Date: 6/3/2024 Page 1 of 2
PROJECT DESCRIPTION:
PROJECT NO: FC-2022-23 PURCHASE ORDER NO: [PO No.]
JL NO: [JL No. ]
CONTRACTOR: Triangle Decon
DESCRIPTION OF CHANGES AND/OR EXTRA WORK:
ITEM U/M QUANTITY UNIT PRICE TOTAL
1 $44,863.08
TOTAL ESTIMATED PRICE FOR THIS CHANGE ORDER: $44,863.08 JUSTIFICATION: (Be specific on each item. Attach supporting documents as necessary)
CITY OF CORONA
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. [PROJECT NAME]
[DEPARTMENT]
CONTRACT CHANGE ORDER NO. [XX]
Heritage Room Lighting Upgrade
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.
This was a request from Mayor Richens for the City Council to consider an amendment to the City's Historic Resources Ordinance in Chapter 17.63 of the Corona Municipal Code to have the demolition of Historic structures listed on the Heritage inventory to be reviewed and considered by the City's proposed Historic Preservation board instead of the planning and development director.
DESCRIPTION
Provide & Install (63) 2'X4' LED Troffer Ktis
DocuSign Envelope ID: 8459B363-0341-45E5-8F57-D8749DE35C53 Date: 6/3/2024 Page 2 of 2
CCO # % Date Approved
Total 0.00%
#VALUE!
[Date] Original Completion Date: [Date] Revised Completion Date: #VALUE! AUTHORIZATION BY CITY:
Recommended for approval by:
Date: __________ ________________________________Date: ____________ [Name], Project Inspector [Project Manager], Project Manager Approved by:
Date: __________ ________________________________Date: ____________ [DEPARTMENT MANAGER] [DEPARTMENT DIRECTOR]
Date: __________ ________________________________Date: ____________ ACCEPTANCE BY CONTRACTOR:
Accepted by_____________________________________________Title: ____________________________ (Please print name and title)
Signature: _____________________________________________Date: ____________________________ Amount Time
We, the undersigned Contractor, have given careful consideration to the above described changes and/or extra work and hereby agree that said work is the subject of this Change Order. Quantities of items other than Lump Sum are not to exceed the amounts indicated.
__________________________________
0 Date Started:
__________________________________
Original Contract Amount [Contract Amount]
$0.00
Revised Contract Amount
__________________________________
CONTRACT VARIANCE SUMMARY
DocuSign Envelope ID: 8459B363-0341-45E5-8F57-D8749DE35C53 6/3/2024
Matt Pirayeh President
6/4/2024 6/4/2024