HomeMy WebLinkAboutA7164 - MATICH CORPORATION - 2018 Pavement RehabCITY OF PALM SPRINGS
CONTRACT CHANGE ORDER
To: Matich Corporation
P.O. Box 10
Highland, OA 92346
P (909)382-7400
F (909)382-0169
Attn: George Fonville
February 7, 2019
Project No: 18-01
Project: 2018 Pavement Rehabilitation
Change Order No: 02
Purchase Order: 19-0758
Account: 133-4298-50251
133-4298-50299
133-4498-50225
134-4498-50242
135-4370-55000
260-4493-50812
260-4500-59464
261-4490-50812
CHANGES IN WORK:
Sunrise Way - Via Escuela to Racquet Club Rd & Francis Or to San Rafael Rd
This change order provides for Extra Work at Agreed Unit Prices for the completion of additional cold-milling at
a 2-inch depth, installation of AC overlay, removal and replacement of ADA curb ramps, installation of
pavement markings, and the adjustment of water valves, manholes, and survey monuments. Below is a
breakdown of the additional costs for this change. Price listed below is inclusive of all costs and markups.
Item No.Item Description Quantity Unit Price Total
2-1 Mobilization 1 LS $36,620.00/LS $36,620.00
2-2 Water Pollution Control 1 LS $6,300.00/LS $6,300.00
2-3 Traffic Control 1 LS $21.000.00/LS $21,000.00
2-4 Cold Plane AC Pavement - 2" depth 189,053 SF $0.40/SF $75,621.20
2-5 2" AC Overlay 2,311.37 Ton $68.00/Ton $157,173.16
2-6 Striping and Signage 1 LS $28,380.00/LS $28,380.00
2-7 Adjust Water Valves 20 EA $1,000.00/EA $20,000.00
2-8 Adjust Sewer Manholes 16 EA $850.00/EA $13,600.00
2-9 Survey Monuments 5EA $1,500.00/EA $7,500.00
2-10 Remove and Replace Curb Ramps - Small 2EA $2,900.00/EA $5,800.00
2-11 Remove and Replace Curb Ramps - Large 13EA $4,800.00/EA $62,400.00
Subtotai $434,394.36
Contract Change Order No. 02
February 7, 2019
Page 2
East Palm Canyon Drive - Drainage Improvements
This change order provides for Extra Work at Agreed Lump Sum Price for the completion of drainage
improvements on East Palm Canyon Drive, East of Araby Rd. Work includes sawcutting, removal of existing
asphalt and berm, installation of base, and installation of asphalt pavement and AC dike. Price is inclusive of
all costs and markups.
Item
No.
Item Description Quantity Unit Price Total
2-12 East Palm Canyon Drainage Improvements 1 LS $24,804.00/LS $24,804.00
Subtotal $24,804.00
Base Bid - Contract Quantity Adjustments
This change order provides for contract quantity adjustments for Additive Bid Alternative B as indicated below.
Item
No.
Item Description Quantity Unit Price Total
6 Roadway Pulverization +1,775 SF $0.20/SF $355.00
8 Pulverized Base Material +1,775 SF $0.15/SF $266.25
9 2" Cold Mill AC Pavement +9,200 SF $1.15/SF $10,580.00
10 2" Asphalt Concrete Overlay Type C2
+132.88
Ton
$80.00/Ton $10,630.40
11 Asphalt Concrete Type C2 (Depth 2.5")+206.73
Ton
$63.00/Ton $13,023.99
12 Asphalt Concrete Type C2 (Depth 3")-256.89 Ton $63.00/Ton ($16,184.07)
13 Remove and Reconstruct Curb Ramp Type A -1 EA $3,400.00/EA ($3,400.00)
14 Remove and Reconstruct Curb Ramp Type B -2EA $3,400.00/EA ($6,800.00)
17 Install Type E Vehicle Detection Loop -1 EA $340.00/EA ($340.00)
Subtotal $8,131.57
Base Bid - Adjustment of Compensation at Agreed Lump Sum
This change order provides an Adjustment of Compensation at Agreed Lump Sum for unused field orders item:
Item
No.
Item Description Quantity Unit Price Total
19 Field Orders -1 LS $101,696.27/LS ($101,696.27)
Subtotal ($101,696.27)
Contract Change Order No. 02
February 7, 2019
Page 3
Additive Bid Alternate A - Contract Quantity Adjustments
This change order provides for contract quantity adjustments for Additive Bid Alternative B as indicated below.
Item
No.
Item Description Quantity Unit Price Total
6 Roadway Pulverization -382 SF $0.20/SF ($76.40)
8 Pulverized Base Material -382 SF $0.16/SF ($61.12)
9 Asphalt Concrete Type 02 (Depth 2.5")+278.73 Ton $63.00/Ton $17,559.99
10 Asphalt Concrete Type C2 (Depth 3")-1.59 Ton $64.00/Ton ($101.76)
13 Remove and Reconstruct Curb Ramp Type A +1 EA $3,400.00/EA $3,400.00
14 Remove and Reconstruct Curb Ramp Type B +2EA $3,400.00/EA $6,800.00
Subtotal $27,520.71
Additive Bid Alternate A - Adjustment of Compensation at Agreed Lump Sum
This change order provides an Adjustment of Compensation at Agreed Lump Sum for unused field orders item:
Item
No.
Item Description Quantity Unit Price Total
16 Field Orders -1 LS $28,208.18/LS ($28,208.18)
Subtotal ($28,208.18)
Additive Bid Alternative B - Contract Quantity Adjustments
This change order provides for contract quantity adjustments for Additive Bid Alternative B as indicated below
Item
No.
Item Description Quantity Unit Price Total
B-5 Remove Existing Curb and Gutter +25 LF $46.00/LF $1,150.00
B-6 Remove Portion of Existing PCC Cross-gutter & Spandrel -2SF $20.00/SF ($40.00)
B-7 Remove Portion of Existing Driveway Apron +52.5 SF $15.00/SF $787.50
B-8 Remove Sidewalk -21 SF $10.00/SF ($210.00)
B-11 Construct Rolled Curb per City Std. 202 +24 LF $61.00/LF $1,464.00
B-13
Construct Portion of PCC Cross-gutter and Spandrel per
City Std. 202 and 206 and per Plans
-10 LF $20.00/LF ($200.00)
B-14 Construct 6" Thick PCC Driveway Apron per City Std. 201 +52.5 SF $15.00/SF $787.50
B-15 Construct 4" Thick PCC Sidewalk per City Std. 210 -21 SF $15.00/EA ($315.00)
B-16 Construct 8" PVC (SCH 40) Storm Drain -12 LF $325.00/LF ($3,900.00)
B-19 Concrete Encasement -4.75 CY $350.00/CY ($1,662.50)
B-20
Asphalt Concrete Type C2 (Adjacent to Curb, Pipe Trench
and Roadway)
-2.93 Tons $79.00/Ton ($231.47)
B-21 AC Leveling Course (Variable Depth)-80 Tons $96.00yTon ($7,680.00)
B-22
Cold mill 2" Uniform Depth (Roadway and for AC Trench
Replacement)
-442 SF $1.25/SF ($552.50)
Subtotal ($10,602.47)
Contract Change Order No. 02
February 7, 2019
Page 4
Additive Bid Alternative B - Adjustment of Compensation at Agreed Lump Sum
This change order provides an Adjustment of Compensation at Agreed Lump Sum for unused field orders item:
Item
No.
Item Description Quantity Unit Price Total
B-23 Field Orders -1 LS $6,000.00/LS ($6,000.00)
Subtotal ($6,000.00)
Additive Bid Alternative 0 - Contract Quantity Adjustments
This change order provides for contract quantity adjustments for Additive Bid Alternative C as indicated below.
Item
No.
Item Description Quantity Unit Price Total
C-4 Roadway Pulverization (Depth = 9")-16000 SF $0.50/SF ($8,000.00)
C-6 Pulverized Base Material (Depth 6")+344 SF $0.27/SF $92.88
C-7 Asphalt Concrete Type 02 (Depth = 3")+ 35 Tons $68.00/Ton $2,380.00
Subtotal ($5,527.12)
Additive Bid Alternative C - Adjustment of Compensation
This change order provides Adjustment of Compensation for two contract items. Parking lot was removed and
disposed of rather than performing pulverization, which resulted in additional export costs. Also, adjustment of
compensation is provided for unused field orders.
Item
No.
Item Description Quantity Unit Price Total
C-9 Field Orders -1 LS $2,000.00/LS ($2,000.00)
Subtotal ($2,000.00)
Additive Bid Alternative D - Contract Quantity Adjustments
This change order provides for contract quantity adjustments for Additive Bid Alternative D as indicated below.
Item
No.
Item Description Quantity Unit Price Total
D-5 Construct 6" Curb Type A3' per City Std. 200 +13 LF $36.00/LF $468.00
D-6 Construct 6" Curb Type AT per City Std. 200 -22 LF $36.00/LF ($792.00)
D-7 Construct 6" Curb (Modified Type AT) per Detail 3 -11 LF $20.00/LF ($220.00)
D-8
Construct Curb Return and Cross Gutter Modified as
shown in Plans per City Std. 205
-27 LF $15.00/LF ($405.00)
D-9 Construct 6" thick concrete +335 SF $10.00/SF $3,350.00
Contract Change Order No. 02
February 7, 2019
Page 5
D-10 Construct 4" thick concrete +252 SF $10.00/SF $2,520.00
D-11 Replace AC Pavement per City Std. 115 +136 SF $27.00/SF $3,672.00
D-12
Construct 6" PCC Concrete on top of existing concrete
parking garage deck per Detail 8
-34 SF $10.00/SF ($340.00)
D-13 Construct 6" PCC Driveway per City Std. 201 +151 SF $18.00/SF $2,718.00
D-15
Construct Curb Ramp Type A per City Std. 202 with
Truncated Domes
+1 EA $3,400.00/EA $3,400.00
Subtotal $14,371.00
Additive Bid Alternative D - Extra Work at Agreed Lump Sum
This change order provides Extra Work at Agreed Lump Sum Price for additional striping at Museum Drive
which was not included in the bid documents. Due to the significant changes in the striping cost, credit was
given for the signing and striping per the original bid documents and a cost provided for the modified work.
Price is inclusive of all costs and markups.
Item
No.
Item Description Quantity Unit Price Total
D-18 Traffic Striping, Signage and Markings - Credit for Contract -1 LS $3,700.00/LS ($3,700.00)
D-18A Traffic Striping, Signage and Markings - Revised 1 LS $7,000.00/LS $7,000.00
Subtotal $3,300.00
Additive Bid Alternative D - Adjustment of Compensation at Agreed Lump Sum
This change order provides an Adjustment of Compensation at Agreed Lump Sum for unused field orders item:
Item
No.
Item Description Quantity Unit Price Total
D-19 Field Orders -1 LS $1,903.81/LS ($1,960.16)
Subtotal ($1,960.16)
Additive Bid Alternative D - Extra Work at Contract Unit Prices
This change order provides Extra Work at Contract Unit Prices for additional cold-milling and AC overlay
required at Museum Drive. In order to maintain positive drainage in the concrete curb improvements, it
became necessary to perform cold-milling of the existing asphalt pavement and AC overlay to re-profile the
street. Below is a breakdown of the costs for this additional work. Price is inclusive of all costs and markups.
Item
No.
Item Description Quantity Unit Price Total
D-20 2" Cold Mill AC Pavement 4,000 SF $1.15/SF $4,600.00
D-21 2" Asphalt Concrete Overlay Type C2 39.51 Ton $80.00/Ton $3,160.80
Subtotal $7,760.80
Total Change Order Amount $364,288.24
Contract Change Order No. 02
February 7, 2019
Page 6
CHANGES TO CONTRACT TIME:
Fifteen (15) working days are being added as a result of this change order.
SOURCE OF FUNDS:
Funds are available from the following account(s):
SUMMARY OF COSTS:
Original Contract Amount:
This Change Order:
Previous Change Order(s):
Revised Contract Amount:
$ 5,095,265.00
$ 364,288.24
$ 22,805.54
$ 5,482,358.78
Original Completion
Days Added
Previous Days Added:
Revised Completion
110 Work Days
0 Days
0 Days
110 Work Days
\S\QmiURES ON NEXT PAGE]
Contract Change Order No. 02
February 7, 2019
Page 7
have received a copy of this Change Order and the above AGREED PRICES are acceptable to Contractor
Matich Corporation y/ko/ f
Interwest Consulting Group
City of Palm Springs
Recommended By:
Approved By:
Attest By:
ignature Date
Printed Name and Title
(^nature
Printed Name and Title
Marcus Fuller, City Engineer
Date
Date
y, City Manager
nthony Mejia,
Z\m
bate n
bate
Distribution:
Original Conformed Godv:
Contractor (1)
City Clerk (1)
Conformed - File Codv:
Engineering Pay File (1)
City Proiect File (1)
Purchasing (1)
Finance (1)
.O^flPPROVEP BY niTY W VIAGER
CITY OF PALM SPRINGS
CONTRACT CHANGE ORDER
To: Matich Corporation
P.O. Box 10
Highland. OA 92346
P (909)382-7400
F (909)382-0169
Attn: George Fonville
April 10, 2019
Project No: 18-01
Project: 2018 Pavement Rehabilitation
Change Order No: 03
Purchase Order:
Account:
19-0758
133-4298-50251
133-4298-50299
133-4498-50225
134-4498-50242
135-4370-55000
260-4493-50812
260-4500-59464
261-4490-50812
CHANGES IN WORK:
Mesquite Ave - Bike Lane Markings
This change order provides for Extra Work at Agreed Unit Price for the completion of bike lane markings on
Mesquite Ave between Sunrise Way and Compadre Rd. Price is inclusive of all costs and markups.
Item
No.
Item Description Quantity Unit Price Total
3-1 Mesquite Ave Bike Lane Markings 19 EA $522.90/EA $9,935.10
Subtotal $9,935.10
Base Bid - Contract Quantity Adjustments
This change order provides for contract quantity adjustments for Additive Bid Alternative B as indicated below.
Item
No.
Item Description Quantity Unit Price Total
4 Standard Monument Type A -3 EA $1,500.00/EA ($4,500.00)
5 Standard Monument Type B -13 EA $415.00/EA ($5,395.00)
15 Adjust Water Valve to Grade - DWA Std. W111A +30 EA $1,000.00/EA $30,000.00
16 Adjust Sewer Manhole to Grade - City Std. 402 +8 EA $850.00/EA $6,800.00
Subtotal $26,905.00
Contract Change Order No. 03
April 10, 2019
Page 2
Additive Bid Alternate A - Contract Quantity Adjustments
This change order provides for contract quantity adjustments for Additive Bid Alternative B as indicated below.
Item
No.
Item Description Quantity Unit Price Total
4 Standard Monument Type A -9 EA $1,500.00/EA ($13,500.00)
5 Standard Monument Type B -10 EA $425.00/EA ($4,250.00)
13 Adjust Water Valve to Grade - DWA Std. W111A +18 EA $1,000.00/EA $18,000.00
Subtotal $250.00
Additive Bid Alternate A - Adjustment of Compensation at Agreed Lump Sum
This change order provides an Adjustment of Compensation at Agreed Lump Sum for unused field orders item:
Item
No.
Item Description Quantity Unit Price Total
16 Field Orders -1 LS $44,377.95/LS ($44,377.95)
Subtotal ($44,377.95)
Total Change Order Amount
CHANGES TO CONTRACT TIME:
Zero (0) working days are being added as a result of this change order.
SOURCE OF FUNDS:
Funds are available from the following account(s):
($7,287.85)
Contract Change Order No. 03
April 10, 2019
Page 3
SUMMARY OF COSTS:
Original Contract Amount:
This Change Order:
Previous Change Order(s):
Revised Contract Amount:
$ 5,095,265.00
$ (7,287.85)
$ 387,093.78
$ 5,475,070.93
Original Completion
Days Added
Previous Days Added:
Revised Completion
110 Work Days
0 Days
15 Days
125 Work Days
[SIGNATURES ON NEXT PAGE]
Contract Change Order No. 03
April 10, 2019
Page 4
1 have received a copy of this Change Order and the above AGREED PRICES are acceptable to Contractor
Matich Corporation ^ y// ^/zo{
rz
Interwest Consulting Group
Citv of Palm Springs
Recommended By:
Approved By:
Attest By:
Signature Date
^1 ^ <l.T- C ^
printed Name and Title
Siqnatiyre Date
l^iXvS ^^CT7. 6roglY2^6t^<>0
Printed Name and Title
Marcus Fuller, City Engineer
M/A
Date
David H. Ready, City Manager Date
Anthony MenaTICity Clerk
lihfi
Date
Distribution:
Original Conformed Copy:
Contractor
Citv Clerk
(1)
(1)
Conformed - File Coov:
Engineering Pay File (1)
City Proiect File (1)
Purchasing (1)
Finance H)
approved by deparment head
PUBLIC INTEGRITY DISCLOSURE
APPLICANT DISCLOSURE FORM
1. Name of Entity
(Z ^ rP<^ 1^- A > loaJ
2. Address of Entity (Principle Place of Business)
/?o • /o OA ^z.3y'<^
Local or California Address (if different than #2)
4. State where Entity is Registered with Secretary of State
clA
If other than California, is the Entity also registered in California? H Yes H No
5. Type of Entity
^Corporation □ Limited Liability Company □ Partnership □Trust □ Other (please specify)
i. Officers, Directors, Members, Managers, Trustees, Other Fiduciaries (please specify)
Note: If any response is not a natural person, please identify all officers, directors,
members, managers and other fiduciaries for the member, manager, trust or other entity
^ T7 ^^Officer □Director □Member □Manager
[name]^General Partner □ Limited Partner
□ Other
A^AT) ^^^fficer □ Director □ Member □ Manager
[name]j^General Partner □ Limited Partner
□ Other
^^ji^^fficer □ Director □ Member □ Manager
rnamel .r[name] .^ □ General Partner □ Limited Partner
/\4aAk T.
CITY OF PALM SPRINGS - PUBLIC INTEGRITY DISCLOSURE
APPLICANT DISCLOSURE FORM
Page 1 of 2
(Revised 09 13 18)
7. Owners/Investors with a 5% beneficial interest in the Applicant Entity or a related entity
EXAMPLE
JANE DOE 50%, ABC COMPANY, Inc.
[name of owner/investor][percentage of beneficial interest in entity
and name of entity]
A.
[name of owner/investor][percentage of beneficial interest in entity
and name of entity]
B.
[name of owner/investor][percentage of beneficial interest in entity
and name of entity]
C.
[name of owner/investor][percentage of beneficial interest in entity
and name of entity]
D.
[name of owner/investor][percentage of beneficial interest in entity
and name of entity]
E.
[name of owner/investor][percentage of beneficial interest in entity
and name of entity]
1 DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF
CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT.
Signature of Disclosing Party, Printed Name, Title Date
CITY OF PALM SPRINGS - PUBLIC INTEGRITY DISCLOSURE FORM
APPLICANT DISCLOSURE FORM
Page 2 of 2
(Revised 09 13.18)
LIBERTY MUTUAL SURETY
PO Box11053
Orange, CA 92856-9926
Date of Request: 9/12/2022
004649
Contract Bond Libel ' Mutual.
Status Query
Ift SURETY
CITY OF PALM SPRINGS Office: Los Angeles
3200 EAST TAHQUITZ CANYON WAY Phone: 800-763-9268
PALM SPRINGS, CA 92262 Fax: 855-318-1836
Email: StatusQuery@LibertyMutual.com
In order to allow us to monitor the progress of our contractor, please complete and return this form. Your response will not prejudice
your rights or affect our liability under our bond(s) referred to below. We enclose a prepaid return envelope for your use.
Bond Number: 024254502 Contract Price: $5,758,200.00 Inception Date: 07/26/2021
Cross Reference Bond Number:
Contract Description: 2021 Pavement Rehabilitation City Project No. 21-01.
Our Bond On Behalf Of: MATICH CORPORATION
Bond Executed In The
Following Company: Liberty Mutual Insurance Company
1. HAS CONTRACT BEEN COMPLETED?
2. IF COMPLETED PLEASE STATE:
a. Date of acceptance
b. Total amount of completed contract
3. IF NOT COMPLETED PLEASE STATE:
a. Probable completion date
b. Amount paid contractor to date
c. Amount withheld as retained percentage
4. HAS WORK PROGRESSED SATISFACTORILY?
5. ARE THERE ANY UNSATISFIED CLAIMS OR LIENS ON FILE?
Signed (� V
Tim Mikolajewski
President - Liberty Mutual Surety
Dated: RECEIVED Signed
Name
SEP 2 0 2022 Title
Phone:
Fax:
Office of the City Clerk
` '7
File #: 1235 [CA](PUBLIC][COPY:EST]
I Customer:
City of Palm Springs
Recording Requested by and Return to:
1 P.O. #:
Matich Corporation
I Project:
Project# 24-01 DIR#
514093
1 Rec ID:
5E63CD66-705D-4734-A730-741097235240
P.O. Box 10
1 Job #:
49VYO 52700951885081
Highland, CA 92346-1010
1 Cert No.:
CALIFORNIA PRELIMINARY NOTICE - PUBLIC WORKS
(TfII6 IOTIG is GZV88 PORS T W G11ZF(80ZZa CIVIL C SS 8034(B), 8IO2, 8106-8118, 8200 et seq., 8612, 9300 et Seq.)
>> TO THE PUBLIC ENTITY OR REPUTED
City of Palm Springs
3200 E. Tahquitz Canyon Way
Palm Springs, CA 92262
USA
>> TO DIRECT OR REPUTED CONTRACTOR
Matich Corporation
P.O. Box 10
Highland, CA 92346-1010
USA
>> TO LENDER, SURETY OR BONDING CO. OR
>> REPUTED LENDER, SURETY, BONDING CO.
Alliant Insurance Services, Inc.
Construction Services Group
18100 Von Karmen, loth Floor
Irvine, CA 92612
USA
Acct/Bond# 024273001
The following is a general description of
the labor, service, equipment or materials
furnished or to be furnished by the undersigned:
Asphalt Materials 6 Delivery
2. The estimated amount of the work provided or
to be provided is $8,799,456.00
3. The name of the person or entity who furnished
that labor, service, equipment or
materials is:
Matich Corporation
P.O. Box 10
Highland, CA 92346-1010
Relationship to Parties: General
4. The name of the person or entity who contracted for
purchase of that labor, service, equipment
or material is:
City of Palm Springs
3200 E. Tahquitz Canyon Way
Palm Springs, CA 92262
USA
5. The description of the jobsite is:
Project# 24-01 DIR# 514093
2024 Pavement Rehabilitation
Various Locations throughout the City of
Palm Springs, CA
USA
County of Riverside
REQUEST FOR COPY OF PAYMENT BOND AND NAME OF SURETY COMPANY
TO CONTRACTING BODY: City of Palm Springs or State Comptroller
The undersigned Claimant hereby declares that he has supplied or will supply labor or materials as
described above, that payment has not yet been made therefore; and that he hereby requests that the
contracting body furnish a certified copy of the Payment Bond, if any, to the Claimant, at the
address listed above, and the current address of the contracting public entity.
NOTICE TO PROPERTY OWNER OR PUBLIC ENTITY
I declare that I am authorized to file this claim on behalf of the Claimant. I have read the
foregoing document and know the contents thereof; the same is true of my own knowledge. I declare
under penalty of perjury that the foregoing is true and correct. Executed at Highland, California
on 03/27/2024 for MA' CH CORPORA ION,
Prepared by:
Teri Wiley, it ager one: () 82-7400 Fax: (909) 382-0191
PROOF OF SERVICi BY MAIL AFFIDAVIT
I declare that I served the Preliminary Notice, and any related documents, by certified or
registered mail, postage prepaid, or other certified delivery, addressed to the above named
parties, at the addresses listed abovp, on 03/27/2024. I declare under penalty of perjury that the
foregoing is,tr and c rect. Execu= d at Highland, California on 03/27/2024.
Prepared by:
Peggy Brunswic r Assistant
RECEIVED
APR 0 3 2024
OFFICE OF THE CITY CLERK
Dated: 05/16/24
II�II��IIIIIII�II�II MEC AY 2RECEIVED
CALIFORNIA PRELIMINARY NOTICE OFFICE OF THE CITY CLERK
lis is not a Lien. Civil Code Sections 8200, et seq., 9300, et seq.
Reputed Owner or Public Entity
05/16/24 CA170875
CITY OF PALM SPRINGS
3200 E TAHQUITZ CANYON WAY
PALM SPRINGS CA 92262
Reputed Construction Lender or Lessee
OWNER FINANCED
Reputed Direct Contractor
MATICH CORPORATION
PO BOX 10
HIGHLAND CA 92346
NOTICE TO PROPERTY OWNER
EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN
FULL, if the person or firm that has given you this notice is
not paid in full for labor, service, equipment or material
provided or to be provided to your construction project, a
lien may be placed on your property. Foreclosure of the lien
may lead to loss of all or part of your property. You may
wish to protect yourself against this by (1) requiring your
contractor to provide a signed release by the person or firm
that has given you this notice before making payment to
your contractor, or (2) any other method that is appropriate
under the circumstances. This notice is required by law to
be served by the undersigned as a statement of your legal
rights. This notice is not intended to reflect upon the
financial condition of the contractor or the person employed
by you on the construction project. If you record a notice of
cessation or completion of your construction project, you
must within 10 days after recording, send a copy of the
notice of completion to your contractor and the person or
firm that has given you this notice. The notice must be sent
by registered or certified mail. Failure to send the notice will
extend the deadline to record a claim of lien. You are not
required to send the notice if you are a residential
homeowner of a dwelling containing four or fewer units.
1 - You are hereby notified that
MILLER EQUIPMENT COMPANY INC
P O BOX 2956
LANCASTER CA 93539
2 - Has furnished or will furnish labor,services, equipment,
or materials of the following general description:
EQUIPMENT RENTAL /
EARTHWORK / GRADING
3 - An estimate of the total price of the labor, services,
equipment, or materials
$200,000.00
4 - The building, structure or other work of improvement is
located at:
#24-008
2024 PAVEMENT REHABILITATION
VARIOUS LOC. THROUGHOUT THE CITY OF
PALM SPRINGS, CA COUNTY OF RIVERSIDE
PALM SPRINGS CA 92262
(RIVERSIDE CO)
5- The party to or for whom the work is provided.
MATICH CORPORATION
PO BOX 10
HIGHLAND CA 92346
The relationship to the party(ies) giving this notice is:
Subcontractor
6 - Name and addresG of Trust Funds to which Supplemental
Fringe Benefits are payable (if applicable):
Operating Engineers Trust
Construction Laborers Trust
7 - Federal Public Work Jobsite Title 40 USC Sec. 270A-270E.
Contract #
Bond Co:
Authorized Agent "t1
1-800-366-5660 ���•••///
This undersigned declares as follows: I am over the age of 18 and employed by Construction Notice Services. Inc., whose business address is 9520 Padgett
Street,#208, San Diego. CA 92126. 1 am employed in the County of San Diego, where this mailing occurs, and not a party to this action. On the date shown
below.in the City of San Diego. I served within California Preliminary Notice, sealed and deposited in the mail in the manner prescribed by law, by first class
registered or certified mail. postage fully prepaid, to the person(s) at the address shown thereon.
Signature: Date: 05/16/24
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e
. . ^ K4artinK4ariettaisproud tobeproviding sen�ceson
Martin Marietta is on your job. Weare using Leve|set to set this job up for
job! payn�entsuccess. \A/evvou|dlike toshare vv�hyou the
yourinformation we have about your project.
32'2024-HMA
Vorous|ocabuns
Palm Springs, California 92262
Bond Number (if knmwn):
Our Project Contribution
�R.E1JN-1fNARYN'01(("1
AGGREGATES and/or CEMENT and/or READY MIX and/or
ASPHALT and/or MAGNESIA PRODUCTS
Work Starts / Material First Furnished
4/25/2024
Work Finishes / Material Last Furnished
5/6/2024
RECEIVED
OFFICE OF THE CITY CLERK About Us
Martin Marietta
4123Park|ukeAvenue
Raleigh, North Carolina 27612
Referemce0N4MSQDPW7N
There you will beable to:
Contact Info
Monica Lekas ° Send and receive messages about this document
Martin Marietta ° Fix orprovide additional details
Agent
Phone: (8SD)944'671S
Emai|:monica]ekas@martinmar\etta.com
WA
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9307110011701168140106
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Subcontractor
EBS GENERAL
ENGINEERING INC
1345 QUARRY ST STE 101
CORONA, California
92879
Property Owner/ Public Entity
City of Palm Springs
3200 E. Tahquitz Canyon
Way
Palm Springs, California
92262
INGeneral Contractor
Matich Corporation
1596 Harry Shepard Blvd
San Bernardino, California
92408
Surety/Bonding Co.
J Alliant Insurance Services,
Inc. - Construction
Services Group - Bond No.:
024273001
18100 Von Karman, 10th
Floor
Irvine, California
92612
Want more information on this project? Visit levelset.com/talk and enter
RJN4MSQDPW7N
Additional Info Property Description
About the .lob Estimate of the total price of the labor, services, equipment or material
furnished or to be furnished
$10,000.00
NOTICE TO PROPERTY OWNER / PUBLIC ENTITY
EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL, if the person or firm that has given you this notice is not paid in full
for labor, service, equipment, or material provided or to be provided to your construction project, a lien may lead to loss of all or part of
your property. You may wish to protect yourself against this by (1) requiring your contractor to provide a signed release by the person
or firm that has given you this notice before making payment to your contractor, or (2) any other method that is appropriate under the
circumstances.
This notice is required by law to be served by the undersigned as a statement of your legal rights. This notice is not intended to reflect
upon the financial condition of the contractor or the person employed by you on the construction project.
If you record a notice of cessation or completion of your construction project, you must within 10 days after recording, send a copy of
the notice of completion to your contractor and the person or firm that has given you this notice. The notice must be sent by registered
or certified mail. Failure to send the notice will extend the deadline to record a claim of lien. You are not required to send the notice if
you are a residential homeowner of a dwelling containing four or fewer units.
IMPORTANT: INFORMATION REQUEST PURSUANT TO §9550 et seq.
If the public entity commissioning work and/or the surety are not identified in this notice, or if either are incorrectly identified, please
accept this notice as a formal request to the direct contractor pursuant to §9550 et seq to deliver (i) The name and address of the public
entity commissioning the work; and /or (ii) The name and address of the surety, if any; as the case may be;
Further, if the direct contractor is not identified or is misidentified, please consider this a formal request to provide that information to
Martin Marietta. Any information provided to Martin Marietta may be provided by visiting levelset.com/talk and entering
RJN4MSQDPW7Nor by sending to the following address:
Martin Marietta
4123 Parklake Avenue
Raleigh, North Carolina 27612
Martin Marietta
Signed by Monica Lekas
Its duly authorized and disclosed agent
Signed on May 19, 2024
Employee Trust Funds (and Laborers)
If applicable, and pursuant to §8208 (b) of the California Civil Code, the following is a list of the Employee Trust Funds (described in
subdivision (b) of Section 8024) and/or laborers to which payments are due.
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_ E V E L S E T RJN4MSQDPW7N
e
Mail Center PRESORT
PO Box 9023 First -Class Mail
Temecula, CA 92589-9023 U.S. Postage and
Fees Paid
W SO
9307 1100 1170 1168 1401 06
20240520-214
�I��'III'��"I'II�II�III�III�1��11�11'Il�l�'I���II��IIIIII'I�'I'1
City of Palm Springs
3200 E. Tahquitz Canyon Way
Palm Springs, CA 92262
CM CM
as
Martin Marietta is proud to be providing services on
Martin Marietta is on
your job. We are using Levelset to set this job up for
your job! payment success. We would like to share with you the
information we have about your project.
2024 PAVEMENT REHAB PROJECT
Various locaitons
Palm Springs, California 92262
Bond Number (if known): Our Project Contribution
I4 AGGREGATES and/or CEMENT and/or READY MIX and/or
l �fr i "' '� ° ASPHALT and/or MAGNESIA PRODUCTS
Work Starts / Material First Furnished
4/25/2024
Work Finishes / Material Last Furnished
5/6/2024
RECEIVED
MAY 2 8 2024
OFFICE OF THE CITY CLERK About Us
Martin Marietta
4123 Parklake Avenue
Raleigh, North Carolina 27612
levelset.com/talk
Reference RJN4MSQDPW7N
Contact Info There you will be able to:
Monica Lekas • Send and receive messages about this document
Martin Marietta • Fix or provide additional details
Agent
Phone: (858) 944-6715
Email: monica.lekas@martinmarietta.com
EVELSET
W -
9307110011701167969975
Subcontractor
EBS GENERAL
ENGINEERING INC
1345 QUARRY ST STE 101
CORONA, California
92879
Property Owner/ Public Entity
City of Palm Springs
3200 E. Tahquitz Canyon
Way
Palm Springs, California
92262
Our Vendors
(tf applicable)
General Contractor
Matich Corporation
1596 Harry Shepard Blvd
San Bernardino, California
92408
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1 a;L E V E L s E T RJN4MSQDPW7N
Additional Info Property Description
About the Job Estimate of the total price of the labor, services, equipment or material
furnished or to be furnished
$10,000.00
NOTICE TO PROPERTY OWNER / PUBLIC ENTITY
EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL, if the person or firm that has given you this notice is not paid in full
for labor, service, equipment, or material provided or to be provided to your construction project, a lien may lead to loss of all or part of
your property. You may wish to protect yourself against this by (1) requiring your contractor to provide a signed release by the person
or firm that has given you this notice before making payment to your contractor, or (2) any other method that is appropriate under the
circumstances.
This notice is required by law to be served by the undersigned as a statement of your legal rights. This notice is not intended to reflect
upon the financial condition of the contractor or the person employed by you on the construction project.
If you record a notice of cessation or completion of your construction project, you must within 10 days after recording, send a copy of
the notice of completion to your contractor and the person or firm that has given you this notice. The notice must be sent by registered
or certified mail. Failure to send the notice will extend the deadline to record a claim of lien. You are not required to send the notice if
you are a residential homeowner of a dwelling containing four or fewer units.
IMPORTANT: INFORMATION REQUEST PURSUANT TO §9550 et seq.
If the public entity commissioning work and/or the surety are not identified in this notice, or if either are incorrectly identified, please
accept this notice as a formal request to the direct contractor pursuant to §9550 et seq to deliver (i) The name and address of the public
entity commissioning the work; and /or (ii) The name and address of the surety, if any; as the case may be;
Further, if the direct contractor is not identified or is misidentified, please consider this a formal request to provide that information to
Martin Marietta. Any information provided to Martin Marietta may be provided by visiting levelset.com/talk and entering
RJN4MSQDPW7Nor by sending to the following address:
Martin Marietta
4123 Parklake Avenue
Raleigh, North Carolina 27612
Martin Marietta
Signed by Monica Lekas
Its duly authorized and disclosed agent
Signed on May 16, 2024
Employee Trust Funds (and Laborers)
If applicable, and pursuant to §8208 (b) of the California Civil Code, the following is a list of the Employee Trust Funds (described in
subdivision (b) of Section 8024) and/or laborers to which payments are due.
is
_EVELSET
Want more information on this project? Visit levelset.com/talk and enter
RJN4MSQDPW7N
A-7/6V
CALIFORNIA PRELIMINARY NOTICE _]
*****PLEASE ISSUE JOINT CHECKS*****
NOTICE IS HEREBY GIVEN that:
ROBERTSON'S
200 S MAIN ST
CORONA CA 92882
(951)685-2200
Has or will Furnish labor, services, equipment, or materials, generally described as:
READY MIX CONCRETE, ROCK & SAND
To be furnished or furnished for the building, structure or the work of improvement
described as follows:
SALVIA RD & GENE AUTRY TR
PALM SPRINGS
J.C.N. # 245028
Tract No. J:24-008
Lot No.2024 PAVEMENT REHABILITATION
Cert Num: 21232804
Name of Person or Firm who contracted for purchase of the labor, services,
equipment, or materials is:
EBS GENERAL ENGINEERING I
1345 QUARRY STREET SUITE 101
CORONA CA 92879
An estimate of the total price of said labor, services, equipment or materials is:
6, 073. 64
NOTICE TO PROPERTY OWNER
EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL, If
the person or firm that has given you this notice is not paid In
full for labor, service, equipment, or material provided or to be
provided to your construction project, a lien may be placed on
your property. Foreclosure of the lien may lead to loss of all or
part of your property. You may wish to protect yourself against
this by (1) requiring your contractor to provide a signed release
by the person or firm that has given you this notice before making
payment to your contractor, or (2) any other method that Is
appropriate under the circumstances. This notice Is required by
law to be served by the undersigned as a statement of your legal
rights. This notice is not Intended to reflect upon the financial
condition of the contractor or the person employed by you on
the construction project. If you record a notice of cessation or
completion of your construction project, you must within 10 days
after recording, send a copy of the notice of completion to your
contractor and the person or firm that has given you this notice.
The notice must be sent by registered or certified mall. Failure to
send the notice will extend the deadline to record a claim of lien.
You are not required to send the notice If you are a residential
homeowner of a dwelling containing four or fewer units.
OWNER OR REPUTED OWNER OR PUBLIC AGENCY
CITY OF PALM SRINGS
3200 E TAHQUITZ CANYON WAY
PALM SPRINGS CA 92262
LENDER OR REPUTED LENDER
DIRECT OR REPUTED DIRECT CONTRACTOR
MATICH CORPORATION
PO BOX 10
HIGHLAND CA 92346
SUBCONTRACTOR with whom claimant has contracted
ALSO NOTIFIED TENANT OR BONDING AGENT
RECEIVED
JUN 0 4 2024
OFFICE OF THE CITY CLERK
TRUST FUNDS TO WHICH SUPPLEMENTAL FRINGE BENEFITS ARE PAYABLE
Proof of Service
This undersigned declares as follows: I am over the age of 18, and employed by Robertson's, whose business address is 200 South Main Street, Suite 200, Corona, California 92882. I am
employed in the County of Riverside, where this mailing occurs, and not a party to this action. On the date shown below, in the City of Corona, I served the within California Preliminary Notice,
sealed and deposited in the mail in the manner prescribed by law, by first class registered or certified mail, postage fully prepaid, to the person(s) at the addresses shown thereon.
IC
Name:
05/30/2024
Date:
ROBERTSON'S
w-2f
US POSTAGE°�.Pr�EYBOWES
P.O. BOX 360000RONA, CA 92878-3600
' $ 005.040
ZIP 92882
�' ••. 02 1fN
0001399944 MAY 30 2024
7108 1176 8852 1232 8048
IMPORTANT. CALIFORNIA PRELIMINARY NOTICE
CITY OF PALM SRINGS
3200 E TAHQUITZ CANYON WAY
PALM SPRINGS CA 92262
:..........•.;,,...•...;..:: :-'•:-:•:�. i 1f� ff�� f�f:l+e�f�:l:ffi�)i��it��fii'1'I�i 1111�}tfitlrl�f��
32512 245028
Al 10
CALIFORNIA PRELIMINARY NOTICE
This is not a lien. This is not a reflection on the integrity of any contractor or subcontractor, but the notice prescribed in
California Civil Code Sections 8102, 8200, et seq., 9300, et seq.
TO OWNER OR REPUTED OWNERS)/PUBLIC ENTITY
CITY OF PALM SPRINGS
3200 E. TAHQUITZ CANYON WAY
PALM SPRINGS, CA 92262
TO DIRECT CONTRACTOR
MATICH CORPORATION
P.O. BOX 10
HIGHLAND, CA 92346
TO LENDER/SURETY
ALLIANT INSURANCE SERVICES, INC.
18100 VON KARMAN, 10TH FL
IRVINE, CA 92612
BOND #024273001
NOTICE TO PROPERTY OWNER
1. The following is a general description of the labor, service,
equipment or materials furnished or to be furnished:
UTILITIES ADJUSTING
2. Estimated Price:
$800,000.00
3. The name of the person who furnished that labor, service,
equipment or materials is:
EBS UTILITIES ADJUSTING, INC.
1345 QUARRY ST. SUITE 101
CORONA, CA 92879
951-279-6869 JOB NO. 245028
4. Date labor, service, equipment or materials first furnished:
4/24/2024
5. The name of the person who contracted for purchase of that
labor, service, equipment or material is:
MATICH CORPORATION JOB NO. 24-008
P.O. BOX 10
HIGHLAND, CA 92346
6. The description of the jobsite is:
#24-012024 PAVEMENT REHABILITATION
VARIOUS LOCATIONS, PALM SPRINGS, CA
EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL, if the person or firm that has given you this notice is not paid in full for labor, service,
equipment or material provided or to be provided to your construction project, a lien may be placed on your property. Foreclosure of the lien may lead to
loss of all or part of your property. You may wish to protect yourself against this by (1) requiring your contractor to provide a signed release by the person
or firm that has given you this notice before making payment to your contractor, or (2) any other method that is appropriate under the circumstances. This
notice is required by law to be served by the undersigned as a statement of your legal rights. This notice is not intended to reflect upon the financial
condition of the contractor or the person employed by you on the construction project. If you record a notice of cessation or completion of your
construction project, you mist within 10 days after recording, send a copy of the notice of completion to your contractor and the person or firm that has
given ycu th;s notice. The notice must be cant by registered or certified mail. Faaure to send the notice will extend the deadline to record a claim of lien.
You are not required to send the notice if you are a residential homeowner of a'dwelling containing four or fewer units.
Dated: May 29, 2024
By: I
Courtney Dixon
Authorized Agent For:
EBS Utilities Adjusting Inc.
PROOF OF NOTICE DECLARATION
I declare that I served a copy of the above Preliminary Notice, and any related documents, by (as required by law) first-class, certified or registered mail,
postage prepaid, addressed to the above named parties, at the addresses listed above, on5/29/2024. I declare under penalty of perjury that the foregoing
is true and correct. Executed at Corona, CA on 5/29/2024. �1
RECEIVED
J U N 0 3 2024
OFFICE OF THE CITY CLERK
By
Courtney Dixon
Accounting Manager
< a� lr� �.'f-.�:: i'
j4�,
���''��.��.` �. ! ��� ..`l.t _ of � -, ,i+_ -i _�
MAY 13 2024
/4--71 Io y
Customer: MATICH CORPORATION
File No: 4476 1 CA I PUBLICS Other Lender OFFICE OF THE CITY CITY PROJECT 24-01
Notice Requested by and Return To: Rec. ID: 266574
WESTERN RENTALS
14635 VALLEY BLVD.
FONTANA, CA 92335 1 Job No: 24-008
CALIFORNIA PRELIMINARY NOTICE - PUBLIC WORKS
(THIS NOTICE IS GIVEN PURSUANT TO CALIFORNIA CIVIL CODE §§ 8034(b), 8102, 9300 et seq.)
TO: DIRECT CONTRACTOR TO: PUBLIC ENTITY
(see California Civil Code § 8018) (see California Civil Code §§ 8036, 9302)
MATICH CORPORATION CITY OF PALM SPRINGS
P.O. BOX 10. 3200 E. TAHQUITZ CANYON WAY
Highland, CA 92346 Palm Springs, CA 92262
TO: CONSTRUCTION SURETY/ LENDER TO: CUSTOMER
(see California Civil Code § 8006, 8506, 8530-8538) MATICH CORPORATION
N/A P.O. BOX 10.
Highland, CA 92346
JOINT CHECK REQUESTED
SEE ADDITIONAL LEGAL PARTIES: EXHIBIT D
Please take notice that WESTERN RENTALS, 14635 VALLEY BLVD., FONTANA, CA 92335, Phone: (909) 822-8008, Fax: (909) 822.4850 has furnished
or has agreed to furnish the following kind of equipment, labor, materials or services: HEAVY EQUIPMENT RENTALS. Relationship to the parties of
the one giving this notice (subcontractor, supplier, describe if otherwise): Supplier
The person to or for whom the same was done or furnished is: MATICH CORPORATION, P.O. BOX 10., Highland, CA 92346, Phone: (909)
382-7400, Fax: (909) 382-0113, which was performed in connection with the CITY PROJECT 24-01, VARIOUS LOCATIONS THROUGHOUT
THE CITY OF PALM SPRINGS, CA COUNTY OF RIVERSIDE, SALVIA R & N GENE AUTRY TRAIL, Palm Springs, CA 92262 in the County
of Riverside.
The public entity for the above described work of improvement is CITY OF PALM SPRINGS, 3200 E. TAHQUITZ CANYON WAY, Palm Springs,
CA 92262.
The estimated value of all labor, services, equipment and materials to be furnished by Claimant is $20,000.00. The equipment, labor, materials
or services was provided or will be provided beginning on April 29, 2024.
PROOF OF SERVICE DECLARATION
(CALFORNIA CIVIL CODE § § 8100-8118)
I, JASMINE PALOMARES, declare that I served copies of the above CALIFORNIA PRELIMINARY NOTICE - PUBLIC WORKS, (check appropriate box):
❑ By personally delivering copies to (names(s) and title(s) of person served) at (address), on (date), at (time).
By Registered or Certified Mail, Express Mail or Overnight Delivery by an express service carrier, addressed to each of the parties at the address shown
above on May 8, 2024.
By leaving the notice and mailing a copy in the manner provided in § 415.20 of the California Code of Civil Procedure for service of Summons and
Complaint in a Civil Action.
I certify under penalty of erjury that the foregoing is true and correct. Signed at FONTANA, CA on May 8, 2024,
By: JASMINE PALOMARES, ACCOUNTS RECEIVABLES
Prepared by: WESTERN RENTALS, 14635 VALLEY BLVD., FONTANA, CA 92335, Phone: (909) 822-8008, Fax: (909) 822-4850
v�
Exhibit D - List of Additional Parties
Owner: CITY OF PALM SPRINGS, 3200 E. TAHQUITZ CANYON WAY, Palm Springs, CA 92262
Project: CITY PROJECT 24-01, VARIOUS LOCATIONS THROUGHOUT THE CITY OF PALM SPRINGS, CA COUNTY
OF RIVERSIDE, SALVIA R & N GENE AUTRY TRAIL, Palm Springs, CA 92262 in the County of Riverside
The following is a complete list, to the best of our knowledge, of all additional or secondary parties with an
interest in the aforementioned project:
ADDITIONAL LENDER, SURETY OR BONDING COMPANY
ALLIANT INSURANCE SERVICE, INC-CONSTRUCTION SERVICE GROUP
CONSTRUCTION SERVICES GROUP
18100 VON KARMAN, 10TH FLOOR
Irvine, CA, 92612
Bond Number: 024273001
Al I(oq
File: 14436044 (CA PV) Customer: EBS UTILITIES ADJUSTING INC
Notice Requested by: Customer #: /
S & J Supply Co., Inc. Job Name: 2024 PAVEMENT REHAB DIR # 514093
13105 Florence Ave. Job# / PO#: 111511
Santa Fe Springs, CA 90670 562-944-7433 Cert #: 9314 8898 8030 0074 6707 06
APN #:
PRELINIINARY NOTICE
This is not a lien. This is not a reflection on the integrity of any contractor or subcontractor, but
the notice prescribed in California Civil Code Sections 8102, 8200, et seq., 9300, et seq.
TO OWNER OR REPUTED OWNER(S)/PUBLIC ENTITY
CITY OF PALM SPRINGS
3200 E. TAHQUITZ CANYON WAY
PALM SPRINGS, CA 92262
TO DIRECT CONTRACTOR
MATICH CORPORATION
P.O. BOX 10
HIGHLAND, CA 92-346
909-382-7400
TO LENDER/SURETY
ALLIANT INSURANCE SERVICES
18100 VON KARMAN AVE LOTH FL
IRVINE, CA 92612
Bond/Loan # 024273001
Joint Check Requested
The following is a general description of the labor, service,
equipment or materials furnished or to be furnished:
MATERIAL SUPPLIER
Estimated Price: $25,000.00
The name of the person who furnished that labor, service,
equipment or materials is:
S & J Supply Co., Inc.
13105 Florence Ave.
Santa Fe Springs, CA 90670 5629447433
Date labor, service, equipment or materials first furnished: 5/20/2024
The name of the person who contracted for purchase of that labor,
service, equipment or material is:
EBS UTILITIES ADJUSTING INC
1345 QUARRY STREET STE101,
CORONA, CA 92879
The description of the jobsite is:
2024 PAVEMENT REHAB DIR # 514093 #11151
MULTIPLE LOCATIONS,
PALM SPRINGS, CA 92262
NOTICE TO PROPERTY OWNER
EVEN THOUGH YOU HAVE PAID YOUR CONTRACTOR IN FULL, if the person or firm that has given you this notice is not
paid in full for labor, service, equipment, or material provided or to be provided to your construction project, a lien may be placed
on your property. Foreclosure of the lien may lead to loss of all or part of your property. You may wish to protect yourself against
this by (1) requiring your contractor to provide a signed release by the person or firm that has given you this notice before making
payment to your contractor, or (2) any other method that is appropriate under the circumstances. This notice is required by law to
be served by the undersigned as a statement of your legal rights. This notice is not intended to reflect upon the financial condition of
the contractor or the person employed by you on the construction project. If you record a notice of cessation or completion of your
construction project, you must within 10 days after recording, send a copy of the notice of completion to your contractor and the
person or firm that has given you this notice. The notice must be sent by registered or certified mail. Failure to send the notice will
extend the deadline to record a claim of lien. You are not required to send the notice if you are a residential homeowner of a
dwelling containing four or fewer units.
Dated: 6/5/2024
MON
�
�06�
PROOF OF NOTICE DECLARATION
Laura Pavey / CRF Solutions
Authorized Agent For:
S & J Supply Co., Inc.
I declare that I served a copy of the above Preliminary Notice, and any related documents, by (as required by law) first-class, certified or
registered mail, postage prepaid, addressed to the above named parties, at the addresses listed above, on 6/5/2024. I declare under penalty
of perjury that the foregoing is true and correct. Executed at Simi Valley, CA on 6/5/2024.
RECEIVED By:
Laura Pavey / Lien Administrator
JUN 17 2024
OFFICE OF THE CITY CLERK
r141 � 11 v I S 11)" , Ili ,
Construction Notice Department
P.O. Box 1389
Simi Valley, CA 93062
Address Service Requested
6/5/2024
CITY OF PALM SPRINGS
SJS562 14436044
3200 E. TAHQUITZ CANYON WAY
PALM SPRINGS, CA 92262
IMPORTANT NOTICE PLEASE READ CAREFULLY
Enclosed you wlimn a notice that is being sent to you on behalf of S & J Supply Co., Inc. in regards to
the construction project known as 2024 PAVEMENT REHAB DIR # 514093 11151 and located at
MULTIPLE LOCATIONS, PALM SPRINGS, CA 92262.
It is important to note that this notice is not a lien nor a claim on a bond. This is a routine
procedure to comply with certain state requirements that may exist and should not reflect in any
way on the integrity or credit standing of any of the known interested parties associated with this
job.
Our records indicate the following parties are associated with this job:
OWNER:
CITY OF PALM SPRINGS
PALM SPRINGS, CA
GENERAL/DIRECT/ORIGINAL CONTRACTOR:
MATICH CORPORATION
HIGHLAND, CA
LENDER/SURETY:
ALLIANT INSURANCE SERVICES
IRVINE, CA
If any of this information is incorrect, or you are not associated with this job, please contact us
immediately at myjobinfo@crfsolutions.com Please use this number, 14436044 in your email subject
line.
Thank you,
CRF Solutions
0