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Exhibit A- 1 <br /> Public Works Services Dept. <br /> Account Receivable Request for Work Performed <br /> Date: September 21 , 2016 Employee Submitting Request: Eduardo Pastrano <br /> Department: Public Works Services Section: Stormwater <br /> Fund and Account Number: 261 -34872-2568 Amount: $28,755.60 <br /> Bill To Name, Address, Phone Number: <br /> Attn: Azalea A.Mitch, P.E. Senior Civil Engineer <br /> Name: City of Menlo Park <br /> Address: 701 Laurel Street, Menlo Park, CA 94025 <br /> Phone: (650) 330-6742 <br /> Description of Charges: <br /> The proposed work shall consist of the removal of debris, vegetation, and roots from the side banks of the Atherton Channel(Channel) <br /> located in Menlo Park.The work shall be limited to the side banks and no sediment shall be removed from the bottom of the Channel. <br /> Work estimated to be completed in 10 hour increments on each of the following days: 10/08/16, 10/09/16 and 10/15/16, 10/16/2016 <br /> Cost Breakdown: <br /> Personnel Hrs X Rate Total Contractor Hrs X • Rate Total <br /> Lead PW Maint. Worker 40.00 $ 163.00 6,520.00 <br /> PWMW II 40.00 $ 163.00 6,520.00 _ <br /> PWMW II 40.00 $ 163.00 6,520.00 <br /> PWMW II 40.00 $ 163.00 6,520.00 <br /> TOTAL PERSONNEL COSTS: $26,080.00 TOTAL CONTRACTOR COSTS: $0.00 <br /> Equipment Hrs X Rate Total Materials Unit/ Ton/ Gallon/ Lbs X Rate Total <br /> Crane Truck 40 34.68 $1 ,387.20 $0.00 <br /> Clam Attachment 40 4.04 $161 .60 <br /> Utility Truck 40, 28. 17 $1 ,126.80 <br /> TOTAL EQUIPMENT COSTS: _ $2,675.60 TOTAL MATERIAL COSTS: $0.00 <br /> Note. Based on CalTrans Equipment Rental Rate Schedule effective on April 1 . 2016 through March 31_2017 <br /> Other Services / Activities Hrs/Unit X Rate Total Comments <br /> 0.00 <br /> 0.00 <br /> 0.00 <br /> TOTAL OTHER SERVICES / ACTIVITIES COSTS: $0.00 <br /> Personnel Total $26,080.00 Other Comments: <br /> Contractor Total $0.00 THIS ESTIMATE COVERS LABOR AND <br /> Equipment Total $2,675.60 EQUIPMENT TO CLEAN THE CHANNEL. <br /> Material Total $0.00 MENLO PARK WILL HAUL AND DISPOSE OF <br /> Other Services / Activities Total $0.00 DEBRIS. <br /> Grand Total for Work Performed: $28,755.60 <br /> REV: 09-29-16 VR <br /> ATTY/AGR/2016.286/CITY OF MENLO PARK — ATHERTON CHANNEL MAINTENANCE <br />