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Home My WebLink About2003-215 CONT Chg Order #12 - LTM IncPROJECT: LOCATION: CONTRACTOR: CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO. 12 SISKIYOU BOULEVARD CONSTRUCTION DATE: OCTOBER 13, 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 I Quantity Unit Price Amount co i2 Item A Extra Sidewalk Removal at Walker/Mountain Lump Sum $2,624.09 $2,624.09 Item B Slurry over sewer pipe Garfield Lump Sum $143.52 $143.52 Item C Handrail installation on sidewalk across from SOU Lump Sum $9,236.20 $9,236.20 Item D Stop sign replacement Lump Sum $46.00 $46.00 Item E Unlocated water line on Iowa Lump Sum $236.20 $236.20 ItemF Dig out 6" water line at Siskiyou & Beach Lump Sum $1,318.60 $1,318.60 Item G Concrete removal at 39+ 100 Lump Sum $284.11 $284.11 Item H Extra manhole at 48+ 100 Lump Sum $1,146.00 $1,146.00 Item I Additional sidewalk closed signs Lump Sum $356.50 $356.50 Item J Damaged curb removal at Morse (Safeway Store) Lump Sum $560.26 $560.26 Original Contract Total this Change Order Previous Change Orders Revised Contract Total $3,277,662.80 $15,951.48 $78,O72.65 $3,371,686.93 The time provided for completion of this contract is increased by no calendar days. This document shall become an ame,~,~o the ~on~___~rovisions of the contract will apply;/ Recommended By: E~rgineer Approved By: Engineer Date Accepted By: LTM Incorporated PO Box 1145, Medford OR 97501 (~ontractor Date ENGINEERING Tel: §41 ~,88-5347 20 E. Main Street Fax: 541~!88-6006 Ashland, Oregon 97'520 TTY: 800-735-2900 www.ashland.or.us G:\pub-wrksteng\dept-admin\EN GIN E E RtPROJ ECT~1999/99-38 Change Orders/Schedule B/99-38 CO Sc B 12doc 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 Solicitation Process: Exempt [ ] 3 VVdtten Quo[es (copies attached) Sole Source [ X ] Invitation to Bid (copies on file) Less than $5000 ] Reques[ foe Proposal (copies on file) Services Only Description Total Cost Siskiyou Blvd Reconstruction Project $ ' 3,277,662.80 Ong,nal Co_n.t.~act Cost Change Orders 1 thru 11 $ 78,072.65 Previous Change Orders Change Order 12 - Itemized ~'~elow (Total $15.951 48) Extra sidewalk removal at Walker/Mountain $ 2,624.09 ItemA Slurry over sewer pipe at Garfield $ 143.52 ItemB Handrail installation on sidewalk across from SOU $ 9,238.20 Item C Stop sign replacement $ 45.00 Item D Jnlocated water line on Iowa Street $ 236.20 item E Dig out 6 inch water line at Siskiyou and Beach Street $ 1,315.60 ItemF Concrete removal at 39+100 $ 284.11 ~tem G Extra manhole at 48+100 $ 1,146.00 ItemH Additional sidewalk closed signs $ 356.50 Item l Damaged curb removal at Morse St. (Safeway S!~re) $ 560.26 Item J $ 3,371,686.93 REVISED CONTRACT Account Number 260.08.12.00.704200 Employee Signature: SuperviSor/Dept. Head Signature: . NOTE: By signing this requi~#~et]~c~m, I ce/~tha the above request meets with C~y of Ashland Solici#a§on Process ~equirements a~pd c~ be provided whet~ necessary LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-263 Description of work: Extra Sidewalk Removal Date: 7/22/2003 LABOR 9/10/2003 ST CT ST CT DATE CLASS NAME HOURS HOURS RATE RATE TOTALS 07/22/03 Operator VanEss 2.00 32.37 $64.74 07122103 Laborer Hotchkiss 2.00 27.74 $55.48 07/22/03 Foreman Easter 2.00 32.94 $65.88 07/22103 Teamster Fish 1.00 24.59 $24.59 07/23/03 Foreman Easter 1.00 32.94 $32.94 07/24/03 Operator VanEss 1.00 32.37 $32.37 07124/03 Laborer Hotchkiss 1.00 27.74 $27.74 07/24/03 Teamster ~Vidboom 1.00 24.59 $24.59 08101/03 Operator VanEss 1.00 32.37 $32.37 08/01/03 Laborer Luster 1.00 37.74 $37.74 09/02/03 Operator Marez 1.00 32.37 $32.37 09/02/03 Laborer McCu[loug 1.00 27.74 $27.74 09/02/03 Foreman Easter 1.0(3 32.94 $32.94 09/10/03 Foreman Easter 2.0¢ 32.94 $65.88 09/10/03 Operator VanEss 4.00 32.37 $129.48 09/10/03 Laborer Wilkerson 4.00 27.74 $110.96 09/10103 Teamster ? 3.75 24.5g $92.21 LABOR TOTAL $890.02 EQUIPMENT i:,DATE; 'i;~ ;DESCRIPTION ;: ; -NO,: HOURS RATE :TOTAL, 07/22/0~ JD 580SL Backhoe 110085 2.00 $27.23 $54.46 07/22/03 Pickup 20075 2.00 $8.25 $16,50 07~22~03 LTM 12yd super 31030 1.00 $32,75 $32.75 07~23~03 JD 580SL Backhoe 110085 1.00 $27.23 $27.23 07~24~03 LTM 10yd 31084 1.00 $30.23 $30.23 09~02~03 ID 410E Backhoe 110082 1.00 $29.07 $29.07 09/02/03 Pickup 20075 1.00 $8.25 $8.25 09/10/03 JD410E Backhoe 110081 4.00 $29.07 $116.28 09/10/03 Pickup 20075 2,00 $8.25 $16.50 09/10/03 LTM Transfer 31078 3.75 $47.94 $179.78 EQUIP. TOTAL $511.05 MATERIIALS I t , UNIT , ' TOTAL DEScRiPTioN QTY: UNIT I PRIDE ~ Discount I IMATERIAL TOTAL ) $0.00 ;ERVICES I MISC. INV~ DATE ,' DE.scRIPTION NO. AMOUNT TOTAL 07/22/03 Pacific Pipeline 1hr 164~g $55.0a $55.00 07/22/03 Ladybug Trucking 1hr 18162 $55.00 $55.00 07~24~03 Rental Backhoe 1hr 4779421 $131~00 $131.00 08/01/03 Ladybug Trucking .5hr 1816( $55.0C $55.00 08/01/03 Rental Backhoe 1hr 4779421 $131.0C $131.00 09~02~03 Jackie Cook 4.5hrs 15848 $330.0C $330.00 09~02~03 Richard Siemers Trucking 225hrs 15426 $123.75 $123.75 SERVICES TOTAL $880.75 Costs Subtotal (no markup) $2,281.82 Labor Mark-up 15% $133.50 Materials/Equipment/Service Mark-up 15% $208.77 Submitted by: Accepted by: TOTAL AMOUNT DUE John ~'~to, Jr '~onstr~tion Superintendent Date: a~ acta ~ $2,624.09 LTM DAILY EXTRA WORK REPORT Date: ~'- Z. g - o .~ Job Name: ,-'oreman: /~, ~.~-'/~*-77.¢~ Job No: CRAFT ST. Ot. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION SUPPLIER Q'rY, MISCELLANEOUS (SUB, HAULERS, MOBS) ~;~'//~-~/~/o z~/,,~'2.f ~,,~~ ,~,~,~f~ ~_ / //~ CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS /fo~'~ z.. Zco 7~- ~ ?A o,b o I RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT Job Name: Job No: CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION Of WORK MATERIALS USEC DESCRIPTION SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS / RENTALEQUIPMENT EQUIPMENTNO. HOURS H:/Contracting/Jenn's Reports, etc./Misc Forms/E)aiiy Extra Work Report LTM ~------ DAILY EXTRA WORK REPORT Date: ~2 - Z-3/_ ~, ~ Job Name: Foreman: 2~- ~2-z~-~ ~-~)-<: Job No: CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK / MATERIALS USED DESCRIPTION SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENTNO. HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS I H:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report ate: Foreman: LTM DAILY EXTRA WORK REPORT Job Name: Job No: CRAFT ST. QT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK U'/'~,'~ :~__ ~,~,?-~__ ,: ;~ ~ '~- ~ z · ~ ~ ,,, MATERIALS USED DESCRIPTION SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/Contracting/Jenn's Repot[s, etc./Misc Forms/Daily ~xtra Work Repcr~ ate: LTM DALLY EXTRA WORK REPORT Job Name: -"-oremam /1~. ~?¢.-¢¢,~ Job No: ,~0Z¢,2 / ,~ : ~; IU' CRAFT ST. 0% EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK I MATERIALS USED DESCRIPTION SUPPLIER MISCELLANEOUS (SUB, HAULERS, MOBS) "Il CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HO U/RS //~ ~"z / RENTALEQUIPMENT EQUIPMENT NO. HOURS H:/Contracting/.'enrVs P,e~}orts, etc.,'Miso Forms/Daily Extra Work Repor~ LTM DALLY EXTRA WORK REPORT Date: ~;'~ ~>~.~ Job Name: · oreman: ~ ~'-2'~7~-~ Job No: CRAFT ST. OT. i EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK .~. u~ ~ c ~.-~z sz,-,, ~- ~ MATERIALS USED DESCRIPTION SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) COMPANY EQUIPMENT EQUIPMENT NO. HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE ½:/Contracting/Jenn's Reports. etc,,MJsc Forms/Daily Extra ',a/orK qeport INVOICE ORIGINAL INVOICE 8/25/03 THANK YOU FOR RENTING FROM HERTZ! CUSTOMER NUMBER: 1219993 RES/QUOTE NUMBER: 6381770 DOCUMENT NUMBER: 477942%002 LTM INCORPORATED 3559 HAMRICK ROAD P.O. BOX 1145 MEDFORD, OR 97501-0231 SHIPPING ADDRESS: SISKIYOU RLVD 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: RENTAL START DATE: CLOSED BY: SALES REP: RENTAL DAYS: INVOICE FROM DATE: INVOICE THRU DATE: HC231043 1 - SISKIYOU BLVD THOMAS, JENN EASTER, R. HERTZ 7101/03 13:30 ROSA M HELLER TRAVIS GELBRICH 7/29/03 13:31 8/20/03 9:04 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 1560.00 1560.00 SALES ITEMS 3.50 3.50 TOTAL CHARGES 1563.50 1563.50 NET DUE 1563.50 Qty Equipment # Min Day Week 4 Week Amount 1 BACK/qOE/65- 74HP/4WD/EXTENDAHO 162.00 162.00 650.00 1950.00 1560.00 226058092 Make: CASE Model: 580L Ser ~: JJG0241146 Alt Eqp %: 226058092 HR OUT: 3476.50 HR IN: 3590.70 TOTAL: 114.20 HR CHG: **** ALSO SENT 24" TOOTH BUCKET ***** EATVIRONMENTAL RECOVERY FEES 6686000001 O~y 3.50 8/20/03 002 HERTZ CHARGE 1563.50 A discount of $390.00 has been applied. 0~ ~a~d sond bottom ortion with paymont. LTM INCORPORATED ': 'tU~25/¢0~'~ J" Customer Number: 1219993 3569 HAMRICK ROAD E~ ¥;. Document Number: 4779421-002 MEDFORD, OR 97501-0231 PLEASE PAY THIS AMOUNT: 1563.50 PROGRESS BILLING ORIGINAL INVOICE 8/26/03 THANK YOU FOR RENTING FROM HERTZ! CUSTOMER NUMBER: 1219993 RES/QUOTE NUMBER: 6381770 DOCUMENT NUMBER: 4779421-003 LTMINCORPORATED 3559 HAMRICK ROAD P.O. BOX 1145 MEDFORD, OR 97501-0231 SHIPPING ADDRESS: SISKIYOU BLVD JOBSITE ASHLAND, OR 97520 HERTZ LOCATION: 713 551RUSINESS PARK DR MEDFORD, OR 97504 541-770-3125 PO NUMBER: JOB NUMBER: ORDERED BY: SIGNED BY: DELIVERED BY: RENTAL START DATE: CLOSED BY: SALES REP: RENTAL DAYS: INVOICE FROM DATE: INVOICE THRU DATE: ORIGINAL ADJ HC231043 SISKIYOU BLVD THOMAS, JENN EASTER, R. 7/01/03 13:30 TRAVIS GELBRICH 24 7~29~03 8/26/03 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 EgUfl~aent # TAMPER/H¥~/6000-6999# 711061007 Make: STA_NLE¥ A d±scount of RENTAL CHARGES 720.00 TOTAL CHARGES 720.00 Week 900.00 NET DUE Min Day Week 100.00 100.00 300.00 Model: HS6019 Ser ~: 006019 $180.00 has been applied. 720.00 720.00 720.00 720.00 B Y: .................... Detach and send bottom portion with payment. LTM INCORPORATED 3659 HAMRICK ROAD P.O. BOX 1145 MEDFORD. OR 97501-0231 8/26/03 PLEASE Customer Number: 1219993 Document Number: 4779421-003 PAY THIS AMOUNT: 720.00 ] LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Description of work: Slurry Over Sewer Pipe LABOR Job No.: Date: 02271-264 7/22/2003 dATE I ST OT I ST 'CLASS NAME HOURS HOURS RATE °TI LABORTOTAL TO~A~0S.0o EQUIPMENT DESCRIPTION I EQUIP. NO. OF I t NO. HOURS RATE I EQUIP. TOTAL TOTAL $0.00 MATERIALS DATE I DEscRIPTIoN 07/22/031LTM Slurry UNIT c¥ UNIT PRICE J Discount J $41.60J MATER AL TOTAL TOTAL $124.80 $124.80 SERVICES / MISC. SERVICES TOTAL $0.00 Costs Subtotal (no markup) Labor Mark-up 15% Materials/EquipmentJService Mark-up 15% $124.80 $o.oo $18.72 Submi~ed by: Accepted by: TOTAL AMOUNT DUE J.~tit~ Jr- Co~/struction Superintendent $143.52 ate: ?oreman: LTM DALLY EXTRA WORK REPORT Job Name: ~/51~1 ~b~ ~ Job No: ~'ZZT/-- ~/ CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION SUPPLIER QTY, MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report ~d~ Incorporated An Equal Opportunity Employer ~ . : : "Rock So/id Quality and Service" TI=RM$: 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. · 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 Genera/Contractor P.O. BOX 1145, MEDFORD, OR 97501 www.ltminc.com CC@ #56603 CSLB #567735 CAUTION UNLOADING May cause eye or skin injury. Contains Port[and cement, Freshly mixed cement, mortar, concrete, or grout may cause skin injury. TAKE THESE PRECAUTIONS: 1. Avoid all contact with eyes. 2. Wear rubber boots and gloves, and avoid prolonged contact directly with skin or through porous materials. 3. In case of contact with skin or eyes, FLUSH THOROUGHLY WITH WATER. 4. If irritation pemists, get medical attention promptly. 5. Keep children away. CU~EN ,o5 ,o. NU..En zo%~)_. ~. Drivem are prohibited from delivering concrete except under the truck's own power, and where site conditions permit the safe and proper operation of his equipment. Drivers are not permitted to add water to the mix to exceed the maximum slump nor to go beyond the curb line, except upon the authori- zation of the customer and his acceptance of risk for any loss or damage. WATER ADDED AT CUSTOMER'S REQUEST gals. to full load gals. to 2/3 load gals. to 1/3 load Customer's Representative "WHERE WOULD YOU LIKE THE DRIVER TO WASH OUT?" DRIVER TRUC}( COMMERCIAL ~ANT[TY ~DERED PLANT RESIDENT;AL QUANTITY DELIVERED SLUMP ARRIVE JOB: USE OF CONCRETE TOTAL DELIVERY INSTRUCTIONS SPECIAL INSTRUCTIONS LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Description of work: Handrail Along Sidewalk LABOR DATE CLASS NAME HOuRs eTI HOURS ST RATE Job No.: Date: RATE LABOR TOTAL 0227%265 9/5/2003 TOTAsLoS.0o EQUIPMENT DATE DESCRIPTION EQUIP.NO. NO. OF I I HOURS RATE I EQu P. TOTAL TOTAL $0.00 MATERIALS I UNIT I I I DATE I DEsC~iPTi0N I QTYi UNIT I PRICE, MATERIAL l DiSC°unt ITOTAL, TOTAL$o. OOi SERVICES / MISC. I 4041/ $8',5'~5.001 / $8,5'~5.00 I /SERVlCES TOTAL ! $8,515.00 Costs Subtotal (no markup) $8,515.00 Labor Mark-up 15% $0.00 Materials/Equipment/Service Mark-up 15% $1,277.25 Submitted by: Accepted by: h~J~.~eO~ TOTAL AMOUNT DUE Jo struction Superintendent /~?'/,//(-.4~ ~ Date: ,¢~ 0~.~ ~ $9,792.25 PO Box 1104 Ph 541.826.1404 Eagle Point, OR 97524 Fax 541.826.1805 Where Quality & Service are Yours! Invoice BILL To: SHIP To: www.pro-weld.com CCB #121611 cad@ pro-weld.corn P.O.~ PROJECT TERMS REP SHIP VIA F.O.B. QTY CODE DESCRIPTION PRICE EACH AMOUNT CUSTOMER INVOICE ,$4, I Total PRO WELI] PO Box 1104 Ph 541.826.1404 Eagle Point, OR 97524 Fax 541.826.1805 Where Quality & Service are Yours! DATE ~1~t~ Invoice 404R BILL TO: M~d~ord, O~ 97501 SHIP TO: www.pro-weld.com cad@pro-weld.eom CCB #12161! PROJECT TE~S REP SHIP V~ F.O.B. QTY CODE DESC~ION ~CE ~CH ~OUNT CUSTOMER INVOICE LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Description of work: Replace Road Stop Sign LABOR DAT~ I ST OT CLAss NAME HOURS HOURS ST RATE Job No.: Date: °TI LABOR TOTAL 02271-267 8~6~2003 T°T%01 EQUIPMENT DATE t EQUIP. NO. HOURS ~EQUIP. TOTAL TOTAL MATERIALS DATE I I DESC~iPTi0N UNIT I UNIT I PRICE I DiSCOunt MATERIAL TOTAL TOTAl.. $o.ool SERVICES I MISC. 08/06/03/cantel Road Sign Replacement ii INV. I t I NO. AMOUNTJ ,, J 15830l $40.00/ I ISERVlCES TOTAL I TOT'~L J $,;,,b.ooI $4~.ooj Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $40.00 $0.00 $6.00 Submitted by: Accepted by: TOTAL AMOUNT DUE Joh¢~onstruction Superintendent $46.00 CANTEL OF MEDFORD, INC. 3981 CRATER LAKE HWY. MEDFORD OREGON 97504 (541) 773-2765 PO BO)( !145 Med£or dC (-IR 975~ Telephone: 54!-779-6304 Cu,st ID: 445 F' :e,3 e ~Iu rq bet ........ P, O. # HC2:3 ! ~. 3= ! Date: 8/ 6/e3 SALES CHARGES Sl13322 556 STOP SIGN Terms: Net 30 days from date of invoice. 11/2% per month will be charged if not paid within 30 days of invoice date. 3RISINAL THANK YOU - We Appreciate Your Busit'~e~! LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-270 Description of work: Unlocated Water Line on Iowa Date: 8/12/2003 LABOR I ST OT ST OT DATE S , NAME HOURS HOURS RATE i RATE TOTALS 08/12/03 Laborer Luster 1.00 37.88 $37.88 08/12/03 Laborer Hotchkiss 1.00 37.88 $37.88 08/11/03 Foreman Easter 2.00 44.60 $89.20 LABOR TOTAL $164.96 EQUIPMENT ~ , EQUIP. NO. OF DATE' i DESCRIPTION NO. HOURS RATE TOTAL 08)12103 Pickup 20075 1.00 $8.25 $8.25 08/12/03 2" Pump na 1.00 $4.07 $4.07 EQUIP. TOTAL $12.32 MATERIALS TOTAL, $o.oo SERVICES / MISC. 08)12/03/Rental Backhoe / / 48307971 ' $28'111 I J ~ ISERVICES TOTAL $28.11~ $28.111 Costs Subtotal (no markup) $205.39 Labor Mark-up 15% $24.74 Materiais/Equipment/Service Mark-up 15% $6.06 Submitted by: Accepted by: TOTAL AMOUNT DUE Jo~ Lotito,(0'~- Constru~ion Superintendent /~'~~~ ~ Date: $236.20 ate: Foreman: LTM DALLY EXTRA WORK REPORT Job Name: ~/'~,~/ >,'~.' ~:~..,..> ___ Job No: ~"~ ~-? f- ~_ '7 ~-' CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION SUPPLIER QTY. I MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANYEQUIPMENT EQUIPMENTNO. HOURS Z~o7~ / RENTALEQUIPMENT EQUIPMENT NO. HOURS H:lCon~ractinglJenn's Reports, etc./Misc Forms/Daily Extra Work Report PROGRESS BILLING ORIGINAL INVOICE 9/09/03 THANK YOU FOR RENTING FROM HERTZ! CUSTOMER NUMBER: 1219993 RES/QUOTE NUMBER: DOCUMENT NUMBER: 4830797-002 LTM INCORPORATED 3559 HAMRICK ROAD P.O. BOX 1145 M£DFORD, OR 97501-0231 SHIPPING ADORESS: SISKIYOU LAYDOWN YARD STADIUM ST.K ROAD ASHLAND, OR 97520 HERTZ LOCATION: 713 551 BUSINESS PARK DR MEDFORD, OR 97504 541-770-3125 PO NUMBER: JOB NUMBER: ORDERED RY: SIGNED BY: DELIVERED BY: RENTAL START DATE: CLOSED BY: SALES REP: RENTAL DAYS: INVOICE FROM DATE: iNVOICE THRU DATE: HC231172 SISKIYOU LAYDOWN THOMAS, JENN JENN THOMAS GALEN 7/15/03 6:00 WILLIAM CYPHER 24 9i09t03 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 1560.00 1560.00 TOTAL CHARGES 1560.00 1560.00 Equipment % Week 4 Week Amount NET DUE ~ [~)/~ C 1660.00 Min Da}, 1 BACKHOE/65-74HP/4WD/EXTENDAHO 162.00 162.00 650.00 1950.00 1560.00 226050147 Make: DEERE Model: 3!0E Set 0: T0310EX889182 HR OUT: 1202.50 HR IN: TOTAL: 1202.50 HR CHG: 1 BUCKET/12"/TRENCH/BACKHOE N/C 225923138 Make: CP Model: 12030-2 Ser #: 916633 Alt Eqp 0: LOADERBR40 A discount of $390.00 has been applied. BY: .................... Detach and send bottom portion with payment. LTM INCORPORATED 3559 HAMRICK ROAD P.O. BOX 1145 MEDFORD, OR 97501-0231 9109/03 Customer Number: 1219993 Document Number: 4830797-002 I PLEASE PAY THIS AMOUNT: 1560-00I PROGRESS BILLING ORIGINAL INVOICE 8126103 THANK YOU FOR RENTING FROM HERTZ! CUSTOMER NUMBER: 1219993 RES/QUOTE NUMBER: DOCUMENT NUMBER: 4668530-003 LTM INCORPORATED 3559 HAMRICK ROAD P.O. BOX 1145 MEDFORD, OR 97501-0231 SHIPPING ADDRESS: BILLING RANCH BILLING RANCH ASHLAND, OR 97520 HERTZ LOCATION: 713 551BUSINESS PARK DR MEDFORD, OR 97504 541-770-3125 PO NUMBER: JOB NUMBER: ORDERED BY: SIGNED BY: DELIVERED BY: RENTAL START DATE: CLOSED BY: SALES REP: RENTAL DAYS: INVOICE FROM DATE: INVOICE THRU DATE: HC230729 1 - BILLING RANCH THOMAS, JENN THOMAS, JENN 6tO3/03 6;O0 WILLIAM CYPHERS 24 7/29/03 RI26/03 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 73126~390 Qty 1 1 Equipment RENTAL CHARGES TOTAL CHARGES NET DUE 1560.O0 1560.O0 1560.00 1560.00 BACKHOE/65-74HP/4WD/EXTENDAHO 226059056 Make: CASE Model: 1560.OO Min Day Week 4 Week Amount 162.00 162.00 650.00 1950.00 1560.00 580L Set %: JJG0246636 HR OUT: 2034.00 HR IN: TOTAL: 2034.00 HR CHG: BUCKET/18"/TRENCH/BACKHOE 225930141 Make: SHJ~4ROCK Model: GBH18 Set ~: 388 N/c A discount of $390.00 has been applied. BY: .................... Detach and send bottom portion with payment, LTM INCORPORATED 3559 HAMRICK ROAD P.O. BOX 1145 MEDFORD, OR 97501-0231 8/26/O3 Customer Number: 1219993 Document Number: 4668530~)03 [ PLEASE PAY THIS AMOUNT: 1560'00I LTM Incorporated Time and Materials Billing Summa~ Project Name: SISKIYOU BLVD. Job No.: 02271-271 Description of work: Dig Out 6" Water Line Date: 8/14/2003 LABOR 8/15~2003 ST OT ST OT I DATE CLASS NAME HOURS HOURS RATE i RATE 'TOTALS 08/14/03 Laborer Luster 1.00 27.74 $27.74 08/14/03 Operator VanEss 1.00 32.37 $32.37 08/14/03 Foreman Easter 1.0a 32.94 $32.94 08/15/03 Operator VanEss 2.0¢ 32.37 $64.74 08/15/03 Laborer Mashmeyer 2.0¢ 27.74 $55.48 08/15/03 Foreman Easter 2.00 32.94 $65.88 LABOR TOTAL $279.15 EQUIPMENT , EQUIP, ' NO, OF DATE DESCRIPTION NO. HOURS RATE TOTAL 08/14/03 Pickup 20075 1.00 $8.25 $8.25 08/15/03 JD 410E Backhoe 110082 2.00 $29.07 $58.14 EQUIP. TOTAL $66.39 MATERIALS ' UNIT I ,,i UNIT ,DATE OESCRIPTION ' QTY, ,PRICE ~ Discount TOTAL 08/14/03 LTM Slurry 10 c¥ $38.60 $386.00 08/15/03 LTM Slurry 10 cy $38.60 $386.00 MATERIAL TOTAL $772.90 SERVICES / MISC. DATE I D,ESCRIPTION 08~14/031Rental Backhoe INV. t I NO. I AMOUNTJ 4668530J $29.07J / SERVICES TOTAL TOTAL $29,07 $29.07 Costs Subtotal (no markup) $1,146.61 Labor Mark-up 15% $41.87 Materials/Equipment/Service Mark-up 15% $130.12 Submitted by: Jo~"Lotito,/f3( - Con~;t~uction Superintendent $1,318.60 ate: :oreman: LTM DAILY EXTRA WORK REPORT ~ . J -.-~, Job Name: Job No: ~Z2~ 7 / Z. 7/ EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK i , ,_/~/:>:. ~) ~c/~5' / ~ ~',~-~'e-s~,~ ~, ~zsus~- MATERIALS USED DESCRIPTION SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:lContracting/Jenn's Reports, el.c,/Misc Forms/Daily Extra Work Report DALLY EXTRA WORK REPORT Date: ~-~ ~ Job Name: /~ ~--~"/~,?~<' Job No: Foreman: CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/ContractinglJenn's Reports, etc./M[sc Forms/Daily Extra Work Report ~J~ Incorporated An Equal Opportunity Employer "Rock Solid Quality and Service" TERMS: Net lOth 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 bllling. This Service Charge is an Annual Percentage Rate of 24%. Minimum Service Charge St.00. * 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.Jtminc.com CCB #56603 CSLB //567735 J CAUTION UNLOADING j 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. gals. to full load 4. If irritation persists, get medical attention promptly. ~als. 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?" SPECIAL INSTRUCTIONS ~~'d~ lncorporated An Equal Opportunity Employer ' . ~. .~ ~ i "Rock So/id Quality and Sen/ice" TERMS: Net 10th day of month following date of invoice, A late payment Service Chan3e 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 Sen/ice Charge $I.00. · 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 Genera/Contractor P.O. BOX 1145, MEDFORD, OR 97501 www.ltminc.corn 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 Icad 4. If irritation persists, get medical attention promptly, gals. to % Icad Customer's Representative 5. Keep children away. gals. to 1/3 Icad "WHERE WOULD YOU LIKE THE DRIVER TO WASH OU~. SOLe ~. OELI¥ER ~0 ~..~?? .~-~ .:i.,!.~i~ ~.:',!; 7~:~: ~TIW QUA~ QUANT~ PR~U~ PROOU¢ UNIT ~ ~ ~ ~ FHIS L~ ORDERED DELIVER~ CODE ~SCRI~N M~URE ~ ~ - ~ ,: ~ ,: ~ , DELIVERY INSTRUCTIONS SPECIAL INSTRUCTIONS PROGRESS BILLING ORIGINAL INVOICE 8126103 THANK YOU FOR RENTING FROM HERTZ! CUSTOMER NUMBER: 1219993 RES/QUOTE NUMBER: DOCUMENT NUMBER: 4668530-O03 LTM INCORPORATED 3559 HAMRICK ROAD P.O. BOX 1145 MEDFORD. OR 97501-0231 PO NUMBER: JOB NUMBER: ORDERED BY: SIGNED BY: DELIVERED BY: RENTAL START DATE: CLOSED BY: SALES REP: HCZ30729 I - BILLING RANCH THOMAS, JENN THOMAS, JENN 6/03/03 6:00 WILLIAM CYPHERS SHIPPING ADDRESS: BILLING RANCH BILLING RANCH ASHLAND, OR 97520 HERTZ LOCATION: 713 551 BUSINESS PARK DR MEDFORD, OR 97504 541-770-3125 RENTAL DAYS: INVOICE FROM DATE: INVOICE THRU DATE: 24 7129103 8/26/03 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 73126q3390 RENTAL CHARGES 1560.00 1560.00 TOTAL CHARGES 1560.00 1560.00 NET DUE 1560.00 Qty Equipment # Min Day Week 4 Week Amount 1 BACK~OE/65-74HP/4WD/EXTENDAHO 162.00 162.00 650.00 1950.00 1560.00 226059056 Make: CASE Model: 580L Ser ~: JJG0246636 HR OUT: 2034.00 HR IN: TOTAL: 2034.00 HR CHG: BUCKET/18"/TRENCH/BACKHOE 225930141 Make: SHAMROCK Model: GBH18 Ser #: 388 A discount of $390.00 has been applied. BY: .................... N/C Detach and send bottom portion with payment. LTM INCORPORATED 3569 HAMRICK ROAD P.O. BOX 1145 MEDFORD, OR 97501-O231 8/26/03 Customer Number: 1219993 Document Number: 4668530-003 PLEASE PAY THIS AMOUNT: 1560.00 PROGRESS BILLING ORIGINAL INVOICE 9/09/03 THANK YOU FOR RENTING FROM HERTZ! CUSTOMER NUMBER: 1219993 RES/QUOTE NUMBER: DOCUMENT NUMBER: 4830797-002 LTMINCORPORATED 3559 HAMRICK ROAD P.O. BOX 1145 MEDFORD, OR 97501-0231 SHIPPING ADDRESS: SISKIYOU LAYDOWN YARD STADIUM ST.K ROAD 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: RENTAL START DATE: CLOSED BY: SALES REP: RENTAL DAYS: INVOICE FROM DATE: INVOICE THRU DATE: ORIGINAL ADJ HC231172 1 - SISKIYOU LAYDOWN THOMAS, JENN JENN THOMAS GALEN 7/15103 6:00 WILLIAM CYPHERS 9i09/03 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 TOTAL CHARGES 1560.00 1560.00 Min Day 1560.00 1560.00 NET DUE 1560.00 Qty EquipmenH # Week 4 Week Amount 1 BACKHOE/65-74HP/4WD/EXTENDAHO 162.00 162.00 650.00 1950.00 1560.00 226050147 Make: DEERE Model: 3!0E Set #: T0310EX889182 HR OUT: 1202.50 HR IN: TOTAL: 1202.50 HR CHG: 1 BUCKET/12"/TRENCH/BACICHOE N/C 225923138 Make: CP Model: 12030-2 Set %: 916633 Alt Eqp #: LOADERBR40 A discount of $390.00 has been applied. 13Y: .................... Detach and send bottom portion with payment, LTMINCORPORATED 3559 HAMRICK ROAD P.O. BOX 1145 MEDFORD, OR 97501-0231 9/09/03 Customer Number: 1219993 Document Number: 4830797-002 PLEASE PAY THIS AMOUNT: LTM Incorporated Time and Materials Bitling Summary Project Name: SISKIYOU BLVD. Job No.: 02271-272 Description of work: Concrete removal 39+100 Date: 8/14/2003 LABOR 8/15/2003 STI OT STI OT DATE CLASS NAME HOURS HOUR§ RATE RATE TOTALS 08122103 Laborer Fay 2.00 27.74 $55.48 08/22/03 Operator VanEss 2.00 32.37 $64.74 08/22/03 Foreman Easter 1.00 32.94 $32,94 LABOR TOTAL $153,16 EQUIPMENT EQUIP. NO. OF , DATE : DESCRIPTION NO., HOURS RATE TOTAL 08/22/03 Pickup 20075 1.00 $8.25 $8,25 08/22/03 JD 410E Backhoe 110081 2.00 $29.07 $58.14 EQUIP. TOTAL $66.39 MATERIALS DATE:; ; DESCRIPTION QTY; UNIT I PRICE 1 DiSCOunt IMATERIAL TOTAL TOTAL $0.00 SERVICES I MISC. ~ :INV. ,DESCRIPTION NO. tAMOUNTI I TOTAL 08/22/031Richard Siemers / / 154201 $27'501 I $27'501 I / I | |SERVICES TOTAL I $27'501 Costs Subtotal (no markup) $247.05 Labor Mark-up 15% $22.97 Materials/EquipmentJService Mark-up 15% $14.08 Submitted by: Accepted by: TOTAL AMOUNT DUE J~(~ - Construction Superintendent /~,~ z,~-~ ~,- .~ Date: O~ ~_~,'-z~ $284.11 LTM DALLY EXTRA WORK REPORT Job Name: Job No: ~-~ ? / CRAFT ST, OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/Contracfing/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-274 Description of work: Extra Manhole @ 48+100 Date: 9/12/2003 LABOR ST OT ST OT DATE CLASS NAME HOURS HOURS RATE RATE TOTALS 09/12/03 Laborer F'a¥ 3.00 27.74 $83.22 08/22/03 Operator VanEss 3,00 32.37 $97.11 08/22/03 Foreman Easter 2.00 32.94 $65.88 LABOR TOTAL $246.21 EQUIPMENT DATE DESCRiPTioN EQU P NO. OF NO~ HOURS RATE J TOTAL 09/12/03 Pickup 20075 2.00 $8.25 $16.50 09/12/03 JD 410E Backhoe 110081 300 $29.07 $87.21 EQUIP. TOTAL $103.71 MATERIALS , UNIT DATE DESCRIPTION QTY, UNIT PRICE DiSCOunt TOTAL 09/12/03 LTM Concrete 2 c¥ $78.60 $157.20 09/12/03 Flattop, rings & lids 1 ea $286.40 $286.40 09/12/03 3034 Pipe 10 ft $2~30 $23.00 MATERIAL TOTAL $466,60 SERVICES / MISC. ~:DATE DESCRIPTION 09/12/031Leaser 0[ $180.00 ISERVICES TOTAL TOTAL I $180.00 $180.00 Costs Subtotal (no markup) Labor Mark-up 15% Materials/EquipmentJService Mark-up 15% $996.52 $36.93 $112.55 SubmiEed by: TOTAL AMOUNT DUE on Superintendent $1,146.00 :oreman: ,~. ~-"~¢~ ~ LTM DAILY EXTRA WORK REPORT Job Name: Job No: ¢ 27 ~- V- CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK I MATERIALS USED DESCRIPTION ~ SUPPLIER QTY. .,.¢~_.¢'~/,¢,--' / /~ MISCEL~NEOUS (SUB, HAULERS, MOBS) / ~ ~/~ ~/~ COMPANY EQUIPMENT EQUIPMENT NO. [ HOURS //,¢~ ¢-'/ _Z RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE ~d~ Incorporated An Equal Opportunity Employer "Rock Solid Quality and Service" 7 ~ :_ K E ? ~, : ~ '2 ~_ 2 ~ TERMS: Net 10th day of month follOWing date of invoice A late payment Service Charge 3! 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. R 88533 · 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 #567735 CAUTION UNLOADING May cause eye or skin injury. Contains Portland cement. Freshly Drivers am 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 ¥OU LIKE THE DRIVER TO WASH OUT?' ~USTOMER ID EO. NUMBER ZONE JOB NUMBER TIME DATE 6 00-1 0227i-Z'~ 12 SEP 2003 ~ ......... *'~u~ * ', iX MAP PiiAS£: ~ 6 JOHN TRUCK PLANT SLUMP DUE AT JOB USE OF CONCRETE ~ 1.~,. , DELIVERY iNSTRUCTIONS SPECIAL INSTRUCTIONS LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Description of work: Additional Sidewalk Closed Signs LABOR Job No.: Date: 02271-276 9/5/2003 DATE CLASS NAME ST HOURS ¸ OT HOURS ST RATE eTI RATE LABOR TOTAL EQUIPMENT I EQUIP, NO, OF J DATE DESCRIPTION NO. HOUR8 I RATE J IEQUIP. TOTAL TOTAL $0.00 MATERIALS DATE DESCRiPTioN : QTY. UNIT SERVICES / MISC. UNIT J PRICE Discount MATERIAL TOTAL TOTAL J $o.oo1 ::; NO. J AMOUNT 09/05/03JcantellSidewalk Closed SignsI 16014J $310.00, JSERV CES TOTAL TOTAL J $3io.ooj S310.001 Costs Subtotal (no markup) Labor Mark-up 15% Materiats/EquipmentJService Mark-up 1 5% $310.00 $0.00 $46.50 Submitted by: (~J~ / TOTAL AMOUNT DUE Jo~_ J.~on:truction S u~ri ntendent Accepted by: //(//~/(-./~"'.----"~ Date: $356.50 CANTEL OF MEDFORD, INC. 3981 CRATER LAKE HWY. MEDFORD, OREGON 97504 (541) 773-2765 Terms: Net 30 days from date of invoice. 11/2% per month will be charged if not paid within 30 days of invoice date. THANK YOU - We Appreciate Your Business! LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-282 Description of work: Damaged Curb Removal ,/4~ ~),4.. ~ ~-~/~,,~-----~--~ ~, v-~ Date: 9~24~2003 LABOR 9~25~2003 ST OT ST OT DATE CLASS NAME HouRS HOURS RATE RATE TOTALS 09/24/03 Foreman McClafferty 1.00 32.94 $32.94 09/24/03 Operator Marez 1.00 32.37 $32.37 09/25/03 Foreman McClafferty 1.00 32.94 $32.94 09/25/03 Operator Marez 2.00 32.37 $64.74 09/25/03 Laborer Co~ins 2.00 27.74 $55.48 LABOR TOTAL $218.47 EQUIPMENT DATE I:ilPCKup DESCRIPTION NO: HouRs RATE TOTAL 09/24/03 20600 1.00 $8.25 $8.25 09/24/03 JD 410E Backhoe 110081 1.00 $29.07 $29.07 09/25/03 Pickup 20600 1.00 $8.25 $8.25 09/25/03 JD 410E Backhoe 110081 2,00 $29.07 $58.14 EQUIP. TOTAL $103.71 MATERIALS UNIT ' ' / ' I ' I IMATERIAL TOTAL I $0.001 SERVICES / MISC. :DATE DESCRIPTION NO. AMOUNT TOTAL 09/24/03 Robert Lyons 15811 $110.00 $110.00 09/25/03 Richard Seimers na $55.00 $55.00 SERVICES TOTAL $165.00 Costs Subtotal (no markup) $487.18 Labor Mark-up 15% $32.77 Materials/Equipment/Service Mark-up 15% $40.31 Submitted by: Accepted by: Joh~.o~0, Jr - Construction Superintendent /~~ Date: $560.26 :"' 'EMAN: <~. LTM DALLY EXTRA WORK REPORT JOB NO: CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION Of WORK MATERIALS USED DESCRIPTION SUPPLIER I QTY MISCELLANEOUS (SUBS, HAULERS, MOBS) COMPANY EQUIPMENT EQUIP. NO./DESCRIPTION HOURS RENTAL EQUIPMENT EQUIP. NO./DESCRIPTION HOURS CUSTOMER SIGNATURE LTM DAILY EXTRA WORK REPORT JOB NO: CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK cA,,:'"' ~ t~""- ,_r- MATERIALS USED DESCRIPTION SUPPLIER I QTY MISCELLANEOUS (SUBS, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIP. NO./DESCRIPTION HOURS RENTAL EQUIPMENT I EQUIP. NO./DESCRIPTION HOURS 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: Page 1 /2 PO NUMBER 03742 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 BILL TO: Description THIS IS A REVISED PURCHASE ORDER BLANKET PURCHASE ORDER Contract for the Siskiyou Blvd Redesign Proiect 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, Change Order No. 1 - Additional Storm Pipe STA 37+75 Change Order No. 2 - Remove & Replace Inlet at Morton Change Order No. 3 - Storm Drain Crossing at STA 14+50 Union St Change Order No. 4 - Slurry backfill at Harrison Change Order No. 5 - Inclement Weather Stoppage 12/19/02 Change Order No. 6 - Remove PCC in Planter at Omars Change Order No. 7 - Broken Water Service at STA 37+00 Change Order No. 8 - Temporary Traffic Arrows Unit Price SUBTOTAL TAX FREIGHT TOTAL Ext. Price 3,277,662.80 3,139.00 658.95] 534.30 399~50 354.20 2,995.14 345.0@ 142.26 Account Number Amount Account Number Amount E 260.08.12.00.704200 _ 3,371,686.93 Authorized Signature- VENDOR COPY