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Home My WebLink About2020 CON Dick Miller - Paradise Creek Water Quality and Community Enhancements, CIP No. 18-11 - Change Order # 7a CALIFORNIA O. C 2 C Amount of this change order New contract amount Working days added: 5 Working days subtracted: 0 Percent change in Contract to date 9.96% Submitted by: 7-17-20 Project Manager Date Approved by: Paradise Creek WQ&C Enh. CIP No: 18-11 Contractor: Dick Miller Inc. NATIONAL Carr EMI INCORPorATBD .. _ . , CHANGE ORDER NO. 7 l:: CL July 1, 2020 Reason/Purpose for this Change Order: The city has directed the contractor to install various fencing and gates around the perimeter of the project Paradise Creek basin. The City of National City and Contractor agree to the following change to the original Contract: The city has directed the contractor to install 6' tall black vinyl coated chain Zink fence with a top and bottom rail, split rail fencing, 16' wide double chain link gate and double post and chain barriers per the plans and detailed proposal attached. This change order provides full compensation to the contractor for all work including all labor, equipment and material for the lump sum price listed below. Original Contract Amount $ 1,010,101.01 Net change by previously authorized Change Orders 53,623.28 Subtotal 1,063,724.29 46,987.70 $ 1,110,711.99 7/Z 7/Z© ger Date Enc leer Date C. anager,required for Change �>s Orders y 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 falr 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 (DMA 4 - - G.� ca►.� 1r .....t,,,,,,ec,L� �tL a[.ost Name: Date 3( 6/ 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. ae Originals: City Clerk, Contractor B cc: Engineering project file, Project Manager 1243 National City Boulevard, National City, CA 91950 Telephone (619) 336-4380 j �� DMI 930 Boardwalk, Suite H, San Marcos, CA 92078 Phone 760-471-6842 FAX 760-471-6178 Contractor's State License No. 380204, A, B, C-12 - DVBE / SBE #53651 DMI JOB NO. 19020 COR #008: ADDITIONAL FENCING PER SHEET 11500-4-D PARADISE CREEK WATER QUALITY COMMUNITY ENHANCEMENTS PROJECT CONTRACT NO.: Proposal Submitted To: City of National City Phone: 951-532-6483 Fax: Date Submitted: 05114120 Street: 1243 National City Bvld Job Name: Paradise Creek Water Quality Community Enhancements Project Date Work Performed: City, State and Zip Code: National City, CA 91950 Job Location 3624 Paradise Valley Rd, National City CA 91950 Attention: Sean Gill Architect: Plan Sheets: 11500.9-D E-Mail: sgill(aiccsinc.net Spec Section: Addendas Noted: WA ITEM DESCRIPTION ESTIMATED QUANTITIES UNIT MEASURE UNIT PRICE TOTAL COR #008 COR #008: ADDITIONAL FENCING PER SHEET 11500.4-D SUBCONTRACTOR: INCLUDE TAX 8.75% APPROX 235 LF 6' TALL BLACK VINYL COATED CHAIN -LINK FENCING (MATCH EXISTING) 235.00 LF $69.00 $16,215.00 9' X 26' CONCRETE FOOTING, TOP & BOTTOM RAIL, POWDER -COATED FRAMING APPROX 450 LF SPLIT RAIL FENCING 15' X 18" CONCRETE FOOTING 450.00 LF $35.00 $15,750.00 16' WIDE DOUBLE CHAIN -LINK GATE TO MATCH FENCING 1.00 EA $3,592.00 $3,592.00 DOUBLE POST & CHAIN PER DET. 4 2.00 EA $2,056.00 $4,112.00 TOTAL SUBCONTRACTOR MARK UP 5% $1,983.45 TOTAL FOR MATERIAL ADD: $41,652.45 EQUIPMENT: 650 BOBCAT SKIDSTEER 4.00 HRS $30.47 $121.88 DUMPTRUCK 4.00 HRS $42.84 $171.36 CREW TRUCK 32.00 HRS $25.01 $800.32 (NOTE: ALL EQUIP. RATES INCLUDE TAXES, FUEL, & MISC COSTS) BOBCAT & DUMPTRUCK WILL BE USED TO REMOVE THE EXCESS OF SOIL AFTER THE DIGOUTS FOR THE FENCE POSTS TOTAL EQUIPMENT MARK UP 15% $164.03 SUBTOTAL FOR EQUIPMENT ADD: S1,257.59 LABOR: OPERATOR 4.00 HRS $99.10 $396.40 LABORER 4.00 HRS $72.61 $290.44 LABORER' supervision during fence installation 32.00 HRS $72.61 $2,323.52 LABOR MARK UP 20% $602.07 SUBTOTAL FOR LABOR ADD: ' $3,612.43 TOTAL FOR THE ABOVE ITEMS: • S46,522.48: $465.22 1% ADD BOND & INSURANCE ADDITIONAL WORKING DAYS REQUESTED: 5.00 TOTAL AMOUNT OF COR#008: $46,987.70 BY. Submitted for DMI JOHN MARTINEZ- Change Orders & Log 1 of 1 5/14/2020 5.07 PM 1255 Distribution Way o Vista, CA 92081 J 1956 �� CALIFORNIA760) 598-0070 a Fax (760) 598 0098 L Since CALIFLICENSE C 135n1918 LOUISIANA LICENSE 15556 Offices: Carlsbad, California; Port Ardnn: Texas; Baton Rouge, New Orleans, Lafayette, Louisiana; Grand Cayman, West Indies PROPOSAL SUBMITTED TO DM! Parade Creek Water Quality & Community Enhancement Project DATE OF PLANS 5/14/2020 JOB PHONE Approx. 235 LF 6' Tall Black Vinyl Coated Chain -link Fencing, (Match Existing) 9"x 2'6" Concrte Footings, Top & Bottom Rail, Powder -coated Framing @ $69.00 per LF = $16,220.00 Approx 450 LF Split Rail Fencing, 15"x 18" Concrte Footings @ 35.00 per LF = **This Product in Pressure Treated is NOT Available** (1) 16' Wide Double Chain -link Gate to Match Fencing (2) Double Post & Chain Per Det. 4 @ $2,056.00 ea. = **Pad Locks Provided by Others** $15,750.00 $3,592.00 $4,112.00 Dollars($ $39,674.00 **Bid Prevailing Wages** **Excludes Structural Calculations & Stamped Drawings** **Excludes All Concrete, Curbs, Masonry, Except Fence & Gate Post Footings** All material is guaranteed to be as specified. All work to be completed in a substantial workmanlike manner according to specifications submitted, per standard practices. Any alteration or deviation from above specifications involving extra costs will he executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. Location of fence is sole responsibility of the land owner. Survey stakes required, in order to properly place fence. Lumber products are nominal sizes not actual sizes. In the event litigation Is required, reasonable attorneys fees, expert witness fees, court costs, Etc. shall be awarded to prevailing party. We measure through the gates.1.5'b interest will be charge on invoices past 30 days. ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above Date of Acceptance: Authorized P�tri ass Signature [ �� Note: This proposal may be withdrawn if not accepted within 30 Days Signature Signature �� ft 1255 Distribution Way e Arista, CA 92081 (760) 598-0070 a Fax (760) 598-0098 I, C.ALIFORNIA LICENSE C-13581918 LOUISIANA LICENSE Since 1956 15555 Offices: Carlsbad, California; Fort Arthur, Texas; Baton Roug:. Nett' Orleans, Lafayette, Louisiana; Grand Cayman, Wrest Indies LIST E EXCLUSIONS; ***Exludes ANYTHING without a line item on the bid*** *Excludes Mow Curbs, Retaining Walls and ALL Concrete Work Except for Fence & Gate Footings* *Excludes ALL Architechtual & Structural Drawings other than Art Renderings* *Excludes Structural Calculations unless line item for such services states on the bid* *Excludes Surveying* *Excludes Pulling Permits* *Excludes Panic Hardware, Knox Equipment, Fire Strobes and ANY other Saftey Equipment that does NOT have a line item on this bid that may be required to comply with Government Entities* *Excludes ALL Finishes including Paint, Powder Coat, Stains, etc. unless specified in a line item on the bid* *Excludes Grading and Compaction* *Excludes Gate Hardware and Automation unless in a line item on the bid* *Excludes Electrical Power Source unless addressed with a line item on the bid* *Excludes working overtime unless Premium Time is paid* * Excludes Locating Utilities* All material is guaranteed to bees specified. All vrork to be completed Ina substantial workmanlike manner according to specifications submitted, per standard practices. Any alteration or deviation from above specifications involving extra costs will bo executed only upon written orders, and will becorne an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. bwner to carry fire, tornado and other necessary insurance. our vrorkers are fully covered by Wornman's Compensation Insurance. Location of fence is sole responsibility of the land owner. Survey stakes required, In order to proporiy place fence. Lumber products are nominal sizes not actual sizes. In the ovont litigation Is required, reasonable attorneys fees, expert witness fees, court costs, Etc. shall he awarded to prevailing party. We measure through the gates. 1.5% Interest will be charge on Invoices past30 days. Authorized Signature Note: This proposal may be withdrawn by us if not accepted within days ACCEPTANCE OF PROPOSAL The above prices, specifications and Signature conditions are satisfactory and hereby accepted. You are authorized to do the g work as specified. Payment will be made as outlined above Date of Acceptance. Signature I SURVEYOR: I HORIZONTAL CONTROL a r srAOM owRrw ad .._ COT .07R NEA E00-M WSEL 164 - - i • co 8 J 1� / MOWED OWE \ - - - - U 6., 1/6 O.SJi i _ _ - E 14764 'n CONSTRUCTION RECORDS INSPECTOR• DATE COMPLETED: - - - OD FENCE CONSTRUCTION NOTES STA 8428.00, 6J5' RT Ie' Mx CHAR4 I WO AND COORDINATE TAKEE STA 8,03.00 STA a+J96s s.82' Lr 7.45' RT .a .Or11A2 ...I". ® CIF WALL 0 MPRAP PER COSD STD DWG SOD-104 142 142 IE IM.90 PM, IKWIIIIG FASTIC I8 RCP 24' RCP rN Itlr�.n R101Jffl Et TRASH RACK SEE DETAIL 3 ON SMT 14 2 WAMER OWITY MPI r0NLTA7IVE SIN, SEE DETAE I ON SM 14 Zw Nutt raw R%9anr.O IE 166E 92 146.01 rot wt9Nn a1091w.2e ®12- CIFMOUT, SEE OETAXS 6 ON SM 1J CIEANOUT fir t6>1tAA u06w87 102 Iu107f17 6.109MSA No00EN RM. FENCE. SEE DETM ION SM IS ®J' WIDE WANDERING A[ALE RACKING NO. J (0.75' DEEP) STA R+M 54 RECTA, COORDINATE TABLE .'M IutfIJM 6101TWatl Feu ...mu, elON60.0 O 6• OWN t22r 7LNCE PER COSD SO DWG SDM-II2 ®8' CLfANOOE SEE DETAILS 1 AND 5 ON SM 1J 198 TRAPEZ00NL CHANNEL . Na1II0L 0.YN0 Zw 76116N.r2 a%a1Mw7 Ia wa11.l87 6A6RIaV 06 I6' CTNN LINK FENCE GATE PER COSI) STD DWC SDI-114 ® g• PLC FIPf BKNTLIROION 0OIFLOV Sf6 SNT II IMPROVE -NEWS 402 1u101619 6A.TLw 201 Itl7VA4i t 6x0ar! 106 Itl0w2B uW669A) © WMG/O-TYPE PER SORSO 0_54 ®I2' RC PIPE BICATKNl 41OUTFLOW SEE AR 11 1AATON EXST NI Itl112731 6L9.n39 209 Iuw2ID1 u6RI 0t36 tooItl11lN 6A061291 © POST OH ELECTRIC1016 AND POLE TO RE RELOCATED BY OTHERS ® INSTALL i8" RCP SID.W RTA11 E I44.11t KO itl111237 61LNW1A0 Ax Iur6.v47 wM 60N6.O IN r1a.IQ IA161 4° 0 EXIST Gl5 LME TO BE RELOCATED 8r DUETS 403 I6311649 60a114 AV w1Nw610 u06g6.70 CHANNEL PROFILE- PC? LNE rN rtlrN¢N 610911LIJ ✓ INSTALL POST AND CHAIN BV2MFR PER DETAIL 4 SHT 14 EMERGENCY O.ERFLOW SPILLWAY, SEE DETAIL , ON SPIT Iz WATER QUALITY 401 1u1160.19 6A9C6A I. Ntl1N6N 6N1Na10 - Oro0 . 1700 CF5 WN -KallO.la {X9166N O .... RSION' WEIR MODIFIED WING 1YPE IEAVIAL. SEE DM1. J ON Rif 12 INTERPRETATIVE RCNV� 1w ItlN1atl 2N 1tl7Na77 6=94I6u a69 FPS rw Itlri/LN 6A917aD1 COORpNATE N0. f TABLE FASMS W6 ItlN]yJt 01N10 * - - tlIRaN Zw ItllOair 61M41./6 /it NM11N.w tl69116.G Q 6' CLFANOR, SEE DETMS J ON SNT IJ NOTFNO M IUliJ9af 61WW1i2 2rt I6TZ17N man.1T IR wawaRIW112N ®�ARA=Y DIAL SEE DETAIL 2 ON SIR Ii SCALE .MI ItlI0P1I6 6tlNN.N NI 1431.1M MM. 212 rul.ON tl19m.w It! w1119tl 6190.19J) ®MYYIDMNGf ACCESS R1]10. SAE' TYPICAL SECTIONDN SNT 3 1-=20• HORIZ. ,Dr I03123103 630I0/J1 NI luwxu unlwtl na rurtlarl 1%M41.>s 114 1tl1116tl tl010u.N ® 6' PERFORATED PAC RPE 1-=4' VERT. 6+00 7+00 8+00 8+00 10+00 11+00 3.JJ' LT 0A7L.CM LINE CAUTION NOTE: 0 STA 6+04.88 r BEGIN CHANNEL 6A°ROVEYCNT *ITCH EXIST 8d6' 81 TOP OF WDR STA 6.0187 I STA 8401000 a. BEGIN OWNEL IMPROVEMENT m9 6.62' LT WiCH MST 6'+10' J COYTTMCNW w RID 74.r7 ALL um. OWES PRIOR N CO SIM.CRC. NO NOM , DC.R11 Mt IN, 0 PARCISE 5(0763 CREEK 7RAPEZOOLL CHANNEL W701 1.57 BEGIN OWN 41 O %2 aALN2FG y CHANNEL BOTTOM AND UM< FENCE HATCH TO BE' 1387 711E0 WTM HIGH ; .I' DEEP) SLOPE I.5:I 1• 1 �7DN O �. O - . ANTS.SLOPES. ' DEEP) PERFOt4lNCE TURF REINFORCING ' . ' �B _ ! STA 8+RTJ9.65 ' M11FpyT lgf filI ran ..fit♦ ii s+DD - � FG 157.29 I57.32_ PARA ISE CREEK t:;� °° -�_ �a e:� ,, 0 oDoo NIaJIfJ{.J6 00 • ior 0 00'i /7 • -F� SLOPE i.8ei Z FC 15927 ,.. f6J0929J.9] / tip 0 0 0 ' ,, r FD I56.62 6� M O • c0 A �y �fI , . ER fC I PC IY.66 _ 2 o O 0 . V / X LT • o ', ayyN_ fC I9J.96 SLOE 11 9R 17 A SO B+1aO1 $1 a�, SLOPE y 0 6.35' RT 0 2, 4. ..o. • ~AGE FOREEMY 4'0 �'.°o o d0 'L �� ELLV 1/4.00 FG 155.12 000 9R 17 1, l 00'II2 I. " Z: • w: FV.. 1Q SLOPE 1I to ,, 4 212 ; Y7ry 4W0 N6x . n.::• O 0 1J'ai.� J END 7RW571KW . _ roB•LME . SLOPE FROM 2:1 TO 11 BEGIN MANSMON SLOPE FROM 2:1 SL J:I O = 'L _ W.9• . ��i!�'= ; '�: �� .yS%611, 106 O ``�:4: mill ai Y1•' • . lE ° ° c:N BASH ELaaa 1 • SIDE OF EXlsr T" EfEY 165.00 �1 ° � F0 I6J.. r RA OF PD 162.72 ORMWAr ^_ PD r62a G-140 (z FB I6160 fC 162.00 p ,'E/IAT I292.7972 1031292..7972 iL 16110 a sr SIDEWALK ' PER ) FD 101'00 V105 O DECLARATKKN OF RESPONSIBLE CNARCE 'E' ' r rc 1D + ATM- IMP 7 2 re Fc feo.sz , FG 15a10 h4S 10 �pq,�/ pA • / EXIST S1 0 7(l PROTECT M RACE P0.63'r=UK ¢� a uno> r "^" ..113461.1113 ` NATO, airy IENGINEERING DEPARTMENT AS -BUILT FO 156.4I _ i^ NNE% « , 2/'\ FC 160.00 ai I I' , My LS D mu IMLtNMIRK u� �a _ b, u�iiso1piml�v a ° PL. L.. Non *.r uwaVn[MS Or OREM WAT61 WALJTY MID COAlAZafY ENyANCEi.Bl78 PROJECT WI' 26aw' form- a.3' ° CREEK IMPROVEAEM PLAN MO PROFILE Ap '• ,. r F3' o "Cr 20000. •N110' Asa' S TO BTA 11450.00 ' FG 159.40 7201 .. ' �O TB' MOO' lI6,YY Atl' CM CE NATIONAL C/TY ° ` �`' ' T.I SLOPE WTTN A IMPERMEABLE LMER V , -- swan o. WE OP T�Tpj�7 I 11L_I 16' J;II�� `� SE 1r• FG 158.76 A O .7 �� •- FG 15B.69 PPS' \ GRAPHIC SCALE HARRIS & ASSOCIATES �444N .6.9 , o�9 © i 1 a1r 600 B SW9M, SO1N 2000 Son Diego, CA 92101 9 o,. DOVO •® IOO ,` Vrl / 4 UU (619) 236-1778 • FAX (619) 236-I179 °�'' 110- "0 115�U TOLL WR¢ I-0OYIIr-101 1' , Ro �*•� El 11500- < -D Patin - 6/3/En 6.° 3 w 60... - 6/31/36,6 124.6 w :: lv..kd N IA Z HORIZONTAL CON 46 R NOTES: I. ALL 16000 FAR PAIL FENCE 1O BE PRESSURE IDEATED. 2. END POST SHIA/ BE TERMINAL POST. WOODEN RAIL FENCE DETAIL NO SONS 3,5,7 LOCKABLE SCREW CAP BIORETENTION BASIN RISER TO SUIT OBE! 6' SCR-35 POWORA16D PIPE SLOPE 6' CLEANOUT DETAIL - MODIFIED SDRSD SC-01 0 NO GNIF A LODEIRLE SCREU GNP BIORETENTION BASIN 8" CLEANOUT DETAIL - MODIFIED SDRSD SC-01 NO SOILS PROPOSED ENBANKNENT SLOPE LIT- I-11=11- -1111 1�11 11II II CEOFABtIC CONSISTING CF MIRAEI 1100N OR EQUIVALENT SHALL UNE ILL SURFACES TO RECEIVE MPRAP AND SHALL BE INSTALLED IN ACCORDANCE MIN THE MANUFACTURER'S RECOMMENDATONS ROCK RIPRAP BANK PROTECTION DETAIL O NO SCALE 5 6' Spf-35 PEUFLMi6D PPE LOCKABLE SCREW GP. RISER, x1F BRANCH — b' ELBOW 101 OW REDUCER PVC SOR-35 J 6r8R6 TEE SLOPE 8'x8' CONNECTION AND 8' CLEANOUT DETAIL - MODIFIED SDRSD S0101 NO SCALE LOCKABLE SCREW CAP BIORETENTION BASIN 17 CLEANOUT DETAIL - MODIFIED SDRSD SC-01 6 NO SCALE JN 140.0192-005 NATIONAL CITY DECLARATION OF RESPONSIBLE CRAKE OWN. SPEDFCNONS In ME Cm C/ .044. � l.Y PARADISE CREEK WATER OUALRY AND COMMUNITY E*IANCB.BOTB PROJECT MISCELLANEOUS DETAILS CrlY OF NATIONAL CITY alHARRIS & ASSOCIATES 600 B Street, SIB. 2000 FM San Diego, CA 92101 (619) 236-1770 • FAX (619) 236-1179 9IUT J1 1U r .._11SU0 11500-13 -D N..w.- V31/101 4.0460 1.r- 11/10/1014 110051 w: [\_,. \d4 \14-am\mow\ f pC,0.-6...1xsv 1.4." 100% SUBMITTAL ¢¢ 8 HORIZONTAL CONTROL: • DISTANCE E'ER PLAN CONCRETE CHANNEL 4' DM SUI 40 STEEL PPE MIN MELDED SFEEL CAP • ---/ I/1' PROOF COL a4w NAL STEEL) xa —�* 12YSTEEL 65 21/2k2 I/2S 'II1llrdm1II! 7."NOTES CONSTRUCTION RECORDS j DATE STARTED: INSPECTOR: DATE COMPLETED: MESS4GE WORDING AND GRAPHICS r0 BE DETERMINES LATH BB THE SPY er ... CONCRETE FOOTNO J -0• 410•-0' 78• NOTE MELD ME ENO OF OWN TO STEEL NOTE COMRAC7OR SHILL stair SHOP ORAMINGS PER SSPMC 2-S.J.J. INCLUDE WELD 3 LINKS TO OTHER STEEL PPE CONVECT CNNNS *TMO. I' PANEL BOW. FOR SIGN SEE ABOVE DETAILS MR ATTACHMENT E.175MIG STRUCTURE TRASH RACK DETAIL CRY 'PROVED LOCK. POST AND CHAIN DETAIL 44 r_ Ei, I1 Li -SCALE NO 4 O NO SCALE 4 M000 POST EX CONCRETE FO CENNEL DTP • .. .II 111- r =11iI4vl= 111 xr CONCRETE i007110 - b• rm >; INTERPRETATIVE SIGN DETAIL [— N0 SCALE 4..,J,7 8.19'.20 62. NSW BOTTOM OF WAND. 1 J•_0• STEEL EMU RATE f0'L x 8• w x I• T • od 1•-6' EMBEDDED INFO CANNEL BOTTOM I G SECTION A DEcwuT 00 or RESPONSIBLE DUNCE_ _ 12" PVC 8470( A708 WEILLe J'rJ'r8'TI4XN ONpp mu.MBCEELANEOU9 — • Q NO SCALE - ®tea m.an,n NIx e BrT 'owawoxa,�°1.'°Ni.•oIR v -gym .50.. n<•'�°""oVw. xm % i s...� PAMDBE CII®C WA791 OU4JTY MD COWMT/ EMAANCB,BNTB PROJECT DUALS ENGINEERING DEPARTMENT IAS -BUILT CITY or NATIONAL art exam o. saw R.C..mH- nrt t\ ..�+ J• ��) `� 1 4YL. 1 • WOO' MILL TO EXTEND HIND PIPE BEDDING 2' BE ASSOCIATES wryt CUTOFF WALL DETAIL 2 Goo B S of eoD a sll.er, wm 2090 Son DN9o, CA 92101 xa mr.. �„ m. a„m, >� Tau m¢ �rl I-e 217-MO NO SCLE O MI (819) 2J6-1778 • FAX (619) 236-1179 °Ap6�O. v'a 115DD ?ate SLOT 11500-14—D =ooars So w - e/e,hne .11 >\�•0ufe➢MI•ee-.ewaVaolelm-In•l 77..d ..•.....u.n�nnc�n„\�e-- \A.•�e\�•et_ae..n J,us•imey �pww= Date: CONTRACT TRANSMITTAL FORM (Attach as Cover Sheet to Documents dropped off to City Clerk's Office) qs/afd From (Dept.): (To re Submitted by (First & Last Name): .1-..i1 / J,h /� 2{ r1G Vendor: _f)(G B,m7,( Resolution: YES / NO 00 Resolution No. (if applicable): Olga �9-e 0 aez 2 3 4 Originals Provided to City Clerk (Select Quantity) 0 0 0 p.... Department has Copy / Duplicate Original Vendor has Copy / Duplicate Original