HomeMy WebLinkAbout2003-155 CONT Chg Order #11 - LTM Inc CITY OF ASHLAND
DEPARTMENT OF PUBLIC WORKS
PROJECT:
LOCATION:
CONTRACTOR:
CONTRACT CHANGE ORDER NO. 11
SISKIYOU BOULEVARD CONSTRUCTION DATE: JULY 15, 2003
SISKIYOU BOULEVARD PROJECT NO~: 99-38, SCDL B
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 11
Item A 2" PVC for Signal Wiring Mountain Avenue Lump Sum $1,592.80 $1,592.80
Item B ADA Ramps & Truncated Domes Lump Sum $16,799.20 $16,799.20
Item C Remove Sidewalk Lump Sum $2,124.07 $2,124.07
Item D
Planter Modification at Ash]and Mote[ Lump Sum $5,653.04 $5,653.04
Item E Vault Lid at Beach Street Lump Sum $817.39 $817.39
Item F Storm Drain tie-in at Morton Street Lump Sum $1,485.57 $1,485.57
Item G 4" Area Drains at Rocket Photo & Yummycakes Lump Sum $207.28 $207.28
Item H Remove slab at Rocket Photo Lump Sum $1,074.91 $1,074.91
Item I Remove Extra Concrete Heller Driveway Lump Sum $206.43 $206.43
Item J Colored Curb Replacement in Parking Bump Outs Lump Sum $2,579.15 $2,579.15
Item K Regrade Curb Grade Lump Sum $1,881.59 $1,881.59
Item L Potholing Cantilever Signs Lump Sum $453.58 $453.58
ItemM Placement of Sod Lump Sum $10,813.00 $10,813.00
Item N Repairs at Ashland Family Practice Lump Sum $117.70 $117.70
Item O Landscape Maintenance Lump Sum $4,165.60 $4,165.60
RF[ Mountain View Landscaping Misc. Irrigation
Item P Line Repairs Lump Sum $2,740.00 $2,740.00
Original Contract
Total this Change Order
Previous Change Orders
Revised Contract Total
$3,277,662.80
$52,711.31
$25,361.34
$3,355,735.45
ENGINEERING Tel: 541488-5347
20 E. Main Street Fax: 541488-6006
Ashland, O on97520 TTY: 800-735-2900
www.a~h~and.or.us
G:\pub-wr~s\eng\dep~admin\E N G[NEE R\PROJ ECT~1999\99 38 CO Sc [~ 11.doc
The time provided for completion of this contract is increased by no calendar days, This document
shall become an amendmen/t to_the contract and all provisions of the contract will apply.
Approved By: ~.~/~: .,/gL O~
E~i~e~'/ Date
Accepted By: LTM Incorporated
PO Box 1145, Medford OR 97501
Date
ENGINEERING Tel: 541488-5347
20 E. Main Street Fax: 541488-6006
Ashland, Ore on 97520 TTY: 800-735-2900
www.as~land.or.us
G:\pub-wrks\eng\dept-admin\ENGIN EE R\PROJE CT~1999\99-38 CO Sc B 11doc
Project Name:
Description of work:
LABOR
LTM Incorporated
Time and Materials Billing Summary
SISKIYOU BLVD.
2" PVC for Signal Wiring
Job No.:
Date:
02271-227
01/29/2003
DATE
CLASS
HOURS S
LABOR TOTAL
EQUIPMENT
EQUIP.
DATE DESCRIPTION NO.
TOTALS
$0.00
NO. OF I I TOTAL
HOURS RATE I
EQUIp. TOTAL $o.ooI
MATERIALS
DESCRIPTION
UNIT
UNIT I I I
PRICE I Discount TOTAL
MATERIAL TOTAL $0.00
SERVICES / MISC.
DATE DESCRIPTION
01/29/03 Marca/Install 90' 2" PVC
INV.
NO;
/29/2003
AMOUNT
$1,448.00
SERVICES TOTAL
TOTAL
$1,448.0C
$1,448.00
Submitted by:
Accepted by:
Costs Subtotal (no markup) $1,448.00
Labor Mark-up 0% $0.00
Materials/Equipment/Services Mark-up 0% $0.00
Sub Mark-up 10% $144.80
TOTAL AMOUNT DUE
Superintendent
Date: //} U///,y ~ ~
$1,592.80
MAR CA ELECTRIC INC.
P.O. BOX 628 - COQUILLE, OREGON 97423
541~396~5271 F.,L,Y 541-396~3821
TO:
FROM:
DA TE:
PAGES:
JOE SOARES- LTM INC.
MARLENE
MARCH3, 2003
2
RE: EXTRA '$
1/29/03 INSTALL 90' 2" PVC FOR SIGNAL WIRING ON MOUNTAIN STREET.
EXISTING CONDUIT, CAN NOT MOVE WIRE.
BORE 90' ~ $14.00 $1,260.00
2" CONDUIT 90' ~ $2.54 FT $ 228,60
TOTAL $1,448.60
1/29/03 INSTALL 2000' OF 2" PVC FOR BUS SHELTER BETWEEN PALM AND
GARFIELD, TRENCH 660' OF DITCH FOR THIS CONDUIT. INSTALL 100' OF
IRRIGATION CONDUIT FOR POWER.
2"CONDUIT 2100' ~2.54 $5,334.00
BORE 660' ~ $14. O0 $9,240. O0
TOTAL 514,$74.00
--
z/11/o3 INSTALL I SO' X" CONDUIT FOR i~GaTION ON MORTON Sr~Zr
2"CONDUIT 150'~$2.$4 $ $81.00 j....~-.~.~
BORE 150' ~ $14.00 52,10a00
TOTAL
52,481.00
Project Name:
Description of work:
LABOR
LTM Incorporated
Time and Materials Billing Summary
SISKIYOU BLVD.
ADA Ramps and truncated domes
Job No.: 02271-230
Date: 3/7/2003
7/8/2003
DATE
CLASS
NAME
ST
HOURS
CT
HOURS
CT
ST RATE TOTALS
RATE
LABOR TOTAL $0.00
EQUIPMENT
EQUIP. NO. OF I I
DATE DESCRIPTION NO. HOURS RATE I
EQU P. TOTAL
MATERIALS
TOT'~L0.00
UNIT
DATE DESCRIPTION QTY. UNIT PRICE Discount TOTAE
04/10/03 E. Plastics-Truncated domes 24x48 74 ea $176.00 $13,024.00
04/10/03 E. Plastics-Truncated domes 24x72 6 ea $26400 $1,584.00
MATERIAL TOTAL $14,608.00
SERVICES / MISC.
INVi
DATE
DESCRIPTION
¸NO.
AMOUNT
SERVICES TOTAL
Submitted by:
Accepted by:
Costs Subtotal (no markup) $14,608.00
Material Mark-up 15% $2,191.20
LabodEquipment/Services Mark-up 0% $0.00
- C~,fCstruction Superintendent
/~~ .-- Date:
$16,799.20
Armor+Tile
Tactile Systems
ENGINEERED PLASTICS INC
INVOICE
10-Apr-08
L T M General Contractors Inc
P.O, Box 1145
Medford, Oregon
97501
Ship To:
Re:Supply and Delivery of Detectable Warning Tile
Invoice # 2588
EPI Job # 9996
PO HC250215
Curb Ramp Tiles~
Quantity
Item Description Ordered
1 Supply and Delivery 74
Part No. ADA-C2448GR
24"x 48"x 1 3/8"
2 Supply and Delivery 6
Pad No. ADA-C2472GR
24" x 72" x 1 3/8"
Unit Total
Price Invoice
176.00 $13,024.00
264.00 $1,584.00
Sub-Total
$14,608.00
Total This Invoice
Payment Terms: Nel 30 days
2003
I $14,6°8-001
ADVANCED TECHNOLOGY IN TACTILE WARNING AND GUIDANCE FLOOR TILES
ENGINEERED PLASTICS INC. · 300 International Drive, Suite 100 · Williamsville, NY 14221 · Tel (800) 682 2525, Fax (800) 769-4463
www. armor-tile.com
LTM Incorporated
Time and Materials Billing Summary
Project Name: SISKIYOU BLVD. ¢).,,jt,~ Job No.: 02271-234
Description ofwork: Remove Sidewalk~,~Mc
Date: 03/14/2003
LABOR 04/02/2003
DATE: CLASS; NAME: HOUR~; HOURS ~TE ;RATE
TOTALS
03/14/03 Foreman Miller 1.50 32.94 $49.41
03/14/03 Operator Thoren 1.50 32.37 $48.56
03/14/03 Laborer Faye 1.50 27.74 $41.61
03/14/03 Teamster Allen 2.25 24.5§ $55.33
03/18/03 Foreman McClaffert~ 1.00 32.94 $32.94
03/18/03 Foreman Webb 2.00 32.94 $65.88
03/18/03 Laborer Faye 2.00 27.74 $55.48
03/18/03 Laborer Luster 1.00 27.74! $27.74
03/18/03 Teamster Fish 2.00 24.59 $49.18
03/18/03 Teamster Fulton 2.00 24.59 $49.18
03/19/03 Foreman Webb 2.00 32.94 $65.88
03/19/03 Laborer Luster 2.00 27.74 $55.48
03/19/03 Teamster Fulton 2.00 24.59 $49.18
03/26/03 Foreman McClaffert¥ 1.00 32.94 $32.94
03/26/03 Operator Marez 3.0( 32.37 $97.11
03/26/03 Laborer Farris 2.00 27.74 $55.48
03/16/03 Teamster Johnson 3.00 24.59 $73.77
03/31/03 Laborer Faye 1.00 27.74 $27.74
03/31/0; Foreman Easter 1.00 32.94 $32.94
04/02/03 Foreman McClaffert¥ 1.50 32.94 $49.41
04/02/03 Foreman Webb 1.00 32.94 $32.94
04/02/0; Laborer Faye 1.00 27.74 $27.74
LABOR TOTAL $1,075.9'1
EQUIPMENT
DATE DESCRIPTION NO;; HOURS RATE TOTAL
03/14/0; Pickup 20124 1.00 $8.25 $8.25
03/14/03 Cat 312 Excavator 150700 1.00 $45.00 $45.00
03/14/03 LTM Tub 32013 2.25 $44.36 $99.81
03/18/03 iPickup 20123 1.00 $8.25 $8.25
03/18/03 Cat 312 Excavator 150700 2.00 $45.00 $90.00
03/18/03 LTM Bobtail 31050 2.00 $30.23 $60.46
03/18/03 LTM Bobtail 21030 2.00 $30.23 $60.46
03/19/03 Cat 312 Excavator 150700 2.00 $45.00 $90.00
03/19/03 LTM Bobtail 31050 2.00 $30.23 $60.46
03/26/03 Pickup 20123 1.00 $8.25 $8.25
03/26/03 JD 410E Backhoe 110083 3.00 $29.07 $87.21
03/26/03 LTM Bobtail 31058 3.00 $30.23 $90.69
03/31/03 JD410E Backhoe 110081 1.00 $29.07 $29.07
04/02/03 Pickup 20123 0.50 $8.25 $4.13
04/02/03 JD 410E Backhoe 110083 1.00 $29.07 $29.07
I I I I IEQUIP. TOTAL I $771.111
MATERIALS
MATERIAL TOTAL
$0.00
SERVICES / MISC.
SERVICES TOTAL $0.00
Costs Subtotal (no markup) $1,847.02
Labor Mark-up 15% $161.39
Materials/Equipment/Services Mark-up 15% $115.67
Submitted by:
Accepted by:
Q c~ TOTAL AMOUNT DUE
Jo~,,~ Jr -~Construction Superintendent
/"~'.,.~/--'/."~ Date: /~ J~c ~
/--
$2,124.07
LTM Incorporated
Time and Materials Billing Summary
Project Name: SISKIYOU BLVD. Job No.: 02271-235
Description of work: Planter Modification
,¢¢~q-f,~¢~ ~ ~ FeeL. Date: 03~20~2003
LABOR 03/26/2003
ST OT ~ OT
DATE CLASS NAME HOURS HOURS RATE RATE TOTALS
03/20/03 Foreman McClafferty 3.00 32.94 $98.82
03/20/03 Operator Marez 4.0( 32.37 $129.48
03/20/03 Laborer Luster 800 27.74 $221.92
03/20/03 Laborer Faye 4.00 27.74 $110.96
03/20/03 Teamster Fulton 1.00 24.59 $24.59
03/21/03 Foreman Easter 1.00 32.94 $32.94
03/21/03 Operator Marez 1.50 32.37 $48.56
03/21/03 Laborer Luster 8.00 27.74 $221.92
03/21/03 Laborer Faye 1.50 27.74 $41.61
03/24/03 Laborer Luster 800 27.74 $221.92
03/25/03 Foreman McClaffert¥ 1.00 32.94 $32.94
03/25/03 Foreman Webb 3.0(3 32.94 $98.82
03/25/03 Laborer Faye 3.00 27.74 $83.22
03/25/03 Laborer Luster 8.00 27.74 $221.92
03/25/03 Teamster Johnson 3.50 24.59 $86.07
03/26/03 Foreman McClaffert¥ 0.50 32.94 $16.47
03/26/03 Laborer Luster 3.00 27.74 $83.22
04/24/03 Foreman Easter 1.00 32.94 $32.94
04/24/03 Laborer Marboe 1.00 27.74 $27.74
04/24/03 Laborer McCullou¢ 1.00 27.74 $27.74
04/28/03 Foreman Miller 7.50 32.94 $247.05
04/28/03 Laborer Luster 7.50 27.74 $208.06
04/28/03 Laborer Marboe 5.50 27.74 $152.57
04/28/03 Operator Thoren 2.00 32.37 $64.74
04/29/03 Foreman Miller 5.00 32.94 $164.70
04/29/03 Laborer Luster 8.00 27.74 $221.92
04/29/03 Operator Thoren 0.50 32.37 $16.19
04/29/03 Laborer Marboe 4.00 27.74 $110.96
04/30/03 Foreman Miller 4.00 32.94 $131.76
04/30/03 Laborer Luster 4.00 27.74 $110.96
04/30/03 Laborer Marboe 4.00 27.74 $110.96
LABOR TOTAL $3,403.65
EQUIPMENT
EQUIP. NO, OF
DATE DESCRIPTION NO~ HOURS RATE TOTAL
03/20/0,' Pickup 30123 3.00 $8.25 $24.75
03/20/03 JD 410E Backhoe 110081 3.00 $29.07 $87.21
03/20/03 Pickup 20102 2.00 $8.25 $16.50
03/20/03 Cat 160H Grader 60098 1.00 $62.65 $62.65
03/20/03 LTM Transfer 31058 1.00 $47.94 $47.94
03/21/03 Pickup 20078 1.00 $30.23 $30.23
03/21/03 JD 410E Backhoe 110081 1.50 $29.07 $43.61
03/25/03 Pickup 20123 1.00 $8.25 $8.25
03/25/03 JD 410E Backhoe 110083 3.00 $29.07 $87.21
03/25/03 LTM Transfer 30158 3.50 $47.94 $167.79
03/26/03 Pickup 20123 0.50 $29.07 $14.54
04/24/03 Pickup 20078 1.00 $8.25 $8.25
04/24/03 JD 410E Backhoe 110081 1.00 $29.07 $29.07
04/28/03 Pickup 20124 7.5(3$8.25 $61.88
04/28/03 JD 410E Backhoe 110083 2.00 $29.07 $58.14
04/29/03 Pickup 20124 5.0(3$8.25 $41.25
04/29/03 JD 410E Backhoe 110083 0.50 $29.07 $14.54
04/30/03 Pickup 20124 2.00 $8.25 $16.50
04/30/03 JD 410E Backhoe 110083 2.00 $29.07 $58.14
EQUIP. TOTAL $878.43
MATERIALS
UNIT
DATE DESCRIPTION QTY. UNIT PRICE Discount TOTAl.
03/26/03 LTM Geotextile Fabric 83 s¥ $0.32 $26.56
04/28/03 Cascade Block/Versa Lock 1 ea $607.05 $607.05
MATERIAL TOTAL $633.61
SERVICES / MISC.
DATE DESCRIPT ON
SERVICES TOTAL
T°T~
$o.ooI
Costs Subtotal (no markup) $4,915.69
Labor Mark-up 15% $510.55
Materials/Equipment/Services Mark-up 15% $226.81
Submitted by: ~
Accepted by:
,~.~ TOTAL AMOUNT DUE
Lc~lt~o, Jr - Construction Superintendent
~ Date:
$5,653.04
LTM Incorporated
Time and Materials Billing Summary
Project Name: SISKIYOU BLVD. Job No.: 02271-242
Description of work: Vault Lid
Date: 4/23/2003
LABOR 7/8/2003
DATE ;C~SS NAME HOURS HOURS RATE RATE TOTALS
05/06/03 Laborer Luster 2.50 27.74 $69.35
05/06/03 Foreman Easter 2.50 32.94 $82.35
LABOR TOTAL $151.70
EQUIPMENT
DATE;
05/06/03
MATERIALS
JD 410 Backhoe 110083
HOURS2.50EQuRATE$29'071p. TOTALII : TOTAL$29.071529.071
05/05/031Allied Concrete-vault lid
QTY. TOTAL
UNIT UNIT
PRICE Discount
$475.00I
each
MATER AL TOTAL
$475.00
$475.00
iERVICES / MISC.
DATE DESCRIPTION
05/06/03 10¥r Truck
INV,
NO.
AMouNT
$55.00
SERV CES TOTAL
TOTAL
$55.00
$55.00
Costs Subtotal (no markup)
Service Mark-up 15%
Materials/EquipmenFLabor Mark-up 15%
$710.77
$8.25
$98.37
Submitted by:
Accepted by:
$817.39
ALLIED CONCRETE PRODUCTS, INC.
P.O. BOX 5325
CENTRAL POINT, OR
97502-0053
Phone: 541-664-4571
BILL TO
P.O. BOX 1145
MEDFORD, OR 97501
Invoice
DATE INVOICE
5/5/2003 491
ooo
P.O. NO. TERMS PROJECT
~.'L~"~D~t ~) Net30 ,#490 SISKIYOU &...
ITEM QUANTITY DESCRIPTION RATE AMOUNT
SISKIYOU BLVD & BEACH ST-
ASHLAND
CUSTOM LI... I CUSTOM LID - FOR EXISTING WATER 475.00 475.00
VAULT - TAN COLOR
Thank you for your business Gus & Dino Total $475.00
LTM Incorporated
Time and Materials Billing Summary
Project Name: SISKIYOU BLVD, Job No.: 02271-243
Description of work: Storm Drain Tie In
~o¢.,r~ 5Tt/.~ c~,~¢.. Date: 04~29~2003
LABOR
ST OT ST OT
DATE CLASS NAME HOURS HOURS RATE RATE TOTALS
04/29/03 Foreman Easter 6.00 32.94 $197.64
04/29/03 Operator Thoren 4.00 32.37 $129.48
04/29/03 Laborer Faye 6.00 27.74 $166.44
04/29/03 Laborer Marboe 4.0( 27.74 $110.96
LABOR. TOTAL $604.52
EQUIPMENT
EQUIP. NO. OE
DATE DESCRIP'DION NO. HOURS RATE TOTAL
04/29/03 Pickup 20078 6.00 $8.25 $49.50
04/29/03 JD 410E Backhoe 110083 4.00 $29.07 $116.28
EQUIP. TOTAL $165.78
MATERIALS
DATE DESCRIPTION
04/29/031LTM 2sk Slurry
Cy $38.60I
MATERIAL
Discount TOTAL
TOTAL
$193.00
$193.00
SERVICES / MISC.
INV
DATE DESCB P~ON NO. AMOUNT TOTAL
04/29/03 STI Transport Leaser 42903 $110.00 $110.00
04/29/03 Hertz Rental Air Compressor 4541278 $218.50 $218.50
SERVICES TOTAL $328.50
Costs Subtotal (no markup) $1,291.80
Labor Mark-up 15% $90.68
Materials/Equipment/Services Mark-up 15% $103.09
Submitted by:
Accepted by:
$1,485.57
~d~lncorporated
An Equal Opportunity Employer '~" r ..... ~ ~
"Rock Solid Quality and Service"
TERMS: Net 10th day of month following date of invoice. A late payment Service Charge
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.
CAUTION
· TELEPHONE ·
Concrete and Rock Dispatch ................ (541) 779-2303
Concrete Store ............................ (541) 282-0656
Operations and Asphalt ..................... (541) 770-2960
Administration and Business ................. (541) 779-6304
General Contractor P.O. BOX 1145, MEDFORD, OR 97501
www.ltminc,com CCB #56603 CSLB #5677R~
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, gals. to 2/3 load Customer's Representative
5. Keep children away. gals. to 1/3 load "WHERE WOULD YOU LIKE THE DRIVER TO WASH OUT?"
~USTOMER I0 RD. NUMBER ZONE JOB NUMBER TIME DATE
600-1 02271-243 29 APR 2003
SOLD TO DELIVER TO
I.'Ti"l, ~'r~(. !.:L~:t~! ~, ~F~R'FC:!F~ ,~':;~LA~,~[', ~ t..,'~..t ..... ,_'i~ UI:' 'Z~ 71~'~;'>
THIS LOAD ORDERED DELtVERED CODE DESCRIPTION MEASURE PRICE PRICE
DELIVERY INSTRUCTIONS
'~,L INSTRUCTIONS
TET:I"tS t 0~,~ ACC'f
INVOICE
ORIGINAL INVOICE
5101103
THANK YOU FOR RENTING FROM HERTZ!
CUSTOMER NUMBER: 1219993
RES/QUOTE NUMBER:
DOCUMENT NUMBER: 4941278-001
LTM INCORPORATED
3559 HAMRICK ROAD
P.O. BOX 1145
MEDFORO, OR 97501-0231
SHIPPING ADDRESS:
SIS KIYOU BLVD
JOBSITE
ASHLAND, OR 97520
HERTZ LOCATION: 713
551 BUSINESS PARK DR
MEDFORD, OR 97504
541-770-3125
PO NUMBER:
JOB NUMBER:
ORDERED BY:
SIGNED BY:
DELIVERED BY:
i RENTAL START DATE:
CLOSED BY:
SALES REP:
RENTAL DAYS:
INVOICE FROM DATE:
INVOICE THRU DATE:
HC230437
1 - SISKIYOU BLVD
THOMAS, JENN
THOMAS, JENN
CUSTOMER
4/28/03 7:30
ROSA M HELLER
TRAVIS GELBRICH
2
4/28/O3 7:31
4129103 17:O0
ORIGINAL ADJ TOTAL
PAYMENT TERMS ARE NET 10 DAYS
Customer is responsible for FUEL, FLATS, DAMAGE and
CLEANUP FEES.
LATE CHARGES MAY APPLY
FOR CUSTOMER SERVICE AND BILLING
INQUIRIES CALL 1-800-456-6492
DIRECT PAYMENT TO:
HERTZ EQUIPMENT RENTAL
P.O. BOX 26390
OKLAHOMA CITY. OK 73126-0390
RENTAL CHARGES
SALESITEMS
TOTAL CHARGES
NET DUE
216.O0
2.50
BY: ....................
216.00
2.50
218.50
Qty Equipment # Min
218,50
Day Week 4 Week Amount
1 COMPRESSOR/185CFM/DSL/PORTABL 90.00 90.00 275.00
006181835 Make: I-R Model: P!85WJDR Ser ~: 323409
825. O0 144. O0
HR OUT: 222.10 HR IN: 234.10
ENVIRONMENTAL RECOVERY FEES
1 AIR HOSE 3/4" X 50'
0030038
1 BREAKER/60-69~/AIR
013608065 Make: KENT Model:
Alt Eqp ~: 013608065
4/29/03 001 HERTZ C~GE
A discount of
TOTAL: 12.00 HR CHG:
6686000001
45.00 45.00 105.00
123R Ser ~: 63515
$54.00 has been applied.
2.50
N/C
305.00 72.00
218.50
Detach and send bottom portion with payment.
LTMINCORPORATED
3559 HAMRICK ROAD
P.O. BOX 1145
MEDFORD, OR 97501-0231
5/01/03
Customer Number: 1219993
Document Number: 4541278-001
I PLEASE PAY THIS AMOUNT: 218.50
LTM Incorporated
Time and Materials Billing Summary
Project Name: SISKIYOU BLVD. Job No.: 02271-244
Description of work: 4" area drains ~
y~ wut, t,c/~ ~ ~__-/~.~...%~ Date: 4~28~2003
LABOR 71812003
ST OT ST OT I
DATE:: ~SS NAME ROD'S HOURS RATE RATEI TOTALS
05/02/03 Laborer Fay 1.00 27.74 $27.74
05/02/03 Foreman Easter 1.0C 32.94 $32.94
LABOR TOTAL $60.68
EQUIPMENT
DATE DESCRIPTION
05~02~03 1/2 ton pickup
MATERIALS
EQUIP.20 I NO'OF I I TOTAL
NO-078 HOURS RATE t
1.00 $8.25[ $8.25
EQU P. TOTAL $8.25
DATE DESCRIPTION
Pipe-pvc, C.
05102103 United Basin w/grate
QTY; I ;UNIT I PRICE I Disc°untl
1 L/S $111.311
MATER AL TOTAL
TOTAL
$111.31
$111.31
SERVICES / MISC.
SERVICES TOTAL
TOTAL
$o.oo
Submitted by:
Accepted by:
Costs Subtotal (no markup)
Labor Mark-up 15%
Materials/Equipment/Services Mark-up 15%
John L,~_ ,~r - Construction Superintendent
/~~ Date:
$180.24
$9.10
$17.93
$207.28
LTM Incorporated
Time and Materials Billing Summary
Project Name: SISKIYOU BLVD. .X~'' Job No.: 02271-245
Description
of work: Remove Slab @ Rocket Photo~.~'t ~V~
,¢~'~ '/~fY"/ Date: 05/01/2003
LABOR
05/02/2003
:ST OT ST OT
DATE CLASS NAME HOURS HOURS RATE RATE TOTALS
05/01/03 Laborer Fay 1.50 37.88 $56.82
05/01/03 Laborer Woolley 1.50 37.88 $56.82
05/01/03 Operator Marez 0.50 1.50 32.37' 43,77 $81,84
05/01/03 Laborer Farris 0,50 1.50 27.74 37.88 $70.69
05/01/03 Laborer Marboe 1.50 37.88 $56.82
05/01/03 Foreman Easter 0.50 1.50 32.94 44.60 $83.37
05/02/03 Operator Marez 2.00 32,37 $64,74
05/02/03 Laborer Farris 2.00 27.74 $55,48
05/02/03 Laborer Fay 2.00 27.74 $55.48
05/02/03 Foreman Easter 1,00 32,94 $32.94
LABOR TOTAL $615.00
EQUIPMENT
EQUIP. NO; OF
DATE DESCRIPTION NO; HOURS RATE TOTAL
05/01/03 1/2 ton pickup 20078 2.00 $8.25 $16.50
05/01/03 LTM Air Compressor 160088 1.00 $12.27 $12.27
05/01/03 JD 410E Backhoe 110081 2.00 $29.07 $58.14
05/02/03 1/2 ton pickup 20078 1.00 $8.25 $8.25
05/02/03 JD 410E Backhoe 110081 2.00 $29.07 $58.14
EQUIP. TOTAL $153.30
MATERIALS
UNIT
ton
[D~E ' ,D, ESCRIPTION
05/02/03 R. Agg/3/4 -0 Crushed Rock
12.13
UNIT I
PRICE Discount
$4.65
MATERIAL TOTAL
TOTAL
$56.40
$56.4O
SERVICES / MISC.
DATE
05/02/03
Ladybug Trkg/Leaser
50203 $110.00
SERV CES TOTAL
TOTAL
$110.00
$110.00
Costs Subtotal (no markup)
Labor Mark-up 15%
Materials/Equipment/Services Mark-up 15%
$934.70
$92.25
$47.96
Submitted by:
Accepted by:
jo~J~ TOTAL AMOUNT DUE
n Superintendent
Date: /,¢ J',.~ c.,~.~
$1,074.91
LTM Incorporated
Time and Materials Billing Summary
Project Name: SISKIYOU BLVD. Job No.: 02271-249
Description of work: Remove extra concrete
~ I;;~.( ¢'~J~"'( .z,~4--c~ Date: 05~07~2003
LABOR 07/08/2003
DATE CLASS I NAME ST OT ST oT
HOURS HOURS RATE RATE TOTALS
05/07/03 Laborer FaF 2.00 27.74 $55.48
05/07/03 Foreman Easter 2.00 32.94' $65.88
LABOR TOTAL $121.36
EQUIPMENT
~,~.~ ~, o,., r- ,,J,, EQUIP. NO. OF
110083 2.00 $29.07I
05/07/03 JD 410 Backhoe NO. HOURS RATE
EQU P. TOTAL
TOTAL
$58.14
$58.14
MATERIALS
DATE J JUN;iT I
DESOR!PT!ON Q~. UNiT ~RiCE J DisC°unt TOTAL
MATER AL TOTAL $0.00
~ERVICES / MISC.
DATE DESCRIPTION
AMOUNT I TOTAL
SERVICES TOTAL $0.00
Costs Subtotal (no markup) $179.50
Labor Mark-up 15% $18.20
Materials/Equipment/Services Mark-up 15% $8.72
Submitted by:
Accepted by:
¢.~~ TOTAL AMOUNT DUE
otito, Jr - Construction Superintendent
~ Date: ~/~ c ~ ~
$206.43
Project Name:
Description of work:
LABOR
LTM Incorporated
Time and Materials Billing Summary
SISKIYOU BLVD. Job No.:
Colored curb replacement in parking bump outs
Date:
02271-250
05/08/2003
07/08/2003
CLASS NAME ST CT ST OT
DATE HOURS HOURS ~TE ~TE
LABOR TOTAL
EQUIPMENT
DESCRIPTION
EQUIP. NO. OF
NO. HONES I
EQUIP. TOTAL
TOTAL
$o.oo
MATERIALS
DATE
DESCRIPTION
UNIT
PRICE Discount
MATERIAL TOTAL
TOTAL
$o,oo
SERVICES / MISC.
INV.
DATE DESCRIPTION NO. AMOUNT TOTAL
04/30/03 Purd¥/16" colored 430 $1,544.25 $1,544.25
04/30/03 Purd¥/18" non colored 430 $792.00 $792.00
SERVICES TOTAL $2,336.25
Submitted by:
Accepted by:
Costs Subtotal (no markup)
Labor Mark-up
Materials/Equipment/Services Mark-up
Sub Contract Mark-up
Sub Contract Mark-up
£~ J,,,...../'/~/ TOTAL AMOUNT DUE
Lotito, Jr - Construction Superintendent
~ Date:
$2,336.25
15% $0.00
O% $0.00
I O% $2OO.OO
8% $42.90
$2,579.15
LTM Incorporated
Time and Materials Billing Summary
Project Name: SISKIYOU BLVD. Job No.: 02271-252
Description of work: Regrade curb grade
Date: 5/20/2003
LABOR 7/9/2003
DATE G~SS NAME ' HOURS HOURS ~E;: RATE TOTALS
05/20/03 Foreman Easter 3.00 32.94 $98.82
05/20/03 Laborer Farris 3.00 27.74 $83.22
05/21/03 Foreman Miller 1.00 32.94 $32.94
05/21/03 Laborer Farris 8.00 27.74 $221.92
05/21/03 Operator Buck 8.00 32.37 $258.96
05/22/03 Foreman Miller 4.00 32.94 $131.76
05/22/03 Laborer Farris 4.00 27.74 $110.96
05/22/03 Operator Buck 4.00 32.37 $129,48
05/02/03 Laborer Luster 3.50 27.74 $97.09
LABOR TOTAL $1,165.15
EQUIPMENT
EQUIP. NOiOf
DATE DESCRIPTION NO. HOURS RATE TOTAL
05/20/03 Pick up 20075 1.0C $8.25 $8.25
05/20/03 JD 410 Backhoe 110081 3.50 $29.07 $101.75
05/21/03 Pick up 20124 1.00 $8.25 $8.25
05/21/03 JD 410 Backhoe 110081 8.00 $29.07 $232.56
05/22/03 Pick up 20124 4.00 $8.25 $33.00
05/22/03 JD 410 Backhoe 110081 3.00 $29.07 $87.21
EQUIP. TOTAL $471.02
MATERIALS
DESCRIPTION
DATE
QTY. UNITMATERPBiCE IU'NIT AL TOTALDiSc°un~ I; TOTALs0.001
;ERVICES / MISC.
DATE
DESCRIPTION
;iNV.NO. AMOUnt
SERV CES TOTAL
TOTAL
$o,ooI
Costs Subtotal (no markup) $1,636.17
Sub Contract Mark-up 10% $0.00
Sub Contract Mark-up 8% $0.00
Materials/EquipmentJLabor Mark-up 15% $245.42
TOTAL AMOUNT DUE $1,881.59
Submitted by:
Accepted by:
John Loti.~ - Construction Superintendent
/~/'~¢-z- t~/,,~ Date:
LTM Incorporated
Time and Materials Billing Summary
Project Name: SISKIYOU BLVD. Job No.: 02271-253
Description of work: Potholing Cantilever Sign~
/~-~/~4 Date: 5/28/2003
LABOR 7/8/2003
DATE ;C~SS NAME HOURS HOURS :~TE RATE TOTALS
05/29/03 Laborer Bailey 4.00 27.74 $110.96
05/29/03 Foreman Anderson 4.06 32.94 $131.76
LABOR TOTAL $242.72
EQUIPMENT
EQUIP: NO. OF
DATE ~ES~E]PTiON NO HOU RS BATE TOTAL
05/29/03 1 ton flatbed pickup 20128 4.00 $17.30 $69.20
05/29/03 Ditch witch 140600 1.50 $55.00 $82.50
EQUIP. TOTAL $151.70
MATERIALS
DATE DESCRIPTION QTY.
UNIT
PRICE Discount
MATERIAL TOTAL
TOCL'
$O.0ol
SERVICES / MISC.
DATE DESCRIPTION
IN,No; AMOUNT TOTAL
SERVICES TOTAL I $0.001
Submitted by:
Accepted by:
Costs Subtotal (no markup)
Labor Mark-up 15%
Materials/E~uipment/Services Mark-up 15%
· t , / TOTAL AMOUNT DUE
Jo~, Jr - Construction Superintendent
~/,~/~¢"/f"" . Date: /~ J~' (, a~
$394.42
$36.41
$22.76
$453.58
LTM Incorporated
Time and Materials Billing Summary
Project Name: SISKIYOU BLVD.
Description of work: Placement of sod
LABOR
DATE CLASS HOURS
;RATE
Job No.: 02771-254
Date: 7/3/2003
7/8/2003
OT
TOTALS
LABOR TOTAL $0.00
EQUIPMENT
DATE J
DESCRIPT ON
IEQUIP, NO, OFI ~OTAL
NO. : HOURS RATE I
EQUIP. TOTAL $0.00
MATERIALS
DATE
DESCRIPTION
QTY. UNIT TOTAL
UNIT PRICE I DisCount
MATERIAL TOTAL $0.00
SERVICES /MISC.
DATE DESCRiPTiON NO; AMouN~; TOTAL
05/30/03 Mountain View-add sod $9,975.00 $9,975.00
SERVICES TOTAL $9,975.00
Costs Subtotal (no markup) $9,975.00
Sub Contract Mark-up 10% $200.00
Sub Contract Mark-up 8% $638.00
Materials/Equipment/Labor Mark-up 0% $0.00
Submitted by:
Accepted by:
/ TOTA, AMOU.T DUE
;~/~to, J~ Construction Superintendent
Date: /~ Jv~ ~, S
$10,813.00
LTM Incorporated
Time and Materials Billing Summary
Project Name: SISKIYOU BLVD.
Description of work: Repairs at Ashland Family Practice
LABOR
DATE CLASS NAME
IST OT
Job No.: 02271-258
Date: 7/8/2003
7/9/2003
LABOR TOTAL $0.00
EQUIPMENT
DESCRIPTION
;EQUIP. NO. OFI I
HouRS RATE I
NO. EQU P. TOTAL
TOTAL
$0.00
MATERIALS
DATE
MATERIAL TOTAL $0.00
SERVICES / MISC.
INV.
DATE DESCRIPTION NO. AMOUNT TOTAL
06/30/03 Mountain View-repairs $107.00 $107.00
SERVICES TOTAL $107.00
Submitted by:
Accepted by:
Costs Subtotal (no markup) $107,00
Sub Contract Mark-up 10% $10.70
Sub Contract Mark-up 8% $0.00
Materials/EquipmentJLabor Mark-up 15% $0.00
ito, Jr - Construction Superintendent
/
Date:
TOTAL AMOUNT DUE $117.70
LTM Incorporated
Time and Materials Billing Summary
Project Name: SISKIYOU BLVD. Job No.: 02271-260
Description of work: Landscape Maintenance
Date: 7/8/2003
LABOR 7/9/2003
OT
DATE CLASS HOURS PATE RATE TOTALS
LABOR TOTAL $0.00
EQUIPMENT
I EQ~!P. NO, OF
DATE DESCRIPTION NO, HOURS RATE TOTAL
EQUIP. TOTAL $0.00
MATERIALS
QTY,: :UNIT: :PRIcE I Discount
MATER AL TOTAL
TOTAL
$0.00
SERVICES / MISC.
06~30~03 Mountain View-maintenance $4,165.60 $4,165.60
SERVICES TOTAL $4,165.60
Costs Subtotal (no markup)
Sub Contract Mark-up 10%
Sub Contract Mark-up 8%
Materials/EquipmentJLabor Mark-up 15%
$4,165.60
$0.00
Submitted by:
Accepted by:
~~Construction
TOTAL AMOUNT DUE
Superintendent
Date: /~ J~ 0 ~
LTM Incorporated
Time and Materials Billing Summary
Project Name: SISKIYOU BLVD. Job No.:
Description of work: RFI Mountain View Landscaping
LABOR
r OT I ST
ST HOURS RATE R~E
E : L*SS "*ME
LABOR TOTAL
02271-423
7/7/2003
7/8/2003
TOTALS
$o.ooI
EQUIPMENT
EQUIP: NO. OF
DATE DESCRIPTION NO. HOURS
RATE
EQU P. TOTAL
TOTAL
$o.oo
MATERIALS
DATE
DESCRIPTION
UNIT
UNIT {
PRICE Discount
MATERIAL TOTAL
TOTAL
$o.oo
SERVICES / MISC.
DATE
06~30~03 RF
DESCRIPTION TOTAL
Mountain View Landscaping
INV.
NO. AMOUNT
$2,500.00.
SERVlCES TOTAL
$2,500.00
$2,500.00
Submitted by:
Accepted by:
Costs Subtotal (no markup) $2,500.00
Labor Mark-up $0.00
Materials/EquipmentYServices Mark-up $0.00
Sub Contract Mark-up 10% $200.00
Sub Contract Mark-up 8% $40.00
J~/~~st:uction Superintendent Date:
/
$2,740.00
CITY OF ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
CITY RECORDER'S COPY
DATE
07 0i/ 003 I
Page 1 /2
03742
VENDOR: 000100
LTM INC
P O BOX 1145
MEDFORD, OR 97501
SHIPTO: Ashland Public Works
(541) 488-5587
27-1/2 N MAIN STREET
ASHLAND, OR 97520
FOB Point:
Terms: Net 10th of Month
Req. Del. Date: 12/01/2002
Special Inst:
Req, No.:
Dept.: PUBLIC WORKS
Contact: Paula Brown
Confirming? No
Quantity Unii ,: Description Un t Price Ext. Price
THIS IS A REVISED PURCHASE ORDER
B~NKET pURCHASE ORDER
Contract for the Siskiyou Bird Redesign 3 277 662.80
' ~r&iect 99-38B, This~ requisition iS
applicable to Bid Schedule B ONLY
Bid
Start Date D~ember 1, 2002
Completion Date: December 30, 2003
n~brance renu red/0n file
Revised purchase order 03/20/2003, 3,139.00
' change order No. 1 -Addition~l Storm
Pipe STA 37+75
chan~e order NO. 2 - Remove & Rep]ace 658.95
Inlet at Morton
Chan~e order No, 3 - Storm Drain 534.30
Crossing at STA 14+50 Union St
I Chanfle Order No 4 -Slurrv backfill at 399.50
Harrison
' change Order No 5 - Inclement Weather 354.20
Stoppage 12/19/02
change Order No 6 - Remove PCC n 2 995.14
Planter at Omars
Change Order No, 7- Broken Water 345 09
Service at STA 37+00
Change Order No 8 ~ Temporarv Traffic 142.26
Arrows
SUBTOTAL
BILL TO: TAX
FREIGHT
TOTAL
E 260.08.12.00.704200 3,355,735.45 __
Authorized Signature VENDOR COPY
CITY OF ASHLAND
20 E MAIN ST.
ASHLAND, OR 97520
(541) 488-5300
VENDOR: 000100
LTM INC
P O BOX 1145
MEDFORD, OR 97501
FOB Point:
Terms: Net 10th of Month
Req. Del. Date: 12/01/2002
Special Inst:
Chan.qe Order No. 9 - Dewater n.q Medians
Rev]~d P~rchaSe order 05/t3/2003
Order No. 10. Items A-
detailed list)
Revised purchase erder 08/01/2003
Chan~le Order No 11, Items A-I (Please
~ee ~ttached requ Sition for detailed
list)
Page 2 / 2
~NU~ ~
o3742"]
SHIP TO: Ashland Public Works
(541) 488-5587
27-1/2 N MAIN STREET
ASHLAND, OR 97520
Req. No.:
Dept.: PUBLIC WORKS
Contact: Paula Brown
Confirming? NO
142.10
16,650.80
52~711.31
BILL TO: Account Payable
20 EAST MAIN ST
541-552-2010
ASHLAND, OR 97520
SUIBTOTAL
TAX
FREIGHT
TOTAL
3,3551735.451
3,355,735.45J
~thorized Signatu~' VENDOR COPY
A request for a Purchase Order
REQUISTION FORM
THIS IS A REQUEST FOR A:
[ X ] Change Order (existing PO# 3742 Schedule B)
CiTY OF
-ASHLAND
Date of Request:
Required Date of Delivery/Service~
Vendor Name: LTM INCORPORATED
Address: PO BOX 1145
City, State, Zip MEDFORD OR 97501
Project Title: SISKIYOU BOULEVARD RECONSTRUCTION
Project Number: 99-38
Services Only
Solicitation Process: I
Exempt [ ] 3 Wdtten Quotes (copies /
attached)
Sole Souroe [ X ] tnwtation to Bid (copies on
Description Total Cost
Siskiyou Blvd Reconstruction Project $ 3,277,662.80 Odginal Contract Cost
Change Orders 1 thru 10 $ 28,361.34 PmviousChange On:lets
Change Order No~tems A - I Lisied Below ($52,711.31 )
PVC for signal wiring $ 1,592.80 ItemA
ADA Ramps and Truncated Domes $ 16,799.20 ~temB
~emove sidewalk $ 2,124.07 RernC
~lanter modfiication at Ashtand Mote~ $ 5,653.04 Item D
Cault lid at Beach Street $ 817.39 ItemE
Storm drain tie in at Morton Street $ 1,485.57 ffem F
Area Drains at Rocket Photo $ 207.28 Item G
Remove slab at Rocket Photo $ 1,074.91 ItemH
Remove extra concrete at Heller driveway $ 206.43 Item I
Colored curb replacement in parking bump 9_u.[s ...... $ 2,579.15 llern J
Regrade curb grade ................ $ 1,B8t.$9 ItemK
Potholing ca nitlever sig ns $ 453.58 ItemL
Placement of sod $ t0,813,00 ItemM
Repairs at Ashland Family Practice $ 117.70 It~mN .......
Landscape maintanance $ 4,16~.60 IlemO
Misc. Irrigation line repairs Moutain View Landscaping $ 2,740.00 Item P
$ 3,358,735.45 REVISED CONTRACT
Account Number 260.08.12.00.704200
- Supervisor/Dept. Head Signature:
Employee Signature:
/