HomeMy WebLinkAbout7/1/2015 - STAFF REPORTS - 2.H. ;OE PALM Sp9
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gOFORN� City Council Staff Report
Date: July 1, 2015 CONSENT CALENDAR
Subject: ACCEPTANCE OF THE CITY HALL AND POLICE STATION PARKING
LOT REHABILITATION, CITY PROJECT NO. 01-17 AND 13-34
From: David H. Ready, City Manager
Initiated by: Public Works and Engineering Department
SUMMARY
Formal City Council acceptance of the City Hall and Police Station Parking Lot
Rehabilitation, City Project No. 01-17 and 13-34, is required to document the completion
of the public work of improvement, and to allow the City's filing of a Notice of
Completion with the Riverside County Recorder in accordance with Section 9200 of the
California Civil Code.
RECOMMENDATION:
1) Accept the public work of improvement identified as the City Hall and Police Station
Parking Lot Rehabilitation, City Project No. 01-07 and 13-34; and
2) Authorize the City Engineer to execute and file for recordation with the Riverside
County Recorder a Notice of Completion for the City Hall and Police Station Parking
Lot Rehabilitation, City Project No. 01-07 and 13-34.
STAFF ANALYSIS:
On December 3, 2014, the City Council awarded a construction contract to Golden
Valley Construction in the amount of $927,481.65 for the City Hall and Police Station
Parking Lot Rehabilitation, City Projects No. 01-17 and 13-34, (the 'Project') a copy of
the December 3, 2014, staff report is included as Attachment 1. Construction of the
Project commenced on January 20, 2015.
On February 4, 2015, the City Council approved Change Order No. 1 in the amount of
$33,992.65, to accommodate changes to the scope of work related to asphalt grinding
versus asphalt replacement at the Police Station Parking Lot; a copy of the February 4,
2015, staff report is included as Attachment 2. At that time, the City Council also
ITEM NO.'_
City Council Staff Report
July 01, 2015— Page 2
City Project No. 01-17 & 13-34 Acceptance
delegated authority to the City Manager to approve and execute construction contract
change orders up to a cumulative amount of 10% ($92,748) to allow work to proceed
uninterrupted as staff administratively reviewed and approved extra work that may have
been warranted. During construction staff reviewed and approved certain modifications
to the original scope of work to accommodate site conditions not identified on the
construction drawings. The project modifications, and adjustments to final quantities of
items constructed (the "final balancing" of the contract) were identified in Change Order
No. 2 in the amount of $9,333.68, which was approved by the City Manager under the
City Council's delegated authority; a copy of Change Order No. 2 is included as
Attachment 3.
The Contractor satisfactorily completed the Project on March 4, 2015. Staff has
conducted a final inspection and found the work to be in compliance with the plans,
specifications and standards of the City of Palm Springs. Staff recommends that the
City Council accept the City Hall and Police Station Parking Lot Rehabilitation, City
Project No. 01-07 and 13-34, as required by Section 9200 of the California Civil Code,
and authorize the City Engineer to file and record a Notice of Completion within 15 days
of the City Council's action. A copy of the Notice of Completion to be submitted to the
County is included as Attachment 4.
ENVIRONMENTAL IMPACT:
Section 21084 of the California Public Resources Code requires Guidelines for
Implementation of the California Environmental Quality Act ("CEQA"). The Guidelines
are required to include a list of classes of projects which have been determined not to
have a significant effect on the environment and which are exempt from the provisions
of CEQA. In response to that mandate, the Secretary for Resources identified classes
of projects that do not have a significant effect on the environment, and are declared to
be categorically exempt from the requirement for the preparation of environmental
documents. In accordance with Section 15301 "Existing Facilities," Class 1 projects
consist of the operation, repair, maintenance, permitting, leasing, licensing, or minor
alteration of existing public structures, facilities, mechanical equipment involving
negligible or no expansion of use beyond that existing at the time of the lead agency's
determination. Therefore, in accordance with Section 15301(a), staff determined that
the City Hall and Police Station Parking Lot Rehabilitation, City Project No. 01-07 and
13-34, was considered categorically exempt from CEQA.
FISCAL IMPACT
The City Council originally appropriated a budget of $300,000 to repave the Police
Station parking lot, and $700,000 to repave the City Hall parking lot, from the Measure J
Capital Improvement Project Fund (Fund 260). An additional appropriation of $186,000
for the City Hall parking lot was approved from the Measure J Capital Improvement
Project Fund (Fund 260) to cover final estimated project costs. A total budget of
$1,186,000 was appropriated for the Project.
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City Council Staff Report
July 01, 2015—Page 2
City Project No. 01-17 & 13-34 Acceptance
A summary of the construction contract is provided in Table 1:
Original Contract Amount $ 927,481.65
Change Order No. 1 $ 33,992.65
Change Order No. 2 $ 9,333.68
Total Contract Amount $ 970,807.98
Change Order% of Contract 4.67%
Table 1
A summary of project costs is provided in Table 2:
Phase FY 13/14 Expense FY 14115 Expense Total
Administration $ 2,741.45 $ 34,460.90 $ 37,202.35
Design $ 28,565.25 $ 72,154.75 $ 100,720.00
Construction $ - $ 973,039.71 $ 973,039.71
Total $ 31,306.70 $ 1,079,655.36 $ 1,110,962.06
Budget Available $ 1,000,000.00 $ 186,000.00 $ 1,186,000.00
Budget Remaining $ 75,037.94
Table 2
A balance of $75,037.94 is remaining for reallocation to other Measure J funded
projects. The City is holding retention of $48,540.40 for Golden Valley Construction
pending acceptance of the improvements and filing of the Notice of Completion with the
County Recorder's office. Since this project is a maintenance effort, the Finance
Department does not need to add the cost of this project to the City's fixed asset
system, as no new assets have been created in compliance with Governmental
Accounting Standard Board (GASB) 34 Standards for Financial Reporting of
Infrastructure Assets.
SUBMITTED
Prepared by: Approved by:
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Marcus L. Fuller, MPA, P.E., P.L.S. David H. Ready, Es
Assistant City Manager/City Engineer City Manager
Attachments:
1. December 3, 2014 staff report
2. February 2, 2014 staff report
3. Contract Change Order No. 2
4. Notice of Completion
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ATTACHMENT 1
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OCR City Council Staff Report
Date: December 3, 2014 Unfinished Business
Subject: AWARD OF CONSTRUCTION CONTRACT FOR CITY HALL AND
POLICE STATION PARKING LOTS REHABILITATION, CITY PROJECTS
01-17 AND 13-34
From: David H. Ready, City Manager
Initiated by: Public Works and Engineering Department
SUMMARY
Approval of this item will award the construction contract for the Rehabilitation of the
City Hall and Police Station Parking Lots.
1. Approve Agreement No. in the amount of $927,481.65, schedules A,
B and C, for the City Hall and Police Station Parking Lots Rehabilitation with
Golden Vista Construction Inc., dba Golden Valley Construction., City Project
Nos. 01-17 and 13-34; and
2. Approve attached Budget Amendment Resolution No. which will provide
project funding from Fund Balance; and
3. Authorize the City Manager to execute all necessary documents.
STAFF ANALYSIS:
MSA Consultant prepared the plans, specifications and estimate for the City Hall and
Police Station Parking Lots rehabilitation project as authorized by City Council earlier
this year.
On October 1st, 2014, Council approved the Plans, Specifications and Estimates, and
authorized staff to proceed with bidding. On October 25t", and November 1s°, 2014, the
project was advertised for bids, and at 3:00 p.m. on November 25, 2014, the
Procurement and Contracting Division received construction bids from only the following
contractor:
1. Golden Vista Construction, Inc., dba Golden Valley Construction $927,481.65
The engineer's estimate was $992,000.00.
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City Council Staff Report
December 3, 2014-Page 2
Award Construction Contract for City Hall and Police Parking Lots, City Projects 01-17 and 13-34
Golden Vista Construction, Inc., dba Golden Valley Construction was determined to be
the lowest responsive, responsible bidder and its officers are: Michael Emerson,
President, and Shannon Murphy, Assistant Secretary.
FISCAL IMPACT:
Funding for this project is available in accounts:
260-4500-59460 (Measure J City Hall Parking Lot)
260-4500-59448 (Measure J Repave Police Parking Lot)
260-4500-50000 (Unscheduled Capital Projects)
SUBMITTED:
Prepared by: Recommended by:
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C'AaV4 I"ez
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Savat Khamphou David J. Barakian
Assistant Director of Public Works Director of Public Works/City Engineer
Approved by:
David H. Ready
City Manager
Attachment:
1. Budget Resolution
2. Agreement
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ATTACHMENT 2
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City/ Council Staff Report
Date: February 04, 2015 CONSENT CALENDAR
Subject: APPROVAL OF CONTRACT CHANGE ORDER NO. 1 IN THE AMOUNT
OF $33,992.65 WITH GOLDEN VALLEY CONSTRUCTION FOR THE
CITY HALL AND POLICE STATION PARKING LOTS REHABILITATION,
j CITY PROJECTS NO. 01-17 AND 13-34
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From: David H. Ready, City Manager
4 Initiated by: Public Works and Engineering Department
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SUMMARY
Approval of Contract Change Order No. 1 revises the scope of work for the repaving of
the Police Department parking lots due to the deficient condition of the existing asphalt
concrete pavement, for an additional cost of$33,992.65.
RECOMMENDATION:
1) Approve Contract Change Order No. 1 to Agreement No. 6636 in the amount of
$33,992.65 with Golden Vista Construction, Inc., dba Golden Valley Construction for
City Projects 01-17 & 13-34, City Hall and Police Station Parking Lots Rehabilitation;
and
2) Approve construction contract change orders up to a cumulative amount of 10% of
the contract amount ($92,748); and
3) Authorize the City Manager to execute all necessary documents.
BACKGROUND:
On December 3, 2014, the City Council awarded a construction contract to Golden Valley
Construction in the amount of $927,481.65 for the City Hall and Police Station Parking
Lots Rehabilitation, City Projects No. 01-17 and 13-34, (the "Project"). A pre-construction
conference was held on January 7, 2015, and construction began on January 20, 2015.
Construction was initiated at the Police Station parking lots, and the original scope of
work included a 1.5" grind and overlay of the existing asphalt concrete pavement
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City Council Staff Report
February 04, 2015—Page 2
Approve CCO#1 for City Hall and Police Station Parking Lots Rehabilitation
Immediately upon grinding the existing asphalt pavement, staff observed that the existing
pavement conditions were worse than anticipated, and that the asphalt concrete
pavement is only 2" thick, is severely cracked and unusually brittle. The grinding
' operation caused additional damage and broke up the entire thickness of the asphalt
concrete pavement, and requires a revised scope of work to address the poor condition of
the pavement. Staff reviewed alternatives with Golden Valley Construction, and agreed
that the appropriate scope of work should remove the existing asphalt concrete
pavement, pulverized in place, and remixed into the sub-grade to a depth of 6", re-graded
and re-compacted and prepared for construction of a new 2.5" layer of asphalt concrete
pavement.
As the Project was staged with the Police Station parking lot as the first order of work,
staff authorized this change of the scope of work to minimize delay of the Project and
maintain project schedule, subject to approval of a Contract Change Order by the City
Council. Change Order No. 1 deletes the original 1.5" grind and overlay scope of work
and replaces it with pulverization of the existing full depth asphalt concrete pavement,
grading, export of excess materials, compaction of subgrade and placement of 2.5" of
asphalt concrete pavement. The revised scope of work will provide a much .improved
finish product with a longer life cycle.
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City Council Approval of Contingency Funds
Staff recommends that the City Council delegate authority to the City Manager to
approve and execute construction contract change orders up to an additional amount of
10% of the contract amount equivalent to $92,748. The Assistant City Manager/City
Engineer will carefully evaluate any additional or extra work claims presented by Golden
Valley Construction, and if valid, submit to the City Manager for his approval. In this
way, work can proceed uninterrupted as the City Manager and Assistant City
Manager/City Engineer administratively process construction contract change orders up
to the authority specifically delegated herein by the City Council.
FISCAL IMPACT:
The original scope of work for the Police Station parking lot rehabilitation included 1.5"
grind and overlay of the existing asphalt concrete pavement at a cost of $2.80 per
square feet -- with a total of 51,681 square feet this original scope of work cost
$144,306.80. The revised scope of work includes pulverization of the existing asphalt
concrete pavement and construction of 2.5" asphalt concrete pavement at a cost of
$3.45 per square foot for a total cost of $178,299.45 — a difference of $33,992.65 (or
$.65 per square foot).
The City Council previously budgeted $886,000 from Fund 260 (Measure J
Improvements)for the City Hall Parking Lot Rehabilitation, and $300,000 from Fund 260
(Measure J Improvements) for the Police Station Parking Lot Rehabilitation. The
Project's overall budget, and estimated expenditures, are identified in Table 1:
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City Council Staff Report
February 04, 2015—Page 2
Approve CCO#1 for City Hall and Police Station Parking Lots Rehabilitation
Police City Hall
Table of Project Costs Station Parking Lot
Pa49"of (49600)
Measure J Fund $300,000 $886,000
Design Services $50,790 $49,930
Project Administration throw 1/27/15 $2,530 $2,526
Project Administration Estimated V$172,642
$2,500
Construction Contract $754,840Chan a Order No. 1 $0
Construction Contin enc $75,484Remainin Balance $720 .
Table 1
Funds to encumber for approval of Contract Change Order No. 1 in the amount of
$33,992.65 with Golden Valley Construction is available in Measure J account 260
4500-59448.
Sufficient funds remain available in the Measure J accounts 260-4500-59448 and 260-
4500-59460 to facilitate the City Council's delegation of authority to the City Manager to
- approve and execute construction contract change orders up to an additional amount of
$92,748.
SUBMITTED
Prepared by:
Marcus L. Fuller, MPA, P.E., P.L.S.
Assistant City Manager/City Engineer
Approved by: i
David H. Ready, Es .
City Manager
Attachments:
1. Change Order No. 1
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ATTACHMENT 3
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CITY OF PALM SPRINGS
CONTRACT CHANGE ORDER
To: Golden Valley Construction Date: June 2, 2015
2000 Executive Drive Project No: 01-17 813-34
Palm Springs, CA 92262 Project: City Hall and Police Department
Tel: (760) 322-Ob10 Parking Lot Improvements
Fax: (760) 322-0020 Change Order No: 02
Purchase Order 15-883
Attn: Mike Honz Account 260-4500-59448
CHANGES IN WORK:
This Contract Change Order No.2 include changes to estimated bid item quantities and additional work,
generally identified as:
Bid Schedule A
Item No. Description Quantltv Cost Per Unit Total
Cold Mill Existing AC
A-4 avement, FiN Ta r with Base -5 828 SF $1.40 $8,159.20
Remove Existvrg Barrier Curb,
A-5 Valley Gutter, CurblGutter -325 SF $2.00 -$650.00
Remove/Reconstruct Existing $36,00
A-6 Cross Gutter, Modified 3.5' 3 SF $12.00
Remove AC Pavement Fill
A—7 Taper With Base 16.770 SF $.75 $12,577.50
Construct 3' PCC Pavement
A-8 (White To 529 SF $4.10 $2,168.90
A—9 Construct Type Al Curb -48 LF $15.00 -$720.00
Construct Type A3 Curb and $2,016.00
A—10 Gutter 112 LF $18.00
Construct T Wide Valley �3,300.00
A— 11 Gutter -150 LF $22.00
Remove Thermoplastic $6,500.00
A— 12 Parkin Striping -1 EA $6 500.00
Install Accessible Parking $1,950.00
A—13 Stri in and Si na e 3 FJ1 $650.00
Saw Cut Existing AC $36.00
A-14 Pavement, Curb and Concrete 24 LF $1.50
Construct AC Pavement Equal $202.50
A— 15 to Existin Section 45 SF $4.50
Remove Existing PCC $105.00
A—16 Concrete -70 SF $1.50
construct PCC Concrete Equal
A—17 to Existing Section 208 SF $4.50 $936,00
Remove Existing AC $126.75
A—18 Pavement 169 SF $.75
Remove Existing Concrete to $15.75
A—22 install in-line truncated Domes 7 SF $2.25
Install 3'Schedule 80 PVC
A—23 with end caps 2 $10.00 LF $20.00
TOTAL SCHEDULE A ITEMS 5651.20 ;L�CAT
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Contract Change Order No. 2
June 02, 2015
Page 2
Bid Schedule B
Item No. Description Quantity Cost Per Unit Total
Remove Existing AC $108.50
B—1 Pavement -146 SF $.75
Cold Mill Existing AC $1,579.SD
B—2 Pavement. Fill Taper w/Base -1053 SF $1.50
Remove Existing Cross $36_DO
9-3 Gutter -16 SF $2.00
Remove Existing Concrete, $430.00
B—5 Curb and Gutter 172 LF $2.50
Remove Existing AC $200.OD
B—6 Sidewalk -200 SF $1.00
Clear and Grub Area, $1,345.5D
B-8 Relocate Irrigation 897 SF $1.50
Saw Cut Pavement and �789.60
B—15 Concrete -658 LF $1.20
Grind Existing Pavement $4 956 80
B—16 Dawn 1.5 Inches 3098 SF $1.60
Construct 3" PCC Pavement
B—18 (White Top") 2772 SF $3.75 $10,395,00
B—19 Construct Type Al Curb -131 LF $15,00 -$1,965.00
Construct Type 81 Curb and $144
B—20 Gutter -8 LF $18.00
Install Thermoplastic Parking $6,000.DO
B—23 Striping -1 LS $6 000.00
Install Storm Lateral $390.00
B—24 Connect to Exst. Roof Drain -13 LF $30.00
B—26 Construct Sump Drain 2 EA $500.00 $1,000.00
B—28 Install 4"PVC Storm Drain -50 LF $25.00 41,250.00
B-30 Construct4" PCC Sidewalk -553SF $3,25 -$1,797.25
Construct Catch Basin and $3,000.00
B-35 Drywall -2 EA $1,500.00
Construct 3'Wide Valley $44 00
B—36 Gutter -2 LF $22.00
Install In-Line Truncated $4,800.00
B—38 Domes -6 EA -$800.00
Install 3"Schedule 80
B-39 PVC Conduit w/End Caps 90 LF $10.00 $9o0.00
TOTAL SCHEDULE B ITEMS -$3,077.55
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Contract Change Order No. 2
June 02, 2015
Page 3
Bid Schedule C Description Quantity Cost Per Total
Item No. Unit
Remove Exst Barrier Curb
C-1 and Valley Gutter,Crb/Gttr -24 SF $2.50 _$60.00
C-2 Construct Type Al Curb 3 LF $15.00 $45.D0
C-3 Construct Type A3 Curb 10 LF $15.00 $150.00
Install Accessible Parking
C-4 Striping and S' n e -2EA $700.00 -$1,400.00
Saw Cut Exst. AC/
C-5 Concrete/Curb -296 LF $1.10 -$325.60
Construct AC Pavement
C-6 E ual to Existing Section -1151 SF $2.60 -$2,877.50
Remove Existing PCC
C-10 Concrete -5 SF $2.00 $10.00
Construct 4'Wide Valley
C-11 Gutter 20 LF $28.00 $560.00
Remove Existing PCC
C-12 Concrete/Ad'ust Valves 17 SF $6.00 $102.00
Remove Concrete to Install
C-14 Truncated Domes -5 SF $440.00 -$2 200.00
TOTAL SCHEDULE C ITEMS -$6,016.10
Pulverize/Grade/Pave,
CCO#1 Item A 2.5"AC 616 SF $3.45 $2,125,20
New Items
Description Quantity Cost Per Unit Total
New Item "B" Replace Deteriorated Lump Sum
Irrigation Valves 1 Agreed Price $2,469,51
New Item"C" T&M for Demo and Replace, Lump Sum
ADA Ram /North Lot 1 Agreed Price $926.53
New Item"D" Class II Road Base Lump Sum
1 Agreed Price $4,039.38
New Item "E" Parking Lot Striping, City Lump Sum
Hall, North/South Lots 1 Agreed Price $8,215.51
TOTAL AMOUNT FOR NEW ITEMS $15,650.93
TOTAL CHANGE ORDER AMOUNT $9,333.68
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Contract Change Order No. 2
June 02, 2015
Page 4
REASON FOR CHANGES:
Schedule A, Items4,5,6,7,8,9,10,11,13,14,15,17,18,22 and 23
Schedule B, Items 1,2,3,5,6,8,15,16,18,19,20,24,26,28,30,35,36,38 and 39
Schedule C, Items 1,2,3,4, 5, 6,10,11,12.14 and CCO# 1 Item A. The actual quantities to complete the
work were more or less than the originally estimated in the amounts indicated.
Bid Schedule A Item 12 and Bid Schedule B Item 23: These items were to provide thermoplastic
striping of the City Hall white topping. It was determined that this was not an appropriate material for
placement on concrete and therefore these items are being deleted. New item E below replaces
these items with paint at a savings of$4,284.49.
NEW ITEMS:
B: This project required original irrigation control valves to be reused for both the new and
existing landscape configurations. The valves were determined to be unusable due to their poor
condition and it was requested by the Parks department that they be replaced. This item
compensates the Contractor for the cost of the irrigation valve materials and is inclusive of all
applicable mark ups.
C: An Existing ADA ramp in the North City Hall Parking lot was scheduled for placement of
truncated domes but required additional concrete work in order to make it compliant with applicable
standards. The agreed price to complete this work was determined by monitoring the actual labor and
materials necessary to complete the work including all applicable mark ups.
D: Additional removals of the existing asphalt concrete were required at the West side of the
North City Hall parking lot in order to allow for proper surface drainage. This required placement of
base material in order to provide sufficient support for the placement of white topping. This item
compensates the Contractor for the cost of the base material including allowable mark up.
E: Striping of the City Hall Parking lots was performed using two coats of traffic marking paint with
reflective beads. The agreed price to complete this work was determined by monitoring the labor and
materials necessary to complete the work including all applicable mark ups.
CHANGES TO CONTRACT TIME:
No additional working days will be added for Contract Change Order No.2.
SOURCE OF FUNDS:
Funds are available in the following account(s): 260-4500-59448
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Contract Change Order No. 2
June 02, 2015
Page 5
SUMMARY OF COSTS:
Original Contract Amount: $ 927,481.65 Original Completion 60 Working Days
This Change Order: $ 9,333.68 Days Added 0
Previous Change Order(s): $ 33,992.65 Previous Days Added: 0
Revised Contract Amount: $ 970,807.98 Revised Completion 60 Working Days
SIGNATURES ON NEXT PAGE
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Contract Change Order No. 2
June 02, 2015
Page 6
1 have received a copy of this Change Order and the above AGREED PRICES are acceptable to Contractor
Golden Valley Construction ly —�4/-IS
ignature Date
�iloN /"«.f�/� f'1�✓Lof ���
Prin ed Name and Title
City of Palm Sarinsrs �r�'�!G
Recommended By:
Assistant City Manager/City Engineer Date
Approved By: 15;A I KJ
v . Ready, City Manager Date
Attest By: C Gb 1."'3/mil s
James Thompson, City Clerk Date
Distribution:
Original Conformed Ccov: Conformed- File Copy:
Contractor (1) Engineering Pay File (1)
City Clerk (1) City Project File (1)
Purchasing (1)
Finance (1)
APPROVED BY CRY MANAGER
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ATTACHMENT 4
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Recording Requested By:
When Recorded Mail To:
Name: City of Palm Springs
Street Address: 3200 E Tahquilz Canyon Way
City&State: Palm Springs, CA 92262
SPACE ABOVE THIS LINE FOR RECORDERS USE
NOTICE OF COMPLETION
(CA Civil Code §§ 8180-8190, 8100-8118. 9200-9208)
NOTICE IS HEREBY GIVEN THAT:
1. The undersigned is an owner of an interest of estate in the hereinafter described real property, the
nature of which interest or estate is: Fee
2. The full name and address of the undersigned owner or reputed owner and of all co-owners or
reputed co-owners are:
Name Street and No. City State
City of Palm Sorinas. 3200 E Tahouitz Canyon Way Palm Springs, CA 92262
3. The name and address of the direct contractor for the work of improvement as a whole is:
Golden Valley Construction, 2000 Executive Drive, Palm Sorinas, CA. 92262
4. This notice is given for(check one):
®Completion of the work of improvement as a whole.
❑Completion of a contract for a particular portion of the work of improvement (per CA Civ. Code
§8186).
5. If this notice is given only of completion of a contract for a particular portion of the work of
improvement (as provided in CA Civ. Code §8186), the name and address of the direct contractor
under that contract is:
Not applicable
6. The name and address of the construction lender, if any, is:
Not Applicable
7. On the 4t' day of May. 2015, there was completed upon the herein described property a work of
improvement as a whole (or particular portion of the work of improvement as provided in CA Civ.
Code§8186) a general description of the work provided:
City Project No. 01-17. 13-34 City Hall North, Police Station and City Hall South Parking Lots
8. The real property herein referred to is situated in the City of Palm Springs. County of Riverside. State
of California, and includes various City streets as identified on the attached Exhibit A.
9. The street address of said property is: Palm Springs City Hall, 3200 East Tahquitz Canyon Way —
Palm Springs Police Station, 200 South Civic Drive
10. If this Notice of Completion is signed by the owner's successor in interest, the name and address of
the successor's transferor is: Not Applicable
I certify (or declare) under penalty of perjury the laws of the State of California that the foregoing is
true and correct.
Date: By:
Signature of Owner or Owner's Authorized Agent
For City of Palm Springs
Marcus Fuller
Print Name
is
VERIFICATION
I, Marcus Fuller, state I am the Assistant City Manager/City Engineer of the Owner identified in the
foregoing Notice of Completion. I have read said Notice of Completion and know the contents thereof,
the same is true of my own knowledge.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and
correct.
Executed on at the City of Palm Springs.
Signature of Owner or Owners Authorized Agent
For City of Palm Springs
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 RIVERSIDE
On before me, Notary Public, Marcus
Fu le personally appeared who proved to me on the basis of satisfactory evidence to be the person
whose name is subscribed to the within instrument and acknowledged to me that he executed the same
in his authorized capacity, and that by his signature on the instrument the person, or the entity upon
behalf of which the person acted, executed the instrument.
I, certify under PENALTY OF PURJURY under the laws of the State of California that the foregoing
paragraph is true and correct-
Witness my hand and official seal.
Signature
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