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15-078 Con-Quest Contractors, Inc. for Project No. 2015-12, Bubb, Elm & McClellan Rd. Storm Drain_Sanitary Sewer Improvement ProjectDOCUMENT 00650 AGREEMENT AND RELEASE OF ANY AND ALL CLAIMS BUBB, ELM & McCLELLAN ROAD STORM DRAIN/SANITARY SEWER 11\!IPROVEMENT PROJECT PROJECT NUMBER 2015-12 THIS AGREEMENT AND RELEASE OF ANY AND ALL CLAJMS ("Agreement and Release"), made and entered into this 5th day of May, 2016, by and between the City of Cupertino ("City"), and Con-Quest Contractors, Inc.("Contractor"), whose place of business is at 290 Toland St, San Francisco, CA 94124. RECITALS A. City and Contractor entered into Contract Numb er 2015-508 (the "Contract"). B. The Work under the Contract has been completed. Now, therefore, it is mutually agreed between City and Contractor as follows : AGREEMENT 1. Contractor will not be assessed liquidated damages except as detailed below : Original Contract Sum $1,456,941.00 Modified Contract Sum $ 1738,911.48 Payment to Date $ 1,651,965.91 Liquidated Damages S0 .00 Payment Due Contractor $ 86,945.57 2. Subject to the provisions of this Agreement and Release, City will forthwith pay to Contractor the sum of $Eighty Six Thousand Nine Hundred Forty-Five Dollars and Fifty-Seven Cents ($86 ,945 .57) under the Contract, less any amounts withheld under the Contract or represented by any Notice to Withhold Funds on file with City as of the date of such payment. 3 . Contractor acknowledges and hereby agrees that there are no unresolved or outstanding claims in disput e against City arising from the Contract, except for the claims described in paragraph 4 of this Document 0000 I. It is the intention of the pa11ies in executing this Agreement and Release that this Agreement and Release shall be effective as a full, final and general release of all claims, demands, actions , causes of action, obligations, costs, expenses, damages, losses and liabilities of Contractor against City, and all if its agents, employees, consultants (including without limitation Consulting Cupe11ino ), inspectors, representatives, assignees and transferees except for the Disputed Claims set forth in paragraph 4 of this Document 00001 . Nothing in this Agreement and Release shall limit or modify Contractor's continuing obligations described in paragraph 6 of this Document 00001. City of Cupertino 00650-1 Agreement and Release of Any and All Claims Bubb, Elm & McClellan Road Storm Drain/Sanitary Sewer Improvement Project 4 . The following claims are disputed (hereinafter, th e "Disputed Claims") and are specifically excluded from th e operation of this Agreement and Release : Claim No . Dale Submitted Description of Claim Amount of Claim NONE 5 . Consistent with California Public Contract Code Section 7100, Contractor hereby agrees that, in consideration of the payment set forth in paragraph 2 of this Document 00001, Contractor hereby releases and forever discharges City, and all of its agents, employees, consultants, inspectors, assignees and transferees from any and all liability, claims, demands, actions or causes of action of whatever kind or nature arising out of or in any way concerned with the Work under the Contract 6. Guarantees and warranties for the Work, and any other continuing obligation of Contractor, shall remain in full force and effect as specified in the Contract Documents. 7. Contractor shall immediately defend, indemnify and hold hannless the City of Cupertino, Santa Clara County, its Architect, any of their Representatives, and all of their agents, employees, consultants , inspectors, assignees and transfere es, from any and all claims, demands , actions, causes of action, obligations, costs, expenses , damages , lo sses and liabilities that may be asserted against them by any of Co ntractor's suppliers and/or Subcontractors of any tier and/or any suppliers to them for any and all labor, materials, supplies and equipment used, or contemplated to be used in the performance of the Contract, except for the Disputed Claims set forth in paragraph 4 of this Document 00001. 8 . Contractor hereby waives the provisions of California Civil Code Section 1542 , which provides as follows: A general release does not extend to claims that the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him, must have materially affected his settlement with the debtor. 9 . The provisions of this Agreement and Release are contractual in nature and not mere re citals and shall be considered independent and severable, and if any such provision or any part th ereo f shall be at any time held invalid in whole or in part under any federal, state, county, municipal or other law, ruling, or regulation, then such provision, or part thereof shall remain in force and effect only to the extent p ermitted by law, and the remaining provisions of this Agreement and Release shall also remain in full force and effect, and shall be enforceable. I 0. Contractor repre sents and wan-ants that it is the true and lawful O\.vner of all claims and other matters released pursuant to this Agreem ent and Release, and that it ha s full right, title and authority to enter into this instrument. Each pa1iy represents and wanants that it has been represented by counsel of its own choosing in connection with this Agreement and Release. 11 . All rights of City shall survive completion of the Work or termination of the Contract, and ex ecution of this Agreement and R eleas e. City of Cupertino 00650-2 Agreement and Release of Any and All Claims Bubb, Elm & McClellan Road Storm Drain/Sanitary Sewer Improvement Project * * * CAUTION: THIS IS A RELEASE -READ BEFORE EXECUTING * * * THE CITY OF CUPERTINO, a Municipal Corporation of the State of California ATTEST: ~~·~ rv r City Clerk [CONTRACTOR] By:~,.---- 1..::. Name:---------------- Its:----------------- ~ CityAttomoy ?/ti / 1/1 ----------~----' 20 'U END OF DOCUMENT City of Cupertino 00650-3 Agreement and Release of Any and All Claims Bubb, Elm & McClellan Road Storm Drain/Sanitary Sewer Improvement Project RECORDING REQUESTED BY City of Cupertino WHEN RECORDED MAIL TO City Clerk's Office City of Cupertino 10300 Torre Avenue Cupertino, CA 95014-3255 NO FEE IN ACCORDANCE WITH GOV. CODE 27283 DOCUMENT: 23251080 111111111111111111111111111111111 REGINA AL COMENDRAS SANTA CLARA COUNTY RE CO RDER Recorded at the request of ci t y Fees . Taxes . Copies AMT PAID Pages: 5 00 5 00 RD E 1:1 025 3/22 /2016 8 :26 AM 3 (SPACE ABOVE THIS LINE FOR RECORDER'S USE) NOTICE OF COMPLETION CITY PROJECT NAME: Bubb, Elm & McClellan Road Storm Drain/Sanitary Sewer Improvement )I) Original D For Fast Endorsement "NO FEE" City of Cupertino NOTICE OF COMPLETION is hereby given in order to comply with the provisions of Section 27283 of the Government Code. This is to certify that the Notice of Completion dated March 8, 2016 for CITY PROJECT NAME: Bubb, Elm & McClellan Road Storm Drain/Sanitary Sewer Improvement and the City of Cupertino, a governmental agency is hereby accepted by the City of Cupertino on March 8, 2016 and the grantee consents to recordation thereof by its duly authorized officer. I certify under Penalty of Perjury under the laws of the State of California that the foregoing paragraph is true and correct. Dated: By: March 21, 2016 Lauren Sapudar Senior Office Assistant MCUPERTINO Recording Requested By : When Recorded Mail To : City of Cupertino 10300 Torre Ave . Cupertino, CA 95014 SPACE ABOVE THIS LINE IS FOR RECORDER'S USE NOTICE OF COMPLETION Civil Code§§ 8182, 8184, 9204 , and 9208 NOTICE IS HEREBY GIVEN THAT : 1. The undersigned is the agent of the owner of the project described below. 2 . Owner's full name is : City of Cupertino , California . 3 . Owner's address is: City Hall, 10300 Torre Ave., Cupertino, CA 95014. 4. The nature of owner's interest in the project is : _Fee Ownership Lessee 2$. Other:_ Right of way on various streets ___ _ 5. Construction work on the project performed on the owner's behalf is generally described as follows : City Project Name: _Bubb , Elm & McClellan Road Storm Drain/Sanitary Sewer Improvement _____________________________ _ 6 . The name of the original contractor for the project is : Con -Quest Contractors. Inc. 7 . The project was completed on : -----'-M~a=r~c~h~8~2~01~6~- 8 . The project is located at: -~B~u=b~b~·~E=lm~&~M~c~C~le~ll~a~n~R~o~a~d~i~n~C~u~p~e~rt=in~o~·~C~A"'-------- Verification: In signing this document, I, the unders igned , declare under penalty of perjury under the laws of the State of California that I have read this notice , and I know and understand the contents of this notice , and that the facts stated in this notice are true and correct. 7Ji I /I (p ; Santa Clara County ~ =-. Dafe an8 Place ~ ure Timm Borden Director of Public Works and City Engineer C!TV OF BUBB, ELM & MCCLELLAN DRIVE STORM DRAIN PROJECT PROJECT NO. 2015-12 DATE: 2/5/2015 Contractor: Con-Quest Contractors, Inc. 290 Toland St. San Francisco, CA 94124 CONTRACT CHANGE ORDER NO. 08 The following changes are hereby approved, notwithstanding language in any attachment to the contrary, Contractor agrees that the amount paid pursuant hereto is full and complete compensation for the work described herein for each and every entity involved in the project who is being compensated hereunder and that each and every claim for any cost for schedule impact such as a delay, impact, inefficiency, acceleration, extended overhead, increased supervision, compression and all other factors affecting cost arising from the subject of this Change Order is hereby released and waived by all such Subcontractors and suppliers at all tiers. Change City Field Description . $40,287.01 ~ No. Authorization No. September additional dumping charges for unsuitable soil. (C- 08 QC/COC#023). Previously Paid in ACP #4. $17,901.01 October additional dumping charges for unsuitable soil. $22,386.00 Change Order 08 Page 1 BUBB, ELM & MCCLELLAN DRIVE STORM DRAIN PROJECT PROJECT NO. 2015-12 CONTRACT CHANGE ORDER NO. 08 Total Change Order No. 08 Total Pro.iect: I Original Contract Change Order No. 1 Change Order No. 2 Change Order No. 3 Change Order No. 4 Change Order No. 5 Change Order No. 6 Change Order No. 7 Change Order No. 8 $1,456,941.00 $4132.53 $6080.00 $4408.00 $35,020.00 $101,338.90 $84,668.09 $6,035.95 40,287.01 $40,287.0l $4132.53 $6080.00 $4408.00 $35,020.00 $101,338.90 $84,668.09 $6,035.95 $40,287.01 Revised Contract $1,738,911.48 Total Change Orders $281,970.48 Schedule Impact: 0 calendar days Interim Milestone Completion Date: August 14, 2015 Project Final Completion Date: October 30, 2015 REVIE\VED BY: CitY~,L- RogerLee City Project Manager Date: ~ APPROVED BY: /: ity of Cupertino imm Borden Director of Public Works Date: -0 2.-4,;,. 7 _J$4_ Gilbane Building Company Glenn Rock c~~~ Alex Baranoff Senior Project Manager Project Manager Date: 12/~h~---· Date: 'Z. -S"'-! " Change Order 08 Page 2 CDN-QLJEST 0DNTRAGTOREJ~ INC. General Engineering Contractors Uc.# 818668 Date: To: Attn: Re: Subject: October 13, 2015 City of Cupertino c/o Gllbane Building Company 1798 Technology Drive Suite 120 San Jose, CA 95110 Dana Johnson Project Engineer Ill Bubb, Elm & McClellan Road SD/SS Improvement Project Project No. 2015-12; File Number CU2015-12 COR -Additional costs for unsuitable soils • September Dear Ms. Johnson, C·QCICOC # 023 Reference is made to our recent discussions, conversations and correspondence. Con-Quest Contractors, Inc. (C-QC) hereby submits the enclosed supporting documentation for the quantity of loads of unsuitable soils offhauled to a facility In Gilroy. As outlined in our letter CQC/COC 007 -Rocks in Soil, the subject material was not accepted at any local dumping facilities as expected due to the unforeseen large rocks found in the material. As previously submitted to the City on 9/1/15, the additional costs incurred in haullng and disposal is $153.30 per load. A breakdown can be found attached. This change order request is to capture the period from the beginning of the project 6/29 thru 8/31/15. Below is a summary of the total loads and costs as shown on the supporting documents. Period Loads Total September 117 loads at $153 $17,901 Total 117 Loads $17,901 The total amount per the attached force account sheet(s) and corresponding supporting documentation is Seventeen Thousand Nine Hundred One Dollars and Zero ($17,901}. We request the costs be approved for immediate payment. c~oc ·reseJVes the right to recover costs and time due to unforeseen conditions resulting from these modifications for our subcontractors, suppliers, and ourselves. 290 TClLAND ST, PHCJNE 415.206.0524 SAN FRANOISCCl 1 CA 941 24 FAX 41 5.206.0528 Please contact me at your ear!iest·convenience to discuss any questions or concerns. Respectfully, CDN·li!UEBT CDNTRACTDRS, INC. Alex Baranoff Project Manager MO/JF/00065 B·ay Area Soils Soh1tions 281 Y amauc Dr. Gilroy, Ca 95020 408-848-4441 40&-846-0655 Fax BILL TO ConQucst Conll11ctors Inc. 290 To!Md St San Francfaco,Ca 94124 P.O. NUMBER . TERMS REP SHIP. 065 Net30 JOE I0/6/2015 ITEM COOE QUANTITY DESCRIPTION DP5 l Dump Fee5 axle SJB 9-1·2015 DF.5 20 Dump Fee 5 axl~ SJB 9-2-2015 DF5 12 Dump File 5 axle SJB 9·3·201$ DF5 I 0 Dump Fee 5 axle SJB 9-9·2015 DF.5 9 Dump flee 5 axle SJB 9·!0·2015 DP5 2 Dwnp Fuc 5 rudc SJB 9-11-20 l 5 Df'5 17 Dump Fee S axle SJB 9·14-201;5 DF5 8 Dump Fee 5 n.Xll;l' SJB 9-21·2015 1)1<5 I Dump Fee 5 axle SJB 9•23·2015 DF5 4 Dump Fee 5 axle SJB 9-24-20l5 !'.>PS {i Onrnp Fee .5 axle SJB 9·25-2015 DF5 9 Dump Fell·.5 axl~ SJB 9-29-2015 DPS 18 Dump Fee .5 a.'!:lc SJB 9·30-201'5 Sales Tax ~· VIA US Mail \\I L-Ob.-DS, ~~~_, 11)ank yr.iu for your busines!S, Invoice DATE INVOICE# 9i30/2015 053119 SHIP TO . U/M PRICE EACH AMOUNT ¢a l00.00 100.00 ea W0.00 2)000.00 ca I00.00 11200.00 ca 100.00 1,000.00 ea 100.00 900.00 ca 100.00 200.00 ea 100.00 1,700.00 ca I00.00 800.00 ea 100.00 100.00 ~ll 100.llO 400.00 ea 100.00 600.00 ea 100.00 9(J(J.00 ell IOQ,00 l,l.W0.00 8.375% 0.00 Total $11,700.00 General Engineering Contractors Lie.# 818668 Date: To: Attn: Re: Subject: November 10, 2015 City of Cupertino c/o Gilbane Building Company 1798 Technology Drive Suite 120 San Jose, CA 95110 Dana Johnson Project Engineer Ill Bubb, Elm & McClellan Road SD/SS Improvement Project Project No. 2015-12; File Number CU2015-12 COR -Additional costs for unsuitable soils -October Dear Ms. Johnson, C-QC/COC # 032 Reference is made to our recent discussions, conversations and correspondence. Con-Quest Contractors, Inc. (C-QC) hereby submits the enclosed supporting documentation for the quantity of loads of unsuitable soils offhauled to a facility in Gilroy and Fremont. As outlined in our letter CQC/COC 007 -Rocks in Soil, the subject material was not accepted at any local dumping facilities as expected due to the unforeseen large rocks found in the material. As previously submitted to the City on 9/1 /15, the additional costs incurred in hauling and disposal is $153.30 per load to Gilroy and $210 additional to Fremont per letter CQC/COC 025 dated 10/27/15. A breakdown can be found attached. This change order request is to capture the period from the beginning of the project 6/29 thru 8/31/15. Below is a summary of the total loads and costs as shown on the supporting documents. Period Loads Total October -Gilroy 42 loads at $153 $6,426 October-Dumbarton 76 loads at $210 $15,960 Total 118 Loads $22,386 The total amount per the attached force account sheet(s) and corresponding supporting documentation is Twenty Two Thousand Three Hundred Eighty Six Dollars and Zero ($22,386). We request the costs be approved for immediate payment. 290 TOLAND ST. PHONE 41 5.206.0524 SAN FRANCISCO, CA 941 24 FAX 41 5.206.0528 C-QC reserves the right to recover costs and time due to unforeseen conditions resulting from these modifications for our subcontractors, suppliers, and ourselves. Please contact me at your earliest convenience to discuss any questions or concerns. Respectfully, C:DN-QUEST C:DNTRACTDRS, INC::. Alex Baranoff Project Manager MO I JF I CO 065 065 -Cupertino: Bubb, McClellan and Elm SD/SS 940-94000-111: Additional costs involved with offhaul and disposal of unsuitable soils. Original disposal site located in Sunnyvale/Mountain View did not accept excavated material due to unforeseen large rocky material encountered in trench. C-QC could not locate facility to accept material at a reasonable cost other than in Gilroy. Additional tests were required to get material accepted at other location. During the temporary shutdown of our Gilroy location, the spoils were required to be sent to a dump located at the base of the Dumbarton Bridge. Location Sunnyvale/Mtn View Total Cost Travel Time -Hrs ·....•.. < 1.20 $ ... 120.00 Dump Fees $125.00 $ 125.00 Total Cost per Budget ..... $ 245.00 Bridge,J"oll ,:445.00 Difference per Load I $ 200.00 5% Markup I$ 10.00 Total per load I $ 210.00 Bay Area Soils Solutions 281 Yamane Dr. Gilroy, Ca 95020 408~848--4441 408~846-0655 Fax BlLL TO ConQue~1 Cootracto.rs Inc. 290 Toland St San Frandsco,,Ca 94124 P.O. NUMBER TERMS REP SHlP .,\. 06 Net 3(1 JOE l Ot.20/2015 ITEM CODE QUANTITY I DESCRIPTION DF5 IO Dump Fce5 axle 10-5-2015 DF5 IO Dump Fee5 axle J0-6-2015 DF5 10 Dump FceS axle 10-7-2015 DF5 9 Dump Fed axle J0-8-2015 Sales Tax Thank you for your business. ,,_~.._,,.., Invoice DATE INVOICE# I0/20f20!5 053123 SHIP TO ViA UPS U/M PRICE EACH AMOUNT ea 100.00 1,000.00 ea l00.00 l,000.00 ea 100.00 1,000.00 ea 100.00 900.00 8.375% 0.00 f I '· Total $3,900.0() San Jose Landfill 281 Yamane Dr. Gilroy, CA 95020 408-848-4441 408-848-1774 Fax Bi!!To CONQUEST CONTRACTORS lNC 290 TOLAND ST SANFRANCISCO,CA 94124. Description Dump Fee 5 Axle.-Hollistor 10·23-2015 ~ Thank you for your business. Qty U/M 3 I t Invoice Date Invoice# 10123/2015 10484 P.O. No. Terms 065 Net30 Rate Amount 100.00 300.00 To·~J..d $300.00 P~yment!',;/Cradit'S $0.00 Balance Due $300.00 CITY OF BUBB, ELM & MCCLELLAN DRIVE STORM DRAIN PROJECT PROJECT NO. 2015-12 CUPERTINO DATE: 01/19/2016 ' Contractor: Con-Quest Contractors, Inc. 290 Toland St. San Francisco, CA 94124 CONTRACT CHANGE ORDER NO. 07 The following changes are hereby approved, notwithstanding language in any attachment to the contrary, Contractor agrees that the amount paid pursuant hereto is full and complete compensation for the work described herein for each and every entity involved in the project who is being compensated hereunder and that each and every claim for any cost for schedule impact such as a delay, impact, inefficiency, acceleration, extended overhead, increased supervision, compression and all other factors affecting cost arising from the subject of this Change Order is hereby released and waived by all such Subcontractors and suppliers at all tiers. Change City Field Description $6,035.95 No. Authorization No. I Conflict with Drop Manhole at ST A 13+37. (C-QC/COC#024). $1,182.08 Previously Paid in ACP #4. Thick AC at 801 September Lateral. (C-QC/COC#024). Previously $1,689.12 Paid in ACP #4. Conflict with Water Main at 21+98 (C-QC/COC#026). Previously $10,093.85 7 ~ Paid in ACP #4. Revised Invert of 36" RCP from STA 1O+O1 -STA 19+50. (C-$16,352.81 QC/COC#027). Previously Paid in ACP #4. .. ......................................................... Slurry Backfill at ST A 16+08 (C-QC/COC#028). Previously Paid I $1,303.92 inACP #4. I Remove manhole stairs per RFP 001 (C-QC/COC#028) Previously $1,602.00 I paid in ACP #4 . ........................................................................................................................................................................................................................................................................................................................ .......... . ........................................... , ............................. Bid Item # 10. Quantity adjustment 5 ea. additional concrete collars $2,250.00 installed@ $450.00. ~ .................. Bid Item #12. Quantity adjustment 1 ea. additional storm drain $6,500.00 manhole installed. I ! .......................................................................... ! Bid Item #22. Quantity adjustment 126 CY over for final number $7,560.00 I installed@ $60.00. I ..................................................................................................................................................................................................................................... .......................................................................................... .. ................................................................. ..! Change Order 07 Page 1 7 BUBB, ELM & MCCLELLAN DRIVE STORM DRAIN PROJECT PROJECT NO. 2015-12 CONTRACT CHANGE ORDER NO. 07 Bid Item #4. Quantity adjustment credit for final number 0 not installed@ $1,500.00 ($1,500.00) Bid Item #5. Quantity adjustment credit for final number. 0 not i installed @$1,500.00 ($1,500.00) l umber installed @$2,500.00. Bid Item #9. Quantity adjustment credit for final number. 0 not installed@ $2,000.00 $2,500.00 ($2,000.00) ........................................................................................................ ,, ...................................... , .. , .... , ........................................................................................................ -------------;-------; Bid Item #23. Quantity adjustment credit for final munber. 142 CY not installed @ $60.00 Bid Item #25. Quantity adjustment credit for final number. 165 TON not installed@ $225.00. ($8,520.00) ($37,125.00) , .................................................................................................... ; .................................................................................................................................................. ____________ -;-------; Bid Item #29. Quantity adjustment credit for final munber. 238 LF ($13,804.00) not installed@ $58.00. , ............ , ................................................................................................................................................................................................................................................. ------------+-------; I Bid Item #30. Quantity adjustment credit for final number. 1039 LF ($15,585.00) not installed@ $15.00. Bid Item #38. Quantity adjustment credit for final number. 561 LF ($49,929.00) not installed@ $89.00. Bid Item #48. Quantity adjustment credit for final number. 581 LF ($6,972.00) not installed@ $12.00. ; ........................................................................................................... + """"""""""""""'""'"'"""""""""'"'"""""'"""""""""""""""""""'"" Bid Item #27. Class 3 Aggregate Base not used and converted to ($55,220.00) Class 2 Aggregate Base. Quantity adjustment to delete Bid Item #27 and add quantity and value to Bid Item #26. , ........................................................... , .................. _ .......................... ,,,,,,,, .. ,,,,,,,,.,,,,,,, .. '''''''''"'''''''''''''''''''''"''"'''''''''''"'''''''''"''''''''''''''''''''''''"''''''''''''''"' ,,,,,,,,,,,,,, ____________ _,___ ____ ~ Bid Item #26. Quantity adjustment to add quantity and value from $55,220.00 Bid Item #27 to Bid Item #26. Bid Item #26 Quantity adjustment credit for final number. 621 CY ($13,662.00) not installed@$22.00. = .............................................................................. ., ............................ ,,,.,,,,.,,.,, .. ,,,,.,,,,,,,, .... ,, ........ ., ........ ., ....... .,,,,. .... , .......... ., .... ., .. ,., ... ,, ... ., .. ,., ... ,. ........... ,. ..... ,., .. ,.,,.,, .... , ____________ +--____ ~. Additional striping for McClellan Road. $1,542.18 Lateral Pipe Bursting (Cost Sharing). $97,050.00 ......................................................................................................... ''''''"''''"'''''''''''''"'''''''''''''''''"'''"'''"'''''''"''''''''''''''''''''''''''''''"'"''''''''"''''''"'''''''"'''''''"'''''"''"''' ____________ _,__ ____ -: Demo unforeseen structure at tie in point at STA 13+59. $4,007.76 2" Gas line conflict at STA 19+20. $5,225.73 "'"'"""'"'"""'""""" "'"""'"""""""'""""'"" Failed compaction tests ( 4). Retesting costs per General Conditions ($2,226.50) 00700.5.8.B . ................................................... ; ..................................................................................................................................................................................................................................................... ------------~----~ Change Order 07 Page 2 BUBB, ELM & MCCLELLAN DRIVE STORM DRAIN PROJECT PROJECT NO. 2015-12 CONTRACT CHANGE ORDER NO. 07 Total Change Order No. 07 / Total Project: Original Contract Change Order No. 1 Change Order No. 2 Change Order No. 3 Change Order No. 4 Change Order No. 5 Change Order No. 6 Change Order No. 7 Revised Contract $1,456,941.00 $4132.53 $6080.00 $4408.00 $35,020.00 $101,338.90 $84,668.09 $6,035.95 $1,698,624.47 Schedule Impact: 0 calendar days Interim Milestone Completion Date: August 14, 2015 Project Final Completion Date: October 30, 2015 Senior Project Manager Date:~ Total Change Orders APPROVED BY: Director of Public Works Date: \ {t.. 7 It (, ' Con-Quest Contractors, Inc. Alex Baranoff Project Manager Date: 01/20/2016 $6,035.951 $4132.53 $6080.00 $4408.00 $35,020.00 $101,338.90 $84,668.09 $6,035.95 $241,683.47 Change Order 07 Page 3 ' . Date: To: Attn: Re: Subject: October 14, 2015 City of Cupertino c/o Gi!bane Building Company 1798 Technology Drive Suite 120 San Jose, CA 95110 Dana Johnson Project Eng1neer Ill Bubb, Elm & McClellan Road SD/SS Improvement Project Project No. 2015-12; File Number CU2015-12 Force Accounts 940-94000-121 & 940-94000-122 Dear Ms. Johnson, C·QC/COC # 024 Con-Quest Contractors, Inc. (C-QC) hereby submits the enclosed force account cost(s) for additional work performed during storm drain installatlon. The lndlvldual force account records are as follows: • 940-94000-121 -Conflict with Drop Manhole at STA 13+37. -$1,182.08 • 940-94000-122 -Thick AC at 801 September Lateral -$1,689.12 This additional work totals in the sum of Two Thousand Eight Hundred Seventy One Dollars and Twentv Cents ($2,871.20) per the attached force account sheet(s) and corresponding supporting documentation. We request the costs be approved for immediate payment. C-QC reserves the right to recover costs and time due to unforeseen conditions resulting from these modifications for our subcontractors, suppliers, and ourselves. Please contact me at your earliest convenience to discuss any questions or concerns. Respectfully, CDN•QUEBT CDNTRACTDRB, IND. Alex Baranoff Project Manager MO/ JF I CO 065 290 TOLAND ST. SAN FRANCISCO, OA 941 24 PHONE: 41 5.206.0524 FAX 415.206.0528 CON-QUEST CONTRACTORS, INC. Da1:e Performed: 09/19/15 Bill No.: EXTRA WDRK RE:PDRT OESCRll'TlON OF CODE: Drop Manhole Conflict ot STA 13+37 CONTRACT NAME/ NO.: 065-Cupertino: Bubb, Elm & McClellan Rd SD/SS Improvements Dat<! Prepared: 10/02/15 ca,c Code 940-94000-121 WORK PERFORMED BY: CON-QUEST CONTRACTORS, INC. FACONO.: -------cOl\10.: _____ _ Sheet 1 DESCRIPTION OFWOl!.K! Unforeseen condition with S" steel line conflicting with drop manhole at station 13+37. Directed to relocate to clear. CAlTRANS co.c .AMOUNT .. EQUIPMENT EQUIPMENT DESCRIPTION ··HOURS . RATE lABOR.· .. · J:IOURS RATE· AMOUNT EQUIPMENT CODE CODE OWNED· RENTED ZAXl l013 2005 Ford F650 Dump Truck 3 $ 55.69 s 167.07 $ -SALVIDAR, MARTIN Reg. 3 $ 67.39 $ 202.17 A022 Volvo l35 Skidsteer 3 $ 38.05 s 114.15 $ -Operator Q.T. $ 86.37 $ - 430 AOOS BobC3t Mini Ex 430 G 3 $ 30.32 $ 90.95 $ -BENEVIDES, JOSE Reg. 3 s 49.76 $ 149.28 $ -$ -laborer O.T. $ 64.03 $ - $ -$ -PENA, ALFREDO Reg. 3 $ Sl.59 $ l54-77 $ -$ -Laborer O.T. $ 66.78 $ - $ -$ -Reg. $ - $ -$ -O.T. $ - g SUBTOTALS $ 37US $ -Reg. -$ - TOTAL COST OF EQUIPMENT OWNED+ RENTED $ 372.18 O.T. $ - MATERIALAND/ORWORK · UNIT .AMOUNT Reg. $ -QUANTITY· BY. SPECIAL FORCES COST MATERIAL WORK O.T. $ - $ -$ -$ -g SUBTOTAL $ 506.22 $ -s -s . labor Surcharge 12% Reg/ 12% OT $60.75 s -$ -$ --Subsistence $ - $ -$ -Travel Expense $ - $ -$ -TOTAL FOR LABOR $ 566.97 $ -s -+33% Mark Up on tabor $ 187.10 $ -$ -TOTAL FOR EQUIP & MAT'L $ 3n.1s SUBCONTRACTOR'S WORK $ -+ 15% Mark Up on Equip and Mat'I $ SS.83 TOTAL COST OF MATERIALS $ - TOTAL COST OF WORK BY SPECIAL FORCES $ -TOTAL COST OF LABOR, EQUIPMENT AND MATERIAU $ 1,182.08 TOTAL COST OF EQUIPMENT AND MATERIAL $ . 372:.18 Subcontractor's Work $ - +5% on Subcontractor's· Work $ - ITEMS AND HOURS RATES, AMOUNTS AND TOTAL Work by Special Forces $ - +5% on Work by Special Forces $ - SUBMITTED: SU6MlmD: TOTAL FOR THIS REPORT $ 1,182.08 Contnl~ir;ir"s ~. Ctmtr.u::tor's Rap. ACCEPTED: ACCEPTED: ------------ ~C5!dcnt En.el~ or lmpector Resident Engh1e~t or Jnspcctor v CON-QUEST CONTRACTORSs INC. Date Performed: BllJNo.:. -· EXTRA WORK REPORT DESCRIPTION OF CODE; CONTRACT NAME f NO.: 065 -Cupertino: Bubb. Elm & McClell~n Rd SD/SS Improvements Date Prepared:_. _____ _ co.c Code 9 <;-/) •9-JtJ:.-v • c:>/ WORK PERFORMED SY: CON-Q!.ICST CONTRACTORS. INC. FACO NO.: co NO.: } 2 / Sheet 1 of l oescR1PT10NoFwoRK: l?cioa:-ll! dv.e g# eel ~ F?f32 .S.-14-y ':i¥tr d'"-' /r> u.-vM:.+-1-vd 2 ., Slr.d µ.:_c Cvn'>S,;,) CQC CALTRANS I EQUIPMENT EQUIPMENT DESCRIPTION I HOURS I RATE EQUIPMENT CODE CODE AMOUNT OWNED RENTED $ . $ - 3 s -$ $ . $ $ -$ $ -$ $ -$ $ -$ $ -$ SUBTOTALS! $ -$ TOTAL COST OF EQUIPMENT OWNED+ RENTED! $ MATERlAl ANO/OR WORl< BY SPECIAL FORCES !SUBCONTRACTOR'S WORK jfOTAL COST OF MATERIALS ll°OTAl COST OF WORK BY SPEOAL FORCES iTOTAl COST OF EQUIPMENT ANO MATERIAL rll'MSANOllOU~/ ~ 5USM1TTED: _._11±:__+-------- Corrt~ctor,. Rep .. ACCEPTED: ...J.,J I 1g:Tneer or Inspector AMOUNT QUANTITY UNIT COST MATERIAL I $ -l: $ -1$ - $ $ $ -~ I: - $ $ $ $ $ $ $ $ RATES, AMOUNTS AND TOTAL SUBMITTED:----------- Conv><tor'• R<p. ACCEPTED: _______ ~--~ R""ldoot Engi"""r or Inspector WORK . - - . . - - -. - - - - - . - - ------- LASOR .M..,.J.:;.., .fr.I,;/,.,.;,,.. J Q~i' /.},.. ;:/nh/ J..t t;;. 4.,< .. 1~ I HOURS RATE I AMOUNT Rei; • -;;> $ --O.T. $ - Reg • .·i $ -- O.T • $ Reg:. J ~ $ . O.T. $ . Reg. $ . O.T. $ - Reg.. $ . O.T. $ - Reg. $ - o:r. s - SUSTOTAl\l - labor Surcharge Subsistence Travel Expense 12% Reg/ 12% OT $ $ TOTAL FOR 1.ASOR $ +33% Mark Up ori Labor ~ -I TOTAL FOR EQ,UlP & MArL $ • +15% Mark Up on Equip and Mat'! $ -1 TOTAL COST OF lABOR, EQUIPMENT AND MATERIALS! $ Subcontractor's Work ~ +5% on Subcont1<1aor's Work $ - Work by Special Forces $ ~ +5% on Work by Special Forces $ TOTAL FOR nus REPORT! $ CON-t;JUEST CONTRACTORS, INC. Data Perform<?<!: 09{1.8/15 BlliNo.: EXTRA WDRK REPDRT DESCRIPTION OF CODE< Thick A/C@ 801September1.<Jteral CQNTRACT NAME/ NO.: 065-Cupertlno: Bubb, Elm & McC!el!•n Rd SD/SS Improvements Date Prepared: 10/14/15 CQC Code 940-94000-122 WORK:PERFORMED BY: CON-QU!;ST CONTRACTOllS, tNC. FACONO.: ______ _ CONO.: _____ _ Sheet 1 DESCRIPTION OF WORK: Thick AC at 801 September lateral along with Cement Treated Base below. CALTRANS I CQC EQUIPMENT DESCRIP'.flON I. HOURS I RATE EQ.UIPMENT CODE EQ:~EENT -AMOUNT· LABOR OWNED RENTED_·· HOURS RATE AMOUN'[ 2952C A003 Hyundai Excawtor-210LC-7a 3 $ 86.32 $ 258.96 $ -SAL VlDAR, MARTIN R<:!g. 3 $ 67.39 $ 20:U7 0815 C037 Bretec 120 -Excavator Hammer 3 $ 39.32 $ U7.96 $ -Operator O.T. $ 86.37 $ 016-025 13006 Sullair 165 H Compressor 3 $ 21.33 $ 63.99 $ -BENEVIDES, JOSE Reg. 3 $ 49.76 $ 149.28 ZAXL l013 2005 Ford F650 Dump Truck 3 $ 55.69 $ 167.07 $ -laborer O.T. $ 64.03 $ A022 Volvo 135 Skidsteer 3 $ 38.05 $ l14.l5 $ -PENA, Al.FREDO Reg. 3 $ 51.59 $ 154.77 430 I A005 BobC<Jt Mini tx 430 G 3 $ 30.32 $ 90.96 $ -laborer 0.T. $ 66.78 $ $ -$ -Reg. $ $ -$ -O.T. $ $ 813.09 $ -Reg. $ SUBTOTAlS 18 TOTAL COST OF EQUIPMENT OWNED+ RENTED $ 813.09 O.T • $ .. AMOUNT: MATERIAL I •, WORK Reg. $ O.T. $ QUANTflY · ·· . MATERIAL AND/OR WORK. BY SPECIAL FORCES · _UNIT··.· COST , SUBTOTAL j_ $ $ -$ 506.22 $ $ -$ labor Surcharge 12%Reg/12%0T $60.75 $ $ $ Subsistence $ $ $ Travel Expense $ $ -s TOTAL FOR LABOR $ 566.97 - $ $ +33% Mark Up on labor $ 187.10 - $ $ TOTAL FOR EQUIP & MAl'L 1. 813.09 SUBCONTRACTOR'S WORK $ -+15% Mark Up on Equip and Mat'! $ 121.96 'TOTAL COST OF MATERIALS $ TOTAL COST OF WORK BY SPECIAL FORCES $ -TOTAL COST OF LABOR,. EQUIPMENT AND MATERIA!.SI $ 1,689.12 $ 813.09 !TOTAL COST OF EQUIPMENT ANO MATERIAL '""°""'="Wo<k I$ -I +5% on Subcontractor's Work $ - Work by Special Forces $ - +5% on Work by Special Forces $ ITEMS AND HOURS RATES, AMOUNTS AND TOTAL SUBMITTED:-----------SUll-MITTED: -----------TOTALFORTHISREPORTI $ 1,689.12 Contractar':s R.eJ). Contractor's 'Rt?P. ACCEPTED:------------ACCEPTED:----------- l\csldcnt 'Englnttr -or lns.pector Resident: Englh~~ tit'lnspector / Oate l'eriormed: 9/ ZV/) Bill NO·'-------CON-QUEST CONTRACTORS7 INC. EXTRA WORK REPORT DESCRlPTIONOfCOOE: \~ kf-~ llL ~ CQCCode "1'4c-9400-\~ CONTRACT NAME/ NO.: 055-Cupert!oo: Bubb, Elm & McClellan Rd SD/SS ltnpn:wement< D<lte Prepared: Cf j Z fr// r WORJ<PERFORMEU BY~ CON-QUEST CONTRACTORS, INC. FACO NO.: CO NO.: ____ _ 'lof1 Sheet ___ ..::;..;c_;.._ __ D'ESCRIPT!ONOFWORK: Ih ,; t Ac.. tit" -/(. ,, e+ l.'(./,,.... (. ~DI 5r,p..fr&U-l/'-'"f./-1.. c.:713 U,,...,,.t..v iirf- CAll'RANS CQ.C AMOUNT EQUIPMENT EQUIPMENT OESCRlPTION HOURS RATE LA.BOR HOIJRS RATE AMOUNT EQUIPMENT CODE CODE OWNED RENTED --lfoo·<, Exrv__.;/' 3 $ -$ -)';, i":.-£),,._u ;, <' Reg. -:s $ - e,..;,-••.• ;.,~ L '· ~ .,.... ~ $ -$ -O.T. $ - &Oh /':,;.. Wt<t:/t}. ~ $ -$ -.,,, ··~ _,...; S,,,.1'./.~ :. fleg. ~ s - lor~ A,,A-brf ~ $ -$ . -O.T. $ - Ac77 sr./d/ 9"'µ-3 $ -$ --~ A~ ,../r /.--""" Reg. ~ $ - /-lo~ ~ ,;.,: er,.,~ ..... ] $ . $ -O.T. $ - $ -s -Reg. s - s -$ . O.T. $ - SUBTOTAlS $ -$ -Reg. $ - TOTAL COST OF EQUIPMENT OWNED+ RENTED $ -O.T. s . MATERIAlAND/OR WORK UNIT AMOUNT Reg. $ --QUANTITY BY SPEOAL FORCES COST MATERIAL WORK Q.T. s - s -$ -SUBTOTAL $ - $ -$ -tobor Surcharge 12% Reg/12%0T $ -$ -Subsistence $ - $ . $ -Travel Expense $ - $ -$ -TOTAL FOR LABOR $ - s . $ " +33% Mark Up on Labor $ - $ . $ -TOTAL FOR EQUIP& MATl $ - SUBCONTRACTOR'S WORK $ -+15% Mark Up on Equip and Mat'! $ - TOTAL COST OF MA'TB\IAIS $ - TOTAL <:OST OF WORK BY SPECIAL FORCES $ -'TOTAL COST OF LABOR, EQUIPMENT AND MA TER!AlS $ - TOTAL COST OF EQUIPMENT AND MATERIAL $ -Subcontractor's Work $ - +5% on Subcontractor's Work $ - ITEMS AND HOURS RATES, AMOUNTS ANO TOTAL Work by Special Forces $ - &J/' +5% on Work by Special Forces $ - SUBMITTED; SUBMITT~D: TOTAL FOR THIS REPORT $ - ec~"'ctor'• ~ep . .O.CCEPTED; -¥:...-,H--------ACCEPTED: _________ ~~~ Re:lldent Englneor QI' l:l>p.aor ' 0DNTRACTDRS~ ING .. General Engineering Contractors Uc.# 818668 Date: To: Attn: Re: Subject: November 2, 2015 City of Cupertino c/o Gilbane Building Company 1798 Technology Drive Suite 120 San Jose, CA 9511 O Dana Johnson Project Engineer Ill Bubb, Elm & McClellan Road SD/SS Improvement Project Project No. 2015-12; File Number CU2015-12 Force Accounts 940-94000-119 Dear Ms. Johnson, C·QC/COC # 026 Con-Quest Contractors, Inc. (C-QC) hereby submits the enclosed force account cost(s) for additional work performed during storm drain Installation. The Individual force account records are as follows: • 940-94000-119-Conflict with water main at 21 +98 September. • $10,093.85 This additional work totals in the sum of Ten Thousand Ninety Three Dollars and Eightv Five Cents ($10.093.85) per the attached force account sheet(s) and corresponding supporting documentation. We request the costs be approved for immediate payment. C-QC reser1es the right to recover costs and time due to unforeseen conditions resulting from these modifications for our subcontractors, suppliers, and ourselves. Please contact me at your earliest convenience to discuss any questions or concerns. Respectfully, CDN·/i}LJEBT CDNTRAClTDREI, /NG. ~~~~~~ <._::__,---:=J. r'7 Alex Baranoff Project Manager MO/JF I CO 065 290 ToLANIJ ST, SAN FRANOISOD, CA 941 24 PHONE 41 5,206.0524 FAX 41 5,206.0528 GDN-QUEST CDNTRAGTDRS1 INC. EXTRA WDRK REPDRT DESCRIPTION OF CODE: Water main confllctat21+98 September -~~---------- CONTRACT NAME/ NO.: 065 -Cupertino: Bubb, Elm & McClellan Rd SD/SS Improvements WORK PERFORMED BY: CON-QUEST CONTRACTORS, INC. FACONO.; CONO.: ------------- DESCRJl'110N OF WORK: Water llne conflict at STA 21 +98. Stop, loss of production. Get shots to check grade for answers how to proceed. O:ite Performed: 08/26/J:s Bill No.: Date Prepared! 08/26/15 CQC Code 940-941JOQ.119 Sheet 1 CALTRANS CQC AMOUNT . . EQUIPMENT EQUIPMENTOESCRIPTION HOURS RATE LABOR HOURS RATE. · ·. AMOUNT: EQUIPMENT CODE CODE . . OWNED. RENTED . 4720 A021 Kobelco 235 Excavator 2 $ 121.81 $ 243.62 $ -SEGURA, JAIME Reg. 2 $ 5134 $ 102.68 2719H AOZ4 John Deere Loader 624k 2 $ 125.17 $ 250.34 $ -labQrer O.T. $ 66.40 $ • 2952C A003 Hyundai Excavator-210LC-7a 2 $ 86.32 $ 172.64 $ -st:GURA, JAIME Reg. 2 $ 5L34 $ 102.68 1026 2015 Ford F350 Utility Truck 2 $ 26.95 $ 53.90 $ -laborer O.T. $ 66.40 $ - A022 Volvo 135 Skldsteer 2 $ 38.05 $ 76.10 $ -WRIGHT, SHAWN Reg. 2 $ 42.73 $ 85.46 $ -$ -labApp O.T. $ 53.49 $ - $ • $ -AGUILAR, SAMUEL Reg. 2 $ 68.87 $ 137.74 $ - $ -Operator O.T. $ 88.59 $ - lo SUBTOTALS $ 796.60 $ -PENA,AlFREDO Reg. 2 $ 51.59 $ 103.18 TOTAL COST OF EQUIPMENT OWNED+ RENTED $ 796.60 laborer o.T. $ 66.78 S - MATERIAL AND/OR WORK . UNIT: AMOUNT . GUZMAN MIGUEL Reg. 2 $ 60.18 $ 120.36 QUANTITY . . ' BY SPEOAL FORCES COST MATERIAL WORK Operator o.T. $ 80.16 $ - S • S _ ii SUBTOTAL $ 652.10 11--------------------------+----+-------l-~-----+------~I $ -$ -Labor Surcharge 12% Reg/ 123 OT $78.25 11--------------------------+----+-------1-:.-------+-'------l' ll-------------------------+----+-------1-$:.__ ____ --l...;s _____ ·---1! Subsistence $ - S -$ -Travel Expense $ - ll-~~-~----~~----~-------l-----1------...(....:.S ___ ~--l-~$~-~------!I TOTALFORlABOR $ 73035 n--------------------------+----+-------1-s _____ -_~s _____ ---4 1 +33%MarkUponLabor $ 24L02 $ -$ -TOTAL FOR EQUIP & MAT'L $ 79&.60 11-------------------------1-----+-------l--'------'------~1 SUBCONTRACTOR'S WORK $ -+1S% Mark Up on Equip and Mat'I $ 119.49 TOTAL COST OF MATERIALS $ - ITOTAL COST OF WORK BY SPECIAL FORCES $ -TOTAL COST OF LABOR, EQUIPMENT AND MATERIAlS $ 1,887.46 TOTAL COST OF EQUIPMENT AND MATERIAL $ 796.60 Subcontractor's Work $ - +5% on Subcontractor's Work $ - ITEMS AND HOURS RATES, AMOUNTS AND TOTAL Work by Special Forces $ - +5% on Work by Special Forces $ - SUBMlTIED: SUBMlffiD: TOTALFORTHIS REPORT $ 1,887.46 Contr.>ctofs Rep. C:ontroci:or's Rcp. ACCEPTED: ACCEPTED: ------------ Rcsldcr1t Eriglnecr o~ tn~pec:tor Resident Englriccr or lrlSi)cctOr" CON-QUEST CONTRACTORS, INC ... EXTRA WORK REPORT CO!"TRACT NAME/ No.: 055 ·Cupertino; Bubb. E!rn & McClellan SO/SS WORK PERFORMED BY: CON·QUEST CONTRACTORS, !NC. DESCRIPTION OF WORK: hVJfEr (f-f C..1..f'(;ci cf-/ CALTRANS EQUIPMENT CODE CQC EQUIPMENT CODE I A-,::.,. I IA-D;-4 Ao o"') L01 f.., .A-z:r7 2 EQUIPMENT DESCRIPTION -f.C,l':J,,t;;.,. -; ~ ;< (. ::u~ ~l.r r J/-v..,,.,,t,..' eK /-fo,,,... -1~1; 'S /:'"; /,/d;./',r t>ESCRIPTION OF CODE: FACO NO.: ______ _ HOURS I RATE 2.. :z.. i .z .l.. 2. SUBTOTALS CONO.: / / 9 AMOUNT OWNED RENTED $ -$ $ -$ $ -$ $ -$ $ -$ $ -.$ .$ -$ $ -$ $ -$ TOTAL COST OF EQUIPMENT OWNED+ RENTED $ MATERIAL AND/OR WORK BY SPECIAL FORCES !SUBCONTRACTOR'S.WORK ITOTALCOSTOF MATERIALS ITOTAL COST OF WORK BY SPECIAL FORCES 1TOTAl COST OF EQUIPMENT AND MATERIAL ITEMS AND HOURS SUSMITTEO: ~ Contmd:or':s fl-l<'J). ACCEPTED;~--+--'.J---,~---~ tm:pcaor UNIT . AMOUNT QUANTITY" COST MATERIAL WORK $ . $ $ -$ $ -.$ $ -$ $ -$ $ -$ $ -$ $ $ - $ $ RATES, AMOUNTS AND TOTAL SUBMITTED:----------- Contrador"$. R'!P. ACCEPTED:----------- Re>ld•nt Eng!Meror ln•pector - - - - - - - - - - - - - - - - - - - - - t>Fl/r /.\ Date Performed: Jf /2 (;, // ~ Sill No.: Date Prepared: / Ts/J (.y'/ \ co.ccotle 9-<-to .9-r,;',!.•if· ! } LABOR c __ ,.A ....... ,,,, S.,i:,.,,/,: Je1 .. ....-:. .. ~ .... "";'<f,,. ... J.-t'A ~ S.1. • . .....J ,,.,..,. ~" /J? ,; 5-t--·1 .e~):;,J /,;..- ~ A-u:._./i, A.-,,.,... /111 ,._ .. ;~, t /':;ruz...c.,~ I) Sheet~----~-- HOURS ~ ~o~: O.T. ~ "7 0,T. Reg:. O.T. Reg. 2 O.T. RATE I $ - $ .$ s s .$ s s $ $ $ $ Labor Surcharge Subsistence Travel Expense SUBTOTAL]$ TOTAL FOR LABOR +20% Mark Up on Labor TOTAL FOR EQUIP & MArL 30% $ $ $ $ $ AMOUNT - - - - - - - - +15% Mark Up on Equip and Mat'l \ $ ~ TOTAL COST OF lABOR, EQUIPMENT AND MATERIALS $ Subcontractor's Work ~ +5% on Subcontractor's Work $ - Work by S~cial Forces $ • +5% on Work by Special Forces $ TOTAL FOR THIS REPORT! $ GDN-t:;IUEST GDNTRACTDRB1 INC. Date Performed: 08/27/l5 Bill No.: Water main conflict at 21+98 EXTRA WDRK REPORT DESCRIPTION OF CODE: September CONTRACT NAME /NO.: 065-Cupertino: 6ubb, Elm & McClellan Rd SO/SS Improvements O:ite Prepared: OS/27 /l5 CQ.C Code 940-94000-119 WORI<: PEltFORMED BY: CON-QUEST CONTRACTORS, INC. FACONO.: CONO.: Sheet ,_ --------------- DESCRIPTION OF WORK: Work at 21 +98 cut modify 36" RCP to clear water main :rR CQC . . . AMOUNT CAl ANS EQUIPMENT EQUIPMENT DESCRIPTION · HOURS· RATE . . . ··LABOR HOURS RATE AMOUNT EQUIPMENT CODE CODE OWNED RENTED . 2719H A024 John Deere loader 624k 4 $ 125.17 $ 500.68 $ -.SALCEDO, FRANCISCO Reg_ 4 $ 54.45 $ 217.80 2952C AO!B Hyundai Excavator-210LC-7a 4 $ 86.32 $ 345.28 $ -Lab Fore O.T. $ 71.07 $ • L026 ZOl5 Ford F350 Utility Truck 4 $ 26.95 $ 107.80 $ -SEGURA, JAIME Reg. 4 $ 51.34 $ 205.36 S -$ -Laborer Q.T. S 66,40 S - $ -$ -WRIGHT, SHAWN Reg. 4 $ 42.73 $ 170.92 $ - $ • LabApp Q.T. $ 53.49 $ - $ - $ -PENA, ALFREDO Reg. 4 $ 51.59 $ 206.36 $ -$ -Laborer Q.T. $ 66.78 $ - lZ SUBTOTAlS $ 953.76 $ -GUZMAN, MIGUR Reg. 4 $ 60.18 $ 240.72 TOTAL COST OF EQUIPMENT OWNED+ RENTED $ 953.76 Operator o.T. $ 80.16 $ - MATERIAL AND/OR WORK UNIT· AMOUNT Reg $ -. QUANTITY . BY SPECIAL FORCES COST MATERIAL WORK o.T. $ • Mul\erConstructionTag# 151903/1 1 $ 176.77 $ 176J7 $ -:ia SUBTOTAL $ 1,041.16 36"tubeinsldepipeform $ -$ -LaborSurcharge 12%Reg/12%0T $124.94 $ -S -Subsistence $ - ir---~-----~---~~~-~~~--~~-t----~-t---~~~-t-$-~~--_--1-$-----_-;i T~ve!Expense $ - $ - $ -TOTAL FOR LABOR $ 1,166.10 1r--~---~~~-~~~----~--~~~--1---~--t---~---+----~~-1-------~1 $ -$ -+33% Mark Up on labor $ 384.81 n---~----~~---~-----~--~--+-----t-------+------+------~ $ -$ -TOTAL FOR EQUIP & MAT'L $ 1,130.53 lt------------------~~-----1-----t-------+---~--..._------tl SUBCONTRACTOR'S WORK $ -+15% Mark Up on Equip and Mat'I $ 169.58 TOTAL COST OF MATERIALS $ 176.77 TOTAL COST OF WORK BY SPECIAL FORCES $ -TOTAL COST OF LABOR, EQUIPMENT ANO MATERIALS $ 2,851.02 TOTAL COST OF EQUIPMENT AND MATERIAL $ 1,130.53 Subcontractor's Work $ - +5% on Subcontractor's Work $ - ITEMS AND HOURS RATES, AMOUNTS AND TOTAL Work by Special Forces $ - +5% on Work by Special Forces $ - SUBMITTED: SUBMITTED: TOTAL FOR THIS REPORT $ 2,851.02 Contractor's R~p. Contractor'"$ Rep. ACCEPTED: ACCEPTED:------------ RC$1dent EngfMcr or Inspector Rc:.idcnt Engl nett or tn"..pector -; ~6t-~< GDN-[\IUEST CONTRACTORS, ll\H::,~. Date P<i!rformed: CCJJ 22)15 ' BiUNo.: EXTRA WORK REPORT DESCRIPTION OF CODE: .,. CONTRACT NAME/ NO.: 065 -Cupertino: Bubb, Elm & M&Oellan SO/SS Date Prepared: 2(/27 )/) CQ.C·Code q'1 V-t7av ·i I WORK PERFORMS) SY: CON·Ql.JESTCONTRACTORS, !NC. FACONO.: -------CONO.: L1i Sheet ~~~~~~~~ OESCRIPTIOlllOFWORK: .o,,,~f.. Cf../--'2 i ..J-9](' ~<..t.f ozi:d:{y '$b .. /l.ll' ·h·' c.-l,.,,r ~~ ..... et,;.. CALTRANS CQC AMOUNT EQUIPMENT EQUIPMENT DESCRIPTION HOURS RA.TE LABOR HOURS RATE AMOUNT EQUIPMENT CODE CODE OWNED RENTE.0 Ao7.. c.4 (.,r.£;d?r $4 $ -$ -.C.. -r 1 Si'~ $,; L. _..,,; '? Reg. l-t s - A-.,..o-~ . J.1.,,~_,;,,,; PT. '1 $ -s -O.T. $ - f D'/ b J /.o.-v ./ fll-JA '-1 $ -$ -"Ta.....:_ "'" ...,.~ J--..<• Reg. 4 $ - $ $ -"' O.T. $ -- $ . $ -C.::1.._ ..,,.._,;A . ./ Ree. 4 $ . $ -$ -() o:r. I $ - $ -$ -A l..L-r?· a ...... Reg. y $ - s -$ -O.T. r s - SUBTOTAIS $ -$ -1-.-:.t"i f,,.u-:?-.,, .. , Reg. l..t s - TOTAl COST OF EQUIPMENT OWNED+ RENTED $ -u O.T. s - MATERIAL ANO/OR WORK UNIT AMOUNT Reg;. s - SY SPECIAL FORCES Q,UANTITY COST MATERIAL WORK 0.T. $ - Mv lr -,--·-,u..,.-.,,. ,I,_~ ..fi.:.,_, /t;JCfo.1/ I s -$ -SUBTOTAL $ - .< "'· ,, ·./,,.a/ ~ t: ,, 1.:..l..lii:!. .Lf~p c.M $ -$ -labor Surcharte 30% ' $ $ Subsistence $ --- $ -$ -Travel EXpense $ - $ -$ -TOTAL FOR lASOR $ - $ -$ -+:20% Mark Up on Labor $ - $ -$ -TOTAL fOR EQUIP & MAT'L s - SUBCONTRACTOR'S WORK $ -+15% Mark Up on Equip and Mat'I $ . ifOTAL COST OF MATERIALS $ -TOTAL COST OF l.ABOR, EQUIPMENT AND MATERIAIS $ - TOTAL COST OF WORK BY SPECIAL FORCES $ -Subcontractor's Work $ . TOTAL COST OF EQUIPMENT AND MATERIAL $ -+5% on Subcontractor's Work $ - Work by Special Forces $ - ITEMS AND HOURS RATES, AMOUNTS AND TOTAL +5% on Work by Special Forces $ . TOTAL FOR THIS REPORT $ -,.,. SUSM11TED:_,.._..,...,_,,,...._,,.. ___ T---SUBMIITTD: __________ _ Cor1trz.cr:or",,~p. ACCEPTED: ----'d'---· ....... ---~ ACCEPTED:------------ Rosld<mt E~"oer or ln<poC!or Rosldcnt Enron= or lnspt:Qor PAGEN01 ' . l :; CON-QU£ST CONTRACTORS, INC. EXTRA WDRK REPDRT DESCRIPTlON OF CODE: Water main conflict at 21+98 September -----~------- CONTRACT NAME/ NO.: 065 ·Cupertino: Bubb, Elm & McClellan Rd SD/SS Improvements WORK PERFORMED BY: CON-QUEST CONTRACTORS, INC. FACONO.: CONO.: '119 -------------- DESCRIPTION OF WORK: loss of production. 8" PVC main fine due to work confUct with Luis and Tibits next to each other on site. CALTRANS CQC AMOUl\IT EQUIPMENT CODE EQUIPMENT EQUIPMENT DESCRIPTION HOURS RATE CODE OWNED RENTED. .. s . $ - $ -$ - $ -$ - $ -$ - $ -$ - $ -$ - $ -s - $ -$ - SUBTOTALS $ -$ - TOTAL COST OF EQUIPMENT OWNED+ RENTED $ - MATERIAL AND/OR WORK UNIT AMOUNT BY SPECIAL FORCES QUANTITY COST MATERIAL WORK $ -$ . $ . $ - $ -s - -$ -$ - s -s - $ -$ - $ -$ - SUBCONTRACTOR'S WORK $ - TOTAL COST OF MATERIALS $ - TOTAL COST OF WORK BY SPEOAL FORCES $ - TOTAL COST OF EQUIPMENT AND.MATERIAL $ - ITEMS AND HOURS RATES, AMOUNTS AND TOTAL SUBMITTED: SUBMITTED: Controctor's Rey. Controctor's Rep. ACCEPTED: ACCEPTED:------------ RMldcnt 'En&lnccr or ln:;pector R~(d"Cnt Engineer or lnspectQr Date Performed: 09/03/15 Bill No.: Date Prepared: 09/03/15 CO,C Code 940-94000-119 Sheet 4 -------- LABOR HOURS .. RATE AMOUNT PENA, ALFREDO Reg. 2 $ 5159 $ 103.18 Laborer O.T. $ 66.78 s - WRIGHT, SHAWN Reg. 2 $ 42.73 $ 85.46 Lab App O.T. $ 53.49 $ - Reg. $ . O.T. , $ - Reg. $ - O.T. $ - Reg. s - O.T. $ - Reg. s - O.T. $ - 4 SUBTOTAL $ 188.64 Labor Surcharge 12% Reg I 12.% OT $22.64 Subsistence $ - Travel Expense $ - TOTAL FOR LABOR $ 211-28 +33% Mark Up on labor $ 69.72 TOTAL FOR EQUIP & MAT'L $ - +15% Mark Up on Equip and Mat' 1$ - TOTAL COST OF LABOR, EQUIPMENT AND MATERIALS $ 281.00 Subcontractor's Work $ - +5% on Subcontractor's Work $ - Work by Special Forces $ - +5% on Work by Special Forces $ - TOTAL FOR THIS REPOR T $ 281.00 ~·~~:--....... ·-t·~<~,~~--:-::~:,..::!':·~~" :-::--:·--::~::-:~!:.C:::"-'•!:"!'(1 ·: "'."i· :·;. ! : . :.:. ;·: ~ ... , ' .... ;··:· .,.- . 03~" ~rl<>rm.~d: . ·9 'h. / iz;' , i.i-,., _;)' ~ ·:.: ... , .. :···· .. . .··' . . ·B,lll:~o.:..·.-'" ------....... ~ ..... "" .· .. ·:=·· ·:· · .. · .. :·_ :· ;;..tc_~.~~; 9!3Jf'f: ,. ~-.H: : . . · · CQC ~"· Q.y_,_;.,,,.y,...w,:,~,;,;;;.. -: >. · Sl:>e~i:.· :.': ;: .. · . RATE· AMOUNT . .. ,.i :::!;:l'AtJh9-1::r::.·~:::''.f ;,#i.~~~;;,;;,:?;.";"";:F!,.;;.,,,;'.:::,,/y:, :·z·/.'·l~· .. ; . :. ;.• ; J·~· .. ': ' ' ... : l ~ : ; : ;._· ll i~~ ~,? ;_, : $~/~,/~ .. · 1 \ .~ I r 'S· s $ $. s· ·$·... ··:.< ·.c:; I$. : :.:•.. , .. ~·> !l'Tu;""~ <:::,,,U~-"' .. \ R.;,r,, I ''"'.,.''' .... :,,,.. ...... ,.,, .. ::-··1···.·· .· .. ·.::·.•.r· .. · ,., ..... ,..,l.s.:·.····•?.·::·.·~··:'.l·:s .. ············'·?.·.:[1"'.::.-······ .. -'· ·1 o. I ....., ·.s Ii . :··,:WO.RI<'·, . . • I$ := ... !:;:'· .s.·.- ·s··· $ $.· $. . s: ·:!·:·. ;:i ·-'., s s s· SIJ!ffOTAL! s: · 'TOTAt FQR lABOR +20% Mark Up on Labor TOTAL FOR EQUtP & MAT'l 3~i'r $ $ $ s $ .. +15% Mark Up on Equlp and Mat'\ \ $ . TOTAL COST OF LABOR, 'EQUIPMENT AND MATER!ALS1-$------ Subcontractor's Work ,. s +5% <Jn Subc<Jntractor's Work $ Work bySpeclal Forces 11-S'------- +5% on Worl<. by Spe:Q.al forces ( $ TOTAL FOR THIS REPORT!$ CON-QUEST CONTRACTORS, INC. Date Performed; 09/09/15 Bill No.: Water main conflict at 21+98 EXTRA WDRK REPORT DESCRIPTION OF CODE: September CONTRACT NAME/ NO.: 065 -Cupertino: Bubb, Elm & McClellan Rd SD/SS Improvements Date Prepared: 09/09/15 CQC Code 940-94000-119 WORK PERFORMED BY: CON-QUEST CONTRACTORS, INC. FACO NO.: _______ _ CONO.: 119 Sheet 5 DESCRIPTION OF WORK: Enter pipe per confined space. Place so no tube in place and form inslde of 36" RCP to patch repair. Cleanout inside from debris from Lewis and Ti bits work. Remove plates. CQC AMOUNT CALTRANS EQUIPMENT EQUIPMENT DESCRIPTION HOURS RATE LABOR ' . HOURS. · RATE. AMOUNT. · EQUIPMENT CODE CODE OWNED RENTED 4720 A021 Kcbelco 235 E)((:avator 3 $ 121.81 $ 365.43 $ -SALVI DAR, MARTIN Reg. 3 $ 67 39 $ 202.17 t026 2015 Ford F350 Utility Truck 3 $ 26.95 $ 80.85 $ -Operator O.T. $ 86.37 $ - $ -$ -BENEVIDES, JOSE Reg,. 3 $ 49.76 $ 14928 $ -$ -Laborer O.T. $ 64.03 $ - $ -$ -Reg. $ - $ -$ -O.T. $ - $ -$ -Reg. $ - $ -$ -O.T. $ - 5 SUBTOTALS $ 446.28 $ -Reg. $ - TOTAL COST OF EQUIPMENT OWNED+ RENTED $ 446.28 o.T. $ - MATERIAL AND/OR WORK UNIT. AMOUNr Reg. $ - QUANTITY BY SPECIAL FORCES COST MATERIAL WORK o.T. $ - S -$ -G SUBTOTAL $ 3Sl.4S l>-~~~~~~~~~~~~~~~~~~~~~~-+-~~~-+~~~~~--+-~~-~-1-~~~---11 $ -$ -LaborSurcharge 1Z%Reg/1Z%OT $42.17 l>-~~~-~~~-~~~~~~~~---~~--1-~~~-+~~~~---+-'--~----+-'~~-~--11 ll-~-~~~~-~--~~~--~~~~~~--+---~-+~~~~~--+-$-~~----1~$-~~----ll Subsistence $ - $ -$ -Travel Expense $ - l>-----------------------i-----l-------+-'-S ____ --+~$-------!! TOTAL FOR LABOR $ 393.6Z ii------------------------1-----1------i-s ____ -_1-s ____ ----i, +33% Mark Up on Labor $ 129.89 $ - $ -TOTAL FOR EQUIP & MAT'L $ 446.28 11--~~~-~~---~~--~-~-~--~---<-------+~---~-1~-~~---'-------1 SUBCONTRACTOR'S WORK $ -+15% Mark Up on Equip and Mat'! $ 66.94 TOTAL COST OF MATERIALS $ - TOTAL COST OF WORK BY SPECIAL FORCES $ -TOTAL COST OF LABOR, EQUIPMENT AND MATERIALS $ 1,036.73 TOTAL COST OF EQUIPMENT AND MATERIAL $ 446.28 Subcontractor's Work $ - +5% on Subcontractor's Work $ - ITEMS AND HOURS RATES, AMOUNTS AND TOTAL Work by Special Forces $ - +5% on Work by Specia I Forces $ - SUBMITTED: SUBMITTED: TOTAL FOR THIS REPORT $ 1,036.73 Contractor's Rep. Cont~ct;or's Rep. ACCEPTED: ACCEPTED:------------ Rcsid~nt 'Englneer or lropcctor Re5ident Englnet!r ortnspector CON-QUEST CONTRACTORS, INC ... Date Performed: Cj-/ 1 / /-l Bil!No.: EXTRA WORK REPORT DESCRIPTION OF CODE: ~ CONTRACT NAME/ NO.: 055 -Cupertino: !lubb, 8m & McC!e!l~n SO/SS OatePrcp;ired: 1-/f //5 CQCCode '/ 'f~-9'7tN•::r::-J /, WORK PERFORMED BY: CON-QUEST CONTRACTORS, INC. FACONO.: -------CONO.: ill Sheet _______ _ ......... ·--.,.~-~ ....... ,..,.-,. ,,, ........ -r 'b~ ,-.. -.~-~ t::!'ld:. -ftit::!:,.--.r:::i; ,_,_t:o::~ ·-,r·•·&r!.-t ---· .,. ..t-c. ::ti:' r l:.-~ ~ lod:: ... Oi::'"'~ ,,_..it,.-· ~1:..-.... ..,,. "._.,,--- ,._,.,// . J lo.v/~ ..$~1;t{ -~,_.rfc. ,o.,,,., ... ., ,? M 5 ---t""r"Alf CALTRANS CQC AMOUNT EQUIPMENT EQUIPMENT DESCRIPTION HOURS RATE LABOR HOURS RATE AMOUNT EQUIPMENT CODE COOE OWNED RE!lrTEO Aoz.I , I f.oq,I,,... -f $ . $ . ~-J;:.. t;;.,f,/.~ Reg. 3 $ - lo'}(;,. /.L _/_ _!'( s $ -$ -O.T. $ . $ -$ . l~o~ &,,,,,~,;r;/ro RI?g. '~ $ - $ -$ . O.T • $ - $ -s -Reg •. $ . $ -$ . O.T. $ - $ -$ -Reg. $ . $ -$ -Q.T. $ - SUBTOTAts s· -$ -Re&, $ . TOTAL COST OF EQUIPMENT OWNED+ RENTED $ -O.T. $ . MATERIAL AND/OR WORK QUANTITY UNIT AMOUNT Ref:-$ . BY SPECAl FORCES COST MATERIAL WORK O.T. $ - $ . $ -SUBTOTAL $ - $ -$ -Labor Surcharge 30% $ -$ . Subsistence s - $ . $ -Travel Expense $ - $ -$ -TOTAL FOR LABOR $ - $ . $ -+20% Mark Up on Labor s - $ . $ -TOTAL FOR E0.1JIP & MA.T'L $ - SUBCONTRACTOR'S WORK s -+15% Mark Upon Equip and Mat'! $ - TOTAL COST OF MATERIALS $ . TOTAL COST 01' LABOR, EQUIPMENT AND MATERIALS $ - TOTAL COST OF WORK B.Y SPEOAL FORCES $ -Subcontractor's Work $ - TOTAL COST OF EQUIPMENT AND MATERIAL $ -+5% on Subcontractor's Work $ - Work by Special Forces $ - RATES, AMOUNTS AND TOTAL +5% on Work by Special Forces $ - TOTAL fOR THIS REPORT $ - SUSMITTEO: &--SUBMITTED:----------- '(;o.tftr;gd;Qr"s:R;11p. i:Qntr.Jctor"> Rep. ACCEmO: .J-1-------ACCEPTED:----------- ,ti;!n,loecror!1"!peaor RC?Sh!t:nt Enefnear or lnsp-e:ttor f\ CON-QUEST CONTRACTORS, INC. EXTRA WDRK REPDRT OESCRlPllON OF CODE: CONTRACT NAME I NO.: 0£5 -Cupertino: Bubb, Elm & M<:Clel!an Rd SO/SS Improvements WORK PERFORMED BY: CON-QUEST CONTRACTORS, INC. FACO NO.: ______ _ Water main conflict at 21+98 September CONO.: 119 DESCRIPTION OF WORK: Drill and lnstall rebar into pi~. Pour back top 1/2 yard of concrete (Star). Remove, install plates. CALTRANS EQUIPMENT CODE 4720 co.c EQUIPMENT CODE A021 EQUIPMENT DESCRIPTION Kobeko 235 Exc:avator HOURS 2 $ 2 RATE 121.Sl $ $ $ $ $ $ $ $ SUBTOTAlS $ AMOUNT ·owNED RENTED 243.62 $ -$ -s -$ -$ -$ -$ -$ 243.62 $ - - - - - - - - - TOTAL COST OF EQUIPMENT OWNED+ RENTED $ 243.62 'Concrete star tag #716841 MATERIAL AND/OR WORK BY SPECIAL FORCES SUBCONTRACTOR'S WORK UNIT QUANTITY, COST l IS I 88.39 I$ $ $ $ $ $ $ $ ··AMOUNT MATERIAL WORK 88.39 $ - -$ - -$ . . $ - -$ - -$ - -$ - :1 TOTAL COST OF MATERIALS $ 8839 ITOTAL COST OF WORK BY SPECIAL FORCES $ - ITOTAL COST OF EQUIPMENT AND MATERIAL $ 332.01 ITEMS AND HOURS RATES, AMOUNTS AND TOTAL SUBMITTED: ___________ _ SUBMITTED:------------ Coritm~or's. R<!p, Contractor's. Rep. ACCEPTED:-------------ACCEPTED:----------- Resident Engineer or lns~c:tor Rcstd.crrt 'EneJneer or Inspector Date Performed: 09/10/15 Bill No.: . LABOR SALV!DAR, MARTIN Operator BENEVIDES, JOSE Laborer Date Prepared: 09/10/15 CQ,C Code 940-94000-119 Sheet 6 HOURS RATE AMOUNT --- Reg. I 2 $ 67.39 $ 134.73 $ S.6.37 $ - $ 49.76 $ 99.52 O.T. Reg. I 2 O,T. $ 64.03 $ - Reg. s O.T. $ --- Reg. $ -- O.T. $ -- Reg. $ -- O.T. $ - Reg. $ O.T. $ 4 Labor Surcharge SUBTOTAL! $ 234.30 I 12% Reg/ 12% OT $28.12 1 Subsistence Travel Expense TOTAL FOR lABOR +33% Mark Up on Labor TOTAL FOR EQUIP & MAT'L $ $ $ 262..42 $ 36.60 $ 332.01 +15% Mark Up on Equip and Mat'll $ 49.80 Ii TOTAL COST OF LABOR, EQUIPMENT AND MATERIAlSI $ 730.33 Subcontractor's Work I $ !1 +5% on Subcontractor's Work Work by Special Forces +5% on Work by Spedal Forces $ $ $ TOTAL FOR THIS REPORT! $ 730.83 C::DN-QUEST CDNTRACTDRS, /NC:r oate l'e:fcrmed: -q /Jo/) S"' am No.; EXTRA WORK REPORT l>EStmPTION OF COl>E: ~~~~~~~~~~~~~ CONTRACT NAME{ NO.; VTA • Tasm<>n l'o<:ketTr,,cl:-C828 (0310~) Date Prepared: 9 /JO//.< ccte<:ode f't,t; -~w.),rj/j' WOXIC PEIU'ORMS> !!><: con-QUfSICOITTAACTO!G,INC.. FACONO.: CONO.: / t/fJ 5hcirt lof oEsciirnroNoFworo:: c);.;l{ b,,..{ ril.llt @l1.,.,-"~"' ,oih /??'v-/JJ,-t.!f ~r' q Mee:~ ~-lf:er;vC /"-"".;J,11 12,/d'f ' ;. CAL"ffiANS CQC AMOUNT EQUIPMENT EQ.UJPMENT DESCRIPTION liOUl!S AA.TE lABOR HOURS RATE AMOUNT EQUIPMENT CODE CODE OWNED RENTED A-P21 ll:Ph·r 7 ,s -$ -..Mp..-,4.: 5, V.~ .. ~ Reg. 2 $ . s -$ . O.T. $ - $ -$ . ']i:.<J A,.,.,..,.,...,../A Res. "2-$ . s -$ . Q.T • $ . $ . $ -Reg. s . s -$ . O.T. $ . s -$ .. Reg. $ - $ -s . O.T. $ . SUSTOTAlS $ -$ -Reg. s . TOTAL COST OF EQUIPMENT OWNED .i-RENTED $ -O.T. $ - MATERIAL ANO/OR WORK UNIT AMOUNT Reg. $ . QUANTITY BY SPECIAL FORCES COST MATERIAL WORK o:r. $ - re.~'-"./ <.t,~ /e;,.....:;!:i:-$ -$ -SUBTOTAL $ -v $ -$ -tabor Surcharge l2% Reg/11%0T $ -s . Subsistence $_ - s -s . Travel Expense $ - $ -$ -TOT.AlFOR lABOR $ - $ . $ -+20% Mark Up on Labor $ - $ . .s -TOTAL FOR EQUIP & MArL $ - SUBCONTRACTOR'S WORK $. -+15% Mark Up on Equip and Mat'l $ - TOTAL COST OF MATERtAts $ - trOTAL COST OF WORK SY SPECIAL FORO:S $ -TOTAL COST OF lABOR, EQUWMENT AND MATERlALS $ - :t'OTALCOST OF EQUIPMENT AND MAiERIAl $. -Subcontractor's Work $ - +5% on Subcont\"<J:ctO:r's Work $ - ITEMS AND HOURS RATES, AMOUNTS AND TOTAl Work by Special Forces $ - +5% on Work by Spedal Forces $ - fr!. -S!JBMITTED: SUllMl1TED: TOTAL FORlJUS REPORT $ - ~~C\.or's:Rep. Clmlno<'or'>Rey. ACCEPTI:O:_,.,,,,c_;.,__~----~ ACCEPTtD: ----------- rtesl&:nt ingkt1i:r or ki~-ett'Pr 09/17/2015 08:53 408-947-0434 .,. W! n' Sandman Inc., dba Star Concrete .. 1404 south 7th Street ·"' San Jose, Ca. 95112 ,I. '• /, Con"Quest Contractors, Inc. 290 Toland Street San Francisi::o CA 94124 STAR eol-lCRETE Customer No, Invoice D~te Invoice Number Job Id Credit Terms I CONQUESTCO 9/10/2015 PAGE 01/01 280149 . Page 1. FESTIVAL/ SEPTEMBE NET 30 DAYS .~ .. ~~~ .'1t1j¥;~!r~~ ?~lt:tltJ~ti~ wJ~:~-:~~M~f~~*fJ s~~~f~!~~~·~~r.~.~t.4:~Dlm~~tr~m~.;,,:.~;A~: :fif~~t!f!~~?r~:(':t.:1~,.·~.~.::~~~~11 .r~~Y~~P.1~~:~·:\~~ ~:t:·1f)~MQ~ftef~tt~i )9/10/15 226447 3.00 CY S600900PM · 6.0sk, PX#4, 3000p$i ;1.20.00 360.00 J9/10/:t5 226447 ;LOO EA ENV!ROFEE Environmental Fee 20.00 20.00 09/10/15 226447 1.00 EA SL03 SHORTLOAD 3 61.00 61.00 )9/10/15 226447 35.00 EA STANDBY St1;1nd By 1.50 52.50 1" .. .( _ _J __ 1...__.._.. ......... ., __ >.111'..--·~ Sales Tax-CA Invoice Total 4~3.SO 36.84 530.34 CON-QUEST CONTRACTORS, ING. EXTRA WORK REPORT DESCRIPTION OF CODE: CONTRACT NAME/ No.: 065 ·Cupertino: Bubb, Elm & McClellan Rd SD/SS Improvements _ WORK PERFORMED l:>Y: CON-QUEST CONTRACTORS, INC. FACONO.: DESCRIPTION OF WORK: Remove plates and backfill. Compact hole, compaction tester on site CALTRANS CQC EQUIPMENT CODE EQUIPMENT EQUIPMENT DESCRIPTION HOURS RATE CODE 4720 A021 Kobelco 235 Excavator 3 $ 121.81 $ 2952C A003 Hyundai Excavator-210LC-7a 3 $ 86.32 $ $ $ $ $ $ $ 6 SUBTOTALS $ TOTAL COST OF EQUIPMENT OWNED+ RENTED $ ·-MATERIAL AND/OR WORK UNIT BY SPECIAL FORCES QUANTITY · COST. $ $ $ $ $ $ s SUBCONTRACTOR'S WORK $ TOTAL COST OF MATERIALS $ TOTAL COST OF WORK BY SPECIAL FORCES $ TOTAL COST OF EQUIPMENT AND MATERIAL $ ITEMS AND HOURS RATES, AMOUNTS AND TOTAL SUBMITTED: SUBMITTED: Contractor's. Rep. Contr.:ictor'.5 Rep. Water main conflict at 21+98 September CONO.: 119 AMOUNT OWNED RENTED 365.43 $ 258.96 $ -$ -$ -$ -$ -$ -$ 624.39 $ - - - - - - - . - 624.39 AMOUNT MATERIAL WORK . $ . -$ . -$ - -$ - -$ - . $ - -$ - - - - 624.39 ACCEPTED: ACCEPTED:------------ Rcs1dent t.nghwcr or Inspector Resident Erig!nc-e.r ortrn;pcaor Date Performed' 09/11/15 Bill No.: Date Prepared: 09/11/lS CQ,C COde 940-94000-119 Sheet 7 --· LABOR HOURS RATE AMOUNT GUZMAN, MIGUEL Reg. 3 -$ 60.18 $ 180.54 Operator o.T. $ 80.16 $ - BENEVIDES, JOSE Reg. 3 $ 49.76 $ 149.28 Laborer Q.T. $ 64.03 $ - PENA, ALFREDO Reg. 3 $ 51.59 $ 1S4.77 Laborer O.T. $ 66.78 $ - R<>g. $ - O.T. $ - Reg. $ - O.T. $ - Reg. $ - O.T. $ - s SUBTOTAL $ 434.59 Labor Surcharge 12% Reg/ 12% OT $58.15 Subsistence $ - Travel Expense $ . TOTAL FOR LABOR $ 542.74 +33% Mark Up on Labor $ 179.10 TOTAL FOR EQUIP & MAT'l $ 624.39 +15% Mark Up on Equip and Mat' 1$ 93.66 TOTAL COST OF LABOR, EQUIPMENT AND MATERIALS $ 1,439.89 Subcontractor's Work $ - +5% on Subcontractor's Work $ - Work by Special Forces $ - +5% on Work by Special Forces $ - TOTAL FOR THIS REPORT $ 1,439.89 t:JDN-&;JUEST C:t::INTRACTORS7 INC. ~m Performed: <} / J J //Q BillNQ.! E:XTRA WORK REPORT OESCRJPTION OF CODE: ____________ _ CONTRACT NAME/ NO.: I/TA-Tas1mm Pocket Track-032$ (C131U3) D3tt! Prepared: </ /J J //.) CQ,CCodc ______ _ WO!IK PERFORMSO BY: CON-QUEST CONTRACTORS. INC. FACO NO.: co NO.: J / tJ' Sh~et 1 of OES~iPTIONOFWORK: fZ..,.t?v/' et.d·5 q.-A ~t-/r.{it/ /~g;t.f h11l/' (,g"--"'fC.i;.-:_ f,.5-/,.r &>~ 5';;; CAL TRANS CQC AMOUNT EQUIPMENT CODE EQUIPMENT EQUIPMENT DESCRIPTION HOURS AATE LABOR HOURS . RATE AMOUNT CODE OWNED RENTED Aoo~ f.Jrr, :.L f .. ,f,r/ "") $ -$ -...... , ... :.,.1 l~z.,.,.~-Reg. ~ s - Ao7 I I . .,,J,,.r ?., $ -$ -.., O.T. $ - $ -$ -Mc ;;,_u,lrz. Reg. ~ $ - $ -$ . O.T. $ - $ -s -Al-/r,./1} /1,,,..,..,. Reg. ~ $ - $ -$ -O.T. $ - $ -$ -. Reg. $ - $ . $ -O.T • $ . SUBTOTALS $ -$ -geg.. $ - TOTAL COST OF EQUl?MENT OWNED+ RENTED $ -0.T. $ . MATERIAL AND/OR WORK UNIT AMOUNT Reg. $ - BY SPECIAL FORCES QUANTITY COST MATERIAL WORK o:r. $ . $ . $ . SUBTOTAL $ - $ -$ -labor Su~harge 12% Reg/ 11% OT $ -$ -Subsistence $ - $ -$ . Travel Expense $ - $ " $ -TOTAL FOR LABOR $ - $ -$ -+20% Mark Up on Labor $ - $ -$ -TOTAL FOR EQUIP & MATI. $ - SUBCONTRACTOR'S WORK $ -+ 15% Mark Up cm Equip and Mat'! $ - TOTAL COST OF MATERIAt:S $ - :TOTAL cosr OF WORK BY SPECIAL FORCES $ -TOTAL COST OF LABOR, EQUIPMENT AND MATERIALS $ - TOTAL COST OF EQl.ll?~NT AND MATERIAL $ -Subcontractor's Work $ - +5% on Subcontractor's Work $ - ITEMS AND HOURS RATES, AMOUNTS AND TOTAL Work by Special forces $ - +5% on Work by Special Forces $ - SUBMITTED: g_ SUBMllTEO: TOTAL FOR THIS REPORT $ -' Contr~u:~tor~i: Rrp. Contr.IK:'l:or~ Rep-. ACCEPTEO:~~------->f----~--~-----ACC8'TEO;~-~~-~~~~~~ Rosldcot l;ngln .. ror lns]>t!aor c CITY OF a REQUEST FOR PRICE QUOTATION CUPERTINO Project: Bubb, Elm & l\'IcClellan Storm Dl'ain/Sanitary Impl'ovement Project To: Con-Quest Contractors, Inc. 290 Toland St. San Francisco, CA 94124 Attn: Alex Baranoff Reason fol' Request: Per request from Cupertino Unified Sanitary District Project No.: 2015-12 RFP No.: 001 Date: 9/3/15 Return By: 9/4/15 Requested By: Dana Johnson Please submit a firm quotation for any adjustment to your contract for tlte following change: • Cutting out the stairs in the SSMH's. There are 5 MH total and each MH has 5-7 stairs. l Attachments: ::d Tii11e and Materials not to exceed Lump Sum not to exceed f=.j Do NOT proceed, submit quotation only Proceed with work and submit quotation S=J Shop Drawings Required No Shop Drawings Required Return this request with your quotation noted below and Authorized By: attach all detailed back-up for the change outlined above. Your quotation will not be considered valid unless ) detailed back-up is included. Failure to comply will result in payment delays. Date: THIS SECTION TO BE COMPLETED BY THE CONTRACTOR For the change outlined above we propose: ~~~~ Anincreaseof$ 1, 602 to the contract amount By: Alex Baranof f A decrease of$ to the contract amount ------Title: Project Manager No change Company: Con-Quest The above will necessitate additional days extension of the original contract completion date. Date: 9/3/15 CON-QUEST CONTRACTORS, ING. Date Perfonned: Sill No.: EXTRA WORK REPORT DESCRIPTION OF CODE.: RFPOOl CONTRACT NAME f NO.: 065 -Cupertino; Bubb, Elm & MoClel!an Rd SDfSS Improvements Date Prepared: CQC Code 960-96000-104 ------- WORK PERFORMED BY: CON-QUEST CONTRACTORS, INC. FACONO.: ______ _ CONO.: Sheat lofl DESCRIPTION OF WORK: RFP 001-Proposal to remove stairs in 5 manholes CQC AMOUNT .. CAlTRANS EQUIPMENT. EQUIPMENT DESCRIPTION · HOURS ·,RATE··· ·· · LASOR ..•. HOURS.·. RATE . AMOUNT· EQUIPMENT CODE .. CODE OWNED. . RENTED l026 2015 Ford F350 Utility Truck 75 $ 26.95 $ 202.13 $ -SALCEDO, FRANCISCO Reg. 7.5 $ 54.45 $ 408.38 003-008 3000G Honda Portable Generator 7.S $ 4.30 $ 32.25 $ -Lab Fore O.T. $ 71.07 $ - 30-40 RB Rivot Buster 7.5 $ 0.90 $ 6.75 $ -SEGURA, JAIME Reg. 7.5 $ 51.34 $ 385.05 $ -$ -Laborer Q.T. $ 66.40 $ - $ -$ -Reg. $ - $ -$ -O.T. $ - $ -$ -Reg. $ - $ -$ -O.T. $ - 22.S SUSTOTAl.S $ 241.13 $ -Reg. $ - TOTAl COST OF EQUIPMENT OWNED+ RENTED $ 241.13 O.T. $ - MATERIAL AND/OR WORK UN1r·· AMOUNT Reg. $ -QUANTITY SY SPECIAL FORCES COST MATERIAl WORK O.T. $ - Patching Material 1 $ 125.0000 $ 125.00 $ -1S SUBTOTAL $ 793.43 $ -$ -Labor Surcharge 12% Reg! 12.% OT $95.21 $ -$ -Subsistence $ - $ -$ -Travel Expense $ - $ -$ . TOTAl FOR LABOR $ SSS.64 $ -s -+33% Mark Up on Labor $ 293.25 $ . $ -TOTAL FOR EQUIP & MATL $ 366.13 SUBCONTRACTOR'S WORK $ -+15% Mark Up on Equip and Mat' 1 $ 54.92 TOTAL COST OF MATERIAl..S $ 125.00 TOTAL COST OF WORK BY SPECIAL FORCES $ . TOTAL COST OF LABOR, EQUIPMENT AND MATERIALS $ 1,602.94 TOTAL COST OF EQUIPMENT ANO MATERIAL $ 366.13 Subcontractor's Work $ - +5% on Subcontractor's Work $ - lTEMSAND HOURS RATES, AMOUNTS AND TOTAL Work by Special Forces $ - +5% on Work by Special Forces $ - SUSMITIEO: SUBMITTED: TOTAL FOR THIS REPORT $ 1,602.94 Co:ntrnctor'~ Rep. Contractor's Rep. ACCEPTED: ACCEPTED:------------ R~ldent Eoglnec:r or t~pector RC$1dent Engineer or Inspector General Engineering Contractors Uc.II 818668 Date: To: Attn: Re: November 3, 2015 City of Cupertino c/o Gilbane Building Company 1798 Technology Drive Suite 120 San Jose, CA 95110 Dana Johnson Project Engineer Ill Bubb, Elm & McClellan Road SD/SS Improvement Project Project No. 2015M12; File Number CU2015-12 C-QC/COC # 027 Subject: Revised Invert of 36" RCP from ST A 10+01 -STA 19+50 on September -960-96000·105 Dear Ms. Johnson, Con-Quest Contractors, Inc. (C-QC) hereby submits the enclosed force account cost(s) for additional work performed during the storm drain Installation. This extra work ls due to the revised Inverts provided by the designer per drawings dated 8/28/15. The extra work includes the addltlonal manpower and equipment to excavate, dispose and backfill the Increased quantities as illustrated on the attached sheets. This additional work totals in the sum of Sixteen Thousand Three Hundred Fifty Two Dollars and Eighty One Cents ($16,352.81) per the attached force account sheet(s) and corresponding supporting documentation. We request the costs be approved for immediate payment. C-QC reserves the right to recover costs and time due to unforeseen conditions resulting from these . modifications for our subcontractors, suppliers, and ourselves. Please contact me at your earliest convenience to discuss any questions or concerns. Respectfully, CDN•liJLJEBT CDNTRAC::TDRS, /Na. Alex Baranoff Project Manager MO /JF /CO 065 290 TOLAND ST. SAN FRANCISCO, CA 941 24 PHONE 41 5.206.0524 FAX 415.206.0528 CON-QLJ£ST CONTRACTORS, INC. Date Performed; 1U/01/15 Bil1No.: EXTRA WORK REPORT DESCRJPTION OF CODE: Add'l depth of 35• RCI' on McClellan CONTRACT NAME f NO.: 065 -CUpertino: Subb, Elm & McClellan Rd SD/SS Improvements Date Prcparod: 11/01/15 CQ.CCod<! 960-96000-l.05 WORK PERFORMED BY: CON-QUEST CONTRACTORS, !NC. FACONO.: CONO.: Sheet 1_ ----------------------~ DESCRIPTION OF WORK: Revised plan lowered invert of 36" RCP. Additional loads to offhaul and 'time spent on backfilling trench N ~ ~ITT CALTRA S EQUIPMENT EQUIPMENT DESCRIPTION HOURS RATE -lASOR -HOURS-RATE: AMOUNT EQUIPMENT CODE CODE OWNED RENTED - 4nO A021 Kobelco 235 Excavator 10 $ lZl.81 $ 1,218.10 $ -~GU!LAR,SAMUEL Reg. 10 $ 68.87 $ 683.70 2719H A024 John Deere loader 624k 10 $ 125.17 $ 1,251.70 $ -operator O.T. $ 88.59 $ - 2952C A003 Hyundai Excavator-210lC-7a 10 $ 8632 $ 863.20 $ -SEGURA, JAIME Reg. 10 $ SJ..34 $ 513.40 l026 2015 ford F350 utmtyTruck 10 $ 26-95 S 269.SO $ -Laborer 0.T, S 66.40 S - AO:U Volvo 135 Skidsteer 10 $ 38.05 $ 380.50 $ -SALCEDO, FRANCISCO Reg. 10 $ 54.45 $ 544.50 S -$ -Lab Fore O.T. $ 71.07 $ - $ $ -PENA, ALFREDO Reg. 10 $ 51.59 $ 515.90 $ $ -Laborer O.T. $ 66.78 S - so SUBTOTALS $ 3,983.00 $ -WRIGHT,SHAWN Reg. 10 $ 42.73 $ 42730 TOTAL COST OF EQUIPMENT OWNED+ RENTED $ 3,933.00 l<lb App O.T. $ 53.49 $ - MATERIALAND/ORWORK QUANTITY UNIT AMOUNT_-GUZEMAN,M!GUEL Reg. 10 $ 68.87 $ 688.70 BY SPECIAL FORCES COST MATERIAL WORK Operator O.T. $ 88-59 $ • Additioln3l LoodsofDirtOffhauled-l:nd Dumps 13.17 $ 445.00 $ 5,860.65 $ -60 SUBTOTAL $ 3,378.50 lt-------------------------t------1-s _____ -____,f--'s _____ ---f---'-$-------ll Labor Surcharge 12% Reg/ 12%0T $40S.42 $ -S -$ -Subsistence $ -ir-------------------------+-----+-------+-$-----_--1-$-----_"""'1 Travel Expense $ - lr---------------------+-----1-------+-$'-------+$'------------ll TOTAL FOR LABOR $ 3,783.92 ir-----------------------+-----+------+,:_$ ____ --+,:_$ ____ -----ll +33% Mark Up on Labor $ l,24S.69 1r-----------------------1-----+------+-s ____ -_,_s ____ -__,I TOTAL FOR EQUIP & MAT'L $ 9,843.65 SUBCONTRACTOR'S WORK $ -+15% Mark Up on Equip and Mat'I $ 1,476.55 :TOTAL COST OF MATERIAIS $ 5,860.65 !TOTAL COST OF WORK BY SPEOAL FORCES $ -TOTAL COST OF LABOR, EQUIPMENT AND MATERJAU $ 16,352.81 TOTAL COST OF EQUIPMENT AND MATERIAL $ 9,843.65 Suocontractor's Work $ - +5% on Subcontractor's Work $ - ITEMS ANO HOURS RATES, AMOUNTS AND TOTAL Work by Special Forces $ - +5% on Work by Special Forces $ - SUBMITIW: SUBMITTED: TOTAL FOR THIS REPORT $ 16,352.81 Corrtr:ietQr'::; R;~p. Contractt'or's Rep. ACCEPTED: ACCEPTED: ------------ Res.ldmt!nglnttr ol' ln:;pec:tor ~Ida-it Engineer.gr fnsped:or @ ~ ~ .& COM"ANY NC. 'Ol'Ui._. SYi BN _...,~.....,....-,.,.,,,.,.~ •"""""==· ~"'::..·~---''.'.:"'.~-+-=-===~==~==~--1---+---1 1gem Zank.,,. Rood 0,.,n;:i 03/::1Q/I~ !i.D PRCflµ::-~ON . .ALONo !:tPtl:WER·Off" .. • .: si-~/l. --~-- 5('4&)~s~4 'l"<CAt.£ 1 fl ~::O) ..,,.,.< f..ll'J.. OF.:Z:~fPftOt-1 OA.n: IY'f strc...J!:e:No, I OJ-H.ti(i REVISIONS. Gtv of G.ipertino N:ic Wcrlcs Dopo!1mcnt il:lOO TmRE: J.'tt1ftlt ~ftll. <:,f, m14 {-406) 777~ FA:C ("40e)m-~ qe;!.ATIVC ttOR:JtR ~C:Al.E ¢ 1 :2 .3 11~ [J~ ii!!!.-'. 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U~!~:~ ~:T.LJ:: .. ~~::::::=:,:::: J·t-ttl...:.. ... =' ...... ::.._j ~~ ~~:T•=:t:=:::.:~"1:::·1.::1:1=~=t::tt:q:; ~~:t.:l::.....!1::::[:.:l::::[:...L..L-' '~'.::'.:•::.L..\ .. J::'.::'.:-:..8·. l·-c--1~f ..... 1 ·+t.· .. f+i-+-l-l· .. -l--'-·-l-·L+-·l·-·l·:::tr .. 1I1-1---1-· .:...i .... -'--........ uii ~! .. .J.. .. --·-...... :...L ........ ~'JI. _ .. -.. --. -·.· ·'··· -· .:• ... -'--'·-.---i-·1' ... .i.. .. 1'·--'·-·....,_ ___ ·l--f-·I-... '.·+··+.·::: .. :::: ... r.-L. FLt-H-J-· ... --·-. ---.-[:.r::r::r ... ::r .. !--~...,...-i ...... l..., ...... -......... ..;.....:_· """'-'----'-l-1--1-1-1-.1 : ---r1 ~ : ~¢+¢0 I ... rwr . ! ' ' : ; 'fl.;092! . ! : : • • • . 1:-•(lq I I I ' . l J 1 l i h:s+oo . ; l r-! . ' . . --. • . ~~OD 41) "'"IA . ·. ' . I ' ' t i 1!'t+OO I . I......,,,,, "'I I I I I u --, Im! Oty of Cupetmo PLAN AND PROF<LE I 4 tmP. ~~!!_~~ i-:;;._,,.,·,,,-,-·-·~-.----:~::-:r--+-1------------t-~r--i . Pi&WobDepartmcnt Bl.BB. ELM. & McClELLAN ROAD STORM ~ 1960 Z1;1n\cer Rocid DATt1 03/.Xl/J~ \1/ I Rl::W"~ :;oMJi J..OC>.1la'l 7/1.,/1~ RD ~ 10JIJ01tm: 1i\004~Q.W014 DRAfVSAMTARY SEWffi_ IMPRO\IEtvENT PRo.:ECT s~)~5~~2. ~1 1tr-ni"1.-t-. No~ I oESCRrPT1-c« rv.n: av · {~m-3J$4. F'AA(.a)m-:ml W!lrs;<;AlUl"N. ~~0ia.rt.1CIS'ER1'Jl0 PP-~ 'll'f'Co,~tt&, I OJ-1'4l16 REVISIONS CUP.ERT2N.O F.&:LATIVC OOROtl' 'SC.AU: ~INfN~ O T 2 ;) ______________________________________ ....... _ ......................... , ___ , ____________________________________________________ _ 1::1 1::1 }. lN'ST,1, R<Wfi•~···· ....,~"l!CTTOD:\&tfl" PW {~'om,J<.O'l'QNS!<f<r ..,.. }-., --'-' -r---.J ~Y-~x~- ---..p=----- )_ 1 SS l.J..n:R,1.1,. fl\'STAL\.t" s~a o;;;i m:w.i...~cr o::sr ~ ca10-~~ IJDNTRACTDRS,, INC. General Engineering Contractors Lie.# 818668 Pate: To: Attn: Re: Subject: November 3, 2015 City of Cupertino c/o Gilbane Building Company 1798 Technology Drive Suite 120 San Jose, CA 95110 Dana Johnson Project Engineer lll Bubb, Elm & McClellan Road SD/SS Improvement Project Project No. 2015·12; File Number CU2015·12 . Force account request 94000-123 & 96000-104 Dear Ms. Johnson, C·QC/COC # 028 Con-Quest Contractors, Inc. (C-QC) hereby submits the enclosed force account cost(s) for additional work performed. The individual force account records are as follows: • 940-94000-123 -Slurry Backfill encountered at STA 16+08 on September-$1,303.92 • 960-96000-104 -Remove Manhole Stairs per RFP 001 -$1,602.00 This additional work totals in the sum of Two Thousand Five Dollars & Ninety Two Cents ($2.905.92) per the attached force account sheet(s) and corresponding supporting documentation. · We request the costs be approved for lmmediate payment. C-QC reserves the right to recover costs and time due to unforeseen conditions resulting from these modifications for our subcontractors, suppliers, and ourselves. Please contact me at your earliest convenience to discuss any questions or concerns. Respectfully, CDN·QLJEST GDNTRAGTDRS, ING,, Alex Baranoff Project Manager MO/ JF I CO 065 290 TOLAND BT, SAN FRANDJSOO, CA 941 24 PHONE 415.206.0524 FAX 41 5.206,0528 CON-QUEST CONTRACTORS, INC. Date Performed: 10/15/15 Bill No.: _________ _ EXTRA WORK REPORT DESCRIPTION OF CODE: Slurry Backfill @STA 16+0$ CONTRACT NAME I NO.: 065 -Cupertino: Bubb, Elm & McClellan Rd SO/SS Improvements Date Prepared: 11/03/lS ca.c Code 940-94000-123 WORK PE!lFORMED BY: CON-QUEST CONTRACTORS, INC. FACONO.: -------CONO.: _____ _ Sh<>et _______ · D<SCRIPTION OF WORK: EncounterC?d unforeseen slurry b<1ekftll in existing sewer lateral trench CAL1RANS CQC AMOUNT EQUIPMENT EQUIPMENT DESCRIPTION HOURS RATE. LABOR HOURS. RATE. AMOUNT:'·· EQUIPMENT CODE CODE OWNED RENTED·· 3080CRT A018 Komatsu PC-78 Excavator 4 $ 44.02 $ 176.08 $ -BENEVIDES, JOSE Reg. 4 $ 49.76 $ 199.04 L026 2015 Ford 1'350 UtilltyTrud< 4 $ 26.95 $ 107.80 s -Laborer O.T. $ 64.03 s - 016-025 8006 Sulla!r 165 H Compressor 4 $ 21.33 $ 85.32 s -GUZEMAN, MIGUEL Reg. 4 $ 68.$7 s 275.48 s -$ -Operator O.T. $ 88.S9 S - s -$ -Reg. $ - s -$ -O.T. s - $ -$ -Reg. $ - $ -$ -O.T. s - 12 SUBTOTAlS $ 369.20 $ -Reg. $ - TOTAL COST OF EQUIPMENT OWNED+ RENTED $ 369.20 O.T. $ - MATERIALAND/ORWORK . QUANTITY . UNIT. AMOUNT·· Reg. $ - BY SPECIAL FORCES .. COST MATERIAL WORK. O.T. $ - Concrete Disposal 1 $ 150.00 $ 150.00 s -g SUBTOTAL $ 474.52 $ -$ -$ -Labor Surcharge 12% Reg/ 12% OT $56.94 $ -$ -$ -Subsistence $ - $ -$ -Travel Expense $ - $ -$ -TOTAL FOR LABOR $ 531.46 $ -$ -+33% Mark Up ~m labor $ 175.38 $ -$ -TOTAL FOR EQUIP & MAT'L $ 519.20 SUBCONTRACTOR'S WORK $ -+15% Mark Up on Equip ancl Mat'l $ 77.SS TOTAL COST OF MATERIALS $ 150.00 TOTAL COST OF WORK BY SPECIAL FORCES $ -TOTAL COST OF lABOR, EQUIPMENT AND MATERIALS $ 1,303.92 TOTAL COST OF EQUIPMENT AND MATERIAL $ 519.20 Subcontractor's Work $ - +5% on Subcontractor's Work $ - ITEMS AND HOURS RATES, AMOUNTS AND TOTAL Work by Special Forces $ - +5% on Work by Special Forces $ - SUBMITTED: SUBMITTED: TOTAL FOR THIS REPORT $ 1,303.92 Contractor's Rep. Contr.:u;tcr's Rep. ACCEPTED: ACCEPTED: ------------- Rc~dent EQglncer or lmp[?tior Resident: Eti:&tneer-crlnspc!i;tor CON-QUEST CONTRACTORS$ INC. EXTRA WORK REPORT DESCRIPTION OF CODE; CONTRACT NAME I NO.: 065 -Cupertino: Bubb, Elm & McClellan Rd SD/SS Improvements WORK PERFORMED Jl.Y: CON-QUEST CONTRACTORS, INC. FA(;()NO.: ------- Date Perform~: / O/!"'f/ /4)° Bill No.: ------- .Oatef'rep;ired: !c:?/J ") //) CQC Code 0 ~&->c> -\ -Z. ~ CONO.: _____ _ Sheet lafl OESCRIPTIONOFWORK: _,lac. fr b.,, .... ,...rc (:zSgLk Slwci I~ fr.racd, QM [q-fw( br1td a({ ffv '-V ... f dO<Af""' -k ,efl 4...f. STA-/6-1-o? AMOUNT OWNED RENTED co.c CAI.TRANS I I EQ.UIPlll!ENT DESCRIPTION I HOURS I . RATE EQUIPMENT CODE EQ~~~EENT I s - s :___.E -'~OF~ it:ZT I g I I: l.if],C- fl. oof. A . .r. r-..n. ~ $ $ - $ $ - $ $ $ $ -- $ $ . - SUIHOTAlS I $ -$ - TOTAL cosr OF EQUIPMENT OWNED+ RENTED\ $ - rl ,..,,.kJ,t;{ MATERIAL AND/OR WORK BY SPECIAL FORCES -:x.~ r..-.c..r..J..P ISUBCONTRACTOR'S WORK iTOTAl COSfOF MATE:RJAl.S TOTAL Cosr OF WORK BY SPECIAL FORCES 'TOTAL COST OF EQUIPMENT AND MATERIAL ITEMS Al\10 HOURS SUSMrrTEO; ~ ContrXtOr"s:~. Q.UAlllTfIY AMOUNT UNIT COST MATERIAL l $ $ $ $ s $ $ s $ $ $ $ $ $ $ $ $ $ RATES, AMOUNTS AND TOTAL suaMrntD: ----------- CQm.r.td.or"sll;ep.. ACCEPTID: ----------- ltesJdtnt ~lnecror Jnsproor WORK lASOR HOURS RATE I AMOUNT -----"\~.r. A. -··,., , Rei;r. I ¥.....( $ - O.T. $ - Reg. I ':j_ O.T. -~---: .• { {T-";;,,,,,,.._ lJ" - $ $ --- Reg. $ - O.T. $ -Reg. $ -o:r. $ - Reg. $ . - 0.T. s -- Reg. s 0.T. $ SUSTOTAl~ - L<ibor surcharge 123Reg/12% OT SubsiStence l $ Travel Expense $ TOTALFORlABOR ~ +33~ Mark Up tm Labor S - TOTAL FOR EQUIP & MArL $ - +15% Mark Up on Equip and Mat'! $ - TOTAL cosr OF LABOR, EQUIPMENT AND MA TERIALSl $ Subcontractor's Work ~- +5% on Subcontrcictor's Work $ - Work by Special Forces $ - +5% on Work by Special For~es $ TOTAl FOR nus REPORT\ s CON-QUEST CONTRACTORS, INC. EXTRA WORK REPORT DESCRIPTION OF CODE: Water main conflict at 21 +98 September ---------~--- CONTRACT NAME {NO.: 065 -Cupertino: Bubb, Elm & McClellan Rd SD/SS Improvements WORK PERFORMED BY: CON-QUEST CONTRACTORS, !NC. FACONO.: -------CONO.: ------'--119 DESCRIPTION OF WORK: toss of production. 8" PVC main line due to work conflict with l.uis and 1ibits next to each other on site. CALTRANS CQC AMOUNT EQUIPMENT CODE EQUIPMENT EQUIPMENT DESCRIPTION .. -HOURS RATE CODE OWNED RENTED 4720 A021 Kobelco 235 ·Excavator 2 $ 121.81 $ 243.62 $ - AOV. Volvo 135 Slddsteer 2 $ 38.05 $ 76.10 $ - Z952C A003 Hyundai Excavator-210lC-7a 2 $ 36.32 $ 172.64 $ - 1026 2015 R>rd F350 Utility Truck 2 $ 26.95 $ 53.90 $ - ZAXL 1013 2005 Ford F650 Dump Truck 2 $ 55.69 $ 111.38 $ - 06-12 1018 2012 Chevy 2500 Pickup Truck 2 $ 26.95 $ 53.90 $ - $ -$ - $ -$ - 12 SUBTOTALS $ 711.54 $ - TOTAL COST OF EQUIPMENT OWNED+ RENTED $ 711.54 MATERlAlAND/OR WORK UNIT. AMOUNT QUANTITY BY SPECIAL FORCES COST MATERIAL WORK $ -$ - $ -$ - $ -$ - $ -$ - $ -$ - $ -$ - $ -$ - SUBCONTRACTOR'S WORK $ - TOTAL COST OF MATERIALS $ - TOTAL COST OF WORK BY SPECIAL FORCES $ - Date Performed: 09/03/15 Bill No.: Date Prepared: 09/03/lS CQC Code 94-0-94000-119 Sheet 3 ------- .. LABOR: .. HOURS. RATE AMOUNT !SALCEDO, FRANCISCO Reg. 2 $ 54.45 $ 108.90 Lab Fore O.T. $ 71.07 $ - AGUILAR, SAMUU Reg. 2 $ 68..87 $ 137.74 Operator O.T. $ SS.59 $ - GUZMAN, MIGUEL Reg. 2 $ 60.18 $ 12036 Operator O.T. $ 80.16 $ . SEGURA, J.AIME Reg. z $ 51.34 $ 102.68 Laborer O.T. $ 66.40 $ - SALVIDAR, MARTIN Reg. 2 $ 67.39 $ 134.78 Operator Q.T. $ 86.37 $ - BENEVIDES, JOSE Reg. 2 $ 49.76 $ 99.52 Laborer O.T. $ 64.03 $ - 12 SUBTOTAL $ 703.98 Labor Surcharge 12% Reg I 12% OT $84.48 Subsistence $ - Travel Expense $ - TOTAL FOR LABOR $ 788.46 +33% Mark Up on labor $ 260.19 TOTAL FOR EQUIP & MAT'L $ 711.54 +15% Mark Up on Equip and Mat' 1$ 106.73 TOTAL COST OF LABOR, EQUIPMENT AND MATERIAts $ 1,866.92 TOTAL COST OF EQUIPMENT AND MATERIAL $ 711.54 Subcontractor's Work $ - +5% on Subcontractor's Work $ - ITEMS AND HOURS RATES, AMOUNTS AND TOTAL Work by Special Forces $ - +5% on Work by Special Forces $ - SUBMITIED: SUBMITTED: TOTAL FORTHIS REPOR T $ 1,866.92 Corit~ctor1s Rep. Contractor's Rep. ACCEPTED: ACCEPTED:------------ Resident Engh;~cr or Inspector Resident En£lnecr or l.n~pector @ n ~!r~f ~ e~~ !~ t;.!O g 1 a. er~~ t2 ~~a' 3~ ~:::iJ. !~ "' • '< '~ m ·' 1 1 1: r lb-l•r-~i--~LJ __ /,1•srAli~~:;$~ i or ~1;;, "~ • o; ~I " . ii 01~ ~~ . " ~1 !iJ ! ~DJ CJ)m ~-~~ !l;li g~:u II ~~ -t~ ;BO o:u In:!: ~ ""'CJ ,!ij "P I\) I~ STA 1Jf37.95, 3.42. Lt /,' R«fl Eiclat SSMHE!J8-S ; Beg ABANDON 6 VCP =-: -~-~/~~~~~~:.·:":·:.·:··;~~oh~ -·····;·"···· -·-~= .f !.c I I( INST~ •• ssoo REMO\£ & REPLACE 4• SS LATERAL :W~~JfE~'rxi:f' e~~~·tu~ t @ n "' ii -;-g~ l .Sa-o t.-~g f "> VIO,..,,AI .:,>~ 18 ~~g '' ;;;~z~ f .. ~ : ii!, I a I ;• '!) ~ •. fo1 ~ ~ ~ "'I~~ ~ fTl ~ 5 ::: ~ 5 (/) Ci Ill - z ~ ~ ~ Ul m ~ ~ ~I ~I ~ n ~~ § ~~,,. ;~~~ i .. ij~ ~ .io o 11~~~ ~ ~ ~~ ~i ~ 'lJ i~ 1J I "' ffi '8 :-.. STA .21+J!i.OO,; .J;~ Ill-I :w : ... 'en ; ! i~ .J!:}----~ iL::, ~~ fj)MARK 1HO'M.S & COAFANY NC. l'n>-gfnv-;,$1Jr ... J'*l~andPfoM"Vs--.<cei 1960 Zonker Road Son Jose. CA 95112 (408) 453-5373 f' *·· FQ 03/.30/15 H 1-=2a: v1•,.4• DESCR l PT I ON DATE REVISIONS j RELATIVE BORDER SCALE JS IN INCHES . ----:::::-.::1'~!!.b-_. ; '-.../ ~ 10JOOT0RREA\£NUE.CUPERTINO,CA9501'4- {408}7n-3J54-FAX(408}7n-33.33 0 2 3 03/30/15 -------oAfE :·::::.:;:;;,;:~:::::: ·::··~;i·;·{·:·j~;·:-~t;·::··· . --1·5:!-00"""'°~····· BUBB, ELM, & McCLELLAN ROAD STORM oF 17 sHEEn; DRAtl/SANITARY SEWER IMPROVEMENT PROJECT ~-~-CUPERTNO -·-·--. PP-4 Bubb, Elm & McClellan Road SD/SS Improvement Project City of Cupertino REQUEST FOR INFORMATION C-QC RFI No.: CQC-025 RFI Description: Attachments: Reference Doc.: Associated Vendor: DoN-t;/UEST tlCJNTRACTt:JRS, /NC. ~lite~ C()!'lttaew I.ft:\#$~ Submittal Date: 8/27/15 Submitted By: Alex Baranoff -AlexB@cgcontractors.com Request: Please direct how to proceed with the manhole conflict at 20+48 on September. Plans call to cap the manhole. The layout requires us to dig thru. Should we demo per bid item 8? Bubb, Elm & McClellan Road SD/SS Improvement Project City of Cupertino Answer: MTCo (8/27/2015): DON-QUEST 00NTRACTORS, /NCM ~111:s~ c~ wds~ Exist SDMH at Sta 20+48.02 is in the way of the storm drain trench. Contractor can perform the work per Bid Item 8 and should credit the City the work for Bid Item 9. Cost to be confirmed by Gi!bane for the City. Bubb, Elm & McClellan Road SD/SS Improvement Project City of Cupertino REQUEST FOR INFORMATION C-QC RFI No.: CQC-030 '"""''""'"''"'"''""'""''''""""'""''''""'"'" ... ""'""''""""''"'"'"'''"'"'"'"''""''""""'"""' RFI Description: Attachments: Reference Doc.: Associated Vendor: DON-UEST OoNTRACTORS, /Ne. ~al 'El~ CQ!'lltUCl«& ~# $~ Submittal Date: 9/16/15 Submitted By: Alex Baranoff -AlexB@cqcontractors.com Request: The CB drain line on September & August lane encroaches into the new 36" RCP trench line requiring the CB drain to be removed and replaced instead of simply connected at the new manhole per the plans. This will require about 20' of the line to be removed and replaced. Due to the 8"-1 O" existing line, does the City object replacing this section with SDR26 matching the existing size? Please see attached photo for further detail. Please confirm the City concurs this to be a changed condition and whether C-QC should track on T&M or provide a lump sum price. Answer: MTCo (09/22/2015): Upon further review and discussion with the City, contractor to install a storm drain manhole @ Sta 15+27.30 and install a 12" RCP to the existing drainage inlet, pending approval from the City. Please see attached proposed layout. RECONNECT EXIST CB TO NEW SOMH --------s ___g_ __ --W ~ --0,~~ AUGUST LN _,. ___ ..,.,.,. -----~ Con-Quest Contractors, Inc. Cupertino -Bubb, McClellan Rd. SD/SS Improvements Total Summary Paid to date Bid Item Material Supplier Billing# 1 Billing# 2 Billing# 3 Billing# 4 Billing# 5 Total Yards 22 Storm Drain Bedding/ Sand SCQ 80 180 106 366 23 3/4" Drain Rock SCQ 150 28 178 26 CLllAB SCQ 231 1073 815 820 2939 Page 1of1 Con-Quest Contractors, Inc. Cupertino -Bubb, McClellan Rd. SD/SS Improvements October -Storm Drain Bedding Imported SCQ Sand = 100 PCF x 27 = 2, 700 PCY / 2000 = 1.35 Tons per Yard in Place Bid Item Material Scale Tag No. Supplier Date Tons Yards 22 Washed Sand 5280555 SCQ 10/6/2015 23.32 17.27 22 Washed Sand 5280963 SCQ 10/7/2015 19.99 14.81 22 Washed Sand 5281441 SCQ 10/8/2015 19.73 14.61 22 Washed Sand 5282226 SCQ 10/12/2015 20.36 15.08 Total Tons 83.4 61.78 Convert to Yds (1.35 CV /TN) / 1.35 Total CY 62 Page 4 of 4 WE<3flMAST1'R CERTIRCATE THIS IS TO CERTIFY lhal lhe follov.ing described commodity was weighed, measured, or counted by a weighmaster. whose signature is on !his cer~flcate, who ls a recognized authority of aoooracy, as prescribed by Ghapler 7 (commencing wilh Secllon 12700) of DIVl~on 5 of the California Business and Professions Code, administered by the Division of Measuremenl Slandards of lhe California Deparlmenl of Food and Agrtcultura. No. 5280555 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 1 PATRICIA DOWNEY CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING ws WASHED SAND METRIC POUNDS TONS Gross: 35.92 79180 39.59 Tare: 14.76 * 32540 * 16.27 * Net: 21.16 46640 *Predetermined Tare Loads Today: 1 Acc. Amount: 23.32 10/6/2015 9:06:00AM 23.32 Unit Price: Subtotal: Freight: Tax: Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE STEVENS CREEK QUARRY, INC. YVCl'-'MMJ-\~ICl'(\,~llr!W\lt: THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counled by a welgtimaster, whose stgnature is on this certificate, v.iio is a reeogniz.ed authority of accuracy, as prewibed by Chapter 7 (commencing with Section 12700) ofDivision 5 of Iha Cafifomia Business and Professions Code, administered by !he Division of Measurement Standards of the Califomla Department of Food and Agricullure. No. 5280963 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weighmaster 290 TOLAND ST SAN FRANCISCO, CA 94124 1 PATRICIA DOWNEY ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 S11022 PADILLA TRKNG (ED) ws WASHED SAND METRIC POUNDS TONS Gross: 32.88 72480 36.24 Tare: 14.74 * 32500 * 16.25 * Net 18.13 39980 19.99 * Predetermined Tare Loads Today: 1 Ace: Amount: 19.99 Unit Price: Subtotal: Freight: Tax: 10/7/2015 7:02:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 000-D ;t.)-oJ-""1 >o-01 o Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY Iha! the following described commodity was weighed, measured, or counted by a weighmasler, whose signature is on lhis cartificale, who is a raoognlzed authority of aoouracy, as prescribed by Chapter 7 (commencing wilh Saclion 12700) ofDMsion 5 of Iha California Business and Professions Code1 admlnlstered by the Dilllsion or Measurement Standards of the California Department of Food and Agriculture. No. 5281441 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 1 PATRICIA DOWNEY CODE PRODUCT DESCRIPTION 065 S11022 PADILLA TRKNG (ED) ws WASHED SAND METRIC POUNDS TONS Gross: 32.64 71960 35.98 Tare: 14.74 * 32500 * 16.25 * Net: 17.90 39460 19.73 * Predetermined Tare Loads Today: 1 Acc. Amount: 19.73 Unit Price: Subtotal: Freight: Tax: 10/8/2015 8:41:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 005-0)-')-0')7;}0-0J D Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WE!GHMASTER CERTIACATE THIS IS TO CERTIFY lhal the following dsSClibed commodily was weighed, measured, or counted by a weigh.master1 whose signature is on lhis certlficale, who is a recognized authority of accuracy, as prescribed by Chap!er7 (commencing with Section 12700) o!Dlv~ion S of Iha California Bus1n6SS' and Professtons Code, administered by !Jie Division of Measurement Slandards of the California O.parfmenl of Faad and Agriculture. No. 5282226 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RO.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weighmaster 290 TOLAND ST SAN FRANCISCO, CA 94124 1 PATRICIA DOWNEY ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 S11022 PADILLA TRKNG (ED) WS WASHED SAND METRIC POUNDS TONS Gross: 33.21 73220 36.61 Tare: 14.74 * 32500 * 16.25 * Net: 18.47 40720 20.36 * Predetermined Tare Loads Today: 1 Acc. Amount: 20.36 Unit Price: Subtotal: freight: Tax: 10/12/2015 7:09:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 CJ {rf6--D zz_ -D -:}1 ~}D~ D lo Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE Con-Quest Contractors, Inc. Cupertino -Bubb, McClellan Rd. SD/SS Improvements October -Drain Rock: Sanitary Sewer Bedding Bid Item Material Supplier Scale Tag No. 23 3/4" Drain Rock SCQ 5284607 23 3/4" Drain Rock SCQ 5285733 Page 3 of 4 Date 10/20/2015 10/22/2015 Total Tons Convert to Yds (1.491 CY I TN) Total Tyds Tons 20.71 19.86 40.57 I 1.491 27 Yards 15.34 14.71 30.05 STEVENS CREEK QUARRY, INC. WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY lhal lhe fcllov.ing described commodity was weighed, measured, or counled by a welghrnaslar, v.!lose slgnalure ls an !his certJICale, "'10 is a recognized aulhorily of accuracy, as prescribed by Chapter 7 (oommencing v.ilh SecUon 12700) of Divi~on 5 of lhe C;iilomia Bu~ness and Professions Code, administered by !he Division of Measurement Standards of lhe California Department of Food and Agricullure. No. 5284607 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 1 PATRICIA DOWNEY ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 87507 RAMOS TRKING (ED) .75 3/4" DRAIN ROCK METRIC POUNDS TONS Gross: 32.26 Tare: 13.47 Net: 18.79 Loads Today: 1 Acc. Amount: 20.71 10/20/2015 7:02:00AM 71120 35.56 29700 14.85 41420 20.71 Unit Price: Subtotal: Freight: Tax: Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 {J(/;5 -02-3 -D.:; 7 Jo 4),/.D Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the follo\loing described commodity was weighed, measured, or counted by a weighmaster, whose signature Is on thls certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing \loith Sac lion 12700) ofDivision 5 of Iha Califom!a Business and Professions Coda1 administered by the Division of Measurement Slandards of the Califomla Department of Food and Agriculture. No. 5285733 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 1 PATRICIA DOWNEY CODE PRODUCT DESCRIPTION 065 S7507 RAMOS TRKING (ED) .75 3/4" DRAIN ROCK METRIC POUNDS TONS Gross: 31:49 69420 34.71 Tare: 13.47 * 29700 * 14.85 * Net: 18.02 39720 19.86 " Predetermined Tare Loads Today: 1 Acc. Amount: 19.86 Unit Price: Subtotal: Freight: Tax: 10/22/2015 10:45:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAl CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Oh.s--023-o-:J7·-zn.~ aia Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE Con-Quest Contractors, Inc. Cupertino -Bubb, McClellan Rd. SD/SS Improvements October -Class II Aggregate Base Imported Bid Item Material Scale Tag No. Supplier Date Tons Yards 26 AB 5279276 SCQ 10/1/2015 21.29 14.28 26 AB 5279344 SCQ 10/1/2015 20.64 13.84 26 AB 5279421 SCQ 10/1/2015 20.81 13.96 26 AB 5279646 SCQ 10/2/2015 23.51 15.77 26 AB 5279707 SCQ 10/2/2015 23.72 15.91 26 AB 5279769 SCQ 10/2/2015 23.35 15.66 26 AB 5279840 SCQ 10/2/2015 23.44 15.72 26 AB 5279918 SCQ 10/2/2015 23.47 15.74 26 AB 5279991 SCQ 10/2/2015 23.06 15.47 26 AB 1616909 SCQ 10/5/2015 23.73 15.92 26 AB 5280081 SCQ 10/5/2015 23.42 15.71 26 AB 5280117 SCQ 10/5/2015 23.72 15.91 26 AB 5280178 SCQ 10/5/2015 23.73 15.92 26 AB 5280252 SCQ 10/5/2015 23.52 15.77 26 AB 5280329 SCQ 10/5/2015 23.67 15.88 26 AB 5280474 SCQ 10/6/2015 23.73 15.92 26 AB 5280617 SCQ 10/6/2015 23.58 15.81 26 AB 5280696 SCQ 10/6/2015 23.31 15.63 26 AB 5280783 SCQ 10/6/2015 23.73 15.92 26 AB 5280875 SCQ 10/6/2015 23.73 15.92 26 AB 5280913 SCQ 10/6/2015 19.80 13.28 26 AB 5280917 SCQ 10/6/2015 20.38 13.67 26 AB 5280962 SCQ 10/7/2015 23.73 15.92 26 AB 5281012 SCQ 10/7/2015 23.69 15.89 26 AB 5281026 SCQ 10/7/2015 20.78 13.94 26 AB 5281094 SCQ 10/7/2015 23.73 15.92 26 AB 5281180 SCQ 10/7/2015 23.73 15.92 26 AB 5281255 SCQ 10/7/2015 23.73 15.92 26 AB 5281337 SCQ 10/7/2015 23.73 15.92 26 AB 5281440 SCQ 10/8/2015 23.72 15.91 26 AB 5281507 SCQ 10/8/2015 23.61 15.84 26 AB 5281588 SCQ 10/8/2015 23.24 15.59 26 AB 5281646 SCQ 10/8/2015 23.61 15.84 26 AB 5281649 SCQ 10/8/2015 20.44 13.71 26 AB 5281687 SCQ 10/8/2015 19.93 13.37 26 AB 5281699 SCQ 10/8/2015 23.83 15.98 26 AB 5281822 SCQ 10/9/2015 20.79 13.94 26 AB 5281835 SCQ 10/9/2015 11.16 7.48 26 AB 5282222 SCQ 10/12/2015 23.63 15.85 26 AB 5282267 SCQ 10/12/2015 23.67 15.88 26 AB 5282288 SCQ 10/12/2015 20.69 13.88 26 AB 5282321 SCQ 10/12/2015 23.73 15.92 26 AB 5282370 SCQ 10/12/2015 23.70 15.90 26 AB 5282441 SCQ 10/12/2015 23.72 15.91 26 AB 5282492 SCQ 10/12/2015 23.69 15.89 Page 1of4 Con-Quest Contractors, Inc. Cupertino -Bubb, McClellan Rd. SD/SS Improvements October -Class II Aggregate Base Imported Bid Item Material Scale Tag No. Supplier 26 AB 5282556 SCQ 26 AB 5284668 SCQ 26 AB 5284737 SCQ 26 AB 5284824 SCQ 26 AB 5284927 SCQ 26 AB 5285003 SCQ 26 AB 5285085 SCQ 26 AB 5285582 SCQ 26 AB 5285590 SCQ 26 AB 5285998 SCQ 26 AB 5286412 SCQ 26 AB 528593 SCQ Page 2 of 4 Date 10/13/2015 10/20/2015 10/20/2015 10/20/2015 10/20/2015 10/20/2015 10/21/2015 10/22/2015 10/22/2015 10/23/2015 10/26/2016 10/26/2016 Total Tons Convert to Yds (1.491 CY I TN) Total Tons Tons Yards 20.41 13.69 20.39 13.68 19.87 13.33 20.84 13.98 20.01 13.42 20.33 13.64 19.95 13.38 20.16 13.52 20.04 13.44 20.58 13.80 20.80 13.95 20.96 14.06 1263.96 847.73 I 1.491 848 WBGHMASTER CERTIFICATE THIS IS TO CERTIFY Iha! Iha foUowi~ described commodit'f was weighed, maasured, or counted by a weighmasler, whose signature is on thts certificate, who is a recognized authority or aocuraoy, as prescribed by Chapter 7 (commencing wilh Seclion 12700) ot Oivi~on 5 of Iha CaHfomia Business and Professions Code, administered by iha Division of Measurement Standard• ot !he California Oeparlmenl of Food end Agriculture. No. 5279276 ~-oz~ -oz7zo -Cll C) PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 AILEEN WARNER CODE PRODUCT DESCRIPTION 065 S11022 PADILLA TRKNG (ED) CL2R CLASS 2 RECYCLE AGGRE Gross: Tare: Net: METRIC 34.06 14.74 * 19.31 POUNDS 75080 32500 * 42580 TONS 37 .54 Scale 1 16.25 * 21.29 * Predetermined Tare Loads Today: 1 Unit Price: Subtotal: Acc. Amount: 21.29 Freight: Tax: 10/1/2015 7:03:00AM Total: Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WSGHMASTER CERTIACATE THIS IS TO CERTIFY Iha! lhe following describod commodity was weighed, msasured, or counted by a weighmaster, whose signature is on this cerliiicate, who is a recogn'1zed aulhoril'j of accuracy, as prescrtbed by Chapter 7 (oommencing "11h SecUon 12700) of Division 5 of Iha California Business and Professions Code, administered by lhe Division of Measurement Standards of lhe California Department of Food and Agrtculture. No. 5279344 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weighmaster 290 TOLAND ST SAN FRANCISCO, CA 94124 5· AILEEN WARNER ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 S11022 PADILLA TRKNG (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 33.47 73780 36.89 Scale 1 Tare: 14.74 * 32500 * 16.25 * Deliver To: BUBB, ELM, MCCLELLAN & 'FESTIVAi CUPERTINO STORM/SANITARY 2015 Net 18.72 41280 * Predetermined Tare Loads Today: 2 Acc. Amount: 41.93 10/1/2015 9:10:00AM 20.64 Unit Price: Subtotal: Freight: Tax: Total: Ml ALEX Q #16926-3 005 -D },(; ~ 0 d-i d'D-Di-0 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGH MASTER CERTIRCATE THIS IS TO CERTIFY lhal lhe following described commodii'/ was weighed, measured, or counted by a walghmaster, whose signature is on lhis certificate, who is a recognized authority of accuracy1 as prescribed by Chapter 7 (commencing ...vilh Section 12700) of Division 5 of the California Business and Professions Coda, admlnist&red by the Division of Measurement Standards of the Caflfornia Department of Food and Agriculture. No. 5279421 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO. CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD., SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weighmaster 1 AILEEN WARNER CODE PRODUCT DESCRIPTION 065 S11022 PADILLA TRKNG (ED) CL2 CLASS 2 AGGREGATE BM Gross: Tare: Net: Loads Today: Acc. Amount: 10/1/2015 METRIC 33.62 14.74 * 18.88 POUNDS 74120 32500 * 41620 TONS 37.06 Scale 1 16-25 * 20.81 *Predetermined Tare 1 20.81 Unit Price: Subtotal: Freight: Tax: 10:59:00AM Total: Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 0 (?) -D 2-Y, -o-~ I :;}t; -oi o Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock_ Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent Injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodily was weighed, measured, or counted by a wetghmaster, whose slgnature Is on this cerlificate, who is a recognlzed aulhorlty of accuracy, as prescribed by Chapter 7 {commencing Vr'ilh Section 12700) of Division 5 of the California Business: and Professions Code, administered by the Division of Measurement Standards of the Callforn!a Departmenl of Food and Agriculture. No. 5279646 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 AILEEN WARNER CODE PRODUCT DESCRIPTION 065 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC Gross: 36.09 Tare: 14.76 Net: 21.33 Loads Today: 1 Acc. Amount: 23 .. 51 POUNDS 79560 32540 47020 TONS 39.78 16.27 23.51 Unit Price: Subtotal: Freight: Tax: 10/2/2015 7:04:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAl CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 {) ;p:s--D ~t.-OJ 7 /-D-OJ b Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIACATE 11-ilS IS TO CERTIFY lhal Iha following described commodii)' was weighed, measured, or counted by a wei'lfimas!er, whose slgiature is on lhis cerUDcate, who is a recogiized authority of accuracy, as prescribed by Chapter7 {commencing with Section 12700) of Division 5 of the Callfomia Business and Professions Code, administered by Iha Division of Measurement Slandards of the Caltfornia Department or Food and Agriculture. No. 5279707 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 5 AILEEN WARNER ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGR! METRIC POUNDS TONS Gross: 36.28 79980 39.99 Tare: 14.76 * 32540 * 16.27 * Net: 21.52 47440 23.72 * Predetermined Tare Loads Today: 2 Acc. Amount: 47.23 Unit Price: Subtotal: Freight: Tax: 10/2/2015 8:54:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 OhS: ~ 02-fp -0;}7 ;;;u -6 lo Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result ln permanent injury or death. DRIVER ON AT GROSS AND TARE CUSTOMER: WBGHMASTER CERTIFICATE THIS IS TO CERTIFY lhat Iha folkl'!'ing described commodily was weighed, measured, or counted by a weighmaster, whose signature is on !his certificate, who ls a recognized authority ol accuracy, as presoribed by Chaptar7 (commanclng wilh Saction 12700) of Division 5 of the Ca.lifomlaBusinass arx:l Professions Code, administered by the Division of Measuremanl Standards of !he Ga6fomla Department of Food and Agriculture. No. 5279769 PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO. CA 94124 5 AILEEN WARNER ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE POUNDS TONS Gross: METRIC 35.94 14.76 * 21.18 79240 39.62 Scale 1 Tare: 32540 * 16.27 * Net: 46700 23.35 ·'$· * Predetermined Tare Loads Today: 3 Acc. Amount: 70.58 10/2/2015. 1O:1 O:OOAM Unit Price: Subtotal: Freight: Tax: Total: Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAi CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 OfvS_. D2-'7-D;J-7;}o-6l a Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WBGHMASTER CERTIACATE THIS IS TO CERTIFY lhat Iha following described commodity was weighed, maasurad, or counted by a waighmastar, whose signature is on this certiiicale, who Is a recognized authorify of accuracy, as prescribed by Chapter 7 {commencing wilh SacUon 12700) of DMsian 5 of Iha Cafiromia Business and Pr-0fessions Code, adminislared by the Division of Measuremant Standards of lhe CalWomia Deparlmenl of Food and Agricullure. No. 5279840 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 5 JAMES JUNIO ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.02 79420 39.71 Tare: 14.76 * 32540 * 16.27 * Net: 21.26 46880 23.44 * Predetermined Tare Loads Today: 4 Acc. Amount 94.02 Unit Price: Subtotal: Freight: Tax: 10/2/2015 11:25:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Oh~--D;t,t ~t>:;}7;f)D-£!/() Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIRCATE THIS IS TO CERTIFY !hat Iha follov.;ng described coounodii'j was weighed, measured, or counted by a weighmastar, whose signature is on !his cerUficats, who is a recognized aulhority of accuracy, as preSO!ibad by Chaplar 7 (commencing v.;!h Sacaon 12700) of Division 5 of Iha California Business and Professions Code, administered by the Divlsion of Measurement Slandards of Iha California Daparlmanl ol Food and Agriculture. No. 5279918 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT. LOCATION 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 AILEEN WARNER CODE PRODUCT DESCRIPTION 065 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGm METRIC POUNDS TONS Gross: 36.05 79480 39.74 Tare: 14.76 * 32540 * 16.27 * Net: 21.29 46940 23.47 *Predetermined Tare Loads Today: 5 Acc. Amount: 117.49 Unit Price: Subtotal: Freight: Tax: 10/2/2015 12:44:00PM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAl CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 o&s-o U-b~7JD-Die Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEJGflMASTER CERTIRCATE THIS IS TO CERTIFY !hat lhe fol!awing described commodity was weighed, measured, or '•counted by a weighmaster, whose signature Is on !his cer~ficate, who is a recognized authority , .. :; of acouracy, as prosoribod by Chaptor7 {commencing wilh Soouon 12700) of Dlvi~on 5 ol lho ~ California 8uslness and Professions Code, admfn!stered by !he Division of Mea:."Urement Slandards of the Califarnia Department of Food and Agricµ.lture. No .. 5279991 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 AILEEN WARNER CODE PRODUCT DESCRIPTION 065 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGR! METRIC POUNDS TONS Gross: 35.68 78660 39.33 Tare: 14.76 * 32540 * 16.27 * Net: 20.92 46120 23.06 * Predetermined Tare Loads Today: 6 Acc. Amount: 140.55 Unit Price: Subtotal: Freight: Tax: 10/2/2015 2:00:00PM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 /J0S~ -6~t. -OJ 7 :x:>-D/ D Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including Jung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTERCERTIF!CATE THIS IS TO CERTIFY lhat Iha following described commodity was weighed, measured, or countsd by a walghmaster, whose signature is on lhls certificate, wtio is a recognized aulhoritj of "°""racy, as prescribed by Chaplar7 (commencing wilh Section 12700) of Division 5 of !he Callfomia Business and Professions Code, administered by Iha Division of Measurement Standards of the California Department of Food and Agricullura. No. 5280081 MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2-1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE POUNDS TONS Gross: METRIC 36.01 14.76 * 21.25 79380 39.69 Scale 1 Tare: 32540 * 16.27 * Net: 46840 * Predetermined Tare Loads Today: 1 Acc. Amount: 23.42 10/5/2015 7:24:00AM 23.42 Unit Price: Subtotal: Freight: Tax: Total: Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAl CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including Jung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WBGHMASTER CERTIRCATE THIS IS TO CERTIFY lhal 1he following described commodity was weighed, msasurad, or counted by a weighmaster, 'Mlose signature is on this carfificate, who is a recognized authorlly of accuracy, as pr•S01ibed by Chapter 7 (commencing with Se ell on 12700) orDivision 5 of the Ca6fomia Business and Professions Code, administered by the Division of Measurement Standards of the Caliiomla Department of Food and Agncullurs. No. 5280117 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD, CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 B -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weighmaster 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.28 79980 39.99 Tare: 14.76 * 32540 * 16.27 * Net: 21.52 47440 * Predetermined Tare Loads Today: 2 Acc. Amount 47. 14 10/5/2015 8:51 :ODAM 23.72 Unit Price: Subtotal: Freight: Tax: Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAl CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WSGHMASTER CERTIFICATE THIS IS TO CERTIFY lhal Iha loHowing descn'bed commodity was weighsd. measured, or counted by a weighrnasler, Wose signature is on this certiftcale, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of DMsion 5 of Iha carrfornia Business and Professions Cods, administered by lhe Division of Measurement Slandards of the California Department of Food and Agricu!lurs. No. 5280178 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD, SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE A VE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.29 80000 40.00 Tare: 14.76 * 32540 * 16.27 * Net: 21.53 47460 * Predetermined Tare Loads Today: 3 Acc. Amount: 70.87 10/5/2015 10:09:00AM 23.73 Unit Price: Subtotal: Freight: Tax: Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIFICA T~ THIS IS TO CERTIFY !hat !ho [~owing described commodity was weighed, measured, or caunted by a weighmaster, whose signature is on this carHftcate, who is a recognized authority of accuracy, as presonoed by Chapter 7 (commencing v.ilh Seclion 12700) orDivision 5 of Iha California Business and Professions Code, administered by the DMsion of Measuremanl Standards of the Califomla Daparlment of Food and Agricultura No. 5280252 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TO LAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weighmaster 5 AILEEN WARNER CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE POUNDS TONS Gross: METRIC 36.10 14.76 * 21.34 79580 39.79 Scale 1 Tare: 32540 * 16.27 * Net: 47040 *Predetermined Tare Loads Today: 4 Acc. Amount: 94.39 10/5/2015 11 :28:00AM 23.52 Unit Price: Subtotal: Freight: Tax: Total: Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WE!GlllMSTER CERT!ACATE THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counled by e wa!ghmestsr, whose sign a lure is on this certiftcele, who is e recognized aulhorlty of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of Iha California Business and Professions Code, administered by the Division of Measurement Slandards of !he Gaifornia Deparlment of Food and AgrictJture. No. 5280329 STEVENS CREEK QUARRY, !NC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGR! POUNDS TONS Gross: METRIC 36.23 14.76 * 21.47 79880 39.94 Scale 1 Tare: 32540 * 16.27 * Net: 47340 * Predetermined Tare Loads Today: 5 Acc. Amount: 118.06 10/5/2015 1 :03:00PM 23.67 Unit Price: Subtotal: Freight: Tax: Total: Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE VYt:'.IUHMAl:i I t:.tc l,;t;,KJ lt"ll,;AI C THIS IS TO CERTIFY lhat !he tollawlng described commodity was waighed, moasured, or counted by a welghmaster, whose signature ls on lhls cerUficata, who Is a recognized authority of accuracy, as presoribed by Chapter7 (oommenclng wilh Section 12700) ofDivision 5 of the No. 5280474 · ... · Can·forrua Business and Professions Code, admlnislered by the Division of Measurement Slandards of the California Department of Food and AgriC!Jllure. STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.29 80000 40.00 Tare: 14.76 * 32540 * 16.27 * Net: 21.53 47460 23.73 * Predetermined Tare Loads Today: 1 Unit Price: Subtotal: Acc. Amount: 23.73 Freight: Jax: 10/6/2015 7:14:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAl CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WBGHMASTER CERTIFICATE THIS IS TO CERTIFY lhat Iha following described commodity was weighed, moasured, or counted by a weighmaster, whose signature is on ttiis cerlificate, who ls e recognized authorily of accuracy, as presaibod by Chapter 7 (commencing wilh Seclion 12700) of Division 5 of Iha California Buslness end Professions Coda, administered by Iha OMslon of Measurement Standards of Iha Caliromia Department of Food and Agricullure. No. 5280617 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGR( POUNDS TONS Gross: METRIC 36.15 14.76 * 21.39 79700 39.85 Scale 1 Tare: 32540 * 16.27 * Net: 47160 *Predetermined Tare Loads Today: 2 Acc. Amount: 47.31 10/6/2015 10:18:00AM 23.58 Unit Price: Subtotal: Freight: Tax: Total: Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE CUSTOMER: WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY lhat Iha lollov.ing dasaibod commodity was weighed, measured, or counted by a W61ghmsstar, whose signature is on this cartiHcate, who is a recognized authority of accuracy, as prescribed by Chaptar 7 (commencing 111111 Se ell on 12700) of Division 5 of Iha California Business and Professions Code, administered by tha Division of Measurement Standards ol Iha CaUlornia Daparlrnent of Food and Agricultura. No. 5280696 PLANT LOCATION 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weighmaster 290 TOLAND ST SAN FRANCISCO, CA 94124 5 SHANE LAMAR ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE POUNDS TONS Gross: METRIC 35.91 14.76 * 21.15 ·79160 39.58 Scale 1 Tare: 32540 * 16.27 * Net: 46620 *Predetermined Tare Loads Today: 3 Acc. Amount: 70.62 10/6/2015 11 :28:00AM 23.31 Unit Price: Subtotal: Freight: Tax: Total: Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent Injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIRCATE THIS IS TO CERTIFY that the following doscribod commodity was weighed, measured, or rounted by a weighmaster, whose signature is on this certificate, \Yho ts a recognized authority of accuracy, as proscribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by Iha DMslon of Measurement Standards of the Cafifornla Department of Food and Agrlcullure. No. 5280783 PLANT LOCATION STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK 1-12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weighmaster 5 SHANE LAMAR CODE PRODUCT DESCRlPTlQN 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.29 80000 40.00 Tare: 14.76 * 32540 * 16.27 * Net: 21.53 47460 * Predetermined Tare Loads Today: 4 Acc. Amount: 94.35 10/6/2015 12:40:00PM 23.73 Unit Price: Subtotal: Freight: Tax: Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may a:nd are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent Injury or death. DRIVER ON AT GROSS AND TARE WEJGHMASTER CERTIFICATE THIS IS TO CERTIFY Iha! Ille folov.ing described commodity was weighed, measured, or counted by a we!ghmaster, whose signalure is on lhls cer~ficate, who is a recognized authority of accuracy, as prescnbed by Chapter 7 {oommencing llilh Seclion 12700) ofDivision 5 of Ille California Business and Professions Gode, administered by \he Division of Measurement Standards of lhe California Oepar!meni of Food end Agriculture. No. 5280875 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.29 80000 40.00 Tare: 14.76 * 32540 * 16.27 * Net: 21.53 47460 * Predetermined Tare Loads Today: 5 Acc. Amount: 118.08 10/6/2015 2:19:00PM 23.73 Unit Price: Subtotal: Freight: Tax: Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIACATE THIS JS TO CERTIFY lhal Iha following described commodity was weigh ad, measured, or counted by a weighmaster, whose oignalura Is on this cerlilioete, who is a recognized aulhorily of accuracy, as prasoribad by Chapter 7 (commencing llilh Sacl\on 12700) of Division 5 of Iha California Business and Professions Code, administered by the Dlvlslon of Measurement Slandards of Iha California Oaparlmant of Food and Agrioullura. No. 5280913 MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 811092 SAN JOSE TRANSPORT (E CL2R CLASS 2 RECYCLE AGGR[ METRIC POUNDS TONS Gross: 31.79 70080 35.04 Tare: 13.83 * 30480 * 15.24 * Net: 17.96 39600 * Predetermined Tare Loads Today: 6 Acc. Amount: 137.88 10/6/2015 3:04:00PM 19.80 Unit Price: Subtotal: Freight: Tax: Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the follolling described oommodi~ was weighed, measured, or counted by a weighmasler, whose signature is on !his cerllflcateJ who Is a recognized authority of accuracy, as prasaibed by Chapter 7 (commencing wilh Section 12700) o!Division 5 of the California Business and Professions Code1 administered by the Division of Measurement Standards of the Callfornla Department of Food and Agriculluri:i. No. 5280917 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weighmaster 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S7507 RAMOS TRKING (ED) CL2R CLASS 2 RECYCLE AGGR~ POUNDS TONS Gross: METRIC 32.07 13.58 * 18.49 70700 35.35 Scale 1 Tare: 29940 * 14.97 * Net: 40760 * Predetermined Tare Loads Today: 7 Acc. Amount: 158.26 10/6/2015 3:07:00PM 20.38 Unit Price: Subtotal: Freight: Tax: Total: Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SAN IT ARY 2015 Ml ALEX Q #16926-3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE CUSTOMER: Wt:ll>HMA~ll:K<.;tKll~ICAI t THIS IS TO CERTIFY that Iha folloW.ng described commodity was weighed, measured, or counted by a waighmaslar, wtto.sa signab.Jraisonlhiscartificala, who is a recognized authority Of accuracy, as prescribed by Chapler7 (ocrnmencingW.lh Seolion 12700) o!Dlvislon 5 of Iha California Business and Professions Code, administered by the Division of Measurement Slandards of Ille California Department of Food and Agriculture. No. 5280962 PLANT LOCATION 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2-1275ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 5 SHANE LAMAR ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRf METRIC POUNDS TONS Gross: 36.29 80000 40.00 Scale 1 Tare: 14.76 * 32540 * 16.27 * Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY2015 Net: 21.53 47460 "Predetermined Tare Loads Today: 1 Acc. Amount: 23.73 10/7/2015 7:01:00AM 23.73 Unit Price: Subtotal: Freight: Tax: Total: Ml ALEX Q #16926-3 005 -O;J..&:,-0 J-7;X>-c;;/o Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE STEVENS CREEK QUARRY, lNC. ncir.:1nmM0>I en. vcn.1 u-1~1 c THIS IS TO CERTIFY that the foUowing described oommodity was weighed, measured, or counted by a waighmaster, Whose sighatura Is on this cerUficale, who Is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing wilh Secoon 12700) of Division 5 of Iha California Business and Professions Catie, administered by tha Division of Maasuramanl Standards ol the California Department of Food and Agrlcullllra No. 5281012 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 5 SHANE LAMAR ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGR~ METRIC POUNDS TONS Gross: 36.25 79920 39.96 Tare: 14.76 * 32540 * 16.27 * Net 21.49 47380 23.69 *Predetermined Tare Loads Today: 2 Acc. Amount: 47.42 Unit Price: Subtotal: Freight: Tax: 10/7/2015 8:43:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 orvs -ou ~ o-;;, 7 u-t> I 6 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including Jung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE Wt:Jr.;HMAS I ti< <;tRTIFICATE THIS IS TO CERTIFY Iha! lho following described oommo~ly was weighed, measured, or counted by a weighma.sler, whose signature is on lhis cartiHcate, Who is a racognlzed aulhority of accuracy, as prescribed by Chapter7 (commencing ,,;lh Section 12700) d Division S of tho California Business and Professions Code, adminislared by the Division of Measurement Standards of lhe California Department of Food and Agriculture. No. 5281026 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2-1275ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD., SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S11022 PADILLA TRKNG (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 33.59 74060 37.03 Tare: 14.74 * 32500 * 16.25 * Net: 18.85 41560 20.78 *Predetermined Tare Loads Today: 3 Acc. Amount 68.20 Unit Price: Subtotal: Freight: Tax: 10/7/2015 8:56:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 DhS--o ;i-~ -o;;, ?::HJ-o/J Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repealed breathing exposure may and are known to the State of California to cause respiratory and other health problems including Jung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE \'WC1"1MMR~ICt1 l..CNIH"ll..P.IC THIS IS TO CERTIFY thal the follov.ing described oommodity was weighed, measured, or counted by a welghmasler, whose signature Is on this certificate, who Is a recognized aulhorily of accuracy, as prescribed by Chapler7 (oommencing v.1th Seclion 12700) ofDMslon 5 of lhe Caflfomia Business and Professions Code, administered by the OMsion of Measurement Slandards of lhe California Department of Food and Agriculture. No. 5281094 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH {408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.29 80000 40.00 Tare: 14.76 * 32540 * 16.27 * Net: 21.53 47460 23.73 " Predetermined Tare Loads Today: 4 Acc. Amount: 91.93 Unit Price: Subtotal: Freight: Tax: 10/7/2015 10:24:00AM . Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 005 -0 ~ l,-0 "d--7:/D--()lo Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIACATE THIS IS TO CERTIFY that the following d9Serlbed commodily was weighed, measured, or counted by a weighmaster, whose signi:ture is on thiscartiiicaa, who Is a reccgnlzed 21J1hority of accuracy, as prescribed by Chapter 7 (commencing wilh Section 12700) ofDivision 5 of Iha California Business and Professions Coda, adminislered by the Division of Measurement Standards of the Ca!fornia Department of Food illld "-lrtc:ullure. No. 5281180 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.29 80000 40.00 Tare: 14.76 * 32540 * 16.27 * Net 21.53 47460 23.73 * Predetermined Tare Loads Today: 5 Acc. Amount: 115.66 Unit Price: Subtotal: Freight: Tax: 10fi/2015 11:45:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAl CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 00s---o;;;,f.r,,-o-;r7:PD..-OL e:i Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE VY~UHMA::i 11:.K l.it:Kll~ll.iAlt: 1HlS IS TO CERTIFY !hat \ho follov.ing dascnbad commodi~ was walghed, measured, or counted by a weighmasler, whose sigiature is on lhis certificate, who is a recognized authority of accuracy, as: prescribed by Chapler7 (commencing with Sac lion 12700) of Division 5 of lhe California Business and Profasslons Code, admlnistared by !he Division of Measurement Standards of Iha Cal~ornla Department of Food and Agricultura No. 5281255 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.29 80000 40.00 Tare: 14.76 * 32540 * 16.27 * Net 21.53 47460 23.73 *Predetermined Tare Loads Today: 6 Acc. Amount: 139.39 Unit Price: Subtotal: Freight: Tax: 10/7/2015 1:06:00PM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 (p5-O;lf/J -o J 1:z.o-01 b Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or deeth. DRIVER ON AT GROSS AND TARE STEVENS CREEK QUARRY, INC. WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that lhe follov.ing desoribad commodity was weighed, measured, or counlad by a wslghmaster, whose signature is on !his certificate, who is a recognized aulhority of accuracy, as prescribed by Chapter 7 (commanclng with Section 12700) ofDivision 5 of the California Business and Professiono Code, adrninislered by the Division of Measurement Standards of lhe California Deparlment of Food and Agriculture. No. 5281337 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 5 SHANE LAMAR ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.29 80000 40.00 Tare: 14.76 * 32540 * 16.27 * Net: 21.53 47460 23.73 * Predetermined Tare Loads Today: 7 Acc. Amount 163.12 Unit Price: Subtotal: Freight: Tax: 1017/2015 2:49:00PM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 0 (/:; 5' -0)-&,-D-;} 7 JO -{)L 6 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEI GHMASTER CERTIRCATE THIS IS TO CERTIFY lhaJ Iha follo.,;ng described commodily was weighed, measured, or counted by a welghmaslar, Ymosa signature ts on this certificale, who is a recognized authority of accuracy, as prescribed by Chapler7 (commencing .,;th Section 12700) ofDivislon 5 of Iha Cafifornia Business and Professions Code, ad.ministered by the Division or Measuremenl standards ol lhe California Department of Food and Agnculture. No. 5281440 MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S10449 SAN JOSE TRANS (TT) CL2R CLASS 2 RECYCLE AGGRE Gross: Tare: Net: METRIC 36.18 14.66 21.52 Loads Today: 1 Acc. Amount: 23. 72 POUNDS 79760 32320 47440 TONS 39.88 16.16 23.72 Unit Price: Subtotal: Freight: Tax: 10/8/2015 8:41:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAl CUPERTINO STORM/SANITARY 2015 MI ALEX Q #16926-3 6t;;S-01--l--Dd--7.;HJ-OI O Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems includ·mg lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY Iha! lhe follay,ing described oommodily was weighed, measured, or counted by a weighmaster, whose Signature is on this certificate, who is a recognized authority of accuracy, as prescnbed by Chaplar 7 {commencing v.ilh Seel on 12700) ofOivi~on 5 of lhe California Business and Professions Code, administered by I.he Division of Measurement standaJdsof lheCaliforniaDeparlrnent of Food and Agriculture. No. 5281507 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2-1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S10449 SAN JOSE TRANS (TT) CL2R CLASS 2 RECYCLE AGGRI METRIC POUNDS TONS Gross: 36.08 79540 39.77 Tare: 14.66 * 32320 * 16.16 * Net: 21.42 47220 23.61 * Predetermined Tare Loads Today: 2 Acc. Amount: 47.33 Unit Price: Subtotal: Freight: Tax: 10/8/2015 10:08:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAi CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Ofl;S-D2~-0~7>D-·D2D Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including Jung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIFICATE THIS IS TO CERnFY lhat lhe following deSClibed commodity was weighed, measured, or counted by a weighmaster, whose signalure is on lhls certificala, who is a recognized aulhodty of acclJTaoy, as prescribed by Chapter 7 (cormiencing l'lilh Secfion 12700) of Division 5 of lhe California Business and Professions Code, admiristsred by the Division of Measurement Standards of the California Departmenl of Food and Agriculture. No. 5281588 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weighmaster 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S10449 SAN JOSE TRANS {TT) CL2R CLASS 2 RECYCLE AGGRI METRIC POUNDS TONS Gross: 35.74 78800 39.40 Tare: 14.66 * 32320 * 16.16 * Net: 21.08 46480 23.24 *Predetermined Tare Loads Today: 3 Acc. Amount: 70.57 Unit Price: Subtotal: Freight: Tax: 10/8/2015 11:47:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 D hS -b },fr, -0.).12.b -b l-D Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEJGHMASTER CERllFICATE THIS IS TO CERTIFY that Iha foUowlng described commodity was woighed, measured, or counted by a weighmaster, whose signature Is on thts certificale, who is a reGqJnized aulhorily of accuracy, as prescribed by Chapter 7 (commencing v.ilh SacUon 12700) of Division 5 of Iha California Businsss and Professions Code, admlnislered by the DMs!on of Measurement Standards of lhe California OeparJment of Food and Agriculture. No. 5281646 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2-1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weighmaster 290 TOLAND ST SAN FRANCISCO, CA 94124 5 SHANE LAMAR ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 S10449 SAN JOSE TRANS (TT) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.08 79540 39.77 Tare: 14.66 * 32320 * 16.16 * Net: 21.42 47220 23.61 * Predetermined Tare Loads Today: 4 Acc. Amount: 94.18 Unit Price: Subtotal: Freight: Tax: 10/8/2015 12:55:00PM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 o&s-oJr&.-oJ.,1:;o-01() Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that Iha following desoribed commodity was weighed, measured, or counted by a weighmaster, whose signature is on lhis certificate, who jg: a reccgnized authority of accuracy, as prescnbod by Chapter 7 (commencing with Seclion 12700) ofDi~~on 5 of the California Business and Professions Code, admlnislered by Iha Division of Measurement Standards of the CaUfomia Department of Food and Agricullure. No. 5281649 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S11022 PADILLA TRKNG (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 33.28 73380 36.69 Tare: 14.74 * 32500 * 16.25 * Net: 18.54 40880 20.44 * Predetermined Tare Loads Today: 5 Acc. Amount: 114.62 Unit Price: Subtotal: Freight: Tax: 10/8/2015 12:57:00PM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 005-OJ,~ -CJ d-1.:JD-6/ 6 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE STEVENS CREEK QUARRY, INC. VYCl\:lnt'iV'\<i:JiCn. '-'C"l.llrlL>Al.C. THIS IS TO CERTIFY !hat !he following desci1bed commodity was weighed, measured, or counled by a weighmaster, whose signature is on this certificate, who is a recognized authority or accuracy, as prescribed by Chaplar 7 (commencing v.ilh Seclion 12700) of Division 5 of !he Ca!!fomia Business and Professions Code, administered by Iha Division of Measuremi::int Standards of !he California Deparlment of Food and Agrlcull!Jre. No. 5281687 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 5 SHANE LAMAR ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 S11022 PADILLA TRKNG (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 32.82 72360 36.18 Tare: 14.74 * 32500 * 16.25 * Net: 18.08 39860 19.93 * Predetermined Tare Loads Today: 6 Acc. Amount: 134.55 Unit Price: Subtotal: Freight: Tax: 10/8/2015 1:54:00PM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Dt;a5 -02(,,-D;)7}-0-olo Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTERCERllFICATE THIS IS TO CERTIFY Iha! Iha following described commodily was weighed, measured, or counted by a weighmaslar, whose signature is on this certificate, who is a recognized aulholity of accuracy, as prescribed by Chapter 7 (commencing wilh Sectlon 12700) of Division 5 of !he California Businass and Professions Code, administered by the Division of Measurement Slandards of the California Department of Food and Agriculture. No. 5281699 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S10449 SAN JOSE TRANS (TT) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.28 79980 39.99 Tare: 14.66 * 32320 * 16.16 * Net: 21.62 47660 23.83 "' Predetermined Tare Loads Today: 7 Acc. Amount: 158.38 Unit Price: Subtotal: Freight: Tax: 10/8/2015 2:10:00PM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Ohs--02-&:.·-·D)7'2v-ofo Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEI GHMASTER CERTIACATE THIS IS TO CERTIFY that Iha foliolling d""°ribed oommodli)' was weighed, measured, or counted by a walghmaster, whose signature ls on this certificate, 1/iho Is a recognized aulhorlty of accuracy, as presclibed by Cha pier 7 (oommencing wilh Section 12700) of DMsion 5 of the California Business a.id Professions Code, adm\nls!ered by the DMsion of Measurement Standards of Iha California Deparlmant of Food and Agriculture. No. .5281822 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S11022 PADILLA TRKNG (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 33.60 74080 37.04 Tare: 14.74 * 32500 * 16.25 * Net: 18.86 41580 20.79 * Predetermined Tare Loads Today: 1 Acc. Amount: 20.79 Unit Price: Subtotal: Freight: Tax: 10/9/2015 7:49:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAl CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 006--02-1--Od-7:YD-Dl6 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE STEVENS CREEK QUARRY, INC. WEIGHMASTER CERTIACAiF, THIS IS TO CERTIFY that the folowing described commodity was weighsd, measured, or counted by a welghmasler, v.tiooa signature is on this certiftcale. \'!!ho is a recognized authority of accuracy, as prescribsd by Chapter 7 (commencing .i\ih Seen on 12700) of DMsion 5 of Iha California Business and Professions Code, administered by the Division of Measuramanl Standards of the California Department of Food and Agriculture. No. 5281835 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6~ 55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 5 SHANE LAMAR ORDER P.O. ..• TRUCK CODE PRODUCT DESCRIPTION 065 S11116 SAN JOSE TRANS. (TW) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 19.68 43380 21.69 Tare: 9.55 21060 10.53 Net: 10.12 22320 11.16 Loads Today: 2 Acc. Amount: 31.95 Unit Price: Subtotal: Freight: Tax: 10/9/2015 8:10:00AM Total: Scale 1 ,.-•:. Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Mt ALEX Q #16926-3 O hf:S -Qp{p-Od-72.-D-oJo Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the follov.ing described commodify waswejghed, measured, or counted by a weighmaster1 vtiose signature ts on this certificate, vmo is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Seclion 12700) of Division 5 of !he Caifomia Bu~ness and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. No. 5282222 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2-1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.20 79800 39.90 Tare: 14.76 * 32540 * 16.27 * Net: 21.44 47260 23.63 *Predetermined Tare Loads Today: 1 Acc. Amount: 23.63 Unit Price: Subtotal: Freight: Tax: 10/12/2015 7:06:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAl CUPERTINO STORM/SANITARY 2015 MI ALEX Q #16926-3 OhS--D 2-L.-Od--1,;ro--o Lb· warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE STEVENS CREEK QUARRY, INC. WBGHMASTER CERTIACA TE THIS IS TO CERTIFY lhat the follov.ing described rommotlily was weighed, measured, or counted by a weighmaster, whose signature is on lhiscarliflcata, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing wilh Saclion 12700) of DMcion 5 of !he CaUfomie Business and Professions Code~ admlnislered by the Division of Measurement Slenderds of the California Department of Food and Agriculture. No. 5282267 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD, CUPERTINO CA 95014 2 -1275ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 5 SHANE LAMAR ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLEAGGRE METRIC POUNDS TONS Gross: 36.23 79880 39.94 Tare: 14.76 * 32540 * 16.27 * Net: 21.47 47340 23.67 * Predetermined Tare Loads Today: 2 Acc. Amount: 47.30 Unit Price: Subtotal: Freight: Tax: 10/12/2015 8:36:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 MI ALEX Q #16926-3 O/rJS ¥"DU~ O"J-/;;rQ _oib Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIFIC"'TE THIS IS TO CERTIFY lhal lhe foUov<ng described commodity was waighed, measured, or counted by a weighmasler, v.liose eignalure is on lhis cer1ificale, who is a recognized aulhority of accuracy, as presoribed by Chaplar 7 (commencing v<lh Section 12700) of Division 5 of !ha California Business and Professions Code, administered by Iha Division of Measuremenl Slandards of lhe California Deparlmanl of Food and Agriculture. No. 5282288 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)2574614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S11022 PADILLA TRKNG (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 33.51 73880 36.94 Tare: 14.74 * 32500 * 16.25 * Net: 18.77 41380 20.69 * Predetermined Tare Loads Today: 3 Acc. Amount: 67.99 Unit Price: Subtotal: Freight: Tax: 10/12/2015 9:14:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 ()~5-D1-G.-OJ 7 2-eJ-ot-0 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIRCATE THIS IS TO CERTIFY lhat the following described commodl~ was weighed, measured, or oounted by a weighmaster, whose signature is on this certificate, 'htlo ls a recognized authonly of accuracy, as prasaibed by Chaplsr7 {commencing with SectkJn 12700) of Division S of the California Business and Professions Coda, administered by the Division of Measurement Standards of Iha California Oeparlmenl of Food and Agrioulture. No. 5282321 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weighmaster 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.29 80000 40.00 Tare: 14.76 * 32540 * 16.27 * Net: 21.53 47460 23.73 * Predetermined Tare Loads Today: 4 Acc. Amount: 91.72 Unit Price: Subtotal: Freight: Tax: 10/12/2015 10:09:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Obs--_,,. D Zl----0 :;)! dO·""' /') j D Warning: This product may contain crystalline silica. Crystalline silica ls a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIFICATE THIS IS iO CERTIFY that the following doscribed oommO<Dty was weighed, measured, or counted by a welghmaster, whose signature is on !his cerUficata, w'ho ls a recognized authority of accuracy, as prescribed by Chaptar7 (oom!l1611cin9 with Secllon 12700) of Division 5 of the California Business and Professions Code, administ&red by Iha Division of Measurement Standards of the California Department of Food and Agriculture. No. 5282370 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 5 AILEEN WARNER ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.26 79940 39.97 Tare: 14.76 * 32540 * 16.27 * Net: 21.50 47400 23.70 *Predetermined Tare Loads Today: 5 Acc. Amount 115.42 Unit Price: Subtotal: Freight: Tax: 10/12/2015 11:21:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 0 (µ5:... D2--h-Od-7 2o ~ DID Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY lhat Iha followi119 described commodlly was weighed, measured, or counted by a welghmastar1 y,tJ.ase signature is on lhis certlficale, who ls a recognized authority of accuracy, as prescribed by Chapter? (commencing wilh Section 12700) ofDivision 5 of Iha Cs!ifomia Business and Professions Code, administered by lhe Division of Measuramenl Standards of Iha California Department cf Food and Agricullure. No. 5282441 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.28 79980 39.99 Tare: 14.76 * 32540 * 16.27 * Net: 21.52 47440 23.72 * Predetermined Tare Loads Today: 6 Acc. Amount: 139.14 Unit Price: Subtotal: Freight: Tax: 10/12/2015 12:57:00PM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Oh'S' -0~-"7-D>7 Zd·-6/ 6 Warning: This product may contain ciystalline silica. Ciystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratoiy and o!her health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE STEVENS CREEK QUARRY, INC. WEIGHMASTER CERTIFICATE TiiJS ISTO CERTIFY that Iha folloll;ing dssclibed commodllywas weighed, msasursd, or counted by a waighmasler, whose signature ls on this cartlflcale, who ls a recognized authority of accuracy, as prescribed by Chapter? (commencing wilh SecHon 12700} of Division 5 of !he California Business and Professions Code, administered by !he Division of Measurement Standards of lhe California Department of Food and Agriculture. No. 5282492 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD, SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weighmaster 290 TOLAND ST SAN FRANCISCO, CA94124 5 SHANE LAMAR ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 02EE120 S8189 M. MARTINEZ TRUCKING CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 36.25 79920 39.96 Tare: 14.76 * 32540 * 16.27 * Net: 21.49 47380 23.69 *Predetermined Tare Loads Today: 7 Acc. Amount: 162.83 Unit Price: Subtotal: Freight: Tax: 10/12/2015 2:29:00PM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 O&tS--02-/,. --Od,72iJ-DJO Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON-AT GROSS AND TARE WEIGHMASTER CERTIFICATE TKJS IS TO CERTIFY !hat lhe f~lo\Wlg desct'iled cammoditf was weighad, measured, or counted by a waighmaster, whose signature is on this certificate, YJ!'Jo is a recognized authority of accuracy, as prescrlbed by Chapter 7 {commencing 'Mth Sectlon 12700) Of Division 5 of Ute California Business and Profasslons Code, admlnislared b'J the DMsion of Measure man! No. 5282556 Standards of Iha California Departmenl of Food a11d Agriculture. • STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX {408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S11022 PADILLA TRKNG (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 33.26 73320 36.66 Tare: 14.74 * 32500 * 16.25 * Net: 18.52 40820 20.41 * Predetermined Tare Loads Today: 1 Acc. Amount: 20.41 Unit Price: Subtotal: Freight: Tax: 10/13/2015 7:04:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 obs:-026 -.o:i··TL'.il .-ala Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE n1;1unMA.::i1~1,..~n11rn.J\IC THIS IS TO CERTIFY !hat lhe fallowing de<enbed COITimodily was weighed, mei!Sllred, or counted by a weighmasler, whose signalure is: an this certlfic:afa, who is a recognized authority of accuracy, as prescribed by Chapter 7 (cammencing with Section 12700) of Division 5 of the Califamia Business and Professions Cade, admini:slered by the Division of Measurament Standards of the Califomia Department of Food and Agriculture. No. 5284668 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S7507 RAMOS TRKING (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 31.97 70480 35.24 Tare: 13.47 * 29700 * 14.85 * Net: 18.50 40780 20.39 * Predetermined Tare Loads Today: 1 Acc. Amount: 20.39 Unit Price: Subtotal: Freight: Tax: 10/20/2015 8:27:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Q(p5-0J.-b-D~72tJ--D/D Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE STEVENS CREEK QUARRY, INC. ••1..1. ... lllfll"\UI~'\ ... L..l'\lJf"Jvt"\IL.. THIS IS TO CERTIFY Iha! Iha follol\Ong described commodity was weighed, measured, or counted by a weighmaster, whose signature Is on this cerUficale. who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing l\Olh Sacuon 12700) of Division 5 of Iha California Business and Professions Code, administered by ilie Division of Measuremenl Standards of Iha California Department of Food and Agricul!IJre. No. .5284737 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)2574614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At Weighmaster 290 TOLAND ST SAN FRANCISCO, CA 94124 5 SHANE LAMAR ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 S7507 RAMOS TRKING (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 31.50 69440 34.72 Tare: 13.47 * 29700 * 14.85 * Net: 18.03 39740 19.87 *Predetermined Tare Loads Today: 2 Acc. Amount: 40.26 Unit Price: Subtotal: Freight: Tax: 10/20/2015 9:59:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 (J/)s -DU.-b'J,!20 -D/,3 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE CUSTOMER: Wt:lliH.MA:sll:K (.;~IJl•Jt,;AI t: THIS IS TO CERTIFY lhal Iha folowlng descnbed commodity was weighed, measured, or counted by a weighmaster1 whose signature is on \his certiftcale, who is a recognized authority of accuracy, as prescriOOd by Chapler7 (commencing with SecUon 12700) of D!vision5 of the California Business end Professions Code, administered by the Division of Measurement Standards Of lhe California Department or Food and A!Jricullure. No. 5284824 PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 5 AILEEN WARNER ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 S7507 RAMOS TRKING (ED) CL2R CLASS 2 RECYCLE AGGRt METRIC POUNDS TONS Gross: 32.38 71380 35.69 Scale 1 Tare: 13.47 * 29700 * 14.85 * Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Net: 18.91 41680 * Predetermined Tare Loads Today: 3 Acc. Amount: 61.10 10/20/2015 11:19:00AM 20.84 Unit Price: Subtotal: Freight: Tax: Total: Ml ALEX Q #16926-3 0};5 -0 2& -O'd7 2ZJ -Dl D Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found In sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGH MASTER CERTIFICATE THIS IS TO CERTIFY !hat Iha following descnbad commodity was weighed, measured. or counted by a weighmas:tsr, Whose signature ls on lhls certificate. vmo Is a recognized autharily of accuracy, as preSC!ibed by Chapter 7 (commencing wilh Sacoon 12700) of Division 5 of Iha CalifOfnia Business and Professions Code, administered by lhe Division of Measurement Standards cf the California Deparlmenl of Food and Agriculture. No. 5284927 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S7507 RAMOS TRKING {ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 31.62 69720 34.86 Tare: 13.47 * 29700 * 14.85 * Net: 18.15 40020 20.01 *Predetermined Tare Loads Today: 4 Acc. Amount: 81.11 Unit Price: Subtotal: Freight: Tax: 10/20/2015 12:56:00PM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 {)t;5 -D2b-6d--7 2t>-Dlo Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIACATE THIS IS TO CERTIFY \hat Iha following dsscribed commodity was mlghsd, measured, or counlsd by a weighmaster, whose signa!ure Is on this certificate, who ls a recognlzed authority Of accuracy, as proscribed by Chaplor 7 (commencing v.ilh Section 12700) of Division 5 of lhe Ca!ifomia Business and Professions Code, administered by the Division of Measurement Standards of the California Departmanl of Food and Agriculture. No. 5285003 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 5 SHANE LAMAR ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 87507 RAMOS TRKING (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 31.91 70360 35.18 Tare: 13.47 * 29700 * 14.85 * Net: 18.44 40660 20.33 * Predetermined Tare Loads Today: 5 Acc. Amount: 101.44 Unit Price: Subtotal: Freight: Tax: 10/20/2015 2:17:00PM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 06S-D2-h>-OJ,7CJf>-lJLO Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE STEVENS CREEK QUARRY, !NC. W8GHMASTER CERTJACATE THIS IS TO CERTIFY lhat lhe follov.ing described commodity was weighed, measura.J. or counleid by a wslghmasler, whose signa!ure is on !his certificate, who Is a rooognizad authorlly or accuracy, SS prescribed by Chapter7 (commencing with Section 12.700) of Division 5 of Iha California Business and Professions Coda, administered by Iha Division of Measurement Standards of Iha Calllomia Department of Food and Agriculture. No. 5285085 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 5 SHANE LAMAR ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 S10713 JUAREZ (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC Gross: 33.37 Scale 1 Tare: 15.27 Net: 18.10 POUNDS 73560 33660 39900 TONS 36.78 16.83 19.95 ~Is Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Loads Today: 1 Acc. Amount: 19.95 . 10/21/2015 7:09:00AM Unit Price: Subtotal: Freight: Tax: Total: Ml ALEX Q #16926-3 Obs -D26-o-Z/Z. 0-01° Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE STEVENS CREEK QUARRY, INC. THIS IS TO CERTIFY Iha! Iha following described comrnodily was weighed, meas<Jrad, or counted by a weighmasler, whose signature is on this c:artificale. who is a recognizad authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the Ca!lfornla Business and Professions COde, admlnlsteted by Iha DivlsJon of Measurement Standards of Iha C~ifumia Daparlmant ol Food and Agricullura. No. 5285582 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8-501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At: Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 5 SHANE LAMAR ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 S7507 RAMOS TRKING (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 31.76 70020 35.01 Tare: 13.47 * 29700 * 14.85 * Net: 18.29 40320 20.16 *Predetermined Tare Loads Today: 1 Acc. Amount: 20.16 Unit Price: Subtotal: Freight: Tax: 10/22/2015 7:19:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAl CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 Q(p5-DU--e:rJ-7ZcJ~t;tc> Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent Injury or death. DRIVER ON AT GROSS AND TARE THIS IS TO CERTIFY that the following descnced commodily was weighed, measured, or counted by a weighmaster, v..tiose signature Is on this cerUficale, who is a recognized aulhorlty of accuracy, as prescrlbad by C/Japler 7 (commancing with SecUon 1ZIOO) ofDivision 5 of the California Business and Professions Code, administered by the Division of Measurement Slandards of the California Department of Food and Agriculture. No. 5285590 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S10393 KACIKES TRKING (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 32.33 71280 35.64 Tare: 14.15 * 31200 * 15.60 * Net: 18.18 40080 20.04 * Predetermined Tare Loads Today: 2 Acc. Amount: 40.20 Unit Price: Subtotal: Freight: Tax: 10/22/2015 7:26:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 0(;5-ozt::>,., cv12i:>~o/6 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE ui.•...,••rn'""-"1~1'\ 1.;c:l'\.11rl\d\li;::. THIS IS TO CERTIFY Iha! lhefoUolling described commodilywasweighed,measured, or counted by a. weighmaster, whose signature Is on this cerliflpala, who is a recognized aulhorily of accuracy, as prescribed by Chapler 7 (commencing wilh Section 12700) of Division 5 of Iha California Business and Profassions Code, administered by the Division of Maasuremenl Standards of the CaUfornia Deparlment of Food and Agrlcullura No. 5285998 STEVENS CREEK QUARRY, INC. MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2-1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S11092 SAN JOSE TRt..NSPORT (E CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 32.50 71640 35.82 Tare: 13.83 * 30480 * 15.24 * Net: 18.67 41160 20.58 * Predetermined Tare Loads Today: 1 Acc. Amount: 20.58 Unit Price: Subtotal: Freight: Tax: 10/23/2015 7:09:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 0(?5~ D2r6-D:J.7-Zv-616 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral round in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems Including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE WEIGHMASTER CERTIFICATE THIS IS TO CERTIFY that the following described commodil)' was weighed, meosured, or counted by a weighmaster, whose signature is on this certfficale, who is a recognized authority of accuracy, as prescribed by Cilapler7 (commencing wilh Seclion 12700) of Division 5 of Iha California Business and Professions Coda, administered by the Division or Me&urement Standards of the California Daparlmanl of Food and Agriculture. No. 5286593 PLANT LOCATION MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 1 -12100 STEVENS CANYON RD,CUPERTINO CA 95014 2 -1275 ANZAR RD,SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 PH (408)253-2512 FAX (408)257-4614 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER: CUSTOMER NO: CUSTOMER COPY CON-QUEST CONTRACTORS INC 3075 Weighed At Weigh master 290 TOLAND ST SAN FRANCISCO, CA 94124 5 SHANE LAMAR ORDER P.O. TRUCK CODE PRODUCT DESCRIPTION 065 S11022 PADILLA TRKNG (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 33.76 74420 37.21 Tare: 14.74 * 32500 * 16.25 * Net: 19.01 41920 20.96 * Predetermined Tare Loads Today: 2 Acc. Amount: 41.76 Unit Price: Subtotal: Freight: Tax: 10/26/2015 10:49:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 ObS:~D'b? -o;;-7zo --010 Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems including lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE W~UHMA~ I t:H. t..CKI !Mt;AI t: . THIS IS TO CERTIFY that Iha follov.;ng described commodity was weigh•·" measured, or counted by a wa!ghmastsr, whose signature is on thts certificate, who ir. a cecognized authority of •=racy, as prescribed by Chapter 7 (commencing with Section 12701iJ of Division 5 of Iha California Business and Professions Coda, administered by the Division of Measurement Standards of the California Deparlmenl of Food and Agriculture. No. 5286412 STEVENS CREEK QUARRY, INC, MAILING ADDRESS: 12100 STEVENS CANYON ROAD CUPERTINO, CA 95014 PH (408)253-2512 FAX (408)257-4614 CUSTOMER: CUSTOMER NO: CON-QUEST CONTRACTORS INC 3075 290 TOLAND ST SAN FRANCISCO, CA 94124 ORDER P.O. TRUCK PLANT LOCATION 1 -12100 STEVENS CANYON RD.CUPERTINO CA 95014 2 -1275 ANZAR RD.SAN JUAN BAUTISTA CA 95045 6-55 HILLSDALE AVE, SAN JOSE CA 95136 8 -501 CARL RD.,SUNNYVALE CA 94089 CUSTOMER COPY Weighed At: Weigh master 5 SHANE LAMAR CODE PRODUCT DESCRIPTION 065 S11022 PADILLA TRKNG (ED) CL2R CLASS 2 RECYCLE AGGRE METRIC POUNDS TONS Gross: 33.61 74100 37.05 Tare: 14.74 * 32500 * 16.25 * Net 18.87 41600 20.80 * Predetermined Tare Loads Today: 1 Acc. Amount: 20.80 Unit Price: Subtotal: Freight: Tax: 10/26/2015 7:04:00AM Total: Scale 1 Deliver To: BUBB, ELM, MCCLELLAN & FESTIVAL CUPERTINO STORM/SANITARY 2015 Ml ALEX Q #16926-3 O~S -OZ6-0d17u-DL c Warning: This product may contain crystalline silica. Crystalline silica is a common naturally occurring mineral found in sand and rock. Prolonged and repeated breathing exposure may and are known to the State of California to cause respiratory and other health problems induding lung disease and cancer that may result in permanent injury or death. DRIVER ON AT GROSS AND TARE General Engineering Contractors Uc.# 818668 Date: To: Attn: Re: Subject: October 2, 2015 City of Cupertino c/o Gilbane Building Company 1798 Technology Drive Suite 120 San Jose, CA 95110 Dana Johnson Project Engineer Ill Bubb, Elm & McClellan Road SD/SS Improvement Project Project No. 2015-12; File Number CU2015-12 Force Accounts 940-94000-117 & 940-94000-120 Dear Ms. Johnson, C-QC/COC # 022 Con-Quest Contractors, Inc. (C-QC) hereby submits the enclosed force account cost(s) for additional work performed during storm drain installation. The individual force account records are as follows: • 940-94000-117 -Demo unforeseen structure at tie in point at Station 13+59 on Festival. -$4,007.76 • 940-94000-120 -2" Gas line conflict at 19+20 on September -$5225. 73 This additional work totals in the sum of Nine Thousand Two Hundred Thirtv Three Dollars and Fortv Nine Cents ($9,233.49) per the attached force account sheet(s) and corresponding supporting documentation. We request the costs be approved for immediate payment. C-QC reserves the right to recover costs and time due to unforeseen conditions resulting from these modifications for our subcontractors, suppliers, and ourselves. Please contact me at your earliest convenience to discuss any questions or concerns. Respectfully, CDN-QLJEST CDNTRAC:TDRS, /NC. Alex Baranoff Project Manager MO I JF I CO 065 290 TOLAND ST. SAN FRANCISCO, CA 941 24 PHONE 415.206.0524 FAX 4 1 5. 2 0 6. 0 5 2 B CON-QUEST CDNTRACTDRS, INC. Date Performed: 09/15/15 Bill No.: EXTRA WORK REPORT DESCRIPTION OF CODE: Demo Structure Wall at 13+59 Festival CONTRACT NAME/ NO.: 065 -Cupertino: Bubb, Elm & McClellan Rd SD/SS Improvements Date Prepared: 10/02/15 CQC Code 940-94000-117 WORK PERFORMED BY: CON-QUEST CONTRACTORS, INC. FACO NO.: CONO.: Sheet ----------------------- DESCRIPTION OF WORK: Demo concrete structure wall 24" thick@ 13+59 on Festival to tie into MH with 36" RCP. Demo concrete and rebar with excavator and hammer CAL TRANS CQC AMOUNT EQUIPMENT CODE EQUIPMENT EQUIPMENT DESCRIPTION HOURS RATE LABOR HOURS RATE AMOUNT CODE OWNED RENTED 2952C A003 Hyundai Excavator-210LC-7a 8 $ 86.32 $ 690.56 $ -GUZEMAN, MIGUEL Reg. 8 $ 68.87 $ 550.96 016-025 B006 Sullair 165 H Compressor 8 $ 21.33 $ 170.64 $ -Operator O.T. $ 88.59 $ - 0860 COlO NPK Hoe-Ram (410) 8 $ 12.44 $ 99.52 $ -BENEVIDES, JOSE Reg. 8 $ 49.76 $ 398.08 $ -$ -laborer O.T. $ 64.03 $ - $ -$ Reg. $ - $ -$ -0.T. $ - $ -$ -Reg. $ - $ -$ -O.T. $ - 24 SUBTOTALS $ 960.72 $ -Reg. $ - TOTAL COST OF EQUIPMENT OWNED+ RENTED $ 960.72 0.T. $ - MATERIAL AND/OR WORK QUANTITY UNIT AMOUNT Reg. $ - BY SPECIAL FORCES COST MATERIAL WORK O.T. $ - $ -$ -$ 16 SUBTOTAL $ 949.04 $ -$ -Labor Surcharge 12% Reg/ 12% OT $113.88 $ -$ -Subsistence $ - $ -$ -Travel Expense $ - $ -$ -TOTAL FOR LABOR $ 1,062.92 $ $ -+33% Mark Up on Labor $ 350.76 $ -$ TOTAL FOR EQUIP & MAT'l $ 960.72 SUBCONTRACTOR'S WORK $ -+15% Mark Up on Equip and Mat'I $ 144.11 TOTAL COST OF MATERIALS $ - TOTAL COST OF WORK BY SPECIAL FORCES $ -TOTAL COST OF LABOR, EQUIPMENT AND MATERIALS $ 2,518.51 TOTAL COST OF EQUIPMENT AND MATERIAL $ 960.72 Subcontractor's Work $ - +5% on Subcontractor's Work $ - ITEMS AND HOURS RATES, AMOUNTS AND TOTAL Work by Special Forces $ - +5% on Work by Special Forces $ - SUBMITTED: SUBMITTED: I TOTAL FOR THIS REPORT! $ 2,518.511 Contractor's Rep. Contractor's Rep. ACCEPTED: ACCEPTED: ------------- Resident Engineer or Inspector Resident Engineer or Inspector CON-QUEST CONTRACTORS, INC. Date Performed: 09/15/15 Bill No.: EXTRA WORK REPORT DESCRIPTION OF CODE: Demo Structure Wall at 13+59 Festival CONTRACT NAME/ NO.: 065 -Cupertino: Bubb, Elm & McClellan Rd SD/SS Improvements Date Prepared: 10/02/15 CQCCode 940-94000-117 ---------- WORK PERFORMED BY: CON-QUEST CONTRACTORS, INC. FACO NO.: CONO.: Sheet 2 ------------------------ DESCRIPTION OF WORK: Continue and car Continue and complete structure demo to install 36" RCP at 13+59 Festival. Previous waterline conflict caused work to be performed out of sequence requiring larger opening to install pipe in a reversed direction CAL TRANS CQC AMOUNT EQUIPMENT CODE EQUIPMENT EQUIPMENT DESCRIPTION HOURS RATE LABOR HOURS RATE AMOUNT CODE OWNED RENTED 2952C A003 Hyundai Excavator-210LC-7a 4 $ 86.32 $ 345.28 $ -GUZEMAN, MIGUEL Reg. 4 $ 68.87 $ 275.48 016-025 B006 Sullair 165 H Compressor 4 $ 21.33 $ 85.32 $ -Operator 0.T. $ 88.59 $ - 0860 COlO NPK Hoe-Ram [410) 4 $ 12.44 $ 49.76 $ -BENEVIDES, JOSE Reg. 4 $ 49.76 $ 199.04 $ $ -Laborer Q.T. $ 64.03 $ - $ $ -Reg. $ - $ -$ -Q.T. $ - $ -$ Reg. $ - $ -$ -0.T. $ - 12 SUBTOTALS $ 480.36 $ -Reg. $ - TOTAL COST OF EQUIPMENT OWNED+ RENTED $ 480.36 0.T. $ - MATERIAL AND/OR WORK QUANTITY UNIT AMOUNT Reg. $ - BY SPECIAL FORCES COST MATERIAL WORK 0.T. $ Load of broken concrete 1 $ 200.00 $ 200.00 $ -8 SUBTOTAL $ 474.52 $ -$ -Labor Surcharge 12% Reg I 12% OT $56.94 $ -$ -Subsistence $ - $ -$ -Travel Expense $ - $ -$ -TOTAL FOR LABOR $ 531.46 $ -$ -+33% Mark Up on Labor $ 175.38 $ -$ -TOTAL FOR EQUIP & MAT'L $ 680.36 SUBCONTRACTOR'S WORK $ -+15% Mark Up on Equip and Mat'I $ 102.05 TOTAL COST OF MATERIALS $ 200.00 TOTAL COST OF WORK BY SPECIAL FORCES $ -TOTAL COST OF LABOR, EQUIPMENT AND MATERIALS $ 1,489.25 TOTAL COST OF EQUIPMENT AND MATERIAL $ 680.36 Subcontractor's Work $ - +5% on Subcontractor's Work $ - ITEMS AND HOURS RATES, AMOUNTS AND TOTAL Work by Special Forces $ - +5% on Work by Special Forces $ - SUBMITTED: SUBMITTED: I TOTAL FOR THIS REPORT' $ 1,489.251 contractor's Rep. Contractor's Rep. ACCEPTED:_~-----~-----ACCEPTED: ------------- Resident Engineer or Inspector Resident Engineer or Inspector CON-QUEST CONTRACTORS, INC. EXTRA WORK REPORT DESCRIPTION OF CODE: 2" Gas line conflict@ 19+20 on Seotember ~------------ CONTRACT NAME/ NO.: 065 -Cupertino: Bubb, Elm & McClellan Rd SD/SS Improvements WORK PERFORMED BY: CON-QUEST CONTRACTORS, INC. FACONO.: CONO.: -------------- DESCRIPTION OF WORK: Cut top of 36" RCP to clear existing 2" gas line. Form and patch inside of 36" RCP to repair. CALTRANS CQC AMOUNT EQUIPMENT EQUIPMENT DESCRIPTION HOURS RATE EQUIPMENT CODE CODE OWNED RENTED 4720 A021 Kobelco 235 Excavator 8 $ 121.81 $ 974.48 $ - 2719H A024 John Deere Loader 624k 8 $ 125.17 $ 1,001.36 $ L026 2015 Ford F350 Utility Truck 8 $ 26.95 $ 215.60 $ - A022 Volvo 135 Skidsteer 8 $ 38.05 $ 304.40 $ - $ -$ - $ -$ - $ -$ - $ -$ 32 SUBTOTALS $ 2,495.84 $ - TOTAL COST OF EQUIPMENT OWNED+ RENTED $ 2,495.84 MATERIAL AND/OR WORK UNIT AMOUNT QUANTITY BY SPECIAL FORCES COST MATERIAL WORK Load of broken concrete 1 $ 200.00 $ 200.00 $ - $ $ - $ -$ - $ -$ $ -$ - $ -$ - $ -$ - SUBCONTRACTOR'S WORK $ - TOTAL COST OF MATERIALS $ 200.00 TOTAL COST OF WORK BY SPECIAL FORCES $ - TOTAL COST OF EQUIPMENT AND MATERIAL $ 2,695.84 ITEMS AND HOURS RATES, AMOUNTS AND TOTAL SUBMITIED: SUBMITIED: Contractor's Rep. Contractor's Rep. ACCEPTED: ACCEPTED: ------------- Resident Engineer or Inspector Resident Engineer or Inspector Date Performed: 09/15/15 Bill No.: Date Prepared: 10/02/15 CQC Code 940-94000-120 Sheet LABOR HOURS RATE AMOUNT SEGURA, JAIME Reg. 8 $ 51.34 $ 410.72 Laborer 0.T. 0.5 $ 66.40 $ 33.20 AGUILAR, SAMUEL Reg. 8 $ 68.87 $ 550.96 Operator 0.T. $ 88.59 $ - PENA, ALFREDO Reg. 8 $ 51.59 $ 412.72 Laborer O.T. $ 66.78 $ - Reg. $ - 0.T. $ - Reg. $ - 0.T. $ - Reg. $ - 0.T. $ - 24.5 SUBTOTAL $ 1,407.60 Labor Surcharge 12% Reg I 12% OT $168.91 Subsistence $ - Travel Expense $ - TOTAL FOR LABOR $ 1,576.51 +33% Mark Up on Labor $ S20.25 TOTAL FOR EQUIP & MAT'L $ 2,695.84 +15% Mark Up on Equip and Mat'I $ 404.38 TOTAL COST OF LABOR, EQUIPMENT AND MATERIAL!! $ 5,196.98 Subcontractor's Work $ - +5% on Subcontractor's Work $ - Work by Special Forces $ - +5% on Work by Special Forces $ - I TOTAL FOR THIS REPORT! $ 5,196.981 IE ~~,,:,,',,:~ -,-~ 9725 Del Road Suite B Roseville, Ca. 95747 {916} 774-9080 Office {916) 774-9088 Fax Bill TO Con Quest Contractors, Inc. 209 Toland St. San Fransisco, CA 94124 Office: Fax: 415-206-0528 Customer E-mail: PROJECT NAME: PROJECT ADDRESS: CITY: CUSTOMER JOB #: ESTIMATOR: ITEM QTY DESCRIPTION Thermoplastic Road Striping 770 LF. Detail 23 (Non reflective type AY and Retroreflective Type D Markers) 100 LF. Striping-Thermo-12" White 250 LF. Striping-Thermo-8" White 3 Thermoplastic Type IV Arrow 1 Thermoplastic Stop Legend TOTAL Thank you for your business! INVOICE ESTIMATE#: 15-363 INVOICE#: 2972 Date 10/14/2015 McClellan Rd Cupertino, Ca Jason Tarmey TERMS DUE DATE: Due on receipt 10/14/2015 Rate AMOUNT 0.00 3.25 2,502.50 6.75 675.00 2.00 500.00 120.00 360.00 176.00 176.00 $4,213.50 I VISA' i As a kind reminder please reference our invoice number on your check. PAYMENTS/CREDITS $0.00 Please be advised, If you would like to pay by credit card there will be a 3% i.-----------------1 charge added to your total balance due. We look forward to working with you again in the near future. ?~?t;::--,,;~~f.t'ffEt~· 1 BALANCE DUE $4,213.50 Alex Saranoff From: Sent: To: Subject: Cyndi Hunt <chunt@pacificstates.net> Wednesday, October 28, 2015 9:13 AM Alex Baranoff RE: Acceptance Form Alex, here you go let me know if need anything else. Thanks 10/2: 21 10/8: 2 10/9: 24 10/12:8 10/13:8 10/14:3 10/16: 1 10/21: 3 10/22:6 Total Loads: 76 Dumbarton @ $150 ea load From: Alex Baranoff [mailto:alexb@cqcontractors.com] Sent: Tuesday, October 27, 2015 4:15 PM To: Cyndi Hunt Subject: RE: Acceptance Form Hi Cyndi, Is it possible to get a summary/invoice of all loads we sent to Dumbarton from our Cupertino job to date? It would help a ton with billing purposes. Thank you, From: Cyndi Hunt [mailto:chunt@pacificstates.net] Sent: Friday, October 09, 2015 12:54 PM To: Alex Bara'noff <alexb@cgcontractors.com> Subject: Re: Acceptance Form I don't see any Sept. Only Oct and then the sampling is that right? Alex Baranoff <alexb@cgcontractors.com> wrote: Hi Cyndi, Would it be possible to email any and all invoices from September? It would help with my monthly billings. 1 Open Cut Lateral Costs Bid Item Description Unit Price Qty UOM Bid Price Notes 39 4" PVC 89 30 LF $ 2,670.00 Per bid item 25 Hot Mix Asphalt 225 0.5 Ton $ 112.50 Per bid item 26 Class II AB 22 20 Yds $ 440.00 25'1x2'w x 7.5'd 29 Minor Cone. {C&G) 58 10 LF $ 580.00 Per bid item 30 Minor Cone. (Sidewalk) 15 so SF $ 750.00 Per bid item 48 Remove 4" VCP 12 25 LF $ 300.00 Per bid item Total $ 4,852.50 ... .. ... •· Pipe Bursting Costs . Bid Item Description Unit Price Qty UOM 39 26 29 30 4" PVC 2750 Class II AB 22 Minor Cone. (C&G) 58 Minor Cone. {Sidewalk) 15 1 LS $ 10 Yds $ 0 LF $ 25 SF $ Total $ Open Cut $ Pipe Burst $ Total Savings $ Valued Engineering Split $ C-QC Burst plus portion of V.E. Share $ Extra costs incurred due to unforeseen hard soils at each lateral $ Total with additional costs each $ Difference between Total Burst Cost vs. Open Cut $ 20 $ Bid Price 3,018.93 220.00 - 375.00 3,613.93 4,852.50 3,613.93 1,238.57 619.29 4,233.22 Notes See force account sheet attached for breakdown Launch and Rec. Pit 854.49 see attached cost summary 5,087.71 235.21 Additional Costs per lateral 4,704.10 Total additional costs for laterals CON-QUEST CONTRACTORS, INC. Date Performed: Bill No.: EXTRA WORK REPORT DESCRIPTION OF CODE: Bursting Laterals -------------- CONTRACT NAME/ NO.: 065 -Cupertino: Bubb, Elm & McClellan Rd SD/SS Improvements Date Prepared:------CQCCode -------- WORK PERFORMED BY: CON-QUEST CONTRACTORS, INC. FACONO.: --------CONO.: -------Sheet ___ ~"-=---1 nf1 DESCRIPTION OF WORK: Estimate summary to burst sewer laterals \.1'L ""''"> .. ~ ... EQUIPMENT DESCRIPTION HOURS RATE AMOUNT LABOR HOURS RATE AMOUNT l""l"\111n11. 11""11.tTrnr..I"" ~~ nh.n~MT L026 2015 Ford F350 Utility Truck 8 $ 26.95 $ 215.60 $ -SALCEDO, FRANCISCO Reg. 8 $ 54.45 $ 435.60 308DCRT A018 Komatsu PC-78 Excavator 8 $ 44.02 $ 352.16 $ Lab Fore O.T. $ 71.07 $ - Bursting Equipment 1 $ 100.00 $ -$ 100.00 SEGURA, JAIME Reg. 8 $ 51.34 $ 410.72 $ -$ Laborer O.T. $ 66.40 $ $ $ -AGUILAR, SAMUEL Reg. 8 $ 68.87 $ 550.96 $ $ Operator O.T. $ 88.59 $ $ $ -Reg. $ - $ -$ O.T. $ - 17 SUBTOTALS $ 567.76 $ 100.00 Reg. $ TOTAL COST OF EQUIPMENT OWNED+ RENTED $ 667.76 O.T. $ MATERIAL AND/OR WORK QUANTITY UNIT AMOUNT Reg. $ BY SPECIAL FORCES COST MATERIAL WORK O.T. $ - HOPE Pipe 35 $ 2.50 $ 87.50 $ 24 SUBTOTAL $ .1,397.28 Box $ 40.00 $ -$ Labor Surcharge 12% Reg/ 12% OT $167.67 Couplings 2 $ 30.00 $ 60.00 $ Subsistence $ - Class II AB $ 20.00 $ $ -Travel Expense $ - AC $ 85.00 $ -$ TOTAL FOR LABOR $ 1,564.95 $ -$ +33% Mark Up on Labor $ 516.43 $ $ -TOTAL FOR EQUIP & MAT'L $ 815.26 SUBCONTRACTOR'S WORK $ -+15% Mark Up on Equip and Mat'I $ 122.29 TOTAL COST OF MATERIALS vs. Open Cut $ -$ 147.50 TOTAL COST OF WORK BY SPECIAL FORCES $ -TOTAL COST OF LABOR, EQUIPMENT AND MATERIALS $ 3,018.93 TOTAL COST OF EQUIPMENT AND MATERIAL $ 815.26 Subcontractor's Work $ - +5% on Subcontractor's Work $ - ITEMS AND HOURS RATES, AMOUNTS AND TOTAL Work by Special Forces $ - +5% on Work by Special Forces $ - SUBMITIED: SUBMITIED: I TOTAL FOR THIS REPORT! $ 3,018.931 Contractor's Rep. Contractor's Rep. ACCEPTED: ACCEPTED: ------------- Resident Engineer or Inspector Resident Engineer or Inspector CON-t:;JUEST CONTRACTORS, INC. Date Performed: Bill No.: EXTRA WORK REPORT DESCRIPTION OF CODE: Impact due to hard soils at laterals CONTRACT NAME/ NO.: 065 -Cupertino: Bubb, Elm & McClellan Rd SD/SS Improvements Date Prepared: ------CQCCode _______ _ WORK PERFORMED BY: CON-QUEST CONTRACTORS, INC. FACO NO.: -------CONO.: ------Sheet _______ _ 1 nf 1 DESCRIPTION OF WORK: Additional time and work caused by unforeseen hard soils l.AL1KAN!> l..U.I.. EQUIPMENT DESCRIPTION HOURS RATE AMOUNT LABOR HOURS AMOUNT ~ ...... 11.-. ....... '\JT rnnc cn111D•~FNT RATE L026 2015 Ford F350 Utility Truck 2.5 $ 26.95 $ 67.38 $ SALCEDO, FRANCISCO Reg. 2.5 $ 54.45 $ 136.13 308DCRT A018 Komatsu PC-78 Excavator 2.5 $ 44.02 $ 110.05 $ Lab Fore O.T. $ 71.07 $ - $ -$ SEGURA, JAIME Reg. 2.5 $ 51.34 $ 128.35 $ -$ -Laborer 0.T. $ 66.40 $ $ $ AGUILAR, SAMUEL Reg. 2.5 $ 68.87 $ 172.18 $ $ Operator O.T. $ 88.59 $ - $ $ -Reg. $ $ $ O.T. $ - 5 SUBTOTALS $ 177.43 $ -Reg. $ TOTAL COST OF EQUIPMENT OWNED+ RENTED $ 177.43 O.T. $ MATERIAL AND/OR WORK UNIT AMOUNT Reg. $ QUANTITY BY SPECIAL FORCES COST MATERIAL WORK 0.T. $ $ $ 7.5 SUBTOTAL $ 436.66 $ -$ Labor Surcharge 12% Reg/ 12% OT $52.40 $ $ Subsistence $ - $ -$ Travel Expense $ - $ $ -TOTAL FOR LABOR $ 489.06 $ -$ +33% Mark Up on Labor $ 161.39 $ -$ -TOTAL FOR EQUIP & MAT'L $ 177.43 SUBCONTRACTOR'S WORK $ -+15% Mark Up on Equip and Mat'I $ 26.61 TOTAL COST OF MATERIALS vs. Open Cut $ -$ - TOTAL COST OF WORK BY SPECIAL FORCES $ -TOTAL COST OF LABOR, EQUIPMENT AND MATERIALS $ 8S4.49 TOTAL COST OF EQUIPMENT AND MATERIAL $ 177.43 Subcontractor's Work $ - +5% on Subcontractor's Work $ - ITEMS AND HOURS RATES, AMOUNTS AND TOTAL Work by Special Forces $ - +5% on Work by Special Forces $ - SUBMITTED: SUBMITTED: TOTAL FOR THIS REPORT $ 8S4.49 Contrac:t:or's Rep. Contractor's Rep. ACCEPTED: ACCEPTED: ------------- Resident Engineer or Inspector Resident Engineer or Inspector & GeotechnicaJ and Environmental Sciences Consult..::mts INVOICE CITY OF CUPERTINO 10300 Torre Avenue Cupertino, CA 95014 December 14, 2015 Project No: 402604001 Invoice No: 194471B Materials Testing and Special Inspection Services Bubb, Elm, & McClellan Road Storm Drain/ Sanitary Sewer Improvement Project Cupertino, California City of Cupertino Project No. CU 2015-12 Invoice for materials testing and special inspection services provided for the Bubb, Elm, McClellan Drive Storm Drain Improvements project October 30, 2015. Our services included data compilation and analysis, project coordination, field density testing and observation. Tax ID No. 33-0269828 Professional Services Project Engineer/Geologist/Scientist Prevailing Wage Rate Senior Field/Lab Technician Totals Total Labor Vehicle/Equipment Charge 10/1/2015 10/9/2015 10/12/2015 10/14/2015 Total Units Hours Rate 2.50 133.00 16.00 85.00 18.50 4.0 Hours@ 10.00 4.0 Hours @ 10.00 4.0 Hours @ 10.00 4.0 Hours @ 10.00 TOTAL THIS INVOICE Amount 332.50 1,360.00 1,692.50 40.00 40.00 40.00 40.00 160.00 57 l O Ruffin Road • San Diego, California 92123 • Phone !858) 576-· I 000 • Fax !858) 576-9600 1,692.50 160.00 $1,852.50 -- San Diego • Irvine • Los /\ngeles Rancho Cucamonga • Oakland • San Francisco • San Jose • Sacramento Las Vegas • Phoenix • ·n1cson • Prescott Valley • Denver • Broomfield • Houston OFFICE OF THE CITY CLERK CITY HALL 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 TELEPHONE:(408)777-3223•FAX: (408)777-3366 C U P E RT I N O WEBSITE:www.cupertino.org _ June 25, 2015 Con-Quest Contractors, Inc. 290 Toland Street San Francisco, CA 94124 Re: Bid Award, Project Number 2015-12, Bubb, Elm & McClellan Road Storm Drain/Sanitary Sewer Improvement Project Your bid bond and contract for the above stated project is enclosed. If you have any questions or need additional information,please contact the Public Works Department at (408) 777-3354. Sincerely, Andrea Sanders City Clerk's Office cc: Public Works Enclosure OFFICE OF THE CITY CLERK CITY HALL 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 TELEPHONE:(408)777-3223•FAX: (408)777-3366 C U P E RT I N O WEBSITE:www.cupertino.org June 25, 2015 Granite 715 Comstock Street Santa Clara, CA 95054-3403 Re: Bid Award, Project Number 2015-12, Bubb, Elm & McClellan Road Storm Drain/Sanitary Sewer Improvement Project Thank you for your participation in the City of Cupertino's bid process for the above-stated project. The contract was-awarded Con-Quest Contractors, Inc. Your bid bond and statement of qualifications envelope are enclosed. If you have any questions or need additional information,please contact the Public Works Department at(408) 777-3354. Sincerely, ande;s _ City Clerk's Office r cc: Public Works Enclosure OFFICE OF THE CITY CLERK CITY HALL 10300 TORRE AVENUE•CUPERTINO,CA 95014-3255 TELEPHONE:(408)777-3223•FAX: (408)777-3366 C U P E RT I N O WEBSITE:www.cupertino.org June 25, 2015 JMB Construction Inc, 132 South Maple Avenue South San Francisco, CA 94080 Re: Bid Award, Project Number 2015-12, Bubb, Elm & McClellan Road Storm Drain/Sanitary Sewer Improvement Project Thank you for your participation in the City of Cupertino's bid process for the above-stated project. The contract was awarded to-Con-Quest Contractors, Inc. Your bid bond and statement of qualifications envelope are enclosed. If you have any questions or need additional information, please contact the Public Works Department at(408) 777-3354. Sincerely, Andrea Sanders City Clerk's Office cc: Public Works Enclosure OFFICE OF THE CITY CLERK CITY HALL 10300 TORRE AVENUE•CUPERTINO, CA 95014-3255 TELEPHONE:(408)777-3223•FAX: (408)777-3366 C U P E RT I N O WEBSITE:www.cupertino.org June 25, 2015 Pacific Underground Construction, Inc. 1817 Stone Ave. San Jose, CA 95125-1311 Re: Bid Award, Project Number 2015-12, Bubb, Elm & McClellan Road Storm Drain/Sanitary Sewer Improvement Project Thank you for your participation in the City of Cupertino's bid process for the above-stated project. The contract was awarded to Con-Quest Contractors, Inc. Your bid bond and statement of qualifications envelope are enclosed. If you have any questions or need additional information, please contact the Public Works Department at(408) 777-3354. Sincerely, Andrea Sanders City Clerk's Office cc: Public Works Enclosure DOCUMENT 00520 CONTRACT THIS CONTRACT, dated this 1 clay of 7,1 i- '—20 by and between CON-QUEST CONTP-lkCTORS, INC. whose place of business is located at 290 Toland Street. Sail Francisco CA, 94124 Contractor'), and the CITY OF CUPERTINO, a Municipal Corporation of the State of California ("City") acting under and by virtue of the authority vested in the City by the laws of file State of California. WHEREAS,City,on the L clay of Gc 20_t 5aTvarded to Contractor the following Project: PROJECT NUIVIBER 2015-12 BUBB,ELM& McCLELLAN ROAD STORM DRAIN/SANITARIV SEWER EMPROVEMENT PROJECT NOW,THEREFORE,in consideration of the mutual covenants hereinafter set.forth,Contractor and City agree as follows: Article 1. Work 1.1 Contractor shall complete all Work,-specified in the Contract-Documents, in accordance with the Specifications, Drawings,and all other terins and conditions of the Contract Documents. Article 2. Agency and Notices to City 2.1 City has designated Roger Lee,Assistant Director of Public Works'to act as City's Authorized Representative(s), who will represent City in performing City's duties and responsibilities and exercising City's rights and authorities in Contract Documents, City may change the individual(s) acting as City's Authorized Representative(s), or delegate one or more specific functions to one or more specific City's Representatives,including without limitation engineering, architectural, inspection and general administrative functions, at any time with notice and without liability to Contractor. Each City's Representative is the beneficiary of all Contractor obligations to City, including without limitation,all releases and indemnities. 2.2 City has designated Richard Tanaka,District Manager-Engineer for work related to sanitary sewer system. City may change the identity of the District Manager's representative at any time with notice and without liability to Contractor. 2.3 City has designated Gilbane Building- Company to act as Construction.Managers. City may change the identity of tile Construction Manager at any time with notice and withautliability to Contractor. 2.4 All notices or demands to City under the Contract Documents shall.be to City's Authorized Representative at: 10300 Torre Avenue,Cupertino,California 95014 or to such other person(s)and address(es)as City shall provide to Contractor. Article 3. Contract Time and Liquidated Damages 3.1, Contract Time. The Contract Time will. commence to run on the date indicated in the-Notice to Proceed, City may give a Notice to Proceed at any time within 30 Days after the Notice of Award. Contractor shall not do any Work at the Site prior to the date on which the Contract Time commences to run. Contractor shall achieve Final Completion of the entire Work and be ready forFinalPayment iii accordance with Section 00700(General Conditions)by October 30,201.5 or 1.00 WORKINTGDAYS whichever come first. City of Cupertino 00520-1 Contract Bubb,Elm&.1`-1cClellan Road Storni Drain/Sanitar-y Sewer hilprovenient Project 3.2 Liquidated Damages. City and Contractor recognize that time is of the essence of this Contract and that City will suffer financial loss in the form of contract administration expenses(such as prc?ject management and.consultant expenses),if all or any part of the Work.is not completed vvithin the times specified above, plus any extensions thereof allowed in accordance with the Contract Documents. Consistent with Document 00700(General Conditions),Contractor and City agree,that because of the nature of the Project, it would be impractical or extremely difficult to fix the amount of actual.danrages incurred by City because of a delay in complexion of all:or any part of the Work. .Accordingly, City and Contractor agree that as liquidated-damages for delay Contractor shall pay City: i 3.2.1 55,000 for each Calendar Day beyond August 15, 2015 if Contractor fails to achieve this Milestone date as specified above for Storm Drain work on McClellan Road. 3.2.2 $5,000 for each Calendar Day that expires after the time specified herein for Contractor to achieve j Final Completion of the entire Work as speci bed above for September Drive Storm Drain and Sanitary Sewer work between McClellan Road and November Drive. s 3.2,3 $3,000 for each occurrence of a violation of Document 00800, Section '1.7 WORK DAYS AND HOURS. j 3.2.4 Three Months Salary for each Key Personnel named in Contractor's SQQ pursuant to :article 2.G of Document 00450,(Statement of Qualifications for Construction Work) who leaves the Project and/or Contractor replaces at any point before Final Completion, for airy reason whatsoever,that Contractor can demonstrate to City's satisfaction is beyond Contractor's control. Liquidated damages shall apply cumulatively and, except as provided below, shall be presumed to be the damages suffered by City resulting from delay in completion of the Work. I Contractor should be aware that California Department of Fish and Game,and.other State and Federal agencies, may also levy fines and penalties for the harming, harassing or killing of protected wildlife and endangered species. Contractor hereby agrees to become familiar with and adhere to wildlife and endangered species protection requirements. 3.3 Liquidated damages for delay shall only cover administrative; overhead, interest on fronds; and general loss of public use damages suffered by City as a result of delay. Liquidated damages shall not cover the cost of completion of the'Fork, damages resulting from defective Work,lost revenues or costs of substitute facilities, or damages suffered by others who then seek to.recover their damages from City(for,example,delay claims of other contractors,subcontractors;tenants,or other third-parties),and defense costs thereof. Article 4. Contract Sum 4.1 City shall pay Contractor the Contract Sum for completion of Work inaccordancewitb.Contract Documents as set forth.in Contractor's Bid;attached Hereto:See Exhibit"X'attached Article_5. Cont'ractor's Representations i 1 In order to induce City to enter into this Contract,Contractor makes the following representations and warranties: 5.1 Contractor has visited the Site and has examined thoroughly and understood the nature and extent of the Contract Documents, Work,:Site, locality, actual conditions, as-built conditions, and all local.conditions;, and federal, state and local lawsand regulations that in any manner may affect cost, progress, performance or furnishing of Work or which relate to any aspect of the means,methods,techniques,sequences or procedures of construction to be employed by Contractor and safety precautions and programs incident thereto. City of Cupertino 00520-2 Contract Bubb,Elm&McClellan Road Storer Drain/Sanitary Sex%,er Improvement Prosect i l 5.2 Contractor has examined thoroughly and understood all.. reports of exploration. and tests of subsurface conditions, as-built, drawings, drawings, products specifications or reports, available for Bidding purposes, of physical conditions, including Underground:Facilities, which are identified,in;Document 00320 (Geotechnical Data,Hazardous Materials Surveys and Existing Conditions);or which may appear in the Drawings. Contractor accepts the determination set forth in these Documents and Document 00700 (General Conditions) of the limited extent of the information contained in such materials upon which Contractor.may be entitled to rely. Contractor agrees that except for the information.so identified, Contractor does not and shall not rely on any other information contained in such reports and drawings. 5.3 Contractor has conducted or obtained and has understood all such examinations, investigations, explorations, tests, reports and studies (in addition to or to supplement those referred to in Section 5.2 of this Document 00520) that pertain to the subsurface conditions, as-built conditions, underground facilities, and all other physical conditions at or contiguous to the Site or otherwise that:may affect the cost,progress,performance or furnishine of Work,as Contractor considers necessary for the performance or furnishing of.Work at the Contract Sum, within the Contract 'Time and in accordance with the other terms and conditions of the Contract Documents, including specifically the provisions of Document 00700 (General Conditions);and no additional examinations, investigations, explorations, tests, reports; studies or similar information or data are or will be required by Contractor for such purposes. 5.4 Contractor has correlated its knowledge and the results of all such observations,. examinations,.investigations, explorations,tests,reports and studies with the terms and conditions of the Contract Documents. 5.5 Contractor has given City prompt written notice of all conflicts,errors, ambiguities,or discrepancies that it has discovered in or among the,Contract Documents and as-built drawings,and actual conditions.and the written resolution thereof through Addenda issued by City is acceptable to Contractor. 5.6 Contractor is duly organized,existing and in.good standing under applicable state law,and is duly qualified to conduct business in the State of.California. 5.7 Contractor has duly authorized the executioin, delivery and performance of this Contract; the other Contract Documents and the Work to be performed herein. The Contract Documents donot violate or create a default under any instrument,contract,order or decree binding on Contractor. 5.8 Contractor has listed Subcontractors pursuant to the Subcontractor Listing Law, California Public Contracting Code§4100 et seg.in document 00340(Subcontractors List) Article b. Contract Documents 6.1 Contract Documents consist of the following documents,including all changes,addenda,and modifications thereto: Document 00400 Bid Form Document 00430 Subcontractors List Document 00450 Statements of Qualifications Document 00431 Non-Collusion Affidavit Document 00432 Bidder Certifications Document 005.10 Notice of Award Document 00720 Contract Document 00530,InsuranceForms Document 00550 Notices to Proceed Document 00610 Construction Performance Bond Document 00620 Construction Labor and Material Payment Bond. Document 00630 Guaranty Document 00650 Agreements and Release of Any and All Claims Document 00660 Substitution Request Foram City of Cupertino 00520-3 Contract Bubb,Elm&McClellan Road Storrs Drain/Sanitanr Server dniprovenrcnt Project Document 00680 Escrow,Agreements for Security Deposit in Lieu of Retention Document 00700 General Conditions Document 00800 Special Conditions Document 00820 Special Environmental Conditions Document 00821 Insurance Document 00822 Apprenticeship Program Technical Specification/Special Provisions Addenda(s) Drawings/Plans 6.2 There are no Contract Documents other than those listed in this Document 00520,Article 6. Document 00320 Geotechnical Data, Hazardous Material Surveys and Existing Conditions), and the=information supplied therein, are not Contract Documents. The Contract Documents may only be amended, modified or supplemented as provided in Document 00700(General Conditions). Article 7. Miscellaneous 7.1 Terms used in this Contract are defined in.Document 00700 (General Conditions) and will have the meaning indicated therein. 7.2 It is understood and agreed that in no instance are the persons signing this Contract for or on behalf of City or acting as an employee, agent, or representative- of City, liable on this Contract or any of the Contract Documents, or upon any warranty of authority, or otherwise, and it is further understood and agreed that liability of the City is limited and confined to such liability as authorized or imposed by the Contract Documents or applicable law. 7.3 Contractor shall not assign any portion of the Contract Documents,and may subcontract portions of the Contract Documents only in compliance with the Subcontractor Listing ILaw, California Public Contracting Code§4100 et seri. 7.4 The Contract Sum includes all allowances(if any). 7.5 In entering into a public works contract or a subcontract to supply goods, services or materials pursuant to a public works contract,Contractor or Subcontractor offers and agrees to assign to the awarding body all rights, title and interest in and to all causes of action it may have tinder Section 4 of the Clayton Act(15 U.S.C. §15)or wader the Cartwright Act(Chapter 2(commencing with Section 26700)of Part 2 of Division 7 of the Business and Professions Code), arising from purchases of goods, services or materials pursuant to the public works contract or the subcontract. This assignment shall be made and become effective at the time City tenders final payment to Contractor,without further acknowledgment by the parties. 7.6 Copies of the general prevailing rates of per diem wages foreachcraft,classification,or type of worker needed to execute the Contract,as determined by Director of the State of California Department of Industrial Relations, are deemed included in the Contract:Documents and.on file at City's office,or may be obtained of the State of California web site http://Nvww.dir.ca.gov/DLSR/PNVD/Noiilierii.litmi and shall be made available to any interested patty on request. Pursuant to Section 1861 of the Labor Code,Contractor represents that it is aware of the provisions of Section 3700 of the Labor Code which require every employer to be insured against.liability for workers'compensation or to undertake self-insurance in accordance with the provisions of that Code,and Z7 Contractor shall comply with such provisions before commencing the performance of the Work of the Contract Documents. 2 City of Cupertino 00520-4 Contract Bubb,Elm&NfcClellan Road Storm.Drain/Sanitary Sewer Improvement Project i i 7.8 Should any part,term or provision of.this Contract or,any'ofthe Contract Documents,or any document required herein or therein to be executed or delivered,be declared invalid,'void or unenforceable. all remaifiing pants, terms and 1)rovisions shall remain :in Rill force and effect and shall in no.way be invalidated., impaired.or affected thereby. If the;provisions of any law causing such invalidity, illegality or unenforceability may be waived,they are hereby waived to the end that this Contract and the Contract Documents may be deemed,valid and binding contracts,enforceable in accordance with their terms to the greatest extent permitted by applicable lav, In the event any provision not otherwise included'-in the Contract Documents is required to be included by any applicable law,that provision is deemed.included herein by this reference(or, if such provisiam is required to be included.in any particular portion of the Contract Documents,that provision is deemed included in.that portion). 7.9 This Contract and the Contract Documents shall be deemed to:have been entered into in the.County of Santa Clara, State of California, and governedin all respects by California law(excluding choice of lav rules). The exclusive venue for all disputes.or litigation hereunder shall be in Santa Clara County.. Both parties hereby waive their rights under California Code of Civil Procedure Section 394 to file a motion to transfer any action or proceeding arising out of the Contract Documents to another venue. Contractor accepts the Claims Procedure in Document 00700,Article 12,established under the California Government Code,Title],Division 3.6,Part 3,and Chapter 5. City of Cupertino 00520-5 Contract Bubb,Elm&McClellan Road Storm Drainf$anitary Server Improvement Project k t IN WITNESS WHEREOF the parties have executed this Contract in quadruplicate the day and year first above written. BUBB,ELM&McCLELLAN ROAD STORMDRA:IN/SANITA.RY SEWER IMPROVEMENT PROJECT CITY: CONTRACTOR: . CITY OF CUPERTINO,a Municipal Corporation of the [_Contractor's nanie_] State of California B>' Signature] Attest:i ts Paul N. Loukianoff i Please print name here] City Clerk:Grace Schmidt Approved as to form by City Attorney: I Title: President If Corporation: Chairman.President;or Vice President] PityAttoDrnev:Carol Korade By: Signature] I hereby certify,under penalty of perjury,that David Brandt,Please print name here] City Manager of the City of Cupertino was duly authorized to execute this document on behalf of the City of Cupertino. Title: If Corporation: Secretary,Assistant Secretary, Chief Financial Officer,or Assistant Treasurer] Dated: r1glill5 818668-A, B, C31, HAZ, C57 State Contractor's License Nl o. Classification 04/30/16 David Brandt, ity 1vlanager of the City of Cupertino,a ExpirationDate Municipal Corporation of the State of California Designated Representative: Taxpayer ID No._26-2075293 Name:Timm Borden Name: Paul N. Loukianoff Title:Director of Public Works Title: President s Address: 10300'Iorre Ave., Cupertino, CA 95014 Address: 290 Toland Street,San Francisco, CA 94124 i Phone:408-777-3354 phone: (415)206-0524 Facsimile:405-777-3333 Facsimile: (415)206-0528 NOTARY ACKNOLEDGE,IIEN'r IS, REQUIRED. IF A AMOUNT: $ 1,45t 941.00 CORPORATION,. CORPORATE SEAL :AND CORPORATE ACCOUNT 2156, 941, 2-900-905 NOTARY A F-NIONA'LEDEMENT AND FEDERALTAX ID ARE e REQUIRED. IF NOT A C0I2POR:A'I IO\ SOCIAL SECURITY FILE INTO.:97,572,00 NO.IS REQUIRED END OF DOCUMENT CUPS ANITARY DISTRICT i By. City of Cupertino 00520-6 Contract Bubb,Elm&NkClellan Road Stonn Drain/Sanitary Server Improvement Project pring name/title) J I i rr A i Project No.2015-12 SCHEDULE OF BID PRICES All Bid items, including lump sums and unit prices, must be filled in completely. Allowances and Alternative Bid items are described in Document 00800 (Special Conditions). Quote in figures only, unless words are specifically requested. Please Note that time extensions will NOT be permitted with the acceptance of any or all of the Alternative Bid Items listed below. 7777777 777777777777777-, SASE BID Sc No.Description Units Quantity Unit Cost Total Cost 1 Mobilization LS 1 015 opo ILS 000 2 Traffic Control (On McClellan Road) LS 1 500 "T Soo 3 Traffic Control (on September Drive) LS 1 ( 0yi is 00 4 Steel Plate Protection (Storm) LS 1 1.S J o 5 Steel Plate Protection (Sanitary) LS 1 Sda I t O-O 6 Abandon Culvert(storm) LF 333 7 Remove Culvert(storm) LF 888 IW 53ic 8 Remove Storm Drain Manhole EA 3 Wit,Soo -7,500 9 Cap Storm Drain Manhole EA 1 000 U,va') Addendum No.2 10 Concrete Collars for storm system EA 5 q S O 9.1.5'0 05-01-2015 11 27"HPDE Culvert LF 84 _l4a 50 (tso 12 Install Storm Drain Manhole EA 12 &,,S oo 13 Install Weir and HDPE on Festival Drive LS 1 3,510 3 i*0 14 Install steel plate enclosure in ex. MH LS 1 A Sv 0' 00 15 Install Storm Drain Inlet EA 1 q"t( szv 16 40" Steel Casing(Bore and Jack) LF 80 3l t (90,000 17 15"Reinforced Concrete Pipe LF 64 1.1 K 33 e 18 12"PVC SDR-26 (storm) LF 8 -115 7-0 1 c t t a e 5 00Z) 20 24" 30"Reinforced Concrete Pipe 262 `x.'53 i G I q(& 21 36"Reinforced Concrete Pie LF 1668 N 405 "3t 22 Sand Bedding Materials (storm) CY 240 CO 23 Bedding Materials (sanitary sewer)CY 320 2A— Genefete . . , (Startn) ey is 26 Class 2 Aggregate Base CY 1,050 22 23 t Do 27 Class 3 Aggregate Base CY 2,510 2a 28 Minor Concrete casement for sewer CY01 ,a5l 10v0 29 Minor Concrete(Curb & Gutter) LF30MinorConcrete(Sidewalk) SFl000 31 UPRR Flagger on McClellan Road LSt1 "t7 32 Pavement Markers (Ty e AY) (storm) EA33PavementMarkers (Type D) (storm) EA 23'( 34 Thermoplastic Striping 12"WHITE (storm) LF 60 "7 1A2-4 35 Thermoplastic Strip.4" YELLOW(storm)LF 208 2.. I(a 36 Thermoplastic Striping 4"WHITE(storm)LF 273 t37 4" Sanitary Sewer Cleanout EA 28 -750 211 0010 38 4" PVC SDR26 Pipe LF 810 2 010 39 4" Stainless Steel Banded Rubber Cou lin EA 28 140 f 12J City of Cupertino 00400-3 Bid Forms Bubb,Elm&McClellan Road Storm Drain/Sanitary Server Improvement Project Con - Quest Contractors, Inc. X90 Toland Street EXBWA Project No.2015-12 40 6" Stainless Steel Banded Rubber Coupling EA 2 V7 13v 41 8"Stainless.Steel Banded Rubber Coupling EA 42 1S 3,%5o 42 6" PVC SDR26 Pie LF 46 HS la to I0 43 8"PVC SDR26 Pie LF 570 (Sv 45,500 44 PVC SDR26 Wye Fitting EA 28 Wov I(!z'00 45 Abandon 6"Vitrified Clay Pie LF 194 ob 3 y92 46 Abandon 8"Vitrified Clay Pie LF 235 20 y'loo 47 Abandon Flushing Inlet EA 1 50O goo 48 Remove 4"VCP Sanitary Sewer Lateral LF 830 IZ-- c) 160 49 Remove 6"VCP Pie LF 50 12 Do 50 Remove Sanitary Sewer Manhole EA 2 900o 1-(,Wo 51 Install Sanitary Sewer Manhole EA I 52 Install Outside Drop Manhole EA 2 -7 ?fiv l`( Saa Total Base Bid Schedule i H S h 41 Unit Legend LS = Lump Sum AL=Allowance EA= Each SF= Square Feet LF= Linear Feet TON =Ton or 2,000 Pounds CY = Cubic Yards LB = Pounds ACKNOWLEDGEMENT OF RECEIPT OF ADDENDUMS Bidder herby acknowledges receipt and examination of all Contract Documents and the following Addenda: Addendum No.Addendum Date 1 04/30/15 2 05/01/15 3 05/05/15 Bidder proposes and agrees to fully perform the Work within the time,stated and in strict accordance with the Contract Documents for the sums of money listed in this Bid Form. NAME OF BIDDER: Con-Quest Contractors, Inc. Licensed in accordance with an act for the registration of Contractors,and with license number:_ 818668 City of Cupertino 00400-3 Bid Forms Bubb,Elm&McClellan Road Storm Drain/Sanitary Sewer Improvement Project Con - Quest Contractors, Inc. 290 Toland Street San Francisco, CA 94124 DOCUIN4ENT 00630 GUARANTY TO THE CITY OF CUPERTINO,a I,,Iunicipal Corporation of the State of California("City"),for construction of BUBB,ELM&McCLELLAN ROAD STORM DRAINISANITARY SE ' R EVIPROVEME NT PROJECT PROJECT NUMBER 2015-1.2 File undersigned guarantees all construction performed on this Prcject and also guarantees all material and equipment incorporated therein. Contractor hereby grants to City for a period of one year following the date of Final Acceptance,or such longer period specified in the ContractDocuments,its unconditional warranty of[lie quality and adequacy of all of the Work including; without limitation, all labor, materials and equipment provided by Colltracr6r and its Subcontractors of all tiers in connection Nviih the Work. Neither final payment nor use or occupancy of the Work performed by,the Conti-actor shall constitute an acceptance of Work not done in accordance Nvith this Guaranty or relieve Contractor of liability in respect to any express warranties oi- responsibilities for faulty rnaterials.or workmanship, Contractor shall remedy any defects in the Work and pay for any damage resulting therefrom, which shall appear within one year, or longer if specified, from the date of Final Acceptance. If within one year after the date of Final Acceptance, or such longer period of time as may be prescribed by laws or regulations, or by the terms of Contract Documents, any Work is found to be defective, Contractor shall promptly, without cost to City and in accordance with City's written instructions, correct such defective Work. Contractor shall remove any defective Work,rejected by City and.replace it with INTork that is not defective,and satisfactorily correct or remove and replace,any damage to other Work.or the work of others resulting therefrom. If Contractor fails to promptly comply with the terms of such instructions..or in an ernergency where delay would cause serious rislc of loss or damage, City may have the defective Work corrected or the rejected Work removed and replaced. Contractor shall pay for all claims,costs,losses and damages caused by or resulting from such removal and replacement. Where Contractor fails to correct defective Work, or defects are discovered outside the correction period, City shall have all rights and remedies granted bylaw. Inspection of the Work shall not relieve Contractor of any of its obligations under the Contract Documents. Even though equipment,materials,or Work required to be provided under the Contract:Documents have been inspected,accepted,and estimated for payment, Contractor shall, at.its own expense, replace orrepair any such equipment, material, or Work found to be defective or otherwise not to comply with the requirements of the Contract Documents up to the end of the guaranty period. All'abbreviations and definitions of terms used in this Agreement shall have the meanings set forth in the Contract Documents,including,without means of limitation,Section 00700(General Conditions). The foregoing Guaranty is in addition to airy' other warranties of Contractor contained in the Contract Document,,, and not ill lieu of;any and.all other liability imposed on Contractor under the Contract Documents and at law with,respect to Contractor's duties, obligations, and performance under the Contract Documents,. In the event of any conflict or inconsistency between the terms of this Guaranty and any warranty or'obligation of the Contractor under the Contract Documents or at law, such inconsistency or conflict shall be resolved in favor of the ] 1iigher level of obligation of the- Contractor. Con-Quest Contractors, Inc. Cdntractor's Name 290 Toland Street Address San Francisco, CA 94124 05/26/15 City/State/Zip Date Executed in Duplicate Bond no. 09163096 Premium: $16,507.00 DOCUMENT 00610 CONSTRUCTION PERT+ORNIANCE BOND THIS CONST,RU0.110N PC?IZF01WANCE BOND .("Bond" is dated May 26,2015 , is in the penal sung of One million four hundred fifty six thousand nine hundred forty one do ars"I1anT—no1M0---------- ------------------- 1,456,941.00) which..is one litincifed:percent of the Contract.Price.. and is eaitered into by nnd'b.ettaFeen.the pardes.list.ed:bel6v to ensure thefaithful performance of the Construction Contractlisted belbm This Bond consists oftbis page and the Bond Terries and Conditions,paragraphs 1. through 12, attached to this page. Any singul:ai- reference' to Con-Quest Contractors,Inc. Contractor") Fidelity and Deposit Company of Maryland ("Surety"); the City of'Cup.crtiiao; a Miinicipit'l Corporation of tiie State of California('City's or other party shall be considefed,plural where appliieable. EON IZA.CTOR: I1': Con-lQuest Contractors,Inc. TTU and Deposit Company of Maryland YtNN T foland Street rlarket Street, Suite 2900 San Francisco,CA 94124 rtn ipal Place 06XV1115anrancisco City/State/zip City7Statel7p CONSTRUCTION CONTRACT: BUBB,McCLELLAN'ROAD STORM DRAINISANI'TARY SE:AVER RYWROYEAMENT PROJECT PROTECT NVMKR 201542: it Ctiperiii-to;Califoi"11,iar DATED T,20 15 in,the•Ab ount of$ 1,456,941.00 flee"genal'Sitr i"'} CONTRACTOR.AS PRINCIPAL SURETY, Company (.(orp,.Sea]).Con-Quest Contractors,Inc. Coiripariy: (Cotp..S eaaq Fidelity and Deposit Company of Sgnafur e Signature; NamName and Titlei• Teri L.Koehler t p• Attorney-in-fact BOND TERMS AND CONDITIONS 1. Cbtitraotcr and.St rety.,jointly aii,d severally,.bind.thelu.sehi s,theirheirs, exc ci to:is;adininistrators, successors ani/ assigns to City for the coinplete. find .limper performance off the Col structio i Contract, which is in a)rpor at ed lietein by referenw. 2. If Contractor completely atid properly performs all of itsobligations under the Construction Contract. Soret and Contractor sh.all..havc no obligation snider this'Borid. 3. If there is no City.Defltiiff,Surety's obligation:tinder this Bond shalt arise after: 3.1 City has deeJare..d. a Contractor Default rinder the. Construction Contract pu sitanr to file terms of the Constru,ctioli Contract;and' City of Cu ellifitz Ot)'61.b-1 Construction Perfbrinancs Bond Lub"b,.Elin&IvlcClei l tan Road Stonii DrainlSanhai-y Sewer.Improvainz,titl'ro*e;t 3.2 City has agreed to pay the Balarice of the Contract Sum: 3.2.1 To Su roty in.accordance w it'li the terns i of 1hi-5 Bond and the.Consti u eti oil,Contmetj or 1,2.2 To a contractor selected to perf6rin the Cobsttuddo.ii Contract in accordanct,with the terms of this Bond and the Construction Contract. 4. When.City has satisfied the conditions of paragi-aph 3,.Surety shall promptly(Within 30 days) and at Surety's expense elect to'take.one of the follotving actiobs* 4,1 Arrange for Contractor, with consent of City,.to porforlil and complete the Construction Contract.(but City may wiflihold consent, in.which case the Surely must elect an.option described in paragraphs 4.2, 4.3 or 4,4,below),or 4.1. Undertake to perform and complete (lie Construction Contract itself, through its agents or through independent contractor,,,; provided, that Surety May not select Contractor as its agent or. independent contractor without City's consent;or 43 Undertake, to perfor7ft and complete (11e, CORStrUctiOn. Contract by obtaining, bids, from qualified: contractors acceptable to City for a contract fbjr- performance and completion of the. Consftotion Contract; and, upon deterininaflon by City of the lo.west.responsible-biddor, arrange fora contract to:be prepared. for execution by City and the contractor selected withCity?s concurrence,to b6 secured With performance and payment bonds executed by a qualified surety equivalent to the bonds issUed on. the Construction.Contract;and, if Surety's obligitibris defined.;in paragraph 6.belo\vj exceed the Balance of the Contract Sum,hien.Surety.0al.1 pay to City the•aniount.of such excess;,or 4.4 Waive its right to,perform:aneorriplete, arrange for completion, or obtaina new contractor and with asI,e onable promptness under the after ffivestigation: and consultation, wah City, d6tchriiiie in.good faRh%its rooliefary obligation to City ijiuldr:paragraph.6 below for the PP04111alice and compwti*on,of the CoOstructloh Contract and;as soon as practicable after the arnount is:determined, tender payment therefor to City with. full explamitioa of the payawnt.'s calculation. if City accepis Surety's tender under thi's paragraph.4,4,.City may still hold Surety liable for. future damages. then unknown.or unliquidated resulting Pronifhd Contractor Dcfault,, If City disputes the amount of Surety's tender under this paragraph 4..4,*City may exercise all remedies avai'lable to it at law to enforce Surety's liability under paragraph 6,below, 5. If Surety do", not proceed as.providedin.pajlagra[A4, abovd,then Surety shall be deemed to be,iii default on this Bond ten: days Act receipt of an additiotial written notice frorn City to Surety SuretyhdeniaridingthatSg , , ety perform its obligations under this.Bond. At all..times City shall:be entitled to entbrce,any remedy available to My at law or under the Construction Contract including,Nyithout ti'mit2tion,:and by way of exatnt le only,rights to perform work, protect work, initigow danrag05,:and advancecriticalwork to mitigate schedWe delAyj.or coordinate work with:other consultants or.sOntractors; Surety's monetary obligation under this is.linjited by lha,Aniourit cif thus Bond identified herein as the POA Sum, This rnatietary obligation shall,augiri .pn t the Balance cif the,Cbntrac, Sum. Subject to thege.ijinits,t Surety's obligations under, this Boiid aro, cLit tirtcrt irzAtc. with llje obligations of C..611t]"'ketor under the- Comtructiont ontracti. include but,re not.Hill i ted t I o' 6.1. The;responsi bill ties of Contractor under the Construction Contract for completion uoftheConstiction Contract and correction ofdefective:work; 012 T116 responsibilities of Contractor under,the.Q.6ristractiOn Conti-act to,pay liquidated damages,and for PS for a d, lite C ,sirti:cdda.ma fo -which no t id fe.d in,I nirdbt actual damagesOil caukd liy hoh=jjerfbffnaricd-of the:Construction Contra ct fiicftidhiga but not Ifinited to; all valid 6fid 81.pay iiii ws(I ier. am a gi-s;proper,bopk charges,'ciffikt inentsilft'don 6 , ).ot4o City cyf Cupertino 0-2 PeTforitiahco 13ond Btki,Elrn&McCldllan Road p C.3 Additioiral legal,design pmfessioiial acrd delay eosts resulting. Contractor Default or tesuhing from The:actions oe failure to act of the.Sure y under paragrapl'i.4,above(but excluding attorney's'fees incurred. to•enforce:this Bond). 7. No right of actiorrsliall•accnte on thtis.Bgnd`to my, person or entity otlter1han City'or its successor.s.or asstgl s: S.. Surety hereby waives notice of any change; alteration. or addition to the Construction:Contract.or to related. subcontracts.,ptircltase orders ano'otlier abl gatioiis,including changes of tinae..Surety consents to all terms of the Constructioir Conlractk including provisions oil changes to tiie Contract; No extension of tirno, change;. alteration, rnodiftca[ion, del etiorr,.or addifirin io.the.,Contract(Documents; or of the%iforkiregiiired::tliereirtider, shall release-or exonerate Surety.on this Bond or in any way affect:the obligations of Surety on thin Bond. 9. Any proceeding, legal.'or egaitable; tuider this Bond shrill be•instituted'ihr.any court:of-competent;jurisdiction where'..a proceeding,is pending:betweefi. City and.C9ntraet.qr regaroing the Construction Contract;,-or in the ootids of the County of Santa Clara,or in a:coart:of conipctenl.jitrasd cticii in the Iodation.in whidh:the Mork- s located.CorzunwYtcai Otis from.City to Surety under paragraph:3.1 of'this Bond shall be deemed to include the ns cessary cotltrac"ts under plriigraph 3,2 of this}fond unlessepressly statel of#1Ci'1 ise; 1:01, All notices fo Surety orr.Cantt,`ictor Sliall,be mailed or delivered(at.the address:selfortli on the signature:page of tbi,S Bond) f;.and riotice8 to Cit}; Sh ll be p ailed or delivered,as:provided .n':1Docuiitwit 005?0 (CiitttTact'}.. Actual receipt of notice by Surety,City or Nntracfor,.however accomplislied,slial.l be stiff aient..cori phance as of the irate received at the foregoing addresses, 11. Any provision in.this Bond conflicting with any,statutory or regulatory requirement shall be dcemed deleted: herefrom and provisions.con.forming to such.statutoryrequirement shall be deemed.incorporated hereln. 1.2. Definitions, 17.:1 :balance of the Contract Stun:The total.amount payable:byCity.to Contractor.pursuant.to the tenyis of•the Constru.etion.Contract after all pr:operadjustntents have Been made under the-Constrtieticir Contract;for exampl.c,deductions foi progrt ss payrricrits made;and iiiaeases!decreases for approved modifications to the Goristrudtioh.Qonti•act 1:2,2 Constntctian.Contract.Tl e cori;tract;t?et xreen.City and.Coiitractof identified.on tha signature.page of this. Bond,including all Contiaci.Docurnentsand changes thereto. 1 :3 Contractor Defdolt: Ivf$terial failure of Gontracttir, wh't.c}i lids neither'been rcinedied.nor cuaived, to per 116mi:or othdwise to:com)y'vVitli:the[crtxrs af'the Ccitrstruttion Contract inalr dirig,.but..Rok Bmited to; de:fauif" or any: other condition:allo i.itig a tetininat on .for cause as provid.cd iii Docuirmit 00700 General Conditions). 12,4- City Default:Material failure of City,.ivliioli_has..neiiber been xened ed:nor waved, to pay Contractor prc)gre$s payments '.due under the C.di!sV#tiori Contract or• to perfo.rni; other material terms of the Cousti•:uchar C'oiiit I Ot,itsuch failure:is:tt e mbk:of tlje,t sserted C:tiinttaetor Defatrlt.arld is.stilyici.ent to justify Cantrartar:terrniiratton OT'die Const.ixrctiot.Contract:. EM OF DOCUMENT Cary of'Cupei-tino 006i10.4d. ConstruetioriPerfatrnanueBMd. Bubb,Elm.ct,McClellan Road Storm Drainl5 iiit;uy 5ei=@r hiiproVeineritPrirjecf i i CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of San Francisco May 26, 2015 Allison Paridy, Notary PublicOnbeforeme, Date Here Insert Name and Title of the Officer personally appeared Teri L.Koehler Name(s)of Signer(s) who proved to me on the basis of satisfactory evidence to be the personN whose namex is/ar-a subscribed to the within instrument and acknowledged to me that4mtsheAhey- executed the same in 4 e/her/authorized capacity(t&Q,and that by4itWher/ signatureN on the instrument the personK or the entity upon behalf of which the personN acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ALLISON PARIDY WITNESS my hand and official seal.Commission#2104085 Z Notary Public -California4bSanFranciscoCounty M Comm. Expires Mar 19,2019 Signature Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration.of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: Corporate Officer — Title(s): Corporate Officer — Title(s): Partner — Limited EI.General Partner — Limited General Individual Attorney in Fact Individual Attorney in Fact Trustee Guardian or Conservator Trustee Guardian or Conservator Other:Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association •www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 f ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Maryland,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by THOMAS O. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate, constitute, and appoint David ALVARADO, Scott GADDY, Jeff PARKHURST, Jessica L.NOWLIN, Teri L. KOEHLER and Shaina E.GLISCHINSKI,all of San Francisco,California, EACH its true and lawful agent and Attorney-in-Fact,to make,execute, seal and deliver,for, and on its behalf as surety, and as its act and deed: any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V,Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 3rd day of June,A.D.2013. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND Mi O ti'Y' Vi 4u CP Po jP SCS SEALIm 18Be'r67 rr~ rrr, , J, Irrr` J y Secretary Vice President Eric D.Barnes Thomas 0.McClellan State of Maryland County of Baltimore On this 3rd day of June,A.D.2013,before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,THOMAS O. MCCLELLAN,Vice President,and ERIC D.BARNES,Secretary,of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly sworn,deposeth and saith,that he/she is the said officer of the Company aforesaid, and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. Constance A.Dunn,Notary Public My Commission Expires:July 14,2015 POA-F 016-0068A EXTRACT FROM BY-LAWS OF THE COMPANIES Article V,Section 8,Attorneys-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations,undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any time." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V,Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this day of 120 h May 15 wa OE ps n = o01T1 SUa OgAO04 i Michael Bond,Vice President Executed in Duplicate Bond no.09163096 PREMIUM INCL IN PERF BOND DOCUMENT 60620 CONSTRUCTION LABOR AND MATERIAL PAYMENT BOND TIES CONSTRi3CTI.ON:LABO:R/WD MATERIAL.P.AYMENT BOND("Bond-1 is dated May 26,2015 ,is In the penal sum One million four hundred fifty six thousand nine hundred forty one dollars anano7I-0D---TS'T456,941.00) Lone.ITtnTdred'pet,c nt'of th.e Contract Price), and is entered into by and,between the parties listed below to.ensure the payniet t of claimants untiesthe Conq(ructiba Contract listed be iv. This Bernd consists of this page:and the Bond Tetrnis and. Condit•oiis aragraphs i through 14, attached to this page. AITy singular reference; to Con-Quest Ctont`rac ors,Inc. CoilttacCor" Fidelity and Deposit Company of Maryland Surety"), the City o:f`Cuperti:rio, a Municipal. Corporation of the State.of California ("City").or other party shallbe considered.plural where Applicahle. UNwACT R: HETI': on- est C-ntractors,Inc. PSlUNTy and Deposit Company of Maryland Nath Naixi 290 oland Street 525 Market Street, Suite 2900 Address Principal.Place 6FBusiness. San Francisco,CA 94124 San Francisco,CA 94105 Ciq/Statel?ip City(StatclZi.r CONSTRUCTION CONTRACT,,. I3VB13).L,01 c5`a MeLEI LLAIVORD ST'ORXI D RAI NT/S A N IT ARY SEWER BT1:1'ROVEMENT PROJECT j I PROTECT NUAIBE Z 2015-12 at Cupertino,.California. DATED 2015 in f]Te Atnotiiit:of .1,456,941.00 he"Penal..''?UnI") CONTRACTOR AS PRINCIPAL SURETY Com aiTY Company: i06%SearCon-Qu oGGkllors,Inc. Fdelt and epCd I-Le p Si tature; Signature I TTame twid Title: Na e and I'itie Teri L.Koehler Attorney-m-fact IaOND'FKR:IdfiAN11CONDITIONS 1:. Contractor and Sutcty,jointly and severally,brad fherriselves; their heirs,ex6eutoirs, adniinistratais;successors and assigns to City and to Claimants, to pay :for labor; materials and egpi,proont furnished for use in the performance of the Construction Qbbtract,,,Bich;is incciiporated:.herein by reference. 2. With respect to City,this obligation shall be riulfand Void.°f Contractor: 2,1 Promptly tiiakes payment,directly or i0dircc(ly,for all sums due ClaiinatitS,and. 2.2, Defends;iiTdenini;fies.attd Iioldsltartnless Cify from all alainis,demands,.liens or_suits by any person.or et tity Who furnished. labor, inatedal:s,or ecluiprnent for use in the performance of the Construction Contact, provided City has praniptly notified Contractor and. Surety. (at the address set forth on,the sigpatuir page of this Bond) of any claims; demands;: liens or. suits and_tendered defense of stick claims, den4atids, liens or suits.to Contractor and Surety, and provided theme is .no City Default. City ofCupertino. 000 O0 f Construction Laboran&.Ntiteria.l Paynient.Bond Bubb,Elan& McClelhui ItbM Storm,Dmhi/Salikt iv Se«;t'r linjinivement.Pro j,zct. l I 3. With respect.to Claimants;this obligation shall.be mull and void,if Contractor;promptly makes payment,directly. or indirectly filtougi its Subcontractors, for aft sums clue Claimants', :I]' Contractor our. :its; Subcontractors, however,failto.pay any of ilio persosis Hamed in fieet]Qn 3I81 of the Lallfarnia Civil Code;ar amounts.due under-the Utiemployinent Insurance Code With respect to Work t r.Tabor perfbgn.ed undd,'r the Contr.:,act, or for any atnounts::reiiutTed;to be clzditcted,.wthl7el.d; and paid.'over t the.1 itij?)nymeitt ndvelopment.Departmont: from thi gages of eml loyee s a'f C' tractcv or Sul contmetors pltrstiant to.Secflan 1 620 of the employmentUrt Insurance Code;tivith.respect'to suc,h.Vork and(tabor,th.on Surety shad pay ior'the same;and alsi; in.case suit is brought upon this Bond}a reasonable atlontey's.fee;.to`be fixed:by the court: 4. Consistent With the Caljforhia Mechanic's Lien Late,Civil.Cade§3082;et.seq.,Surety shalt have no obligation to Claimants undei`this Band unless the Claimant has satisfied all applicable notice requirements. S. Surety's total obligation shall not exceed the amount of this Bond,and the amount of this Bond shall be credited for any payments trade in good faith by Surety under thi:s,Bond. 6. Ainoin7ts clue CantraCtOr under the Construction Contract shall be applied first to satisfy claims, if any,:hider any Construction Performance:Bond and second, to satisfy obligations of Contractor an(] Surety under flus Bond. 7, City shall not be liable for payment of any costs,,expenses,ar•attorney's fees of any Claimant under this Bond; and shall have under this Bond no obligations to make paymenis to,gig e notices an.behtilf'of;or otherwise Have. obligations to Claimants under this Bond, 9. Surety hereby waives notice cif.any change,inehidin changes of time,to the Construction.Contract or to related subcontracts;purchase orders atilt other-c bligatioa s, Surety further herebystipulates and agrees t:hat.no change; extension of tithe, alteration or addition to the terns of the ConStRICtiotl Contract, or t(? the )Vb* to be, performed.thereunder,or materials or equip ment.to.be:furni.shed therounder or'the Specifications accompanying the same, shall in any way affect its obligations under this Bond,.and it does hereby:valve any requirement of notice or any such char ge,extension of time;,al;tefati;on or'addition to the tears of the Construction Contract or to the Work or to the,Specifications or•..any.other.•ehangest 9, Suit against Surely on:this Bond.play be:brought by anyClaimaat or its assigns,.at any time after true Claimant. has'furnislied the last-of the labor or materials,,or bothr but,per.MI. Code§3249,must be cot9iineilced.before the expiratioti, of six months after the period in :which stop notices may:be .fled as provide.:: in Civil Code 3184, 10. All notices to Surety or Contractor shall be mailed or,,delivered(at the address set forth on,the signature page of this Bond), and all notices to City shall be mailed or delivered as.provided in Document 0020 (Contract), Actual receipt,of noti.ee by Surety,City or Contractor,however occorriplished,shall be sufficient con.ipfi:ance as of the date received at the foregoing addresses. 11. Tbis Bond has been fu rnished to comply witli the California AZechaniq's Lien Law;includiig,but not.lijulted to,.i Civil Code ti§3217,.3244,ct'seq. Any provision in this Bond conflicting With said stdftlib y rec}irirements Shal'I he deemed deleted herefronl and provisions confbrining to such statutory or other legal rquIrein ents shall be deemed:incorl oi•atecl Ite•c:itt. Ti intent;is thot this Bonet shall be construed as a statutory bond'and,not as a j common law.woad. 1? Upau rdquest by any.Burson:or entity appearing to be a potential beneficiary of this Bond; Contractor shall pronaptiy fin•n]sli a copyof this pond or sbatl pet•iirif a copyto be:niade: 13. Contractor shall pay`to persons:pet fore"ng labo'r1in and ar out Wof l;pra'tded for iii:alae:Contract Doeuments.an amount equal,to or,moire.than`tbe general,prdvailing rate af'per&n7 wag s for(1)work of a similar ehat•acter in the l.ocality;iri'evhic:li t e Work i5 perfotted at4i<(?}legal holtdayand oveijmie ivcirkan said locality, The,per diet::wvages shslll bu ari-anzount:equak(6.` athe.,stipulatecl.iates contalned=i;.a schedule titer has ricer asceitainecl anti:Zickerniirled by a1,e Director of the State Departtner r of`Itidtisriia[ltel"atior s ailcl City b<'t:lie F general]?revaalirig rate of l5er'd ern wages'for cae clafl or'type of"%vorl rnan of m chanic'neec ed,to e ecnte this City of Citpc t.inp 1M20( 2. C onstruc[ron L i14oi'air,ii,A4r}lariat t'ay rcpt f crud l3ub"lr;Ehit AIcCleflair:ltoiid 5torui.Ut4tii>l5aiiitafj,.:5eiixer Inrpra rei'ne ii:Project l Contract.. Contractor shall also Mise a copy of this debtmni.nation of(lie prevailing.rate of per di6m wages to be posted at each Site,, 14. Definitions. 14,1 Claimant: An.hidiNddiml or entity having a:direct contract with Contractor or with a Subcontractor of Coritractor to furnish labor, materials or cquipm.Olt for use in file performance of the; Contract, m fultller defiled*in California Civil Code§3 181. The intent of'this Bond shall be to fficlude without limitation Ill the materials or eti.uipmetit"that part of water,gas,:power, light, lieat,.oil, gasoline,, telephone service or rental equipment used in tbo Construction Contract, architectural and engineering seniccs rQq*uired. for performance of tile Work of Co. ntractor and Contractor's Subcontractors,..and all.other itefilg for which a slop noticemight be mserted. The tbriii ClAimantshall. also inolude the Uncaiplopritrit DoNel.opii)en't:Deprti-tmetit.as,referred to in Civil:Code§3248(4)i 14.2 Construction Contraot:Thelie coritract bet* cn.City:and.Conttaiefbr identified on:the sigriature:page of this Bond;including all Contract Docurnentq and!charige.q thereto. 14.3 City: J)eraiilt: Njalteriat fitilurd of City, which.Jiasnei I( her Been: reiriedied. nor waived; to pay the ColitMetor as reqltired:by the Coristrn6tion.Contrtict,provided flnat fat.lrire is thd cauo ofthe failitre of Contractor.to pay the Cialmants,-a nd:is.suffmi elIf to j us.fi t,t6:rtibliltioil:oftb&Coll Wu eflon.Contract, END OFDOCUMENT City of Cupertino 006-70,2 Construction Labor andIvIaterial Payxnmt Bohd BLIbb'EIDI&MCC101 kIlI Rand Storm. Sewer froprPmrierlt Pro ect CALIFORNIA ALL-PURPOSE ACKNOWLEDGMENT CIVIL CODE§ 1189 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California County of San Francisco May 26, 2015 Allison:Paridy, Notary'Public On before me, Date Here Insert Name and Title of the Officer- personally appeared Teri L.Koehler Name(s) of Signer(s). vVhoproved to me on the basis of satisfactory evidence to be the p6rsonN whose named is/.nM subscribed to the within instrument and acknowledged to me that-he/sheA4hep executed thesame in 4tis/herAeif-authorized capacity(f Q,and that by4Wher/#4ei-signatureN on the instrument the personK or the entity upon behalf of which the personN acted, executed the instrument. I-certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. ALLISON PARIDY Commission#2104085 WITNESS my hand and official seal Notary Public •California = San Francisco County SignatureMYComm. ras Mar 19 2019 Signature of Notary Public Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration.of.the document-or fraudulent reattachment of this form to an unintended document: '. Description of.Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies):Claimed by:Signer(s): . Signer's Name: Signer's Name: Corporate Officer Title(s): - Corporate Officer - Title(s): Partner = .Limited General Partner" Limited General Individual Attorney in Fact . Individual Attorney in Fact Trustee. Guardian or Conservator 0 Trustee Guardian or Conservator Other:Other: Signer Is Representing: Signer Is Representing: 02014 National Notary Association•www.Nationa[Notary.org • 1-800-US NOTARY(1-800-876-6827) Item#5907 ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS:That the ZURICH AMERICAN INSURANCE COMPANY,a corporation of the State of New York,the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY,a corporation of the State of Maryland,and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND a corporation of the State of Maryland (herein collectively called the "Companies"), by THOMAS O. MCCLELLAN, Vice President, in pursuance of authority granted by Article V, Section 8, of the By-Laws of said Companies,which are set forth on the reverse side hereof and are hereby certified to be in full force and effect on the date hereof,do hereby nominate, constitute, and appoint David ALVARADO, Scott GADDY, Jeff PARKHURST, Jessica L.NOWLIN, Teri L. KOEHLER and Shaina E.GLISCHINSKI,all of San Francisco,California, EACH its true and lawful agent and Attomey-in-Fact,to make,execute, seal and deliver, for,and on its behalf as surety,and as its act and deed: any and all bonds and undertakings,and the execution of such bonds or undertakings in pursuance of these presents, shall be as binding upon said Companies, as fully and amply, to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the ZURICH AMERICAN INSURANCE COMPANY at its office in New York, New York., the regularly elected officers of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at its office in Owings Mills, Maryland., and the regularly elected officers of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at its office in Owings Mills, Maryland.,in their own proper persons. The said Vice President does hereby certify that the extract set forth on the reverse side hereof is a true copy of Article V, Section 8,of the By-Laws of said Companies,and is now in force. IN WITNESS WHEREOF, the said Vice-President has hereunto subscribed his/her names and affixed the Corporate Seals of the said ZURICH AMERICAN INSURANCE COMPANY, COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and FIDELITY AND DEPOSIT COMPANY OF MARYLAND,this 3rd day of June,A.D.2013. ATTEST: ZURICH AMERICAN INSURANCE COMPANY COLONIAL AMERICAN CASUALTY AND SURETY COMPANY FIDELITY AND DEPOSIT COMPANY OF MARYLAND QpOEPp.j GP,r1 lNSGpygy SEAL Mee O ti Y O .VI'C`E;`ij11i0/{ P• Ym: S i ir.&' 6. 1888 a Secretary Vice President Eric D.Barnes Thomas O.McClellan State of Maryland County of Baltimore On this ani day of June,A.D.2013,before the subscriber,a Notary Public of the State of Maryland,duly commissioned and qualified,THOMAS O. MCCLELLAN,Vice President,and ERIC D.BARNES,Secretary,of the Companies,to me personally known to be the individuals and officers described in and who executed the preceding instrument,and acknowledged the execution of same,and being by me duly swom,deposeth and saith,that he/she is the said officer of the Company aforesaid,and that the seals affixed to the preceding instrument are the Corporate Seals of said Companies,and that the said Corporate Seals and the signature as such officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporations. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal the day and year first above written. Constance A.Dunn,Notary Public My Commission Expires:July 14,2015 POA-F 016-0068A EXTRACT FROM BY-LAWS OF THE COMPANIES Article V,Section 8,Attorneys-in-Fact. The Chief Executive Officer,the President,or any Executive Vice President or Vice President may, by written instrument under the attested corporate seal, appoint attorneys-in-fact with authority to execute bonds, policies, recognizances, stipulations, undertakings, or other like instruments on behalf of the Company, and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and may with or without cause modify of revoke any such appointment or authority at any rime." CERTIFICATE I, the undersigned, Vice President of the ZURICH AMERICAN INSURANCE COMPANY, the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY, and the FIDELITY AND DEPOSIT COMPANY OF MARYLAND, do hereby certify that the foregoing Power of Attorney is still in full force and effect on the date of this certificate;and I do further certify that Article V,Section 8,of the By-Laws of the Companies is still in force. This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the ZURICH AMERICAN INSURANCE COMPANY at a meeting duly called and held on the 15th day of December 1998. RESOLVED: "That the signature of the President or a Vice President and the attesting signature of a Secretary or an Assistant Secretary and the Seal of the Company may be affixed by facsimile on any Power of Attorney...Any such Power or any certificate thereof bearing such facsimile signature and seal shall be valid and binding on the Company." This Power of Attorney and Certificate may be signed by facsimile under and by authority of the following resolution of the Board of Directors of the COLONIAL AMERICAN CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 5th day of May, 1994, and the following resolution of the Board of Directors of the FIDELITY AND DEPOSIT COMPANY OF MARYLAND at a meeting duly called and held on the 10th day of May, 1990. RESOLVED: "That the facsimile or mechanically reproduced seal of the company and facsimile or mechanically reproduced signature of any Vice-President, Secretary, or Assistant Secretary of the Company,whether made heretofore or hereafter,wherever appearing upon a certified copy of any power of attorney issued by the Company,shall be valid and binding upon the Company with the same force and effect as though manually affixed. IN TESTIMONY WHEREOF,I have hereunto subscribed my name and affixed the corporate seals of the said Companies, this day of 120 . 26th . May 15 s,,, ,,,• 8CAL r. hyrPte, Michael Bond,Vice President Project No,2015-12 LIMITS Worker's Compensation In accordancewith the Worker's Compensation Employers'.Liability Act of the-State of California—Worker's comp statutory"per CA Law: Employers' Liability 1,000,000 per occurrence. General Liability-colrimercial general liability: Combined single.limit of$2:0 million per including provisions for contractual liability, occurrence; $4.0 million in the aggregate personal injury,independent contractors-and products_-completed operations hazard, Automobile Liability=comprehensive covering, Combined single.limit.of$,1.0 i•nillion per owned tion-owned and hired automobiles. occurrence. Con=Quest Contractors; Inc. y;. Contractor's Name) p4ult, CP FF —ERES LD R-CA Dated:a Z 20 15 City of Cupertino 00530-3 Insurance Form Bubb,Elm&McClellan Road Storni Drain/Sanitary Sewer Improvement Project CITY OF Project No;2015-12 CUPERTIiNo CERTIFICATE OF INSURANCE TO THE CITY OF CUPERTINO This certifies to the City of Cupertino that:the following described policies have been issued to the insured named below and.are in force at this time. Insured: Con-Quest Contractors, Inc. Address: .290 Toland Street;San Francisco,:CA 94124 Description of operations/locations/products insured(show contract name and/or number.; if any): Project No.2015-12; Bubb; Elm&McClellan Road,Storm Drain/Sanitary Sewer Improvement WORKER'S COMPENSATION Statutory Min. Employer's National Union Fire Ins.Co.of Pittsburg;Pa Liability name of insurer) 1,000;000 1,000,000 1,000,000 Insurance Company's State License No, Check Policy Type: Each Occurrence 1,000,000- COMPREHENSIVE GENERAL LIABILITY x] Premises/Operations General Aggregate. 21000;000 . if applicable) x ] Owners &=Contractors Protective- Aggregate 2,000,000 1x] Contractual for Specific Contract Personal Injury. 1,456,941 x] Products Liability X] XCU .Hazards Broad Form.P.D. Fire Dama a(any one fire $ 300;000 x] Severability of Interest Clause Personal Injury with Medical Ea ense, 5,0009jrYp Employee Exclusion Removed any one person) or Self-Insured COMMERCIAL GENERAL LIABILITY Retention 1:01000. National Union Fire Ins. Co.of Pittsburg,Pa name of insurer) Policy No. GL5388331 Expiration Date 07/01/15 City of Cupertino 00530.4 Insurance Form Bubb,Elm&McClellan Road Storm Drain/Sanitary Sewer Improvement Project Proicct No.2015-12 AUTOMOTIVE/VEHICLE LIABILITY BODILY INJURY PROPERTY DAMAGE Commercial Form Each Person Each Accident Liability Coverage Each Accident Granite State Ins.Co. dame of insurer) = or Combined Single Limit $ 1,0001000 .. CA5101698 . . . Policy No. Expiration Date . . .07/01/15 BUILDER'S RISK"ALL RISK" This is to:certify that the following.policy has been issued by the below-stated company.in conformance with the:requirements_of the project documents and'is in force at this time. N/A Name of insurer) .. Policy No. Expiration Date Limits of Liability: Deductible: A copy of aII Endorseme..nts to the policy(ies).which in any way agent'.s initial) limit the above-Listed,types.of coverage•are.attached to this. Certificate of Insurance. This Certificate of Insurance is not an.insurance- and does not.amend, extend or alter the coverage afforded by the policies Iisted herein. Notwithstanding any-requirement,.term, or condition of any contract or any other document with respect to which this Certificate of Insurance may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms,:exclusions and.conditions of such policies. IT IS HEREBY CERTIFIED that the above.policy(ies)provide liability insurance as required by:the Agreement between the City and the insured. t. Byc Dated:. `. 20 15 Attach.Certificateof insurance and Additional insured Endorsement on company forms; City of Cupertino 00530-5 Insurance Form Bubb;EILn&1vlcClellanRoa.d Storm Drain/Sanitary Sewer Improvement Project Project No.2015-12. CITY OF ADDITIONAL INSURED ENDORSEMENT and CUPERTIN6 ENDORSEMENT OF PRIMARY INSURANCE and NOTICE OF POLICY CAN CELLATION.ENDORSEMENT Prolect_Title and Number: Project Number:2015-12,Bubb; Elm,.&McCleelan Rd.,Storm Drain/Sanitary ewer improvement. rojec In consideration of the policy.premium and notwithstanding any incorisistent.statetrtetit iii the policy to which_this Endorsement is: attached .or any other Endorsement attached:thereto, it.is.agreed.as fol lows: The.City of Cupertino ("City') and its:directors; officers, engineers, agents.and ennployees.. and-all:public.agencies from whompermits will be obtained.and.their directors, officers, engineers. agents and employees, and the State of California; and its officers, agents and employees, are hereby declared to be additional insureds under -the terms of this policy, 'but only with respect to the operations of the Contractor.at or upon. any of the premises.ofthe City in connection with the Contract with the City; or acts or omissions of the additions_1 insureds in connection.with,.but limited to its general supervision;or inspection of.said operations: The insurance afforded by thispolicy is primary jnsuraiice; and no additional-insurance held or owned by the designated additional irisured(s) shall :be called upon,.to cover a. loss. under said additional policy. Cancellation Notice: .The insurance afforded by this policy shall:not be suspended, voided, canceled; reduced in coverage or in limits,.or materially altered,'except after thirty (30) days': prior written notice by certified mail, return receipt requested, has.Been given to the City.of Cupertino City'). Such;notice shall be addressed to the City as indicated:below. POLICY INFORMATION 1.. Insurance Company: National Union Fire,lns:Co..OfPittsburg,Pa.;. ._ 2, Insurance Policy Number:. GL5388331 . 3: Effective Date of this Endorsement: .. July 1 20 14 4. Insured- Con=Quest Contractors,Inc. . All notices herein provided to be given by the Insurance.Company to,the City in connection with this policy and these Endorsements, shall be mailed to or delivered to the Pty.at 10300 Torre Avenue;Cupertino,California. .95014. . I, Teri L.Koehler print/type name) City of Cupertino 0053076 Insurance Fcinn. Bubb,Ehn&McClellan Road Ston»Drain/Sanitary Sewer Improvement Project Project Nig.2015-12 warrant that 1 have authority to bind the below listed Insurance Company and by my signature hereon do so bind this Company. Signature of Authorized Representative:.. `r Original signature required on all Endorsements fUrilished to.the District) Names of Agent`/Agency: Edgewood Partners Insurance Center(EPIC) Title: S(Account Executive . 135.MainStreet,21st Floor, San Francisco, CA 94105 415-356-3965 Address:Telephone: Facsimile: .. 415-284-9941 City of Cupertino 00530-7 Insurance Form Bubb,Elm&McClellan Road Stone Drain/Sanitary Seiner Improvement Project . 0 Project Nig.2015-12 CITY OF COMPREHENSIVE GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY ENDORSEMENT OF AGGREGATE LIMITS OF CUPtERriNO. INSURANCE PER PROJECT Project Title acid Number:Project#20.15-12, Bubb, Elm&McClellan Rd.,Storm Drain/Sanitary Sewer improvement Project hi consideration of the policy premium and. notwithstanding any inconsistent statement in the policy to which this Endo rsenlent.is attached or any other Endorsement attached thereto, it is as follows:. This Endorsement inodifies the insurance provided under the General Liability Coverage part of the below-referenced policy of insurance. The general aggregate limit under LIMITS OF INSURANCE applies separately to the project described as POLICY INFORMATION 1. Insurance Company: National Union Fire Ins Co of Pittsburg, Pa. . 2. . Insurance Policy Number: GL5388331 3. Effective Date of this Endorseti ent:July 1 20 94 4. Insured:Con-Quest Contractors,,Inc: 5. Additional Insured: City of Cupertino, its directors,officers,agents and employees. All.notices herein provided to be given by the insurance Company to the City in connection with this policy and .this Endorsement, shall be mailed to or delivered to the City at 10300 Torre Avenue; Cupertino,California 9501.4. 1. Teri L.Koehler print/type name) warrant that l have authority to bind the below listed Insurance Company and by my signature hereon do so bind this Company. Signature of Authorized,Representative: Original signature required on all Endorsements furnished to the District) Names of Agent/Agency: Edgewood Partners Insurance Center(EPIC) Title:.Sr.Account Executive Address: 135 Main Street,21st Floor, San Francisco,CA 94105 Telephone: 415-356-3965 Facsimile: 415-284-9941 City of Cupertino 00530-8 Insurance Fonn Bubb,Elm&McClellan Road Storni Drain/Sanitary Sewer Improvement Project CITY•OF Project No.2015-12 WAIVER OF SUBROGATION ENDORSEMENT WORKER'S COMPENSATION INSURANCE CUPERTINO Project Tit le and Nuniber: Proiect#2015-12•.Bubb Elm .&McClellan Rd Storm Drain/Sanitaryry SewerImprovementProsect in consideration of the policy premium and notwithstanding.aily inconsistent statement in the policy to Avhich this Endorsehient is attached orally other Endorsement attached thereto,it.is agreed as follows: it is agreed that with respect to such insurance, as is afforded by the policy, the Insurance Company waives any right of subrogation against the City of Cupertino; and each of its directors, officers; agents, consultants and employees by reason of any payiiient made on account of injury, including death resulting therefrom, sustained by any employee of the insured; arising out of the perfoimance of the above-t-eferenced Contract. POLICY INFORMATION L Insur0ce,Company: National Fire Ins. Co of Pittsburg,.Pa. 2. Insurance Policy Number: WC034157337 3:. Effective Date,of this Endotseinent: . July 1 20 14. 4. Insured: - Con-Quest Contractors,Inc. All notices herein provided to be given by the insurance Company-to-the-City in connection with this policy,and this Endorsement, shall -be. mailed to or delivered to the City at 1.0300 Torre Avenue;. Cupertino,California 95.014. I Teri L.. Koehler. Print/type dame) warrant that I have authority to bind the below listed Insurance Conripany andby my signature hereon do so bind this Company: Signature of Authorized Representative: Original signature required on al I.Endorsernents furnished to the District) Names of Agent/Agency: Edgewood Partners Insurance Center(EPIC) Title: Sr.Account Executive- Address: -135 Main Street,21st Floor, San Francisco,CA 94105Telephone: 415-356-3965 Facsimile:4157284-9947 END OF DOCUMENT City of Cupertino 00530-9 Insurance Fcirm Bubb,Elin&McClellan Road Storm Drain/Sanitary Sewer Improvement Project DATE(MM/DDIYYYY) acoizn CERTIFICATE OF LIABILITY INSURANCE06/02/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LIC #OB29370 1-415-356-3989 CONTACT Tari L. KoehlerNAME: Edgewood Partners Insurance Center (EPIC) PHONEN 415-356-3965 FAX,ryo; 4C 135 Main Street, 21st Floor EMDRESS: tkoehler@edgewoodins.com San Francisco,. CA 94105 INSURERS AFFORDING COVERAGE NAIC# Requests@edgewoodins'.com INSURERA: NATIONAL UNION FIRE INS CO OF PITTS 19445 INSURED INSURER B: GRANITE STATE INS CO 23809 Con-Quest Contractors, Inc. INSURER C: INDIAN HARBOR INS CO 36940 290 Toland Street INSURER D: INSURER E: San Francisco, CA 94124 INSURER F: COVERAGES CERTIFICATE NUMBER: 44148157 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADSL SUER POLICY NUMBER MM DDY EFF POLICY EXP LTR YYYY) (MM/DD1YYYYI LIMITS A GENERAL LIABILITY X X GL5388331 07/01/1 07/01/15 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $300,000 CLAIMS-MADE Fx—]OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICYFX PRO- JECT F-]LOC B AUTOMOBILE LIABILITY X X CA5101698 07/01/1 07/01/15_ EaaccideDINED SINGLELIMIT 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident A UMBRELLA LIAB X OCCUR X X BE015157281 07/01/1 07/01/15 EACH OCCURRENCE $ 5,000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE 5,000,000 DED RETENTION$ ATU A WORKERS COMPENSATION X WC034157337 07/01/1 07/01/15 XI TORY LIMITS I O R AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE — N/A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMIT 1$ 1,000,000 C Railroad Protective LlalD US0007 77LI15A 06/01 1 1 30 15 Each Occurrence 2,000,00 Aggregate 6,000,OOOAGG DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Re: Project No. 2015-12, Bubb, Elm & McClellan Road, Storm Drain/Sanitary Sewer Improvement City of Cupertino, its officers, agents, directors, employees and volunteers are included as additional insured as respects General Liability on a primary and non-contributory basis, and Automobile Liability, per the attached endorsements. General Liability, Automobile Liability and Workers' Compensation waiver of subrogation applies in favor of the above referenced additional insureds per the attached endorsements. Excess/Umbrella follows form. 30 Days Written Notice of Cancellation for Non-Renewal and 10 Days Notice of Cancellation for Non-Payment of Premiums CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE City of Cupertino, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN its officers, agents, directors, employees and volunteers ACCORDANCE WITH THE POLICY PROVISIONS. Project No. 2015-12 10300 Torre Avenue AUTHORIZED REPRESENTATIVE Cupertino, CA 95014 USA 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD emcclure 44148157 ENDORSEMENT This endorsemenl, effective 12101 A.M. 07/01/14 forms a part of policy No., GL5388331 issued to Con-Quest Contractors; Inc. by National Union Fire Insurance Co of PA. THIS ENDORSEMENT CHANGES THE POLICY. PLEASE BEAD IT CAREFULLY. ADDITIONAL INSUNED-OWNERS, LESSEES, OR CONTf ACTORS' SCHED1JLEiD PERSON OR ORGANIZATION This endorsement modifies insurance provided underthe fallowing:" COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE NAME OF PERSON OR ORGANIZATION- "As REQUIR8D BY WRITfiE2k CORXRACT-f If no entry appears above, irif6filation required to complete this endorsement will beshown in the. Declarations as applicable to the endorsement.) A. SECTION If-WHO IS AN INSURED is amended to include as an insured;, The person or organization shown in the schedule, but only. with respect to liability arising out of your ongoing operations performed for that additional'insured. 13, With respect to the insurance afforded to these additional insureds, SECTION I -- COVERAGES, COVERAGE A ., BODILY INJURY AND PROPERTYDAMAGE LIABILITY, 2. - Exclusions, is amended to include the followingadditional exclusion; This insurance does not apply to"bodily injury'or "property damage" occurring after,* ll all work, including materials, parts or equipment furnished in conneotior with such work, on the project (other than service, me.inten.ance or repairs)to be performed by or on behalf of the additional insured(sl at the site off'the covered operations has been cornplated 'or 21 that portion of "your work" out,of which the injury or damage arises has been put to Its intended use by any person or organization other then 'another contractor or subcontractor engaged in performing operations for a principal`as a part of the same project. All other terms and conditions remain unchanged, u , tized eprese atl ou"torsi stature (in Sttes Where Applioabl81 97838 (4108) includes copyrighted material of Page 1 of 1 msuranceservices Of floe,fnc.,wsth its permission., ENDORSEMENT This endorsement, effective 12:09 A.M. 07/01/14 forms a part of policy No: GL5388331 issued topy Con-Quest Contractors, 'rnc. by National Union Fire Insurance Ca. PA THIS ENDORSEM(NT"CHANGES THE POLICY= PLEASE READ IT CAREFULLY. ADDITIONAL INSURED OWNERS, LESSEES, OR CONTRACTORS COMPLETED OPERATIONS This.endorsement modifies insurance provided under'the following:. COMMERCIAL GENERAL LIABILITY COVERAGE FORM SCHEDULE NAME OF ADDITIONAL INSURED PERSON OR ORGANIZATION: As Required by Written Contract. LOCATION AND DESCRIPTION OF COMPLETED'OPERATIONS: As Required by Written Contract. ADDITIONAL PREMIUM: If No entry appears above, information required`to complete this endorsement will be shown in-the Declarations as applicable to the endorsement.) SECTION II -WHO IS AN INSURED is amended to inciude'as an insured; The person or organization shown in the Schedule, Wt only'Wth respect to: liability,arising out of your work'"` at the location designated and described in the schedule of this endorsement;' performed for that additional insured and included irf tha "products-cornpleted.operations hazard All other.terms and..conditions remain.unchanged. jj ss Aunt r Repress titre or Countersiggnature i States Where Includes copyrighted material of Applicahlel Page.1 of 197837 {4108} 1surance Services office, inc.,vAth its permission. Policy No. GL5388331 I. STATE OR POLITICAL SUBDIVISION - PERMITS Any State or Political Subdivision, subject to the following provisions: 1. This insurance applies only with respect to operations performed by,you or on your behalf for which the state or political subdivision has issued a permit. 2. This insurance does not apply to: a. "Bodily injury," "property damage" or" personal and advertising injury" arising out of operations performed for the state or municipality; or b. "Bodily injury" or "property damage" included within the "products- completed operations hazard". 11. PRIMARY INSURANCE - ADDITIONAL INSUREDS Where persons or 'organizations have been added to your policy as additional insureds to comply with insurance requirements of written contracts mandating primary coverage for such additional insureds relative to: a) the performance of your ongoing operations for the additional insureds; or b) "your work" performed for the add,iti:onal" insureds and included in :the "products- completed operations hazard., then with respect to these ,additional insureds as defined' above in this Section only, SECTION! IV - COMMERCIAL GENERAL LIABILITY CONDITIONS; Paragraph 4. - Other Insurance, a. - Primary Insurance, is deleted in its entirety and replaced with the following: This insurance is primary over any similar insurance available to any person or organization we have added.to this policy as an additional insured to comply with insurance requirements of written contracts mandating primary coverage for such additional insureds relative to (a) the performance of your ongoing operations for the additional insureds, or (b) "your work'` performed for the additional insureds and included in the "products-completed operations: hazard. However, this insurance is primary over any other similar insurance only if the additional insured is designated as a named insured of the other similar insurance. We will not.require contribution of limits from the other similar insurance if the insurance afforded is primary. Ill. INCIDENTAL MEDICAL MALPRACTICE LIABILITY COVERAGE SECTION Ii - WHO: I5 AN INSURED, 22. a. (1) (d) is deleted in its entirety and, replaced with the following: d) Arising out of. his or herr, providing or failing to provide professional health care services, except for "bodily injury arising "out of "Incidental Medical Malpractice Injury" by any physician, dentist, nurse or other medical ,practitioner employed .or retained by you unless .such "bodily injury" is covered by another primary policy. However,the insurance provided hereunder to such persons will not apply to liability arising out of services performed outside of the scope of their duties as your employees.."'Any series of continuous, repeated or related acts will be treated as the occurrence of a single negligent professional healthcare service, which will be assignable to the same policy and policy year in which the originating act occurred. SECTION V- DEFINITIONS is amended to acid: Incidental Medical Malpractice Injury means "Bodily Injury" arising out of the rendering of or failure to render the following services: 100983 (2109) Page 3 of 7 POLICY NUMBER:cL538s331 COMMERCIAL GENERAL LIABILITY 1 CG 24 04 11 85 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. OWNERS AND CONTRACTORS PROTECTIVE LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: city of Cupertino, its officers, agents, directors,- employees and volunteers 10300 Torre Avenue Cupertino, CA 95014 USA If no entry appears above, information required to complete this endorsement will be shown in the Declarations as-applicable to this endorsement.) We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of"your work" done under a contract with that person or organization. The waiver applies only to the person or organization shown in the Schedule. CG 24 04 1195 Copyright, Insurance Services Office, Inc., 1984 POLICY#: CA5101698 COMMERCIAL AUTO CA 20 48 02 99 j THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. DESIGNATED INSURED This endorsement modifies insurance provided under the following: BUSINESS AUTO COVERAGE FORM GARAGE COVERAGE FORM' MOTOR CARRIER COVERAGE FORM TRUCKERS COVERAGE FORM With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi- fied by this endorsement. This endorsement identifies person(s) or organization(s) who are "insureds" under the Who Is An Insured Provi- sion of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form. This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below. Endorsement Effective: 07/01/14 Countersigned By: Named Insured: Con-Quest Contractors, Inc. Authorized Representative) SCHEDULE Name of Person(s) or Organization(s): city of Cupertino, its officers, agents, directors, employees and volunteers 10300 Torre Avenue Cupertino, CA 95014 USA If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.) Each person or organization shown in the Schedule is an "insured" for Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured Provision contained in Section II of the Coverage Form. CA 20 48 02 99 Copyright, Insurance Services Office, Inc., 1998 5NDORSEMENT This endorsement,efective 12:01.A.M, 07/01/14 forms a part of policy No, CA5 10 16 9 8 issued to Con-Quest Contractors,Inc. by NATIONAL UNION FIRE INSURANCE COMPANY OF PI.TTS.SURGH, PA TH18 ENDORSEMENT CHANCESI THE POLICY'PLEASE READ 17-CAREFULLY. WAIVER Or-TRANS5ER OP RIGHTS OF RECOVERY AGAINs-r mm,5 To uS This endorsement modifies insurance provided under the following, BUSINESS AUTO COVERAGE FORM Section IV- Business Auto Coridl(lonsi A; e Loss; Conditions, S. - Transfer of Rights of Flecovery. Agains-,Others to U%is amended toacfd4 However,we will vialve any right of'recover via have against any person of organization with whom you have entered into a contract or agreemenj because of payments we make under this CMraba' Form arlsind out of an"accident" or"loss' if: 1) The "accident" or 'loss" is due to operations undertaken in accordance with the contract existing; between you and such person or organization;and 2). The contractor agreement was entered into prior toany"accidefit"or'lost". NO waiver of the right of recovery will directly or indirectly apply to your employees of employees of the pernon or organizailon, and we reserve our rights or.lien to be reimbursed from any recovery funds obtained by arry injured employee, Aa4l AUTHORIZED NEPRESENTATIVE 62897(6f95) e. I WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT-CALIFORNIA This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different date is indicated below. The following"attaching clause"need be completed only when this endorsement is issued subsequent to preparation of the policy.) This endorsement,effective 12:01 AM 07/01/14 forms apart of Policy No. WC034157337 Issued to: con-Quest Contractors, Inc. By: NATIONAL UNION FIRE INS CO OF PITTS Premium: INCL We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us). You must maintain payroll records accurately segregating the remuneration of your employees while engaged in the work described in the Schedule. The additional premium for this endorsement shall be 5%of the California workers' compensation premium otherwise due on such remuneration. Schedule Person or Organization City of Cupertino, its officers, agents, directors, employees and volunteers Project No. 2015-12 10300 Torre Avenue Cupertino, CA 95014 Job Description AS REQUIRED PER WRITTEN CONTRACT" WC 04 03 06 Countersigned by Ed.4-84) Authorized Representative