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Home My WebLink About2017 CON Palm Engineering - Stormwater Pipe Repair, CIP No. 17-09 - Earl Drive - Change Order #1- CALIFORNIA - NATIONAL CH INCORPORATIO Earle Dr. Emergency Stormwater Pipe Repair Project CIP No: 17-09 Contractor: Palm Engineering Construction Company, Inc. CHANGE ORDER NO. 1 August 14, 2017 Reason/Purpose for this Change Order. During a visual inspection of the existing RCP, several voids were noted in the grout between each RCP joint. The City of National City and Contractor agree to the following change to the original Contract: Contractor was directed to cement mortar all existing voids with the joints of approximately 120 LF of 72" RCP. This work was performed on a T&M basis. Original Contract Amount $ 55,000.00 Net change by previously authorized Change Orders Subtotal Amount of this change order 55,000.00 1,413.91 New contract amount . . $ 56,413.91 Working days added: 0 Wo,�'king days subtracted: 0 Percent change in Contract to date 2.57% • ted by: Pro ect Mana er Date II Ci Project Manager Date roved by: 1 City rig ineer Date // City Manager, required for Change Orders>$24,999 Date By signing this Change Order the Contractor confirms that he/she is completely familiar with its terms and conditions and has fairly negotiated its price, terms and conditions. If this Change Order is approved, Contractor will provide all of the equipment, materials and labor necessary to provide a complete work as described above at that the price stated herein. Additionally, Contractor confirms that the price is fair and complete and represents all costs associated with the work, including but not limited to all equipment, materials, labor, supervision, overhead, fees, bonds, insurance, profit, etc. and that there will be no further compensation. All of the terms and conditions of the original contract documents are incorporated herein. (2 originals: 1 for City Clerk, 1 for Contractor) Accepted and agreed to by (Contractor's name): Name: Fl///7 Date Note to Contractor: If you do not agree with this Change Order you may be directed to proceed with this work under the terms of the contract and you may proceed under protest. You must comply with the contract requirements of submitting a written protest to protect your claim. Originals: City Clerk, Contractor cc: Engineering project file, Project Manager 1243 National City Boulevard, National City, CA 91950 Telephone (619) 336-4380 Palm Engineering Construction Company, Inc. Proposal Worksheet Project No: 1701 Date Performed: 6/2/17 Date of Report: 6/7/17 C.C.O. No: Report No: 3519 Project Name: Emergency Stormwater Pipe Repair 1701-1 Description/Comments: Laboror / Description Hours *Hourly Rate Extended Amounts Joint Patching per City REG OT Avila-Casanora, Ismael - L1 REG 8 67.26 538.08 Materials/Equipment Qty Hours Rate Extended Amounts OT 87.45 Sopon, Welfido L1 REG 8 67.26 538.08 OT 87.45 - REG - OT - REG - OT - Materials - Hub (Attached) 82.43 REG - OT - REG - OT - REG - - OT - - REG - OT - Total Materials & Equipment (B) 82.43 REG OT - Subcontractor (C) TOTAL LABOR A 1,076.16 B 82.43 - Total Subcontractor C - Contractor's Representative's Signature See Attached Resident Engineer's Signature Inspector's Signature (when applicable) + 20 % Markup on Labor Cost + 15 % Markup on Equip, Matrl, & Work + 10 % Markup on Subcontractor SUBTOTAL + 2 % Bond & Liability Insurance TOTAL Proposal (A) 215.23 (B) 12.36 (C) 1,386.19 (D) 27.72 1,413.91 * Hourly Rate includes PR Overhead (PR Tax & W/C) American Subcontractors Assoc. Su tier of the Year So. California - 2013, 2014, 2015 & 2016 • ---g:f 1UB 43 - if lGonOtuctbn cp¢dWue+, ine.1 c.Wrm.94,.. 60.d wrura.sp iu 11 it *DELIVERY* HUB - SAN DIEGO SUITE A National City, CA 91950 Phn:(619)409-7227 Fax:(619)409-7233 Mgr:Larry Clause A PALM ENGINEERING CONSTR. C 7330 OPPORTUNITY RD. #J C SAN DIEGO CA 92111 T J 0 CHARGE SALE Page: 01 EMERGENCY STORMNVATER REPR 1432 EARLE DRIVE National City CA 91950 Job Number 01701 Order 675954 Customer 015498 SLM 566 Ship Via WILL CALL Ship Date 6-02-17 Customer P.O 1701 Description Qty Ord. SKU 400521 7GAL MIXING TUB-PLAST 1 310075 5GAL PLASTIC PAIL NO/ 1 450010 RAPID SET GROUT 55 LB 3 BLUE & WHITE BAG SAYS "CEME Time:08:24am OTE: ALL CLAIMS FOR SHORTAGES MUST B ALL RETURNS SUBJECT TO RESTOCKING Print and Sign Name Qty Backord 0 0 0 T ALL" Qty Shipped 1 1 3 WT:165# Tx? Y Y Y Unit Price Purchased By MIKE AVILLA UOM Ext.Amount 6.95 EACH 6.95 4.35 EACH 4.35 21.50 EACH 64.50 TAX 8.750: *TOTAL: 6.63 82.43 MADE AT TIME 0 HARGE F DELIVERY For the latest product information, please refer to manufacturer's website or contact the manufacturer directly. Sale is subject to additional Terms and Conditions as stated at www.hubhasit.com ***Emergency Response / MSDS Information - Call (800) 535-5053*** Notice: Sale of Used Equipment or Material is made 'As Is' Delivery/Transmittal Receipt August 15, 2017 PALM ENGINEERING CONSTRUCTION COMPANY, INC. 7330 Opportunity Road, Suite J San Diego , CA 92111 Phone: (619) 291-1495 I Fax: (619) 291-0482 selihu@san.rr.com.com or helen.palm@san.rr.com To: City of National City 1243 National City Boulevard National City, CA 91950 (951) 532-6483 Attention: SEAN GILL Re: Emergency Stormwater Pipe Repair Job Number: 1702 We are sending you the following: Attached Under Separate Cover via: Shop Drawings Copy of Letter Subcontracts Prints Change Order Submittals Plans Samples Specification Reports: Other: Charts X Pages Date Description 3 8/14/17 Change Order #1 - Wet Signature 1 8/14/17 Invoice Cover Sheet #2 - Wet Signature 1 8/14/17 Progress Billing #2 1 8/14/17 Customer Invoice #2 - Wet Signature 1 8/14/17 Invoice Cover Sheet #3 Retention - Wet Signature 1 8/14/17 Final Billing #3 Retention 1 8/14/17 Customer Invoice #3 Retention - Wet Signature These are transmitted as checked below For Approval X For Your Use As Requested Approved as Submitted Approved as Noted Returned for Corrections Resubmit copies for approval Submit [#] copies for distribution Return [#] corrected prints For Review and Comment For Signature Revise and Resubmit/Work May Not Proceed PRINTS RETURNED AFTER LOAN Comments: Delivered By: Received By: Date: Picked Up Signature & printed name of recipient Date received