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2025 Ortiz Enterprises - Project 2011-05 Dune Palms Bridge - Change Order No. 19ta "NW CALIFORNIA - Sheet 1 of 2 CONTRACT: Dune Palms Road Bridge Improvement Project PROJECT #: 2011-05 CONTRACTOR: ORTIZ ENTERPRISES, INC. 6 Cushing Suite 200 Irvine, CA 92618-4221 CONTRACT CHANGE ORDER NO. 019 In accordance with Special Provision Section 2000-5 5.3 Working Hours, of the General Project Requirements, the Contractor is responsible for any additional inspection costs incurred by the City for work by the Contractor outside the working hours limits. (Specifically overtime hours including weekend work.) DESCRIPTION OF CHANGE This change order provides a credit for costs for premium overtime pay incurred by the City for inspection services. Credit to the City for the inspection fee costs of $ 4,567.75. Current Contract Amount $ 22,505,339.32 Deduct This Change Order No. 019 ($4,567.75) Revised Contract Total $ 22,500,771.57 By reason of this contract change order the time of completion is adjusted as follows: No additional time granted. The contract completion date shall remain : 03/28/2025 Submitted By: a�*� bald Ayo Jr. (Jun 27, 2025 16:07 PDT) Date: EY ah�e� Approved By: Bryan cKi,rey Jul 7,202507:31 PDT) Date: ta "NW CALIFORNIA - 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, perform all labor, except as may be noted above, and perform all services necessary to complete the above specified work, and hereby accept as full payment the amount shown above, which includes all direct and indirect overhead expenses for any delays. Accepted By: Contractor: Title: Date: 2011-05 CCO 19 Overtime reimbursement Final Audit Report 2025-07-07 Created: 2025-06-27 By: Carley Escarrega (cescarrega@laquintaca.gov) Status: Signed Transaction ID: CBJCHBCAABAAf4RAndu3rEDVT1QfbH9eHzCpQcQMpiFJ "2011-05 CCO 19 Overtime reimbursement" History Document created by Carley Escarrega (cescarrega@laquintaca.gov) 2025-06-27 - 9:11:44 PM GMT Document emailed to uayon@laquintaca.gov for signature 2025-06-27 - 9:11:48 PM GMT Email viewed by uayon@laquintaca.gov 2025-06-27 - 9:12:02 PM GMT Signer uayon@laquintaca.gov entered name at signing as Ubaldo Ayon Jr. 2025-06-27 - 11:07:05 PM GMT Document e-signed by Ubaldo Ayon Jr. (uayon@laquintaca.gov) Signature Date: 2025-06-27 - 11:07:07 PM GMT - Time Source: server Document emailed to bmckinney@laquintaca.gov for signature 2025-06-27 - 11:07:08 PM GMT Email viewed by bmckinney@laquintaca.gov 2025-06-27 - 11:09:51 PM GMT Email viewed by bmckinney@laquintaca.gov 2025-07-07 - 2:30:42 PM GMT Signer bmckinney@laquintaca.gov entered name at signing as Bryan McKinney 2025-07-07 - 2:31:01 PM GMT Document e-signed by Bryan McKinney (bmckinney@laquintaca.gov) Signature Date: 2025-07-07 - 2:31:03 PM GMT - Time Source: server O Agreement completed. 2025-07-07 - 2:31:03 PM GMT 0 Adobe Acrobat Sign