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DocuSign Envelope ID: C56527A4-EAC5-4EO9-9DD8-999E951 B7BC6 <br />CITY OF SANTA ANA <br />PUBLIC WORKS AGENCY <br />CONTRACT CHANGE ORDER <br />Project Number Project No. 06-3510: Change Order Number 3 <br />San Lorenzo Lift Station Project <br />To Arch Insurance Company Contractor <br />You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and specifications <br />on this contract. <br />NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER. <br />Unless otherwise stated, rates for rental of equipment cover only such time as equipment is actually used and no allowance will be made for idle time. <br />Change requested by <br />PUBLIC WORKS AGENCY <br />The compensation both time and cost set forth in this change order comprises the total compensation <br />due the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, <br />including impact on unchanged work. By signing this change order, the Contractor acknowledges <br />and agrees on behalf of himself, all Subcontractors, and all Suppliers, that the stipulated <br />compensation includes payment for all work contained in this change order, plus all payment for <br />interruption of schedules, extended field overhead, home office overhead, profit, delay, and all <br />impact, ripple effect or cumulative impact on all other work under this Change Order. The Contractor <br />on behalf of himself, all Subcontractors, and all Suppliers agrees to waive all rights, without exception <br />or reservation of any whatsoever to file any further claim related to this Change Order. <br />TOTAL COST THIS CHANGE ORDER: DECREASE $ <br />INCREASE $ 44,662.10 <br />By reason of this order the CONTRACT TIME completion will be adjusted as follows: NO Working Days <br />We the undersigned contractor have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all <br />equipment, furnish all materials, except as may otherwise be noted above, and perform all service necessary for the work above specified, and will accept as full <br />payment therefor the prices shown above. <br />08/01/2022 1 10:55 T <br />AcceptedQ`3i�slgvany, Cg a€Rr Arch Insurance Company <br />Byef �a�eaaT� Title Authorized Representative <br />poeu,S,2iigl1nedby: <br />Approval recommended by <br />Date 08/01/2022 1 7:59 AM PDT <br />Approval recommended by�� t..t`�^—' �4a .0 ,C Date <br />PUBLIC WORKS AGENCY EXECUTIVE DIRECTOR <br />Approved by Date <br />CITY MANAGER <br />Page 2 of 2 <br />L�122 <br />