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2020 CON Portillo Concrete - Euclid Avenue Bicycle and Pedestrian Enhancements, CIP No. 18-10 - Change Order #12 and #13
2019— 25 Amount of this change order — CALIFORNIA -� NATIONAL CITY RECEIVED lid bicycle anc�. P 1estrian Enhancements CIP No: 18-10 ;7,IatopcmArtt (i;±lto Qvncrete, Inc. CHANGE ORDER NO. 12 September 30, 2020 Reason/Purpose for this Change Order: The city has directed the contractor to perform additional work at the north west corner of Euclid and Plaza due to design modifications to accommodate a right turn lane on Euclid SB at Plaza. The City of National City and Contractor agree to the following change to the original Contract: The city has directed the contractor to perform additional work on a T&M basis per the revised design plan issued by Kimley-Horn for the NW corner of Euclid and Plaza. This revised plan changes the layout to the previous curb and gutter, sidewalk, retention basins, misc. concrete, and gravity wall. All work identified was performed on a T&M basis for the total price listed below and includes all labor, equipment and materials necessary to complete all work. Original Contract Amount $ 4,060,691.00 Net change by previously authorized Change Orders 139,880.07 Subtotal 4,200,571.07 22,733.46 New contract amount $ 4,223,304.53 Working days added: 53 Working days subtracted: 0 Percent change in Contract to date 4.00% Submitted by: le----A Project Manager 10-6-20 Date Cit j P oj� a er j j O"Datte� Approv by: V v Cit in er l cif t rev Date City Manager, required for Change Orders>524,999 Date By sigti;/ig thi Cha?e 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) Name:? / 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 PSI PORT1LLO CONCRETE INC 3527 CITRUS ST, LEMON GROVE, CA. 91945 OFFICE: (619) 466-4639 FAX: (619) 466-4685 National City - Euclid Ave Bicycle and Pedestrian Enhancement Request for Change Order Submitted: Contractor: Days: Description / Reason for Change: PCI 60 Due to design changes at Plaza and Euclid PCI had to demo exsting work done per plan, cap utilites and fill in holes already prepared for a basin, reform, form and pour the bulb out to match the new design. Description Date Price Origional setup and grading of basin per plans 6/10/2020 $ 2,305.94 Remove froms that don't match new layout 7/15/2020 $ 257.95 Demo poured curb that doesn't match new layout 7/29/2020 $ 6,837.55 Concrete lug inside old basin (NE side of NW Plaza) 8/17/2020 $ 1,438.20 Grade and prep for gravity wall 8/17/250 $ 1,072.95 Grade and prep for gravity wall 8/18/2020 $ 969.93 Set up gravity wall and demo part of ped ramp 8/20/2020 $ 2,239.26 Setup and Poured C-09 gravity retaining wall 8/21/2020 $ 7,611.68 PCI Mark Up Change Order Total 0% $0.00 Portillo Concrete Inc FIELD ORDERS/ DAILY EXTRA WORK REPORT City of National City Date Work Performed: 6/10/2020 Project Name: Euclid Ave B&P WORK PERFORMED BY: PCI Location of work: NW Corner of Plaza and Euclid Work stopped due to possible change of plans at the bioretention pop outs at the NW corner of Plaza and Euclid. Hours are for grading and set up of the 18" basin curb and bike ramp. 1 REPORT NO. EQUIP NO EQUIPMENT HOURS RATE EXTENDED AMOUNTS LABOR HOURS BURDENED RATE EXTENDED AMOUNTS $ - Foreman Sabino Flores 4.00 $ 59.18 $ 236.72 $ - Super David Villasenor 4.00 $ 37.00 $ 148.00 $ - CM Jose Jaramillo 4.00 $ 56.75 $ 227.00 $ - CM Leonardo Arevalo 4.00 $ 56.75 $ 227.00 $ - CM Javier Dorame 4.00 $ 56.75 $ 227.00 $ - CM Daniel Santillo 4.00 $ 56.75 $ 227.00 $ - CM Ricardo Tamayo 2.00 $ 56.75 $ 113.50 MATERIAL AND/OR APPROVED WORK DONE BY SPECIALIST Lab Albert Islas 4.00 $ 54.18 $ 216.72 No. DESCRIPTION O UNITS UNIT COST EXTENDED AMOUNTS Lab Richard Stocker 2.00 $ 54.18 $ 108.36 App CM Marshawn Jackson 4.00 $ 47.58 $ 190.32 $ - $ - TOTAL LABOR A $ 1,921.62 TOTAL COST OF EQUIPMENT, MATERIALS AND WORK $ - > B $ - + 20 % ON LABOR COST (A) $ 384.32 + 15 %MARKUP ON EQUIPMENT, (B) $ MATERIAL AND WORK COST CONSTRACTOR'S REPRESENTATIVE SUBTOTAL $ 2,305.94 _5_% MARKUP ON SUBS WORK (C) TOTAL 811 L TO JOB NAME / LOCATION JOB NUMBER JOB CODE PORTILLO CONCRE I E, INC. 3527 Citrus Street • Lemon Grove, CA 91945 Office: (619) 466-4639 • Fax: (619) 466-4685 FIELD EXTRA WORK REPORT ,, 3 1 ( 0 FOREMAN S.a.b/-?Da or.e. PO NUMBER / CCO NUMBER - i'3—/'I WORKDATE 0710-1z2) u att78 f}u2 a(r la-.-vJ DESCRIPTION OF WORK KQmavc.„. �r caryyt5 vet �vE Marc City cdt{-v.4.1.• nN Njw &. v..•- pf 1PL4 et 61, 4444". DVt Re.:clISlN (4 ?At. ovi. Sou-I4-} bourne!. 5.IPG 64 6.41d LABOR EMPL # CRAFT NAME R 0 0 1 2 'DAV ZA; 864..Nar, avtut Dorw't e 1 3 Lao 4 5 •1\-PP C"^ tAtt66.4accsv COMPANY EQUIPMENT EQUIP. x DESCRIPTION HRS MOVE IN L-rj J' 6 7 8 9 10 RENTAL TRUCKING COMPANY TYPE OF TRUCK TOTAL HRS. 1 2 3 RENTED EQUIPMENT VENDOR DESCRIPTION HRS MOVE 1N MATER ALS / FEES VENDOR DESCRIPTION QUANTITY 4 5 I HEREBY ACKNOWLEDGE THE SATISFACTORY COMPLETION OF THE ABOVE EXTRA WORK OR SERVICES. 1008 (10/04) /1 AUTH ZED SIG ATUR ..V WHITE - Office YELLOW - Invoice PINK - Cu;tomer Field Copy Portillo Concrete Inc FIELD ORDERS/ DAILY EXTRA WORK REPORT City of National City Date Work Performed: 7/15/2020 Project Name: Euclid Ave B&P WORK PERFORMED BY: PCI Location of work: NW Corner of Plaza and Euclid 2 REPORT NO. Removal of forms that were preset at for the bio-retention basin on the NW corner of Plaza Blvd and Euclid Ave. This work is due to a redesign of the entire bulb out. EQUIP NO EQUIPMENT HOURS RATE EXTENDED AMOUNTS LABOR HOURS BURDENED RATE EXTENDED AMOUNTS LT 1 - Lumber Truck 1.00 $ 20.29 $ 20.29 $ - Super David Villasenor 1.00 $ 37.00 $ 37.00 $ $ - $ - CM Javier Dorame 1.00 $ 56.75 $ 56.75 $ - $ MATERIAL AND/OR APPROVED WORK DONE BY SPECIALIST Lab Albert Islas 1.00 $ 54.18 $ 54.18 No. DESCRIPTION UNITS UNIT COST EXTENDED AMOUNTS App CM Marshawn Jackson 1.00 $ 47.58 $ 47.58 $ - $ - TOTAL LABOR A $ 195.51 TOTAL COST OF EQUIPMENT, MATERIALS AND WORK $ 20.29 > B $ 20.29 + 20 % ON LABOR COST (A) $ 39.10 + 15_%MARKUP ON EQUIPMENT, (B) $ 3.04 MATERIAL AND WORK COST CONSTRACTOR'S REPRESENTATIVE SUBTOTAL $ 257.95 _5_% MARKUP ON SUBS WORK (C) TOTAL ILL TO C'; i - e, � ,.e,V �. / G ; � IPC;11 FIELD EXTRA WORK REPORT „ 31 12 FOREMAN RE�/ � �r !'C! //JG (/ //4.f Pit/c, ,- JO AM I LOCATION /(��i� Oi✓ S7�/'!G Nc/��./A `Nvr • a , s €74/ d . c c/c .Al, i r co 4" - A., PO NUMBERICCONUMBER WORKDATE 9'-,2 y _2 G' L o CONCRETE, INC. 3527 Citrus Street • Lemon Grove CA 91945 Office: (619) 466-4639 • Fax: (619) 466-4685 •. NUMB - •: •0 DESCRI ION OF WORK t'6 r v.'h 9 (/ if/ 1 Q,v A( 4)/'*4 L!/c'S 7` C C.�r.A/..../' r?/C P/G7 2c C-€7A A/L'iki /7. !i/•'-. LABOR COMPANY EQUIPMENT RENTED EQUIPMENT EMPL. # CRAFT NAME R 0 0 EQUIP. 0 DESCRIPTION HRS VENDOR DESCRIPTION HRS 143vE IN 1 SCP•', Oa Ore! I/', //aft,.,,._, 7606 C G:u 1` 44, 6/'Nc> A ,,v' (� d C/•r4yP ;✓.,o c.,eW /4eir/7‘,r ` F i6�CYCi�O G J 2 !��711p/' C.44/4f/,Vt• /tectcy 5 / 5[l///' Z ck 3 4a3/er C6 ,,,/,, uz, /1 c,,, 7 / '/ /• / /r 40 0� 8' 4 1-eamf{rrO/'/ci t,q'o CDrr,// �� ' ✓cr /yu/%ji'C er7.+rr r/ 3 5 04 Pia-Ael" 7.0.5e" 1r/acaA, 'l/'t 041/ 6 oarr 8 6 Of)e/:/r '(7c"St1iP/ G.v 1//e7 7 8 9 10 RENTAL TRUCKING MATERIALS / FEES COMPANY TYPE OF TRUCK TOTAL HRS. VENDOR DESCRIPTION QUANTITY 1 Sv%fail of(-7ac/c// /X /?CCyr./re/ C/r3 -- / /9 2 / OL'r 'Oa di o G G/eiv U 3 4 5 n I HEREBY ACKNOWLEDGE THE SATISFACTORY COMPLETION OF THE ABOVE - EXTRA WORK OR SERVICES. AUTHO I EO SIG x TURF j - WHITE - Office YELLOW - Invoice PINK • Cu;tomer Field Copy 1008 (1 Portillo Concrete Inc FIELD ORDERS/ DAILY EXTRA WORK REPORT City of National City Date Work Performed: 7/29/2020 Project Name: Euclid Ave B&P WORK PERFORMED BY: PCI Location of work: NW Corner of Plaza and Euclid Demo curb and gutter on the NW corner of Plaza due to a new design being provided 3 REPORT NO. EQUIP NO EQUIPMENT HOURS RATE EXTENDED AMOUNTS LABOR HOURS BURDENED RATE EXTENDED AMOUNTS PC 42 Super 10 8.00 $ 72.02 $ 576.16 Bobcat with Breaker 8.00 $ 87.00 $ 696.00 Super David Villasenor 7.00 $ 37.00 $ 259.00 PC 31 Tool Truck 8.00 $ 21.78 $ 174.24 Lab Hector Camarrena 5.00 $ 54.18 $ 270.90 PC 34 Traffic Control Truck 3.00 $ 27.33 $ 81.99 Lab Charlie Wilson 3.00 $ 54.18 $ 162.54 Arrow Board 8.00 $ 3.39 $ 27.12 Teamster Orlando Carrillo 8.50 $ 64.69 $ 549.87 Otay Excavator (rental) 1.00 $ 375.00 $ 375.00 Op 3 Jose Talancon 8.00 $ 73.41 $ 587.28 $ - Op 8 Daniel Santillo 8.00 $ 75.23 $ 601.84 MATERIAL AND/OR APPROVED WORK DONE BY SPECIALIST No. DESCRIPTION UNITS UNIT COST EXTENDED AMOUNTS Class II Base 14.19 $ 5.50 $ 78.05 4 loads of Demo 4.00 $ 350.00 $ 1,400.00 TOTAL LABOR A $ 2,431.43 TOTAL COST OF EQUIPMENT, MATERIALS AND WORK $ 3,408.56 -------------> B $ 3,408.56 + 20 % ON LABOR COST (A) $ 486.29 + 15_%MARKUP ON EQUIPMENT, (B) $ 511.28 MATERIAL AND WORK COST CONSTRACTOR'S REPRESENTATIVE SUBTOTAL $ 6,837.55 _5_% MARKUP ON SUBS WORK (C) TOTAL BILL TO. / . -0. 4 4N'o� o� FIELD EXTRA WORK REPORT 3 016 FOREMAN „ '�^+ O yc SWORKDATE �� C JOB NAME / LOCATION �CL!D C• Po NUMBER / CCO�oNUMBER g-I1 -� EJl�ot O.�iJ �p o7 .P►A� (MU D C-'D CONCRETE, INC. JOB NUMBER 1 q - JOB COO 3527 Citrus Street • Lemon Grove CA 91945 Office: (619) 466-4639 • Fax: (619) 466-4685 DESCRIPTIO OF WORK 4/D2K PE/LPcawF.A d Atl td EsT Co,QiiiEA. 8Ell 4.)e tact) Amy 4-Logs DE 6A.-Jk o Q,'<TAu-//. ‘?fCif0A?FD L2 ar L3AJk !JA-// -h it -r /,r C. arias JPlfi (A24/li .i) R 11. q0 L f LABOR COMPANY EQUIPMENT RENTED EQUIPMENT EMPI. # CRAFT NAME 0 0 EQUIP. # DESCRIPTION HRS Aq�vE VENDOR DESCRIPTION HRS ►OVE 114 OP0.. (2 IAA R3rtl�� `R/ 7• _ o-r y QE •44-i* E LD 141°i0 G)e,c.A-oAT.ir' li5- 2 GtAq L . A•R-E1J,4-L 3 5 3 ".-'I J• GI 0; it-OZ j.5 4 Apo - 3.4-c.tc58.3 3.5 5 6 7 8 9 10 RENTAL TRUCKING MATERIALS 1 FEES COMPANY TYPE OF TRUCK TOTAL HRS. VENDOR DESCRIPTION QUANTITY 1 2 3 4 5 I HEREBY ACKNOWLEDGE THE SATISFACTORY COMPLETION OF THE ABOVE EXTRA WORK OR SERVICES. AIR! o IG URE x i WHITE - Office YELLOW - Invoice PINK - Customer Field Copy 1008 (1 PORTILLO CONCRETE 3527 CITRUS STREET LEMON GROVE, CA 91945 SUPERIOR READY MIX CONCRETE, L.P. 1508 W. MISSION RD.. ESCONDIDO, CA 92029 PHONE (760) 745-0556' FAX: (760) 740-9557 INVOICE CUSTOMER NO. DATE INVOICE NO. PAGE PORTI005 07/29/2020 141849 1 TERMS NET 30 DAYS A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS THE FINANCE CHARGE I5 COMPUTED BY A PERIODIC RATE OF 1 1D T. PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 10%OR A MINIMUM SERVICE CHARGE OF $5.00 WHICHEVER IS GREATER DATE JOB NUMBER - JOB LOCATION - ADDRESS QUANTITY IUNIT DESCRIPTION UNIT PRICE TAX TOTAL 000838 (19-14) EUCLID AVE. BICYCLE & PEDESTRIAN EUCLID AVENUE & CERVANTES AVENUE NATIONAL CITY PO NUMBER: 1914 07/29/20 3.00 LD DUMP C350 DUMP CONCRETE 3.00 LD EEM ENVIRONMENTAL FEE (MATER TICKET DATE TOTALS: JOB TOTALS 350.000 0.00 5.000 1.17 1065.00 1.17 1065.00 TICKETS: 022-435147 022-435167 022-435207 1050.00 16.17 1066.17 1.17 1066.17 PORTILLO CONCRETE 3527 CITRUS STREET LEMON GROVE, CA 91945 SUPERIOR READY MIX CONCRETE, L.P. 1508 W. MISSION RD. • ESCONDIDO. CA 92029 PHONE (760) 745-0556 ' FAX: (760) 740-9557 INVOICE CUSTOMER NO. DATE INVOICE NO. PAGE PORTI005 07/29/2020 141850 1 TERMS NET TO DAYS A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS THE FINANCE CHARGE IS COMPUTED BY A PERIODIC RATE OF 1 121/4 PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 113%OR A MINIMUM SERVICE CHARGE OF 55.00 WHICHEVER 15 GREATER DATE JOB NUMBER - JOB LOCATION - ADDRESS QUANTITY UNIT DESCRIPTION UNIT PRICE 000865 (20-02) DIVISION ST. BICYCLE IMPROVEMENT DIVISION ST. & EUCLID AVE. NATIONAL CITY PO NUMBER: 20-02 07/29/20 14.19 TN RCL2 RECYCLED CLASS II 1.00 LD EEM ENVIRONMENTAL FEE (MATER TICKETS: TICKET DATE TOTALS: JOB TOTALS 022-435208 TAX 4.750 5.22 5.000 0.39 72.40 5.61 72.40 5.61 TOTAL 72.62 5.39 78.01 78.01 Portillo Concrete Inc FIELD ORDERS/ DAILY EXTRA WORK REPORT City of National City Date Work Performed: 8/17/2020 Project Name: Euclid Ave B&P WORK PERFORMED BY: PCI Location of work: NW Corner of Plaza and Euclid 4 REPORT NO. The C900 8inch detention basin pipe was cut and concrete lugged to prevent future leakage. The location owas the northwest corner of East Plaza Blvd and Euclid Ave. the 20 ich x 20 inch lug is over a 8 inch blue pipe. EQUIP NO EQUIPMENT HOURS RATE EXTENDED AMOUNTS LABOR HOURS BURDENED RATE EXTENDED AMOUNTS PC 42 Super 10 $ 72.02 $ - Bobcat with Breaker 0.50 $ 87.00 $ 43.50 $ - PC 31 Tool Truck $ 21.78 $ - $ - PC 34 Traffic Control Truck $ 27.33 $ - $ - Arrow Board $ 3.39 $ - $ - Otay Excavator (rental) 1.00 $ 375.00 $ 375.00 Op 3 Wayne Hargrave 3.50 $ 73.41 $ 256.94 $ - CM Vincent Quiroz 4.50 $ 56.75 $ 255.38 MATERIAL AND/OR APPROVED WORK DONE BY SPECIALIST App CM Marshawn Jackson 4.50 $ 47.58 $ 214.11 No. DESCRIPTION O UNIITS UNIT COST EXTENDED AMOUNTS Whitecap High Strength Concrete 5.00 $ 5.82 $ 29.11 Superior - 1/4 yd concrete 1.00 $ 45.00 $ 45.00 TOTAL LABOR A $ 726.42 TOTAL COST OF EQUIPMENT, MATERIALS AND WORK $ 492.61 > B $ 492.61 + 20 % ON LABOR COST (A) $ 145.28 + 15_%MARKUP ON EQUIPMENT, (B) $ 73.89 MATERIAL AND WORK COST CONSTRACTOR'S REPRESENTATIVE SUBTOTAL $ 1,438.20 _5% MARKUP ON SUBS WORK (C) TOTAL Bill TO A i ro� C•s�� VC;11 FIELD EXTRA WORK REPORT .301 5._ FORE�/M►�AN Po�� 4-i , n Q.C..1 JOB NAME / LOCATION sQt ° c� P MBER CCO0 NUMBER WORKDATE OEWE 3 E.PEAZA DIED Euu►• n CONCRETE, INC.c0 8- 1 � Z JOB NUMBER 1 9 - i Ig 14 3527 Citrus Street • Lemon Grove CA 91945 Office: (619) 466-4639 • Fax: (619) 466-4685 I&5CIPT OF ORK /\ A 1 Doe 7D /%a�%><C/¢Ti a - A o ATN1T, oA)r -7-NE C' 9007 r �` !/e7 '- 7 `o.J °�F td4 S CU7 E Cox!'�ETE Ld,,, C. o ,46.416g) % r-AM „I E�A'ik049 t - 10 ('i4-T O.�J 0. /00,6--T Co,f 46-,L- o E. P/4L4 /3k)1 f' E(.Z'hi,j. o?O " x .2O'' Zvi o0EA- d'''e/oE PpeA5 LABOR COMPANY EQUIPMENT RENTED EQUIPMENT EMPL. # CRAFT NAME R 0 0 EQUIP. # DESCRIPTION HRS MOVE VENDOR DESCRIPTION HRS liCNIN 1 o P A. vJ . 1-ikQgn,aJ E 3.5 SI/0 gobcAT • 5 a -fly kE.r1-rrL9 Ego °Jfa EA'cAo1ai-- 3 2 Gam! V. 00 2oz 15 3 daf9PP N. c A) 1,5 4 5 6 7 8 9 10 RENTAL TRUCKING MATERIALS / FEES COMPANY TYPE OF TRUCK TOTAL HRS. VENDOR DESCRIPTION OUANTITY 1 Otii)'rr CAPPo 2 C�.pQ RcRo wl. StjQ y -,[ yb Co°iet 'T . C. 2S�p 3 '4 5 I HEREBY ACKNOWLEDGE THE SATISFACTORY COMPLETION OF THE ABOVE EXTRA WORK OR SERVICES. AU RI . SI•��TURE x 1008 (1 WHITE - Office YELLOW - Invoice PINK - Cu;lomer Field Copy H•DSUPPLY ON ACCOUNT CONSTRUCTION & INDUSTRIAL WHITE CAP 059 - National City 2215 Cleveland Ave National City, CA, 91950 (619)419-1780 Sold To: 48806000 PORTILLO CONCRETE 3527 CITRUS STREET LEMON GROVE, CA, 91945 619-466-4639 Printed Bp : Aldo Q Printed Date : 08/27/202001:41 PM PACIFIC RECEIPT **REPRINT** Ordered By: ALBERT ISLAS Ship To : i ui i 39116083 DIVISION AND EUCLID,10002401883 DIVISION AND EUCLID NATIONAL CITY, CA, 91950 Job Site Contact: Job Site Phone: Map #: Contact Phone: 619--729-6451 Or 0S14/2020 11. Read Will Call JOB 1914 *********s**r*• 1 08/ 14, 2020 08/17/2020 les . erso Locra. J seated B Armando 11 Amount J-4tir 39116083 210THN11TH 1.1 1-YARD04 465CW3660YW VPN: ADA-C-3660W YW 36"X60" 2.35" YELLOW CAST IN PLACE ARMOR -TILE 2 2 0 EA 37.5 LBS $274.34 2.1 1-YARD04 465CW3648YW VPN: ADA-C-3648W 36"X48" 2.35" YELLOW CAST IN PLACE ARMOR -TILE 1 1 0 EA 33 LBS $219.28 $219.28 VW 3.1 1-BFG0103 227CM604K VPN: 110160 60 LB 4000 PSI AVERAGE COMPRESSIVE STRENGTH CONCRETE MIX QUIKRETE 5 5 0 EA 60 LBS $5.39 $26.95 WARNING' Cancer and Reproductive Harm - www.P65Warnings.ca.gov 4.1 1-AEB0519 2-BCM0303 63022020 VPN: 22020 4-1/2"X3/32" 7/8" METAL CUTOFF WHEEL SAIT UNITED ABRASIVES 3 3 0 EA .2 LBS $3.15 $9.45 5.1 1-BAD0101 255SS1005 VPN: SSTRIPVOC10 0-5 SGAL SPECSTRIP VOC 100 FORM RELEASE 1 1 0 EA 45 LBS $89.09 $89.09 6.1 I-AED0603 297D0624A VPN: D0624A 6-1/2" 24T FRAMING BLADE FREUD 5 5 0 EA .34 LBS $1 1.53 S57.65 Page 1 of 2 Portillo Concrete Inc FIELD ORDERS/ DAILY EXTRA WORK REPORT City of National City Date Work Performed: 8/17/2020 Project Name: Euclid Ave B&P WORK PERFORMED BY: PCI Location of work: NW Corner of Plaza and Euclid Worked behind the ped ramp at Winchells in order to grade and prepare the area for a gravity wall (40 LF) 4 REPORT NO. EQUIP NO EQUIPMENT HOURS RATE EXTENDED AMOUNTS LABOR HOURS BURDENED RATE EXTENDED AMOUNTS PC 42 Super 10 $ 72.02 $ - Op 8 $ 75.23 $ - Bobcat with Breaker $ 87.00 $ - $ - PC 31 Tool Truck $ 21.78 $ - $ - PC 34 Traffic Control Truck $ 27.33 $ - $ - Arrow Board $ 3.39 $ - CM Leo Arevalo 3.50 $ 56.75 $ 198.63 Otay Excavator (rental) $ 375.00 $ - Op 3 Wayne Hargrave 4.50 $ 73.41 $ 330.35 $ - CM Vincent Quiroz 3.50 $ 56.75 $ 198.63 MATERIAL AND/OR APPROVED WORK DONE BY SPECIALIST App CM Marshawn Jackson 3.50 $ 47.58 $ 166.53 No. DESCRIPTION UNIOTS UNIT COST EXTENDED AMOUNTS $ $ - TOTAL LABOR A $ 894.13 TOTAL COST OF EQUIPMENT, MATERIALS AND WORK $ _________W____�___W > B $ - + 20 % ON LABOR COST (A) $ 178.83 + 15_%MARKUP ON EQUIPMENT, (B) $ MATERIAL AND WORK COST CONSTRACTOR'S REPRESENTATIVE SUBTOTAL $ 1,072.95 _5_% MARKUP ON SUBS WORK (C) TOTAL BILL TO JOB NAME / LOCATION 6-0CA:0 COO —I D T:04 P P• IA) es- I2 . PI4z.A daub JOB NrR JOB CODE POR'11LLO CONCRE 1 h, INC. 3527 Citrus Street • Lemon Grove, CA 91945 Office: (619) 466-4639 • Fax: (619) 466-4685 FIELD EXTRA WORK REPORT - 3 0 1 7 -V(Sii MAN SA6%it) o 1-4, /Lir 5 PO NUMBER l CCO NUMBER WORKDATE 8—t8-2o DESCRIPTpNVF WORK �� a 4 K 7 /� E�/ORM ED Ca2IJU.J C.o•44J6-12--. &a.) PeD 1214•01p o) LAD •',)c.4ELL s 3.93 Pc 1 erc_41JA--re 1D,°,2 - • "-ST,4-// c-A),177 e✓.4-//) z k 4 L LABOR EMPL.# CRAFT NAME R 0 D 2 3 4 OP CW kP1; l% ao1 R.OL µ{.-Z-Ptc.1Cso,J z.s z.5 Z•5" 5 6 7 8 9 10 RENTAL TRUCKING COMPANY TYPE OF TRUCK TOTAL HRS. 1 2 3 COMPANY EQUIPMENT EQUIP. N DESCRIPTION HRS MOVE IN RENTED EQUIPMENT VENDOR DESCRIPTION HRS MOVE IN 8TAy RE1 E1.o ✓o7b- MATERIALS / FEES VENDOR DESCRIPTION QUANTITY 4 5 I HEREBY ACKNOWLEDGE THE SATISFACTORY COMPLETION OF THE ABOVE EXTRA WORK OR SERVICES. AUTH x 1008 (10/04) WHITE - Office YELLOW - Invoice PINK - CU;Iomer Field Copy Portillo Concrete Inc FIELD ORDERS/ DAILY EXTRA WORK REPORT City of National City Date Work Performed: 8/17/2020 Project Name: Euclid Ave B&P WORK PERFORMED BY: PCI Location of work: NW Corner of Plaza and Euclid Worked behind the ped ramp at Winchells in order to grade and prepare the area for a gravity wall (28 LF) 4 REPORT NO. EQUIP NO EQUIPMENT HOURS RATE EXTENDED AMOUNTS LABOR HOURS BURDENED RATE EXTENDED AMOUNTS PC 42 Super 10 $ 72.02 $ - Op 8 Javier Dorame 2.50 $ 75.23 $ 188.08 Bobcat with Breaker $ 87.00 $ - $ - PC 31 Tool Truck $ 21.78 $ - $ - PC 34 Traffic Control Truck $ 27.33 $ - $ - Arrow Board $ 3.39 $ - $ - Otay Excavator (rental) 1.00 $ 375.00 $ 375.00 Op 3 $ 73.41 $ - $ - CM Vincent Quiroz 2.50 $ 56.75 $ 141.88 MATERIAL AND/OR APPROVED WORK DONE BY SPECIALIST App CM Marshawn Jackson 2.50 $ 47.58 $ 118.95 No. DESCRIPTION O UNIITS UNIT COST EXTENDE AMOUNTS $ $ - TOTAL LABOR A $ 448.90 TOTAL COST OF EQUIPMENT, MATERIALS AND WORK $ 375.00 > B $ 375.00 + 20 % ON LABOR COST (A) $ 89.78 + 15_%MARKUP ON EQUIPMENT. (B) $ 56.25 MATERIAL AND WORK COST CONSTRACTOR'S REPRESENTATIVE SUBTOTAL $ 969.93 _5_% MARKUP ON SUBS WORK (C) TOTAL BILL �o�0 0-- NAME rpTION 5 JOWEs(���)� o� E0c� i BLE•PIa2P OG �I�D• ER ,\Oc C-09 PORTILLO CONCRETE, INC. 3527 Citrus Street • Lemon Grove, CA 91945 Office: (619) 466-4639 • Fax: (619) 466-4685 FIELD EXTRA WORK REPORT - 3 0 1 8 FOREMAN 3Re:00 4-I © ram s PO NUMBER ! CCO NUMBER WORKDATE Ajg 0.)2O ao DESCRIPTION OF WORK •oxJ o ,4 2 ' w' •o 6 /3// 4LJ 'e T/f o/d £ ' �0 07'� `•vc} , .tg/Lt�i� iv� . -T— o p 4 P E � o oc0 - '-re" L- o c.�F-r•o .� iU c,O eoR.� g-- . �J EV C,I.0 �' C , i /4 rat- 4/ . ()lobE2 1J,%0CPE 3 %,0,0dr 5(3.4)_ Tool%Jq Co-oC/167-6-- et) /» /e)#11-7- l o C -0 9 ?-, u .4-rY (ADA- l l f /►� aXi°J3 '7 NECKS 5 Ai27 -re, L - C7 . LABOR EMPL. # CRAFT NAME R 0 0 1 2 3 o P42 CI11 cJ /109v/ , C 0°42.0 2- 5 Z 4 5 6 7 8 9 COMPANY EQUIPMENT EQUIP. # DESCRIPTION HRS MOVE IN s770 606-C A-T 2- 10 RENTAL. TRUCKING COMPANY TYPE OF TRUCK TOTAL HRS. 1 2 3 '4 5 RENTED EQUIPMENT VENDOR or3f,rirr DESCRIPTION HRS ay 14;111' c- vd- 3 MOVE 84 MATERIALS / FEES VENDOR DESCRIPTION OUANTITY I HEREBY ACKNOWLEDGE THE SATISFACTORY COMPLETION OF THE ABOVE EXTRA WORK OR SERVICES. A 'GNAT RE • WHITE - Office YELLOW - Invoice PINK • Cu;Iomer Field Copy 1008 (10/04) Portillo Concrete Inc FIELD ORDERS/ DAILY EXTRA WORK REPORT City of National City Date Work Performed: 8/20/2020 Project Name: Euclid Ave B&P WORK PERFORMED BY: PCI Location of work: NW Corner of Plaza and Euclid 5 REPORT NO. A) Work grade and set up C-09 gravity retaining wall B) Demo redesigned pedestrain ramp wing on east end of NW bulbout. Demoed and sawcut 7 LF of curb n gutter EQUIP NO EQUIPMENT HOURS RATE EXTENDED AMOUNTS LABOR HOURS BURDENED RATE EXTENDED AMOUNTS PC 42 Super 10 $ 72.02 $ - Op 3 Wayne Hargrave 1.00 $ 73.41 $ 73.41 Bobcat with Breaker 1.00 $ 87.00 $ 87.00 LB 1 Albert Islas 6.00 $ 54.18 $ 325.08 PC 31 Tool Truck $ 21.78 $ - CM Vincent Quiroz 0.50 $ 56.75 $ 28.38 PC 34 Traffic Control Truck $ 27.33 $ - CM Sabino Flores 5.00 $ 59.18 $ 295.90 Arrow Board $ 3.39 $ - CM Javier Dorame 5.00 $ 56.75 $ 283.75 Otay Excavator (rental) $ 375.00 $ - CM Jose Jaramillo 5.00 $ 56.75 $ 283.75 $ - CM Daniel Naranjo 3.50 $ 56.75 $ 198.63 MATERIAL AND/OR APPROVED WORK DONE BY SPECIALIST App CM Marshawn Jackson 2.00 $ 47.58 $ 95.16 No. DESCRIPTION O UNITS UNIT COST EXTENDED AMOUNTS CM Leo Arevalo 3.50 $ 56.75 $ 198.63 $ $ TOTAL LABOR A $ 1,782.68 TOTAL COST OF EQUIPMENT, MATERIALS AND WORK $ 87.00 > B $ 87.00 + 20 % ON LABOR COST (A) $ 356.54 + 15_%MARKUP ON EQUIPMENT, (B) $ 13.05 MATERIAL AND WORK COST CONSTRACTOR'S REPRESENTATIVE SUBTOTAL $ 2,239.26 _5_% MARKUP ON SUBS WORK (C) TOTAL r-- 1008 (10/04) • ,.. 'Io - L uG1. tD - pR-oul-W► ITS JOB NAME / LOCATION NW op.n)Q. COod E.PIazr1 Li vD J08 NUMBER �q-►� C—o9 POR'11LLO CONCRE I t, INC. 3527 Citrus Street • Lemon Grove CA 91945 Office: (619) 466-4639 • Fax: (619) 466-4685 DESCRIPTION OF WORK A, LoGnr-rio i Nu)�s-r' CoR-& c.� a� Evel- /'d F E. P/Rzta As//d C.- -01 G, h i) f --Ty 1� 1- 7-k. ,J' rU of c✓ 44-1. t- a,z k. is (+rze-T`,k) 6• DE01 Or �CljESi. D PEd /ZAMwi l.J�.Jq J 7 LE Dee-iOn E• A-G.iCV 7-- o Curb p'3 t7-'r? R,„ LABOR EMPL.M CRAFT NAME R 0 0 2 3 4 opR (. Ccri ci" A •TsLik5 v• QJI ram' - 5 . 'i" to 2E5 6 .5 5 5 Jopp 4 5 6 7 8 9 Cw- elnA-PP 5'144 I-16,110 ksow D.aAAA )f? 5 2— goo3 43,5 10 RENTAL TRUCKING COMPANY TYPE OF TRUCK TOTAL HRS. 2 3 4 5 • COMPANY EQUIPMENT EOUIP. # DESCRIPTION HRS MOVE S%?b RENTED EQUIPMENT VENDOR DESCRIPTION HRS MOVE w MATERIALS / FEES VENDOR DESCRIPTION QUANTITY I HEREBY ACKNOWLEDGE THE SATISFACTORY COMPLETION OF THE ABOVE EXTRA WORK OR SERVICES. AU RIZED ST3NATURE WHITE - Office YELLOW - Invoice PINK - Cu;lomer Field Copy Portillo Concrete Inc FIELD ORDERS/ DAILY EXTRA WORK REPORT City of National City Date Work Performed: 8/21/2020 Project Name: Euclid Ave B&P WORK PERFORMED BY: PCI Location of work: NW Corner of Plaza and Euclid Setup and Poured C-09 gravity retaining wall 6 REPORT NO. EQUIP NO EQUIPMENT HOURS RATE EXTENDED AMOUNTS LABOR HOURS BURDENED RATE EXTENDED AMOUNTS PC 42 Super 10 $ 72.02 $ - $ 73.41 $ - Bobcat with Breaker $ 87.00 $ - LB 1 Albert Islas 7.00 $ 54.18 $ 379.26 PC 31 Tool Truck $ 21.78 $ - CM Vincent Quiroz 7.00 $ 56.75 $ 397.25 PC 34 Traffic Control Truck $ 27.33 $ - Foreman Sabino Flores 7.00 $ 59.18 $ 414.26 Arrow Board $ 3.39 $ - CM Javier Dorame 7.00 $ 56.75 $ 397.25 A-1 Pumping 4.75 $ 430.86 $ 2,046.60 CM Jose Jaramillo 7.00 $ 56.75 $ 397.25 $ - CM Daniel Naranjo 7.00 $ 56.75 $ 397.25 MATERIAL AND/OR APPROVED WORK DONE BY SPECIALIST App CM Marshawn Jackson 7.00 $ 47.58 $ 333.06 No. DESCRIPTION NIOTS UN UNIT COST EXTENDEAMOUNTSD CM Leo Arevalo 7.00 $ 56.75 $ 397.25 Superior Ready Mix 3250 9.50 $ 139.38 $ 1,324.08 $ TOTAL LABOR A $ 3,112.83 TOTAL COST OF EQUIPMENT, MATERIALS AND WORK $ 3,370.68 ------ > B $ 3,370.68 + 20 % ON LABOR COST (A) $ 622.57 + 15_%MARKUP ON EQUIPMENT, (B) $ 505.60 MATERIAL AND WORK COST CONSTRACTOR'S REPRESENTATIVE SUBTOTAL $ 7,611.68 _5_% MARKUP ON SUBS WORK (C) TOTAL EMI. To %'�� 4 a P� (� /3 FPCAIFIELD EXTRA WORK REPORT 3 0 2 0 j����// iAv)%i\ it4C CS FOREEMAN • ; UMBS OO � JOB NAMEeocdp: ATION6 00 / o LOS(L E .Q�A2P ,\,)Di EJCI.1p PO NUMBER NUMBER WORKDATE (to •Zt ZU CONCRE I I=, INC. 3527 Citrus Street • Lemon Grove, CA 91945 Office: (619) 466-4639 • Fax: (619) 466-4685 JOB. N MB R " `O\. `) J B COD C.,0 61 DESCRIPTION OF WORK A. SEA op E Poop- - -Ot cca,a0Q-1 P) ETA ;io7 o vJPII. LABOR COMPANY EQUIPMENT RENTED EQUIPMENT EMPL. # CRAFT NAME R 0 D EQUIP. # DESCRIPTION HRS MOVE VENDOR DESCRIPTION HRS u'DvE IN 140ooMIa q . 41O10,E S -7 Pi Quv-ia 4_3 B Q,o c K 3 2 \At►,oe. A •SL-PiS 7 3 cV% ki • Qu°P.oz 7 ° Cw .bon,AmC 7 5 C VA • rcA'P, PrtAN I O 7 6 c L. a Re-JAI-0 7 7 C`"1‘ D. rJAP,A(do 1 8 CtMAPP VA • DRGt) 7 9 10 RENTAL TRUCKING MATERIALS / FEES COMPANY TYPE OF TRUCK TOTAL HRS. VENDOR DESCRIPTION QUANTITY 1 dpC,ljo�. 9)CODLI it)*)(it)*)(3 2 5v q 5 yos �P�1 2 3 4� 7�C E- *6401 4 5 I HEREBY ACKNOWLEDGE THE SATISFACTORY COMPLETION OF THE ABOVE - EXTRA WORK OR SERVICES. AUTHORIZED SIGNATURE x 1 _ _. 1008 Meta) WHITE - Office YELLOW - Invoice PINK - Customer Field Copy lad ! ' c;Ti, IfiCc. A-1 Pumperete Inc. PO Box 1885 Poway, CA 92074 P: 619-206-7867 F: 858-883-4063 TO: Portillo Concrete Inc 3527 Citrus St Lemon Grove, CA 91945 Invoice DATE NUMBER 8/21/2020 1982866 Job Name: Job Number: 19-14 Building/Lot #: P.O.: Job Date: 8/21/2020 Size Requested: BR Unit Sent: R-24 Poured Amount: 9.00 Job Type: Big Rock Term: Due On Receipt 1CT Jobsite: CIO Euclid Ave & Plaza Blvd, National City, CA ITEM DESCRIPTION QUANTITY RATE ITEM TOTAL Equipment: Hourly Charge Equipment: Pour Volume Charge Labor: Operator - Regular Time Oiler per hour Your full service pump & washout company. Thanks for your business! A-1 PUMPCRETE INC. No Disclaimer 4.75 9.00 4.75 4.75 $95.00 $10.00 $145.00 $140.00 Subtotal: Fuel Surcharge: GRAND TOTAL: PO Box 1885 : Poway, CA 92074 : P: 619-206-7867 F: 858-883-4063 $451.25 $90.00 $688.75 $665.00 $1,895.00 $151.60 $2,046.60 PORTILLO CONCRETE 3527 CITRUS STREET LEMON GROVE, CA 91945 SUPERIOR READY MIX CONCRETE, L.P. 1508 W. MISSION RD.ESCONDIDO, CA 92029 PHONE (760) 745-0556' FAX: (760) 740-9557 INVOICE WAGE PORTI005 08/21/2020 147152 1 TERMS NET 30 DAYS A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A PERIODIC RATE OF 1 112% PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%OR A MINIMUM SERVICE CHARGE OF55.00 WHICHEVER IS GREATER. DATE JOB NUMBER - JOB LOCATION - ADDRESS QUANTITY IUNITI DESCRIPTION UNIT PRICE TAX 000838 (19-14) EUCLID AVE. BICYCLE & PEDESTRIAN EUCLID AVENUE & CERVANTES AVENUE NATIONAL CITY PO NUMBER: 19-14 TOTAL 08/21/20 9.50 CY 26P-1 99.400 73.18 1017.48 564-C-3250P 32.00 EA ST 1.500 0.00 48.00 STAND BY TIME - MIXER 1.00 LD EE 40.000 3.10 43.10 ENVIRONMENTAL/ENERGY SUR 1.00 LD PWF 200.000 15.50 215.50 PUBLIC WORKS FEE TICKET DATE TOTALS: 1232.30 91.78 1324.08 JOB TOTALS 1232.30 91.78 1324.08 TICKETS: 007-146354 RECEIVED ENG & P .; _; EPT. 1070 COT -1 r7 12: 38 Euclid B`ify CIP No: 18-10 CALIFORNIA -+ NATIONAL C11 V `- rNco11►o11wr�� ' dPeclestrian Enhancements CHANGE ORDER NO. 13 r'li I111 ti,—s,� CIr: Contractor: Portillo Concrete, Inc. September 30, 2020 Reason/Purpose for this Change Order: The city has directed the contractor to perform additional work at the north west corner of Euclid and Plaza to stabilize the TS foundation and near the Windsor Apartments to construct a retaining wall around an SDG&E meter pedestal. The City of National City and Contractor agree to the following change to the original Contract: The city has directed the contractor to perform additional work on a T&M to construct a concrete foundation around the existing foundation to stabilize the TS foundation within the basin. The contractor also constructed a retaining wall around the new SDG&E meter pedestal as required by SDG&E prior to energizing. All work identified was performed on a T&M basis for the total price listed below and includes all labor, equipment and materials necessary to complete all work. Original Contract Amount $ 4,060,691.00 Net change by previously authorized Change Orders 162,613.53 Subtotal Amount of this change order New contract amount Working days added: 15 Working days subtracted: 0 4,223, 304.53 9,401.92 $ 4,232,706.45 Percent change in Contract to date 4.24% Submitted by: eG•.`44./, Project Manager 10 - 0 Date 6 - 2 0 cttG,.. Cit P ojecta er 11.4.14/? cgop Date Approv by: City g1 er O iv/Zo'�� ate City Manager, required for Change Orders >s24,999 Date By si4hing this Chdnge 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 10 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 e,Io by Portillo Concrete, Inc. /1. Name: efiC1/1( \l 0 Date [L1-S 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 CONCRETE INC 3527 CITRUS ST, LEMON GROVE, CA. 91945 OFFICE: (619) 466-4639 FAX: (619) 466-4685 National City - Euclid Ave Bicycle and Pedestrian Enhancement Request for Change Order Submitted: Contractor: Days: Description / Reason for Change: 9/28/2020 PCI 6 T&M work directed by the City for unforseen work Description Date Price TS pole encasement at NW corner of Plaza and Euclid 9/11/2020 $ 3,354.69 Start gravity wall at Windsor 9/16/2020 $ 2,669.07 Form and Pour gravity wall at Windsor 9/17/2020 $ 3,174.66 Backfill retaining wall 9/18/2020 $ 203.51 PCI Mark Up Change Order Total 0% $0.00 Portillo Concrete Inc FIELD ORDERS/ DAILY EXTRA WORK REPORT City of National City Date Work Performed: 9/11/2020 Project Name: Euclid Ave B&P WORK PERFORMED BY: PCI Location of work: NW Corner of Plaza and Euclid Excavate / Form / Set / Place and Finish 2 ft concrete encasement around street light base at NW corner of Plaza and Euclid Ave 3215 REPORT NO. EQUIP NO EQUIPMENT HOURS RATE EXTENDED AMOUNTS LABOR HOURS BURDENED RATE EXTENDED AMOUNTS PC 42 Super 10 $ 72.02 $ - $ - LT 1 Lumber Truck 5.50 $ 20.29 $ 111.60 Lab Charlie Wilson 2.00 $ 54.18 $ 108.36 PC 37 Tool Truck 2.00 $ 21.78 $ 43.56 CM Vincent Quiroz 5.50 $ 56.75 $ 312.13 PC 34 Traffic Control Truck 2.00 $ 27.33 $ 54.66 Foreman Sabino Flores 5.50 $ 59.18 $ 325.49 Arrow Board $ 3.39 $ - CM Javier Dorame 5.50 $ 56.75 $ 312.13 PC 39 Tool Truck 5.50 $ 21.78 $ 119.79 Super Joe Almazan 2.00 $ 41.00 $ 82.00 $ - CM Daniel Naranjo 5.50 $ 56.75 $ 312.13 MATERIAL AND/OR APPROVED WORK DONE BY SPECIALIST $ - No. DESCRIPTION UNIITS UNIT COST AMOUNTS $- Superior Ready Mix 3250 7.00 $ 153.16 $ 1,072.15 $ TOTAL LABOR A $ 1,452.23 TOTAL COST OF EQUIPMENT, MATERIALS AND WORK $ 1,401.76 -- -------> B $ 1,401.76 + 20 % ON LABOR COST (A) $ 290.45 + 15%MARKUP ON EQUIPMENT, (B) $ 210.26 MATERIAL AND WORK COST CONSTRACTOR'S REPRESENTATIVE SUBTOTAL $ 3,354.69 _5_% MARKUP ON SUBS WORK (C) TOTAL BILL TO �1t `1 a= r►�� ntJ� tY— JOB NAME I LOCATION C 1 A JOB NUMBER JOB CODE PORT1LLO CONCRE 1 h , INC. 3527 Citrus Street • Lemon Grove, CA 91945 Office: (619) 466-4639 • Fax: (619) 466-4685 FIELD EXTRA WORK REPORT 3 215 FOREMAN N`1 PO NUMBER / CCO NUMBER WORKDATE DESCRIPTION OF WORK 51Z r2 n�-E z( r =t NR S}-1- -' � � uz r�-r� r� N s i l� r A--Tz c. N b STr2 LABOR EMPL. # CRAFT NAME R 0 D 1 2 2 3 4 S. �1.up�ES GPM V. cQJ1(z9Z 5.5 .5 5.5 5 6 7 �%. N Pr N-3? S . 5 WJL A) 8 9 10 RENTAL TRUCKING COMPANY TYPE OF TRUCK TOTAL HRS. 1 COMPANY EQUIPMENT EQUIP. # DESCRIPTION HRS MOVE IN z, I PG QG'3c1MArJ -G 2 Lu M g I ; Tz-0GG 12c- 5A-17-PcCtC. c -- S 5.5 RENTED EQUIPMENT VENDOR DESCRIPTION HRS MOVE IN MATERIALS / FEES VENDOR DESCRIPTION QUANTITY 'j r-1i2.5 —7 3 4 5 I HEREBY ACKNOWLEDGE THE SATISFACTORY COMPLETION OF THE ABOVE EXTRA WORK OR SERVICES. 1008 (10/04) AU7,1IZE URE WHITE - Office YELLOW - Invoice PINK - Customer Field Copy Portillo Concrete Inc FIELD ORDERS/ DAILY EXTRA WORK REPORT City of National City Date Work Performed: 9/16/2020 Project Name: Euclid Ave B&P WORK PERFORMED BY: PCI Location of work: Windsor Hieghts Began constructing a gravity wall per San Diego Regional Statndard Drawing (C-09). Excavated and copacted subgrade - East of Windor Hieghts appartment complex (service enclosure) 3216 REPORT NO. EQUIP NO EQUIPMENT HOURS RATE EXTENDED AMOUNTS LABOR HOURS BURDENED RATE EXTENDED AMOUNTS PC 42 Super 10 $ 72.02 $ - $ - Bobcat with Breaker 2.50 $ 87.00 $ 217.50 Lab Charlie Wilson 3.00 $ 54.18 $ 162.54 PC 37 Tool Truck 5.00 $ 21.78 $ 108.90 Teamster Brent Tyer 3.00 $64.69 $ 194.07 PC 34 Traffic Control Truck $ 27.33 $ - Op 3 Brent Tyer 2.50 $73.41 $ 183.53 PC 39 Tool Truck 3.00 $ 21.78 $ 65.34 Foreman Roger Pacheco Jr 5.00 $ 42.00 $ 210.00 PC 35 Bobtail 5.50 $ 54.69 $ 300.80 Super Joe Almazan 3.00 $ 41.00 $ 123.00 $ - Lab Ernesto Velarde 5.00 $ 54.18 $ 270.90 MATERIAL AND/OR APPROVED WORK DONE BY SPECIALIST $ - No. DESCRIPTION UNIITS UNIT COST AMOUNTS $- Alpine Material Dump 1.00 $ 412.00 $ 412.00 Hub Construction 1.00 $ 22.62 $ 22.62 TOTAL LABOR A $ 1,144.04 TOTAL COST OF EQUIPMENT, MATERIALS AND WORK $ 1,127.16 --- --- - ---------- - > B $ 1,127.16 + 20 % ON LABOR COST (A) $ 228.81 + 15_%MARKUP ON EQUIPMENT, (B) $ 169.07 MATERIAL AND WORK COST CONSTRACTOR'S REPRESENTATIVE SUBTOTAL $ 2,669.07 _5_% MARKUP ON SUBS WORK (C) TOTAL BILL TO t9 r- N P11 ON Ia'1_ CG1 JOB NAME / LOCATION JOB NUMBER JOB CODE PCI PORT1 CONCRE 1 t, INC. 3527 Citrus Street • Lemon Grove, CA 91945 Office: (619) 466-4639 • Fax: (619) 466-4685 FIELD EXTRA WORK REPORT 3 216 FOREMAN . PO NUMBER / COO NUMBER WORKDATE (LAJ .0V.) DESCRIPTION OF WORK TfZV c-n Pall t� W 1�I�Zs'0 I o,'ip& _ 51-0NI7 P. cr S013> 4 ( --- ter eF W I N DSOTL C,-cii c �vGl.r�CUI � LABOR EMPL. # CRAFT NAME R D 2 3 4 5 6 7 0 " v g . 1'( 4 INt'J. A -it 2 3 L L-e- c. WILSa r ) LAL , Vam2 2 66;1V- 3 I r`f I C1l 13 . ref i q2 5 3 5 8 9 10 RENTAL TRUCKING COMPANY TYPE OF TRUCK TOTAL HRS. 2 3 COMPANY EQUIPMENT EQUIP. # DESCRIPTION HAS MOVE IN Sli "1 O�'T 2.5 PL2 ] P� 35 5c (NT'/ 1Ob1_ -re\J fjot3Thl L. pv►,.►Pc� 5.5 RENTED EQUIPMENT VENDOR DESCRIPTION HRS MOVE MATERIALS / FEES VENDOR DESCRIPTION OUANTITY AtAl N c aZ e ,u N 6P u-\J 13 Gp NSInAJCi 1 D N 5 Prl'ir 4o 4 5 I HEREBY ACKNOWLEDGE THE SATISFACTORY COMPLETION OF THE ABOVE EXTRA WORK OR SERVICES. 1008 (10/041 LAUTHO ZED SIG TURF x T\\ WHITE - Office YELLOW - Invoice PINK - Cu;lomer Field Copy Make all Checks Payable to & Remit to: HUB CONSTRUCTION SPECIALTIES INC. PO BOX 921 SAN BERNARDINO, CA 92402 Tel: Corp (909) 379-2190 Fax: Corp(909)885-5974 ACCT#012096 Portillo Concrete 3527 Citrus St. Lemon Grove, CA 91945 INVOICE INVOICE NUMBER INVOICE DATE 4695690-M 1 2020-09-16 ACCOUNT NUMBER JOB NUMBER 012096 1914 INVOICE TOTAL AMOUNT ENCLOSED 22.62 JOB SITE / DELIVERY ADDRESS Customer Will Pick Up 30383 Bicycle & Pedestrian Enhancements, Job #19-14 - Hub National Cit CFO JOB NUMBER Order Sales Person Shipping type Ship Date Customer P.O. Purchased By 1914 Norma Lopez Will Call 19-14 Mario Portillo... Item Code Description Quantity Unit Price Total 590014 380114 1/2" X 18" Smooth Dowel 3/41n. Wood Chamfer Total Quantity PURCHASED BY JOE Wt00 .vp. 14-141- S 10 Each 40 FT 50 $1.5200 $0.1400 $15.20 $5.60 A Construction Supply Group Company - You'll find us on the Internet at www.hubhasit.com "'Emergency Response / SDS Information - Call (800) 535-5053"' Notice: Sale of Used Equipment or Material is made 'As Is' Special orders are non-refundable AND All special orders are final. All cash sales are final. Sale is subject to additional Terms and Conditions as stated at www.hubhasit.com Page 1 / 1 L WARNING: California Prop 65 Cancer and Reproductive Harm! www.p65warnings.ca.gov Customer Signature Customer Name Rep Signature Rep Name uetotar. 0.80 Tax: $1.82 Total: $22.62 Paid: $0.00 Total Due: $22.62 , it i l '!) 1 ASPHALT & CONCRETE RECYCLING Alpine Asphalt & Concrete Recycling 1667 S. Mission Road, Suite 0 Fallbrook, CA 92028 (760) 451-6481 - Office BILL TO PORTILLO CONCRETE INC. 3527 CITRUS STREET LEMON GROVE, CA 91945 Invoice DATE INVOICE # 9/16/2020 4505 Please note: our mailing address has changed. Please update your records. Thank you JOB No. P.O. NO. TERMS REP PROJECT 19-14 Due on receipt NATIONAL CITY QUANTITY DESCRIPTION RATE AMOUNT 1 LOAD(S) DUMPED AT OUR WILLOWS ROAD DUMPSITE ON 9/16/20 (CLEAN FILL DIRT - BOBTAIL) 150.00 150.00 Merchant Fees 3.00% 4.50 l LOAD(S) DUMPED AT OUR WILLOWS ROAD DUMPSITE ON 250.00 250.00 9/16/20 (MIXED LOADS WITH DIRT -BOBTAIL) Merchant Fees 3.00% 7.50 1 LOAD(S) DUMPED AT OUR WILLOWS ROAD DUMPSITE ON 9/18/20. (MIXED LOAD WITH ASPHALT & CONCRETE - BOBTAIL) Merchant Fees 200.00 3.00% 200.00 6.00 CUSTOMER ACKNOWLEDGES THAT TITLE FROM MATERIAL PASSES TO THEM ONCE LOADED AT THE SOURCE. Total $618.00 A service charge of 1 1/2% per month (18% per annum) will be charged on all past due accounts. Past due accounts are subject to additional charges for all reasonable collection efforts and / or attorney's fees. Willows Road Facility 5690 Willows Road, Alpine Date: A ( £LPINE ASPHALT & CONCRETE RECYCLING DUMP RECEIPT Duro Road Facility Loud Counter':\ )SS\- Customer: ' (--\\ \\\�a --� Project Location: City: Trucks Used: Bottom Dumps Trailer n Boosters/Strong Arms End Dumps n Super Tens [1 Truck & Pups n Ten Wheelers Duro Road, Escondido Total Loads Transfers ❑ Bobtail Concrete w/Rebar/Meshl ] Oversized Loads❑ Petromat❑ Clean Asphalt U Clean Concretes Mixed Asphalt/Concrete[—] Mixed Load w/Dirt❑) Clean Fill Dirt ri Trashn Brick/Tile El Landscape Materials (roots/bark/weed block) n 3/4 Rock El Clay Dirt (i M Wet Dirt ❑ Rock/Gravel/Cobble] Class II Base n check all that apply) TH F Loads Dumped Price Material Description l 0,Q0,ry 5 y\ cA 1v Loads Dumped Price (\f\ V- /, 6 c,Nr t>✓ c` I V t— Loads Dumped Price Loads Dumped Price Loads Dumped Price Total Loads Total Price $ Customer Acknowledges that title for the material passes to him In its native state in the ground at the source. Unless otherwise specified herein, the above work has been accomplished to the satisfaction of the undersigned and without damage to persons or property. It is hereby agreed that any costs arising for collection of amounts due, such as attorney's fees, expenses and court costs will be paid by customer/contractor. Signed: Date t Office Address: 1667 S. Mission Road, Suite O, Fallbrook, CA 92028 Phone: 760-451-6481 Facility and Office hours: Monday — Friday 7:00 am to 3:30 pm Saturday by appointment only Portillo Concrete Inc FIELD ORDERS/ DAILY EXTRA WORK REPORT City of National City Date Work Performed: 9/17/2020 Project Name: Euclid Ave B&P WORK PERFORMED BY: PCI Location of work: Windsor Hieghts Continued to construct th retaining wall at Windsor heights apt for service enclosure cabinet - form / set / drill / dowel / place and finish wall around round foundation footing at NE corner of retention basin at Winchells for better membrane installation. Form setting, placement and finishing of concrete 3217 REPORT NO. Construct concrete EQUIP NO EQUIPMENT HOURS RATE EXTENDED AMOUNTS LABOR HOURS BURDENED RATE EXTENDED AMOUNTS PC 42 Super 10 $ 72.02 $ - $ - Bobcat with Breaker $ 87.00 $ - CM Javier Dorame 8.00 $56.75 $ 454.00 LT - 1 Lumber Truck 8.00 $ 20.29 $ 162.32 CM Daniel Naranjo 8.00 $56.75 $ 454.00 PC 34 Traffic Control Truck $ 27.33 $ - $ - PC 39 Tool Truck 8.00 $ 21.78 $ 174.24 Foreman Roger Pacheco Jr 8.00 $ 42.00 $ 336.00 PC 35 Bobtail $ 54.69 $ - Super Joe Almazan 8.00 $ 41.00 $ 328.00 $ - Lab Ernesto Velarde 4.00 $ 54.18 $ 216.72 MATERIAL AND/OR APPROVED WORK DONE BY SPECIALIST $ - No. DESCRIPTION UNIITS UNIT COST AMOUNTS $- Superior Ready Mix 3250 4.00 $ 139.38 $ 557.52 $ TOTAL LABOR A $ 1,788.72 TOTAL COST OF EQUIPMENT. MATERIALS AND WORK $ 894.08 > B $ 894.08 + 20 % ON LABOR COST (A) $ 357.74 + 15_%MARKUP ON EQUIPMENT, (B) $ 134.11 MATERIAL AND WORK COST CONSTRACTOR'S REPRESENTATIVE SUBTOTAL $ 3,174.66 5 % MARKUP ON SUBS WORK (C) TOTAL BILL TO G117 Dt- NA77oN/i2 �! FPC;11FIELD EXTRA WORK REPORT_ _ 3 2 1 7 FOREMAN V PO JOB NAME / LOCATION PCN NUMBER / CCNUMBER WORKDATE 9.-/--7 _ -a e /AwiD 443-- CONCRE I E, INC. JOB NUMBER Mil JOB CODE 3527 Citrus Street • Lemon Grove, CA 91945 Office: (619) 4664639 • Fax: (619) 466-4685 DESCRIPTION OF WORK GoNT/Nc/ib 172 GdNBTELJ r Fe -TA -ay j,Vfr -I- AT WIAJOSU7 % G/prs /l-pj_ `✓! /Gi--E3,-91RE t-A-f�N -7 — M / Q 0-L- 'I L- / V c G/ N(S 71 w,424_ — - tJ5r7 T2- J 7- cON - --T a/NV yetX-1A/D r%v 't'17 4-r1 o./ l 7N6 A-T .&/0oT71 s-r �o�-N77Z a� k--77 t/- 11O/ .4. /N ter' wTN c-fd -s Pn rd--7-7.e 2 1-4Y-1 W /NSr141-e--743-rion/ �11n14 — jg,t,/ 7PL-A-Ge , ,v is/i — LABOR COMPANY EQUIPMENT RENTED EQUIPMENT EMPL. # CRAFT NAME R 0 D EQUIP. N DESCRIPTION HRS A Etri VENDOR DESCRIPTION HRS BONE 1 3 tNT Jj 1YLMl1'dATJ g 5"1-1 o 2 c�N R- 12/moo S P�,q �/�o1- -rgue-K g 3 Nk56 N s e g I-1 I r'I,M- 43 eb L rnL2/c 8 4 AM,t' P. NA R,4r/1"P 0 5 /.40kg 0.V0,7412420 4 6 7 8 9 10 RENTAL TRUCKING MATERIALS / FEES COMPANY TYPE OF TRUCK TOTAL HRS. VENDOR DESCRIPTION QUANTITY 1 S-dre'1gg Qi,4-p) Al /?( b30-6-32-YZ-2 GDNGse&7- Y YoS 2 3 4 5 �, ----) r I HEREBY ACKNOWLEDGE THE SATISFACTORY COMPLETION OF THE ABOVE EXTRA WORK OR SERVICES. AUT}ioa D SIGNAT RE x 1008 (10/04) WHITE - Office YELLOW - Invoice PINK • Customer Field Copy r WEIGHMASTER CERTIFICATE THIS IS TO•CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature Is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. CY = Cubic Yard PY = Per Cubic Yard Weighed at: SUPERIOR READY MIX CONCRETE, L.P. r SERVING SOUTHERN CALIFORNIA SINCE 1et8 j. �.4' 1 7t 1,' KITH LOCATIONS TO SERVE YCJU M , w SHO W,N ON REVERSE ' Ill y,.. i ... • `'. �'iILr:1Jri•, • • .1 1+10-5 DATE CUSTOMER NO: . , •r' - yri7 7`ia�'rri OROER NW. • . ?(- + rr'. CUSTOMER P.d.NOr •.DELIVERY .y 1.'_% 1 '1 •.` • R ' Nt). t{i:H • TK:K�T .'i/l' )fst '_'�i•. CUSTOMER NAME yy,, 2: ''. -- - - •' 1 • i l ,t.i,llsiGiit,'' 1`: +: •' * ri ,. 1 CUSTO ERJ0E1NOA • 4!!f (rll/I u(:t,• JOB ADDRESS : '•i -. ,i••f: -•, P i .l i.:t. ,:" • 1,I WO '- - • .• 1''e•1.) t EEC! ! I') f1'!f.'.- 1• E1'ftlpdiEl , i t i'r1! MAP AGE i 13.lt1ji. -I. . SPECIAL INSTRUCTIONS : 7 •:, •" "r' - j .'•1 " • 1li►. 1`i:7.'1'"t;frh k,'1 .'1 f: :'1 ... '•rtII1,1#1x11�1'1 ter. 1•}'}, i:,f1'; Ilk-f1311i WEIGHMASTER 'i:1I1-U:.. t.,l.•j4,�,:'rt I.„-` DESIGN NO. • LUMP TRUCK NO. DRIVER NAME , f: � ORDERED BY QTY ORDERED LQAD'QTY CUMULATIVE OTY '-UOM • PRODUCT DESCRIPTION ,. " PRODUCT CODE UNIT PRICE TAX 'I AMOUNT ' `4 1 f li, . r. L'!f.. t 1 .. V!11 or( TO t3O ' ;.ti,l 1. 4! ... r-11. - ', i5. V z7 : . ! : 1' - .. . • WAtr✓ r. .;..;:-.-..:1 ,....f1� ) '11fl1 }'k. •• • '.i %.i:Of;hjiif:N14K.: 1 .h'!f.1?,'j, 'fiv.tor "M. .4r:4 f_t NI..;f• E. r°• '' 41f,11;i r'; }"1? >yjw. 3. ' E.11 tOr.; E..!1±? -t r�iLily. r ei• .. K;/1 w-agkg ' _' r-':!;• )i: � 1 IiJi• 1t :; ..' 1• �"c-G `— ��N .R... . Excessive water Is de mental to concr to performance. C.O.D. ttvCT CI KETTIME RR}V ; I VI 4 ,'i ' r TOTAL FOR THIS TICKET Gallons to full load - /Slump ❑ Check No •ST T.,•I- .- - r F_. _NISH . .. TOTAL FOR THIS ORDER Gallons to 3/4 load /Slump 7 •. ' :..:/') 0 Credit �/ Gallons to 1/2 load /Slump Gallons to 1/4 load .- / lump ', �!' 4iver comments I' STAND-BY TIME FDR TI)IS TICKET i PREVIOUS STAND-BY ' TOTAL AMOUNT Water added on Job Authorized By.1 Mil) 's re t: ( f 4 "Customer acknowledges that the described material has. been selected and,lr}lered by Customer and that Superior has not reviewed any,plans or specificat'ons nor given any oral i recommendations or assurances regarding the fitness of the fhatetial for a spe fl d purpose, unless Superior has provided such review, recommendations or assurances in a writing signed by an authorized representative of Superior. Superior does not warrant that a materials supplied comply with SB 800. Concrete is poroSome cracking, pop -outs, surface blemishes or color variations may occur for which Superior is not responsible. Waterris`added only at Customer's request. Added water wil :increase water/cement ratios, decrease strength and i may cause increased cracking rind color variations. Superior is not responsittle for the addition of water or any other material to the &ncrete by the customer. Customer agrees to defend. indemnify and -hold Superior harmless, to the fullest trKtent•of the law, from' any liability; or claims for damage relating to the ordered material being not suitable for its intended use or not suited for p1tecenlent,t!poq the ground §oils or conditions where the materials are placed." 1 I . 1 SEE REVERSE SIDE FOR TERMS AND CONDITIONS OF SALE / SAFETY PRECAUTIONS Received in good condition by: , CU6TOMER WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodity was weighed, measured. or counted by a weighmaste7, whose signature is on This certificate, who Is a'recognized authority of accuracy, as prescribed by Chapter 7 (commencing wilh section 12700) of Division' 5 of the Caldornia Business and Professions Code, administered by the Division of Measurement Standards of the Califomia Department of Food and Agriculture. CY = Cubic Yard - PY = Per Cubic Yard ' � r• SUPERIOR READY;,JVIIX CONCRETE,`L.P. SERVING SOUTHERN CALIFORNIA SINCE 1958 WITH LOCATION$ TO SERVE YOI.L., •_ .r SHOWN ON REVERS ,' •; Weighed at: •7'4,00 miss i un 1;nf I A, Pr1''• •1T1 Di trgf)', 1 '1 k;174;21:52 A f111i$: 1 I lj r • ( 7611/), ..T/t5--•0`_:itk DATE 4 r :' is • ctfSTOKIER NO. ' .~ ' F' 11 Ft i .1 f,{Iklr' ORDER NO. CUSTOMER P.O. NO. . ' ' 1. el •ir • PLANT NO. ' `•' DELIVERY TICKETNO. , , CUSTOMER NAME , 7i + 1 CUSTOMER JOB NO. JOB ADDRESS l} 1 •r '• ' ' ' '1_..t•tl.F► ) -) • '1 ' I ..i I) 111.'IY hif i l .: ! 11'1; :! I MAP PAGE , i .1 .1 SPECIAL INSTRUCTIONS `' f "•.' , , y ') 1 ' - - •, r:1A'., ofs.: El1C. T1') 1;•: T •F'1 i�..�1 F. r'111T1•. tr)r•'T lit" Wl.i•it'f';1;i? IIt:•l.f';It'"li..11T.{E; WEIGHMASTER c.:k.I'IEi:E 1.:17:., DESIGN NO. SLUMP TRUCKNO.. ''; DRIVER NAME - ORDERED BY QTY ORDERED LQAD QTY CUMULATIVE QTY UOM PRODUCT I3ESCRIPTION PRODUCT CODE UNIT PRICE . TAX • AMOUNT r Vs F+1 x ; EVI , .;3�. f.iJCRF.II f�5'4 C J 'PIJBBL.I liffan z •FF.=f►: ' ENti FtpiPIENTAF ./ENE: E;" 9' )HF'1R r: L.ffn I—rMMINA WAA-L 0 Wlr4�sfr1 .. ; r ; ,.,..f. PI -IF: ,..• •, IX' { r.{' i•6 ,fir 1 1J-rs r l r C,SWVI • t k ti f . No, • `4 , ;' \ �►4-1.tair- ' , std ,t Excessive water is detrimental to concrete performance. .. C.O.D. ❑ Cash TICKET TIME ARRIVE TOTAL FOR THIS TICKEt G,�'16 Gallons to full load /Slump ❑ Check No START FINISH - • Gallons to 3/4 load /Slump ❑ Credit TOTAL FOR THIS ORDER Gallons to 1/2 load /Slump Driver Comments ' STAND-B1' TIME FOR THIS TICKET Gallons to 1/4 load /Slump - PREVIOUS STAND-BY ' y Water added on job at customer's request. Authorized By: TOTAL AMOUNT "Customer acknowledges that the described material has been selected and -ordered by Customer and that Superior has not reviewed any plans or specifications nor given any oral recommendations or assurances regarding the fitness of the material for a specified purpose, unless Superior has provided such review, recommendations or assurances in a writigg signed by an authorized representative of Superior. Superior does not warrant that the materials supplied comply with SB 800. Concrete is porous. Some cracking. pop -outs, surface blemishes or color variations may occur for which Superior is not responsible. Water is added only at Customer's request. Added water will increase, water/cement ratios, decrease strength and may cause increased cracking and color variations. Superior is not responsible for the addition of water or any other material to the concrete by the customer. Customer agrees to defend. indemnify and hold Superior harmless, to the fullest extent of the law. from any liability or claims for Damage relating to the ordered material being not suitable for its intended use or not suited for placement upon the ground soils or conditions where the materials are placed." SEE REVERSE SIDE FOR TERMS AND CONDITIONS OF SALE / SAFETY PRECAUTIONS Received in good condition by: • CUSTOMER Portillo Concrete Inc FIELD ORDERS/ DAILY EXTRA WORK REPORT City of National City Date Work Performed: 9/18/2020 Project Name: Euclid Ave B&P WORK PERFORMED BY: PCI Location of work: Windsor Hieghts Backfill retaining wall at Windwor Heights 3218 REPORT NO. EQUIP NO EQUIPMENT HOURS RATE EXTENDED AMOUNTS LABOR HOURS BURDENED RATE EXTENDED AMOUNTS PC 42 Super 10 $ 72.02 $ - $ - Bobcat with Breaker $ 87.00 $ - CM Javier Dorame $56.75 $ - LT - 1 Lumber Truck $ 20.29 $ - CM Daniel Naranjo $56.75 $ - PC 34 Traffic Control Truck $ 27.33 $ - Op 3 Brent Tyer 1.00 $73.41 $ 73.41 PC 39 Tool Truck $ 21.78 $ - Foreman Roger Pacheco Jr 1.00 $ 42.00 $ 42.00 PC 35 Bobtail $ 54.69 $ - Super Joe Almazan $ 41.00 $ - $ - Lab Ernesto Velarde 1.00 $ 54.18 $ 54.18 MATERIAL AND/OR APPROVED WORK DONE BY SPECIALIST - $O No. DESCRIPTION UNIITS UNIT COST EXTENDED AMOUNTS $- Superior Ready Mix 3250 $ 139.38 $ - $ - TOTAL LABOR A $ 169.59 TOTAL COST OF EQUIPMENT, MATERIALS AND WORK $ ---------------------> B $ - + 20 % ON LABOR COST (A) $ 33.92 + 15_%MARKUP ON EQUIPMENT, (B) $ MATERIAL AND WORK COST CONSTRACTOR'S REPRESENTATIVE SUBTOTAL $ 203.51 _5_% MARKUP ON SUBS WORK (C) TOTAL BILL TO C-r (1 c0 /, ri e,(rr PCII FIELD EXTRA WORK REPORT ry • - MAN J( 33 JOB NAME / LOCATION PO NUMBER / CCO NUMBER W•RKDATE � �,�p� CONCR� I �, INC. ��"� JC,B NUMBER-v (GI , L JOB CODE 3527 Citrus Street • Lemon Grove, CA 91945 Office: (619) 466-4639 • Fax: (619) 466-4685 DESCRIPTION OF WORK -P61C.F1I-t- R prl IN) \ N 61 W i<I U(4) O N175 K2 H--14 N-S C<-s t C \?A N & j- LABOR COMPANY EQUIPMENT RENTED EQUIPMENT EMPL. # CRAFT NAME R 0 D EQUIP. 1 DESCRIPTION HRS VENDOR DESCRIPTION HRS MORE 1 2 CJf - V- ir1 12— 1 3 Ll . t/ II-;3/ 1 4 5 6 7 S 9 10 RENTAL TRUCKING MATERIALS / FEES COMPANY TYPE OF TRUCK TOTAL HRS. VENDOR DESCRIPTION QUANTITY 1 2 3 4 5 I HEREBY ACKNOWLEDGE THE SATISFACTORY COMPLETION OF THE ABOVE EXTRA WORK OR SERVICES. AUTH4 RIZED S NA x 1008 (10/04) WHITE - Office YELLOW - Invoice PINK - Cu;lomer Field Copy Date: CONTRACT TRANSMITTAL FORM (Attach as Cover Sheet to Documents dropped off to City Clerk's Office) Ix(2 From (Dept.): ENGINEERING DEPT. Submitted by (First & Last Name): JUDITH HERNANDEZ Vendor: roiti$ 0 /16( Resolution: YES / NO C c V(, t7 I( q) e( 0 C 5 Resolution No. (if applicable): 1 2 3 4 Originals Provided to City Clerk (Select Quantity) 000 0 I r l Department has Copy / Duplicate Original Vendor has Copy / Duplicate Original