AMG and Associates Inc (Change Order 32)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: MAY 19, 2023
SUBJECT: LADERA LINDA COMMUNITY PARK
CONSTRUCTION CHANGE ORDER NUMBER: 32
Description of Construction Change Order
This change order is for the cost to install additional L-angle for the restroom countertop
support post connections to the underside of the metal roof deck.
Justification
RFI 51 requested details for fabrication and installation of the restroom countertop
support steel, as the drawings did not call out specific sizing of the steel, method of
fabrication and attachment to the building structure. The engineer’s response clarified
items shown on the plans, and also increased the quantity of L-angle required to attach
the support posts to the underside of the metal roof deck.
Cost Analysis
Johnson Favaro and Griffin Structures reviewed the proposal scope and pricing.
Reference the attached pricing analysis. The contractor is not charging for the added
steel L-angle material. They are only charging for the labor to cut, layout, and attach it to
the building structure (including tack welding).
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: BDB79120-0E67-4CCA-AC13-70E603B94CA0
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
0CO#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
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#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
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:$538,993.71
NEW CONTRACT AMOUNT:$14,259,993.71 REMAINING CONTINGENCY AMOUNT:$490,081.29
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
CONSTRUCTION CHANGE ORDER SUMMARY SHEET
PROJECT NAME:Ladera Linda Community Park DATE:05/19/23
PROJECT CODE:
1 of 2
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
6/6/2023
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
0
0
CO#31 $2,104.03 Working Days 05/18/23
CO#32 $2,291.43 Working Days 05/19/23
CO#29 $1,055.31 Working Days 05/09/23
CO#30 $3,682.06 Working Days 05/18/23
CO#27 $136,226.21 Working Days 05/03/23
CO#28 $10,819.96 Working Days 05/05/23
CO#25 $8,909.82 Working Days 04/06/23
CO#26 $21,061.12 Working Days 04/25/23
CO#23 $4,094.67 Working Days 02/23/23
CO#24 $19,573.51 Working Days 03/07/23
CO#21 $10,075.07 Working Days 02/21/23
CO#22 $3,178.42 Working Days 02/22/23
CO#19 $17,562.82 Working Days 02/09/23
CO#20 $3,679.17 Working Days 02/16/23
CO#17 $12,582.87 Working Days 02/03/23
CO#18 $16,546.62 Working Days 02/09/23
CO#15 -$3,117.01 Working Days 01/17/23
CO#16 $59,788.90 Working Days 02/02/23
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
CHANGE ORDER
NUMBER COST AMOUNT SCHEDULE
EXTENSION DATE
2 of 2
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
GRIFFIN STRUCTURES PRICING ANALYSIS - ESTIMATED COST OF WORK
RFI 51 - Restroom Counter Supports
Labor rates are DIR rates and do not include subcontractor burden
Equipment rates are CalTrans
Description Qty Unit Rate Cost Note
Steel Ceiling Support for Partition 20 LF 160.24 3,204.80 Means 051223102400
-
Subtotal 3,204.80
Subtotal Subcontractor Work 3,204.80
Subcontractor Markup 3,525.28
AMG OH&P 246.77
AMG Insurance 48.07
AMG Bond 35.00
TOTAL 3,534.64
AS SUBMITTED
PCO 23R1 - RFI 51 - Restroom Counter Supports
MATERIAL LABOR EQUIP
QTY Rate Cost Hrs Rate Cost Qty Rate Cost
1 150.00 150.00 13 125 1625 4 25 100
0.00 0
0.00 0 0
0.00 1625 100
150.00 tax 10.25
tax 15.38
SUBTOTAL 1,875.00
Sales Tax 25.63
Markup SUB 190.06
SUBCONTRACTOR TOTAL 2,090.69
SUBTOTAL (rounded up)2,091.00
AMG OH&P 146.37
AMG Insurance 31.37
AMG Bond 22.69
TOTAL 2,291.42 31
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
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
32
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
NEW CONTRACT AMOUNT:$14,259,993.71 NEW COMPLETION DATE:08/11/23
TOTAL OF CHANGE ORDER #1-31:$536,702.28 TOTAL OF TIME EXTENSIONS #1-31:Working Days
TOTAL OF CHANGE ORDER #32:$2,291.43 TOTAL OF TIME EXTENSIONS #32:Working Days
Totals $2,291.43 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
4 012600 AMG Bonding $22.69 $22.69 0
3 012600 AMG Insurance $31.37 $31.37 0
2 012600 AMG Overhead $146.37 $146.37 0
ADDITIONAL
WORKING DAYS
1 051200
AMG PCO 23R1 - RFI
51 - Restroom
Countertop Supports $2,091.00 $2,091.00 0
This change order is for the cost to install additional L-angle for the countertop post connections to the underside of the metal roof deck. Reference
RFI 51 and AMG PCO 23R1.
SUMMARY OF QUANTITY CHANGES
ITEM
NO.
SPEC
CODE DESCRIPTION
ORIGINAL
QUANTITY
NEW
QUANTITY
QUANTITY
DIFFERENCE UNIT PRICE
PRICE
DIFFERENCE
CHANGE ORDER NUMBER:DATE:05/19/23
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: BDB79120-0E67-4CCA-AC13-70E603B94CA0
City of Rancho Palos Verdes
Department of Public Works
30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275
(310)544-5252
www.publicworks@rpvca.gov
32
Recommended:
Erin Jones Date:
Construction Manager, Griffin Structures Signature
City:Date:
Signature
Date:
Public Works Director Signature
Ara Mihranian Date:
City Manager Signature
Lincoln Lo
Contract Officer
Ramzi Awwad
By signing this Change Order, Contractor understands and agrees that it is accepting the specified sums and adjustment of contract time of
completion (if any) set forth herein as full, final and complete satisfaction of any and all claims by Contractor for all costs and expenses of
Contractor and anyone for whom Contractor may be responsible for the work referred to herein, including but not limited to costs or expenses of
the Contractor or any of its subcontractors, materials suppliers, vendors or anyone else for whom Contractor is responsible, for labor, materials,
services or equipment, no matter how characterized, whether known or unknown to Contractor, including but not limited to, all field and home
office overhead, delay costs/claims, acceleration costs/claims, unabsorbed or under-absorbed home office overhead, extended field costs, general
conditions, claim preparation costs, inefficiencies, or the like, no matter how characterized. Contractor further understands and agrees by signing
this Change Order that any attempt by Contractor to purportedly reserve rights to claim additional time or compensation for the work referred to
herein, is void.
Except as set forth, all terms and provisions of the contract and all prior change orders remain in full force and effect.
Execution of this Change Order by both parties constitutes a binding agreement. This document constitutes the entire agreement between the
parties. The person signing this Change Order for Contractor hereby represents and warrants that he/she is fully authorized to sign this Agreement
on behalf of Contractor.
Accepted and Executed by:
PURCHASE ORDER NUMBER:20220215
CHANGE ORDER NUMBER:PROJECT CODE:8405
CONTRACTOR NAME:AMG & Associates, Inc.
CONSTRUCTION CHANGE ORDER FORM
CONTRACT NUMBER:FY2022-050 PROJECT NAME:Ladera Linda Community Park
5/19/23
Contractor:Date:
Signature
Anthony R. Traverso
Vice President/Secretary/Treasurer
Anthony R. Traverso Digitally signed by Anthony R.
Traverso
Date: 2023.05.22 08:16:28 -07'00'
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
6/5/2023
6/6/2023
6/7/2023
AMG & Associates Inc.
26535 Summit Circle
Santa Clarita, California 91350
Phone: (661) 251-7401
Project: 01-22-157 - Ladera Linda Community Center and Park
32201 Forrestal Dr.
Rancho Palos Verdes, California 90275
Prime Contract Potential Change Order #023: CE #055 - RFI #51 Restroom
Counter Supports
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: 023 / 1 CONTRACT:City Project No. 8405 - Ladera Linda
Community Park Project
REQUEST RECEIVED FROM: John Henin (TrussWorks International,
Inc.)
CREATED BY: Christopher Tumasone (AMG &
Associates, Inc.)
STATUS: Pending - In Review CREATED DATE: 11/7/2022
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: $2,291.43
POTENTIAL CHANGE ORDER TITLE: CE #055 - RFI #51 Restroom Counter Supports
CHANGE REASON: RFI #51
POTENTIAL CHANGE ORDER DESCRIPTION: (The Contract Is Changed As Follows)
CE #055 - RFI #51 Restroom Counter Supports
The steel subcontractor issued RFI #51 requesting additional information regarding the restroom counter supports. Architectural and Structural details
did not provide enough information on how to fab and install. The design team responded with additional information regarding quantities and installation
methods. After review of the response, the method for the attachment to the deck using the angel iron was added from the design team through the RFI
response. This detail was not part of the original contract documents/scope of work. Package revised with the T&M ticket for welding and L-angle
attachments to the steel and decking.
ATTACHMENTS:
PCO #023 R1 - RFI 51 Restroom Counter Supports.pdf , PCO #023 - RFI #51 Restroom Counter Supports.pdf , COR502 - Counter Supports (Option
2-R2).pdf
#Budget Code Description Amount
1 05-100.S Structural Metals.Commitment cost to fab and deliver material for counter supports per RFI #51. $2,091.00
Subtotal:$2,091.00
Overhead (7.00% Applies to all line item types.):$146.37
Insurance (1.50% Applies to all line item types.):$31.37
Bonding (1.00% Applies to all line item types.):$22.69
Grand Total:$2,291.43
City of Rancho Palos Verdes AMG & Associates, Inc.
30940 Hawthorne Blvd. 26535 Summit Circle
Rancho Palos Verdes, California 90275 Santa Clarita, California 91350
ProcoreArchitectSignHere ProcoreArchitectSignedDate ProcoreOwnerSignHere ProcoreOwnerSignedDate ProcoreGeneralContractorSignHere ProcoreGeneralContractorSignedDate
SIGNATURE DATE SIGNATURE DATE SIGNATURE DATE
AMG & Associates Inc.Page 1 of 1 Printed On: 5/19/2023 07:38 AM
PCO #023
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
To:Date:02/24/23
Chris Tumasone TWI Project #683
AMG & Associates, Inc.Purchase Number
Ladera Linda Community Park Cost Reference For:RFI#51 R1
30940 Hawthorne Blvd Other Ref.:E-mail
Phone Rancho Palos Verdes, CA90275
Site Fax:CHANGE ORDER REQUEST NO.:COR506 - R2
Description of Work:
CAT Qty.Unit Material Description Unit Cost C/C Extension
0 lot Additional material for increase plate length -$ 0 -$
1 lot Welding wire 150.00$ 0 150.00$
0 -$
0 -$
0 -$
0 -$
0 -$
Subtotal Material Cost:150.00$
Sales Tax:10.25%15.38$
Subtotal:165.38$
Mark Up:10.00%16.54$
Material Total:181.91$
CAT Qty.Unit Labor Description Unit Cost C/C Extension
0 hours Detailing / Engineering 120.00$ 0 -$
0 -$
0 hours Fabrication (Workshop)95.00$ 0 -$
0 -$
13 hours Installation (Field Work per attached time sheets )125.00$ 0 1,625.00$
0 -$
Subtotal Labor Cost:1,625.00$
Mark Up:10.00%162.50$
Labor Total:1,787.50$
CAT Qty.Unit Equipment Description Unit Cost C/C Extension
4 hours Allowance for Welding Rig 25.00$ 0 100.00$
0 hours Allowance for Scissorlift/Boomlift 35.00$ 0 -$
0 Allowance for additional Installation equipment 0 -$
Subtotal Equip. Cost:100.00$
Sales Tax:10.25%10.25$
Subtotal:110.25$
Mark Up:10.00%11.03$
Equipment Total:121.28$
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 25.63$
2,090.69$
Bond:0.00%-$
ACCEPTED BY:
TOTAL COR (Rounded)2,091$
Signature and Title ________________________________
SCHEDULE IMPACT:1 day(s)
909-461-3735
Extra field work related to the modification of the counter supports connection per RFI #51-R1 received on 09/16/2022
Misc. Subtotal Cost:
Trussworks International INC.
1275 E Franklin Ave
Pomona, CA 91766
John Henin
909-461-3112
01/23/23: 8+5=13 hrs
01/23/23: 4 hrs
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
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
Restroom Counter Supports R1
TO:Chandra Sutton (AMG & Associates, Inc.)
26535 Summit Circle
Santa Clarita, California 91350
FROM:Christopher Tumasone (AMG & Associates,
Inc.)
26535 Summit Circle
Santa Clarita, California 91355
CREATED DATE:09/12/ 2022 STATUS:Open
LOCATION:DUE DATE:09/27/2022
COST CODE:REFERENCE:
COST IMPACT:SCHEDULE IMPACT:
DRAWING NUMBER:SPEC SECTION:
RECEIVED FROM:John Henin (TrussWorks International, Inc.)
COPIES TO:
Dustin Hartman (AMG & Associates, Inc.), Christopher Tumasone (AMG & Associates, Inc.)
SUGGESTION:
Question from Christopher Tumasone (AMG & Associates, Inc.) at 12:35 PM on 09/12/2022
Following RFI 51 response, please see questions in green and advise.
Attachments:
RFI 683-406 () - Restroom Counter Supports II.pdf
BY DATE COPIES TO
AMG & Associates Inc.Page 1 of 1 Printed On: 09/12/2022 12:36 PM
RFI #51R1
Q1: What is the length of horizontal HSS supports?
Refer to A2.11A Dimension plan for length of countertop and 7/A8.11 for counter height and depth. 7/A8.11
shows HSS members held back about 2" from edge of counter, which is acceptable.
Q2: How many beams of this type (perpendicular to wall) is required, and on which interval?
See 7/8.11--one support perpendicular to wall at every post. Number of posts per 1/A2.11. Sinks to be laid
out 36" center line to centerline, with remaining counter space divided equally at each end. Posts between
sinks shall be centered between sinks.
Q3: Please provide connection detail
Provide groove weld all around at HSS to HSS
Q4: Please confirm using HSS 2x2x1/8 for these supports, else advise.
Confirmed acceptable
Q5: How many supports of this detail is required for the project?
Number of posts per 1/A2.11
-Kim Castillo, JF, Diana Nishi, Englekirk, 9/16/22
Detail 7/A8.11 provides a section detail of counter supports, and plan 1/A2.11
shows number of restroom counter support posts.
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
TO:
☑Cost impact ☑Time impact
Following the response we got to RFI #405, please find the queries below, and advise.
RFI# :
DATE:
DATE NEEDED BY :
PROJECT NAME :
LL-406
9/12/2022
9/22/2022
Lader Linda Community Park
REQUEST FOR
INFORMATION
RESPONSE TO RFI
683
TrussWorks International, Inc.
1275 E Franklin Ave. Pomona, CA 91766
Direct: 909 461 3112 | Fax: 909 461 3735
Chris Tumasone
AMG Associates Inc
RFI Description
PROJECT # :
ATTACHMENTS 1 page(s)/sheet(s)
SUBMITTED BY: John Henin - Project Manager
TWI
QF - 0405
RESPONSE BY: Name,Title:
Company :DATE:
LL-405.xlsx
Sheet1 Page 1 of 2
9/12/2022
12:23 PM
6
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
?Q2:
How many beams of this type
is required, and on which
interval?
Q1: What is the length
of this HSS?
Q3: Please provide connection
detail
Q5: How many supports of this detail is required
for the project?
Q4: Please confirm using HSS 2x2x1/8 for these
supports, else advise.
?
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
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
Restroom Counter Supports
TO:Chandra Sutton (AMG & Associates, Inc.)
26535 Summit Circle
Santa Clarita, California 91350
FROM:Christopher Tumasone (AMG & Associates,
Inc.)
26535 Summit Circle
Santa Clarita, California 91355
CREATED DATE:07/28/ 2022 STATUS:Open
LOCATION:DUE DATE:08/12/2022
COST CODE:REFERENCE:
COST IMPACT:SCHEDULE IMPACT:
DRAWING NUMBER:7/A8.11 SPEC SECTION:
RECEIVED FROM:John Henin (TrussWorks International, Inc.)
COPIES TO:
Dustin Hartman (AMG & Associates, Inc.), Christopher Tumasone (AMG & Associates, Inc.)
SUGGESTION:
Question from Christopher Tumasone (AMG & Associates, Inc.) at 11:35 AM on 07/28/2022
The restroom counter supports only reference one detail 7/A8.11 which provides dimensions only. There are no structural details that provide the profile
of the steel being used which includes welding/bolting between all the connections/related items around. Please advise.
Attachments:
RFI 683-405 () - Restroom Counter Supports.pdf
BY DATE COPIES TO
AMG & Associates Inc.Page 1 of 1 Printed On: 07/28/2022 11:36 AM
RFI #51
See two attached options from Englekirk
Kimberly Castillo, JF
8/4/22
Use detail 8/S1.21 with screws to deck with increased angle size L4x2x3/16 (LLV) and slotted HSS with ¾ vertical bolted connection
with 2” vert. slotted holes or use HSS2x2x1/8 frame welded to 4” metal stud walls x 18 ga minimum.
Englekirk 8/1/22
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
TO:
☑Cost impact ☑Time impact
QF - 0405
RESPONSE BY: Name,Title:
Company :DATE:
RESPONSE TO RFI
683
TrussWorks International, Inc.
1275 E Franklin Ave. Pomona, CA 91766
Direct: 909 461 3112 | Fax: 909 461 3735
Chris Tumasone
AMG Associates Inc
RFI Description
PROJECT # :
ATTACHMENTS 1 page(s)/sheet(s)
SUBMITTED BY: John Henin - Project Manager
TWI
Restroom counter supports only have detail 7/A8.11, which provides dimensions only, without having any structrual detail to
provide the profile of the steel used, and the welding/bolting between all the connections and related/adjacent items around.
Please advise.
RFI# :
DATE:
DATE NEEDED BY :
PROJECT NAME :
LL-405
7/28/2022
8/7/2022
Lader Linda Community Park
REQUEST FOR
INFORMATION
LL-405.xlsx
Sheet1 Page 1 of 2
7/28/2022
10:22 AM
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
Cut snip from sheet no. A8.11
DocuSign Envelope ID: BDB79120-0E67-4CCA-AC13-70E603B94CA0
Certificate Of Completion
Envelope Id: BDB791200E674CCAAC1370E603B94CA0 Status: Completed
Subject: Complete with DocuSign: 8405 Ladera Linda CCO 32_rev2.pdf
Source Envelope:
Document Pages: 17 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
6/5/2023 10:57:23 AM
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: 47.147.131.72
Sent: 6/5/2023 10:59:52 AM
Viewed: 6/5/2023 2:12:46 PM
Signed: 6/5/2023 2:20:05 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Ramzi Awwad
rawwad@rpvca.gov
Director of Public Works
City of Rancho Palos Verdes
Security Level: Email, Account Authentication
(None)
Signature Adoption: Drawn on Device
Using IP Address: 104.174.65.192
Sent: 6/5/2023 2:20:06 PM
Viewed: 6/6/2023 8:54:26 AM
Signed: 6/6/2023 8:55:52 AM
Electronic Record and Signature Disclosure:
Accepted: 3/2/2023 10:45:19 AM
ID: 3242b72d-4755-489d-8e5f-7c62dc360470
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: 6/6/2023 8:55:53 AM
Viewed: 6/6/2023 4:51:18 PM
Signed: 6/6/2023 4:52:37 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Ara Mihranian
aram@rpvca.gov
Security Level: Email, Account Authentication
(None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 72.34.97.146
Sent: 6/6/2023 4:52:38 PM
Viewed: 6/7/2023 6:39:39 PM
Signed: 6/7/2023 6:40:28 PM
Electronic Record and Signature Disclosure:
Accepted: 6/7/2023 6:39:39 PM
ID: efdc101e-31f6-4233-8813-09fad323efbe
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
Erin Jones
ejones@griffinstructures.com
Security Level: Email, Account Authentication
(None)
Sent: 6/7/2023 6:40:30 PM
Viewed: 6/8/2023 7:39:52 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
City Clerk
cityclerk@rpvca.gov
Security Level: Email, Account Authentication
(None)
Sent: 6/7/2023 6:40:31 PM
Viewed: 6/12/2023 11:32:06 AM
Electronic Record and Signature Disclosure:
Accepted: 2/1/2023 3:10:58 PM
ID: 505eed45-7ed0-4db8-aae6-ef6eedfef03d
Lorna Cloke
lornac@rpvca.gov
Security Level: Email, Account Authentication
(None)
Sent: 6/7/2023 6:40:33 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 6/5/2023 10:59:52 AM
Certified Delivered Security Checked 6/7/2023 6:39:39 PM
Signing Complete Security Checked 6/7/2023 6:40:28 PM
Completed Security Checked 6/7/2023 6:40:33 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. Described below are the terms and
conditions for providing to you such notices and disclosures electronicall y through the DocuSign
system. Please read the information below carefully and thoroughly, and if you can access this
information electronically to your satisfaction and agree to this Electronic Record and Signature
Disclosure (ERSD), please confirm your agreement by selecting the check-box next to ‘I agree to
use electronic records and signatures’ before clicking ‘CONTINUE’ within the DocuSign
system.
Getting paper copies
At any time, you may request from us a paper copy of any record provided or made av ailable
electronically to you by us. You will have the ability to download and print documents we send
to you through the DocuSign system during and immediately after the signing session and, if you
elect to create a DocuSign account, you may access the documents for a limited period of time
(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to
send you paper copies of any such documents from our office to you, you will be charged a
$0.00 per-page fee. You may request delivery of such paper copies from us by following the
procedure described below.
Withdrawing your consent
If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.
Consequences of changing your mind
If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to
receive required notices and consents electronically from us or to sign electronically documents
from us.
All notices and disclosures will be sent to you electronically
Electronic Record and Signature Disclosure created on: 6/15/2021 5:55:39 PM
Parties agreed to: Ramzi Awwad, Ara Mihranian, City Clerk
Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through the DocuSign system all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or made
available to you during the course of our relationship with you. To reduce the chance of you
inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.
How to contact City of Rancho Palos Verdes:
You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to: terit@rpvca.gov
To advise City of Rancho Palos Verdes of your new email address
To let us know of a change in your email address where we should send notices and disclosures
electronically to you, you must send an email message to us at terit@rpvca.gov and in the body
of such request you must state: your previous email address, your new email address. We do not
require any other information from you to change your email address.
If you created a DocuSign account, you may update it with your new email address through your
account preferences.
To request paper copies from City of Rancho Palos Verdes
To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an email to terit@rpvca.gov and in the body of
such request you must state your email address, full name, mailing address, and telephone
number. We will bill you for any fees at that time, if any.
To withdraw your consent with City of Rancho Palos Verdes
To inform us that you no longer wish to receive future notices and disclosures in electronic
format you may:
i. decline to sign a document from within your signing session, and on the subsequent page,
select the check-box indicating you wish to withdraw your consent, or you may;
ii. send us an email to terit@rpvca.gov and in the body of such request you must state your
email, full name, mailing address, and telephone number. We do not need any other information
from you to withdraw consent.. The consequences of your withdrawing consent for online
documents will be that transactions may take a longer time to process..
Required hardware and software
The minimum system requirements for using the DocuSign system may change over time. The
current system requirements are found here: https://support.docusign.com/guides/signer-guide-
signing-system-requirements.
Acknowledging your access and consent to receive and sign documents electronically
To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please confirm that you have
read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for
your future reference and access; or (ii) that you are able to email this ERSD to an email address
where you will be able to print on paper or save it for your future reference and access. Further,
if you consent to receiving notices and disclosures exclusively in electronic format as described
herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before
clicking ‘CONTINUE’ within the DocuSign system.
By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm
that:
You can access and read this Electronic Record and Signature Disclosure; and
You can print on paper this Electronic Record and Signature Disclosure, or save or send
this Electronic Record and Disclosure to a location where you can print it, for future
reference and access; and
Until or unless you notify City of Rancho Palos Verdes as described above, you consent
to receive exclusively through electronic means all notices, disclosures, authorizations,
acknowledgements, and other documents that are required to be provided or made
available to you by City of Rancho Palos Verdes during the course of your relationship
with City of Rancho Palos Verdes.