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HomeMy WebLinkAboutFolder - Documents After recording return document to: City of Renton City Clerk's Office 1055 South Grady Way Renton, WA 98057 PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE Grantor(s): Robert E. Fricks, Robert E. Fricks Jr., Terresa L. George, Ronald E. Fricks, Raymond E. Fricks,and Richard E.Fricks Grantee(s): City of Renton Legal Description: N275FT OF W '/2 OF E '/2 OF NE 'A OF NW '/4 OF SEC. 10, T. 23N., R. 05 E., W.M., KING COUNTY,SUBJ TO CM&ST P TRANS LN ESMT LESS CO RD Assessor's Tax Parcel Number: 102305-9081-09 Reference Number of Related Documents: N/A TEMPORARY CONSTRUCTION EASEMENT Duvall Avenue NE Project This Temporary Construction Easement (the "Construction Easement"), is made and entered into this day of ,20 ,by and between Robert E.Fricks,Robert E. Fricks Jr., Terresa L. George, Ronald E. Fricks, Raymond E. Fricks and Richard E. Fricks, as their respective separate property, and as tenants in common, ("Grantor"), and the City of Renton, a municipal corporation("City" or"Grantee"), its successors and assigns. For Good and Valuable Consideration, receipt of which is hereby acknowledged, Grantor, as the owner of that certain real property legally described on Exhibit "A" — Entire Parcel ("Property"), attached hereto and incorporated by this reference, does hereby grant to the City, two thousand and forty-two (2,042) square foot temporary easement area for minor clearing and grubbing and excavation and fill and construction purposes in, on, over, through and across that portion of the Property described on Exhibit "B" (Easement "Area") and depicted on Exhibit "C", which are attached hereto and incorporated by this reference, for the purpose of Temporary Construction Easement; protecting existing public and private improvements in the immediate vicinity of the Project area; and repairing, restoring and/or reestablishing any improvements disturbed while undertaking the Project activities described above. The temporary rights granted in this Construction Easement shall be effective upon execution by the parties. Grantee and/or its contractors shall provide forty-eight (48) hours Page 1 of(9)Pages Parcel No. 102305-9081-09 PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. TEMPORARY CONSTRUCTION EASEMENT notice to the Grantor of its intent to commence construction. The temporary rights granted to the Grantee shall automatically terminate and be null and void(i)twenty four(24)months after the execution of this easement or(ii) upon restoration of any existing improvements disturbed by the Grantee within the temporary easement area,whichever is later,but in no event later than December 31, 2023. The Grantee agrees to hold harmless, indemnify and defend the Grantor from and against any and all claims,losses or liability,for injuries,sickness or death of persons,including employees of the Grantee,or damage to property, arising out of the exercise of Grantee's rights under this Construction Easement or any willful misconduct or negligent act, error, or omission of the Grantee, its officers, agents, contractors, subcontractors, licensees, or employees, in connection with the Grantee's activities authorized by this Construction Easement, provided, however,that: (a) The Grantee's obligations to indemnify, defend and hold harmless shall not extend to injuries, sickness, death or damage caused by or resulting from the sole willful misconduct or sole negligence of the Grantor; and (b) The Grantee's obligations to indemnify, defend and hold harmless for injuries, sickness,death or damage caused by or resulting from the concurrent negligence or willful misconduct of the Grantee and the Grantor, or of the Grantee and a third party other than an officer, agent, contractor or employee of the Grantee, shall apply only to the extent of the negligence or willful misconduct of the Grantee(including an officer, agent, contractor or employee of the Grantee). Grantee shall, at its sole cost and upon completion of the work within the Easement Area, fully restore the surface and subsurface of the Easement Area and any public or private improvements disturbed by or destroyed during the execution of the work, as nearly as practicable,to the conditions as of the effective date of this easement. It is the intention of the parties that this document be strictly limited to and for the purposes expressed. This Construction Easement and covenants herein shall be recorded with the King County Recorder,shall run with the land described herein,and shall be binding upon the parties, their successors, heirs and assigns. Grantor covenants that it is the lawful owner of the above-described property and has authority to convey such easement. It is understood and agreed that delivery of this Construction Easement is hereby tendered Page 2 of(9)Pages Parcel No. 102305-9081-09 PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. TEMPORARY CONSTRUCTION EASEMENT and that the terms and obligations hereof shall not become binding upon the City of Renton, unless and until accepted and approved hereon in writing by the City of Renton. Dated: , 20 Grantor: er ricks o ert E.Fricks Jr. Teresa L. George R nald E. ricks Raymo+d .Fricks G Lam . ' chard E.Fricks Accepted and Approved City of Renton By Its Date Page 3 of(9)Pages Parcel No. 102305-9081-09 PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. TEMPORARY CONSTRUCTION EASEMENT and that the terms and obligations hereof shall not become binding upon the City of Renton, unless and until accepted and approved hereon in writing by the City of Renton. Dated: , 20 Grantor: Robert E.Fricks Robert E.Fricks Jr. Teresa L. George Id E. Fricks aymond E.Fricks Richard E. Fricks Accepted and Approved City of Renton By Its Date Page 3 of(9)Pages Parcel No. 102305-9081-09 PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. TEMPORARY CONSTRUCTION EASEMENT STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Robert E. Fricks, to me known to be the individual(s) described in and who executed the within and foregoing instrument,and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this 1/ day of Pkty ,20d. . (SEAL) u 1c 1' ....,.,,q c64 S - sd69 Printed/Name NoTARy �''•�— s Residing at jtkietilei •e i'FIRES�ti�'"��_= My appointment expires /o�02E9/2-3 � Q> 1 uF WASN f� , STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Robert E. Fricks Jr., to me known to be the individual(s) described in and who executed the within and foregoing instrument,and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. mayDATED this / day of ay ,20 , (SEAL) (/ •" ��i. � ary P e lic % �326gs ��,ll� 00 PrlgoiNam2�( NOTAR j, ,, , �' PUBLIC ti"'' Residing at /�/p/c/ -40 f'PIRES�� r O:' ,,,, ��= My appointment expires /p of f 1 k WASVV Page 4 of(9)Pages Parcel No. 102305-9081-09 PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. TEMPORARY CONSTRUCTION EASEMENT STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Teresa L. George, to me known to be the individual(s) described in and who executed the within and foregoing instrument,and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. AL DATED this g day of Pat/ ,20 a (SEAL) �1/ '��%%‘‘‘, � eirts.ry " blic NJA Witt O 2011 V1OTAMy ,,0 Printt1 Name Cr)%,,' PUBLIC ti' 0 Residing at /G/rkfa' df �I � XPIRES My appointment expires /2f 20f 22 ��` F •\,, O STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Ronald E. Fricks, to me known to be the individual(s) described in and who executed the within and foregoing instrument,and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this g' day of ,20 (SEAL) :Si;; :) yblic NJA D ''', S/4 Dav/S GAO_••13269S,9!!/sj��� Print Name NOTAR), y$ Residing at ,e/t- tali—el i .may• i or N,6 pUsLIGo s % My appointment expires /a'/g°/j-3 O k`WAS N� Page 5 of(9)Pages Parcel No. 102305-9081-09 PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. TEMPORARY CONSTRUCTION EASEMENT STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me 'aymond E. Fricks, to me known to be the individual(s) described in and who executed the within and fore:.mg instrument,and acknowledged that he/she/they signed the same as his/her/their free and voluntary act an. teed,for the uses and purposes therein mentioned. DATED this day of 20 . (SEAL) Notary Public Printed Name Residing at My appointment expires STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Richard E. Fricks, to me known to be the individual(s) described in and who executed the within and foregoing instrument,and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this (S day of /Vltr ,20 (SEAL Of� ary Public A al 1'3269S1h,(r,�1 Slt/A DIWT N�T�Y�'�•y� ��� Printed Name /� - P G ,94./7 N � UBL� s Residing at /� ,;PIRE0:14,('�? r4 My appointment expires /off/�4/3 Page 6 of(9)Pages Parcel No. 102305-9081-09 PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. TEMPORARY CONSTRUCTION EASEMENT STATE OF WA-Sice-T-ON 1 ss. COUNTY OF 0,---c,..(Naie__ On this day personally appeared before me Raymond E. Fricks,to me known to be the individual( described in and who executed the within and foregoing instrument,and acknowledged that he/ e/4hA•,signed the same as his/he.'ltheir.free and voluntary act and deed,for the use and purposes``therein mentioned. DATED this Z2-day of 20�. I (SEAL) �, ►. , . aryPblic v ... - t .....oP- Printed Name YX �• MIKE LEE (12 .• COMM...2165192 W �!� � may„ �l 04110S c] :; , ' ;) NOTARY PUBLIC-CALIFORNIA —1 Residing at 2'Z kw c7 oLe_ I� S—� m 'Y,. ) ORANGE COUNTY W \,` o_. My Term Exp.October 17,2020 r n ..�, .,.� My appointment expires ll3k1k'>s-)'2.3'Y-' STATE OF WASHINGTON ss. COUNTY OF KING s On this day personally appeared before me Richard /Fricks, to me known to be the individual(s) described in and who executed the within and foregoing instru (nt,and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the ,ses and purposes therein mentioned. DATED this day of ,20 . (SEAL) Notary Public Printed Name ' Residing at ``/ My appointment expires // G Page 6 of(9)Pages Parcel No. 102305-9081-09 PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. TEMPORARY CONSTRUCTION EASEMENT EXHIBIT A PROPERTY DESCRIPTION NW 1/4 OF SEC. 10, T. 23 N., R. 05 E., W.M. CITY OF RENTON, KING COUNTY, WA (PER QUIT CLAIM DEED, RECORDED UNDER AUDITOR'S FILE NO. 20081215000432) THE NORTH 275 FEET OF THE WEST HALF OF THE EAST HALF OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER IN SECTION 10, TOWNSHIP 23 NORTH, RANGE 5 EAST, W.M. SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON. L,,I%JI// a OM. ke, t. ��¢�OF wASUj4Co/� • ?'p 46889 �e �Fss�BClSTSO'c J� i ONAL LAR1a y-9-zozo Page 7 of(9)Pages Parcel No. 102305-9081-09 I PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. FTEMPORARY CONSTRUCTION EASEMENT EXHIBIT B TEMPORARY CONSTRUCTION EASEMENT DESCRIPTION NW 1/4 OF SEC. 10, T. 23 N., R. 05 E., W.M. CITY OF RENTON, KING COUNTY, WA A PORTION OF THAT PROPERTY DESCRIBED IN QUIT CLAIM DEED, RECORDED UNDER AUDITOR'S FILE NO. 20081215000432, KING COUNTY RECORDS, SAID PORTION BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID PROPERTY, ALSO BEING THE EASTERLY RIGHT—OF—WAY LINE OF DUVALL AVENUE NORTHEAST; THENCE SOUTH 88'37'32" EAST 5.00 FEET ALONG THE NORTH LINE OF SAID PROPERTY; THENCE SOUTH 00'00'52" WEST 42.84 FEET; THENCE SOUTH 89'59'08" EAST 5.00 FEET; THENCE SOUTH 00'00'52" WEST 40.50 FEET; THENCE NORTH 89'59'08" WEST 5.00 FEET; THENCE SOUTH 00'00'52" WEST 112.49 FEET; THENCE SOUTH 44'59'08" EAST 23.33 FEET; THENCE SOUTH 00'00'52" WEST 27.00 FEET; THENCE SOUTH 45'00'52" WEST 23.33 FEET; THENCE SOUTH 00'00'52" WEST 21.92 FEET TO THE SOUTH LINE OF SAID PROPERTY; THENCE NORTH 89'00'27" WEST 5.00 FEET ALONG SAID SOUTH LINE TO SAID RIGHT—OF—WAY LINE; THENCE NORTH 00'00'52" EAST 40.33 FEET ALONG SAID RIGHT—OF—WAY LINE; THENCE SOUTH 89'59'08" EAST 5.00 FEET; THENCE NORTH 00'00'52" EAST 23.00 FEET; THENCE NORTH 89'59'08" WEST 5.00 FEET TO SAID RIGHT—OF—WAY LINE; THENCE NORTH 00'00'52" EAST 136.00 FEET ALONG SAID RIGHT OF WAY LINE; THENCE SOUTH 89'59'08" EAST 5.00 FEET; THENCE NORTH 00'00'52" EAST 30.50 FEET; THENCE NORTH 89'59'08" WEST 5.00 FEET TO SAID RIGHT—OF—WAY LINE; THENCE NORTH 00'00'52" EAST 47.96 FEET TO THE TRUE POINT OF BEGINNING. CONTAINING 2,042 SQUARE FEET, MORE OR LESS. M KF ciO p$HASUj'�/ 46889 Boa oSS�4'GIST8R�9JQ,� °NA L L AND Y-B-ZoZo Page 8 of(9)Pages Parcel No. 102305-9081-09 PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. TEMPORARY CONSTRUCTION EASEMENT EXHIBIT C TEMPORARY CONSTRUCTION EASEMENT NW 1/4 OF SEC. 10, T. 23 N., R. 05 E., W.M. CITY OF RENTON, KING COUNTY, WA S88'37'32°E T.P.O.B. - ,Lor __5.00' __ NE 12th ST(PRIVATE) SO0'OO'52'W N00'00'52°E 1140r ° 42.84' —-` -_ 47.96' S89'59'08E ,d l 5.00' ig I N89'S9'08'W 1 5.00' �`. 1 0 S00'00'521W N00'00'52°E 40.50' 30.50' JJ0 S89'59'081 Fil 5.00' N89'59'08%1 5'00 ( APN 1023059081 ) FRICKS ROBERT E SR W r - 1160 DUVALL AVE NE 98059 Z W N00'00'52°E 0; Q 136.00' 1 n 0 I _ / N I < 4 D / S44'59'08'E 23.33' N89'59'08'W I 5.00' hi 900'00'52°w iN00'00'52°E / 27.00' -- — 23.00' / I 1111 989'59'08'E 5.00' ,pll S45'00'52'W 23.33' N00'00'52'E Id / 0 �0' TOTAL AREA 40,33' IN soo 00'S2°w I I N __ 21.92' 1"=50' 2,042 SQ. FT. I I N89'00'27°W Parametrix 5.00' LEGEND M. KE,, a T.P.0.8. TRUE POINT OF BEGINNING .. ]'R Q of Ansq/',co/ ,� s TEMPORARY CONSTRUCTION ���/��������/� EASEMENT AREA III, ' ' I • TF' s E: — — EXISTING RIGHT OF WAY LINE Po W6889 yok a --- - - CENTERLINE 3 'Fss�4.Gl S T SP \jR. — PROPERTY UNE $ �ONAi. LAND ( APN XXXXXXXXXXX ) KING COUNTY TAX PARCEL NUMBER y it Z/nN Page 9 of(9)Pages Parcel No. 102305-9081-09 PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. INSTRUCTIONS FOR DISBURSEMENT OF PROCEEDS TO PROPERTY OWNERS RE: City of Renton Project Name: Duvall Avenue NE Project Tax Parcel No: 102305-9081-09 Property Address: 1160 Duvall Ave NE Project Parcel No: 12 FROM: Robert E. Fricks,Robert E.Fricks Jr., Terresa L George, Ronald E. Fricks,Raymond E. Fricks and Richard E. Fricks TO: City of Renton, Proceeds due at closing from the above referenced real property transaction,are to be disbursed to the undersigned parties and reported to the IRS (1099-S)as follows: 50%to: Robert E. Fricks($5,150) 10%to Robert E.Fricks Jr. ($1,030) 10%to Terresa L. George($1,030) 10%to Ronald E.Fricks($1,030) 10%to Raymond E.Fricks($1,030) 10%to Richard E. Fricks($1,030) R . ricks o ert E. ricks Jr. 064.12,/ T esa L. George Ot‘6A, na E. Fricks Raymon . Fricks 'char . Fric s ( l INSTRUCTIONS FOR DISBURSEMENT OF PROCEEDS TO PROPERTY OWNERS RE: City of Renton Project Name: Duvall Avenue NE Project Tax Parcel No: 102305-9081-09 Property Address: 1160 Duvall Ave NE Project Parcel No: 12 FROM: Robert E.Fricks,Robert E.Fricks Jr.,Terresa L George,Ronald E. Fricks,Raymond E. Fricks and Richard E.Fricks TO: City of Renton, Proceeds due at closing from the above referenced real property transaction, are to be disbursed to the undersigned parties and reported to the IRS (1099-S)as follows: 50%to:Robert E.Fricks($5,150) 10%to Robert E.Fricks Jr.($1,030) 10%to Terresa L. George($1,030) 10%to Ronald E.Fricks($1,030) 10%to Raymond E.Fricks($1,030) 10%to Richard E. Fricks($1,030) Robert E.Fricks Robert E.Fricks Jr. Teresa L. George Ronald E.Fricks rfr Raymond E.Fricks Richard E.Fricks REAL ESTATE PURCHASE AND SALE AGREEMENT This Real Estate Purchase and Sale Agreement ("Agreement") is made as of the date this instrument is fully executed by and between Robert E. Fricks, Robert E. Fricks Jr., Terresa L. George, Ronald E. Fricks, Raymond E. Fricks and Richard E. Fricks, as their respective separate property, and as tenants in common, ("Seller"), and the City of Renton, a municipal corporation ("Buyer" or"City"), for purchase and sale of a permanent right of way easement and a temporary construction easement over a portion of that certain real property situated in King County, Washington, legally described on Exhibit"A", attached hereto (the "Property"). The permanent right of way easement consists of 268 square feet and is legally described on Exhibit`B", attached hereto (the "Easement"). The temporary construction easement consists of 2,042 square feet and is depicted on Exhibit "C", attached hereto (the "TCE"). Collectively, the portions of the Property encumbered by the Easement,Wall Easement and the TCE are referred to as the`Basement Areas." 1. PURCHASE PRICE: The total purchase price for the easements is Ten thousand three hundred and No/100 Dollars ($10,300.00) ("Purchase Price"). The Purchase Price consists of the Easement valued at$2,680.00,the TCE valued at$6,534.40,and$1,000.00 for any improvements located within the easement areas. The Purchase Price is payable at closing in cash. 2. CONVEYANCE OF TITLE: 2.1 Easements: At closing, Seller will execute and deliver,in a form acceptable to Buyer,the Easement, conveying and warranting good and marketable title to the Easement and clear of all defects or encumbrances except for the lien of real estate taxes and drainage service charges not yet due and payable and those defects and/or encumbrances (if any) identified on Exhibit "D" attached hereto (collectively, "Permitted Exceptions"). Additionally, the Seller will execute and deliver to Buyer a temporary construction easement for a period of twenty-four (24) months commencing forty-eight (48) hours after City of Renton and/or its contractors provide written notification to Seller of its intent to commence construction. 2.2 Title Insurance: At closing, Buyer shall receive (at Buyer's expense) an owner's Standard ALTA policy of title insurance, dated as of the closing date and insuring Buyer in the amount of the Purchase Price against loss or damage by reason of defect in Buyer's title to the Easement subject only to the printed exclusions appearing in the policy form and any Permitted Exceptions. 3. CONTINGENCIES: 3.1 This Agreement is subject to the following contingencies: A. None B. None 3.2 Removal of Contingencies: Buyer shall have a period of 60 days from the date all parties have signed this Agreement to remove all contingencies. Buyer may remove such contingencies Parcel No. 102305-9081-09 Page 1 of 13 by sending written notice thereof to Seller pursuant to Paragraph 7 herein. If the contingencies are not removed within this period, this Agreement shall be null and void. 4. RISK OF LOSS: Seller will bear the risk of loss of or damage to the Easement Areas prior to closing. In the event of such loss or damage to the Easement Areas, Seller shall promptly notify Buyer thereof and Buyer may, in its sole discretion, terminate this Agreement by giving notice of termination to the Seller. 5. SELLER'S REPRESENTATIONS, WARRANTIES AND COVENANTS: Seller represents, warrants, and covenants to the Buyer at the date of execution of this Agreement and the date of closing that: 5.1 Authority: Seller, and the person(s) signing on behalf of Seller, has full power and authority to execute this Agreement and perform Seller's obligations,and if Seller is a corporation, all necessary corporate action to authorize this transaction has been taken. 5.2 Leases: The Easement Areas are subject to a lease between N/A and N/A , recorded N/A , and any unrecorded leaseholds, rights of vendors and holders of security interest on personal property installed upon said property, and right of tenants to remove trade fixtures at the expiration of the term. 5.3 No Material Defect: Seller is unaware of any material defect in the Property. To the best of Seller's knowledge, the information regarding the Property as provided by Seller is complete, accurate,true and correct and does not fail to state any fact without which such information would be misleading. 5.4 Debris and Personal Property: Seller will remove all debris and personal property,prior to each closing, located on the Easement Areas (if any) at Seller's cost and expense, and Seller will indemnify and hold Buyer harmless from all claims and expenses arising from such removal. 5.5 Contamination: Seller represents and warrants that he/she/it has not caused or allowed the generation,treatment, storage, or disposal of hazardous substances on the property,nor caused or allowed the release of any hazardous substance onto, at, or near the Easement. Seller is in compliance with all applicable laws, rules, and regulations regarding the handling of hazardous substances,has secured all necessary permits, licenses and approvals necessary to its operation on the Easement Areas, and is in compliance with such permits. Seller has not received notice of any proceedings, claims, or lawsuits arising out of its operations on the Easement Areas and, to the Seller's knowledge, the property is not, nor has it ever been subject to the release of hazardous substances. 5.6 Fees and Commissions: Seller shall pay for any broker's or other commissions or fees incurred by the Seller in connection with the sale of the Easement and Seller shall indemnify and hold Buyer harmless from all such claims for commission and/or fees. 5.7 Indemnification: Seller agrees to indemnify, defend and hold harmless Buyer, its employees,agents,heirs and assigns,from and against any and all damage,claim,liability,or loss, Parcel No. 102305-9081-09 Page 2 of 13 including reasonable attorney's and other fees,arising out of or in any way connected to the breach of any representation or warranty contained herein. Such duty of indemnification shall include, but not be limited to damage, liability, or loss pursuant to all federal environmental laws, Washington State environmental laws, strict liability and common law. 5.8 Ownership; Non-Foreign Status: Seller owns the Property and has the right to sell the Property, and is not a foreign person as defined by the Foreign Investment in Real Property Tax Act, IRS Section 1445(b)(2) ("FIRPTA"), as amended. 6. CLOSING: 6.1 Time for Closing and Closing Agent: The sale will be closed in the office of the Closing Agent not later than twenty-one (21) days from the date all contingencies set forth in Paragraph 3 herein have been removed, or as soon thereafter as practicable. Buyer and Seller shall deposit in escrow with the Closing Agent all instruments, documents and moneys necessary to complete the sale in accordance with this Agreement. As used in this Agreement, "closing" and "date of closing" means the date on which all appropriate documents are recorded and proceeds of the sale are available for disbursement to Seller. The Closing Agent shall be: Chicago Title Insurance Company 701 5th Ave, Suite 2700 Seattle, WA 98104 6.2 Prorations: Closing Costs: Seller will pay real property taxes prorated through the date of closing. Buyer will pay the premium for its owner's title insurance policy,the cost of recording the Easement, Wall Easement and TCE from the Seller, real estate excise taxes (if any are due) and the Closing Agent's escrow fees. 6.3 Possession: Buyer shall be entitled to possession of the Easement, TCE and Wall Easement at Closing. 6.4 Closing Obligations of Buyer: On or before Closing the Buyer shall deliver to the Closing Agent the following: 6.4.1 All funds required to be paid by Buyer under this Agreement, in cash. 6.4.2 A Closing Statement in form and content reasonably satisfactory to the parties. 6.4.3 A Real Estate Excise Tax Affidavit executed by the Buyer in the form required by law. 6.4.4 Any other documents necessary to effect the transaction contemplated in this Agreement. Parcel No. 102305-9081-09 Page 3 of 13 6.5 Closing Obligations of Seller: At Closing, Seller shall deliver to Escrow Agent the following duly executed and acknowledged documents (where appropriate): 6.5.1 The Easement, Wall Easement, and TCE required under Paragraph 2.1 of this Agreement. 6.5.2 A Closing Statement in form and content reasonably satisfactory to the parties. 6.5.3 A FIRPTA certification. 6.5.4 A Real Estate Excise Tax Affidavit executed by Seller in the form required by law. 6.5.5 Any other documents necessary to effect the transaction contemplated in this Agreement. 7. NOTICES: All notices, demands, consents, approvals and other communications which are required or desired to be given by either party to the other under this Agreement shall be in writing and shall be hand delivered or sent by United States regular mail, postage prepaid, return receipt requested, or by email transmission, addressed to the appropriate party at its address set forth below,or at such other address as such party shall have last designated by notice to the other. Notices, demands, consents, approvals, and other communications shall be deemed given when delivered, or three days after mailing, or on the day that an email transmission is received,to or at the following addresses: TO SELLER: TO BUYER: Robert E. Fricks et al City of Renton 1621 Camas Ave NE Public Works Department Renton, WA 98056 Attn: Flora Lee 425-235-0336 1055 South Grady Way Renton, WA 98057 Telephone: (425)430-4303 Email: FLee@Rentonwa.gov 8. GENERAL: This is the entire agreement of the Buyer and Seller with respect to the Easement and supersedes all prior or contemporaneous agreements between them, written or oral. This Agreement may be modified only in writing, signed by Buyer and Seller. Any waivers under this Agreement must be in writing. A waiver of any right or remedy in the event of a default will not constitute a waiver of such right or remedy in the event of any subsequent default. This Agreement is for the benefit of, and binding upon, Buyer and Seller and their heirs, personal representatives,successors and assigns. The invalidity or unenforceability of any provision of this Agreement will not affect the validity or enforceability of any other provision. Time is of the essence in this Agreement. This Agreement may be executed in one or more counterparts, each of which will be considered an original instrument and all of which together will be considered the same agreement. Parcel No. 102305-9081-09 Page 4 of 13 9. WASTE; ALTERATION OF EASEMENT: Seller shall not commit waste on the Easement Areas;nor shall Seller remove trees or other vegetation, coal,minerals or other valuable materials nor shall Seller substantially alter the surface or subsurface of the Easement Areas without the express written consent of Buyer. 10. SURVIVAL OF WARRANTIES: The terms, covenants,representations and warranties shall not merge in the deed of conveyance,but shall survive closing. 11. TERMINATION OF OFFER: This offer shall terminate if not accepted by Seller on or before 12. EFFECTIVE DATE: The Effective Date is the date of the last Parties' signature below. Signed in duplicate original. BUYER: City of Renton, a municipal Corporation By: Its Date SELLER: e.? Fricks Robert E. Fricks r. resa L. George R2))1 onald E. Fricks Raym . Fecks 'chard E. Fricks Dated Parcel No. 102305-9081-09 Page 5 of 13 9. WASTE; ALTERATION OF EASEMENT: Seller shall not commit waste on the Easement Areas,nor shall Seller remove trees or other vegetation,coal,minerals or other valuable materials nor shall Seller substantially alter the surface or subsurface of the Easement Areas without the express written consent of Buyer. 10. SURVIVAL OF WARRANTIES: The terms, covenants, representations and warranties shall not merge in the deed of conveyance,but shall survive closing. 11. TERMINATION OF OFFER: This offer shall terminate if not accepted by Seller on or before 12. EFFECTIVE DATE: The Effective Date is the date of the last Parties' signature below. Signed in duplicate original. BUYER: City of Renton, a municipal Corporation By: Its Date SELLER: Robert E. Fricks Robert E. Fricks Jr. Teresa L. George Ilona E.Fric c_ Ra mo . ecks Richard E. Fricks Dated Parcel No. 102305-9081-09 Page 5 of 13 EXHIBITS: Exhibit A, Property Legal Description Exhibit B, Right of Way Easement Legal Description Exhibit C, Temporary Construction Easement Depiction Exhibit D, Permitted Exceptions Parcel No. 102305-9081-09 Page 6 of 13 STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Robert E.Fricks,to me known to be the individual(s)described in and who executed the within and foregoing instrument, and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this ,/ day of V ,20 (SEAL) t ryPu ic NSA D,0++ amp r-- ad/S ,,,, � Prmte ame 132696.ihi,(r 14 NOTARY Residing at /fieredalid �, ,o�PUBL(k '�s My appointment expires /a/�193 I`9�h,,XPIRES�4�'�A +t k WASH;4 STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Robert E. Fricks Jr., to me known to be the individual(s) described in and who executed the within and foregoing instrument, and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this 12. day of ,20 (S&4i1130""•%11. \,,‘,1A..0,9��+► N to ic Gj_:'V32695'h ���(P +4� SdU a sir NOTARY Printed Name pUBL1G ti' Residing at ,6 .. IIItil , ``RES,,,,, d My appointment expires /01-/910 I ik WAS\` •• Parcel No. 102305-9081-09 Page 7 of 13 STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Teresa L.George,to me known to be the individual(s)described in and who executed the within and foregoing instrument, and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this day of Q 20 O. (SEA=)0,NsA%`. 111F NJA D�A"► I--1, ��L' blic i� �O`'•1326gS 1,vo�l OvA DUwS f NOTARY '', Printe ame i —•••.— j u�°'�,CC; PUBLIC, ,�= i Residing at /�,k/ �G q 4. Iaj 9 I EXPIRES‘'1:4r 0=.' 1 , F,••••••• ,, . a My appointment expires l /�/ - STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Ronald E.Fricks,to me known to be the individual(s)described in and who executed the within and foregoing instrument, and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this O day of Mall ,20 . (S,Aisr •"‘‘ !� / A 1 , t P c c'J �••, • 32695I*Ih(31 460 � aff NOTAR B. LJ 2J 1 a.Ws Printed Name %%PUBLIGo ,eirkla ' Residingat I� FXPI RES��'� As a: , A� IA� \� .:� My appointment expires / � 3 1,1,`WASH — Parcel No. 102305-9081-09 Page 8 of 13 C STATE OF ss. COUNTY OF it-INQL On this day personally appeared before me Raymond E. Fricks, to me known to be the individual(' described in and who executed the within and foregoing instrument, and acknowledged that he/slreAley.signed the same as his/tier/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this 'L�day of ``-ka-t-z 1 ,20�. 1/4-k (SEAL) U Notary P lic 6•�` :> MIKE LEE P nted Name m ` , COMM...2165192 A �� 1-.1�,Off- q�s3 F "„",90 NOTARY PUBLIC•CALIFORNIA —I Residing at ?.1:P't2. A401\4 U '" �,°l�' ORANGE COUNTY Id CA- 2 r 2 pw. My Term.Exp.=._October 17,2020 My appointment expires VO(\ i'3 ).-0. STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Richard E.Fri s,to me known to be the individual(s)described in and who executed the within and foregoing instrument, and .cknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses ands rposes therein mentioned. DATED this day of ,20 . (SEAL) Notary Public Printed Name Residing at My appointment expires / Parcel No. 102305-9081-09 Page 9 of 13 STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me 'aymond E. Fricks, to me known to be the individual(s) described in and who executed the within and fore:,•ing instrument, and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and de-d,for the uses and purposes therein mentioned. DATED this day of ,20 . (SEAL) Notary Public Printed Name Residing at My appointment expires STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Richard E.Fricks,to me known to be the individual(s)described in and who executed the within and foregoing instrument, and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this /6—day of M ,20 Z4. (SEAL) / / 1 ��"\ r"` of ry lic aVoto C� O'�32695,,, tr 6p ce4JA U v/S NOT�y PrintedName i 4 pUBL�f ry Residing at �rkl � 04, �)� iXPIRES���' �✓ My appointment expires /a/2.Q/9.3 °k pF WASN,, Parcel No. 102305-9081-09 Page 9 of 13 EXHIBIT "A" PROPERTY LEGAL DESCRIPTION EXHIBIT A PROPERTY DESCRIPTION NW 1/4 OF SEC. 10, T. 23 N., R. 05 E., W.M. CITY OF RENTON, KING COUNTY, WA (PER QUIT CLAIM DEED, RECORDED UNDER AUDITOR'S FILE NO. 20081215000432) THE NORTH 275 FEET OF THE WEST HALF OF THE EAST HALF OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER IN SECTION 10, TOWNSHIP 23 NORTH, RANGE 5 EAST, W.M. SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON. `rrrp iwwwuirwwww./ S S�Sw.S w.���qry • KE WAs4,,/ '1,7 r t 46889 v AS) FsZ. s'NALS LAN0 �P, i ',4�� q-g-2OZO Parcel No. 102305-9081-09 Page 10 of 13 EXHIBIT "B" RIGHT OF WAY EASEMENT LEGAL DESCRIPTION EXHIBIT B PERMANENT EASEMENT DESCRIPTION NW 1/4 OF SEC. 10, T. 23 N., R. 05 E., W.M. CITY OF RENTON, KING COUNTY, WA A PORTION OF THAT PROPERTY DESCRIBED IN QUIT CLAIM DEED, RECORDED UNDER AUDITOR'S FILE NO. 20081215000432, KING COUNTY RECORDS, SAID PORTION BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID PROPERTY, ALSO BEING THE EASTERLY RIGHT-OF-WAY LINE OF DUVALL AVENUE NORTHEAST; THENCE SOUTH 00'00'52" WEST 47.96 FEET ALONG SAID RIGHT-OF-WAY LINE TO THE TRUE POINT OF BEGINNING; THENCE SOUTH 89'59'08" EAST 5.00 FEET; THENCE SOUTH 00'00'52" WEST 30.50 FEET; THENCE NORTH 89'59'08" WEST 5.00 FEET TO SAID RIGHT-OF-WAY LINE; THENCE NORTH 00'00'52" EAST 30.50 FEET ALONG SAID RIGHT-OF-WAY LINE TO THE TRUE POINT OF BEGINNING; TOGETHER WITH A PORTION OF SAID PROPERTY BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID PROPERTY, ALSO BEING THE EASTERLY RIGHT-OF-WAY LINE OF DUVALL AVENUE NORTHEAST; THENCE SOUTH 00'00'52" WEST 214.46 FEET ALONG SAID RIGHT-OF-WAY LINE TO THE TRUE POINT OF BEGINNING; THENCE SOUTH 89'59'08" EAST 5.00 FEET; THENCE SOUTH 00'00'52" WEST 23.00 FEET; THENCE NORTH 89'59'08" WEST 5.00 FEET TO SAID RIGHT-OF-WAY LINE; THENCE NORTH 00'00'52" EAST 23.00 FEET ALONG SAID RIGHT-OF-WAY LINE TO THE TRUE POINT OF BEGINNING. CONTAINING 268 SQUARE FEET, MORE OR LESS. `ill/NrNriH n N/N. i�H.ti...�wvql M• j<E 489 Ss IS T I1TZ4I Parcel No. 102305-9081-09 Page 11 of 13 EXHIBIT "C" TEMPORARY CONSTRUCTION EASEMENT DEPICTION EXHIBIT C TEMPORARY CONSTRUCTION EASEMENT NW 114 OF SEC. 10, T. 23 N., R. 05 E., W.M. CITY OF RENTON, KING COUNTY, WA T.P.O.B. S88'37'32'E _ / __5.00' _ NE 12th ST(PRIVATE) _ S00 00'S2' 1 NO0 00'52"E I 0 42.84' i 47.96' / S89'59'08"E 5.00' I N89'59'OS"W lig 1 5.00' I " 1----40.50S00'00'S2'W N00'0O'52 E '30.50' � S89'59'08"E 04 5.00' N89'59'0B"W 5.00' R CKS ROBERT E SR LLIZ Or 1160 DUVALL AVE NE 98059 �� LU N00'00'52'E Q136.00' d pt p I a D S44'59'08'EN89'59'08'W 23.33' I 5.00' ,� S00'00'521W *_-H 'NO0'052'E ii . S89'59'087 11 5.00' 1 S45'00'521WAI 23.33' N00'00'52'E 4 ►' 0 N 50' TOTAL AREA 40.33' II s00 0o'S21Y G — 21.92' v.=50' 2,042 SQ. FT. NB9'00'27'W Parametrix LEGEND i o M• KEM of WA$ 4' G � T.P.0.B. TRUE POINT OF BEGINNING e �r�k. Q Nc ,,v-, /�/�// // ///� /� EASEMENT CONSTRUCTION .I ':� -° . to EXISTING RIGHT OF WAY UNE a P 6889 �o� —- - - CENTERUNE p-'Fss1'4'GISTt0 sic. 1 —-- - -—--— PROPERTY UNE ioNA I. LAND ( APN XXXXXXXXXXX ) KING COUNTY TAX PARCEL NUMBER -B-ZoZo Parcel No. 102305-9081-09 Page 12 of 13 EXHIBIT "D" PERMITTED EXCEPTIONS/TITLE REPORT 1. Subject to: Electric transmission and/or distribution Easement to Chicago,Milwaukee& St. Paul Railway Company, under the recoding no. 1254827 2. Subject to: Road Easement,under the recording no. 3244268 3. Subject to: Right to make necessary slopes, cuts, or fill,to King County,under the recording no. 6387727 4. Subject to: Temporary water services agreement with the City of Renton,under the recoding no. 8508081021 5. Subject to: Landscape buffer agreement with Interstate Mobilephone Company, dba Cellular One, under the recording no. 8508081021 6. Subject to: Easement for vehicular and pedestrian ingress and egress,and utilities to GTE, Wireless of the Pacific Incorporated,under the recording no.20000614000639 7. Subject to: Easement,right of access and to install and maintain utilities,to Seattle SMSA Limited Partnership dba Verizon wireless,under the recording no. 20141219000095 8. Subject to: Covenants, conditions,restrictions,recitals,reservation, easement provisions,dedications, building setback lines,notes, statements, location of improvements in relation to property boundaries and other matters, if any set forth in a recorded survey under the recording no. 9707259002 9. Subject to: Covenants,conditions,restrictions,recitals,reservation,easement,easement provisions, dedications,building setback lines,notes, statements, locations of improvements in relation to property boundaries and other matters, if any and set forth in a recorded survey under the recording no. 9804159002 10. Subject to: notice of possible(present or future)tap or connection charges levied by the City of Renton. 11. Subject to: General taxes(Easement Acquisition only.) 12. Subject to:Unrecorded lease with Interstate Mobilephone Company dba Cellular One,recorded under the rerecording no. 9403170694, amended under the recording no.20141219000622 13. Subject to: Unrecorded lease with OneComm Corporation, dba Nextel Communications, under the recording no. 9702261309, assignment of lease to Tower Parent Corp., under the recording no. 20020920000742,assignment of lease to Tower Asset Sub,Inc, under the recording no. 20020920000743,agreement to amend or modify to American Tower Asset Sub,LLC,under the recording no. 20080529001975,assignment of lease to American Tower Asset Sub,LLC,under the recording no. 20091020002088,deed of trust,assignment of leases and rent under the recording no. 20091020002098,assignment of beneficial interest under the recording no.20110527001443, 20110527001444,and 20110527001445, follow by UCC filing under the recording no. 20091020002099 14. Subject to: Unrecorded lease with GTE Wireless of the Pacific Incorporated,under the recording no. 20000614000638,assignment of lease under the recording no. 20020524000346,assignment of lease interest under the recording no. 20020524000347 15. Subject to: Unrecorded lease with Seattle SMSA LP dba Verizon Wireless,under the recording no. 20141219000095 Parcel No. 102305-9081-09 Page 13 of 13 REAL PROPERTY VOUCHER AGREEMENT AGENCY NAME I hereby agree to the terms and conditions listed below and City of Renton hereby certify under penalty of perjury that the items and amounts listed herein are proper charges,that the same or Renton City Hall any part thereof has not been paid,and that I am 1055 S. Grady Way authorized to sign for the Claimant: Renton,WA 98057 (Sign in Ink) Phone: (425 430-6400 GRANTOR or CLAIMANT Byt IAtha' ' Robert E. Fricks. et al Owner/Authorized Representative 1621 Camas Ave NE Date: Renton, WA 98056 Re: City of Renton-Duvall Avenue NE TAX PARCEL NUMBER: 102305-9081-09 PROJECT PARCEL NUMBER: 12 In Full,Complete and Final Payment and Settlement for the Title or Interest Conveyed or Released,as Fully Set For h in Attached Documents: AMOUNT ROW Easement Dated: For All Lands Convey: +$00.00 ROW Utility Easement: 268 SF @$20.00 50% +$2,680.00 Easement: TCE 2,042 SF @ $20.00 @ 16% +$6,534.40 For All Damages: 1 Tree within the Easement area +$ 1,000.00 Less Special Benefits: Statutory Evaluation Allowance JUST COMPENSATION $ 10,300.00 (R) Legal/Administrative: +$ Other Items: Deductions: FINAL SETTLEMENT $ 10,300.00 SUBTOTAL $ 10,300.00 TOTAL AMOUNT TO BE PAID: $ 10,300.00 Right-of-Way Agent: Sonja Davis By. 6—/th Date The City of Renton agrees to the terms and conditions listed above. By: Date Request for Taxpayer Give Form to the Form (Rev.October 2018) Identification Number and Certification requester.Do not Department of the Treasury send to the IRS. Internal Reve Service ►Go to www.irs.gov/FormW9 for instructions and the latest information. 1 a e(as shown on your incom eturn).Name is required on this line;do not leave this line blank. 2-Bus e riame/ isr a ed entity name,if different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Exemptions(codes apply only to ro following seven boxes. certain entities,not individuals;see a instructions on page 3): p Individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑Trust/estate ai single-member LLC Exempt payee code(if any) 0.3 ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)► o ;? Note:Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting in LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is ( y) 'C E another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that code if an a. v is disregarded from the owner should check the appropriate box for the tax classification of its owner. • ❑ Other(see instructions)► (Applies to accounts maintained outside the U.S.) co• 5 / idress(numberAtreetk 4nd apt.or quite no.)See instructions. Requester's name and address(optional) co 6 C ,stat\ d ZIP code ^_ y J 7 List account numbe s)here(optional) h`y1Q Part I Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number backup withholding.For individuals,this is generally your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other5 5 - - C entities,it is your employer identification number(EIN). If you do not have a number,see How to get a J TIN,later. or Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter. Part II Certification Under penalties of perjury,I certify that: 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3.I am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report Ir rest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, acquisition or abando ent of ecured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest d dividend ,you are not quired t.'es]the certification,but you must pro • your correct TIN.See the instructions for Part II,later. Her Sign ure of �� Here u.s.p on Date► ( lY General Instructions •Form 1099-DIV(dividends,including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise •Form 1099-MISC(various types of income,prizes,awards,or gross noted. proceeds) Future developments.For the latest information about developments •Form 1099-B(stock or mutual fund sales and certain other related to Form W-9 and its instructions,such as legislation enacted transactions by brokers) after they were published,go to www.irs.gov/FormW9. •Form 1099-S(proceeds from real estate transactions) Purpose of Form •Form 1099-K(merchant card and third party network transactions) An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest), 1098-E(student loan interest), information return with the IRS must obtain your correct taxpayer 1098-T(tuition) identification number(TIN)which may be your social security number •Form 1099-C(canceled debt) (SSN),individual taxpayer identification number(ITIN),adoption •Form 1099-A(acquisition or abandonment of secured property) taxpayer identification number(ATIN),or employer identification number (EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident amount reportable on an information return.Examples of information alien),to provide your correct TIN. returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might •Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding, later. Cat.No.10231X Form W-9(Rev.10-2018) Vendor Setup Form Y / City of Renton—ASD/Finance 1055 South GradyWay5th Floor I _4 r � Renton, WA 98057 A ; www.rentonwa.gov . N T O�' Instructions:Complete all sections of this form and return this form by fax(425)430-6957,U.S.Mail or email. r Failure to submit a W-9 can create a delay in our payments to you,and your payment(s)could be subject to the IRS required back up withholding Vendor Information Roe\ Fsi C—AS5 Name EIN Check Payable to if different than above Accounts Receivable Contact Address Accounts Receivable Phone Number At—OQcArY-‘ US-Pc �/Y'� Please Provide a Current W-9 form City State Zip https://www.irs.gov/pub/irs-pdf/fw9.pdf Business Information Please check all that apply: City of Renton Business license is required by City of ❑ Disadvantaged Business Enterprise Renton municipal code, Business regulation#5-5-3. ❑ Minority Business Enterprise ❑ Women Business Enterprise Renton Business license# Who is your contact person at the City of Renton? Flora Lee / 425-430-7303 State of Washington UBI # Questions?Contact Business Licensing at City of Renton Department you are working with? https://rentonwa.gov/businesslicensing Public Works Department Electronic Funds Transfer Account# 6 0, (-3 '2_0 a\b Routing# 3 2,5 oq 1 '10 Please attach a voided check or direct deposit letter from your bank I/we hereby give the City of Renton the authority to make EFT direct deposits to the bank account described above.I/we understand that if this EFT a e nt is to be changed or canceled in any way that I/we must provide 30 day advance written notice to the City of Renton at the above dress 04B ao CZ, c� Signature Printed Name Date Finance Accounts Payable Team Natalie Wissbrod,Accounting Asst. Casaundra Commodore,Accounting Asst. Jen Becht, Finance Supervisor (425)430-6919 (425)430-6930 (425)430-6935 nwissbrod@rentonwa.gov ccommodore@rentonwa.gov jbecht@rentonwa.gov W-9Request for Taxpayer Give Form to the Form (Rev.October 2018) Identification Number and Certification requester.Do not Department of the Treasury send to the IRS. Internal Revenue Service ►Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank. rk._ L— - 6)e.0 r �- 2 usiness name/disregarded entity name,if different from auove M 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Exemptions(codes apply only to 0 following seven boxes. certain entities,not individuals;see instructions on page 3): p Individual/sole proprietor or ❑ C Corporation ❑ S Corporation CI Partnership CI Trust/estate rn ingle-member LLC Exempt payee code(if any) ci c 4.• 15 ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)► p 2 Note:Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting ▪ i• n LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is code(if any) 'C u another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC thatO. is disregarded from the owner should check the appropriate box for the tax classification of its owner. O7 ❑ Other(see instructions)► (Applies to accounts maintained outside the U.S.) In 5 Address(number,street,and apt.or suite no.)Seg instructions. Requester's name and address(optional) cn 6 City,state,and ZIP code 9s c))______3 7 List account number(s)here(optional) IMMIL Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number backup withholding.For individuals,this is generally your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other ", 2 - / - -7 entities,it is your employer identification number(EIN). If you do not have a number,see How to get a > tv l TIN,later. or Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter. Part II Certification Under penalties of perjury,I certify that: 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3.I am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the certification,but you must provide your correct TIN.See the instructions for Part II,later. Sign Signature of - // Here U.S.person► ��",0 C&- (V�� 1�. Date► J/ e;2-(3 C) General Instructions `-' •Form 1099-DIV(dividends,including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise •Form 1099-MISC(various types of income,prizes,awards,or gross noted. proceeds) Future developments.For the latest information about developments •Form 1099-B(stock or mutual fund sales and certain other related to Form W-9 and its instructions,such as legislation enacted transactions by brokers) after they were published,go to www.irs.gov/FormW9. •Form 1099-S(proceeds from real estate transactions) Purpose of Form •Form 1099-K(merchant card and third party network transactions) An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest), 1098-E(student loan interest), information return with the IRS must obtain your correct taxpayer 1098-T(tuition) identification number(TIN)which may be your social security number •Form 1099-C(canceled debt) (SSN),individual taxpayer identification number(ITIN),adoption •Form 1099-A(acquisition or abandonment of secured property) taxpayer identification number(ATIN),or employer identification number (EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident amount reportable on an information return.Examples of information alien),to provide your correct TIN. returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might •Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding, later. Cat.No.10231X Form W-9(Rev.10-2018) Vendor Setup Form Y L\ ofi City of Renton—ASD/Finance of 1055 South Grady Way—5th Floor { Renton,WA 98057 I 145L`';Ay• r www.rentonwa.gov Instructions:Complete all sections of this form and return this form by fax(425)430-6957,U.S.Mail or email. N_T - Failure to submit a W-9 can create a delay in our payments to you,and your payment(s)could be subject to the IRS required back up withholding Vendor Information 63Te CA &: rq 6 Name EIN Check Payable to if different than above Accounts Receivable Contact -31 W v L3 '' Sr Andress Accounts Receivable Phone Number cis 0 efiia l W M �` + � � Please Provide a Current W-9 form City ate Zip https://www.irs.gov/pub/irs-pdf/fw9.pdf Business Information Please check all that apply: City of Renton Business license is required by City of ❑ Disadvantaged Business Enterprise Renton municipal code, Business regulation#5-5-3. ❑ Minority Business Enterprise ❑ Women Business Enterprise Renton Business license# Who is your contact person at the City of Renton? Flora Lee / 425-430-7303 State of Washington UBI# Questions?Contact Business Licensing at City of Renton Department you are working with? https://rentonwa.gov/businesslicensing Public Works Department Electronic Funds Transfer Account# H O o� l3c A Routing# /Z 0 00 Please attach a voided check or direct deposit letter from your bank I/we hereby give the City of Renton the authority to make EFT direct deposits to the bank account described above.I/we understand that if this EFT agreement is to be changed or canceled in any way that I/we must provide 30 day advance written notice to the City of Renton at the above address. Signature Printed Name Date Finance Accounts Payable Team Natalie Wissbrod,Accounting Asst. Casaundra Commodore,Accounting Asst. Jen Becht, Finance Supervisor (425)430-6919 (425)430-6930 (425)430-6935 nwissbrod@rentonwa.gov ccommodore@rentonwa.gov ibecht@rentonwa.gov Request for Taxpayer Give Form to the Form (Rev.October 2018) Identification Number and Certification requester.Do not Department of the Treasury send to the IRS. Internal Revenue Service ►Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name(as shown on your income tax return).Name is required on this line;do not leave this line blank. ,'?o 4=V4s f , Fr/c>/c,s- 2 Business name/disregarded entity name,if different from above co 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Exemptions(codes apply only to m following seven boxes. certain entities,not individuals;see a instructions on page 3): Individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑Trust/estate single-member LLC Exempt payee code(if any) ao ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)► `o 2 Note:Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting m LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is code(if any) a c another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that Y is disregarded from the owner should check the appropriate box for the tax classification of its owner. y ❑ Other(see instructions)► (Applies to accounts maintained outside the U.S.) fn 5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optional) 62 It S' /G 6 City,state,and ZIP code 7 List account e s ere(optional) Part I Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number backup withholding.For individuals,this is generally your social security number(SSN).However,for a u resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other 7 — 4. -D ,7 ! 5 entities,it is your employer identification number(EIN).If you do not have a number,see How to get a TIN, later. or Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter. Part II Certification Under penalties of perjury,I certify that: 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3.I am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, acquisition or abandonment of secured property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,/you are not required to sign the certification,but you must provide your correct TIN.See the instructions for Part II,later. Sign Signature of /`7� ,' — ///J / Here U.S.person► v t 1�y7 7(1I/Cy�/ Date I. c f/ /3 General Instructions 6 •Form 1099-DIV(dividends,including those from"stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise •Form 1099-MISC(various types of income,prizes,awards,or gross noted. proceeds) Future developments.For the latest information about developments •Form 1099-B(stock or mutual fund sales and certain other related to Form W-9 and its instructions,such as legislation enacted transactions by brokers) after they were published,go to www.irs.gov/FormW9. •Form 1099-S(proceeds from real estate transactions) Purpose of Form •Form 1099-K(merchant card and third party network transactions) An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest), 1098-E(student loan interest), information return with the IRS must obtain your correct taxpayer 1098-T(tuition) identification number(TIN)which may be your social security number •Form 1099-C(canceled debt) (SSN),individual taxpayer identification number(ITIN),adoption •Form 1099-A(acquisition or abandonment of secured property) taxpayer identification number(ATIN),or employer identification number (EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident amount reportable on an information return.Examples of information alien),to provide your correct TIN. returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might •Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding, later. Cat.No.10231X Form W-9(Rev.10-2018) Vendor Setup Form ,r Y- City of Renton—ASD/Finance f 1 1055 South Grady Way—5th Floor ♦ iq:'° ' + i Renton, WA 98057 www.rentonwa.gov Instructions:Complete all sections of this form and return this form by fax(425)430-6957,U.S.Mail or email. Failure to submit a W-9 can create a delay in our payments to you,and your payment(s)could be subject to the IRS required back up withholding Vendor Information e glO bet4 Name EIN Check Payable to if different than above Accounts Receivable Contact /62/ (',tsar Axe_ MJ . Address �/_ Accounts Receivable Phone Number "/74,i) L)1/ ?g�✓J f� Please Provide a Current W-9 form City State Zip https://www.irs.gov/pub/irs-pdf/fw9.pdf Business Information Please check all that apply: City of Renton Business license is required by City of ❑ Disadvantaged Business Enterprise Renton municipal code, Business regulation#5-5-3. ❑ Minority Business Enterprise ❑ Women Business Enterprise Renton Business license# Who is your contact person at the City of Renton? Flora Lee / 425-430-7303 State of Washington UBI # Questions?Contact Business Licensing at City of Renton Department you are working with? https://rentonwa.gov/businesslicensing Public Works Department Electronic Funds Transfer Account# 32 5DrZ z(o , Routing# D 00 (, Please attach a voided check or direct deposit letter from your bank I/we hereby give the City of Renton the authority to make EFT direct deposits to the bank account described above.I/we understand that if this EFT agreement is to be changed or canceled in any way that I/we must provide 30 day advance written notice to the City of Renton at the above address. CA9 Signature Printed Name Date Finance Accounts Payable Team Natalie Wissbrod,Accounting Asst. Casaundra Commodore,Accounting Asst. Jen Becht, Finance Supervisor (425)430-6919 (425)430-6930 (425)430-6935 nwissbrod@rentonwa.gov ccommodore@rentonwa.gov jbecht@rentonwa.gov Request for Taxpayer Give Form to the Form (Rev.October2018) Identification Number and Certification requester.Do not Department of the Treasury send to the IRS. Internal Revenue Servi - ►Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name(.s s own. your income tax return). m is required on is line;do not leave this line blank. 2 Busine n. e/disregarded entity nam i different from above M 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Exemptions(codes apply only to a) m following seven boxes. certain entities,not individuals;see a instructions on page 3): p Individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate w single-member LLC Exempt payee code(if any) ai c v ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)► p r2 Note:Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting +' rn LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is ( y) E another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that code if an D. ° is disregarded from the owner should check the appropriate box for the tax classification of its owner. ft ❑ Other(see instructions)I. (Applies to accounts maintained outside the U.S.) to 5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optional) / /_?srl sr4 02/2m c.v 6 ity,st to-d ZIP bode (4 f 7 List a count number(s)here(optional) • Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number backup withholding.For individuals,this is generally your social security number(SSN).However,for a ^� _W _���� resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other S entities,it is your employer identification number(EIN).If you do not have a number,see How to get a 1/ / TIN,later. or Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter. Part II Certification Under penalties of perjury,I certify that: 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3.I am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to repo ividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, acquisition or abandon ent of secured r erty,cancella' n of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you e t required gn he ce ification,but you must provide your correct TIN.See the instructions for Part II,later. Sign Signature of ^ /� Here U.S.person I, [ Date► -,/2 �(/2 General Instructions •Form 1099-DIV(dividends,including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise •Form 1099-MISC(various types of income,prizes,awards,or gross noted. proceeds) Future developments.For the latest information about developments •Form 1099-B(stock or mutual fund sales and certain other related to Form W-9 and its instructions,such as legislation enacted transactions by brokers) after they were published,go to www.irs.gov/FormW9. •Form 1099-S(proceeds from real estate transactions) Purpose of Form •Form 1099-K(merchant card and third party network transactions) An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest),1098-E(student loan interest), information return with the IRS must obtain your correct taxpayer 1098-T(tuition) identification number(TIN)which may be your social security number •Form 1099-C(canceled debt) (SSN),individual taxpayer identification number(ITIN),adoption •Form 1099-A(acquisition or abandonment of secured property) taxpayer identification number(ATIN),or employer identification number (EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident amount reportable on an information return.Examples of information alien),to provide your correct TIN. returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might •Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding, later. Cat.No.10231X Form W-9(Rev.10-2018) Vendor Setup Form y City of Renton—ASD/Finance 1055 South Grady Way—5m Floor i i* 9 Renton, WA 98057 Li \,\> www.rentonwa.gov '�N• N T � Instructions:Complete all sections of this form and return this form by fax(425)430-6957,U.S.Mail or email. Failure to submit a W-9 can create a delay in our payments to you,and your payment(s)could be subject to the IRS required back up withholding Vendor inft rmation Name EIN Check Payable to if different than above Accounts Receivable Contact I3S7 2/2 LA/ (A3 Address Accounts Receivable Phone Number W , Please Provide a Current W-9 form Ci y State Zip https://www.irs.gov/pub/irs-pdf/fw9.pdf Business Information Please check all that apply: City of Renton Business license is required by City of El Disadvantaged Business Enterprise Renton municipal code, Business regulation#5-5-3. ❑ Minority Business Enterprise D Women Business Enterprise Renton Business license# Who is your contact person at the City of Renton? Flora Lee / 425-430-7303 State of Washington UBI# Questions?Contact Business Licensing at City of Renton Department you are working with? https://rentonwa.gov/businesslicensing Public Works Department Electronic Funds Transfer Account# 533/L c �j ?Z (P Routing# 12560 61,511 I Please attach a voided check or direct deposit letter from your bank I/we hereby give the City of Renton the authority to make EFT direct deposits to the bank account described above.I/we understand that if this EFT agre is o e nged or cancel d in any way that I/we must provide 30 day advance written notice to the City of Renton at the above ad ress. /�) �12„2/ Signatur Printed Name Date Finance Accounts Payable Team Natalie Wissbrod,Accounting Asst. Casaundra Commodore,Accounting Asst. Jen Becht, Finance Supervisor (425)430-6919 (425)430-6930 (425)430-6935 nwissbrod@rentonwa.gov ccommodore@rentonwa.gov jbecht@rentonwa.gov Request for Taxpayer Give Form to the Form (Rev.October 2018) Identification Number and Certification requester.Do not Department of the Treasury send to the IRS. Internal Revenue Service ►Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Na (as shown on your income tax return).Name is required on this line;do not leave this line blank. . C(-4 0 C c,K S 2 Bus ess name/disregarded entity name,if different from above M 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Exemptions(codes apply only to a) cr following seven boxes. certain entities,not individuals;see as a L71 instructions on page 3): p ndividual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑Trust/estate c single-member LLC Exempt payee code(if any) ao ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)► p ._2 Note:Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting H LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that code(if any) O. v is disregarded from the owner should check the appropriate box for the tax classification of its owner. 2 ❑ Other(see instructions)► (Applies to accounts maintained outside the U.S.) y 5 Address(number,street,and apt.or suite no.) ee instruction Requester's name and address(optional) I� ( 3'E L.K I--)%Y\ (2 6 City state,and ZIP code / ��Vt t J (jJ IeYeOL\2 7 List account number(s)here(optional) Part I Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number backup withholding.For individuals,this is generally your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other 5 - LA - 4 a / 0 entities,it is your employer identification number(EIN).If you do not have a number,see How to get a TIN,later. or Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter. Part II Certification Under penalties of perjury,I certify that: 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3.I am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross :' item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and• '.ends o your t turn or r al estate transactions,item 2 does not apply.For mortgage interest paid, acquisition or abandonment of secur-• p .pery, cell ion f t,c tributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,yo• . e not r 'ed o si ication,but you must provide your correct TIN.See t e instructions for Part II,later. Sign Signature of Here U.S.person► ' .st."---/(.4 Date► ; / (fa _s-A General Instr tions •Form 1099-DIV(dividends,including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise •Form 1099-MISC(various types of income,prizes,awards,or gross noted. proceeds) Future developments.For the latest information about developments •Form 1099-B(stock or mutual fund sales and certain other related to Form W-9 and its instructions,such as legislation enacted transactions by brokers) after they were published,go to www.irs.gov/FormW9. •Form 1099-S(proceeds from real estate transactions) Purpose of Form •Form 1099-K(merchant card and third party network transactions) An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest), 1098-E(student loan interest), information return with the IRS must obtain your correct taxpayer 1098-T(tuition) identification number(TIN)which may be your social security number •Form 1099-C(canceled debt) (SSN),individual taxpayer identification number(ITIN),adoption •Form 1099-A(acquisition or abandonment of secured property) taxpayer identification number(ATIN),or employer identification number (EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident amount reportable on an information return.Examples of information alien),to provide your correct TIN. returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might •Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding, later. Cat.No.10231X Form W-9(Rev.10-2018) Vendor Setup Form City of Renton—ASD/Finance t —�•.� 1055 South Grady Way—5th Floor r + , ? + 1 Renton, WA 98057 11,U vv' \> www.rentonwa.gov NTH Instructions:Complete all sections of this form and return this form by fax(425)430-6957,U.S.Mail or email. Failure to submit a W-9 can create a delay in our payments to you,and your payment(s)could be subject to the IRS required back up withholding Vendor Information Name EIN Check Payable to if different than above Accounts Receivable Contact x / ©� SF LK I� Address r I Accounts Receivable Phone Number ?e 2 Please Provide a Current W-9 form City State Zip https://www.irs.gov/pub/irs-pdf/fw9.pdf Business Information Please check all that apply: City of Renton Business license is required by City of ❑ Disadvantaged Business Enterprise Renton municipal code, Business regulation#5-5-3. ❑ Minority Business Enterprise ❑ Women Business Enterprise Renton Business license# Who is your contact person at the City of Renton? Flora Lee / 425-430-7303 State of Washington UBI# Questions?Contact Business Licensing at City of Renton Department you are working with? https://rentonwa.gov/businesslicensing Public Works Department Electronic Funds Transfer —Dal) Account# 3© Routing#/ —Dal) y Please attach a voided check or direct deposit letter from your bank I/we hereb ;roe the City ton the authority to make EFT direct deposits to the bank account described above.I/we understand that if this EFT agreeme s to be cha j, . canceled in any way that I/we must provide 30 day advance written notice to the City of Renton at the above addres• / J _ _ / Si:nature Printed Name Da Finance Accounts Payable Team Natalie Wissbrod,Accounting Asst. Casaundra Commodore,Accounting Asst. Jen Becht, Finance Supervisor (425)430-6919 (425)430-6930 (425)430-6935 nissbrod@rentonwa.gov ccommodore@rentonwa.gov jbecht@rentonwa.gov W-9Request for Taxpayer Give Form to the Form (Rev.October 2018) Identification Number and Certification requester.Do not Department of the Treasury send to the IRS. Internal Revenue Service ►Go to www.irs.gov/FormW9 for instructions and the latest information. 1 Name s shown on Your income tax return).Name is required on this line;do not leave this line blank. 2. 2 Business name/disregarded entity name,if different from above M 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1.Check only one of the 4 Exemptions(codes apply only to a) c following seven boxes. certain entities,not individuals;see as a instructions on page 3): o Individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate ai Ingle-member LLC Exempt payee code(if any) 0.u ❑ Limited liability company.Enter the tax classification(C=C corporation,S=S corporation,P=Partnership)► `p w2 Note:Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check Exemption from FATCA reporting +' H LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is 'C c ( y) codeif an another LLC that is not disregarded from the owner for U.S.federal tax purposes.Otherwise,a single-member LLC that a o is disregarded from the owner should check the appropriate box for the tax classification of its owner. w ai ❑ Other(see instructions)► (Applies to accounts maintained outside the U.S.) y 5 Address(number,street,and apt.or suite no.)See instructions. Requester's name and address(optional) a -;7 , Pc 6 uX �5 -5s w 6 City,state,and ZIP code 7 List account number(s)here(optional) Part I Taxpayer Identification Number(TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on line 1 to avoid Social security number backup withholding.For individuals,this is generally your social security number(SSN).However,for a resident alien,sole proprietor,or disregarded entity,see the instructions for Part I,later.For other 13 - entities,it is your employer identification number(EIN).If you do not have a number,see How to get a `)c r �� Z��� TIN,later. or Note:If the account is in more than one name,see the instructions for line 1.Also see What Name and Employer identification number Number To Give the Requester for guidelines on whose number to enter. Part II Certification Under penalties of perjury, I certify that: 1.The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me);and 2.I am not subject to backup withholding because:(a)I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding;and 3.I am a U.S.citizen or other U.S.person(defined below);and 4.The FATCA code(s)entered on this form(if any)indicating that I am exempt from FATCA reporting is correct. Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest dividends on your tax return.For real estate transactions,item 2 does not apply.For mortgage interest paid, acquisition or abandonment of se red property,cancellation of debt,contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you re uired to sign the certification,but you must provide your correct TIN.See the instructions for Part II,later. Sign Signature of �/J Here U.S.person► 1" ° Date S. 2-� ' ti General Instructions v •Form 1099-DIV(dividends,including those from stocks or mutual funds) Section references are to the Internal Revenue Code unless otherwise •Form 1099-MISC(various types of income,prizes,awards,or gross noted. proceeds) Future developments.For the latest information about developments •Form 1099-B(stock or mutual fund sales and certain other related to Form W-9 and its instructions,such as legislation enacted transactions by brokers) after they were published,go to www.irs.gov/FormW9. •Form 1099-S(proceeds from real estate transactions) Purpose of Form •Form 1099-K(merchant card and third party network transactions) An individual or entity(Form W-9 requester)who is required to file an •Form 1098(home mortgage interest), 1098-E(student loan interest), information return with the IRS must obtain your correct taxpayer 1098-T(tuition) identification number(TIN)which may be your social security number •Form 1099-C(canceled debt) (SSN),individual taxpayer identification number(ITIN),adoption •Form 1099-A(acquisition or abandonment of secured property) taxpayer identification number(ATIN),or employer identification number (EIN),to report on an information return the amount paid to you,or other Use Form W-9 only if you are a U.S.person(including a resident amount reportable on an information return.Examples of information alien),to provide your correct TIN. returns include,but are not limited to,the following. If you do not return Form W-9 to the requester with a TIN,you might •Form 1099-INT(interest earned or paid) be subject to backup withholding.See What is backup withholding, later. Cat.No.10231X Form W-9(Rev.10-2018) RAY FRICKS 19-8140/3250 19223 CHERIE FRICKS 20933 SE 322ND ST. N. � AUBURN,WA 98092 DATE PAY TO ORDER OFE I DOLLARS I I w,a�'°""`�e.n"'°°" PO.Bo 9705/ more than Seattle, A 9:124-9750 just money" 800-233- 428 206-439-5700 www.becu.•rg MEMO AP 1: 32508L4031: 356L86L7710 223 Vendor Setup Form �\ Y o • City of Renton—ASD/Finance 1055 South Grady Way—5th Floor Renton, WA 98057 ma ti www.rentonwa.gov `. C)� Instructions:Complete all sections of this form and return this form by fax(425)430-6957,U.S.Mail or email. _ Failure to submit a W-9 can create a delay in our payments to you,and your payment(s)could be subject to the IRS required back up withholding Vendor Information 1 el\y Fri cic Name EIN Check Payable to if different than above Accounts Receivable Contact Address Accounts Receivable Phone Number \,1``'` / " ' ( ' 7 Please Provide a Current W-9 form City State Zip https://www.irs.gov/pub/irs-pdf/fw9.pdf Business Information Please check all that apply: City of Renton Business license is required by City of El Disadvantaged Business Enterprise Renton municipal code, Business regulation#5-5-3. ❑ Minority Business Enterprise D Women Business Enterprise Renton Business license# Who is your contact person at the City of Renton? Flora Lee / 425-430-7303 State of Washington UBI# Questions?Contact Business Licensing at City of Renton Department you are working with? https://rentonwa.gov/businesslicensing Public Works Department Electronic Funds Transfer Account# 3 / / Routing# S z$CC o� Please attach a voided check or direct deposit letter from your bank I/we hereby give the City of Renton the authority to make EFT direct deposits to the bank account described above.I/we understand that if this EFT agreement is to be change r canceled in any way that I/we must provide 30 day advance written notice to the City of Renton at the above address. / ; 2 Signature/ Printed Name' Date Finance Accounts Payable Team Natalie Wissbrod,Accounting Asst. Casaundra Commodore,Accounting Asst. Jen Becht, Finance Supervisor (425)430-6919 (425)430-6930 (425)430-6935 nwissbrod@rentonwa.gov ccommodore@rentonwa.gov jbecht@rentonwa.gov , Group Northwest Acquisition and Relocation Services Transmittal Memo To: Flora Lee,Project Manager,City of Renton CC: Cindy Clark,P.E.Parametrix From: Sonja Davis RES Group NW Date: June 11,2020 Project: Duvall Avenue NE Parcel No.: 12 Owner: Robert E.Fricks. et al Ms. Lee, Enclosed in this transmittal are the following documents: 1. Purchase and Sale Agreement 2. ROW Easement 3. Real Estate Excise Tax Affidavit(required for recording) 4. Temporary Construction Easement 5. Instructions for disbursement of Proceeds 6. Real Property Voucher 7. W-9(x6) 8. Vendor form(x6) Sincerely, t :-/Dm........., ov Sonja Davis,WA/RAC RES Group NW 1913 6th Street Kirkland,WA 98033 After recording return document to: City of Renton City Clerk's Office 1055 South Grady Way Renton, WA 98057 PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE Grantor(s): Robert E. Fricks, Robert E. Fricks Jr., Terresa L. George, Ronald E. Fricks, Raymond E. Fricks,and Richard E. Fricks Grantee(s): City of Renton Legal Description: N275FT OF W /2 OF E '/2 OF NE 'A OF NW '/4 OF SEC. 10,T. 23N., R. 05 E., W.M., KING COUNTY,SUBJ TO CM&ST P TRANS LN ESMT LESS CO RD Assessor's Tax Parcel Number: 102305-9081-09 Reference Number of Related Documents: N/A RIGHT OF WAY EASEMENT Duvall Avenue NE Project Project The Grantor(s), Robert E. Fricks, Robert E. Fricks Jr., Terresa L. George, Ronald E. Fricks, Raymond E. Fricks and Richard E. Fricks, as their respective separate property, and as tenants in common, for and in consideration of$10.00 and other valuable consideration, receipt of which is hereby acknowledged, does hereby grant and convey unto the City of Renton, a municipal corporation, and its successors and assigns (the Grantee), for use by the public forever, from the property legally described on Exhibit "A" — Entire Parcel (the "Property"), attached hereto and incorporated by this reference, a permanent right of way easement, for the purposes described below, over, in, on, along, across, through, below and j upon, the portion of the Property legally described on Exhibit "B", (the "Right of Way Easement") and depicted on Exhibit "C", which are attached hereto and incorporated by this reference. The Grantee and its agents,designees and/or assigns,and the public,shall have the right at such times as deemed necessary by Grantee, to enter upon, over, under and across the Right of Way Easement to inspect, construct, reconstruct, operate, use, travel on, maintain, repair, replace and enlarge the public rights-of-way for all public purposes, including but not limited to, motorized and nonmotorized vehicular travel lane, landscaping, sidewalks, street lights, Parcel No. 102305-9081-09 Page 1 of(7)Pages PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. RIGHT OF WAY EASEMENT utilities (including without limitation water, sewer, storm water, electric, gas, telecommunications, cable and fiber optics, either owned or operated by Grantee or those utilities which provide service to Grantee or its citizens and are operated by permission of Grantee through franchise or permit)appurtenant slopes, cuts,fills and retaining walls,together with the right of ingress and egress thereto without prior institution of any suit or proceedings and without incurring any legal obligation or liability therefore. THIS EASEMENT is executed and delivered and said easement is granted upon the followin conditions to wit: 1. The Grantor,its heirs,executors,administrators, successors and assigns,hereby releases the Grantee, its agents and employees, assigns and successors from any and all liability fo damage to the remaining lands resulting from this conveyance, and construction and' maintenance of the right of way, provided the Grantee, its agents and employees, assigns and/ successors shall, as soon as practicable, after construction of the retaining wall and all subsequent alterations and repairs thereto, restore all property to the Grantor to a neat and presentable condition. 2. Grantor shall not interfere in any manner with the easement rights granted to Grantee and the public in this Right of Way Easement. Without limitation, Grantor shall not (1) erectI or maintain any buildings, structures, or improvements within the Right of Way Easement; (2), disturb the lateral or subjacent support of the roadway, sidewalks, utilities and other, improvements and uses of the Right of Way Easement by Grantee, or undertake any form o construction or other activity that may disturb or damage the roadway, sidewalks, utilities, o other improvements or uses of the Right of Way Easement by Grantee;or(3)plant trees,shrubs or other vegetation having deep root patterns that may cause damage to or interfere with the use of the streets, sidewalks, or utilities. 3. The rights granted herein shall not be construed to interfere with or restrict the Grantor, its heirs, executors, administrators, successors and assigns from the use of the Property outside of the Easement Area for the construction and maintenance of property improvements outside of the Easement Area. 4. This Right of Way Easement and the rights, obligations and covenants stated in, this Right of Way Easement shall run with the land and shall be binding upon and shall inure to the benefit of the Grantor and Grantee. This Right of Way Easement shall be recorded with! the King County Recorder's Office. 5. It is understood and agreed that delivery of this Right of Way Easement is hereby tendered and that the terms and obligations hereof shall not become binding upon City o' Renton unless and until approved hereon in writing by City of Renton. Parcel No. 102305-9081-09 Page 2 of(7)Pages PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. RIGHT OF WAY EASEMENT Dated: , 20 . Grantor: eA4L,Ifrcztkei/2.0 . Fricks Robert E. Fricks Jr. Teresa L.George onald E.Fricks Raym .Fricks 'chard E.Fricks Accepted and Approved City of Renton By Its Date Parcel No. 102305-9081-09 Page 3 of(7)Pages PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. RIGHT OF WAY EASEMENT Dated: 20 Grantor: Robert E. Fricks Robert E.Fricks Jr. Teresa L. George Rbna E.Fricks � V Ra on ric s Richard E.Fricks Accepted and Approved City of Renton By Its Date Parcel No. 102305-9081-09 Page 3 of(7)Pages PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. RIGHT OF WAY EASEMENT STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Robert E. Fricks, to me known to be the individual(s) described in and who executed the within and foregoing instrument,and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this // day of 20 (SEAL) No blic SAD °, 2L I/i rb '?2695 h�(f\t•1 Printed hdame• C NOTARY ; —►.�--- i Residing at ' o PUBL1Co i 'it+ PIRES�� �0 My appointment expires / a— 4it OE w AS* STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Robert E. Fricks Jr., to me known to be the individual(s) described in and who executed the within and foregoing instrument,and acknowledged that he/she/they signed th same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this /2day of My ,20 . (SEAL °, otary Public • �_J'13269g • ����j Sn/i DU or i • NOT }, , �� Printed Name N , PUBLIC ti' g Residing at //r/`(/ I EXPIRES 1;41 �° /P/a / ,,,,,,,,,,.. My appointment expires /°°° OF WAS\A\\C-s Parcel No. 102305-9081-09 Page 4 of(7)Pages PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. RIGHT OF WAY EASEMENT STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Teresa L. George, to me known to be the individual(s) described in and who executed the within and foregoing instrument,and acknowledged that he/she/they signed th same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this day of A ,20 O . ""‘ D4��, 'ubli CO.'13269s'44,� Ij NOTARY 's 11; fan/A Z a 7 Printed 11ame c+ P G II N,�4 UBL1 r_S Residing at il/r�Cla td IIA II lk f\"RES'titi.FQ�= /�' �F WASN���� My appointment expires /a/ /a STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Ronald E. Fricks, to me known to be the individual(s1 described in and who executed the within and foregoing instrument,and acknowledged that he/she/they signed thee same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this fay of ,20 (SEAL) !/1 '•••"" 1 ary Pu lic a. �O1A D,q� Si* ulrls CO �32695�\#' II NOTARY y% PrintecTlame • •_..I— s - Residing at PUBUC Nio ti. IIII,9 •I eXPfRES�ti =�� My appointment expires /d— .iOFWASN\ Parcel No. 102305-9081-09 Page 5 of(7)Pages PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. RIGHT OF WAY EASEMENT STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Raymon, E. Fricks, to me known to be the individual(sj described in and who executed the within and foregoing instr, ent,and acknowledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for t p e uses and purposes therein mentioned. DATED this day of ,20 . (SEAL) Notary Public Printed Name Residing at My appointment expires STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Richard E. Fricks, to me known to be the individual(s) described in and who executed the within and foregoing instrument,and acknowledged that he/she/they signed the' same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this l6-day of ,20 I. (S` l%olk.�1 / H / C. JA D '�► ,ry P .lic NOTA/,� It',,I'�" ,��� PriStedvame%DGt'/S • • u, ,�-' PUBLIC '_ Residing at �//'f(/ • •I "9 I�� FXPIRES ��' �� � OF*%%%%%% 41 f My appointment expires /p1/c D/ Parcel No. 102305-9081-09 Page 6 of(7)Pages PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. RIGHT OF WAY EASEMENT STATE OF ss. COUNTY OF Ktht6— On this day personally appeared before me Raymond E. Fricks, to me known to be the individual described in and who executed the within and foregoing instrument,and acknowledged that he/she/they—signed the same as his/her/their free and voluntary act and deed,for the uses and purposes therein mentioned. DATED this 2R-- day of ,20?—o.\ (SEAL) ` *I i otary 'ublic • es.Of MIKE LEE GJ Printed Name COMM...2165192 \ Qt16S3 r1 n �" ?a aQo NOTARY PUBLIC-CALIFORNIA —IResiding �'\ nn (] ;�r,tw•, at�i ZZ a C�.� L-1k CA . _ �Jr ORANGE COUNTY G) 'Zit! My Term Exp.October 17,2020 My appointment expires ‘k \r>r\)-31-• STATE OF WASHINGTON ss. COUNTY OF KING On this day personally appeared before me Richard E. Fricks, to known to be the individual(s) described in and who executed the within and foregoing instrument,and ackv ledged that he/she/they signed the same as his/her/their free and voluntary act and deed,for the uses and pu a 6ses therein mentioned. DATED this day of ,20 (SEAL) Notary Public Printed Name Residing at My appointment expires Parcel No. 102305-9081-09 Page 6 of(7)Pages PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. RIGHT OF WAY EASEMENT EXHIBIT "A" ENTIRE PARCEL EXHIBIT A PROPERTY DESCRIPTION NW 1/4 OF SEC. 10, T. 23 N., R. 05 E., W.M. CITY OF RENTON, KING COUNTY, WA (PER QUIT CLAIM DEED, RECORDED UNDER AUDITOR'S FILE NO. 20081215000432) THE NORTH 275 FEET OF THE WEST HALF OF THE EAST HALF OF THE NORTHEAST QUARTER OF THE NORTHWEST QUARTER IN SECTION 10, TOWNSHIP 23 NORTH, RANGE 5 EAST, W.M. SITUATE IN THE COUNTY OF KING, STATE OF WASHINGTON. M. KE ���0g BASg14l//,A >\ LI ,0 /ff y 'Po� 46889 e• y «6 iihi 4'GISTT.0c I, DNAL LW Li-8-20ZA Parcel No. 102305-9081-09 Page 7 of(7)Pages PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. RIGHT OF WAY EASEMENT 1 EXHIBIT `B" RIGHT OF WAY LEGAL DESCRIPTION EXHIBIT B PERMANENT EASEMENT DESCRIPTION NW 1/4 OF SEC. 10, T. 23 N., R. 05 E., W.M. CITY OF RENTON, KING COUNTY, WA A PORTION OF THAT PROPERTY DESCRIBED IN QUIT CLAIM DEED, RECORDED UNDER AUDITOR'S FILE NO. 20081215000432, KING COUNTY RECORDS, SAID PORTION BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID PROPERTY, ALSO BEING THE EASTERLY RIGHT—OF—WAY UNE OF DUVALL AVENUE NORTHEAST; THENCE SOUTH 00'00'52 WEST 47.96 FEET ALONG SAID RIGHT—OF—WAY LINE TO THE TRUE POINT OF BEGINNING; THENCE SOUTH 89'59'08" EAST 5.00 FEET; THENCE SOUTH 00'00'52" WEST 30.50 FEET; THENCE NORTH 89'59'08" WEST 5.00 FEET TO SAID RIGHT—OF—WAY LINE; THENCE NORTH 00'00'52" EAST 30.50 FEET ALONG SAID RIGHT—OF—WAY LINE TO THE TRUE POINT OF BEGINNING; TOGETHER WITH A PORTION OF SAID PROPERTY BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID PROPERTY, ALSO BEING THE EASTERLY RIGHT—OF—WAY UNE OF DUVALL AVENUE NORTHEAST; THENCE SOUTH 00'00'52" WEST 214.46 FEET ALONG SAID RIGHT—OF—WAY LINE TO THE TRUE POINT OF BEGINNING; THENCE SOUTH 89'59'08" EAST 5.00 FEET; THENCE SOUTH 00'00'52" WEST 23.00 FEET; THENCE NORTH 89'59'08" WEST 5.00 FEET TO SAID RIGHT—OF—WAY UNE; THENCE NORTH 00'00'52" EAST 23.00 FEET ALONG SAID RIGHT—OF—WAY UNE TO THE TRUE POINT OF BEGINNING. CONTAINING 268 SQUARE FEET, MORE OR LESS. . kCM F, of Wnsy �, i 4 po 46689 �� y ��ss ONq LS r N �J�,� 'l\N ♦.. \SNw ,Mfl'„+,..Nisi/i.•i//,II y'B,ZoZO Parcel No. 102305-9081-09 Page 8 of(7)Pages i I PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY RIGHT OF WAY EASEMENT EXHIBIT "C" GRAPHIC DEPICTION EXHIBIT C PERMANENT EASEMENT NW 1/4 OF SEC. 10, T. 23 N., R. 05 E., W.M. CITY OF RENTON, KING COUNTY, WA �f1 __ NE 12th ST(_PRIVATE) P.O.C. S00 0O'S2'W 47.96' S89'59'081 5.00' T.P.O.B. �'� SOO'00'S2'W NO0'00'52'E 30.50' �30.50' Ii N89'59'08"W I 5.00' rl w Z W ( APN 1023059081) FRICKS ROBERT E SR Q N 1160 DUVALL AVE NE 98059 J El Q �I 0 I S89'59'081 5.00' T.P.O.B. I�' N00'00'52'E 1 S00 00'S2'W 23.00' I 23.00' i N89'59'08"W 5.00' Aki 111- 0 rg 50 minwoma TOTAL AREA — - — — 50' 268 SQ. FT. I Parametrix LEGEND P.O.C. POINT OF COMMENCEMENT „!`O •oF'WA EN�,�� T.P.O.B. TRUE POINT OF BEGINNING >QSSA� cloy V/ / /I PERMANENT EASEMENT AREA ; IN PROPOSED PERMANENT EASEMENT UNE EXISTING RIGHT OF WAY UNE r P 46889 no - CENTERUNE % �`Fsh't S T RR S�e�� ------ —--— PROPERTY LINE 1°NAL LAND ( APN XXXXXXXXXXX ) KING COUNTY TAX PARCEL NUMBER y-S-Zo2o Parcel No. 102305-9081-09 Page 9 of(7)Pages PLEASE MAKE NO MARK IN THE MARGIN SPACE-RESERVED FOR COUNTY RECORDER'S USE ONLY. Department of reaRevenue REAL ESTATE EXCISE TAX AFFIDAVIT This form is your receipt Washington State CHAPTER 82.45 RCW-CHAPTER 458-61A WAC when stamped by cashier. THIS AFFIDAVIT WILL NOT BE ACCEPTED UNLESS ALL AREAS ON ALL PAGES ARE FULLY COMPLETED Only for sales in a single location code on or after January 1,2020. 0 Check box if the sale occurred PLEASE TYPE OR PRINT in more than one location code. 0 Check box if partial sale,indicate% sold. List percentage of ownership acquired next to each name. iEl Name Robert E. Fricks, Sr., et al ©Name City of Renton, a municipal corporation of the State of Washington cG w w H Mailing Address 1621 Camas Ave NE RI H Mailing Address 1055 S. Grady Way 1z � z City/State/zip Renton,WA 98056 R City/State/Zip Renton,WA 98057 Phone No.(including area code) . Phone No.(including area code) il Send all property tax correspondence to: ® Same as Buyer/Grantee List all real and personal property tax parcel List assessed value(s) account numbers-check box if personal property Name 102305-9081 0 966,200.00 Mailing Address ❑ 0.00 City/State/Zip ❑ 0.00 Phone No.(including area code) ❑ 0.00 NStreet address of property: 1160 Duvall Ave NE This property is located in Renton ❑ Check box if any of the listed parcels are being segregated from another parcel,are part of a boundary line adjustment or parcels being merged. Legal description of property(if more space is needed,you may attach a separate sheet to each page of the affidavit) See Attached 5 Select Land Use Code(s): MI List all personal property(tangible and intangible)included in selling price. 11-Household,single family units enter any additional codes: (See back of last page for instructions) YES NO Was the seller receiving a property tax exemption or deferral ❑ 0 under chapters 84.36,84.37,or 84.38 RCW(nonprofit If claiming an exemption,list WAC number and reason for exemption: organization,senior citizen,or disabled person,homeowner WAC No.(Section/Subsection) 458-61A-206(2) with limited income)? Reason for exemption Is this property predominantly used for timber(as classified under ❑ ❑✓ RCW 84.34 and 84.33)or agriculture(as classified under RCW Exercise of Eminent Domain 84.34.020)?See ETA 3215 I YES NO Is this property designated as forest land per chapter 84.33 RCW? ❑ ❑✓ Type of Document Right of Way Easement Is this property classified as current use(open space,farm and 0 ElDate of Document agricultural,or timber)land per chapter 84.34 RCW? Is this property receiving special valuation as historical property ❑ ❑✓ per chapter 84.26 RCW? If any answers are yes,complete as instructed below. Gross Selling Price $ • 0.00 (1)NOTICE OF CONTINUANCE(FOREST LAND OR CURRENT USE) Personal Property(deduct) $ 0.00 NEW OWNER(S):To continue the current designation as forest land or classification as current use(open space,farm and agriculture,or timber)land, Exemption Claimed(deduct) $ 0.00 you must sign on(3)below.The county assessor must then determine if the Taxable Selling Price $ 0.00 land transferred continues to qualify and will indicate by signing below.If the land no longer qualifies or you do not wish to continue the designation or classi- Excise Tax:State fication,it will be removed and the compensating or additional taxes will be due Less than$500,000.01 at 1.1% $ 0.00 and payable by the seller or transferor at the time of sale.(RCW 84.33.140 or RCW 84.34.108).Prior to signing(3)below,you may contact your local county From$500,000.01 to$1,500,000 at 1.28% $ 0.00 assessor for more information. From$1,500,000.01 to$3,000,000 at 2.75% $ 0.00 This land ❑ does 0 does not qualify for continuance. Above$3,000,000 at 3.0% $ 0.00 Agricultural and timberland at 1.28% $ 0.00 • Total Excise Tax:State $ 0.00 DEPUTY ASSESSOR DATE 0.0050 Local $ 0.00 (2)NOTICE OF COMPLIANCE(HISTORIC PROPERTY) *Delinquent Interest:State $ NEW OWNER(S):To continue special valuation as historic roe 0.00 ( ) P property,rty,sign(3) below.If the new owner(s)does not wish to continue,all additional tax calcu- Local $ 0.00 lated pursuant to chapter 84.26 RCW,shall be due and payable by the seller or *Delinquent Penalty $ transferor at the time of sale. 0.00 (3)NEW OWNER(S)SIGNATURE Subtotal $ 0.00 *State Technology Fee $ 5.00 *Affidavit Processing Fee $ 5.00 PRINT NAME Total Due $ 10.00 A MINIMUM OF$10.00 IS DUE IN FEE(S)AND/OR TAX *SEE INSTRUCTIONS 8 I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT Signature of iS Signature of Grantor or Grantor's Agent �, 't J j, Grantee or Grantee's Agent Name(print) Teresa 6 e „c/ Name(print) �/ Date&city of signing 0-Late L, Date&city of signing Perjury:Perjury is a class C felony which is punishable by imprisonment in the state correctional institution for a maximum term of not more than five years,or by a fine in an amount fixed by the court of not more than five thousand dollars($5,000.00),or by both imprisonment and fine(RCW 9A20.020(1 C)). REV 84 0001a(12/6/19) THIS SPACE-TREASURER'S USE ONLY COUNTY TREASURER EXHIBIT "B" • RIGHT OF WAY EASEMENT LEGAL DESCRIPTION EXHIBIT B PERMANENT EASEMENT DESCRIPTION NW 1/4 OF SEC. 10, T. 23 N., R. 05 E., W.M. CITY OF RENTON, KING COUNTY, WA A PORTION OF THAT PROPERTY DESCRIBED IN QUIT CLAIM DEED, RECORDED UNDER AUDITOR'S FILE NO. 20081215000432, KING • COUNTY RECORDS, SAID PORTION BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID PROPERTY, ALSO BEING THE EASTERLY RIGHT—OF—WAY LINE OF DUVALL AVENUE NORTHEAST; THENCE SOUTH 00'00'52" WEST 47.96 FEET ALONG SAID RIGHT—OF—WAY LINE TO THE TRUE POINT OF BEGINNING; THENCE SOUTH 89'59'08" EAST 5.00 FEET; THENCE SOUTH 00'00'52" WEST 30.50 FEET; THENCE NORTH 89'59'08" WEST 5.00 FEET TO SAID RIGHT—OF—WAY LINE; THENCE NORTH 00'00'52" EAST 30.50 FEET ALONG SAID RIGHT—OF—WAY LINE TO THE TRUE.POINT OF BEGINNING; TOGETHER WITH A PORTION OF SAID PROPERTY BEING MORE PARTICULARLY DESCRIBED AS FOLLOWS: COMMENCING AT THE NORTHWEST CORNER OF SAID PROPERTY, ALSO BEING THE EASTERLY RIGHT—OF—WAY LINE OF DUVALL AVENUE NORTHEAST; THENCE SOUTH 00'00'52" WEST 214.46 FEET ALONG SAID RIGHT—OF—WAY LINE TO THE TRUE POINT OF BEGINNING; THENCE SOUTH 89'59'08" EAST 5.00 FEET; THENCE SOUTH 00'00'52" WEST 23.00 FEET; THENCE NORTH 89'59'08" WEST 5.00 FEET TO SAID RIGHT—OF—WAY LINE; THENCE NORTH 00'00'52" EAST 23.00 FEET ALONG SAID RIGHT—OF—WAY LINE TO THE TRUE POINT OF BEGINNING. CONTAINING 268 SQUARE FEET, MORE OR LESS. M. KC N&R�Q OF IIAS/f/t. <'` TD C 46889 a9 �o�ess DtorNA L S L AN�SJ�,� q-B-zoZo Parcel No. 102305-9081-09 Page 11 of 13