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HomeMy WebLinkAboutWWP272988(2) EVERSONS ECONOVAC 07/15/05 ; ID:AMERICAN INCORPORATED ; MH START: SSMH#3 MH STOP: SSMH#2 ; LOCATION:CENTRAL BUS DIST UTILITIES PIPE: 8"PVC WITH THE FLOW ; OPERATOR:BRIAN SCOTT 253-606-3889 ; 1 1 TAPE ID:TAPE#1 START: ; NEW SEWER 0.00.00 CITY OF RENTON ; 1 DISTANCE COMMENT ; (FEET) ; 5.0 SERVICE LEFT , 9.4 SERVICE RIGHT ; 16. 1 SERVICE RIGHT 23.7 BEGIN PONDING ; 23.7 3/8" ; 25. 1 1/2" ; 28.6 5/8" ; 28. 7 3/4" ; 32.0 SERVICE RIGHT ; 34.0 END PONDING ; 48.1 BEGIN PONDING ; 48.1 1/2" ; 53.0 7/8" ; 53.9 3/4" ; 53.9 SERVICE RIGHT ; 68.4 END PONDING ; 68.4 SERVICE LEFT ; 77. 1 BEGIN PONDING ; 77. 1 5/8" ; 80.4 7/8" ; 84. 5 1" ; 101. 5 SERVICE RIGHT ; 134.2 SERVICE LEFT ; 158.9 SERVICE RIGHT ; CAPPED PIPE ; 165. 1 SERVICE LEFT ; 170.9 DEBRIS-MEDIUM ; 203.4 SERVICE RIGHT ; 207.2 SERVICE RIGHT ; slasobb CAPPED PIPE 212.7 END OF INSPECTION ; Job vA V L AZb6.s �:... (�� �s 2Ccc.�t_Z- tA•cLres r2c�N�.� Q ----------------------------------------------------------------------- • EVERSONS ECONOVAC 07/15/05 ; ID:AMERICAN INCORPORATED ; MH START: SSMH#2 MH STOP: SSMH#1 ; LOCATION:CENTRAL BUS DIST UTILITIES PIPE: 8"PVC WITH THE FLOW ; OPERATOR:BRIAN SCOTT 253-606-3889 ; TAPE ID:TAPE#1 START: ; NEW SEWER 0 . 13 . 15 CITY OF RENTON ; DISTANCE COMMENT ; (FEET) ; 42 . 7 SERVICE RIGHT ; 51.2 SERVICE RIGHT 51.9 BEGIN PONDING ; 51. 9 �.3 -- S�✓'vim LE-�.t a�fEk cdr.�c�1 u�s�blt a�s�t" 2? Sf — w►���,i�.. t�br�s 2�L1 .5 aJ t o-s/ EVERSONS ECONOVAC 09/26/05 ; ID:AMERICAN INC ; MH START: SSMH#:3 MH STOP: SSMH#t a- ; LOCATION:2ND & WELLS PIPE: 8"PVC WITH THE FLOW ; OPERATOR:BRIAN SCOTT 253-606-3889 ; TAPE ID:TAPE#1 START: ; NEW SEWER (LIVE) 0.00.00 CITY OF RENTON DISTANCE COMMENT ; (FEET) ; 10.7 SERVICE RIGHT ; 26.1 SERVICE RIGHT ; 68.4 SERVICE LEFT ; 101.7 SERVICE RIGHT ; 103.8 SAG IN LINE ; 103.8 5/8" ; 104. 7 1/2" ; 104.7 SERVICE LEFT ; 107.3 SERVICE RIGHT ; 109.4 END SAG ; 158.2 SAG IN LINE ; 158.2 3/4" ; 160.3 7/8" ; 162.9 SERVICE RIGHT ; 163.7 1" ; 166.9 1 1/2" ; 170.8 SERVICE LEFT ; 172.8 END SAG ; 195.1 SAG IN LINE ; 196.4 1" ' 203.0 END OF INSPECTION ; EVERSONS ECONOVAC 09/26/05 ; ID:AMERICAN INC ; MH START: SSMH#2 MH STOP: SSMH#1 ; LOCATION:2ND & WELLS PIPE: 8"PVC WITH THE FLOW ; OPERATOR:BRIAN SCOTT 253-606-3889 TAPE ID:TAPE#1 START: ° NEW SEWER (LIVE) 0.11. 15 CITY OF RENTON ; DISTANCE COMMENT ' (FEET) ; 0.8 SAG IN LINE ; 2.6 Ill ' 4.1 END SAG ; 6.2 SERVICE LEFT ; 19.2 SERVICE LEFT ; 38.7 SERVICE RIGHT 53.5 SERVICE RIGHT ; 79.0 SAG IN LINE ; 81.8 1/2" ' 84.6 SERVICE RIGHT ; 85.7 7/8" ; 90.1 SERVICE LEFT ; 96.3 END SAG ; 136.4 SAG IN LINE ; 138.7 3/4" ; 140.0 SERVICE LEFT ; 146.0 SERVICE RIGHT ; 149.4 7/8" ; 155.7 1°° ; 157.1 SERVICE RIGHT ; 161.5 END SAG ; 192.3 SERVICE LEFT ; 200.1 SAG IN LINE ; 204.9 1" 209.5 1 1/2" ; 219.1 END SAG ; 224.3 SAG IN LINE ; 225.0 WIDE JOINT ; 225.0 i°' ; 226.1 SERVICE RIGHT 227.9 DEBRIS IN LATERAL ; 228.6 SERVICE LEFT ; 227.7 3/4" ; 230.6 CAPPED PIPE ; 232. 7 END SAG ; 241.9 SAG IN LINE ; 245.1 3/4" ; 253.2 1°' ' Z54, .,� 1 I& 2t�1 .3 71 OF- +'(� cs E aSrG o zwo, �.qpEcf d i All44 ci 28 f 1 j t i EF r 1 I I f' 6 ` TO: FINANCE DIRECTOR FROM: PUBLIC WORKS ADMINISTRATOR CONTRACTOR: Americon Inc, DBA TAB Enterprises CONTRACT NO. CAG-05-031 ESTIMATE NO. 14 & Final PROJECT: Central Business District Utility Replacement 1. CONTRACTOR EARNINGS THIS ESTIMATE $2,200.00 2. SALES TAX (ONLY ON SCHED A ITEMS) @ 8.80% $105.60 3. TOTAL CONTRACT AMOUNT THIS ESTIMATE $2,305.60 4. EARNINGS PREVIOUSLY PAID CONTRACTOR $551,191.19 5. EARNINGS DUE CONTRACTOR THIS ESTIMATE $2,090.00 6. SUBTOTAL - CONTRACTOR PAYMENTS $553,281.19 7. RETAINAGE ON PREVIOUS EARNINGS $29,010.04 8. ' RETAINAGE ON EARNINGS THIS ESTIMATE $110.00 9. SUBTOTAL - RETAINAGE $29,120.04 10. SALES TAX PREVIOUSLY PAID $34,965.79 11. SALES TAX DUE THIS ESTIMATE $105.60 12. SUBTOTAL -SALES TAX $35,071.39 (95% x LINE 1) (RETAINAGE: 5%) GRAND TOTAL: $617,472.62 FINANCE DEPARTMENT ACTION: PAYMENT TO CONTRACTOR (Lines 5 and 11): ACCOUNT # 426/000400/018.5960.0035.65.045300(45405/5354) $809.64 # 14 & Final 425/000500/018.5960.0034.65.055290(55290/5354) $435.96 # 14 & Final 427/000600.018.5960.0038.65.065015(65015/5354) $950.00 # 14 & Final $2,195.60 RETAINED AMOUNT(Line 8): ACCOUNT # 426/000400/018.5960.0035.65.045300(45405/5354) $39.00 # 14 & Final 425/000500/018.5960.0034.65.055290(55290/5354) $21.00 # 14 & Final 427/000600.018.5960.0038.65.065015(65015/5354) $50.00 # 14 & Final $110.00 TOTAL THIS ESTIMATE: $2,305.60 CHARTER 116, LAWS OF 1965 CITY OF RENTON CERTIFICATION I,THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF - - PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED,THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HEREIN,AND THAT THE CLAIM IS A JUST,DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON,AND THAT I AMjj� rr^ AUTHORIZED TO AUTHENTICATE AND CERTIFY TO SAID CLL m I Signed: 4 vV Printed On: 02/07/2006 City of Renton Public Works Department Page 1 Printed On: 02/07/2006 City of Renton Public Works Department Page `I Project: Central Business District Utility Replacement Contract Number: CAG-05-031 Contractor:Americon Inc,DBA TAB Enterprises Pay Estimate 14&Final Closing Date: 01/30/2006 Item Description Unit Est. Unit Previous Previous This This Total Total No. Quantity Price Quantity Amount Quantity Amount Quantity Amount A01 Mobilization&Demobilization Schedule A Lump Sum 1 $30,000.00 1.00 $30,000.00 0.00 $0.00 1.00 $30,000.00 A02 Trench Excavation Safety Systems Schedule A Lump Sum 1 $7,500.00 1.00 $7,500.00 0.00 $0.00 1.00 $7,500.00 A03 Construction Surveying,Staking,and As-Builts Sched A Lump Sum 1 $6,000.00 0.50 $3,000.00 0.20 $1,200.00 0.70 $4,200.00 A04 Traffic Control Schedule A Lump Sum 1 $20,700.00 1.00 $20,700.00 0.00 $0.00 1.00 $20,700.00 A05 Temporary Erosion/Sedimentation Controls Schedule A Lump Sum 1 $2,800.00 1.00 $2.800.00 0.00 $0.00 1.00 $2,800.00 A06 Re-establish existing Monuments Each 2 $575.00 2.00 $1,150.00 0.00 $0.00 2.00 $1,150.00 A07 Furnish and Install 8"C900 PVC Sewer Pipe Linear Foot 964 $48.00 985.00 $47,280.00 0.00 $0.00 985.00 $47,280.00 A08 Furnish and Install 6"C900 PVC Side Sewer Pipe Linear Foot 575 $45.00 611.00 $27,495.00 0.00 $0.00 611.00 $27,495.00 Furnish and Install Type B 54"Shallow Sanitary Sewer A09 Manhole Each 4 $2,600.00 4.00 $10,400.00 0.00 $0.00 4.00 $10,400.00 A10 Furnish and Install 54"Diam.Sanitary Sewer Manhole Each 2 $5,300.00 2.00 $10,600.00 0.00 $0.00 2.00 $10,600.00 All Connect Exist San Sewer to New San Sewer Struct Each 4 $1,700.00 5.00 $8,500.00 0.00 $0.00 5.00 $8,500.00 Al2 TV Inspection of Sanitary Sewers Linear Foot 964 $1.50 985.00 $1,477.50 0.00 $0.00 985.00 $1,477.50 A13 Locate and Abandon Sanitary Sewer Manhole Each 2 $2,000.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 Furnish and Install 12"Ductile Iron Water Main Pipe& A14 Fittings Linear Foot 640 $86.00 588.00 $50,568.00 0.00 $0.00 588.00 $50,568.00 A15 Furnish and Install 12"Diameter Gate Valve Assembly Each 4 $2,000.00 3.00 $6,000.00 0.00 $0.00 3.00 $6,000.00 A16 Furnish and Install 8"Diameter Gate Valve Assembly Each 1 $1,200.00 2.00 $2,400.00 0.00 $0.00 2.00 $2,400.00 A17 Furnish and Install 6"Diameter Gate Valve Assembly Each 2 $750.00 1.00 $750.00 0.00 $0.00 1.00 $750.00 A18 Furnish and Install 4"Diameter Gate Valve Assembly Each 1 $650.00 1.00 $650.00 0.00 $0.00 1.00 $650.00 A19 Furnish and Install Fire Hydrant Assembly Each 4 $3,200.00 4.00 $12,800.00 0.00 $0.00 4.00 $12,800.00 Connection to 12'Water Main Wells Ave S(Approx Sta A20 20+22) Lump Sum 1 $6,200.00 1.00 $6,200.00 0.00 $0.00 1.00 $6,200.00 Connection to 4"Water Main Wells Ave S(Approx Sta A21 23+18) Lump Sum 1 $4,500.00 1.00 $4,500.00 0.00 $0.00 1.00 $4,500.00 Connection to 8"Water Main Wells Ave S(at Approx Sta A22 25+54) Lump Sum 1 $5,000.00 0.90 $4,500.00 0.00 $0.00 0.90 $4,500.00 Connection to 6"Water Main Wells Ave.S(at Approx Sta A23 26+15) Lump Sum 1 $6,700.00 0.50 $3,350.00 0.00 $0.00 0.50 $3,350.00 Connection to Water Mains Williams Ave.S(at Approx Sta A24 15+61&16+01) Lump Sum 1 $17,250.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 A25 Furnish and Install 3/4'Water Service Connection Each 10 $860.00 5.00 $4,300.00 0.00 $0.00 5.00 $4,300.00 A26 Furnish and Install 1"Water Service Connection Each 3 $1,200.00 2,00 $2,400.00 0.00 $0.00 2.00 $2,400.00 A27 Furnish and Install 1-1/2"Water Service Connection Each 1 $2,000.00 1.25 $2,500.00 0.00 $0.00 1.25 $2,500.00 A28 Concrete Thrust Blocking and Dead-Man Anchor Blocks Cubic Yard 10 $250.00 8.00 $2,000.00 0.00 $0.00 8.00 $2,000.00 A29 Joint Bonding Thermite Weld Lump Sum 1 $5,700.00 1.00 $5,700.00 0.00 $0.00 1.00 $5,700.00 Printed On:02/07/2006 City of Renton Public Works Department Page 2 Project: Central Business District Utility Replacement Contract Number: CAG-05-031 Contractor:Americon Inc,DBA TAB Enterprises Pay Estimate 14&Final Closing Date: 01/30/2006 Item Description Unit Est. Unit Previous Previous This This Total Total No. Quantity Price Quantity Amount Quantity Amount Quantity Amount A30 Cathodic Protection Test Stations(All Types) Each 4 $2,000.00 3.00 $6,000.00 0.00 $0.00 3.00 $6,000.00 Removal and Replacement of Unsuitable Foundation A31 Material Ton 165 $50.00 152.60 $7,630.00 0.00 $0.00 152.60 $7,630.00 A32 Select Imported Trench Backfill Ton 2180 $15.00 365.33 $5,479.95 0.00 $0.00 365.33 $5,479.95 A33 Asphalt Class'B'Patch Inc.CSTC Square Yard 1825 $26.00 1080.33 $28,088.58 0.00 $0.00 1080.33 $28,088.58 A34 2"Deep Grind and Asphalt Overlay Class'B' Square Yard 5600 $10.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 A35 Replace Pavement Markings and Traffic Buttons Lump Sum 1 $3,450.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 A36 Remove and Replace Sidewalk&Driveway Square Yard 220 $55.00 30.59 $1,682.45 0.00 $0.00 30.59 $1,682.45 A37 Remove and Replace Curb&Gutter Linear Foot 150 $30.00 61.00 $1.830.00 0.00 $0.00 61.00 $1,830.00 A38 Removal of Paint and Other Markings on Curb 8 Sidewalk Lump Sum 1 $3.000.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 CO#3 Additional Work Associated w/Water Main A39 Connection Lump Sum 1 $1,308.83 1.00 $1,308.83 0.00 $0.00 1.00 $1,308.83 CO#4 Additional Work Associated w/unmarked water A40 service Lump Sum 1 $678.14 1.00 $678.14 0.00 $0.00 1.00 $678.14 A41 CO#4 Relay 8"C900 PVC Sewer Pipe Linear Foot 197 $150.00 202.00 $30,300.00 0.00 $0.00 202.00 $30,300.00 A42 CO#4 Reinstall 54"Shallow Sanitary Sewer Manhole Each 1 $2,600.00 1.00 $2,600.00 0.00 $0.00 1.00 $2,600.00 CO#6 Additional Work Associated w/Water Main A43 Installation Lump Sum 1 $32,219.91 1.00 $32.219.91 0.00 $0.00 1.00 $32,219.91 Subtotal Schedule A $397,338.36 $1,200.00 $398,538.36 8.8%Sales Tax $34.965.79 $105.60 $35,071.39 Total Schedule A $432.304.15 $1,305.60 $433,609.75 Schedule B B01 Mobilization&Demobilization Schedule B Lump Sum 1 $15,000.00 1.00 $15,000.00 0.00 $0.00 1.00 $15,000.00 B02 Trench Excavation Safety Systems Schedule B Lump Sum 1 $5,000.00 1.00 $5,000.00 0.00 $0.00 1.00 $5,000.00 B03 Construction Surveying,Staking,and As-Builts Schad B Lump Sum 1 $5,000.00 0.50 $2,500.00 0.20 $1,000.00 0.70 $3,500.00 B04 Traffic Control Schedule B Lump Sum 1 $15,000.00 1.00 $15,000.00 0.00 $0.00 1.00 $15,000.00 B05 Temporary Erosion/Sedimentation Controls Schedule B Lump Sum 1 $3,000.00 1.00 $3,000.00 0.00 $0.00 1.00 $3,000.00 B06 Furnish and Install 12"Ductile Iron Storm Pipe Linear Foot 165 $60.00 153.00 $9,180.00 0.00 $0.00 153.00 $9,180.00 B07 Furnish and Install 8"Ductile Iron Storm Pipe Linear Foot 320 $50.00 248.00 $12,400.00 0.00 $0.00 248.00 $12,400.00 B08 Furnish and Install 12"CPEP Pipe Linear Foot 362 $40.00 341.00 $13,640.00 0.00 $0.00 341.00 $13,640.00 B09 TV Inspection of Storm Sewers Linear Foot 544 $1.50 395.00 $592.50 0.00 $0.00 395.00 $592.50 B10 Furnish and Install Type 2 Catch Basin Each 9 $2.300.00 8.00 $18,400.00 0.00 $0.00 8.00 $18,400.00 Printed On:02/07/2006 City of Renton Public Works Department Page 3 Project: Central Business District Utility Replacement Contract Number: CAG-05-031 Contractor:Amencon Inc,DBA TAB Enterprises Pay Estimate 14&Final Closing Date: 01/30/2006 Item Description Unit Est. Unit Previous Previous This This Total Total No. Quantity Price Quantity Amount Quantity Amount Quantity Amount Bl l Furnish and Install Type 1L Catch Basin Each 1 $1,400.00 1.00 $1,400.00 0.00 $0.00 1.00 $1.400.00 B12 Furnish and Install Concrete Inlet Each 18 $650.00 12.00 $7,800.00 0.00 $0.00 12.00 $7,800.00 B13 Plug Existing Pipe Each 7 $250.00 5.00 $1,250.00 0.00 $0.00 5.00 $1,250.00 B14 Connect New 12"Storm to Existing Manhole Each 2 $1,200.00 1.00 $1.200.00 0.00 $0.00 1.00 $1,200.00 B15 Reconnect Existing Storm Pipe to New Type 2 Catch Basin Each 6 $1,200.00 6.00 $7,200.00 0.00 $0.00 6.00 $7,200.00 B16 Pothole over Existing Underground Telecom Each 3 $600.00 5.00 $3,000.00 0.00 $0.00 5.00 $3,000.00 B17 Pothole and Relocate Unknown Utility through Storm Line Lump Sum 1 $2,500.00 1.00 $2,500.00 0.00 $0.00 1.00 $2,500.00 B18 Pothole Existing Storm Main at Sta 16+21 Lump Sum 1 $2,500.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 Removal and Replacement of Unsuitable Foundation B19 Material Ton 40 $50.00 30.60 $1,530.00 0.00 $0.00 30.60 $1,530.00 B20 Select Imported Trench Backfill Ton 390 $15.00 60.00 $900.00 0.00 $0.00 60.00 $900.00 B21 Asphalt Class'B'PatchInc.CSTC Square Yard 740 $26.00 492.56 $12,806.56 0.00 $0.00 492.56 $12,806.56 B22 Remove and Replace Sidewalk&Driveway Square Yard 130 $55.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 823 Remove and Replace Curb&Gutter Linear Foot 145 $30.00 40.00 $1,200.00 0.00 $0.00 40.00 $1,200.00 B24 Install Sidewalk Curb Ramp Each 1 $1,000.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 B25 C0#1 Additional Trench Excav Safety Systems Sched B Lump Sum 1 $1,500.00 1.00 $1,500.00 0.00 $0.00 1.00 $1,500.00 C0#1 Additional Construction Surveying,Staking,and As- B26 Buills Sched B Lump Sum 1 $1,200.00 0.50 $600.00 0.00 $0.00 0.50 $600.00 B27 C0#1 Additional Traffic Control Schedule B Lump Sum 1 $3,500,00 1.00 $3,500.00 0.00 $0.00 1.00 $3,500.00 C0#1 Additional Temporary Erosion/Sedim Controls B28 Schedule B Lump Sum 1 $750.00 1.00 $750.00 0.00 $0.00 1.00 $750.00 B29 C0#1 Furnish and Install 12"CPEP Pipe North of S 2nd St Linear Foot 163 $60.00 163.00 $9,780.00 0.00 $0.00 163.00 $9,780.00 C0#1 Furnish and Install Type 2 Catch Basin North of S B30 2nd St Each 2 $2,500.00 3.00 $7,500.00 0.00 $0.00 3.00 $7,500.00 C0#1 Remove and Replace Curb&Gutter North of S 2nd B31 St Linear Foot 16 $600.00 0.00 $0.00 0.00 $0.00 0.00 $0.00 B32 CO#2 Additional Work Lump Sum 1 $16,447.97 1.00 $16,447.97 0.00 $0.00 1.00 $16,447.97 B33 CO#3 Additional Work Lump Sum 1 $3,486.46 1.00 $3,486.46 0.00 $0.00 1.00 $3,486.46 B34 CO#6 Additional Work Lump Sum 1 $3,799.38 1.00 $3,799.38 0.00 $0.00 1.00 $3,799.38 Total Schedule B $182,862.87 $1.000.00 $183,862.87 Total Schedule A $432,304.15 $1,305.60 $433,609.75 Total Schedule B $182,862.87 $1,000.00 $183,862.87 TT Total AIlSchedules $615,167.02 $2,305.60 $617,472.62 1 ,'7 W - m �..�R, 7 tlQIES _ I K33 - I SIDE SEWERS SHOWN BASED UPON BEST INFORMATION. # € I -- _cf) � l ,^ N CONTRACTOR SHALL LOCATE SIDE SEWERS WHILE REPLACING MAIN 3D' I 30' i N0128'20"E 2636.29' V I LC. CV C+" I APPROXIMATELYAND ALL LIVE ITWO FEET FROM CURB DE SEWERS SHALL BE RAND GUTTER SEE ETAILEPLACED FR. THE I 80709A.SHALL COORD _ a N NEAR�ACTOR SEATTLE WATER MMAINIrATE INS 2ND STREET CON ACTWITH SEATTLE PUBLICUTILITIES SPU 48 HOURS BEFTORE YMEN WILLIAMS AVE. S. I BEGINNING CONSTRUCTION NG MBTHIN 20 FEET OF SEATTLE WATER MAIN FOR SPU € 7z R Z r•i 'n PROVIDED INSPECTION. CONTACT LAKE YOUNGS OFFICE AT(425) 255-2242. K V/ I SPU SHALL BE GIVEN ADVANCE WARNING PRIOR TO THE CONTRACTOR EXPOSING SPU 3 0 3D �\ WATER PIPE TO ALLOW SPU THE OPPORTUNITY TO INSPECT THE PIPES CONDITION• - ® 1.Z I N BLDG./229 h 231 Kepr:E 2 STORY MASONARY a Aw-4I.n WELLS AVE S, WIWAMS AVE S, S 2ND ST. Os 1 KN°r r°po1 FIN FLOOR/231-40.9 E J•FVC E/=-wa MAY HAS•£ 8 TO 13 INCH THICK CONC. PAVEMENT CO wl.we° FIN FLOOR/229-41.1 Alb /q2 6 TO 9 INCHES BRICK UNDER 1HE ASPHALT.BLDC./7t1 E]•rlt[/■..a0.0 W/NO APPARENTC[M40.4 41■Y-a1.a BLOK:/2012 STORY MAMMARY BASEMENT a pew x/s.a4 2 STORY CONC,BLOCK FIN FLOOR- 410 1\' FIN FLOOR-40.9 J W/NO APPAIIIFNI 9LD0./225 OM-M NO BASEMENT I X BASEMENT ACCESS 10 FIN FLOOR LO RCON 3 Ea JTO E-a1w •50 K e•C0N0 E-x4 NO BASE T BUT SOME ASP A T - d INI-ap°e 1pI I SSv1r ew-w,� VAl1LT /225 CABLE LILTS mN=Ire '`}"Kr E e m C.x4 ro SOWN E Yl. 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SSMN RM=W.85 .... .... ... ... ..ai sDMiI Fulo a NAA11 ro SOUTH HOgti a IF'M.San INSTALL ONE STICK (MIN 18') OF 8- DIP:FROM IE 8 N=34.p M.w.e3OETAIL S oT w S a r•.3a2 MANHOLE TO CROSS SEATTLE PIPELINE. :INSTALL E e s=34. IE 6"E=3e.16 : : : ��� A IE 6"sw=? � 4b ETHAFOAM PAD BETWEEN SEWER AND WRIER . MAINS. FNCASE;PIPE 12' ALL SIDES MINIMUM RECOMMENDED FOR APPROVAL - - 1WTH 2O00 PSI MIX CONCRETE. D .yf� ` Nr CITY OF CENTRAL BUSINESS DISTRICT3/14/05 °"A` WAN RENTON UTILITY REPLACEMENT ,�..■ WASTEWATER UTILITY DA1L' EXPIRES 8 2i OS p„ � � A Planning/Building/Public woks Dept. SWARYSEWERREPIACEMMENT S-2 NO. REVISION tlY LATE APPR xuf Aamar MUMS AVE S S 3RD TO S 2ND -� DAILY INSPECTION DIARY REPORT # DAY: DATE: f, /) /Q WORK PERIOD: oam /p.m. ./p.m. WEATHER: � . �� TEMP. MAX ,w °F MIN 5�VF PRECIPITATION: WORK ACCOMPLISHED TODAY: 10, CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY _ REPORT DAY: DATE: ////7 kfZ, " WORK PERIOD'/P.m. te-3'4��a.<0 WEATHER: TEMP. MA�°F MI °F PRECIPITATION: WORK ACCOMPLISHED TODAY: e,1--50 - - c ol f s z/- CONTRACTOR SIGNATURE I S ECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT �l DAY: F�� i DATE: I //Z lo:, WORK PERIOD: (0/p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 4 M4 {tel- 14�G0 � �[cw;✓;�t i� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: Projectintral Business District Utility Replacement inspection Item I Bid l otal For Pay PAY010 L9 -Nov 02-Nov uant,t No. Description uanti To Date Pay Period 20-Oct 21-Oct 24-Oct 25-Oct 26-Oct 27-Oct 28-Oct 31-Oct Total Percent TOTAL 01 S ---------- . ....... ... ......... ......... ........ . ........... .................................chedule A .......... ............. . ...... .... ........ ................ XXIII., ....... ... ......... .............................................. 0 A01 Mobilization&Demobilization Schedule A 1 0.80 80.00% 0.00 ..... ...... 0.1 0.1 A02 Trench Excavation Safety Systems Schedule A 1 1�00 100.00% 0.10 A03 Construction Surveying, Staking, and As-Builts 1 0.50 50.00% 0.00 0 ...................... A04 Traffic Control Schedule A 1 1.00 100.00% 0.15 ........... 0.05 0.05 ........... A05 Temporary Erosion/Sedimentation Controls Sc l 1 1.00 100.00% 0.10 0.1 0.1 ...................... ................................ ..... ......... Re-establish existing Monuments 2.00 loo.00% 0.00 ........................... 01 A06 2 ....................... .......... ...................... ......... ................ .......... ..... 0 A07 Furnish and Install 8"C900 PVC Sewer Pipe 964 985.00 102,18% 0.00 .................... ..... X A08 Furnish and Install 6"C900 PVC Side Sewer Pil 575 611.00 106.26% 0.00 0 ................ A09 Furnish and Install Type B 54"Shallow Sanitary 4 4.00 loo.00% 0.20 0 ..................... A10 Furnish and Install 54"Diam. Sanitary Sewer M 2 1.80 go.00% 0.00 0 All Connect Exist San Sewer to New San Sewer St 4 5.00 125.00% 0.00 ..................... ----- .......... ..... ........ .44 �i­'.'_'­ - ------------- Al2 TV Inspection of Sanitary Sewers 964 985.00 102.18% 0.00 0 . .... . ..... A13 Locate and Abandon Sanitary Sewer Manhole 2 0.00 0.00% 0.00 X. 0 .............. A14 Furnish and Install 12"Ductile Iron Water Main 64o 588.00 91.88% 0.00 110 75 223 -:-X-:-X-X.X-:-" 558 A15 Furnish and Install 12"Diameter Gate Valve As: 4 3.00 75.00% 0.00 ...... ........... .......... :X 0 A16 Furnish and Install 8"Diameter Gate Valve Assi 1 2.00 200.00% 0.00 ............... .......... 0 .......... A17 Furnish and Install 6"Diameter Gate Valve Ass i 2 1.00 50.00% 0.00 X.... ...... -X A18 Furnish and Install 4"Diameter Gate Valve Ass i 1 1.00 100.00% 0.00 X ..... ................................ ........ .. 3 A19 Furnish and Install Fire Hydrant Assembly 4 4.00 loo.00% 0.00 ........ ................ ......... .. ....... .... A20 Connection to 12"Water Main Wells Ave S (ApI 1 1.00 100.00% 0.25 ....... ........ 0 ............ ...................... . ......... A21 Connection to 4"Water Main Wells Ave S(Appi 1 1.00 100.00% 0.50 .......... ......... ......X X... ...... ....... ......... 0.5 0.5 . ......... .... ....... ....... .................... ....... .... ............. ...... A22 Connection to 8"Water Main Wells Ave S(at Al 1 1.00 100.00% 0.25 F: .. ....... . . .............. .... ...... ............ -------- ....................... 0.5 0.5 A23 Connection to 6"Water Main Wells Ave. S at A 1 0.50 50.00% 0.00 A24 Connection to Water Mains Williams Ave.S at 1 0.00 0.00% 0.00 ....... 0 ..................... ..................................... 0 A25 Furnish and Install 3/4"Water Service Connecti 10 5.00 50.00% 5.00 ----------- ..... ............ A26 Furnish and Install 1"Water Service Connectior 3 2.00 66.67% 2.00 0 I ............. ...... A27 Furnish and Install 1-1/2"Water Service Connei 1 1.00 100.00% 1.00 .................. A28 Concrete Thrust Blocking and Dead Man Anchc 10 8.00 80.00% 3.00 3 ..... . ..... ......... ... .............. ........ ....... 2.25 ---------------- .......................... ...... A29 Joint Bonding Thermite Weld 1 1.00 99.70% 0.67 ... ...... ....... ........ . .... .... . . ......... ... ..... 0 ...... . ..... ....... ...... ........ .............. ...... ....... ............. ... A30 Cathodic Protection Test Stations(All Types) 4 3.00 75.00% 2.00 ...... ......... :X- -X. 0 A31 Removal and Replacement of Unsuitable Founc 165 152.60 92.48% 0.00 ......... ............................... .. . .. ... A32 Select Imported Trench Backfill 218o 365.33 16.76% 105.00 105 . ... 105 ........................ A33 Asphalt Class'B'Patch Inc.CSTC 1825 507.64 27.82% 0.00 0 A34 2"Deep Grind and Asphalt Overlay Class'B' 5600 0.00 0.00% 0.00 0 ...... ... 0 A35 Replace Pavement Markings and Traffic Button 1 0.00 0.00% 0.00 ............. ........... .... IM--------- .......... A36 Remove and Replace Sidewalk&Driveway 220 0.00 0.00% 0.00 X ............... ..... ....... ...... ........... '.. ...: ..... 0 ..................................... ..................... ........ ........ ..... A37 Remove and Replace Curb&Gutter 150 0.00 0.00% 0.00 0, A38 Removal of Paint and Other Markings on Curb 1 0.00 0.00% 0.00 0 ........................ 0 A39 CO#3 Additional Work Associated w/Water Ma 1 1.00 100.00% 0.00 ............*.*..**-.----------.---,-----..- A40 CO#4 Additional Work Associated w/unmarked 1 1.00 100.00% 0.00 ...................... 0 ........XXXXX:...... ........ ........ .:......................... ................ A41 CO#4 Relay 8"C900 PVC Sewer Pipe 197 202.00, lo2.54% 0.00 ....... . . ............. 0 A42 CO#4 Reinstall 54"Shallow Sanitary Sewer Ma 1 1.001 100.00%1 0.201 0 .. ... ... . Schedule B ........ .................. ................... B01 Mobilization&Demobilization Schedule B 1 0.80 80.00% 0.00 0 ...... ........ B02 Trench Excavation Safety Systems Schedule E 1 1.00 100.00% 0.10 ... ....... 0.1 0.1 ........... B03 Construction Surveying, Staking, and As-Builts 1 0.50 5o.00% O. .............. ............. ....... 0 . ............ ....... ...................... B04 Traffic Control Schedule B 1 1.00 100.00% 0.15 5 0.05 ............ . .... ...... ....... B05 Temporary Erosion/Sedimentation Controls Scl 1 1.00 100.00% 0.10 0.1 0.1 ................ .................................... 153.0 92.73% 0.0 0. B06 165 ...........Furnish and Install 12"Ductile Iron Storm Pipe .. ............ B07 Furnish and Install 8"Ductile Iron Storm Pipe 320 248.00 77.50% 47.00 ..... 0 ...... .. ..... ..:1.:::­.... .................. ........ ........... ............... .... .............:::..----. .......... .................... 0 B08 Furnish and Install 12"CPEP Pipe 362 341.00 94.20% 102.00 ........ ... ............... ... . .......... B09 TV Inspection of Storm Sewers 544 395.00 72.61% 0.00 ..... 0 . ... ... ... .... ........ X. . ........... .... .. ...B10 Furnish and Install Type 2 Catch Basin 9 8.00 88.89% 2.00 1 2 2 2 .... ..... B11 Furnish and Install Type 1 L Catch Basin 1 1.00 100.00%1 0.001 ....................... 0 -:-:-X-X.X-X-X-:-:- 6&67% 2.00 ....... 0 B12 Furnish and lnstall Concrete Inlet 18 12.00 ... ...... .......... ..... . - - ----------- - .... .......... B13 5.00 71.43% 0.00 .............Plug Existing Pipe 7 0 ............................. ..... .... ... ....................................... 0 ................... B14 Connect New 12"Storm to Existing Manhole 2 0.00 0.00% 0.00 12-............... Page 21 . . p«jeo nha| Business District Utility Replacement inspection Projectntral Business District Utility Replacement inspection Item I Bid otal For Pay PAY01 1 L9uant,t 07-Nov I 08-Nov 1 0 V 14 15-Nov TOTAL 16-Nov Description uanti D Date Pay Period 03-Nov 04-Nov 9-Nov 10-Nov 11-No -Nov No. j Totaltyl Percent Schedule A ......... A01 Mobilization&Demobilization Schedule A 1 0.80 80.00% 0.00 0 ................... A02 Trench Excavation Safety Systems Schedule A 1 1.00 100.00% 0.10 0.1 0.1 ... ......... ..... ....................... ....................... 0 A03 Construction Surveying, Staking, and As-Builts 1 0.50 50�00% 0.00 ......... ................................... ... N. :X A04 Traffic Control Schedule A 1 1.00 100.00% 0.15 ............. 0.15 0.15 ............... .................. ...................... ---------------- .... ...................... . . ..................... ....................... A05 Temporary Erosion/Sedimentation Controls Sc l 1 1.001 100.00%1 0.101 0.1 0.1 ...................... ....... . . .... ........ ..... A06 Re-establish existing Monuments 2 2.00 loo.om 0.00 .................... .. 01 ...::: ................. .. .............. .... .. ... ... .... .....I.. ...... . ..................... ....... ....... ................ 0 ............. ... ...... .. ........ .. A07 Furnish and Install 8"C900 PVC Sewer Pipe 964 985.00 102.18% 0.00 A08 Furnish and Install 6"C900 PVC Side Sewer Pi l 575 611.00 106.26% 0.00 ........ 0 ---------------- ................. ................... ............. .....................X ....................... A09 Furnish and Install Type B 54"Shallow Sanitary 4 4.00 loo.00% 0.20 ................ 0.2 0.2 .................................... ........... 0 ......................... ............... ---------------- .......... A10 Furnish and Install 54"Diam.Sanitary Sewer M 2 1.80 go.00% 0.00 All Connect Exist San Sewer to New San Sewer St 4 5.00 125.00% 0.00 ..............X ...... ...... ........... .................... 0 Al2 TV Inspection of Sanitary Sewers 964 985.00 102.18% 0.00 ..... ..... ......... ..... . . ....................... 0 . ...................... A13 Locate and Abandon Sanitary Sewer Manhole 2- 0.00 0.00% 0.00 A14 Furnish and Install 12"Ductile Iron Water Main 640 588.00 91,88%1 0.00 0 ............ 0 A15 ......... .::::. .................. ................. Furnish and Install 12"Diameter Gate Valve As. 4 3.00 75.00% 0.00 . .... . ................... ......... ..................... A16 Furnish and Install 8"Diameter Gate Valve Ass( 1 2.00 200.00% 0.00 N:.......... A17 Furnish and Install 6"Diameter Gate Valve Ass i 2 1.00 50.00% 0.00 ............. ... .... .... .. ............... 0 ................ AIS Furnish and Install 4"Diameter Gate Valve Assi 1 1.00 100.00% 0.00 0 0 ........................ . ....................... A19 Furnish and Install Fire Hydrant Assembly 4 4.00 loo.om 0.00 .. ....... 0.25 . ....................... .. ...... 0.25 ...................... A20 Connection to 12"Water Main Wells Ave S( PI 1 1.00 100.00% 0.25 .. ....... ............... 0. A21 Connection to 4"Water Main Wells Ave S(Appi 1 1.00 100.00% 0.50 ................................................. 0.5 - ..... . .............. 0.25 A22 Connection to 8"Water Main Wells Ave S at Al 1 1.00 100.00% 0.25 ...............0.25 ............... A23 Connection to 6"Water Main Wells Ave. S at A 1 0.50 50.00% 0.00 ".*."....'.".'.""...*'...*".**'.*.".*..*'.**'.*."..'."...'.".'.".."'...**,.'*,...'."...'.,'...'."*'1........................ 0 .............. ................ ......... .. A24 Connection to Water Mains Williams Ave. S(at 1 0.00 0.00% 0.00 ..... .............. . . ............. 0 ...................... .................. .................... :................. A25 Furnish and Install 3/4"Water Service Connecti 10 5.00 50.00% 5.00 3 5 - ------ ......... . . . .... . ................ .......... .....I.... ........ 2 A26 Furnish and Install 1"Water Service Connectior 3- 2.00 66.67% 2.00 A27 Furnish and Install 1-1/2"Water Service Connei 1 1.00 100.00% 1.00 A28 Concrete Thrust Blocking and Dead-Man Anchc 10 8.00 80.00% 3.00 ........................... 2.25 0.75 31 A29 Joint Bonding Thermite Weld 1 1.00 99,70% 0.67 ...... .............. 0.667 0-667 ........ ............. ............. 3.00 75.00% 2.00 2 21 A30 Cathodic Protection Test Stations All Types) 4 . .......... ........ .... . ..... 01 ......... . ....... .......... ........... ..... ........ A31 Removal and Replacement of Unsuitable Founc 165 152.60 92.48% 0.00 .................. .................... ..... ........ H.......­* ....................... ........... A32 Select Imported Trench Backfill 2180 365.33 16.76% 105.00 .... ........... .............. 0 A33 Asphalt Class'B'Patch Inc.CSTC 1825 507.64 27,82% 0.00 ........ ....... A34 2"Deep Grind and Asphalt Overlay Class'B' 5600 0.00 0.00% 0.00 0 ............ A35 Replace Pavement Markings and Traffic Button 1 0.00 0.00% 0.00 ................... A36 Remove and Replace Sidewalk&Driveway 220 0.00 0.00% 0.00 0 . .. ........ .................... ......... 0 A37 Remove and Replace Curb&Gutter 150 0.00 0.00% 0.00 A38 Removal of Paintand Other Markings on Curb 1 0.00 0.00% 0.00 .......... 4 . .................. A39 CO#3 Additional Work Associated w/Water Ma 1 1.00 100.00% 0.00 0 ... .............. A40 CO#4 Additional Work Associated w/unmarked 1 1.00 100.00% 0.00 0 A41 CO#4 Relay 8"C900 PVC Sewer Pipe 197 202.00 102.54% 0.00 .... . .......... 0 A42 CO#4 Reinstall 54"Shallow Sanitary Sewer Ma 1 1.001 100.00%1 0.201 ................. ....... 0.21 0.2 Schedule B 01 .............. B01 Mobilization&Demobilization Schedule B 1 0.80 80.00% 0.00 ...... ............. ............ ...... 0.1 0.11 B02 Trench Excavation Safety Systems Schedule E 1 1.00 100.00% 0.10 ............ ......... ..................... 0 B03 Construction Surveying, Staking, and As-Builts 0.50 50.00% 0.00 ............. .. . ........ ..................... B04 Traffic Control Sctedule B 1.00 100.00% 0.15 0.15 0.15 ............... B05 Temporary ErosioTdSedimentation Controls Scl 1 1.00 100.00% 0.10 ......... .. ..... .. ......... ......... ..... ........ .. ............ .......;:;:"ii i �........... ............... .... ..... ......... ............. B06 Furnish and Install 12"Ductile Iron Storm Pipe 165 153.00 92,73% 0.00 0 .............. ................ B07 Furnish and Install 8"Ductile Iron Storm Pipe 320 248.00 77.50% 47.00 25 111.- . ............. ..... . ...................... B08 Furnish and Install 12"CPEP Pipe 362 341.00 94.20% 102.00 102 ..... .............. .................... 102 ................ B09 TV Inspection of SlIorm Sewers 544 395.00 72.61% 0.00 ............. 0 ............. 2 B10 Furnish and InstallType 2 Catch Basin 9 8.00 88.89% 2.00 Bll Furnish and InstallType 1L Catch Basin 1 1.00 100,00% 0.00 0 .................... B12 Furnish and InstallConcrete Inlet 18 12.00 66.67% 2.00 1 2 0 B13 Plug Existing Pipe 7 5.00 71.43% 0.00 B14 Connect New 12"fitorm to Existing Manhole 2 0.00 0.00% 0.00 01-- Page 23 ' ~ Pu�eo n�a| Business Dio��tUd|hyRep�oement inspection Item I Bidl Total For Pay' PAY011 1 l DAILY INSPECTION DIARY REPORT 4� DAY: DATE: / / RK PERIOD:-� ./P.m. to p.m i WEATHER: �, TEMP. MAX F MIl _°F PRECIPITATION: WORK ACCOMPLISHED TODAY: ca• � e e G/iE��J C s fa / 'f CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: CUSTOMER'S ORDER NO. DATE NAME-rA 6 ADDRESS CITY,STATE,ZIP SOLD BY�CASH C.O.D.CHARGE ON ACCT. MDSE PAID OUT RETD. QUAN. DESCRIPTION AMOUNT 2 3 4 5 6 7 8 10 11 12 RECEIVED BY KEEP THIS SLIP FOR REFERENCE a.— 3705 14 3( 01 95 -2 1'YW c4z_ CUSTOMER'S ORDER NO. DATE NAM ADDRESS CITY,STATE,ZIP SM SH C.O.D.CHARGE ON ACCT. MDSE PAID OUT RETD. OUAN. I DES PTION AMOUNT 1 2 3 4 5 23 P 7 Z� 8 -� 9 10 11 12 RECEIVED BY KEEP THIS SLIP FOR REFERENCE a-3705 -7-7a CUSTOMER'S ORDER NO. ]DATE, NAME ADDRESS CITY,STATE,ZIP BY CASH C.O.D.CHARGE ON ACCT.I MDSE PAID OUT RETD. OWN. DESCRIPTION AM A f CA 2 y 3 4 51 1 6 7 8 9 lo11 H 12 RECEIVED BY KEEP THIS SLIP FOR REFERENCE a— 3705 c�G�2 `7-7�Z-64 CUSTOMER'S ORDER NO. DATE NAME ADDRESS CITY,STATE,ZIP D C SH C.O.D.CHARGE ON ACCT MDSE PAID OUT V7 RETD. UAN. OESCRIPTION AMOUNT 2 t 3 4 5 Z� d 6 V Y w ' J 8 9 ,o 111 ,2 RECEIVED BY KEEP THIS SLIP FOR REFERENCE &....,3705 A, 3 M VCfL- �&--7 7-0-605 6 CUSTOMER'S ORDER NO. DATE NAME ADDRESS CITY,STATE,ZIP SOLD BY CASH C.O.D.CHARGE ON ACCT MDSE PAID OUT RETD. QUAN. DESCRIPTJDN AMOUNT 2 3 4 5Sp 6 71 1 81 1 9 10 11 12 RECEIVED BY KEEP THIS SLIP FOR REFERENCE a-3705 -3c 536910 CUSTOMER'S ORDER NO. DATE I / NAME ADDRESS CITY,STATE,ZIP CASH C.O.D.CHARGE ON ACCT. MDSE PAID OUT r T RETD. QUAN QESCCRIIPTION AMOUNT 1 �E/-- - 2 3 4 5 8 9 10 11 12 RECEIVED BY KEEP THIS SLIP FOR REFERENCE a- 3705 536913 CUSTOMER'S ORDER NO. DAT ADDR SS CITY,STATE,ZIP ZASH C.O.D.CHARGE ION ACCT. MDSE PAID'OUT RETD. QUAN DESCRIPTION AMOUNT 1 � 2 3 4 5 02 6 7 6 9 10 11 12 RECEIVED BY KEEP THIS SLIP FOR REFERENCE aa..•-3705 DAILY INSPECTION DIARY REPORT DAY: ` DATE: //; " WORK PERIOD• a.m /p.m. �a. ./p.m: WEATHER: p �. TEMP. MAX,�F M N °F PRECIPITATION: � �� WORK ACCOMPLISHED TODAY: -Z 7 426�Z?4 CONTRACTOR SIGNATURE INSPECT-0-If INSPECT-0-If SIGNATURE DATE: Y DAILY INSPECTION DIARY {'�� 11 REPORT �k DAY: - noses DATE: 11 /( /�jSWORK PERIOD CI= /p,m. t�� WEATHER: TEMP. o F MIN !�-'0 F rRECIrITATION: WORK ACCOMPLISHED TODAY: U I IS �i9 C i2 to CONTRACTOR SIGNATURE IN PECT R SIGNATURE DATE: f d / hell 7 iYt S /VI'Lc 7 :C -!1l n f fee M ,' tv�✓r�c �� s Mzh� �V� IV c� � c Sa2N1 =-f. 6. N Ir.S �i D- i il" M G .�yU Is I o 7 3 V,S L � , l � 2,za M3xM3 , � AA ;re � w •sri 1-� T�� 1'1 SYy !`�' J— G�cy � � ib•� J � n vl �. W G ��J � � � � . l Mr s �<< PgLv v-e— 4 ' f,oF � xr2. Mi 1 DAILY INSPECTION DIARY REPORT DAY: , DATE: 11 /12- /Os WORK rERIOD:-Oe(0/p.m. to a.m./p.m. WEATHER: (�{ TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: M a h 020.41L✓ l4 a .o,� t " wa'fc.-- s t. ✓�c c So N►u j �-�r✓r fl;s o f�, G-� u o Sty✓; /,� G� :• 0 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY _ REPORT DAY: DATE: /Os WORK PERIOD: ( /p.m. to a.m./p.m. WEATHER: O, C, TEMP. MAX OF MIN OF PRECIPITATION: y WORK ACCOMPLISHED TODAY: C L214 C_ 1�:D L_ T, lcj./ S4en L �rYLCN%cOri ( YaHS�rc� �•1 � t.✓t .Sc✓i,�, Lt yJ��N� L7 vi �c) o c-K/ 12-,. IIAKiN cl f A 2— u'��ls e! y saa/ ev -cWaIle -r"o,- Gt < [Ccrncc�;e.i5 .3;wc ey' /-1 a 4 COn ©,75' yf9L�14 3�v4ttr M•:n Loa.tu�`c.+ r��ti .sil4.z ft 8 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: STONEWAY SEATTLE(Plant#11)3803 E.Marginal Wy S.,Seattle DELIVERY TICKET CONCRETE TUKWILA(Plant#12)17024 W.Valley Hwy.,Tukwila RENTON(Plant#14)915 Houser Way N.,Renton SALES/PLANT& ACCOUNTING:9125 TENTH AVENUE SOUTH CEDAR SHORES(Plant#20)21010 Cedar Grove Rd.S.E.,Maple Valley ORDER DESK (425)226-1000 $EATTLE,WA 98108 • (206)762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. FAX (425)228-4924 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH OUR LEAVE JOB ARRIVE PLANT PM �w DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# i 1 ' 1 1 �c'0 000001 1 r`a+ i5 01 a CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. COD CUSTOMERS ti1Q1157 r� F3 r+�13 JOB ADDRESS ' "E P I C ON INC -- PLAINIT P 117V IMP IN ICE. COLLECT ON DELIVERY(C.O.D.) MAP ZONE ❑CASH ❑CHECK# ❑CHARGE SPECIAL INSTRUCTIONS CARD# EXP. / I'If! f Tt 1 I I? 4'l_ 1Pa i 1�I CFr I}ji ❑VISA ❑ MASTERCARD ❑DISCOVER QUANTITYPRODUCT CODE DESCRIPTION • 0• `btlp tl) 5. 5 SF SND 7/8 4000 PSI CA S ?6. 52 5. 0 57. 3`; L', 00 1)S 20001 CPA-C I UM CHLORIDE . :r5 0. 5 5. Bi" 0. 75 t:;`�° 30075 ENVIRONMENTAL_ SURCHARGE: 3. 75 0. 2 0 2. 81 I 50DE6R E60 DEGREE CONCRETE t�i. 7`; i.' , 2. 00'I 0. 1 3 1. 5(., JOB TOTAL SLUMP SPACING ORDERED BY SUB-TOTAL fT. 5;_ TRUCK NO. DRIVER ORI VER. PIC14 UPSALES TAX REMIT TO 5• g'+ WATER ADDED ON-SITE CYLINDERS 9125 10th AVE.S. AUTHORIZED BY: SEATTLE,WA BALANCE FORWARD 98108 ❑YES TERMS ON REVERSE TOTAL • -;<-7• oaf gals.to full load ❑YES REASON FOR DELAY TIME: gals.to 2/3 load ❑YES ❑JOB NOT READY ❑LACK OF HELP ❑ADDING WATER ❑WHEEL BARROW JOB ❑ARRIVED JOB EARLY ❑TRAFFIC ❑TRAIN ❑DRAW BRIDGE gals. to 1/3 load ❑ NONE ElWAITING FOR TRUCK TO UNLOAD ❑PUMP BLOW-BACK I ❑WAITING ON PUMP ❑WASH PUMP ❑OTHER ADDITION OF WATER WILL REDUCE -WARNING- RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, STRENGTH.WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC.FOR ANY DAMAGE TO HIS REAL SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE(16) AGREEMENT ACCESS ON BACK(5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE I FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE PRINT NAME DATE DISCOLORATION BATCH DATA: i i I DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY TERMS,CONDITIONS AIWARNINGS CREDIT. Conditlon pre6edent tat Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms,all deliveries under this Contract are"Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty(30)days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one-quarter percent(1.25%)per month will be payable on all past due invoices of thirty(30)days or older. CREDIT CARDS ARE ACCEPTED AT TIME OF PURCHASE ONLY. IF PAYMENT IS MADE BY BANKCARD AFTER PURCHASE DATE,A 3V6 FEE WILL BE INCURRED. If a service charge is assessed,it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof,without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice,the prevailing party shall be entitled to recover reasonable attorney fees and costs,including appeals. bankruptcies,and post-judgement collection efforts. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. TAXES. All federal,state and local taxes,assessments.fees,duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser.' riginal delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent(including,but not limited to 4. SCHEDULING. Chaggesor.variations from o drivers.quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be madq.in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete,a Division of Gary Merlino Construction Company,Inc.(Seller)to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucksi damage to the premises and/or adjacent property,or personal injury may occur and that trucks may become damaged,disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage. personal injuries,truck towing and winching expenses.and/or damage to Seller's trucks should the trucks become damaged,disabled or stuck as a result of Seller making use of the path requestedgr for the dejivery of materials and access to the project site. Purchaser also agrees to indemnify,hold harmless,and defend Seller from any claims,demands,losses,and liabilities to or by third pp rti@s ansln ;fro. r It from,or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or fal ;�rc•,4n�dless or, res i M fiaudii1ei t,t �#G > 1?t Ae►mitted byfa�rr`enci,;A!bjeet tfte Iirnftatit3ns below. Purchaser's duty to indemnify Seller for liability for dafnages.arising otit 3f; k,. persdfi o`. prop ty ceFttild:by.dri ultittg fromth8 c6acurrent negligence of(a)•Stonsway Concrete,a Division of Gary MerlinAonstruroon Cori9pany; agents and employees.and(b)the Purchaser shall apply only to the extgnt.of the negligence of the Purchaser or its agents and employees. For the^urpose of the Purchaser's? ndemnification obligation only,the Purchaser specifically and expreessly w9lvea any immunity that may granted it under the Washington State Industrial Insurance Act,Title 51 RCW. This waiverd6es not permit a direct action b'y the Purchaser's employees against the Purchaser. Further,the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages,compensationor benefits payable to or for any third party under worker's compensation acts;disability oer,efit acts,or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include,as to all claims,demands,losses, and liability: to which it applies, Seller's personnel related costs, reasonable attorneys fees, court costs, and all other claim-related expenses, including attorneys.fees and other costs incurred by Seller to enforce and estab0sh'its right under this; Agreement. Upon Seller's tender of defense under this Agreement.the Purchaser agrees to appoint counsel of Sellers choice to defend against third parfq claim(s). Sec counsel will be at the sole expense of the Purchaser. Seller is not responsible for means,and methods of placement of ready mixed concrete or aggregate products on a project; 6, WASH OUT AREA. It will be.the Purchaser's responsibility to provide a suitable area for trucks to rjn�;e and clean before leaving the job site. An additional charge will be made per load if a wash out,area is not provided. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication of Purchaser when Pump Company holds p releases orders. Service tot Purchaser will be done to the best of Seller's ability,noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser, of all holds and releasts'in sorvitae: Standby charges incurred during Pump Company clean up,,or blowback,will be borne by the Purchaser. An additional charge,at Seller s discretion,will be added for returned concrete due to clean up process. g; POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for;physical-changes of the concrete caused by job delays,delivery systems,paacing equipment,Drrircumstances beyond our control. 9: ) READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing,including concrete strength testjng'for acceptance;shall be in acccrdanoe with ASTM, UBC and AC1 and that Seiler will be provided with a copy of all test results within;three(3)working-days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TfS JIESULTS. Purchaser agrees to'notify Seller in writing'within twenty-four(?4l hours of deficient concrete compressn e strength test results,to retain test specimens.and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign rrtaterial is added to the concrete by or at the request of the Purchaser,its employees,agents,. +° contractors or subcontractors,Purchaser accepts the concrete as delivered and waives all right to reject,revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength'of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design { strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties,express or implied,are made with respect to such construction materials,whether they be warranties of fitness or ,warranties of 1 merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seiler,at Seller's option,to refund the purchase price,to repair said rr:aterial,or to . No consequential damages may be claimed by Purchaser against provide Purchaser with a conforming replacement for any non-conforming materials Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for;and shall not be liable to.Purchaser for any consequential damages incrrred by Purchaser in connection with this Contract,including without limitation,Purchaser's lost profits,.Purchaser's good will,and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14, CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason,including breach el contract or t breach of warranty.shall be as follows: Notice of claims against Seller for any reason,inducting but not limited to,breach of contractor warranty,must be given to Seller in writing within three(3)working days after discovery or when discovery should have been made. The written claim shall include the reason(s)and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHINITHREE(3)WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved,the parties involved agree to binding arbitration through non-legal personnel. 1.6. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein,title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same,at the place of delivery designated herein. Thereafter,in addition to assuming all risk of loss.Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries,including death,and property damage arising from the storage,use or handling of sai materials. 6. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves,a fully buttoned long-sleeved shirt,full-length trouuers, e materials. If you have to stand in wet concrete,use waterproof boots that are tight at tops and high enough to and tight fitting eye protection when working with thes keep �Qrete from flowing into them. If you are finishing concrete,wear kneepads to protect knees. FIRST AID: If dust is inhaled,remove to fresh air. Get medical attention if irritatior persists. Wash wet concrete,mortar,cement,or cement admixtures from your skin with fresh,clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact,so promptly rinse wet concrete,mortar,cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent >evere discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits(see MSDS),wear suitable v /MSHA-approved respirator. in case of eye contact,flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH OF " Hii;DREN,USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET(UNHARDENED)CONCRETE,MORTAR, C CEh.:(;�NT OR CEMENT MIXTURES. DAILY INSPECTION DIARY REPORT DAY: TAf/ DATE: 11 /(0 /Or WORK PERIOD: a.m /p.m. to a.m./p.m. _ WEATHER: O. G TEMP. MAX OF MIN OF PRECIPITATION: Y WORK ACCOMPLISHED TODAY: I '�1'1� U• 1 � �j Y ��� I ly vy►Lr� rdrt i ci n,� / - l v+f.r fit✓ )c r'v c _ 1 S/r) 2f t -.Z I rill +`/C (. .c.rl z ,� I ' +ISO f-G✓U;ct ( STIy Z(*7� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: (/✓'tof DATE: �l / Dq/(J!r' WORK PERIOD: �am .m. to a.m./p.m. (~(- WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: Al WORK ACCOMPLISHED TODAY: ke ✓tIdo G 13 G, , to C e t��►"�"a�7�"m✓' 1'l a� S U if'J f Qij fr'ar�.�off' P?vt S> �� o h 5 7�u/J, u c-� m-�r; coh �iac ,kie";l{rd t 'C - ;,,, kd/zS /,t,- 9-epn )oy) UTA c -e w /Z " n'Y/u; 5-eyajc e ,1:0 ,`a. s �a// Sc✓v;ct �vwKS�rvj Osaaa Ys C GlJ YY)4.vi S�Gr %h -t 1 G cy� 3 y bV 4 5 un zf h)-c 4o e,i fti•c w of }4.o.�;r� iNt�cyLt.`p,Z �d vfieK k J i/ GOry! J1,*ts�C C1.79 'fe rlViG"L 4✓ak ti5-7"lr'S M444 kaff� �a g� S�� 4- g/oalih ih S�nlf fo/t� ECYr� 9✓�i'Y201/� Tot?s?cl�h YLtrcc�•1a2. �a•4rd 11c f�J wryG b,#C.,k O C 9 2 $ 2 .25, cv,�t� sT� �s�36 ,-1-5 3,�1,d uidb CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: r SEATTLE(Plant#11)3803 E.Marginal Wy S.,Seattle STONEWAY DELIVERY TICKET TUKWILA(Plant#12)17024 W.Valley Hwy.,Tukwila CONCRETE RENTON(Plant#14)915 Houser Way N.,Renton SALES/PLANT& ORDER DESK (425)226-1000 CEDAR SHORES(Plant#20)21010 Cedar Grove Rd.S.E.,Maple Valley ACCOUNTING:9125 TENTH AVENUE SOUTH SEATTLE,WA 98108 • (206)762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. FAX (425)228-4924 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR 7OUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. 001574 587"1�at. JOB ADDRESS 7 COLLECT ON DELIVERY(C.O.D.) G�if-v 1� Ii;'f-itI Irli; t LWIT PTC;F� lit' IN RE MAP ZONE ❑CASH ❑CHECK# ❑CHARGE CARD# EXP. / SPECIAL INSTRUCTIONS Pt-WIT I"'I0 4-) ❑VISA ❑ MASTERCARD ❑DISCOVER PRODUCT CODE DESCRIPTION C(y I CALCIUM CHLORIDE ENVIRONMENTAL. SURCHARGE JOB TOTAL. SLUMP SPACING ORDERED BY TRUCK NO _ DRIVE I:) IVER, PICK UP REMIT TO WATER ADDED ON-SITE CYLINDERS 9125 loth AVE.S. AUTHORIZED BY: SEATTLE,WA • 98108 ❑YES TERMS ON REVERSE gals. to full load ❑YES REASON FOR DELAY TIME: gals. to 2/3 load El YES ❑JOB NOT READY El LACK OF HELP ❑ADDING WATER El WHEEL BARROW JOB ❑ARRIVED JOB EARLY ❑TRAFFIC ❑TRAIN ❑DRAW BRIDGE gals. to 1/3 load ❑ NONE ❑WAITING FOR TRUCK TO UNLOAD ❑PUMP BLOW-BACK ElWAITING ON PUMP ❑WASH PUMP ❑OTHER ADDITION OF WATER WILL REDUCE -WARNING- RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, STRENGTH.WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC.FOR ANY DAMAGE TO HIS REAL SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE(16) AGREEMENT ACCESS ON BACK(5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE PRINT NAME DATE DISCOLORATION BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY TERMS,CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms,all deliveries under this Contract are"Collect On Delivery"(C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty(30)days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one-quarter percent(1.25%)per month will be payable on all past due invoices of thirty(30)days or older. CREDIT CARDS ARE ACCEPTED AT TIME OF PURCHASE ONLY. IF PAYMENT IS MADE BY BANKCARD AFTER PURCHASE DATE,A 3%FEE WILL BE INCURRED. If a service charge is assessed,it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof,without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice,the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies,an.d,post-judgement collection efforts. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal,state and local taxes,assessments,fees,duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent(including,but not limited to, drivers,quality assurance personnel or sales representatives). 5. _ DELIVERY CONDITIONS. All concrete deliveries.wilf be made in concrete transit mixer trucks unless otherwise rioted. Signed Purchaser has requested Stoneway Concrete,a Division of Gary Merlino Construction Company.Inc.(Seller)to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks,damage to the premises and/or adjacent property,or personal injury may occur and that trucks may become damaged,disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage. personal injuries,trick towing and winching expenses,and/or damage to Seller's trucks should the trucks become damaged,disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify,hold harmless,and defend Seller from any claims,demands,losses,and liabilities to or by third pgrties arisinafrom,resulting from,or connected with the use of the requested path for the delivery of materials s,hether such claims may prove to be true or false,groundless or fraGdulent,tU Xhe,fuil extf tt.l§errriitted by law and subject tote lnzli atiors Sol6w.' Purchaser's duty to mdenin Se`jfer for liability for damages arising out ofbodily injury to persons of dartaage to propertyicauaed-by,or resulting from tlte'bni uimet t negligence of(a)Stoneway Concrete,a Division of'Gary Merlino Construction Company,Inc,pr its agents and employees,and(b)the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only,the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act,Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further,the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages,compensation or benefits,payable to or for any third party under worker's compensation acts,disability benefit acts.or their employee benefit acts, This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims,demands, losses,and liability to which it applies,Seller's personnel related costs, reasonable attorneys fees,court costs, and all other claim-related expenses. including attorney's fees and other costs incurred by Seiler to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement.the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. ¢. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability.noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up,or blowback,will be borne by the Purchaser, An additional charge,at Seller's discretion,will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays,delivery systems,placing equipment,or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing,including concrete strength testing for acceptance,shall be in accordance with ASTM, UBC and ACI and that 9eller.will be provided with a copy of all test results within three(3)working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH,TFST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four(24)hours of deficient concrete compressive strength test results,to retain test specimens.and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser,its employees,agents, contractors or s,jbcontractors,Purchaser accepts the concrete as delivered and waives all right to reject,revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. ll2. WARRANTY. Seller warrants that the compressive strength`of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the rr k design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in,this Contract. No other warranties,express or implied,.are made with respect to such construction materials.whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller,at Seller's option,to refund the purchase price.to repair said material.or to provide Purchaser with a conforming replacement for any non-conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13, LIMITATION ON DAMAGES. Seller assumes no responsibility for,and shall not be liable to,Purchaser for any consequential damages incurred by Purchaser in connection with this Contract,including without limitation.Purchaser's lost profits,Purchaser's good will,and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. f 14, CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty,shall be as follows: Notice of claims against Seller for any reason,including but not limited to,breach of contract or warranty,must be given to Seller in writing within three(3)working days after discovery or when discovery should have been made. The written claim shall include the reason(s)and,grounds for the claim and the dollar: 9 amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE(3)WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved,the parties involved agree to binding arbitration through non-legal personnel. 15, TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein,title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same,at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss.Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries,including death,and property damage arising from the storage,use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves,a fully buttoned long-sleeved shift,full-length trousers,and tight fitting eye protection when working with these materials. If you have to stand in wet concrete,use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete,wear kneepads to protect knees. FIRST AID: If dust is inhaled,remove to fresh air. Get medical attention if irritation persists, Wash wet concrete,mortar,cement,or cement admixtures from your skin with fresh,clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact,so promptly rinse wet concrete,mortar,cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort.'Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits(see MSDS),wear suitable NIOSH/MSHA-approved respirator. In case of eye contact,flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN,USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET(UNHARDENED)CONCRETE,MORTAR, CEMENT OR CEMENT MIXTURES. STONEWAY SEATTLE(Plant#11)3803 E.Marginal Wy S.,Seattle DELIVERY TICKET TUKWILA(Plant#12)17024 W.Valley Hwy.,Tukwila CONCRETE RENTON(Plant#14)915 Houser Way N.,Renton SALES/PLANT& CEDAR SHORES(Plant#20)21010 Cedar Grove Rd.S.E.,Maple Valley ORDER DESK (425)226-1000 ACCOUNTING:9125 TENTH AVENUE SOUTH SEATTLE,WA 98108 • (206)762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. FAX (425)228-4924 OUR LEAVE JOB ARRIVE PLANT TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH P PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. COD CUSTOMERS 00157?4 583000 JOB ADDRESS COLLECT ON DELIVERY(C.O.D.) 11I PLANT P t CF UP IN RE MAP ZONE ❑CASH ❑CHECK# ❑CHARGE CARD# EXP. / SPECIAL INSTRUCTIONS ! i I PLANT P 10111 UP ❑VISA ❑ MASTERCARD ❑ DISCOVER PRODUCT DESCRIPTION CODE j jl SII Li PSI CA S 10. 10 IDS 20001 CALCIUM CHLORIDE 0. p 8. 30075 ENVIRONMENTAL SURCHARGE. 3. 7W 0. 50 5. 60DEGR E60 DEGREE CONCRETE 2. 00 , 0. 2CP 3. JOB TOTA SLUMP; SPACING ORD ED BY � �►< 00 t • TRUCK+NQ.=,+. ` DRI)A I VERN PICK LIP ��}}y++?? REMIT TO WATER ADDED ON-SITE CYLINDERS 9125 10th AVE.S. AUTHORIZED BY: SEATTLE,WA • 98108 ❑YES TERMS ON REVERSE gals.to full load ❑YES REASON FOR DELAY TIME: ❑JOB NOT READY ❑LACK OF HELP ElADDING WATER ElWHEEL BARROW JOB gals.to 2/3 load El YES ❑ARRIVED JOB EARLY ❑TRAFFIC ❑TRAIN ❑DRAW BRIDGE gals. to 1/3 load ❑ NONE ❑WAITING FOR TRUCK TO UNLOAD ❑PUMP BLOW-BACK ❑WAITING ON PUMP ❑WASH PUMP ❑OTHER ADDITION OF WATER WILL REDUCE -WARNING- RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, STRENGTH.WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC.FOR ANY DAMAGE TO HIS REAL SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE(16) AGREEMENT ACCESS ON BACK(5). 4e 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE PRINT NAME DATE DISCOLORATION -------------- --------------------- -- - ------ - BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY TERMS,CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms,all deliveries under this Contract are"Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty(30)days from receipt of the executed Contract frorn Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT`. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one-quarter percent(1.25%)per month will be payable on all past due invoices of thirty(30)days or older. CREDIT CARDS ARE ACCEPTED AT TIME OF PURCHASE ONLY. IF PAYMENT IS MADE BY BANKCARD AFTER PURCHASE DATE,A 3%FEE WILL BE INCURRED. If a service charge is assessed,it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof,without any retention and without regard to any agreement Purchaser may have with other parties, Should legal action be initiated to collect this invoice,the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies,and post-judgement collection efforts. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal,state and local taxes,assessments,fees,duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. ChangVs or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent(including,but not limited to, drivers,quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete,a Division of Gary Merlino Construction Company,Inc.(Seller)to make use of a path for the delivery of.materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks,damage to the premises and/or adjacent property,or personal injury may occur and that trucks may become damaged,disabled or stuck if Seller makes use of the path requested, Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway,to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries,truck towing and winching expenses.and/or damage to Seller's trucks should the trucks become damaged,disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify,hold harmless,and defend Seller from any claims,demands,losses,and liabilities to or by third g g use p y a r claims may prove to be true or false,groundless or les,arising from,resulting from;or connected with the use of the requested path for the deliver of materials whether such rd)itent:to the full g�ctent permitted by taw and subl R19err7ltttiOns glow. Pufi2sers du�}�fo indemnify Seller for italiiiity for damages i�rising out of bodrlyity�tD p�sQns ittt dar>xage to pCbperty caused by'or resulting fiJLttbu+r9e�lialfiacet4f(a)Stoneway Concrete,a Division of Gary Mlerlino Construction Company fn6:gr agents and employees.and(b),,the Purchaser shall apply only to the extgnt of_the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's' indemnification obligation only,the Purchaser specifically and expressly waives any immunity that may be grantlid it under the Washington State Industrial Insurance Act,Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Furth2r,the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages,compensation:or benefits payable to or,for any third party under worker's compensation acts,disability benefit acts,or their employee ttq refit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims,demands, losses,and liability to which it applies,Seller's personnel related costs, reasonable attorney's fees, court Costs, and all other claim-related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement.the Purchaser agrees to appoint counsel of Sellers choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project" 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK.' Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability,noting.Purchaser may not receive original rate of pour requested. It is the responsibility.of Pump Company to notify Purchaser of all holds and refuses#n r Standt�y charges incurred during Pump Company clean up,or blowback,will be borne by the Purchaser. An additional charge,2t Seller's discretion,will be added f concrete due to clean up process. 8. POINT OF ACCEPTANCE. T eBuyer's point of acceptance is at the truck.chute. Seller will not accept responsibility for physical chan,,les of the concrete cause&by job delays,delivery s stems.pacing equipment,or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix conrFpte testing,including concrete strength testing for acceptance,shall be in accordance with ASTM, UBC and ACI and that Seiler will he or ov!ced with a copy of all test results within three(3)working days_of the performance of said tests_ )10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees tonotify Seller in writing Within twenty-four(24)hours of deficient concrete compressive strength test results,to r;>tiin test specimens,and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. if water andlar foreign material is added to the concrete by or at the request of the Purchaser,.its employees,agents, i contractors or subcontractors,Purchaser accepts the concrete as delivered and waives all right to reject,revoke acceptance Or assert any claim for breach of any warranty and, r -Seller is not responsible for strength or proptlrties of the concrete. 12. WARRANTY. Seller warrants that the compressive'strength of ready mixed concrete test specimens tested for acceptance,in accordance with ASTM will meet the design strength for the:mix design sold under this Contract. Seiler,warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties,express or implied,are made with respect to such construction materials,wlZetherthey be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller,at Seller's option,to refund the purchase price.to repair said material,or to provide Purchaser with a conforming replacement for any non-conforming materials. No consequential damages may be claimedby Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 113. LIMITATION ON DAMAGES. Seller assumes no responsibility for,and shall not be liable to,Purchaser for any consequential damages incurred by Purchaser in connection with this Contract,including without limitation,Purchaser's lost profits,Purchaser's good will,and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or, breach of warranty,shall be as follows: Notice of claims against Seller for any reason,including but not limited to,breach of contract or warranty,must be given to Seller in writing within three(3)working days after discovery or when discovery should have been made. The written claim shall include the reason(s)and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE(3)WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. if a dispute arises and cannot be resolved,the parties involved agree to binding arbitration through non-legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein,title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same,at the place of delivery designated herein. Thereafter,in addition to assuming all risk of loss.Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries,including death,and property damage arising from the storage,use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves,a fully buttoned long-sleeved shirt,full-length trousers,and tight fitting eye protection when working with these materials. if you have to,stand in wet concrete,use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete,wear kneepads to protect knees. FIRST AID: If dust is inhaled,remove to fresh air. Get medical attention if irritation persists. Wash wet concrete,mortar,cement,or cement admixtures from your skin with fresh,clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact,so promptly rinse wet concrete,mortar,cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits(see'MSDS),wearsuitable NIOSH/MSHA-approved respirator. in case of eye contact, flush with plenty of water for at least 15 minutes. Consult a physician immediately, KEEP OUT OF REACH OF CHILDREN.USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO'MAY USE OR COME INTO CONTACT WITH WET(UNHARDENED)CONCRETE,MORTAR, CEMENT OR CEMENT MIXTURES. DAILY INSPECTION DIARY REPORT l� DAY: '+4 ,./�� DATE: 1/ /0&/615- WORK PERIOD: ;3cqo/p.m. to a.m./p.m. _ WEATHER: D, L TEMP. MAX OF MIN OF PRECIPITATION: Al WORK ACCOMPLISHED TODAY: C o�,�va e/'f-�v `/n,a� a Z-`/ [t,•/ti r� G y�11iy S�u� �v�%y►� �',eA.�r..� ato��.�, IoyGP '�`P✓ C✓r Yl d�Gir.7LJ�t✓ P'�c,(J/QC�rrrtr� 7 dt� l/�/r//.wcrt5 cl oil f rr,Jnr �a do aws L ycw t.eio V Z,ti� o h 44"k f tv /.Lf Y- D47 (iycils #V-Jr 't lz Coca �rR���rs eve- Y'G�I;N�a� 1-4t- 100.a v c,0n4y4G/By hc�,��tpl �dtiKciS u of ,you �e- 4 li-e- Nz-d t 5Jr z s� 36 �e.� �rRc�oy Cy�' i/✓ i� � V-21v 23-ftO CeVuz� cy:�� Sfz� l S�z{ S h r"'*4z_';N S 3.ay-cc.e//S Gaul 4 cy.,r //t Vt7 d%eh t +G a f was n�y5cry Df r;t�i��h c�vnn aNci�k �t/We �-tn� D;s D;h Loci $T 14 o CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: DATE: WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: ® L TEMP. MAX OF MIN OF PRECIPITATION: A/ WORK ACCOMPLISHED TODAY: iv q �✓�� o� L'srfS — n1 r cvi�/S ono( �r � c�.zfrO� 3►.y(,e104 dV S f,if< Grew B� S _ �4f/U- �r.`cFs d-�v,`� �tic..(• �K 12 rook /� C)cH raG fsv �.ati^<�l b loc%s LZe e�, s 2,, WW < f y; art cevijvtd� kG �- r et L +—z- sL CONTRACTOR SIGNATURE IN ECTOR SIGNATURE DATE: /(-- 0?--05' DAILY INSPECTION DIARY .�� REPORT DAY: DATE: 1/ / WORK PERIOD:zr� f'a. /P.m. WEATHER: c� TEMP. MAX OF MIN �°F PRECIPITATION: WORK ACCOMPLISHED TODAY: TLC �-C'� .0 J t iE 7. v � �S 4 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT �� DAY: DATE: / WORK PERIODK � /p.m. to _.—a.m WEATHER: �, _ TEMP. MAX _OF MIN eL?°F PRECIPITATION: WORK ACCOMPLISHED TODAY: -- ,4ZE:2 Z-4 //ram LC63 --� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY / REPORT DAY: DATE: 1 ot Os WORK PERIOD V /a,"ml/p.m. a. ./p.m. WEATHER: , TEMP. MAX °F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: �dv ef 67 pie", t j CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: •aouo le wnyay punoj 91 JoAA3 p-eleo of palejS lunoaay inoA CJG EL Zl ll 01 6 8 L 9 5 ti Z l GLiVMUod aalO 'ON ' eH INnOOOV 'ON ,eau! No. C Re . No. erk ROUNTWARD 1 -2 3 4 5 6 7 8 9 10 11 12 13 14 15 Your Account Stated to Date-If Error Is Fouind Return at Once. 20 M. No. OUNT Re . No. iClerk Fo WARD 1 l 2 3 4 5 6 8 9 10 11 12 13 14 15 Your Account Stated to Date-If Error Is Found Retum at Once. ate l Ib 20O`f M No. Re . No. Jerk ACCOUNT FORWARD 1 2 3 4 5 6 7 l000 8 9 10 11 12 13 14 15 Your Account Stated to Date-If Error Is Found Return at Once. DAILY INSPECTION DIARY REPORT 1#1 DAY: DATE: /��WORK PERIOD:',, ./p.m. ta. /p.m. WEATHER: , TEMP. OF MIN </en_�JF PRECIPITATION: WORK ACCOMPLISHED TODAY: 14 j .�.! .tom-- Y q f CONTRACTOR SIGNATURE 6INSCTOR SIGNATUR DATE: T DAILY INSPECTION DIARY DAY: REPORT 4k � DATE: i0 /�� /t�5 WORK PERIOD: C���' a.m./p.m. to �/��l'a.m. /p.m. WEATHER: i TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: ,� %J e �, 0(2 -c��� U CONTRACTOR SIGNATURE INSPEC OR SIGNATUBE DATE: i ci a s _6 r 4% ' DAILY INSPECTION DIARY REPORT # DAY: tr � DATE: IeL-"SWORK PERIOD:/p.m. d5-ova. ./p.m. WEATHER: TEMP. MAX 4C2�F MINAj °F PRECIPITATION: � Q �s- WORK ACCOMPLISHED TODAY: �7 i� _..� c r ii e�j -,4-Ap, f4C_)nL- ��/lannc tl f3 roc k I Una CONTRACTOR SIGNATURE INSPECTOR SIGNA E DATE: LtttC� 0 STONEWAY SEATTLE(Plant#11)3803 E.Marginal Wy S.,Seattle DELIVERY TICKET CONCRETE TUKWILA(Plant#12)17024 W.Valley Hwy.,Tukwila RENTON(Plant#14)915 Houser Way N.,Renton SALES/PLANT& ACCOUNTING:9125 TENTH AVENUE SOUTH CEDAR SHORES(Plant#20)21010 Cedar Grove Rd.S.E.,Maple Valley ORDER DESK (425)226-1 000 SEATTLE,WA 98108 • (206)762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. FAX (425)228-4924 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# ? CI r.'t�'tl'1�. o0oole`11 L':r ,"I 01 1 CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY(C.O.D.) MAP ZONE ❑CASH ❑CHECK# ❑CHARGE CARD# EXP. / SPECIAL INSTRUCTIONS I IRE.f-1Al V ❑VISA ❑ MASTERCARD ❑ DISCOVER DESCRIPTION JOB TOTAL SLUM SPACING ORDERED BY 4. 00 {-.4iFst_ it) SUB-TOTAL 44y TRUCK NO. DRIVER -PRIVER, V'Icv lip SALES TAX REMIT TO WATER ADDED ON-SlT CYLINDERS 9125 10th AVE.S. AUTHORIZED BY: SEATTLE,WA BALANCE FORWARD 98108 ❑YES TERMS ON REVERSE TOTAL • gals.to full load ❑YES REASON FOR DELAY TIME: gals.to 2/3 load ❑YES ❑JOB NOT READY ❑LACK OF HELP ❑ADDING WATER ❑WHEEL BARROW JOB ❑ARRIVED JOB EARLY ❑TRAFFIC ❑TRAIN ❑DRAW BRIDGE gals. to 1/3 load ❑ NONE ❑WAITING FOR TRUCK TO UNLOAD ❑PUMP BLOW-BACK ❑WAITING ON PUMP ❑WASH PUMP ❑OTHER ADDITION OF WATER WILL REDUCE -WARNING- RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, STRENGTH.WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC.FOR ANY DAMAGE TO HIS REAL SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE(16) AGREEMENT ACCESS ON BACK(5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR SURFACE Additional unloading time charged at current hourly truck rate. DISCOLORATION PRINT NAME DATE -------------- --------------------------- BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF t CUSTOMER'S COPY TERMS,CONDITIONS AND WARNINGS i.. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms,all deliveries under this Contract are"Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty(30)days from receipt of the.executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges:of one and one-quarter percent(1.25%)per month will be payable on all past due invoices of thirty(30)days or older. CREDIT CARDS ARE ACCEPTED AT TIME OF PURCHASE ONLY. IF PAYMENT IS MADE BY BANKCARD AFTER a PURCHASE DATE,A 3%FEE WILL BE INCURRED. If a service charge is assessed,it must be paid in.order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof,without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice,the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals. bankr{apteies,and post-judgement collection efforts. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal,state and local taxes,assessments.fees,duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations frorrroriginal.delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent(including,but not limited to, drivers,quality assurance personnel or sales representatives). w. 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed-Purchaser has requested Stoneway Concrete,a Division of Gary Merlino Construction Company,Inc.(Seller)to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of,trucks,damage to the premises and/or adjacent property,or personal injury may occur and that trucks may become damaged,disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks traveLbeyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage,. personal injuries,truck towing and winching expenses,and/or damage to Seller's trucks should the trucks become damaged,disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify,hold harmless,and defend Seller from any claims,demands,losses,and liabilities to or by third parties ans.ing from.resulting from,or connected with the use of the requested,path for the delivery of materials whether such claims may prove to be true or false,groundless or z#audblenY t the folt'"rit p'er (tte#by taw and s±yr tQ,Jte Ilt�iiYations"below. PUreha9 Y duff 'to InderriNi Seller fW Nityifor dama�es,arising,out.of bodity Injury to persons Br datna4,to.}property ed by of restr+tQbig�J; c6ncurrenr.AegliWce of(a).Sttarteway C4igrete a Dlvt§ten�GBry Merlino Constructing Company,Inc.,or its agents-and employees,and(b)the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only,the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act,Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser, Further,the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages,compensation or benefits payable to or for any third party under worker's compensation acts,disability benefit acts.or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims,demands, losses,and liability to.which'it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim-related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement.the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel wil)be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the jots site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of cor4rilunication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will he done to the bestof Seller a ability,noting Purchaser may not receivepAgi4al rate of pour requestedi It is the responsibility of Pump Company to notify Purchaser of afl holds and refeagminsetvlo *St es incurred during Purrip Compa0—cfeanup;or biowbacle,will be borne by the Purchaser. An add itional*charge,at Seller's discretion,will be added for rettitatetl boy to clean up process. 8. POINT OF ACCEPTANCE. s n acceptance is.sat the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays,delivery systems:r>lacine �me rti!ojrcumstances beyond our control. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing,including concrete strength testing for acceptance,shall be in accordance with ASTM, UBC and ACI and thai Seller ovill be provided with a copy of all test results withiq three(3)working days of the performance of said ts. �. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH:TEST-RESULTS. Purchaser agrees to notify Seller in writing within twenty-four(246urs of deficient concrete compressive strength�€st results,to retain test specimens,and to make them available to Seller for further inspection and testing. 41. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water,and/oY foreign material is added to the concrete by or at the request of the Purchaser,its employees,agents, contractors or subcont(gptors,Purchaser accepts the concrete as delivered and waives all right to reject,revoke acceptance or assert any claim for breach of any warranty and Seller is not responsiblefor strength or properties of the concrete. WARRANTY. Seller warrantsFthw the compressive strength'of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design'salid under thisZontract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties,express or implied,are made,with respect to such construction materials.. whether they be warranties of fitness or warranties of merchantability, Purchaser's exclusive remedy for breach of this warranty shall be to require Seller,at Seller's option.to refund the purchase price.to repair said material,or to provide Purchaser with a conforming replacement for any non-Conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of,warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 15. LIMITATION ON DAMAGES. Seller assumes no responsibility for,and shall not be liable to,Purchaser for any consequential damages incurred by Purchaser in connection with this Contract.including without limitation.Purchaser's lost profits,Purchaser's good will,and any injury to persnn•or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract Against Seller for any reason, including breach of contract or breach of warranty,shall be as follows: Notice of claims against Seller for any.reason,Including but not limited to,breach of contractor warranty,must be given to Seller in writing within three(3)working days after discovery or when discovery should have been made. The written claim shall include the reason(s)and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THRE$(3)WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a drspute arises and cannot be resolved,the.parties involved agree to binding arbitration through non-legal personnel. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein,title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the 'ime. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same,at the place of delivery designated herein. Thereafter,in edition to assuming all risk of loss.Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries,including death,and property damage arising from the storage,use or handling of said materials. 6. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves,a fully buttoned long-sleeved shirt,full-length trousers,and tight fitting eye protection when working with these materials. If you have to stand in wet concrete,use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete,wear kneepads to protect knees. FIRST AID: If dust is inhaled,remove to fresh air. Get medical attention if irritation persists. Wash wet concrete,mortar,cement,or cement admixtures from your skin with fresh,clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact,so promptly rinse wet concrete,mortar,cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe.discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits(see MSDS),wear suitable NIOSH/MSHA-approved respirator. In case of eye contact,flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN,USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET'(UNHARDENED)CONCRETE,MORTAR, CEMENT OR CEMENT MIXTURES. 7 i PPM do- IsSTONEWAY SEATTLE(PI „ 380 E.MarPW Sea e � DELIVERY TICKET CONCRETE TUKWILA(P nt~ ��.V �Tuk a RENTON(P ) 1 ouser .,Renton SALES/PLANT& ORDER DESK (425)226-1000 ACCOUNTING:9125 TENTH AVENUE SOUTH CEDAR SHORES(Plant#20)21010 Cedar Grove Rd.S.E.,Maple Valley SEATTLE,WA 98108 • (206)762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. FAX (425)228-4924 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. ,,..n0 C 1.)gTnMF.Rq "111711"96 JOB ADDRESS COLLECT ON DELIVERY(C.O.D.) MAP ZONE ❑CASH ❑CHECK# ❑CHARGE CARD# EXP. / SPECIAL INSTRUCTIONS ❑VISA ❑ MASTERCARD ❑ DISCOVER ��• _DESCRIPTION ®® ht.�hIf It-11 1 f_d -JIFC1 lt=if!Lil t i JOB TOTAL SLUMP SPACING ORb RED BY ' TRUCK NO. DRIVER REMIT TO WATER ADDED ON-SITE CYLINDERS 9125 10th AVE.S. AUTHORIZED BY: SEATTLE,WA • 98108 ❑YES TERMS ON REVERSE gals. to full load ❑YES REASON FOR DELAY TIME: gals. to 2/3 load ❑YES ❑JOB NOT READY ❑LACK OF HELP ❑ADDING WATER.; ❑WHEELBARROW JOB ❑ARRIVED JOB EARLY ❑TRAFFIC ❑TRAIN ❑DRAW BRIDGE gals. to 1/3 load El WAITING FOR TRUCK TO UNLOAD El PUMP BLOW-BACK ❑ NONE ❑WAITING ON PUMP ❑WASH PUMP ❑OTHER ADDITION OF WATER WILL REDUCE -WARNING- RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, STRENGTH.WATER ADDED AT IRRITATION TO A DIVISION-OF GARY MERLINO CONSTRUCTION COMPANY,INC.FOR ANY DAMAGE TO HIS REAL SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE(1.6) AGREEMENT ACCESS ON BACK(5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE PRINT NAME . DATE DISCOLORATION BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY TERW,CONDITIONS ANC WARNINGS 1, CREDIT. Condition precedent to Seller's obligation to perform afiy Land aii credtt'temns of payit nt must"be set forth in this Contract. In the absence of any such credit terms,all deliveries under this Contract are"Collect On Delivery"(C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition, Seller's oto�p "''to perform under this Contract is subject to the condition precedent that Seller shall have,thirty(30)days from receipt ol,the executed Contract from Purchaser so th credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2, Tiik MS OF PAYMENT„ All invoices are due for payiri e 30th day after th&`ijgte of invoice. Service charges of one and one quarter percent(1.25%)per month will be payable on all past due invoices of thirty(30)days or older. CREDIT CARDS ARE ACCEPTED AT TIME OF PURCHASE ONLY. IF PAYMENT IS MADE BY BANKCARD AFTER PURCHASE DATE,A 3%FEE WILL BE INCURRED. If a service charge is assessed,it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof,without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice,the prevailing party shall be entitled to recover reasonable attorney fees and costs,including appeals, bankruptcies,and post-judgement collection efforts. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTtCES ON ALL JOBS. 3. TAXES. All federal,state and local taxes.assessments,fees,duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser.. 4. SCHEDULING. Changes of variations f rom ongin,4 delivery request shall be ough Seller's dispatch office and no other Seller's agent(including,but not limited to. drivers quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete tran3lf- rucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete,a Division of Gary Merlino Construction Company,ir)c.(Seller)to make use of a path for"the delivery of materials and access to'the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks,damage to the premises and/or adjacent property,or personal injury mdy occur and that trucks may become damaged,disabled or stuck if Seiler makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to,Seiler and third parties for property damage. personal injuries,truck towing and winching expenses,and/or damage to Seller's trucks should the trucks become damaged,disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify,hold harmless,and defend Seller from any claims,demands,losses,and liabilities to or by third parties arI n from,resulting from,or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false,groundless or fra00uI#nt fW ext*t'perrtljtfed by 1W subject _Irmitdtiorts below. Purchasset s dwty'to indwnr' Seller for liability for damages arising"outi,,of bod*y'injury to ;;persons or l image to'prop ,oaused.hy 9t tes►tl ing fre>r e. r.i'gl�trneglige�(a' ,ay C'"e`ete,a Division of Gary hAerGno Construction Company. Inc,or its agents and employees,and(b)the Purchaser shall apply only to the extent of.the negiigence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only,the'Purchaserspecificaily and expressly Waivesedy immunity that may be granted it under the Washington State Industrial Insurance Act,Title 51 RCW. -f his waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further,the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damagercompensation or benefits payable to or for any third party under worker's compensation acts,disability benefit acts,or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims,demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim-related expenses, including attorney's fees and ther costs incurred by Seller to enforce and establish itly right under this Agreement. Upon Seller's tender of defense under this Agreement.the Purchaser agrees to app%int counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the�urchaser. Seller is not responsible for means and methods of placement of ready mixed.concrete or aggregate products on a project. 6. WASH OUT AREA, It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not providedt, 7. PUMP HOLDS AND BLOWBACK. Seiler holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability,noting Purchaser may not receive original rate of pour requested. it is the responsibility of Pump Campanylcrnotify-Puro+�—" of all holds and releases..italkehW O'' andby charges incurred during Pump Conlpany,,ciean up,or.blowback,will be borne by tho Purchaser. An additional r.harge,at Seller's discretion.will be add;3d foJ returne[`t`�oh*ete due to clean up process" ' ,3. 'POINT OF ACJE NCE -he gUyer`s4idint of acceptance is at tile truck chute. Seiler will not accept responsibility for physical changes of the.concrete caused by job delays,delivery syAems,placing egtltahtenk or co-umstances beyond our control. 9. READY MIX CONCRETE TE:TING. Purchaser agrees that all ready mix concrete testing.including concrete strength testing for acceptance,shall be in accordance with ASTM, UBC and ACI and that SeIer will be provided with''copy of all test results within three(3)working days of the performance of said tests. 0. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS Purchaser agrees to notify Seller in writing within twenty-four(24)hours of deficient concrete compressive strength test results,to retain test specimens,and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added.to the cor'tcrefe by or at the request of the Purchaser,its employees,agents, contractors or subcontractors,Furchaser accepts the concrete as delivered and waives all right to reject,revoke acceptance or assert any claim for breach of any warranty and fSeller is not responsible for strength,oceproperties of the concrete. 112. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties,express or implied,are made with respect to such construction{materials,whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller,at Seller's option.to refund the purchase price,to repair said material,or to provide Purchaser with a conforming replacement for any non-conforming materials. No consequential damages may be claimed by Purchaser agaiftst Seller in connection with any breach of this Agreement or breach of warranty herein:.THE PRECEEDING WARRANTY IS IN LIED OF'AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE, 13'. LIMITATION ON DAMAGES, Seller assumes no responsibility for,and shall not be liable to,Purchaser for any consequential damages incurred by Purchaser in connection with this Contract,including without limitations Purchaser's lost profits,.Purchaser's good will,and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason,including breach of contract on breach of warranty,shall be as follows: Notice of claims against Seller for any reason,including but not limited to,breach of contract or warranty.must be given to Seller in writing within three(3)working days after discovery or.when discovery should have been made. The written claim shalt include the reason(s)and grounds for the claim and the dollar amount or relief squght. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE(3)WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATEFiLMAKE ANY SUCH CtAIM..Ifadispute arises and cannotberesolved,the parties involved agree to binding arbitration through non-legal personnel 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein,title to the materials sold hereunder shall remain with Seiler until Seller has received full payment for the same. Risk of toss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same,at the place of delivery designated herein. Thereafter,in (: addition to assuming all risk of loss.Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries,including death,and property damage arising from the storage,use or handling of said materials. MI6. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. 'Avoid contact with eyes and skin. Wear waterproof gloves,a fully buttoned long-sleeved shirt,full-length 1 trousers;and tight fitting eye protection when working with these materials. If you have to stand in wet concrete,use waterproof boots that are tight at tops and high enough to t keep concrete from flowing into them. If you are finishing concrete,wear kneepads to protect knees. FIRST AID: If dust is inhaled,remove to fresh air. Get medical attention if i irritation persists. Wash wet concrete,mortar,cement,or cement admixtures from your skin with fresh,clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact,so promptly rinse wet concrete,mortar,cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recornmended limits(see MSDS),wear suitable NIOSH/MSHA-approved respirator. in case of eye contact,flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN, USER AGREES TO CONVEY THIS'WARNING TO ALL PERSONS WHO MAY USE bR COME rNITO CONTACT WITH WETViNHARDENED)CONCRETE,MORTAR, CEMENT OR CEMENT MIXTURES. No. ACCOUf Re Nle f ^IPrk FORWA C 3 4 5 6 7 8 9 10 11 12 13 14 15 Your Account Stated to Date-If Error Is Found Return at Once. '7 No. - - Re Np.j jClqVk FORWARACCOUNTD 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 Your Account Stated to Date-H Error is Found Return at Once. No. ACCOUP � Re . No. lerYl 2 3 4 �- 3 5 � 6 7 8 9 10 11 12 13 14 OL 15 Your Account Stated to Date-If Error Is Found Return at Once. No. ACCOUNT R@ �r. ^)f.V/� FOR!rtr Rn --) _ 2 -1 3 _ d' 4 5 6 7 8 9 10 11 12 13 14 15 Your Account Stated to Date-If Error Is Found Return at Once. 2n_ EA27 No. ACCOUNT Re No-� Clerk FORWARD z 3 4 5 6 7 8 9 10 4 11 12 13 14 15 Your Account Stated to Date-H Error Is Found Return at Once. ;�777--�v _ ;date � AW No. _ (- JT Re . No r' rk 1D 2 T 3 4 5 !� Q 6 7 8 9 10 11 12 13 14 15 Your Account Stated to Datedf Error Is Found Return at Once. vcel Ida e 200-5 na1 '. No. ACCOUNT Re . No. /Clerk^ FORWARD 1 ee 2 3 4 5 6 7 8 9 10 11 12 13 14 19 15 Your.Account Stated to Date-H Error Is Found Return at Once. DAILY INSPECTION DIARY DAY: DATE: ��/ ��-ORK PERIOD /P.m t a REPORT # WEATHER: EMP. V •/P.m. N�C�� F MINA=� F PRECIPITATION: WORK ACCOMPLISH D TODAY:00* ` f� CONTRACTOR SIGNATURE 4P ,116 SIGNATURE DATE: r DAILY INSPECTION DIARY REPORT DAY: _ � DATE: WORK PERIODj!��--1 /p.m. t � WEATHER: P TEMP. MAX F MIN y �F PRECIPITATION: /go ' WORK ACCOMPLISHED TODAY: �t uo �r c � e—mac o .,may �- TlA o Ac f J 1 SS. CONTRACTOR SIGNATURE INSPEC OR SIGNATURE DATE: u DAILY INSPECTION DIARY REPORT DAY: DATE: WORK PERIOD:' WEATHER: lo TEMP. MAX���F MIkI!y)��°F PRECIPITATION: WORK ACCOMPLISHED TODAY: 77 �Jz � CONTRACTOR SIGNATURE INSPECTOR ATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: DATE: y/p7 / ( ORK PERIOD: ./p.m. WEATHER: TEMP. MAX• �, !' °F MIN F PRECIPITATIO➢V<�i���� WORK ACCOMPLISHED TODAY: E I CONTRACTOR SIGNATURE INSPECTOR S GNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: DATE: 6�� / WORK PERIOD •/P•m• a• •/P.m WEATHER: TEMP. MAX <�F MIN4�°F PRECIPITATION: WORK ACCOMPLISHED TODAY: co&jll vt -J r Jo C SAA Als-A Ali CONTRACTOR SIGNATURE NSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: �� _� DATE: /��/��WORK PERIOD:-C'��a,�J/p,m, a.m. WEATHER: TEMP. MAX,�t2 °F MIN�F PRECIPITATION: WORK ACCOMPLISHED TODAY: 62,=1 Ui s c� 3 ,r O t � ` - 21. s C , CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT �6 DAY: DATE: V//'7/3 ORK PERIOD• a.m /p.m. WEATHER: TEMP. MAX °F MI °F PRECIPITATION: �2 n WORK ACCOMPLISHED TODAY: y ' y f/ 'Jed7-111 R 75 �3 ►�, 3 CONTRACTOR SIGNATURE INSPECTOR7 S GNAT DATE: SEATTLE(Plant#11)3803 E.Marginal Wy S.,Seattle �TONEWAY DELIVERY TICKET TUKWICONCRETE RENTO A(Plant 14) 17024 H W.Valley Hwy.N.,R Tukwila SALES/PLANT& RENTON(Plant#14)915 Houser Way N.,Renton ORDER DESK (425)226-1000 ACCOUNTING:9125 TENTH AVENUE SOUTH CEDAR SHORES(Plant#20)21010 Cedar Grove Rd.S.E.,Maple Valley FAX (425)226-1001 4924 SEATTLE,WA 98108 • (206)762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# I k) 1 _� * 1001 000001 ( r56 6 cat 4 CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. (.:(IC:i 1a'C)13914c, ` 7401 JOB ADDRESS COLLECT ON DELIVERY(C.O.D.) i-f7fyi. `ilt..l_f P1 I'IC14 tip VAi fIOLISER lI MAP ZONE ❑CASH ❑CHECK# ❑CHARGE CARD# EXP. / SPECIAL INSTRUCTIONS f'PEf 10 1 D ❑VISA ❑MASTERCARD ❑DISCOVER • • • . DESCRIPTION 4. c ENV I:G2Cll MENTAL SURCHARGE: ? 0. 215 JOB TOTA SLUMP SPACING ORDERED BY tJ Ri • TRUCK NO. DRIVER lip REMIT TO WATER ADDED ON-SITE CYLINDERS 912510th AVE.S. AUTHORIZED BY: SEATTLE,WA •• • . w� 98108 ,1]YES TERMS ON REVERSE gals.to full load ❑YES REASON FOR DELAY TIME: gals.to 2/3 load ❑YES ❑JOB NOT READY ❑LACK OF HELP ❑ADDING WATER ❑WHEEL BARROW JOB ❑ARRIVED JOB EARLY ❑TRAFFIC ❑TRAIN ❑DRAW BRIDGE gals. to 1/3 load ❑ NONE ❑WAITING FOR TRUCK TO UNLOAD El PUMP BLOW-BACK ❑WAITING ON PUMP ❑WASH PUMP ❑OTHER ADDITION OF WATER WILL REDUCE -WARNING- RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, STRENGTH.WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC.FOR ANY DAMAGE TO HIS REAL SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE(16) AGREEMENT ACCESS ON BACK(5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: DELIVERY TICKET NO. �r REV 10/03 NBF CUSTOMER'S COPY Y ' TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit tgftns,all deliveries under this Contract are"Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessaryfor Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty(30)'days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one-quarter percent(1.25%)per month will be payable on all past due invoices of thirty(30)days or older. CREDIT CARDS ARE ACCEPTED AT TIME OF PURCHASE ONLY. IF PAYMENT IS MADE BY BANKCARD AFTER PURCHASE DATE,A 3%FEE WILL BE INCURRED. If a service charge is assessed,it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in ia'Nful money of the United States and in accordance with the terms hereof,without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice,the prevailing party shall be entitled to recover reasonable attorney fees and.costs,including appeals. bankruptcies,and post-judgement collection efforts. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal,state and local taxes,assessments.fees,duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent(including,but not limited to, drivers,quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries,will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete,a Division of Gary Merlino Construction Company,Inc.(Seller)to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the r•earest traveled public highway. Seller has advised,that due to the size and weight of trucks,damage to the premises and/or adjacent property,or personal injury may occur and that trucks may become damaged,disabled or stuck'if Seller makes use of the path requested. Seller has further advised that it is their poligy that deliveries requiring Seller's trucks travel beyondtthe nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries,truck towing and winching expenses.and/or damage to Seller's trucks should the trucks become damaged,disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify,hold harmless,and defend Seller from any claims,demands,losses,and liabilities to or by third parties arising from,resulting from.or connected with the use of the requested path for the delivery of materials whether such c'_ins may prove to be true or false,groundless or it" #ate full ex*%—d by law and scrbfec3 to the 1rMit� hftslow.�uiche9�r's duty to fi demnify Setter for Iiabii ty for damages out, bbdiiy inf6ryto p�i1p�i l darnage:to prop eft bar resulting mrtf t;copcurrbrtt ni@gligencem.,(A)Stoneway Concrete.a Division of Gary Merlin, tbrr G, Pany,;Ino'•or its agents;and employees.and(b)the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only,the Purchaser specifically and expressly waives any immunity_that maybe granted it under the Washington State Industrial Insurance Act,Title 51 FtCN/,y;This waiver does not perm't`a direct action by the Purchaser's employees againsf the Purchaser. Further,the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages,compensation or benefits payable to or for any third party under worker's compensation acts,disability benefit acts,or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries"fo the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims,demands, losses,and liability to which it applies. Seller's personnel related costs,reasonable attorney's fees, court costs, and all other claim-related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement,the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability,noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and ref u to +c y charfjes incurred during Pump Company clean up,;or biowback,will be borne.by the Purchaser. An additional charge.at Seller's discretion.will be a fr re uridd�c to d 6 to clean up process. . 8. POINT OF ACCEPTA&E TWBuy,rsS' 'n acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete_ caused by job delays,delivery syst t�Rc�laGi }egU 4r umstances beyond our control. 0. READY MIX CONC7RL TE ►N STG Pc?4 g�r agrees that all ready ri ix concrete testing,including concrete strength testing for acceptance,shall be in accordance with ASTM, USG and ACI and thatSeAer Will be prove., 06 a copy of ail test results within three(3)working days of the performance of said tests. NOTIFICATION OF 0611 TENT CSI I�CR COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four(24)•hours of deficient concrete compressive"siu agth. 49(etin test specimens.anti to make them available to Seiler for furth"inspection and testing. ADDITION OF WATER ID MATMIAL: if water�Md/bvforeign material is added to the concrete,by or at the request of the Purchaser,its employees,agents! contractors or Subco ors i3ser accept*the concrete as delivered and waives ail right to reject,revoke acceptance or assert any claim for breach of any warranty and Seller is not resporii r etr (propertie.'of the concrete. WARRANTY. Seiler warrants'"t the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance vJlth'ASTM will meet the design strength for the mix design sold under this Contract.-Seller warrants the aggrega6g;material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied,are made,with respecl;.to such construction materials,whether they be warraritie§'of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller,at Seller's option,to refund the purchaseprice,to repair said material,or to provide Purchaser with a conforming replacement for any non-conformingmateriais. No cohsequehtiai damages may be claimed by Purchaser agalrist Seiler in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WAR PANTY IS IN LIEU OF AND SELLER HEREBY EXPRESS12! DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE,.. LIMITATION ON DAMAQrES.'Seller assumes no responsibility for,and shall not be liable to,Purchaser for any consegyential damages incurred by Purchaser in connection with this Contract,including Without limitation,Purchaser's lost.prof ts,Purchaser's goodwill,and arly injury to person or property proiittnaltelyresulting from any breach by Seller or breach of warranty by Seller, t, "4. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seiler for any reason, including breach of contract or breach of warranty,shall be as follows: Notice of claims against Seller for any reason rina,14 ling,Wt not limited to,breach of contractor warranty,must be given to Seller in writing within three(3)working days after discovery or when discovery should have been.made. The written ciaim shall include the reasons)and grounds for the claim and the dollar amount or relief,seaught. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WIT4N,,THREE;.(3)WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS t.. RIGHT TO LATER MAKEANY SUCH CLAIM, if a dispute.ansesaad cannot be7esoived;the Parties involved agree to binding arbitration through non-legal personnel. ii 5. TITLE AND RISK OF LOSS, Unless otherwise expressly stated herein,title to the'materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same,at the place of delivery designated herein. Thereafter,in addition to assuming all risk of loss.Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries,including death,and property damage arising from the storage,use or handling of said materials. }'16. CONCRETE WARNINGS. Injurious'to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves,a fully buttoned long-sleeved shirt,full-length 1. trousers,and tight fitting eye protection when working with these materials. If you have to stand in wet concrete,use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete,wear kneepads to protect knees. FIRST AID: If dust is inhaled,remove to fresh air. Get medical attention if irritation persists, Wash wet concrete,mortar,cement,or cement admixtures from your skin with fresh,clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact,so promptly rinse wet concrete,mortar,cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits(see MSDS),wear suitable NIOSH/MSHA-approved respirator. In case of eye contact,flush with plenty of water for at least 15 minutes. Consult a physician immediately, KEEP OUT OF REACH OF CHILDREN,USER AGREES TO CONVEY THIS WARNINt TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH"WET(UNHARDENED)CONCRETE,MORTAR, CEMENT OR CEMENT MIXTURES. DAILY INSPECTION DIARY �a.�� PORT 46 DAY: DATE: �/��� IWORK PERIOD:,/J� /P.m. t ./p.m. WEATHER: TEMP. MAJ� °F MIN F PRECIPITATION: WORK ACCOMPLISHED TODAY: IS CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT 4� DAY: �Q,n DATE: 10 / 1;k--/ -U5 WORK PERIOD: &0 a.m./p.m. to 100 a.m./p.m. WEATHER: ` C� TEMP. MAX OF MIN OF PRECIPITATION: ,S WORK ACCOMPLISHED TODAY: Clv� CA CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: (O � � Q� DAILY INSPECTION DIARY /�� DAY: DATE:` /�i (�5 WORK PERIODG�,' J /P.m. t REPORT � a.m p.m WEATHER: - TEMP. MAX6�-F MIN-Z—"§63' °F PRECIPITATION: WORK ACCOMPLISHED TODAY: y CONTRACTOR SIGNATURE 144SZPECT R SIGN TURE DATE: DAILY INSPECTION DIARY , pp REPORT DAY: �(� V\ DATE: 1D / 10 / 65 WORK PERIOD: CzO a../p.m. to (�/�a .m./p.m. WEATHER: c(16, TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 1 6Z, [/(4"'� CONTRACTOR SIGNATURE INSPECTO(RR SIGNATURE DATE: SEATTLE(Plant#11)3803 E.Marginal Wy S.,Seattle STONEWAY DELIVERY TICKET TUKWILA(Plant#12)17024 W.Valley Hwy.,Tukwila CONCRETE RENTON(Plant#14)915 Houser Way N.,Renton SALES/PLANT& ACCOUNTING:9125 TENTH AVENUE SOUTH CEDAR SHORES(Plant#20)21010 Cedar Grove Rd.S.E.,Maple Valley ORDER DESK (425)226-1000FAX (425)228-4924 SEATTLE,WA 98108 • (206)762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# 0 ` I r"9 ":"t'y izblld1�410 ? )'1`_+ . .S"-I (°i t ;t CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. E 01) ('1.1", TOME Rt-; JOB ADDRESS COLLECT ON DELIVERY(C.O.D.) i"atAE�4Il:�Jl�J� I�ICI� l.1�' �►'i 9It3!_ISE'R MAP ZONE ❑CASH ❑CHECK# ❑CHARGE CARD# EXP. / SPECIAL INSTRUCTIONS [I VISA ❑ MASTERCARD ❑ DISCOVER PRODUCT •DDESCRIPTION in W Io.11 141 1 • 411'+ 5, 5 L-A, GNI) 7 'S 4000 {'SI CA S 72 52 6. 3 t r" 30075 Et,IV I RONMENTAL SURCfiARGE 3. 75 0. 3 i� Y co JOB TOTA SLUMP SPACING ORDERED BY TRUCK Nq.F, DRI �,I L)EP, PICK tip , 1 REMIT TO WATER ADDED ON-SITE CYLINDERS 9125 loth AVE.S. AUTHORIZED BY: SEATTLE,WA • 98108 ❑YES TERMS ON REVERSE gals.to full load ❑YES REASON FOR DELAY TIME: gals.to 2/3 load ❑YES ❑JOB NOT READY ❑LACK OF HELP ❑ADDING WATER ❑WHEEL BARROW JOB ❑ARRIVED JOB EARLY ❑TRAFFIC ❑TRAIN ❑DRAW BRIDGE gals. to 1/3 load ❑WAITING FOR TRUCK TO UNLOAD El PUMP BLOW-BACK El NONE ❑WAITING ON PUMP ❑WASH PUMP ❑OTHER ADDITION OF WATER WILL REDUCE -WARNING- RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, STRENGTH.WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC.FOR ANY DAMAGE TO HIS REAL SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE(16) AGREEMENT ACCESS ON BACK(5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE PRINT NAME DATE DISCOLORATION BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY 1' TERMS,CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract" In the absence of any such credit terms,all deliveries under this.Contract are"Collect On Delivery" (C.O.D.). Purchaserjgrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform und�fthis Contract is subject to the condition precedent that Seller shall have thirty(30)days from receipt of the executed Contract from Purchaser so that$eller'a:credit departnlbht may re'vieW and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date 4-1nvoice. Service charges of one and one-quarter percent(1.25%)per month will be payable on all past due invoices of thirty(30)days or older. CREDIT CARDS ARE ACCEPTED AT TIME OF PURCHASE ONLY. IF PAYMENT IS MADE BY BANKCARD AFTER, PURCHASE DATE,A 3%FEE WILL BE INCURRED. if a service charge is assessed,it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof,without any retention and without regard to any agreement Purchaser may have with other parties, Should legal action be initiated to collect this invoice,the prevailing party shall be entitled to recover reasonable attorney fees and costs,including appeals. bankruptcies,and.post-judgement collection efforts. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal,state and.locai taxes,assessments,fees:duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid.by Purchaser 4" SCHEDULING ;Chan9op f or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent(including,but not limited to, drivers.quality assur9nce personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete trdnsit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete.a Division of Gary Merlino Construction Company.Inc.(Seller)to make use of a path for the delivery of materials and access to the,project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks,damage to the premises and/or adjacent property,or personal injury may occur and that trucks may become damaged;disabled or stuck if Seller makes Use of the path requested. Seller has further-advised that it is theirpplicy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no Iiabilit*r property0arnage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries,truck towing and winching expenses.and/or damage to Seller's trucks should the trucks become damaged,disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees.to indemnify,-hgld harrnfess,.and defend Seller from any claims,demands,losses,and liabilities to or by third arties,arising from resulting from,or connected with the ussof the requested path for the d ('very of materials whether such claims may prove to be true or false,groundless or "'� tall[d mf,46 thj fxfll e)rtent parmitced byr taw and. a t�ttzitatto,. p(ow:+ f. c W liability':for damagets srls' ! fl y pertNtris cit darrhag9'to property'baused by,or ressuiting cOsMa S fe a piyoa of Gary'MerGp© pat at agents and employees..and(b)the Purchaser shall apply onV to the extent of,the negllgence.of the Purc,{ieser or its agents and employees. For the purpose of the Purchaser'sj indemnification obligation only,the Purchaser specifically and expresslywaives any irnrpunity-ihat may be granted it under the Washington State Industrial Insurance Act,Title 51 RCW. This waiverdoes not permit a direct action by the Puichaser's employaes.againsf the Purchaser: Further,the indemnification obligation under this Agreement shall not bei limited in any way,by any limitation on the amount or type of damages,compensation or benefits payable to or for any third party under worker's compensation acts,disability: benefit acts,or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty, to defend, indemnify and hold Seller harmless shall include,as to all claims,demands, losses, and liability to which it applies, Seller's personnel related costs, reasonably attorney's fees, court costs, and all other claim-related expenses. Including attorney's fees anal other costs incurred by Seiler to enforce and establish its right under this, Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of'Seller's choice to defend against third party claim(s). Such,, counsel will beat the snte expense of the Purchaser. Seller is not responsibleYor.i- jeans and methods of placerrlent of ready mixed concrete or aggregate products on a project.; 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suttat)1e-aka fortrucks fo`rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation cif comrr unicat3on to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to thgr hest of Seller's ability,noting Purchaser Ma not re iyeorr i'"' y a;e" g o8l>r*e'of pourxequested:It is the responsibilit)Yof'Pump Company to notify Purchaser of ail holds and relpasesit$''$4rgiCe. taP( }ftrt>rges incurred during Pump Company eiearTlip>or biowback,will be bome.by the Purchaser. An additional charge,at Seller's discretion,will be dQ {¢r re{trnf a;on�ttluG to clean up process. 8. POINT OF ACCEPTA The buyer's pUnt okacceptance is at the truck qhpte,, Seller wiN not accept respons bility,.for physical changes of the concrete caused by jots delays,delivery systems,placing equipment dr Circumstances beyond our c ol„, 9. READY MIX CONCRETE TESTING. Purch>geag[ees that all ready mix cpnFr a testing:including concrete strength testing for acceptance,shall be in accordance with ASTM; UBC and ACI and that Seller will be provicI4 with a copy of all test results three(3)working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEK,RESULTS. Purchaser agrees to notify Seller in writi4vui06rtwenty-fouf(24)hours of deficient concrete compressive WengtIn test results,:to retain,test specimens.and to make them available to Seller for further inspection and testing. 11, ADDITION OF WATER ANQIf?R FtCtR�G t1ATERIAL. If water and/or foreigni'vnaterial is added to the concrete:by or at the request of the Purchaser,its employees,agents, contractors or subcontract lib Purch acri8pt54he concrete as delivered and waives all right to reject,revoke acceptance or assert any claim forbreach of any warranty and Seiler is not responsible for strength�pbrffesf the concrete. 12, WARRANTY. Seller warrants'thaf the compressi"uelstrerigtffof ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for thf:mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties,express or implied,are made.with respect tp.suGh construciton materials.whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this wv&radty hall�e to require Seller,at Sellers option,to refund the purchase price,to repair said material,or to provide Purchaser with a conforming replacement for any non-conforming maCsriats, (�o consequential damages may be claimed by Purchaser against Seiler in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDOG.WARRANTY: S IN 40 OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY ARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for,and shall not be Iiabje;tD:`Purghaser for any consequential damages incurred by Purchaser in connection with this Contract,including without limitation.Purcrrgser's lost profits,.Purchaser's good.,wilt,and any injdWto person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 1�, CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this, .6b%act gairlst Seller for any reason,including breach of contract or breach of warranty,shall be as follows: Notice of claims against Seller fa any reason;including gift n'ot limn44ci ip,bne cq of contract or warranty,musttSe given toSefler in writing within three(3)working days after discovery or when discovery should Have been made. The written:Claimishall'Include the reason(,)and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE-WITt.RJ%(THREE(3)WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. if a dispute arises and cannot be resolved,the parties involved agree to binding arbitration through non-legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein,title to the materials sold hereunder shall remain with Seller until Seller has received full payment,for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same,at the place of delivery designated herein. Thereafter,in addition to assuming all risk of loss.Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries,including death,and property damage arising from the storage;use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves,a fully buttoned long-sleeved shirt.full-length trousers,and tight fitting eye protection when working with these materials. If you have to stand in wet concrete,use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete,wear kneepads to protect knees. FIRST AID: if dust is inhaled,remove to fresh air. Get medical attention if irritation persists. Wash wet concrete,mortar,cement,or cement admixtures from your skin with fresh,clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact,so promptly rinse wet concrete,mortar,cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort, Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits(see MSDS),wear suitable NIOSH%MSH.A-approved respirator. In case of eye contact,flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN,USER AGREES TO CONVEY THIS WARNING 10 ALL PERSONS WHO MAY U§E OR COME FNYO CONTACT WITH WET(U"ANARDENED)CONCRETE,MORTAR, CEMENT OR CEMENT MIXTURES. DAILY INSPECTION DIARY REPORT DAY: kfJS DATE: 0 OS WORK PERIOD: �,30 a.m./p.m. to �0a.m./p.m. .r WEATHER: s TEMP. MAX OF MIN °F PRECIPITATION: WORK ACCOMPLIS ED TODAY: L rx 14 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT �� DAY: DATE: �/j/Q+ 1ORK PERIOD: a-r. /p.m. a� /p. WEATHER: � , TEMP. MAX —�M °F MIN °F PRECIPITATION: � WORK ACCOMPLISHED TODAY: c f f v a V CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: INVOICE COPY Toll Free to Cadman 1-888-322-6847 Plant Locations: DELIVERY TICKE HEIDELBERGCEM NTGrou Concrete Direct 425-961 7100 30 Sky River p 31 Mill Creek Gravel Direct 425-961-7200 40 Black Diamond REMITTANCE ADDRESS: Building Materials 425-868-7334 50 Redmond PLANT# P.O.BOX 97038 Cadman Administration 425-867-1234 51 Issaquah A REDMOND,WA 98073-9738 Toll F 53 Bellevue www.cadman.com ree to Black Diamond 1-877-268 6561 54 Seattle DELIVERY TICKET NO. LOAD TO JOB ON JOB BEGIN POUR FINISH POUR TO PLANT IN YARD DATE CUSTOMER# CUSTOMER NAME ORDERED BY JOB P.O.# p.C:--P t �'_!- C "!,._._.i 1 S' I'T i} , Sti. v J fi i 1 ,, : t. :i�i(ft� a,w! CITY 0' �i E: � !� �.!I��c1�. =���—� s�c.r� ��l� ��t?1�4a���1kl� ORDER# SLUMP USE DRIVER SPACING PROJECT# i' 0 P90' FL0,1 1 R`,T Cj_jAea� Si;L.Z S f;I f..'i a}M JOB ADDRESS MAPPAGE TRUCK# PRIORTRUCK# TIME DUE INSTRUCTIONS LOAD QUANTITY QUANTITY PRODUCT DESCRIPTION U.M. AMOUNT SIZE DELIVERED ORDERED CODE ew �, *__`_. 3,:,t�_,F.y f'111Ii! 4-iJl ii.) t:�3'�'-7i •�ft SUB TOTAL TAX TOTAL Additional 7 MINUTES PER CUBIC YARD UNLOADING TIME INCLUDED. Chargeable Items ADDITIONAL UNLOADING TIME CHARGED AT CURRENT HOURLY TRUCK RATE-SEE REVERSE. WATER ADDED ON-SITE ADDITION OF WATER WILL REDUCE STRENGTH,WATER Standby Time AUTHORIZED BY: ADDED AT CUSTOMER'S OWN RISK. I NOT RESPONSIBLE FOR COLOR VARIATION OR Overtime gals to full load SURFACE DISCOLORATION. — T gals.to 2/3 load PumWash uBack/ WARNING: P gals.to 1/3load IRRITATION TO SKIN AND EYES-SEE REVERSE. Returned Concrete Cadman,(Inc.)will not assume liability for any property damage or any equipment W B R damage for any deliveries beyond the curb line. Additions to Order AUTHORIZED BY: Type Qty • • Signature acknowledges receipt of concrete water adctibon,hazard warning, Sales Tax and acceptance of terms and conditions printed on the back oI NiS document 4, TOTAL CUSTOMER SIGNATURE ` Concrete Tested ❑Yes ❑No PRINT NAME _ _ DATE - Cylinders Taken ❑Yes 01 o Did we satisfy the customer's expectations with this delivery? ❑Yes ❑No Suggestions or comments: If no, who should we contact? Name: __- -_-- _ _- - __ Phone#: DAILY INSPECTION DIARY oc,z(S REPORT DAY: DATE: 10/ 5� 105 WORK PERIOD:6 30 a.m./p.m. to S-V a.m. .� /P.m. WEATHER: T ' C TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: f• W � / ots 4a2P ZZ � e p r CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: r T T nicP ION 0\ DAILY INSPECTION DIARY REPORT DAY: �y�s DATE: IDS- WORK PERIOD:-'-�k) a.m./p.m. to O" JJa.m./p.m. WEATHER: �� TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: op L-A G CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: l/ "� 0 DAILY INSPECTION DIARY REPORT DAY: � � DATE: ©/ / WORK PERIOD:/p•m• WEATHER: 4'(1- TEMP. MAX to�5°F MIN -J,�°F PRECIPITATION: WORK ACCOMPLISHED TODAY: 10 cj t 1 CONTRACTOR SIGNATURE 4INPECT R SIGNATURE DATE: SEATTLE(Plant#11)3803 E.Marginal Wy S.,Seattle ccam�,, 'STONEWAY DELIVERY TICKET TUKWILA(Plant#12)17024 W.Valley Hwy.,Tukwila `.J CONCRETE RENTON(Plant#14)915 Houser Way N.,Renton SALES/PLANT& 1000 ACCOUNTING:9125 TENTH AVENUE SOUTH CEDAR SHORES(Plant#20)21010 Cedar Grove Rd.S.E.,Maple Valley ORDER DESK (425)22 SEATTLE,WA 98108 • (206)762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. FAX (425)228--4924 24 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT# CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS I I i 1f I i IL:a�I`:;6::4 i'!..►af i COLLECT ON DELIVERY(C.O.D.) MAP ZONE ❑CASH ❑CHECK# ❑CHARGE CARD# EXR / SPECIAL INSTRUCTIONS ❑VISA ❑ MASTERCARD ❑ DISCOVER • PRODUCTDE DESCRIPTION ==7=== iflU t' b °i00ild t•",a1 L: 4 ' EHVIROUMENTAL. SURCHARGE JOB TOTAL SLUMP SPACING ORDERED BY I - i �.!Lj t 1 !1-; a r. • TRUCK NO. 7_1� FR, P I M I:) REMIT TO WATER ADDED ON-SITE CYLINDERS 1125 10th AVE.S. AUTHORIZED BY: SEATTLE,WA BALANCE FORWARD 98108 ❑YES TERMS ON REVERSE gals. to full load ❑YES REASON FOR DELAY TIME: gals. to 2/3 load ❑YES ❑JOB NOT READY ❑LACK OF HELP ❑ADDING WATER ❑WHEEL BARROW JOB ❑ARRIVED JOB EARLY ❑TRAFFIC ❑TRAIN ❑DRAW BRIDGE gals. to 1/3 load ❑ NONE ❑WAITING FOR TRUCK TO UNLOAD ❑PUMP BLOW-BACK ❑WAITING ON PUMP ❑WASH PUMP ❑OTHER ADDITION OF WATER WILL REDUCE -WARNING- RELEASE—CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, STRENGTH.WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC.FOR ANY DAMAGE TO HIS REAL SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE(16) AGREEMENT ACCESS ON BACK(5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: DELIVERY TICKET NO. REV 10/03 NBF CUSTOMER'S COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms,all deliveries under this Contract are"Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty(30)days from receipt of the executed Contract frorn Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2, TERMS OF PAYMENT, All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one-quarter percent(1.25%)per month will be payable on all past due invoices of thirty(30)days or older. CREDIT CARDS ARE ACCEPTED AT TIME OF PURCHASE ONLY. IF PAYMENT IS MADE BY BANKCARD AFTER PURCHASE DATE,A 3%FEE WILL BE INCURRED. If a service charge is assessed,it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof,without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice.the prevailing party shall be entitled to recover reasonable attorney fees and costs,including appeals, bankruptcies,and post-judgement collection efforts. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal,state and local taxes,assessments,fees,duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent(including,but not limited to, drivers,quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete,a Division of Gary Merlino Construction Company,Inc.(Seller)to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks,damage to the premises and/or adjacent property,or personal injury may occur and that trucks may become damaged,disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries,truck towing and winching expenses,and/or damage to Seller's trucks should the trucks become damaged.disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify,hold harmless,and defend Seller from any claims,demands,losses,and liabilities to or by third parties arising from,resulting from,or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false,groundless or fraudulent,to the full extent permitted by law and subject to the limitations below. Purchaser's duty to indemnify Seller for liability for damages arising out of bodily injury to persons or damage to property.caused by or resulting from the concurrent negligence of(a)Stoneway Concrete,a Division of Gary Merlino Construction Company,Inc.or its agents and employees.and(b)the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only,the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act,Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser, Further,the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages,compensation or benefits payable to or for any third party under worker's compensation acts,disability benefit acts,or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, coL#1 costs, and all other claim-related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement,the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project, 6. WASH OUT AREA, It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. T PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability,noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up,or blowback,will be borne by the Purchaser. An additional charge,at Seller's discretion,will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays,delivery systems,placing equipment,or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing,including concrete strength testing for acceptance,shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three(3)working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four(24)hours of deficient concrete compressive strength test results,to retain test specimens,and to make them available to Seller for further inspection and testing. 11, ADDITION OF WATER AND/OR FOREIGN MATERIAL, If water and/or foreign material is added to the concrete by or at the request of the Purchaser,its employees.agents, contractors or subcontractors,Purchaser accepts the concrete as delivered and waives all right to reject,revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties,express or implied,are made with respect to such construction materials. whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller,at Seller's option,to refund the purchase price.to repair said material,or to provide Purchaser with a conforming replacement for any non-conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for,and shall not be liable to,Purchaser for any consequential damages incurred by Purchaser in connection with this Contract,including without limitation.Purchaser's lost profits,Purchaser's good will,and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14, CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty,shall be as follows: Notice of claims against Seller for any reason,including but not limited to,breach of contract or warranty,must be given to Seller in writing within three(3)working days after discovery or when discovery should have been made. The written claim shall include the reason(s)and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE(3)WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved,the parties involved agree to binding arbitration through non-legal personnel. j 15, TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein,title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same,at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss,Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries,including death,and property damage arising from the storage,use or handling of said materials. 16. CONCRETE WARNINGS. Y Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves,a fully buttoned long-sleeved shirt,full-length 1 trousers,and tight fitting eye protection when working with these materials, If you have to stand in wet concrete,use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. if you are finishing concrete,wear kneepads to protect knees. FIRST AID: If dust is inhaled,remove to fresh air. Get medical attention if irritation persists. Wash wet concrete,mortar,cement,or cement admixtures from your skin with fresh,clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact,so promptly rinse wet concrete,mortar,cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits(see MSDS),wear suitable NIOSH/MSHA-approved respirator. in case of eye contact,flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN,USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET(UNHARDENED)CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. DAILY INSPECTION DIARY -� REPORT DAY: ��. DATE: )C)/3/CA"AORK PERIOD: a.m)/p.m. t --> m. p.m. WEATHER: TEMP. MAX OF MINA OF PRECIPITATION: WORK ACCOMPLISHED TODAY: :�-L� likSk &9--2 r17' CONTRACTOR SIGNATURE INSPECTOR SIGNA URE DATE: DAILY INSPECTIM DIARY REPORT 4k DAY: r;Aauq DATE: `'J / ��/ 6j WORK PERIOD:0 a.m./p.m. to /p.m. WEATHER: C/ TEMP. MAX OF MIN OF PRECIPITATION: �f WORK ACCOMPLISHED TODAY: c G'�1 C19 jot Cvr T<<� C.oci JL n_ C0 r"pt i f klar 2rM -n e�— �� o L. `"J S� zOdZYyS r .(tom Wa#e,rwSC�,i„ —A- -1�-.� ea.r v\ p_ rcti f;a j� ( tl p(w�'Qr�1� v+ ,T ,5�/ 4 l c�, S� N �VYJc f-l✓ 1 'b o- ` CA n r s CONTRACTOR SIGNATURE IN`S�PECT R IGNATURE DATE: ��v 06 DAILY INSPECTION DIARY REPORT �6 DAY: DATE: ��WORK PERIOD ./p.m. t2 a. ./p.m. WEATHER: TEMP. MAX F MIN, `JF PRECIPITATION: WORK ACCOMPLISHED TODAY: � v CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY _ + REPORT # DAY: � � ` ATE: / / ORK PERIOD: a.m /p.m. to .m. .m. WEATHER: TEMP. MAX -7C�F MIN ��F PRECIPITATION: - d WORK ACCOMPLISHED TODAY: r J � Z �s i s�3 x L�41 3?�_' ' C,,-, 1 lib -/tA r CONTRACTOR SIGNATURE NS ECTOR SIGNATURE DATE: ` DAILY INSPECTION DIARY _,REPORT # DAY: DATE: // WORK PERIO4 ./P.m. V551 WEATHER: TEMP. MAX OF MIN -F PRECIPITATION: WORK ACCOMPLISHED TODAY: v 4 V _ N r CONTRACTOR SIGNATURE N OR GNATURE DATE: DAILY INSPECTION DIARY � ��''�� DAY: � �� DATE: WORK PERIOD<�;� REPORT/p.m. tc ---a: p.m. WEATHER: C. TEMP. MAX °F MIN L:�F)-F PRECIPITATION: WORK ACCOMPLISHED TODAY: RE,a4 p . i - �h4 w � p CONTRACTOR SIGNATURE INSPECT R SIGNATURE DATE: DAILY INSPECTION DIARY _ REPORT # DAY: ) DATE: WORK PERIOD m_ a. /p.m. to '--a.m 3-7 p.m. WEATHER: ( - c_ TEMP. MAX °F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: f C CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY 2� REPORT DAY: DATE: / WORK PERIOD 4�/p.m. to a.m WEATHER: - TEMP. MAk76- F MIN F PRECIPITATION: WORK ACCOMPLISHED TODAY: -- v 1- � 1 i CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY /�'� REPORT DAY: DATE: / /QSWORK PERIOD:-�/ a.y�•/P•m. a. ./p.m. WEATHER: r TEMP. MAX ]22 F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: . t CONTRACTOR SIGNATURE fNSP5CTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: / / WORK PERIOD V a.m. p.m. to ./p.m• WEATHER: OC TEMP. MAX °F MIq�-F PRECIPITATION: WORK ACCOMPLISHED TODAY: v 1 �ij=7 � J K CONTRACTOR SIGNATURE I SPE TOR SIGNATURE DATE: .. R DAILY INSPECTION DIARY �l DAY: S DATE: / / WORK PERIOD,!,' ./P.m. t� /P.m. WEATHER: TEMP. MAX �F MIN �OF�P--REEC REPORT PRECIPITATION: WORK WORK ACCOMPLISHED TODAY: i C � 14517 fs IM :1 o� CONTRA CTOR SIGNATURE INSPECTOR SIGNATURE DATE: . ' Pnojoc nha| Business District Utility Replacement inspection Description uanti To Date Pay Period 25-Aug 26-Aug 29-Aug 30-Aug TOTAL 31-Aug 01-Sep 02-Sep 05-Sep 06-Sep 07-Sep No. Totalty Schedule A A02 Trench Excavation Safety Systems Schedule A 1 0.75 75.00% 0.10 0.25 0.25 --------------- Furnish and Install 54"Diam. Sanitary Sewer M A13 Locate and Abandon Sanitary Sewer Manhole 2 0.00 0.00% 0.00 0 A14 Furnish and Install 12"Ductile Iron Water ain 640 0.00 0.00% 0.00 A15 Furnish and Install 12"Diameter Gate Valve A& 4 0.00 0.00% 0.00 A16 Furnish and Install 8"Diameter Gate Valve Assi 1 0.00 0.00% 0.00 A17 Furnish and Install 6"Diameter Gate Valve Assi 2 0.00 0.00% 0.00 A24 Connection to Water Mains Williams Ave. S(at 1 0.00 0.00% 0.00 A25 Furnish and Install 3/4"Water Service Connecti 10 0.00 -0.00% 0.00 0 A26 Furnish and Install 1"Water Service Connectior 3 0.00 0.00% 0.00 0 A30 Cathodic Protection Test Stations(All Types) 4 0.00 0.00% 0.00 0 unman A36 Remove and Replace Sidewalk&Driveway 220 0.00 0.00% 0.00 0 A38 Removal of Paint and Other Markings on Curb 1 0.00 0.00% 0.00 0 A39 CO#3 Additional Work Associated wl Water Ma 1 1.00 100.00% 0.00 0 Schedule on, Mobilization&oornoumzauon Schedule n 1 0.80 mo Trench sxcavatwn Safety Systems Schedule e 1 UUU ^»» Construction Surveying,Staking, unu*n'ovi|ts 1 0.50 m04 Traffic Control Schedule 1 0.75 m, Temporary smximwsouimontauonControls Scl 1 0.75 uvn Furnish and Install 1z'Ductile Iron Storm Pipe 165 15300 wx Furnish and Install 8^Ductile Iron Storm Pipe azo 201 oo vw Furnish and Install 1z^CpspPipe asz 23900 mm Tv Inspection ofStbnnSewers 544 39500 o`» Furnish and|notaoTypv2Catch Basin e 4.00 u`, Furnish and Install Type 1L Catch Basin 1 1.00 u12 Furnish and|nutanConcmteInlet 18 14.00 u,: Plug Existing Pipe r 500 a14 Connect New 1z^Sormto Existing Manhole u 0.00 Page13 Pnojec ntra| Business District Utility Replacement inspection �dj QTotalty 11 Percent Total For Pay B15 Reconnect Existing Storm Pipe to New Type 2 6 1.00 16.67% 0.00 B25 CO#1 Additional Trench Excav Safety Systems 1 1.00 100.00% 0.00 0 B29 CO#1 Furnish and Install 12"CPEP Pipe North 163 163.00 loo.00% 0.00 Pugo14 Projectntral Business District Utility Replacement inspection Item I Bid otal For Pay PAY007 uant,tj QTotalty 11 Percent uanti To Date Pay Period 08-Sep 09-Sep -Sep TOTAL 13-Sep 14-Sep 15-Sep 16-Sep 19-Sep 20-Sep 21-Sep No. Description 12 ....................... ............... ....... ...... Schedule A01 Mobilization&Demobilization Schedule A 1 0.80 80.00% 0.00 ............ 0 A02 Trench Excavation Safety Systems Schedule A 1 0.75 75.00% 0.10 ................. ......... X. 0.1 0.1 ......................................... ................ A03 Construction Surveying, Staking,and As-Builts 1 0.50 50.00% 0.00 0 A04 Traffic Control Schedule A 1 0.75 75.00% 0.00 0 .............. ........ ........... . :: ...... X...'�......... A05 Temporary Erosion/Sedimentation Controls Sc l 1 0.75 75.00% 0.10 0.1 0.1 X ................ X... A06 Re-establish existing Monuments 2 2.00 loo.00% 0.00 0, .......... ... ......... ........... .... ....... A07 Furnish and Install 8"C900 PVC Sewer Pipe 964 975.00 101.14% 0.00 0 .......... ........... .... . .......... . ................ ..................................... 40 116 A08 Furnish and Install 6"C900 PVC Side Sewer Pil 575 435.00 75.65% 116.00 23 ................. .......... . .......................... ....... ............ A09 Furnish and Install Type B 54"Shallow Sanitary 4 3.80 95.00% 0.00 0 ................ ....... .......... ............. .................... ... ..................... A10 Furnish and Install 54"Diam. Sanitary Sewer M 2 1.80 go.00% 0.00 0 . ...... .......... .................. All Connect Exist San Sewer to New San Sewer St 4 5.00 125.00% 0.00 0 . .................. ...................... .... . ............ .......... .. ............................ ... ...........964 496.00 51.45% 0.00 .... ............. 0 Al2 TV Inspection of Sanitary Sewers ----- -------- ..... ...... ....... .... ........ A13 Locate and Abandon Sanitary Sewer Manhole 2 0.00 0.00% 0.00 0 ....... ................. ..... ....... A14 Furnish and Install 12"Ductile Iron Water Main 640 0.00 0.00% 0.00 ....................... . ............... .... 0 ................... ...... ........ ..... ............ ............. .............. .............. ...................... ....... ........ ....... 0 A15 Furnish and Install 12"Diameter Gate Valve As: 4 0.00 0.00% 0.00 ..... .......... .............. ... ..... .... A16 Furnish and Install 8"Diameter Gate Valve Ass i 1 0.00 0.00% 0.00 0 ......... A17 Furnish and Install 6"Diameter Gate Valve Ass i 2 0.00 0.00% 0.00 ..........0 ...................... ............ ................................... ....................... .......... X ......... A18 Furnish and Install 4"Diameter Gate Valve Ass 1 0.00 0.00% 0.00 0 ........ .. .... ........ .......... ........... ........ . ...................... 0 A19 Furnish and Install Fire Hydrant Assembly 4 0.00 0.00% 0.00 ...... .................. . . ... ..... ........ ..... ... .. . ......... .. ... ......... .............. ... A20 Connection to 12"Water Main Wells Ave S(ApI 1 0.00 0.00% 0.00 0 ... ... Wm:.......... .................... . ............. . ...... . ....... I...... .. ........ .......... ..........A21 Connection to 4"Water Main Wells Ave S(Appi 1 0.00 0.00% 0.00 ......... ..... 0 ...................... ..... ..... . ....... Connection to 8"Water Main Wells Ave S(a 0 A22 t Al 1 0.00 0.00% 0.00 ........... ........ ....................... 4:. A23 Connection to 6"Water Main Wells Ave. S(at A 1 0.00 0.00% 0.00 0 ........................ . ................................ :44 A24 Connection to Water Mains Williams Ave. S at 1 0.00 0.00% 0.00 0. ............ . ...... ...................... ............................. A25 Furnish and Install 3/4"Water Service Connecti 10 0.00 0.00% 0.00 0 ... ........... Furnish and Install 1"Water 0.00% 0.00 ... . .. ....... A26 r Service Connectior 3 0.00 0 ..................... ...... ..... ...... ..... A27 Furnish and Install 1-1/2"Water Service Connet 1 0.00 0.00% 0.00 ... ............................ .............. ....... . . ................ A28 Concrete Thrust Blocking and Dead-Man Anchc 10 0.00 0.00% 0.00 ... ...... .............. . ..................... 0 ..... ...... ................ ... ...................... A29 Joint Bonding Thermite Weld 1 0.00 0.00% 0.00 . ................. ...... 0, ....... ........... A30 Cathodic Protection Test Stations(All Types) 4 0.00 0.00% 0.00 0 ...... ...... ...................... A31 Removal and Replacement of Unsuitable Founc 165 152.60 92.48% 0.00 ........ 0 ................. ......... . .. ...I A32 Select Imported Trench Backfill 2180 155.33 7.13% 0.00 0 A33 Asphalt Class'B'Patch Inc.CSTC 1825 507.64 27.82% 0.00 X: X ......... . ............... 0 ..... ------ 0 A34 2"Deep Grind and Asphalt Overlay Class'B' 5600 0.00 0,00% 0.00 ......... . . ...... ......... ....... ...... A35 Replace Pavement Markings and Traffic Button 1 0.00 0.00% 0.00 X 0 A36 Remove and Replace Sidewalk&Driveway 220 0.00 0,00% 0.00 ......... ............................ ............ .... ................................................................... A37 Remove and Replace Curb&Gutter 150 0.00 0.00% 0.00 0 ............. ..... ..... A38 Removal of Paint and Other Markings on Curb 1 0.00 0.00% 0.00 ................. 0 ................ - ------ ...................... A39 CO#3 Additional Work Associated w/Water Ma 1 1.00 100.00% 0.00 ...................... .......... ........ 0 ................................................ ............ ....................... ..................... A40 CO#4 Additional Work Associated w/unmarked 1 1.00 100.00% 1.00 ........ .. .. ..... ......... ...................... ......... .. . ...... . ....... .................... A41 CO#4 Relay 8"C900 PVC Sewer Pipe 197 202.00 102.54%1 202.00, ....................... 2021 . ........ A42 CO#4 Reinstall 54"Shallow Sanitary Sewer Ma 1 0.80 80.00%1 0.801 0.81 Schedule B ............ ............ ...... ............ ....... ........ . ............ ...... B01 Mobilization&Demobilization Schedule B 1 0.80 80.00% 0.00 01 ...................X.................. ........... ...... B02 Trench Excavation Safety Systems Schedule E 1 0.80 80.00% 0.10 X 0.1 . .... ....... ...... ................. .. .................... ........ ................... ............ B03 Construction Surveying, Staking, and As-Builts 1 0.50 50.00% 5.00 0 ....... . ................. B04 Traffic Control Schedule B 1 0.75 75.00% 0.00 mom 0 ........... ..... . ...... ........... .......... B05 Temporary ErosiontSedimentation Controls Scl 1 0.75 75.00% 0.10 0.1 ..... Furnish and Install 12"Duc 0 165 153.00 92.73% 0.00 ......B06 tile Iron Storm Pipe ............. ........... XX !!!!. .................... ............. B07 Furnish and Install 8"Ductile Iron Storm Pipe 32o 201.00 62.81% 0.00 0 . ....... ..... ...... ................. . ... . .. .......... . . .............................. ....... . ..... .... .................... B08 Furnish and Install 12"CPEP Pipe 362 239.00 66.02% 0.00 0 ...... ........ B09 TV Inspection of Storm Sewers 544 395.00 72.61% 0.00 0 ................. B10 Furnish and Install Type 2 Catch Basin 9 4.00 44.44% 0.00 0 ..... .................. ...... ..... ... Bll Furnish and Install Type 1 L Catch Basin 1 1.00 100.00% 0.00 . . ..... ......... ................. ............. 0 ......-XXXXXXXXXXX........... ...... ..... .......... 18 14.00 77.78% 0.00 Furnish and Install Concrete Inlet 0 B12 B13 Plug Existing Pipe 7 5.00 71.43% 0.00 0 W4 2 0.00 0.00% 0.00 0 Connect New 12"Storm to Existing Manhole ........ Page 15 . pnojeonba| Business District Utility Replacement inspection No. Description uanti I To Date Pay Period 08-Sep 09-Sep 12-Sep TOTAL 13-Sep 14-Sep 15-Sep 16-Sep 19-Sep 20-Sep 21-sep j Totalty Percent Total For Pay B16 Pothole over Existing Underground Telecom 3 5.00 166.67% 0.00 0 B27 CO#1 Additional Traffic Control Schedule B 1 1.00 100.00% 0.00 0 Page10 DAILY INSPECTION DIARY REPORT DAY: rnnn DATE: / WORK PERIOD:�� a.m /p.m. tQj�a.m (9)- WEATHER: TEMP. MAX':?a-F MIN--57L�_°F PRECIPITATION: WORK ACCOMPLISHED TODAY: T =C9 coo 1 131Z) o2�cs a t n CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: t DAILY INSPECTION DIARY REPORT # DAY: -�2_t DATE: / / WORK PERIOD: a.m./p.m. to a.m./p.m. Qs WEATHER: C. TEMP. MAX -F MIN_<�Z) <�F PRECIPITATION: WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT 4k DAY: T�}�,"� S DATE: / /O WORK PERIOD:62. ./p.m. WEATHER: TEMP. MAX F MIN,a,,;k, OF PRECIPITATION: WORK ACCOMPLISHED TODAY: R r T --cnc1 TIAMe, f �C_... CONTRACTOR SIGNATURE INSPECTOR SIGNATU E DATE: DAILY INSPECTION DIARY vy REPORT DAY: O ET--) DATE: / WORK PERIOD6 �/p.m, to/ a.UC25 WEATHER: ( TEMP. MAX---,!�!3 °F MI4 °F PRECIPITATION: WORK ACCOMPLISHED TODAY: oll 1 4- CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: �lJ � DATE: / / -WORK PERIOD:��/p.m. t6552 -a. /p.m. WEATHER: TEMP. MAX 7L>-F MIN OF PRECIPITATION: ,�- WORK ACCOMPLISHED TODAY: f t CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: � +�� DATE: 0Cl10.2los WORK PERIOD: �:ee ./p.m. to ,oa a.m. WEATHER: C},. (_ TEMP. MAX OF MIN OF PRECIPITATION: !y WORK ACCOMPLISHED TODAY: 4- Al raVv Ac K,/' C eld s to�-e � LrVI /p r n j�a k'll V B fpC ,0 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: <y01- 02 - C — DAILY INSPECTION DIARY REPORT # DAY: DATE: © 2 /01 /05­ WORK PERIOD:'7;44G/p.m. to 3 :3c?a.m.� WEATHER: L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 9v ,o»4cn L4 ber- -2eS 0 0? - *0 L,y g c.eloa r."4 ;fb/Ca cl c/sG dIV 00 (.(./;��l Li 3 yrw!/c✓ l /h+n �ti-i C�j o0 !a!J /S:/ fAT f �'� n<<®�.c� �-a �cm ,ok�e ���a � �r� f��- �7h r� o��� t Y c•.�t _ Ftt'V 4,-,C-D`n �}5 ci f gr� I'2 `era:"�, � Scvr�tr' cYis=�!n ivo /ef/cG�s f ys Z / 5 4Lto ��yl►sV ve Sr+C�,nsh /^/® 'L 5c-LLd✓S � �G YS.ye<� /gyp� ;K LT f ly �l-t-60 a`l Aur 00'a t/ �- rdt.rLl rs��j2 1(^ kC6 teak 0�-LO('�f6irlG a TL E•i e �[6s,S Y v✓I 1 a�l ��YV+�;tt C r!d G� /OC7�s 7� f / CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: (? 9 -�fS` DAILY INSPECTION DIARY REPORT # DAY: Of DATE: /05 WORK PERIOD: 7;od �/P.m. to a.m.(p.�J. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: Al WORK ACCOMPLISHED TODAY: R {g ;6eN c 15 .n c x , Tea ee'�frc� l ocd ,Plate - J �Iat�, c� r F a U:p en.� vl /-a b o r / i!"t is � 4 y 5-- , zef f �ayfe-�( �t,�rx�,xa, ��wc✓ yiaec.':� pvt LyGGCs f�y S of O,`�/�o T Yr7vn $S M H jo.fl. BCVq NLT SS M N #3 f c q rav-vl ��vf /Ira};ys, ba,kf;l( W 4 cd/gwj":a, ctsidl s cv1 S� f z z-1Y0 �;W-e S e-a,-C✓za w�fcr Scryic c a 2z I G✓.'//s #v Sa (tal;ke- P�d¢;kl cIc-6- ^ NE WO-vn T"(41G CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 6- 3/�d5 Projectntral Business District Utility Replacement inspection Item I Bid Percent Pay uantitj QTota'ty �otal For 22-Aug 23-Aug 24-Aug N' 5-Aug 16-Aug 17-Aug 18-Aug 19-Aug Na Description uanti To Date Pay Period 1 O-Aug 11-Aug 12-Aug .......... Schedule A ....................................... A01 Mobilization&Demobilization Schedule A 1 0.80 80.00% 0.00 .............. ........ ......... A02 Trench Excavation Safety Systems Schedule A 1 0.65 65.00% 0.25 ............. ........ ................... .. ... ....... . A03 Construction Surveying, Staking, and As-Builts 1 0.50 50.00% 0.00 .................... ................... ..................... ......... ... ....................... ............. ... . .... A04 Traffic Control Schedule A 1 0.75 75.00% 0.00 ........... ............ ...... ...... .............. ...... ........... ......... X A05 Temporary Erosion/Sedimentation Controls Scl 1 0.65 65.00% 0.15 ......... .................. ........................... A06 Re-eSt2blish existing Monuments 2 2.00 loo.00% 2.00 A07 Furnish and Install 8"C900 PVC Sewer Pipe 964 975.00 101.14% 477.00 ........... ......................... ........ 280.... ......... ...................... ......... 197 .............:.............................. ...................... ....... .............................. ........ ....... A08 Furnish and Install 6"C900 PVC Side Sewer Pil 575 319.00 55.48% 93.00 .......... ................. ......... ...... ....... Furnish and Install Type B 54"Shallow Sanitary 4 1.80 39 A09 .. ... 3.80 95.00% 0.8 .......... 0.8 ................... .............. ...................... ............ ­ . .... .. .. . .. . . .... ....... .... .... .......... .... ..... .............. ... ...... ...... . ..A10 Furnish and Install 54"Diam. Sanitary Sewer M 2 1.80 go.00% 0.30 I .......... ........ All Connect Exist San Sewer to New San Sewer St 4 5.00 125.00% 0.00 . ............................... .... .... X. .. ... .... . ........ ......... ............... .... .................................. .............. ------ g� Al2 TV Inspection of Sanitary Sewers 964 496.00 51.45% 0.00 .............M . .... ... ...... A13 Locate and Abandon Sanitary Sewer Manhole 2 0.00 0.00% 0.00 .......... A14 Furnish and Install 12"Ductile Iron Water Main 640 0.00 0.00% 0.00 A15 Furnish and Install 12"Diameter Gate Valve As 4 0.00 0.00% 0.00 ................ *1........ .......... A16 Furnish and Install 8"Diameter Gate Valve Ass i 1 0.00 0.00% 0.00 . ........... . ....... Now=: ...................... ....................... A17 Furnish and Install 6"Diameter Gate Valve Ass( 2 0.00 0.00% 0.00 ................. .................. .................... A18 Furnish and Install 4"Diameter Gate Valve Ass( 1 0.00 0.00% 0.00 ................ A19 Furnish and Install Fire Hydrant Assembly 4 0.00 0.00% 0.00 ;:*............. ......... .............. ............................ A20 Connection to 12"Water Main Wells Ave S(ApI 1 0.00 0.00% 0.00 ............... ........... ........................ ................ .................. :�X�X�. ................................ A21 Connection to 4"Water Main Wells Ave S(Appi 1 0.00 0.00% 0.00 ---------------- .................. . ...... . . ......... .. . .......... A22 Connection to 8"Water Main Wells Ave S(at Al 1 0.00 0.00% 0.00 ........................... ................... :......................... ............................................................................... .................... ....................... A23 Connection to 6"Water Main Wells Ave. S at A 1 0.00 0.00% 0.00 ... .................. A24 Connection to Water Mains Williams Ave. S(at 1 0.00 0.00% 0.00 ............ ................... A25 Furnish and Install 3/4"Water Service Connecti 10 0.00 0.00% 0.00 - ---------­------------- A26 Furnish and Install 1 Water Service Connectior 3 0.00 0.00% 0.00 ....... ....... .............. :X .......... ................ .......... A27 Furnish and Install 1-1/2"Water Service Cone 1 0.00 0.00% 0.00 1 A28 Concrete Thrust Blocking and Dead-Man Anchc 10 0.00 0.00% 0.00 A29 Joint Bonding Thermite Weld 1 0.00 0.00% 0.00 ........................... ...... A30 Cathodic Protection Test Stations(All Types) 4 0.00 0.00% 0.00 0M A31 Removal and Replacement of Unsuitable Founc 165 152.60 92.48% 11.20 ..................... ..................... 11.2 A32 Select Imported Trench Backfill 2180 155.33 7.13% 0.00 A33 Asphalt Class'B'Patch Inc. CSTC 1825 507.64 27.82% 0.00 ...... . .. A34 2"Deep Grind and Asphalt Overlay Class'B' 5600 0.00 0.00% 0.00 ........... A35 Replace Pavement Markings and Traffic Button 1 0.00 0.00% 0.00 ------------------------------- ............. ........ .... ... .......:::........ ... .. .......... A36 Remove and Replace Sidewalk&Driveway 220 0.00 0.00% 0.00 ......... ...... .......... A37 Remove and Replace Curb&Gutter 150 0.00 0.00%1 0.001 ....... ............. .......... Removal of Paint and Other Markings on Cu ............ ......................A38 Curb 1 0.00 0.00/ 0.001 ................................ ...... X. A39 CO#3 Additional Work Associated w/Water Ma 1 1.00 100.00%1 0.001 1 Schedule B B01 Mobilization&Demobilization Schedule B 1 0.80 80.00% 0.00 B02 Trench Excavation Safety Systems Schedule E 1 0.70 70.00% 0.00 ................ B03 Construction Surveying, Staking, and As-Builts 1 0.50 50.00% 0.00 ............................................... . ......... . ................ B04 Traffic Control Schedule B 1 0.75 75.00% 0.00 ............ ....... B05 Temporary Erosiori/Sedimentation Controls Scl 1 0.65 65.00% 0.15 ...................... ............... ......... .. .......... ....... ......... . ........... ................. ................... .... .................. ....... ................... ........ ................. . ..... B06 Furnish and Install 12"Ductile Iron Storm Pipe 165 153.0 92.73% 0.0 ....... . ... ............. .......... ......... B07 Furnish and Install 8"Ductile Iron Storm Pipe 320 201.00 62.81% 0.00 ...................... ........... ............... .................... ............................................. ................. ... ............. B08 Furnish and Install 12"CPEP Pipe 362 239.00 66.02% 0.00 ........ 809 TV Inspection of Storm Sewers 544 395.00 72.61% 0.00 ... ......... .... ..... .............. X B10 Furnish and Install Type 2 Catch Basin 9 4.00 44.44% 0.00 B11 Furnish and Install Type 1 L Catch Basin 1 1.00 loo.00% 0.00 ............... ...................... ....... ...... .... ...........::::...... B12 Furnish and Install Concrete Inlet 18 10.00 55.56% 0.00 ........... ............. ............... ... ........... ...... ......... B13 Plug Existing Pipe 7 5.00 71.43% 0.00 ........ ................ 614 Connect New 12"Storm to Existing Manhole 2 X i ...... ...X, 0.00 0.00%. 0.00 .............. ........... ............................................ ............. ............. ...................... ................................... ..... B15 Reconnect Existing Storm Pipe to New Type 2 6 1.00 16.67 o 0.00 X .......... B16 Pothole over Existing Underground Telecom 3 5.00 166.67% 0.00 .......... . ........... ........... .......... ...... B17 Pothole and Relocate Unknown Utility through E 1 1.00 100.00% 0.. .............. Page 11 . ` Pnqeontra| Business District Utility Replacement inspection item IIL_guanB'dll Total I Percent J�otai For Pay No. Description tit I Quantity To Date Pay Period 10-Aug 11-Aug 12-Aug 22-Aug 23-Aug 24-Aug 15 B22 Remove and Replace Sidewalk&Driveway 130 0.00 0.00% 0.00 moo= B25 CO#1 Additional Trench Excav Safety Systems 1 1.00 100.00% 0.00 627 CO#1 Additional Traffic Control Schedule B 1 1,00 100.00% 0.00 000. 0 0 0.00 #DIV/O! 0.nnl I I ...................... I Pugo12 Projeu nhu| Business District Utility Replacement inspection | For Pay PAY006 uan t,t,l IL rc No. Description uanti To Date 11 Pay Period 25-Aug 26-Aug Schedule A A02 Trench Excavation Safety Systems Schedule A 1 0.65 65,00% 0.25 0.25 0.25 A09 Furnish and Install Type B 54"Shallow Sanitary 4 3.80 95.00% 1.80 All Connect Exist San Sewer to New San Sewer St 4 5.00 125.00% 0.00 0 A13 Locate and Abandon Sanitary Sewer Manhole 2 0.00 0.00% 0.00 A15 Furnish and Install 12"Diameter Gate Valve As 4 0.00 0.00% 0.00 0 A16 Furnish and Install 8"Diameter Gate Valve Assi 1 0.00 0.00% 0.00 0 A17 Furnish and Install 6"Diameter Gate Valve Assi 2 0.00 0.00% 0.00 A18 Furnish and Install 4"Diameter Gate Valve Ass( 1 0.00 0.00% 0.00 0 A19 Furnish and Install Fire Hydrant Assembly 4 0.00 0.00% 0.00 0 A22 Connection to 8"Water Main Wells Ave S(at Al 1 0.00 0.00% 0.00 A24 Connection to Water Mains Williams Ave. S(at 1 0.00 0.00% 0.00 Furnish and Install 3/4"Water Service Connecti 10 0.00 0.00% 0.00 Furnish and Install 1"Water Service Connectior ... .......... 0 A35 Replace Pavement Markings and Traffic Button 1 0.00 0.00% 0.00 0 A36 Remove and Replace Sidewalk&Driveway 220 0.00 0.00% 0.00 0 A38 Removal of Paint and Other Markings on Curb 1 0.00, 0.00%. 0.00, Schedule »«` Mobilization&Demobilization Schedule a 1 o uo aou Trench Excavation Safety Systems Schedule 1 o /u yon Construction Sumeyino, Staking,undxs-euino 1 U 5o B04 Traffic Control Schedule 1 Ow/5 B05 Temporary Eros iun/oeuimentauunControls Scl 1 U b5 nw puminxanumo�n1z''ovmnv |mnSmnnrip� 1sn l�JUU0.00 vor Furnish and Install n^Ductile Iron Storm Pipe 32O 201.00 000 Furnish and Install 1z^CpEPPipe oOz 239.00 B09 Tv Inspection or Storm Sewers 544 39500 a,» Furnish and Install Type eCatch en,io s 4.00 o`/ Furnish and Install Type 1L Catch Basin 1 1.00 o`z Furnish and Install Concrete Inlet 1e 1000 e/3 Plug Existing Pipe r 5.00 u/4 Connect New 1o''Storm m Existing Manhole z 0.00 u15 Reconnect Existing Storm Pipe to New Type 2/ s lUU a`v Pothole over Existing Underground Telecom a 5 UU o`r Pothole and Relocate Unknown Utility through c 1 1 UU Page 13 ` . Pnojeo ntra| Business District Utility Replacement inspection Item I Bidl Total For Pay PAY006 uantitj Totalty Percent No. Description uanti To Date Pay Period 25-Aug 26-Aug -4 ..-A 29-Aug 30-Aug TOTAL 31-Aug 01-Sep 02-Sep 05 B25 CO#1 Additional Trench Excav Safety Systems 1 1.00 100.00% 0.00 --------------------- B29 CO#1 Furnish and Install 12"CPEP Pipe North 163 163.00 loo.00% 0.00 0 Paqo14 DAILY INSPECTIM DIARY REPORT M DATE: rC�las WORK PERIOD: �•/P•m• to ;DO a.m./4 DAY: / © 14 TEMP. MAX OF MIN OF PRECIPITATION: r WEATHER: WORK ACCOMPLISHED TODAY: c eo Two #1 ti La ke ✓ aFLN �S � y , v 4 c.L T441 Y.GVt r1 -L �4 -s/�-G yl T �N C., R �" • �-G Cla INSPECT CONTRACTOR SIGNATURE R SIGNATURE DATE: 0 &- 2 1 "©5 DAILY INSPECTION DIARY REPORT DAY: DATE: P,y, ORK PERIOD• m.4 .m. a. /P.m. WEATHER: ---' TEMP. MAXe,5-?°F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: 1 I� w C, .1 l y -tom- 9Q I Z-t( q3u.:>', Al 0 fZ.rJt-<> rL Wr �4- -3 1 CONTRACTOR SIGNATURE r INSPECTO ATURE DAT E: DAILY INSPECTION DIARY SPORT DAY: DATE: / ORK PERIOD F WEATHER: TEMP. MAXG CLLOF MIN A2 OF PRECIPITATION: WORK ACCOMPLISHED TODAY: hrL- -zthc---, oa lic- r Ptw► v ,:����C ��� as ���c •2� vra a3� : a r �'� 2j 3 � ti CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY /� REPORT 4� DAY: �_L _� DATE: t> WORK PERIOD Cl���/p.m. to�—a. ./p.m WEATHER: TEMP. MAX ft)°F MIN&7,) °F PRECIPITATION: �� WORK ACCOMPLISHED TODAY: i c i !` s a CONTRACTOR SIGNATURE INS ECT SIGNATURE DATE: Name Enumclaw Quarry, Inc. Address 27407 S.E.41 Gth Enumclaw,WA 98022 (360) 825-6171 Fax(360) 825-4787 Job Truck No. Material LB NET Tons � � Price "4380 LB TR(K 46780 LB Weigher Amount 7:10A 0-2 3-05 Tax Total Cust. Sign: ? c -c� 17Q. DAILY INSPECTION DIARY I REPORT DAY: DATE: � WORK PERIOD(a G9=>./p.m. ty�= a.m p.m. WEATHER: TEMP. MAX OF MI °F PRECIPITATION; �i WORK ACCOMPLISHED TODAY: CJ C J � E J Ala J CA CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: �j (f DATE: C>� /� �1/OS WORK PERIOD: �jD /p.m. to o REPORT �' �' a.m. WEATHER: G L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: c T , P lVl a v, Po al- r CD c A a -fir'/ �r�•arfor i-k s�'si/ta� � ' — �®rr s,'�.2 5r�i.c�/' J�=5 -d— I�c� r'oil l r4 c /cv rc�f�yc t�re�c/ i tr✓�`c.� l ; 30 ycrs Vfra:et; ///c�e7 L✓�sv��`yr'c� c�� f fz �f-Kiir 1 ts,flca� H!o tG,c Slo.iS a �r� �ti V'ty it Ct�knl�ahtyt floc jt� il,<L� l, c QOrsjrkv/d/' u.�s sn�/-G bo 061<— et",- 4- CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: C� 2 �� DAILY INSPECTION DIARY REPORT DAY: DATE: ORK PERIODk��/p.m. to 5�Va. ./p:m. WEATHER: G TEMP. MAX `�-F MIN4��F PRECIPITATION: — WORK ACCOMPLISHED TODAY: v� C �C � � /1�t,� �.-fv lt�l_fl CONTRACTOR SIGNATURE INSPE TOR SIGNA URE DATE: Aug 24 05 08:06a C. A. Perdue 425-432-1936 P.2 FROM = FAX NO. : 4254326698 Aug. 23 2005 03:02PM P1 HARMSEN ASSOCIATES INC ENGINEERS SURVEYORS PLANNERS LANDSCAPE ARCHITECTS August 8,2005 Americon [ne 23020 SE 2724"ST Maple Valley WA 98038 Re:Monuments—Renton Central Business District On Wednesday August 17, 2005 a Harmsen& Associates field crew checked the locations of the . monuments at the intersections of Williams Ave&WeIls Ave at S 2ad St.H&AI found no significant movement of these monuments. Rink Carpenter PLS a s4137 a �1LLAtM - exP� ► ?.a �S 1:�.n»rNn InclGfnVat BvsYx�s!)isvia Uilhy kepurgmpnl OSt3glpocv�H1+94N4H11M finTS.eoc A N T I C I P A T E U N D E R S T A N 0 G U i D E D E L 1 V E R IT514 Wetl Mair1 S1 PO Box 576 Maoroe.wA 98272-0516 1(360)794-7611 1(200)743-5W3 I(360)805-9733 www.h-oLeorn DAILY INSPECTION DIARY DAY: E-S DATE: / WORK PERIOD. jL REPORT `� c� r }/P.m. to ./p.m. WEATHER: TEMP. MAX OF MIN �°F PRECIPITATION: WORK ACCOMPLISHED TODAY: a i-3 D �o C S L-4 r CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: b DATE: / is/ QWORK PERIOD�_� ; /P•m. t a p.m WEATHER: 4-1 , , TEMP. MAX,; -F MIN40_3_-F PRECIPITATION: WORK ACCOMPLISHED TODAY: S ,14 Y60 / '��/(�' CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: u�"-� DATE: / WORK PERIOD: a.m /p.m. t a. ./p. . WEATHER: C- TEMP. MAX 73 °F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: h - � oS r'- a G t f `Do • sY1 . �0 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: MON DATE: ly-)/B /E;!K-WORK PERIOD: a. ./p.m. to;-7a. . WEATHER: �'� TEMP. MAX °F MIle! . OF PRECIPITATION: -'el 11K� WORK ACCOMPLISHED TODAY: T 7 J `771 - - � O C ✓ t CONTRACTOR SIGNATURE. IN SIGNATURE DATE: -vPiojectntral Business District Utility Replacement inspection Item IL Bid Percent r Pay PAY005 08 uantit �otal For . : :::::::: s�rition_ uanti To Date Pay Period 27-Jul 28-Jul 29-Jul 1-Aug 02 -Aug 04-Aug 05-Aug X -Aug TOTAL 09-Aug ...... -Aug 03 ..X No. ...... QTotalty .. ...... ...... .. ..... ....... Schedule A 0 A01 Mobilization&Demobilization Schedule A 1 0.80 80.00% 0.00 ................ ............ ............ A02 Trench Excavation Safety Systems Schedule 0 1 0.40 40.00% 0.11 ........... 0.11 0.11 . .... . .............. 2 0.25 A03 Construction Surveying, Staking,and As-Builts 1 0.50 50.00% 0.25 ......... ....... 0.25 0.25 A04- Traffic Control Schedule A -4 0.75 75.00% 0.25 ........ ..... A05 Temporary Erosion/Sedimentation Controls Scl 1 0.50 50.00% 0.00 0 X ............ ........ .... ..... .... ..... xxx 0 A06 Re-establish existing Monuments 2 0.00 0.00% 0.00 ... ... .......... . .......... . ........ . 0 100 ................ ...................... A07 Furnish and Install 8"C900 PVC Sewer Pipe 964 598.00 62.03% 0.00 ............ ....... A08 Furnish and Install 6"C900 PVC Side Sewer Pi 575 226.00 39-30% 0.00 ....... ............. ...... ................ 0 ............ A09 Furnish and Install Type B 54"Shallow Sanitary 4 2.00 50.00% 0.00 ...................... .. 0 ..................... A10 Furnish and Install 54"Diam. Sanitary Sewer M 2 1.50 75.00% 0.50 ...................... 0.5 0.5 ...................... .................................... ....... ............ ... ............ .... ......... ........................ ..... .. .. ............ All Connect Exist San Sewer to New San Sewer St 4 5.00 125.00% 2.00 2 2 X:X . ........... 0 Al2 TV inspection of Sanitary Sewers 964 496.00 51.45% 0.00 .....4 lll�....... ................................ ................................., 0 A13 Locate and Abandon Sanitary Sewer Manhole 2 0.00 0.00% 0.00 .............. ............. ................ ................ . .............. .... . . ... .. ................ ...................... ................ - - ---: 0 .X ..... ...... ................ A14 Furnish and Install 12"Ductile Iron Water Main 640 0.00 0.00% 0.00 ........ ................ X., ---------- 4 0.00 0.00% 0.00 A15 Furnish and Install 12"Diameter Gate Valve As .. 0 A16 Furnish and Install 8"Diameter Gate Valve Assi 1 0.00 0.00% 0.00 . ..................................... A17 Furnish and Install 6"Diameter Gate Valve Ass( 2 0.00 0.00% 0.00 .. .... ... ..... ......... ............... ............................ 0 A18 Furnish and Install 4"Diameter Gate Valve Assi 1 0-00 0.00% 0.00 ... ...... .... A19 Furnish and Install Fire Hydrant Assembly 4 0.00 0.00% 0.00 0 ... .... ..A20 Connection to 12"Water Main Wells Ave S(ApI 1 0.00 0.00% 0.00 OEM ... ....... . 0 A21 Connection to 4"Water Main Wells Ave S(Appi 1 0.00 0.00% 0.00 1 ........... ............. .......... .. 0 .......... .......................... .......................... X..................... A22 Connection to 8"Water Main Wells Ave S at Al 1 0.00 0.00% 0.00 ................ A23 Connection to 6"Water Main Wells Ave.S at A 1 0.00 0.00 % 0.00 ...... 01 ................. ....... ........................ ........... 0 i................. ..... ...... ..... A24 Connection to Water Mains Williams Ave. S(at 1 0.00 0.00% 0.00 ... .............. ............ A25 Furnish and Install 3/4"Water Service Connecti 10 0.00 0.00% 0.00 0 .......... ................. .... ....... ............. ............ ...................... 0 .. ....... ...................... A26 Furnish and Install 1"Water Service Connectior 3 0.00 0.00% 0.00 *1........ ...................... A27 Furnish and Install 1-1/2"Water Service Connei 1 0.00 0.00% 0.00 .... ....................... 0 ::::.................. .... ........ ....................... A28 Concrete Thrust Blocking and Dead Man Anchc 10 0.00 0.00% 0.00 01 ...................... ... .. ... A29 Joint Bonding Thermite Weld 1 0.00 0.00% 0.00 'K. U ............. ......... A30 iX 0 Cathodic Protection Test Stations All Types) 4 0.00 0.00% 0.00 .......... A31 Removal and Replacement of Unsuitable Founc 165 141.40 85.70% 0.00 0 . ... ..... ... ....... ............... ............ ..................... ........... -** ............... . ... 0 A32 Select Imported Trench Backfill 2180 155.33 7.13% 0.00 .:::::::::X:.................. ......... ..... .......... 0 A33 ........... As Class'B'Patch Inc.CSTC 1825 507.64 27.82% ------ A34 2"Deep Grind and Asphalt Overlay Class'13 5600 0.00 0.00% 0.00 xx.. . ..... ...... . ............. 0 ............... ............... ... 0 A35 Replace Pavement Markings and Traffic Button 1 0.00 0.00% 0.00 ..... ...... ............................ 0.00, 0 0.00 0.00%, Remove and Replace Sidewalk&Driveway A36 220 A37 Remove and Replace Curb&Gutter 150 0.00 0.00% 0.00 0 .............................. A38 Removal of Paint and Other Markings on Curb 1 0.00 0.00% 0.00 ........... 0 1 1.00 100.00% 1.00 ..... CO#3 Additional Work Associated w/Water Ma ......A39 Schedule B OEM= 0 B01 Mobilization&Demobilization Schedule B 1 0.80 80.00% 0.00 ... ........... B02 Trench Excavation Safety Systems Schedule E 1 0.70 70.00% 0.02 ....... .................................... .......... ........... ...... ............... X. ..... **-.-.-.-.-..-.-..-.-..-.-.--.*..*.-'.-*.-..*.-*. .......::iii 0.25 0.25 .... ..... B03 Construction Surveying, Staking, and As-Builts 1 0.50 50.00% 0.25 B04 Traffic Control Schedule B 1 0.75 75.00% 0.25 0.2 0.25 .. ...... ............. B05 Temporary Erosion/Sedimentation Controls Scl 1 0.50 50.00% 0.00 0 B06 pe 165 153.00 92.73% 0.00 ..... ..... ... ...... 0 Furnish and Install 12"Ductile Iron Storm Pi ................. .. .... .............. 72 ......... B07 Furnish and Install 8"Ductile Iron Storm Pipe 320 201.00 62.81% 72.00 .............. 0 B08 Furnish and Install 12"CPEP Pipe 362 239.00 66.02% 0.00 a. .......... ................ B09 TV Inspection of Storm Sewers 544 395.00 72.61% 0.00 . ............... 0 ...........X.. . .............. ....................... B10 Furnish and Install Type 2 Catch Basin 9 4.00 44.44% 0.00 . . .... .. X.......... ............ :X Bll Furnish and Install Type 1 L Catch Basin 1 1.00 100.00% 0.00 :X. 0 ................ ..... ... ...... ....... .... B12 Furnish and Install Concrete Inlet 18 10.00 55.56% 4.00 4 . ... .................. 0 B13 Plug Existing Pipe 7 5.00 71.43% 0.00 . .. ............. ... ................ ....... B14 Connect New 12"Storm to Existing Manhole 2 0.00 0.00% 0.00 1 0 ........... ............................. .......................... 0 Reconnect Existing Storm Pipe to New Type 2( I .. B15 6 1.00 16.67%, 0.00 ........ .... ..... B16 Pothole over Existing Underground Telecom 3 5.00 166.67%1 2.001 2 B17 Pothole and Relocate Unknown Utility through E 1 1.00 100.00%1 0.001 Page 9 ` ^ ' 9uojeontna| Business District Utility Replacement inspection Item IL Bidl Total For Pay PAYO05 uant J., -Aug TOTAL 09-Aug It Totalty Percent 01 B18 Pothole Existing Storm Main at Sta 16+21 1 0,00 0.00% 30.61 B22 Remove and Replace Sidewalk&Driveway 130 000 0.00% 0.00 0 00 d6 B25 CO#1 Additional Trench Excav Safety Systems 1 1.00 100.00% 1.00 B30 CO#1 Furnish and Install Type 2 Catch Basin N 2- 3.00 15o.00% 3.00 1 1 NOW', 01 Pane10 DAILY INSPECTION DIARY REPORT DAY: DATE: WORK PERIOD:/P.m. ./P.m. WEATHER: TEMP. MAX�°F MIN y�F PRECIPITATION: WORK ACCOMPLISHED TODAY: l Y c G � CONTRACTOR SIGNATURE INSPE OR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: DATE: f WORK PERIOD a.m REPORT /p.m. , a, ,/p, WEATHER: TEMP. MAX °F MIN PRECIPITATION: WORK ACCOMPLISHED TODAY: C_� s ' CONTRACTOR SIGNATURE INS ECTOR SIGNATURE DATE: DAILY INSPECTION DIARY ` XS�EPORT DAY: DATE: t aWORK PERIOD: WEATHER: C Lh - --JZ',TEMP. MAX e,�°F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: Zz J K � a m .� 4-0Lj =- , - IL A t a y �T CONTRACTOR SIGNATURE INSP SIGNATURE DATE: DAILY INSPECTION DIARY DAY: � �y� s�_ DATE: WORK PERIOD: a. /p.m. to a. ./p.m. WEATHER: TEMP. MAC{ °F MIN, -5;4�F PRECIPITATION: -'T r WORK ACCOMPLISHED TODAY: 60,v CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: oo DATE: e / / WORK PERIOD ./p.m. 116 a ./p. WEATHER: TEMP. MAX 7a5°F MIN OF PRECIPITATION: - WORK ACCOMPLISHED TODAY: C.}o t _Z2 tt L v � .A l -� laze CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: y/ / WORK PERIOD:'/P.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: �Yl -Q"T 3 L,-t 6 19� - CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: -� DATE: /�� WORK PERIOD:6=ra. ./p.m. toy ----a. ./p.m. WEATHER: TEMP. M J—�°F MItj�L' OF PRECIPITATION: WORK ACCOMPLISHED TODAY: p cam' ✓ c v .P Ft CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT �k DAY: DATE: WORK PERIOD��^c�./P.m. t� a m. WEATHER: TEMP. MAX °F MIN ,.,O� °F PRECIPITATION: h WORK ACCOMPLISHED TODAY: zn �i L-t.s r -A CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: jJ DATE: >/�j /�-WORK PERIODD:� a. ./p.m. to, -�"a. J (��7p_M WEATHER: TEMP. MAX 4eZf-'2 OF MIPJ�'� OF PRECIPITATION: _ WORK ACCOMPLISHED TODAY: T c CONTRACTOR SIGNATURE IN3rtG4.14e SIGNATURE DATE: CITY OF RENTON Building Division x K. Telephone: 425-430-7200 CORRECTION NOTICE LNG PERMIT.�&. A D D RE S Si The following work does not comply with City codes and ordinances and musti be CORRECTED and INSPECTED BEFORE further work is accomplished on this building or before equipment is put into service. 6 e� - ' a. n c_ P I P rah X a a1 Inspector Date G� Inspectors Signature r DO NOT REMOVE THIS NOTICE PRP�1'i�l I)II11 noioo i.i. August 10, 2005 Mike Benoit City of Renton 1055 South Grady Way Renton, WA 98055 RE: Central Business District Utility Replacement Project Dear Mike, In response to the Correction Notice received this morning, we offer the following as resolution. 1) "Provide safety plan to assure safety for public citizens of Renton." Lighted barricades and reflectorized cones will be deployed around equipment and hazards remaining on the roadway after working hours. 2) "Full street closure and routing the traveling public through private property." No equipment or materials will be allowed to block any roadways. Temporary stoppages for loading/unloading equipment or materials will be limited to not more than 5 minutes. 3) "Open trench with no temp patching or plating outside work area." Open trench will not exceed the amount of pipe that can be completed within the current working day. At the end of each day, trenches shall be backfilled and temporary asphalt pavement will be placed and compacted in all completed trenches. Any areas of work that cannot be completed with backfill and temporary asphalt patch will be covered with steel plates. 4) "Working outside approved work hours." No work will be performed outside the hours of 7:00 AM and 5:00 PM without prior written authorization by the City of Renton. 5) "Unsafe handling of contractor equipment." Spotter and/or flaggers will be utilized whenever backing up equipment. I propose and agree to abide by these resolutions and all recommendations or direction given by City Officials. Respectfully submitted, Americon, Inc. Earl Soushek President AMERICON, Inc. 23024 SE 272"d Street, Maple Valley,WA 98038 (425)-432-2444 August 10, 2005 Mike Benoit City of Renton 1055 South Grady Way Renton, WA 98055 RE: Central Business District Utility Replacement Project Dear Mike, In response to the Correction Notice received this morning, we offer the following as resolution. 1) "Provide safety plan to assure safety for public citizens of Renton." Lighted barricades and reflectorized cones will be deployed around equipment and hazards remaining on the roadway after working hours. 2) "Full street closure and routing the traveling public through private property." No equipment or materials will be allowed to block any roadways. Temporary stoppages for loading/unloading equipment or materials will be limited to not more than 5 minutes. 3) "Open trench with no temp patching or plating outside work area." Open trench will not exceed the amount of pipe that can be completed within the current working day. At the end of each day, trenches shall be backfilled and temporary asphalt pavement will be placed and compacted in all completed trenches. Any areas of work that cannot be completed with backfill and temporary asphalt patch will be covered with steel plates. 4) "Working outside approved work hours." No work will be performed outside the hours of 7:00 AM and 5:00 PM without prior written authorization by the City of Renton. 5) "Unsafe handling of contractor equipment." Spotter and/or flaggers will be utilized whenever backing up equipment. I propose and agree to abide by these resolutions and all recommendations or direction given by City Officials. Respectfully submitted, Americon, Inc. Earl Soushek President AMERICON, Inc. 23024 SE 272nd Street, Maple Valley, WA 98038 (425)-432-2444 fountain View Concrete Recycling Inc. 300fMartin Luther King Jr Wray eattle, WA 98178 NO. NAME: DATE: ADDRESS: CITY,STATE,ZIP SOLD BY: CASH C.O.D.I CHARGE I ON ACCT. MDSE RTD.I PAID OUT QUAN. DESCRIPTION AMOUNT t 2 3 4 5 6 7 £3 9 10 11 12 CUSTOMER'S ORDER NO. RECEIVED BY: KEEP THIS COPY FOR YOUR RECORDS 5L240©2001 R®IFQRMO Mountain View Concrete Recycling lnc. 3001 Martin Luther King Jr Way .eattle, WA 98178 NAME*-- DATE: iv ADDRESS: CITY,STATE,ZIP SOLD BY: CASH C.O.D.I CHARGE I ON ACCT. MDSE RTD.I PAID OUT QUAN. DESCRIPTION AMOUNT 1 2 3 4 5 6 7 8 9 10 11 12 CUSTOMER'S ORDER NO. RECEIVED BY: KEEP THIS COPY FOR YOUR RECORDS 10 5L240©2001 1199FORme ......... �U'I"x iz 6 c 2 14) LLAiq�l 0 9 3 1 91? - �: r F ��� f .t �5 � '� `d��� ����c� s ., � i�4 `c�� � ���: - �� ., � �� � `� � ,cid o = �G < � -� ✓ � �% � ( � � "�9 Zj ` t �. �,� �� ,�.- � - - aa.;`- ;,�; 4�� � � r � s �� �. �� .. �.'g.: r �y ij i' 4 Fa 9�^ �« -. �� .f b ..5 1. � e.�.r _.^II N �€ .. '.wk�' f fa -__ -----__ --L�-- SIIDE SEVERS SHOWN BASED UPON BEST INFORMATION. C`jN01'28'zo'E z658.29•cAL -- CONTRACTOR SHAD.LOCATE SIDE SEWERS WHILE REPLACING MAIN r n V TLIVE v' L I m 1 I I / AND ALL ATE SIDE FEET FROM CURB AND GUTTER SEEETAIL 80709A. J I3 � J I APPROXIMATEL'f' WILLIAMS AVE. S. CONTRACTOR SHALL COORDINATE WITH SEATTLE PUBLIC UTILITIES WHEN WORKING . w NEAR SEATTLE WATER MAIN IN S 2N0 STREET. CONTACT SPU 48 HOURS BEFORE I V Im )'J BEGINNING CONSTRUCTION WITHIN 20 FEET OF SEATIILE WATER MAIN FOR SPU V J I PROVIDED INSPECTION, I N 4 w SPU SHALL RE q CONTACT LAKE YOUNGS OFFICE AT(425) 255-2242 o e -1 WATER PIPE E � ADVANCE WARNING PRIOR TO THE CONTRACTOR EXPOSING SPU ® IZ R IN f` BLDG./229 a<231 ALLOW SPU THE OPPORTUNITY TO INSPECT 714E PIPES CONDITION. 2 STORY MASONARY � WELLS AVE S. WILIJAMS AVE S, S 2ND ST. 8 I ]9r LNor faun) O AY-1r.12 �, F ! i I■e-laws �' FIN FLOOR/231-40.9 - _ I a.+-10 ao FIN FLOOR/229=4t.1 J E s• IU1Y HAVE 5 Tn 13 INCH TFilq( CONIC. PAVEMENT E r4 E r ra%x BLDG./724 [3'v.c E/e-ge nArlEpp - _ W/EM APPARENT vw. AND OR 6 TO 9 INCHES BRICK UNDER THE ASPHALT., 2 STORY MASON Y BASEMENT E SMp �3414,tw-It.2] / rl BLDG.i 201 c FIN Flood={i. / `', l ('j d 2 STORY CONCFIN .BLOCK f R W/No APP T 1/ vT - _�. I� BI.DG. 225 a bt.It a BASEMENT ACCESS 1D 3 STORY 1 CONIC BLDG. `� E T'sC \.. NO BASEMENT 9 I e w ■r-Ie2T UNDERGROUND FIN FLOOR 41.3 '4 VAULT VV NO 3ASEMENT BUT SOME �/ / 3 A1aw+Er a Irt-40.ap all/225 CABLE VAULTS a•rn,c to SIt1M � / ` Ce Fr..,ro A]M,ALT [ra■tC E-][I ��W cane wA []vc E/s-w] � c s-a4o �a P - E]•rsc E/s-4[o 1 1 1 VDE. ° _ urn N01.27• ` ° e • o _ B Mn31 � y -�$ race a .wr • [ -- ASN,AIr Aw,oear ° B �rY]re aa�oc-7 SVIEC Q1Na A 4Ur q,� I � w k� � " - \ - - sYc - sbEc aroEc ® -•---�-[ ,py��f • tl ■WT1rr1-Xr� ■I Y-41.tE low E K E/--..] I w al w P*=SU cr a�w.ro.23 •9 / .srruEr - r I1 ✓ r 4'CHN LNK FNC ? 1 STORY MASONARY U •sv,ucr /^a ' mc. e I I FIN FLOOR.41.55 �� / U ca w-roes []VK4[/e�Inr E]rm E/__, ,� �r \ /. BLDG./T14 /v w 41 \ P 2 W/BASEMENT [e•n.se.rs (°A 1 STORY CONIC `4� I o xN-]aw I g _--__-___ __ I [1•E.3Avs 'r 30.5 tr-4nw / 1 FIN FL00R=41.3 TTA 14+30 W [a•N.]r.e ` y Ex. E 3PW EAr 2 ca •oav � / STAINS 14 NEW SUE SEWER 4',IF%.s BLDG./222 SOW pp,,,4t.rp /�a i ,r V W/NO APPARENT mu_�r�r 77)CLfRB lIJE 0R E f•e-]r.f aaR u•Ir.,o __ // ,may„BASEMENT I PRENWS BLDG. E r- [.xo [tA.E/,E..3a,! 1L __ 2 STORY MASONARY E r,ax, I [YP.c[/a-a�,i RECOfWECT NEW SIpE gt1FR OEMOUSF,EO R a, g 1 nN FLOOR-41.3 E 4•¢Ar E-][f NS r rn FOR.SIO N I B y SM t.a•s[-%.v I I RECONS7RUC110N sow w-ww ,�, ^ P W/NO APPARENT E r s-]E2 /� fir.. 1888-58•A BASEMENT E f4W,c e-is V [ SIX E Ire-%.S n I I SET CNSLO I 30� I BA4E OfSIDEWALKCM SW C BLOG EL-41.11 S i l e a a 3G I Z I I C, I MN.........t............ ...../11'dt7 12+00 RIM=4t.to .. .... 13+00 mi rn C/A E/W-36.5 : : : ........ ............. . .. 14+00 15+00 IE 6'SE-36 9 ; STA 15482 tTklG K 6'HE-3J.1 : : : SSMH SOMH p REPLA 351N _SQM 40.77±EO'JN E A.Illl 3@I110 : RIM--408 I W/NEW IE; 8'N-35.35 '• RIM-10.77t : E 8�.:.=3P..5 E lY S--�344,,0� �r IE. e"S-33.45 ....... .................. .IE B'N'•38.1t..: ........' - E 8".�-38.2 � RECOMt 12'E-3375t� �ALL IO.B84 ; : CB EA IE 6'W-38.52 ............................... .... E.X:l . : RECOMi tY W-33.Q5 [B�N.38.33 E 6�E-38.9i: : ................. ............. .................. .. ... ......... _ r ... .. . E B•1v-39.0 ....... 1tECOLN Y N-34.01! .. CHAtNIZ rH:lo ITT. ...... 45 (WEST) pppp • :.......... • B- W E s. ........... ........ RM-W - : p RCIB E..6. 8. =39 fi E.-9 388.4 y .: I........ O a40 EM6 w.37. ty .. 35 ..... -- - °0 lE E705T91G:sswt / LF .. 30 Pltic aY YM1 TO NORTH N9TALL NEW TYPE'B 54'981R1 ....... •'ABANDON SSMH PER DETAIL 071A : E 8*N-38.05 .................... `� :: : : SSMN,RIM-44.83 51MN PLUG B•MAN 1D SOUTH S ... ......:.........ABI LW1=]Y .'8:.d 54Y11. .......- .. �S E IFIM+40.83 : NOR : .. .. K e"E-38.16 : : : S ......-s. L - IE 6'sw-t : Y4 / TE er S-M21 / / ��� TALL ONE STICK (MIN 1B•) OF 6- DIP FROM E.e'A . ...... ...INS tiO l:T' MANHOLE TO CROSS SEATTLE PIPELINE. :INSTALL E a'S=34.0 RECOMMENDED FOR APPROVAL ~e ETHAFOAM PAD BETWEEN SEWER AND WATER MAINS. ENCASE.PPE 12 AGL SIDES MINIMUM vta -r ..am [r.■ WITH'2000 PSI MIX CONCRETE. CITY OF CENTRAL BUSINESS DISTRICT 1•=20• 3/ �■A A�,. ., -3/74/OS � TI ,s/os _ UTILITY REPLACEMENT I WASTEWATER UTllm DATE EXPIRES 8/21 OS �� � DATUM `` RENTON CEMENT E� �,.■ N0. BY DATI PR "^p•�� , AsaoleT�.v Planning/Building/Public Works Dept. SANITARY SEWER REPLACEMMENT REVISION - WILLIAMS AVE S(S 3RD TO S 2ND) NOTES R,■, tt �- cn 1.Ail YP.'L iE2.E i4Te,Y¢�; i!Q.L 9E& CAYAL-LS,C:,'D CAT.QW,%N FRk6iZS AtiD CiU�ES LQ'X3'f s It' 30' 30' --Not•20'20'E 2353.29'CALL. 2. LEGTItT{S YAY 6E k"Lls-D TIC:AW^D tJl`I I rT Tols qN.Sa RA.ETS. TO[;&Y WRB Ftf.�a I m I I `� ALi.AD.t157YEN'1o'»F9. CITY ow,%wv. Np Iw V1flLLI�1 S AVE. S. 3.>t�AIIE% u I uAY HAVE 8 TgRA Aar Fe.i31T AND/oa W a atlati_s t l Tt1 WIA}•t j ® IDo �d � � ODD .S o � '\ 4.C(Yii2lCTtli$IKL Cpt�R{ATE 1YRI$�iB.E Pi:BUC U%JItFo 1'lifJ9 BLDG. =229 d 231 \ NEAR$EA 1'AtEB Y111U 1N S 2110 STRUT.QF CITITLE ATE N lU FOR Gc-rC€.E 2 STORY MASONARY ~,�t te'✓■-q3 L1E9NNIP0 C�1Si311C r1tY1 WRIN 20 FFET CF WATTLE WATER YLW FOR Sf'U j I n ssw nwi roux) FIN FLOOR/231-40.9 BLDG.#201 ! o NN-w.eet p Wy.4yp FIN FLOOR 229-41.1 N'ECRgN. CONTACT L.AfCC Yf/R#5 70 T E 1T(42a)T8f-Y�49. w.r.4Eeo EPN BM�U- Ql#L{�OYNiCE TfAHi8N0 PRAR O THE OLYITR�P E7PpiN6�..I`-0 z sToar ca+c.eLoac Ia 2 E r x-36 st / [r-E/■-w.o taAl�R�E TO�.@K')�tl j I BLDG./724 E She[/R•qo W NO APPARENT ssYt R4'�i» 'R3E 7IJ;i7Y TO M$PECT 771E PIFEC(. liW. N BASEMENT I 3 2 STORY MASONARV BASEMENT NO BASEMENT I _ FIN FLOOR-41.0 3 BLDG./225 q W NO APPARENT �i 2 SSMt llu-w e0 / f 3 STORY CONS BLDG. FIN FLOOR{7 3 3 BASEMENT •wwAEi n I a wwr31.) - I S I lar-qn L ptatp Ir NCI NO BASEMENT BUT SOME UTK)N FBfR pPTC X)�aR ®� t��03GI E-36. vAt /225 FFI AsnuaT K e'm1c E-3.! s K r•-3..1 POSEPRI IN, T U0F0a AT ^` � nI us \w 20 < A3PIALT KOAaMr c 1 wo-1 N01'27'34-E al I t:•s w c c - - 3' 560.12' CY - i 'Aa r e lic !- AeAYLT eXMatwY rTA1 . - eKobsn s•a A ■ ,_ so gl-1Y N _ I brc C8-20 L ■ bXm atr ■ r ■ ■ �- tExtN ca■c teKK -- _ e"occ - --�i- eroEc. a•orc _ }� EX ANB Y \ \ awtxi 4'CNN LINK I 7-- eo*iw.3.»• E 3M E/I!-q3 L ThtATt1:EW j W S y • POl1IDLE IE■Im Y IQpLA IX CRa Ai w Ag S'�PIPE AS FOR 5+di� FUa OT UTUTY La1E` fRU Yr onms mKc A l LAl[RAL COMSFaIC'FifM.PLU^ As�,i. EX.CB 1111:: AS REii OU, Tw OF EX 8*5 BLDG.180o y �l Ast4wT ®mu-wea BLDG./214 / ce mu-Jsse i fy 1 STORY MASONARY I ♦ r. E c"t+-3)e U c x ( IIJI FIN FLOOR 41A 5 * p E xii E �E�=b.1 1 STORY CONS 31. n n M1 W/BASEMENT I [rR-1st E�� qt ® q� p -�1B9 i1N BOOR=41.3 p,u3 11) E 4Tc E- 0 S > _ ^• EG r K.]..1 , [4-E.X" [a'he E/M1g2 W/NO APPARENT , I!"f�\/PREVIOUS BLDG. d sN-q43 r�~`4) BASEMENT _` DEMOLISHED I E 4'1F]Ed /222 5PN W■.lt.10 E J"vvc E/-"J `i p n n g s.w ar O.4t to I J TORY MASONARV E r w3At I I Q% IeY.gO s I E Ir S. E.344 E tr■.]E3 -- , FIN OOR- ENT E r MC E r rL I F tC e'3E.]C.. 1 _�__ I WMO ARENT E rmllt■-]FO I I E r 5-3110 g ®A 688-58.A BASEMEN .. 30' I BACKOf SroE�wso.Q M ( (( �' Sw COIL E1DG EL,41.11 =•^ 31 LF Or 10 11.0 LF r of•10116 2 3 V Ir p 2 LF r DI 4 0.5R CB-l0A•0.8i CU-12A :0 LF r of 0 130 3 LF r DI•0.= 31 LF B'DI_ 7 1 qi I 411.3% is �i�T 38 LF r DI 4 ROOK IXolvm 4" co-130 17 f cp-13A 31 tr it O W wx RY EL+40.5* C6-l0a Zr7 ST T 1 1 180 T 1 10._72: T 1 1 .2'RT pp Go-12 rw IE.3Li �.Sl'LT wto w/F1.<O.Ot EL.40.2! CD-2) .� roN Ft+40.93 _ 1w EL■40.i :; T 1 w/MCW4 DiLFT 8'w E-37.8 1FrW 01 EL-4.23 ....... .... �a�,ET - .. ................... .... .. .UP 4"TQ.bY.E E.3a.Ok ..... ...... 39 a'E IE..]lt IX CP'4C -3i0.... ..... VIA 8'E€�* 4�. E E i1�4�7p3j1 Y EX 3'S : : : EX B`SD PIPE Ex a'PIPE x n'PiPE 1 0 ELX PIPE APPX EST EL IIGP/T LOC.EL LOCO EL _ _ PARK NG FROM 'IIGP/i LOC.EL p >-6-W ABNDNED 6 W L LINK LOC,EL LINK ,®, ABNDNED UNK :T® NK ABNDNED I\ E U . UNK ... 12 G 4'C 12 G 'ILg EL Ut4K Q `6'W VVE ..:... 8'S I .. lRTO< ......... .. . 12"S.. ...... .AP{ ':12*G 1'G ABNDNED EL. ...... .. COS.EL OEACDVE' ...EL . ... .... CY-IO...... •.•2'OWN .......... ...... ..................... ... t..•<tp.NFJK...Z..12•W ........ .. .. •UGFO:....4.p.B.S. _ K 8-5'UNK : UGFO�. 4 G El 1 L .-5. 6'W . UGFO REACTIVE EL NEW LOC.EL.DEACTIVE NE*IINK W14 UNK.EL UN IOC.EL REACTIVE 8"S� LINK � 8-S'DWN 'LOC. EL UNK UNK _ C�1< UNK: EL LINK 1rw L`�,y�, NEW. NEW UNK EL UNK NEW. I AAITW�+�tk . 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EX r5 E-3&9 ' E+3R26 .� '' 3: � =i g ��� �' .... .,`.. � WiE3ttiY _ �� .. � (USE 127400.E FOR IX:aiES�y I'...8:o �� NEW 1 4 1E [+38.21 NEN r N r IBaC UTIDTY ;� 6MiCT pc 8 PiE r<� r4pu IX a'ED _ _ �eM ML!'F: 40 7. .:.........:........... ...:........ ....... _ 0 35 - 7i ko w 47 4 4-VA i;�:(f IV IN 4 9313 V tr eEv 4 L31X a2 LF 12':CPEP 0 0.32R .3 LF IJ r W tYL R 4 Ji tL.M 1IF Et SD AND ABANDWIED cm 9 0.4kX 0 .00"roOEX sip:. 30 A.lS.A,TD,S.ZFiD.ST .. ... + 13+00..... 14+00 j� I ... ... .. ...... ...its C rDf1 NE1Y sioRa ulW.......... 15 00 spew+ 11+00 1 2+00 RIM.40.B3 IE 8-E-38.16 IE 8`SW=T �� c CITY OF CENTRAL BUSINESS DISTRICT 3/14/°5 �0hµ(FWQ FOR AB�tRPY.14 ---- - I I-' 1~=zc' '�'�•' , \ O,LPS GIBTB7G\��� _ RENTON UTILITY REPLACEMENT ni OWA, 4 �/ SIONALE� If'ds i cutacAt1• - y� DC /f--Q�' _. --- u�� DATUM I planning/building/PuSlic '.Yorks Dept. Sf�SEWER URArv4»r'■cise I]-2 $talptAW WANK W14ITY QATE (FIR s a-2t 0s , -- _ ,,�------ ,� WILLaMS AVE S S 3RD TO S 2ND) 172 N0. REVISION BY DATE �''a F,rc,;ectntral Business District Utility Replacement inspection Item I Bid jj Total I Percent otal For Pay PAY002 PAY003 I 05-Jul 06-Jul 07-Jul 08-Jul 11-Jul TOTAL 12-Jul Description No. _guantit ntit Date Pay Period TOTAL 30-Jun 01-JuI111111 04-Jul I Schedule A .. ........................... .................... ............................................. . . .......... ....................................... ..................... ............... ............. ............................ .............................. ...... .. ............... A01 Mobilization&Demobilization Schedule A 1 080 80.00% 0.00 0.3 ............... 0 .................................A.A.AHWHi ......................... A02 Trench Excavation Safety Systems Schedule A 1 0.29 29.00% 0.00 0.19 ............................. ....................... .................... ................ ....... 0 ............... ............................................. ...... ........................ ....... ....................... ...... . .............. A03 Construction Surveying, Staking, and As-Builts 1 0.25 25.00% 0.00 0 .... 0 .......... ...................... ........ ..... .................... A04 Traffic Control Schedule A 1 0.50 5&00% 0.05 0.1 ................. .. I .. ............................... ........ 0.1 0.1 ........... ....... ... ............ .... 0.31 0.31 ............ ................. ... ............ .... Temporary Erosion/Sedimentation Controls Scl 1 0.50 50.00% 0.10 0.05, A05 ........................... ................. .......... ........ A06 Re-establish existing Monuments 2 0.00 0.00% 0.00 0 0 A07 Furnish and Install 8"C900 PVC Sewer Pipe 964 472.00 48.96% 0.00 306 0 ...................... .............. ....................... ....................................................................................................................................... A08 Furnish and Install 6"C900 PVC Side Sewer Pi l 575 226.00 39.30% 51.00 171 TWT!ii!i� TMEM 0 ....................... .................. A09 Furnish and Install Type B 54"Shallow Sanitary 4 2.00 50.00% 0.40 1.6 0 ........................ A10 Furnish and Install 54"Diam. Sanitary Sewer M 2 1.00 50.00% 0.00 0 .............. 0 .............................. ................................................... .............. ...................... ... .......... .............. ....... All Connect Exist San Sewer to New San Sewer St 4 3.00 75.00% 0.00 0 ....................... 0 ................ . ........ ............. ....................... ....... ..................... ................. .......... .......... ..................... : .. ..................... ... .............. 0, Al2 TV Inspection of Sanitary Sewers 964 496.00 51.45% 496.00 0 ...................... . . .............. ...................... A13 Locate and Abandon Sanitary Sewer Manhole 2 0.00 0.00% 0.00 0 0 .................... .. 0 A14 Furnish and Install 12"Ductile Iron Water Main 640 0.00 0.00% 0.00 0 . ............. 0 0 4 0.00 0.00% 0.00 ...... ..... .. ..Furnish and Install 12"Diameter Gate Valve A&A15 ........ ......... A16 Furnish and Install 8"Diameter Gate Valve Ass i 1 0.00 0.00% 0.00 0 0 A17 Furnish and Install 6"Diameter Gate Valve Assi 2 0.00 0.00% 0.00 0 X.......... 0 A18 Furnish and Install 4"Diameter Gate Valve Ass 1 0.00 0.00% 0.00 0 0. 4 0.00 0.00% 0.00 0 ............................................. 0 A19 Furnish and Install Fire Hydrant Assembly Nil ....... ...................... ...... ...... .............................. .. ...... .............. .. .............. ..... .............. A20 Connection to 12"Water Main Wells Ave S (ApI 1 0.00 0.00% 0.00 0 0 ............. ............................ 0 A21 Connection to 4"Water Main Wells Ave S(Appi 1 0.00 0.00% 0.00 0 ............. 0 1 0.00 0.00% 0.00 0 ...... A22 Connection to 8"Water Main Wells Ave S(at Al ........ .............. 0 ... .......... ........ A23 Connection to 6"Water Main Wells Ave.S at A 1 0.00 0.00% 0.00 0 ...... ............. ....... ... ..... ......................... .................................................... A24 Connection to Water Mains Williams Ave. S at 1 0.00 0.00% 0.00 0 01 .............. ............... .......I............ .......... ............. ....... A25 Furnish and Install 3/4"Water Service Connecti 10 0.00 0.00% 0.00 0 .................................... RM 0 . ........... ...................... ....................... A26 Furnish and Install 1"Water Service Connectior 3 0.00 0,00% 0.00 0 0 ..................................................... ...................... ........ ..... A27 Furnish and Install 1-1/2"Water Service Conne( 1 0.00 0.00% 0.00 0 ............. .. . ... . 0 ...................... .. ..... ..... A28 Concrete Thrust Blocking and Dead Man Anchc 10 0.00 0.00% 0.00 0 0 .. ...... ..... ................................. ........... .......... ..... .. 0 A29 Joint Bonding Thermite Weld 1 0.00 0.00% 0.00 0 ...... ....................... ...�������i i i i� -,' ....... ....................... ... . .............................. .... ....................... ............... A30 Cathodic Protection Test Stations(All Types) 4 0.00 0.00% 0.00 0 ......... ......... ...................... 0 --------------------- ................. A31 Removal and Replacement of Unsuitable Founc 165 141.40 85,70% 0.00 0 ..... ..................... 141.4 141.4 ............... .. ........ . A32 Select Imported Trench Backfill 2180 155.33 7.13% 0.00 110.9 0 ...... .............:................... . .... ............. .......... 0 A33 Asphalt Class'B'Patch Inc.CSTC 1825 507.64 27.82% 474.31 0 .......... ---------------------- A34 2"Deep Grind and Asphalt Overlay Class'B' 5600 0.00 0.00% 0.00 0 ..................... 0 ..... ...................... ............... .............. A35 Replace Pavement Markings and Traffic Button. 1 0.00 0.00%, 0.00 0 ... ...... . . ......... 0 .............. A36 Remove and Replace Sidewalk&Driveway 220 0.00 0.00% 0.00 0 0 A37 Remove and Replace Curb&Gutter 150- 0.00 0.00% 0.00 0 0 A38 Removal of Paint and Other Markings on Curb 1 0.00 0.00% 0.00 0 0 Schedule B .............. ............ ..................... : .... 01 301 Mobilization&Demobilization Schedule B 1 0.80 80.00% 0 0.00 .8 01......................... .................... ............................. ............................. B02 Trench Excavation Safety Systems Schedule E 1 0.68 68.00% 0.23 0 0.45 0.45 ....... ........................ ......................... ...................................... ...................................... ...................................... ....................................... ...................................... B03 Construction Surveying, Staking,and As-Builts 1 0.25 25.00% 0.00 0 ....................................... 0 ................... B04 Traffic Control Schedule B 1 0.50 50.00% 0.17 0.04 ........... 0.25 0.25 ............................................. .............................................. ............................................. .................................... B05 Temporary ErosionlSedimentalion Controls Scl 1 0.50 50.00% 0.10 0.05 ............ 0.31 0.31 .................................... ............................. ...... ..... .............. 124 B06 Furnish and Install 12"Ductile Iron Storm Pipe 165 153.00 92.73% 0.00 0 29 153 ...................... ................... . . ..................... B07 nd Install 8"Ductile Iron Storm Pipe 320 129.00 40.31% 129.00 0 ......................... Furnish a 0 B08 Furnish and Install 12"CPEP Pipe 362 239.00 66.02% 14.00 0 92 ............ 105 ..................................... .... *****'*........................................... ................................ ..................... ... .... ........................... 28 225 14 ......... ............... ...... ............. ...... ....................... ...................... B09 TV Inspection of Storm Sewers 544 395.00 72.61% 395.00 0 0 ........... ......... : ............... 1310 Furnish and Install Type 2 Catch Basin 9 4.00 44.44% 0-80 0 1.6 0.8 :................... ....................... 0.8 3.2 ............... ...................... B11 Furnish and Install Type 1 L Catch Basin 1 1.00 100.00% 0.20 0 .................- .. ....... . 0.8 0.8 ........ ....... ............. . ....... .......... 0 2.4 612 Furnish and Install Concrete Inlet 18 6.00 33.33% 6.00 0 ­ .. ... ... 0 B13 Plug Existing Pipe 7 5.00 71.43% 5.00 0 ................... .............. ----------- .............. B14 Connect New 12"Storm to Existing Manhole 2 0.00 0.00% 0.00 0 ...... 0 .............. ....... .............. ............ ...... .... B15 Reconnect Existing Storm Pipe to New Type 2 6 1.00 16.67% 0.00 0 ...................... .. ...... .... 0.001 00.00% ......... 0 B16 Pothole over Existing Underground Telecom 3 3.00 1 3 ........... .. .................... ................ B17 Pothole and Relocate Unknown Utility through E 1 1.00 100.00% 0.001 1 0 B18 Pothole Existing Storm Main at to 16+21 1 0.00 0.00% 0.001 0 0 Page 5 Pnoieo ntra| Business District Utility Replacement inspection L2uant,tj Totalty Percent 04-Jul 05-Jul 06-Jul 07-Jul 08-Jul 11-jul TOTAL 112:1�1 j No. Description uanti To Date Pay Period TOTAL 30-Jun 01-Jul B22 Remove and Replace Sidewalk&Driveway 130 0.00 0.00% 0.00 0 01 B27 C0#1 Additional Traffic Control Schedule B 1 0.00 0.00% 0.00 0 0 Page Projectintral Business District Utility Replacement inspection Item I�� Bid otal For Pay PAY004 25-Jul 26-Jul No. Description To Date Pay Period 13-Jul 14-Jul 15-Jul Ju 18-jul 19-Jul 20-Jul 21-Jul 22-Jul TOTAL Percent X ........ ...................................... .. ......... Schedule A ....... ......... ................ 0 .................................. A01 Mobilization&Demobilization Schedule A 1 0.80 80.00% 0.00 ................... ................. .............................. ...... ........ ................. ...................... .............. .................... A02 Trench Excavation Safety Systems Schedule P 1 0.29 29.00% 0.00 ...................... 0 0 ......... ............................. ............... ...... . ....... ......................... ..... ..... .............. .......... ....... A03 Construction Surveying, Staking, and As-Builts 1 0.25 25.00% 0.00 ...................... .......... .............. ................................ ....................A04 Traffic Control Schedule A 1 0.50 50�00% 0.05 ...................... 0.05 0.05 ............................. Temporary Eros io n/Sed imentation Controls Sc 1 0.50 50.00% 0.1 ............ 0.1 I .. 0 1 A05 ....... ...... .............. ......................... . ........ ...........- .......... ....... ...... .......... A06 Re-establish existing Monuments 2 0.00 0�00% 0.00 0 ....... ...... ..................... ......................... ........................... ...................... A07 Furnish and Install 8"C900 PVC Sewer Pipe 964 472.00 48.96% 0.00 ............ ............. ... ...................... ............... A08 Furnish and Install 6"C900 PVC Side Sewer Pi 575 226.00 39.30% 51.00 .... . ...... ....... .................... ..... ... .. . ....... ...... .. 51 51 . ........ ....... ....................... ... .. ......... A09 Furnish and Install Type B 54"Shallow Sanitary 4 2.00 5o.00% 0.40 :::: - .:........ffl�m 0.4 0.4 ............. A10 Furnish and Install 54"Diam. Sanitary Sewer M 2 1.00 50.00% 0.00 0 ...................... .. .............. ....................... .................. : ....... ....... ................ : ................... All Connect Exist San Sewer to New San Sewer St 4 3.00 75.00% 0.00 0.. .................. ....................... Al2 TV Inspection of Sanitary Sewers 964 496.00 51.45% 496.00 ... . ....... ...................... 13 496 496 ....... .......................................... ...... - ------- ... ............... ... ............................. A13 Locate and Abandon Sanitary Sewer Manhole 2 0.00 0.00% 0.00 0 ................ ...................... ... ............... ...................... C 0 ..... A14 Furnish and Install 12"Ductile Iron Water Main 640 0.00 0.00% 0.00 ..................... ............ .............. 0 ............... .............. ........... Al Diameter Gate Valve A& 4 0.00 0.00% 0.00 Furnish and Install 12"Diam ......... A16 Furnish and Install 8"Diameter Gate Valve Assi 1 0.00 0.00% 0.00 0 ........ ..................... .............. A17 Furnish and Install 6"Diameter Gate Valve Ass i 2 0.00 0.00% 0.00 0 .... ............................ r ..... .......... A18 Furnish and Install 4"Diameter Gate Valve Ass i 1 0.00 0.00% 0.00 .. ....... X.*1.'1..'1.'*.'1..'*. . .. ....... 0 ..............::........ ...................... ... ..... .. ......... ................... .................... A19 Furnish and Install Fire Hydrant Assembly 4 0.00 0.00% 0.00 ..... 0.......................... . .................. ........ A20 Connection to 12"Water Main Wells Ave S(ApI 1 0.00 0.00% 0.00 0 ................ .. ...... ....................... 0............ A21 Connection to 4"Water Main Wells Ave S(Appi 1 0.00 0.00% 0.00 ...................... ........... .............. ........... A22 Connection to 8"Water Main Wells Ave S(at Al 1 0.00 0.00% 0.00 . .........::: 0 ............................. ------ ........ ..... ...................... 0 ............... A23 Connection to 6"Water Main Wells Ave.S(at.4 1 0.00 0.00% 0.00 .............. ........... ............... ............... ..... 0 A24 Connection to Water Mains Williams Ave. S at 1 0.00 0.00% 0.00 ................... ..................... A25 Furnish and Install 3/4"Water Service Connecti 10 0.00 0,00% 0.00 .............. 0 ............................ ........ A26 Furnish and Install 1 Water Service Connectior 3 0.00 0.00% 0.00 0 A27 Furnish and Install 1-1/2"Water Service Connei 1 0.00 0.00% 0.00 ................ 0 .......... ........ . .......................................... . ................ A28 Concrete Thrust Blocking and Dead Man Anchc 10 0.00 0.00% 0.00 .......................................... .............................. ............................. .... .............. ............... A29 Joint Bonding Thermite Weld 1 0.00 0.00% 0.00 .... .. 0 . ................ ... ......... ............. ......................... ......................................... ............. ...... ....................... .............................. ... ............. A30 Cathodic Protection Test Stations(All Types) 4 0.00 0.00% 0.00 ------- 0 ........ ... . ...................... ................ .... . ......... ....... .............. ...................................... A31 Removal and Replacement of Unsuitable Founc 165 141.40 85.70% 0.00 ..... .... ... ......................... .............. .... ................ ....... .............. ........... A32 Select Imported Trench Backfill 2180 155.33 7.13% 0.00 0 A33 Asphalt Class'B'Patch Inc.CSTC 1825 507.64 27.82% 474.31 ....... 474.31 474.31 ..... ....... .......... .... ........ ..... ...............A34 2"Deep Grind and Asphalt Overlay Class'B 5600 0.00 0.00% 0.00 -- :.......... .. 0 ...................... . . 0 A35 Replace Pavement Markings and Traffic Button 1 0.00 0.00% 0.00 ............ 0 A36 Remove and Replace Sidewalk&Driveway 220 0.00 0.00% 0.00 .................. 0 A37 Remove and Replace Curb&Gutter 150 0.001 0.00% 0.00 A38 Removal of Paint and Other Markings on Curb 0.001 0.00%j 0.001 MENEM Schedule B . .. B01 Mobilization&Demobilization Schedule B ..... .....I. .............0.80 80.00% . ......... 602 Trench Excavation Safety Systems Schedule E 1 0.68 68.00% 0.23 0.23 0.23 ...................... ...................... . ....... B03 Construction Surveying,Staking,and As-Builts 1 0.25 25.00% 0.00 0 ................ .................... ....................... ..............11�4­." ....................... ..........%............ ................ ...... . ..... ........................... ...... . ........ Traffic Control Schedule B 0.17 0.17 B04 1 0.50 50.00% 0.17 *...'..".,.,..".-.-.-..'.-.-.'"*..... :............. ........... ...... ....................... .............. . ..................... .............. ...................... ....................... ...................... ........ .................................. ........ 0.1 0.1 ""1"'1"'1"'1"........... ....................... ......... ::::::...................................................... ............ ..................... .............. ................ ..................... B05 Temporary Erosion/Sedimentation Controls Scl 1 0.50 50.00% 0.10 .............. .......... ..................................... .................... .... .............. I ..... ..... ............. ........ ...... ... ................. B06 Furnish and Install 12"Ductile Iron Storm Pipe 165 153.00 92.73% 0.00 0 ..... "XXXXII .4 B07 Furnish and Install 8"Ductile Iron Storm Pipe 320 129.00 40.31% 129.00 98, X 31 129 ............ ................... -------------- .............. .... .......... .......... B08 Furnish and Install 12" PEP Pipe 362 239.00 66.02% 14.00 14 .................... ....... ...................................................... ................ ....................... *******......... .........*...... ... .. ......... ...... ...... ... ... B09 TV Inspection of Storm Sewers 544 395.00 72.61% 395.00 ............. ....... 395 395 ........... ..... ........ .... ........................ . ......................... .. ... ..... ..... . ......... ..................... ...... B10 Furnish and Install Type 2 Catch Basin 9 4.00 44.44% 0.80 .......X�X. 0.8 0.8 ................ ....... sit= : 0.2 0.2 Bll Furnish and Install Type 1 L Catch Basin 1 1.00 100.00% 0.20 .............. .................... ........... B12 Furnish and Install Concrete Inlet 18 6.00 3333% 6.00 0-8 2.8 6 ..... .............. ................. . .... .............. .... ..... .... 5 ............. B13 Plug Existing Pipe 7 5.00 71.43% 5.00 5 -MEN= B14 Connect New 12"Storm to Existing Manhole 2 0.00 0.00% 0.00 0 .......... ..... ............... ...... .....X B15 Reconnect Existing Storm Pipe to New Type 2 6 1.00 16.67% 0.00 0 .......... 0........ .....0 B16 ver Existing Underground Telecom 3 300 100.00% 00 ............... Pothole o .. ...... 0 B17 Pothole and Relocate Unknown Utility through 1 1.00 100.00% 0.00 ........... B18 Pothole Existing StDrm Main at Sta 16+21 1 0.001 0.00% 0.00 MEN I 1 0 1 Page 7 ' Projectntral Business District Utility Replacement inspection DAILY INSPECTION DIARY REPORT # DAY: DATE: // /QS'WORK PERIOD:� '/P.m. tom— a. p.m WEATHER: C. TEMP. MAX�L OF MIN�°F PRECIPITATION: WORK ACCOMPLISHED TODAY: s a cp c� o GZ4 z Ge 1(2 o c, CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: // it>45WORK PERIOD: a.m /p.m. t4—r— a. ./p.m. WEATHER: TEMP. MAX OF MIN li°F PRECIPITATION: WORK ACCOMPLISHED TODAY: 022 '� Ds L 1 n� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT �l ,AY: S _ DATE: / WORK PERIOD:��-/p.m. BATHER: TEMP. MA� °F MIN,--�6°F PRECIPITATION: �f�i 14 0!. FORK ACCOMPLISHED TODAY: 767 - :- _�I_r! ' r 7,-/7*2 off " CONTRACTOR SIGNATURE INSPECTOR SIGNA RE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: / . WORK PERIOD: a.m./p.m. to a.m./p.m. i =L WEATHER: TEMP. MAX Qg -F Ml�-F PRECIPITATION: l WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: / /1�2 WORK PERIOD: a.m /p.m. to ; a. ./p. . WEATHER: TEMP. MAY. F MIN �F PRECIPITATION: WORK ACCOMPLISHED TODAY: a �� - -a L� /r CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: • DAILY INSPECTION DIARY � REPORT �� DAY: L7�� DATE: T��/ WORK PERIOD�1 /p.m. to`�`— a. /p.m. WEATHER: TEMP. MAX!qb°F MIl*-_ -F PRECIPITATION: ll�c' WORK ACCOMPLISHED TODAY: 000, CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: I rojectCentral Business District Utiltiy Replacement inspection Item I Bid jj Total 11 Percent otal For Pay PAY002 PAY003 ion yjLg��ntit To Date Pay Period TOTAL 30-Jun 01-Jul 04-Jul 05-Jul 06-Jul 07-Jul 08-Jul 11-Jul TOTAL 12-Jul No. Description L_guantit . ..... U. -'.' W-1.1 ................... ... .......... .............. .... .......... Schedule A .................... ............ ............................. ..... A01 1 0.80 80.00% 0.00 0,3 ....... : 0 Mobilization&Demobilization Schedule A ............ ".................................... ....... ... ...... ........ ....... ..... ....... ...... ...... 0 ..... ............. . ...... A02 Trench Excavation Safety Systems Schedule A 1 0.29 29.00% 0.00 019 ..... .. ... A03 Construction Surveying, Staking, and As-Builts 1 0.25 25.00% 0.00 0 ..................... 0 ....X ................. ........ ...... A04 Traffic Control Schedule A 1 0A5 45.00% 0.10 0.1 0.1 0.1 X. A05 Temporary Erosion/Sedimentation Controls Scl 1 0.40 40.00% 0.31 0.05 ... ...................... 0.31 0.31 ............................... A06 Re-establish existing Monuments 2 0.00 0.00% 0.00 0 ............ 0, -------------- A07 Furnish and Install 8"C900 PVC Sewer Pipe 964 472.00 48.96% 0.00 300 X", .................... 0 ............... ................ ............... ....... ..... A08 Furnish and Install 6"C900 PVC Side Sewer Pil 575 175.00 30.43% 0.00 171 0 ... ............. A09 Furnish and Install Type B 54"Shallow Sanitary 4 1.60 40.00% 0.00 1.6 0 ....... .... . ....... ......... ...... ....... ...... ... ....... ........ ..... ......... 0 A10 Furnish and Install 54"Diam. Sanitary Sewer M 2 1.00 50.00% 0.00 0 .............. ....... ............... All Connect Exist San Sewer to New San Sewer St 4 3.00 75.00% 0.00 0 .......... ........... 0 Al2 TV Inspection of Sanitary Sewers 964 0.00 0.00% 0.00 0 ........ ::.:***................. 01 ............... ..................... . ... ..................... ..... ..... ......... . ...................... .:.::::................. ............ ..... ....................... ................ ................................ ................................ . ............................. 0 A13 Locate and Abandon Sanitary Sewer Manhole 2- 0.00 0.00% 0.00 0 ................... 0.00% 0.00 0 .......... 0 A14 Furnish and Install 12"Ductile Iron Water Main 640 0.00 Olson ........ ---------------------- ....... ...................... X.:....... ..................... 0 A15 Furnish and Install 12"Diameter Gate Valve A& 4 0.00 0.00% 0.00 0 Blom A16 Furnish and Install 8"Diameter Gate Valve Assi 1 0.00 0.00% 0.00 0 0 An Furnish and Install 6"Diameter Gate Valve Assi 2 0.00 0.00% 0.00 0 0 A18 Furnish and Install 4"Diameter Gate Valve Assi 1 0.00 0.00% 0.00 0 0 A19 Furnish and Install Fire Hydrant Assembly 4 0.00 0.00% 0.00 0 0 ...................... ............................ ..... ........ ... A20 Connection to 12"Water Main Wells Ave S(ApI 1 0.00 0.00% 0.00 0 ::::: ­..::....... . ...... . ............. ...... ..... ...... .. . . 0 .............. ... ................ ......... . .... A21 Connection to 4"Water Main Wells Ave S(Appi 1 0.00 0.00% 0.00 0 ...... - ....................... 0 ............ .... ................ .................. ................... .....X ....... ................ ....... 01 A22 Connection to 8"Water Main Wells Ave S at Al 1 0.00 0.00% 0.00 0 ...................... ............. 0 ... ........A23 Connection to 6"Water Main Wells Ave. S at A 1 0.00 0.00% 0.00 0 ..............................* ..... .... ll.e.1l.e.11.1'..,*.*.*.*.*.*.*.*.*.*.*.*.*.*..................... A24 Connection to Water Mains Williams Ave. S(at 1 0.00 0.00% 0.00 0 ......................... ..................... 0 . ....... ............. ............e ..A25 Furnish and Install 3/4"Water Service Connecti 10 0.00 0.00% 0.00 0 ....... 0 ......... ....... ....... ..... A26 d Install 1"Water Service Connectior 3 0.00 0.00% 0.00 0 0 Furnish an ........ ....................... ............... .. .............. . ........... ................. 0 A27 Furnish and Install 1-1/2"Water Service Connei 1 0.00 0.00% 0.00 0 ....... ......................... .......... 0 A28 Concrete Thrust Blocking and Dead-Man Anchc 10 0.00 0.00% 0.00 0 ........ ................ ............ 0 ... ....... A29 Joint Bonding Thermite Weld 1 0.00 0.00% 0.00 0 A30 Cathodic Protection Test Stations All es 4 0.0 0.00% 0.00 0 1 ........................ ..... .... 0 A31 Removal and Replacement of Unsuitable Founc 165 141.40 85.70% 141.40 0 .. ...... .... 141.4 .............%...... .... .. ................................ A32 Select Imported Trench Backfill 2180 155.33 7.13% 0.00 110.9 ................... 0 ................................... A33 Asphalt Class'B'Patch Inc.CSTC 1825 33.33 1.83% 0.00 0 0 0 A34 2"Deep Grind and Asphalt Overlay Class'B' 5600 0.00 0.00% 0.00 0 .. ........ .. ........... A35 Replace Pavement Markings and Traffic Button 1 0.00 0.00% 0.00 0 0 ......... . ... . ...... .......... .................... X A36 Remove and Replace Sidewalk&Driveway 220 0.00 0.00% 0.00 0 0 ............... ................ A37 Remove and Replace Curb&Gutter 150 0.00 0.00% 0.00 0 .... ...... X U ............................ . ... T 01 1 0.00 0.00%1 0.00 ................ A38 Removal of Paint and Other Markings on Curb 0 ......... Schedule B 0 0.00 0.8 ....... .......... ................ 801 Mobilization&Demobilization Schedule B 1 0.80 80.00% EMMME I...................... ........ --------------------­­-------- . ...................... .. ..................... ..................... . ...................... 0.45 0.45 . . ..................... B02 Trench Excavation Safety Systems Schedule E 1 0.45 45.00% 0.45 0 .. ...................... :­Xx ........ ... ..................... 0 B03 Construction Surveying, Staking,and As-Builts 1 0.25 25.00% 0.00 0 ............................... ............. ...................... B04 Traffic Control Schedule B 1 0.33 33.00% 0.25 0.04 ....... ......................................... ............ 0.25 0.25 B05 Temporary Erosion/Sedimentation Controls Scl 1 0.40 40.00% 0.31 0.05 0.31 0.31 ............... ....... ..................... B06 Furnish and Install 12"Ductile Iron Storm Pipe 165 153.00 92.73% 153.00 0 .............. ...................... 124 29 153 ---------------- ............. ......................... .......... 0 B07 Furnish and Install 8"Ductile Iron Storm Pipe 320 0.00 0.00% 0.00 0 ............ ............................ . ..................... ..---...- B08 Furnish and Install 12"CPEP Pipe 362 225.00 62.15% 225.00 0 92 ....... ..................... 105 28 2 5 - -------- ------- .......... .......... ...................... ....... ...............B09 TV Inspection of Storm Sewers 544 0.00 0.00% 0.00 0 .......... . X 0 ............... .................. ............................................. ...... ...................... ........................... 0.8 ...... ... B10 Furnish and Install Type 2 Catch Basin 9 3.20 35.56% 3.20 0 ...................... 0.8 12 ...................... ...................... ................... ... .............. .......... 811 Furnish and Install Type 1 L Catch Basin 1 0.80 80.00% 0.80 0 0.8 .... .............. ....... 0.8 X. . ............... B12 Furnish and Install Concrete Inlet 18 1.60 8.89% 1.60 0 1.6 1.6 . . .......... . B13 Plug Existing Pipe 7 0.00 0.00% 0.00 0 0 ... .................... .............. ................................... ................................................ xi_ ........ .............................. B14 Connect New 12"Storm to Existing Manhole 2 0.00 0,00% 0.00 0 0 ..... ............... .. ....................... ...... .............. ..... ....................... B15 Reconnect Existing Storm Pipe to New Type 2 6 1.00 16,67% 1.00 0 B16 Pothole over Existing Underground Telecom 3 3.00 100,00% 0.001 31 1 0 ..................... B17 Pothole and Relocate Unknown Utility through 1 1.00 100.00% 0.001 11 0 BIB Pothole Existing Storm Main at Sta 16+21 1 0.00 0.00% 0.001 01 0 Page 5 . v . Pnojec1Contra| Business District UdltiyReplacement inspection No. Description IL2uantjitl Quantity I To Date Pay Period TOTAL 30-Jun 01-Jul i -Jul 01 -------------- B22 Remove and Replace Sidewalk &Driveway 130 0.00 0.00% 0.00 0 xii Page DAILY INSPECTION DIARY /� REPORT DAY: DATE: / ORK PERIOD:�y�-E/ /P.m. �i— a ./p.m. WEATHER: Ci TEMP. MAX _71°F MIN�f/°F PRECIPITATION: WORK ACCOMPLISHED TODAY: w � -� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY EPORT DAY: DATE: WORK PERIOD:'/P.m. t ---a. ./p.m. WEATHER: TEMP. MAX2°F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: /✓ •/� CONTRACTOR SIGNATURE INSPEC SIGNATURE DATE: DAILY INSPECTION DIARY EPORT DAY: /1 DATE: / ORK PERIO a. /p.m. /p.m. WEATHER: ,G. TEMP. MAX °F MIN PRECIPITATION: �d WORK ACCOMPLISHED TODAY: s ' 1/2 s � r CONTRACTOR SIGNATURE INSPECTOR I NATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: �V� _ DATE:-7 �WORK PERIOD WEATHER: EMP. MAX �°F MIN A!5, -F PRECIPITATION: WORK ACCOMPLISHED TODAY: r L-- c3r� r Qif ta- L t 2 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: /�ORK PERIOD:•/p.m. toL�_; —a. ./p.m WEATHER: TEMP. MAX 7-42 °F MIN �°F PRECIPITATION: WORK ACCOMPLISHED TODAY: A w\ 1214 w CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: jBencon�Coo I Mine Trucking 13'001 Martin Luther King Way S Seattle. WA 98178 �1.0 NO. r AD ESS: I CITY,STATE,ZIP 50 CASH C.O.D. CHARGE ON ACCT. WW RTD. PAID OUT QUAN, DF SCRIPTION AMOUNT 1 2 is 3 4 5 d 6 7 � d � e 9 1 t0 11 12 t UST MER'S ORDER NO, RECEIVED Fly.. KEEP THIS COPY FOR YOUR REf S 1 5L240®2001RMFORM� beacon Cyoa4 Mine Trucking 1300.1 Martin Luther King Way S Seattle.WA 98178 N ME: O D TE// L ADDRESS: CITY,STATE,ZIP SOL CASII C.O.O. CHARGE ON ACCT. MDSE MTD. PAID OUT Q AN. DESCRIPTION AMOUNT 1 I r 2 3 4 5 6 OOc7 .7-3 p D B V�' 9 10 11 12 , C T mER'S OR CR NO. RECEIVED 9Y: KEEP( :OPY FOR YOUR RECORDS u-40 @22001 ==o 21- NO. ,NAME., ADDRESS: CITY,STATE,ZIP SOLD RYc% CASH C.O.D. CHARGE I ON Acr-r,l MD5 E RTD, PAID OUT QUAN, DESCRIPTION AMOUNT 2 3 4 (4- 7 9 10 121 CUSTOMER'S ORDER NO. RECEIVED BY; KEEP THIS COPY I -ILIR RECORDS 6L24002001 IdO 0 Jul 06 05 09:06a C, A. Perdue --i A-6 I AOT)Rm, CITY,srAT%ZIP ON kw our -Z-f�. 17 K)k C'2k1D-ZD2GC1 K—M!=21 NO. 33 F A�1 .DATE: DRESS: 4 ,1 CITY,STATE,ZIP n I# CASH I C.O.D. CHARGE I ON ACCT. MDSE RID.I PArO OUT QUAN. D CRIPTION AMOUNT j i . : , r 2 r 3 4 6 i �. r .�.! •'.. . 7 g 9 10 it jl 12 CUSTOMER'S ORDER NO, RECEIVED 9Y: KEEP THIS CO R YOUR RECORDS j 5L240�.- At I= ® - 0 4 NAME- ADDgESS: CITY,STATE,ZIP 59fo Y. CASH I con. CHARGE1 ON ArFT.jMV5[-sn[).j PAIDOUT QUAN, DESffIPTION AMOUNT 2 3 )-c .5 C) 7 8 9 10 11 121 <-, CUSTOMER'S ORDER NO, RECEIVED BY. gEf� COPY FOR YOUR RECORDS AO 02001 rd= 0 V yntain viely Concrete Recycling lne. 13001 Martin,Lather King Jr Way ieattle, WA 98178 NO. WLlfiLf4 J. Ll NAME: �- DATE,, ADDRESS. CITY,STATE,ZIP SOLD BY, CASH C.O.D.I CHARGE I ON ACCT. MOSE RTO.I PAID OUT QUAN. DESCRIPTION AMOUNT 3 I` � a s 9 r t J 1 �n .•�'-� 10 11 12 CI,JSYOMFR'S ORDER NO, RECEIVED BYt ..... f KEEP THIS COPY YOUR RECORDS l^} 425-432-1936 i . No. -- NAME: DATk- ADDR CITY,5 ATE,2EP y FUAN. CASH C.O.O. CHARGEONACCT. IADSERTU. PAIOOUT D CRWTION AMOUNT 2 3 4 5 n 6 U L �- ,0 „ ,26r C71SfOMER'S ORDER NO. RECEIVED BY: t KEEP THIS COPY FOR YOUR RECORDS 5L240(D2001 n®IFORMr . 'PnojecCentra| Business District UdmmReplacement insp*oUon Item I Bidl Percent Pay Totalty A02 Trench Excavation Safety Systems Schedule A 1 0.29 29.00% 0,00 0.1 A15 Furnish and Install 12"Diameter Gate Valve As: 4 0.00 0.00% 0.00 A16 Furnish and Install 8"Diameter Gate Valve Assi A17 Furnish and Install 6"Diameter Gate Valve Assi 2 0.00 0.00% 0.00 A18 Furnish and Install 4"Diameter Gate Valve Assi 1 0.00 0.00% 0.00 A19 Furnish and install Fire Hydrant Assembly 4 0.00 0.00% 0.00 A24 Connection to Water Mains Williams Ave. S(at 1 0.00 0,00% 0.00 A25 Furnish and Install 3/4"Water Service Connecti 10 0.00 0.00% 0.00 A26 Furnish and Install 1 Water Service Connectior 3 0.00 0.00% 0.00 Concrete Thrust Blocking and Dead A30 Cathodic Protection Test Stations(All Types) 4 0.00 0.00% 0.00 4��� A36 Remove and Replace Sidewalk&Driveway 220 0.00 0.00% 0.001 Removal of Paint and Other Markings on Curb Schedule ao, Mobilization&Demobilization Schedule 1 0.80 mo Trench Excavation Safety Systems Schedule 1 ouu mm Construction Surveying, Staking, and Aa'eui|to 1 025 mw T��c�onun| s��uu|oo � uuV avn Temporary Eros iomsommentationControls Sm 1 uuy B06 Furnish and Install 12^Ductile Iron Storm Pipe 165 124 uu om Furnish and mntanc'Ductile Iron smnn Pipe 320 0.00 B08 Furnish and Install 1zCPEpPipe 302 lo/ ou B09 ry Inspection m Storm Sewers 544 ouu e,o Furnish and Install Type oCatch Basin e 2.40 o,, Furnish and Install Type 1L Catch Basin 1 0.80 v12 Furnish and Install Concrete Inlet 18 0.00 v,o Plug Existing Pipe r 0.00 u/" Connect New 1z^Storm m Existing Manhole z 0.00 u,n Reconnect Existing Storm Pipe to New Type 2 o uoo u,s Pothole over Existing Underground Telecom n 3 ou o/r Pnmo|�anu nr|vumo unxnuwn unotymmugx� 1 l uu v`n Pomo|�sxi�unoSm,m�ama�S�v1o+�1 1 uuu Page PnojeoCenba| Business District UdltiyReplacement inspection it Totalty�j Percent Total For Pay nod 00 B19 Removal and Replacement of Unsuitable Founc 40 0.00 0.00% SEEM ...... 000 000 Pogc4 PnojootCentra| Business District UdltiyReplacement inspection po,Pu PAYOO2 PAYO03 uantit Schedule A A02 Trench Excavation Safety Systems Schedule P 1 0.29 29,00% 0.00 0.19 0.00 A10 Furnish and Install 54"Diam. Sanitary Sewer M 2 1.00 50.00% 0 XXX A13 Locate and Abandon Sanitary Sewer Manhole 2 0.00 0.00% 0.00 0 A16 Furnish and Install 8"Diameter Gate Valve Assi 1 0.00 0.00% 0.00 0 A17 Furnish and Install 6"Diameter Gate Valve Assi 2 0.00 0.00% 0.00 0 A18 Furnish and Install 4"Diameter Gate Valve Assi 1 0.00 0.00% 0.00 0 0 — MWEENIM A19 Furnish and Install Fire Hydrant Assembly 4 0.00 0.00% 0.00 0 A24 Connection to Water Mains Williams Ave. S(at 1 0.00 0.00% 0.00 0 A25 Furnish and Install 3/4"Water Service Connecti 10 0.00 0.00% 0.00 0 0 A28 Concrete Thrust Blocking and Dead-Man Anchc 10 0.00 0.00% 0.00 0 A35 Replace Pavement Markings and Traffic Button 1 0.00 0.00% 0.00 0 Schedule uo, Mobilization a Demobilization Schedule o 1 0.80xi B02 Trench Excavation Safety Systems Schedule s 1 uuu »»» Construction Surveying,Staking,anu^m'suiva 1 0.25 Bw Traffic Control Schedule 1 uuo B05 Temporary Erosion/Sedimentation Controls Sm 1 0.09 m06 Furnish and Install 1c^Ductile Iron Storm Pipe 105 12400 anr Furnish and Install o^Ductile Iron Storm Pipe 320 ouu B08 Furnish and Install 1z^CpEPPipe 362 lo/ ou vw Tv Inspection mSbnnSewers 5*4 uuu ^/» Furnish and|n;tanTynvzCatch Basin s 2.40 a/, Furnish and Install Type 1LCatch Basin 1 u ou o`' rvmiu�anu Install Concrete Inlet 18 uuu a,» Plug Existing Pipe r ouu v,^ Connect New 1z^Storm to Existing Manhole z 0.00 o`o Reconnect Existing Storm Pipe m New Type 2 o uoo v,o Pothole over Existing Underground Telecom o 300 n// Po�xn|*onu n�|oc�v Unknown uu|uymmug�� � l UU mo Pothole Existing St'm Main atnta1*+21 1 uuu u Page . . PnojaoCenbo| Business District UdltiyReplacement inspection DAILY INSPECTION DIARY _ �f' REPORT �I DAY: I��^"�� DATE: �j (�2 / WORK PERIOD: a.m /P.m. tc .{% ,/p,m WEATHER: (], C_— TEMP. MAX 7O°F MIN sy�°F PRECIPITATION: `f�/s WORK ACCOMPLISHED TODAY:7A5� ell CrC � L CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: -5 DATE: /Q WORK PERIOD:-1 t/ ./P.m. tg�e a ./p.m WEATHER: TEMP. MAX OF MIN °F PRECIPITATION: WORK ACCOMPLISH D TODAY: i r f • CONTRACTOR SIGNATURE I S CT R SIGN TURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: - ORK PERIOD: a. ./P.M. a. ./P.m. � a ./P.m. WEATHER: TEMP. MAX-7°F MIN, f7�F PRECIPITATION: WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT 4� DAY: �'� DATE: ( -/ WORK PERIOD: a.m /p.m. _ a. ./p.m. WEATHER: TEMP. MA,�7 OF MIN44p OF PRECIPITATION: d/ WORK ACCOMPLISHED TODAY: ©� CONTRACTOR SIGNATURE I SPECTOR SIGNATURE DATE: r DAILY INSPECTION DIARY REPORT DAY: j{-��� DATE: /� �SWORK PERIOD• a.m./p.m. L~�jja. ./p.m WEATHER: c TEMP. MAX }�°F MIN °F PRECIPITATION: v "C7� WORK ACCOMPLISHED TODAY: CK-2 " - C) vy /l 1 L CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: fountain View Concrete Recycling Inc. 3001 Martin Luther King Jr Way eattle, WA 98178 NO. NAME: T ATE: ADDRESS: CITY,STATE,ZIP SOLD BY: (ASH C.O.D. CHAR(:[ ON ACCT. MUSE RTD.I PAID OUT QUAN. DESCRIPTION AMOUNT 1 2 3 4 5 6 7 8 9 + . 10 12 CUSTOMER'S ORDER NO. RECEIVED BY: KEEP THIS COPY FOR YOUR RECORDS 5L240©2001 R®IF @ fountain View Concrete Recycling Inc. 3001 Martin Luther King Jr Way 'eattle, WA 98178 NO. Gil1ll/II� C NAME: DATE: ADDRESS: CITY,STATE,ZIP SOLD BY: CASH C.O.D.I CHARGE I ON ACCT. MDSE RTD.I PAID OUT QUAN. DESCRIPTION AMOUNT 1 2 3 4 5 6 7 8 9 10 11 12 CUSTOMER'S ORDER NO. RECEIVED BY: KEEP THIS COPY FOR YOUR RECORDS 5L240©2001 R FORM@ / fountain view Concrete Recycling Inc. 3001 Martin Luther King Jr Way eattle, GGA 98178 �LU NO. NAME: DATE: ADDRESS: CITY,STATE,ZIP SOLI)BY: CASH C.O.D.I CHARGE I ON ACCT. MDSE RTD.I PAID OUT QUAN. DESCRIPTION AMOUNT 1 2 3 4 5 6 7 a y .7 9 10 11 12 CUSTOMER'S ORDER NO. RECEIVED BY: KEEP THIS COPY FOR YOUR RECORDS 5L240©2001 R9DWORM0 fountain,[view Concrete Recycling Inc. 3001 Martin Luther King Jr Way 'eattle, WA 98178 NO. NAME: DATE: ADDRESS: CITY,STATE,ZIP SOLD BY: CASH C.O.D.I CHARGE I ON ACCT. MDSE RTD.I PAID OUT QUAN. DESCRIPTION AMOUNT 1 2 3 4 S 6 r uc- 7 G 8 9 10 11 12 CUSTOMER'S ORDER NO. RECEIVED BY: 0 KEEP THIS COPY FOR YOUR RECORDS 5L240©2001Rg EORMo fountain View Concrete Recycling Inc. 3001 Martin Luther King Jr Way eattle, WA 98178 NO. NAME: DATE: ADDRESS: CITY,STATE,ZIP SOLD BY: CASH C.O.D.I CHARGE I ON ACCT. MDSE RID.I PAID OUT QUAN. DESCRIPTION AMOUNT 1 2 3 4 S 6 7 1 8 ✓� 9 � 10 11 12 CUSTOMER'S ORDER NO. RECEIVED BY: 0 KEEP THIS COPY FOR YOUR RECORDS 5L240©2001 REDIFORMo fountain view Concrete Recycling inc. 3001 Martin Luther King Jr Way cattle, WA 98178 NO. V----- NAME: DATE: ADDRESS: CITY,STATE,ZIP SOLD BY: CASH C.O.D.I CHARGE I ON ACCT. MUSE RTD,I PAID OUT QUAN. DESCRIPTION AMOUNT 1 2 3 4 5 6 7 8 �. 9 10 i 11 12 CUSTOMER'S ORDER NO, RECEIVED BY: 9 KEEP THIS COPY FOR YOUR RECORDS 5L240©2001 REDIFORMT) DAILY INSPECTION DIARY REPORT �1 DAY: DATE: '/' WORK PERIOD:-4:;-; (!!�;)/p.m. /p•m• • WEATHER: TEMP. MAX OF MIN PRECIPITATION: - f�f- �"jr WORK ACCOMPLISHED TODAY: i -�� CZ <' , CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT 4� DAY: DATE: /,11 /QS WORK PERIOD: cm &./p.m. to a.m./p.m. _ WEATHER: 0, c- TEMP. MAX OF MIN OF PRECIPITATION: / p� WORK ACCOMPLISHED TODAY: J r�nr ;L LO+t �ryt d1a&I On f- ry ac- ,e-I - 91/'R yc c,IC L;36Ift S T 19 j 2 3 / S' m y-c0-d6, u..�{' S o�� -X'or��•e %ate i vv� ✓>Ov��_ 3�0.1 +{ ! b•r� row/C '�m{y';t oti Ln��;vytG� �n s �p //:Ha �� C Cj m6 Sc w<-v rNs•;v� Aa a ` � you / 2--7d 30' CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: �dti DATE: d�/Zy /t�S WORK PERIOD: ;ad�/p,m. to 3'13e a.m. EP WEATHER: L TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: rR ®n S i1w Cu-f- 4,6 s Ertl f ) S r Ad r 00 L T 5 / <s�'Ltl�T '�jtw ,. Y1+wI.n �"Lh�a C'e r►s c <� -,A Ito a CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: O - 2 DAILY INSPECTION DIARY REPORT DAY: DATE: /l WORK PERIOD: P.m. -- -rlp.m. WEATHER: TEMP. MAX OF MING OF PRECIPITATION: WORK ACCOMPLISHED TODAY: c < r . o ,/ CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY � REPORT fb DAY: �f"�r�s DATE: / / WORK PERIOD: (:�?�-�-�/p.m. t�.m /p.m. WEATHER: TEMP. MAX` OF MIN OF PRECIPITATION WORK ACCOMPLISHED TODAY: f tee. o CONTRACTOR SIGNATURE kNSPtCTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: / / WORK PERIOD: /P.m. t a. ./P.m WEATHER: TEMP. MAX _°F MIN _,_�F PRECIPITATION: WORK ACCOMPLISHED TODAY: P D - CONTRACTOR SIGNATURE 'INTTPECTOR SIGNATURE DATE: ProjectCentral Business District Utiltiy Replacement End of Pay inspection Item I Bid ll Total I Period PAY001 X -Jun TOTAL 13-Jun 0 Description L�ju a n t�it ntit 01-Jun 02-Jun 03-Jun 6-Jun 07-Jun 08-Jun 09-Jun 10-Jun 14 No. Percent bchedule A ...... ...... .................. A01 Mobilization& Demobilization Schedule A 1 0.50 50.00% 0.00 0.5 0.5 XXX .... ................... . ... .. ..... 0.1 0.1 A02 Trench Excavation Safety Systems Schedule A 1 0.10 10.00% 0.00 A03 Construction Surveying, Staking, and As-Builts 1 0.25 25.00% 0.00 0.25 0.25 A04 Traffic Control Schedule A 1 0.25 25,00% &00 0.25 0.25 .................. ...................... ............... ...*****............... ......................: . .......... A05 Temporary Erosion/Sedimentation Controls Sc' 1 0.04 4.00% Mo ...... ......... *. ..... .......... ....... . .......... 0.04 0.04 . .......... 0 A06 Re-establish existing Monuments 2 0.00 0.00% 0.00 ..... ........ A07 Furnish and Install 8"C900 PVC Sewer Pipe 964 172.00 17.84% 0.00 ...... 172 .......... .............. 102 70 ................................. ................... ..... ...... ...................... .. ' ...*­ A08 Furnish and Install 6"C900 PVC Side Sewer Pi 575 4.00 0.70% 0.00 ............................ .... . . .... ............................ ..... 4 41 ................. ...... ....................... ............. ....... ...................... A09 Furnish and Install Type B 54"Shallow Sanitary 4 0.00 0.00% 0.00 0 :X.... .-X-X-X A10 Furnish and Install 54"Diam.Sanitary Sewer M 2 1.00 50.00% 0.00 ........... ........ .............. ....... X, . .. . ... ................ All Connect Exist San Sewer to New San Sewer St 4 3.00 75.00% 0.00 ....... ...................... 3 ....................... ..................... -"...:: '.: 3 ................ . ................... ..... ....... 0 ............... .................. Al2 TV Inspection of Sanitary Sewers 964 0.00 0.00% 0.00 . . .................. ........... ...... A13 Locate and Abandon Sanitary Sewer Manhole 2 0.00 0.00% 0.00 ...... .... ......... ............... .. .. ....... . ............... A14 Furnish and Install 12"Ductile Iron Water Main 640 0.00 0.00% 0.00 0 ........... .... ..... A15 Furnish and Install 12"Diameter Gate Valve As- 4 0.00 0.00% 0.00 ......... .. .......... 01 ........... ....... . ... A16 Furnish and Install 8"Diameter Gate Valve Ass 1 0.00 0.00% 0.00 ..........X......... 0 A17 Furnish and Install 6"Diameter Gate Valve Ass 2 0.00 0.00% 0.00 0 A18 Furnish and Install 4"Diameter Gate Valve Ass i 1 0.00 0.00% 0.00 0 .............. .... ............. ....................... X A19 Furnish and Install Fire Hydrant Assembly 4 0.00 0.00% 0.00 0 A20 Connection to 12"Water Main Wells Ave S(ApI 1 0.00 0.00% 0.00 XXXX..... 0 .. ........... . . .... . ................ ...... . ... . ... A21 Connection to 4"Water Main Wells Ave S(Appi 1 0.00 0.00% 0.00 1 ........... .............. . ... ..................... A22 Connection to 8"Water Main Wells Ave S(at Al 1 0.00 0.00% 0.00 ......... ......................... ...................... ......................... ... .........i444444444444 .............................. A23 Connection to 6"Water Main Wells Ave.S at A 1 0.00 0.00% 0.00 0 A24 Connection to Water Mains Williams Ave. S(at 1 0.00 0.00% 0.00 .......... 0 ........................... ........ ................. ............................. ........ ...... A25 Furnish and Install 3/4"Water Service Connecti 10 0.00 0.00% 0.00 Mo= 0 A26 Furnish and Install 1"Water Service Connectior 3 0.00 0.00% 0.00 0 ........ ..... A27 Furnish and Install 1-112"Water Service Connei 1 0.00 0.00% 0.00 .................. ...................... 0 . ....... ...................... ...................... A28 Concrete Thrust Blocking and Dead-Man Anchc 10 0.00 0.00% 0.00 ........ : '..:" 0 . ........ .................... ....... iiiiiiiii.. ........ ........... A29 Joint Bonding Thermite Weld 1 0.00 0.00% 0.00 ....................... 0 ..... ...... X, X .. ...... ..... A30 Cathodic Protection Test Stations All Types) 4 0.00 0.00% 0.00 0 ......... ....... ..... ---------------.......... .............. ............... ...................... ................. ..................... ....................A31 165 0.00 0.00% 0.00 ............. .....................Removal and Replacement of Unsuitable Founc 0 .......... A32 Select Imported Trench Backfill 2180 44.43 2.04% 5.00 .................... I A.............. ...... 44.43 29.84 ­9 .............. ....... A33 Asphalt Class'B'Patch Inc.CSTC 1825 33.30 1.82% 0.00 33.3 33.3 ...................... ...................... . ......... ........ ...... ...... ...... .... *.........XXXX.XXXXV......... ...... .......... A34 2"Deep Grind and Asphalt Overlay Class'B' 5600 0.00 0.00% 0.00 ..... ..... ..................... 0 ............ .................... A35 Replace Pavement Markings and Traffic Button 1 0.00 0.00% 0.00 ...... ...... ........ .. .. ......... 0 .............................. ...................... ..... .. ........... ........... A36 Remove and Replace Sidewalk&Driveway 220 0.00 0�00% 0.00 0 ........ ...................... X, A37 Remove and Replace Curb&Gutter 150 0.00 0.00% 0.00 ....... ................... ... . 0 A38 Removal of Paint and Other Markings on Curb 1 0.00, 0-00% 0.001 X-X-X-X 0 Schedule B . .. .... ...................... X. .... ..................... .. .......X ... ....... ...................... B01 Mobilization&Demobilization Schedule B 1 0.00 0.00% 0.00 .. ....... 0 a-m- . ......... . . . ..... ..... ......... .. .............. ...*. B02 Trench Excavation Safety Systems Schedule E 1 0.00 0.00% 0.00 ...... . . . ..... ....... ......... ... ..................... 0 ... ...... .. ....... ............. ........ .............. . ..................... B03 Construction Surveying, Staking, and As-Builts 1 0.00 0.00% 0.00 .... ......... .. ............... 0 ..... ................ .. ......................... B04 Traffic Control Schedule B 1 0.25 25.00% 0.00 .................... 0.25 0.25 .............................. ...... ..... ...... ........ ..................... ........ ...................... ....... ..................... B05 Temporary Erosio6Sedimentation Controls Scl 1 0.04 4.00% 0.00 ....... ................... 0.04 0.04 B06 Furnish and Install 12"Ductile Iron Storm Pipe 165 0.04 0.02% 0.0 ... .. .... .......... 0.04 0.04 ............. B07 Furnish and Install 8"Ductile Iron Storm Pipe 320 0.00 0.00% 0.00 1 ........... 0 - ---------------------- ........ ......... ....................... ... ..................... 0 0.00% 0.00 ........ ......... ...... B08 Furnish and Install 12"CPEP Pipe 362 0.00 ....................... ................. ................................................................... ................... ......... ... ............................... .... ......... ..... ... ............ .... .. ..... ...................... . ......... 0 ....................... ................................. ......... ...................... B10 Furnish and InstallType 2 Catch Basin 9 0.00 0.00% 0.00 0 B09 TV Inspection of Sbrm Sewers 544 0.00 0.00% 0.00 ................ . ........ ....... Bll Furnish and Install Type 1 L Catch Basin 1 0.00 0.00% 0.00 0 B12 Furnish and InstallConcrete Inlet 18 0.00 0.00% 0.00 ...... ...... ........... . ..... 0 B13 Plug Existing Pipe 7 0.00 0.00% 0.00 0 ...................... .............. B14 Connect New 12"Storm to Existing Manhole 2 0.00 0.00% 0.00 0 ...................... ... . . ........ ...................... ........ ....... . ......... ........... ........ .. ......... ......... ---------------. .......... ...... B15 Reconnect Existing Storm Pipe to New Type 2 6 0.00 0.00 0.00 0.00 0 0.00% 0.00 B16 Pothole over Existing Underground Telecom 3 0.00 0 B17 Pothole and Relocate Unknown Utility through 1 0.00 0.00% 0.00 01 ........... ............. ....... B18 Pothole Existing Sbrm Main at Sta 16+21 1 0.001 0.00%1 0.00 ............. Page 1 ` . Pnojoo Centra| Business District UdNy Replacement End cxPay inspection L-9uantltj Totalty Page DAILY INSPECTION DIARY REPORT # DAY: DATE: 6/,/4{� WORK PERIOD:% a )./P.m. t5_ '�a. 5/p. WEATHER: _ TEMP. MAX '7C) °F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: - ._ 6' Z! , 4 1:3 `n f c- 144 -_ t 4L CONTRACTOR SIGNATURE SP (-TO I NAT E l DATE: DAILY INSPECTION DIARY � REPORT 46 DAY DATE / WORK PERIOD:-4 ,�,J_._./p.m. t��� a. . /p.m. WEATHER: , TEMP. MAX OF MIN_fj7_°F PRECIPITATION: WORK ACCOMPLISHED TODAY: k � t CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: ' - � M�� �� . ' ~ �W���� ~» �`. Job Add: Job Add: CENTRAL W� ALI flL 6 �1� ^ City : RF\� WA ' PO/J0b# l PO/Job: Qmote#: 8654 - Prod. 5/8x CRLPSHED PICKED UP Carr. PICKED (V map. Paue: ' Trk# PAMEPYCOJ2 Grms� Wt .- 53320 ~� Tare Wt : 24140 r Net Wt : 29180 Net-Tons: 14. 59 Metvw Tons : 13. i-358 ay Tmns : 14. 59 Metric Tons : 13. 2��8 ` . *~ job Toweu 44. 43 Metric Tons : 40. 3062 ` � � - TIMEINITIALG__________ ` Mat Check N m� ne�� o. ____� � `� _..... ' � '' r r r Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH.A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A"PERIODIC RATE"OF 11/z%PER MONTH.WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. DAILY INSPECTION DIARY REPORT �l DAY: DATE: �p / / r WORK PERIOD: /p.m. t�� a. . /p.m. WEATHER: TEMP. MAX F MIN-��F PRECIPITATION: WORK ACCOMPLISHED TODAY: G l L 7 4- f� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: WORK PERIO a.m p.m. tc7� a1�_(p��t. WEATHER: �_ TEMP. MAX�°F MIN °F PRECIPITATION: WORK ACCOMPLISHED TODAY: c C2-��ln J 7 ' CTY� a CONTRACTOR SIGNATURE INSPE TOR SIGNATUR DATE: DAILY INSPECTION DIARY REPORT # DAY: — � DATE: &�,,j WORK PERIOD�./p.m. t5;�� a. ./p.m. WEATHER: TEMP. MA� F MI1 (f�> °F PRECIPITATION: WORK ACCOMPLISHED TODAY: lip no r T sf f I 1 k J �� o P-4� Ay-L, CONTRACTOR SIGNATURE NSPECTO SIGNAT E DATE: ^ ���db���� ������ K ` �hipping Location , Renton . Date: 6/7/2�05 Time: N2: 13 PM Customer #� 11�25 Cust MAme : AMERICUN ' Jnb Wame � Job P.dd . Job Ald: CENTRAL (V}SINESS UT]| IT]ES DIST i City : RENTUM WA ' ^ | P[ /}ob# PO/Job� Qmutm#: 8654 ` ' p " roo. �/m MAHEU i,ICKFIb VP � Carr. PICKED UP . `' Map Page': | Trk# PWHITE ' / i G�nss Wt : 54�60 ) Taro Wt : N�t Wt � �166ol Net Tons : 15. 84 Mei.ric, Ton 14. 3698 ` Day To s : 29.84 metric Tmns : 27. 6�7Q4 }ob Tons : 29. 84 M�tr� c J*ns� 27. N704 | � ' / ��T�ND8Y TIME lNI7IALS --------�-- ------ ! Notes : ML Total + CUS TOME R ' » ' Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket.The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH.A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A"PERIODIC RATE'OF 1'/s% PER MONTH.WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. ������� ^ ����� � � ` . Shippiny L'ucat �mn ; Renton � u fit ar #: 1152� < Mame : AMERlC0N � JhM Job Add: C�NTRAL JSINESS UTlLTTIFS 1'` T C� ty : R�WTQN �p P0/)ob# PO�Jnbx 12V f, CKED UP . Trk4 ['�L\]E MAC Wt 0 80 \ 7arj7, W{ : 2�58N [ 4. 0 Mpt 1 . 71""10G l4, W Mptric yun 12. 700/ Jo�^ mJ uu� : � 4. N Me�rjr lons : 12. 7WN6 ST�4ND8Y T1M[ INITIALS_________ | ' � ax ` `� Vis�� ��/ G ` ` ----------' — A ^ To�ai ^ Our drivers will make every effort to place material where customer designates, but the company assumes no responsibility for damages Inside the curb or property lines. Claims for shortage will not be allowed unless made at the time this material was delivered. You will be charged for excess time if shown on this ticket. The buyer agrees to pay all costs, including attorney fees incurred in any collection expense to effect payment for above materials. CREDIT TERMS; NET 10TH.A FINANCE CHARGE WILL BE IMPOSED ON PAST DUE ACCOUNTS. THE FINANCE CHARGE IS COMPUTED BY A"PERIODIC RATE"OF 1112%PER MONTH. WHICH IS AN ANNUAL PERCENTAGE RATE OF 18%. S DAILY INSPECTION DIARY 4� DAY. DATE: / / WORK PERIOI�y�a� /p.m. a.m �REPORT WEATHER: P ` TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLI HED TODAY: In LIE o _ t "e i CONTRACTOR SIGNATURE I SPEtTOR SIGNATURE DATE: A31 A32 Trench B19 B20 Trench ticket Date Ticket# Agg Ttl Unsuitable Bkfill Unsuitable Bkfill 1-1/4" Crushed 06/13/2005 9819 15.4 15.4 06/13/2005 9818 25.2 25.2 06/14/2005 9821 25.6 25.6 1-1/4" Crushed 06/15/2005 9831 15 15 1-1/4" Crushed 06/16/2005 9504 15 15 1-1/4" Crushed 06/16/2005 9833 15 15 1-1/4" Crushed 06/17/2005 9510 15 15 1-1/4" Crushed 06/20/2005 9512 15.2 15.2 i 06/22/2005 9521 25.6 25.6 06/23/2005 9524 15 15 06/23/2005 9522 25.2 25.2 ✓ 06/23/2005 9526 15 15 ✓ 06/23/2005 9527 15 15 ✓ 06/23/2005 9528 15.1 15.1 06/27/2005 9537 15 15 �- 06/27/2005 9535 15.2 15.2 06/28/2005 9852 25 25 06/28/2005 9857 15 15 06/29/2005 9549 15 15 06/29/2005 9655 15 15 06/30/2005 9871 25.3 25.3 07/05/2005 9881 25.2 25.2 g ✓?a: «- `y /ma's" 3 L i Aggregate Totals 141.4 i 110.9 25.2 125.5 A31 A32 Trench B19 B20 Trench ticket Date Ticket# Agg Ttl Unsuitable Bkfill Unsuitable Bkfill 1-1/4" Crushed 06/13/2005 9819 15.4 15.4 06/13/2005 9818 25.2 25.2 06/14/2005 ✓ 9821 25.6 25.6 1-1/4" Crushed 06/15/2005 ✓ 9831 15 15 1-1/4" Crushed 06/16/2005 9504 15 15 1-1/4" Crushed 06/16/2005 9833 15 15 1-1/4" Crushed 06/17/2005 9510 15 15 1-1/4" Crushed 06/20/2005 9512 15.2 15.2 06/22/2005 9521 25.6 25.6 06/23/2005 9524 15 15 06/23/2005 9522 25.2 25.2 06/23/2005 9526 15 15 06/23/2005 9527 15 15 06/23/2005 9528 15.1 15.1 06/27/2005 9537 15 15 06/27/2005 9535 15.2 15.2 06/28/2005 9852 25 25 06/28/2005 9857 15 15 06/29/2005 9549 15 15 06/29/2005 9655 15 15 06/30/2005 9871 25.3 25.3 07/05/2005 9881 25.2 25.2 Aggregate Totals 141.4 110.9 25.21 125.5 Jul 08 05 09:06a C. A, Perdue LJ,v C///� � �V, NAM. Z[rY,STAFL.7.11- I '). 'All)OUT N. VE-rc MON AN40UNT 4 T43 Hd ZL240 ibMl R----VECR" r ' i ME Li..1A11°• lf/r(1/c7 J.lI E• 1uurlss: 1" ciMSTAUE., u1(11,rs� c,�sn eu.1�. cYlnacr u�•u:c.r. •�uner:u�. 1'eu>avt 10 eLIAIII. 1 4RIPl'!(Nv /` IOUNT ,i _ �' IN laul.1111%COPY I(it!Youll I:LCOM)s `tLJ-'tJL'I�JV (J NO. s ADDRESS: CITY,STATE,ZIP 5 O CASH C.O.D_ CHARGE Ov ACC7. A1D5E RTD. PAD OUT QUAN_ DESCRIPTION AMOUNT t G 3 4 5 6 8 i1 12 CUSTOMERJS.Af Rs� RECEIVED BY: KEEPTHI5 COPY FOR YOUR RECORDS 51-240 @2001 REP FO[iNl6, rNW n�Dt;ess: 'iir rr,s FATI..zf r ,1�IIj'f H 1. C.h.I/...I (-,,.,RG,.I,)V A,(I �1,,,sf R�,.). i�;,1�t7lii s, ) \ R ;< ?a r,ns C11::•rli.t I OUR R CCO(:Ds �z!.s���•o��200!x�^I�+il• Jul U8 Ub U9:Ufa U. A. Fierclue tom..\�1C: � —� D T - CITY,STAI E,7.1 I C.fxo, ON XCE'A Nw; RTDA I VAMOUT I AMOUNT, 70 Ii 0 VE D Il. ,Uri,-rijis t'.Ory rl-,M YOUR,RFCOPDS 425-432-1936 P. AOUR J � n CITY.STATE,Xi? F � '�yr/t{~-.W. +-�i�C0.1:_�t'ItA�Gi U��CCI. 1.1115E i;t:). 1•:.1il t)UI j j QUAKL DE5Ciili'Ti t _1"' j----�__-- ,,....L"JM'?Olt YGUR Rr-CORDS (()1)R6tiS: $:AU;,LIP L•^I1` � t'.l<II CU.I). (:H,1tf(,t pN.1C(T, �{I)`�L 1tiU, 1•uo qUT AMOUNT 41 - - --- �_ U --- ' :r O �✓ -- (___ f U ale____-- -- 4tI Iiat}r>ttuRECORD5 5f..34A G'i2001 RcPt' C-Ll 1 i i C3 7 ST,1Tr'?P 1 ,utr� —�i! n.0 coat'L i�t:�rra�l ov�ccY. :vnv:rrtt. rrsu our � 14 ` «P C7R: ::1r:, 't1r.L5