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HomeMy WebLinkAboutSWP272271(2) STATE o� a 4. O y a s �Hy 1889 CEO STATE OF WASHINGTON DEPARTMENT OF LABOR AND INDUSTRIES January 29, 1997 CITY OF RENTON PUBLIC WORKS DEPARTMENT 200 MILL AVE S RENTON WA 98055 Account ID: 854,575-01 RJC, Inc. Contract No. CAG-96-097 Dear Business Person: Please be advised that the Department of Labor and Industries does hereby release the City of Renton from any further liability for Industrial Insurance premiums pursuant to RCW 51.12.050 and RCW 51.12.070 as would otherwise incur in connection with a contract calling for storm drain replacement. This certificate does not release RJC, Inc. , from liability for additional Industrial Insurance contributions which later may be determined to be due, or for any other obligations under other statutes (e.g. Prevailing Wage) with respect to the above mentioned contract or any other contracts said contractor may have performed. Sincerely, a� Kaye Kjorlaug Industrial Insurance Accounts Auditor Contractor Compliance/Release Unit PO Box 44152, Olympia WA 98504-4152 Phone: (360) 902-4683/Fax: (360) 902-4757 CCUI.KK:3.64 cc: RJC INC PO BOX 467 MAPLE VALLEY WA 98038 s iow State of WashlnCn 10 Department of Revenue Audit Procedures & Mrninisv, 601 53: 661 �� PO Box 47474 REVENUE Olympia, WA 98504-7474 Certificate of Payment of State Excise Taxes by Public Works Contractor ContractofijC I{-C P 0 I;OY 467 MAPLE, VALLEY kA 98038 We hereby certify that taxes, increases and penalties due or to become due from the above nam- ed contractor under Chapter 180, Laws of 1935, as amended, with respect to the following public works contract: CITY OF RENTOM 4CAG 96097 HIGH AVE S STORMWATEB IMPROV PROJ together with all other taxes, increases and penalties due from such contractor, have been paid in full or that they are, in the Department's opinion, readily collectible without recourse to the state's lien on the retained percentage. This certificate is issued pursuant to the provisions of Chapter 60.28 Revised Code of Washington for the sole,purpose of informing the state, county or municipal officer charged with the duty of disbursing or authorizing the payment of public funds to said contractor that the Department of Revenue hereby releases the state's lien on the retained percentage provided by this Chapter for ex- cise taxes due from said contractor. This certificate does not release said contractor from liability for additional tax which may be later determined to be due with respect to the above mentioned contract or other activities. Date at Olympia, Washington, r 5—q 7 STATE OF WASHINGTON DEPART ENT OF REVENUE 7 Certlfylnt Of cer ROUTING: White Copy-Disbursing Officer, whim Copy-Contmemr, roRht REV 31 0028(5-15-95) C—ry Copy-File. Pink copy -special Pile. Z0 'd 60SSZ�b90Z 'ON I -0 -!' -?1 bS: ZZ Q3M L6-6Z—Nar • Department of Labor and Industries AFFIDAVIT OF WAGES PAID Prevailing Wage PO Box 44540 Olympia WA 98504-4540 Public Works Contract THIS FORM MUST BE TYPED OR PRINTED IN INK $25,00 Filing Fee Required /ncompletefgrms cannot be processed and will be returned without approval. Large,bold numbers match instructions on batik of form. Hiah Avenue South 2 Project Name Please Blow a minimum of 10 working daya for processing from dte dap en me Departmt receives your forms. S t o r mw a t e r O u t f a l l ALL FORMS"WILL BE MAILED TO THIS ADDRESS = contract# Datelntentfiled 1 Organization name,address,city,state&ZIP+4 96176 9 1 7 96 _-------------------------------------------------------------.....------------•------------------------- �'' ---------------------------'`� Contract Awarding Agency RJC, Inc. City of Renton PO Box 467 Address Maple Valley, WA 98038 200 Mill Avenue S. City state ZIP+4 Renton WA 98055 County where work was performed City where work was performed KING Renton Prime contractor Contractor Registration No. Bid due date Date contract awarded Date work completed RJCIN**066JJ 8 7 96 8 12 96 10 29 96 Indicate total dollar amount of your contract $ 80,983. 10 4 Number 5 Total#his 6 Rate of ';7 Rate of Hourly $ Apprentices: 3 Craft/trade/occupation of Workers worked-ea trade Hourly Pay Fringe Benefits (Seo ka on back of form) Owner/Operator 1 100 Laborers 2 170 20 .01 4 .72 Truck Driver 1 39 .5 21 '.71 6.48 - ------ ............................................................. .:.------------------------------. I hereby certify tha c and that all workers I 9 Company name employed on this s ess than the Prevailing Inc, - Wage Rate(s)as er� an of the Department Address of Labor and Ind 'es I on Ah-tcontr to ho violate Prevailing PO BOX 467 Wage Laws,i.e., o t cla. p an debarment and w of workers,improper payment of preval es, West and/or debd @� City State 7[ +4 will be regtured to c mto RCW 39.12.050 Maple Valley WA 9 8038 10 NOTARY: C tarize each 0IAIA Phone number Contractor Registration No. Subs cibed and sworn to JMy commission expires on (206 432-5453 RJCIN**066JJ 1� ! — — — itl Nota gl Public m and for the State Sig re of Sig u e C Check Number: Amount: 0�� � � For L&I Use Only Issued By: CERTIFIED: Department of Labor and Industries ; `_ ) NOV 1996 MUse uly F.0.1y Ry t.t 1p ndusnriaf Statiia sticn CAS.flE iS F700-007-000 affidavit of wages 6.95 Distribution: White-Awarding Agency Canary-L&1 Pink-Rime Contractor Goldenrod-Subcontractor C-19 CITY OF RENTON CERTIFICATION OF PAYMENT OF PREVAILING WAGES Ref: Pay Estimate No. 3 - Final Date: November 25, 1996 ProjeCtuigh Avenue S.-Stormwater Outfall CAG No. 96-097 Improvement project This is to certify that the prevailing wages have been paid to our employees and our subcontractors' employees for the period from September 17, 1996 through October 29, 1996 in accordance with the Intents to Pay Prevailing Wage filed with the Washington State Department of Labor & Industries. This form will be executed and submitted prior to or with the last pay request. RJC, Inc. Cbi;Rpany Name By: f�k-L(74� d Randyl A. Wrenn Title: Office Manager High Avenue S. Stormwater Outfall City of Renton 96002/Spec/Siddocs/(7/6196)sm July 1996 RJC INC. P.O. BOX 467 MAPLE VALLEY, WA 98038 November 25, 1996 Ronald Straka City of Renton Municipal Bldg. - 4th Fl. 200 Mill Avenue S. Renton, WA 98055 Re: High Avenue S. - Stormwater Outfall Improvement Project Dear Mr. Straka: Enclosed please find the original Affidavit of Wages Paid and Certifica- tion of Payment of Prevailing Wages which we have filled out according to your directions. If you need anything further, please do not hesitate to call. Sincerely, 4g�'— andyl . Wrenn Office Manager Enc. Department of Labor and Industries _ STATEMENT OF INTENT Prevailing Wage Y '. PO Box 44540 TO PAY PREVAILING WAGES Olympia�✓A 98504-4540 Public Works Contract THIS FORM MUST BE TYPED OR PRINTED IN INK Incomplete forms cannot be processed and will be returned without approval. $25.00 Filing Fee Required Large,bold numbers match instructions on back of form. - . `2" Project Name High Ave $ Contract tr Please allow s minimmn of nI w"IV.days forp.owas.hty ban Bts dsle d,e Gep runwt receives your forma . CA G-9 6-0 9 7 Contract Awarding Agency ....:.':AU-M.RMs wit~ s Ma i. zc: s annr ass t Organization name,address,city,state&ZIP+4 City of Renton r. ?` Address ` 00 Mill Avenue S. : RJC, Inc . u : City State 21P+4 Renton WA 98055 PO BOX 467 County where wort will be performed City where wort will be pedbmted KING Renton Maple Valley , WA 98038 aid due date (=n/dd/yy) Date contract awarded (mm/dd/yy) Prime contractor Contractor Registration No. Do you intend to use subcontractors? Do you intend to use apprentices? RJC Inc . RJCIN** Yes [�A No Yes [::I No Indicate total dollar amount of your contract --00- $ 80,983 . 10 3 Craft/trade/occupation 4 RflLe of 5 Rate of Hourly 6 Estimated Number Hourly Pay Fringe Benefit of Workers Owner/Operator 1 __...._ Laborer 1 si 4 .61 '--. 2 ...,::;:. ......; Truck Driver w/30yd Trailer 27 .22 6.28 1 ..... ............................... ..................................................................................... ....>-.,, »...... I hereby certify that the above information is correct and that all workers I 8 Company name employ on this Public Works Project will be paid no less than the Prevailing RJC, Inc. - Wage Rate(s)as determined by the Industrial Statistician of the Department Address of Labor and Industries.I understand that contractors who violate Prevailing Wage Laws,ie.,incorrect classification/scope of work of workers,improper PO BOX 467 payment of prevailing wages,etc.,are subject to Fines and/or debarment and city State ZIP+4 will be required to pay any back wages due to workers. RCW 39.12.050 7 NOTARY: Complete all copies and notarize each Maple Valley WA 98038 Phone number Contractor Registration No. Subscribed d swo to before me this date: My ires " ` C � (206 432-5453 IRJCIN**066JJ �� ure Title Notary bl- in d for the State `S /�❑p n of i': cY OTA Signature ���+/ • Amount PUBi\G Num((�bel!rr�AA� Far LSd ed By T i": .- 3 APPROVED: Department of Labor and In&o, ` FaI2I S L P 1 6 19% Mgmi 3vo Us oily (, BY SE 17 '9 �ASHIER fndwtrW Srariarici n F700-029-000 stawment of intern to pay 7-95 Disnibatien of Approved Copies White-Awarding Aseney Cormy-L&I Pink-Prime Cmtrador Gdd—rod-Subcontraaa • 9 TRUCTIONS TO COMPLETE THE STATEMENT OF INTENT TO PAY PREVAILING WAGES Incomplete forms cannot be processed and will be returned without approval This form must by TYPED OR PRINTED IN INK,completed in its entirety,and all 4 copies submitted with the processing fee of$25.00 to: Note: Please fold in thirds using marks along the left edge so the address will show in a window envelope. MANAGEMENT SERVICES DEPARTMENT OF LABOR AND INDUSTRIES PO BOX 44835 OLYMPIA WA 98504-4835 Approval of this intent will be based on the information provided by the contractor/subcontractor. It does not signify approval of the classifications of labor used by the contractor/subcontractor. After the Industrial Statistician has approved the Statement of Intent to Pay Prevailing Wages,the department will return 3 copies to the organization indicated on the form. Please call(360)902-5335 if you have questions. NOTE: Please do not submit this form to our office if the"Awarding Agency"is a federal entity. Complete the form as follows: NOTE: Numbers on instructions match large bold numbers on front of form. 1. The company name and address to which your forms should be mailed. 2. Project Name-The name of the project Contract Number-This is the number of the contract between the awarding agency and the prime contractor Contract Awarding Agency-This is the name of the public agency that awarded the contract to the prime contractor. Address,City,State,ZIP+4-This is the address of the contract awarding agency. County where work was performed-This is the county in which the actual work will be performed. City where work was performed-This is the city in which the work will be performed. If the work will be performed outside the limits of any city,write"n/a"in this space Bid Due Date-This is the date that the bids from prime contractors were due for submission to the contract awarding agency.(month/day/year) Date Contract Awarded-This is the date the contract was awarded to the prime contractor by the awarding agency. (month/day/year) Prime Contractor-This is the company that signed the contract with the contract awarding agency. Do you intend to use subcontractors?-Indicate"Yes"or"No". Do you intend to use apprentices?-Indicate"Yes"or"No". If"Yes",please see Note at the bottom of this page. NOTE: Wages are bed to the"Bid Due Date".if the"Date Contract Awarded"is six months or more after the bid due date,wages will be based on that award date. 3. List each craft/trade/occupation of workers to be employed on this project. If this is residential,landscape,or underground sewer and water construction,please state so on the form. If operating engineers and/or truck drivers will be used,describe the type,and list the size or rated capacity of the equipment. If the work will be performed by owners/partners,state"Owner/operator"under the"Craft"section,and sections 4,5 and 6 need not be completed. (Individuals who own less than 30%of the company are not considered to be owners/operators,and must be paid prevailing wage.) 4. Enter the rate of hourly pay for each craft/trade/occupation classification. This is the wage you will actually pay to the workers. 5. Enter the rate of hourly fringe benefits. This is the cost of fringe benefits,as,440frdr, Dy f CG/,,39.12.010,that you will actually pay to the workers. The amount listed for"Rate of Hourly Pay"plus the amount listed for"Rate ot{1�o�tf 9e B* if any,must equal or exceed the prevailing rate ,.. . of wage. 6. Enter the estimated number of workers far each craft/trade/occtipatign.- rry TCW -- 7. "Notary"-Ensure this area is completely filled out and each copy notarized with their seal or stamp, ; a 8. Indicate your company's name,address,phone number and the signature of an authorized representative. Contractor registration number begins with first letters of company name. Forms without signatures will be returned. Industrial Statistician NOTE: Do not list apprentices or apprentice wages on this Statement of Intent. If you intend to use Prevailing Wage apprentices on this project, they must be listed on the Affidavit of Wages Paid (F700-007-000), and registered PO BOX 44540 with the Washington State Apprenticeship and Training Council. Any workers.not.tegistered as such must be OIytDiaWA 985(k1-4540 paid prevailing journeyman wages. Apprentices not registered with the Was gton;State,Ap�ilentice;WR*,:aad- (360)902-5 35 d Training Council within 60 days of hiring, must be paid prevailing journeyman'wages for the time preceding the date of registration. To verify apprenticeship registration and status,call(360)902-5324. CITY OF RENTON MEMORANDUM DATE: November 26, 1996 TO: Margie Doohan n FROM: Ron Straka (X-5548)� "' — SUBJECT: CAG 96-097 - High Aven✓✓✓ue South Stormwater Outfall Improvement Project - RJC, Inc. FINAL PAY ESTIMATE The following documents are attached for processing the final pay estimate for this project: # OF COPIES DOCUMENTS 1 Agenda Bill ( for November 25, 1996) for Council's acceptance of the project and approval of the pay estimate 1 Original Final Pay Estimate and Notice of Completion of Public Works Contract 5 Copies of the Final Pay Estimate and Notice of Completion of Public Works Contract 2 1 original, 1 copy of Statement of Intent to Pay Prevailing Wages - for RJC, Inc. 2 1 original Affidavits of Wages Paid and 1 copy - for RJC, Inc. 2 1 original Certification of payment of Prevailing Wages (City form) and 1 copy The final pay estimate was submitted for Council approval at the November 25, 1996, Council meeting and was approved. Please call me if you have any questions or need additional information. Thanks. H:DOCS:96-778:RJS:ps 068510 RJC INC 110408 10/01/96 ORIGINAL Vendor No. Vendor Name l PO Date 411 Chapter 116, Laws of 1965 CITY OF RENTON Purchase Order 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 RJC INC unpaid obligation against the City of Renton, and that I am authorized to PO BOX 467 authenticate and certify to said claim: , MAPLE VALLEY, WA 98038 Signed • PLNG/BLDG/PUB WKS UT I SYS FERKINGSTAD, LINDA Qty Unit Description Unit Price Est. Amount Account Number WO/Func Amount CAG 96-097 High Ave S 76,933 .96 E 421.000600.018 .15960.0038.65 .065015 65246/5460 76,933 .96 Stormwater Outfall Rpl. 10/G�q� �C1�Lfl , �S�-. # / 5-1 q 6, C-�CL) c� r Authorized By 76,933 .96 76,933.961 Accounts Payable Div.•200 Mill Ave.S.•Renton, WA 98055•Phone(206)235-2618•Fax(206)235-2513 DP 3119 11/94 TO: , FINANCE DI616TOR FROM: PUBLIC WORKS ADMINISTRATOR CONTRACTOR: RJC Inc. CONTRACT NO. CAG 96-097 ESTIMATE NO. 3 FINAL PROJECT: High Ave. South Stormwater Outfall Improvement 1. CONTRACTOR EARNINGS THIS ESTIMATE $1,750.00 2. SALES TAX @ 8.20% $143.50 3. TOTAL CONTRACT AMOUNT THIS ESTIMATE $1,893.50 4. EARNINGS PREVIOUSLY PAID CONTRACTOR $62,918.26 5. * EARNINGS DUE CONTRACTOR THIS ESTIMATE $1,662.50 6. SUBTOTAL - CONTRACTOR PAYMENTS $64,580.76 7. RETAINAGE ON PREVIOUS EARNINGS $3,311.49 8. ** RETAINAGE ON EARNINGS THIS ESTIMATE $87.50 9. SUBTOTAL - RETAINAGE $3,398.99 10. SALES TAX PREVIOUSLY PAID $5,430.84 11. SALES TAX DUE THIS ESTIMATE $143.50 12. SUBTOTAL - SALES TAX $5,574.34 * (95%x LINE 1) ** (RETAINAGE: 55/.) GRAND TOTAL: $73,554.09 FINANCE DEPARTMENT ACTION: PAYMENT TO CONTRACTOR (Lines 5 and 11): ACCOUNT 421.000600.018.5960.0038.65.065015(65246/5460) $1,806.00 # 3 FINAL $1,806.00 RETAINED AMOUNT (Line 8): ACCOUNT 421.000600.018.5960.0038.65.065015(65246/5460) $87.50 # 3 FINAL $87.50 TOTAL THIS ESTIMATE: $1,893.50 CHARTER 116, LAWS OF 1965 1e1 /c• CITY OF RENTON CERTIFICATION jI/Jry(� I,THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF �'t.I'� 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 CI ENTON,AND THAT I AM AUTHORIZED TO AUTHENTIC TE AN CERTIFY TO S B.�LAIM n� Signed: I Printed On: 11/4/96 City of Renton Public Works Department Page 1 ! 0 Printed On: 11/4/96 City of Renton Public Works Department Page 1 Project: High Ave.South Stormwater Outfall Improvement Contract Number: CAG 96-097 Contractor: RJC Inc. Estimate Number: 3 FINAL Closing Date: 10/21/96 Item Description Unit Est. Unit Previous Previous This This Total Total No. Quantity Price Quantity Amount Quantity Amount Quantity Amount 001. Mobilization Lump Sum 1 $3,500.00 1.00 $3,500.00 $0.00 1.00 $3,500.00 002. Contractor Supplied Surveying Lump Sum 1 43,500.00 0.50 $1,750.00 0.50 $1,750.00 1.00 $3,500.00 003. Temp Water Pollution/Erosion Control Lump Sum 1 $1,500.00 1.00 $1,500.00 $0.00 1.00 $1,500.00 004. Traffic Control Lump Sum 1 $1,450.00 1.00 $1,450.00 $0.00 1.00 $1,450.00 005. Clearing and Grubbing Lump Sum 1 $3,000.00 1.00 $3,000.00 $0.00 1.00 $3,000.00 006. Remove Existing Catch Basin and CMP Lump Sum 1 $6,000.00 1.00 $6,000.00 $0.00 1.00 $6,000.00 007. Crushed Surfacing Top Course Ton 2 $100.00 11.44 $1,144.00 $0.00 11.44 $1,144.00 008. Asphalt Conc.Pavement Cl.B Ton 3 $110.00 4.00 $440.00 $0.00 4.00 $440.00 009. Special Type 2,48"Dia CB Each 1 $6,220.00 1.00 $6,220.00 $0.00 1.00 $6,220.00 010. Shoring or Extra Excavation Cl.B SF 565 $2.75 565.00 $1,553.75 $0.00 565.00 $1,553.75 011. Outlet Structure Each 1 $8,720.00 1.00 $8,720.00 $0.00 1.00 $8,720.00 012. Special HDPE Pipe Linear Feet 485 $38.00 485.00 $18,430.00 $0.00 485.00 $18,430.00 013. Lateral Pipe Anchor Assembly Each 5 $670.00 5.00 $3,350.00 $0.00 5.00 $3,350.00 014. Landscape/Property Restoration Lump Sum 1 $3,000.00 1.00 $3,000.00 $0.00 1.00 $3,000.00 015. Cedar Picket Fence Linear Feet 56 $17.00 56.00 $952.00 $0.00 56.00 $952.00 Alternate A Slope Protection Lump Sum 1 $5,220.00 1.00 $5,220.00 $0.00 1.00 $5,220.00 Alternate B Slope Protection Lump Sum 1 $7,920.00 0.00 $0.00 $0.00 0.00 50.00 Subtotal $66,229.75 $1,750.00 $67,979.75 8.2%Sales Tax $5,430.84 $143.50 $5,574.34 TT Total $71,660.59 $1,893.50 $73,554.09 SW ItIlIN sTATeo� State of Washington Reg.No.: 04 b Department of Revenue < — x Audit Procedures&Administration Date: m� �$ PO Box 47474 �yy 1A89 aoy Olympia,Washington 98504-7474 NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT From: DEPARTMENT USE ONLY City of Renton Assigned To 200 Mill Avenue South Renton, WA 98055-2132 Date Assigned Notice is hereby given relative to the completion of contract or project described below. Description of Contract CAG 96-097 HIGH AVENUE SOUTH STORMWATER OUTFALL IMPROVEMENT PROJECT Contractor's Name RJC, Inc. Telephone No. (206) 520-9382 Contractor's Address P.O. Box 467 Maple Valley, WA 98038 Date Work Commenced Date Work Completed Date Work Accepted September 17, 1996 October 29, 1996 November 25, 1996 Surety or Bonding Co. Contractors Bonding and Insurance Co. Agent's Address 1213 Valley Street Seattle, WA 98109 Contract Amount: $74,845.75 Amount Disbursed: $70,155.10 Additions or Reductions: ($6,866) Amount Retained: $3,398.99 Sales Tax: $5,574.34 Total: $73,554.09 Total $73,554.09 By (Disbursing Officer) Phone No: The Disbursing Officer must complete and mail THREE copies of this notice to the Department of Revenue, Olympia, Washington 98504- 7474, immediately after acceptance of the work done under this contract. NO PAYMENTS SHALL BE MADE FROM RETAINED FUND until receipt of Department's certificate,and then only in accordance with said certificate. H:DOCS:96-776:RJS:ps OF RENTON COUNCIL AGENDA IL Al #: Submitting Data: Planning/Building/Public Works For Agenda of: Dept/Div/Board.. Utility Systems Division - Surface Water Utility November 25, 1996 Staff Contact...... Ron Olsen Agenda Status Ron Straka (x-5548) Consent.............. X Subject: Public Hearing... RJC, Inc. Final Pay Estimate - CAG 96-097 Correspondence.. High Avenue South Stormwater Outfall Improvement Project Ordinance............. Resolution............ Old Business........ Exhibits: New Business....... Pay Estimate #3 - Final Study Sessions....... Notice of Completion Information......... Recommended Action: Approvals: Council Concur Legal Dept......... NA Finance Dept...... NA Other............... NA Fiscal Impact: Expenditure Required... $73,554.09 Transfer/Amendment....... Amount Budgeted.......... $80,983.10 Revenue Generated......... Total Project Budget $80,983.10 City Share Total Project.. Summary of Action: The High Avenue South Stormwater Outfall Improvement project included the replacement of an existing 12" CMP outfall that discharged runoff at the top of a steep slope with approximately 500 linear feet of 18" to 16" HDPE storm pipe to convey runoff to the bottom of the hill and prevent landslide hazards. The construction contract was awarded to RJC, Inc. on August 12, 1996. Construction started on September 17, 1996, and all work was completed on October 29, 1996. The awarded contract amount was $80,983.10 and the final pay estimate is $73,554.09. The actual construction cost was less than the awarded contract amount because the Alternate "B" Slope Protection bid item was not utilized. The project was budgeted in the Surface Water Utility Capital Improvement Program Small Drainage Problems account. STAFF RECOMMENDATION: The Surface Water Utility of the Planning/Building/Public Works Department recommends that the Council accept the High Avenue South Stormwater Outfall Improvement Project and approve the final pay estimate to RJC, Inc. Staff further recommends that the retainage of $3,398.99 be released after thirty (30) days, subject to the receipt of all required authorizations to release retainage from the State. H:DOCS:96-775:RJS:ps TO: FINANCE DATOR FROM: PUBLIC WORKS ADMINISTRATOR CONTRACTOR: RJC Inc. CONTRACT NO. CAG 96-097 ESTIMATE NO. 3 FINAL PROJECT: High Ave. South Stormwater Outfall Improvement 1. CONTRACTOR EARNINGS THIS ESTIMATE $1,750.00 2. SALES TAX @ 8.20% $143.50 3. TOTAL CONTRACT AMOUNT THIS ESTIMATE $1,893.50 4. EARNINGS PREVIOUSLY PAID CONTRACTOR $62,918.26 5. * EARNINGS DUE CONTRACTOR THIS ESTIMATE $1,662.50 6. SUBTOTAL - CONTRACTOR PAYMENTS $64,580.76 7. RETAINAGE ON PREVIOUS EARNINGS $3,311.49 8. ** RETAINAGE ON EARNINGS THIS ESTIMATE $87.50 9. SUBTOTAL - RETAINAGE $3,398.99 10. SALES TAX PREVIOUSLY PAID $5,430.84 11. SALES TAX DUE THIS ESTIMATE $143.50 12. SUBTOTAL - SALES TAX $5,574.34 * (95%x LINE 1) ** (RETAINAGE: 591.) GRAND TOTAL: $73,554.09 FINANCE DEPARTMENT ACTION: PAYMENT TO CONTRACTOR (Lines 5 and 11): ACCOUNT 421.000600.018.5960.0038.65.065015(65246/5460) $1,806.00 # 3 FINAL $1,806.00 RETAINED AMOUNT (Line 8): ACCOUNT 421.000600.018.5960.0038.65.065015(65246/5460) $87.50 # 3 FINAL $87.50 TOTAL THIS ESTIMATE: $1,893.50 CHARTER 116, LAWS OF 1965 � 11-1y i� 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 CI ENTON,AND THAT I AM AUTHORIZED TO AUTHENTIC TE INCERTIFY TO SLAIM � Signed: s Printed On: 11/4/96 City of Renton Public Works Department Page 1 • • Printed On: 11/4/96 City of Renton Public Works Department Page 1 Project: High Ave.South Stormwater Outfall Improvement Contract Number: CAG 96-097 Contractor: RJC Inc. Estimate Number: 3 FINAL Closing Date: 10/21/96 Item Description Unit Est. Unit Previous Previous This This Total Total No. Quantity Price Quantity Amount Quantity Amount Quantity Amount 001. Mobilization Lump Sum 1 $3,500.00 1.00 $3,500.00 $0.00 1.00 $3,500.00 002. Contractor Supplied Surveying Lump Sum 1 $3,500.00 0.50 $1,750.00 0.50 $1,750.00 1.00 $3,500.00 003. Temp Water Pollution/Erosion Control Lump Sum 1 $1,500.00 1.00 $1,500.00 $0.00 1.00 $1,500.00 004. Traffic Control Lump Sum 1 $1,450.00 1.00 $1,450.00 $0.00 1.00 $1,450.00 005. Clearing and Grubbing Lump Sum 1 $3,000.00 1.00 $3,000.00 $0.00 1.00 $3,000.00 006. Remove Existing Catch Basin and CMP Lump Sum 1 $6,000.00 1.00 $6,000.00 $0.00 1.00 $6,000.00 007. Crushed Surfacing Top Course Ton 2 $100.00 11.44 $1,144.00 $0.00 11.44 $1,144.00 008. Asphalt Conc.Pavement Cl.B Ton 3 $110.00 4.00 $440.00 $0.00 4.00 $440.00 009. Special Type 2,48"Dia CB Each 1 $6,220.00 1.00 $6,220.00 $0.00 1.00 $6,220.00 010. Shoring or Extra Excavation Cl.B SF 565 $2.75 565.00 $1,553.75 $0.00 565.00 $1,553.75 011. Outlet Structure Each 1 $8,720.00 1.00 $8,720.00 $0.00 1.00 $8,720.00 012. Special HOPE Pipe Linear Feet 485 $38.00 485.00 $18,430.00 $0.00 485.00 $18,430.00 013. Lateral Pipe Anchor Assembly Each 5 $670.00 5.00 $3,350.00 $0.00 5.00 $3,350.00 014. Landscape/Property Restoration Lump Sum 1 $3,000.00 1.00 $3,000.00 $0.00 1.00 $3,000.00 015. Cedar Picket Fence Linear Feet 56 $17.00 56.00 $952.00 $0.00 56.00 $952.00 Alternate A Slope Protection Lump Sum 1 $5,220.00 1.00 $5,220.00 $0.00 1.00 $5,220.00 Alternate B Slope Protection Lump Sum 1 $7,920.00 0.00 $0.00 $0.00 0.00 $0.00 Subtotal $66,229.7 5 $1,750.00 $67,979.75 8.2%Sales Tax $5,430.84 $143.50 $5,574.34 TT Total $71,660.59 $1,893.50 $73,554.09 5� lr(/yj9G ��6 STATE.O� State of Washington Reg.No.: o� b Department of Revenue < — s Audit Procedures&Administration Date: PO Box 47474 Olympia,Washington 98504-7474 NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT From: DEPARTMENT''USE ONLY City of Renton Assigned To 200 Mill Avenue South Renton, WA 98055-2132 Date Assigned Notice is hereby given relative to the completion of contract or project described below. Description of Contract CAG 96-097 HIGH AVENUE SOUTH STORMWATER OUTFALL IMPROVEMENT PROJECT Contractor's Name RJC, Inc. Telephone No. (206) 520-9382 Contractor's Address P.O. Box 467 Maple Valley, WA 98038 Date Work Commenced Date Work Completed Date Work Accepted September 17, 1996 October 29, 1996 November 25, 1996 Surety or Bonding Co. Contractors Bonding and Insurance Co. Agent's Address 1213 Valley Street Seattle, WA 98109 Contract Amount: $74,845.75 Amount Disbursed: $70,155.10 Additions or Reductions: ($6,866) Amount Retained: $3,398.99 Sales Tax: $5,574.34 Total: $73,554.09 Total $73,554.09 By (Disbursing Officer) Phone No: The Disbursing Officer must complete and mail THREE copies of this notice to the Department of Revenue, Olympia, Washington 98504- 7474, immediately after acceptance of the work done under this contract. NO PAYMENTS SHALL BE MADE FROM RETAINED FUND until receipt of Department's certificate,and then only in accordance with said certificate. H:DOCS:96-776:RJS:ps 068510 RJC INC 110408 10/01/96 ORIGINAL Vendor No. Vendor Name dbate 41 ,T Chapter 116, Laws of 1965 CITY OF RENTON Purchase Order 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 RJC INC unpaid obligation against the City of Renton, and that I am authorized to PO BOX 467 authenticate and certify to said claim: MAPLE VALLEY, WA 98038 Signed (/)) I ct I°�9l96 • PLNG/BLDG/PUB WKS UT I SYS FERKINGSTAD, LINDA l S Cv Q J Qt ;;Unit Descri `on Unit Place Est. Amount Account Number WO/Func Amount CAG 96-097 High Ave S 76,933 .96 E 421.000600.018.15960 .0038 .65.065015 65246/5460 76,933 .96 Stormwater Outfall Rpl. lolgl f6 al, a� I O 12 3m I��xtce 5 7/3 5' Authorized By 76,933 .96 76,933 ,916 Accounts Payable Div.•200 Mill Ave.S.•Renton, WA 98055•Phone(206)235-2618•Fax(206)235-2513 r � -•; w p DP311911/94� AOF RENTON COUNCIL AGENDA A Al #: Submitting Data: Planning/Building/Public Works For Agenda of: Dept/Div/Board.. Utility Systems Division - Surface Water Utility November 25, 1996 Staff Contact...... Ron Olsen Agenda Status Ron Straka (x-5548) Consent.............. X Subject: Public Hearing... Final Pay Estimate - CAG 96-097 Correspondence.. C O N C U R R N C E High Avenue South Stormwater Outfall Improvement Project Ordinance............. Resolution............ DATE Old Business........ AME IfJI /DATE Exhibits: New Business....... f� Pay Estimate #3 - Final Study Sessions....... t`t Notice of Completion Information......... Recommended Action: Approvals: Council Concur Legal Dept......... NA Finance Dept...... NA Other............... NA Fiscal Impact: Expenditure Required... $73,554.09 Transfer/Amendment....... Amount Budgeted.......... $80,983.10 Revenue Generated......... Total Project Budget $80,983.10 City Share Total Project.. Summary of Action: The High Avenue South Stormwater Outfall Improvement project included the replacement of an existing 12" CMP outfall that discharged runoff at the top of a steep slope with approximately 500 linear feet of 18" to 16" HDPE storm pipe to convey runoff to the bottom of the hill and prevent landslide hazards. The construction contract was awarded to RJC, Inc. on August 12, 1996. Construction started on September 17, 1996, and all work was completed on October 29, 1996. The awarded contract amount was $80,983.10 and the final pay estimate is $73,554.09. The actual construction cost was less than the awarded contract amount because the Alternate "B" Slope Protection bid item was not utilized. The project was budgeted in the Surface Water Utility Capital Improvement Program Small Drainage Problems account. STAFF RECOMMENDATION: The Surface Water Utility of the Planning/Building/Public Works Department recommends that the Council accept the High Avenue South Stormwater Outfall Improvement Project and approve the final pay estimate to RJC, Inc. Staff further recommends that the retainage of $3,398.99 be released after thirty (30) days, subject to the receipt of all required authorizations to release retainage from the State. H:DOCS:96-775:RJS:ps T 068510 RJC INC 110408 10/01/96 ORIGINAL Vendor No. Vendor iName 1110 PO Date, 61 Chapter 116, Laws of 1965 CITY OF RENTON Purchase Order 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 RJC INC unpaid obligation against the City of Renton, and that I am authorized to PO BOX 467 authenticate and certify to said claim: MAPLE VALLEY, WA 98038 Signed (O • PLNG/BLDG/PUB WKS UT I SYS FERKINGSTAD, LINDA l S Ca CL Ot Unit Description Unit Price Est. Amount Account Number WO/Func Amount CAG 96-097 High Ave S 76,933 .96 E 421.000600.018.5960.0038 .65 .065015 65246/5460 76,933 .96 Stormwater Outfall Rpl . 10/Cf/Q�r � ff O-L # �) U t Authorized By 76,933 .96 76,933 .96 Accounts Payable Div.•200 Mill Ave.S.•Renton, WA 98055•Phone(206)235-2618•Fax(206)235-2513 DP 3119 11/94 • r y TO: FINANCE DINCTOR • FROM: PUBLIC WORKS ADMINISTRATOR CONTRACTOR: RJC Inc. CONTRACT NO. CAG 96-097 ESTIMATE NO. 002 PROJECT: High Ave. South Stormwater Outfall Improvement 1. CONTRACTOR EARNINGS THIS ESTIMATE $5,536.00 2. SALES TAX @ 8.20% $453.95 3. TOTAL CONTRACT AMOUNT THIS ESTIMATE $5,989.95 4. EARNINGS PREVIOUSLY PAID CONTRACTOR $57,659.06 5. * EARNINGS DUE CONTRACTOR THIS ESTIMATE $5,259.20 6. SUBTOTAL - CONTRACTOR PAYMENTS $62,918.26 7. RETAINAGE ON PREVIOUS EARNINGS $3,034.69 8. ** RETAINAGE ON EARNINGS THIS ESTIMATE $276.80 9. SUBTOTAL - RETAINAGE $3,311.49 10. SALES TAX PREVIOUSLY PAID $4,976.89 11. SALES TAX DUE THIS ESTIMATE $453.95 12. SUBTOTAL - SALES TAX $5,430.84 * (95%x LINE 1) ** (RETAINAGE: 55/,) GRAND TOTAL: $71,660.59 FINANCE DEPARTMENT ACTION: PAYMENT TO CONTRACTOR (Lines 5 and 11): ACCOUNT 421.000600.018.5960.0038.65.065015(65246/5460) $5,713.15 # 2 $5,713.15 RETAINED AMOUNT (Line 8): ACCOUNT 421.000600.018.5960.0038.65.065015(65246/5460) $276.80 # 2 $276.80 TOTAL THIS ESTIMATE: $5,989.95 CHARTER 116, LAWS OF 1965 fib /zi3L CITY OF RENTON CERTIFICATION Sw �c/z3J9G 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 UST,DUE AND UNPAID OBLIGATION AGAINST THE CITY F R TON,AND THAT I AM AUTHORIZED TO AUTHENTICAT AND RTIFYTO S D�rIM i Signed. L i Printed On: 10/21/96 City of Renton Public Works Department Page 1 • • Y Printed On: 10/21/96 City of Renton Public Works Department Page 1 Project: High Ave.South Stormwater Outfall Improvement Contract Number: CAG 96-097 Contractor: RJC Inc. Estimate Number: 2 Closing Date: 10/21/96 Item Description Unit Est. Unit Previous Previous This This Total Total No. Quantity Price Quantity Amount Quantity Amount Quantity Amount 001. Mobilization Lump Sum 1 $3,500.00 1.00 $3,500.00 $0.00 1.00 $3,500.00 002. Contractor Supplied Surveying Lump Sum 1 $3,500.00 0.50 $1,750.00 $0.00 0.50 $1,750.00 003. Temp Water Pollution/Erosion Control Lump Sum 1 $1,500.00 1.00 $1,500.00 $0.00 1.00 $1,500.00 004. Traffic Control Lump Sum 1 $1,450.00 1.00 $1,450.00 $0.00 1.00 $1,450.00 005. Clearing and Grubbing Lump Sum 1 $3,000.00 1.00 $3,000.00 $0.00 1.00 $3,000.00 006. Remove Existing Catch Basin and CMP Lump Sum 1 $6,000.00 1.00 $6,000.00 $0.00 1.00 $6,000.00 007. Crushed Surfacing Top Course Ton 2 $100.00 0.00 $0.00 11.44 $1,144.00 11.44 $1,144.00 008. Asphalt Conc.Pavement Cl.B Ton 3 $110.00 0.00 $0.00 4.00 $440.00 4.00 $440.00 009. Special Type 2,48"Dia CB Each 1 $6,220.00 1.00 $6,220.00 $0.00 1.00 $6,220.00 010. Shoring or Extra Excavation Cl.B SF 565 $2.75 565.00 $1,553.75 $0.00 565.00 $1,553.75 011. Outlet Structure Each 1 $8,720.00 1.00 $8,720.00 $0.00 1.00 $8,720.00 012. Special HOPE Pipe Linear Feet 485 $38.00 485.00 $18,430.00 $0.00 485.00 $18,430.00 013. Lateral Pipe Anchor Assembly Each 5 $670.00 5.00 $3,350.00 $0.00 5.00 $3,350.00 014. Landscape/Property Restoration Lump Sum 1 $3,000.00 0.00 $0.00 1.00 $3,000.00 1.00 $3,000.00 015. Cedar Picket Fence Linear Feet 56 $17.00 0.00 $0.00 56.00 $952.00 56.00 $952.00 Alternate A Slope Protection Lump Sum 1 $5,220.00 1.00 $5,220.00 $0.00 1.00 $5,220.00 Alternate B Slope Protection Lump Sum 1 $7,920.00 0.00 $0.00 $0.00 0.00 $0.00 Subtotal $60,693.75 $5,536.00 $66,229.75 8.2%Sales Tax $4,976.89 $453.95 $5,430.84 TT Total $65,670.64 $5,989.95 $71,660.59 ✓��%J rciZZ/i� ;�iti31y(, TO: FINANCE D*1bTOR . FROM: PUBLIC WORKS ADMINISTRATOR CONTRACTOR: RJC Inc. CONTRACT NO. CAG 96-097 ESTIMATE NO. 001 PROJECT: High Ave. South Stormwater Outfall Improvement 1. CONTRACTOR EARNINGS THIS ESTIMATE $60,693.75 2. SALES TAX @ 8.20% $4,976.89 3. TOTAL CONTRACT AMOUNT THIS ESTIMATE $65,670.64 4. EARNINGS PREVIOUSLY PAID CONTRACTOR $0.00 5. * EARNINGS DUE CONTRACTOR THIS ESTIMATE $57,659.06 6. SUBTOTAL - CONTRACTOR PAYMENTS $57,659.06 7. RETAINAGE ON PREVIOUS EARNINGS $0.00 8. ** RETAINAGE ON EARNINGS THIS ESTIMATE $3,034.69 9. SUBTOTAL - RETAINAGE $3,034.69 10. SALES TAX PREVIOUSLY PAID $0.00 11. SALES TAX DUE THIS ESTIMATE $4,976.89 12. SUBTOTAL - SALES TAX $4,976.89 * (95% x LINE 1) ** (RETAINAGE: 5%) GRAND TOTAL: $65,670.64 FINANCE DEPARTMENT ACTION: PAYMENT TO CONTRACTOR (Lines 5 and 11): ACCOUNT 421.000600.018.5960.0038.65.065015(65246/5460) $62,635.95 # 1 $62,635.95 RETAINED AMOUNT (Line 8): ACCOUNT 421.000600.018.5960.0038.65.065015(65246/5460) $3,034.69 # 1 $3,034.69 TOTAL THIS ESTIMATE: $65,670.64 CHARTER 116, LAWS OF 1965 "� 10 j­jb CITY OF RENTON CERTIFICATION .DC /0-9-96 I,THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED,THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HEREIN,AND THAT THE CLAIM IS A JUST,DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON,AND THAT 1 AM AUTHORIZED TO AUTHENTICATE AND CERTIFY TO SAID CLAIM Signed: Printed On: 10/9/96 City of Renton Public Works Department Page 1 A. 0 Printed On: 10/9/96 City of Renton Public Works Department Page 1 Project: High Ave.South Stormwater Outfall Improvement Contract Number: CAG 96-097 Contractor: RJC Inc. Estimate Number: 1 Closing Date: 10/1/96 Item Description Unit Est. Unit Previous Previous This This Total Total No. Quantity Price Quantity Amount Quantity Amount Quantity Amount 001. Mobilization Lump Sum 1 $3,500.00 $0.00 1.00 $3,500.00 1.00 $3,500.00 002. Contractor Supplied Surveying Lump Sum 1 $3,500.00 $0.00 0.50 $1,750.00 0.50 $1,750.00 003. Temp Water Pollution/Erosion Control Lump Sum 1 $1,500.00 $0.00 1.00 $1,500.00 1.00 $1,500.00 004. Traffic Control Lump Sum 1 $1,450.00 $0.00 1.00 $1,450.00 1.00 $1,450.00 005. Clearing and Grubbing Lump Sum 1 $3,000.00 $0.00 1.00 $3,000.00 1.00 $3,000.00 006. Remove Existing Catch Basin and CMP Lump Sum 1 $6,000.00 $0.00 1.00 $6,000.00 1.00 $6,000.00 007. Crushed Surfacing Top Course Ton 2 $100.00 $0.00 $0.00 0.00 $0.00 008. Asphalt Conc.Pavement Cl.B Ton 3 $110.00 $0.00 $0.00 0.00 $0.00 009. Special Type 2,48"Dia CB Each 1 $6,220.00 $0.00 1.00 $6,220.00 1.00 $6,220.00 010. Shoring or Extra Excavation Cl.B SF 565 $2.75 $0.00 565.00 $1,553.75 565.00 $1,553.75 011. Outlet Structure Each 1 $8,720.00 $0.00 1.00 $8,720.00 1.00 $8,720.00 012. Special HOPE Pipe Linear Feet 485 $38.00 $0.00 485.00 $18,430.00 485.00 $18,430.00 013. Lateral Pipe Anchor Assembly Each 5 $670.00 $0.00 5.00 $3,350.00 5.00 $3,350.00 014, Landscape/Property Restoration Lump Sum 1 $3,000.00 $0.00 $0.00 0.00 $0.00 015. Cedar Picket Fence Linear Feet 56 $17.00 $0.00 $0.00 0.00 $0.00 Alternate A Slope Protection Lump Sum 1 $5,220.00 $0.00 1.00 $5,220.00 1.00 $5,220.00 Alternate 8 Slope Protection Lump Sum 1 $7,920.00 $0.00 $0.00 0.00 $0.00 Subtotal $0.00 $60,693.75 $60,693.75 8.2%Sales Tax $0.00 $4,976.89 $4,976.89 TT Total $0.00 $65,670.64 $65,670.64 !O`9-96 OCT 1 4 1996 • Date: CBIC - CONTRACTORS BONDING STATUS AND INSURANCE COMPANY PRINCIPAL: R.J.C.,INC. BOND NO: LB0135 CONTRACT AMOUNT$: $80,983.10 DESCRIPTION: PUBLIC WORKS CONSTRUCTION CONTRACT CAG-96-097 HIGH AVE SO.STORMWATER IMPROVEMENT PROJECT CITY OF RENTON DEPT OF PLANNING/BLDG/PtJB WORK 200 MILL AVENUE SOUTH RENTON,WA 98055 CONTRACTORS BONDING AND INSURANCE COMPANY is Surety on the above Bond. We appreciate your cooperation in providing the information requested below,and returning the form to us so that we may have current status information on the captioned job. A business reply envelope is enclosed for your convenience. Thank you for your assistance. Very truly yours, ERIC SIRKIN 10/11/96 IF THE CONTRACT HAS BEEN COMPLETED: 1. Completion date? ________ ________ — Date of final acceptance or expected final acceptance? 2. What date does contractual warranty period end? 3. Final contract price?(Including applicable taxes) Has full amount been paid?_ 4. Was the work satisfactory? Have all labor and material bills been paid? IF THE CONTRACT HAS NOT BEEN COMPLETED: 1. Percent of work completed to date? q�D `7_o -_- 2. Total amount paid to the Contractor to date$`'W-(o 5 yS—_ Amount of retainage held?$ '0 3 0 31, 6, 3. Is the Contractor paying his labor and material bills? 0n Anticipated date of completion? f 3 J 17 6 4a. Is the work progress satisfactory? --l-e- b. Is the quality of the work satisfactory? _ S 5. If the answer to No.4a or 4b is no,please explain: 6. Please provide any other information you feel would be helpful in evaluating the contractor Firm: -_- _ REPLY TO OFFICE By: -- -- - -------- - - -- - (Title) MARKED BELOW Date: ------- -- ------ - - - - - -- Address: - - - -- --- ---- ----- - -- - ---- - ---------- Telephone: ---- ---- ------ ---- ---- - - 11 Home Office: 1213 Valley Street,P.O.Box 9271,Seattle,WA 98109-0271.QW)622-7053.(8(0)765-CBIC,(206)682-1558 FAX ❑ Oregon: 1827 NE 44th Ave.,Suite 100,P.0.Box 12053,Portland OR 97213-0053.(503)287-6000,(800)926-2242,(503)287-6100 FAX ❑ Nevada: 6600 W.Charleston Blvd..Suite 132.P.0.Box 26990.Las Vegas,NV 89126-0990,(702)878-CBIC.(800)727-CBIC,(702)878-7011 FAX ❑ Arizona: 2201 East Camelback Road Suite 505B.Phoenix,AI,85016,(602)956-60(X),(800)866-CBIC,(602)956-6700 FAX,(800)284-2770 National FAX ❑ North Carolina: 2828F I-85 South Service Rd.,Charlotte,NC 28208,(704)391-101 I.(8(N))695-CBIC.(704)391-1015 FAX ❑ Spokane: N.901 Monroe,Suite 340,Spokane,WA 99201,(509)326-2244.(800)368-CBIC.(509)325-4462 FAX ❑ Florida: 2W South Harbor City Blvd.Suite 402.Melbourne,FL 32901,(407)722-1723.(800)372-CBIC,(407)722-1726 FAX ❑ Burllngame: 875 Mahler Rd.,Suite 202,Burlingame,CA 94010,(415)692-6180.(8(N))945-CBIC,(415)692-6182 FAX ❑ Laguna Hilks: 23172 Plaza Point Dr..Suite 185.Laguna Hills,CA 92653,(714)770-9733,(800)274-CBIC.(714)770-9805 FAX O:\MIS\CREATE\FORMSIRFOOOOIO.FRM 05.04 US UndSTUS.06-us020592 072200 SEA DAILY JOURNAL OF COMMERCE 105909 08/02/96 O RI GI N A L Vendor No. Vendor Name PO Date f Chapter 116, Laws of 1965 CITY OF RENTON Purchase Order City of Renton Certification " R 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 SEA DAILY JOURNAL OF COMMERCE unpaid obligation against the City of Renton, and that I am authorized to PO BOX 11050 authenticate and certify to said claim:SEATTLE, WA 98111 (Sk Signed NPLNG/BLDG/PUB WKS IL Y SYS FERKINGSTAD, LINDA Alt Unit Description Unif'Prtce Esfi, Amount Account Number .. '' WO/Func Amount. Inv. 3053756 7/31/96 300.30 E 421 .000600.018.5960.0038.65 .065015 65246/5390 300.30 Bid Call High Ave. Stormwater Outfall Inv. 3053755 7/31/96 297.00 E 421 .000600.018.5960.0038 .65 .065120 65121/5930 297 .00 Bid Call, Maplewood Creek Sedmt Basin Proj Authorized By 597.30 597.30 Accounts Payable Div.•200 Mill Ave.S. •Renton, WA 98055•Phone(206)235-2618•Fax(206)235-2513 DP 3119 11/94 Seattle VOICE 3053756 Daily GJOurn f Commerce BOX 11050, SEATTLE,WA 98111 206r622-8272J FAX 206-622-8416:- BILLING DATE TOTAL AMOUNT DUE PAYMENT DUE BY li i !�`�t: 07/31/96 300. 30 08/30/96 [it of Renton i'�U�'''" '� � BILLING y (�rFlC'L I PERIOD FROM: 07/31/96 TO: 07/31/96 Office of City Clerk 200 Mill Ave. S. ACCOUNT NO. AMT.ENCLOSE[ Renton WA 98055 3027 L PLEASE RETURN THIS PORTION WITH YOUR PAYMENT L_ DATE REFERENCE DESCRIPTION DIMENSIONS TIMES BILLED U/M RATE BALANCE NUMBER UNITS 07/24/96 70467 BC:HIGH AVE S:OUTFAL 1x91. 00 2 1. 650 300. 30 STORMWATER OUTFALL PO #NEUMANN, MICHELE � o r >-12t •b60�oo '6��.5��bp. b�3g.6S. 06sv�S C652���s93o� FEDERAL TAX I. D. *91-0193790. 300. 30 Seattle Daily Journal of Commerce Office: 83 Columbia St., Seattle P.O. Box: 11050 • Seattle, WA 98111 206 622-8272 • FAX 206 622-8416 s STATE OF WASHINGTON - KING COUNTY 70467 —Ss. City of Renton - No. STORMWATER 0 City of Renton Stormwater Affidavit of Publication Improvement Project .Bid Date:Aug-7 N " CCALL FOR ISUDS The undersigned, on oath states that he is an 111GH AVENUE SOUTH STORMWATEA O TFALL authorized representative of The Daily Journal of Commerce, a �IBed bide received by daily newspaper, which newspaper is a legal newspaper of general the City of Renton until 3:00 P. circulation and it is now and has been for more than six months M., AUGUST 7, 1996, at the prior to the date of publication hereinafter referred to, published in City Clerk's Office and will din be opened and publicly the English language continuously as a daily newspaper in Seattle, the 3rd floor conference room, King County, Washington, and it is now and during all of said time Renton Municipal Building, 200 Mill Avenue South. ormed was printed in an office maintained at the aforesaid place of The work to be pew from publication of this newspaper. The Daily Journal of Commerce within 30 working days ent un- was on the 12th day of June, 1941, approved as a legal newspaper the date of commencem der this contract shall include, by the Superior Court of King County. but not be limited to: . Construction of a storm- ttg�of Renton provement in rright-of-way The notice in the exact form annexed, was published in regular including but not limited to issues of The Daily Journal of Commerce, which was regularly a proximately, c linear feet distributed to its subscribers during the below stated period. The of IiDPE pipe,.catch basins, removal of existing structures, annexed notice, a temporary erosion control, slope stabilization, landscape restoration, and other work necessary to. complete the B C : HIGH A V E S:O U T F A L Work as specified and shown in the Contract Documents. The estimated project cost is was published on $60000 to$80,000.The City lit to reject any and/or all bid and to 07/24/96 07/31/96 waive any and/or all informal- ities. No bids will be accented after the time and date shown above. Approved Plans and Specifica tions and forms of Contract The amount of the fee char for the foregoing Documents may be obtained to g g publication 's the Public Works Department, the Sum Of S at the fourth floor Customer h t� ��pa�d in 11. Service Counter in the Renton �//U Municipal Building, 200 Mill — -- Avenue South, Renton, WA \ n �- 98o55 for a non-refundable fee Su scrib �dnd s%v rn to bef me on - 1 Notary Pvbhc for the State of Washingt residing in Seattle • CITY OF RENTON ' CITY CLERK'S OFFICE MEMORANDUM DATE: August 2, 1996 TO: Ron Straka AUG . Utility Engineering Supervisor ®�1996 ciry FROM: Brenda Fritsvold � ���, Engin O� EiV 7'CN Deputy City Clerk , Dopt SUBJECT: Legal Publication, Daily Journal of Commerce The attached billing for the High Ave. S. Stormwater Outfall Improvement project call for bids, published in the Daily Journal of Commerce, is being forwarded to you for payment. If you have any questions, please call me at ext. 2604. Thank you. enc. i . c 026960 FORD GRAPHICS 105890 07/26/96 ORIGINAL. en or No. Vendorislarrle • `?( [?ate...:€€>: Chapter 116, Laws of 1965 RCITY OF RENTON P(,®/chaSe Order 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 FORD GRAPHICS unpaid obligation against the City of Renton, and that I am authorized to PO BOX 3566 authentiZI�IdAL d certify to 7�J �d ciciim: SEATTLE, WA 98124 Signed PLNG/BLDG/PUB WKS UT LITY SYS FERKINGSTAD, LINDA Qt lnit n>[><::Dscn :'on.. Un1t:Pnce 'Est .Amatit : >'> Accoutt..Numfee WOLF:ur1c Amon t...." Recycled copies 343.54 E 421.000600.018.5960.0038.65.065015 65246/5331 343.54 bid plans & specs High Avenue Outfall High Avenue outfall 219.37 E 421.000600.018.5960.0038.65.065015 65246/5330 219.37 other copy charges 1 Authorized By 562.91 562.91 Accounts Payable Div.•200 Mill Ave.S.•Renton,WA 98055•Phone(206)235-2618•Fax(206)235-2513 DP 3119 11/94 �QINVOICE �Zi _Oz cm q y p. mIRS) LR e /��v�CgaoO,pp�,�, // p Dcf) m �7 � m � 'LEASE REMIT TO: P.O. BOX 3566, SEATTLE, WA 98124 =00 P.M. 07/22/96 o TIME REQUIRED DATE REQUIRED I (� PU It 07304 07/23 96 `j �`J N ri 80316900 INVOICE NUMBER DATE r 1' V'1 s O C n B CITY OF RENTON S CITY OF RENTON I UTILITIES SYSTEMS DIVISION H UTILITIES SYSTEMS DIVISION • L 200 MILL AVENUE SOUTH 1 200 MILL AVENUE SOUTH P � RENTON, WA 98055 T RENTON, WA 98055 ° JN m 3EIMBURSABLE'(Y/N) Y Ph. m , ORDERED BY W 'm RON S. P.O. : 105890 Job. *HIGH AVE. 07304-2 C m R g x fn• • • W D o •DESCRIPTI ORIG. COPIES • • W C c+ m D m z c co5210 LDC BOND 4 1 11X17 8.c 4.00 o 5110 8.5X11 S/S COPIES 17 50 5 -- O c- ono Z 5111 8.5X11 D/S COPIES 87 50 O 0 w 17 .5 W 5131 8. 5X11 S/S COPIES ON CLR 21 50 52.5 Z z ° 5602 8.5X11 COVER STOCK 6 S0 D D car 5130 11X17 S/S COPIES 4 50 - CO m r <, 5189 FOLDING 11X17 TO 8.5X11 4 50 8.00 O o 08 COMB QIN LNG 135 50 100.75 :3 DATE �/6 6 ` O 0. I f i l m 0 . O m 31 i r M m C:) -.,I 0 SUB TOTAL SALES TAX SHIPPING © c 520.25 42.66 562.91 cO m INVOICE TERMS: NET 30 DAYS 1.5% LATE CHARGE PER MONTH ON PAST DUE BALANCES G PLEASE CHECK YOUR W@W GL-9ELY. RETURNS MUST BE MADE WITHIN 5 DAYS OF DELIVERY. 1 048480 MCLENDON HARDWARE 105859 06/20/96 ORIGINAL Vendor No. Vendor Name PG bate ;1 Chapter 116, Laws of 1965 ; CITY OF RENTON Purchase Order 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 MCLENDON HARDWARE unpaid obligation against the City of Renton, and that I am authorized to 710 S 2ND ST authenticate and certify to said claim: RENTON, WA 98055 ,o Signed dw, C, Z • PLNG/BLDG/PUB WKS UTILIT SYS FERKINGSTAD, LINDA Qty Unit Description Unit Price Est.>.Amount Account Number WO/Func Amount 1 is Inv. 1244325 5/29/96 35.67 35.67 E 421.000600.018.5960.0038.65.065015 65246/5330 35.67 High Ave Slide Repair Lawn Seed 1 �.y Authorized By 35.67 35.67 Accounts Payable Div.•200 Mill Ave.S.•Renton,WA 98055•Phone(206)235-2618•Fax(206)235-2513 DP 3119 11/94 PLEASE REMIT TO ORIGINAL 710S.2ndSt. INVOICE 1244325 Renton,WA 98055 (206)235-3571 INVOICE • • r o O 01244325 05/29/96 19RST I�11 R f>�i I�7WAI�" ACCT# CRPiiS b • PUBLIC WORF:S CITY OF RENTON 124 4/1 - 6�j cn�Cf 200 MILL AVE S . RENTON, WA �7; 2 • 9 601^:S S L) 4io� AVE- SO DATE CASHIER SALESCLERK CUST,/OMER PO NUMBER DISCO 10th/NET 25th w U- („ L, , DISCOUNT NOT APPLICABLE ON NET PRICES �C w _d SEE DISCOUNT BELOW QTY DESCRIPTIONrPRICE DEPT QUANTITY UNIT PRICE • zG" a7 ��`�C 3, 00010. 990 32. 97N r .. N V 1ajl -i OF EN I C "1fnCPY":i Dept NON AXABLE SALES TAXABLE SA VS TOTAL SALES TAX RATE SALES TAX . 0 i 32.97 '2. 7 c9. 2G 2. 70 3S. 67 ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL AND ANY DESC PANCY MU T BE REPORTED WITHIN 5 DAYS FROM INVOICE DATE. THANK YOU FOR B SERVICE CHARGE 5 ON PAST DUE ACCOUNTS YOUR PATRONAGE WHITE CENTER PUYALLUP RENTON SUMNER WOODINVILLE ((2016 762-4090 (206)536-6560 (206)235-3555 ((206)863-2264 (206 485-1363 10210 16th Ave.S.W. 5420 112th Street East 710 So.2nd Street j 111 Fryar Ave. 17705 130th N.E. gR14R gR172 98055 98 90 98072 � S z _. .:':�'':::.:. �:.. �:. DATE(MM/DD/YY) ,? .. / / 6 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION BELL—ANDERSON AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 724 WEST SMITH ST ALTER THE COVERAGE AFFORDED BY THE POLICES BELOW. PO BOX 887 COMPANIES AFFORDING COVERAGE KENT WA 9 8 0 3 5-0 8 8 7 COMPANY A AMERICAN STATES INS . INSURED COMPANY RJC INC B RICK KRIER DBA: COMPANY PO BOX 467 c MAPLE VALLEY WA 98038 COMPANY D COVERAGES'::.::'::::::'':::>::::::::>::::.::::::>:::;::;" :::::» >:::<:: : ::.: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF IN LIMITS SURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LITS LTR - DATE(MM/DD/YY) DATE(MM/DONY) GENERAL LIABILITY O 1 CD 8 8 0 4 2 21 12/2 2/9 5 12/2 2/9 6 GENERAL AGGREGATE 52 , 000, 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG S 2 , 000, 000 CLAIMS MADE a OCCUR PERSONAL 6 ADV INJURY $1, 000, 000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1, 000, 000 FIRE DAMAGE(Any one fire) S so , 000 MED EXP(Any one Person) S 5, 000 AUTOMOBILEUABLI[TY 01CD8959241 01/15/96 01/15/97 1, 000, 000 COMBINED SINGLE LIMIT S X ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (per pew) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS t� / (Per accident S PROPERTY DAMAGE S s GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT S AGGREGATE S EXCESS UABtITY O 1 SU19 6 8 5 8 0 7/2 9/9 6 12/2 2/9 6 EACH OCCURRENCE $2, 000, 000 X UMBRELLA FORM AGGREGATE S 2, 000, 000 OTHER THAN UMBRELLA FORM $ 01CD8804221 12/22/95 12/22/96 X I STATUTORYLIMMS EMPLOYERS'LIABILITY EACH ACCIDENT $1, 000, 000 THE PROPRIETOR/ INCL DISEASE-POLICY LIMIT $2, 000, 000 PARTNERS/EXECUTNE OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE Sir 000 , 000 OTHER ^THIS PERTIFICATE CORRECTS & PEPLACES PREVIOUSLY I SUED* DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECUL REINS THE CITY OF RENTON & ENTRANCO ENGINEERING ARE NAMED AS ADDITIONAL INSUREDS RE: CONTRACT NO. CAG 96-097 FOR IMPROVEMENT BY CONSTRUCTION & INSTALLATION OF HIGH AVE SO STORMWATER IMPROVEMENT PROJECT ON GL, AUTO LIABILITY, EXCESS LIABILITY (UMBRELLA) & EMPLOYERS' LIABILITY ARISING OUT OF THE OPERATIONS OF THE NAMED INSURED. wryCt i CAN A`t ::.#fC#;f11~€...................................::::::::..:::::::.::.:......................................................................................................:::::::::::::.:::::::::.:::::......::.::.:::::::::::.:...::::::::.:.:................. :::::::: :.:..-..................................... .......................................-.... SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE CITY OF RENTON WASHINGTON EXPMTION DATE THEREOF, THE I'SSUM COMPANY WILL XKXKqOM MAL ATTN: BEVERLY NELSON—GLODE 4 5 DAYS WRITTEN NOTICE TO THE CERTMATE HOLDER NAMED TO THE LEFT, 200 MILL AVE SO dwfxiwwg iba#3�3f3fibiE)ibi� Ti6IE1�) 3b34Qt RENTON WA 98055 �xa�oacxxee x xrsxxla>sc�xelea�xlexx ttV9 ::::::::::::::::.:t w::::rds..::.::.:::..:::.;;:::::. C2 A.. ::1:..::::::.::::.:::.::........................................:::.:.::::::::::::::::::..::::::::::::::::::::.:::::::::.::::.:::.............................:::.::: .:..:: .......................::.:.: f AMERICAN STATES AMERICAN STATES INSURANCE COMPAID PAGE 1 ®` RANGE INDIANAPOLIS, INDIANA CD=1 .w. LINCOLN NATIONAL CORPORATION COMMERCIAL INSURANCE POLICY VB #09048 2 3 7 2-1 NAMED RJC INC. DECLARATIONS INSURED PO BOX 467 AND MAILING MAPLE VALLEY, WA 98038 POLICY NUMBER 01-CD-895924-1 ADDRESS RENEWAL OF NEW 01-96 AGENT BELL-ANDERSON AGENCY, INC NAME 724 W SMITH AND P O BOX 887 POLICY PERIOD FROM 01-15-96 TO 01-15-97 12:01 AM ADDRESS STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE. KENT, WA 98035 46-05753 (206) 852-1680 THIS POLICY IS SUBJECT TO FINAL AUDIT. TOTAL ESTIMATED ANNUAL PREMIUM: $6, 989 . 00 THE AMOUNT DUE WILL BE BILLED UNDER VARI-BILL ACCOUNT # 090482372 . IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. COMMERCIAL AUTO COVERAGE PART . . . . . . . . . . . . . . . . . . . . $ 6,989.00 6,989.00 T 7 �lv Frig COUNTERSIGNATURE BY (DATE) (AUTHORIZED REPRESENTATIVE) 9-CC(0887) COMPANY USE ONLY SEATTLE 27 (10008) VB AGENT COPY PREPARED 01-31-96 AGT ®^AMERICAN STATES AMERICAN STATES INSURANCE COMP PAGE 1 1 �INSURANCE � INDIANAPOLIS, INDIANA w owr LINC XN NATIONAL CORPORATION COMMERCIAL INSURANCE POLICY NAMED RJC INC. DECLARATIONS INSURED PO BOX 467 AND MAPLE VALLEY, WA 98038 POLICY NUMBER 01-CD-880422-1 MAILING ADDRESS RENEWAL OF NEW 12-95 AGENT BELL-ANDERSON AGENCY, INC NAME 724 W SMITH AND p 0 BOX 887 POLICY PERIOD FROM 12-22-95 TO 12-22-96 12:01 AM ADDRESS KENT WA 98035 STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE. r 46-05753 ( 206) 852-1680 THIS POLICY IS SUBJECT TO FINAL AUDIT. TOTAL ESTIMATED ANNUAL PREMIUM DUE ON EFFECTIVE DATE: $5, 544 . 00 IN RETURN FOR THE PAYMENT-OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. COMMERCIAL LIABILITY COVERAGE PART . . . . . . . . . . . . . . . . . . . . $ 4,951.00 COMMERCIAL INLAND MARINE COVERAGE PART . . . . . . . . . . . . . . . . . . . . $ 593.00 5,544.00 G �1.1 COUNTERSIGNATURE (DATE) BY (AUTHORIZED REPRESENTATIVE) .9-CC(0887) COMPANY USE ONLY SEATTLE 27 (10008) AC AGENT COPY PREPARED 12-26-95 AGT AERICAN STATES AMERICAN STATES INSURANCE COMPA PAGE 1 �� IMIN�j1RANCE INDIANAPOLIS, INDIANA CD=1 duNcoLNNAnoNucoaPoaAnoN UMBRELLA LIABILITY POLICY VB #090482372-1 761 NAMED RJC INC. DECLARATIONS INSURED PO BOX 467 AND MAULING MAPLE VALLEY, WA 98038 ADDRESS POLICY NUMBER 01—SU-196858-10 RENEWAL OF NEW , 07-96 AGENT BELL—ANDERSON AGENCY, INC POLICY PERIOD FROM 07-29-96 TO 12-22-96 12:01AM NAME 724 W SMITH STANDARD TIME AT YOUR MAILING ADDRESS SHOWN ABOVE. AND P O BOX 887 ADDRESS KENT, WA 98035 46-05753 (206) 852-1680 THE TOTAL PREMIUM DUE FOR THE POLICY TERM IS : $792 . 00 THE AMOUNT DUE WILL BE BILLED UNDER VARI—BILL ACCOUNT ## 090482372 IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, THE COMPANY AGREES WITH THE NAMED INSURED TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. COMMERCIAL UMBRELLA LIABILITY COVERAGE $ 792.00 S�Ln � �92.00 Air � � 1996 THIS POLICY IS ISSUED WITH THE CONDITION THAT THE UNDERLYING LIMITS AND COVERAGES SHOWN IN THE SCHEDULE ARE IN FORCE. COUNTERSIGNATURE BY (DATE) (AUTHORIZED REPRESENTATIVE) 9-CU (4-93) COMPANY USE ONLY