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DocuSign Envelope ID: C5812D03-90F4-4696-B656-8039BCC9187B <br />CITY OF SANTA ANA <br />PUBLIC WORKS AGENCY <br />CONTRACT CHANGE ORDER <br />Project Number Project No. 06-3510: Change Order Number <br />San Lorenzo Lift Station Protect <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 />By reason of this order the CONTRACT TIME completion will be adjusted as follows: TBD <br />INCREASE $ 175,281.89 <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 ,ry�r ,ah al*e. <br />Accepted, Date , Contractor Arch Insurance Company <br />By 03/03/2023 89T-.561A',M6ESTiue Authorized Representative <br />hh•o.oeuspip�n� by. <br />Approval recommended by E; Date 03/03/2023 1 8:55 AM PST <br />CONS MRWW... <br />Approval recommended by y � �,�4 to Date � 1`Z7i /� 2_-3C-!/PUBLI C WORKS AGENCY EXECUTIVE DIRECTOR <br />Approved by Date <br />CITY MANAGER <br />Page 2 of 2 <br />