2022/05/04 Sky Technology Solutions Change Order No. 001 CIP 19-16 Lazy Creek Recreation Center Improvements Project (Cabling Improvements) Purchase Order No. 03569DocuSign Envelope ID: 2AE03EE1-9FA3-4401-8AD0-54C019C8F1EF DocuSign Envelope ID: 64949D7E-BF00-499B-8782-6A6486EF51EC
R:\Contracts\2021-22\CS- SKY TECHNOLOGY (CIP 19-16 LAZY CREEK RECREATION CENTER)(CABLING IMPROVEMEMENTS)\CHANGE ORDER NO.1\CHANGE ORDER NO. 001
DATE: 5/4/2022
CITY OF MENIFEE
CONTRACT CHANGE ORDER NO. 001
Page 1 of 2
PROJECT DESCRIPTION: CIP 19-16: LAZY CREEK RECREATION CENTER IMPROVEMENTS PROJECT (CABLING IMPROVEMENTS)
PROJECT NO: CIP 19-16 PURCHASE ORDER NO: 03569
CONTRACTOR: SKY TECHNOLOGY SOLUTIONS
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
Cat 6 Data Jack - IDF (4 re-pull; 2 new)
6
7.00
$42.00
2
Cat 6 Data Jack - WAO (4 re-pull; 2 new)
6
7.00
$42.00
3
Cat 6 Cable
1,770
0.60
$1,062.00
4 Total Labor N/A N/A $1,152.00
5 Tax N/A N/A $103.14
6 Shipping N/A N/A $34.38
7 Bonds N/A N/A $350.00
TOTAL ESTIMATED PRICE FOR THIS CHANGE ORDER: $2,785.52
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.
JUSTIFICATION: (Be specific on each item. Attach supporting documents as necessary)
Change Order #1 for additional items identified/requested by staff and approved by Project Manager (B. Howell) See detail above for breakdown.
0 additional Working Days will be required to perform this work.
DocuSign Envelope ID: BE74DCF4-D7D0-4C3A-B47B-A25FA0896B24
DocuSign Envelope ID: 2AE03EE1-9FA3-4401-8AD0-54C019C8F1EF DocuSign Envelope ID: 64949D7E-BF00-499B-8782-6A6486EF51EC
R:\Contracts\2021-22\CS- SKY TECHNOLOGY (CIP 19-16 LAZY CREEK RECREATION CENTER)(CABLING IMPROVEMEMENTS)\CHANGE ORDER NO.1\CHANGE ORDER NO. 001
Original Contract Amount: $52,010.27
Previous Change Order Amounts: $0.00
Current Change Order Amount: $2,785.52
Revised Contract Amount: $54,795.79
Date Started: October 21, 2021
Original Completion Date: June 30, 2022
Additional Time (Working Days) 0
Revised Completion Date: June 30, 2022
CITY OF MENIFEE
CONTRACT CHANGE ORDER NO. 001
Page 2 of 2
CONTRACT VARIANCE SUMMARY
CCO # Description Amount % Additional Time Date Approved
1 Various (See detail) $2,785.52 5.36% 0 1/26/2022
Totals $2,785.52 5.36% 0
AUTHORIZATION BY CITY:
Recommended for approval by:
Date: _5/5/2022
Bryce Howell
Park/Landscape & Facility Maintenance Manager
5/5/2022 Date:
5/5/2022 Date:
Ron Puccinelli Michelle Sarkissian
Chief Information Officer IT Supervisor
Approved by:
Date:
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:
Signature
Nathan Huynh
5/4/2022 Date:
Please print name and title
DocuSign Envelope ID: BE74DCF4-D7D0-4C3A-B47B-A25FA0896B24
5/6/2022
DocuSign Envelope ID: 2AE03EE1-9FA3-4401-8AD0-54C019C8F1EF DocuSign Envelope ID: 64949D7E-BF00-499B-8782-6A6486EF51EC
City of Menifee - Lazy Creek Change Order
# Description Qty Unit Unit cost Extended cost
1
2 CABLING
3 Cat 6 Data Jack - IDF (4 re-pull; 2 new) 6 EA $7.00 $42.00
4 Cat 6 Data Jack - WAO (4 re-pull; 2 new) 6 EA $7.00 $42.00
5 Cat 6 Cable 1770 FT $0.60 $1,062.00
6
7
Total Labor $1,152.00
Total Material $1,146.00
Tax $103.14
Shipping $34.38
Bonds $350.00
Grand Total $2,785.52
Sky Technology Solutions, Inc. CONFIDENTIAL
DocuSign Envelope ID: BE74DCF4-D7D0-4C3A-B47B-A25FA0896B24