P:\CIP\0_CIP_Forms & Guidelines\03 Const Phase\
Contract Change Order (CCO#) Template.xlsx
FY 22-23 Citywide
Slurry Seal Project
PROJECT # 0602
CONTRACT CHANGE ORDER NO. #1.0
06/06/2023
Contractor: Doolittle Construction, LLC.
Contract Execution Date: 04/17/2023
In accordance with Article 6 of the General Conditions of the Contract Documents, you are hereby directed to make the herein described changes to the plans, specifications, or scope of work contracted for within the terms of the subject Contract.
A. EXISTING CONTRACT
ORIGINAL CONTRACT AMOUNT: $741,741.00
CHANGE ORDER #1 TOTAL: $288,326.16
CHANGE ORDER #2 TOTAL: $0.00
CHANGE ORDER #3 TOTAL: $0.00
CURRENT CONTRACT AMOUNT (PRIOR TO THIS CHANGE ORDER): $741,741.00 B. CHANGES IN THE CONTRACT DOCUMENTS
This change order formalizes various instruction bulletins (IB s), field orders, authorized RCO s and extra work/ force account items. All of the work items described below are in progress or have been completed.
ITEM # DESCRIPTION OF CHANGE UNIT
QTY.
UNIT
PRICE UNIT NET CHANGE
TO CONTRACT
CCO item
#1 Crack Seal 1,253,
592
$0.23 SF $288,326.16
NET CHANGE IN CONTRACT COST: $288,326.16
REVISED CONTRACT AMOUNT: $1,030,067.16
ADJUSTMENT OF CONTRACT TIME OF COMPLETION: 90 working days
P:\CIP\0_CIP_Forms & Guidelines\03 Const Phase\
Contract Change Order (CCO#) Template.xlsx
PROJECT # 0602
CONTRACT CHANGE ORDER NO. #1.0
C. APPROVAL SECTION
Action / Title Signature Date
Tricia Baxter, P.E.
Project Manager,
The undersigned Contractor certifies under penalty of perjury that its statements and representations in this Change Order request are true and correct. Contractor warrants that this Change Order request is comprehensive and complete as to the Work or changes referenced herein, and agrees that any known or foreseeable costs, expenses, or time extension requests not included herein, are deemed waived. Contractor understands that submission of claims which have no basis in fact or which Contractor knows to be false may violate the False Claims Act, as set forth in Government Code sections 12650 et seq., and Chapter 3.17 of the San Pablo Municipal Code.
Contractor Acceptance by: Signature
Sally Benstad, Project Manager
Contractor Acceptance Date
Action / Title Signature Date
A.
, PW Director / City
Engineer
Matt Rodriguez, City Manager
Funding Approval*
*Necessary if contingency funds are needed and the Change Order exceeds City Council approved contract value.
Attachments : Contract Change Order Request 1.0
Distribution:
Original: City Clerk
cc: Contractor
Engineering
Finance - increase PO #<###> by: $0.00
Project Inspector/ Construction Manager
Notes: City Council approved a contract value on mm/dd/yyyy of $###,### and 15% contingency of $##,###.
Contract value including this CO/Authorized Contract: 0 / 0 = #DIV/0! as this indicates less than a 15% increase.
Funding in approved capital project budget account ( ###-####-#####-###) is adequate to cover this change order.
CCO Template Updated 10/12/20
6/15/2023