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AMG and Associates Inc (Change Order 020)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 16, 2023 SUBJECT: LADERA LINDA COMMUNITY PARK CONSTRUCTION CHANGE ORDER NUMBER: 20 Description of Construction Change Order This change order is for the cost to re-route the new underground fire water line per RFI 96. Justification The proposed route of the new fire water line was in conflict with an existing tree and shrubbery along the Forrestal sidewalk. Per RFI 96, a new route was approved to minimize shrubbery removal and to move the pipe away from the existing tree. The new route required a deeper trench that was tunneled under the existing fence, requiring extra time to complete the work. Cost Analysis The piping re-route was performed on a time and material basis, utilizing equipment that was already on site. Griffin Structures and Johnson Favaro reviewed the work tickets to confirm accuracy of scope, labor and equipment hours. The labor and equipment rates are in line with State of California published rates. The contractor is not charging for replacement of sidewalk paving. 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: 67913B81-654F-4ED2-8AEE-ABFD6168407C 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:$315,922.10 NEW CONTRACT AMOUNT:$14,036,922.10 REMAINING CONTINGENCY AMOUNT:$713,152.90 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:02/16/23 PROJECT CODE: 1 of 2 DocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C 3/2/2023 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 CO#29 Working Days CO#30 Working Days CO#27 Working Days CO#28 Working Days CO#25 Working Days CO#26 Working Days CO#23 Working Days CO#24 Working Days CO#21 Working Days CO#22 Working Days 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 $9,052.32 Working Days 12/01/22 CHANGE ORDER NUMBER COST AMOUNT SCHEDULE EXTENSION DATE 2 of 2 DocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C ŝƚLJŽĨZĂŶĐŚŽWĂůŽƐsĞƌĚĞƐ ĞƉĂƌƚŵĞŶƚŽĨWƵďůŝĐtŽƌŬƐ ϯϬϵϰϬ,ĂǁƚŚŽƌŶĞůǀĚ͕ZĂŶĐŚŽWĂůŽƐsĞƌĚĞƐ͕ϵϬϮϳϱ ;ϯϭϬͿϱϰϰͲϱϮϱϮ ǁǁǁ͘ƉƵďůŝĐǁŽƌŬƐΛƌƉǀĐĂ͘ŐŽǀ    /6  /6  /6  /6  /6  /6  /6  /6  /6  /6  /6  /6    1(:&2175$&7$028171(:&203/(7,21'$7( 727$/2)&+$1*(25'(5727$/2)7,0((;7(16,216:RUNLQJ'D\V 727$/2)&+$1*(25'(5727$/2)7,0((;7(16,216:RUNLQJ'D\V 7RWDOV   $7,0((;7(16,212) :25.,1*'$<6:,//%($//2:(')257+,6:25. 25,*,1$/&2175$&7$0281725,*,1$/&203/(7,21'$7(  D'ŽŶĚŝŶŐ     D'/ŶƐƵƌĂŶĐĞ     D'KǀĞƌŚĞĂĚ    $'',7,21$/ :25.,1*'$<6   D'WKϮϱͲ ZĞǀŝƐĞĚĨŝƌĞǁĂƚĞƌ ůŝŶĞƌŽƵƚĞƉĞƌZ&/ϵϲ    7KLVFKDQJHRUGHULVIRUWKHFRVWWRUHURXWHWKHQHZXQGHUJURXQGILUHZDWHUOLQHSHU5),5HIHUHQFH$0*3&25 6800$5<2)48$17,7<&+$1*(6 ,7(0 12 63(& &2'( '(6&5,37,21 25,*,1$/ 48$17,7< 1(: 48$17,7< 48$17,7< ',))(5(1&( 81,735,&( 35,&( ',))(5(1&( &+$1*(25'(5180%(5'$7( &2175$&7251$0($0* $VVRFLDWHV,QF '(6&5,37,21$1'/2&$7,212)352326(':25. &216758&7,21&+$1*(25'(5)250 &2175$&7180%(5)<352-(&71$0(/DGHUD/LQGD&RPPXQLW\3DUN 385&+$6(25'(5180%(5352-(&7&2'( DocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C ŝƚLJŽĨZĂŶĐŚŽWĂůŽƐsĞƌĚĞƐ ĞƉĂƌƚŵĞŶƚŽĨWƵďůŝĐtŽƌŬƐ ϯϬϵϰϬ,ĂǁƚŚŽƌŶĞůǀĚ͕ZĂŶĐŚŽWĂůŽƐsĞƌĚĞƐ͕ϵϬϮϳϱ ;ϯϭϬͿϱϰϰͲϱϮϱϮ ǁǁǁ͘ƉƵďůŝĐǁŽƌŬƐΛƌƉǀĐĂ͘ŐŽǀ  5HFRPPHQGHG (ULQ-RQHV 'DWH &RQVWUXFWLRQ0DQDJHU*ULIILQ6WUXFWXUHV 6LJQDWXUH &RQWUDFWRU'DWH 6LJQDWXUH ŝƚLJ͗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nthony R. Traverso Digitally signed by Anthony R. Traverso Date: 2023.02.16 12:55:19 -08'00' DocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C 2/27/2023 3/2/2023 3/2/2023 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 #025: CE #059 - RFI 96 - Fire Water Line Route 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: 025 / 2 CONTRACT:City Project No. 8405 - Ladera Linda Community Park Project REQUEST RECEIVED FROM: John Loy (Cal Empire Engineering Inc.) CREATED BY: Christopher Tumasone (AMG & Associates, Inc.) STATUS: Pending - In Review CREATED DATE: 12/1/2022 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: $3,679.17 POTENTIAL CHANGE ORDER TITLE: CE #059 - RFI 96 - Fire Water Line Route CHANGE REASON: Existing Condition/RFI #96 POTENTIAL CHANGE ORDER DESCRIPTION: (The Contract Is Changed As Follows) CE #059 - RFI 96 - Fire Water Line Route This change event covers the cost for additional work per RFI #96. Ticket 11/14/2022 revised to 4 hours per PCO meeting on 2/13/2023. ATTACHMENTS: PCO 025 R1 - RFI 96- FW Line.pdf , PCO #025 - RFI #96 Fire Water Line.pdf , 11-14-22 T&M (2).pdf , 11-10-22 T&M (1).pdf , COR-04 Ladera Linda 11-30-22 - Copy.pdf , Impact Notice to Owner #11.pdf , RFI 96-KPFF_JF (7).pdf # Budget Code Description Amount 1 02-500.S Utility Services.Commitment cost for additional work per RFI 96 $3,357.36 Subtotal: $3,357.36 Overhead (7.00% Applies to all line item types.): $235.02 Insurance (1.50% Applies to all line item types.): $50.36 Bonding (1.00% Applies to all line item types.): $36.43 Grand Total: $3,679.17 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: 2/14/2023 11:46 AM PCO #0252/14 - Griffin Received Rev 2 DocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C X Date: Customer: Job #Job?Po# Super:Job Name: Phone:Req'd By: Hours Rate 2 $ (130.33) 2 $ (108.96) Qty Price/Unit 8 $ (15.68) Qty Hr/Dy/Wk/Mo Supplier Price/Unit 2 HR $ (42.77) 2 HR $ (55.24) Daily Total: White: CEE PM; Yellow: Customer; Pink CEE Superintendent Page of Cal Empire Engineering, Inc. | 628 E. Edna Place | Covina, CA 91723 (626) 915-8030 Total: $ (196.02) $ (800.00) CEE Rep./Title (Printed) Customer Rep./Title (Printed) CEE Rep. (Signature) Date Customer Rep. (Signature) Date $ - Description Total Crew Truck $ (85.54) Backhoe $ (110.48) Total: $ (125.40) Equipment/Rental/Subcontractor 8" C900 Pipe $ (125.40) $ - $ - Total: $ (478.58) Material Description Total Foreman RT Gonzalo $ (260.66) Laborer RT Buane $ (217.92) Daily Work Report Extra Work Report Change Request Description of Extra Work: Scope of work change due to re-route. Deduct 8' of fireline from original scope. Labor Classification RT/OT/DT Name Total 951-833-6514 AMG Construction Ladera Linda Park Chris Tumasone 1/20/2023 22-0088 DocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C Customer:AMG & Associates Change Order Request 4 Contact:Chris Tumasome CE Job Number: Project Ladera Linda Community Center and Park Date:11/30/2022 Location:Rancho Palos Verdes LINE ITEM 11/10/2022 11/14/2022 Exclusions: Notes: Payment TermsNet 30 Days from date of invoice. Sincerely, Estimator John Loy Phone 951-833-6514 Email Johnl@calempire.com COR#4 DATE:11/30/2022 Exhibit A Cal Empire Approval SCOPE OF WORK T&M (See Attached Ticket) T&M (See Attached Ticket) Customer Acceptance $ 2,918.96 $ 2,476.80 CHANGE ORDER REQUEST Cost Cal Empire Engineering 340 N Grant Ave Corona, CA 92882 (626) 915-8030 $ 5,395.76 Cal Empire Engineering (CEE) has completed or proposes the scope of work in accordance with the specifications provided and makes this change request to the customer for the sum shown above. All terms and conditions and inclusions/exclusions of the original proposal/agreement are part of this change order. Should you have any questions, please feel free to contact us. Total This COR DESCRIPTION OF CHANGE REQUESTED $1,238.40 $4,157.36 DocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C DocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C DocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C 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 Fire Water Line Route 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:10/26/ 2022 STATUS:Open LOCATION: DUE DATE:11/10/2022 COST CODE: REFERENCE: COST IMPACT: SCHEDULE IMPACT: DRAWING NUMBER:C1.41 SPEC SECTION: RECEIVED FROM:John Loy (Cal Empire Engineering Inc.) COPIES TO: Dustin Hartman (AMG & Associates, Inc.), Christopher Tumasone (AMG & Associates, Inc.) SUGGESTION: Question from Christopher Tumasone (AMG & Associates, Inc.) at 12:17 PM on 10/26/2022 See attached pictures for reference for current conditions as well as C1.41 and RFI 36. The electrical trench per RFI 36 conflicts with the Fire Water routing per plan sheet C1.41. Per plan and survey, the new Fire Water line will interfere with existing fence, concrete and bushes/trees. These items are shown to be protected in place. In order to install per the proposed route shown in the sketches, some of these items may have to be removed. It is possible to undermine the fence and it will not have to be removed. Please advise. Attachments: FW pic.pdf 852.pdf BY DATE COPIES TO AMG & Associates Inc. Page 1 of 1 Printed On: 10/26/2022 12:20 PM RFI #96 KPFF RESPONSE: PER CORRESPONDANCE WITH JOHSON FAVARO AND AMG, BACKFLOW TO REMAIN IN PROPOSED LOCATION AND BE RE-ROUTED PER CONTRACTORS SUGGESTION. SKETCH OF RE-ROUTE AND EMAIL FROM AMG ATTACHED. K.FINCH 10/31/2022 We take no issue with the contractors proposed reroute of the main line between the driveway and the backflow. Replace removed paving in kind. Kimberly Castillo, JF 11/3/22 DocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C DocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C BACKFLOR TO REMAINAS PROPOSEDPORTION OF LINETO BE RE-ROUTEDDocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C DocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C    ĂƚĞ͗  sŝĂͲŵĂŝů͗      WƌŽũĞĐƚ͗     ZĞ͗/ŵƉĂĐƚEŽƚŝĐĞ͗ /^^h͗          dŚĞ/ŵƉĂĐƚŝƐĂƐĨŽůůŽǁƐ͗           WůĞĂƐĞƌĞĨĞƌĞŶĐĞƚŚĞĨŽůůŽǁŝŶŐĚŽĐƵŵĞŶƚƐĂƚƚĂĐŚĞĚ͗         WůĞĂƐĞĐŽŶƚĂĐƚƚŚĞƵŶĚĞƌƐŝŐŶĞĚĚŝƌĞĐƚůLJŝĨLJŽƵŚĂǀĞĂŶLJĨƵƌƚŚĞƌƋƵĞƐƚŝŽŶƐŽƌĐŽŵŵĞŶƚƐƌĞŐĂƌĚŝŶŐƚŚŝƐ ŵĂƚƚĞƌ͘  ZĞŐĂƌĚƐ͕           6XPPLW&LUFOH6DQWD&ODULWD&$3K)D[ ZZZDPJDVVRFLDWHVLQFFRP 10/26/2022 ejones@griffinstructures.comCity of Rancho Palos Verdes Griffin Structures Ladera Linda Community Center and Park 32201 Forrestal Dr. Rancho Palos Verdes, CA 90275 #11 RFI #96 - Fire Water routing RFI #96 has been issued for the routing of the Fire Water line up to Forrestal Drive. Existing conditions and additional trenches per RFI 36 are conflicting with the Fire Water line path per C1.41. At this moment in time, the underground utilities subcontractor will not trench any further than the top of the sloped driveway area until receiving direction from the design team. There may be a cost impact pending the response of RFI #96. RFI 96 attached. Chris Tumasone Project Engineer Dustin Hartman Project Superintendent DocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C Cal Empire Union Labor RatesBasic Hourly RateHealth & WelfarePensionVacation& HolidayTraining Other Union FeeWorkman's comp Payroll taxes OHHourly RateMark up56.79$ 12.35$ 13.15$ 3.85$ 1.05$ 0.39$ 3.55$ 3.65$ 9.11$ 9.44$ 113.33$ 17.00$ 130.33$ 42.71$ 8.75$ 10.82$ 5.02$ 0.70$ 0.67$ 3.55$ 2.89$ 7.22$ 12.33$ 94.66$ 14.20$ 108.86$ ForemanLaborerDocuSign Envelope ID: 67913B81-654F-4ED2-8AEE-ABFD6168407C Certificate Of Completion Envelope Id: 67913B81654F4ED28AEEABFD6168407C Status: Completed Subject: DocuSign - Change Order 20 Source Envelope: Document Pages: 16 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 2/27/2023 2:02:12 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: 2/27/2023 2:13:44 PM Viewed: 2/27/2023 3:34:39 PM Signed: 2/27/2023 3:39:29 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: 2/27/2023 3:39:43 PM Viewed: 3/2/2023 10:52:14 AM Signed: 3/2/2023 10:53:13 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: 23.114.210.132 Sent: 3/2/2023 10:53:25 AM Viewed: 3/2/2023 11:52:06 AM Signed: 3/2/2023 11:52:42 AM 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: 3/2/2023 11:52:53 AM Viewed: 3/2/2023 4:58:27 PM Signed: 3/2/2023 4:59:18 PM Electronic Record and Signature Disclosure: Accepted: 3/2/2023 4:58:27 PM ID: f8f06ce6-f320-4e9c-b9bd-3ce4753f5a1a 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: 3/2/2023 4:59:29 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign Lorna Cloke lornac@rpvca.gov Security Level: Email, Account Authentication (None) Sent: 3/2/2023 4:59:31 PM Electronic Record and Signature Disclosure: Not Offered via DocuSign City Clerk cityclerk@rpvca.gov Security Level: Email, Account Authentication (None) Sent: 3/2/2023 4:59:33 PM Viewed: 3/2/2023 5:09:57 PM Electronic Record and Signature Disclosure: Accepted: 2/1/2023 3:10:58 PM ID: 505eed45-7ed0-4db8-aae6-ef6eedfef03d Witness Events Signature Timestamp Notary Events Signature Timestamp Envelope Summary Events Status Timestamps Envelope Sent Hashed/Encrypted 2/27/2023 2:13:44 PM Certified Delivered Security Checked 3/2/2023 4:58:27 PM Signing Complete Security Checked 3/2/2023 4:59:18 PM Completed Security Checked 3/2/2023 4:59:33 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. 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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.