STANDARD TASK ORDER FORM
AMENDMENT
RVPUB\PKNOX\729481.1 (v1/25)
Consultant:
Date:
Original Amount: $
Cumulative Prior Amount: $
New Contract Amount: $
Task Order #:
Proposal Bid No.:
Contract No.:
Budget No.:
Task / Project Name:
Description of Services:
Original End Date:
New End Date:
Dollar Amount of Amended Task Order: Not to exceed $
With this Task Order Amendment, the continuing effect of the On-Call Professional Service Agreement on a Task Order Basis (Contract No. stated above) remain in full force and effect and Time of Performance shall terminate at the end date of this Task Order.
INITIATING PARTY (Party responsible for initiating the change order request) City Initiated Contractor Initiated
Change in Scope Unforeseen Conditions
Docusign Envelope ID: B0A02022-C49A-4A2A-9FAF-23895A45AD4E
06/30/2026
06/30/2026
279,000.00
10137404.8130 & 8116
11/10/2025
12537401.8130
To provide On-Call Plan Checking Services, Map Checking Services, WQMP Review for Fiscal Year 2025-2026.
99,000.00
NV5, Inc.
180,000.00
DE-24-165-SQ
99,000.00
X
Plan Checking Services, Map Checking
Services, WQMP Review
2.1 DE-24-195-SQ
The Consultant is hereby authorized to perform the following task order subject to the provisions of the Contract identified in the On-Call Professional Agreement Contract Number:
RVPUB\PKNOX\729481.1 (v1/25)
CITY OF FONTANA
By:
City Manager
(Required if Over $50,000)
By:
By:
Deputy City Manager
Attest: 1
By:
By:
Director of Engineering
IN COMPLIANCE WITH PURCHASING AND CONTRACT ADMINISTRATION POLICIES/PROCEDURES
Chief Financial Officer
Purchasing Manager
1 Attestation of Consultant’s signature must be obtained when required by the by -laws, articles of incorporation or other laws, rules or regulations applicable to Consultant’s business entity.
Docusign Envelope ID: B0A02022-C49A-4A2A-9FAF-23895A45AD4E NV5, Inc.
DE-24-195-SQ
City of Fontana
Action Report
City Council Meeting
8353 Sierra Avenue
Fontana, CA 92335
File #: 25-0549 Agenda Date: 10/28/2025
Agenda #: E. Category: Consent Calendar
FROM:
Engineering
SUBJECT:
Approve Amendment No. 1 to Task Order No. 2 (DE-24-195-SQ) with NV5, Inc. for Plan Check, Map Check, and WQMP Review Services
RECOMMENDATION:
Approve and authorize the City Manager to execute Amendment No. 1 to Task Order No. 2 (DE-24- 195-SQ) with NV5, Inc. in the amount of $180,000, and an amended Task Order total of $279,000 for additional plan check, map check, and WQMP review services.
COUNCIL GOALS:
· To invest in the city's infrastructure (streets, sewers, parks, etc.) by providing for the development of new infrastructure.
DISCUSSION:
On June 25, 2024, the City Council approved the Pre-Qualified Firms List to provide professional engineering services and authorized the City Manager to execute a Master Agreement with selected firms on an as-needed basis for a period of five (5) years from approval. Subsequently, the City and NV5, Inc. entered into a Master Agreement that included map checking, engineering plan checking, hydrology/hydraulic studies, and WQMP checking services.
Due to staffing shortages and a high volume of plan review requests, an amendment in the amount of $180,000 is requested to the existing task order of $99,000 to provide timely plan check review services.
FISCAL IMPACT:
The fiscal impact associated with the approval of this item is $180,000 and is included in the 2025-26 budget in the General Fund (Fund 101), in accounts 10137404-8116 in the amount of $60,000, 10137404-8130 in the amount of $60,000, and in the Storm Water Compliance Fund (Fund 125) in account 12537401-8130 in the amount of $60,000.
MOTION:
Approve staff recommendation.
City of Fontana Printed on 10/22/2025Page 1 of 1
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Docusign Envelope ID: B0A02022-C49A-4A2A-9FAF-23895A45AD4E Certificate Of Completion
Envelope Id: B0A02022-C49A-4A2A-9FAF-23895A45AD4E Status: Completed Subject: Amendment Task Order Over $50,000
Source Envelope:
Document Pages: 3 Signatures: 6 Envelope Originator:
Certificate Pages: 6 Initials: 1 Purchasing Office
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-08:00) Pacific Time (US & Canada)
8353 Sierra Avenue
Fontana, CA 92335
[email protected]
IP Address: 192.146.186.96
Record Tracking
Status: Original
11/25/2025 | 10:56 AM
Holder: Purchasing Office
[email protected]
Location: DocuSign
Signer Events Signature Timestamp
Denise Cortes
[email protected]
NV5, Inc.
Security Level:
DocuSign.email
ID: 1
11/25/2025 | 10:56 AM
Completed
Using IP Address: 192.146.186.96
Sent: 11/25/2025 | 10:56 AM
Viewed: 11/25/2025 | 10:56 AM
Signed: 11/25/2025 | 11:02 AM
Electronic Record and Signature Disclosure:
Accepted: 11/25/2025 | 10:56 AM
ID: 4a77f6b3-ee03-4172-83d4-285e2b236fe6
Purchasing Office
[email protected]
www.fontanapurchasing.org
OPR Communications
Security Level: Email, Account Authentication
(None)
Completed
Using IP Address: 192.146.186.96
Sent: 11/25/2025 | 11:02 AM
Viewed: 11/25/2025 | 11:03 AM
Signed: 11/25/2025 | 11:06 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
David Niknafs
[email protected]
NV5
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 75.140.81.35
Sent: 11/25/2025 | 11:06 AM
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Signed: 11/26/2025 | 07:08 AM
Electronic Record and Signature Disclosure:
Accepted: 11/25/2025 | 11:21 AM
ID: 0a7849fd-f63d-4a2b-a04c-c048bb819078
David Hammer
[email protected]
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 192.146.186.123
Sent: 11/26/2025 | 07:08 AM
Viewed: 12/2/2025 | 07:09 AM
Signed: 12/2/2025 | 07:10 AM
Electronic Record and Signature Disclosure:
Accepted: 12/2/2025 | 07:09 AM
ID: 19627ef8-2157-44a7-926e-c2fd50f0d760
Signer Events Signature Timestamp
Gia Kim
[email protected]
Public Works Director/City Engineer
City of Fontana
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Electronic Record and Signature Disclosure:
Accepted: 12/2/2025 | 07:19 AM
ID: 71feaa7f-8d18-4f57-8872-2004074810fb
Phillip Burum
[email protected]
Deputy City Manager
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Sent: 12/2/2025 | 07:19 AM
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Electronic Record and Signature Disclosure:
Accepted: 12/2/2025 | 08:36 AM
ID: 77bf4342-b234-439d-ad96-b24521f63aee
Sid Lambert
[email protected]
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Using IP Address: 192.146.186.96
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Signed: 12/2/2025 | 10:19 AM
Electronic Record and Signature Disclosure:
Not Offered via Docusign
Jessica Brown
[email protected]
Chief Financial Officer
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(None)
Signature Adoption: Pre-selected Style
Using IP Address: 192.146.186.96
Sent: 12/2/2025 | 10:19 AM
Viewed: 12/3/2025 | 09:02 AM
Signed: 12/3/2025 | 09:03 AM
Electronic Record and Signature Disclosure:
Accepted: 12/3/2025 | 09:02 AM
ID: e94c7641-ab78-482b-a962-c63f5c9cb50d
Matthew C. Ballantyne
[email protected]
City Manager
City of Fontana
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 192.146.186.96
Sent: 12/3/2025 | 09:03 AM
Viewed: 12/3/2025 | 09:05 AM
Signed: 12/3/2025 | 09:06 AM
Electronic Record and Signature Disclosure:
Accepted: 12/3/2025 | 09:05 AM
ID: d3b6ecc7-a84e-421d-96af-ef1fe6a33330
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
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Carbon Copy Events Status Timestamp
Kathy Kasinger
[email protected]
Records Coordinator
Security Level: Email, Account Authentication
(None)
Sent: 12/3/2025 | 09:06 AM
Electronic Record and Signature Disclosure:
Accepted: 12/3/2025 | 07:29 AM
ID: 8660d00c-b835-4ab7-8148-780b33eb077c
Witness Events Signature Timestamp
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Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 11/25/2025 | 10:56 AM
Certified Delivered Security Checked 12/3/2025 | 09:05 AM Signing Complete Security Checked 12/3/2025 | 09:06 AM
Completed Security Checked 12/3/2025 | 09:06 AM
Payment Events Status Timestamps
Electronic Record and Signature Disclosure
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Electronic Record and Signature Disclosure created on: 2/2/2017 | 06:54 AM Parties agreed to: Denise Cortes, David Niknafs, David Hammer, Gia Kim, Phillip Burum, Jessica Brown, Matthew C. Ballantyne, Kathy Kasinger How to contact City of Fontana:
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