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Calstate Construction - San Ysidro Park Rec. Building Remodel - Change Order No. 12City of Oilrop Public Works Department - Engineering Division 7351 Rosanna St., Gilroy, CA 95020 Phone (408) 846 -0451; Fax (408) 846 -0429 CHANGE ORDER NO. 12 To contract for: San Ysidro Park City Project No. Contractor: Calstate Construction Inc, Contract Date: 12 -PW -194 1/6/2012 This order shall become effective when it has been signed by the City Administrator, City Engineer, Project Engineer, and Contractor. All copies forwarded to Contractor for signature shall be returned to the City of Gilroy properly filled out. Upon acceptance by the City, the Contractor's copy will be returned to him as his authority to proceed with the work. Description of Work Calstate to provide lateral & longitudinal seismic restraints to the existing cold air return per the COG Building Inspector. Also to frabicate custom flashing (for the sleepers) & fitting to reconnect the existing HVAC unit on the roof. Calstate to remove existing concrete hump in the floor from demo wall transition. To supply 3 ea undercounter lights per the architects response in RFI #43. Calstate to supply and install new shutters for 5 ea window openings. Shutters to be constructed of pre - primed finger jointed V- Rustic pine. (A time extension of 2 days will be added to the contract) All requirements of the original Contract Documents shall apply to the above work except as specifically modified by this Change Order. The contract time shall not extend unless expressly provided for in this Change Order. By signing this Change Order, Contractor acknowledges and agrees that the adjustments to cost and time contained herein are in full satisfaction and accord, and are accepted as payment in full, for any and all costs and expenses associated with this Change Order, (the "Extra Work "), including but not limited to labor, materials, overhead and profit, delay, disruption, loss of efficiency and any and all other direct and /or indirect costs or expenses associated with the Extra Work and hereby waives any right to claim any further cost and time impacts at any time during and after completion of the Contract associated with the Extra Work. ► All Extra Work authorized under this Change Order must be billed separately from the original contract. All bills for work done under this Change Order shall reference this Change Order No. 12. I (We) agree to make the above change subject to the terms of this Change Order for a NET INCREASE not to exceed $11,270.76. CA -L,6�-- C f CONTRACTOR By: RECOMMENDED ACCEPTED BY: Cost Percentage Initial Original Contract Price $771,744.00 Previous Change Orders $149,693.61 19.40% Total to Date $921,437.61 This Change Order $11,270.76 Total Change Orders to Date $160,964.37 20.86% Revised Contract Price $932,708.37 Date: San Ysidro Park Recreation Bldg Remodel # 12 -PW -194 Project No. 12-001 DATE: 6/812012 San Ysidro Park #12 -PW -134 CONTRACTOR: Calstate Construction, Inc. CONTRACTOR COST PROPOSAL #: 31.1 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - PRIME CONTRACTOR DESCRIPTION OF CHANGE: KVAC repairs per FO#23 and RFI#42 Optlon A MATERIAL + 15% $0.00 LABOR + 15% $188.60 EQUIPMENT + 15% $0.00 PRIME CONTRACTOR TOTAL ;188.80 Sub Contractor Costs from Attached Cost Proposal(s) SUBCONTRACTOR SUBTOTAL DIRECT COSTS $6,020.00 PRIMARY 5% FEE ON SUBCONTRACTORS COST $301.00 SUBCONTRACTOR TOTAL FEE $6,321.00 PRIME TOTAL 31 88.60 SUBTOTAL COR $6,509.60 BOND ( not to exceed 2% of sub total) $ 130.19_ TOTAL 1 $6,639.79 PREPARED 8 SUBMITTED BY: Jim Lyons COMPANY: Calstate Construction, Inc. TITLE: PM Cost Proposal V-0.1 Optlon A MATERIAL + 15% $0.00 LABOR + 15% $188.60 EQUIPMENT + 15% $0.00 PRIME CONTRACTOR TOTAL ;188.80 Sub Contractor Costs from Attached Cost Proposal(s) SUBCONTRACTOR SUBTOTAL DIRECT COSTS $6,020.00 PRIMARY 5% FEE ON SUBCONTRACTORS COST $301.00 SUBCONTRACTOR TOTAL FEE $6,321.00 PRIME TOTAL 31 88.60 SUBTOTAL COR $6,509.60 BOND ( not to exceed 2% of sub total) $ 130.19_ TOTAL 1 $6,639.79 PREPARED 8 SUBMITTED BY: Jim Lyons COMPANY: Calstate Construction, Inc. TITLE: PM Cost Proposal San Ysidro Park Recreation Bldg Remodel 912 -PW -194 Project No. 12 -001 DATE: 6MO12 San Yaldro Park #12-PW -194 CONTRACTOR: Calstate Constriction, Inc. CONTRACTOR COST PROPOSAL #: 81.1 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - SUBCONTRACTOR CONTRACTOR DESCRIPTION OF CHANGE: HVAC resin per F0#23 and RFw42 MATERIAL LABOR EQUIPMENT SUBTOTAL DIRECT COSTS FEE ON DIRECT COSTS (15%) SUBCONTRACTOR SUBTOTAL Third and Fourth Tier Sub Contractor Costs from Attached Cast Proposal SUBCONTRACTOR SUBTOTAL TOTAL PREPARED & SUBMITTED BY: Jim Lyons - CSCI COMPANY: Universal TITLE: optbl a $0.00 $0.00 $0.00 $0.00 $0.00 56,020.00 $7,274.00 Proposed Cost Proposal Subcontractor FOOTHILL MECHANICAL To: Cal state C.E. No. 4 Job No. Date: 07- Jun -12 Attn: jerod Job Name: San Ysidro Reference: F023 A. Materials/Equipment: $40.00 B. Sales Tax @8.25 %: $3.00 C. Direct Labor $1,024.00 D. Indirect Labor: $0.00 E. Equipment/Tools: $61.00 F. Subtotal (A thru E) ............................................ ............................... G. Overhead: 10% (of F) $112.00 H. Subtotal (F & G) .............................................. ............................... I. Subcontracts: J. Overhead: 5% (of 1) K. Subtotal (I & J) ........................................... ............................... L. Subtotal (H & K) .................................................... ............................... M. Profit: 5% (of L) $62.00 N. Subtotal (L & M) ....................................................... ............................... O. Bond Premium: (of N) $0.00 P. Service Reserve: (of N) $0.00 Q. Other (of N) $0.00 R. TOTAL CHANGE ESTIMATE: X ADD CREDIT S. Exclusions: T. Quotation is valid for days. U. days extension of contract time required. V. We are proceeding with this work per your authorization. W. X Please forward confirming Change Order. $1,128.00 $0.00 $0.00 $0.00 Project Manager cc: $1,240.00 $1,240.00 $1,302.00 $1,302.00 FOOTHILL MECHANICAL C.E. No. 4 Job No. 0 Date: 07- Jun -12 Direct Labor (Includes Benefits): Sheet Metal Journeyman: 0.00 MH x $124.00 per MH $0.00 Sheet Metal Foreman: 8 MH x $128.00 per MH $1,024.00 Piping Journeyman: 0 MH x $124.00 per MH $0.00 Piping Foreman: 0 MH x $124.00 per MH $0.00 Engr /Drafting: 0 MH x $124.00 per MH $0.00 TOTAL DIRECT LABOR COSTS: $1,024.00 Indirect Labor: Travel Cost: ................................................................... $0.00 Subsistence Cost: ............................................................ $0.00 Premium Labor Cost: ............................................................ $0.00 Parking/Bridge Cost: ........................................................... $0.00 $0.00 TOTAL INDIRECT LABOR COST: $0.00 Ecuioment/Tool Tools/Consumables - 6% of Total Labor .................. ............................... $61.44 TOTAL EQUIPMENT/TOOLS COST: $61.44 Subcontracts: EquipmentRental :............................... ............................... $0.00 Thermal Insulation: ............................................................. $0.00 Controls: ............................................................................... $0.00 Plumbing: .............................................................................. $0.00 TOTAL SUBCONTRACT COSTS: $0.00 FOOTHILL MECHANICAL C.E. No. r Job No. i Date: 07- Jun -12 Equip ment & Material Material ($) Labor hrs Item Code Description Quant Unit Total Unit Total 1. fabricate and weld seismic $0.00 0.00 2. bracing 1 40 $40.00 3 3.00 3. $0.00 0.00 4. install seismic bracing $0.00 5 0.00 5. $0.00 0.00 6. $0.00 0.00 7. $0.00 0.00 8. $0.00 0.00 g. $0.00 0.00 10. $0.00 0.00 11. $0.00 0.00 12. $0.00 0.00 13. $0.00 0.00 14. $0.00 0.00 15. $0.00 0.00 16. $0.00 0.00 17. $0.00 0.00 18. $0.00 0.00 19. $0.00 0.00 20. $0.00 0.00 21. $0.00 0.00 22. $0.00 0.00 23. $0.00 0.00 24, $0.00 0.00 25. $0.00 0.00 26. $0.00 0.00 27. $0.00 0.00 28. $0.00 0.00 29. $0.00 0.00 30. $0.00 0.00 31. $0.00 0.00 32. $0.00 0.00 33. 1 $0.00 1 0.00 f OTALS: $40.00 3.00 FOOTHILL MECHANICAL To: Cal State C.E. No. 3 revised Job No. Date: 07- Jun -12 Attn: Jared Perry Job Name: San Ysidro Reference: F023 A. Materials/Equipment: $415.00 B. Sales Tax @8.25 %: $34.00 C. Direct Labor: $3,432.00 D. Indirect Labor: $0.00 E. Equipment/Tools: $205.00 F. Subtotal (A thru E) ............................................ ............................... G. Overhead: 10% (of F) $408.00 H. Subtotal (F & G) .............................................. ............................... I. Subcontracts: J. Overhead: 5% (of 1) K. Subtotal (1 & J) ........................................... ............................... L. Subtotal (H & K) .................................................... ............................... M. Profit: 5% (of L) $224.00 N. Subtotal (L & M) ....................................................... ............................... 0. Bond Premium: (of N) $0.00 P. Service Reserve: (of N) $0.00 Q. Other (of N) $0.00 R. TOTAL CHANGE ESTIMATE: X ADD CREDIT S. Exclusions: T. Quotation is valid for days. U. days extension of contract time required. V. We are proceeding with this work per your authorization. W. X Please forward confirming Change Order. $4,086.00 $0.00 $0.00 $0.00 Project Manager cc: $4,494.00 $4,494.00 $4,718.00 $4,718.00 FOOTHILL MECHANICAL C.E. No. 3 Job No. 0 Date: 07- Jun-12 Direct Labor (includes Benefits): Sheet Metal Journeyman: 6.00 MH x $124.00 per MH $744.00 Sheet Metal Foreman: 17 MH x $128.00 per MH $2,176.00 Piping Journeyman: 0 MH x $124.00 per MH $0.00 Piping Foreman: 0 MH x $124.00 per MH $0.00 Engr /Drafting: 4 MH x $128.00 per MH $512.00 TOTAL DIRECT LABOR COSTS: $3,432.00 Indirect Labor: TravelCost: ................................................................... $0.00 Subsistence Cost: ............................................................ $0.00 Premium Labor Cost: ............................................................ $0.00 Parking/Bridge Cost: ........................................................... $0.00 $0.00 TOTAL INDIRECT LABOR COST: $0.00 Eauioment/Tools: Tools /Consumables - 6% of Total Labor .................. ............................... $205.92 TOTAL EQUIPMENTITOOLS COST: $205.92 Subcontracts: Equipment Rental: .............................................................. $0.00 Thermal Insulation: ............................................................. $0.00 Controls: ............................................................................... $0.00 Plumbing: .............................................................................. $0.00 TOTAL SUBCONTRACT COSTS: $0.00 FOOTHILL MECHANICAL C.E. No. ; Job No. Date: 07- Jun -12 Equi mant & Material Material $ Labor hrs Item Code Description Quant Unit Total Unit Total 1. fab 4 new fittings 4 98 $392.00 2.75 11.00 2. install new fittings 4 $0.00 2 8.00 3. measure and detail fittings 4 $0.00 1.00 4.00 4. install new range hood duct 1 23 $23.00 4 4.00 5. $0.00 0.00 6. $0.00 0.00 7. $0.00 0.00 8. $0.00 0.00 9. $0.00 0.00 10. $0.00 0.00 11. $0.00 0.00 12. $0.00 0.00 13. $0.00 0.00 14. $0.00 0.00 15. $0.00 0.00 16. $0.00 0.00 17. $0.00 0.00 18. $0.00 0.00 19. $0.00 0.00 20. $0.00 0.00 21. $0.00 0.00 22. $0.00 0.00 23. $0.00 0.00 24. $0.00 0.00 25. $0.00 0.00 26. $0.00 0.00 27. $0.00 0.00 28. $0.00 0.00 29. $0.00 0.00 30. $0.00 0.00 31. $0.00 0.00 32. $0.00 0.00 33. $0.00 0.00 TOTALS: $415.00 27.00 REQUEST FOR INFORMATION /'''�r NO: 00042 i..�s a l� s 0. t o Poe I of 1J12 Pape: 1 of 7 CONSTRUCTION INC. SUBJECTStrappIng d Cold Ah Return DATE: 0612512 PRIORrTY: Normal STATUE: Submitted JOB: San Ysidro Park Recreation (#12 -001) C -0. V.- NIA Prejed No.12 -PW -184 TRACK 0., NIA T700 MurrayAve Glh % CA 85020 ' TO: Judy Namir►g FROM: Jared Perry Inc Catstate Construction, Inc. W Reliex Station Rd P:610.667.1800 F :610.65+7.1810 Larayatie, CA 845" 4165 Buslrwo Center Drive Fremont, CA 04538 The axWhg cold air return is scrapped with flat sheet metal strapping end tt�e lospactor mentioned ftati this needs to be t gmmd. See attaohad picture of the cold air rehrrn and advise If an upgrade Is needed. �• g am L �n a o Hap �z • e. �t+i z a N CA .. z rn .. .fl Co o N p P N Qv v -- A � S v Project Name: San Ysidro Park Recreation Building City Of Gilroy 7387 Rosanna Street Gilroy, CA 95020 FIELD ORDER FIELD ORDER NO. 23 Project Name: San Ysidro Park Recreation Contract Date: 01/06/2012 To Contractor: Calstate Construction Inc Address: 4165 Business Center Dr. Fremont CA 94538 DESCRIPTION OF WORK: Project No: 12-PW -194 5/24/12 To reconnect existing HVAC ducting to the main supply line that was removed to repair the dryrott conditions on the roof. Supply and install exhaust duct to new range hood at kitchen. Install seismic restraints to the existing supply line as per the COG Building Inspector. Estimated Adjustment of Contract Sum: Ron Barri / PM (Name of Construction Manager/Title - typed or printed) By: (Signature) Date: 5/10/2012 Jared Perry / Project Manager (Name of Contractor Representativdritle - typed or printed) (Signature) Date: Estimated Adjustment of Contract Time: Note: This Field Order will be superseded by an allowance adjustment or a Change Order that will include the scope of the change in the Work and any actual adjustments of the Contract Sum. San Ysidro Park Recreation Bldg Remodel # 12 -PW -194 Project No. 12-001 DATE: 6/1512012 San Yaidro Park 912 -PW 194 CONTRACTOR: Calstate Construction, Inc. CONTRACTOR COST PROPOSAL #: 32.1 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - PRIME CONTRACTOR DESCRIPTION OF CHANGE: Under cabinet lights per RFW43 Option A MATERIAL + 15% $0.00 LABOR + 15% $188.60 EQUIPMENT + 15% $0.00 PRIME CONTRACTOR TOTAL 1 $188.60 Sub Contractor Costs from Attached Cost Proposal(s) SUBCONTRACTOR SUBTOTAL DIRECT COSTS $562.88 PRIMARY 5% FEE ON SUBCONTRACTORS COST 1 $28.14 SUBCONTRACTOR TOTAL FEE $591.02 PRIME TOTAL $188.60 SUBTOTAL COR $779.62 BOND ( not to exceed 2% of sub total) $ 15.59 TOTAL 1 $795.21 PREPARED & SUBMITTED BY: Jim Lyons COMPANY: Calstate Constructon, Inc. TITLE: PM Cost Proposal San Ysidro Park Recreation Bldg Remodel Al 12 -PW -194 Project No. 12 -001 DATE: 8/15/2012 San Ysidro Park #12 -PW194 CONTRACTOR: Calstate Construction, Inc. CONTRACTOR COST PROPOSAL #: 92.1 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - SUBCONTRACTOR CONTRACTOR DESCRIPTION OF CHANGE: Under esbk* lights perRFI#43 MATERIAL LABOR EQUIPMENT SUBTOTAL DIRECT COSTS FEE ON DIRECT COSTS (15 %) SUBCONTRACTOR SUBTOTAL Third and Fourth Tier Sub Contractor Costs from Attached Cast Proposal SUBCONTRACTOR SUBTOTAL TOTAL PREPARED & SUBMITTED BY: Jim Lyons - CSCI COMPANY: Universal TITLE: Option e $582.88 $0.00 $0.00 $582.88 $0.00 Ss62.ae Ss82.88 Proposed Cost Proposal Subcontractor - MATERIAL LABOR EQUIPMENT SUBTOTAL DIRECT COSTS FEE ON DIRECT COSTS (15 %) SUBCONTRACTOR SUBTOTAL Third and Fourth Tier Sub Contractor Costs from Attached Cast Proposal SUBCONTRACTOR SUBTOTAL TOTAL PREPARED & SUBMITTED BY: Jim Lyons - CSCI COMPANY: Universal TITLE: Option e $582.88 $0.00 $0.00 $582.88 $0.00 Ss62.ae Ss82.88 Proposed Cost Proposal Subcontractor OEPT ELECTECAL SERWCE 330 SAN TROPEZ DR. HOLLISTER, CA 95023 PH: 831 - 524 -6416 FAX: 877- 216 -1419 ATTN: CAL STATE CONSTRUCTION PROJECT: SAN YSIDRO PARK UNDER CABINET LIGHTS FIXTURES $280.54 (MATERIAL ONLY) POWER TO HOOD CONDUIT, FITTINGS, WIRE, RECEPTACLE $45 LABOR 2 HRS @ $118.67= $237.34 TOTAL $282.34 1 cbZ. $S San Ysidro Park Recreation Bldg Remodel # 12 -PW -194 Project No. 12 -001 DATE: 6/14/2012 San Ysidro Park 912 -PW -194 CONTRACTOR: Calstate Constriction, Inc. CONTRACTOR COST PROPOSAL M 34 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - PRIME CONTRACTOR DESCRIPTION OF CHANGE: Caistaft to remove hump in concrete per F0#24 Optlon A MATERIAL + 16% $0.00 LABOR + 15% $188.60 EQUIPMENT + 15% $0.00 PRIME CONTRACTOR TOTAL $188.80 Sub Contractor Costs from Attached Cost Proposal(s) SUBCONTRACTOR SUBTOTAL DIRECT COSTS I $650.00 PRIMARY 5% FEE ON SUBCONTRACTORS COST $32.50 SUBCONTRACTOR TOTAL FEE $682.50 PRIME TOTAL 186.60 SUBTOTAL CDR $871.10 BOND ( not to exceed 2% of sub total) $ 17.42 TOTAL 1 $888.52 PREPARED 8 SUBMITTED BY: Jim Lyons COMPANY: Calstate Construction, Inc. TITLE: PM Cost Proposal San Ysldro Park Recreation Bldg Remodel # 12 -PW -194 Project No. 12 -001 DATE: 6/14/2012 San Ysldro Park #12 -PW -194 CONTRACTOR: Calstate Construction, Inc. CONTRACTOR COST PROPOSAL #: 34 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - SUBCONTRACTOR CONTRACTOR DESCRIPTION OF CHANGE: Caletxe to remove hump in wroreee per F0024 MATERIAL LABOR EQUIPMENT SUBTOTAL DIRECT COSTS FEE ON DIRECT COSTS (15%) SUBCONTRACTOR SUBTOTAL Third and fourth Tier Sub Contractor Costa from Attached Cost Proposal SUBCONTRACTOR SUBTOTAL TOTAL PREPARED & SUBMITTED BY: Jim Lvons - CSCI COMPANY: Universal TITLE: Upton 5 $0.00 $650.00 $0.00 $650.00 $0.00 ss!w.00 5650.00 Proposed Cost Proposal Subcontradnr WHEELER'S FLOORING AMERICA 500 North Main Street, Salinas, CA 93901 Phone: 831 -424 -1839 Fax: 831 -424 -1619 California State Contractor No. 468808 June 14, 2012 To: Calstate Construction, Inc. 4165 Business Center Drive Fremont, CA 94538 P: 510.657.1800 F: 510.657.1810 Attn: Jared Perry Re: Change Order Request San Ysidro Park Recreation Building Gilroy, CA Time and material to grind concrete slab where wall was removed. Total $650.00 • Price is based on prevailing wage rates. Quote approved by: Please sign and fax to 831 -424 -1619. Quote prepared by: Devin Podeszwa Project Name: San Ysidro Park Recreation Building City Of Gilroy 7387 Rosanna Street Gilroy, CA 95020 FIELD ORDER FIELD ORDER NO. 24 Project Name: San Ysidro Park Recreation Contract Date: 01/06/2012 To Contractor: Calstate Construction Inc Address: 4165 Business Center Dr. Fremont CA 94538 DESCRIPTION OF WORK: Calstate to remove hump in concrete (bushing) at kitchen from removed wall transition. Estimated Adjustment of Contract Sum: Ron Ban i / PM (Name of Construction Manager/Title - typed or printed) By: (Signature) Date: 5/24/2012 Jared Perry / Project Manager (Name of Contractor Representative/Title - typed or printed) (Signature) Date: Project No: 12 -PW -194 5/24/12 Estimated Adjustment of Contract Time: Note: This Field Order will be superseded by an allowance adjustment or a Change Order that will include the scope of the change in the Work and any actual adjustments of the Contract ,Sum. San Ysldro Park Recreatlon Bldg Remodel # 12 -PW -194 Project No. 12 -001 DATE: 8/19/2012 San Ysidro Parts 912 -PW -194 CONTRACTOR: Calstate Construction, Inc. CONTRACTOR COST PROPOSAL #. 35 POTENTIAL CHANGE ORDER (PCO) - COST PROPOSAL - PRIME CONTRACTOR DESCRIPTION OF CHANGE: Ft*5) New Shutters Per Ron Barri ITEM DESCRIPTION MATERIAL sales tax Included LABOR (fully encumbered QUANTITY UNIT UNIT COST EXTENSION QUANTITY HOURS RATE EXTENSON QUANTITY UNIT COST EXTENSION SupM#LaypuVC=dInaW worWubs 0 0 $ 2 $82.00 $164.00 0 $0.00 3 Camter 12 $82.00 $W.00 Pei 150 $ 250.00 Hardware $75 Lumber 1,056.75 SUBTOTAL $ 1,281.75 $ 1,398.00 $ - MARK -UP I $ 209.70 IS $ TOTALS $ 1,281.75 $ 1,607.70 Option A MATERIAL + 15% $1,281.75 LABOR + 15% $1,807.70 EQUIPMENT + 15°% $0.00 PRIME CONTRACTOR TOTAL I $2,889.45 Sub Contractor Costs from Attached Cost Proposal(s) SUBCONTRACTOR SUBTOTAL DIRECT COSTS $0.00 PRIMARY 5% FEE ON SUBCONTRACTORS COST $0.00 SUBCONTRACTOR TOTAL FEE $O.DO PRIME TOTAL $2,889.45 SUBTOTAL COR $2,889.45 BOND ( not to exceed 2% of sub total) $ 57.79 TOTAL 1 $2,947.24 PREPARED & SUBMITTED BY: Jim LYOns COMPANY: Calstate Construction, Inc. TITLE: PM Cost Proposal G O L D E N S TAT E 38801 Cherry Street L U M B E R Newark, California 94560 510 -818 -1000 Del To: 7700 MURRAY AVE XST -ADAMS CT GILROY, CA, 95020 Bill To: Calstate Const Inc 4165 Business Center Dr Fremont, CA, 94538 Quotation Quote No 49455 Quote Date 05/1912012 Explratlpn Date 0711912012 Customer 17383 Cust Reference Job code 112- 4CAI.S004 Delivery By 06/19/2012 Contact Contact Phone Taken By Bob Whelan Sales Rep Bob Whelan I �II� II ill IIIIIlIIII VIII I�� 1!11!111 ICI ICI IIII Page 1 of 1 Total Ship Units: 293 bf 0 If 0 sf 0 as Signature Purchaser agrees to be bound by all the terms and conditions located at " http:// www. goldenstatelumber .com /gsterms.aSpx" or ask your local branch for a copy, which may be modified from time to time. t x p 4 jk�' �' d '�� P'�'Y�� 9 YI #�Y �3"$�°� ..o F 3 .d .1Y1FN..�i .nro4v�p'j yy y 'W » .r kk+ Y ra r ". �4. '�iJ ',5' ISKL!s„5.+: Ww i �' fi�d4f;wm� M 1 26PP 272 2 X 8 PRIMED RAD FJ PINE 8182E 272.000 3338.080 mbf 907.40 17/18 2 16PP 32 1 X 6 PRIMED RAD FJ PINE S1S2E 18.000 3240,000 mbf 51.84 We 3 14PP 16 1 x4 PRIMED RAD FJ PINE SISK 5.333 3181.910 mbf 16.97 1/1e Total Ship Units: 293 bf 0 If 0 sf 0 as Signature Purchaser agrees to be bound by all the terms and conditions located at " http:// www. goldenstatelumber .com /gsterms.aSpx" or ask your local branch for a copy, which may be modified from time to time. p OP ID: YV ,a►`coRO° CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDJYYW) E(MMID IY 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 408_288-6262 Barlocker Ins. Svs. -San Jose 408- 298 -7635 Lie. #0580438 1330 S. Bascom Ave. San Jose, CA 95128 Nicholas A Weintraub NAME, PHONE AJC, No): AJC No Ezt : Ea' 'ADDRESS: PRODUCER CALST01 CUSTOMER ID 1. INSURERS) AFFORDING COVERAGE NAIC i INSURED CalState Construction, Inc. 4165 Business Center Drive Fremont, CA 94538 -6182 INSURERA: Kinsale Insurance Company 38920 INSURER B: Allied Insurance Co. 42579 INSURER c: Everest National Insurance Co. 10120 INSURER D: EACH OCCURRENCE INSURER E A INSURER F : X rn%xR GE-5 CERTIFICATE NUMBER: 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 LTR TYPE OF INSURANCE ADDL =1 POLICY NUMBER POLICY EFF MMIDDIYYYY POLICY EXP MM1DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY X X 01 000052620 04/01/12 04101/13 PREMISES Ea occurrence $ 100,00 MED EXP (Any one person) $ 5,00 CLAIMS -MADE FX7 OCCUR PERSONAL & ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,00 $ POLICY X R,'CT F7 LOC B AUTOMOBILE X LIABILITY ANY AUTO CP7833765065 11121/11 11121112 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS HIREDAUTOS PROPERTY DAMAGE (Peraccident) $ $ NON -OWNED AUTOS UMBRELLA LIAR X OCCUR I EACH OCCURRENCE $ 3,000,00 AGGREGATE $ 3,000,00 A X EXCESS LIAB CLAIMS -MADE 01000052560 04101112 04/01/13 DEDUCTIBLE $ $ RETENTION $ C WORKERS COMPENSATION AND EMPLOY ERS'LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE OFFICERIMEMBER EXCLUDED? ❑ (Mandatory In NH) N/A 7600003953111 11101/11 11/01/12 X I WC STATU- OTH- TORY LIM ITS ER EL EACH ACCIDENT $ 1,000,00 E.L. DISEASE - EA EMPLOYEE $ 1,000,00 E.L. DISEASE - POLICY LIMIT $ 1,000,00 If ves, describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS 1 VERCLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) The City of Gilroy, Its officials, and employees are named as additional Insured per GL forms CG2010 & CG2037 attached. RE: San Ysldro Park Recreation Building Project12 -PW -194 7700 Murray Ave Gilroy Ca 95020 GL Waiver of Subrogation applies 8r attached. r CGT=reTC ILI nFR CANCELLATION CITYGIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE PALL BE DELIVERED IN The City of Gilroy ACCORDANCE VATH THE POLICY PROVISIONS. 7351 Rosanna Street AUTHORIZED REPRESENTATIVE Gilroy, CA 95070 =!= ©1988 -2009 ACORD CORPORATION. All rights reserved. ACORD 25 (2009109) The ACORD name and logo are registered marks of ACORD THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS —SCHEDULED PERSON OR ORGANIZATION Attached To and Forming Part of Policy Effective Date of Endorsement I Named Insured 0100005262 -0 X4,01112 12:01AM at the Named Insured ad- CalState Construction Inc dress shown on the Declarations Additional Premium: Return Premium: $0.00 $0.00 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Locations Of Covered Operations Blanket, as required by written contract. The City of Gilroy, its officials, and employees Information required to complete this Schedule, if not shown above, will be shown in the Declarations. A. Section II — Who Is An Insured is amended to include as an additional insured the person(s) or organiza- tions) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "per- sonal and advertising injury" caused, in whole or in part, by: 1. Your acts or omissions; or 2. The acts or omissions of those acting on your be- half; in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above. B. With respect to the insurance afforded to these addi- tional insureds, the following additional exclusions ap- ply: This insurance does not apply to "bodily injury" or "property damage" occurring after: 1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or re- pairs) to be performed by or on behalf of the addi- tional insured(s) at the location of the covered op- erations has been completed; or 2. 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 than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project. CG 2010 07 04 0 150 Properties, Inc., 2004 Page 1 of 1 THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. ADDITIONAL INSURED — OWNERS, LESSEES OR CONTRACTORS — COMPLETED OPERATIONS Attached To and Forming Part of Policy Effective Date of Endorsement Named Insured 0100005262 -0 04/01/12 12;01AM at the Named Insured CalState Construction Inc address shown on the Declarations Additional Premium: Return Premium: $0.00 $0.00 This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations As Required By Written Contract, Excludes All New Residential Construction. The City of Gilroy, its officials, and employees "Your work" does not include "New Residential Construc- tion", which means any building or structure not previously occupied and designed or intended for occupancy in whole are in part as a residence by any person or persons. information required to complete this Schedule, if not shown above, will be shown in the Declarations. Section 11— Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location desig- nated and described in the schedule of this endorsement performed for that additional insured and included in the "products- completed operations hazard ". CG 20 37 07 04 0 ISO Properties, Inc., 20D4 Page 1 of 1 M THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Attached To and Farming Part of Policy Effective Date of Endorsement loomed Insured 0100005262 -0 o4tow2 12:01AM at the Named Insured CalState Construction Inc address shown on the Declarations Additional Premium: Return Premium: $0.00 $0.00 This endorsement modifies Insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PRODUCTS /COMPLETED OPERATIONS LIABILITY COVERAGE SECTION IV — CONDITIONS, 8. Transfer of Rights of Recovery against Others to Us is amended by the addition of the following: We waive any right of recovery we may have against persons or organizations because of payments we make for injury or damage arising out of "your work" done under a written contract with that person or organization wherein you have agreed to provide this waiver. The City of Gilroy, its officials, and employees ALL OTHER TERMS AND CONDITIONS OF THE POLICY REMAIN UNCHANGED, CAS4002 0110 Page 1 of i