Agenda packet — Hawthorne City Council, May 26, 2026 (part 2 of 2)

LOS ANGELES NEIGHBORHOOD LAND TRUST

TORI KJER
1689 BEVERLY BOULEVARD
Summary
Bill Date: 09/13/24
Billing Period: 10/01/24-10/31/24
Due Date: 10/01/24
Previous Amount Due: 7,332.79
Payments - thank you: -7,332.79
Balance: 0.00
Current Charges: 6,238.35
Retroactive Adjustments: 0.00
Net Credits/Debits 0.00
Total Amount Due: $ 6,238.35
$
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Account Number: W00580371000
Invoice Number: 242570014161
LOS ANGELES CA 90026
Product Summary
Contract Type Subscriber Count Current Charges Adjustments Total Single 2 1,711.64 0.00 $1,711.64
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $1,711.64 $0.00 $1,711.64
Gold Full PPO 750/30 OffEx- Blue Shield of California
Single 4 3,117.06 0.00 $3,117.06
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $3,117.06 $0.00 $3,117.06
Platinum Full PPO 0/10 OffEx- Blue Shield of California Single 1 524.74 0.00 $524.74
2 Party 1 884.91 0.00 $884.91
Family 0 0.00 0.00 $0.00
Total $1,409.65 $0.00 $1,409.65
Silver Full PPO 2550/70 OffEx- Blue Shield of California Total $6,238.35 $0.00 $6,238.35
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 2 of 3 ends

Account Number:

Invoice Number: 242570014161
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Membership Summary
Total Current Adjustments Contract Counts
Net Change Subscribers 0
Net Change Members 0
Total Subscriber only 7
Total Subscriber and 1 dep 1
Total Subscriber and 2+ dep 0 Total Subscribers 8
Total Members 1
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Current Charges
CAMPOS-JIMENEZ, DIANA 912436083 884.91 0.00 0.00 0.00 2 $884.91 GARCIA, ADRIANA 911919921 524.74 0.00 0.00 0.00 1 $524.74 GARVOILLE, DAVID 913067029 1164.42 0.00 0.00 0.00 1 $1164.42 GONZALEZ, JULIE 912526559 626.35 0.00 0.00 0.00 1 $626.35 KJER, TORI 909001209 1140.76 0.00 0.00 0.00 1 $1140.76
QUADRINO, CLAUDIA 913187451 626.35 0.00 0.00 0.00 1 $626.35 VALENCIA, MIREYA 913375952 547.22 0.00 0.00 0.00 1 $547.22 ZHANG, BRENDA 911945241 723.60 0.00 0.00 0.00 1 $723.60 Total Current Charges Health Dental Vision Life # Per Total Total $6238.35 $0.00 $0.00 $0.00 9 $6,238.35
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 3 of 3 ends

Account Number:

Invoice Number: 242570014161
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Blue Shield will charge a $25 fee for all returned checks.

None Applied
Total Due - please pay this amount $ 6,238.35
Due Date 10/01/24 P.O. BOX 749415
LOS ANGELES CA 90074-9415

BLUE SHIELD OF CALIFORNIA
Miscellaneous Credits and Debits
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 1 of 3 ends

LOS ANGELES NEIGHBORHOOD LAND TRUST

TORI KJER
1689 BEVERLY BOULEVARD
Summary
Bill Date: 10/14/24
Billing Period: 11/01/24-11/30/24
Due Date: 11/01/24
Previous Amount Due: 6,238.35
Payments - thank you: -6,238.35
Balance: 0.00
Current Charges: 6,238.35
Retroactive Adjustments: 0.00
Net Credits/Debits 0.00
Total Amount Due: $ 6,238.35
$
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Account Number: W00580371000
Invoice Number: 242880051504
LOS ANGELES CA 90026
Product Summary
Contract Type Subscriber Count Current Charges Adjustments Total Single 2 1,711.64 0.00 $1,711.64
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $1,711.64 $0.00 $1,711.64
Gold Full PPO 750/30 OffEx- Blue Shield of California
Single 4 3,117.06 0.00 $3,117.06
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $3,117.06 $0.00 $3,117.06
Platinum Full PPO 0/10 OffEx- Blue Shield of California Single 1 524.74 0.00 $524.74
2 Party 1 884.91 0.00 $884.91
Family 0 0.00 0.00 $0.00
Total $1,409.65 $0.00 $1,409.65
Silver Full PPO 2550/70 OffEx- Blue Shield of California Total $6,238.35 $0.00 $6,238.35
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 2 of 3 ends

Account Number:

Invoice Number: 242880051504
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 3 of 3 ends

Account Number:

Invoice Number: 242880051504
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Blue Shield will charge a $25 fee for all returned checks.

None Applied
Total Due - please pay this amount $ 6,238.35
Due Date 11/01/24 P.O. BOX 749415
LOS ANGELES CA 90074-9415

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 1 of 3 ends

LOS ANGELES NEIGHBORHOOD LAND TRUST

TORI KJER
1689 BEVERLY BOULEVARD
Summary
Bill Date: 11/13/24
Billing Period: 12/01/24-12/31/24
Due Date: 12/01/24
Previous Amount Due: 6,238.35
Payments - thank you: -6,238.35
Balance: 0.00
Current Charges: 6,854.49
Retroactive Adjustments: 0.00
Net Credits/Debits 0.00
Total Amount Due: $ 6,854.49
$
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Account Number: W00580371000
Invoice Number: 243180025475
LOS ANGELES CA 90026
Product Summary
Contract Type Subscriber Count Current Charges Adjustments Total Single 2 1,865.27 0.00 $1,865.27
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $1,865.27 $0.00 $1,865.27
Gold Full PPO 750/30 OffEx- Blue Shield of California
Single 4 3,389.18 0.00 $3,389.18
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $3,389.18 $0.00 $3,389.18
Platinum Full PPO 0/10 OffEx- Blue Shield of California Single 1 598.83 0.00 $598.83
2 Party 1 1,001.21 0.00 $1,001.21
Family 0 0.00 0.00 $0.00
Total $1,600.04 $0.00 $1,600.04
Silver Full PPO 2550/70 OffEx- Blue Shield of California Total $6,854.49 $0.00 $6,854.49
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 2 of 3 ends

Account Number:

Invoice Number: 243180025475
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Membership Summary
Total Current Adjustments Contract Counts
Net Change Subscribers 0
Net Change Members 0
Total Subscriber only 7
Total Subscriber and 1 dep 1
Total Subscriber and 2+ dep 0 Total Subscribers 8
Total Members 1
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Current Charges
CAMPOS-JIMENEZ, DIANA 912436083 1001.21 0.00 0.00 0.00 2 $1001.21 GARCIA, ADRIANA 911919921 598.83 0.00 0.00 0.00 1 $598.83 GARVOILLE, DAVID 913067029 1268.93 0.00 0.00 0.00 1 $1268.93 GONZALEZ, JULIE 912526559 677.06 0.00 0.00 0.00 1 $677.06 KJER, TORI 909001209 1261.09 0.00 0.00 0.00 1 $1261.09
QUADRINO, CLAUDIA 913187451 677.06 0.00 0.00 0.00 1 $677.06 VALENCIA, MIREYA 913375952 596.34 0.00 0.00 0.00 1 $596.34 ZHANG, BRENDA 911945241 773.97 0.00 0.00 0.00 1 $773.97 Total Current Charges Health Dental Vision Life # Per Total Total $6854.49 $0.00 $0.00 $0.00 9 $6,854.49
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 3 of 3 ends

Account Number:

Invoice Number: 243180025475
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Blue Shield will charge a $25 fee for all returned checks.

None Applied
Total Due - please pay this amount $ 6,854.49
Due Date 12/01/24 P.O. BOX 749415
LOS ANGELES CA 90074-9415

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 1 of 3 ends

LOS ANGELES NEIGHBORHOOD LAND TRUST

TORI KJER
1689 BEVERLY BOULEVARD
Summary
Bill Date: 12/16/24
Billing Period: 01/01/25-01/31/25
Due Date: 01/01/25
Previous Amount Due: 6,854.49
Payments - thank you: -6,854.49
Balance: 0.00
Current Charges: 6,937.35
Retroactive Adjustments: 82.86
Net Credits/Debits 0.00
Total Amount Due: $ 7,020.21
$
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Account Number: W00580371000
Invoice Number: 243510010415
LOS ANGELES CA 90026
Product Summary
Contract Type Subscriber Count Current Charges Adjustments Total Single 3 2,546.96 681.69 $3,228.65
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $2,546.96 $681.69 $3,228.65
Gold Full PPO 750/30 OffEx- Blue Shield of California
Single 4 3,389.18 0.00 $3,389.18
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $3,389.18 $0.00 $3,389.18
Platinum Full PPO 0/10 OffEx- Blue Shield of California Single 1 0.00 -598.83 $-598.83
2 Party 1 1,001.21 0.00 $1,001.21
Family 0 0.00 0.00 $0.00
Total $1,001.21 $-598.83 $402.38
Silver Full PPO 2550/70 OffEx- Blue Shield of California Total $6,937.35 $82.86 $7,020.21
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 2 of 3 ends

Account Number:

Invoice Number: 243510010415
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Membership Summary
Total Current Adjustments Contract Counts
Net Change Subscribers 0
Net Change Members 0
Total Subscriber only 7
Total Subscriber and 1 dep 1
Total Subscriber and 2+ dep 0 Total Subscribers 8
Total Members 1
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Current Charges
CAMPOS-JIMENEZ, DIANA 912436083 1001.21 0.00 0.00 0.00 2 $1001.21 GARCIA, ADRIANA 911919921 681.69 0.00 0.00 0.00 1 $681.69 GARVOILLE, DAVID 913067029 1268.93 0.00 0.00 0.00 1 $1268.93 GONZALEZ, JULIE 912526559 677.06 0.00 0.00 0.00 1 $677.06 KJER, TORI 909001209 1261.09 0.00 0.00 0.00 1 $1261.09
QUADRINO, CLAUDIA 913187451 677.06 0.00 0.00 0.00 1 $677.06 VALENCIA, MIREYA 913375952 596.34 0.00 0.00 0.00 1 $596.34 ZHANG, BRENDA 911945241 773.97 0.00 0.00 0.00 1 $773.97 Total Current Charges Health Dental Vision Life # Per Total Total $6937.35 $0.00 $0.00 $0.00 9 $6,937.35
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Retroactive Eligibility Adjustments through 12/16/24
GARCIA, ADRIANA 911919921 82.86 0.00 0.00 0.00 1 $82.86 Subscriber Effective Date Change 12/01/24-12/31/24
Total Current Charges Health Dental Vision Life # Per Total Total $82.86 $0.00 $0.00 $0.00 1 $82.86
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 3 of 3 ends

Account Number:

Invoice Number: 243510010415
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Blue Shield will charge a $25 fee for all returned checks.

None Applied
Total Due - please pay this amount $ 7,020.21
Due Date 01/01/25 P.O. BOX 749415
LOS ANGELES CA 90074-9415

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 1 of 3 ends

LOS ANGELES NEIGHBORHOOD LAND TRUST

TORI KJER
1689 BEVERLY BOULEVARD
Summary
Bill Date: 01/14/25
Billing Period: 02/01/25-02/28/25
Due Date: 02/01/25
Previous Amount Due: 7,020.21
Payments - thank you: -7,020.21
Balance: 0.00
Current Charges: 6,937.35
Retroactive Adjustments: 0.00
Net Credits/Debits 0.00
Total Amount Due: $ 6,937.35
$
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Account Number: W00580371000
Invoice Number: 250140019044
LOS ANGELES CA 90026
Product Summary
Contract Type Subscriber Count Current Charges Adjustments Total Single 3 2,546.96 0.00 $2,546.96
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $2,546.96 $0.00 $2,546.96
Gold Full PPO 750/30 OffEx- Blue Shield of California
Single 4 3,389.18 0.00 $3,389.18
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $3,389.18 $0.00 $3,389.18
Platinum Full PPO 0/10 OffEx- Blue Shield of California Single 0 0.00 0.00 $0.00
2 Party 1 1,001.21 0.00 $1,001.21
Family 0 0.00 0.00 $0.00
Total $1,001.21 $0.00 $1,001.21
Silver Full PPO 2550/70 OffEx- Blue Shield of California Total $6,937.35 $0.00 $6,937.35
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 2 of 3 ends

Account Number:

Invoice Number: 250140019044
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Membership Summary
Total Current Adjustments Contract Counts
Net Change Subscribers 0
Net Change Members 0
Total Subscriber only 7
Total Subscriber and 1 dep 1
Total Subscriber and 2+ dep 0 Total Subscribers 8
Total Members 1
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Current Charges
CAMPOS-JIMENEZ, DIANA 912436083 1001.21 0.00 0.00 0.00 2 $1001.21 GARCIA, ADRIANA 911919921 681.69 0.00 0.00 0.00 1 $681.69 GARVOILLE, DAVID 913067029 1268.93 0.00 0.00 0.00 1 $1268.93 GONZALEZ, JULIE 912526559 677.06 0.00 0.00 0.00 1 $677.06 KJER, TORI 909001209 1261.09 0.00 0.00 0.00 1 $1261.09
QUADRINO, CLAUDIA 913187451 677.06 0.00 0.00 0.00 1 $677.06 VALENCIA, MIREYA 913375952 596.34 0.00 0.00 0.00 1 $596.34 ZHANG, BRENDA 911945241 773.97 0.00 0.00 0.00 1 $773.97 Total Current Charges Health Dental Vision Life # Per Total Total $6937.35 $0.00 $0.00 $0.00 9 $6,937.35
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 3 of 3 ends

Account Number:

Invoice Number: 250140019044
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Blue Shield will charge a $25 fee for all returned checks.

None Applied
Total Due - please pay this amount $ 6,937.35
Due Date 02/01/25 P.O. BOX 749415
LOS ANGELES CA 90074-9415

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 1 of 3 ends

LOS ANGELES NEIGHBORHOOD LAND TRUST

TORI KJER
1689 BEVERLY BOULEVARD
Summary
Bill Date: 02/11/25
Billing Period: 03/01/25-03/31/25
Due Date: 03/01/25
Previous Amount Due: 6,937.35
Payments - thank you: -6,937.35
Balance: 0.00
Current Charges: 6,937.35
Retroactive Adjustments: 0.00
Net Credits/Debits 0.00
Total Amount Due: $ 6,937.35
$
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Account Number: W00580371000
Invoice Number: 250420024406
LOS ANGELES CA 90026
Product Summary
Contract Type Subscriber Count Current Charges Adjustments Total Single 3 2,546.96 0.00 $2,546.96
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $2,546.96 $0.00 $2,546.96
Gold Full PPO 750/30 OffEx- Blue Shield of California
Single 4 3,389.18 0.00 $3,389.18
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $3,389.18 $0.00 $3,389.18
Platinum Full PPO 0/10 OffEx- Blue Shield of California Single 0 0.00 0.00 $0.00
2 Party 1 1,001.21 0.00 $1,001.21
Family 0 0.00 0.00 $0.00
Total $1,001.21 $0.00 $1,001.21
Silver Full PPO 2550/70 OffEx- Blue Shield of California Total $6,937.35 $0.00 $6,937.35
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 2 of 3 ends

Account Number:

Invoice Number: 250420024406
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Membership Summary
Total Current Adjustments Contract Counts
Net Change Subscribers 0
Net Change Members 0
Total Subscriber only 7
Total Subscriber and 1 dep 1
Total Subscriber and 2+ dep 0 Total Subscribers 8
Total Members 1
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Current Charges
CAMPOS-JIMENEZ, DIANA 912436083 1001.21 0.00 0.00 0.00 2 $1001.21 GARCIA, ADRIANA 911919921 681.69 0.00 0.00 0.00 1 $681.69 GARVOILLE, DAVID 913067029 1268.93 0.00 0.00 0.00 1 $1268.93 GONZALEZ, JULIE 912526559 677.06 0.00 0.00 0.00 1 $677.06 KJER, TORI 909001209 1261.09 0.00 0.00 0.00 1 $1261.09
QUADRINO, CLAUDIA 913187451 677.06 0.00 0.00 0.00 1 $677.06 VALENCIA, MIREYA 913375952 596.34 0.00 0.00 0.00 1 $596.34 ZHANG, BRENDA 911945241 773.97 0.00 0.00 0.00 1 $773.97 Total Current Charges Health Dental Vision Life # Per Total Total $6937.35 $0.00 $0.00 $0.00 9 $6,937.35
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 3 of 3 ends

Account Number:

Invoice Number: 250420024406
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Blue Shield will charge a $25 fee for all returned checks.

None Applied
Total Due - please pay this amount $ 6,937.35
Due Date 03/01/25 P.O. BOX 749415
LOS ANGELES CA 90074-9415

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 1 of 3 ends

LOS ANGELES NEIGHBORHOOD LAND TRUST

TORI KJER
1689 BEVERLY BOULEVARD
Summary
Bill Date: 03/14/25
Billing Period: 04/01/25-04/30/25
Due Date: 04/01/25
Previous Amount Due: 6,937.35
Payments - thank you: -6,937.35
Balance: 0.00
Current Charges: 6,937.35
Retroactive Adjustments: 0.00
Net Credits/Debits 0.00
Total Amount Due: $ 6,937.35
$
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Account Number: W00580371000
Invoice Number: 250730008413
LOS ANGELES CA 90026
Product Summary
Contract Type Subscriber Count Current Charges Adjustments Total Single 3 2,546.96 0.00 $2,546.96
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $2,546.96 $0.00 $2,546.96
Gold Full PPO 750/30 OffEx- Blue Shield of California
Single 4 3,389.18 0.00 $3,389.18
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $3,389.18 $0.00 $3,389.18
Platinum Full PPO 0/10 OffEx- Blue Shield of California Single 0 0.00 0.00 $0.00
2 Party 1 1,001.21 0.00 $1,001.21
Family 0 0.00 0.00 $0.00
Total $1,001.21 $0.00 $1,001.21
Silver Full PPO 2550/70 OffEx- Blue Shield of California Total $6,937.35 $0.00 $6,937.35
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 2 of 3 ends

Account Number:

Invoice Number: 250730008413
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Membership Summary
Total Current Adjustments Contract Counts
Net Change Subscribers 0
Net Change Members 0
Total Subscriber only 7
Total Subscriber and 1 dep 1
Total Subscriber and 2+ dep 0 Total Subscribers 8
Total Members 1
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Current Charges
CAMPOS-JIMENEZ, DIANA 912436083 1001.21 0.00 0.00 0.00 2 $1001.21 GARCIA, ADRIANA 911919921 681.69 0.00 0.00 0.00 1 $681.69 GARVOILLE, DAVID 913067029 1268.93 0.00 0.00 0.00 1 $1268.93 GONZALEZ, JULIE 912526559 677.06 0.00 0.00 0.00 1 $677.06 KJER, TORI 909001209 1261.09 0.00 0.00 0.00 1 $1261.09
QUADRINO, CLAUDIA 913187451 677.06 0.00 0.00 0.00 1 $677.06 VALENCIA, MIREYA 913375952 596.34 0.00 0.00 0.00 1 $596.34 ZHANG, BRENDA 911945241 773.97 0.00 0.00 0.00 1 $773.97 Total Current Charges Health Dental Vision Life # Per Total Total $6937.35 $0.00 $0.00 $0.00 9 $6,937.35
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 3 of 3 ends

Account Number:

Invoice Number: 250730008413
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Blue Shield will charge a $25 fee for all returned checks.

None Applied
Total Due - please pay this amount $ 6,937.35
Due Date 04/01/25 P.O. BOX 749415
LOS ANGELES CA 90074-9415

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 1 of 3 ends

LOS ANGELES NEIGHBORHOOD LAND TRUST

TORI KJER
1689 BEVERLY BOULEVARD
Summary
Bill Date: 04/14/25
Billing Period: 05/01/25-05/31/25
Due Date: 05/01/25
Previous Amount Due: 6,937.35
Payments - thank you: -6,937.35
Balance: 0.00
Current Charges: 5,668.42
Retroactive Adjustments: -1,268.93
Net Credits/Debits 0.00
Total Amount Due: $ 4,399.49
$
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Account Number: W00580371000
Invoice Number: 251040017398
LOS ANGELES CA 90026
Product Summary
Contract Type Subscriber Count Current Charges Adjustments Total Single 3 1,278.03 -1,268.93 $9.10
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $1,278.03 $-1268.93 $9.10
Gold Full PPO 750/30 OffEx- Blue Shield of California
Single 4 3,389.18 0.00 $3,389.18
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $3,389.18 $0.00 $3,389.18
Platinum Full PPO 0/10 OffEx- Blue Shield of California Single 0 0.00 0.00 $0.00
2 Party 1 1,001.21 0.00 $1,001.21
Family 0 0.00 0.00 $0.00
Total $1,001.21 $0.00 $1,001.21
Silver Full PPO 2550/70 OffEx- Blue Shield of California Total $5,668.42 $-1,268.93 $4,399.49
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 2 of 3 ends

Account Number:

Invoice Number: 251040017398
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Membership Summary
Total Current Adjustments Contract Counts
Net Change Subscribers -1
Net Change Members 0
Total Subscriber only 6
Total Subscriber and 1 dep 1
Total Subscriber and 2+ dep 0 Total Subscribers 7
Total Members 1
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Current Charges
CAMPOS-JIMENEZ, DIANA 912436083 1001.21 0.00 0.00 0.00 2 $1001.21 GARCIA, ADRIANA 911919921 681.69 0.00 0.00 0.00 1 $681.69 GONZALEZ, JULIE 912526559 677.06 0.00 0.00 0.00 1 $677.06 KJER, TORI 909001209 1261.09 0.00 0.00 0.00 1 $1261.09
QUADRINO, CLAUDIA 913187451 677.06 0.00 0.00 0.00 1 $677.06 VALENCIA, MIREYA 913375952 596.34 0.00 0.00 0.00 1 $596.34 ZHANG, BRENDA 911945241 773.97 0.00 0.00 0.00 1 $773.97 Total Current Charges Health Dental Vision Life # Per Total Total $5668.42 $0.00 $0.00 $0.00 8 $5,668.42
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Retroactive Eligibility Adjustments through 04/14/25
GARVOILLE, DAVID 913067029 -1268.93 0.00 0.00 0.00 -1 $-1268.93 Cancel Subscriber 04/01/25-04/30/25
Total Current Charges Health Dental Vision Life # Per Total Total $-1268.93 $0.00 $0.00 $0.00 -1 $-1,268.93
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 3 of 3 ends

Account Number:

Invoice Number: 251040017398
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Blue Shield will charge a $25 fee for all returned checks.

None Applied
Total Due - please pay this amount $ 4,399.49
Due Date 05/01/25 P.O. BOX 749415
LOS ANGELES CA 90074-9415

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 1 of 2 ends

LOS ANGELES NEIGHBORHOOD LAND TRUST

TORI KJER
1689 BEVERLY BOULEVARD
Summary
Bill Date: 05/14/25
Billing Period: 06/01/25-06/30/25
Due Date: 06/01/25
Previous Amount Due: 4,399.49
Payments - thank you: -4,399.49
Balance: 0.00
Current Charges: 5,668.42
Retroactive Adjustments: 0.00
Net Credits/Debits 0.00
Total Amount Due: $ 5,668.42
$
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Account Number: W00580371000
Invoice Number: 251340020966
LOS ANGELES CA 90026
Product Summary
Contract Type Subscriber Count Current Charges Adjustments Total Single 2 1,278.03 0.00 $1,278.03
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $1,278.03 $0.00 $1,278.03
Gold Full PPO 750/30 OffEx- Blue Shield of California
Single 4 3,389.18 0.00 $3,389.18
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $3,389.18 $0.00 $3,389.18
Platinum Full PPO 0/10 OffEx- Blue Shield of California Single 0 0.00 0.00 $0.00
2 Party 1 1,001.21 0.00 $1,001.21
Family 0 0.00 0.00 $0.00
Total $1,001.21 $0.00 $1,001.21
Silver Full PPO 2550/70 OffEx- Blue Shield of California Total $5,668.42 $0.00 $5,668.42
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 2 of 2 ends

Account Number:

Invoice Number: 251340020966
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Membership Summary
Total Current Adjustments Contract Counts
Net Change Subscribers 0
Net Change Members 0
Total Subscriber only 6
Total Subscriber and 1 dep 1
Total Subscriber and 2+ dep 0 Total Subscribers 7
Total Members 1
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Current Charges
CAMPOS-JIMENEZ, DIANA 912436083 1001.21 0.00 0.00 0.00 2 $1001.21 GARCIA, ADRIANA 911919921 681.69 0.00 0.00 0.00 1 $681.69 GONZALEZ, JULIE 912526559 677.06 0.00 0.00 0.00 1 $677.06 KJER, TORI 909001209 1261.09 0.00 0.00 0.00 1 $1261.09
QUADRINO, CLAUDIA 913187451 677.06 0.00 0.00 0.00 1 $677.06 VALENCIA, MIREYA 913375952 596.34 0.00 0.00 0.00 1 $596.34 ZHANG, BRENDA 911945241 773.97 0.00 0.00 0.00 1 $773.97 Total Current Charges Health Dental Vision Life # Per Total Total $5668.42 $0.00 $0.00 $0.00 8 $5,668.42
Blue Shield will charge a $25 fee for all returned checks.

None Applied
Total Due - please pay this amount $ 5,668.42
Due Date 06/01/25 P.O. BOX 749415
LOS ANGELES CA 90074-9415

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 1 of 3 ends

LOS ANGELES NEIGHBORHOOD LAND TRUST

TORI KJER
1689 BEVERLY BOULEVARD
Summary
Bill Date: 06/13/25
Billing Period: 07/01/25-07/31/25
Due Date: 07/01/25
Previous Amount Due: 5,668.42
Payments - thank you: -5,668.42
Balance: 0.00
Current Charges: 6,468.23
Retroactive Adjustments: 799.81
Net Credits/Debits 0.00
Total Amount Due: $ 7,268.04
$
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Account Number: W00580371000
Invoice Number: 251640025103
LOS ANGELES CA 90026
Product Summary
Contract Type Subscriber Count Current Charges Adjustments Total Single 2 1,278.03 0.00 $1,278.03
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $1,278.03 $0.00 $1,278.03
Gold Full PPO 750/30 OffEx- Blue Shield of California
Single 5 4,188.99 799.81 $4,988.80
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $4,188.99 $799.81 $4,988.80
Platinum Full PPO 0/10 OffEx- Blue Shield of California Single 0 0.00 0.00 $0.00
2 Party 1 1,001.21 0.00 $1,001.21
Family 0 0.00 0.00 $0.00
Total $1,001.21 $0.00 $1,001.21
Silver Full PPO 2550/70 OffEx- Blue Shield of California Total $6,468.23 $799.81 $7,268.04
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 2 of 3 ends

Account Number:

Invoice Number: 251640025103
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Membership Summary
Total Current Adjustments Contract Counts
Net Change Subscribers 1
Net Change Members 0
Total Subscriber only 7
Total Subscriber and 1 dep 1
Total Subscriber and 2+ dep 0 Total Subscribers 8
Total Members 1
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Current Charges
CAMPOS-JIMENEZ, DIANA 912436083 1001.21 0.00 0.00 0.00 2 $1001.21 GARCIA, ADRIANA 911919921 681.69 0.00 0.00 0.00 1 $681.69 GONZALEZ, JULIE 912526559 677.06 0.00 0.00 0.00 1 $677.06 HAQUE, MEENA 914377822 799.81 0.00 0.00 0.00 1 $799.81
KJER, TORI 909001209 1261.09 0.00 0.00 0.00 1 $1261.09
QUADRINO, CLAUDIA 913187451 677.06 0.00 0.00 0.00 1 $677.06 VALENCIA, MIREYA 913375952 596.34 0.00 0.00 0.00 1 $596.34 ZHANG, BRENDA 911945241 773.97 0.00 0.00 0.00 1 $773.97 Total Current Charges Health Dental Vision Life # Per Total Total $6468.23 $0.00 $0.00 $0.00 9 $6,468.23
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Retroactive Eligibility Adjustments through 06/13/25
HAQUE, MEENA 914377822 799.81 0.00 0.00 0.00 1 $799.81
Add Subscriber 06/01/25-06/30/25
Total Current Charges Health Dental Vision Life # Per Total Total $799.81 $0.00 $0.00 $0.00 1 $799.81
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 3 of 3 ends

Account Number:

Invoice Number: 251640025103
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Blue Shield will charge a $25 fee for all returned checks.

None Applied
Total Due - please pay this amount $ 7,268.04
Due Date 07/01/25 P.O. BOX 749415
LOS ANGELES CA 90074-9415

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 1 of 3 ends

LOS ANGELES NEIGHBORHOOD LAND TRUST

TORI KJER
1689 BEVERLY BOULEVARD
Summary
Bill Date: 07/14/25
Billing Period: 08/01/25-08/31/25
Due Date: 08/01/25
Previous Amount Due: 7,268.04
Payments - thank you: -7,268.04
Balance: 0.00
Current Charges: 6,468.23
Retroactive Adjustments: 0.00
Net Credits/Debits 0.00
Total Amount Due: $ 6,468.23
$
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Account Number: W00580371000
Invoice Number: 251950057141
LOS ANGELES CA 90026
Product Summary
Contract Type Subscriber Count Current Charges Adjustments Total Single 2 1,278.03 0.00 $1,278.03
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $1,278.03 $0.00 $1,278.03
Gold Full PPO 750/30 OffEx- Blue Shield of California
Single 5 4,188.99 0.00 $4,188.99
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $4,188.99 $0.00 $4,188.99
Platinum Full PPO 0/10 OffEx- Blue Shield of California Single 0 0.00 0.00 $0.00
2 Party 1 1,001.21 0.00 $1,001.21
Family 0 0.00 0.00 $0.00
Total $1,001.21 $0.00 $1,001.21
Silver Full PPO 2550/70 OffEx- Blue Shield of California Total $6,468.23 $0.00 $6,468.23
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 2 of 3 ends

Account Number:

Invoice Number: 251950057141
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Membership Summary
Total Current Adjustments Contract Counts
Net Change Subscribers 0
Net Change Members 0
Total Subscriber only 7
Total Subscriber and 1 dep 1
Total Subscriber and 2+ dep 0 Total Subscribers 8
Total Members 1
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Current Charges
CAMPOS-JIMENEZ, DIANA 912436083 1001.21 0.00 0.00 0.00 2 $1001.21 GARCIA, ADRIANA 911919921 681.69 0.00 0.00 0.00 1 $681.69 GONZALEZ, JULIE 912526559 677.06 0.00 0.00 0.00 1 $677.06 HAQUE, MEENA 914377822 799.81 0.00 0.00 0.00 1 $799.81
KJER, TORI 909001209 1261.09 0.00 0.00 0.00 1 $1261.09
QUADRINO, CLAUDIA 913187451 677.06 0.00 0.00 0.00 1 $677.06 VALENCIA, MIREYA 913375952 596.34 0.00 0.00 0.00 1 $596.34 ZHANG, BRENDA 911945241 773.97 0.00 0.00 0.00 1 $773.97 Total Current Charges Health Dental Vision Life # Per Total Total $6468.23 $0.00 $0.00 $0.00 9 $6,468.23
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 3 of 3 ends

Account Number:

Invoice Number: 251950057141
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Blue Shield will charge a $25 fee for all returned checks.

None Applied
Total Due - please pay this amount $ 6,468.23
Due Date 08/01/25 P.O. BOX 749415
LOS ANGELES CA 90074-9415

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 1 of 3 ends

LOS ANGELES NEIGHBORHOOD LAND TRUST

TORI KJER
1689 BEVERLY BOULEVARD
Summary
Bill Date: 08/14/25
Billing Period: 09/01/25-09/30/25
Due Date: 09/01/25
Previous Amount Due: 6,468.23
Payments - thank you: -6,468.23
Balance: 0.00
Current Charges: 6,468.23
Retroactive Adjustments: 0.00
Net Credits/Debits 0.00
Total Amount Due: $ 6,468.23
$
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Account Number: W00580371000
Invoice Number: 252260026542
LOS ANGELES CA 90026
Product Summary
Contract Type Subscriber Count Current Charges Adjustments Total Single 2 1,278.03 0.00 $1,278.03
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $1,278.03 $0.00 $1,278.03
Gold Full PPO 750/30 OffEx- Blue Shield of California
Single 5 4,188.99 0.00 $4,188.99
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $4,188.99 $0.00 $4,188.99
Platinum Full PPO 0/10 OffEx- Blue Shield of California Single 0 0.00 0.00 $0.00
2 Party 1 1,001.21 0.00 $1,001.21
Family 0 0.00 0.00 $0.00
Total $1,001.21 $0.00 $1,001.21
Silver Full PPO 2550/70 OffEx- Blue Shield of California Total $6,468.23 $0.00 $6,468.23
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 2 of 3 ends

Account Number:

Invoice Number: 252260026542
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Membership Summary
Total Current Adjustments Contract Counts
Net Change Subscribers 0
Net Change Members 0
Total Subscriber only 7
Total Subscriber and 1 dep 1
Total Subscriber and 2+ dep 0 Total Subscribers 8
Total Members 1
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Current Charges
CAMPOS-JIMENEZ, DIANA 912436083 1001.21 0.00 0.00 0.00 2 $1001.21 GARCIA, ADRIANA 911919921 681.69 0.00 0.00 0.00 1 $681.69 GONZALEZ, JULIE 912526559 677.06 0.00 0.00 0.00 1 $677.06 HAQUE, MEENA 914377822 799.81 0.00 0.00 0.00 1 $799.81
KJER, TORI 909001209 1261.09 0.00 0.00 0.00 1 $1261.09
QUADRINO, CLAUDIA 913187451 677.06 0.00 0.00 0.00 1 $677.06 VALENCIA, MIREYA 913375952 596.34 0.00 0.00 0.00 1 $596.34 ZHANG, BRENDA 911945241 773.97 0.00 0.00 0.00 1 $773.97 Total Current Charges Health Dental Vision Life # Per Total Total $6468.23 $0.00 $0.00 $0.00 9 $6,468.23
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 3 of 3 ends

Account Number:

Invoice Number: 252260026542
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Blue Shield will charge a $25 fee for all returned checks.

None Applied
Total Due - please pay this amount $ 6,468.23
Due Date 09/01/25 P.O. BOX 749415
LOS ANGELES CA 90074-9415

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 1 of 3 ends

LOS ANGELES NEIGHBORHOOD LAND TRUST

TORI KJER
1689 BEVERLY BOULEVARD
Summary
Bill Date: 09/15/25
Billing Period: 10/01/25-10/31/25
Due Date: 10/01/25
Previous Amount Due: 6,468.23
Payments - thank you: -6,468.23
Balance: 0.00
Current Charges: 6,468.23
Retroactive Adjustments: 0.00
Net Credits/Debits 0.00
Total Amount Due: $ 6,468.23
$
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Account Number: W00580371000
Invoice Number: 252580025769
LOS ANGELES CA 90026
Product Summary
Contract Type Subscriber Count Current Charges Adjustments Total Single 2 1,278.03 0.00 $1,278.03
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $1,278.03 $0.00 $1,278.03
Gold Full PPO 750/30 OffEx- Blue Shield of California
Single 5 4,188.99 0.00 $4,188.99
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $4,188.99 $0.00 $4,188.99
Platinum Full PPO 0/10 OffEx- Blue Shield of California Single 0 0.00 0.00 $0.00
2 Party 1 1,001.21 0.00 $1,001.21
Family 0 0.00 0.00 $0.00
Total $1,001.21 $0.00 $1,001.21
Silver Full PPO 2550/70 OffEx- Blue Shield of California Total $6,468.23 $0.00 $6,468.23
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 2 of 3 ends

Account Number:

Invoice Number: 252580025769
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Membership Summary
Total Current Adjustments Contract Counts
Net Change Subscribers 0
Net Change Members 0
Total Subscriber only 7
Total Subscriber and 1 dep 1
Total Subscriber and 2+ dep 0 Total Subscribers 8
Total Members 1
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Current Charges
CAMPOS-JIMENEZ, DIANA 912436083 1001.21 0.00 0.00 0.00 2 $1001.21 GARCIA, ADRIANA 911919921 681.69 0.00 0.00 0.00 1 $681.69 GONZALEZ, JULIE 912526559 677.06 0.00 0.00 0.00 1 $677.06 HAQUE, MEENA 914377822 799.81 0.00 0.00 0.00 1 $799.81
KJER, TORI 909001209 1261.09 0.00 0.00 0.00 1 $1261.09
QUADRINO, CLAUDIA 913187451 677.06 0.00 0.00 0.00 1 $677.06 VALENCIA, MIREYA 913375952 596.34 0.00 0.00 0.00 1 $596.34 ZHANG, BRENDA 911945241 773.97 0.00 0.00 0.00 1 $773.97 Total Current Charges Health Dental Vision Life # Per Total Total $6468.23 $0.00 $0.00 $0.00 9 $6,468.23
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 3 of 3 ends

Account Number:

Invoice Number: 252580025769
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Blue Shield will charge a $25 fee for all returned checks.

None Applied
Total Due - please pay this amount $ 6,468.23
Due Date 10/01/25 P.O. BOX 749415
LOS ANGELES CA 90074-9415

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 1 of 3 ends

LOS ANGELES NEIGHBORHOOD LAND TRUST

TORI KJER
1689 BEVERLY BOULEVARD
Summary
Bill Date: 10/14/25
Billing Period: 11/01/25-11/30/25
Due Date: 11/01/25
Previous Amount Due: 6,468.23
Payments - thank you: -6,468.23
Balance: 0.00
Current Charges: 6,468.23
Retroactive Adjustments: 0.00
Net Credits/Debits 0.00
Total Amount Due: $ 6,468.23
$
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Account Number: W00580371000
Invoice Number: 252870018079
LOS ANGELES CA 90026
Product Summary
Contract Type Subscriber Count Current Charges Adjustments Total Single 2 1,278.03 0.00 $1,278.03
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $1,278.03 $0.00 $1,278.03
Gold Full PPO 750/30 OffEx- Blue Shield of California
Single 5 4,188.99 0.00 $4,188.99
2 Party 0 0.00 0.00 $0.00
Family 0 0.00 0.00 $0.00
Total $4,188.99 $0.00 $4,188.99
Platinum Full PPO 0/10 OffEx- Blue Shield of California Single 0 0.00 0.00 $0.00
2 Party 1 1,001.21 0.00 $1,001.21
Family 0 0.00 0.00 $0.00
Total $1,001.21 $0.00 $1,001.21
Silver Full PPO 2550/70 OffEx- Blue Shield of California Total $6,468.23 $0.00 $6,468.23
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 2 of 3 ends

Account Number:

Invoice Number: 252870018079
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Membership Summary
Total Current Adjustments Contract Counts
Net Change Subscribers 0
Net Change Members 0
Total Subscriber only 7
Total Subscriber and 1 dep 1
Total Subscriber and 2+ dep 0 Total Subscribers 8
Total Members 1
Billing Detail
Subscriber Name SubscriberId Employee Id Health Dental Vision Life # Per Total Current Charges
CAMPOS-JIMENEZ, DIANA 912436083 1001.21 0.00 0.00 0.00 2 $1001.21 GARCIA, ADRIANA 911919921 681.69 0.00 0.00 0.00 1 $681.69 GONZALEZ, JULIE 912526559 677.06 0.00 0.00 0.00 1 $677.06 HAQUE, MEENA 914377822 799.81 0.00 0.00 0.00 1 $799.81
KJER, TORI 909001209 1261.09 0.00 0.00 0.00 1 $1261.09
QUADRINO, CLAUDIA 913187451 677.06 0.00 0.00 0.00 1 $677.06 VALENCIA, MIREYA 913375952 596.34 0.00 0.00 0.00 1 $596.34 ZHANG, BRENDA 911945241 773.97 0.00 0.00 0.00 1 $773.97 Total Current Charges Health Dental Vision Life # Per Total Total $6468.23 $0.00 $0.00 $0.00 9 $6,468.23
Blue Shield of California bills monthly dues/premium on behalf of Blue Shield of California and Blue Shield of California Life & Health Insurance Company. To determine which company underwrites the benefit plans billed on this statement, please refer to your health services agreement and/or group policy(ies).

Blue Shield of California
Installation & Membership - Small Group
PO BOX 629032
EL DORADO HILLS CA 95762-9032

Page 3 of 3 ends

Account Number:

Invoice Number: 252870018079
W00580371000
This is not a bill or a request for payment.

Your bill will be sent via US mail, please refer to that document for all charges and information regarding making payments.

Blue Shield will charge a $25 fee for all returned checks.

None Applied
Total Due - please pay this amount $ 6,468.23
Due Date 11/01/25 P.O. BOX 749415
LOS ANGELES CA 90074-9415

P.O. Box 640, Capitola, CA 95010

BILLING SUMMARY
MAKE YOUR CHECK PAYABLE TO:
<---------- Please include bottom portion with your payment ----------> Billing Period: 07/01/2024 TO 07/31/2024
Premium Due Date: 07/01/2024
L.A. Neighborhood Land Trust
For questions about your bill contact:

Nanci Judd | 831-824-5014
[email protected]
L.A. Neighborhood Land Trust
*** Delinquent Date: 07/31/2024 *** 5% fee may apply if not received by this date Nonprofit Benefits Trust
P.O. Box 640
Capitola CA 95010
L.A. Neighborhood Land Trust
1689 Beverly Blvd.

Los Angeles CA 90026
07/01/2024 Current Charges $ 425.86
===========
$ 425.86
===========
P.O. Box 640, Capitola, CA 95010
CURRENT CHARGES Page 1
L.A. Neighborhood Land Trust
BILLING PERIOD: 07/01/2024 TO 07/31/2024
NAME EMP/DIV# DENTAL CARRIER AMT VISION AMT TOTAL
Campos-Jimenez, Diana 4872 EE+1 Silver w/Ortho Delta $ 58.10 EE+1 Silver $ 13.09 $ 71.19 Garcia, Adriana 7864 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Garvoille, David 3890 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Gonzalez, Julie 4873 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Gruben, Anna 0125 FAM Silver w/Ortho Delta $ 89.65 EE+2 Silver $ 20.94 $ 110.59 Kjer, Tori 4628 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 McRae, Dorothy EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Quadrino, Claudia 8570 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 ----------------- -------------------- ------------------ -------------------- Count: 8 $ 346.95 $ 78.91 $ 425.86
P.O. Box 640, Capitola, CA 95010

BILLING SUMMARY
MAKE YOUR CHECK PAYABLE TO:
<---------- Please include bottom portion with your payment ----------> Billing Period: 08/01/2024 TO 08/31/2024
Premium Due Date: 08/01/2024
L.A. Neighborhood Land Trust
For questions about your bill contact:

Nanci Judd | 831-824-5014
[email protected]
L.A. Neighborhood Land Trust
*** Delinquent Date: 08/31/2024 *** 5% fee may apply if not received by this date Nonprofit Benefits Trust
P.O. Box 640
Capitola CA 95010
L.A. Neighborhood Land Trust
1689 Beverly Blvd.

Los Angeles CA 90026
08/01/2024 Current Charges $ 274.59
08/01/2024 Retroactive Premium Credits ( $ 151.27 )
===========
$ 123.32
===========
P.O. Box 640, Capitola, CA 95010
CURRENT CHARGES Page 1
L.A. Neighborhood Land Trust
BILLING PERIOD: 08/01/2024 TO 08/31/2024
NAME EMP/DIV# DENTAL CARRIER AMT VISION AMT TOTAL
Campos-Jimenez, Diana 4872 EE+1 Silver w/Ortho Delta $ 58.10 EE+1 Silver $ 13.09 $ 71.19 Garcia, Adriana 7864 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Garvoille, David 3890 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Gonzalez, Julie 4873 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Kjer, Tori 4628 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Quadrino, Claudia 8570 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 ----------------- -------------------- ------------------ -------------------- Count: 6 $ 224.10 $ 50.49 $ 274.59
P.O. Box 640, Capitola, CA 95010
ADDITIONS AND TERMINATIONS Page 1
BILLING PERIOD: 08/01/2024 to 08/31/2024
L.A. Neighborhood Land Trust

NAME SSN LINE CARRIER COVERAGE PREMIUM
Gruben, Anna 0125 Dental Delta FAM Silver w/Ortho ( $ 89.65 )1 Month Gruben, Anna 0125 Vision VSP EE+2 Silver ( $ 20.94 )1 Month McRae, Dorothy Dental Delta EE ONLY Silver w/Ortho ( $ 33.20 )1 Month McRae, Dorothy Vision VSP EE ONLY Silver ( $ 7.48 )1 Month =============
( $ 151.27 )

P.O. Box 640, Capitola, CA 95010

BILLING SUMMARY
MAKE YOUR CHECK PAYABLE TO:
<---------- Please include bottom portion with your payment ----------> Billing Period: 10/01/2024 TO 10/31/2024
Premium Due Date: 10/01/2024
L.A. Neighborhood Land Trust
For questions about your bill contact:

Nanci Judd | 831-824-5014
[email protected]
L.A. Neighborhood Land Trust
*** Delinquent Date: 10/31/2024 *** 5% fee may apply if not received by this date Nonprofit Benefits Trust
P.O. Box 640
Capitola CA 95010
L.A. Neighborhood Land Trust
1689 Beverly Blvd.

Los Angeles CA 90026
10/01/2024 Current Charges $ 315.27
===========
$ 315.27
===========
P.O. Box 640, Capitola, CA 95010
CURRENT CHARGES Page 1
L.A. Neighborhood Land Trust
BILLING PERIOD: 10/01/2024 TO 10/31/2024
NAME EMP/DIV# DENTAL CARRIER AMT VISION AMT TOTAL
Campos-Jimenez, Diana 4872 EE+1 Silver w/Ortho Delta $ 58.10 EE+1 Silver $ 13.09 $ 71.19 Garcia, Adriana 7864 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Garvoille, David 3890 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Gonzalez, Julie 4873 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Kjer, Tori 4628 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Quadrino, Claudia 8570 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Valencia, Mireya 5256 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 ----------------- -------------------- ------------------ -------------------- Count: 7 $ 257.30 $ 57.97 $ 315.27
P.O. Box 640, Capitola, CA 95010

BILLING SUMMARY
MAKE YOUR CHECK PAYABLE TO:
<---------- Please include bottom portion with your payment ----------> Billing Period: 11/01/2024 TO 11/30/2024
Premium Due Date: 11/01/2024
L.A. Neighborhood Land Trust
For questions about your bill contact:

Nanci Judd | 831-824-5014
[email protected]
L.A. Neighborhood Land Trust
*** Delinquent Date: 11/30/2024 *** 5% fee may apply if not received by this date Nonprofit Benefits Trust
P.O. Box 640
Capitola CA 95010
L.A. Neighborhood Land Trust
1689 Beverly Blvd.

Los Angeles CA 90026
11/01/2024 Current Charges $ 315.27
===========
$ 315.27
===========
P.O. Box 640, Capitola, CA 95010
CURRENT CHARGES Page 1
L.A. Neighborhood Land Trust
BILLING PERIOD: 11/01/2024 TO 11/30/2024
NAME EMP/DIV# DENTAL CARRIER AMT VISION AMT TOTAL
Campos-Jimenez, Diana P 4872 EE+1 Silver w/Ortho Delta $ 58.10 EE+1 Silver $ 13.09 $ 71.19 Garcia So, Adriana 7864 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Garvoille, David B 3890 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Gonzalez, Julie C 4873 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Kjer, Tori 4628 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Quadrino, Claudia 8570 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Valencia, Mireya 5256 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 ----------------- -------------------- ------------------ -------------------- Count: 7 $ 257.30 $ 57.97 $ 315.27
P.O. Box 640, Capitola, CA 95010

BILLING SUMMARY
MAKE YOUR CHECK PAYABLE TO:
<---------- Please include bottom portion with your payment ----------> Billing Period: 12/01/2024 TO 12/31/2024
Premium Due Date: 12/01/2024
L.A. Neighborhood Land Trust
For questions about your bill contact:

Nanci Judd | 831-824-5014
[email protected]
L.A. Neighborhood Land Trust
*** Delinquent Date: 12/31/2024 *** 5% fee may apply if not received by this date Nonprofit Benefits Trust
P.O. Box 640
Capitola CA 95010
L.A. Neighborhood Land Trust
1689 Beverly Blvd.

Los Angeles CA 90026
12/01/2024 Current Charges $ 315.27
===========
$ 315.27
===========
P.O. Box 640, Capitola, CA 95010
CURRENT CHARGES Page 1
L.A. Neighborhood Land Trust
BILLING PERIOD: 12/01/2024 TO 12/31/2024
NAME EMP/DIV# DENTAL CARRIER AMT VISION AMT TOTAL
Campos-Jimenez, Diana P 4872 EE+1 Silver w/Ortho Delta $ 58.10 EE+1 Silver $ 13.09 $ 71.19 Garcia So, Adriana 7864 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Garvoille, David B 3890 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Gonzalez, Julie C 4873 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Kjer, Tori 4628 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Quadrino, Claudia 8570 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 Valencia, Mireya 5256 EE ONLY Silver w/Ortho Delta $ 33.20 EE ONLY Silver $ 7.48 $ 40.68 ----------------- -------------------- ------------------ -------------------- Count: 7 $ 257.30 $ 57.97 $ 315.27
P.O. Box 640, Capitola, CA 95010
ADDITIONS AND TERMINATIONS Page 1
BILLING PERIOD: 12/01/2024 to 12/31/2024
L.A. Neighborhood Land Trust

NAME SSN LINE CARRIER COVERAGE PREMIUM
=========
$ 0.00
P.O. Box 640, Capitola, CA 95010

BILLING SUMMARY
MAKE YOUR CHECK PAYABLE TO:
<---------- Please include bottom portion with your payment ----------> Billing Period: 01/01/2025 TO 01/31/2025
Premium Due Date: 01/01/2025
L.A. Neighborhood Land Trust
For questions about your bill contact:

Nanci Judd | 831-824-5014
[email protected]
L.A. Neighborhood Land Trust
*** Delinquent Date: 01/31/2025 *** 5% fee may apply if not received by this date Nonprofit Benefits Trust
P.O. Box 640
Capitola CA 95010
L.A. Neighborhood Land Trust
1689 Beverly Blvd.

Los Angeles CA 90026
01/01/2025 Current Charges $ 333.40
===========
$ 333.40
===========
P.O. Box 640, Capitola, CA 95010
CURRENT CHARGES Page 1
L.A. Neighborhood Land Trust
BILLING PERIOD: 01/01/2025 TO 01/31/2025
NAME EMP/DIV# DENTAL CARRIER AMT VISION AMT TOTAL
Campos-Jimenez, Diana P 4872 EE+1 Silver w/Ortho Delta $ 60.13 EE+1 Silver $ 13.42 $ 73.55 Garcia So, Adriana 7864 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Garvoille, David B 3890 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Gonzalez, Julie C 4873 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Kjer, Tori 4628 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Quadrino, Claudia 8570 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Valencia, Mireya 5256 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Zhang, Brenda 6094 EE ONLY Silver $ 7.67 $ 7.67
----------------- -------------------- ------------------ -------------------- Count: 8 $ 266.29 $ 67.11 $ 333.40
P.O. Box 640, Capitola, CA 95010

BILLING SUMMARY
MAKE YOUR CHECK PAYABLE TO:
<---------- Please include bottom portion with your payment ----------> Billing Period: 02/01/2025 TO 02/28/2025
Premium Due Date: 02/01/2025
L.A. Neighborhood Land Trust
For questions about your bill contact:

Nanci Judd | 831-824-5014
[email protected]
L.A. Neighborhood Land Trust
*** Delinquent Date: 02/28/2025 *** 5% fee may apply if not received by this date Nonprofit Benefits Trust
P.O. Box 640
Capitola CA 95010
L.A. Neighborhood Land Trust
1689 Beverly Blvd.

Los Angeles CA 90026
02/01/2025 Current Charges $ 333.40
===========
$ 333.40
===========
P.O. Box 640, Capitola, CA 95010
CURRENT CHARGES Page 1
L.A. Neighborhood Land Trust
BILLING PERIOD: 02/01/2025 TO 02/28/2025
NAME EMP/DIV# DENTAL CARRIER AMT VISION AMT TOTAL
Campos-Jimenez, Diana P 4872 EE+1 Silver w/Ortho Delta $ 60.13 EE+1 Silver $ 13.42 $ 73.55 Garcia So, Adriana 7864 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Garvoille, David B 3890 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Gonzalez, Julie C 4873 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Kjer, Tori 4628 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Quadrino, Claudia 8570 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Valencia, Mireya 5256 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Zhang, Brenda 6094 EE ONLY Silver $ 7.67 $ 7.67
----------------- -------------------- ------------------ -------------------- Count: 8 $ 266.29 $ 67.11 $ 333.40
P.O. Box 640, Capitola, CA 95010

BILLING SUMMARY
MAKE YOUR CHECK PAYABLE TO:
<---------- Please include bottom portion with your payment ----------> Billing Period: 03/01/2025 TO 03/31/2025
Premium Due Date: 03/01/2025
L.A. Neighborhood Land Trust
For questions about your bill contact:

Nanci Judd | 831-824-5014
[email protected]
L.A. Neighborhood Land Trust
*** Delinquent Date: 03/31/2025 *** 5% fee may apply if not received by this date Nonprofit Benefits Trust
P.O. Box 640
Capitola CA 95010
L.A. Neighborhood Land Trust
1689 Beverly Blvd.

Los Angeles CA 90026
03/01/2025 Current Charges $ 333.40
===========
$ 333.40
===========
P.O. Box 640, Capitola, CA 95010
CURRENT CHARGES Page 1
L.A. Neighborhood Land Trust
BILLING PERIOD: 03/01/2025 TO 03/31/2025
NAME EMP/DIV# DENTAL CARRIER AMT VISION AMT TOTAL
Campos-Jimenez, Diana P 4872 EE+1 Silver w/Ortho Delta $ 60.13 EE+1 Silver $ 13.42 $ 73.55 Garcia So, Adriana 7864 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Garvoille, David B 3890 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Gonzalez, Julie C 4873 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Kjer, Tori 4628 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Quadrino, Claudia 8570 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Valencia, Mireya 5256 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Zhang, Brenda 6094 EE ONLY Silver $ 7.67 $ 7.67
----------------- -------------------- ------------------ -------------------- Count: 8 $ 266.29 $ 67.11 $ 333.40
P.O. Box 640, Capitola, CA 95010
ADDITIONS AND TERMINATIONS Page 1
BILLING PERIOD: 03/01/2025 to 03/31/2025
L.A. Neighborhood Land Trust

NAME SSN LINE CARRIER COVERAGE PREMIUM
=========
$ 0.00
P.O. Box 640, Capitola, CA 95010

BILLING SUMMARY
MAKE YOUR CHECK PAYABLE TO:
<---------- Please include bottom portion with your payment ----------> Billing Period: 04/01/2025 TO 04/30/2025
Premium Due Date: 04/01/2025
L.A. Neighborhood Land Trust
For questions about your bill contact:

Christine Boyd | 831-824-5021
[email protected]
L.A. Neighborhood Land Trust
*** Delinquent Date: 04/30/2025 *** 5% fee may apply if not received by this date Please pay the bottom amount shown between the dotted lines above Nonprofit Benefits Trust
P.O. Box 640
Capitola CA 95010
L.A. Neighborhood Land Trust
1689 Beverly Blvd.

Los Angeles CA 90026
04/01/2025 Current Charges $ 291.37
===========
$ 291.37
===========
P.O. Box 640, Capitola, CA 95010
CURRENT CHARGES Page 1
L.A. Neighborhood Land Trust
BILLING PERIOD: 04/01/2025 TO 04/30/2025
NAME EMP/DIV# DENTAL CARRIER AMT VISION AMT TOTAL
Campos-Jimenez, Diana P 4872 EE+1 Silver w/Ortho Delta $ 60.13 EE+1 Silver $ 13.42 $ 73.55 Garcia So, Adriana 7864 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Gonzalez, Julie C 4873 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Kjer, Tori 4628 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Quadrino, Claudia 8570 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Valencia, Mireya 5256 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Zhang, Brenda 6094 EE ONLY Silver $ 7.67 $ 7.67
----------------- -------------------- ------------------ -------------------- Count: 7 $ 231.93 $ 59.44 $ 291.37
P.O. Box 640, Capitola, CA 95010

BILLING SUMMARY
MAKE YOUR CHECK PAYABLE TO:
<---------- Please include bottom portion with your payment ----------> Billing Period: 05/01/2025 TO 05/31/2025
Premium Due Date: 05/01/2025
L.A. Neighborhood Land Trust
For questions about your bill contact:

Christine Boyd | 831-824-5021
[email protected]
L.A. Neighborhood Land Trust
*** Delinquent Date: 05/31/2025 *** 5% fee may apply if not received by this date Please pay the bottom amount shown between the dotted lines above Nonprofit Benefits Trust
P.O. Box 640
Capitola CA 95010
L.A. Neighborhood Land Trust
1689 Beverly Blvd.

Los Angeles CA 90026
05/01/2025 Current Charges $ 291.37
===========
$ 291.37
===========
P.O. Box 640, Capitola, CA 95010
CURRENT CHARGES Page 1
L.A. Neighborhood Land Trust
BILLING PERIOD: 05/01/2025 TO 05/31/2025
NAME EMP/DIV# DENTAL CARRIER AMT VISION AMT TOTAL
Campos-Jimenez, Diana P 4872 EE+1 Silver w/Ortho Delta $ 60.13 EE+1 Silver $ 13.42 $ 73.55 Garcia So, Adriana 7864 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Gonzalez, Julie C 4873 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Kjer, Tori 4628 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Quadrino, Claudia 8570 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Valencia, Mireya 5256 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Zhang, Brenda 6094 EE ONLY Silver $ 7.67 $ 7.67
----------------- -------------------- ------------------ -------------------- Count: 7 $ 231.93 $ 59.44 $ 291.37
P.O. Box 640, Capitola, CA 95010

BILLING SUMMARY
MAKE YOUR CHECK PAYABLE TO:
<---------- Please include bottom portion with your payment ----------> Billing Period: 06/01/2025 TO 06/30/2025
Premium Due Date: 06/01/2025
L.A. Neighborhood Land Trust
For questions about your bill contact:

Christine Boyd | 831-824-5021
[email protected]
L.A. Neighborhood Land Trust
*** Delinquent Date: 06/30/2025 *** 5% fee may apply if not received by this date Please pay the bottom amount shown between the dotted lines above Nonprofit Benefits Trust
P.O. Box 640
Capitola CA 95010
L.A. Neighborhood Land Trust
1689 Beverly Blvd.

Los Angeles CA 90026
06/01/2025 Current Charges $ 291.37
===========
$ 291.37
===========
P.O. Box 640, Capitola, CA 95010
CURRENT CHARGES Page 1
L.A. Neighborhood Land Trust
BILLING PERIOD: 06/01/2025 TO 06/30/2025
NAME EMP/DIV# DENTAL CARRIER AMT VISION AMT TOTAL
Campos-Jimenez, Diana P 4872 EE+1 Silver w/Ortho Delta $ 60.13 EE+1 Silver $ 13.42 $ 73.55 Garcia So, Adriana 7864 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Gonzalez, Julie C 4873 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Kjer, Tori 4628 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Quadrino, Claudia 8570 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Valencia, Mireya 5256 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Zhang, Brenda 6094 EE ONLY Silver $ 7.67 $ 7.67
----------------- -------------------- ------------------ -------------------- Count: 7 $ 231.93 $ 59.44 $ 291.37
P.O. Box 640, Capitola, CA 95010

BILLING SUMMARY
MAKE YOUR CHECK PAYABLE TO:
<---------- Please include bottom portion with your payment ----------> Billing Period: 07/01/2025 TO 07/31/2025
Premium Due Date: 07/01/2025
L.A. Neighborhood Land Trust
For questions about your bill contact:

Christine Boyd | 831-824-5021
[email protected]
L.A. Neighborhood Land Trust
*** Delinquent Date: 07/31/2025 *** 5% fee may apply if not received by this date Please pay the bottom amount shown between the dotted lines above Nonprofit Benefits Trust
P.O. Box 640
Capitola CA 95010
L.A. Neighborhood Land Trust
1689 Beverly Blvd.

Los Angeles CA 90026
07/01/2025 Current Charges $ 333.40
===========
$ 333.40
===========
P.O. Box 640, Capitola, CA 95010
CURRENT CHARGES Page 1
L.A. Neighborhood Land Trust
BILLING PERIOD: 07/01/2025 TO 07/31/2025
NAME EMP/DIV# DENTAL CARRIER AMT VISION AMT TOTAL
Campos-Jimenez, Diana P 4872 EE+1 Silver w/Ortho Delta $ 60.13 EE+1 Silver $ 13.42 $ 73.55 Garcia So, Adriana 7864 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Gonzalez, Julie C 4873 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Haque, Meena 1954 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Kjer, Tori 4628 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Quadrino, Claudia 8570 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Valencia, Mireya 5256 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Zhang, Brenda 6094 EE ONLY Silver $ 7.67 $ 7.67
----------------- -------------------- ------------------ -------------------- Count: 8 $ 266.29 $ 67.11 $ 333.40
P.O. Box 640, Capitola, CA 95010
ADDITIONS AND TERMINATIONS Page 1
BILLING PERIOD: 07/01/2025 to 07/31/2025
L.A. Neighborhood Land Trust

NAME SSN LINE CARRIER COVERAGE PREMIUM
=========
$ 0.00
P.O. Box 640, Capitola, CA 95010

BILLING SUMMARY
MAKE YOUR CHECK PAYABLE TO:
<---------- Please include bottom portion with your payment ----------> Billing Period: 08/01/2025 TO 08/31/2025
Premium Due Date: 08/01/2025
L.A. Neighborhood Land Trust
For questions about your bill contact:

Christine Boyd | 831-824-5021
[email protected]
L.A. Neighborhood Land Trust
*** Delinquent Date: 08/31/2025 *** 5% fee may apply if not received by this date Please pay the bottom amount shown between the dotted lines above Nonprofit Benefits Trust
P.O. Box 640
Capitola CA 95010
L.A. Neighborhood Land Trust
1689 Beverly Blvd.

Los Angeles CA 90026
08/01/2025 Current Charges $ 333.40
===========
$ 333.40
===========
P.O. Box 640, Capitola, CA 95010
CURRENT CHARGES Page 1
L.A. Neighborhood Land Trust
BILLING PERIOD: 08/01/2025 TO 08/31/2025
NAME EMP/DIV# DENTAL CARRIER AMT VISION AMT TOTAL
Campos-Jimenez, Diana P 4872 EE+1 Silver w/Ortho Delta $ 60.13 EE+1 Silver $ 13.42 $ 73.55 Garcia So, Adriana 7864 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Gonzalez, Julie C 4873 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Haque, Meena 1954 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Kjer, Tori 4628 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Quadrino, Claudia 8570 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Valencia, Mireya 5256 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Zhang, Brenda 6094 EE ONLY Silver $ 7.67 $ 7.67
----------------- -------------------- ------------------ -------------------- Count: 8 $ 266.29 $ 67.11 $ 333.40
P.O. Box 640, Capitola, CA 95010

BILLING SUMMARY
MAKE YOUR CHECK PAYABLE TO:
<---------- Please include bottom portion with your payment ----------> Billing Period: 09/01/2025 TO 09/30/2025
Premium Due Date: 09/01/2025
L.A. Neighborhood Land Trust
For questions about your bill contact:

Andrea Rodriguez
[email protected]
L.A. Neighborhood Land Trust
*** Delinquent Date: 09/30/2025 *** 5% fee may apply if not received by this date Please pay the bottom amount shown between the dotted lines above Nonprofit Benefits Trust
P.O. Box 640
Capitola CA 95010
L.A. Neighborhood Land Trust
1689 Beverly Blvd.

Los Angeles CA 90026
09/01/2025 Current Charges $ 333.40
===========
$ 333.40
===========
P.O. Box 640, Capitola, CA 95010
CURRENT CHARGES Page 1
L.A. Neighborhood Land Trust
BILLING PERIOD: 09/01/2025 TO 09/30/2025
NAME EMP/DIV# DENTAL CARRIER AMT VISION AMT TOTAL
Campos-Jimenez, Diana P 4872 EE+1 Silver w/Ortho Delta $ 60.13 EE+1 Silver $ 13.42 $ 73.55 Garcia So, Adriana 7864 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Gonzalez, Julie C 4873 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Haque, Meena 1954 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Kjer, Tori 4628 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Quadrino, Claudia 8570 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Valencia, Mireya 5256 EE ONLY Silver w/Ortho Delta $ 34.36 EE ONLY Silver $ 7.67 $ 42.03 Zhang, Brenda 6094 EE ONLY Silver $ 7.67 $ 7.67
----------------- -------------------- ------------------ -------------------- Count: 8 $ 266.29 $ 67.11 $ 333.40

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pllllllllkmolrlz{}jlj AGENDA ITEM NO. 20.

CITY OF HAWTHORNE
City Council

AGENDA BILL
For the meeting of 05/26/2026
Originating Department: Police Department
City Manager: Department Head:

SUBJECT:

Approval of a payment to Security Aviation in the amount of $104,103.75, to complete and secure the materials and equipment needed to complete the scheduled engine overhaul for the Hawthorne Police Department's fixed wing aircraft (Air 113).

RECOMMENDED MOTION:

Staff recommends the City Council approve and authorize the City Manager, or his designee, to execute the payment to Security Aviation to secure materials and equipment for the scheduled overhaul to the plane's engine (August 2026).

DISCUSSION:

The Hawthorne Police Department has an agreement with Security Aviation for the standard and scheduled maintenance for the Police Department's fixed wing airship (Air 13). Air 13 is due for an engine overhaul and maintenance based on industry standards and hourly thresholds on the current engine. The Police Department has forecasted and managed the future use of Air 13, ensuring the needed maintenance won't need to occur until after the completion of the upcoming FIFA World Cup tournament, which will directly affect the City of Hawthorne and the region. Security Aviation can perform the needed overhaul. However, the part's preparation needs to start now to avoid the airship being grounded longer than necessary. The payment has been budgeted for and is available through account 230-2102-244-0-047404.

ECONOMIC DEVELOPMENT STRATEGIC PLAN:

N/A
FISCAL IMPACT:

None
NOTICING PROCEDURE:
72 Hours posted notice pursuant to the Ralph M. Brown Act.

ATTACHMENTS
SA Invoice
Security Aviation
3810 W. 120TH STREET
HAWTHORNE, CA 90250-3108
+13109781095
[email protected]

INVOICE

BILL TO
CITY OF HAWTHORNE N535EM
4455 W. 126TH STREET
HAWTHORNE, CA 90250
INVOICE # 19751
DATE 04/21/2026
TERMS Due on receipt

PO NUMBER
N535EM

ACTIVITY QTY RATE AMOUNT
Lycoming TIO 540-AJ1A
Exchange Engine TIO-540-AJ1A s/n L-12307-61E -
Overhauled to Factory New Limits with factory new Lycoming Cylinders, New Lycoming Stainless Steel Exhaust Pipes
Installed. Included is the two way freight cost.
1 130,750.00 130,750.00T
MISC
Core Charge: Engine Core TIO-540-AJ1A s/n L13540-61E
Must be returned and Have Repairable Crankshaft and
Crankcase or Additional Charges May Apply. Refundable if the engine passes inspection with no additional charges 1 25,000.00 25,000.00
Please note this is the Final Invoice for Exchange Engine Only - This does not include any Removal/Installation Labor or Any Additional Parts that will be needed to complete installation.

SUBTOTAL 155,750.00
TAX 13,728.75
TOTAL 169,478.75
PAYMENT 65,375.00
BALANCE DUE $104,103.75
AGENDA ITEM NO. 21.

CITY OF HAWTHORNE
City Council

AGENDA BILL
For the meeting of 05/26/2026
Originating Department: Public Works
City Manager: Department Head:

SUBJECT:

Agreement for Funding Administration Services for Federally Funded Projects with Advanced AvantGarde Corporation.

RECOMMENDED MOTION:

Staff recommends that the City Council approve the Agreement with Advanced Avant-Garde Corporation and authorize the Director of Public Works to enter into and execute the Agreement.

DISCUSSION:

Public Works has several projects that are federally funded through Caltrans and reached out to a consultant to provide on-call funding administration services on an as-needed basis.

Advanced Avant Garde submitted two proposals: one for the STPL Funded Imperial Hwy project and another for On-Call Funding Administration.

The scope of work will include reviewing existing Caltrans-funded project documentation and coordinating with City staff to prepare and submit all required authorization requests, clearances, and related submittals to Caltrans. Required submittals may include Requests for Authorization (RFA), environmental (PES) and right-of-way (RW) clearance documents, award packages, reimbursement requests, and scope change requests.

ECONOMIC DEVELOPMENT STRATEGIC PLAN:

This agreement will support the timely delivery of Caltrans-funded infrastructure projects by ensuring grant requirements and reimbursement processes are completed efficiently. Advancing these projects helps improve transportation access, safety, and overall mobility, which enhances the City’s attractiveness for businesses, supports local investment, and contributes to long-term economic development.

FISCAL IMPACT:

None. The estimated cost of $100,000 per year will be funded through a combination of Local Share and federally-funded Caltrans grants as allocated under each project.

NOTICING PROCEDURE:
72 Hours posted notice pursuant to the Ralph M. Brown Act.

ATTACHMENTS
Proposal for Funding Administration Services
Proposal for Funding Administrative Services for Imperial Hwy Project 1 May 19, 2026
Akbar Farokhi
Director of Public Works
City of Hawthorne
4455 W. 126th Street
Hawthorne, CA 90250
Subject: Proposal for Misc. Grant Funded Project Support in the City of Hawthorne Dear Mr. Farokhi:

It is with great pleasure that AVANT-GARDE submits this proposal to provide Funding Administration Services to the City of Hawthorne.

A 100% woman-owned firm, Advanced Avant-Garde Corporation was incorporated in September 2002 and our corporate office is located at 807 S Lemon Ave, Diamond Bar, CA 91789. AVANT-GARDE is a certified minority business enterprise, women business enterprise, disadvantaged business enterprise and small business enterprise (MBE, WBE, DBE, SBE).

AVANT-GARDE has built a strong reputation for providing innovative and successful solutions for several public agencies. We have a successful track record with several municipalities. In total, AVANT-GARDE has secured over $566.9 million in competitive grant funds for local communities throughout Los Angeles, Orange, San Bernardino, and Riverside Counties.

To provide exceptional services, we present a highly qualified and experienced team of program managers and coordinators each with years of experience in providing identical services to Cities throughout Southern California. We have assigned a firm principal Lissette Montoya, to serve as the Project Representative. Ms. Montoya will oversee all assigned staff and will ensure successful administration of all activities.

Assigned to the City of Hawthorne as Program Manager is Keith LeNoue, to oversee all daily operations and coordination as requested.

We have prepared this proposal, which will address the following: (A) our proposed scope of work and (B) our compensation schedule.

A. Scope of Work
It is our understanding that the City of Hawthorne is seeking a highly qualified consultant to provide on-call professional services to the Public Works Department on an as-needed basis. AVANT-GARDE is committed and qualified to provide the following limited scope of funding administration services as outlined in our proposal:

1. Existing records review and Coordination: Avant-Garde will assist the city with ensuring all Caltrans funded project information, documents, timelines, and funds are kept up to date. Ensuring project info is accurate and utilized accordingly. 2 Avant-Garde can assist meetings, and coordination with external entities on existing records such as Caltrans, Metro, etc. as needed.

2. Caltrans Submittals: Avant-Garde will coordinate with the City of Hawthorne to prepare and submit all required authorization requests, clearances, reimbursement claims, and any other misc. submittals with Caltrans. This includes all required submittals per the Local Assistance Procedures Manual at Caltrans for state and federally funded grant programs administered. a) Types of submittals could include, but are not limited too:
i. RFA for PE, RW, and/or CON
ii. Environmental (PES) and Right of Way (RW) Clearance documents iii. Award Package, Funds Cost Adjustments, Shifts, etc. iv. Reimbursement Requests, Final Invoices (FPER/FROE)
v. Scope Change requests, Allocation Requests, Extensions, etc.

B. Compensation Schedule
Avant-Garde proposes the following hourly rates.

Classification Hourly Rate
Program Director $170
Program Manager $140
Senior Program Coordinator $125
Program Coordinator $110
Program Assistant $100
It should be noted that our hourly rates are fully loaded. No additional costs will be billed to the City such as travel, duplication of materials, binding, mailing, etc.

If you have any questions or if I can be of further assistance, please feel free to contact me at 909-797-6587.

Sincerely,
Lissette Montoya
Lissette Montoya
Vice President
APPROVED TO PROCEED:
3 City Representative Date
1 May 19, 2026
Akbar Farokhi
Director of Public Works
City of Hawthorne
4455 W. 126th Street
Hawthorne, CA 90250
Subject: Scope and Fee Proposal for Funding Administration Services in the City of Hawthorne for Surface Transportation Program Local Federal Project on Imperial Hwy
Dear Mr. Farokhi:

It is with great pleasure that I provide you with this proposal to perform Funding Administration services for your federally funded project in Hawthorne. We have prepared this fee proposal, which will address the following: (A) our proposed scope of work and (B) our consulting fees.

Avant Garde will assist the City in securing the proper allocations from Caltrans listed under this proposal for the projects referenced above.

A. Scope of Work
Our scope of work will include the following:
• Review and Coordination of Existing Documents, Attend Meetings and Misc.

Coordination with Caltrans and Project Staff: Avant-Garde will review existing documentation and coordinate with the City, Design Team, and funding Agency as needed. Avant-Garde will attend all required project meetings as well as coordinate funding information, programming, and misc. concerns with Caltrans and project staff as needed
• Preparation and Submittal of Preliminary Environmental Study (PES): Avant-Garde will prepare and submit the required environmental package per the Local Assistance Procedures Manual Chapter 6 to receive the approved NEPA clearance.

Preparation includes gathering all required maps, studies, and attachments applicable as well as coordinating with Caltrans Environmental office to address any comments, concerns, or revisions required.
• Preparation and Submittal of Caltrans’ Right of Way (ROW) Clearance: Avant-Garde will prepare and submit the required documents per the Local Assistance Procedures Manual Chapter 13 to receive the approved certification for Right of Way (RW).

Activities will include reviewing plans in compliance with Caltrans federal RW procedures, preparing the Chapter 13 Exhibit, reviewing any agreements, permits, notices, etc., and coordinating with Caltrans RW office to receive the signed RW clearance.
• Preparation and Submittal of Request for Authorization (RFA) for Construction: AvantGarde will prepare and submit the required documents per the Local Assistance Procedures Manual Chapter 3 to receive the E-76 for CON and coordinate with staff on construction next steps. Avant-Garde will review the final PS&E to ensure 2 compliance and prepare the Authorization package which includes program funding review, obligation deadlines, NEPA and RW approvals, Specification review, Plan execution, and any other misc. Caltrans requirements. Avant Garde will directly coordinate with Local Assistance and the City to have all documents reviewed and executed accordingly, and provide comments and revisions as requested.

B. Compensation
Our services will be billed on a percentage of completion basis per task and shall not exceed $18,040.

Tasks breakdown:
- 1. Review and Coordination of Existing Documents, Attend Meetings and Misc.

Coordination with Caltrans and Project Staff
- 2. Preparation and Submittal of Preliminary Environmental Study (PES) - 3. Preparation and Submittal of Caltrans’ Right of Way (ROW) Clearance - 4. Preparation and Submittal of Request for Authorization (RFA) for Construction Total
$3,560
$3,520
$3,040
$7,920
$18,040
If you have any questions or if we can be of further assistance, please feel free to contact the project manager Keith LeNoue at (323) 793-6696 or myself at (323) 371-5530.

Sincerely,
Lissette Montoya
Lissette Montoya
Vice President
APPROVED TO PROCEED:

City Representative Date
AGENDA ITEM NO. 22.

CITY OF HAWTHORNE
City Council

AGENDA BILL
For the meeting of 05/26/2026
Originating Department: Public Works
City Manager: Department Head:

SUBJECT:

Progress Payment #2 in the amount of $365,740.28 due to Martinez Landscape CO., Inc of Sylmar, CA for General Maintenance (Project #22-05).

RECOMMENDED MOTION:

Staff recommends that the City Council approve this Progress Payment #2 to Martinez Landscape CO., Inc of Sylmar, CA.

DISCUSSION:

This contract encompasses various crucial maintenance activities, including the City's Weed Abatement Project, landscape and general maintenance needs, and specific tasks such as concrete and asphalt replacement, sidewalk, curb, and gutter replacements. Additionally, it includes essential tree planting, removal, and maintenance services for the medians along Hawthorne Blvd, Prairie Ave, Inglewood Ave, and Imperial Hwy. These contract maintenance activities are designed to complement the work performed by City Staff, as required.

Furthermore, the contract incorporates regular debris maintenance on the Caltrans right-of-way, ensuring that roads and adjacent areas remain free from obstructions. This work plays a vital role in preserving safe and accessible roadways, while also preventing the accumulation of trash, plastic, and other debris from being washed into our storm drains by rainwater.

This progress payment includes work on the arterial streets in preparation for the 2028 Summer Olympics.

ECONOMIC DEVELOPMENT STRATEGIC PLAN:

This contract supports economic development by maintaining clean, safe, and well-kept streets, landscaping, and infrastructure that enhance the City’s appearance, protect public assets, and create an environment that attracts businesses, investment, and community activity.

FISCAL IMPACT:

None. Funds for this progress payment in amount of $365,740.28 is available in the adopted Fiscal Year 2025-2026 budget and will be paid for with approved and allocated funds from Proposition C, Measure R and Non-Gas Tax Funds.

NOTICING PROCEDURE:
72 Hours posted notice pursuant to the Ralph M. Brown Act.

ATTACHMENTS
22-05 PP#2
5/26/2026
Honorable Mayor and City Council Council DateCity of HawthorneHawthorne, CA 90250 RE: GENERAL MAINTENANCE (PROJECT #22-05)
The following is a detailed breakdown of Progress Payment No.2 to Martinez Landscaping Co., 12357 SAN FERNANDO ROAD, SYLMAR,CA 91342, for work done on the subject project through May 2026
ITEM# QUANTITY UNIT ITEM DESCRIPTION Unit Price Total Price QUANTITY Total Price QUANTITY Total Price QUANTITY AMOUNT 1 30,000.00 S.F. Mowing Lots $0.35 $10,500.00 $0.00 $0.00 $0.00 - $0.002 30,000 S.F. Mowing Parkways $0.25 $7,500.00 $0.00 $0.00 $0.00 - $0.003 100,000 S.F. Hand Cleaning of debris from lots as required $0.10 $10,000.00 $0.00 2,200.00 $220.00 2,200.00 $220.004 40 Location Removal of rubbish per 10 lbs. to 500 lbs. $175.00 $7,000.00 $0.00 1.00 $175.00 1.00 $175.005 30 Location Removal of rubbish per 500 lbs. to 1,000 lbs. $225.00 $6,750.00 $0.00 - $0.00 - $0.006 100 Location Removal of rubbish per 1,001 lbs. to 1 ton. $225.00 $22,500.00 $0.00 - $0.00 - $0.007 25 Location Removal of rubbish per 1 ton or more $250.00 $6,250.00 $0.00 - $0.00 - $0.008 20 Tree Remove 10"-30" diameter Tree and stump, including disposal $225.00 $4,500.00 $0.00 - $0.00 - $0.009 30 Tree Remove 30" to 40" diameter Tree and stump, including disposal $450.00 $13,500.00 $0.00 - $0.00 - $0.00 10 15 Tree Remove 40" - or above diameter Tree and stump, including disposal $575.00 $8,625.00 $0.00 - $0.00 - $0.0011 50 Tree Plant 24" box Tree with root barriers $300.00 $15,000.00 $0.00 - $0.00 - $0.0012 100 Tree Plant 36" box Tree with root barriers $575.00 $57,500.00 $0.00 - $0.00 - $0.0013 2,000 L.F. Root pruning and root barrier $1.55 $3,100.00 $0.00 - $0.00 - $0.0014 300 L.F. INSTALL New 8-ft. high chain link fence $95.00 $28,500.00 $0.00 - $0.00 - $0.0015 500 L.F. INSTALL New 14-ft. high chain link fence $75.00 $37,500.00 $0.00 - $0.00 - $0.0016 3,000 L.F. INSTALL 6' high reinforced masonary block wall (8" thick) $57.00 $171,000.00 $0.00 - $0.00 - $0.0017 2,000 L.F. INSTALL 8' high reinforced block wall (8" thick) $85.00 $170,000.00 $0.00 - $0.00 - $0.0018 500 L.F. Repair chain link fence $1.25 $625.00 $0.00 - $0.00 - $0.0019 10,000 S.F. Clean sidewalks $0.10 $1,000.00 $0.00 - $0.00 - $0.0020 50 Each INSTALL 6ft. High barrier post $60.00 $3,000.00 $0.00 - $0.00 - $0.0021 50 Each Remove and replace 6-ft. wheel stop $37.00 $1,850.00 $0.00 - $0.00 - $0.0022 30 Each Remove and replace bus bench $1,000.00 $30,000.00 $0.00 - $0.00 - $0.0023 150 Each Remove posters, flyers, signage, etc. $1.10 $165.00 $0.00 - $0.00 - $0.0024 14,000 S.F. Remove and excavate existing sidewalk and Construct new 4" thick PCC sidewalk, per 112-1 over 4" CMB $9.95 $139,300.00 $0.00 16,553.50 $164,707.33 16,553.50 $164,707.33 25 300 Each Remove and replace street signs $15.00 $4,500.00 $0.00 - $0.00 - $0.0026 2,000 L.F. Remove and replace curb and gutter $42.00 $84,000.00 $0.00 249.00 $10,458.00 249.00 $10,458.0027 30 Each Trash receptacle $1,250.00 $37,500.00 $0.00 - $0.00 - $0.0028 15,000 S.F. Remove and excavate existing alleys pavement and reconstruct new 8" thick PCC Cconcrete pavement, per APWA STD Plan 134-1 & 131-1 $18.00 $270,000.00 $0.00 - $0.00 - $0.00 29 3,000 S.F. Remove and excavate existing driveway and construct new 6" thick PCC driveway, per APWA STD Plan 110-1 over 6" CAB $9.95 $29,850.00 $0.00 955.00 $9,502.25 955.00 $9,502.25 30 10 Each Construct AC Speed Hump $1,800.00 $18,000.00 $0.00 - $0.00 - $0.0031 5,000 S.F. (Localized repair) Remove and replace aspahlt concrete pavement (4" AC over 8" CMB) $9.25 $46,250.00 $0.00 - $0.00 - $0.0032 20 Location Install sewer backflow system $260.00 $5,200.00 $0.00 - $0.00 - $0.0033 10 Each Furnish and install 2" remote control Valves superior 950's $275.00 $2,750.00 $0.00 - $0.00 - $0.0034 500 L.F. Furnish and install 1" PVC Pipe sch. 40 $0.65 $325.00 $0.00 - $0.00 - $0.0035 1,000 L.F. Furnish and install 2" PVC Pipe sch. 40 $1.45 $1,450.00 $0.00 - $0.00 - $0.0036 1,000 L.F. Furnish and install 2 1/2" PVC pipe Class 315 sch. 40 $2.50 $2,500.00 $0.00 - $0.00 - $0.0037 1,000 L.F. Furnish and install 3" PVC pipe Class 315 sch. 40. $3.00 $3,000.00 $0.00 - $0.00 - $0.0038 1,000 L.F. Furnish and install 4" PVC pipe Class 315 sch. 40 $4.10 $4,100.00 $0.00 - $0.00 - $0.0039 1,000 L.F. Furnish and install 3/4" PVC Pipe sch. 40 $0.40 $400.00 $0.00 - $0.00 - $0.0040 50 Each Furnish and install 1812 Sams Rain Bird Pop-ups $16.00 $800.00 $0.00 - $0.00 - $0.0041 3 Each Furnish and install 32" Sprinkler Clock LeMeur Enclosure $1,200.00 $3,600.00 $0.00 - $0.00 - $0.0042 40 Each Furnish and install Hunter I-40 $45.00 $1,800.00 $0.00 - $0.00 - $0.0043 60 Each Furnish and install Hunter I-25 $32.00 $1,920.00 $0.00 - $0.00 - $0.00 Base Bid CONTRACT PREVIOUS MONTH CURRENT MONTH TOTAL TO DATE Invoice #2
44 60 Each Furnish and install Hunter I-20 $20.00 $1,200.00 $0.00 - $0.00 - $0.00 45 4 Each Furnish and install 36-Station Controller Ev. Ex2 Stainless Steel $4,125.00 $16,500.00 $0.00 - $0.00 - $0.0046 4 Each Furnish and install 1” Backflow prevention units/strainers $550.00 $2,200.00 $0.00 - $0.00 - $0.0047 6 Each Furnish and install 1” Quick coupling valves $200.00 $1,200.00 $0.00 - $0.00 - $0.0048 5 Each Connect to existing 4” water lines $675.00 $3,375.00 $0.00 - $0.00 - $0.0049 5 Each Connect to existing 110v electrical Power supply for Irrigation Controller $400.00 $2,000.00 $0.00 - $0.00 - $0.0050 5 Each Furnish and install 4” Gate valves $475.00 $2,375.00 $0.00 - $0.00 - $0.0051 3 Each Furnish and install 3” Master valve # 3100 $500.00 $2,500.00 $0.00 - $0.00 - $0.0052 4 Each Furnish and install 2” Flow sensor $280.00 $1,120.00 $0.00 - $0.00 - $0.0053 10 Each Furnish and install Grounding protection (rod, plate, etc.) $130.00 $1,300.00 $0.00 - $0.00 - $0.0054 1,000 L.F. Furnish and install Tracer wires $0.15 $150.00 $0.00 - $0.00 - $0.0055 500 Each Furnish and install ¾” PVC Fittings sch. 40 $0.47 $235.00 $0.00 - $0.00 - $0.0056 500 Each Furnish and install 1” PVC Fittings sch. 40 $0.50 $250.00 $0.00 - $0.00 - $0.0057 500 Each Furnish and install 1.5” PVC Fittings sch. 40 $0.50 $250.00 $0.00 - $0.00 - $0.0058 500 Each Furnish and install 2” PVC Fittings sch. 40 $0.97 $485.00 $0.00 - $0.00 - $0.0059 60 Each Furnish and install 2.5” PVC Fittings sch. 40 $2.25 $135.00 $0.00 - $0.00 - $0.0060 20 Each Furnish and install 3” PVC Fittings sch. 40 $3.50 $70.00 $0.00 - $0.00 - $0.0061 50 Each Furnish and install 4” PVC Fittings sch. 40 $6.50 $325.00 $0.00 - $0.00 - $0.0062 200 Each Furnish and install 1” Marlex Street Ells $0.40 $80.00 $0.00 - $0.00 - $0.0063 3 Each Furnish and install PVC Weld-On 2711/P-70 Primer $8.00 $24.00 $0.00 - $0.00 - $0.0064 5,000 L.F. Furnish and install Wire/Cable 14 gage $0.25 $1,250.00 $0.00 - $0.00 - $0.0065 20 Each Furnish and install Rain Bird 1300 A-F Bubbler $4.00 $80.00 $0.00 - $0.00 - $0.0066 10,000 CY. Unclassified excavation including neatly saw cut edges where applicable $47.00 $470,000.00 $0.00 - $0.00 - $0.0067 5 Each Furnish and install 2”Gate Valve T-113 $160.00 $800.00 $0.00 - $0.00 - $0.0068 1 Each Furnish and install 3” Pressure reducing backflow 880 series with Y strainer $2,500.00 $2,500.00 $0.00 - $0.00 - $0.00 69 2 Each Furnish and install 48” LeMeur Backflow Enclosure $1,200.00 $2,400.00 $0.00 - $0.00 - $0.0070 30 Each Furnish and install 14” x 18” Rectangular Valve Boxes $38.00 $1,140.00 $0.00 - $0.00 - $0.0071 30 Each Furnish and install Valve Identification Tags $1.50 $45.00 $0.00 - $0.00 - $0.0072 100 Each Plant 1 Gallon Strelitzia Reginae “Bird of Paradise” $6.50 $650.00 $0.00 - $0.00 - $0.0073 100 Each Plant 1 Gallon Agapanthus Africanus “Lily of Nile” $6.00 $600.00 $0.00 - $0.00 - $0.0074 100 Each Plant 1 Gallon Raphiolepis “Ballerinas” $6.50 $650.00 $0.00 - $0.00 - $0.0075 100 Each Plant 1 Gallon Pittosoporum tobira dwarf “Wheelers” $6.25 $625.00 $0.00 - $0.00 - $0.0076 100 Each Plant 1 Gallon Pittosporum Tobira Variegated $6.25 $625.00 $0.00 - $0.00 - $0.0077 100 Each Plant 1 Gallon Trachelosperum Jasminoides “Star Jasmine” $6.00 $600.00 $0.00 - $0.00 - $0.0078 100 Each Plant 1 Gallon Ice Berg Roses $15.00 $1,500.00 $0.00 - $0.00 - $0.0079 100 Each Plant Gazenies Ground Cover Flats $27.00 $2,700.00 $0.00 - $0.00 - $0.0080 100 Each Plant 5 Gallon Nandina Nana $25.00 $2,500.00 $0.00 - $0.00 - $0.0081 100 Each Plant 5 Gallon Penstemon $20.00 $2,000.00 $0.00 - $0.00 - $0.0082 100 Each Plant 5 Gallon Mexican Sage $18.00 $1,800.00 $0.00 - $0.00 - $0.0083 100 Each Plant 1 Gallon Cuphia $5.00 $500.00 $0.00 - $0.00 - $0.0084 100 Each Plant 5 Gallon Kangaroo Paw Red $18.00 $1,800.00 $0.00 - $0.00 - $0.0085 100 Each Plant 5 Gallon Bird of paradise $22.00 $2,200.00 $0.00 - $0.00 - $0.0086 100 Each Plant 5 Gallon Liriope $18.00 $1,800.00 $0.00 - $0.00 - $0.0087 100 Each Plant 5 Gallon Garlic Variegata $18.00 $1,800.00 $0.00 - $0.00 - $0.0088 500 L.F. Install 18" Storm Drain Pipe(RCP) including joints and connection into existing $50.00 $25,000.00 $0.00 - $0.00 - $0.00 Invoice #2
89 500 L.F. Install 8” VCP including joints and connection into existing $57.00 $28,500.00 $0.00 - $0.00 - $0.00 90 200 L.F. Install 6” VCP including joint and connection into existing $25.00 $5,000.00 $0.00 - $0.00 - $0.0091 2 Each Construct new catch basin per SWPPWC Std. 300-3, W=7’ including local depression per SPPWC Std. 313-3 over 6” CMB, Wd=7' $7,500.00 $15,000.00 $0.00 - $0.00 - $0.00 92 100,000 S.F. Maintenance of median landscaped $0.92 $92,000.00 $0.00 - $0.00 - $0.0093 3,000 Ton Crushed Miscellaneous Base (CMB) $25.00 $75,000.00 $0.00 - $0.00 - $0.0094 Annualy Install Christmas Lights $4,500.00 $4,500.00 $0.00 - $0.00 - $0.0095 300 L.F. Install 8ft. tall rod iron fence $35.00 $10,500.00 $0.00 - $0.00 - $0.0096 Per Bus Stop Power wash benches / bus stops $95.00 $95.00 $0.00 - $0.00 - $0.0097 Per Tree Tree trimming on median landscape $45.00 $45.00 $0.00 - $0.00 - $0.0098 Per L.F. (As Needed) Trench for electrical conduit and backfill $3.00 $3.00 $0.00 - $0.00 - $0.00 99 Per Post Install temporary electrical post $1,800.00 $1,800.00 $0.00 - $0.00 - $0.00 100 Per S.F. Seal coat with stripping $0.90 $0.90 $0.00 - $0.00 - $0.00101 Per S.F. Installation of water conservation plant material $1.25 $1.25 $0.00 - $0.00 - $0.00102 Per Hour Playground Restoration – Power wash and paint playground equipment $45.00 $45.00 $0.00 - $0.00 - $0.00103 Per Hour Bulky item monitoring throughout city $27.00 $27.00 $0.00 320.00 $8,640.00 320.00 $8,640.00104 Per Hour (As Needed) Bulky item removal – 2 man crew with minimum ¾ Ton vehicle $150.00 $150.00 $0.00 450.00 $67,500.00 450.00 $67,500.00 105 Per Event Temporary facilities for event – 3 restrooms with Hot water sinks / temporary light towers $2,580.00 $2,580.00 $0.00 - $0.00 - $0.00 106 153,000 S.F. Hawthorne Blvd. (medians, curb extensions and parkways) *from 105 Freeway to Rosecrans Ave. $0.12 $18,360.00 $0.00 306,000.00 $36,720.00 306,000.00 $36,720.00 107 12200 S.F. Imperial Hwy. (median) *from Inglewood Ave. to Prairie Ave. $0.12 $1,464.00 $0.00 24,000.00 $2,880.00 24,000.00 $2,880.00108 7000 S.F. Crenshaw Blvd. (median) *from 120th St. to El Segundo Blvd. $0.15 $1,050.00 $0.00 14,000.00 $2,100.00 14,000.00 $2,100.00109 12000 S.F. 120th Street *along South Dominguez Channel $0.12 $1,440.00 $0.00 24,000.00 $2,880.00 24,000.00 $2,880.00 110 26000 S.F. Rosecrans Ave. (median & parkway) *from Aviation Blvd. to Inglewood Ave. $0.15 $3,900.00 $0.00 52,000.00 $7,800.00 52,000.00 $7,800.00 111 25000 S.F. Prairie Ave. (median) *116th St. to El Segundo Blvd. $0.15 $3,750.00 $0.00 50,000.00 $7,500.00 50,000.00 $7,500.00112 10500 S.F. Inglewood Ave. (median) *from Imperial Hwy. to Rosecrans Ave. $0.12 $1,260.00 $0.00 21,000.00 $2,520.00 21,000.00 $2,520.00113 17500 S.F. Marine Ave. (frontage and divider median) *from Gerkin Ave. to Yukon Ave. $0.10 $1,750.00 $0.00 35,000.00 $3,500.00 35,000.00 $3,500.00 114 26500 S.F. Prairie Avenue (frontage and divider median) *from Cordary Avenue to 149th Street $0.15 $3,975.00 $0.00 53,000.00 $7,950.00 53,000.00 $7,950.00 115 6000 S.F. 147th Street *Inglewood Ave to Ocean Gate $0.10 $600.00 $0.00 12,000.00 $1,200.00 12,000.00 $1,200.00 116 Once Per Week Clean weeds and trash on 119th Street from Felton Avenue to Crenshaw Avenue $325.00 $325.00 $0.00 - $0.00 - $0.00 117 Once Per Week Weekly center median watering with watertruck on Prairie Avenue from Rosecrans Avenue to El Segundo Boulevard $875.00 $875.00 $0.00 9.00 $7,875.00 9.00 $7,875.00 118 As Needed As Needed Emergency tree service and tree material removal - 2 person crew with boom truck and equipment $1,880.00 $1,880.00 $0.00 - $0.00 - $0.00 119 30 Each
64 Sq. Ft. Insulated Shelter with Heater, Air Conditioner, Folding Bed and Mattress Pad from Pallet Shelter Company or equivalent with installation per manufacturer specifications $14,744.00 $442,320.00 $0.00 - $0.00 - $0.00 120 1 Each 2 Stall Bathroom Unit (Toilet, Shower, Sink) from Pallet Shelter Company or equivalent with installation per manufacturer specifications $41,200.00 $41,200.00 $0.00 - $0.00 - $0.00121 1 Each 2 Stall ADA Bathroom Unit (Toilet, Shower, Sink) from Pallet Shelter Company or equivalent with installation per manufacturer specifications $47,900.00 $47,900.00 $0.00 - $0.00 - $0.00 122 6 Each Handwashing Station from Pallet Shelter Company or equivalent with installation per manufacturer specifications $2,000.00 $12,000.00 $0.00 - $0.00 - $0.00 123 2 Each 100 Sq. Ft. 4 Washer/Dryer Laundry Unit from Pallet Shelter Company or equivalent with installation per manufacturer specifications $67,200.00 $134,400.00 $0.00 - $0.00 - $0.00 124 2 Each 400 Sq. Ft. Shelter for administrative purposes from Pallet Shelter Company or equivalent with installation per manufacturer specifications $47,900.00 $95,800.00 $0.00 - $0.00 - $0.00 125 3 Each ADA Accessible Ramp for Shelters and Bathroom Unit with installation per manufacturer specifications $2,200.00 $6,600.00 $0.00 - $0.00 - $0.00 126 1 Each Dumpster and 3 Yd. Recycling with Gate Enclosure $1,200.00 $1,200.00 $0.00 - $0.00 - $0.00127 10 Each 6’ Picnic Tables $1,500.00 $15,000.00 $0.00 - $0.00 - $0.00 128 2 Each 8’ x 8’ Canopy $4,700.00 $9,400.00 $0.00 - $0.00 - $0.00129 15 Each Small, Portable Planter Boxes with Plants $280.00 $4,200.00 $0.00 - $0.00 - $0.00130 4 Each Planter Boxes with Trees and Plants $375.00 $1,500.00 $0.00 - $0.00 - $0.00131 5 Each Bicycle Lockers (Model #: Bike-Shell Model 301 Bicycle Locker or equivalent) $2,700.00 $13,500.00 $0.00 - $0.00 - $0.00 132 1 Each Motorized Driveway Swing Gate with Privacy Fence Screen Mesh $3,700.00 $3,700.00 $0.00 - $0.00 - $0.00133 200 L.F. 8’ High Perimeter Fence with Privacy Fence Screen Mesh $175.00 $35,000.00 $0.00 - $0.00 - $0.00 Invoice #2

5/19/2026
Invoice #2
ITEM# QUANTITY UNIT ITEM DESCRIPTION Unit Price Total Price QUANTITY Total Price QUANTITY Total Price QUANTITY AMOUNT 1 30,000.00 SQ. FT Mowing Lots $0.35 $10,500.00 $0.00 $0.00 0.00 $0.00 2 30,000.00 SQ. FT Mowing Parkways $0.25 $7,500.00 852.60 $213.15 $0.00 852.60 $213.15 3 100,000.00 SQ. FT Hand Cleaning of debris from lots as required $0.100 $10,000.00 $0.00 2,200.00 $220.00 2200.00 $220.00 4 40 Locations Removal of rubbish per 10lbs. To 500lbs. $175.000 $7,000.00 1.00 $175.00 1.00 $175.00 2.00 $350.00 5 30 Locations Removal of rubbish per 500lbs. To 1,000lbs. $225.00 $6,750.00 $0.00 $0.00 0.00 $0.00 6 100 Locations Removal of rubbish per 1,001lbs. To 1 ton $225.00 $22,500.00 $0.00 $0.00 0.00 $0.00 7 25 Locations Removal or rubbish per 1 ton or more $250.00 $6,250.00 150.00 $37,500.00 $0.00 150.00 $37,500.00 8 20 Trees Removal 10"-30" diameter Tree and stump, including disposal $225.00 $4,500.00 $0.00 $0.00 0.00 $0.00
9 30 Trees Remove 30" to 40" diameter Tree and stunp, including disposal $450.00 $13,500.00 $0.00 $0.00 0.00 $0.00
10 15 Trees Remove 40"-or above diameter Tree and stump, including disposal $575.00 $8,625.00 $0.00 $0.00 0.00 $0.00 11 50 Trees Plant 24" box Trees with root barrier $300.00 $15,000.00 $0.00 $0.00 0.00 $0.00 12 100 Trees Plant 36" box Tree with root barrier $575.00 $57,500.00 $0.00 $0.00 0.00 $0.00 13 2,000 L.F root pruning and installation of root barrier $1.55 $3,100.00 $0.00 $0.00 0.00 $0.00 14 300 L.F INSTALL New 8-ft. high chain link fence $95.00 $28,500.00 $0.00 $0.00 0.00 $0.00 15 500 L.F INSTALL New 14-ft. high chain link fence $75.00 $37,500.00 $0.00 $0.00 0.00 $0.00 16 3,000 L.F INSTALL 6' high reinforced masonary block wall (8" thick) $57.00 $171,000.00 $0.00 $0.00 0.00 $0.00
17 2,000 L.F INSTALL 8' high reinforced masonary block wall (8" thick) $85.00 $170,000.00 $0.00 $0.00 0.00 $0.00
18 500 L.F Repair Chain Link Fence $1.25 $625.00 $0.00 $0.00 0.00 $0.00 19 10,000 S.F Clean the sidewalks $0.10 $1,000.00 $0.00 $0.00 0.00 $0.00 20 50 EA INSTALL 6ft. High barrier post $60.00 $3,000.00 $0.00 $0.00 0.00 $0.00 21 50 EA Remove and replace 6-ft. wheel stop $37.00 $1,850.00 $0.00 $0.00 0.00 $0.00 22 30 EA Remove and Replace bus bench $1,000.00 $30,000.00 $0.00 $0.00 0.00 $0.00 23 150 EA Remove posters, flyers, signage, etc. $1.10 $165.00 $0.00 $0.00 0.00 $0.00 24 14,000 S.F Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $139,300.00 11549.10 $114,913.55 16,553.50 $164,707.33 28102.60 $279,620.87 MARTINEZ LANDSCAPE CO., INC.
12357 San Fernando Road Sylmar, CA 91342
General Maintenance Contract Project #22-05

CONTRACT PREVIOUS MONTH CURRENT MONTH TOTAL TO DATE
Exhibit 15-D

BID TABULATION SUMMARY SHEET
25 300 EA Remove and replace street signs $15.00 $4,500.00 $0.00 $0.00 0.00 $0.00 26 2,000 L.F Remove and Replace curb and gutter $42.00 $84,000.00 165.00 $6,930.00 249.00 $10,458.00 414.00 $17,388.00 27 30 EA Trash Receptacle $1,250.00 $37,500.00 $0.00 $0.00 0.00 $0.00 28 15,000 S.F Remove and excavate exisiting alleys pavements and reconstruct new 8" thick PCC concrete pavement, per $18.00 $270,000.00 $0.00 $0.00 0.00 $0.00 29 3,000 S.F Remove and excavate exisiting driveway and construct new 6" thick PCC driveway, per APWA STD Plan 110-1 $9.95 $29,850.00 182.00 $1,810.90 955.00 $9,502.25 1137.00 $11,313.15 30 10 EA Construct AC Speed Hump $1,800.00 $18,000.00 $0.00 $0.00 0.00 $0.00 31 5,000 S.F Remove and replace asphalt concrete pavement (4" AC over 8" CMB) $9.25 $46,250.00 $0.00 $0.00 0.00 $0.00
32 20 Locations Install Sewer Backflow Prevention Device $260.00 $5,200.00 $0.00 $0.00 0.00 $0.00 33 10 EA Furnish and install 2" remote control Valves superior 950's $275.00 $2,750.00 $0.00 $0.00 0.00 $0.00
34 500 L.F Furnish and install 1" PVC Pipe sch 40 $0.65 $325.00 $0.00 $0.00 0.00 $0.00 35 1,000 L.F Furnish and install 2" PVC Pipe shc.40 $1.45 $1,450.00 $0.00 $0.00 0.00 $0.00 36 1,000 L.F Furnish and install 2 1/2" PVC pipe Class 315 sch. 40 $2.50 $2,500.00 $0.00 $0.00 0.00 $0.00 37 1,000 L.F Furnish and install 3" PVC pipe Class 315 sch. 40 $3.00 $3,000.00 $0.00 $0.00 0.00 $0.00 38 1,000 L.F Furnish and install 4" PVC pipe Class 315 sch. 40 $4.10 $4,100.00 $0.00 $0.00 0.00 $0.00 39 1,000 L.F Furnish and install 3/4" PVC Pipe sch. 40 $0.40 $400.00 $0.00 $0.00 0.00 $0.00 40 50 EA Furnish and install 1812 Sams Rain Bird Pop-ups $16.00 $800.00 $0.00 $0.00 0.00 $0.00 41 3 EA Furnish and install 32" Sprinkler Clock LeMeur
Enclosure $1,200.00 $3,600.00 $0.00 $0.00 0.00 $0.00
42 40 EA Furnish and install Hunter I-40 $45.00 $1,800.00 $0.00 $0.00 0.00 $0.00 43 60 EA Furnish and install Hunter I-25 $32.00 $1,920.00 $0.00 $0.00 0.00 $0.00 44 60 EA Furnish and install Hunter I-20 $20.00 $1,200.00 $0.00 $0.00 0.00 $0.00 45 4 EA Furnish and install 36-Station Controller Ev.Ex2 Stainless Steel $4,125.00 $16,500.00 $0.00 $0.00 0.00 $0.00
46 4 EA Furnish and install 1" Backflow prevention units/strainers $550.00 $2,200.00 $0.00 $0.00 0.00 $0.00 47 6 EA Furnish and install 1" Quick coupling valves $200.00 $1,200.00 $0.00 $0.00 0.00 $0.00 48 5 EA Connect to exisiting 4" water line $675.00 $3,375.00 $0.00 $0.00 0.00 $0.00 49 5 EA Connect to exisiting 110v electrical Power supply for Irrigation Controller $400.00 $2,000.00 $0.00 $0.00 0.00 $0.00 50 5 EA Furnish and install 4" Gate Valves $475.00 $2,375.00 $0.00 $0.00 0.00 $0.00 51 5 EA Furnish and install 3" Master Valve #3100 $500.00 $2,500.00 $0.00 $0.00 0.00 $0.00 52 4 EA Furnish and install 2" Flow sensor $280.00 $1,120.00 $0.00 $0.00 0.00 $0.00 53 10 EA Furnish and install Grounding protection (rod, plate, etc) $130.00 $1,300.00 $0.00 $0.00 0.00 $0.00 Exhibit 15-D

BID TABULATION SUMMARY SHEET
54 1,000 L.F Furnish and install Tracer wires $0.15 $150.00 $0.00 $0.00 0.00 $0.00 55 500 EA Furnish and install 3/4" PVC fittings sch 40. $0.47 $235.00 $0.00 $0.00 0.00 $0.00 56 500 EA Furnish and install 1" PVC Fittings sch 40. $0.50 $250.00 $0.00 $0.00 0.00 $0.00 57 500 EA Furnish and isntall 1.5" PVC Fittings sch. 40 $0.50 $250.00 $0.00 $0.00 0.00 $0.00 58 500 EA Furnish and install 2" PVC Fittings sch. 40 $0.97 $485.00 $0.00 $0.00 0.00 $0.00 59 60 EA Furnish and install 2.5" PVC Fittings sch. 40 $2.25 $135.00 $0.00 $0.00 0.00 $0.00 60 20 EA Furnish and install 3" PVC Fittings sch 40. $3.50 $70.00 $0.00 $0.00 0.00 $0.00 61 50 EA Furnish and install 4" PVC Fittings sch. 40 $6.50 $325.00 $0.00 $0.00 0.00 $0.00 62 200 EA Furnish and install 1" Marlex Street Ells $0.40 $80.00 $0.00 $0.00 0.00 $0.00 63 3 EA Furnish and install PVC weld- on 2711/P-70 Primer $8.00 $24.00 $0.00 $0.00 0.00 $0.00 64 5,000 L.F Furnish and install Wire/Cable 14 gage $0.25 $1,250.00 $0.00 $0.00 0.00 $0.00 65 20 EA Furnish and Install Rain Bird 1300 A-F Bubbler $4.00 $80.00 $0.00 $0.00 0.00 $0.00 66 10,000 CY Unclassified excavation including neatly saw cut edges where applicable $47.00 $470,000.00 $0.00 $0.00 0.00 $0.00 67 5 EA Furnish and install 2" Gate Valve T-113 $160.00 $800.00 $0.00 $0.00 0.00 $0.00 68 1 EA Furnish and install 3" Pressure reducing backflow 880 series with Y strainer $2,500.00 $2,500.00 $0.00 $0.00 0.00 $0.00 69 2 EA Furnish and install 49" LeMeur Backflow Enclosure $1,200.00 $2,400.00 $0.00 $0.00 0.00 $0.00 70 30 EA Furnish and install 14"X18" Rectangular Valve Boxes $38.00 $1,140.00 $0.00 $0.00 0.00 $0.00 71 30 EA Furnish and isntall Valve Identification Tags $1.50 $45.00 $0.00 $0.00 0.00 $0.00 72 100 EA Plant 1 Gallon Strelizia Reginae "Birds of Paradise" $6.50 $650.00 $0.00 $0.00 0.00 $0.00 73 100 EA Plant 1 Gallon Agapanthus Africanus " Lily of Nile" $6.00 $600.00 $0.00 $0.00 0.00 $0.00 74 100 EA Plant 1 Gallon Raphiolepis "Ballerinas" $6.50 $650.00 $0.00 $0.00 0.00 $0.00 75 100 EA Plant 1 Gallon Pittosoporum tobira dwarf "Wheelers" $6.25 $625.00 $0.00 $0.00 0.00 $0.00 76 100 EA Plant 1 Gallon Pittosporum Tobira Variegated $6.25 $625.00 $0.00 $0.00 0.00 $0.00 77 100 EA Plant 1 Gallon Trachelesperum Jasminoides "Star Jasmine" $6.00 $600.00 $0.00 $0.00 0.00 $0.00
78 100 EA Plant 1 Gallon Ice Berg Roses $15.00 $1,500.00 $0.00 $0.00 0.00 $0.00 79 100 EA Plant Gazenies Ground Cover Flats $27.00 $2,700.00 40.00 $1,080.00 $0.00 40.00 $1,080.00 80 100 EA Plant 5 Gallon Nandina Nana $25.00 $2,500.00 5.00 $125.00 $0.00 5.00 $125.00 81 100 EA Plant 5 Gallon Penstemon $20.00 $2,000.00 15.00 $300.00 $0.00 15.00 $300.00 Exhibit 15-D

BID TABULATION SUMMARY SHEET
82 100 EA Plant 5 Gallon Mexican Sage $18.00 $1,800.00 15.00 $270.00 $0.00 15.00 $270.00 83 100 EA Plant 1 Gallon Cuphia $5.00 $500.00 $0.00 $0.00 0.00 $0.00 84 100 EA Plant 5 Gallon Kangaroo Paw Red $18.00 $1,800.00 $0.00 $0.00 0.00 $0.00 85 100 EA Plant 5 Gallon Birds of paradise $22.00 $2,200.00 $0.00 $0.00 0.00 $0.00 86 100 EA Plant 5 Gallon Liriope $18.00 $1,800.00 $0.00 $0.00 0.00 $0.00 87 100 EA Plant 5 Gallon Garlic Variegata $18.00 $1,800.00 $0.00 $0.00 0.00 $0.00 88 500 L.F Install 18" Storm Drain Pipe including joints and connections into exisiting (5 to 10 Feet deep) $50.00 $25,000.00 $0.00 $0.00 0.00 $0.00 89 500 L.F Install 10" to 18" VCP including joints and connection into exisiting (8 to 12 Feet deep) $57.00 $28,500.00 $0.00 $0.00 0.00 $0.00 90 200 L.F Install 6" VCP including joint and connection into existing (5 to 10 Feet Deep) $25.00 $5,000.00 $0.00 $0.00 0.00 $0.00 91 2 EA
Construct new catch basin per SPPWC Std. 300-3, W=7'
including local depression per SPPWC Std. 313-3 over
6" CMB, Wd=7'
$7,500.00 $15,000.00 $0.00 $0.00

0.00 $0.00
92 100,000 SF Maintenance of Median Landscape $0.92 $92,000.00 $0.00 $0.00 0.00 $0.00 93 3,000 Ton Crushed Miscellaneous Base (CMB) $25.00 $75,000.00 $0.00 $0.00 0.00 $0.00 94 Annually Install Christmas Lights $4,500.00 $4,500.00 $0.00 $0.00 0.00 $0.00 95 300 L.F Install 8ft. Tall rod iron fence $35.00 $10,500.00 $0.00 $0.00 0.00 $0.00 96 Per Bus Stop Power Wash benches/bus stops $95.00 $95.00 $0.00 $0.00 0.00 $0.00 97 Per Tree Tree Trimming on median landscape $45.00 $45.00 $0.00 $0.00 0.00 $0.00 98 Per LF As
needed Trench for electrical conduit and backfill $3.00 $3.00 $0.00 $0.00 0.00 $0.00 99 Per Post Install temporary electrical post $1,800.00 $1,800.00 $0.00 $0.00 0.00 $0.00 100 Per Post Seal coat with striping $0.90 $0.90 $0.00 $0.00 0.00 $0.00 101 Per S.F as
needed Installation of water conservation plant material $1.25 $1.25 $0.00 $0.00 0.00 $0.00 102 Per Hour Playground Restoration- Power wash and paint playground equipment $45.00 $45.00 $0.00 $0.00 0.00 $0.00 103 Per Hour Bulky item monitering throughout city $27.00 $27.00 750.00 $20,250.00 320.00 $8,640.00 1070.00 $28,890.00 104 Per hour As
Needed
Bulky Item removal- 2man crew with minimum 3/4 ton
vehicle $150.00 $150.00 814.00 $122,100.00 450.00 $67,500.00 1264.00 $189,600.00 105 Per Event Temporary facilitues for event- 3 restrooms with hot water sinks/ Temporary light towers $2,580.00 $2,580.00 $0.00 $0.00 0.00 $0.00 106 153,000 SQ.FT Hawthorne Blvd. (medians, curb extenstions and parkways)* from 105 Freeway to Rosecrans Ave. $0.12 $18,360.00 918,000.00 $110,160.00 306,000.00 $36,720.00 1224000.00 $146,880.00 107 12,000 SQ.FT Imperial Hwy. (median) * from Inglewood Ave. to Prairie Ave. $0.12 $1,440.00 72,000.00 $8,640.00 24,000.00 $2,880.00 96000.00 $11,520.00 108 7,000 SQ.FT Crenshaw Blvd. (median) * from 120th St. to El Segundo Blvd. $0.15 $1,050.00 42,000.00 $6,300.00 14,000.00 $2,100.00 56000.00 $8,400.00 Exhibit 15-D

BID TABULATION SUMMARY SHEET
109 12,000 SQ.FT 120th Street *along South Dominguez Channel $0.12 $1,440.00 72,000.00 $8,640.00 24,000.00 $2,880.00 96000.00 $11,520.00 110 26,000 SQ.FT Rosecrans Ave. (median &parkway) *from Aviation Blvd. to Inglewood Ave. $0.15 $3,900.00 156,000.00 $23,400.00 52,000.00 $7,800.00 208000.00 $31,200.00 111 25,000 SQ.FT Praire Ave. (median) *116th St. to El Segundo Blvd. $0.15 $3,750.00 150,000.00 $22,500.00 50,000.00 $7,500.00 200000.00 $30,000.00 112 10,500 SQ.FT Inglewood Ave (median) * from Imperial Hwy. to Rosecrans Ave. $0.12 $1,260.00 63,000.00 $7,560.00 21,000.00 $2,520.00 84000.00 $10,080.00 113 17,500 SQ.FT Marine Ave. (frontage and divider median) *from Gerkin Ave. to Yukon Ave. $0.10 $1,750.00 105,000.00 $10,500.00 35,000.00 $3,500.00 140000.00 $14,000.00 114 26,500 SQ.FT Prairie Avenue (frontage and divider median) * from Cordary Avenue to 149th Street $0.15 $3,975.00 159,000.00 $23,850.00 53,000.00 $7,950.00 212000.00 $31,800.00 115 6,000 SQ.FT 147th Street* Inglewood Ave. to Ocean Gate $0.10 $600.00 36,000.00 $3,600.00 12,000.00 $1,200.00 48000.00 $4,800.00 116 Once Per
Week
Clean weeds and trash on 119th Street from Felton
Avenue to Crenshaw Avenue. $325.00 $325.00 $0.00 $0.00

0.00 $0.00
117 Once Per
Week
Weekly center median watering with water truck on
Prairie Avenue from rosecrans Avenue to El Segundo
Boulevard
$875.00 $875.00 27.00 $23,625.00 9.00 $7,875.00

36.00 $31,500.00
118 As Needed Emergency Tree service and tree material removal-2 person crew with boom truck and equipment $1,880.00 $1,880.00 $0.00 $0.00 0.00 $0.00 119 30
64 Sq. Ft Insulated Shelter with Heater, Air Conditioner, Folding bed and Mattress Pad for Pallet Shelter compant or equivalent with installation per manufacter
specification
$14,744.00 $442,320.00 $0.00 $0.00

0.00 $0.00
120 1
2 Stall Bathroom Unit (Toilet, Shower, Sink) from Pallet Shelter Company or equivalent with installation per
manufacturer specification
$41,200.00 $41,200.00 $0.00 $0.00

0.00 $0.00
121 1
2 Stall ADA Bathroom Unit (Toilet, Shower, Sink) from
Pallet Shelter Company or equivalent with installation per manufacterer specification
$47,900.00 $47,900.00 $0.00 $0.00

0.00 $0.00
122 6
Handwashing Station from pallet Shelter Compant or
equivelant with installation per manufacturer
specifications
$2,000.00 $12,000.00 $0.00 $0.00

0.00 $0.00
123 2
100 Sq.Ft 4 Washer/ Dryer Laundry Unit from Pallet
Shelter Company or equivalent with installation per
manufacturer specifications
$67,200.00 $134,400.00 $0.00 $0.00

0.00 $0.00
124 2
400 Sq.Ft Shelter for adminstrative purposes from Pallet Shelter Company or equivalent with installation per
manufacturer specification
$47,900.00 $95,800.00 $0.00 $0.00

0.00 $0.00
125 3 ADA Accessible Ramp for Shelters and Bathroom Unit with installation per manufacturer specifications $2,200.00 $6,600.00 $0.00 $0.00 0.00 $0.00 126 1 Dumpster and 3 Yd. Recylcing with Gate Enclosure $1,200.00 $1,200.00 $0.00 $0.00 0.00 $0.00 127 10 6' Picnic Tables $1,500.00 $15,000.00 $0.00 $0.00 0.00 $0.00 128 2 8'X8' Canopy $4,700.00 $9,400.00 $0.00 $0.00 0.00 $0.00 129 15 Small, Portable Planter Boxes with Plants $280.00 $4,200.00 $0.00 $0.00 0.00 $0.00 130 4 Planter Boxes with Trees and Plants $375.00 $1,500.00 $0.00 $0.00 0.00 $0.00 131 5 Bicycle Lockers (Model #: Bike- Shell Model 301
Bicycle Locker or equivalent) $2,700.00 $13,500.00 $0.00 $0.00 0.00 $0.00 132 1 Motorized Driveway Swing Gate with Privacy Fence
Screen Mesh $3,700.00 $3,700.00 $0.00 $0.00 0.00 $0.00
133 200 L.F 8' High Perimeter Fence with Privacy Fence Screen Mesh $175.00 $35,000.00 $0.00 $0.00 0.00 $0.00 Exhibit 15-D

BID TABULATION SUMMARY SHEET
134 1 25' Rolling Gate with Privacy Fence Screen Mesh $5,900.00 $5,900.00 $0.00 $0.00 0.00 $0.00 135 1,000 L.F Privacy Fence Screen Mesh $5.50 $5,500.00 $0.00 $0.00 0.00 $0.00 136 600 L.F Privacy Shrubs $15.00 $9,000.00 $0.00 $0.00 0.00 $0.00 137 Per L.F. As
Needed Paint Pavement Striping $3.50 $3.50 $0.00 $0.00 0.00 $0.00 138 1 600 amp panel from So Cal Edison with " conduit from electrical pole on 111th St. $64,750.00 $64,750.00 $0.00 $0.00 0.00 $0.00 139 80,000 SQ.Ft Weekly Maintenance of Pallet Shelter Lot $0.10 $8,000.00 $0.00 $0.00 0.00 $0.00 140 1 10" Topsoil for Vegetable/ Herb Garden Including
Excavation, Backfill and Soil Preparation $430.00 $430.00 $0.00 $0.00 0.00 $0.00 141 1
Rent 24X16 stage (steel deck, stage Staircase with
handlebars, ground support 24X20, audio and audio
engineering, and installation) per day
$4,500.00 $4,500.00 $0.00 $0.00

0.00 $0.00
142 1 Weekly center median watering with watertank on
Crenshaw Blvd. between El Segundo Blvd and 120th St $600.00 $600.00 $0.00 $0.00

0.00 $0.00
143 1 Change Order #1: Rental Trailer at Memorial Park, monthly charge $2,670.00 $6,400.00 6.00 $16,020.00 2.00 $5,340.00 8.00 $21,360.00 144 1 Change Order #2: Rubber speed humps $57,648.00 $91,121.00 $0.00 $0.00 0.00 $0.00 145 1 Change Order #3: RailRoad Cleanup from Holly Park to El Segundo $23,500.00 $23,500.00 $0.00 $0.00 0.00 $0.00 146 1 Change Order #4: Bronze Plaques for City Hall $15,070.00 $15,070.00 $0.00 $0.00 0.00 $0.00 147 1 Change Order #5: New Bathrooms for Pallet Shelter $1.00 $10,890.00 $0.00 $0.00 0.00 $0.00 148 1 Change Order #6: Pressure Valves at Jim Thorpe $1.00 $8,000.00 $0.00 $0.00 0.00 $0.00 150 1 Retention Release for Year #2 $1.00 $69,437.92 $0.00 $0.00 0.00 $0.00 151 1 Change Order #7 Hawthorne Police Department $54,500.00 $54,500.00 $0.00 $0.00 0.00 $0.00 152 1 Change Order #8: Railroad Track Cleanup $5,000.00 $5,000.00 $0.00 2.00 $10,000.00 2.00 $10,000.00 153 1 Change Order #9: Hawthonre Airport K-Rail Installation $21,200.00 $21,200.00 $0.00 $0.00 0.00 $0.00 154 1 Change Order #10: Hawthorne Pool - Demo, shade,paint lighting, air conditioning unit $14,450.00 $14,450.00 $0.00 $0.00 0.00 $0.00 TOTAL= $3,392,773.57 $570,462.60 $359,467.58 $929,930.17 $25,522.20
$384,989.77
$19,249.49
$365,740.28
Approved CPI Increase of 7.1%
Total Amount with CPI Increase
Less 5% Retention
Total Amount Due
Exhibit 15-D

BID TABULATION SUMMARY SHEET
Exhibit 15-D

BID TABULATION SUMMARY SHEET
Invoice
Date
5/19/2026
Invoice #
124491
Bill To
City of Hawthorne
4455 West 126th St.

Hawthorne,CA 90250-4482
Service Location
Maintenance of Median Landscape
April 2026-May 2026
Martinez Landscape Co., Inc.
12357 San Fernando Road
Sylmar, CA 91342
License # 776616
Phone #
(818) 364-9188
Fax #
(818) 364-9958
Total
Balance Due
Payments/Credits
Description Qty Rate Amount
Line Item 106: Hawthorne Blvd. (medians, curb extenstions and parkways)* from 105 Freeway to Rosecrans Ave.
306,000 0.12 36,720.00
Line Item 107: Imperial Hwy. (median) * from Inglewood Ave. to Prairie Ave.
24,000 0.12 2,880.00
Line Item 108: Crenshaw Blvd. (median) * from 120th St. to El Segundo Blvd.
14,000 0.15 2,100.00
Line Item 109: 120th Street *along South Dominguez Channel 24,000 0.12 2,880.00 Line Item 110: Rosecrans Ave. (median &parkway) *from Aviation Blvd. to Inglewood Ave.
52,000 0.15 7,800.00
Line Item 111: Praire Ave. (median) *116th St. to El Segundo Blvd.
50,000 0.15 7,500.00
LIne Item 112: Inglewood Ave (median) * from Imperial Hwy. to Rosecrans Ave.
21,000 0.12 2,520.00
Line Item 113: Marine Ave. (frontage and divider median) *from Gerkin Ave. to Yukon Ave.
35,000 0.10 3,500.00
Line Item 114: Prairie Avenue (frontage and divider median) * from Cordary Avenue to 149th Street
53,000 0.15 7,950.00
Line Item 115: 147th Street* Inglewood Ave. to Ocean Gate 12,000 0.10 1,200.00 Thank you for your business!
$75,050.00
$75,050.00
$0.00
Invoice
Date
5/19/2026
Invoice #
124495
Bill To
City of Hawthorne
4455 West 126th St.

Hawthorne,CA 90250-4482
Service Location
11836 Purche
Hawthorne, CA 90250
(empty lot south of this add
Martinez Landscape Co., Inc.
12357 San Fernando Road
Sylmar, CA 91342
License # 776616
Phone #
(818) 364-9188
Fax #
(818) 364-9958
Total
Balance Due
Payments/Credits
Description Qty Rate Amount
Line Item 3: Hand Cleaning of debris from lots as required 2,200 0.10 220.00 Line Item 4: Removal of rubbish per 10lbs. To 500lbs. 1 175.00 175.00 Thank you for your business!
$395.00
$395.00
$0.00
Invoice
Date
5/19/2026
Invoice #
124493
Bill To
City of Hawthorne
4455 West 126th Street
Hawthorne, CA 90250-4482
Service Location
Memorial Park
3901 W. El Segundo Blvd.

Hawthorne, CA 90
Martinez Landscape Co., Inc.
12357 San Fernando Road
Sylmar, CA 91342
License # 776616
Phone #
(818) 364-9188
Fax #
(818) 364-9958
Total
Balance Due
Payments/Credits
Description Qty Rate Amount
Line Item 143: Change Order #1: Rental Trailer at Memorial Park, monthly charge
April 2026-May 2026
2 2,670.00 5,340.00
Thank you for your business!
$5,340.00
$5,340.00
$0.00
Invoice
Date
5/19/2026
Invoice #
124490
Bill To
City of Hawthorne
4455 West 126th St.

Hawthorne,CA 90250-4482
Service Location
Various Locations
Martinez Landscape Co., Inc.
12357 San Fernando Road
Sylmar, CA 91342
License # 776616
Phone #
(818) 364-9188
Fax #
(818) 364-9958
Total
Balance Due
Payments/Credits
Description Qty Rate Amount
Line Item 103: Bulky item monitoring throughout city 320 27.00 8,640.00 Line Item 104: Bulky Item removal- 2man crew with minimum 3/4 ton vehicle
450 150.00 67,500.00
Thank you for your business!
$76,140.00
$76,140.00
$0.00
Invoice
Date
5/19/2026
Invoice #
124492
Bill To
City of Hawthorne
4455 West 126th St.

Hawthorne,CA 90250-4482
Service Location
Medians on Praire Ave.

From Rosecrans Ave. to El Segundo Blvd.

Martinez Landscape Co., Inc.
12357 San Fernando Road
Sylmar, CA 91342
License # 776616
Phone #
(818) 364-9188
Fax #
(818) 364-9958
Total
Balance Due
Payments/Credits
Description Qty Rate Amount
Line Item 117: Weekly center median watering with water truck on Prairie Avenue from rosecrans Avenue to El Segundo Boulevard 9 875.00 7,875.00
Thank you for your business!
$7,875.00
$7,875.00
$0.00
Invoice
Date
5/19/2026
Invoice #
124494
Bill To
City of Hawthorne
4455 West 126th St.

Hawthorne,CA 90250-4482
Service Location
RailRoads
Martinez Landscape Co., Inc.
12357 San Fernando Road
Sylmar, CA 91342
License # 776616
Phone #
(818) 364-9188
Fax #
(818) 364-9958
Total
Balance Due
Payments/Credits
Description Qty Rate Amount
Line Item 153: Change Order #8: Railroad Track Cleanup 2 5,000.00 10,000.00 Thank you for your business!
$10,000.00
$10,000.00
$0.00
152
Summary Total
Bid Item Number 24 = $164,707.33 Sidewalk
Bid Item Number 26 = $10,458.00 Curb and gutter
Bid Item Number 29 = $9,502.25 Driveway
$184,667.58
Location Amount Bid Item Number Bid Description Bid amount Total Prairie Sidewalk 4 X 6 24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $238.80 Prairie Sidewalk 72 X 6 432 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $4,298.40 Prairie Sidewalk 9 X 3 27 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $268.65 Prairie Sidewalk 7 X 9 63 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $626.85 Prairie Sidewalk 6 X 22 132 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,313.40 Prairie Sidewalk 2 X 6 12 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $119.40 Prairie Sidewalk 6 X 2 12 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $119.40 Prairie Sidewalk 18 X 6 108 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,074.60 Prairie Sidewalk 10 X 6 60 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $597.00 Prairie Sidewalk 14 X 4 56 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $557.20 Prairie Sidewalk 25 X 5 125 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,243.75 Prairie Sidewalk 20 X 5 100 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $995.00 Prairie Sidewalk 6 X 5 30 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $298.50 Prairie Sidewalk 16 X 6 96 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $955.20 Prairie Sidewalk 12 X 5 60 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $597.00 Prairie Sidewalk 11 X 1 11 26
Remove and replace curb and gutter
$42.00 $462.00
Prairie Sidewalk 7 X 8 56 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $557.20 Prairie Sidewalk 4 X 4 16 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $159.20 Prairie Sidewalk 28 X 8 224 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $2,228.80 Prairie Sidewalk 130.5 X 8 1044 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $10,387.80 Prairie Sidewalk 96 X 8 768 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $7,641.60 Prairie Sidewalk 18 X 7 126 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,253.70 TOTAL
Completed Ramps, Curbs and Sidewalks
Description
Bid Item Amount
16553.5 SF
249 LF
955 SF
Prairie Sidewalk 17
X6 102 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,014.90 Prairie Sidewalk 4X14 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $39.80 Prairie Sidewalk 90X8 720 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $7,164.00 Prairie Sidewalk 4X14 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $39.80 Prairie Sidewalk 27.5X8 220 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $2,189.00 Prairie Sidewalk 8X2 16 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $159.20 Prairie Sidewalk 2X24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $39.80 Prairie Sidewalk 39.5X8 316 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $3,144.20 Prairie Sidewalk 35X1 35 26
Remove and replace curb and gutter
$42.00 $1,470.00
Prairie Sidewalk 25X8 200 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,990.00 Prairie Sidewalk 4X4 16 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $159.20 Prairie Sidewalk 14X7 98 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $975.10 Prairie Sidewalk 7X7 49 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $487.55 Prairie Sidewalk 19X7 133 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,323.35 Prairie Sidewalk 10X7 70 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $696.50 Prairie Sidewalk 3X7 21 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $208.95 Prairie Sidewalk 34X7 238 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $2,368.10 Prairie Sidewalk 7X 12 84 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $835.80 Prairie Sidewalk 6X4 24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $238.80 Prairie Sidewalk 2X 44 88 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $875.60 Prairie Sidewalk 2X 12 24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $238.80 Prairie Sidewalk 3X8 24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $238.80 Prairie Sidewalk 26X6 156 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,552.20 Prairie Sidewalk 8X4 32 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $318.40 Ramona & 120th 5X 32 160 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,592.00 Ramona & 120th 5X 20 100 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $995.00 Ramona & 120th 29 X 1 29 26
Remove and replace curb and gutter
$42.00 $1,218.00
Ramona & 120th 26 X 1 26 26
Remove and replace curb and gutter
$42.00 $1,092.00
Ramona & 120th 6 X 15 90 29
Remove and excavate exisiting driveway and construct new 6" thick PCC driveway, per APWA STD Plan 110-1 over 6" CAB $9.95 $895.50 Praire& El Segundo 33 X 4 132 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,313.40 Praire& El Segundo 35 1 1 35 26
Remove and replace curb and gutter
$42.00 $1,470.00
Praire& El Segundo 16 X 4 64 29
Remove and excavate exisiting driveway and construct new 6" thick PCC driveway, per APWA STD Plan 110-1 over 6" CAB $9.95 $636.80 El Segundo Sidewalk 9 X 13 117 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,164.15 El Segundo Sidewalk 8 X 13 104 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,034.80 El Segundo Sidewalk 4 X 7 28 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $278.60 Praire& El Segundo 11 X 29 319 29
Remove and excavate exisiting driveway and construct new 6" thick PCC driveway, per APWA STD Plan 110-1 over 6" CAB $9.95 $3,174.05 Praire& El Segundo 2 X 1 2 26
Remove and replace curb and gutter
$42.00 $84.00
El Segundo Sidewalk 4 X 7 28 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $278.60 Ramona & 120th 29 X 1 29 26
Remove and replace curb and gutter
$42.00 $1,218.00
Ramona & 120th 5 X 20 100 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $995.00 El Segundo Sidewalk 4 X 7 28 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $278.60 El Segundo Sidewalk 9 X 28 252 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $2,507.40 El Segundo Sidewalk 4 X 5 20 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $199.00 El Segundo Sidewalk 4 X 5 20 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $199.00 El Segundo Sidewalk 9 X 8 72 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $716.40 El Segundo Sidewalk 4 X 7 28 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $278.60 El Segundo Sidewalk 4 X 5 20 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $199.00 El Segundo Sidewalk 9 X 17 153 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,522.35 El Segundo Sidewalk 6 X 4 24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $238.80 Ramona & 120th 5 X 32 160 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,592.00 Ramona & 120th 6 X 15 90 29
Remove and excavate exisiting driveway and construct new 6" thick PCC driveway, per APWA STD Plan 110-1 over 6" CAB $9.95 $895.50 Ramona & 120th 26 X 1 26 26
Remove and replace curb and gutter
$42.00 $1,092.00
El Segundo Sidewalk
8X4 32 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $318.40 El Segundo Sidewalk 9X9 81 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $805.95 El Segundo Sidewalk 8X4 32 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $318.40 El Segundo Sidewalk 9X 11 99 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $985.05 El Segundo Sidewalk 4X7 28 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $278.60 Praire& El Segundo 2X12 26
Remove and replace curb and gutter
$42.00 $84.00
Ramona & 120th St 35X5 175 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,741.25 Ramona & 120th St 16X6 96 29
Remove and excavate exisiting driveway and construct new 6" thick PCC driveway, per APWA STD Plan 110-1 over 6" CAB $9.95 $955.20 Ramona & 120th St 22X1 22 26
Remove and replace curb and gutter
$42.00 $924.00
El Segundo Sidewalk 5X4 20 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $199.00 Ramona & 120th St 5X 32 160 29
Remove and excavate exisiting driveway and construct new 6" thick PCC driveway, per APWA STD Plan 110-1 over 6" CAB $9.95 $1,592.00 Ramona & 120th St 4X 16 64 29
Remove and excavate exisiting driveway and construct new 6" thick PCC driveway, per APWA STD Plan 110-1 over 6" CAB $9.95 $636.80 Ramona & 120th St 32X1 32 26
Remove and replace curb and gutter
$42.00 $1,344.00
Ramona & 120th St 4X 18 72 29
Remove and excavate exisiting driveway and construct new 6" thick PCC driveway, per APWA STD Plan 110-1 over 6" CAB $9.95 $716.40 El Segundo Sidewalk 5X4 20 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $199.00 El Segundo Sidewalk 9X5 45 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $447.75 El Segundo Sidewalk 8X4 32 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $318.40 El Segundo Sidewalk 9X 13 117 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,164.15 El Segundo Sidewalk 5X6 30 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $298.50 El Segundo Sidewalk 10X3 30 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $298.50 El Segundo Sidewalk 10X4 40 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $398.00 El Segundo Sidewalk 10X4 40 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $398.00 El Segundo Sidewalk 11X 10 110 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,094.50 El Segundo Sidewalk 17X 10 170 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,691.50 El Segundo Sidewalk 5X4 20 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $199.00 Ramona & 120th St 4X 10 40 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $398.00 El Segundo Sidewalk
4X7 28 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $278.60 El Segundo Sidewalk 9X 10 90 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $895.50 El Segundo Sidewalk 9X 10 90 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $895.50 El Segundo Sidewalk 9X 13 117 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,164.15 El Segundo Sidewalk 4X8 32 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $318.40 El Segundo Sidewalk 9X 18 162 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,611.90 El Segundo Sidewalk 9X7 63 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $626.85 El Segundo Sidewalk 7X4 28 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $278.60 El Segundo Sidewalk 14X9 126 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,253.70 El Segundo Sidewalk 7X9 63 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $626.85 El Segundo Sidewalk 4X6 24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $238.80 El Segundo Sidewalk 15X9 135 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,343.25 El Segundo Sidewalk 9X9 81 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $805.95 El Segundo Sidewalk 9X 13 117 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,164.15 El Segundo Sidewalk 4X8 32 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $318.40 El Segundo Sidewalk 9X7 63 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $626.85 El Segundo Sidewalk 4X6 24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $238.80 El Segundo Sidewalk 15X9 135 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,343.25 El Segundo Sidewalk 5X8 40 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $398.00 El Segundo Sidewalk 6X9 54 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $537.30 El Segundo Sidewalk 6X4 24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $238.80 El Segundo Sidewalk 4X9 36 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $358.20 El Segundo Sidewalk 9X5 45 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $447.75 El Segundo Sidewalk 6X4 24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $238.80 El Segundo Sidewalk 1X99 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $89.55 El Segundo Sidewalk 9X8 72 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $716.40 El Segundo Sidewalk 11
X4 44 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $437.80 El Segundo Sidewalk 4X 23 92 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $915.40 El Segundo Sidewalk 5X8 40 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $398.00 El Segundo Sidewalk 1X44 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $39.80 El Segundo Sidewalk 5X4 20 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $199.00 El Segundo Sidewalk 9X 19 171 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,701.45 El Segundo Sidewalk 4X 12 48 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $477.60 El Segundo Sidewalk 9X6 54 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $537.30 El Segundo Sidewalk 4X7 28 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $278.60 El Segundo Sidewalk 9X9 81 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $805.95 El Segundo Sidewalk 4X8 32 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $318.40 El Segundo Sidewalk 4X 16 64 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $636.80 El Segundo Sidewalk 4X 11 44 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $437.80 El Segundo Sidewalk 8X5 40 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $398.00 El Segundo Sidewalk 9X 17 153 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,522.35 El Segundo Sidewalk 8X4 32 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $318.40 El Segundo Sidewalk 9X 10 90 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $895.50 El Segundo Sidewalk 4X8 32 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $318.40 El Segundo Sidewalk 4X8 32 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $318.40 El Segundo Sidewalk 8X4 32 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $318.40 El Segundo Sidewalk 9X7 63 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $626.85 El Segundo Sidewalk 5X7 35 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $348.25 El Segundo Sidewalk 9X9 81 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $805.95 El Segundo Sidewalk 4X6 24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $238.80 El Segundo Sidewalk 4X9 36 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $358.20 El Segundo Sidewalk 4X9 36 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $358.20 El Segundo Sidewalk
4X5 20 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $199.00 El Segundo Sidewalk 9X5 45 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $447.75 El Segundo Sidewalk 7X4 28 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $278.60 El Segundo Sidewalk 9X9 81 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $805.95 El Segundo Sidewalk 4X 21 84 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $835.80 El Segundo Sidewalk 9X 22 198 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,970.10 El Segundo Sidewalk 4X 10 40 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $398.00 El Segundo Sidewalk 4X5 20 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $199.00 El Segundo Sidewalk 9X 39 351 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $3,492.45 El Segundo Sidewalk 6X4 24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $238.80 El Segundo Sidewalk 9X 19 171 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,701.45 El Segundo Sidewalk 9X 32 288 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $2,865.60 El Segundo Sidewalk 4X6 24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $238.80 El Segundo Sidewalk 9X 11 99 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $985.05 El Segundo Sidewalk 7X5 35 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $348.25 El Segundo Sidewalk 1X55 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $49.75 El Segundo Sidewalk 5X 10 50 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $497.50 El Segundo Sidewalk 11X7 77 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $766.15 El Segundo Sidewalk 6X6 36 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $358.20 El Segundo Sidewalk 11X 18 198 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,970.10 El Segundo Sidewalk 2X 12 24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $238.80 El Segundo Sidewalk 6X 13 78 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $776.10 El Segundo Sidewalk 7X5 35 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $348.25 El Segundo Sidewalk 5X6 30 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $298.50 El Segundo Sidewalk 5X6 30 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $298.50 El Segundo Sidewalk 5X 13 65 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $646.75 El Segundo Sidewalk
6X6 36 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $358.20 El Segundo Sidewalk 4X 10 40 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $398.00 El Segundo Sidewalk 6X 14 84 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $835.80 El Segundo Sidewalk 6X4 24 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $238.80 El Segundo Sidewalk 3X39 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $89.55 El Segundo Sidewalk 8X 21 168 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,671.60 El Segundo Sidewalk 11X 10 110 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,094.50 El Segundo Sidewalk 5X7 35 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $348.25 El Segundo Sidewalk 7X 11 77 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $766.15 El Segundo Sidewalk 7X 39 273 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $2,716.35 El Segundo Sidewalk 7X 17 119 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,184.05 El Segundo Sidewalk 4X7 28 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $278.60 El Segundo Sidewalk 8X4 32 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $318.40 El Segundo Sidewalk 7X 11 77 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $766.15 El Segundo Sidewalk 7X 21 147 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,462.65 El Segundo Sidewalk 1X11 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $9.95
El Segundo Sidewalk 6X5 30 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $298.50 El Segundo Sidewalk 9X9 81 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $805.95 El Segundo Sidewalk 11X 15 165 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,641.75 El Segundo Sidewalk 5X6 30 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $298.50 El Segundo Sidewalk 11X 10 110 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $1,094.50 El Segundo Sidewalk 6X 13 78 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $776.10 El Segundo Sidewalk 3X 11 33 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $328.35 El Segundo Sidewalk 6X 11 66 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $656.70 El Segundo Sidewalk 4X3 12 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $119.40 El Segundo Sidewalk 41X6 246 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $2,447.70 El Segundo Sidewalk
9X 8.5 76.5 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $761.18 El Segundo Sidewalk 9X4 36 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $358.20 El Segundo Sidewalk 9X3 27 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $268.65 El Segundo Sidewalk 9X4 36 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $358.20 El Segundo Sidewalk 2X 14 28 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $278.60 El Segundo Sidewalk 6X 10 60 24
Remove and excavate exisiting sidewalk and Construct new 4" thick PCC sidewalk, per 1112-1 over 4" CMB $9.95 $597.00 17757.5 $184,667.58
AGENDA ITEM NO. 23.

CITY OF HAWTHORNE
City Council

AGENDA BILL
For the meeting of 05/26/2026
Originating Department: Police Department
City Manager: Department Head:

SUBJECT:

South Bay Regional Public Communications Authority (SBRPCA) Invoices—Build Out on Delivered Police Vehicles.

RECOMMENDED MOTION:

Staff recommends the City Council approve the payments to SBRPCA, for services rendered pertaining to invoice #04730 ($125,954.07) and invoice #04729 ($17,597.17). Staff also recommends that the City Council appropriate funds for quote #3174 ($64,208.60) for scheduled build-outs on new police vehicles.

DISCUSSION:

The Hawthorne Police Department utilizes the services from the South Bay Regional Public Communications Authority for the final build out of police vehicles (lights, sirens, electronics, comms).

Invoice #04729 ($17,597.17) pertains to the installation and equipment needed for five (5) unmarked surveillance vehicles. Invoice #04730 ($125,954.07) pertains to the emergency equipment needed for 5 new marked police vehicles (black and white). Quote #3174 ($64,208.80) is for the projected build out of 3 administrative vehicles that are due to be delivered at the end of June 2026. The total amount requested ($207,753.84) would keep the seamless transfer of vehicles that need to be taken off the road and provide sound replacements. These costs have been forecasted for the current budget, and are available on account #229-2102-000-0-0-47404.

ECONOMIC DEVELOPMENT STRATEGIC PLAN:

N/A
FISCAL IMPACT:

None
NOTICING PROCEDURE:
72 Hours posted notice pursuant to the Ralph M. Brown Act.

ATTACHMENTS
Invoice 04729
Invoice 04730
Quote 3174
INVOICE 04729

Page 1 of 1 ends

DATE

CITY OF HAWTHORNE
CUST NO 0002
4455 W 126TH STREET
HAWTHORNE, CA 90250
AMT DUE 17,597.17

AMOUNT PAID

MAKE CHECKS PAYABLE TO THE SOUTH BAY REGIONAL PUBLIC COMMUNICATIONS AUTHORITY

PLEASE DETACH AND RETURN WITH YOUR REMITTANCE

DESCRIPTION AMOUNT

SOUTH BAY REGIONAL PUBLIC

COMMUNICATIONS AUTHORITY
4440 W. BROADWAY
HAWTHORNE, CA 90250-3857
(310)-973-1802
REIMBURSEMENT/BILLABLE PARTS 15,925.04
ESC REFERENCE INVOICE# 0000003144 PLEASE SEE ATTACHMENT FOR DETAILS.

SALES TAX - REIMBURSEMENT/BILLABLE PARTS 1,672.13
Total Amount Due: 17,597.17
CUST NO.

Please Remit to:
0002 17,597.17

SOUTH BAY REGIONAL PUBLIC

COMMUNICATIONS AUTHORITY
4440 W. BROADWAY
HAWTHORNE, CA 90250-3802
(310)-973-1802
DUE DATE 1/21/26

INVOICE 04730

Page 1 of 1 ends

DATE

CITY OF HAWTHORNE
CUST NO 0002
4455 W 126TH STREET
HAWTHORNE, CA 90250
AMT DUE 125,954.07

AMOUNT PAID

MAKE CHECKS PAYABLE TO THE SOUTH BAY REGIONAL PUBLIC COMMUNICATIONS AUTHORITY

PLEASE DETACH AND RETURN WITH YOUR REMITTANCE

DESCRIPTION AMOUNT

SOUTH BAY REGIONAL PUBLIC

COMMUNICATIONS AUTHORITY
4440 W. BROADWAY
HAWTHORNE, CA 90250-3857
(310)-973-1802
REIMBURSEMENT/BILLABLE PARTS 114,270.65
ESC REFERENCE INVOICE# 0000003146 PLEASE SEE ATTACHMENT FOR DETAILS.

SALES TAX - REIMBURSEMENT/BILLABLE PARTS 11,683.42
Total Amount Due: 125,954.07
CUST NO.

Please Remit to:
0002 125,954.07

SOUTH BAY REGIONAL PUBLIC

COMMUNICATIONS AUTHORITY
4440 W. BROADWAY
HAWTHORNE, CA 90250-3802
(310)-973-1802
DUE DATE 1/21/26

CUSTOMER SHIP TO:

P.O. NUMBER TERMS JOB OR UNIT #

QUAN DESCRIPTION PRICE EACH AMOUNT
QUOTE
DATE QUOTE # CUST # 4440 WEST BROADWAY HAWTHORNE CA,90250 310-973-1802 FAX: 310-978-0892
City Of Hawthorne
Attn: Accounts Payable
4455 W. 126th Street
Hawthorne CA 90250
Police Department
Attn: Chief. Mike Ishii
12501 Hawthorne Blvd.

Hawthorne CA 90250
NET 30
4/20/2026 0000003174 0000012

3.00 PF400QS17B PF400Q 17 BUTTON 1,770.73 5,312.19

3.00 SIFMJS-FPIU25-P3 2020-2025 Ford Police Interceptor Utility ILS Low-Profile SIFMJ 791.00 2,373.00 Split-front

3.00 SIFMJH-FPIU20-P3 Ford Police Interceptor Utility, 2020+ 791.00 2,373.00 Rear Hatch/Rear Deck Models
Center Focused (SIFMJS)

6.00 ES100C SIREN SPEAKER 228.96 1,373.76

6.00 ESB-U UNIVERSAL SIREN BKT FOR ES100C 29.15 174.90

3.00 RBKIT2-COMPACT Pair of Rumbler Compact low frequency speakers for use with sirens 346.62 1,039.86 with integrated Rumbler capability

3.00 RBC2-FPIU25ND (2) Compact, no drill, (1) 40.81 122.43 passenger side bracket and (1)
driver side bracket. Compatible
with DFC Series Push Bumper
lower guard, Ford Police
Interceptor Utility, 2020-2025

3.00 EXPMOD-2 EXPANSION MODULE 2 421.35 1,264.05

3.00 EXPHARN06 Rear taillight connection wire harness for use with rear expansion 91.69 275.07 module, Ford Police Interceptor Utility, 2025

3.00 OBDCABLE16-7 16-ft OBDII interface cable for use on Ford Police Interceptor Utility, 131.97 395.91 2025+

3.00 IPX-GRL17 Mounting Kit on the 2020 Ford Interceptor Utility 54.59 163.77

6.00 MPS123U-RBW MICROPULSE ULTRA 12, TRI-COLOR, SURFACE MOUNT, 160.59 963.54 12/24 VDC, CLEAR LENS

6.00 MPS63U-RBA 18-LED light head Red/Blue/Amber 160.59 963.54

6.00 416918-RBA TRI,CORNER LED,RED/BLU/AMB 78.44 470.64

6.00 416918-RBW TRI-COLOR, SINGLE-HEAD CORNER LED SYSTEMS 78.44 470.64 Red/Blue/White, Clear lens

6.00 DR6-RBW-SMK 6-foot Running Board, Tri-Color, Smoked lens Red/Blue/White 1,166.00 6,996.00

6.00 DRBKT-RB-FPIU2 (1) Running board mounting bracket, 2020-2025 Ford Police 39.75 238.50 Interceptor Utility

3.00 MAGNETIC MIC MAGNETIC MIC 39.35 118.05

3.00 MISC PARTS WIRE, LOOM, HARDWARE 450.00 1,350.00

3.00 M37TSS9PW1CN APX8500 ALL BAND MP MOBILE 4,787.34 14,362.02

3.00 HA00694AA ADD: 7Y ESSENTIAL SERVICE HTM 604.80 1,814.40

3.00 G298AS ENH: ASTRO 25 OTAR W/ MULTIKEY 635.83 1,907.49

3.00 G851AG ADD; AES/DESXL/DES-OFB ENCRYPTION 686.93 2,060.79

3.00 B18CR ADD; AUXILARY SPKR 7.5 WATT 51.83 155.49

3.00 QA09113AB ADD: BASELINE RELEASE SW
CUSTOMER SHIP TO:

P.O. NUMBER TERMS JOB OR UNIT #

Hawthorne CA 90250
NET 30
4/20/2026 0000003174 0000012

Page 2 ends

3.00 GA09007AA ADD: OUT OF THE BOX WI-FI

PROVISIONING

3.00 GA09001AA ADD: WI-FI CAPABILITY 257.69 773.07

3.00 GA00580AA ADD: TDMA OPERATION 386.90 1,160.70

3.00 G996AS ENH: OVER THE AIR PROVISIONING 86.14 258.42

3.00 G51AT ENH: SMARTZONE OPERATION APX 1,289.18 3,867.54

3.00 G361AH ADD; P25 TRUNKING SOFTWARE 257.69 773.07

3.00 G90AC ADD: NO MICROPHONE NEEDED

3.00 HA00694AA ADD: 7Y ESSENTIAL SERVICE HTM

3.00 G444AH ADD: APX CONTROL HEAD

SOFTWARE

3.00 G72AD ADD: APX O3 HANDHELD CH 813.22 2,439.66

3.00 G67DE ADD: REMOTE MOUNT 03 MP 255.50 766.50

3.00 GA01517AA DEL: NO J600 ADAPTER CABLE
NEEDED

3.00 G806BL ENH: ASTRO DIGITAL CAI OP APEX 443.11 1,329.33

3.00 GA01606AA ADD: NO GPS/WI-FI ANTENNA NEEDED

3.00 G89AC ADD; NO RF ANTENNA NEEDED
$58,107.33
$6,101.27
$64,208.60

SUBTOTAL
TAX
TOTAL
AGENDA ITEM NO. 24.

CITY OF HAWTHORNE
City Council

AGENDA BILL
For the meeting of 05/26/2026
Originating Department: Public Works
City Manager: Department Head:

SUBJECT:

Award of Contract for Hawthorne Housing Rehabilitation 2026 Phase II (Project # 26-11).

RECOMMENDED MOTION:

Staff recommends that the City Council award the contract to the second lowest responsive and responsible bidder, Jermax Construction, Inc. of San Fernando, CA.

DISCUSSION:

At the meeting of March 24th, 2026, City Council authorized Engineering Staff to publicly advertise for this project with a due date of May 12th, 2026.

The City received two bids with each accompanied by bid bonds: one from Klassic Engineering & Construction Inc and the second from Jermax Construction Inc. After a thorough review of the proposal, reference checks, verification that all bidders met all requirements on the project’s notice inviting bid and verification of the contractor’s license, staff determined that Jermax Construction, Inc. of San Fernando, CA was the lowest responsive and responsible bidder. (Klassic Engineering & Construction Inc did not meet all requirements in the notice inviting bid by not attending the mandatory job walk on Thursday, April 30th, 2026 at 10:00AM.)
The project work consists of remodeling, renovating and modifying the City’s apartment buildings, kitchens, and restrooms to comply with the requirements of the Americans with Disability Act (ADA). The work also consists of new doors and frames, hardware, flooring, drywall, toilet compartments, toilet fixtures, windows, caulking and sealants, stripping, patching, painting, cleaning, plumbing, electrical and mechanical work and all other incidental work necessary to complete the improvement in accordance with the Specifications.

ECONOMIC DEVELOPMENT STRATEGIC PLAN:

The Project is a result of the City working closely with funding and regulatory agencies to support and improve our infrastructure.

FISCAL IMPACT:

The approximate cost of $1,989,160.00 will be funded through the allocated and approved ARPA funds.

NOTICING PROCEDURE:
72 Hours posted notice pursuant to the Ralph M. Brown Act.

ATTACHMENTS
#26-11 Bid List

Hawthorne City CouncilMay 26, 2026

Hawthorne City Council
May 26, 2026