Exhibit_J_-_CTR066685_Alamo_Change_Order_1.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR066685
- Contract number
- CTR066685
- Issued by
- Arizona
About this file
This document is a Construction Contract Change Order for the ARPA Alamo Lake State Park project (State Project No. PCS-22-130) in Wenden, Arizona. The primary parties involved are the Arizona Department of Administration's General Services Division, Concord General Contracting, Inc. as the contractor, and EPS Group as the design professional. The change order is specifically related to electrical work for RV pedestals and is part of Contract No. CTR066685.
The change order authorizes an increase to the contract amount of $147,662.00, bringing the total contract sum from $3,415,290.00 to $3,562,952.00. The scope of work includes electrical improvements for 10 new RV power pedestals, underground feed conduits and conductors, ground rods at each pedestal, and electrical in-ground pull boxes. The work will be performed by subcontractor Sam Nichols Electrical, with additional costs including insurance, performance bond, and contractor's fees. The change order does not extend the project's substantial completion date and includes various exclusions such as special system monitoring, building permits, and architectural/engineering fees.
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Text version
Exhibit J
Construction Contract Change Order Summary No. ____
Contract No. Contract Amendment No:
Project Name: State Project No: Statutory Review No:
(if different from Project No.)
Design Professional: Contractor: State Project Manager:
ALL OTHER REQUIREMENTS, SPECIFICATIONS, TERMS AND CONDITIONS REMAIN UNCHANGED
ACKNOWLEDGEMENT AND AUTHORIZATION
This Change Order shall modify the Contract only upon the signed approval of the Contractor, Design Professional and State Procurement Officer as specified in the signature block. When signed by all parties, this Change Order becomes effective immediately and the Contractor shall proceed with the change(s) identified and approved.
Page | 1 of 1
1. Check box(es) below best describing the Construction Change Order to the Contract:
☐ Contractor cost increase to Contract due to Additional Work.
☐ Contractor cost reduction to Contract.
☐ Contractor to increase number of calendar days to date of Substantial Completion of the Project.
☐ Use of Contingency ☐ Other (Provide Description) _______________________________________________________________.
2. Contractor shall provide complete description of reduced or Additional Work, including documents in support of the Change Order (e.g., drawings, material substitution literature, cost reduction or increase detail including breakout of labor, materials, markup and tax). Contractor shall use the Construction Change Order Worksheet (Exhibit J1) to provide a detailed breakdown of any change to the Project Cost.
3. By signing and executing this Change Order, the Contractor and Agency agree to a price for the Additional Work, as detailed below. This price shall cover any and all Costs associated with the Additional Work including, but not limited to, Costs associated with delay of the Contractor's Work, if any.
Should the Additional Work impact the Schedule, the Agency and Contractor have agreed to extend the date for Substantial Completion as reflected below.
4. Contractor agrees that the payment authorized by this Change Order, if any, is in full settlement of any and all causes of action, including but not limited to, any claim resulting from delays to the time to Substantial Completion caused by this Change Order which Contractor or any of its Subcontractors, suppliers and the officers, agents, and employees of each of them, may now have or may assert in the future against the Agency, or its officers, employees and agents, arising out of, or associated with, this Construction Change Order.
5. Does this Change Order increase the Contract Amount by 25% or more? Yes No
In accordance with the terms of the Contract, the following detailed changes are proposed:
Original Contract Sum $
Previous Change Orders to Contract $
Net Change for this Change Order to Contract $
New Contract Sum $
Number of Calendar Days for Time Extended for Substantial Completion for this Change Order Days
Revised Substantial Completion Date Due to This Change Order
Contractor (Firm Name): Address: Authorized Signature and Date:
Design Professional (Firm Name): Address: Authorized Signature and Date:
State Procurement Officer Name: Agency Name and Address: Authorized Signature and Date:
Chief Compliance Officer Name: Agency Name and Address: Authorized Signature and Date:
State of Arizona General Services Division 1400 West Washington St
Phoenix, AZ 85007
Form 7/8/2024 r3
ARPA Alamo Lake State Park PCS-22-130 PCS-22-130
EPS Group Concord General Contracting, Inc. Britt Olachea
3,415,290.00
147,662.00
3,562,952.00
CTR066685
Docusign Envelope ID: 6ABED8F6-2844-4984-B6E4-6CCE25075C25
JASON BEAVER 2240 W Broadway, Suite 105, Mesa AZ 85202 20-Jan-25 | 10:43 AM EST
Ryan McKinnis 1130 N. Alma School Rd, Suite 120, Mesa AZ 85201 20-Jan-25 | 2:01 PM MST
ADOADustin Deason 21-Jan-25 | 11:00 AM MST
22-Jan-25 | 6:43 PM MSTADOAPatrick Holt
COR No. 1 Date:
12/3/2024
Schedule of Values by Trade Item No. Subcontractor Trades
Q ty
U ni ts Unit Price Extension Q ty
U ni ts
Unit Price Extension Totals
Sam Nichols - Electrical for RV Pedestals per attached Concord GMP Proposal dated 11/25/24.
-$ -$ $147,662.00
2 -$
147,662.00$ Owner Request 0.00% -$ Hidden Condition 1.30% Prepurchase Materials 1.00% Omission in Construction docs Contractor's Fee 5.25%
X Transfer to/from Contingency 3.65% Other-Return Unused Contingency 147,662.00$
Approval of this Change Order Request will increase (decrease) the Schedule by: 0 Calendar Days
Form 8.14. rev 8.10.2021 r5
Exhibit J1 Change Order Request
State of Arizona General Services Division 1400 West Washington St
Phoenix, AZ 85007 Project Name: ARPA Alamo Lake State Park State Project No:
PCS-22-130 / CTR066685
Contractor Project No:
Contractor:
Concord General Contracting, Inc.
The Contractor hereby requests a Change in the Contract Sum and/or Time, conforming to Article 1.2 of the Uniform Terms and Conditions, the Work described herein will not start until this Change Order Request has been signed by all parties.
This Change will require Statutory Review: Yes No
Labor Material
Check the box best describing the Cause of this Change Subtotal
Contractor Concord General Contracting, Inc.
Design Professional EPS Group
ADOA Project Manager Britt Olachea
Construction Services Manager
Address 1130 N alma School Rd, #120, Mesa, AZ 85201
Address 2240 West Broadway Road, Suite #105, Mesa, AZ 85202
Authorized Signature & Date
Address 1400 West Washington Street, Suite #B200, Phoenix, AZ 85007
Authorized Signature & Date
Address Authorized Signature & Date
Authorized Signature & Date
General Conditions Insurance Bond
Transaction Tax Total Cost
Stacey Scott
8:59:42 PM
12/03/2024
Docusign Envelope ID: EC1927CD-3C25-464F-B43B-405067558C6C
20-Dec-24 | 10:06 AM MST
20-Dec-24 | 10:16 AM MST
Jason Joseph 20-Dec-24 | 12:31 PM MST 1400 W. Washington
Docusign Envelope ID: 6ABED8F6-2844-4984-B6E4-6CCE25075C25
Phone: 480-962-8080 Fax: 480-962-0707 change order request
COR #: 3
From:
Concord General Contracting, Inc.
2240 West Broadway Road, Suite #105 Mesa, AZ 85202 12/3/24
12/3/24 Date Created:
Date Submitted:
Wenden, AZ 85357 Phoenix, AZ 85007 Alamo Road 1400 W. Washington St., Suite B200
ADOA General Services Division Attn: Project:
#2341-ARPA Alamo Lake State Park
The following pricing is offered for your consideration:
COR #: 3 - Electrical Alternate
Item #: 1 - Electrical Alternate
Amount Description 125,005.00 Sam Nichols
Subtotal:
125,005.00
1,250.00 Insurance
375.00 Builders Risk
2,402.00 Bond 6,563.00 Profit 5,817.00 Sales Tax
141,412.00 Total For Item #1:
Item #: 2 - Owner Contingency
Amount Description 6,250.00 Owner Controlled Contingency
Subtotal:
6,250.00 6,250.00 Total For Item #2:
147,662.00 Total For Change Order:
This Quotation has been priced in accordance with the current job progress position and rate of progress and, therefore, is subject to adjustment if authorization to incorporate subject change into the work is not approved within 14 days.
If this Proposal is accepted, the Contract Time will be extended by 0 days.
This change order request does not include any amount for changes in the sequence of work, delays, disruption, rescheduling, extended overhead, acceleration, or impact costs; and the contractor is expressly reserving its right to make claim for any and all of these and related items of cost prior to final settlement of contract.
ROC # 72403 12/3/2024 4:01:27 PM
Page 1 of 2 change order request
Docusign Envelope ID: EC1927CD-3C25-464F-B43B-405067558C6CDocusign Envelope ID: 6ABED8F6-2844-4984-B6E4-6CCE25075C25
Phone: 480-962-8080 Fax: 480-962-0707 change order request
COR #: 3
From:
Concord General Contracting, Inc.
2240 West Broadway Road, Suite #105 Mesa, AZ 85202 12/3/24
12/3/24 Date Created:
Date Submitted:
Submitted By: Approved By:
ADOA General Services Division Concord General Contracting, Inc.
Signed:
Date:
Signed:
Date:
Signed:
Date:
Architect Review By:
EPS Group, Inc.
ROC # 72403 12/3/2024 4:01:27 PM
Page 2 of 2 change order request
Stacey Scott
8:59:54 PM
12/03/2024
Docusign Envelope ID: EC1927CD-3C25-464F-B43B-405067558C6CDocusign Envelope ID: 6ABED8F6-2844-4984-B6E4-6CCE25075C25
Docusign Envelope ID: EC1927CD-3C25-464F-B43B-405067558C6CDocusign Envelope ID: 6ABED8F6-2844-4984-B6E4-6CCE25075C25
Docusign Envelope ID: EC1927CD-3C25-464F-B43B-405067558C6CDocusign Envelope ID: 6ABED8F6-2844-4984-B6E4-6CCE25075C25
Docusign Envelope ID: EC1927CD-3C25-464F-B43B-405067558C6CDocusign Envelope ID: 6ABED8F6-2844-4984-B6E4-6CCE25075C25
Docusign Envelope ID: EC1927CD-3C25-464F-B43B-405067558C6CDocusign Envelope ID: 6ABED8F6-2844-4984-B6E4-6CCE25075C25
Docusign Envelope ID: EC1927CD-3C25-464F-B43B-405067558C6CDocusign Envelope ID: 6ABED8F6-2844-4984-B6E4-6CCE25075C25
Certificate Of Completion Envelope Id: EC1927CD-3C25-464F-B43B-405067558C6C Status: Completed
Subject: PCS-22-130 J1 Electrical at RV Pedestal 12.17.24.pdf
Source Envelope:
Document Pages: 8 Signatures: 3 Envelope Originator:
Certificate Pages: 5 Initials: 0 Britt Olachea
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-07:00) Arizona
1840 W Jackson St.
Phoenix, AZ 85007 britt.olachea@azdoa.gov
IP Address: 18.235.99.181
Record Tracking Status: Original
12/17/2024 10:51:18 AM
Holder: Britt Olachea britt.olachea@azdoa.gov
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: Arizona Department of Administration -
General Services Division
Location: DocuSign
Signer Events Signature Timestamp Ryan Mckinnis ryan.mckinnis@epsgroupinc.com
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address: 47.160.106.233
Sent: 12/17/2024 12:56:07 PM
Resent: 12/18/2024 8:17:46 AM
Resent: 12/18/2024 3:42:47 PM
Viewed: 12/20/2024 10:03:51 AM
Signed: 12/20/2024 10:06:02 AM
Electronic Record and Signature Disclosure:
Accepted: 12/20/2024 10:03:51 AM ID: 6024de90-1114-4ecb-837f-0c584690e6cb
Britt Olachea britt.olachea@azdoa.gov
PM
Arizona Department of Administration - General
Services Division
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address: 72.201.25.194
Sent: 12/20/2024 10:06:03 AM
Viewed: 12/20/2024 10:16:03 AM
Signed: 12/20/2024 10:16:23 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Jason Joseph jason.joseph@azdoa.gov
Construction Services Manager
1400 W Washington St Phoenix AZ 85007
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address: 68.99.88.229
Sent: 12/20/2024 10:16:25 AM
Viewed: 12/20/2024 11:05:13 AM
Signed: 12/20/2024 12:31:54 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 12/17/2024 12:56:07 PM
Certified Delivered Security Checked 12/20/2024 11:05:13 AM
Signing Complete Security Checked 12/20/2024 12:31:54 PM
Completed Security Checked 12/20/2024 12:31:54 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, State of Arizona Department of Administration - General Services Division
(we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time
(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a
$0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us.
All notices and disclosures will be sent to you electronically
Electronic Record and Signature Disclosure created on: 8/8/2020 3:29:12 PM Parties agreed to: Ryan Mckinnis
Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us.
How to contact State of Arizona Department of Administration - General Services
Division:
You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows:
To contact us by email send messages to: marjorie.mckenna@azdoa.gov
To advise State of Arizona Department of Administration - General Services Division of your new email address
To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at marjorie.mckenna@azdoa.gov and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address.
If you created a DocuSign account, you may update it with your new email address through your account preferences.
To request paper copies from State of Arizona Department of Administration - General
Services Division
To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to marjorie.mckenna@azdoa.gov and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with State of Arizona Department of Administration - General
To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an email to marjorie.mckenna@azdoa.gov and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide-signing-system-requirements.
Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.
By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:
You can access and read this Electronic Record and Signature Disclosure; and
You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and
Until or unless you notify State of Arizona Department of Administration - General
Services Division as described above, you consent to receive exclusively through electronic means all notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you by State of Arizona
Department of Administration - General Services Division during the course of your relationship with State of Arizona Department of Administration - General Services
Division.
Docusign Envelope ID: 6ABED8F6-2844-4984-B6E4-6CCE25075C25 https://support.docusign.com/guides/signer-guide-signing-system-requirements https://support.docusign.com/guides/signer-guide-signing-system-requirements
Certificate Of Completion Envelope Id: 6ABED8F6-2844-4984-B6E4-6CCE25075C25 Status: Completed
Subject: Exhibit J - CTR066685 Alamo Change Order 1.pdf
Source Envelope:
Document Pages: 14 Signatures: 4 Envelope Originator:
Certificate Pages: 5 Initials: 0 Dustin Deason
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-07:00) Arizona
1840 W Jackson St.
Phoenix, AZ 85007 dustin.deason@azdoa.gov
IP Address: 34.225.141.179
Record Tracking Status: Original
1/17/2025 3:28:48 PM
Holder: Dustin Deason dustin.deason@azdoa.gov
Location: DocuSign
Security Appliance Status: Connected Pool: StateLocal
Storage Appliance Status: Connected Pool: Arizona Department of Administration -
General Services Division
Location: DocuSign
Signer Events Signature Timestamp
JASON BEAVER
jbeaver@concordinc.com
Vice President/COO
Co
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address: 70.166.220.139
Sent: 1/17/2025 3:32:45 PM
Viewed: 1/20/2025 8:42:50 AM
Signed: 1/20/2025 8:43:29 AM
Electronic Record and Signature Disclosure:
Accepted: 1/20/2025 8:42:50 AM ID: 76e213d7-3993-4ef1-ae68-70c602b48e33
Ryan V McKinnis ryan.mckinnis@epsgroupinc.com
Ryan McKinnis
Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style
Using IP Address: 47.160.106.233
Sent: 1/20/2025 8:43:30 AM
Viewed: 1/20/2025 1:59:45 PM
Signed: 1/20/2025 2:01:33 PM
Electronic Record and Signature Disclosure:
Accepted: 1/20/2025 1:59:45 PM ID: 97df4e12-68e2-4e86-9aaa-6ab1641a6d10
Dustin Deason dustin.deason@azdoa.gov
Procurement Manager
ADOA
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address: 159.87.213.230
Sent: 1/20/2025 2:01:34 PM
Viewed: 1/21/2025 11:00:31 AM
Signed: 1/21/2025 11:00:38 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Patrick Holt patrick.holt@azdoa.gov
Construction Compliance Officer
ADOA - General Services Division
Security Level: Email, Account Authentication (None)
Signature Adoption: Pre-selected Style
Using IP Address: 72.201.103.63
Sent: 1/21/2025 11:00:39 AM
Viewed: 1/22/2025 6:43:01 PM
Signed: 1/22/2025 6:43:30 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 1/17/2025 3:32:45 PM
Certified Delivered Security Checked 1/22/2025 6:43:01 PM
Signing Complete Security Checked 1/22/2025 6:43:30 PM
Completed Security Checked 1/22/2025 6:43:30 PM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
ELECTRONIC RECORD AND SIGNATURE DISCLOSURE
From time to time, State of Arizona Department of Administration - General Services Division
(we, us or Company) may be required by law to provide to you certain written notices or disclosures. Described below are the terms and conditions for providing to you such notices and disclosures electronically through the DocuSign system. Please read the information below carefully and thoroughly, and if you can access this information electronically to your satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made available electronically to you by us. You will have the ability to download and print documents we send to you through the DocuSign system during and immediately after the signing session and, if you elect to create a DocuSign account, you may access the documents for a limited period of time
(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to send you paper copies of any such documents from our office to you, you will be charged a
$0.00 per-page fee. You may request delivery of such paper copies from us by following the procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time change your mind and tell us that thereafter you want to receive required notices and disclosures only in paper format. How you must inform us of your decision to receive future notices and disclosure in paper format and withdraw your consent to receive notices and disclosures electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the speed at which we can complete certain steps in transactions with you and delivering services to you because we will need first to send the required notices or disclosures to you in paper format, and then wait until we receive back from you your acknowledgment of your receipt of such paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to receive required notices and consents electronically from us or to sign electronically documents from us.
All notices and disclosures will be sent to you electronically
Electronic Record and Signature Disclosure created on: 8/8/2020 3:29:12 PM Parties agreed to: JASON BEAVER, Ryan V McKinnis
Unless you tell us otherwise in accordance with the procedures described herein, we will provide electronically to you through the DocuSign system all required notices, disclosures, authorizations, acknowledgements, and other documents that are required to be provided or made available to you during the course of our relationship with you. To reduce the chance of you inadvertently not receiving any notice or disclosure, we prefer to provide all of the required notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through the paper mail delivery system. If you do not agree with this process, please let us know as described below. Please also see the paragraph immediately above that describes the consequences of your electing not to receive delivery of the notices and disclosures electronically from us.
How to contact State of Arizona Department of Administration - General Services
Division:
You may contact us to let us know of your changes as to how we may contact you electronically, to request paper copies of certain information from us, and to withdraw your prior consent to receive notices and disclosures electronically as follows:
To contact us by email send messages to: marjorie.mckenna@azdoa.gov
To advise State of Arizona Department of Administration - General Services Division of your new email address
To let us know of a change in your email address where we should send notices and disclosures electronically to you, you must send an email message to us at marjorie.mckenna@azdoa.gov and in the body of such request you must state: your previous email address, your new email address. We do not require any other information from you to change your email address.
If you created a DocuSign account, you may update it with your new email address through your account preferences.
To request paper copies from State of Arizona Department of Administration - General
To request delivery from us of paper copies of the notices and disclosures previously provided by us to you electronically, you must send us an email to marjorie.mckenna@azdoa.gov and in the body of such request you must state your email address, full name, mailing address, and telephone number. We will bill you for any fees at that time, if any.
To withdraw your consent with State of Arizona Department of Administration - General
To inform us that you no longer wish to receive future notices and disclosures in electronic format you may:
i. decline to sign a document from within your signing session, and on the subsequent page, select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an email to marjorie.mckenna@azdoa.gov and in the body of such request you must state your email, full name, mailing address, and telephone number. We do not need any other information from you to withdraw consent.. The consequences of your withdrawing consent for online documents will be that transactions may take a longer time to process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The current system requirements are found here: https://support.docusign.com/guides/signer-guide-signing-system-requirements.
Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to other electronic notices and disclosures that we will provide to you, please confirm that you have read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for your future reference and access; or (ii) that you are able to email this ERSD to an email address where you will be able to print on paper or save it for your future reference and access. Further, if you consent to receiving notices and disclosures exclusively in electronic format as described herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign system.
By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm that:
You can access and read this Electronic Record and Signature Disclosure; and
You can print on paper this Electronic Record and Signature Disclosure, or save or send this Electronic Record and Disclosure to a location where you can print it, for future reference and access; and
Until or unless you notify State of Arizona Department of Administration - General
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https://support.docusign.com/guides/signer-guide-signing-system-requirements https://support.docusign.com/guides/signer-guide-signing-system-requirements
| Exhibit J - Construction Contract Change Order (5) |
| PCS-22-130 J1 Electrical at RV Pedestal 1.7.25 |
| Sheet1 |
| 2025-01-22T17:43:58-0800 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .