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HomeMy WebLinkAbout2004-011 CONT Chg Order #13 - LTM Inc CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS CONTRACT CHANGE ORDER NO. 13 PROJECT: SISKIYOU BOULEVARD CONSTRUCTION DATE: LOCATION: SISKIYOU BOULEVARD PROJECT NO.: CONTRACTOR: LTM INCORPORATED JANUARY 2, 2004 99-38, SCDL B 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 C0' 3~::/ " ......... ' '"~' '' '"":: ' " .... Item A Repair Sewer Services Lump Sum $95.00 $95.00 Item B AC Driveway Ramp Removal Lump Sum $2,946.52 $2,946.52 Item C City Cold Patch Removal Lump Sum $1,700.00 $1,700.00 Item D Omar's Second Sewer Repair Lump Sum $464.63 $464.63 Item E Remove Inlet at Liberty and Rebuild Existing Lump Sum $487.47 $487.47 Item F Concrete Additive at Morning Glory Driveway Lump Sum $201.25 $201.25 Item G Roof Drain Tie in to Catch Basin Lump Sum $226.27 $226.27 Item H Remove Curb at Union and Siskiyou Lump Sum $228.80 $228.80 Item I City Damage Irrigation Repairs Ashland Motel Lump Sum $5,986.48 $5,986.48 Item J Irrigation at Safeway Store Lump Sum $1,760.00 $1,760.00 Item K Colored Inlet Tops Lump Sum $3,172.00 $3,172.00 Item L Retaining Wall at Beach Street Lump Sum $414.17 $414.1 7 Item M Remove Inlet at Iowa Street Planter Lump Sum $126.24 $126.24 Item N Irrigation Sleeves Under Sidewalk Lump Sum $225.40 $225.40 Item O Sewer Repair at Omar's Lump Sum $1,885.84 $1,885.84 Original Contract Total this Change Order Previous Change Orders Revised Contract Total $3,277,662.80 $20,460.07 $94,024.13 $3,392,147.00 ENGINEERING Tel: 541-488-5347 20 E. Main Street Fax: 541-488-6006 Ashland. Oregon 97520 TTY: 800-735-2900 www.ashland.or, us \\COMPAQ1\DATA\GOV~pub-wrks\eng\dept-admin\ENGINEER\PROJECT11999\99-38 Change Orders\Schedule B\99-38 CO Sc B 1 The time provided for completion of this contract is increased by no calendar days. This document shall become an amendment to the contract and all provisions of the contract Recommended By: Engin.e,ee~" / D Approved By: g~~neer~ /-'z..2~,/o,~ Date Accepted By: LTM Incorporated PO Box 1145, Medford OR97501 Contractor Date ENGINEERING Tel: 541488-5347 20 E. Main Street Fax: 541488-6006 Ashland, Oregon 97520 TTY: 800-735-2900 ww~v,ashland.or, us \\COMPAQ1\DATA\GOV~pub-wrks\eng\dept-adrnin\ENGINEER\PROJEC'R1999\99-38 Change Orders\Schedule B\99-38 CO Sc B 1 A request for a Purchase Order REQUISTION FORM THIS IS A REQUEST FOR A: [ X ] Change Order (existing PO# 3742 Schedule B) CITY OF SHLAND Date of Request: Required Date of Delivery/Service: Vendor Name: Address: City, State, Zip Project Title: Project Number: LTM INCORPORATED PO BOX 1145 MEDFORD OR 97501 SISKIYOU BOULEVARD RECONSTRUCTION 99-38 ] Exempt it ] 3 Written Quotes (copies !attached) ] Sole Source i X ] Invitation to Bid (copies on ~ile) ] Less than $5000 } Request for Proposal (copies :~n file) Services Only Description Total Cost Siskiyou Blvd Reconstruction Project $ 3,277,662.80 Original Contract Cost Change Orders 1 thru 12 $ 94,024.13 Pre~iou~.Change orders Change Order 13 - itemized Below (Total $20.460.07~ Repair Sewer Service AC Driveway Ramp Removal City Cold Patch Removal Omar's Second Sewer Repair Remove Inlet at Liberty and Reb_u!!c[..L.xi[st. in9 ...... Concrete Additive at Morning GloW Driveway Roof Drain Tie in to Catch Basin Remove Curb at Union and Siskiyou City Damage Irrigation Repairs Ashland Motel 95.00 Ilem A $ 2,946,52 Item $ 1,700.00 Item C $ 464.63 ~tem O $ ~t87.47 Item E ' 201.25 Item 226.27 Item G : ' $ 228,80 Item H $ 5,986.48 Item I Irrigation at Safeway Store $ '1,760.00 Item J Colored Inlet Tops I $ 3,712.00 Iter~K .R~taining Wall at Beach Street $ 414.17 Item L Remove Inlel at Iowa Street Planter $ 126.24 ItemM 22'~].'40 I~emN Irrigation Sleeves Under Sidewalk $'. ' Sewer Repair at Omar's $ t,885.8~ l'ltem O .: $ 3,392,t47.00" REVISEDCONTRACT Account Number 260.08.12.00.704200 Employee Signature: 7~-~ ~~ Supervisor/Dept. Head Signature: / LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-277 Description of work: Repair Sewer Services ~f~l O~ ~g~ 1~1/~'~ Date: 8~27~2003 LABOR DATE .' CI"ASS : NAME HOURS," HOURS RATE RATE : TOTALS 08/27/03 Laborer Luster 4.00 27.74 $110.96 08/27/03 Laborer Fay 1.00 27.74 $27.74 08/27/03 Laborer McCullough 1.00 27.74 $27.7~ LABOR TOTAL $1~.44 EQUIPMENT EQUIP. TOTAL $0.00 MATERIALS MATERIAL TOTAL $0.00 SERVICES / MISC. 08/27/03 Sewer Services $90.00 (F $90.00 SERVICES TOTAL~ $90.00 Costs Subtotal (no markup) $256.44 Labor Mark-up 15% $24.97 Materials/Equipment/Service Mark-up 15% $13.50 Submitted by: Accepted by: TOTAL AMOUNT DUE f,.~n I~ Superintendent Date: /~ ~'-~_~ ~ LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-286 Description of work: AC Driveway Ramp Removal Date: 10/2/2003 LABOR 10/3/2003 ::~ DATE% :.~;":'! C~SS.',. :,,i,;:: NAME".:.. FLOURS : HO'URS !;. I~. R/~TE'. RATE TO:T. AES',.; 10/02/03 Foreman McClafferty 2.00 0.50 32.94 44.60 $88.18 10/02/03 Foreman Easter 8.00 0.50 32.94 44.601 $285.82 10/02/03 Operator Marez 8.00 0.50 32.37 43.77 $280.85 10/02/03 Laborer Coggins 8.00 0.50 27.74 37.88 $240.86 10/02/03 Laborer Wilkerson 8.00, 0.50 27.74 37.88 $240.86 10/02/03 Laborer McCullough 8.00 0.50 27.74 37.88 $240.86 10/02/03 Teamster 'Johnson 1.25 24.59 $30.74 10/02/03 Laborer McCullough 8.00 27.74 $221.92 10/03/03 :Operator Marez 1.00 32.37 $32.37 10/03/03 Teamster Johnson 2.25 31.35 $70.54 LABOR TOTAL $1,732.99 EQUIPMENT , ...... .~ ~,,,:~'" .... ,; :;:.DESCRIPTI:ON':~;!::~,,..:;,~::.~,',::.,, ,?:. ;. :?i;i,:...!NO,;¥:.;;.' ..... H:OLiRS~,:i~, J'i.'!;i: :L:~TEi!::.;.i, ::' :..~...~ :,i~::':i',,?:'";i','i.. . ~?::':!;:; TO..TAE::'iii~:;:,:,,, 10/02/03 Pickup 20600 2.50 $8.25 $20.63 10/02/03 JD 410E Backhoe 110081 6.00 $29.07 $174.42 10/02/03 J D 580SL Backhoe 110085 6.00 $27.23 $163.38 10/02/03 LTM Transfer 31058 1.25 $47.94 $59.93 10/03/03 LTM Transfer 31058 2.25 $47.94 $107.87 10/03/03! JD 410E Backhoe 110081 1.00 $29.07 $29.07 EQUIP. TOTAL $555.29 MATERIALS ".T '"'"~ ........... ......... ' ........... ~'" "~: I '::i[=:. DA~ E:':':.':?: ~"..,:UNIT:~.~; :i,PR.CE;!;'"I D!fl,,C,,ount:',.' , :, ,.:.,.;;., :~ '.,.,,DESCR PTIQN,,.; :i,,.' :.',~,',~ ~'' "":":: MATERIAL TOTAL $0.00 SERVICES / MISC. 10/03/03 Rental Broom na $160.40 $160.40 10/03/03 Rental DD24 Roller 5069892 $113.52 $113,52 SERVICES TOTAL $273.92 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $2,562.20 $259.95 $124.38 Submitted by: Accepted by: TOTAL AMOUNT DUE _~tito,C"~- Construction Superintendent ~ Date: /.~ ~2~-~(.~ '~ $2,946.52 INV°lLiCE FROM HERTZ. CUSTOMER NUMBER: 1219993 RES/QUOTE NUMBER: DOCUMENT NUMBER: 5069892-001 LTM INCORPORATED 3559 HAMRICK ROAD P.O. BOX 1145 MEDFORD, OR 97501-0231 SHIPPING ADDRESS: AIRPORT CONSTUCTION GATE 15 MEDFORD, OR 975010231 HERTZ LOCATION: 713 551 BUSINESS PARK DR MEDFORD, OR 97504 PO NUMBER: JOB NUMBER: ORDERED BY: SIGNED BY: DELIVERED BY: RENTAL START DATE: CLOSED BY: SALES REP: INVOICE FROM DATE: INVOICE THRU DATE: HC232057 I - AIRPORT CONSTUCT THOMAS, JENN HERTZ 9/22/03 12:00 9/22/03 12:01 10/10/03 16:51 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 A_ND BILLING INQLTIRIES CALL 1-800-456-6492 DIRECT PAYMENT TO: HERTZ EQUIPMENT RENTAL P.O. BOX 26390 OKLAHOMA CITY, OK 73126-0390 Equipment # Min Day Week 4 Week Amount ROLLER/RIDE/3-TON/VIBRAT/SMO0 195.00 195.00 600.00 085032003 Make: I-R Model: DD-24 Ser #: 170391 Alt Eqp ~: 649029129 HR OUT: 283.70 HR IN: 287.80 TOTAL: 4.10 ENVIRONMENTAL RECOVERY FEES 6686000001 SALES ITEMS: Qty Item.number Unit Price 1 TRANSPORTATION - DELIVERY EA 25.000 3710000001 MOVE ROLLER FROM AIRPORT TO ASHLAND $25 4.3 REFUEL EA 3.150 4041000001 10/10/03 001 HERTZ CHkRGE A discount of $360.00 has been applied. 1800.00 1440.00 OCT 2 3 2003 3.50 25.00 13 .55 1532.05 CONTINUED Detach and send bottom portion with payment. LTM INCORPORATED 10115/03 3559 HAMRICK ROAD P.O. BOX 1145 MEDFORD, OR 97501-0231 Customer Number: Document Number: 1219993 5069892-001 LTM DAILY EXTRA WORK REPORT Date: \ O ~ "~ - ¢~) ~ Job Name: Foreman: '~ ~('v~ c C 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:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT Date: ~(~-~ '7..-' O'~ Job Name: Foreman: 5', ~,,,c_-C_ ~,~,.~C'~_.~ 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:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM Incorporated Time and Materials Billing Summary Project Name: SlSKIYOU BLVD. ~Job No.: 02271-287 Description of work: City Cold Patch Removal (~ Date: 10/1/2003 '%- LABOR DATEi~:i,:' CI_A.S'S'.r ;i~:;NAME HOURS . HOURS RATE' "RATE' :. , ":' 'ToTALs." 10/01/03 Foreman McClafferty 2.00 2.50 41.22 56.26 $223.09 10/01/03 Foreman Easter 2.00 2.50 41.22 56.26 $223.09 10/01/03 Operator Marez 2.00 2.50 40.03 54.'52 $216.36 10/01/03 Operator VanEss 2.00 40.03 54.52 $109.04 10/01/03 Laborer Fay 2.00 2.50 27.74 37.88 $150.18 10/01/03 Laborer Coggins 2.00 2.50 27.74 37.'88 $150.18 10/01/03 LabOrer Luster 1.50 37.88 $56.82 10/01/03 Laborer Wilkerson 2.00 27.74 $55.48 LABOR TOTAL $1,184.24 EQUIPMENT 10/01/03 Pickup 20600 4.50 $8.25 $37.13 10/01/03 JD 410E Backhoe 110081 4.50 $29.07' $130.82 10/01/03 JD 580SL Backhoe 110085 4.50 $27.23 $122.54 EQUIP. TOTAL $290.48 MATERIALS MATERIAL TOTAL $0.00 SERVICES / MISC. 10/01/03 Rental Broom na $155.40 $155.40 SERVICES TOTAL $155.40 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $1,630.12 $177.64 $66.88 $1,874.63 iqoo. oO LTM DAILY EXTRA WORK REPORT 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 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-288 Description of work: Omars Second Sewer Repair Date: 10/6/2003 LABOR DATE,:~:!,:i. ;i'CLASS;;{',' NAME:;~ HouRS'i. 'HOURS i: RATE ': ..... RATE.i:' : TOTALS 10/06/03 Foreman McClafferty 1.50 32.94 $49.41 10/06/03 Operator Marez 1.50 32.37 $48.56 10/06/03 Laborer Wilkerson 1.00 27.74 $27.74 10/06/03 Laborer McCullough 1.00 27.74 $27.74 LABOR TOTAL $153.45 EQUIPMENT 10/06/03 Pickup 20600 1.50 S8.25 $12.38 10/06/03 JD 410E Backhoe 110081 1.50 $29.07 $43.61 EQUIP. TOTAL $55.98 MATERIALS DAT.E,, ...,. .~:~!, .... '~'!' :',. ':,:';;:DESCRiP'EION..., ..... .,.,...,~;,.:~."' ,".'""~; :"?:':Q '.~ '~. ":~:::,.i UNit?!?.,.. , :' '?PRICE~''. .... , DiS(;;ODht'",. ,. ..:,! ~:,,.,T..OTAL,.. , ..' 0/06/03 LTM Slurry 3.5 cy $55.60 $194.60 MATERIAL TOTAL $194.60 SERVICES / MISC. DATE,: SERVICES TOTAL $0.00 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $404.03 $23.02 $37.59 Submitted by: Accepted by: Itito, Jr - Construction Superintendent ~/.__ .... Date: TOTAL AMOUNT DUE $464.63 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-291 Description of work: Remove Inlet @ Liberty ~'/,~,~ ~xT~rz,-'¢- Date: 10/6/2003 LABOR . DATE:'!;~i;" :'!i CL,t~Ss' ':::';' NAME'.: .'i' HOURS:' ' . TOTALS;,' 0/06/03 Foreman Easter 5.00 0.50 32.94 44.60 $187.00 0/06/03 Laborer Fay 5.00 27.74 $138.70 LABOR TOTAL $325.70 EQUIPMENT ' '" ,,, ..,,:, =,.,= ....... ..,' ,= .,=',',:I=,,,.= ,* i'.;. ,~':~*,,.,,~=,,,i,,', '",.!~;~ "", DATE;:i:~;"=:::" i::' i':' ":' :':~ '!'. !.':~:". DESCRIPTION", ""'? ~. '.':'::!?:';;t:.!~!~:., .., ?"f~NO;, ".': ::. , ~:: HOURS'" "¥' ~TE:';. , ' :':' '=''':~, =: ' " ';.' "'""'. .',: i:i4(:!.. ~QT/~,'E!;,';':',,., 10/06/03: I~ickup 20075 2.00 $8.25 $16.50 10/06/03 JD 580SL Backhoe 110085 3.00 $27.23 $81.69 EQUIP. TOTAL $98.19 MATERIALS · ? ~(.'.~ .,,ii'. ',: .... ,!![i'~,. ,;:'. ' ' '::!''I PRICE ": !:':;~ :' '::'" ...... .DESCRI~T!ON '"'.: ~'.' :,";. :'.:!'::' Q'Pf':"~ :": LIN :,i; , I .,' MATERIAL TOTAL $0.00 SERVICES / MISC. "'~¢'; : .... , , i '!,:.'"" ",' ~"i',?~,f..'''' .i'¢ '!'i' ~'"'"'::; ' ': '~';"' ~;":! """: :'; '"' .... ", . SERVICES TOTAL $0.00 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $423.89 $48.86 $14.73 Submitted by: Accepted by: TOTAL AMOUNT DUE U~R/~~ction Superintendent __. '" Date: /? ~c-'-~ ~_~ / / $487.47 LTM DAILY EXTRA WORK REPORT Date: -~ ~ Job Name: ,-'oreman: ~,..~/~.. Job No: CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION SUPPLIER Q-FY. MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS ~ ,,~z> 7:5 '7... RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/ContractinglJenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-292 Description of work: Concrete Additive ,,44~4.,,J/,~ ~ ~/¢.~.,- Date: 10/7/2003 LABOR c~t v f~-z,j,~.-~ LABOR TOTAL $0.00 EQUIPMENT . ' '" ' : DATE ............. /iDESCRI'PTIO'N~?'~',!! i"; ..NO.'",' :? .,.. :, .P, AT.E:' ..... I *'::" ....... · "~'; '~ ........... TOTALS., EQUIP. TOTAL $0.00 MATERIALS DATE':~;' ., '"': ::'!DESCR!'P...TION :: 'ii '='i I'~ ' ' "'Q~¥: ;:I;;:: :: PRICE:!'? "::'Discount; ;:?:!! 'ToTAL'!'?i':'!i MATERIAL TOTAL $0.00 SERVICES / MISC. ;.~.,..~: ,, ':!:~i~ ,','" ;', ;' ,.~ ? ii'~':!~;~. "' ' ' ~ "' ...... ~ ':: '" ' ~ ......... " '!:' ';' :~ '' ~ ' ~.INV:::;::',;;,.:' ,; ' ;'~" '~: .....',"::.:..:.;i,,~'"',:. ..... ,:~., ',,',h~"':' ",:~'~',. ': ~'~" ...... :'"" ..... ' ,DATE,..=.,:,,.~t;*.*~'..,.,,'~,' D~S6RI~ION :';:.~ ".:."?.:'."~?'.~" ',,~.. ~. '..:',:'~;;r, ,¢~',:~n :."AMou~: ....... ' ";"'*'~" 10/07/03 Purdy/Concrete Additive $175.00 $175.00 SERVlOE$ TOTAL $175.00 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $175.00 $o.oo $26.25 Submitted by: Accepted by: Jolt ~uperintendent ~~'-~ ,., __..___ Date: TOTAL AMOUNT DUE $201.25 PURDY CONSTRUCTION INC Oct 3 2003 16:06 541 664 4 124 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-295 Description of work: Roof Drain Tie in to Catch Basin ~ I~,,~ Date: 10/14/2003 LABOR 10/14/03 Foreman McClafferty 2.00 32.94 $65.88 10/14/03 Laborer Coggins 2.00 27.74 $55,48 LABOR TOTAL $121.36 EQUIPMENT ~'::.,.~.~'i;,i~.~:;:,,!~,,,~ !:,': ,~ ,.:il;;i:!!!::;¥!~?:,i~ii':'i:.' :~..~, ...:~,~ ,,=, ~.,.. ~.,~.:.,~ ~..... .' '"'"' ":" '"'"'"""","~' ': ............ '~ ':".,:,, ; DATE?' ?!i:: ':.? 10/14/03 Pickup 20600 2.00 $8.25 $16.50 EQUIP. TOTAL $16.50 MATERIALS 10/14/03 4x20' SDR35 Pipe w/attachments 1 ea $58.90 $58.90 MATERIAL TOTAL $58.90 SERVICES / MISC. SERVICES TOTAL $0.00: Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $196.76 $18.20 $11.31 Submitted by: Accepted by: ~..(~~ TOTAL AMOUNT DUE John Lotito/' - nstr- io~_.~ntendent .2~("~ ~ ' Date: {?17,~..-0~ $226.27 LTM DAILY EXTRA WORK REPORT Date: ~ ~.¥-- ~'-~- (?'-~-~ Job Name: ~.~ oreman: CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION SUPPLIER QTY. (¢)., t MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS 'z-c~ (;-~:~:; ~,, RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/Contractlng/Jenn's Reports, etc./Misc Forms/Daily Extra Work Repot[ UNITED PIPE&SUPPlY MEDFORD Water & Waste Water Equipment Company UN[TED PZPE 541-779-6721 REMIT TO: P.O. BOX 66490 PORTLAND, OR 97290-6490 INVOICE DATE INVOICE NO. 10/15/03 ; 6039366 BRANCHI ACCOUNTNO. 10RD. WRITEi 5 5422OO 517 SOLD TO L T M TNC PO BOX 1145 MEDFORD OR 97501-0231 II,l,,I,,,I,l,l,ll,,,,,,llll,,,,,I,l,,ll,,,,Ihl,,I,hh,,Ihl SHIP TO CUSTOMER PICKUP 5245 CRATER LAKE HWY CENTRAL PO[NT, OR 97502 97502 DATE ORDERED I DATE SHIPPED I SHIPPED VIA ] ORDERED BY I CUSTOMER RO. NO. PAGE I JOBNAME I JOBNO. 10/14/03 10/14/03 ON WAY COUNTER HC232275 SISKIYOU BLVD ITEM DESCRIPTION IQTY. ORDERED I QTY, SHIPPED 011132 4X20' 013643 4" O13632 4" 013638 4" 010670 721 SDR35 PVC SEWER PZPE HXH DRAZN LZNE 45-ELL HXH DRAZN LINE 90-ELL HXHXH DRAZN LZNE 45-WYE QUART BLUE PVC CEMENT 6O 2 1 1 1 6O 2 1 1 1 Q~B/0 I UNITPRICE IPERt DISCOUNT 67.6956 C 1.6800 EA 1.9536 EA 3.0672 EA 9.9000 EA AMOUNT 40.62 3.36 1.95 3.07 9.90 ***** THANK YOU FOR YOUR ORDER ***** *** YOUR BUS[NESS IS APPRECZATED *** PLEASE CALL IF WE CAN BE OF ASSZSTANCE. 549 JOHN HERMAN 541/779-6721 CODES: F= FREIGHT D=DELIVERY H =HANDLING E=EPA R=RESTOCKING M=MISCELLANEOUS OCT 2 0 2003 r"~ v. TERMS I SUB-TOTAL I TAX I CODE OTHER CHARGES Net Days 58.90 .00 .00 Pa±d By 11/10/03 You May Deduct±pt .00 58.90 TERMS & CONDITIONS ON REVERSE SIDE 131o LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-298 Description of work: Remove Curb @ Union and Siskiyou Date: 10/28/2003 LABOR .' 'DATE 'i; i'C~SS. :NAME 'HOURS HOURS~ . RATE'i!"RATE: '::" ' TOTALS' 10/28/03 Foreman McClafferty 0.50 32.94 $16.47 10/28/03 Operator Vaness 2.00 32.37 $64.74 10/28/03 Laborer Williams 2.00 27.74 $55.48 LABOR TOTAL $136.69 EQUIPMENT 16/28/03Pickup 20600 0.50 $8.25 $4.13 10/28/03JD 4'10E Backhoe 110082 2.00 $29.07 $58.14 EQUIP. TOTAL $62.27 MATERIALS · '. t~, .! "'~i~:".'." ~ ,j ~i::~.,' ',, ' ' ' ,' ".:, ", ....... .... ~ ~:~:~:DATE../.~,,~ '~,'~.~,". '.,,~.. .....~ ..~ Q~!.,.!~. .,...,,' .,,..~ . ';~:,::'.. ','~ ~.,?,DESCRIPTION ~'...,'~ ,.~ .,. ,~' '~'..~:',[JNIT,,~'¢, ~ PRI~E.~:'' $0.00 MATERIAL TOTAL $0.00 SERVICES / MISC. :..:;;DATE. ,,!.::' . ..... :,.,,,,".;;i',. ;.'.; .; "' , .:: ;'-" '.%;: ,',, :,, .: J .:,~"' DESCRIPTION :,': "!~:~'~:. NO:i:?:?': AMOUNT :!,::!i!::'::::'..~ ..~; .TOTAL,~:,.~ SERVICES TOTAL ~0.00 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $198.96 $20.50 $9.34 Submitted by: Accepted by: John L~truction TOTAL AMOUNT DUE Superintendent Date: $228.80 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-300 Description of work: City Damage Irrigation Repairs 5oo~-~ ~ O~ ~,'~l-~t6~ r~oc,~ Date: 9~29~2003 LABOR ' ' ':::i ,? i. ;' ;'.!, , ~! ' . . . ' ''''' ';" ~ ' 'i" ;DATE· ',' ,CLASS:: !" ; NAME':" 'HOURS ~HOURS, ;.!" RATE· RATE'...i ;? i: ':.' i!. ' "' ,. ,:TOTALS'i LABOR TOTAL $0.00 EQUIPMENT EQUIP. TOTAL $0.00 MATERIALS · ::DATE!!:':: ";:~:., :7 ii :~i . .'..; DESCRIPTION .?;'" " ,' .:.. "QTY. i',:i":: .UNIT '.. PRICE ?': l'":iD!scOun.t','~ $0.00 MATERIAL TOTAL $0.00 SERVICES / MISC. .DATE?'? :..,,I ..',; .,i' ~,~'",:..,. : :~:.= :,,: :' .': ." ~:.~.:....,. ...... ~..:.. ~'.'.. ' '. ' ' , :., ?~" .',: :~"';..' ..,.=. ,,~, .... DESCRIPTION · .... . . .=~,,=...,..,,. NO.. AMOUNT ,.....,.=,, ... :~":~::T~TA~E~J¥;~] 09/29/03 Mountain View Landscaping 1$5,506.00 $5,506.00 SERVICES TOTAL $5,506.00 Costs Subtotal (no markup) Labor Mark-up 15% Sub Contractor Mark-up 10% Sub Contractor Mark-up 8% $5,506.00 $o.oo $200.00 $280.48 Submitted by: Accepted by: o~truction Superintendent Date: TOTAL AMOUNT DUE $5,986.48 dOuntainlVk w LandScaping '.O. Box 404 ?nants Pass, )R 97528 541 ) 474}0224 muuN I H l N U I EW LANDSCAP I NG P.O. BOx 1145 MEDFORD~ OREGON 97501 t, emit to: !Mc Date }/22/03 EX] Im~ati Irrigati Imgati 1t/03 ln-igJ [rrigati untain ~.iew Landscaping ,, TO Statement #001 Dam 9/29/03 Acco~t bTM Desc!zpBo9 *RA WORK ON SISKIYOU BLVD. ~n repm.m at SOU comer Sis Q and University ~n repailS at SOU Sis Q and Mtn. ~n repairs at SOU Sis Q ~nd Indiana ~n r~affs by Safeway in Island Ltion repairs at SOU and Indiana an repai,rs at SOU and Indiana Soufl~ Side Amount Bal~ce )/I 7/03 l~em >ye and Replant trees o~'0 ~O.'ll -~0 Aslilan~l Motel ~s~l soil mix M~ ~ Siskiy~u b~kfiii, remove debris, cover mo~ ~/15/03 6~ 4 ~kiyou {~fion ~irs ~i~ti~n r~ai~ at SOU ~u0, ~nl ~ }/:11/03 5n2 ~iskiyou ~oa r~ 550 Si~kiyou lm~fion ~pai~ 560 SiSkiyou ~on m~i~ 590 Si~ kiyou ~gation ~ 614 Si~.kiyou ~tion mp~n )Il 0/03 503 ~ ;ishyoaj~tion ~pai~ 534Sis dyou ~ion ~pairs ~hl~ Mo~I ~mgation Installation 357,00 ~ 401.00 w 162.00 --)208.00 t 509.00 /' 392.00 7S6.00 423.00 110.00 273.00 '~ 1010.00 55.00 125.00 \ 364,00 ~ 370;00 \569.00 118.00 222.00 l{ t 4.0_0'v 1460.00 ~alance. { Vtountain View Land,aping ZUrrent ~20,3~8.00 ~/03-9/031 La ~dscape Maintenance on Siskiyou Blvd. ;/03-7/03! LahdsCape Maintenance on Ashland S~xe~t 1250.00 20,368.00 )aymcnt is d~ue in Net upon receipt. 2% interest and $5.00 service charge applicable on ,repaid Total--S20,36&00 Re: Account LTM LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-301 Description of work: Irrigation @ Safeway Date: 11/3/2003 LABOR 'DATE :~ ' ,CL'ASS NAME,~ .'. HOURS:::; ' HOURS ': 'RATE'. RATE"', ' TOTALS. i... LABOR TOTAL $0.00 EQUIPMENT · DATE:' ::,~ ::~:! :,, i ,;:.:i~=; ::! ......... ..... }!N0.:':'; ~:' . DESCRiPTiON.~...,,,,,:~: :~`:. ~:'. , HouRs..:. ;.'~ RATEr', I ;;~:TO!AEi:?~'. EQUIP. TOTAL $0.00 MATERIALS .,, t.,,,..~:, i: ,iDES~RI~i.ON'.;.:.';;..' ':::' QTY;!! ':::~!~?:"UNIT PRi~E'.,.! ;':Di§~0uii[': :::':.:';."TOTA~:~:.!:!i $0.00 MATERIAL TOTAL $0.00 SERVICES / MISC. 11/03/03 Mountain View Landscaping 1$1,600.00 $1,600.00 SERVICES TOTAL $1,600.00 Submitted by: Accepted by: Costs Subtotal (no markup) Labor Mark-up 15% Sub Contractor Mark-up 10% Sub Contractor Mark-up 8% TOTAL AMOUNT DUE Superintendent Date: $1,600.00 $0.00 $160.00 $1,760.00 11-03-200~ 02: 44AM FROM MOUNTA I N U I ELd LANDSCAP I NG Mountair~ Vilew Land'aping p.o. Box 4o,i ~3rants Pass, OR 97528 I541) 474-02~4 Nov TO 3 2003 Statement #00 l Date 10/29/03 Account LTM 14:55 1541664456? P.O1 e.o. BOx EDvO , OP. EO)N 97501 emit to: :Mdumain 'qiew L~dsc~ing I I ' : Page 1 Date i Description Amount Bal~ 8/03-10/03 .MAI]qTENANCE ON ASHLAND STREET I ' 0/03 SCH A BID ITEM #69 MOW CURB 160 L.F. 10/03 SGH A BID ITEM #73 BARK MULCH 73 CUBIC YARDS t0/03 SCH 1~ BID ~EM #89 SOIL CONDITIONER 113 CU.YDS 0/03 SCH B BID I'I~EM #88 TOPSOIL 649 CU.YDS I 0/03 SC[ilo BID I~EM #86 MOW CURB 2377 L.F. 0/03 SCH la BID l'gEM #87 ROOT BARRIER 468 L.F. [ 0/03 SCH ]~ BID IT~EM//92 IRRIGATION ! 00% 0/03 CHAb :GE ORDER 'FOR IRRIGATION AT SAFEWAY 1250.00 1200.00 2555.00 3390.00 14927.00 17827.50 468.00 5340.30 1600.00 48557.80 - Payment is dl ~e in Ne! upon receipt. 2% interest and $5.00 service charge applicable on unpaid dount~i~ Vi,~w Landscaping TotaL$48,557.80 lu~nt I Re: Account ,557.80I LTM TOTAL P.O1 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-302 Description of work: Colored Inlet Tops Date: 11/3/2003 LABOR ..... ................... " ___'.'::'.'~ ., ;.CLASS NAME' "~' ' RATE' '"! RATE: i:;i re:m: . . 1~ : ' TOTALS'r:' LABOR TOTAL $0.00 EQUIPMENT :"i;i'~'i'i:";::~:;,~ .' ,i::,~.'.' . ,,~"' ' ,' ,; :i ::. :. !::'. ".bAT, E .~' ..,.~.:....i;¥..~,,.. DESORIPT ON ::' :: ::,,~ t' ,' !: "~,i ::~ NQ:~ .~ .?~QURS. :~." I EQUIP. TOTAL $0.00 MATERIALS :~g~ ~,: .,,~ i~,c.. .... .. ,, . ..... ~ ...... ..,.;,.,~,,h. ' · ATE!i~;:' ~.:;,,i:,...'",:' .~',;~,DESCRI~iON ....... ',,'.. ~.~,,~ "~ :':~" , $0.00 MATERIAL TOTAL $0.00 SERVICES / MISC. 11/03/03! Purdy Construction/Inlets 90336 $3,400.00 $3,400.00 SERVICES TOTAL $3,400.00 Submitted by: Accepted by: Costs Subtotal (no markup) Labor Mark-up 15% Sub Contractor Mark-up 10% Sub Contractor Mark-up 8% TOTAL AMOUNT DUE Construction Superintendent Date: $3,400.00 $0.00 $200.00 $112.00 $3,712.00 ~wuv ~7 ~ t)~J,J NOV-05--200~ 04:47 PM PURDY CONSTRUCTION INC 541 664 4124 P.05 PURDY CONSTRUCTION, INC. 3396 FREELAND ROAD CENTRAL POINT, OR 97502 B~LL TO LTM INC, PO BOX 1145 MEDFORD OR g7§01 Invoice JOB NO. 02271-200 QUANTITY DESCRIPTION ~ CG-3 INLET #50 STANDARD CURB w/COLOR #50B STANDARD CURB w/NO COLOR TERMS ~ PROJECT/JOB Net 30 j $1SKIYOU BLV-SCHIED B RATE ! UNIT AMOUNT 8oo.oo ~ EA 8o0 OD 350.00 ~ 3~o,o0 8.35 LF 6.471.2{$ 7.90 LF 900.80 1,836 #53 CONCRETE DRIVEWAY w/COLOR 2.80 SF 5,140.80 519.75 206.25 #53 CONCRETE DRIVEWAY wi NO COLOR ~, 2.52 SF 8,581 #54 CONCRETE WALKS w/COLOR /,/~'~ 2.55 SE 24,431.55 x~f~6o.oo ~ ~ ~,ooo.~ THERE WILL BE A 2% SERVICE CHARGE ON ALL ACCOUNTS NOT PAID WITHIN 30 DAYS ITotal Due: $4{$,361,95 I LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-303 Description of work: Retaining Wall @ Beach St Date: 11/21/2003 LABOR D.ATE;",. :.. 'CEASS~;.:,r '~ .......... ' . . .:NAME,,: '"HOURS' HoUR~I[' 'RATE::::? i:. ,;:' RATE? ~ ; i i: ;: TOTALS 11/21/03 Foreman Soares 1.00 32.94 $32.94 11/21/03 Laborer Luster 4.00 27.74 $110.96 LABOR TOTAL $143.90 EQUIPMENT ..: :~ ,. ~. ~.,.~ .,.,~:,.,~.~. ·: .. . :~,,~,~:~:. ,,.~:,,.,,:~ :~,,,,:,:,~:: :,:;??:';)iii'.i~.',. .: ~ ,,..,.. ~ .r ~ DESCRIPTION "": ';'!' .~"' .' ? '?':" NO!,i'.:i? '~: '~OURS ;:,,i~. RATE,:;: ;i' :~;,,:::'" "' '.'.. ~ ":..:, i..!.!!;!TOTAl". ;, 1/21/03 Pickup 20616 1.00 $8.25 $8.25 1/21/03 Pickup 20117 4.00 $8.25 $33.00 EQUIP. TOTAL $41.25 MATERIALS 11/21/03 Keystone Blocks 1 ea $175.00 $175.00 MATERIAL TOTAL $175.00 SERVICES / MISC. ...'.:.~,;:,':~:ip'.~ "'~';'~' ..... "'"'":"~"' ~'' ..... "' .. "~;.'. ~:~:'.;.:l.~:.. :l '''':''!' ;i:'.)': - :, ~.~;':;, i~,.~ c ,".' ~, ,, ",' · , . ~, ,' . . · :.;;~ ~ ~: .DA~l~f~;.~'~ ,~ .~, ,~, . O~A SERVICES TOTAL $0,00 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $360.15 $21.59 $32.44 Submitted by: Accepted by: TOTAL AMOUNT DUE tion Superintendent Date: $414.17 LTM DAILY EXTRA WORK REPORT Date: {[[7,.t[ O~ JobName: %tS~,~O~l Foreman: J, ~'~odk t'P_5, Job No: (..3~_Z'71-30.~ CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION SUPPLIER Q'FY MISCEL~NEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS ott3 RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report ~ HILTON FUEL AND SuPPLYco. 8087 BLAcKWELL ROAD (541) 664-3374 CENTRAL POINT, OREGON 97502 · -BARK * WOOD · SHAVINGS · SAWDUST · MULCH / ....... 200 '"' ,,~/. ~...:7 ,~.'? .A ,-.:3-; .. ., , .-../. ?::. ',y ,',,~'.": -.-_ ," .:o-'..- ~.~ ,, . . .~.. i NOT RESPONSIBLE FOR DAMAGE TO DRIVEWAY OR OTHER PROPERTY WHEN DELIVERED OTHER THAN ON STREET LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-304 Description of work: Remove Inlet @ Iowa St. Planter Date: 11/1/2003 LABOR , ;i ~',ii~CLASS~::ii ',i~i',NAME HOURS.! :"HOURS' . RATE ~::!,.. ::'. RATE; ~: ;:' :' .'. .",':: TOTALS;,.... 11/10/03 Foreman McClafferty 0.50 32.94 $16.47 11/10/03 Operator Marez 1.00 32.37 $32.37 11/10/03 Laborer Coggins 1.00 27.74 $27.74 LABOR TOTAL $76.58 EQUIPMENT 11/10/03 Pickup 20600 0.50 $8.25 $4.13 11/10/03 JD 410E Backhoe 110081 1.00 $29.07 $29.07 EQUIP. TOTAL $33.20 MATERIALS MATERIAL TOTAL $0,00 SERVICES I MISC. SERVICES TOTAL $0.00 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $109.78 $11.49 $4.98 Submitted by: Accepted by: ~-~ I .~. ~...~- TOTAL AMOUNT DUE ~Lotito, Jr - Construction Superintendent Date: $126.24 LTM DAILY EXTRA WORK REPORT Date: ~, ~.- ~ O- Cb~-~ Job Name: "~ :'~ ~v" (~ k--"o( _ - }oreman: ~,~ . ~,~c-(~_k, z~,e¢~,, Job No: I CRAFT ST. QT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS') CUSTOMER 81GNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS H;/Contracting/Jenn's Reports, etc./Mlsc Forms/Daily Extra Work Report LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-308 Description of work: Irrigation Sleeves Under Sidewalk Date: 12/2/2003 LABOR ;~."DATE ~CLASS' . NAME!':''~'~ i~HOURS,. ' HOURS,!: ?: RATE :;' RATE :'.': (TOTALS"]:. 12/02/03 Foreman McClafferty 2.00 32.94 $65.88 12/02/03 Laborer Luster 2.00 27.74 $55.48 LABOR TOTAL $121.36 EQUIPMENT DA,"..T',E',,",~'.~:!: '; ~ ".'.' ?."i~;~?~"~'~' '"': "~' ','DE ,~'~R'IPTION' : '.':!~:;ii~!:;;i:i~, ,~: ?,?:HOURS]=~ :~:'::"VRATET~:"~ ':?"i:::i?' :T,OTAD~,:!i; '~ 12102103 Pickup 20600 2.00 $8.25 $16.50 12/02i03 JD 410E Backhoe 110081 2.00 $2g.07 $58.14 EQUIP. TOTAL $74.64 MATERIALS ,, ...... . DATE :"' : ,,,:,~ ,., .D ESCRIP~ION. ~,,,,... =:,.,,,.:, MATERIAL TOTAL $0.00 SERVICES / MISC. SERVICES TOTAL $0.00 Submitted by: Accepted by: Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% 1 TOTAL AMOUNT DUE Jo uction Superintendent ~ Date: /7 $196.00 $18.20 $11.20 $225.40 LTM DAILY EXTRA WORK REPORT foreman: ~?. ~¥~cC- Job No: (':~'7~-'Z."t 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 ~~lnoorporated Genera/Contractors P.O. BOX 1145 · TELEPHONE 541-770-2960 · MEDFORD, OREGON 97501 OR CCB#56603 "Equal Opportunity Company" CSLB# 567735 I- City of Ashland JOB: L_ $1skiyou Blvd-Sewer Repair (~ Omar's INVOICE NUMBER 7102 DATE CUSTOMER NO: I~ I ~ltJQ CUSTOMER P,O. NO, JOB NO. (~312-44 LIEN DATE TERMS: DUE 10 DAYS FOLLOWING RECEIPT OF INVOICE Labor, Equipement, Supplies & Services *See attached summary for detailed breakout* 1.00 LJS ~ $1,885.84 Final Bill [] ms [] NO TOTAL EARNED TO DATE LESS PREVIOUSLY EARNED AMOUNT EARNED THIS PERIOD LESS % RETENTION CURRENT AMOUNT DUI; A late payment Service Charge of ,1 112% per month will be charged on accounts 30 days past due from date of billing. This Service Charge is an Annual Percentage Rate of 18%. Minimum Service Charge $1.00. RBF #42 r! ~ ii' AMOUNT 1,885.84 $ 1,885.84 1,885.84 $ 1,886.84 CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 CiTY RECORDER'S COPY DATE 07/01/2OO3 Page 1 /2 03742 VENDOR: 000100 LTM INC P O BOX 1145 MEDFORD, OR 97501 SHIP TO: 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 Unit Description Unit Price Ext. Price THIS IS A REVISED PURCHASE ORDER BLANKET PURCHASE ORDER Contract for the Siskivou Blvd Redesign 3,277,662.80 Proiect 99-38B, This requisition is applicable to Bid Schedule B ONLY Bid Start Date: December 1,2002 Completion Date: December 30, 2003 nsu~ance required/On file Revised purchase order 03/20/2003, 3,139.00 Change Order No 1 - Add tional Storm Pipe STA 37+75 Change Order No. 2 - Remove & Replace 658,95 ~ Inlet at Morton Change Order No 3 - Storm Drain 534.30 Crossing at STA 14+50 Union St Change Order No 4 - S urry backf at 399.50 Harrison Change Order No 5 - lnc ement Weather 354.20 Stoppage 12/19/02 Change Order No. 6 - Remove PCC in 2,995.14 Planter at Omars Change Order No 7 - Broken Water 345.09 Service at STA 37+00 Change Order No 8 - Temporary Traffic ' 142.26 Arrows S U BTOTAL BILL TO: TAX FREIGHT TOTAL Account Number Amount Account Number Amount E 260.08.12.00.704200 3,392,147.00 Authorized Signature VENDOR COPY CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 DATE 07/01/2003 Page 2 / 2 VENDOR: 000100 LTM INC P O BOX 1145 MEDFORD, OR 97501 SHIP TO: 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 Unit : Descript on , Unit Price Ext. Price .. Change Order No. 9 - Dewatering Medians 142.10 Revised purchase order 05/'13/2003 16,650.80 Change Order No. 10, items A - I 'Please see attached requisition for detailed list) Revised purchase order 08101/2003 52,711 Change Order No 11, Items A-I (Please : see attached requisition for detailed . list) Revised purchase order 11/18/2003 15,951.48 Change Order No 12, Items A-J (Please see attached requisition for detailed list) Rev sed Purchase order 01/15/2004 20 460.07 Schedule B Change Order 13 (Items A - 0) SUBTOTAL 3,392,147.00 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 541-552-2028 TOTAL 3,392,147.00 ASHLAND, OR 97520 Account Number Amount Account Number Amount Aut h oriJt~'d Signature VENDOR COPY