name and address) Jordison Construction, Inc. 12014 Ridgemont Drive Urbandale, IA 50323 THE CONTRACT IS CHANGED AS FOLLOWS: (Insert a detailed description of the change and, if applicable, attach or reference specific exhibits. Also include agreed upon adjustments attributable to executed Construction Change Directives.) Scope modifications will include: WPS CR122: Sealed Concrete & Caulking Credit Deduct $1563.00 The original Contract Sum was $1,271,000.00 Net change by previously authorized Change Orders $0.00 The Contract Sum prior to this Change Order was $1,271,000.00 The Contract Sum will be decreased by this Change Order in the amount of $1563.00 The new Contract Sum including this Change Order will be $1,269,437.00 The Contract Time will be increased by (0) days. The Contractor’s Work shall be substantially complete on June 18, 2025. NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONSTRUCTION MANAGER, CONTRACTOR, AND OWNER. OPN Architects Ryan Companies US, Inc. ARCHITECT (Firm name)CONSTRUCTION MANAGER (Firm name) SIGNATURE SIGNATURE Danielle Hermann, Principal Ryan Pigneri, Sr. Project Manager PRINTED NAME AND TITLE PRINTED NAME AND TITLE DATE:DATE: Jordison Construction, Inc. City of Waukee Iowa CONTRACTOR (Firm name)OWNER (Firm name) Docusign Envelope ID: A3B1FFFA-9048-4655-97B6-4AAEB4693406 7/2/20257/3/2025 AIA Document G731 – 2019 (formerly G701™CMa – 1992). Copyright © 1992 and 2019. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:52:20 ET on 07/01/2025 under Order No.4104251064 which expires on 08/13/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA3C) 2 SIGNATURE SIGNATURE PRINTED NAME AND TITLE PRINTED NAME AND TITLE Brad Deets, City Administrator DATE:DATE: Docusign Envelope ID: A3B1FFFA-9048-4655-97B6-4AAEB4693406 Jerry Savage PM 7/3/2025 Waukee Public Safety - Change Request Summary 5/23/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 122.0 DDVI No response $0.00 122.1 Jordison Construction Credit sealed concrete and joint caulking -$1,563.00 122.2 Enterprise Precast No response $0.00 122.3 TSF Structures No response $0.00 122.4 Northwest Steel No response $0.00 122.5 Forman Ford No response $0.00 122.6 Academy Roofing No response $0.00 122.7 Ford Metro No response $0.00 122.8 Skold Door No response $0.00 122.9 Hilsabeck Schacht No response $0.00 122.10 Elite Fire Sprinkler No response $0.00 122.11 Kruck Plumbing and Heating No response $0.00 122.12 Van Maanen No response $0.00 122.13 TriCity Electric No response $0.00 122.14 Wenthold No response $0.00 122.15 Absolute No response $0.00 122.16 Jordison Construction No response $0.00 122.17 Alpha Landscapes No response $0.00 -$1,563.00 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)-$50.80 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 -$1,613.80 Change Request 122 Summary: Credit back sealed concrete and joint caulking where polished concrete was added. Change Request 122 Subtotal Change Request 122 Cost Change Total Docusign Envelope ID: A3B1FFFA-9048-4655-97B6-4AAEB4693406 Docusign Envelope ID: A3B1FFFA-9048-4655-97B6-4AAEB4693406 Certificate Of Completion Envelope Id: A3B1FFFA-9048-4655-97B6-4AAEB4693406 Status: Completed Subject: Complete with Docusign: Jordison CO No. 3_Project Manual (2).pdf Source Envelope: Document Pages: 4 Signatures: 3 Envelope Originator: Certificate Pages: 5 Initials: 0 Beth Bertlshofer AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 533 South Third Street, Suite 100 Minneapolis, MN 55415 Beth.Bertlshofer@RyanCompanies.com IP Address: 4.43.134.74 Record Tracking Status: Original 7/2/2025 9:50:17 AM Holder: Beth Bertlshofer Beth.Bertlshofer@RyanCompanies.com Location: DocuSign Signer Events Signature Timestamp Ryan Pigneri Ryan.Pigneri@RyanCompanies.com Project manager Ryan Companies US, Inc. Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 149.154.1.99 Sent: 7/2/2025 9:52:23 AM Resent: 7/2/2025 1:38:10 PM Viewed: 7/2/2025 1:39:37 PM Signed: 7/2/2025 1:40:00 PM Electronic Record and Signature Disclosure: Not Offered via Docusign Danielle Hermann dhermann@opnarchitects.com Associate Principal, OPN Architects Security Level: Email, Account Authentication (None)Signature Adoption: Drawn on Device Using IP Address: 173.215.102.199 Sent: 7/2/2025 1:40:01 PM Viewed: 7/3/2025 9:34:22 AM Signed: 7/3/2025 9:34:30 AM Electronic Record and Signature Disclosure: Accepted: 3/8/2024 9:41:52 AM ID: b5094507-12ff-4a23-a34a-4f95064c0e54 Jerry Savage jsavage@jordisonconstruction.com PM Jordison Construction Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 152.117.110.115 Sent: 7/3/2025 9:34:31 AM Viewed: 7/3/2025 9:38:25 AM Signed: 7/3/2025 9:39:06 AM Electronic Record and Signature Disclosure: Accepted: 7/3/2025 9:38:25 AM ID: 26b57418-2533-4c53-b35e-50de3dc19123 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 7/2/2025 9:52:23 AM Certified Delivered Security Checked 7/3/2025 9:38:25 AM Signing Complete Security Checked 7/3/2025 9:39:06 AM Completed Security Checked 7/3/2025 9:39:06 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Ryan Companies US, Inc. (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 3/8/2022 10:52:08 AM Parties agreed to: Danielle Hermann, Jerry Savage Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Ryan Companies US, Inc.: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: graham.belmont@ryancompanies.com To advise Ryan Companies US, Inc. of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at graham.belmont@ryancompanies.com and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from Ryan Companies US, Inc. To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with Ryan Companies US, Inc. To inform us that you no longer wish to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:  You can access and read this Electronic Record and Signature Disclosure; and  You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and  Until or unless you notify Ryan Companies US, Inc. as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Ryan Companies US, Inc. during the course of your relationship with Ryan Companies US, Inc.. Document G731™ – 2019 Change Order, Construction Manager as Adviser Edition AIA Document G731 – 2019 (formerly G701™CMa – 1992). Copyright © 1992 and 2019. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:51:31 ET on 07/01/2025 under Order No.4104251064 which expires on 08/13/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA3D) 1 PROJECT: (name and address)CONTRACT INFORMATION:CHANGE ORDER INFORMATION: Waukee Public Safety Facility (WPS)Contract For: Bid Package #17 Site Concrete Change Order Number: WPS CO 13 (Jordison No. 5) 815 NW 20th Street Waukee, IA 50263 Date: 12.18.2023 Date: 7.7.2025 OWNER: (name and address)ARCHITECT: (name and address)CONSTRUCTION MANAGER: (name and address) City of Waukee OPN Architects Ryan Companies US, Inc. 230 W Hickman Road Waukee, IA 50263 100 Court Avenue, #100 Des Moines, IA 50309 111 East Grand Avenue, Des Moines, IA 50309 CONTRACTOR: (name and address) Jordison Construction, Inc. 12014 Ridgemont Drive Urbandale, IA 50323 THE CONTRACT IS CHANGED AS FOLLOWS: (Insert a detailed description of the change and, if applicable, attach or reference specific exhibits. Also include agreed upon adjustments attributable to executed Construction Change Directives.) Scope modifications will include: WPS CR 131 Gen Pad and Sidewalk ADD $1350.00 The original Contract Sum was $1,110,000.00 Net change by previously authorized Change Orders $21,434.50 The Contract Sum prior to this Change Order was $1,131,434.50 The Contract Sum will be increased by this Change Order in the amount of $1,350.00 The new Contract Sum including this Change Order will be $1,132,784.50 The Contract Time will be increased by (0) days. The Contractor’s Work shall be substantially complete on June 18, 2025. NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONSTRUCTION MANAGER, CONTRACTOR, AND OWNER. OPN Architects Ryan Companies US, Inc. ARCHITECT (Firm name)CONSTRUCTION MANAGER (Firm name) SIGNATURE SIGNATURE Danielle Hermann, Principal Ryan Pigneri, Sr. Project Manager PRINTED NAME AND TITLE PRINTED NAME AND TITLE DATE:DATE: Jordison Construction, Inc. City of Waukee Iowa CONTRACTOR (Firm name)OWNER (Firm name) Docusign Envelope ID: 810FC567-7837-464D-B4FA-08F935E58956 7/2/20257/2/2025 AIA Document G731 – 2019 (formerly G701™CMa – 1992). Copyright © 1992 and 2019. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:51:31 ET on 07/01/2025 under Order No.4104251064 which expires on 08/13/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA3D) 2 SIGNATURE SIGNATURE PRINTED NAME AND TITLE PRINTED NAME AND TITLE Brad Deets, City Administrator DATE:DATE: Docusign Envelope ID: 810FC567-7837-464D-B4FA-08F935E58956 Jerry Savage 7/2/2025 PM Waukee Public Safety - Change Request Summary 5/23/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 131.0 DDVI No response $0.00 131.1 Jordison Construction No response $0.00 131.2 Enterprise Precast No response $0.00 131.3 TSF Structures No response $0.00 131.4 Northwest Steel No response $0.00 131.5 Forman Ford No response $0.00 131.6 Academy Roofing No response $0.00 131.7 Ford Metro No response $0.00 131.8 Skold Door No response $0.00 131.9 Hilsabeck Schacht No response $0.00 131.10 Elite Fire Sprinkler No response $0.00 131.11 Kruck Plumbing and Heating No response $0.00 131.12 Van Maanen No response $0.00 131.13 TriCity Electric No response $0.00 131.14 Wenthold No response $0.00 131.15 Absolute No response $0.00 131.16 Jordison Construction Modify foundation and rework grade for gen pad and sidewalk $1,350.00 131.17 Alpha Landscapes No response $0.00 $1,350.00 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$43.88 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $1,393.88 Change Request 131 Summary: Generator pad and sidewalk had conflicting elevations and slopes with the enclosure precast and steel foundations. Change Request 131 Subtotal Change Request 131 Cost Change Total Docusign Envelope ID: 810FC567-7837-464D-B4FA-08F935E58956 Docusign Envelope ID: 810FC567-7837-464D-B4FA-08F935E58956 Docusign Envelope ID: 810FC567-7837-464D-B4FA-08F935E58956 Docusign Envelope ID: 810FC567-7837-464D-B4FA-08F935E58956 Certificate Of Completion Envelope Id: 810FC567-7837-464D-B4FA-08F935E58956 Status: Completed Subject: Complete with Docusign: Jordison CO No. 5_Project Manual.pdf Source Envelope: Document Pages: 6 Signatures: 3 Envelope Originator: Certificate Pages: 5 Initials: 0 Beth Bertlshofer AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 533 South Third Street, Suite 100 Minneapolis, MN 55415 Beth.Bertlshofer@RyanCompanies.com IP Address: 4.43.134.74 Record Tracking Status: Original 7/2/2025 9:59:48 AM Holder: Beth Bertlshofer Beth.Bertlshofer@RyanCompanies.com Location: DocuSign Signer Events Signature Timestamp Ryan Pigneri Ryan.Pigneri@RyanCompanies.com Project manager Ryan Companies US, Inc. Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 216.251.164.114 Sent: 7/2/2025 10:00:54 AM Viewed: 7/2/2025 10:04:32 AM Signed: 7/2/2025 10:04:49 AM Electronic Record and Signature Disclosure: Not Offered via Docusign Danielle Hermann dhermann@opnarchitects.com Associate Principal, OPN Architects Security Level: Email, Account Authentication (None)Signature Adoption: Drawn on Device Using IP Address: 2604:2d80:7d83:4200:e8e9:c92f:24ca:6891 Sent: 7/2/2025 10:04:50 AM Viewed: 7/2/2025 11:16:23 AM Signed: 7/2/2025 11:16:29 AM Electronic Record and Signature Disclosure: Accepted: 3/8/2024 9:41:52 AM ID: b5094507-12ff-4a23-a34a-4f95064c0e54 Jerry Savage jsavage@jordisonconstruction.com PM Jordison Construction Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 152.117.110.115 Sent: 7/2/2025 11:16:30 AM Viewed: 7/2/2025 11:18:27 AM Signed: 7/2/2025 11:19:02 AM Electronic Record and Signature Disclosure: Accepted: 7/2/2025 11:18:27 AM ID: b218bed6-190d-4844-9fdf-ee95e759cd47 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 7/2/2025 10:00:54 AM Certified Delivered Security Checked 7/2/2025 11:18:27 AM Signing Complete Security Checked 7/2/2025 11:19:02 AM Completed Security Checked 7/2/2025 11:19:02 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Ryan Companies US, Inc. (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 3/8/2022 10:52:08 AM Parties agreed to: Danielle Hermann, Jerry Savage Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Ryan Companies US, Inc.: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: graham.belmont@ryancompanies.com To advise Ryan Companies US, Inc. of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at graham.belmont@ryancompanies.com and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from Ryan Companies US, Inc. To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with Ryan Companies US, Inc. To inform us that you no longer wish to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:  You can access and read this Electronic Record and Signature Disclosure; and  You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and  Until or unless you notify Ryan Companies US, Inc. as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Ryan Companies US, Inc. during the course of your relationship with Ryan Companies US, Inc.. Document G731™ – 2019 Change Order, Construction Manager as Adviser Edition AIA Document G731 – 2019 (formerly G701™CMa – 1992). Copyright © 1992 and 2019. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:49:47 ET on 07/01/2025 under Order No.4104251064 which expires on 08/13/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA4B) 1 PROJECT: (name and address)CONTRACT INFORMATION:CHANGE ORDER INFORMATION: Waukee Public Safety Facility (WPS)Contract For: Bid Package #12 Mechanical & Plumbing Change Order Number: WPS CO 13 (Kruck No. 7) 815 NW 20th Street Waukee, IA 50263 Date: 12.18.2023 Date: 7.7.2025 OWNER: (name and address)ARCHITECT: (name and address)CONSTRUCTION MANAGER: (name and address) City of Waukee OPN Architects Ryan Companies US, Inc. 230 W Hickman Road Waukee, IA 50263 100 Court Avenue, #100 Des Moines, IA 50309 111 East Grand Avenue, Des Moines, IA 50309 CONTRACTOR: (name and address) Kruck Plumbing & Heating Co., Inc. 734 7th Street, P.O. Box 189 Boone, IA 50036 THE CONTRACT IS CHANGED AS FOLLOWS: (Insert a detailed description of the change and, if applicable, attach or reference specific exhibits. Also include agreed upon adjustments attributable to executed Construction Change Directives.) Scope modifications will include: WPS CR 136 Irrigation System requirements Add of $502.69 The original Contract Sum was $5,947,000.00 Net change by previously authorized Change Orders $47,307.23 The Contract Sum prior to this Change Order was $5,994,307.23 The Contract Sum will be increased by this Change Order in the amount of $502.69 The new Contract Sum including this Change Order will be $5,994,809.92 The Contract Time will be increased by (0) days. The Contractor’s Work shall be substantially complete on June 18, 2025. NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONSTRUCTION MANAGER, CONTRACTOR, AND OWNER. OPN Architects Ryan Companies US, Inc. ARCHITECT (Firm name)CONSTRUCTION MANAGER (Firm name) SIGNATURE SIGNATURE Danielle Hermann, Principal Ryan Pigneri, Sr. Project Manager PRINTED NAME AND TITLE PRINTED NAME AND TITLE DATE:DATE: Kruck Plumbing & Heating Co., Inc.City of Waukee Iowa CONTRACTOR (Firm name)OWNER (Firm name) Docusign Envelope ID: A20E63F0-F7A9-4A01-A8FD-399A2E986BA2 7/2/20257/2/2025 AIA Document G731 – 2019 (formerly G701™CMa – 1992). Copyright © 1992 and 2019. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:49:47 ET on 07/01/2025 under Order No.4104251064 which expires on 08/13/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA4B) 2 SIGNATURE SIGNATURE PRINTED NAME AND TITLE PRINTED NAME AND TITLE Brad Deets, City Administrator DATE:DATE: Docusign Envelope ID: A20E63F0-F7A9-4A01-A8FD-399A2E986BA2 Gary Lewis Vice President 7/3/2025 Waukee Public Safety - Change Request Summary 6/19/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 136.0 DDVI No response $0.00 136.1 Jordison Construction No response $0.00 136.2 Enterprise Precast No response $0.00 136.3 TSF Structures No response $0.00 136.4 Northwest Steel No response $0.00 136.5 Forman Ford No response $0.00 136.6 Academy Roofing No response $0.00 136.7 Ford Metro No response $0.00 136.8 Skold Door No response $0.00 136.9 Hilsabeck Schacht No response $0.00 136.10 Elite Fire Sprinkler No response $0.00 136.11 Kruck Plumbing and Heating Add blow-off valve on irrigation service line.$502.69 136.12 Van Maanen Furnish pathway into water room from exterior for controller wiring.$734.65 136.13 TriCity Electric No response $0.00 136.14 Wenthold No response $0.00 136.15 Absolute No response $0.00 136.16 Jordison Construction No response $0.00 136.17 Alpha Landscapes No response $0.00 $1,237.34 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$40.21 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $1,277.55 Change Request 136 Summary: Irrigation line required a blow-off valve for winterization process. This was not outlined in the irrigation diagram but was required for maintenance purposes. Pathway to controller from outside required. Change Request 136 Subtotal Change Request 136 Cost Change Total Docusign Envelope ID: A20E63F0-F7A9-4A01-A8FD-399A2E986BA2 Invoice Date 06/05/25 Invoice # WPSB-01 Waukee Public Safety Building 815 NW 20th Street Waukee, IA Terms Due on receipt Project We accept MasterCard, Visa and Discover. Total Subtotal Sales Tax (7.0%) 615 Story Street Boone, IA 50036 Phone (515) 432-2210 DescriptionQuanity Rate Amount 1 1 1 1 3 2x3/4 Press Tee 106.80 106.80 3/4 Press MIP 9.69 9.69 3/4 Thrd BV 164.20 164.20 3/4 Brass Plug 12.00 12.00 Labor 70.00 210.00 Remedy: Add blow down to Irrigation. $502.69 $502.69 $0.00 Docusign Envelope ID: A20E63F0-F7A9-4A01-A8FD-399A2E986BA2 Docusign Envelope ID: A20E63F0-F7A9-4A01-A8FD-399A2E986BA2 Certificate Of Completion Envelope Id: A20E63F0-F7A9-4A01-A8FD-399A2E986BA2 Status: Completed Subject: Complete with Docusign: Kruck CO No. 7_Project Manual.pdf Source Envelope: Document Pages: 5 Signatures: 3 Envelope Originator: Certificate Pages: 5 Initials: 0 Beth Bertlshofer AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 533 South Third Street, Suite 100 Minneapolis, MN 55415 Beth.Bertlshofer@RyanCompanies.com IP Address: 4.43.134.74 Record Tracking Status: Original 7/2/2025 10:02:51 AM Holder: Beth Bertlshofer Beth.Bertlshofer@RyanCompanies.com Location: DocuSign Signer Events Signature Timestamp Ryan Pigneri Ryan.Pigneri@RyanCompanies.com Project manager Ryan Companies US, Inc. Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 216.251.164.114 Sent: 7/2/2025 10:04:15 AM Viewed: 7/2/2025 10:06:09 AM Signed: 7/2/2025 10:06:28 AM Electronic Record and Signature Disclosure: Not Offered via Docusign Danielle Hermann dhermann@opnarchitects.com Associate Principal, OPN Architects Security Level: Email, Account Authentication (None)Signature Adoption: Drawn on Device Using IP Address: 2604:2d80:7d83:4200:e8e9:c92f:24ca:6891 Sent: 7/2/2025 10:06:29 AM Viewed: 7/2/2025 11:16:01 AM Signed: 7/2/2025 11:16:05 AM Electronic Record and Signature Disclosure: Accepted: 3/8/2024 9:41:52 AM ID: b5094507-12ff-4a23-a34a-4f95064c0e54 Gary Lewis glewis@kruckph.com Vice President Security Level: Email, Account Authentication (None)Signature Adoption: Pre-selected Style Using IP Address: 45.131.193.42 Signed using mobile Sent: 7/2/2025 11:16:06 AM Resent: 7/3/2025 10:47:29 AM Viewed: 7/3/2025 10:58:04 AM Signed: 7/3/2025 10:59:42 AM Electronic Record and Signature Disclosure: Accepted: 7/3/2025 10:58:04 AM ID: 89fde632-af7c-4e88-bf0d-7e97a0098326 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 7/2/2025 10:04:15 AM Certified Delivered Security Checked 7/3/2025 10:58:04 AM Signing Complete Security Checked 7/3/2025 10:59:42 AM Completed Security Checked 7/3/2025 10:59:42 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Ryan Companies US, Inc. (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 3/8/2022 10:52:08 AM Parties agreed to: Danielle Hermann, Gary Lewis Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Ryan Companies US, Inc.: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: graham.belmont@ryancompanies.com To advise Ryan Companies US, Inc. of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at graham.belmont@ryancompanies.com and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from Ryan Companies US, Inc. To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with Ryan Companies US, Inc. To inform us that you no longer wish to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:  You can access and read this Electronic Record and Signature Disclosure; and  You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and  Until or unless you notify Ryan Companies US, Inc. as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Ryan Companies US, Inc. during the course of your relationship with Ryan Companies US, Inc.. Document G731™ – 2019 Change Order, Construction Manager as Adviser Edition AIA Document G731 – 2019 (formerly G701™CMa – 1992). Copyright © 1992 and 2019. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:47:49 ET on 07/01/2025 under Order No.4104251064 which expires on 08/13/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA4B) 1 PROJECT: (name and address)CONTRACT INFORMATION:CHANGE ORDER INFORMATION: Waukee Public Safety Facility (WPS)Contract For: Bid Package #13 Electrical & Communications Change Order Number: WPS CO 13 (Van Maanen No. 13 815 NW 20th Street Waukee, IA 50263 Date: 12.18.2023 Date: 7.7.2025 OWNER: (name and address)ARCHITECT: (name and address)CONSTRUCTION MANAGER: (name and address) City of Waukee OPN Architects Ryan Companies US, Inc. 230 W Hickman Road Waukee, IA 50263 100 Court Avenue, #100 Des Moines, IA 50309 111 East Grand Avenue, Des Moines, IA 50309 CONTRACTOR: (name and address) Van Maanen Electric, Inc. 500 Iowa Speedway Dr. Newton, IA 50208 THE CONTRACT IS CHANGED AS FOLLOWS: (Insert a detailed description of the change and, if applicable, attach or reference specific exhibits. Also include agreed upon adjustments attributable to executed Construction Change Directives.) Scope modifications will include: WPS CR99 RFI-135 Wash Bay ADD $4,881.24 WPS CR132 Locker and Break Room GFI Add $5,142.09 WPS CR136 Irrigation System Requirements Add $734.65 The original Contract Sum was $4,711,425.00 Net change by previously authorized Change Orders $178886.25 The Contract Sum prior to this Change Order was $4,890,311.25 The Contract Sum will be increased by this Change Order in the amount of $10,757.98 The new Contract Sum including this Change Order will be $4,901,069.23 The Contract Time will be increased by (0) days. The Contractor’s Work shall be substantially complete on June 18, 2025. NOTE: This Change Order does not include adjustments to the Contract Sum or Guaranteed Maximum Price, or the Contract Time, that have been authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner and Contractor, in which case a Change Order is executed to supersede the Construction Change Directive. NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONSTRUCTION MANAGER, CONTRACTOR, AND OWNER. OPN Architects Ryan Companies US, Inc. ARCHITECT (Firm name)CONSTRUCTION MANAGER (Firm name) SIGNATURE SIGNATURE Danielle Hermann, Principal Ryan Pigneri, Sr. Project Manager PRINTED NAME AND TITLE PRINTED NAME AND TITLE DATE:DATE: Van Maanen Electric, Inc. City of Waukee Iowa CONTRACTOR (Firm name)OWNER (Firm name) Docusign Envelope ID: FCCAA329-BB95-4DEB-B629-0754FAB89210 7/2/20257/2/2025 AIA Document G731 – 2019 (formerly G701™CMa – 1992). Copyright © 1992 and 2019. All rights reserved. “The American Institute of Architects,” “American Institute of Architects,” “AIA,” the AIA Logo, and “AIA Contract Documents” are trademarks of The American Institute of Architects. This document was produced at 10:47:49 ET on 07/01/2025 under Order No.4104251064 which expires on 08/13/2025, is not for resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents® Terms of Service. To report copyright violations, e-mail docinfo@aiacontracts.com. User Notes: (3B9ADA4B) 2 SIGNATURE SIGNATURE PRINTED NAME AND TITLE PRINTED NAME AND TITLE Brad Deets, City Administrator DATE:DATE: Docusign Envelope ID: FCCAA329-BB95-4DEB-B629-0754FAB89210 Project ManagerScott Handeland 7/2/2025 Waukee Public Safety - Change Request Summary 6/19/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 99.0 DDVI Furnish and install curtain per RFI-135 response.$4,958.80 99.1 Jordison Construction No response $0.00 99.2 Enterprise Precast No response $0.00 99.3 TSF Structures No response $0.00 99.4 Northwest Steel No response $0.00 99.5 Forman Ford No response $0.00 99.6 Academy Roofing No response $0.00 99.7 Ford Metro No response $0.00 99.8 Skold Door No response $0.00 99.9 Hilsabeck Schacht No response $0.00 99.10 Elite Fire Sprinkler No response $0.00 99.11 Kruck Plumbing and Heating No response $0.00 99.12 Van Maanen Change electrical boxes and conduit to PVC and weatherproof in Wash Bay. $4,881.24 99.13 TriCity Electric No response $0.00 99.14 Wenthold No response $0.00 99.15 Absolute No response $0.00 99.16 Jordison Construction No response $0.00 99.17 Alpha Landscapes No response $0.00 $9,840.04 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$319.80 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $10,159.84 Change Request 099 Summary: Wash bay updates per RFI-135 Change Request 099 Subtotal Change Request 099 Cost Change Total Docusign Envelope ID: FCCAA329-BB95-4DEB-B629-0754FAB89210 Docusign Envelope ID: FCCAA329-BB95-4DEB-B629-0754FAB89210 Docusign Envelope ID: FCCAA329-BB95-4DEB-B629-0754FAB89210 Docusign Envelope ID: FCCAA329-BB95-4DEB-B629-0754FAB89210 Docusign Envelope ID: FCCAA329-BB95-4DEB-B629-0754FAB89210 Waukee Public Safety - Change Request Summary 6/19/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 132.0 DDVI No response $0.00 132.1 Jordison Construction No response $0.00 132.2 Enterprise Precast No response $0.00 132.3 TSF Structures No response $0.00 132.4 Northwest Steel No response $0.00 132.5 Forman Ford No response $0.00 132.6 Academy Roofing No response $0.00 132.7 Ford Metro No response $0.00 132.8 Skold Door No response $0.00 132.9 Hilsabeck Schacht No response $0.00 132.10 Elite Fire Sprinkler No response $0.00 132.11 Kruck Plumbing and Heating No response $0.00 132.12 Van Maanen Furnish and install GFI's to meet City Inspector requirements.$5,142.09 132.13 TriCity Electric No response $0.00 132.14 Wenthold No response $0.00 132.15 Absolute No response $0.00 132.16 Jordison Construction No response $0.00 132.17 Alpha Landscapes No response $0.00 $5,142.09 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$167.12 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $5,309.21 Change Request 132 Summary: Locker room and break room GFCI's per RFI-167, RFI-168, and City Inspector requirements. Change Request 132 Subtotal Change Request 132 Cost Change Total Docusign Envelope ID: FCCAA329-BB95-4DEB-B629-0754FAB89210 Docusign Envelope ID: FCCAA329-BB95-4DEB-B629-0754FAB89210 Certificate Of Completion Envelope Id: FCCAA329-BB95-4DEB-B629-0754FAB89210 Status: Completed Subject: Complete with Docusign: Van Maanen CO No. 13_Project Manual.pdf Source Envelope: Document Pages: 9 Signatures: 3 Envelope Originator: Certificate Pages: 5 Initials: 0 Beth Bertlshofer AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-06:00) Central Time (US & Canada) 533 South Third Street, Suite 100 Minneapolis, MN 55415 Beth.Bertlshofer@RyanCompanies.com IP Address: 4.43.134.74 Record Tracking Status: Original 7/2/2025 10:05:20 AM Holder: Beth Bertlshofer Beth.Bertlshofer@RyanCompanies.com Location: DocuSign Signer Events Signature Timestamp Ryan Pigneri Ryan.Pigneri@RyanCompanies.com Project manager Ryan Companies US, Inc. Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 216.251.164.114 Sent: 7/2/2025 10:06:28 AM Viewed: 7/2/2025 10:08:18 AM Signed: 7/2/2025 10:08:43 AM Electronic Record and Signature Disclosure: Not Offered via Docusign Danielle Hermann dhermann@opnarchitects.com Associate Principal, OPN Architects Security Level: Email, Account Authentication (None)Signature Adoption: Drawn on Device Using IP Address: 2604:2d80:7d83:4200:e8e9:c92f:24ca:6891 Sent: 7/2/2025 10:08:44 AM Viewed: 7/2/2025 10:12:17 AM Signed: 7/2/2025 10:12:25 AM Electronic Record and Signature Disclosure: Accepted: 3/8/2024 9:41:52 AM ID: b5094507-12ff-4a23-a34a-4f95064c0e54 Scott Handeland shandeland@vanmaanenelectric.com Project Manager Van Maanen Electric Inc. Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 209.23.155.150 Sent: 7/2/2025 10:12:27 AM Viewed: 7/2/2025 10:54:42 AM Signed: 7/2/2025 10:55:19 AM Electronic Record and Signature Disclosure: Accepted: 7/2/2025 10:54:42 AM ID: 7761465a-c2a6-4618-95c9-2fe5719fb01d 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 Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 7/2/2025 10:06:28 AM Certified Delivered Security Checked 7/2/2025 10:54:42 AM Signing Complete Security Checked 7/2/2025 10:55:19 AM Completed Security Checked 7/2/2025 10:55:19 AM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, Ryan Companies US, Inc. (we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. Getting paper copies At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time (usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a $0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below. Withdrawing your consent If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below. Consequences of changing your mind If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us. All notices and disclosures will be sent to you electronically Electronic Record and Signature Disclosure created on: 3/8/2022 10:52:08 AM Parties agreed to: Danielle Hermann, Scott Handeland Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us. How to contact Ryan Companies US, Inc.: You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows: To contact us by email send messages to: graham.belmont@ryancompanies.com To advise Ryan Companies US, Inc. of your new email address To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at graham.belmont@ryancompanies.com and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address. If you created a DocuSign account, you may update it with your new email address through your account preferences. To request paper copies from Ryan Companies US, Inc. To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any. To withdraw your consent with Ryan Companies US, Inc. To inform us that you no longer wish to receive future notices and disclosures in electronic format you may: i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may; ii. send us an email to graham.belmont@ryancompanies.com and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process.. Required hardware and software The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide- signing-system-requirements. Acknowledging your access and consent to receive and sign documents electronically To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system. By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:  You can access and read this Electronic Record and Signature Disclosure; and  You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and  Until or unless you notify Ryan Companies US, Inc. as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by Ryan Companies US, Inc. during the course of your relationship with Ryan Companies US, Inc.. Waukee Public Safety - Change Request Summary 6/19/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 99.0 DDVI Furnish and install curtain per RFI-135 response.$4,958.80 99.1 Jordison Construction No response $0.00 99.2 Enterprise Precast No response $0.00 99.3 TSF Structures No response $0.00 99.4 Northwest Steel No response $0.00 99.5 Forman Ford No response $0.00 99.6 Academy Roofing No response $0.00 99.7 Ford Metro No response $0.00 99.8 Skold Door No response $0.00 99.9 Hilsabeck Schacht No response $0.00 99.10 Elite Fire Sprinkler No response $0.00 99.11 Kruck Plumbing and Heating No response $0.00 99.12 Van Maanen Change electrical boxes and conduit to PVC and weatherproof in Wash Bay. $4,881.24 99.13 TriCity Electric No response $0.00 99.14 Wenthold No response $0.00 99.15 Absolute No response $0.00 99.16 Jordison Construction No response $0.00 99.17 Alpha Landscapes No response $0.00 $9,840.04 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$319.80 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $10,159.84 Change Request 099 Summary: Wash bay updates per RFI-135 Change Request 099 Subtotal Change Request 099 Cost Change Total Waukee Public Safety - Change Request Summary 5/23/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 121.0 DDVI No response $0.00 121.1 Jordison Construction No response $0.00 121.2 Enterprise Precast No response $0.00 121.3 TSF Structures No response $0.00 121.4 Northwest Steel No response $0.00 121.5 Forman Ford No response $0.00 121.6 Academy Roofing No response $0.00 121.7 Ford Metro Furnish and install FDC plate and break metal for light fixture concealment at lobby $1,045.00 121.8 Skold Door No response $0.00 121.9 Hilsabeck Schacht No response $0.00 121.10 Elite Fire Sprinkler No response $0.00 121.11 Kruck Plumbing and Heating No response $0.00 121.12 Van Maanen No response $0.00 121.13 TriCity Electric No response $0.00 121.14 Wenthold No response $0.00 121.15 Absolute No response $0.00 121.16 Jordison Construction No response $0.00 121.17 Alpha Landscapes No response $0.00 $1,045.00 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$33.96 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $1,078.96 Change Request 121 Summary: Add plate behind FDC and caulk flutes per OPN observation report #9. Add break metal at lobby that was not specified. Change Request 121 Subtotal Change Request 121 Cost Change Total Date:5/22/2025 Project:WAUKEE PUBLIC SAFETY Description:ADD BRAKE METAL MATERIAL COSTS BRAKE METAL - BENT 575.00$ MATERIAL TOTAL: 575.00$ LABOR $125/hr 375.00$ SUM:950.00$ OH&P:95.00$ 10% TOTAL CHANGE:1,045.00$ BRAKE METAL ADDED AT EXTERIOR PENETRATION AND ALONG STEEL C-CHANNEL AT MAIN ENTRY PER RYAN CO. Waukee Public Safety - Change Request Summary 5/23/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 122.0 DDVI No response $0.00 122.1 Jordison Construction Credit sealed concrete and joint caulking -$1,563.00 122.2 Enterprise Precast No response $0.00 122.3 TSF Structures No response $0.00 122.4 Northwest Steel No response $0.00 122.5 Forman Ford No response $0.00 122.6 Academy Roofing No response $0.00 122.7 Ford Metro No response $0.00 122.8 Skold Door No response $0.00 122.9 Hilsabeck Schacht No response $0.00 122.10 Elite Fire Sprinkler No response $0.00 122.11 Kruck Plumbing and Heating No response $0.00 122.12 Van Maanen No response $0.00 122.13 TriCity Electric No response $0.00 122.14 Wenthold No response $0.00 122.15 Absolute No response $0.00 122.16 Jordison Construction No response $0.00 122.17 Alpha Landscapes No response $0.00 -$1,563.00 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)-$50.80 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 -$1,613.80 Change Request 122 Summary: Credit back sealed concrete and joint caulking where polished concrete was added. Change Request 122 Subtotal Change Request 122 Cost Change Total Waukee Public Safety - Change Request Summary 6/20/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 128.0 DDVI No response $0.00 128.1 Jordison Construction No response $0.00 128.2 Enterprise Precast No response $0.00 128.3 TSF Structures No response $0.00 128.4 Northwest Steel No response $0.00 128.5 Forman Ford No response $0.00 128.6 Academy Roofing No response $0.00 128.7 Ford Metro No response $0.00 128.8 Skold Door No response $0.00 128.9 Hilsabeck Schacht Modifications to steel flanges and metal trim at corners.$1,135.00 128.10 Elite Fire Sprinkler No response $0.00 128.11 Kruck Plumbing and Heating No response $0.00 128.12 Van Maanen No response $0.00 128.13 TriCity Electric No response $0.00 128.14 Wenthold No response $0.00 128.15 Absolute No response $0.00 128.16 Jordison Construction No response $0.00 128.17 Alpha Landscapes No response $0.00 $1,135.00 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$36.89 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $1,171.89 Change Request 128 Summary: Modify steel flanges to accept WD-2 ceiling per RFI-165 and addition of metal trim at 45 degree corners of soffits. Change Request 128 Subtotal Change Request 128 Cost Change Total Date: GC/CM: Attn: Hilsabeck Schact Inc. 617 S 19th St. WDM, IA 50265 Phone: 515-221-3243 5/30/2025 Change Reason:Design Development Change Description: Ryan Companies RFQ-12 Requested by: Break Metal for WD-2 due to steel discrepancies Ryan Companies Ryan Pigneri Waukee Public Safety Materials LaborProposed Scope 2,675.00$ 1,135.00$ Custom Wood Finish Break Metal 1,135.00$ Thank you, and feel free to reach out with any questions. Sincerely, Dean Hixenbaugh Deducts Materials 2,675.00$ Project Manager Added Days: 0.00 Re: Change Reference: 1,135.00$ -$ Sub-Totals: Labor Total: 1 Ryan Pigneri From:Dean Hixenbaugh <DeanH@HSI123.com> Sent:Friday, May 30, 2025 7:02 AM To:Ryan Pigneri; Randall Miller Jr. Cc:Tod Mullins Subject:Waukee Public Safety: RFQ-12 Custom Break Metal due to Steel Variances Attachments:RFQ-12 HSI Pricing.pdf EXTERNAL EMAIL: If unknown sender, DO NOT click links/attachments. NEVER give out your user ID or password. Good morning Ryan team, Following up per our previous conversations regarding the closed change order and the steel variance. Please see attachment for the pricing. Please see below for additional clarifications. · The labor was reduced as discussed with @Randall and @Ryan. o The labor is shown in the add column, but deducted in the deduct column. · The HSI team simply wants the materials covered. Sincerely, Dean Hixenbaugh Project Manager Email:DeanH@hsi123.com Cell: 515-587-2144 Office: 515-221-3243 617 S 19th St. WDM, IA 50265 Waukee Public Safety - Change Request Summary 5/23/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 131.0 DDVI No response $0.00 131.1 Jordison Construction No response $0.00 131.2 Enterprise Precast No response $0.00 131.3 TSF Structures No response $0.00 131.4 Northwest Steel No response $0.00 131.5 Forman Ford No response $0.00 131.6 Academy Roofing No response $0.00 131.7 Ford Metro No response $0.00 131.8 Skold Door No response $0.00 131.9 Hilsabeck Schacht No response $0.00 131.10 Elite Fire Sprinkler No response $0.00 131.11 Kruck Plumbing and Heating No response $0.00 131.12 Van Maanen No response $0.00 131.13 TriCity Electric No response $0.00 131.14 Wenthold No response $0.00 131.15 Absolute No response $0.00 131.16 Jordison Construction Modify foundation and rework grade for gen pad and sidewalk $1,350.00 131.17 Alpha Landscapes No response $0.00 $1,350.00 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$43.88 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $1,393.88 Change Request 131 Summary: Generator pad and sidewalk had conflicting elevations and slopes with the enclosure precast and steel foundations. Change Request 131 Subtotal Change Request 131 Cost Change Total Waukee Public Safety - Change Request Summary 6/19/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 132.0 DDVI No response $0.00 132.1 Jordison Construction No response $0.00 132.2 Enterprise Precast No response $0.00 132.3 TSF Structures No response $0.00 132.4 Northwest Steel No response $0.00 132.5 Forman Ford No response $0.00 132.6 Academy Roofing No response $0.00 132.7 Ford Metro No response $0.00 132.8 Skold Door No response $0.00 132.9 Hilsabeck Schacht No response $0.00 132.10 Elite Fire Sprinkler No response $0.00 132.11 Kruck Plumbing and Heating No response $0.00 132.12 Van Maanen Furnish and install GFI's to meet City Inspector requirements.$5,142.09 132.13 TriCity Electric No response $0.00 132.14 Wenthold No response $0.00 132.15 Absolute No response $0.00 132.16 Jordison Construction No response $0.00 132.17 Alpha Landscapes No response $0.00 $5,142.09 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$167.12 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $5,309.21 Change Request 132 Summary: Locker room and break room GFCI's per RFI-167, RFI-168, and City Inspector requirements. Change Request 132 Subtotal Change Request 132 Cost Change Total Waukee Public Safety - Change Request Summary 6/19/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 136.0 DDVI No response $0.00 136.1 Jordison Construction No response $0.00 136.2 Enterprise Precast No response $0.00 136.3 TSF Structures No response $0.00 136.4 Northwest Steel No response $0.00 136.5 Forman Ford No response $0.00 136.6 Academy Roofing No response $0.00 136.7 Ford Metro No response $0.00 136.8 Skold Door No response $0.00 136.9 Hilsabeck Schacht No response $0.00 136.10 Elite Fire Sprinkler No response $0.00 136.11 Kruck Plumbing and Heating Add blow-off valve on irrigation service line.$502.69 136.12 Van Maanen Furnish pathway into water room from exterior for controller wiring.$734.65 136.13 TriCity Electric No response $0.00 136.14 Wenthold No response $0.00 136.15 Absolute No response $0.00 136.16 Jordison Construction No response $0.00 136.17 Alpha Landscapes No response $0.00 $1,237.34 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$40.21 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $1,277.55 Change Request 136 Summary: Irrigation line required a blow-off valve for winterization process. This was not outlined in the irrigation diagram but was required for maintenance purposes. Pathway to controller from outside required. Change Request 136 Subtotal Change Request 136 Cost Change Total Invoice Date 06/05/25 Invoice # WPSB-01 Waukee Public Safety Building 815 NW 20th Street Waukee, IA Terms Due on receipt Project We accept MasterCard, Visa and Discover. Total Subtotal Sales Tax (7.0%) 615 Story Street Boone, IA 50036 Phone (515) 432-2210 DescriptionQuanity Rate Amount 1 1 1 1 3 2x3/4 Press Tee 106.80 106.80 3/4 Press MIP 9.69 9.69 3/4 Thrd BV 164.20 164.20 3/4 Brass Plug 12.00 12.00 Labor 70.00 210.00 Remedy: Add blow down to Irrigation. $502.69 $502.69 $0.00 Waukee Public Safety - Change Request Summary 6/17/2025 Ryan Companies US, Inc. Change Request Subcontractor Comments Cost Change 139.0 DDVI Furnish and install (2) hose reels where drawn on P111A per 3/P400 but no specification. $847.00 139.1 Jordison Construction No response $0.00 139.2 Enterprise Precast No response $0.00 139.3 TSF Structures No response $0.00 139.4 Northwest Steel No response $0.00 139.5 Forman Ford No response $0.00 139.6 Academy Roofing No response $0.00 139.7 Ford Metro No response $0.00 139.8 Skold Door No response $0.00 139.9 Hilsabeck Schacht No response $0.00 139.10 Elite Fire Sprinkler No response $0.00 139.11 Kruck Plumbing and Heating No response $0.00 139.12 Van Maanen No response $0.00 139.13 TriCity Electric No response $0.00 139.14 Wenthold No response $0.00 139.15 Absolute No response $0.00 139.16 Jordison Construction No response $0.00 139.17 Alpha Landscapes No response $0.00 $847.00 Builders Risk (.23% Cost of Work (Estimated)) Excluded per City $0.00 CMa Fee on Cost of Work (3.25%)$27.53 CMa Project Manager Time $0.00 CMa Project Superintendent Time $0.00 $874.53 Change Request 139 Summary: Furnish and install (2) hose reels with garden hose for Apparatus Bay. Change Request 139 Subtotal Change Request 139 Cost Change Total