HomeMy WebLinkAbout5 STAR ELEVATOR SERVICE INC. 1A -2013 °,r City of Santa Ana
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L.;ii t' Clerk of the Council
AGREEMENT TERMINATION FORM ,,. 7: n q
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Please complete this form when the attached agreement and all C,:'flu _c a l
amendments (if any) are no longer in effect.
Note: If your agreement is grant related, please ensure that all grant retention requirements
have been satisfied prior to signing the termination form.
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Return form to the Clerk of the Council Office (M-30).
Call 647-1520 if you have any questions.
The agreement with `f/ VC-;- 7� r/ V T 6 P.,
No. ( C' /(e) .—G , was completed on '5 1, ( and final payment has been made.
(List all amendments. Use space below if neede -f(Department: ��v /q 'bE/' Al
Phone/Ext.: IX 6 i 3
Signature: /24fC 7
Date: 2
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Revised:01-07-16
A- 2013 - 166 -01
PUBLIC WORKS AGENCY
CONTRACT CHANGE ORDER
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Project Number 3l Ot -Santa Ana Main Library Elevator Modernization Change Order Number
1
To 5 Star Elevator Services, Inc. Contractor
You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and
specifications on this contract.
NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER.
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.
Change requested by PUBLIC WORKS AGENCY
Install heat detectors with interface to the fire panel as directed in PCO #1 dated 212612014
1
1
Page 1 of 2
AGREED PRICE $3,919
CIT' `OF SANTA ANA
PUBLIC WORKS AGENCY
I& CONTRACT CHANGE ORDER
Project Number m2 153°1 Santa Ana Main Library Elevator Modernization Change Order Number
To 5 Star Elevator Services, Inc. Contractor
You are hereby directed to make the herein changes from the plans and specifications or do the following described work not included in the plans and
specifications on this contract.
NOTE: THIS CHANGE ORDER IS NOT EFFECTIVE UNTIL APPROVED BY THE CITY COUNCIL OR CITY MANAGER.
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.
Change requested by
WORKS AGENCY
The compensation both time and cost set forth in this change order comprises the total compensation due
the Contractor, all Subcontractors, and all Suppliers for all work performed per this change order, including
impact on unchanged work. By signing this change order, the Contractor acknowledges and agrees on
behalf of himself, all Subcontractors, and all Suppliers, that the stipulated compensation includes payment
for all work contained in this change order, plus all payment for interruption of schedules, extended field
overhead, home office overhead, profit, delay, and all impact, ripple effect or cumulative impact on all other
work under this Contract. The signing of this change order constitutes full mutual accord and satisfaction for
all changes and work performed on this project, and that the time and cost paid per this change order
constitutes the total equitable adjustments owed the Contractor, all Subcontractors, and all Suppliers for all
work performed on this project. The Contractor on behalf of himself, all Subcontractors, and all Suppliers
agrees to waive all rights, without exception or reservation of any whatsoever to file any further claim related
to this project.
TOTAL COST THIS CHANGE ORDER: DECREASE $ _ _ _ _ _ INCREASE $ $,919
By reason of this order the CONTRACT TIME completion will be adjusted as follows: 0 working days
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 service necessary for the work above specified, and will accept as full
payment therefor the prices shown above.
Accepted, Date Contractor 5 Star Elevator Services, Inc.
By Title pct e/C {-
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A p reco 1ended by Date
PUBLIC WORKS AGENCYEX UTIVE DIRECTO
Approved by G /)
CITYMANAGER
ATTSVP AP 0iFORM
L)�a/
ARIA D. HU V t Page 2 of 2 Jose Sa7nToY
CLERK OF 1H,. ,-,LXINCIL enior Assistant City Attorney