2021/10/11 IE General Engineering, Inc. Antelope Road Raised Safety Median Improvements CIP 19-03Page 1 of 2
DESCRIPTION OF CHANGES AND/OR EXTRA WORK:
ITEM U/M QUANTITY % CHANGE UNIT PRICE TOTAL
18 LS 1 4,125.00$ $4,125.00
TOTAL ESTIMATED PRICE FOR THIS CHANGE ORDER:$4,125.00
JUSTIFICATION:Additional Striping was requested by the city due to safety concerns and alignment of existing striping south of La Piedra.
Please see attached documentation for details.
PROJECT NAME:
PROJECT NO:
CONTRACTOR:
Antelope Road Raised Safety Median Improvements
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. Work items shall include labor, materials, neccesary for the
performance and completion of the additional work.equipment, traffic control, and incidentals
10/11/2021DATE:
05 additional Working Days will be granted to the Contractor due to pending additional striping Change Order for Median Noses.
CIP 19-03
IE General Engineering, Inc.
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.
DESCRIPTION
Additional Striping
C:\Users\Ryan Moore\Dropbox\CIP 19-03 Menifee\10.00 Change Order\10.01 CCO-001\10.01.01 CCO -001 Revised\19-03_10.00 City of Menifee Change Order No. 01
DocuSign Envelope ID: 80F543EE-2972-4EE6-A66A-049D3C4E761A
Page 2 of 2
CCO #Amount % Additional Time Date Approved
1 $4,125.00 5 Days 10/19/2021
Totals
June 28, 2021
September 7, 2021
5
September 14, 2021
AUTHORIZATION BY CITY:
Recommended for approval by:
Date: ______________________________________________Date: __________
Tom Berg, PE Carlos E. Geronimo, PE
Construction Manager Project Manager
Approved by:
Date: ______________________________________________Date: __________
Nicolas Fidler, PE Armando G. Villa
Public Works Director/City Enigineer City Manager
ACCEPTANCE BY CONTRACTOR:
Accepted by: _____________________________________________________Date: ____________________________
Signature
_____________________________________________________
Please print name and title
Additional Striping
Description
507,115.00$
Previous Change Order Amounts:
Current Change Order Amount:
Revised Contract Amount:
Original Contract Amount:
-$
4,125.00$
511,240.00$
________________________________________
Revised Completion Date:
____________________________________________
CONTRACT VARIANCE SUMMARY
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.
Date Started:
Original Completion Date:
Additional Time (Working Days)
C:\Users\Ryan Moore\Dropbox\CIP 19-03 Menifee\10.00 Change Order\10.01 CCO-001\10.01.01 CCO -001 Revised\19-03_10.00 City of Menifee Change Order No. 01
10/21/21
DocuSign Envelope ID: 80F543EE-2972-4EE6-A66A-049D3C4E761A
11/15/2021
11/15/2021 11/16/2021