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HomeMy WebLinkAboutCO 4 ""W CAG-11-115 , CO #4-12 CITY OF RENTON Public Works Department CONTRACT CHANGE ORDER AGREEMENT CONTRACT: CAG-11-115, Lake Ave S/Rainier Ave S Storm System Project C.O.# 4 CONTRACTOR: James W Fowler Company SUMMARY OF PROPOSED CHANGE: CO-4 Change to Pipe Ramming Force Account This change order is for the work involved with changing the 42-inch casing installation method from auger boring to pipe ramming between October 19, 2011 and Nov. 7, 2011. Before October 19,the auger bore encountered metal debris including wire, steel sheets, wheel rims, steel rods, and tires, and became stuck twice because of the debris. Each time the auger was stuck the contractor,lames W Fowler Company(JWF), had to dig a hole down to the auger and free it from the metal debris. On October 19, the City Surface Water Utility (SWU) directed the contractor to stop auger boring and switch to using a pipe ramming machine to install the remainder of the casing from CB-4, to CB-3. JWF transported the pipe ramming machine to the site, installed it in the boring pit, and drove approximately 42 feet of casing by ramming. The rammer was removed to check if the 42-inch casing was on the design grade and to clean the debris out of the casing. The grade check showed that the casing had deflected downward by several inches below the design grade. If the casing continued to deflect at the same rate it would be 7-to 12-inches below design grade when it reached CB-3. The cleaning showed that the casing had entered an area of soft soil and decomposing wood debris. JWF sent workers into the casing to remove the wood debris at the front of the casing, which included a 10-inch diameter pole about 7-feet long. After the casing was cleaned out there was still wet woody debris in the soil beyond the casing. On November 4, the SWU directed the contractor to stop using the rammer and demobilize it. Because the rammer could not maintain the design grade due to poor soil conditions the SWU decided that the remaining part of the storm system from CB-4 to CB-3 would be installed by open cut. The costs for the change order are based on the JWFowler Change Order Proposal COP-05.06, revised March 27, 2012, and attached to this Change Order Agreement. The SWU reviewed the costs in earlier versions of the proposal, and had JWF submit additional information and revised some costs as appropriate. The costs for this change order includes the costs to mobilize, set-up, use, demobilize and return the pipe ramming machine. The costs also includes the equipment, labor, and materials used in conjunction with the pipe rammer(such as the excavator, loader, dump truck, boring machine and augers, etc) listed in the JWF Change Order worksheet. Potential costs for time delays have been submitted by JWF in other change order proposals, which will be reviewed separately. The additional work days added to the contract by this Change Order Agreement shall be used only for the purpose of calculating the project working days. Any days claimed for time delay costs will be submitted separately by JWF and will be reviewed separately by the City. Measurement for payment will be prorated as the work is accomplished. The contract price shall be full payment for all Work needed for the change to pipe ramming per the Change Order Agreement. Change to Pipe Ramming Force Account Cost= $192,685.02 TOTAL CHANGE ORDER COST= $192,685.02 Additional Working Days added to the Contract for this Change Order: 8 days . ORIGINAL CONTRACT AMOUNT CURRENT CONTRACT AMOUNT ESTIMATED NET CHANGE ESTIMATED CONTRACT THIS ORDER TOTAL AFTER CHANGE $994,925.00 $1,064,472.03 $192,685.02 $1,257,157.05 SIGNATURES: Contractor: / Date: Project Engineer: ✓t Date: 11-2-12 Approved By: Date: pwity sysTems D ,tor) H:\File Sys\SWP-Surface Water Projects\SW P-27-Surface Water Projects(CIP)\27-3529 Lake Ave-Rainier Ave\1607 Change Orders\CO-4a FINAL Change to Pipe Ramming.doc\DCtp 3 -27 - IZ Jaines W Fowler Co. • W F co General C:on.tractors CHANGE ORDER PROPOSAL (COP) Project Name: Lake Ave S/ Rainier Ave S Storm System Project Date: 2/28/2012 City of: Renton Project No. SWP 27-3529 COP No. COP 005.06 (Numbered By Contractor) Contractor Name: James W. Fowler Co. Ref No. NOC 005 (Prop Request or Eng Change Dir.) TITLE: Change from Auger Bore to Pipe Ram Scope of Change OrderNVork: (Attach City Proposal Request when applicable) 1. At the city's request change from the specified Auger bore to a Pipe Ram due to the differing site conditions which included several obstructions including pieces of wood debris, concrete, bricks, tires, rims, metal rods, and other misc. metal items that would not allow the auger to advance and stopped it. 2. The following prices are broken down as follows and include labor, equipment, supplies and materials for work performed in preparing the pipe ram machine and does not include overhead, indirect costs or time extensions. These will be submitted as a separate change order based on conversations with Daniel Carey. a. Prepare existing casing pipe with a pipe ramming shoe week of 10/24 thru 10/27. b. Mobilization and set up pipe ramming equipment. c. Start Pipe ramming 42" casing pipe, clean out obstruction encountered, and check pipe alignment week of 10/31 thru 11/3. d. Project was delayed approximately two weeks during these changed conditions. QUALIFICATIONS: • We reserve our rights for delays and loss of production on what was installed as well as reserving our rights for future potential losses for weather and dewatering etc. • We reserve our rights to charge for impacts to our anticipated production rates and other ripple effects of those delays as well as for potential future impacts to the project. • We reserve the right to correct this quote for errors and omissions. • This price is good for acceptance within 5 days from the date of receipt. • This price is based on job conditions as presently constituted; any deviation may require a price adjustment. • This proposal is based on work being done between the hours of 7:OOAM to 5:30PM based on 40 hrs of work between Monday thru Friday. Prior to any extra work the owner must notify JWFowler in writing by signing the submitted proposal for changes in the scope of work and/or contract amount using this Change Order Proposal. (Subcontractor Name and Change Order No.: E3RA engineering ) ❑ Sketch Attached ❑ Drawing Attached ® Additional Pages Attached Cost/ $ $192,685.02 LS Time Extension Request Yes 8 days added to end of schedule w/overhead and indirect costs incurred. (See additional change order) Change Order Proposal(COP).doc Rev.2/2/05 ' 3 - 23-12 James W. Fowler Co. YF0 • M General Con.tc-actors CHANGE ORDER PROPOSAL (COP) Submitted by: JWFowler Shannon Phipps Contractor The change order includes all contractor(s) labor, material, overhead, profit and all direct and/or indirect costs associated with the change in the scope of work. ❑ Approved ❑ Disapproved ❑ Resubmit Comment: st-c. C1, C D 14 r4,c M 40'1 Date City of Ren on Prior to any extra work the contractor shall submit a written proposal for changes in the scope of work and/or contract amount using this Change Order Proposal. Change Order Proposal(COP).doc Rev.2/2/05 3 - 2:7- 12 James w Fowler Co. Im General Contractors CHANGE ORDER WORKSHEET PROJECT Lake Ave S/Rainier Ave S I Project No: 2011-05 Date: OWNER: City of Renton ----------- --- Work Description: REF#'s COP 005.9 0C, DC- COP C005.04 Pipe Ramming JPl to RPI. CC# 999000-005 LABOR COSTS ,i ` HOURS RATE TOTAL CLASSIFICATION REGULAR OVERTIME REGULAR OVERTIME COST -Operator Foreman 11.00 57.79 79.38 635.69 Laborer 199.50 44.93 60.10 8,963.54 OPERATOR CLASS 3 115.50 56.56 77.55 61532.68 Truck Driver 11 51.50 81.59 566.50 Welder_ _ 30.00 56.56 77.55 1,696.80 Truck Driver (JWF Lowbo -Mobilize Rammer) 6.00 51.501 81.59 309.00 TOTAL LABOR COST 373.00 - 18,704.21 LABOR MARKUP 29% 5,424.22 GRAND TOTAL LABOR 241128;42" EQUIPMENT,COSTS�s �� HOURS RATE TOTAL DESCRIPTION UNrr NO. REGULAR Standy REGULAR Standby Rate COST PC 220LC 7.00 75.5 4.50 102.30 43.80 7,920.75 Komatsu 3 yard loader 33.00 75.5 4.50 58.33 23.38 4,509.13 Kenworth Lowboy Truck Mobilize Ram 6 100.06 600.36 Kenworth T800 Dump Truck 32.00 6.5 4.50 63.29 23.38 516.60 4"pump 39.00 55.5 4.50 12.81 7.36 744.08 25 KW generator 42.00 55.5 4.50 19.70 4.80 1,114.95 Small Tools 4.00 1 26 - 120.00 3,120.00 Taurus Hammer 43.00 0.9091 Month 81,4WOO - 74,000.74 Collets 44.00 0.9091 Month 17,600.00 - 16,000.16 2 30 ton air bag Packs 46.00 0.9091 Month 400.00 - 363.64 1600 CFM Com ressor 45.00 1 LS 4,087.55 - 4,087.55 Welder 24.00 40 17.05 - 682.00 Barbco 48-750 Boring Machine 34.00 16 days 364.32 - 5,829.12 Augers(220') 1 31.00 16 days 233.45 - 3,735.20 TOTAL EQUIPMENT 123,224.27 EQUIPMENT MARKUP 21% 25,877.10 Tax 9.50% 14,164.63 GRAND TOTAL EQUIPMENT 163,265:;9,4;: ;� ;4llATERIALS,`&REtV�AL COSTS; '; TOTAL Metal for pipe ram shoe 1.00 1 LS 1,137.00 1,137.00 Disposal fee 1.81 Tons 80.00 144.80 DDJ welder and wire 2.00 Days 267.42 534.84 3/4"CSTC - Tons 6.25 - 1 1/4"CSBC 15.05 Tons 9.25 139.21 TOTAL MATERIALS&RENTALS 1,955.85 MATERIALS&RENT.MARKUP 21% 410.73 Tax 9.50% 224.83 GRAND TOTAL MATERIALS&RENTALS 12,594.4 1:: '.r4UBCOATRA"CT,OR1 'i { TOTAL DESCRIPTION QUANTITY UNITS UNIT PRICE COST Engineering costs from E3RA Engineer 1.00 LS 1,800.00 1,800.00 Open road Delivery and pick up -1.00_1 EA 610.00 610.00 TOTAL SUBCONTRACTOR 2,4700 SUBCONTRACTOR MARKUP 0-25K 12% 289.20 SUBCONTRACTOR MARKUP 25K-100K 10% GRAND TOTAL SUBCONTRACTOR 2,69920; TOTAL EQUIPMENT,MATERIAL,&SUBCONTRACTS 192,685.02 LOP,Contingency and Inefficiencies unforeseen 0% SUB TOTAL»» 192,685.02 TOTAL $ 192 6W 3/27/2012 COP 005.5 City of Renton James W. Fowler Co. 1055 South Grady Way NOW, `"W 12775 Westview Drive Renton WA 98057 Dallas Oregon 97338 (503)623-5373, Fax(503)623-9117 WORK RECORD [x] For work performed pursuant to NOC# 05 payment will be made per the Contract provisions for Force Account Work. [ ] For work,impact or delays that may be claimed pursuant to RFI# ,this record does not mean that any claim is valid. Date worked: 10/24/2011 Monday Job#: 2011-05 Contractor: James W. Fowler Project: Lake Ave S / Rainier Ave S Subcontractor: Storm System Project Description of Work: Cut off steering head and Weld on ramming shoe Page: 1 of 1 Labor Name of Employee Trade/Type of Work Performed Classification Standard Hours Chase Hernandez Cutting steering head off and add shoe Laborer 10 Joel Mao Weld on ramming shoe Welder 10 Setting up pipe ram equipment and Derik Hitesman modify auger bore rails to handle pipe ram Laborer 10 Off load equipment, remove head &set Chris Dilworth ramming shoes Operator 10 E ui ment Type Make Model/Size/PUC#Size Hours Excavator PC 220 Komatsu Set shoes, remove steering head 10 Loader 320 w/forks Komatsu Off load Hammer and set up equipment 10 Pipe Ram hammer Taures 10 Collets 10 30 ton Air bas 10 Generator and pump Dewatering for ramming shoe 10 JWF Welder 10 Materials/Service Type Supplier Units Quantity Bent plate for ramming shoes Remarks: Shannon Phipps 2/22/2012 Contractor's Representative Date Inspector Date By signing this form,Contractor's Representative and Inspector are indicating their agreement that the above described labor,equipment,services and impacts are required by the changes directed by the above referenced ECD,or the conditions described in the above referenced RFI. City of Renton James W. Fowler Co. 1055 South Grady Way „ 12775 Westview Drive Renton WA 98057 Dallas Oregon 97338 (503)623-5373,Fax(503)623-9117 WORK RECORD [x i For work performed pursuant to NOC# 05 payment will be made per the Contract provisions for Force Account Work. [ ] For work,impact or delays that may be claimed pursuant to RFI# ,this record does not mean that any claim is valid. Date worked: 10/25/2011 Tuesday Job#: 2011-05 Contractor: James W. Fowler Project: Lake Ave S / Rainier Ave S Subcontractor: Storm System Project Description of Work: Cut off steering head and Weld on ramming shoe Page: 1 of 1 Labor Name of Employee Trade/Type of Work Performed Classification Standard Hours Chase Hernandez Weld on ramming shoe Laborer 10 Joel Mao Weld on ramming shoe Welder 10 Setting up pipe ram equipment and Derik Hitesman modify auger bore rails to handle pipe ram Laborer 10 Chris Dilworth modify auger bore rails to handle pipe ram Operator 10 E ui ment Type Make Model/Size/PUC#Size Hours Excavator PC 220 Komatsu Set shoes and pipe ram equipment 10 Loader 320 w/forks Komatsu Set up and move equipment around 10 Pipe Ram hammer Taures 10 Collets 10 30 ton Air bas 10 JWF Welder 10 DDJ Welder/wire feed 10 Generator and pump Dewatering for ramming shoe 10 Materials/Service Type Supplier Units Quantity Remarks: Chase and Joel worked on welding shoe onto front of casing pipe inside and out. Derik and Chris set up rails and pipe ram equipment in pit. Shannon Phipps 2/22/2012 Contractor's Representative Date Inspector Date By signing this form,Contractor's Representative and Inspector are indicating their agreement that the above described labor,equipment,services and impacts are required by the changes directed by the above referenced ECD,or the conditions described in the above referenced RFI. City of Renton James W. Fowler Co. 1055 South Grady Way `*nor 12775 Westview Drive Renton WA 98057 Dallas Oregon 97338 (503)623-5373, Fax(503)623-9117 WORK RECORD [x I For work performed pursuant to NOC# 05 payment will be made per the Contract provisions for Force Account Work. [ I For work,impact or delays that may be claimed pursuant to RFI# ,this record does not mean that any claim is valid. Date worked: 10/26/2011 Wednesday Job#: 2011-05 Contractor: James W. Fowler Project: Lake Ave S / Rainier Ave S Subcontractor: Storm System Project Description of Work: Cut off steering head and Weld on ramming shoe Page: 1 of 1 Labor Name of Employee Trade/Type of Work Performed Classification Standard Hours Chase Hernandez Weld on ramming shoe Laborer 10 Joel Mao Weld on ramming shoe Welder 10 Derik Hitesman Setting up pipe ram equipment. Laborer 10 Chris Dilworth Setting up pipe ram equipment. Operator 10 Place compressor and hook up help with John Kane setting up pipe ram equipment Laborer 10 Jared Jeffcoat Setting up pipe ram equipment Laborer 10 E ui ment Type Make Model/Size/PUC#Size Hours Excavator PC 220 Komatsu Set shoes and pipe ram equipment 10 Loader 320 w/forks Komatsu Set up and move equipment around 10 Pipe Ram hammer Taures 10 Collets 10 30 ton Air bas 10 JWF Welder 10 DDJ Welder/wire feed 10 Generator and pump Dewatering for ramming shoe 10 1600 CFM compressor 10 Materials/Service Type Supplier Units Quantity Remarks: Chase and Joel worked on welding shoe onto front of casing pipe inside and out. Derik, Chris and John set up pipe ram equipment, hooked up compressor and getting ready to start ramming. Shannon Phipps 2/22/2012 Contractor's Representative Date Inspector Date By signing this form,Contractor's Representative and Inspector are indicating their agreement that the above described labor,equipment,services and impacts are required by the changes directed by the above referenced ECD,or the conditions described in the above referenced RFI. City of Renton James W. Fowler Co. 1055 South Grady Way 1%0W ``lose 12775 Westview Drive Renton WA 98057 Dallas Oregon 97338 (503)623-5373,Fax(503)623-9117 WORK RECORD [x] For work performed pursuant to NOC# 05 payment will be made per the Contract provisions for Force Account Work. [ ] For work,impact or delays that may be claimed pursuant to RFI#.this record does not mean that any claim is valid. Date worked: 10/27/2011 Thursday Job#: 2011-05 Contractor: James W. Fowler Project: Lake Ave S / Rainier Ave S Subcontractor: Storm System Project Description of Work: Cut off steering head and Weld on ramming shoe Page: 1 of 1 Labor Name of Employee Trade/Type of Work Performed Classification Standard Hours Finished welding on pipe ramming shoe. Chase Hernandez Worked on securing rammer to cradle. Laborer 6-4 Finished welding on pipe ramming shoe. Joel Mao Worked on securing rammer to cradle. Welder 6-4 Derik Hitesman Finish setting up pipe ram and start ram Laborer 10 Chris Dilworth Finish setting up pipe ram and start ram Operator 10 John Kane Finish setting up pipe ram and start ram Laborer 1 Curtis Vernoy Finish setting up pipe ram and start ram Foreman 1 Bob Severson Return DDJ welder Truck Driver 1 Jared Jeffcoat Pipe ram set up and Clean up Laborer 10 John Elliott Clean up and removed welding equipment Operator 1 E ui ment Type Make Model/Size/PUC#Size Hours Excavator PC 220 Komatsu Set shoes and pipe ram equipment 10 Loader 320 w/forks Komatsu Set up and move equipment around 10 Pipe Ram hammer Taures 10 Collets 10 30 ton Air bas 10 JWF Welder 10 Generator and pump Dewatering for ramming shoe 10 1600 CFM compressor To run rammer 10 Materials/Service Type Supplier Units Quantity Remarks: Chase and Joel finished welding shoe onto front of casing pipe inside and out and worked on securing ram to skid in Jacking Pit. Remaining crew set up pipe ram equipment, hooked up compressor, align pipe rammer for grade and elevation. Test pipe ram and start ramming. Watch head at excavation to make sure it is going correct. Remove steel sheets at head of pipe ram to clear as pipe progresses toward receiving pit. Shannon Phipps 2/22/2012 Contractor's Representative Date Inspector Date By signing this form,Contractor's Representative and Inspector are indicating their agreement that the above described labor,equipment,services and impacts are required by the changes directed by the above referenced ECD,or the conditions described in the above referenced RFI. City of Renton James W. Fowler Co. 1055 South Grady Way ` 12775 Westview Drive Renton WA 98057 Dallas Oregon 97338 (503)623-5373, Fax(503)623-9117 WORK RECORD [x] For work performed pursuant to NOC# 05 payment will be made per the Contract provisions for Force Account Work. [ ] For work,impact or delays that may be claimed pursuant to RFI# ,this record does not mean that any claim is valid. Date worked: 10/31/2011 Monday Job#: 2011-05 Contractor: James W. Fowler Project: Lake Ave S / Rainier Ave S Subcontractor: Storm System Project Description of Work: Pipe Ram remaining casing. Page: 1 of 1 Labor Name of Employee Trade/Type of Work Performed Classification Standard Hours Chase Hernandez Pipe Ram and set casings Laborer 10 Joel Mao Pipe Ram and set casings Operator 10 Derik Hitesman Pipe Ram and set casings Laborer 10 Chris Dilworth Pipe Ram and set casings Operator 10 Jared Jeffcoat Pipe Ram and set casings Laborer 10 E ui ment Type Make Model/Size/PUC#Size Hours Excavator PC 220 Komatsu Set pipe ram equipment 10 Loader 320 w/forks Komatsu Set up and move equipment around 10 Pipe Ram hammer Taures 10 Collets 10 30 ton Air bas 10 JWF Welder 10 1600 CFM compressor To run rammer 10 Materials/Service Type Supplier Units Quantity Remarks: Pipe Ram and set pipe casing. Stopped after 40'to clean out and check grade and alignment. Get equipment ready to auger out pipe. Shannon Phipps 2/22/2012 Contractor's Representative Date Inspector Date By signing this form,Contractor's Representative and Inspector are indicating their agreement that the above described labor,equipment,services and impacts are required by the changes directed by the above referenced ECD,or the conditions described in the above referenced RFI. City of Renton James W. Fowler Co. 1055 South Grady Way NN1,01 12775 Westview Drive Renton WA 98057 Dallas Oregon 97338 (503)623-5373, Fax(503)623-9117 WORK RECORD [x] For work performed pursuant to NOC# 05 payment will be made per the Contract provisions for Force Account Work. [ ] For work,impact or delays that may be claimed pursuant to RFI# ,this record does not mean that any claim is valid. Date worked: 11/1/2011 Tuesday Job#: 2011-05 Contractor: James W. Fowler Project: Lake Ave S / Rainier Ave S Subcontractor: Storm System Project Description of Work: Pipe Ram remaining casing. Page: 1 of 1 Labor Name of Employee Trade/Type of Work Performed Classification Standard Hours Chase Hernandez Remove pipe ram set up auger clean out Laborer 10 Joel Mao Remove pipe ram set up auger clean out Operator 10 Derik Hitesman Remove pipe ram set up auger clean out Laborer 10 Chris Dilworth Removed spoils from pit Operator 5 Jared Jeffcoat Remove pipe ram set up auger clean out Laborer 10 Bob Severson Hauled spoils to disposal site Truck Driver IX MA E ui ment Type Make Model/Size/PUC#Size Hours Excavator PC 220 Komatsu Remove Pipe ram equipment 10 Loader 320 w/forks Komatsu Set up and move equipment around 10 Pipe Ram hammer Taures 10 Collets 10 30 ton Air bas 10 JWF Welder 10 1600 CFM compressor To run rammer 10 Barbco 48/750/Augers Dump truck Materials/Service Type Supplier Units Quantity Dump Fee for dirt from in pipe ram yrds 18.61 Remarks: Remove pipe rammer and set up Auger bore machine and augers to clean out 40' of pipe. Removed spoils from casing pipe and loaded out in trucks. Shannon Phipps 2/22/2012 Contractor's Representative Date Inspector Date By signing this form,Contractor's Representative and Inspector are indicating their agreement that the above described labor,equipment,services and impacts are required by the changes directed by the above referenced ECD,or the conditions described in the above referenced RFI. DwG - Hau.l 4 c�:S/OvJR/ S%tG {ir1% Id2o;11 i, clkdcd �. B;1 14-c,. 32 . Hukr3 o^ CO I,Ustk shot+ corrcAd. City of Renton James W. Fowler Co. 1055 South Grady Way Ne„ 12775 Westview Drive Renton WA 98057 Dallas Oregon 97338 (503)623-5373,Fax(503)623-9117 WORK RECORD [x] For work performed pursuant to NOC# 05 payment will be made per the Contract provisions for Force Account Work. [ ] For work,impact or delays that may be claimed pursuant to RFI# ,this record does not mean that any claim is valid. Date worked: 11/2/2011 Wednesday Job#: 2011-05 Contractor: James W. Fowler Project: Lake Ave S / Rainier Ave S Subcontractor: Storm System Project Description of Work: Pipe Ram remaining casing. Page: 1 of 1 Labor Name of Employee Trade/Type of Work Performed Classification Standard Hours Chase Hernandez Auger clean out and remove log Laborer 9.5 Joel Mao Auger clean out and remove log Operator 9.5 Derik Hitesman Auger clean out and remove log Laborer 9.5 Jared Jeffcoat Auger clean out and remove log Laborer 9.5 E ui ment Type Make Model/Size/PUC#Size Hours Excavator PC 220 Komatsu Remove Pipe ram equipment 10 Loader 320 w/forks Komatsu Set up and move equipment around 10 Pipe Ram hammer Taures 10 Collets 10 30 ton Air bas 10 JWF Welder 10 1600 CFM compressor To run rammer 10 Barbco 48/750/Augers Materials/Service Type Supplier Units Quantity Remarks: Clean out 40' of pipe. Remove log and other debris in front of casing pipe. Shannon Phipps 2/22/2012 Contractor's Representative Date Inspector Date By signing this form,Contractor's Representative and Inspector are indicating their agreement that the above described labor,equipment,services and impacts are required by the changes directed by the above referenced ECD,or the conditions described in the above referenced RFI. City of Renton James W. Fowler Co. 1055 South Grady Way r,,,,,, `40r 12775 Westview Drive Renton WA 98057 Dallas Oregon 97338 (503)623-5373, Fax(503)623-9117 WORK RECORD (x] For work performed pursuant to NOC# 05 payment will be made per the Contract provisions for Force Account Work. [ ] For work,impact or delays that may be claimed pursuant to RFI# ,this record does not mean that any claim is valid. Date worked: 11/312011 Thursday Job#: 2011-05 Contractor: James W. Fowler Project: Lake Ave S / Rainier Ave S Subcontractor: Storm System Project Description of Work: Pipe Ram remaining casing. Page: 1 of 1 P&7e- t re cv,J! ,f A, Sr. S ha...r.s zvoo-W ik -t sy. J Labor Ho.,.r Corrtr, co workJAe,4. Name of Employee Trade/Type of Work Performed Classification Standard Hours Chase Hernandez Backfilled crossing removed shoring Laborer 101 L5 Joel Mao Backfilled crossing removed shoring Operator 101 1 Derik Hitesman Unhooked and removed ram equipment Laborer 1 Chris Dilworth Unhooked and removed ram equipment Operator 1 John Kane Backfilled crossing removed shoring Laborer 1 Curtis Vernoy Unhooked and removed ram equipment Foreman 1 Bob Severson Hauled material Truck Driver 0 Jared Jeffcoat Backfilled crossing removed shoring Laborer 0 John Elliott Backfilled crossing removed shoring Operator 0 fr RLv;.li6ns fur Arr4r rwoPk d A E ui ment Ho.rt corrt,+ o., Co workr Worka S+,..JL Type Make Model/Size/PUC#Size Hours Excavator PC 220 Komatsu Remove Pipe ram equipment S. S 11. Loader 320 w/forks Komatsu Set up and move equipment around 16 S z(, 5 Pipe Ram hammer Taures 10 Collets 10 30 ton Air bas 10 JWF Welder 10 1600 CFM compressor To run rammer 10 Barbco 48/750/Augers 10 Dump truck Materials/Service Type Supplier Units Quantity 3/"CSTC Renton Recycle Tons 62.56 1 '/4 CSBC Kanqlev Rock and Recycling Tons 15.05 Remarks: Backfill around casing pipe and remove shoring. Compact material and re-sheet for weekend. Cleaned up pipe ram equipment getting ready to return. Waiting on city for direction. Shannon Phipps 2/22/2012 Contractor's Representative Date Inspector Date By signing this form,Contractor's Representative and Inspector are indicating their agreement that the above described labor,equipment,services and impacts are required by the changes directed by the above referenced ECD,or the conditions described in the above referenced RFI. "*rr *.0001 EQUIPMENT WATC www.equipmentwatch.com Adjustments for 1141 in Inventory February 22,2012 Komatsu PC220LC-7 (disc.2006) r--- 5 Crawler Mounted Hydraulic Excavators Size Class: 24.1-28.0 MTons 24.1-28.0 MTons Weight: 54,046 lbs. Configuration for PC220LC-7 Power Mode Diesel Bucket Capacity-Heaped 1.5 cy Operating Weight 24.52 MT Net Horsepower 168.0 Equipment Notes: General Purpose bucket included in rate,unless otherwise noted. Blue Book Rates "FHWA Rate is equal to the monthly ownership cost divided by 176 plus the hourly estimated.operating cost. Ownership Costs Estimated FHWA Rate— Operating Costs Monthly Weekly Daily Hourly Hourly Hourly Published Rates $8,200.00 $2,295.00 $575.00 $86.00 $58.50 $105.09 Adjustments Region(100%) - - Model Year(1997: ($492.00) ($137.70) ($34.50) ($5.16) 94%) Ownership(100%) - - - Operating(100°/x) Total: $7,708.00 $2,157,30 $540.50 $80.84 $58.50 $102.30 Rate Element Allocation Element Percentage Value Depreciation(ownership) 41% $3,362.00/mo Overhaul(ownership) 43% $3,526.00/mo CFC(ownership) 8% $656.00/mo Indirect(ownership) 8% $656.00/mo Fuel(operating)@$4.11 50% $29.00/hr Revised Date: 2nd Ha42011 All material herein @ 2003-2012 Penton Media,Inc.All rights reserved. Page 1 of 1 N.r, EGUIPIMENT `l,--WATCHJ www.equipmentwatch.com Rental Rate Blue Book@ February 22,2012 Komatsu WA320-5(disc.2008) 4-Wd Articulated Wheel Loaders H Size Class: 150-174 HP 150-174 HP � Weight: 30,600 lbs. Configuration for WA320-5 Power Mode Diesel Bucket Capacity-Heaped, 3.7 cy Net Horsepower 166.0 Operator Protection EROPS Equipment Notes: Includes General Purpose bucket and ROPS,unless otherwise noted. Configuration Notes: with EROPS Blue Book Rates **FHWA Rate is equal to the monthly ownership cost divided by 176 plus the hourly es;Omated operating cost. Ownership Costs Estimated FHWA Rate** Operating Costs Monthly Weekly Daily Hourly Hourly Hourly Published Rates $4,115.00 $1,150.00 $290.00 $44.00 $35.55 $58.93 Adjustments Region(100%) - - - - Model Year(100%) - - Ownership(100°/x) - Operating(100%) Total: $4,115.00 $1,150,00 $290.00 $44.00 $35.55 $58.93 Rate Element Allocation Element Percentage Value Depreciation(ownership) 45% $1,851.75/mo Overhaul(ownership) 33% $1,357.95/mo CFC(ownership) 10% $411.50/mo Indirect(ownership) 12% $493.80/mo Fuel(operating)@$,4011,' 61% $21.83/hr Revised Date: 2n5 Ha52011 All material herein @ 2003-2012 Penton Media,Inc.All rights reserved. Page 1 of 1 EGU1P'MENT WATCH ' www.equipmentwatch.com Adjustments for 7733 in Entire Fleet March 27,2012 On-Highway Truck Tractors Low aol- rrA c 4r Miscellaneous Models Size Class: 60,001 GVW&Over 60,001 GVW&Over Configuration for On-Highway Truck Tractors Power Mode Diesel Axle Configuration 6X4, Maximum Gross Vehicle Weight 75,000 Ibs Horsepower 406.0 Equipment Notes: Non-Sleeper Cab Blue Book Rates "FHWA Rate is equal to the monthly ownership cost divided by 176 plus the hourly estimated operating'cost. Ownership Costs Estimated FHWA Rate— Operating Costs Monthly Weekly Daily Hourly Hourly Hourly Published Rates $3,965.00 $1,110.00 $280.00 $42.00 $57.70 $80.23 Adjustments Region(100%) - Model Year(1994: ($662.15) ($185.37) ($46.76) ($7.01) 83.3%) Ownership(100°/x) - - - Operating(100%) --- Total: $3,302.85 $924.63 $233.24 $34.99 $57.70 $76.47 Rate Element Allocation Element Percentage Value Depreciation(ownership) 50% $1,982.50/mo Overhaul(ownership) 32% $1,268.80/mo CFC(ownership) 6% $237.90/mo Indirect(ownership) 12% $475.80/mo Fuel(operating)@$4.11 70% $40.28/hr Revised Date: 2nd Half 2011 All material herein©2003-2012 Penton Media,Inc.All rights reserved. Page 1 of 1 EQUIPMENT WATCH www.equipmentwatch.com Rental Rate Blue Book® March 27,2012 Hydraulic Removable Gooseneck Equipment Trailers /I pp Miscellaneous Models L-a w l7 1 Y4 i t r Size Class: All All Configuration for Hydraulic Removable Gooseneck Equipment Trailers Number of Axles 3 Number of Tires 12 Capacity 75 t Equipment Notes: Costs do not include self-contained power pack. Blue Book Rates **FHWA Rate is equal to the monthly ownership cost divided by 176 plus the hourly estimated operating cost. Ownership Costs Estimated FHWA Rate** Operating Costs Monthly Weekly Daily Hourly Hourly Hourly Published Rates $2,515.00 $705.00 $175.00' $26.00 $9.30 $23.59 Adjustments Region(100%) - - Model Year(100%) - - Ownership(100%) - _ Operating(100°/x) Total: $2,515.00 $705.00 $175.00 $26.00 $9.30 $23.59 Rate Element Allocation Element Percentage Value Depreciation(ownership) 45% $1,131.75!mo Overhaul(ownership) 33% $829.951 mo CFC(ownership) 6% $150.90!mo Indirect(ownership) 16% $402.401 mo Fuel(operating) Fuel cost data is not available for these rates. Revised Date: 2nd Half 2011 All material herein©2003-2012 Penton Media,Inc.All rights reserved. Page 1 of 1 EGU1PMENT ' � � WATCH www.equipmentwatch.com Rental Rate Blue Book@ February 22,2012 On-Highway Rear Dumps Miscellaneous Models Size Class: 45,001 -60,000 GVW 45,001-60,000 GVW Configuration for On-Highway Rear Dumps Power Mode Diesel Axle Configuration 6X4. Maximum Gross Vehicle Weight 50,000 Ibs Struck Capacity 10-12 cy Horsepower 255.0 Equipment Notes: Highway type rear dump equipment presents a broad variance in list price for similar load rated capacities.Engine,axle,and transmission combinations can significantly vary the rate.Costs listed here reflect an average purchase price average purchase price and are presented only for comparative purposes. Blue Book Rates "FHWA Rate is equal to the monthly ownership cost divided by 176 plus the hourly estimated operating cost. Ownership Costs Estimated FHWA Rate— Operating Costs Monthly Weekly Daily Hourly Hourly Hourly Published Rates $3,465.00 $970.00 $245.00 $37.00 $43.60 $63.29 Adjustments Region(100%) - - - Model Year(100%) - - Ownership(100%) - - - Operating(100%) Total: $3,465.00 $970.00 $245.00 $37.00 $43.60 $63.29 Rate Element Allocation Element Percentage Value Depreciation(ownership) 52% $1,801.80/mo Overhaul(ownership) 30% $1,039.50/mo CFC(ownership) 6% $207.90/mo Indirect(ownership) 12% $415.80/mo Fuel(operating)@$4.11 67% $29.35/hr Revised Date: 2nd Half 2011 All material herein©2003-2012 Penton Media,Inc.All rights reserved. Page 1 of 1 ,y r..r EGUIPMEWT L-WATCH www.equipmentwatch.com Rental Rate Blue Book@ February 22,2012 Electric Submersible Pumps Miscellaneous Models Size Class: 3.0&4.0 Inch 3.0&4.0 Inch Configuration for Electric Submersible Pumps Size 4.0 in Horsepower 25.0 Voltage 230/460 Phase Three Equipment Notes: Includes motor and 50'cord. Blue Book Rates **FHWA Rate is equal to the monthly ownership cost divided by 176 plus the hourly estimated operating cost. Ownership Costs Estimated FHWA Rate— Operating Costs Monthly Weekly Daily Hourly Hourly Hourly Published Rates $1,295.00 $365.00 $91.00 $14.00 $5.45 $12.81 Adjustments Region(100%) - Model Year(100%) - Ownership(100%) - Operating(100%) - Total: $1,295.00 $365.00 $91.00 $14.00 $5.45 $12.81 Rate Element Allocation Element Percentage Value Depreciation(ownership) 53% $686.35/mo Overhaul(ownership) 35% $453.25/mo CFC(ownership) 4% $51.80/mo Indirect(ownership) 8% $103.60/mo Fuel(operating)@$0.14 49% $2.66/hr Revised Date: 1st Half 2012' All material herein©2003-2012 Penton Media,Inc.All rights reserved. Page 1 of 1 EQUIPMENT ' ....--WATC H www.equipmentwatch.com Rental Rate Blue Book@ February 28,2012 Large Generator Sets Miscellaneous Models Size Class: 20-50 KW 20-50 KW Configuration for Large Generator Sets Power Mode Diesel Prime Output @ 60 Hz 30 kW Horsepower 48.0 Enclosure Enclosed Blue Book Rates "FHWA Rate is equal to the monthly ownership cost divided by 176 plus the hourly estimated operating cost. Ownership Costs Estimated FHWA Rate— Operating Costs Monthly Weekly Daily Hourly Hourly Hourly Published Rates $845.00 $235.00 $59.00 $9.00 $14.90 $19.70 Adjustments Region(100%) - - - Model Year(100%) - - Ownership(100%) - - - - Operating(100%) - Total: $845.00 $235.00 $59.00 $9.00 $14.90 $19.70 Rate Element Allocation Element Percentage Value Depreciation(ownership) 44% $371.80/mo Overhaul(ownership) 36% $304.20/mo CFC(ownership) 8% $67.60/mo Indirect(ownership) 12% $101.40/mo Fuel(operating)@$3.79 66% $9.82/hr Revised Date: 1 st Half 2012 All material herein©2003-2012 Penton Media,Inc.All rights reserved. Page 1 of 1 RENTAL INVOICE N C POWER SYSTEMS al� 11001805-0001 Page; 1 Invoice date 11/08/11 Lessor: Date ou 10/26/11 7:00 AM NCPS SEATTLE Remit To: Date in. ,.., 11/04/11 7:00 AM 01) WEST VALLEY MY NE POWER SYSTEMS CO. .lob Loci, ,... 200 SOUTH 3RD ST.. RENT XW!LA. WA 98188 P.O. BOX 58,101 Job No.. .... 3 - JAMES W FOWLER c NOV � � ���� 425-251 5877 Fx. 425.251-6423 TUKWILA, WA 98138-1201 Written by.. SUSAN P HOL2A;N P1WS Lessee: 138240 Job Site; ,LAMES W FOWLER CO � JAMES:W FOWLER CO C PO BOX 489 200 SOUTH 3RD ST. y DALLAS. OR 97338-0489 RENTON. WA 98188 1 C#: 503-623-5373 J#':`503.623-5373 !�Il' il!il!NIliillll�f��Ill!Ill!�1111!11111if1flllllfl! Ordered By: Purchase Order Number: 5aies Represenlottve: ` Yard Person! SHANNON PIPPS 2011-05 CHARLIE D. TOMSETT EICDT) _ YM Damogo Waiver E:pvratIon Date: Drivers License Number_ ` System Tim: ! Te,minatwll Date: 11/08111 2:4:, PM 0(11 { 11/04/1) { Qty Equipment # Day Week 4 Week Amount 1 AIR rOHPRESSOR DSL 1600HAF 1600 611 .00 1835.00 5500.00 3057.00 E258296 HR OUT'I 3431 .00 HR IN1 3435. 00 TOTAL. 4 . 00 Make: SULLAIR Al Mode' : 1600H.AF Ser #: C04-149319 SALES ITEMS: Qty Item number Description Unit Price 1 FTC FTC (OUTSIDE, TRANSPORTATION) EA 146. 00 146 . 00 ID# E258296 Freight charges for Delivery cT unit 561 DIESEL DIESEL GA 5.0C 280.00 1 FTC FTC (OUTSIDE TRANSPORTATION) EA 146.00 146.00 It I ID# E258296 Freight Charges for return at unit 1 ENV ENVIRONMENTA_ EA 30. 57 30. 57 I 4 Sub'tota'l : 3659 .57 L.D.T. Waiver: 427.93 (RENTON TAX 9,504) Tax: 388.332 Total : 4475 .87 i i ..•, i • ; .•. .. • R •. •a>"IMPORTANT PLEASE READ CAREFULLY '•>•, ,••'•LIMITED DAMAGE$t THEFT WAIVER r "> bT Acc_rrvil OE11vtAY OF PElITED+TEMS.CUSTOMEA AGhr-S ro A4 TERM$Arta CONE1+T104S SHOA-h eN PAGES r EHRCIUGN 2. LOSS.OAk1AGE OR REPAIR OF TIRES AND i OF ZIC,REw7 AI CUr(r RACT AND iCDL:E'R THAT HE HISS AECEIVFT11N GOdf)OADER ALL RENTED ITEMS AND 014ER GOODS ACCESSORIES IS NOT COVERED IS`!.a ON rHe FA C F:"S'ON-R.1Cr CSHA GIG.RF]r.+AES THAT FALL PAOTT'' t w 5+!L U LWOri'1 WHEN OPkRAnNG AN By vtnu,r Ad R!Ar wCPF PCA'r R^.!. CLrST„ME"AC F N1'"vrt EOGES'°'t REOWAIEWNI AND iS'!WrS SQEE RESPONSUSI.n FOR AS"RRG 11A PiT,,e�n"rell YOU either prr .j Of 0. t e awtvi OE ne LPL ICF1 znonm at Damage Waver pTmyre o e f ro!14' s+L1e of o'" C CM PL.AYCE ar ALL CRE R,AT!.YC PSPSDAAEL WAr+RANTy Dt$CLa MEa_ ,ESSGR MAKES NO WARRAMA ES OF MFACHANrAERI1 T'I7R ��#rerr II yali ate#HEri,ycaa Egrne r0 per•fee OE Ta`tle.of tivA graAt .OP A PARTICOt AP PURPOSE OR ANT CTHtA WARRA^.TTS.E[PRLSS OR th PLIED.AND THE 6LWFrAENr IS FVRwtSHD ON #'ental Charges.. You ranumn mworm.We for all loss or dameglR '. AN'Ai i"$4.W THE CuSTOQER AGREES TC INDEMNIFY A^YD HIDLD if SSURL HAfc'JLLSS FOP ANY Cr Aa#RS OF rI RD PARttESr:R Yesulttng hen!cEuaa•Nslod On the E•aek DF this Cannar;t, hicl, g LOSS. uNJURI, AND DAMAACE I �EPSDNS`1R P93PER ARTS/^.G Ow OF CVS:TOMfR:S ROSSESEPCV, LU,MA.NrENANCE CR - j PETURN DF EOLJIPN#CNT T®THE FV.L,E�LT&%7 9 4 "IUSIC&IP1 S CIP'T—,[)PARTY S NECLHGENC F,I!WCLUOO SIG tFGAL COSTS 1NCrdRRLa `#aQPgRrLCa O(«rL°proper Opare[Ixxt. uT.t!u „ IN DO ENSE OF SUCH..t WOS LF-EHATORS E Mr D RFArr Atc wAAN+wWS AwD INSTRUr:v K1NRP. DO Not JSC of v SAFETY INSTRUCTIONS+'TRA{KING i r e OLFEAATE CR IF Ni,,-OP(07 NG P'RCF P vY to:LIRE TD CDMP r COULD R SJLT 44°.NJURY OR DEATH is LiF},RAiaR yR RS i.USTDMEP ACRNOO'WSEOCi $ THA' All TERMS AND CCNJ":TCHS HEPE+.N MCLERCLNG THE WDEAHY'TY A#rD CIrSFDI.#,a 1 hays reteiyal, rams And r+nderRaend rraP Sate Ty Elks. DR rertrg DtES,'JSCLA,UFR LNf RE F tL N COrIalfD &W H K.FeEl Fog AJp:k UslI1YR THE ./n,.CRS fnFp �,",F PT 4F E5 r:SrHEA lnel thaw End ResponRmMGLeF ManrrLl#ar rho AhO.e eQ.1perern 4 - ..Haug'H vU F&-fa!WV rH+.S P'FN1AL A6Rrrvr .n'l d.HAL+OF CLETO°fER tveve`aeon trair+ed On ehe an:vpmenr End v+rrE rnsr.Ta ehat dA{usa'r•wLa P k X _ 360 239 7320 CUSTOMER SIGNATURE DATE^ NAME PRINTED DELIVERED BY DATE Each FP-HwT on wm Ran—seaA boar R LATE PATMFNT CHAACf r varinp eI a$a NGd F PEU(.'C RATE OF 1 1t7R,:r,r.*nErvih.,wN.rl!I6 rY ANIAJAL P'RCEN'.AGE RATE OF nl%t a+w PASh..nt rage rrerratted RT aw PurcNaswr i,'ntoi rR fear rxr ygirecta rOwt„,.rnrr dmz resad.dwr aTlArner IT- A•,.­end w++:<m rr.tet ae aaP Yhr 10;P ar s><a—n RAc,a-q a LxP a#P v. MaCh,na nw —--r 10 d—1 1—d—0 1vaee-t. I...Abetty 4115 NE 148TH Ave. • Portland, OR 97230 PO Box 20727 - Portland, OR 97294 Telephone: (503)254-7346 • Fax: (503) 257-0206 email: libertymetattab@aol.com 71E�'� Up IC U L Invoice Invoice Number: Sold To: 11-36571 James W. Fowler Co. G T 2 Invoice Date: P0 Box 489 Oct 21, 2011 Page: Dallas, OR 97339 Customer ID: Fowler Sp Customer PO Payment Terms Due Date ales Re ID 2011-05 Net 30 Days 11/20/11 SS I I I —Quantity Item Description Unit Price Extension 1,00 Cylinder 3/4" PI A36 x 40-314" OD x 2411 Long Cylinder, 5/9" P1 A36 x 4211 ID x 8" Long Labor & Material 1,137.00 Subtotal 1,137.00 Sales Tax Total Invoice Amount 1,137,00 Check No: Payment Received 0,00 TOTAL 1,137.00 P ` -L of fa IV j un1 40 t�rt Vhl4�� an� Wood d16riJ . SIM � •S� T � ��yN•g° t +a� ` .5 f � .� 1', ty FF- T 1 � v t�A':, 4�t.' s „Z, .+�,�G ',_+F i •r i ' { r-, vim" T V age, 7. :I 1 > s5 a f F t t s ` h } ,r 4 r at z f } is r ,Z f , Am 1 sv Ron: Z z of J }S.. Mr } ,} FS� 1" 4�" a s O" k sm� a •� ti i.r i S iw a X ti i f 1 s+ yi Rin r 1 5 s�,Y '✓ st.�k 3 Ft r2J r r Pwit z -� � � 7 5 t J �8�.� ,•`�,��"e fafiC. "�.>a�Y 4 '1{1 it Y J Ilj LL. 1••n x 6 ,�f T�f.' .Y F:U,i£� 1�}- / t 'V}. A�' { �1 I � w t Yr S�Sr+V. l f;S. �f d" �f� 3 c�+�P i C :,�r] �` •2 �i r v i I#!t°tq''^d n f J.-1 ��w�ix REM;, PQ­WWI Ell auk A.. �yry •R 4• 7' "'s I t b .1 'ow pop Q A. J Eli .4 Ono YS �Z Tit $� yf I QRS FES3 DDJ Construction Welding, Inc. 718 Gaffin Ave P.V.e 339 Contract Invoice -:ADDJ)k--, Enumdaw WA 98022 1, J L - 425-432-61,70 lnvoice# 1108-1 C0VSMWMN*TtW*A1- I t C Date- 1013V2011 Billed To: James W. Fowler Co Project: Equipment Rental- Renton PO Box 489 Renton WA Dallas OR 97338 Due Date: I"iGY201 1 Terms'. Order# Description Amount ... Uncolin Gornriandes 500 2 days 210.010 Lincoln LN-25 Feeder 2 days 130 00 Welding Lead 2 days 27 OU -,1 , 1 40lbs Hobart XLF-8 16 8 Sales Tax Invoice Tota' 58564 Thank you for,yaur prompt payinefitl Retention: 000 Amount Paid 000 Amount Due 585.64 KANGIEY KANG LEY P11 i N*021f 32500S E Kent W4,,t4 PC, Ravtai4lid,04A*05! 586 9269 INVOICE ROCK & RECYCLING SLACK RIVER QUARRY iPlant#022 *40e ACCOUNTING 9`23 TENTH XVENUE SOUTH 511A%4orster Paad RtntQr.WA 98053 • (42l)22'6- 100 ov 7119 SEATTLE.WA 98108 • 1063 762-2566 CEDAR SHORES A C4VISiON OF GARY MERLINO CONSTRUCTION COMPANY"NC maple vVey WA 98038 • '42ti4 226.1 OW ee 334,3 ACCOUNTio 42'3182C5 DELIVERY ADDRESS- SAFEWAY RAINIER AVE S SOLD TO J."J'.!E'S W F0;'4'1.1'R PO BOX 489 NOV DALLAS, OR 97335-0499 7 020 40002 1 257549 P0 NUMBER: 2011-05204 15010 :1 1/4 R.C.BASF. COURSE 15. 05 TN 8 . 000 N 120. 40 70015 ENVIPONMENTAL St P'HARGE 15.05 TN� 1 .250 N 18.81 TICKETS: 020-297615 139.21 TJotal Yds Concrete $ Supplies Misc- Labor Y F - 0.0() 0. 00 18. 81 0-00 KAI QLE" ' WWCLE'i PIT tax r 02 1) '! E E RY T CIC�T ROCK & RECYCLING fi Rat,Aa y Mn _ • ,1e 3 u':a ACCOUNTING MM 762-2M ACCO( NG:9125 TENTH ANE7,NLE SOUTH 91D WA 90065 • ;425 726-IMO ext 3134 I FAX 762-23W SEATTLE,WA 98106 • CW,762-25a CE{?4R M —211;14 r Gxxre P S E # SALES& A 04VIS40N OF GARY%*RUNO CONSTRIJCT)t COMPANY. 1 IwA ►14Z)228-10M of 3344 � ORDER DESK (425) LEAVE TtALLC LEAVE JOfl ARFIVE PLANT i SATE --Tc—Gs- d t No ORDER NO PROJECT PLANT It � 1 5; S' 5 ," i T 1 # .,?tea , 4 3..i 020 ; 1"c Zgtowq rt?a — T CUSTOMER aQ E§ SS _ " 3 �` F' 3 s COLLECT ON DELIVERY(C.O.D.) CASH _'.CHECK 0 O CHAAL3E RE iT N CART?9 S"CtALWSTR TIChNs VISA J MASTERCARD DISCOVER # 15.04 TN 65010 1 1 /4 S I { a � i # P � � E {f 9 t 4 F°./Y w 'ik ''a�. 9-i a' °r Y p too } ° t kSLEA3E—ti °vFxfF 9 REtEA 3 A.^tfi AGREES TC M C;ALES-S KAMGLEY ROCK!RICYCL NG.A E?tYtSJON t ^ vAR✓�AEP th, wMNSTAUCT01,c OMRANY !NC FOR ANN DAMAGE TO WS PEAL OP PERSONAL PROPERTY SALSEC BY':£:.ivlR"a OP VATER:A,.S I "mow A-RC41 CETA;LS,ON PE"(EPSE_ PRINT NAjVf,, LATE INVOICE COPY DRA, Inc. ' Co°°rp Office Invoice 9802 29th Ave. W #6102 Date Invoice# Everett, WA 98204 - 10/31/2011 8529 Bill To James W.Fowler Co..-..�.u.__._._....-�...�...... Sharnion Phipps 1277 Westview Dr PO Box 489 Dallas OR 97338 Project P.O.No. � PM Terms E11058 Renton Stonn System DMW Net 30 Description Qty Rate � Amount Billing for professional services provided from October 1,2011 through October 31,2011. - Hourly charges-Senior Principal 10.00 180.00 1,800.00 EIN:03-0471139 Total $1,800.00 _ _ _ � Payments/Credits $0.00 Phone# Fax# Web Site - Balance Due $1,800.00 425-356-3372 425-356-3374 www.e3ra.com Invoice/Pro Number 841281 Da,4�1/10/11 f ` Billing Phone (503) 623-9922 OPE _ R-OA D Billing Fax (503) 623-9522 Remit to OpenRoad Transportation, Inc. Shippers Ref No P.O. Box 627 PO Renton to Dallas Transfer Dallas,OR 97338 BOIL Shipper JWFCO Renton Bill To Call LaRue for directions Renton,WA (503)932-4056 Ross 503-209-8720 JW Fowler Company 12775 Westview Drive Consignee JW Fowler Company Dallas, OR 97338 705 Oak Villa RD Dallas,OR 97338 (503)623-5373 Origin-Pickup-JWFCO Renton Call LaRue for directions Renton,WA Dallas Transfer Drop-JW Fowler Company 705 Oak Villa RD Dallas,OR 97338 15 Days 11/25/11 • .. . ® � ' 841281 11/07/11 11/08/11 ... I Z - EQUIPMENT Equipment/Machinery .00 .00 .0 .00 .0 Description MUM Contracted flat amount ! 1 0.001 0.01 .01 0.001 $610.001 Notes $610.00 Terms &Conditions: All services performed and products delivered are on a cash on delivery(COD)basis unless authorized in advance. All returned checks are subject to a$25.00 return check fee. We may redeposit your check electronically to include the face amount of your check and the return check fee. All unpaid balances will be billed a monthly finance charge of 2%per month(24%APR). In the event this matter is referred to an Attorney or Collection Agent,the undersigned will be responsible for court costs,attorney fees and or collection agency fees. OpenRoad Transportation, Inc.-P.O.Box 627-Dallas,OR 97338- (Phone) (503)623-9922-(Fax) (503)623-9522 11/02/2011 01:45 50383' 0 PAGE 02 CUS 1 G+v:ER'S GRD�B..[�Q� e� DATE J j MAIZE SO �; ( CI''IRGE ON,Acc r. MDSE.Rt:TD. ?ttD I-Q j 121 I3 60. j ,o ,2 REGE O BY s?>� KEEP TH SLIP FOR REFERENCE