2021/10/11 I.E. General Engineering, Inc. Antelope Road Raised Median Improvement CIP 19-03Page 1 of 2
DESCRIPTION OF CHANGES AND/OR EXTRA WORK:
BID ITEM U/M QUANTITY % CHANGE UNIT PRICE TOTAL
5 LF 160 -3.40 1.00$ ($160.00)
6 SF 3060.22 -9.76 2.10$ ($6,426.46)
7 CY 53.98 -6.31 55.00$ ($2,968.90)
8 LF 187 -0.73 17.00$ ($525.30)
9 SF 644.60 -7.32 6.00$ ($3,867.60)
10 SF 52.55 6.08 10.00$ 525.50$
11 CY 79.66 7.35 50.00$ 1,750.00$
12 TON 10.37 2.03 125.00$ 1,296.25$
13 SF 197.60 -2.15 1.50$ ($296.40)
15 SF 90.80 2.62 8.00$ 726.40$
TOTAL ESTIMATED PRICE FOR THIS CHANGE ORDER:($9,946.51)
JUSTIFICATION:Please see attached Quantity Calculation Sheets from Field measurements for overage of Bid Items.
PROJECT NAME:
PROJECT NO:
CONTRACTOR:
Remove Existing AC Pavement and
Aggregate Base
Unclassified Excavation (including
Subgrade Preparation)
Construct 8" 8A Median Curb per City of
Construct 3" DG Median (Section 200-5 of
Antelope Road Raised Median Improvement Project
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:
Grind and Overlay
Construct 4" PCC Median per City of
Menifee Standard 130
Construct 1.5' Wide PCC Maintenance
Walk per City of Menifee Standard 130
Class 2 Aggregate Base
Construct 6" PG 70-10 Asphalt Concrete
with Tack Coat
additional Working Days will be granted to the Contractor due To - N/A
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
Sawcut Existing AC Pavement
C:\Users\Ryan Moore\Dropbox\CIP 19-03 Menifee\10.00 Change Order\10.02 CCO-002\CCO No. 02 - Quantity Overage & Credit to the Contract
DocuSign Envelope ID: 80F543EE-2972-4EE6-A66A-049D3C4E761A
Page 2 of 2
CCO #Amount % Additional Time Date Approved
1 $4,125.00 5 Working Days 10/19/2021
2 -$9,946.51
Totals -$5,821.51
June 28, 2021
September 7, 2021
5
September 14, 2021
AUTHORIZATION BY CITY:
Recommended for approval by:
Date: ______________________________________________Date: __________
Tom Berg, PE Carlos E. Geronimo, PE
Construction Manager Project Manager
Approved by:
Date: ______________________________________________Date: __________
Nicolas Fidler, PE Armando G. Villa
Public Works Director/City Enigineer City Manager
ACCEPTANCE BY CONTRACTOR:
Accepted by: _____________________________________________________Date: ____________________________
Signature
_____________________________________________________
Please print name and title
Additional Stripping - Realignment
Description
507,115.00$
Previous Change Order Amounts:
Current Change Order Amount:
Revised Contract Amount:
Original Contract Amount:
4,125.00$
(9,946.51)$
501,293.49$
________________________________________
Revised Completion Date:
____________________________________________
Overage and Credit to the Contract
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\10.02 CCO-002\CCO No. 02 - Quantity Overage & Credit to the Contract
10/21/21
DocuSign Envelope ID: 80F543EE-2972-4EE6-A66A-049D3C4E761A
11/15/2021
11/15/2021 11/16/2021