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DocuSign Envelope ID: 0419F158-i 1 DB46CE-9608-A3C17E709C2A <br />V <br />v <br />�r <br />CJ <br />LJJ <br />L_ <br />CITY OF SANTA ANA <br />PUBLIC WORKS AGENCY <br />CONTRACT CHANGE ORDER <br />Project Number Project No. 06-3510: Change Order Number 4 <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 PUBLIC WORKS AGENCY <br />EXTRA WORK AT AGREED PRICE <br />1. Additional cost for removal of existing spoils; Reference CDR T005. <br />AGREED PRICE: $10,386.40 <br />2. Additional cost for base material to cover construction yard.; Reference COR T008; <br />AGREED PRICE: $4,027.21 <br />Page 1 of 2 <br />