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HomeMy WebLinkAboutCO 16 i 1 CAG-17-088, CO # 16-18 CITY OF RENTON Community Services Department CONTRACT CHANGE ORDER AGREEMENT 7/6/2018 CONTRACT; City of Renton 9??? CAG-17-088 CONTRACTOR: Road Construction Northwest,Inc. CHANGE ORDER: No.16R2 SUMMARY OF PROPOSED CHANGE: Reason/Justification: Additional Work to Contract:Landscape-Manual Site Watering Due to PSE Delays for Electrical Service_.__ Deduct planting of 450 Daffodils Additonal Work to Contract:Raise cleanouts per City of Renton inspectors. DESCRIPTION: Item Qty. Description Unit Price Amount No. w/WSST 99-008 Manual Site Watering-PSE Delay Impact $ 32,086.99 $ 35,295.69 99-008 Deduct 450 Daffodils $ (450.00) $ (495.00) 99-011 Raise 4-Cleanouts per City of Renton Inspector. $ 1,169.77 $ 1,286.75 Total this Change Order: $ 36,087.44 ORIGINAL CONTRACT CURRENT CONTRACT NET CHANGE REVISED CONTRACT AMOUNT(W/WSST) AMOUNT THIS ORDER(W/WSST) TOTAL AFTER CHANGE $ 2,351,010.48 $ 2,449,748.08 $ 36,087.44 $ 2,485,835.52 Additional Calendar Days: (0)No Extension of Time.Completion Date is July 13,2018. The payment specified and agreed to in this change order includes every claim by the contractor for any extra payment with respect to the work described in this change order, The work covered by this change order must be performed under the same terms and conditions as that included in the original agreement. Ail of the other ter s of the original agreement remain in effect. SIGNATUR . Iti . Contractor: 14 Jeffrey M.Kanyer,President Date: 7/10/18 ! I 1 Project Manager ,.r �-+� �/ � 47Date 7/0/0 AO lk i'_ J/ Approved By: ` — /'1Vv Dai N y7t,i� DenisX Law, Mayor �.•`„� OF F ''.,/� s , &?..A.7-111- :31 * SEA, Megan Gregor , Deputy City Clerk o ? ''',,I'4I TEDSEPt6;\.`\`�� 8 vir J. I --... 1 .. Road-Contstructlin Northwest, inc. FA i • 1 , Force Account lobNal* Si)A1417" 17.4igi( ; lob* i / 0 Force Aszt# f j-we 131D TrIlX#: : b Mama&maw:a:tad 1st&e p'Yikl? If so age&form D VN. Yes lie . , Date workparibnoad. * :4 -21-I g . Additional Days To Be Added To Original Contract 1 1. Desariptio' Et artriodc Wit r- j444-P1 V/W/soft2k)eirr i i 1 • • — • . TABORYORCZ I 1 i 1 RCM Employseihhune Classification - 'bort , ,......_ f . L. i : t 1 --- - i • , XQUIPMENT*FORCE , • eadtsting Phle,fiat heas.light towers etc.) ILCINTWEctiiipment# Classification ' - . 4 - , 1 , - ; • I i , IVIATIOITALUTUMED 1 1 This or Chin Vendor Delively/Packkag Slip* I Quantity Cost I I Ii 1 1 . I —1 i ! • i ; ;1— i 1 f is t ' 1 1 , . . . SUBCONTRA.CTOS TITUA.,77_,D ! . Veadolitune • Type ofvork Invo1ceTI1'1,- # Cost r ; . ; - -— 4 1 . . ......-..._: , i 1 1 . f - - - ii ?... .2 load '-". estuu._o-pm--_-r-ot- coc 1 Date I Ovrage!GCltacteaantativa Dna 1 s.,- •.,, 1 -. , Roane TIMIS e..,...are..It May..OZ291124 1 . . . ,vad-Colstruietio' n Northwest, Inc. m II 1 .... , _ Reece Account Job Naln ._,St iiiis'or p4 icy- : lob# I D) 0 Fares Aectfi ' -0 1 Y • BM ITEAlik. , 11*k-work assocItteduith a WM? If so attach form DIV- Yes No : Date Vorkparliarraed ' 1/Z 441/3 A.ddidonal.Days.To Be Added To Original Congract Deception°Mc* i -_-- Atli?i lAii4-11-e- -4-1/1V/10 ://4/43ati . . ' - _ • • . LABORFORCE - FOIWBruployeeName Classification 1_-:' P4,0 AvYcis' it I ,f i o- I I I i —i . 1 . , _ — i i 1 i . _ EQUIFMEAT FORCE 4 = " 091010dg phae,:nat beds,Egjat towers etc.) A RaTVEquiseuent* Classification : , • 4,— , -, . . . • ,,, - - , , . . i• i I I 1 I • • i : t ( I, fifils.TERIALITTIL2ZD Tips or Class : i Vendor , Delivexy/Packing Slip:4 1 Quantity - Cost ( i 1 i 1 i - - : 3 i • 1 1- i i . ! I .1 .I . , 1 513BCONTRACTORS"UTILIZED YendorNatne Ty, pe ottsork TflvakerriY I,' fr Cost ...".... I _,..— i •••,— ! ........_—• . Y ,—. — : • _ - 7. madoC., . i-.A..., ..west,Inc.Representative Date I 1,. I .............................. ' OwnerIGCS.eptuetakedblo Data 'I 3 wow. , , = -=.1--=,- -11Fonne Rev ill1113 .......Mn.11(Rev 0249712) 1 . 1 Road C. Northwest9 Ince FA i • , • Forte lir-count f : . Sob Nor+ 5A./10.7- 17,,,t,gi( i lob* t )/ 0 Force iteet* I 1,-a,et 3 1 1 b&kw orkossodated with a Irli? If so fatted'farm.DYN. Yes 14o ' i - ; Dateworkperfbrmed ' '11"ZS--1 i3. AddidonalDays I.1.a Be A.dded I To Origtoal Coated DestsiptUse of Wolk. • __,ZAJ/7 i 14/4-kr- Allied 1 . . - . 1 . ) • • • - , . • LABOR ORC:t 101WEmpkiyeeittasue aassification L--- AO AIti&— I 4'R. I MINI I 4 i , I : • .1 — i . 1 ! i t - , 1 — -- . . i EQUBEIYIENT FORCE 1 • ' • and:Edits phis,fiat bede,Bs*towel ett.) 2.CHWEqu1pment* C.lessiffeedon ; i . . t . : .•i . . I I - I _ t . ' 111ATFIffiS,L=UMW i ; Tips or Class ' Vend= Ddirety/Pacides Slip* I Quantity • Cost I • A 1 ' 1 '-ei : 1 i 1 i ! 4 -r ; . 1 i i f , 1 ' . SUBCONTPA.CTOBB TiniZZED VendoTypo rework :invoice/no, # Cost r:Nome -—--i '-----— c 1 i. - :. - ......______________?...,..........._ _........_ _ . i t ' . 2 - ,,,,, d Consttue .0,',, 4‘' .., Inc.Representative Dote I , . - OvineriGC-31apteseal Date i i . t,1x It(Rev.02.a1/12) - . eiteCentrearnatReamenTerease Fenn Rev 4117/13 Kt adonsttonowt, Inc i ?,.,,:;_.:..., 1 , 4..,, , Force Accoinst i SohName �c,A1SdjT ob.# I"Di () ForceAtxt# 11 nodi BTS: €s IilktvoricassnattedwlfftabYNY Tian attach fouoDWV. Yespio t Datewo cp�sed. - ' VeVig Additionalbays-'T'oBoAdded • • 1 To()ritual Contract DesctipttonoffWotk • p_ . z4 - 4- 19 w,' l 3/077`r LAB:apauCE t WNW EployeeeName Clas�o - -ation -la , ; .Hp'+ s L ;// ' ice. _____ 1 . k.;__:. M .... : :. i • : . i , l' 1 . is . 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Yob'quip Si,AISBT 7,a,ey lob* /")/tJ ForceAect $1-coo 3 BB}YOKO: Isthismorkassockted ►aD et ttoxmD—ON Yes No R Date work performed 4/2:7 Addi1ionaLDaTo Be Added To Origfnal Contract a Descdpt as afWork /4971/0 i 1A/A--ke- 4.-J-t ,t4.‘(//0102,/-r" 1f - r t • iWyaiaclae _______Lorzi_IAB°R:eaCSfes"ecatian mos F F a i ; t TALVIENT TaR.Cli 7 G aciading plus,Bat Beds,light tossers etc.) I BOW Est:dent=0 j Cla�catian _ Brew i 1 I. it I MATERIAL I oar Class - Vendor Del vezytPaeking Slip* IQity Cost tuant1 q1 I ` i' ' S€3BCC tR&CrQRS UTIIMED -, t. Veador)Tame Type otwvoic ork e *. _ Cost t k i 1 s , oad C. ..''t. 0 vest,Ine.Represent Live Date l ,- Ownedecstepse entat'Lve Date i e.. ...ed,:.11•(Ree.022ei122 SetCt,AAARem Raeewmt4 Renew item --- ; .. , Road-Construction Northwest, inc. FA. 1 . . Force Accattut 1 Jab Nan& 5 1-11:' Tab 0 1110 Rome Aeet# ... IBB TTED10: • Ts thkwork associated*Ma DVN1 IT se attach term DM. Yes Dto . . Date work pertartaed : - 4-3o- (B Additional Days To Be Added To Origbtal Cataract Description&Work DJA•rezz. 71.14.-rts. kusb 6.0.6 NA 0 e, To *4=7, . --- ______ , : . ... . , . . LABOREMCE . . RCNW EmployeeiName Clasta I>a1/40 --aosusE.6.... i F01213"44) , • . ; : . . i ,_.,.-. - • ; : . r.....--. ; iwgrniverr FORCE ; I , 1 : (jutluding Vas,Bat beds,liest towers etc.) RelqW Etpdpmeta 0 CieSSifiCati011 i ..... , . . i , . • _______ ______ i it 1 Type or avas ' MATERIAL DTILIZED Vendor Delivery/Pat:Una Srrp 0 I CliandV Cost . t : I 1 t i 1 - I' t: ; 1 1 1; • i . . - . SUBCONTRACTORS DITLWED : VeadoiNtane Type of work invoice/Moot* Cost -.-- i - , 1 • 1i..1 JA,„ )---Thle 4-yei_ng .._.m,11(Rev-OVA= RDad Construction44*ms% -Representative OonterIGCReptesentettce Date Dew tatassareatssfeesaarttemsestens Her 110113 ___. Road Construction Northwest, Inc. FA Force Account Job Name S Alp Job# / /(,, Force Acct# ,e57-oo BID ITEM#: Is this work associated with a DVN? If so attach form DVN. Yes No Date work performed 5#1-j& Additional Days To Be Added To Original Contract Description of Work AtiatJD t).4.tst , pi44405/6/us.s5 LABOR FORCE RCNW Employee Name Classification Hours Fit i zL..a g La8o8 S' s: tJr tit tregtalASAN ieReo EQUIPMENT FORCE (Including plus,flat beds,light towers etc.) RCNW Equipment# Classification Hours MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Ticket# Cost Road onstructionNo :.►.r- ,Inc.Representative Date Owner/GC Representative Date Farm No.11(Rev,02129112) SiRCNWhporms\ForemanlForemans FormslCopy of Foreman Forms Rey 02.14.17 Road Construction Northwest, Inc. FA Force Account Job Name 5 p Job# /710 Force Acct# yy-R61,3 BID ITEM#: Is this work associated with a DVN? If so attach form DVN. Yes No Date work performed S.2 M/I Additional Days To Be Added To Original Contract Description of Work //4411ka — ,ibi i rViVig#0 ass LABOR FORCE RCNW Employee Name Classification Hours EQUIPMENT FORCE (including plus,flat beds,light towers etc.) RCNW Equipment# Classification Hours MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Stip# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Ticket# Cost Road Const;c72No ,Inc.Representative Date Owner/GC Representative Date Form No.11(Rev.02129(12) S:IRCNW1Forms\ForemantFueman's FormskCopyof Foreman Forms Rev 02.14.17 Road Construction Northwest, Inc. FA I Force Account Job Name . /up Job# d 710 Force Acct# 3 BID ITEM#: Is this work associated with a DVN? If so attach form DVN. Yes No Date work performed 5794.0 Additional Days To Be Added To Original Contract Description of Work fir.. jf�,a ^ gli '/ ' 12"453- LABOR ,4 iLABOR FORCE RCNW Employee Name Classification Hours ____043211_46‘25_40a ,'r L-A-33 � 2.1L EQUIPMENT FORCE (including plus,flat beds,light towers etc) RCNW Equipment# Classification Hours MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Ticket# Cost Road Constructia•ce west,Inc.Representative Date Owner/GC Representative Date Fon No.11(Rev,02/29/12) S1RCWW1Forras1FOreman\FOreman'a Forms\Copy of Foreman Forms ROY 02.14.17 Road Construction Northwest, Inc. FA Force Account Job Name $ ,u p Job# /7/0 Force Acct# 95 -l91) BID ITEM#: Is this work associated with a DVN? If so attach form DVN. Yes No Date work performed gig Additional Days To Be Added To Original Contract Description of Work yy// 'r +'t ,l`S L . °/'7 / a44,r Gti cr/., -ST-•per -04-061,41 7 44.404t /Fleece LABOR FORCE RCNW Employee Name Classification Hours i4!�� 5t 401f PAA e C) EQUIPMENT FORCE (Including p/us,flat beds,light towers etc.) RCNW Equipment# Classification Hours MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip# _ Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Ticket# Cost S Road Construct) orthwest,Inc.Representative Date Owner/GC Representative Date Form No.11(Rev 02129/12) SiRCNW1FormstForaman Foreman's Forms\Copy of Foreman Farms Rev 02.14:17 Road Construction Northwest, Inc. FA Force Account Job Name S /(,Q f Job# /7/0 Force Acct# ,0 f" J O 3 BID ITEM#: Is this work associated with a DVN? If so attach form DVN. Yes No Date work performed „�.1�' a 7'/ Additional Days To Be Added To Original Contract Description of Work /MAN) hither- cke iP5g DeLAV LABOR FORCE RCNW Employee Name Classification Hours EQUIPMENT FORCE (including p/us,flat beds,light towers etc.) RCNW Equipment# Classification Hours MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Tieket it Cost Road Constructs orthwest,Inc.Representative Irate Owner/GC Representative Date Form No.11(Rev.02/29/12) S\RCNWWFormslForemar#Foremarfs Form&nopy of Foremen Forms Rev 02.14.17 Road Construction Northwest, Inc. FA Force Account Job Name , Au 9 Job# /7/C Force Meet# 99"do3 BID ITEM#: Is this work associated with a DVN? If so attach form DVN. Yes No Date work performed - S 8 j O Additional Days To Be Added To Original Contract Description of Work r� H440 t( .e- 1l fs y,•mese De !2'S LABOR FORCE RCNW Employee Name Classification Hours 1:71" of3:254A•e- EQUIPMENT FORCE (including plus,flat beds,light towers etc.) RCNW Equipment# Classification Hours MATERIAL UTILIZED Type or Class Vendor Delivery/Pacl ing Slip# Quantity Cost _ I _ SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Ticket# Cost Road Constmctto •. ,est,Inc.Representative Date Owner/GC Representative Date Form No.11(Rev.02/29/12) S:IRCNWVForms\Foremen*Foremen`s FormstCopy of Foreman Forms Rev 02.14,17 Road Construction Northwest, Inc. FA Force Account Job Name :3 A.1 F2 Job# /?/0 Force Acct# 9 r-op 3 BID ITEM#o Is this work associated with a DVN? If so attach form b NN. Yes No Date work performed Jar 9'`l9 Additional Days To Be Added To Original Contract Description of Work De4� LABOR FORCE RCNW Employee Name Classification Hours c/sPul e4 5we EQUIPMENT FORCE (including plus,flat beds,light towers etc.) RCNW Equipment# Classification Hours MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip# Quantity Cost SUBCONTRACTORS UTILI7.ED Vendor Name Type of work Invoice/Ticket# Cost 5-1448 ad Constructs st,Inc.Representative Date Owner/GC Representative Date Form No.11(Rev.02/29112) S:IRCNY FormslForeman%Foremarts FormslCopy of Foreman Farms Rev 02 14.17 Road Construction Northwest, Inc. FA Force Account Job Name SA/ig Job# 17!0 Force Acct# 97Z BID ITEM#; Is this work associated with a DVN? If so attach form DYN. Yes No Date work performed 57/04 Additional Days To Be Added To Original Contract Description of Work ti ro Wu.4 c aI t p�r> fs //,mss Ocr, r LABOR FORCE RCNW Employee Name Classification Hours tet. EQUIPMENT FORCE (including phis,fiat beds,light towers etc.) RCNW Equipment# Classification Hours L MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Ticket# Cost Road non Northwest Inc.Re resentative Date Ct P Owner/GC Representative Date Form No.11(Rev.02/29(12) S:IRCNW1FormstForeman\Foreman's Formsleopy of Foreman Forms Rev 02,14.17 WEST COAST LANDSCAPE DEVELOPMENT FA A Force Account Job Namev 4J,s.t /%ip4hty`jtita Job# /7 d Force Acct#r Pk"` BID ITEM*: Date work performed 4"'1-,d/r Additional Days To Be Added To Original Contract Description of Work ti/o vi4 , '172 1 Y►'s -�' .51,/Stti.�� LABOR FORCE 'CL&D,Employee Name Classificc<tion Hours t1 1.t✓w ' �vYf' (axle r+�t�,•f �1 't✓ 4'T -. EQUIPMENT FORCE (including plus,flat beds,light towers etc.) WCL&D Euipment# Classification Hours it'01L C.4.✓ 4 /A-S MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work invoice/Ticket# Cost West Coast Lan •c pe&Development Date Owner/GC Representative Date WEST COAST LANDSCAPE DEVELOPMENT FA Force Account Joh Name c ., Al, 1 Job tl / ../49 Force Acct ,,/ �y BID ITEM#: 1 Date work performed 8 r PD/g Additional Days To Be Added To Original Contract De.criptlon of Work o Wi -4'-'4 c f I 4.A is,"- e2-i-e0-t r—P . 1....5-' . `-..?$_LAS" anki Y LABOR FORCE WCL&D Employee Name Classifi ation Hours j/ EQUIPMENT FORCE (including pins,flat beds.light towers etc.) WCLRD Equipment tt Classification Flours MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip# Quantity Cast SUBCONTRACTORS UTILIZED Vendor Name Type ofwork Invoice/T'icket# Cost 2.— West Coas andseape&Development Date Owner:/CC Representative Date WEST COAST LANDSCAPE DEVELOPMENT FA Force Account Joh Name , r,01. Job# /'7/♦ Force Acct BID ITEM 4: Date work performed 9r Lv/,( Additional Days To Be Added To Original Contract Description of Work ii%e[ v 17w..,,,1"y / is r /irks .t .13 LABOR FORCE WCL&D Employee Name Classification Hours EQUIPMENT FORCE (including plus,flat beds,light towers etc.) WCL&D Equi menta Classification Hours .an., c . ..., . -` .. 4 X— __- s Ai. MATERIAL UTILIZED Type or Class Vendor Delivery/Packinj Slip# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work InvoicerTicket tr Cost '''' or -fie � 1 West Colt Landscape&Development Date Owner!GC Representative Dale WEST COAST LANDSCAPE DEVELOPMENT FA Force Account rob Name (5*:. d1 , Job 40 /,7/4/ Force Acct 4 `� ( BID ITEM#: Date.i ork performed A7- /0 .211 Additional Days To Be Added To Original Contract Description of Work f fr' "'," 0#i4_ 2.11h4 Si ° ' , ,th 7,ssil -- LABOR FORCE WCL&D Empl vee Name Classification Hours X9*..... AL—leu.-- 4.>#6.------ .. ._ & A- , .. 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X.-oLeire 1-mAv./ EQUIPMENT FORCE (including phis,flat beds,light tow ers etc.) WCL&D Ec ui ment# Classification Hours •?.0 4^ C _ 4" .1" 4„ MATERIAL UTILIZED Type or Class Vendor Deltvery/Packing Shy# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Ticket 0 Cost • f k1 (71,4..4 -1/-ie West Coast La Is ape&Development Date Owner!GC Representative Date WEST COAST LANDSCAPE DEVELOPMENT FA Force Account Joh Name Job x /7A0 Force Acct# BID ITEM#: Date s ark performed 1 Jl -/d Additional Days To Be Added To Original Contract Description of Work Y l V✓ •-� 7-1) etit -_, LABOR FORCE FORCE WCL&D Employee Name Classification Hours EQUIPMENT FORCE (including pins,flat beds,light toners etc.) WCL&D E,guiptpent# Classification Hours MATERIAL UTILIZED Type or Class Vendor Deiivet if acking Slip# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoiceri icket n Cost West Coast Lands p R Development Date OwnerlGC Representative Date { WEST COAST LANDSCAPE DEVELOPMENT FA Force Account Job Name z7,tt,/,/ Job ft /WO Force Acct#t BID ITEM#: Date work performed `7.-/ -lrlp Additional Days To Be Added To Original Contract Description of Work Wi ro."-4 L6✓z/./j 44 /44 +7✓ ... 5$0.1/id j7 G ttt1i�/ -- LABOR FORCE WCLB:D Employee Name Classification Hours EQUIPMENT FORCE (including phis,flat beds,tight towers etc.) t'CL&D Equipment#t Classification Flours MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip g Quantity Cos(' SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Ticket Cost 4-/t „Ier West Coast Lands &Development Date Owner/GC Representative Date WEST COAST LANDSCAPE DEVELOPMENT FA Force Account Job Name Ai f; Joh# /'7/1 Force Acct BID ITEM# Date work performed 4.-/9- 2404 Additional Days To Be,Added To Original Contract Description of Work y� /liMilictYf ill Asev it\- 4.141.44 etc- 4.44 Y LABOR FORCE WCL&I)Employee Name Clascificati Hour. EQUIPMENT FORCE (Including pins,flat beds,light towers etc.) ,r� WC'L&D Equipment# p Classifica ion Hours / L"h t/. ._g0../k • 11.11) 5€ x L 0 MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Ticket# Cost '174- r ,1 4-14-2d/t{ West Coast Lanc .a e&Development Date Owner/C)C Representath e Date WEST COAST LANDSCAPE DEVELOPMENT FA Force Account Job Name CrN, P Job d /3/B Force fleet# BID ITEM#: Date isork performed 4-/s Jr. Additional Days To Be Added To Original Contract Description of Work 0/1,^44341) Rebt /10'0 rf-14$1.+. 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Cost L i :Kd West Coast Landcc pe&Development Date Owner/CC Representative Date WEST COAST LANDSCAPE DEVELOPMENT FA Force Account Job Name Job# 0/ /o3 Force Are# BID ITEM#: Date work performed g-/7-if Additional Days To Be Added To Original Contract Description of Work zek. 44. C4P414, Alp ?Sol e ' LABOR FORCE WOAD Empl yee Name Classification Hours 57r3-1....4. 4IF Leavv" g3` EQUIPMENT FORCE (including pins,flat beds.,light towers etc.) WCIAD Ecigjp7nt# Classification Hours a.4. ),--41 MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Ticket Cost West Coast Lan lf.pe&Development Date Owner/GC Representative Date WEST COAST LANDSCAPE DEVELOPMENT FA Force Account Job Name (3-4/ Job# /9j) Force Acct# BID ITEM#: Date mark performed '54/6 - Additional Days To Be Added To Original Contract Description of Work / Atii.03g/ /6:),463 LABOR FORCE WCL&.D Em love �Name Classifi9ation Hours c<h EQUIPMENT FORCE (including phis,flat beds,light tomers etc,) WCL&D Equi�mens# Classification Hours Z, Viz, 40•4,C -,1p 4 ,or, _ _._ , e 140. MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Ticket# Cost 9 w10- West Coast 1 andseap &Development Date Owner/CC Representable Date A WEST COAST LANDSCAPE DEVELOPMENT FA Force Account Joh Name V t Joh# /7/1) Force Met# / BID ITEM#: Date work performed jf /1 i'I Additional Days To Be Added To Original Contract Description of Work /44$44# / LABOR FORCE -tet ) WCL&D Em lloyee Name Classifi tion Hours EQUIPMENT FORCE (including p/us,Oat beds,light towersetc.) WCL&DE�tr.i�menu# Classitication Hours , MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Ticket a Cost "71f�1 4V"/" West Coast Landscape ° Development Dare OwnerlGC Representative Date WEST COAST LANDSCAPE DEVELOPMENT FA Force Account Job Name ,01, > lob fi /`?/A Force Acet# BID ITEM 4: Date ssork performed 1-20 "if Additional Days To Be Added To Original Contract Description of Work LP-442W fl"?t�•T.t. RCA; LABOR FORCE WCL&D F,tplovee Name Classifjcation Hours k5Aclot Jt�`te G.101-. .�,Z. to✓' 9 ' EQUIPMENT FORCE (including plus,flat beds,light toners etc.) WCL&D E uipment Classification Hours MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip Quantity Cost SUBCONTRACTORS UTILIZED vendor Name Type of work Invoice/Ticket# Cost 71/64"''' V'24)'11 West Coast Landscape&Development Dare Owner/GC Representative Date WEST COAST LANDSCAPE DEVELOPMENT FA Force Account .I oh Name ? 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SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Ticket H Cost itrv...., ilq.. r/1;7 , 44213-419 NN Coast Landscape&Development Date Owner/GC Representative Date 1 WEST COAST LANDSCAPE DEVELOPMENT FA Force Account Joh Name .;'/I/. FP. Joh# 77/0 Force Acct n BID ITEM#: Date work performed 4-,7, - ( Additional Days To Be Added To Original Contract Description of Work j d watt i‘. , 1 c . ,�a10SdQ f � 4,,Dr LABOR FORCE WCL&D Em tloyee Name Classifica ion Hours EQUIPMENT FORCE (including plus,flat beds,light towers etc.) WCL&D E uipment# Classification Hours 4,4211„, J 'ia c,. ,,,r _.�... 41c4__ 6 friltri MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip u Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type oFwork invoice/Ticket# Cost -- ei cr i. 4-2,,-/e West Coast Lands&Development Date OwneriGC Representative Date WEST COAST LANDSCAPE DEVELOPMENT FA Force Account Joh Name �, jt/ /p ,lob s /7/D Force Acct BID ITEM II: Date,cork performed /_ _ Additional Days To Be Added ! To Original Contract Description of Work id ifikA [[ /' 04*-tA j j'jl �w-�( -t. t LABOR FORCE WCL&D Emplo ee Name Claslification Hours EQUIPMENT FORCE (including plus,flat beds,light toners ete.) WCIAD Equnent# Classification Hours MATERIAL UTILIZED Type or Class Vendor Delivery/Packing Slip# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoicefficketi Cost • Er West Coast L dscape&Development Date (honer/GC Representative Date WEST COAST LANDSCAPE DEVELOPMENT FA Force Account Job Name .NP Joh s f`/D Force Acct#i BID ITEM#: Dale«ork performed jam•xj _ Additional Days To Be Added To Original Contract Description of Work t `✓A' +�P V►v PI . AAA," I 416' LABOR FORCE WCL&D Employee Name Clasciftca ion Hours EQUIPMENT FORCE (including plus,flat beds,light towers etc,) t , WCL&D FORent ent# Classification Hours \„ l MATERIAL.UTILIZED Type or Class Vendor Delivery/Packing Slip# Quantity Cost SUBCONTRACTORS UTILIZED Vendor Name Type of work Invoice/Ticket n Cost e f '_4e 1 West Coast Landscape R eietopmant Date Owner/GC Representative Date 1 WEST COAST LANDSCAPE DEVELOPMENT FA Force Account Joh Name (.5..#1, f'. 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Job*: (itO Date:l .r,cp..tA AAM0L Job Name: St'*3' ` Day: r-7....k, PM UTILITY DAMAGE ©located (form 8) FLAGGERS 0 Y NOTE;If no materials or subs are onsite,please anke the required sections ❑ours (form 8) TRUCKING 0 Y Field note record used"FNR": DY ON 0 CHANGED CONDITION(see form 9) 0 EXTRA WORKFORCE ACCOUNT NOTICE REQUIRED ❑Y ON NOTICE SUMBITTED ❑Y ON Meese pro ride planation with location foul time) • Daily Diary: WE61 C.0s- L& -LtaaaNsa.P.E �~ taztee. ca Last) UP €fi t ..5 .r- 5uSrttcsJ4.r512„_, 107M 0 6,Co i.T" 71�.. Trucks on Job/ Ticket Solo Import Export Number City's Hours Bid Incidental Company No. T&T Material Material Loads ydsltns item Y N OY ON DY ON DY' ON OY ON OY ON ❑Y ON OY ON IF MORE THAN 7 TRUCKS.USE FORM FTR INSTEAD BE SURE TO GET SUBCONTRACTOR DAILY REPORT EACH DAY! Subcontractors on Jobaite Daily Report Received Subcontractors Name Description of Work Performed Y N WEST'1. T'CD JUT Cstior6tioe oY oN a -MEM £LEG'.G oY oN 3 /" aa, oY oN 4 41*)113 1 Q i oY oN 5 oY oN ie:Asphal(winding,paving,striping),Electrical,Fencing,.Flagging.Guardrail;iogaGon,Landscaping.Rook Walls and Surveying S\RCN WIFamrslParemanl Copy of Poreman Forms Rev 02 14,17 Form No.1(Rev 02/14/17) Page 1 of 2