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AMG and Associates Inc (Change Order 003)City of Rancho Palos Verdes Department of Public Works 30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 (310)544-5252 www.DublitworksCc)rpvca.gov CHANGE ORDER MEMORANDUM TO: RAMZI AWWAD, DIRECTOR OF PUBLIC WORKS FROM: ERIN JONES, GRIFFIN STRUCTURES DATE: AUGUST 31, 2022 SUBJECT: LADERA LINDA COMMUNITY PARK CONSTRUCTION CHANGE ORDER NUMBER: 3 Description of Construction Change Order The work includes hazardous materials removal and disposal of the existing underground water lines that were discovered to contain asbestos. Justification The plans called for removal of the existing underground domestic water lines. During excavation the existing pipes were found to contain asbestos, requiring application for a separate AQMD permit and special handling and disposal of the material. Cost Analysis Due to the unknown extent of the asbestos piping, the work was performed on a time and material basis. Griffin Structures reviewed work tickets each day to confirm accuracy of labor hours, equipment hours, and materials used. The labor and equipment rates are in line with State of California published rates, and the charges for materials and disposal are substantiated with actual receipts. Schedule Analysis The contractor presented a Time Impact Analysis demonstrating that the hazardous materials removal delayed the start of survey and grading for the building pad (critical path activities). Griffin Structures compared the contractor's analysis to the actual timeline of events, and discussed with contractor who agreed to an impact of 11 Working Days. Attachments: Construction Contract Change Order Form Construction Contract Change Order Summary Sheet Contractor's Change Order Proposal City of Rancho Palos Verdes Department of Public Works 30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 IRL(310)544-5252 www. ublicworks r vca. ov 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: $120,689.35 DATE: 08/31/22 ORIGINAL CONTINGENCY AMOUNT: $1,029,075.00 NEW CONTRACT AMOUNT: $13,841,689.35 REMAINING CONTINGENCY AMOUNT: $908,385.65 ORIGINAL COMPLETION DATE: 07/27/23 TOTAL SCHEDULE CHANGE ORDERS: 11 Working Days NEW CONTRACT COMPLETION DATE: 08/11/23 CHANGE ORDER NUMBER COST AMOUNT SCHEDULE EXTENSION DATE C0#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 Working Days CO#5 Working Days CO#6 Working Days CO#7 Working Days CO#8 Working Days CO#9 Working Days C0#10 Working Days 1of1 City of Rancho Palos Verdes Department of Public Works LA 30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 (310)544-5252 www. ublicworks r vca. ov CONSTRUCTION CHANGE ORDER FORM CONTRACT NUMBER: FY2022-050 PURCHASE ORDER NUMBER: 20220215 CHANGE ORDER NUMBER: 3 CONTRACTOR NAME: AMG & Associates, Inc. DESCRIPTION AND LOCATION OF PROPOSED WORK PROJECT NAME: Ladera Linda Community Park PROJECT CODE: 8405 DATE: 08/31/22 Hazardous materials removal and disposal of existing underground water lines that were found to contain asbestos. SUMMARY OF QUANTITY CHANGES ITEM SPEC ORIGINAL NEW QUANTITY UNIT PRICE ADDITIONAL NO. CODE DESCRIPTION QUANTITY QUANTITY DIFFERENCE PRICE DIFFERENCE WORKING DAYS AMG PCO 7 - RFI 13 - Remove unforeseen transite 1 24119 pipe 0.0 LF 582.0 LF 582.0 LF $91.97 $53,526.25 11 0 0.0 0 $0.00 0 0.0 0 $0.00 0 0.0 0 $0.00 0 0.0 0 $0.00 0 0.0 0 $0.00 Totals $53,526.25 11 A TIME EXTENSION OF 11 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 #1-2: $67,163.10 TOTAL OF TIME EXTENSIONS #1-2: 0 Working Days TOTAL OF CHANGE ORDER #3: $53,526.25 NEW CONTRACT AMOUNT $13,841,689.35 TOTAL OF TIME EXTENSIONS #3: 11 Working Days 1 of 2 NEW COMPLETION DATE: 08/11123 City of Rancho Palos Verdes Department of Public Works 30940 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 IqL(310)544-5252 www. t1t]Iiok orks P rpvca gov CONSTRUCTION CHANGE ORDER FORM CONTRACT NUMBER: FY2022-050 PURCHASE ORDER NUMBER: 20220215 CHANGE ORDER NUMBER: 3 CONTRACTOR NAME: AMG & Associates, Inc. PROJECT NAME: Ladera Linda Community Park PROJECT CODE: 8405 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 Erin .tones 1�� Date: 8/31122 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 Date: 202209.0111:43:00-07'00' Date Contractor: Anthony R. Traverso Vice President/Secretary/Treasurel Signature Accepted and Executed by: ) City: Ramzi Awwad Date: _ 0 C 2 - Contractor Officer §7ignature �&/— Ramzi Awwad Date: 2- %-:2— Public Works Director Signature Trang Nguyen t Date: Finance Director Slg ature,' 2of2 AG PCO #007 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 #007: CE #008 - RFI 13- Existing Asbestos Water Line TO: City of Rancho Palos Verdes FROM: 30940 Hawthorne Blvd. Rancho Palos Verdes, California 90275 PCO NUMBER/REVISION: 007/2 CONTRACT: REQUEST RECEIVED FROM: Janet Estrada (Interior Demolition Inc.) CREATED BY: STATUS: Pending - In Review CREATED DATE: REFERENCE: PRIME CONTRACT CHANGE ORDER: FIELD CHANGE: No LOCATION: SCHEDULE IMPACT: 15 days EXECUTED: No AMG & Associates, Inc. 26535 Summit Circle Santa Clarita, California 91350 City Project No. 8405 - Ladera Linda Community Park Project Christopher Tumasone (AMG & Associates, Inc.) 6/27/2022 None ACCOUNTING METHOD: Amount Based PAID IN FULL: SIGNED CHANGE ORDER RECEIVED DATE: TOTAL AMOUNT: POTENTIAL CHANGE ORDER TITLE: CE #008 - RFI 13- Existing Asbestos Water Line CHANGE REASON: Unforeseen Condition POTENTIAL CHANGE ORDER DESCRIPTION: (The Contract Is Changed As Follows) CE #00.8 - RFI 13- Existing Asbestos Water Line No $53,526.25 ATTACHMENTS: PCO #007 R2y_df , _PCO #007_ R1 RFI 13 AsbeSlo� Water Li_ne.pdf , _Chafe Order 3 - Asbestos Water Line_Change Order CREDIT,pdf , PCO #007 FI 1 Existing as r Lint Removes p�f , Chance Order 2 - Removal pf Transile Pipe.011 , 655-001-01 Invoice.odf , T&M 6-3_2022 Tra_nsite Pipe Removal .pdf , TRM6-2-20 Transite PiM mQy4f pf , T&M 6-1-2022 Transite Ppe Removal .pdf , T&M 5.3t-2f�22Lran i e P Removal.pdf , T&M 5-23-2012 Tran%Pto Removal odf , Directive- Erin,_gnes Re &t!p tos 3 Line Ft�mQv�l.oaf , RFI 13-KPFF_ _ ri Re_sponse.pdf , jmpact No 4-2022.gd1 , T8M 5 4-2022 _TTAwikhP Removv,0LW # Budget Code Description Amount 1 02-220.S Site Demolition.Commitment cost to remove the unforeseen transite pipe $22,293.13 2 02-0003 General.Commitment cost for survey around unforeseen pipe $1,980.00 3 02-000.S General.Commitment AMG General Conditions: Time Extension of 15 Calendar Days. $25,768.65 4 02-220.S Site Demolition.Commitment credit for removal of water line per original documents $(1,197.28) Subtotal: $48,844.50 Overhead (7.00% Applies to all line item types.): $3,419.12 Insurance (1.50% Applies to all line item types.): $732.67 Bonding (1.00% Applies to all line item types.): $529.96 Grand Total: 1 $53,526.25 AMG & Associates Inc. Page 1 of 2 Printed On: 8/19/2022 01:40 PM i" J AMG SIGNATURE DATE City of Rancho Palos Verdes 30940 Hawthorne Blvd. Rancho Palos Verdes, California 90275 SIGNATURE AMG & Associates Inc. Page 2 of 2 DATE PCO #007 AMG a Associates, Inc. 26535 Summit Circle Santa Clarita, California 91350 SIGNATURE DATE Printed On: 8/16/2022 08:25 AM qrwk' IN DEMOL/T/ON, INC DEMOL/T/ON •ABA TEMENT•EAR7NWOR/r L/00 d05409 - /8/81249.4932 Change Order 2 June 22, 2022 REVISED 08/1212022 Between the Owner. AMG & ASSOCIATES, INC 28296 Constalation Rd. Santa Clarita, CA 91355 And the Contractor: Interior Demolition, Inc. 2621 Honolulu Ave. Montrose, California 91020 United States CSLB# 603409 818.249.4932 For the Change Order: Change Order 2 Corporate armee 2621 flono/ulc/ .9venue 1I4717trose, 6191020 c v ww • Ire terivrdema I 'tion • ne t For the Project: 2207* 32201 Forrestal Dr. Rancho Palos Verdes, CA 90275 Listed below is an itemized description for the above mentioned Proposal Request. Description: Time and Material of the removal of Transite Pipe. Name Descriptlon CAY 05/23/2022 $97.05 Each Leonardo Caro Laborer 8 Jose Cosme Lopez Operator 8 300 Excavator Each 8 05/31/2022 $125.97 Each Leonardo Caro Asbestos Worker 7 Frank Medina Asbestos Worker 4 David Chavez Asbestos Worker 7 06101/2022 $125.97 Each Leonardo Caro Asbestos Worker 8 David Chavez Asbestos Worker 8 Frank Medina Asbestos Worker 8 cost Unit Martaip Amount $97.05 Each $116.46 $892.86 $128.68 Each $154.42 $1,183.86 $210.00 Each $252.00 $1,932.00 $125.97 Each $132.27 $1,014.06 $125.97 Each $75.58 $579.46 $125.97 Each $132.27 $1,014.06 $125.97 Each $151.16 $1,158.92 $125.97 Each $151.16 $1,158.92 $125.97 Each $151.16 $1,158.92 Jose Cosme Lopez Operator 2 l $128.68 Each $38.60 $295.96 Francisco Espinoza Asbestos Worker 2 $125.97 Each $37.79 $289.73 Excavator 2 $210.00 Each $63.00 $483.00 Service Truck Delivery 1 1 $450.00 Each $67.50 $517.50 06/02/2022 Frank Medina Asbestos Worker 8 $125.97 Each $151.16 $1,158.92 David Chavez Asbestos Worker 8 $125.97 Each $151.16 $1,158.92 Fernando Garcia Asbestos Worker 8 v" $125.97 Each $151.16 $1,158.92 06/0312022 Fernando Garcia Asbestos Worker 6 $125.97 Each $113.37 $869.19 David Chavez Asbestos Worker 6✓ $125.97 Each $113.37 $869.19 Frank Medina Asbestos Worker 6'� $125.97 Each $113.37 $869.19 973 3 $157.00 Each $70.65 $541.65 Material & Disposal , 6 MIL 20X100 FLAME RETARDANT POLY 4 $108.00 Each $64.80 $496.80 2U/PLT INLINE SUPER SPRAY GLUE CARB COMPLIANT 10 S $38.80 Each $5.82 $44.62 OZ (12EA/CS)(126CS/PL7) INLINE 48MM 10 MIL TEAL DUCT TAPE 24/CS 27CS(PL $126.00 ` Each $18.90 $144.90 T311 PROTEGA P2 ' POLYPROPYLENE 2oz XL 10 $1.90 o- Each $2.85 $21.85 HOOD B BOOT SUIT WHITE 251CS FIBERLOCKFIBERSET 1 $54,80.- Each $8.22 $63.02 PM WHITE ENCAP 7470 4 MIL 20X100 FLAME f RETARDANT POLY 1 $74 OO " Each $11.10 $85.10 351PL T WM Disposal r 1 W $1,523.14 " Each $228.47 $1,751.61 40 Yd Dumpster IDI Equipment 1 -,/ $1,200.00 Each $180.00 $1,380.00 TOTALS $2,907.80 $22,293.13 CONTRACTOR ACCEPTANCE SIGNATURE DATE OWNER ACCEPTANCE SIGNATURE DATE Mir AF% MW /LATER/OR d!G'MOLITIaN, /NC. m6w MME oe"mI7/ON•4&.a rxn"--Vr-C4R r"wcwm L/Ct Qo"C-v - /aJa/z-1049 2 PROJECT NAME CONTRACTOR Interior pe mol6)n. Inc. HOURLY LABOR RATE WORKSHEET TRADE: 2E2ralor Eng. CLASSIFICATION: Corporate Of,rce 2627 Nolo/u/u Avenue /l9ontrose, CA 97020 www •/nteriardemo/'titin •ne t PROJECT NO. CONTRACT ND. DATE Item % Rah Rrevalling Wage Rate Notes Regular Time Overtime I Double Time Base Labor Rate $ 52.21 $ 78.32 $ 104.42 Pi:ne�r eenalk Paw PMvidad Fringe Benefits: (na x ti woke e04 Pension' x l 13.15 13.15 13.15 ' HealthlVllelfare x11 ' 11.65 11.85 11.85 TraininglCertification'x 1.05 1.05 1.05 VacabonlHoliday' x (^ 3.60 3.60 3.60 ODW x 0.39 0.39 0.39 Fringe Benefits Subtotal S 30.04 $ 30.04 $ 30.04 Total Hourly Rate S 82.25 $ 108.36 $ 134.46 ° Base Labor Rail + Benefits Paid . Benefits Provided Total Paid Hourly Rate S 82.25 $ 108.36 $ 134.46 Base Labor Rare + Benefits Paid Burden: Taxes d Insurance FICA 0.062 5.10 6.72 8.34 Medicare 0.0145 1.19 157 1.95 Federal Unemployment O.D06 0.49 0.65 0.81 California Unemployment 0.062 5.10 6.72 6.34 Workers Compensation' 0.131 10.77 14.19 1781 General Liability Insurance 0.289 2377 31.31 38.86 Burden Subtotal S 46.43 S 61.17 S 75.90 TOTAL HOURLY RATE (Total Hourly Rate + Burden) $ 128.68. S 169.52 $ 210.36 = Amount Contractor paid to employee ConsfmvWn Argrm 103 33 - We MWmpqb qw /LATER/ORO.EMdLIT?'ON. /NC. mmu Mow M&1 ocw0ti7742iv•aearz76fAwr•e AvrrrwcPmA It. aosaos • /sus/ran iwz PROJECT NAME CONTRACTOR Interior Demolition. Inc. HOURLY LABOR RATE WORKSHEET TRADE: Asbestos Laborer CLASSIFICATION: Corporate 0,-71-ee 2621 Nolo/u/u Avenue /Jfo�trose, Cf/ 91020 www•/ntcrrordcmaJr't�bf� •net PROJECT NO. CONTRACT NO. DATE Rem %Rate Pre►rsilina Wage Rate Notes Regular Time Overtime Double Time ✓ Sase Labor Rate $ 37.49 $ 5624 S 74.98 Beram Beek Paid Rodded Fringe Benefits: (pdxlrrappwWoba4 Pension' x S 10.07 '� 10.07 10.07 HealthlWeHare' x �} 8.10 '� 6.10 8.10 Training/Certification' xLn' 0.75 / 0.75 0.75 VacationMoliday' x OL 4.97 i 4.97 4.97 Other x 0.51 0S1 0.51 Fringe Benefits Subtotal $ 24.40 24.40 $ 24.40 Total Hourly Rate $ 61.69 �S/ 5 60.64 S 99.38 = Base Labor Rate + 8enerds Paid + BenefAs Provided Total Paid Hourly Rate $ 61.89 5 80.64 S 99.38 - Bam LaborRate + Benerds Peid eurden� Taxes & Insurance FICA 0.062 3.84 5.00 6.16 Medicare 0.0145 0.90 1.17 1.44 Federal Unemployment 0.006 0.37 0.48 0.60 California Unemployment 0.062 3.84 5.00 6.16 Workers Compensation' 0.447 27.66 36.04 44.42 General Liability Insurance 0.444 27.47 35.79 44.11 Burden Subtotal S 64.08 S 83.49 $ 102.90 TOTAL HOURLY RATE (Total Hourly Rate + Burden) $ 125.97 164.12 $ 20226 I= Amount Contractor paid to employee Construction Mgft. 70333 • 100 MWwMOP /LATER/OR OEMOL/T/ON, /NC. Amff nEwrac�r�cv-.aeare�vrwr �a�rrrrrrowx ucr so,r;ov • /s�s/a�p fps PROJECT NAME CONTRACTOR interior0emabon, Inc. HOURLY LABOR RATE WORKSHEET eorPorote Of�;ce 2621 1-!0,70/u/u Vmeo we /Montrose, eA 91020 www-/,7teriordemo/'tion •ne t PROJECT NO. CONTRACT NO. DATE TRADE: Laborer CLASSIFICATION: GnT 1 Canshwben Mgnt 703.33 - IWO P'revelling Wap Rate Item % Rete Notes Regular Time $ 37.4 Overtime I $ 56,15 Double Time $ 74.86 Base Labor Rate Bin Bennet Paid Presided Fringe Benefits: ipaixnepp�opnaieaaxl Pension' x I ,��`j� 10.32 10.32 10.32 HeaIWWebre' x L . / 8.10 8.10 8.10 Training(Certftition' x 1'I V 0.70 0.70 0.70 VacatiorJHoliday' x 4.87 4.87 4.87 Other x 0.61 0.61 0.61 FrirW Benefits Subtotal $ 24.60 $ 24.60 $ 24.60 To la! Hourly Rate $ 62.03 60.75 $ 99.46& + 8enerits Paid+ S To i a! Paid Hourly Rate $ 62.03 $ 80.75 $ 99.46 =Base Labor Rate +9wWbPaid Burden. Taxes & Insurance FICA 0.0620 3.85 5.01 6.17 Medicare 0.0145 0.90 1.17 1.44 Federal Unemployment 0.006 0.37 0.48 0.60 California Unemployment 0.062 3.85 5.01 6.17 Workers Compensation' 0.131 8.13 10.58 13.03 General Liability Insurance 0.289 17.93 23.34 28.74 Burden Subtotal $ 35.02 $ 45M $ 56.15 TOTAL HOURLY RATE (Total Hourly Rate + Burden) $ 126,33111 155.61 = Amount COnlrador paid to empto Canshwben Mgnt 703.33 - IWO Mir Ab MW /LATER/OR OEMOL/T/ON, /NC MMFMEFMM OENOL/770"-d Ba TLNEWT---AJ?rYW0,90 zl"v do"Cpp • /e/Q/2tDtDJ2 PROJECT NAME Corparate Office 2621 Hono/u/a Avenue /!/o�trose, CA 81020 www•%teribrsemo/'titin •ne t PROJECT NO. CONTRACTOR Interior Demolition, Inc. CONTRACT NO. DATE HOURLY LABOR RATE WORKSHEET TRADE: Drrvar CLASSIFICATION: Construction MOW 703.33 - 1000 P-yevallingWa Rate Rem % Rate Notes Regular Time Overtime I Double Time Base labor Rate $ 22.54 $ 33.81 $ 45.08 tler� tlenefa Pae Proviaea Fringe Benefits: (w X in swovutehu) Pension' x $ 0.08 0.08 0.08 HeatthlWelfana x 2.05 2.05 2.05 TraininglCertificationx - - - VocationlHoliday' x 0.33 0.33 0.33 Other x . Fringe Benefits Subtotal S 2.46 S 2.46 $ 2.46 Total Hourly Rate $ 25.00 S 36.27 S 47.54 a Base Labor Rate + BenefAs Pad + Bewfits Provided Total Paid Hourly Rate S 25.00 $ 3627 $ 47.54 -Base Labor Rde + Swrds Pad Surd on: Taxes 8 Insurance FICA 0.062 1.55 2.25 2.95 Medicare 0.0145 0.36 0.53 OAS Federal Unemployment 0.006 0.15 022 029 California Unemployment 0.052 1.55 2.25 2.95 Workers Compensation' 0.184 4.60 6.67 8.75 General Liability Insurance 0.315 7.87 11.41 14.96 Burden Subtotal S 16.08 S 23.33 $ WAS TOTAL HOURLY RATE (rota) Hourly Rate + Burden) $ 41AB $ 59.60 $ Tl.12 = Amount Contractor paid to employee Construction MOW 703.33 - 1000 End Dump Trucking Charge FUEL Fatal Rauntrip Miles 6 Miles per Gallon $7 per Gallon+ 120 20 $140 Depreciation Equiptment per day SIN Driver jOn/Off-Hauling To/From 1 Hourly Rate Hours Total 1 $41.08 8 $328.64 qr MF% qr IN OEMOL/T/ON, INC 11 ,,. DEMOLI rlom ABA rEMENr• EAR7wwoRK L/CO 605409 • /B1B/249.4P" EFFECTIVE: JANUARY 2022 HOURLY EQUIPMENT LIST Corporate 0#1-ce 2627 Ralialu/u Avenue Iftl7trose, 6191020 www•//Jterinrder, �dI tion •/!et EQUIPMENT RATE CAT 300 EXCAVATOR $210.00 CAT 320 EXCAVATOR $225.00 CAT 320 EXCAVATOR W/BREAKER $280.00 CAT 325 EXCAVATOR $225.00 CAT 325 EXCAVATOR W1 BREAKER $340.00 CAT 336 EXCAVATOR $240.00 CAT 336 EXCAVATOR W/BREAKER $330.00 CAT 345 EXCAVATOR $350.00 CAT 345 EXCAVATOR W/BREAKER $400.00 CAT 345 EXCAVATOR W/PULVERIZER $380.00 CAT 345 EXCAVATOR W/SHEAR $380.00 CAT 973 TRACK LOADER $210.00 BOBCAT 225 $155.00 BOBCAT 225 W/BREAKER $190.00 NEW HOLLAND BACKHOE 75B $185.00 NEW HOLLAND BACKHOE 75B W/BREAKER $220.00 SEMI END DUMP $450.00 40 Yard Container (Special Waste) $1200.00 1. ALL EQUPMENT RATES ARE OPERATED AND MAINTAINED. 2. RATES ARE STRAIGHT TIME: OVERTIME WILL BE CHARGED WHEN APPLICABLE 3. PRICES TO MOBILIZE EQUIPMENT $750.00 SERVICES REOUESTED• BDC SPECIAL WASTE SERVICES SERVICE PRDFR EIR0I DNRI5 REL C LIVE ❑ A WASTE MANAGEMENT COMPANY - - 0 ❑ YES QUANTITY t AIN NQpaS L1apER F ACCOUNTVABE J 544 2263 1211 W. GLADSTONE ST AZUSA. CALIFORNIA 91702 WOO 245289 i 20 R.T ❑ (626) 224-9128 (626) 224-9129 (626) 224-9134 40 C.T C 40 S.T f -I S S 1 ORDER DATE/TIME. • CUSTOMER: PHONE C}TR PLACED BY &7:2022 INTERIOR DEMO 818-248-4932 MICHELLE SER►+IGEf]ATE171ME J09 NAME OF RPV GENERATOR TIOR DEMO CITY OF RPALOS VERDES SERVTCE 46DRESS - ADDRESS REQUIRED ONO 32201 FORREST AL DRIVE CITY, STATE, ZIP CODE 13.-4r TOTAL HOURS CITY, STATE, ZIP CODE AM L 1 L' ��R� PM / RANCHO PALOS VERDE! CAE 90275 TOTAL SITE # SIT7Rn �ga502 GEN CONTACT: GEN CONT PHONE p FRANC CUSTOMER SIGNATURE SITE CONTACT *2 I SITE PHONE M. Il E.ZA p AI.�0031724' 7 SERVICES REOUESTED• T DEL ❑ SIO D EIR0I DNRI5 REL C LIVE ❑ 1_ � �• PO N - DEL GIN NUMBERS. ❑ YES QUANTITY t AIN 2 D BIN ❑ NO DEL BIN TYPE LOIBOY C_l 20 O T O 20 S B ❑ 20 S T i 20 R.T ❑ 40 O T 40 R T 9 40 C.T C 40 S.T f -I S S 1 PAJ r PACKER - DISPOSAL BILLED TO i PROFILE 9 OTHER I BDC ❑ CUSTOMER r 1 Damage pictures taken? MANIFEST3j% iA&S X YES BIN LINERS 4 YES 1 / % S C NO REQUIRED ONO Cube Van ❑ Roll -OB {� Semi❑ F _•". iy SIZE t BIN fl SIZE VA QT # QTv ~ MAN'FEST r, OTY T� PF TSDFIWASTE TYPE JOB fi CONTAINER INSPECTION YOU MUST WEAR YOUR RESPIRATOR ANYTIME YOU r_- HAVE TO GO INSIDE OF THE BOX TO CLEAN IT OR LINE ITI 1_ � �• PO N - DEL GIN NUMBERS. aRIF1ER5 NAME - L 3 Do all dour, Inds and b!nders work properly? --- Is the inside of the container clean and free of holes? - - - (ILTST[3MER EMAIL - - - _ Is there graffiti on the container? y acn�il E5 e'EHrUKM V Ave there BDL; SWS suckers on ad four s)des" Document all stand-by times, Damage pictures taken? Yes HAZARD MANIFEST )NON -HAZARD MANWES r� ; 1 / % S Start Leave Job Site Job Site J :posa Disposal Yard Stop Time Ya•d ,. r,vai t?eF.aR Arrival Denart- Aval Tie mm 13.-4r TOTAL HOURS _ AM AM Af►1 AM Att '�gIL4 /) yJ PM PM PM PM PM / PM Pr.V PM AM L 1 L' ��R� PM / DAY 2 Date UNIT d TRAILER : TOTAL HOURS AM AM AM AM AM AM AMS AM AM PM PM Phi PM PM PMi PM PM A PM _ CUSTOMER SIGNATURE O M'71 3 �Azusa Land Reclamation Original t �L 1211 W. Gladstone St. Ticket# 1258917 wwenwuwMS'S"M Azusa, CA, 91702 Ph: 626-224-9127 Customer Name WM BDC WM BDC SPECIAL WASTE S Carrier BDC WM BDC Ticket Date 06/09/2022 Vehicle# 412569 Volume 40.0 Payment Type Credit Account VehicleLicense: 81,54189 Manual Ticket# Container Hauling Ticket# Check# Manifest 023154271JJK Billing# 0000025 Generator 144 -VARIOUS VARIOUS LOCA11ONS POM Profile CA304450 (FRIABLE ASBESTOS) Time Scale Operator Inbound Gross 37440 lb In 06/09/2022 10:45:37 Scale 3 JAREBALC Tare 31460 Ib Out 06/09/2022 11:02:44 Scale 3 JHOLSTAD Net 5980 lb Tons 2.99 Comments Product =O+ Qty UOM Rate Tax Amount Origin - 1Asb Friable -BIN -Asbestos 130 1.00 Each - Rancho Pa 2 MFE-e-Manifest (Landfill 100 1.00 Each Rancho Pa Total Tax Total Ticket Drivers Signature or erewnMftftr ID UNFORM KWRDOUS 1. tlurrba WASTE MANFEST 5 cwfolallwi NVM MW c -fry, (J RpVCMi AMAMLOG krLRL-S 307MO 144WHORNE BUT, R04 C A 0 PAJQS t14** S A M21,: : 4 t MIX SOC' S?aC�- A' WkFTE SERvfc-&s. I Tmx" 2 CwvM N� 8 DmW41ad FacAq N" and Sib Ad&= A —7 U S A U J .1 D R E, : L ;, W T 'I L L, , lith. 1211 W GLAOSTC#JS ST .-.2.,:...v -12- -1..; 1- , 'i , , , FadlfsPhoae: .R gd-17 7T ga gh U S- DOT Desai idm [rdArg Pmpat ShopiV Harm Kam Class. ID Mynbor. Md wall Podwv C-0 (I ar441 N A 2 217 A SMSTOIF P W 0 uj uj z z w mm Form AMeDvea. OMB No- 20540039 oloiT3 —Dmgwwy ReWw ftwe " "w" 151 .7 1 JJK CITY OF RMJC'#iC) F,,%; 312011 FORRESTALORNM RANCHO PAL C S VERDES CA QW745 CIAROOD'Ie"OPI LIS EPA ON~ U—S EPA Narrtber C A D 0 0 M 0 7 6 2 ( 110 CWK*M 11 TOW 12- Unk 13. W13b Coda IJo Tete ouw* I WLNOL 751 CAA y I-- 1211 W. Glad-Qw-A 99, Av-4z CE 9t. 702 (628)Z24 -4I29 F,of.1v0--;,31U4450 15 GEMERATORVIDIFFERORS CERTRIDATION: I hmby dedwe ft ft oordetb of ft am*rtmwd 8m k* &W a=Faidy dasaI m abow by re pow arippht nam, aird am d3wNW. packaged -&Ud and blmWVz=rded, and an in al msp" n pow wratim for Vvispon aomrdM b atppl>cabk nbmaiam and nabti pave mserttti repiabo n M e mart szeprrrmrt "IwnftP"wv EKPDdK I =* 141 tM =*M d ft =WrdrAM aatbne Io ft leans of 1* alldW EN Admw&drwt of ca"t condy IrM the v95W niffnizal!w slabft &-MAW in 40 CFR Mj?(m I I am a large (Nartly perimby or (b fe, I arm a si,.ai! Quanbly generatorl is L V -Aa O~bUS OE-pwift—mus Pcd d @"at a. -WL -,- f)-- - Li c 84 Dwewwy ndcmm space a iT� Ras" ❑ 11.,o Reled.1 ur&,? q Ram R US EPA if) Mxrkw LL F Sgutom 'Allierraim Facillitf Gwerm 19 Iftwifts Waste Repoli MwapffwK Meowd Corks o cAm br huwftn wask troutymd, dspos4 any rwyclin systems 2D Nsgolled Fan llity Nm or Operabr Url*a5on d MOO & tOZ"X'j ffMKMl$ WMW by the rtts is1 moepi as nmed n Isom I Ea EPA Form MCv,%, 12-17f tv*0.s edoDm are obsOce u T Owy wwme WASTE IYIA YAMEMENT i Visitwm-Com To setup yw 0**profil- 9P W for paperiez statements, mwege Your aaoa nt, view tdday srdnedufes payyur kNoiceor sdxAkapidw w w 0 Customer Service: (800)221-4232 INVOICE Customer ID: Customer Name: Service Period: Invoice Date: Invoice Number: Due Upon Receipt 0 full pVw" a(theirmwmd amm" ns not reakvd v&nynur cora: ua! terms.ym may bedurgWa morrft knedw9eof 2-5% of the urpaidamaur%w+th a nwryun m nft charge of $ 5. or sudn We charge alowW under applicable law, regulatlm or contract Page 1 of 2 26-30829-33005 INTERIOR DEMOLITION INC 06/01/22-06/15/22 06/16/2022 7957714-0149-9 $12,449.13 Previous Balance Payments Adjustments Current Invoice TotalAccount Charges Balance Due 10,925.99 E 0.00 0.00 1,523.14 712,449.13 Details for Service Location: Customer ID: 26-30829-33005 Interior Demo City Of Rancho Palos Verdes, 32201 Forrestal Dr, Rancho Palos Verdes CA 90275-6162 Description Date Ticket Quantity _ Amount 40 YD SPECIAL WASTE 06/09/22 830678 1.00 1,148.00 023154271JJK 2.99TNS 0.00 E- MANIFEST FEE 1.00 25.00 MANIFEST PREP & DEL CHG SP WST 1.00 8.20 MANIFEST PREP & DEL CHG SP WST 100.00 20.00 LABELS 0.00 GOVT FRAN REG FEE SP WASTE PER 1.00 26.41 Tkket Total 1.227.61 FUEL/ENVIRONMENTAL CHARGE Late Paymen1Charge for 05/02/2022 Invoice 7957267 06/01/22 253.46 42.07 --------------------------------- Please detach and send the lower portion with payment - - - (no cash or staples) - - - - - - - - - - - - - - - . - WASTR ann,wA86000 T USA WASTE OF CALIFORNIA, INC BDC/BIG DISPOSAL PO BOX 43530 PHOENIX, AZ 85080 (800)221-4232 (626)334-3386 FAX 06/16/2022 Payment Terms Due Upon Receipt 7957714-0149-9 Total Due $12,449.13 26-30829-33005 Amount 0149000263082933005079577140000015231400001244913 5 10149038 INTERIOR DEMOLITION INC Remit To: WM CORPORATE SERVICES, INC. 2621 HONOLULU AVE AS PAYMENT AGENT MONTROSE CA 91020-1706 PO BOX 541065 LOS ANGELES, CA 90054-1065 THINK GREEN: C U f' ® cc Printed on Details for Service Location: Interior Demo City Of Rancho Palos Palos Verdes CA 90275-6162 Description Total Current Charges i6ji 2 of 2 Verdes, 32201 Forrestal Dr, Rancho Customer ID: 26-30829-33005 Date I Ticket I Quantity 1 Amount --1 1,523.14 HOW TO READ YOURINVOICE 5 EASY WAYS TO • . List your new billing information below For a change of service address, please contact WM. Automatic Payment C~" Set up recurring payments with us at City win com/myaccount Pay Through Your Financial Institution Zip Make a payment from your financial institution using Management Anything beyond that date may your Customer ID Bank Account Holder Signature One -Time Payment Date Valid At your desk or on the go, use win com or our WM At your VISIt wm.eom mobile app for a quick and easy payment $124.73 Pay by Phone total amount of current charges and any Payable 24/7 using our automated system at 866-964-2729 Mall It ilpp 0 Write it, sluff it, stamp it. mad it Envelope provided Customer ID: 26-30829-33005 Date I Ticket I Quantity 1 Amount --1 1,523.14 HOW TO READ YOURINVOICE ❑ Check Here to Sign Up for Automatic Payment Enrollment List your new billing information below For a change of service address, please contact WM. If I enroll in Automatic Payment services, I authorize WM to pay my invoice by electronically deducting money from my bank account I can cancel authorization by notifying WM at wm.com or by calling the customer service number listed on my Invoice. Your enrollment could take 1-2 billing cycles for Automatic Payments to take effect. Continue to submit payment until page one or you invoice reflects that your payment will be deducted. Address 1 Address 2 City States the date payment is due to waste State S Zip Date Management Anything beyond that date may Email Bank Account Holder Signature Date Valid incur additional charges Your Total Due is the VISIt wm.eom August 19, 2017 $124.73 total amount of current charges and any * ^"previous ap)1n,•tn,r$ unpaid balances combined ilpp 0 A�--•-••-••• ��• „•.,..,,� .„ ,.. 126.-te, oen9rtea sus.w ,,,,,,.,. �...-,..,....r, Previous balance is the fatal due from your previous invoice We subtract any Payments L Recelved/Adjustme nts and add your Current Charges from this billing cycle to tx + 9„11 + non + �. xr = taa.xs get a Total Due on this invoke. If you have wiwi,. s«.,r. t•r«... r,•v.,.riu r.xxr9o-a+tn not paid all or a portion of your previous ]ii Ndro"br� 5iodmn[x 9sxOS ro w.e•. .569, balance. please pay the entire Total out to e.. �,. ...,.. mlo avoid a late charge or service interruption y * p •+,n ••. umn• w Service location details the total current ....eo, charges of this invoice Get More with My WM Scan to enroll in AutoPay & Paperless Billing, �s manage your services, view your pick up schedule and see your pick up ETA, all in one place. Scan the QR code to get started today) %Ij Visit wm.com/MywM If your service is suspended for non-payment, you maybe charged a Resume charge to restart your service For each returned check, a charge will be assessed on your next invoice equal to the maximum amount permtted by applicable state law- [:] aw ❑ Check Here to Change Contact Info ❑ Check Here to Sign Up for Automatic Payment Enrollment List your new billing information below For a change of service address, please contact WM. If I enroll in Automatic Payment services, I authorize WM to pay my invoice by electronically deducting money from my bank account I can cancel authorization by notifying WM at wm.com or by calling the customer service number listed on my Invoice. Your enrollment could take 1-2 billing cycles for Automatic Payments to take effect. Continue to submit payment until page one or you invoice reflects that your payment will be deducted. Address 1 Address 2 City Email State S Zip Date Email Bank Account Holder Signature Date Valid NOTICE: By sending your check, you are authorizing the Company to use information on your check to make a one -lime electronK debit to your account at the financial insildUmn indicated on your check The electronic debit is be for the amount of your check and may occur as soon as the same day we receive your check In order for us to servx:e your account or to collect any amounts you may owe (for non -marketing or solicitation purposes), we may contact you by telephone at any telephone number that you provided in connection with your account. including wNeiess telephone numbers, which could resit in charges to you Methods of contact may include text messages and using pre-recorded/artificial voice messages andlor use of an automatic eliaing device, as applicable We may also contact you by email or other methods as provided in our contract Please send all bankruptcy correspondence to RMCbankruptcyPwm com or Po Box 43290 Phoenix, A7 85080 Using the email option will expedite your request (this language ism compliance with 11 USC 342(4(2) of the Ranknimry mile) a.� a - REMIT TO: Inline Distributing Company 14093 Balboa Blvd, Sylmar, CA 91342 P: 818 768.33331 inlineco.com BILL TO: INTERIOR DEMOLITION 2621 HONOLULU AVE MONTROSE, CA 91020 Los Angeles Houston INVOICE San Francisco Orlando INVOICE NO. PAGE INVOICE DATE CUSTNO. Seattle New York 1198972-00 1 of 1 05104122 5872 Denver Boston CUSTOMER PO PO DATE UPC i Atlanta Dallas 2207 000000 1 Detroit 441073 _ ""' DELIVERY_ INSTRUCTIONS 74 00 29600 DELIVER WED 514 @730AM 5 800239 SHIP TO: 6 660040 FORRESTAL DR 32201 FORRESTAL DR ALEJANDRO 562-528-2436 RANCHO PALOS VERDES, CA 90275 INLINE JOB# 554 DATE SHIPPED SHIP VIA 1 SHIP POINT SALESPERSON TERMS 05/04/22 IDC Inline - Sylmar Div 1 1000 N30 LINE ITEM 0 DESCRIPTIONICOMMENTS UIM ORQTY BACK O7Y UNIT AMOUNT DERED BACK SHIPPED. PRICE • 1 660048 6 MIL 20X100 FLAME RETARDANT POLY RL 10 0 10 108.00 108000 CS 1 0 5 3880 19400 CS 0 20/PLT 2 880913 INLINE SUPER SPRAY GLUE CARB COMPLIANT 125 0 125 10 OZ 112EA/CS Ii 126C S/PL T I 3 880100 ! INLINE 48MM 10 MIL TEAL DUCT TAPE 241CS I 54 80 27CSIPLT 311 4 441073 PROTEGA P2 POLYPROPYLENE 20Z XL HOOD 8 74 00 29600 BOOT SUIT WHITE 25iCS 5 800239 FIBERLOCK FIBERSET PM WHITE ENCAP 7470 6 660040 4 MIL "10X100 FLAME RETARDANT POLY 35iPL T CS 1 0 5 3880 19400 CS 0 3 12600 37800 EA 125 0 125 1 90 237 50 5G 1 0 1 54 80 54 80 RL t 0 74 00 29600 Total T ES iUT4L • 224030 Delivery Chg 2000 2 5°/ Srvc 5urcriarge 5601 Taxes 218 17 Invoice To! al 253448 1IME5H07 SHIPPED WEIGHTFREIGHT CHARGE5 ORDER 1043.800001 0.00 VALUE 2534.48 "' FOR CHEMICAL EMERGENCY CALL (800) 424-9300 .,e i , ^` � 1S A9_L ciiA.RGES N �:FG IN T•IF CRFE'1i AVP I�NIIIIIIIIIIIIIIIIIIII 1116111111111111111111111111111111111111111�11111111111111 INV 1198972-00 WW% W /NTER/OR OEMOL/TION /NC. aft m6p Ia onvauracsv•A�ea�ar rr-E"MOW^ uD s AA •/ersl v.�asr )1'mon A.M.,o) INTERIOR DEMOLITION. INC � 11 �5 l I�J�G�iJ�►�� t "w"y ��ii% EMPLOYEES ID AILY TIME AND MATERIAL DATE - EMPLOYEE NAME TRADE RATE HOURS WORK ACCOMPLISHED �� ABe2 MATERIAL I SUPPLIES DESCRIPTION OF MATERIAL RECEIVED I OTY f OUANTITY ( MATERIAL USED EQUIPMENT OWNED MAINTENANCE/REPAIRS RENTED RATE HOURS DISCRIPTION i I ti UL 1 atawl♦ _ WWrwin ,, r wMF% qr /N TER/OR O£MOL/T/ON. //VC AF M60 mmF Vj^foLIffOH AHS rzI fr I LAMP rHWOA'n ue'e evi'eov /eye/ riv a vs� IN FEl IOR 1-1 ION INC' PLOYEES DAILY TIME AND DA I I fir...^. MATERIAL MATERIAL / SUPPLIES EQUIPMENT OWNED MAINTENANCE! 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For mak'(-Ials �[ Los Angeles Houston INVOICE i An San Francisco Orlando INVOICE NO. ;PAGE INVOICE DATE MUST NO. �� Seattle New York 1198972-00 11 Of 1 05/04122 5872 Denver Boston CUSTOMER PO PO DATE UPC REMIT TO: Atlanta Dallas 2207 Inline Distributing Company 14093 Balboa Blvd. Detrol) �1 _OOOOD0 ""' DELIVERY INSTRUCTIONS Sylmar, CA 91342 DELIVER WED 514 @730AM P: 818.768.33331Inlineco.com I� — - BILL TO: SHIP TO: INTERIOR DEMOLITION FORRESTAL DR 2621 HONOLULU AVE 32201 FORRESTAL DR MONTROSE, CA 91020 ALEJANDRO 562-528-2436 LINE ITEM # 1 2 3 4 5 6 RANCHO PALOS VERDES, CA 90275 INLINE JOB# 554 DATE SHIPPED SHIP VIA SHIP POINT SALESPERSON _TERMS 05104/22 I IDC Inline -Sylmar Div 1 1000 N30 QTY I NICK QTY I UNIT AMOUNT DESCRIPTIONICOMMENTS U/M ORDEUD 0li0 P ' I 660048 6 MIL 20X100 FLAME RETARDANT POLY RL 4,10 201PL7 1 880913 INLINE SUPER SPRAY GLUE CARS COMPLIANT CS I 10 OZ (12EA/ )(126CS/PLT) 12 e0! Q� 880100 INLINE 48MM 10 MIL TEAL DUCT TAPE 24/CS f " CS 27CS:PLT 311 27 peer, v 441073 PI ROTEGA P2 POLYPROPYLENE 20Z XL HOOD B EA BOOT SUIT WHITE 251CS 800239 FIBERLOCK FIBERSET PM WHITE ENCAP 7470 513 66OD40 4 MIL 20X100 FLAME RETARDANT POLY RL 35/PLT 0 10 0 5 0 3 OI 125 108.00 01 1080.00 38.80 54.80 194.00 126.00 4 378.00 1.90 237.50 1 01 1 54.80 54.80 F i ! 0 4 74.00 296.00 Total Delivery C49 f r, 2.5% Srvc $utchwge r0} ;Taxes 1 JInvoice TOT W j ll� oLk/L c0( d o M an C- 1 � � 4 i wNR+Fstti T CNaRGES ORDER — 224030 20.00 5601 21817 2534.48 UMES TGT —i++u7 6 1043.80000 0.00 VALUE 2534.48 `•' FOR CHEMICAL EMERGENCY CALL (800) 424-9300 •.. " PLUSTTO TERMSS AND CONTAINED APPLICABLE THE PPING CHARGES" *'S UaJECT TO TERMS CONTAINED IN TME CREDn APP " 11111l1N 11 IN�Ilggqql q�lglq�l lull INV 1198972-00 On Point Land Surveying, Inc. 1906 Orange Tree Lane Suite 240 Redlands, Ca 92374 Bill To AMG & Associates. Inc. i 26535 Summit Circle Santa Clarita, CA 91350 r POINT L A N D S U R V F Y I N G. I N C Project 655-001 Ladera Linda Park, Rancho PV Description 05-25-22- Calcs and cut sheets for building envelope staking. Prep for field work at the request of client. (2.0 hours office @$I20/hr 05-26-22- Verify control and set control for construction staking purooses. Construction staking for building envelope at the request of client. (5.0 hours field S240/hr 4.5 hours travel CS 120/hr) Thank you for your business. (909)792-2221 sharia onpointlandsurvo ing.com Invoice Date Invoice # 5/31/2022 655-001-01 P.O. No. Terms Amount 240.00 1.740.00 Balance Due fax (909) 783-1836 wwa .onpointlandsurvey ing.com S1.980.00 /LATER/OR DEMOL/T/ON,, //VC. DEMOL1TION -A &A MAZENr•EARMWORK L/CO 603409 • f$/8JZ49.4932 Change Order 3 July 26, 2022 Between the Owner: AMG & ASSOCIATES, INC 28296 Constalation Rd. Santa Clarita, CA 91355 Contact Primary Telephone And the Contractor: Interior Demolition, Inc. 2621 Honolulu Ave. Montrose, California 91020 United States CSLB# 603409 818.249.4932 For the Change Order: Change Order 3 - Credit Carparaee Office 26211-Ionolu/u Atrel7ae lftl7e,nose, CA 91424 www -hieriordemol -tion - 17e t For the Project: 2207" 32201 Forrestal Dr. Rancho Palos Verdes, CA 90275 Listed below is an itemized description for the above mentioned Proposal Request. Description: Asbestos Water Line Change Order Credit Name Descdpbon MY Cost Unit Amount Operator 8 $123.41 Each -$987.28 Excavator 1 $210.00 Each -$210.00 TOTALS 51.197.28 Nr 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LM 0 0 0 0 0 0 0 0 0 0 N Ln O O O O O O Ln Ln O i �`i Ln O �O N N -- Jo:). Jol�. JZ4 J24 � FQ4 j2Pr � 46� J W w C! W _J J F— O L 0 o cn L Q. ZD W J c0 U_ +-' U C 0 N -Q c Q y Q C C_ C w J L t C.J O a� C 4, r LU L cLC C_ C.. L v O V CV.. CL cn p ca U IW- > cn Q 0- V V V V V V V V U V V U V Q Q Q Q Q Q Q Q Q Q O i �`i AG AMG 6 Associates Inc. 26535 Summit Circle Santa Clarita, California 91350 Phone: (661) 251-7401 Fax: (661) 251-7405 RFI #13 Project: 01-22-157 - Ladera Linda Community Center and Park 32201 Forrestal Dr. Rancho Palos Verdes, California 90275 Existing 3" Asbestos Water Line TO: Chandra Sutton (AMG 6 Associates, Inc.) FROM: Christopher Tumasone (AMG & Associates, 26535 Summit Circle Inc.) Santa Clarita, California 91350 26535 Summit Circle Santa Clarita, California 91355 CREATED DATE: 05/04/2022 LOCATION: COST CODE: COSTIMPACT. DRAWING NUMBER: RECEIVED FROM: STATUS: Open DUE DATE: 05/19/2022 REFERENCE, SCHEDULEIMPACT. SPEC SECTION: COPIES TO: Dustin Hartman (AMG & Associates, Inc.), Chandra Sutton (AMG & Associates, Inc.), Christopher Tumasone (AMG & Associates, Inc.) SUGGESTION: On May 4th, 2022 the underground utilities contractor was performing site investigation to cut and cap the existing 3" water line and provide a temporary water POC for course of construction. During investigation, the existing 3" water line was found to be asbestos pipe. The demolition plans require that the waterline to be demolished and removed. The pipe is not identified as asbestos pipe. Please provide direction on for this unforeseen condition. Attachments: KPFF RESPONSE: THE WATER LINE WOULD BE CONSIDERED A HAZARDOUS MATERIAL AND WOULD REQUIRE A LICENSED DEMOLITION SUB TO PERFORM THE WORK. THE PIPE WOULD NEED TO BE REMOVED, WRAPPED, LOGGED AND TAKEN TO A SPECIAL SITE. WATER LINE FALLS UNDER CALWATER JURSIDICITON AND THEY MAY HAVE SPECIFIC DETAILS OR PROTOCOLS FOR CONNECTIONS. KPFF WILL REACH OUT TO CALWATER TO DETERMINE REQUIREMENTS FOR CONNECTION. K. FINCH 5/11/2022 Additional Response 5/12/22, Griffin Structures: The attached laboratory report confirms the presence of asbestos in the sampled water pipes. Proceed with AQMD notification and removal of transite piping per the attached "Procedure 5" prepared by H2 Environmental. Provide a copy of AQMD approval prior to removal. In accordance with Article 1 10 c (iii) track the work related to RFI 13 on time and materials tickets, and submit to Griffin Structures daily for verification. BY DATE COPIES TO AMG & Associates Inc. Page 1 of 1 Printed On: 05/04/2022 01:09 PM LA Testi ng 5431 Industrial Drive Huntington Beach, CA 92649 TESTING Tel/Fax: (714) 6284999 I (714) 828-4944 http://www LATesting.com f gardengrovelab@latesting.com Attention: Thomas Haley H2 Environmental Consulting Services 13122 6th Street Chino, CA 91710 Project: Griffin Strictures 2307122AM LA Testing Order: 332210283 Customer ID: 321-12EN50 Customer PO: 2307122AN Project ID: Phone: (909) 322-9100 Fax: (909) 613-5845 Received Date: 05/05/2022 3:20 PM Analysis Date: 05/06/2022 Collected Date: 05/05/2022 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 Method using Polarized Light Microscopy Noe sMs ey n� tt s Asbestos Sample Doscription Appearance %Fibrous %Non -Fibrous %Type 01-01 Northside building #1 Brown/Gray/White 80% Non-fibrous (Other) 15% Chrysotile - Transits pipe Fibrous 5% Crocidolite 3322102630001 Heterogeneous 01-02 Northside buAdtng #1 Brown/GrayMlhite - Transits pipe Fibrous 3322102630002 HelelOgenei 01-03 Northside building #1 Browrti - Trensite pipe Fibrous 3322102630003 Analyst(s) Alexis Rodriguez (1) Jeffrey Wang (2) 84% Non-fibrous (Other) 12% Chrysotile 4% Crocidolite 83% Non-fibrous (Other) 12% Chrysotile 5% Crocidolite --------------- J Michael Chapman. Laboratory Manager or Other Approved Signatory LA Teeing ma+nta:ns liability limited to cast Of analysis . Irnerpretalron and use of t0st resulls art the respo%brbN of the client ThrS report relalc5 Only to the samples reported soave, and may nol be reproduced, except In full, mlWuI writlen appoval by Lok Tosting. LA Testing bears no responsMity tow samp10 mRection "Witias OF analytical method Lmixaliohs The report refleO4 the mmiptas as received. Results are generated from the field sampling data (sampling volumes and areas, localions, etc.) provided by the client on the Crain of Custody. Samples are withvt quality oontrod criteria and met method specifications union otherwise noted. The above analyses were performed In general compliance with Appendix E to Subpart E of 40 CFR (previously EPA 6001M4-s2-020'Interim Method-) but augmented with procedures outlined M the 1943 ("lira/") version or the method This report mutt not be used by the diets to clam producl cemfication, approval, or endorsemeru by NVLAP, NIST or any agency of the f0deral govemmenl hon4 iable ofganmcatly bound motenads present a pmWm matrix and therefore LA To"nq recommends grawraetric reduction prior to analysis Unless requested by the client, building materials menufaetured with multiple layers (i.e. linoleum, wallboard, etc.) are reported as a single sample Estimation of uncertainty Is avaflebte on request - Samples analyzed by LA Testing Huntington Beach, CA NVLAP Lab Code 101384-0. CA ELAP 1406 J Initial report from: 05/06/2022 17:42:16 ASB Pl rr 0008 0001 - 1 78 Printed: 5/62022 2:42 PM Page 1 of 1 May 11, 2022 Attn: Asbestos Toxic Supervisor South Coast Air Quality Management District FAX: 909-396-3342 Air Toxics Unit 21885 East Copely Drive Diamond Bar, CA 91765-4182 Re: Asbestos Toxic Supervisor — 2307122 P5 The City of Rancho Palos Verdes Asbestos Piping — Ladera Linda Park 32201 Forrestal Drive, Rancho Palos Verdes, CA 90275 300 SF 4" Transite Pipe Subject: Request for Review and Approval of Proposed Work Practices Procedure 5 Removal and clean-up of Transite piping (300 SF of 4" Transite Pipe) Dear Asbestos Toxic Supervisor, For technical questions or comments regarding this report please feel free to contact Thomas Haley at Thomas@h2env.com or by cell phone 909-322-9100. The City of Rancho Palos Verdes will begin work on the pipe located at 32201 Forrestal Drive, Rancho palos Verdes, CA. The City of Rancho Palos Verdes hired Interior Demolition to perform Clean-up activities at this location. Transite piping was discovered near the Ladera Linda Park Building #1 construction area. The City of Rancho Palos Verdes has located approximately 300 SF of 4" Buried Transite Pipe. The City of Rancho Palos Verdes then contacted H2 Environmental to have the material inspected, survey, write and receive an approved SCAQMD Procedure 5 work plan, then conduct project oversight for the asbestos abatement project. H2 Environmental was hired by The City of Rancho Palos Verdes to assess the project and if it was determined to be asbestos containing, then write up the Procedure 5 work plan for this project. Site Findings On May 5, 2022 H2 Environmental's Mr. W. Thomas Haley (CAC) walked the site during the inspection and was informed that there was suspect buried transits piping that was to be sampled and removed as a part of this Project. Asbestos samples were collected of the piping, collected for PLM analysis and submitted for laboratory analysis by Polarized Light Microscopy (PLM) utilizing the EPA 600/R-93/116 method to LA Testing Laboratories (NVLAP Huntington Beach #101384-0), a licensed California State Laboratory located at 5431 Industrial Drive, Huntington Beach, CA 92649. (714)828-4999. 13122 6th Street • Chino, CA 91710 (909) 628-0369 • Fax(909)613-5845 0 H2 Environmental. com H2 Environmental dispatched Mr. W. Thomas Haley (CAC) to the above referenced site. The following material was discovered and a total of (3) samples were collected for PLM analysis and submitted for laboratory analysis by Polarized Light Microscopy (PLM) utilizing the EPA 600/R- 93/116 method to LA Testing Laboratories (NVLAP Huntington Beach #101384-0), a licensed California State Laboratory located at 5431 Industrial Drive, Huntington Beach, CA 92649. (714)828-4999. Asbestos Bulk Sample Results MATERIAL LOCATION F/NFA % ACM EST. QUANTITY DESCRIPTION 4" Transite Pipe North Side of Building #1 NF 715% Chrysotile 300 SF "During the inspection of the work area where the Transite pipe was discovered, the piping was disturbed and was assumed to be asbestos by a Certified Asbestos Consultant. The material was assumed to be Asbestos (Transite Pipe) per Our Certified Asbestos Consultant (CAC No. 95-1702) Mr. W. Thomas Haley on this pipe is ACM per SCAQMD Rule 1403, and should be abated as such. 13122 6th Street • Chino, CA 91710 (909) 628-0369 • Fax(909)613-5845 • H2Environmental.com I am providing you with an overview of proposed work practices that summarizes a conversation between H2 and the contractor. The City of Rancho Palos Verdes is planning to use Interior Demolition, as the asbestos abatement contractor to complete this work. WORK AREA IS: To remove and dispose of approx. 300 SF of 4" Transite Pipe. 1. Install asbestos danger tape around the perimeter of the excavated work area to construct a regulated area. 2. Construct a remote 2 stage decontamination unit with wash station near the regulated area but inside the fenced lot so the area can be left secure. 3. Perimeter monitoring will be conducted by H2 Environmental. 4. The proper removal and disposal of Transite material from the staging area. (Approx. 300 SF) of Transite pipe line is to be removed and put into clear double 6 -mil polyethylene waste bags or place burrito wrapped large pieces in 2 layer E- mil polyethylene sheeting with asbestos labels and markings and sealed prior to being put into the waste dumpster. Bags, Burrito wrapped shall be labeled with manifest number, generator name and address where it was removed from. 4A The Transite pipe is to be uncovered using a backhoe. The transite shall be protected during this process using a spotter and the depth verified by hand shovel. No Damage to pipe is acceptable. 4B If the aid of the backhoe is required to lift piping only Nylon Strap is acceptable but must be protected with poly sheeting or disposed of. 'Chains or pipe clamp lifts are NOT ACCEPTABLE'. 5. Apply wet removal techniques to entire clean-up process. No excessive water shall be used, use an airless sprayer and mist the air and pipe. Any additional water shall be collected using rags and disposed of as ACM. 6. The Asbestos Containing Waste Material (ACWM) consists of 12 SF Transite Pipe. All Asbestos Containing Waste Material (ACWM) will be double bagged in clear labeled 6 -mil polyethylene bags or place burrito wrapped large pieces in 6 -mil polyethylene and disposed of as hazardous waste in a (2) layer 6 -mil lined end dump container, labeled in accordance with OSHA. The waste materials will be transported by a licensed waste hauler to an approved landfill. 6.5 Should any pipe be damaged or found to be damaged during this process a minimum of 12" of soil shall be removed and disposed of in a radius of 2 feet from damage. 7. Receive and successfully pass a visual inspection of all trenches by H2 Environmental. 8. Apply encapsulant to trenches 9. There are no stored items in these areas that will require disposal. 10. H2 Environmental will thoroughly inspect all trenches and surfaces inside the regulated and adjacent to the regulated area prior to it being turned over to the General Contractor or removal of all signage or danger tape. 13122 6th Street - Chino. CA 91710 (909) 628-0369 - Fax(909)613-5845 - H2Environmental.com J5 Y' "11 A&F, "rA1- J PROJECT OBJECTIVE: The objective of this work plan is to provide a work procedure that will ensure that the asbestos debris clean-up will not cause a further contamination to the site. This work plan will discuss the approach necessary to achieve the above goals using the best controls available within the guidelines set forth under Rule 1403. Further, all work for this project will comply with all applicable Federal. State and Local regulations. DESCRIPTION OF WORK: Remove all asbestos containing debris from the affected areas, according to procedures outlined in Cal/OSHA Title 8 CCR1529.1 asbestos, AQMD Rule 1403 & FED/OSHA 29 CFR1926.1101. WORKER PROTECTION: All personnel entering the work area will be equipped with Type A, Half Face Respirators at a minimum. Workers will be required to wear two (2) tyvek suits. Bodily decontamination will be completed as described in FED/OSHA 29CFR 1926.1101 and Cal/OSHA 1529.1 asbestos. Worker decontamination will be accomplished in a decontamination unit affixed to the work area. EQUIPMENT: The work site equipment will consist of, but not limited to, the following items: 6 mil polyethylene sheeting, HEPA vacuum must have SCAQMD permits (current proof of certs. Must be onsite), Airless sprayers, Hand tools, Roll away carts, PPE, Decontamination Units, Scaffolding, Ladders, backhoe. ABATEMENT PROCEDURES: Prior to the abatement procedure, the work areas will be thoroughly pre -wetted and continually wetted throughout the abatement process with the use of airless sprayers. All visible, loose asbestos debris will be removed and hard surfaces will be decontaminated using HEPA vacuums and wet methods. After all asbestos material within the unit are removed, and pass a visual; clearance. The abated substrate will be encapsulated with an approved substrate encapsulant material. DISPOSAL: Once the removal is completed. ACWM will be properly bagged and labeled and placed into properly lined (2 layers, 6 mil) Asbestos approved dumpster. All asbestos containing materials will be disposed of as hazardous waste, according to SCAQMD Rule 1403 and Cal/OSHA CCR Title 8, at an approved Asbestos Landfill. 13122 6th Street • Chino, CA 91710 (909) 628-0369 e Fax(909)613-5845 - H2Environmental.com FNVf F,9NJA-F,,tJ-FAJ- TRANSPORTATION: All Asbestos Waste shall be transported by a California Department of Toxic Substances Control (DTSC) Transporter. AIR MONITORING AND INSPECTION PROCEDURES: H2 Environmental will provide a California Certified Consultant/Site Surveillance Technician to complete benchmark (background) air monitoring, daily work area monitoring and final air clearances. Daily work area and containment inspections will be completed. Pre work commencement inspections, pre -encapsulation and final visual inspections will be conducted to ensure compliance with EPA, OSHA and CCR Title 8 regulations. Perimeter monitoring to insure that there is no fiber migration. The final clearance criteria are established at 0.01f/cc for this project. Results of any and all clearances (visual, air, wipe, etc.) will be documented and such documentation will provided to both the client and the abatement contractor. Asbestos Contractor: Interior Demolition Consulting Company (CAC): H2 Environmental Consultina Services W. Thomas Haley, CAC At this time we are requesting a favorable review and approval of this Procedure 5 Plan. Work is scheduled to begin TBD and take TBD days to complete, based on the notification. If after your review you have any questions or require additional assistance, please do not hesitate to telephone our office at (909) 628-0369. Sincerely, H2 Environmental Consulting Services W. Thomas Haley Vice -President Certified Asbestos Consultant #95-1702 SCAQMD Approval: APPROVAL NUMBER # DATE DATE Asbestos Toxic Supervisor South Coast Air Quality Management District Air Toxics Unit May 11, 2022 May 11, 2022 13122 6th Street a Chino, CA 91710 (909) 628-0369 - Pax(909)613-5845 0 H2Environmental.com Date: May 5th, 2022 Griffin Structures Project: Ladera Linda Community Center and Park 32201 Forrestal Dr. Rancho Palos Verdes, CA 90275 Re: Impact Notice: #1 ISSUE: Existing 3" Asbestos Water Line Via E-mail: ejones@griffinstructures.com On May 4th, 2022 the underground utilities contractor was performing site investigation to cut and cap the existing 3" water line and provide a temporary water PDC for course of construction. During investigation, the existing 3" water line was found to be asbestos pipe. The demolition plans require that the waterline is to be demolished and removed. The pipe is not identified as asbestos pipe. Please note that there will be a potential time and cost impact related to the discovery of this existing asbestos water line pending further direction as requested under RFI #13. The Impact is as follows: The following activities have a potential delay: 1. Demolition 2. Earthwork Please reference the following documents attached: Pictures and RFI #13 are attached for reference. Please contact the undersigned directly if you have any further questions or comments regarding this matter - Regards, Chris Tumasone Project Engineer Dustin Hartman Project Superintendent Anthony Traverso Vice President Randy Hartman Vice President of Construction 28296 Summit Circle Santa Clarita, CA 91350 Ph: 661.251.7401 Fax:661.251.7405 www.am associatesinc.com