HomeMy WebLinkAbout2018 CON Palm Engineering - Westside Mobility Improvements CIP No. 17-04 - Change Orders #16 through #20SCAN ENTRY SHEET
DOCUMENT NAME: 2018 CON WESTSIDE MOBILITY IMPROVEMENTS
CIP NO. 17-04 - CHA RS #16 THROUGH #20
VENDOR NAME: PALM ENGINEERING CONSTRUCTION COMPANY, INC.
DESCRIPTION: WESTSIDE MOBILITY IMPROVEMENTS - CIP NO. 17-04 - CHANGE ORDERS #16
THROUGH #20
RESOLUTION #: CE
FILE #: C2017-48
SIGNED AGREEMENT/CONTRACT:
SIGNED RESOLUTION / CERT 1:
A-200 + BACK-UP:
LETTER / COPY TO VENDOR:
COPY TO DEPARTMENT:
V
SCAN:
OCR:
INDEX:
FILED:
DBASE: v
ENG/PW
,r-. CALI IRNIA -+
$1%TIONAL Cfl
t-- 1Nconros r 1) -)
WESTSIDE MOBILITY IMPROVEMENTS
CIP NO. 17-04
Contractor. Palm Engineering Construction Company, Inc.
Reason/Purpose for this Change Order:
One-way signs were added to the roundabout at W. 14th Street and Harding Ave. Under direction of the
Engineer the Contractor proceeded with procuring and installing 4 one-way signs.
CHANGE ORDER NO. 16
January 17, 201%
The City of National City and Contractor agree to the following change to the original Contract:
The City and the Contractor agree that the Contractor shall proceed with procuring and installing one-way
signs for the roundabout at W. 14th Street and Harding Ave. The agreed upon price for all costs associated
with this work is as stated on this Change Order. See Attachment for cost breakdown.
Original Contract Amount $ 1,780,325.57
Net change by previously authorized Change Orders
Subtotal
91,065.49
1,871,391.06
Amount of this change order 599.76
New contract amount $ 1,871,990.82
Working days added: 0 Working days subtracted: 0 Percent change in Contract to date 5.15%
Submitted by:
elLj
ct Mana
er Dat
VIC3
Approved by:
Cit.. ngineer Date
City Manager•for Orders >az,,sss 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.
Accepted and agreed to by Palm Engineering Construction Company, Inc.
Name: Date
Note -ET -Contractor: If you do not agree with thf ithange 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 reauirements of submittina 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
NATIONAL Cr r'y
INCORPORATED
WESTSIDE MOBILITY IMPROVEMENTS CHANGE ORDER NO. 16
CIP NO. 17-04
DATE: October 30, 2017
WORK PERFORMED BY: Statewide Stripes, Inc.
DESCRIPTION OF WORK: four (4) one way signs with anti -graffiti
ACCOUNTING FOR TIME, MATERIALS, AND EQUIPMENT
SUBCONTRACTOR
Unit
Qty
Wage
Total
1)
Statewide Stripes
LS
1.00
560.00
Sub -Total Subcontractor:
Subcontractor Markup (5%):
560.00
$ 560.00
28.00
TOTAL Subcontractor:
SUB TOTAL:
BOND AND INSURANCE (2%):
$ 588.00
Statewide Stripes, Inc.
P.O. Box 600710
San Diego, CA 92160-0710
858.560.6887
858.560.0158 fax
Tax ID #33-0915254
Class: C32 SLBE# 10SS0008
MB/SB# 40421 DBE# 32232
PW Contractors Reg# 1000001334
Customer Info
PALM ENGINEERING CONSTRUCTION
7330 OPPORTUNITY ROAD, STE I
SAN DIEGO, CA 92160
CA tic. #788288
Signatory Local 1194
Exp. 12/31/2017
Since 1990
PROJECT
REP
TERMS
Added Signs Around Roundabout
AJO
Net 30
QTY
4
DESCRIPTION
Roadside Sign (R6-1)
Includes: Signs in HIP with Anti -Graffiti
ESTIMATE
DATE
1/3/2018
NO.
16811
TOTAL
$560.00
EXCLUDE: Adjust Cancellation Clause @ $250.00 ea Cert., Additional insured Endorsements on Auto Liability @ $75.00 ea., bonds, notary services, night work,
prevailing wages (unless included above). Not responsible for A.D.A. Compliance. Items not specifically included are excluded and require an Additional Bid.
Acceptance of Estimate and Agreement.
The undersigned hereby contracts for the services noted above and agrees to pay for the services upon completion and receipt of an invoice. The undersigned agrees to
pay reasonable attorney's fees and costs if incurred in the enforcement of this contract.
STATEWIDE STRIPES, INC. REQUIRES TWO WEEKS ADVANCE warrrEN NOTICE PRIOR TO SCI IEDULING.
Co. Name:
By:
(Print Name and Title)
Date:
Signature:
PROJECT PROFESSIONALS CORPORATION
TRANSMITTAL COVER
To: National City Engineering Department
Project Name: NC Wayfinding Signage Project, CIP No. 16-13
ITEMS DELIVERED:
Change Order 10, 11, & 12
Delivered by: [} �j(t Project Professionals Corporation
Received by:
Date: 2. S. 2c 1•,
WESTSIDE MOBILITY IMPROVEMENTS
CIP NO. 17-04
Contractor. Palm Engineering Construction Company, Inc. ..
Reason/Purpose for this Change Order:
Replacing the deck of the Type "C" inlet at the Northeast corner of National City Blvd and 18th Street
required 2 survey monuments to be reset. Under direction of the Engineer the Contractor proceeded with
tieing out and restoring 2 survey monuments.
CHANGE ORDER NO. 17
January 17, 201%
The City of National City and Contractor agree to the following change to the original Contract
The City and the Contractor agree that the Contractor shall proceed with resetting 2 survey monuments at
the Northeast corner of National City Blvd and 18th Street. The agreed upon price for all costs associated
with this work is as stated on this Change Order. See Attachment for cost breakdown.
Original Contract Amount $ 1,780,325.57
Net change by previously authorized Change Orders
Subtotal
Amount of this change order
91,665.25
1,871,990.82
1,606.50
New contract amount $ 1,873,597.32
Working days added: 0 Working days subtracted: 0 Percent change In Contract to date 5.24%
Submitted b :
P _•`, ect Ma
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.
Accepted and agreed to by Palm Engineering Construction Company, Inc.
(.31)./I2
Name: ate
Note to tar: you not agree with this Change Order you may be dti-eected to proceed with this work under the termsa$-ie contract and you
may rxoceed under protest. You must comply with the contract reauirements of submittina 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
NATIONAL Cum
rC,ARPORATED
WESTSIDE MOBILITY IMPROVEMENTS
CIP NO. 17-04
CHANGE ORDER NO.17
DATE: December 6, 2017
WORK PERFORMED BY: Palm Engineering
DESCRIPTION OF WORK: Tie out and restore 2 survey monuments at the NW Corner of NCB
and 18th Street
ACCOUNTING FOR TIME, MATERIALS, AND EQUIPMENT
Unit
Qty
Wage
Total
Reset Survey Monument EA
2.00
787.50
1,575.00iiimio
TOTAL:
SUB TOTAL:
BOND AND INSURANCE (2%):
WESTSIDE MOBILITY IMPROVEMENTS
CIP NO. 1 7-04
Contractor: Palm Engineering Construction Company, Inc.
Reason/Purpose for this Change Order:
The pedestrian ramp at the Southwest corner of Civic Center Drive and Harding Ave required additional
grading, forming and concrete to meet ADA. Under direction of the Engineer the Contractor proceeded
under time and materials for the above mentioned work.
CHANGE ORDER NO. 18
January 17, 2015
The City of National City and Contractor agree to the following change to the original Contract:
The City and the Contractor agree that the Contractor shall proceed with additional grading, forming and
concrete for the pedestrian ramp at the Southwest corner of Civic Center Drive and Harding Ave. The agreed
upon price for all costs associated with this work is as stated on this Change Order. See Attachment for cost
breakdown.
Original Contract Amount $ 1,780,325.57
Net change by previously autholflzedChange Orders 93,271.75
Subtotal 1,873,597.32
Amount of this change order 2,634.80
New contract amount $ 1,876,232.12
Working days added: 0 Working days subtracted: 0 Percent change in Contract to date 5.39%
Submitted by:
ct Manao
Approved by:
Cit ngineer
Vq,40
ilex
Date Ciy Manager, regredtor things Orders >32.s99 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 condlions of the original contract documents are Incorporated herein.
Accepted and agreed to by Palm Engineering Construction Company, Inc.
/,/,3 o//
Name: t ( Date
!Tote to Con : It you doo not agreethis 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 reaulrements of submittina 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) 336-43SO
CALIFORNIA
NA 'IONAL Ciry
LAV
INCORPORATED
WESTSIDE MOBILITY IMPROVEMENTS CHANGE ORDER NO.18
CIP NO. 17-04
DATE: November 30, 2017
WORK PERFORMED BY: Palm Engineering
DESCRIPTION OF WORK: Ped ramp SW Harding & Civic Center Drive
ACCOUNTING FOR TIME, MATERIALS, AND EQUIPMENT
1) Avila, Ismael - CM
2) Hernandez, Fernando - CM
3) J. Resendez - Laborer G1
4) C. Carrilo - Equip Op G4
Unit
Hour
Hour
Hour
Hour
Qty
8.00
8.00
8.00
2.00
Wage
53.65
53.65
52.53
72.60
Total
429.20
429.20
420.24
145.20
$ 1,423.84
$ 419.32
Unit
Qty
Rate
Total
1) I Concrete I CY
2.00
131.580
263.16
$ 263.16
$ 39.47
302.63
EQUIPMENT
Unit
Qty
Rate
Total
1)
Mini -Ex E42 Bobcat
Hour
2.00
29.88
59.76
$ 59.76
$ 8.96
SUB TOTAL: $ 2,583.14
BOND AND INSURANCE (2%): 51.66
GRAND TOTAL:
Sub -Total Equipment:
Equipment Markup (15%):
TOTAL EQUIPMENT: $ 68.72
Sub -Total Materials:
Materials Markup (15%):
TOTAL MATERIALS:
Sub -Total Labor:
Labor surcharge (29.45%):
Labor Markup (20%): 368.63
TOTAL LABOR:
Palm lob No:
I nif
Job Name:
Description of Work: L
Palm Engineering Construction Company, Inc Ticket # 3546
Daily Extra Work Report Authorization
tU9rt;; kO Z 7 l
Date Performed: / /! 50X 7Date of Report:
v((( � U t ut ( - R S ,(AAi
Comments:
Equip.
No.
Equipment
Hours
Hourly
Rate
Extended
Amounts
/
/vl r ,4) c k
2-7/
�--
Material and/or Approved Work done by Specialists (Subs)
Description { ,,
# Units
Unit Cost
Extended
t�c90Gt- e --F-e--
5u i? 6:,-, ..
7_ elyds
Total Cost of Equint,
Materials, & Work
Contractor's Representative's Signature
1,,L L'T
Resident Engineer's Signature (Work done under Greenbook Section 3-3 & 3-5)
Resident Engineer's Signature (All other Work)
/_,Y//7
C.C.O. No:
Laboror / Description
Hours
REG
*Hourly
Rate
Extended
Amounts
OT
REG
OT
/,/""? `t -2' —e raa 1.L
t Geo Ca LO
-14
REG
OT
REG
OT
REG
OT
REG
OT
REG
OT
REG
OT
REG
OT
TOTAL LABOR
A
B
% Markup on Labor Cost
Markup on Equip, Matrl, & Work
% Markup on Subcontracted Work
SUBTOTAL
+ % Bond & Liability Insurance
TOTAL
DISTRIBUTION: White - Contractor Yellow - Foreman Pink- RE
(A)
(B)
(C)
(D)
SUPERIOR READY MIX
CONCRETE, L.P.
1508 W. MISSION RD. ' ESCONDIDO, CA 92029
PHONE: (760) 745-0556 FAX: (760) 740-9557
PALM ENGINEERING CONSTRUCTION
7330 OPPORTUNITY RD. STE J
SAN DIEGO, CA 92111
INVOICE
PALME005 11/30/2017 917450 1
ECEIV k.
DE 0$ 2017
p
TERMS: NET 30 DAYS
A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE
FINANCE CHARGE IS COMPUTED BY A'PERIODIC RATE' OF1 1IS% PER
MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%OR A MINIMUM
SERVICE CHARGE OF $5.00 WHICHEVER IS GREATER.
RIPT)DN:
000290 (1704) WESTSIDE MOBILITY IMPROVEMENTS
HARDING AVE. & 14TH ST. NATIONAL CITY
PO NUMBER: 1704
11/30/17 19.00 CY 5553
520-C-2500 CONCRETE
69.00 EA ST
STAND BY TIME - MIXER
2.00 LD EE
ENVIRONMENTAL/ENERGY SUR
2.00 LD PWF
PUBLIC WORKS FEE
TICKET DATE TOTALS:
JOB TOTALS
TICKETS: 004-262061 004-262070
92.850 136.72 1900.88
1.500 0.00 103.50
30.000 4.66 64.66
200.000 31.00 431.00
2327.66 172.38 2500.04
2327.66 172.38 2500.04
AMOUNT DUE
2500.04
NATIONAL CITY
L1V�U
IIfCORl0�ATYD
WESTSIDE MOBILITY IMPROVEMENTS
CIP NO. 17-04
Contractor: Palm Engineering Construction Company, Inc.
Reason/Purpose for this Change Order:
The plans called for the installation of a rapid flashing beacon and not the city standard LED enhanced
crosswalk warning system on West Avenue. Under direction of the Engineer the Contractor proceeded with
upgrading to the LED enhanced crosswalk warning system.
CHANGE ORDER NO. 19
January 17, 201%
The City of National City and Contractor agree to the following change to the original Contract:
The City and the Contractor agree that the Contractor shall proceed with the LED enhanced crosswalk
warning system on West Avenue. The agreed upon price for all costs associated with this work is as stated
on this Change Order. See Attachment for cost breakdown.
Original Contract Amount $ 1,780,325.57
Net change by previously authorized Change Orders 95,906.55
Subtotal 1,876,232.12
Amount of this change order 4,331.75
New contract amount $ 1,880,563.87
Working days added: 0 Working days subtracted: 0 Percent change In Contract lo date 5.63%
Submitted by:
ect Ma - . er
._proved by:
L./S
Date
City ngineer Date Cif Manager _
reRyied for Chfiry orders>124,s99 _ 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.
Accete • • nd a ' reed to by Palm Engineering Construction Company, Inc.
Name: 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 sub mittino a written orotest 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
\V*r,_
NATIONACITiv
WESTSIDE MOBILITY IMPROVEMENTS
CIP NO. 17-04
DATE: December 6, 2017
CHANGE ORDER NO. 19
WORK PERFORMED BY: Palm Engineering
DESCRIPTION OF WORK: Upgrade RRFB to LED enhanced crosswalk warning system
ACCOUNTING FOR TIME, MATERIALS, AND EQUIPMENT
RRFB System
LED Enhanced Crosswalk
2) System
Unit
LS
LS
Qty
1.00
1.00
Wage
6,149.69
9,670.00
Total
(6,149.69)
9,670.00
$ 3,520.31
Sub -Total Materials:
Materials Markup (15%): $ 528.05
TOTAL MATERIALS:
SUB TOTAL:
Subcontractor Markup (5%):
BOND AND INSURANCE (2%):
GRAND TOTAL:
$ 4,048.36
$
202.42
$80.97
$4,331.75
S It it ll cto ni.
(Glom -us it (ell lLal it k(8)into
Wireless lighting for road safety
Date Created:
Client 8 Address:
1Crosswalk Location:
•Client Contact-:
'Quotation Number:
City National City - CIP No. 17-04
,August 15, 2017
SC Valley Engineering
West Ave @ W 18th St
Pat Vaughan
081517-01A
Contact Info:
1.
Date Issued: August 15, 2017
Total equipment to be delivered by Silicon Constellations
Product
XBE RRFB-1 (Black)
Bulldog Push Button Assembly
XB-A Wireless Controller
MUTCD Signs- W16-7P
MUTCD Signs - W 11-2 - 30"
MUTCD R62E PPR Sign
Quantity
2
2
2
2
2
2
Equipment Sum
Equipment Total
Loyalty Discount
6,052.0D
(486.70)
Subtotal
5,565.30
Sales Tax 8.25%
459.14
Freight
125.25
Total
6,149.69
Ph: 619-733-1117 ;patkscvaileyinc cam
Validity: 60 days
WI Pedestrian Notification LED
Warranty: Silicon Constellations, Inc. offers a 5-year warranty on all SCI equipment.
Payment: Our standard terms are 30 days net upon shipment of the system, based upon credit approval.
Please send checks to Silicon Constellations, Inc., 2980 Scott Blvd., Santa Clara, CA 95054.
Authorizing Signature:
;Date:
Pnnted Name: iPurchase Order it:
Note: Signing Implies acceptance of above terms, conditions, and deliverables.
On behalf of the entire Silicon Constellations team, we look forward to working with you on this project.
Best regards,
Michael DeKlotz
Cell: (949) 521-2336
mike( siliconconstellntions.com
/N'` LIGHTGUARD
S YSTEMS
2292 Airport Blvd.
Santa Rosa, CA 95403
Phone (707) 542-4547
Fax (707) 525-6333
Quotation
Quote # 120417- 92
SUBMITTED TO:
PRICING IS FOR A SOLAR SYSTEM CROSSWALK WITH
36"X 36" PEDESTRIAN SIGNS 18" x 30" DOWN
ARROWS AND BRAILLE PUSH BUTTONS
Pat Vaughan
SC Valley Inc.
656 Front Dtreet
El Cajon, CA, 92020
USA
pat@ scvallevinc.com
Phone 619-733-1117
Reference: West Side Mobility MSRP
Date: Shipment: Terms and Conditions: Salesperson
12/4/2017 FOB Santa Rosa 50/50 Discount pricing SEE NOTE 6 Sher Paz
Item QTY Model Number & Description MSRP Total
1 1 LGS-SOLAR SYSTEM Solar Powered PCU w/Programmable Interface, Batteries, Cabinet & Panel $ 6,640.00
2 1 LGS-PBA-BRAILLE-PAIR ADA 2" Push Button Assembly w/ Braille Placard- Pair $ 990.00
3 2 LGS-W11-2-B-36-FYG Ped Sign w/o Crosswalk & LED Enhanced Border 36" $ 1,970.00
4 2 LGS-W16-7 pl Arrow Sign MUTCD Arrow Sign (18x30) Left Facing $ 200.00
5 1 LGS-SHIPPING Estimated Shipping & Handling Charges NO DISCOUNT $ 360.00
6 1 LGS 50(50 TERMS Discou% Discount for 50% Pre -Pay Order $ (490.00)
Total Including Shipping & Handling $ 9,670.00
Notes:
1 See attached Terms and Conditions.
2 This offer excludes the following, but is not limited to: installation, poles, wire, miscellaneous mounting hardware, applicable sales tax, drawings,
bonds, fees, permit fees or any other added fees.
3 This product complies with U.S. Patent no. 6,384,742 awarded to LightGuard Systems, Inc. Use license is authorized for each system purchased.
4
5 Shipping 4 to 6 weeks normally, AFTER Receipt of Order CONFIRMATION - Subject to CHANGE due to parts availability or special order.
6 PAYMENT TERMS: 50% Due Upon Order 50% Due Upon Completed Order Ready To Ship. 50/50 terms are our best pricing and represent approx
5% discount off our standard prices.
7 Solar Powered Systems are designed to operate within the performance characteristics outlined in the attached solar calcualtion worksheet. If the
actual electrical load exceeds that noted in the worksheet (% daily power consumption), then the customer is responsible to increase the power via
additional solar panels &/or batteries as required.
Sher Paz
Date: December 4, 2017 (Quote tool version 2v108)
Sher Paz
Authorized Sales Agent
Quotation is subject to attached TERMS AND CONDITIONS and may expire thirty days from date unless otherwise noted.
Amount of this change order
New contract amount
Working days added: 0 Working days subtracted: 0 Percent change in Contract lo date 6.OS%
Submitted by:
2
Cit ngineer
Da e
WESTSIDE MOBILITY IMPROVEMENTS
CIP NO. 17-04
Contractor Palm Engineering Construction Company, Inc.
Reason/Putpose for this Change Order:
Additional signing and striping was added to the intersections of 18th Street and Harding Avenue and 18th
Street and Wilson Ave. Under direction of the Engineer the Contractor proceeded with installation of
thermoplastic crosswalks, limit lines, stop stencils and (2) R9-3A signs.
CHANGE ORDER NO. 20
January 17, 201
The City of National City and Contractor agree to the following change to the original Contract:
The City and the Contractor agree that the Contractor shall proceed with the installation of additional signing
and striping on 18th Street and Harding Avenue and Wilson Ave. The agreed upon price for all costs
associated with this work is as stated on this Change Order. See Attachment for cost breakdown.
Original Contract Amount 1,780,325.57
Net change by previously authorized Change Orders
100,238.30
Subtotal .. 1,880,563.87
7,571 54
1,888,135.41
z ..
Date City Manager, required kr Menge Orders 424,993 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.
Accepted an4 agreed to by Palm Engineering Construction Company, Inc.
1/3i fli$
Name: Date
Note to 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
mav Proceed under Protest. You must comply with the contract reauirements d submittina 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
+r-• CALIFORNIA
NATIONAL My
INCORPORATED
WESTSIDE MOBILITY IMPROVEMENTS
CIP NO. 17-04
CHANGE ORDER NO.20
DATE: January 11, 2018
WORK PERFORMED BY: Statewide Stripes, Inc.
DESCRIPTION OF WORK: Crosswalk striping on 18th Street at Wilson Ave and Harding Ave
ACCOUNTING FOR TIME, MATERIALS, AND EQUIPMENT
SUBCONTRACTOR
Unit
Qty
Wage
Total
1)
478 Sq. ft Removal
1420 Ln. Ft 12" Thermoplastic
Crosswalk
44 Ln. Ft. 12" Thermoplastic Limit
Line
2 Thermoplastic "STOP" Stencil
2 R9-3A on Existing Posts
LS
1.00
7,069.60
7,069.60
Sub -Total Subcontractor:
Subcontractor Markup (5%):
$ 7,069.60
$ 353.48
TOTAL Subcontractor:
SUB TOTAL:
BOND AND INSURANCE (2%):
GRAND TOTAL:
$ 7,423.08
7,423.08
148.46
Statewide Stripes, Inc.
P.O. Box 600710
San Diego, CA 92160-0710
«« ««e<«««««««««<c«»»»» » »» »» »»»»»»»
858.560.6887
858.560.0158 fax
Tax ID #33-0915254
Class: C32 SLBE# 10SS0008
MB/SB# 40421 DBE# 32232
PW Contractors Reg# 1000001334
Customer Info
PALM ENGINEERING CONSTRUCTION
7330 OPPORTUNITY ROAD, STE J
SAN DIEGO, CA 92160
CA Lic. #788286
Signatory Local 1184
Exp. 12/31/2017
Since 1990
PROJECT
REP
TERMS
18th St Additions
AJO
Net 30
ESTIMATE'
DATE
VI V20I8
NO.
1685`�
Q'I'Y
DESCRIPTION
478
1,420
44
2
2
Apx. Sq. Ft. of Removal
Ln. Ft. 12" Thermoplastic Crosswalk
Ln. Ft. 12" Thermoplastic Limit Line
Thermoplastic "STOP" Stencil
R9-3A on Existing Posts
Includes: Items listed, Prevailing wage, Removal by Waterblasting, and one move
Excludes: Traffic control plans and permits, directional ramp
TOTAL
$7,069.60
EXCLUDE: Adjust Cancellation Clause Q $250.00 ca Cert., Additional Insured Endorsements on Auto Liability r+ $75.00 ca., bonds, notary services, night work,
prevailing wages (unless included above). Not responsible for A.D.A. Compliance. Items not specifically included are excluded and require an Additional Bid.
Acceptance of Estimate and Agreement.
The undersigned hereby contracts for the services noted above and agrees to pay for the services upon completion and receipt of an invoice. The undersigned agrees to
pay reasonable attorney's fees and costs if incurred in the enforcement of this contract.
STATEWIDE STRIPES, INC. REQUIRES TWO WEEKS ADVANCE WRITTEN NOTICE PRIOR TO SCI IEDULING.
Co. Name:
By:
(Print Name and Title)
Date:
Signature:
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.
Westside Mobility Improvements Project, CIP No. 17-04
Change Orders #16 through #20
Judy Hernandez (Engineering/Public Works) forwarded
Copies of the Change Orders to Palm Engineering Construction Company.