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2023 Ortiz Enterprises - Project 2011-05 Dune Palms Bridge - Change Order No. 5ta �W — GEM ,,ft{x DESERT — TO: Jon McMillen, City Manager FROM: Bryan McKinney, P.E., Public Works Director/City Engineer Via: Carley Escarrega, Administrative Technician DATE: January 17, 2024 RE: Contract Change Order No. 5 Dune Palms Road Bridge Project No. 2011-05 Attached for your signatures is one (1) electronic Contract Change Order No. 5 between Ortiz Enterprises, Inc. and the City of La Quinta for the project referenced above. DESCRIPTION OF CHANGE This Contract Change Order allows for backfilling potholes per CVWD approval Total $46,200.00 Please sign and return the original to the City Clerk for final distribution. REQUESTING DEPARTMENT TO CHECK THE ITEMS BELOW AS APPROPRIATE: X Contract payments will be charged to the construction account number: 401 -0000 -60188 -111205 -CT Authority to execute this agreement is based upon: City Manager's signature authority provided under Resolution No. 2023-008 for budgeted expenditures of $50,000 or less. _X_ City Council approval on October 18, 2022 The following Budget Summary is provided: Project Budget $ 29,756,245 Contract Amount ($ 21,626,759.60) Change Order No. 1 - 4 ($ 144,727.79) This Contract Change Order No. 5 ($ 46,200.00) Balance Remaining $ 7,938,557.61 As indicated, adequate funding is available. 78-495 Calle Tampico La Quinta, CA 92253 760.777.7000 Sheet 1 of CONTRACT: Dune Palms Road Bridge Improvement Project PROJECT M 2011-05 CONTRACTOR: ORTIZ ENTERPRISES, INC. 6 Cushing Suite 200 Irvine, CA 92618-4221 CONTRACT CHANGE ORDER NO. 005 Pursuant to the terms of the original Contract Agreement, you are hereby directed to make the herein described changes or do the following described work not included in the plans and specifications for this Contract. Unless otherwise stated all work shall conform to the terms, general conditions, and special provisions of the original Contract. DESCRIPTION OF CHANGE Per direction of the Coachella Valley Water District, verification of the waterline alignment with the potholing of the 5 bend locations as shown on the attached survey request was implemented. Upon completion of necessary surveying, potholes were backfilled with pea gravel per CVWD direction. This work was tracked on a time and material basis and covered as Extra Work at Force Account. Total $ 46,200.00 After review of tentative work agreements and invoices from the force account work, the agreed lump sum price of $ 46,200.00 was determined. Price total will constitute full and complete compensation, including markups for construction work and delays incurred. Current Contract Amount $ 21,771,487.39 Add This Change Order No. 005 $ 46,200.00 Revised Contract Total $ 21,817,687.39 By reason of this contract change order the time of completion is adjusted as follows: - 0 - days added to contract time. The contract completion date shall be: 02/06/2026 �<<� 1�,- -. Submitted By: Date: 111612024 JQr-MaMillen. City Manager Approved By: Date: 1 /30/2024 We, the undersigned Contra , ave given careful consideration to the change proposed and hereby agree, if this proposal is approved, 11tarwe will provide all equipment, furnish all materials, perform all labor, except as may be noted above, and perform aff services necessary to complete the above specified work, and hereby accept as Fiji/ payment the amount shown above, which includes all direct d indirect overhead expenses for any delays. L Accepted By: ! Te: Contractor: Or .lt f ✓ -' Date: i f V Loez u SUC L RVEYING & MAPPING Survey Request **48 Hrs. Notice Required** Survey Req No.: 17 Contractor Company: Ortiz Field Contact (FM/Supt.): Requestor Name/Phone/Email: Tom Nowak Location: from station 13+48 to station 14 +77/ Falsework bent locations Scope of work: 18" water line as-builts confirmation to top of pipe Date of Request: 10/11/23 *Date Required: 10/13/23 Type of Survey: Top of pipe Cut -Sheet Necessary: X STAKING DESCRIPTION (What needs Staking): Top of bend fittings for the 18" waterline at sta 13+47.9, sta 13+84.2, sta 13+92.7, sta 14+08 and sta 14 +77 Elevations at falsework bents Location (include direction for offset): Alignment From Station 13+48 To Station 14+77 Offset Distance: 15' From Station To Station Offset Distance: From Station To Station From Station To Station SPECIAL OFFSET INSTRUCTIONS: What direction for offset? North side Staking intervals? SPECIAL STAKING INSTRUCTIONS: FEET Offset Distance: Offset Distance: Survey Completed by: Date Completed: 2011-05 CCO 5 Final Audit Report Created: 2024-01-17 By: Carley Escarrega (cescarrega@laquintaca.gov) Status: Signed Transaction ID: CBJCHBCAABAA2GNgcl7wZb15cmgrdJOExUk4sXHJ8dcu "2011-05 CCO 5" History Document created by Carley Escarrega (cescarrega@laquintaca.gov) 2024-01-17 - 7:08:57 PM GMT- IP address: 47.176.173.154 Document emailed to Ubaldo Ayon (uayon@laquintaca.gov) for signature 2024-01-17 - 7:09:30 PM GMT Email viewed by Ubaldo Ayon (uayon@laquintaca.gov) 2024-01-17 - 8:46:56 PM GMT- IP address: 104.47.65.254 2024-01-17 1 Document e-signed by Ubaldo Ayon (uayon@laquintaca.gov) Signature Date: 2024-01-17 - 8:47:06 PM GMT - Time Source: server- IP address: 47.176.173.154 Document emailed to Bryan McKinney (bmckinney@laquintaca.gov) for signature 2024-01-17 - 8:47:07 PM GMT Email viewed by Bryan McKinney (bmckinney@laquintaca.gov) 2024-01-17 - 8:51:09 PM GMT- IP address: 104.47.64.254 E1 Document e-signed by Bryan McKinney (bmckinney@laquintaca.gov) Signature Date: 2024-01-17 - 8:51:42 PM GMT - Time Source: server- IP address: 47.176.173.154 ID Agreement completed. 2024-01-17 - 8:51:42 PM GMT 0 Adobe Acrobat Sign Billing Status Report - Prime/Sub Breakdown Change Order Detail - Job 0234 Ortiz Enterprises, Inc. All Billings - Contract: 2011-15 DATES LAST PAYMENT BILLED PAID BALANCE DISPOSITION VARIANCE Billing Perform Report Company Number Perlod Prime Subcon Total Subcon Total Prime Subcon Pending Disputed Writeoff NOTES 705-7005-010 Pothole For New Waterline - 44.0 F 10/10/23 10/30/23 ORTIZ P 9,418.62 9,418.62 -9,418.62 -9,418.62 45.0 F 10/11/23 10/30/23 ORTIZ P 10,017.32 10,017.32 -10,017.32 -10,017.32 46.0 F 10/12/23 10/30/23 ORTIZ P 12,923.60 12,923.60 -12,923.60 -12,923.60 47.0 F 10/13/23 10/30/23 ORTIZ P 6,710.36 6,710.36 -6,710.36 -6,710.36 48.0 F 10/16/23 10/30/23 ORTIZ P 5,276.84 5,276.84 -5,276.84 -5,276.84 49.0 F 10/17/23 10/30/23 ORTIZ P 2,303.45 2,303.45 -2,303.45 -2,303.45 705 46,650.19 46,650.19 -46,650.19 46,650.19 FA: 46,650.19 Grand Totals 46,650.19 46,650.19 -46,650.19 46,650.19 Total Budget for CCOs with Billings: FA: 46,650.19 LS: UP: Aging Summary of Unpaid Balances: Current 31-60 Days 61-90 Days Over 90 Days 0.00 0.00 0.00 0.00 10/30/2023 2:34PM Copyright 1996-2023. Nice Touch Solutions, Inc. Page 1 DAILY EXTRA WORK REPORT City Of La Quinta Contract: 2011-15 Contractor Job: 0234 - Dune Palms Road Bridge Improvements Work Performed By: Ortiz Enterprises, Inc. Description of Work: SUPPORT NORCAL TO HYDRO VAC FOR EXPOSURE OF 18" WATER LINE Report No. 4632 Labor Charges Craft/Level Employee Name RT Hrs OT/DT Hrs Subs Units RT Rate OT/DT Rate Subs Rate Lot LBR F+3 D Vacio 6.00 87.890 L02 LBR 1 P Sanchez 4.00 78.390 Equipment Charges Equipment ID Class Make Model Al A2 RT Hrs OT Hrs RT Rate OT Rate Delay Factor E01 3031 TRUCK T&TT 06-12 6.00 42.390 E02 919 FKLFT FLT 080-120 2.00 78.870 - Material/Specialist Work/Lump Sum or Unit Price Payment _ Number Date Vendor Name and Description _ M01 100017221 10/10/2023 Nor -Cal Pipeline Services / HYDRO VACUUM Ortiz Enterprises, Inc. 6 Cushing, Irvine, CA 92618 Phone:949.753.1414 Fax:949.753.1477 NTS Special Bill Form Units _ _ Unit Price 1.000 LS 6,864.00000 Change Order 705 Billing Number 44.0 Report Date 10/30/2023 j Perform Date 10/10/2023 Labor Charges Extended RT Labor 840.90 527.340 313.560 OT/DT Labor Subtotal Labor Subsistence Other Expenses 0.00 840.90 0.00 0.00 Extended 254.340_ 157.740 MU 25.00 % 210.23 Extended Labor Total 1,051.13 6,864.00 - Equipment Charges Subtotal 412.08 MU 15.00% 61.81 Equipment Total 473.89 Material Charges Subtotal 6,864.00 MU 15.00% 1,029.60 Material Total 7,893.60 Activity Total 9,418.62 I Work Total 9,418.62 I Bill Subtotal 9,418.62 Accepted: — - - - - Customer: Date: _7 Contractor: Date: Bill Total ♦ 9,418.62 ana I w pw i c enm DAILY FORCE ACCOUNT WORK TENTATIVE AGREEMENT CONTRACT NO. L-Al E cm # LOCATION. ❑ESCRIPTION OF EXTRA WORK: MATERIAL CONTRACTOR'S REPRESENTATIVE R TI "ACCEPTABLE FOR PROGRESS ESTIMATE PURPOSES" STATE'S REPRESENTATIVE rn aLPIPELINE No.E,.V,.,. . S 9$3 Reserve Dr. RosevHle. GA 951978 Phone: 916.442.W0 Fax: 916.520-6966 BILE_ TO: QrOz Enterprlses, Inc. 6 Cushinq. Suite 200 Irv]ne, CA 92618 Prc3eck, RM0169 - Dude Palms RD - La 4uints CA Contract Number: J00015140 INVOICE InvOrce Number. 10DOIT221 Invoice Date: 10I14J2023 ❑u9 Date: I IMW2023 Invoice Terms: Net 30 - 2% dlswunt 10 days Tlcket Number Descrlptron Qty Rate Amount HV40029602: AddWonal Operator OT (It Required) Additional Operator ST(If Required) CQmt�o Cleaning Overtime OombaCfesningStmIght71me 4.04000 HR 8.00000 HR 4-p0000 I-IR 8.00000 HR $205.00 $165-00 $375-00 $325-00 $820.90 $1,320.00 51,500-40 $2,600.00 Sufi -Total: $6240A Fuel Surcharge: 5624A0 CRRA Tax: Total $6,864.00 Version 2.1 45 of 61 NorCaLpRV11=r=B Bllted To: Ordz Enterprises, Inc. 5 Cusnrng, Suite 200 1rvin$ Callfarnra 92618 Gomparsy Information; Nor -Cal Pipeline Services 9183 Reserm Di. Roseville, CA 05678 Phone:918,442.5400 Fax:916,524.6966 Ticket Information- WWO29642 Descriptor: RSG0160 - Dune Palms Ra - La Quanta CA Oate: iW1012023 Job Womretlon: JOUD15140 Truck tk Unit To Be Determined Load Count: 1 ProCantractor H: R500189 Water Lead; Area: 5100 Remote Hale: filsposal Lacation_ Gustomer Provlded Additional ,Sob lilformafiGn: Phase: HK State: Active Jab Ticket Stems: Item RA&aurce Start Date End Date 511A s+ert and Stop Carus Jacinto De Sar)Uago 1 q+1 q+2623 4;0Q:35 AM 1011=423 4:30:00 PM Shirr$tartand Stop AngelAmador 1ar1ae2M3+4;po-47AM 1W104?m4:30-00PM 4unah Carlos Jacinto De Santiago 1011#5023 9;04;90 AM 10110)2023 B;3040 AM lunch Angel Annad❑r 10(3?2OM `d,U0:17 AM 1011 OP2923 E=3o-:4o Ara Combo Cleaning Uvatght Tune 101 B C4rnho CiIeaRing Overtime 10f9 Addilioml Operator ST (n Requlredf 1019 AdOtlonal Operawr OT (If Requlred) 1010 Al Version 2.1 46 of 61 PIPRUME Norl:al% SERvir-sn' Billed To: Ortiz Enterprises, Inc. 6 Cushing, Suite 200 Irvine Califumia 92018 Company Information - Nor -Cal Pipeline Services 983 Reserve Dr, Roseville, CA 056M Phone; 916.442,54Q0 Fax: 916.520.6966 Ticket information: HVQC42%02 Description, - pune Palms RD - La Glulnta CA Date: 10110f2023 Job Informations JOD015140 Tiuck #: Unit To Be Determined Load Count 1 PmContrautar 4: RSO4169 Water Load: Area: 5100 Demote Hose: Disposal L❑catlon; Custonter Provided Additional Job Information: Phase: HX sratc. Active Job Ticket (toms: stein Resource Start Date End Date Shrft Start ard Stop Carlos .iadnto De Sani ago FQlt Q12023 4:OG:36 AM 1 OlT412023 4.30:43 pM ShiftSlad and Slap Angel Amador 1(Y1Q120234-W47AM 10111I 23 4:30'OT PM Lunch Carlos .laWtb 136 SRnnaga I (Yl W02S 91X'5D AM I N1 pf2[V3 9:3Q:01 AM Lurch Angel AmAdo, 10110=23 9:UQ:t7 AM 1 Qi1OrM3 9;30;27 AM Version 2.0 1 of 1 i r a NorCa%PIFIELINE Billed To: Ortiz Enterprises, Inri_ B Cushing, Suite 200 Irvine California 92816 Company lnforrnation. Nor -Cal Pipeline Services 983 Reserve Dr, Roseville, CA 05678 Phone: 916.442,5440 Fax; 916.520.6966 Ticket Information: HVOM29602 Descrlptlon_ R600189 - Dune Palms RD - Le Quinta CA Date. 10?112423 Job InlarTnatiom J00015140 Truck #: Unit To Be Determined Load Count: 1 ProCantractar P. R540169 Wator Load: Area: 5100 (Remote Hose: Disposal L.wation: Customer Provided Additional Job Information: Pews Idx 4:ate: Activa Jab Ticket Rems; Item Resourea start date End Date Shift 5lart and Stop Carlos Jacinto De Santiago 1100 2023 4:04:36 AM 10ft(Q023 4:30.43 PM Shift Sort and Stop Angel Arnador 1011WZ023 4:DQ:47 AM 10119l2023 4-n,01 PM Lunch Carl)& Jacinto Qe SaOaQo 1Oil 612023 9.D11:50 AM 1 W1W2023 9'30=63 AAA Lunch Angel A,madw 1411p,+20239:CX1:t7 PAS 1(7i1{11213239:30:27 AM 4 Version 2.0 loll ire DAILY EXTRA WORK REPORT City Of La Quinta Contractor Job: 0234 - Dune Palms Road Bridge Improvements Work Performed By: Ortiz Enterprises, Inc. Contract: 2011-15 Change Order 705 Billing Number 45.0 I Report Date 10/30/2023 Description of Work: SUPPORT NORCAL TO HYDRO VAC FOR EXPOSURE OF 18" WATERLINE Report No. 4633 Peilorm Date 10/11 /2023 Labor Charges Labor Charges Craft ID Employee Name RT Hrs OT/DT Hrs Subs Units_ RT Rate OT/DT Rate Subs Rate Extended RT Labor 1,095.07 Lot LBR F+3 D Vacio 8.00 87.890 703.120 1 Lot LBR 1 P Sanchez 5.00 78.390 391.950 OT/DT Labor 0.00 Equipment Charges Equipment ID Class Make Model At A2 RT Hrs OT Hrs RT Rate OT Rate Delay Factor Extended Subtotal Labor 1,095.07 E01 3031 TRUCK T&TT 06-12 8.00 42.390 339,120 Subsistence 0.00 E02 25005 TRUCK T&TT 28-36 5.00 63.460 317.300 Other Expenses 0.00 Material/Specialist Work/Lump Sum or Unit Price Payment MU 25.00% 273.77 Number Date Vendor Name and Description Units Unit Price Extended Labor Total 1,368.84 M01 100017258 10/11/2023 Nor -Cal Pipeline Services / HYDRO VACUUM 1.000 LS 6 864 00000 a 884 00 - -- -- I NTS Special Bill Form �'I Equipment Charges j Subtotal 656.42 Mu 15.00% 98.46 Equipment Total 754.88 Material Charges Subtotal 6,864.00 MU 15.00% 1,029.60 Material Total 7,893.60 Activity Total - 10,017.32 I Work Total 10,017.32 Bill Subtotal 10,017.32 Accepted: - - Customer: Date: Contractor: Date: Bill Total + 10,01 7.32 DAILY FORCE ACCOUNT WORK TENTATIVE AGREEMENT CONTRACT NO. r:r:n u LOCATION_ DESCRIPTION OF EXTRA WORK; MATERIAL CONTRACTOR'S REPRESENTATIVE R TIZ W.14 r]:11:i IQ;aN:IY*b^k ^11 DATE 4633 STATE'S REPRESENTATIVE OCT ? 3 2023 PIPELINE Norma SERVICES 983 Reserve Dr, Roseville, CA 95678 Phone: 916.442.5400 Fax: 916.520.6966 BILL TO: Ortiz Enterprises, Inc. 6 Cushing, Suite 200 Irvine, CA 92618 Project: RS00169 - Dune Palms RD - La Quinta CA Contract Number: J00015140 INVOICE Invoice Number: 100017258 Invoice Date: 10/11/2023 Due Date: 11/10/2023 Invoice Terms: Net 30 - 2% discount 10 days Ticket Number Description Qty Rate Amount HV00029606 Additional Operator OT (If Required) Additional Operator ST (If Required) Combo Cleaning Overtime Combo Cleaning Straight Time 4.00000 HR 8.00000 HR 4.00000 HR 8.00000 HR $205.00 $165.00 $375.00 $325.00 $820.00 $1,320.00 $1,500.00 $2,600.00 Sub -Total: $6240.00 Fuel Surcharge: $624.00 CRRA Tax: Total $6,864.00 Version 2.1 ~ 36 of 54�'s _I ' y Nor -Ca Company Info: Nor -Cal Pipeline Services 983 Reserve Dr. Roseville California 95678 Billed So: ORTZ ENTERPRISES, INC. Ticket Information: HV00029606 Description: R500169 - Dune Palms RD-1_a Qui 6 Cushin€ . Suite 2DO Date: 10/1112023 13:31:25 Irvine Ca€itorrria 92618 Job Informations: JOD015140 Truck #: I D19- 1019 Kw Load Count: 2 ProContractor #: R500169 Water Load: Area: 5100 Remote Hose (ft): Disposal Lccatlon: Customer Provided Additional Job Information; Phase: HX state: Active Job Ticket Items: Item Resource Start Date End Date 10% Fuel Surcharge 1019 - 1019 KW Vactor Hydrovac 10/1112023 4,00:50 10/11 /2023 4:30:05 PM Shift Start and Stop AMA❑0002 - Angel Amador 10/11/2023 4:0032 10J11 /2023 4:3OA3 PM Shift Start and Stop DESAN001 -Carlos Jacinto Op 10/11 /2023 4-00-07 10/11 /2023 4:30:211 AM Lunch DESAN001 -Carlos Jacinto De 10/11J2023 9.00.24 10111120�3 930,36 AM Lunch AMADO002 - Angel Arnador - 10111 /2023 9-00:10 1011112023 9:30:21 AM A&� vea 1.2 orCaL-- 6�RVIClf Company Info: Nor -Cal Pipeline Services 983 Reserve Dr. Roseville California 95678 Billed To- ORTIZ ENTERPRISES, INC. Ticket Information: HV00029606 De5CFipt!Gn; R540169 - Dune Palms HD - La Qui 6 Cush Ing, Suite 2ad Datea 10/11 /2023 13:31:25 lrvini� Cailfornia 92618 Job InformatiGn: J00015740 Truck t`: 1019 - 101q KW Lead Count: 2 ProCc nt ractor #: RS00169 Water Load: Area; 510D Remote Hose (f )} Disposal Location: Customer Provided Additional Job Information: Phase: HX State: Active Job Ticket items: Item Resource Start Date End Date 10% Fuel Surcharge 1019- 10191 KW I Vartor Hydrovac 1 W1112023 4:00:50 1011112023 4:30:45 PM Shift Start and Stop AMAD0002 - Angel Amador 10/1112023 4:00:32 10/1112023 4;30:43 PM Shift Start and Stop DE5AN001 - Carlos Jacinto De 10/11/2023 4:00:07 10111{2023 4:30:20 AM Lunch DESAND01 -Carlos Jacinto De 10}1112023 "0:24 10/11 /2023 9:30:36 AM Lunch AMAD0002 - Angel Amador 10111 /2023 MO:10 1011112023 9:30:21 AM ver , z DAILY EXTRA WORK REPORT City Of La QUinta Contract: 2011-15 Change Order 705 Contractor Job: 0234 - Dune Palms Road Bridge Improvements Billing Number 46.0 Work Performed By: Ortiz Enterprises, Inc. Report Date 10/30/2023 Description of Work: SUPPORT NORCAL TO HYDRO VAC FOR EXPOSURE OF 18" WATER LINE Report No. 4634 Perform Date 10/12/2023 Labor Charges Labor charges Craft/Level Employee Name FIT Hrs OT/DT Hrs Subs Units FIT Rate OT/DT Rate Subs Rate Extended FIT Labor 1,016.68 L01 LBR F+3 D Vacio 8.00 2.00 87.890 118.170 _ 939.460 Lot LBR 1 P Sanchez 4.00 2.00 78.390 103.940 521.440 OT/DT Labor 630.30 L03 CPDAP CAPD6 G Martinez - 2.00 93.040 186.080 Equipment Charges Subtotal Labor 1,646.98 Equipment ID Class Make Model Al A2 FIT Hrs OT Hrs RT Rate OT Rate Delay Factor Extended Subsistence 0.00 E01 3031 TRUCK T&TT 06-12 8.00 2.00 42.390 37.303 413.726 Eat 25005 TRUCK T&TT 28-36 4.00 E03 919 FKLFT FLT 080-120 2.00 Material/Specialist Work/Lump Sum or Unit Price Payment Number _Date Vendor Name and Description M01 100017397 10/12/2023 Nor -Cal Pipeline Services / HYDRO VACUUM Moe 93786939 10/12/2023 HOMEWOOD SUITES / MOTEL FOR DT CREW Ortiz Enterprises, Inc. 6 Cushing, Irvine, CA 92618 Phone:949.753.1414 Fax:949.753.1477 I NTS Special Bill Form 63.460 253.840 Other Expenses 0.00 MU 25.00 i 411.75 Labor Total 2,058.73 78.870 157.740 Equipment Charges Subtotal 825.31 MU 15.00% 123.80 Equipment Total 949.11 Units Unit Price Extended _ 1.000 LS 8,486.50000 8,486.50 1.000 LS 135.90000 135.90 — - Material Charges Subtotal 8,622.40 MU 15.00% 1,293.36 Material Total 9,915.76 Activity Total 12,923.60 Work Total 12,923.60 Bill Subtotal 12,923.60 Accepted: -- _ -- - Customer: Date: Contractor: Date: BIII Total + 12,923.60 -- , ............ , - --- DAILY FORCE ACCOUNT WORK TENTATIVE AGREEMENT CONTRACT NO {*W # LOCATION, OEECRIPT1ON OF EXTRA WORK. MATERIAL CONTRACTOR'S REPRESENTATIVE Lj RT "ACCEPTABLE FOR PROGRESS ESTIMATE PUH1`10SES" 4634 yr � STATE'S REPRESENTATIVE PIPELINE Noram aLlIBERVI110E. 9U Reservo Dr, Roseville, CA 9567$ Phone: �-16.442.5400 Fax: 91 E_520.6956 EILQM Orft Enterprises, lfnc, 6 Cushing, Suite 200 Irvine, CA9251s Project: R300169 - Dune Palms RD - La Qufn:a CA CGnEract Number: JOOD15140 Invoice Number: Invoice date: Due Date, Invoice Terms: OCT 2 3 2023 INVOICE 1000173P 1i AZZ023 1111112023 Net 30 - 2 % d iscou n: 1 C days Ticket Humber Poscdptfon Qty Rate Amount HVC0029eti7 Addltzonal Operator DT (If Required) 1.ODO00 HR $260.00 $250.00 Additional Qpera5ar OT (fF Required) 4_D')00D H.J $205.00 $820.00 Acid Mona I Operator ST (11 Required) S.0 000 HR $165.00 $1.320.00 Hgdrovac Poubfe TImO 1.COODD HR $425.00 $425-00 Hydravac Overtime 4_0000C H' 3375.40 $1,800.O0 Hydrovec Straig'it Time 9.00000 HR 5325.00 $2,60C.00 PoT Diem 2.00000 EA $.400.00 $BG0.00 Sub-Teta l: 37715.00 , Fuel Surcharge., $771.50 ORPA Tax: Total $8,488.50 Version 2.1 32 of 43 -- o r C aU.V ,!!ib Billed To: ORTIZ ENTERPRISE5, INC. 6 Cushirng, Suitt? 200 Irvine California 92618 lob Ilnformation: Truck #: ProContractor #. Area: Company Info: Nor -Cal Pipe5ne Services 983 Reserve Dr. Roseville California 95678 Ticket Information: HV00029607 Description: R504169- Dune Palms RD - La Qui Date: 10112/2023 04:09:53 J00015140 101 t3. 1019 KW Laad Count: 2 RS00169 Water Load: 5100 Rernote Dose (ft): disposal Locatlon: Customer Provided Additional Job Information: Phase: HX State: Active Job Ticket Items: Item Shift Start and Stop Lunch Shift Start and Stop Lunch Lunch Lunch R Resource DE5AN001 - Carlos Jacinto De DESAND01 -Carlos Jacinto De AMADO002 - Angel Amad or AMAD0002 - AngeI Amador AMAD0002 - Angel Amador DE5AN001 -Carlos Jacinto De 5tartDatia End Date 10/12/2023 4:04:20 10/12)2025 6:00:29 PM 10/12/2023 9:OM1 10/12/2023 930:15 AM 10f1212023 4,0002 10/12f2023 6:00:22 PM 10i12l2023 9:i7052 10112/2023 9:30:09 AM 1011 V2023 2:30A3 10112/2023 3:00:53 PM 1011212023 230:13 1 O112/2023 3:00:22 PM VK 12 Homewood Suites by Hilton - La Quinta, CA Washington St, La Quinta 92253 US HOMEW00D 7603914600 SUITES„ ,1--, LAQHW_Homewood@aHilton.com Guest Folio Confirmation Number - 93786939 Date Range: Oct 12, 2023 - Oct 13, 2023 Tax ID : Primary Guest ADDN GUESTS Hilton Honors Guest Name ADAMS MICHAEL Diamond Address 3422 PASEO ANCHO 1197373044 City, State, Zip Code CARLSBAD CA 92009 Country US Stay Details Company Details Other Details Check In Date Oct 12, 2023 Name Bill Number Check Out Date Oct 13, 2023 Tax ID Tax Exemption NO Room KSTN - 305 PO Number Tax Exempt Source OWN HOTEL Account Name CONSTRUCTIO Date Guests 1/0 N CREWS Travel Agent Account 2684375 IATA Number Name Date Type Description Amount Oct 12, 202.3 Charge GUEST ROOM $119.00 Oct 12, 2023 Tax CA TOURISM ASSESSMENT TAX $0.24 Oct 12, 2023 Tax ROOM TAX $13.09 Oct 12, 2023 Tax TBID TAX $3.57 Oct 13, 2023 Payments VISA-4565 -$135.90 a. ei .S fait+ 1Ia r t'�fi✓s' s-'"'^p# Type Amount GUESF ROOM $119.00 CA TOURISM ASSESSMENT TAX $0.24 ROOM TAX $13.09 11311) TAX $3.57 CREDIT CARD $135.90 Guest Paid Out $0.00 Folio Balance $0.00 Check In Time 03:59 PM Check Out Time 10:17 AM Hilton I. \ Ii eoNr.no - �a Ii .. ' l I �,.:e�e HOME I4ilton.. "'d=Hina� Hilton (,L It rFMno n10i10 „ spti. -- Hilton ---- --- ---- Page 1 of 1 UAI L Y LA I KA City Of La Quinta Contractor Job: 0234 - Dune Palms Road Bridge Improvements Work Performed By: Ortiz Enterprises, Inc. Description of Work: SUPPORT NORCAL TO HYDRO VAC FOR EXPOSURE OF 18" WATER LINE KhIj(jH I Labor Charges Craft ID Employee Name RT Hrs OT/DT Hrs Subs Ui L01 LBR F+3 D Vacio 4.00 Lot LBR 1 P Sanchez 4.00 L03 OE 2 J Herrara 2.00 Equipment Charges Equipment ID Class Make Model Al A2 RT Hrs OT Hrs E01 3031 TRUCK T&TT 06-12 _ 4.00 E02 919 _ _ FKLFT FLT 080-120 _ 2.00 E03 25005 TRUCK T&TT 28-36 4.00 Material/Specialist Number_ Work/Lump Sum or Unit Price Payment Date _Vendor Name and Description M01 100017411 10/13/2023 Nor -Cal Pipeline Services / HYDRO VACUUM Contract: 2011-15 Change Order 705 Billing Number 47.0 Report Date 10/30/2023 Report No. Perform Date 10/13/2023 Labor Charges its RT Rate OT/DT Rate Subs Rate Extended RT Labor 866.60 OT/DT Labor 0.00 Subtotal Labor 866.60 87.890 351.560 78.390 313.560 100.740 201.480 RT Rate OT Rate Delay Factor Extended Subsistence 0.00 Other Expenses 0.00 MU 25.00 i 216.65 Labor Total 1,083.25 42.390. 169.560 78.870 157.740 63.460 253.840 Units Unit Price Extended Equipment Charges Subtotal 581.14 MU 15.00% 87.17 1.000 LS 4,312.00000 4,312.00 - Equipment Total 668.31 Material Charges Subtotal 4,312.00 MU 15.00% 646.80 Material Total 4,958.80 i-- _- -- - - - I 1 Activity Total 6,710.36 Work Total 6,710.36 Bill Subtotal 6,710.36 Ortiz Enterprises, Inc. Accepted: 6 Cushing, Irvine, CA 92618 Customer: Date: Phone:949.753.1414 Fax:949.753.1477 Contractor: Date: Bill Total ♦ 6,71 0.36 NTS Special Bill Form Page I www.ewbilVs.com DAILY FORCE ACCOUNT WORK TENTATIVE AGREEMENT 4635 CONTRACT NO. 3 ff FJATE l Y CCO LOCATION, DESCRIPTION OF EXTRA WORK: MATERIAL CONTRACTOR'S REPRESENTATiVE STATE'S REPRE5ENTATIVE OR TIZ -ACCEPTABLE FOR PROGRESS EST1I ATE PURPOSES' OCT 232023 ))q PIPELINI; Nor aL.E.V,CE. 993 Resarve Dr, Rasevllle. CA 9687$ P�anc: D16.442.5400 Fax: 016.520,B066 BILL TO: Ortiz Enterpriscs, Inc. 8 Cushing, Suite 200 Irvine, GA 9261 a Project' RSOO169 . Dune Palms RD - La QuInta CA Curba-.A Number: JGQ01514D INVOICE Invoice Number: ID0017411 Invoice Data: 1W13=3 Due Date: 11112M23 lnvoiec'Cefrns: Mat W - 2% dEscount 10 days Ticket plumber Description Qty Rate Amount HV000296G8 Additional Operntor ST (If Required) tiydrovacStraightiime 8.d4000 HR $165.00 8.00000 HR $32S.G0 $1.320.00 $2.600.00 Sub -Total: $3920,00 Fuel Surcharge: $392.00 CRRA Tax: Total $4,312.00 Version 2.1 33 of 311 Nor -Ca rr� EER+r�Ce� Billed To: ORTIZ ENTERPRISES, INC. 6 Cushing, Suite 200 Irvine California 92618 Companylnfa: Nor -Cal Pipeline Services 983 Re5erve Dr. Roseville caa fomla 95678 Ticket information. HV00029b08 Dtescription: R500169 - Dune Palms RD- La Mai Rate: 10113Y2023 07:27,39 JobInforrnation: J00015140 Truck 4; 1019 - 1019 KW load Count: 1 ProCon tractor M. RS00169 Water Load: Area: 5100 Remote rase (ft): Disposal Location{ Customer Provided Additional Job Information: Phase: Fix State: Active Job Ticket Items: hem Resource Start Date End Date Shift Start and Stop DE5AN001 - Carlos Jacinto De 10}1312023 5:30:04 10l13/2023 2:00:11 PM Lunch AMAD0002 - Angel Amador 10/1312023 10/13/2023 11:00:38 AM Shift Start and Stop AMAD0002- Angel Amador 10/13/2023 5:30:22 10l13/2023 2:00:33 PM Lunch DESAN001 . Carlos Jacinto De 10/13/2023 10/13/2023 11:00:55 AM ki Vel 12 DAILY EXTRA WORK REPORT City Of La QUinta Contract: 2011_15 change Order 705 Contractor Job: 0234 - Dune Palms Road Bridge Improvements Billing Number 48.0 Work Performed By: Ortiz Enterprises, Inc. Report Date 10/30/2023 Description of Work: BACKFILL LOCATIONS OF 18" WATERLINE EXPOSED FOR SURVEY/AS BUILTS Report No. 4630 Perform Date 10/16/2023 Labor Charges Labor charges Craft ID_ Employee Name RT Hrs OT/DT Hrs Subs Units RT Rate OT/DT Rate Subs Rate Extended RT Labor 2,065.04 Lot LBR F+3 D Vacio 8.00 87.890 703.120 Lot LBR 1 - P Sanchez - - - 4.00 78.390 313.560 OT/DT Labor 0.00 Loa OE FM J Avila 8.00 105.860 846.880 L04 OE 2 J Herrara 2.00 -- 100.740 — 201.480 - -- subtotal Labor Subsistence 2,065.04 0.00 _ Equipment Charges Equipment ID Class Make Model Al A2 RT Hrs OT Hrs RT Rate OT Rate Delay Factor Extended Other Expenses 0.00 E01 3031 TRUCK T&TT 06-12 8.00 42.390 339.120 MU 25.00% 516.26 E02 263 TRUCK T&TT 06-12 8.00 42.390 339.120J Labor Total ! Equipment 2581.30 — -- Charges E03 25005 TRUCK T&TT 28-36 4.00 63.460 253.840 E04 919 FKLFT FLT 080-120 2.00 78.870 157.740 Material/Specialist Work/Lump Sum or Unit Price Payment - Subtotal 1,089.82 Number Date Vendor Name and Description Units Unit Price Extended MU 15.00% 163.47 M01 1179356 10/16/2023 Desert Redi Mix Concrete / 3/8" ROCK _ _ 1.000 LS 583.12000 583.12 Equipment Total 1,253.29 M02 1459255990001 10/18/2023 Sunbelt Rentals / SKI PLOADER 1.000 LS 671.01000 671.01 Material Charges Subtotal 1,254.13 MU 15.00% 188.12 j Material Total 1,442.25 Activity Total 5,276.84 Work Total 5,276.84 Bill subtotal 5,276.84 Ortiz Enterprises, Inc. Accepted: - - -- - - - 6 Cushing, Irvine, CA 92618 customer: Dare: Phone: 949.753.1414 Fax: 949.753.1477 — -- — -- — - - - - - — Contractor: Date: ! Bill Total ♦ 5,276.84 NTS Special Bill Form Page 1 www.ewbills.com DAILY FORCE ACCOUNT WORK TENTATIVE AGREEMENT CONTRACT NO. [/' GATE C/cc # LOCATION, DESCRIPTION OF EXTRA WORK MATERIAL CONTRACTORS REPRESENTATIVE OR TI "ACCEPTABLE FOR PROGRESS ESTIMATE PURPCSES" ST&E'S REPRESENTATIVE I *INVOICE* OCT 9 0170 REMIT TO: CORONET CONCRETE PRODUCTS, INC. P RA DESERT RED] -MIX 53-801 AVENUE 43 INDIO, CA 92201 (760) 342-2966 SOLD TO: Ortiz Enterwises. Inc. 6 CUSHING. SUITE 200 IRVINE. CA 92618 9497531414 INVOICE NO. 1179356 INVOICE DATE 10/16/2023 JOB NO. 14 CUSTOMER P.O.# ORDER NO. 4 SHIPPED TO: DUNE PALMS & HWY III LA OUllNTA. JOB NO. SHIP TICKET Q A-i I'll"" DESCRIPTYON UNIT PRICE ELT. PRICE DATE, NU 11FR 1011612023 68881 24.71 Tons 318 GRAVEL ROCK 15.00 370.65 10116i'2023 24.71 "fans TRANSFE R DELIVERY FEE P 7.00 172.97 10/1612023 U0 Each F.NVIRONMENTAL FEE PER 1 10.00 10.00 `TOTAL QUANTITY: 24.71 SUBTOTAL 553.62 SALES TAX 29.50 AMOUNT DUE 583.12 ONEELT9 RENTALS INVOICE TO iflr- 30W -A5d7 ORTIZ ENTERPR18ES INC. 6 CUSHING STE 200 IRVINE CA 926184230 JOB ADDRESS ORTIZ ENTERPRISES INC. 46170 DUNE PALMS LA QUINTA, CA 92253 764-646-6213 SEND AL.I. P+AYMEM TO: SUNBELT RENTALS, INC, Iro BOX 409211 ATLANTA. GA 30384-9211 OCT RECEIVED BY AVIL.A. JOSE PURCHASE 'ORDER NO. JOB NO. BRANCH 145925599-0001 1964801 10/18/23 PAGE I of 1 CONTRACT NO. 145925599 JOSE 139 ORTIZ INDIO CA PC1270 81531 INDUSTRIAL PL INDIO, CA 92201 2014 760-342-7930 QTY EQUIPMENT # Min ❑ay Week 4 week 1.00 LOADER LANDSCAPER 4WD TRACTOR 425,00 425.00 1445.00 2955.00 10537322 Make: JOHN DEERE Model: 21OLEP Ser #: 1T021DELCPG438108 HR OUT; 107.300 HR IN: 116.000 TOTAL.: 8.700 Billed from 10/16/23 thru 10/17/23 Rental Sub -total: SALES ITEMS: Qty Item number Unit Price 1 CAHER51 EA 6.380 CA .75`A HEAVY EQUIP. RENTAL TAX 1 DLPK5ftCRG EA 63.550 TRANSPORTATION SURCHARGE 1 ENVIRONMENTAL EA 16.570 2133XXX000D ENVTRONMENTAL/HAZMAT FEE 1 RF EA RETURNED FULL DELIVERY CHARGE PICKUP CHARGE QTY EQUIPMENT # min ❑ay Week 4 week FIMAL BILL: 10.`1GI23 47:0I} AM THRI! 10/17123 Phf. Equipment, Service. Guarenlead. kEMIT TO: aUNSELT RENTALS, INC. NET30 ?O BOX 409211 T]1voim not paid within 30 days may be subject to a I-q% �TLANTA, GA 30384-9211 permautbchaw Amount 850.00 850.00 6.38 63.55 16.57 N/C 155.00 155.00 AMOUTIt 1,246.50 95.51 1,342.01 RENTAL RETURN DAILY EXTRA WORK REPORT City Of La Quinta Contractor Job: 0234 - Dune Palms Road Bridge Improvements Work Performed By: Ortiz Enterprises, Inc. Description of Work: BACKFILL LOCATIONS OF 18" WATERLINE EXPOSED-BACKFILL COMPLETE Labor Charges _ Craft ID _ Employee Name RT Hrs OT/DT Hr_s___ Subs Unit: Lot LBR F+3 D Vacio 2.50 Lot OE FM J Avila 2.50 Equipment Charges Equipment ID Class Make Model Al A2 FIT Hrs OT Hrs E01 3031 TRUCK T&TT 06-12 2.50 E02 263 TRUCK T&TT 06-12 2.50 Material/Specialist Work/Lump Sum or Unit Price Payment Number Date Vendor Name and Description Mot 1179445 10/17/2023 Desert Redi Mix Concrete / 3/8" ROCK Moe 1459255990001 10/18/2023 Sunbelt Rentals / SKI PLOADER Contract: 2011-15 Change Order 705 Billing Number 49.0 Report Date 10/30/2023 Report No. 4631 Perform Date 10/17/2023 Labor Charges FIT Rate OT/DT Rate Subs Rate Extended FIT Labor OT/DT Labor 484.38 0.00 87.890 - — 219.725 105.860 264.650 FIT Rate OT Rate Delay Factor Extended Subtotal Labor 484.38 42.390 105.975 Subsistence Other Expenses 0.00 0.00 42.390 105.975 MU 25.00 % 121.10 Units Unit Price Extended Labor Total 605.48 1.000 LS 593.54000 593.54 1.000 LS 671.00000 671.00 Equipment Charges Subtotal 211.96 MU 15.00% 31.79 Equipment Total 243.75 Material Charges Subtotal 1,264.54 MU 15.00% 189.68 Material Total 1,454.22 Activity Total 2,303.45 Work Total 2,303.45 Bill Subtotal 2,303.45 Ortiz Enterprises, Inc. Accepted: 6 Cushing, Irvine, CA 92618 Customer: Date: one:949.753.1414 Fax:949.753.1477 Contractor: Date: Bill Total ♦ 27303.45 NTS Special Bill Form Pape 1 www.ewollis.com ❑AILY FORCE ACCOUNT WORK TENTATIVE AGREEMENT 4631 CONTRACT NO LOCATION. DESCRIPTION OF EXTRA WORK MATERIAL CONTRACTOR'S REPRESENTATIVE R TIZ "ACCEPTABLE FCYA PROGPESS ESTIMATE PURPOSES" STATE'S REPRESENTATIVE ****INVOICE**** OCT 2 32029 M REMIT TO: CORONET CONCRETE PRODUCTS, INC. DBA DESERT REDI-AfrX 83-801 AVENUE 45 Ilti DIO, CA 92201 (760) 342-2966 SOLD TO: Ortiz Enterprises, Inc. 6 CUSUING. SUITE 200 IRVINE. CA 92618 9497531414 INVOICE NO. 1179445 INVOICE HATE 10117l2023 JOB NO. 14 CUSTOMER P.O.# ORDER NO. 6 S.HIPPF.D TO: DUNE PAL MS & FIWV I I I LA OUINTA. JOB NO. SHIP DATIE TICKET NUMBER QUANTITY DESCRIPTION UNIT PRICE EXT. PRICE 10? V2023 68940 25.16 'fans 319 CYRAVFL ROCK 15_00 177.49 10117Q023 25, IG Tons TRANSFER DELI VERY F E F P 7.00 176.12 1 Or`17IZ023 1.00 Each EN VL€ ON14MENTAL FEE PER I 10.OU 10.00 * TOTAL QUANTITY: 25.16 SUB TOTAL 563.52 SALES TAX 30.02 AMOUNT DUE 593.54 RIENTALM WVOICE TO Toe-31m-4W ORTIZ ENTERPRISES INC. 6 CUSHING STE 200 ERVJNE CA 92618-4230 JOB ADDRESS ORTIZ ENTERPRISE$ INC, 46170 DUNE PALMS LA QUINTA, CA 92253 760-646-6213 SEND ALL PAYME14TS TO. SUNBELT RENTALS, TNC. P4 8OX 409211 ATLANTA, GA 30384.921I OCT .5 REGEME) RY AVIIA, JOSE PURCHASE OROE H NO. JOB NO. BRANCH 145925599-0001. 1964801. 1Of 18/2 3 PACE 1 Of X CONTRACT NO. 145925599 JOSE 139 ORTIZ ENTERPPTSE INDIO CA PC71270 31531 INDUSTRIAL FL INDIO, CA 92201 2014 76a-342-7930 QTY EQUIPMENT # lit? Day week 4 Week 1.00 LOADER L4NDSCAPE#Z 4wD TRACTOR . 425:00 . 425.00' 1445,00 2855.00 10537322 Rake: )OH'N DEERE W del: 21OLEP -Ser #: 1T0210ELCPG438108 HR OUt : 107300 HR IN: 116.000 TOTAL: 8, 700 Billed from 10/16123 tfru 10/17/23 Rental sub -total: SALES ITEMS: Qty Item number unit Price 1 CAHEk.S), : EA 6. 380 CA..75%'HEAVY EQUIP.' RENTAL TAX 1 DLPKSRCHG E.A 6 ,550 TRANSPORTATION SURCHARGE 1 ENVIRONMENTAL EA 16.570 2133XXX0040 ENVIRONNIENTAL/HA2MAT FEE 'I -R F EA RETURNED FULL -- DELIVERY CHARGE PICKUP CHARGE QTY EQUIP`IENT F 19in _..D$jl Week 4 week F f,V,L SILL: 10/16/23 07:00 AM TIIRU' 30/17/23 01:4D Phf.. EMIT T4: UNSELT REWrALS, INC. NET30 a BOX 409211 Invoices tlatpaid within 30 days may bL akject W a 1-14% TLAWT'A, GA 30384-9211 permonthehuyc. Amount 850-00 554,00 6:38 63.55 16.57 NfC 155.U0 155.00 A1ttOunt 1,246.50 95.51 1,342.01 RENTAL RETURN CRgDY CROFT cunthia_=feF1gmhclti W%:,cnm