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2-J 2 —r- j 2c::c u..r=ss l,'D # i ,.eS csr21.c.,;..4- fj�O 3c%420J_<; Z-tQ ci (13 .0 ) �`) �13 CAG-16-036, CO V-17 CITY OF RENTON Public Works Department CONTRACT CHANGE ORDER AGREEMENT CONTRACT: CAG CAG-16-036 Talbot Hill Sewer Relocation—1-405, SR 167 IC/DC Project C.O.# 7 CONTRACTOR: Scarsella Bros. Inc. SUMMARY OF PROPOSED CHANGE: Provide all labor, equipment, subcontracting, bonding, insurance for the complete work required for the extra work as outlined below: ITEM Additional Quantities Under This Change Order Unit Quantity Unit Price Total Price 041. NEW ITEM: Additional Survey LS 1 Additional survey for coordination with WSDOT's Contractor, including staking for relocating manholes and establishing the centerline and grade of the roadway based upon the design build. Sub Total Sales Tax (10%) Total $7,194.18 $7,194.18 ORIGINAL CONTRACT AMOUNT CURRENT CONTRACT AMOUNT ESTIMATED NET CHANGE ESTIMATED CONTRACT THIS ORDER TOTAL AFTER CHANGE $3,183,440.94 $3,279,722.49 $7,913.60 $3,287,636.09 SIGNATURES: r Contractor: Project Engine Approved By: Approved By: Date: / Date: 6 / 7 / r 7 Date: / /7 �J /_ Date: h Jn 'If f H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Pay Estimates\Change Order #7 - S-3812.doc $7,194.18 $719.42 $7,913.60 Additional Survey (Change Order # 7) Invoice Amount 5260 $1,800.10 5261 $1,195.50 5296 $532.50 5297 $2,417.50 Subtotal $5,945.60 Mark-up (21%) $1,248.58 Subtotal w/ mark-up $7,194.18 Tax (10%) $719.42 Total $ 7,913.60 CAG-16-036, CO #6-17 CITY OF RENTON Public Works Department CONTRACT CHANGE ORDER AGREEMENT CONTRACT: CAG CAG-16-036 Talbot Hill Sewer Relocation—1-405, SR 167 IC/DC Project C.O.# 6 CONTRACTOR: Scarsella Bros. Inc. SUMMARY OF PROPOSED CHANGE: Provide all labor, equipment, subcontracting, bonding, insurance for the complete work required for the extra work as outlined below: ITEM Additional Quantities Under This Change Order Unit Quantity Unit Price Total Price 040. NEW ITEM: Credit for elimination of coating of ten manholes LS 1 $(17,750.00) $(17,750.00) Because of weather conditions during the construction project affecting the ability to coat the manholes and scheduling issues In coordination with the WSDOT project, It was mutually agreed to not coat ten manholes as specified. Because payment for the coating was included In the "per each" bid for the manholes, we have developed a credit against those payments. Sub Total Sales Tax (10%) Total ORIGINAL CONTRACT AMOUNT CURRENT CONTRACT AMOUNT ESTIMATED NET CHANGE ESTIMATED CONTRACT THIS ORDER TOTAL AFTER CHANGE $3,183,440.94 $3,299,247.49 $(19,525.00) $3,279,722.49 SIGNATURES -- Contractor: Project Engli Approved B) Approved 8) Date: / Date: ` //� 7 Date: 1 Date: H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Pay Estimates\Change Order #6 - S-3812.doc S(17,750.00) $(1,775.00) $(19,525.00) CAG-16-036, CO #5-17 CITY OF RENTON Public Works Department CONTRACT CHANGE ORDER AGREEMENT CONTRACT: CAG CAG-16-036 Talbot Hill Sewer Relocation-1-405, SR 167 IC/DC Project C.O.it S CONTRACTOR: Scarsella Bros. Inc. SUMMARY OF PROPOSED CHANGE: Provide all labor, equipment, subcontracting, bonding, insurance for the complete work required for the extra work as outlined below: ITEM Additional Quantities Under This ChannP ordAr J I-;. _....-�.........� vuu . 11- 1 ULM r11GB 039. NEW ITEM: Furnish and Install 10" PVC Sewer Pipe LF 109 $85.00 $9,265.00 Additional work by the contractor to furnish and install 10" PVC sewer pipe, as requested by the City. Sub Total Sales Tax (9.5%) Total ORIGINAL CONTRACT AMOUNT CURRENT CONTRACT AMOUNT ESTIMATED NET CHANGE ESTIMATED CONTRACT THIS ORDER TOTAL AFTER CHANGE $ 3,183,440.94 $ 3, 289,102.31 $10,145.18 $3,299,247.49 SIGNATURES: Contractor: _ Project Engine Approved By: Approved By: Date: c7� Date: Date: Date: H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill SanitarySewer Relocation\Pay Estimates\Change Order 45 - S-3812.doc $9,265.00 $880.18 $10,145.18 CAG-16-036, CO #4-17 CITY OF RENTON Public Works Department CONTRACT CHANGE ORDER AGREEMENT CONTRACT: CAG CAG-16-036 Talbot Hill Sewer Relocation — 1-405, SR 167 IC/DC Project C.O.# 4 CONTRACTOR: Scarsella Bros, Inc. SUMMARY OF PROPOSED CHANGE: Provide all labor, equipment, subcontracting, bonding, insurance for the complete work required for the extra work as outlined below: ITEM Additional Quantities Under This Change Order Unit Quantity Unit Price Total Price 037. NEW ITEM: Grout Upstream side of HDD pipe LS 1 $2,025.95 Additional work by the contractor to perform additional grouting, as requested $2,025.95 by the City, at the upstream side of the Horizontal Directional Drill. (Only grouting downstream end was required by contract.) 038. NEW ITEM: Trench Dam to control Ground Water LS 1 Additional work by the contractor to install a trench dam, as requested by the $4,836.53 $4,836 53 City, to control ground water following the trenchline. Sub Total Sales Tax (9.5%) $6,862.48 $651.94 Total $7,514.42 ORIGINAL CONTRACT AMOUNT SIGNATURES: Contractor:�� Project Engine Approved By: Approved By: CURRENT CONTRACT AMOUNT $3,281,587.89 ESTIMATED NET CHANGE ESTIMATED CONTRACT THIS ORDER TOTAL AFTER CHANGE $7,514.42 $3,289,102.31 Date: Date: _ Z �Z Z- Date: Date: —� H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Pay Estimates\Change Order #4 - S-3812.doc v _ b CAG-16-036, CO #3-16 CITY OF RENTON Public Works Department CONTRACT CHANGE ORDER AGREEMENT CONTRACT: CAG CAG-16-036 Talbot Hill Sewer Relocation—1-405, SR 167 IC/DC Project C.O.# 3 CONTRACTOR: Scarsella Bros, Inc. SUMMARY OF PROPOSED CHANGE: Provide all labor, equipment, subcontracting, bonding, Insurance for the complete work required for the extra work as outlined below: ITEM Additional Quantities Under This Change Order Unit Quantity Unit Price Total Price 036. NEW ITEM: Changed Condition Removal of Rock for Auger Bore LS . 1 Additional work by the contractor to remove large rocks from the path of the $99,861.92 $99,861.92 auger bore at approximately 62 feet into the bore. Sub Total Sales Tax (9.5%) Total ORIGINAL CONTRACT AMOUNT CURRENT CONTRACT AMOUNT ESTIMATED NET CHANGE=TOTAL ATED CONTRACT $3,183,440.94 $3,172,239.09 THIS ORDER $109,348.80,281,587.89 AFTERCHANGE SIGNATURES: Contractor: Project Engir Approved By Approved By Date: Date: ! Date: Date: Zc7 H:\FIIe Sys\WWP - WasteWater\WWP-27-03812 Talbot HIII Sanitary Sewer Relocation\Pay Estimates\Change Order #3 - S-3812.doc $99.861.92 $9,486.88 $109,348.80 Gonzales Boring & Tunneling, Inc. PO Box 187 North Plains, OR 97133 ( 503 ) 647 - 2218 INVOICE Date Invoice Number October 25, 2016_1 201544 - REVISED Bill To Ship To 5carsella Bros. Inc. City of Renton PO Box 68697 Talbot Hill Sewer Relocation - I-405, 5R 167 IC/D Seattle, WA 98168-0697 Renton, Washington Obstruction Removal PO NO. TERMS 21618-MS Due Upon Receipt DESCRIPTION QTY RATE AMOUNT Gonzales Boring & Tunneling, Inc. Equipment Working $17,804.15 Allowable Markup @ 21% $3,738.87 Gonzales Boring & Tunneling, Inc. Equipment Standby $15,905.44 Allowable Markup @ 21% $3,340.14 Gonzales Boring & Tunneling, Inc. Labor (working/overtime) $35,102.88 Allowable Markup @ 29% $10,179.84 Rental Equipment $3,894.43 Allowable Markup @ 21% $817 83 Summary Work Sheet Is Attached To Invoice TOTAL A monthly billing charge of 1.5% ( 18% APR ) will be assessed on any balance over 30 days past due ( Minimum $3.00 per month ) $90,783. SUBCONTRACTOR EXTRA WORK SUMMARY REPORT Owner: City of Renton REVISED REPORT 11 /28/2016 Project: Talbot Hill Sewer Relocation - I-405, SR 167 IC/DC Prime Contractor: Scarsella Bros, Inc. Description Of Work: REMOVAL OF OBSTRUCTION EQUIPMENT RATES Working Hours Rote Extended Amount STANDBY HOURS STANDBY RATE EXTENED AMOUNT 1998 Terex T-335 - 35 Ton Truck Crane 30 $100.99 $3,029.70 104.5 $21.70 $2,267.65 2013 American Auger 42/48-600 Boring Machine 30 $67.47 $2,024.10 104.5 $9.97 $1,041.87 36" Micro Tunneling Steering Head 6 Control Unit 0 $95.00 $0.00 134.5 $47.50 $6,388.75 30" X 10' Long X 4" Hex Augers - 320 ft 0 $109.25 $0.00 134.5 $23.49 $3,159.41 Miller Welding Machine ( Gas) 0 $12.931 $0.00 134.5 $4.88 $656.36 Miller Welding Machine ( Gas) 0 $12.93 $0.00 134.5 $4.88 $656.36 3/8 C.Y Clam Bucket 0 $4.21 $0.00 119 $1.41 $167.79 2011 Ford F-550 Super Cab Service Truck 134.5 $19.33 $2,599.89 0 $0.00 2 Axle Tilt Deck Utility Trailer 0 $9.06 $0.00 134.5 $1.98 $266.31 1994 Kenworth T-800 Flatbed Truck 0 $42.65 $0.00 134.5 $6.75 $907.88 Bentonite Pump 0 $14.55 $0.00 113 $3.30 $372.90 2004 Ford F-150 Pickup Truck 134.5 $11.761 $1,581.72 0 $0.00 2012 3500 KW Generator 126.5 $16.67 $2,108.76 0 $0.00 Cutting Torch 0 $0.40 $0.00 134.5 $0.15 $20.18 Air Monitor 134.5 $6.25 $840.63 0 $0.00 Manhole Blower 134.5 $7.45 $1 002.03 0 $0.00 Air Compressor 118 $39.13 $4,617.34 0 $0.00 SVBTOTALI $17,804,151 $15,905.44 MARKUP1 $3,738.871 $3.340.14 RENTALS Qty Rate Total Hilts: Hammer Drill Bits 8 $30.87 $246.96 Hilti: Hammer Drill Bit 1 $26.50 $26.50 Cessco, Inc.: Firing Tube 6 Pin 2 $148.15 $296.30 Cessco, Inc.: Micro Blaster Cartridege 600 $2.00 $1,200.00 Cessco, Inc.: Micro Blaster 11 Kit 1 $780.00 $780.00 United Rental: Air Compressor 350' Hose 1 $316.33 $316.33 United Rental: Rotary Hammer 1 $384.35 $384.35 Paco Ventures: Rivet Buster 1 $367.17 $367.17 Paco Ventures: Moil Point 4 $13.95 $55.80 Paco Ventures: Lever 2 $44.75 $89.50 Paco Ventures: Red Rubber Whip Hose 2 $65.76 $131.52 SUBTOTAL $3,894.43 MARKUP1 $817.83 Report # 1 Date: October 20, 2016 Subcontractor: Gonzales Boring 6 Tunneling, Inc. LABOR Working Hours Hourly Rate Extended Amount Foreman: Mike Sund 133 $73.88 $9,826.04 Overtime 1.5 $99.90 $149.85 Equipment Operator: Chi 133 $64.68 $8,602.44 Over time L5 $87.15 $130.73 Equipment Operator: Chi 133 $67.02 $8.913.66 Over time 1.5 $89.64 $134.46 General Laborer: Howar 133 $54.39 $7,233.87 Over time 1.5 $74.551 $111.83 Total Hours 538 SUBTOTALI $35,102.8 MARKUPI $10,179.83 TOTAL COST OF EQUIPMENT AND STANDBY1 A $33,709.59 TOTAL COST OF LABOR B $35,102.8 RENTALS1 C $3,894.43 21% Markup On mt ( Including Standby/Rental) $7,896.84 29% IMarkup On Labor Cost $10,179.83 TOTAL $90,783.5 TOTAL COST SUBCONTRACTOR WORKI $90,783.5 10% Contractor Markup on Subcontractor Work $9,078.36 TOTAL $99,861.92 GONZALES BORING & TUNNELING, INC, RECEIVED AUG 3 0 2016 PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 63175 * WA LICENCE #GONZAB1135B6 * AZ LICENSE#ROC 196889 EXTRA WORK ORDER GENERAL CONTRACTOR: DATE: OWNER: JOB #: Gonzales Boring & Tunneling is hereby directed and authorized to perform the following extra work: o4r t2hs/ruClrovi a%^ J,C7/J' APE! 41dle }uCirr l�+ o �, / ar v L.I� ,? Li X 2-Lac HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane ✓ RORF MACHINE 30" Bore Machine 36" flare Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine MICRO TUNNEL -inch Micro Tunnel Steering Head 3,6 -inch Micro Tunnel Steering Control AUGERS " X 10' Lon with 4" Hex - Total Foota e: .z ✓ WELDERS 225 AMP 20 HP PortablP We.IdPrs (Quantity: J j ✓/ CLAM BUCKET 20 �� ✓. TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck ✓ T-32: 1994 Kenworth T-800 Flatbed T-45: 2007 Kenworth T-800 Flatbed TRAILERS 2 Axle - TL- 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS. OT HOURS PERSONNEL Superintendent Foreman Operator Laborer- T 41 SUBS, RENTAL, OR MATERIAL, r CONTRACTOR: GONZALES FOREMAN: �-- WHITE - OFFICE/BILLING COY YELLOW -JOB FILE COPY PINK - GC/OWNER GONZALES BORING & TUNNELING, INC.RECE(VED AUG 30 2016 PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 63175 * WA LICENCE #G0NZABI13566 * AZ LICENSE #ROC 196889 EXTRA WORK ORDER GENERAL CONTRACTOR: '~ DATE:El OWNER: JOB#: Gonzales Boring & Tunneling is hereby directed and authorized to perform the following extra work: 3C HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-23O 30 Ton Truck Crane RT,:21-' 2001 Terex RT-555 55 Tori'Truck Crane G32: 1998 Terex T-335 35 Ton Truck Crane BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine ~r / r MICRO TUNNEL Yr, -inch Micro Tunnel Steering Head 3 -inch Micro Tunnel Steering Control AUGERS " X 10'Long with 4" Hex - Total Foota e: Q WELDERS 225 AMP 20 HP Portable Welders (Quantity: Z) , CLAM BUCKET TRUCKS — - T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck 9. T-32: 1994 Kenworth T-800 Flatbed T-45: 2007 Kenworth T-900 Flatbed TRAILERS 2 Axle - TL- 2. p 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Su erintendent Foreman Operator Laborer SUBS, RENTAL, OR MATERIAL, Vp -. /29 kii- ,.. a ,. CONTRACTOR!'GONZALES FOREMAN: WHITE - OFFICE/BI ING COPY YELLOW - JOB FILE COPY PINK - GC/OWNER n GONZALES BORING & TUNNELING, INC. PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 63175 * WA LICENCE #GONZAB1135136 * AZ LICENSE #ROC 196889 EXTRA WORK ORDER GENERAL CONTRACTOR: ATE: ?—in OWNER: a B #: Gonzales Boring & Tunneling is hereby directed and authorized to perform the following extra work: G eec 4 C•^ S o" XaC- ,e. 541 uod 7—o 3, CEO®' mwf er -J g c_�5,.✓� . Li al F- r cc�_s r v� �, i s .P� � r� � �. _ /r � _d1 ,,. ,s _. -e., __ . , r. / HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane ✓ BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Borc Machine 60" Bore Machine 72" Bore Machine ri ✓ MICRO TUNNEL -inch Micro Tunnel Steering Head / ,i -inch Micro Tunnel Steering Control AUGERS " X 10' long with 4" Hex - Total Foota e: ✓ WELDFRS 225 AMP 20 HP Portable WPldPrs Quantity: ) CLAM BUCKET ✓ TRUCKS �^ T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck T-32: 1994 Kenworth T-800 Flatbed ✓ f T-45: 2007 Kenworth T-800 Flatbed is• � TRAILERS 2 Axle - TL- 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman Operator 7 Laborer V Y SUBS, RENTAL, OR MATERIAL, Z�_�� F III CONTRACTOR: " GONZALES FOREMAN:�8Z' 1 WHITE - OFFICE/BIL G COPY YELLOW - JOB FILE COPY PINK - GC/OWNER _" GONZALES BORING & TUNNELING, INC. PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 63175 * WA LICENCE #GONZAB113566 * AZ LICENSE #ROC 196889 EXTRA WORK ORDER GENERAL CONTRACTOR: I DATE: OWNER: IJOB #: At 6 / iE� Gonzales Boring & Tunneling is hereby directed and authorized to perform the following extra work: LOG-rCNICrCir✓-� !li(r✓CP .ti NYlct�4/' / 3Gtr� r/�rvG� HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane / BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine IG/ MICRO TUNNEL -inch Micro Tunnel Steering Head ' 3,6 -inch Micro Tunnel Steering Control to AUGERS 30 " X 10' Long with 4" Hex - Total Footage: AY • d bir/ WELDERS 225 AMP 20 HP Portable Welders (Quantity: Z/ ✓ r / v✓) :zo CLAM BUCKET TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-SSO Super Cab Service Truck T-32: 1994 Kenworth T-800 Flatbed i T-45: 2007 Kenworth T-800 Flatbed TRAILERS 2 Axle - TL- ,Zp 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman 10 Operator 147 Laborer O SUBS, RENTAL, OR MATERIAL, fj� , % ,^c >1 r CONTRACTOR: K C/ GONZALES FOREMAN: WHITE - OFFICE/BIL ING COPY YELLOW -JOB FILE COPY PINK - GC/OWNER GONZALES BORING & TUNNELING, INC. PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 63175 * WA LICENCE #GONZABI135B6 * AZ LICENSE #ROC 196889 EXTRA WORK ORDER GENERAL CONTRACTOR: I DATE: - - OWNER: ;�11 JOB#: Gonzales Boring 1 '-Ir inneling is hereby directed and authorized to perform the following extra work: QY7/7ih6�'�.c_ . L-ea Ia!6 c,r�e7CIc 41P tzv`e t[AaC1/ i J�C t-e r- r-xf-ably ildr,41 7— HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 SS Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane / BORE MACHINE, 30" Bore Machine 36" Bore Machine 48" Bore Machine 60'.' Bore Machine 72" Bore Machine i10/ MICRO TUNNEL -inch Micro Tunnel Steering Head to ✓ -inch Micro Tunnel Steering Control to/ AUGERS " X 10' Long with 4" Hex - Total Footage: O . a -, WELDERS 225 AMP 20 HP P rtable Welders (Quantity: )lo u� ✓ CLAM BUCKET 30 i TRUCKS T-29: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck i ,a T-32: 1994 Kenworth T-800 Flatbed ✓ T-45: 2007 Kenworth T-800 Flatbed TRAILERS 2 Axle - TL- X 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman Operator Laborer SUBS, RENTAL, MATERIAL, 7 oi H yOR r CONTRACTOR: -:' GONZALES FOREMAN: r WHITE -OFFICE ILLING COPY YELLOW -JOB FILE COPY PINK - GC/OWNER GONZALES BORING & TUNNELING, INC. PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 63175 * WA LICENCE #GONZABI135B6 * AZ LICENSE #ROC 196889 EXTRA WORK ORDER GENERAL CONTRACTOR: �2 c ell DATE: OWNER: Aci 7co IJOB #: �JjC Gonzales Boring & Tunneling is hereby directed and authorized to perform the following extra work: HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane i BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine MICRO TUNNEL -inch Micro Tunnel Steering Head �� ✓ ✓ -inch Micro Tunnel Steering Control , < ✓ AUGERS " X 10' Long with 4" Hex - Total Footage: / WELDERS 225 AMP 20 HP Portable Welders (Quantity: -A. i- O .s / t CLAM BUCKET CT M TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck tic T-32: 1994 Kenworth T-800 Flatbed T-45: 2007 Kenworth T-800 Flatbed TRAILERS 2 Axle - TL- ZC) 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman O Operator 0 Laborer 0 0,6 � ✓'cr /m r O SUBS, RENTAL, OR MATERIAL, - . ,; - r%i / 94s ,✓ - Ptcci CONTRACTOR: GON2ALE5 FOREMAN: WHITE - OFFICE/BILL NG COPY YELLOW -JOB FILE COPY PINK- GC/OWNER GONZALES BORING & TUNNELING, INC. PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 63175 * WA LICENCE #GONZAB1135B6 * AZ LICENSE #ROC 196889 EXTRA WORK ORDER GENERAL CONTRACTOR: a,, r 1-( 0 DATE: OWNER: JOB #: Gonzales Boring & Tunneling is hereby directed and authorized to perform the followine extra work: t�/' S.L.-y' n-Prrleurr cl/ /'r�rs/C HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane / BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine MICRO TUNNEL 3 -inch Micro Tunnel Steering Head 3-inch Micro Tunnel Steering Control ✓ , AUGERS " X 10' Long with 4" Hex - Total Footage: 7 2— ® ✓ ✓ d ✓ WELDERS 225 AMP 20 HP Portable Welders (Quantity: } ✓ s- ' %e, i Z CLAM BUCKET U TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or.T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck T-32: 1994 Kenworth T-800 Flatbed ,� J T-45: 2007 Kenworth T-800 Flatbed TRAILERS 12 Axle - TL- & / 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman 10 , Operator 190 Laborer 16 0.4 rr-C�_ V.,,-- LCj SUBS, RENTAL, OR MATERIAL, ,' �' / cr^ a S r CONTRACTOR:_�'�lif `� GONZALES FOREMAN, WHITE - OFFICE/BILL'fNG COPY YELLOW - JOB FILE COPY PINK - GC/OWNER GONZALES BORING & TUNNELING, INC. PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 6317S * WA LICENCE #GONZAB1135B6 * AZ LICENSE #ROC 196889 EXTRA WORK ORDER GENERAL CONTRACTOR: DATE: OWNER: o JOB #: .Gonzales Baring /& Tunneling is hereby directed and authorized to perform the following extra work: 7- dTG4✓JL1(!c"!✓r GYG1[Sr Gi'H �l/�tCtrC/ Off //" C i0Cam' �C7 -k Psi/tNTr„ Cf r lCq S` ` isi7 T �"Ovt%~cam C R 5�e-� C' c3N r- diJ e- Cci GY � 51-e HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Tan National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane j , BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine Y ✓ MICRO TUNNEL g6 -inch Micro Tunnel Steering Head -inch Micro Tunnel Steering Control 10s' AUGERS " X 10' Lon with 4" Hex - Total Footage: 10.5 ahf e— WELDERS 225 AMP 20 HP Portable Welders (Quantity: Z /U CLAM BUCKET zod TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck T-32: 1994 Kenworth T-800 Flatbed T-45: 2007 Kenworth T-800 Flatbed TRAILERS 2 Axle - TL- / —Axle- 3 TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman Operator Laborer to 5 SUBS, RENTAL, OR MATERIAL, CONTRACTOR: GONZALES FOREMAN: WHITE - OFFICE/BILLIN COPY YELLOW -JOB FILE COPY PINK -GC/OWNER , GONZALES BORING & TUNNELING, INC. PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 63175 * WA LICENCE #GONZABI135B6 * AZ LICENSE #ROC 196889 EXTRA WORK ORDER GENERAL CONTRACTOR: DATE: OWNER; JOB #: Gonzales Boring & Tunneling is hereby directed and authorized to perform the following extra work: HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine 2 � MICRO TUNNEL -inch Micro Tunnel Steering Head -inch Micro Tunnel Steering Control I V i AUGERS " X SO' Long wlth 4" Hex - Total Footage: • U' r-,q7,_-,4;At 44g4jo WELDERS 225 AMP 20 HP Portable Welders Quantity: 2-) O / CLAM BUCKET 3a LQ TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck -35 or T-43. 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck T-32: 1994 Kenworth T-800 Flatbed T-45: 2007 Kenworth T-800 Flatbed TRAILERS 12 Axle - TL- Q 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman Q Operator fo Laborer U 019 .emu , .,— D SUBS, RENTAL, OR MATERIAL, Iq a p — _ CONTRACTOR: GONZALES FOREMAN: WHITE - OFFICE/BILy G COPY YELLOW - JOB FILE COPY PINK-GC/OWNER GONZALES BORING & TUNNELING, INC. PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 63175 * WA LICENCE #GONZABI135B6 * AZ LICENSE #ROC 196889 EXTRA WORK ORDER 3ENERAL CONTRACTOR: DATE: )WNER: JOB #: Gonzales Boring & Tunneling is hereby directed and authorized to perform the following extra work: HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner IRT-1: TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine MICRO TUNNEL -inch Micro Tunnel Steering Head 16 -inch Micro Tunnel Steering Control AUGERS " X 10' Long with 4" Hex - Total Foota e: '',ZQ 1170 11 i lei WELDERS 225 AMP 20 HP Portable Welders (Quantity: r'^ so e CLAM BUCKET e'' TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck T-32: 1994 Kenworth T-800 Flatbed K T-45: 2007 Kenworth T-800 Flatbed TRAILERS 2Axle -TL- !�J 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman Operator Laborer G O.e T'r ! SUBS, RENTAL, OR MATERIAL, _ n-17c� _ ,r~ r ,-. — C CONTRACTOR: - WHITE - OFFICE/BILL4NG COPY YELLOW - JOB FILE C( GONZALES BORING & TUNNELING, INC. PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 63175 * WA LICENCE #GONZA61135B6 * AZ LICENSE #ROC 196889 I. CVTn A IA/AnW ^nnrn Aq-_ )'7-4 2 NERAL CONTRACTOR: DATE: VNER: JOB #: Gonzales Boring & Tunneling is hereby directed and authorized to perform the following extra work: el- 11-1,r d— ;4 HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane j BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine MICRO TUNNEL 31, -inch Micro Tunnel Steering Head -inch Micro Tunnel Steering Control to AUGERS " X 10' Long with 4" Hex - Total Foota e: «T1171 WELDERS 225 AMP 20 HP Portable Weldcrs (QuanLit : J 1e- W{ lD CLAM BUCKET TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck T-32: 1994 Kenworth T-800 Flatbed T-45: 2007 Kenworth T-800 Flatbed TRAILERS 2 Axie - TL- .Z© 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman 1.0 Operator f G Laborer O •era,%a/. SUBS, RENTAL, OR MATERIAL, ��„?� tz ff . CONTRACTOR:.. GONZALES FOREMAN: WHITE - OFFICE/BILLING COPY YELLOW - JOB FILE COPY PINK - GC/OWNER GONZALES BORING & TUNNELING, INC. PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 63175 * WA LICENCE #GONZABI135B6 * AZ LICENSE #ROC 196889 EXTRA WORK ORDER GENERAL CONTRACTOR: P DATE: f OWNER: "-` 10B #: Gonzales Boring & Tunneling is hereby directed and authorized to perform the following extra work: HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine MICRO TUNNEL -inch Micro Tunnel Steering Head 3 -inch Micro Tunnel Steering Control AUGERS O " X 10' Long with 4" Hex - Total Footage: ' ,2 02 p %a, i7— / WELDERS 22S AMP 20 HP Portable Welders (Quantity: ) / CLAM BUCKET C� TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck lo T-32: 1994 Kenworth T-800 Flatbed10/ T-45: 2007 Kenworth T-800 Flatbed TRAILERS 2 Axle - TL- Q 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman Operator Laborer 6.0 �- SUBS, RENTAL, OR MATERIAL, _ p 0 11'q011" V c r-o lczS %c .r CONTRACTOR: ob GONZALES FOREMAN: WHITE - OFFICE/BILLING COPY YELLOW - JOB FILE COPY PINK - GC/OWNER a GONZALES BORING & TUNNELING, INC. PO Box 187, North Plains OR 97133 Phone: (503) 647-2218 Fax (503) 647- (UED 3 0 20. OR CCB # 63175 * WA LICENCE #GONZABI135B6 * AZ LICENSE #ROC 196889 EXTRA WORK ORDER GENERAL CONTRACTOR: DATE: C'-' OWNER: ` JOB #: 7-1 Gonzales Boring & Tunneling is hereby directed and authorized to perform the following extra work: HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 33S Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-S55 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine MICRO TUNNEL -Inch Micro Tunnel Steering Head -inch Micro Tunnel Steering Control 10i AUGERS " X 10' Long with 4" Hex - Total Foota e: > C> WELDERS 225 AMP 20 HP Portable Weiders (Quantity: ) n `) CLAM BUCKET 20 TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck T-32: 1994 Kenworth T-800 Flatbed 10 T-45: 2007 Kenworth T-800 Flatbed TRAILERS 2 Axle - TL- o 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Su erintendent Foreman 10 Operator Laborer O SUBS, RENTAL, OR MATERIAL, f'V - fe)&*11,yi r.- _ CONTRACTOR:GONZALES FOREMAN: / WHITE - OFFICE/BILLING COPY YELLOW -JOB FILE COPY PINK -GC/OWNER GONZALES BORING & TUNNELING, INC. rr PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (S03) 64jR�7�Y&VF('� ? j OR CCB # 63175 * WA LICENCE #GONZA61135B6 * AZ LICENSE #ROC 196889 Sip ` 0 EXTRA WORK ORDER GENERAL CONTRACTOR: DATE: _ OWNER: ,,r 10B #: / Gonzales Boring & Tunneling is hereby directed and authorized to perform the following extra work: L T / Al-ck e T q 3C (� C> C-k h 42-y- 3 n P / %t (S ,p ('eCc i9 . - a 34 --ec k- 9, ri E" ,O L T-'% A--7 cs ✓^ a -Qra / T, e �o.t 7-Ai o^c>ck(c 5 1, hr- aus(e,- fio c%cc'k (tie4v- HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane , BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine MICRO TUNNEL 34 -inch Micro Tunnel Steering Head -inch Micro Tunnel Steering Control s AUGERS go " X 10' Long with 4" Hex - Total Footage: WELDERS 225 AMP 20 HP Portable Welders (Quantity. Z ) Ir CLAM BUCKET -► g1, r TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck , T-32: 1994 Kenworth T-800 Flatbed / T-45: 2007 Kenworth T-800 Flatbed TRAILERS 2 Axle - TL- aC7 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman 3, E Operator Laborer ,r . SUBS, RENTAL, OR MATERIAL, u 72 o 11 r� �- CONTRACTOR:- GONZALES FOREMAN: WHITE - OFFICE/BILLIU COPY YELLOW - JOB FILE COPY PINK - GC/OWNER RECEIVED SEP 3 0 f... GONZALES BORING & TUNNELING, INC. PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 63175 * WA LICENCE #GONZABI135B6 * AZ LICENSE #ROC 196889 EXTRA WORK ORDER GENERAL CONTRACTOR: DATE: c OWNER: i JOB #: Gonzales Boring & Tunneling is hereby directed /and /authorized to perform the following extra work: HOURS CRANES TC-17: 15Ton National Crane/1994 Ford LTS 9UU ►ruck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine MICRO TUNNEL -inch Micro Tunnel Steering Head ,. -inch Micro Tunnel Steering Cnnrrol AUGERS " X 10' Long with 4" Hex - Total Footage: .Z yr ov�i WELDERS 225 AMP 20 HP Portable Welders Quantit : 2) CLAM BUCKET TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck T-32: 1994 Kenworth T-800 Flatbed T-45: 2007 Kenworth T-800 Flatbed TRAILERS 2 Axle - TL- <�-) 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman ;Z - Operator Laborer 0 v SUBS, RENTAL, OR MATERIAL, ` e y.., ,— ,� uK ,` . CONTRACTOR: —^' GONZALES FOREMAN: WHITE - OFFICE/BILLING COPY YELLOW -10B FILE COPY PINK - GC/OWNER GONZALES BORING & TUNNELING, INC. RECEIVED SEp 30 -• , PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 63175 * WA LICENCE #GONZAB1135B6 * AZ LICENSE #ROC 196889 EXTRA WORK ORDER GENERAL CONTRACTOR: t - DATE; OWNER: -4 JOB #: Gonzales Boring & Tunneling is hereby directed and authorized to perform the following extra work: HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine MICRO TUNNEL -inch Micro Tunnel Steering Head ✓ -inch Micro Tunnel Steering Control AUGERS '30 ItX 10' tong with 4" Hex - Total Footage: 3 7-0 ✓1 mN,•c WELDERS 225 AMP 20 HP Portable Welders (Quantity; ) ✓` k4l U 7Yo S CA r '� CLAM BUCKET p TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck f T-32: 1994 Kenworth T-800 Flatbed T-45: 2007 Kenworth T-800 Flatbed TRAILERS 2 Axle - TL- 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman Operator Laborer 040 SUBS, RENTAL, OR MATERIAL, CONTRACTOR:_ GONZALES FOREMAN:'. WHITE - OFFICE/81LLING COPY YELLOW - JOB FILE COPY PINK - GC/OWNER GONZALES BORING & TUNNELING, INC. RECE1VF0 SFr) PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226,30"' OR CCB # 63175 * WA LICENCE #GONZABI135B6 * AZ LICENSE #ROC 196889 EXTRA WORK ORDER GENERAL CONTRACTOR: s' . DATE: d OWNER: JJOB #: Gonzales Boring & Tunneling is hereby directed and authorized tw�o++perform the following extra work: A HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Model QLC-38F Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Peterbilt 335 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine t MICRO TUNNEL -inch Micro Tunnel Steering Head ., -inch Micro Tunnel Steering Control AUGERS 3jq " X 10' Long with 4" Hex - Total Footage: ya 0 r.NroniT� ah WELDERS 225 AMP 20 HP Portable Welders . (Quantity: 21) r f ton50 CLAM BUCKET ri TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck T-32: 1994 Kenworth T-800 Flatbed f T-45: 2007 Kenworth T-800 Flatbed TRAILERS 2Axle -TL- 0 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman Operator Laborer �efaT � SUBS, RENTAL, OR MATERIAL, yr ass/ i ct.ccti t r%s jr CONTRACTOR: •�' GONZALES FOREMAN: WHITE - OFFICE/BIL ING COPY YELLOW -JOB FILE COPY PINK- GC/OWNER GONZALES BORING & TUNNELING, INC. PO Box 187, North Plains OR 97133 * Phone: (503) 647-2218 * Fax (503) 647-5226 OR CCB # 63175 * WA LICENCE #GONZAB1135B6 * AZ LICENSE #ROC 19AKEIVED SEP 3 0 -2016 EXTRA WORK ORDER GENERAL CONTRACTOR: . -- r! DATE: OWNER: �.'n : JOB #: Gonzales Boring & Tunneling is hereby directed and authorized to perform the following extra work: _, r - �C/ HOURS CRANES TC-17: 15 Ton National Crane/1994 Ford LTS 900 Truck TC-20: 20 Ton QMC Mndel QI C-3RF Crane/1992 Freightliner TC-42: 23 Ton National Crane/2007 Pmp.rbill 3.35 Truck RT-1: 1998 Terex RT-230 30 Ton Truck Crane RT-2: 2001 Terex RT-555 55 Ton Truck Crane C-32: 1998 Terex T-335 35 Ton Truck Crane ✓ BORE MACHINE 30" Bore Machine 36" Bore Machine 48" Bore Machine 60" Bore Machine 72" Bore Machine Lf ✓ MICRO TUNNEL -inch Micro Tunnel Steering Head �, :: -inch Micro Tunnel Steering Control i AUGERS X 10' Long with 4" Hex - Total Foota e: r y WELDERS 225 AMP 20 HP Por6ble Welders (Quantity: , �4, , 3 .v ' CLAM BUCKET So TRUCKS T-28: 2001 Ford F-650 Super Cab Service Truck T-35 or T-43: 2004 Ford F-650 Super Cab Service Truck T-46: 2011 Ford F-550 Super Cab Service Truck c T-32: 1994 Kenworth T-800 flatbed T-45: 2007 Kenworth T-800 Flatbed TRAILERS 2 Axle -TL- G' / 3 Axle - TL- Note: Personnel hours are billed at Straight Time and/or Overtime. ST HOURS OT HOURS PERSONNEL Superintendent Foreman Operator Laborer SUBS, RENTAL, OR MATERIAL, 7z CONTRACTOR: GONZALES FOREMAN: WHITE - OFFICE)BI NG COPY YELLOW - JOB FILE COPY PINK - GC/OWNER Bill -To Address HC SEATTLE DOWNTOWN STE 1 555 $ LANDER ST SEATTLE WA 98134-1921 Hilti Inc. 5400 South 122nd East Ave. TULSA, OK 74146 Delivery Address HC SEATTLE DOWNTOWN STE 1 555 S LANDER ST SEATTLE WA 98134-1921 CS Cash Sale 43919132 Page 1(1 Order Type: CS Cash Sale Customer Number: CPD_HC6462 08/30/2016 Purchase Order No.: CC GONZALES BORING Order Date: 08/30/2016 Your Reference: Our Contact: Matthew Your Main Contact: MATTHEW RESENDEZ Resendez Your Main Contact Tel.: Item No. Description Ordered Quantity Net Price/Unit Net Value 435003 Hammer drill bit TE-CX 5/16" x 6" 1 EA 26.50 EA 26.50 435004 Hammer drill bit TE-CX 5/16" x 12" 1 EA 35.50 EA 35.50 Line Total 62.00 Sales Tax 5.95 Final Total USD 67.95 Payment VISA BXXXXXXXXXXX1036 All Sales Subject to Hild Terms and Conditions. Price subject to change without notice. Phone 1-800-879-8000 Fax 1-800-879-7000 I I Hilti Inc. 5400 South 122nd East Ave. TULSA, OK 74146 Bill -To Address Delivery Address HC SEATTLE DOWNTOWN HC SEATTLE DOWNTOWN STE 1 555 S LANDER ST STE 1 555 S LANDER ST SEATTLE WA 98134-1921 SEATTLE WA 98134-1921 CS Cash Sale 43970194 Order Type: CS Cash Sale 09/07/2016 Order Date: 09/07/2016 Our Contact: Matthew Resendez Customer Number: Purchase Order No.: Your Reference: Your Main Contact: Your Main Contact Tel.: CPD_HC6462 CC GBT INC MATTHEW RESENDEZ Page 1(1) Item No. Description Ordered Quantity Net Price/Unit Net Value 435004 Hammer drill bit TE-CX 5/16" x 12" 1 EA 35.50 EA 35.50 Line Total 35.50 Sales Tax 3.41 Final Total USD 38.91 Payment VISA BXXXXXXXXXXX1036 R�CEIv Ep SE,P 121 6 All Sales Subject to Hilti Terms and Conditions. Price subject to change without notice. Phone 1-800-879-8000 Fax 1-800.87 0 RECEIVE) SFP 12 20t Bill -To Address GONZALES BORING & TUNNELING CO., IN 10680 NW GORDON RD CORNELIUS OR 97113-6314 CS Cash Sale 43973296 Order Type: CS Cash Sale 09/08/2016 Order Date: 09/08/2016 Our Contact: Daniel Hyzny I,- I I n J] Hilt! Inc. 5400 South 122nd East Ave. TULSA, OK 74146 Delivery Address .GONZALES BORING & TUNNELING CO., IN 10680 NW GORDON RD CORNELIUS OR 97113-6314 �l� 1Du�S Page 1(1) Customer Number: 17331868 Purchase Order No.: 21616 Your Reference: Your Main Contact: JAMES GONZALES Your Main Contact Tel.: 503-647-2218 Item No. Description Ordered Quantity Net Price/Unit Net Value 435004 Hammer drill bit TE-CX 5/16" x 12" - 6 EA 29.33 EA 175.96 Line Total 175.96 Final Total USD 175.96 Payment VISA BXXXXXXXXXXX1036 All Sales Subject to HIM Torms and Conditions. Price subject to chanse without notice. Phone 1-$00-879-6UUU Fax 1-800-879-7000 n CEssco, INC. Irv, r 4222 NE Columbia Blvd. '�•�''�� Portland, OR 97218 (503) 288-1242 Phone (503) 288-4284 Fax www.cessco.com Thank You For Your Business! Bill To: GONZALES BORING Ship To AND TUNNELING INC PO BOX 187 NORTH PLAINS, OR 97133 503- 647-2218 Reference: PO#21600 Comment: ORDERED BY JIM GONZALES 44 MBFRNG FIRING TUBE AND PIN No returns on special order or electrical parts. No retums after 30 days, There is a minimum 25% restocking fee on all returns within 30 days. I agree to pay invoice total according to my account or card issuer agreement. Signature: Print Name: Invoice Work Order #: 53721 Invoice #: 374628 Account #: 62300 Page: 1 of 1 Date: 9/1/2016 Time: 3:57:30 PM Cashier: 53. Register #: 2 WILL CALL 0. 2 $148.15 $148.15 374628 TERMS ARE NET 30 ON APPROVED CREDIT It is agreed as part of the consideration for this sale that the price shown hereon for the goods shall be paid wfthin 30 days after the date of purchase. Any portion of the sale price not paid within said time period shall thereafter bear interest at the HIGHEST PREVAILING RATE Buyer shall pay all costs incurred In the collection of any past due account, including all collection agency fees, court costs, and attorney fees. All warranty claims and returned goods credit MUST be accompanied by this invoice. Sub Total Sales Tax Total On Account Change Due $296.30 $0.00 $296.30 $296.30 $0.00 CESSCO, INC. t111 S14g("v() 4222 NE Columbia Blvd. Portland, OR 97218 (503) 288-1242 Phone (503) 288-4284 Fax www.cessco.com Thank You For Your Business! Bill To: GONZALES BORING AND TUNNELING INC Ship To; PO BOX 187 NORTH PLAINS, OR 97133 503- 647-2218 Reference: PO 21618 ROCK Comment: JIM 16 MBII-KIT MICRO -BLASTER CARTRIDGE MICRO -BLASTER II KIT (UNIT) •.. , , . -:: �G ....xu YF i? t.e4 6rK r? 5 Tv{S'FifilL+'sr s . aL..,ia'C"SvY �7ir%'.'.�i'4w No return s on special order or electrical parts. No returns after 30 days. There is a minimum 25% restocking fee on all returns within 30 clays. I agree to pay Invoice tutal according to my account or card Issuer agreement. Signature: Print Name: i �rr�rr ll}ii� �rrr� rt�1� r�rl rlllr fill 1111 375059 / /�-7 Invoice Work Order #: 54043 Invoice #: 375059 Account #: 62300 Page: 1 of 1 Date: 9/13/2016 Time: 4:00:56 PM Cashier: 16. Register M 3 WILL CALL 0 400 0 1 $2.25 $2.00 $780.00 $780.00 TERMS ARE NET 30 ON APPROVED CREDIT It Is agreed as part of the consideration for this sate that the price shown hereon for the goods shall be paid MOM 30 days after the date of purchase. Any portion of the sate price not paid wlthln Said time. period shall thereafter bear Interest at the HIGHEST PREVAILING RATE Buyer shah pay all costs Incurred In the collection of any pest due account, including all collection agency fees, court costs, and attorney fees, All warranty daims and returned goods credit MUST be accompanied by this Invoice. $800.00 $780.00 SP19�416 Sub Total $1,580.00 Sales Tax $0.00 Total $1,580.00 On Account $1,580.00 Change Due $0.00 CESSCO, INC. 'Sj4;C0 4222 NE Columbia Blvd. k7 Portland, OR 97218 (503) 288-1242 Phone (503) 288-4284 Fax www.cessco.com Thank You For Your Business! Bill To: GONZALES BORING AND TUNNELING INC PO BOX 187 NORTH PLAINS, OR 97133 503- 647-2218 Reference: PO-21600 Comment: PER JIM Invoice #: Account #: Page: Date: Time: Cashier: Register #: Ship To: WILL CALL 11 MBCARTRIDGE MICRO -BLASTER CARTRIDGE . 0 200 $2.25 t Z16) No returns on special order or electrical parts. No returns after 30 days. There is a minimum 25% restocking fee on all returns within 30 days. I agree to pay invoice total according to my account or card issuer agreement. Signature: Print Name: 1111111111111111111111111111111111111111 374583 TERMS ARE NET 30 ON APPROVED CREDIT It is agreed as part of the consideration for this sale that the price shown hereon for the goods shall be paid within 30 days after the date of purchase. Any portion of the sale price not paid within said time pertod shad thereafter bear interest at the HIGHEST PREVAILING RATE Buyer shall pay all costs incurred in the coffectlon of any past due account, including al codectlon agency fees, court costs, and attorney fees. All warranty clalms and returned goods credit MUST be accompanied by this Invoice. Invoice 374583 62300 1 of 1 9/1 /2016 8:26:29 AM 111 2 Price Etended`. $2.00 $400.00 Sub Total $400.00 Sales Tax $0.00 Total $400.00 On Account $400.00 Change Due $0.00 (,1 United Rentals NIIINIIIIIIIIIIIi{11iI1111111IIIIIIIIIIIIIItIIINI BRAHCH 805 T!LAWEST VALLEY NA 98186 HIGHWAY 425-251-8150 425-251-6562 FAX 11 SUND, MICHAEL SCOTT 9919 183RD PL SE SNOHOMISH WA 98296-8033 A h Office: 503-307-2321 Job: 503-301-232 REN NRETURN VOICE 1 1 Customer # 2115129 Invoice Date 08/24/16 02:25 PM Rental Out 08/25/16 03:37 PM Rental In 9919 183RD PL SE SNO UR Job Loc UR Job # Customer Job ID: P.O. # MIKE SUND Ordered By ALVARO CORDOVA Written By Salesperson HOUSE ACCOUNT SUND, MICHAEL SCOTT 9 919 183RD PL S Terms' Due Upon Receipt Contact our credit office 704-97&4858 SNOHOMI SH i/lA 9 8 2 9 6- 8 0 3 3 Payment options: REMIT TO: UNITED RENTALS (NORTH AMERICA), INC. FILE 51122 LOS ANGELES CA 90074-1122 Week 4 Week Amount RENTAL ITEMS: Descri tion Qty Equi_— Pment- Minimum 184.00 Da 245.00 667.00 1718.00 245.00 1 10248898 COMPRESSOR CFM ATLASCOPC095Model: XAS185JD in: 1233.10 Make: Serial: HOP045362 Meter out: 1232.00 Meter 39.00 7B 00 34.00 11.00 17.00 2 110/2400 AIR H05£ 3/41' X 50' Rental Subtotal: 279.00 Unit of Measur e Extended Amt. SALES/MISCELLANEOUS ITEMS: _ Price 3.18 Item [ENV/MCI] 3.180 EACH 1 ENVIRONMENTAL CHARGE [DSL/MCI] 6.700 EACH 6.70 1 DIESEL PAYMENT HISREF # AUTH # TRANTRANiTYP� AMOUNT APPLIED DATE TYPE g/24%16 PAY ON RETURN **1036 614262 CHARGED 1200.00 883.67- 8/24/16 VISA **1036 CREDITED Sales/Misc Subtotal: 9.86 8/25/16 VISA Agreement Subtotal: 282.18 6.70 uel: 27.45 Tax: Total: 316,33 Deposit: 1,200.00 Amount refunded: 883.61 COMMENTS/NOTES: Amount refunded to customer: 883.67 ARE YOU OR YOUR EMPLOYEES IN NEED OF OPERATOR CERTIFICATION TRAINING' CONTACT UNITED ACDEM ISANOTYAVAILABLE 4ONZCERTAIN EQUIPMENT 2-2345 OR TINAUR.COM CANADA. t i A TERMOPY F THE RENTAL CONDITIONS OFTH ENEISAVAILABLE UPON REQU 3TH ARE INCORPORATED HEREIN BY REFERENCE. THIS INVOICE IS ISSUED SUBJECT TO T Page: 1 }ccess Invoice History and Update Purchaas Orders Online OUnited Rentals .BRANCH M65 5421 18T AVHNUM SOUTH SEATTLB-NA 98108 206-762-2122 206-763-17I4 FAX W iI 405 -ri 555 S RENTON VILLAGE PL RENTON WA:98057-3294 O h Office: 503-647-2218 Cell: 503-307-2321 10.1.21551 MB0.416 76553521.p01 18B135 1.1 0 �'I'�Illlrl:�l��lllll'il'Iltll"IIIII���:1l�:��11111�1�11:1::i1�! GONZALES BORING & TUNNELING PO BOX 187 NORTH PLAINS OR 97133-0187 f RENTAL RETURN INVOICE' # 140129442-001''` Customer # : 69323 Invoice Date 09/16/16 Rental Out 08/30/16 09:09 AM Rental In 09./16/16 11:50 AM IIR Job Loc 555 S RENTON VILLAGE IIR Job # 43 Customer Job ID: r M=1i" P.O. # 21618 Ordered By MIKE SUND Written By BRYCE WALLACE Salesperson JEFFERY RADFORD Invoice Amount: $410.50 Terms: Due Upon Receipt Payment options: Contact our credit office 212-333-6600 Ext, 84824 REMIT TO: UNITED RENTALS (NORTH AMERICA),INC. FILE 51122 LOS ANGELES CA 90074-1122 c�maTAucry�,: o .. Paco Ventures LLC 250 S. Webster St SEATTLE, WA 981 o�PMc United States of America Phone No.: 206-762-3550 RECEIVED OCT 18 2016 Gonzales Boring & Tunneling Jen or Linda - Accounts Payable PO Box 187 North Plains, OR 97133 United States of America Paco Reference Information Customer ID C12270 Our Order No. RO.16943 Phone No: 206-762-3550 Salesperson Fax No: 206-763-4232 p Lars Ditlev Email: AR@PacoEquip.com RENTAL INVOICE Invoice Number: RI-39698 Invoice Date: Page: 1 0nlp 10 Address: Gonzales Boring & Tunneling Paco - Will Call 250 S. Webster St. Seattle, WA 98108 United States of America Shi Via Customer Picku Customer Rice Information PO M PO Date: 08/24/16 Item / Description Rental From / Quantity Term Thru Unit Price Total ari,.e Rivet Buster - Standard *Rent to own 1020.06, 010 1 Each Item Shipped: 9014 Line Oiler-1.4 FI Oz w/whip 5100.17.015 1 TXOL Each Item Shipped: 5100.18.015 Item / Description ---- Tax Breakdown ----- WASHINGTON 21.78 SEATTLE 7.37 KING 0.00 SEATTLE, RTA TAX DIST 3.02 Terms. Net 30 Days Quantity 1 09/21/16 300.00 300.00 4 Week 10/18/16 per 4 Week 1 09/21/16 35.00 35.00 4 Week 10/18/16 per 4 Week Sale Date Unit Price Total Price a Subtotal: i.M) 335.00 ` Tax: 600 32.17 Total: 7 17 ue Date 11/17/18 GOFfiTRt1GT*4'. Paco Ventures LLC 250 S. Webster St SEATTLE. WA 98108 rQU1P°�� United States of America Z1�1(d INVOICE 1 �/y Invoice Nurn SI-33672 Invoice Date: 09/06/16 Page: 1 IVED SEP 08 1Di6 6025 Gonzales Boring & Tunneling Snipping Address / Information Jen or Linda - Accounts Payable Gonzales Boring & Tunneling Jen or Linda - Accounts Payable PO Box 187 PO Box 187 North Plains, OR 97133 North Plains, OR 97133 United States of America Shipping Date 09/01/16 Ship Via Our Reference and Contact Information, Customer Reference Customer ID C12270 Phone No.: 206-762-3550 P.O. Number 21618 Our Order No. SO.34112 Fax No.: 206-763-4232 P.O. Date 09/01116 SalesPerson Lars Ditlev Email: AR@PacoEquip.com 1'harrfa Descri tion Item —Description Unit . AJ-411 Moil Point .68 Rnd/Rnd - 12" Each oty Ord 4 oty Currency Inv. Unit Price Total Price (us $ if Blank) 4 13.95 55.80 CP-P-001929 LEVER Each 2 2 44.75 89.50 Amount Subject Amount Exempt Subtotal: 145.30 to Sales Tax from Sales Tax Invoice Discount: 0.00 0.00 145.30 Total Sales Tax: 0.00% 0.00 Total: 145.30 ` tie�s�Avcrro�, �QUFpKul Paco Ventures LLC 250 S. Webster St SEATTLE, WA 98108 United States of America INVOICE Invoice Num SI-33697 ` Invoice Date: 09/07/16 Page: 1 RECEIVED SEP 08 z016� 1 za `� Gonzales Boring &Tunneling Shipping Address / Information Jen or Linda - Accounts Payable Gonzales Boring & Tunneling Paco - Will Call PO Box 187 250 S. Webster St. North Plains, OR 97133 Seattle, WA 98108 United States of America Shipping Date 09/07/16 Ship Via Customer Pickup Our Reference and Contact Information Customer Reference Customer ID C12270 Phone No.: 206-762-3550 P.O. Number 21618 Our Order No. SO-34188 Fax No.-.206-763-4232 P.O. Date 09/07/16 SalesPerson Lars Ditlev Email:° AR@PacoEquip.com Char -go Description oty, qty Currency Item Description Unit Ord Inv. Unit Price Total Price (US $ if Blank) Red rubber whip hose Each 2 2 60.00 120.00 Amount Subject Amount Exempt Subtotal: 120.00 to Sales Tax from Sales Tax Invoice Discount: 0.00 120.00 0.00 Total Sales Tax:. 9.60% 11.52 Total: 131.52 , Due in US $ unless Terms Net 30 Days Due Date: 10/07/16 noted above CAG-16-036, CO #2-16 CITY OF RENTON Public Works Department CONTRACT CHANGE ORDER AGREEMENT CONTRACT: CAG CAG-16-036 Talbot Hill Sewer Relocation—1-405, SR 167 IC/DC Project C.O.#{ 2 CONTRACTOR: Scarsella Bros. Inc. SUMMARY OF PROPOSED CHANGE: Provide all labor, equipment, subcontracting, bonding, insurance for the complete work required for the extra work as outlined below: ITEM Additional Quantities Under This Change Order Unit Quantity Unit PYIe-A Tnt.1 PA- 033. NEW ITEM: Credit for Change of Trenchless Casing Material LF 240 ($12.00) ($2,880.00) The City has approved the use of ASTM A252 Grade 3 36" OD x 0.531 wall casing for the puropose of the auger bore in lieu of the casing specified for the pipe ram with a cost credit to be deducted from Bid Item 13 — Trenchless installation of 36" Steel Casing. 034 NEW ITEM: Credit for Change of Open Cut Casing Material LF 300 ($12.00) ($3,600.00) The City has approved the use of ASTM A252 Grade 3 36" OD x 0.531 wall casing for the puropose of the auger bore in lieu of the casing specified for the pipe ram. This also changes the casing for the open cut with a cost credit to be deducted from Bid Item 11 — Furnish and Install 36-inch Steel Casing Pipe with 15-inch PVC Carrier Pipe (Open Cut Installation). 035 NEW ITEM: Credit for Change of Imported Gravel Borrow for Fill Ton 7,500 ($0.50) ($3,750.00) The City has approved the use of Select Borrow [Special Provisions 9- 03.14(2)] in lieu of the project specified Gravel Borrow with a cost credit to be deducted from Bid Item 28 — Imported Gravel Borrow For Fill. Sub Total Sales Tax (9.5%) Total ORIGINAL CONTRACT AMOUNT CURRENT CONTRACT AMOUNT ESTIMATED NET CHANGE ESTIMATED CONTRACT THIS ORDER TOTAL AFTER CHANGE $3,183,440.94 $3,183,440.94 $(11,201.85) $3,172,239.09 SIGNATURE° Contractor: Project Engh Approved B} Approved % Date: Date: Date: ZLILL Date: Z ZO H:\Flle Sys\W WP - WasteWater\W WP-27-03812 Talbot Hill Sanitary Sewer Relocation\Pay Estimates\Change Order H2 - 5-3812.doc ($10,230,00) ($971.85) (11,201.85) CITY OF RENTON Public Works Department CONTRACT CHANGE ORDER AGREEMENT CONTRACT: CAG CAG-16-036 Talbot Hill Sewer Relocation — 1-405, SR 167 IC/DC Project C.O.# 1 CONTRACTOR: Scarsella Bros. Inc. SUMMARY OF PROPOSED CHANGE Except as set forth herein, this Change Order shall not alter the terms of the Contract and shall be considered only as an addition thereto. Scarsella Bros, Inc. has proposed to modify the construction of the crossing under 1-405 from guided pipe ram as originally designed to guided auger bore (Bid Item No, 13). The City of Renton has reviewed the proposed construction modification and proposed Guided Auger Bore Work Plan dated August 18, 2016, attached and incorporated herein as Exhibit A. The City of Renton does not take exception to the proposed construction modification and approves the attached Guided Auger Bore Work Plan. By the acceptance of this change order by both the City of Renton and Scarsella Bros., Inc., both parties agree that Scarsella Bros. Inc. will take sole responsibility for the additional risks associated with guided auger boring and waives any claims it may have against the City of Renton, the State of Washington, the Consulting Engineer, or its sub -consultants due to any circumstances related to the change of method. Additional risks associated with auger boring include, but may not be limited to, the risk of losing the soil face due to the presence of ground water, the risk of not establishing an adequate soil plug, and the risk of failure due to cobbles or boulders. Furthermore, it is understood by both parties that the differing site condition clause from the original Contract will remain in effect for the revised construction method, except in the case of cobbles or boulders 18-inches diameter or less. If it is determined that cobbles or boulder 18-inches diameter or less were encountered and impacted the revised construction method, this will not be considered a differing site condition. As the construction modification requested by Scarsella Bros., Inc. was not initiated by the City of Renton and does not provide any material benefit to the City, by acceptance of this change order by both parties, it is agreed that the requested change will be a "no cost" change and no additional contract time will be granted. ORIGINAI CONTRACT AMOUNT CURIILNI CONTRACT AMOUNT ESTIMATED NET CHANGE: THIS ORDER S3,183,440.94 $0 SIGNATURES: Contractor. Project Engineer: Approved By / Approved By ESTIMATED CONTRACI TOTAL AFTER CIIANGL $3,183,440.94 Date. Date Date Lq(� �l �1231/6 Fi \I iIC 5ti .t,1,bYF' - b+;astc�Jatei\',�1tAiP 2I 03812 T,)!iiot HdI jar-iy Estun �t-_i\C.han�e J,d ,c q 3 ! '2•2015 dog r � SCARSELLA 6ROTHERSINC. i Subcontract Change Order Project: 1.2703812.00 Talbot Hill Sewer Relocation To Contractor: GONZALES BORING & TUNNELING P. O. Box 187 North Plains. OR 97133 The Contract is changed as follows: Gonzales construction modification request -No Cost Change Order The City of Renton Change Order #01. SUMMARY OF PROPOSED CHANGE: Subcontract: 1.2703812.01 Change Order: 1 Date: 8/22/2016 Scarsella Bros., Inc. P.O. Box 68697 Seattle WA 98168 (253) 872-7173 Except as set forth herein, this Change Order shall not alter the terms of the Contract and shall be considered only as an addition thereto. Gonzales Boring and Tunneling. Inc. has proposed to modify the construction of the crossing under 1-405 from guided pipe ram as originally designed to guided auger bore (Bid Item No 13). The City of Renton has reviewed the proposed construction modification and proposed Guided Auger Bore Work Plan dated August 18, 2016, attached and incorporated herein as Exhibit A. The City of Renton does not take exception to the proposed construction modification and approves the attached Guided Auger Bore Work Plan By the acceptance of this change order by the City of Renton and Scarsella Bros., Inc., the parties agree that Gonzales Boring and Tunneling, Inc will take sole responsibility for the additional risks associated with guided auger boring and waives any claims it may have against Scarsella Bros., Inc. and the City of Renton, the State of Washington, the Consulting Engineer, or its sub -consultants due to any circumstances related to the change of method. Additional risks associated with auger boring include, but may not be limited to, the risk of losing the soil face due to the presence of ground water, the risk of not establishing an adequate soil plug, and the risk of failure due to cobbles or boulders. Furthermore. it is understood by both parties that the differing site condition clause from the original Contract will remain in effect for the revised construction method, except in the case of cobbles or boulders 18-inches diameter or less. If it is determined that cobbles or boulder 18-inches diameter or less were encountered and impacted the revised construction method, this will not be considered a differing site condition. As the construction modification requested by Gonzales Boring and Tunneling, Inc was not initiated by the City of Renton or Scarsella Bros.. Inc. and does not provide any material benefit to the City or Scarsella Bros., Inc , by acceptance of this change order by both parties, it is agreed that the requested change will be a "no cost" change and no additional contract time will be granted. Change Phase Request Description Amount 13.002 CO 01 ConstructionModification $0 00 SCARSELLA BROTHERS INC. i Subcontract Change Order Project: 1.2703812.00 Talbot Hill Sewer Relocation To Contractor: GONZALES BORING & TUNNELING P. O. Box 187 North Plains, OR 97133 The original Contract Amount was Net change by previously authorized Change Orders The Contract Amount prior to this Change Order was The Contract will be increased by this Change Order in the amount of The new Contract Amount including this Change Order will be The Contract Time will be unchanged. The date of Substantial Completion as of the date of this Change Order therefore is NOT VALID UNTIL SIGNED BY THE SUBCONTRACTOR. Scarsella Bros., Inc. CONTRACTOR P.O. Box 68697 Seattle WA 98168-0697 (Signature) By Subcontract: 1.2703812.01 Change Order: 1 Date: 8/2212016 GONZALES BORING & TUNNELING SUBCONTRACTOR P. O. Box 187 North Plains, OR 97133 (S)gnature) Date Date Scarsella Bros., Inc. P.O. Box 68697 Seattle WA 98168 (253) 872-7173 $189,780.00 $0.00 S189.780 00 $0.00 $189,780 00 +3, c--% Oe,c," Qc erc,..,c� r 4' Z,- ,1 S <-t o "$ZUS18Oo ��S��loVo `�3Sc,,3yS 2<.1 OSD TY OF wmwwolwow Renton v® .9ENiOr� SUBJECT/TITLE: Final Pay Estimate CAG 16-036, Talbot Hill Sewer Relocation — 1-405/SR 167 Interchange Direct Connector Project Contractor: Scarsella Bros., Inc. RECOMMENDED ACTION: Council Concur DEPARTMENT: Public Works/Utility Systems STAFF CONTACT: Michael Benoit EXT.: 7206 The original contract amount was $3,183,440.94 and the final amount is $3,157,305.69, a decrease of $26,135.25. The decrease in cost was due to the reduction of quantities (i.e. use of appropriate native material instead of imported backfill). SUMMARY OF ACTION: The project was awarded on April 25, 2016. Construction began on May 31, 2016 and was completed on May 15, 2017. The approved 2016 Capital Improvement Program for the Talbot Hill Sewer Relocation Project budget (426.466506) was $4,600,000. There was an approved 2017 carry forward of $1,700,000 from the original 2016 funds into 2017 to cover the remaining cost of the project. The amount budgeted for the project is enough to cover the construction, engineering and staff costs. At the request of the Washington State Department of Transportation (WSDOT), this project was done in advance of WSDOT constructing the 1-405/SR167 direct connector ramp. The construction costs are 100% reimbursable to the City via WSDOT Agreement UTB 1223. A. Final Pay Estimate #9 B. Notice of Completion of Public Works Contract Accept the project, approve the final pay estimate in the amount of $43,388.60 and release the retainage in the amount of $144,147.68 after 60 days, subject to the receipt of all required authorizations. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Pay Estimates\Agenda Bill Final Pay S- 3804.doc\MABtp TO: FINANCE DIRECTOR FROM: PUBLIC WORKS ADMINISTRATOR CONTRACTOR: Scarsella Bros. Inc. CONTRACT NO. CAG-16-036 PO# 18/0001991 ESTIMATE NO. 9 & Final PROJECT: Talbot Hill Sewer Relocation - 1-405, SR 167 IC/DC Project 1. 2. 3. CONTRACTOR EARNINGS THIS ESTIMATE SALES TAX Q 10.00% TOTAL CONTRACT AMOUNT THIS ESTIMATE $39,444.18 $3,944.42 $43,388.60 4. EARNINGS PREVIOUSLY PAID CONTRACTOR $2,701,333.91 5. EARNINGS DUE CONTRACTOR THIS ESTIMATE $37,471.97 6. SUBTOTAL - CONTRACTOR PAYMENTS $2,738,805.88 7. RETAINAGE ON PREVIOUS EARNINGS $142,175.47 8. ** RETAINAGE ON EARNINGS THIS ESTIMATE $1,972.21 9. SUBTOTAL - RETAINAGE $144,147.68 10. SALES TAX PREVIOUSLY PAID $270,407.71 11. SALES TAX DUE THIS ESTIMATE $3,944.42 12. SUBTOTAL - SALES TAX $274,352.13 * (95% x LINE 1) ** (RETAINAGE: 5%) GRAND TOTAL: $3,157,305.69 FINANCE DEPARTMENT ACTION: PAYMENT TO CONTRACTOR (Lines 5 and 11): ACCOUNT # 426.465506.018.594.35.63.000 $41,416.39 # 9 & Final RETAINED AMOUNT (Line 8): ACCOUNT # 426.465506.018.594.35.63.000 CHARTER 116, LAWS OF 1965 CITY OF RENTON CERTIFICATION I, THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF PERJURY, THAT THE MATERIALS HAVE BEEN FURNISHED, THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HEREIN, AND THAT THE CLAIM IS A JUST, DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON, AND THAT I AM AUTHORIZED TO AUTHENTICATE AND CERTIFY TO SAID CL Signed: 3*1 S/30/17 $1,972.21 # 9 & Final TOTAL THIS ESTIMATE: $41,416.39 $1,972.21 $43,388.60 Printed On: 05/22/2017 City of Renton Public Works Department Page 1 Printed On: 05/22/2017 City of Renton Public Works Department Project: Talbot Hill Sewer Relocation - 1-405, SR 167 IC/DC Project Contract Number: CAG-16-036 Contractor: Scarsella Bros. Inc. Pay Estimate 9 & Final Closing Date: 05/26/2017 Item Description Unit Est. Unit Previous Previous This No. Quantity Price Quantity Amount Quantity This Total Amount Quanli Page 1 Total Amount 001. Mobilization & Demobilization Lump Sum 1 $250,000.00 0.80 $200,000.00 0.20 $50,000.00 1.00 $250,000.00 002. Trench Excavation Safety Systems Lump Sum 1 S15,000.00 1.00 $15,000.00 0.00 $0.00 1.00 $15,000.00 003. Construction Surveying, Staking, and As-Buills Lump Sum 1 $25,000.00 1.00 $25,000.00 0.00 $0.00 1.00 $25,000.00 004. Traffic Control Lump Sum 1 $40,000.00 1.00 $40,000.00 0.00 S0.00 1.00 $40,000.00 005. Temporary Erosion/Sedimentation Controls Lump Sum 1 $30,000.00 1.00 $30,000.00 0.00 S0.00 1.00 $30,000.00 006. Site Clearing and Grading Lump Sum 1 $23,500.00 1.00 $23,500.00 0.00 S0.00 1.00 $23,500.00 007. Furnish and Install 8-inch PVC Sewer Pipe Linear Foot 630 $50.50 624.00 S31,512.00 0.00 $0.00 624.00 S31,512.00 008. Furnish and Install 12-inch PVC Sewer Pipe Linear Foot 690 $85.00 506.00 $43,010.00 0.00 S0.00 506.00 S43,010.00 009. Furnish and Install 15-inch PVC Sewer Pipe Linear Foot 100 $115.00 96.00 $11,040.00 0.00 SO.00 96.00 $11,040.00 Furnish and Install 18-inch Steel Casing Pipe with 12-inch 010. PVC Carrier Pipe Linear Foot 70 S215.00 70.00 $15,050.00 0.00 $0.00 70.00 $15,050.00 Furnish and Install 36-inch Steel Casing Pipe with 15-inch 011. PVC Carrier Pipe (Open Cut Installation) Linear Foot 300 $300.00 224.00 $67,200.00 0.00 $0.00 224.00 $67,200.00 012. HDD Trenchless Installation of 12-inch HDPE Sewer Pipe Lump Sum 1 $820,000.00 1.00 $820,000.00 0.00 $0.00 1.00 S820,000.00 013. Trenchless Installation of 36-inch Steel Casing Linear Foot 240 $800.00 307.00 $245,600.00 0.00 $0.00 307.00 S245,600.00 Furnish and Install 15' PVC Carrier Pipe within Steel Casing 014. (Trenchless Installation) Linear Foot 240 $70.00 307.00 $21,490.00 0.00 S0.00 307.00 $21,490.00 015. Television Inspection of Sanitary Sewers Linear Foot 3240 S4.50 2160.00 S9,720.00 0.00 $0.00 2160.00 $9,720.00 016. Launch and Reception Shafts Lump Sum 1 S790,000.00 1.00 S790,000.00 0.00 $0.00 1.00 $790,000.00 Furnish and Install 48-inch Diam. Sanitary Sewer Manhole 017. with Flat Top Each 1 S4,500.00 1.00 $4,500.00 0.00 $0.00 1.00 $4,500.00 Furnish and Install 48-inch Diam.Saddle Manhole with Flat 018. Top Each 4 $4,625.00 4.00 S18,500.00 0.00 $0.00 4.00 $18,500.00 Furnish and Install 60-inch Diam. Sanitary Sewer Manhole 019. with Flat Top Each 3 $11,550.00 3.00 $34,650.00 0.00 S0.00 3.00 $34,650.00 Furnish and Install 60-inch Diam. Saddle Manhole with Flat 020. Top Each 1 S10,300.00 1.00 $10,300.00 0.00 $0.00 1.00 S10.300.00 Furnish and Install 60-inch Diam. Drop Manhole with Flat 021. Top Each 2 $10,600.00 2.00 $21,200.00 0.00 $0.00 2.00 $21,200.00 022. Extend Existing / Install New 12-Inch Culvert Linear Foot 180 $42.40 300.00 $12,720.00 0.00 S0.00 300.00 $12,720.00 023. Connect to Existing Sewer Each 8 $600.00 8.00 $4,800.00 0.00 $0.00 8.00 $4,800.00 024. Abandon Existing Sanitary Sewer Manhole Each 12 $800.00 12.00 $9,600.00 0.00 S0.00 12.00 $9,600.00 Adandon & Fill Existing Sanitary Sewer Main Over 10' 025. Diam. Linear Foot 1530 $10.00 1530.00 S15,300.00 0.00 $0.00 1530.00 $15,300.00 Removal and Replacement of Unsuitable Foundation 026. Material Ton 50 $65.00 717.96 $46,667.40 0.00 S0.00 717.96 $46,667.40 027. Select Imported Trench Backfill Ton 7000 S16.00 59.50 $952.00 0.00 $0.00 59.50 S952.00 028. Imported Gravel Borrow For Fill Ton 7500 $19.25 5458.07 $105,067.85 0.00 S0.00 5458.07 $105,067.85 029. Crushed Surfacing Base Course for Gravel Road Ton 2500 $22.50 1857.57 $41,795.33 0.00 S0.00 1857.57 $41,795.33 Printed On: 05/22/2017 City of Renton Public Works Department Page 2 Project: Talbot Hill Sewer Relocation - 1-405, SR 167 IC/DC Project Contractor: Scarsella Bros Inc. Pay Estimate 9 & Final Item Description Unit Est Unit No. Quantity Price 030. Controlled Density Fill (Backfill) (As Required) Cubic Yard 50 $130.00 031. Asphalt Patch Including CSTC Square Yard 650 $30.00 032. Surface Restoration Lump Sum 1 $15.000,00 033. CON2: Credit for Change of Trenchless Casing Material Linear Foot 240 ($12.00) 034 CON2. Credit for Change of Open Cut Casing Material Linear Foot 300 ($12.00) 035. CON2: Credit for Change of Imported Gravel Borrow for Fill Ton 7500 ($0.50) 036. CON3. Removal of Rock for Auger Bore Lump Sum 1 $99,861.92 037. CON4: Trench Damn to Control Ground Water Lump Sum 1 $2,025.95 038. CON4. Grout Upstream Side of HDD Pipe Lump Sum 1 $4,836.53 039 CON5: Furnish and Install 10-inch PVC Sewer Pipe Linear Foot 109 $85.00 040. CON6: Credit for Elimination of Coating Some Manholes Lump Sum 1 ($17,750.00) 041. CON7: Additional Survey Lump Sum 1 $7,194,18 Subtotal 9.5 i Sales Tax 10.0 % Sales Tax (Begin 0110112017) Total Contract Number: Closing Date: Previous Previous Quantitv Amount 000 $0.00 215.11 $6,453.30 1.00 $15,000,00 307.00 ($3,684.00) 224.00 ($2,688.00) 3471.80 ($1,735.90) 1.00 $99.861.92 1.00 $2,025.95 1,00 $4,836 53 109.00 $9,265.00 000 $0.00 0.00 $0.00 CAG-16-036 05/26/2017 This This Total Total Quantity Amount Quantity Amour 0.00 $0.00 0.00 $0.00 0.00 $0.00 215.11 $6,453.30 0.00 $0-00 1.00 $15,000.00 0.00 $0.00 307.00 ($3,684.00) 0.00 $0.00 224.00 ($2,688.00) 0.00 $0.00 3471.80 ($1,735.90) 000 $0.00 1.00 $99.861.92 0.00 $0,00 1.00 $2,025.95 000 $0.00 1.00 $4,836.53 0,00 $0.00 109.00 $9,265,00 1,00 ($17,750.00) 1.00 ($17,750.00) 1.00 $7,194.18 1.00 $7,194.18 $2,843,509.38 $39,444.18 $2,882,953.56 $264,921.37 $0.00 $264,921.37 $5,486.34 $3,944,42 $9,430.76 $3,113,917.09 $43,388.60 $3,157.305.69 -*Id S /.7a / r 7 404- C /397f1-7 ❑ Original ❑ Revised # NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT Date: Contractor's UBI Number: Name & Mailing Address of Public Agency Department Use Only City of Renton Assigned to: 1055 S Gradv Wav Renton. Wa 98057 Date Assigned: UBI Number: 177000094 Notice is hereby given relative to the completion of contract or project describer! below Project Name Contract Number Job Order Contracting Talbot Hill Sewer Relocation-1-405, SR 167 IC/DC Project ICAG-16-036 1 ❑ Yes V No Description of Work Done/Include Jobsite Address(es) Relocate sanitary sewer pipe. A total of approximately 2,890 feet of 8", 10", 12" & 15" sanitary sewer main in S 14th St (between Lake Ave S and Smithers Ave SE) and In Smithers Ave S (between 14th and Renton Village Place). Federally funded transportation project? ❑ Yes Rf No (if yes, provide Contract Bond Statement below) Contractor's Name E-mail Address Affidavit ID* Scarsella Bros., Inc rick.k@scarsellabros.com Contractor Address Telephone # PO Box 68697, Seattle WA 98168 253-872-7173 If Retainage is not withheld, please select one of the following and List Surety's Name & Bond Number. ❑ Retainage Bond ❑ Contract/ Payment bond (valid for federally funded transportation projects) Name: I Bond Number: Date Contract Awarded Date Work Commenced Date Work Completed Date Work Accepted April 25, 2016 May 3, 2016 May 26, 2017 June 19, 2017 Were Subcontracters used on this project? If so, please complete Addendum A. Yes ❑ No Affidavit ID* - No L&I release will be granted until all affidavits are listed. Contract Amount $ 2,907,252.00 Additions ( + ) $ Liquidated Damages $ 0.00 Reductions ( - ) $ 24,298.44 Amount Disbursed $ 3,013,158.01 Sub -Total $ 2,882,953.56 Amount Retained $ 144,147.68 Amount of Sales Tax 9.5 (If various rates apply, please send a breakdown) $ 274352.13 TOTAL $ 3,157,305.69 TOTAL $ 3,157,305.69 ivvi c: i nese rwo rorars musr ne Comments: Sales Tax paid $264,921.37 (@9.5%) & $9,430.76 (@10%) Note: The Disbursing Officer must submit this completed notice immediately after acceptance of the work done under this contract. NO PAYMENT SHALL BE MADE FROM RETAINED FUNDS until receipt of all release certificates. Submitting Form: Please submit the completed form by email to all three agencies below. Contact Name: Natalie Wissbrod Email Address: nwissbrod@rentonwa.gov PDepartment of Revenue Washingtm Stave Depwnrwnt of Public Works Section 40 Labor & Industries (360) 704-5650 Contract Release PWC@dor.wa.gov (855) 545-8163, option # 4 ContractRelease@LN I. WA. GOV Title: Accounting Assistant Phone Number: 425-430-6919 Employment Security Department Registration, Inquiry, Standards & Coordination Unit (360)902-9450 publicworks@esd.wa.gov REV 31 0020e(4/28/14) F215-038-000 04-2014 Addendum A: Please List all Subcontractors and Sub -tiers Below This addendum can be submitted in other formats. Provide known affidavits at this time. No L&1 release will be eranted until all affidavits are listed. Subcontractor's Name: UBI Number: (Required) Affidavid ID* BEST PARKING LOT CLEANING INC 601901928 716280 BRAVO ENVIRONMENTAL NW INC 602946216 704006 DELMAR CONCRETE CTNG&CRNG LLC 603490906 717046 GONZALES BORING/TUNNELING INC 600647464 717327 LAKERIDGE PAVING CO L L C 601592135 716338 LAKESIDE CONCRETE PUMPING INC 601936653 703350 LAVELLE VAC & DRAINAGE LLC 602318053 716894 Miles Sand & Gravel Company 171004760 716959 MOBY'S 24-HR ST SWPNG SVCS INC 603358194 716303 O M A CONSTRUCTION INC 601872128 PLS,Inc. 601979933 716250 Sapp Trucking LLC 603507755 SIB STRUCTURES LLC 602615583 TRENCHLESS CONST SERVICES LLC 601961605 686338 VENTILATION POWER CLEANING INC 578089188 For tax assistance or to request this document in an alternate format, please call 1-800-647-7706. Teletype (TTY) users may use the Washington Relay Service by calling 711. REV 31 0020e Addendum (04/28/14) F215-038-000 04-2014 encon SUBJECT/TITLE: Final Pay Estimate CAG 16-036, Talbot Hill Sewer Relocation — 1-405, SR 167 IC/DC Project Contractor: Scarsella Bros., Inc. RECOMMENDED ACTION: Council Concur DEPARTMENT: Public Works/Utility Systems STAFF CONTACT: Michael Benoit EXT.: 7206 FISCAL IMPACT SUMMARY: The original contract amount was $3,183,440.94 and the final amount is $3,157,305.69, a decrease of $26,135.25. The cost decrease was due to the reduction of quantities (i.e. use of appropriate native material instead of imported backfill.) The project was awarded on April 25, 2016. Construction began on May 31, 2016, and was completed on May 15, 2017. The approved 2016 Capital Improvement Program for the Talbot Hill Sewer Relocation Project budget (426.466506) was $4,600,000. There was an approved 2017 carry forward of $1,700,000 from the original 2016 funds into 2017 to cover the remaining costs of the project. The amount budgeted for the project is enough to cover the construction, engineering, and staff costs. At the request of Washington State Department of Transportation (WSDOT), this project was done in advance of WSDOT constructing the 1-405 / SR167 direct connector ramp. The construction costs are 100% reimbursable to the City via WSDOT Agreement UTB1223 A. Final Pay Estimate #9 & Final B. Notice of Completion of Public Works Contract Accept the project; approve the final pay estimate in the amount of $43,388.60; and release the retainage in the amount of $144,147.68 after 60 days, subject to the receipt of all required authorizations. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Pay Estimates\Agenda Bill Final Pay S- 3804.doc\MABtp n COPY Denis Law Mayor1[;R IWO Public Works Department - Gregg Zimmerman, P.E., Administrator June 14, 2017 Mr. Bob Scarsella Scarsella Bros. Inc. PO Box 68697 Seattle, WA 98168-0697 RE: CONTRACT CAG 16-036, TALBOT HILL SEWER RELOCATION — 1-405, SR 167 IC/DC PROJECT Dear Mr. Scarsella: The City of Renton considers work done by Scarsella Bros. under this contract as substantially complete and is proceeding with final acceptance. It is anticipated that work will be formally accepted by Council at its regular meeting on June 19, 2017. The City will then be able to process the final payment and release retainage subject to completion of all state paperwork by Scarsella Bros. and your sub -contractors. Per Section 1-05.12 of the Standard Specifications, Final acceptance shall not constitute acceptance of any unauthorized or defective work or material. Further, Section 1-05.10 of the Special Provisions, provides that, within one year after the Acceptance Date, if defective and/or unauthorized work is discovered, the Contractor shall promptly return and correct said work. Please be aware that there are three items that we are notifying you that need correction. 1. MH001 (Renton Village Place) needs to be coated on the interior per specification. The planter strip along the south side of Renton Village Place that was crossed during the construction of the sewer main needs to be restored to a landscape standard to match or exceed the existing landscape. 3. The extruded curb along the parking lot side of the planter strip needs to be replaced in that same area. The City of Renton appreciates the work Scarsella Bros. did under this contract. While we do not anticipate that there will be any additional items that need correction, this current list does not preclude the possibility that there may be additional items found that need correction. If you have any questions, please contact me at 425-430-7206, or by email at mbenoit@rentonwa.gov. Sincerely, Michael A. Benoit Wastewater Utility Project Manager H:\File Sys\WWP - Waste Water\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Scarsella 06.doc\MABtp 1055 South Grady Way, Renton, WA 98057 • rentonwa.gov f PUBLIC WORKS DEPARTMENT CITY OF Renton M E M O R A N D U M DATE: June 15, 2017 TO: Natalie Wissbrod, ASD Accounting Assistant FROM: Mike Benoit, Wastewater Project Manager, 020610 SUBJECT: CAG 16-036, Talbot Hill Swer Relocation Final Pay Estimate, Scarsella Bros., Inc. Enclosed is the final pay estimate for the Talbot Hill Sewer Relocation—1-405, SR 167 IC/DC project. The project has been sent to City Council for the meeting on June 19, 2017. The following documents are enclosed: • Copy of the Agenda Bill for Council acceptance of project and final pay estimate • Notice of Completion of Public Works Contract • Original of final pay estimate • Affidavits of Wages Paid (still missing some, we will forward as we receive them) You should already have the Notices of Intent to Pay Prevailing Wages. If not, please let me know and I will forward copies to you. Thank you very much for your help. Enclosures H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Pay Estimates\TRANSFIN - S- 3812.doc\MABmc TO: FINANCE DIRECTOR FROM: PUBLIC WORKS ADMINISTRATOR CONTRACTOR: Scarsella Bros. Inc. CONTRACT NO. CAG-16-036 PO# 18/0001991 ESTIMATE NO. 9 & Final PROJECT: Talbot Hill Sewer Relocation - 1-405, SR 167 IC/DC Project 1. CONTRACTOR EARNINGS THIS ESTIMATE $39,444.18 2. SALES TAX @ 10.00% $3,944.42 3. TOTAL CONTRACT AMOUNT THIS ESTIMATE $43,388.60 4. EARNINGS PREVIOUSLY PAID CONTRACTOR $2,701,333.91 5. * EARNINGS DUE CONTRACTOR THIS ESTIMATE $37,471.97 6. SUBTOTAL - CONTRACTOR PAYMENTS 7. RETAINAGE ON PREVIOUS EARNINGS $142,175.47 8. ** RETAINAGE ON EARNINGS THIS ESTIMATE $1,972.21 9. SUBTOTAL - RETAINAGE 10. SALES TAX PREVIOUSLY PAID $270,407.71 11. SALES TAX DUE THIS ESTIMATE $3,944.42 12. SUBTOTAL - SALES TAX * (95% x LINE 1) ** (RETAINAGE: 59/.) GRAND TOTAL FINANCE DEPARTMENT ACTION: PAYMENT TO CONTRACTOR (Lines 5 and 11): ACCOUNT # 426.465506.018.594.35.63.000 RETAINED AMOUNT (Line 8): ACCOUNT # 426.465506.018.594.35.63,000 CHARTER 116, LAWS OF 1965 CITY OF RENTON CERTIFICATION I, THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF PERJURY, THAT THE MATERIALS HAVE BEEN FURNISHED, THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HEREIN, AND THAT THE CLAIM IS A JUST, DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON, AND THAT 1 AM AUTHORIZED TO AUTHENTICATE AND CERTIFY TO SAID CL , Signed: &1-3 5'/2c%, 7 $2,738,805.88 $144,147.68 $274,352.13 $3,157,305.69 $41,416.39 # 9 & Final $1,972.21 # 9 & Final TOTAL THIS ESTIMATE $41,416.39 $1,972.21 $43,388.60 Printed On: 05/22/2017 City of Renton Public Works Department Page 1 Printed, On: 05/22/2017 City of Renton Public Works Department Page 1 Project: Talbot Hill Sewer Relocation - 1-405, SR 167 IC/DC Project Contract Number: CAG-16-036 Contractor: Scarsella Bros. Inc. Pay Estimate 9 & Final Closing Date: 05/26/2017 Item Description Unit Est. Unit Previous Previous This This Total Total No. Quantity Price Quantity Amount Quantity Amount Quantity Amount 001. Mobilization & Demobilization Lump Sum 1 S250,000.00 0.80 $200,000.00 0.20 $50,000.00 1.00 $250,000.00 002. Trench Excavation Safely Systems Lump Sum 1 $15,000.00 1.00 $15,000.00 0.00 $0.00 1.00 $15,000.00 003. Construction Surveying, Staking, and As-Builts Lump Sum 1 S25,000.00 1.00 S25,000.00 0.00 $0.00 1.00 $25,000.00 004. Traffic Control Lump Sum 1 S40,000.00 1.00 $40,000.00 0.00 $0.00 1.00 $40,000.00 005. Temporary Erosion/Sedimentation Controls Lump Sum 1 $30,000.00 1.00 $30,000.00 0.00 $0.00 1.00 $30,000.00 006. Site Clearing and Grading Lump Sum i S23,500.00 1.00 $23,500.00 0.00 S0.00 1.00 $23,500.00 007. Furnish and Install 8-inch PVC Sewer Pipe Linear Foot 630 $50.50 624.00 S31,512.00 0.00 $0.00 624.00 $31,512.00 008. Furnish and Install 12-inch PVC Sewer Pipe Linear Foot 690 $85.00 506.00 $43,010.00 0.00 $0.00 506.00 $43,010.00 009. Furnish and Install 15-inch PVC Sewer Pipe Linear Foot 100 $115.00 96.00 $11.040.00 0.00 S0.00 96.00 $11,040.00 Furnish and Install 18-inch Steel Casing Pipe with 12-inch 010. PVC Carrier Pipe Linear Foot 70 S215.00 70.00 $15,050.00 0.00 $0.00 70.00 $15,050.00 Furnish and Install 36-inch Steel Casing Pipe with 15-inch 011. PVC Carrier Pipe (Open Cut Installation) Linear Foot 300 $300.00 224.00 S67,200.00 0.00 $0.00 224.00 S67,200.00 012. HDD Trenchless Installation of 12-inch HDPE Sewer Pipe Lump Sum 1 $820,000.00 1.00 $820,000.00 0.00 $0.00 1.00 $820,000.00 013. Trenchless Installation of 36-inch Steel Casing Linear Foot 240 S800.00 307.00 $245,600.00 0.00 S0.00 307.00 $245,600.00 Furnish and Install 15' PVC Carrier Pipe within Steel Casing 014. (Trenchless Installation) Linear Fool 240 S70.00 307.00 $21,490.00 0.00 S0.00 307.00 $21,490.00 015. Television Inspection of Sanitary Sewers Linear Foot 3240 S4.50 2160.00 S9,720.00 0.00 S0.00 2160.00 $9,720.00 016. Launch and Reception Shafts Lump Sum 1 $790,000.00 1.00 $790,000.00 0.00 $0.00 1.00 $790,000.00 Furnish and Install 48-inch Diam. Sanitary Sewer Manhole 017. with Flat Top Each 1 54,500.00 1.00 $4,500.00 0.00 $0.00 1.00 S4,500.00 Furnish and Install 48-inch Diam.Saddle Manhole with Flat 018. Top Each 4 $4,625.00 4.00 $18,500.00 0.00 $0.00 4.00 $18,500.00 Furnish and Install 60-inch Diam. Sanitary Sewer Manhole 019. with Flat Top Each 3 S11,550.00 3.00 $34,650.00 0.00 $0.00 3.00 $34,650.00 Furnish and Install 60-inch Diam. Saddle Manhole with Flat 020. Top Each 1 $10,300.00 1.00 S10,300.00 0.00 $0.00 1.00 S10,300.00 Furnish and Install 60-inch Diam. Drop Manhole with Flat 021. Top Each 2 $10,600.00 2.00 $21.200.00 0.00 $0.00 2.00 $21,200.00 022. Extend Existing / Install New 12-Inch Culvert Linear Foot 180 $42.40 300.00 512,720.00 0.00 $0.00 300.00 S12,720.00 023. Connect to Existing Sewer Each 8 $600.00 8.00 $4,800.00 0.00 $0.00 8.00 $4,800.00 024. Abandon Existing Sanitary Sewer Manhole Each 12 $800.00 12.00 $9.600.00 0.00 S0.00 12.00 $9,600.00 Adandon & Fill Existing Sanitary Sewer Main Over 10' 025. Diam. Linear Foot 1530 S10.00 1530.00 $15,300.00 0.00 S0.00 1530.00 S15,300.00 Removal and Replacement of Unsuitable Foundation 026. Material Ton 50 $65.00 717.96 $46,667.40 0.00 MOO 717.96 S46,667.40 027. Select Imported Trench Backfill Ton 7000 $16.00 59.50 $952.00 0.00 $0.00 59.50 $952.00 028. Imported Gravel Borrow For Fill Ton 7500 $19.25 5458.07 $105,067.85 0.00 S0.00 5458-07 $105,067.85 029. Crushed Surfacing Base Course for Gravel Road Ton 2500 $22.50 1857.57 $41,795.33 0.00 $0.00 1857.57 $41,795.33 Printeq On: 05/22/2017 City of Renton Public Works Department Page 2 Project Talbot Hill Sewer Relocation - 1.405, SR 167 IC/DC Project Contractor: Scarsella Bros. Inc. Pay Estimate Item Description Unit Est. Contract Number: 9 & Final Closing Date: Unit Previous Previous 'rice Quantity Amount 030. Controlled Density Fill (Backfill) (As Required) Cubic Yard 50 $130.00 031, Asphalt Patch Including CSTC Square Yard 650 S30.00 032 Surface Restoration Lump Sum 1 $15.000.00 033, CO#2: Credit for Change of Trenchless Casing Material Linear Foot 240 ($12.00) 034. CO#2. Credit for Change of Open Cut Casing Material Linear Foot 300 ($12.00) 035. CO#2: Credit for Change of Imported Gravel Borrow for Fill Ton 7500 ($0.50) 036. CO#3: Removal of Rock for Auger Bore Lump Sum 1 $99,861.92 037. CO#4: Trench Damn to Control Ground Water Lump Sum 1 $2,025.95 038. CO#4: Grout Upstream Side of HDD Pipe Lump Sum 1 $4,836.53 039, CO#5: Furnish and Install 10-inch PVC Sewer Pipe Linear Foot 109 $85.00 040 CO#6: Credit for Elimination of Coating Some Manholes Lump Sum 1 ($17,750.00) 041. CO#7: Additional Survey Lump Sum 1 $7.194.18 Subtotal 9.5 % Sales Tax 10.0 % Sales Tax (Begin 01/01/2017) Total CAG-16-036 05/26/2017 This This Total Total Quantity Amount Quantity Amour 0.00 $0.00 0.00 $0.00 0.00 $0.00 215.11 $6,453.30 0.00 $0.00 215.11 S6.453.30 1.00 $15,000.00 0.00 $0.00 1.00 $15,000.00 307.00 ($3.684.00) 0.00 $0.00 307.00 ($3,684.00) 224.00 (S2,688.00) 0.00 S0.00 224.00 ($2,688.00) 3471.80 ($1,735.90) 0.00 $0.00 3471.80 ($1,735.90) 1.00 $99,861.92 0,00 $0.00 1.00 $99.861.92 1-00 $2,025.95 0.00 $0.00 1.00 $2.025.95 1.00 $4,836.53 0.00 $0.00 1.00 $4.836.53 109.00 $9,265.00 0.00 $0.00 109.00 $9,265.00 0,00 $0.00 1.00 ($17,750.00) 1.00 ($17,750.00) 0.00 $0.00 1.00 $7,194.18 1.00 $7,194.18 $2,843,509,38 $39,444.18 $2,882,953.56 $264.921.37 $0.00 $264,921.37 $5,486.34 $3,944,42 $9,430.76 $3,113,917.09 $43,3B8.60 $3,157,305.69 46 - a 13G/1-, ❑ Original ❑ Revised # NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT Date: Contractor's UBI Number: Name & Mailing Address of Public Agency Department Use Only City of Renton Assigned to: 1055 S Gradv Wav Renton, Wa 98057 Date Assigned: UBI Number: 177000094 Notice is hereby given relative to the completion of contract or project described below Project Name Contract Number ICAG-16-036 Job Order Contracting 1 Talbot Hill Sewer Relocation - 1-405, SR 167 IC/DC Pro ect ❑ Yes V No Description of Work Done/Include Jobsite Address(es) Relocate sanitary sewer pipe. A total of approximately 2,890 feet of 8", 10", 12" & 15" sanitary sewer main in S 14th St (between Lake Ave S and Smithers Ave SE) and In Smithers Ave S (between 14th and Renton Village Place). Federally funded transportation project? ❑ Yes hK No (if yes, provide Contract Bond Statement below) Contractor's Name E-mail Address Affidavit ID* Scarsella Bros., Inc irick.k@scarsellabros.com Contractor Address Telephone # PO Box 68697, Seattle WA 98168 253-872-7173 If Retainage is not withheld, please select one of the following and List Surety's Name & Bond Number. ❑ Retainage Bond ❑ Contract/Payment bond (valid for federally funded transportation projects) Name: I Bond Number: Date Contract Awarded Date Work Commenced Date Work Completed Date Work Accepted April 25, 2016 May 3, 2016 May 26, 2017 Were Subcontracters used on this project? If so, please complete Addendum A. Wyes ❑ No Af7idakit ID* -No I.&I release %kill be granted until all affidavits arc listed. Contract Amount Additions ( + ) Reductions (- ) Sub -Total $ 2,907,252.00 $ 24,298.44 $ 2,882,953.56 Amount of Sales Tax 9.5 (If various rates apply, please send a breakdown) $ 274352.13 TOTAL $ 3,157,305.69 LVUiL: iltese two totals must he Comments: Sales Tax paid $264,921.37 (@9.5%) & $9,430.76 (@10%) Liquidated Damages $ 0.00 Amount Disbursed $ 3,013,158.01 Amount Retained $ 144,147.68 TOTAL $ 3,157,305.69 Note: The Disbursing Officer must submit this completed notice immediately after acceptance of the work done under this contract. NO PAYMENT SHALL BE MADE FROM RETAINED FUNDS until receipt of all release certificates. Submitting Form: Please submit the completed form bN email to all three agencies below. Contact Name: Natalie Wissbrod Email Address: nwissbrod@rentonwa.gov Department of Revenue Wmhington State Depanrnent of CPublic Works Section Labor & Industries (360) 704-5650 Contract Release PWC@dor.wa.gov (855) 545-8163, option # 4 ContractRelease@LNI WA.GOV REV 31 0020e (4/28/ 14) F215-038-000 04-2014 Title: Accounting Assistant Phone Number: 425-430-6919 Employment Security Department Registration, Inquiry, Standards & Coordination Unit (360) 902-9450 publicworks@esd.wa gov Addendum A: Please List all Subcontractors and `St Fh-jiers Below This addendum can'be submitted in other formats. Provide known affidavits at this time. No L&1 release will be eranted,6'dii1 all affidavits are listed. Subcontractor's Name: S 4 2 UBI Number- (Required) f601961928 Affidavid ID* BEST PARKING LOT CLEANING INC -716280 BRAVO ENVIRONMENTAL NW INC' '' � ' - 602946216 _704006„ - DELMAR "CONCRETE CTNG&CRNG-LLC ' -' 60349090fi , GONZALES'BORING/TUNNELING INC ` `600647464 " " '-717327..a. `-LAKERIDGE PAVING CO CL C 601592135 716338." LAKESIDE CONCRETE PUMPING INC 601036653 703350 _ LAVELL_E VAC & DRAINAGE LLC _ _ ' 60231.805_3 _ 716894 _ _ Miles Sand'& G6iv ('Company _ r 171004760 _ _ ' ' 716959 ' MOBY'S'24`HR ST SWPNG''SVCS INC 603358194 716303` ^ O M":A CONSTRUCTION INC .60T872L128 PLS, Inc. 601979933 _ , 716250 v ,Sapp Trucking LLC 60 -07755 - SB STRUCTURES LLC 602615583 TRENCHLESS CONST SERVICES LLC 601961605 686338 VENTILATION POWER CLEAWNIGAC -. 578089188 i• _ t - For tax assistance or=to request this document in an alternate format, please call 1-800-647-7706. Teletype (TTY) users may use the Washington Relay Service by calling 711. , REV 31 0020e Addendum (04/28/14) F215-038-000 04-2014 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Affidavit of Wages Paid Project Detail - Project Dashboard Document 6/6/2017 Intent 808192 Affidavit 718267 Affidavit Approved Received Id Id Status on Date 6/12/2017 Your Company Information Name Address WA UBI no. Contractor Registration no. Industrial Insurance Account Id Email Address Filed By Project Information VENTILATION POWER CLEANING INC 3914 LEARY WAY NW SEATTLE,WA, 98107 578089188 VENTIPC243PA 12764400 Valerie@ventilationpower.com Sullivan,Clem Awarding agency: RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Awarding agency contact: Michael Benoit Awarding agency contact phone number: 425-430-7206 Project Details Project name Talbot Hill Sewer Relocation - 1-405, County where work was performed City where work was performed Job site address/directions: Prime contractor name SR 167 King Renton SCARSELLA BROS INC https:Hfortress.wa.gov/lni/wagelookup/AffidavitDetails.aspx O6 121 21O17 r- Prime contractor registration no. SCARSB1183138 Contract no. WWP-27=03812 Prime contractor Phone Number 253-872=7173 Prime contractor Intent.form Id# for this 763854 - project Dollar amount of your contract: $ 8,544.71 Bid due date 4/12/2016 Contract award date'- 4/25/2016 Intent filed date 12/21 /2016 Job start date:MM-DD-YYYY 11 /30/2016 Date work completed:MM-DD-YYYY 2/11/2017 Project Completion Did-ydur subcontractors perform all No work on this project? Did your.co,mpany hire any Yes subcontractors? Did your company have employees 1.perform Yes work on this project? Did this project utilize American No Recovery and Reinvestment Act (ARRA) funds? Specifically; did this project utilize any No weatherization or energy efficiency upgrade funds (ARRA or otherwise)? ' Company Owner Information How many owner/operators performed 0 work on the project that own',30% or more of the company? No company owner added. Affidavit Subcontractor(s) Company Name y LAVELLE VAC It DRAINAGE LLC UBI 'License# 602318053 LAVELVD9710E Journeylevel Wages County Trade Occupation Wages Fringes https:Hfortress.wa.gov/lni/wagelookup/AffidavitDetails.aspx . 06/12/2017 Page 3 of 3 # # Workers IHours King Power Motor Patrol 56.94 0.00 1 14.75 Equipment Graders Operators Apprentice Wages Public Notes R Show/Hide Existing Notes No note exists https://fortress.wa.gov/lni/wagelookup/AffidavitDetaiIs.aspx 06/12/2017 �Re ton O DUNCIL REGULAR MEETING — JunP 19. X SUBJECT/TITLE: Final Pay Estimate CAG 16-036, Talbot Hill Sewer Relocation — 1-405/SR 167 Interchange Direct Connector Project Contractor: Scarsella Bros., Inc. RECOMMENDED ACTION: Council Concur DEPARTMENT: Public Works/Utility Systems STAFF CONTACT: Michael Benoit EXT.: 7206 FISCAL IMPACT SUMMARY: The original contract amount was $3,183,440.94 and the final amount is $3,157,305.69, a decrease of $26,135.25. The decrease in cost was due to the reduction of quantities (i.e. use of appropriate native material instead of imported backfill). I SUMMARY OF ACTION: The project was awarded on April 25, 2016. Construction began on May 31, 2016 and was completed on May 15, 2017. The approved 2016 Capital Improvement Program for the Talbot Hill Sewer Relocation Project budget (426.466506) was $4,600,000. There was an approved 2017 carry forward of $1,700,000 from the original 2016 funds into 2017 to cover the remaining cost of the project. The amount budgeted for the project is enough to cover the construction, engineering and staff costs. At the request of the Washington State Department of Transportation (WSDOT), this project was done in advance of WSDOT constructing the 1-405/SR167 direct connector ramp. The construction costs are 100% reimbursable to the City via WSDOT Agreement UTB 1223. A. Final Pay Estimate 49 B. Notice of Completion of Public Works Contract STAFF RECOMMENDATION: Accept the project, approve the final pay estimate in the amount of $43,388,60 and release the retainage in the amount of $144,147.68 after 60 days, subject to the receipt of all required authorizations. H:\Fi!e Sys\VVWP - Waste Water\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Pay Estimates\Agenda Bill Final Pay 5- 3804.doc\MABtp TO: FROM: FINANCE DIRECTOR PUBLIC WORKS ADMINISTRATOR CONTRACTOR: Scarsella Bros. Inc. CONTRACT NO. CAG-16-036 PO# 18/0001991 ESTIMATE NO. 9 & Final PROJECT: Talbot Hill Sewer Relocation - 1-405, SR 167 IC/DC Project 1. CONTRACTOR EARNINGS THIS ESTIMATE $39,444.18 2. SALES TAX @ 10.00% $3,944.42 3. TOTAL CONTRACT AMOUNT THIS ESTIMATE $43,388.60 4. EARNINGS PREVIOUSLY PAID CONTRACTOR $2,701,333.91 5. * EARNINGS DUE CONTRACTOR THIS ESTIMATE $37,471.97 6. SUBTOTAL - CONTRACTOR PAYMENTS 7. RETAINAGE ON PREVIOUS EARNINGS 8. ** RETAINAGE ON EARNINGS THIS ESTIMATE 9. SUBTOTAL - RETAINAGE 10. SALES TAX PREVIOUSLY PAID 11. SALES TAX DUE THIS ESTIMATE 12. SUBTOTAL - SALES TAX * (95% x LINE 1) ** (RETAINAGE: 5%) FINANCE DEPARTMENT ACTION: PAYMENT TO CONTRACTOR (Lines 5 and 11): ACCOUNT # 426.465506.018.594.35.63.000 RETAINED AMOUNT (Line 8): ACCOUNT # 426.465506.018.594.35.63.000 CHARTER 116, LAWS OF 1965 CITY OF RENTON CERTIFICATION I, THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF PERJURY, THAT THE MATERIALS HAVE BEEN FURNISHED, THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HEREIN, AND THAT THE CLAIM IS A JUST, DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON, AND THAT I AM AUTHORIZED TO AUTHENTICATE AND CERTIFY TO SAID CL . Signed: S/3o/i $142,175.47 $1,972.21 $270,407.71 $3,944.42 GRAND TOTAL: $2,738,805.88 $144,147.68 $274,352.13 $3,157,305.69 $41,416.39 # 9 & Final $1,972.21 # 9 & Final TOTAL THIS ESTIMATE: $41,416.39 $1,972.21 $43,388.60 Printed On: 05/22/2017 City of Renton Public Works Department Page 1 Printed Ch: 05/22/2017 City of Renton Public Works Department Page 1 Project: Talbot Hill Sewer Relocation - 1-405, SR 167 ICiDC Protect Contract Number: CAG-16-036 Contractor: Scarella Bros. Inc. Pay Estimate 9 8 Final Closing Date: 05/26/2017 Item Description Unit Est Unit Previous Previous This This Total Total No. Quantity Price Quantity Amount Quantity Amount Quantity Amour 001. Mobilization 8 Demobilization Lump Sum 1 S250,000.00 0.80 S200,000.00 0.20 S50,000.00 1,00 S250,000.00 002. Trench Excava!ion Safety Systems Lump Sum 1 S15.000.00 1.00 S15,000.00 0.00 S0.00 1.00 S15,000.00 003, Construction Sur.,eying. Staking. and As-Builts Lump Sum- 1 S25,000.00 1.00 S25,000.00 0.00 S10.00 1.00 S25,000.00 004. Traffic Control Lump Sum 1 S40.000.00 1.00 S40,000.00 0.00 S0.00 1.00 $40,000.00 005. Temporary Erosion/Sedimentation Controls Lump Sum 1 S30,000.00 1.00 S30.000.00 0.00 S0.00 1.00 S30.000.00 006. Site Clearing and Grading Lump Sum 1 $23,500.00 1.00 S23,500.00 0.00 S0.00 1.00 $23,500.00 007. Furnish and Install 8-inch PVC Sewer Pipe Linear Foot 630 S50.50 624.00 S31,512.00 0.00 S0.00 624.00 S31.512.00 008. Furnish and Install 12-inch PVC Sewer Pipe Linear Foot 690 $85.00 506.00 S43.010.00 0.00 S0.00 506.00 S43.010.00 009. Furnish and Install 15-inch PVC Sewer Pipe Linear Foot 100 S115.00 96.00 S11,040.00 0,00 S0.00 96.00 S11.040.00 Furnish and Install 18-inch Steel Casing Pipe with 12-inch 010. PVC Carrier Pipe Linear Foot 70 S215.00 70.00 S15,050.00 0.00 S0.00 70.00 $15,050.00 Furnish and Install 36-inch Steel Casing Pipe with 15-inch 011. PVC Carrier Pipe (Open Cut Installation) Linear Foot 300 $300.00 224.00 S67,200.00 0.00 $0.00 224.00 S67,200.00 012. HDD Trenchless Installation of 12-inch HDPE Sewer Pipe Lump Sum 1 5620,000.00 1.00 S820,000.00 0.00 S0.00 1.00 S820,000.00 013. Trenchless Installation of 36-inch Steel Casing Linear Foot 240 $800.00 307.00 S245,600.00 0.00 $0.00 307.00 S245,600.00 Furnish and Install 15' PVC Carrier Pipe within Steel Casing 014. (Trenchless Installation) Linear Foot 240 S70.00 307.00 S21,490.00 0.00 S0.00 307.00 S21,490.00 015. Television Inspection of Sanitary Sewers Linear Foot 3240 S4.50 2160.00 S9.720.00 0.00 S0.00 2160.00 S9,720.00 016. Launch and Reception Shafts Lump Sum 1 $790,000.00 1.00 $790,000.00 0.00 $0.00 1.00 S790,000.00 Furnish and Install 48-inch Diam. Sanitary Sewer Manhole 017. with Flat Top Each 1 $4,500.00 1.00 S4.500.00 0.00 S0.00 1.00 S4,500.00 Furnish and Install 48-inch Diam.Saddle Manhole with Flat 018. Top Each 4 S4,625.00 4.00 S18.500.00 0.00 S0.00 4.00 $18.500.00 Furnish and Install 60-inch Diam. Sanitary Sewer Manhole 019. with Flat Top Each 3 S11,550.00 3.00 S34,650.00 0.00 S0.00 3.00 S34,650.00 Furnish and Install 60-inch Diam. Saddle Manhole with Flat 020. Top Each 1 $10,300.00 1.00 S10,300.00 0.00 $0.00 1.00 S10,300.00 Furnish and Install 60-inch Diam. Drop Manhole with Flat 021. Top Each 2 S10,600.00 2.00 S21,200.00 0.00 S0.00 2.00 S21.200.00 022. Extend Existing / Install New 12-Inch Culvert Linear Foot 180 S42.40 300.00 S12,720.00 0.00 S0.00 300.00 S12,720.00 023. Connect to Existing Sewer Each 8 S600.00 8.00 $4,800.00 0.00 S0.00 8.00 S4,800.00 024. Abandon Existing Sanitary Sewer Manhole Each 12 $800.00 12.00 $9.600.00 0.00 S0.00 12.00 $9,600.00 Adandon 8 Fill Existing Sanitary Sewer Main Over 10' 025. Diam. Linear Foot 1530 S10.00 1530.00 S15,300.00 0.00 $0.00 1530.00 S15.300.00 Removal and Replacement of Unsuitable Foundation 026. Material Ton 50 $65.00 717.96 S46,667.40 0.00 $0.00 717.9E $46,667.40 027. Select Imported Trench Backfill Ton 7000 S16.00 59.50 S952.00 0.00 S0.00 59.50 $952.00 028. Imported Gravel Borrow For Fill Tor, 7500 S19.25 5458.07 S105.067.65 0.00 S0.00 5458.07 $105.067.85 029. Crushed Surfacing Base Course for Gravel Road Ton 2500 S22.50 1857.57 $41,795.33 0.00 S0.00 1857.57 S41.795.33 Printed On: 05/22/2017 City of Renton Public Works Department Project: Talbot Hill Sewer Relocation - 1-405, SR 167 ICIDC Project Contract Number. Contractor: Scarsella Bros Inc. Pay Estimate 9 8 Final Closing Date: Item Description Unit Est. Unit Previous Previous No. Quantity Price Quantity Amount 030. Controlled Density Fill (Backfill) (As Required) Cubic Yard 50 S130.00 0.00 S0.00 031. Asphalt Patch Including CSTC Square Yard 650 S30.00 215.11 S6,453.30 032, Surface Restoration Lump Sum 1 $15,000.00 1.00 S15,000.00 033. CO,`2: Credit for Change of Trenchless Casing Material Linear Foot 240 (S12.00) 307.00 (S3,684.00) 034, C052: Credit for Change of Open Cut Casing Material Linear Foot 300 (S12.00) 224.00 (S2.688.00) 035. C052: Credit for Change of Imported Gravel Borrow for Fill Ton 7500 (S0.50) 3471.80 (S1,735.90) 036. CO3: Removal of Rock for Auger Bore Lump Sum 1 S99.661.92 1.00 S99,861.92 037. CO€4: Trench Damn to Control Ground Water Lump Sum 1 S2,025.95 1.00 $2,025.95 038. CO4: Grout Upstream Side of HDD Pipe Lump Sum 1 $4,836.53 1.00 S4,836.53 039, CO,`,5: Furnish and Install 10-inch PVC Sewer Pipe Linear Foot 109 $85.00 109.00 $9,265.00 040. COn6: Credit for Elimination of Coating Some Manholes Lump Sum, 1 IS17.750.00) 0.00 S0.00 041. C0 7: Additional Survey Lump Sum 1 $7,194.18 0.00 $0.00 Subtotal 9.5% Sales Tax 10-0`,6 Sales Tax (Begin 01/01/2017) Total $2.843,509.38 S264,921.37 S5.486.34 S3,113.917.09 Page 2 CAG-16-036 05/26/2017 This This Total Total Quantity Amount Quantity Amount 0.00 S0.00 0.00 $0.00 0.00 S0.00 215.11 S6,453.30 0.00 S0.00 1.00 S15,000.00 0-00 S0.00 307.00 (S3,684.00) 0.00 S0.00 224.00 (S2,688.00) 0.00 50.00 3471.80 (S1,735.90) 0.00 S0.00 1.00 S99,861.92 0.00 S0.00 1.00 S2,025.95 0.00 $0.00 1.00 S4,836.53 0.00 $0.00 109.00 S9,265.00 1.00 (517,750.00) 1.00 (S17,750.00) 1.00 S7,194.18 1.00 S7,194.18 S39,444.18 S0.00 S3,944.42 S43,388.60 S2,882.953.56 S264,921.37 S9,430.76 S3,157,305.69 �i1 a S /;c, / 1 7 ;_;TA yf _ ❑ Original s ❑ Revised # 0 NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT Date: Contractor's UBI Number: _ Name &yMail><ng Address of _Publrc Agencyr ____ Deparhnent_U_se,Only � ClIT-of Renton Assigned to:� 1055 S Gradv Wav Renton, Wa 98057 Date Assigned: UBI Number: 177000094 Notice is hereby eiven relative to the completion of contract or nroiect de.vcrihed helow Project Name Contract Number Job Order Contracting Talbot Hill Sewer Relocation - 1-405, SR 167 IC/DC Project CAG-16-036 ❑ Yes VNo Description of Work Done/Include Jobsite Address(es) Relocate sanitary sewer pipe. A total of approximately 2,890 feet of 8", 10", 12" & 15" sanitary sewer main in S 14th St (between Lake Ave S and Smithers Ave SE) and In Smithers Ave S (between 14th and Renton Village Place). Federally funded transportation project? ❑ Yes kK No (if yes, provide Contract Bond Statement below) Contractor's Name E-mail Address Affidavit ID* Scarsella Bros., Inc irick.k@scarsellabros.com Contractor Address Telephone # PO Box 68697, Seattle WA 98168 253-872-7173 If Retainage is not withheld, please select one of the following and List Surety's Name & Bond Number. ❑ Retainage Bond ❑ Contract/Payment bond (valid for Federally funded transportation projects) Name: I Bond Number: Date Contract Awarded Date Work Commenced Date Work Completed Date Work Accepted April 25, 2016 May 3, 2016 May 26, 2017 June 19, 2017 W�er�eySubcontracters9used on thisi3proi'e�c'f?ZtLfrsojpleas ,complete A den um`A ; � El , _i Yes - +AffidaeiYi �* oa+L�&I release will be aranted5until a 1•affidauttssare listedtr • ; rf ,+ _ rt,. ;z� Contract Amount Additions ( + ) Reductions (- ) Sub -Total $ 2,907,252.00 $ 24,298.44 $ 2,882,953.56 Amount of Sales Tax 9.5 (If various rates apply, please send a breakdown) $ 274352.13 TOTAL $ 3,157,305.69 Liquidated Damages $ 0.00 Amount Disbursed $ 3,013,158.01 Amount Retained $ 144,147.68 NUT E: These two totals must be eaual TOTAL $ 3,157,305.69 Comments: . � -,.•_ � - _� _�- - fir-----�-4... Sales Tax paid $264,921.37 (@9.5%) & $9,430.76 (@10%) Note: The Disbursing Officer must submit this completed notice immediately after acceptance of the work done under this contract. NO PAYMENT SHALL BE MADE FROM RETAINED FUNDS until receipt of all release certificates. Submitting Form: Please submit the completed form by email to all three agencies below. Contact Name: Natalie Wissbrod Email Address: nwissbrod@rentonwa.gov PCDepartment of Revenue Washington State Department of Public Works Section 40 Labor & Industries (360).704-5650 Contract Release PWC@dor.wa.gov (855) 545-8163, option # 4 Cont.ractRelease@LN I. WA.GOV REV 31 0020e (4/28/14) F215-038-000 04-2014 Title: Accounting Assistant Phone Number: 425-430-6919 Employment Security Department Registration, Inquiry, Standards & Coordination Unit (360) 902-9450 publicworks@esd.wa.gov Addendum A: Please List all Subcontractors and Sub -tiers Below This addendum can be submitted in other formats. Provide known affidavits at this time. No L&I release will be granted until all affidavits are listed. Subcontractor's Name: UBI Number: (Required) Affidavid IDF BEST PARKING LOT CLEANING INC 601901928 716280 BRAVO ENVIRONMENTAL NW INC 602946216 704006 DELMAR CONCRETE CTNG&CRNG LLC 603490906 717046 GONZALES BORING/TUNNELING INC 600647464 717327 LAKERIDGE PAVING CO L L C 601592135 716338 LAKESIDE CONCRETE PUMPING INC 601936653 703350 LAVELLE VAC & DRAINAGE LLC 602318053 716894 Miles Sand & Gravel Company 171004760 716959 MOBY'S 24-HR ST SWPNG SVCS INC 603358194 716303 O M A CONSTRUCTION INC 601872128 PLS,Inc. 601979933 716250 Sapp Trucking LLC 603507755 SB STRUCTURES LLC 602615583 TRENCHLESS CONST SERVICES LLC 601961605 686338 VENTILATION POWER CLEANING INC 578089188 For tax assistance or to request this document in an alternate format, please call 1-800-647-7706. Teletype (TTY) users may use the Washington Relay Service by calling 711. REV 31 0020e Addendum (04/28/14) F215-038-000 04-2014 .........•-••............... ........_.........:..........................................................:.................................................................................................--------..........:...................................... . ...................................... :...................:.......:.......:....................................... :..................................... _;....................................... :........................... ..... _..... ;......... .......... .......... ......... ............................. :......... .................... .......... ............................................................................... :....................................... :.................................... ...:......... .......... ................... ................. .. .. .. .. .. .. .. .. .. .........:.........:.........:.........:.........:.........:...... ... ... ... ... .. ... ... ... ... ... :... .. .. .. .. .. .. .. ... ... .. .. .. ..................... ........................:.........:.... ... ... ... ... ... ... ... ... ... ... ....................................... .... ... .......... 3 15 Z �.�' , 0I. ...................................... ... ... .... ... ... ... ... ............................................................... ... ... ... ...:......:... ...................:........ .. .. .. .. .. ................... .. .. .. .. .. .. .. .. .. .. .. ............................:..................:.........:.........:......... _.... ... ... ... ... ... .. .. ... ... ............. ...:......... t :QCJg'.j:....... ................... �:.o�.&f:... ................... .. .. .. ..... ................... .. .. .. .. i 99 �' PLS, Inc. Professional Land Surveyors Scarselia Brothers, Inc. P. O. Box 68697 Seattle, WA 98168-0697 Land Surveying) Mapping GPS December 22, 2016 PLS, Inc. Job No. Attn: Jodie Harris Contract No. Re: Talbot Hill Sewer Relocation-1-405, SR-167 - EXTRA WORK Construction Surveying Services INVOICE NO. 5260 FOR PROFESSIONAL CONSULTING SERVICES PROVIDED FROM AUGUST 8 THROUGH DECEMBER 11, 2016 Extra Work Hours 16087 W WP-27-03812 Principal Surveyor 0.50 hrs. @ $ 150.00 /hr. = $ 75.00 Survey Project Manager 4.50 hrs. @ $ 110.00 /hr. = $ 495.00 Computations / CAD Technician 2.50 hrs. @ $ 80.00 /hr. = $ 200.00 2-Pers6n Field Crew 3.50 hrs. @ $ 213.00 /hr: = $ 745.50 1-Person Field Crew w/ Robotic 2.00 hrs. @ $ 125.00 /hr. = $ 250.00 Sub Total Direct Labor (DL): $ 1,765.50 Direct Expenses Mileage (from Field Survey Reports) 57 Mi. @ $ 0.60 /mi. = $ 34.20 Field Materials / Supplies 2 PK Nail @ $ 0.20 ea. = $ 0.40 (from Field Survey Reports): Sub Total Direct Expenses: $ 34.60 TOTAL DUE THIS INVOICE: $ 1,800.10 DESCRIPTION OF SERVICES PROVIDED: Terms: Net 15 Days " Field Survey (see bottom of attached Field Crew Daily Report for a listing of the Extra Work performed), associated office support, QA/QC and supervision. As -built Pipe, Re -stake MH 3 & 4. M dA, Lin y Mac niman, President P. O. Box 1778, Issaquah, Washington 98027 (425) 313-9378 (fax) 313-9379 www.ptsincsurvey.com a AM 9 ®FICA=BURY=YFEDGREW DAIL'YFOR'� Professlonal land Surveyors Phone: (425) 313 - 9378 Fax: (425) - 313 - 9379 DAY / DATE: PROJECT NAME: CLIENT NAME: PLS JOB NO. VEHICLE NO: MON Day of the Week TALB SC November 14, 2016 PERSONNEL ktonth I Day I Year OT HILL SEWER Feld Technician I E. MORRIS ARSELLA BROS Field Technician II K. PARCHER Feld 16087 Technician III 6 F—Tj Conducted on -site safety Inspection and review of Other: safety procedures with personnel. SCOPE WORK PERFORMED: SCOPE ; PLAN SHT. REF. HOURS REF. If applicable ................................................................................ .......... ................... ..................... ............... I ............................................................................ ......... , ------------------- MILEAGE i see notes at bottom ............................................................................... .......... ; .................... REMARKS / COMMENTS: OTHER COMMENTS No client available on -site for signature. ...--------------•---........-•----.......-•------------.....---------.......-•----........ • . - _ _ _ _ _ _ - Cut / fills (if applicable) marked in the field. e MATERIALS AND OTHER JOB EXPENSES: CLIENT ACKNOWLEDGMENT .-------------------•---...--------........----------........------........................ .----------------------------------------•---.......------........_........................ .................. $Tgriature - ..---------------._ FIELD Work File: I I I I I I I I I Pt. Range: ��� to Downloaded DATA Work F11e: I 11 I I I 11 I Pt. Range: to ASCII Conv. INFO. Contr. File: I 161501114 I Pt. Range: 111512 151 to 1 111513 10 Edited Comments: (circle action taken) EXTRA WORK: PLAN SHT. REF. ; If applicable HOURS Requested by: ..--...... . ----------- - ------ ' .. - ---- ........3.5...- - - ................................................................... PIPE (� NORTH AND SOUTH ENDS 2.5 HR Including travel time .ASBUILT ........... ....------................................................ - RESTAKE MH#3 : ...----------------- ....................30 MILEAGE ......................................................•-•-•------.......................--- ; --------------------------------------DRIVE TIME ..........._...........-----........ ................................................................................•-•-----... ; ....--.. H.. --_.. , .................... ...see....11........ notes a REMARKS / COMMENTS: OTHER COMMENTS nt available site for sIg No dle(ifaplicabl) --- --•-•......................•-- -- -.......- - - --................................... - • - - - markedInth field. Cut / flits (if applicable) marked In the field. H MATERIALS AND OTHER JOB EXPENSES: EXTRA WORK AUTHORIZATION ........................................................................................... .................. $T4ria... ture ................. NOTE: A.) Work hours include travel time to & from our office. B.) Work hours shown are for the survey field crew only. Additional office personnel time for crew orientation & supervision, data processing, cut sheet preparation, etc... will also apply. C.) Total daily mileage and expenses, Including out of -town iodoina. if anolicable. will he ornoortinned between the Scone and Extra Wnrk If both are performed during the Same site visit. PLS, Inc. �- Professional Land Surveyors Phone: (425) 313 - 9378 Fax: (425) - 313 - 9379 DAY / DATE: TUE November 15, 2016 PERSONNEL Day of the week Month/ Day Near Fleld PROJECT NAME: TALBOT HILL SEWER TedWanI K. PARCHER CLIENT NAME: SCARSELLA BROS. TechnicianFlew ,l GPS 16087 Feu PLS JOB NO. TecMldan ul VEHICLE NO. ® Conducted on -site safety Inspection and review of Other: safety procedures with personnel. SCOPE WORK PERFORMED: COPE PIA . F REF. I Happlicable .................................................................................................................................................. I ................................... 1 h 0 travel ome ................................................................................................................................................. .................. ; ...................I................ MILEAGE ........................................................................................................................................................ .................. }.................................... see notes at bottom ................................................................................................................................... .................. ............................. REMARKS / COMMENTS: OTHER COMMENTS 8 No client available on -site for signature. ............................................................................................................................................................... Cut / fills (f applicable) marked in the field. MATERIALS AND OTHER JOB EXPENSES: CLIENT ACKNOWLEDGMENT FIELD Work File: 160871115 Pt. Range: 1531 to I' 1534 Downloaded DATA Work File: I I Pt. Range: to ASCII Conv. INFO. Contr. File: I I Pt. Range: �_� to Edited Comments: (circle action taken) EXTRA WORK:1 PLAN SHT. REF. i If eppkawe HOURS TRAVEL TIME i 1 HR. 2 ................................................................................................................................................................................ :...............I.................... ......................... I.............. kxw- g travel tlme ............. .... ........ ........ ....... ...... ......... ....... ....... ....... .... ........... RESTAKE MANHOLE #4 AT 23+01.95 PER THE SUPPLIED AUTOCAD 1 HR MILEAGE DRAWING.27 ..................................... ............................................................................................................................................................................. ................................................................................................................................................................................ t.................................... sea rotes at bottom REMARKS / COMMENTS: OTHER COMMENTS + THE PLANS HAVE MANHOLE 4 AT STATION 23 22,17 0.63 LEFT. No client availableonsiteforsi nature. 9 THIS IS IN ERROR. Cut/ fills (ff applicable) marked In the field. MATERIALS AND OTHER JOB EXPENSES: EXTRA WORK AUTHORIZATION . ............................................. ...................... 2.T.K. NAILS......................................................................... ................................................................................................................................................................................ .......................... glgnali is............................... NOTE: A) Work hours Include travel time to & from our office. B.) Work hours shown are for the survey field crew Mly. Additional office personnel time for crew orientation & supervision, data processing, cut sheet preparation, etc... will also apply. C.) Total daily mileage and expenses, Including out-of-town lodging, If applicable. will be or000rtioned between the Scone and Extra Work if both are oerfonned durino the same site visit. RAY PLS, Inc. == Professional Land Surveyors Scarsella Brothers, Inc. P. O. Box 68697 Seattle, WA 98168-0697 RECEIVED MAN 2 0 2017 SCARSEUA BPOS, INC. Land Surveying as Mapping GPS Af March 16, 2017 PLS, Inc. Job No. 16087 Attn: Jodie Harris Contract No. WWP-27-03812 Re: Talbot Hill Sewer Relocation - 1-405, SR-167 - FORCE ACCOUNT Construction Surveying Services INVOICE NO. 5361 FOR PROFESSIONAL CONSULTING SERVICES PROVIDED FROM JANUARY 2 THROUGH MARCH 12, 2017 Extra Work Hours 2-Person Field Crew Direct Expenses Mileage (from Field Survey Reports) 5.50 hrs. @ $ 213.00 /hr. - $ 1,171.50 Sub Total Direct Labor (DL): $ 1,171.50 40 Mi. @ $ 0.60 /mi. _ $ 24.00 Sub Total Direct Expenses: $ 24.00 DESCRIPTION OF SERVICES PROVIDED: TOTAL DUE THIS INVOICE: 1 $ 1,195.50 Terms: Net 15 Days Field Survey (see bottom of attached Field Crew Daily Report for a listing of the Extra Work performed), associated office support, QA/QC and supervision. FORCE ACCOUNT - Staking centerline of , road - BI-707 Lindy MacManfman. President P. 0. Box 1778, Issaquah, Washington 98027 (425) 313-9378 (fax) 313-9379 www.pisincsurvey.com r 9 �� p SUR�UEYs FIIELD'OREWSDAIILWW EPORTF<<j Professional Land Surveyors Phone: (425) 313 - 9378 Fax: (425) - 313 - 9379 DAY I DATE: FRI February 10, 2017 PERSONNEL Day of the week Month / Day / Year PROJECT NAME: TALBOT HILL SEWER Field Technician I E. MORRIS NAME: 'elCLIENT SCARSELLA Techdci+III H. ZIMMERMANN PLS JOB NO, 16087 Field Technici VEHICLE NO. 6 Conducted on -site safety inspection and review of Other. safety procedures with personnel. SCOPE PLAN SHT. REF, SCOPE WORK PERFORMED: REF. if applicable HOURS ....---..........................:.........................•-•-................... .......... ; .................... .--------------•----- including travel time .....--•-•-•--•-----••......................-•------.....................I...... ......... •-----•-----•--`---- MILEAGE ---------------------•-•---------•--•----......-:.........----•----._....•---.. ........... .................... ............................................................................... .......... : ...........:........ ..................... see notes at bottom REMARKS 1 COMMENTS: OTHER COMMENTS No client available on -site for signature. ............................................................. Cut / fills (if applicable) marked in the field. B MATERIALS AND OTHER JOB EXPENSES: CLIENT ACKNOWLEDGMENT ----------- •-••-•---------- •---- •---- •--------------- •---- -......-•----.....�-gn6atureilurd................. Si FIELD Work File: L I I I I Pt. Range: f l l_ 11151 to I I I 11 161 Downloaded DATA Work File: I I I I I I I I I Pt. Range: L I I I _1_1 to I I I I I ASCII Conv. INFO. Contr. File: I 160870210 I Pt. Range: I I 112101 0 1to L�l� 21 101 Edited Comments: (circle action taken) PLAN SKIT. REF. HOURS EXTRA WORK: ifapplicabie Requested by: 5.5 ----------------------------------------------------...................................... .................... ..................... including travel time ........................................................................................... ....-._....--------- STK CL ROAD FORCE ACCT BI #707 4.5 HR MILEAGE •------------------•••----........._ _.........----------------•------------------.-..--------------------- 40 ..............................------...------..........--------........................--•-.................... ------------ *........ DRIVE TIME 1 HR see notes at bottom REMARKS I COMMENTS: OTHER COMMEN 15 8 No client available on -site for signature. .......................................••--••--......--•--..........:...................... Cut / tills (if applicable) marked In the field. MATERIALS AND OTHER JOB EXPENSES: EXTRA WORK AUTHORIZATION ------------------•----•----...---........................----------------------.......... I ... --- ...--- ------ ................. NOTE: A.) Work hours include travel time to & from our office. B.) Work hours shown are for the survey field crew only. Additional office personnel time for crew orientation & supervision, data processing, cut sheet preparation, etc... will also apply. C.) Total daily mileage and expenses, including out-of-town Indaina. if anolicahle. will he oronortioned between the Scone and Extra Work if hoth are nerformed durino The same site. visit 99 PALS, Inc. MWProfessional Land Surveyors Scarsella Brothers, Inc. P. O. Box 68697 Seattle, WA 98168-0697 PLS, Inc. Job No. Attn: Jodie Harris Contract No. Re: Talbot Hill Sewer Relocation-1-405, SR-167 - EXTRA WORK Construction Surveying Services INVOICE NO.5296 FOR PROFESSIONAL CONSULTING SERVICES PROVIDED FROM DECEMBER 12, 2016 THROUGH JANUARY 1, 2017 Extra Work Hours 2-Person Field Crew 2.60 hr DESCRIPTION OF`SERVICES PROVIDED: Land Surveying 99 Mapping GPS January 11, 2017 16087 W W P-27-03812 s. @ $ 213.00 /hr. _ $ 532.50 TOTAL DUE THIS INVOICE: $ 532.50 Terms: Net 15 Days * Field Survey (see bottom of attached Field Crew Daily Report for a listing of the Extra Work performed), associated office support, QA/QC and supervision. Restake MH-6B, 7 & 8. Wki.6_to dent P. O. Box 1778, Issaquah, Washington 98027 (425) 313-9378 (fax) 313-9379 www.plslncsurvey.com URS A! Professional Land Surveyors Phone: (425) 313 - 9378 Fax: (425) 313 - 9379 I , DAY I DATE: TUE Day of the Week PROJECT NAME: TALB CLIENT NAME: PLS JOB NO. VEHICLE NO. December 13, 2016 PERSONNEL Month i Day / Year el OT HILL SEWER TechnicianI E. MORRIS Field ARSELLA BROS Tedutldan II H. ZIMMERMAN Field 16087 Tedutidan ill 6 Conducted on -site safety Inspection and review of Oth- safety procedures with personnel. SC SCOPE PLAN SHT. REF. HOURS SCOPE WORK PERFORMED: REF. ifopplicable Indudln travel time ----------------------------••----............................................ .......... ; ....................MILEAGE .......... ...........................-----................._.__....------.......---...... .......... ; .................... see notes at bottom OTHER COMMENTS e No client available on -site for signature. Cut / fills (if applicable) marked In the field. CLIENT ACKNOWLEDGMENT ............................... ...------- •-•----....---•------ ....-------- ............. ... I .................. SFgriatuie................. FIELD Work File: I I I I I I I I I Pt. Range: to 1 4 Downloaded DATA Work File: I I i i L I I I Pt. Range: I I 116 3 17 1 to 115 14 1 ASCII Conv. INFO, Contr. File: I 160871213 I Pt. Range: 1 111110101to 1 111111181Edited Comments: (circle action taken) EXTRA WORK: PLAN SHT. REF. if applicable Requested by: ' ...... 1 RESTAKE MH 66, 7 & 8 ; 2.5 HR indudingtravel Ume .................•-----•------•--------.................................................. , .......------....... onuft.................... ..............:..••----...................•---..................-- -.. , ..----...---_... WQ MILEAGE .......................... wee notes at bottom ............................................................. ...... .................. , ................... REMARKS I COMMENTS: OTHER COMMENTS 8 No client available on -site for signature. Cut I fills (if applicable) marked In the field. EXTRA WORK AUTHORIZATION ...............•-•------•-----------•-----........-----.......----..........._......••.... I .................. STgriatuia................... NOTE: A.) Work hours include travel time to & from our office. B.) Work hours shown are for the survey field crew ony. Additional office personnel time for crew orientation & supervision, data processing, cut sheet preparation, etc... Wit also apply. C.) Total daily mileage and expenses, Including out-of-town Indoina. If aoollcable. will he ar000rtioned behveen the Scone and Extra Work If hnth are oerformed durina the same site visit. 88 88 PLS, .Inc. Professional Land Surveyors Scarsella Brothers, Inc. P. O. Box 68697 Seattle, WA 98168-0697 PLS, Inc. Job No. Attn: Jodie Harris Contract No. Re: Talbot Hill Sewer Relocation-1-405, SR-167 - FORCE ACCOUNT Construction Surveying Services INVOICE NO: 5297 FOR PROFESSIONAL CONSULTING SERVICES PROVIDED FROM DECEMBER 12, 2016 THROUGH JANUARY 1, 2017 Extra Work Hours Land Surveying ms Mapping GPS 99 January 11, 2017 16087 WWP-27-03812 Principal Surveyor 0.50 hrs. @ $ 150.00 /hr. = $ 75.00 Survey Project Manager 0.50 hrs. @ $ 110.00 /hr. = $ 55.00 2-Person Field Crew 10.50 hrs. @ $ 213.00 /hr. = $ 2,236.50 Sub Total Direct Labor (DL): $ 2,366.50 Direct Expenses Mileage (from Field Survey Reports) 85 Mi. @ $ 0.60 /mi. = $ 51.00 Sub Total Direct Expenses: $ 51.00 DESCRIPTION OF SERVICES PROVIDED: TOTAL DUE THIS INVOICE: $ 2,417.50 Terms: Net 15 Days Field Survey (see bottom of attached Field Crew Daily.Report for a listing of the Extra Work performed), associated office support, QA/QC and supervision. FORCE ACCOUNT - Staking of the 14th Avenue Access Road. IL Lindy' MacM iman, President P. 0. Box 1778, Issaquah, Washington 98027 (425) 313-9378 (fax) 313-9379 www.plsincsurvey.com PL S, Inc. Professional Land Survevors Phone: (425) 313 - 9378 Fax: (425) - 313 - 9379 DAY / DATE: TUE December 13, 2016 PERSONNEL Day of tha Weet Month / Day/Year PROJECT NAME: TALBOT HiLL SEWER TecField anI E. MORRIS CLIENT NAME: SCARSELLA BROS Technkran11 H. ZIMMERMAN Field PLS JOB NO. 16087 Techntdu4d an III VEHICLE NO. 6 �uctedon-site safety Inspection and review of owe* safety procedures with personnel. SCOPE WORK PERFORMED: SCOPE PLAN SHT. REF. HOURS REF. If applicable .----.................... ............ .......... •......... : .................... ..................... ------ •............. ......... Including travel lima .........---•---•.................:.......•----................................ .......... ; .................... MILEAGE ...............................-•-----•.........................-----------.._. .......... .............. gee notes at bodom ...................................•----•---......-----........................ I......... ------------ REMARKS /COMMENTS: OTHER COMMENTS 8 No client available on -site for signature. ....-----....................................................•-•--........_........-----... Cut lfills (if applicable) markedlnthe field. .....................................................................--...••-•-•••---•----. MATERIALS AND OTHER JOB EXPENSES: CLIENT ACKNOWLEDGMENT ....----------------•---------••--.................................----•---•---------...... I . ---- .....-•------ sigriatuie................. FIELD Work File: I!' I j I l l Pt. Range: I l l l l f to 1114 Downloaded DATA Work File: i I �_ I_ I Pt. Range: 1 16 1317 to 1 111514111 ASCII Conv. INFO. Contr. File: I 160871213 I Pt. Range: 1 1110 0 to 1 1 1 8 Edited Comments: (circle action taken) PLAN SHT. REF. HOURS EXTRA WORK: ►feppncable Requested by: ; .................... 8 .--.........._...... ....................•-•--••---...------................-----...........................---• IndurP Iraval fime --•..................... ...................•------..................................... STAKE CL AND HINGE POINTS ON 14TH ST (FORCE ACCT BI.#707 •---...... ... ..._.........----... 4.5 HR •---....----....... MILEAGE .................... 30 ........................................................................................... DRIVE TIME : ........... 1 HR aeenaesetbwton, ......................•----.........-----•--..........................................---.. ; ................... REMARKS /COMMENTS: OTHER COMMENTS No client available on -site for signature. .....--•-----•..................................................••-•-•------........_...... _. Cut! fills (ff applicable) marked In the field. ........................................................................................... ...................---.........._.. NOTE: A.) Work hours include travel time to & from our office. 8.) Work hours shown are for the survey field crew oft . Additional office personnel time for crew orientation & supervision, data processing, cut sheet preparation, etc... will also apply. C.) Total daily mileage and expenses, Including out-of-town lodaino. If aaolicahle. will be crooertinned baMsen the Scone and Extra Work If both are performed during the same site visit. PLS, Inc Professional Land Surveyors Phone: (425) 313 - 9378 Fax: (425) - 313 - 9379 DAY / DATE: MON December 12, 2016 PERSONNEL oayof the Week Month/Day/Year PROJECT NAME: TALBOT HILL SEWER Ted aanI K. PARCHER CLIENT NAME: SCARSELLA BROS. Tealmantl Flekl PLS JOB NO. 16087 Tocwctantll VEHICLE NO. ® Conducted on -site safety Inspection and review of other: safety procedures with personnel. SCOPE WORK PERFORMED: SCOPE ! P SHT. . HOURS REF. t ifeppsgble _...................................................................................................................................................... .............. I... ..................................... ..................................................................................................................................................... ....................................................... in auft travel (me ... MILEAGE ........................................................................................................................................ ............................................................................................... see noes at bottom ........................................................................................................................................................ I................. ..................................... REMARKS / COMMENTS: OTHER COMMENTS No client available on -she for signature. .................................................................................................................................................................... 8 Cut/ fills Of applicable) marked In the field. MATERIALS AND OTHER JOB EXPENSES: CLIENT ACKNOWLEDGMENT FIELD Work File: I NONE ( Pt. Range: J` to ` Downloaded DATA Work File: ' Pt. Range: J to ASCII Conv. INFO. Contr. File: ( Pt. Range: to Edited Comments: (circle action taken) EXTRA WORK: 1 P S T. REP. HOURS Bappkable ,TRAVELTO SITE AND.BACK........................................................................................................I. .......I....1.HR............ ................2:' ................ .. tndud' traveltime ................................................................................................................................................................................ MEETING WITH 1-ALLIANCE SURVEY: WAIT FOR PLANS: ..................................... ` 1;5 MILEAGE - -FORCE ACCOUNT BI #707.25 ............................................................. ..................... .......... . ......... I .............. ................. ..,.... ......... ......... ......... ............ ....................................... ................................................................................................................................................................................ ..................................... see notes at bottom REMARKS / COMMENTS: OTHER COMMENTS No client available on -site for signature. ..............I.................................................................................................... ................................................. I ...........0 Gut r fills Of applicable) marked in the field. MATERIALS AND OTHER JOB EXPENSES: EXTRA WORK AUTHORIZATION ...... ................................................................................................... .....--8t..'g"ria..... tu�e ................................. NOTE: A.) Work hours Include travel time to & from our office. B.) Work hours shorn are for the survey field crew only. Additional office personnel time for crew orientation & supervision, data processing, cut sheet preparation, etc... vrill also apply. C.) Total daily mlleage and expenses, including out-of-town lodging, If aooilcabie. will be or000rtioned bahveen the Scooa and Extra Work if both are performed durina the same site visit. L., Inc. I� SiiR ��- �_�+�-rLro�eR��►�A��;,XR��or;�K =1 Professlonal Land Surveyors Phone: (425) 313 - 9378 Fax: (425) - 313 - 9379 DAY/DATE: PROJECT NAME: CLIENT NAME: PLS JOB NO. VEHICLE NO. WED December 14, 2016 Day of the Week Month / Day / Year PERSONNEL TALBOT HILL SEWER Techndanl E. MORRIS SCARSELLA BROS hreld Technician II H. ZIMMERMAN 16087 Field Technician III 6 F—X--j Conducted on -site safety Inspection and review of other safety procedures with personnel. SCOPE WbRK PERFORMED: SCOPE PLAN SHT. F REF. ' If applicable -...............................................................................---------- ----------- --_...... ' InduGtng travel lime ....----•............................................•----.-......------------. ....------ ........----------- MILEAGE ------------ •--.................. •----.................-----------............ ......... .------------ --• -- --• •----- -•- ••----••- ' see notes ;;bottom REMARKS I COMMENTS: OTHER COMMENTS .---•-•--- 8 Cut client ls(available on -site )marfor Inthefiel - • - • - . -- Cut /fills (if applicable) marked In the field. MATERIALS AND OTHER JOB EXPENSES: CLIENT ACKNOWLEDGMENT I•-------- .---- ..................--------- .--- .............----- . --- .......---------------- . '.................. $igriatuie................. FIELD Work File: I I I I I I I I I Pt. Range: 1( I 1,_1 to I III I j Downloaded DATA Work File: III I I I I I I Pt.Range:111111 to ASCII Conv. INFO. Contr. File: I 160871214 I Pt. Range: 1 111214101to 1 11121419]Edited Comments: (circle action taken) EXTRA WORK: PLAN SHT. REF. HOURS tfapplicable Requested by: -------------------------------------------------------•---...................._.......... , .---...........--- 2.5 -•--••-----......... i Including travel time STAKE CL AND HINGEPOINTS ON1HST ........................................................... 1.5 HR...... MILEAGE ' 30 ••- DRIVE TIME ; ..........................•----..........---.......-----......---.......................... , .................... 1 HR ..............._... see notes at bottom REMARKS / COMMENTS: OTHER.COMMENTS nt for cile(Ifapiablele)m ............... . .................. .................. ... ............... .............. 8 marked fief Cut/ fills (If app[tcabie} rnadced in the field. Cut MATERIALS AND OTHER JOB EXPENSES: EXTRA WORK AUTHORIZATION ..........-•----••---•...............................................•------...........---- !..............---- STgriatuie----------------- NOTE: A.) Work hours Include travel time to & from our office. B.) Work hours shown are for the survey field crew off. Additional office personnel Ume for crew orientation & supervision, data processing, cut sheet preparation, etc... vdII also apply. C.) Total daily mileage and expenses, Including out-of-town ladoino. if annlicable. will be nronartioned between the Scone and Extra Work If both are nerformed durina the same site visit. Michael A Benoit Subject: Sent from Snipping Tool Form Form Id Company Name Agency Name Project Name Contract S Type Affidavit 704006 BRAVO ENVIRONMENTAL N1; INC RENTON, CITY OF Talbot Hill Sewer Relocation - 1-405, S14,747.50 SR 167 Affidavit 703350 LAKESIDE CONCRETE PUMPING INC RENTON, CITY OF Talbot Hill Sewer Relocation - 1.405, S1,323.58 _ SR 167 Affidavit 686338 TRENCHLESS CONST SERVICES LLC RENTON, CITY OF Talbot Hilt Sewer Relocation-1.405, S794,318.33 SR 167 Intent 819156 LAKESIDE CONCRETE PUMPING INC RENTON, CITY OF Talbot Hill Sewer Relocation - 1-405, S1,323.58 SR 167 Intent 814356 DELMAR CONCRETE CTNG@CRNG RENTON, CITY OF Talbot Hill Sewer Relocation - 1.405, LLC SR 167 Intent 809650 LAVELLE VAC a DRAINAGE LLC RENTON, CITY OF Talbot Hill Sewer Relocation - 1-405, SR 167 Intent 808192 VENTILATION POWER CLEANING INC RENTON, CITY OF Talbot Hill Sewer Relocation - 1-405, SR 167 Intent 807834 MOBY'S 24-HR ST SWPNG SVCS INC RENTON, CITY OF Talbot Hill Sewer Relocation - 1.405, SR 167 Intent 792698 Miles Sand & Gravel Company RENTON, CITY OF Talbot Hill Sewer Relocation - 1-405, SR 167 Intent 786762 BRAVO ENVIRONMENTAL N1! INC RENTON, CITY OF Talbot Hill Sewer Relocation - 1-405, SR 167 Intent 782800 BEST PARKING LOT CLEANING INC RENTON, CITY OF Talbot Hill Sewer Relocation - 1-405, SR 167 Intent 781047 GONZALES BORING/TUNNELING INC RENTON, CITY OF Talbot Hill Sewer Relocation - 1-405, S189,780.00 SR 167 Intent 777014 LAKERIDGE PAVING CO L L C RENTON, CITY OF Talbot Hill Sewer Relocation-1-405, S13,325.00 SR 167 Intent 775074 SB STRUCTURES LLC RENTON, CITY OF Talbot Hill Sewer Relocation - 1.405, S228,344.60 SR 167 Intent 774213 TRENCHLESS CONST SERVICES LLC RENTON, CITY OF Talbot Hitt Sewer Relocation - 1.405, S790,000.00 SR 167 Intent 773984 Sapp Trucking LLC RENTON, CITY OF Talbot Hill Sewer Relocation - 1.405, SR 167 Intent 771236 0 M A CONSTRUCTION INC RENTON, CITY OF Talbot Hill Sewer Relocation - 1-405, SR 167 Intent 765432 PLS, Inc. RENTON, CITY OF Talbot Hitt Sewer Relocation - 1.405, S8,760.00 SR 167 Intent 763854 SCARSELLA BROS INC RENTON, CITY OF Talbot Hill Sewer Relocation - 1.405, S3,183,440.94 SR 167 https://fortress.wa.gov/lni/wagelookup/searchforms.aspx 1 Date 7-Dec 7-Dec 6-Jul 6-Jul 6-Jul 6-Jul 6-Jul 6-Jul 17-Aug 25-Aug 25-Aug 25-Aug 25-Aug 29-Aug 1/5/2017 1/13/2017 2/8/2017 2/20/2017 10-Aug it -Aug 11-Aug 17-Aug 18-Aug 1/13/2017 1/19/2017 17-Aug OgPS BI 26 Ton BI 26 $65.00 Ton 29.68 29.77 29.1 29.3 Lq S 29.44 31.78 r 30.8 31.7 / 18.19 29.89 30.52 30.77 -- 33.38 30.58 31.66 30.6 31.12 31.25 31.1 01.1 29.07 29.98 15.18 1/ 14.57 29.03 30.52 15.18 734.16tons 734.16 Sweeping $472.50 $250.00 $285.00 $250.00 $1,033.20 $1,051.40 $285.00 $570.00 $748.20 $463.20 $250.00 $687.50 $660.40 $967.35 $941.25 $405.00 $2,092.50 $1,620.00 $810.00 $2,160.00 $1,080.00 $675.00 $2,092.50 $2,025.00 $2,632.50 $1,485.00 $1,620.00 Sweeping $27,612.50 BI 26 Q-Spalls $ 47,720.40 Staking $5,936.60 Total $81,269.50 - 0 � � s� AIH �w i Staking restake 14th $ 2,417.50 Stake CL $ 1,195.50 Asbuilt ?? $ 1,800.10 restake 6b 7&8 $ 523.50 Total $ 5,936.60 ��{�SCS jar4 L I X 2dj n . T! t- k -t 1 -7 c,4 c 0 .r Q- SPALLS Date Tons 6-Jul 181.6 10-Aug 31.1 25-Aug 124.56 / 17-Aug 15.18 18-Aug 14.57 17-Aug 18.19 29-Aug 30.58 11-Aug 58.55 14-Oct 91.13 11-Oct 29.89 \26-Oct 29.31 �7-Dec 59.47 1/5/2017 31.66"' 1/13/2017 29.03 /11, 1/19/2017 30.52 ..-" 1/13/2017 30.6 -" \ 2/9/2017 31.12 2/20/2017 31.25 ,- Total 968.31 Trucking .1'`, Q Gas $2,148.31 $373.20 $1,494.72 $303.60 $291.40 �� T $218.28 $366.96 $1,171.00 $1,093.56 $358.68 $351.72 $1,913.64 $379.92 $725.75 $763.00 $367.20 $357.88 $375.00 � i.r. $13,053.82 trucking cost= $10.00 Ton = $9683.00 $9,683.00 $22,736.82 ***** $22,736.8 N $17,757.50 $5,936.60 $46,430.92 Sweeping 11/28/16 1/3/17 1/17/17 1/30/17 2/8/17 2/13/17 Date 7/8/16 7/14/16 7/12/16 7/7/16 8/16/16 8/24/16 9/8/16 9/20/16 10/4/16 10/13/16 10/19/16 10/26/16 10/29/16 11/14/16 11/17/16 11/21/16 12/2/16 1/6/17 1/19/17 2/3/17 2/10/17 2/16/17 Tota I $472.50\ $250.00 $285.00 $250.00 $1,033.20 $1,051.40 $285.00 $570.00 $748.20 $463.20 $250.00 $687.50 $660.40 $967.35 $941.25 $405.00 $2,092.50 $1,620.0 $810.00 $1,0 0.00 S075.00 $17,757.50 rvey FA $2,417.50 $1,800.10 $523.50 $1,195.50 $5,936.60 ??? INVOICE NO. Viiiir rr CONSTRUCTION SERVICF_S LLG P.O. Box 3372 Arlington, WA 98223 (360)474-0123 Fax (360) 474-0195 BILI TO [_ SCACON SCARSELLA BROS, INC PO BOX 68697 SEATTLE, WA 98168-0697 INVOICE RECEIVED OK 0 1 ?016 SCARSELLA BROS. INC. YM Scarsella:City of Renton Talbot Hill Sewer Relocation Renton, WA 00000 _ Net_ 30 We Appreciate Your Business! 1 1 Approved Force Account: Grouting upstream end approved by the City of Renton per attached. 4,318.33 SALE AMOUNT * means item is non-taxable Retention 110116 1 4,318.33* 4,318.33 -215.92 $4,102.41 NAIIUNAL DOCUMENT SO;IMIONS 800-325 3120 CE 1013L CAV6277 Denis Law Mayor Public Works Department - Gregg Zimmerman, P.E., Administrator November 28, 2016 Mr. Bob Scarsella Scarsella Bros. Inc. PO Box 68697 Seattle, WA 98168-0697 RE: CONTRACT #2703812 TALBOT HILL SEWER RELOCATION—1-405, SR 167 IC/DC PROJECT TRENCHLESS CONSTRUCTION SERVICES CLAIM FOR FORCE ACCOUNT WORK Dear Mr. Scarsella: The City has reviewed the force account work submittals submitted by Scarsella Bros. Inc. on behalf of Trenchless Construction Services. Our response is as follows: 1. Submittal dated 9/26/2016: We consider the work identified in this report as covered and incidental to the contract bid. The contract specifications (7-20.3(9)) require that a seal be provided at the downstream end of the bore. The conditions, including groundwater, were within the range identified in the geotechnical report made available to the contractor(s). This request is declined. 2. Submittal dated 9/27/2016: Installation of a concrete trench dam was not included in the original scope of work and would therefore be considered additional work. This request is approved. The total for this item is $1,808.88. 3. Submittal dated 9/28/2016: As stated above, providing the seal (grouting) at the downstream end of the bore is incidental to the bid price for the HDD work. The City's request that the upstream end of the bore also be sealed would constitute a change. To cover the grouting of the upstream end, we partially approve the request, in the following amounts: • 3 hours for labor ($385.14 + 29% = $496.83) • 3 hours for equipment ($150.00 + 21% = $181.50) • Subcontractor ($3,250.00 + 12% = $3,640.00) The total for this item is $4,318.33. If you have any questions, please contact me at 425-430-7206, or by email at rnbenoit@rentonwa.gov Sincerely, Michael A. Benoit Wastewater Utility Project Manager H:\File Sys\WWP WasteWater\W WP 27-03812 Talbot Hill Sanitary Sewer Relocation\Scarsella 05.doc\MABtp 1055 South Grady Way, Renton, WA 98057 • rentonwa.gov Please indicate below whether this is in agreement with your records as of December 31, 2016. If there are differences from your records, please provide any information that will assist our auditors in reconciling the noted differences. 9 i/!_2YT.+"JC. ts 1.3 t1-C�.2r=t_MG-)t +-.---.1TU O.,? 2r±'C'a a4S a S aA: V0rcr--aea 3 k_ 7_01� Please sign and date this confirmation and your responses and mail your reply (the entire letter, please) directly to Attn: Zack Halverson, Moss Adams LLP,1301 A Street, Suite 600, Tacoma, WA 98402 in the enclosed return envelope. If email response is preferred, please send a signed and scanned copy to the following email address: a ack.lialversod0mossadams.com PLEASE DO NOT MAIL PAYMENTS ON YOUR ACCOUNT TO THE AUDITORS Sincerely, Scarsell Bros., Inc. Richard Scarsella, Vice President To: Moss Adams LLP The preceding information is correct as of December 31, 2016 with exception to the discrepancies as noted above: Name: M�cmr►r— - A_ {3ENr►r Title: • 'PRo7'r Gt ,i--► d- 31-coL2 , C ► t1, o r- 2s:.-) TV-) Signature: �'/--���-- Z---oep— Heavy - Highway Construction 7 February 20, 2017 AJA : Mi d^o&I Zev to lit City of Renton 105S South Grady Way Renton, WA 98057 An Equal Opportunity Employer Our auditors, Moss Adams LLP, are conducting an audit of our financial statements. Please confirm the following information regarding our contract with you as of December 31, 2016: Contract number and description: 2703812 - Talbot Hill Sewer Relocation Original contract price: Total approved change orders through change order #_3: Total contract price including change orders: Total contract billings for work performed through December 31, 2016: Total unpaid billings for work performed through December 31, 2016: Total retention held for work performed through December 31, 2016: Estimated completion date: $2,907,252 $89,632 $2,996,884 $2,604,437 $391,585 $130,221 ►--�a2c.� '3 � t Za�T Details of any claims, back charges, or disputes concerning this contract (attach separate sheet if necessary): P.O. Box 68697 Seattle, Washington 98168-0697 • Tel: (253) 872-7173 • Fax: (253) 395-1209 AK Lic. #34714 AZ Lic. #ROC249216 • CA Lic. #779354 • ID Lic. #10394-Unlimited-1-2 MT Lic. #146627 • ND Lic. #44607 • OR Lic. #96884 • UT Lic. #7646917-5551 • WA lic. #SCARSBI183B8 Change Order Current Contract Amount Net Change Contract After Original $3,183,440.94 $0.00 $3,183,440.94 CO#1 $3,183,440.94 $0.00 $3,183,440.94 CO#2 $3,183,440.94 -$11,201.85 $3,172,239.09 CO#3 $3,172,239.09 $109,348.80 $3,281,587.89 CO#4 $3,281,587.89 $7,514.42 $3,289,102.31 CO#5 $3,289,102.31 $10,145.18 $3,299,247.49- CO#6 $3,299,247.49 -$19,525.00 $3,279,722.49 CO#7 $3,279,722.49 $7,913.59 $3,287,636.08 Search Prevailing Wage Intents and Affidavits Page 1 of 2 Home Espabol Contact Safety & Health Claims & Insurance Washington State Department of Labor & Industries Search Prevailing Wage Intents and Affidavits Intent Id: Get Intent Affidavit Id: Get Affidavit I Combined Form Id: Get Combined Form Search L&I A-Z Index l ielp My L&I Workplace Rights Trades & Licensing OR Enter your search criteria in one or more values below Form Type: Intents And AffldaNts V Unified Business Identifier (UBI): Contractor Registration Number: Contract Number: County: Select County V Trade: Select journey Level Trade V Bid Due Date: Fro tI--iI - To; Contract Award Date: .Imp r7+ From't�JJII - To.:I�� Document Received Date: From�l - To'LJ Q Company Name: Begins With V Public Agency Name: renton Begins With V Project Name: albot hill sewer Begins With V Prime Contractor Name: �— —� Begins With V Sort B Field: Affidavit Id Search Download Data I Reset Form Form Form Id Company Name Agency Name Project Name Contract S Type Affidavit 704006 1 BRAVO ENVIRONMENTAL NW INC RENTON, CITY OF Talbot Hill Sewer Relocation - $14,747.50 1-405, SR 167 Affidavit 703350 LAKESIDE CONCRETE PUMPING RENTON, CITY OF Talbot Hill Sewer Relocation - $1,323.58 INC 1-405, SR 167 Affidavit 686338 TRENCHLESS CONST SERVICES RENTON, CITY OF Talbot Hill Sewer Relocation - $794,318.33 LLC 1-405, SR 167 Intent 819156 LAKESIDE CONCRETE PUMPING RENTON, CITY OF Talbot Hill Sewer Relocation - S1,323.58 INC 1-405, SR 167 Intent 814356 DELMAR CONCRETE RENTON, CITY OF Talbot Hill Sewer Relocation - CTNG&CRNG LLC I-405, SR 167 Intent 80%50 LAVELLE VAC & DRAINAGE LLC RENTON, CITY OF Talbot Hill Sewer Relocation - 1-405, SR 167 Intent 808192 VENTILATION POWER CLEANING RENTON, CITY OF Talbot Hill Sewer Relocation - INC 1-405, SR 167 Intent 807834 MOBYS 24-HR ST SWIPING SVCS RENTON, CITY OF Talbot Hill Sewer Relocation - INC 1-405, SR 167 Intent 792698 Miles Sand & Gravel Company RENTON, CITY OF Talbot Hilt Sewer Relocation - 1-405, SR 167 Intent 786762 BRAVO ENVIRONMENTAL NW INC RENTON, CITY OF Talbot Hilt Sewer Relocation - b405, SR 167 Intent 782800 BEST PARKING LOT CLEANING RENTON, CITY OF Talbot Hill Sewer Relocation - INC 1-405, SR 167 Intent 782047 GONZALES BORINGITUNNELING RENTON, CITY OF Talbot Hill Sewer Relocation - $189,780.00 INC 1-405, SR 167 Intmt 777014 LAKERIDGE PAVING CO L L C RENTON, CITY OF Talbot Hilt Sewer Relocation - $13,325.00 1-405, SR 167 Intent 775074 SB STRUCTURES LLC RENTON, CITY OF Talbot Hill Sewer Relocation - I- S228,344.60 405, SR 167 Intent 774213 TRENCHLESS CONST SERVICES RENTON, CITY OF Talbot Hill Sewer Relocation - $790,000.00 LLC 1-405, SR 167 Intent 773984 Sapp Trucking LLC RENTON, CITY OF Help us improve https:Hfortress.wa.gov/lni/wagelookup/searchfonns.aspx 05/08/2017 Search Prevailing Wage Intents and Affidavits Page 2 of 2 Talbot Hill Sewer Relocation - I- i 405, SR 167 Intent 771236 0 M A CONSTRUCTION INC RENTON, CITY OF Talbot Hitt Sewer Retocation - 1-405, SR 167 Intent 765432 PLS, Inc. RENTON, CITY OF Talbot Hill Sewer Relocation - 1. $8,760.00 405, SR 167 Intent 763854 SCARSELLA BROS INC RENTON, CITY OF Talbot Hill Sewer Relocation - 1- 53,183,440.94 405, SR 167 6 Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. Help us improve https://fortress.wa.gov/lni/wagelookup/searchforms.aspx 05/08/2017 CORLISS RESOURCES Oualai Concrete • Washed Sand & Grave! • Crushed Rock "Great Service Since 1945 " 1800 YOU POUR P.O. Box 487 • Sumner, Washington 98390 Concrete Dispatch: Phone 253 8916680 • FAX 253 891 6691 Gravel Dispatch: Phone 253 8916686 • FAX 253 891 6692 DATE TIME CUST.NO. PLANT# TICKET NO. I" c/ J-;?, 0 241573 SOLD TO DELIVERY ADDRESS AND INSTRUCTIONS PLANT TIME OUT I JOB TIME IN BER JOB TIME OUT PLANT TIME IN SELF/DELVD DRIVER QUANTITY ORDERED QUANTITY DELIVERED TODAY DELIVERED TO DATE LOAD NO. PRODUCT CODE AND DESCRIPTION qX8 TRUCK ID GROSS WEIGHT TARE WEIGHT NET WEIGHT TONS SUBTOTAL CUST. SIGN X DRVR. SIGN X WEIGHMASTER SIGN X An additional charge will be made on deliveries less then 12 yards. Loads quoted by the yard, are sold by volume, approximately 1.35 tons per yard. Any dump delays over 10 minutes will be charged at the current hourly truck rate. Not responsible for damages beyond the curb. TERMS: DUE 10TH OF MONTH '_OWING DATE OF PURCHASE. FINAP CHARGE OF 1.833% PER MONTH (22% PER ANNUM) WILL BE CHARGED ON AL ST DUE ACCOUNTS. U L t j. + J HBC Scale Ticket 1-04 rAWAaHIN13TEIN CK RRIESilinic. EST. 7990 21711 103rd Ave Ct E Ste C-302 Phone: 253-262-1661 Graham, WA 98338 Fax: 253-262-1664 Bill to: SCARSELLA BROTHERS P.O. BOX 68697 SEATTLE , WA 98168 1.3 T � p,N KAPOWSIN QUARRY KING CREEK SAND & GRAVEL INVOICE 72672 Job: PICKED UP PRICING ry Invoice #: 72672 Date: )1/09/2017 Customer P.O. #: 2703812 Customer Code: 412 Payment Terms: Due By 15th Fuel Tax Ticket Date Order Product Qty Rate Amount Surchgs Amount Total 425145 01/05/17 01 2"- 4" QUARRY SPALLS 31.66 ,/ 12.00 379.92 0.00 0.00 379.92 Subtotal 01 31.66 Ton $379.92 $0.00 $0.00 $379.92 Invoice Total 31.66 Ton 379.92 0.00 $0.00 $379.92 t ?� Total Invoice ----- > $379.92 PAGE 1 14 WASMNGTON RCiCK QUARRIESinIc h,llt�,�,.ilr Ou,trr�� �i,in�t t�rec't; 1'iI ,, - it i .,�• , �hn .143 '-it_: A1W ATE . TIME GUSTO++ER PRODUCT RF..1_ "R TRUCK CUSTOMER NAME TAX --, f l i Ca Lrushed Rock, Sand. Gra%el. Round Rock, Topsoil, Landscape Rock & Custom Men& SCARSt l l it HROTHER�; Dispatch Nas tli-der No; 01 L-aad z 7Oddv 0t V 1 0tir7 ✓ : (7� r. TAX P. f), rAL-$I)'f TOTAL DUE j ----- POUNDS TONS 76 GROSS' - - - -- - - -- 100060 DELIVER To TARE: NET: WASHINSTON ROCK QUARRIESiNc. E87 I Iqn - -- DATE TIME Corporate Office Kapo%i sill Quarrl 11711 103rd A%e. Ct. F. Cru%hed & Landscalx Rork Sand.Gralel & 7np<"il Suite ('302 29104 ('amp =1 Road E 25009 Brook,; Rd L (;raham• 11 A 98338 Phone: 13601 893-;;pp Phone: ( 36W 893-7701 Ilhone: 12;3) 262.1661 Fax: 0601893-;; 11 l ax: (36()893-7702 Fax: (2531 262-1664 --- . - -- - CUSTOMER PRODUCT HAULER TRUCK TAX -- LOCATION _-_ Crushed Rock, Sand, Gra%el. Round Rock. Topsoil, Land,cape Rock & Custom Blends CUSTOMER NAME PRODUCTl Y. UNIT 5C SJ`L.1-N f(R1]i HE ref_, 14. 4 ' 1 e,1, 2 11- 4 " UUAkkY Ch-d o r- No : 0 1 FREIGHT Loads Today: r=, i i My. Today: I TAX P. U . TOTAL DUE POUNDS -RQS�• _ . t`!DELIVER TO TARE. WRUA E!E;H]rrq[3 -rfj N I vck ROCK QUARRIESiNc. Ph. DATE TIME CUSTCY,IER PRODUCT. TpJCK TAX -CCATIGN Crushed Rock. Sand. Gra%vl. Round Rock. Toj)soil. Landscape Rock & Custom Wend, mISTOmER NAME Elko Iiik-1, pillpat ch MO: Order Npi 01 I. o ad s I vi 0 t Y' . Toth FREIGHT P. 0. TAL BCC i r"'L 0.0 F POUNDS TONS GROSS: J 0 0 1-': 4, Vt DELIVER TO TARE: NET: A co 4, a cr t:n YCIJ 4Q}� 61ABILITi Gp� Date: Customer: RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-2278 Project Name/P.O. Number: Project Location (Street/City): Trucking Company: Cash 1-1 Credit Card - Last 4# Ticket # 250854 Scaleperson: Account Truck# Time Material Gross Weight Tare Weight igh Net Tons(Yd3 Price MaterialNet a `d VA F." r s TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will e assessed on all oast due accounts at a rate of 1 1/2% Der month. Total Material Annuai tinance cnarge of is -/o NOTICE: It is specificallyy, a reed that this company shall not be in anyway responsible for damage to customers property resutling from deliveries beyond the curb line. DRIVER SIGNATUREIPRINTED NAME: 5% Environmental Fee Sales Tax CC Processing Fee Total I WASHINOTON Corporate Office Kapowsin Quarry : , ,King Creek Pit ROCK 103rd Ave. Ct. E. Crushed & Landscape Rock Sand, Gravel & Topsoil QUAR RI ES ir4r— Suite C302 Suite 29104 Camp #1 Road E 25009 Brooks Rd E Graham, WA 98338 Phone: (360) 893-5500 Phone: (360) 893-7701 EST I990 Phone: (253) 262-1664 F ax: (360) 891-5511 Fax: (360) 893-7702 Fax: (253) 262-1664 • DATE TIME it CUSTOMER NAME CUSTOMER PRODUCT HAULER TRUCK TAX LOCATION >a i :: 1 4 1 l � FA 100, 0-fished Rock, Sand, Gravel, Round Rockjopsoil, Landscape Rock & Custom Blends GROSS: I l'� ' ' Sri • I r , r , w TARE: NET: WEIGHMASTER R MER \71 If PUrchaser orders delivery to be made beyond the curb line or off the main.roadway. the Purchaser agrees to assume all. fiabl.lity for damages to Seller's eqUipment, and to sidewalks. driveways, or other property caused by the Seller's truck,, in making Of Such deliveries. Purchaser has .15 minutes to unload truck, after which truck time will be charaed at the standard stand-by ti.me rate. NSF checks and rejected credit cards will be charged a $30 service fee in addition to the principal balance. 1. understand and agree to the above terms. Customer Signiature Please call (253)) 262-1661 with any questions. WAEMIN13TUN ROCK C�UARRIEStntc .sT. i99n DATE t:'crz i�1�r:lte. Ot%icr K<ttxwtiin QuarryKing Creel: Pit 21711 103rd t<<r. CI. F. Crushed & Laudscapc Rock Sand, Gravel d 7'opsoil Suite C302 29104 Camp # l Road E, 25009 llruoks Rd F Graluun. NVA 9833S Phone: (360) 893-5500 Phone: (360) 893-7701 Mimic: (233) 262-1661 Fax. (360) 893-5511 Fax: (36(l) 893.7702 Fax: 1253) 262-1664 TIME CUSTOMER CUSTOMER NAMEM� C,tr'•1+z:ter: ?AI PRODUCT HAULER TRUCK` TAX LOCATION : ► 1 J, Crushed Rock, Sand, Gravel, Round Rock,'l'apsoil, Landscape Rock & Custom Blends DELIVER TO TARE: NET: WFIGHMASITA DRIVER CUSTOMER 0'PF WASHINCi"®N CorporateOffice uarry ing eek Pit Sand. R C] C K _1 t. E. Crushed ed C1L:andscap Rork Gravel & Topsoil tiuitr C3112 29104 Cany HI Road E 25009 Brooks Rd F EJUAR RiES iNc. Gralun,t, WA 98339 Phone: (360) 893-550t1 ' Phone: (360) s93-7701 EST. 1490 Phone: (253) 262-1661 Fax: (360) 893-5511 Fax: (360) 893.7702 Fax: (253) 262-1664 ;t DATE TIME CUSTOMER PRODUCT HAULER TRUCK TAX LOCATION Crushed Kuck, Sand, Gravel, Round Rock.'ropsoil, I.andscape Rock & Custom Blends CUSTOIvtER NAME- �L-,f�i!?I-3�,i..l.a L'Rf)T1It.1 . TARE: DELIVER TO i AL k W.- 7'r--z1 i NET: WASHINGTfJN Corporate Office r�arx)wsin Quarry king Crcmuk Pit ROCK 21711 103rd Ave. Ct. E. Crushed & Land trapc Kuck Sand. Grarcl & '1'o!►suil EJUAR R I ES iNc:. Suite C302 291(W Ca,q►p #1 Rund F: 25009 Brooks Rd F. (.raham, WA 98338 Phone: 040) 89;-55(H) Phone: (36)) 893.7701 �fl1. avvo Phone: (253) 262.1661 Fax: (360) 891-5511 Fax: (3641) 893-7702 Fax, (253) 262-1664 DATE TIME CUSTOMER PRODUCT HAULER TRUCK TAX LOCATION � •/(i%e'l�:i• Gila 1,. t � Crushed Kuck, Sand, Gravel, Round Rovk,'Fopsoil. Landscape Rock & (: uslom Blend: CUSTOMER NAME • 61 TAfit. NET: 7„c, I It - � , ,_'I)Fili'li FREIGHT TAX TOTAL DUE DE IVER TO 1 i-III -10 f 1tYAD P�e� WASF-�ENCa'�®N Corporate Office. Kapowsin Quarry King, Creek Pit R [] 1 K 1711 1011A Ave. Ct. E. 0-ushed & i,andscape Rock Sand, Gravel & Topsoil Suite C3112 29104 Cany #1 Road E 25009 Brooks Rd P. QUAR RiES wc. Graham, NVA 98338 Thane: 1360) 893-55011 Phone: (360) 893-77111 CS7, {99a Phone. (253) 262-1661 Fax; (3601 893.5511 Fax: (360) 893-7702 Pax: (253) 262-1664 DATE TIME CUSTOMER HAULER TRUCK PRODUCT TAX LOCATION Crushed Rock, Sane), Gravel, Round Rock,'topsoil. I.andscape Rock & (Custom Blends � r- ASHINGT®N Corporate Office Kapo sin Quart.) , ,.,t; -Nftjg'Creek Pit REI C K 21711 1113rd A. e. Cf. C. Crushed & Landscape Ruck Saud, Gravel+& Topsoil E LJARRxESINC. Suite (302 %VA 221)104 Camp H1 Road E. 25009 Brooks Rd E EST. 19 qD Graham, 98338 1'lione: (253) 262-1661 Phone: (3601893-4;t10 Fax: t3601 893-5 11 Phone: (360) 893-7701 Fax: (360) 893-7702 1'am (253) 262-1661 TICKET 41 ii'f -104 HAULER TRUCK TAX LOCATION } DATE TIME CUSTOMER PRODUCT CUSTOMER NAME GROSS: TARE NET: '. sir. �Ar� f Crushed Rick. Sand, Gravel, Round Roc}., Topsoil, Landscape Rock & Custom Blends FREIGHT ' TAX y TOTAL DUE M(71('. WF e.tXZ-Trn' I' , -. I ` t,.,F: WASHINGTON Corporate Office Nilj)O e:;in (�u.tt r}' King Creek Pit ROCK 2177 I lU3rd Ave. Ct. F. (:rushed 'K, l.:uidticape Rock sand. Gr;rvel &Topsoil QUAR RI ES IIV c. Suite C302 29104 (:+rnrp 01 Road 1: 250119 Brooks Rd F Graham, OVA 98338 Phone: t360) M93-55011 1'Irone: (360) 893-7701 EST. 199U Phone: (253)262-1661 Fax: 1360) 893-55 11 Fox. (360) 893-7702 Fax: (253)262-166d • DATE TIME CUSTOMER PRODUCT HAULER TRUCK TAX LOCATION Crushed Rock. Sand, Gravel, Round Rock, topsoil, Landscape Rock & Custom Blends CUSTOMER NAME • 43 k! GROSS: TARE: NET: FREIGHT TAX TOTAL_ DUE HI NGTO N Corporate Office Kapowsin Quarry K `� P �,, Agrvek Pit CK 21711 103rd Ave. Ct. E. Crushed & Landscape Rock ti:anxl. f;ra�el &Topsoil rRE Saito C302 29104 Camp #1 Road E 25009 Brooks Rd E AR RIES INC- Graham, WA 98338 Phone: (360) 893-5500 Phone: (360) 893-7701 EST. 1990 Phone: (253) 262-1661 Fax: (360) 893-5511 Fax: (360) 893-7702 Fax: (253) 262-1664 413341B � DATE TIME CUSTOMER PRODUCT HAULER TRUCK TAX LOCATION e/10/2016 2:14 41124"-1 1 SB98 0 1 Crushed Rock, Sand, Gravel, Round Rock, Topsoil, Landscape hock & Custom Blends CUSTOMER NAME SCARSELLA BROTHERS Dispatch No: Order- No: 01 Loads Today: 1 Ot y. Today t 31.10 P. 0. 272812 0 31. 101 l"on ! 4" QUARRY FREIGHT TAX TOTAL DUE GROSS, 104100 52.05 DELIVER TO T'ALBOT ROAD TARE. NET: WEIGHMA'j$i4wH 'j j �. �; c? f ri v r t. fa III DRIVER CUSTOMER C0Nc� RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 ,g g Scale House: 206-772.2278 rf�4IABILTI"� G°�Q Date: 9)-)N� 0 _ Customer: Project Name/P.O. Number: Ticket # 244445 SA ' Project Location (Street/City): t U�_,_ �� Trucking Company: la ,W 1 Scaleperson:� Cash Credit Card - Last 4# Account Truck# Time Material Grass Weight Tare Weight Net TonslYd3 Price MaterialiShe TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge wll{ a ach caccPr�nn a1T nasi—ft ue accounts at a rate of 1 U9°! nor month Total Material — Annual finance charge of 18°0 NOTICE: It is specifically agreed that this company shall not be in anyway responsible for damage to customers property resutling from deliveries beyond the curb line. DRIVER SIGNATUREIPRINTED NAME: Environmental Fee Sales Tax CC Processing Fee Total ' '���� co rc rn 41ABILITI Date: Customer: RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-2278 Project Name/P.O. Number: Project Location (Street/Ci+ Trucking Company: � It-- - Cash 1-1 Credit Card - Last 4# Ticket # 244697 v I. Fvcr av41. Account Truck# Time Material Gross Weight Tare Weight Net WeiSght Net Tons[Yd3 Price ateaI►Sht Material TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will assessedbe on a pas ue accounfs at a gate of t tl2°A per month. Total Material Annuai unance cnarge or ►n h NOTICE: It is specifically agreed that this company shall not . 5% Environmental Fee be in anyway responsible for damage to customers propertyr�, ��.; Sales Tax resutling from deliveries beyond the curb line. ; \ CC Processing Fee DRIVER SIGNATURE/PRINTED NAME: _ Total o co cc M CYC L�4`o A 41ABILI-0 C RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-2278 Date: ? (G' Customer: Project Name/P.O. Number: Ticket # 244697 Project Location (Street/City): ] Trucking Company: ,�i. Scaleper son: _ Cash Credit Card - Last 4# FIAccount Truck# Time Material GrossWeight Tare Weight Net Tons/Yd' Price Mite Weighl Sio TERMS: NET 30 DAYS FROM END OF MQNTH A Finance Charge will a pas ue accoun s ENT ra a of 1 112% per month. Total Material e assessedon Annuai finance charge or iii% NOTICE: It is specifically agreed that this company shall ndt be in an, responsible for damage to customers property resutling from deliveries beyond the curb line. DRIVER SIGNATUREIPRINTED NAME: 5% Environmental Fee Sales Tax CC Processing Fee —_ Total G � 9-8$El1H�-6 tl.11fi�li Corporate Office KapoNN!sin C)u:1I-1'Y KaprN,0 g.�;reek Pit Ra3 21.711 103rd Ave. Ct. E. 0-mOwd & Landscape Rock Sand, Gravel & Topsoil Suite C302 29104 Camp #1 Road lE 2S009 Brooks Rd E �Q AR RI F-..7a lINC:. Graham, WA 98318 Ph&et:(,4fq t,9 3-5500 Phone: (360) 893-7701 r.,9 ur Phone: (253) 262-1661 Fax: (360) 893=5511 F.,m (360) 893-7702 Fax: (253) 262-1664 DATE TIME C:USTOMEHPRODUCT, HAULER TRUCK TAX 1L''OuAT;IOi`1ti .�19•i�u3lfb Js`�=i 1;: l.'h t. !,f11 t Ci ti.Owd Rock. Sand. (;ravel. Robtid Rock Volils ii1, (, i .. �jie, RtiClc "R Custo MOW va4 ;r rA i ;�: it [!l?'r'J Y��x�il �1:•i%% iy7 • 11r 6) � A� f+fv n ' i� f � rREIGI�I;i ,TAX f: ITOTAI_DUE' ' - i .:i. _t e e r:i } 1;f�l,+fib ?+:. 'jAR5. i2-9 � i i NET:: � f WrIGHMf AjCj`{ T i C.It C t gel, y E'i; DRIVER � CUSTOMER ------ e r 1 C 0*",�c� cr 0 V o�CYCIS 4�?� 1IABILIT"I RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Date:_` Customer: Scale House: 206-772-2278 Ticket 4 244760 Project NamelP.O. Number: d Project Location (Street/City): Trucking Company: Scaleperson:1 _ Cash Credit Card - Last 4# Account Truck# Time Material Gross Weight Tare Weight Net TonslYd' Price Material g TERMS: NET 30 DAYS FROM END OF MONTH, A Finance Charge will e assesse on a pas clue accounts at a rate of 1 1/2% ner month. Total Material Annual finance charge of 18% NOTICE: It is specifically agreed that this company shall not �� 5�� Environmental Fee be in anyway responsible or damage to customers property `Sales Tax resutling from deliveries beyond the curb line. J�:, CC Processing Fee DRIVER SIGNATUREIPRINTED NAME: Total -A - WAS H I NGTO N Corporate Office R a C K 21711 103rd Ave. Ct. E. QUARRIES1nrlc. SuiteC3o2 EST. 199Q Graham, WA 98338 Phone: (253) 262-1661 Fax: (253) 262-1664 DATE TIME CUSTOMER PRODUCT Kapowsin Quarry i ; ,.�$reek Pit Crushed & Landscape Rock Sand, Gravel & Topsoil 29104 Camp #1 Road E 25009 Brooks Rd E Phone: (360) 893-5500 Phone: (360) 893-7701 Fax: (360) 893-5511 Fax: (360) 893-7702 HAULER TRUCK TAX 8/2/2016 6:48 412 124--1 1 13B1 3.4 0 Crushed Rock, Sand, Gravel, Round Rock, "Topsoil, Landscape Rock & Custom Blends TICKET 4144613 NO. LOCATION i -IV WASHINGTEIN Corporate Otbee FZU C 21711 103rd Ave. Ct. E. UAR RI ES inic. Site c302 Graham, WA 98338 EST. 1990 Phone: (253)262-1661 Fax: (253) 262-1664 DATE TIME CUSTOMER PRODUCT 81 fiT'�1G !!) 412 Crushed Rock, Sand, Gravel, Round Rock, Topsoil, Landscape Rock & Custom Blends CUSTOMER NAME SCARSELLA HROTHERcS No: Ot der No: 01 Loads 'today: Oty. Today: 2703812 Kapowsin Quarry ) r i Vt-ek Pit Crushed & Landscape Rock twM ulf . Gravel & Topsoil 29104 Camp # I Road E 2_SO09 Brooks Rd E Phone: (360) 893-5500 Phone: (360) 893-7701 Fax: (360) 893-5511 Fax: (360) 893-7702 TICKET 4 t 446F NO. HAULER TRUCK TAX LOCATION 1. SB 13E, 0 1 r�r. ,-$ 'r rr WASHINCGTON Corporate Office R O C Q INC. K 21711 103rd Ave. Cc. E UARRIES, GrahaSuite Graham, WA 98338 EST. 199q Phone: (253) 262-1661 Fax: (253) 262-1664 DATE _-_ TIME CUSTOMER PRODUCT Kapowsin Quarry }�wrgR�'r•eek Pit Crushed & L:inc1wapr R(A ..I- ,�+1111d. (,rifvel & Topsoil 29104 Camp #1 Road E 25009 Brooks Rd E Phone: (360) 893-5500 Phone: (360) 893-7701 Fax: (360) 893-5511 Fax: (360) 893-77112 TICKET 414470 NO. HAULER TRUCK TAX LOCATION 8/25/2016 6:.56 111Ll t 1 5tt143 0 1 Crushed Rock, Sand, Gravel, Round Rock, Topsoil, Landscape Rock & Custom Blends CUSTOMER NAME SCARSEL.LA BROTHERS '1 -i s pat ch N o c Ut•der, No : 01 Loads Today: Qty. Today-. 91.18 P.O. 270381.2 GROSS. `:38E�c�uti TARE 0 .J 1 .J" NET 49.43 1P.FIE, 11) _30. ,71 Tun 1 Orr (QUARRY FREIGHT ' TAX TOTAL DUE " • � I r+ -FAI, BOT WEIGHMAST;I fR DRIVER CUSTOMER WASHINGTCIN� Corporate Office Kapowsin Quarry �,�a,��inreek Pit ROCK 21711 103rd Ave. Ct. E. Crushed & Landscape Rock ant. .ravel & Topsoil Suite C302 29104 Camp #1 Road E 25009 Brooks Rd E IIUAR RIESINC. Graham, WA 98338 Phone: (360) 893-5500 Phone: (360) 893-7701 EST 1990 Phone: (253) 262-1661 Fax: (360) 893-5511 Fax: (360) 893-7702 Fax: (253) 262-1664 TICKET _ _---_-_---..._ DATE TIME CUSTOMER PRODUCT HAULER TRUCK TAX LOCATION 412 124-1 1 SB100 0 :1 Crushed Rock, Sand, Gravel, Round Rock, Topsoil, Landscape Rock & Custom Blends k� w,_1 I T l: M (: 1: 0 V 5 U Itl SHINGTON ROCK ARRIESinic. .EST. lggo DATE CUSTOMER NAME GROSS TARE, NET: TIME Corporate Office 21711 103rd Ave. Ct. E. Suite C302 Graham, WA 98338 Phone: (253) 2,62-1661 Fax: (253) 20-1664 Kapowsin Quarry Crushed & Landscape Rock 29104 Camp #1 Road E Phone: (360) 893-5500 Fax: (360)893.5511 CUSTOMER PRODUCT HAULER TRUCK King Creek Pit Sand, Gravel & Topsoil 25009 Brooks Rd E Phone: (360) 893-7701 Fax: (360) 893-7702 TAX LOCATION Crushed Rock, Sand, Gravel, Round Rock, Topsoil, Landscape Rock & Custom Blends WEIGHMASTER 1►h CUSTOMER +.t 6$i�ifM�I��-if"EC�6'�$ Aw orate Offiev 1 t.�:rz �ot�sin I Quarr�y� t Kittg(,reek Pit OCK �03 1%11 103rd rl+-t:. C. 1. F. t. 1 ushed & I:aiidvcape Rock ,Sand, (rravel & •I'opsoll j �U ID I'��' BiVe�. Suite C302 2910•'Ca'ip #.l Ro td•1? Z54Q l3roo}.s Rd 1. r .qIF� (;qriraham, 11',k')ti338 Phone: (360).893.550�1 T'ltorii : (3fi(►) 893.77111 Phone: (2 3) 262-1661 Rix: (360) 893:531 i Fax: (360) 393.7702 � Fax: (.2531 262-1664 a .1 1ii;'<�r�4�lt • s DATE TIME CUSTOMER PRODUCT -HAULER TRUCK TAX LJCA'tlpti i Crushed Rock; Sand, Gravel, hound Rock; Topsoil, Landscape Rock & Custom Blends i Ai° Q Z yr . ,. • d� i FREIGHT r E TAX-1, 1 TOTAL DUE f ! 1' GROSS MOOR, ra' '."}Lt r,) '`�, Y l 1:1,01 ipF1E . s. _t�ClUatlt� t: t? sn DFiIV[F CUSTOMER i �.����"i1� � of ollyrate-011ice , {t �l )t)\14111 t1d1'1'1 �11ii� tCreek Pli. 1 tic' jJC is . 21711 103rd 1v` Cit. E. Crushed & 1 an'dscape .Rot k Sand, (gravel &—Tnpsuil �R RI S rNC' - tiui( lb z T 11 A 9b338 297U4 C-tiiij) fl, Rit id 1,; Vlw-ne, (3611) 893-5501) ,- r 25009 Brooks Rd [; 1111n1e: (160) 593-7701 , EST. i9an Phone: (253)26V1661 _ F-ax:.(360) 893-5511 Fav (360),893 77t12_-- '` "`° Fax.: (253) 242' 1064 i n; ` eft r �:ly�Y- •5•at.�r.a �� , :i. i%J to �.Af� � 15..�\4 - �%. `�'� � t .�1� Crushed Rock, Sand, Gravel, Round Rock, Topsoil;°L e ... TRUCK ' ,-- TAX sc rt a Rock & Cuslon' Blends � t i -e� �� s QTnY ti-UFREIGHT NIT)u_h TO.TAL DUE, WA9HINGT0N ROCK JUARRIESir4c. EMT. 199Q DATE TIME Corporate Office Kapowsin Quarry KapdW8g Creek Pit 21711 103rd Ave. Ct. E. Crushed & Landscape Rock Sand, Gravel & 'lopsoll Sufic C302 29104 Camp Nl Mond F 25009 Brooks Rd F. Grohnm, WA 98339 Phone: (360) 893.5500 Phone: (360) 893-7701 Phone: (253) 262.1661 Fax: (360) 893.5511 Fax: (360) 893.7702 _ Mix: (253)262.1664 42g145 CUSTOMER PRODUCT HAULER TRUCK TAX LOCATION 1/5/2017 3:00 412 124-1 1 BB98 a 1 Crushed Rock, Sand, Gravel, Round Rock, Topsol1, Landscape Rock & Custom Blends k ..�.. �■ CUSTOMER NAME SCARSEL.LA BROTHERS Dispatch No: 0 'prder Nor 01 L,oade Today r 1 Ot;y. Today: 31.66 P.O. 2703812 GROSS; 103380 51.79* TARE. NET: 40260 * 20. 1 3* 63320 31.66 Manua lie Ih� 31.66 1 Ton 2"— 4" QUARRY FREIGHT TAX TOTAL DUE PICKED UP PRIGINB icke fiy1f,em 6 ivER ���'CM�4��` Z441ABiLIT`t GO Date: Customer: 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale douse: 206-772-2278 Ticket # 250854 Project Name/P.O. Dumber: Project Location (Street/City): Trucking Company: J1 ` �� Scaleperson: r �� A Q .Cash Credit Card - Last 4# FVIAccount Truck# Time Material Gross Weig ht Tare Wei ht g Net weight Net Tons[Yd3 Price Material size ll(n\ - 14() `(-it) " - , `► i >; =Y TERMS: NET 30 DAYS e ab ssess An'n a(� FROM END OF MONTH. A Finan e;Cbarg will { ` Total Material ue accounts a a rate of 1 1121oroe�dtbnt .:; �. Hnnuai rmance cnarge or iu is a j. NOTICE: It is specifically agreed that this company shall not 5 �o Environmental Fee be in anyway. responsible for damage to customers_property Sales Tax resutling from deliveries beyond the curb line. CC Processing Fee DRIVER SIGNATUREIPRINTED NAME: - - z Total g��$ �� � � �..Lll'por.lte Office �'i2P(M'sit, Qual-l-N 1-,Oi7- �•1't'ek 1'll RE a f 11711 lU3nl a1ve. Cl. 1;. Crushed ,, 1.tnulscape Ruci: Saud, C:rarcl rti 'follsnil Suds C302 PLIAR RHEESoNc. 29101 C:unp %rl Koad E' 251109 Brooks Rd E Crahmu. WA 98338 EST. 7440 Phone: (360) 893.5500 Phone: (3fi0) 893-7701 Phone: (253) 262-1661 Fax: (360) 893-5511 Fax: (360) 893.7701 Fax: (253) 262-1664 DAl'E TIME CUSTOMER PRODUCT HAULER TRUCK iAX LOCATION.- 4 Crushes! Rock, Sand. Caravel, Round Rock, Topsoil, Landscape Rock 8: Custom Blends CUSTOMER NAME ' l'•, t:j. is i`1.:;l�.:L �•. } f �v" `fY '- �' i -11W17 1 - � � � •r.4- 2b.10 O P t 1/ l •f Via, 4\A S 0 i. l SI° GO Ton FREIGHT TAX ! L TOTAL DUE GROSS:-- ,; �l ��LY .�,``.��� 1>rt %}.t, e 1L�1�1 . - • � 1•t1i..Cil;i-� i.I , NET: Vie {'I::eiiII i ) r-i ljt-,f, •R C3vtjt6j6-0FfVER Nc:USTota'~F -- — - -- I 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Load S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-2278 ZP��ABlLI"fY ®ate: 1" \ Customer: . �k l .t A 'VA lIt} k Project (dame/P.O. Number: C 1� Project Location (Street/City): Trucking Company: Cash Credit Card - Last 4# # 251172 i Scaleperson: , � ,, ! Account 1 Truck# Time Material Gross Weight Tare Weight Net Net Tons[Yd3 Price Weigh a r trw - 3 r.. d (�'f pA� L�dN`L' ,~ a -: I;,; f;' a., .s:,: �. TERMS; NET 30 DAYS FROM END OF MONTH. A Firia`nee Charge will ` `y ,;. Total Material e6 assessed on all pas ue accoun s at a rate of 1 1f2%Ger-.mQnth: Hnnuai unance cnarrge or tow r, °` 5% Environmental Fee NOTICE: It is specifically a reed that this company shall not be in anyway responsible for damage to customers property Sales Tax resulling from deliveries beyond the curb line. CC Processing Fee DRIVER SIGNATURE/PRINTED NAME: `i`� ` —` Total ���.�Corporate (}ffice Kapwts-Sill 0(tarrY 111i1� C.l.-eel' Pil IWAS Ua a�21711 103rd Asc. Cs. I t_;t-1101ed,' 1.m,tkcili)C:1'o'k S:antt, (Flare. & Iop,soii Suite C302 '910.1 (::.anp %( Road F 2i009 Brook: Lid 1UAR RIES INu. (:raja...... WA 98338 I'honc: (360) 893-5i00 11hone: (360) 893.7-101 EBT. 14497 Yhm.r.: (253) 262-1661 Fas: (360j 893-5511 IC:u: {361)) 893-770'- — - • -- Nas; 253 262.1664 - DATE TIME CUSTOMER PRODUCT HAULER TRUCK TAX LOCATION 2/9 2017 1rA 1 `. 41k: 1A::i:1 Crushed Rock, Sand, Gravel, Round Rock,'Topsoil, Landscape Rock & Custom..lends 1_oaktl a Taod'a}y t i �fl 31. G!UplRR`Y y Lit j FREIGHT ti e¢ ; TAX ,ink. TOTAL_ DUF.. W , M GROSS: 104800 �s . 4i�+ tea' s 5� t�k' �� ; •. ' . !'6=1LHGi 1 HILL 'taC'�ll:h2 NET: - _ --- 62>240 WEIGNMAWTUR Ti c_ k v I°. S y st e m Dr•.1vEizzCUSTOMER e /Avr -?36o3 WA,Es?rqIri111VIS Z,)6%14 1 Offia K.Ipowsin Quarry '' Ising reek 114 '. '" -171J 103rd Avv, Ci. K. ()-tshed & LmidscapeRoc(� Sand, Ipsoil RE0 K PUAR RX ES3 iNE;- Suitt! C3112 Graham, WA 98338 29104 Camp il I Road E Phone: (360) 893-5,W) 25009 Brooks Rd E Phone: (360) 893-7701 EST. 1440 Phone.: I253> 262-1661 F'ax: 1360) 893-5511 Fax: (360) 893-7702 Fnv (253! 202-1664 DATE TIME CUSTOMER PRODUCT HAULER TRUCK TAX LOCATION Crushed Rock, Sand, Gravel, Round Rock, opsoil, Landscape Rock & Custom Blends CUSTOMER NAME fj j 'q i i Y GROSS. TARE: 42 100 NET: I A41., W!" 3 1. 'r-_'Fj Ton 4 QUARRY -- --) _� FREIGHT TAX TOTAL DUE 52. 30 21.05 P5 W17IGHMATSRT1ck.pt Systea DRIVER F.USTOI I 1 r LEGEND FK iS f'VC rEX SSMH 2257 F SSMH 2256 PVC -1 TV INSPECT THIS LINE TO CONFIPM NO CONNECTIONS PRIOR TO DEACTIVATION AND PILL POINT E, SSMH 2267 V 1-405 FWY LA 0 foc, a- e L- W t Pyt. S IjE� _�aEPI EX SSMH 2263 F4 1 E� SSMH 3252 SSMH D7i O i ' r '' ' EXSSMH 268 A EX SSMH 2293 Q - - EX SSMH 2294 EX SSMH 2477 EX SSMH 0058 SOUTH 14TH STREET E� SSMH 2269— M \mac 1l Q ` EX 12" ODNC���:�, p (� EX SSMH D059 —Ct 8 ��,F EX. 10- CONC �,' 94C PVC �tl� 1EX SSMH 0057 y� PROPOSED a✓ \; EX SSMH 2435 �EX SSMH 476 3i° d 'sG �5 CJr SSMH 2478 a 1�L .3 c C.1, s 3 V to �� i r SOUTH 14TH STREET r„ f r r ..� _ .... r_ PVC 1 —, 2KIC \ ( 1 " PvC �S�SMH 009 �\ 8" PVC SSMH 005A r smo _ ' SSMH 008 y (u - SSMH 007 8' PVC � SSMH 004 ' S- PVC < q d —8' PVC H 003 ' 15' PVC ' ¢,- >SMH 006A —SSMH 0058 G QV 8 SSMH 0068 - I - EX. 10" CONC EX S H 2479 ' Pvc e' c m 2 r y f 0 y ` s 11 s 2�, f� is Q Y _ EX SSMH 2292 SSMH 2270 Iu. O t ISSUED FOR \SEX SSMH 2581 y CONSTRUCTION �� _ 1. BROD ♦ t V!ALI, \SRIr 22dl EX SSMH 2475 yr ♦ ♦ yr r. 4.. t • 4 s SOUN757}1 EX SSMH 2489— �� \;- !. <� IM Stantec 11130 NE 33rd Place, Bellevue WA 98004 phone:(425)969-9448 WWWLstantec.com SCALE 60 0 60 120 ( FEET ) i INCH = 60 FT - - 1--60 TALBOT HILL SE 1-405, SR167 1 VVWP SEWER ABAN sMA -- ELs WER RELOCATION - 5/15/2 C/DC PROJECT 27-2812 - - DONMENT PLAN 4 11 ,C AV V--- Printed On: 12/29/2016 City of Renton Public Works Department Page 1 Project: Talbot Hill Sewer Relocation - 1-405, SR 167 IC/DC Project Contract Number: CAG-16-036 Contractor: Scarsella Bros. Inc. Pay Estimate 6 Closing Date: 12/31/2016 Item Description Unit Est, Unit Previous Previous This This Total Total No. Quantity Price Quantity Amount Quantity Amount Quantity Amount 001. Mobilization & Demobilization Lump Sum 1 $250,000.00 002. Trench Excavation Safety Systems Lump Sum 1 $15,000.00 003. Construction Surveying, Staking, and As-Builts Lump Sum 1 $25,000.00 004. Traffic Control Lump Sum 1 $40,000.00 005. Temporary Erosion/Sedimentation Controls Lump Sum 1 $30,000.00 006. Site Clearing and Grading Lump Sum 1 $23,500.00 on Furnish and Install 8-inch PVC Sewer Pipe Linear Foot 630 $50.50 008. Furnish and Install 12-inch PVC Sewer Pipe Linear Foot 690 $85.00 009. ° Furnish and Install 15-inch PVC Sewer Pipe Linear Foot 100 $115-00 Furnish and Install 18-inch Steel Casing Pipe with 12-inch 010, PVC Carrier Pipe Linear Foot 70 $215.00 Furnish and Install 36-inch Steel Casing Pipe with 15-inch Ott. PVC Carrier Pipe (Open Cut Installation) Linear Foot 300 $300.00 012. HDD Trenchless Installation of 12-inch HOPE Sewer Pipe Lump Sum 1 $820,000.00 013. Trenchless Installation of 36-inch Steel Casing Linear Foot 240 $800.00 Furnish and Install 15' PVC Carrier Pipe within Steel Casing 014. (Trenchless Installation) Linear Foot 240 $70.00 015. Television Inspection of Sanitary Sewers Linear Foot 3240 $4.50 016. Launch and Reception Shafts Lump Sum 1 $790.000.00 Furnish and Install 48-inch Diam. Sanitary Sewer Manhole (eQ 017. with Flat Top Each 1 $4,500.00 'Ed Furnish and Install 48-inch Diam.Saddle Manhole with Flat 018. Top Each 4 $4,625.00 Furnish and Install 60-inch Diam. Sanitary Sewer Manhole 2�11;r9 019. with Flat Top Each 3 $11,550.00 Furnish and Install 60-inch Diam. Saddle Manhole with Flat t 020. Top Each 1 $10,300.00 Furnish and Install 60-inch Diam. Drop Manhole with Flat .Al #,A 021. Top Each 2 $10,600.00 022. Extend Existing / Install New 12-Inch Culvert Linear Foot 180 $42.40 023. Connect to Existing Sewer Manhole Each 8 $600.00 024. Abandon Existing Sanitary Sewer Manhole Each 12 $800.00 Adandon & Fill Existing Sanitary Sewer Main Over 10' 025. Diam. Linear Foot 1530 $10.00 Removal and Replacement of Unsuitable Foundation 026. Material Ton 50 $65.00 027. Select Imported Trench Backfill Ton 7000 $16.00 028. Imported Gravel Borrow For Fill Ton 7500 $19.25 029. Crushed Surfacing Base Course for Gravel Road Ton 2500 $22.50 0.80 $200,000.00 $0.00 0.80 $200,000.00 0.18 $2,700.00 $0.00 0.18 $2.700.00 0.50 $12,500.00 $0.00 0.50 $12,500.00 0.76 $30,400.00 $0.00 0.76 S30,400.00 0.76 $22,800.00 _ $0.00 0.76 $22,800.00 0.80 $18,800.00 $0.00 0.80 $1B,800.00 0.00 $0.00 :, f'� $0.00 0.00 $0.00 12.00 $1,020.00 `� � ,US $0.00 12.00 $1,020.00 ` 27.00 $3,105.00 1-E $0.00 27.00 $3,105.00 r 0.00 $0.00 $0.00 0.00 $0.00 r 288.00 $86,400.00 $0.00 288.00 $86,400.00 1.00 $820,000.00 $0.00 1.00 $820,000.00 307.00 $245,600.00 -: $0.00 307.00 $245,600.00 489.00 $34,230.00 V $0.00 489.00 $34,230.00 0.00 $0.00 $0.00 0.00 $0.00 0.85 $671,500.00 $0.00 0.85 $671,500.00 0.00 $0.00 $0.00 0.00 $0.00 t 1.00 $4,625.00 $0.00 1.00 $4,625.00 �t�t 2.00 $23,100.00 $0.00 2.00 $23,100.00 0.00 $0.00 $0.00 0.00 $0.00 0.80 $8,480.00 $0.00 0.80 $8,480.00 54.00 $2,289.60 $0.00 54.00 $2,289.60 0.00 $0.00 $0.00 0.00 $0.00 0.00 $0.00 $0.00 0.00 $0.00 0.00 $0.00 $0.00 0.00 $0.00 181.60 $11,804.00 $0.00 181.60 $11,804.00 0.00 $0.00 $0.00 0.00 $0.00 2000.00 $38,500.00 $0.00 2000.00 $38,500.00 0.00 $0.00 $0.00 0.00 $0.00 Printed On: 12/29/2016 City of Renton Public Works Department Project: Talbot Hill Sewer Relocation - 1-405, SR 167 IC/DC Project Contract Number: Contractor: Scarsella Bros. Inc. Pay Estimate 6 Closing Date: Item Description Unit Est. Unit Previous Previous 030. Controlled Density Fill (Backfill) (As Required) Cubic Yard 50 $130.00 031. Asphalt Patch Including CSTC Square Yard 650 $30.00 032. Surface Restoration Lump Sum 1 $15.000.00 033. COk2: Credit for Change of Trenchless Casing Material Linear Foot 240 ($12.00) 034. COk2: Credit for Change of Open Cut Casing Material Linear Foot 300 ($12.00) 035. COM2: Credit for Change of Imported Gravel Borrow for Fill Ton 7500 ($0.50) 036. COR3: Removal of Rock for Auger Bore Lump Sum 1 $99,861.92 0.00 $0.00 0.00 $0.00 0.00 $0.00 307.00 ($3,684.00) 288.00 ($3,456.00) 2000.00 ($1,000.00) 0.00 $0.00 Page 2 CAG-16.036 12/31/2016 This This Total Total Quantity Amount Quantity Amount $0.00 0.00 $0.00 $0.00 0.00 $0.00 $0.00 0.00 $0.00 $0.00 307.00 ($3,684.00) $0.00 288.00 ($3,456.00) $0.00 2000.00 ($1,000.00) 1.00 $99,861.92 1.00 $99,861.92 Subtotal $2,229,713.60 $99,861.92 $2,329,575.52 9.5% Sales Tax $211,822.80 $9.486.88 $221,309.68 Total $2,441,536.40 $109,348.80 $2,550,885.20 Denis Law Mayor Public Works Department - Gregg Zimmerman, P.E., Administrator November 28, 2016 Mr. Bob Scarsella Scarsella Bros. Inc. PO Box 68697 Seattle, WA 98168-0697 RE: CONTRACT #2703812 TALBOT HILL SEWER RELOCATION—1-405, SR 167 IC/DC PROJECT TRENCHLESS CONSTRUCTION SERVICES CLAIM FOR FORCE ACCOUNT WORK Dear Mr. Scarsella: The City has reviewed the force account work submittals submitted by Scarsella Bros. Inc. on behalf of Trenchless Construction Services. Our response is as follows: 1. Submittal dated 9/26/2016: We consider the work identified in this report as covered and incidental to the contract bid. The contract specifications [7-20.3(9)] require that a seal be provided at the downstream end of the bore. The conditions, including groundwater, were within the range identified in the geotechnical report made available to the contractor(s). This request is declined. Submittal dated 9/27/2016: Installation of a concrete trench dam was not included in the original scope of work and would therefore be considered additional work. This request is approved. The total for this item is $1,808.88. Submittal dated 9/28/2016: As stated above, providing the seal (grouting) at the downstream end of the bore is incidental to the bid price for the HDD work. The City's request that the upstream end of the bore also be sealed would constitute a change. To cover the grouting of the upstream end, we partially approve the request, in the following amounts: • 3 hours for labor ($385.14 + 29% _ $496.83) • 3 hours for equipment ($150.00 + 21% = $181.50) • Subcontractor ($3,250.00 + 12% _ $3,640.00) The total for this item is $4,318.33. If you have any questions, please contact me at 425-430-7206, or by email at mbenoit@rentonwa.gov. Sincerely, Michael A. Benoit Wastewater Utility Project Manager H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Scarsella 05.doc\MABtp 1055 South Grady Way, Renton, WA 98057 • rentonwa.gov Ak Denaoaw City Of ey y r Public Works Department - Gregg Zimmerman, P. E., Administrator October 3, 2016 Mr. Bob Scarsella Scarsella Bros. Inc. PO Box 68697 Seattle, WA 98168-0697 RE: CONTRACT #2703812 TALBOT HILL SEWER RELOCATION — 1-405, SR 167 IC/DC PROJECT DIFFERING SITE CONDITION Dear Mr. Scarsella: The City of Renton has reviewed your differing site condition claim pertaining to ground water dated September 20, 2016. The City finds that the groundwater conditions encountered fall within the range indicated by the geotechnical report made available both before the bid and after award. We are, therefore, denying the claim of changed conditions. We have been and will continue to work with you toward successfully completing this project. If you have any questions, please contact me at 425-430-7206 or by email at mbenoit@rentonwa.gov. Sincerely, Michael A. Benoit Wastewater Utility Project Manager H:\File Sys\WWP - Waste Water\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Scarsella Ol.doc\MABtp Renton City Hall • 1055 South Grady Way • Renton, Washington 98057 • rentonwa.gov r, Heavy - Highway Construction 0 September 20, 2016 City of Renton 1055 South Grady Way Renton, WA 98057 Attention: Michael Benoit Project Manger Reference: Contract 42703812 Talbot Hill Sewer Relocation—1-405, SR 167 IC/DC Project Differing Site Condition Dear Michael: An Equal Opportunity Employer This letter is to notify the City of a differing site condition. Attached to this letter please find a letter from Scarsella's subcontractor describing the condition encountered. Please investigate the condition and provide direction on how to proceed. Vice President P.O. Box 68697 Seattle, Washington 99168-0697 • Tel: (253) 872-7173 • Fax: (253) 395-1209 AK Lic. #34714 AZ Lic. #ROC249216 • CA Lic. #779354 • ID Lic. #10394-Unlimited-1-2 MT Lic. #146627 - ND Lic. #44607 • OR Lic. #96884 - UT Lic. #7646917-5551 • WA Lic. #SCARSBI183B8 CONSTRUCTION SERVICES LLC �_, / / September 16, 2016 Mr. Rick Krier P.O. Box 68697 Seattle, WA 98168 Re: Talbot Hill Sewer Relocation — Change of Conditions - Excess Ground Water flowing from bore hole during and after HDD pipe installation. Dear Mr. Krier: This letter is to notify you that Trenchless Construction Services L.L.C. has experienced a Change of Conditions on the Talbot Hill Sewer Relocation Project due to the quantity of ground water constantly flowing from the borehole, approx. 20-25 Gal / Min. The groundwater from the borehole has not subsided since drilling operations began. During HDD pilot hole, reaming, and pipe installation, Trenchless Construction Services, L.L.C. used Industry standard practices, including pumping the thickest drill mud possible`t6*seal the bore hole. All measures have been unsuccessful Iodate. Working cooperatively with Scarsella Bros. and the City of Renton, we have managed the excess water issue to date. However, the contract Specifications Section 7-20.3(8) Horizontal Directional Drilling calls for a seal at the downstream end of the bore to prevent any preferential flow around the outside of the pipe. Not knowing the source of th6'excess water'and with the head pressure experienced,`Trenchless Construction Services L.L.C. has concems that a typical seal (3'-4') at the downstream and will not provide an effective seal between the bore hole and the pipe and will not prevent the ground water from finding another avenue somewhere upstream frorn this -seal. "The specifications do not describe any procedure or size of seal that needs to be install at the downstream end of the bore hole. Due to these facts Trenchless Construction Services, L.L.C. requests direction from Scarsella Bros. and the City of Renton on how to proceed. Some concerns we have about sealing the downstream and of the bore hole are as follows: • It the downstream end'of the borehole is sealed where will the excess water go? Will it continue up the borehole to the ,upper MH location or will, It come out of the ground somewhere else? • If the downstream end of the bore hole is sealed, what buoyancy effect will the water In the bore hole have on the ,12"-HDPE Sewer Plp6,' - Trenchless Construction Services, LLC is committed to successfutly complating`this proje'ct,but we want to make sure we address all potential risks before proceeding. A timely response is requested-. If you have questions or need additional information, please contact me at 360.474.0123 or on my cell phone at 7l1C •Jf1C-AGGC •:� . Since[ iy, /f _ J dohn Gustafson Managing Manager Trenchless Construction Services, L.L.C. P.O. Box 3372, Arlington, WA 98223 Ph: 360.474.0123 — Fx: 360.474.0195 -•www.TrenchlessConstruc.fion.com Equal Opportunity Employer Heavy - Highway Construction September 20, 2016 City of Renton 1055 South Grady Way Renton, WA 98057 Attention: Michael Benoit Project Manger Reference: Contract 42703812 Talbot Hill Sewer Relocation—1-405, SR 167 IC/DC Project Differing Site Condition Dear Michael: An Equal Opportunity Employer This letter is to notify the City of a differing site condition. Attached to this letter please find a letter from Scarsella's subcontractor describing the condition encountered. Please investigate the condition and provide direction on how to proceed. Sincerely, jK)bert Scarsella Vice President CO. Box 68697 Seattle, Washington 98168-0697 • Tel: (253) 872-7173 • Fax: (253) 395-1209 AK Lic. #34714 AZ Lic. #ROC249216 • CA Lic. #779354 • ID Lic. #10394-Unlimited-1-2 MT Lic. #146627 • ND Lic. #44607 • OR Lic. #96884 - UT L.ic. #7646917-5551 • WA Lic. #SCARSBl183B8 RENCHLESS CONSTRUCTION SERVICES LLC September 16, 2016 Mr. Rick Krier P.O. Box 68697 Seattle, WA 98168 Re: Talbot Hill Sewer Relocation — Change of Conditions - Excess Ground Water flowing from bore hole during and after HDD pipe installation. Dear Mr. Krier: This letter Is to notify you that Trenchless Construction Services L.L.C. has experienced a Change of Conditions on the Talbot Hill Sewer Relocation Project due to the quantity of ground water constantly flowing from the bore hole, approx. 20-25 Gal! Min. The ground water from the bore hole has not subsided since drilling operations began. During HDD pilot hole, reaming, and pipe installation, Trenchless Construction Services, L.L.C. used industry standard practices, including pumping the lhlckest drill mud possible to seal the bore hole. All measures have been unsuccessful to date. Working cooperatively with Scarsella Bros. and the City of Renton, we have managed the excess water issue to date. However, the contract Specifications Section 7-20.3(9) Horizontal Directional Drilling calls for a seal at the downstream end of the bore to prevent any preferential flow around the outside of the pipe. Not knowing the source of the excess water and with the head pressure experienced, Trenchless Construction Services L.L.C. has concerns that a typical seal (3'-4') at the downstream and will not provide an effective seal between the bore hole and the pipe and will not prevent the ground water from finding another avenue somewhere upstream from this seal. The specifications do not describe any procedure or size of seal that needs to be install at the downstream end of the bore hole. Due to these facts Trenchless Construction Services, L.L.C. requests direction from Scarsella Bros. and the City of Renton on how to proceed. Some concerns we have about sealing the downstream end of the bore hole are as follows: • If the downstream and of the bore hole is sealed where will the excess water go? Will it continue up the bore hole to the upper MH location or will it come out of the ground somewhere else? • If the downstream end of the bore hole is sealed, what buoyancy effect will the water in the bore hole have on the 12" HDPE Sewer Pipe. Trenchless Construction Services, LLC is committed to successfully completing this project but we want to make sure we address all potential risks before proceeding. A timely response is requested. If you have questions or need additional information, please contact me at 360.474,0123 or on my cell phone at 206, 396-4558. Sincerely, John Gustafson � Managing Manager Trenchless Construction Services, L.L.C. P.O. Box 3372, Arlington, WA 98223 Ph: 360.474.0123 — Fx: 360.474.0195 www,TrenchlessConstruction.com Equal Opportunity Employer Heavy - Highway Construction 0 September 20, 2016 City of Renton 1055 South Grady Way Renton, WA 98057 Attention: Michael Benoit Project Manger An Equal Opportunity Employer RECEIVED SEP 2 2 2016 CITY OF RENTON UTILITY SYSTEMS Reference: Contract #2703812 Talbot Hill Sewer Relocation — I-405. SR 167 IC/DC Project Differing Site Condition Dear Michael: This letter is to notify the City of a differing site condition. Attached to this letter please find a letter from Scarsella's subcontractor describing the condition encountered. Please investigate the condition and provide direction on how to proceed. Sincerely, Jk6bert Scarsef Vice President P.O. Box 68697 Seattle, Washington 98168-0697 • Tel: (253) 872-7173 • Fax: (253) 395-1209 AK Lic. #34714 AZ Lic. #ROC249216 • CA Lic. #779354 • ID Lic. #10394-Unlimited-1-2 MT Lic. # 146627 • ND Lic. #44607 • OR Lic. #96884 • UT Lic. #7646917-5551 • WA Lic. #SCARSBI183B8 TCOENGHLESS NSTRUCTIONN SERVICES LI_C September 16, 2016 Mr. Rick Krier P.O. Sox 68697 Seattle, WA 98168 Re: Talbot Hill Sewer Relocation — Change of Conditions - Excess Ground Water flowing from bore hole during and after HDD pipe installation. Dear Mr. Krier: This letter is to notify you that Trenchless Construction Services L.L.C. has experienced a Change of Conditions on the Talbot Hill Sewer Relocation Project due to the quantity of ground water constantly flowing from the bore hole, approx. 20-25 Gal / Min. The ground water from the bore hole has not subsided since drilling operations began. During HDD pilot hole, reaming, and pipe installation, Trenchless Construction Services, L.L.C. used industry standard practices, including pumping the thickest drill mud possible to seal the bore hole. All measures have been unsuccessful to date. Working cooperatively with Scarsella Bros. and the City of Renton, we have managed the excess water issue to date. However, the contract Specifications Section 7-20.3(9) Horizontal Directional Drilling calls for a seal at the downstream end of the bore to prevent any preferential flow around the outside of the pipe. Not knowing the source of the excess water and with the head pressure experienced, Trenchless Construction Services L.L.C. has concerns that a typical seal (3'-4') at the downstream end will not provide an effective seal between the bore hole and the pipe and will not prevent the groundwater from finding another avenue somewhere upstream from this seal The specifications do not describe any procedure or size of seal that needs to be install at the downstream end of the bore hole. Due to these facts Trenchless Construction Services, L.L.C. requests direction from Scarsella Bros. and the City of Renton on how to proceed. Some concerns we have about sealing the downstream end of the bore hole are as follows: It the downstream end of the bore hole is sealed where will the excess water go? Will it continue up the bore hole to the upper MH location or will it come out of the ground somewhere else? • If the downstream end of the bore hole is sealed, what buoyancy effect will the water in the bore hole have on the 12" HDPE Sewer Pipe. Trenchless Construction Services. LLC is committed to successfully completing this project but we want to make sure we address all potential risks before proceeding. A timely response is requested. If you have questions or need additional information, please contact me at 360.474.0123 or on my cell phone at 206.396-4558. Sincerely, % ,.John Gustafson Managing Manager Trenchless Construction Services, L.L.C. P.O. Box 3372, Arlington, WA 98223 Ph: 360.474.0123 Fx:360.474.0195 www.TrenchlessConstruction.com Equal Opportunity Employer Page 1 of 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Intent ID: Affidavit ID: Date:7/22/2016 777014 Company Details Company Name: Address: Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number Status: Approved On 7/29/2016 LAKERIDGE PAVING CO L L C PO BOX 8500 COVINGTON, WA, 98042 LAKERPC050JM 601592135 253-631-8290 28825603 Heidyb@takepay.com Brothers, Heidy SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx OT29 2)016 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 105336328 9/1/2016 King Renton $13,325.00 No No i►Ie Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARSB1183138 https://fortress.wa.gov/lni/wagelookup/IntentDetaiIs.aspx 07/29/2016 It Page 3 of 3 WA UBI Number Journey Level Wages 578035242 County Trade Occupation Wage Fringe # Workers King Flaggers Journey Level $37.26 1 King Laborers General Laborer $43.95 1 King Laborers Raker - Asphalt $45.32 1 King Truck Drivers Asphalt Mix Over 16 Yards (W. $51.25 1 WA -Joint Council 28) King Truck Drivers Asphalt Mix To 16 Yards (W. $50.41 1 WA -Joint Council 28) King Truck Drivers Other Trucks (W. WA -Joint $51.25 1 Council 28) King Power Equipment Operators Bobcat $53.57 1 King Power Equipment Operators Brooms $53.57 1 King Power Equipment Operators Mechanics, All (leadmen - $57.51 1 $0.50 Per Hour Over Mechanic) King Power Equipment Operators Motor Patrol Graders $56.94 1 King Power Equipment Operators Mechanics, All (leadmen - $57.51 1 $0.50 Per Hour Over Mechanic) King Power Equipment Operators Roller, Other Than Plant Mix $53.57 1 King Power Equipment Operators Roller, Plant Mix Or Multi -lift $56.00 1 Materials King Power Equipment Operators Spreader, Topsider Et $56.94 1 Screedman Public Notes a Show/Hide Existing Notes -- On 7/22/2016:-- Truck Driver / Other Truck is used for Low Bed Heavy Trailer Truck Drivers. They mobilize the equipment to the job site. General Laborers - Assist the Foreman, Operators and Crew on projects. They use brooms, shovels and buckets. They do anything from filling the water coolers to sweeping up at a job site, whatever is needed to assist the crew. https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 07/29/2016 Intent Details Page 1 of 2 Home Espanol Contact Search L&I A-Z Index Help Dtv C&I Safety & Health Claims & Insurance Workplace Rights Trades & Licensing A^ Washington State Department of "Labor & Industries Printer Friendly 4 Intent Details Project Detail- Project Dashboard Document Recel•ed Date 7/15/2016 Intent ID: 775074 Affidavit ID: status: Apprwad On 7/22/2016 Company Details Company Name: SB STRUCTURES LLC Address: P.O. BOX 68847 SEATTLE, WA, 98168 Contractor Registration No. SBSTRSL947LW WA UBI Number 602615583 Phone Number 253-872-6750 Industrial Insurance Account to 13233201 Email Address payroll@xarsellabros.com Filed By Scarsella, Frank Prime Cent —or Conpany Name KAPSELLA BROS INC Contractor Registration No KARS51193BB WA UBI M-1— 57BO35242 Phone Number 253 872-7173 N.)-t Information Awa,d,ng Agency RENTON. CITY OF loss S GRADY WAY RENTON, WA 98055 Awarding Agency Contact Auchael Bengt Awarding Agency Contact Phone Number 425 430 7206 Contract Number WWP-27.03812 Protect Name Talbot MII Sewer Relocation 1405, SR 167 Contract Amount $3,183, 440.91 Bid due date 4/ 12 /2016 Award Date 4/25/2016 Project Site Address or Drections Payment Details Check Number: Transaction Id: 105324462 Intent Details Expected project start date: (MWDD-YYYY) 7/25/2016 In What county (or counties) will the Work be performed? king In what city (or nearest city) will the work be performed? Renton What is the estimated contract amount? OR is this a time and materials $228,344.60 estimate? Will this project utilize American Recovery and Reinvestment Act IARRA) No funds? Specifically, will this project utilize any weatherization or energy efficiency No upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? Yes Does your company intend to hire subcontractors to perform ALL work? No Will your company have employees perform work on this project? Yes No https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 07/29/2016 Intent Details Page 2 of 2 Do you intend to use any apprentices? (Apprentices are considered employees.) How many owner/operators performing work on the project own 30% or more of the company? Hinny Contractor Company Name SCARSELLA BROS INC Contractor Registanon No. SCAR58118388 WA LBI Number 578035242 journey Level Wages County Trade Occupation Wage Fringe p Workers King Carpenters Bridge, Dock And Wharf Carpenters $40.36 $14.59 2 King Laborers Clean-up Laborer $33.39 $10.83 1 King Power Equipment Operators Cranes: 45 Tons Through 99 Tons, Under 150' Of Boom (including Jib With Attachments) $38.94 $18.60 1 Public Notes SIww/Mde Enisting Notes No rote exists Back To Search �D Washington State Dept. of Labor & Industries. Use of this site is subject to the laws of the state of Washington. https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 07/29/2016 Intent Details Page 1 of 2 Home Espanol Contact Safety & Health Claims & Insurance Washington State Department of Labor & Industries Search L&I A-Z Index Help My I&t Workplace Rights Trades & Licensing Printer Friendly 4 Intent Details Project Detail - Project Dashboard Document Received Date 1/12/2016 Intent ID: 774213 Af6da,t ID StatusApproved On 7/18/2016 Company Details Company Name: TRENCHLESS CONST SERVICES LLC Address: PO BOX 3372 ARLINGTON, WA, 98223 Contractor Registration No. TRENCCS013MW WA UBI Number 601961605 Phone Number 360-474-0123 Industrial Insurance Account ID 14808700 Email Address CDCaTrenchleswonstruction.com Filed By Dubell, Cherie Prime Contr— Company Name SCARSELLA BROS INC Contractor Registration No SCARSBI 193BB WA UBI Number 578035242 Phone Number 253 872-7173 Pro3ect Information Awarding Agemy RENTON, CITY OF 1055 5 GRADY WAY RENTON. VIA 98055 Awarding Agency Contact Michael B—t A—ntmq Agency Contact PI-ne Number 425 430.7206 Contract Number wWP-27-03612 Prolecl Name Talbot MIL Seer Relocabm 1405. SR 167 Contract Amount $3,193.440. 94 Bid due date 4/12/2016 Awed Date 41ZS12016 Project Site Address or D—tims Payment Details Check Number: Transaction Id: 105319359 Intent Details Expected project start date: (MM-DD.YYYYI 8/15/2016 In what county (or counties) will the work be performed? King In what city (or nearest city) will the work be per(ormed? Renton What is the estimated contract amount? OR is this a time and materials $790,000.00 estimate? Will this project utilize American Recovery and Reinvestment Act IARRA) No funds? Specifically, will this project utilize any weatherizatlon or energy efficiency No upgrade funds IARRA or otherwise)? Does your company intend to hire ANY subcontractors? No Does your company intend to hire subcontractors to perform ALL work? No Will your company have employees perform work on this project? Yes No https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 07/29/2016 Intent Details Page 2 of 2 Do you intend to use any apprentices? (Apprentices are considered employees.) How many owner/operators performing work on the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Reg.—tlon No. SCARSBI183BB WA UBI Nunber 578035242 Journey Level Wages County Trade Occupation Wage Fringe # Workers King Power Equipment Operators Horizontal/directional Drill Locator $44.80 $11.20 1 King Power Equipment Operators Horizontal/directional Drill Operator $45.16 $11.28 1 King Power Equipment Operators Motor Patrol Graders $45.56 $11.38 1 King Truck Drivers Other Trucks (W. WA -Joint Council 28) $41.00 $10.25 1 King Laborers General Laborer $35.16 $8.79 1 Public Notes O sho imde E-urs Notes — On 7/12/2016:- Truck is an F550 used to transport equipment and materials to and from the job site Back To Search O Washington State Dept. of Labor 8 Industries. Use of this site is subject to the laws of the state of Washington. https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 07/29/2016 NOTICE ON BOND AND RETAINAGE PUBLIC WORKS DATE: DECEMBER 8, 2016 TO: SB STRUCTURES / SCARSELLA BROTHERS PO BOX 68697 SEATTLE, WA 98168 SUBJECT: TALBOT HILL SEWER RELOCATION, S RENTON VILLAGE PL & TALBOT, RENTON, WA / CAG-16-036 GENTLEMEN: ON DECEMBER 1, 2016 ON ORDER OF SB STRUCTURES / SCARSELLA BROS WE BEGAN TO DELIVER AND FURNISHED CONSTRUCTION EQUIPMENT JOB #216-479 MATERIALS, SUPPLIES, PROVISIONS, AND/OR EQUIPMENT, FOR USE IN THE CONSTRUCTION, PERFORMANCE, CARRYING ON, PROSECUTION OR DOING OF WORK ON THE ABOVE CONTRACT. IN COMPLIANCE WITH THE BOND LAWS OF THE STATE OF WASHINGTON, WE MUST INFORM YOU THAT YOU AND/OR YOUR BOND MAY BE LOOKED TO FOR PAYMENT FOR SUCH MATERIALS, SUPPLIES, PROVISIONS OR EQUIPMENT SO FURNISHED IN THE EVENT OF DEFAULT OF YOUR SUBCONTRACTOR AND A LIEN MAY BE CLAIMED AGAINST THE RETAINED PERCENTAGE. YOU REALIZE, OF COURSE, THAT THIS NOTICE IS NOT INTENDED TO REFLECT ON THE CHARACTER OR CREDIT STANDING OF YOUR SUBCONTRACTOR, BUT IS REQUIRED BY LAW. IF THERE IS ANY QUESTIONS ON THE MATTER, PLEASE CONTACT US. VERY TRULY YOURS, AMERICAN PILEDRIVING EQUIPMENT, INC. 7032 SOUTH 196TH STREET KENT, WA 98032 (253) 872-0141 CERTIFIED NO. 7008 1300 0000 6600 7093 BY: CC: CITY OF RENTON PROJECT MANAGER: MICHAEL B. 1055 S GRADY WAY RENTON, WA 98057 CERTIFIED NO. 7008 1300 0000 6600 7109 RECEIVED DEC 12 2016 Utility Systems Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation I The following statement shows the number of working days charged to your contract for the week ending June 3, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 5/30/16 Monday 0 Holiday 5/31/16 Tuesday Clear I First Day of Work 6/01/16 Wednesday Clear I 6/02/16 Thursday Overcast / Light Rain 1 6/03/16 Friday Clear I Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 4 0 4 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ................ I ........ I ...... ............. Project Engineer I, 0 180 4 176 *Show only extensions approved by Change Order **Use negative totals to show overrun in time Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\Fle Sys\WWP - WasteWateAWWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUSOI.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Suttemrnt Numher CAG 16-036 Talbot Hill Sewer Relocation 2 The following statement shows the number of working days charged to your contract for the week ending June 10, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 6/06/16 Monday Clear 1 6/07/16 Tuesday Clear 1 6/08/16 Wednesday Clear AM Overcast PM 1 6/09/16 Thursday Overcast / Light Rain 1 6/10/16 Friday Overcast I Days this week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 4 9 (1 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 0 180 9 171 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. HAFile Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS02.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zin 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 3 The following statement shows the number of working days charged to your contract for the week ending June 17, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 6/13/16 Monday Overcast / Light Rain 1 6/14/16 Tuesday Light Rain 1 6/15/16 Wednesday Overcast / Light Rain 1 6/16/16 Thursday Partly Cloud 1 6/17/16 Friday Clear / Light Rain I Days this week.......................................................... Days previously reported ............................................ Total days to date ...................................................... i 9 14 (1 U 0 CURRENTSTATUS Working Days Specified In Contract ................................. 180 * Approved Extension of Time .......................................... 0 Total Authorized Time of Contract ................................... 180 Less Working Days Charges ............................................ 14 **Working Days Remaining ............................................. 166 Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS03.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 4 The following statement shows the number of working days charged to your contract for the week ending June 24, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 6/20/16 Monday Clear 1 6/21/16 Tuesday Overcast 1 6/22/16 Wednesday Clear 1 6/23/16 Thursday Overcast 1 6/24/16 Friday Overcast I Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 14 19 0 0 0 CURRENT STATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time a 0 180 19 161 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. HAFile Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUSO4.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zio 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 5 The following statement shows the number of working days charged to your contract for the week ending July 1, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 6/27/ 16 Monday Partly Cloud 1 6/28/16 Tuesday Overcast / Clear 1 6/29/16 Wednesday Overcast 1 6/30/16 Thursday Overcast 1 7/01/16 Friday Partly Cloudy I Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 19 24 U O t) CURRENT STATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 180 e :1 24 156 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. HAFile Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS05.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA ZiD 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 6 The following statement shows the number of working days charged to your contract for the week ending July 8, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 7/04/16 Monday (1 Holiday 7/05/16 Tuesday Overcast 1 7/06/16 Wednesday Cloud / Clear 1 7/07/16 Thursday Overcast / Light Rain 1 7/08/16 Friday Overcast I Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 4 24 28 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. 180 * Approved Extension of Time .......................................... 0 Total Authorized Time of Contract ................................... 180 Less Working Days Charges ............................................ 28 **Working Days Remaining ............................................. 152 Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS06.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 7 The following statement shows the number of working days charged to your contract for the week ending July 15, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 7/11/16 Monday Overcast 1 7/12/16 Tuesday Partl Cloud I 7/13/16 Wednesday Overcast / Clear 1 7/14/16 Thursday Clear 1 7/15/16 Friday Partly Cloudy 1 Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 28 33 () li O CURRENTSTATUS Working Days Specified In Contract ................................. 180 * Approved Extension of Time .......................................... 0 Total Authorized Time of Contract ................................... 180 Less Working Days Charges ............................................ 33 **Working Days Remaining ............................................. 147 Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. HAFile Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS07.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 8 The following statement shows the number of working days charged to your contract for the week ending July 22, 2016. Dale Day Weather Condition WorkinU Days Unworkable Day Caused by Weather or Weather Conditions 7/18/16 Monday Overcast 1 7/19/16 Tuesday Overcast 1 7/20/16 Wednesday Clear 1 7/21/16 Thursday Clear 1 7/22/16 Friday Overcast I Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 33 38 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. *Show only extensions approved by Change Order **Use negative totals to show overrun in time :1 e 180 38 142 /w.-' e -x — 7 /z c /it, Project Engineer Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS08.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 9 The following statement shows the number of working days charged to your contract for the week ending July 29, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 7/25/16 Monday Clear 1 726/16 Tuesday Overcast / Clear 1 7/27/16 Wednesday Clear 1 7/28/16 Thursday Clear 1 7/29/16 Friday Clear I Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 38 43 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. *Show only extensions approved by Change Order **Use negative totals to show overrun in time Vff 0 180 43 137 Z 12-� Project Engineer Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS09.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zin 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 10 The following statement shows the number of working days charged to your contract for the week ending August 5, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 8/01/16 Monday Overcast / Clear 1 8/02/16 Tuesday Overcast 1 8/03/16 Wednesday Overcast / Clear 1 8/04/16 Thursday Clear 1 8/05/16 Friday Clear I Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 43 48 (1 () CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 180 0 180 48 132 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. HAFile Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS 10.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation I I The following statement shows the number of working days charged to your contract for the week ending August 12, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 8/08/16 Monday Overcast 1 8/09/16 Tuesday Overcast 1 8/10/16 Wednesday Overcast 1 8/11/16 Thursday Clear 1 8/12/16 Friday Clear I Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 48 53 0 0 0 CURRENT STATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 180 0 180 53 127 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. HAFile Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS I I .doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 12 The following statement shows the number of working days charged to your contract for the week ending August 19, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 8/15/16 Monday Clear I 8/16/16 Tuesday Overcast / Clear 1 8/17/16 Wednesday Clear I 8/18/16 Thursday Clear I 8/19/16 Friday Clear 1 Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 53 58 0 0 0 CURRENT STATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time T 0 180 58 122 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\.STATUS12.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zin 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 13 The following statement shows the number of working days charged to your contract for the week ending August 26, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 8/22/16 Monda Cloud 1 8/23/16 Tuesday Clear 1 8/24/16 Wednesday Clear 1 8/25/16 Thursday Clear 1 8/26/16 Clear 1 —Friday Days this week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 58 63 t 1 c I 11 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges .................... **Working Days Remaining .................... Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 117 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. HAFile Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS 13.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 14 The following statement shows the number of working days charged to your contract for the week ending September 2, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 8/29/16 Monday Clear I 8/30/16 Tuesday Overcast I 8/31/16 Wednesday Overcast / Light Rain I 9/01/16 Thursday Overcast / Cloud I 9/02/16 Friday Overcast / Light Rain I Days this week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 63 68 () (1 (1 CURRENT STATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 11:i1,' 0 180 68 112 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS14.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 15 The following statement shows the number of working days charged to your contract for the week ending September 9, 2016. Date Day Weather Condition Unworkable Day Caused by Weather or Weather Conditions 9/05/16 Monday Overcast l) Holiday 9/06/16 Tuesday Overcast I 9/07/16 Wednesday Overcast I 9/08/16 Thursday Overcast I 9/09/16 Friday Clear I Daysthis week.......................................................... Days previously reported ............................................ Totaldays to date ...................................................... 4 68 72 () () O CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 0 180 72 108 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS15.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 16 The following statement shows the number of working days charged to your contract for the week ending September 16, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 9/12/16 Monday Clear 1 9/13/16 Tuesday Clear 1 9/14/16 Wednesday Clear 1 9/15/16 Thursday Overcast/Clear 1 9/16/16 Friday Clear I Daysthis week.......................................................... Days previously reported ............................................ Totaldays to date ...................................................... 5 72 77 (1 () (1 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time VIM 0 180 77 103 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS16.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zio 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 17 The following statement shows the number of working days charged to your contract for the week ending September 23, 2016. Date Dav Weather Corlditiom 'Working Days Unworkable Day Caused by Weather or Weather Conditions 9/19/16 Monday Overcast 1 9/20/16 Tuesday Clear 1 9/21/16 Wednesday Overcast/Clear 1 9/22/16 Thursday Clear 1 9/23/ 16 Friday Overcast I Daysthis week.......................................................... Days previously reported ............................................ Totaldays to date ...................................................... 5 77 82 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer E 0 180 82 98 *Show only extensions approved by Change Order **Use negative totals to show overrun in time Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. HAFile Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS17.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 18 The following statement shows the number of working days charged to your contract for the week ending September 30, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 9/26/16 Monday Overcast 1 9/27/16 Tuesday Overcast/Clear I 9/28/16 Wednesday Overcast/Clear I 9/29/16 Thursday Clear I 9/30/16 Friday Overcast/Clear I Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... i 82 87 O () O CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 87 93 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS18.doc PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Contractor Scaresella Bros. Inc Address PO Box 68697 City Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 19 The following statement shows the number of working days charged to your contract for the week ending October 7, 2016. Date Dad Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 10/03/16 Monday Overcast I 10/04/16 Tuesday Overcast/Light Rain 1 10/05/16 Wednesday Overcast/Cloud 1 10/06/16 Thursday Cloudy/Overcast 1 10/07/16 Friday Cloudy/Overcast 1 Daysthis week.......................................................... Days previously reported ............................................ Totaldays to date ...................................................... 5 87 92 () I) 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 180 0 180 92 88 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. HAFile Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS19.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 20 The following statement shows the number of working days charged to your contract for the week ending October 14, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 10/10/16 Monday Rain 1 10/11/16 Tuesday Clear 1 10/12/16 Wednesday Clear 1 10/13/16 Thursday Rain 1 10/14/16 Friday Rain I Days this week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 92 97 () () 0 CURRENTSTATUS Working Days Specified In Contract ................................. 180 * Approved Extension of Time .......................................... 0 Total Authorized Time of Contract ................................... 180 Less Working Days Charges ............................................ 97 **Working Days Remaining ............................................. 83 Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. HARe Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS20.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Ziu 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 21 The following statement shows the number of working days charged to your contract for the week ending October 21, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 10/17/16 Monday Rain I 10/18/16 Tuesday Overcast/CloudyI 10/19/16 Wednesday Clear I 10/20/16 Thursday Rain I 10/21/16 Friday Overcast I Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 97 102 0 () 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 180 0 180 102 78 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS2 Ldoc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 22 The following statement shows the number of working days charged to your contract for the week ending October 28, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 10/24/16 Monday Overcast 1 10/25/16 Tuesday Cloudy/Light Rain 1 10/26/16 Wednesday Light Rain I 10/27/16 Thursday Overcast I 10/28/16 Friday Cloudy 1 Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 102 107 0 U 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 107 73 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS22.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zin 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 23 The following statement shows the number of working days charged to your contract for the week ending November 4, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 10/31/16 Monday Light Rain 1 11/01/16 Tuesday Rain 1 11/02/16 Wednesday Light Rain 1 11/03/16 Thursday Clear 1 11/04/16 Friday Clear I Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 107 112 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 0 180 112 68 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS23.doc PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Contractor Scaresella Bros. Inc Address PO Box 68697 City Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 24 The following statement shows the number of working days charged to your contract for the week ending November 11, 2016. Date Day Weather Condition Workim, Days Unworkable Day Caused by Weather or Weather Conditions 11/07/16 Monday Overcast/Clear I 11/08/16 Tuesday Clear I 11/09/16 Wednesday Light Rain/Overcast I 11/10/16 Thursday Overcast I 11/11/16 Friday Clear 0 Holiday Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 4 112 116 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 180 0 180 116 64 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS24.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 25 The following statement shows the number of working days charged to your contract for the week ending November 18, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 11/14/16 Monday Overcast/Clear 1 11/15/16 Tuesday Rain 1 11/16/16 Wednesday Overcast 1 11/17/16 Thursday Cloud 1 11/18/16 Friday Cloudy l Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 116 121 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 180 0 180 121 59 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. HAFtle Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS25.doe Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zio 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 26 The following statement shows the number of working days charged to your contract for the week ending November 25, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 11/21/16 Monday Overcast I 11/22/16 Tuesday Overcast/ Light Rain I 11/23/16 Wednesday Overcast I 11/24/16 Thursday Rain U Holiday 11/25/16 Friday Overcast 0 Holiday Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 3 121 124 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. 180 * Approved Extension of Time .......................................... 0 Total Authorized Time of Contract ................................... 180 Less Working Days Charges ............................................ 124 **Working Days Remaining ............................................. 56 hN Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. HAFile Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS26.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 27 The following statement shows the number of working days charged to your contract for the week ending December 2, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 11/28/16 Monday Overcast 1 11/29/16 Tuesday Overcast 1 11/30/16 Wednesday Overcast 1 12/01/16 Thursday Overcast I 12/02/16 Friday Rain 1 Days this week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 124 129 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time r:fl, 0 180 129 51 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS27.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 28 The following statement shows the number of working days charged to your contract for the week ending December 9, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 12/05/16 Monday Light Rain/Overcast 1 12/06/16 Tuesday Mostly Cloud 1 12/07/16 Wednesday Clear 1 12/08/16 Thursday Clear 1 12/09/16 Friday Rain 1 Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 129 134 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 180 0 180 134 46 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS28.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 29 The following statement shows the number of working days charged to your contract for the week ending December 16, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 12/12/16 Monday Overcast/ Light Rain 1 12/13/16 Tuesday Overcast 1 12/14/16 Wednesday Clear 1 12/15/16 Thursday Overcast 1 12/16/16 Friday Clear 1 Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 134 139 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 1 :1, 0 180 139 41 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS29.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zia 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 30 The following statement shows the number of working days charged to your contract for the week ending December 23, 2016. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 12/19/16 Monday Light Rain/Overcast 1 12/20/16 Tuesday Overcast 1 12/21/16 Wednesday Overcast 1 12/22/16 Thursday Overcast/Light Rain 1 12/23/16 Friday Rain I Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 139 144 0 0 0 CURRENT STATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 180 0 180 144 36 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS30.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 31 The following statement shows the number of working days charged to your contract for the week ending December 30, 2016. Date Day Weather Condition Workina DaN s Unworkable Day Caused by Weather or Weather Conditions 12/26/16 Monday Overcast/Light Rain 0 Holiday 12/27/16 Tuesday Mostly Cloudy Holiday 12/28/16 Wednesday Overcast 1 12/29/16 Thursday Overcast/Light Rain 1 12/30/16 Friday Light Rain/Mostly Cloudy I Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 3 144 147 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time Ia 0 180 147 33 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS31.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 32 The following statement shows the number of working days charged to your contract for the week ending January 6, 2017. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 01/02/17 Monday Partly Cloudy/Clear 0 Holiday 01/03/17 Tuesday Clear/Cold 1 01/04/17 Wednes day Clear/Cold 1 01/05/17 Thursday Clear/Cold 1 01/06/17 Friday Clear/Cold 1 Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 4 147 151 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time I*ff 0 180 151 29 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS32.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 33 The following statement shows the number of working days charged to your contract for the week ending January 13, 2017. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 01/09/17 Monday Overcast/Light Rain 1 01/10/17 Tuesday Overcast/Light Rain 1 01/11/17 Wednesday Overcast 1 01/12/17 Thursday Clear/Cold 1 01/13/17 Friday Clear/Cold 1 Daysthis week.......................................................... Days previously reported ............................................ Totaldays to date ...................................................... 5 151 156 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time e 180 156 23 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS33.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc Seattle State WA ZiD 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 34 The following statement shows the number of working days charged to your contract for the week ending January 20, 2017. Date Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 01/16/17 Monday Clear/Cold 1 01/17/17 Tuesday AWednesday Light Rain 1 01/18/17 Li ht Rain01/19/17 Light Rain01/20/17 Partly Cloudy 1 Daysthis week.......................................................... Days previously reported ............................................ Totaldays to date ...................................................... 5 156 161 0 0 0 CURRENT STATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 180 0 180 161 19 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS34.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zin 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 35 The following statement shows the number of working days charged to your contract for the week ending January 27, 2017. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 01/23/17 Monday Clear 1 01/24/17 Tuesday Overcast 1 01/25/17 Wednesday Overcast 1 01/26/17 Thursday Overcast 1 01/27/17 Friday Clear I Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 161 166 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 180 0 180 166 14 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. HAFile Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer RelocationWonstruction\Working Days\STATUS35.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zit) 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 36 The following statement shows the number of working days charged to your contract for the week ending February 3, 2017. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 01/30/17 Monday Overcast 1 01/31/17 Tuesday Overcast 1 02/01/17 Wednesday Clear 1 02/02/17 Thursday Clear 1 02/03/17 Friday Lk-dil Rain 1 Daysthis week.......................................................... Days previously reported ............................................ Total days to date ...................................................... 5 166 171 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time a 0 180 171 9 Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. H:\File Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS36.doc Contractor Address City PUBLIC WORKS DEPARTMENT UTILITY ENGINEERING 1055 South Grady Way, Renton, WA 98057 Scaresella Bros. Inc PO Box 68697 Seattle State WA Zip 98168 Contract Number Project Name Statement Number CAG 16-036 Talbot Hill Sewer Relocation 37 The following statement shows the number of working days charged to your contract for the week ending February 10, 2017. Date Day Weather Condition Working Days Unworkable Day Caused by Weather or Weather Conditions 02/06/17 Monday Snow 0 1 (Snow) 02/07/17 Tuesday Snow O 1 (Snow) 02/08/17 Wednesday Rain 1 02/09/17 Thursday Rain I 02/10/17 Friday Light Rain I Daysthis week.......................................................... Days previously reported ............................................ Totaldays to date ...................................................... 3 171 174 0 0 0 CURRENTSTATUS Working Days Specified In Contract ................................. * Approved Extension of Time .......................................... Total Authorized Time of Contract ................................... Less Working Days Charges ............................................ **Working Days Remaining ............................................. Project Engineer *Show only extensions approved by Change Order **Use negative totals to show overrun in time 130 0 180 174 I Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement, otherwise it shall be deemed to have been accepted as correct. HAFile Sys\WWP - WasteWater\WWP-27-03812 Talbot Hill Sanitary Sewer Relocation\Construction\Working Days\STATUS37.doc Search Prevailing Wage Intents and Affidavits .► . Page 1 of 2 Home Espanol Contact Safety & Health Claims & Insurance A^ Washington State Department of "Labor & Industries Search L&I A-Z Index Help My I.&I Workplace Rights Trades & Licensing Search Prevailing Wage Intents and Affidavits Intent Id: 0 Get Intent I Affidavit Id: 0 Get Affidavit Combined Form Id:O Get Combined Form OR Enter your search criteria in one or more values below Form Type: Intents And Affidavits V Unified Business Identifier (UBI): Contractor Registration Number: Contract Number: County: Select County V Trade: Select journey el Trade V Bid Due Date: 1 .f�1 From'L�J7 9 To,'fL�1I 17 Contract Award Date: From 'L J 17^�� - To'I 117 Document Received Date: From 7u . To171, Company Name: Begins With _ v� Public Agency Name: Begins Wah Project Name: albot hill sewer Begins Wah Prime Contractor Name: Begns With Sort 51 Field: Aff� Search I Download Data I Reset Form Form Form Id Company Name Agency Name Project Name Contract $ Type Affidavit 718267 VENTILATION POWER CLEANING RENTON, CITY OF Talbot Hill Sewer Relocation 58,544.71 INC 1-405, SR 167 Affidavit 717327 GONZALES BORING/TUNNELING RENTON, CITY OF Talbot Hill Sewer Relocation - $189,790.00 INC 1-405, SR 167 Affidavit 717046 DELMAR CONCRETE RENTON, CITY OF Talbot Hill Sewer Relocation - $880.00 CTNG&CRNG LLC 1-405, SR 167 Affidavit 716959 Miles Sand & Gravel Company RENTON, CITY OF Talbot Hill Sewer Relocation - S855.00 1-405, SR 167 Affidavit 716894 LAVELLE VAC & DRAINAGE LLC RENTON, CITY OF Talbot Hill Sewer Relocation - $4,533.75 1-405, SR 167 Affidavit 716338 LAKERIDGE PAVING CO L L C RENTON, CITY OF Talbot Hill Sewer Relocation - S8,815.00 1-405, SR 167 Affidavit 716303 MOBYS 24-HR ST SWPNG SVCS RENTON, CITY OF Talbot Hill Sewer Relocation - $17,077.50 INC 1-405, SR 167 Affidavit 716280 BEST PARKING LOT CLEANING RENTON, CITY OF Talbot Hill Sewer Relocation - $8,915.00 INC 1-405, SR 167 Affidavit 716250 PLS, Inc. RENTON, CITY OF Talbot Hill Sewer Relocation - 1 $8,760.00 405, SR 167 Affidavit 704006 BRAVO ENVIRONMENTAL NW INC RENTON, CITY OF Talbot Hill Sewer Relocation - S14,747. 50 1.405, SR 167 Affidavit 703350 LAKESIDE CONCRETE PUMPING RENTON, CITY OF Talbot Hill Sewer Relocation S1323.58 INC 1-405, SR 167 Affidavit 686338 TRENCHLESS CONST SERVICES RENTON, CITY OF Talbot Hill Sewer Relocation - S794,318.33 LLC 1-405, SR 167 Intent 819156 LAKESIDE CONCRETE PUMPING RENTON, CITY OF Talbot Hill Sewer Relocation $1,323.58 INC 1-405, SR 167 Intent 814356 DELMAR CONCRETE RENTON, CITY OF Talbot Hill Sewer Relocation - CTNG&CRNG LLC 1.405, SR 167 Intent 809650 LAVELLE VAC & DRAINAGE LLC RENTON, CITY OF Talbot Hill Sewer Relocation - I.405, SR 167 Intent 808192 RENTON, CITY OF Help us improve https://fortress.wa.gov/lni/wagelookup/searchfornis.aspx 06/21 /2017 Search Prevailing Wage Intents and Affidavits Page 2 of 2 VENTILATION POWER CLEANING Talbot Hill Sewer Relocation - INC I-405, SR 167 Intent 807834 MOBYS 24-HR ST SWPNG SVCS RENTON, CITY OF Talbot Hill Sewer Relocation - INC I-405, SR 167 Intent 792698 Miles Sand bt Gravel Company RENTON, CITY OF Talbot Hill Sewer Relocation - I-405, SR 167 Intent 786762 BRAVO ENVIRONMENTAL NW INC RENTON, CITY OF Talbot Hitt Sewer Relocation - 1-405, SR 167 Intent 782800 BEST PARKING LOT CLEANING RENTON, CITY OF Talbot Hill Sewer Relocation - INC I-405, SR 167 Intent 782047 GONZALES BORING/TUNNELING RENTON, CITY OF Talbot Hill Sewer Relocation - $189,780.00 INC I-405, SR 167 Intent 777014 LAKERIDGE PAVING CO L L C RENTON, CITY OF Talbot Hill Sewer Relocation - S13,325.0O I-405, SR 167 Intent 775074 SB STRUCTURES LLC RENTON, CITY OF Talbot Hill Sewer Relocation - I- $228,344.60 405, SR 167 Intent 774213 TRENCHLESS CONST SERVICES RENTON, CITY OF Talbot Hill Sewer Relocation - $790,000.00 LLC I-405, SR 167 Intent 773984 Sapp Trucking LLC RENTON, CITY OF Talbot Hill Sewer Relocation - I- 405, SR 167 Intent 771236 O M A CONSTRUCTION INC RENTON, CITY OF Talbot Hill Sewer Relocation - 1-405, SR 167 j Intent 765432 PLS, Inc. RENTON, CITY OF Talbot Hill Sewer Relocation - I- 58,76O.00 405, SR 167 Intent 763854 SCARSELLA BROS INC RENTON, CITY OF Talbot Hill Sewer Relocation - 1- $3,183 440 941 405, SR 167 Q Washington State Dept. of Labor & Industnes. Use of this site is subject to the laws of the state of Washington. Help us improve https://fortress.wa.gov/lni/wagelookup/searchforms.aspx 06/21 /2017 Page I of State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Intent ID: Date:3/6/2017 819156 Company Details Company Name: Address: Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number Affidavit ID: 703350 Status: Approved On 3/12/2017 LAKESIDE CONCRETE PUMPING INC 501 Lake Louise Dr. SW Lakewood, WA, 98498 601936653 253-588-8812 98359800 takesideconcretepumping@yahoo.com PARRISH, BRIAN SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21 /2017 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 105644674 2/14/2017 King renton $1,323.58 No No 0 Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform No work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 1 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARSB1183138 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21/2017 Page 3 of 3 WA UBI Number Journey Level Wages Public Notes n Show/Hide Existing, Notes No note exists 578035242 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21 /2017 Page 1 of 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Intent ID: Date:2/3/2017 814356 Company Details Company Name: Address: Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number Affidavit ID: 717046 Status: Approved On 2/11/2017 DELMAR CONCRETE CTNGEtCRNG LLC 152 100TH ST S TACOMA, WA, 98444 DELMACC851 K7 603490906 253-537-0109 52726100 delmarccc@gmail.com Miller, Ashlie SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https:Hfortress.wa.gov/lni/wagelookup/IntentDetalls.aspx 06/21 /2017 Page 2 of 3 r- Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? 1 M"A2VA01191.11►a Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 105602431 1/9/2017 King Renton Time and materials No No we Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARSB1183B8 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21 /2017 Page 3 of 3 WA UBI Number Journey Level Wages 578035242 County Trade Occupation Wage Fringe Workers ; King Laborers Concrete Saw Operator/core $44.90 1 Driller Public Notes a Show/Hide Existing Notes -- On 2/3/2017:-- Filed by Robin Romans https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21/2017 Pagr 1 o I' 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Date:1/4/2017 Company Details Company Name: Address: Intent ID: Affidavit ID: 716894 Status: Approved On 809650 1/10/2017 Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number LAVELLE VAC 6t DRAINAGE LLC PO BOX 3028 FEDERAL WAY, WA, 98063 LAVELVD971 OE 602318053 253-815-0988 05231400 off ice@tavellevac.com Lavelle, Thomas SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https://fortress.wa.gov/lni/wagelookup/IntentDetaiIs.aspx 06 `21 /2017 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 11/30/2016 King Renton Time and materials Will this project utilize American Recovery and No Reinvestment Act (ARRA) funds? Specifically, will this project utilize any No weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY No subcontractors? Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name Contractor Registration No. VENTILATION POWER CLEANING INC VENTIPC243PA https://fortress.wa.gov/lni/wagelookup/IntentDetaiIs.aspx 06/21 /2017 Page 3 of 3 WA UBI Number Journey Level Wages County Trade Occupation Wage Fringe # Workers King Inspection/Cleaning/Sealing Tv Truck Operator $20.45 1 Of Sewer it Water Systems By Remote Control King Inspection/Cleaning/Sealing Technician $19.33 1 Of Sewer l* Water Systems By Remote Control Public Notes n Show/Hide Existing, Notes No note exists https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21 /2017 Paur 1 of State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Date:12/21/2016 Company Details Company Name: Address: Intent ID: Affidavit ID: 718267 Status: Approved On 808192 12/27/2016 Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number VENTILATION POWER CLEANING INC 3914 LEARY WAY NW SEATTLE, WA, 98107 VENTIPC243PA 578089188 206-634-2750 12764400 Valerie@ventilationpower.com Sullivan, Clem SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https://fortress.wa.gov/lni/wagelookup/IntentDetaiIs.aspx 06/21 /2017 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 105542793 11/30/2016 King Renton Time and materials No No Yes Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARSB1183B8 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21/2017 Page 3 of 3 WA UBI Number 578035242 Journey Level Wages County Trade Occupation Wage Fringe # Workers King Power Equipment Operators Motor Patrol Graders $56.94 Iso.00 I i Public Notes n Show/Hide Existing Notes No note exists https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21 /2017 Page 1 of 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Date:12/19/2016 Company Details Company Name: Address: Intent ID: Affidavit ID: 716303 Status: Approved On 807834 12/22/2016 Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number MOBY'S 24-HR ST SWPNG SVCS INC 27821 46TH AVE SOUTH AUBURN, WA, 98001 MOBYS2S868B2 603358194 253-854-9743 54993002 mobys24hr@comcast. net Cason, Denisha SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21 /2017 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 105540112 11/21/2016 King Renton Time and materials No No ire Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARSB1183138 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21/2017 Page 3 of 3 WA UBI Number 578035242 Journey Level Wages County Trade Occupation Wage Fringe # Workers King Power Equipment Operators Brooms $53.57 1$0.00 12 Public Notes n Show/Hide Existing Notes No note exists https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21 /2017 Paoe1cifi State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Intent ID: Affidavit ID: 716959 Status: Approved On Date:9/30/2016 792698 10/3/2016 Company Details Company Name: Miles Sand Et Gravel Company Address: 400 Valley Ave NE Puyallup, WA, 98372 Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number 171004760 253-833-3705 11518800 marjean.davis@gravetpits.com Davis, Marjean SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21 /2017 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 105437383 9/26/2016 King Renton Time and materials No No C Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARS131183138 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21 /2017 Page 3 of 3 WA UBI Number Journey Level Wages County I Trade King I Truck Drivers Public Notes n Show/ Hide Existing Notes No note exists Occupation Transit Mixer 578035242 Wage Fringe # Workers $32.25 $10.98 15 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21 /2017 Page 1 of 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Date: 9/ 1 /2016 Company Details Company Name: Address: Intent ID: Affidavit ID: 704006 Status: Approved On 786762 9/12/2016 Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number BRAVO ENVIRONMENTAL NW INC 6437 SOUTH 144TH ST SEATTLE, WA, 98168 BRAVOEN911P9 602946216 425-424-9000 15541701 wconway@bravoenvironmental. com Conway, Wendy SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https://fortress.wa.gov/lni/wagelookup/IntentDetaiIs.aspx 06/21 /2017 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 il�l•�c��*1��: 8/29/2016 King Renton Time and materials No No Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name Contractor Registration No. TRENCHLESS CONST SERVICES LLC TRENCCS013MW https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21 /2017 Page 3 of 3 WA UBI Number .Journey Level Wages 601961605 County Trade Occupation Wage Fringe # Workers King Power Equipment Operators Motor Patrol Graders $56.94 $0.00 1 King Power Equipment Operators Motor Patrol Graders $50.45 $6.49 1 King Laborers Nozzleman (concrete Pump, $44.76 $0.00 1 Green Cutter When Using Combination Of High Pressure Air 8 Water On Concrete 8 Rock, Sandblast, Gunite, Shotcrete, Water Bla King Laborers Nozzleman (concrete Pump, $40.66 $4.10 1 Green Cutter When Using Combination Of High Pressure Air Et Water On Concrete Et Rock, Sandblast, Gunite, Shotcrete, Water Bla Public Notes n Show/Hide Existine Notes No note exists https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/21 /2017 Page 1 of 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Date:8/17/2016 Company Details Company Name: Address: Intent ID: Affidavit ID: Status: Approved On 782800 8/23/2016 Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number BEST PARKING LOT CLEANING INC 2412 INTER AVE PUYALLUP, WA, 98372 BESTPLC984K8 601901928 253-863-3330 01250501 debie@bestparkinglot.com Boyd, Debie SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 105372124 7/5/2016 King RENTON Time and materials No No ire Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARSB1183138 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 3 of 3 WA UBI Number Journey Level Wages 578035242 County Trade Occupation Wage Fringe # Workers King Truck Drivers Other Trucks (W. WA -Joint $51.25 $0.00 3 Council 28) King Power Equipment Operators Motor Patrol Graders $56.94 $0.00 1 King Laborers Nozzleman (concrete Pump, $44.76 $0.00 1 Green Cutter When Using Combination Of High Pressure ; Air 8 Water On Concrete 8 ? Rock, Sandblast, Gunite, i Shotcrete, Water Bla Public Notes o Show/Hide Existing Notes -- On 8/17/2016:-- "TRUCK DRIVER - OTHER" USED FOR TRUCK MOUNTED PICK UP SWEEPER AND/OR 2000- 4000 GALLON WATER TRUCK "POWER EQUIPMENT OPERATOR - MOTOR PATROL GRADER (FINISHER)" USED FOR VACTOR GUZZLER/VACCON SUPER SUCKER; VACCON TRUCK DRIVER/OPERATOR NOT A MOTOR PATROL GRADER https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 1 of 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Date:8/12/2016 Company Details Company Name: Address: Intent ID: Affidavit ID: Status: Approved On 782047 8/19/2016 Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number GONZALES BORING/TUNNELING INC PO BOX 187 NORTH PLAINS, OR, 97133 GONZAB1135136 600647464 503-647-2218 54955400 Linda@GonzalesBoring.com Duryee, Dixie SCARSELLA BROS INC SCARSB1183B8 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 105366331 8/16/2016 King Renton $1891780.00 No No m Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARSB1183138 https://fortress.wa.gov/lni/wagelookup/IntentDetaiIs.aspx 09/08/2016 Page 3 of 3 WA UBI Number ,Journey Level Wages 578035242 County Trade Occupation Wage Fringe # Workers King Laborers - Underground Sewer General Laborer 8 Topman $34.42 $14.19 2 Er Water King Power Equipment Operators- Mucking Machine, Mole, $45.58 $18.60 1 Underground Sewer Et Water Tunnel Drill, Boring, Road Header And/or Shield King Power Equipment Operators- Cranes: 20 Tons Through 44 $40.09 $18.10 1 Underground Sewer Et Water Tons With Attachments King Power Equipment Operators- Cranes: 20 Tons Through 44 $39.57 $18.60 1 Underground Sewer Et Water Tons With Attachments Public Notes o Show/Hide Existing Notes No note exists https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 1 of 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Date: 7/22/2016 Company Details Company Name: Address: Intent ID: Affidavit ID: Status: Approved On 777014 7/29/2016 Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number LAKERIDGE PAVING CO L L C PO BOX 8500 COVINGTON, WA, 98042 LAKERPC050JM 601592135 253-631-8290 28825603 Heidyb@takepay.com Brothers, Heidy SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https://fortress.wa.gov/lni/wagelookup/IntentDetaiIs.aspx 09/08/2016 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 105336328 9/1/2016 King Renton $13,325.00 No No it Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARSB1183138 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 3 of 3 WA UBI Number .Journey Level Wages 578035242 County Trade Occupation Wage Fringe # Workers King Flaggers Journey Level $37.26 1 King Laborers General Laborer $43.95 1 King Laborers Raker - Asphalt $45.32 1 King Truck Drivers Asphalt Mix Over 16 Yards (W. $51.25 1 WA -Joint Council 28) King Truck Drivers Asphalt Mix To 16 Yards (W. $50.41 1 WA -Joint Council 28) King Truck Drivers Other Trucks (W. WA -Joint $51.25 1 Council 28) King Power Equipment Operators Bobcat $53.57 1 King Power Equipment Operators Brooms $53.57 1 King Power Equipment Operators Mechanics, All (teadmen - $57.51 1 $0.50 Per Hour Over Mechanic) King Power Equipment Operators Motor Patrol Graders $56.94 1 King Power Equipment Operators Mechanics, All (leadmen - $57.51 1 $0.50 Per Hour Over Mechanic) King Power Equipment Operators Roller, Other Than Plant Mix $53.57 1 King Power Equipment Operators Roller, Plant Mix Or Multi -lift $56.00 1 Materials King Power Equipment Operators Spreader, Topsider Et $56.94 1 Screedman Public Notes - Show/Hide Existinp- Notes -- On 7/22/2016:-- Truck Driver / Other Truck is used for Low Bed Heavy Trailer Truck Drivers. They mobilize the equipment to the job site. General Laborers - Assist the Foreman, Operators and Crew on projects. They use brooms, shovels and buckets. They do anything from filling the water coolers to sweeping up at a job site, whatever is needed to assist the crew. https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 1 of 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Intent ID: Affidavit ID: Date:7/15/2016 775074 Company Details Company Name: Address: Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number Status: Approved On 7/22/2016 SB STRUCTURES LLC P.O. BOX 68847 SEATTLE, WA, 98168 SBSTRSL947LW 602615583 253-872-6750 13233201 payrott@scarsellabros.com Scarsella, Frank SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 105324462 7/25/2016 King Renton $2282344.60 No No Yes Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARSB1183138 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 3 of 3 WA UBI Number Journey Level Wages 578035242 # County Trade Occupation Wage Fringe Workers King Carpenters Bridge, Dock And Wharf $40.36 $14.59 2 Carpenters King Laborers Clean-up Laborer $33.39 $10.83 1 King Power Equipment Operators Cranes: 45 Tons Through 99 $38.94 $18.60 1 Tons, Under 150' Of Boom (including Jib With Attachments) Public Notes Show/Hide Existinp- Notes No note exists https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 1 of 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Intent ID: Affidavit ID Date:7/12/2016 774213 Company Details Company Name: Address: Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number Status: Approved On 7/18/2016 TRENCHLESS CONST SERVICES LLC PO BOX 3372 ARLINGTON, WA, 98223 TRENCCS013MW 601961605 360-474-0123 14808700 CDCTrenchlessconstruction.com DubeR, Cherie SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https://fortress.wa.gov/lni/wagelookup/IntentDetaiIs.aspx 09I081/2016 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 105319359 8/15/2016 King Renton $790,000.00 No No ice Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARSB1183138 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 3 of 3 WA UBI Number Journey Level Wages 578035242 County i Trade Occupation Wage Fringe # Workers King Power Equipment Operators Horizontal/directional Drill $44.80 $11.20 1 Locator King Power Equipment Operators Horizontal/directional Drill $45.16 $11.28 1 Operator King Power Equipment Operators Motor Patrol Graders $45.56 $11.38 1 King Truck Drivers Other Trucks (W. WA -Joint $41.00 $10.25 1 Council 28) King Laborers General Laborer $35.16 $8.79 1 Public Notes Show/Hide Existing- Notes -- On 7/12/2016:-- Truck is an F550 used to transport equipment and materials to and from the job site https://fortress.wa.gov/lni/wagelookup/IntentDetaiIs.aspx 09/08/2016 Pace I of State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Intent ID: Affidavit ID: Status: Approved On Date:7/11/2016 773984 7/18/2016 Company Details Company Name: Sapp Trucking LLC Address: 24605 190th PL SE Covington, WA, 98042 Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number 603507755 206-849-1281 54318400 sapptruckingllc@gmail.com Sapp, Travis SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https://fortress.wa.gov/lni/wagelookup/IntentDetaiIs.aspx 09/08/2016 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 105318000 7/7/2016 King Renton Time and materials No No we Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARSB1183138 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 3 of 3 WA UBI Number Journey Level Wages County I Trade King I Truck Drivers Public Notes n Show/Hide Existing Notes No note exists 578035242 Occupation Dump Truck Et Trailer Wage Fringe # Workers $51.25 12 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 1 of 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Date:6/28/2016 Company Details Company Name: Address: Intent ID: Affidavit ID: Status: Approved On 771236 7/6/2016 Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number 0 M A CONSTRUCTION INC PO BOX 3705 SEATTLE, WA, 98124 OMACOI*023 L6 601872128 206-262-1721 97844601 b.oyoung@omaconstruction.com O'Young, Barry SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 i[�Ljc�iI�Llr� 7/5/2016 King renton Time and materials No No fro, Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARSB1183138 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page 3 of 3 WA U61 Number Journey Level Wages County Trade King Truck Drivers 578035242 Occupation Dump Truck Et Trailer Wage Fringe Workers $33.38 $17.87 5 Public Notes o Show/Hide Existing, Notes -- On 6/28/2016:-- Trucking services only. Project is sewer main reconstruction in Renton, on Talbot Rd. https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 09/08/2016 Page I of 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Intent ID: Affidavit ID: Status: Approved On Date:6/1/2016 765432 6/7/2016 Company Details Company Name: PLS, Inc. Address: 1595 N.W. Gilman Blvd, Ste 15 Issaquah, WA, 98027 Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number 601979933 425-313-9378 98505700 lindym@plsincsurvey.com MacManiman, Lorinda SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/13/2016 Page 2 of 3 Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (WW-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 111W or-M 6/13/2016 King Renton $8,760.00 No No ►r•. Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARSB1183138 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/13/2016 Page 3 of 3 WA UBI Number Journey Level Wages County Trade Occupation Wage Fringe # Workers King Surveyors Construction Site Surveyor $49.19 $7.75 1 King Surveyors Assistant Construction Site $51.46 $4.54 1 Surveyor Public Notes o Show/Hide Existine Notes No note exists https://fortress.wa.gov/lni/wagelookup/IntentDetaiIs.aspx 06/ 13/2016 Page 1 of 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Date:5/23/2016 Company Details Company Name: Address: Intent ID: Affidavit ID: Status: Approved On 763854 5/31/2016 Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number SCARSELLA BROS INC P 0 BOX 68697 SEATTLE, WA, 98168 SCARSB1183138 578035242 253-872-7173 payrott@scarsettabros.com Scarsella, Frank SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/13/2016 Page 2 of , Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 105251869 6/20/2016 King Renton $3,183,440.94 No No Yes Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? .Journey Level Wages County I Trade I Occupation Wage Fringe # Workers https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/13/2016 Page 3 of King Laborers Traffic Control Supervisor $29.28 $10.56 1 King Laborers Clean-up Laborer $33.39 $10.56 2 King Laborers Pipe Layer/tailor $34.20 $10.56 2 King Flaggers Journey Level $26.70 $10.56 2 King Power Equipment Operators Gradechecker/stakeman $35.57 $18.00 1 King Power Equipment Operators Roller, Other Than Plant Mix $35.57 $18.00 1 King Power Equipment Operators Shovel , Excavator, Backhoe, Tractors Under 15 Metric Tons. $38.00 $18.00 2 King Power Equipment Operators Dozers D-9 Et Under $38.00 $18.00 1 King Power Equipment Operators Shovel, Excavator, Backhoes, Tractors: 15 To 30 Metric Tons $38.44 $18.00 2 King Power Equipment Operators Loaders, Overhead Under 6 Yards $38.44 $18.00 1 King Power Equipment Operators Motor Patrol Graders $38.94 $18.00 1 King Power Equipment Operators Shovel, Excavator, Backhoe: Over 30 Metric Tons To 50 Metric Tons $38.94 $18.00 1 King Truck Drivers Dump Truck Et Trailer $33.38 $17.87 8 King Truck Drivers Dump Truck (W. WA -Joint Council 28) $32.54 $17.87 2 Public Notes -i Show/Hide Existing, Notes No note exists https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 06/13/2016 Page 1 of 3 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Intent ID: Affidavit ID Date:7/28/2017 850927 Company Details Company Name: Address: Contractor Registration No. WA UBI Number Phone Number Industrial Insurance Account ID Email Address Filed By Prime Contractor Company Name Contractor Registration No. WA UBI Number Phone Number Project Information Awarding Agency Awarding Agency Contact Awarding Agency Contact Phone Number Status: Approved On 7/28/2017 NORTHWEST TRAFFIC INC PO BOX 1915 MILTON, WA, 98354 NORTHWT994PJ 602140049 253-862-4102 01669500 office@nwtraffic.net Lang, Alisa SCARSELLA BROS INC SCARSB1183138 578035242 253-872-7173 RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Michael Benoit 425-430-7206 https://fortress.wa.gov/lni/wagelookup/IntentDetails.aspx 08/14/2017 Page 2 of 3'' i Contract Number Project Name Contract Amount Bid due date Award Date Project Site Address or Directions Payment Details Check Number: Transaction Id: Intent Details Expected project start date: (MM-DD-YYYY) In what county (or counties) will the work be performed? In what city (or nearest city) will the work be performed? What is the estimated contract amount? OR is this a time and materials estimate? Will this project utilize American Recovery and Reinvestment Act (ARRA) funds? Specifically, will this project utilize any weatherization or energy efficiency upgrade funds (ARRA or otherwise)? Does your company intend to hire ANY subcontractors? WWP-27-03812 Talbot Hill Sewer Relocation - 1-405, SR 167 $3,183,440.94 4/12/2016 4/25/2016 M171:MflOV 7/27/2017 King Renton Time and materials No No Does your company intend to hire subcontractors No to perform ALL work? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Hiring Contractor Company Name SCARSELLA BROS INC Contractor Registration No. SCARSB1183138 https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 08/14/2017 IF I. Page 3 of 3 WA UBI Number Journey Level Wages 578035242 County Trade Occupation Wage Fringe # Workers King Traffic Control Stripers Journey Level $43.73 1 King Traffic Control Stripers Journey Level $40.66 $3.07 1 Public Notes o Show/Hide Existing Notes No note exists https:Hfortress.wa.gov/lni/wagelookup/IntentDetails.aspx 08/14/2017 Heavy - Highway Construction u cv RECEIVED OCT 11 2016 Utility systems October 7, 2016 City of Renton 1055 South Grady Way Renton, WA 98057 Attention: Michael Benoit Project Manger Reference: Contract #2703812 Talbot Hill Sewer Relocation — I-405, SR 167 IC/DC Project Bulkhead and Grouting HDPE pipe Pass through Dear Michael: An Equal Opportunity Employer This letter is a pass through request for reimbursement from Trenchless Construction for additional compensation associated with unanticipated water flowing into the bore. Sincerely, P.O. Box 68697 Seattle, Washington 98168-0697 • Tel: (253) 872-7173 • Fax: (253) 395-1209 AK Lic. #34714 AZ Lic. #ROC249216 • CA Lic. #779354 • ID Lic. #10394-Unlimited-1-2 MT Lic. # 146627 • ND Lic. #44607 9 OR Lic. #96884 • UT Lic. #7646917-5551 • WA Lic. #SCARS13I183138 TENCHLESS 4104 241st Street NE PH: 360.474.0123 Daily Report of Force Account Worked Arlington, WA 98223 Fax: 360.474.0195 Contract: WWP-27-03812 Job: Talbot Hill Sewer Relocation Date: 9/26/2016 Item: Bulkhead and Grouting HDD pipe Work: Installed 18" coulvert over 12" HDPE to stop cave-ins. Installed 2" PVC into bore hole 40' & 80' and 100' of 3/4" PVC to drain water. Also installed 17' of 3" for grout pumping. Work at downstream end. Labor Worked Record: Hours Worked Rate Rate Rate Total Worker Name Occupation Pay Group Reg. O.T. Regular O.T. Double Amount Mark Handy Foreman 4 $ 74.53 $ 106.26 $ 298.12 Kevin Green Labor 4 $ 53.85 $ 73.89 $ 215.40 SubTotal $ 513.52 Overhead and Profit 29% Labor Total $ 148.92 $ 662.44 Equipment Work Record Rate Rate Total Equipment # Type Make Model Year Hours Regular Standby Amount 42 1-Ton Service Ford F-550 2016 4 $ 25.00 $ 100.00 2 1-Ton Service Ford F-550 2007 4 $ 25.00 $ 100.00 Sub Total $ 200.00 Overhead and Profit 21 % $ 42.00 Equip. Total $ 242.00 Supplier/Invoiced Items Total Invoice Number Item Description Quantity Price Amount Sub Total $ Overhead and Profit 21 % $ Invoice Total $ Subcontractor/Invoiced Items Total Invoice Number Item Description Cost Amount Subtotal $ - Overhead and Profit 12% $ Invoice Total $ - TOTAL $ 904.44 /—N, R E N 0 H L E S S 4104 241 st Street NE PH: 360.474.0123 Daily Report of Force Account Worked Arlington, WA 98223 Fax: 360.474.0195 Contract: WWP-27-03812 Job: Talbot Hill Sewer Relocation Date: 9/27/2016 Item: Bulkhead and Grouting HDD pipe Work: Scarsella poured 10 yards of concrete at downstream end to make bulkhead. Put 2" and 3" PVC pipes into bore hole at upstream end. Build buldhead with 5 bags of quickcrete Labor Worked Record: Hours Worked Rate Rate Rate Total Worker Name Occupation Pay Group Reg. O.T. Regular O.T. Double Amount Mark Handy Foreman 8 $ 74.53 $ 106.26 $ 596.24 Kevin Green Labor 8 $ 53.85 $ 73.89 $ 430.80 SubTotal $ 1,027.04 Overhead and Profit 29% $ 297.84 Labor Total $ 1,324.88 Equipment Work Record Rate Rate Total E uipment # Type Make Model Year Hours Regular Standby Amount 42 1-Ton Service Ford F-550 2016 8 $ 25.00 $ 200.00 2 1-Ton Service Ford F-550 2007 8 $ 25.00 $ 200.00 Sub Total $ 400.00 Overhead and Profit 21 % $ 84.00 Equip. Total $ 484.00 Supplier/Invoiced Items Total Invoice Number Item Description Quantitv Price Amount Sub Total $ Overhead and Profit 21 % $ Invoice Total $ - Subcontractor/Invoiced Items Total Invoice Number Item Description Cost Amount F. Subtotal $ - Overhead and Profit 12% $ - Invoice Total $ - TOTAL $ 1,808.88 � 1'Z°IC MAQ.,L JC ivQ SLA2SC,��:1 �4�$ -L�i 01 TENCHLESS 241 st Street NE PH: 360.474.0123 Daily Report of Force Account Worked I4104 Arlington, WA 98223 Fax: 360.474.0195 Contract: WWP-27-03812 Job: Talbot Hill Sewer Relocation Date: 9/28/2016 Item: Bulkhead and Grouting HDD pipe Work: Pumped 2 1/2 yard of grout into bore hole at both ends. Total Labor Worked Record: Hours Worked Rate Rate Rate Worker Name Occupation Pay Group Reg. O.T. Regular O.T. Double Amount Mark Handy Foreman 8 $ 74.53 $ 106,26 $ 596.24 22 2 55 Kevin Green Labor 8 $ 53.85 $ 73.89 $1` 430.8b 1 1 Equipment Work Record Equipment # Type Make 42 1-Ton Service Ford 2 1-Ton Service Ford Supplier/Invoiced Items Invoice Number Item Desc SubTotal $ �,Og.04 ZSS• `'Overhead and Profit 29% $ 2.84 • 1-5 Labor Total $ 1 4.88 tiS . 51 Rate Rate T al Model Year Hours Regular StandbyAm nt F-550 2016 8 $ 25.00 $ 0.00 s o0 F-550 2007 8 $ 25.00 $ 2 .00 S ° Sub Total $ 400.0 `S'•G° Overhead and Profit 21 % 84.0,�.�s Equip. Total 484.00 St." Total )uantity Price Amount Sub Total $ Overhead and Profit 21 % $ Invoice Total $ Subcontractor/Invoiced Items tal Invoice Number Item Description Cost A un 6621 Pacific International Grout Co $ 11,150.00 $ 11, 5 .00 Subtotal $ 11, Overhead and Profit 12% $ 1, Invoice Total $ 12 TOTAL $ 1 , C 'n..J a S ,-2 C A r, Pa2 z �: i= � � � Pa-r o..a �ti �3 1a 2 5 %: �2 0PS'S2,'A„1 C.2ov i l.-J �2� Sua2S� w� �'la2ticu i v'TI►v �T r +-t 0 3zati o0 0 �SU.UC) 0 two ou 88 u3ib-32 3 E_�CifiC 1 -- ernationa, Co. qt P.O. Box 32330 Bellingham, WA 98228 (360) 733-5270/Fax (360) 734-3354 BILL TO Trenchless Construction Services. LLC 4103 - 241 st Street NE Arlington, WA 98223 INVOICE Invoice Date 9/30/2016 Invoice No. 6621 PROJECT NAME & ADDRESS Talbot I fill Sewer Relocation Renton, WA DUE DATE JOB No. 10/30/2016 SD1636 DATE DESCRIPTION QTY UM RATE AMOUNI 9/29/2016 Mobilization I LS 6,900.00 6,900.00 ` Injection Equipment & Personnel LD11662 Annular Backfill Grout c 9/29/2016 Preconstruction on -site Visit I 1 S 1,000.00 1,000.00 9/29/2016 Additional to seal upstream end I LS 3,250.00 3,250.00 Thank you for your business. TOTAL IN USD: $11,150.00 32sU.00