2021/03/30 All American Asphalt, Inc. CIP 16-13, Order No. 004Page 1 of 2
DATE:3/30/2021
PROJECT DESCRIPTION:
PROJECT NO:CIP 16-13 PURCHASE ORDER NO: 02807
CONTRACTOR:
DESCRIPTION OF CHANGES AND/OR EXTRA WORK:
The Contractor is hereby directed to make the herein described changes from the plans and specifications and/or perform the following described work
not included in the Plans and Specifications for this project.
ITEM DESCRIPTION U/M QUANTITY UNIT PRICE TOTAL
1 LS 1 $1,774.00 $1,774.00
2 LS 1 $264.00 $264.00
TOTAL ESTIMATED PRICE FOR THIS CHANGE ORDER:$2,038.00
JUSTIFICATION: (Be specific on each item. Attach supporting documents as necessary)
Page 2 of 2
CONTRACT CHANGE ORDER NO. 004
CITY OF MENIFEE
DEPARTMENT OF PUBLIC WORKS
ALL AMERICAN ASPHALT
ADDITIONAL COST FOR CANOPY CHANGE MISSED IN CO 3
PUBLIC WORKS MAINTENANCE AND OPERATIONS CENTER
SAWCUT AND LAY OUT FOR THE WEST BUILDING NOT IN
CONTRACT
This document shall become an amendment to the Contract and all provisions of the Contract will apply hereto. This Change Order constitutes a complete and final
resolution of all claims of the Contract for additional time or additional compensation related to or affected by work that is the subject of this Change Order. Quantities of
items other than Lump Sum are not to exceed the amounts indicated.
No additional Working Days will be required to perform this work.
Item 1) THE CONTRACTOR WAS REQUESTED TO LAY OUT THE LOCATIONS OF THE FOOTINGS AND CUT THE CONCRETE FOR THE
EQUIPMENT ENCLOSURE BUILDIING WHICH WAS NOT PART OF THIS CONTRACT AND WAS PER AGREED PRICE
Item 2) ADDITIONAL COST FOR CHANGING THE CANOPY FOR THE TRASH ENCLOSURE . THIS CHANGE ORDER IS NEEDED TO BRING THE
ACTUAL AMOUNT IN LINE WITH THE ACTUAL NEGOTIATED INVOICE
R:\Contracts\2020-21\PW-ENG- ALL AMERICAN ASPHALT (CIP 16-13 MOC)\CIP 16-13 Change Order #4 (3.30.2021)
DocuSign Envelope ID: 7ACAF288-84F7-4423-80D6-649FA8705E8F
CONTRACT CHANGE ORDER NO. 004
CITY OF MENIFEE
DEPARTMENT OF PUBLIC WORKS
CONTRACT VARIANCE SUMMARY
CCO #Amount %
4 $2,038.00 0.71%
3
$2,640.00 0.92%
2 $3,323.42 1.15%
1 $13,481.66 4.68%
Totals $21,483.08 5.84%
$287,806.00 October 5, 2020
$19,445.08 December 10, 2020
$2,038.00 0
$309,289.08 December 10, 2020
AUTHORIZATION BY CITY:
Recommended for approval by: 4
Date: __________Date: __________
Approved by:
Date: __________Date: __________
Yolanda Macalalad Armando G. Villa
City Manager
ACCEPTANCE BY CONTRACTOR:
We, the undersigned Contractor, have given careful consideration to the above described changes and/or extra work and hereby agree that said work
is a supplement to the contract and all provisions will apply hereto.
Accepted by: _____________________________________________________Date: ____________________________
Signature
_____________________________________________________
Please print name and title
PE, Assistant City Engineer
_________________________________________
___________________________________ ________________________________________
Description
PROVIDE AND INSTALL
IRRIGATION BACKFLOW &
ENCLOSURE
0
3/10/2021
SAWCUT & LAYOUT FOR
EQUIPMENT ENCLOSURE
BUILDING NOT ON
CONTRACT/ADDITIONAL COST
FOR CANOPY CHANGE MISSED
IN CO 3
0
Original Contract Amount:
Additional Time
0
0
0
Date Approved
1/11/2021
10/15/2020
REMOVE KRAIL/ INSTALL
ELECTRICAL CONDUIT AND
WIRE
Run Chen, PE, Senior Engineer
Previous Change Order Amounts:
Current Change Order Amount:
Revised Contract Amount:
Don Sharp, Construction Manager
Date Started:
Original Completion Date:
Additional Time (Working Days)
Revised Completion Date:
A NEW CANOPY DESIGN
NEEDED TO BE IMPLEMENTD IN
ORDER TO OMIT STRUCTUAL
CONFLICT WITH TRASH
CONTAINERS
R:\Contracts\2020-21\PW-ENG- ALL AMERICAN ASPHALT (CIP 16-13 MOC)\CIP 16-13 Change Order #4 (3.30.2021)
DocuSign Envelope ID: 7ACAF288-84F7-4423-80D6-649FA8705E8F
5/18/2021
Edward J. Carlson, Vice PresidentVice President
5/18/20215/18/2021
5/18/2021 5/20/2021