JesusILoveYou
DATE: 10/19/2023
PROJECT DESCRIPTION:
PROJECT NO: CIP 13-03 PURCHASE ORDER NO: 04306
CONTRACTOR:
DESCRIPTION OF CHANGES AND/OR EXTRA WORK:
The Contractor is hereby directed to make the herein described changes from the plans and specifications and/or perform the following described work not included in the Plans and Specifications for this project.
ITEM DESCRIPTION U/M QUANTITY UNIT PRICE TOTAL 1 FA 1.00 21,984.10 $ $21,984.10
TOTAL ESTIMATED BUDGET FOR THIS CHANGE ORDER: $21,984.10 JUSTIFICATION: (Be specific on each item. Attach supporting documents as necessary)
CITY OF MENIFEE
DEPARTMENT OF PUBLIC WORKS
Ferreira Coastal Construction Company
HOLLAND ROAD - WATER, SEWER, AND RECYCLED WATER UTILITY CONTRACT CHANGE ORDER NO. 07
Perform miscellaneous extra work to complete the project per the attached sheet
1. Justification for the extra work is detailed in the attached sheet.
This document shall become an amendment to the Contract and all provisions of the Contract will apply hereto.
JesusILoveYou
CITY OF MENIFEE
DEPARTMENT OF PUBLIC WORKS
CONTRACT CHANGE ORDER NO. 07
CONTRA
CT VARIANCE SUMMARY
CCO # Amount %
1 $398.14 0.06%
2 $5,365.16 0.75%
3 $1,377.80 0.19%
4 $94,056.97 13.08%
5 $52,000.00 7.23%
6 $26,552.39 3.69%
7 $21,984.10 3.06%
Totals $201,734.56 28.05%
$719,174.00 January 23, 2023
$179,750.46 April 10, 2023
$21,984.10 66*
$920,908.56 July 28, 2023 (**)
AUTHORIZATION BY CITY:
Recommended for approval by:
Date: __________ Date: __________
Approved by:
Date: __________ Date: ___________
ACCEPTANCE BY CONTRACTOR:
We, the undersigned Contractor, have given careful consideration to the above described changes and/or extra work and hereby agree that said work is a supplement to the contract and all provisions will apply hereto.
Accepted by: _____________________________________________________ Date: ____________________________ Signature
James Black / Division Manager
Please print name and title
4 0
12" Water pipe material change
Additional work related to the
installation of the 8" sewer line
Additional Time Date Approved
0 Nicolas Fidler
Amr Abuelhassan, Southstar Construction Manager
Director of Public Works/Engineering
_________________________________________________________________________________ __________________________________
Rebekah Kramer
Acting City Manager
________________________________________
Carlos E. Geronimo, City Project Manager
Supply & install 16" steel casing
Description
Misc. Extra Work at Force Account
Date Started:
Original Completion Date:
Additional Time (Working Days)
Tie-in of the new 12" water line to the
existing 12" water line at Holland
Road
0 0
61 1
Misc. Extra Work at Force Account
Perform additional potholing
(**) includes 10 weather days
(*) includes 39 WD Contract time extension and
27 WD project suspension
Revised Contract Amount:
Original Contract Amount:
Revised Completion Date:
66 Previous Change Order Amounts:
Current Change Order Amount:
JOB NAME: 5502 - City of Menifee - Holland Rd DATE: 10/12/2023 CO #07
Date Amount
$
6/16/2023
2,482.04
$
6/23/2023
714.84
$
$
8/23/2023
5,407.04
$
8/24/2023
4,565.25
8/25/2023 543.03
9/6/2023 8,271.90
$
21,984.10Total Amount
Description
T&M Report Dated: 6.16.23 Due to Edison encasement in trench turned TEE down to go under in casement by south star directions and install 6" blow off at Station 26+56
T&M Report Dated: 6.23.23 Used compressor to break asphalt, used backhoe to dig down to 5 feet. Found 8" pipe fot an OD 9.05. Backfill put temporarily, Cleaned work area and back filled around B.O.
T&M Report Dated 8.23.23: Broke out area for 8" fire line tie in, excavated, dewatered, cut and tied in 8" fire line from back flow, poured kicker, and partly backfilled, had to wait for concrete to cure.
T&M Report Dated 8.24.23: Excavated new meter at connection point also exposed existing meter to relocate to new connection, we had it exposed and chipped concrete from 90 and hit unexpected piping looping inside concrete. Turned off water, removed meter and backflow and installed both at new connection and tied it in line, let glue cure and poured concrete on 90 bends and had to backfill back flow and pour kickers before turning on water.
T&M Report Dated 8.25.23: Backfilled open trenches from 2" water service Adkan Survey per RFI Changes
$
JOB NAME: DATE: 6/16/2023
Total Labor 1,036.58
Labor Surcharge 0% 0.00
Labor Markup 20% 207.32
Total Materials 0.00
Sales Tax 8.75% 0.00
Material Markup 15% 0.00
Total Equipment 1,055.28
Equipment Markup 15% 158.29
Total Subcontractors 0.00
Sub Markup 5% 0.00
Bond 1% $24.57
Grand Total 2,482.04
TOTAL BID $0.00
JOB NAME: 5502 - City of Menifee - Holland Rd DATE: 6/16/2023 Name Labor Type QTY U/M Rate U/M EXT OT HR OT Rate U/M EXT Fred Flores 300 Labor Foreman VI 4 hrs $81.32 hrs 325.28$ $108.39 hrs -$ James Mitchell 300 Laborer III 4 hrs $76.54 hrs 306.16$ $101.26 hrs -$ Deon Matthews Local 12 VIII 4 hrs $101.28 hrs 405.14$ $134.96 hrs -$ -$
-$
TOTAL 1,036.58$ -$
Equip # Model QTY U/M PRICE U/M EXT SB HR OT Factor U/M EXT T-104 Ford F-550/ Contractor Body (19.5K LBS) 4 hrs $54.71 hrs 218.84$ 0.88 hrs -$ AC-28 Vanair 185 Under Deck Compressor 4 hrs $28.53 hrs 114.12$ 0.87 hrs -$ BH-11 Case/ Backhoe 4 hrs $61.17 hrs 244.68$ 0.89 hrs -$ L-04 Cat/Track Skid Steer 4 hrs $55.95 hrs 223.80$ 0.90 hrs -$ T-65 Ford F750/ Water Truck (GVWR 33K LBS) 4 hrs $63.46 hrs 253.84$ 0.88 hrs -$ TOTAL 1,055.28$ -$
Equipment Model No. QTY U/M PRICE U/M EXT
hrs -$
hrs -$
hrs -$
hrs -$
TOTAL -$
QTY U/M PRICE U/M EXT
LS
TOTAL -$
QTY U/M PRICE U/M EXT RECEPIT # CUSTOMER
LS LS -$
LS LS -$
LS LS -$
LS LS -$
TOTAL -$
Rental Equipment
5502 - City of Menifee - Holland Rd
T&M Report Dated: 6.16.23 Due to Edison casement in trench turned TEE down to go under in casement by south star directions and install 6" blow off at Station 26+56.
Labor
Equipment
Subcontractors / Contractor
Name
Materials
Name
NO. OF
COST CODE: SHIFT: WORK DAY:
(CALL SUPERVISOR FOR COST CODE. EVERY TICKET MUST HAVE A COST CODE PRIOR TO PERFORMING WORK) JOB #: CUSTOMER:
EMP # CLASS REG.
HOURS
OT
HOURS EMP # CLASS REG.
HOURS
OT
HOURS
1 6
2 7
3 8
4 9
5 10
EQUIP
HOURS
EQUIP
HOURS
1 6
2 7
3 8
4 9
5 10
1 2
3 4
5 6
7 8
9 10
WORK LOCATION: CCO #:
PLAN SHEET # (IF AVAILABLE) : STATION #: GF:
PM:
BILLING METHOD:
GREENBOOK CALTRANS
BACKCHARGE OTHER
BILLING RATES:
STANDARD OTHER
VERIFIED BY: (PRINT CLEARLY & SIGN) DATE:
FOREMAN: (PRINT CLEARLY & SIGN) DATE:
REC'D IN ACCT'G:
OFFICE USE ONLY
WORK DESCRIPTION: ( WHO ORDERED THE WORK? WHAT WORK DID YOU DO? WHERE AS THE WORK DONE ON THE JOB SITE?)
RENTAL EQUIPMENT / MATERIALS DESCRIPTION
JOB NAME:
EQUIP. #
MATERIALS & RENTAL EQUIPMENT
EQUIPMENT DESCRIPTION
EMPLOYEE NAMEEMPLOYEE NAME
EQUIPMENT DESCRIPTION EQUIP. #
TIME AND MATERIALS EXTRA WORK REPORT
LABOR RECORD
WORK DATE:
CONTRACT #:
QUANTITY / HOURS RENTAL CO NAME / MATERIAL SUPPLIER
FCC EQUIPMENT RECORD
FERREIRA CONSTRUCTION CO., INC.
DATE:
DATE:
10370 COMMERCE CENTER DR., SUITE B-200
RANCHO CUCAMONGA, CA 91730
PHONE (909) 606-5900
FAX (909) 606-7711LICENSE NO. 985180
1 James Mitchell
Fred Flores
4 4
LAbF
Lab
Op
4 Utility truck
Backhoe
4 Skid steer
Water truck
T104
4 Bh11
4 Ac28
L04
T-65
Air compressor
4 4
Deon Matthews
Do to Edison casement in trench turned TEE down to go under in casement by south star directions and install 6”blow off. At station 26+56 1 1-33100
Holland RD
6-16-23
Friday
City of Menifee
Day
5502
6-16-23
6-16-23
Ryan Brown
Fred Flores
JOB NAME: DATE: 6/23/2023
Total Labor 313.02
Labor Surcharge 0% 0.00
Labor Markup 20% 62.60
Total Materials 0.00
Sales Tax 8.75% 0.00
Material Markup 15% 0.00
Total Equipment 288.82
Equipment Markup 15% 43.32
Total Subcontractors 0.00
Sub Markup 5% 0.00
Bond 1% $7.07
Grand Total 714.84
TOTAL BID $0.00
JOB NAME: 5502 - City of Menifee - Holland Rd DATE: 6/23/2023 Name Labor Type QTY U/M Rate U/M EXT OT HR OT Rate U/M EXT Fred Flores 300 Labor Foreman VI 2 hrs $81.32 hrs 162.64$ $108.39 hrs -$ Javier Mendoza 300 Laborer I 2 hrs $75.19 hrs 150.38$ $99.24 hrs -$ hrs hrs hrs
hrs hrs hrs
hrs hrs hrs
TOTAL 313.02$ -$
Equip # Model QTY U/M PRICE U/M EXT SB HR OT Factor U/M EXT T-104 Ford F-550/ Contractor Body (19.5K LBS) 2 hrs $54.71 hrs 109.42$ 0.88 hrs -$ AC-28 Vanair 185 Under Deck Compressor 2 hrs $28.53 hrs 57.06$ 0.87 hrs -$ BH-11 Case/ Backhoe 2 hrs $61.17 hrs 122.34$ 0.89 hrs -$ hrs hrs hrs
TOTAL 288.82$ -$
Equipment Model No. QTY U/M PRICE U/M EXT
hrs -$
hrs -$
hrs -$
hrs -$
TOTAL -$
QTY U/M PRICE U/M EXT
LS
TOTAL -$
QTY U/M PRICE U/M EXT RECEPIT # CUSTOMER
LS LS -$
LS LS -$
LS LS -$
LS LS -$
TOTAL -$
Rental Equipment
5502 - City of Menifee - Holland Rd
T&M Report Dated: 6.23.23 Used compressor to break asphalt, used backhoe to dig down to 5 feet. Found 8" pipe fot an OD
9.05. Backfill put temporarily, Cleaned work area and back filled around B.O.
Labor
Equipment
Subcontractors / Contractor
Name
Materials
Name
NO. OF
COST CODE: SHIFT: WORK DAY:
(CALL SUPERVISOR FOR COST CODE. EVERY TICKET MUST HAVE A COST CODE PRIOR TO PERFORMING WORK) JOB #: CUSTOMER:
EMP # CLASS REG.
HOURS
OT
HOURS EMP # CLASS REG.
HOURS
OT
HOURS
1 6
2 7
3 8
4 9
5 10
EQUIP
HOURS
EQUIP
HOURS
1 6
2 7
3 8
4 9
5 10
1 2
3 4
5 6
7 8
9 10
WORK LOCATION: CCO #:
PLAN SHEET # (IF AVAILABLE) : STATION #: GF:
PM:
BILLING METHOD:
GREENBOOK CALTRANS
BACKCHARGE OTHER
BILLING RATES:
STANDARD OTHER
VERIFIED BY: (PRINT CLEARLY & SIGN) DATE:
FOREMAN: (PRINT CLEARLY & SIGN) DATE:
REC'D IN ACCT'G:
OFFICE USE ONLY
WORK DESCRIPTION: ( WHO ORDERED THE WORK? WHAT WORK DID YOU DO? WHERE AS THE WORK DONE ON THE JOB SITE?)
RENTAL EQUIPMENT / MATERIALS DESCRIPTION
JOB NAME:
EQUIP. #
MATERIALS & RENTAL EQUIPMENT
EQUIPMENT DESCRIPTION
EMPLOYEE NAMEEMPLOYEE NAME
EQUIPMENT DESCRIPTION EQUIP. #
TIME AND MATERIALS EXTRA WORK REPORT
LABOR RECORD
WORK DATE:
CONTRACT #:
QUANTITY / HOURS RENTAL CO NAME / MATERIAL SUPPLIER
FCC EQUIPMENT RECORD
FERREIRA CONSTRUCTION CO., INC.
DATE:
DATE:
10370 COMMERCE CENTER DR., SUITE B-200
RANCHO CUCAMONGA, CA 91730
PHONE (909) 606-5900
FAX (909) 606-7711LICENSE NO. 985180
1 Javier Mendoza
Freddie Flores
2 2
BH 11
T-104
2 2
2 AC28
Used compressor to break asphalt
Used backhoe to dig down to 5 feet found 8”pipe got an OD 9.05 Backfilled put temporary
Cleaned work area back filled around B.O
1 6/23/2023
Friday
Day
5502
06/23/2023
06/23/2023
Ryan brown
Freddie Flores
JOB NAME: DATE: 8/23/2023
Total Labor 1,904.68
Labor Surcharge 0% 0.00
Labor Markup 20% 380.94
Total Materials 1,403.58
Sales Tax 8.75% 122.81
Material Markup 15% 228.96
Total Equipment 1,141.34
Equipment Markup 15% 171.20
Total Subcontractors 0.00
Sub Markup 5% 0.00
Bond 1% $53.54
Grand Total 5,407.04
TOTAL BID $0.00
JOB NAME: 5502 - City of Menifee - Holland Rd DATE: 8/23/2023 Name Labor Type QTY U/M Rate U/M EXT OT HR OT Rate U/M EXT Vicente Zubia 300 Labor Foreman VI 4 hrs $91.24 hrs 364.96$ $136.86 hrs -$ Alejandro Lopez 300 Laborer IV 4 hrs $87.98 hrs 351.92$ $131.97 hrs -$ Marcelino Garcia 300 Laborer III 4 hrs $85.84 hrs 343.36$ $128.75 hrs -$ Michael Renner Local 12 XII (Foreman) 4 hrs $117.37 hrs 469.48$ $176.06 hrs -$ Brandon Guthrie Local 12 VI-App Step 4 4 hrs $93.74 hrs 374.96$ $140.60 hrs -$ TOTAL 1,904.68$ -$
Equip # Model QTY U/M PRICE U/M EXT SB HR OT Factor U/M EXT T-109 Ford F-550/ Contractor Body (19.5K LBS) 4 hrs $54.71 hrs 218.84$ 0.88 hrs -$ AC-30 Vanair 185 Under Deck Compressor 4 hrs $28.53 hrs 114.12$ 0.87 hrs -$ L-04 Cat/Track Skid Steer 4 hrs $55.95 hrs 223.80$ 0.90 hrs -$ EX-10 Takeuchi / Excavator 4 hrs $46.35 hrs 185.40$ 0.84 hrs -$ T-67 Ford F-250/Reg Cab Pickup ( GVWR 10K LBS) 4 hrs $42.39 hrs 169.56$ 0.88 hrs -$ T-138 Ford F550/ 16' Stake Bed (GVWR 19.5K LBS) 4 hrs $54.71 hrs 218.84$ 0.88 hrs -$ MX-04 Multiquip/9 cf Towable mixer 2 hrs $5.39 hrs 10.78$ 0.89 hrs -$ TOTAL 1,141.34$ -$
Equipment Model No. QTY U/M PRICE U/M EXT
hrs -$
hrs -$
hrs -$
hrs -$
TOTAL -$
QTY U/M PRICE U/M EXT
LS
TOTAL -$
QTY U/M PRICE U/M EXT RECEPIT # CUSTOMER
1 EA $180.20 EA 180.20$ 1137195-00 WWW
1 EA $182.00 EA 182.00$ 1138047-00 WWW
4 EA $81.62 EA 326.48$ 1138047-00 WWW
20 LF $30.30 LF 606.00$ 1136059-00 WWW
33 BGS $3.30 BGS 108.90$ H0614-376930 Home Depot TOTAL 1,403.58$
Materials
5502 - City of Menifee - Holland Rd
T&M Report Dated 8.23.23: Broke out area for 8" fire line tie in, excavated, dewatered, cut and tied in 8" fire line from back flow, poured kicker, and partly backfilled, had to wait for concrete to cure.
Labor
Equipment
Rental Equipment
Subcontractors / Contractor
Name
Name
MJ 90 BEND 8"
8" MJ SLEEVE
8" MEGA LUGS
8" C900 PIPE
RED BAGS OF CONCRETE QUICKSET
NO. OF
COST CODE: SHIFT: WORK DAY:
(CALL SUPERVISOR FOR COST CODE. EVERY TICKET MUST HAVE A COST CODE PRIOR TO PERFORMING WORK) JOB #: CUSTOMER:
EMP # CLASS REG.
HOURS
OT
HOURS EMP # CLASS REG.
HOURS
OT
HOURS
1 6
2 7
3 8
4 9
5 10
EQUIP
HOURS
EQUIP
HOURS
1 6
2 7
3 8
4 9
5 10
1 2
3 4
5 6
7 8
9 10
WORK LOCATION: CCO #:
PLAN SHEET # (IF AVAILABLE) : STATION #: GF:
PM:
BILLING METHOD:
GREENBOOK CALTRANS
BACKCHARGE OTHER
BILLING RATES:
STANDARD OTHER
VERIFIED BY: (PRINT CLEARLY & SIGN) DATE:
FOREMAN: (PRINT CLEARLY & SIGN) DATE:
REC'D IN ACCT'G:
OFFICE USE ONLY
WORK DESCRIPTION: ( WHO ORDERED THE WORK? WHAT WORK DID YOU DO? WHERE AS THE WORK DONE ON THE JOB SITE?)
RENTAL EQUIPMENT / MATERIALS DESCRIPTION
JOB NAME:
EQUIP. #
MATERIALS & RENTAL EQUIPMENT
EQUIPMENT DESCRIPTION
EMPLOYEE NAMEEMPLOYEE NAME
EQUIPMENT DESCRIPTION EQUIP. #
TIME AND MATERIALS EXTRA WORK REPORT
LABOR RECORD
WORK DATE:
CONTRACT #:
QUANTITY / HOURS RENTAL CO NAME / MATERIAL SUPPLIER
FCC EQUIPMENT RECORD
FERREIRA CONSTRUCTION CO., INC.
DATE:
DATE:
10370 COMMERCE CENTER DR., SUITE B-200
RANCHO CUCAMONGA, CA 91730
PHONE (909) 606-5900
FAX (909) 606-7711LICENSE NO. 985180
1 Alejandro lopez
Vince zubia
LF
LAB
4 LAB
4 4
Utility truck
Underbody air compressor
4 Flat bed
2 Mixer
4 Skid steer
F150 pick up
T109
4 T138
Ac30
4 Mx04
EX10
L04
T67
Takeuchi mini excavator
4 4
1 33 bags
20’
4 1
Western water works
Marcelino garcia
Mike renner
OP
4 Brandon Guthrie
AOP
4 MJ 90 bend 8”
8” MJ sleeve
8” mega lugs
8” C900 pipe
Red bags of of concrete quickset
Marcelino went to yard to pick up mixer and shoring ,we broke out area for 8” fire line tie in ,excavated,de watered ,cut and tied in 8” fire line from back flow , poured kicker ,and partly backfilled , I had to wait for concrete to cure ,before changing the line Marcellino had to take truck and mixer back to riverside yard
Inspector approved work performed and materials only
1 1-33201
Holland water and sewer
8/23/23
Wednesday
City of Menifee
Day
5502
Holland
8/23/23
8/23/23
Matt eddy
Vince zubia
CUST #: 100618
SHIP TO
HOLLAND RD
HAUN RD & HOLLAND RD
MENIFEE, CA 92586
BILL TO
FERREIRA CONST CO
10370 COMMERCE CENTER DR
STE B-200
RANCHO CUCAMONGA, CA 91730
76735
1138047-00
08/23/23 1 of 1
5502
ATTN CHINO OUR TRUCK NET 30 DAYS
INVOICE
5831 PINE AV CHINO HILLS, CA - 91709
PHONE: (909)597-7000 | FAX: (909)597-7050
QUOTE # INVOICE DT
INVOICE #
PO DATE
PO #
PAGE #
INSTRUCTIONS SHIP POINT VIA SHIPPED TERMS
LN PRODUCT AND DESCRIPTION ORDERED BO SHIPPED UM PRICE NET AMOUNT
CONTACT
MOBILE PHONE
EMAIL
Scott Johnson
(909)680-9384
[email protected]
Member Since 2017
lsrep OutPlaced By Customer PO# Reference Entered Picked Shipped 95-1459073 0001 /
--- ==================== --
-MATERIAL BELOW WAS NOT ON THE PROPOSAL-
1 MS-0812 1 0 1 EA 182.00 182.00 MS-0812 8X12 DI C153 MJ SOLID SLV TC
2 SGPA-08 4 0 4 EA 81.62 326.48 SGPA-08 8 MJ RESTRAINT W/ACC C900 PIPE - STAR
3 406-025# 1 0 1 EA 17.50 17.50 406-025# 2-1/2 ELL-90 S SCH40
4 437-292# 4 0 4 EA 6.90 27.60 437-292# 2-1/2 X 2 BUSHING S SCH40
5 436-020 2 0 2 EA 2.10 4.20 436-020 2 SCH40 PVC ADAPTER MIPXS
6 CF31-77 1 0 1 EA 80.20 80.20 CF31-77 2 BRZ MTR FLG FIP DBL DRILLED
7 BRP-02 2 0 2 EA 30.40 60.80 BRP-02 2 BRZ PLUG SOLID
8 CC-01 1 0 1 EA 3.40 3.40 CC-01 1 COPPER CPLG SXS LESS STOP
8 Lines Total Qty Shipped Total 16 Total 702.18
Taxes 61.44
Invoice Total 763.62
Cash Discount 0.00 If Paid Within Terms
SPECIAL SERVICES CUSTOMER INVOICE
Notice of Cancellation (see Exhibit A) may be sent to this address:
HOME DEPOT U.S.A., INC.
Store 0614 MISSION VIEJO
27952 HILLCREST
MISSION VIEJO, CA 92692
Phone: (949) 364-1900
Salesperson: RAB744
Reviewer:
SOLD TO
Name Phone 1
BAKER DAVID (626) 940-8629
Address 6901 CUMBERLAND DRIVE Phone 2
Company Name FERREIRA CONSTRUCTION
City HUNTINGTN BCH Job Description 5350
State CA Zip 92647 County ORANGE
REPRINT
2023-09-06 17:20
Check your current order status online at
www.homedepot.com/orderstatus
CARRY OUT
MERCHANDISE MERCHANDISE AND SERVICE SUMMARY We reserve the right to limit the quantities of merchandise sold to customers
REF # W01 SKU # 0000-515-664 The items listed in this section will be carried out of the store by the customer at time of sale.
STOCK MERCHANDISE CARRIED OUT:
REF # SKU QTY UM DESCRIPTION PI TAX PRICE EACH EXTENSION R01 1006-698-648 5.00 EA Gray 1-Bike Heavy-Duty Vinyl-Coated Screw-In Bike Storage Hook / Y $1.98 $9.90 R02 0000-929-514 56.00 EA 60 lb. Concrete Mix / Y $3.30 $184.80* R03 0000-383-759 50.00 EA 55 lbs. Mortar Mix / Y $16.17 $808.50* R04 0000-999-835 2.00 EA PALLET DEP / Y $25.00 $50.00
MERCHANDISE TOTAL: $1,053.20
END OF CARRY OUT MERCHANDISE - REF #W01
TOTAL CHARGES OF ALL MERCHANDISE & SERVICES
ORDER TOTAL $1,053.20
SALES TAX $81.62
TOTAL $1,134.82
BALANCE DUE $0.00
Policy Id (PI):
: ;
'The Home Depot reserves the right to limit / deny returns. Please see the return policy sign in stores for details.' END OF ORDER No. H0614-376930
* Indicates item markdown
No. H0614-376930
JOB NAME: DATE: 8/24/2023
Total Labor 2,508.52
Labor Surcharge 0% 0.00
Labor Markup 20% 501.70
Total Materials 159.30
Sales Tax 8.75% 13.94
Material Markup 15% 25.99
Total Equipment 1,139.65
Equipment Markup 15% 170.95
Total Subcontractors 0.00
Sub Markup 5% 0.00
Bond 1% $45.20
Grand Total 4,565.25
TOTAL BID $0.00
JOB NAME: 5502 - City of Menifee - Holland Rd DATE: 8/24/2023 Name Labor Type QTY U/M Rate U/M EXT OT HR OT Rate U/M EXT Vicente Zubia 300 Labor Foreman VI 5 hrs $91.24 hrs 456.20$ 1.5 $136.86 hrs 205.29$ Alejandro Lopez 300 Laborer IV 5 hrs $87.98 hrs 439.90$ 1.5 $131.97 hrs 197.96$ Michael Renner Local 12 XII (Foreman) 5 hrs $117.37 hrs 586.85$ $176.06 hrs -$ Marcelino Garcia 300 Laborer III 5 hrs $85.84 hrs 429.20$ 1.5 $128.75 hrs 193.13$ TOTAL 1,912.15$ 596.37$
Equip # Model QTY U/M PRICE U/M EXT SB HR OT Factor U/M EXT T-109 Ford F-550/ Contractor Body (19.5K LBS) 5 hrs $54.71 hrs 273.55$ 0.88 hrs -$ AC-30 Vanair 185 Under Deck Compressor 5 hrs $28.53 hrs 142.65$ 0.87 hrs -$ L-04 Cat/Track Skid Steer 5 hrs $55.95 hrs 279.75$ 0.90 hrs -$ EX-10 Takeuchi / Excavator 5 hrs $46.35 hrs 231.75$ 0.84 hrs -$ T-67 Ford F-250/Reg Cab Pickup ( GVWR 10K LBS)5 hrs $42.39 hrs 211.95$ 0.88 hrs -$ TOTAL 1,139.65$ -$
Equipment Model No. QTY U/M PRICE U/M EXT
hrs -$
hrs -$
hrs -$
hrs -$
TOTAL -$
QTY U/M PRICE U/M EXT
LS
TOTAL -$
QTY U/M PRICE U/M EXT RECEPIT # CUSTOMER
20 LF $2.70 LF 54.00$ 1136689-00 WWW
1 EA $17.50 EA 17.50$ 1138047-00 WWW
4 EA $6.90 EA 27.60$ 1138047-00 WWW
2 EA $2.10 EA 4.20$ 1138047-00 WWW
1 EA $3.20 EA 3.20$ 1136689-00 WWW
16 BGS $3.30 BGS 52.80$ H0614-376930 Home Depot TOTAL 159.30$
2" 90 BEND SCH 40
Name
2" STICK OF SCH40 PIPE
2 1/2" SCH 40 - 90 BEND
2 1/2" TO 2" SLIP BY SLIP BUSHING SCH 40
2" THREADED BY SLIP MIP
RED BAGS OF CONCRETE QUICKSET
Materials
5502 - City of Menifee - Holland Rd
T&M Report Dated 8.24.23: Excavated new meter at connection point also exposed existing meter to relocate to new connection, we had it exposed and chipped concrete from 90 and hit unexpected piping looping inside concrete. Turned off water, removed meter and backflow and installed both at new connection and tied it in line, let glue cure and poured concrete on 90 bends and had to backfill back flow and pour kickers before turning on water.
Labor
Equipment
Rental Equipment
Subcontractors / Contractor
Name
NO. OF
COST CODE: SHIFT: WORK DAY:
(CALL SUPERVISOR FOR COST CODE. EVERY TICKET MUST HAVE A COST CODE PRIOR TO PERFORMING WORK) JOB #: CUSTOMER:
EMP # CLASS REG.
HOURS
OT
HOURS EMP # CLASS REG.
HOURS
OT
HOURS
1 6
2 7
3 8
4 9
5 10
EQUIP
HOURS
EQUIP
HOURS
1 6
2 7
3 8
4 9
5 10
1 2
3 4
5 6
7 8
9 10
WORK LOCATION: CCO #:
PLAN SHEET # (IF AVAILABLE) : STATION #: GF:
PM:
BILLING METHOD:
GREENBOOK CALTRANS
BACKCHARGE OTHER
BILLING RATES:
STANDARD OTHER
VERIFIED BY: (PRINT CLEARLY & SIGN) DATE:
FOREMAN: (PRINT CLEARLY & SIGN) DATE:
REC'D IN ACCT'G:
OFFICE USE ONLY
WORK DESCRIPTION: ( WHO ORDERED THE WORK? WHAT WORK DID YOU DO? WHERE AS THE WORK DONE ON THE JOB SITE?)
RENTAL EQUIPMENT / MATERIALS DESCRIPTION
JOB NAME:
EQUIP. #
MATERIALS & RENTAL EQUIPMENT
EQUIPMENT DESCRIPTION
EMPLOYEE NAMEEMPLOYEE NAME
EQUIPMENT DESCRIPTION EQUIP. #
TIME AND MATERIALS EXTRA WORK REPORT
LABOR RECORD
WORK DATE:
CONTRACT #:
QUANTITY / HOURS RENTAL CO NAME / MATERIAL SUPPLIER
FCC EQUIPMENT RECORD
FERREIRA CONSTRUCTION CO., INC.
DATE:
DATE:
10370 COMMERCE CENTER DR., SUITE B-200
RANCHO CUCAMONGA, CA 91730
PHONE (909) 606-5900
FAX (909) 606-7711LICENSE NO. 985180
1 Alejandro Lopez
Vince zubia
LF
Op
5 Lab
5 1.5
1.5 5
1.5 Utility truck
Under body air compressor
5 Mini excavator
Skid steer
T109
5 Ac30
5 T67
Ex10
L04
F-150 pick up
5 5
20’
1 2
1 1
Western water works
Mike renner
Marcelino Garcia
Lab
5 2” stick of schedule 40 pipe
2 1/2” sch 40. 90 bend
2 1/2” to 2” slip by slip bushing sch 40
2” threaded by slip MIP
2” 90 bend sch 40
Red bags of quick setting concrete
Excavated at new meter ,at connection point also exposed existing meter to relocate to new connection,we had it exposed and to chip concrete from 90 and hit unexpected piping looping inside concrete,we turned off water ,removed meter and back flow and installed both at new connection and tied it in line let glue cure we poured concrete on 90 bends and and had to backfill back flow and pour kicker’s before turning on water
16 1
1-33201
Holland water and sewer
8/24/23
Thursday
City of Menifee
Day
5502
Holland rd
8/24/23
8/24/24
Matt eddy
Vince zubia
CUST #: 100618
SHIP TO
HOLLAND RD
HAUN RD & HOLLAND RD
MENIFEE, CA 92586
BILL TO
FERREIRA CONST CO
10370 COMMERCE CENTER DR
STE B-200
RANCHO CUCAMONGA, CA 91730
76735
1138047-00
08/23/23 1 of 1
5502
ATTN CHINO OUR TRUCK NET 30 DAYS
INVOICE
5831 PINE AV CHINO HILLS, CA - 91709
PHONE: (909)597-7000 | FAX: (909)597-7050
QUOTE # INVOICE DT
INVOICE #
PO DATE
PO #
PAGE #
INSTRUCTIONS SHIP POINT VIA SHIPPED TERMS
LN PRODUCT AND DESCRIPTION ORDERED BO SHIPPED UM PRICE NET AMOUNT
CONTACT
MOBILE PHONE
EMAIL
Scott Johnson
(909)680-9384
[email protected]
Member Since 2017
lsrep OutPlaced By Customer PO# Reference Entered Picked Shipped 95-1459073 0001 /
--- ==================== --
-MATERIAL BELOW WAS NOT ON THE PROPOSAL-
1 MS-0812 1 0 1 EA 182.00 182.00 MS-0812 8X12 DI C153 MJ SOLID SLV TC
2 SGPA-08 4 0 4 EA 81.62 326.48 SGPA-08 8 MJ RESTRAINT W/ACC C900 PIPE - STAR
3 406-025# 1 0 1 EA 17.50 17.50 406-025# 2-1/2 ELL-90 S SCH40
4 437-292# 4 0 4 EA 6.90 27.60 437-292# 2-1/2 X 2 BUSHING S SCH40
5 436-020 2 0 2 EA 2.10 4.20 436-020 2 SCH40 PVC ADAPTER MIPXS
6 CF31-77 1 0 1 EA 80.20 80.20 CF31-77 2 BRZ MTR FLG FIP DBL DRILLED
7 BRP-02 2 0 2 EA 30.40 60.80 BRP-02 2 BRZ PLUG SOLID
8 CC-01 1 0 1 EA 3.40 3.40 CC-01 1 COPPER CPLG SXS LESS STOP
8 Lines Total Qty Shipped Total 16 Total 702.18
Taxes 61.44
Invoice Total 763.62
Cash Discount 0.00 If Paid Within Terms
SPECIAL SERVICES CUSTOMER INVOICE
Notice of Cancellation (see Exhibit A) may be sent to this address:
HOME DEPOT U.S.A., INC.
Store 0614 MISSION VIEJO
27952 HILLCREST
MISSION VIEJO, CA 92692
Phone: (949) 364-1900
Salesperson: RAB744
Reviewer:
SOLD TO
Name Phone 1
BAKER DAVID (626) 940-8629
Address 6901 CUMBERLAND DRIVE Phone 2
Company Name FERREIRA CONSTRUCTION
City HUNTINGTN BCH Job Description 5350
State CA Zip 92647 County ORANGE
REPRINT
2023-09-06 17:20
Check your current order status online at
www.homedepot.com/orderstatus
CARRY OUT
MERCHANDISE MERCHANDISE AND SERVICE SUMMARY We reserve the right to limit the quantities of merchandise sold to customers
REF # W01 SKU # 0000-515-664 The items listed in this section will be carried out of the store by the customer at time of sale.
STOCK MERCHANDISE CARRIED OUT:
REF # SKU QTY UM DESCRIPTION PI TAX PRICE EACH EXTENSION R01 1006-698-648 5.00 EA Gray 1-Bike Heavy-Duty Vinyl-Coated Screw-In Bike Storage Hook / Y $1.98 $9.90 R02 0000-929-514 56.00 EA 60 lb. Concrete Mix / Y $3.30 $184.80* R03 0000-383-759 50.00 EA 55 lbs. Mortar Mix / Y $16.17 $808.50* R04 0000-999-835 2.00 EA PALLET DEP / Y $25.00 $50.00
MERCHANDISE TOTAL: $1,053.20
END OF CARRY OUT MERCHANDISE - REF #W01
TOTAL CHARGES OF ALL MERCHANDISE & SERVICES
ORDER TOTAL $1,053.20
SALES TAX $81.62
TOTAL $1,134.82
BALANCE DUE $0.00
Policy Id (PI):
: ;
'The Home Depot reserves the right to limit / deny returns. Please see the return policy sign in stores for details.' END OF ORDER No. H0614-376930
* Indicates item markdown
No. H0614-376930
JOB NAME: DATE: 8/25/2023
Total Labor 234.74
Labor Surcharge 0% 0.00
Labor Markup 20% 46.95
Total Materials 110.60
Sales Tax 8.75% 9.68
Material Markup 15% 18.04
Total Equipment 102.30
Equipment Markup 15% 15.35
Total Subcontractors 0.00
Sub Markup 5% 0.00
Bond 1% $5.38
Grand Total 543.03
TOTAL BID $0.00
JOB NAME: 5502 - City of Menifee - Holland Rd DATE: 8/25/2023 Name Labor Type QTY U/M Rate U/M EXT OT HR OT Rate U/M EXT Michael Renner Local 12 XII (Foreman) 2 hrs $117.37 hrs 234.74$ $176.06 hrs -$ TOTAL 234.74$ -$
Equip # Model QTY U/M PRICE U/M EXT SB HR OT Factor U/M EXT EX-10 Takeuchi / Excavator 1 hrs $46.35 hrs 46.35$ 0.84 hrs -$ L-04 Cat/Track Skid Steer 1 hrs $55.95 hrs 55.95$ 0.90 hrs -$ TOTAL 102.30$ -$
Equipment Model No. QTY U/M PRICE U/M EXT
hrs -$
hrs -$
hrs -$
hrs -$
TOTAL -$
QTY U/M PRICE U/M EXT
LS
TOTAL -$
QTY U/M PRICE U/M EXT RECEPIT # CUSTOMER
1 EA $80.20 EA 80.20$ WWW
1 EA $30.40 EA 30.40$ WWW
TOTAL 110.60$
Name
2" BRASS METER FLANGE
2" BRASS PLUG
Materials
5502 - City of Menifee - Holland Rd
T&M Report Dated 8.25.23: Backfilled open trenches from 2" water service tie in and connection Labor
Equipment
Rental Equipment
Subcontractors / Contractor
Name
NO. OF
COST CODE: SHIFT: WORK DAY:
(CALL SUPERVISOR FOR COST CODE. EVERY TICKET MUST HAVE A COST CODE PRIOR TO PERFORMING WORK) JOB #: CUSTOMER:
EMP # CLASS REG.
HOURS
OT
HOURS EMP # CLASS REG.
HOURS
OT
HOURS
1 6
2 7
3 8
4 9
5 10
EQUIP
HOURS
EQUIP
HOURS
1 6
2 7
3 8
4 9
5 10
1 2
3 4
5 6
7 8
9 10
WORK LOCATION: CCO #:
PLAN SHEET # (IF AVAILABLE) : STATION #: GF:
PM:
BILLING METHOD:
GREENBOOK CALTRANS
BACKCHARGE OTHER
BILLING RATES:
STANDARD OTHER
VERIFIED BY: (PRINT CLEARLY & SIGN) DATE:
FOREMAN: (PRINT CLEARLY & SIGN) DATE:
REC'D IN ACCT'G:
OFFICE USE ONLY
WORK DESCRIPTION: ( WHO ORDERED THE WORK? WHAT WORK DID YOU DO? WHERE AS THE WORK DONE ON THE JOB SITE?)
RENTAL EQUIPMENT / MATERIALS DESCRIPTION
JOB NAME:
EQUIP. #
MATERIALS & RENTAL EQUIPMENT
EQUIPMENT DESCRIPTION
EMPLOYEE NAMEEMPLOYEE NAME
EQUIPMENT DESCRIPTION EQUIP. #
TIME AND MATERIALS EXTRA WORK REPORT
LABOR RECORD
WORK DATE:
CONTRACT #:
QUANTITY / HOURS RENTAL CO NAME / MATERIAL SUPPLIER
FCC EQUIPMENT RECORD
FERREIRA CONSTRUCTION CO., INC.
DATE:
DATE:
10370 COMMERCE CENTER DR., SUITE B-200
RANCHO CUCAMONGA, CA 91730
PHONE (909) 606-5900
FAX (909) 606-7711LICENSE NO. 985180
1 Mike renner
OP
2 Takeuchi mini excavator
Skid steer
1 Ex10
1 L04
1 1
2” brass meter flange
2” brass plug
Back filled open trenches from 2” water service tie in and connection 1 1-35220
Holland water and sewer
8/25/23
Friday
City of Menifee
Day
5502
Holland
8/25/23
8/25/23
Matt eddy
Vince zubia
CUST #: 100618
SHIP TO
HOLLAND RD
HAUN RD & HOLLAND RD
MENIFEE, CA 92586
BILL TO
FERREIRA CONST CO
10370 COMMERCE CENTER DR
STE B-200
RANCHO CUCAMONGA, CA 91730
76735
1138047-00
08/23/23 1 of 1
5502
ATTN CHINO OUR TRUCK NET 30 DAYS
INVOICE
5831 PINE AV CHINO HILLS, CA - 91709
PHONE: (909)597-7000 | FAX: (909)597-7050
QUOTE # INVOICE DT
INVOICE #
PO DATE
PO #
PAGE #
INSTRUCTIONS SHIP POINT VIA SHIPPED TERMS
LN PRODUCT AND DESCRIPTION ORDERED BO SHIPPED UM PRICE NET AMOUNT
CONTACT
MOBILE PHONE
EMAIL
Scott Johnson
(909)680-9384
[email protected]
Member Since 2017
lsrep OutPlaced By Customer PO# Reference Entered Picked Shipped 95-1459073 0001 /
--- ==================== --
-MATERIAL BELOW WAS NOT ON THE PROPOSAL-
1 MS-0812 1 0 1 EA 182.00 182.00 MS-0812 8X12 DI C153 MJ SOLID SLV TC
2 SGPA-08 4 0 4 EA 81.62 326.48 SGPA-08 8 MJ RESTRAINT W/ACC C900 PIPE - STAR
3 406-025# 1 0 1 EA 17.50 17.50 406-025# 2-1/2 ELL-90 S SCH40
4 437-292# 4 0 4 EA 6.90 27.60 437-292# 2-1/2 X 2 BUSHING S SCH40
5 436-020 2 0 2 EA 2.10 4.20 436-020 2 SCH40 PVC ADAPTER MIPXS
6 CF31-77 1 0 1 EA 80.20 80.20 CF31-77 2 BRZ MTR FLG FIP DBL DRILLED
7 BRP-02 2 0 2 EA 30.40 60.80 BRP-02 2 BRZ PLUG SOLID
8 CC-01 1 0 1 EA 3.40 3.40 CC-01 1 COPPER CPLG SXS LESS STOP
8 Lines Total Qty Shipped Total 16 Total 702.18
Taxes 61.44
Invoice Total 763.62
Cash Discount 0.00 If Paid Within Terms
JOB NAME: DATE: 9/6/2023
Total Labor 0.00
Labor Surcharge 0% 0.00
Labor Markup 20% 0.00
Total Materials 0.00
Sales Tax 8.75% 0.00
Material Markup 15% 0.00
Total Equipment 0.00
Equipment Markup 15% 0.00
Total Subcontractors 7,800.00
Sub Markup 5% 390.00
Bond 1% $81.90
Grand Total 8,271.90
TOTAL BID $0.00
JOB NAME: 5502 - City of Menifee - Holland Rd DATE: 9/6/2023 Name Labor Type QTY U/M Rate U/M EXT OT HR OT Rate U/M EXT TOTAL -$ -$
Equip # Model QTY U/M PRICE U/M EXT SB HR OT Factor U/M EXT TOTAL -$ -$
Equipment Model No. QTY U/M PRICE U/M EXT
hrs -$
hrs -$
hrs -$
hrs -$
TOTAL -$
QTY U/M PRICE U/M EXT
2 HRS 325.00 HRS 650.00$ ADKAN 5.22.23
4 HRS 325.00 HRS 1,300.00$ ADKAN 5.23.23
12 HRS 325.00 HRS 3,900.00$ ADKAN 6.3.23
2 HRS 325.00 HRS 650.00$ ADKAN 6.26.23
4 HRS 325.00 HRS 1,300.00$ ADKAN 7.7.23
TOTAL 7,800.00$
QTY U/M PRICE U/M EXT RECEPIT # CUSTOMER
EA -$
TOTAL -$
Rental Equipment
5502 - City of Menifee - Holland Rd
T&M Report Dated 9.6.23: Adkan Survey per RFI Changes
Labor
Equipment
Subcontractors / Contractor
Name
Adkan Engineering Ticket 40687
Adkan Engineering Ticket 39877
PLEASE NOTE TICKET 39287's RATE IS NOT DOUBLE TIME
Materials
Adkan Engineering Ticket 40690
Adkan Engineering Ticket 39287
Adkan Engineering Ticket 39866
Name
06/05/2023
07/13/2023