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AMG and Associates Inc (Change Order 16)
City of Rancho Palos Verdes Department of Public Works 30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 (310)544-5252 www.publicworks@rpvca.gov CHANGE ORDER MEMORANDUM TO: RAMZI AWWAD, DIRECTOR OF PUBLIC WORKS FROM: ERIN JONES, GRIFFIN STRUCTURES DATE: FEBRUARY 2, 2023 SUBJECT: LADERA LINDA COMMUNITY PARK CONSTRUCTION CHANGE ORDER NUMBER: 16 Description of Construction Change Order This change order is for the cost to modify the Equipment ant Trash Enclosure walls and gates as described in ASI 26R1. Justification As requested by the City to improve security, and to screen the electrical equipment, a portion of the walls will be raised, one solid-panel gate will be added at the exterior wall, and one interior picket gate will be deleted. Cost Analysis Griffin Structures and Johnson Favaro reviewed the scope and pricing of the proposal. The listed quantities are accurate, and the total pricing is close to the pricing provided in the Architect’s estimate. Schedule Analysis No time extension was requested by the contractor, and work is expected to be completed within the original construction timeframe. Attachments: Construction Contract Change Order Form Construction Contract Change Order Summary Sheet Contractor’s Change Order Proposal DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A City of Rancho Palos Verdes Department of Public Works 30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 (310)544-5252 www.publicworks@rpvca.gov 8405 11 0 0 11 0 0 0 0 0 0 0 CONSTRUCTION CHANGE ORDER SUMMARY SHEET PROJECT NAME:Ladera Linda Community Park DATE:02/02/23 PROJECT CODE: PURCHASE ORDER NUMBER:20220215 ACCOUNT NUMBER:330-400-8405-8403 ORIGINAL CONTRACT AMOUNT:$13,721,000.00 ORIGINAL CONTINGENCY AMOUNT: PREPARED BY:JAMES O'NEILL CONTRACTOR NAME:AMG & Associates, Inc. CONTRACT NUMBER:FY2022-050 ORIGINAL COMPLETION DATE:07/27/23 TOTAL SCHEDULE CHANGE ORDERS:Working Days NEW CONTRACT COMPLETION DATE:08/11/23 $1,029,075.00 TOTAL CHANGE ORDERS COST:$265,550.62 NEW CONTRACT AMOUNT:$13,986,550.62 REMAINING CONTINGENCY AMOUNT:$763,524.38 CO#2 $12,628.58 Working Days 08/09/22 CO#3 $53,526.25 Working Days 08/31/22 CHANGE ORDER NUMBER COST AMOUNT SCHEDULE EXTENSION DATE CO#1 $54,534.52 Working Days 05/27/22 CO#6 $824.34 Working Days 09/01/22 CO#7 $10,202.36 Working Days 09/27/22 CO#4 $8,558.42 Working Days 09/01/22 CO#5 -$5,378.25 Working Days 09/01/22 CO#10 $42,918.80 Working Days 11/09/22 CO#8 $6,437.02 Working Days 09/27/22 CO#9 $1,818.52 Working Days 11/09/22 1 of 2 DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A 2/24/2023 City of Rancho Palos Verdes Department of Public Works 30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 (310)544-5252 www.publicworks@rpvca.gov 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CHANGE ORDER NUMBER COST AMOUNT SCHEDULE EXTENSION DATE CO#13 $0.00 Working Days 12/30/22 CO#14 -$20,112.42 Working Days 12/30/22 CO#11 $33,868.27 Working Days 12/01/22 CO#12 $9,052.32 Working Days 12/01/22 CO#17 Working Days CO#18 Working Days CO#15 -$3,117.01 Working Days 01/17/23 CO#16 $59,788.90 Working Days 02/02/23 CO#21 Working Days CO#22 Working Days CO#19 Working Days CO#20 Working Days CO#25 Working Days CO#26 Working Days CO#23 Working Days CO#24 Working Days CO#29 Working Days CO#30 Working Days CO#27 Working Days CO#28 Working Days 2 of 2 DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A City of Rancho Palos Verdes Department of Public Works 30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 (310)544-5252 www.publicworks@rpvca.gov 8405 16 0.0 LS 1.0 LS 1.0 LS 0.0 LS 1.0 LS 1.0 LS 0.0 LS 1.0 LS 1.0 LS 0.0 LS 1.0 LS 1.0 LS 0.0 LS 1.0 LS 1.0 LS 0.0 LS 1.0 LS 1.0 LS 0.0 LS 1.0 LS 1.0 LS 0.0 LS 1.0 LS 1.0 LS 0.0 LS 1.0 LS 1.0 LS 0 11 0 0 0 0 087100 012600 $18,970.00 $492.26 $3,819.16 $18,970.00 $492.26 $3,819.16 $818.39 $818.39 0 5 6 7 Concrete (CMU) Gate Hardware AMG Overhead 042200 8 012600 AMG Insurance NEW CONTRACT AMOUNT:$13,986,550.62 NEW COMPLETION DATE:08/11/23 TOTAL OF CHANGE ORDER #1-15:$205,761.72 TOTAL OF TIME EXTENSIONS #1-15:Working Days TOTAL OF CHANGE ORDER #16:$59,788.90 TOTAL OF TIME EXTENSIONS #16:Working Days Totals $59,788.90 0 A TIME EXTENSION OF WORKING DAYS WILL BE ALLOWED FOR THIS WORK ORIGINAL CONTRACT AMOUNT:$13,721,000.00 ORIGINAL COMPLETION DATE:07/27/23 9 012600 AMG Bonding $591.97 $591.97 0 4 055000 Steel Bollard $688.24 $688.24 0 3 323120 Fences & Gates $5,705.31 $5,705.31 0 2 092400 Plaster $19,935.64 $19,935.64 0 ADDITIONAL WORKING DAYS 1 099000 Painting $8,767.93 $8,767.93 0 This change order is for the cost modify the Equipment and Trash Enclosure walls and gates as described in ASI 26R1. Reference AMG PCO 29. SUMMARY OF QUANTITY CHANGES ITEM NO. SPEC CODE DESCRIPTION ORIGINAL QUANTITY NEW QUANTITY QUANTITY DIFFERENCE UNIT PRICE PRICE DIFFERENCE CHANGE ORDER NUMBER:DATE:02/02/23 CONTRACTOR NAME:AMG & Associates, Inc. DESCRIPTION AND LOCATION OF PROPOSED WORK CONSTRUCTION CHANGE ORDER FORM CONTRACT NUMBER:FY2022-050 PROJECT NAME:Ladera Linda Community Park PURCHASE ORDER NUMBER:20220215 PROJECT CODE: DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A 2/21/2023 2/21/2023 2/27/2023 AMG & Associates Inc. 26535 Summit Circle Santa Clarita, California 91350 Phone: (661) 251-7401 Fax: (661) 251-7405 Project: 01-22-157 - Ladera Linda Community Center and Park 32201 Forrestal Dr. Rancho Palos Verdes, California 90275 Prime Contract Potential Change Order #029: CE #052 - Bulletin ASI 26 R1 - Wall Cap and Finishes at Utility Yard TO: City of Rancho Palos Verdes 30940 Hawthorne Blvd. Rancho Palos Verdes, California 90275 FROM: AMG & Associates, Inc. 26535 Summit Circle Santa Clarita, California 91350 PCO NUMBER/REVISION: 029 / 1 CONTRACT:City Project No. 8405 - Ladera Linda Community Park Project REQUEST RECEIVED FROM: Alex Witham (ACT1 Construction)CREATED BY: Christopher Tumasone (AMG & Associates, Inc.) STATUS: Pending - In Review CREATED DATE: 1/11/2023 REFERENCE: PRIME CONTRACT CHANGE ORDER: None FIELD CHANGE: No LOCATION: ACCOUNTING METHOD: Amount Based SCHEDULE IMPACT: PAID IN FULL: No EXECUTED:No SIGNED CHANGE ORDER RECEIVED DATE: TOTAL AMOUNT: $59,788.90 POTENTIAL CHANGE ORDER TITLE: CE #052 - Bulletin ASI 26 R1 - Wall Cap and Finishes at Utility Yard CHANGE REASON: Client Request - ASI 26 R1 POTENTIAL CHANGE ORDER DESCRIPTION: (The Contract Is Changed As Follows) CE #052 - Bulletin ASI 26 R1 - Wall Cap and Finishes at Utility Yard This change event covers the cost for changes at the Utility Yard per ASI 26 revision 1. Wall shape confirmed per discussion on 2/1/2023. Bollard installation confirmed per detail 4/A1.30. Magnetic hold-opens cost included in revision package 2/1/2023. ATTACHMENTS: PCO 029 - ASI 26 R1.pdf , PCO 013 Added Height to block Wall..pdf , TWI - bollard cost.pdf , amg ladera park CO-6-quote-modify gate 204.1 per ASI 026.pdf , Platinum Cost.pdf , Paint Cost.pdf , JF-Bulletin ASI26 rev 121622 (1).pdf #Budget Code Description Amount 1 09-900.S Paints and Coatings.Commitment Paint per ASI 26R1 $8,767.93 2 09-250.S Gypsum Wallboard.Commitment Plaster per ASI 26R1 $19,935.64 3 03-000.S General.Commitment fence modifications per ASI 26R1 $5,705.31 4 05-100.S Structural Metals.Commitment steel bollard cost $688.24 5 03-100.S Concrete Formwork, Reinforcement and Materials.Commitment $18,970.00 AMG & Associates Inc.Page 1 of 2 Printed On: 2/1/2023 10:52 AM PCO #029 Revised pricing received 2/1/23 DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A #Budget Code Description Amount 6 09-250.S Gypsum Wallboard.Commitment cost for MAG-MATE door holder. furnish and install $492.26 Subtotal:$54,559.38 Overhead (7.00% Applies to all line item types.):$3,819.16 Insurance (1.50% Applies to all line item types.):$818.39 Bonding (1.00% Applies to all line item types.):$591.97 Grand Total:$59,788.90 City of Rancho Palos Verdes AMG & Associates, Inc. 30940 Hawthorne Blvd. 26535 Summit Circle Rancho Palos Verdes, California 90275 Santa Clarita, California 91350 ProcoreArchitectSignHere ProcoreArchitectSignedDate ProcoreOwnerSignHere ProcoreOwnerSignedDate ProcoreGeneralContractorSignHere ProcoreGeneralContractorSignedDate SIGNATURE DATE SIGNATURE DATE SIGNATURE DATE AMG & Associates Inc.Page 2 of 2 Printed On: 2/1/2023 10:52 AM PCO #029 DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A Bulletin ASI 026 This Bulletin is issued to define Scope of Revisions/ clarifications to the Drawings and/or Specifications. The Contractor shall carry out the Work in accordance with the following supplemental instructions without change in Contract Sum or Contract Time. Proceeding with the Work in accordance with these instructions indicates your acknowledgment that there will be no change in the Contract Sum or Contract Time. Brief Description of Revisions/ Clarifications: 1. Equipment enclosure walls raised to screen switchgear and to improve security perimeter. 2. Gate at trash enclosure removed, opaque gate added at enclosure entry. 3. Bollard added at enclosure entry 4. Detail of Sloped profile of top of wall provided 5. New paint color PT-5: Sherwin Williams Urbane Bronze SW7048 added to project, and shall be used to paint the walls of the Trash and Equipment Enclosure and the exterior of the Maintenance Shed. Note that information regarding additional planting surrounding the Trash and Equipment Enclosure will be issued as a separate bulletin. Attachments: A1.13 – UTILITY YARD ENLARGED PLAN & ELEVATION A1.30A – SITE DETAILS Project LADERA LINDA COMMUNITY CENTER Contract No. 1803 To AMG & ASSOCIATES Office No. No. of Pages 3 Subject Trash and equipment enclosure revision and new paint color Sender Ingrid Dennert, Johnson Favaro Date 12/09/22 DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A 151 SFELEC204.4165 SFMECH204.5221 SFTRANSF204.3UTILITYYARD204.1A1.132B22C6"A1.133AA1.133BA1.133CA1.133D4A1.13204.4204.516' - 0"4' - 6"4' - 0"3' - 0"7' - 10"15A1.13TYP.5A1.13TYP.TRASH BINRECYCLING BIN6 YARD(60X72)6 YARD(60X72)27' - 5"41' - 0" 17'-0"10' - 8" 8" 15' - 5" 8" 21' - 0" 8" 12' - 0" 8" 5' - 6"613161' - 0"1' - 0"744899A1.30A110EQEQ(1 OF 14)11[No Slope]A1.30A4A1.30A25' - 6 1/8"8' - 2 3/8"EQ.22211' - 0 1/4" 16' - 4 3/4"4' - 0" TYP.EQ.PT-5PLAS-1458.00455.50458.00455.5012FNC-36' - 0 3/8"2' - 5 1/4"2' - 5 1/4"204.45' - 5 1/2"PT-5PLAS-1458.00458.00455.50455.501212FNC-33' - 10"204.53' - 3"6' - 0"PT-5PLAS-1458.00455.50458.00455.501226APLAS-1455.50449.50458.0062' - 5"PT-512PLAS-1451.50449.50458.00PT-5455.5012PLAS-1449.41452.01451.50455.50458.0041' - 0"27' - 5"PT-5PT-5PLAS-1453.0812455.501213449.50PLAS-1449.50455.5011' - 4"PT-5A1.30A1GROUND LEVEL448' - 0"449.62455.50450.43449.12FOOTING PER STRUCTURAL55449.506' - 0"456.00GRADE4" ABVWEEP SCREEDFORMED CONCRETE PEAKED CAPCMU BLOCK UNO * SEE NOTE RE: ALTERNATE WALL MATERIAL ON 3CFINISH SLABFINISH GRADET.O. WALLPAINT EXPOSED CMU TO MATCH PLASTER COLOR2"INTERIOR EXTERIORPLASTER FINISHSEE ELEVATIONS5A:TOP OF WALL TERMINATIONFORMED CONCRETE PEAKED CAP, ANGLE AT OPEN WALL ENDPLASTER FINISHCMU BLOCK6"/12" SLOPE6"/12" SLOPE6"/12" SLOPEBIMLADERA LINDA COMMUNITY PARK PROJECT:CITY OF RANCHO PALOS VERDES:A r c h i t e c t u r e a n d U r b a n D e s i g n5898 Blackwelder Street, Ground FloorCulver City, CA 90232(Tel) 310-559-5720 (Fax) 310-559-8220ARCHITECTCONSULTANTS.ARCHITECT'S / ENGINEER'S STAMPThe drawings and specifications, ideas, designs, and arrangements are and shallremain the property of the architect. No part thereof shall be copied or used inconnection with any work or project other than the specific project for which theyhave been prepared without the written consent of the architect. Visual contactwith these drawings or specifications shall constitute evidence of acceptance ofthese restrictions.Written dimensions on these drawings shall have precedence over scaleddimensions. Contractor shall verify and be responsible for all dimensions andconditions on the job and this office must be notified of any variation from thedimensions and conditions shown by these drawings. Shop details must besubmitted to this office for approval before proceeding with fabrication.© MDA Johnson Favaro 2017CHECKED BY:No.IssueDRAWN BY:DateTITLE:SHEET:PROJECT #:SCALE:DATE:CITY APPROVALSPROJECT32201 Forrestal DriveRancho Palos Verdes, CA 9027530940 Hawthorne Blvd.Rancho Palos Verdes, CA 902758/12/22SIGNED 12/30/2112/16/2022 5:30:27 PMA1.13UTILITY YARDENLARGED PLAN &ELEVATIONREF.SCALE:A1.13A1.111/4" = 1'-0"UTILITY YARD ENLARGED PLAN12CREF.SCALE:A1.13A1.131/4" = 1'-0"UTILITY YARD INTERIOR ELEVATIONS2BKEYNOTESKEYVALUEKEYNOTE TEXT1 TRANSFORMER, PROVIDE CONCRETE PAD/VAULT FOR EQUIPMENT,SIZED PER SCE REQUIREMENTS. SEE ELECTRICAL FOR MORE INFO.2 LIGHTING FIXTURE PER LIGHTING PLANS3 SWITCHBOARD. PROVIDE CONCRETE PAD FOR EQUIPMENT, SIZEDPER MANUFACTURER REQUIRMENTS. SEE ELECTRICAL FOR MOREINFORMATION. INSTALL TO PROVIDE MANUFACTURER REQUIREDCLEARANCES.4 HEAT PUMP UNITS. PROVIDE CONCRETE PAD FOR EQUIPMENT,SIZED PER MANUFACTURER REQUIRMENTS. SEE MECHANICAL FORMORE INFORMATION. INSTALL TO PROVIDE MANUFACTURERREQUIRED CLEARANCES.5 SEE DETAIL 5/A1.32 FOR TYPICAL SITE WALL DRAINAGE/WATERPROOFING DETAIL6 RETAINING WALL7 1x1 VINE PLANTER POCKETS, SPACED 3'-0" O.C.DETAIL AND SPECIESWILL BE PROVIDED UNDER SEPERATE SUBMITTAL8 UNAUTHORIZED VEHICLE SIGN, SEE 6/A8.029 GATE HOLD OPEN/STOP10 FIXED BOLLARD11 REMOVE TRASH ENCLOSURE GATES FROM SCOPE12 AS BUILT TOP OF WALL13 WALLS MAY BE CAST IN PLACE CONCRETE DOWELED INTO (E) CMUIN LIEU OF CMU IF THIS IS LESS COSTLY OPTIONREF.SCALE:A1.13A1.131/4" = 1'-0"UTILITY YARD EXTERIOR ELEVATIONS3B3C33A22A3DREF.SCALE:A1.13A1.131/4" = 1'-0"UTILITY YARD SECTION4NOTES1.ALL UTILITY YARD WALLS ARE CMU WITH PLAS-1 FINISH PAINTED PT-5 BOTH SIDES2. SEE A7.31 FOR MATERIAL AND EQUIPMENT SCHEDULE FOR INFORMATION ABOUT MATERIAL DESIGNATIONSSCE TRANSFORMERSCE TRANSFORMERISSUES/REVISIONS100% SD 07.14.1950%DD 10.14.19100%DD 11.21.1950%CD 06.01.21PERMIT SET 12.03.213 BID ADDENDUM 1 02.01.2226A ASI 26 12.09.22REF.SCALE:A1.13A1.131 1/2" = 1'-0"TOP OF WALL DETAIL526A26A26A26A26A26A26A26A26A26A26A26A26A26A26A26A26A26A26A26A26A26A26A26A26A26A26A26A26ADocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A 6' - 11"1/2" 4"1/2"6' - 5"V.I.F.R.O.: 7' - 4 1/2"22 GA. METAL PANEL, POP RIVET TO FRAME, ZINCALUME PLUS AND PAINT, PT-52" FRAME AT INTERIOR SIDE OF ENCLOSURE, ZINCALUME PLUS AND PAINT, PT-51"ALIGNADJACENT WALLHEAVY DUTY WELD ON BARREL HINGE, PAINT PT-5EQ EQ3' - 6"RECESSED PULL HANDLE (ROCKWOOD 94C), FINISH TO MATCH PT-5HASP LOCK WITH PADLOCK, FINISH TO MATCH PT-55X2 HSS TUBE AT INTERIOR SIDE OF ENCLOSURE, ZINCALUME PLUS AND PAINT, PT-5T.O. WALLSEE ELEVATIONSFLAT CAP AT TOP OF POSTMAG-MATE ( D3X2BKT) FLOOR MOUNTED MAGNETIC DOOR HOLDERMAG-MATE (D3X2BL) WALL MOUNTED MAGNETIC DOOR HOLDER4"X4" GATE POST4"X4" GATE POSTPOWDER COATED STEEL FLOOR BRACKETMAG-MATE FLOOR MOUNTED MAGNETIC DOOR HOLDER (D3X2BKT)GATESHOT PIN123BIMLADERA LINDA COMMUNITY PARK PROJECT:CITY OF RANCHO PALOS VERDES:A r c h i t e c t u r e a n d U r b a n D e s i g n5898 Blackwelder Street, Ground FloorCulver City, CA 90232(Tel) 310-559-5720 (Fax) 310-559-8220ARCHITECTCONSULTANTS.ARCHITECT'S / ENGINEER'S STAMPThe drawings and specifications, ideas, designs, and arrangements are and shallremain the property of the architect. No part thereof shall be copied or used inconnection with any work or project other than the specific project for which theyhave been prepared without the written consent of the architect. Visual contactwith these drawings or specifications shall constitute evidence of acceptance ofthese restrictions.Written dimensions on these drawings shall have precedence over scaleddimensions. Contractor shall verify and be responsible for all dimensions andconditions on the job and this office must be notified of any variation from thedimensions and conditions shown by these drawings. Shop details must besubmitted to this office for approval before proceeding with fabrication.© MDA Johnson Favaro 2017CHECKED BY:No.IssueDRAWN BY:DateTITLE:SHEET:PROJECT #:SCALE:DATE:CITY APPROVALSPROJECT32201 Forrestal DriveRancho Palos Verdes, CA 9027530940 Hawthorne Blvd.Rancho Palos Verdes, CA 902758/12/22SIGNED 12/30/2112/16/2022 6:17:17 PMA1.30ASITE DETAILSISSUES/REVISIONS26A ASI 26 12.09.2226AREF.SCALE:A1.30AA1.131" = 1'-0"UTILITY YARD GATE126AREF.SCALE:A1.30A3" = 1'-0"FLOOR MOUNTED MAGNETIC DOORHOLDER SECTION3REF.SCALE:A1.30AA1.133" = 1'-0"WALL MOUNTED MAGNETIC DOOR HOLDER4KEYNOTESKEYVALUEKEYNOTE TEXT1 MAG-MATE (D3X2BL) WALL MOUNTED MAGNETIC DOOR HOLDER2 MOUNTING SCREWS3 RETAINING WALLDocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A Ladera Linda PCO #13 ACT 1 Construction, Inc. Date: 1.11.23 P.O. Box 5087 To: Chris Tumasone Norco, CA, 92860 Company: AMG & Associates P: 951-735-1184 F: 951-737-5342 CA License: #657517 Project Ladera Linda Community Park ESTIMATOR Alex Witham ITEM # DESCRIPTION UNIT OF MEASURE EST UNIT PRICE EXT PRICE 1 Provide Scaffold to add extra height of block to wall LS 1 $1,600.00 $1,600.00 2 Provide new #5 rebar dowels 16’’ OC epoxy embedded 156 ea 1 $30.00 $4,680.00 3 Install 3 courses 8x8x16 and 1 course 8x4x16 block solid grouted (Excluding formed concrete wall cap. See RFI for additional recommendations.) LS 1 12,690.00 $12,690.00 4 5 DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A Total $18,970.00 Exclusions: Any item not specifically listed above. * Concrete is a combination of natural and man-made materials which can result in slight variations, although we take every measure to prevent it, cracking can naturally occur and we make no warranties against it. We propose to furnish material and labor, complete in accordance with above specifications, for the sum of: Eighteen Thousand Nine Hundred Seventy Dollars and 00/100. Dollars $ $18,970.00 Payments to be made as follows: As invoiced per contract Contractor’s signature: Don Trenholm Acceptance of proposal: The above price, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Owner’s signature: Date: DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A To:Date:12/30/22 Chris Tumasone TWI Project #683 AMG & Associates, Inc.Purchase Number Ladera Linda Community Park Cost Reference For:ASI #26 R1 30940 Hawthorne Blvd Other Ref.: Phone Rancho Palos Verdes, CA90275 Site Fax:CHANGE ORDER REQUEST NO.:COR508 Description of Work: CAT Qty.Unit Material Description Unit Cost C/C Extension 1 lot Additional material for rollup doors supports 567.50$ 0 567.50$ 0 lot Welding wire 350.00$ 0 -$ 0 -$ 0 -$ 0 -$ 0 -$ 0 -$ Subtotal Material Cost:567.50$ Sales Tax:10.25%58.17$ Subtotal:625.67$ Mark Up:10.00%62.57$ Material Total:688.24$ CAT Qty.Unit Labor Description Unit Cost C/C Extension 0 hours Detailing / Engineering for counter supports 120.00$ 0 -$ 0 -$ 0 hours Fabrication (Workshop) for counter supports 95.00$ 0 -$ 0 -$ 0 hours Installation (Field Work)125.00$ 0 -$ 0 -$ Subtotal Labor Cost:-$ Mark Up:10.00%-$ Labor Total:-$ CAT Qty.Unit Equipment Description Unit Cost C/C Extension 0 hours Allowance for Welding Rig 25.00$ 0 -$ 0 hours Allowance for Scissorlift/Boomlift 35.00$ 0 -$ 0 Allowance for additional Installation equipment 0 -$ Subtotal Equip. Cost:-$ Sales Tax:10.25%-$ Subtotal:-$ Mark Up:10.00%-$ Equipment Total:-$ CAT Qty.Unit Miscellaneous Description Unit Cost C/C Extension Hour Small Tools & Consumables 2.35$ 1468 -$ Hour Company Truck 5.00$ 2015 -$ Day Travel Expenses (Subsistence / Zone Pay)2216 -$ Hour Fabrication Equipment / Machinery 3.40$ 1923 -$ 0 Lot Delivery Charge 360.00$ 2014 -$ Lot Fuel Surcharge 50.00$ 2017 -$ Lot Loss of Productivity -$ 3010 -$ 0 -$ -$ Mark Up:10.00%-$ Misc. Total:-$ TWI Trussworks International, Inc. Name & Title: John Henin -PM Total Tax included above:1610 58.17$ 688.24$ Bond:0.00%-$ ACCEPTED BY: TOTAL COR (Rounded)688$ Signature and Title ________________________________ SCHEDULE IMPACT:1 day(s) 909-461-3735 Additional steel bollard at trash enclosure (ASI#26 R1) Misc. Subtotal Cost: Trussworks International INC. 1275 E Franklin Ave Pomona, CA 91766 John Henin 909-461-3112 DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A TO : AMG ATTN : : Chris Tumasone FAX # : 661.251.7405; email - ctumasone@amgassociatesinc.com DATE : : 12/27/22 FROM : Romeo Layos / Pablo Lee PAGES :: 1 PROJECT : Ladera Linda Community Park : 32201 Forrestal Dr., Ranchos Palos Verdes CA BID DATE : 6/24/22 - 5:00 P.M. SPECS : Per Plan & Specs (see notes & qualifications below) ADDENDUM: ITEM DESCRIPTION Unit Qty Unit Price Amount 1 6'-5" H x 7'-4-1/2" W Utility Yard Gate double swing gate per 1/A1.30A (Opaque Gate added at Enclosure Entry) EA 1 11,855.31$ 11,855.31$ 2 Approval gate submittal. Products data and welding procedure specifications for review & approval LS 1 850.00$ 850.00$ 3 Removal of Trash Double Swing Gate (Gate 204.1) perA1.13. From Item #13 of our Quote dated 2.15.22, less administarative fee and other fabricated items EA 1 7,000.00$ (7,000.00)$ ADDITIONAL TOTAL AMOUNT:5,705.31$ NOTES, QUALIFICATIONS & EXCLUSIONS: * ITEM #1: TO QUALIFY 3/16" THK. ALL TUBULAR STEEL MATERIALS FOR DOUBLE SWING GATE. TO QUALIFY HOT-DIPPED GALVANIZING COAT. PAINTING IS NOT INCLUDED, BY OTHERS * CONCRETE MOW STRIP, CURB AND OTHER CONCRETE WORKS BY OTHERS. * DISPOSAL OF EXCAVATED MATERIALS (SPOILS) IS NOT INCLUDED BY OTHERS. * ENGINEERING CALCULATION IS NOT INCLUDED, BUT IF REQUIRED NEEDS CHANGE ORDER. * GROUNDING AND ELECTRICAL WORKS ARE NOT INCLUDED, BY OTHERS. * ROCK DRILLING, CONCRETE CUTTING, BREAKING & CORE DRILLING BY OTHERS. NOTE: PROPOSAL IS AS A PACKAGE UNLESS DISCUSSED PRIOR TO BID. OUR PROPOSAL IS PER LINE ITEM AND NOT LUMPSUM, CONTRACTOR IS RESPONSIBLE FOR THEIR OWN TAKE-OFF. AWARD MUST HAPPEN WITHIN 30 DAYS. COPY OF ACE FENCE COMPANY's BID TO BE PART OF THE FINAL CONTRACT AGREEMENT. COPY OF GENERAL's PAYMENT & PERFORMANCE BONDS TO BE ATTACHED TO THE CONTRACT AGREEMENT. EXCLUDE: GATE HANDLE & LOCKSET; PUSH BAR EXIT DEVICE; MOWCURB, CURB, HEADER OR ANY CONCRETE WORKS (except for post footings); KNOX BOX; KEY FOB ACCESS SENSOR; GATE CLOSER & COVER PAN; GATE STOP; EXIT HARDWARE; RE-BARS; FORMWORKS; DEMOLITION WORKS; CLEARING & GRUBBING; REMOVAL OF FENCING & GATES, VEGETATION OR ANY OBSTRUCTIONS; EXTRA DIRT FOR BACKFILL; GRADING; STAKING & LAY-OUT; ROCK DRILLING, CONCRETE CUTTING, BREAKING & CORE DRILLING; PAVEMENT REPAIR OR ASPHALT PATCHING; POTHOLING OR LOCATING UTILITIES; MAINTENANCE OR REPAIR TO DAMAGES CAUSED BY OTHERS & TO UNMARKED UTILITY LINES; GROUNDING & ELECTRICAL WORKS; ENGINEERING OR STRUCTURAL CALCULATIONS; SURVEYS FOR ALIGNMENT & ELEVATIONS; COSTS FOR INSPECTIONS & TESTING; BOND COST; SWPPP; BEST MANAGEMENT PRACTICES; ASBESTOS & LEAD COMPLIANCE PLAN & ANY RELATED WORKS; PERMITS/FEES; DUST CONTROL; K-RAILS; TEMPORARY FENCES & SAFETY RAILING; TRAFFIC CONTROL & SIGNS; FLAGMEN; LANE CLOSURE; NIGHWORK; HAULING OF SPOILS (spoils from our excavation are to be scattered in the immediate vicinity of our work, relocation of spoils will be considered a change order) INSURANCE: GENERAL LIABILITY - $ 1,000,000 - $ 2,000,000 AGGREGATE; AUTOMOBILE - $ 1,000,000; WORKMAN COMPENSATION - $ 1,000,000. CHANGE ORDER #6 ACE FENCE COMPANY 727 NORTH GLENDORA AVENUE, LA PUENTE, CA 91744 PHONE (626) 333-0727 * FAX (626) 333-7843 CERTIFIED AS DBE/SBE/MBE/WBE FIRM, UNION COMPANY, LACMTA Pre-Qualified to Bid "Awarded Minority Contractor of the Year by the City of Los Angeles for Excellence in Quality and Services" "We Are An Equal Opportunity Employer" BULLETIN ASI 026 - ADDITIONAL COST - ITEM #2 - 6'-5" H X 7'-4-1/2"W UTILITY YARD DOUBLE SWING GATE (OPAQUE GATE ADDED AT ENCLOSURE ENTRY) BULLETIN ASI 026 - CREDIT COST - ITEM #2 - REMOVAL OF GATE AT TRASH ENCLOSURE. amg ladera park CO-6-quote-modify gate 204.1 per ASI 026 DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A OCIP / CCIP PROJECTS - WC's PREMIUMS ALREADY DEDUCTED. ADDITIONAL INSURANCE REQUIREMENTS ARE SUBJECT TO EXTRA PREMIUMS. LICENSE # A,B,C-13,C-29, C-31 -996577 - EXP. 9-30-22 DIR Reg. #1000004092, DBE #34153 - UNION SUBJECT TO ACCEPTANCE WITHIN 30 DAYS amg ladera park CO-6-quote-modify gate 204.1 per ASI 026 DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A EWO #:1 Project Name:Reference:ASI 026 Date:12/21/2022 Per ASI 026 Paint Trash Encloser, Gates, Bollards and Encloser Plaster Walls. A. DIRECT LABOR / OPERATORS: QTY UNIT Description Amount 86 hrs.5,540.98$ -$ -$ -$ 5,540.98$ -$ 831.15$ 6,372.13$ QTY UNIT Description Amount -$ -$ -$ -$ -$ -$ QTY UNIT Description Amount 15 gals.525.00$ 30 gals.1,200.00$ 3 gals.120.00$ 3 gals.135.00$ -$ -$ 1,980.00$ 198.00$ 217.80$ 2,395.80$ 8,767.93$ 8,767.93$ Sales Tax on Rental Equipment 10.00% Ladera Linda Community Ctr. ISR Painting & Wallcovering Inc. Rancho Palos Verdes, CA -$ Rate Journeyman Hrs.64.43$ -$ -$ SUBCONTRACTOR'S EXTRA WORK ORDER INVOICE Subcontractor: Location: Description of Work: Labor Subtotal Labor Mark-Up 15.00% Insurance, Taxes and Fringe Benefits:0.00% Total Labor B. EQUIPMENT: Rate -$ -$ Equipment Subtotal Pro-Industrial Primer.40.00$ Equipment Mark-Up 15.00% Total Equipment C. MATERIAL: Rate Loxon Primer 35.00$ A100 Flat Acryl.40.00$ Pro-Industrial Semi-Gloss.45.00$ -$ -$ (Signature)(Print Name & Title) Total Material Subcontractor EWO Total Grand Total Issued By: Material Subtotal Sales Tax on Material 10.00% Material Mark Up 10.00% DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A To: Date: 12/21/22 Job:Revise: 01/23/23 COR # RE: Scope: Material Cost 3,090.19$ Tax @ 9.5%293.57$ 3,383.76$ Equipment Cost -$ Tax @ 9.5%-$ -$ Carpenter 4,811.10$ Finisher -$ Plasterer 8,447.92$ Working Foreman 692.56$ 13,951.58$ -$ -$ 17,335.34$ 15%2,600.30$ 5%-$ 0%-$ 19,935.64$ Sincerely, Project Manager Chris Tumasone Ladera Linda Community Center 3) This work quoted will add (1) day(s) to the schedule. 4) This work quoted does not include repair of work damaged by others 5) This work quoted is to be performed under standard work hours and without overtime or shiftwork. Ruben Contreras Total Subcontractor Cost Change Order Request Total OH&P OH&P Sub Bond Subtotal 003.R2 Qualifications: 1) The price indicated is for this change only and does not include any compensation for costs which may be incurred as a result of a delay or acceleration. Total Labor Cost Total Equipment Cost Total Material Cost 2) This price quoted is valid for thirty (30) days. Material Equipment Labor ASI #26.R1 - Adding height to utility yards walls Pricing for the additional labor and materials required to increase the height of the utility yard wall as required per ASI #26.R1. Subcontractor DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A To: Chris Tumasone Date: 12/21/22 Job:Ladera Linda Community Center Revise: 01/23/23 COR #003.R2 RE: Scope: Quantity Unit Price Cost 250 LF 0.31$ 78.13$ 90 SY 9.56$ 860.63$ 1 Box 78.63$ 78.63$ 89 Bags 7.56$ 673.06$ 89 Bags 7.06$ 628.56$ 9 Pails 85.69$ 771.19$ Subtotal 3,090.19$ Tax 9.5%293.57$ 3,383.76$ Quantity Unit Price Cost 0 0 -$ -$ Subtotal -$ Tax 9.5%-$ -$ Labor Quantity Unit Type Daily ProductionMan Hours Rate Cost 0 82.95$ -$ 0 82.95$ -$ 0.0 82.95$ -$ 0 81.46$ -$ 42 82.95$ 3,483.90$ 104 81.23$ 8,447.92$ 12 82.95$ 995.40$ 4 82.95$ 331.80$ 8 86.57$ 692.56$ 13,951.58$ 17,335.34$ OH&P Sub 5% -$ OH&P 15%2,600.30$ GRAND TOTAL 19,935.64$ CHANGE ORDER REQUEST SUBTOTAL 0 Layout Framing Drywall Tape/Finish Lath and Trim Plaster (includes 16 hours to set scaffold) Cleanup Stocking Working Foreman MATERIAL TOTAL EQUIPMENT TOTAL LABOR TOTAL Equipment Corneraide @ 10' 3.4 metal lath Fasteners (screws) Washed plaster sand ASI #26.R1 - Adding height to utility yards walls Pricing for the additional labor and materials required to increase the height of the utility yard wall as required per ASI #26.R1. Material Quickcrete Stolit 1.0 DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A 1 - Increased wall height with new top of wall detail - 105 LF2 - Top of wall detail only - 105 LF3 - Added corner aid extension - 12 EADocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A Burden Rates Carpenter / Drywaller / Lather - So Cal Rates Effective Through: 06/30/2023 Foreman LA Co (1-1/2 Rt) (2x Rt) Base Rate 50.24 75.36 100.48 Vacation Pay 5.00 5.00 5.00 Supplemental Dues 2.31 2.31 2.31 Employer Taxes: Fica (Soc.Sec)6.20%3.57 5.13 6.68 Medicare 1.45%0.83 1.20 1.56 Fed. Unemp (FUTA)0.60%0.35 0.50 0.65 State Unemp 3.50%2.01 2.89 3.77 6.76 9.71 12.67 Insurance: Workers Comp.7.47%4.30 4.30 4.30 Liability Insurance 1.50%0.86 0.86 0.86 Total Insurance 5.16 5.16 5.16 Union Benefits: Health & Welfare Flat Rate 8.00 8.00 8.00 Pension Flat Rate 5.66 5.66 5.66 Training and/ or Other Flat Rate 3.44 3.44 3.44 Total Union 17.10 17.10 17.10 Total Burden: 29.02 31.98 34.93 Gross Hourly Rate:86.57 114.65 142.72 Tools, Consumables, Safety: Small Tools 1.500%1.30 1.72 2.14 Consumables 0.000%0.00 0.00 0.00 Safety & Training 1.500%1.30 1.72 2.14 Total:2.60 3.44 4.28 Billable Hourly Rate: 89.17 118.09 147.00 OCIP Credits (*) Workers Comp Per Hour 3.87 3.87 3.87 General Liability Per Hour 0.78 0.78 0.78 Total Credits Per Hour 4.65 4.65 4.65 (*) OCIP Credits have been calculated to give back only 90% of the insurance cost. 10% is held back because most Owner programs do not cover 100% of our insurance liability. Platinum Construction DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A Burden Rates Carpenter / Drywaller / Lather - So Cal Rates Effective Through: 06/30/2023 JOURNEYMAN LA Co (1-1/2 Rt) (2x Rt) Base Rate 47.24 70.86 94.48 Vacation Pay 5.00 5.00 5.00 Supplemental Dues 2.31 2.31 2.31 54.55 78.17 101.79 Employer Taxes: Fica (Soc.Sec) 6.20% 3.38 4.85 6.31 Medicare 1.45% 0.79 1.13 1.48 Fed. Unemp (FUTA) 0.60% 0.33 0.47 0.61 State Unemp 3.50% 1.91 2.74 3.56 6.41 9.18 11.96 Insurance: Workers Comp. 7.47% 4.07 4.07 4.07 Liability Insurance 1.50% 0.82 0.82 0.82 Total Insurance 4.89 4.89 4.89 Union Benefits: Health & Welfare Flat Rate 8.00 8.00 8.00 Pension Flat Rate 5.66 5.66 5.66 Training and/or Other Flat Rate 3.44 3.44 3.44 Total Union 17.10 17.10 17.10 Total Burden: 28.40 31.18 33.95 Gross Hourly Rate:82.95 109.35 135.74 Tools, Consumables, Safety: Small Tools 1.50% 1.24 1.64 2.04 Consumables 0.00% 0.00 0.00 0.00 Safety & Training 1.50% 1.24 1.64 2.04 Total: 2.49 3.28 4.07 Billable Hourly Rate: 85.44 112.63 139.82 OCIP Credits (*) Workers Comp Per Hour 3.67 3.67 3.67 General Liability Per Hour 0.74 0.74 0.74 Total Credits Per Hour 4.40 4.40 4.40 (*) OCIP Credits have been calculated to give back only 90% of the insurance cost. 10% is held back because most Owner programs do not cover 100% of our insurance liability. Platinum Construction - Carpenters So Cal 06-30-2023 - So Cal Carp - Journ DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A Drywall Finishers So Cal Rates Effective through: 08/31/2023 JOURNEYMAN So Cal Co (1-1/2 Rt) (2x Rt) Base Rate 46.28 69.42 92.56 Vacation Pay 5.07 5.07 5.07 Employer Taxes: Fica (Soc.Sec)6.20%3.18 4.62 6.05 Medicare 1.45%0.74 1.08 1.42 Fed. Unemp (FUTA)0.60%0.31 0.45 0.59 State Unemp 3.50%1.80 2.61 3.42 6.03 8.75 11.47 Insurance: Workers Comp. 7.47% 3.84 3.84 3.84 Liability Insurance 1.50% 0.77 0.77 0.77 Total Insurance 4.61 4.61 4.61 Union Benefits: Health & Welfare Flat Rate 8.85 8.85 8.85 Pension Flat Rate 8.73 8.73 8.73 Training and/or Others Flat Rate 1.89 1.89 1.89 Total Union 19.47 19.47 19.47 Total Burden: 30.11 32.83 35.55 Gross Hourly Rate:81.46 107.32 133.18 Tools, Consumables, Safety: Small Tools 1.50% 1.22 1.61 2.00 Consumables 0.00% 0.00 0.00 0.00 Safety & Training 0.00% 0.00 0.00 0.00 Total: 1.22 1.61 2.00 Billable Hourly Rate: 82.68 108.93 135.18 OCIP Credits (*) Workers Comp Per Hour 3.45 3.45 3.45 General Liability Per Hour 0.69 0.69 0.69 Total Credits Per Hour 4.15 4.15 4.15 (*) OCIP Credits have been calculated to give back only 90% of the insurance cost. 10% is held back because most Owner programs do not cover 100% of our Platinum Construction DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A Burden Rates Plasterer Rates Effective Through: 08/03/2023 Journeyman LA Co (1-1/2 Rt) (2x Rt) Base Rate 40.43 60.65 80.86 Vacation Pay 4.00 4.00 4.00 Benefits Paid Directly 2.94 2.94 2.94 Employer Taxes: Fica (Soc.Sec)6.20%2.94 4.19 5.44 Medicare 1.45%0.69 0.98 1.27 Fed. Unemp (FUTA)0.60%0.28 0.41 0.53 State Unemp 3.50%1.66 2.37 3.07 5.57 7.94 10.32 Insurance: Workers Comp.14.25%6.75 6.75 6.75 Liability Insurance 1.50%0.71 0.71 0.71 Total Insurance 7.46 7.46 7.46 Union Benefits: Health & Welfare Flat Rate 9.38 9.38 9.38 Pension Flat Rate 9.02 9.02 9.02 Training and/ or Other Flat Rate 2.43 2.43 2.43 Total Union 20.83 20.83 20.83 Total Burden: 33.86 36.23 38.61 Gross Hourly Rate:81.23 103.82 126.41 Tools, Consumables, Safety: Small Tools 1.50%1.22 1.56 1.90 Consumables 0.00%0.00 0.00 0.00 Safety & Training 0.00%0.00 0.00 0.00 Total:1.22 1.56 1.90 Billable Hourly Rate: 82.45 105.37 128.30 OCIP Credits (*) Workers Comp Per Hour 6.08 6.08 6.08 General Liability Per Hour 0.64 0.64 0.64 Total Credits Per Hour 6.71 6.71 6.71 (*) OCIP Credits have been calculated to give back only 90% of the insurance cost. 10% is held back because most Owner programs do not cover 100% of our insurance liability. Platinum Construction DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A Labor: 4 hours at $82.95 = $331.80 DocuSign Envelope ID: 3E51B024-E4AE-4174-8B10-CDAF3C91421A Certificate Of Completion Envelope Id: 3E51B024E4AE41748B10CDAF3C91421A Status: Completed Subject: Complete with DocuSign: 8405 Ladera Linda CCO 16 (trash and utility enclosure).pdf Source Envelope: Document Pages: 24 Signatures: 3 Envelope Originator: Certificate Pages: 5 Initials: 1 James O'Neill AutoNav: Enabled EnvelopeId Stamping: Enabled Time Zone: (UTC-08:00) Pacific Time (US & Canada) 30940 Hawthorne Blvd. Rancho Palos Verdes, CA 90275 joneill@rpvca.gov IP Address: 72.34.97.146 Record Tracking Status: Original 2/20/2023 3:21:49 PM Holder: James O'Neill joneill@rpvca.gov Location: DocuSign Signer Events Signature Timestamp Lincoln Lo llo@rpvca.gov Public Works Deputy Director City of Rancho Palos Verdes Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 47.147.159.165 Sent: 2/20/2023 3:27:42 PM Viewed: 2/20/2023 5:43:16 PM Signed: 2/21/2023 3:30:49 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Ramzi Awwad rawwad@rpvca.gov Security Level: Email, Account Authentication (None) Signature Adoption: Drawn on Device Using IP Address: 104.174.65.192 Sent: 2/21/2023 3:30:54 PM Viewed: 2/21/2023 3:48:45 PM Signed: 2/21/2023 3:52:55 PM Electronic Record and Signature Disclosure: Accepted: 2/21/2023 3:48:45 PM ID: 4a0682af-3695-4b1e-9959-d09ebb9e7bfb Trang Nguyen tnguyen@rpvca.gov Director of Finance City of Rancho Palos Verdes Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 72.34.97.146 Sent: 2/21/2023 3:53:01 PM Viewed: 2/24/2023 3:44:45 PM Signed: 2/24/2023 3:46:42 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Ara Mihranian aram@rpvca.gov Security Level: Email, Account Authentication (None) Signature Adoption: Pre-selected Style Using IP Address: 104.34.113.36 Sent: 2/24/2023 3:46:47 PM Viewed: 2/27/2023 12:16:27 PM Signed: 2/27/2023 12:25:31 PM Electronic Record and Signature Disclosure: Accepted: 2/27/2023 12:16:27 PM ID: 796585ff-8684-47ef-93de-ad6af20cc692 In Person Signer Events Signature Timestamp Editor Delivery Events Status Timestamp Agent Delivery Events Status Timestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Timestamp Lorna Cloke lornac@rpvca.gov Security Level: Email, Account Authentication (None) Sent: 2/27/2023 12:25:37 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign James O'Neill joneill@rpvca.gov Project Manager (PW) City of Rancho Palos Verdes Security Level: Email, Account Authentication (None) Sent: 2/27/2023 12:25:40 PM Resent: 2/27/2023 12:25:44 PM Viewed: 2/27/2023 12:27:04 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 2/20/2023 3:27:42 PM Certified Delivered Security Checked 2/27/2023 12:16:27 PM Signing Complete Security Checked 2/27/2023 12:25:31 PM Completed Security Checked 2/27/2023 12:25:40 PM Payment Events Status Timestamps Electronic Record and Signature Disclosure ELECTRONIC RECORD AND SIGNATURE DISCLOSURE From time to time, City of Rancho Palos Verdes (we, us or Company) may be required by law to provide to you certain written notices or disclosures. 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