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Art3_Ontario_FY21_Transit_Bus Stop Pads_Inv TDA Article 3: Claims/Change Request Type of Request TDA Article 3:Claims Project Title TDA Article 3 FY2021-22 ADA Bus Stop Improvements Project Project Type Transit Project Contact Name Nathan Kuan Agency Ontario Contact Phone 909-395-2109 Contact Email nkuan@ontarioca.gov Type of Claim Reimbursement Request Reimbursement Request Reimbursement Reimbursement Request GR-ST2313_signed.pdf 87.34KB Request Form Backup TDA Article 3 Reimbursement_FY21-22(GR- Documentation 1.42MB ST2313).pdf Completion Verification(if applicable) Minute Action Item(if applicable) Photos(for Campus&D(1).JPG 4.68MB completed projects) Campus&D(2).JPG 5.06MB Haven&Francis(1).JPG 4.73MB Haven&Francis(2).JPG 4.97MB Riverside&Archibald(1).JPG 4.62MB Riverside&Archibald(2).JPG 4.09MB Other r D �' � A -i A w v Im • D -I D n r1 r_lO < 0 A 9 I""I v y D W 'w, D p y o --� oni D A O N m m �' m < bar - c D Cl D p a c D � � N 3 o m o_ w m S a w n D N c m d ¢ m l m ca 3 0 n o n w 35 fD 3 a 3 m + S w v m .Z7 N Q 00 � �. N w A 3 m 0 0 '--' A c I� m -�' °' ' o3i c w N c m T. � o m D 3 np = m ,. 3 c m Q O _A c W 64 d o m 0 O �] CA) ri _ M, X n m w ; O 3 c n w o, a C = m o �e O W c D B H 3 0 a o c m c � a rt d Iv a '� m e A Z O p a m In S m o m ,.3r . w n = a a OS 3 N O H to A A m N r�D O. ° H N � O � C c_ F+ � e M ° 3 rt o O S rn �1 I- S V N -n Z c N N �. N0. N �Lnn 4 V �+ i �i1 rt _p 3 "d pi [A {h NpVp O �� .Z1 1n O O In 10 W tD O O l0 A m v Ln c c a o N w aA, o o rn w o o w o O w e w rL b P }++ D IT p rt � � m dQ CL � p �D d chi f D W 0 M D r+ m o ' 0 c d c s pr sm o m a ao o a wo o, Q m � v d m The City of Ontario accepts payments online and by mail. Make check payable to: City of Ontario If you would like to pay your invoice online, please use the following link: https://ontarioca.telleronline.net SPONSOR INVOICE Invoice:AR-CINV-09167 Invoice Date:06/30/2025 Page:1 of 1 Please Remit To: City of Ontario Financial Services Agency 303 East B Street Ontario, CA 91764 ÌAR-CINV-0Ç{cÃÎ AR-CINV-09167 Sponsor No:SPON-000043 Payment Terms:Immediate Due Date:06/30/2025 San Bernardino County Transportation Authority (SBCTA) 1170 W 3rd St Floor 2 San Bernardino, CA 92410-1724 AMOUNT DUE:$17,709.96 PLEASE ENCLOSE THIS STUB WITH YOUR REMITTANCE For billing questions, please call:City of Ontario 909-395-2342 Invoice:AR-CINV-09167 Memo Amount Due TDA Article 3 - GR_ST2313 Reimbursement for FY24/25 (07/01/2024 - 06/30/2025)$17,709.96 INVOICE COVER SHEET SUPPLIER:CT&T Concrete Paving, Inc. PROJECT:TDA Article 3 - FY2021-22 & FY2023-24 ADA Bus Stop Improvements Project PO #:PO-05206 INVOICE DATE:5/22/2025 INVOICE #:CT6838 LINE #SPEND CATEGORY COST CENTER FUND FUND NAME PROJECT ID BILLED 5% RETENTION PAYMENT 1 Construction Contracts ENG012 2400 Capital Projects GR-ST2313 16,245.00$ 812.25$ 15,432.75$ 2 Construction Contracts ENG012 2400 Capital Projects GR-2419 15,834.00$ 791.70$ 15,042.30$ 3 Construction Contracts ENG012 2400 Capital Projects GR-ST2313 1,464.96$ 73.25$ 1,391.71$ 4 Construction Contracts ENG012 2400 Capital Projects GR-2419 1,622.50$ 81.13$ 1,541.38$ TOTAL =35,166.46$ 1,758.32$ 33,408.14$ OK TO PAY View Supplier Payment 11:15 AM 07/30/2025 Page 1 of 1 Supplier Payment Supplier Payment: CT&T Concrete Paving, Inc: 07/02/2025 Status Complete Reconciliation Status Reconciled Payment Information Company City of Ontario Payee CT&T Concrete Paving, Inc Payment Date 07/02/2025 Payment Amount 33,408.14 Currency USD Memo CT6838 Payment Detail Bank Account Ontario Citizens Business Bank Operating Account Payment Type Check Part of Settlement Run 1200 Part of Group Supplier Payment(Check) for Ontario Citizens Business Bank Operating Account Payment Printing Run Supplier Payment - Check Settlement Run 07.02.2025 - 07/02/2025 09:17 AM Transaction Reference 373373 Invoices Paid Invoice Invoice Date Supplier's Invoice Number Invoice Amount Discount Due Date Invoice Due Date Discount Taken Payment Amount Supplier Invoice: ONT- 90155 06/01/2025 CT6838 33,408.14 07/01/2025 0.00 33,408.14 Reconciliation Information Bank Statement Bank Statement Line Reconciliation Status Reconciled By Reconcile Date Ontario Citizens Business Bank Operating Account: 07/10/2025 07/10/2025 $33,408.14 475 Check Paid Reconciled system 07/11/2025 06:30 AM For the period to:5/22/2025 P.O. No: Contractor:CT&T Concrete Paving, Inc.Project #GR-ST23-13 & GR-2419 Address:324 S. Diamond Bar Blvd., PMB 275 Invoice #CT6838 Diamond Bar, CA 91765 ITEM DESCRIPTION ORIGINAL ORIG UNIT UNIT PREVIOUS PREVIOUS THIS THIS TO DATE ACTUAL NO.ESTIMATE QTY PRICE PERIOD PERIODS PERIOD PERIOD CHANGE IN INCREASE/% QTY %QTY %QUANTITY DECREASE 1 Traffic Control & Safety (Locations A, B, C)2,308.00$ 1 LS 2,308.00$ 0.00 0.00 1.00 1.00 -$ 100.00%2,308.00$ 2 Mobilization, Demobilization, Bonds, Insurance, Permits, & Miscellaneous (Locations A, B, C)2,420.00$ 1 LS 2,420.00$ 0.00 0.00 1.00 1.00 -$ 100.00%2,420.00$ 3 Clearing, Grubbing, Removals, Relocations, Earthwork, and Site Cleanup (Locations A, B, C)5,260.00$ 1 LS 5,260.00$ 0.00 0.00 1.00 1.00 -$ 100.00%5,260.00$ 4 Install ADA Bus Stop Concrete Improvements (Locations A, B, C)6,257.00$ 1 LS 6,257.00$ 0.00 0.00 1.00 1.00 -$ 100.00%6,257.00$ 5 Traffic Control & Safety (Locations D, E, F)1,897.00$ 1 LS 1,897.00$ 0.00 0.00 1.00 1.00 -$ 100.00%1,897.00$ 6 Mobilization, Demobilization, Bonds, Insurance, Permits, & Miscellaneous (Locations D, E, F)2,420.00$ 1 LS 2,420.00$ 0.00 0.00 1.00 1.00 -$ 100.00%2,420.00$ 7 Clearing, Grubbing, Removals, Relocations, Earthwork, and Site Cleanup (Locations D, E, F)5,260.00$ 1 LS 5,260.00$ 0.00 0.00 1.00 1.00 -$ 100.00%5,260.00$ 8 Install ADA Bus Stop Concrete Improvements (Locations D, E, F)6,257.00$ 1 LS 6,257.00$ 0.00 0.00 1.00 1.00 -$ 100.00%6,257.00$ CCO1 Remove and replace 29.5x5 sidewalk per City of Ontario Standard Drawings. Construction retaining curb per city standard. 3,087.46$ 1 LS 3,087.46$ 0.00 0.00 1.00 1.00 -$ 100.00%3,087.46$ TOTAL:35,166.46$ -$ 35,166.46$ Original Contract 32,079.00$ This Period:35,166.46$ Change Orders 3,087.46$ Retention 5%:(1,758.32)$ Revised Contract Amount 35,166.46$ Current Payment Due:33,408.14$ Progress Payment #1 35,166.46$ 1,758.32$ Total Billed 35,166.46$ 1,758.32$ Remaining on Contract -$ Retention #1 Total Retention CT&T Concrete Paving, Inc Jose Carvajal - President CHANGE ORDER City of Ontario - TDA Article 3 ADA Bus Stop Improvements Project (GR-ST23-13) & (GR-2419) PERIODICAL ESTIMATE FOR PARTIAL PAYMENT View Supplier Payment 10:35 AM 08/12/2025 Page 1 of 1 Supplier Payment Supplier Payment: CT&T Concrete Paving, Inc: 08/07/2025 Status Complete Reconciliation Status Unreconciled Payment Information Company City of Ontario Payee CT&T Concrete Paving, Inc Payment Date 08/07/2025 Payment Amount 1,758.32 Currency USD Memo CT6839 Payment Detail Bank Account Ontario Citizens Business Bank Operating Account Payment Type Check Part of Settlement Run 1238 Part of Group Supplier Payment(Check) for Ontario Citizens Business Bank Operating Account Payment Printing Run Supplier Payment - Check Settlement Run 08.07.2025 - 08/07/2025 09:44 AM Transaction Reference 374393 Invoices Paid Invoice Invoice Date Supplier's Invoice Number Invoice Amount Discount Due Date Invoice Due Date Discount Taken Payment Amount Supplier Invoice: ONT- 94150 06/30/2025 CT6839 1,758.32 06/30/2025 0.00 1,758.32 INVOICE COVER SHEET SUPPLIER:CT&T Concrete Paving, Inc. PROJECT:TDA Article 3 - FY2021-22 & FY2023-24 ADA Bus Stop Improvements Project PO #:PO-05206 INVOICE DATE:5/22/2025 INVOICE #:CT6839 LINE #SPEND CATEGORY COST CENTER FUND FUND NAME PROJECT ID BILLED RETENTION 1 Construction Contracts ENG012 2400 Capital Projects GR-ST2313 16,245.00$ 812.25$ 2 Construction Contracts ENG012 2400 Capital Projects GR-2419 15,834.00$ 791.70$ 3 Construction Contracts ENG012 2400 Capital Projects GR-ST2313 1,622.50$ 81.13$ 4 Construction Contracts ENG012 2400 Capital Projects GR-2419 1,464.96$ 73.25$ TOTAL = 1,758.32$ OK TO PAY For the period to:5/22/2025 P.O. No: Contractor:CT&T Concrete Paving, Inc.Project #GR-ST23-13 & GR-2419 Address:324 S. Diamond Bar Blvd., PMB 275 Invoice #CT6839 Diamond Bar, CA 91765 ITEM DESCRIPTION ORIGINAL ORIG UNIT UNIT PREVIOUS PREVIOUS THIS THIS TO DATE ACTUAL NO.ESTIMATE QTY PRICE PERIOD PERIODS PERIOD PERIOD CHANGE IN INCREASE/% QTY %QTY %QUANTITY DECREASE 1 Traffic Control & Safety (Locations A, B, C)2,308.00$ 1 LS 2,308.00$ 1.00 1.00 0.00 0.00 -$ 100.00%-$ 2 Mobilization, Demobilization, Bonds, Insurance, Permits, & Miscellaneous (Locations A, B, C)2,420.00$ 1 LS 2,420.00$ 1.00 1.00 0.00 0.00 -$ 100.00%-$ 3 Clearing, Grubbing, Removals, Relocations, Earthwork, and Site Cleanup (Locations A, B, C)5,260.00$ 1 LS 5,260.00$ 1.00 1.00 0.00 0.00 -$ 100.00%-$ 4 Install ADA Bus Stop Concrete Improvements (Locations A, B, C)6,257.00$ 1 LS 6,257.00$ 1.00 1.00 0.00 0.00 -$ 100.00%-$ 5 Traffic Control & Safety (Locations D, E, F)1,897.00$ 1 LS 1,897.00$ 1.00 1.00 0.00 0.00 -$ 100.00%-$ 6 Mobilization, Demobilization, Bonds, Insurance, Permits, & Miscellaneous (Locations D, E, F)2,420.00$ 1 LS 2,420.00$ 1.00 1.00 0.00 0.00 -$ 100.00%-$ 7 Clearing, Grubbing, Removals, Relocations, Earthwork, and Site Cleanup (Locations D, E, F)5,260.00$ 1 LS 5,260.00$ 1.00 1.00 0.00 0.00 -$ 100.00%-$ 8 Install ADA Bus Stop Concrete Improvements (Locations D, E, F)6,257.00$ 1 LS 6,257.00$ 1.00 1.00 0.00 0.00 -$ 100.00%-$ CCO1 Remove and replace 29.5x5 sidewalk per City of Ontario Standard Drawings. Construction of retaining curb per city standard. 3,087.46$ 1 LS 3,087.46$ 1.00 1.00 0.00 0.00 -$ 100.00%-$ TOTAL:35,166.46$ -$ -$ Original Contract 32,079.00$ This Period:-$ Change Orders 3,087.46$ Retention 5%:1,758.32$ Revised Contract Amount 35,166.46$ Current Payment Due:1,758.32$ Progress Payment #1 35,166.46$ 1,758.32$ Total Billed 35,166.46$ 1,758.32$ Remaining on Contract -$ Retention #1 Total Retention CT&T Concrete Paving, Inc Jose Carvajal - President CHANGE ORDER City of Ontario - TDA Article 3 ADA Bus Stop Improvements Project (GR-ST23-13) & (GR-2419) PERIODICAL ESTIMATE FOR PARTIAL PAYMENT no. A U. 4 51,t mo/ Ilk I Wow A`ice vpp AT".41 -z t f4- .4 va, Ezp Ab; rye T; JJ CI STOP N :s, � — &LL.WAY �Ml mmn •7177 wr ,xr 1 7, ,im el kloow�o lo C�I Wo p�IMM AI r 'tie i, r F, I'V MV "7� 4 t- Pw R OFFIT077�Ii 2 MW -'N 26 FM W.azz r 1 o �i� �',1 )f�. .� •`�)! ?" '/Y�� _¢ }.LiA {r�'; r y m Ytiv�� j.. rj�. l�" �. ', y.• rr. .C�'- `�.� i �.�- '..� ° r � '��,` a. �;. 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