HomeMy WebLinkAboutSWP272004 (2) Printed On:10/30/92 City of Renton Public Works Department Peps 1
Project: North Fork Springbrook Creek Regional Bypass Pipeline Contract Number: CAG 92-081
Contractor:Jack Johnson Const.Inc. Estimate Number: 3 Closing Date: 10/30/92
Item Description . Unit Est. Unit Previous Previous This This Total Total
No. X Quantity Price Quantity Amount QuantitlL Amount Quantity Amount
SCHEDULE'A'
001. Mobilization Lump Sum 1.0 $16,000.00 1.00 16000.00 5000 1.00 $16,000.00
002.Clearing and Grubbing Lump Sum 1.0 $5,000.00 1.00 5000.00 1.00 $6,000.00
003. Special Excavation for Berm Inc.Haul Cubic Yds 225.0 $20.00 225.00 4500.00 639.00-.....,.,:;$1 ;79a�Okp 864.00 $17,280.00
004.Special Impervious Borrow Inc.Haul Cubic Yds 1400.0 $11.00 1400.00 15400.00 858.00 $!w 2258.00 $24,838.00
005.Construction Fabric Square Yds 350.0 $7.00 350.00 2450.00 189.22 $1,324 i4ljl 539.22 $3,774.54
006. Embankment Compaction Cubic Yds 1700.0 $7.00 1700.00 11900.00 558.00. S390600! 2258.00 $15,806.00
007. Filter Fabric Fence Un.Feet 200.0 $3.00 163.00 489.00 $O.OD 163.00 $489.00
008. Structure Excavation Class B Inc.Haul Cubic Yds 800.0 $0.10 800.00 80.00 '.i$0 Oflj 800.00 580.00
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009. Shoring&Crib.or Extra Excay.CI.B Square Feet 50.0 $1.50 0.00 0.00 0.00 $0.00
at Fixed Price
010. Hand Placed Riprap Cubic Yds 30.0 $25.00 30.00 750.00 90.00 $2250.00< 120.00 $3,000.00
011. Remove and Reset Hand Placed Cubic Yds 10.0 $15.00 35.00 525.00 $0,00:; 35.00 $525.00
Riprap
012.Cl.II Reinf.Cone.Culv.Pipe Linear Ft 70.0 $65.00 63.00 4095.00 $0.00: 63.00 $4,095.00
(24 in dia)
013.CI.II Reinf.Cone.Culv.Pipe Unear Ft 20.0 $115.00 23.00 2645.00 $0.00: 23.00 $2,645.00
(36 in dia)
014. Special High Density Polyethylene Pipe Linear Ft 120.0 $38.00 120.00 4560.00 120.00 $4,560.00
(12 in dia)
015.Special High Density Polyethylene Pipe Linear Ft 1400.0 $28.00 1400.00 39200.00 .$O.Ok 1400.00 $39,200.00
(24 in dia)
016.Special High Density Polyethylene Pipe Linear Ft 10.0 $95.00 10.00 950.00 $0.D0 10.00 $950.00
(28 in dia)with 2 ea expansion sleeve
fastener(28 in dia)
017. Percolation collar(24 in dia) EACH 2.0 $175.00 2.00 350.00 $0.00 2.00 $350.OD
018. Special Trash Rack EACH 1.0 $650.00 1.00 850.00 .....:.5.(S,OO:i 1.00 $650.00
(24 in dia) .
019.Catch Basin Type 2(48 in dia) EACH 1.0 $2,875.00 1.00 2875.00 $0 09. 1.00 $2,875.00
wfManhole Cover
+ Printed On:10/30/92 City of Renton Public Works Department Page 2
Project: North Fork Springbrook Creek Regional Bypass Pipeline Contract Number: CAG 92-081
Contractor:Jack Johnson Const.Inc. Estimate Number: 3 Closing Date: 10/30/92
Item Description . Unit Est. Unit Previous Previous This This Total Total
No. X Quantity Price Quantity Amount Quantity Amount Quantity Amount
020.Catch Basin Type 2(54 in dial EACH 1.0 $6,350.00 1.00 6350.00 1.00 $6,350.00
w/Debris Cage&Slide Gate
021. Special Catch Basin Type 2(72 in dia) EACH 1.0 $8,500.00 1.00 8500.00 SQ b0; 1.00 $8,500.00
w/Elbow
022.Crushed Surfacing Top Course Tons 47.0 $15.00 26.06 390.90 06'1!(3 26.06 $390.90
023.Gabion Cribbing Cubic Yds 200.0 $125.00 203.00 25375.00 9 i70[i 203.00 $25,375.00
024.Impervious Lining Material Square Yds 90.0 $10.00 281.11 2811.10 lW.00 281.11 $2,811.10
025.Grass Seeding Acres 5.0 $750.00 5.00 3750.00 $0,00 5.00 $3,750.00
026. Fertilizer Acres 5.0 $250.00 5.00 1250.00 5.00 $1,250.00
027. Delete Item 20 1.0 ($6,350.00) 1.00 -6350.00 s0.00 1.00 ($6,350.00)
028.Catch Basin Type 2(72 in dia) 1.0 $9,305.07 1.00 9305.07 $;p.00 1.00 $9,305.07
w/debris cage,slide gate reducer slab
029.24"mechanical couplIng(installed) 1.0 $1,757.11 1.00 1757.11 SC00 1.00 $1,757.11
030. Remove trees and relocate 24"HDPE Lump Sum 1.0 $10,493.29 0.D0 1.00 $10,493.29 1.00 $10,493.29
TT Sub Total $165,558.18 $40,191.83 $205,750.01
Sales Tax 8.2 $13,575.77 $16,871.50
Total Schedule A $179,133.95 $43,487.56 a $222,621.51
SCHEDULE"B"
001.Special High Density Polyethylene Pipe Linear Ft 550.0 $10.00 555.00 5550.00 $0.00 555.00 $5,550.00
(12 in dia)
002.Special High Density Polyethylene Pipe Linear Ft 10.0 $48.00 10.00 480.00 $O.DO-. 10.00 $480.00
(14 in dia)with 2 ea expansion sleeve
fasteners"A"
003. 12"HDPE stub end 1.0 $925.02 1.00 925.02 $0.00 1.00 $925.02
004. Delet Item 3 1.0 ($925.02) 1.00 -925.02 $0.00: 1.00 ($925.02)
005. HDPE connection&pulling head 1.0 $656.03 1.00 656.03 $0.00° 1.00 $656.03
TT Sub Total $6,686.03 $0.00 $6,686.03
Sales Tax 8.2 $548.25 $0.00 $548.26
Total Schedule B $7.234.28 $0.00 $7,234.29
Total Schedule A $179.133.95 $43,487.56P $222,621.51
Total Schedule B $7,234.28 $0.00 $7,234.29
Grand Total $186,368.23 $43,467.56; $229,855.80
CITY OF RENTON
Planning/Building/Public Works Department
Earl Clymer, Mayor Lynn Guttmann,Administrator
October 12, 1993
Mr. Ken Guy, Assistant Manager
King County Surface Water Management Division
King County Department of Public Works
400 Yesler Way - Room 400
Seattle, WA 98104-2637
SUBJECT: NORTH FORK SPRINGBROOK CREEK REGIONAL BYPASS PIPELINE
REIMBURSEMENT TO CITY
Dear Mr. Guy:
Thank you for meeting with us on September 30, 1993 to discuss an equitable cost
share arrangement for the above-referenced project in response to our reimbursement
request originally submitted to your Division on April 29, 1993. The additional cost of
your overhead rate, added to the project after we had agreed upon costs in April, has
resulted in the total project cost exceeding the total project budget as agreed to in the
project Interlocal Agreement (CAG-106-91).
Based upon our discussion during the September 30, 1993 meeting and our review of
your costs for the project, we propose another option to resolve the cost overrun. We
find it difficult to accept some of the King County costs submitted for the project for
the following reasons:
• While we acknowledge that the Interlocal Agreement allows you to charge
overhead for your time spent on the project, we cannot justify to our Council your
charge of an overhead rate on the cost to purchase an easement.
• We consider the project design costs to be much higher than what a design
consultant would have cost, particularly when you add in the King County overhead
rate. However, we will accept the cost as submitted, provided that we come to
agreement on the other recommendations contained in this letter.
• We strongly disagree with the cost submitted for construction management and
inspection. The City was responsible for construction management and inspection.
Our inspection cost for the project was only $4,543. Our inspector was on the job
site a minimum of 5-hours a day. Our total staff cost for our involvement in all
phases of the project, including inspection, was $19,233, while your staff cost for
construction management only was $13,570 plus your overhead rate. Our
experience during the construction of this project leads us to conclude that your
200 Mill Avenue South - Renton, Washington 98055
S
NORTH FORK SPRINGBROOK CREEK REGIONAL BYPASS PIPELINE
REIMBURSEMENT OPTION
Page 2
hours charged for this phase are impossibly high. We also find that your staff
charged $5,486.14 for construction management (plus overhead) prior to 1992,
which is when project construction occurred.
Our proposal for resolving the project budget overrun is as follows:
KING COUNTY PROJECT
COSTS
Option DESCRIPTION Revised Overhead TOTAL NOTES
Actual rate (130%)
...................
2 Property Purchase $24,473 $0 $24,473 No overhead rate
7 Design $46,849 $14,055 $60,904
8 Property Management $8,352 $2,506 $10,858
9 Const. Management $6,785 $2,036 $8,821 50% of submitted K.C.
cost
Revised K.C. Total Project Cost: $105,055
CITY OF RENTON TOTAL PROJECT COST: $273,995
KING COUNTY REVISED TOTAL PROJECT COST: $105,055
TOTAL PROJECT COST: $ 379,050
50/50 COST SPLIT: $ 189,525
LESS REVISED KING COUNTY SWM COST: ($105,055)
REIMBURSEMENT DUE TO RENTON: $ 84,470 (REMAINDER)
These recommendations would bring the budget overrun for our share of the project to
$3,525. Our mid-year budget adjustments have been forwarded to Council already this
year, so we cannot adjust our project budget as part of that normal process. We will
request that you or a member of your staff attend our Utilities Committee meeting to
assist in explaining the budget overrun to our Council, who must approve a fund
transfer to cover the expense.
r
NORTH FORK SPRINGBROOK CREEK REGIONAL BYPASS PIPELINE
REIMBURSEMENT OPTION
Page 3
Also, we request immediate payment for the portion of the project cost reimbursement
to us that is not being disputed. The undisputed reimbursement amount is $65,617 as
indicated in your August 20, 1993 letter. A majority of our total project costs were
payments to vendors, consultants and the construction contractor ($254,762). Our
adjusted reimbursement request ($84,470) has gone unpaid for over five months,
which at an annual interest rate of 5% represents a loss to the City of $1,760 in
interest. We see no justification in your long delay in paying even the undisputed
portion of this overdue bill. This is no way to do business with a fellow jurisdiction,
and we trust that you will take whatever corrective measures are necessary to assure
that any obligations owed to the City will be met in a more timely fashion in our future
dealings.
If you have any questions or wish to discuss this subject further, please contact Ron
Straka, Surface Water Utility Engineering Supervisor, at (206) 277-5548
We look forward to resolving this issue and final close out of this project.
Sincerely,
Gregg Zimmerman, P.E.
Utility Systems Division Director
H:DOCS:93-1014:RJS:ps
CC: Lynn Guttmann
Ron Straka
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21 —Oct-93
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SPRINGBROOK REGIONAL POND INTERLOCAL
AGREEMENT (CAG-106-91)
BELOW IS A LIST OF PAYMENTS MADE TO VENDORS IN WHICH
SWM REQUESTS A COPY OF EACH INVOICE FOR OUR RECORDS.
VENDOR AMOUNT
iz lea l a9 Hong Consulting $3,166.84
s1zz/a5 Royal Reprograhics $313.49
fl O 85 Federal Ex ress $28.00
qll ►eg arget Surveyors $11702.1
u/13/69 Hong Consulting 7,371.50
City of Renton $9.81
-7p3/g2 Royal Reprograhics $149.32✓ 1>0 6 z010
,Q)Z4-Iti2- Seattle Daily Journal $240.70 ✓ ?0 `t og
/1/2311?2. ✓Hong,West and Assoc. $1,650.30✓ a 5y
Target Surveyors $813.50 ✓ p o (.5 4 33
Total $15,445.57
'�G-v C�-2�5 c,�.�V�prs 30���• �G 1�O � ��F 3 3
y2J1�0d1%ssV.3C,6sosool
Hong Consulting Engineers, Inc
P. 0. Box 596
Lynnwood, WA 98036
Project 8937 Springbrook Earth Dam Invoice number 5
storm retention October 14 , 1989
Page number 1
City of Renton, Public Works
200 Mill Avenue
Renton, WA 98055
PAY FROM INVOICE
Professional Services
-----------------------------------------------------------------------
Professional Services Hours Rate Amount
Steve H. Evans
9-17-89 Report preparation 1. 00 45. 00 45. 00
9-19-89 data evaluation 1. 00 45. 00 45. 00
9-19-89 data evaluation 1. 50 45. 00 67 . 50
Sa H. Hong
9-18-89 soil evaluation 1. 00 75. 00 75. 00
------- -----------
Services total 4 . 50 232 . 50
Charges sub-total 232 . 50
Invoice total 232 . 50
-----------
Outstanding Invoices Number Date Amount
Invoice 100189 10-01-89 7, 139 . 00
Total Receivables 7, 139 . 00
Balance due 7, 371 . 50
Approved By,
5-4, //,
Sa H. Hong
Hong Consulting Engineers, Inc
Project Billing Summary Prior Current Total
Professional Services 7 , 139 . 00 232 . 50 7 , 371. 50
Total 7, 139 . 00 232 . 50 7 , 371. 50
CRARTER 116,LAWS OF 1965
77�- __ _ _ ^ITY OF RENTON CERTIFICATION
$.: J
1•The imdaugsed do htxe2ry ctrnfy tmdts pntat i�?f p�Nr/•
fttmisbed. ;,acted
t`ta the tnateaala have beta od that the
Czt � rn me labor performed n dexabed hereut f Re
ia a just, due and un*d obligatioa agatna city., .. .. ,....., aid that I atn�thaircd to wthettti care etd c i Y to said c uu
Siped-
r
Hong West & Associates, Inc.
19730 64th Ave West, Suite 200
Lynnwood, WA 98036-5957
(206) 774-0106 '
Invoice number 1942
J_3r,Iq S October 30, 1992
Page number 1
Project 8937-1: Springbrbo7c GYee)q?Regional Bypass Pipeline $
City of Renton
Municipal Building
200 Mill Avenue S
Renton, WA 98055
Ron Straka
I �i� l.'
i
Invoice for the period ending October 24, 1992.
Professional Services Hours Rate Amount
Roderick F. Faubion
Geology 7.50 45.00 337, 130
Sa H. Hong
Geotechnical Engineering 8.00 95.00 760.00
----------
Services tetal 1,097.50
CONCURRENCE -----------
Inside Expenses DATE u(�f J Amount
NA 1 V A
Sieve Analysis (wet)
9-22-92 60.00
Proctor for Granular Soil
9-22-92 120.00
Perm. Test-Constant/Fall. Head
9-21-92 2 tests 320.00
Inside Expense Total 500.00
Outside Expenses Amount
Mileage
9-17-92 60 mi 24.00
9-18-92 72 mi 28.80
Outside Expense Total 52.80
Charges sub-total 1,650.30
Current Invoice Total 1,650.30
1 `
Invoice number 1942
October 30, 1992
Page number 2
Project 8937-1: Springbrook Creek Regional Bypass Pipeline
Project Billing Summary Prior Current Total
Professional Services . 00 1, 097. 50 1, 097 . 50
Inside Expenses . 00 500. 00 500. 00
Outside Expenses . 00 52 . 80 52 . 80
Total . 00 1, 650. 30 1, 650. 30
Approved by
b��
i
K. Hong
Hong West & Associates, Inc.
w
King County
Surface Water Management Division
Department of Public Works
Yesler Building
400 Yesler Way-Room 400
Seattle,WA 98104-2637
(206)296-6519
Mr. Gregg Zimmerman, P. E. October 28, 1993
Utility Systems Division Director
City of Renton
200 Mill Avenue South
Renton, WA 98055
RE: Springbrook Regional Detention Pond (047032)
Dear Mr. Zimmerman:
I have completed the review of the issues raised in your October 12, 1993
correspondence regarding final cost sharing for the Springbrook Regional
Detention Pond. Enclosed is a check in the amount of $84,470, as you
requested.
While Surface Water Management (SWM) Division is agreeing to pay the full
amount requested, I do wish to make clear that I believe the direct and
indirect costs presented at our September 15, 1993 meeting are fair and
accurate. However, we are paying your full requested amount in the spirit
of cooperation and the pursuit of maintaining an amicable partnership. As
discussed at the September 30, 1993 meeting, both jurisdictions need to work
toward building a better mechanism for communication to insure the smooth
and timely settlement of future interlocal agreements.
Also, SWM Finance would like to request copies of invoices for payments to
vendors which are missing from the project cost documentation submitted to
SWM. A list of the missing vendor invoices is enclosed. The invoice copies
can be sent to the attention of Steve Oien, SWM Division Finance and
Administration Unit Acting Manager.
I trust that this payment of $84,470 fulfill's the SWM Division's obligation
in the Springbrook Regional Pond Interlocal Agreement (CAG-106-91) . If you
have any questions, please call me at 296-6587 or Steve Oien at 296-8339.
Sincerely,
Ken Guy
Assistant Manager
KG:KY: in (B2/lt9)
Enclosures
cc: Jim Kramer, Manager, Surface Water Management Division
ATTN: Cynthia Felice, Manager, Program Development Section
Susan Thomas, Intergovernmental Relations Coordinator
Steve Oien, Acting Manager, Finance and Administration Unit
21 —Oct-93
SPRINGBROOK REGIONAL POND INTERLOCAL
AGREEMENT (CAG-106-91)
BELOW IS A LIST OF PAYMENTS MADE TO VENDORS IN WHICH
SWM REQUESTS A COPY OF EACH INVOICE FOR OUR RECORDS.
VENDOR AMOUNT
Hong Consulting $3,166.84
Royal Reprograhics $313.49
Federal Express $28.00
Target Surveyors $1,702.11
Hong Consulting $7,371.50
City of Renton $9.81
Royal Reprograhics $149.32
Seattle Daily Journal $240.70
Hong,West and Assoc. $1 ,650.30
Target Surveyors $813.50
Total $15,445.57
DUPLICATE RECEIPT DUPL.IC:ATE RECEIPT
CITY OF RENTON
CITY TREASURER
REG/RCPT 02-1-14203 11-03-1993
CASHIER Ili e H 10:14 am
SOW) MISCELLANEOUS—RE $84r470.00
SPRNGBRK BYPASS W10651"102 F8210
421.60i 1.00.383.07.00.065000
--------------
TOTAL. DUE $84Y470.00
RECEIVED FROM:
KING COUNTY
CHECK $2r472.00
CHECK $81Y998.00
—^^TOTAL TENDERED $84►470.00
---------------
! HANGE DUE $0.00
DUPLICATE^RECEIPT DUPLICATE—RECEIPT—�
l
rJ
April 29, 1993
Mr. Larry Gibbons, P.E.
Supervising Engineer, Project Management and Design Unit
King County Surface Water Management Division
400 Yesler Way - Room 400
Seattle, WA 98104-2637
SUBJECT: REIMBURSEMENT SUBMITTAL #1 (FINAL) FOR $90,375.21
CONSTRUCTION COSTS PER INTERLOCAL AGREEMENT
CAG-91-106; NORTH FORK SPRINGBROOK REGIONAL BYPASS
PIPELINE
Dear Mr. Gibbons:
This is a request for reimbursement in the amount of $90,375.21 for final project costs
associated with the above-referenced project. This request is in accordance to the
interlocal agreement between King County and the City of Renton (Renton
CAG-91-106).
Enclosed please find the following:
1) City of Renton job costing reports and project cost summary;
2) Copies of pay estimates and change orders; and
3) Two copies of contract documents
Please include the following numbers on your check for our Finance Department.
Account No. 4 0. y2/. (moo' 00. 3e3. o-/ co. t roco
Work Order No. 65000 Z,-541)0,`R
Function No. 5210
If you have any questions or require additional information, please contact John
Hobson at (206) 277-6179. The City of Renton's Finance Department contact for this
project is Paula Henderson. You may contact her at (206) 235-2729.
Sincerely,
Ronald J. Straka, P.E.; Engineering Supervisor
Surface Water Utility
C:DOCS:93-406:RJS:JDH:ps
CC: Gregg Zimmerman
Enclosures
Ronald J. Straka
From: Lynn A. Guttmann
To: Gregg A. Zimmerman
Cc: Ronald J. Straka
Subject: Springbrook Pipeline $
Date: Thursday, November 04, 1993 9:57AM
GOOD WORK! I'm glad that you two pursued the issue to its successful result!
Page 1
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..::.::.::.;:::.
`:: '' ':... M�ET�NG WITH CITY OF t IT4N
October 1s 1993
Ron :Straka' Uff3+c
1. Background on Interlocal Agreement and Project Costs.
2. Concerns/Interests of King County and Renton.
3. Approach and Schedule for Resolving Issue.
KG:bb
9/30/93
� � 1
King County D
Surface Water Management Division
Department of Public Works SEP 2 31993
Yesler Building
400 Yesler Way-Room 400
Seattle,WA 98104-2637 SURFACE WATER;i;fuq `t` EIv1 UIVISIpI�
(206)296-6519
KEN GUy
September 22, 1993
TO: Ken Guy, Assistant Manager, Surface Water Management (SWM) Division
FM: Larry Gibbon+IV
ervising Engineer, Project Management and Design Unit
RE: Springbrookbrinage Project
Enclosed is the July 1993 "48" ARMS report for the Springbrook Drainage
project. The costs shown on this report are the same as the December 1992
costs I shared with the City of Renton. In December they didn't have any
concerns about the County's cost.
Some general comments on SWM expenditures by options are discussed below:
o$
t1 .t14f#:. 1988 Actual CU:10r1
1 0 0 Renton's Cost
2 $50,000 $24,473 SWM was responsible for acquiring all
right-of-way
3 $80,000* Project was to be constructed by Renton
7 $28,000 $46,849 The design cost was higher because:
1) $3,300 for condemnation
2) $4,000 for changes by City
3) $6,000 for delays dues to fisheries
and start of construction
8 $5,000 $8,352 Higher because of Condemnation
9 $25,000 $13,570 SWM spent more time than expected;
14 --C. ez)F' Renton was responsible for inspection
Totals $190,000 $93,244 SWM share in the ILA is $186,000
l�
'30-Sep-93
SPRINGBROOK PROJECT COST ANALYSIS
CITY OF RENTON COST 273,995
KING COUNTY SWM COST 120,383
TOTAL PROJECT COST 394,378
50/50 SPLIT 394,378 / 2 197,189
LESS KING COUNTY SWM COST (120,383)
REMAINDER 76,806
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King County
Surface Water Management Division
Department of Public Works
Yesler Building
400 Yesler Wav-Room 400
Seattle,WA 98104-2637
(206)296-6519
August 20, 1993
Mr. Ronald J. Straka, P.E.
Engineering Supervisor
Surface Water Utility
City of Renton
200 Mill Avenue South
Renton, WA 98055
RE: Reimbursement of Construction Costs per Interlocal
Agreement CAG-106-91; Springbrook R/D Pond (47032)
Dear Mr. Straka:
Thank you for your submittal of expenditures for the City of Renton's share
in the construction of the Springbrook R/D Pond. The following is a summary
of the enclosed Project Costs and Cost Share Analysis based on your
submittal and the terms of Interlocal Agreement CAG-106-91:
Summary of Project Costs Incurred by SWM
Since the agreement covers cumulative costs beginning January 1, 1988,
$1,119 in King County costs incurred prior to January 1, 1988 have been
excluded from the analysis. Total project cost to King County Surface Water
Management (SWM) was $120,383. This figure reflects both direct costs and
indirect costs.
Cost Share Analysis
According to the Interlocal Agreement CAG-106-91, Section IV Costs, part B,
"King County's contribution to the project will not exceed one-half of the
total project expenditures or $186,000, which ever amount is less. " Since
King County's contribution was $120,383, the City of Renton is due $65,617
(186,000 minus 120,383) from King County.
If this analysis in calculating the reimbursement due to the City of Renton
is satisfactory, please indicate by signing and returning this letter. Upon
receipt of the signed letter, the SWM Division will reimburse the City of
Renton the amount of $65,617.
Mr. Ronald J. Straka, P.E.
August 20, 1993
Page 2
If you have questions or need more information, please call me at 296-6587
or Steve Oien, Finance and Administration Acting Manager, at 296-8339.
Sincerely,
Ken Guy
Assistant Manager
Ronald J. Straka, P.E.
Engineering Supervisor
City of Renton Surface Water Utility
KG:KY:in
B1/lt9
Enclosures
cc: Jim Kramer, Manager, Surface Water Management Division
ATTN: Cynthia Felice, Manager, Program Development Section
Susan Thomas, Intergovernmental Relations Coordinator
Dick Thiel , Manager, Engineering and Environmental Services Section
ATTN: Larry Gibbons, Supervising Engineer
Steve Oien, Acting Manager, Finance and Administration Unit
ATTN: Kevin Yokohama, Administrative Services Officer
SPRINGBROOK R/D POND — CIP PROJECT #047032 20—Aug-93
COST SHARE ANALYSIS PER INTERLOCAL
AGREEMENT WITH CITY OF RENTON
Total City Of Renton project expenditures 273,995
Total King County project expenditures 120,383 **
TOTAL PROJECT EXPENDITURES 394,378
Total Project Expenditures 394,378
Less amount exceeding ILA maximum project cost of $372,000 (22,378)
TOTAL PROJECT EXPENDITURES 372,000
Cost per agency (50% of total costs) ( $372,000/2 ) 186,000
50% of total project costs 186,000
Less King County expenditures before reimbursement 120,383 **
Amount to due City of Renton by
King County 65,617
** See summary of project costs
17-Aug-93
SPRINGBROOK R/D POND - CIP PROJECT #047032
SUMMARY OF PROJECT COSTS BY YEAR
PER INTERLOCAL AGREEMENT WITH CITY OF RENTON
YEAR TOTAL
1988 10,626
1989 13,175
1990 38,107
1991 40,869
1992 17,606
TOTAL 120,383
April 29, 1993
Mr. Larry Gibbons, P.E.
Supervising Engineer, Project Management and Design Unit
King County Surface Water Management Division
400 Yesler Way - Room 400
Seattle, WA 98104-2637
SUBJECT: REIMBURSEMENT SUBMITTAL #1 (FINAL) FOR $90,375.21
CONSTRUCTION COSTS PER INTERLOCAL AGREEMENT
CAG-91-106; NORTH FORK SPRINGBROOK REGIONAL BYPASS
PIPELINE
Dear Mr. Gibbons:
This is a request for reimbursement in the amount of $90,375.21 for final project costs
associated with the above-referenced project. This request is in accordance to the
interlocal agreement between King County and the City of Renton (Renton
CAG-91-106).
Enclosed please find the following:
1) City of Renton job costing reports and project cost summary;
2) Copies of pay estimates and change orders; and
3) Two copies of contract documents
Please include the following numbers on your check for our Finance Department.
Account No. 421/600/18.596.38.65.65000.
Work Order No. 65000
Function No. 5210
If you have any questions or require additional information, please contact John
Hobson at (206) 277-6179. The City of Renton's Finance Department contact for this
project is Paula Henderson. You may contact her at (206) 235-2729.
Sincerely,
Ronald J. Straka, P.E., Engineering Supervisor
Surface Water Utility
C:DOCS:93-406:RJS:JDH:ps
CC: Gregg Zimmerman
Enclosures
SPRNGBRK.XLS
CITY OF RENTON / KING COUNTY Interlocal Agreement CAG106-91
North Fork Springbrook Creek Regional Bypass Pipeline
Project Costs:
Work Order #5004 (1988) (per page 1& 2 of job cost print-outs) $3,841.77
Work Order #5004 (1989) (per page 3 & 4 of job cost print-outs) $14,040.1 1
Work Order #65000 (1990) (per page 5 of job cost print-outs) $1,378.97
Work Order #65000 (1991-93) (per page 6 - 9 of job cost print-outs) $17,345.79
Work Order #65002 (1992) (per page 10 & 11 of job cost print-outs) $237,388.34
Total City of Renton Expenditures $273,994.98
Total City of Renton Expenditures $273,994.98
Total King County Expenditures $93,244.36
Total Project Costs $367,239.34
Cost per agency (50% of total costs) ( $367,239.34 / 2 ) $183,619.67
50% of total project costs: $183,619.67
King County expenditures before reimbursement: $93,244.36
Amount to be reimbursed from $90,375.31
King County to City of Renton
Page 1
{JQR,`c ORDE, 1.0 '';t (' PAGE : 37 WORK BUI� 120000.00
SPRINGBK REGIONAL PD .
POND JOINT WKING CO SOLVE N FORK PROB
VENDOR LABOR
NAKE ACCT CK:DATE DESCRIPTION PAYMENT HOUR AMOUNT EQPT INV TOTAL
PRICE 401 12/31/88 LABOR 0.00 15.00 282.53 0.00 0.00 282.53
WORK ORDER TOTALS 0.00 15.00 282.53 0.00 0.00 292.53
------------------------------------------------------------------------------------------------------------
APPLIED BENEFIT/STORE COST: 121.21 0.00 121.21
APPLIED OVERHEAD s 60.56
------------------------------------7----------------------------------------------------------------------------
BILLABLE TOTAL: 0.00 15.00 464.90 0.00 0.00 464.99
-------------------------- --------------------------------
------Nos.yµ--------------------------- �103`.��`x
• i
i.
; j
?Y ORDER 5004 , PAGE : 76
I INGBK REGIONAL PD
POND JOINT W/k:ING CO SOLVE N FORK PROS
VENDOR LAAOR
'E ACCT MDATE DESCRIPTION PAY04T HOUP AllOWT EWT INV TF+TAL
CE, C 01/31/88 LABOR 0.00 1.00 19.74 0.00 19.74
_Ei C -0i00 11.1:pit a4.-;'0- - 0.P0 -A;liP- - 35:'3. -
'AL GFWHICS 421 02/29/ 0364 16.22 is.00 0.00 i+,00 0.00 16.22 - - -
j ET Si4 IEYORS 421 02/29/88 13511 650.Ot± 0.O0 Ci.Ul 0.O0 0.00 i.5(1.tii;
13ET S!IRVEYORS 421 02/29/88 33917: 1500.00 0.00 0.00 0.00 0.A11 150fl.0
LEY NEWSPAPER 421 02/29/'8 a-M4 47.76 0.00 0.00 0.iC, 0,00 47.7E
CET SURVEYORS 421 03/31/88 34670:: 735.00 (1.00 0.00 0.0.9 (1.00 735.00
.,ET SURVEYORS, 421 04/30/88 ,40402 320.00 0.00 0.00 0.00 0.H Ti. ifff
.4 STATE TEAS 421 04%30/88 :40432" 89.54 0.00 0.00 0.00 0.00 89.54
ORDER TOTAL: 3358.52 3.00 55.64 0.00 0.00 3414.1E
--------------------------------------------------------------------------------------------------------
_IED BENEFIT/STORE COST: 23.87 0.04
----------- --------------------------------------------------------------------------------------------------
fiBLE TOTAL: 3358.52 3.00 79.51 0.00 i1.00
Aw
' .-•-• It i:ffafl l j- f Qf ! - ,-f lL- •s - -
't f1f'f� St'
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t
15
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f-
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N21. 600.
r O?OER :5004: PAGE : 12 WORK BUDGET: 120000.00
SPRINGFE REGIONAL PO Revenue Received: 0.00
POND JOINT WING CO SOLVE N FORK PROS
VENDOR IAEOR
E ACCT WDATE DESCRIPTION PAYMENT HOUR AMOUNT EQPT IRV OTHEP. TOTAL
ri CONSULTING 421 12/18/89 066154 3166.84• 0.00 0.00 0.00 DAD 0.00 3166.84
F. OPOER TOTAL: 316C.84 0.00 0.00 0.00 0.00 0.00 3166.84
---------------------------------------------------------------------------------------------------------------------------
lIEO EFNEFII/STORE COST: 0.00 0.00 0.00
1I10 OVERHEAD : 0.00 0.0o
------------------------------------------------------------------------------------------------------------------------
OPOER TOTAL: 3166.84 0.00 0.00 0.00 0.00 ` 3t66:� g
P4E 4-
�2/. �ao.�S. 5�a✓�s. �� sao�}
ORK ORDER :5004 PAGE : 49 WORK BUDGET: 120000.00
SPRINGBK REGIONAL PO Revenue Received: 0.00
POND JOINT W/KING CO SOLVE N FORK_PROB
VENDOR LABOR
AME ACCT CK:DATE DESCRIPTION PAYMENT HOUR AMOUNT EOPT INV OTHER TOTAL
RICE 401 05/15/89 LABOR 0.00 1.00 131.84 0.00 0.00 0.00 131.84
OYAL GRAPHICS 421 05/22/89 060933 313.49 0.00 0.00 0.00 0.00 0.00 313.49
RAY 401 06115/89 LABOR 0.00 19.50 310.39 0.00 0.00 0.00 310.39
PICE 401 06/15/89 LABOR 0.00 5.00 102.10 0.00 0.00 0.00 102.19
PAY 401 07/15/89 LABOR 0.00 14.00 244.34 0.00 0.00 0.00 211.31
RAY 401 08/15189 LABOR, 0.00 9.00 127.33 0.00 0.00 0.00 111.33
RICE 401 08/15/89 LABOR 0.00 3.00 61.26 0.00 0.00 0.00 61.26
9POGRAPHIC SURV 421 08125/89 INVALID VO MR tjf- 0.00 0.00 0.00 0.00 0.00 1102.11 Hoil-74
EDERAL EXPRESS 421 09/11/89 063408 28.00 0.00 0.00 0.00 0.00 0.00 28.00
EOERAI EXPRESS 421 09/11/89 063408 btlf 2B40• 0.00 0.00 0.00 0.00 0.00 Ita.09-
AP.GET SURVEYORS 421 09/11/89 063632 1702.11 0.00 0.00 0.00 0.00 0.00 1702.11
QGET SURVEYORS 421 09/11/89 063632 oEN 1MHf 0.00 0.00 0.00 0.00 0.00 flff. i-
OPOGRAPHIC SURY 421 09/15/89 INVALID WO MR 4)eLE 0.00 0.00 0.00 0.00 0.00 1102.11 44914}
9MG CONSULTING 421 11113/89 065036 1371.50 0.00 0.00 0.00 0.00 0.00 1311.50
'10 398.3G
ORK ORDER TOTAL: H445-. - 57.50 983.26 0.00 0.00 34NA2 44532,69
------------------------------------------------- ---------- -------- ---------- ---------- --------- ---------- ----------
PPLIED BENEFIT/STORE COST: 414.91 0.00 414.91
?PLIED OVERHEAD : lu-.7+ 4}g13
------------------------------------------------- ---------- -------- ---------- ---------- -------- ---------- ----------
9PK ORDER TOTAL: " ib�b 4� 0.00 0.00 3492 1f4ft.3i� 0V
1,1M,
4-3 .
----- ------------------------------------------ ----------- -------- --------- --------- ---- - ------- - ---------
- ----- ---- - -- -------- ------------------ ----- ---- -- ----- --------- --- ----- --- - -- - --- ----------
9
316t.Sy
RtrtszbTit /2691.1 ys8�1 -
VORK ORDER :65000 PAGE : 209 WORK BUDGET: 0.00
SPRNGBRK REGIONAL PD Revenue Received: 0.00
PLANNING & DESIGN
VENDOR LABOR
VAME ACCT CK:DATE DESCRIPTION PAYMENT HOUR AMOUNT EQPT INV OTHER TOTAL
iOBSON 401 01/15/90 LABOR 0.00 4.00 57.86 0.00 0.00 0.00 57.86
;TRAKA 401 02/09/90 LABOR 0.00 4.00 60.77 0.00 0.00 0.00 60.77
.HRISTENSEN 401 02/22/90 LABOR 0.00 6.00 117.04 0.00 0.00 0.00 117.04
iOBSON 401 02/28/90 LABOR 0.00 6.00 93.22 0-00 0.00 0.00 93.22
iOBSON 401 04/30/90 LABOR 0.00 2.00 28-93 0.00 0.00 0.00 28.93
;TRAKA 401 04/30/90 LABOR 0.00 2.00 30-39 0.00 0.00 0.00 30.39
10BSON 401 05/31/90 LABOR 0.00 1.00 13.26 0.00 0.00 0.00 13.26
;TRAKA 401 05/31/90 LABOR 0.00 4.00 55.71 0.00 0.00 0.00 55.71
406SON 401 06/15/90 LABOR 0.00 1.00 14.47 0.00 0.00 0.00 14.47
iOBSON 401 06/15/90 LABOR 0.00 2.00 28.93 0.00 0.00 0.00 28.93
iOBSON 401 06/30/90 LABOR 0.00 2.00 31.83 0.00 0.00 0.00 31.83
iOBSON 401 06/30/90 LABOR 0.00 5.00 75.23 0.00 0.00 0.00 75.23
i
ILAKE 401 07/23/90 LABOR 0.00 8.00 101.12 0.00 0.00 0.00 101.12
:113 401 07/23/90 EQUIPMENT 0.00 0.00 0.00 29.29 0.00 0.00 29.29
6031 83--
IOBSOli- 401 09;3GA9G krBGR 0.00 1 -00 -; -�, p0- •--0-00�-- 15:99
.80
:CATTARELLA 401 11/30/90 LABOR 0.00 11.00 175.56 0.00 0.00 0.00 175.56
:CATTARELLA 401 12/15/90 LABOR 0.00 0.50 8.78 0.00 0.00 0.00 8.78
IORK ORDER TOTAL: 0.09 77e69 1187 Gi 29.29 6.00 -0-"v"v 7z1fi 3(1 g2z.39
-----------------------------------------------------------------------------------------------------------
kPPLIED BENEFIT/STORE COST: 58ic5ix 0.00 587.57 45�
-----------------------------------------------------------------------------------------------------------
11LLABLE TOTAL: 0.09 ;a.-40 1774 59 29.29 000 9 00 1503A7 /?jyB,97
Gi,vrs t✓N�N 4 G,�flss� ov; ,�f' .1.� ��./ ?.�� `�b6 case 7TAiL: ,��-�,�r`' ---
JCDETRP JOB COST DETAIL REPORT For Periods: - 9211 12/28/92 10:37 Page 1 w
Job: 16001•_ SPRINGBROOK REGIONAL POND Mgr: STRAKA
WO: 65000 SPRINGBROOK REG POND-P&D Mgr: HOBSON Budget: .00
Tr date Document Descr Account Hours Labor Benefits Vendor Material Equip Other Subtotal Encumb Total Revenue
---- -------- ----- ------- ----- ----- -------- ------ -------- ----- ----- -------- ------ ----- -------
Funct: 4010 LAND USE REVIEW
06/30/91 FORSANDER 000 558 18.00 353.70 155.27 508.97 508.97
07/15/91 FORSANDER 000 558 2.00 34.93 15.33 50.26 50.26
08/31/91 FORSANDER 000 558 6.50 127.70 56.06 183.76 183.76
*Funct 4010
26.50 516.33 226.66 742.99 �742 99=
Funct: 5110 ADMIN SUPPORT
04/30/92 CAREY 000 532 2.75 50.12 21.15 71.27 71.27
04/30/92 CAREY 401 538 2.75 50.13 21.15 71.28 71.28
06/15/92 CAREY 000 532 17.25 314.42 132.69 447.11 447.11
06/15/92 CAREY 401 538 17.25 314.42 132.69 447.11 447.11
06/30/92 CAREY 000 532 4.25 77.46 32.69 110.15 110.15
06/30/92 CAREY 401 538 4.25 77.47 32.69 110.16 110.16
08/31/92 CAREY 000 532 .25 4.55 1.92 6.47 6.47
08/31/92 CAREY 401 538 .25 4.56 1.92 6.48 6.48
09/15/92 CAREY 000 532 1.00 18.22 7.69 25.91 25.91
09/15/92 CAREY 401 538 1.00 18.23 7.69 25.92 25.92
*Funct 5110
51.00 929.58 392.28 1321.86 932t`L86?
Funct: 5160 PRELIMINARY DESIGN/ENG
11/30/90 SCATTARELLA 401 538 11.00 175.56 86.90 262.46 262.46
12/15/90 SCATTARELLA 401 538 .50 8.78 4.35 13.13 13.13
02/28/91 PARSONS 401 535 3.75 89.02 39.08 128.10 128.10
02/28/91 PARSONS 401 538 3.75 89.01 39.08 128.09 128.09
02/28/91 SCATTARELLA 401 538 4.50 93.56 41.07 134.63 134.63
03/31/91 SCATTARELLA 401 538 14.50 264.92 116.30 381.22 381.22
03/31/91 STRAKA 401 538 17.00 302.80 132.93 435.73 435.73
04/15/91 STRAKA 401 538 4.00 68.05 29.87 97.92 97.92
04/30/91 SCATTARELLA 401 538 25.50 433.78 190.43 624.21 624.21
05/31/91 SCATTARELLA 401 538 19,00 310.64 136.37 447.01 447.01
06/30/91 SCATTARELLA 401 538 27.50 514.60 225.91 740.51 740.51
06/30/91 STRAKA 401 538 6.00 112.28 49.29 161.57 161.57
07/15/91 SCATTARELLA 401 538 9.50 161'.61 70.95 232.56 232.56
08/31/91 STRAKA 401 538 7.00 119.08 52.28 171.36 171.36
04/15/92 B043 401 538 1.44 1.44 1.44
04/15/92 STRAKA 401 538 2.00 38.31 16.17 54.48 54.48
04/30/92 STRAKA 401 538 4.00 76.61 32.33 108.94 108.94
06/15/92 STRAKA 401 538 9.50 181.96 76.79 258.75 258.75
06/30/92 STRAKA 401 538 6.00 114.92 48.50 163.42 163.42
07/15/92 STRAKA 401 538 13.00 248:99 105.07 354.06 354.06
JCDETRP JOB COST DETAIL REPORT For Periods: - 9211 12/28/92 10:37 Page 2
Job: 16001 SPRINGBROOK REGIONAL POND Mgr: STRAKA
WO: 65000 SPRINGBROOK REG POND-P&D Mgr: HOBSON Budget: .00
Tr date Document Descr Account Hours Labor Benefits Vendor Material Equip Other Subtotal Encumb Total Revenue
------- -------- ----- ------- ----- ----- -------- ------ -------- ----- ----- -------- ------ ----- -------
07/31/92 B043 401 538 2.16 2.16 2.16
07/31/92 STRAKA 401 538 9.00 158.01 66.68 224.69 224.69
09/30/92 STRAKA 401 538 2.00 46.67 19.69 66.36 66.36
10/15/92 HOBSON 401 538 3.00 54.68 23.07 77.75 77.75
10/31/92 HOBSON 401 538 3.00 54.68 23.07 77.75 77.75
*Funct 5160
205.00 3718.52 1626.18 3.60 5348.30 153
Funct: 5170 ENVIRONMENTAL ANALYSIS
03/15/91 PARSONS 401 535 .25 5.68 2.49 8.17 8.17
03/15/91 PARSONS 401 538 .25 5.68 2.49 8.17 8.17
06/28/91 JE06-61 421 596 76.00 76.00 76.00
06/30/91 PARSONS 401 535 5.00 120.32 52.82 173.14 173.14
06/30/91 PARSONS 401 538 5.00 120.30 52.81 173.11 173.11
07/31/91 PARSONS 401 535 4.75 100.00 43.90 143.90 143.90
07/31/91 PARSONS 401 538 4.75 99.99 43.90 143.89 143.89
08/31/91 PARSONS 401 535 7.50 170.21 74.72 244.93 244.93
08/31/91 PARSONS 401 538 7.50 170.19 74.71 244.90 244.90
04/15/92 CAREY 000 532 2.50 45.57 19.23 64.80 64.80
04/15/92 PARSONS 401 535 2.00 49.90 21.06 70.96 70.96
04/15/92 CAREY 401 538 2.50 45.57 19.23 64.80 64.80
04/15/92 PARSONS 401 538 2.00 49.90 21.06 70.96 70.96
04/30/92 PARSONS 401 535 3.50 91.48 38.60 130.08 130.08
04/30/92 PARSONS 401 538 3.50 91.48 38.60 130.08 130.08
*Funct 5170
51.00 1166.27 505.62 76.00 1747.89 174789
Funct: 5190 FEES & TAXES
11/30/92 JE11-10 ENVIRON REVIEW 421 596 1004.06 1004.06 1OOc06 g
Funct: 5200 FINANCIAL ACTIVITIES
07/15/90 HOBSON 401 538 3.00 47.74 23.63 71.37 71.37
03/15/92 GUTTMANN 000 532 1.00 41.76 17.62 59.38 59.38
03/15/92 PIERCE 000 532 2.50 53.59 22.61 76.20 76.20
11/30/92 92-11-103 TRANSFERS 000 532 -64.79 -64.79 -64.79
11/30/92 92-11-103 PUBLIC WORK 401 538 64.79 64.79 64.79
*Funct 5200
6.50 143.09 63.86 206.95 206.-95' °
Funct: 5220 INSPECTION
05/31/91 B041 401 538 120.00 120.00 120.00
JCDETRP JOB COST DETAIL REPORT For Periods: - 9211 12/28/92 10:37 Page 3
Job: 16001 SPRINGBROOK REGIONAL POND Mgr: STRAKA
WO: 65000 SPRINGBROOK REG POND-P&D Mgr: HOBSON Budget: .00
Tr date Document Descr Account Hours Labor Benefits Vendor Material Equip Other Subtotal Encumb Total Revenue
----- ------- ----- ----- -------- ------ -------- ----- -------- ------ -----/ /91 SCATTARELLA 401 538 4.00 62.37 27.38 89.75 89.75
*Funct 5220
4.00 62.37 27.38 120.00 209.75 :209.75
Funct: 5310 MGT. & ADMIN
09/15/90 HOBSON 401 538 2.00 31.83 15.76 47.59 47.59
01/31/91 PARSONS 401 535 4.00 83.34 36.59 119.93 119.93
01/31/91 PARSONS 401 538 4.00 83.33 36.58 119.91 119.91
03/15/91 PARSONS 401 535 1.00 22.73 9.98 32.71 32.71
03/15/91 PARSONS 401 538 1.00 22.72 9.97 32.69 32.69
03/31/91 STRAKA 401 538 5.00 88.46 38.83 127.29 127.29
08/15/91 B043 401 538 2.16 2.16 2.16
08/15/91 STRAKA 401 538 6.00 102.07 44.81 146.88 146.88
03/15/92 GUTTMANN 000 532 1.00 41.76 17.62 59.38 59.38
03/15/92 PIERCE 000 532 12.00 257.25 108.56 365.81 365.81
05/15/92 STRAKA 401 538 5.00 95.77 40.41 136.18 136.18
06/15/92 STRAKA 401 538 12.00 229.84 96.99 326.83 326.83
07/15/92 STRAKA 401 538 12.00 229.84 96.99 326.83 326.83
07/31/92 STRAKA 401 538 11.00 193.13 81.50 274.63 274.63
08/15/92 STRAKA 401 538 15.00 316.03 133.36 449.39 449.39
08/31/92 STRAKA 401 538 15.00 287.30 121.24 408.54 408.54
09/15/92 STRAKA 401 538 9.00 210.02 88.63 298.65 298.65
09/30/92 STRAKA 401 538 8.50 198.35 83.70 282.05 282.05
10/15/92 STRAKA 401 538 6.00 140.01 59.08 199.09 199.09
10/31/92 STRAKA 401 538 5.50 128.34 54.16 182.50 182.50
11/15/92 STRAKA 401 538 7.50 192.52 81.24 273.76 273.76
11/30/92 STRAKA 401 538 15.00 350.03 147.71 497.74 497.74
*Funct 5310`
157.50 3304.67 1403.71 2.16 4710.54
Funct: 5330 NON-LABOR
09/17/91 55231 FINANCE PETTY 421 596 9.81 9.81
09/23/91 083047 CITY OF RENTON 421 596 9.81 9.81 9.81
09/30/91 55231 FINANCE PETTY 421 596 9.
07/01/92 62076 INV. 32974, N. 421 596 1- -9.9.81
81
9.81 81 1
07/13/92 091653 32
ROYAL GRAPHICS 421 596 149.32 149.32 149.32
07/31/92 62076 INV. 32974, N. 421 596 ..4932 32 149
08/13/92 65408 REF 19325 B/C 421 596 1 149.32 24 .32
270
08/24/92 092983 SEA DAILY JOUR 421 596 240.70 240.70 240.70
08/31/92 65408 REF 19325 B/C 421 596 -240.70 -240.70
*Funct 5330
399.83 399.83 ;39.983
ai -/
JCDETRP JOB COST DETAIL REPORT For Periods: - 9211 12/28/92 10:37 Page 4
Job: 16001 SPRINGBROOK REGIONAL POND Mgr: STRAKA
WO: 65000 SPRINGBROOK REG POND-P&D Mgr: HOBSON Budget: .00
Tr date Document Descr Account Hours Labor Benefits Vendor Material Equip Other Subtotal Encumb Total Revenue
------- -------- ----- ------- ----- ----- -------- ------ -------- ----- ----- -------- ------ ----- -------
Funct: 5350 PLAN REVEIW - ROUTINE
09/30/90 HOBSON 401 538 1.00 15.91 7.88 23:79 23.79
10/15/90 SCATTARELLA 401 538 5.00 79.80 39.50 119.30 119.30
*Funct 5350
. w..
.00 95.71 47.38 143.09
Funct: 5360: PLAN REVIEW - TIME & MTLS
06/30/92 STRAKA 401 538 11.00 210.69 88.91 299.60 ' 9960
Funct: 5390 PROJECT INITIATION
10/15/90 HOBSON 401 538 3.00 43.40 21.48 64.88 64.88
11/30/90 HOBSON 401 538 2.00 28.93 14.32 43.25 43.25
12/31/90 HOBSON 401 538 3.00 46.30 22.92 69.22 69.22
*Funct 5390 .
8.00 118.63 58.72 177.35 17T35
Funct: 5430 SERVICES CONSULTANT
12/31/90 JE12-117 CH2M HILL, #75 421 596 -3848.69 -3848.69 -3848.69
01/14/91 075693 CH2M HILL 421 596 3848.69 3848.69 3848.69
07/31/92 65386 INV 35009, PLA 421 596 1033.58 1033.58
08/10/92 092514 ROYAL GRAPHICS 421 596 1033.58 1033.58 1033.58
08/31/92 65386 INV 35009, PLA 421 596 -1033.58 -1033.58
*Funct 5430
4882.27 -3848.69 1033.58 j'- 581
*WO 65000'
TTi4LPa✓Di7rq¢ 526.50 10265.86 4440.70 5282.10 125.76 -2768.63 17345.79 17345.7911
JCDETRP JOB COST DETAIL REPORT ' For Periods: - 9211 12/28/92 10:37 Page 5
Job: 16001 SPRINGBROOK REGIONAL POND Mgr: STRAKA
u0:_65002_ SPRINGBROOK REG POND-CON Mgr: HOBSON Budget: .00
Tr date Document Descr Account Hours Labor Benefits Vendor Material Equip Other Subtotal Encumb Total Revenue
-------- ------ -------- ----- ----- -------- ------ ----- -------
Funct: 5160 PRELIMINARY DESIGN/ENG
07/15/92 HOBSON 401 538 17.00 309.86 130.76 440.62 440.62
07/31/92 B041 401 538 9.88 9.88 9.88
07/31/92 HOBSON 401 538 37.00 618.21 260.88 879.09 879.09
08/15/92 HOBSON 401 538 15.00 300.75 126.92 427.67 427.67
08/31/92 8041 401 538 4.94 4.94 4.94
08/31/92 HOBSON 401 538 25.00 455.68 192.30 647.98 647.98
09/15/92 HOBSON 401 538 27.00 492.13 207.68 699.81 699.81
09/15/92 B041 401 538 9.88 9.88 9.88
09/30/92 HOBSON 401 538 14.00 255.18 107.69 362.87 362.87
10/15/92 HOBSON 401 538 14.00 255.18 107.69 362.87 362.87
10/15/92 B041 401 538 4.94 4.94 4.94
*Funct 5160
149.00 2686.99 1133.92 29.64 3850.55 :385055Y
Funct: 5200 FINANCIAL ACTIVITIES
10/31/92 HOBSON 401 538 14.00 255.18 107.69 362.87 362.87
11/15/92 HOBSON 401 538 4.00 80.20 33.84 114.04 114.04
11/30/92 HOBSON 401 538 12.00 218.73 92.30 311.03 311.03
11/30/92 92-11-103 000 532 -3300.47 -3300.47 -3300.47
11/30/92 92-11-103 401 538 3300.47 3300.47 3300.47
*Funct 5206,
30.00 554.11 233.83 787.94 q.787.94
Funct: 5220 INSPECTION
08/31/92 A274 000 532 54.45 54.45 54.45
08/31/92 THOMPSON 000 532 45.00 725.11 306.00 1031.11 1031.11
09/15/92 THOMPSON 000 532 34.00 547.86 231.20 779.06 779.06
09/30/92 A274 000 532 117.98 117.98 117.98
09/30/92 THOMPSON 000 532 51.50 926.78 391.10 1317.88 1317.88
10/15/92 THOMPSON 000 532 42.50 844.98 356.58 1201.56 1201.56
10/15/92 A274 000 532 41.15 41.15 41.15
*Funct 5220
173.00 3044.73 1284.88 213.58 4543.19 4543 "19:`
Funct: 5330 NON-LABOR
10/19/92 65477 INV. 8853-NORT 421 596 578.50 578.50
10/26/92 094594 CASCADE TESTIN 421 596 578.50 578.50 578.50
10/31/92 65477 INV. 8853-NORT 421 596 578.50 -578.50
*Funct 5330
578.50 578.50 578501'<
JCDETRP JOB COST DETAIL REPORT For Periods: - 9211 12/28/92 10:37 Page 6
Job: 16001 SPRINGBROOK REGIONAL POND Mgr: STRAKA
WO: 65002 SPRINGBROOK REG POND-CON Mgr: HOBSON Budget: .00
Tr date Document Descr Account Hours Labor Benefits Vendor Material Equip Other Subtotal Encumb Total Revenue
-------- ------ -------- ----- ----- -------- ------
----- -------
unct: 5430 SERVICES CONSULTANT
11/16/92 68154 INV. 1942 SPRI 421 596 1650.30 1650.30
11/23/92 095553 HONG WEST & AS 421 596 1650.30 1650.30 1650.30
11/30/92 68162 INV. 8959 N. F 421 596 0
.5 0. 140
540
11/30/92 68154 INV. 1942 SPRI 421 596 1 15 . 0 15 . 0
*Funct 5430'
1650.30 1650.30 154.00 =1804.30 :
Funct: 5510 SURVEY
08/31/92 MAC ONIE JR 000 532 2.50 44.47 18.77 63.24 63.24
09/14/92 02-28909 PUBLIC WORKS 421 596 -7471.23 -7471.23 -7471.23 LeALN;e.i. Acv CD F�+vMcjjr-
09/17/92 65433 NORTH FORK SPR 421 596 3655.00 3655.00
09/28/92 093783 JACK JOHNSON C 421 596 101769.65 101769.65 101769.65
09/28/92 093944 TARGET SURVEYO 421 596 1496.00 1496.00 1496.00
09/30/92 65433 NORTH FORK SPR 421 596 1496.00 -1496.00
09/30/92 JE09-07 Jac G 421 596 4930.70 4930.70 4930.70
10/26/92 094708 JACK JOHNSON C 421 596 75986.38 75986.38 75986.38
10/26/92 094709 JACK JOHNSON C 421 596 3681.51 3681.51 3681.51
10/26/92 094876 TARGET SURVEYO 421 596 775.50 775.50 775.50
10/31/92 65433 NORTH FORK SPR 421 596 -775.50 -775.50
11/23/92 095568 JACK JOHNSON C 421 596 2009.59 2009.59 2009.59
11/23/92 095567 JACK JOHNSON C 421 596 41477.97 41477.97 41477.97
11/23/92 095731 TARGET SURVEYO 421 596 813.50 813.50 813.50
11/30/92 65433 NORTH FORK SPR 421 596 -1383.50 -1383.50
41ZZ/93... L064-lea.
*Funct 5510 29�_c5 Lu3z.xp eF.fe �rr,.r
2.50 44.47 18.77 220538.87 4930.70 225532.81 _fH_*WO 65002��
TTALL C-`,-O.vQ/r-LG 354.50 6330.30 2671.40 222767.67 243.22 4930.70 236943.29 154.00 23789ix 29- 237�3gg �S'
*Job 16001
INFOPAC PAGE: 1,050
RESP FUND 000003180 SURF &-$TRM WTR MGMT CNST KING COUNTY REPORT NO. AF120068 PAGE NUMBER 72
C.I ,P. OPTION SUMMARY BY PROJECT FOR MONTH 11 DATE RUN 12/07/92
NOVEMBER 01, 1992 THRU NOVEMBER 30, 1992 YEAR ELAPSED 91%
-------LIFE TO DATE--------
PROJECTBUDGET PERCNT EXPENDED ENCUMBERED BALANCE BUDGET PERCNT EXPENDED
OPTION AMOUNT EXPEND AMOUNT AMOUNT AVAILABLE AMOUNT EXPEND AMOUNT
047021 MADSEN CREEK CHANNEL IMP
001 MASTER PLAN & DESIGN 112 112.31
002 ACQUISITION 8,913 8,912.68
003 CONSTRUCTION 70,844 70,842. 18
005 CONTINGENCY 15_ 15.00- 15-
007 COUNTY FORCE DESIGN 138 141.29; 3.29 29,358 29,367,09
009 CONST ADMIN/ENGINEERING 39 39.00 25,386 25,346.66
047021 PROJECT TOTAL 162 87.2 141.29 20.71 134,598 100.0 134,580.92
047027 R/D POND NO 1708
001 MASTER PLAN & DESIGN 2 2.00 12,252 12,250.49
003 CONSTRUCTION 362,357 315,250.48 47,040.85 65.67 362,357 315,250.48
005 CONTINGENCY 28, 144 28, 144.00 28, 144
007 COUNTY FORCE DESIGN 10,353 15,847. 19 5,494. 19- 55,496 60,986. 19
008 COUNTY FORCE ACQ R/W 500 500.00 898 397.71
009 CONST ADMIN/ENGINEERING 1,270 15,313.64 16.583.64- 1,517, 18, 101 .69
047027 PROJECT TOTAL 400,086 86.6 346,411 .31 47,040.85 6,633.84 460,664 88.3 406,986.56
047029 S 336TH R/D POND
009 CONST ADMIN/ENGINEERING 158.05 158.05-- 158.05
047029 PROJECT TOTAL 158.05 158.05- 158.05
047031 LAKOTA R/D POND NO 350
001 MASTER PLAN&>DESIGN 4,565 4,277.9.7> .03 287.00 14,997 14,709.75
002 ACQUISITION 378 378.35
005 CONTINGENCY 665 665.00 665
007 COUNTY FORCE DESIGN 5,294 4,656.36 637.64 _ 61 ,076 60,431 .23
008 COUNTY FORCE ACQ R/W 1 ,000 1 ,000.00 5, 128 4, 128.30
009 CONST ADMIN/ENGINEERING 75 75.00 133 57.78
047031 PROJECT TOTAL 11 ,599 77.0 8,934,33 ,03 2,664.64 $2,377 96.8 79,705.41
047032 SPRINGBROOK R/D POND
002 ACQUISITION 2, 166 1,233.00 933.00 25,405 24,472.84
003 CONSTRUCTION 81,998 81,998.00 81,998
005 CONTINGENCY 12,996 12,996.00 12,996
007 COUNTY FORCE DESIGN 3,781 3, 111 .54 669.46 47,517 46,849.39
008 COUNTY FORCE ACQ R/W 179 178.28 .72 8,353 8,352.38
009 CONST ADMIN/ENGINEERING 7,882 8,083.86 201.86- 13,367 13,569.75
047032 PROJECT TOTAL.: 109,002 11.6 12,606.68: 96,395.32 189,636 49.2 93,244.36'
047034 MILL CREEK R/D NO 1807 r L /4111) 411)17f7 6'1557- �.zvv�pF/� ZN 1073 13Y L4/ryC�, ,ter
007 COUNTY FORCE DESIGN 2,417 2,416.55
CAR COUNTY FORCE ACQ R/W �iV✓/� � Rr ? g��3 J�'L ��� 638 637.69
INFOPAC PAGE: 89
RESP FUND 000003180 DEPT-0748 SURF & STRM WTR MGMT CN$T KING COUNTY REPORT NO. AF120048 PAGE NUMBER 3185
RESP ORG 7383 DRAINAGE ADMINISTRATION PROJECT SUMMARY REPORT FOR MONTH 11 DATE RUN 12/07/92
FUNCTION-53700 SERVICE-53713 PROGRAM-53724 NOVEMBER 01 , 1992 THRU NOVEMBER 30, 1992 YEAR ELAPSED 91%
PROJECT ------------Y E A R T O D A T E------------ ------------L I F E T O D A T E-----
OPTION TOTAL PERCENT TOTAL PERCENT
TASK-REVENUE ACCOUNT BUDGET COST/ BALANCE EXPEND/ BUDGET COST/ BALANCE EXPEND/
REVENUE UNCOLL REVENUE UNCOLL
047031 LAKOTA R/D POND NO 350
007 COUNTY FORCE DESIGN 57,548 57,548 57,548 57,548
876 DESIGN SUPPORT-ROADS 6,658- 6,658- 6,657 6,657-
880 PROJECT INITIATION & PLAN 926- 926- 559 1,486 927- 265.7
883 CONSULTANT SELECTION 25- 25- 24 24
884' PROJECT MANAGEMENT DESIGN 4,479- 1,806 6,285- 40.3- 537 6,821 6,284-1270.2
885 DESIGN SURVEY 9,438- 9,438- 9,438 9,438-
886 ENVIRONMENTAL-CIPS 248- 248- 248 248-
888 PRELIMINARY DESIGN 7,476- 7,476- 7,475 7,475-
889 PE - SOILS 2,975- 2,975 2,975 2,975
890 DETAIL DESIGN 5,660 5,660 2,432 8,091 5,659- 332.6
891 SWM RIGHT OF WAY SUPPORT 423-s' 423- 423 423-
892 PLANS SPECS & ESTIMATES 13,946- 2,850 16,796- 20.4- 16,794 16,794-
007 OPTION TOTAL EXPENDITURES 5,294 4,656 638 87.9 61 ,076 60,431 645 98.9
TOTAL ENCUMBRANCES
TOTAL EXP PLUS ENC 5,294 4,656 638 87.9 61 ,076 60,431 645 98.9
008 COUNTY FORCE ACQ R/W
008 COUNTY FORCE ACQ R/W 4,807 4,807 4,807 4,807
893 REAL PROPERTY ROW 3,807- 3,807- 321 4, 128 3,807-1286.0
008 OPTION TOTAL EXPENDITURES 1 ,000 1 ,000 5, 128 4, 128 1 ,000 80.5
TOTAL ENCUMBRANCES
TOTAL EXP PLUS ENC 11000 1,000 5, 128 4, 128 1 ,000 80.5
009 CONST ADMIN/ENGINEERING
009 CONST ADMIN/ENGINEERING 133 133 133 133
894 PROJECT MGMT CONSTRUCTION 58- 58- 58 58-
009 OPTION TOTAL EXPENDITURES 75 75 133 58 75 43.4
TOTAL ENCUMBRANCES
TOTAL EXP PLUS ENC 75 75 133 58 75 43.4
REVENUE
30800 BEG UNENCUMBERED FUND BAL 11 ,599 11 ,599 100.0 11 ,599 11 ,599 100.0
39780 CONTRBTN-CURRENT EXPENSE 2,200 2,200
REVENUE TOTAL 11,599' 11,599 100.0 13,799 2,200 11 ,599 84.0
047031 PROJECT TOTAL EXPENDITURES 11 ,599 8,934 2,665 77.0 82,377 79,705 2,672 96.7
TOTAL ENCUMBRANCES
TOTAL EXP PLUS ENC 11 ,599 8,934 2,665 77.0 82,377 79,705 2,672 96.7
TOTAL REVENUE 11,599' 11,599 13,799 2.200 11 ,599 15.9
TOTAL NET 8,934- 77,505-
047032 SPRINGBROOK R/D POND
002 ACQUISITION
002 ACQUISITION 25,405 25,405 25,405 25,405
875 ACQUISITION/RIGHT OF WAY 23,239- 1 ,233 24,472-" 513- 24,473 24,473-
002 OPTION TOTAL EXPENDITURES 2, 166 1,233 933 56.9 25,405 24,473 932 96.3,,
TOTAL ENCUMBRANCES
TOTAL EXP PLUS ENC 2, 166 1,233 933 56.9 25,405 24,473 932 96.3
• 003 CONSTRUCTION
INFOPAC PAGE: 90
RESP FUND 000003180 DEPT-0748 SURF & STRM WTR MGMT CNST KING COUNTY REPORT NO. AF120048 PAGE NUMBER 3186
RESP ORG 7383 DRAINAGE ADMINISTRATION PROJECT SUMMARY REPORT FOR MONTH 11 DATE RUN 12/07/92
FUNCTION-53700 SERVICE-53713 PROGRAM-53724 NOVEMBER 01 , 1992 THRU NOVEMBER 30, 1992 YEAR ELAPSED 91%
PROJECT ------------Y E A R T O D A T E------------ ------------L I F E T O D A T E-------------
OPTION TOTAL PERCENT TOTAL PERCENT
TASK-REVENUE ACCOUNT BUDGET COST/ BALANCE EXPEND/ BUDGET COST/ BALANCE EXPEND/
REVENUE UNCOLL REVENUE UNCOLL
047032 SPRINGBROOK R/D POND
003 CONSTRUCTION 81 ,998 81 ,998 81 ,998 81 ,998
003 OPTION TOTAL EXPENDITURES 81 ,998 81 ,998 81 ,998 81 ,998
TOTAL ENCUMBRANCES
TOTAL EXP PLUS ENC 81,998 81 ,998 81,998 81 ,998
005 CONTINGENCY
005 CONTINGENCY 12,996 12,996 12,996 12,996
005 OPTION TOTAL EXPENDITURES 12,996 12,996 12,996 12,996
TOTAL ENCUMBRANCES
TOTAL EXP PLUS ENC 12,996 12,996 12,996' 12,996
007 COUNTY FORCE DESIGN
007 COUNTY FORCE DESIGN 38,271 38,271 38,271 38.271
876 DESIGN SUPPORT-ROADS 3,744- 3,744- 3,745 3,745-
880 PROJECT INITIATION & PLAN 358 358- 1 ,764 2, 121 357- 120:2
884 PROJECT MANAGEMENT DESIGN 5,321 5,321- 603 5,924 5,321- 982.4,
886 ENVIRONMENTAL-CIPS 101- 101 1pt 101-
887 PERMITS 33- 33- 34 34-
888 PRELIMINARY DESIGN 15,302- 15,302- 6,841 22, 143 15,302- 323.6
890 DETAIL DESIGN 914- 914- 38 952 914-2505.5
891 SWM RIGHT OF WAY SUPPORT 3,298- 3,298- 3.298 3,298
892 PLANS SPEC$ & ESTIMATES 5,419- 3, 112 8,531- 57.4- 8,533 8,533-
007 OPTION TOTAL EXPENDITURES 3,781 3, 112 669 _82,2 .i' 47,517 46,849 668 98.5 '
TOTAL ENCUMBRANCES
TOTAL EXP PLUS ENC 3,781 3, 112 669 82.2 47,517 46,849 668 98.5
008 COUNTY FORCE ACQ`'R/W
008 COUNTY FORCE ACO R/W 8,353 8.353 8,353 8,353
893 REAL PROPERTY ROW 8, 174- 178 8,352- 2, 1- 8,352 8,352-
008 OPTION TOTAL EXPENDITURES 179 178 1 99.5 8,353 8,352 1 99.9
TOTAL ENCUMBRANCES
TOTAL EXP PLUS ENC 179 178 1 99.5 8,353 8,352 1 99.9
009 CONST ADMIN/ENGINEERING
009 CONST ADMIN/ENGINEERING 13, 115 13, 115 13, 115 13, 115'
894 PROJECT MGMT CONSTRUCTION 5,233- 573 5,806- 10.9- 5,806 5,806-
896 CE - SOILS 252 253 1- 100.3
898 DESIGN REVISION 7,511 7,511- 7,511 7,511-
009 OPTION TOTAL EXPENDITURES 7,882 8,084 202- 102.5 13,367 13,570 203- 101.5
TOTAL ENCUMBRANCES
TOTAL EXP PLUS ENC 7,882 8,084 202- 102.5 13,367 13,570 203- 101,5
REVENUE
30800 BEG UNENCUMBERED FUND BAL 109,002 109,002 100.0 109,002 109,002 100.0
REVENUE TOTAL 109,002 109,002 100.0 109,002 109,002 100.0
047032 PROJECT TOTAL EXPENDITURES 109,002 12,607 96,395 _ 11,5 189,$36 93,244 96,392 49. 1
TOTAL ENCUMBRANCES
TOTAL EXP PLUS ENC 109,002 12,607 96,395 11 .5 189,636 93,244 96,392 49. 1
TOTAL REVENUE 109,002 109,002 109,002 109,002
TOTAL NET 12,607- 93,244-
CAG=106-911
` II
AGREEMENT BETWEEN RENTON AND KING COUNTY
TO CONSTRUCT THE NORTH SPRINGBROOK CREEK
REGIONAL BYPASS PIPELINE
CAPITAL IMPROVEMENT PROJECT
1 This agreement is made and entered into by King County, Washington,
2 hereinafter referred to as "King County" and the City of Renton, a municipal
3 corporation in the State of Washington, hereinafter referred to as "Renton",
4 to design, build and maintain a drainage related capital improvement project
5 on the North Fork of Springbrook Creek in the Springbrook Creek Watershed.
6 WHEREAS, King County has planned to design and construct a drainage
7 improvement in the area; and
B WHEREAS, Renton has planned to design and construct several drainage
9 improvements in the area; and
10 WHEREAS, by cooperating in the design and construction of solutions to
11 the drainage problems, the jurisdictions can avoid duplication and achieve
12 more satisfactory results at lower cost; and
13 WHEREAS, the parties previously entered into an interlocal agreement for
14 the design and construction of drainage projects in the Springbrook Watershed
15 area; and
16 WHEREAS, the design of the project, completed under the previous
17 agreement, requires changes to the budget, schedule, and scope of work for the
18 project as originally conceived; and
19 WHEREAS, the parties desire to enter into a new interlocal agreement
20 setting forth terms for the project which has been designed and is planned for
21 construction; and
22 WHEREAS, the parties are authorized to enter into a cooperative agreement
23 pursuant to RCW Chapter 39.34;
24 NOW THEREFORE, the parties mutually agree as follows:
25 I. Purpose
26 The purpose of this agreement is to provide for the cooperative and joint
27 management of the design, construction and maintenance of a drainage
28 improvement project, known as the North Fork Springbrook Creek Regional Bypass
29 Pipeline Project, by Renton and King County and to assign responsibilities and
30 costs for project activities as agreed to by the parties.
31
32
(M20:5-10) - 1 - (6/19/91)
i I
II
1 I II. Findings
2 A. This project is located in the Springbrook Watershed area, which is
3 bounded on the west by Talbot Road, on the south by South 200th
4 Street, on the east by 108th Avenue Southeast, and on the north, by
5 South 192nd Street.
6 B. The North Fork Springbrook Creek Regional Bypass Pipeline will be
7 located within the Springbrook Watershed area along a section of the
8 North Fork of Springbrook Creek approximately 1,700 feet in length as
9 shown on the location map attached to this agreement as Exhibit A and
10 incorporated herein.
11 The Pipeline is designed to intercept and convey storm water flows
12 past highly erodible soils underlying this portion of the Creek.
13 C. This agreement covers all project activities related to the
14 surveying, design and engineering, right-of-way acquisition, obtain-
15 ing permits, construction and any other related activities undertaken
18 by the parties specifically for the purpose of building the pipeline.
17 D. King County has completed the design of the Pipeline Project and
18 Renton has reviewed and accepted the design.
19 III. Responsibilities
20 A. Renton:
21 1. Renton will construct the North Fork Springbrook Creek Regional
22 Bypass Pipeline in 1991. Construction is expected to occur dur-
23 ing that time period allowed by the Washington State Departments
24 of Fisheries or Wildlife under an approved Hydraulic Project
25 Approval permit.
26 2. Renton will act as lead agency in conducting the SEPA process for
27 the project.
28 3. Renton is responsible for obtaining any remaining property rights
29 required for construction, maintenance, and operations of this
30 project. Property rights already obtained by King County under
31 this or the preceding agreement are assigned to Renton as of the
32 effective date of this agreement.
(M20:5-10) - 2 - (6/19/91)
1 4. Renton will be responsible for the maintenance of the North Fork
2 Springbrook Creek Regional Bypass Pipeline following
3 construction, including that portion of the Pipeline which passes
4 through King County.
5 -B. King County
6 1. King County will be responsible for providing the necessary
7 engineering and legal description information to assist Renton in
8 obtaining the required rights-of-way and permits for constructing
9 the Bypass Pipeline Project. Renton will be designated as the
10 "permittee."
11 2. King County will be responsible for the maintenance of any other
12 drainage improvement projects, resulting from this agreement or
13 the project which is the subject of this agreement, on property
14 within King County's jurisdiction and within the Springbrook
15 Watershed area, except for the portion of the North Fork
16 Springbrook Creek Regional Bypass Pipeline which passes through
17 King County.
18 3. All property rights known to be required for the construction,
19 maintenance, and operation of this project which have acquired by
20 King County are hereby assigned to Renton as of the effective
21 date of this agreement.
22 IV. Costs
23 A. The parties agree to share equally in the cost of completing the
24 North Fork Springbrook Creek Regional Bypass Pipeline up to the esti-
25 mated total project cost of project of $372,000.
26 B. King County's contribution to the project will not exceed one-half of
27
the total project expenditures or $186,000, whichever amount is less.
28 C. Renton's contribution to the project will not exceed one-half of the
29 total project expenditures or $,186,000, whichever amount is less.
I
30
31
32
(M20:5-10) - 3 -
(6/19/91)
1 D. Project costs include staff costs, overhead, supplies, equipment,
2 contracted and consultant costs incurred in the research, design, and
3 construction phases of this project. Costs are cumulative, beginning
a in January 1988 and continuing until project construction is
5 completed.
6 E. The parties agree that changes to the project which cause the cost of
7 the project to exceed $372,000 will be reviewed and approved by the
8 executors of this agreement and said costs are subject to obtaining
9 any required additional budget authority.
10 F. Each party will keep records documenting all expenditures which are
11 attributable to this project as described in Section IV.D of this
12 agreement. These records will be used by the parties to assure equal
13 expenditures on project activities up to the maximum $186,000 contri-
14 bution by each or $372,000 total for the project.
15 G. When the project is completed to the mutual satisfaction of the
16 parties, project expenditures will be reconciled. Outstanding bal-
17 ances will be invoiced to the party having expended less. Payment
18 will be within sixty (60) days of receipt.
19 V. Duration and Effectiveness
20 A. This agreement shall become effective upon signature by all parties
21 to this agreement.
22 B. This agreement shall be in force until the drainage improvements have
23 been constructed or for two years after the effective date, whichever
24 date is later.
25 VI. Continuation, Amendment or Termination
26 A. This agreement may be amended, altered, clarified, or extended only
27 by written agreement of the parties hereto.
28 B. This agreement may be terminated by either party upon sixty days
29 written notice.
30 C. In the event of termination, the parties are each responsible for
31 one-half of the costs incurred up to the effective date of
32 termination, subject to the provisions of Section IV of this agreement
(M20:5-10) - q -
(6/19/91)
i
1 VII. Indemnification
2 Both parties agree that as to all claims, actions or causes of actions of
3 whatever kind or nature including those by any person directly or indirectly
4 employed by either party made or asserted against either or both parties and
5 relating in any way to the subject matter of this Agreement each will be
6 liable to the other only to the extent of each party's fault or causation and
7 shall indemnify the other for such amount. As to all such claims, actions or
8 causes of action which are a consequence of the sole fault, negligence or cau-
g sation of a party to this Agreement, such party shall have the duty to defend,
10 save and hold the other harmless, and upon failure to do so shall pay reasona-
11 ble fees, costs, and expenses incurred by the other party to this Agreement in
12 defense of any such third party claims or actions or in asserting its rights
13 pursuant to this paragraph.
14 IN WITNESS WHEREOF, the parties hereto have executed this agreement as of
15 the day first mentioned.
16
17
18
Approved t form: KING COUNTY
19
20
21 Deputy urt�ecuti g A to ney ng Cou y lain
22
23
24 Legal Counsel
25 Renton
i
I
26
Title: Mayor j
27
ATTEST:
28
29
ty Clerk
30
31
32
(M20:5-10) - 5 - (6/19/91)
t
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AGNriA
Y21uNTON CI'Y'...... INCI . .. ;>.
_.
REGULAR MEETING
November 9, 1992
Monday, 7:30 p.m.
1. PLEDGE OF ALLEGIANCE
2. CALL TO ORDER AND ROLL CALL
3. APPROVAL OF COUNCIL MINUTES OF NOVEMBER 2, 1992
4. AUDIENCE COMMENT
When you are recognized by the Presiding Officer, please walk to the podium and state your name
and address for the record, SPELLING YOUR LAST NAME. Please limit your comments to no
more than five minutes.
5. CONSENT AGENDA
The following items are distributed to Council members in advance for study and review and will
be adopted in a single motion. Any item may be removed for further discussion if requested by a
Council member.
a. Development Services Division requests a second public hearing be set for November 23,
1992, to consider the Senescu Annexation zoning request. Council concur.
b. Police Department requests ordinance amending Section 10-12-9 of Chapter 12, Traffic Code,
of Title X, adding avoidance of signs and/or signals. Refer to Public Safety Committee.
C. Transportation Division submits CAG-040-91, South 43rd Street Improvement (LID 329); and
requests approval of the project, authorization for final pay estimate, commencement of 30-
day lien period, and release of retained amount of $130,772.83 to contractor, RW Scott, if all
required releases have been received. Council concur.
d. Surface Water Utility Division submits CAG-081-92, North Fork Springbrook Creek Regional
Bypass Pipeline Project; and requests approval of the project, authorization for final pay
estimate in the amount of $41,477.97, commencement of 30-day lien period,and release of
retained amount of $10,621.80 to contractor, Jack Johnson Construction Co., if all required
releases have been received. Council concur.
e. Administrative Services Department, requests a public hearing for the City of Renton 1993
Preliminary Budget be scheduled for November 23, 1992. Council concur.
6. CORRESPONDENCE
a. Letters regarding the Comprehensive Plan from: Roger J. Blaylock, Sound Planning
Corporation, 10717 NE Fourth Street, Bellevue, 98004; David L. Halinen, P.E. (5), Halinen &
Vander Wel, P.S. Bellevue Place/MGM Building, 800 Bellevue Way NE, Suite 376, Bellevue
98004; property owners of the properties bordered by NE 4th and Monroe (unsigned);
Evangeline R. Allers, 1430 - 170th Pl. NE, Bellevue; Janene Edgerton, PS Commercial
Properties Group, 901 Rainier Avenue North, Suite B-202, Renton 98055; Phillip E.
Gladfelter, PACCAR, P. O. Box 1518, Bellevue 98009; Delores T. Kohl, Kohl Excavating,
Inc., 3330 East Valley Road, Renton 98055; Gary A. Young, Polygon Northwest Company,
4040 Lake Washington Blvd NE, Suite 201, Kirkland 98033.
b. Letter regarding Comprehensive Plan designation of Highlands Community Church (Kirkland
Avenue NE/NE 10th Street) from Ronald S. Leckie, 1604 Aberdeen Ave. N.E., Renton 98056.
7. OLD BUSINESS
Topics listed below were discussed in Council committees during the past week. Committee
reports on any topics may be held by the chairman if further review is necessary. Items marked
with (*) include legislation.
(continued on reverse side)
a. Finance Committee report: Vouchers; business license ordinance change*; utility taxes and `
cellular phones*
b. Planning and Development Committee report: King County transfer station upgrade appeal
C. Transportation Committee Report: Patti request for traffic sign; North Renton livable streets;
JVC Aviation sublease; partition of NW Seaplanes; license for ASOS
d. Utilities Committee report: Local hazardous waste management plan*; garbage code change*;
Jet Vista Apts. storm system replacement; Talbot Hill reservoir emergency repair*
8. ORDINANCES & RESOLUTIONS
9. NEW BUSINESS
10. ADMINISTRATIVE REPORT
a. Referred 9/28/92 - Councilman Stredicke requested report on surface water flooding at NE
10th and Anacortes Avenue NE.
b. Referred 10/05/92 - Council requested Administration research rezone request at SW 41st
from the Powell Development Corporation to allow drive-through banking and restaurant
facilities.
C. Referred 10/5/92 - Councilman Stredicke requested information on the East Renton Sewer
Interceptor and sewer moratorium.
d. Referred 10/12/92 - Council President Keolker-Wheeler presented correspondence from
Jeanne & Edward Hughes, 1421 N. 28th Street, and Kimberly LaCheck, 1307 N. 28th Street
regarding a lot line adjustment.
e. Referred 10/19/92 - Council requested Administration investigate concerns of Jim & Paula
Ratcliff, 3600 Meadow N., Renton, regarding noise level from I-405.
f. Referred 10/26/92 - Council President Keolker-Wheeler questioned (1) why a stoplight rather
than a pedestrian light was installed between Liberty Park and Community Center on Houser
Way; and (2) why a left turn only sign installed on the corner of 2nd and Main.
11. AUDIENCE COMMENT
12. ADJOURNMENT
COMMITTEE OF THE WHOLE MEETING
AGENDA
(Preceding Council Meeting)
COUNCIL CHAMBERS
6:30 p.m.
1. Municipal Space/Chambers Remodel
2. Hearing Examiner Term Revision
APPROVED
_�7
FINANCE COMMITTEE
COMMITTEE REPORT
November 23, 1992
North Fork Springbrook Creek Regional Bypass Pipeline Project
Finance Pay Estimate & Budget Summary
(Referred 11/9/92)
The Finance Committee recommends Council concurrence with the staff recommendation that
the project be accepted, the final pay estimate of $41,477.97 be approved, and the retainage of
$10,621.80 be released after thirty (3o) days, subject to the receipt of all required authorizations.
--n-a4� ALL'o5
Nancy Mat ws, Chair
Toni Nelson, Vice Chair
JseTanner, Member
92-71 0.D0C/JD11/bh
cc: Gregg Zimmerman
Ron Straka
John 1lnhtin11
CITY OF RENTON CONCURRENCE
DATE
MEMORANDUM NAME INITIAL/DAT=
//-
z 6r1,-"
s
DATE: November 23, 1992
TO: Finance Committee
FROM: Lynn Guttmann
VIA: Gregg Zimmerman
Project Manager: John Hobson
SUBJECT: North Fork Springbrook Regional Bypass Pipeline Project 1992
Cost Analysis
ISSUE:
The following paper contains a brief project summary and a cost analysis for the above referenced
project. As directed by the City Council, this report was prepared for the November 23, 1992
Finance Committee meeting.
BACKGROUND:
In order to minimize erosion of the North Fork of Springbrook Creek and prevent further
downstream damage to the Springbrook Trout Farm, the City of Renton and King County entered
into an agreement to construct a storm pipeline. This line would be constructed above ground to
prevent further disturbance of the creek's already unstable slopes.
The cost of this system would be funded by the City and County with each paying for 50% of the
project.
To gain an easement over the Lobruch Inc. property, the City agreed to construct a 12" storm line
for a future development planned by Lobruch Inc. all cost for this pipe were the responsibility of
Lobruch Inc. and have been paid to the City in full ($7,180.00).
COST ANALYSIS:
The following is a cost breakdown including budget, engineering review, construction
engineering and contractor costs for 1992.
Estimated Budget Actual Budget Actual Costs Remaining Balance
Engineering: '�$70,752.88 $70,752.88 $20,869.83 $49,883.05
Construction: $2821000,�T- $264,180.00** $229,855.80 $34,324.20
Total: $352,752.88 $334,932.88 $250,725.63 E--�$84,207.25***
* Includes an estimate of$25,000 from Lobruch Inc.
** Includes actual cost to Lobruch Inc. of$7,180.00
*** This project is a joint 50/50 venture between the City and King County. The remaining
balance will be used to cover cost differences between the City and County when a final
comparison of project expenditures is reviewed per CAG 106-91 (attached)
92-709.DUC/J DI I/bh
STA7,Eo� State of Washington Reg.No.:
o Department of Revenue AX-02
xAudit Procedures &Administration Date:
r'
a vo Olympia, Washington 98504-0090
0
'yy ise9�
NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT
From: DEPARTMENT USE ONLY
City of Renton Assigned To
200 Mill Avenue South
Renton, WA 98055
Date Assigned
Notice is hereby given relative to the completion of contract or project described below.
Description of Contract: North Fork Springbrook Creek Regional Bypass Pipeline Project
Contractor's Name: Jack Johnson Telephone No. (206) 275-5400
Construction Co.
Contractor's Address: P. 0. Box 1 1 19, Belfair, WA 98528
Date Work Accepted Date Work Commenced Date Work Completed
October 9, 1992 August 24, 1992 October 8, 1992
Surety or Bonding Co.: The Ohio Casualty Insurance Company
Agent's Address John F. Criss
Gig Harbor, WA 98335
Contract Amount: $ 178,286.55 Amount Disbursed: $ 219,234.00
Additions: $ 34,149.49 Amount Retained: $ 10,621 .80
Sales Tax: $ 17,419.76 Total: $ 229,855.80
Total: $ 229,855.80
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, 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.
C:DOCS:92-878:JDH:ps
CITY OF RENTON
MEMORANDUM
DATE: November 10, 1992
TO: Margie Doohan
FROM: John Hobson t',�
SUBJECT: CAG 081-92 NORTH FORK SPRINGBROOK CREEK
REGIONAL BYPASS PIPELINE PROJECT
FINAL PAY ESTIMATE
Attached please find the following documents for the processing of the final pay
estimate for the above contract:
4 copies Notice of Completion of Public Works contract;
1 copy Agenda Bill (for November 9, 1992) for Council's acceptance of project
and pay estimate;
1 Original Final Pay Estimate;
6 copies Final Pay Estimate;
1 Original of Change Order No. 1 , No. 2, No. 3, and No. 4; and
1 Original State of Intent to pay prevailing wages - Jack Johnson
Construction, Inc.
As soon as I receive the original Affidavit of Prevailing Wages paid, I will forward it to
you.
Could you please process the final pay estimate for payment to the contractor after
the Council's approval for the acceptance of the project on November 23, 1992.
Just as a reminder, the retainage amount goes into a previously established escrow
account.
Please call me at X-6179 if you have any questions or need additional information on
this matter.
Thank you.
C:DOCS:92-888:JDH:ps
Attachment
CITY OF RENTON COUNCIL AGENDA BILL
AI #:
Submitting Data: Planning/Building/Public Works For Agenda of:
Dept/Div/Board.. Surface Water Utility November 9, 1992
Staff Contact..... Gregg Zimmerman Agenda Status
John Hobson (x-6179) Consent.............. X
Subject: Public Hearing...
CAG 081-92 North Fork Springbrook Creek Correspondence..
Regional Bypass Pipeline Project Ordinance...........
Resolution...........
Old Business.......
Exhibits: New Business......
A. Summary of Action Study Sessions....
B. Pay Estimate #3 (Final) Information.........
C. Notice of Completion
Recommended Action: Approvals:
Council concurrence for approval of project Legal Dept.........
and final pay estimate. Finance Dept.....
Other...............
Fiscal Impact:
Expenditure Required... $229,855.80 Transfer/Amendment.......
Amount Budgeted....... $352,752.88 (1992 Budget) Revenue Generated.......
Summary of Action:
Construction began August 24, 1992 and was completed on October 8, 1992.
Original contract amount was $178,286.55 and the final contract amount is $229,855.80.
The difference in contract amount and the final amount was due to design changes which required
greater quantities of materials to insure a more stable structure.
The balance in the project 1992 budget covers costs for design, project management, and
inspection.
50% of the construction costs will be reimbursed by King County.
Staff Recommendation:
The Public Works Department recommends the project and final pay estimate of $41 ,477.97 be
approved and paid. If after thirty (30) days no liens or claims are filed against the project, it is
recommended that the 5% retainage in the amount of $10,621 .80 be paid to the contractor.
C:DOCS:92-877:JDH:ps
+12062756400 J. JOHNSON CONST. INC 450 P01 OCT 09' 92 16: 22
JACK
NSTRUCTION,
INC.lpco
P.O. BOX 1119 a B6EFAM WASHWGMN 986M PHONE CZD6)278-UM • FAX(2D6)276-6400
DATE: �G�, , , •�, .�--
TO FAX $: . . . . . . .? . `fl. . . . . . . . . TOTAL PAGES: . . .. . . . . . . . . . .
ATTENTION . . . • �;=.":d; +S-{• . . . .
. . . . . . . . . . . . . . . . . . . . . . . . .
• • . • • • . • . • . . . . • . . . s • • . •
MESSAGE: . ✓.T lll .
. • • • • • • • • . • . . . . . . . . . . • • • . . . . • • • • • • • • • • • . • • . • • . • • • . • . .
• • . • • • • • . . . . • • • • . • . . . . . . • • • • • . . . • • s • • • • • • • . • • • • • • • . .
. . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . • • • • . • . • . • . . . . . . . .
. • • . • • • . . . . . . . • • s • • . . • • . . • . . . • • • • • . • • • • • • • • • • • • • • • • .
SIGNED: �c . . . . , • , . , • •
+12062756400 J. JOHNSON CONST. INC 450 P02 OCT 09' 92 16: 22
CITY OF RENTON
NORTH FORK SPRINGBROOK CREEK REGIONAL BYPASS PIPELINE
CONTRACT BID $178,286.55
PAYMENT SUNMARY SHEET
DATE: 09 OCTOBER 1992 PAGE 1 OF 5
PAY REQUEST 402 PREVIOUS THIS TOTAL
TOTAL PAYMENT TO DATE
1) CONSTRUCTION CONTRACT SCH "A" & "B" $111,740.00 $108,800.25 1228,540.25
2) CHANGE ORDERS SCH "A" & "B" $0.00 $0.00 $0.00
3) TOTAL - LINE 1+2 $111,740.00 $108,800.25 $220,540.25
4) LESS S% RETENTION $5,587.00 $5,440.01 $11,027.01
5) SUB TOTAL - LINE 3 LESS LINE 4 $106,153.00 $103,360.24 $209,513.24
6) MATERIALS ADVANCED SCH "A" & "B" $798.00 ($796.00) $0<O0
7) SALES TAX @ 8.2t OF LINE 3 AND LINE 6 $9,228.12 $8,856,18 $18,084.30
8) TOTAL - LINE 5 + LINE 6 + LINE 7 $116,179.12 $111,418.42 $227,597.54
9) TOTAL DUE PROJECT ................................................ $227,597.54
10) TOTAL PAID PROJECT (DEPOSITS) .................................... $101,769.65
11) TOTAL DUE THIS PAYMENT ........................................... $125,827.89
PAYEE: JACK JOHNSON CONSTRUCTION, INC. ACCEPTED BY;
PO BOX 1119
BELFAIR, WA. 98528 /
(206) 275-5400 . ., INC.
PAY RETENTION OF $5,440.01 APPROVED BY:
TO: PUGET SOUND BANK
PO BOX 2232
BREMERTON, NA. 98310 CITY OF RENTONAING COUNTY
(206) 479-0334
+12062756400 J. JOHNSON CONST. INC 450 FO3 OCT 09' 92 16: 22
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 2 OF 5
PAY ESTIMATE NO. 02 DATE: 17 SEPTEMBER THRU 02 OCTOBER 92
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
I I I I I I I I I I I
I SCHEDULE "A" I CONTRACT UNIT I CONTRACT I PREVIOUS TOTAL 1 THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION IQUANTITYI PRICE I AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I i I I 1 1 I I
I I 1 I I I 1 I I 1 I I
1. I MOBILIZATION I LS I $16,000.00 I $16,000.00 I 1 1 $16,000.00 I 0 1 $0.00 I 1 I $16,000.00 I
I I I I I I I I I I I
I I 1 I I I I I I I I I
2. I CLEAR & GRUB I LS I $5,000.00 1 $5,000.00 1 1 1 $5,000.00 1 O I $0.00 1 1 1 $5,000.00 1
I I I I I I I I I I I
,o. ISPEC. EXCAVATIONI 225 I I I I I I I I I
3. 1 BERM INC HAUL I CY I $20.00 I $4,500.00 I 225 1 $4,500.00 I 775 I $15,500.00 I 1000 1 $20,000.00 1
ISPEC. IMPERVIOUSI 1400 1 1 1 I I 1 I 1 I
4. IBORROW INC. HAULI CY I $11.00 I $15,400.00 I 0 I $0.00 I 2258 I $24,838.00 I 2258 I $24,838.00 1
I I I I I I I 1 I I I
I CONSTRUCTION I 350 I I 1 I I I I I I
S. I FABRIC I SY 1 $7.001 $2,450.001 01 $0.001 6741 44,718.001 6741 $4.718.001
I I I I I I I I I I I
I EMBANKMENT I 1700 I I I I I I I I I
6. I COMPACTION I CY I $7.00 I $11,960.00 1 0 I $0.00 1 2258 1 $15,806.00 I 2258 1 $15,806.00 I
I I I I I I I I I I I
I I 200 1 I 1 1 I I 1 I 1
7. I FILTER FABRIC I LF I $3.00 1 $600.00 1 200 I $600.00 I -37 I ($111.00)1 163 I $489.00 I
1 I I I I I 1 I 1 I 1
I STRUCTURE 1 800 I I I I 1 1 1 1 1
8. IEXCAVATION CL B I CY I $0.10 1 $80.00 I 800 I $80.00 1 0 1 $0.00 I 800 1 $80,00 I
1 1 I I I 1 I I I 1 I
ISHORING & CRIBB I 50 I I 1 1 I I I 1 1
9, 1 P FIXED PRICE I SF I 11.50 1 $75.00 I 0 1 $0.00 I 0 1 $0.00 I 0 1 $0.00 I
I I I I I 1 I I I I I
I HAND PLACED I 30 1 I I I 1 1 I I 1
10. 1 RIPRAP I CY 1 $25.00 I $750.00 I 0 I $0.00 I 150.53 1 $3,763.25 T 150.53 1 $3,763.25 I
I I I I I I I I I 1 I
I REMOVE 8 RESET I 10 I 1 I I I I I I I
11. IHAND Pl. RIPRAP I CY I $15.00 1 $150.00 I 0 I $0.00 1 35 1 $525.00 I 35 1 $525.00 1
I I I I I I I I I I I
1 24" CONCRETE 1 70 1 1 I I I 1 I I 1
12. I CULVERT PIPE I LF 1 $65.00 1 $4,550.00 1 36 I $2,340.00 I 27 1 $1,755.00 I 63 1 $4,095.00 I
I I 1 I I 1 I I 1 I I
I 36" CONCRETE 1 20 1 I I 1 1 1 1 1 1
13. I CULVERT PIPE I LF I $1.15.00 1 $2,300.00 I 0 1 $0.00 I 23 1 $2,645.00 I 23 I $2,645.00 1
1 1 I 1 I 1 I I I 1 I
+12062756400 J. JOHNSON CONST. I NC 450 PO4 OCT 09' 92 16: 23
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 3 OF 5
PAY ESTIMATE NO. 02 DATE: 17 SEPTEMBER THRU 02 OCTOBER 92
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
I I I I I I I I 1 I I
I I CONTRACT UNIT I CONTRACT I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM 1 DESCRIPTION 1QUANTITYI PRICE I AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I i I I I I
I 1 120 I I I 1 I 1 1 1 I
14. 1 12" HDPE T LF 1 $38.00 1 $4,560.00 1 0 I $0.00 I 120 I $4,560.00 I 120 1 $4,560.00 I
I I I I I I I I I I I
1 I 1400 1 1 I I 1 I I 1 I
15. 1 24" HDPE I LF I $28.00 1 $39,200.00 1 1400 1 $39,200.00 1 0 I $0.00 I 1400 1 $39,200.00 I
I I I I I I I I I I I
I 28" HDPE I 10 I 1 I 1 1 I I I I
16. 1 W/EXPAN SLEEVE I LF I 195.00 I $950.00 I 10 I $950.00 1 0 1 $0.00 1 10 1 $950.00 1
i I III I 1 11 1 I 1
I PERCOLATION 1 2 1 I I I I 1 I 1 I
17. 1 COLLAR T EA I $175.001 $350.001 01 $0.001 21 $350.001 21 $350.001
I I 1 I I I I 1 I I I
1 11 1 I I I I T I I I
18. I TRASH RACK I EA 1 $650.00 I $650.00 1 0 I $0.00 1 1 1 $650.00 1 1 1 $650.00 1
I I 1 I I I I I I I I
1 I 1 I I I I I 1 I I I
19. ICB TYPE 2 (48") I EA 1 $2,875.00 1 $2,875.00 1 0 1 $0.00 1 1 1 $2,875.00 1 1 1 $2,875.00 I
1 1 1 I I I I I I I I
ICB TYPE 2 (54") 1 1 1 I I 1 I 1 1 1 I
20. IY/DEBRIS A GATE I EA 1 $6,350.00 I $6,350.00 I 0.95 I $6,032.50 I 0.05 I $317.50 I 1 I $6,350.00 1
1 1 T I 1 I 1 I I 1 1
ICB TYPE 2 (72") 1 1 I I 1 1 I I 1 1 I
21. 1 W/ELBOW I EA 1 $8,500.00 1 $8,500.00 1 0 I $0.00 I 1 1 $8,500,0D I 1 I $8,500.00 I
I I I I I I I I I I I
ICRUSHED SURFACE 1 47 1 1 1 I 1 1 1 1 I
22. I TOP COURSE I TN I $15.00 1 $705.00 1 0 1 $0.00 I 26.06 I $390.90 I 26.06 I $390.90 1
I 11 I I 1 I I 1 I 1
1 1 200 1 1 1 I I I I 1 I
23. IGABION CRIBBING 1 CY I $125.00 1 $25,000.00 1 232.06 1 $29,007.50 1 0 1 $0.00 1 232.06 I $29,007.50 1
1 I I I I I I I 1 1 I
I IMPERVIOUS I 90 I F I I I I I I I
24. I LINING I SY I $10.00I $900.001 275I $2,750.001 6.11I $61.101281.11I $2,811.10I
I I I I I I I I I I I
1 1 5 1 I 1 I I I I I I
25. 1 GRASS SEEDING I ACRES I $750.00 1 $3,750.00 1 0 1 $0.00 I 5 1 $3,750.00 1 5 1 $3,750.00 I
I I I I I 1 I I I i I
I I 5 I 1 I 1 I I I 1 1
26. I FERTILIZER I ACRES I $250.00 1 $1,250.00 I 0 1 $0.00 1 5 1 $1,250.00 I 5 I $1,250.00 I
I 1 1 1 1 1 1 I 1 1 1
+12062756400 J. JOHNSON CONST. INC 450 P05 OCT 09' 92 16: 23
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 4 OF 5
PAY ESTIMATE NO. 02 DATE: 11 SEPTEMBER THRU 02 OCTOBER 92
3zmmXZLi-=---
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
I I I I I 1 I I I I I
1 SCHEDULE "A" I CONTRACT UNIT I CONTRACT I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM i DESCRIPTION IQUANTITYI PRICE I AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I I I I I I
CO 1021 DELETE I 1 I I I I I I I I 1
27. I ITEM 120 1 EA I ($6,350.00)1 ($6,350.00)1 0 I $0.00 1 1 1 ($6,350.00)1 1 1 ($6,350.00)1
I I I I 1 I 1 1 1 1 I
CO $021 72" TYPE 11 I 1 I 1 1 I I 1 I I I
18. 1 WAGE & GATE I EA I $9,350.07 1 $9,350.07 I 0 I $0.00 I 1 1 $9,350,07 I 1 1 1 i91350.07 1
I I I I I I I 1 I I �33n�•Q1I
CO $02I 24" MECHANICAL I 1 1 1 I I I I I 1 1
29. 1 COUPLING I EA T $1,757.111 $1,757.11I 0I $0.00I 11 $1,757.11I 11 $1,757.11I
I I I I I I I I I I I
CO 103I MOVE HOPE I 1 I I I I I I I 1 I
30. 1 IN CANYON I EA 1 $10,493.79 1 $10,493.29 1 0 1 $0.00 1 1 1 $10,493,29 I 1 1 $10,493.29 1
1 I I I I 1 I i I I I
SUBTOTAL $174,045.47 1106,460.00 $107,394.22 $213,854.22 '�
I I 1 I I 1 I 1 I I I
I SCHEDULE "B" I CONTRACT UNIT I CONTRACT I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION IQUANTITYI PRICE I AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I I I I 1 I
I I 550 I 1 I 1 1 I 1 I I
1. I 12" HOPE I LF I $10.00 I $5,500.00 I 480 I $4,800.00 I 75 1 $750.00 I 555 I $5,550.00 I
I I I i I I I I 1 I I
I i t I i I I 1 I I I I
2. I 14" HOPE I LS 1 $48.00 1 $480.00 1 10 I $480.00 I 0 1 $0.00 I 10 1 $480.00 1
I I I I I I I I I I I
CO 1011 12" HOPE 1 1 I 1 1 I I 1 I 1 1
3. ICOUPLING & HEAD I LS I $656.03 1 $656.03 1 O I $0.00 I 1 I $656.03 I 1 1 $656.03 1
1 I I I 1 I I 1 11 1
SUB-TDTAL $6,636.03 S5,28O.D0 $1,406.03 $6,686.03
+12062756400 J. JOHNSON CONST. INC 450 P06 OCT 09' 92 16: 24
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 5 OF 5
PAY ESTIMATE NO. 02 DATE: 17 SEPTEMBER THRU 02 OCTOBER 92
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
MATERIALS ON HAND
I I I I I I I I I I I
I IADVANCE I UNIT I INVOICE I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION I(DEDUCT)I PRICE I PRICE IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I i I I I�I I I I I
14. 1 12" HOPE I ADV 1 $3.99 1 $3.99 1 125 I $498,75 1 0 1 $0.00 T 125 1 $498.75 1
1 1 1 I I 1 I I I 1 I
"A" I I I I I i I T I 1 I
14. I 12" HDPE I (DED) 1 ($3.99)I $3.99 I 0 1 $0.00 I 125 1 ($498.75)1 125 I ($498.75)1
I I I I I I I I I 1 I
15. 1 24" HOPE I ADY 1 $17.57 1 $17.57 I 1400 I $24,598.00 I 0 1 $0.00 I 1400 1 $24,598.00 I
I 1 I 1 1 I I I I I I
"A" I I I I I I I I I I 1
15. 1 24" HDPE I (DED) 1 ($17.57)I $17.57 1 1400 I ($24,598.00)I 0 1 $0.00 I 1400 1 ($24,598.00)1
I 1 I 1 1 I 1 1 I 1 I
"A" I I I I I I I I I I I
16. I 28" HDPE I ADV 1 $48.10 1 $48.10 1 10 I $480.95 I 0 1 $0.00 1 10 I $480.95 I
I I 1 I I I I 1 I I I
"A^ I
16. I 28" HOPE I (DED) I ($48.10)1 $48.10 T 10 1 3480.9% 0 1 $0.00 1 10 I ($480.95)1
I I 1 1 I I I I I I I
1. I 12" HDPE I ADY 1 $3.99 I $3.99 1 555 I $2,214.45 I 0 1 $0.00 I 555 1 $2,214.45 I
I I IwJI 1 1 1 I I I I
1. T 12" HDPE I (DED) 1 ($3.99)1 $3.99 1 480 I ($1,915.20)1 75 I ($299.25)I 555 1 ($2,214.45)1
i I I I I I I I i I I
2. I 14" HOPE I ADY 1 $9.58 I $9.58 I 10 I $95.75 I 0 I $0.00 1 10 1 $95.75 1
1 11 I I 1 I 1 1 I 1
"B" I I I I I I I I I I I
2. 1 14" HDPE I (DED) I ($9.58)I $9.58 I 10 I ($95.75)I 0 T $0.00 1 10 1 ($95.75)I
1 I I I I I I 1 1 I I
SUB-TOTAL $798.00 ($798.00) $0.00
+12062756400 J. JOHNSON CONST. INC 450 P07 OCT 09192 16: 24
COST ESTIMATE
JACK JOHNSON CONSTRUCTION , INC .
P . O . BOX 1119
BELFAIR , WA . 98528
DATE : 05 OCTOBER 92 (09 OCTOBER 92) PAGE : 01
JOB NAME : NORTH FORK SPRINGBROOK CREEK
JOB NO : JJC# 8092
DESC . : MOVE 24" HDPE IN CANYON (FORCE ACCOUNT )
CE NO : 03 (REVISED )
ITEM NO . DESCRIPTION UNIT UNIT PRICE SUBTOTAL
01 MATERIAL :
A) CABLE 1 , 050 , 00 FT 0 . 30 315 . 00
B) NYLON ROPE 2 ,000 . 00 FT 0 . 05 100 . 00
02 RENTAL EQUIPMENT :
A) WINCH 1 . 00 EA 962 , 00 962 . 00
B) BLOCK & TACKLE 3 . 00 EA 55 . 00 165 .00
03 PICK UP & DELIVERY/RETURN :
A) INTERNATIONAL RAMP TRUCK 18 . 00 HR 20 . 00 360 . 00
04 LABOR & EQUIPMENT :
A) 936 LOADER 20 . 50 HR 90 . 00 1 , 845 . 00
C) 1/2 TON PICKUP 24 . 00 HR 10 . 00 240 . 00
D) 1 TON FLATBED 16 . 50 HR 15 . 00 247 . 50
E) TWO WAY RADIOS X 3 76 . 50 HR 2 . 50 191 . 25
F) CHAIN SAW X 3 76 . 50 HR 5 . 00 382 . 50
G) NYLON STRAPS X 3 25 . 50 HR 3 . 00 76 .50
H) FOREMAN 23 . 50 HR 50 . 00 11, 175 . 00
I ) OPERATOR X 2 40 . 00 HR 35 . 00 1 , 400 . 00
J ) LABOR X 2 51 . 00 HR 30 . 00 1 , 530 . 00
SUB TOTAL 8 , 989 . 75
0&P 0 . 150 1 , 348 . 46
SUB TOTAL 10 , 338 . 21
BOND COST 0 . 015 155 . 0?
SUB TOTAL 10 . 493 . 29
SALES TAX 0 . 082 860 . 45
TOTAL 11 , 353 . 74
CITY OF RENTON
MEMORANDUM
DATE: September 23, 1992
TO: Margie Doohan
FROM: John Hobson /�
SUBJECT: PAY ESTIMATE #1 - CAG 92-081
JACK JOHNSON CONSTRUCTION, INC.
Please process attached pay estimate for payment to contractor.
If you have any questions, please contact me at X-6179.
Thank you.
C:DOCS:92-738:JDH:ps
Attachment
TO: FINANCE DIRECTOR
FROM: PUBLIC WORKS ADMINISTRATOR
CONTRACTOR: Jack Johnson Const. Inc.
CONTRACT NO. CAG 92-081 ESTIMATE NO. 001
PROJECT: North Fork Springbrook Creek Regional Bypass Pipeline
1. CONTRACTOR EARNINGS THIS ESTIMATE $98,614.00
2. SALES TAX @ 8.20% $8,086.35
3. TOTAL CONTRACT AMOUNT THIS ESTIMATE $106,700.35
4. EARNINGS PREVIOUSLY PAID CONTRACTOR $0.00
5. EARNINGS DUE CONTRACTOR THIS ESTIMATE $93,683.30
6. SUBTOTAL - CONTRACTOR PAYMENTS $93,683.30
7. RETAINAGE ON PREVIOUS EARNINGS $0.00
8. ** RETAINAGE ON EARNINGS THIS ESTIMATE $4,930.70
9. SUBTOTAL - RETAINAGE $4,930.70
10. SALES TAX PREVIOUSLY PAID $0.00
11. SALES TAX DUE THIS ESTIMATE $8,086.35
12. SUBTOTAL - SALES TAX $8,086.35
(95% x LINE 1)
** (RETAINAGE: 5%) GRAND TOTAL: $106,700.35
FINANCE DEPARTMENT ACTION:
PAYMENT TO CONTRACTOR (Lines 5 and 11):
ACCOUNT 421\500\18.596.34.65\55055\55057\5460 $101 ,769.65 # 1
$101 ,769.65
RETAINED AMOUNT (Line 8):
ACCOUNT 421\500\18.596.34.65\55055\55057\5460 $4,930.70 # 1
$4,930.70
TOTAL THIS ESTIMATE: $106,700.35
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 l IQj 9 Z cy
SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED V J//L
HEREIN,AND THAT THE CLAIM IS A JUST,DUE AND UNPAID
OBLIGATION AGAINST THE CITY OF RENTON,AND THAT I AM
AUTHORISED TO AUTHENTICATE AND CERTIFY TO SAID CLAIM
SIGNED: I
Printed On: 9/23/92 City of Renton Public Works Department Pagel
Printed On:9/23192 City of Renton Public Works Department Page 1
Project: North Fork Springbrook Creek Regional Bypass Pipeline Contract Number: CAG 92-081
Contractor.Jack Johnson Const.Inc. Estimate Number: 1 Closing Date: 9122/92
Item Description - Unit Est. Unit Previous Previous This This Total Total
No. X Quantity Price Quantity Amount Quantity Amount Quantity Amount
SCHEDULE'A'
001. Mobilization Lump Sum 1.0 $16,000.D0 0.00 0.90 $14.400.00'.'. 0.90 $14,400.00
002.Clearing and Grubbing Lump Sum 1.0 $5.000.00 0.00 0 85 54,250:00^ 0.85 $4,250.00
003.Special Excavation for Berm Inc.Haul Cubic Yds 225.0 $20.00 0.00 175.00 175.00 53,500.00
004. Special Impervious Borrow Inc.Haul Cubic Yds 1400.0 $11.00 0.00 $0.001! 0.00 $0.00
005. Construction Fabric Square Yds 350.0 $7.00 0.00 $0.00,' 0.00 $0.00
006. Embankment Compaction Cubic Yds 1700.0 $7.00 0.00 $0,00 0.00 $0.00
007.Filter Fabric Fence Lin.Feet 200.0 $3.00 0.00 163.00 5489.00'. 163.00 $489.00
008.Structure Excavation Class B Inc.Haul Cubic Yds 800.0 $0.10 0.00 800.00 $80.00.I 800.00 $80.00
009.Shoring&Crib.or Extra Excay.CLB Square Feet 50.0 $1.50 0.00 $0.00 0.00 $0.00
at Fixed Price
010.Hand Placed Riprap Cubic Yds 30.0 $25.00 0.00 $OAQ# 0.00 $0.00
011.Remove and Reset Hand Placed Cubic Yds 10.0 $15.00 0.00 $0 60., 0.00 $0.00
Riprap
012.Cl.II Reinf.Conc.Culy.Pipe Linear Ft 70.0 $65.00 0.00 36.00 $2,340-.00: 36.00 $2,340.00
(24 in dia)
013.Cf.II Reinf.Conc.Culy.Pipe Linear Ft 20.0 $115.00 0.00 $0.00:; 0.00 $0.00
(36 in dia) -
014.Special High Density Polyethylene Pipe Linear Ft 120.0 $38.00 0.00 $0.00 0.00 $0.00
(12 in dia)
015.Special High Density Polyethylene Pipe Linear Ft 1400.0 $28.00 0.00 1400.00 ': $39,200:00:' 1400.00 $39,200.00
(24 in dia)
016.Special High Density Polyethylene Pipe Linear Ft 10.0 $95.00 0.00 10.00 $950.001 10.00 $950.00
(28 in dia)with 2 ea expansion sleeve
fastener(28 in dia)
017. Percolation collar(24 in dia) EACH 2.0 $175.00 0.D0 50.00:' 0.00 $0.00
018.Special Trash Rack EACH 1.0 $650.00 0.00 $o f 0.00 $0.00
(24 in dia)
019.Catch Basin Type 2(48 in dia) EACH 1.0 $2,875.00 0.00 $0.00'J 0.00 $0.00
w/Manhole Cover
Printed On:9r23(92 City of Renton Public Works Department Page 2
Project: North Fork Springbrook Creek Regional Bypass Pipeline Contract Number: CAG 92-081
Contractor.Jack Johnson Const.Inc. Estimate Number: 1 Closing Date: 9122/92
Item Description - Unit Est. Unit Previous Previous This This Total Total
No. X Quantity Price Quantity Amount Quantity Amount Quantity Amount
020.Catch Basin Type 2(54 in dia) EACH 1.0 $6,350.00 0.00 J$0.00.'.'. 0.00 $0.00
w/Debris Cage d Slide Gate
021.Special Catch Basin Type 2(72 in dia) EACH 1.0 $8.500.00 0.00 E0:00:: 0.00 $0.00
w/Elbow
022.Crushed Surfacing Top Course Tons 47.0 $15.00 0.00 SOIOQ. 0.00 $0.00
023.Gabion Cribbing Cubic Yds 200.0 $125.00 0.00 203 00 525,375.00(; 203.00 $25,375.00
024. Impervious Lining Material Square Yds 90.0 $10.00 0.00 275.00 $2 75011)4. 275.00 $2,750.00
025.Grass Seeding Acres 5.0 $750.00 0.00 0.00 $0.00
026. Fertilizer Acres 5.0 $250.00 0.00 $0,00 0.00 $0.00
027. Delete Item 20 1.0 $0.00 0.00 0,00 50.00
028.Catch Basin Type 2(72 in dia) 1.0 $9.305.07 0.00 0 00 ;0(OO j 0.00 $0.00
w/debris cage,slide gate reducer slab
029.24"mechanical coupling(installed) 1.0 $1,757.11 II 0.00 0.00 0.00 0.00 $0.00
TT Sub Total $93 334;00 $93,334.00
Sales Tax 8.2 $7,653 39i: $7,653.39
Total Schedule A $100,987;39:i $100,987.39
SCHEDULE'B'
001.Special High Density Polyethylene Pipe Linear Ft 550.0 $10.00 0.00 480.00. $4 800;00 480.00 $4,800.00
(12 in dia)
002. Special High Density Polyethylene Pipe Linear Ft 10.0 $48.00 0.00 10.00 .$4$0.00. 10.00 $480.00
(14 in dia)with 2 ea expansion sleeve
fasteners'A'
003. 12'HDPE stub end 1.0 $925.02 0.00 $0.00 0.00 $0.00
TT Sub Total $5 280.00: $5,280.00
Sales Tax 8.2 $432.96; $432.96
Total Schedule B $5.712,916 $5.712.96
Total Schedule A $100,987.39 $100,987.39
Total Schedule B 55,712.8$; $5,712.96
Grand Total 0,$106,700,35.'. $106,700.35
TO: FINANCE DIRECTOR
FROM: PUBLIC WORKS ADMINISTRATOR
CONTRACTOR: Jack Johnson Const. Inc.
CONTRACT NO. CAG 92-081 ESTIMATE NO. 003
FINAL
PROJECT: North Fork Springbrook Creek Regional Bypass Pipeline
1 . CONTRACTOR EARNINGS THIS ESTIMATE $40,191 .83
2. SALES TAX @ 8.20% $3,295.73
3. TOTAL CONTRACT AMOUNT THIS ESTIMATE $43,487.56
4. EARNINGS PREVIOUSLY PAID CONTRACTOR $163,632.00
5. EARNINGS DUE CONTRACTOR THIS ESTIMATE $38,182.24
6. SUBTOTAL - CONTRACTOR PAYMENTS $201,814.24
7. RETAINAGE ON PREVIOUS EARNINGS $8,612.21
8. ** RETAINAGE ON EARNINGS THIS ESTIMATE $2,009.59
9. SUBTOTAL - RETAINAGE $10,621 .80
10. SALES TAX PREVIOUSLY PAID $14,124.03
11 . SALES TAX DUE THIS ESTIMATE $3,295.73
12. SUBTOTAL - SALES TAX $17,419.76
(95% x LINE 1)
** (RETAINAGE: 5%) GRAND TOTAL: $229,855.80
FINANCE DEPARTMENT ACTION:
PAYMENT TO CONTRACTOR (Lines 5 and 11):
ACCOUNT 421\600\18.596.38.65\65000\65002\5510 $41 ,477.97 # 3
$41 ,477.97
RETAINED AMOUNT (Line 8):
ACCOUNT 421\600\18.596.38.65\65000\65002\5510 $2,009.59 # 3
$2,009.59
TOTAL THIS ESTIMATE: $43,487.56
CHARTER 116, LAWS OF 1965
CITY OF RENTON CERTIFICATION
I,THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF
PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED,THE
SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED
HEREIN,AND THAT THE CLAIM IS A JUST,DUE AND UNPAID
OBLIGATION AGAINST THE CITY OF RENTON,AND THAT I AM
AUTHORISED TO AUTHENTICATE AND CERTIFY TO SAID CLAIM
SIGNED:
Printed On: 10/30/92 City of Renton Public Works Department Pagel
CITY OF RENTON
MEMORANDUM
DATE: December 16, 1992
TO: Margie Doohan
FROM: John Hobson i6Y'
SUBJECT: RELEASE OF RETAINAGE FOR CAG-92-081
NORTH FORK SPRINGBROOK REGIONAL BYPASS PIPELINE
Public Works recommends the release of retainage in the amount of $10,621 .80.
Approval for release of retainage was granted by Council November 9, 1992 (copy of
minutes attached).
Thank you.
C:DOCS:92-985:JDH:ps
Attachment
+12062756400 J. JOHNSON CONST. INC 546 P02 DEC 11 ' 92 14: 09
�.. 4r�5T.ft, f2ECE1VE0 Nuv 1 fi 199�
D
4
STATE OF WASHINCTON
DEPARTMENT OF LABOR AND INDUSTRIES
November 12, 1992
CITY OF RENTON
200 MILL AVE S
RENTON WA 98055
Account ID: 383, 217-00-7
Jack Johnson Construction, Inc.
Contract No. 92-081
Gentlemen:
Please be advised that the Department of Labor and Industries does hereby release
the City of Renton from any further liability pursuant to RCW 51 .12.050 and RGW
51 ,12.070 as would otherwise incur in connection with a contract calling for work
on the North Fork Springbrook Creek pipeline.
This certificate does not release Jack Johnson Construction, Inc. , from liability
---. -__ for a3di ar.��-carr�r�but2ors-ahieh-later may b9-determined to be due with rrikgpacr --to the above mentioned contract or any other contracts said contractor may have
performed.
very truly yours, ff A4
Bonnie Fahrnkopf
Industrial Insurance
Accounts Auditor
Contractor Compliance/Release Unit
Phone: (206) 956-4763
CCUl.BF:4cd. 38
cc to
JACK JOHNSON CONSTRUCTION INC
PO BOX 1119
BELFAIR WA 98528
4-12062756400 J. JOHNSON CONST. INC 546 F0:3 DEC 11 ' 92 14: 09
State of Washington
Department of Pownue
Audit Procedures AdministrationUZJE6N UAdministrationAdministrationAdministration PO Box 47474
Olympia, WA 98504-7474
Certificate of Payment of State Excise
Taxes by Public Works Contractor
Contractor: -' i r l,� 1992
RECE1\JC`-N
F
NO
We hereby certify that taxes, increases and penalties due or to become due from the above named
contractor under Chapter 180, Laws of 1935, as amended, with respect to the following public works
contract:
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 excise
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, A r)- —
STATE OF WASHINGTON
DEPA,,RTMENT OF REVENUE
Certifying Officer
ROUTING: White Copy -Disbursing Officer, Canary Copy contractor,
FORM REV 31 0028 110-911 Pink Corn -Fite. Goldenrod CoDy - Sr--ial File.
o% CITY OF RENTON
Planning/Building/Public Works Department
Earl Clymer, Mayor Lynn Guttmann,Administrator
September 15, 1992
Jack Johnson Construction, Inc.
P. O. Box 1119
Belfair, WA 98528
SUBJECT: CHANGE ORDER NO. 1 AND NO. 2
Dear Jack:
Please sign all copies of Change Orders No. 1 and No. 2 and return all copies to me. When I
get all the signatures for the Change Orders, I will send you an original of each.
Change Order No. 1 for the 12-inch HDPE work is being reimbursed to the City by a private
person which is why it was not included with the other materials in Change Order No. 2.
If you have any questions or require additional information, please contact me at (206)
277-6179.
Sincerely,
J hn Hobson, Project Manager
Utility Systems Division
C:DOCS:92-710:JDH:ps
200 Mill Avenue South - Renton, Washington 98055
I-A11101 1 U
r Page 2
CITY OF RENTON
PUBLIC WORKS DEPARTMENT/UTILITY SYSTEMS DIVISION
CONTRACT CHANGE ORDER AGREEMENT
CONTRACT: North Fork Springbrook Regional C.O_# 1
Bypass Pipeline
CONTRACTOR: Jack Johnson Construction, Inc.
SUMMARY OF PROPOSED CHANGE:
Schedule "B"
New Item #3
12" HDPE Stub end, CAP, backing ring, Lump Sum $925.02
bolt set, gasket and weld
Sub-Total Amount: $925.02
Washington State Sales Tax: 75.85
Change Order No. 1 Total: $1,000.87
ORIGINAL CONTRACT CURRENT CONTRACT ESTIMATED NET ESTIMATED CONTRACT
AMOUNT AMOUNT CHANGE THIS ORDER TOTAL AFTER CHANGE
$178 286.55 $178,286.55 $1 000.87 $179,287.42
SIGNATURES:
Contractor: - Date: Cf Z_
Project Engineer:
Date: -'-¢ 2
Lobruch,
Signature of Representative
-EA-6t cam.
Please print name
Approved By: Date:
(Utility Sys a �,.n)
C:DOCS:92-660:JDH:ps
CITY OF RENTON
PUBLIC WORKS DEPARTMENT/UTILITY SYSTEMS DIVISION
CONTRACT CHANGE ORDER AGREEMENT
CONTRACT: North Fork Springbrook Regional C.O.# 2
Bypass Pipeline
CONTRACTOR: Jack Johnson Construction, Inc.
SUMMARY OF PROPOSED CHANGE:
Schedule "A"
New Item #27:
Delete Item 20 Catch basin Type 2 - 54" 1 each -$6,350.00
New Item #28:
72" Type H catch basin with debris cage slide gate, reducing 1 each $9,305.07
slab, including installation (to replace 54" Type II catch basin)
New Item #29:
24" mechanical coupling (installed) - 2 stub ends, 2 backing 1 each $1,757.11
rings, bolt set, gasket and welds
Sub-Total Amount: $4,712.18
Washington State Sales Tax: $386.40
Change Order No. 2 Total: $5,098.58
ORIGINAL CONTRACT CURRENT CONTRACT ESTIMATED NET ESTIMATED CONTRACT
AMOUNT AMOUNT CHANGE THIS ORDER TOTAL AFTER CHANGE
$178 286.55 $179,287.42 $5 098.58 $184,386.00
SIGNATURES:
Contractor: - Date:Z Z
Project Engin Date:
Approved By: Date: Izz
C:D OCS:92-675:JDH:ps
CITY OF RENTON
PUBLIC WORKS DEPARTMENT/UTILITY SYSTEMS DIVISION
CONTRACT CHANGE ORDER AGREEMENT
CONTRACT: North Fork Springbrook Regional C.O.# 3
Bypass Pipeline
CONTRACTOR: Jack Johnson Construction, Inc.
SUMMARY OF PROPOSED CHANGE:
Schedule "B"
New Item #4:
Delete Item 3: 12" HDPE Stub End 1 each -$925.02
New Item #5:
12" HDPE connection, coupling, pulling head and installation 1 each $656.03
Sub-Total Amount: -$268.99
Washington State Sales Tax: $53.79
Change Order No. 3 Total: -$215.20
ORIGINAL CONTRACT CURRENT CONTRACT ESTIMATED NET ESTIMATED CONTRACT
AMOUNT AMOUNT CHANGE THIS ORDER TOTAL AFTER CHANGE
$178 286.55 $184,386.00 -$215.20 $184,170.80
SIGNATURES:
Contractor: ' 2 JDate:
Project Engineer: --- Date: f- i- 2
Lobruch, Inc.: 6J Date:
Signature of Representative
Please print name
Approved By: Date:
ty S stems Division)
C:D OCS:92-832:JD H:ps
CITY OF RENTON
PUBLIC WORKS DEPARTMENT/UTILITY SYSTEMS DIVISION
CONTRACT CHANGE ORDER AGREEMENT
CONTRACT: North Fork Springbrook Regional C.O.# 4
Bypass Pipeline
CONTRACTOR: Jack Johnson Construction, Inc.
SUMMARY OF PROPOSED CHANGE:
Schedule "A"
New Item #30:
Remove trees and relocate 24" HDPE pipe: 1 each $10,493.29
Sub-Total Amount: $10,493.29
Washington State Sales Tax: $860.45
Change Order No. 4 Total: $11,353.74
ORIGINAL CONTRACT CURRENT CONTRACT ESTIMATED NET ESTIMATED CONTRACT
AMOUNT AMOUNT CHANGE THIS ORDER TOTAL AFTER CHANGE
$178,286.55 $184,170.80 $11,353.74 $195,524.54
SIGNATURES
Contractor. Date: /t -
Project Engineer: Date: /0 3 2
Approved By: / Date:/ 2 Z
C:DOCS:92-850:JDH:ps
3S LS. 5-coo
6SoS
CASCADE TESTING LA80RATORY, INC S336�
12919 NE 126TH PL
KIRKLAND, WA 98034 n,(
206) 823 --9800
>r ,. .. . N FORK SPRINGEROOK CREEK REG Invoice number 8853
102ND PL SE & SE 200TH ST, 4 September 30 , 1992
Page number 1
CITY OF RENTON
ATTN : JOHN HOpSON Try
200 MILL AVE S, 4TH FLOOR
RENTON , WA 98055
3104 ON 1997
NET 30 DAYS T, RECI VI
......................................................................................
PROFESSIONAL SERVICES Hours Rate Ar,.:;:
SHOW UP, INSPECTION CANCELLED
9.....2 3.....9 2 2 . 00 35 . 00 70 . 00
SAMPLE PICK UP
9--22-92 2 . 00 29 . 50 59 . 00
IN PLACE DENSITY TESTS
9-24....92 4 . 00 35 . 00 140 . 00
9--29--92 4 . 00 35 . 00 140 0
1 it
Services total 12 . 00 409 . 00
-------------
Expenses, Amount
PROCTOR @ 113 . 50 EA
9_...22... 92 113 . 50
INSPECTOR MILEAGE @ . 35/MIL`
9-29--92 4 TRIPS DURING THE MONTH @ 40 MILES EACH 56 . 00
.......................................................
Expenses Total 169 . 50
---------- --
CONCURRENCE _
invoice total 578 . 50
DATE --wML ,�-
N ME INIT V ATE
t. 1 T
V0
CASCADE TESTING LABS, INC Statement
PHONE #206 °23 9800
104919 NEE 1 2 Fi T H P L A G E DATE ACCOUNT NO. TERMS PAGE
1I21:LAND WA 080314 10 21 92 3104 'ET 30 1
I
NINE
CITY OF RENTON
JOHN HODSON
200 MILL AVE S, 4TH FLOOR
IR N T 0 N WA 98055
REFERENCE PURCHASE ORDER DUE DATE OR TRANSACTION INVOICE DESCRIPTION AMOUNT
NUMBER NUMBER CHECK NUMBER DATE NUMBER
Iv 15 1 .....V .._. .. 4 .. .....V .....928,853 ' L V Fork C wprinC,J. roG < 5 ../
OCT N 3 1992
CITY OF RENTON
Engineering Dept.
CURRENT 1-30 DAYS 31-60 DAYS 61+DAYS To insure proper credit, please check those items
C p 5 Q 0 , l� v being paid in the"✓"column and return the duplicate d , ,�
V 1 Q copy of this statement with your payment.
- - -------------_------------------------
PURCHASE ORDER •'' FUND PROG DEPT W ACCO FUNCTION AMOUNT
'}
City of Renton 65477 1421 UOOoUO lt4 596 38 65 t,5000
200 MILL AVE.S. • RENTON,WA.98055
(206)235-2618 65002 5330 5 7 8.5
INSTRUCTIONS P.O.DATE: OCTOBER 199 1992
1. Send invoices in TRIPLICATE to Purchasing Division,City of Renton.
2. All prices are F.O.B.destination unless otherwise stated.
3. Indicate the Purchase Order Number on Invoice and all labels. SHIP TO:
4. Label all shipments as specified on the Purchase Order,and enclose
Packing Slip with each shipment.
:42` 5
CASCA0E TE5TIr,G Lai-
12919 NE 126TH PL
KI ,KLAN1- WA 98034
UANTITY UNIT DESCRIPTION UNIT PRICE ESTIMATED AMOUNT
C (1 N F I R. M I N G r
#####4#####4#########10####4#
1NV. 8853—NORTH FORK SPRING— 578.50 578.50
b CON CREEK REGIGtJAL BYPr.Ss
RTIFtCAT10N
I, THE UNDERSIGNED DO HEREBY CERTIFY UNDER
PENALTY OF PERJURY,THAT THE MATERIALS HAVE BEEN
FURNISHED, THE SERVICES RENDERED OR THE LABOR
PERFORMED AS DESCRIBED HEREIN,AND THAT THE CLAIM
IS A JUST, DUE AND UNPAID OBLIGATION AGAINST THE
CITY OF RENTON, AND THAT I AM AUTHORIZED TO
AUTHENTICATE AND CERTIFY TO SAID CLAIM.
PLNG/BLDG/PUB WKS UTILITY SYS
XS NED:
iij-
AUTHORIZED BY TOTAL 578 5 U ALPHA DP 1189/9,
,------------- --- _- I--'------
f ,
CASCADE TESTING LABORATORY, INC
12919 NE 126TH PL
KIRKLAND, WA 98034
(206) 823-9800
Project 9209-87 N FORK SPRINGBROOK CREEK REG Invoice number 8959
102ND PL SE & SE 200TH ST, 4 October 31 , 1992
CITY OF RENTON Page number 1
ATTN: JOHN HOBSON
200 MILL AVE S, 4TH FLOOR
RENTON, WA 98055
3104
NET 30 DAYS
------------------------------------
PROFESSIONAL SERVICES Hours Rate Amount
IN PLACE DENSITY TESTS
10-01-92 4 . 00 35 . 00 140 . 00
------- -----------
Services total 4 . 00 140 . 00
Expenses Amount
INSPECTOR MILEAGE @ . 35/MILE
10-01-92 1 TRIP DURING THE MONTH @ 40 MILES EACH 14 . 00
Expenses Total 14 . 00
Invoice total 154 . 00
PL.E, I.
CC'k!CURRENCE 1
DATE � � q1 f q a
NAME I, TIAL/DATE I
CITY OF RENTON
MEMORANDUM
DATE: October 22, 1992
TO: Margie Doohan
FROM: John Hobson �Iw
SUBJECT: PAY ESTIMATE #2 - CAG 92-081
JACK JOHNSON CONSTRUCTION, INC.
Please process attached pay estimate for payment to contractor.
If you have any questions, please contact me at X-6179.
Thank you.
C:DOCS:92-849:JDH:ps
Attachment
w
TO: FINANCE DIRECTOR
FROM: PUBLIC WORKS ADMINISTRATOR
CONTRACTOR: Jack Johnson Const. Inc.
CONTRACT NO. CAG 92-081 ESTIMATE NO. 002
PROJECT: North Fork Springbrook Creek Regional Bypass Pipeline
1. CONTRACTOR EARNINGS THIS ESTIMATE $73,630.21
2. SALES TAX @ 8.20% $6,037.68
3. TOTAL CONTRACT AMOUNT THIS ESTIMATE $79,667.89
4. EARNINGS PREVIOUSLY PAID CONTRACTOR $93,683.30
5. * EARNINGS DUE CONTRACTOR THIS ESTIMATE $69,948.70
6. SUBTOTAL - CONTRACTOR PAYMENTS $163,632.00
7. RETAINAGE ON PREVIOUS EARNINGS $4,930.70
8. ** RETAINAGE ON EARNINGS THIS ESTIMATE $3,681 .51
9. SUBTOTAL - RETAINAGE $8,612.21
10. SALES TAX PREVIOUSLY PAID $8,086.35
11. SALES TAX DUE THIS ESTIMATE $6,037.68
12. SUBTOTAL - SALES TAX $14,124.03
(95% x LINE 1)
** (RETAINAGE: 5%) GRAND TOTAL: $186,368.24
FINANCE DEPARTMENT ACTION:
PAYMENT TO CONTRACTOR (Lines 5 and 11):
ACCOUNT 421\600\18.596.38.65\65000\65002\5510 $75,986.38 # 2
$75,986.38
RETAINED AMOUNT (Line 8):
ACCOUNT 421\600\18.596.38.65\65000\65002\5510 $3,681 .51 It 2
$3,681.51
TOTAL THIS ESTIMATE: $79,667.89
CHARTER 116, LAWS OF 1965
CITY OF RENTON CERTIFICATION 9LuL Iv-tl-q2
I,THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF ZZ/�J Z PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED,THE
SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED
HEREIN,AND THAT THE CLAIM IS A JUST,DUE AND UNPAID
OBLIGATION AGAINST THE CITY OF RENTON.AND THAT I AM
AUTHORISED TO AUTHENTICATE AND CERTIFY TO SAID CLAIM
SIGNED:
lLe yq
Printed On: 10/22/92 City of Renton Public Works Department Page 1
r '
Printed On:10/22/92 City of Renton Public Works Department
Page 1
Project: North Fork Sprkngbrcok Creek Regional Bypass Pipeline Contract Number: CAG 92-081
Contractor.Jack Johnson Const.Inc. Estimate Number. 2 Closing Dale: 10/19/92 -
Item Description Unit Est. Unit Previous Previous This This Total Total
No. x Ouantify Price Ouantity Amount Ottanti Amount Quantity Amount
SCHEDULE*A*
001.Mobilization Lump Sum 1.0 $16.000.00 0.90 14400.00 0.10 $1.600.00 1.00 st6,000.00
002.Clearing and Grubbing Lump Sum 1.0 $5,000.00 0.85 4250.00 0.15 $750.010, 1.00 S5,000.00
003.Special Excavation for Berm Inc Haul Cubic Yds 225.0 $20.00 175.00 3500.00 50.00 f 1,000.00' 225.00 $4,500.00
004. Special Impervious Borrow Inc.Haul .Cubic Yds 1400.0 $11.00 0,00 0.00 1400.00 $15,400.00 1400.00 $15.400.00
005.Construction Fabric Square Yds 350.0 $7.00 0.00 0.00 350.00 0,450.00 350.00 $2,450.00
006. Embankment Compaction Cubic Yds 1700.0 $7.00 0.00 0.00 1700.00 $11,900.00 1700.00 s11,9tb.00
007.Filter Fabric Fence Lin.Feel 200.0 S3.00 163.00 489.00 50.00 163.00 $489.00
008.Structure Excavation Class B Inc.Haut Cubic Yds 800.0 $0.10 800.00 80.00 $0 00 800 00 $80 00
009.Shoring R Crib.or Extra Excay.CI.B Square Feet 50.0 $1.50 0.00 0.00 $0.00 0.00 $0 00
at Fixed Price
010.Hand Placed Riprap Cubic:Yds 30.0 $25.00 0.00 0.00 30 00 5750.00.' 30.00 $750.00
011.Remove and Reset Hand Placed Cubic Yds 10.0 $15.00 0.00 0.00 35.00 s525:00 35.00 S525.00
Riprap
012.CI.11 Reird.Conc.Cutv.Pipe Linear Ft 70.0 $65.00 36.00 2340.00 27.00 31,755.1b> 63.00 $4.095.00
(24 in die)
013.CI.11 Reinf.Conc.Culy.Pipe Linear Ft 20.0 $115.00 0.00 0.00 23.00 $2.645,00:: 23.00 $2,645.00
(36 In dia)
014.Special High Density Polyethylene Pipe linear Ft 120.0 $38.00 0.00 0.00 120.00 $4,560 00 120.00 $4.560.00
(12 In die)
015.Special High Density Polyethylene Pipe Linear Ft 1400.0 $28.00 1400.00 39200.00 $0,00. 1400.00 $39,200.00
(24 in dia)
016.Special High Density Polyethylene Pipe Linear Ft 10.0 S95.00 10.00 950.00 $0.00 10.00 $950.00
(281n dia)with 2 ea expansion sleeve
fastener(28 in die)
017.Percolation collar(24 In dia) EACH 2.0 S175.D0 0.00 0.00 2.00 S350,00'' 2.00 $350.00
018.Special Trash Rack EACH 1.0 $650.00 0.00 0.00 1.00 f650,00 1.00 $650.00
(24 in die)
019.Catch Basin Type 2(48 M dia) EACH 1.0 S2,875.00 0.00 0.00 1.00 f2,875:00': 1.00 $2,875.00
w1Manhole Cover
a
Printed On:10)22)92 City of Renton Public Works Department Page 2
Project: North Fork Sprkgbrook Creek Regional Bypass Pipeline Contract Number: CAG 92-081
Contractor.Jack Johnson Const.Inc. Estimate Number: 2 Closing Dale: 10/19/92
Ilem Description Unit Est. Unit Previous Previous This This Total Total
NO. X Ouanti Price Ouanti Amount Ouanti ' m
Amount Ouan Aount
w 020. Me bris Cage 8 Slide Gale Basin Type 2(54 in dia) EACH 1.0 $6,350.00 0.00 0.00 1.00 $6,350.00 1.00 S6,350.00
)De
021.Special Catch Basin Type 2(72 in die) EACH 1.0 $8,500.00 0.00 0.00 1.00 S8.500.00> 1.00 $8.500.00 w)Elbow
022.Crushed Surtacirg Top Course Tons 47.0 $15.00 0.00 0.00 26.06 $390.90.. 26.06 S390.90
023.Gabion Cribbing Cubic Yds 200.0 $125.00 203.00 25375.00 $0,06 203.00 $25,375.00
024.Impervious Lining Material Square Yds 90.0 $10.00 275.00 2750.00 6.11
561.10. 281.11 $2,811.10
025.Gress Seeding Acres 5.0 $750.00 0.00 0.00 5.00 S3,750.00._ 5.00 $3.750.00
026. Fertilizer Acres 5.0 $250.00 0.00 0.00 5.00 $1,250.00 5.00 $1.250.00
027. Delete tram 20 1.0 ($6.350.00) 0.00 0.00 1.00 ($6,350.00)'. 1.00 ($6,350.00)
028.Catch Basin Type 2(72 in dia) 1.0 $9.305.07 0.00 0.00 1.00 59,305.07 1.00 $9,305.07
w)debris cage,slide gate reducer slab
029.24'mechanical coupling(installed) 1.0 $1,757.11 0.00 0.00 1.00 $1,757a1. 1.00 $1.757.11
TT Sub Total $93,334.00 $72,224.1a $165,558.18
Sales Tax 8.2
$7,653.39 -, S5,922.38 $13,575.77
Total Schedule A
$100,987.39 $78,146.58 $179,133.95
SCHEDULE'8'
001.Special High Density Polyethylene Pipe Linear FI 550.0 $10.00 480.00 4800.DO 75.00 $750.00 555.00 S5,550.00
(12 in die)
002.Special High Density Polyethylene Pipe Linear Ft 10.0 $46.00 10.00 480.00 .50.00 10.00 S480.00
(14 In dia)with 2 on expansion sleeve
fasteners'A'
003. 12'HDPE stub end 1.0 $925.02 0.00 0.00 1.00 $925,02 1.00 $925.02
004. Dolor hem 3 1.0 ($925.02) 0.00 0.00 1.00 :! ($925.02) 1.00 ($925.02)
005. HDPE Connection 8 pulling head 1.0 $656.03 0.00 0.00 1.00 $656.013 1.00 S656.03
TT Sub Total $5.280.00 $1,406.03, $6,686.03
Sales Tex 8.2 $432 96 :
.:5415,30 $548.26
Total Schedule 8 $5,712.96
$1,521.33 $7,234.29
Total Schedule A
$100,987.39 $78,146.56 $179,133.95
Total Schedule 8 S5,712.96
St,521.33 57,234.29
Grand Total $106,700.35
579,667:89 5186.368.24
4 �
THE CITY OF RENTON
DEPARTMENT OF
PLANNING/BUILDING/PUBLIC WORKS
FOURTH FLOOR
200 MILL AVENUE SOUTH
RENTON, WASHINGTON 98055-2189
FAX: 235-2541 -
<.
FAX TRANSMITTAL
DATE:
TO: — FAX#: 76 — (O zl-o o
FROM: — PHONE#:
SUBJECT:
Number of pages excluding cover sheet:
II!Gn'msimi.c/I AXCOVIiR.DOC/hh
c. - CITY
Finance Departme���
Earl Clymer, Mayor Dan Clements,Director
December 28 , 1992
Puget Sound Bank
PO Box 2232
Bremerton, WA 98310
Retainage Department:
This is the authorization to release the retained percentage
in the amount of $10, 621. 80 plus interest to Jack Johnson
Construction Inc.
We have received the release forms from the State.
Thank you for your cooperation. If you have any questions,
please feel free to contact me at 235-2618 .
Sincerely,
Margie Doohan
Accounts Payable
200 Mill Avenue South - Renton, Washington 98055 - (206) 235-2558
Nov
RECEIVED 6 , ' 2 �992
Complete & mail entire set `` Affidavit Of
WITH APPROVAL FEE OF $12.50 TO:
Department of Labor&Industries ,.► PREVAILING WAGES PAID
ESAC Division Public Works Contract
406 Legion Way SE HC710-3 INSTRUCTIONS
Olympia WA 98504-4401 (206)753-4019 ON BACK
YOUR APPROVED COPIES WILL BE MAILED TO THIS ADDRESS Contract or BPW No.
....:.:.: :.:.
z o$/
Name Bid due date Date contract awarded
JACK JOHNSON CONSTRUCTION INC. ' 03 AUGUST 92 11 AUGUST 92
Address County where work performed :Date work completed
PO BOX 1119 KING COUNTY 08 OCTOBER 92
A
City State ZIP
Prune contractor
BELFAIR WA. 9$52$ .' JACK JOHNSON CONSTRUCTION.' JACK JOHNSON INC.
Please allow a minimum of 10 to 15 working days for processing from the Vas a statement of intent filed for this project?
date the Department received your document with the correct approval fee. Yes g No
....
CONTRACT AWARDING name
PUBLICAGENCY CITY OF RENTON
Address city stale 21P ... phone number
200 MILL AVENUE SOUTH RENTON, WA. 98055 (206 )235-2631
1.CRAFT 2.RATE OF 3. RATE OF HRLY 4.APPRENTICES: Name,registration#,
HOURLY PAY FRINGE BENEFITS ' stage of progression& date of hire
UTILITY PROJECT
............
OPERATOR-225 CAT EXCAVATOR (UNDER 3CY) 19.81 4.71
—544 JOHN DEERE LOADER (UNDER 6cy)19.81 4.71 '
1Q.::0.X..I iTMP..TRUCK... .:.._:.......:.::::..:...:.::..........:.:....... ...18.95 '" :...4..29..:.'" .........
LABORER.-.PZPELAYER.:.....:::.:..::::::::.:.:.:.....::.:.::......... ............ 17.46'; :3:..b.0.:.:.. ....... ohs _T
_j
: ........:GEhTER<�1t:::....:::::..::::.:...,:...::.::...:::..:..: ..:.....A..:... 16.98
................
:..:......:::.......:.. .:.......::...:::.:..:.::..:...:....:::....::.:::::::....:...::.........
:::..... :..::::.................
LIJ +—
I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS CORRECT
AND THAT ALL WORKERS I EMPLOYED ON THIS PUBLIC WORKS Name andaddressofcompanycompleting this form:
PROJECT WERE PAID NO LESS THAN THE PREVAILING WAGE RATE .;......................................................................................
AS DETERMINED BY THE INDUSTRIAL STATISTICIAN OF THE
DEPARTMENT OF LABOR AND INDUSTRIES. I UNDERSTAND THAT Company name
CONTRACTORS WHO VIOLATE PREVAILING WAGE LAWS, 1.E. JACK..JOi....SON....C.ONSURUcTI.ON,....INC................_.......................>INCORRECT CLASSIFICATION/SCOPE OF WORK OF WORKERS, IM- ;Address
PROPER PAYMENT OF PREVAILING WAGES, ETC., ARE SUBJECT
TO FINES AND/OR DEBARMENT AND WILL BE REQUIRED TO PAY PO BOX.._1119 ...................ANY BACK WAGES DUE TO WORKERS. .
NOTARY; (complete 4 copies and have each notarized) City Ste.... ......
:SUBSCRIBED Aria SWORN ro BEFORE raE.............:......,....... `: BELFAIR, WA. 98528
THIS DATE one number.................................................
.Registration number...........................
.13...00TOBER...92......
.........:........:.
:NOTARY PUBLIC IN AND FOR THE STATE ......." " \ 206 ) 275-5400 JACKJCI182MI
.. .,..:..... ... .......:.
OF WASHINGTON Title Si n
................................................ ............................................................................ PRESIDENT
SIGN A R
::. ... _.
........ ............................................
For &
AT
Use ly
E APPROVED')De E•9€P Lad Indus es }
........S I LVM.ALE.........: .. NOV 0:MY COMMISSION EXPIRES ON .......... .. By 4' .
92
Ol NOVEMBER 94 Industrial Stattlician"�"�
f ...............afidavit ofwages 11-89 ............
INSTRUCTIONS TO COMPLETE THE
AFFIDAVIT OF PREVAILING WAGES PAID
CONTRACTORS, DISTRIBUTE APPROVED COPIES AS FOLLOWS.
1.Awarding agency
2. L&I Employment Stds..
3 Prime'contractor
4.'Subcontractor
1. Enter each craft you employed on this project.
If operating engineers and/or truck drivers were used,please describe the type and list the size
or rated capacity of the equipment.
If the work was done by owners or partners please state so under#1.
If the work was done by owners or partners#2,#3 and#4 need not be completed.
Partners who own less than 30 percent of a partnership are considered to be employees.
2. Enter the rate of hourly pay for each craft or classifcation.
3. Enter the rate of hourly fringe benefits only if you are paying one or more of the following benefits:
vacation, group medical insurance (e.g., Blue Cross, County Medical, etc.), pension and/or an
apprentice training fund. If you are not paying benefits into these funds, add the prevailing fringe
benefits to the rate of hourly pay and list the total under#2.
a. Individual company pension plans must be approved by the IRS.
b. Apprentice training programs must be approved by the Washington State Apprenticeship and
Training Council.
If apprentices have been employed on this project,provide this additional information: name,
registration number, stage of progression and date hired.
5. If this is residential, landscape or sewer/waterline construction, please state so on the forms.
;PLEASE NOTE: The amount listed under#2 plus the amount listed under#3 (if any) must equal or
exceed the "prevailing rate of wage".
OVERTIME
To determine the prevailing wage for hours worked in excess of 8 hours per day,
40 hours per week, or on Saturday, Sunday & holidays, please call 753-4019.
APPRENTICES
Any worker not registered with the Washington State Apprenticeship and Training
Council must be paid prevailing journeyman wages. Any apprentice not registered
with the Washington State Apprenticeship and Training Council within 60 days of
hiring must be paid prevailing journeyman wages for the time preceding the date of
registration. To verify apprentices registration and status, call (206) 753-3511.
RETAINAGE
Contractors are -responsible for obtaining and filing affidavits of the sub-contractors.
This is required by law and retainage can not lawfully be released until such affidavits are
filed.
This Affidavit is approved based on the information provided by the
contractorlsubcontractor.It does not signify approval of the classifications of
labor used by the contractorlsubcontractor.
c„ a
CITY OF RENTON
NORTH FORK SPRINGBROOK CREEK REGIONAL BYPASS PIPELINE
CONTRACT BID $178,286.55
PAYMENT SUMMARY SHEET
DATE: 31 OCTOBER 1992 PAGE 1 OF 5
FINAL ESTIMATE PREVIOUS THIS TOTAL
TOTAL PAYMENT TO DATE
1) CONSTRUCTION CONTRACT SCH "A" & "B" $172,244.21 $40,191.83 $212,436.04
2) CHANGE ORDERS SCH "A" & "B" $0.00 $0.00 $0.00
3) TOTAL - LINE 1+2 $172,244.21 $40,191.83 $212,436.04
4) LESS 5% RETENTION $8,612.21 $2,009.59 $10,621.80
5) SUB TOTAL - LINE 3 LESS LINE 4 $163,632.00 $38,182.24 $201,814.24
6) MATERIALS ADVANCED SCH "A" & "B" $0.00 $0.00 $0.00
7) SALES TAX @ 8.2% OF LINE 3 AND LINE 6 $14,124.03 $3,295.73 $17,419.76
8) TOTAL - LINE 5 + LINE 6 + LINE 7 $177,756.02 $41,477.97 $219,233.99
9) TOTAL DUE PROJECT ................................................ $219,233.99
10) TOTAL PAID PROJECT (DEPOSITS) .................................... $177,756.03
11) TOTAL DUE THIS PAYMENT ........................................... $41,477.96
PAYEE: JACK JOHNSON CONSTRUCTION, INC. ACCEPTED BY:
PO BOX 1119
BELFAIR, WA. 98528 r"
(206) 275-5400 f.N loc.,
PAY RETENTION OF $2,009.59 APPROVED BY:
TO: PUGET SOUND BANK
PO BOX 2232
BREMERTON, WA. 98310 CITY OF RENTON/KING COUNTY
(206) 479-0334
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 2 OF 5
FINAL ESTIMATE DATE: 31 OCTOBER 92
--------------
--------------
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
I I I I I I I I I I I
I SCHEDULE "A" I CONTRACT UNIT I CONTRACT I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION IQUANTITYI PRICE I AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I I I I I I
I I 1 I I I I I I I I I
1. I MOBILIZATION I LS I $16,000.00 I $16,000.00 I 1 I $16,000.00 I 0 I $0.00 I 1 1 $16,000.00 I
I I I I I I I I I I I
I I l I I I I I I I I I
2. 1 CLEAR & GRUB I LS 1 $5,000.00 1 $5,000.00 I 1 I $5,000.00 I 0 1 $0.00 I 1 I $5,000.00 I
1 I I I I I I I I I I
ISPEC. EXCAVATIONI 225 1 I I I I I I I I
3. I BERM INC HAUL I CY I $20.00 I $4,500.00 I 225 I $4,500.00 I 639 I $12,780.00 1 864 1 $17,280.00 I
I I I I I I I I I I I
ISPEC. IMPERVIOUSI 1400 I I I I I I 1 I I
4. IBORROW INC. HAULI CY 1 $11.00 I $15,400.00 I 1400 I $15,400.00 1 858 I $9,438.00 1 2258 I $24,838.00 I
I I I I I I I I I I I
I CONSTRUCTION I 350 1 I 1 1 1 I 1 1 1
5. I FABRIC I SY I $7.00 1 $2,450.00 1 350 I $2,450.00 I 189.22 1 $1,324.54 I 539.22 1 $3,774.54 I
I I I I I I I I I I I
I EMBANKMENT I 1700 I I I I I I I I 1
6. 1 COMPACTION I CY I $7.001 $11,900.001 17001 $11,900.001 5581 $3,906.001 22581 $15,806.001
I I I I I I I I I I I
I I 200 I 1 I I I 1 1 I 1
7. 1 FILTER FABRIC I LF I $3.00 I $600.00 I 163 I $489.00 I 0 I $0.00 1 163 I $489.00 I
I I I I I I I I I I I
I STRUCTURE I 800 1 I I I I I I I I
8. IEXCAVATION CL B I CY 1 $0.10 I $80.00 1 800 I $80.00 I 0 1 $0.00 I 800 I $80.00 I
I I I I I I I I I I I
ISHORING & CRIBB I 50 I 1 I I I 1 I 1 1
9. I@ FIXED PRICE I SF 1 $1.50 I $75.00 1 0 I $0.00 I 0 I $0.00 I 0 1 $0.00 I
I I I I I I I I I I I
I HAND PLACED I 30 1 1 I I I I I I I
10. 1 RIPRAP I CY I $25.00 1 $750.00 I 30 1 $750.00 1 90 1 $2,250.00 I 120 I $3,000.00 1
I I I I I I I I I I I
I REMOVE & RESET I 10 I 1 I 1 I 1 I I I
11. IHAND PL. RIPRAP I CY 1 $15.00 I $150.00 I 35 I $525.00 I 0 1 $0.00 1 35 1 $525.00 I
I 1 I 1 I 1 1 I I I I
I 24" CONCRETE 1 70 1 I 1 I I 1 I I I
12. 1 CULVERT PIPE I LF 1 $65.00 1 $4,550.00 1 63 1 $4,095.00 1 0 1 $0.00 I 63 I $4,095.00 1
I 1 I I I I I I 1 1 I
I 36" CONCRETE 1 20 I I I I 1 1 I 1 I
13. 1 CULVERT PIPE I LF I $115.00 I $2,300.00 I 23 I $2,645.00 I 0 1 $0.00 1 23 1 $2,645.00 1
I I 1 1 I I I 1 I I I
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 3 OF 5
FINAL ESTIMATE DATE: 31 OCTOBER 92
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
I I I I I I I I I I I
I I CONTRACT UNIT I CONTRACT I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION IQUANTITYI PRICE I AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I I I I I I
I 1 120 1 1 1 1 1 I I 1 I
14. I 12" HOPE I LF 1 $38.00 1 $4,560.00 1 120 I $4,560.00 I 0 1 $0.00 1 120 1 $4,560.00 1
I I I I I I I I I I I
1 1 1400 I I 1 I I I 1 1 I
15. I 24" HDPE I LF I $28.00 I $39,200.00 1 1400 1 $39,200.00 1 0 1 $0.00 1 1400 1 $39,200.00 I
1 I 1 1 I 1 1 I I 1 I
I 28" HOPE I 10 1 1 1 I I 1 1 1 1
16, 1 W/EXPAN SLEEVE I LF I $95.00 I $950.00 1 10 1 $950.00 I 0 1 $0.00 1 10 I $950.00 I
I I I I I I I I I I I
I PERCOLATION 1 2 1 1 1 I 1 1 1 1 I
17. 1 COLLAR I EA 1 $175.001 $350.001 21 $350.001 01 $0.001 21 $350.001
I I I I I I I I I I I
I I 1 I I I I I I I I I
18. I TRASH RACK I EA 1 $650.00 I $650.00 1 1 I $650.00 1 0 I $0.00 1 1 1 $650.00 1
I I I I I I I I I I I
I I 1 I I I I I I I I I
19, ICB TYPE 2 (48") 1 EA I $2,875.00 I $2,875.00 1 1 1 $2,875.00 1 0 1 $0.00 1 1 1 $2,875.00 I
I I I I I I I I I I I
ICB TYPE 2 (54") 1 1 1 1 1 I 1 I I 1 I
20. IW/DEBRIS & GATE I EA 1 $6,350.00 I $6,350.00 I 1 1 $6,350.00 1 0 I $0.00 1 1 1 $6,350.00 1
I I I I I I I I I I I
ICB TYPE 2 (72") 1 1 I 1 I I I I 1 1 1
21. I W/ELBOW I EA I $8,500.001 $8,500.00I 1I $8,500.00I 01 $0.001 11 $8,500.001
I I I I I I I I I I I
ICRUSHED SURFACE 1 47 I I 1 1 1 I 1 1 1
22. I TOP COURSE I TN 1 $15.00 I $705.00 1 26.06 1 $390.90 1 0 I $0.00 1 26.06 I $390.90 1
I I I I I I I I I I I
I 1 200 I I I 1 1 1 1 I 1
23. IGABION CRIBBING I CY 1 $125.00 I $25,000.00 I 203 I $25,375.00 I 0 I $0.00 1 203 1 $25,375.00 I
I I 1 1 I 1 1 1 I I 1
I IMPERVIOUS 1 90 1 1 1 1 1 1 1 1 1
24. 1 LINING I SY 1 $10.00 1 $900.00 I 281.11 1 $2,811.10 I 0 1 $0.00 I 281.11 I $2,811.10 1
I I I I I I I I I I I
1 I 5 I I 1 1 I I 1 I I
25. 1 GRASS SEEDING I ACRES I $750.00 1 $3,750.00 1 5 1 $3,750.00 I 0 I $0.00 1 5 1 $3,750.00 I
I I I I I I I 1 I I I
1 1 5 I I I 1 1 1 1 1 I
26. 1 FERTILIZER I ACRES I $250.00 I $1,250.00 1 5 1 $1,250.00 I 0 I $0.00 I 5 I $1,250.00 1
I I I I I I I I I I I
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 4 OF 5
FINAL ESTIMATE DATE: 31 OCTOBER 92
--------------
--------------
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
I I I I I I I I I I I
I SCHEDULE "A" I CONTRACT UNIT I CONTRACT I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION IQUANTITYI PRICE I AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I I I I I I
CO #02I DELETE I 1 I I I I I I I I I
27. 1 ITEM #20 I EA I ($6,350.00)1 ($6,350.00)I 1 1 ($6,350.00)I 0 I $0.00 I 1 I ($6,350.00)1
I I I I I I I I I I I
CO 0021 72" TYPE II I 1 I I I I I I I I I
28. I WAGE & GATE I EA I $9,305.07 I $9,305.07 I 1 1 $9,305.07 I 0 1 $0.00 I 1 1 $9,305.07 I
I I I I I I I I I I I
CO #02I 24" MECHANICAL I 1 I I I I I I I 1 I
29. I COUPLING I EA I $1,757.11I $1,757.11I 1I $1,757.11I 01 $0.00I 1I $1,757.111
I I I I I I I I I I I
CO #04I MOVE HOPE 11 I I I I I I I I I
30. I IN CANYON I EA I $10,493.29 I $10,493.29 I 0 I $0.00 I 1 I $10,493.29 1 1 1 $10,493.29 I
I I I I I I I I I I I
SUB-TOTAL $174,000.47 $165,558.18 $40,191.83 $205,750.01
I I I I I I I I I I I
I SCHEDULE "B" I CONTRACT UNIT I CONTRACT I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION IQUANTITYI PRICE I AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I I I I I I
I I 550 I I I I I I I I I
1. I 12" HDPE I LF I $10.00 I $5,500.00 I 555 1 $5,550.00 I 0 1 $0.00 I 555 I $5,550.00 I
I I I I I I I I I I I
I I 1 I I I I I 1 I I I
2. I 14" HDPE I LS I $48.00 I $480.00 I 10 I $480.00 I 0 I $0.00 I 10 I $480.00 I
I I I I I I I I I I I
CO #011 12" HDPE I 1 I I I I I I I I I
3. 1 HDPE STUB END I LS I $925.02 I $925.02 I 1 1 $925.02 I 0 1 $0.00 I 1 1 $925.02 I
I I I I I I I I I I I
CO #031 DELETE I 1 I I I 1 1 I I I 1
4. 1 ITEM #03 I LS I ($925.02)I ($925.02)1 1 I ($925.02)I 0 1 $0.00 I 1 1 ($925.02)I
I I I I I I I I I I I
CO #031 12" HDPE I 1 1 1 1 I I I I I I
5. ICOUPLING & HEAD I LS I $656.03 I $656.03 I 1 I $656.03 I 0 I $0.00 I 1 1 $656.03 I
I I I I I I I I I I I
SUB-TOTAL $6,636.03 $6,686.03 $0.00 $6,686.03
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 5 OF 5
FINAL ESTIMATE DATE: 31 OCTOBER 92
--------------
--------------
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
MATERIALS ON HAND
I I I I I I I I I I I
I IADVANCE I UNIT I INVOICE I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION I(DEDUCT)I PRICE I PRICE IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I I I I I I
14. 1 12" HDPE I ADV I $3.99 1 $3.99 1 125 1 $498.75 1 0 1 $0.00 I 125 I $498.75 I
I 1 I I 1 I I I I I I
"A" I I I I I I I I I I I
14. I 12" HDPE I (DED) I ($3.99)1 $3.99 1 125 I ($498.75)1 0 I $0.00 I 125 I ($498.75)1
I I I I I I I I I I I
"A" I I I I I I I I I 1 I
15. I 24" HDPE I ADV I $17.57 1 $17.57 I 1400 I $24,598.00 1 0 I $0.00 I 1400 I $24,598.00 I
I I I I I I I I I I I
"A" I I I I I I I I I I I
15. I 24" HDPE I (DED) I ($17,57)I $17.57 I 1400 I ($24,598.00)I 0 I $0.00 I 1400 I ($24,598.00)1
I I I I I I I I I I 1
"A" I I I I I I I I I I I
16. I 28" HDPE I ADV I $48.10 I $48.10 1 10 1 $480.95 1 0 1 $0.00 I 10 I $480.95 I
I I 1 I I I I I I 1 I
"A" I I I I I I I I I 1 I
16. I 28" HDPE I (DED) I ($48.10)1 $48.10 I -10 1 ($480,95)I 0 1 $0.00 I 10 I ($480.95)I
I I I I I I I I I I I
1. I 12" HDPE I ADV I $3.99 I $3.99 I 555 1 $2,214.45 I 0 I $0.00 1 555 I $2,214.45 I
I I I I I I I I I I I
1. I 12" HDPE I (DED) I ($3.99)I $3.99 I 555 I ($2,214,45)1 0 I $0.00 I 555 I ($2,214.45)I
I I I I I I I I I I I
2. I 14" HDPE I ADV I $9.58 I $9.58 1 10 I $95.75 I 0 I $0.00 I 10 1 $95.75 I
I I I I I I I I I I I
2. I 14" HDPE I (DED) I ($9.58)I $9.58 I 10 I ($95.75)I 0 I $0.00 I 10 I ($95.75)I
I I 1 I I I I I 1 I 1
SUB-TOTAL $0.00 $0.00 $0.00
CITY OF RENTON
NORTH FORK SPRINGBROOK CREEK REGIONAL BYPASS PIPELINE
CONTRACT BID $178,286.55
PAYMENT SUMMARY SHEET
DATE: 16 SEPTEMBER 1992 PAGE 1 OF 5
PAY REQUEST $01 PREVIOUS THIS TOTAL
TOTAL PAYMENT TO DATE
1) CONSTRUCTION CONTRACT SCH "A" & "B" $0.00 $111,740.00 $111,740.00
2) CHANGE ORDERS SCH "A" & "B" $0.00 $0.00 $0.00
3) TOTAL - LINE 1+2 $0.00 $111,740.00 $111,740.00
4) LESS 5% RETENTION $0.00 $5,587.00 $5,587.00
5) SUB TOTAL - LINE 3 LESS LINE 4 $0.00 $106,153.00 $106,153.00
6) MATERIALS ADVANCED SCH "A" & "B" $0.00 $798.00 $798.00
7) SALES TAX 9 8.2% OF LINE 3 AND LINE 6 $0.00 $9,228.12 $9,228.12
8) TOTAL - LINE 5 + LINE 6 + LINE 7 $0.00 $116,179.12 $116,179.12
9) TOTAL DUE PROJECT ................................................ $116,179.12
10) TOTAL PAID PROJECT (DEPOSITS) .................................... $0.00
11) TOTAL DUE THIS PAYMENT ........................................... $116,179.12
PAYEE: JACK JOHNSON CONSTRUCTION, INC. ACCEPTED Y:
PO BOX 1119 �,.
BELFAIR, WA. 98528
(206) 275-5400 . ., INC.
PAY RETENTION OF $5,587.00 APPROVED BY:
TO: PUGET SOUND BANK
PO BOX 2232
BREMERTON, WA. 98310 CITY OF RENTONAING COUNTY
(206) 479-0334
i
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 2 OF 5
PAY ESTIMATE NO. Ol DATE: 20 AUGUST THRU 16 SEPTEMBER 92
------------------
------------------
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
I I I I I I I I I I I
I SCHEDULE "A" I CONTRACT UNIT I CONTRACT I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION IQUANTITYI PRICE I AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I I I I I I
I I 1 I I I I I I I I I
1. 1 MOBILIZATION I LS I $16,000.001 $16,000.001 OI $0.001 11 $16,000.001 11 $16,000.001
I I I I I I I I I I I
I I 1 I I I I I I I I I
2. 1 CLEAR & GRUB I LS I $5,000.00 1 $5,000.00 1 0 1 $0.00 I 1 1 $5,000.00 I 1 I $5,000.00 I
I I I I I I I I I I I
ISPEC. EXCAVATIONI 225 1 I I I I I I I I
3. I BERM INC HAUL I CY I $20.00 I $4,500.00 I 0 1 $0.00 I 225 I $4,500.00 1 225 I $4,500.00 I
I I I I I I I I I I I
ISPEC. IMPERVIOUSI 1400 I I I I I I 1 I 1
4. IBORROW INC. HAULI CY 1 $11.00 I $15,400.00 I 0 1 $0.00 I 0 1 $0.00 I 0 1 $0.00 I
I I I I I I I I I I I
I CONSTRUCTION I 350 I I I I 1 I I 1 I
5. I FABRIC I SY I $7.001 $2,450.00I 0I $0.00I 01 $0.00I 0I $0.00I
I I I I I I I I I I I
I EMBANKMENT I 1700 I 1 1 I 1 1 I I 1
6. I COMPACTION I CY I $7.00 I $11,900.00 1 0 I $0.00 1 0 1 $0.00 I 0 I $0.00 I
I I I I I I I I I I I
I 1 200 I I 1 I 1 I I 1 I
7. 1 FILTER FABRIC I LF I $3.00 I $600.00 I 0 I $0.00 I 200 I $600.00 I 200 I $600.00 I
I I I I I I I I I I I
I STRUCTURE 1 800 1 1 I I I I I I 1
8. IEXCAVATION CL B I CY I $0.10 I $80.00 I 0 I $0.00 1 800 I $80.00 I 800 1 $80.00 I
I I I I 1 1 I I I I 1
ISHORING & CRIBB 1 50 I I I I 1 1 I 1 I
9. I@ FIXED PRICE I SF I $1.50 I $75.00 1 0 I $0.00 I 0 1 $0.00 1 0 1 $0.00 I
I I I I I I I I I I I
I HAND PLACED I 30 I I I I I I 1 1 I
10. I RIPRAP I CY 1 $25.00 I $750.00 I 0 I $0.00 I 0 1 $0.00 1 0 1 $0.00 1
I I I I I I I I I I I
I REMOVE & RESET I 10 I 1 I 1 1 1 I I I
11. IHAND PL. RIPRAP I CY I $15.00 1 $150.00 I 0 I $0.00 I 0 1 $0.00 I 0 1 $0.00 I
I I I I I I I I I I I
I 24" CONCRETE I 70 I 1 1 I I I I I I
12. 1 CULVERT PIPE I LF I $65.00 1 $4,550.00 1 0 1 $0.00 I 36 I $2,340.00 1 36 1 $2,340.00 I
I I I I I I I I I I I
I 36" CONCRETE 1 20 I 1 I I I I I 1 I
13. I CULVERT PIPE I LF 1 $115.00 I $2,300.00 I 0 I $0.00 1 0 I $0.00 I 0 I $0.00 I
I I I I I I I I I I I
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 3 OF 5
PAY ESTIMATE NO. 01 DATE: 20 AUGUST THRU 16 SEPTEMBER 92
------------------
------------------
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
I I I I I I I I I I I
I I CONTRACT UNIT I CONTRACT I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION IQUANTITYI PRICE I AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I I I I I I
I I 120 I 1 I I 1 I 1 1 I
14. I 12" HOPE I LF 1 $38.00 1 $4,560.00 I 0 1 $0.00 1 0 1 $0.00 1 0 1 $0.00 I
I I I I I I I I I I I
I I 1400 1 I 1 I 1 1 1 1 I
15. I 24" HDPE I LF I $28.00 I $39,200.00 I 0 1 $0.00 I 1400 I $39,200.00 I 1400 I $39,200.00 1
I 1 1 1 I 1 1 I 1 I 1
1 28" HDPE 1 10 I I 1 1 1 1 I 1 I
16, 1 W/EXPAN SLEEVE I LF I $95.00 I $950.00 I 0 1 $0.00 1 10 I $950.00 1 10 I $950.00 1
I I I I I I I I I I I
I PERCOLATION I 2 I I I I 1 I I I 1
17. I COLLAR I EA I $175.001 $350.001 01 $0.001 OI $0.001 OI $0.001
I I I I I I I I I I I
I I l I I I I I I I I I
18. 1 TRASH RACK I EA 1 $650.00 1 $650.00 I 0 1 $0.00 I 0 1 $0.00 I 0 1 $0.00 I
I I I I I I I I I I I
I I l I I I I I I I I I
19. ICB TYPE 2 (48") I EA I $2,875.00 I $2,875.00 1 0 1 $0.00 1 0 I $0.00 I 0 1 $0.00 I
I I I I I I I I I I I
ICB TYPE 2 (54") I 1 I 1 1 I 1 1 1 1 1
20. IW/DEBRIS & GATE I EA 1 $6,350.00 I $6,350.00 1 0 1 $0.00 1 0.95 1 $6,032.50 I 0.95 I $6,032.50 I
I I I I I I I I I I I
ICB TYPE 2 (72") 1 1 1 1 1 1 1 1 I 1 1
21. I W/ELBOW I EA 1 $8,500.001 $8,500.001 01 $0.001 OI $0.001 OI $0.001
I I I I I I I I I I I
ICRUSHED SURFACE I 47 I I I 1 I I I I I
22. 1 TOP COURSE I TN I $15.00 I $705.00 1 0 1 $0.00 1 0 1 $0.00 1 0 1 $0.00 1
I I I I I I I I I I I
I I 200 1 1 1 1 I 1 1 I 1
23. IGABION CRIBBING I CY 1 $125.00 1 $25,000.00 1 0 1 $0.00 I 232.06 1 $29,007.50 I 232.06 I $29,007.50 1
I I I I I I I I I I I
I IMPERVIOUS I 90 I I 1 I I I I I 1
24. I LINING I SY 1 $10.00 I $900.00 1 0 I $0.00 I 275 I $2,750.00 I 275 1 $2,750.00 I
I I I I I I I I 1 I I
I I 5 I I I I I I I I 1
25. 1 GRASS SEEDING I ACRES 1 $750.00 I $3,750.00 I 0 I $0.00 I 0 I $0.00 I 0 I $0.00 I
1 1 I I 1 I 1 1 1 I 1
1 1 5 I I I I I I I 1 I
26. 1 FERTILIZER I ACRES I $250.00 1 $1,250.00 I 0 1 $0.00 1 0 1 $0.00 1 0 1 $0.00 1
I I I I I I I I I I I
SUB-TOTAL $158,795.00 $0.00 $106,460.00 $106,460.00
r
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 4 OF 5
PAY ESTIMATE NO. 01 DATE: 20 AUGUST THRU 16 SEPTEMBER 92
------------------
------------------
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
1 I I I I I I I I I I
I SCHEDULE "B" I CONTRACT UNIT I CONTRACT I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION IQUANTITYI PRICE I AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I I I I I I
1 1 550 1 1 1 1 1 1 1 1 I
1. 1 12" HOPE I LF I $10.00 I $5,500.00 I 0 1 $0.00 I 480 I $4,800.00 I 480 I $4,800.00 I
I I I I I I I I I I I
I I 1 I I I I I I I 1 I
2. 1 14" HOPE I LS I $48.00 1 $480.00 1 0 1 $0.00 1 10 1 $480.00 1 10 1 $480.00 1
I I I 1 1 I 1 1 I I 1
SUB-TOTAL $5,980.00 $0.00 $5,280.00 $5,280.00
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 5 OF 5
PAY ESTIMATE NO. 01 DATE: 20 AUGUST THRU 16 SEPTEMBER 92
------------------
------------------
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
MATERIALS ON HAND
I I I I I I I I I I I
1 IADVANCE I UNIT I INVOICE I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION I(DEDUCT)I PRICE I PRICE IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I I I I I I
14. I 12" HOPE I ADV 1 $3.99 1 $3.99 1 0 I $0.00 1 125 I $498.75 1 125 1 $498.75 I
1 I I I I I I I I I I
"A" I I I I I I I I I I 1
14. I 12" HOPE I (DED) I ($3.99)I $3.99 I 0 1 $0.00 I 0 I $0.00 I 0 1 $0.00 1
1 1 I 1 I I I I 1 I I
"A" I I I I I I I I I I I
15. I 24" HDPE I ADV I $17.57 I $17.57 I 0 I $0.00 1 1400 I $24,598.00 1 1400 1 $24,598.00 I
I I I I I I I I I I I
"A" I I I I I I I I 1 I I
15. 1 24" HDPE I (DED) 1 ($17.57)1 $17.57 I 0 I $0.00 I 1400 I ($24,598.00)I 1400 I ($24,598.00)1
I I I I I I I I I I I
16. I 28" HDPE I ADV I $48.10 I $48.10 1 0 I $0.00 1 10 1 $480.95 I 10 1 $480.95 1
I I I I I I I I I I I
"A" I I I I I I I I I I I
16. I 28" HDPE I (DED) I ($48.10)1 $48.10 I 0 I $0.00 I 10 I ($480.95)1 10 I ($480.95)I
I I I I I I I I I I I
1. 1 12" HDPE I ADV I $3.99 1 $3.99 I 0 1 $0.00 I 555 I $2,214.45 I 555 1 $2,214.45 I
I I I I I I I I I I I
1. I 12" HDPE I (DED) I ($3.99)I $3.99 I 0 I $0.00 I 480 I ($1,915.20)I 480 I ($1,915.20)I
I I I I I I I I I I I
2. I 14" HDPE I ADV I $9.58 1 $9.58 I 0 1 $0.00 I 10 I $95.75 1 10 I $95.75 I
I I I I I I I I I I I
2. I 14" HDPE I (DED) I ($9.58)I $9.58 I 0 I $0.00 I 10 I ($95.75)I 10 I ($95.75)I
I I I I I I I I I I 1
SUB-TOTAL $0.00 $798.00 $798.00
JACK
•
•
CONSTRUCTION,
INC.
P.O. BOX 1119 BELFAIR,WASHINGTON 98528 PHONE (206) 275-5400 FAX (206) 275-6400
Genera! Contractor#JACK JCI182M1
03 A92
Letter # : 08 1..g
City r Renton lL 1g92
200 ! I Ave . South CF � 'Tom
Rentoo , WA . 98055 co DeptEOgJnecring
Attn : John D . Hobson
Re : North Fork Springbrook Creek
Regional Bypass Pipeline Project
Dear John :
Attached please find Pay Estimate #01 for your review and
approval . Invoices for the HDPE are also included .
If you have any questions please feel free to call 275-5400 .
Regards , V","Cp -g`I
� �`/
Mark N . Sherbesman
Project Engineer
MNS : ms
Enclosures
CITY OF RENTON
NORTH FORK SPRINGBROOK CREEK REGIONAL BYPASS PIPELINE
CONTRACT BID $178,286.55
i �, PAYMENT SUMMARY SHEET
oy p jjgZ DATE: 01 SEPTEMBER 1992 PAGE 1 OF 5
PAY REQUEST #01 '-TAq " PREVIOUS THIS TOTAL
TOTAL PAYMENT TO DATE
-----------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------
1) CONSTRUCTION CONTRACT SCH "A" & "B" $0.00 $33,555.00 $33,555.00
2) CHANGE ORDERS SCH "A" & "B" $0.00 $0.00 $0.00
3) TOTAL - LINE 1+2 $0.00 $33,555.00 $33,555.00
4) LESS 5% RETENTION $0.00 $1,677.75 $1,677.75
5) SUB TOTAL - LINE 3 LESS LINE 4 $0.00 $31,877.25 $31,877.25
6) MATERIALS ADVANCED SCH "A" & "B" $0.00 $27,887.90 $27,887.90
7) SALES TAX @ 8.2% OF LINE 3 AND LINE 6 $0.00 $5,038.32 $5,038.32
8) TOTAL - LINE 5 + LINE 6 + LINE 7 $0.00 $64,803.47 $64,803.47
9) TOTAL DUE PROJECT ................................................ $64,803.47
10) TOTAL PAID PROJECT (DEPOSITS) .................................... $0.00
11) TOTAL DUE THIS PAYMENT ........................................... $64,803.47
PAYEE: JACK JOHNSON CONSTRUCTION, INC. ACCEPTED Y:
PO BOX 1119
BELFAIR, WA. 98528
(206) 275-5400 Alf.-, INC.
PAY RETENTION OF $1,677.75 APPROVED BY:
TO: PUGET SOUND BANK
PO BOX 2232
BREMERTON, WA. 98310 CITY OF RENTON/KING COUNTY
(206) 479-0334
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 2 OF 5
PAY ESTIMATE NO. 01 DATE: 20 AUGUST THRU 31 AUGUST 1992
------------------
------------------
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
I I I I I I I I I I I
I SCHEDULE "A" I CONTRACT UNIT I CONTRACT I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION IQUANTITYI PRICE I AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I 1 I I I I I I I I I
I I 1 I I I I I I I I I
1. 1 MOBILIZATION I LS I $16,000.00 I $16,000.00 I 0 1 $0.00 1 1 1 $16,000.00 I 1 1 $16,000.00 1
I I I I I I I I I I I
I I 1 I I I I 1 I I I I
2. I CLEAR & GRUB I LS I $5,000.00 I $5,000.00 I 0 1 $0.00 I 0.75 I $3,750.00 I 0.75 I $3,750.00 I
I I I I I I I I I I I
ISPEC. EXCAVATIONI 225 I I 1 I I I I I I
3. I BERM INC HAUL I CY I $20.00 I $4,500.00 I 0 1 $0.00 I 0 1 $0.00 I 0 1 $0.00 1
I I I I I I I I I I I
ISPEC. IMPERVIOUSI 1400 I I I I I I I I I
4. IBORROW INC. HAULI CY I $11.00 I $15,400.00 I 0 1 $0.00 I 0 1 $0.00 I 0 1 $0.00 I
I I I I I I I I I I I
I CONSTRUCTION I 350 I I I I I I I I I
5. I FABRIC I SY I $7.00 I $2,450.00 I 0 I $0.00 I 0 1 $0.00 I 0 1 $0.00 1
I I I I I I I I I I I
I EMBANKMENT I 1700 I I I 1 I 1 I I I
6. I COMPACTION I CY I $7.00 1 $11,900.00 I 0 1 $0.00 I 0 1 $0.00 1 0 1 $0.00 I
I I I I I I I I I I I
I I 200 I I I I 1 I I I I
7. I FILTER FABRIC I LF I $3.00 I $600.00 I 0 1 $0.00 I 200 I $600.00 I 200 I $600.00 I
I I I I I I I I I I I
I STRUCTURE I 800 I I I 1 I I I I I
8. IEXCAVATION CL B I CY I $0.10 I $80.00 I 0 1 $0.00 1 800 I $80.00 I 800 I $80.00 I
I I I I I I I I I I I
ISHORING & CRIBB I 50 I I I I I I 1 I I
9. I@ FIXED PRICE I SF I $1.50 1 $75.00 I 0 1 $0.00 I 0 1 $0.00 I 0 1 $0.00 I
I I I I I I I I I I I
I HAND PLACED I 30 I I I I I 1 I I I
10, I RIPRAP I CY I $25.00 I $750.00 I 0 I $0.00 I 0 I $0.00 1 0 1 $0.00 1
I I I I I I I I I I I
I REMOVE & RESET I 10 I I I I I I I I I
11. IHAND PL. RIPRAP I CY I $15.00 I $150.00 I 0 1 $0.00 I 0 I $0.00 1 0 I $0.00 I
I I 1 I I I I I 1 I I
1 24" CONCRETE I 70 I I I I I 1 I I 1
12. I CULVERT PIPE I LF I $65.00 I $4,550.00 I 0 I $0.00 I 0 1 $0.00 I 0 I $0.00 I
I I I I I I I I I I I
I 36" CONCRETE I 20 I I I I I I I I 1
13. 1 CULVERT PIPE I LF I $115.00 I $2,300.00 I 0 1 $0.00 I 0 1 $0.00 I 0 1 $0.00 I
I I I I I I I I I I I
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 3 OF 5
PAY ESTIMATE NO. 01 DATE: 20 AUGUST THRU 31 AUGUST 1992
------------------
------------------
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
I I I I I I I I I I I
I I CONTRACT UNIT I CONTRACT I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION IQUANTITYI PRICE I AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I I I I I I
I I 120 I I I I I I I I I
14. I 12" HOPE I LF I $38.00 I $4,560.00 I 0 1 $0.00 I 0 1 $0.00 I 0 I $0.00 I
I I I I I I I I I I I
I I 1400 I I I I I I I I I
15. I 24" HDPE I LF I $28.00 I $39,200.00 I 0 I $0.00 I 0 1 $0.00 I 0 1 $0.00 I
I I I I I I I I I I I
1 28" HDPE I 10 I I I I I I I I I
16. I W/EXPAN SLEEVE I LF I $95.00 I $950.00 I 0 1 $0.00 I 0 I $0.00 I 0 I $0.00 I
I I I I I I I I I I I
I PERCOLATION I 2 I I I I I I I I I
17. I COLLAR I EA I $175.001 $350.001 01 $0.001 OI $0.001 OI $0.001
I I I I I I I I I I I
I I 1 I I I I I I I I I
18. I TRASH RACK I EA I $650.00 I $650.00 I 0 I $0.00 I 0 I $0.00 I 0 1 $0.00 I
I I I I I I I I I I I
I I 1 I I I I I I I I I
19. ICB TYPE 2 (48") I EA 1 $2,875.00 I $2,875.00 I 0 1 $0.00 I 0 1 $0.00 I 0 I $0.00 I
I I I I I I I I I I 1
ICB TYPE 2 (54") I 1 I I I I I I I I I
20. IW/DEBRIS & GATE I EA I $6,350.00 I $6,350.00 I 0 1 $0.00 I 0 I $0.00 I 0 1 $0.00 I
I I I I I I I I I I I
ICB TYPE 2 (72") I 1 I I I I I I I I I
21. I W/ELBOW I EA I $8,500.001 $8,500.001 OI $0.001 OI $0.001 OI $0.001
I I I I I I I I I I I
ICRUSHED SURFACE I 47 I I I I I I I I I
22, I TOP COURSE I TN I $15.00 I $705.00 I 0 1 $0.00 I 0 I $0.00 I 0 I $0.00 I
I I I I I I I I I I I
I I 200 I I 1 I I I I I I
23. IGABION CRIBBING I CY I $125.00 I $25,000.00 I 0 I $0.00 I 83 I $10,375.00 I 83 I $10,375.00 I
I I I I I I I I I I I
I IMPERVIOUS I 90 1 I I I I I I I I
24, I LINING I SY I $10.00I $900.00I 0I $0.00I 275I $2,750.00I 275I $2,750.00I
I I I I I I I I I I I
I 1 5 I 1 I I I I I I I
25. I GRASS SEEDING I ACRES I $750.00 I $3,750.00 I 0 1 $0.00 I 0 I $0.00 I 0 I $0.00 I
I I I I I I I I I I I
I I 5 I I I I I I I I I
26, I FERTILIZER I ACRES I $250.00 I $1,250.00 I 0 I $0.00 I 0 1 $0.00 I 0 I $0.00 I
I I I I I I I I I I I
SUB-TOTAL $158,795.00 $0.00 $33,555.00 $33,555.00
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 4 OF 5
PAY ESTIMATE NO, 01 DATE: 20 AUGUST THRU 31 AUGUST 1992
------------------
------------------
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
I I I I I I I I I 1 I
I SCHEDULE "B" I CONTRACT UNIT I CONTRACT I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION IQUANTITYI PRICE I AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I I I I I I
I I 550 1 I I I I I 1 I I
1. I 12" HDPE I LF I $10.00 I $5,500.00 1 0 1 $0.00 I 0 I $0.00 1 0 1 $0.00 I
I I I I I I I I I I I
I I 1 I I I I I I I I I
2. I 14" HDPE I LS I $5,000.00 I $480.00 I 0 I $0.00 I 0 1 $0.00 I 0 1 $0.00 1
I I I I I I I I I I I
SUB-TOTAL $5,980.00 $0.00 $0.00 $0.00
PROJECT: NORTH FORK SPRINGBROOK CREEK BYPASS PIPELINE PAGE 5 OF 5
PAY ESTIMATE NO. 01 DATE: 20 AUGUST THRU 31 AUGUST 1992
------------------
------------------
CONTRACTOR: JACK JOHNSON CONSTRUCTION, INC. JOB NO.: JJC 8092
MATERIALS ON HAND
I I I I I I I I I I I
I IADVANCE I UNIT I INVOICE I PREVIOUS TOTAL I THIS ESTIMATE I TOTAL TO DATE I
ITEM I DESCRIPTION I(DEDUCT)I PRICE I PRICE IQUANTITYI AMOUNT IQUANTITYI AMOUNT IQUANTITYI AMOUNT I
I I I I I I I I I I I
14. I 12" HOPE I ADV 1 $3.99 1 $3.99 1 0 1 $0.00 1 125 1 $498.75 1 125 I $498.75 I
I I I I I I I I I I I
14. I 12" HDPE I (DED) I ($3.99)1 $3.99 I 0 1 $0.00 I 0 1 $0.00 I 0 I $0.00 I
I I I I I I I I I I I
"A" I I I I I I I I I I I
15. I 24" HDPE I ADV 1 $17.57 I $17.57 1 0 1 $0.00 1 1400 I $24,598.00 I 1400 1 $24,598.00 I
1 1 I 1 1 I 1 I I 1 1
"A" I I I I I I I I I I I
15. 1 24" HDPE I (DED) I ($17.57)I $17.57 I 0 I $0.00 1 0 I $0.00 I 0 I $0.00 I
I I I I I I I I I I I
"A" I I I I I I I I I I I
16. 1 28" HDPE I ADV 1 $48.10 1 $48.10 1 0 1 $0.00 1 10 1 $480.95 1 10 I $480.95 1
I I I I I I I I I I I
"A" 1 I I I I I I I I I 1
16. 1 28" HOPE I (DED) 1 ($48.10)I $48.10 1 0 I $0.00 1 0 1 $0.00 1 0 1 $0.00 1
I I I I I I I I I I I
1. I 12" HDPE I ADV 1 $3.99 1 $3.99 1 0 1 $0.00 1 555 1 $2,214.45 1 555 I $2,214.45 I
I I I I I I I I I I I
"B" I I I I I I I I 1 I I
1. I 12" HDPE I (DED) 1 ($3.99)I $3.99 I 0 I $0.00 I 0 1 $0.00 1 0 I $0.00 I
I I I I I I I I I I I
2, 1 14" HDPE I ADV 1 $9.58 1 $9.58 1 0 1 $0.00 1 10 1 $95.75 1 10 I $95.75 1
I I I I I I I I I I I
"B" I I I I I I I I I I I
2. 1 14" HDPE I (DED) I ($9.58)I $9.58 I 0 1 $0.00 1 0 I $0.00 1 0 1 $0.00 1
I I I I I I I I I I I
SUB-TOTAL $0.00 $27,887.90 $27,887.90
09/03/92 11:09 %Y 206 835 3521 IND. PLASTICS 02
iNUUS'1'RIAL YLAS'CIC;S, ING
Campleft Maces BAR Procbwft I N VO I C E
740 IL i/ti Savo-Waslrw ink WA OWl-25N
prom(2M 53&2120
All USA 141111 �Z
FAX(2"U11-M2 1
PAGE NO. 1
INVOICE NO, 3920
SHIP WILL ADVISE INVOICE DATE 08-24-92
TO: SEE ATTACHED MAP
RENTON , WA SHIP DATE 08- 21.--92
SHIPPED VIA PENNSUT1.A
SALESPERSON SUSAN M MCCULL000H
BILL. JACK JOHNSON CONSTRUCTION , INC .
TO: P . O . BOX 119 PACKING SLIP 5)642
FELFAIR , WA 98528
CUSTOMEp`O TERMS FOR
ER LETTER 24694 PER CONTRACT FOB FACTORY
ITQM- . � SHI P g1Y,w PART NUMBER/DESCRIPTION UNIT PRICE AMOUNT
i 1 10 10 0 POI. .14" SDR 32 . 5 RENN 95 . 7 E
3140 . 3245A
FOR EXPANS ;ON SI_rFVE
SUBTOTAL SHIPPING CHARGES OTHER CHARGES TAX TOTAL
PLEASE PAY FROM TIIIS INVOICE. REFERENCING THE
Indwitrial Plastics isan active inuInberotthe INVOICE NUMBER ABOVE. NO STATEMENTS WILL BE
Plastic Pipe Institute,slid SPI. ISSUED. NO RETURNS WILL HE ACCEPTED WITHOUT
PRIOR AUTHORIZATION.
09/03/92 11.09 $ 206 835 3521 IND. PLASTICS Z 03
INDUSTRIAL PLASTICS, INC.
CagpfeMYacAL.LWfUcU "hwAAPr.d«a
Tw&211N a c:eiLs:A 9MI-9 V I N VCR I C E
mommAll UU
PAZ(2"r1E63611
PAGE NO. 1
INVOICE NO. 3934
SHIP W ILI, ADV I SF INVOICE DATE 08-29-92
TO: SEE ATTACHED MAP
R NTON , WA SHIP DATE 08-74-92
SHIPPED VIA GREFNi_ INES
BILL �" SUSAN M MCCULLOUGH
'OHNSON CONSTRUCTION . INr_ .
SALESPERSON
TO: P . O. 8 O X 119 PACKING SLIP I�G G 3
RE_1_FAIR , WA 98528 No.
L
R 8ALESORDER No. TERMS DOE
P F. + 7
ITEM (YIY.ORD, QTY.an PART NUMBER/DESCRIPTION UNIT PRICE AMOUNT
0.1 1.100 111,60 0 POL 24" SDR 26 R E M N 11 . 570 24598 . 0
3240 . 2G45A
t Tor /
a OO
#' 6 zy
I
Sliil'k'i'.D 1)N 1'3 -24 -92.
SUB TOTAL SHIPPING CHARGES OTHER CHARGES TAX TOTAL
PLEA;£ PAY FROM THIS INVOICE, REFERENCING THI
lnduslrielPle�ticeisanecti�tlgemhcrolthc INVOICE NUMBER ABOVE. NO STATEMENTS WILL 81
Plestir Pipe Institute.and SPI. ISSUED. NO RETURNS WILL BE ACCEPTED WITHOU"
PWOR AUTHORIZATION.
09/03/92 11: 10 %T 206 835 3521 IND. PLASTICS 04
INDUSTRIAL PLASTICS, INC.
Compkft YaehiftkW bciNWo/b►AUPhv&ca INVOICE
740 S.8Bth Btawt--W WA MMI-76Y7
All SAbomeI1 0 d3�160„82
FAX MW aeb8821 OF
PAGE NO. ,, 1
INVOICE NO. 3943
SHIP WILL ADV I Sis INVOICE DATE 08-26 -92
TO: SEE ATTACHED MAP
RE:NTON , WA SHIP DATE 08-21 --92
L SHIPPED VIA P E N N I S U L A
SALESPERSON SUSAN M MCCULLOUGH
BILL JACK JOHN SON CONSTRUC r I ON , INC .
TO: P. O . BOX 119 PACKING SLIP 5679
6ELFAIR , WA 98528 NO.
L
. . .! $AL.ES911106A NO. TERMS FOB
TER LETTER 246) PER C:ONTRAC. ti FOB FACTORY
ai'Y.ORDi OTY.SHIP a Y.W PART NUMBER/DESCRIPTION UNIT PR'RR'Ri' AMOUNT
06 .10 LO 0 POL 28" SDR 26 REMN 18 . 095 480 . 9
3280 . 2645A
FOR EXPANSION S1-EEVE
a6 14 ° ,
SHIPPED ON 08- 71-91
SUBTOTAL SHIPPING CHARGES OTHER CHARGES TAX TOTAL
480 . 95
PLEASE PAY fnOM THIS INVOICE. REFERENCING THI
Induotrial Plastics isonactivelnemhero(the INVOICE NUMBER ABOVE. NO STATEMENTS WILL 81
Plastic Pipe Institute.and SPI. ISSUED, NO RETUHNS WILL BE ACCEPTED WITHOUT
PRIOR AUTt40n12ATION.
09/03/92 11- 10 $ 206 835 3521 IND. PLASTICS lib 05
INDUSTRIAL PLASTICS, INC.
Comwi ae At=hbsbWftc9 Naa fwAMPro&wft
740&W*Owe --�� ONit<-wppoqmomm"W 9111071•2aff I N VO I C E
Ali U>1A�1� m
FAX(2"8>s6*Wi
PAGE NO. 1
INVOICE NO, 3996
SHIP WILL ADVISE: INVOICE DATE 09 -02--91.
TO: SEE ATTACHFD MAP
RENTON , WA SHIP DATE — } g�
L SHIPPED VIA TRUCK
SALESPERSON SUSAN M MCCUL LOUGH
BILL JACK JOHNSON CONST?!1CT ION , INC .
TO: P. O . BOX 119 PACKING SLIP 15694
fiELFAIR , WA 98528 NO.
L
CUSTOMER ORDER NUMBER p {frQy::.r.; ;''4' TERMS F08
'l'R LETTER Z4694 ER CUNTRAM-roe
OTY.SHIP QTY.BAD PART NUMBER J DESCRIPTION UNIT PRICE AMOUNT
08 17 17 0 POL 1.2" SDR 32 . 5 X 40 ' 159 . 600 27.13 . 211
312.0 . 3245
-7 4 A
:-;H I PPi:[I ON 06 31. 9
SUBTOTAL SHIPPING CHARGES OTHER CHARGES TAX TOTAL.
2 / L 3 . :?:^ :^. . 0 i4 'f . 0 0 0 . 00 7 11.3 . 2 0
PLEASE PAY FROM THIS INVOICE. REFERENCING THE
Industrial Plastics is an active member of the INVOICE NUMBER ABOVE. NO STATEMENTS WILL BE
Plastic Pipe Inotititte.and SPI. ISSUED. NO RETURNS WILL BE ACCEPTED WITHOUT
PRIOR AUTHORIZATION.
nn11
1"
W
� �
I
N
`�
JACK
•
•
CONSTRUCTION,
INC.
P.O. BOX 1119 BELFAIR,WASHINGTON 98528 PHONE (206)275-5400 FAX (206) 275-6400
General Contractor#JACK JC1182M1
22 September 92
a
Letter # : 11
City of Renton JLP ., 1992
200 Mill Ave . South
Renton , WA . 98055 CITY CI" FOE-J',41TON
Engineering Dept.
Attn : John D . Hobson
Re : North Fork Springbrook Creek
Regional Bypass Pipeline Project
Dear John :
Attached please find signed copies of Change Order No . 1 & No . 2
for your execution .
If you have any questions please feel free to call 275-5400 .
Regards ,
A11110V11111Lz4—
Mark N . Sherbesman
Project Engineer
MNS : ms
Enclosure
�% CITY OF RENTON
"LL Planning/Building/Public Works Department
Earl Clymer, Mayor Lynn Guttmann,Administrator
RECEIVED SEP 1 7 1992
September 15, 1992 �TT Oeve4jeb
Jack Johnson Construction, Inc.
P. 0. Box 1119
Belfair, WA 98528
SUBJECT: CHANGE ORDER NO. 1 AND NO. 2
Dear Jack:
Please sign all copies of Change Orders No. 1 and No. 2 and return all copies to me. When I
get all the signatures for the Change Orders, I will send you an original of each.
Change Order No. 1 for the 12-inch HDPE work is being reimbursed to the City by a private
person which is why it was not included with the other materials in Change Order No. 2.
If you have any questions or require additional information, please contact me at (206)
277-6179.
Sincerely,
J hn Hobson, Project Manager
Utility Systems Division
C:DOCS:92-710:JDH:ps
200 Mill Avenue South - Renton, Washington 98055
eeiatsaet have beM of wo bs umdsr is ap"dstt prof mw tee tba
lhtaw �
Yiae President betas!a;Seth afepiopak as w4 d lb Seems 4ta)bow.
L,
CPU*do fa�4►i I'nMg tb)1Ip' 122 FRMx RSN WITS AMR?AID IN MR
da haft$la* —Bath is mew of Iae*ask wed is 68 above .*teaerd papra b"bras
P" as iadkow on des parIck as ant"am lea dtae3*$an of do
(1) That t pal►at apoodso Ike p 7meo of ft pecom earplep" by Jack appliW& back bm* ww 1* plus ft aftow ad fiat gage h d Meta
bads sd llNad ttt�aoetad,eeapt y sokd tr ieatlaa 4te}btdaet.
-A��asTh` City of Rentmn3N:Fork Spring=Brook
t apws ra + 1
.7 fie}IIlIC33S'CiOblg
that duwg Ihs pedrat ped"sot moolst a1.-
Y
or a�. �.f._.:i4,:= wsa $»�■.:3+�r oa cis x�..,, ex a
eo puaaaea satpivyrd ab Seed pf�eotAarsbraf)ateSd eu aft«aeW,t►�atee rased,tl::e se rrbaha
n wtbasa w wa bem b dbw w wbudy to w ofa baw of am
Seek Jdtr>son Coeatrttt:tioet, LIO. toom SCAM
a
wrtldr mgm earned by may psaab ssd *at vo detuam bans bras.mow d6w df ar
'.adtnody bat &s Ad watts easrd by aety pareoo.oft%"parea"we dtdsdions at ddw
a lgpMo^ Put 3(20 CF R Sub!ltis Ak teased by the Seantary of LAW OWN 00 CQPdaad
A4 sa ammdsd (4S Seat$Aga Seat aft?S Seat op.IS butt M 40.%LM 276t),sad dear ,
c�bdorr.
r . r�wrw■rr•.■ r.� r • r
rr.wra•r�■w� - ■ - rr
• now"
t=) That NW pgpvlb06wwWaa8a Gh QA rapW to iK afebaktad for tbs dwic
7rriod Sera MSee & a eattrpielet (bat ehs wap!Seta for laborraa or srfrsfsas u aoaftatued*Oda
xte sat Jra tifao ties appllafbla vests rats anefiaNad k af0r ra:e daattoa tsrArporated into
:he oaeteas*Rfat ebe d"Swestioes set foe#t amda for aa*laborw or mm ask two=w"k es
wont 8spe:lm>Rad. ,
(a} That No apPrwtiasr mployrad in tbo above pwW are My ngdarad iet a baae.eds
WmftW* I v l pram vgbj tad wide a slab*W udera* ataf4 neap"by flee RUM#
4 Appnatteub* and TWali, Iiedted ftft DWafted of Labos.ar R NO sash
%p M ad* in a SW% ant toptdrted rldt as Sweem d ApRrsei cW*asfd 1msdn&Vft6
SMWDapaetaarat at Labor.
(4)T6att rawtlwa eras saw► t
Seal WHEU FRINGS BZNIWiTS ARE PAM TO APPROVED PIAN86 FUNK tathY JohttsO0X*e Prresidertt � L.
OR PIOCRAUS _
ra
[l.. Inaddltloat to the bale hoee:<y rate rsta paid is sai*labore�t oc ntaetfafsk f sf to sea
Wd In the above rateraaad parrotl. papaafb► of kkp bsstlits IS Uad
OONTRACTOR: JACK JCf4SON CONSTRL 71CN INC. CERTIFIED PAYROLL PRQ7ECT: CITY OF RENTON
ADUESS: P.O. BOX 1119, BELFAIR WA 95528 FOR WEEK ENDING 08/23/92 N. FORK SPRING BROOK
PAYROLL NO: COMRACT: CAG924
E?+LLOYEE N*f PAD A SS FRS M T W TH F S S TOTAL PAY EXTENDED GROSS PROJECT NET
WORK 17 18 19 20 21 22 23 FM RATE TOTAL EAFM TO DATE DEDUCTIONS WAGES
M, RYAN O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 353.40 363.40 FICA: 27.80 235.03
N.E. 3550 NORTH MORE RD. S.T. 0.0 0.0 0.010.010.0 0.0 0.0 20.0 18.170 363.40 W/H: 66.42
BELFAIR, WA 98528 ST IN): 5.75
9DC SEC NO: 534-78-681.6 UNION: 27.40
DOPTICNS: 3 TOTAL: 127.37
WIC CLASS: LABORER #252
R®, MR JON O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 435.20 435.20 FICA: 33.37 311.71
10973 S.W. GJ3qM ROAD S.T. 0.0 0.0 0.010.010.0 0.0 0.0 20.0 21.810 435.20 WAi: 69.98
PORT OlU iQD, WL91INGTCN 98366 ST IN): 5.74
SOC SEC NO: 518-74-5019 LNION: 15.40
DEYPTIONS: 3 TOTAL: 124.49
OJ < CLASS: OPERATOR #302
CWWCTOR: JACK JOl+f N 03ZTR-CTION INC. CERTIFIED PAYROLL PROJECT: CITY OF RcTlTCN
ADDRESS: P.O. BCD( 1119, BE-FAIR WA 96528 FOR WEEK EPDING 08/2:3/92 N. FCW SPRING BROOK
PAYROLL NO: CONTRACT: CAG92--OB].
EMPLOYEE NAME ff ADDRESS HRS M T W TH F S S TOTAL PAY D(TEN)ED CROSS PROJECT NET
WOW 17 18 19 20 21 22 23 Haffi RATE TOTAL. EWO TO DATE DEDUCTIONS W ES
DETIOMA, MIKE O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 1"MOD 1,TJ1O0 FICA: 95.63 908.93
8305 214TH PLKE SW S.T. 0.010.010.010.010.0 0.0 0.0 40.0 31.250 1250.00 W/H: 233.95
MOM WA 98020 ST IN): 11.49
SOC SEC NO: 541-36-78313 UNION: 0.00
D01PTIONS: 0 TOTAL: 341.07
Wes( CLASS: SI.PER'VISOR
r
U. S, DrEPAflTMENT OF LABOR MONTHLY EMPLOYMENT I•tOVtnEn AntA nMS0.0re[AI f.cllAHfNTO 1�rOa Fina rI MOo
EmyEoymatilStindartli MmInIsom Ilan.0 FCCP l WILIZATION 11EPO11T KING COUNTY MINOn1iYa FnOhir 8/20/92
17 elrperl ere ley�are01 r ot iTTZI.�.a , a vre IorapoI era rrw n oantueu r of S.iAftLOYini I. NO,
Icener@ed;tetwlmt.d ar sutpeeded Inwitelear in part audlire Marti scler nalr be declarer[IndbWe Ear 91-1169147
lurther W�urunent eenlraetl of ladeiallyarelrtad contruclion cantnecl. FEMALE: TOt 11 /92, `
NAME ANO LOCATION OF CONTRACTOR FEOUAL N
JACKJONNSON CONSTRUCTION,INC. A(3FHCFUNDI O
NORTH FORK SPRINGBROOK CREEK REGIONAL BYPASS Ao I_
KUAIR.WASHINGTON 98528 ru
s l;. WOnK HOURS OP EMPLOYMFNT lFederat&Nton-Fadstal} O• 1¢.
TOTAL TOTAL
TOTAL ALL OLACK ASIAN On AMERICAH NULME11 OF
CONSTRl1CTI0N EMPLOYEES INai of 1118PANCC PACIFIC INDIAN NUti1BER OF fU
1IFAI)E Clutltk.'11s,ta 011 MINORITY FEMALE EWLOYEEE MINDFIl1Y �.7
BY TIIADE Ftlrpsnie Orltrint ISLANDER! ALA5ICAN PERCENTAGE PEncENtAOE EMPLOYlES {
NATIVE tt
M f M F fd P m F m F M. F 'l f l�?
OPERATOR Jo ner worker 86. 5 �GG
APP Fi ENT ICE 1 Z
TTIAIMEE
SUB-TOTAL i n
LABOR Jeurnererorker 320 129.5 32 9 —Z—_._.___�
APPRENTICE
fo
T RA ENEX
SU8•TOTAL
JournsY i.o(wrr r G7
Im
APPRENTICE
Tf1AINEE
iUS-TOTAL
J Due MTV weritr ' O
r
APPRENTICE f ,,
TRAINEE i
SUD•TOTAL J `''
{ N
laurnat warier dd
AP P'FI ENTICE
E
'TRAINEE fU
SUS-TOTAL I
406.5 129.5 32 10 6 I
TOTAL J�1R NE Y WO►t ISE t15 �
TOTAL APMENTICEE
TOTAL T nAfNEES
r w
QIIANU'TQTAL
T 1.COWANY ICIAL'S SI ATUA E AND TITLE 12.TELEPHON8 H-UMBEn[Include ara cede) 13.DATEE SIGNED PAGE r'
71 ROJECT ENGINEER (206) 275-5400 12 SEPT.' 92 1 of 1 j
'W+ A Fars A r rt e{n r'MA i
FOIIM CC•257 IRer,OJTO)
I
b the aasWsd !alas bees, of Nil be side to appr"date pmilnstsa toe tho
boo&of"eaapioF00%aaaaptaw sakd b IiedWa 40)WW-
� Job 93oe President
u
` two" ►t> f Cb)WXSU Phil D ati ll►M A22 PAID IN O"R
U& taiaorw at waek auW bad is Ilse above nlarasad pgrsall hat baaa
p" as bdksW ea be payr84 as anaad sot ISO theta ba uO at!be
fy) That t par aatpen►Iss tAepayapeM of on i taapleyad by Jt�C3t baaaflb sacs►fated 66 �t Ulal to $*dVs br a
abM COCA. , mc. =dta
City of Rent6n�iN.Fork Spring Brook
! awsaaeea.s.ama+ i �* (s)>Qlir
OW
e d iti....asd astlbd$ss,:....�dU► A-44a '� wow"-to=
sit peeaaata asapioyad ott said paHcthWOMpaid 60 ha wewy woiae that ao sabaaaa
aysbae of wtttAsaaadeaiibaf a:ladbxsly to of as WAGE of wd
Jtttcic Johnson Co�ttott, roe. !root Ibeta
oe
WUW ts and by MW pats and !bat no dedgodotm havo baw. d"dike a b de a
',Vlbs r koas the Ads wept aria$by a w peuop..OOM OM
n XqMW4ca4 hd E;19 CYR 8nbdit At Seated by the Saa"- 7 of WM nadae 00 Copdaad
Aek as ama Aod t4S ftt ti4fl SS that 1016 Tt$tat.$P-76 bat 40-ILLC,2't6a),and dem•
�slbeslbelsw:
. ta"wtwt .
C2� TW wW p OUS otY vbe:ate tldt wftid !molted to be vsbmVW for ft above
padod aee a nod ad that the wap raga far bborea or atn*aala costatrNd*ffft
96M no Iaas than the apptiaabla wap Saba Qoeb w to my swde din LDCWPWOW into
:he eo 00*"Oa daaalliaaftas set lath!Mode Poe each!.bowl of submit eoeforrts wub dea
wosit bspeslonaadP
(a) That any appeot w ampWO in iLe above p W not"%a botr edo
qpy*d$v** p g"S VeShWei wa a apb appeaaaaldp 18q rugg"by the Rum$
of AWoftub* ad T tdM* hated Staba DapuU de of La bM of It 00 aacb caooilrtbed
qog ncW b a► Sw^ asa regb*W go Ota wean at Appaaoftoaabip aad ZrjjMMaA VM6
SMW DW&VtWW d Laboa
44l Thatt HOW MEf16NA?lgttt
tal WHEW ratmes BZNSPSTS AA8 rAM To A"ROV30 pLANBr yuNDS► Kathy Jdtt=,Viae President � L
OR PROGRAMS
lalt UVMWW �MIF
ALtitstCAliQi1or Nn�� Y �a0i OI 1�R
.. In addIUM to the ba,*heady map rat"VSW to ssdt labonr or wabask ss u aA C
� to the above rahm"d payrpl�. pew of kinp bsoift ss
CWRPETOR: JACK JUM N CO aTRLCTION INC. CERTIFIED PAWUL PKIECT: CITY OF RENTON
ADCRESS: P.O. BY 1119, BELFAIR WA %528 FOR WEEK ENDING O8/30/92 N. FORK SPRING BROOK
PAYROLL NO: CMTRAC.'T: CAG92-M
E40YEE WE AND ADDRESS hRS M T W TH F S S TOTAL PAY E)(TEN)ED CROSS PROJECT NET
WORK 24 25 26 27 28 29 30 Ham RATE TOTAL ENO TO DATE DMETIONIS W66ES
CLLCLEA5I.RE, COI�1..IUS O.T. 0.0 0.0 0.0 0.0 1.0 0.0 0.0 1.0 27.260 27.26 317.98 317.98 FICA: 24.33 231.47
1851 N 185TH STREET S.T. 0.0 0.0 0.0 8.0 8.0 0.0 0.0 16.0 18.170 290.72 W/H: 34.01
SEATTLE, WA 98133 ST IND: 4.88
SOC SEC NO: 247-23-3359 LNICN: 23.29
E)OPTIONS: 1 TOTAL: 85.51
WJRK CLASS: LABORER #252
CURLEY, STE)+EN LOUIS O.T. 0.0 0.0 0.0 0.0 1.0 0.0 0.0 1.0 26.540 26.54 309.58 309.5E FICA: 23.68 235.18
825 NE RADA WD. S.T. 0.0 0.0 0.0 8.0 8.0 0.0 0.0 16.0 17.690 283.04 W/H: 22.55
SEATTLE, WA 98115 ST IND: 4.88
SOC SEC NO: 025-60-3197 UNION: 23.29
D0f)TIONS: 1 TOTAL: 74.40
KW CLASS: LABORER #212
HAMILTON, DARRGLD A. O.T. 0.0 0.0 2.5 2.5 2.0 0.0 0.0 7.0 27.260 190.82 626.90 626.90 FICA: 47.96 457.41
DOW S.E. 149TH S.T. 0.0 0.0 8.0 8.0 8.0 0.0 0.0 24.0 18.170 435.08 W/H: 70.15
FMON, WA. 9805E ST IND: 8.91
90C SEC NO: 574-14-0344 LNION: 42.47
DePTIONS: 1 TOTAL: 169.49
WORK CLASS: LABORER #252
ISAX, TIMOTHY R. O.T. 0.0 1.5 2.01.5 2.0 0.0 0.0 7.0 27.255 190.79 772.23 772.23 FICA: 59.08 558.21
11803 57 AMNE S.T. 0.0 8.0 8.0 8.0 8.0 0.0 0.0 32.0 18.170 581.44 W/H: 90.31
SEATTLE, WA 98117 ST IND: 11.20
SOC SEC NO: 535-62 8369 LNICN: 53.43
E)MPTIONS: 5 TOTAL: 214.02
W X CLASS: LABORER #252
MUUU, ROBERT 0. O.T. 0.0 0.0 0.0 2.0 2.0 0.0 0.0 4.0 27.260 109.04 399.76 399.76 FICA: 30.58 293.32
543 MIS AWENLE SOUTH S.T. 0.0 0.0 0.0 8.0 8.0 0.0 0.0 16.0 18.170 290.72 W/H: 42.71
RcEIM, W4. 98055 ST IND: 5.75
SOC SEC NO: 539-36-4854 LNION: 27.40
E01:1TIONS: 0 TOTAL: 105.44
WORK CLASS: L68CRER #252
WED, RYAN O.T. 2.0 2.5 3.5 3.0 3.5 0.0 0.0 14.5 27.2515 395.20 1122.00 1485.40 FICA: 85.83 945.84
N.E. 3550 NORTH St-IDRE RD. S.T. 8.0 8.0 8.0 8.0 8.0 0.0 0.0 40.0 18.170 726.80 W/H: 0.00
BELFAIR, WA 98528 ST IND: 15.66
9OC SEC NCI: 534-78-681.6 LNICN: 74.67
Eel:'TIONS: 3 TOTAL.: 176.16
WORK CLASS: LAIR #252
W-iITTLE, ROY O.T. 0.0 0.0 0.0 0.0 1.0 0.0 0.0 1.0 26.540 26.54 309.58 309.58 FICA: 23.68 248.45
2206 112 1ST NE,APT 4 S.T. 0.0 0.0 0.0 8.0 8.0 0.0 0.0 16.0 17.690 283.04 W/H: 9.28
SEATTLE, W4 98M ST IND: 4.88
SOC SEC NO: 527-04-0404 LNION: 23.29
DePTIONS: 3 TOTAL.: 61.13
WORK CLASS: LABORER #252
C34TPXTCR: JACK JOFMOV Oq iTRUCTION INC. CERTIFIED PAMWU PROJECT: CITY OF FENTON
ADDRESS: P.O. BOO( 1W, BFIFAIR WA 98528 FOR WEEK ENDING 08/30/92 N. FORK SPRING BROOK
PAYROLL NO: A O rPACT: CAG92-M
ElfLOYEE NM+£ NO ADD ESS HRS M T W TH F S S TOTAL PAY EVE DED GFMS PRaICT NET
W H< 24 25 26 27 28 29 30 H3M RATE TOTAL EAfM TO DATE DEDUCTIONS WkGES
REED, MR- JON O.T. 2.0 2.5 3.5 3.0 3.5 0.0 0.0 14.5 32.7200 474.44 1346.84 1783.04 FICA: 103.03 962.27
10973 S.W. G13KOD ROAD S.T. 8.0 8.0 8.0 8.0 8.0 0.0 0.0 40.0 21.810 872.40 W/H: 223.91
PORT ORM, W SlNGTON 983% ST IND: 15.66
SOC SEC ND: 518-74-5fJ19 INION: 41.97
De PTICNS: 3 TOTAL: 384.57
WOfdC CLASS: G93?ATOR #302
CJNTRACTOR: JACK J(JINSON 074SWTION INC. CERTIFIED PAYRCLL PROJECT: CITY OF 14ENTON
PDDFESS: P.O. BOX U19, BELFAIR WA 98528 FOR LEEK ROM 08/30/92 N. FOW SPRING BROCK
PAYRC l NO: CON1R4'CT: CAG92-M
E1wFLMEE WE PAD PDCRESS HRS M T W TH F S S TOTAL PAY EXTEND GFM PROJECT N3T
KW 24 25 26 27 28 29 30 HQ.PS RATE TOTS.. EARNED TO DATE DEDUCTIONS WES
DETUM, MIKE O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 1250.00 2500.00 FICA: 95.63 908.93
8305 214TH PLACE SW S.T. 8.0 8.0 8.0 8.0 8.0 0.0 0.0 40.0 31.250 1250.00 W/H: 233.95
EDKCINDS, WA 98020 ST IND: 11.49
99C SEC NO: 541-36-M LNICN: 0.00
EXETvPTICNS: 0 TOTAL: 341.07
WJR4C CLASS: gYEWIaR
III fbe eoatsaet have bar or VW be nste to app"AW P wV=s tee do
baso of web Impiorm woo as to"lb$sgasa 4(s)bdew.
vice prealdt:at
►mow .—�-_-,,•�..,•�•�, ••.t�r�fiataeit (b)wvuz YRIl Z IlXX VlTS Aat?AID IM CASE
►lw4►�
a c hereby Os* U& Mont at attekaafe IWed In 04 sbov* nbresad psprtolt het beet:
pelt, as Wks" On dit pWtop, as melon ate Im d=the sw Of#0
(1) Tbat I Fay at npeevbe tbepaywcd off*Sans tawpley" by 0 u be* bouft ww nM pus file stt"d d*a rwbd ttbsle
bsaepb to MW to*0 msu§A esapt u sold 4s loan 4(e)hdm
MOM Cynet►. City of Rent6n�iN.Fork Spring 'Brook
, as i e, «Excwmm
(C..uoos w.eiees.���+
AACN
day a��/ .� '.„+..•:,..,..;lt}�wad sadlat f)a,...+.+dy►� /- ���..�.+•
ell P emgiioyre3 as said ptro�eeths►vebeeeye3d�e Orit weiba+iies esarei,met Ao idwifes
h sYe blew at wttl bs crude eubee o!lwdt;eedy�ok�bs�t tit 1dT
Sack Jd mew c*Mft' udioa, Lto. toot&eta
waft wales asnaed by sWi 111�ft! sad that so deiedioua bave been,1864ddw dbv*ac
.ndtitedy Aresa ON Ail wadar and by a w vwo;k COW drw paea wwo dtdutdo ss s►s dtt w
a Itmynlot cr^ Pad S(20 CFR Aubtlde A),UwAd by to Swftty Of L"asdac die CopdaAd
aak as siiisaded t4S S&L$4S sS 3iat jok 71 8"90,16 btat.357-.40.tL&C.2760.sad des. .
cft4 brier:
• . Rb�tA11Kw .
(2) That sW psymlb otawwW wader iStk wfticl nqukd 90 bt nrba>btsd for taw above
pe fed an etsertsrf seat taaiplelte; that*a+rap rater tot laborers at ssediawks eaAtalaed thMW
are was Iles taco do apptleabte wale rabe►ca sd!a suyr wwp danaiaistoa tacarpo:ued fwto
:he osii 84 Oat do clusoeafloas eel fwlb sbtteta Poe each ldww of k teoaforas*a die
worn bepesttprared.
(a) lfist sty► appmtkee aapla* in tbt ebevs pedW an My n$btered In a bomAd*
pnvm V40dwed with a SAS sppmoashfp sI neapw by tie Sutwia
Of ' sip wad T lnbli& gaffed Stews ISepsrwad of Lob",or!t so saeb raoopilred
4mg ad* fit w Staff an ree wwW wft @t&aesu d Ap nest a ft wad TtMdnl,Vagsei
stares of Labor.
(4)Taate t AMS xriu taa+Aw
(a) WHERN FRINGE BENEFITS ARR?AM TO APPROVED PLANS, FUNDS, KgtbY dotlttsOlct jVin PruLdent '!
OS I"BOtiMIMSs
lMlt RALdw1{'A�nC�AIIY ��OW MM �)� KiiiCTgM I�AOi nTi�i1Me
-. In wddidon to fhe task hourly wale rates pwld to serif laboreg or mechwaic yow
t�st yR e; fiTA
ltskd is the above rstrtenew Parma, peyatwds Ot Map banom as!heed
GUMF=* .III{JUNI I CIIOM=III. CMI=III HI17H3': MY CF RMIN '
Xffns: P.O. HX 1119, a!B)dR VA 98528 KR WHI{RNEOG 09/05/92 N. EUE qMG RUCK
9MUL N): : GXM-�
H4W E NINE PM Ply EFS M T W TH F S S TML FAY BUNID CRTS FK17H'T NBC
yam{ 31 Oi 02 03 04 05 06 HIM HVE 1UL DRW M DVE OHIUMS WVCFS
(1.IOLBURF', GaNaRB O.T. 2.51.51.5 0.0 0.0 0.0 0.0 5.5 27.255 149.90 585.98 903.% FICA: 44.83 404.55
1851 N 183M cUEEr S.T. 8.0 8.0 8.0 0.0 0.0 0.0 0.0 24.0 18.170 436.08 WTI: 87.70
SPITE, WA 98L33 SC Ila 8.48
MC cEC ND. 247 23-3359 LNEN. 40.42
E MTM: 1 7L317-L: 1ffi.43
ME CLi!fB: IFHIER#252
CLRLEY, SIREN IC11IS O.T. 4.0 1.5 1.5 0.0 0.0 0.0 0.0 7.0 25.536 185.75 610.31 919.89 FTCA: 46.69 444.58
825 NE HIRZA EBD. S.T. 8.0 8.0 8.0 0.0 0.0 0.0 0.0 24.0 17.690 42/4.% W4I: 67.66
SE=, WA 98115 Sr INT. 8.91
MC cEC ND: O25-60-3197 LNI N: 42.47
: 1 Z EV. 165.73
4CH�CLTFiS: MUIR#252
II I, OUD A. O.T. 4.0 1.5 1.5 0.0 0.0 0.0 0.0 7.0 27.256 190.79 626.87 1233.77 FICA: 47.% 457.3E
L3007 S.E. 149M S.T. 8.0 8.0 8.0 0.0 0.0 0.0 0.0 24.0 18.170 436.08 W4i: 70.15
R!,a I, V& 98058 SC MD- 8.91
SJC cEC N). 574-14-(M LIEN: 42.47
NE4311DE: 1 7CVY, 169.49
VCW CLASS: IPIUIR#252
EW, 'IIM3M R. O.T. 4.0 1.5 1.5 0.0 0.0 0.0 0.0 7.0 27.256 190.79 626.87 1399.10 FICA: 47.% 473.72
565 131H AANE NE S.T. 8.0 8.0 8.0 0.0 0.0 0.0 0.0 24.0 18.170 436.08 w4i: 53.81
cB=, WA 98122 Sr IN}. 8.91
cCC SEE N3: 535-62-8369 LIEN: 42.47
F OTME: 5 YJVV E3.15
VUR CLP65: IPB1ER#252
L447q , Mr O.T. 2.0 0.0 1.5 0.0 0.0 0.0 0.0 3.5 25.534 92.87 375.91 M.91 FICA: 2B.76 272.13
Ix 22327 S.T. 8.0 0.0 8.0 0.0 0.0 0.0 0.0 16.0 17.690 293.04 W41 42.70
SPITE, WA 98122 SP DD: 5.60
9 C SK~N} LNIQi: 25.72
EM43CM: 1 'I(AXP 103.78
VIR{CLASS: LNKRR#252
Kmd, IAW O.T. 2.0 1.5 1.5 0.0 0.0 0.0 0.0 5.0 25.536 EQ.68 787.21 787.21 FICA: 60.22 553.01
40820 2441E3 AE SE S.T. 8.0 8.0 8.0 8.0 5.0 0.0 0.0 37.0 17.690 654.53 W/H: 104.37
RU4L?W, WA 98022 Sr E D, 12.(J7
S7C FEC N): 423-58-1937 LIEN: 57.54
DMV-DS: 0 TWT, 234.20
VCR�CLPf: L4GE Z#252
MIOD, RIIAU O. O.T. 4.0 1.5 1.5 0.0 0.0 0.0 0.0 7.0 27.256 190.79 625.87 1026.63 FICA: 47.96 450.75
543�GM PIXIE EUM S.T. 8.0 8.0 8.0 0.0 0.0 0.0 0.0 24.0 18.170 436.08 W4h %.78
RMM, WA. 98055 SP RD: 8.91
SJC RU N): 539-36-4854 LNIiN: 42.47
DETME: 0 'IOIAL 176.12
VUE CUES: LNUM#252
C 2NM? -. JXY JCH\KN CQ4MIINYN DC. C31I=E%FaL AM7H3': MY CF FROM
AIM& P.O. HX 1119, BM AIR WA 9852E RR WHR HNIM6 09/06/92 N. End{SgW�3 ERIK
FA UL N} 5 02m?ff: C V92-081
E4TOAE MVE PDD MIUB FB M T W 7H F S S 7CUL FAY BUNID G;CM PARR'_[' �ff
WR{ 31 01 02 03 04 05 06 EMB RUE TJM HIM 7)ErUE FIIZCMB Wrcm
WYD, IWN O.T. 3.5 3.0 3.0 2.0 0.0 0.0 0.0 11.5 27.255 313.43 1040.23 225.63 FICA: 79.58 685.17
N.E. 3550 NMH SUE D. S.T. 8.0 8.0 8.0 8.0 8.0 0.0 0.0 40.0 18.170 726.80 WTI: 190.12
ME)JR, WA 9852E ST RV. 14.80
,coC St3✓N} 534-78-6RL6 Ul N: 70.56
ESP : 3 Z UL- 355.06
KEE CIAffi: L4MR#22
W-IQ"JIE, A3( O.T. 4.0 1.5 1.5 0.0 0.0 0.0 0.0 7.0 25.536 185.75 840.28 U49.86 FICA: 64.28 614.19
2205 1/2 1Sr AE,PPr 4 S.T. 8.0 8.0 8.0 8.0 5.0 0.0 0.0 37.0 17.690 654.53 W4i: 8B.89
ED E, WA 9Bla Sr IN) 12.64
Sx Sr-ND- 527-04- 4 LNICN: 60.28
OE43EM: 3 MDT, 226.09
WM CIAER LZECR R#252
HE), mm JN O.T. 3.5 3.0 3.0 2.0 0.0 0.0 0.0 11.5 32.715 376.22 124B.62 3031.66 FICA: g5.52 902.23
10973 S.W. C7IlifCD ROD S.T. 8.0 8.0 8.0 8.0 8.0 0.0 0.0 40.0 21.810 872.40 W41: 196.41
=CRIND, DPff HNMN 96366 Sr IN): 14.80
S7C SR~N0: 518-74-5Wn9 LIEN: 39.66
: 3 IODI,: 346.39
[mod{CZAR CFEF?UM#302
: JUII JU SRN ONMTJ 21 DC. C4;=AIL FID=: COY CF Rt�
PIIIE iS: P.O. Hx 1119, HU3NM m 98528 RR WHY RU�G 09/06/92 N. FCW S4M HiUI(
AIL NJ: 3 ter:
H4W-iEE NEE PIED Pl�fi IFS M T W TH F S S 'TOTAL FAY BUNID GIM ffD= NBC
VOK 31 01 02 03 04 05 06 HIM RME TCSIIAL HTISID TO LM E IJCCIB WIES
IITT A, ME O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 1250.00 3750.00 FTCA- 95.63 908.98
8305 214IH AAE Sq S.T. 8.0 8.0 8.0 8.0 8.0 0.0 0.0 40.0 31.250 1:50.00 W/fh 233.95
E his, m 98020 ST DD. 11.49
9JC SH�NJ: 541.-36r7833 IINICN: 0.00
: 0 T ML- 341.07
ME C Uffi: 3HIRVBI2
P i •
is the esgttred kaVe bw or*a be a me,t0 wmropdatw popems fee'the
liatll� J
93ca ptce,eidsat besrm of aids Moore",eKW as so"m isms"4(e)bdw.
t M.we tr>>�►t�+q►I t'tnM (b)WMlilRB P>6tYfi{l8 IBM>d!►l7'R A33>rAIII IN C"R
da sea* U& taborer at nwhasde bw is " above retae"d Pavia bae bwett
p" aS iiAkelsd as tlit VIVIA as eland Sot lea dm*a sells of tba
(1) That t par at eopeevlwe tb*P"em of 64 pwrsaws wewpbtytd by jadc eOocabU back handy wap Mlle plats tfte atwoesit d*4 r"Stred Melee
bwaedb ae MW to OR a wa vo moapt sa now in ft os 4(e)Wm
City of Rent6n6�N.Fork Spring 'Brook
esMa�t►a.ar�a.� i � �� t�RXS:�'L'tOBTR
Oast dndaD`the RiQreg Peelod ooartaadatT as
u A1tON
d ay of 14ced+I�.;ides$hie - Aw of � .lCm N .
eU pwreoA- watpioywd wa sate projeakwwbmpadd the ba wedly was wadek mat so :wheatwe
r.ave bw as wtit bsstade etttewr d qy or to bu*to or as beh,J[of sate
Merck Jamm COCIstt►ttatiatt, Yno, from theta
a
,eft wgts eased by WW pasasi sad tkat no adodm have been mwdaefter din*or
,Abe i ttm am Alp wags n=ed by ssW Vmp.othac 6"peembwihlw dtdtictbss as A&ed
1%qmWcwS. Pm4 B(19 CPR A),ta>aad br lbw Swee+oaeq►of Labor nsdeat oba Copdead
Ad. as Sarieitdwd (48 Slat.UMS &9 IM 71 that.86?:78 Net,M 403"C. 8760.wad dee•
cull bdow:
• RraMlllta .
(2) That aW► papotls o&wiwite leader ab matewd reeluked to be snbmuld tbt 04 dwl*
paused am c onst geld exmxplesee tliwl Ilea rep lath(ar Imlw lRe or mabulm cwARbwd&a is
ate Sot tree gm tke applicable wape rates aoa kbW bt Say wep dmmdmsba imOrPotsW taro
:he=astrm*60 des dawwVcm;Waa set &"do For eSe3t laborer or um&wk t wfona wuk ow
werlt kepeef"ttied.
(a) ?but city wppeeatiomw emphged to tW Shave yaiod an AWy notwrad is s bomAb
�
puoetprSat steed *aa SWw apesq► n b7 Raareats
of Apyr--Up 1 etp sad Tfr bdi& tt" OWN Depwau d/ of Lsber.as R so wocb reoeastdeed
qwq a dab la a graW^ an regie*W wldi lbw Qte:m d Aypreli$aotktp wwd'h hm V"
Soft 040da mmi of labor:
(4)Than iueet etttel '
ja) WHSRE r4tHG8 BZNSFiT'B ARB tAW TO A"ROVED Pi.ANBr FU>t D& KStby Joht =IViCei Prwidwt �
ON PROGRAMS '
lM�ei� � 6 RAIU�WTp*�A 1Qi1 Of q�NfTi u��M����
In adduwa too Ott)lute boady wage Tat"Paid to Seel laborwle or seedt ok �K�10ww��t gi`ittLRfi u o stA
w d In the above r*mtwd PSYMll. ptymms, of Map bw qft as U" L
y
C30PACTOR: JACK JU iV)ON 0345TTWION INC. CERTIFIED PAYROLL. PROJECT: CITY OF RENTON
(CRESS: P.O. BCD( 1119, BELFAIR WA 98528 FOR W33< ENDING 09/13/92 N. FORl< SPRING BROOK
PAYROLL NO: / CCNTRMCT: CAG.92-061
EMPLOYEE NAME AND ASS HRS M T W TH F S S TOTAL PAY EXTENDED GROSS PROICT" NET
WW 07 OB 09 10 11 12 13 HDLRS RATE TOTAL. EARNED TO DATE DEDUCTIO116 WAGES
Cl1.afASLRE, C34aIUS O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 9013.96 FICA: 0.00 0.00
1851 N 185TH STTEEI S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
SEATTLE, WA 98133 ST IND: 0.00
90C SEC NO: 247-23-3359 LNICN: 0.00
E)UPTIONS: 1 TOTAL_: 0.00
l+,W CLASS: L 30FER #252
CA-EY, STSF-EN LOUIS Q.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 919.89 FICA: 0.00 0.00
825 NE RAVETNVA BLVD. S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
SEATTLE, WA 98115 ST IND: 0.00
SOC SEC NO: 025-60-3197 LNICN: 0.00
D)OPTIONS: 1 TOTAL: 0.00
WOR< CLASS: LABORER #252
HIeMILTON, DARROI.D A. O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 O.OQ O.CO 1253.77 FICA: 0.00 0.00
M7 S.E. 149TH S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
FENTON, WA. 98068 ST IND: 0.00
90C SEC NO: 574-14-0344 LNICN: 0.00
E)E IPITICNS: 1 TOTAL.: 0.00
WORK CLASS: LPBGRER #252
ISMAC, TIMOTHY R. O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 1399.10 FICA: 0.00 0.00
56S 13TH AM3tE NE S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
SEATTLE, WA 98122 ST IND: 0.00
SOC SEC ND: 535-62-8369 LNION: 0.00
B01PTICNS: 5 TOTAL_: 0.00
WOR}( CLASS: LPBORER #252
LAVALLEE, SCOTT O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 375.91 FICA: 0.00 0.00
BD( 22327 S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
SEATTLE, WA 981,22 ST IND: 0.00
9OC SEC NO: 092-4Q-8575 LNION: 0.00
De PTICNS: 1 TOTAL: 0.00
KW CLASS: LASER #252
MDDOY, LARRY Q.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 610.31 1397.52 FICA: 46.69 432.14
40820 244TH A1+E SE S.T. 0.0 9.5 9.5 9.5 6.0 0.0 0.0 34.5 17.690 610.31 W/H: 74.30
Rd.N aA, WA 98022 ST IND: 9.91
SOC SEC NO: 423-58--1937 LNICN: 47.27
DE4:'TIQNS: 0 TOTAL: 178.17
WORK CLASS: LPB074 R #252
M0RE]1O, ROBERT 0. Q.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 1026.63 FICA: O.CO 0.00
543 MORRIS AVrAL.E SCLJTH S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
RENTON, WA. 98055 ST IND: 0.00
SOC SEC NO: 539-35-4854 LNION: 0.00
DePTICNLS: 0 TOTAL: 0.00
WOW CLASS: LABORER #Z 2
i
0JV R+V R: JACK JO4 0 CONSTRUCTION INC. CERTIFIED PAYROLL PROJECT: CITY OF WON
ADDRESS: P.O. BOX 1L19, BELFAIR WA 98528 FOR WEEl< ENDING 09/13/92 N. FCRK SPRING BROOK
PAYROLL NO: 1 J 03V RACT: CAG92-OB1
EMPLOYEE NAME AND ADDRESS IRS M T W TH F S S TOTAL PAY EXTEN E GM PROJECT NET
WORK 07 OB 09 10 11 12 13 FM RATE TOTAL EAR if D TO DATE DEDUCTIONS WAGES
WARD, RYAN O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 681.38 3207.01 FICA: 52.13 477.46
N.E. 355D NORTH SHORE RD. S.T. 0.010.010.010.0 7.5 0.0 0.0 37.5 18.170 681.38 W/H: 89.64
BELFAIR, WA 98528 ST IN): 10.77
SOC SEC ND: 534--78-6816 LNICN: 51.38
E0PTIONS: 3 TOTAL: 203.92
w)Rc CLASS: LABORER #252
WHITTLE, ROY O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 459.94 1609.80 FICA: 35.19 349.82
22O51/21ST AbE,APT 4 S.T. 0.0 0.010.0 9.5 6.5 0.0 0.0 26.0 17.690 459.94 W/H: 31.84
SEATTLE, WA 981A ST IN): 7.47
SOC SEC NO: T7-04-0OU LNION: 35.62
DePTI0N5: 3 TOTAL: 110.12
WOR< CLASS: LABORER #252
FEE[), M31 JON O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 817.8B 3849.54 FICA: 62.57 630.13
10973 S.W. aB*UO0 ROOD S.T. 0.010.010.010.0 7.5 0.0 0.0 37.5 21.810 817.88 W/H: 85.53
PORT UU-WRD, WASHINGTON 98366 ST IND: 10.77
SOC SEC NO: 518�-74-5019 LNICN: 28.88
DePTICNS: 3 TOTAL: 187.75
WN CLASS: OPERATOR #302
C N RUOR: JPCK JLhN" 0O45TRl.1CTICN INC. CERTIFIED PAYROLL PROJECT: CITY OF FENTON
AlRESS: P.O. BCD( 1119, BELFAIR WA 9M FOR WEEK ENDING 09/13/92 N. FORK SPRING BROOK
PAYROLL NO: CONTRU: CAG02-M
BlPLLMEE WE AM P)DRESS hRS M T W TH F S S TOTAL PAY EXTEND® GM PROJECT NET
W R 07 OB 09 10 11 12 13 HQI.RS RATE TOTAL EPRO TO DATE DaXETIONS W61GES
DENW, MIKE O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 1250.00 5000.00 FICA: 95.63 908.93
8305 214TH PLACE SDI S.T. 0.010.010.010.010.0 0.0 0.0 40.0 31.250 1250.00 W/H: 233.95
E[M•JfV)6, WA 98020 ST IND: 11.49
SDC SEC NO: 541-35-M UNION: 0.00
DefTIONS: 0 TOTAL: 341.07
M CLASS: SILPERVISOR
b tht ultra d have boa or VW be mwW a &"MAW Peolreems feat ON
hews!�wCh arepi4yea►��ae soled m ieeiiaa K�bderr'
Yica: President /� ss!s �y �{/►���}
+ +yr...�rr•.� t ia rrlr r Cb)wRgu i X IBM WITS AU i0 I 11"R
a0m*d POW { rm
do hetnbyae%* tahotaee at aaae;bade Ibltd to its abo" reabrewd p414 ha bm
as bdkat i an the paw a* aaeoteat W lea thaw tba awe of the
(,) That I par or npwvke diepayr cM of s*passes mphyed by Jack amUceb3o baela i mdy wap eeb phss dae ameaat d tha tWtw Male
beeadtts as Ii W It tAe aaab*4 axpt as atobd In lsetloa 4(0)De m
� _.�.5....�..�oadgeo City of Rentmn�iN:Fork Spring Brook
bat dwft ttee fret pod"soanaaetat a 1hs..�.�....
p 1 mo
m
a aa►otr,.::�.._.-.—.»tl�.,.'Zoed sodlai$N���ed ;.=5�.1� I�
ell perooata eoa4eioyad oa aatd PeoNatha►rtbaas grid 9m h�waukUr Maly eaesasel.tmt eta a,abe4es
r aysbsees as wttl heaiade ettteae �tadfreetty t4 or os behalf of saki
Jack jobumon Comstructiottp rm. froaa ffisNII
wadety ,raps and by mw pesoil" ad d+at so de6m oaa have baeaa•me to dew d or
:n hm* troea Des tid walae*NOW by apt psrsap.otbw din geeeobetble dtdutlons as d0o d
.s %qptattoaa► put 8 r49 CFR t3abdds A)4 tsaacad by tbs$aaeasaep of Labe:G"w e a Cagdand
gut, as amaadW (48 ttteat ti 463 3nat Wk 73 Stat go,is biat M.40AL&C. 276e),sad des•
c�ql#bda�r:
ROAN" .
(2) Thm any pyrolb othUVW seder 611 ewsfid rePkad to bs see mW4 teat ties rebore
?sdod ass eeomd and amplatee; that the wap tarts!or faborea or madmata=Dmbw 60"
36M east Im lhaa the aggllrable wale r"coamed In nay wage ddumbodoa;morpolow lob
:he mow*$sat the daaf0cadoaie set W&Soft tier"Idm w or a mimk taatosea wuk des
was3e hsps+rianaed.
(3) 7bat mW syparatlmas employed Is the ebm parlod we** rgdaWW to a boas•6de
a�1g pwoteaee teglpewedt watt a Sbets*� opaq► by the Tivaeaei
Of APparntleamalp ad Trdat* V" ftw Gepatraeat of Labor.as><ato each mad
spaey ad* in a a" an welletered wtth am B+e1-m d Appm&m to Aw Tdbft& t 0106
Smft 0 paetemm d Labor.
E4) Thatt tet '►
;a) WMBRE FRINGE BENEFIT$ ARE PAM TO APPROVED PLANS, FUNDS- Why JotuM= Vice president
02 PROGRAMS '
!last WC Tim op ANY,,e�� 1AlMi MAY e�a0i )lTt A
Set aetdtttaal to qee ttaek hoe:dy wolf rates ysld to asdi Iabotro�t or raerieaeda t n�ies�°n'M ate TI�aL. fii
ibtd in the above rdeweaead Fayaolt gsymro of Map beooft as sated
CONTRACTOR: JACK JOHNSON CONSTRUCTION INC. CERTIFIED PAYROLL PROJECT: CITY OF RENTON
ADDRESS: P.O. BOX 1119, BELFAIR WA 98528 FOR WEEK ENDING 09/20/92 N. FORK SPRING BROOK
PAYROLL NO: 5' CONTRACT: CAG92-081
EMPLOYEE NAME AND ADDRESS HRS M T W TH F S S TOTAL PAY EXTENDED GROSS PROJECT NET
WORK 14 15 16 17 18 19 20 HOURS RATE TOTAL EARNED TO DATE DEDUCTIONS WAGES
-----------------------------------------------------------------------------------------------------------------------------------
CULCLEASURE, CORNELIUS O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 903.96 FICA: 0.00 0.00
1851 N 185TH STREET S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
SEATTLE, WA 98133 ST IND: 0.00
SOC SEC NO: 247-23-3359 UNION: 0.00
EXEMPTIONS: 1 TOTAL: 0.00
WORK CLASS: LABORER 4252
CURLEY, STEPHEN LOUIS O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 919.89 FICA: 0.00 0.00
825 NE RAVENNA BLVD. S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
SEATTLE, WA 98115 ST IND: 0.00
SOC SEC NO: 025-60-3197 UNION: 0.00
EXEMPTIONS: 1 TOTAL: 0.00
WORK CLASS: LABORER #252
HAMILTON, DARROLD A. O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 1253.77 FICA: 0.00 0.00
13007 S.E. 149TH S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
RENTON, WA. 98058 ST IND: 0.00
SOC SEC NO: 574-14-0344 UNION: 0.00
EXEMPTIONS: 1 TOTAL: 0.00
WORK CLASS: LABORER #252
ISAAC, TIMOTHY R. O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 1399.10 FICA: 0.00 0.00
565 13TH AVENUE NE S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
SEATTLE, WA 98122 ST IND: 0.00
SOC SEC NO: 535-62-8369 UNION: 0.00
EXEMPTIONS: 5 TOTAL: 0.00
WORK CLASS: LABORER #252
LAVALLEE, SCOTT O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 375.91 FICA: 0.00 0.00
BOX 22327 S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
SEATTLE, WA 98122 ST IND: 0.00
SOC SEC NO: 092-40-8575 UNION: 0.00
EXEMPTIONS: 1 TOTAL: 0.00
WORK CLASS: LABORER #252
MCCOY, LARRY O.T. 0.0 1.5 1.5 1.5 0.0 0.0 0.0 4.5 26.536 119.41 685.49 2083.01 FICA: 52.44 486.98
40820 244TH AVE SE S.T. 8.0 8.0 8.0 8.0 0.0 0.0 0.0 32.0 17.690 566.08 W/H: 85.57
ENUMCLAW, WA 98022 ST IND: 10.49
SOC SEC NO: 423-58-1937 UNION: 50.01
EXEMPTIONS: 0 TOTAL: 198.51
WORK CLASS: LABORER 0252
MORENO, ROBERT 0. O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 1026.63 FICA: 0.00 0.00
543 MORRIS AVENUE SOUTH S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
RENTON, WA, 98055 ST IND: 0.00
SOC SEC NO: 539-36-4854 UNION: 0.00
EXEMPTIONS: 0 TOTAL: 0.00
WORK CLASS: LABORER #252
CONTRACTOR: JACK JOHNSON CONSTRUCTION INC. CERTIFIED PAYROLL PROJECT: CITY OF RENTON
ADDRESS: P.O. BOX 1119, BELFAIR WA 98528 FOR WEEK ENDING 09/20/92 N. FORK SPRING BROOK
PAYROLL NO: '5- CONTRACT: CAG92-081
EMPLOYEE NAME AND ADDRESS HRS M T W TH F S S TOTAL PAY EXTENDED GROSS PROJECT NET
WORK 14 15 16 17 18 19 20 HOURS RATE TOTAL EARNED TO DATE DEDUCTIONS WAGES
-----------------------------------------------------------------------------------------------------------------------------------
WARD, RYAN O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 690.46 3897.47 FICA: 52.82 482.47
N.E. 3550 NORTH SHORE RD. S.T. 6.0 8.0 8.0 8.0 8.0 0.0 0.0 38.0 18.170 690.46 W/H: 92.19
BELFAIR, WA 98528 ST IND: 10.92
SOC SEC NO: 534-78-6816 UNION: 52.06
EXEMPTIONS: 3 TOTAL: 207.99
WORK CLASS: LABORER #252
WHITTLE, ROY O.T. 0.0 1.5 0.0 1.5 0.0 0.0 0.0 3.0 26.537 79.61 504.17 2113.97 FICA: 38.57 382.38
2205 1/2 1ST AVERT 4 S.T. 8.0 8.0 0.0 8.0 0.0 0.0 0.0 24.0 17.690 424.56 W/H: 38.47
SEATTLE, WA 98121 ST IND: 7.76
SOC SEC NO: 527-04-0404 UNION: 36.99
EXEMPTIONS: 3 TOTAL: 121.79
WORK CLASS: LABORER #252
REED, MERL JON O.T. 3.0 1.5 1.5 0.0 0.0 0.0 0.0 6.0 32.715 196.29 1068.69 4918.23 FICA: 81.75 792.27
10973 S.W. GLENWOOD ROAD S.T. 8.0 8.0 8.0 8.0 8.0 0.0 0.0 40.0 21.810 872.40 W/H: 146.03
PORT ORCHARD, WASHINGTON 98366 ST IND: 13.22
SOC SEC NO: 518-74-5019 UNION: 35.42
EXEMPTIONS: 3 TOTAL: 276.42
WORK CLASS: OPERATOR #302
CONTRACTOR: JACK JOHNSON CONSTRUCTION INC. CERTIFIED PAYROLL PROJECT: CITY OF RENTON
ADDRESS: P.O. BOX 1119, BELFAIR WA 98528 FOR WEEK ENDING 09/20/92 N. FORK SPRING BROOK
PAYROLL NO: S CONTRACT: CAG92-081
EMPLOYEE NAME AND ADDRESS HRS M T W TH F S S TOTAL PAY EXTENDED GROSS PROJECT NET
WORK 14 15 16 17 18 19 20 HOURS RATE TOTAL EARNED TO DATE DEDUCTIONS WAGES
-----------------------------------------------------------------------------------------------------------------------------------
DENOMA, MIKE O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 1250.00 6250.00 FICA: 95.63 908.93
17103 68TH AVE W S.T. 8.0 8.0 8.0 8.0 8.0 0.0 0.0 40.0 31.250 1250.00 W/H: 233.95
EDMONDS, WA 98026 ST IND: 11.49
SOC SEC NO: 541-36-7833 UNION: 0.00
EXEMPTIONS: 0 TOTAL: 341.07
WORK CLASS: SUPERVISOR
._ -...�.r..,_........ b>` the eemtsaot We bw or WN b*sad*is ype A p psevsrsw lot the
bw&of Web sttlp)oyesd�crept ad stabs la holim 4(a)bdsw-
�
l ..._._._._ .,,.r Y3oe Ptcesidet:i+.,,.,. (b)w�teals>:>l MS DINVITS B PAM tN CASR
tarot a l4wel r t»at►t
as haft alai" E3—U& Lawler at aakade listtd b as abare .*Is aad payroll has bees
i4 as ladkatsd os the M84 as aa►wA*Sot IM Ikea the Bata of tea
ti) root i pap or wpo vks the parsaeld of tLt poom employed by Jade k bade toady *►spa tab plats I* MOW d*4 rwlw Mope
bomals ar ltsad M the asaot*A*slept as woad to Soon 4(e)bdm
d �� � as the City of Rentmn�N:Fork Spring 'Brook
*Cpgsaesorwu .wa, ea ��Exg
t that dul as the Fevre
e ap►o! � if.:_,and m��.-.-,.dU►od .i�..,....
aA peedoaas&Apkyd at ssid pof eothwebtrapstd the IbR V"WY Magee esmtd►tl:st ao tebrdeo
hwebm*rw%b*asadswith**dkl*of hWbdedy to or as behalf of said
Jack John mW Comtrttetionp Lto. tress tbetA
Mam a
widely wages tarred by mW petew sad flat no ddmodm hsave bsae.ma#*Otter dbseedy at
adirdeslli dross do AM wags eatad by craw gddop.DOW*ease pmrsnbdtble dtdt g$M w k%dd
!Zgnlwok%6 Part b(So CFR lbtbtltte Ak loasd by to See ftq of LOW wader its Copdead
Ago as am=ded (48 M&L t &GS fret IM 71 Stet.op.is bdst.Ul-.40ALLQ L?&),ad dw .
cdbd before;
rrr ■ � r
' . RattltrlKa .
(!) That mW pq:olb o*ArWioe wader bb 000t»t rep tod to be snbaeatd for tlst sbm
aafed am smarted epd rxwptdwF that*1 asp rat"for taborer, of rao&uA a co:wood*Ards
are sot It"than tM apptfasblt crape rstds aoalabed In my+rave demaoWww"lumpo:atd into
:he Comm*ssat the dassl kadow eel b*tber+fa kc eseh taborer or auebmak essofom Witt de
woth be pts(otsned.
(a) 'that arty ap m tioeo aapk* to the shows prlad are dssty noduad to a bared*
4pakmlb* psopm tevitiered Ala is not apprwttasidp stag► ma sW by tb*Rureaw
of App odko ft sad Tnb d* V" too Depasrosmt of Labor,at V me mach ea0statsdd
qwq ad* in a S" am repbtwW Web Oe 041 o i se d ApprMtttaeblp s W TdS des&Vabed
States nepattreast d Laboe:
0) Tbals root A rtdts
(a) WHBAE FRiNGS BE NTFITS ARft PAM TO APPROV30 PLANS, FUND& K&Uq JodtRt=tViCre PMLdent
OR PROGRAMS .
Fatal " or A -�
-. to addhWa to the!task bawdy Wdopesateepall to tads laborq or saecbaida ��il� NY
t� ista
fiskd is the above rotem"d payroll, psyaseats of blap beastib as VsW
l.32WLrI'SJLIlL Xv r\U111RN\S.LI11R..L11/.V ]M. CR:U=t131L<1L.1 IIOJL3_.L• C71 C BR-.Il N
AIMS: P.O. RX 1119, EQEAM WA 98528 RR VEW HMG G 09/27/92 N. ECW S9W ERIK
MR7L N7 / 02M?f![%
H4lCbEE NW AND MHES HAS M T W rffI F S S XUL FAY E?aIlCE) CRCSS RUIKT Nor
VCW 21 22 23 24 25 26 27 KUB I E =L EPA ID LME EBIOXIS WAS
WWI RM O.T. 0.0 2.0 1.5 1.0 0.0 0.0 0.0 4.5 27.256 122.65 704.09 4601.56 FICA: 53.86 471.36
N.E. 3550 NIM ffElE1D. S.T. 0.0 8.0 8.0 8.0 8.0 0.0 0.0 M.0 18.170 581.44 Mi.- 118.37
EMAM, WA 9EX Sr IlJ): 10.49
8DC SR:ND. 534--78-6H16 Uq N: 50.01
DETIM: 3 YIAL: 232.73
VCW CIP65: IPH1:fIt#252
wi=, Rx O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 2113.97 FICA: 0.00 0.00
2205 1/2 1ST AEAN 4 S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W4i. 0.00
5=, m 98121 Sr Inn: 0.00
5JC�N} 527-04-0404 OEM 0.00
DMMS: 3 YUI.: 0.00
ME CLPbS: UMER#252
FEID, MM JCN O.T. 0.0 2.0 1.5 1.0 0.0 0.0 0.0 4.5 32.716 147.22 845.14 5763.37 FICA: 64.66 624.57
10973 S.W. CIEDL M FCPD S.T. 0.0 8.0 8.0 8.0 8.0 0.0 0.0 32.0 21.810 697.92 W4h 117.31
FCU CRIAD, WAfHRqXN 98366 Sr 34Y 10.49
SJC qr-N} 51&74-5019 iNIFN: 28.11
DMMS: 3 TIRL: 220.57
V RC CIPIiS: CHRUCR#302
Mifff=. .III{J Hg9CN GaEHA=Ili. CEEMIID E%BIL R IBM =CF RMN
MIRES: P.O. F(X IM, HIH)JR VGA 990 EQ2 WEEKHMG 09/27/92 N. ECFK Sf�HUM
EM IL NJ: GUMFM
ErFMM N*E RD M= H B M T W Ti F S S TWL EW RMIIED HUM NT
VCRK 21 22 23 24 25 25 27 HMS FRE XL ERM ZOIFUE tH MIZ MIS
ERDIN, mm O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 1250.00 7500.00 FICA: 96.63 90B.93
171013 681H AE W s.T. 0.010.010.010.010.0 0.0 0.0 40.0 31.250 1250.00 VtiVH: 233.95
EDP, VA 99M6 sP PD.- ll.49
SJC, N} 541 36-7t333 L1�N: 0.00
DE43IDM: 0 MMU 341.07
ME C[P : S FHV=
b tt+t eoxttrast We boo or V%b0 malt a appropdate PWSn a 69 the
bae tRt o!mob emp)orM WOW a+et"m Sad as 40)
Why Johmm Vice Presideat
gnaw M>waaNey>taeprt �)W�tBAB p�lIGB 8E14lttlTa as lAID IN CAtiR
do haft$a* b* (aborstt at tateabaedo NW k the sbwe :yMreatxd pgtI ba bm
pdi. as Win" ea tie rwm% as tuaaaot so late tbtta be no of to
(1) That t pay at ropen►he dtepaytaeat of the pttattoas mtpleytd by ' sm0cabb bask boady orsp 9* plw St sacrist at*6 ttegtttrtd Mote
baa ft a$Umbd Is do watt NA eeept w ceoted is Settdoa 4(c)bd m
City of Renton�N.Fork Spring=Brook
Ldamm
._corst.. nit;._ .. t or tsy aitctrs
-
_..r..............�--; that has!Me puyrdt pww w 0*
��, a At�ON
e i4.�.and+sdlai ts....-�3U►of Its,
sQ pera0cel eo�iorttt oa said prol"hwsbaapw tht he memy OWN ea:yttd,ttsat ao sths�lee
aysbteet otr h+so�adsdMttrdiate�ra isdMedy to ae ets b+i a of sty
Sactc jd mm Coestructica, LKt. how&eta
of
welly cages esreed by say paws sad *at no de6udms bays�bm.f dtdutstoans as det3a�
wi*ddw An*
.adirv* bm am Adwapes arced by rapt yedop.04m*0
'.a TteRntaiioa4 Part 3(29 CFR A),WwA by to 8-[la 7 of Laboe wades the Cepdsad
sek as ateteadsd (48 ftL SASS 3tat IM 71 Star W.76 fist, 40.tLLM 2760,sad des-
(2) That say pgrOW othwWw aadee&b oatd4 MulM to be mbmlW foa 0*above
?vied sae eon et ad tbst to wapt rate(w Isborea or saes ea#ataed ftnbll
eta sot ttys th+ao the appiieabte vats eatr a�+ad�say+ra:s daeeealatttoa ituorpo:stea into .
:he aomea*that the dasdbawn Set*6 t oWe he e"Iabow of ask eoafom wltb Ole
wait btpeutanted.
ta) 'Itsat say sypemlkas ompiq A sa tier thous paW we a* "&aed to a boa.tds
vagidweiwtdt a OW tppncgcu* &IM rappW by Bum#
at AWmAkaho and '!mWi& tfaited 8tatea Dapat WMA of Labor.of 9 40 aaeb aaoo1 1 1
4"q►ad* iae & 9" see ge&*M w(tb Ot&etm at AMeatteeabtp aad Triimm Vww
s'ptei Dgtaetateed d Laboe.
0)Tttats rtRi
(a) WHSAE FRtNag BZNIVITi ARS?AM TO A"RONtiD PLANS. FUNK WhY J0ft"0i X*G Prwidw*
OA p3OCRAMa
litt< RALitaWA Qi A1iY leer � j lee
lol$ 7lR A
—. ter addwoat to the ttacit hardy watt rsta yard to isdt Iaboreic or eaecbauk : : t+ tsset � ttTA
Ibted to the about M%rateed psyMB. ysrttaa►ta of(note bNOM 54 UPW 6.
GUZRNXR. ,1z1a JESHN CQN3IFd=PC. CEO=E%I;aL FIDIEM CCIY CF BRiKN
PEMB: P.O. RX 1ll9, BIMM m 98MB RR WEEK ENG 10/04/'92 N. RCC SMG HUM
F€ IUL N}. q % 0%1&081
E410AE NINE AND Pik HAS M T W TH F S S XL E Y BUNID GOB IRS= Nfr
ME 2B 29 30 01 02 03 04 HZRS IY TML FAD M IME EBIIMXIB WES
MR30, RCOEU O. O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 lC25.63 FICA: 0.00 0.00
543 MIMS AOTE SMITH S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W4i: 0.00
MIN, WN- 98055 Sr INS. 0.00
K)C SEC N): 539-36-4854 i TM. 0.00
E?E'p1 M: 0 'B�Le 0.00
VCFR CEP fi: UBT R#252
Wes, FUN O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 581.44 5183.00 Fick: 44AB 422.27
N.E. 3550 DEM SHOD RI S.T. 8.0 8.0 8.0 0.0 8.0 0.0 0.0 32.0 18.170 581.44 W4i: 61.66
BMAM, WA 990 Sr IN). 9.19
90C SEC!N} 534-78-6816 UWN: 43.84
DE4TM: 3 'IfJM- 159.17
yam(QASS: INIM#252
Wi=, RX O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 MIT FICA: 0.00 0.00
ZM 1/2 LET ArEAFF 4 S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W4i: 0.00
SEE, WA 9612E Sr IN). 0.00
-%r SIC N): 527-04-OU U\ N: 0.00
DETIM: 3 T-Ilq:. 0.00
yam(CIAEB: IPHFER#252
LUL)H rM, Mom(II O.T. 0.0 5.0 4.5 0.0 0.0 0.0 0.0 9.5 31.215 296.54 62.9.50 629.50 FICA: 48.16 497.19
%75 LIEDIUD LIM S.W. S.T. 0.0 8.0 8.0 0.0 0.0 0.0 0.0 16.0 20.810 332.% W41. 67.18
FCff CRIAqDWPHiRCKN 98366 Sr DD. 7.33
ar SEC N7 53B-50-9771 U&N. 19.64
EM'P : 3 ZOIAL: 142.31
6Cd(CLAM: CIHYIKR OM
IUD, MIC JN O.T. 0.5 0.0 0.0 0.0 0.0 0.0 0.0 0.5 32.720 16.36 8BB.76 6652.13 FICA: 67.99 (81.78
10973 S.W. CL94CM RED S.T. 8.0 8.0 8.0 8.0 8.0 0.0 0.0 40.0 21.&0 872.40 W4i: 96.16
M GUND, WHmqXN 98366 Sr IN). 11.64
cCC SEE N). 518-74-5W Uq N: 31.19
DE43I B: 3 MM 206.9E
DG((I1ffi: CFERMM#302
G:H$ ERUE IEE O.T. 0.0 0.0 0.0 3.5 2.0 0.0 0.0 5.5 25.B5 144.97 477.03 477.03 FICA: 36.49 337.19
5530 E. GEM M IPJD.S.#'V' S.T. 0.0 0.0 0.0 8.0 8.0 0.0 0.0 16.0 20.810 332.96 W4i: 86.00
TEA, WEMMN 98409 Sr mD: 6.17
EM SEC N): 468r78-0835 INIIN: 11.18
E013ffim: 0 TMU 139.84
GV(R(C PEE: CFERVIR#f612
QZMICR: JXK JUNIN 02EH4 T1 III. C MI=EMBIL EFOIB.T: CTIY CF RR*ZN
Allus: P.O. HX 1119, ffiIAIR W3 98528 KR WEEK RMG 10/04/92 N. RHC SMG RUK
911M N:)* q GUM?Cr. OXE24)EIL
MTOAE NTv'E FAD PIS H;S M T W rRi F S S ML HAY E MUD GOB HURT Nor
VCHK 2B 29 30 01 02 03 04 = 179E Z(3 M BIRSID M= 1 Ea=B WUHS
(T.IILFXum, GaNff1iB O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 903.% FICA: 0.00 0.00
M N 1MM S BEET S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W41: 0.00
SE=l WA 98M Sr Ro. 0.00
S)C SS N): 247-23-3359 LNICN. 0.00
EK31�: 1 TIM. 0.00
VCER CIFBS: MKM#2M
cum, SIRU N Ia O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 919.89 FICA: 0.00 0.00
825 NE HIEZA RMI S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 w4L. 0.00
SgE, WA 9MB Sr IN). 0.00
SIC SR"N2: 025-60 307 II\IKN: 0.00
E04mM: 1 YHPi" 0.00
4CW C lPffi: LzMER#252
=1 TM O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 4.5 27.256 122.65 540.56 540.56 FICA: 41.35 389.80
2422 28IH PL S S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 23.0 1B.170 417.91 WIt 63.83
Sg=, WA 9619B Sr IN).- 7.90
Sx SE N). 539 70 2295 U\XN: 37.6B
EM43IM: 0 TUEc 150.76
4CW CIPf: UHM#2M
H*KMN, AID A. O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 1253.77 FICA: 0.00 0.00
13007 S.E. 149ni S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00
FEWN, M. 98056 Sr ED: 0.00
c(r,SSr N): 574-14 44 UIQN: 0.00
DEpEM: 1 T-vu. 0.00
VCW C UfB: UBIR#252
I50C, TDOR-z R. O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 1399.10 FICA: 0.00 0.00
565 BIH AE\LE W S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W4h 0.00
S=, VA 98122 Sr im). 0.00
3lC SS;N2: 569 iI�I: 0.00
DEpmM; 5 MUL. 0.00
TUE CIAS: UMER#252
L4A,)=, 93MT O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 375.91 FICA: 0.00 0.00
E K 22327 S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 WiH: 0.00
SS=, WA 9B122 Sr PD. 0.00
Sx SEC ND: 092-4043575 tN] N: 0.00
E04IlM: 1 Icu,L: 0.00
VUE CIPffi: MUM#252
M3S.X, IAW O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 2063.0L am. 0.00 0.00
4082D 2441H AE SE S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W t 0.00
gym, VA 98M Sr 14). 0.00
SC SS"ND: 423-M-19B7 L1qKN: 0.00
OEpEM: 0 'TOTAL: 0.00
[mod{CUM: L4UIR#252
r.t A
PIIFUS: P.O. ECK 1119, Hism WA 96526 EIR WEEK ENS 10/OVT N. EC RK SffMG ERIK
AIL NJ: 7 .
E'ACME DAT PM MHM H;S M T W TI F S S MYL RV DORM CRC flY3= NU
VCW 2B 29 30 01 02 03 W HM:S FAE TUL, E WSM M EME IIIZ= W'Cm
QUA, MEW O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 1250.00 8750.00 FICA: T.63 90B.93
17103 6BII3 ACE W S.T. 8.0 8.0 8.0 8.0 8.0 0.0 0.0 40.0 31.2501250.00 WN- 233.96
HMNIB, M 99025 Sd'DD. 11.49
ST SEC N).. 541-36-7833 LNICN: 0.00
E MUM: 0 T39,Lw 341.07
VUE CLAM: SLPffVM
to else ::asset Rave bm or wx be a m&to yrpea4date paooretse fw the
xettby Jobs
vice President ba"M of Nth Maplolak wtW 48 Soled b lafta 40)bdw-
go"*se ►tit i'�t cb)wx VXWOS ISM WITS ASS UM EN C"H
do hereby oft* •mob& iswew at wedwak 4sltd b ads above rwall-w pedrrd hee bale
P" as bdkot " 6*pa,PQ as Mattat trot lees I=tsar am of 60
tl) 1'bst t pad or es4srwee 4te papaaat4 of t3a p woes esp)oyed by ') � buk bandy � r* pbta ilte smoaat d*4 epaW M"o
beasdb eo ltabd to the courser,adapt se sore- is 6"os 4(a)bdm
Ldar City of Renton�N.Fork Spring*Brook
tC n" ��:...�q fie}GC B
Mast fM Parma pew 00ageeNe4si lMtr.:....�
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gd an am bet Ito s�s
atb ar�w for ai Maww dnw
Sack Jdud" cocatmatiat:t xno. trees SOWa
wow a as -reed by gay I t " sad 6Bt no ddubrA have bees moia d 6w dlsadr or
'.ndin* trots Ow#A wape sassed by 94 peesop►orbs thas Pumstble dedtttlbaa as dedaed
'.a XgpWowk Part S(29 CYR Sobtltss AL bold br tO Beerstary of Lsbor 0eder 00 Copdaed
a4 as awadad (48 4t L 0444E tact ift?=Staff OP.U$tat 367;40.U.LQ 2760.sad der ,
�dba!blow:
ts> noon
That soy parr4b otYmwbe asset Ob repkW to be lubmtttsd for the above
. .
psis- ors ward end that the wop rats br laborea a staftata eoatatwd therda
%ro sat itso than ttte app)in #trap recce oo kbW in say map dondugm bMPOMW taco
:he oowerab"do daswocaftm*aft**t own for go&laborer or aftbook eosferta"a the
wethbom to a-O&
ts) That ,raft appsrnttees aagkyed is the:have pedW ass d* ngbtaW to a bomAd*
aWwAcu* p=pw tssigered +rote a State*ppmm1=* sieaq rsegBatted by Ow Bureau
of Apyraadtub* sad Th tsti& Vubd Btao D#Wu went of Labor.or V so sseh 11-0'9 1 ed
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(a) WHERE FIRINGS BSHSF)TS ut?AM TO A"ZONZD PLANS, FUNDS, ECetW dohru=,Vise President
- S'u�so ' iBiaT To tFct ► * xeN ,s"sY t'fcaot o rrca°" +t a
-. Inaddttkaa to the ttadt hatrl�r wsp rstse pats to ssdt laho or aea�hside
toted In the abovt M%Mftd parraB► PsyrN so of Map bOo4ft
r
OMR6MR: JAU< JCHJMN 034STRLJCTION INC. CERTIFIED PAYROLL PROJECT: CITY OF RENTON
AD;F-SS: P.O. BCX M9, BELFAIR WA 98FO FOR WH ENDING 10/1W N. FORK SPRING BROCK
PAYROLL NO: f CONTRACT: CAG92-M
EMPLOYEE N*E NO ADDRESS HRS M T W TH F S S TOTAL PAY EXTENDED GROSS PROJECT NET
WORK 05 05 07 08 09 10 11 RIRS RATE TOTAL FAD TO DATE DEDUCTIONS WAGES
MORENO, ROBERT 0. O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 MOO 0.00 0.00 1026.63 FICA: 0.00 0.00
543 MORRIS AvE%E SOUTH S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
Ri NTON, WA. 98H ST IND: 0.00
90C SEC NO: 539-36--4854 LNION: 0.00
DEfTIONS: 0 TOTAL: 0.00
WDR< CLASS: LAIR #252
Wes, RYAN O.T. 2.0 2.5 1.0 0.0 0.0 0.0 0.0 5.5 27.255 149.90 731.34 5914.34 FICA: 55.95 509.61
N.E. 3550 NORTH S fRE RD. S.T. 8.0 8.0 8.0 8.0 0.0 0.0 0.0 32.0 18.170 581.44 W/H: 103.63
BEIFAIR, WA 98528 ST IND: 10.77
90C SEC NO: 534-78-6816 MON: 51.38
EXEMPTIONS: 3 TOTAL: 221.73
KW CLASS: LADU #252
W-IITTLE, ROY O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 2113.97 FICA: 0.00 O.OD
2205 1/2 1ST &E,APT 4 S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 O.00O 0.00 W/H: 0.00
SEATTLE, WA 981A ST IND: 0.00
SOC SEC NO: 527-04-OU LNION: 0.00
EXEMPTIONS: 3 TOTAL: 0.00
WORJt CLASS: LA%tS #252
LILLYBRIDGE, MW< LLOYD O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.CD 629.50 FICA: 0.00 0.00
9875 LILLYPOD L4E S.W. S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
PORT MiW,W4511INGTON 98366 ST IND: O.OD
SOC SEC NO: 538-50-9771 LNICN: 0.00
EXEJwPTICNS: 3 TOTAL: 0.00
RM CLASS: OPERATOR #302
REED, M31 JON Q.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 872.40 7524.53 FICA: 65.74 659.66
10973 S.W. a,BKCID RED S.T. 8.0 8.0 8.0 8.0 8.0 0.0 0.0 40.0 21.810 872.40 W/H: 93.71
PORT Mid, W"INGTON 983% ST IND: 11.49
90C SEC NO: 518-74-501.9 LNICN: 30.8D
EXEMPTICNS: 3 TOTAL: 202.74
W0R( CLASS: CPERATCR Jr-(2
COBB, MOE LEE O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 O.OD 0.00 477.03 FICA: O.OD O.OD
5530 E. CHEYENkE LP.RD.S.#"E" S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1000 0.00 WIN: 0.00
TAM, WASilINGTON 98409 ST IN): O.OD
90C SEC NO: 468-78-Offi5 LNICN: 0.00
EXEMPTIONS: 0 TOTAL: O.CD
W N CLASS: OPERATOR #612
034TRACTCR: JACX JUV ON CCNSTUTICN INC. CERTIFIED PAY131 PROJECT: CITY OF FENTON
AESS: P.O. BCX L119, BELFAIR WA %TB FCR LEEK ENDING 10111S2 N. FOW SPRING BROOK
PAYROLL NO: Q 0014TRACT: CAG92-ffr3J.
EPF'LOYEE WE AN) ADMSS HRS M T W TH F S S TOTAL PAY EXTENDED CROSS PROJECT PET
M 05 05 07 08 09 10 11 WS RATE TOTAL EORe TO DATE DEDUCTIONS WAGES
atC7_FASIRE, OOFNZIUS O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.ODD 0.00 0.00 903.95 FICA: 0.00 0.00
1851 N 185TH STREET S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: O.CO
SEATTLE, WA 98133 ST IND: 0.00
SOC SEC NO: 247-23-3 a9 LNICN: 0.00
DE PTICNS: 1 TOTAL: 0.00
WOW CLASS: LABCFER #252
CI.RLEY, STBIFEN LOUIS U.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 O.00 0.00 919.89 FICA: 0.00 0.00
825 NE WB% BLVD. S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
SEATTLE, WA 98115 ST IM: 0.00
SOC SEC NO: 025-60--3197 LNICN: 0.00
D(ENPTIONS: 1 TOTAL: 0.00
WORK CLASS: LAWFER #252
ESTLE, TIM O.T. 2.0 2.5 0.0 0.0 0.0 0.0 0.0 4.5 27.256 1,2.65 540.56 1081.12 FICA: 41.35 389.80
2422 26TH PL S S.T. 8.0 8.0 7.0 0.0 0.0 0.0 0.0 23.0 18.170 417.91 W/H: 63.83
SEATTLE, WA 93J98 ST IND: 7.90
SOC SEC NO: 539 70 22S5 LNICN: 37.68
EXEMPTIONS: 0 TOTAL: 150.76
WOW CLASS: LAKM #252
"ILTON, DARRiX_D A. O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 :1253.77 FICA: O.CO 0.00
J.3007 S.E. 149TH S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 O.000 0.00 W/H: 0.00
FENTON, WA. 9aB ST IN): 0.00
90C SEC NO: 574-14-0344 LNION: 0.00
EXEMPTIONS: 1 TOTAL: 0.00
CLASS: LABORER #252
ISW, TIMOTHY R. O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 1399.10 FICA: 0.00 0.00
565 13TH AWN E NE S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 O.CO W/H: 0.00
SEATTLE, WA 98122 ST IND: O.CO
90C SEC NO: 535--62--8369 LNION: 0.00
E)(EhPTIONS: 5 TOTAL: 0.00
WORK CLASS: LABORER #252
LAVA -EE, SCOTT O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.030 0.00 O.CO 375.91 FICA: 0.00 0.00
BOX 22327 S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
SEATTLE, WA 980 ST IND: 0.0)
90C SEC NO: C92-40-8675 LNICN: 0.00
EXEhPTICNS: 1 TOTAL: 0.00
QO < CLASS: LA3CFER #252
MCOOY, LAWY O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 0.00 2083.01 FICA: O.CO O.CO
40820 244TH ACE SE S.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.000 0.00 W/H: 0.00
aumam, WA 98022 ST IND: 0.00
SOC SEC NO: 423-58--Ml LNION: 0.00
EXEMPTICNS: 0 TOTAL: 0.00
WIC CLASS: LAECfER 9252
CONTRACTOR: JAOC JQHdSON CONSTRUCTION INC. CERTIFIED PAYROLL PROJECT: CITY OF WON
ADDRESS: P.Q. SOD( 1119, BELFAIR WA 98528 FOR tiEFJK EWING 10/1VT N. FORK SPRING BROOK
PAYROLL NO: 0 CONIRACT: CAG92-M
0110YEE NN'E AAD ADDRESS FRS M T W TH F S S TOTAL PAY EXTENDED CROSS PROJECT NET
W W 05 05 07 0B 09 10 11 HOLRi RATE TOTAL EARI•ED TO DATE DEDUCTIONS WKES
DENOIWI-, MIKE O.T. 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.090 0.00 1MOO 10000.00 FICA: 95.63 908.93
171W 68TH ME W S.T. 40.0 0.0 0.0 0.0 0.0 0.0 0.0 40.0 31.2501250.00 W/H: 233.95
Ems, WA 98026 ST IND: 11.49
SJC SEC NO: 541-36-7B3 UVICN: 0.00
E)0PTICNS: 0 TOTAL: 341.07
W R CLASS: UERVISCR
U.S. CIEPARTMENT OF LABOR WNTHLY tMPLOYM ERT 1.9oriniDAntAISLOAC89LM varipica
Emptoy sisal sluxludiAItr&kUi Ilan.(IF Cd' UTIuzATMMEPOnr KING COUNTY MEt�pnY� �Dµ� 9/Ol/92
I T g-,",a l trtq y •at t r �i1T3�i,�rt t it lertpor son orn M M Ut t r wLOY R
its.s►t•d;t.r*lsolid a tos#.odrd kwiwi.wr ilk jnirl DWI I r«Oil iCi*t WAV ba dadx.[indlEWt{er lurthtrWTwnwlrntee*ksdleflriiiliysefltHltanttrretb�q�lnetl. i 91-1169147 FEMALE: TO: 1 /Q8122
NAMr-ANO LOCATION OF CONTRACTOR FEOUAL
NORTH FORK SPRINGBROOK CREEK REGIONAL BYPASS JACK JOHNSON CONSTRUCTION,INC. FI/NDINQ
AoFNcy
BELFAIR,WASHINGTON 98528
.WafiK;NOUttS Q>?!?MPLoYMfF1 '> F.¢tnt>!<NrI��K�i}i
X Er, tit i
,. tOTAt AM'! , aIACK ��tt►�f�ort CAH NtA+�n +nnm[ry of
CON3I13UCT10N tM.ItLOYEEf (MIM ai ' lIIEtANf� ►AgtIC INO!
1ilADE` CltLdfkt'gwd IIX TIU10E i F>I�osnis(2rtthi ptGANDIMtf -e G11N0AITY. , FEMALE. EIrSTLOYt£i EMtA YIEEf
A AtJ PERCIENTAO[' �EfICiHTAOE
Fi Is MR F bl p FA P AT I V f
OPERATOR iv."wr M tker 328 M' F ►� f
ArrnlM,rrlcg 2
TTWH E E
AM-TOTA-L
LABORER ;*vf wwigr AtPAENTICE 547.5 225.5 19 - _ 11 6
MAIN"
fti8-TOTAL.
�...
Jawntt irorirr
AI'MINTICE
TMIAINU
jU TOTAL
Je.rsr rrwirr ,
APMINTICE
T itAJ MEE
SUD•70TAI.
�—
Jeutnq nos4t 4
AFPREJ`JTICE 1
Z R AIN EE
f UN-7 0 TA l
I
TOTAL JOURNEY WOW nS 875.5 225.5 19 13 6
TOTAL APMENTICES
TOTAL TRAINEES
OHANO'fOTAt
11.cow 0 fpA t ATVAi AND TIilB
l2.TELiEtNONH m1LilQR I(eidvdt 1tu eWa} SS.DATE xMi tJlOE
RO•JECT ENGINEER 1(206) 275-5400 12 OCTOBER 92 OF 1 t
� J
•r^ t ton •I n v%^A
1
FOIm cc m ltt...tRq
t
JACK
•
•
CONSTRUCTION,
INC.
P.O. BOX 1119 BELFAIR,WASHINGTON 98528 PHONE (206) 275-5400 FAX (206) 275-6400
General Contractor#JACK JCI182M1
03 August 92
Letter # : 09
2
City of Renton . QF
200 Mill Ave . South u`v
Renton , WA . 98055 Eng`necrin�
Attn : John D . Hobson
Re : North Fork Springbrook Creek
Regional Bypass Pipeline Project
Dear John :
Attached please find Cost Estimate #02 for your review and
approval .
If you have any questions please feel free to call 275-5400 .
Regards ,
& ---
Mark N . Sherbesman
Project Engineer
M N S : m s
Enclosure
COST ESTIMATE
JACK JOHNSON CONSTRUCTION , INC .
P . O . BOX 1119
BELFAIR , WA . 98528
DATE : 01 SEPTEMBER 92 PAGE : 01
JOB NAME : NORTH FORK SPRINGBROOK BYPASS PIPELINE
JOB NO : JJC# 8092
DESC . : 72" MANHOLE WIDEBRIS CAGE & SLIDE GATE
CE NO : 0 2
NO :
NO :
ITEM NO . DESCRIPTION UNIT UNIT PRICE SUBTOTAL
01 MATERIAL :
A) 72" BOTTOM SLAB - 12" 1 . 00 EA 436 . 15 436 . 15
B) 72" SECTION - 6 " 1 . 00 EA 872 . 30 872 . 30
C) 72" SECTION - 3 " 1 . 00 EA 586 . 30 586 . 30
D) 72" REDUCING SLAB TO 54" 1 . 00 EA 433 . 95 433 . 95
E ) DEBRIS CAGE 1 . 00 EA 2 , 218 . 74 2 , 218 . 74
F) SLIDE GATE 1 . 00 EA 494 . 35 494 . 35
G) DEBRIS CAGE HOLD DOWN 1 . 00 LS 250 . 00 250 . 00
02 EQUIPMENT & LABOR : 1 . 00 LS 2 , 680 . 00 2 , 680 . 00
SUB TOTAL 7 , 971 . 79
O&P 0 . 150 1 , 195 . 77
SUB TOTAL 9 , 167 . 56
BOND COST 0 . 015 137 . 51
SUB TOTAL 9 , 305 . 07
SALES TAX 0 . 082 763 . 02
TOTAL 10 , 068 . 09
+12062756400 J. JOHNSON CONST. INC 336 P01 RUG 20192 13: 45
vy
JACK
s
e
comSTRUCTION,
INC.NOW
P.O. Box 1119 BEIFAIR WA.SHIHGTON 96M PHONt; CM)275-UW FAX CM)275.6=
00"f i Contractor#JACK J018=1
DATE: GO l4v(-NS/ QZ
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• • . . . . . . . . • . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . see . . . . . .
. . . . . . . . . . . .
• • • • • . • • • . . . • . . . . • • • • . . • . • • • . . . . . • • • • • • • ♦ ♦ • . . . . . . . • . . .
. . . • . . . . . • . . • • . • . . . . • • . . . . • . • • • . . . • ♦ ♦ • ♦ ♦ . • . . . . . . • . • • .
. . . . • • . . . . . . . . • . • • . • . • . • • • • . • • • . . . • •.♦ . ♦ • • • . ♦ . • • . • ♦ • •
• . . . . . . . . • . ♦ . • • . . . . . . . . . • • . . • • • • • ♦ . . . • • . • • . • . . • . . . .
. . . . • • • • . • . . . • • . • . • . • • ♦ • • • . . • • • • • • • • . • • . . • • . • . • • ♦ • • .
SIGNEDi W- jo. l:/l - - - . . . . . . . . .
+12062756400 J. JOHNSON CONST. INC 337 P02 AUG 20 ' 92 13: 57
INDUSTRIAL PLASTICS, INC. QUOTATION
740 S. 28th Street-Washougal,WA 98871-2537
Phone (206) 835-2129 FAX (206) 835-3521 8�2 0/92
TOLL FREE ALL USA 1-800.634-5082 DATE _
Susan
BY
JACK JOHNSON CONSTRUCTION page 1
P.O. Box 1119
Belfair, WA 98528 Phone No. 206-275-5400
ATTN! Mark or Jack Fax No. 206-275-6400
PRODUCTION TIME SHIP METHOD FOB TERMS
Factory Schedule Truck See Below Net 30
QUANTITY DESCRIPTION PRICE AMOUNT
RE: CITY OF URNTON
REGIONAL BYPASS PIPELINE
Add on costs for 24• :
2 ea Stub ends 24, SDR 26 $424 00 648 00
2 ea 240 Galy_ Backing Ring 167 81 335 62
1 ea 240 Qaly. Bolt Set 147 59 147 59
1 ea 24" Gasket 24 13 24 13
2 ea 249 Welds (labor) 50 00 100 00
1455, 34 "
Add on costs for 120 :
1 ea 12' Stub End 109 75 109 . 75
1 ea 12" Galy. Backing Ring 52 99 52 99
1 ea oaly. Bolt Set 32 80 32 80
1 ea 124 Gasket 16 26 16 28
1 ea 120 Cap (Pressure Rated) 498 ,66 498 66
1 ea 121, Weld (labor) 32 00 32 . 00
742.48
Quaatiti a are oatimatna only, Phase rely on your takeoff, bateriale sv ph ad fre bt
collect and billed by carrier. rreiybt costs are eatimates cniy.
- —t -
INDUSTRIAL PLASTICS IS A REGISTERED WOMEN OWNED BUSINESS
cj /guotez2a
We are pleased to provide the above quotatlon in response to your recent inquiry. This quotation is
not an offer and confers no power of acceptance In any person . This
quotation Is subject to change without nodes and presumes all sales are .....1
subject to our standard terms and conditions which are available for your
review upon request.
+120S2756400 J. JOHNSON CONST. INC 336 P02 RUG 20' 92 13: 46
COST ESTIMATE
JACK JOHNSON CONSTRUCTION , INC .
P . O . BOX 1119
BELFAIR , WA . 98528
DATE : 20 AUGUST 92 PAGE : 01
JOB NAME : NORTH FORK SPRINGBROOK BYPASS PIPELINE
JOB NO : JJC# 8092
DESC . : 24" CONNECTION AT 72" MANHOLE AND
12" CONNECTION !'+KITH CAP
CE NO : 01
NO
N0
ITEM NO . DESCRIPTION UNIT UNIT PRICE SUBTOTAL
01 24" HDPE CONNECTION AT 72" MANHOLE
A ) PER INDUSTRIAL QUOTE 1 . 00 LS 1 , 455 . 34 1 , 455 . 34
B) DELIVERY 1 . 00 LS 50 . 00 50 . 00
IP02 12" CONNECTION CAPPED FOR FUTURE
A) PER INDUSTRIAL QUOTE 1 . 00 LS 742 . 48 742 . 48
B) DELIVERY 1 . 00 LS 50 . 00 50 . 00
SUB TOTAL 2 , 297 . 82
L o�iiZc.c i* �y�7�a✓1
0&P 0 . 150 344 . 67
SUB TOTAL 2 , 642 . 49
BOND COST 0 . 015 39 . 64
SUB TOTAL 2 , 682 . 13
SALES TAX 0 . 082 219 . 93
TOTAL 2 , 902 . 07
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w +12062756400 J. JOHNSON CONST. INC 44O P01 OCT 00' 32 13: 20
JAAllvclo
/�a `NSTRUCTE®N,
INC,
P.O. BOX 1119 BELFAM.WA1SHWWON M28 PHONE (206)275-3400 FAX(206)275.64W
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TO FAX
. . • • . TOTAL. PAGER: • �—
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ATTENTION �.. . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . .
MESSAGE: . .G: :':��::. . . L� S.hr. . .�1�:`W.�. . . . S
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• • • • • . • • . • • • • . • • • • • . • . • e • • • o • . • • • . • . • • a • • . • • . • • • • • f • . .
• • . • . • • • • • . . • . • • • . . . . . . . . . . . . . . . . . • . . . . . . . ♦ . . . . • . . . . • •
• • . • • • • • • • • • • • e • • • • . . . . . . . • . • • • • . . . . . . . • . . . . . • • • ► . • . . .
. . . . . . . . . . • . • . . . . . . • . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . .
SIGNED:
+12062756400 J. JOHNSON CONST. INC 448 P02 OCT 00' 92 13: 20
COST ESTIMATE
JACK JOHNSON CONSTRUCTION , INC .
P . O . BOX 1119
BELFAIR , WA . 98528
DATE : 20 AUGUST 92 (08 OCTOBER 92) PAGE : 01
JOB NAME : NORTH FORK SPRINGBROOK BYPASS PIPELINE
JOB NO : JJC# 8092
DESC . : 24" CONNECTION AT 72" MANHOLE AND
12" CONNECTION WITH CAP
CE NO : 01 (REVISED)
N0 :
NO .
ITEM NO . DESCRIPTION UNIT UNIT PRICE SUBTOTAL
01 24" HDPE CONNECTION AT 72" MANHOLE (SCHEDULE A)
A ) PER INDUSTRIAL QUOTE 1. 00 LS 1 , 455 . 34 1 , 455 . 34
B) DELIVERY 1 . 00 LS 50 . 00 50 . 00
02 12" CONNECTION CAPPED FOR FUTURE (DELETED)
A) PER INDUSTRIAL QUOTE 1 . 00 LS 0 . 00 0 . 00
B) DELIVERY 1 . 00 LS 0 . 00 0 . 00
03 12" CONNECTION FOR FUTURE (SCHEDULE B)
A) 12" HDPE COUPLING 1 . 00 EA 190 . 17 190 . 17
B) 12" PULLING HEAD 1 . 00 EA 281 . 60 281 . 60
C ) DELIVERY 1 . 00 LS 90 . 26 90 . 26
SUB TOTAL 2 , 067 . 37
0&P 0 . 150 310 . 11
SUB TOTAL 2 , 377 . 48
BOND COST 0 . 015 35 . 66
SUB TOTAL 2 , 413 . 14
SALES TAX 0 . 082 197 . 88
TOTAL 2 , 611 . 01
COST ESTIMATE BREAKDOWN :
C . O . #01 CHANGES FROM $925 . 02 TO $656 . 03
C . O . #02 REMAINS THE SAME @ $1757 .11
COST ESTIMATE
JACK JOHNSON CONSTRUCTION , INC .
P . O . BOX 1119
BELFAIR , WA . 98528
DATE : 20 AUGUST 92 PAGE : 01
JOB NAME : NORTH FORK SPRINGBROOK BYPASS PIPELINE
JOB NO : JJC# 8092
DESC . : 24" CONNECTION AT 72" MANHOLE AND
12" CONNECTION WITH CAP
CE NO : 01
NO
NO
ITEM NO . DESCRIPTION UNIT UNIT PRICE SUBTOTAL
01 24" HDPE CONNECTION AT 72" MANHOLE
A) PER INDUSTRIAL QUOTE 1 . 00 LS 1 , 455 . 34 1 , 455 . 34
B) DELIVERY 1 . 00 LS 50 . 00 50 . 00
02 12" CONNECTION CAPPED FOR FUTURE
A ) PER INDUSTRIAL QUOTE 1 . 00 LS 742 . 48 742 . 48
B) DELIVERY 1 . 00 LS 50 . 00 50 . 00
SUB TOTAL 2 , 297 . 82
O&P 0 . 150 344 . 67
SUB TOTAL 2 , 642 . 49
BOND COST 0 . 015 39 . 64
SUB TOTAL 2 , 682 . 13
SALES TAX 0 . 082 219 . 93
TOTAL 2 , 902 . 07
or
JACK
•
•
CONSTRUCTION,
INC.
P.O. BOX 1119 BELFAIR,WASHINGTON 98528 PHONE (206) 275-5400 FAX (206) 275-6400
General Contractor#JACK JCI182M1
05 October 92
Letter # : 12 -'` ACT 6 1992
City of Renton Oi-Y OF RENTON
200 Mill Ave . South Dept,
Renton , WA . 98055 Engineering
Attn : John D . Hobson
Re : North Fork Springbrook Creek
Regional Bypass Pipeline Project
Dear John :
Attached please find Cost Estimate #03 for your review and
approval . This is just a cost estimate . Per our agreement and
meeting on Friday - 02 October 92 we are proceeding and this will
be paid for on a time and material basis .
If you have any questions please feel free to call 275-5400 .
Regards ,
Mark N . Sherbesman
Project Engineer
MNS : ms
Enclosure
7 � i
COST ESTIMATE �
0 C T 6 1992
JACK JOHNSON CONSTRUCTION , INC .
P . O . B O X 1119 CITY OF RENTON
B E L F A I R , WA . 98528 Engineering Dept.
DATE : 05 OCTOBER 92 PAGE : 01
JOB NAME : NORTH FORK SPRINGBROK CREEK
JOB NO : JJC# 8092
DESC . : MOVE 24" HDPE IN CANYON
CE NO : 03
NO :
NO :
ITEM NO . DESCRIPTION UNIT UNIT PRICE SUBTOTAL
01 MATERIAL :
A) CABLE 1 , 500 . 00 FT 1 . 01 1 , 515 . 00
02 RENTAL EQUIPMENT :
A) WINCH 1 . 00 EA 962 . 00 962 . 00
B) BLOCK & TACKLE 6 . 00 EA 55 . 00 330 . 00
03 PICK UP & DELIVERY/RETURN :
A) WINCH & BLOCKS 1 . 00 EA 350 . 00 350 . 00
04 LABOR & EQUIPMENT :
A) 936 LOADER (SET WINCH) 8 . 00 HR 90 . 00 720 . 00
B) 936 (BREAK DOWN WINCH ) 8 . 00 HR 90 . 00 720 . 00
C) 1/2 TON PICKUP 40 . 00 HR 10 . 00 400 . 00
D) 1 TON FLATBED 40 . 00 HR 15 . 00 600 . 00
E ) TWO WAY RADIOS X 2 80 . 00 HR 2 . 50 200 . 00
F) CHAIN SAW X 2 80 . 00 HR 5 . 00 400 . 00
G) FOREMAN 40 . 00 HR 50 . 00 2 , 000 . 00
H) OPERATOR X 2 80 . 00 HR 35 . 00 2 , 800 . 00
I ) LABOR X 2 80 . 00 HR 30 . 00 2 , 400 . 00
SUB TOTAL 13 , 397 . 00
0&P 0 . 150 2 , 009 . 55
SUB TOTAL 15 , 406 . 55
BOND COST 0 . 015 231 . 10
SUB TOTAL 15 , 637 . 65
SALES TAX 0 . 082 1 , 282 . 29
TOTAL 16 , 919 . 94
a wwwo ANN wwffffl&
DAILY INSPECTION DIARY
101w" REPORT #
DAY: DATE:/0 /5-7 / WORK PERIOD: a.m./p.m. to a.m./p.m.
WEATHER: TEMP. MAX OF MIN OF PRECIPITATION:
WORK ACCOMPLISHED TODAY:
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CONTRACTOR-SIGNATURE INSP TOR SIGNA E
DATE: g,�-----
Ai 4,Q 9//41
3z-
S BY PAS S
r�:� °Jo _cow�►e-�__- _- —- _____ _ __.._____ _ _ j
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CONCURRENCE
DATE
NAME INITI DATE
CITY OF RENTON COUNCIL AGENDA BILL
AI #:
l 1 ing/Building/Public Works For Agenda of:
Dept/Div/Board.. ' S rface Water Utility November 9, 1992
Staff Contact.....f Gr gg Zimmerman Agenda Status
ohn Hobson (x-6179) Consent.............. X
Subject: Public Hearing...
CAG 081-92 North Fork Springbrook Creek Correspondence..
Regional Bypass Pipeline Project Ordinance...........
Resolution...........
Old Business.......
Exhibits: New Business......
A. Summary of Action Study Sessions....
B. Pay Estimate #3 (Final) Information.........
C. Notice of Completion
Recommended Action: Approvals:
Council concurrence for approval of project Legal Dept.........
and final pay estimate. Finance Dept.....
Other...............
Fiscal Impact:
Expenditure Required... $229,855.80 ( e) Transfer/Amendment.......
Amount Budgeted....... $352,752.88 (1992 Budget) Revenue Generated.......
Summary of Action:
Construction began August 24, 1992 and was completed on October 1992.
Original contract amount was $178, 86. 5 nd t f nal contract amount is $229,855.80. uY
The difference in contract amount and the final amount was due to design changes which required
greater quantities of materials to insure a more stable structure.
50% of the construction costs will be reimbursed by King County.
' Staff Recommendation:
The Public Works Department recommends the project and final pay estimate of $41 ,477.97 be
approved and paid. If after thirty (30) days no liens or claims are filed against the project, it is
recommended that the 5% retainage in the amount of $10,621 .80 be paid to the contractor.
C:DOCS:92-877:JDH:ps v5
`T% V'J& A, `tt,�, `=fie pm L/
wtuugy Ins r
-- I
CONCURRENCE �
I
DATE'
N ME INITI UDAT`
a State of Washington Reg.No.:
Department of Revenue AX-02
/^f Audit Procedures & Administration Date:
S w �� Olympia, Washington 9 8 50 4-0090
'4
f
NOTICE OF COMPLETION OF PUBLIC WORKS CONTRACT
From: DEPARTMENT USE ONLY
City of Renton Assigned To
200 Mill Avenue South
Renton, WA 98055
Date Assigned
Notice is hereby given relative to the completion of contract or project described below.
Description of Contract: North Fork Springbrook Creek Regional Bypass Pipeline Project
Contractor's Name: Jack Johnson Telephone No. (206) 275-5400
Construction Co.
Contractor's Address: P. 0. Box 1 1 1 9, Belfair, WA 98528
Date Work Accepted Date Work Commenced Date Work Completed
October 9, 1992 August 24, 1992 October 8, 1992
Surety or Bonding Co.: The Ohio Casualty Insurance Company
Agent's Address John F. Criss
Gig Harbor, WA 98335
Contract Amount: $ 178,286.55 Amount Disbursed: $ 219,234.00
Additions: $ 34,149.49 Amount Retained: $ 10,621.80
Sales Tax: $ 17,419.76 Total: $ 229,855.80
Total: $ 229,855.80
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, 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.
C:DOCS:92-878:JDH:ps
,TO: FINANCE DIRECTOR
FROM: PUBLIC WORKS ADMINISTRATOR
CONTRACTOR: Jack Johnson Const. Inc.
CONTRACT NO. CAG 92-081 ESTIMATE NO. 003
FINAL
PROJECT: North Fork Springbrook Creek Regional Bypass Pipeline
1. CONTRACTOR EARNINGS THIS ESTIMATE $40,191 .83
2. SALES TAX @ 8.20% $3,295.73
3. TOTAL CONTRACT AMOUNT THIS ESTIMATE $43,487.56
4. EARNINGS PREVIOUSLY PAID CONTRACTOR $163,632.00
5. EARNINGS DUE CONTRACTOR THIS ESTIMATE $38,182.24
6. SUBTOTAL - CONTRACTOR PAYMENTS $201 ,814.24
7. RETAINAGE ON PREVIOUS EARNINGS $8,612.21
8. '' RETAINAGE ON EARNINGS THIS ESTIMATE $2,009.59
9• SUBTOTAL - RETAINAGE $10,621 .80
10. SALES TAX PREVIOUSLY PAID $14,124.03
11 . SALES TAX DUE THIS ESTIMATE $3,295.73
12. SUBTOTAL - SALES TAX $17,419.76
" (95% x LINE 1)
** (RETAINAGE: 5%) GRAND TOTAL: $229,855.80
FINANCE DEPARTMENT ACTION:
PAYMENT TO CONTRACTOR (Lines 5 and 11):
ACCOUNT 421\600\18.596.38.65\65000\65002\5510 $41 ,477.97 # 3
$41 ,477.97
RETAINED AMOUNT (Line 8):
ACCOUNT 421\600\18.596.38.65\65000\65002\5510 $2,009.59 # 3
$2,009.59
TOTAL THIS ESTIMATE: $43,487.56
CHARTER 116, LAWS OF 1965
CITY OF RENTON CERTIFICATION
I,THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF / p
PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED,THE
SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED �� L
HEREIN,AND THAT THE CLAIM IS A JUST,DUE AND UNPAID
OBLIGATION AGAINST THE CITY OF RENTON,AND THAT I AM
AUTHORISED TO AUTHENTICATE AND CERTIFY TO SAID CLAIM
SIGNED:
Printed On: 10/30/92 City of Renton Public Works Department Pagel
1
Printed On:10/30/92 City of Renton Public Works Department Page 1
Project: North Fork Springbrook Creek Regional Bypass Pipeline Contract Number: CAG 92-081
Contractor.Jack Johnson Const.Inc. Estimate Number: 3 Closing Date: 10/30/92
Item Description Unit Est. Unit Previous Previous This This Total Total
No. X Quantity Price Quantity Amount Quantity Amount Ouantity Amount
SCHEDULE'A'
001. Mobilization Lump Sum 1.0 $16.000.00 1.00 16000.00 $0 005 1.00 $16.000.00
002.Clearing and Grubbing Lump Sum 1.0 $5.000.00 1.00 5000.00 $0 00 1.00 S5,000.00
003.Special Excavation for Berm Inc.Haul Cubic Yds 225.0 $20.00 225.00 4500.00 63900 $112,786,00.. 864.00 $17,280.00
004.Special Impervious Borrow Inc.Haul Cubic Yds 1400.0 $11.00 1400.00 15400.00 858.00 $9 438.00 2258.00 $24,838.00
005.Construction Fabric Square Yds 350.0 $7.00 350.00 2450.00 189.22 jt 324.5.4 539.22 $3,774.54
006.Embankment Compaction Cubic Yds 1700.0 $7.00 1700.00 11900.00 558.00 $3,906 00: 2258.00 $15,806.00
007. Fitter Fabric Fence Lin.Feet 200.0 $3.00 163.00 489.00 $0.00'.' 163.00 $489.00
008.Structure Excavation Class B Inc.Haul Cubic Yds 800.0 $0.10 800.00 80.00 $0 00 800.00 $80 00
009.Shoring 8 Crib.or Extra Excay.CLB Square Feet 50.0 $1.50 0.00 0.00 $6.00:-: 0.00 $0 00
at Fixed Price
010.Hand Placed Riprap Cubic Yds 30.0 $25.00 30.00 750.00 90.00 '
S2 250 RQ: 120.00 $3.000.00
......................
011.Remove and Reset Hand Placed Cubic Yds 10.0 $15.00 35.00 525.00 xOOQ:� 35.00 $525.00
Riprap ..-
012.Cl.II Reinf.Conc.Cutv.Pipe Linear Ft 70.0 S65.00 63.00 4095.00 ..:;O..00.gI 63.00 $4,095.00
(24 in dia)
013.CI.II Reinf.Conc,Culy.Pipe Linear Ft 20.0 $115.00 23.00 2645.00 00'; 23.00 $2,645.00
(36 in da)
014.Special High Density Polyethylene Pipe Linear Ft 120.0 $38.00 120.00 4560.00 $0 00 120.00 $4,560.00
(12 in dia)
015. Special High Density Polyethylene Pipe Linear FI 1400.0 $28.00 1400.00 39200.00
$0.00::: 1400.00 $39,200.00
(24 in dia)
016.Special High Density Polyethylene Pipe Linear Ft 10.0 $95.00 10.00 950.00 $0.00 10.00 $950 00
(28 in dia)with 2 ea expansion sleeve
fastener(28 in dia)
017. Percolation collar(24 in dia) EACH 2.0 $175.00 2.00 350.00 $0.00' 2.00 $350.00
018.Special Trash Rack EACH 1.0 $650.00 1.00 650.00 $0.00.:; 1.00 $650.00
(24 in dia)
019.Catch Basin Type 2(48 in dia) EACH 1.0 $2,875.00 1.00 2875.00 $0.00.'.! 1.00 $2.875.00
w[Manhole Cover
• Printbd On:10/30/92 City of Renton Public Works Department Page 2
Project: North Fork Springbrook Creek Regional Bypass Pipeline Contract Number: GAG 92-081
Contractor:Jack Johnson Const.Inc. Estimate Number. 3 Closing Date: 10/30/92
Item Description - Unit Est. Unit Previous Previous This This Total Total
No. X Quantity Price Quantity Amount Quantity Amount Quanti Amount
020.Catch Basin Type 2(54 in dia) EACH 1.0 $6,350.00 1.00 6350.00 $0.00- 1.00 $6,350.00
w/Debris Cage&Slide Gate
021.Special Catch Basin Type 2(72 in dia) EACH 1.0 $8.500.00 1.00 8500.00 5.0.00; 1.00 $8,500.00
w/Elbow
022.Crushed Surfaang Top Course Tons 47.0 $15.00 26.06 390.90 5000-: 26 06 $390 90
023.Gabion Cribbing Cubic Yds 200.0 $125.00 203.00 25375.00 50:00 203.00 $25,375.00
024.Impervious Lining Material Square Yds 90.0 $10.00 281.11 2811.10 S0;00.' 281.11 $2,811.10
025.Grass Seeding Ades 5.0 $750.00 5.00 3750.00 $0:00 5.00 $3,750.00
026.Fertilizer Ades 5.0 $250.00 5.00 1250.00 $0.00 5.00 $1,250.00
027. Delete Item 20 LO ($6,350.00) 1.00 -6350.00 $0.00 7.00 ($6,350.00)
028.Catch Basin Type 2(72 in dia) 1.0 $9.305.07 1.00 9305.07 $0.00 1.00 $9,305.07
w/debris cage,slide gate reducer slab
029.24'mechanical coupling[installed) 1.0 $1,757.11 1.00 1757.11 moo.. 1.00 $1,757.11
030. Remove trees and relocate 24'HOPE Lump Sum 1.0 $10,493.29 II 0.00 1.00 570-093.29-. 1.00 $10,493.29
TT Sub Total $165,558.18 540,191.83.i $205,750.01
Sales Tax 8.2 $13.575.77 $3,295:73 $16,871.50
.....................
Total Schedule A $179,133.95 �.S43 487 f�6 $222,621.51
SCHEDULE'B'
001.Special High Density Polyethylene Pipe Linear Ft 550.0 210.00 555.00 5550.00
(12 in dia) So 00 555.00 $5.550.00
002.Special High Density Polyethylene Pipe Linear Ft 10.0 $48.00 10.00 480.00 $0.00 10.00 $480.00
(14 in dia)with 2 ea expansion sleeve
fasteners'A"
003. 12'HOPE stub end 1.0 $925.02 1.00 925.02 50..00 1.00 $925.02
004. Deler Item 3 1.0 ($925.02) 1.00 -925.02 E0.00 1.00 ($925.02)
005.HOPE connection&pulling head 1.0 $656.03 1.00 656.03 so.()0 1.00 $656.03
TT Sub Total $6.686.03 S0,60 $6,686.03
Sales Tax 8.2 $548.25 S0.001, $548.26
Total Schedule 8 $7,234.28 $0.00 $7,234.29
Total Schedule A $179,133.95 $43,487.56;. $222,621.51
Total Schedule B $7,234.28 $0.00 $7.234.29
Grand Total $186.368.23 543,487-56 $229,855.80
Jl-Z'iZ-
�w� l/-2-1?
. RECEIVED AUG 2 7 1992
Complete & mail entire Set f STATEMENT. OF INTENT TO
WITH APPROVAL FEE OF $12.50 TO:
Department of Lahr&Industries ,ti ,. PAY PREVAILING WAGES
ESAC Division Public Works Contract
406 Legion Way SE HC710-1 INSTRUCTIONS
Olympia WA 98504- 401 (206)753 4019 LYNN ON BACK
..... .... _... .... .. ............:::.....
,...:..............::.::.. ..:......:...:.
YOUR APPROVED COPIES WILL BE MAILED TO THIS ADDRESS Contract or BPW No
............
Company name
Bid due date :Date contract awarded
JACK...JOHNSONCONSTRUCTION.,,:.LNC:., :.:9. ,.:,A,UCUST.::92::.....:.:::..:::: ,.,AtiGU
Address -.-.'County where work performed
PO:.BOX:,1119.:.:: ...:......:..:.::.:...: ........
City State ZIP :'Prime contractor
BELFAIR ......................... .... .......WA.�.............98528.:,..:::::.::.::::::,:.::::::::::::,:..::,A:.:,.,,.:..,:::,::JACK:::JQHNSON„CQNSTRUCTION.�:,,:INC,
Please allow a minJmum of 10 to 15 working days for processing from the Do you intend to use subcontractors?
date the Department received your document with the correct approval fee. Yes XX; No :_._...
CONTRACT AWARDING name
PUBLIC AGENCY......... CITY OF
address state ZIP phone number
..........W�•.:::::.:::.9:$05:5. :: -2:6. .....
_. ... ............_ .......
1.CRAFT 2.RATE OF 3.RATE OF HRLY 4.ESTIMATED NO.
HOURLY PAY ' FRINGE BENEFITS OF WORKERS
::::..::..:.:.:,.:.,...:.:::::.....
OPERATOR-225 CAT EXCAVATOR (UNDER 3 CY) 19.81 — 4.71 1
544 JOHN DEERE LOADER (UNDER 6 CY) 19.8.1 4.71 1
DRIVER— 10 CY DUMP TRUCK 18.95 -- 4.29 1
LABORER— PIPE 17.46 3.60 1
GENERAL 16.98 ' 3 60 1
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I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS CORRECT
AND THAT ALL WORKERS I EMPLOY ON THIS PUBLIC WORKS Nam w4 addrm of compwW cmpleft bsform:
PROJECT WILL BE PAID NO LESS THAN THE PREVAILING WAGE :,..:....:..:.................:.
RATE(S) AS DETERMINED BY THE INDUSTRIAL STATISTICIAN OF :Company name
THE DEPARTMENT OF LABOR AND INDUSTRIES. I UNDERSTAND
THAT CONTRACTORS WHO VIOLATE PREVAILING WAGE LAWS, JACK:.J
I.E. INCORRECT•CLASSIFICATION/SCOPE OF WORK OF WORKERS, (Address
IMPROPER PAYMENT OF PREVAILING WAGES, ETC., ARE SUB-
JECT TO FINES AND/OR DEBARMENT AND WILL BE REQUIRED TO " `
PAY ANY BACK WAGES DUE TO WORKERS. V....BOX...11.19......._•............... ......................... sraie ZIi� .....................`
NOTARY; (complete all 4 copies and have each notarized) l y
SUBSCRIBED AND SWORN TO BEFORE ME :.BELFAIR.................................................
AA ............9$ Za..........................
THIS DATE 11 "AUGUST 1992........................................................... :Phone number - : Registration No.
NOTARY PUBLIC IN AND FOR THE STATE 206 275-5400 'JACKJCI182M1
OF WASHINGTON :title ,............_....__......-.._ attire`..,.._...._........__.........:.,
....................................... ......... ..................::......... ........................ PRE
SIDENT
:SIGNATU E
' i ►.rya _.:.. ..._ ..
.... ...... ...7 ....... ,....
For L&I se Only
RES AT
. OV APPR Department of Labor d Industries es
SILVERDALE
........................ ......................................................................MY COMMISSION EXPIRES ON
:.......................01...NOVE�ER..94 By
,;
AUG 2 5
F700-029-000 intent to pay 11-89
3
J
INSTRUCTIONS TO COMPLETE THE
STATEMENT OF INTENT TO PAY PREVAILING WAGES
CONTRACTORS, DISTRIBUTE APPROVED COPIES AS FOLLOWS`.
Canary- awarding agency
Blue L&I,Emp.Stds.
Green- prime contractor
Pink subcontractor'
1. Enter each craft you intend to employ on this project.
If operating engineers and/or truck drivers will be used,please describe the type and list the size
or rated capacity of the equipment.
If the work will be done by owners or partners please state so under#1.
If the work is done by owners or partners, #2,#3 and#4 need not be completed.
Partners who own less than 30 percent of a partnership are considered to be employees.
2. Enter the rate of hourly pay for each craft or classification.
3. Enter the rate of hourly fringe benefits only if you are paying one or more of the following benefits:
vacation, group medical insurance (e.g., Blue Cross, County Medical, etc.), pension and/or an
apprentice training fund. If you are not paying benefits into these funds, add the prevailing fringe
benefits to the rate of hourly pay and list the total under#2.
a. All company pension plans must be approved by the IRS.
b. Apprentice training programs must be approved by the Washington State Apprenticeship and
Training Council
4. Enter the estimated number of workers for each craft or classification.
5. If this is residential, landscape, or sewer/waterline construction,please state so on the forms.
PLEASE NOTE: The amount listed under#2 plus the amount listed under#3 (if any) must equal or
exceed the"prevailing rate of wage".
OVERTIME
To obtain the prevailing wage 'for"hours'worked ins excess of 8 hours pec-day,
40 hours per week, or on Saturday, Sunday & holidays, please call 753-4019.
APPRENTICES
Any worker not registered with the Washington State Apprenticeship and Training
Council must be paid prevailing journeyman wages. Any apprentice not registered
with the Washington State Apprenticeship and Training Council within 60 days of
hiring must be paid prevailing journeyman wages for the time preceding the date of
registration. To verify apprentices registration and status, call (206) 753-3511.
PROGRESS PAYMENTS
Each voucher claim submitted by a contractor for-'payment on .a `project estimate
shall state that prevailing wages' have been paid in accordance with the prefiled
statement(s) of intent to pay prevailing wages on file with the',public agency.
This Statement of Intent is approved based on the-information provided by the
contractor/subcontractor. It does not signify approval of the classifications of labor used
by the contractor/subcontractor.
CITY OF RENTON
MEMORANDUM
DATE: November 3, 1992
TO: Margie Doohan
FROM: John Hobson
SUBJECT: CAG 081-92 NORTH FORK SPRINGBROOK CREEK
REGIONAL BYPASS PIPELINE PROJECT
FINAL PAY ESTIMATE
Attached please find the following documents for the processing of the final pay
estimate for the above contract:
4 copies Notice of Completion of Public Works contract;
1 copy Agenda Bill (for November 9, 1992) for Council's acceptance of project
and pay estimate;
1 Original Final Pay Estimate;
6 copies Final Pay Estimate;
1 Original of Change Order No. 1 , No. 2, No. 3, and No. 4;
1 Original Affidavit of Prevailing Wages paid - Jack Johnson Construction,
Inc.; and
1 Original State of Intent to pay prevailing wages - Jack Johnson
Construction, Inc.
Could you please process the final pay estimate for payment to the contractor after
the Council's approval for the acceptance of the project on November 9, 1992.
Just as a reminder, the retainage amount goes into a previously established escrow
account.
Please call me at X-6179 if you have any questions or need additional information on
this matter.
Thank you.
C:DOCS:92-888:JDH:ps
Attachment
INTERFUND TRANSFER
Transfer Number: Date:
General Description:
Ij
Department To Be Charged (Transfer Out-From)
Description Account Number WO/Function Amount
Ye r,ilh Foe k Lroe k �7-I 000 <vCo of, ( , IOOA
Crcc k Q� ; � �1f P; c�►' c. �3. S 00
Department Authorization: C
(�j
Department To Be Credited (Transfer In - To)Q ��
Description Account Number WO/Func on Amount
i7qj(pF1 /6704.Od
17
Li
0�
Distribution
White: Finance Department
Yellow: Department to be Charged
Pink: Department to be Credited