2023 Ortiz Enterprises - Project 2011-05 Dune Palms Bridge - Change Order No. 5ta 0"fra
GEM ofibe DESERT -
TO: Jon McMillen, City Manager
FROM: Bryan McKinney, P.E., Public Works Director/City Engineer
Via: Carley Escarrega, Management Assistant
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. 2019-021 for budgeted expenditures
of $50,000 or less.
City Council approval on October 18, 2022
The following Budget Summary is provided:
Project Budget
$ 29,756,245
Contract Amount
($ 21,635,759.60)
Change Order No. 1 - 4
($ 144,727.79)
This Contract Change Order No. 5
($ 46,200.00)
Balance Remaining
$ 7,929,557.61
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