COR #1 - WaterproofingChange Order Request
PROJECT: Costa Mesa Sanitation District CHANGE ORDER NUMBER:1
DATE:10/19/2023
PROJECT NUMBER:23-15
TO CONTRACTOR:Costa Mesa Sanitation District CONTRACT DATE: 7/24/2023
The Contract is changed as follows:
1)See attached breakdown 5,904.23$
Total 5,904.23$
The original Contract Sum was 389,830.00$
Net change by previously authorized Change orders -$
The Contract Sum prior to this Change order was 389,830.00$
The Contract Sum will be amended by this Change Order in the amount of 5,904.23$
The new Contract Sum including this Change Order will be 395,734.23$
The Contract Time will be amended by 1
The date of Substantial Completion as of the date of this Change Order therefore is
Urban Habitat
SUBCONTRACTOR OWNER
PO Box 1177, La Quinta, CA 92247
Address Address
By: Ivan Pineda BY
DATE : 10/19/23 DATE
See below for pricing to add waterproofing system at the exposed building areas near the backflow on the south east
corner.
UH Job #: 23-15
To: From:
Attn: Pages: 1
Email: Date:
Project:
01
Subject:
Qty Unit Unit Price Extended
16 HRS 118.99$ 1,903.84$
16 HRS 116.55$ 1,864.80$
7 GAL 145.07$ 1,015.48$
1 EA 200.00$ 200.00$
1 LS 150.00$ 150.00$
Subtotal 5,134$
Tax (if applicable) Incl
15% Markup 770$
TOTAL 5,904$
Respectfully
Ivan Pineda
PM _______
Super_______
Ops_______
See below for pricing to add waterproofing system at the exposed building areas near the
backflow on the south east corner.
10/19/23
Description
Labor
Ivan PinedaCosta Mesa Sanitation District
Mark Esquer
Mesquer@cmsdca.gov
Costa Mesa Sanitation District
Change Order Breakdown #:
Material
Equipment (incld Fuel)
Misc. Hand Tools
SEEMCO Waterproof Membrane-5 SQM
Delivery Fee
Foreman
Journeyman
PO Box 1177, La Quinta, CA 92247 CA Lic # 963744