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DocuSign Envelope ID: 04191`158-11DB-46CE-9608-A3C17E709C2A <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 <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 $ 14,413.61 <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 specked, and will accept as full <br />payment therefor th slilaaubabove. <br />Accepted, Date Contractor Arch Insurance Company <br />By 11/02/20 agEe�s° E� __EDTTitle Authorized Representative <br />AA'0...S,p�l�gfn�.�d��by: <br />Approval recommended by []; Fum% Date <br />C K4id4y3h'RMAi!IER <br />Approval recommended by "- 1—J- * 401 Date <br />�LIC WORKS AGENCY EXECUTIVE DIRECTOR <br />Approved by �jfiJ� Date <br />CITYMANAGER <br />11/02/2022 1 3:13 PM PDT <br />r-NI Z623 <br />Page 2 of 2 <br />