CM-2015-857 - 8/7/2015Page I of 3
Contract Quantity Adjustment/ Change Order
Department: Utilities & Environmental Services
Project 24" Reuse Water Transmission Main -
Name: Phase 2 Project Date: 7/16/15
City Project Change Order/Quantity
ID Number PHS2 Adjustment No. 3
justification
restocking Fee for Reuse Fill Station Gate
SUMMARY
Original Contract Price:
Previous Quantity Adjustment(s):
This Quantity Adjustment:
Total Quantity Adjustment(s):
Total Contract Price with Quantity Adjustment(s):
Previous Change Order(s):
This Change Order:
Total Change Order(s) To Date:
Adjusted Contract Price [Original Contract Price Plus
QuanBty Adjustment(s) Plus Change Order(s)]:
Difference between Original and Adjusted Contract Prices:
Original Contract Time:
Time Adjustment by previous Quan. Adj./Change Order:
Time Adjustment by this Quan. Adj./Change Order:
New Contract Time:
1
Amount
% Change
$1,584,007.40
$24,020.00
$0.00
$24,020.00
$116081027.40
$19,600.50
0.01
$313.00
0.00
$19,913.50
0.01
$1,627,940.90
-.
$43,933.50
180
180
180
0 180
Submitted for Approval
Antonio A. Prete, President, Waeltz & Prete
Signature I Printed Name, Title, Company
Approvals
Contractor:
Signature Printed Name, Title, Company
City Project
Manaaer: �I Jeff Bell / Project Manager
Title
C,M-Z o/� P�S'7
e
7/16/15
Date
�,
Date
�.3o IS
Date
�7 /S
Contract Quantity Adjustment/Change Order
Project Name: 24" Reuse Water Transmission Main - Phase 2 Project
Quan. Adj./Change Order No.:
Change Order Data
Page 2 of 3
Item # Item Description Unit Qty. Unit Price
Amount
Contract
Time
Adjustment
Days
CO3-Al Restocking Fee for Reuse Wtr Gate LS 1 $412.00
$412.00
0
-A Deduct Solar Panel -$99.00
-99.00
0
$0.00
0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0,00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$a.00
�6T�5;
X313.00
0
i
Page 3 of 3
Contract Quantity Adjustment/Change Order
rct My 13
Project Name: 24" Reuse Water Transmission Main - Phase 2 Project
Quan. Adj./Change Order No.: 3
Quantity Adjustment Data
Bid Item # Item Description Unit Qty. Unit Price
Contract
Time
Adjustment.
Amount tDavusl—
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
—
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$O.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.05
$0.00
$0.00
TOTA«
$0,000