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CONTRACT INFORMATION <br />Client: CITY OF SANTA ANA PUBLICS WORKS DEPARTMENT <br />20 CIVIC CENTER PLAZA, ROSS ANNEX M-20 <br />Address of Home Office P.O, BOX 1988 <br />Primary Contact: <br />Phone N2 <br />Email <br />___.._.._. __._w,........,.._.. <br />RFA NO <br />Agreement No. <br />SANTA ANA, CALIFORNIA 92702 <br />FAX N° <br />DATE March, 2016 <br />URS PN <br />3/18/16 1 RFA SNA003 <br />Santa Ana Delhi <br />Urban Discharge Diversion <br />Project <br />URS requests an amendment to the existing quantity of estimated potholing services. Original proposal estimated that <br />(10) potholes would be required for utilities verification of discharge force main utility conflicts, Project final design will <br />require a minimum of (42) potholes for utilities verification. <br />The attached proposal by a potholing subcontractor reflects the total cost of services. A unit cost of $890/pothole was <br />used to determine original estimated contract price that includes both recommended and optional services. <br />Task: Potholing, see attached subcontractor proposal. <br />URS to request (32) additional potholes under a subcontract for utilities verification. <br />CHANGE TO ESTIMATED CONTRACT PRICE (See Attachment ) -y J `b <br />Original Estimated Contract Price: ��� c( $ 8 900.00 <br />Current estimated contract price, including previous change orders: ® 37 3II0.00 <br />The estimated Contract Price due to this Change Order will be increased (decreased) by: $ 28 480.00 <br />The new estimated Contract Price due to this Change Order will be: <br />CHANGE TO THE ESTIMATED SCHEDULE (See Attachment ) See delivery date -" <br />The Contract Time will be increased (decreased) by calendar days. As stated for delivery <br />The date for completion of all work under the contract will be: December 31, 2016 <br />EXCEPT AS PROVIDED IN THIS REQUEST FOR APPROVAL, ALL TERMS AND CONDITIONS OF THE CONTRACT <br />REMAIN UNCHANGED <br />Pagel 1 <br />C:FUSERS,TCFIESANEKIAPPD.ATA%LO(,AI INTERNET FILES`-.COMTENT. OUTIOOK�2F PNWE77\REOUEST <br />FOR APPROVAL 004 - 20160316.DOCX <br />