Project 160 - Change Order #3 - Sully-Miller - 1999-05-18 Costa Mesa Sanitary District
CONTRACT CHANGE ORDER NO 3
PROJECT #160 Fairview Park Sewer
TO Sully Miller Contracting Co. Contractor
You are hereby directed to make the herein described changes from the plans and specifications, or do the
following work not included in the plans and specifications on the contract.
Note: This change order is not effective until approved pursuant to adopted District policy
Change Requested by Sully Mil ler Contracting Co
s
Description of work to be done, estimate of quantities and prices to be paid. Segregate between additional work
at contract price, agreed price and force account. Unless otherwise stated, rates for rental of equipment cover only
such time as equipment is actually used and no allowance will be made for idle time.
Location of Alternate Sewer Line was changed in the field at then
request of the City of Costa Mesa. Contractor ran into sprinkler
lines that were not shown on City record drawings. Contractor
requests $493.47 to repair the lines and the City agrees.
See attached Request for Change Order form.
Net Increase ® Decrease ❑ in Contract $ 493.47
C.
By reason of this order the time of completion will be adjusted as follows. None
Prepared by Robin B. Hamers "' f • Date 5/18/99
Approved by Robin B. Hamers (� � Date 5/18/99
District Engi eer
Approved by District Manager Date
Required whe In st Is $1,000 mo
• Board approval also needed when increase in cost exceeds 2% of contract or $1,000 whichever is greater
We, the undersigned Contractor, have given careful consideration to the change proposed and hereby agree, if this proposal is approved,
that we will provide all equipment,furnish all materials,except as may otherwise be noted above,and perform all services necessary for the
work above specified,and will accept as full payment therefor the prices shown above.
Date accepted (1— f—9\ Contractor Sully Miller Contracting Co
By C Title re-a—
CMF 1082-68 White-Dish ct File Ca ry-Contr cto 's Copy-Pink-Fi Golde od-Engi