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AMG and Associates Inc (Change Order 011)A A City of Rancho Palos Verdes Department of Public Works 30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 (310)544-5252 www.publicworks2rpvca.gov TO: FROM: DATE: SUBJECT: CHANGE ORDER MEMORANDUM RAMZI AWWAD, DIRECTOR OF PUBLIC WORKS ERIN JONES, GRIFFIN STRUCTURES DECEMBER 1, 2022 LADERA LINDA COMMUNITY PARK CONSTRUCTION CHANGE ORDER NUMBER: 11 Description of Construction Change Order The work includes removal and disposal of existing grass and irrigation on the low tier per RFI 18. Justification The project plans do not specifically call out the removal of existing grass and irrigation on the low tier. Removal of grass and irrigation is required in order to install the new site improvements. Cost Analysis The work was performed on a time and material basis. Griffin Structures tracked the work each day to confirm accuracy of labor and equipment hours. The labor and equipment rates are in line with State of California published rates. The final cost of the change order is the outcome of further discussions between the City and AMG. 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 Ll �J1V�JYY JLJL CONSTRUCTION CHANGE ORDER SUMMARY SHEET PROJECT NAME: Ladera Linda Community Park PROJECT CODE: 8405 PREPARED BY: JAMES O'NEILL CONTRACTOR NAME: AMG & Associates, Inc. CONTRACT NUMBER': FY2022-050 PURCHASE ORDER NUMBER' 20220215 ACCOUNT NUMBER: 330-400-8405-8403 ORIGINAL CONTRACT AMOUNT: $13,721,000.00 TOTAL CHANGE ORDERS COST: $219,938.83/ DATE: 12/01/22 ORIGINAL CONTINGENCY AMOUNT: $1,029,075.00 NEW CONTRACT AMOUNT: $13,940,938.83 REMAINING CONTINGENCY AMOUNT: $809,136.17 �191�, ORIGINAL COMPLETION DATE: 07/27/23 1 �" TOTAL SCHEDULE CHANGE ORDERS: 11 Working Days NEW CONTRACT COMPLETION DATE: 08/11/23 CHANGE ORDER NUMBER COST AMOUNT I SCHEDULE EXTENSION DATE CO#1 $54,534.52 0 Working Days 05/27/22 CO#2 $12,628.58 0 Working Days 08/09/22 CO#3 $53,526.25 11 'Working Days 08/31/22 CO#4 $8,558.42 0 'Working Days 09/01/22 CO#5 -$5,378.25 0 Working Days 09/01/22 CO#6 $824.34 0 Working Days 09/01/22 COV $10,202.36 0 Working Days 09/27/22 CO#8 $6,437.02 0 Working Days 09/27/22 CO#9 $1,818.52 0 Working Days 11/09/22 CO#10 $42,918.80 0 lworking Days 11/09/22 1of2 City of Rancho Palos Verdes Department of Public Works 30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 (310)544-5252 www.publjcwofks(@rpvca.gov CHANGE ORDER NUMBER COST AMOUNT SCHEDULE DATE EXTENSION C0#11 $33,868.27 0 Working Days 12/1/122 C0#12 0 Working Days C0#13 0 Working Days CO#14 0 Working Days C0#15 0 Working Days C0#16 0 Working Days C0#17 0 Working Days C0#18 0 Working Days C0#19 0 'Working Days CO#20 0 Working Days CO#21 0 Working Days CO#22 0 Working Days CO#23 0 Working Days CO#24 0 Working Days CO#25 0 Working Days CO#26 0 Working Days CO#27 0 Working Days CO#28 0 Working Days CO#29 0 Working Days CO#30 0 Iworking Days 2of2 City of Rancho Palos Verdes Department of Public Works 30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 (310)544-5252 www.publicworks@rpvca.gov CONSTRUCTION CHANGE ORDER FORM CONTRACT NUMBER: FY2022-050 PURCHASE ORDER NUMBER: 20220215 CHANGE ORDER NUMBER: 11 CONTRACTOR NAME: AMG & Associates, Inc. DESCRIPTION AND LOCATION OF PROPOSED WORK PROJECT NAME: Ladera Linda Community Park PROJECT CODE: 8405 DATE: 12/01/22 The work includes removal and disposal of existing grass and irrigation on the low tier per RFI 18. SUMMARY OF QUANTITY CHANGES ITEM NO. SPEC CODE DESCRIPTION ORIGINAL QUANTITY NEW QUANTITY QUANTITY DIFFERENCE UNIT PRICE PRICE DIFFERENCE ADDITIONAL WORKING DAYS 1 024119 AMG PCO 5113 - RFI 18 - Remove existing grass and irrigation on the low tier 0.0 LS 1.0 LS 1.0 LS $33,868.27 $33,868.27 0 0 0.0 0 $0.00 0 0.0 0 $0.00 0 0.0 0 $0.00 0 00 0 $0.00 0 0.0 0 $0.00 Totals $33,868.27 0 A TIME EXTENSION OF 0 WORKING DAYS WILL BE ALLOWED FOR THIS WORK ORIGINAL CONTRACT AMOUNT: $13,721,000.00 ORIGINAL COMPLETION DATE. 07/27/23 TOTAL OF CHANGE ORDER #1-1Q. $186,070.56 TOTAL OF CHANGE ORDER 911: 1$33,868.27 NEW CONTRACT AMOUNT: $13,940,938.83 TOTAL OF TIME EXTEN IONS #1-10: 11 Working Days TOTAL OF TIME EXTENSIOR:S#11:1 0 Working Days NEW COMPLETION DATE' 08/11123 City of Rancho Palos Verdes Department of Public Works 30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 (310)544-5252 www.publicworks@rpvca.gov CONSTRUCTION CHANGE ORDER FORM CONTRACT NUMBER: FY2022-050 PROJECT NAME: Ladera Linda Community Park PURCHASE ORDER NUMBER 20220215 CHANGE ORDER NUMBER: 11 PROJECT CODE: 8405 CONTRACTOR NAME: AMG & Associates, Inc. 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. Recommended: D'gNayc Yv Inn Jones Erin Jones Erin Jones D.- 5&WW Date: Construction Manager, Griffin Structures Signature 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. Digitally signed by Anthony R. Anthony R. Traverso Traverso Contractor: Anthony R. Traverso Date: 2022.12.05 11:35:14-08'00' Date: Vice President/Secretary/Treasurer Signature Accepted and Executed by: City: Lincoln Lo Lincoln Lo Date: Contract Officer Signature Ramzi Awwad Ramzi Awwad Date: Public Works Director Signature Ara Mihranian Date: �Z.+,tQ f L City Manager PCO #005 AMG AMG & Associates Inc. Project: 01-22-157 - Ladera Linda Community Center and Park 26535 Summit Circle 32201 Forrestal Dr. Santa Clarita, California 91350 Rancho Palos Verdes, California 90275 Phone: (661) 251-7401 Fax: (661) 251-7405 Prime Contract Potential Change Order #005: CE #016 - RFI #18 Existing Grass Surface TO: City of Rancho Palos Verdes FROM: AMG & Associates, Inc. 30940 Hawthorne Blvd. 26535 Summit Circle Rancho Palos Verdes, California 90275 Santa Clarita, California 91350 PCO NUMBER/REVISION: 005/3 CONTRACT: City Project No. 8405 - Ladera Linda Community Park Project REQUEST RECEIVED FROM: Don Trenholm (ACT1 Construction) CREATED BY: Christopher Tumasone (AMG & Associates, Inc.) STATUS: Pending - In Review CREATED DATE: 6/15/2022 REFERENCE: PRIME CONTRACT None CHANGE ORDER: FIELD CHANGE: No LOCATION: ACCOUNTING METHOD: Amount Based SCHEDULE IMPACT: PAID IN FULL: No EXECUTED: No SIGNED CHANGE ORDER RECEIVED DATE: TOTAL AMOUNT: $55,736.54 POTENTIAL CHANGE ORDER TITLE: CE #016 - RFI #18 Existing Grass Surface CHANGE REASON: RFI #18 POTENTIAL CHANGE ORDER DESCRIPTION: (The Contract Is Changed As Follows) CE 4015. Ri 1.#18 Existing Grass_ Surface This change event covers the cost to demo and remove the existing grass surface on the lower tier. ATTACHMENTS: ACT 7 _ Loading_HaWing Grass R;EV1 FINALodf , _PCO 4005 R2.odf , PC #R1- F # 8 Exi ti Gra rface. f , ACT 1 Loading_Hauling Grass FINAL.odf , ACT i Remove�9tockpile Sod 11N,W , _PCO #005.1)df , _Act 1.odf # I Budget Code 1 03-100.S Concrete Formwork, Reinforcement and Materials.Commitment 2 03-100.S Concrete Formwork, Reinforcement and MateriaIs. Commitment Description Act 1- Removal and Stockpile Grass Act 1- Turning, Loading, Hauling, disposal of sod, demo of irrigation Subtotal: Overhead (7.00% Applies to all line item types.): Insurance (1.50% Applies to all line item types.): Bonding (1.00% Applies to all line item types.): Grand Total: Amount $3,006.29 $47,855.18 $50,861.47 $3,560.30 $762.92 $551.85 $55,736.54 � FINAL AMOUNT $33,868.27 AMG & Associates Inc. Page 1 of 2 Printed On: 9/7/2022 09:46 AM AMG SIGNATURE City of Rancho Palos Verdes 30940 Hawthorne Blvd. Rancho Palos Verdes, California 90275 DATE SIGNATURE AMG & Associates Inc. Page 2 of 2 DATE PCO #005 AMG & Associates, Inc. 26535 Summit Circle Santa Clarita, California 91350 SIGNATURE DATE Printed On: 9(712022 09:46 AM 0 O N Z N rr N O N W CV K f� i N N cli C14 O O N N O N co -0 OD E CO d O Z a O 0�;; U a 0 c 0 00 to rn 0 N� •m o :O r N ¢O M O) o N O 10 U)LO 00 M RO N i r-- O 'M M L�aor-ornr�r- co nn r- W H N W N RC1 m N N 06 a0 10 Z Lo N fflEiT d9 Fi7 SEA FR 69 E1) 'Z Z) 4A H3 Q Im 0 Im W 6L 2 -- 0 O iul•V3 p O V> U)- 030 fA �y3 EA b9 W9 �Fp &3fl FA •vi O xa ~ N W 0 ,0 H U ' O Q E9 •ER fA ffJ d9 �EA EA •V3 69 'fig •K3 EH �ER N O H E m m O Z cn H _ N r O Z 3 cn E N � t 0 �m > 2 Y U3 T 0 O � 'O _ .y9 I� N WO Ow 1 v I� w LV Z d � O m a _ IU 7 `o W m 0. 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U] Acr constrvvtlonA6 CA °YsC# 657517, 444 Sixth Street Norco, CA 92860 951-735-1184 Time and Material Log C 2— e_-:7) z Dater_ `-'t � �. � ( Z Owner: Contractor: Project no: Project name:,c- Description of work performed:CL�_ Labor Name Trade Classification SO a' -lit ti€ate Overtime Material Egiiipment Description Quantity Unit Comments: of houn, xvorklcd only. L1hr►►� uw�wspr,e Descri tion Quantity Unit Signed: 7 q - - Date: ACanst rurtivn' CA L!C# 657517 444 Sixth Street Norco, CA 92860 951-735-1184 Time and Material Log Date: ( '-Y) -� 7 Owner: gg % Contractor: A:e: iA 1— Project no: Project name: G Description of work performed: 1 _ IV,Lal--I i .ahnr Name Trade Classification Strai `ht time Overtime cw 1< r Material Unit Comments: AMG & Associates, Inc. N1,01 ""i 'LYPROVAL -•-; , � { Name_ Po;ajon: F.nuinment Description _ Quantity Unit 5,F -'v ,4 �, i 6 cv.� cw 1< Signed: DaEc. Date: ti Can:tructioni-kE CA Y_YCI 657517 444 Sixth Street Norco, CA 92860 951-735-1184 Description of work performed: Labor Time and Material Log Date: Owner: _ Contractor:�� Project no:t.- Project name:. L r! 1.11 Name Trade Classification Strai ht time _ --Overtime k 2- -zli P �.r5 rW i V rT ZI li ��' Vim- � � � •`�� Material Description Quantity Unit Y I .9k Comments: ASG & Associates, Inc. ii Ve:-iiication of heurs worked only Name: Dti.S K Pooition: Signed: r Mg!. 71 P. 'WAWAVAWWAW Equipment Description Quantity . Unit 7 k 2- -zli P �.r5 Acr Conztrudionk CA UC . -t 6575-37 444 Sixth Street Norco, CA 92860 951-735-1184 Time and Material Log Date:Owner: Contractor: A C Project no: -21044 Project name: Le L ; tN Description of work performed: L2.6- �� G �"!O - �� � � �. ,� 7."6` u .r� � �` h Sr G � • L� �. , I� � It's` ��-1��'-�1� i,ahnr Name Trade Classification S t r a 1 g ht Ore QV -0 tirn� Material Description Quantity Unit — AMG & Ass_ociat_es, Inc. Comments: { 01 i r6 Ve ification of hours worked only W—e: 4,7ri & Position: Signed: Signed: law - Euuivnient Description Quantity Unit Date: AcrL,,,,l construction_ 444 Sixth Street Norco, CA 92860 951-735-1184 Description of work performed: Lahor Time and Material Log Date:- r ( O Owner: Contractor:} Project no: 2 2- &q Project name: tea- +" jL LrI -1.f e, ILI - Trade Classification - Sara; ht time Overtime•.= _, - &.r s -ted 2Lo��3 12. �r3 Z �" S Material Comments: — AMG & Associates, tne. K 7C Verification of hours worked only Name: J.„ Position: Siped: Signed: Da=-D.� G Eauinment ,Description Quanti w=- Unit 54p__ fu k-, 2 ►Z 4�. -ted 2Lo��3 12. �r3 Date: Acr CA LIC# -557517 444 Sixth Street Norco, CA 92860 951-735-1184 Description of jwork performed: i ,char Time and Material Log Date: } Z_ Ze Z Owner: Contractor: -{ Project no: Project name: i. - ame Trade Class fication ti'ai :iiia tiui : ►� r-vQv J t ni a __ - ti �'K- r0 Lo i �S krs Material i A ggnciates, ine. Comments: 1 uf> IV (:1 )nIV Signed: °ax.- EaUiDIMIlt Descri tion Quantity Unit Li �'K- r0 Lo i �S Date: Acr,-,,,l- NI,7 CA LIC# 6575-1-77Y 444 Sixth Street Norco, CA 92860 951-735-1184 Description of work performed: Labor Time and Material Log Date:2- Owner: Contractor: Project no: Project name: L", L Material Dcscri tion Quantity Unit Comments: AMS' & Positi Signed: DaIr--I be. Trade Classifications Straight time Overtime Material Dcscri tion Quantity Unit Comments: AMS' & Positi Signed: DaIr--I be. NON-NEGOTIABLE BILL=OF-LADING. AND TRANSPORTATION AGREEMENT. PRINCIPAL CARRIER ADDRESS..- CITY/STATE/ZIP PH UNDERLYING CARRIER (IF ANY) - ADDRESS PH. SHIPPER r RECEIVER ADDRESS_ CITY/STATE/ZIP 'F POINT OF ORIGIN BILL NO A- 7612105 JOB # BROKER # TRUCK # - TRAILER # I ADDRESS CITY/STATE2IP�! !] t. POINT OF DESTINATION • - ❑ SUPER TAG �6�'lE-ND DUMP Ll FLAT BED ❑ 10 -WHEELER Cl TRANSFER f ❑ IDE DUMP ❑ MIXER ❑ SUPER -10 Cl DBL BOTTOMS ❑ TRUCK & PUP ❑ SWEEPER ❑ STRONG ARM ❑ SEMI -BOTTOM ❑ WATER TRUCK ❑ OTHER , 4;1 -C REPORTINGTIMEI ENDINGTIME TOTALTIME DEDUCTIBLE TIME NETTIME TEND jrART. ORN'NG ARRIVI M4 LOADING RUNNINGTIME I "I•.; LAST t1up DLih L48f LAST TRIP LAST TRIP CAA 13 HOURLY ❑ TONNAGE ❑ PER LOAD RATE @ $ . , TOTALTONS ' ACCESSORIAL OTHER ! f JOB ER SIGNATURE rSHIPPERIRI±GEIVER (AGEW'O 7ffITCR) SIGNATURE NON-NEGOTIABLE BILL -OF -LADING liJb� AND TRANSPORTATION AGREEMENT PRINCIPAL 2 CARRIER ADDRESS CITY/STATE/ZIP PH. UNDERLYING CARRIER��� (IFANY) - -- - ADDRESS PH. SHIPPER AC -T 4,pj tUl��S'/�� � J IRECEIVER ADDRESS n CITY STATE/ZIP ,? A! `fi- llp-s- BILL NO. A-7238489 JOB # BROKER # TRUCK # JZ TRAILER # CA# ADDRESS CITY/STATE/ZIP ' x�r.=+_ POINT OF ORIGIN I POINT OF DESTINATLQI� DRIVER SIGNATURE SIHIPPERM1 IVER (AGENT OR DEBITOR) SIGNATURE ❑ SUPER TAG ❑ END DUMP ❑ FLAT BED 'ED HOURLY ❑ TONNAGE ❑ PER LOAD ❑ 10 -WHEELER ❑ TRANSFER ❑ SIDE DUMP ❑ MIXER ❑ SUPER -10 ❑ DBL BOTTOMS ❑ TRUCK & PUP ❑ SWEETER RATE @ f 4 1S LlSTRONG ARM 13 SEMI -BOTTOM ClWATER TRUCK LlOTHER DRIVER SIGNATURE SIHIPPERM1 IVER (AGENT OR DEBITOR) SIGNATURE TAG NO. WEIGHT COMMODITY LOADING ARRIVE DEPART UNLOADING ARRIVE DEPART STANDBY TIME BREAKDOWN OR REASON FOR DELAY END LOADING RUNNING TIME NET TIME ACCESSORIAL OTHER SUBJECT TO TERMS AND TOTAL CHA!<tG�S CONDITIONS ON RE"r'EfRSE SIDE DRIVER SIGNATURE SIHIPPERM1 IVER (AGENT OR DEBITOR) SIGNATURE NON-NEGOTIABLE BILL -OF -LADING AND TRANSPORTATION AGREEMENT PRINCIPAL CARRIER ADDRESS CITY/STATE/ZIP UNDERLYING CARRIE 60 (IF ANY) ADDRESS SHIPPER A I ADDRESS POINT OF BILL NO. DATE A- 8998548 JOB # BROKER # PH. TRUCK # f r+ TRAILER # 77 PH. CA# C Q RECEIVER {. 1 �" ADDRESS — TPISTATEIZIP Vlp4'/�Llq A OINT OF DESTINATION ■��1�1I���ila►�■���3 —LI SUPER TAG ❑ END DUMP ClFLAT BED '56OURLY LlTONNAGE LlPER LOAD ❑ 10 -WHEELER ❑ SUPER -10 ❑ TRANSFER ❑ DBL BOTTOMS ❑ SIDE DUMP ❑ TRUCK & PUP ❑ MIXER ❑ �UVEEPE a r`' RATE �s Q ' 1 @ Cl STRONG ARM ❑ SEMI -BOTTOM ❑ WATER TRUCK ❑ JTHERd b !7 IV �' �7 J- _ _ _ -��------� JOB DRIVER SIGNATURE SH19PERJRECEIVER (AGENT OR DEBITOR) SIGNATURE TAG NO. WEIGHT COMMODITY LOQ' ARRIVE DEPART UNLOADING ARRIVE DEPART STANDBY TIME BREAKDCWNOR REASON FOR DELAY Am CNI)LOADING _-R—UNNINGTIMEAARAIALTIMEN—i LAST TRIP NETTIME TOTAL TONS ACCESSORIAL OTHER ' TOTAL CHARGES SUBJECT TO TERMS AND CONDITIONS ON REVERSE SIDE IV �' �7 J- _ _ _ -��------� JOB DRIVER SIGNATURE SH19PERJRECEIVER (AGENT OR DEBITOR) SIGNATURE NON -NF.. ('`_: �ib►BLE BILL -OF -LADING TAG NO. WEIGHT COMMODITY LOADING ARRIVE DEPART BILL NO. AND TRAN:=: ORTAT}IIONN�AyGREEMENT D�TE A � 7 to i a PRINCIPAL' !{ iy rd ' CARRIER // /U JOB A -'r. _ ADDRESS — — BROKER# CITY/STATE/ZIP PH. TRUCK# UNDERLYING CARRIER TRAILER # (I F ANY) _ ADDRESS PH. CA #I SHIPPER ,-- RECEIVER ADDRESS ADDRESS 0ISTATEOPP CITY/STATE/ZIP I ISO, I JN �f�f j� POINT AF i[XON j /�� v < C. ✓ • ❑ SUPER TAG END DUMP ❑ FLAT BED OURLY Ll TONNAGE El PER LOAD ❑ 10 -WHEELER ❑ TRANSFER �:) SIDE DUMP ❑ MIXER Ll SUPER -10 LJ DBL BOTTOMS Ll TRUCK & PUP Ll SWEEPER RATE @ QQ J W %S . '0'•%T ❑ STRONG ARM ❑ SEMI -BOTTOM ❑ WATER TRUCK ❑ OTHER / &1V " JOB DRIVER 5 NATURE SHIPPEi2IRECEIVER (AGENT 00 DEBITOR) SIGNATURE TAG NO. WEIGHT COMMODITY LOADING ARRIVE DEPART UNLOADMG ARRIVE DEPART STANDBY TIME ED) M OWNOR REASON FOR DELAY SUBJECT TO TERMS AND TOTAL CHARGES CONDITIONS ON REVERSE SIDE JOB DRIVER 5 NATURE SHIPPEi2IRECEIVER (AGENT 00 DEBITOR) SIGNATURE NON-NEGOTIABLE BILL-OF-LAbING " •* WEIGHT BILL NO. AND TRANSPORTATION AGREEMENT *oA;-E A w O 11474 PRINCIPAL _ � � BREAKDOWN OR REASON FOR DELAY CARRIER JOB# ADDRESS BROKER # CITY/STATE/ZIP PH. TRUCK# ; UNDERLYING CARRIER p✓ . J t (IF ANY �- C1. ;�L '-i Gs 'mac , TRAILER # -3 ADDRESS w H. CA# SHIPPER 7•• _ RECEIVER U ` 4� ! ADDRESS ADDRESS CITYISTATEIZIP. CITYISTATE/ZIP } ;V� I . POINT O�FJ OR[G[NPOINT OF DESTINATION - ❑ SUPER TAG i_! END DUMP Cl FLAT BED 10 HOURLY ❑ TONNAGE ❑ PER LOAD ❑ 10 -WHEELER ❑ TRANSFER ❑ SIDE DUMP ❑ MIXER ❑ SUPER -10 ❑ DBL BOTTOMS ❑ TRUCK & PUP ❑ SWEEPER s /4z RATE @ ❑ STRONG ARM El SEMI -BOTTOM LJWATER TRUCK ClOTHER CL r A / � ' C �_ � � ��� J fr JOB r''` DRIVER SIGNATURE SHIPPERIRECEIVER (AGENT OR DEBITOR) SIGNATURE TAG NO. WEIGHT COMMODITY LOADING ARRIVE DEPART UNLOADING ARRIVE DEPART STANDBY TIME BREAKDOWN OR REASON FOR DELAY TIMPASTTRIP OUNIP LAST TRIJ TOTAL TIME EEE=; LAST -MIP TOTAL TO S ACCESSORIAL OTHER SUBJECT TO TERMS AND TOTAL CHARGES CONDITIONS ON REVERSE SIDE CL r A / � ' C �_ � � ��� J fr JOB r''` DRIVER SIGNATURE SHIPPERIRECEIVER (AGENT OR DEBITOR) SIGNATURE L NON-NEGOTIABLE BILL -OF -LADING ENDING TIME AND TRANSPORTATION AGREEMENT DAT PRINCIPA a,e C r CARRIER ENG LQAFHN'Q I,NST TRIP ADDRESS CITY/STATE/ZIP PH. UNDERLYING CARRIE (IFANiYI F ❑ FLAT BED HOURLY ❑ TONNAGE D PER LOAD ADDRESS PH, SHIPPER A RECEIVER ADDI CITY ADDRESS BILL NO. t A- gnp85lq JOB # BROKER # TRUC# l �f z TRAILER # 4 J CKA# 1 7 L POIQF URIGIN ENDING TIME f) _71 DEDUCTIBLE TIME POINT OF DESTINATION START CANING TIME VISI TRIP riRRNAL'pr.W AI FWMPLASTTNP ENG LQAFHN'Q I,NST TRIP YYL F;g4 G T4 tlSF TRIP ' ❑ SUPER TAG ❑ END DUMP ❑ FLAT BED HOURLY ❑ TONNAGE D PER LOAD ❑ 10 -WHEELER ❑ TRANSFER ❑ SIDE DUMP Cl MIXER r 9 ❑ SUPER -10 ❑ DBL BOTTOMS ❑ TRUCK & PUP ❑ SWEEP � RATE @ 92 L-1STRONGARM ❑ SEMI -BOTTOM Ll WATER TRUCK ❑ OTHER REPORTING TIME kIr ENDING TIME TOTAL TIME DEDUCTIBLE TIME NET TIME START CANING TIME VISI TRIP riRRNAL'pr.W AI FWMPLASTTNP ENG LQAFHN'Q I,NST TRIP YYL F;g4 G T4 tlSF TRIP IDR VER SIGNATURE TOTAL TONS II ACCESSORIAL OTHER (AGENT OR DEBITOR) SIGNATURE NON-NEGOTIABLE BILL -OF -LADING AND TRANSPORTATION AGREEMENT DATE PRINCIPAL CARRIER ADDRESS CITY/STATE/ZIP PH, UNDERLYING CARRIER I ' (IF ANY) ADDRESS ENDINGTIME TOTALTIME PH SHIPPER - �-- - RECEIVER . rl,-, ` ! START DRUM TIME LAST TRIP ADDRESS �+ ADDRESS... CITY/STATE/ZIP G �� �G f n CITYISTATE/ZIP POINT OF ORIGIN POINT OF DESTINATION ❑ SUPER TAG `J. END DUMP ❑ FLAT BED ❑ 10 -WHEELER ❑ TRANSFER ❑ SIDE DUMP ❑ MIXER ❑ SUPER -10 Cl DBL BOTTOMS ❑ TRUCK & PUP ❑ SWEEPER ❑ STRONG ARM Cl SEMI -BOTTOM ❑ WATER TRUCK ❑ OTHER _ REPORTING TIME ENDINGTIME TOTALTIME I DEDUCTIBLE TIME NETTiME START DRUM TIME LAST TRIP .7ftA1VAL TWE AT DWASPlj%STTRIP SYp L0,4d7NG I.TTRiP RUNNWr, TI Nth As-TRrP Ott DRIVER SIGNATURE TOTAL TONS BILL NO JOB # BROKER # TRUCK # _. TRAILER # r CA # iOURLY El TONNAGE ElPER LOAD RATE @ $ —Z ACCESSORIAL OTHER . JOB EIVER [AGE OR DEBITOR) SIGNATURE NON-NEGOTIABLE BILL -OF -LADING TAG NO. BILL NO. AND 7RAN PRINCIPAL �SPORTATION AGREEMENT ❑ A- 60114 75 CARRIER' y� _ i JOB # ADDRESS _ BROKER# CITY/STATE/ZIP PH. TRUCK# 71,2 UN(IF ERLYING CARRIER aCt i T_r��, �_% �� TRAILER # P7/ S ADDRESS PH. CA#�� SHIPPER, RECEIVES ADDRESS ADDRESS CITYISTATE2IP CITY/STATEIZIPk�4,�,/ LO 8(/0-s v � C Z� POINT OF ORIGIN / POINT OF DESTINATION • - ❑ SUPER TAG Cl END DUMP ❑ FLAT BED 0 HOURLY ❑TONNAGE ❑PER LOAD ❑ 10 -WHEELER Cl TRANSFER Cl SIDE DUMP ❑ MIXER ❑ SUPER -10 ❑ DBL BOTTOMS- Cl TRUCK & PUP ❑ SWEEPER / RATE ❑ STRONG ARM ❑ SEMI -BOTTOM Cl WATER TRUCK ❑ OTHER y,• i i JOB • DRIVER SIGNATURE/ SFIfPPERfRECEIVER (AGENT OR DEBITOR) SIGNATURE TAG NO. WEIGHT COMMODITY LOADING ARRIVE DEPART UNLOADING ARRIVE DEPART STANDBY TIME BfiEAIQiOWNOR REASON FOR DELAY TOTAL TONS ACCESSORIAL OTHER SUBJECT TO TERMS AND TOTAL CHARGES CONDITIONS OWN REVERSE SIDE y,• i i JOB • DRIVER SIGNATURE/ SFIfPPERfRECEIVER (AGENT OR DEBITOR) SIGNATURE NON-NEGOTIABLE BILL -OF -LADING AND TRANSPORTATION AGREEMENT PRINCIPAL y CARRIER ADDRESS CITY/STATE/ZIP UNDERLYING CARRIER (IFANY, ADDRESS SHIPPER ADDRESS BILL NO DATE A7612503 PH - PH, RECEIVER ADDRESS` CITY/STATE/ZIP 1fl84- - .t: . BROKER # TRUCK #� TRAILER#j CA# G POIII T OF pR Cyll�{•s• .f� WEIGHT COMMODITY POI>+f'��� INATION UNLOADING ARRIVE DEPART !r BREAKDOWN OR REASON FOR DELAY r � ml " ❑ SUPER TAG []-END DUMP ❑ FLAT BED QURLY Cl TONNAGE El PER LOAD ❑ 10 -WHEELER ❑ TRANSFER J SIDE DUMP ❑ MIXER f ` p ElSUPER-10 LlDBL BOTTOMS ❑ TRUCK & PUP LISWEEPER RATE @ $ / � Ll STRONG ARM ❑ SEMI -BOTTOM 13 WATER TRUCK ❑ OTHER 7'� . DRIVER SIGNATURE f F, OB SHIPPEIi1RECEIVE t GAg; T6DEB�ITOR)IGNATURE TAG NO. WEIGHT COMMODITY LOADING ARRIVE DEPART UNLOADING ARRIVE DEPART STANDBY TIME BREAKDOWN OR REASON FOR DELAY 'v -r- . .� r • . LOADING LAST TRIP it • •ACCESSORIAL OTHER TOTAL CHARGES SUBJECT TO TERMS AND CONDITIONS ON REVERSE SIDE DRIVER SIGNATURE f F, OB SHIPPEIi1RECEIVE t GAg; T6DEB�ITOR)IGNATURE ti -- • NON-NEGOTIABLE BILL -OF -LADING r %�flcr� 5 BILL NO. AND TRANSPORTATION AGREEMENT DAT UNLOADING ARRIVE PRINCIPAL L T�:C✓�,N'� _ BREAKDOWN OR REASON FOR DELAY CARRIER - JOB ADDRESS _ BROKER # CITY/STATE/ZIP PH. TRUCK# UNDERLYING CARRIER tib u7 i�,1�y� TRAILER # (IFANY) ADDRESS PH. CA# SHIPPER L j i ol's-'eu 77 RECEIVER ADDRESS ADDRESS CITY/STATE/ZIP '\L "3� L/ r.! c CITY/STATE/ZIP Nz lt' POINT OF ORIGIN POINT OF DESTINATION - ❑ SUPER TAG G END DUMP ❑ FLAT BED `HONJRLY ❑ TONNAGE ❑ PER LOAD ❑ 10 -WHEELER ❑ TRANSFER ❑ SIDE DUMP ❑ MIXER ❑ SUPER -10 ❑ DBL BOTTOMS ❑ TRUCK & PUP ❑ SWEEPER RATE @ ❑ STRONG ARM ❑ SEMI -BOTTOM ❑ WATER TRUCK ❑ OTHER _ -74.0 DRIVER SIGNATURE r JOB SHIPPERIRECEIVER (AGENT OR DEBITOR) SIGNATURE TAG NO. WEIGHT COMMODffY LOADING ARRIVE DEPART UNLOADING ARRIVE DEPART STANDBY TIME - BREAKDOWN OR REASON FOR DELAY I mam ' ®�� ACCESS ORIAL OTHER SUBJECT TO TERMS AND TOTAL CHARGES CONDITIONS ON RFAr RSE SIDE -74.0 DRIVER SIGNATURE r JOB SHIPPERIRECEIVER (AGENT OR DEBITOR) SIGNATURE NON-NEGOTIABLE BILL -OF -LADING AND TRANSPORTATION AGREEMENT PRINCIPAL �f^ CARRIER l - ADDRESS CITY/STATE/ZIP UNDERLYING CARRIER (IFANY! ADDRESS SHIPPER J ADDRESS__ CITY/STATEIZI P POINT OF OPIN ❑ 10 -WHEELER ❑ SUPER -10 ❑ STRONG ARM DATE PH. P H. RECEIVER ADDRESS- CITY/STATE/ZIP )e�"f 'r 7 z ❑ FLAT BED ❑ MIXER ❑ SWEEPERS ❑ OTHER BILL NO A- 702504 JOB # BROKER # TRUCK # TRAILER # CA#1 lgej� HOURLY ❑ TONNAGE Cl PER LOAD RATE @ / ff� ❑ SUPER TAGEND DUMP Cl TRANSFER O SIDE DUMP ❑ DBL BOTTOMS ❑ TRUCK & PUP ❑ SEMI -BOTTOM ❑ WATER TRUCK DATE PH. P H. RECEIVER ADDRESS- CITY/STATE/ZIP )e�"f 'r 7 z ❑ FLAT BED ❑ MIXER ❑ SWEEPERS ❑ OTHER BILL NO A- 702504 JOB # BROKER # TRUCK # TRAILER # CA#1 lgej� HOURLY ❑ TONNAGE Cl PER LOAD RATE @ / ff� ACT LonstructionA6 444 Sixth Street Norco, CA 92860 951-735-1184 Time and Material Log Date:c-i �/ / Owner: Contractor: Project no: Project name: Description of work performed: T�L� �� � (/r ��`�- S 1.ahar y Trade: CiassiftSa Strai hi time Overtiine Material Description,- Quantity UAit A. : ' +PS' Inc. Comments: �'�.- iJc..wn of hours worked ordv- Signed: 7 to =tX E:OWD111011 ;Deseri tionl' Quanti unit Date: Cor�struction�� CA LIC-- 557517 444 Sixth Street Norco, CA 92860 951-735-1184 Time and Material Log Date: 7 - Owner: % Contractor: A� Project no: Project name: y (. Description of work performed: �' j i .nhar N Trade Classification Strai ht time Overtime Material Description Quantity Unit Comments: AMG & Associates, Inc. _ Name: POJ) L! 0'1: Signed: Datc: EUUinment Description Q1141RILq Unit Date: AConstruction�� CA A1C# 557517 444 Sixth Street Norco, CA 92860 951-735-1184 Description of work performed: 1 ,ahnr Time and .Material Log Date:-,)Lg' Owner: Contractor: , Project no: Project name: L y Name Trade Classif cation Straight time_ Qvertime , r �•�( (Z 0 Or, I- Z Lac s 12-6, i 1 U r--4 moi`•' /1 0 T 12�r n� Material Comments: AMG & Associates, bc. Verification of hcun worked only Name: 1C)SA6 Position�=— Signed: EoUiDment Description Quanti Unit ' .Tr -('q5 .Z L cx „1 j Z i r �•�( (Z Z Lac s 12-6, � , 11' 1F WAAA —=iaw 1 ACT 0 CA L A C # -0575- 17 444 Sixth Street Norco, CA 92860 951-735-1184 Description of work performed: Q Time and Material Log Date: j -(,o ) 7- ) �� -2- z -- Owner: AI—A41 Contractor: A C' �- Project no: -2 1 O�J Project name: _LL-,� ,� L pct( -) -I JI, /I/: <; I L —S;, ' 1,.qhnr W/Am Material Description Quantity Unit Comments: AMG & Associates, Tec. NOT IF. 7�1tIftOlv7tt Venfication of hours worked only I & I A -A Position: Signed: Signed:_ DZ4 Eauipment Description- Quantit nit 8 9, k'11 tvs Date: Acr CA LIC -If 444 Sixth Street Norco, CA 92860 951-735-1184 Description of work performed: Lahnr Time and Material Log Date: O Owner: Contractor:`L,4-- Project no: 7 2 - Project Project name: e, _Name Trade. Classification; Straight time. . Overtime- .Zc,;1 Z'> Z CL a-, u �_�- 1-� t> r; Material Comments: — AMG & Associates, Inc. ,vor AN 'iPPROVAt Ven ficatton of hours worked only Name: L&k�4 ([ Position. V Signed: �`� Signed: Deter 6 Enuinment ,Description Quanti • Unit s:' f, k, 2 174 . .Zc,;1 Z'> CL Date: Acr ConsirvctionA6 Ca UC# G57517 444 Sixth Street Norco, CA 92860 951-735-1184 Description of work performed: CJ tAJ--.*'/ reit V /\ .S `�- Lahor Time and Material Log Date: , t? L, ?. 2-- z e P- Z Owner: Contractor: Project no: Project name: L��u;C� L—• G� L- Material Mgndntes, Tne. Comments: - ars • • . inly Post: i on. Signed: Daze:[ Fuuivment Description Quantity Classification 5trai Ltt ii?rge . �4yei to ._.: u 4e[s krs Material Mgndntes, Tne. Comments: - ars • • . inly Post: i on. Signed: Daze:[ Fuuivment Description Quantity Unit Li (Nors u 4e[s Date: Acr tonstrvctionA6 CC�4C:_ iS75 - 444 Sixth Street Norco, CA 92860 951-735-1184 Description of work performed: Labor dame Time and Material Log Date: Owner: Contractor: a Project no: _ Project name: L ► iu • - Comments: - AMG & As!ggq tuC+ NOT AN APPROVAL ..Wisp.. �► AmitiomsorE91 ►���� Signed: D. • Date: Trade = Classification Straight tune.J. Overtime Comments: - AMG & As!ggq tuC+ NOT AN APPROVAL ..Wisp.. �► AmitiomsorE91 ►���� Signed: D. • Date: NON-NEGOTIABLE BILL -OF -LADING. AND TRANSPORTATION AGREEMENT.-'= qAl PRINCIPAL CARRIER ADDRESS CITY/STATE/ZIP PH. UNDERLYING CARRIER IJ �•. (IFANY) C BILL NO. A- 7612105 JOB # SHIPPER - BROKER # TRUCK # RECEIVER I TRAILER # CAfl ADDRESS PH_ SHIPPER - RECEIVER I . ADDRESS f r ADDRESS CITYISTATEIZIP vr` I y(; o�' I�� �(..,=`• CITY/STATEIZIP POINT OF ORIGIN POINT OF DESTINATION " ❑ SUPER TAG 0, END DUMP ❑ FLAT BED ❑ 10 -WHEELER ❑ TRANSFER ❑ SIDE DUMP Cl MIXER / / ❑ SUPER -10 ❑ DBL BOTTOMS ❑ TRUCK & PUP ❑ SWEEPER ❑ STRONG ARM ❑ SEMI -BOTTOM ❑ WATER TRUCK ❑ OTHER REPORTINGTIME ENDINGTIME I TOTALTIME DEDUC1IBLETIME NETTIME TOTALTONS HOURLY ❑ TONNAGE ❑ PER LOAD RATE @ $ f e-1 S l ,rn ACCESSORIAL OTHER y�f �r rSHIPA �glE6E}VER (AGE�hT QR I7 1T4RjJOB SIGNATURE DRIVER SIGNATURE NON-NEGOTIABLE BILL -OF -LADING AND TRANSPORTATION AGREEMENT a IL-AlE PRINCIPAL A 7238489 CARRIER JOB # ADDRESS _ BROKER# CITY/STATE/ZIP PH. TRUCK # I.�` U? UNDERLYING CARRIER P � �I�� f (<�� TRAILER # (IF ANY) ADDRESS PH. CA# SHIPPER A C-7 Ckrl Ccy67/l('t RECEIVER — T ADDRESS ADDRESS CITY STATE/ZIP CITY/STATE/ZIP 1 0� BILL NO. ---JOB _ DRIVER SIGNATURE SHIPRERfFL1=CEIVER (AGENT OR L?E61TOi2) El SUPER TAG ❑ 10 WHEELER Ll TRANSFER ❑ SUPER -10 Cl DBL POINT OF ORIGIN POINT I DESTINAT qNN • - - BOTTOMS ❑ STRONG ARM ❑ SEMI BOTTOM U END DUMP Ll FLAT BED L] HOURLY El TONNAGE El PER LOAD ❑ SIDE DUMP 11 MIXER --•— ❑ TRUCK &PUP ] SWEEPER RATE @ $ 1 5 O_ ❑ WATER TRUCK _] OTHER, TAG NO. WEIGHT COMMODfIY LOADING UNLOADINOEM= �ET TIME ACCESSORIAL OTHER ARRIVAL DUMPLASTTHII G STANDBY BREAKDOWN OR ARRIVE DEPART ARRIVE DEPART TIME REASON FOR DELAY ��� CD�SI�BfECT �a TERMS AND TOTAL CHARGES 1 DITIONS ON REVERSE SIDE �� 1'i _ _ - ;._ : ;=��-----� -• SIGNATURE �� 1'i _ _ - ;._ : ;=��-----� -• SIGNATURE NON-NEGOTIABLE BILL-OF=LADING AND TRANSPORTATION AGREEMENT PRINCIPAL ; CARRIER: \A ADDRESS CITY/STATE/ZIP PH, I UNDERLYING CARRIE (IF ANY) BILL NO. � , A- 8098548 JOB # BROKER # TRUCK # JCS TRAILER # I ADDRESS PH CA# 17 SHIPPER ARECEIVER,� R C, rTl ADDRESS ADDRESS l/ l s POINT GT =ll,dilq 0111 ❑ SUPER TAG ❑ END DUMP ❑ FLAT BED OURLY Ll TONNAGE El PER LOAD ❑ 10 -WHEELER ❑ SUPER -10 ❑ TRANSFER ❑ DBL BOTTOMS Cl SIDE DUMP ❑ TRUCK & PUP ❑ MIXER ❑ SWEEPE o RATE @ ❑ STRONG ARM ❑ SEMI -BOTTOM ❑ WATER TRUCK ❑ OTHER 1 1 h1� rn. J a G� X06 J DRIVER SIGNATURE S ERIRECEIVER (AGENT OR DEBITOR) SIGNATURE TAG NO. WEIGHT COMMODITY � UNLOADING ARRIVE DEPART ARRIVE DEPART STANDBY TIME BREAKDOWN OR REASON FOR DELAY OWN -AR-Ri"AL11 EA DUMP LAS' ®® ACCESSORIAL OTHER SUB ECT TO TERMS AND TOTAL CHARGES CONDITIONS ON REVERSE SIDE rn. J a G� X06 J DRIVER SIGNATURE S ERIRECEIVER (AGENT OR DEBITOR) SIGNATURE NON -NE -J''(0'. -ABLE BILL -OF -LADING BILL NO. AND TRAN:_, ORTATION�ArGRrEEMENT DACE r` `i ? PRINCIPA CARRIER L - ? �.F I�`r � 7 '� z'- - JOBS .,,•. ADDRESS _. BROKER # CITY/STATE/ZIP PH. TRUCK# UNDERLYING CARRIER TRAILER # + ADDR _ f ADDRESS PH. CA # / SHIPPER Ac., � RECEIVER ADDRESS CIYISTATEMP r. INTOF OR[R N ✓{ r ❑ 10 -WHEELER ❑ SUPER -10 ❑ STRONG ARM r ,- --�;7Gz<f DRIVERS OATURE SHIPPERIRECEIVER (AGENT OR DEBITOR) SIGNATURE TAG NO. ADDRESS COMMODITY LOADING ARRIVE DEPART CITY/STATE/ZIP CITY/STATE ZIIP DEPART /� 1 •�. Jr POINTTr�q PiN1� ❑ SUPER TAG Q END DUMP Cl FLAT BED 0OURLY ❑ TONNAGE Cl PER LOAD ❑ TRANSFER Cl DBL BOTTOMS ❑ SIDE DUMP ❑ TRUCK & PUP Cl MIXER ❑ SWEEPER RATE @ $ ❑ SEMI -BOTTOM ❑ WATER TRUCK ❑ OTHER " r ,- --�;7Gz<f DRIVERS OATURE SHIPPERIRECEIVER (AGENT OR DEBITOR) SIGNATURE TAG NO. WEIGHT COMMODITY LOADING ARRIVE DEPART UNLOADING ARRIVE DEPART STANDBY TIME BREAKDOWN OR REASON FOR DELAY FFFFF um,mm. 7 TO LTIME RUNNINGTIME LAST TRI ACCESSORIAL OTHER SUBJECT TO TERMS AND TOTAL CHARGES CONDITIONS ON REVERSE SIDE r ,- --�;7Gz<f DRIVERS OATURE SHIPPERIRECEIVER (AGENT OR DEBITOR) SIGNATURE NON-NEGOTIABLE BILL-OF-LAbiNG AND TRANSPORTATION AGREEMENT— JA; E PRINCIPAL CARRIER ADDRESS CITY/STATE/ZIP PH, UNDERLYING CARRIER (IF ANY)- ADDRESS PF SHIPPER�RECEIVER cl � 4- I BILL NO. q- IS 6011.474 JOB # BROKER # TRUCK # TRAILER # �3 CA# - ADDRESS ADDRESS CITY/STATE2IP r �. c�: y `'� �! CITYISTATEIZkP POINT OF ORIGIN � POINT OF DES ~INATION - ❑ SUPER TAG ❑ END DUMP ❑ FLAT BED LOADMG ARRIVE ❑ 10 -WHEELER Cl SUPER -10 ❑ TRANSFER ❑ DBL BOTTOMS ❑ SIDE DUMP ❑ TRUCK & PUP ❑ MIXER ❑ SWEEPER J ❑ STRONG ARM ❑ SEMI -BOTTOM ❑ WATER TRUCK ❑ OTHER G - HOURLY EI TONNAGE ❑ PER LOAD RATE @ �p JOB ;' DRIVER SIGNATURE �SHIPPERIRECEIV (AGENT OR DEBITOR) SIGNATURE TAG NO. WEIGHT COMMODITY LOADMG ARRIVE DEPART UNLOADING ARRIVE DEPART STANDBY TIME BREAKDOWNOR REASON FOR DELAY ®® ACCESSORIAL OTHER SUBJECT TO TERMS AND TOTAL CHARGES CONDITIONS OR REVERSE SIDE JOB ;' DRIVER SIGNATURE �SHIPPERIRECEIV (AGENT OR DEBITOR) SIGNATURE 4 NON-NEGOTIABLE BILL -OF -LADING AND TRANSPORTATION AGREEMENT PRINCIPAL] 1 ., _/j., 'T`. —7 ADDRESS CITY/STATE/ZIP UNDERLYING CARRIE (IF ANY) ADDRESS SHIPPER s� ADDRESS PH. PH RECEIVER ADDRESS PAIN OF ORIG N POINT OF DES ❑ SUPER TAG ❑ END DUMP ❑ FLAT BED ❑ 10 -WHEELER ❑ TRANSFER ❑ SIDE DUMP ❑ MIXER ❑ SUPER -10 ❑ DBL BOTTOMS ❑ TRUCK & PUP ❑ SWEEPER 9 OTHER �1 ❑ STRONG ARM ❑ SEMI -BOTTOM ❑ WATER TRUCK ❑ REPORTINGTlMFF ENDING TIME TOTALTIME DEDUCTIBLE TIME 7t1-, 71'66 1 1.. I AV TRIP �>� D 0 DRIVER SIGNATOR NET TIME BILL NO. A- 8°85,9 JOB # BROKER # TRUCK# :719 �;7192 h a TRAILER # E CA # < HOURLY ❑ TONNAGE ❑ PER LOAD ,P Y RATE @ TOTAL TONS ACCESSORIAL OTHER (AGENT OR DEBITOR) SIGNATURE NON-NEGOTIABLE BILL -OF -LADING AND TRANSPORTATION AGREEMENT PRINCIPAL CARRIER ADDRESS CITY/STATE/ZIP UNDERLYING CARRIER (IF ANY) _ ADDRESS SHIPPER C DATE. j PH. PH RECEIVER ADDRESS t �l�+ ADDRESS CITY/STATE/ZIP ]L ��� uG CITY/STATE/ POINT OF.ORIGIN POINT OF DESTINATION ' ❑ SUPER TAG END DUMP ❑ FLAT BED ❑ 10 -WHEELER ❑ TRANSFER ❑ SIDE DUMP ❑ MIXER ❑ SUPER -10 ❑ DBL BOTTOMS ❑ TRUCK & PUP ❑ SWEEPER ❑ STRONG ARM ❑ SEMI -BOTTOM ❑ WATER TRUCK ❑ OTHER __ (-) V.t REPPOOR}TINGTIME ENDINGTIME TOTALTIME OEDUCTIBIE TIME NETTIME ��\\ 1� ri DRIVER BILL NO. A- 7112 1 JOB # BROKER # TRUCK # TR;C1 r - - tet. b,�WRLY ❑ TONNAGE ❑ PER LOAD RATE @ - TOTAL TONS I ACCESSORIAL OTHER f7; ' JOB EIVER (AGF- OR DEBITOR) SIGNATURE . A NON-NEGOTIABLE BILL -OF -LADING BILL NO. AND TRANSPORTATION AGREEMENT E PRINCIPAL 'j�,�.. % 6011475 CARRIER JOB# f ADDRESS _ BROKER # CITY/STATE/ZIP PH. TRUCK# UNDERLYING CARRIER TRAILER# (IFANY) ADDRESS `PH. CA# �o SHIPPER - f RECEIVE OB DRIVER SIGNATUREF 5 PPERlRECEIVER (AGENT OR DEBITOR) SIGNATURE TAG NO. WEIGHT COMMODITY LOADING ARRIVE DEPART UNLOADING ARRIVE DEPART ADDRESS BREAKDOWN OR REASON FOR DELAY ADDRESS CITYISTATE/ZIP •_�(/i i5fz/i�v7 J CITY/STATE/ZIP POINT OF ORIGIN � POINT OF DESTINATION • ❑ SUPER TAG VEND DUMP ❑ FLAT BED 001.)RtY ❑ TONNAGE ❑ PER LOAD ❑ 10 -WHEELER ❑ SUPER -10 ❑ TRANSFER ❑ DBL BOTTOMS- ❑ SIDE DUMP ❑ TRUCK & PUP ❑ MIXER ❑ SWEEPER ` $ RATE @ ❑ STRONG ARM ❑ SEMI -BOTTOM ❑ WATER TRUCK ❑ OTHER ,i1-5 OB DRIVER SIGNATUREF 5 PPERlRECEIVER (AGENT OR DEBITOR) SIGNATURE TAG NO. WEIGHT COMMODITY LOADING ARRIVE DEPART UNLOADING ARRIVE DEPART STANDBY TIME BREAKDOWN OR REASON FOR DELAY TIMELAZT-IRIP LAST TRIP LAS�TTRIP NET TIME ACCESSORIAL OTHER SUBJECT TO TERMS AND TOTAL CHARGES CONDITIONS GN REVERSE SIDE OB DRIVER SIGNATUREF 5 PPERlRECEIVER (AGENT OR DEBITOR) SIGNATURE NON-NEGOTIABLE BILL -OF -LADING AND TRANSPORTATION AGREEMENT PRINCIPAL CARRIER"Ef Y ADDRESS CITY/STATE/ZIP UNDERLYING CARRIER (IF ANY) ADDRESS SHIPPER J C ADDRESS_ DATE 71 PH. RECEIVER ADDRESS, CITY/STATE/ZIP BILL NO. A- 761250:3 JOB# BROKER # TRUCK # % TRAILER # CA # 3 f POA i' OF jGIN TAG NO. WEIGHT COMMODfTY 1201NMr-DESTJNAT�ON; UNLOADING ARRIVE DEPART STANDBY TIME BREAKDOWN OR REASON FOR DELAY - Cl SUPER TAG END DUMP ❑ FLAT BED OURLY El TONNAGE ❑PER LOAD ❑ 10 -WHEELER Ll SUPER -10 ❑ TRANSFER LlDBL BOTTOMS ❑ SIDE DUMP LlTRUCK & PUP ❑ MIXER LlSWEEPER ` RATE @ $ / _ `'tC ❑ STRONG ARM ❑ SEMI -BOTTOM ElWATER TRUCK LJOTHER DRIVER SIGNATURE JOB _:::SiiP RECEIVr:"GENT OR DEBITOR) SiGAIATURE TAG NO. WEIGHT COMMODfTY LOADING ARRIVE DEPART UNLOADING ARRIVE DEPART STANDBY TIME BREAKDOWN OR REASON FOR DELAY "mrigmigalm 41 m ! ® SUBJECT TO TERMS AND TOTAL CHARGES CONDITIONS ON REVERSES IDE DRIVER SIGNATURE JOB _:::SiiP RECEIVr:"GENT OR DEBITOR) SiGAIATURE NON-NEGOTIABLE BILL -OF -LADING Wil'' '"S BILL NO. AND TRANSPORTATION AGREEMENT TE A-7238490 PRINCIPAL %;? ' STANDBY TIME CARRIER"� N-'N'� - •- -- JOB # ADDRESS _ - - BROKER # CITY/STATE/ZIP PH- TRUCK# '7 UNDERLYING CARRIER TRAILER # rju L — ADDRESS PH CA# SHIPPER/l (7 Q,Aw civ-v,.47--vL/ RECEIVER ADDRESS ADDRESS CITY/STATElZIP CITY/STATE/ZIP POINT OF ORIGIN POINT OF DESTINATION ❑ SUPER TAG b END DUMP ❑ FLAT BED Zl�KOURUr ❑ TONNAGE ❑ PER LOAD ❑ 10 -WHEELER ❑ TRANSFER ❑ SIDE DUMP ❑ MIXER_ ❑ SUPER -10 ❑ DBL BOTTOMS ❑ TRUCK & PUP ❑ SWEEPER RATE q@ s J yS ❑ STRONG ARM ❑ SEMI -BOTTOM ❑ WATER TRUCK ❑ OTHER _ - DRIVER SIGNATURE JOB SHIPPERIRECEIVER (AGENT OR DEBITOR) SIGNATURE TAG 140. WEIGHT COMMODITY LOADING ARRIVE DEPART I UNLOADING ARRIVE DEPART STANDBY TIME BREAKDOWN OR REASON FOR DELAY ARRIVALTIAEAT DUMPLASrTRIP =l__RULNANSlTNTGRT,'pMF SUBJECT 4 TERMS AND TOTAL CHARGES CONDITIONS ON REVERSE SIDE DRIVER SIGNATURE JOB SHIPPERIRECEIVER (AGENT OR DEBITOR) SIGNATURE NON-NEGOTIABLE BILL -OF -LADING AND TRANSPORTATION AGREEMENT DATE PRINCIPAL -r .,.E CARRIER AMMD Gcc CITY/STATE/ZIP PH_ UNDERLYINGCARRIER (IF ANY1 ADDRESS PH SHIPPER - RECEIVER ADDRESS _ CITY/STATE/ZIP ADDRESS— CITY/STATE/ZIP POINT 9F OmtuIN r. C7 SUPER TAG a -END DUMP ❑ FLAT BED ❑ 10 -WHEELER ❑ TRANSFER '❑ SIDE DUMP ❑ MIXER ❑ SUPER -10 ❑ DBL BOTTOMS ❑ TRUCK & PUP Cl SWEEPER��r ❑ STRONG ARM ❑ SEMI -BOTTOM ❑ WATER TRUCK ❑ OTHER u If REPORTING TIME ENDING TIME TOT/Ai TIME DEDUCTIBLETIME START ORWING ARRIVALTIMEAT END LOADING RUNNING iIhiE TWE LAST TRIP DUMP LAST TRIP LAST TRIP LAST TRIP TIME TOTAL TONS BILL NO. A- 7612504 30h # BROKER # TRUCK # TRAILER # CA # ATF / HOURLY ❑ TONNAGE Cl PER LOAD RATE @ s i f�� ACCESSORIAL OTHER -' - JOB 2ECEIV R (AGENT OR DEBITOR) SIGNATURE 0 004 Z N K 04O O ti a N Lu w co N 0 N N N ri m N � LO I— co y E ° ° Z d ° d G7 U � m U o 0 '00 0 LO 00 N 61) c» Vr 'CO Lp M 00 00 (D ❑ U)!Lo Ir-� �Lo CV CD co LO �M Lci 0) O W F-- N M ❑ Z N 0 #f) 6% 64 63 69 Z Z) H9 W, KM IL) in Lu -r —1 0 LU 0 X f{} EA 6% ER :,q ce cfl 613 F» •cf? tf3 E» u3 Q O w D Z : I I 1 1 O Z Pfl bq Rfi .EA 6c3 «y 6s 64 U) Efi u9i cf} •P» N Z 0 E m F- 'C N a 0 U E N U) !o _ > O M O 2 � = w o M 0 o m U 0 m a`> n O 0 CO 0 O 0 O 0 O i i�q 0 cn N (D Il- u-) m N C1 f; r r ❑cocsi wF- cfl EH cfl 'EA •b9 .FA ER ER fH ❑z z� w 0 X w ¢ J F O :00 00 r o000oj m UJ � 00 M V }/J Q ,O 2 � 00 Om ll It lcllclq 000 N l6 N U L) L) c f0 ° m d p m N N O- n O U � u w LO Y (6 O LO � O F- Z N � W 3 N LL O a N Y o o 00 m m Z F- O ❑ O a W J N U O LocAUN a) O oW ao '00 0 LO m N 61) c» Vr 'CO Lp M 00 - i Ir-� �Lo CV CD co LO �M O O r N N 0 #f) 6% 64 63 69 H9 W, KM IL) in Lu -r —1 U) 2 W H W U 0 Z_ J Q U W IL ad U) J Q w Q g Yc �' o 0 `c' m g ai <: w m m0m g w0m� �cn U- U- oo� U)WzzJM�w 00 Y ❑ 0 0» ~O o w z H H M H 2 m OOQQnOoo F-F-2�0n -U-)— J H 0 F- J Z F- 0 Z F- W d LU Q W 0-0� 0LL 0 ❑❑ LLI LU 00 ir w aa_ ¢Q J Q O IF - Ip 69 ea I 63 II ea 61) c» Vr v3 0 0 O O J 0 0 H O D Z N Z Z 0 F- a U U) W Z of W W LU 00 c Q Z Lu 2 Q ,o O 0 a iO Z' Y U) Z x Z O 0 Q Acr Construction CA LIC# 85751'7 444 Sixth Street Norco, CA 92860 951-735-1184 Time and Material Log Date: SSG Z 2m Zo a 7— Owner: Owner: Contractor: Project no: Z. Z 8 Project name: L-0,+4 r Description of work performed: �� Labor Larne Trade Classification Strai k_cd Overdw L4 k r �' Material Descr i lion Quantiq Unit L. wciates,Inc. Comments: ` `- ANAIPPROVAL V :: i:ii:�auuu of halos worked only. N Yl Signed: Err u i ament Descri tion Quantity Unit & 5 L4 k r �' Date: 0 AConstructioA _ CA LIC4 65759 , 444 Sixth Street Norco, CA 92860 951-735-1184 Description of work performed: Time and Material Log Date: Lie - Owner: Contractor: 1 Project no: 2 F L qq Project name: Lys �,• _� pt - I—C75 "PLw i.nhar Name Trade Classification Straight time Overtime Material Descri tion Quantity ,Unit �De r_C"e? 'b -'44K q 1,If5; . . . �-uG•:�% " .ter.%— Commeritr. AN A-?FROVAL Vc: itication of hours worked only, Si ncd:( Signed: EaUiDnient scri tion ti_ Quaa_ Unit �De r_C"e? 'b -'44K q 1,If5; Date: 0 AConstructeon� CA i4Ct# 557517 444 Sixth Street Norco, CA 92860 951-735-1184 =Y 7 Time and Material Log Date: c 2-7 Z Owner: Contractor: Project no: Project name: Description of work performed: J l �--+'kj- cs'o�J s "�' L Jz' i ,ahor Name Trade Classification Straight time Overtime Ste; d��`} Material Unit a - I: Comments•?PROVAL r i� ::0[i of hours wprkcd only. l'1 ii _ _ n iln er Signed; Euuinment Descri _ tion Quandt'. Unit .ASID 'S Ste; d��`} Date: AMG & Associates Inc. 26535 Summit Circle Santa Clarita, California 91350 Phone: (661) 251-7401 Fax: (661) 251-7405 RFI #18 Project: 01-22-157 - Ladera Linda Community Center and Park 32201 Forrestal Dr. Rancho Palos Verdes, California 90275 Lower Tier Existing Grass Surface TO: Chandra Sutton (AMG & Associates, Inc.) FROM: Christopher Tumasone (AMG & Associates, 26535 Summit Circle Inc.) Santa Clarita, California 91350 26535 Summit Circle Santa Clarita, California 91355 CREATED DATE: 05/25/2022 LOCATION: COST CODE: COST IMPACT. DRAWING NUMBER: RECEIVED FROM: STATUS: Open DUE DATE: 06/09/2022 REFERENCE: SCHEDULE IMPACT: SPEC SECTION: COPIES TO: Dustin Hartman (AMG & Associates, Inc.), Randy Hartman (AMG & Associates, Inc.), Anthony Traverso (AMG & Associates, Inc.) , Christopher Tumasone (AMG & Associates, Inc.) SUGGESTION: According to the Architectural/Landscape documents, the lower tier is designed to receive new irrigated grass lawn. The demo sheets do not call for the existing grass surface to be removed. Please confirm the existing grass on the lower tier is to be removed and advise on how the contractor is to proceed. Attachments: C1 J_ DEMOLITIQN PLAN Rev.0 markup [21.fldf As per Spec 329200, Turf and Grasses, Section 3.3 C: If lawns are to be planted in areas unaltered or undisturbed by excavating, grading, or surface soil stripping operations, prepare surface soil as follows: 1. Remove existing grass, vegetation, and turf. Do not mix into surface soil. 2. Loosen surface soil to a depth of at least of 6 inches. Apply soil amendments and fertilizers according to planting soil mix proportions and mix thoroughly into top 6 inches of soil. Till soil to a homogeneous mixture of fine texture. a. Apply fertilizer directly to surface soil before loosening. 3. Remove stones larger than 1 inch in any dimension and sticks, roots, trash, and other extraneous matter. 4. Legally dispose of waste material, including grass, vegetation, and turf, off Owner's property. -JF 5/31/22 BY DATE COPIES TO AMG & Associates Inc. Page 1 of 1 Printed On: 05/25/2022 02:43 PM w W I V o � .1 5c fig Lzj V.7 Al� lai W I V o � .1 5c 8405 Ladera Linda CCO 11 Final Audit Report 2022-12-15 Created: 2022-12-07 By: James ONeill Qoneill@rpvca.gov) Status: Signed Transaction ID: CBJCHBCAABAAutNeUQzV1nHn0—pExJV XpzmZCQRexYB "8405 Ladera Linda CCO 11" History Document created by James ONeill ooneill@rpvca.gov) 2022-12-07 - 9:57:43 PM GMT Document emailed to Lincoln Lo (Ilo@rpvca.gov) for signature 2022-12-07 - 9:59:12 PM GMT Email viewed by Lincoln Lo (Ilo@rpvca.gov) 2022-12-07 - 10:05:45 PM GMT GS© Document e -signed by Lincoln Lo (Ilo@rpvca.gov) Signature Date: 2022-12-07 - 10:11:00 PM GMT - Time Source: server Document emailed to Ramzi Awwad (rawwad@rpvca.gov) for signature 2022-12-07 - 10:11:04 PM GMT Email viewed by Ramzi Awwad (rawwad@rpvca.gov) 2022-12-15 - 1:26:21 AM GMT �'► New document URL requested by Ramzi Awwad (rawwad@rpvca.gov) 2022-12-15 - 1:26:28 AM GMT �S© Document e -signed by Ramzi Awwad (rawwad@rpvca.gov) Signature Date: 2022-12-15 - 1:36:32 AM GMT - Time Source: server Q Agreement completed. 2022-12-15 - 1:36:32 AM GMT 13 Adobe Acrobat Sign