AMG and Associates Inc (Change Order 66)City of Rancho Palos Verdes
Department of Public Works
30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275
(310)544-5252
CHANGE ORDER MEMORANDUM
TO: RAMZI AWWAD, DIRECTOR OF PUBLIC WORKS
FROM: ALAN BRAATVEDT, SUNBEAM CONSULTING
DATE: JANUARY 23, 2024
SUBJECT: LADERA LINDA COMMUNITY PARK
CONSTRUCTION CHANGE ORDER NUMBER: 66
Description of Construction Change Order
Remove (grind) the existing chip seal installed in the parking lot’s drive aisles and
replace (overlay) with asphalt to provide a stable drive aisle surface and minimize long-
term maintenance.
Justification
The chip seal surfacing originally installed per plan for the parking lot’s drive aisles
proved to be inadequate, due largely to the type of rock selected, but also due to chip
seal being the wrong application for the project, as verified by a third-party paving
consultant hired by the City.
As an outcome of a meet and confer negotiation process, the Contractor was directed to
construct the additional work of removing the existing chip seal surfacing in the parking
lot’s drive aisles and installing / replacing with an asphalt concrete pavement overlay.
Since this additional work (labor, equipment, materials) was not accounted for in the
original contract, a change order needs to be issued to account for this change to the
contract plans and specifications and the associated additional cost. The Contractor
(AMG) issued PCO #100 on 1/12/24 in the amount of $63,231.21 to perform this work.
While the original plans and specs required installation of chipseal in the parking lot’s
drive aisles, AMG and Act1 participated in the original chip seal rock proposal and
selection process, and as such shared exposure to the cost of performing the work as
part of this change order. As a result, the meet and confer process further concluded
that an appropriate relative City share of the subcontractor’s cost was $40,954.66 (65%)
of the total $63,231.21 originally quoted in PCO #100 to perform the additional work,
and that the balance of Act1’s quote ($22,366.55) would be borne by AMG and Act1.
AMG issued PCO #100-R1 to reflect this agreement (City’s share of the change order
costs only).
DocuSign Envelope ID: 508ED2BC-B57A-43DD-8C01-8B3E65B34E94
City of Rancho Palos Verdes
Department of Public Works
30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275
(310)544-5252
Cost Analysis
The City’s cost analysis was based on AMG’s (Revised) PCO #100 R-1 that reflects the
City’s share of the change order work. A detailed breakdown of Act1’s labor, equipment
and materials were provided in the revised PCO. AMG included direct costs of
$1,540.80 for traffic control, $780.00 for a street sweeper, 7% Overhead, 1.5%
Insurance, and 1% Bond markups for a grand total of $47,423.41.
SunBeam has estimated the cost of this proposed work and determined that the
proposed costs from AMG (Act1’s costs + AMG’s allowable markups) are within 4.43%
SunBeam’s estimated cost. SunBeam recommends that the City authorize the costs
proposed by AMG.
Schedule Analysis
As this work is being authorized long after the authorized completion date for the overall
project, a schedule analysis has not been performed by SunBeam for this scope of work.
An analysis of the schedule impact of this work will be addressed for this work as part of
a meet and confer process for overall completion of the project. This approach is
consistent with the changes to the standard change order provisions as approved by the
City Attorney
Attachments:
Construction Contract Change Order Form
Construction Contract Change Order Summary Sheet
Contractor’s Change Order Proposal – PCO #100
Contractor’s Revised Change Order Proposal – PCO#100-R1
Independent Cost Analysis
DocuSign Envelope ID: 508ED2BC-B57A-43DD-8C01-8B3E65B34E94
Remove (grind) the existing chip seal installed in the parking lot’s drive aisles and replace (overlay) with
asphalt in order to provide a stable drive aisle surface and minimize long-term maintenance.
DocuSign Envelope ID: 508ED2BC-B57A-43DD-8C01-8B3E65B34E94
DocuSign Envelope ID: 508ED2BC-B57A-43DD-8C01-8B3E65B34E94
3/27/2024
3/27/2024
3/28/2024
8405
20
0
0
11
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
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
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
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
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:08/24/23
TOTAL CHANGE ORDERS COST:$848,597.62 REVISED CONTINGENCY AMOUNT:$1,208,194.98
NEW CONTRACT AMOUNT:$14,569,597.62 REMAINING CONTINGENCY AMOUNT:$359,597.36
CHANGE ORDER
NUMBER COST AMOUNT SCHEDULE
EXTENSION DATE
ORIGINAL CONTRACT AMOUNT:$13,721,000.00 ORIGINAL CONTINGENCY AMOUNT:
PREPARED BY:JAMES O'NEILL
CONTRACTOR NAME:AMG & Associates, Inc.
CONTRACT NUMBER:FY2022-050
$1,029,075.00
CONSTRUCTION CHANGE ORDER SUMMARY SHEET
PROJECT NAME:Ladera Linda Community Park DATE:02/12/24
PROJECT CODE:
PURCHASE ORDER NUMBER:20220215
ACCOUNT NUMBER:330-400-8405-8403
DocuSign Envelope ID: 508ED2BC-B57A-43DD-8C01-8B3E65B34E94
3/27/2024
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
0
0
0
0
0
0
0
6
1
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 #65 $251.55 Working Days 02/12/24
CO #66 $47,423.41 Working Days 02/12/24
CO #63 $690.91 Working Days 02/12/24
CO #64 $2,200.00 Working Days 02/12/24
CO #61 $5,590.13 Working Days 01/11/24
CO #62 $2,674.08 Working Days 02/12/24
CO #59 $8,890.83 Working Days 01/02/24
CO #60 $9,524.04 Working Days 01/10/24
CO #57 $8,575.63 Working Days 12/28/23
CO #58 $982.98 Working Days 12/28/23
CO #55 -$19,277.91 Working Days 12/14/23
CO #56 -$35,244.14 Working Days 12/21/23
CO #53 -$2,446.03 Working Days 12/05/23
CO #54 $1,807.98 Working Days 12/05/23
CO #51 -$44,040.60 Working Days 10/10/23
CO #52 $6,575.10 Working Days 10/12/23
CO #49 -$3,253.37 Working Days 10/10/23
CO #50 $246.57 Working Days 10/10/23
CO #47 $0.00 Working Days 10/10/23
CO #48 $0.00 Working Days 10/10/23
CO #45 $35,792.08 Working Days 10/10/23
CO #46 -$6,270.83 Working Days 10/10/23
CO #43 $1,647.09 Working Days 08/24/23
CO #44 $23,867.61 Working Days 08/29/23
CO #41 $630.12 Working Days 07/26/23
CO #42 $6,466.62 Working Days 08/03/23
CO #39 $24,530.09 Working Days 07/25/23
CO #40 $11,002.33 Working Days 07/26/23
CO # 37 $3,561.51 Working Days 06/16/23
CO #38 $23,527.90 Working Days 07/12/23
CO #35 $3,765.15 Working Days 06/08/23
CO #36 $697.56 Working Days 06/16/23
CO #33 $10,095.54 Working Days 05/31/23
CO #34 $179,119.98 Working Days 06/08/23
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
DocuSign Envelope ID: 508ED2BC-B57A-43DD-8C01-8B3E65B34E94
Revised Proposal
"R-1"
DocuSign Envelope ID: 508ED2BC-B57A-43DD-8C01-8B3E65B34E94
ORIGINAL PROPOSAL
1/22/24
DocuSign Envelope ID: 508ED2BC-B57A-43DD-8C01-8B3E65B34E94
Work Order (WO) Proposal
Page 1 of 1
Project Information Work Order Information
Project # 2204 WO # 23 Drawing
Title Ladera Linda Park Date Spec.
Address 32201 Forrestal Drive Location
Other
City, State, Zip Rancho Palos Verdes, CA 90275 Type
Country U.S Subject Grind and Overlay Asphalt
Issued By Issued To
Contact Contact Tony Traverso
Company Act 1 Construction Inc. Company AMG and Associates
Address 444 6th St Address
City, State, Zip Norco, CA 92860 City, State, Zip
Country United States Country U.S
Phone 951-735-1184 Phone
Fax 951-737-5342 Fax
Work Description
Cost to mechanically sweep previously applied rock from parking lot, spread removed rock to onsite adjacent maintenance road, grind 1-
1/2'' of recently applied asphalt and chip rock emulsion and overlay with new hot asphalt and roll for maximum compaction. All work to be
done in one (1) move in. Additional move in per proposal.
Cost Items
Item No. Item Description Quantity Unit Unit Price Total
1 Per Sub Contractors Proposal 1 LS $51,491.00 $51,491.00
2 Act 1 General Conditions 1 5% $2,574.55 $2,574.55
3 Act 1 bond 1 1% $540.66 $540.66
Subtotal = $54,606.21
Total = $54,606.21
The work covered by this order shall be performed under the same Terms and Conditions as that included in the original
contract unless stated otherwise above.
Submitted By: Response: Accept Do Not Accept
ACT 1 Construction
Company Company
Alex Witham
___________________________________ 1-12-24 ________ ____________________________________ __________________
By Date By Date
DocuSign Envelope ID: 508ED2BC-B57A-43DD-8C01-8B3E65B34E94
JOB NAME:JOB #:01-22-157
U QTY.UNIT TOTAL UNIT TOTAL UNIT TOTAL UNIT TOTAL
COST COST COST COST COST COST COST COST
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
TOTAL -$ TOTAL -$ TOTAL -$ TOTAL -$
U QTY.COST AS AS
%$
LS 1 51,491.00$ -$
-$
-$
-$
-$
-$
COMBINED TOTAL
AS %AS $
1)29.00%-$
2)8.75%-$
3)8.75%-$
4)0.00%-$
AS %AS $
-$
-$
5%2,574.55$
-$
-$
-$
Per Sub Contractors Proposal
COMBINED TOTALS
51,491.00$
OTHER EXP.
DESCRIPTION
LABOR
MATERIAL
OTHER EXPENDITURES
SUBCONTRACTOR
-$
G.C. COSTS (ITEM 1)
TOTAL
-$
PRIME CONTRACTOR MARKUPSUBTOTAL
-$
TOTAL
-$
RENTAL EQUIPMENT
-$ -$
-$
DESCRIPTION SUBTOTAL
-$
51,491.00$
LINE ITEM
DIRECT PRIME CONTRACTOR TOTALS
MARKUP
TOTALS
-$
PRIME CONTRACTOR
-$
-$
-$
-$
54,065.55$
-$
51,491.00$
-$
1.00%540.66$
G.C. COSTS (ITEM 2,3,4)
Ladera Linda Community Center and Park
BONDING
GENERAL CONTRACTORS COSTS
SUMMARY OF PROFIT AND OVERHEAD
SUB CONTRACTOR 54,065.55$
Change Order Request
MATERIAL EQUIPMENT RENTAL
-$
LINE ITEM
DESCRIPTION:
LABOR
-$
Cost to mechanically sweep previously applied rock from parking lot, spread removed rock to onsite adjacent maintainance road, grind 1-
1/2'' of recently applied asphalt and chip rock emulsion and overlay with new hot aspahlt and roll for maximum compaction. All work to be
done in one (1) move in. additional moves inper proposal.
Added calendar days this request
# 23
54,606.21$
-$
CSLB#657517, A, B, C-8, C-12, C-29 444 Sixth St. Norco CA 92860 * 951-735-1184
1/12/2024---9:36 AM
DocuSign Envelope ID: 508ED2BC-B57A-43DD-8C01-8B3E65B34E94
PROPOSAL and CONTRACT LICENSED INSURED
Upon completion and satisfaction of above work, the customer will be provided with a release from this contract along with the invoice for amount due.
Page 1 of 3
File#24MT0119
Prevailing Wage
ADVANTAGE UNLIMITED PAVING INC.
P.O. Box 1639, Yucaipa, California 92399
(909) 401-4044 * Fax (888) 411-8940
Contractor’s License # 744113
www.Advantage-Unlimited.com
Date: January 11, 2024
TO: Act 1 Construction Job Site: Ladera Linda Community Park
ATTN: Alex Witham Contact:
Address: 444 Sixth Street Address: 32201 Forrestal Drive
City: Norco, CA 92860 City: Rancho Palos Verdes, CA 90275
PHONE: (951) 735-1184 FAX: ( ) - EMAIL: alex@act1const.com
We hereby propose to furnish all material and perform all labor necessary to complete the following:
PWCR#1000025998
Change Order#4 – Job#23310PV
Asphalt Grind & Overlay
1.Provide and set up barricades and ribbon to block off work area.
2.Sweep Previously applied rock off parking lot
3.Spread swept rock from parking lot to existing maintenance gravel path adjacent to onsite parking lot.
4.Cold mill, clean and haul grindings from approximately 16,000 sq. ft. of existing asphalt.
5.Clean and apply SS1H tack emulsion to approximately 16,000 sq. ft. of existing asphalt.
6.Provide and overlay with an average of 1 ½” of hot asphalt to approximately 16,000 sq. ft. of existing damaged
and eroded asphalt.
7.Roll hot asphalt for maximum compaction.
$49,641.00
Striping
1.Provide and set up barricades and ribbon to block work area.
2.Create new layout and paint (w/ two coats) for the following as per plans provided by customer.
40 Lin. Ft. Path of Travel
$1,850.00
TOTAL BASE BID: $51,491.00
DUE TO THE EVERCHANGING effects of supply constraints, increased costs of fuel, oil, aggregates,
concrete, and labor our prices for material will be honored only on a month-to-month basis.
DocuSign Envelope ID: 508ED2BC-B57A-43DD-8C01-8B3E65B34E94
PROPOSAL and CONTRACT LICENSED INSURED
Upon completion and satisfaction of above work, the customer will be provided with a release from this contract along with the invoice for amount due.
Page 2 of 3
File#24MT0119
NOTES:
1)ALL JOBSITE SCHEDULING TO BE THRU COLE NORMAN @ (951) 423-4015 OR EMAIL AT
SCHEDULING@ADVANTAGEUNLIMITED.COM
2)Tests, Permits, Engineering, Staking, Surety Bonds, Soil Tests, to be provided by others.
3)Water & Meter to be provided by customer.
4)Bid based on (1) Move-In & Prevailing Wages. Additional moves will be billed at $7,000.00 per move.
5)Bid Excludes Cut and / or fill of subgrade unless specified in above line items of bid.
6)Bid Excludes Export or Import of material unless specified in above line items of bid.
7)Bid Excludes Crack-fill & Weed-Kill.
8)Bid Excludes Fog seal, Street Clean up from Delivery Trucks Tracking “Tack” material.
9)Bid Excludes PermaTex seal.
10)Prices good thru 01/31/24. (May be subject to change because of increased material cost)
All of the work to be completed in a substantial and workmanlike manner according to the PREVAILING WAGE
standard practices for the sum of $51,491.00
ADVANTAGE UNLIMITED PAVING INC.
By:
Company Officer
DocuSign Envelope ID: 508ED2BC-B57A-43DD-8C01-8B3E65B34E94
PROPOSAL and CONTRACT LICENSED INSURED
Upon completion and satisfaction of above work, the customer will be provided with a release from this contract along with the invoice for amount due.
Page 3 of 3
File#24MT0119
-ADVANTAGE UNLIMITED PAVING INC TERMS AND CONDITIONS OF SALE -
PAYMENT - -TERMS: NET CASH TO BE PAID ON COMPLETION OF JOB.
AFTER 30 DAYS, 1 ½% PER MONTH (18% PER ANNUM) WILL BE ADDED TO ALL PAST DUE ACCOUNTS.
ADVANTAGE UNLIMITED PAVING INC warrants the above work for a period of one-year on all workmanship and materials.
This proposal is subject to acceptance within 30 days from date of quotation. All modifications of this agreement must be in writing.
Buyer agrees that in the event collection action is required to enforce payment of this contract, whether suit is filed or not, ADVANTAGE UNLIMITED
PAVING, INC. shall be entitled to reasonable attorney's fees and court costs, providing that ADVANTAGE UNLIMITED PAVING is the prevailing
party.
Upon commencement of scheduled day and work time customer agrees to have the job site totally ready for ADVANTAGE UNLIMITED PAVING
to begin the work as stated in contract. This includes, but is not limited to the following;
1 ALL vehicles, trash dumpsters and other debris must be removed prior to our work beginning.
2.Pavement must be dry upon our arrival and the irrigation / landscaping water should be turned off at least (24) hours prior to our
arrival and 48 hours after completion of work to allow proper curing time of materials.
3.After completion of work performed, ADVANTAGE UNLIMITED PAVING requests the area to remain closed for at least (24)
Hours after completion of project.
Unless otherwise specified, the term 'fine" grade shall mean that present grades are within 1 inch of finish sub-grade.
Any alteration or deviation from the above specifications involving extra cost of material or labor will be executed only upon written orders for same,
and will become an extra charge over the sum mentioned in this contract.
ADVANTAGE UNLIMITED PAVING, INC. shall not be liable for any damage to or breakage of underground pipes and/or conduits not visible from
the surface of the ground nor for any damage to approaches (including sidewalk) from the street to property line.
ADVANTAGE UNLIMITED PAVING, INC. shall not be held liable for ANY BACKCHARGES unless previously agreed upon and agreement must
be in writing.
ADVANTAGE UNLIMITED PAVING offers no guarantee of drainage on resurfacing jobs unless otherwise specified in the above contract.
ADVANTAGE UNLIMITED PAVING offers no guarantee of regrowth of vegetation on resurfacing jobs unless otherwise specified in the above
contract.
ADVANTAGE UNLIMITED PAVING offers no guarantee against cracking on resurface jobs unless otherwise specified on above contract.
ADVANTAGE UNLIMITED PAVING INC. shall not be responsible for cracks in asphalt due to acts of nature ie; earthquake, soil or sub-grade
movements or failure of any resurfacing of existing asphalt.
ADVANTAGE UNLIMITED PAVING will not guarantee any crack sealing (cold applied or hot rubberized). Crack-fill by characteristic will settle
and the cracks will not seal completely and therefore will not be at the same level as existing asphalt. Cracks may still be visible after the curing of
crack seal and the application of a pavement sealer.
Even though ADVANTAGE UNLIMITED PAVING takes great care in cleaning the existing asphalt, we cannot guarantee that the sealcoat will adhere
to oil/water saturated areas or other materials/elements that will inhibit the adhesion of the sealcoat / paint.
ADVANTAGE UNLIMITED PAVING does not warrant the following;
1.Any damage to the sealcoat resulting from barricades being removed, torn down, etc. before scheduled time.
2.Any damage to cars, trucks, other vehicles, concrete, shoes, carpets, clothing etc… due to getting on the asphalt materials before
proper curing time.
3.Any damage that is not a direct result of negligence or willful misconduct by ADVANTAGE UNLIMITED PAVING.
4.Any “power steering” or scuff marks on the new asphalt or sealcoat. This a normal occurrence in new asphalt paving and sealcoating
(especially in hot weather) and usually smooth’s back out after traffic has been on it a few days.
The owner or its agents shall hold harmless ADVANTAGE UNLIMITED PAVING Inc. of any/all claims whatsoever involving the property upon
which our work is to be performed, including property damage, bodily injury or death, or any other occurrence that is not directly from the sole
negligence or willful misconduct of ADVANTAGE UNLIMITED PAVING Inc.
Contractors are required by law to be licensed and regulated by the Contractors’ State License Board. Any questions concerning contractor may be
referred to the Registrar, Contractors' State License Board, (3121 Bradshaw Road) Sacramento, CA (mailing address: P.O. Box 26000, Sacramento,
CA 95826).
ACCEPTANCE
I HAVE FULLY READ AND UNDERSTAND THE TERMS AND CONDITIONS SET FORTH ON THIS PAGE.
You are hereby authorized to proceed with the work as per above, and I agree to pay the amount mentioned in said proposal.
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day, after the date of this transaction.
Accepted By: Title: Date:
DocuSign Envelope ID: 508ED2BC-B57A-43DD-8C01-8B3E65B34E94
Sunbeam Consulting
1817 Josie Avenue
Long Beach, California
Cost Estimate - Sunbeam Consulting
CO #66 PCO 100R1 - Grind and pave parking lot
SUBCONTRACTOR 1-Act-1 Hrs Rate
-$ -$ 86.30$ 30,000.00$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ 30,000.00$
Subtotal 30,000.00$
Mobilization 250.00$
Sales Tax -$
Insurance 450.00$
Markup 4,500.00$
Bond 300.00$
Total Subcontractor Cost 35,500.00$
CONTRACTOR - AMG
Hrs Rate
1,000.00$ -$ 24 86.30$ 2,071.20$
-$ -$ 0 110.00$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
-$ -$ -$ -$
1,000.00$ -$ 2,071.20$
Subtotal 3,071.20$
Subcontractor Cost 35,500.00$
Subtotal 38,571.20$
Mobilization -$
Sales Tax -$
Insurance 578.57$
Markup 5,785.68$
Bond 385.71$
Total Cost 45,321.16$
Proposed PCO cost 47,423.41$
Difference ($) 2,102.25$
Difference (%) 4.43%
Equipment cost
Equipment cost Material cost Lab cost
Material cost Labor cost
Sheet1 Page 1
DocuSign Envelope ID: 508ED2BC-B57A-43DD-8C01-8B3E65B34E94
Certificate Of Completion
Envelope Id: 508ED2BCB57A43DD8C018B3E65B34E94 Status: Completed
Subject: Complete with DocuSign: Change Order 66 (AMG) revised 3-26-2024.pdf
Source Envelope:
Document Pages: 14 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
3/27/2024 4:25:06 PM
Holder: James O'Neill
joneill@rpvca.gov
Location: DocuSign
Signer Events Signature Timestamp
David Copp
dcopp@rpvca.gov
Deputy Director of Public Works
City of Rancho Palos Verdes
Security Level: Email, Account Authentication
(None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 72.34.97.146
Sent: 3/27/2024 4:27:23 PM
Viewed: 3/27/2024 4:27:49 PM
Signed: 3/27/2024 4:28:07 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: 72.34.97.146
Sent: 3/27/2024 4:28:08 PM
Viewed: 3/27/2024 4:31:37 PM
Signed: 3/27/2024 4:31:44 PM
Electronic Record and Signature Disclosure:
Accepted: 3/2/2023 10:45:19 AM
ID: 3242b72d-4755-489d-8e5f-7c62dc360470
Vina Ramos
vramos@rpvca.gov
Director of Finance
City of Rancho Palos Verdes
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 172.117.19.238
Signed using mobile
Sent: 3/27/2024 4:31:46 PM
Viewed: 3/27/2024 9:35:45 PM
Signed: 3/27/2024 9:36:02 PM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Ara Mihranian
aram@rpvca.gov
City Manager
City of Rancho Palos Verdes
Security Level: Email, Account Authentication
(None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 104.34.113.36
Sent: 3/27/2024 9:36:03 PM
Viewed: 3/28/2024 6:23:40 AM
Signed: 3/28/2024 6:24:26 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
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Carbon Copy Events Status Timestamp
City Clerk
cityclerk@rpvca.gov
Security Level: Email, Account Authentication
(None)
Sent: 3/28/2024 6:24:27 AM
Viewed: 3/28/2024 7:43:24 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: 3/28/2024 6:24:28 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Alan Braatvedt
alan@sunbeamtech.net
Security Level: Email, Account Authentication
(None)
Sent: 3/28/2024 6:24:28 AM
Viewed: 3/28/2024 6:59:52 AM
Electronic Record and Signature Disclosure:
Accepted: 2/27/2024 8:10:15 PM
ID: 0b746f99-ced5-4219-9c03-ed8862c26e90
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 3/27/2024 4:27:24 PM
Certified Delivered Security Checked 3/28/2024 6:23:40 AM
Signing Complete Security Checked 3/28/2024 6:24:26 AM
Completed Security Checked 3/28/2024 6:24:28 AM
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, City Clerk, Alan Braatvedt
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.