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2004-059 CONT Chg Order #15 - LTM Inc
PROJECT: LOCATION: CONTRACTOR: CITY OF ASHLAND DEPARTMENT OF PUBLIC WORKS MAR · __iL ~ 2004 /// CONTRACT CHANGE OR ,E~R N~;15 SISKIYOU BOULEVARD CONSTRUCTION DATE: )04 SISKIYOU BOULEVARD PROJECT NO.: 99-38, SCDL B LTM INCORPORATE D 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 '15 Item A 20 Type 2 Junction Boxes Lump Sum $1,941.50 $1,941.50 Item B Gravel Walks and Ramps Lump Sum $5,320.41 $5,320.41 Item C Stump Grinding at Mountain Avenue Lump Sum $345.00 $345.00 Item D Temporary AC Wedges Lump Sum $12,103.99 $12,103.99 Item E Expose & Coldmix Manholes Lump Sum $1,027.90 $1,027.90 Item F Area Drain Tie-Ins Lump Sum $869.83 $869.83 Item G ADA Ramp Modifications Beach Digouts & Concrete Prep Lump Sum $1,216.31 $1,216.31 Item H Move ADA Ramps at Beach, Morse & Sherman St. Lump Sum $1,692.09 $1,692.09 Item I Catch Basin at 900 Iowa Street Lump Sum $949.08 $949.08 Item J Driveway Reconstruction on Beach Street Lump Sum $2,963.27 $2,963.27 Item K Driveway Patch Back & Prep Materials at Beach Lump Sum $1,124.40 $1,124.40 Item L Driveway Construct by Purdy on Beach St. Lump Sum $828.03 $828.03 Item M Purdy Move ADA Ramps & Miscellaneous Concrete Lump Sum $2,314.48 $2,314.48 Item N Coral Unused Signs Lump Sum $4,039.95 $4,039.95 Item O Add Pedestrian Pole & Loops at Sherman St. Lump Sum $3,252.60 $3,252.60 Item P Repair Lighting Conduit at Morton Street Lump Sum $1,265.00 $1,265.00 Item Q Add Loops & Pedestrian Pole at Beach St. Lump Sum $3,580.94 $3,580.94 Item R Install 2" PVC at Mountain Avenue Lump Sum $9,784.70 $9,784.70 Item S 12 Loops at Wightman Street Lump Sum $7,595.41 $7,595.41 Item T Install Loops at Walker Avenue Lump Sum $4,057.60 $4,057.60 Item U Repair Existing Conduit Lump Sum $2,040.29 $2,040.29 ENGINEERING Tel: 541488-5347 20 E. Main Street Fax: 541488-6006 Ashland. Oregon 97520 TTY: 800-735-2900 www.ashland,or.us \\COMPAQ1~DATA\GOV~pub-wrks\eng\dept-adrnin\ENGINEER\PROJECT~1999\99-38 Change Orders\Schedule B\99-38 CO Sc B 1 Origi..nal Contract Total this Change Order Previous Change Orders Revised Contract Total $3,277,662.80 $68,312.78 $118,015.20 $3,463,990.78 Recommended By: Approved By: 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 will apply, ~,y ~ f~Y '/Z~//~ Ehg~neer ~-/ ~/' ~ Date En~e~ Date Accepted By: LTM Incorporated PO Box 1145, Medford OR 97501 Contractor Date ENGINEERING Tel: 541-488-5347 20 E. Main Street Fax: 541488-6006 Ashland, Oregon 97520 TTY: 800-735-2900 ww~v,ashland.or.us \\COMPAQl~DATA\GOV~oub-wrks\eng\dept-admin~ENGINEER\PROJEC'I~1999\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 -ASHLAND Date of Request: ~ Required Date of Delivery/Service: Vendor Name: LTM INCORPORATED Address: PO BOX 1148 City, State, Zip MEDFORD OR 97501 Project Title: SlSKIYOU BOULEVARD RECONSTRUCTION Project Number: 99-38 Services Only _D. es~?!ptj0"__ ................ S...?,~y_o_u .E~lvd R e .co.n st r u_ ~?_o_n_P.r pj.e ct Change Orders 1 thru 14 Change Order 15 - Itemized Below (Total $68.312 78) 20 Type 2 Junction Boxes G_r_av. eLyya.[k~ a. nd ~'amps ........ Stump gr,~l.[n.g.~_t. M. oun[.a~n. ,~venue ....... Temporary AC Wedges Expose & coldm~x manholes ires drain tie-ins ADA Ramp modlfica, h~ns at Beach St dlgout.s..and .concrete preparation _M_ove_.A.__DA r~n:lps at Beach. Morse and Sherman Streets Catch basin at 900 Iowa Street Driveway reconstruction on Iowa Slreet ?_[v..e~vay. p.a. tch back and preparation materials on Beach Street Dr!vewa.~y_construc~ton by Purd. y..o.n. Beach Street Prudy move ADA ramps and..m?_c.e_llaneous concrete Coral unused s~gns Add pedestnan pole and I?.ops at Sherman Stree[ . Repair lighting conduit at Morton Street 'A.dd Ioo.p..s. ~3_nd pedestrian pole at Beac~h. Street Install 2 ~nch PVC at Mountam Avenue · t._2.1oops at W~ghtman Street .ilnstall loops at Walker Avenue R. epair existing conduit Solicitation Process: J Exempt J 3 ~Vll~lefl Quote.., attached) ] Sole Source [ X ] le~latio11 to Bid (copies on file) ] Less than $5000 [ ] Request for Proposai(cople.~ )n file) Total Cost $ 3,27'~,662.80 ' O~ginsi Cm.-act Cost 8,015.20 Previm~ Change Orders 1,941.60 item A 6,320.41 Item B 345.o0 ~temC 12,103.69, I~emO 1.027.90 flame 86~.93; Item F 1,216.31 Item G $ 1,892.09., Item H S ~6.0~ . item I $ 2,663.27 · Item J $ 1,124.40 ' Item K $ 829.03 ' Item L 2,314.48, Item I'/. 4,039.95 ,It~n H $ 3,252.60: Item O ' '3 1,255.00' I~m P 3,68o.e4 '"ttem O 9,784.70. ttam R 7,595.41 Item S 4,057.60 -Item r 2:o40.2~ ',mm u 3,4~,i~o.7i ' ' .~s~o CONT.ACT Account Number 260.08.12.00.704200 G:Pubwrks~ngL99-38 LTM CO Scl El 15 Requi$ition.xl$ Updated on: 7/15/02 LIM-CUNIKHCIIN6 Fax:541664456? Feb 12 2004 10:09 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-226 Description of work: (20) Type 2 Junction boxes Date: 2/26/2003 LABOR l'!.,-.', :~:,r ~...],~' .. ,, ,',.', .." ? ':!,'i ":. '[_:~'~[%,.':'t. I,.,::_.. '~]!.: :,'.. '1 ':: '..'.~.ol'.r.~, ~!~u,[' ~ .~:t .~.T.':'_',. ".gF "r. 'qT.:,' ['..' i'~; ~i','.t~: '.i,,,:'.:¥,J,. :. :'.,:' .c.'. ~.: :...:' ,' l,...~ ~.~..T.E;'.:I "~'~SS !,.~:t],;' J~_ ~:,': ,~J!'.'"~~J~,.:..~.Ou, s::'I ':'.'. :.'M~r,. [.~ii[':~i[ ~;.[.;.,.?r': ,~ "",.,,':]', ':!.'~o~:~:..,~j I _ I . I I / I ILABOR '~OTAL ! T~o.o~I EQUIPMENT EQUIP. TOT[ $0.00 MATERIALS SERVICES I MISC. ''l .J~,~.. i.,~ :' .... ,~.J,q'""l' "l.j ],,',;.-,, · ' .. .... ".~ ....... ,. · ', , 4 :J' Il'IV v J!l I I1".", '1/" :' .... I ........ . , ."p...' . . . '! .': "nATr,. J: ',"",UaK:HII?IION .!..' i.,,'. J '. j'"¥~[): .... "'J AMC,31'~T,i ,,rf,;,,. :;,:," ,: J ,',:~'):'...r)~l,.~:i;:6,-,'Ti:~t,,. (2o, ',.vi,,, :;,., .%Xc..:JI .... i"~ ~h.';~,,,>:q si 7.3, 0,.31 "'' I I I , ! _ ISERVICES TOTAl J.O t $1. $1,765.00 Costs Subtotal (no markup) Labor Mark-up 0% Materials/Equipment/Services Mark-up 0% Sub Mark-up 10% $1,765.00 $0.00 $0.00 $176.50 Submitted by: Accepted by: TOTAL AMOUNT DUE $t,941.50 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-278 Description of work: Gravel Walks & Ramps Date: 9/3/2003 LABOR 9~4~2003 'DATE:;!.:~' .?'.:CEASS:.::i?~NAME'~'' "H°QR§'': HOURS::": "" ......... RATE,,:i ~, :,.: RATE 09/03/03 Operator VanEss 8.00 32.37 $258.96~ 09/03/03 Operator Marez 8.00 32.37 $258.96= 09/03/03 Laborer Fay 8.00 27.74 $221.92 09/03/03 Laborer Luster 8.00 27.74 $221.92 09/03/03 Laborer McCullough 8.00 27.74 $221.92 09/03/03 Foreman Easter 8.00 0.50 32.94 44.60 $285.82 09/03/03 Teamster Fulton 3.00 24.59 $73.77 09/03/03 Teamster Patee 8.50 24.59 $209.02 09/04/03 Operator Marez 3.00 32.37 $97.11 09/04/03 Operator VanEss 2.00 32.37 $64.74 09/04/03 Laborer McCullough 3.00 27.74 $83.22 09/04/03 Laborer Luster 3.00 27.74 $83.22 09/04/03 Foreman Easter 2.00 32.94 $65.88 09/04/03 Teamster Fulton 1.50 24.59 $36.89 09/05/03 Teamster Fulton 1.50! 24.59 $36.89 09/09/03 Teamster Fulton 1.50 24.59 $36.89 09/15/03 Teamster Fulton 1.50 24.59 $36.89 09/18/03 Teamster Fulton 1.50 24.59 $36.89 LABOR TOTAL $2,330.88 EQUIPMENT ;'~':~ ~;~,~ii:':,::';..:i.;'.::',, DESCRIP.~ION'""':'~ ,":~ ~, i.~ :': ' '"' '~. ..... ""'~;:'":'::~';; ~?~t,~ mil i, ;:':'. TOTAL?; 09/03/03 Pickup 20075 8.00 $8.25 $66.00' 09/03/03 JD 410E Backhoe 110082 4.00 $29.07 $116.28 09/03/03 Pickup 20117 8.00 $8.25 $66.00 09/03/03 LTM Transfer 31078 8.50 $30.23 $256.96 09/03/03 LTM Water Truck 34004 3.00 $28.00 $84.00 O9/04/03 Pickup 20075 2.00 $8.25 $16.50 09/04/03 JD 410E Backhoe 110082 1.00 $29.07 $29.07 09/04/03 JD 410E Backhoe 110081 2.00 $29.07 $58.14 09/04/03 LTM Water Truck 34004 1.50 $28.00 $42.00 09/05/03 LTM Water Truck 34004 1.50 $28.00 $42.00 09/09/03 LTM Bobtail 31084 1.50 $30.23 $45.35 09/15/03! LTM Water Truck 34004 1.50 $28.00 $42.00 09/18/03 LTM Water Truck 34004 1.50 $28.00 $42.00 EQUIP. TOTAL $906.29 MATERIALS 09/03/03 Rogue Agg 3/4" crushed 85.38 ton $4.65 $397.02 09/04/03 Rogue Agg 3/4" crushed 21.9 ton $4.65 $101.84 MATERIAL TOTAL $498.85 SERVICES / MISC. 09/03/03 Rental Backhoe $133.92 $133.92 09/03/03 Rental Roller na $454.00 $454.00 09/04/03 Ladybug trucking 20210 $302.50 $302.50 SERVICES TOTAL $890.42 Costs Subtotal (no markup) Labor Mark-up 15% Materials/EquipmentJService Mark-up 15% $4,626.44 $349.63 $344.33 Submitted by: Accepted by: TOTAL AMOUNT DUE Superintendent Date: 1~ ~'¢-¢~ ~¥¢ $5,320.41 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-305 Description of work: Stump Grind at Mountain Date: 11/1/2003 LABOR DATE' :i.'",'C, LASS NAME HOURS' HOURS' RATE'''I:' ~' RATE'.':.." I" · TOTAES., LABOR TOTAL $0.00 EQUIPMENT DATE 'DESCRIPTION' NO';.' .... .HOURS:' .,::..iRATE ...... ·TOTAL EQUIP. TOTAL $0.00 MATERIALS DATE. ..;,' .,D'E,S, CRiPTON,?'... '"::' : QTY:, ~.~UNIT~ · ".,'P,RI~.E,:..,.I Disco, unt TOTAL.: MATERIAL TOTAL $0.00 SERVICES / MISC. 11/03/03 Beaver':Free 110303 $300.00 $300.00 SERVICES TOTAL $300.00 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $300.00 $o.oo $45.00 Submitted by: Accepted by: (~ .~,~. r~ / TOTAL AMOUNT DUE J~ction SuperintendentDate: $345.00 BEAVER TREE SERVICE Certified Arborist ® "Leave it to Beaver" Clarence Wangle ~ ~,.~. o~ .................. :~,~ BILL i~ BID [] ~PHONE ADDRESS DATE OF ORDER CITY DATE COMPLETED *Free Estimates *Fully Insured *Danger Trees our specialty *C.C.B. 62995 Tax ID # 93 106 8942 REMOVAL ~ BRUSH CLEAN-UP ~NO BRUSH CLEAN-UP ~ CUT UP WOOD ~'~ LEAVE WOOD ~ HAUL WOOD [ PRUNE ~-~ CLASS 1 ~CLASS2 ~ CLASS3 [~ BRUSH CLEAN-UP [~ NO BRUSH CLEAN-UP STUMP GRINDING ~ WITH CLEAN-UP ~ WITHOUT CLEAN-UP ~ UTILITY LOCATION NECESSARY ~ GRIND EXPOSED ROOTS TOTAL STATEMENT....q Payment is due upon com~R~i'on of work unless other arrangements are made. Clarence Wangle 270 Wilson Road Central Point, OR 97502 (541) 664-1614 (541) 779-7072 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-307 Description of work: Temp AC Wedges ~,,,z. ~ ,,~ ~ ~,, r a=~.,.z, Date: 12~3~2003 LABOR 12/15/2003 DATE, :'?~SS".,.].':' :"':NAME': .FIOQRS' ' H.0URS:::!'?,',i,/;.~¥.E::';'.,' ,, ~.T, E :: ,:;" .,. 'TOTALS' 12/03/03 Foreman McClafferty 8.00 1.00 41.22 56.26 $386.02 12/03/03 Operator Buck 7.50 40.03 $300.23 12/03/03 Laborer Davis 8.00 27.74 $221.92 12/03/03 Laborer Luster 8.00 27.74 $221.92 12/03/03 Teamster Elam 7.50 24.59 $184.43 12/04/03 Foreman Ogden 4.50 41.22 56.26 $185.49 12/04/03 Laborer Bailey 4.00 27.74 37.88 $110.96 12/04/03 Operator Henry 4.00 40.03 54.52 $160.12 12/04/03 Operator Wright 4.00 40.03 54.52 $160.12 12/04/03 Operator Dyer 4.00 40.03 54.52 $160.12 12/04/03 Teamster Kerth 4.50 24.59 31.35 $110.66 12/10/03 Foreman Brown .7.50: 41.22 56.26 $309.15 12/10/03 Operator Amarillas 7.00 40.03 54.52 $280.21~ 12/10/03 Operator Watson 7.00 40.03 54.52 $280.21 12/10/03 Operator Murray 7,50 40.03 54.52 $300.23 12/10/03 Operator Stillwell 6.00 40,03 54.52 $240.18 12/10/03 Laborer Iboa 7.50 27.74 37.88 $208.05 12/10/03 Teamster Johnson 3.75 24.59 $92.21 12/15/03~ Foreman Brown 0.50 41.22 56.26 $20.61 12/15/03 Foreman Amarillas 4.50 41.22 56.26 $185.49 12/15/03 Operator Watson 4.50 40.03 54.52 $180.14 12/15/03 Operator Murray 5.00 40.03 54.52 $200.15 12/15/03 Operator Stillwell 4.50 40.03 54.52 $180.14 12/15/03 Laborer Iboa 4.50 27.74 37.88 $124.83 12/15/03 Laborer Hiatt 4.00 27.74 37.88 $110.96 LABOR TOTAL $4,914.52 EQUIPMENT 12/03/03 Pickup 20600 9.00 $8,25 $74.25 12/03/03 One ton flatbed 20127 8.00 $17.30 $138.40 12/03/03 JD 410E Backhoe 110081 1.00 $29.07 $29.07 12/03/03 LTM 10yd 31083 7.50 $30.23 $226.73 12/04/03 Pickup 20011 4.50 $8.25 $37.13 12/04/03,One ton flatbed 20129 4.00 $17.30 $69.20 12/04/03 One ton flatbed 20107 4.00 $17.30 $69.20 12/04/03 Stone Roller 120603 2.00 $5.60 $11.20 12/04/03 LTM 10yd 31083 4.50 $30.23 $136.04 12/10/03 Pickup 20132 7.50 $8.25 $61.88 12/10/03 One ton flatbed 20136 7.50 $17.30 $129.75 12/10/03 One ton flatbed 20120 7.50 $17.30 $129.75 12/10/03 DD32 Roller 120070 3.00 $21.08 $63.24 12/10/03 LTM Transfer 31058 3.75 $47.94 $179.78 12/15/03 One ton flatbed 20136 5.00 $17.30 $86.50 12/15/03 One ton flatbed 20120 4.50 $17.30 $77.85 12/15/03 DD32 Roller 120070 3.00 $21.08 $63.24! 12/15/03 Stone Roller 120066 1.00 $5.60 $5.60 EQUIP. TOTAL $1,588.79 MATERIALS 'DATE ' "'~ DESCRIPTION' '~' · QTY..1:~..'." UNIT"...'; ?;~:'..PRICE... DiScount TO.TAIz, ..: 12/03/03 LTM Asphalt 27.51 ton $27.41 $754.10 12/03/03 LTM Fill Sand 2.17 ton $11.60 $25.17 12/04/03 LTM Asphalt 15.01 ton $27.41 $411.42 12/10/03 LTM Asphalt 27.07 ton $27.41 $741.99 12/15/03 LTM Asphalt 15.12 ton $27.41 $414.44 MATERIAL TOTAL $2,347.13 SERVICES / MISC. DATE .:.:..... DESCRIPTiON......i:: .. ..:.. NO;;..!.':..:..AMOUNT TOTA~,.:i' 12/03/03 Rental Skidsteer 5299533 $270.00 $270.00 12/03/03 Rental RD880 Roller 5299333 $165.28 $165.28 12/03/03 Jim Pardee Trucking 18026 $357.50 $357.50 12/04/03 Rental Skidsteer $432.00 $432.00 12/10/03 Tom White Trucking 24090 $255.00 $255.00 12/15/03 George Heppner 23915 $195.00 $195.00 SERVICES TOTAL $1,674.78 Costs Subtotal (no markup) Labor Mark-up 15% Materials/EquipmentJService Mark-up 15% $10,525.21 $737.18 $841.60 Submitted by: Accepted by: TOTAL AMOUNT DUE Construction Superintendent Date: /' $'12,'!03.99 ate: Foreman; LTM DAILY EXTRA WORK REPORT CRAFT ST. CT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION I SUPPL]ER Q"T'Y. MISCELLANEOUS (SUB, HAULERS, MOBS} CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO, , HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/Contracting/Jenn's Reports, etc./Mlsc Forms/Daily Extra Work Report ¸1, General Contractors P.O. BOX 1145 · MEDFORD, OR 97501 Operations Phone (541) 779-6304 OR CCB #56603 CSLB #567735 TIME CUSTOMER EQUAL OPPORTUNIT.'~ EMPLOYER PRODUCT HAULER 45527 TRUCK RO, NO. LOCATION , ~ ' ' II dial WEIGHMASTER CUSTOMER SIGNATURE Lllncorporated General Contractors P.O, BOX 1145 · MEDFORD, OR 97501 Operations Phone (541) 779-6304 OR CCB #56603 CSLB #567735 EQUAL OPPORTUNITY EMPLOYER 45:52.8 DATE TIME CUSTOMER PRODUCT .... HAULER TRUCK : RO. NO. LOCATION GROSS: ~:::-. TARE: NE~ WEIGHMASTER CUSTOMER SIGNATURE LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-310 Description of work: Expose & Coldmix Manholes Date: 12/16/2003 LABOR 12/17/2003 12/16/03 Foreman McClaffert¥ 3.00 32.94 $98.82 12/16/03 Laborer Luster 6.00 27.74 $166.44 12/16/03 Laborer Maschmeye 3.00 27.74 $83.22 12/17/03 Foreman McClafferty 1.00 32.94 $32.94 12/17/03 Laborer Luster 3.00 27.74 $83.22 12/17/03 'Laborer Maschmeye 2.00 27.74 54.52 $55.48 LABOR TOTAL $520.12 EQUIPMENT 12/16/03 Pickup 20600 3.00 $8.25 $24.75 12/16103 One ton flatbed 20605 6.00 $17.30 $103.80 12/17~03 Pickup 20600 1.00 $8.25 $8.25 12/17/03 One ton flatbed 20605 3.00 $17.30 $51.90 12/17/03 LTM Air Compressor 160088 3.00 $12.27 $36.81 EQUIP. TOTAL $225.51 MATERIALS ..... ~ ,.~,.-.,-. ~;~`~;~:~`~,~,~*~:~?.:~:~`~.:.:~.~:::~:;~..:=;~:~:~`~.: .~ ~.;:'i'.~!.;'...;~:.'~:~.. ',.~;:.::,~.;;~'¢~ ",~::r¢~l~;~,~:~!',;,.';''~'':''~'''''''''';:''~'¢~''''''' 1 2/16103 LTM Cold Mix 1.95 ton $76.00 $148.20 MATERIAL TOTAL $148.20 SERVICES I MISC. SERVICES TOTAL so.e0 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $893.83 $78.02 $56.06 Submitted by: (~~ ~ TOTAL AMOUNT DUE J°¢ I~tit,~{#~°nstructi°n Superintendent $1,027.90 LTM DAILY EXTRA WORK REPORT CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION QTY. SUPPLIER MISCELLANEOUS (SUB, HAULERS, MOBS} COPY CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/C~ntracting/Jenn's Reports, etc./Mist Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT CRAFT I ST, QT. 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 Repot[s, etc./Misc Forms/Daily Extra Work Report , lb-.'.,-/' LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-311 Description of work: Area Drains Tie Ins ~:~L, I2~ Date: 1/5/2004 LABOR 1/8/2004 ... ,. 'C ., . , ........ , 'TOTALS DATE ,, ~AME'.""H'OURS'.:.' HOURS.'!:~:'"'~TE:'.":' RATE 01/05/04 Foreman McClaffert¥ 4.00 32.94 $131.76 01/05/04 Laborer Rodriguez 8.00 0.50 27.74 37.88 $240.86 01/06/04 Foreman McClaffert¥ 3.00 32.94 $98.82 01/06/04 Laborer Rodriguez 3.00 27.74 $83.22 01/08/04 Foreman McClaffert¥ 0.50 32.94 $16.47 01/08/04 Laborer Rodriguez 1.00 27.74 $27.74 LABOR TOTAL $598.87 EQUIPMENT ...D~TE ' ' '.:..." ' 'DESCRIPTION:.. "..':~: ' NO.:'::: HOURS '::"~.'::~TEi, ' ':' "::." .':". TOtaL' ... 01/05/04 Pickup 20600 4.00 $8.25 $33.00 01/06/04 Pickup 20600 3.00 $8.25 $24.75 01/06/04 590SL Backhoe 110084 0.50 $32.60 $16.30 01/08/04 Pickup 20600 0.50 $8.25 $4.13 01/08/04 590SL Backhoe 110084 0.50 $32.60 $16.30 EQUIP. TOTAL $94.48 MATERIALS UNIT DATE DESCRIPTION QTY. UNIT PRICE Discount TOTAL 01/06/04 United Pipe/6", 4" pipe, attachments 1 ea $63.03 $63.03 MATERIAL TOTAL $63.03 SERVICES / MISC. . ,.. INV. I 'DATE DESCRIPTION NO. AMOUNTI TOTAL SERVICES TOTAL $0.00 Costs Subtotal (no markup) Labor Mark-up 15% Materials/EquipmentJService Mark-up 15% $756.38 $89.83 $23.63 Submitted by: ~'~t 1 ~ TOTAL AMOUNT DUE Jo~ L~otito, Jr-Construction Superintendent $869.83 LTM DALLY EXTRA WORK REPORT CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION I SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS} COPY CUSTOMER SIGNATURE COMPANY EQUIPMENT i EQUIPMENT NO; HOURS I RENTAL EQUIPMENT EQUIPMENT NO. t ' HOURS.. H:/Contracting/Jenn's Reports, e£c./MIsc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT Foreman: ~ ¢,-x,C-~,. Job Ne: CRAFT ST. QT. EMPLOYEE NAME RATE HOURS HOURS DESCR]PTION OF WORK MATERIALS USED DESCRIPTION SU PPLJE.R 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 Foreman: . ~¢__.. ,,,._ Job No: O CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) CU.~TOMER SIGNATURE COMPANY EQUIPMENT EQU,PMENT 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.: 02271-313 Description of work: ADA Ramps Modifications j~:~cV,, /u,~-i(,~u~ ~, ~,,d~ ~ Date: 1/6/2004 LABOR 1/23/2004 !:% ~'~.~i!-~..'. x~,~ ','.~.'~1!.:. ~ :'.i!i.'?~i.:'.~.'. =: :~~,~ i.:?~!li!i ?.!~.~..~!.i,i ~i'~! ..~',~.!'? n-...' .~'~' ~' ~' ."..~ 01106104 Foreman McClafferty 1.50 32.94 44.60 $49.41 01/06/04 Laborer Rodriguez 1.50 27.74 37.88 $41.61 01/07/04 Foreman McClafferty 2.50 32.94 $82.35 01/07/04 Laborer Rodriguez 2.50 27.74 $69.35 01/08/0z Foreman McClafferty 2.50 32.94 $82.35 01/08/04 Laborer Rodriguez 2.50 27.74 $69.35 01/22/04 Foreman McClafferty 2.00 32.94 $65.88 01/22/04 Laborer Rodriguez 2.00 ,,,,--'"' \ 27.7,~ $55.48 01/23/04 Foreman UcClafferty 2.00 ('0.50) 32.94 44.60 $88.18 01/23/04 Laborer Rodriguez 2.00~,..__,, / 27.74 $55.48 LABOR TOTAL $659.44 EQUIPMENT 01/06/04 Pickup 20600 1.50 $8.25 $12.38 01/07/04 590SL Backhoe 110084 2.50 $32.60 $81.50 01/07/04 Pickup 20600 2.50 $8.25 $20.63 01/08/04 Pickup 20600 2.50 $8.25 $20.63 01/08/04 590SL Backhoe 110084 2.50 $32.60 $81.50 01/08/04 LTM Air Compressor 160088 1.00 $12.27 $12.27 01/22/04 'Pickup 20600 2.00 $8.251 $16.50 01/22/04 580SL Backhoe 110085 2.00 $27.23 $54.46 01/23/04 Pickup 20600 2.50 $8.25 $20.63 01/23/04 580SL Backhoe 110085 2.00 $27.23 $54.46 EQUIP. TOTAL $374.94 MATERIALS 01/23/04 Ashland Hardware concrete prod. I ea $23.28 $23.28 MATERIAL TOTAL $23.28 SERVICES I MISC. SERVICES TOTAL $0.00 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $1,057.66 $98.92 $59.73 Submitted by: Accepted by: or.ruction Superintendent .~~f14.--- Date' $1,216.31 ate: Foreman: LTM DALLY EXTRA WORK REPORT CRAFT ST. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK I MATERIALS USED DESCRIPTION SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS} CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NC). HOURS RENTAL EQUIPMENT ,EQUIPMENT NO. HOURS I H:/Contracting/Jenn's Repot[s, etc./Misc Forms/Daily Extra Work Report ate: Foreman: LTM DAILY EXTRA WORK REPORT CRAFT ST. CT. 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:/Contracttng/Jenn's Reper[s, etc./Misc Forms/Daily Extra Work Report 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't CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/Contracting/Jenn's Reports, etc,/Mlsc Forms/Daily Extra Work Repod: LTM DALLY EXTRA WORK REPORT Date: I/L~. JobName: ~ 15~---IVDL/~ Foreman: CRAFT ST. CT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK '. MATERIALS USED DESCRIPTION SUPPL]ER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/Contractincj/Jenn's Reports, etc,/Misc Forms/Daily Extra Work Repor~ LTM DALLY EXTRA WORK REPORT Date: L~ Job Name: 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 I I Do 8.5"' '7._ RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/Contmcting~Jenn's Reports, etc./Misc Forms/Daily Extra Work Report ASHLAND HARDWARE 249 A STREET ASHLAND, OR 97520 Phone: (541) 482-3476 Fax: (541) 482-1012 Page 1 *******INVOICE******* Invoice# 01378124 SPECIAL NOTES T 2O Salesperson LISA No.:LMS Terms:lOTH Sean Mcclafferty Time:14:15:51 Due Date:03/10/2004 Invoice Date:01/23/2004 Ship Da~e:01/23/2004 Sold: LTM To: LININGER TRU MIX P O BOX 1145 MEDFORD, OR 97501 Phone: (541) 779-2303 Customer No. : 0092303 Job: Customer P.0. Ship:LTM To:LINIGER TRU MIX 3959 HAMRICK RD CENTRAL POINT, OR Phone: (541) 779-2303 Ship Via f:lr606 Regular Discount Qt¥ Unit Item Number Description Price Price C Net Due 1.00 EA 23649 MA~OG FLOAT-14x3 1/2" 4.790 4.311 4.31 1.00 EA 23951 CEMENT EDGER 3/8R 1/2LIP 6.990 6.291 6.29 1.00 EA 4029195 1'' PLUG POLY 0.790 0.711 0.71 3.00 NET 100003613 CONCRETE MIX 2/3 CU FT 'BCONC' 3.990 3.990 11.97 Taxable NonTaxable Sub: 0.00 24.54 DISCOUNT Tax: Invoice Total: $24.54 1.26 0.00 $23.28 RECEIVED BY: LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271~314 Description of work: Move ADA Ramps @ Beach St. LABOR 5 ~,~ Date: 1/14/2004 1/23/2004 01/13/04 Foreman McClafferty 1.00 32.94 $32.94 01/14/04! Foreman McClafferty 5.50 32.94 $181.17 01/14/04 Laborer Roddguez 4.00 27.74 $110.96 01/16/04 Foreman McClafferty 4.00 0.50 32.94 44.60 $154.06 01/16/04 Laborer Rodriguez 5.00 27.74 $138.70 01/19/04 Foreman McClaffert¥ 2.00 32.94 $65.88 01/19/04 Laborer Rodriguez 2.00 27.74 $55.48 01/23/04 Foreman McClafferty 3.00 32.94 $98.82 01/23/04 Laborer Roddguez 1.00 27.74 $27.74 LABOR TOTAL $865.75 EQUIPMENT 01/13/04 Pickup 20600 1.00 $8.25 $8.25 01/14/04 Pickup 20600 5.50 $6.25 $45.38 01/14/04 590SL Backhoe 110084 2.00 $32.60 $65.20 01/14/04 LTM Air Compressor 160088 3.00 $12.27 $36.81 01/16/04 1 Pickup 20600 5.00 $8.25 $41.25 01/16/04 ~ 590SL Backhoe 110084 2.00 $32.60 $65.20 01/16/04 LTM Arrowboard 250012 5.00 $6.16 $30.80 01/19/04 Pickup 20600 2.00 $8.25 $16.50 01/19/04 590SL Backhoe 110084 2.00 $32.60 $65.20 01/23/04 Pickup 20600 1.00 $6.25 $8.25 01/23/04 590SL Backhoe 110084 3.00 $32.60 $97.80 EQUIP. TOTAL $480.64 MATERIALS MATERIAL TOTAL $0.00 SERVICES I MISC. 01/14/04 LLAD Saw Cutting 5483 $125.00 $125.00 SERVICES TOTAL $125.00 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $1,471.39 $129.86 $90.85 Submitted by: Accepted by: TOTAL AMOUNT DUE (~-h~ ~r - (:~nstruction Superintendent "//-¢--//~~ Date: $1,692.09 , LTM , DALLY EXTRA WORK REPORT I 'CRAFT ST. OT. EMPLOYEE NAME . RATE HOURS HOU. BS... 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 DALLY EXTRA WORK REPORT Foreman: ~. O-.~.C_C t.~ ~'~.%--~h Job No: I CRAFT ST, CT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK ! MATERIALS USED DESCRIPTION SUPPLIER MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:lContracting/Jenn's Reports, atc.lMisc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT Date: t- t. G- c~ Jo~ N~me: ,, Foreman: '~, ¢~,~C._ C,~t.,~:~. (~. Job No: I 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 j DALLY EXTRA WORK REPORT Date: CRAFT ST. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK ,¢ MATERIALS USED DESCRIPTION SUPPLIER QTY, MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO, I HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM DALLY EXTRA WORK REPORT CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK I ,, MATERIALS USED DESCRIPTION ISUPPLIER MISCELLANEOUS (SUB, HAULERS, MOBS} CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO, HOURS RENTALECUIPMENT EQUIPMENT NO. HOURS H:/Contracting/Jenn% Reports, etc./Misc Forms/Daily Extra Work Report L.L.A.D. INCt P.O. BOX 516 MEDFORD, OR 97501-8526 Invoice DATE INVOICE # 1/20/2004 5483 BILL TO L.T.M. P.O. BOX 1145 MEDFORD, OR 97501 SHIP TO L.T.M. P.O. BOX 516 MEDFORD, OR 97501 HC240114 Net 30 DATE ORDERED DESCRIPTION CLASS AMOUNT SISKIYOU & MORSE, ASHLAND 1-14-04 Saw cut 30 ft. concrete SAW CUT 125.00 Saw cut 17 fL asphalt 1 curb cut Thank you for your business. lotal 125.00 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-315 Description of work: Catch Basin @ 900 Iowa Street Date: 1/i6/2004 LABOR 1/20/2004 01/16/04 Foreman McClafferty 1.00 32.94 $32.94 01/20/04 Foreman McClafferty 6.00 32.94 $197.64 01/20/04 Laborer Roddguez 6.00 27.74 $166.44 LABOR TOTAL $397.02 EQUIPMENT 01/16/04 1590SL Backhoe 110084 1.00 $32.60 $32.60 01/20/04 Pickup 20600 6.00 $8.25 $49.50 01/20/04 590SL Backhoe 110084 6.00 $32.60 $195.60 EQUIP. TOTAL $277.70 MATERIALS 01/19/04 United Pipe/6" pipe, attachments 1 ea $40.37 $40.37 01/20/04 3/4"-0 Crushed Rock 7 ton $3.60 $25.20 MATERIAL TOTAL $65.57 SERVICES I MISC. ~i=.,~;~..~...,~,..~ '~";~; ~=,,. ~.,,.,~,.,~,,,~,~.~,,.,~,.,,-,,;.~.,~:;.~,~.:,:..~,:.,...,.~..,~. ~,. ............... ' ~;~::~~.~= ,. ,~ ~'~ · .... 01/16/04 L~D Saw Cuffing 5477 $85.00 $85.00 SERVICES TOTAL $85.00 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $825.29 $59.55 $64.24 Submitted by: Accepted by: TOTAL AMOUNT DUE $949.08 LTM DAILY EXTRA WORK REPORT Foreman: .... "<'J . .~x. CCk.,'~-~ .~-,-("~ Job No: t CRAFT I ST. CT. EMPLOYEE NAME RATEI HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) C09 CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO, HOURS H:/Contracting/Jenn's Repot[s, e£c./Mlsc Forms/Daily Extra Work Report L.L.A.D. INC. P.O. BOX 516 MEDFORD, OR 97501-8526 Invoice DATE INVOICE # 1/20/2004 5477 BILL TO L.T.M. P.O. BOX 1145 MEDFORD, OR 97501 SHIP TO L.T.M. P.O. BOX 516 MEDFORD, OR 97501 P.O. NO.~' TERMS F"~~ CODE# HC240118 Net 30 DATE ORDERED DESCRIPTION CLASS AMOUNT IOWA & SISKIYOU, ASHLAND 1-16-04 Saw cut asphalt SAW CUT 85.00 Minimum Thank you for your business. Total $85.00 ate: Foreman: LTM DAILY EXTRA WORK REPORT Job Name: Job No: CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK ,~-.~-c~~..~I .~ .~.~-~_ G z.~- ~- ~," ,, ~ o .. ~ .-v-_o,.~,~ .~ ~ MATERIALS USED DESCRIPTION SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) [., CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NC). HOURS RENTAL EQUIPMENT EQUIPMENT NO. I ' HOURS H:/Contracting/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report ~IS ~gB~AS~ NO ~NOIJ. IONO0 ~' 00' :[dT:!.onpac] Xelq noA ~O/Ok/~O /~8 P'Fed =[I 00' 00' Zg'O~ sXeo ZeN S39EIYH3 U~HiO ~OO I xvi I nvioi-ans snua± SAOBN~qgBosI~ = R 9NINOO±SBW =~ VdB =3 ©NIgON~H =H AWBAIq30 =0 IHglBHJ =d :S3003 L~L9'6LZ/~S NVRUgH NHOP '39NVISI95¥ JO 38 NV3 3~ JI 9qV9 3SVSqd ~ 031VIO3~dd¥ SI SS3NI$fl8 ~NOA ~ B30~O ~NOA ~OJ NOA ~NVHI 0[ £NNOR¥ 99d9 X39J d/IOXd/IO 3dld W3M35 gAd §8BO$ NOI/dRJOSBC] 99-990L ,,9 ,¢[X9 6~[[[.0 ONVqHSV ~0/6[/[ ~0/6[/[ ! 'ON I VIA aadalH$ I C]addIHS ~±¥O I O]kt~Ot:10 ~J.¥0 6000 [O~Z6 WO 'ONVgHSV 133W15 ONVgHSV NO WNIOVZS ONV W3~qV~ W3]NLL38 OWVA N~OOAV9 OW 0A98 NOANSIS 0NI ~ £ 9 OldlHS [8~30- I. OCJZ6 WO OI::tO-tO31AI g~[ [ X08 Od ONI RI9 L bcJ O0~g g ~l,~'.~01 'ONINnOOOV IHONWe O0~'ZO I-9 i~O/OE;/[ 'ON q21OANI { ]IVO BOIOANI 06~9-06C/.6 I=10 'ON¥'U. ldOd 061z99 X08 'O'd :OJ. J. IIAIBI:! [gZ9-6ZZ-I-~'g 3did 031INP - OblO=lO3~ LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. Job No.: 02271-296 Description of work: Driveway Reconstruct on Beach St. -'~O/~__ Date: 1/19/2004 LABOR 2/9/2004 ' ST OT ST OT "' '. '~ DATE CLASS 'NAME HOURS HOURS RATE RATE TOTALS 01/19/04 Foreman McClaffert¥ 4.50 0.50 32.94 44.60 $170.53 01/19/04 Laborer Rodriguez 4.50 27.74 $124.83 01/20/04 Foreman McClaffert¥ 2.00 1.50 32.94 44.60 $132.78 01/20/04 Laborer Rodriguez 2.00 1.00 27.74 37.88 $93.36 01/21/04 Foreman McClaffert¥ 4.50 32.94 $148.23 01/21/04 Laborer Rodriguez 2.00 27.74 $55.48 01/29/04 Foreman McClaffert¥ 5.00 32.94 $164.70 01/29/04 Foreman Young 5.00 32.94! $164.70 01/29/04 Laborer Rodriguez 4.00 27.74 $110.96 02/05/04 Foreman McClafferty 1.50 0.50 32.94 44.60 $71.71 02/05/04 Foreman Young 1.50 0.50 32.94 44.60 $71.71 02/05/04 Laborer Ru 1.50 0.50 27.74 37.88 $60.55 02/09/04 Foreman McClaffert¥ 1.00 32.94 $32.94 02/09/04 Foreman Young 1.00 32.94 $32.94 02/09/04 Laborer Farris 1.00 27.74 $27.74 LABOR TOTAL $1,463.16 EQUIPMENT ""'"DATE.' '' DESCRIPTION" ...... ;:'":i~161":" HOURS:. ...:.~TE. 01/19/04 Pickup 20600 4.50 $8.25 $37.13 01/19/04 JD 590SL Backhoe 110084 4.50 $32.60 $146.70 01/20/04 Pickup 20600 3.00 $8.25 $24.75 01/20/04 JD 580SL Backhoe 110085 3.00 $27.23 $81.69 01/21/04 Pickup 20600 2.00 $8.25 $16.50 01/21/04 JD 580SL Backhoe 110085 4.50 $27.23 $122.54 01/29/04 ,Pickup 20600 5.00 $8.25 $41.25 01/29/04 JD 590SL Backhoe 110084 5.00 $32.60 $163.00 02/05/04 Pickup 20600 2.001$8.25 $16.50 02/05/04 JD 580SL Backhoe 110084 2.00 $32.60 $65.20 02/05/04 Pickup 20600 1.00 $8.25 $8.25 02/05/04 JD 580SL Backhoe 110084 1.00 $32.60 $32.60 EQUIP, TOTAL $756.10' MATERIALS UNIT I ' DATE DESCRIPTION QTY. UNIT PRICE Discount TOTAL MATERIAL TOTAL $0.00 SERVICES / MISC. 01/21/04 Johnny Cat 23113 $357.501 $357.50 SERVICES TOTAL $357.50 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $2,576.76 $219.47 $167.04 Submitted by: Accepted by: TOTAL AMOUNT DUE Superintendent Date: $2,963.27 ate: Foreman: LTM DAILY EXTRA WORK REPORT CRAFT ST. at. 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 J H:/Contracting/Jenn's Reports, e£c./Misc Farms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT Foreman: ~Lo, C'"',,Q~/"_~._%~ .~-t..(-~ Job No: (.~ Z'~"'f\- "Z._c-~ (~ _ ' CRAFT ST. QT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED DESCRIPTION iSUPPLJER MISCELLANEOUS (SUB, HAULERS, MOBS) COMPANY EQUIPMENT EQUIPMENT NO, HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS CUSTOMER SIGNATURE H:/Contracting/Jenn's Reports, etc./Mlsc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK MATERIALS USED ::)ESCRIPT1ON SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO. HOURS RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:!C~ntracting/Jenn's Reports, atc./Misc Forms/Daily ~'<tra Work Report LTM DALLY EXTRA WORK REPORT Date: Foreman: Job Name: Job No: CRAFT ST. QT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK - ,C'F- . :~C~, MATERIALS USED ESCRIPT1ON SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) COPY CUSTOMER SIGNATURE COMPANY EQUIPMENT ;EQUIPMENT NO, 1 HOURS ,I 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.: 02271-318 Description of work: Driveway Patch Back & Prep Date: 1/21/2004 LABOR 1/23/2004 DATE 'CLASS ' NAME "HOURS' HOURS, ":" :'~TE.; '~'',''.'' RATE. ':"' .... ."" ": TOTALS .' 01/21/04 Foreman McClaffert¥ 2.00 32.94 $65.88 01/22/04 Foreman McClaffert¥ 6.00 32.94 $197.64 01/22/04 Laborer Rodriguez 6.00 27.74 $166.44 01/23/04 Foreman McClafferty 3.00 32.94 $98.82 01/23/04 Laborer Rodriguez 5.00 27.74 $138.70 LABOR TOTAL $667.48 EQUIPMENT 01/21/041 Pickup 20600 2.00 $8.25 $16.50 01/22/04 Pickup 20600 6.00 $8.25 $49.50 01/22/04 One Ton Flatbed 20605 6.00 $17.30 $103.80 01/22/04 Target Saw ? 5.45 $2.68 $14.61 01/23/04 Pickup 20600 3.00 $8.25 $24.75 01/23/04 One Ton Flatbed 20605 5.00 $17.30 $86.50 01/23/04 Target Saw ? 5.45 $2.68 $14.61 EQUIP. TOTAL $310.26 MATERIALS MATERIAL TOTAL $0.00 SERVICES / MISC. ¥,',: :::'?:.!%.~:~:;:i:; SERVICES TOTAL $0.00 Costs Subtotal (no markup) Labor Mark-up 15% Materials/Equipment/Service Mark-up 15% $977.74 $100.12 $46.54 Submitted by: Johr(l~)tito, ~ons r~tion Superintendent $1,124.40 LTM DAILY EXTRA WORK REPORT CRAFT ST. OT. EMPLOYEE NAME RATE HOURS HOURS DESCRIPTION OF WORK ..... \ ~,,,~ - c~,.&.. ~_~ MATERIALS USED D ES C RIPTI ON SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) A,.:,.."3 D CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO, I HOURS RENTAL EQUIPMENT EQUIPMENT NO, HOURS H:/Contrac,fing/Jenn's Reports, etc./Misc Forms/Daily Extra Work Report LTM DAILY EXTRA WORK REPORT CRAFT ST. OT. .... EMPLOYEE NA. ME RATE HOURS HOU_RS DESCRIPTION OF WORK DESCRIPTION MATERIALS USED SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT HOURS EQUIPMENT NO. go ,,~_~o ~F~ , RENTAL EQUIPMENT EQUIPMENT NO. HOURS H:/Contracting/Jenn's Reports, etc./Mist Forms/Daily Extra Work Report ate: LTM DAILY EXTRA WORK REPORT V- '-c."'s.-o'~. Job Name: %.%,:,. ~,~\,,a Foreman: CRAFT ST, OT. EMPLOYEE NAME RATE HOURS HOURS ,, DESCRIPTION OF WORK ' ..... 3 o,~ ~e .s ~ ~O' MATERIALS USED DESCRIPTION SUPPLIER QTY. MISCELLANEOUS (SUB, HAULERS, MOBS) CUSTOMER SIGNATURE COMPANY EQUIPMENT EQUIPMENT NO, HOURS zo~oc~ 16'~ ,, ,,% RENTAL EQUIPMENT EQUIPi~ENT NO. HOURS H:/Contrac,fing/Jenn's Reports, etc./Mist Forms/Daily Extra Work Report L_TM LTM C'A,'% ki I E:R :: CG3450 50' HOS~ INVOICE TOTAL LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. SCH. A Job No.' 02271-321 Description of work: Purdy Driveway ~econstruct @ Beach St. -~0/¢~'¢~ Date: 1/29/2004 LABOR ST OT ST OT I DATE CLASS : NAME .'HOURS ' HOURS' .", RATE ,RATE'.:I .... : . TOTALS LABOR TOTAL $0.00 EQUIPMENT · DATE ' DESCRIPTION ' 'NO. '..HOURS ~TE.:.:.I ' ' · .TOTAL EQUIP. TOTAL $0.00 MATERIALS :: .., ,, UNit.I" . .... DATE DESCRIPTION· QTY. u'NI'¥ pRIGE'I·Disc°unt . TOTAL MATERIAL TOTAL $0.00 SERVICES / MISC. DATE DESCRiPTiON ... · .... ~ ' : i.: ,,' NO. AMOEIN~i ' ..'i"TOTAL'" 01/29/04 Purdy Driveway Reconstruction 9~375 $752.75 $752.75 SERVICES TOTAL $752.75 Costs Subtotal (no markup) Labor Mark-up 15% Sub Contract Mark-up 10% Sub Contract Mark-up 10% $752.75 $o.o0 $0.00 $75.28 Submitted by: Accepted by: J~truction TOTAL AMOUNT DUE Superintendent Date: $828.03 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. SCH. A Job No.: 02271-322 Description of work: Purdy Move ADA Ramps & Misc. Concrete Date: 1/29/2004 LABOR ST OT 'S'F. ' 'OT "" I DATE CLASS NAME HOURS HOURS RATE RATEI TOTALS LABOR TOTAL $0.00 EQUIPMENT DATE ' DESCRIPTION ' NO." 'HOURS' "RATE .TOTAL' EQUIP. TOTAL $0.00 MATERIALS MATERIAL TOTAL $0.00 SERVICES / MISC. DATE DESCRIPTION.': · NO,. AMOUNT ....... TOTAL' ': 01/29/04 Purdy Move ADA & Misc. Concrete 90375 $2,106.00 $2,106.00 SERVICES TOTAL $2,106.00 Costs Subtotal (no markup) Labor Mark-up 15% Sub Contract Mark-up 10% Sub Contract Mark-up 8% $2,106.00 $0.00 $200.00 Submitted by: Accepted by: J~;~ t/otito,~struction Superintendent b,'.,~~¢~.~ Date: LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. SCH. A Job No.' 02271-323 Description of work: Coral Unused Signs Date: 1/29/2004 LABOR DATE· cLAss · NAME.' HOURS· .. HOURS RATE.. RATEI "... ,' ... TOTALS LABOR TOTAL $0.00 EQUIPMENT · .. : ,... EQUIP. ' NO OF...:,'' ....II:,'""'':.'. '' ':.' I''ii ' --t TAL DATE DESCRIPTION NO. FLOURS" ' RATE ' O "'. EQUIP. TOTAL $0.00 MATERIALS MATERIAL TOTAL $0.00 SERVICES / MISC. :: ' ....... ' N ' UNT' DESCR'I~ ": ..... '" · v.. DATE '" "i '=.=' : IO ' ' : ...... · ' NO;' AMO ':' TOTAL 02/06/04 Coral Material left on hand 20603 $1,680.51 $1,680.51 02/06/04 Coral install city supplied signs 20603 $2,075.00 $2,075.00 SERVICES TOTAL $3,755.51 Costs Subtotal (no markup) Labor Mark-up 15% Sub Contract Mark-up 10% Sub Contract Mark-up 8% $3,755.51 $0.00 $284.44 Submitted by: Accepted by: TOTAL AMOUNT DUE $4,239.95 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. SCH. A Job No.: 02271-324 Description of work: Add Pedestrian Pole & Loops @ Sherman Date: 1/29/2004 LABOR DATE "CLASS NAME HouRs' ..': ~0URS: ",.,.RATE,..,: .~?E.i, ." ,,.;...., TOTA, Ls, LABOR TOTAL $0.00 EQUIPMENT DATE DESCRIPTION '::..:. NO.' .. .H~E!Rs. , ""~',' ........ · TOTAL'"":;"::'"::' ;'":" ' EQUIP. TOTAL $0.00 MATERIALS DATE ,. DESCRIP?ION,':,:::':..,," ' '":'Q~::.," i' ';.:.;:i,',L!NIT/. ,:,;'PRICE" I'Di'~Cob.,nt,:i.i.: TOTA,,L MATERIAL TOTAL $0.00 SERVICES / MISC. .... ;... .,... .:... ....... :i:':j; A',M,~N~'' '.'. ] ":.:;!:.i;:.' ~.'' i..': '":" J:.i~.Q.T'AL!;:"'i::' 01/23/04 Marca Add Loops, Ped Pole 12301 $2,974.63 $2,974.63 SERVICES TOTAL $2,974.63 Submitted by: Accepted by: Costs Subtotal (no markup) Labor Mark-up 15% Sub Contract Mark-up 10% Sub Contract Mark-up 8% TOTAL AMOUNT DUE ~t~;~onstruction Superintendent , Date: $2,974.63 $o.o0 $200.00 $221.97 · sL. ° LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. SCH. A Job No.: 02271-324 Description of work: Add Pedestrian Pole & Loops @ Sherman Date: 1/29/2004 LABOR · ST OT '.:.' .... .ST oT .' '... DATE · · CLASS' .NAME HOURS' HOURS' ::':' RATE,' i'"' RATE' ~.'": """TOTALS ' LABOR TOTAL $0.00 EQUIPMENT · . .DATE : ' DESCRIPTION.: :... :.: :'.']' :']': :'. NO,..':':." :!HOURS. . "~' ':' '.'"FQTAL.,!.:' EQUIP. TOTAL $0.00 MATERIALS MATERIAL TOTAL $0.00 SERVICES / MISC. · DATE :' ,..'.:DESCRIPTION~: '' '.~''i' :' , 01/23/04 Mama Add Loops, Ped Pole 12301 $2.974.63 $2,974.63 i SERVICES TOTAL $2,974.63 Costs Subtotal (no markup) Labor Mark-up 15% Sub Contract Mark-up 10% Sub Contract Mark-up $2,974.63 $o.o0 $200.00 $77.97 Submitted by: TOTAL AMOUNT DUE John Lotito, Jr - Construction Superintendent $3,252.60 Accepted by: Date: FEB-Q5-2004 THU 08:16 MRRC~.ELECTRIC. INC Feb 5 200~ 20:11 541 396 3821 P. 04 MAR CA ELECTRIC INC. PO BOX 628- COQUILLE, OREGON 97423 541.396-5271 FAX $41-396-3821 CCB#46575 TO: JOE SOARES- LTM, INC. FROM: MARLENE DATE: JANUARY23, 2004 PAGES: I RE: SISKIYOU BLVD. EXTRA SISKIYOU @ SHERMAN STREET: ADD PED POLE AND LOOPS. LOOPS 4 @ $25O. OO CONDUIT, FITTINGS & WIRE PP BASE PED POLE LABOR 15.75 HRS @ $59.00 $1,000.00 $ 355.38 $ 125.00 $ s6s. oo $02~25 TOTAL MARLENE $2,974,65 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. SCH.~ Job No.' 02271-325 Description of work: Repair Lighting Conduit @ Morton St. Date: 1/23/2004 LABOR DATE CLASS. NAME HOURS HOURS' '. . ..i '"':.." . " ' RATE" 'RATE ': '::' TOTALS' LABOR TOTAL $0.00 EQUIPMENT DATE'" DESCRIPTION ... : ...'.NO:. ':. HOURS .RATE ' TOTAL. EQUIP. TOTAL $0.00 MATERIALS · : DATE. · ,DEScRIPTION~:':.".;:; ::: '::..,. ,": ~. ':' :: .. .Q,TY 'UNIT ' P~.']G:E.':' I' D "T~fAL'" MATERIAL TOTAL $0.00 SERVICES / MISC. "DATE. ',,' ' DE.,,S.G,..,R..':P.T,!'.0..,N,',', . 01/23/04 Marca Repair Lighting Conduit 12304 $1,150.00 $1,150.00 SERVICES TOTAL $1,150.00 Submitted by: Accepted by: Costs Subtotal (no markup) Labor Mark-up 15% Sub Contract Mark-up 10% Sub Contract Mark-up 8% TOTAL AMOUNT DUE to, Jr - Construction Superintendent ~ Date: ./O .~'z-~ ¢ ,~ $1,150.00 $0.00 LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. SCH. A Job No.: 02271-326 Description of work: Add Loops & Pedestrian Pole @ Beach St. Date: 1/23/2004 LABOR DATE CLASS NAME .::: H:O.U:.R..'S ' H0,URS,:' .':..' ..i~..:E...; :.".'~TE .' '~':" ..... TO~rAE~ LABOR TOTAL $0.00 EQUIPMENT EQUIP. TOTAL $0.00 MATERIALS · DATE .... DESCRIPTI°N· .'". ·: :", ' "'::"~TY.i ' · .' ' ..... : ' :;:-,'~...".'IJN I~!'' .' MATERIAL TOTAL $0.00 SERVICES / MISC. · , ,. : ' ' ' ;(!:?:.N,'O,'".L :!::~!~ ~' .A,'~,U N? i.:!:'i'*'" ..::'::::."::: '...i'..!.:i.':;rQTxi',., 01/23/04 Marca Add Loops & Ped Pole 12304 $3,278.65 $3,278.65 SERVICES TOTAL $3,278.65 Costs Subtotal (no markup) Labor Mark-up 15% Sub Contract Mark-up 10% Sub Contract Mark-up 8% $3,278.65 $0.00 $200.00 $102.29 Submitted by: Accepted by: TOTAL AMOUNT DUE J~r~ Lotito, Jr - Construction Superintendent //~ Date: $3,580.94 FEB-O6-2004 THU 08:16 PM MRRCR, ELECTRIC. INC Feb 5 2004 20:12 541 396 3821 P. 06 MARCA ELECTRIC INC. PO BOX 628- COQUILLE, OREGON 9742.] 541-396-5271 FAX 541-396-3821 CCB#46575 TO: FROM: DATE: PAGES: JOE SOARS- LTM INC. MARLENE JANUARY 23, 20O4 1 07_-Z7 / -'~ 7--L~ RE: SISKIYOU BL VD EXTRA MORSE @ BEACH: ADD LOOPS AND PED POLE. LOOPS 3 @ $250.00 PP BASE PED POLE JB1 CONDUIT, FITTINGS & WIRE BORE 40' @ $12.00 FOOT LABOR 18 HRS @ $59.00 PER HR TOTAL $75O. O0 $125.00 $565.00 $ 87.40 $209.25 $480.00 $1o62.oo $3,278.65 MARLENE LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. SCH. A Job No.: 02271-327 Description of work: Install 2" PVC @ Mountain Avenue Date: 1/23/2004 LABOR LABOR TOTAL $0,00 EQUIPMENT ....... ..'.' EQUIP'."'N.O,,.,~,OF I:...'.,.. . I DATE ......... ' DESCRIPTION · ' :. NO~ ' 'H'Oi~RS' ..:i?' '.;!'::i' .. ':.' TOTAL "1 EQUIP. TOTAL $0.00 MATERIALS ....... ~' .UNI~:.:: :;.::p~!~E;:.:i?,:l~i~:::,iDii§~b.0nt: i::.; ';' ''?" ·'·TOTAL· · MATERIAL TOTAL $0.00 SERVICES / MISC. DATE DEsCRIpTiON .... ' .... ' ::No.'.'.:": :'AM.Q:UNT" ;: :' ':.' '"" "TQTA...L'" 01/23/04 Marca Install 2" PVC 12304 $10,331.47 $10,3,.3,~4'/' SERVICES TOTAL ~,331.47 Costs Subtotal (no markup) Labor Mark-up 15% Sub Contract Mark-up 10% Sub Contract Mark-up $10,331.47 $o.oo $200.00 $666.52 Submitted by: Accepted by: TOTAL AMOUNT DUE ~ - Construction Superintendent //~'r~ Date: FEB-OS-2004 THU 08:16 PM ~RRCR, ELECTRiC, INC Feb $ 2004 20:12 S41 396 3821 P, 07 MARCA ELECTRIC INC. PO BOX ~28 - COQUILLE, OREGON 97423 541-396.5271 FAX $41-396-3821 CCB#46575 TO: FROM: DATE: PAGES: JOE SOARS- LTM INC. MARLENE JANUARY 23, 2O04 1 RE: SISKIYOU BL VD EXTRA MOUNTAIN AVE ~ SISKIYOU- INSTALL 2" PVC CONDUIT ON SOUTH SIDE, COULD NOT MOVE WIRE IN EXISTING CONDUIT; ADD LOOPS, CUT AND INSTALL CONDUIT IN POI~ BASE AT NE CORNER. BO~ ~ ~ $12.00 FT CONDUIT & FITTINGS WIRE LOOPS 1~@ $250.00 MAKE UP LOOPS 15 @ $13.00 LABOR J. BOX- 2 1~.o0 7ED 726,44 3750.00 450.00 3160.00 174.80 TOTAL $i0,331,47 MARLENE ~ LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. SCH. A Job No.: 02271-328 Description of work: (12) Loops @ Wightman Date: 1/23/2004 LABOR LABOR TOTAL $0.00 EQUIPMENT ........ '.: TOTAL EQUIP. TOTAL $0.00 MATERIALS DATE :.:.'.. DES.G'RIPTION ' , QTY,.: .:.~ ;:'~,:":;"UNIT' .:'::..:?i;~RiG:E:. '. i nt'il MATERIAL TOTAL $0,00 SERVICES / MISC. .... DATE . 'I~E'scP,' PTIQN"" '."¥.,': :'i, '..' ',' .',.'..::":... O~ .'.:" !?.A, MOONT'.. .'" .',!i /:.'. ': ' ... "' 01/23/04 Mar(~a 12 loops 12304 $6,995.75 $6,995.75 SERVICES TOTAL $6,995.75 Costs Subtotal (no markup) Labor Mark-up 15% Sub Contract Mark-up 10% Sub Contract Mark-up 8% $6.995.75 $o.oo $2OO.OO $399.66 Submitted by: Accepted by: TOTAL AMOUNT DUE JO,~,n LO+ifn, ~r - Construction Superintendent //~///~).,1~'~/'"' ' Da te: //~, ~ $7,595.41 FEB-OS-2004 THU 08:17 PM ~RRC~.ELECTRIC, INC Feb 5 2004 20:12 541 396 3821 P. 08 MARCA ELECTRIC INC. PO BOX 628- COQUILLE, OREGON 97423 541-396-5271 FAX 541-396-3821 CCB#46575 TO: FROM: DATE: PAGES: JOE SOARS ~ LTM INC. MARLENE JANUARY 23, 2004 1 RE: SISKI YOU BL VD EXTRA SISKIYOU @ WIGHTMAN o~LOOPS 12 @ $250.00 BORE 135" @ $12.00 FT LABOR TOTAL 3000.00 1620.00 87.40 1888.00 6995. 75 MARLENE LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. SCH. A Job No.: 02271-329 Description of work: Install Loops @ Walker Date: 1/23/2004 LABOR DATE CLASS NAME ':HOURS HOURS RATE .PALE ., LABOR TOTAL $0.00 EQUIPMENT DATE· """ .. DESCRIPTION ': .... '..,: . iNO:ii'.::~.],:..HOURSI !"i:~4!! "..,::.i.,;;, "' EQUIP. TOTAL $0.00 MATERIALS DATE ".. DEScR'I:pTiO'N '.'QTY: '."" ": :~'U'NI~.;;'"'?: :":"" P~:!'~E' ~Cobfiii :!:::i.I 'T'0TAL" MATERIAL TOTAL $0.00 SERVICES / MISC. .. · DESCR PTIO'N:,~.:' , .... ' ' "": '''~ ' .' ':!!':'~!:iii~O':ii.:''' ',i :":AMOUNT:' :' :':~':w' :':' TOTAE:':",:. ': 01/23/04 Marca Install Loops @ Walker 12304 $5,720.00 .~ SERVICES TOTAL _,~0 Costs Subtotal (no markup) Labor Mark-up 15% Sub Contract Mark-up 10% Sub Contract Mark-up 8% $5 o' .oo s, $0.00 $200.00- $297.60 / ,,,2 7,62.. Submitted by: Accepted by: TOTAL AMOUNT DUE -~l~~[~t~n s t r u ct ion Superintendent / ~,/~~ Date: Feb 5 2004 20:12 FEB-05-2004 THU 08:17 PH MARCA. ELECTRIC. INC 541 396 3821 P. 09 MARCA ELECTRIC INC. PO BOX 628 - COQUILLE, OREGON 97423 541-396-5271 FAX 541-396-3821 CCB#46575 TO: JOE SOARS- LTM INC. FROM: MARLENE DATE: JANUARY 23, 2004 PAGES: 1 RE: SISKIYOU BL VD EXTRA SISKIYOU @ WALKER STREET- INSTALL LOOPS LOOPS/~ @ $250.00 MAKEUP LOOPS 20 @ $36.00 EACH $720.00 TOTAL $5,7~.00 ~oO0' ~ 7.~0 MARLENE LTM Incorporated Time and Materials Billing Summary Project Name: SISKIYOU BLVD. SCH. A Job No.: 02271-330 Description of work: Repair Existing Conduit Date: 1/23/2004 LABOR DATE . CLASS· NAME . 'HOURS ·HOURS· ".:': RATE i RATE'I '"" 'TO.TAES ' LABOR TOTAL $0.00 EQUIPMENT DATE ., ..DESCRiPTiON .' ':'.' ,....... :. NO..' ... HOURS' :' ., EQUIP. TOTAL $0.00 MATERIALS · DATE DESCRIPTION·· "QT.' ·UN·IT···· "i'.:.i'PR!c'E.:'.::.:::t:;'Disc~Ont MATERIAL TOTAL $0.00 SERVICES / MISC. 01/23/04 Marca Repair Existing Conduit 12304 $1,854.81 $1,854.81 SERVICES TOTAL $1,854.81 Costs Subtotal (no markup) $1,854.81 Labor Mark-up 15% $0.00 Sub Contract Mark-up 10% $200.00 Sub Contract Mark-up ~.38_._.~_ Submitted by: Accepted by: TOTAL AMOUNT DUE Superintendent Date: CITY OF ASHLAND '20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 CiTY RECORDER'S COPY DATE 07/01/20O3 P~ge 1/2 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 .. Description Unit Price Ext. Price THIS iS A REVISED PURCHASE ORDER BLANKET PURCHASE ORDER : ' :: ::~ · Contract for the Siskiyou 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 · Insurance required/On fiie · Revised purchase order 03/20/2003, 3,139.00 : Change Order No. 1 - Additional 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 - Slurry backfill at 399,50 Harrison ~ Change Order No. 5 - Inclement 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 3,460,459.78 Authorized Signature VENDOR COPY CITY OF ASHLAND 20 E MAIN ST. ASHLAND, OR 97520 (541) 488-5300 07/oi/20°3 Page 2 / 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 Chan.qe Order No 9 - Dewaterin.q Medians 142.10 Revised purchase order 05/1312603 Change Order No. 10, Items A - I (Please see attached requisition for ,' · detailed list) Revised purchase order 08/01/2003 52,711,31 Change Order No 11, Items A-I (Please see attached requisition for detailed list) Revised purchase order 11118/2003 '15,951.48 Change Order No 12, Items A-J (Please see attached requisition for detailed :: list) Revised purchase order 01/15/2004 · 20,460.07 Schedule B Chan.qe Order 13 (tems A -0} Revised purchase order 03/05/2004 68,312.78 Schedule B · Chan.qe Order 15 (Items A-U) SUBTOTAL 3,460,459.78 BILL TO: Account Payable TAX 0.00 20 EAST MAIN ST FREIGHT 0.00 ~4 ,~ _~ ~") _") fl 9 R TOTAL 3,460,459.78 ASHLAND OR 97520 Account Number · Amount Account Number Amount Authori~ Signature VENDOR COPY