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DocuSign Envelope ID: F19609F1-A068-4905-8035-OA90C64F3BE6 <br />CITY OF SANTA ANA <br />PUBLIC WORKS AGENCY <br />CONTRACT CHANGE ORDER <br />Project Number Project No. 06-3510: Change Order Number 9 <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 />EXTRA WORK AT AGREED PRICE <br />100111 .frA= <br />1. Additional cost for added lineal footage of CMU wall; Reference RFI No. T168; Reference COR T024. <br />AGREED PRICE: $3,688.52 <br />2. Additional cost for 6 bollards at lift station; Reference RFI No. T176; Reference COR T025. <br />AGREED PRICE: $9,000.37 <br />3. Additional cost for revised AC disconnects; Reference RFI No. T173; Reference COR T026. <br />AGREED PRICE: $4,761.75 <br />4. Additional cost for backflows at lift station per City request; Reference COR T027. <br />AGREED PRICE: $25,931.34 <br />5. Additional cost for removal of abandoned manhole; Reference RFI No. T179; Reference COR T028. <br />AGREED PRICE: $10,603.19 <br />6. Additional cost for green striping; Reference COR T029. <br />AGREED PRICE: $17,668.03 <br />7. Additional cost for loops to be replaced; Reference COR T030. <br />AGREED PRICE: $13,826.90 <br />8. Additional cost for CCTV existing 12-in; Reference COR T032. <br />AGREED PRICE: $4,619.95 <br />Page 1 of 3 <br />