City of Manteca Change Order Change Order No. ___
Project Name: Approval Date:
Project Manager:
CIP No.
Contract No: Project
Contractor:
It is agreed to modify the Contract referred to above as follows:
CPR DESCRIPTION OF CHANGES CHANGE IN
CONTRACT PRICE
CHANGE IN
CONTRACT TIME
ATTACHMENT - 06
It is agreed to modify the Contract referred to above as follows:
a. Contract Amount + Approved Change Orders:
b. Net Increase (Decrease) of this Change Order:
c. Revised Contract Amount + all Change Orders: (a +b = c) d. Contract Time (Final Completion) Prior to this Change Order (Calendar Days):
e. Net Increase (Decrease) of this Change Order:
f. Revised Contract Time with all Approved Changes (Calendar Days): (d + e = f) Change order to be accomplished in accordance with the terms, stipulations, and conditions of the original contract. ___________________________________ ______________________________ Approved by Contractor: Date ___________________________________ ______________________________ Recommended for Approval: Date ___________________________________ ______________________________ Recommended for Approval: Date City Project Manager ___________________________________ ______________________________ Approved by: Date City Representative ___________________________________ ______________________________ Attest: City Clerk Date
TRANSPORTATION
CHANGE ORDER MEMORANDUM
CEM-4903 (REV 06/2016)
DATE
Yosemite Ave Bike and Pedestrian Improvement Project FILE CONTRACT NO. PENDING
CO-RTE-PM
FED NO. HSIPL 5242(036)
CHANGE ORDER NO.
02 SUPPLEMENT NO. 0 CATEGORY CODE
17058
CHANGE ORDER AMOUNT
INCREASE DECREASE
$735,757.00
SUPPLEMENTAL FUNDS PROVIDED
$0
ORIGINAL CONTRACT
TIME:
90 DAY(S)
TIME ADJUSTMENT
THIS CHANGE:
34 DAY(S)
PREVIOUSLY APPROVED
TIME ADJUSTMENTS:
7 DAY(S)
PERCENTAGE TIME ADJUSTED
(Including this change)
0 %
TOTAL # OF UNRECONCILED
DEFERRED TIME
(Including this change)
0 THIS CHANGE ORDER PROVIDES FOR (Use additional pages as needed):
This change order provides for:
Claim No. 01:
to coordinate necessary underground infrastructure upgrades with the roadway rehabilitation work. Installing the waterline at this time avoids the need to trench into newly constructed pavement in the future, which would result in premature pavement deterioration, additional restoration costs, and potential disruption to traffic. Completing the waterline installation concurrently with the roadway work is a costeffective approach that preserves the integrity of the new pavement, minimizes future construction impacts, and ensures the C system improvements identified in the master plan are implemented in a timely and coordinated manner.
An additional 34 calendar days were added to the contract due to the additional scope of work requested.
Reason for Change:
In accordance with Article 10.01 Authorized Changes in Work of the Standard General Conditions of the Construction, this change order compensates the contractor with a Payment Adjustment at Agreed Lump Sum of $735,757.00 for the claims listed above.
Method of Payment:
The agreed lump sum payment adjustment is based on a force account analysis. Records and calculations used to determine the payment adjustment are on file in the project records.
This change was discussed with the construction engineer and district claims engineer. They agree that the contractor should receive the additional compensation.
Time Adjustment:
This change order affected the controlling activities and time adjustment is warranted.
TRANSPORTATION
CHANGE ORDER MEMORANDUM
CEM-4903 (REV 06/2016)
CONCURRED BY:
CONSTRUCTION ENGINEER/BRIDGE ENGINEER DATE
ESTIMATE OF COST
THIS REQUEST TOTAL TO DATE
PROJECT ENGINEER DATE
PROJECT MANAGER DATE
ITEMS
FORCE ACCOUNT
AGREED PRICE
ADJUSTMENT
TOTAL
FHWA REP. DATE FEDERAL PARTICIPATION
PARTICIPATING PARTICIPATING IN PART NONE
ENVIRONMENTAL DATE
NON-PARTICIPATING (Maintenance) NON-PARTICIPATING
MAINTENANCE DATE FEDERAL SEGREGATION (If more than one funding source or P.I.P. type)
CHANGE ORDER FUNDED PER CONTRACT CHANGE ORDER FUNDED AS FOLLOWS
OTHER (SPECIFY) DATE
FEDERAL FUNDING SOURCE PERCENT
HQ OR DISTRICT PRIOR APPROVAL BY DATE
RESIDENT ENGINEER SIGNATURE DATE
$735,757.00
$735,757.00
$1,321,236.62
$2,142,218.32