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Home My WebLink About2002-209 CONT Chg Orders 1-10 - LTM Bid B Schedule Only CITY RECORDER'S COPS' Page 1 /2 CITY OF ASHLAND 20 E MAIN ST. DATE PO NUMBER ASHLAND, OR 97520 10/31/2002 03742 oREGO~ (541) 488-5300 VENDOR: 000100 SHIP To: Ashland Public Works LTM INC (541) 488-5587 P O BOX 1145 27-1/2 N MAIN STREET MEDFORD, OR 97501 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net 10th of Month Dept.: PUBLIC WORKS Req. Del. Date: 12/01/2002 Contact: Paula Brown Special Inst: Confirming? No Quantity Unit Description Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER BLANKET PURCHASE ORDER Contract for the Siskiyou Blvd Redesiqn 3,277,662.80 Project 99-38B, This requisition is applicable to Bid Schedule B ONLY Bid Start Date: December 1, 2002 Completion Date: December 30, 2003 Insurance required/On file Revised purchase order 03/20/2003, 3,139.00 Chanqe Order No. 1 - Additional Storm Pipe STA 37+75 Chanqe Order No. 2 - Remove & Replace 658.95 Inlet at Morton Chanqe Order No. 3 - Storm Drain 534.30 Crossinq at STA 14+50 Union St Change Order No. 4 - Slurry backfill at 399.50 Harrison Chanqe Order No. 5 - Inclement Weather 354.20 Stoppaqe 12/19/02 Chanqe Order No. 6 - Remove PCC in 2,995.14 Planter at Omars Change Order No. 7 - Broken Water 345.09 Service at STA 37+00 Change Order No. 8 - Temporary Traffic 142.26 Arrows i SUBTOTAL BILL TO: TAX FREIGHT TOTAL Account Number Amount Account Number Amount E 260.08.12.00.704200 3,303,024.14 Authorized Signature VENDOR COPY Page 2 / 2 ~`~y'oF Asy~io* CITY OF ASHLAND 20 E MAIN ST. DATE PO NUMBER ASHLAND, OR 97520 10/31/2002 03742 oREGO(541) 488-5300 VENDOR: 000100 SHIP TO: Ashland Public Works LTM INC (541) 488-5587 P O BOX 1145 27-1/2 N MAIN STREET MEDFORD, OR 97501 ASHLAND, OR 97520 FOB Point: Req. No.: Terms: Net 10th of Month Dept.: PUBLIC WORKS Req. Del. Date: 12/01/2002 Contact: Paula Brown Special Inst: Confirming? No Quantity Unit Description Unit Price Ext. Price Chanqe Order No. 9 - Dewaterinq Medians 142.10 Revised purchase order 05/13/2003 16,650.80 Change Order No. 10, Items A -I (Please see attached requisition for detailed list) SUBTOTAL 3.3 3024.14 BILL To: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2010 TOTAL 3,303,024.14 ASHLAND, OR 97520 Account Number Amount Account Number Amount orized Signature VENDOR COPY CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO. 10 PROJECT: SISKIYOU BOULEVARD CONSTRUCTION DATE: MAY 1, 2003 LOCATION: SISKIYOU BOULEVARD PROJECT NO.: 99-38, SCDL B CONTRACTOR: LTM INCORPORATED You are requested to perform the following described work upon receipt of an approved copy of this document or as described by the Engineer: Item No. Description Quantity Unit Price Amount CO 10 Item A Slurry at Sta. 26+40 Lump Sum $400.00 $400.00 Item B SOU Conduit Crossing at Sta 65+75 Lump Sum $4,540.75 $4,540.75 Item C Curb Grade Redesign Lump Sum $378.95 $378.95 Item D Curb Grade Prep at Sherman, Morton, Mountain, Sta 18 + 00-25 + 00, 31 + 00-32 + 00, 36 + 00-39 + 75, 46+00-49+50 Lump Sum $1,507.00 $1,507.00 Item E Excavate around light bases Lump Sum $1,118.36 $1,118.36 Item F Slurry at Morse Street Lump Sum $215.50 $215.50 2" Conduit Irrigation Morton St. (relocate controllers Item G out of median) Lump Sum $2,719.48 $2,719.48 Item H Area Drains at Bridge Street Lump Sum $3,327.94 $3,327.94 Item I Extra Sidewalk Removal Lump Sum $2,442.82 $2,442.82 Original Contract $3,277,662.80 Total this Change Order $16,650.80 Previous Change Orders $8,710.54 Revised Contract Total $3,303,024.14 The time provided for completion of this contract is increased by no calendar days. This document shall become an amendmen o t contract and all provisions of the contract will apply. Recommended By: Jr lv Engineer Dat Approved By: En 71Weer Date Accepted By: LTM Incorporated PO Box 1145, Medford OR 97501 a ,T`0 S 3 Contractor Date ENGINEERING Tel: 541-488-5347 20 E. Main Street Fax: 541-488-6006 Ashland, Ore on 97520 TTY: 800-735-2900 www.ashland.or.us G:\pub-wrks\eng\dept-admin\ENGINEER\PROJECT\1999199-38 CO Sc B 10.doc CITY OF ASHLAND A request for a Purchase Order REQUISTION FORM Date of Request: 5/1/03 THIS IS A REQUEST FOR A: Required Date of Delivery/Service: ASAP [ X ] Change Order (existing PO# 3742 Schedule B) Vendor Name: LTM INCORPORATED Address: PO BOX 1145 City, State, Zip MEDFORD OR 97501 Phone: Project Title: SISKIYOU BOULEVARD RECONSTRUCTION Project Number: 99-38 Services Only Solicitation Process: [ ] Exempt [ ] 3 Written Quotes (copies attached) [ ] Sole Source [ X I Invitation to Bid (copies on file) [ ] Less than $5000 [ ] Request for Proposal (copies on file) Description Total Cost Siskiyou Blvd Reconstruction Project $ 3,277,662.80 Original Contract Cost Change Orders 1 thru 9 $ 8,710.54 Previous Change Orders Change Order No. 10 Items A - I Listed Below Slurry at Sta. 26+40 $ 400.00 Item A SOU Conduit Crossing at Sta 65+75 $ 4,540.75 Item B Curb Grade Redesign $ 378.95 Item C Curb Grade Prep at Sherman, Morton, Mountain, Sta 18+00-25+00, 31+00-32+00, 36+00- 39+75, 46+00-49+50 $ 1,507.00 Item D Excavate around light bases $ 1,118.36 Item E Slurry at Morse Street $ 215.50 Item F 2 Conduit Irrigation Morton St. (relocate controllers out of median) $ 2,719.48 Item G Area Drains at Bridge Street $ 3,327.94 Item H Extra Sidewalk Removal $ 2,442,82 Item 1 $ 3,303,024.14 REVISED CONTRACT Account Number 260.08.12.00.704200 `Please attach the Original signed contract and Insurance Certificates. Employee Signature: Supervisor/ Dept. Head Signature: Z4 NOTE: By signing thi requistlion f I tha the above request meets with Ctiy of Ashland Solicitiation Process requirements an can be provide when necessary. e G: Pubwrks\Eng\99-38 LTM CO Scl B 10 Requisition. xis Updated on 7/15/02 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-216 Description of work: Slurry @ st. # 26+40 Date: 01/29/2003 LABOR ST OT ST OT DATE CLASS NAME HOURS HOURS RATE RATE TOTALS LABOR TOTAL $0.00 EQUIPMENT EQUIP. NO. OF DATE DESCRIPTION NO. HOURS RATE TOTAL EQUIP. TOTAL $0.00 MATERIALS UNIT DATE DESCRIPTION TY. UNIT PRICE Discount TOTAL 01/10/03 LTM Slur d $38.60 $386.00 ~0 MATERIAL TOTAL $386.00 3 SERVICES / MISC. INV. DATE DESCRIPTION NO. AMOUNT TOTAL SERVICES TOTAL $0.00 Costs Subtotal (no markup) $386.00 Labor Mark-up 15% $0.00 Materials/Equipment/Services Mark-up 15% $57.90 TOTAL AMOUNT DUE $443.90 (IV Submitted by: G ,rt / Jo L ti , r - Construction Superintendent V Accepted by: Date: ?,V LTM y DAILY EXTRA WORK REPORT n Date: Job Name: j_ SKb(,l /~jV4 Foreman: 12_ EAST~2 Job No: 02271 2 1A CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK S Iv SrA 26t'1V MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS f.T vh s l u r2-e T'Y►'~ L MISCELLANEOUS (SUB, HAULERS, MOBS RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE K/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report RM..au µ • TELEPHONE • Incorporated Concrete and Rock Dispatch ................(541) 779-2303 An Equal Opportunity Employer Concrete Store (541) 282-0656 "Rock Solid Quality and Service" Operations and Asphalt (541) 770-2960 TERMS: Net 10th day of month following date of invoice. A late payment Service Charge Administration and Business (541) 779-6304 of 2% per month will be charged on accounts 30 days past due from date of billing. This General Contractor P.O. BOX 1145, MEDFORD, OR 97501 Service Charge is an Annual Percentage Rate of 24%. Minimum Service Charge $1.00. www.itminc.com CCB #56603 CSLB #567735 CAUTION UNLOADING May cause eye or skin injury. Contains Portland cement. Freshly Drivers are prohibited from delivering concrete except under the truck's own mixed cement, mortar, concrete, or grout may cause skin injury. power, and where site conditions permit the safe and proper operation of TAKE THESE PRECAUTIONS: his equipment. Drivers are not permitted to add water to the mix to exceed 1. Avoid all contact with eyes. the maximum slump nor to go beyond the curb line, except upon the authori- 2. Wear rubber boots and gloves, and avoid prolonged contact zation of the customer and his acceptance of risk for any loss or damage. directly with skin or through porous materials. WATER ADDED AT 3. In case of contact with skin or eyes, FLUSH THOROUGHLY CUSTOMERS REQUEST WITH WATER. teals. to full load 4. If irritation persists, get medical attention promptly. teals. to 2/3 load Customers Representative 5. Keep children away. -gals. to 1/3 load "WHERE WOULD YOU LIKE THE DRIVER TO WASH OUT?" CUSTOMER ID PD. NUMBER ZONE JOB NUMBER TIME DAT E)7 f~Y~ SOLD TO DELIVER .TO DRIVER QUANTITY QUANTITY s QUANTITY PRODUCT PRODUCT UNIT OF' THIS LOAD-.' ORDERED DELIVERED CODE DESCRIPTION MEASURE i, 1 • 1 TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE COMMERCIAL RESIDENTIAL EXTRA ADMIX ARRIVE JOB: LEFT JOB: TOTAL DELIVERY INSTRUCTIONS SPECIAL INSTRUCTIONS LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-217 Description of work: Sou Conduit Crossing @ st# 65+75 ~P(,► T E1 ~Lr v Date: 01/22/2003 LABOR 01/30/2003 ST OT ST OT DATE CLASS NAME HOURS HOURS RATE RATE TOTALS 01/22/03 Foreman McClaffert 1.00 32.94 $32.94 01/22/03 Laborer McCullough 2.00 27.74 $55.48 01/22/03 Laborer Woolley 1.50 27.74 $41.61 01/23/03 Operator Rund 8.00 32.37 $258.96 01/23/03 Laborer Fa 8.00 27.74 $221.92 01/23/03 Teamster Johnson 6.50 24.59 $159.84 01/23/03 Foreman Easter 6.00 0.50 32.94 43.77 $219.53 01/23/03 Laborer Farris 6.00 27.74 $166.44 01/24/03 Foreman McClaffert 4.00 32.94 $131.76 01/24/03 Operator Rund 7.50 32.37 $242.78 01/24/03 Laborer Farris 7.50 27.74 $208.05 01/24/03 Teamster Kerth 2.50 24.59 $61.48 01/30/03 Foreman Easter 4.00 32.94 $131.76 LABOR TOTAL $1,932.53 EQUIPMENT EQUIP. NO. OF DATE DESCRIPTION NO. HOURS RATE TOTAL 01/22/03 Pickup 20123 1.00 $8.25 $8.25 01/23/03 JD 410E Backhoe 110079 8.00 $29.07 $232.56 01/23/03 Picku 20078 8.00 $8.25 $66.00 01/23/03 LTM Bobtail 31082 6.50 $30.23 $196.50 01/24/03 JD 624G Loader 130079 2.00 $37.37 $74.74 01/24/03 JD 410E Backhoe 110081 5.50 $29.07 $159.89 01/24/03 LTM Bobtail 31084 2.50 $30.23 $75.58 01/24/03 Pickup 20123 4.00 $8.25 $33.00 01/30/03 Pickup 20078 2.00 $8.25 $16.50 01/30/03 JD 410E Backhoe 110082 2.00 $29.07 $58.14 EQUIP. TOTAL $921.15 MATERIALS UNIT DATE DESCRIPTION QTY. UNIT PRICE Discount TOTAL 01/23/03 LTM Slurry 8 d $38.60 $308.80 01/24/03 LTM Slurry 10 d $38.60 $386.00 MATERIAL TOTAL $694.80 SERVICES / MISC. INV. DATE DESCRIPTION NO. AMOUNT TOTAL 01/23/03 LLAD Saw cutting A/C 4311 $400.00 $400.00 SERVICES TOTAL $400.00 Costs Subtotal (no markup) $3,948.48 Labor Mark-up 15% $289.88 Materials/Equipment/Services Mark-up 15% $302.39 TOTAL AMOUNT DUE $4,540.75 tL~ x~ Submitted by. Jo Lotito, J - Constr tion Superintendent Accepted by: - Date: 31.9i2 I 7 LTM DAILY EXTRA WORK REPORT Date: Z- 30- o3 Job Name: c~ / sk! ysv, y~~.r~ Foreman: g C4+ QN'5 aX - Job No: D ZZ 7 l -Z/;? CRAFT ST. OT. EMPLOYEE NAME E HOURS HOURS DESCRIPTION OF WORK MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS Z o-v ? Z io ogz. Z- MISCELLANEOUS SUB, HAULERS, MOBS) E RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE H:/Contract! ng/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT 3 ~ C~ 3 Si5`CtYov ~~✓D Date: Job Name: 7oreman: Job No: Q Z2,-7 / - ~ CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK G~ L-q ss slsK~ o~ ~ w 'r cfz.q-rvp t' ~2. L 5 L /0rz r /5'01-311 ioo'- 6100 2„ 5 1- C i E C,ont MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS ~iLv7't~cd L l/ oDzl`T 8 Le 2 MISCELLANEOUS SUB, HAULERS, MOBS) AY4'fz ~ L'TN~J 6 7Yl' L ~ z ZY '/J,trvr RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE H:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT r g Date: I `3 Job Name: Foreman: Job No: t.;"Z~'Z 1- Zl CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK C MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS 7 MISCELLANEOUS SUB, HAULERS, MOBS) RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE K/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT Date: Job Name: F, SkjVcry'of- ~ Foreman: a CWN rr- K Job No: p LZ 7 1 -Z/ CRAFT ST. OT. EMPLOYEE NAME E HOURS HOURS DESCRIPTION OF WORK ~_y, z-*l ~wti,,P P~r~-rn5 Cc ° " D [.p%1t- GoavY~ v MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS Zo~ ? 2- Z- MISCELLANEOUS SUB, HAULERS, MOBS) RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE H:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report .-'l:.L.A.D. INC. Invoice P.O. BOX 516 MEDFORD, OR 97501-8526 DATE INVOICE # 1/27/2003 4311 BILL TO SHIP TO L.T.M. L.T.M. P.O. BOX 1145 P.O. BOX 516 MEDFORD, OR 97501 MEDFORD, OR 97501 P.O. NO. TERMS JOB # CODE # Ile. ~D7 Net 30 02271-217 DATE ORDERED DESCRIPTION CLASS AMOUNT SOU CONDUIT X-ING, ASHLAND. 1-23-03 Saw cut 144 ft. asphalt over concrete @ $ 2.50 ft. 360.00 SAW CUT 400.00 4 curb cuts @ $ 10.00 each = $ 40.00 Thank you for your business. Total $400.00 LOCATION OF JOB P RM .,~k J /ncorpo)atOd • TELEPHONE • Concrete and Rock Dispatch (541) 779-2303 An Equal Opportunity Employer Concrete Store (541) 282-0656 "Rock Solid Quality and Service" Operations and Asphalt (541) 770-2960 TERMS: Net 10th day of month following date of invoice. A late payment Service Charge Administration and Business (541) 779-6304 of 2% per month will be charged on accounts 30 days past due from date of billing. This General Contractor P.O. BOX 1145, MEDFORD, OR 97501 Service Charge is an Annual Percentage Rate of 24%. Minimum Service Charge $1.00. www.itminc.com CCB #56603 CSLB #567735 CAUTION UNLOADING May cause eye or skin injury. Contains Portland cement. Freshly Drivers are prohibited from delivering concrete except under the truck's own mixed cement, mortar, concrete, or grout may cause skin injury. power, and where site conditions permit the safe and proper operation of TAKE THESE PRECAUTIONS: his equipment. Drivers are not permitted to add water to the mix to exceed 1. Avoid all contact with eyes. the maximum slump nor to go beyond the curb line, except upon the authori- 2. Wear rubber boots and gloves, and avoid prolonged contact zation of the customer and his acceptance of risk for any loss or damage. directly with skin or through porous materials. WATER ADDED AT 3. In case of contact with skin or eyes, FLUSH THOROUGHLY CUSTOMER`S REQUEST WITH WATER. -gals. to full load 4. If irritation persists, get medical attention promptly. als..to 2/3; load Customers Representative 5. Keep children away. r ` "I oafs: -to 1/3' load "WHERE WOULD YOU LIKE THE DRIVER TO WASH OUT?" STQMER ID P.O. NUMBER ZONE JOB NUMBER _ " TIME- DATE > ~CU C l 217F i. ; 3 l cIi i c jtL'f, t SOLD TO DELIVER TO T DRIVER QUANTITY QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF THIS LOAD ORDERED DELIVERED CODE DESCRIPTION MEASURE TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE - COMM RCIAL RESIDENTIAL EXTRA ADMIX ARRIVE OB: LEFT JOB: TOTAL DELIVERY INSTRUCTIONS SPECIAL INSTRUCTIONS 7kki~ /ncorPorated EL An Equal Opportunity Employer Concrete and Rock Dispatch TICKET # 78816 Concrete Store "Rock Solid Quality and Service" Operations and Asphalt TERMS: Net 10th day of month following date of invoice. A late payment Service Charge Administration and Business. of 2% per month will be charged on accounts 30 days past due from date of billing. This Service Charge is an Annual Percentage Rate of 24%. Minimum Service Charge $1.00. General Contractor P. 0. www.ftminc.com CAUTION UNLOA May cause eye or skin injury. Contains Portland cement. Freshly Drivers are prohibited from delivering cc mixed cement, mortar, concrete, or grout may cause skin injury. power, and where site conditions perm TAKE THESE PRECAUTIONS: his equipment. Drivers are not permitte 1. Avoid all contact with eyes. the maximum slump nor to go beyond th 2. Wear rubber boots and gloves, and avoid prolonged contact nation of the customer and his accepts directly with skin or through porous materials. WATER ADDED AT 3. In case of contact with skin or eyes, FLUSH THOROUGHLY CUSTOMERS REQUEST WITH WATER. -gals. to full load 4. If irritation persists, get medical attention promptly. * HEED DZR SaGIlp!2/3load 5. Keep children away. -gals. to 1/3 load "WHERE WOULD CUSTOMER,ID P.O. NUMBER ZONE - 1 JOB NUMBER. I - 217 TIME If, & J T'tW INC. gf''VYYOU HEAR ASHLAND PLEA P 0 BOX 1145 STREET IN MEDFORD, OR 97501 PHASE: 20925 6 DRIVERD QUANTITY QUANTITY QUANTITY PRODUCT PRODUCT UNIT C THIS LOAD ORDERED DELIVERED CODE DESCRIPTION MEASL 10.00 10.00 20.00 115 SK SLURRY Y TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE 0418 103 4.0 12:30PM COMMERCIAL RESIDENTIAL EXTRA ADMIX ARRIVE JOB: LEFT JOB: TOTAI DELIVERY INSTRUCTIONS KEEP SLURRY ON DRY SIDE SPECIAL INSTRUCTIONS LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-218 Description of work: Curb Grade Redesign Date: 01 /21 /2003 LABOR 03/05/2003 ST OT ST OT DATE CLASS NAME HOURS HOURS RATE RATE TOTALS 01/21/03 Foreman McClaffert 6.00 32.94 $197.64 03/05/03 Foreman McClaffert 2.00 32.94 $65.88 LABOR TOTAL $263.52 EQUIPMENT EQUIP. NO. OF DATE DESCRIPTION NO. HOURS RATE TOTAL 01/21/03 Pickup 20123 6.00 $8.25 $49.50 03/05/03 Pickup 20123 2.00 $8.25 $16.50 EQUIP. TOTAL $66.00 MATERIALS UNIT DATE DESCRIPTION QTY. UNIT PRICE Discount TOTAL MATERIAL TOTAL $0.00 SERVICES / MISC. INV. DATE DESCRIPTION NO. AMOUNT TOTAL SERVICES TOTAL $0.00 Costs Subtotal (no markup) $329.52 Labor Mark-up 15% $39.53 Materials/Equipment/Services Mark-up 15% $9.90 TOTAL AMOUNT DUE $378.95 Submitted by: Joh Lotito, - Contt ction Superintendent Accepted by: Date: So Ai! /L 0 3 LTM DAILY EXTRA WORK REPOR Date: Q Z ZZ Z, Job Name: Foreman: Job No: CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK o_vlE'ck C' ,~-b clvdk~ MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS lZ MISCELLANEOUS (SUB, HAULERS, MOBS) RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE K/Contracting/Jenn's Reports, etc./Mist Forms/Daily Extra Work Report LTM y DAILY EXTRA WORK REPORT Date: I-21-03 Job Name: ~j15K1V0U l~~V►] Foreman: S . M e la:(2Fer fg Job No: (QZ27~ 21 g CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK S Fe S r o -Mr iDU h vr-b e ro ern ~ ,1-h I f w ~ C..IFIC. A MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS zo~~ MISCELLANEOUS SUB, HAULERS, MOBS RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE KIContracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-219 Description of work: Curb Grade Prep Date: 02/03/2003 LABOR 02/28/2003 ST OT ST OT DATE CLASS NAME HOURS HOURS RATE RATE TOTALS' 02/03/03 Foreman McClaffert 1.00 32.94 $32.94 02/03/03 Operator Buck 2.00 32.37 $64.74 02/03/03 Laborer McCullough 1.00 27.74 $27.74 02103/03 Laborer O'Brien 2.00 27.74 $55.48 02/04/03 Foreman McClaffert 1.50 32.94 $49.41 02/04/03 Foreman Battenfield 2.00 32.94 $65.88 02/04/03 Laborer O'Brien 2.00 27.74 $55.48 02/04/03 Laborer McCullough 2.00 27.74 $55.48 02/11/03 Foreman McClaffert 2.00 32.94 $65.88 02/11/03 Operator Marez 2.00 32.37 $64.74 02/11/03 Laborer McCullough 2.00 27.74 $55.48 02/14/03 Foreman McClaffert 1.00 32.94 $32.94 02/26/03 Foreman McClaffert 1.00 32.94 $32.94 02/26/03 Foreman Kerb 2.50 32.94 $82.35 02/26/03 Laborer Love 3.00 27.74 $83.22 02/28/03 Foreman McClaffert 1.00 32.94 $32.94 02/28/03 Foreman Kerb 2.00 32.94 $65.88 02/28/03 Laborer Love 2.50 27.74 $69.35 LABOR TOTAL $992.87 EQUIPMENT EQUIP. NO. OF DATE DESCRIPTION NO. HOURS RATE TOTAL 02/03/03 Pickup 20123 1.00 $8.25 $8.25 02/03/03 JD 410E Backhoe 110075 1.00 $29.07 $29.07 02/03/03 Cat 140G Grader 60098 2.00 $62.65 $125.30 02/04/03 Pickup 20123 1.50 $8.25 $12.38 02/04/03 JD 410E Backhoe 110075 2.00 $29.07 $58.14 02/11/03 Pickup 20123 2.00 $8.25 $16.50 02/11/03 Cat 140G Grader 60098 2.00 $62.65 $125.30 02/11/03 JD 580SL Backhoe 110085 2.00 $27.23 $54.46 02/14/03 Pickup 20123 1.00 $8.25 $8.25 02/26/03 Flatbed Pickup 20138 1.00 $17.30 $17.30 02/26/03 JD 410E Backhoe 110083 2.00 $29.07 $58.14 02/26/03 Cat 140G Grader 60098 0.50 $62.65 $31.33 02/28/03 Pickup 20123 1.00 $8.25 $8.25 02/28/03 Cat 140G Grader 60098 0.50 $62.65 $31.33 02/28/03 JD 410E Backhoe 110083 1.50 $29.07 $43.61 EQUIP. TOTAL $627.59 "&02 COSTS '31 V CV00'Cmi(J-Dcw- {C MATERIALS UNIT DATE DESCRIPTION QTY. UNIT PRICE Discount TOTAL MATERIAL TOTAL $0.00 SERVICES / MISC. INV. DATE DESCRIPTION NO. AMOUNT TOTAL SERVICES TOTAL $0.00 Costs Subtotal (no markup) $1,620.46 Labor Mark-up 15% $148.93 Materials/Equipment/Services Mark-up 15% $94.14 TOTAL AMOUNT DUE $1,863.53 Submitted by: 3ft'.33 Jo Lo ' , Jr - onstruction Superintendent b 7 Accepted by: ~h~ Date: 3s /g/L d 3 n ~S LTM DAILY EXTRA WORK REPORT a~ te- > Z Job Name: 'j; ~~y`~yLJI Foreman: V~Acc lry ( Job No: i CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK cc r 5 E 1~ c~{ ova . - ~J f n,a3 ` L_ MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS vc~ ~ MISCELLANEOUS SUB, HAULERS, MOBS RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE HIContracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT Date: - Job Name: Foreman: Job No: CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK z~+c~ MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS GU L_ MISCELLANEOUS SUB, HAULERS, MOBS) RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE HJContracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT Date: Job Name: L r ~ ~7 Foreman: CA -4 1 V i ~f Job No: (D ZZ Wc. C1 CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK c y( -V ,r MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS MISCELLANEOUS (SUB, HAULERS, MOBS RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE K/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT Date: 2 - U3 Job Name: Foreman: Job No: p Z Z-Z Z fie`, CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK 's e C ~ rte. L MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS ao4 Z MISCELLANEOUS (SUB, HAULERS, MOBS RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE K/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT Date: Z - Job Name: S v Foreman: C Job No: cZ-Z-11- Z\S CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK C C- C b Cc MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS v1 Z MISCELLANEOUS SUB, HAULERS, MOBS RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE H:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT Date: Job Name: Foreman: Job No: Z tC( CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK 1 c~ l~ t e,~; e r ~o el AJ-p-, MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS loo - l o ~ MISCELLANEOUS (SUB, HAULERS, MOBS RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE R/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-220 Description of work: Excavate Around Light Faces W 114P sVrnam (0*90'"0 4WLI '14 Date: 02/03/2003 LABOR m "C' ~1 02/04/2003 ST OT ST OT DATE CLASS NAME HOURS HOURS RATE RATE TOTALS 02/03/03 Foreman Easter 2.00 0.50 32.94 43.77 $87.77 02/04/03 Foreman Easter 4.00 0.50 32.94 43.77 $153.65 02/04/03 Operator Och 6.50 32.37 $210.41 02/04/03 Laborer Fa 8.001 1 27.74 $221.92 LABOR TOTAL $673.74 EQUIPMENT EQUIP. NO. OF DATE DESCRIPTION NO. HOURS RATE TOTAL 02/03/03 JD 410E Backhoe 110079 2.50 $29.07 $72.68 02/04/03 pickup 20078 4.50 $8.25 $37.13 02/@4/03 JD 410E Backhoe 110079 6.50 $29.07 $188.96 EQUIP. TOTAL $298.76 MATERIALS UNIT DATE DESCRIPTION QTY. UNIT PRICE Discount TOTAL MATERIAL TOTAL $0.00 SERVICES / MISC. 1NV. DATE DESCRIPTION NO. AMOUNT TOTAL SERVICES TOTAL $0.00 Costs Subtotal (no markup) $972.49 Labor Mark-up 15% $101.06 Materials/Equipment/Services Mark-up 15% $44.81 TOTAL AMOUNT DUE $1,118.36 Submitted by: John Lotito, - C tructi Superintendent Accepted by: Date: 30p3 LTM y DAILY EXTRA WORK REPORT Date: Z Job Name: . Foreman: ,n Job No: 0 Z~Z71- 7» Z~ 0 CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK ~c 4- MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS //Oe" 7 f e~ Z MISCELLANEOUS SUB, HAULERS, MOBS) RENTAL EQUIPMENT EQUIPMENT NO. HOURS (ap CUSTOMER SIGNATURE K/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT Date: Z " 3 d3 Job Name: f/w 'oreman: Job No: CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK G w' MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS /do7 y ~~z MISCELLANEOUS SUB, HAULERS, MOBS) RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE H:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-224 Description of work: Slurry @ Ma tofTStreet Mores Date: 02/17/2003 LABOR - ST OT ST OT DATE CLASS NAME HOURS HOURS RATE RATE TOTALS 02/17/03 Foreman McClaffert 0.50 32.94 $16.47 LABOR TOTAL $16.47 EQUIPMENT EQUIP. NO. OF DATE DESCRIPTION NO. HOURS RATE TOTAL 02/17/03 Pickup 20123 0.50 $8.25 $4.13 EQUIP. TOTAL $4.13 MATERIALS UNIT DATE DESCRIPTION QTY. UNIT PRICE Discount TOTAL 02/17/03 Slur 3 c $55.60 $166.80 MATERIAL TOTAL $166.80 SERVICES / MISC. INV. DATE DESCRIPTION NO. AMOUNT TOTAL SERVICES TOTAL $0.00 Costs Subtotal (no markup) $187.40 Labor Mark-up 15% $2.47 Materials/Equipment/Services Mark-up 15% $25.64 TOTAL AMOUNT DUE $215.50 0~ I a&) Submitted by: J Lo t , Jr - C truction Superintendent Accepted by: Date: 3o 1q O2 v 3 LTM DAILY EXTRA WORK REPORT ate: Job Name: Foreman: S C c Job No: n,7-7 --I CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK Cc~ 5~~~ S~ v ~c ~S S, MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS S rs MISCELLANEOUS SUB, HAULERS, MOBS RENTAL EQUIPMENT EQUIPMENT NO. HOURS ~O CUSTOMER SIGNATURE H:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report R M L • TELEPHONE • /ncorporated Concrete and Rock Dispatch (541) 779-2303 An Equal Opportunity Employer Concrete Store (541) 282-0656 "Rock Solid Quality and Service" Operations and Asphalt (541) 770-2960 TERMS: Net 10th day of month following date of invoice. A late payment Service Charge Administration and Business (541) 779-6304 of 2% per month will be charged on accounts 30 days past due from date of billing. This General Contractor P.O. BOX 1145, MEDFORD, OR 97501 Service Charge is an Annual Percentage Rate of 24%. Minimum Service Charge $1.00. www.Itminc.com CCB #56603 CSLB #567735 CAUTION UNLOADING May cause eye or skin injury. Contains Portland cement. Freshly Drivers are prohibited from delivering concrete except under the truck's own mixed cement, mortar, concrete, or grout may cause skin injury. power, and where site conditions permit the safe and proper operation of TAKE THESE PRECAUTIONS: his equipment. Drivers are not permitted to add water to the mix to exceed 1. Avoid all contact with eyes. the maximum slump nor to go beyond the curb line, except upon the authori- 2. Wear rubber boots and gloves, and avoid prolonged contact zation of the customer and his acceptance of risk for any loss or damage. directly with skin or through porous materials. WATER ADDED AT 3. In case of contact with skin-6r eyes, FLUSH THOROUGHLY CUSTOMER'S REQUEST ---gals. to 4. If irritation persists, get medical attention prompt~.y. WITH WATER. L a1S ab ?/311load` CystomeY' Representativ 5. Keep children away. -gals. to 1/3 load "WHERE WOULD YOU LIKE THE DRIVER TO WASH OUT?" CUSTOMERS P.O. NUMBER Z I_ j JOB Nf MA E j4 1 TIME O TE7 f' F - 1 w1 7T SOLD + I i DYLI Vp Ili J. N i, rTil1.?I:°C.RED, _j0 1 DRIVER t.. t QUANTITY QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF THIS LOAD ORDERED DELIVERED CODE DESCRIPTION 'MEASURE, 1.2 I ~ TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE COMMERCIAL RESIDENTIAL EXTRA ADMIX ARRIVE JOB: LEFT JOB: TOTAL DELIVERY INSTRUCTIONS ! P7 " 7)F7 7 SPECIAL INSTRUCTIONS - LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-225 Description of work: 2" Conduit Irrigationon Morton Street ,9Lo<A-ie co,~t,Xo~cCl~ odTaG~~~ Date: 02/11/2003 LABOR o/7Y /0~4/,Z-sr- ST OT ST OT DATE CLASS NAME HOURS HOURS' RATE RATE TOTALS LABOR TOTAL $0.00 EQUIPMENT EQUIP. NO. OF DATE DESCRIPTION NO. HOURS RATE TOTAL EQUIP. TOTAL $0.00 MATERIALS UNIT DATE DESCRIPTION QTY. UNIT PRICE Discount TOTAL MATERIAL TOTAL $0.00 SERVICES / MISC. INV. DATE DESCRIPTION NO. AMOUNT TOTAL 02/11/03 Marca/Install 150'2" conduit 02/11/2003 $2,481.00 $2,481.00 SERVICES TOTAL $2,481.00 Costs Subtotal (no markup) $2,481.00 Labor Mark-up 0% $0.00 Materials/Equipment/Services Mark-up 0% $0.00 Sub Mark-up 10% $200.00. 8% $38.48 TOTAL AMOUNT DUE $2,719.48 Submitted by- ,in Lo Jr- C struction Superintendent Accepted by. Date: 30 ,A9e_o3 1111% uu Luui IIvIl uG. I I 111 1jnnlin. GLEU11%lU, 1HU ~9l 3~b JCS 1 r. UL MA R CA EL E C TRIC INC. P.0 BOX 628 - COQUILLE, OREGON 97423 S41--396-5271 FAX 541-396-3821 TO: JOE SOARES - L TM INC. FROM. MARLENE .BATE: MARCH3112003 PAGES. 2 RE. SISKIYOU BL VD - EXTRA'S 1129103 INSTALL 90'2 " P VC FOR SIGNAL WIRING ON MOUNTAIN STREET. EXISTING CONDUIT, CAN NOT MOVE WIRE. BORE 90'@ 514.00 51,260.00 2" CONDUIT 90'@ $2.54 FT ,S 228.60 TOTAL $1,448.60 1129103 INSTALL 2000' OF 2" PVC FOR BUS SHELTER BETWEENPALMAND GARFIELD. TRENCH 660' OF DITCH FOR THIS CONDUIT. INSTALL 100' OF IRRIGATION CONDUIT FOR }'OWER. 2" CONDUIT 2100'@ 2.54 $S,334.00 BORE 660'@ ,514.00 ,8'9,240.00 TOTAL $14, 574.00 ~b 6 G 76 2111103 INSTALL 150' 2" CONDUIT FOR ONMORTONSTREET. 2" CONDUIT 150'@ $2.S4 $ 381.00 BORE 1501@$14.00 $2,100.00 TOTAL $2,481.00 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-229 Description of work: Area Drains @ Bridge Street Date: 03/07/2003 LABOR 03/10/2003 ST OT ST OT DATE' CLASS NAME HOURS HOURS RATE RATE TOTALS 03/07/03 Foreman McClaffert 8.00 32.94 $263.52 03/07/03 Foreman Easter 8.00 32.94 $263.52 03/07/03 Operator Marez 8.00 32.37 $258.96 03/07/03 Laborer Farris 8.00 27.74 $221.92 03/10/03 Foreman McClaffert 3.00 32.94 $98.82 03/10/03 Laborer Farris 0.50 27.74 $13.87 LABOR TOTAL $1,120.61 EQUIPMENT EQUIP. NO. OF DATE DESCRIPTION NO. HOURS RATE TOTAL 03/07/03 Pickup 20123 8.00 $8.25 $66.00 03/07/03 JD 410E Backhoe 110081 8.00 $29.07 $232.56 03/07/03 JD 644G Loader 130080 3.00 $37.37 $112.11 03/07/03 Pickup 20078 8.00 $8.25 $66.00 03/10/03 Pickup 20123 3.00 $8.25 $24.75 EQUIP. TOTAL $501.42 MATERIALS UNIT DATE DESCRIPTION QTY. UNIT PRICE Discount TOTAL 03/07/03 United/Various w yes, ells, reducer 1 ea $110.08 $110.08 03/07/03 United/8" SDR35 w/attach 1 ea $571.50 $571.50 03/07/03 United/12" c/b, plug, rate 1 ea $57.55 $57.55 03/10/03 United/12x12 rate 4 ea $16.11 $64.45 03/10/03 United/6" NDS Outlet 1 ea $2.05 $2.05 03/10/03 LTM Slur 4 c $47.80 $191.20 MATERIAL TOTAL $996.83 SERVICES / MISC. INV. DATE DESCRIPTION NO. AMOUNT TOTAL 03/07/03 LLAD/Saw Cutting 4431 $175.00 $175.00 03/10/03 LLAD/Saw Cutting 4437 $100.00 $100.00 SERVICES TOTAL $275.00 Costs Subtotal (no markup) $2,893.86 Labor Mark-up 15% $168.09 Materials/Equipment/Services Mark-up 15% $265.99 TOTAL AMOUNT DUE $3,327.94 Submitted by: John L to, Jr - onstruc i Superintendent Accepted by: Date: ~3T- LTM DAILY EXTRA WORK REPORT L Date: l5 ' 10 3 Job Name: J' --sv-; y o~'j Q1v Foreman: S C C C) Job No: CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK fr c MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS MISCELLANEOUS SUB, HAULERS, MOBS) RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE K/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT Date: 7 ~j Job Name: Foreman: et ~~-~e{ Job No: C} ZZ1 -Z Z~( CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK T l L _cJc- v' L MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS 11 1 C6 it 3~t 16 t 3 \OC ~:C J r Sell, Lt S aVIISCELLANEOUS (SUB, HAULERS, MOBS LE r RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE K/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report RM 89558 L- , • TELEPHONE • /ncoroorated Concrete and Rock Dispatch ................(541) 779-2303 An Equal Opportunity Employer TICKET # 89558 Concrete Store (541) 282-0656 "Rock Solid Quality and Service" Operations and Asphalt (541) 770-2960 TERMS: Net 10th day of month following date of invoice. A late payment Service Charge Administration and Business (541) 779-6304 of 2% per month will be charged on accounts 30 days past due from date of billing. This General Contractor P.O. BOX 1145, MEDFORD, OR 97501 Service Charge is an Annual Percentage Rate of 24%. Minimum Service Charge $1.00. www.itminc.com CCB #56603 CSLB #567735 CAUTION` UNLOADING May cause eye or skin injury. Contains Portland cement. Freshly Drivers are prohibited from delivering concrete except under the truck's own mixed cement, mortar, concrete, or grout may cause skin injury. power, and where site conditions permit the safe and proper operation of TAKE THESE PRECAUTIONS: his equipment. Drivers are not permitted to add water to the mix to exceed 1. Avoid all contact with eyes. the maximum slump nor to go beyond the curb line, except upon the authori- 2. Wear rubber boots and gloves, and avoid prolonged contact zation of the customer and his acceptance of risk for any loss or damage. directly with skin or through porous materials. WATER ADDED AT 3. In case of contact with skin or eyes, FLUSH THOROUGHLY CUSTOMER'S REQUEST WITH WATER. teals. to full load 4. If irritation persists, get medical attention promptly. * * NEED DDV!#5 ~ !z/3 jpact Customers Representative 5. Keep children away. teals. to 1/3 load "WHERE WOULD YOU LIKE THE DRIVER TO WASH OUT?' CUSTOMERIp P.O. NUMBER Z06-1 JOB 1613 n1 -229 TIME 1DATE, 0 MAR 200 't$' INC. BRIDGE AND SISKIYOU PLEASE LOOK UP IN MAP P 0 BOX 1145 ASHLAND DRIVER MEDFORD, OR 97501 PHASE: 21100 6 PAT QUANTITY QUANTITY QUANTITY PRODUCT PRODUCT UNIT OF UNIT EXTENDED THIS LOAD ORDERED DELIVERED CODE DESCRIPTION MEASURE PRICE PRICE 4.00 4.00 4.00 3SK SK SLURRY Y 545.60 5182.40 4.00 HOT OT WATER Y $2.20 $8.80 TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE 6191.20 0462 111, COMMERCIAL RESIDENTIAL EXTRA ADMIX ARRIVE JOB: LEFT JOB: TOTAL. DELIVERY INSTRUCTIONS KEEP DRY SPECIAL INSTRUCTIONS TERMS: ON ACCT INVOICE @' INVOICE DATE INVOICE NO. M. UNITED Water & Waste Water REMIT TO: 3110102 5758 P.O.BOX66490 BRANCH ACCOUNT NO. oRO.wRiTEa P/Pf&SONr Equipment Company PORTLAND, OR 97290-6490 MEDFORD - UNITED PIPE 541-779-6721 5 542200 SOLD TO SHIP TO L T M INC SISKYOU BLVD AND BRIDGE STRT L T M INC CALL SHAWN AT 944-8424 PO BOX 1145 ASHLAND, OR 97501 0009 MEDFORD OR 97501-0231 97501 0 2 ~ PAGE 1 DATE ORDERED DATE SHIPPED SHIPPED VIA ORDERED BY CUSTOM O. JOB NAME JOB NO. W,Z3022JA 310710 3107103 WATER WORKS DEI SISK~VDII ITEM DESCRIPTION QTY. ORDERED OTY. SHIPPED QTY. B!0 UNIT PRICE PER DISCOUNT AMOUNT 013584 #1266 6" NDS S&D HUB OUTLET 1 0 1 EA' .00 087172 #1214 12"NDS MAG/BRONZE GRATE ( 4 0 4 EEAi .00 012248 8" GXGXG D3034 WYE 1 1 0' EA; 29.50 012146 6" SPXG D3034 45-ELL 4 ! 4 01 EA 19.70 012176 8X6" SPXG D3034 REDUCER 3 3' 0 EA' 45.19 012152 8" GXG D3034 22-1/2-ELL 1 1 0 'EA! 15.69 THANK YOU FOR YOUR ORDER (S)=SPECIAL ORDERED ITEMS ARE SUBJECT YOUR BUSINESS IS APPRECIATED TO TERMS AND CONDITIONS ON BACK! PLEASE CALL IF WE CAN BE OF ASSISTANCE. 549 JOHN HERMAN - CODES: F = FREIGHT D = DELIVERY H = HANDLING E = EPA R = RESTOCKING M = MISCELLANEOUS TERMS SUB-TOTAL TAX CODE OTHER CHARGES 77110-08.1 • If Paid By Net Days Qd& pw- 00 .00 1~1 You May Deductipt C TERMS & CONDITIONS ON REVERSE SIDE 269 I INVOICE ,QkAIL 0 --i CO. INVOICE DATE INVOICE NO. T.M. Water & Waste Water REMIT TO: 3 110 /0.q 57r,86-r' 5 UNITED P.O. BOX 66490 BRANCH ACCOUNT NO. ORD. WRITER ME&SON r Equipment Company PORTLAND, OR 97290-6490 MEDFORD - UNITED PIPE 541-779-6721 _5 549900 r1l I SOLD TO SHIP TO L T M INC SISKYOU BLVD AND BRIDGE STRT L T M INC CALL SHAWN AT 944-8424 PO BOX 1145 ASHLAND, OR 97501 0009 MEDFORD OR 97501-0231 97501 0 PAGE 1 pLZ~I•Z~ DATE ORDERED DATE SHIPPED SHIPPED VIA ORDERED BY CUSTOMER P.0 JOB NAME JOB NO. azy 3/07/03 3/07 03 WATER WORKS DEL HC 230 _ ITEM DESCRIPTION OTY.ORDERED OTY. SHIPPED QTY. B/0 UNIT PRICE PER DISCOUNT AMOUNT 013596 #1200 12" NDS DBL CATCH BASIN 4 4. 0. EA 46.00 013679 #1206 NDS BASIN PLUG 4 4! 0! EA 5.40 013584 #1266 6" NDS S&D HUB OUTLET 4 3 1 EA 6.15 087172 #1214 12"NDS MAG/BRONZE GRATE ( 4 OI 4' EA' .00 011140 8X13' SDR35 PVC SEWER PIPE 182 182 0; C 409.50 012141 j8" GXG D3034 45-ELL 4 4' 0Ek 62.00 012248 '8" GXGXG D3034 WYE 3 2 1' EA 59.00 011133 6X20' SDR35 PVC SEWER PIPE 20 ! 20, 0! C 26.00 012176 8X6" SPXG D3034 REDUCER 1 1 0i EA15.00 027799 EASE-ON QUART GASKET LUBE 1 1i 0 NO CHARGE THE VALUE OF THIS. NO CHARGE ITEM IS: $3.61 THANK YOU FOR YOUR ORDER (S)=SPECIAL ORDERED ITEMS ARE SUBJECT YOUR BUSINESS IS APPRECIATED TO TERMS AND CONDITIONS ON BACKI PLEASE CALL IF WE CAN BE OF ASSISTANCE. 549 JOHN HERMAN 541 779-6721 CODES: F = FREIGHT D = DELIVERY H = HANDLING E = EPA R = RESTOCKING M = MISCELLANEOUS TERMS SUB-TOTAL TAX CODE OTHER CHARGES • 64:21011 Net Days; 629.05 .00 .00 (!7o ay Deductipt 629,051 If TERMS & CONDITIONS ON REVERSE SIDE 268 L.L: A INC. Invoice P.O. BOX 516 MEDFORD, OR 97501-8526 DATE INVOICE # 3/21/2003 4437 BILL TO SHIP TO L.T.M. L.T.M. P.O. BOX 1145 P.O. BOX 516 MEDFORD, OR 97501 MEDFORD, OR 97501 P.O. NO. ` TERMS JOB #l CODE # HC230263 Net 30 2 . 22G DATE ORDERED DESCRIPTION CLASS AMOUNT SISKIYOU BLVD, ASHLAND. 3-7-03 Saw cut 116 ft. of 3 in. to 12 in. deep asphalt. SAW CUT 100.00 Thank you for your business. Total $100.00 LOCATION OF JOB Z INVOICE Uto. INV OICE DATE INVOICE NO. M. UNITID Water Waste Water REMIT TO: 3/13/03 5760922 Company P.O. BOX 66490 BRANCH ACCOUNT NO. M E D oao. wRiTe10M R /rJJ Equipment D PIPE 541 -779-6721 PORTLAND, OR 97290-6490 5 542200 511 SOLD TO SHIP TO L T M INC SISKYOU BLVD AND BRIDGE STRT L T M INC CALL SHAWN AT 944-8424 PO BOX 1145 ASHLAND, OR 97501 0009 MEDFORD OR 97501-0231 97501 0 PAGE 1 DATE ORDERED DATE SHIPPED SHIPPED VIA ORDERED BY CUSTOMER P.O. NO. JOB NAME JO-6N 0. 3/07/03 3/11/03 WATER WORKS DEL HC 230214 SISKIYOU ITEM DESCRIPTION QTY. ORDERED QTY. SHIPPED QTY B/0 UNIT PRICE PER DISCOUNT AMOUNT Uldb84 6" NDS S&D HUB OUTLET 1 1 0 2.05 EA: 2.05 087172 `#1214 12"NDS MAG/BRONZE GRATE ( 4 0 4 140.00 EA .00 THANK YOU FOR YOUR ORDER (S)=SPECIAL ORDERED ITEMS ARE SUBJECT YOUR BUSINESS IS APPRECIATED TO TERMS AND CONDITIONS ON BACK! PLEASE CALL IF WE CAN BE OF ASSISTANCE. 549 JOHN HERMAN 541/779-6721 CODES: F = FREIGHT D = DELIVERY H = HANDLING E = EPA R = RESTOCKING M = MISCELLANEOUS TERMS SUB-TOTAL TAX CODE OTHER CHARGES • • If Paid By 04/10/03 Net Days 2.05 .00 .00 You May Deductipt 2.05 .00 227 TERMS & CONDITIONS ON REVERSE SIDE ` L.L.A.D. INC. Invoice P.O. BOX 516 , MEDFORD, OR 97501-8526 DATE INVOICE # 3/18/2003 4431 BILL TO SHIP TO L.T.M. L.T.M. P.O. BOX 1145 P.O. BOX 516 MEDFORD, OR 97501 MEDFORD, OR 97501 P.O. NO. TERMS JOB # CODE # Net 30 02271-229 DATE ORDERED DESCRIPTION CLASS AMOUNT BRIDGE ON SISKIYOU, ASHLAND. 3-10-03 Core drilled 10 in. X 8 in. hole for man hole tap_ CORE DRILLING 175.00 TOTAL 2 1/2 man hrs. @ $ 70.00 hr. Thank you for your business. qw Total $175.00 LOCATION OF JOB Ul INWIGE INVOICE DATE INVOICE NO. M. U Water Waste Water REMIT TO: 3/13/03 5759728 UNITED P.O. BOX 66490 BRANCH ACCOUNT NO. ORD. wRITEF' PIPUSI/Pply Equipment Company MEDFORD - UNITED PIPE 541-779-6721 PORTLAND, OR 97290-6490 5 542200 511 SOLD TO SHIP TO CUSTOMER PICKUP L T M INC 5245 CRATER LAKE HWY PO BOX 1145 MEDFORD, OR 97502 MEDFORD OR 97501-0231 97502 III'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII PAGE 1 DATE ORDERED DATE SHIPPED SHIPPED VIA ORDERED BY CUSTOMER P.O. NO. JOB NAME JOB NO. 3/10/03 3/12/03 ON WAY COUNTER' HC 230224 SISKIYOU ITEM DESCRIPTION QTY. ORDERED QTY. SHIPPED QTY. B/0 UNIT PRICE PER DISCOUNT AMOUNT 013666 #1211 12X12 NDS SQ BLACK GRATE 4 4' 0' 33.57 EA 64.45 THANK YOU FOR YOUR ORDER YOUR BUSINESS IS APPRECIATED PLEASE CALL IF WE CAN BE OF ASSISTANCE. 549 JOHN HERMAN 541/779-6721 CODES: F = FREIGHT D = DELIVERY H = HANDLING E = EPA R = RESTOCKING M = MISCELLANEOUS TERMS SUB-TOTAL TAX CODE OTHER CHARGES • • If Paid By 04/10/03 [Net Days 64.45 .00! .00 You May Deductipt 64.45 .00 TERMS & CONDITIONS ON REVERSE SIDE 226 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-239 Description of work: Extra Sidewalk Removal Date: 04/15/2003 LABOR 04/17/2003 ST OT ST OT DATE CLASS NAME HOURS HOURS RATE RATE TOTALS 04/15/03 Foreman Easter 1.00 32.94 $32.94 04/15/03 Laborer Faye 1.00 27.74 $27.74 04/15/03 Laborer Luster 0.50 27.74 $13.87 04/16/03 Foreman Easter 5.00 32.94 $164.70 04/16/03 Operator Thoren 6.00 32.37 $194.22 04/16/03 Laborer Faye 5.00 27.74 $138.70 04/16/03 Teamster McKinney 4.25 24.59 $104.51 04/16/03 Teamster Groom 4.50 24.59 $110.66 04/17/03 Foreman Easter 2.00 32.94 $65.88 04/17/03 Laborer Faye 6.00 27.74 $166.44 04/17/03 Operator Thoren 6.00 32.37 $194.22 04/17/03 Laborer Luster 3.00 27.74 $83.22 04/15/03 Teamster Patee 1.75 24.59 $43.03 LABOR TOTAL $1,340.13 EQUIPMENT EQUIP. NO. OF DATE DESCRIPTION NO. HOURS RATE TOTAL 04/15/03 JD 410E Backhoe 110083 1.00 $29.07 $29.07 04/16/03 Pickup 20078 5.00 $8.25 $41.25 04/16/03 JD 410E Backhoe 110083 6.00 $29.07 $174.42 04/16/03 LTM Bobtail 31042 4.50 $30.23 $136.04 04/16/03 LTM Bobtail 31054 4.25 $30.23 $128.48 04/17/03 Pickup 20078 2.00 $8.25 $16.50 04/17/03 JD 410E Backhoe 110081 6.00 $29.07 $174.42 04/17/03 LTM Transfer 31078 1.75 $47.94 $83.90 EQUIP. TOTAL $784.07 MATERIALS UNIT DATE DESCRIPTION QTY. UNIT PRICE Discount TOTAL MATERIAL TOTAL $0.00 SERVICES / MISC. INV. DATE DESCRIPTION NO. AMOUNT TOTAL SERVICES TOTAL $0.00 Costs Subtotal (no markup) $2,124.19 Labor Mark-up 15% $201.02 Materials/Equipment/Services Mark-up 15% $117.61 I P12 TOTAL AMOUNT DUE $2,442.82 Submitted by: John L - Co struction Superintendent Accepted by: Date: 3o'9~/LD LTM DAILY EXTRA WORK REPORT Date: 1-d/5/03 JobName: S!S(LtVOu Alud Foreman: Job No: 022'7(- 2 7,L' CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK ri F~4, L-1 I e rho v2 i rl a. 21c,h rd v fer- Ly I! 51w 1 k e Fri L ho re., LOPS Ut- v c.A MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS I o083 MISCELLANEOUS (SUB, HAULERS, MOBS) RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE H:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report / LTM DAILY EXTRA WORK REPORT Date: Y-4,03 Job Name: .-:oreman: ~c -~i•' 7r Job No: QZZ-71 239 CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK E. ~ c,BPS 7 Al GF- G &~vvereg~ Y kv• v f/ MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS 1140:K5 3 tO'l Z (3 vbtoa 41' 3 t 05~ « ~ ~ %y MISCELLANEOUS (SUB, HAULERS, MOBS) RENTAL EQUIPMENT EQUIPMENT NO. HOURS I CUSTOMER SIGNATURE H:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report ter, LTM DAILY EXTRA WORK REPORT Date: Job Name: I;/ 5-el Kew 4s-t-y"P, =oreman: -7 Job No: QZZ 7 / -Z 3 CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK G S~ K~ MATERIALS USED COMPANY EQUIPMENT DESCRIPTION SUPPLIER QTY. EQUIPMENT NO. HOURS O ~o 0'7 $ 3lD 7S` / MISCELLANEOUS (SUB, HAULERS, MOBS) RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE H:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report