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19.1_Contract Change Orders
CHANGE ORDER CITY OF FONTANA ENGINEERING DIVISION PROJECT: SB-57-00 CONTRACT NO: CONTRACTOR: Fischer Plumbing CONTRACT CO NO.: 10 SUPP. DATE: November21, 2001 ORIGINAL CONTRACT AMOUNT EST CONTRACT ITEM FORCE ACCOUNT AGREED PRICE ADJUSTMENT TOTAL % OVER CONTRACT THIS CCO $5,149.00 $5,149.00 0.08% $659,239.00 TOTAL TO DATE $2,255.00 $76,132.70 ($27,787.00) $48,345.70 7.30% 10% CONTINGENCY BALANCE (INCL. THIS CO) $17,578.20 You are hereby directed to make the herein desc ibed changes from the plans and specifications or do the following described work not included in the plans and specification on the contract. NOTE: This change order is not effective until approved by the Acting City Engineer. Grind, sandblast existing striping, repaint striping and traffic legends. NO. CONTRACT DESCRIPTION QUANTITY ITEM NO. OF WORK •• 1 Extra Work Restoration of Striping From Cherry to Hemlock 1 UNIT UNIT TOTAL PRICE LS $5,149.00 $5,149.00 TOTAL $5,149.00 Estimated Cost Decrease Or Increase $5,149.00 By reason of this order the time of completion will be adjusted as follows: None Submitted by: A• •rovdfRecommended Approved by:''�\W 1Z� 161 We, the undersigned con ractor, have given careful consideration to the change proposed and hereby agree, if this is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all services necessary for the work above specified, and will accept as full payment therefore the prices shown above. Date: 111 /3ai o 1 Date: II.3o-o1 Date: City Engineer Accepted, Da I I - 2(c —"m By: 2,L.,e • w/o ( Contractor: fl ?Lk) ( It (e1 Title: ,OS LT CCO NO.10 PAGE NO. 1 CHANGE ORDER CITY OF FONTANA ENGINEERING DIVISION PROJECT: SB-57-00 CONTRACT NO: CONTRACTOR: Fischer Plumbing CONTRACT CO NO.: 9 SUPP. DATE: November 21, 2001 ORIGINAL CONTRACT AMOUNT ESTIMATE CONTRACT ITEM FORCE ACCOUNT AGREED PRICE ADJUSTMENT TOTAL % OVER CONTRACT THIS CCO $3,124.00 $3,124.00 0.05% 10% CONTINGENCY BALANCE (INCL. THIS CO) $659,239.00 TOTAL TO DATE $2,255.00 $70,983.70 ($27,787,00) $45,451.70 6.90% $20,472.20 You are hereby directed to make the herein desc ibed changes from the plans and specifications or do the following described work not included in the plans and specification on the contract. NOTE: This change order is not effective until approved by the Acting City Engineer. Locate and cross unmarked GST Fiber Optic Line at Station 30+19.75 NO. CONTRACT DESCRIPTION QUANTITY UNIT UNIT TOTAL ITEM NO. OF WORK PRICE Extra Work Locate and cross a Unmarked Fiber Optic line 1 LS $3,124.00 TOTAL $3,124.00 $3,124.00 Estimated Cost Decrease Or Increase $3,124.00 By reason of this order the time of completion will be adjusted as follows: None Submitted by: City -Engineer Date: Date: I1-13"'01 Date: `- —(1(/ j We, the undersigned contractor, have given careful consideration to the change proposed and hereby agree, if this is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all services necessary for the work above specified, and will accept as full payment therefore the prices shown above. Accepted, Date By: II-2b-DI Contractor: r i SGI-1 E E. FLUI\L 3 I l4i i Title: • I7k1OJ W( M A 1 C4 fl CCO NO.9 PAGE NO. 1 DESCRIPTION OF WORK Permanent Asphalt Concrete Paving for 20 Sewer Laterals on the South Side CITY OF FONTANA ENGINEERING DIVISION PROJECT:SLOVER AVENUE SEWER FROM CHERRY AVENUE TO HEMLOCK AVENUE CONTRACT NO. SB-57-00 CONTRACTOR: FISCHER PLUMBING CONTRACT CO NO. 8 SUPP. DATE : August 14, 2001 ORIGINAL CONTRACT AMOUNT $ 659,239.00 ESTIMATE OF COST CONTRACT ITEM FORCE ACCT. AGREED PRICE ADJUSTMENT TOTAL % OVER CONTRACT 10% CONTINGENCY $23,596.20 THIS CCO TOTAL TO DATE $2,255.00 $28,633.00 $67,859.70 ($27,787.00) $28,633.00 $42,327.70 3.059s 4.511; BALANCE (INCL.THIS CO) You are hereby directed to make the herein -described changes from the plans and specifications or do the following described work not included in the plans and specification on the contract. NOTE: This change order is not effective until approved by the City Engineer. NO. CONTRACT ITEM NO. Extra Work QUANTITY UNIT UNIT PRICE TOTAL 1 LS $28,633.00 $28,633.00 Total $28,633.00 Estimated Cost Decrease or Increase $28,633.00 By reason of this order the time of completion will be adjusted as follows: ADD TEN (10) WORKING DAYS TO THE CONTRACT COMPLETION DATE. Submitted by: Field Inspector Approval Recommended: Project Manager Approved: �0iz, City' Engineer Date: / 8( 0 Date: 10-43-Oti Date: /o /i9/o/ CCO NO.8 • • We, the undersigned contractor, have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all services necessary for the word above specified, and will accept as full payment therefor the prices shown above. Accepted, Date g - Z9 - 0 1 By: Contractor: k1 SCi i61Z, PWAAt (J./Ci Title: PeOJ»LT M .4-1-M/Ce CCO NO.8 CITY OF FONTANA ORIGINAL CONTRACT AMOUNT $ 659,239.00 ENGINEERING DIVISION ESTIMATE OF COST PROJECT:SLOVER AVENUE SEWEt. FROM CONTRACT ITEM CHERRY AVENUE TO HEMLOCK AVENUE FORCE ACCT. $2,255.00 CONTRACT NO. SB-57-00 AGREED PRICE $39,226.70 CONTRACTOR: FISCHER PLUMBING ADJUSTMENT ($27,787.00) ($27,787.00) TOTAL ($27,787.00) $13,694.70 CONTRACT CO NO. 7 SUPP. % OVER CONTRACT 1.46%- DATE :•August 14, 2001 10% CONTINGENCY BALANCE (INCL.THIS CO) $52,229.20 THIS CCO TOTAL TO DATE You are hereby directed to make the herein -described changes from the plans and specifications or do the following described work not included in the plans and specification on the' contract . NOTE:. This change order is not effective until approved by the. City Engineer, BID ITEM SUMMARY ADJUSTMENT CHANGE ORDER. NO. CONTRACT DESCRIPTION QUANTITY UNIT UNIT TOTAL ITEM NO. . OF WORK. PRICE -- 1. 1. 1 Clearing & Grubbing 1 LS $7,912.00 $7,912.00 2. 2 Traffic Control, Signing & Striping 1 LS $23,611.00 $23,611.00 3. 4. 6. 6 7. 7 8. 8 Potholes 80 EA $95.00 $7,600.00 18in Extra Strength Vitrified Clay Pipe Sewer 15in Extra Strength Vitrified Clay Pipe Sewer 1235 LF $85.00 $104,975.00 2580 LF $70.00 $180,600.00 Bin Extra Strength Vitrified Clay Pipe Sewer 73 LF $159.00 $11,607.00 bin Extra Strength Vitrified Clay Pipe Sewer with Special Backfill 368 LF $87.00 $32,016.00 6in Extra Strength Vitrified Clay Pipe Sewer Lateral per City Std. No. 125, & 125A Or 125B (North Side) 28 EA $796.00 $22,288.00 CCO NO.7 9. 9 6in Extra Strength Vitrified Clay Pipe Sewer Lateral per City Std. No. 125, & 125A Or 125B (South Side) 16 EA $4,033.00 $64,528.00 10. 10 Sewer Manhole per City Std. No. 112, Modified to 5ft Dia. Manhole 14 EA $2,693.00 $37,702.00 11. 11 Bore and Jack 36in Inside Dia. Steel Casing (9/16in Minimum Wall Thickness) Including 15in VCP Sewer in the Casing 96 LF $380.00 $36,480.00 12. 12 Connection to Existing, Sewer Manhole per Detail A, Sheet 6 Including Manhole Base Reconstruction and Related -Work----- 1 EA $1,653.00 . $1,653.00 13. 13 Remove and Replace 8in Curb & Gutter per City Std. No. 101 160 LF '. . $33.00 $5,280.00• 14. 14 15. 15 16. 16 17., 17 18. 18 Remove and Replace 4in PCC Sidewalk tft Wide) 760 SF $5.00 $3,800.00 Remove and Replace 8in PCC Curb per City Std. No. 101 650 LF $16.00 $10,400.00 Median Improvements 1 LS $00.00 $00.00 Asphalt Concrete Pavement 1325 TN $58.00 $76,850.00 Class II Aggregate Base 50 CY $83.00 $4,150.00 Total $631,452.00 Estimated Cost Decrease ($27,787.00) or Increase By reason of this order the time of completion will be adjusted as follows: CCO NO.7 : • Submitted by: Approval Recommended: Approved: Field Inspector Project Manager- p,y1, City Engineer Date: i a/ gJ 6 Date: 10—q'01 Date: /0// "!//©/ We, the undersigned' contractor, have given careful consideration to the.change'proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish'all materials, except as may otherwise be noted above, and perform all services necessary for the word above specified, and will accept as full.payment therefor'the prices shown above..: Contractor: 'i" 1 c-k5 ,< ? 1 u.. v. b) /1e Title: CCO NO.7 CITY OF FONTANA ORIGINAL CONTRACT AMOUNT $ 659,239.00 ENGINEERING DIVISION ESTIMATE OF COST THIS CCO TOTAL TO DATE PROJECT:SLOVER AVENUE SEWER FROM CONTRACT ITEM CHERRY AVENUE TO HEMLOCK AVENUE FORCE ACCT. $2,255.00 CONTRACT NO. SB-57-00 AGREED PRICE $7,914.00 $39,226.70 CONTRACTOR: FISCHER PLUMBING ADJUSTMENT TOTAL $7,914.00 $41,481.70 CONTRACT CO NO. 6 SUPP. % OVER CONTRACT 1.200 6.29%. DATE : June 25, 2001 10% CONTINGENCY BALANCE (INCL.THIS CO) $24,442.20 You are hereby directed to make the herein -described changes from the plans and specifications or do the following described work not included in the plans and specification on the contract. NOTE: This change order is not effective until approved by the City Engineer. NO. CONTRACT ITEM NO. • 1. Extra Work DESCRIPTION OF WORK Repair of 4 Concrete Drive Approaches for Sewer Lateral Const. Estimated Cost Decrease QUANTITY UNIT L.S. UNIT PRICE TOTAL $7,9914.00 $7,914.00 or Increase $7,914.00 By reason of this order the time of completion will be adjusted as follows: Add five (5) working days to the Contract completion date. Submitted by: Ap Field Inspector oval Recommender' ect M-gager Approved: Date: T r 0 — 0 Date: 11110101 Date: 7 / / 67 City Engineer We, the undersigned contractor, have given careful consideration to the change proposed hereby agree, if this proposal is approved, that we will provide all equipment, furnish materials, except as may otherwise be noted above, and perform all services necessary for word above specified, and will accept as full payment therefor the prices shown above. Accepted, Date / — © Z By: Contractor: hS ci'f pwAkq / he Title: PeJ CL- A-4AI 6g and all the CCO NO.6 CITY OF FONTANA ENGINEERING DIVISION PROJECT:SLOVER AVENUE SEWER FROM CHERRY AVENUE TO HEMLOCK AVENUE CONTRACT NO. SB-57-00 CONTRACTOR: FISCHER PLUMBING CONTRACT CO NO. 5 SUPP. DATE : June 21, 2001 ORIGINAL CONTRACT AMOUNT $ 659,239..00 ESTIMATE OF COST CONTRACT ITEM FORCE ACCT. AGREED PRICE ADJUSTMENT TOTAL % OVER CONTRACT THIS CCO TOTAL TO DATE $2,255.00 $31,312.70 S33,567.70 5.09% 10% CONTINGENCY BALANCE (INCL.THIS CO) $32,356.20 You are hereby directed to make the herein -described changes from the plans and specifications or do the following described work not included in the plans and specification on the contract. NOTE: This change order is not effective until approved by the City Engineer. NO. CONTRACT. DESCRIPTION QUANTITY UNIT UNIT TOTAL ITEM NO. OF WORK PRICE N/A Estimated Cost Decrease or Increase Increase of twenty (20) working days, due to multiple unmarked and unknown utilities encountered while constructing the sewer laterals on the south side of Slover Avenue. By reason of this order the time of completion will be adjusted as follows: Add twenty (20) working days to the Contract completion date. Submitted by: Approval Approved: City Engineer Date: r ( -o.- Date: Date: 110101 7 /7, 7 We, the undersigned contractor, have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all services necessary for the word above specified, and will accept as full payment therefor the prices shown above. Accepted, Date a <' 4 2- © i By: Contractor: & CA/6 ,b1)/(46 PXf4 Title: , �(�l &r AIAA)/4-911(. CCO NO.5 1 CITY OF FONTANA ORIGINAL CONTRACT AMOUNT $ 659,239.00 ENGINEERING DIVISION ESTIMATE OF COST THIS CCO TOTAL TO DATE PROJECT:SLOVER AVENUE SEWER FROM CONTRACT ITEM CHERRY AVENUE TO HEMLOCK AVENUE FORCE ACCT. $2,255.00 $2,255.00 CONTRACT NO. SB-57-00 AGREED PRICE $31,312.70 CONTRACTOR: FISCHER PLUMBING ADJUSTMENT TOTAL $2,255.00 $33,567.70 CONTRACT CO NO. 4 SUPP. % OVER CONTRACT 0.34% 5.09% DATE : March 29, 2001 10% CONTINGENCY BALANCE (INCL.THIS CO) $32,356.20 You are hereby directed to make the herein -described changes from the plans and specifications or do the following. described work not included in the plans and specification on the contract. .NOTE: This change order is not effective until approved by the Acting City Engineer. NO. CONTRACT DESCRIPTION ITEM NO. OF WORK QUANTITY UNIT UNIT PRICE TOTAL 1. Extra Work Pave Water Line Trench L.S. 1 $2,255.00 $2,255.00 TOTAL = $2,255.00 Estimated Cost Decrease or Increase $2,255.00 By reason of this order the time of completion will be adjusted as follows: Add one (1) working day to the Contract completion date. Submitted by: ‹.--2,...52-C2C2--- Approve Approved: — commended: Field Inspector Project anag cting City Engineer Date: Date: Date: 4-S-©1 aa-e s -o( We, the undersigned contractor, have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all services necessary for the word above specified, and will accept as full payment therefor the prices shown above. Accepted, Date 4 —0 2 ^ O I Contractor: By: Title: L' �oja/r k.t i`14,6if CCO NO.4 1 ..y• CITY OF FONTANA ORIGINAL CONTRACT AMOUNT $ 659,239.00 ENGINEERING DIVISION ESTIMATE OF COST THIS CCO TOTAL TO DATE PROJECT:SLOVER AVENUE SEWER FROM CONTRACT ITEM CHERRY AVENUE TO HEMLOCK AVENUE FORCE ACCT. CONTRACT NO. SB-57-00 AGREED PRICE $23,014.00 $31,312.70 CONTRACTOR: FISCHER PLUMBING ADJUSTMENT TOTAL $23,014.00 $31,312.70 CONTRACT CO NO. 3 SUPP. % OVER CONTRACT 3.49% 4.75% DATE : March 6, 2001 10% CONTINGENCY BALANCE (INCL.THIS CO) $34,611.20 You are hereby directed to makethe herein -described changes from the plans and specifications or do the following described work not included in the plans and specification on the contract. NOTE: This change order is not effective until approved by the Acting City Engineer. NO.'. CONTRACT DESCRIPTION ITEM NO. OF WORK 1. Extra Traffic Control QUANTITY UNIT UNIT PRICE TOTAL for the entire Project L.S. 1 $23,014.00 $23,014.00 TOTAL = $23,014.00 Estimated Cost Decrease or Increase $23,014.00 By reason of this order the time of completion will be adjusted as follows: Submitted by: Approval Reco L Approved: Acting ity Engineer Date: Date: 63 "' 1,+-61 Date: /I° CCO NO.3 We, the undersigned contractor, have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all services necessary for the word above specified, and will accept as full payment therefor the prices shown above. Accepted, Date (9; - 09 - 0 1 Contractor: FI SGNE2 pLcli-/lgiaCi Title: !` fe Qc)CLT • MA-aAC CCO NO.3 CITY OF FONTANA ENGINEERING DIVISION ORIGINAL CONTRACT AMOUNT $ 659,239.00 ESTIMATE OF COST THIS CCO TOTAL TO DATE PROJECT:SLOVER AVENUE SEWER FROM CONTRACT ITEM - CHERRY AVENUE TO HEMLOCK AVENUE FORCE ACCT. CONTRACT NO. SB-57-00 AGREED PRICE $6,538.70 $8,298.70 CONTRACTOR: FISCHER PLUMBING ADJUSTMENT TOTAL $6,538.70 $8,298.70 CONTRACT CO NO. 2 SUPP. % OVER CONTRACT 1.0% 1.26% DATE : March 6, 2001 10% CONTINGENCY BALANCE (INCL.THIS CO) $57,625.20 You are hereby directed to make .the herein -described changes from the plans and specifications or do the following described work not included in the plans and specification on the contract. NOTE: This change order is not effective until approved by the Acting City Engineer. NO. CONTRACT DESCRIPTION QUANTITY UNIT UNIT ITEM NO. OF WORK PRICE 2. Rental Equipment on Site Due to Project Delay Time L.S. TOTAL 1 $3,178.70 $3,178.70 Traffic Control Due to Project Delay Time L.S. 1 $3,360.00 $3,360.00 TOTAL = $6,538.70 Estimated Cost Decrease or Increase $6,538.70 By reason of this order the time of completion will be adjusted as follows: Add five (5) working days to the Contract completion date. Submitted by: Date: field Inspector• Approval •- ommended: L Date: Approved: �__ _ .�� /i! Date: e'-L' -©i CCO NO.2 1 • We, the undersigned contractor, have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all services necessary for the word above specified, and will accept as full payment therefor the prices shown above. Accepted, Date a 7- b 9 - of By "a ,447 Contractor: r f Gvl E7 PL ovi 8.1144 Title: f K of C CT M ffis-g1 - CCO NO.2 2 CITY OF FONTANA ORIGINAL CONTRACT. AMOUNT $ 659,239.00 ENGINEERING DIVISION ESTIMATE OF COST THIS CCO TOTAL TO DATE PROJECT:SLOVER AVENUE SEWER FROM CONTRACT ITEM CHERRY AVENUE TO HEMLOCK AVENUE FORCE ACCT. CONTRACT NO. SB-57-00 AGREED PRICE $1,760.00 $1,760.00 CONTRACTOR: FISCHER PLUMBING ADJUSTMENT TOTAL $1,760.00 $1,760.00 CONTRACT CO NO. 1 SUPP. % OVER CONTRACT 0.03% 0.03% DATE : January 15, 2001 10% CONTINGENCY BALANCE (INCL.THIS CO) $64,163.90 You are hereby directed to make the herein -described changes from the plans and specifications or do the following described work not included in the plans and specification on the contract. NOTE: This change order is not effective until approved by the Acting City Engineer. NO. CONTRACT DESCRIPTION ITEM NO. OF WORK QUANTITY UNIT UNIT PRICE TOTAL 1. 2 .Increased Traffic Control Items LS 1 $1,760.00 $1,760.00 TOTAL = $1,760.00 Estimated Cost Decrease or Increase $1,760.00 By reason of this order the time of completion will be adjusted as follows: Submitted by: Approval Re Ap oved: Field Inspector Acting City Engineer Date: I-23-ot Date: V i -2'-t v \ Date: We, the undersigned contractor, have given careful consideration to the change proposed and hereby agree, if this proposal is approved, that we will provide all equipment, furnish all materials, except as may otherwise be noted above, and perform all services necessary for the word above specified, and will accept as full payment therefor the prices shown above. Accepted, Date Ja,i t S t ?.0a i By: Contractor: ri 6 L tE Z, PLUM((-t c Title: P iSc k4 P1/4(-VCZ CCO NO.1 Fischer Plumbing Mike Fischer, Owner 1372 W. 26th Street San Bernardino, CA 92405 RE: City.. of Fontana CALIFORNIA December 11, 2001 Slover Avenue Sewer from Cherry Avenue to Hemlock Avenue Contract Change Order Nos.9 and 10 Dear Mr. Fischer: Enclosed are the original fully Nos. 9 and 10 for your records. If you have any questions, please 350-7632. Sincerely, Community Development Department Engineering Division Donald Gdula Consultant Project Coordinator Special Projects cc: City Engineer Senior Civil Engineer (SP) executed Contract Change Order contact the undersigned at (909) www.fontana.org 8353 SIERRA AVENUE FONTANA, CALIFORNIA 92335-3528 (909) 350-7600 arecycled paper 1372 W. 26th STREET • SAN BERNARDINO, CALIFORNIA 92405 • LICENSE NO. 452949 • (909) 881-2910 FAX # (909) 881-5761 SUBMITTED TO: CITY OF FONTANA DATE: 11-5-2001 PROJECT:SLOVER SEWER IMPROVEMENTS LOCATION: FROM CHERRY TO HEMLOCK SUBJECT: STRIPING RESTORATION ATTN: DON GDULA. PROJECT ENGINEER EXTRA WORK ORDER WE HAVE FURNISHED ALL LABOR, EQUIPMENT AND MATERIAL TO COMPLETE THE FOLLOWING AS DIRECTED: PAINT 2 COATS APPROX. 5000 LF 4" WHITE SHOULDER STRIPE 2,260.00 PAINT 2 RR XING PAINT STOP AHEAD POWER WASH EDGE LINE GRIND/SANDBLAST EXISTING TOTAL 4,433.00 x 15% 0 & P = 5,098.00 x 1% BOND = 5,149.00 NOTE: 810.00 420.00 220.00 723.00 4,433.00 1. PRE EXISTING CONDITIONS INCLUDED DOUBLE YELLOW LINE AT CENTER LINE AND TWO RR XING. THE TWO RR XING HAD TO BE REMOVED AND REPLACED DUE TO THE DETOUR BEING LEFT IN PLACE. 2. GRIND AND SANDBLAST ITEM; HALF OF THE REMOVAL WAS EXISTING STRIPING ALL OF THE ABOVE WORK HAS BEEN COMPLETED IN A SUBSTANTIAL AND WORKMAN LIKE MANNER ACCORDING TO STANDARD CODES AND PRACTICES FOR THE TOTAL SUM OF: $ 5,149.00 SUBMITTED BY: Ned Re114 RFCET\TED NOV 0 8 2001 BY:-lt-- Canon CoatingCo., Inc. P. O. Box 399 Norco, CA 92860-0399 909/735-4119 Fax 909/735-5240 Bill To FISCHER PLUMBING 1372 WEST 26TH STREET SAN BERNARDINO, CA 92405 Invoice Date Invoice # 10/4/2001 990310. Job Site SLOVER EAST OF CHERRY FONTANA, CA P.O. No. Terms Due Date Estimator Work Corn... Cust. Phone Our Job # Cash on Complet... 10/31/2001 Eric 10/3/2001 909/882-6840 BM l -292 Description Quantity Unit Amount 1. LAYOUT AND STRIPE (2) COATS A. APPROXIMATELY 5,000 LF 8" SOLID, DETAIL 38A B. APPROXIMATELY 5,000 LF I I" DOUBLE Y, DETAIL 21 C. PAINT "STOP AHEAD" D. PAINT R X R @ (2) LOCATIONS 2. POWER WASH EDGE LINE 9/24/0I, 4.0 HRS. 3. GRIND AND SANDBLAST EXISTING AND BLACKED OUT AREAS A. 9/24/01 2 MEN B. 9/25/01 2 MEN C. 10/1/01 2 MEN i D. 10/3/01 2 MEN ENTERED OCT Z001 7.3 7 6.1 5.9 0.00 RECEIVE' NOV 0 8 2001 BY:►e Total D 0.00 5,520.00 220.00 $7,186.50 441 if I 1372 W. 26th STREET • SAN BERNARDINO, CALIFORNIA 92405 • LICENSE NO. 452949 • (909) 881-2910 FAX # (909) 881-5761 SUBMITTED TO: CITY OF FONTANA PROJECT: SLOVER AVE. SEWER IMPROVEMENTS LOCATION: BETWEEN CHERRY AND HEMLOCK SUBJECT: UNMARKED UTILITY, LOCATE AND CROSS EXTRA WORK PROPOSAL DATE: 11-5-01 WE PROPOSE TO FURNISH AND INSTALL ALL MATERIAL, LABOR AND EQUIPMENT NECESSARY TO COMPLETE THE FOLLOWING: LOCATE UNMARKED UNKNOWN GST FIBER OPTIC LINE AT STA. 30+19.75 ON THURSDAY JULY 19;2001. LINE WAS 8' FROM F.S. DESCRIPTION. POTHOLE/LOCATE FOREMAN OPERATOR TRAC HOE 2- PIPE LAYER SHORING TOTALS 440 768 EQUIPMENT MATERIAL 25 800 200 1664 1025 0 = 2689.00 + 15% 0 &P=3093.00+ 1% BOND = 3124.00 THIS PROPOSAL WILL ADD 1 DAY (S) TO THE CONTRACT ALL OF THE ABOVE WORK TO BE COMPLETED IN A SUBSTANTIAL AND WORKMAN LIKE MANNER ACCORDING TO STANDARD CODES AND. PRACTICES FOR THE TOTAL SUM OF: $ 3,124.00 SUBMITTED BY: ✓yei'i.'. ECT-1 ',TVED Nnv f 8 2001 Fischer Plumbing Mike Fischer, Owner 1372 W. 26th Street San Bernardino, CA 92405 RE: City of Fontana CALIFORNIA November 21, 2001 Stover Avenue Sewer ' from Cherry Avenue to Hemlock Avenue Contract Change Order Nos. 9 and 10 Dear Mr. Fischer: Enclosed are two sets of Contract Change Order Nos. 9 and 10. Please sign all copies and return for execution by the City. ;One executed set will be returned to your company. If you have any questions, please contact the undersigned at (909) 350-7632. Sincerely, COMMUNITY DEVELOPMENT DEPARTMENT Engineering Division Donald Gdula Consultant Project Coordinator Engineering/Special Projects www.fontana.org 8353 SIERRA AVENUE FONTANA, CALIFORNIA 92335-3528 (909) 350-7600 recycled paper Fischer Plumbing Mike Fischer, Owner 1372 W. 26th Street San Bernardino, CA 92405 RE: City of Fontana CALIFORNIA October 22, 2001 Slover Avenue Sewer from Cherry Avenue to Hemlock Avenue Contract Change Order Nos.7 and 8 Dear Mr. Fischer: Enclosed are two original fully executed Contract Change Order Nos. 7 and 8 for your records. If you have any questions, please contact the undersigned at (909) 350-7632. Sincerely, Community Development Department Engineering Division Donald Gdula Consultant Project Coordinator Special Projects cc: City Engineer r Principal Civil Engineer/Special Projects Consultant Public Works Inspector (SB) w/copies CCO No. 7 & 8 www.fontana.org 8353 SIERRA AVENUE FONTANA, CALIFORNIA 92335-3528 (909) 350-7600 Fischer Plumbing Neil Reilly 1372 W. 26th Street San Bernardino, CA 92405 RE: • City of Fontana CALIF ORNIA Slover Avenue Sewer from Cherry Avenue to Hemlock Contract Change Order No. 7 Dear Mr. Reilly: August29, 2001 Enclosed are two corrected copies of: Contract Change:Order No..:.7.:. Please sign both copies and return for execution by the City ::One executed set will be returned to your company If you have any questions, please contactthe undersigned at (909) 350-7632. Sincerely, COMMUNITY DEVELOPMENT DEPARTMENT Engineering Division Donald Gdula Consultant Project Coordinator Special Projects cc: Principal Civil Engineer/Special Projects www.fontana.org 8353 SIERRA AVENUE FONTANA, CALIFORNIA 92335-3528 (909) 350-7600 recycled paper Jul 10 01 02:28p FISCH R PLUMBING (909) 881-5761 p.2 C her, P/um'� 1372 W. 26th STREET • SAN BERNARDINO, CALIFORNIA 92405 • LICENSE NO. 452949 • (909) 881-2910 FAX # (909) 881-5761 REQUEST FOR CHANGE ORDER DATE: 07-10-2001 SUBMITTED TO: CITY OF FONTANA PROJECT: SLOVER SEWER IMPROVEMENTS LOCATION: BETWEEN CHERRY AND HEMLOCK ATTENTION: DON GDULA CHANGE ORDER NUMBER:as BID ITEM DESCRIPTION • ADD EXTRA ASPHALT PATCH AT SOUTH LATERALS (20 EACH) DESCRIPTION LABOR EQUIP. MATERIAL EXCAVATE, REMOVE COLD MIX / SLURRY 2 DAYS BACKHOE 880 400 LABORER 768 END DUMP 1040 DUMP FEES 135 TON 7 LOADS 350 TRAFFIC CONTROL 200 PATCH PAVE LATERALS @ 4" 17 — 6' x 48' +- 03 — 6' x 55' +- FOREMAN 2280 OPERATOR 2200 1000 3 LABORERS 5760 ROLLER 2200 1000 TRAFFIC CONTROL 500 TACK " AR 4000 ASPHALT 6000 TOTALS 14088 4140 6450 TOTAL CCO 07 15% O&P 1% BOND GRAND TOTAL $ 24,678.00 $ 3,701.00 $ 28,379.00 $ 284.00 $ 28,633.00 ,tarrimati404 esot. $24,44Z,Zo TIIIS CHANGE ORDER WILL ADD 7 DAYS TO THE CONTRACT SUBMITTED BY: Abell Recl4 VD—U-4ck UcZ : ,T 9, ifhtf Ma .,6trA 1372 W. 26th STREET • SAN BERNARDINO, CALIFORNIA 92405 • LICENSE NO. 452949 • (909) 881-2910 FAX # (909) 881-5761 REQUEST FOR CHANGE ORDER DATE: 06-18-2001 SUBMITTED TO: CITY OF FONTANA PROJECT: SLOVER SEWER IMPROVEMENTS LOCATION: BETWEEN CHERRY AND HEMLOCK ATTENTION: DON GDULA CHANGE ORDER NUMBER: 0i ce, BID ITEM DESCRIPTION ADD EXTRA CONCRETE PATCH AT DRIVEWAYS (4 LOCATIONS) SAWCUT, REMOVE AND DISPOSE 1-DAY LABOR EQUIP. MATERIAL SAW 360 150 BACKHOE . .440 200 ENDDUMP 300 275 DUMP FEES 125 GRADE AND FORM 1- DAY FORMS 200 CARPENTER 400 LABORER 360 PLACE CONCRETE 2-DAYS 2 FINISHERS 1600 LABORER 720 CONCRETE 1400 4180 625 1725 SUB TOTAL 6530.00 BOND 65.00 TOTAL 6595.00 20% MU 1319.00 GRAND TOTAL: $ 7,914.00 THIS CHANGE ORDER WOULD ADD 5 DAYS TO THE CONTRACT SUBMITTED BY: NEIL REILLY 1372 W. 26th STREET • SAN BERNARDINO, CALIFORNIA 92405 • •LICENSE NO. 452949 • (909) 881-2910 FAX # (909) 881-5761 June 18, 2001 City of Fontana 8353 Sierra Avenue Fontana, CA 92335 Attn: Don Gdula Re: Slower Avenue Sewer C.00 S Dear Don,. In crossing Slover Avenue with the southerly sewer laterals, we are encountering multiple unmarked and unknown utilities. These are severely impeding our progress. Therefore, we hereby request a time extension of 20 working days to make up time already lost and time to complete the remaining laterals. ThanJy you, Njil Rei11} Project Manager Mar 15 01 03:56p Fischer Plumbing (909) 881-5761 • p.2 lischef P4m6gol 1372 W. 26th STREET • SAN BERNARDINO, CALIFORNIA 92405 • LICENSE NO. 452949 • (909) 881-2910 FAX # (909) 881-5761 REQUEST FOR CHANGE ORDER DATE: 03-15-2001 SUBMITTED TO: CITY OF FONTANA PROJECT: SLOVER SEWER IMPROVEMENTS. _ LOCATION: BETWEEN CHERRY AND HEMLOCK ATTENTION: DON GDULA CHANGE ORDER NUMBER:'04 DID_ ITEM_ DESCRIPTION CEIANGE_OR ADDITION TRAFFIC CONTROL RE -STRIPE TRAFFIC LINES PAINT, STRIPER,LABOR TRAFFIC CONTROL GLUE DOWN DELINEATORS DELINEATORS, LABOR DESCRIPTION: STRIPER 1 DAY RENTAL $ 230.00 LABOR - 2 MEN 1 DAY $ 864.00 PAINT WHITE 15 GALS $ 144,00 YELLOW 5 GALS $ 48.00 BLACK 10 GALS $ 96,00 TRUCK $ 25.00 DELINEATORS 30 EA $ 573.00 BUTYL PADS $ 101.00 PICKUP/DELIVER $ 207,00 LABOR TO SET -1 MAN ya DAY . $ 216.00 TOTAL ADD 1% FOR BONDING $2504.00 $ 25.00 TOTAL THIS CHANGE ORDER $2529.00 WE WOULD REQUEST 2 DAYS TIME EXTENSION TO THE CONTRACT FOR THIS WORK. SUBMITTED BY: NEIL REILLY Mar 15 01 03:57p Fischer Plumbing • (909) 881-5761 p . 3, 1372 W. 26th STREET • SAN BERNARDINO, CALIFORNIA 92405 • LICENSE NO. 452949 • (909) 881-2910 FAX # (909) 881-5761 REQUEST FOR CHANGE ORDER DATE: 03-15-2001 SUDMITTED TO: CITY OF FONTANA PROJECT: SLOVER SEWER IMPROVEMENTS LOCATION: BETWEEN CHERRY AND HEMLOCK ATTENTION: DON GDULA CHANGE ORDER NUMBER: 05• B112 ITEM_. CHANGE OP_B.DDITION ADD EXTRA PAVE WATER LINE TRENCH 300' x 2' x 41k " AC PATCH DESCRIPTION: ASPHALT 3/4 INCH AR-4000 - 25 TONS 7 MAN CREW 14 DAY TACK $ 863,00 $1269.00 $ 100.00 SUB TOTAL $2232.00 ADD 1 % FOR BONDING $ 23.00 TOTAL THIS CHANGE ORDER $2255.00 WE WOULD REQUEST 1 DAY TIME EXTENSION FOR THIS WORK. SUBMITTED BY: NEIL REILLY 1372 W. 26th TREET • SAN BE RIGHT OF WAY DELAY DATES: JAN. 29-31 FEB. 01-16 TOTAL DAYS: 17 EQUIPMENT ON SITE: • ' A 92405 • LICENSE NO. 452949 • (909) 881-2910 FAX # (909) 881-5761 1je Piled- D--J dq3,04The,\91-e7 0-0-CL re- &12,5\Yk- 04- ss_Lo-e-r /Nu. 4 992 JOHN DEERE EXCAVATOR (95,000 LB.) 644 JOHN DEERE 4 CY LOADER 410 JOHN DEERE BACKHOE 2000-GALLON WATER TRUCK RENTAL EQUIPMENT ON SITEN- •- 8 x 20 TRENCH SHIELD 4 x 20 TRENCH SHIELD 8 x 10 TRENCH SHIELD 4 x 10 TRENCH SHIELD LIFTING BRIDLE 8 x 8 MANHOLE SHIELD 4 x 8 MANHOLE SHIELD TRAFFIC CONTROL 3 t 6 e 115 CONES @ 4 I- 1 c.'a'Lut' v1 1 MA �1 'HOUR PER DAY (MONITOR) MAeV I OA.- TERRIIAL: VCP PIPE INVOICE NO. 8932 AND 8932-2 E6A-rit. 0 Pte. cok0 .- vl,.1 P r(t, 0:51° ,s w.• Lep 0 pa" 6 1 /-Z,crol �S ��u 0601 +-A c)-(8, 16° 1(3 I / j .. oz(z8(( f 1372 W. 26th STREET • SAN BERNARDINO, CALIFORNIA 92405 • LICENSE NO. 452949 • (909) 881-2910 FAX # (909) 881-5761 REQUEST FOR CHANGE ORDER DATE: 02-21-2001 SUBMITTED TO: CITY OF FONTANA PROJECT: SLOVER SEWER IMPROVEMENTS LOCATION: BETWEEN CHERRY AND HEMLOCK ATTENTION: DON GDULA CHANGE ORDER NUMBER: 02 BID ITEM TRAFFIC CONTROL DESCRIPTION ADDS PER HARRY OR STEVE CHANGE OR ADDITION ARR. BOARD, CONES, SIGNS K-RAIL DESCRIPTION ARROW BOARD 2 MONTH RENTAL 2000.00 LABOR- PICK UP, DELIVER, SET UP, MAINTAIN I MAN 1 HOUR PER DAY 60 PAYS @ 45.00 / HR. 2700.00 TRUCK @ 10.00/DAY 600.00 ADDITIONAL DELINEATION -170 CONES 5047.00 ADDITIONAL SIGNS AND BARRICADES 1245.00 LABOR - PICK UP, DELIVER, SET UP, MAINTAIN 1 MAN 1 HOUR PER DAY 30 DAYS C@ 45.00/HR. 1350.00 TRUCK @ 10.00/DAY 300.00 BARRIER RAIL (K-RAIL) 15 EACH 1-MONTH RENTAL (0100.00 EACH/MONTH) 1500.00 FREIGHT- DELIVER AND PICKUP 3 LOADS -1.5 HOURS PER LOAD PORTAL-TO-PORTAL 600.00 UNLOAD AND SET -1 HOUR PER LOAD LABOR AND EQUIPMENT 744.00 MOVE 12 TIMES (LABOR AND EQUIPMENT) 8928.00 TOTAL THIS CHANGE ORDER INCLUDING OVERHEAD AND PROFIT $ 23014.00 SUBMITTED BY: NEIL REILLY mission cq products Invoice 8932-1 A DIVISION OF INDUSTRIES, INC. MANUFACTURERS OF BAND -SEALS SEWER PIPE AND FITTINGS PLEASE REMIT TO: P.O. BOX 1839 C10NA, CALIFORNIA 92878-1839 ,..o) 736-1881 • FAX (909) 549-8280 SOUTHERN SALES OFFICE CORONA, CALIFORNIA (909) 277-4600 NORTHERN SALES OFFICE OAKLAND, CALIFORNIA (510) 568-0800 Bill To: 1332 FISCHER PLUMBING 1372 W. 26TH STREET SAN BERNARDINO, CA 92405 UNITED STATES OF AMERICA Sales Rep: GW GAVIN WILLIAMS 3 1008-0072-0IC 8 X 6 FT JCP FT 96.00 9 0418020IC 18 X 18 BPC AROS EA 7.00 174106-8003-plc 6 X 6 WYE BAND SEAL,. EA 11.00 18 M106-8061-0IC 6 X 1/8 BEND BAND SEAL. EA 11.00 1-04067511C 6 IN ADJ REP CPLG EA 22.00 20 0606640IC 6 IN STOPPER PLASTIC EA 22.00 21 M195-400IC BOX EA 1.00 22 M106-0060-0IC 6 X 5 FT BAND SEAL PIPE FT 100.00 • . " • . . DELIVER TO JOBSITE MONDAY 1/29/01 Sales Taxes SAN BERNARDINO Payment Terms Net 30 Days Customer Order NONE 16 7 11 11 22 22 1 Sales Order 8932 Ship To: • • • 1.332 1 Invoice Date 01-29-01 SLOVER AVE EAST OF CHERRY • • • FONTANA, Page 1 Freight Terms: PREPAID Net Extend Price Pric( 1.440 4.66 447.: 0.000 179.09 1253.f 0.253 23.63 259.E 0.132 15.86 174., 0.000 17.49 384.' 0.000 4.18 91.! 0.000 65.00 65.( 20 0.920 3.40 340.0 226. ORIGINiV Hag . imt14.6, c mission y products A DIVISION OF'7DlCP INDUSTRIES, INC. MANUFACTURERS OF BAND -SEAL® SEWER PIPE AND FITTINGS SE REMIT•TO: P.O. BOX 1839 NA, CALIFORNIA 92878-1839 736-1881 • FAX (909) 549-8280 Bill To: 1332 FISCHER PLUMBING 1372 W. 26TH STREET SAN BERNARDINO, CA 92405 UNITED STATES OF AMERICA SOUTHERN SALES OFFICE CORONA, CALIFORNIA (909) 277-4600 NORTHERN SALES OFFICE OAKLAND, CALIFORNIA (510) 568-0800 Sales Rep: GW GAVIN WILLIAMS Invoice 82-1 Customer Order NONE Invoice Date 01-29-01 SLOVER AVE EAST OF CHERRY 000 FONTANA, age Freight Terms: PREPAID Ln Item Price Shipped Qty Nbr Total Net hxtena No UM Pcs Wt Price Pric, Bill of Lading Information for shipment number .Packslip Number Bill of Lading Number Customer Job Number:`. Job Number: 00-5568 Carrier Name GAMBOA SLOVER AVE Due 02-28-01 $3,243. 1:10•••••••••=1. mis3inn leg pTndurts Invoice 84112-2 MISSION A DIVISION OF MCP INDUSTRIES, INC. MANUFACTURERS OF BAND -SEAL® SEWER PIPE AND FITTINGS PLEASE REMIT TO: P.O. BOX 1839 CORONA, CALIFORNIA 92878-1839 (909) 736-1881 • FAX (909) 549-8280 SOUTHERN SALES OFFICE CORONA, CALIFORNIA (909) 277-4600 NORTHERN SALES OFFICE OAKLAND, CALIFORNIA (510) 568-0800 Bill To: 1332 FISCHER PLUMBING 1372 W. 26TH STREET SAN BERNARDINO, CA 92405 UNITED STATES OF AMERICA Sales Rep: GW GAVIN WILLIAMS Customer Order NONE Shi Sales Order 8932 p To: 1332*1 Invoice Date 01-29-01 SLOVER AVE EAST OF CHERRY FONTANA, PagE 1 Freight Terms: PREPAID -No No Item Price Shipped Qty Nbr UM Pcs Total Wt Net Price Extend Pric 1 1018-0090-0IC 18 X 7.5 FT JCP FT 292.50 39 20.358 24.98 7306. 4 1200-001IC 1 GAL BLTS PIPE LUBE EA 2.00 2 0.000 0.00 0. 5 1018-0024-0IC 18 X 2 FT JCP EA 4.00 4 0.556 69.56 278. I--1018-0921-0IC 18 X 6 WYE JCP/PE ( EA 11.00 11 2.068 256.41 .. 2820. 12 1018-0970-0IC 18 IN STOPPER JCP EA 1.00 1 0.000 81.72 81. DELIVER TO JOBSITE MONDAY 1/29/01 BP SHIPPER 647-1 Sales Taxes SAN BERNARDINO 786 Payment Terms Net 30 Days Bill of Lading Information for shipment number 2 Packslip Bill of Lading Carrier Carrier Number Number Name ID 8932-2 GAMBOA BP 647-1 Customer Job Number: SLOVER AVE \(/ i) ORIGIW Sales Order 89.12 snip To: inv Date SLOVER AVE EAST OF CHERRY. FONTANA, mission ay products A DIVISION 0 P INDUSTRIES, INC. MANUFACTURERS OF BAND -SEAL® SEWER PIPE AND FITTINGS PLEASE REMIT TO: P.O. BOX 1839 CORONA, CALIFORNIA 92878-1839 .9) 736-1881 • FAX (909) 549-8280 Bill To: 1332 FISCHER PLUMBING 1372 W. 26TH STREET SAN BERNARDINO, CA 92405 UNITED STATES OF AMERICA Sales Rep: GW GAVIN WILLIAMS Job Number: SOUTHERN SALES OFFICE CORONA, CAUFORNIA (909) 277-4600 NORTHERN SALES OFFICE OAKLAND, CALIFORNIA (510) 568-0800 Customer Order NONr: 00-5568 , Freight Terms: PREPAID t.xtenc Pric • • Page: SALES Qty 1 tirUnited Rentals - Trench Safety 9627 CHERRY AVENUE FONTANA, CA 92335 909-429-9292 )b Site: FISCHER PLUMBING CHERRY AVE & SLOVER AVE FONTANA, CA 92334 *C#: 909-881-2910 J#: 909-881-2910 Customer: 180569 FISCHER PLUMBING 1372 W. 26TH STREET SAN BERNARDINO, CA 9240 Remit To: TRENCH SAFETY EQUIPMENT. PO BOX :'51701 LOS ANGELES, CA 900516001 4 WEEK BILLING INVOICE Invoice # Invoice date Date out Billed thru Job Loc 'Job No P.O. # Ordered By Written by Terms... 15822105-001 2/18/01 1/31/01 8:00 AM 2/28/01 CHERRY AVE & SLOVER . 0900 - SEWER VERBAL RANDY RANDY (909)314-6922 CYCLE. BILL Net 30 Days Qty Equipment Min Day Week Week. Amount 1 TRENCH BOX 8X20 4431T Make: EFFICIENCY 1 TRENCH BOX 4'X 20' 5694T Make: EFFICIENCY 1 TRENCH BOX 8X10 5693T Make: EFFICIENCY 1 TRENCH BOX 8X10 5692T Make: EFFICIENCY 8 SPREADER BAR-4' 8 SPREADER BAR-3' 8 STACKING H/BLOCKS -TRENCH BOX 1 LIFTING BRIDLE - 4 LEG X 8' BRIDLE EQUIPMENT #842 ITEMS Item number ENV ENVIRONMENTAL CHARGE 76.50 76.50 306.00 918.00 918.00 Model: 820-XLD Ser #: 117374 51.00 51.00 204.00 612.00 612.00 Model: 420XLD Ser #: 118458 51.00 51.00 204.00 612.00 612.00 Model: 810XLD Ser #: 118461 51.00 51.00 204.00 612.00 612 OC Model: 810XLD Ser #: 118460 Unit EA 6.80 6.80 27.20 81.60 Price 28.350 DELIVERY CHARGE A discount of $500.40 has been applied. S.B. PAGE #604 C-7. SHIELDS WILL BE SENT TO THE JOB, BUILT. Sub -total: DAMAGE WAIVER DECLINED N/C N/C N/C 81.60 28.35 100.00 2963.95 CONTINUED OPTIONAL WAIVER PLAN.. ;:.;. Upon accepting the Optional Waiver Plan, the Customer agrees to paya charge equal to12%of the rental charges on Equipment Customer wants covered by the Waiver Customs Acce fs Plan. In return, as set out: on the back. page,' United agreee.to:waive certain'claims for accidental damage to such covered Equ(pment oceuiing'during. normal and careful P ( ) use. 'THE WAIVER PLAN IS NOT INSURANCE! Customer remains liable for all damages and toss due to theft listed under The. Waiver and Protectfon Plan provisions in the ' Customer Declines (` J ' Terms and Conditions on back page, including Customers negligence .;: READ BEFORE SIGNING: United hereby leases to Customer the Equipment (as defined in the Terms and Conditions on the reverse side) and Customer hereby accepis all TERMS AND CONDITIONS listed In this rental agreement, including the Terms and Conditions set forth on, the reverse side, which the undersigned has read and understands. REMINDERS:. (1) Rates do not•Incfude fuel or delivery;. (2) Optional Damage Waiver charge is 12% of the total rental charge for covered equipment-;(3) Customer pays for alt time the Equipment is out; including Saturdays: Sundays end Holidays ;(4): This rental agreement' supersedes all other purchase orders or terms' and conditions contained In any: of Customer's agreements or forms; (5) Customer assumes all risk and Is responsible for 'all' damages and other : costs, including late charges. Details of the above as well as other obligations and responsibilities are contained in the TERMS AND CONDITIONS ON REVERSE. THE INDIVIDUAL SIGNING.BELOW AS OR ON BEHALF OF CUSTOMER: (1) AGREES TO ALL OF THE TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS RENTAL AGREEMENT, (2) ACKNOWLEDGES RECEIPT OF, THE EQUIPMENT IN GOOD WORKING ORDER AND, (3) IS FULLY FAMILIAR WITH, ITS OPERATION AND USE : ; :..CUSTOMER SIGNATURE DATE NAME PRINTED • DELIVERED BY •DATE :;•;' A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST. f, )4 - 9627 CHERRY AVENUE dRentals- FONTANA, CA 92335 ch Sa etY 909-429-9292 Site: FISCHER PLUMBING CHERRY AVE & SLOVER AVE FONTANA, CA 92334 : C#: 909.768172916.:.J#H*909 -881 -2910' . . • Page: Remit To: • • TRENCH SAFETY EQUIPMENT • . PO BOX 51701 • LOS ANGELES, CA 9005160.01. 4 WEEK BILLING INVOICE Invoice #. Invoice date*. Date out. ,Billed thru. Job Loc... . Job No..s....:. Ordered By.. Written by.. 15822105-001 . . ':'.:•1/31/01:.. 8:00AM ":2/28/01 •••• CHERRY AVE & SLOVER 0900...i•SEWER VERBAL - RANDY .•" • • • RANDY:: (909)314 6922 CYCLE BILL Net 30 Days quipment . ............... Min Day Week 4 Week Amoun BILLED FOR FOUR WEEKS 1/31/01 THRU 29 P-(S o 9 . S9671 2/28/01 08:00 AM Tax: Total: 214.8 3178.7C) . . . . . ......,........... ....... . . . ..... .. . . . , . . , , ... . . . . . . . .. . . ..I.OPT1ONAL WAIVER FLAN:..'„'i::,UpOn.accepting the Optional Wahier plan; the Customer Itgreis to pay a Charges equal to12%of the rental charges on Equipment Customer wants covered by the Waive, .:::..i.• :r• •',:.: 'i'':•••:,:i.i:'•:•.:•:.. ..... :. • ':i';,!:::. plan. In return, as out on the backOage,'United agrees.t0waive certain claims for *accidental damage to such covered Equipment occuring during normal and carelu iii..Cuitorner Addeiits i.)....i..ie .. . : :' THE WAIVER PLAN IS NOT INSURANCE! Customer remains liable for ill damages and toss due to theft listed under The Waiver and Protection Plan provisions in th. ..:Customer Declines. (:.:J.'-i.!:Terms and Conditions on Paelt page,. Including Customer's negligence: •i::,:•,:':'. :: .i.:',:‘.i.::-.;.; ::::',.....:.i.:.::.:,::':••• • • 'f...,•:,,,;:.,.:,,.:::'.:...,...i.?-,:i.;.,..-.,-. !:':.',.',. !::*•::::i:.;:i:,.;:..:.::...:,i:::.:.'.• • . . ... . ... .. .. - . ... .. .. . . . • .. . .... • .'''. ... . -.. : :, ; . • ..... .. .. , ., ::,.: ::/s.::: '.:', ..:::::.i;.;•i:i',;:;i:..;i'l::::' . :i.:.i:, . : .:':.::::::.,!.• ::::':'::i:".?..,::,::::•.:!.::::•.•:•::,:::*.i':::.:i;i:i::::::::::::::::•;.• : . : . . . . . .:. . •':•i':''.."Yi:':',•:.•'..:''':i::::•:,•• .':::i*:;•::,':':::•.!:•..:::,:i::::::::... :::':::i!::i.:,i:';'i-::i:',.:.:::.i,:•:!:':••-•i!': '".•••';';:'•':::::::.:.*;',,/: •:::',..:::..''' READBEFORE SIGNING: United hereitiY(eaSea:teidueitirneri..itieEquircinirit (ie defined in ifieTernta. and Conditions on the reVerieSidei:ind CustoinelherebY edeepti all TERMS AND CONDITIONS listed in this rental agreement. Including the Terms and Conditions set forth art the reverse sIde,;.WhIch the undersigned has read and understands. REMINDERS:.: (I ). Rates do notinclude fuel or delivery; (2: :.Optionaf Damage Waiver charge is 12°G.'of the total rental' 'charge for covered equipment: (31 :,:Customer pays for all time the Equipment Is out. Including Saturdays. Sundays and Holidays. (4) This renta: .... agreement supersedes all other purchase orders or, terms and conditions contained in any of Customer's agreements or forms; (5) Customer assumes all risk' and Is responsible for an damages and othe' costs, Including late charges. Details of the above as well as other obligations and responsibilities are contained in the TERMS AND CONDITIONS ON REVERSE. THE INDIVIDUAL SIGNING BELOW AS OR ON BEHALF OF CUSTOMER:. (1) AGREES' TO 'ALL' OF THE TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS RENTAL AGREENIENT,;(2) ACKNOWLEDGES RECEIPT OF THE EQUIPMENT IN GOOD WORKING ORDER AND 131 ip FULLY FAMILIAR WITH ITS OPERATION AND USE. •• .. .. .•,*iii:i:;:,,i::::aiii:::,•:.::::::::::i:iii,i,.i:.,:::::i:i:i:::;!,:•:•:•::::.,::;:::;.,i.!..i:.:i::.i.i::.......::.i.::.:::::.:i*i:i:i.i.i::,,,,:i:::;i:,,:;.:,... .......... .......................... . ............• • --...........••••••••-• ......--....---- ..-- - ........-.......- ..... ............--........----" ••••••------............"-....... .. ................. .... .... .. ....... ......... .............. . .. ...... .......... ............ ... • • " ' : • : • • • • " • • • • • • : : • • • • • • • • : • • • : • : • ••• : ' • , . • • • • • • • " ' ' • • • • • • • • • ..... :::.•::;•;•;:::::,.'•CUSTOMER SIGNATURE DATE NAME PRINTED DELIVERED BY • A LARGER FONT COPY OF THE TERMS AND CONDITIONS IS AVAILABLE UPON REQUEST. Feb-.12-01 04:49P • P_ 02 C °UL VISChef lehan6iog 1372 W. 26th STREET • SAN BERNARDINO, CALIFORNIA 92405 • LICENSE NO. 452949 • (909) 881-2910 FAX # (909) 881-5761 54 P,at-,1 L5 Pr 3/ /7S 70 February 12, 2001 City of Fontana 8353 Sierra Avenue Fontana, CA 92335 Re: Slovcr Sewer lmprovcnicnts Attention: Don Gdula Dear Don, Due to the suspension of the project for the re -design of the traffic control, we have some concerns regarding damages we may incur. The project has been suspended from January 30, 2001 to as of today, February 12, 2001 a total of ten working days. We had shoring and pipe delivered on January 29, 2001. There are four pieces of equipment on site. The traffic control that is in place for the detour road would have been removed once construction was underway and now must he monitored daily. We have incurred i.abor, Equipment and Material costs during this delay. According to "The Green book", 1994 edition, Section 6-6.3, Payment for delays to Contractor, we may be entitled to some compensation as determined by the Engineer. In Section 6-6.4 we are required to file a written request for this payment, consider this letter our request. Due to your policy of not being able to project to the end of the month for payment, we were unable to get any of the pipe on the January billing, and as you know suppliers terms are 30 days net. We understand the situation with the Railroad and will endeavor to complete the project in a timely and safe manner around their facilities. Please advise us on your policy for Right -of -Way delay and we will inform you of these costs. S incerely, Neil Reilly, P.M. Feb-27-01 03:29P P.O1 FISCHER PLUMBING 909 881 2910 FAX 909 881 5761 FACSIMILE TRANSMITTAL SHEET TO: DON GDULA PROM; NEIL REILLY COMPANY: CITY OF FONTANA l)ArE: 02-27-2001 FAX NUMIIF.R: 909 350 6618 TOTAL NO. OP PAGES INCLUDING COVER: 10 PIIONE NUMBER. SENDF.R'S REFERENCE RE: YOUR REPJ I :NCF. C.a IIRC,ENT X VOR REVIEW 0 PLEASE COMMENT ❑ PLEASE REPLY 0 PLEASE RFc.YC;LE NOT1iS/c OMMENTS: PROJECT: SLOVER SEWER IMPROVEMENTS OWNER: CITY OF FONTANA DON, ATTACHED PLEASE FIND JUSTIFICATION FOR THE ITEMS ON CHANGE ORDER 2. PLEASE NOTE THE AMOUNTS ON THE CO HAVE OVERHEAD AND PROFIT INCLUDED. THANK -YOU NEIL LICENSE. NO. 452919 Feb-27—01 03:29P P.02 CUSTOMER:. CONTACT: TELEPHONE TRENCH PLATE RENTAL COMPANY BID FORM 1.800-821-4478 SOUTHERN CALIFORNIA " 1.800-321-5550 NORTHERN CALIFORNIA FONTANA, CA. BRANCH" Toll Free 8T1-246.4085"Fax 909-854-9965 Fischer Plumbing DATE:t•te-ot Neil 909 881-2910 IDOSTING CUSTOMER Yes NEW CUSTOMER: JOB NA1+IE: JOU LOCATION: Cherry & Slaver - Fontana EST. START DATE: 2/16/01 APPROX COMPLETION; ! - Month BID RATE IS BASED ON MATERIAL TIME IN USE: DEPTH: WIDTH: MOMS FAX tao9 861.STat PAGER P.O.!!: On, 60 PRODUCT K-Rail SIZE 20' J30 Day Min. - K - Rail) (Customer In unload & bad K - Rail atjobsite) RENT @ Day Each JOB 4: LENGTH: • SOIL TYPE: RENT Week Each IOW RENT Month Each WT Each 8,000 Total WEIGHT 480,000 TOTAL WEIGHT: ESTIMATED DELIVERY COST ESTIMATED PICK-UP COST TOTAL BID PRICE QUOTE STAND BY TIME IS CHARGED QUOTATION VALID FOR NUMBER OF TRUCK LOADS; S75.00 Hr. Portal to Portal $75.00 Hr. Portal to Portal $75PER HOUR 1 MONTHS. BID BASED ON QUANTITY OF MATERIAL ORDERED AND LENGTH OF TIME IN USE BID BASED ON INVENTORY AVAILABILITY. CUSTOMER TO UNLOAD & LOAD, ALL DROP OR SEVERELY DAMAGED BEAMS N1LL BE CHARGED AT 46 CENTS PER POUNO, BEAMS ARE TO BE FREE OF DEBRIS AND WELDS GROUND OFF PRIOR TO PIOO<UP FROM CUSTOMER. ANY SEAM THAT IS UNOE i 20' LENGTH WILL BE CONSIDERED DROP. LRENCH 9OXE3 TRENCH PLATE RENTAL CO. GOES NOT PLACE OR RETRIEVE TRENCH BOXES FROM UNDERGROUND EXCAVA rIDNS. DAMAGED CR LOST EQUIPMENT WALL BE CHARGED AT UST PRICE. Quoted By; Chuck Leiker PHONE 8TT•246.4085 M0l9JLE (909) 3764576 PAGER: (909) 220-5230 FAX: (909) 854-9965 NO TAX ON . RENTAL Z•d S966tr BGOG Zuoj tR .uau azEtd yvue.12. TPROI9B ellrrGQ TO 9t qa. Feb-27-01 03:29P " 4 • rArAdrAIWA& re • ♦,/►//n// U S 0 M E R • TRAFFIC CONTROL SERVICE, Inc. • ANAHEIM • RIVERSIDE • SAN MARCOS • NEWHALL • SACRAMENTO • LAS. VEGAS • RENO/SPARKS 1155 W. LA CADENA DRIVE • RIVERSIDE, CA 92502 PHONE: 909/683-7575 FAX: 909/683-2306 PHONE NO. 0 C A I 0 N P_03 L,-", J V ti7 I RIVERSIDE SALE lb SALE ❑ SERVIC S &C.vc- 4 01-1-EIrr7 EFFECTIVE DATE -1 & j -0) DATE ORDERED D OUR TRUCK IXI WILL CALL ORDER NUMBER 414'gq Cqc u TIME DRIVER C ERED BY YPru CODE OTY DESCRIPTION • „ UNIT PRICE AMOUNT - /r S'E 7i.i.L - -hh ) rf ---3, 7i & - . • • SUBTOTAL - , ' CUSTOMER PAYS FOR LOSS AND DAMAGE AND INSURANCE. TERMS NET 30 DAYS TOTAL • • AU. PAST DUE INVOICES SUBJECT TO 1.5% PER MONTH SERVICE CHARGE. CUSTOMER AGREES TO PAY ATTORNEY FEES AND COLLECTION EXPENSE IN "NE EVENT OF DELINQUENT PAYMENT. INFORMATION .tVICE CHARGE RETURN CHARGE FREIGHT -UPS CHARGE OVERTIME (HOURS) LABOR (HOURS) PRINTED NA SIGNAT 1,J1- Feb-27-01 03:30P P_04 �TRENCN "'mmim PLATE RENTAL CO. FIRST IN SERVICE FONTANA DIVISION 13217 LAUPELDAt,E AVE. W)IJr.I Y. CA 90242 DTSPATCI! INCllifv: 909.854-S963 POLL FREE: P.77-24E .4V!!d5 • .44.1-1..1.0 1l4610uI£ ALL DI?1Li RATES BELOW INCl_LIDE MIN'IIMUM CHARGES. Nailing Mdress: FISCHER PLUMBING 1372 WEST 26TH STREET SAN BERNARDINO,CA 92407 FROM: el/16/01 PROJECT: EST. RSNTAL: D/0 NUMBER: V::R.BAL ORDERED BI: RAND'.' KENT J02 CIT`; : FO`ITIirp TB MAP: JOB SITE: 'GLOVER & CHERr, r CID: 062E80 START RENT: XXIXX/:1X Tc;9 PHONE: •309-314-6922 J09 #: SLOVER DP:'vER: ---WILL CALL--- THIS IS A .SALE: NOT A•RE?ITAL --- 01/1S"01 Rental/Sales It IC 6 -cLIJs1 I U LH Vol urICC L ��!Ill ,,1/ ' 11-003122- ,--. „ -•,-- -•- -.r #4=x I)eccrip'.•inn/Rate info Unit: Price if 15 2E" ORANGE CONE a ?0 Ti BARRICADE/EC STRIPE • A5_OIJ 1 P.4-7AR KEEP RTCHORZ AR)E1e 4WP 35,00 •-' R3-2L NO LT TURN f SYN t E242•+Wc 10.00 ,r.,—�./\•,--.—�`—r"J.--.—h--.—. —•N__ ,.-4-•.`__.. Account, Salivary >»AMT DUE THIS INVOICE Lessee agrees In rent from Trench Plate Rental Co., (hereafter call TPA) equipment and labor described in this Rental Agreement lot use at the job site listed above, under the terms end conditions set forth on the li. and on the reverse side hereof. Lessee has inspected the equipment tented pursuant to this Rental understands ebolts are not ro roved for oment anverhead lifting, Befo e lifting, eye bolts must be botacknowledgethat the equiment is in oodtomed out and checked for tightness. An rndlvidual' must *land clear of elevated plates. Do not put any parts of the body under or near the plate When elevated, Plate' are ;al at the customers request and direction. C J T0Mile INrft Eutension 138.03 340.00 35.00 90.00 00 Replacement Charge Subtotal 623..16 6a3. lie Tax 45.23 Total 648.23 C ACKNOWLEDGED BY $1t NATURE X PRINT NAME THIS IS YOUR CONTRACT, READ BOTH SIDES BEFORE SIGNING DATE Page Eastover cf ? FISCtER PtOGING Contract Na TDR EepF3FANCH Supervisor tllnature MISTY CIIRTWR?1aIT .\ � -y 1 `\%\ C Date Feb-27-01 03:30P •110 P.05 / > r /1//�� •RENTAL & SALES' OF SAFETY EQUIPMENT t . TRAFFIC CONTROL SERVICE, Inc, 1155 W U CAM:Pa DRIVE RIVEHSIv4 CA S2501d40 • 909I683-7675 • FAX 909/G83-23013 PLEASE REMIT TO: ! pA�FIENRpEIOa��MAIN OFFICMONEA M, C4 4 35.21175 e• •� • ANAHEIM ' • RIVERSIDE • ESCONDIDO • NEWHALL • SACRAMENTO • LAS VEGAS • RENO%SPARKS •ELCAJON f:'I.IJMSIiIt, '[r•IU(1ICE'II .t16'54t i3t-N r ' IF:,RI INO CA 9.f::Ii47.•, • ;3h i p I�] : Lt W EL )., �►'IUI !C_irJ : 0900 ._•-CU i JI'll;,t' i4 31800:0 •-:mot? L • 2`-.4 , 0 Tr'F?rli, r_'ilt:F'•fd:: rI+�l lrma_ , Pr113 PR'1?rr 4 BESt F.11E ,i V, C(11iEt413--._,.. - �,, ,. ,� ,.y,,rL11Li9 •,.���,,-c�:�...�.�;ar bhn,..f_>�li� 11,677aj--513,-'06;74;--IPID-DP . C. 28764 M it' ME W_1'24d' LAR _ • • • qOLD 64.1 i' leli{ig 55a. WHITE 6TiiNLr1RG •ENY Fa . q'llp 1 26. 01) 36, i • •-4 SEE REVERSE SIDE FOR TERMS AND CONDITIONS ACCBPTBD By CUBr'OMER /CUBTOMe R 91GNATUREIOATE Ai. '• r• I • /' �'' I••. — ,L ('•J, , 0, PR1n! KAwE0# Feb-27-01 03:3OP P_06 TRENCH PLATEFIRST IN SERVICE RENTAL CO. IRVINE DIVISION 13217 LFURELOAL: AVE. DCri4 EY, CA. 90242 DISPATCH INQUIRY: 949-559-8205 TCLL FfE: 800-772-0004 rlrr r r�,r r►rr.trrn�.. Anrt e' ALL DAILY RATES BELOW INCLUDE MINI'iLM CHARGES. Mai1i: g f.1Mrest: FISCHER PLUMBING 1372 WEST 26TH STREET C'C•••4 SAN SERNARDINO, CA 9C407 OUT: 01/25/011 PROJECT: EST. RENTAL: • P,l O %MSCS: UER_P L ORDERED B" : �zr=tvG� JOB CITY : Fur, T ANA IT, MAP: JOB SITE: CHERRY S_J'jER --- WILL CALL --- C i o : vsaGeo START RENT: XQ/X:/X: JCa PHONE: - - J03 #: DRIVER: f 01/25/ : ?E��TPL PcREE� ENT �{Qntal/5a1es Iteei ICrS.. 5E1)PTkN) ^may„ tir f• -, Q ,.• Description Uni.. ftatr, Information ��rl,letght R3-4 NO U- TURN iSYMBOL ) Dc424WE 5.N/'PAY 3:.Jai;IE=i! 1•'•1,),I•J; t :+t=1',: 45 r: BARRICADE/EI; STRIPE 3.35i0A7 2.45/ -EEY 9.?V44' ',TEEMS • 1j0 , 4 5 pek_ — Leese* agrees to rent from Trench Plate Rental Co„ (hereafter call TPRI equipment and labor described in Rental Agreement for use at the job site listed above, under the terms and conditions Set forth on the rid on the reverse side hereof. Lessee has Inspected the equipment rented pursuant to this Rental ment and acknowledges that the equipment Is In good condition. User understands eye bolts are not e oved for overhead lifting, Before lifting, eye bolts must be bottomed out and checked for tightness. All Indwtduale must stand clear of elevated plates. Do not put any parts of the body under or near the plate `when elevated, Plates are set at the customer's request and direction. cumwAgmmmLs Page • Cuitnser 1 Mae PL01AJM3 r 0 3 P— ts 4 .4 s SIGNATURE X 4-_( Ax. 2WL RED BY t PRINT NAME GATE THIS IS YOUR CONTRACT, READ BOTH SIDES BEFORE SIGNING Contract No TFR Erplulee r S� e'vt9 = `i ? jr 11 Q03jS7•al MISTY CAt 1 riC110. , ,r _>, t:S',at 1r i �Ca� 1 f , Feb-27-01 03:30P P.07 MTRENC PLATE W„ „ YW FIRST IN SEA RENTAL. CO. CUSTOMER Iirk.. . . , • j " •�J HAND TAG NUMBER RENTAL AGREEMENT NUMBER 55991 JOB CITY • PAGE JOB SITE JOB PHONE, DAI•E eHANCH LOCATION JOB NO. P.O. NO. THOMAS BROS. MAP REF. I; ❑ DELIVERY ❑ PICK-UP ❑ EXCHANGE SOLD ❑ WILL -CALL C] TRANSFER OTY DESCRIPTION I' , ' `' !",•, 4, LP'• \ . __ 1 1 1 I. r . DELIVERY/PICKUP PORTAL TO PORTAL $ .J PER HOUR Lessee agrees to rent from Trench Plate Rental Co. (hereafter call TPR) equipment and labor described in this Rental Agreement for use at the job site listed, under the terms and conditions set forth on the face and on the reverse side hereof. Lessee has inspected the equipment rented pursuant to this Rental Agreement and acknowledges that the equipment is in good condition. AGREED TO BY ••• TITLE DATE PRINT NAME WARNING: USER UNDERSTANDS EYE EhOLfS ARE NOT APPROVED FOR OVER! IFAD LIFTING. ALL INDIVIDUALS MUST STAND (:L.EAO OF ELEVATED PLATES. DO NOT PUT ANY PART OF THE BODY UNDER OR NEAR PLATE WHEN ELEVATED PLATES SET AT CUSTOMER'S REQUEST AND DIRECTION; INTL PLEASE NOTE LOST OR DAMAGED GOODS QI'Y DATE DRIVER TRAVEL TIME: • r .t ISTOMFR Feb-27-01 03:31P P.08 MTRENCH PLATE CUSTOMER HAND TAG NUMBER RENTAL AGREEMENT NUMBER 55390 JOB CITY PAGE JOB SITE r • ` ` - L •(� IS S. •�. ,.1 • I JOB PHONE • - DATE? BRANCH I. OCATION JOB NO... _ .•'' P.O. NO. TI IOMAS BROS. MAP REF. - . ; ; • ' 'r"'.2 � 'IW ❑ DELIVERY El PICK-UP ❑ EXCHANGE ❑ SOLD [1 WILL, CALL ❑ TRANSFER QTY DESCRIPTION id -1.Z. - DEL (VERY/PICKUP PORTAL TO PORTAL $ L' I PER HOUR Lessee agrees to rent from Trench Plate Rental Co. (hereafter call TPR) equipment and labor described In this Rental Agreement for use at the job site listed, under the terms and conditions set forth on the face and on the reverse side hereof, Lessee has inspected the equipment rented pursuant to this Rental Agreement and acknowledges that the equipment is fn good condition. AGREED TO By ' PRINT NAME TITLE:. DATE WARNING: USER UNDERSTANDS EYE FIOCCS Alit NUr Af'PlRhveD FOIl OVERHEAD LII• fING. ALL INnIVIDunI, . MUST STAND CLEAR or r,LEVATEO PLATES. DO NOT PUT ANY PART OF THE BODY UNDER On NEAR PLATE WHEN ELEVATED. PLATES SC f AT CUSTOMERS REQUEST AND DIRECTION: INTL PLEASE NOTE LOST OR DAMAGED GOODS r I \ •'' \ ` 't\ f \ r• • OTY DATE DRIVER • TRAVEI. rIMF I CUSTOMER Feb-27-01 03:31P P.09 1, CUSTOMER HAND TA(: NUMBER RENTAL AGREEMENT NUMBER 55988 JOB CITY PA(i E JOB SIZE JOB PHONE DATE • BRANCH LOCATION JOB NO. P.C. NO. THOMAS BROS. MAP REF. ❑ DELIVERY. ❑ PICK-UP ❑ EXCHANGE 0 SOLD 0 WILL -CALL 0 TRANSFER QTY DESCRIPTION (f49. . . 16C.l��Tu� I N,�:•- �„^\ ' '. ',„I) ; • , ; `, - i jT �` �!� f -Al, •''(i i,;'� . 1 -,r-N VC, I, T'- _:i-., _}... �.,_,.. -A DELIVERY/PICKUP PORTAL TO PORTAL $ + - PER HOUR Lessee agrees to rent from Trench Plate Rental Co. (hereafter call TPR) equipment and labor described in this Rental Agreement for use at the job site listed, under the terms and conditions set forth on the face and on the reverse side hereof, Lessee has inspected the equipment rented pursuant to this Rental Agreement and acknowledges that the equipment is in good condition. AGREED TO BY TITLE DATE PRINT NAME WARNING: USER UNDERSTANDS EYE DOLTS ARL• NOT APPROVED ran OVERHEAD LIFTING. ALL INDIVIDUALS MUST STAND CLEAR OF ELEVATED PLATES. DO NOT PUT ANY PART OF TILE BODY UNIMiR OR NEAR PLATE WHEN EL,47)VATED, PI ATES SF.T AT CUSTOMERS REQUEST AND DIRECTION: INTL PLEASE NOTE LOST OR DAMAGED GOODS t • ' 1� 1i 1 .,) • '1 I. I" QTY 1DAT!:• DIa1VEH CI I ,TOMFR TRAVEL TIME Feb-27-01 03:31P P.10 PLATE RENTAL CO. CUSTOMER ' ' • • - HAND TAG NUMBER RENTAL AGREEMENT NUMBER 55889 JOB CITY PAGE JOB SITE .f`` 1 ^ t 'ice I % li JOEPHO'NE ` C •:) DAIb , �- -'\:,\ :' CiRANC:H LocArloN . .. , \ . . , • !JOB. NO P.O. NO. ! .,•. _ I I IHOMAS BROS. MAP REF. IIL J DELIVERY ❑ PICK-UP El EXCHANGE ❑ SOLD ❑ WILL•CALL • ❑ TRANSFER QTY DESCRIPTION DELIVERY/PICKUP PORTAL TO PORTAL $ PER HOUR Lessee agrees to rent from Trench Plate Rental Co. (hereafter call TPR) equipment and labor described in this Rental Agreement for use at the job site listed, under tl»a-terms and conditions set forth on the face and on the reverse side hereof. Lessee has inspected the equipment rented pursuant to this Rental reemthnt ikna acknowledges that the equipment is in good condition. ;.�- AGRIJ D'1"O BY PRINT NAME t I WARNING; USER U�JDERSTANDSLEYE BOLTS ARE NOT APPROVED FOR OVERI lEAD LIFTING. ALL INDIVIDUALS MUST STAND CLEAR OF f LEVATED PLATES, DO NOT PUT ANY PART OF THE BODY UNDER OR NEAR PLATE WHr_N ELEVATED PLATES SET AT CUSTOMER'S HEOtJL:SI AND DIRECTION: INTL , -I ;`••I TITL E DATE PLEASE NOTE LOST OR DAMAGED GOODS i • UtY oivny �DRIVER TRAVEL TIME CUSTOMER Jar,-11-01 11:21A P.02 'tschef '‚Urn6t 1372 W. 26th STREET • SAN BERNARDINO, CALIFORNIA 92405 • LICENSE NO. 452949 • (909) 881-2910 FAX # (909) 881.5761 REQUEST FOR CHANGE ORDER DATE: 1-10-2001 5UI3MITTFD TO: CITY OF FONTANA PROJECT: SLOVER SEWER IMP, LOCATION: FROM CHERRY TO HEMLOCK ATTENTION: PON GPULA CHANGE: ORDER NUMf3ER: 01 DID ITEM . 2 OPERATION LADOR EQUIPMENT RENTED EQUIPMENT MATERIAL SUES TOTAL_ MARK UP 015% INSURANCE AND E3OND C� 2% TOTAL THIS CHANGE ORDER: SUE3MITTED L3Y:NE=IL REILLY DESCJf1I.ON TRAFFIC CONTr OI. cost $1000.00 $ 500.00 $1500.00 $ 225.00 $ 35.00 $1760.00 APPROVED f3Y: CHANGE OR ADDITION ADD ARROW DOARD DIJF;ING MFPIAN DEMO AND CONST. TASK/DESCRIPTION PICKUP, DELIVER, SETUP,, MAINTAIN DAILY S DAY RENTAL. DATE I-12.01 Jan-J1-01 11:20A P.01 FISCHER PLUMBING 909 881 2910 FAX 909 881 5 7 6 1 FACSIMILE TRANSMITTAL SHEET TO: FROM: DON GDULA NEIL REILLY COMPANY: DATE: CITY OP FONTANA • FAX NUMBER! 909 350 6618 TOTAL NO. OF PAGES INCLUDING COVER: PHONE NI WM.:It: SENDER'S REFERENCE RI!: YOUR REFERENCE 0 URGENT 0 FOR REVIEW 0 PLEASE COMMENT 0 PLEASE RRPLY 0 PLEASE RECYCLE NOTES/COMMENTS: PROJECT: SLOVER SEWER IMPROVEMENTS OWNER: CITY OF FONTANA LICENSE NO. 452949