Change Order - Urban HabitatREQUEST FOR CHANGE ORDER Change Order No. 1
Project 342 HQ Landscaping Renovation
(Payment or Time)
NOTICE: Conditions arising that would support a request for payment for additional work or time extension
must be brought to the District’s attention within ten (10) days, and a Request for Change Order for
additional work/time extensions must be filed within fifteen (15) days. THIS FORM MUST BE USED. (See
Contract Section 5.)
Circumstances supporting payment for additional work/time:
1. Describe why payment should be granted. Attach any more detailed discussion, with backup
documents as an exhibit. (Remember: damages have been contractually limited on this job. See
Section 28 of the Contract.)
The District requested four items of change including adding waterproofing membrane to the
building wall near the southeasterly offices, Drain rock and French drain to reduce soil moisture,
increasing the depth of the rainwater seep pit, and adding a concrete mow strip along side the seep
pit. The District is moving forward with the first three items.
a. The HQ building moisture barrier failed near the southeast building corner. The District wants
the moisture barrier repaired or installed. The contractor proposed to install SEEMCO
waterproofing membrane (coating) along the exposed wall, then backfill. The cost for the
membrane is $5,904.
b. Install a French drain along the southeasterly building wall and tie the system into the rainwater
recovery drain. The cost for this work is $2,409.
c. Deepen the seep pit by 18”, including additional gravel and soil/gravel separating fabric for an
additional cost of $8,013.
The resulting increase for this contract is $16,326. See attached Request for Change Order
Quotes from the Contractor.
2. Describe the delay and why a time extension is appropriate. Provide any backup documents as
may be necessary to support the request. You must demonstrate how the critical path was
impacted.
An additional time of 15 working days is granted so the contractor may obtain the materials
and order the water membrane coating.
Submitted by: M. Esquer
District Project Manager Approval: District Engineer’s Approval:
__________________________
By: Mark Esquer By: Mark Esquer
NOTE: Approval of this request for change order is only effective upon District approval of the change
order.
Change Order approved/denied by: _________________________________
Scott Carroll, General Manager
Digitally signed by Mark Esquer, P.E.
DN: C=US,
E=mesquer@cmsdca.gov, O=Costa
Mesa, OU=District Engineer,
CN="Mark Esquer, P.E."
Reason: I am the author of this
document
Date: 2023.10.30 08:53:42-07'00'
DocuSign Envelope ID: 871FBA05-B96C-4CE5-888C-0FD829897E2F