Loading...
HomeMy WebLinkAbout2020-063 PO 20190533- Knife River Materials • , , F/APurchase Order , tik Fiscal Year 2019 Page: 2 of:2 ==:s b i'!.^ Ti';;. -'1'-' c_`. Ems- B City of Ashland ATTN:Accounts PayableL Purchase L20 E. Main Order# 20190533 Ashland, OR 97520 T Phone:541/552-2010 O Email: payable@ashland.or.us — ea ,z,, ✓ H C/O Public Works Department EKNIFE RIVER MATERIALS I 51 Winburn Way , PO BOX 1145 P Ashland,OR 97520 D MEDFORD,OR 97501 Phone:541/488-5347 R T Fax:541/488-6006 - `r rir==LLQ 1� I_217 :-1=1= r1,{=(_I� m_lwilizTE tm: r.I-il=jirl€k61T1 i-r -_ , l lv" _e'=� f-F-trc _ ___ 541 779-6304 Paula Brown -i r an- _ i.r m, r .r r-r r!t= lq_11__i =11 f rfi(-ii; r L i z,l_ __ - -_- €_t=r i_et l:r'-a` r- 06/21/2019 774 FOB ASHLAND OR/NET30 ' Cit Accounts Pa_able -!(=1 _-- =r;Rituritt 1^ilL=le of __ _ P .r`lk_�—— _ _ - Ti 1E-1, 77-3[T, ao Project Account: E-201709-999 Project Account: E-201709-999, ***************GL SUMMARY*************** 081200-704200 $2,989,283.84 083500-704200 $276,975.98 f . • • I . rte = 4140 By: Date: 1al . Authori ed Signature t-- $3,266,259.82 I. • I MAI Purchase Order Fiscal Year 2019 Page: 1 of:2 • LiB City of Ashland mleill1ORICZ ATTN:Accounts Payable20 E Purchase L Ashland, OR 97520 • Order# 20190533 T Phone:541/552-2010 O Email: payable@ashland.or.us V H 0/0 Public Works Department E KNIFE RIVER MATERIALS I 51 Winburn Way D PO BOX 1146 P Ashland, OR 97520 O MEDFORD, OR 97501 Phone: 541/488-5347 . R T Fax: 541/488-6006 --,71.1:J imar2r_t[t oi_liol �lelat-�� p:�,.�zt,.jo[_i�ca..t=E 7 it_t. -%[ - -- 1 , r-----.^__� - o e - �_ ____ ��'._ 1 �F•-t = 1`eltl L�IS��d�t:7$:YEi�:� - — 541 779-6304 ; Paula Brown titin-tib a-- - 06/21/2019 774 FOB ASHLAND OR/NET30 Cit Accounts Pa able ��— _ �IaFy=,-l=lct-[_[_=�t�:E�[= _ �_ Y� E Hersey Street Reconstruction 1 Reconstruction of Hersey Street between N. Main Street and N, 1 $.,497,518.3200 $2,497,518.32 Mountain Avenue. Project will include full depth reclamation of the existing roadway,replacement of non-ADA compliant access ramps, storm drain installation and improvements to the Laurel/ Hersey RR Crossing. Total amount$3,041,300.00 Public Improvement Contract for Hersey Street Reconstruction and Laurel&Hersey Railroad Crossing Project No. 2017-09& 2011-36 Project Account: .E-201709-999 2 Project 2017-09 • ! 1 11246,895.4400 $246,895.44 Project Account: E-201709-999 3 Project 2011-36 1 1.270,061.6800 $270,061.68 Project Account: E-201136-999 4 Project 2011-36 1 - $26,824,5600 $26,824.56 Project Account: E-201136-999 5 ADDED: Processed change order 03/05/2020 1 4,188,782.2000 $188,782.20 Contract Change Order No. 1 Project Account: E-201709-999 6 ADDED: Processed a change order 04/28/2020. 1 $28,029.6000 $28,029.60 Contract Change Order No. 2 Project Account: E-201709=999 Project Account: E-201709-999 7 ADDED: Processed change order 06/05/2020 1 $8,148,0200 $8,148.02 Change Order No. 3 Project Account: E-201136-999 Pro'ect Account: E-201136-999 CONTINUED ON NEXT PAGE • i i FORM#10 CITY .0F • CONTRACT AMENDIVIENT APPROVAL REQUEST FORM LA ND Request for a Change Order • ?JI Name of Supplier f Contractor 1 Consultant:Knife River Materials Total amount of tl_'Is,, •" contract aniendiiieilt: Purchase Order Number:201905.33 . Title I Description:Hersey Street 8;148:02• • . . • E Per attached contract amendment • - . • Contract-Amendment • Original contract amount $3,041,300.00 100 %of original contract • Total amount of previous,contract emendments 216,811.80 7.1 %of original contract Amount of this contract amendment 6,148.02 1 .002 %of original contract TOTAL AMOUNT OF CONTRACT $3,266,259.82 , • 107.4 %of original contract In accordance with OAR 137-041.0000:1)The emendmentlsvdihln the some orprocxirementasdescribed In the solicitation documents,Solo Source notice orapproval of Spedal Procurement.2)1110 amendment's necessary lo comply with a change In law Wattle*padormance of Iho contract:3)Th°omendmenttesullsfromronegoilaton(tthatermsand condlUons,Including the contract pdco,of a contract end the amendment Is advantageous to the CIty of Ashland,subject to at of the following conditons:a)goods and services to be c provided under the amended contract ere the same as the goods and services to lie provided under the unamended contract;b)lire Citydetermines that,whit at'nags considered,the .a mended contract Is elleastas favorable to the City as the unomended cachet?;e)The amended contract donne'have a total term greater than allowed In Um salidtafon document, j contract or approval of a Special Procurement.An amendment Isnot vdUdn the scene of tt e procurement If the Citydotemtines thatill'had desalbed the changes to be made bylho' amendment In the procurement documents,Itwould Okoly have increased companion or affected award of contract. Contract amendment le within the scope of procurement: YES_- ✓ NO (If"NO",requires Council approval(Attach cony 01CC.) Sourcing Method: SMALL PROCUREMENT-Not exceeding$5.000 INVITATION TO BiD or COOPERATIVE PROCUREMENT.QRF or ❑'YES'YES;tho total amount of contract and cumulative REQUEST FOR PROPOSAL, pXEMPTION PURSUANT TO AMC 2.50 amendments 4$O,000. '17'YES;the total amount of cumulative amendments DIES;the total amount olodginal contract and ❑If'NO',ardount exceeding authority requires s 25%of original contract amount or 5250,000 cumulative eniendments s$100K for Goods&Services,s 'Council approval.Attach comvof Council widcheverIs toss. I $76K for Personal Services,<$60K for Attorney Fees. ? Communication, ❑If'NO;amount exceeding authority requires ❑If'NO',mount exceeding authority requires Council o Exempt—Reason: Counciapproval./Mach covet Council , aappiovaLAttach cony orCoundlCommunication. PERSONAL SERVICES(DirectAppolnlgroni) Communication 1 U Exempt-Reason: ❑'YES',cumulative amendments s$36,000 ❑Exempt—Reason: ❑IMO;requires council approval.(Attach - • • JNIRRMEOIATEPR000REMENT • SOLE SOURCE — EMERGENCY PROCUREMENT ' Goods&Services->$5.000 and<$100.00Q - 0'YES;the total amountofcumulaUveemendments ❑Written Findings:Documentthenature of tha personal Smokes•>35.000and<$75000 s25%oforiginalcontract amount or$260,000 emergency,Inctuding necessity and circumstances ❑'YES,.Ihototal amount ofcometalve whichoverleloss. milking _ amendments s25%oforiginal contract amount.13f ❑WNW,amount exceeding authority requires Obtain direction end written approval from City 'NO;amountexceeding authority requires Caundl Council approval,Attach copy of Council AdminIstretor approval.Attach copvofCouncil Cammunication, Communication. ❑If applicable,dad)copy of Council Communication ❑Exempt-Reason: _ ❑Exempt-Reason: ._ ' ❑Exempt—Reason: SPECIAL PROCUREMENT ' ." INTERGOVERNMENTAL AGREEMENT ❑'YES;the total amountof original contract end cumulalivoomunrimeels ore 0 Renewal ol Intergovernmental Agreement:Terms modffied In accordance with Initial within the amount and terms initially approved by Council as a Special . agreentent OR costwIll not bo more then 25%greater then Initial agreement.Renewal - ProcaromenL approved by City Attorney and department head affected by renewal and opprovedfelgned O I('NO,amount axceeding authority requires Council approval. • by CUyAdndnislrator.AMC 2.28.045(0) . Mach corn of Coundl Comntunicallon. D If'N0,Council approval Is required.Attache Qvof Council Communicai on � e..e, t- PCICZ,%-oy wvectt(cIotwn Project Number 2017-09_. -_ • Account Number 081200__..7042}J0 .pccou(e t'Number 083500 . -.-04200-_ { • adRure mus(be cha ,ed f o the a nate account nuaiibers forlhe fineaclats le toned the a fuaf oxpeirrh ri ,s e6cbtIefy:ANach ex(th pagesJfneeded. ' ppmp . Employee Signature. , II L. I '_II kAll. - .ELI:: apartment Head Signature: �, It( 15f?8.120 • ,r irrr g?u.,ts,om! city Administrator: '----"1"2-7.......--- •� EgraffoorgroatarfhaI$2 OOOcr107t) 'Funds appropriated for-current fiscal year: (0)MO . . VAf/2.0.- _18.r yti Beputy nance DEreCtor(Ecce#tour metope/gm tsco00) Dafe Eommerils: Form 1110-Contract Amendment Approval Request Form,Request for a Change Order,Page 1 of 1,1012112010 , s • • CITY OF • SH LAN t DEPARTMENT OF PUBLIC WORKS • i CONTRACT CHANGE ORDER NO. 3 •PROJECT: •Hersev Sl Reconslrilclion DATE: 5127/2020 • LOCATION: I lases•St•Lod Lune to N.\Iauulain A en1e • PROJECT NO.: 2017.09. . CONTRACTOR: Knife River Materials You are requested to perform the following described work upon receipt ofon approved copy dads document oras described by the Engineer: Item No. •0• Description u:ntlily •Unit Price • .Amount' Hem lll 12 Moon UnanRepilu at Ann&Hersey 1 S 4,148.112S ' 4,148.02 Item N2 Railroad Flogging(Hesse}iLourel)-1Veek of 10/28/19-11/03!19 I. I I S 4,000.00 I S ' •4,000.00. Total this Change Order S 8.1.48.02 Previous Chniige Order Total S 216,811.80 UrieinnlContract Intel - • S 3.O-lI,3110J11) !teased Contract Total S ,3,261,,259.82 1'O'1'AL ptatr•F,$'r a tAxoE or nnH:i?AL CONI IUI1 p7,an":, • • The time provided for completion of this contract is inceensed by no calendar days Ibis document shall become an amendment to lite contract and all provisions or the contract will J� } apply { • �j��i 5/2712020 Recomtnended,By: I" et ajOhhfOn Project Manager Dale Approved By: • � ®; • s12 t21 • Departure -'�'�'r • Date • Approved By: � �- -.tt • CRY./ ininislinlur • • • D e Gt Approved By: • r � I ‘-Z�/ ZO • Cul ntrlorAuthorized Signature • Date • • ' I • • • • • • • • • • HYCI91BEIwra Te1:S11-t85.5517 30B Mate Seed F05$41.451-6006 • A+IdaA.heie9732,1 TTY:81.10775ISW • G tpn4•u,b',SW IT N,j.n Yeu1174911np S,Raon,enuliw,Asl4111.17.09 AolalAttounteM\\•ab►ntaml Pa,mud MmnTm pAle • Knife River Materials DAILY EXTRA WORK SUMMARY . d.b.a.LTM,Incorporated K P1 I FEen HOU gleams careens•� RIVERRIVER • 0959 Hamrick Road Central Point,OR 97502 WORK DATE: 0232019 MATERIALS41470.2050 541.804.4507 FAX OR CCDCCB f 58803;CA Contractor license No.587735 AN NOU8030UACES CONPr15Y • PROJECT: Hersey Street Reconstruction KRMJOB NO,: 19101113 CONTRACTOR • KRM PHASE: 45111 WORK AUTHORIZED BY: OWNER PO NO.: DESCRIPTION: 12"Storm drain repair at Ann&Hersey KRM --REGULAR- --OVERTIME-- SMALL TOOLS QTY. UM RATE AMOUNT LABOR HR. RATE. HR. RATE AMOUNT Day-Each Sean McClalraOysapednlondanl $0421 $89.74 Zeke Tomblln•Forcman 0.0 $62.32 2.0 580.18 $540.28 Evert Bloum•Operator $58.60 00.60 Greg Young.Operalar $00.05 $82.77 Chris Foy-Operalor 350.05 $82.77 Frank Am as-Operator • $00.05 $82.77 Todd Farrls-Laker 0,5 $42.04 1.5 57.71 $383.73 Davld Pollard-Labor $42.64 $57.71 ToleISmrtITaols ain Carlos Sols-Laker $38.28. - $51.10 - GllbenaRocha-Leber 39:20• $51.19 RENTAL EQUIPMENT OPER OPER RENTAL AMOUNT Pablo Morias Ponce-Labor $38.29 $51.19 TII.IE/COUN1 RATE RATE HamarFerrer-Apprenllco Labor $39.25 351.19 ' Misty PanyLabor $42.84 $57.71 Elaine Wiison-Lehor - $39.10 -- - $57.40 Bonnie Hackell-Labor339.10 $52.40 Bill CundyForeman 582.32 509.18 Steve Krueger-Fomlun - $92.22 $88.10 Traver Heighos•Gperator 580.05- - 50217 ' Wiliam Gorky-Torek Driver 532.09 545.82 Total Rental Equlpnnnr liM51 Brian Wldhoom Truck Driver 532.88 345.92 Van Gmonhhgen•Tmck Driver $32.80- $45.62 MATERIALS(incl.Inx) QTY. UM RATE AMOUNT Mark Handing-Truck Driver $32.88 345.82 Mg Base _ 31.58 TN $7.70 $243.01 0900 Pipe - ' 00.00 FT 518.04 $1,08240 Total KRMLaaor Fomco Couplers 2.00 EA 3319.28 $838.52 CATExcavator 314'. " - 3 02.79' CAT Excavator 311F • 6.0 $ 71.04 5355.20 CAT Excavator 305E $ 30.60 CAT Grador 140H _ 5 58.44 Rosco Sweeper R648 - $ 41.00 Wktgen Grinder W120F $298.93 CAT Excavator 328F $122.45 Total Matelots: -13ICEIli CATBackheo 420F 2.0 5 47.31 $04.92 CAT Loader 050H 70.50 TRUCKING CITY. UM RATE AMOUNT CAT Grader 140M 1.0 5 83.03 563.83 Pllol Rock Trucking 4.00 Hour 580.00 5320.00 CAT RollorCB214E 5 28.88 Kenworth Mega Dump $ 57.23 - Ford Pickup F-250 6.0 $ 10.78 5134,24 Ford Pickup F-250 $ 18.00 Ford Pickup F-380 3 21.09 Dodge Pickup 1500 5 34.00 - - _ Dodge Pickup 2500 S 28.81 Kemmrih Water Truck 5 48.82 - Ford F-550 Sendai Truck $ 40.25 Pelerhuill Lowboy Tractor - _ $ 85.18 Total Trucking 11.111.5 20:Opj Lowboy Trailer - S 0.28 - Sweeper Truck S 24.78 SUBCONTRACTORS O7YUM RATE AMOUNT Peterbl8 Dump Truk - 5 08..04 CfMCO TOM KRM Equiprrmnr Total Subcontractors lial.0011 • KR 'C O (t FlelCOIiu •dIUp' OM & T;L• 391041 MAR CArr:(7raee si 72.45.4 3zgoaa KRM SuperintendenL Phone: S IkTO.Air $11110.211 EreorPMENT,T00�3,FT NTAL7, TtBpi TRUCKING: (Erwin MN Ge uian). SUBS r OTAL•.. 62 540;42 • II.4JP(��%unndt5,): 3441.30 B-TOTAL; 63037.8.1 h KRM Project Manager. Phone: SUBCONTRACTORS: GIDEMP 0;00 - US-T T .GAL $11M11111P111111 ORA D TOTALS. BOND EEE'(' OM -0,000E Sa(la SB$naluro • Date 1T $4;140'02 • • • • Corporate Office 3633 136th PI SE,Ste 100,Bellevue,WA 98006 PO Box;160,-Bellevue,WA 98009-0160 COMPANY Phone 425-654-8800•Fax 425-641-8885 REMIT:PO Box 84368,Seattle,WA 98124 Medford Branch 17 South Siege Rd. Invoice Medford,OR 97501 Number MEWH 15256568 (541)770-4432 Fax(541)770-4599 I/ 142623 HD Fowler Company-Medford 214 11111111111111111111111111111111111111111111111111111111111101 T-1 KNIFE RIVER/MEDFORD DIVISION Medford - " OR 97501 PO Box 1145 Order# Inv Date: Order Writer: Medford OR 97501-0231 • 06412520 08/23/19 John Watkins • • • Terms: NET 10TH PROX Due: 09/10/19 Po/JOB: 70394 FOB: H. D. FOWLER . ship Via: WILL CALL HERSEY STREET • Qty Qty Part# Unit Extended 7 Line Ship'd BO'd UoM Description Price Price ?' • Please.note:,our•Corporate phone number ' has changed.•lf you have any questions • • • regarding.payables or.receivables call . .l_ ;Corporate at 425r654-8800. 1 60 0 FT 12"CL235 DR 18 PVC PIPE,AWWA C900-07,20' • 18.040 1082.40 LENGTH •II • • . • • • • • • • • • • • • • Sub total 1,082.40 "Remittance Address'I EFT Routing:121000248 . Freight 0.00 PO Box 84368,Seattle,WA 98124-5668 EFT Bank No:418 545 3362 Tax 0.00 f Grand Total 1,082.40 ' Serving the Pacific Northwest since 1911 CHARLES www.hdfowler.com - • • • Corporate Office 3633136th PI SE,Ste 100,Bellevue,WA 98006 . 01 FUND. FOWLER PO Box 160,Bellevue,WA 98009-0160. COMPANY Phone 425-654-8800 Fax 425-641-8885 • REMIT:PO Box 84368, Seattle,WA 98124 Medford Branch 17 South Stage Rd. -' invoice 15256558 �� MEWH Medford,OR 9760' • Number (541)770.4432 Fax(541)770.4599 if 142623 HD Fowler Company-Medford 1/2 • I11.11. 11.11IIIuliulrliIIIi11111.iIilillnnuilnllliIlfiIII T-1 KNIFERIVER/MEDFORD DIVISION • edford OR 97501 PO Box 1145 Order# Inv Date: Order Writer: Medford OR 97501-0231 06410766 . 08/23/19 Matt Frodge Terms: NET 10TH PROX Due: 09/10/19 PO/JOB: 70394 _ FOB: H. D. FOWLER Ship Via: WILL CALL HERSEY STREET Qty Qty Part# Unit Extended 1 Line ShIp'd BO'd UnM Description Price Price X• • Please note:oiir Corporate phone number ;has.changed.If'you have-any'questions regarding payables or receivables call _ Corporate at 425=654=8800. _ M 1 2 0 EA 12"CONC X AC/DI STRONG BACK RC COUPLING 319.260 638.52 5057-1212RC FERNCO • • • • • • • • Sub total 638.52 "Remittance Address" EFT Routing:121000248 Freight 0.00 PO Box 84368,Seattle,WA 98124-5668 EFT Bank No:418 545 3362 Tax 0.00 Serving the Pacific Northwest since 1911 Grand Total 638.52 CHARLES www.hdfowler.com • • • . . t-4 KNIFE RIVER® •Rrneunnuvacc+acnlFulr DAILY LEASE TRUCK RECORD No. .35.4:02. OR CCB 82101 DAY: Su Mo 111 WedEONE Thu Frl Sat DATE: .2 —P( DfIVER'S NAME VENDOR N: COMPANY NAME: LlPic- etc_ QueAJc(TLAIJ TRUCKNO.: 1 UghtwelghtiN: • START TIME:1 1.•3b -IM)/PM END TIME:c FXV AM/- l )AVERAGE NET WE: Ughtwelght 62: CIRCLEONE �/ CIRCLEONE DEDUCTIONS: h, (lunch,truck breakdown,etc.) Bobtail • per Bob IP. Mega Dump • Tub • Transfer • Super Transfer • TOTAL TIME: Of TRANS. I Truck&Pup • Super Truck&Pup • Belly Dump • Belly Dump Traln • Water Truck N;ov Zeii-e.... ....7. APPROVED P TIME SIGNED PRINT NAME APPROYED'BY CUSTOMER NO. PROJECT MATERIAL OFFICE USE ONLY RATE HOURS TOTAL 1 X113 '-(G1 l n }telt ss . yet- 4 tit) a. 1-151 1 $ :czo a.5,. .3x1 i` 16...-r-01,1 ' . ' ,a '�_ :t 70110 ::13. ' NOTICE—INVOICES NOT SUBMITTED WITHIN 60 DAYS ARE NOT ELIGIBLE FOR PAYMENT , TOTAL DUE LEASER Ard a Leave Arriva Leave df Ticket No, Material Net Weight piUPlant Alit Arrive Job Leave Job Ticket No. Material Nat Weight pitlPlanl PiVPlant. Arrive;Job Leave Job • T,30 -"r: v t'A7 134 1( V`•ot $:CIBCIT:2S ;Z 4(?41 4t I �r's ;S'L�!'o f .,.�5 - j t N7&( `2, I{'-- t�,5'l t o'.V l 1.1'66 _I t! 7 1.13 { A ' 107 I `:3a I(�L[L�2,2 L1'r• a . Q 2'-r- 1'a 94.10 y:ct5"�--rr.e <0- . . i 118F21 Rev.IWII • • • i�'�i National Railroad Safety Services,Inc. Invoice ,NR,S S 7395 Kingsgate Way • 17; West Chester,OH 45069 Date Invoice# ETN#20-5435593 11/4/2019 16633 BIll To • Ship To Knife River Materials Project N-2019.735 Attn: Tyler Douglas Laurel&Hersey St Paving,Curb,Gutter, PO Box 1145 and Storm Drain-MP 429:69 Medford,OR 97501 PO#16191113-12600 Services Rendered: 10/28/19-11/3/19 • Vendor# P.O.No. Terms Due Date • #16191113-12600 Due on receipt 11/4/2019 • Item Description • Qty Rate Amount • 105EE Railroad Flagmen Regular Hours-(Includes vehicle,cell phone,& 40 100.00 4,000.00 • radio • 105EE0 Railroad Flagmen Overtime Hours-(Includes vehicle,cell phone, 15.75 150,00 2,362.50 &radio) 105.6E00 Railroad Flagmen Double Time Hours-(Includes vehicle,cell 1 200.00 200.00 '• phone,&radio) •• } Thank you for your business! Total $6,562.50 Customer Total Balance$24 887,50 Phone# Fax# • (513)755-4910 (513)779-8428 . I 5:13 PM National Railroad Safety Services, Inc. 11109/19 Time by Job Detail October 28 through November 3,2019 Date Name Billing Status Duration N-2019.735-CORP-Knife River-Laurel&Hers 105EE 10/28/2019 Brian Padilla Billed 8:00 10/29/2019 Brian Padilla r. Billed 8:00 10!30120.19 Brtan Padilla 'Billed 8:00 10/31/2019 Brian Padilla Billed 8:00 11/01/2019 Brian Padilla Billed 8:00 Total 105EE 40:00 105EE0 10/28/2019 Brian Padilla . . ;Billed 3:30 10/29/2019 Brian.Padilla Billed • 3:30 10/39/2019 ., Brian Padilla ::Billed 4:00. 10131/2019Brian Padilla • :::Billed 1:00 1110.1/2019 Brian Padilla Billed . 3:45 , Tota1105£EO. .. .. . �> 15:45 105EE00 10/30/2019 Brian Padilla Billed 1:00 Total 105E00 1:00 • Total N-2019.735-CORP-Knife River-Laurel&Hers 56:45 TOTAL 56:45 • • Pagel National Rellroad Safety Services,Inc. Rnlc.rsraaputorms•34 RW/C/EIC Railroad Flagman Daily Field Report ..ryex`ss NRSS Project#: N-2019.735 /air" Date: 10/2812019 NRSS Flagman: Brian Padilla Project: N•2019.736 I New Shift: X Relief Shill: Contractor. Knife River Materials . Relieved FCI: Location: Laurel/Hershey I Start Time: 06:00 End Time: 17:30 Railroad: CENTRAL Oregon PACIFIC Lunch: Travel Time: Subdivision: Siskyou sub Total Hours Worked: 11.60 Milepost: MPA30 Number of People in Right of Way: 9 Timetable#: 12 Number of Equipment In Right of Way: 6 Daily Operating Bulletin: 301 Weather: Clear-Mostly General Orders In Effect: 6 . High Temp: 82 Low Temp: 30 Work performed during this shift(If any) 1 I Checklirnntra-torcanceladlnovirshowedup.Doudbeledelailwhaieecuuad.r(youwennqultedtostayat/obslre,ablewhyandforhawtone, Forming ramps,concrete pour Job Briefings Initial Job Bdehng(s)performed? Yea® No0 Follow-up Job Bdefingia)performed? Yes(] No0 Job bdaanslo)consisted of: Proper ppe,Inspecting equipment and power/hand tools,barricade areas,pinch points and slip sips Type of On-Track Protection .rFormB/CIDIY Watchman ILookout 0Track&Time ElDerais&Lod(out Individual Train Detection ']Track WerrenllAuthndly 0 Out of Service 1-1704/70T Track Warrant f!: Limits: Voided at: Track Warrant!: Limits: Voided at: Track&Time!!: Limits: Voided et: Track&Time#: Limits: Voided al: i' Form B 301 1#80 Umlls: MP.429-MP.434 Voided at 16:30 Form Limits: Voided at: 7041707 Authority#: Limits: Voided at: 704/707 Authority#: Umlla: Voided al: Record of Train/MoIW Movements in your working Limits I I Checkllthere were notiaWMorWmovement'dam lhhahill. Train#!MofW MOFW Time In: 08:27 Time Oul: 09:34 Double Checklll • Train ill MotW Time In: Time Out: Double Cheoldll Train#i MoiW Time In: Time Out: Double Checklll Train!!!MolW Time in: Time Oul: Double Checklil Train 0/MolW lime In: Time Out: Double Checklll Train#I MoiW Time in: Time Out: Double Check!!! Train III MoIW Time In: Time Out: Double Check!!! • Train!!!MoPW Time In: Time Out: Double Check!!! Train#/MoIW Time In: Time Out: Double Check!!! Train#/MotW Time In: Time Oul: Double Check!!! Switch Position Awareness Switch handled iD: Time restored to normal: Switch handled ID: Time restored to normal: Switch handled ID: Time restored to normal: Switch handled ID: Time restored to normal: i Record of Delays Authority 8: OK Time: Clear Time: How long did you wait for thin: Additional notes: Authority#: OK Time: Clear Time: How long did you wall for this: Additional notes: - - . Dld the contractor cause any train delays? Yes: No: X Explain Delay: Rules Violations: Yes: No: X Reported to: Explain what happened: Report Review/Signatures This report 13 ONLY to be signed at the END of cash sill and only when State r Contractor re;resentative understands and agrees with ever/thing contained In this wort Indud ng but not limited to START and END TIMES and DESCRIPTION OF%t9RI(PERFORMED.State i Ccntr?ctcr Represenlauve:DO NOT sign this repor,Wass It Is at he end of the shill and unless you era In sgreemanl will all ci the abort. State/Contractor Company Name: Representative Name: Sean Mcclafferty Knife River Materials Phone it: (541)944-8424 Reviewed By: �"r'n ..y State/contractor NRSSl m Signature: Signature: • • • • • 1012012010 - -Pro ect Photos Photo t •Photo 2 • . • Dumping Grading surface _ P 8 rocks , tis mac: , N" :; , �° j r; x :J i $a 7- • '..� '§'Err t .,. "" r .'.. 4. •_ r ''''. ,-,',Y.. ". 1 -,� s.- x 1= ^ • '` ice. Itr r 1.v^ x'x�-ra !'-..SAYy. :S _:_...__. .....�.,J` - Photo 3 Photo 4 . Ondfngdudaces � 0ndlnpsudacos,and concrelo.our _ - Si _ >r., G. Ytx�...-x. Jul I F��i - moi' pix ji o• -. 1- .," -, ^" ,....7. „----....440''""� .t, �-,...t:11,.....-1',,,,:.-:•,...;-,..„1-..,-=- _i _ {� °..gate j 1 ,i?,S.,Ik�f c a,",, r 12. 1 .+�Y,- ,...z4,-4,n',✓ - "~ a l .tai^a{ . _ ._• :Si�. s=T.,- .�5.''Sx. �t2'iY. i.:a'i sLfii-':r '3 - •T,�6 _..- ..r' ri' ,9 - Photo 6 Photo e • . - hVACRN Rtron201sO2C4.. • • • i National Railroad Safety Services,Inc. '9-• trveo.Flddluae•20 laos24 RWIC/EIC Railroad Flagman Daily Field Report NRSS Projects: N-2019,738 1.1114..J.- Dale: 1 012 012 01 9 • NRSS Flagman: Brian Padilla Project: N-2010.735 New Shill: • X Relief Shin; Contractor: Knife River Materials Relieved FCI: Location: . Laurel/Hershey Start lime: 09:00 End Time: 17:30 Railroad: CENTRAL Oregon PACIFIC Lunch: Travel Time: Subdivision: Slskiyou sub Total Hours Worked: 11.50 Milepost: MP.430 Number of People in Right of Way: 7 Timetable#: 12 Number of Equipment in Right of Way: 6 Daily Operating Bulletin: 302 Weather. Clear-Mostly General Orders In Effect: 0 High Temp: 64 Low Temp: 30 Work performed during this shift(If any) j I eheeklf contractor cencefetYnevat showed up.Deeerlbe In dotell 00 oecumed.11yell were'milted to stay al Jolulle.stak why and forhowtenp. Grading surfaces end pavement ' • Job 6riefIngs Initial Job Biter:m(s)performed? .1633:120 No LI' Fallow.upJoh edelingfel.performed? Yaa3 NoLJ Joh bdenng(s).conslated.of: Proper ppe,Inspecting equipment.powerrhand tools,3 point contact,banicade areas,.1/elfin control Typo of On-Track Protection RFomnBIC/DIY Welchman/Lookout ['Traci(B.Ttme [IDerailse.odcout Individual Train Detection •..fTredsWarrant/Atdhority D.outorSeMce 07041707 Track Warrant#: Limits; Voided at i� Track Warrant 11: Limits: Voided al: i Trask&Timm#: Limits: Voided at: Track&Time it: Limits: Voided at: Farm B 302 11188 Limts: MP.429•MP.434 Voided al: 18:30 Form Limits: Voided at: 704/707 Authority#: • Limits: Voided al: . 704/707 Authority#: limns: Voided al: Record of Train/MofW Movements In your working Limits I I Cheek llUwe weninolrWronymovements denim MAR • • Train#I MoIW CENTRAL#3499 Tima In: 08:26 . . Time Out: 08:58 Double Check!!! Train#LMoIW CENTRAL113499 Time In: X5:32 Time Out 16:06 Double Check/ti • Train 111 MolW Time In: .:"' Time Out: Double Checkill Tfaln 111 Molal Time In: Time Out: Double Checklll Train#f MofW Time In: Time Out: Double Check!!! Train 11.!MoIW Time In: Time Out: Double Cheek!!! • Train iI I MOIW Time In: Time Oul: Double Check!!i Train#/MoiW Time In: Time Out: Double Chucki!! Train#I MoiW Time in: Time Out Double Check!!! • Train#I MofW Timein: Time Oui: Double Chocklll Switch Position Awareness. Switch handled ID: Time restored to cannel: Switch handled ID: Time restored to normal: Switch handled ID: Time restored to normal: Switch handled ID: Time restored to normal: Record of Delays ' Authority#: OK Time: Clear Time: How long did you wait for this: Additional notes: Authority ti: OK Time: Clear Time: How long did you wait for this: Additional notes: ' Dld the contractor cause any train delays? Yes: No: X Explain Delay: , • Rules Violations; Yes: No: X Reported to: Explain what happened: Report Review/Signatures This recoils ONLY to be signed at the END of each sl:hi and only when Stale!Centracler repeo:antabve understands end agrees With eyerlehinp contained in this report,including but rot Milted to START sew:END TIMES and DESCRIPTION OF\`.ORti PERFORMED.State/Gmlrccter Representative:DO NOT sign ll/s repot ur.Sse Ills lost the end of the shin and vales*you ore in agreement•siih all of the above. • State I Contractor • Company Name: Representative Name: Sean Mcclafferty Knife River Materials Phone#: (541)944-8424 Reviewed By: "17 State/Contractor NRSS Flagman Signature: Signature: • • • • • • • • • -Pro Oct Photos Photo 2 • 10/252019 Photo 1 Grading surface.,end remove manhole ' Grading surfaces t fes, ..-"`' ,"" .41:-4 °e •-,.•:..1.,--,`,,.•: `,-".,,.,.'.0...••,;-0,•', :: .'. 3t ,'`�tr.,'....Sj.,--z-.—:,., '—:fi`+.....'.,:.,!,t- Photo .. A. Photo 3 Photo 4 Grading aurfacoa -- Grading surfaces '- 4 w F ' .aI V �= -- ��'6"'"f sL , - . .. v..y_„�1 « :� 1' 4,A r [i « P+ t" •s', x K wfi...tom Ff Photo 6 'Photo6 • • i� . • • 1 I • i• • • 1 •• I • . • 1 • i • . , i ± I I i 1 • National Railroad Safety Services,fret. aut�r,terey ezarsasza RWiC/EIC Railroad Flagman Dolly Field Report nfrzss NRSS Pro)eet#; N-2019,735 Date: 1013012018 i NRSS Flagman: Brian Padilla . Project N-2019.735 New Shill; X Relief Shift: Contractor. Knife River Materiala ' j Relieved FCI: Location: LaurebHerehey I Start Time: 06:00 End Time: 19:00 Railroad: CENTRAL Oregon PACIFIC j Lunch: travel Time; Subdivision: Slskiyou sub Total Hours Worked: 13.00 Milepost: MP.430 Number of People in Right of Way: 11 Timetable#: 12 Number of Equipment in Right of Way: 6 Dally Operating Bulletin: 303 Weather, Wind-Heavy General Orders In Effect: 6 High Temp: 82 Low Temp: 31 Work performed during this shift(If any) I I Cheek IIconeaeforcancered/newrshowed up.Naafi,.la ditallwhif occurred.Ilyou ware required fo slay Ohba°.this why and(or how long. Asphalt pavement, and grading Job Briefings . initial Job adellnt(v)Performed? Yee© •NoiI' FoiiovbupJob Briefingls)performed? Vasil] No❑ Job hrlonngIe)consisted or: Proper ppe,Impeding equipment and potver/aand tools,bar icade areas,baftleconicot hazards,materiel Type of On-Track Protection ®FormB1C/D!Y • �IWatchman lLookout []Track a Time ' LIDerellwLockout nlndividuelTrain Detection �—IrTrack Warrant/Authority DOut of Service 0704/707 Track Warrant II: Limits: Voided at: Track Warrant#: Limits: Voided al: Track 8 Time#: Limits: Voided al: Track&Theft: Limits: Voided al: Form B 303 L#88 Limits: MP.420-MP,434 Voided al: 18:09 Form Llama: Voided al: 704/707 Authority#: Limits: Voided at: 704/707 Authority#: Limits: Voided al: Record of Train!MofW Movements In your working Limits . j I Cheekfftheretan no faafnAtofWmoveemonls during WA able. Train#/MolVV CENTRAL#3499 Tine in: 08:00 Time Out: 08:39 Double Check!!! Train 0/MolW" CENTRAL#3499 Time In:.'1711:7Time Oul: 15:45 Double Check!!! Train#I MoIW Time In: Time Out: Double Check!!! Train#1 MofW Time In: • Time Out; Double Checklfl Train#I MofW Time In: Time Out: Double Check!!! Train#I Moi1N Time in: Time Out: Double Check!!! Train#1 MoiW Time In: Time Cut: Double Check!!! Train#I MoIW Time In: Time Out: Double Checlrlll Train#!MofW Time In: Time Out: Double Check!!! i Train 8!MoIW Time in: Time Out: Double Cheok!!l Switch Position Awareness Switch handled ID: Time restored to normal: Switch handled ID: Time restored to normal: Switch handled ID: Time restored to normal: I Switch handled ID: Time restored to normal: Record of Delays Authority#: OK Time: Clear Time: How long did you wait for this: I Additional notes: j Authority#: OK Time: Clear Time: How long did you watt for this: Additional notes: - Did the contractor cause any train delays? Yes: No: X Explain Delay. Rules Violations: Yes: No: X Reported to: Explain what happened: Report Review/Signatures Tbis rapart Is ONLY to be signed at the END of each sI it and only when Slate I Contractor representative ulderstosds end agrees t:1at ever/thing contained In bile report.!melding but not limited to START end END TIMES end DESCRIPTION OF WORK PERFORMED.Stale f Conlroce r Representative'DO NOT sign this report unless ills at the and of the stilt and unless you are In agreement odd:all of the shove. State!Contractor Company Name: Representative Name: Sean Mccialferty Knife River Materials Phone#: (541)944-8424 Reviewed By: !� 4,a,..4_,,„-- State ,..4_✓ StatelCon ur : NRSS gman Signature: � Signature: • • i 2 Project Photos 1 - Photo 2 , Photo 1 Placing asphalt pavement Placing asphalt payment tof241,,,,110•.,;.,4r t. S � �1 •v j �. .,2„.;.7 syr�• _ ' J • .Phalo3 .Phato4 : Placing as,halt pavement . _ Placing asphalt pavement � 1.....„_-,-t-tx.„,,_,..... ..s....... '.4.- ,... iii.. ' ..,,e/A I. ,, -,rsio ......41.414_1 . ••• ''-•' way ,g��+•rL fY r - pp Y•• F ^. • • • C�r..• • ::r.. 'a1,Y, a n�Via, '^t- 'Photo Photo6 i • i • RAICAddlogrrt2039-02-01 • I • . I National Railroad Safety Services,Inc. rasiond`sosteeteC+24 RWIC IEIC Railroad Flagman Daily Field Report _IN1_ry sy NRS 8 Project th N•2019.735 •%,13' Dale: 1013112019 NRSS Flagman: Brian Padilla • Project: N-2019,735 • New Shift: X Relief Shift: Contractor. Knife River Materials Relieved FCI: Location: LaursllHershey • Stan Time: 08:00 End Time: 16:00 Railroad: CENTRAL OREGON • Lunch: Travel Time: Subdivision: Sleklyou sub Total Hours Worked: 9.00 Milepost: MP.430 i Number of People In Right of Way: 7 Timetable#: 12 I Number of Equipment In Right of Way: 5 Daily Operating Bulletin: 304 Weather. Clear-Mostly General Orders In Effect: 8 • 1 High Temp: 66 Low Temp: 38 Work performed during.this shift(If any) . F I ChrckIfconbectorcanceled/never showed up.Deacdbr In detrn whateeeurrrd,If you wrrerequhed to:lay at/obsire,safe whyand for how long. Asphalt pavement,Instentnglights • Job Briefings ' inilal,Jpb9defing(s)perfomted? Yes III Nop FoiiaWup Jab Briefing(s)performed? YeeI ) No0 Job bdeang(s).consisted or: Proper pee,Inspecting equipment,power/handtools,barricade areas.tralfo control Type of On-Track Protection ' gi Form BIC!0re OW/Adman/Lookout []Track&Thee 0DeraisiLockout nladlvidualTrain Detection nTrackWanantiAuthority D Out of Service 07041707 Track Warrant II: Limits: Voided al: Track Warrant ft: Limas: Voided at: Track&Time If: Limits: Voided at: Track&Time#: Limits: Voided at: Form B 304 L#88 Limits: MP.429-MP.434 Voided at: 14:09 I Form limas: Voided at: 704/707 Authority if: Limas: Voided at: 7041707 Authority Si: Limits: Voided at: Record of Train I MoiW Movements In your working Limits I I Cheeklllherowere nittnlidfdolWmowmenladudnglhtoehffl. • Train#!MoIW C5NTRAL#3499 Time in: 08:36 Time Out: 09:07 Double Checklll Train#/MoIW MOFW Time In: 11:10 Time Out: 12:00 Double Chao/rill Train SI MotW Time in: Time Out: Double Check!! • Train#l MotW Time in: Time Out: Double Chooklll Train#/Mq(W Time In: Time Out: Double Check!!! Train#!MotW Time In: Time Out: Double Checkl/l Train#/MotW Time in: Time Out: Double Checklil Train.#l MolW Time,In: Time out: Double Check!!! Train#!MofW Time in: Time Out: Double Checklll Train#1 Mof W Time In: Time Out: Double Checklll Switch.Position Awareness Switch handled ID: Time restored to normal: Switch handled ID: Time restored to normal: Switch handled ID: Time restored to normal: Switch handled ID: Time restored to normal: • Record of Delays Authority#: OK Time: Clear Time: How long did you well for this: Additional notes: • Authority*: OK Time: Clear Time: How long did you wait for this: AddiUonel notes: Did the contractor cause any train delays? Yes: No: X Explain Delay: Ruiee Violations: Yes: No: X Reported to: &plain What happened: • Report Review/Signatures Th?s rep_rt Is ONLY to be signed at the alp of each shift end only when State!Contractor representative understands and agrees ah everytrrng contained In this regal,Including but rot Meted to START end END TIMES and DESCP.IPTIOH OF YSVR:<PERFORMED.Slate/Centrectar Represeite[va:DO ROT sign this report unless it is at the end of the shill wed unless you are to arrsmanl vets all of Sys above. State!Contractor Company Name: Representative Name: Sean Mcclafferty Knife River Materials Phone#: Reviewed By: ..14/ /111.6.."-- (541)944 8424 State/Contractor NRSS Flagman • Signature: Signature: —tet�`� • • • • • • • • • • • • .Pro oct Photos.:: • • Photo 1 • r._ Photo 2 -•Pot Holing,tnstalling conduit. Pot Holing Installing conduit • , r • 4a �.....g...r. •nem. _ 'a%.`"'^' n..>-e+ '2'.'' _.c 6 -t _. c . c r b *-.. " • Photo 3 Photo 4 •' Pot HoIIng,IneUllingcondult._ • PotHolinginitallingconduit r i• 1 yn s r • u a 1,a • �7}�y��� -cam f it 5 • 'Photo 5 - Photo• e' . • • • • • • • • • • RlACF. pwt3014020I • • • • • • • National Railroad Safety Services,Inc, _s_.,r�, RVdCkl diepo'l2a190}24 RW!CIEIC Railroad Flagman Daily Field Report l+dc NRSS Project II: N-2019.735 Date: 1110112019 NRSS Flagman: Brian Padilla Project N-2019.735 New Shift: X Relief Shift: Contractor: Knife River Materials Relieved FCI: Location: LaureVHershey Siert Time: 05:00 End Time: 17:45 Railroad: CENTRAL OREGON PACIFIC . Lunch: Travel Time: Subdivision: Slskiyou sub Total Hours Worked: 11.76 Milepost: MP.430 Number of People in Right of Way: 6 Timetable#: 12 Number of Equipment In Right of Way: 5 Daily Operating Bulletin: 305 Weather. Clear-Mostly General Orders In Effect: 6 High Temp: 72 Low Temp: 42 Work performed during this shift(If any) I ) check ticonhuloreuweled/nevershown!up.DesedbeIn delelrwhat a cerred.ifyou were requited(ashy dhbslle,afaie whylndforhewlang. Installing light poles,feeding cable through conduit . Job Briefings • Initial Job Briefing(s)perfumed? Yes IA No ID Mawr.Jab Briefingts)performed? Yee(X) Nog • Job bdepng(e)consisted of: Proper ppe,Inspecting equipment and pewerRland lads,barricade areas,pinch points,sUp bliss • Type of Ont Track Protection FortnBiCiD!Y DWalctimenlLcokout DTrack&Time , DDerails/Lockout i Individual Trek Detection .nTrack Warrant/Authority D out of sates 0704/707 , Track Warrant 9: Limits: Voided at: l Track Warrant II: Limits: Voided at• Track&Time#: • Limits: Voided al: Track&Tlme#: Limits: • Voided at . Form B 305 L#68 Limits: MP.429•MP.434 Voided al: 16:46 1 Form Limits: • Voided at: 704/707 Authority#: Limits: Voided at: . 704/707 Authority#: Limbs: Voided al: 1 Record of Train!MofW Movements In your working Limits (Xl aid When MPS no(rvfnIMolWmovemenladuring IN,MR. Train#1 MoIW Time In: Time Out: Double Checklfl I Train#/MoIW Time In: Time Out: Double Checkill Train 9!MOW Time In: Time Out: Double Check!!! Train///MofW Time In: Time Out: Double Checklfl Train if I MoIW Time In: - Time Oul: Double Checklfl Train#I MoIW Time In: Time Out: Double Checklfl Train#1 MofW Time In: Time Out: Double Check'II Train#I Mo1W lime in: Time Out: Double Check!!! Train#1 MoM Time In: Tithe Out: Double gheckill Train II i hloM/ Time In: Time Out: - Double Checkil/ •Switch Position Awareness Switch handled ID: Time restored to normal: . Switch handled ID: . Time restored to normal: Switch handled ID: Time restored to normal: Switch handled ID:. Time restored to normal: i Record of Delays • • Authority#: OK Time: Clear Time: How long did you wait for this: Additional notes: Authority#: OK Time: Clear Time: How long did you wait for this: Additional helot: 1 • Did the contractor cause any train delays? Yes: No: X I Expiefn Delay: • . i Rules Violations: Yes: No: X Reported:to: i 1 r • Explain what happened: I Report Review/Signatures i Tots report Is ONLY to be signed at the ENO of each shift and only when State I Contractor representative understands and agree;wth eve(ytn:ng contained In Ices tecert,Inducting but not Sthted to START and END TIMES and DESCRIPTION OF WORK PERFORMED.State/Contractor Representative:DO NOT sign this report unless it Is at the end of the shift and unless you are In agreement with ell of the above. • State/contractor Company Name: Representative Name: Sean Moclaffelty Knife River Materials Phone#: (541)944-5424 Reviewed By: -.1.141.1.—.-1/ State/Contractor NRSS Flagmagnatur : �J c� Signature: ..- --- Signature: �rl 1 11/0112019 Protect Photos ' Photo 1 Photo 2 Potholing,pothollnf,and Installing light polos Potholing, ,,F...,,..„...%-:,,,,.,..,..1 T r° 2.::,,C4,'.'..! v Y X '' Y Y X1.1 j h• IL.. 4J t tdx,s x_ " .1. tai ak.' --'t�- , � r,"Z"m-t. .az,.._ Photo 3 -. Photo 4 Dumping dirt,grading Potholing and Installing light poles r+ - '.j4:4'11-7.;.):1 II ,pi��p^- S_ „„;:;:r.---i.i---r5---• ......:,,. ..--Ir-- -3.---m- r....... .... _____ ..._.z......,...„..._„.: _ .. ti • [.. • ."-- P'-^ '-- ' . .d.'”,•:6••.‘-- .": ' •- ', :.,-• '.:1- 21 p1XiZ�CI` ' :i� {�i3.�'tr41.3fc:�AlRsr4 t.`.t.:,'. '', ,?. •,' "Ss1 Photo6 -- Photo° • • trAtcst shmuoto-o o1 • • L