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Home My WebLink About2018 CON Palm Engineering - Division Street Traffic Calming - Change Order #5NET = fry NCB Division St. Traffic Calming Project CIP No: 16-09 Contractor: Palm Engineering Construction Company, Inc. CHANGE ORDER NO. 5 January 9, 2018 Reason/Purpose for this Change Order: To remove existing traffic signal loop boxes damaged prior to the start of the Division project. The City of National City and Contractor agree to the following change to the original Contract: The contractor was directed to remove all existing traffic signal loop boxes throughout the project and install a new conduit under the existing curb & gutter for the new loop detectors to be installed. All work was completed on a T&M basis. A breakdown of those charges has been attached, however, the cost varies due to a mathematical error on one T&M breakdown. The price has been adjusted accordingly and includes a 5% mark on subcontractor work per the project specifications. Original Contract Amount $ 983,756.49 Net change by previously authorized Change Orders Subtotal Amount of this change order New contract amount Working days added: 0 Working days subtracted: 0 (26,118.42) 957,638.07 $ 962,806.39 Percent change in Contract to date -2.13% Su.ml -d by Pr Manag- l Date City Project Manager Date Aped by: Cit ngineer 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 ageed to by (Contractor's name): Name D to 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 I /2y/rg 1243 National City Boulevard, National City, CA 91950 Telephone (619) 336-4380 Palm Engineering Construction Company, Inc. Time Material Cost Project No: 1607 Date Performed: 7/27/17 Date of Report: 12/12/17 C.C.O. No: Report No: 3 T&M Hanson Project Name: Division Street Traffic Calming 1607-7 Description/Comments: Laboror / Description Hours *Hourly Rate Extended Amounts T&M Billings approved in field & signed by ICCS. REG - OT - REG- - Materials/Equipment Qty Hours Rate Extended Amounts OT REG - OT - REG - - OT - REG - - OT - - REG - - OT - REG - - OT - REG - - OT - - REG - OT - Total Materials & Equipment (B) - REG - OT - Subcontractor (C) TOTAL LABOR A - 4 922.21 Hanson Electric 5,267.21 B - Total Subcontractor C -5,267.21 5,267.21 Contractor's Representative's Signature Resident Engineer's Signature Inspector's Signature (when applicable) + 20 % Markup on Labor Cost + 15 % Markup on Equip, Matrl, & Work 5% 0 + 4A- % Markup on Subcontractor SUBTOTAL + 2 % Bond & Liability Insurance TOTAL Proposal (A) (B) (C) 2 2 .72 55,7'33.93 (D) 5,909.81 * Hourly Rate includes PR Overhead (PR Tax & W/C) 5168.32 HANSON E'..ECTRIC.ING. PO Box 1230 Lakeside,CA 92040 Phone: 619-328-5040 Fax: 619-328-5041 Email: hansonelectricsd@gmail.com 1067-4 Division Street Traffic Calming T & M WORK T & M Billing 7/10/2017 T & M Billing 7/11/2017 & M Billing 7/12/2017 T & M Billing 7/13/2017 TEtMI INVOICE Project: 24 Invoicett: 3 T & M Invoice Date : 7/27/2017 Contractor: Pain General Engineering Project Manager: Palm Engineering Constructior. 7330 Opporunity Rd Ste. i. San Diego, CA 92111 $1,321.78 $1,580.78 $489.18 $1,875.47 $ 1,321.78 $ 1,580.78 $ 489.18 $ 1,875.47 Other Comments or Special Instructions Payment is due 7 business days after payment from owner Please send correspondence regarding this work order to: Kiera Henry (hansonelectricsdOgmail.com) Thank You For Your Business! ;1JBTOTAL Retention5% TOTAL $5,267.21 $0.00 C243 .3( ) .21 Please make checks payable t Hanson Electric a 0,./..3,1" -92 74fa --77//'7 tevglim "vg 71/41-tv, 30 pied re/407 p7oe'..9*$v --4,71)'91 e,4v 215Vaea/ z17 et. cso3 'Mr' riieL. ..:171"cPiev," rk,"7 _vrivyez, 1:97cw cr rviei,e, 24e4 arct zei (VI er7o4J le (1 *7111f IP/ zel cvosr0)/ 7; +79 51/ 5 ;Thy d_?-7,' rvoir-b01 • -804 0 3.1,F,,?! Pe" dt7 4'17-4S t*I9 4144'a r)°1/0-4 s' "'der -7-44,4 rev/ 4000 97,067"40/ 3, ow .1 -701vbeed-• -7/ -wri?di 5- 7 cylL NCO .*-dat-1.5 (1/ 4; '5" 'fr-4 1/A-4 f7 Gi<e 3/%2 XV Phitti 11#4^9 Pre r# .4 Q sr a.t. ra y o n/H-4. el -17,7d 9P1/11" e, 1kW-4 -1.419en- ,rg c2, 2'214,4a. -7 4V57191e c-cv.45-e..4.e7d) sr.s" /4 9 / ye-049 X ceQ/s'/t')a 411.1.1111.101=1.11...1111111.MIINNIIMINIMIIIMMI•17 ° hzo uoisinIG D/ ty / 15,4,4‘ na _1 / 14e ja.7iJd 7 A11„0,1 a a a- 036' is rt.06 4H4S PEA- fee-5 /444/1•00 ',R.710(c. AL,p4./ 4.1) e.e s 4.117"ey: drir-i-)ab /-.1 ee_s- 4110 ad FS 71413 riv/s/o --ciez • /.1) iza ,..2 7b .61-e73/2. Mv.b,fter.e 8 Aytr- Ok-Se 7A) e, 7S,s‘ ezio.L4;_. A 4.1.-Sagit. Y. ,Peag-Aig-,-1EB 77/-eit zP*7frg(e /4,1e ( Hanson Electric, Inc. PO BOX 1230 LAKESIDE, CA 92040 PHONE 619.328.5040 FAX 619.328.5041 Contractor's State License No. 1008273, C-10 DVBEISLBEISBE HANSON ELECTRIC, INC. JOB NO. 24-DIVISION STREET TRAFFIC CALMING POTHOLE, DEMO EXISITNG PULL BOX Proposal Submitted To: Plane: Fax: Date Submitted: ,,Street Job Name: PROJECT NO. Date Worts Pertormed: 07110117 ity, Stale and Zip Code: Job Location Attention: Artfilect NIA Plan Sheets' NIA E-Mat Spec Section: NIA Mdendas Noted: NIA ITEM DESCRIPTION ESTIMATED QUANTITIES UNIT MEASURE UNIT PRICE TOTAL POTHOLE, DEMO EXISTING PULL BOX, BACKFILL BASE, REFILL OPEN LOOPS. 7110l2017 MATERIAL: 1.00 lS HOME DEPOT- QUICKCRETE SAND FOR FILL OF LOOPS 5514 I0.14 711012017 HOME DEPOT- COUPLINGS. ELBOW COUPLINGS 1.00 LS $4.41 UM: SUBTOTAL FOR 9.55 MATERIAL ADD: i11615 7n0120171NJCKIN EQI11T: PE1WQQ 6.50 ►R OM8147.94 711122017 IARC OPRESBQR 6.50 HR $17.33 11112Je5 _._.. & MSC. COSTS 270.14 (NOTE ALL EQUIP. RATES INCLUOE TAXES, INSURANCE, FUEL _._. _.... SUBTOTAL FOR EQUIPMENT ADD: -200.60-4 ---..._._.. _.._... _ LABOR: 7/1012017 KEN REDMOND- TRAFFIC SIGNAL STREET UGHT TECHNICIAN 2 6.50 HR $4270 S277.55 711012017 JORGE URIAS - TRAFFIC SIGNAL STREET LIGHT TECHNICIAN 2 6.50 HR M4270 $277.55 SUBTOTAL FOR LABOR ADD: 5555.16 SUBTOTAL FOR SUBCONTRACTOR ADD: I825.24 TOTAL FOR THE ABOVE ITEMS: 4111426..4 1 151.54 MARKUPS FOR OV AD & PROFIT PER SECTION 5-32 3.S & 3-32.3.b: #40664 975....78.. l . TOTAL AMOUNT OFCOR#: -f>-0104:48- INC IS A CERTIFIED HANSON ELECTRIC DVBFJSBEJSLBE UNION COMPANY BY: Submitted fox Hanson Electric Inc. K.IERA F NRy-OFFICEMANA4 R. T&M 1 of 1 7/27/2017 9:23 AM fl:[1 ��S®iv FOREMAN'S DAILY TIMECARD/DAILY REPORT . E LEiCTF TIC. INC. P.O. BOX 1230 LAKESIDE, CA 92040 (P) 619.328.5040 (F) 619-328-5041 JOB NO. R j !1 D1IYJOF/THE WEEK: (CIRCLE ONE) SUN MON UES WED THURS FRI SAT DATE WORKED r lr / _ J E! SHIFT WORK (CIRCLE ONE) . YES t NO UNION: 569 ClSHIFT /' _ L� START SHIFT ENDT/iJME MEALTBREAK START TIME MEAL BREAK END TIME FIRST BREAK START SECOND BREAK START PROJECT MANAGER NAME A.M. P.M. A.M. P.M. WEATHER CO ITION CIRCLE ONE} SUNNY LOU RAIN i r, . OAILYTAILGATE MEETING, SUBJECT TRAFFIC CONTROL INSPECTION ACCIDENTS OR INJURY ON JOB (CHECK ONE) (IF YES ACCIDENT REPORT IS ATTACHED) YES NO YES 02, CHECKTHIS BOX EXTRAWORK ACCOUNT HEYES PLEASE MAKE A CONTRACT WORK CHANGE ORDER WORK DIG ALERT (CHECK BOX BELOW) TICKETNO.# COPY OF TIME SHEET ATTACH TA -MATERIAL INVOICES AND TRUCKING TICKETS) YES NO YES NO YES � '� "11 r j//_ 1Q81�AME!LOCAT►ON It t�t 21 r..—� ` f �'"`A 1 i S/ 1 l(NAME: • = 8 g m o c U MEAL BREAK (WRITE NO IF NorTAKEN) EMPLOYEE SIGNATURE 'SIGN AFTER REVIEWING THE CERTIFICATION STATEMENT BELOW FOREMAN TRUCK N0/ _i o gc,L J{i EMPLOYEES' YES STARS: i /�,� NAME: L i delt,t'h t� � �!"^�, l�/ ��--__ r CS _7 r G "� TIME NJ:_% TIME OUT:4_'t!0 . OT NO END: TO 10B It FROM JOB ##:_ ,r DT NAME: Ci f li `/7 .) S• �j YES START: l frl TIME IN: 1 ' TIME OUT: fr I7 OT > > � T0108 8: FROM JOB R; DT r!0 END: NAME:: IS I START: • TIME IN: TIME 09T: 1D5-. FRC'...T. _... — , r' z } EA QIfAHNTY REPORTING 15 Ij LFJM . i COMPANY EQUIPMENT EQUIPMENT ID HOURS METER READING 41.1\DESCRIPTION OF WORK PERFORMED --1-0 kj� ;,,: v-1- • R lJC;' Inott. L'evho C._y 1 S.)1 i, p ✓ f i L1G.X- R R + ,{� \`jVilt C),J' ``iJini,l 7, %)'tt}J ul(SiS! R on .h ,,' 15 5 C-"Ni jj`_ U r fr t — l''''W-1 R %.t. (-kb —out </ R R CA (:k.. .1t 1 f Q b 9,1 e ' Pi : j .-. Lei 1 R ' y w.i ' 'j- 0 kL v-: 5't R 1 RENTED EQUIPMENT TICKET# HOURS METER READING l ,ITI--l•�-4- �I(T��' . .F'f (lee, Cro\ ressc rL 1-is Ca)-Velg `3jrdF-- {1+'V` !'A1.."}iIu5 rv11 L)r..X // '7 _ • 1 ,t Q1) 3 JJ I PC...[ -1_ - MATERIAL USED/SUBCONTRACTORS/RE TALSIMISC NOTES .\p[,I - (c fl S'(,fitt!i(J'f tl 'EMPLOYEECERTIFICATIONOFHOURSWORKEDANDWORKCONDITIONS:IDECLARETHATTHEHOURSSHO.1RiO!!THISTIMECARDACZ ATELY AND FULLY REFLEcTS ALL THE HOURS THAT 1 WORKEO DIJRING THE DESIGNATED TIME PERIOD. (VERIFY THATTHIS TIME CARD REPORTS ALL OVERTIME I HAVE WORKED, If ANY DURING THIS PAY PERIOD.! DECLARE THAT I HAVE RECEIVED THE OPPORTUNITY TO ELECTTO 'TAKE MY REST BREAKS AND HAVE TAKEN MY MEAL BREAKS UNLESS OTHERWISE SPECIFIED 011 THIS FORM. I VERIFY THAT I HAVE NOT SUSTAINED ARTWORK RELATED RIJURY. I FULLY COMPREHEND ROTH THE INFORMATION RECORDED ON THIS CERTIFICATION AND 1 HAVE MADE THIS DECLARATION FREELY AND VOLUNTARILY. 'CERTIHCACION DEL EMPLEADO DE LAS HOUAS TRABAJADAS Y LAS CONDICIONES DE TRABAJO: DECLARE) QUE LAS HOUAS MOSTRADAS EN ESTATARJETA DE TIEMPO EXACTAMENTE Y REFLEIAN TOTAIMENEE TODAS LAS HOURS QUE TRABAJARON DURANTE El PERIODO DE TIEM' 1 DESIGNADO.VERIFICO QUE ESTATARJETA DEL TIEMPO INF0RMA T000 EL MOMENTO QUE HAN TRABAJADO 51 HUBIERA DURANTE ESTE PERI0D0 DE PAGO. DECLARE QUE THATI HA RECIBIDO LA OPORTU r . r DE ELEGIR PARATOMAR MIS RESTOS Y HABER TOMADO MI DESCANSO DE LA COMIOA A MENDS QUE SE ESPECIFIQUE L0 CONTRARIO EN ESTE FORMULARIO.VERIFIYQUE NOHE50STENIDOALGUNALE. • '• . CION ONELTRABAJO. COMPIETOCOMPLETAMENTEIAINFORMACIONREGIST Ali ESTACERUFICACIONYHANHEM ESTA DECLARACION GRATUITAMENTE Y VOIUNTARIAM . 1 1 CERTIFY THAT THE HOURS REPORTED. e N 5 TIME k+ , , ' HE STA • ' OF EMPLOYEE ARE FULLY ACCURATE. ej . cuoiRviK(tR APPROVAL'. - -. �. _ .ATE; More saving. More doing; 355 MARKETPLACE AVENUE :AN DI'EGO, GA 92113 (819)263I533 1032 00006 25251 07/10/17 11:23 AM CASHIER RAFAEI. 088700061057 1-1/2 COUP <A> <1�> ., YJPLING 1 1/2" rO.78 1.55 AAX REFUND VALUE $1.40/2 )88700012851 1 1/2 900EG <A> -40 2.98 ELBOW 1 1/2" SCH40 900EG B1'Li. ENO MAX REFUND VALUE. $2.69 -----..i0% oft Military Discount-.•._-.....- 4.54 10% ;off Military Discount -0.45 41ST RETURN ALL ITEMS FOR A FULL REFUND SUBTOTAL SALES TAX TOTAL XXXXXXXXX1(XX2829 DEBIT AUTH CODE 861913 Chip Read AID A0000000980840 TVR 8080048000 TAD 06010A03608C04 TSI 6800 ARC 00 4.09 0.32 $4.41 USD$ 4.41 Verifioa By P111 US Debit A* DUPLICATE RECEIPT ** *A NOT VALID FOP lEF1Il xx More saving. More doing" 355 MARKETPLACE AVENUL SAN DIEGO. CA 92113 (619)2631533 1032 00000 92258 • 07/10/17 12:26 PM CASHIER KELLY 039645115251 5011 A/P SAND <A> <M=. OUICKRE;TE 50LB ALL-PURPOSE SAND 2f1t2.65i 5.30 MAX REFUND VALUE $4.77/2 . --10% off Military Discount--------- 5.30 10% off .Military Discount -0.53 MUST RETURN ALL ITEMS FOR A FULL REFUND SUBTOTAL SALES TAX TOTAL XXXX)0(XXXXXX2829 DEBIT AUlH CODE 070910 Chip Read AID A0000000980840 TVR 80800413000 IAD 06010A03605G00 T5I 6800 ARC 00 4.77 0.37 $5.14 USD$ 5.14 Verified By PIN US Debit <M> Military Appreciat•on 111 i;ii 1111 i 1I11l1 1032 03 92258 07/10/2017 4809 RETURN POLICY DEFINITIONS POLICY ID DAYS POLICY EXPIRES ON A 1 90 10/08/2017 THE HOME DEPOT RESERVES THE RIGHT TO LIRETURNr1POLLICCYYTSSIIGN INLSTORESEFORHL Rrr TATI q Hanson Electric, Inc. PO BOX 1230 LAKESIDE, CA 92040 PHONE 619-328-5040 FAX 619-328-5041 Contractor's Slate License No. 1006273, C-10 DVBE/SLBEISBE HANSON ELECTRIC, INC. JOB NO. 24-DIVISION STREET TRAFFIC CALMING DUG OUT 4 OUT OF 5 DETECTOR BOXES, REMOVAL AND REPLACEMENT BY STUB OUT. COLD PATCH OPENEND PULL BOX HOLES oposa3 Submitted To: PfwM): J ax: Ij Uatc Submkted: 'Street Job Name: PROJECT NO. Date Work Performed: 07117J17 City, Stale and Zip Code: Job location Aitenlion: Architect Plan Sheots WA NIA E-Mal: Spec Section: NIA Mdenda:Noted: NIA ITEM DESCRIPTION ESTIMATED QUANTITIES UNIT MEASURE UNIT PRICE TOTAL DUG OUT 4 OUT OF 5 DETECTOR BOXES, REMOVAL AND REPLACEMENT BY STUB OUT. COLD PATCH OPENED PULL BOX HOLES MATERIAL: COLOPATCH - SUPERIOR READY MIX INVOICE 880201 1.00 LS $91.37 59137 — ----- SUBTOTAL FOR MATERIAL ADD: 01.37 EQUIPMENT: — '" -- MR COMPRESSOR 8.00 HR $17.33 $130.84 — -- ARROW BOARD 8.00 OAY =3.03 $24.24 . . - TRUCK 0 7- CONTRACTOR BODY ; ---- 8.00 HR $28.17 $223.38 TRUCK # i (PIPE TRUCK) 8.00 HR >;22.7B __ _ *182.08 — _ (NOTE: ALL EQUIP_ RATES INCLUDE TAXES, INSURANCE, FUEL & MISC. COSTS) i SUBTOTAL FOR EQUIPMENTADD: $570.32 LABOR: KEN REOMOND- TRAFFIC SIGNAL STREET LIGHT TECHNICIAN 2 8.00 HR --_-- $42.70 $341.&J JEREMIAH CROW - TRAFFIC SIGNAL STREET LIGHT TECHNICIAN 2 8.00 HR $42.-70 — $341,60 SUBTOTAL FOR LABOR ADD: $683.20 _._..._ SUBCONTRACTOR: • SUBTOTAL FOR SUBCONTRACTOR ADD: TOTAL FOR THE ABOVE ITEMS: $1,314.99 _______ .- -- - --- — — MARK UPS FOR OVERHEAD & PROFIT •PER ECTLON 3 3.2.3.a & 3-3.2.3.b: - • --$236.88 I i TOTAL AMOUNT OFCORI,: $1,580.78 -- .... ..... ----- --- . _ ....._...... — � HANSON ELECTRIC INC IS A a I IFI D DWIEMBEISLBE UNION COMPANY Submitted tor Hanson Elechic Inc. BY: ktERA 1-1-EI4R.y-oFFIe MANA4R T&M 1of1 7/27/2017 9:23 AM L_ �JANSON FOREMAN'S DAILY TIMECARDIDAILY REPORT ], LECTRIC, INC. P.O. BOX 1230 LAKESIDE, CA 92040 J08 NO. C j�u f (P) 619-328-5040 (F) 619-328-5041 DAY OF THE W EI(: (CIRCLE ONE) SUN MON TOES WIU THURS FRI SAT DATE WORKED SHIFT WORK (CIRCLE ONE) YES 1 N0 UNION::569 SHIFT START TIME SHIFT END TIME MEAL BREAK START TIME MEAL BREAK END TIME FIRST BREAK START SECOND BREAK START PROJECT MANAGER NAME W l9YTHER CONDITION (CIRCLE ONE) t SUNNY CLOUDY RAIN e 9 P.M. AAA - P.M. . b ` .'JQ Cie :id DAILY TAILGATE MEETING SUBJECT TRAFFIC CONTROL INSPECTION YES N0 ACCIDENTS OR INJURY ON 108 (CHEEK ONE) YES (IF YES ACCIDENT REPORT 1S ATTACHED) CHECK THIS BOX EXTRA WORK ACCOUNT (IF YES PLEASE MAKE A COPY OF TIME SHEET, ATTACH T.A. MATERIAL INVOICES AND TRUCKING TICKETS) CONTRACT WORK CHANGE ORDER WORK DIG ALERT (CHECK BOX BELOW) TICKET NO. YES N0 YES NO YES .-V 7110323 FOREMAN NAME:TRUCK N0 tt EMPLOYEES HOURS WORKED no °e z ou MEAL BREAK (WRITE N0 IF NOT TAKEN) EMPLOYEE SIGNATURE SIGN AFTER REVIEWING THE CERTIFICATION STATEMENT BELOW NAME: TIME SR - C TIME OUT: _ 1i 1R i' TO JOB $: FROM 10B R: OT DT _ NAME: (, rt) Cr' RC TIME IN: • (- TN4E OUT: ) " OT I START: YES J !j `•� TEND_, N0 YES 1 /79 Tn g FROM 108=._ DT TIME 1N: TIME OUT: TO JOB 6: FROM JOB B- NAME: DT 80 YES ST t¢ / yy'' E1J0: 'PCh,1)L ;START: ^^ - DT TIME IN: TIMEOUT. TO JOB It: FROM JOB 0: QUANTITY REPORTING 8 OT DT UM EA LS NO END: YES N0 START: END: ,I NOTES LEA? COMPANY EQUIPMENT RENTED EQUIPMENT MATERIAL IJ ()_ I / EQUIPMENT ID 8 R TICKET R R' R EDJSUUCORTRACTORSJRENTALSJMISC NOTES: HOURS a METER READING DESCRIPTION OF WORK PERFORMED i'C-LG11.1i HOURS METER READING k 14 dove .-t4 } ';. i C%L11YCf c' y, i f-f'-- 3 I. f v "EMPLOYEE CERTIFICATION OF HOURS WORKED AND WORE CONDIH0N5:1 DECIARETHATTHE HOURS SHOWN ON THIS TIME CARD ACCURATELY AND FULLY REFLECTS ALL THE HOURS THAT 1 WORKED DURING THE DESIGNATED TIME PERIOD. I VERIFY THAT THIS TIME CARD REPORTS ALL OVERTIME! HAVE WORKED, If ANY DURING THIS PAY PERIOD. I DECLARE MITI HAVE RECEIVED THE OPPORTUNITY TO ELECT TO TAKE MY RE5T BREAKS AND HAVE TAKEN MY MEAL BREAKS UNLESS OTHERWISE SPECIFIED ON THIS FORM. 'VERIFY THAT I HAVE NOT SUSTAINED ANY WORK RELATED INJURY. I FULLY COMPREHEND BOTH THE INFORMATION RECORDED ON THIS CERTIFICATION AND I HAVE MADE THIS DECLARATION FREELY AND VOLUNTARILY. 'CERTIFICACION DEL EMPLEADO DE EAS H0RA5 TRARAJADAS Y LAS CONDICIONES DE TRABAJO: DECLARO QUE LAS NORM MOSTRADAS EN ESTATARJETA DE TEMPO EXACTAMENTE Y REFLEJAN TOTALMENTE TODAS LAS HORAS QUETRABAIARON DURANTE EL PERIODO DETIEMPO DESIGNA00. VERIFICO QUE ESTA TAIUETA DEL TIEMPO INFORMAT0U0 EL MOMENTO QUE HANTRARA1AD051 NURIERA DURANTE ESTE PERIOD() DE PAGO. DECLARE QUE THATI HA RECIBIDO LA OPORTUNIDAD DE ELEGIR PARA TOMAR MIS RESTOS Y HABER TOMA00 ESTE FORMULARIO. VERIAY QUE NO HE SOSTENI00ALGUNA LESION REIACIONADA CON ELTRABAJO COMPLETO COMPLETAMENFE LA INFO DE LA C EGI T A MENDS QUE SE nnrA FIQUE LO CONTRARiO EN DECLARACION GRATUITAMENTE YVOLUNTARIAMENTE ) QCION REGISTRADA EN FCTa ry rlFtrnr rv1.... ?07/05/17 } RiArgrE hddek i INVOICE p 1IANS0010 07/05/2017 880291 1 TERMS: NER98 DAYS A FWANCO►IARGE.WILL .BE. IMPOS[D ON PAST DUE ACCOUNTS. THI- FINANcg9'ffluRGE IS COMPUTED BY A'PERIODIC RATE' OF1 111 % PEN MOM ; Wfltil IS AN ANNUAL PERCENTAGE RATE OF 18%OR A MINIMUM SERVICES:46AM OF$6.0 WHICHEVER IS GREATER. 1608 W. MISSION RD 'l E$CO 01150 PHONE: (760) 745-0656 * FAX: (76D) 740.0557 HANSON ELECTRIC INC PO BOX 1230 LAKESIDE, CA 92040 J F;CGG =I/ }..7) I 000005 PALM & DIVISION PALM & DIVISION SAN DIEGO- 1.06 TN COLD ASPHALT COLD MIX TICKETS_ TICKET DATE TOTALS: JOB TOTALS 040-341012 I/. Hanson Electric, Inc. PO BOX 1230 LAKESIDE, CA 92040 PHONE 619-328-5040 FAX 619-328-5041 Contractor's State License No. 1006273, C-10 DVBEISLBEISBE HANSON ELECTRIC, INC. JOB NO.24-DIVISION STREET TRAFFIC CALMING POTHOLE THE REMAINING 2 DETECTOR BOXES LOCATED AT EASTBOUND DIVISION STREET, STUB OUT & BACKFILL WITH COLD PATCH roposa! Subnrttod To: Phone: Fax: bate Submitted: Street: Job Name: PROJECT NO. Date Work Performed: 07113117 City, Stale and Zip Code: Job Location Attontion: Architect: NIA Plan Sheets: NIA E-Mail: Spec Section: NJA Addemlas Noted: NIA ITEM DESCRIPTION ESTIMATED QUANTITIES UNIT MEASURE UNIT PRICE TOTAL POTHOLE THE REMAINING 2 DETECTOR BOXES LOCATED AT EAST BOUND DIVISION STREET, STUB OUT 8, BACKFILL WITH COLD PATCH - — MATERIAL: — COLD COLD PATCH- SUPERIOR READY MIX —1 SUBTOTAL FOR MATERIAL ADD: EQUIPMENT: TURCK It 7 (CONTRACTOR BODY) 3.00 HR HR $28.17 $04.61 AIR COMPRESSOR 3,00 $17.33 $51.99 (NOTE: AU. EQUIP, RATES INCLUDE TAXES, INSURANCE, FUEL & MISC. COSTS) SUBTOTAL FOR EQUIPMENT ADD: $136.60 — � LABOR: KEN REDMOND- TRAFFIC SIGNAL STREET LIGHT TECHNICIAN 2 100 HR -—HR_—...-$49.58 $42.70 $128,10 _.............._-_ .-_. $148.74 COLE HAMILTON -TRAFFIC SIGNAL STREET UGHT TECHNICIAN 1 3.00 SUBTOTAL FOR LABOR ADD: $276.84 SUBCONTRACTOR: SUBTOTAL FOR SUBCONTRACTOR ADD: ABOVE ITEMS: TOTAL FOR THE $413.34 MARK UPS FOR OVERHEAD & PROFIT PER SECTION 3-3.2.3.a & 3-3.2.3.b: $75.84 r TOTAL AMOUNT OF CDR #: $489.10 T&M loft 7/27/2017 9:23 AM li H NSO FOREMAN'S DAILYTlMECARD/DAILY REPORT .---1---ir `,,/ EL EGTRIC.INC. ( U ! I t P.O. BOX 1230 LAKESIDE, CA 92040 (P) 619.328-SO40 (F) 619-32R-S041 4106 NO. # I i 1 DAY OF THE WEEK: (CIRCLE ONE) SUN MON TUES WED (:THUR fRI SAT DATE WORKED - SHIFT WORK (CIRCLE ONE) AYES J NO !'y.d10N' 569 SHIFT START SHIFT ENDTIME MEAL BREAK 5TARTTIME MEAL BREAK END TIME FIRST BREAK START SECOND BREAK START PROJECT MANAGER NAME I A.M. P.M. A.M. P.M. 1 WEATHER CONDITION (CIRCLE ;SUNNY ' CLOUDY RAIN ONO[ ; - { �" `� • • GAILY TAILGATE MEETING SUBJECT TRAFFIC CONTROL INSPECTION ACCIDENTS OR INJURY ON JOB (CHEC-K ONE) (IF YES ACCIDENT REPORT IS ATTACHED) S— j I!'EXTRA J. YES .1NO YES `�NOi CHECI(TH1S BOX WORK ACCOUNT (If YES PLEASE MAKEA CONTRACT WORK CHANGE ORDER WORK _,. DIG ALERT (CHECK BOX BELOW) TICKET N0.# COPY OF TIME SHEET, ATTACH (INVOICES ANDTRUCKING TICKETS} IA. MATERIAL YES NO YES 1 NO \ YES '1 •I• l i '':- I t JI _5 1 r JOB 1 AME/LOCATION ,` .",'t[ a! Et } ^• _ - �I -I 4 �l T n 0 — u c a MEAL BREAK (WRITE NO IF NOT TAKEN) EMPLOYEE SIGNATURE 'SIGNAFI'ERREVIEVJING THECERTIFICATIGH STATEMENT BELOW 'T ITRFMAN NAME TRUCK NO Y� r: o � EMPLOYEES I ! , YES START: i ! / j •f ' ;.(NAME: .,,., c•: '•• ° r ;�� { ' :MEIN: =-.TIME DU%___..—_ O I NO END: J TO JOB it: _ FROk Jog U 1..•' S J s n14h!!E.. ,' cF; --- - 1E5 START: •1 ..: f%.. EN.1,i},i_= '..1F.OUP ._ _. 0` I ) , rQ JOB 4: FPC;,..1G'= •- ___-- `- :0 OD: 'CiPelE IN: ____ 71ME OUT:____.. • OT YES T•O JOB 6: FROM JOB h:_.__, UT __ NO END: UM NOTES QUANTITY REPORTING EA LS IFIM ` COMPANY EQUIPMENT EQUIPMENT JD HOURS METER RFADING• DESCRIPTION OF WORK PERFORMED R _ Wit ;V t....‘'1 °' '' li R i -;. .• I'`T;r'tC:_ JZ.1.'1 ,.i C,V) Jt I' 1 / 6j 1 r• !: J R _.) c. T R cj, : IV‹.: C,', A 7§t. ? It. 72. `1 C . P-,/ (..- R eJ R rt ,) -': ( s_ Li 1 , (' e 1 1). c vto . Y ItiC-L;, E -G 'II',- J1 �REPITED EQUIPMENT TICKET # HOURS._ METER READING 1 L I.:C al J hCr L:w L' t /( R 1 11: (i'I MATERIAL USEDJSUOCONTIIACTORSJRENTAISIMISC NOTES 'EMPLOYEE CERTIFICATION OF HOURS WORKED AND WORK CONDITIONS: I DECLARE IHAT THE HOURS SHOWN ON THIS TIME CARD ACCURAdELYAND FULLY REFLECTS ALL THE HOURS THAT 'WORKED DURING THE DESIGNATED TIME PERIOD, 1 VERIFY THAT THIS TIME CARD REPORTS ALL OVERTIME 1 HAVE WORKED, IF ANY DURING THIS PAY PERi00.1 DECLARE THAT 1 HAVE RECEIVED DIE OPPORTUNITY TO ELECTTO TAKE MY REST BREAKS AND HAVE TAKEN MY MEAL BREAKS UNLESS OTHERWISE SPECIFIED ON 71115 FORM.I VERIFYTHAT I HAVE Nor SUSTAINED ANYWORK RELATED INJURY. I FULLY -COMPREHEND BOTH THE INFORMATION RECORDED ON THIS CERTIFICATION AND I HAVE MADE THIS DECLARATION FREELY AND VOLUNTARILY. � ) `CERTIFICACION DEL EMPEEADO DE LAS HOUAS TRABAJADAS Y LAS CONDICIONES DE TRABAJO: DECLARO QUE LAS MORAS MOSJRADA N FSTATARJETA DETIEMPO EXAC(A NT'E Y,tIEFLEIAN TOTALMENTE TODAS LAS HOURS QUETRABAJARON DURANTE EL PERIOD° DE 'TEMPO OESIGNADO.YERIRCO QUE ESTATARJETA DEL TUEMPO INFORMA DO EL MOMENT() QUE HAN RA ADO91 HUBIERA DURANTE ESTE PERIOD0 DE PAGO. DECLARE QUE THATI HA RECIBIDO LA 0P0RTIJNIDAD DE ELEGIR PARA TOMAR MIS RESTOS Y HABERTOMADQ1MI DESCA4SO DE LA C r1SppA A MEN05'QU S PECJFIQUE L0 CONTRARIO EN ESTE FORMULARIO. VERIFIY QUE NO HE SOSTENIDO ALGUNA LESION RELACIONADA CON EL TRABAJO. COMPLETO COMPLETAMEFl1TE LA INFO MACION EG)STRADA EN ESTA�CE TIFLCACIAN Y HAN HECHO ESTA DECLARACIONGRATUITAMENTEYVOLUNTARIAMENTE.:' l J I `` �/ f , f `F I CERTIFY THAT THE HOURS REPifD bN TH15;TiMkEq)tQAFSD J1STATEMFJJT OF THE EMPLOAEARE FULLYACCURATE SUPER1R50RAPPRQVAL' /-- r r�_._. _ ; DATE r -r.- 7 -!J Z Hanson Electric, Inc. PO BOX 1230 LAKESIDE, CA 92040 PHONE 619-328.5040 FAX 619-328-5041 Contractor's State License No.100B273, C-10 DVBEISLBEISBE HANSON ELECTRIC, INC. JOB NO. 24-DIVISION STREET TRAFFIC CALMING DUG our EXISTING DETECTOR BOX. FOUND DAMAGED 1' PVC CONDUIT, REPLACED 10 FEET OF NEW CONDUIT, COLD PATCH POTHOLE Proposal &Mooed To: Phone: Faz: Dale Submitted: Sheet: Job Dame: PROJECT NO. Date Work Pert ormed: 07114117 City, Slate and Zip Code- Job I nation Allenfion: Architect: NIA Plan Sheets: NIA E-MaI: Spec Secton, NIA AddardasNoted: N/A ITEM DESCRIPTION ESTIMATED QUANTITIES UNIT MEASURE UNIT PRICE TOTAL DUG OUT EXISITING DETECTOR BOX. FOUND DAMAGED 1' PVC CONDUIT, REPLACED 10 FEET OF NEW CONDUIT, COLD PATCH POTHOLE MATERIAL: TRAFFIC SIGNS & EQUIPMENT 7-10-17 TO 7-142017 45331 _ 5276.15 — $276.15 (HUDSON SAFTLITE INVOICE 1.00 LS SUBTOTAL FOR MATERIAL ADD: &276.15 EQUIPMENT: 7.00 HR &28.17 $197.19 TRUCK #7 CONTRACTOR BODY E AIR COMPRESSOR 7.00 HR $17.33 $121-31 (NOTE ALL EQUIP. RATES INCLUDE TAXES, INSURANCE, FUEL & MISC. COSTS) SUBTOTAI. FOR EQUIPMENT ADD: $318.60 -- LABOR: KEN REOMOND- TRAFFIC SIGNAL STREET UGHTTECHNICIAN 2 7.00 HR 542.70 i21M-00 COLE HAMILTON - TRAFFIC SIGNAL STREET LIGHT TECHNICIAN 1 7.00 HR 549.58 $347.06 SUBTOTAL FOR LABOR ADD: $347.06 $993.02 SUBCONTRACTOR: "' ' SUBTOTAL FOR SUBCONTRACTOR ADD: ALFORTHE ABOVEITEMS: &1,587.87 UPS FOR OVERHEAD & PROFIT PER SECTION 3-3.2.3.a & 3-3.2.3-bc MARK $2287.60 l TOTALAMOMTOFCOR#: $1,875.47 HANSON ELECTRIC INC IS A CERTIFIED DVBEISBEISLBE UNION COMPANY BY: Submitted for Manson Electric Inc. gIERA I-tENR,y-OFFice MANAk_ T&M 1of1 7/27/2017 9:25 AM y HANSON FOREMAN'S DAII.YTIMECARD/DAILY REPORT • ' ELECTMC.INC. P.O. BOX 12L330 LAKESIDE, CA 92040 (P) 619-328.5040 (F) 619-328-5041 JOB N0i - ,, DAY OF THE WEEK: (CIRCLE QNI:) SUP! MON TUES WED TOURS(FRI SAT DATE WORKED SHIFT WORK (CIRCLE ONE) YES J NO 1JNION:564 SHIFT START TIME SHIFT END TIME MEAL BLEAK START TIME MEAL BREAK END TIME FIRST BREAK START SECOND BREAK START PROJECT MANAGER NAME A.M. 0 p P.M. A.M. P.M. c P ,+APB 06 !1 : �1 •a.:3 1 , • WEATHER CONDITION (CIRCLE ONE) SUNNY;J CLOUDY RAIN DAILY TAILGATE MEETING SUBJECT TRAFEIC CON TROL INSPECTION ACCIDENTS OR INJURY ON 106 (CHECK ONE) (IF YES ACCIDENT REPORT IS ATTACHED) :YF.S,i NO YES NO CHECK THIS BOX EXTRA WORK ACCOUNT (IF YES PLEASE MAKE A COPY OF TIME SHEET, ATTACH T.A. MATER�IAL r INVOICES AND TRUCKING TICKETS) t I T CONTRACT WORK CHANGE ORDER WORK D;, DIG ALERT (CHECK BOX BELOW) TICKET NO.11 YES NO YES NO YES, (' •-tr" •''' ��.411 Li./�,lf7. -i L` • ( t 11 JOR NAME/LOCUM 4 � 1 �' y a 10 MIN BREAK (CIRCLE ONE) MEAL BREAK (WRITE NO IF NOT TAKEN) EMPLOYEE SIGNATURE 'SIGN AFTER REVIEWING IHECERTIFICATION STATEMENT BELOW (., ij r° J �, ,, i ,:: (J!' 1 1, ; '; &"� E a/ FOREMAN NAVIE_j1JWWCK NOR; { EMPLOYEES } YES START: ; . �;-y ., rr } �, (Tr NAME: 14-1 V..,i.1 . (rt ' R ," _ ✓ y .,-; f 41E IPI: ' • a TIME OUT: c •.-,k) OT NO END: ?✓7 . r TO JOB#: FROMJOB0: DT tIAME: Sy'iOYt ‘' 0Pit�A li71 c..Ri' _'' `? Y ES START C f i _( =iME IN: � TIME OUT 1"1.5i OT _• TO 10B R: ___, _FROM JOB It: DT — P10 END: f ' ` --- �i� �l/ C, ' ; ,ME t R START: NOS I END: 67O � i li: FINI la0k UT UM NOTES EA i QUANTITY REPORTING L5 1 LFIM _ COMPANY EQUIPMENT EQUIPMENT ID HOURS METER READING t �(® DESCRIPTION OF WORK PERFORMED s-si- 1 (R'` :tt(.,,R;k- �1'!yliite,c1'f'') (' C;C4t.01i:i-1 ,. �7]' R i ,))tl (1'/jT I:A.1101:11i I, / EE:.It:r •I' {)l1!41 tic : ry1T• i_______. R t ) e,&1 i(, i' P:' \AN.. 1' VhJv C-R'v1(.=:L;) 1 • R • �� \-?t-C; `_t: (•A •— ~'_,,i 1{'' Ck- ('C;'\CO i e C'il Cial;,Ct'is .:p R 1 1V�, ,,nc • Ac1-N.% i �1z kI' -tii . but Vic_)L c.,16! R j l (i \>.) 1 /..` ) U i.,-- L'C!L'� `.i6.0 1 c — t— 1AJ/ 1'.'- N (ki 0 ±--- R .., c;, c' t.,L,1 I \', c) j• R 1/ t RENTED EQUIPMENT TICKET A HOURS METER READING • _ 1 + /1'(. V( (• , R t .,C�, =,, I,.; t ui;\e1,,.,;;\( L. c - )! ') , j.tr)Q ( .11, i (CI rl K 1 R fl 1- .'§ s,•S't .1 !:i t-:cam cA ;,-�(1. t-•, ,411r,,7irI MATERIAL USEOISUBCONTRACTORSJRENTALSIMISC NOTES •'EMPLOYEE CERTIFICATION OF HOURS WORKED AND WORK CONDITIONS:1 DJ C1ARE THAT THE HOURS SHOWN ON THIS TIME CARD ACCURATELY AND FULLY REFLECTS ALINE HOURS THAT !WORKED DURING THE DESIGNATED TIME PERIOD.1 VERIFY THAT THIS TIME CARD REPORTS ALL OVERTIME I HAVE WORKED. IF ANY DURING THIS PAY PERIOD. 1 DECLARE THAT I HAVE RECEIVED THE OPPORTUNITY TO ELECT TO TAKE MY REST BREAKS AND HAVE TAKEN MY MEAL BREAKS UNLESS OTHERWISE SPECIFIED ON THIS FORM. 1 VERIFY THAT I HAVE NOT SUSTAINED ANY WORK RELATED INJURY. I FULLY COMPREHEND BOTH THE INFORMATION RECORDED ON THIS CERTIFICATION AND I HAVE MADE THIS DECLARATION FREELY AND VOLUNTARILY. 'CERTIFICACION DEL EMPLEAOO DE LAS HORAS TRAOAJADAS Y IAS CONDICIONES 0E TRABAIO: DECLAIM QUE LAS HORAS MOSTRADAS EN ESTATARJETA DE TIEMPO EXACTAMENTE Y REFLEJAN TOTALMENTE TODAS LAS HORAS QUE TRABAIARON OURANTE EL PERI000 DE TIEMPO OESIGNADO. VERIFICO QUE ESTA TARJETA DEL TIEMPO INFORMA TODO EL MOMENTO QUE HAN TRABAJADO SI HUBIERA DURANTE ESTE PERIOD° DE PAGO. DECLARE QUE THATI HA RECIBIDO IA OPORTUNIDAD DE ELEGIR PARA TOMAR MIS RESTOS Y HABER TOMADO ail DESCANSO DE LA COMIDA A MENOS,QU EKES CNIQUE LO CUNTRAMO EN ESTE FORMUTARID. VERIFIY QUE NO HE SOSTENIDO ALGUNA LESION RELACIONADA CON EL TRABAJO, COMPLETO COMPLETAMENTE IA 1N ORMAC1ON REGJSTRADA E 'ESTA CER FICACIGN Y HAN HECHO ESTA DECLARACIONGRATUITAMENTEYVOLUNTARIAMENTE. \ // ' I CERTIFY MOTHS HOU REED N T ECA 6 E STATEMENT OF THE EMPLOYEEARE FI Y ACCURATE. ,-� l DATE• 'T' "-1 • ` , SUPERVISOR APPROVAL;.- _-=: , .__ Robcar Corporation atm Hudson Safer'Lite Rentals Hudson Safe-T-Lite Rentals Type of Ticket DELIVERY TICKET r , vuute vway n a rest-O-Cite Barricade Co. a77 cable way, I I Cajon CA El Cajon, CA 92020 i EL 619-441-3644 RETEN CODT, New Add On X Deliver On 07/12117 Onsite By + �E# #gg+rr� FAX 619-441.3652 Reset — — Set By a 1..11 ! LL Daily Traffic Control Dispatcher Jaime BOrruel Customer ID: 13439 Customer: HANSON ELECTRIC, INC. Job Addr/Name: WILL CALL FOR USE Job ID 128252 Cross Streets: r ave NATIONAL CITY Ticket#: DOD55381 Called in By; Special Instructions : WILL CALL S'° �� .r;- ` (-/ Called In 07/12 07:02 AM Job No. 24 PO No. 24 Foreman JPFP V-s Permit# Driver TDEL ORD DESCRIPTION DEL ORD DESCRIPTION DEL ORD DESCRIPTION DEPART YARD: ARRIVE JOB: I DEPART JCS: ARRIVE YARD: DRIVER(S): TRUGK(S): 1 Sign on Flagtree Stand - Road Work Ahead � ,NAL AG EME1 AND NIONS LESSEE ACKNOWLEDGES: Receipt of said equipment in good working condit on and repair and upon expiration of Lessee's use thereof, Lessee shall return same to Lessor. as good condition and repair as when delivered, subject to reasonable wear and fear. LESSEE AGREES: Ts pay the specified rent for equipment. To not release this equipment from Lessee's control without prior authorization from Lessor. To not move said eqi;;--,- to any other job wflhout prior consent of Lessor. To assume sole responsibility for proper placing of said rented equipment on the job location. To indemnify Lessor against a::_« damage, expense and penalty arising from any action or claim on account of any injury to person or property of any character whatsoever occasioned by the operation, hart -c transportation and/or use of any of the rented equipment during rental period, and while said rented equipment is In the possession or under the custody of Lessee. To pay re. Lessor reasonable attorney's fees and collection costs incurred by Lessor in enforcing the terms of this agreement, In the event Lessee breaches any of the terms of this a;-ee--.a or Lessee fails to pray rent for said equipment while in Lessee's possession. LESSOR AGREES: To service these units when requested to do so. Assumes no responsibi ity fr any cause whatsoever. LESSEE MUST CALL DISPATCH OFFICE T-O ARRANGE FOR-PICK(JP,O6'EQUIPMENT - PICKUPS WILL NOT BE MADE AUTOMATICALLY. PRELIMINARY -FIELD COPY ONLY - SUBJECT TO.:CORRECTIONS IN OFFICE. Customer Signature: ' — —, Driver Signature: Printed Name; �� ;z �'"- 'c 7 >p �= i < r-'' Driver Name: Date: , � " / ;? Time: Date: Time: Robcar Corporation dba Hudson Safe rpLite Rentals dba Prest-O-Ltte Barricade Co. - 777 Gable Way, El Cajon CA SAf £ iiTE) HANSON ELECTRIC, INC. P.O. BOX 1230 LAKESIDE, CA 92040 Hudson Safe-T-Liter Rentals REMIT PAYMENTS TO: PO Box 117, El Cajon, CA 92022-0117 619-441-3644 Fax 619-441-3652 Job ID: 128252 WILL CALL FOR USE r ave NATIONAL CITY, CA INVOICE invoice Date Invoice No. 7/19/2017 00045331 Terms: Net 30 Days Customer Customer Job No. Customer P.O. No. Period Covered Foreman Name 1 Phone# 13439 24 24 6/30/2017 - 7/19/2017 JEFF Date Description From - Tol Qty Days Units Price Total RENTALS I 06/30/17 Sign on Type I Barricade - End Road Work 06/30 061301 1 1 1 $1.65 $1.65 07/13/17 Sign on Type I Barricade - Sidewalk Closed 07/13 07/19 1 2 7 14 $1.65 $23.10 I 06/30/17 Sign on Flagtree Stand - Lane Closed 06/30 07/05l 1 6 6 $1.85 $11.10 07/13/17 Sign on Flagtree Stand - Lane Closed 07/13 07/19 1 7 7 $1.85 $12.95 06/30/17 Sign on Flagtree Stand - Left Lane Closed Ahead 06/30 07/19 I 2 20 40 $1.85 $74.00 06/30/17 Sign on Flagtree Stand - Merge Left 06/30 07/05 1 6 6 $1.85 $11.10 06/30/17 Sign on Flagtree Stand - Merge Right 06/30 07/05 1 6 6 $1.85 $11.10 06/30/17 Sign on Flagtree Stand - Road Work Ahead 06/30 07/05 1 6 6 $1.85 $11.10 07/12/17 Sign an Flagtree Stand - Road Work Ahead 07/12 07/19 1 8 8 $1.85 $14.80 06/30/17 Flashing Arrow Board 06/30 06/30 1 1 1 $85.00 $85.00 06/30/17 28"Traffic Cone 06/30 06/30 45 1 45 $0.45 $20.25 Note: The* indicates taxable Items. EQUIPMENT RENTAL TOTAL SALES/ONE-TIME CHARGES LABOR TOTAL SUBTOTAL SALES TAX (8.25%) TOTAL CHARGES PLEASE PAY THIS AMOUNT *** Job Complete *** $276.15 $0.00 $0.00 $276.15 $0.00 $276.15 $276.15 Page 1 /%41 NtA1 `` \ N�flIINw 11111\��r\ CITY OF NATIONAL CITY Office of the City Clerk 1243 National City Blvd., National City, California 91950-4397 619-336-4228 Michael R. Dalla, CMC - City Clerk PALM ENGINEERING CONSTRUCTION COMPANY, INC. DIVISION STREET CALMING PROJECT Change Order #5, CIP No. 16-09 Judy Hernandez (Engineering/Public Works) Forwarded Copy of Change Order to Palm Engineering Construction Company, Inc.