CONTRACT CHANGE ORDER NO. 03
Airport Riverside Municipal Airport Date 2024-10-08
Sponsor City of Riverside AIP No. 3-06-0200-031-2020
Contractor Pacific Industrial Electric Contract
Identifier
Project Description: Windsock Relocation and Backup Generator for Lighting Vault The following Change Order is submitted for FAA specialist's review to determine eligibility.
Item No. Description Unit Unit Price Quantity Amount
1 Labor LS $3,250.24 1 $3,250.24
2 Material & Equipment $672.26 1 $672.26
3 Subcontractors LS $3,912.30 1 $3.912.30
FAA Share Local Share Total CO Cost
This Change Order Total $7,051.32 $783.48 $7,834.80
Previous Change Order(s) Total $31,575.92 $17,465.00 $49,040.92 Original Contract Value $128,656.80 $14,295.20 $142,952.00 Revised Contract Value $167,284.04 $32,543.68 $199,827.72 The time provided for completion in the contract is (unchanged) (decreased) (increased). This change order is due to circumstances that are outside the contractor's control. This document shall become an amendment to the contract and all provisions of the contract will apply.
Recommended by: 10/08/2024
Rafael Gonzalez, Project Manager (Mead & Hunt, Inc.) Date ally signed by Daniel Pra
Approved by:
Daniel Prather (Sponsor) Date
Accepted by:
Chris Michalski / Luis Salcedo (Contractor) Date
NOTE: Change Orders and Supplemental Agreements require FAA determination of cost eligibility for AIP participation. If Sponsor proceeds without prior FAA approval, it is at the Sponsor's risk
CHANGE ORDER INFORMATION
AIP NO. 3-06-0200-031-2020 CHANGE ORDER NO. 03
AIRPORT Riverside Municipal Airport SPONSOR Riverside Municipal Airport
Type of Change Order: •Quantity Adjustment X Extra Work • Emergency Change Order • Corrective CO• Deductive CO • No Cost CO
1. Brief description of the proposed contract changes) and location(s).
Additional items to be constructed such as additional ground rods to be installed and new Automatic transfer switch concrete pad. Subcontractor price includes testing of concrete and testing of additional ground rods for impendence.
2. Justification for the change(s) (Continue on reverse if necessary) See number 1 response
3. Reason for proposed contract time extension or modification?
4. Does extra work involve non-allowable work? No X Not Applicable If yes, explain.
No extra work is included only updating pricing information
5. Does extra work conform to FAA Standards for design and construction? (AC 150/5370-10 and 5300-13) X Yes • No Not Applicable If no, explain.
No extra work is included only updating pricing information
6. Does Change Order adversely affect compliance with Buy American Preference? • Yes X No • : Not Applicable If yes, explain.
7. Does Change Order adversely affect compliance with Disadvantage Business Enterprise participation? • Yes X No • i Not Applicable If yes, explain.
8. Does Change Order incorporate the current wage rate schedule and address the labor classifications? X Yes • No • Not Applicable If no, explain.
9. Does the change order require revisions to the CSPP? • Yes • No I Not Applicable
10. How does the Change Order work advance AIP Policy?
The change order will meet the requirements set forth by the FAA.
11. How is the Change Order necessary to complete the project as intended under the original approved scope of work?
This change order is essential to install a proper backup Generator and automatic transfer switch for the airfield lighting system.
12. Does the Change Order address re-work due to errors or omissions? • Yes X No • Not Applicable
AIP NO. 3-06-0200-031-2020 CHANGE ORDER NO. 03
AIRPORT Riverside Municipal Airport SPONSOR Riverside Municipal Airport
13. Why is the extra work necessary to carry out so a useable unit results at the conclusion of the project? Extra work is required in order to ensure proper grounding of the new generator system as well as the installation of the automatic transfer switch.
14. Has the Sponsor performed a price or cost analysis? X Yes • No • Not Applicable for all ontractor provided revised pricing information. Engineer of Record reviewed the hours, expenditures and rates
15. What was the amount of the Independent Fee Estimate (IFE)? N/A to Construction
16. What type of analysis was used? (Hourly/Daily Rate Verification) + (Reasonable Expense Analysis) Does the Sponsor recommend the FAA accept the price as fair and reasonable? X Yes • No • Not Applicable
17. The Sponsor's share of this cost is available from:
Local appropriations
18. Has consent of surety been obtained? Yes • No X Not Applicable
19. Will this change affect the insurance coverage? Yes X No • Not Applicable
20. If yes, will the policies be extended? Yes O No X Not Applicable
21. Has this Change Order been discussed with FAA officials? • Yes • No X Not Applicable When: With Whom:
Comments):
See support documentation.