Contract Change corner No.2
Peoject. Title City of Placentia FY 2020-21 Roa6way Rehabilitation Project, N 1102 pwnlr- Cay el rYrneiw Centraclor R J Roble Company
You ere hereby directed to make the herein described changes from the plans and specifications or to do the following described worn not Included in the piens and specificallons on INS canlraGi Description of work done, eatimale 01 quendtles OM prfoes tQ be paid. 1 This Change Order provides:
a) Extra work and credits identified in Exhibit A
$ 308,422,79
2 This Change Order carne about from:
a)
Adjustments to bid item quantities
3 Action to be taken:
a) The Contractor was directed to provide a lump sum price for this change 4 Compensation
a) Adjustment of Line Items exceeding 25%
b) Extra work
d) Credits
$ 306,422.79
$ 19,284,00
Total $ 287,138.79
5 Contact Time Extension
a) 20 working days
In addition to work specified in the bid specifications, this change order includes all extra work, field adjustments and credits.
This work is an Contractor initiated change and includes all labor. equipment, materials, and supervision and Adminstration CHANGE TO CONTRACT COST:
Contract Amount $ 3,112,798 95
Previous CCOs: $ 37,066.96
Adjustment of Line
Items Exceeding 25% $ 306,422.79
$ 306,422 79
$ 19,284.00
Changes in Line Items: $ 287,138.79
Current Contract price: $ 3,437
Total Extra Work
Total Field Adjuetmonts
Total Credits
Prepared by:
Recommended:
Recommended
Approved by:
CHANGE TO CONTRACT TIME:
eputy C Administ7ator, City Of Placentia
rrn/ri7C113ftrnifils19410r, City Of Placentia
We. the undersigned contractor, have given careful consideration to the change p •. d and hereby agree, if this proposal, Is approved, that we will provide all equipment, furnish all materials, except as prices shown above
Accepted:
Francis Garcia / Protect Manager 11/09/2021
If the Contractor does not sign acceptance of This order, his attention is di .. ed to gwremenis of the specifications es to proceeding with the ordered work and filing a written protesl within the time therein specified.
ATTACHMENT 3
No.
11 12
13 14
CCO No. 2 Exhibit 'A'
Project Title: FY 2020-21 Roadway Rehabilitation Project, #1102 Owner: City of Placentia
Description
lime and material for dig outs on Madison, Date 9-27-21 Time and material for dig outs on Madison, Date 9-28-21 stand by delay Re: Sifi
remove line item 15
15 remove line item 29
increase Altemate Bid Schedule A-2 for additional scope. Saw cut as required, remove 4" section, compact subgraade to 95% and 16 repave with 4" AC
17 increase Alternate Bid Schedule A-3 for additional scope increase Add Altemate Bid Schedule A-4 2" cold mill AC Pavement and 18 Can with 2" ARHM. Replace Strioina
Contractor: RJ Noble
Actual
Bid $$
1 .s $7,808.34
1 's $3.996.38
1 !s $660.52
!s $R 784 CO
1 s $10r5B0.00
1 Is $46.103.55
51.50 sf 109.936 sf 5164,904.00
Comments
unstable subgrade
unstable subgrade
Sifi crew in work area
Scope deleted from project
Scope deleted from project
section change from 2" Grind &
Overlay to 4" AC section
add Cameron St, Porter Way(74625 sf ),
Highland Aveand(7250sf) and 35,311 sf
additional on Crowther
Add Bay Meadow Dr to Contract scope
51 58 4 52.500 sf $82.950.0C ,
CREDIT
$ (8.784.00)
$ (10.500.00)
EXTRA
$7,808.34
$3,996 36
5660.52
546 103.55
$164 804.00
S82.950.00
50.00 50.00
$0.00
$0.00
5000
Sum of Line Item Adjustments $ (19,284.00) $306,422.79
Cost of Line Item adiustments $ 287.138.79
Chanae in Contract Cosi
$287.138.79
ATTACHMENT 3
I 11
411110111V.11 11 I W,1,30
R.J. NOBLE COMPANY
(714) 637-1550
FAX (714) 637-6321
DAILY EXTRA WORK REPORT
JOB NUMBER: 91803 FOREMAN: Tyler Cederoth
PROJECT NAME: FY 2O20-21 Roadway Rehab Project DATE OF WORK. 10/4(2021 CUSTOMER: City of Placentia CHANGE ORDER REQUEST NO: 13.0 DESCRIPTION OF WORK: Standy time to wait for Siff to put In a cabinet where one of our thgouts were.
LABOR HOURLY
RATE HOURS EXTENDED AMOUNTS
NAME POSITION CLASS PER HOUR RT OT DT
Tyler Cederoth Operator Group 2 $54.66 1 5 54.66
Jerry Bogeart Operator Group 10 $52.66 1 $ 52.66
Taylor Thomas Laborer Group 1 $37.43 1 $ 37.43
Timothy Thomas Laborer Group2 $53.11 1 5 53.11
Alan Villegas Laborer Group 2 $37.98 1 $ 37.98
$
5 $
$
$
5 5
LABOR SUB.TOTAL $ 235.84
RT (Regular -Time) Fringe Benefits -LABORER: $24.60 3 $ 73.80 OT (Overtime) Hourly Rote x 1.5 Fringe Benefits - OPERATOR: 530.04 2 $ 60.08 DT (Double -Time) Hourly Rote x 2.0 Fringe Benefits -APPRENTICE: $13.45 $ Surcharge - PER CALTRANS: 10.00% 5 23.58
TOTAL COST OF LABOR A $ 393.30
EQUIPMENT HOURLY
NO. Caltrans Equipment Number RATE HOURS EXTENDED AMOUNTS STM 18-22 Tag Truck $125.00 1 $ 125.00
1405 0120 John Deere 210 LE Skiploader $38.96 1 $ 38 96 I s
5 S
5 5
5 MATERIALS/RENTAL EQUIP/SUBCONTRACTOR
The above record is complete and correct:
R.J. NOBLE CO. Representative (Print & Sign)
OWNER / AGENCY / CONTRACTOR Representative (Print & Sign) White - R J. Noble Co
QUANTITY UNIT COST TAX
TOTAL COST OF EQUIPMENT AND MATERIALS
Labor Cost x 20.00%
Enp)nment & Material;_ x 15.00%
SUBTOTAL - 1: A+B+C+D
))OND: (Subtotal - 1) x 1.00%
SUBTOTAL - 2: (Subtotal - 1) + E
1st $5K =1076, 596 thereafter
ORIGINAL COPY TO RJ. NOBLE COMPANY
Canary - Contractor Pink - Project Manager
$
$
B S 163 96
C $ 78.66
p $ 24.59
$ 660.52
E
$ 660.52
F
TOTAL THIS REPORT:I $ 660.52 I
ORANGE: 15505 E. LINCOLN AVE. - P.O. BOX 620 - ORANGE, CALIFORNIA 92856 - (714) 637-1550 - FAX (714) 637-6321 ATTACHMENT 3
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T?ANY EXTRA W+ORR REPORT
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LABOR
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Harry Rev . 1 1
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.,Icr �Yl
MATERIALS/RENTAL EQUIP/SUBCONTRACTOR
The shove record Is complre end correct:
Ty /v Cc.►c wt '
RJ. NOUS CO. Reeliaehm-`....r�
vid en eicuo►i�f �1rr.CAIion Pint'tit
OWN /,tW / CONTUCTOe ✓f�(,WKa1M ..
1 e S 1 &4
1 1
1 1
p."RIP 00..140‘ tiPc•ar
',1♦ bn.Al YeM Y' 1
4v.:7rp 1111 C Y •-•
LOOM Q1• ••,• • 1
TOTAL COST Of 1Ai01I A
0,,..,117
wA'f
1'
TOTAL COLT OF EQuo EN1 AND MATERIALS
Eousnwe L matt.* W ISOP1
SIMITOTet A...C.O
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Cowry -cd+rr m1
r.r 1re1wn Wasp.
B
C
D
I E
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S
TOTAL THIS REPORT:I S
ORANGE: 15505 E. LINCOLN AVE. - P.O. BOX 620 - ORANGE. CALIFORNIA 92856 - (714) 637-1550 - FAX (714) 6374321
R.J. NOBLE COMPANY
(714) 637-1550
FAX 1714) 637-6321
DAILY EXTRA WORK REPORT
JOB NUMBER: 91803 FOREMAN: Tyler Cederoth
PROJECT NAME: FY 2020-21 Roadway Rehab Project DATE OF WORK: 9/27/2021 CUSTOMER: City of Placentia CHANGE ORDER REQUEST NO: 11.0 DESCRIPTION OF WORK: Dug out 2FTof failed material and filled with asphalt on Madison.
LABOR
HOURLY
RATE HOURS EMENDED AMOUNTS
NAME POSITION CLASS PER HOUR RT OT DT
Tyler Cederoth Operator Group2 $54.66 4
$ 218.64
Hayden Huntley Operator Group 4 552.21 4
$ 208.84
Joe Orosco Operator Group 8 $57.66 4 5 230-64
Timothy Thomas Laborer Gimp $53.11 4
$ 212.44
Taylor Thomas Laborer Group 1 537.43 4 $ 149.72
$
5 -
$
$
5 $
$
5 $
LABOR SUN -TOTAL $ 1,020 28
RT (Regular -Time) Fringe BeneFits - LABORER: $24.60 8
$ 196.80
OT (Overtime) Hourly Rote x 1.5 Fringe Benefits - OPERATOR: 530.04 12 $ 360.48 DT (Double -Time) Hourly Rotex 2.0 Fringe Benefits - APPRENTICE: 513.45 5 Surcharge - PER CALTRANS: 22 39% $ 228.44
TOTAL COST OF LABOR A $ 1,806.00
No. Caltrans Equipment Number EQUIPMENT HOURLY
RATE HOURS EXTENDED AMOUNTS
20-013 0220 RoadTec RX - 700E-3 Cold Planer 5664.50 1
5 664.50
1405 2495 John Deere 210 LE Skiploader 538.96 4
$ 155.84
16-016 00-06 Ford F-250 Pick -Up 525.14 2
$ 50 28
1361. 8031E CAT CB224E Vibratory P,,p Roller $34.72 1
$ 34,72
5 5
5 $
3 MATERIALS/RENTAL EQUIP/SUBCONTRACTOR
QUANTITY UNIT COST
TAX
Dump Fees - 813-011.0 5 5400.00 5 2,000 00
STM Trucking - 8192021-011.0 16 5125.00 $ 2,000-00
$
$
$
$
TOTAL COST OF EQUIPMENT AND MATERIALS B $ 4,905,34
Labor Cost x 20 00% r C $ 361.20
The above record Is complete and correct: f:qunlnwni a r.laterr.11s x 15.00% D $ 735.80 SUBTOTAL -1: A+B+C+D $ 7,808.34
BOND: (Subtotal - 1) x 1.00% I E
R.J. NOBLE CO. Representative (Print & Sign) SUBTOTAL - 2: (Subtotal - 1) + E $ 7,808,34 OWNER / AGENCY / CONTRACTOR Representative (Print & Slgn) White - R J. Noble Co
1st $51( = 10%, 5% thereafter
ORIGINAL COPY TO RJ. NOBLE COMPANY
Canary - Contractor Pink - Project Manager
F
TOTAL THIS REPOR I :1 $ 7,808.34
ORANGE: 15505 E. LINCOLN AVE. - P.O. BOX 620 - ORANGE, CALIFORNIA 92856 - (714) 637-1550 - FAX (714) 637-6321 ATTACHMENT 3
R 1. NOBII
• s Nowt ricalo►aro
DART EXTRA WORK REPORT
teeri
1 1$0141 ,M MAO
Oh k t+�� r l [ hf,1 �1M1MtM "�Na ;,r, r.
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Y i..77,.r t 11 :r.,.,-...;----
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MROwAw.hIV
EQUIPMENT
.4411 `ier.,itr
-
MATERIALS/RENTAL EQUIP/SUBCONTRACTOR
JaiS ) _j#irt _At,Jti OE
TT* /000, weird n ani 0$110.00
Li. NOME t per iPIM
OMNI 100 m1+
.1 0.0110 r40111110 1111.. •
1/10,0140 Ii •
..+w 14$ 0001$ Uw
Icn it OMIT OP MON
Y1•
4114440
,1
M
f0[.Il ma OF 11111/•ONI tdl0 tMllpys
wary. eta. I
1/102M1.4-111 ► 151.11$ Q
114K691-1 Arm.[.•
(ggge 111411+0 Ill 'A/> 1 E
}'Arum i masa,-1i • t
Sts ea or` &Lottlof i‘t_.CP- of - I F
owia', ,enA,r.no.......... °°'— • , �`"l s' TOTAL THIS REPORT f ye
VVIA.onwir a. A u.r aww.
w 1U waai Co
1 VCln51 "-`:ESNSE.L11COi11AVE-P.O.ION620-OIMIU .CA1JJMMII!moi-(71Nii7-1S3A.t Fax (14 emit wrong reseora
I
•
1 f
1 ATTACHMENT 3
INVOICE
Engineering Contractors
P.O. Box 620 Orange, California 92856 Invoice #: 13-011.0 (714) 637-1550 Fax (714) 637-6321 Invoice Date: 09/27/2021 Delivered To:
Sold To: Placentia Customer No: C331
401 East Chapman Ave. Customer PO No:
Placentia, CA 92870 RJN No: 91803
Sales Ticket Description Units UM Unit Matt Env Haul Tax % Tax Total Date Price Total Fee Total
09/27/2021 t Dump Fees 5.00 LD 400.00 2,000.00
5.00 0.00 0.00 2,000.00
Total Invoice:
Units Matt Total Env Fee Haul Total Tax% Tax Total
,(Tsxxable) (Non-Tax8bte) (Non -Taxable)
-8,00 0.00 0.00 0.00 0.000 0:00 2,000.00
DUP Pay Terme Due Upon Presentetlbn
Payment Type: On:Account
ATTACHMENT 3
Strength Transportation Management
P.O. Box 730 Orange, California 92856
(714) 282-2282 Fax (714) 637-1450
Invoice
BID to:
R.J. Noble Company
P.O. Box 620
Orange, CA 92856
Invoice Date Invoice K
Ship to:
9/27/2021
Placentia
RJN Job 91803
192021-011.0
Month/Trans
Line Description Material Unit Price Quantity Amount
9/27/2021
Notes:
1 Tag • Aide Tnidting
125.00
18.000
2,000.00
Total $ 2,000.00
Sales Tax
Less Disc
Less Retainage
Focal Due
$ 2,000.00
ATTACHMENT 3
I '
1.....'''-
�R.J.
R.NOBLE COMPANY
p1 637-1950
DAILY EXTRA WORK REPORT
FAX 1714) 637-6321
JOB NUMBER: 91803 FOREMAN: Tyler Cederoth
PROJECT NAME: FY 2020-21 Roadway Rehab Project DATE OF WORK: 9/28/2021 CUSTOMER: City of Placentia CHANGE ORDER REQUEST NO: 12.0 DESCRIPTION OF WORK: Dug out falling areas and put in new AC on Madison
LABORAHOURLY
R RATE HOURS EXTENDED AMOUNTS
NAME POSITION CLASS PER HOUR RT OT DT
Eyler Cederoth Operator Group 2 $54.66 2
$ 10932
Joe Orosco Operator Group 8 557.66 2
$ 115.32
Tryston Faulkner Operator Group 8 $52.54 2
$ 105 os
Taylor Thomas Laborer Group 1 537.43 2
$ 74.86
$
$
5 5 .
$
$
LABOR SU8•TOr/L $ 404.58
RT (Regular -Time) Fringe Benefits - LABORER: $24.60 2 5 49.20 OT (Overtime) Hourly Rate x 1.5 FringeBenefits- OPERATOR: 530.04 6 $ 180.24 DT (Double -Time) Hourly Rate x 2.0 Fringe Benefits -APPRENTICE: 513.45 $ Surcharge - PER CALTRANS: 22.39% 5 90.59
TOTAL COST OF LABOR A $ 724.61
EQUIPMENT HOURLY
NO. Caltrans Equipment Number
RATE HOURS EXTENDED AMOUNTS
20-013 0220 RoadTec RX - 700E-3 Cold Planer 5664.50 1 $ 664 50 4-004 2670 Cedar Rapids CR - 551 Paver 5194.64 1
$ 194.64
16-016 00-06 Ford F-250 Pick -Up $25.14 1 5 25.14
1361 8031E CAT CB224E Vibratory Pup Roller $34.72 1
$ 34.72
$
$
$
$
S
MATERIALS/RENTAL EQUIP/SUBCONTRACTOR
Dump Fees -613-12.0
STM Trucking - 6192021-012.0
The above record is complete and correct:
R.J. NOBLE CO. Representative (Print & Sign)
QUANTITY UNIT COST TAX
2 5400.00
8 5125.00
TOTAL COST OF EQUIPMENT AND MATERIALS
Labor Cost x 20.00%
Eoulomant & Materlaff x 15.00%
SUBTOTAL - 1: A+B+C+D
BOND: (Subtotal - 1) x 1.00%
SUBTOTAL- 2: (Subtotal - 1) + E
1st $SK -10%, 5% thereafter
OWNER / AGENCY / CONTRACTOR RepresentetIve (Print B Slan) ORIGINAL COPY TO RJ. NOBLE COMPANY
White - R 1. Noble Co Canary -Contractor Pink- Project Manager $ 800.00
5 1,000.00
$
5 B $ 2,719.00
C $ 144.92
p 5 407.85
$ 3,996 38
$ 3,996 38
E
F
TOTAL THIS REPORT:I S 3,996.38 f
ORANGE: 15505 E. LINCOLN AVE. - P.O. 80X 620 - ORANGE, CALIFORNIA 92856 - (714) 637-1550 - FAX (714) 637-6321 ATTACHMENT 3
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ATTACHMENT 3
15505 East Lincoln Ave. Orange, CA 92865
(714) 637-1550 Fax (714) 637-6321
License: A-782908 DR: 1000004235
Sufic ontrac-tnr Quotation
Helping Build a Better California for Over 60 Years!
Item Price Summary
Project Name: Extra Work: Bay Meadows, Alley Revision Customer: City of Placentia Job Number: 91603 Billing Address: 401 E. Chapman Ave.
Bid As: Placentia, CA 92870-6101
Estimator: Jacob Breedlove Phone: (714) 993-8245
Project Address: Contact:
Completion Date:
Pay Items
Description Job Cost ID Task ]CID Bid Quantity UM Unit Bid Price Total Bid Price ;:IN 01001- Mobilization/ Traffic Control (Bay 1.00 LS $5,400.00 $5,400.00 Meadows)
01003 - Striping (Bay Meadow & Highland) 1.00 LS $2,128.50 $2,128.50 I .ith 01004 - Cold Mill 2" AC (Bay Meadows) 52,500.00 SF $0.35 $18,375.00 IN° s 01005 - 2" AC Overlay (Bay Meadows) 630.00 TON $90.00 $56,700.00 clli 01006 - Sawcut (Alleys) 1.00 LS $5,000.00 $5,000.00 11 LiFiA 01007 - Remove 2" AC (Alleys) 9,643.00 SF $1.25 $12,053.75 •1 1:111 01008 - Remove 2" Dirt (Alleys) 9,643.00 SF $1.75 $16,875.25 '1 , 01009 - Place 4" AC (Alleys) 230.00 TON $185.00 $42,550.00 i Pay Items Total: $159,082.50
10/28/2021 3:45:51 PM Page 1 of 1
ATTACHMENT 3