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HomeMy WebLinkAboutSWP272000(19) mot ' 74 GIP PR�.#1�� �"Imp� L}S F x^y`C -n'�."fF _,� "cam+`F CORRESPONDENCE................................................................. General.................................................•-•...............•...-..... Consultant........................................................................• ity-- ... . . ............................•-- OtherAgencies.................................................................. Contractor......................................................................... Grants/Loans.•................................................................... DESIGN/PLANNING...........................................................•....... Design............................................................................... Consultant Selection.......................................................... Contracts........................................................................... 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RgtformUTLT.doc _ r PEANN' SOME SECTIONS APPLY TO CIP AND SOME APPLY TO DEVELOPER PROJECTS FILE STATUS EXISTING OR NEW FILE CODE(PRI-xx- : LOCATION I My Work Space: File Bay Shelf#: Other: z #intw0) DESCRIPTION OF PROJECT: ADDRESS/STREET NAME(S): DEV/CNIR/OWN/CNSLT: OTHER ALIASES: Circle Size of Waterlline: 8" 10" 12" Circle One: New/Replace/Extension Circle Size of Sewerline: 8" 10" 12" Circle One: New/Replace/Extension Circle Size of Stormline: 12" 18" 24" Circle One New/Replace/Extension TED(roadway/drainage) (off site improvements) (include MC) TRO (Signalization, Channelization,Lighting) WWP(wastewater) (sanitary sewer main) WTR(water) (Mains,Valves,Hydrants) (inc.composite&HorizontalCtrl) SWP(surface water imp.) (CIP onlyxinclude basin name) PLR(plan review) (Neccessary for developer files) = getter only) s: f FOR FILE MAINTAINANCE USE ONLY File Codes: Date Entered and Labels Made: RgtformNEWPROJ.doc a Y. o� CITY OF RENTON ♦ ♦ PlanningBuildinoublicWorks Department Greggimmerman P.E. Administrator Kathy Keolker,Mayor gg � April 4, 2006 SUBJECT: 2006 MOSQUITO ABATEMENT PROGRAM AUTHORIZATION AND RELEASE REQUEST Dear Resident/Property Owner: The City of Renton is preparing to conduct its annual Mosquito Abatement Program to control mosquito populations near the Panther Creek Wetlands complex(Exhibit A). The target area is approximately 60 acres adjacent to and upland of the eastern edge of the Panther Creek Wetlands, located between SR-167 on the west, and Lake Avenue South/Talbot Road South on the east, and extending from SW 39th Street on the south to I-405 on the north, within the City of Renton. Mosquito control will consist of land treatment applications of an Environmental Protection Agency registered, ultra-low volume insecticide spray(Exhibit C). A portable fogger(gasoline- powered backpack-mounted)will be used to apply the spray to upland vegetation. During April through August,when mosquito populations are higher, a licensed applicator/entomologist will apply the treatments in upland areas away from water and wetlands no more than twice per week. The application will be in accordance with the product label, and local, state and federal requirements. We are requesting you sign the enclosed Authorization and Release (Exhibit B)form,to allow the applicator access through your property, if needed,to apply treatment. Please return the completed Authorization and Release form, using the business reply envelope provided, by April 18, 2005. If you do not return the form, we will not be able to treat your property. Thank you for your cooperation. If you have any questions, or would like more information about the Mosquito Abatement Program, please contact me at 425-430-7247. If you would like information on precautions you may take to help repel mosquitoes, see Exhibit C. Sincerely, Allen Quynn, P.E. Surface Water Uti tty Engineer Enclosures HAFile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement rogram\2006 Program\City Correspondence\2006 Release Request.DOC\AQ\tp 1055 South Grady Way-Renton,Washington 98055 R E N T O N 0 This paper contains 50%recycled material,30%post consumer AHEAD OF THE CURVE EXHIBIT A` Neighborhood Detail Map/Site Plan SW 16th S S 1 � 8 OJ cP� G S 1 fh St 167 S 19th n a SW 21st St Q S 21st Q F` G P � ECT LI ITS a SW 23rd t St cn j -n Y j t Q CD Y � � � J � W '4 SW 27th St , � C N ^y d t� SW 2 th S a SW Oth St Q a 16 a SW 4th St a C Y v � v T SW 39th St Uj — Sth i SW 41st S i Note:TREATMENT WILL NOT BE APPLIED WITHIN 100' OF WATER. TREATMENTS WILL NOT 0 1000 2000 BE PERFORMED NEAR HOMES.TREATMENT WILL ONLY BE DONE ON THE UPLAND AREA BETWEEN THE WETLAND EASTERN EDGE AND THE RESIDENTIAL AREAS.PROPERTY OWNER APPROVAL REQUIRED PRIOR TO TREATMENT ON PRIVATE PROPERTY. MMSOMIM 1 : 12000 Mosquito Abatement Program (2005-2009) EXHIBIT B 855700020008 ADKINS BRIAN E+STEPHANIE H 2401 TALBOT CREST DR S RENTON, WA 98056 PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE"form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze,and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington,and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton,or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration,I also release and agree to hold harmless the City of Renton,and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT B PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect,analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington,and realizing that mosquito control is essential for my family's health,the same as for that of others,I hereby authorize the City of Renton,or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration,I also release and agree to hold harmless the City of Renton,and its officers and representatives, in their official or individual capacities;for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\Pile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2006 Program\City Correspondence\2006 Signature Authorization Exh B.DOCWQ\tb/tp • EXHIBIT C Insecticide Products: As in previous years,we will be using products containing the insecticide permethrin. See below for more information. Permanone`R'31-66: Permanone 31-66 is sold under the trade names of BioMisto and Kontrol® 4-4. They contain a synthetic version of permethrin as an active ingredient. The insecticides are formulated for dilution with oil products, such as mineral oil, and are applied at a rate between 0.0035 and 0.0070 pounds of permethrin per acre. Permanone 31-66 is degraded in soil and may last for several days. BioMist®and Kontrol®4-4 are not applied within 100-feet from water or wetland areas. Repel Mosquitoes: Not all mosquitoes will be eliminated during our Mosquito Abatement Program. Some precautions you may take to further reduce the number of mosquitoes in your area include: Mosquito Breeding Places: Some mosquitoes may breed in stagnant water. If you eliminate standing water around your home,you may eliminate their breeding places. Stagnant water may be found in ornamental pools, birdbaths,old tires,and flower pots. Methods to eliminate these and other potential breeding sites are listed in the enclosed Extension Bulletin No. 1066 by the Washington State University Cooperative Extension titled"Pest Management for Prevention and Control of Mosquitoes". Natural Predators: By encouraging natural predators that feed on mosquitoes,you may also reduce the number of mosquitoes in your area. Natural predators include bats, swallows, frogs, and fish. In order to stock mosquito fish and three-spine stickleback fish,a permit is required from the Washington State Department of Fish and Wildlife. However, you may attract other natural predator animals by enhancing habitat and constructing cavity type houses. More information on attracting natural predators, such as instructions for constructing and locating bat houses, may be obtained from the State Department of Fish and Wildlife. Mosquito Repellent: By using mosquito repellent, netting, and screens you may reduce your exposure to mosquitoes. Additional precautions include: ♦ Wear clothes that reduce the area of exposed skin; ♦ Install screens or netting over open patios or windows; and/or ♦ Apply repellents, especially those containing the ingredient diethyltoluamide(DEFT), to exposed skin. Since young children and certain adults can be sensitive to DEET, please follow application instructions carefully. Note: While bug lights eliminate some mosquitoes,they are not highly recommended,since studies show they also eliminate a large amount of beneficial and non-pest insects. Furthermore, Aedes,the most aggressive of the mosquito species,found in the Talbot Hill area, are not attracted to light and the noise emitted by the bug lights may annoy some neighbors. H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CiP)\27-2000 Mosquito Abatement Program\2006 Program\City Correspondence\2006 Description Exhibit C.DOC\AQtp I-x(cnsion Bulletin 1066 insect answers PEST MANAGEMENT FOR PREVENTION AND CONTROL OF MOSQUITOES Mosquitoes are important pests-They annoy and bite which by definition utilizes ail reasonable methods humans and animals_ Also, they may transmit to achieve pest reduction in a way that has the least disease-causing organisms such as malaria and en- negative impact on the environment_ cephalitis_ While human malaria does not occur in Washington,outbreaks of encephalitis and mosquito On the farm be sure to: transmission thereof do occur from time to time- I_ Remove standing water by drainage or filling with Life Cycle earth- 2- Check irrigation and drainage ditches for leaks of Mosquitoes are always located near water smcorwater seepage and maintain free flow of water_ is essential for growth of the immature stages, thus 3. Fill or drain seepage ponds and puddles- the presence of water is crucial in control programs_ 4- Grade newly developed land to prevent standing The advice provided here concerns mosquito con- water_ trol on your own property—extensive areas of con- S_ Provide drainage away from premises for excess . trot are handled by city governments or county mos- irrigation water, or collect in storage sump and quito abatement districts_ reuse on land_ Control To eliminate breeding places at home: Prevent mosquitoes from breeding by altering [heir . 1. Destroy, flatten,or dispose of tin cams or any other natural habitat_ This is the best means of control and ` artificial water containers_ the logical first step in integrated pest management 2. Drain gutters and water from under homes_ 3_ Change water in bird baths at least twice a week and stock ornamental pools with predacious fish = = (goldfish work nicely)- 4- Fill or drain puddles and ditches near the home; ` - remove weedy vegetation surrounding.these areas_ K S_ Fitt tree holes with sand or mortar, or develop •. l ,.; drainhole so water cannot accumula(e. 6- Old tires used as planters should have drainholes ~= •:%$-'_ drilled in bottom_ ,!�, tv'�-. "�f~ -a - 7_ Pa articular attention to such ardening aide as '� = _'",• `1_ _*�` ,•°%4i '= _�' sheets of discarded, crumpled polyethylene fill" (often used as plastic mulch)_ Since these catch water easily, They provide an excellent almost I cr manent breeding stir- They shield against evalx)ra- Figure 1_ Adult mosquito taking blood meal_ lion, even help moisture condcnSC- Pesticides registered for Mosquito Control Bacillus rhuringiemsis var. israelemsis (Skeetall&, Teknar®, Mosquito Attack®, Bac(imos®, etc_) If the problem cannot be solved with cultural methods DDVP (Vapona) such as habitat alteration, then judicious use of Dursban pesticides may be the final alternative. Malathion *Oil, Light Paraffinic Base (e.g., Golden Beam Pesticides used in mosquito control are designated basically as "Adulticides" and "Larvicides." Adultieides Adulticides are available as "Liquid Concentrates" Baygon primarily designed for use in"Ultra-low Volume" DDVP (Vapona) sprayers,either by aerial applications or by ground- Dursban based equipment; and`Emulsifiable Concentrates" Malathion primarily designed to be suspended in water and used Methoxychlor in relatively coarse sprays. Both forms of concen- *Naled (Dibrom) trates can be diluted with oil and used in thermal fog Pyrethrum (Pyrethrins and Synergist) (piperonyl generators. -butoxide) Permethrin Larvicides are available as "Liquid Concentrates,- -Emulsifiable- Concentrates," as described in the Repellents, especially those containing diethyltolua= F;"—, c:tb i=ragraPh.arA as-Gra_r-des_w Granules-are mide,prevent mosquito bites for at least several hours prepared from clay with the pesticide mixed into t' em up to a full day. Exa -pies include_Deet,Cutters,etc. or as sand granules coated with the pesticide and can be distributed by aerial application or ground-based For more specific instructions as to the formulation, equipment. They are best used in aquatic areas with dosage, and application of these insecticides, con- ' heavy vegetation canopies and as prehatch applications tact your nearest mosquito control district person. in flood water situations. There are also light paraf- Your county agent may also be able to help you han- finic based oils for use as larvicides as well as some dle specific problems. Your local health department specialty items which release chemicals slowly into the may also be helpful in answering questions on mos- water. quito control in local situations_ E Due to the many formulations, labels, and label Mosquito Control by Municipal Corporations changes, it is impractical to list specific recom- mendations other than basic pesticides for mosquito Frequently mosquito control by an individual or a control. small group of individuals is impractical because the problem is too extensive. With respect to the following list of pesitcides used in mosquito control,the following two items cannot- Under these conditions,a more extensive control pro- be overstressed: gram may be organized by the formation of a.vec- 1. Always follow label directions- for control district or a mosquito abatement district, 2_ Always be aware of precautions regarding or by having a program instituted through the local fishbearing waters, wildlife,nontarget aquatic life, health department. Whether the county administra- and beneficial insects, such as honey bees- tion institutes such a program or a formal district is formed will depend upon the wishes of the taxpayers Larvicides and voters of the area involved. ;Abate Ahosid XR Briquets (Me(hoprene) Commercial use only- The first step in organizing a formal program of mos- For this type of action, legal counsel should be- quito control is a survey to establish the severity of obtained_ the problem,the major mosquito producing sources, _ and the area involved_ Assistance from the local Technical consultation and advice on mosquito health department or appropriate office of the respon- prevention and control may be obtained from the ap- sib{e state health department is available_The infor- propriate state health departments or from Extension matron acquired from this survey should be correlated offices- with a feasibility study_This study should report on the riecd for a program,methods of organizing a for- mal control program, specific recommendations on ., methods of control, and economic ramifications _ : ;`= resulting from control activities. If the report recommends a control program ad- ministered by county authorities(usually local health department),concerned citizens should then petition the governing body of the county to institute such _ ► � a program, with financing to be provided through ` y_ . the appropriate county budget_ r •_�� _..� ��_�►-�:�t��t+ .��� . yam_:-f Conversely if the report recommends a control pro- -_. grain rx ndocted by a fomraNy orgarazed district,filer. '^� = - appropriate action as prescribed by the applicable state law or laws must be taken.This usually involves Figure 2_Aquatic larval form of mosquito taking preparation of a petition, hearings,and an election_ in air at surface of water_ By Arthur L_ Anionclli• Extension Entomologist, WSU Puyallup_ College of Agriculture and Hoare Economics: pulliiran. Washington A Warning.Use pesticides with care_ Apply them only to plants, animals.or sites listed on the label.Whcn mixing and applying pesticides,follow all label precautions to protect yourself and others around you. It is a violation of the law to disregard label dircc- lions_ if pesticides arc spilled on skin or clothing,remove clothing and Wash skin thoroughly_ Stoic pesticide in thc►r original ain laincrs and keep them out of the reach of children, pets- and livestock. Issued by Washington State Univcrsily Cooperative Extension- Larry G_ lames, interim DirMor_ and the U-S- Dcpartmcnt of Agriculture in furtherance of the Acts of May 8 and June 30, 1914_ Cooperative Extension programs and Policies are constsicnt with fcxkral and state laws and regulations on nondiscrimination regarding rxe.color.national ungm.religion.gender.age-disability_ and genderc preference. Trade nanxs have bcn vscd to simplify information. No cndorscmcnl is inicrukd_ Revised Eebr►►ary 194; Sobjcct Codc 670- A ER1066 Property ID Name Address City State Zip 855700020008 ADKINS BRIAN E+STEPHANIE H 2401 TALBOT CREST DR S RENTON WA 98056 507000001002 AGOO SILVER D+GRACE T 3621 SHATTUCK AV S RENTON WA 98055 334040112503 ALLEN JUSTIN P 1801 LAKE AV S RENTON WA 98055 989920004003 BALDRIDGE BRUCE T 3422 SHATTUCK AV S RENTON WA 98055 334040116009 BELL RAYMOND L 16425 8TH AV S SEATTLE WA 98148 302305911505 BERRY PAUL 3129 TALBOT RD S RENTON WA 98055 507000005003 BOSTICK HARRY G 3527 SHATTUCK AV S RENTON WA 98055 334040114509 BROWN WAYNE ARTHUR JR 1711 LAKE AV S RENTON WA 98055 334040112008 BRYANTON EUNICE W 1803 LAKE AV S RENTON WA 98055 507000008007 CAMERINI DONALD A+CARMEL D 3503 SHATTUCK AV S RENTON WA 98055 334040117205 CHAVEZ KATHRYN G 1607 LAKE AV S RENTON WA 98055 302305912800 CHEUNG MUI HO+CHIM KUEN KAU 420 S 33RD PL RENTON WA 98055 886050012006 CHINN MARCUS 2017 DAVIS AV S RENTON WA 98055 302305910606 CHINN MARY JEAN 2715 TALBOT RD S RENTON WA 98055 192305901600 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 302305900201 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 302305900300 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 302305900409 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 302305902603 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 302305906208 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 302305907602 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 302305911901 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 302305912404 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 334040099502 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 334040101001 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 334040102009 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 334040106505 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 334040107503 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 334040107602 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 334040118500 CITY OF RENTON 1055 S GRADY WY RENTON WA 98055 302305910507 CLIFFORD CHRISTOPHER P + CHINN SHERI J 2721 TALBOT RD S RENTON WA 98055 855700025007 CUMMINGS RAYMOND+MARILYN L 2509 TALBOT CREST DR S RENTON WA 98055 886050016007 DAVIS GEORGE E+DAVIS DALIA P 671 HARRINGTON AV NE RENTON WA 98056 334040115001 DELLA ROSSA EDWIN 1625 LAKE AV S RENTON WA 98055 334040117007 DOMINGCIL MARYANN 1521 LAKE AV S RENTON WA 98055 855700023002 ESPEY DIANE 2419 TALBOT CREST DR S RENTON WA 98055 989920001009 FAST JOHN L 3431 SHATTUCK AV S RENTON WA 98055 722200041001 FORD GLEN 1925 SHATTUCK AV RENTON WA 98055 334040118005 FRANCESCHINA TODD M 1515 LAKE AV S RENTON WA 98055 334040111000 FRANCOIS MOLIERE 12430 SE 160TH ST RENTON WA 98058 302305911604 FULLER NATHAN C 3113 TALBOT RD S RENTON WA 98055 334040113204 GIENG HONG 1731 LAKE SOUTH RENTON WA 98055 507000002000 GILLILAN ANNE LIVING TRUST 3615 SHATTUCK AV S RENTON WA 98055 855700030007 GOLDMANN CHARLES J 2607 TALBOT CREST DR S RENTON WA 98055 302305903601 COLLIER N STEPHENIE+TYRONE 2709 TALBOT RD S RENTON WA 98055 722200051109 GREGORIS NINFA 223 S 19TH ST RENTON WA 98055 507000006001 HARVEY RICHARD D & FRANCINE 21015 148TH AV SE KENT WA 98042 302305905002 HAWKINS JACK M+JANE I 2825 TALBOT RD S RENTON WA 98055 989920002007 HILL JAY G+DORI A 3425 SHATTUCK AV S RENTON WA 98055 302305906307 HOA NGHIEM 16623 BENSON RD S RENTON WA 98055 886050008004 HOBSON LEE C + DIGGS-HOBSON MARY 206 S 20TH PL RENTON WA 98055 855700028001 HOLZBOOG DAVID S+AMY L 2527 TALBOT CREST DR S RENTON WA 98055 855700017004 HURST CHARLES HERMAN 2325 TALBOT CREST DR S RENTON WA 98055 334040111505 JELLEY ALLEN 1805 LAKE AV S RENTON WA 98055 886050014002 KIAZIMOV ALI+JOULIA BOGACHOV 2101 DAVIS AV S RENTON WA 98055 886050019001 KING ALBERT WONG+LYNN WING 2115 DAVIS AV S RENTON WA 98055 302305910705 KREBS FREDERICK D 2703 TALBOT RD S RENTON WA 98055 507000004006 KUMARAN RUDRA+SAVITRI 3603 SHATTUCK AV S RENTON WA 98055 886050017005 LANDMARK HOMES INC 2715 64TH AV NE#B TACOMA WA 98422 989920003005 LEMAFA MOLIUILA M 3419 SHATTUCK AV S RENTON WA 98055 334040113105 LEWIS OLGA M 1717 LAKE AV S RENTON WA 98055 886050013004 LUONG HINH 2O23 DAVIS AV S RENTON WA 98055 855700018002 MAGNO LILY O 2331 TALBOT CREST DR S RENTON WA 98055 886050011008 MAI JOANNE 2011 DAVIS AV S RENTON WA 98055 886050018003 MARTIN ROBERT P & NIDA B 2111 DAVIS AV S RENTON WA 98055 886050021007 MASLOW DAVID 2127 DAVIS AV S RENTON WA 98055 334040119003 MCCALLISTER GLEN A 1503 LAKE AV S RENTON WA 98055 334040113006 MONTANEZ CHERIE D+MEDILO BENJIE P 1737 LAKE AV S RENTON WA 98055 507000007009 MOSS CHARLES D+KATHERINE E 3509 SHATTUCK AV S RENTON WA 98055 302305901209 NAKANISHI RUTH Y 3315 TALBOT RD S RENTON WA 98055 855700027003 NESS ROSEMARY 2521 TALBOT CREST DR S RENTON WA 98055 855700021006 NGUYEN THANG T 2407 TALBOT CREST DR RENTON WA 98055 886050010000 NGUYEN THUAN Q+ANH NGOC 545 INDUSTRY DR TUKWILA WA 98188 302305902504 NOBLE JANICE M 2819 TALBOT RD S RENTON WA 98055 886050015009 O'STEEN JONAKAN H 2107 DAVIS AV S RENTON WA 98055 302305901803 OLSON SHAWN & JAIME 3101 TALBOT RD S RENTON WA 98055 302305912206 PENA ELMER C+EVELYN D 3021 TALBOT RD S RENTON WA 98055 302305906802 PHAM VANG VAN+NGOC-LOAN THI 408 S 33RD PL RENTON WA 98055 855700022004 PICKREIGN CYNTHIA J 2413 TALBOT CREST DR S RENTON WA 98055 507000003008 PONDER THOMAS L & SYLVIA M 3609 SHATTUCK AV S RENTON WA 98055 334040116504 POZZOBON TERESA & EDA 1615 LAKE AV S RENTON WA 98055 302305912701 RAMIREZ RENE Q+DANILEE 426 S 33RD PL RENTON WA 98055 302305908105 SCHNEIDER KATHLEEN E 3037 TALBOT RD S RENTON WA 98055 334040117106 SCHNEIDER SHAWN M+KATRINA M 1523 LAKE AV S RENTON WA 98055 302305901605 SCHULTEK JEFF & BERNADINE 2921 TALBOT RD S RENTON WA 98055 302305911406 SMITH ARTHUR L & MARIE W PO BOX 59512 RENTON WA 98058 302305901902 TATRO DON L 3211 TALBOT RD S RENTON WA 98055 886050009002 THOENNES NICHOLAS A 200 S 20TH PL RENTON WA 98055 334040115100 TOBACCO JANA A 1701 LAKE AV S RENTON WA 98055 855700026005 TONSGARD PATRICIA L 2515 TALBOT CREST DR RENTON WA 98055 302305912107 TRAN THANH VAN+THU HA NGUYEN ET ALTHI 3011 TALBOT ROAD SO RENTON WA 98055 855700029009 TRAUTMANN JOHN F 2601 TALBOT CREST DR S RENTON WA 98055 302305907503 TURNER DAVID E & JODIE D 3107 TALBOT RD S RENTON WA 98055 886050035007 VALLEY VUE ESTATES HOMEOWNER ASSOC 332 S 20TH PL RENTON WA 98055 334040114004 VILLA CHARLES A+CONSTANCE M 1717 LAKE AVE S RENTON WA 98055 886050020009 VO ANTHONY+LE TAMMIE 2121 DAVIS AV S RENTON WA 98055 855700019000 WEMMERS GERTRUDE S 2337 TALBOT CREST DR S RENTON WA 98055 886050022005 WHITE JUSTICE 2133 DAVIS AV S RENTON WA 98055 855700024000 WILLIAMS BARTOW JR+MINNIE L 2503 TALBOT CREST DR S RENTON WA 98055 302305912909 WONG WING TIN 5537 17TH AV S SEATTLE WA 98108 302305912305 WOO PETER C 3031 TALBOT RD S RENTON WA 98055 302305913006 YANWIN PO BOX 27470 SEATTLE WA 98125 RECEIVED EXHIBIT B APR 2 0 2006 334040114509 REWON BROWN WAYNE ARTHUR JR CITY 1711 LAKE AV S UTILITYy SYYSTEMS-rEM S RENTON, WA 98055 PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities,r r any personal injury or property damage that may arise from the use oft e above-riJentio methods and chemicals in its efforts to effect mosquito control on my-pro e DA E 5 NAT RE elephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOCWQtp Neighborhood Detail Map/Site Map 0 1000 2000 1 : 12000 i -- a PR ECT LIMI' -s _ — - �� om C n 9 fC O L x o LL U a ii � � M � 3 �- - x _ X CL LL- 1 y o L I m - - - it -- d F U a_ LL LEGEND I - - CITY OWNED = AUTHORIZED LFi PUBLIC ESMT. Note:TREATMENT WILL NOT BE APPLIED WITHIN 100' OF WATER. TREATMENTS WILL NOT BE PERFORMED NEAR HOMES.TREATMENT WILL ONLY BE DONE ON THE UPLAND AREA BETWEEN THE WETLAND EASTERN EDGE AND THE RESIDENTIAL AREAS.PROPERTY OWNER APPROVAL REQUIRED PRIOR TO TREATMENT ON PRIVATE PROPERTY. Mosquito Abatement Program (2006) M:\83M\STORM\MAPS\mosquito-abatmt\05treatemnt.dwg � . � c� � -, � � � � � � � � � W � � e , U , � N � � y � G ���\t1 a � � U J � �� � �� U � fi � RECEIVED APR 11 2': EXHIBIT B CITY OF RENTON 302305901209 UTILITY SYSTEMS NAKANISHI RUTH Y 3315 TALBOT RD S RENTON, WA 98055 PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze,and treat your property for the purpose of mosquito abatement. AUTHOR,iZAT i0N AND Rl'JLLASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property.. r DATE SIGIIATURE Telephone Number Print Name / COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope HAFile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT PRECEIVED 302305905002 APR 12 2006 HAWKINS JACK M+JANE I 2825 TALBOT RD S CITY OF RENTON RENTON, WA 98055 UTILITY SYSTEMS PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE"form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of ,iaosqu:to abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE( SIGN URE �cs- ass-K5-4 6-- .r, Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope Hi Pile Sys`SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp RECEIVED EXHIBIT B 302305906802 APR 13 2006 PRAM VANG VAN+NGOC-LOAN THI CITY OF RENTON 408 S 33RD PL UTILITY SYSTEMS RENTON, WA 98055 PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE" form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. r- 1�. D TE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Cofrespondence\2005 Signature Authorization Exh B.DOC\AQtp RECEIVED EXHIBIT B 302305908105 APR 13 20( SCHNEIDER KATHLEEN E 3037 TALBOT RD S CITY OF RENTON RENTON, WA 98055 UTILITY SYSTEMS PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. UT"ORI7.ATION AND RFLFASF In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. / n D E t �IGNATURE Teieplione Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H.Tile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)`,27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp RECEIVED EXHIBIT B 302305910705 APR 17 2006 KREBS FREDERICK D CITY OF RENTON 2703 TALBOT RD S UTILITY SYSTEMS RENTON, WA 98055 PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton,or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIG 'PURE 4as- 4-036 I elep;wue Number mint Nai,le COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT B 334040112008 RECEIVED BRYANTON EUNICE W APR 14 2006 1803 LAKE AV S RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE"form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton,or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. V - -- L� 6 DATE SIGNATURE ��Iephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOCWQtp EXHIBIT B 334040112503 RECEIVED ALLEN JUSTIN P APR 1 2 2006 1801 LAKE AV S RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE"form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DA E l G AT E 2-o6 -�3 �_OZ2_3 T )-�/ , L)-- 0 Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)`127-2000 Mosquito Abatement Program\2005 Program\City Cotrespondence\2005 Signature Authorization Exh BDOC\AQtp EXHIBIT BC(�C 334040113105 RECEIVED GD LEWIS OLGA M APR 12 20; ; 1717 LAKE AV S RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND REI.FASF In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGN URE feleph ne Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp RECEIVED EXHIBIT B 334040114004 VILLA CHARLES A+CONSTANCE APR 17 2006 M 1717 LAKE AVE S CITY OF RENTON UTILITY SYSTEMS RENTON, WA 98055 PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that, when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE t s r� ens .nrn Prt�i Lrnpt n 1{i County, Wasl!;ngton, and n cl n�ir C t vrt �f m; inter. a d si.1 :^Y, 1- , o� i. King realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise fromZ -mentioned ds and icals in its efforts to effect mosquito control on DATE U 221 - /� Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Cotrespondence\2005 Signature Authorization Exh BDOC\AQtp EXHIBIT B 334040115001 RECEIVED DELLA ROSSA EDWIN 1625 LAKE AV S APR 10 200E RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE"form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT B 334040115100 RECEIVED TOBACCO JANA A APR 10 200:) 1701 LAKE AV S RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AU T tiliKiZA T ` ANEi R'L'LI`AS11' In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. fs �1 DATE A S�Z_S_- Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOCWQtp EXHIBIT B 334040116504 POZZOBON TERESA&EDA RECEIVED 1615 LAKE AV S APR 12 2006 RENTON, WA 98055 CITY OF RENTON PLANNINGBUILDING/PUBLIC WORKS DEPARTMENTLITY SYSTEMS Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. 44a xo �[W� DA E SIGNATURE ,!5_DA pozzo 86 ) -- Tm,�5Sx PozZ o/l _ i GiL'YuU,i�. lvuutvCi . tiii tvuuc'. COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Prcjects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City CoTTespondence\2005 Signature Authorization Exh B.DOCWQtp EXHIBIT B 334040117205 RECEIVE® CHAVEZ KATHRYN G 1607 LAKE AV S APR 1 0 20r RENTON, WA 98055 CITY OF RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT UTILITY SYSTEMS Below is an "AUTHORIZATION AND RELEASE"form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their officiq.l or individual apacities for any personal injury or property damage that may arise from the us of the a o -mentio d.methods and chemicals in its efforts to eff ct mosquito control on my property. DAT StGNATURE ewe-1 2 Telephone Number Print Nalne COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope HAFile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT B RECEIVED 507000002000 GILLILAN ANNE LIVING TRUST APR 14 2006 3615 SHATTUCK AV S RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE"form that, when signed by you,will authorize the City of Renton or its representative to inspect,analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. e�So 6 6 0 DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOCWQtp EXHIBIT B 507000003008 RECEIVED PONDER THOMAS L& SYLVIA M APR 1 1 2006 3609 SHATTUCK AV S RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. [i li ri i7yi r.uA i I.O AND iiirT..�Ti'A�Cu�'Ti' In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. 12 D TE SIGNATURE T eiephone Number rr i^,Na„it COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT B 507000005003 RECEIVED BOSTICK HARRY G 3527 S1 ATTUCK AV S APR 1 0 2V RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. /- 1 _ z� DATE SIGNA Telephone Number rent Na COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program0005 Program\City Cotrespondence\2005 Signature Authorization Each B.DOCAQtp EXHIBIT B 50'000006001 RECEIVED HARVEY RICHARD D& FRANCINE 21015 148TH AV SE APR 1 O 20 . KENT, WA 98042 CITY OF RENTON PLANNINGBUILDING/PUBLIC WORKS DEPARTMEWITY SYSTEMS Below is an"AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others,I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. 7 - 6 - o6 DATE SGNATURE aS 3-� � _�7Ss- let ��ur� /yr-rryz� Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\S1hP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOCWQtp EXHIBIT B 507000007009 RECEIVED MOSS CHARLES D+KATHERINE E APR 13 2006 3509 SHATTUCK AV S RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE"form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION .AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my proppily. / ,- 20� �kf L DA E SI N TUBE y�5-,235--060'15— kA1_rffC__1Z11, moss Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Progam\2005 Program\City Correspondence\2005 Signature Authorization Eah B.DOC\AQtp EXHIBIT B 507000008007 CAMERINI DONALD A+CARMEL D 3503 SHATTUCK AV S RENTON, WA 98055 PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. � J !� c, i DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT B 722200041001 RECEIVED FORD GLEN APR 11 20!(. 1925 S1 ATTUCK AV RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE" form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others,I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito con I on my property. DATE SIGNA URE 9�91,7 � Cam- .�1 lo `'�� Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT B 722200051109 RECEIVED GREGORIS NINFA APR 11 200") 223 S 19TH ST RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its Officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. / O t44 Lfa�` DATE SIGNATU Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope HaFile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.D0GAQtp EXHIBIT B 855700018002 RECEIVED MAGNO LILY O APR 1 1 2006 2331 TALBOT CREST DR S RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE"form that, when signed by you, will authorize the City of Renton or its representative to inspect,.analyze,and treat your property for the purpose of mosquito abatement. 7rrU/lT1i'� �inTr nNIT' 1 Rri T ACT+' c1 1 11 Vi�iul, ll:.: !il jai i�.L�La�..✓au In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2..Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. /7 DATE' SIGMAftPkE Te:a't�iivi.e 1 �iIrill%r ivariic COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Progam\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp RECEIVED EXHIBIT B 855700023002 ESPEY DIANE APR 1 3 20C�'; 2419 TALBOT CREST DR S CITY OF RENTON RENTON, WA 98055 UTILITY SYSTEMS PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE"form that, when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DAT SIGNATURE Li t7 L-spetl -- Telephone Number Print Name COMMENTS: ��:,(,fit► �1�.� w '� ��(�'�'7� l'�,`.c �- e r=. . k_, f �G - -- u c -'" ASE RE URN T� E ABOVE INFORMATION TO: Allen Quynn ���� m the.,enclosed Bus'ness Reply,En elo e _��,�4"''y" �h .Sty rn S -c ry., , 1A L- i �- �j H:\File S s\SWP-Surface Water Proiects\SWP-27-Surface�iects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Y Correspondence\2005 Signature Authorization Exit B.DpC\AQtp_ •,L, EXHIBIT B 855700027003 RECEIVED NESS ROSEMARY APR 13 2006 2521 TALBOT CREST DR S RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNING/BUILDINGIPUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that, when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my,prpRQ:!Z. DATE j' — V� SIGNATURE - / 1 �' f?'714 f'z c� Afe 55 TPlPnhone Number Prim Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CtP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT B 855700029009 RECEIVED TRAUTMANN JOHN F 2601 TALBOT CREST DR S APR 1 0 20C RENTON, WA 98055 CITY OF RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT UTILITY SYSTEMS Below is an"AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AU HORiz"ATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. G A � DATE I NATURE LI To y/ ) rlef/ z1 Ti►�/,�iti ter/ Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope Hffile Sys\SWP-Surface Water Projects\SW P-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp RECEIVED EXHIBIT B APR 1 3 2006 886050009002 CITY OF RENTON THOENNES NICHOLAS A UTILITY SYSTEMS 200 S 20TH PL RENTON, WA 98055 PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE"form that, when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp RECEIVED EXHIBIT B 886050010000 APR 13 2006 NGUYEN THUAN Q+ANH NGOC CITY OF RENTON 545 INDUSTRY DR UTILITY SYSTEMS TUKWILA, WA 98188 PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others,I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE C4M C 9 X 7 ki� NY__7U3&-1-J Te lephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp RECEIVED EXHIBIT 886050015009 APR 14 2006 O'STEEN JONAKAN H 2107 DAVIS AV S CITY OF RENTON RENTON, WA 98055 UTILITY SYSTEMS PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. iT O T In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. i li 0 /0 1, 0 ez7u, DATE SIG ATURE (YAS) Tona&iex Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys,SWP-Surface Water Projects\SWP-27-Surface Water Projects(C[P)\27-2000 Mosquito Abatement Progam\2005 Program\City CorrespondenceCO05 Signature Authorization Exit B.DOC\AQtp EXHIBIT B 886050017005 RECEIVED LANDMARK HOMES INC 2715 64TH AV NE#B APR 1 0 20P- TACOMA, WA 98422 CITY OF RENTON PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT UTILITY SYSTEMS Below is an"AUTHORIZATION AND RELEASE" form that, when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. q17 lbb DATE SIGN � -L L(I, IFV I Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:Tile Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Cotrespondence\2005 Signature Authorization Exit B.DOC\AQtp EXHIBIT B 886050019001 RECEIVED KING ALBERT WONG+LYNN WING APR 1 1 2006 2115 DAVIS AV S RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE " Telephone Number 13rint Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT B 886050035007 RECEIVED VALLEY VUE ESTATES APR 12 2006 HOMEOWNER ASSOC 332 S 20TH PL CITY OF RENTON RENTON, WA 98055 UTILITY SYSTEMS PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE"form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE /$1 NAT E Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\.SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT B 989920001009 RECEIVED FAST JOHN L APR 1 0 2v 3431 SHATTUCK AV S RENTON, WA 98055 CITY OFRENTON UTILITY SYSTEMS PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE S ATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp y o� CITY OF RENTON ♦ A 3- ♦ Planning/Building/PublicWorks Department Kathy Keolker,Mayor Gregg Zimmerman P.E.,Administrator April 4, 2006 SUBJECT: 2006 MOSQUITO ABATEMENT PROGRAM AUTHORIZATION AND RELEASE REQUEST Dear Resident/Property Owner: The City of Renton is preparing to conduct its annual Mosquito Abatement Program to control mosquito populations near the Panther Creek Wetlands complex(Exhibit A). The target area is approximately 60 acres adjacent to and upland of the eastern edge of the Panther Creek Wetlands, located between SR-167 on the west,and Lake Avenue South/Talbot Road South on the east, and extending from SW 39th Street on the south to I-405 on the north,within the City of Renton. Mosquito control will consist of land treatment applications of an Environmental Protection Agency registered, ultra-low volume insecticide spray(Exhibit C). A portable fogger(gasoline- powered backpack-mounted)will be used to apply the spray to upland vegetation. During April through August, when mosquito populations are higher,a licensed applicator/entomologist will apply the treatments in upland areas away from water and wetlands no more than twice per week. The application will be in accordance with the product label, and local, state and federal requirements. LWearerequesting you sign the enclosed Authorization and Release(Exhibit B)form,to allow the or access through your property, if needed,to apply treatment. Please return the ed Authorization and Release form, using the business reply envelope provided, by April . If you do not return the form, we will not be able to treat your property. Thank you for your cooperation. If you have any questions, or would like more information about the Mosquito Abatement Program, please contact me at 425-430-7247. If you would like information on precautions you may take to help repel mosquitoes, see Exhibit C. Sincerely, Allen Quynn, O.E. Surface Wateil Uti/ityvEngineer Enclosures HAFile Sys\SWP-Surface Water Prcjects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatemen �rog�ra-m\2006 Program\City Correspondence\2006 Release Request.DOCWQ\tp R E N T O N 1055 South Grady Way-Renton,Washington 98055 AHEAD OF THE CURVE ®This paper contains 50%recycled material,30%post consumer �erP 50 ADDENDUM N0A=96 to CONSULTANT CONTRACT CAG 05-059 /7 FOR ENTOMOLOGIST/PEST CONTROL AGENT SERVICES AA) 2006 MOSQUITO ABATEMENT PROGRAM This Addendum is made and entered into this day of ' 2006, by and between the City of Renton, hereinafter called the "City", and Whitworth Pest Control, Inc., whose address is 2533-,Inter Ave., Puyallup, WA 98372-3428, hereinafter called the"Consultant'. WITNESSETH THAT: WHEREAS, the City engaged the services of the Consultant under Consultant Agreement CAG-05-0591 dated April 18, 2005, to provide entomologist/pest control agent services for the 2005- 2006 Mosquito Abatement Program; and WHEREAS, the 2005 Mosquito Abatement Program has been completed in accordance with the original agreement; and WHEREAS, the original agreement identified that work to be conducted in 2006 would be authorized through a written amendment to the contract; and WHEREAS, the City desires that the Consultant provide the services identified in the attached Exhibit A for the 2006 Mosquito Abatement Program. / NOW, THEREFORE, in accordance with Section VIII - Extra Work of the original Agreement CAG-05-059, dated April 18, 2005, it is mutually agreed upon that Consultant Agreement CAG-05-059 is amended as follows: } 1. The scope of work for the 2006 Mosquito Abatement Program shall be as set forth in Exhibit A of this addendum. 2. Payment for the work defined in Exhibit A shall be at the rates set forth in Exhibit B of this addendum. Payment for services rendered in 2006 shall not exceed $19,192.32 without a written amendment to the contract, agreed to and signed by both parties. All other provisions of Consultant Agreement CAG-05-059 dated April 18, 2005, apply to this addendum. EXECUTION IN WITNESS WHEREOF, the parties have executed this Addendum No. 1-06 to CONSULTANT AGREEMENT CAG-05-059 as of the day and year first above written. WHITWORTH PEST CONTROL CITY OF RENTON I Signature Gregg Zimmerman,Administrator Date Type or Print Name Title H:AFile Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2006 Program\Contracts\Addendum I.docAAQ\tb EXHIBIT A SCOPE OF WORK 2006 MOSQUITO ABATEMENT PROGRAM TASK NO. 1: LAND TREATMENT FOR ABATEMENT OF MOSQUITOES Treatment Methods and Materials. Land treatment applications of an ultra low volume (ULV), Environmental Protection Agency registered, insecticide will be applied to brush and other upland vegetation using a gasoline-powered, backpack-mounted, portable fogger. Treatment will be conducted in upland areas away from water or wetland areas as weather conditions allow and in accordance with the product label and other federal and state regulations. Treatment must also be conducted in accordance with the conditions of the Determination of Non-Significance-Mitigated (Application Number LUA05- 022, ECF) for the program made by the City of Renton Environmental Review Committee on April 1, 2005 and included as Exhibit C of the this contract. All necessary licenses and permits shall be the responsibility of the consultant to ensure their issuance prior to treatment. The synthetic pyrethroid insecticide product to be used is Permanone or other products containing similar formulations. Area of Treatment. The treatment area, shown in Exhibit D, is adjacent to and upland of the eastern edge of the Panther Creek Wetland generally located between SR-167 on the west and Lake Avenue South/Talbot Road South on the east and extending from SW 39th Street on the south to I-405 on the north, within the City of Renton, Washington. The project area covers approximately 60 acres to the east of the approximately 65-acre Panther Creek Wetland complex. Prior to treatment,the City will provide a highlighted copy of the map included in Exhibit D of this contract to indicate the properties within the project area for which authorization and release for access and treatment has been granted by the property owner or the owner's legal representative. The treatment application will be performed from foot trails through the project area used in the previous Mosquito Abatement Program treatment applications. The cost per treatment shall include all necessary work for clearing of the trails to allow the treatment to be applied. Frequency of Treatment. Fogging will be conducted in coordination with and at the request of the City at a maximum frequency of twice per week during the months of April through August when mosquito populations are typically higher. The project budget assumes a maximum number of 21 treatment applications. Coordination. Following each treatment,the consultant shall provide to the City a brief summary of the area treated and the type of chemical used, weather conditions during the treatment application, the time during which treatment was conducted, an estimate of the relative abundance and distribution of mosquitoes, and a recommendation on the scope and timing of subsequent treatment. H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2006 Program\Contracts\Scope of work.doc\AQ\tb EXHIBIT B COST ESTIMATE 2006 MOSQUITO ABATEMENT PROGRAM Task 1. The estimated total cost of Task 1 including Washington States sales tax is $19,192.32. The cost shall include all necessary work for clearing of the trails to allow the treatment to be applied. Work conducted in performance of Task 1 will be billed at the following rates: For 12 or more total treatments: $840/treatment For 6 to I I total treatments: $890/treatment For I to 5 total treatments: $990/treatment The billing rates include state sales tax. Subtotal Contract Cost: $17,640.00 State Sales Tax(8.8%) $1,552.32 Estimated Total Contract Cost: 519,192.32 H:\File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2006 Program\Contracts\Scope of work.doc\AQ\tb EXHIBIT A SCOPE OF WORK 2006 MOSQUITO ABATEMENT PROGRAM TASK NO. 1: LAND TREATMENT FOR ABATEMENT OF MOSQUITOES Treatment Methods and Materials. Land treatment applications of an ultra low volume (ULV), Environmental Protection Agency registered, insecticide will be applied to brush and other upland vegetation using a gasoline-powered, backpack-mounted, portable fogger. Treatment will be conducted in upland areas away from water or wetland areas as weather conditions allow and in accordance with the product label and other federal and state regulations. Treatment must also be conducted in accordance with the conditions of the Determination of Non-Significance-Mitigated (Application Number LUA05- 022, ECF) for the program made by the City of Renton Environmental Review Committee on April 1, 2005 and included as Exhibit C of the this contract. All necessary licenses and permits shall be the responsibility of the consultant to ensure their issuance prior to treatment. The synthetic pyrethroid insecticide product to be used is Permanone or other products containing similar formulations. Area of Treatment. The treatment area, shown in Exhibit D, is adjacent to and upland of the eastern edge of the Panther Creek Wetland generally located between SR-167 on the west and Lake Avenue South/Talbot Road South on the east and extending from SW 39th Street on the south to I-405 on the north,within the City of Renton, Washington. The project area covers approximately 60 acres to the east of the approximately 65-acre Panther Creek Wetland complex. Prior to treatment,the City will provide a highlighted copy of the map included in Exhibit D of this contract to indicate the properties within the project area for which authorization and release for access and treatment has been granted by the property owner or the owner's legal representative. The treatment application will be performed from foot trails through the project area used in the previous Mosquito Abatement Program treatment applications. The cost per treatment shall include all necessary work for clearing of the trails to allow the treatment to be applied. Frequency of Treatment. Fogging will be conducted in coordination with and at the request of the City at a maximum frequency of twice per week during the months of April through August when mosquito populations are typically higher. The project budget assumes a maximum number of 21 treatment applications. Coordination. Following each treatment, the consultant shall provide to the City a brief summary of the area treated and the type of chemical used, weather conditions during the treatment application, the time during which treatment was conducted, an estimate of the relative abundance and distribution of mosquitoes, and a recommendation on the scope and timing of subsequent treatment. It File Sys\SWP - Surface Water Projects\SWP-27 - Surface Water Projects (CIP)\27-2000 Mosquito Abatement Program\2006 Program\Contracts\Scope ofwork.doc\AQ\tb RECEIVED EXHIBIT B 886050014002 MAY 2 4 2006 KIAZIMOV ALI+JOULIA CITY OF RENTON BOGACHOV UTILITY SYSTEMS 2101 DAVIS AV S RENTON, WA 98055 PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE J 06 -353 -6 W To aehi ot.1 Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Proiects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp RECEIVED EXHIBIT B 886050011008 MAY 0 2 2006 MAI JOANNE 2011 DAVIS AV S CITY OF RENTON RENTON, WA 98055 UTILITY SYSTEMS PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton,or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above,�mentioned m ods chemicals in its efforts to effect mosquito control on my pro V r /410� DATE SIGNATURE--_---"""" � A14 Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT B 302305901803 RECEIVED OLSON SHAWN & JAIME APR 2 6 2006 3101 TALBOT RD S RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. Gn DATE SIGNATURE q y-;r ), �/ /Sj/ /Iq Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp RECEIVED EXHIBIT B 507000001002 APR 2 5 2006 AGOO SILVER D+GRACE T 3621 SHATTUCK AV S CITY OF RENTON UTILITY SYSTEMS RENTON, WA 98055 PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. G1 DAT9 SIG TURE 410 C-) - Telephone Number r inr N.ma COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT B 334040118005 RECEIVED FRANCESCHINA TODD M APR 2 5 2006 1515 LAKE AV S RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNINGBUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE"form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. DATE SIGNATURE el M rre44 Ca-5 6Z/4 c� Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\S WP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Correspondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT B 855700020008 RECEIVED ADKINS BRIAN E+STEPHANIE H 2401 TALBOT CREST DR S APR 2 5 2006 RENTON, WA 98056 CITY OF RENTON UTILITY SYSTEMS PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE" form that,when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others,I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. q /2-(\j Pt�% 4k"_ DATE SIGNATURE Telephone Number Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Co respondence\2005 Signature Authorization Exh B.DOC\AQtp EXHIBIT B 855700026005 RECEIVED TONSGARD PATRICIA L 2515 TALBOT CREST DR APR 2 1 20Q6 RENTON, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an "AUTHORIZATION AND RELEASE" form that, when signed by you, will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health, the same as for that of others, I hereby authorize the City of Renton, or its representatives, to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. QZ DA E 4;IGNATURE Telephone Number Print Name COMMENTS:�� �� J_ ho_()6�1 s �� � �,� �L-� in l,c � *n Y1olr ��d PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Cotrespondence\2005 Signature Authorization Exh B.DOC\AQtp RECEIVED APR 2 8 2006 EXHIBIT B CITY OF RENTON 886050021007 UTILITY SYSTEMS MASLOW DAVID 2127 DAVIS AV S RENTON, WA 98055 PLANNING/BUILDING/PUBLIC WORKS DEPARTMENT Below is an"AUTHORIZATION AND RELEASE" form that, when signed by you,will authorize the City of Renton or its representative to inspect, analyze, and treat your property for the purpose of mosquito abatement. AUTHORIZATION AND RELEASE In consideration of my interest as a resident and property owner in King County, Washington, and realizing that mosquito control is essential for my family's health,the same as for that of others, I hereby authorize the City of Renton, or its representatives,to enter my land for the purpose of mosquito abatement through the use of the following methods: 1. Inspection; 2. Testing and Analysis; and/or 3. Treatment of Areas with Chemicals For the same consideration, I also release and agree to hold harmless the City of Renton, and its officers and representatives, in their official or individual capacities, for any personal injury or property damage that may arise from the use of the above-mentioned methods and chemicals in its efforts to effect mosquito control on my property. L 9- 06, - DATE SIGNATURE L o b — 9_7 K 719 6 q Telephone Number � Print Name COMMENTS: PLEASE RETURN THE ABOVE INFORMATION TO: Allen Quynn in the enclosed Business Reply Envelope H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2005 Program\City Cotrespondence\2005 Signature Authorization Exh B.DOC\AQtp �* Page 1 /1 a� 'y U � � CITY OF RENTON COPY + + 1055 S. GRADY WAY AMBER �a RENTON, WA 98055 1 4/25/2006 18/0001189 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req. No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del. Date: Contact: PARKER, LIBBY Pre-Assigned PO#?: No Special Inst: r-Maw ,_.Itskmoft 19-4 CAG-05-059 Add.#2-06,2006 Mosquito 19,192.32 x - - s SUBTOTAL 19192.32 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 19,192.32 E 427.000600.018.5960.0038.65.065020 5020/5354 a 19,192.32 Authorized Signature Authorized Siqnature / a Whitworth Pest Solutions 1F 01-0032370 2533 Inter Avenue °� `3 A N VO 1 C E Puyallup, WA 98372 CMG _ 57 _o� I II IIII I IIIII IIIII I III I II 253-845-1818 Fax 253-845-1133 INVOICE DATE 5/11/2006 DUE DATE 5/11/2006 CUSTOMER# 01-0002347 TERMS Net City of Renton PO# 1055 S Grady Way Renton, WA 98055 Allen Quynn AMOUNT DUE 913.92 Fes+ For Service at: Panther Creek Wetland I'MY 16 7-006 Renton, WA 98055 '''TY OF r�EPtTGN 0_ITY SYS1;:h4;J PLEASE RETURN WITH PAYMENT Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @$840.00 each $840.00 Ca, ICE DATE--,5'"1$ _ NAME I'JIT AL/ ATE } I JS OF 19Ca CITY OF RF'"Tr'N*�:t � :RTIFICATlON I,THE UNDERSIG:. ?Y CERTIFY UNDER PENALTY OF PERJURY,THA ;LS HAVE BEEN FURNISHED, THE SERVICES REN. E TABOR PERFORMED AS DESCRIBED HEREIN,)NU T hAT i HE CLAIM IS JUST,DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON, AND THAT I AM AUTHORIZED TC 10THE-P-JiCATE AND CE TIFY TO SAID CLAIM SIGNE : GA Panther ek Wetla_._ ` Total Tax: 73.92 Total This Invoice: 913.92 Renton, WA 98055 5/11/2006 Invoice: 01-0032370 Invoice Date: 5/11/2006 913.92 Payment due on receipt. —- Whitworth Pest Solutions Inc. 2533 Inter Ave. - 1 �t Puyallup,WA 98372' 253-845-1818 888-959-1818 I TO: try Alf Work at: ;j, I � I1` We performed the following services today: Date: Time Y ❑ Please avoid contact with treated area until spray is dry. hour(s) ❑ No restrictions on reentry ❑ Rodents ❑ Initial ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Initial ❑ Follow-up ❑ Odorous House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite ❑ Full Treat ❑ Spot Treat ❑ Odor Control Ll Other Job Cost $ TAX $ V PLEASE PAY THIS AMOUNT-4 $ • `tyc Tax and Discounts Included(If Applicable).Payment due upon receipt Thank You! Comments 9104' Sep 08 06 11 : 32a Pat 253-845-1133 p. 1 �---�d HtSTICIDE APPLICATION ,REGOR.D.,(Version .4) "tea N07�:�K"VA 'MUk-od br 7Y!a»Q�;�RGYr5ys1 SEP 0 8 2006 A- aaie of Application-Year:..... .. "' ' �....,7...... . .Days..»...�................»» . ............... IT Y C)F=RENTON :."t,1`tY B. wmNa,r,a: Whi-twortti Pest Solutiol2a Inc..........� � S � ""� "L ' ' "� 253 eiegtte ..........». ......... � .. 845 1818 CnerrialAppllo8 Ngrpg; Ter Whitworth _ _..._. .... ........ ................�.....»..................»..Lkettse ... ... .......... ................:.C tty:.....� :` kL? C. fZarne of .. ......... Pe�so�►(a)who ajifliied tt�pestkDde: ..O 3.�...:::( .:o. ........ ............. t�o(s):._... 3`7�'.... ...-.... ...7. .�?.JT........................ n Pasriade Worma&)n (Please Ust aU Informatlon for each Pestldde In the tank mlx): . Cor�rzZlation em�ucl Name kwirc-46,,Qbc.,eta)d tx" p*r 1 OQ V-Dau EPA Rom.No. Q1 tank mhc.l&rrntmr vd±_,rA my be�ectn� 12 Kontrol 4-4 (same ingredients 550-194 . 4oz ./acre ae iom s U E APPGcari crop crshe, ,.Mosquito control G. ....................... APParatus License Plate No - �*1e tout'+,':N Intor-nation for tt�a spot c oondrior,4 durLnQ each application: •.•••..'.•••-..••••^'-• . CUSTOUER MOUNT APPUED AREA TREATED Tu1E TF�P vru1D 0 w rum. (b)bmbon.d application-sawt addmu WAIL d mgp {sq, tt, era) F' D!R o�cv ' ►T-Y _ ti F 12 c rl r0_ --- - Acn_E S G( 3 a) W b) '—�- 5. a) Corr) s b) Ike Lb- 6. s) ! �-L Gt �-9-rr ► Post-W Fax Note 7671 Date pages 1 71 To From CoMop 7 C Phone# a Phone# w Fax# °) Fax# b) Sep 08 06 11 . 093 Pat 253-845-1133 p. 1 ' APPLICATION RECOjJD;.(Verslon 4) �—Cm IVNOTrt This sorm mu:i b.oxn�+tad=;;. y';ul:as.:.apl;cx:s«, �� and k MbU4 rsuk d Ior 7 yws'(Ril,�RG1N:173/) A. O+A;G. tion year, ..�`_. -- t,0wth: .....1-1 .,g .oay:.1 .. 1 3 Hama: ... whitwo h Pest s E . .O o -•-- .___.rt... ....... ...Solution Inc Telaphor>allo. ...253�845-1818 ,���?�N_T N Carmer�alA, , P+Brna:. Term .Mitwcrth _ -3%4. _ .......... .._.......cny .... ?A2. .... .. -tat** ..wA ..nr�-..9 8 3 7.`.... C Karr,e of parson► sl-tb aDflllad the postidde: .�t Ir`--„g -�-�f1'�A'.{ ......� -y �l r ....... tnfO+ntisdOn(Plaasa Ilst aA infomiadon for each Pestklde In the t8rik mix): CorticenUariori P a ct Name EPA ^l101y� WD6, �-. •mJ d t�w I CQ spy A9U,NO of oink mty kp= ind irit #? Kontrol 4-4 (same ingredients 550-194 4oz./acr_e Post-it"Fax Note 7671 Date #of v To From _ 1 CoJDeP 1 7 C c �' d f i'7— ti f/Il4.�L`t' ri r '— •��1:�7 Phone# Phone Fax# c AppCca"r oW«81w: to control aPParatus Ucerrrse Plate No.................................,................,... xa 7"a tolloN l tnfocrnation for the spocft oorjdWong durinfl each aPPUCa�: CUSTOUER "WHT APPLIED AREA TREATED TUd2<n TEup W1tiD a) as nun. (b) bc&Wn of appoaLbon.,awt address (tali.d map (sa ti,'are) F• DER vEi ao., ` W p. . w b) s -Qu %T05 Co 6 a 77 b) b) b) , Aug 25 06 01 : 30p Pat 253-845- 1133 p. 1 ----�� r.c511C;1DE APPLICATION ,RE,C.08D;.(Version 4) �"'�---�v�•cam.:. NUM. TM4 10,M RUJM be axnoatod ,dty,af,t#».appilcs�on and k mWR b�Rid br T YO&M A. Daia ot uon.Year: . 8 Firm Nelr : ._.»Whitwor'th Pest Solutions Inc. ............................. ~--------»- ..Teiaplxx�No 2 5 3-�'�Name: ...................... ...Terr ..Whitworth................ . 8 4 5-1818 JAppa M374........»_.... ...._ S`reec �._.,� .... . . ................. .L.ice�?se:10.0` . ...»...............»»....................._......._....... . n � ...�Av�. . cfty ..�.L�Y.fij:. :JP. .......-- »Slate: WA--. 71n- 9 8 3 7 Z c u {$)�3 d meuade...... o S i:....rN.a.l. s ,-�....... y: .._.. . ............. ^:o( }: �» _._..4�.. ......... .`7.-IS2. ..................... , c ��madon (please Lq all Inforrnatlon for each pesticide In the tank MIX): . PlOdict NZIMa Amu-(ibt QU, sto)cobr" wr IoQ try EPA Reg. No of tank mts / noint.nr1 MA M�be t- hf- -)L #2 Kontrol 4-4 ( same ingredients 550-194 . 4oa./acr.e as iocn s • U E. APP5=in c;W or slte: .._.Mosquito control. . 188 ,• GdPlate No. ..................R-OcO ................................. me (OaO' iru�VJormati for the SPOc c corXWor�during each appUcatlon: Ct18TOLER NdOIJNT APPUED ARPA TRr_ATED TLuz TEM? MliKD U rfr (b) bcabCxl.a(IPPkxion-arvo adonis (pals a Mw {scl tt.,'sic,) F' DLR VEL a) O F r-4 TD /J Ac1Zk R 0 2 � _ 01 b) a � 5 a� D) • 6 a} Post U Fax Note 7871 ease #or D} To 1 Pa9e5, i 1 From a Co./De p _ Cp b Phone#�� 0f ti1'T L' (` )c,� . } Phone# _ Fax# 9. � f - '� --.C_",•� , ./_�� Fax# b) Rug 18 06 01 : 49p Pat 253-845-1133 p. 1 APPLICATION -REC.C)RD,,(Versfon .4) NOTE TNs foam WILIMhtbq for W wr fiGYV`17M) a n r ate; A. Dwaalcatlon-Year,... .Y�... kfonth ...... ... ............... .aay:f.......,.. .........:.................... � ..�.. 0...... Whitworth Past Solutions Inc. Firm �.....-... a. ►Zarrsa:..._... .....................- .. :Telephone iYo� ...2 5 3-8 4 5-1818 Y 1R 001T �-.ai Appiicatp��Name:, Terra:. Wh i twc r th, . ... . 3 7 4... .-...- �it/7 N_... S�t3et adGras� ..i.......... ........... City:• ..�.11.Y.�i�:'1�1P_. .... •� ..SLaLe:w WA....7n .. . .... ... C r�tsrne of pa+3cx�(s)wt�o e.>p od the pesUdde: . . 1�......N.'d ri Sl.�- L--(�-V� L j�f �-- ' use 40 3 `7 U.4�'..-....�a f. ........... ............. a ►��ma>ion(please list ay lnfomtatlort for each pest clde In the tank MIX): Corioarr>raUort i eruct Nerve rn""-(t4.otL, W4 at bm-d ww 1o4 e� EPA Reg.No. of lank mtr M)OUrn 11rd Irm nxrn hn vxr}f4: #? Rontrol 4-4 (same ingredients 550-194 4oz./acne as iom s - — Post-it"Fax Note 7671 Date pages10. UTo From Co-/Dep � -7 C ti c• — �i OF V57 Phone# Phone Fax# Fax# E- Ali aW or site: Mosquito control .............................F APPWWL'3 l.laWM Plata No...................... .._........................_. Rec�rti me totlowing Worm bon for the sPOCft 00nQWA during e&ch applSca2Sort: CUSTOuER ALOUNT APP= AREA TREATED TUJI TW WL40 k)to P-Tw Cb)►ccation.of 9POmWn-srr"Lddrsu caw.d MW (w E,'�) F~ M VEL ' a) C, TY - O F mac`N ZZD 1-4 2 Q w b) 6 7 b) b) Aug 11 06 09: 53a Pat 253-845- 1133 P. 1 ----� --� NC51ICIUE APPLICATION ,REC.ORD;.(Version .4) NOTE: ThLf sum mum t» -•�••. •c:,u.•4 wmPi+tsd wna.day at;ltt�:a�pUcidon and It mui ba lsizirwd tar 7 Y' sA. '(Ril:Fs✓1N.17Zt) DUW of Appik ariprt year Q.kP.. Month: ..... Day:i..... ............:....................... .. .. _Whitwor'th•.-Pest Solutions, Inc;...•..;T �. ,. 253-845-1818......................•.......... Cornx+rrialApp3catDev Name:. Term..Whitwdrth.... ..............l3cs� :N0...... 374;......................................... 54det AGdras�... . . .:: )?.tc� ... 1X.�........... l..... ... .........Cti�/ ...._ .411: r:1:1�P_ .... Stata: �?A... 71n 8 3 7 2.... C nam rti( e or persos)who apoad the p6W;dde: �.�!.�S f.4•j►�S - .... G f' (0-`7. .4P.-�................... �. o Pestioc Ird=lauort(please UV au lnformaUon for each pesUdde in the tank mix): Cor�carttra2iari M10c.sr4- (Lbs-, Qts., stuff cl tx"par t oQ gac— MAuct Hama EPA Reg.No• QUankgh ArD=tr)l un_k"- ,Zl Lem t? Konzrol 4-4 ( game ingredients 550-194 4oz ./acr.e as iow s U E A*p8cabon aW or title: .... t o...c o n t r o 1.............>_. Appa.ratus License Plate No. .............:..:.... ................................. G Rea the touowlnq lrtlormation for the spadflc co=born during each applk;at : CU8TOUER "OUNT APPUED AREA TREATED TUAZ TEUP WLKO U U r4" (D) 1=u ci appilctbon-alr"addrs" bLIL d U 4 (K. M.,etc-) F' DIR VEL p.w 4 b) 5. a) car„ 5- ItiC b) , - - Post-it"Fax Note 7671 Date pages b' To 1 - From 7 � � a Co./Deft; - CS f U'T C �' C� r1 J14`�=> y 7- Phone# Phone# _ - - Fax N/ - 1 ,, ,�,� Fax# b) Aug 04 06 07: 32a Pat 253-845-1133 P. 1 APPLICATION -REC,O fiD;;.(Verslon .4) NOTC TN4 form IT"bo=rm*W s�rn.",d�Y:!�:�•`•!tvc�� ram, ar,d k rrwsc b9 MUkwd for 7 Y'uv'( :P.QV jT.21) a (tea or Appticabpn-Year:...�� Month:.....0.d.�............... May:i......., ......_.. ........................................ B. �,„� _ ^Whitworth Pest Solutions Inc. "' 253-845-1818 CarYr�ar App3caWr's NartSa:. Terri'...Whitworth....... .........:Te�apt�or�e No. .M374,... ....... - S:U 3 Addre=. .+. . .::�i�? c.�!#-i...l�X.�........... .. .........City:. :1: P.. ........... ..slate: •WA„ 71n...�8 3 7 z . C N:1r,e or Persor►(s)wtio applied the pestidde: ......;................. No(s):..... 3 `� ..4 ........ .`l.�.!a: ..................... Q Fss a lntorrnark�n �Ilst ag Infomiatlon for each pesd dde In the tank mfx): . Am= • (Lb... OLK.,W4 of brand wr t W guou RrQd ct Name EPA Reg.No of tnnk m!x me LW tax m zi be XQ2=to #? Kontrol 4-4 (same ingredients 550-194 . 4oz./acr-e as -- Post-it"Fax Note 7671 Date pag°es� G� To From Co./Dep C �i b f^ .r ti N -'rlfrL�'`r' r: Phone# Phone# Fax#/_ — Fax# E pppGcation aW or Mosquito control APParatus Ucense Plata No......................................................... G Racvra me touowir-1Q WOMulbon for the specft corKiWona during each applIcabon: CUSTouER "OUKT A.PPi1ED AMA MUTED TLUE TEMP wuw V ae runty (D)bcsSiort.d -sot►sf sddrw, (g:tt d tngQ F' otR VEL o�w r4 To 4 b) Cam s' OSb . J) �' b) 7 b) b) Jul 14 06 06: 59a Pat 253-845- 1133 P. 1 V_�_ APPLICATION •RE•GORD ..(Version 4) RECEIVED NOTE: TNS loan must be cornpl.tad siiti%da'y%a�:tttii`:appitic�zlan . k mug be roUk*d Ior 7 ywi'tRil:Fifrlhl:`I7s1) JUL 1 006 Dale a Year.. .. ......1 .. ............. A- Applynon t - Month � GCTY ....... .......,. .Day.• .. ............ .OF..R1=f�ITON. ... 6 RrmName: Whitworth Pest Solutions, Inc. :.r �� .253-845-181]1IIUTY SYSTEMS Car>rnerdal Nama:. T e r rX..W h i twor t h........ ....... '.. No...... 374..»..:_..........,............ ......... SSBe(Abdrasx._.Z. . .:: I} 4�i...t'1X�......... ...................Ott, .... .l�Y:f1;�:3:41P_ .... ..StaI9 Via?!... 71n .�8 3 7 2..... C Name o$verson(s)who appOod ma wade: .... t-:.4= ti: ...... .G f .........._. .,�. ucarrw►O(s):...... 3-?................... : ..................... t, Pssbcze lydom labW(please list au InforniaVw for each pesticide In the tank mfx): . Cor�cerctraibn M)OuU- P4 Gu,%=t d br"pw 104 g0ory RroductNam EPA Reg,No. cK ltmnk!nt:knns,nt Lod Lr4k n=I!�ff.upod1r,01i #? Kontrol 4-4 ( same ingredients 550-194 4oz ./acne as iom s Post-if'Fax Note 7671 Date pages 1 — UTo `i From Co./Dept, -� C _ — t CS t A)T C 1 rl JT4`Lc' :7 Phone tt Phone# _ I�;I — Fax#, - > �7. Fax# E Aicalso+, avp or site: ....Mos�uito...control.............. 4p4iratue Ucerm Plate No........................................................ G R4cxci the touo,�Womiabon for the spoofio cor►Oorq dUM9 each applIcati�on: CUSTOMER AMOUNT A,PPL1t:D AREA TREATED Tull: TEM➢ MrlxD C w rum. (b)bcarion of appGaLbon-&V W ad&vt (pab_of MW (sq.r_'ow-) F• DL9 VEL o-vv a) C;m Y O F t4T_0 I-,1 f S . _ 7,0 5 G S a`-( `i - - za) b) s a � w a � b} p) . 6 a) b} 9 � b) Jul 07 OG 08: 14a Pat 253-845- 1133 FW P. 1 NC511(;IUE APPLICATION RF.C.ORD.,(Version .4) RCCEIVED �rvar.r..pv caw`. �...v..y�•. . NOTE: Tt"loan must be=rQwwd aarni.dly:a�;ttw:t�pr3ca�ori and X moat be rsukwd for 7 ysam*V JUL 0 7 2006 A- Dw-a or AppUaZon-Year:.. . .... �vSonth ........A 08y.1._. , CITY OF RENTON 2. F•umt`arne..., Whitworth Pest Solutions,^ .:In.......... ..� ..........................i.�la�f��sl�ea ......_... ....:.......Telap hone No. ...2 5 3-8 4 5-1818 Cgn7wc!a1 A,-pGc=rV Nama_. Terra:..Whitworth................. _ 37 4. _ _ Suet Ad�sax._.z .A.c �,...AX�.t.......... .. City • .����)`?^......... ..5tata:...WA ..................�n. 98.3 7.z.... C .lame or pa-"go who appuad the pestsdde: �5......C �.Q.j.,rk 5�.',-�......,L : -y�� N Lkwtse"s):..... 3 '..-.... .`7. ..................... ----........_. pestac'�e Ird=labfi (please Ust all Information for each pesUGde In the tank mfx): Concentution ?Mducl Name Arnouru-(LL4, QMc VW)CI brand per 1 QQ g0oru EPA RB4.No, &tank mix Am=l rri%nM mml be 12 Rontrol 4-4 ( same ingredients 550-194 4oz ./acneo as im s Post-it"Fax Note 7671 Date pagoIT, To l From Co./Dep} c Co. CS f ��J C,r �a,tllll,��t' rl 7- Phone u� Phone 1 _ .. Fax ri r-tt-� Fax h E Ap �D or . Mosquito control APParatus lker-se Plate No...................................................... G aecOm 7�e to;lowtnq Wommtlon for the apecitk=X00M during each applkat w: CUUTOLIER AMOUNT/IPPUED AREA TREATED TUT TEILP wM a U Warn. Cb)tcawn d kxkzlSal-W"addM" (9+Ja d cto (w !L, stc) F' D1R VEL ow _ o F c` TO lj b) 11� r E}'2 Lek U1 �� 2 Q _ d 5 a) �� S' � � `�'L•f`i I�1. �S cl_,(,C-(� C--�Gr �ic�,,, _/1 ._ b) b) & a1 9. b) Jun 30 06 09: 00a Pat 253-845-1133 P. 1 �--� N.C51 IC;IUE APPLICATION -REC.O fiD;.(Verslon .4) �,.. NOTt: Th!,torm must bq oomphtad sircw,�a�;tt>.:apptk�tSon .na k MW be nakwd b,,r r r r:`RGw'i7s1) Gate of Icon-Ysar,To ,Q• , month: ......... w............ : ........ .. . B. Rr,,,ntarr,�, Whitworth Pest Solutions Inc. " 253-845-1818 7e'L'�ADPaitX`YI�187Y18:-. .Terry..Whitworth ................. TNo .......374.elophorw No. »...�............»..._........._........ Saeec A=e= 1,\X .t......... . ......... Ctty:. .k.Y. :�: 1P_..................Slats: .WA.. 71n' he ..y..........T..F: .. �MMIVED n- lydwTWtion(Please list all Inlomiatlon for each pasiUcIde in the tank mix): , JUN 3 0 2006 C0rCWtXZoVCITY OF RENTON MXXMI- (Lbo.,Ors,staff of bru4WjnVglr 1S A Rea.No of nk m±r mt nr1 SDK rmw t)q w2dbm 12 Rontrol 4-4 ( same ingredients 550-194 4oa./acre as lom » Post-it'Fax Note 7671 Date #or � pages UTo From CoJDep 7 C c — Phone N Phone# Fax#1 _ — Fax# " E. AppGcabon aW or sne: Mos.quito control aAParatus Ucerise Plate No.............................. ....... ................... G Recarti TT O tollowing information for the specffc condWons during each sppL%mtloon: CUSTOMER A1IDUNT APPUED AREA TREATED TLUI TEMP VALID N r-rw (b)bculon.d tppkabon-grW addnw (ptl�of MW (W.tt.,' F• D1A VEL - Ma) . 4 b) `�,�n s a) �fYl f' -S 0 �i 1j J sty`�y ��+—c ��Z 6 �1 7 b) & b) 9. a) b) Jun 23 06 07: 16a Pat 253-845- 1 133 RECEIVEV 1(;WE APPLICATION RECOiD...(VersIon .4)NOM- TNj form mws b@=04t#d"gli and>t nvia be roUkwd for ysam,t��,,-Y, p -�w JUN 2 3 �00b Cl I y OF HE K7011T- A- Dais 01 Appkaton-Year-. - .P............... NSonth ...... UTILITY SYSTEMS........... ................. ................................... ............ .... S. Firm t4anw--- Whitworth Past Solutions, Inc. No. ...253-845-1818 ........................................ ............*'f�; ............ App3catcev Na= . Whitworth 374. . .................................... Suter ........... .......... . ............... . . ...... C Namw of oars who applied W te pestcde: .. .. . . . ....... . Llcsctse No(3):......(4 3'-7 L-,9 .................... 11 Pezc)da lrdonTa6on(plewe llst aU Infori-nabon for each Pesddde In the W*MIX): C4=anbzt�on M-0al - ps, as..sac)ol br"W loq g-aora Product Hzim2 EPA Bet1,No, ci tank rrfbc- MXXrff trYl kink nzl be wodfiod #2 Kontrol 4-4 ( same ingredients 550-194 4oz ./acre as--B iota ist) Post-W Fax Note 7671 Date pages To From Co./Dep 7 C?�t. Phone# Phone Fax# Fax# I- App5aitbn OW or efts: .... ...!control 'F. Ljc�� . ...................... G P-OcO Me t030wing L-dwriaton for the specft=Kqdor4 during each appUmton: CUSTOUE.9 AUOUHT AP?UED AREA TREATED TWE TEUP VAUD U as rwN (b)tad cn.d appkzt$cn-strW addrsu gals.amw (sq. IL.*or-) F' OLR VEL aw ;T-Y - Q F t-4T-0 h4 -S �i-46 a) C 5, a) VIP 7 8. a) b) Jun 16 06 05: 55a Pat 253-845- 1133 P. 1 Nt61 RARE APPLICATION �REQQVi (Version 4) NOTL: ThW iorm mutt b@=94tad urrw..dty. ;t#ti tppticalSon II __ and k mwR W rSUk*d W.7 Ya+r4'(fi '1TZI) A- D�r_a of AppLcc -Year: . ..l.,.cs!.. 8 Firm Name: two'""'-rth peat Soltions, Inc. ' .;TaeleQtiotlahlo. ...253-845-1818 ^ _-....................... .................. C %7Wr W AppBoatot'si'Nama.. Zaay..Whitworth.................. �M374:......:............................................... .................Stale: ... 7ln -�8 3 7 2..... .. ..... .. ..WA C name or :.° .......! . _1 ti'� ,Fj L){ D �(S)/v-+ho applied me pestfdde: / .,,...........,......................._............... .._.._............................... ..................... Q t'es de Worrnabon(plaase Ust all tnfonnadon for each pestldde to the tank mU): . Cortior� Product Nnme EPA Req�� ^x mnc Tmzt be P #2 Kontrol 4--4 (same ingredients 550-194 4oz . /acne au iom s - __ Post-it' Fax Note 7671 Dale pages _ UTo From Co./Dep�i Phone# Phone Fax# , - Fax# E. Appcx:a on OW or Ella: ....Mosquito control............. Apparatus Ucentise Ptak No...................................................... G R.acorc the loflowtr►g Worinabon for the spedfic con(adong during eat apP : CUSTOUER AMOUNT APPUlrD AREA TREATED TLUI TEMP viviv U A:7 rurrr �) bcx�ort d tp�llcatiran-tit ad6ntt (V41L of MW (9C71 tt..•Eta) F' UtA VEL ovv C,aI-Y _ a F r4 ti! s . � _T y J ~� ri b) D) 5 a) D) D} 7 D) fl a) b) 9. a) b) Jun 09 06 11 : 04a Pat 253-845-1133 P. 1 and k mwt a•t�Jn.d+«�ra�'(f�`�h':57:z>> , ans a t3on YsarNbnth: ......Qk...... .....� Rfm Whitworth Pest Solutiioria, Inc Tel ^253-845-1818 Corrvnerza�RDp�caior Karns: Term Whit orth................ No. ., 374. ... ................................. Sic nddr p�._. I? ...11X ....•......................... l scei's 'No...........................-... ........ .... ................ z. CttP... Jy_ .... .5tste: WA.:.. 21p; S 8.3.7.2... rune oI PW30N3)who )wt?1e p8.�: cJ,�S�....:. f ��l.�,s.�..�. :...:�r .... .. �..._�_�G�.r.... .... .. � ert5g►.ofs):... 3. -....`L'.n'.1..k.z.................. (PlOam UV d Infoamtion for each pestldde In the tank rnlx): , JUN 0 9 2006 �uot nma �� • P4., or:.%%o4 d tw" W I �Y CITY OF RENTOfV EEA Ham.No. of lank �"'r LCA UM UTILITY SYSIAIS t ? ROn.t_ol 4-4 ( same ingredients 550-1.94 4oz ./acr.e ae iom s — — ,_ Post-it'Fax Note 7671 Date pages To From � 1 �i bf T�i Nrl4;Li' ti r_ — ��cc'r:tT Phone# Phone# Fax# Fax# AppCc&xn Crop or She: Mosquito control .. aPPaMzva ticense Plata r1o........................................................ Ragrp-- a touowtnq WWT%ari for the 6p6C1tS0 corxbonl durtn9 each nppLt aU : CUM UER /.COUNT APPUM APEA TREATW TU11 TEuP WLIQ u �a rum fp)1xscSrx�0 appllaWn-avo adds (o•d MW (sa, tL,'sta,) F. D[R VE2. Pw )-ry ior.= f261 ro t4 57 �� ewe vUs� � ��•�s a�s�o a = a ' . aj D) ' Jun 02 06 05: 49a Pat 253-845- 1133 P. 1 NOM TNs loan=A W OOR04L d Wrw,dty afti�;�ppucadon iu�d k musi ba tstalrwd for 7 ysani:(Fiif: Gate of Application-Year: �` Month; Days , S. Firrn►4vna:.._.Whi•two=th Peat solutions, Inc.:........T... ...253-845-1818�..... _ V< elaphorfe No. Name:_Terr.Y...Whitworth No...... 37 4..._..,:......-......................................... ...�1X�.•.. ....................................•Ctty:. '�:�hP..�......... ..State: WA... �„• 98372..... C. Name of perso 3)who appaw the psswcse: ..I ............. Licec>;se No(s):.....�3"7 V...W....... .`7.` .(?..5 ...........I......... a Pestksde Irrtorrnark Cc 1owe Ust al!Information for each pest clde In the tank mbc): . ConcofautQn ProduvtNam ',mo�xa• (LbF,ats., smJ d txar�d p.r tOQ�➢oro EPA R2U,NO, of lank mb Amxxx u)d t nK rfKM,.�t g #2 Rontrol 4-4 (same ingredients 550-194 . 4oz ./acne as iom e - ----- - „__ Post-it" Fax Note 7671 Dale paof ges RECEIVE To 1 i From Co./Dep C ?_ - Il1N n 2 006 l o t N7 �,rlJr4' c' :H ' �ZTyTi 1 Phone N Phone k _ CITY OF RENTON Fax H — Fax M 1 f _ UTILITY SYSTEMS — E App&Cal�on ap or shs: Mosquito control � App��Warm PLate No ............. ............. .... ............. . ....................................................... .. ............ G ROcord the tdlowinq information for the spectttc oondltioM during each appUcatioon- CMOYEA AUGUNT APPULD AREA TREATED TWE TE11P WLHD Q w nine D)baton d appOadon-ar"adarg, (A.d MW (w. a..'sta) F• ow VEL a) I/� �. .ITY _ b F . �2c`MT70 _ S. - fP ,T?-1, _ ...._. K b) ► �?"�#�'� e k Gt 1Er C-riu Aozr S 10.30 4. q1 b) b) 6. E� 7 $) b) b) b) May 31 06 03: 14p Pat 253-845-1133 p. 1 • �-� �����:. t1r'r't_►V/-�1 Ivly 1-tCI:.V.r1U. .`V6CSlOf1 ,4) C4-0-.*ftwo'Qo. NOT>✓ mis Cara mcus b.oorrtivt+tid iG�F da Val;tftii:typli Zion and K musi b�t�zYJnad for 7 Ya+n:(R �1(V.•'17;s1) A- gaze a Apflli�-Year: H. wmHarre:- Whi�twortti Pest Solutions, Inc. ::'rL`Yi ...253-845-1818................................. cwaPD '+sNarna:. Terri_ Whitworth................ a Onef. 374.- w l..S�a(tiseNo...... :.-..................................................... X .�. City.:.: '.�lY:f 11p. State: W?�.... 27p: ..�8,3 7 2.... C. Nwr-O a peraon(s)who,tipp led the pesvade:...... .°5 E......N:o. st, = ... BYO ' .....,.,��C&r.....Lkwma ......... No(3):......4...3 ?. ........ ..................... a Pestidde Lrd nnatian(pdeasa list all Information for each pestJcdde In the tank mbc): . MxxxV-Pi-.Qts.. d brand Pat IOQ p0ons EPA Reg.No, d tank Mix-6M=5nd UM MW Ce M 12 Kontrol 4-4 (same ingredients 550-194 4oz./acne as iom s --- Post-itf'Fax Note 7671 Date paogesp- _ UTo From 1 Co./Dep C c Phone# Phone J t 1 p Fax#! E AppI ,aW or Wte: ... MoscZuito control 'F Apparatus Ucwlse Plats No.......-.............. ......................................... ................................ G. Racaru the following information for the spec&cor4dom during each application: aJ U nun. 0))io b .d appkabon-WW addrau Gala.a MW (sa.L. str-) F• D!R vn,p,7v ' Ce'rY _ b F . NT7 ti( n ��°_ La "+ b) 14-►�1' '�2- - �k . L,ht,t Ac,)2.1=S Qi 3� 2 a) _ 4. 5. al 6. b) 7. a) b) a $) b) b) May 19 06 05: 43a Pat 253-945- 1133 P. 1 iVly rAQt.0,V iU;,�VHfS10[1 .4) NUM' Thia form must be wnp4tid stir `dty tt;t ;s tlon �d is must N r*4k d for 7 y.o.(R:c:Fi{1�1:1Y.Y1) A- Dale or Appacatjon-Year:_ Q,(a...... Month: .... .............. ..I.s B. R1rmNama:.. whitworth, Pest .Solutioris, Inc. TWeph. .:; Y. ..... �253-845-1818. C wrlerrlalAppBcaWev"Name- Terri Whitworth................. ���.,, 3-14. ... . ................................._ 1X. ..,.� .. .........:.Ctty:.. : 'r1P._ ..............State WA... ZIE) �$.3.......... C. Flame of persor�(s)who applied the P-863 e: S t ...::.(`l a. SI,U- ... t-.4=V O W...... ..C: .. ...........,,. �. _ 3'7 ....`....�a.`7. .!a����................•.... Pastdde ►ntorrnadon(please Ust all Wommdon for each pesdcde In the tank nh x): . Corp Anxwnt- (Lbs.,QtL, sac)d br"W toq ga2oru Pr4dvct Name EPA R9g.No, pt lank rnhf 6mQ=L„d uNI rryusi be #2 Ront:rol 4-4 (same ingredients 550-194 . 4oz ./acr~e as iom a —- - Post-it"Fax Note 7671 Dale #or U pages To From Co./De P 7 C � C�f ;-r ti. ii 'rll�Lc`L c' ri z- Phone# Phone ri Fax# Fax# E AppEcarjon crop or ells: ....Mos auito..contro1............. APParaMW Lkertse Plate N ......-.....:.:......._................................o. G. Racard tltie tollawN information for the specft il4tSong during eaCh aPP : CtJ O W E R "(YJNT APPt.IfrD AREA TRUT eD TAlL T ES P VAND U U nwro M ioca -d sppOcstiort-VWW addrog WAIL d ato (n K. F- DLR VE L a„v 3 � D) ' 0 b) 5r1� -SILLY. e) Q k, UJ, u"_% 6. 8) b) b) b) b) May 12 06 07: 26a Pat 253-845- 1133 RECEIVED �`•sLr r r w i iuvi t-tCli.VtiU;.kV6fsion .4) NOTE' ThW tonic MA be ooalit:d w4diy;it:t#ii+aapticst�on tor.T ysLrs:0 MAY 1 2 2006 // aM k mut a ts> d tiC1�f:{1Y31) A QazB 01 App6cabon-Year:..r b ..... ............ :fJaY'.. ...1.�5•.... ............:...................... UTILITY SYSTEMS...... g_ FirmNarne:.. Whitworth Peat Solutions, Inc. L, 253-845-I8Z8� ---------» ..........Te3aptxxiaNa ... .... ... .................................. 001T rc�siAppB=u-'a Nama:. Terri!..Whi-twVrth 374; _ _ .......................lS*1091 ,. .............................. SXt�ec Address;._. .` T?.c4 ...p1Y. ........... ............. City ... .41Y. :' P. . .. Stata:�..W?�.... Z7p:..�$.3 7 2..... C tame of peraor�(s)who applied the pesticide: ..J s c.....�(�f d.�,..R.S{' —�... ., :�% Y� Jul,--. CH T' Lk2�No(s):..... 3`� .. ...-.... ... ..................... a Irdorma2f�n(please Est aU WonnatJon for each pesUcide In the tank mtx): . cowardration Ana."-(Ux az,%%aJ a br"per tOQ 9&2a s ProduclNim EPA R2C 1 N4. of ref M r%M nxzi be 1atdl4W #2 Rontrol 4--4 (same ingredients 550-194 . 4oz ./acr-e as iom s Post-it"Fax Note 7671 Date x o1 pages �f To - From 7 � Co./Dep C �i C1{- ��i_r_ ti �-'rl t�L._'L•c' sJ '" -— �)L.:c"�i .. Phone# Phone# --'s !Ci 1 . Fax# , Fax# 1 � _ E_ App6Cabon OW or stte: ....M .qq to...control..............F ApparaW3 Ucanse Plate No...............:........................................ G Record the totiowir►g Wormation for the spedk condWonA during each appEcatlon: Ct18TO UEA ALIOUNT APPUED AREA TREATED TWE Tup VAX0 U w rIA-4 0)b"tfa'.d sppllmdon•sbiW•dchu (pals,of v,4 (w.�.. •tc.) r DER y'EL o-ov b) r ►� k l r ON14 n A s C 3.� 3 � i b) 4 N b) b) A�-sz ll� --�1� . • 6. a) 7 0) 't b) b) Ma8 05 06 07: 42a Pat 253-845- 1133 p. 1 ttCli.V U .kvmion •4) NOM Thb form trout be wnp4L4 d sair�".dty al:tt�:appuc tfon and K must b�tstiSrwd Ior 7 ysar�;(i��fiCljr:77,.Y1) A. Dals of AppilcBtSpn Year C �yx.....Month...Q.5, %................Oay:f.....»,......1.-.-. .. .... .. ... B. Firm Name: ..Twhitworth VestSoluti0he... .Inc; . ...::TelephoneNo. ..253-845-1818................................ CanrnerdalAPPacsDorjN . Terri_ Whitworth.......... ... ���r,,.��,,,�� _ .... ............--.. ---. --_.-..-_-----.-.-_-.---. Sweet nddrass: .,...... .. ........... C. ..��: ?r�P_. ...............5t8ts: WA.... Z�p: ..�8 3 72 C. Name of pemson(s)who np$i W the pesticlde: /R SLv — _ -YD ..y.. l...t.. .... i . Ucanse No(s):..... 3. . ....... ..................... lz PeSdr-ida Womlabon(Dlaas9 Ust all Information for each pestidde In the tank mbc): . Corker MVJon Amount- ttbs..Ott., W4 d band per ioQ tip PioductN= EPA Rea.No. d Lnk me Amount v)d uNt ryw be un,&� 12 Kontrol 4-4 (same ingredients 550-194 . 4oz ./acne as iom s - _ -- ---- -- Post-if: Fax Note 7671 Date pa°ges� UTo From Co./Dep t -7 C t b f T ,�; -'Nrr&` n fi_ Phone# Phone Fax# Fax# E- A p&=j on crop or sJte: ....Mos�u3 to...control.............r-. ............:....... ���ucw�ss race rvo. - - - ................................. G RacoM me touow N lntornuLbon for the woo tic can OonA during each appUcabon: MWOUEA IuiOUNT IlpF.= AREA TREATED TWI! TELP wlxD a1 w rum. 0))loca -d appkatfat-strwt Kww (Gala.d MW (sq.1L,•str,) P OIA VEL aav ' a) l�r TY _ b F . ►mil T-0- 14 S_ L�L _ 21:2 5- 5 3� E 1--3 rl b) r - el . C.t1fJ AcnF S w , 2 hh�� it r! W 0) !. a �T b) l/ S. CL7 6. as b) 7 b) - H EQ b) Apr 28 06 06: 13a Pat 253-845- 1133 p. 1 •....v ��/,�uG�yMrrWtoAi1Ui1i 'hLt.;VnU,.tvBC$iOCI .4) N. day,ay:ttti•:tpptjcs�or► and k rt>uss bs rstalnad br 7 ysur:(RiK�Fi�,1ty,'17,Y1) . Dale d Apptic�-Year...s S. RrmNarna:.�Whi�twort;h Pest Solutions, Inc. LY1 +.: ..253-845-1818•-.- .. . .......... .........:Telaphons too. CorrvnWCWAPPk= *N ma: Terra'..Whitworth................. :No.. •..,374'... ..... . . ......................... - L36, Saoe(�+ddrasx._.,. . .'�..: 1?.54 ...RX�.�......... ..................C .... ..........................wA................8.37.Z.... ]- ` ' tty: ..:.�.RY.�:�1�iP. Scats: C. trams of pe WNS)who nppUe the p�es2idde: ............. ...:.: !.'o / 5_l.a-- 1 VD �`/..... 7-�h�............... ,...�. Uc�tao(s):......1j.e3�? .. ........... ?5..................... a P Ltormauon(please Usi aU Intomtadon for each pesddde to the tank mtx): . CorticettTration 1l=w%-(t.bs- atL.stQ d br" pv t oQ ga" EPA R$�.No. of tank t"tr,,d ULt be w:>o Qd 12 Kontrol 4-4 (same ingredients 550-194 . 4oa./acne as lom s - Post-it"Fax Note 7671 Date #of t UTO 1 From Co./Dep -) C Li CSC A:7C u -'NrTI�`�r' tl r. Phone# Phone# Fax# Fax# /- E App , oW or she: Mosquito control � Apparatus LlcsrLse Plats No....................................................... G. P-Dmrt trie 1040*n9 Information for the apscifio cor4tiom during each appuca : CUS70UER AUDUKT APPUED AREA TWTED YWJ TEUP WKD U U Harr,. (b)10=u n.of appka bn-atrwt addM" (&i:.d MW (+v. IL.'Straj F' DIR VEL o-vv i a) CITY F K NTO S. . (P� _7 VV 3. 9) .. b) 7 � b) b) b) Apr 21 06 08: 56a Pat 253-845- 1133 p. 1 SVIV Orb Ion q) NOTE: TNs form mug be oomplitad surdd4y,141 WIDOi is nn .nd k rswst bi'ttitzkwd Sot 7 yws:(Ri(;ti�.1�Y.`17',.Y1) A Laze oI AppL=a On-Year �Qq Month i./ f, B. Rrmtsan,e:..__Whitworth.. Pest .SolutSoria Inc: . ..::T�alaptrOro Pto. ...253-845-1818, - ..... .... . Carunerde i Appacato�y Kama:. Te r rX..Wh i twox ti................... Ll tisa;No..».. 374. ......:................................................. Sweet .�. ....: D V;...�:1".t. City :.�.�11:f�:�:�P. ......... State: WA.... ZID:..�8 3 7 2.... C. ►vane of person s)who npoaW the pest clde: .... 1 .... ( C? .... ... Lkxv,se No(s):..... ..................... a Panda VdwT abw (please list aU fnfonna7on for each pesddde In the tank mtx): . Cot�certUatiorl Mlowv • (I.bs.,ass.,.ac,) or bc"w ICQ 9LAOM Product Naml EPA RQg No. 91 ibnk rr6f. Armtmi yuM nm bb!r%po&?od, 12 Kontrol 4-4 (same ingredients 550-194 . 40z ./acne as iom e — -_ - U Post-V Fax Note 7671 Date pa°ges To From Co./Dep(�I i 6 f Phone# Phone# Fax# Fax# E. AppGcarion crop or s te: ....Mos�Uito control .. ►w r-taw"V. - - G. RO='d me INIO�lntWTZbon for the specfic condWOM during each a,ppUc atwL MWOYEA "OUNT APFlU D AREA TMATED TIUZ TEL P wwo y U rarrw (b)l=:lon.ot appOCtt3on-gz;"sddrsu WLIL Of UO (54.1't.., F' DER VFL opv ITY _ OF r4 T-0 1-f S. Q�C � , �t � O � d Ac YLE S 13 . 15 � a� b) s. a) 7 D) 8. a) 9 b) r Page 1 /1 �Y U1 �� CITY OF RENTON _ + ' + 1055 S. GRADY WAY DATE _ PO NUMBER RENTON, WA 98055 4/25/2006 18/0001189 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del. Date: Contact: PARKER, LIBBY Pre-Assigned PO#?: NO Special Inst: r . CAG-05-059 Add.#2-06,2006 Mosquito 19,192.32 ME I z.; a A, _ SUBTOTAL 19192.32 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 19,192.32 count Num, .; Work,Ordgr;Function Number± <'„ , „ tflount' E7427.070060!0�O18.5960.0038.65.065020 5020/5354 19,192.32 Authnri7Pri Rinnafiiro <<�y Whitworth Pest Solutions �� VO I 01-0032369 2533 Inter Avenue 7j� Puyallup, WA 98372 IIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIII 253-845-1818 Fax 253-845-1133 INVOICE DATE 5/4/2006 DUE DATE 5/4/2006 CUSTOMER# 01-0002347 TERMS Net 0 City of Renton PO# 1055 S Grady Way Renton, WA 98055 Allen Quynn AMOUNT DUE 913.92 RECEIVEDFor Service at: Panther Creek Wetland MAY 0 8 2000 Renton, WA 98055 CITY OF RENTON UTILITY SYSTEMS PLEASE RETURN WITH PAYMENT Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @ $840.00 each $840.00 CONCURRENCE CI-A 1 r-h .t tt?t LAWS OF 1965 GON�U R- CITY OF RENTON CERTIFICATION DATE I,THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY NAME INITIAL/QATE OF PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED, THE SERVICES RENDERED 08 THE LABOR PERFORMED AS d `/ C HEREIN,AND THAT THE CLAIM IS JUST,DUE AND UNPA DIBED OBL OBLIGATION AGAINST THE CITY OF RENTON, AND �' THAT I AM AUTHORIZED TO AUTHENTICATE AN CERT FY TO SAID CLAIM. SIGNED: 1 Panther Creek Wetland Total Tax: 73.92 Total This Invoice: 913.92 Renton, WA 98055 5/4/2006 Invoice: 01-0032369 Invoice Date: 5/4/2006 913.92 • Payment due on receipt. - l Whitworth Pest Solutions 9� f Nv �('�E C11- 13:2369 2533 Inter Avenue 3' �✓ Puyallup, WA 98372 I�IIIIIdIIII�II�IIIIIIbI�I� II �� N�ll 253-845-1818 Fax 253-845-1133 INVOICE DATE 5/4/2006 DUE DATE 5/4/2006 CUSTOMER# 01-0002347 TERMS Net 0 City of Renton PO# 1055 S Grady Way Renton, WA 98055 Allen Quynn AMOUNT DUE 913.92 RECEIVED For Service at: Panther Creek Wetland MAY 0 8 ZQnE Renton, WA 98055 CITY OF RENTON TtUTY SYSTEMS PLEASE RETURN WITH PAYMENT Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @$840.00 each $840.00 CITY CONCUR ICE ChHh I Crt 1 lb,LAWS OF 1965 4 d6 IY OF RENTON CERTIFICATION DATE ,THE UNDIERSOED-DOMEMBY CERTIFY UNDER IPa 1) NAM 1 TIAI/ A OF PERJURY THAT%AATERK HAVE BEEN FURN.t THE SER{11C "� I{ FiEDORTH LABORPERFORkItED A I C� � � DESCRIBED H �THA1 THE CLAIM IS JUST,Q111 Af+i UNPAID OBLIGNIKNO -0. THE CITY OF RE itON, THAT I AM AUT`HORMT��ENTICATE AN .GAR ... ..� SAID OLAIM: - s SIf�A�O: R S Panther Creek Wetland ` Total Tax: 73.92 Total This Invoice: 913.92 Renton, WA 98055 �- 5/4/2006 Invoice: 01-0032369 Invoice Date: 5/4/2006 913.92 • 1 -a uZ� NS .. ,a. y Whitworth Pest Solutions Inc. 2533 Inter Ave. ! �� Puyallup, WA 983723 253-845-1818 888-959-1818 C Work at: !,.;,�N 7'}f�`kz. )? < yj'Q We performed the following services today: Date: —'Y ` 0 L€ ` U L Time ;� r; P.M. ;. ❑ Please avoid contact with treated area until spray is dry. hour(s) 11 No restrictions on reentry ❑ Rodents ❑ Initial ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Initial ❑ Follow-up t ❑ Odorous House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite ❑ Full Treat ❑ Spot Treat t ❑ Odor Control Other , Job Cost $ s? ` TAX $ a C- c� PLEASE PAY THIS AMOUNT—► $ Tax and Discounts Included(if Applicable).Payment due upon receipt Thank You! Comments F 9/04 Y COPV Page 1 /1 CITY OF RENTON * * 1055 S. GRADY WAY DATE ; _ -%P(i NUMBER RENTON, WA 98055 4/25/2006 18/0001189 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req. Del. Date: Contact: PARKER, LIBBY Pre-Assigned PO#?: NO Special Inst: CAG-05-059 Add.#2-06,2006 Mosquito 19,192.32 -2G - 6 •�� � .�' v # o!-cam 3C? -Zo--d6 ` Its MENOMMMMEN .� A -1 , <. a I�I■I� II�I����I�I A,12MMM SUBTOTAL 19192.32 BILL TO: TAX 0,00 FREIGHT 0.00 TOTAL 19,192.32 w Account Number € + 1", c�t Number £ "d t 1zh ..; E 427.000600.018.5960.0038.65.065020 5020/5354 19,192.32 Allthnrl7PH Cinnnfnrn Whitworth Pest Solutions Uv� '��� 01-0032368 2533InterAvenue �lS� INVOICE Puyallup, WA 98372 I II IIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIII 253-845-1818 Fax 253-845-1133 INVOICE DATE 4/27/2006 DUE DATE 4/27/2006 CUSTOMER# 01-0002347 TERMS Net 0 City of Renton PO# 1055 S Grady Way RECEIVED Renton, WA 98055 MAY 0 2 Zoos ---- Allen Quynn AMOUNT DUE 913.92 UTILITY SYSTEMS For Service at: Panther Creek Wetland Renton, WA 98055 PLEASE RETURN WITH PAYMENT Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @$840.00 each $840.00 CONCURRENCE GHi i-,l z,; i DATE , _._L-,L CITY OF RENTON CEFi i IFICATION NAMIE INiTI i ATE I,THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED, 3 THE SERVICES RENDERED OR THE LABOR PERFORMED AS --� DESCRIBED HEREIN,AND THAT THE CLAIM IS JUST,DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON, AND ` THAT I AM AUTHORIZED TO AUTHENTIC ND CERTIFY TO -- SAID CLAI �J/uSIGNE ^... Panther Creek Wetland Total Tax: 73.92 Total This Invoice: 913.92 Renton, WA 98055 4/27/2006 Invoice: 01-0032368 Invoice Date: 4/27i2OO6 PAY THIS AMOUNT913.92 Payment due on receipt. I J Whitworth Pest Solutions Inc. 2533 Inter Ave. Puyallup,WA 98372 253-845-1818 • 888-959-1818 To: �1l Work at: XJA NJ T'tf jrtZ L-r$;;C k We performed the following services today: Date: Time ❑ Please avoid contact with treated area until spray is dry. hour(s) ❑ No restrictions on reentry ❑ Rodents ❑ Initial ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Initial ❑ Follow-up ❑ Odorous House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite ❑ Full Treat ❑ Spot Treat ❑ Odor Control Q Other Job Cost $ 'C ,„ TAX $ - 7 , PLEASE PAY THIS AMOUNT—► $ Tax and Discounts Included(If Applicable).Payment due upon receipt Thallk YOU! Comments Oti`�Y O� ADMINISTRATIVE, JUDICIAL, AND RECEIVED + _ LEGAL SERVICES DEPARTMENT APR 2 5 201 O� M E M O R A N D U M �N� CITY OF RENTON UTILITY SYSTEMS DATE: April 24, 2006 TO: Allen Quynn, Civil Engineer FROM: �Jason Seth, Records Management Coordinator SUBJECT: CAG-05-059 Adden #2-06; Whitworth Pest Solutions, Inc. 2006 Mosquito Abatement The attached original document has been fully executed and is being returned to you. Please transmit an original to the consultant and retain a copy for your file. The City Clerk has retained an original of the document. Thank you. Attachments i:\word\memo&letter\cityletters\contract memos\contractmemo.doc o� CITY OF RENTON ♦ ''- ♦ PlanningBuilding/PublicWorks Department .�j�N�o,� Kathy Keolker,Mayor Gregg Zimmerman P.E.,Administrator April 27, 2006 Terry Whitworth Whitworth Pest Solutions, Inc. 2533 Inter Avenue Puyallup, WA 98372-3428 SUBJECT: 2006 MOSQUITO ABATEMENT PROGRAM CONTRACT ADDENDUM #2-06 TO CAG-05-059, NOTICE TO PROCEED Dear Terry: Enclosed please find for your records one (1) original, signed 2006 Mosquito Abatement Contract Addendum #2-06 to CAG-05-059. You are hereby authorized to begin treatments as set forth in the approved contract scope of work and budget. As we discussed over the phone, the first treatment will begin on April 20, 2006. I look forward to working with you on another successful Mosquito Abatement Program season. Please call me at 425-430-7247, if you have any questions. Sincerely, Allen Quy , P Surface W ter tility Engineer Enclosure cc: file H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-2000 Mosquito Abatement Program\2006 Program\ContractsWTP.doc\AQtp T � � � O 1055 South Grady Way-Renton,Washington 98055 K AHEAD OF THE CURVE This paper contains SO%recycled material,30%post consumer Y Page 1 /1 �1A CITY OF RENTON * 1055 S. GRADY WAY :9 ATeg '0PO NUMBER .� RENTON, WA 98055 4/25/2006 18/0001189 N VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del. Date: Contact: PARKER, LIBBY Pre-Assigned PO#?: NO Special Inst: .A r cripgoo a CAG-05-059 Add.#2-06,2006 Mosquito 19,192.32 �f-2G - 6 r'.lr -, , g ...,; ,. SUBTOTAL 19192.32 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 19,192.32 .; lccoun€Number �. utller". =.e= !?mount;. E 427.000600.018.5960.0038.65.065020 5020/5354 19,192.32 Authorized Signature Authorized Siqnature Whitworth Pest Solutions INVOICE 01-0032367 2533 Inter Avenue Puyallup, WA 98372 111111111111 I III II IIIIIII I IIII III III IIII 253-845-1818 Fax 253-845-1133 INVOICE DATE 4/20/2006 DUE DATE 4/20/2006 CUSTOMER# 01-0002347 TERMS Net 0 City of Renton PO# 1055 S Grady Way APR 2 4 200` Renton, WA 98055 CITY OF RENTON Allen Quynn UTILITY SYSTEMS AMOUNT DUE 913.92 For Service at: Panther Creek Wetland Renton, WA 98055 PLEASE RETURN WITH PAYMENT Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @ $840.00 each $840.00 Q zo l,P coo I co ®ATE: NAME IN€T TE i OIL, CHARTER i16, LAWS OF 19ri:' CITY OF 'ER CER T IFICA,ION THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED, # c,;���c�� �1l sa THE SERVICES RENDERED 6R THE LABOR PERFORMED AS Chargefine �6-o cx)s s`S � t DESCRIBED H E CITY OF R EREIN,AND THAT THE CLAIM IS JUST,DUE AND S QB ATION AGAINST THENTON,AND UNPAID QSL u� THAT I IGHORIZED TOAUTH _ CERTIFY TO W.05unction SAID r y SIG D�._ - - Panther Creek Wetland Total Tax: 73.92 Renton, WA 98055 Total This Invoice: 913.92 4/20/2006 Invoice: 01-0032367 Invoice Date: 4/20/2006 913.92 - — — ----- Payment due on receipt. l Whitworth Pest Solutions Inc. 2533 Inter Ave. Puyallup, WA 98372 253-845-1818 888-959-1818 To: Work at fink= fFt; i �1 ;t` v=r We performed the following services today: ` Date: Time , d a.m. 4p:ni W Please avoid contact with treated area until spray is dry. hour(s) ® No restrictions on reentry ❑ Rodents ❑ Initial ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Initial ❑ Follow-up ❑ Odorous House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite ❑ Full Treat ❑ Spot Treat r ❑ Odor Control s ® Other , Job Cost $ L TAX $ PLEASE PAY THIS AMOUNT—+ $ i Tax and Discounts Included(If Applicable).Payment due upon receipt a` Thank You! 6 Comments 9!04 Whitworth Pest Solutions /®� E 01-0032367 �• 2533 Inter Avenue INVOICE` II II NNC�II ( Puyallup, WA 98372 IAIIIIIIIII�IIII��fIIII��IIII`qul�ll�llllllllllllllllll 253-845-1818 Fax 253-845-1133 INVOICE DATE 4/20/2006 DUE DATE 4/20/2006 CUSTOMER# 01-0002347 TERMS Net 0 City of Renton PO# 1055 S Grady Way APR 2 4 2005 Renton, WA 98055 CITY OF RENTON Allen Quynn UTILITY SYSTEMS AMOUNT DUE 913.92 For Service at:' Panther Creek Wetland Renton, WA 98055 PLEASE RETURN WITH PAYMENT Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @$840.00 each $840.00 COMPORREN DATE: E l IT=. JD TE . eHA$2TER i16,LAWS OF 19^5 CITY OF R TIRCATION X,. TIFY '. THE UNDERSIGNS HAVE BE- OF PERJURY�THAT ' A✓ . #3E LABOR PERF AS THE SERVICE-S. CLAIM IS JUST,DUE AND DESCRIBED H � UNPAID p6LIGATION AGAINST THE CITY OF RENTN,AND ut.n THAT I AAit�UTHORiZEi1 TQ AUT�i �T ll 3�W Panther Creek Wetland Total Tax: 73.92 Renton, WA 98055 Total This Invoice: 913.92 4/20/2006 Invoice: 01-0032367 Invoice Date: 4/20/2006 PLEASE PAY 11 913.92 OUNT Ac a• F 5'S-R LT c v Whitworth Pes, Solutions INVOICE 01-OU3`3sS 2533 Inter Avenue Puyallup, WA 98372 IIII III IIII IIIII IIIIIIII III II II IIIIIII 253-845-1818 Fax 253-845-1133 INVOICE DATE 8/24/2006 DUE DATE 8/24/2006 CUSTOMER# 01-0009763 TERMS Net 0 PO# City of Renton 1055 S Grady Way Renton, WA 98055 AMOUNT DUE 913.92 For Service at: Panther Creek Wetland Renton, WA 98055 PLEASE RETURN WITH PAYMENT Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @ $840.00 each $840.00 CONCURRENCE AUG 9 1Qd6 DATE 1 � Nann N p�Rest a�p1e r . �,� pay CHARTER 116,L CITY OF RENTON LAWS OF I,THE UNDERSIGNED 00 HEREBY CERTIFY UNDEK PENALTY TOF'PERJU ,THAT THE MATERALS HAVE BEEN HE SERVO ES RENDERED ORI ITHE LABOR PERFORMEDEAS DESCRiBEDHEREkN,A GAINST THE CITY OFD THAT THE CLAIM JRENTON UST,DUE AND TH IA UNPAID pB HORIZ TO AUT NTICATE AN AT SAID IM S NED Panther Creek Wetland Total Tax: 73.92 Total This Invoice: 913.92 Renton, WA 98055 8/24/2006 Invoice: 01-0032385 Invoice Date: 8/24/2006 913.92 ME i NEVA MINN, W / CITY OF RENTON q► Page 1 1 * 1055 S. GRADY WAY ' '' t�R "` 1N►> RENTON, WA 98055 4/25/2006 18/0001189 VENDOR: 091710 SHIP TO: - WHITWORTH PEST 'SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del.Date: Contact: PARKER, LIBBY Pre-Assigned PO#?: NO Special Inst: CAG-05-059 Add.#2-06,2006 Mosquito 19,192.32 M)-aS$s �a4/vim lo`� n SUBTOTAL 19192.32 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 19,192.32 coi _ 011 NO � b max: E 427.000600.018.5960.0038.65.065020 5020/5354 19,192.32 Authorized Signature Authorized Signature Y A10Kge 1 / 1 CITY OF RENTON C 0 P * * 1055 S. GRADY WAY , NUMBER RENTON, WA 98055 4/25/2006 18/0001189 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terrns: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del. Date: Contact: PARKER, LIBBY Pre-Assigned PO#?: No Special Inst: GA 90 ePlt' dirt::P CAG-05-059 Add.#2-06,2006 Mosquito 19,192.32 1. oom ,-i 0 _ """No MOM SUBTOTAL 19192-32 BILL TO: TAX 0.00 FREIGHT 0,00 TOTAL 19,192.32 t�umF3e � mount E 427.000600.018.5960.0038.65.065020 5020/5354 19,192.32 Authorized Signature Authorized Signature Whitworth Pest Solutions 01-0032371 2533 Inter Avenue `�J "j Puyallup, WA 98372 IIIIIIIIIII II (IIIIIIIIIIIIIIII III IIIIIIIII II 253-845-1818 Fax 253-845-1133 INVOICE DATE 5/18/2006 DUE DATE 5/18/2006 CUSTOMER# 01-0002347 TERMS I Net 0 City of Renton PO# 1055 S Grady Way Renton, WA 98055 Allen Quynn AMOUNT DUE 913.92 RECEIVEDFor Service at: Panther Creek Wetland MAY 2 2 2006 Renton, WA 98055 CITY OF RENTON PLEASE RETURN WITH PAYMENT J UTILITY SYSTEMS Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @ $840.00 each $840.00 .............. --CONCUR � CHARTEH 116, LAV48 OF 1965 � _-- k, CITY OF RENTON CERTIFICATION � I,THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY AM E 71AI f)ATE OF PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED, C � � 5;g THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HEREIN,AND THAT THE CLAIM IS JUST,DUE AND ti a� UNPAID OBLIGATI 1 AGAINST TOAUTHENTICATEOANDENTON, AND CERTIFY TO THAT 1 AM AU SAID CLA ., SIGNE : + i i Panther Creek Wetland Total Tax: 73.92 Total This Invoice: 913.92 Renton, WA 98055 5/18/2006 Invoice: 01-0032371 Invoice Date: 5/18/2006 PLEASE PAY 913.92 _ THIS AMOUNT Payment due on receipt: - - Whitworth Pest Solutions Inc. 2533 Inter Ave. - } Puyallup,WA 98372)95gt 253-845-1818 888-959-1818 To: t Ty Work at: A.%� N! We performed the following services today: Date: ' Time " S.m. p.m. ❑ Please avoid contact with treated area until spray is dry. hour(s) 1 No restrictions on reentry y ❑ Rodents ❑ Initial ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Initial ❑ Follow-up ❑ Odorous House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite ❑ Full Treat ❑ Spot Treat ❑ Odor Control ® Other -S Job Cost $ � TAX $ PLEASE PAY THIS AMOUNT—+ $ ( , Tax and Discounts Included(If Applicable).Payment due upon receipt Thank You! Comments 9104, Y Page 1 /1 CITY OF RENTON + ' 1055 S. GRADY WAY r' 1xJATE PQ,Nl1MBER z<, INV RENTON, WA 98055 4/25/2006 18/0001189 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC Copy 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del. Date: Contact: PARKER, LIBBY Pre-Assigned PO#?: NO Special Inst: CAG-05-059 Add.#2-06,2006 Mosquito 19,192.32 If_26— 06, 01—06 3G 7 -.20--06 3--0 ti 6 — 362-1--Li U, —6,0 3.2 "Mwc WA 3 x� k SUBTOTAL 19192.32 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 19,192.32 ( QliWyk Am 01 rlt ,F. .. E 427.000600.018.5960.0038.65.065020 5020/5354 19,192.32 Authorized Signature Authorized Signature Whitworth Pest Solutions � � ��' �, �I 01-0032374 \ 2533 Inter Avenue N VO I C E Puyallup, WA 98372 I IIIIIIIIIII I IIIIIIL II IIIIIII III Illllllllllllllllllllllll 253-845-1818 Fax 253-845-1133 INVOICE DATE 6/8/2006 DUE DATE 6/8/2006 CUSTOMER# 01-0002347 TERMS Net 0 City of Renton RECEIVEC PO# 1055 S Grady Way Renton, WA 98055 .JUN 15 2006 Allen Quynn CITY OF RENTON AMOUNT DUE 913.92 For Service at: Panther Creek Wetland Renton, WA 98055 PLEASE RETURN WITH PAYMENT Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @$840.00 each $840.00 CONCU RENLEDATE �AI�E I TIA�/rA 16 CITY OF RENT& 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 JUST,DUE AND UNPAID OBLIGATION AGAINST THE CITY OFRENTON AND THAT I AM AUT TO AUTHENTICATE AND ERTIY T SAID CLAI . SI Panther Creek Wetland Total Tax: 73.92 Total This Invoice: 913.92 Renton, WA 98055 6/8/2006 Invoice: 01-0032374 Invoice Date: 6/8/2006 4MEN 913.92 • §31 � � r Whitworth Pest Solutions Inc. 2533 Intel,Ave. , `} � Puyallup,WA 98372 pt J` 253-845-1818 888-959-1818 To:'Work at: / k " We performed the following services today: Date � Time P.M. Ll Please avoid contact with treated area until spray is dry. hour(s) 41 No restrictions on reentry ❑ Rodents ❑ Initial ❑ Follow-up Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Initial ❑ Follow-up LI Odorous House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite ❑ Full Treat ❑ Spot Treat Ll Odor Control 8 Other , , Job Cost $ TAX $ ate PLEASE PAY THIS AMOUNT—► $ Tax and Discounts Included(If Applicable).Payment due upon receipt Thank You.1 Comments 9104 Whitworth Pest Solutions L INVOICE 2533 Inter Avenue 01-0032375 Puyallup, WA 98372 ������IIIII���IIIIII IIIII IIIII���������IIIILIIIII IIIIIIII 253-845-1818 Fax 253-845-1133 INVOICE DATE 6/15/2006 DUE DATE 6/15/2006 CUSTOMER# 01-0002347 TERMS Net 0 City of Renton RECEIVED PO# 1055 S Grady Way Renton, WA 98055 1UNi 19 2006 Allen Quynn CITY OF RENTON UTILITY SYS't'ti7S AMOUNT DUE 913.92 For Service at: Panther Creek Wetland Renton, WA 98055 PLEASE RETURN WITH PAYMENT Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @$840.00 each $840.00 CONCU RENT,_ DATE �`' NA30E ? I I_I ATE 06 9 6 CITY OF RENTON CERTIFICATION f,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 JUST,DUE AND UNPAID OBLIGATI N AGAINST THE CITY OF RENTON,AND THAT I A ED TO AUTHENTIC TIFY TO SAID M. S NED: i Panther Creek Wetland Total Tax: 73.92 Total This Invoice: 913.92 Renton, WA 98055 6/15/2006 Invoice: 01-0032375 Invoice Date: 6/15/2006 913.92 • �,+w-�'�t &vim.°' ` � `` *r&d� .��,-•,e, .+ a' � f �. r��4"y .y��.. ��""°�`�,<_a '` ° 3.,,,.'r 'g , # r WHITWORTH PEST SOLUTIONS,INC. Man 01-0032375 kf 2533 Inter Ave. TIME IN: `� � TIME OUT: IV f Puyallup, WA 98372 TECH Jose--3 253.845.1818 • 206.248.2222 CUSTOMER# 01-0002347 1.888.959.1818 APPOINTMENT0 6 0 5 2 375 DATE&TIME 006 7:40 am LICENSE# 63766 BILLING ADDRESS City of Renton TARGET PEST �, t1S U 1 TC) _ 1055 S Grady W ❑PLEASE AVOID CVVONTACT WITH TREATED AREAS UNTIL - AM/PM Renton, WA 98O Ilr NO RESTRICTIONS Whitworth Service Slip Form 2.(Version 2).rpt GENERAL INSPECTION&REPORT OF FINDINGS CONDITIONS FAVORING PEST INFESTATION AREAS OF TREATMENT SERVICE ADDRESS ❑CRAWLSPACE VENT SCREENS INADEQUATE ❑EXTERIOR Panther Creek Wetland ❑CRAWLSPACE ACCESS DOOR INADEQUATE ❑PERIMETER ❑CLOGGED RAIN GUTTERS/DOWNSPOUT(S) ❑CRACKS/CREVICES Renton, WA 98055 p TREES AND/OR SHRUBS TOO CLOSE TO STRUCTURE ❑BAITTED STATION [I WATER POOLING NEAR STRUCTURE ❑VOID APPLICATION ❑TRASH/DEBRIS FAVORING PEST INFESTATION ❑INTERIOR SERVICE MATERIAL $ 6,00 ❑FOUNDATION HAS GAPS/HOLES ❑CRAWLSPACE Mosquito Control Weekly ❑ATTIC Tax 73.92 ❑GAPS AROUND DOORS ❑BASEBOARDS PREVIOUS BALANCE,, 4,5 9A, ❑WOOD TO EARTH ONTACT ❑CRACKS/CREVICES ❑VOID APPLICATION TOTAL , 5483.52 OTHER ;To BAIT STATION CONSUMPTION #1 % #2 % #3 % #4 % #5 % #6 % #7 COMMENTS: J �j . Mosquito Control Weekly 840.00 IIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII�IIIIIII Tax 73,92 Panther Creek Wetland _?f1P±l ._ �.. . , »• — 6,483.52 INVOICE 01-0032375 • , UE --NETO CUSTOMER# 01-0002347 Terms. B CUST.NO. 01-0002347 TECH/No. Jose--3 TOTAL ❑CASH ❑CK# SERVICE DATE 6/15/2006 ROUTE PCO.IOSP. PAID Fv: "y Page 1 / 1 Goa CITY OF RENTON + "R + 1055 S. GRADY WAY ��DAt <n...bNC�M81rt ; RENTON, WA 98055 4/25/2006 18/0001189 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del. Date: Contact: PARKER, LIBBY Pre-Assigned PO#?: NO Special Inst: u mana_€: t �. CAG-05-059 Add.#2-06 2006 Mosquito 19,192.32 3-a ri- t3! 3 - Q -4-0 RA 1 IS-5 -aG j , O —CIC- -< E � I .10" SUBTOTAL 19192.32 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 19,192.32 A x,: ccount Number �a, ,p�WorkOrder'Function Number'.:_.,_ ,g r E 427.000600.018.5960.0038.65.065020 5020/5354 19,192.32 Authorized Signature Authorized Signature 0 WHITWORTH PEST SOLUTIONS,INC. • 01-0032377 2533 Inter Ave' TIME IN: = I TIME OUT 7 Puyallup, WA 98372 253.845.1818 • 206.248.2222 CUSTOMER# 01-0002347 TECH Jose--3 1.888.959.1818 APPOINTMENTO 1-0032377 6@ECEIVED BILLING ADDRESS DATE&TIME 6/29/2006 9:10 am LICENSE# 637 City of Renton c � 0 lJ s >J TARGET PEST JUL 1 3 2006 1055 S Grady Way IILL��SS I Tt Renton, WA 98055 D I, PLEASE AVOID CONTACT WITH TREATED AREAS UNTIL Gt o rPAENTON NO RESTRICTIONS UTILITY SYSTEMS `o GENERAL INSPECTION&REPORT OF FINDINGS C NDITIONS FAVORING PEST INFESTATION AREAS OF TREATMENT SERV ICE D• SPACE VENT SCREENS INADEQUATE EXTERIOR 0 c Panther Creek Wetland NME f, AW SPACE ACCESS DOOR INADEQUATE ❑PERIMETER ED RAIN GUTTERS/DOWNSPOUT(S) El EAVES Renton, WA 98055 v /}- AND/OR SHRUBS TOO CLOSE TO STRUCTURE ❑CRACKS/CREVICES - ❑BAITTED STATION POOLING NEAR STRUCTURE ❑VOID APPLICATION SERVICE TYPE/MATE IIAL AMOUNT DEBRIS FAVORING PEST INFESTATION ❑INTERIOR Mosquito Control Week _ s, - - .. 43 ATION HAS GAPS/HOLES ❑CRAWLSPACE Tax 73.92 ❑GAPS AROUND DOORS ❑ATTIC PREVIOUS BALANCE ❑WOOD TO EARTH CONTACT ❑BASEBOARDS �` CHARTER 116, W$18KAZcREVICEs • , �Jj,�-` ;tATHER -U LV A M C-ITYCIFIRENTONN BAIT STATION CONSUMPTION #1 % #2 0 ', 3 % #4 % #5 114HE ADERSC419D D(#Ti€ tPERTiOV UNDER I� L�? COMMENTS: OF THE VE BEEN FURNISHED, SERVRCESHAT RD MATERIALS ABNPER DUEAND / UNPAID OBLIGATION AGAINST THE CITY OF RENTON AND THAT I AM AUTHORIZED T4AUTHLINTtCATE AN&CEOTIFY TO PAYMENT RECEIPT:PLEASE RETURN WITH PAYMENT FOR PROPER CREDITINGOF • IIIIIIIIII IIIIIIIIIIIIIIIIII IIIIII Mosquito 6rdUM _� Panther Creek Wetland T 73.92 CUSTOMER# 01-0002347 INVOICE# - TOTAL ,UE PREVIOUS BALANC. B CUST.NO. 01-0002347 TECH i No. Jose--3 TOTAL er ) SERVICE DATE 6/29/2006 ROUTE PCO Iose PAID ❑CASH ❑CK# "t x WHITWORTH PEST SOLUTIONS,INC. 01-0032378 2533 Inter Ave Puyallup, WA 98372 TIME IN: `1 TIME OUT: Iv —' 253.845.1818 • 206.248.2222 CUSTOMER# 01-0002347 TECH Jose--3 1.888.959.1818 APPOINTMENT 01-0032378 RECEIVED ADDRESSBILLING DATE&TIME 7/6/2006 9:00 am LICENSE# 637 City of Renton TARGET PEST JUL It2 ;1055 S Grady Way �(��jRenton, WA 98055 {�L �"" Cj PLEASE AVOID CONTACT WITH TREATED AREAS UNTIL __ ---eff ON J NO RESTRICTIONS UTILITYEMS City of Renton aable GENERAL INSPECTION&REPORT OF FINDINGS CONDITIONS FAVORING PEST INFESTATION AREAS OF TREATMENT SERVICE ADDREZ;G ❑CRAWLSPACE VENT SCREENS INADEQUATE (EXTERIOR Panther Creek Wetland ❑CRAWLSPACE ACCESS DOOR INADEQUATE ❑PERIMETER ❑CLOGGED RAIN GUTTERS/DOWNSPOUT(S) ❑EAVES Renton, WA 98055 ❑CRACKS/CREVICES ❑TREES AND/OR SHRUBS TOO CLOSE TO STRUCTURE ❑BAITTED STATION ❑WATER POOLING NEAR STRUCTURE ❑VOID APPLICATION SERVICE TYPE/MATERIAL AMOUNT ❑TRASH/DEBRIS FAVORING PEST INFESTATION ❑ INTERIOR Mosquito Control Weekly 840.01) ❑FOUNDATION HAS GAPS y tLl ER 116,LAWS O" 19PCRAWLSPACE Tax 73.92 ❑GAPS AROUND D6dFTSY OF RENTON CERTi IC&MOARDS PREVIOUS BALANCE ❑WOOD TO EAR HTM9 S ANED Do f Ewgy( TFy N �/CREVICES TOTAL • 2 ❑OTHER THE FOWWAPPLICATION UAb BAIT STATION ONSUMPTIO % #3 % #4 % 0 Rf$EDh9REftANDTwTHECAMiSX .DftAND % #9 COMMENTS: DATE: UNF'hTD-WIGATION AGAINST THE CITY OF RE 6W AND -�- � . d. THAT i AMAUTHORIZW TUAl1 LPNTICATEANDCERT�Y To E 1 � ) ':'E SAID CiAi } C� G PAYMEN'T RECEIPT.PLEASE RETUFN WITH PAYMENT FOR PROPER CREDITING OF YOUR ACCOUNT ,dM .. I II��1� II IIIII II III II IIIIII IIIII Mosquito Control Weekly Tax 873.92 Panther PREVIOUS BALANCE CUSTOMER# 01-0002347 INVOICE# 01-0032378 • slim 913.92 B CUST.NO. 01-0002347 TECH i NO. Jose--3 TOTALTerms: NE 10 SERVICE DATE 7/6/2006 ROUTE PCO .10Se PAID ❑CASH ❑CK# i, j �Y Page 1 / 1 U~A CITY OF RENTON + * 1055 S. GRADY WAY DArE -¢. iuluit " RENTON, WA 98055 4/25/2006 18/0001189 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req. Del.Date: Contact: PARKER, LIBBY Pre-Assigned PO#?: No Special Inst: , CAG-05 059 Add.#2-06, 2006 Mosquito 19,192.32 0!-4s 3G7 -Zo�-46 N tf- z _ _� �---.� , ear` _ 3? Y1 ` al MIN p SUBTOTAL 19192.32 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 19,192.32 I", : . Work r P�nc ion„Number ffi Artiount. E 427.000600.018.5960.0038.65.065020 5020/5354 19,192.32 Authorized Signature Authorized Signature � Whitworth Pest Solutions y q" INVOICE 01-0032372 2533 Inter Avenue Puyallup, WA 98372 "7A Z 111111111111IIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIII 253-845-1818 Fax 253-845-1133 INVOICE DATE 5/25/2006 DUE DATE 5/25/2006 CUSTOMER# 01-0002347 TERMS Net 0 City of Renton PO# 1055 S Grady Way RECEIVED Renton, WA 98055 Allen Quynn MAY 3 0 2000 AMOUNT DUE 913.92 UTILITY SYSTEMS For Service at: Panther Creek Wetland Renton, WA 98055 PLEASE RETURN WITH PAYMENT Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @$840.00 each $840.00 CC}N U I;NC Ct!Aii i Li-k ib Kv�Ii- "i966 DATE > CITY OF RENTON CERTIFICATION N E INII I /DATE 1,THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED, THE SERVICES RENDERED OR THE LABOR PERFORMED AS �0 v� DESCRIBED HEREIN,AND THAT THE CLAIM IS JUST,DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON, AND THAT I AM AUTHORIZED TO AUTHENTICATE AND CERTIFY TO - ° SAID CLAIM SIGNS At I I i Panther Creek Wetland Total Tax: 73.92 Total This Invoice: 913.92 Renton, WA 98055 5/25/2006 Invoice: 01-0032372 Invoice Date: 5/25/2006 913.92 • r ib Whitworth Pest Solutions Inc. 2533 Inter Ave. ,} Puyallup,WA 98372 1 253-845-1818 • 888-959-1818 F k To: C t F` , TEE /Ij Work a We performed the following services today: Date: — 0 Time p.m ❑ Please avoid contact with treated area until spray is dry. hour(s) ❑ No restrictions on reentry ❑ Rodents ❑ Initial ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Initial ❑ Follow-up Odorous House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite ❑ Full Treat ❑ Spot Treat ❑ Odor Control Other U t tv Job Cost $ , TAX $ PLEASE PAY THIS AMOUNT—► $ ,:?f ", '^ Tax and Discounts Included(if Applicable).Payment due upon receipt Thank Yo Comments 9io� E - �. Y Page 1 / 1 U1n CITY OF RENTON + im + 1055 S. GRADY WAY DATE PO NUMBER RENTON, WA 98055 4/25/2006 18/0001189 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req. No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req. Del. Date: Contact: PARKER, LIBBY Pre-Assigned PO#?: NO Special Inst: CAG-05-059 Add.#2-06,2006 Mosquito 19,192.32 - a A-U` _4_0 6 Z AfU Di��3 3 119, It U —X SUBTOTAL 19192.32 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 19,192.32 .. E E 427.000 300.018.5960.0038.65.065020 5020/5354 19,192.32 Authorized Signature Authorized Sionature Whitworth Pest Solutions INVOICE /^I L C 0 001 32313 �? 2533 Inter Avenue �/ `,j I IIIIIIII II(III Puyallup, WA 98372 253-845-1818 Fax 253-845-1133 INVOICE DATE DUE DATE 6/1/2006 CUSTOMER# 01-0002347 TERMS e City of Renton PO# 1055 S Grady Way lil�l i7 zQQ� Renton, WA 98055 CITY OF RENT ON Allen Quynn UTILITYSYSIIcIVS AMOUNT DUE i 913.92 For Service at: Panther Creek Wetland Renton, WA 98055 PLEASE RETURN WITH PAYMENT Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @$840.00 each $840.00 CoiCURRgN E DATE t_O 1,THE UNDERSIGNED 00 HEREBY CERTIFY UNDER PENALTY OF PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED, N E I N ITI L/ ATE I HE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HEREIN,AND THAT THE CLAIM IS JUST,DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON, AND 6K THAT I AM AUTHORIZED TO AUTHENTICATE AND CERTIFY TO - ;)All)CLAI II , .!ONE Panther Creek Wetland Total Tax: 73.92 Total This Invoice: 913.92 Renton, WA 98055 6/1/2006 Invoice: 01-0032373 Invoice Date: 6/1/2006 913.92 • / Whitworth Pest Solutions Inc. 2533 Inter Ave. Puyallup, WA 98372 253-845-1818 • 888-959-1818 To: C 0-V E f-I TD "f Work at: ! I.1 U f7-/A I We performed the following services today: Date: Time ' -"a ✓ �.rry p.m. ❑ Please avoid contact with treated area until spray is dry. hour(s) U.No restrictions on reentry ❑ Rodents ❑ Initial ❑ Follow-up ❑ Yellow Jackets ❑ Wasps ❑ Fleas ❑ Roaches ❑ Initial ❑ Follow-up ❑ Odorous House Ants ❑ Moisture Ants ❑ Other Ants ❑ Termite ❑ Full Treat ❑ Spot Treat ❑ Odor Control Other Job Cost $ zq 101 0 TAX $ -13, (,04 .PLEASE PAY THIS AMOUNT- $ lz� / j, (C;14 Tax and Discounts Included(H Applicable).Payment due upon receipt Thank You! Comments 9/04 HUMAN RESOURCES/ RISK MANAGEMENT DEPARTMENT R>&-- + 4, M E M O R A N D U M �® DATE: November 30, 2006 T���T�sys EMs TO: Allen Quynn, CE III, PBMUt' ity to � FROM: Michael R. Webby, Administrato SUBJECT: Insurance Review/Whitworth Pest Solu o�s, Inc. Mosquito Abatement Program I have reviewed the certificate of insurance and supporting policy documents for the above- mentioned contract. The insurance coverage,provided for this contract,meets the City's risk management requirements. "Please remember to forward all originals to the City Clerk's office,if on file there" iArisk documents\certificates of insurance\contract okay.doc Client#: 26389 WHITWPES ACORD,. CERTIFICATE OF LIABILITY INSURANCE FDATE0;f;s°"""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION USI Northwest ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 NE Multnomah,Suite 1300 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR �jty of Renton ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 4�Portland,OR 97232 503 224-8390 eCetVe(4 ENSURERS AFFORDING COVERAGE NAIC# INSURED 200 fi INSURER A. Lexington Insurance Company 19437 Whitworth Pest Solutions, Inc. NOV 2INSURER B: 2533 Inter Ave. INSURER c: Puyallup,WA 98372 Human Resources INSURER D: Risk Management INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY EFFECTIVE POLICY EXPIRATION LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE MWDD/YY DATE MM/DD/YY LIMITS A GENERAL LIABILITY PC293613805 12/01/06 12/01/07 EACH OCCURRENCE $1 000000 X COMMERCIAL GENERAL LIABILITY DARMIAGE TO RENTo'cESiEED $1 OO 000 CLAIMS MADE OCCUR MED EXP(,Any one person) $5 000 X PD Ded:2,500 PERSONAL&ADV INJURY $1 00Q 000 GENERAL AGGREGATE s2,000,000 GENT-AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PRO-JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO EAACC $ OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS'LIABILITY R I IT ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CITY OF RENTON,ITS OFFICERS AND EMPLOYEES ARE NAMED AS ADDITIONAL INSUREDS FOR OPERATIONS PERFORMED FOR THEM BY THE NAMED INSURED REGARDING: 2005 MOSQUITO ABATEMENT PROGRAM PER CG20 10 11/85-THIS INSURANCE IS (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION CITY OF RENTON DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30_ DAYS WRITTEN 1055 SOUTH GRADY WAY NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Renton,WA 98055 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 3 #M202671 11 L © ACORD CORPORATION 1988 DESCRIPTIONS (Continued from Page 1) PRIMARY AND NON CONTRIBUTORY -WAIVER OF SUBROGATION APPLIES -PER PROJECT AGGREGATE APPLIES (NOTE: COMPANY UNDERWRITER WILL NOT ALLOW MODIFICATION OF THE NOTICE OF CANCELLATION WORDING) AMS 25.3(2001/08) 3 of 3 #M202671 CC2010 03/97 POLICY NUMBER: PC2936138-05 INSURED: Whitworth Pest Solutions,Inc. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED—OWNERS, LESSEES OR CONTRACTORS- SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization required to be named as an additional insured and evidenced by certificate of insurance on file with the company. (If no name appears above,information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) WHO IS INSURED (Section II) is amended to include as an insured the person or Organization shown in the Schedule,but only with respect to liability arising out of your Ongoing operations performed for that insured. Client#:26389 WHITWPES ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDlYYYY) 11/20106 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION USI Northwest ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 700 NE Multnomah,Suite 1300 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Portland,OR 97232 503 224-8390 INSURERS AFFORDING COVERAGE NAIC# INSURED Whitworth Pest Solutions,Inc. RECEIVE® INSURER A: Lexington Insurance Company 19437 INSURER B' 2533 Inter Ave. INSURER C: Puyallup,WA 98372 NOV 13 2006� INSURER D: INSURER E: COVERAGES CC,IT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDT POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYY DATE MM/DD/YY LIMITS A GENERAL LIABILITY PC293613805 12/01/06 12/01/07 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DDRAMIAGE TO RES IE,ENTED $100 000 CLAIMS MADE nOCCUR MED EXP(Any one person) $5 000 X PD Ded:2,500 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s21000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ ]DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I IMIMIT OR T RY ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L-EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS All operations of the Named Insured subject to the policy terms,conditions and exclusions. Certificate holder is an additional insured as respects general liability arising out of the ongoing operations of the named insured. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Renton DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN Planning/Bldg/Public Works NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$O SHALL Attn Allen Quynn IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 1055 South Grady Way REPRESENTATIVES- Renton,WA 98055 AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #M202671 11 L 0 ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25-S(2001/08) 2 of 2 #M202671 CG2010 03/97 POLICY NUMBER: PC2936138-05 INSURED: Whitworth Pest Solutions,Inc. COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POLICY PLEASE READ IT CAREFULLY ADDITIONAL INSURED— OWNERS, LESSEES OR CONTRACTORS- SCHEDULED PERSON OR ORGANIZATION This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART SCHEDULE Name of Person or Organization: Any person or organization required to be named as an additional insured and evidenced by certificate of insurance on file with the company. (If no name appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement) WHO IS INSURED (Section 11)is amended to include as an insured the person or Organization shown in the Schedule,but only with respect to liability arising out of your Ongoing operations performed for that insured. TY Page 1 /1 CITY OF RENTON �JV ` + + 1055 S. GRADY WAY -m-e w �. �O (UMBER',.. RENTON, WA 98055 1 4/25/2006 18/0001189 N VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del. Date: Contact: PARKER, LIBBY Pre-Assigned PO#?: NO Special Inst: CAG-OM59 Add.#2-06,2006 Mosquito 19,192.32 Salim 3-O N 6 r• - 3 - HEN x� a ,t1tJ� -4-0 3, 0(0 �ru' Of 3 c O SUBTOTAL 19192.32 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL [��l2.32 . .wcco 1, E 427.000600.018.5960.0038.65.065020 5020/5354 19,192.32 Authorized Signature Authorized Signature IZS t 16 1 WHITWORTH PEST SOLUTIONS,INC. 2533 Inter Ave. Puyallup, WA 98372 TIME IN: .� TIME OUT: 253.845.1818 • 206.248.2222 CUSTOMER# 01-0002347 TECH Jose--3 1.888.959.1818 A PPOINTMENTO1-0032382 BILLING ADDRESS DATE&TIME 8/3/2006 9:30 am LICENSE# 63766_ City of Renton TARGET PEST I,, V, s v I.- 1055 S Grady Way CONIC RR 'C�E�j ❑ LEASE AVOID CONTACT WITH TREATED AREAS UNTIL AU6 'A/P 6 Renton, WA 980 5 DATE � ("W ❑1 O RESTRICTIONS ILI AME INITI / E GENERAL INSPECTION&REPORT OF FINDINGS'' .J ' CONDITIONS FAVORING PEST INFESTATION AREAS'0 T EATMt?�VT ❑ RAWLSPAACCE�VENT �SCREENS INADEQUATE]g�FJ ❑ EXTERIOR Panther Creek W t and RAWLSI�ICE'8T f33��F7 ❑PERIMETER I LCQTYaFcfa lid' CATION ❑EAVES Renton, WA 980�s�--- R C E Y e F DER PENALT ❑CRACKS/CREVICES �� AVERANNISNE , ❑BAITTED STATION ATggy�= R T BOR PERFORMED ❑VOID APPLICATION SERVICE TYPE/MATERIAL • ❑TRT� �N ONE A INTERIOR Mosquito Control Weekly 840.00 ❑FOq"Rffq PfMEDhVU71ENTICA EAND TIFYT ❑CRAWLSPACE Tax 73.92 ❑GAIWAVM RS ❑ATTIC ❑BASEBOARDS PREVIOUS BALANCE ❑WOQQ.T6 T TA ❑CRACKS/CREVICES 0 B ❑OTHSS�fEGGRNNCcvv 92 ❑VOID APPLICATION BAIT STATION CONSUMPTION #1 % #2 % #3• #4 % #5 % #6 % #7 % #8 % #9 COMMENTS: (�r 06 C.—x--"*�I r 6 1 ESQ (off Whitworth Pest Solutions INVOICE 01-0032383 2533 Inter Avenue Puyallup, WA 98372 IIIIIIIII IIIIIIIIIIIIIIIIIIIIII IIIIIII IIIIIII III 253-845-1818 Fax 253-845-1133 INVOICE DATE 8/10/2006 DUE DATE 8/10/2006 CUSTOMER# TERMS Net 0 City of Renton PO# f� �„ ;� 1055 S Grady Way �f Renton, WA 98055 AUG 16 2006 ;, J�� AMOUNT DUE 913.92 For Service at: Panther Creek Wetland Renton, WA 98055 PLEASE RETURN WITH PAYMENT Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @$840.00 each $840.00 CONCURFIENCE DATE 7"0,--D RECEIVED NAME INITIA D TE 7 106, AUG 15 2006 CHARTER 116, !AIA/S 0,F 19b5 of Renton CITY OF RENTON CERTIFICE JWO' Renton F I,THE UNDERSIGNED DO HEREBY CERTIFY UNDE OF PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED, THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HEREIN,AND THAT THE CLAIM IS JUST,DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON,AND THAT I AM AUTHORIZED TO AUTHENTICATE AND CERTIFY TO SAID OLAIM. SIGNED: Panther Creek Wetland Total Tax: 73.92 Total This Invoice: 913.92 Renton, WA 98055 8/10/2006 Invoice: 01-0032383 Invoice Date: 8/10/2006 0 913.92 ,.'fi 4 �' +a ' = �.,' 4! ��'�� ,�; i ..� ', ; ' ^°�-tf . ' •==rE , + a ''€ r ' pt rya WHITWORTH PEST SOLUTIONS,INC. • 2533 Inter Ave. TIME IN: `�( ; TIME OUT: Puyallup, WA 98372 253.845.1818 • 206.248.2222 CUSTOMER# 01-0002347 TECH Jose--3 1.888.959.1818 APP IINTMENT01-0032383 BILLING ADDRESS DATE&TIME 8/10/2006 9:30 am LICENSE# 63766 TARGET PEST V L� City of Renton 1055 S Grady Way LEASE AVOID CONTACT WITH TREATED AREAS UNTIL AM/PM Renton, WA 98055 AUG 15 2tNO RESTRICTIONS :1 of Renton GENERAL INSPECTION&REPORT OF FINDINGS CONDITIONS FAVORING PEST INFESTATION AREAS OF TREATMENT SERVICE ADDPFZS ❑CRAWLSPACE VENT SCREENS INADEQUATE EXTERIOR Panther Creek Wetland ❑CRAWLSPACE ACCESS DOOR INADEQUATE El PERIMETER ❑CLOGGED RAIN GUTTERS/DOWNSPOUT(S) ❑EAVES ❑CRACKS/CREVICES Renton, WA 98055 ❑TREES AND/OR SHRUBS TOO CLOSE TO STRUCTURE ❑BAITTED STATION ❑WATER POOLING NEAR STRUCTURE ❑VOID APPLICATION SERVICE TYPE/MATERIAL AMOU14T ❑TRASH/DEBRIS FAVORING PEST INFESTATION ❑ INTERIOR 840.00 ❑FOUNDATION HAS GAPS/HOLES ❑CRAWLSPACE Mosquito Control Weekly ❑GAPS AROUND DOORS ❑ATTIC Tax 73.92 ❑BASEBOARDS PREVIOUS BALANCE - ❑WOOD TO EARTH CONTACT ❑CRACKS/CREVICES ❑OTHER ❑VOID APPLICATION TOTAL DUE 911� —BAIT STATION CONSUMPTION #1 % #2 % #3 % #4 % #5 % #6 % #7 % #8 % #9 COMMENTS: IIIIIIIillllllllilllllllll llillilllli Mosquito Control Weekly 873.92 Panther Creek Wetland IIIIIillllllllllllll PREVIOUS BALANCE Tax TOTAL DUE CUSTOMER# INVOICE# 01-0002347 01-0032383 B CUST NO. 01-0 TECH/NO. Jose-3 Terms: NETO SERVICE DATE -2006 TOTAL ROUTE PAID ❑CASH ❑CK# f Y Page 1 / 1 CITY OF RENTON + + 1055 S. GRADY WAY 6NUMBEF2 � bA O� RENTON, WA 98055 CO P 4/25/2006 18/0001189 VENDOR:.091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req. No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req. Del.Date: Contact: PARKER, LIBBY Pre-Assigned PO#?: NO Special Inst: ` CAG-05-059 Add.#2-06,2006 Mosquito 19,192.32 -Ste 5- 00,419 SUBTOTAL 19192.32 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 19,192.32 MW e E 427.000600.018.5960.0038.65.065020 5020/5354 19,192.32 Whitworth Pest Solutions INVOICE 01-0032384 % 2533 Inter Avenue Puyallup, WA 98372 II III) I IIII II (III I III I I I I II 253-845-1818 Fax 253-845-1133 INVOICE DATE 8/17/2006 DUE DATE 8/17/2006 CUSTOMER# 01-0009763 TERMS Net 0 City of Renton PO# 1055 S Grady Way Renton, WA 98055 AMOUNT DUE 913.92 For Service at: Panther Creek Wetland Renton, WA 98055 PLEASE RETURN WITH PAYMENT Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @$840.00 each $840.00 RECEIVED AUG ? 2 2006 City c,f Renton Accor.: s Payable CHARTER 116 LAWS OF 1965 CONCURRENCE i CITY OF RENTON CERTIFICATION DATE I,THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY NAM OF PERJURY THAT THE MATERIALS HAVE BEEN FURNISHED THE SERVICES RENDERED OR THE LABOR PERFORMED AS DESCRIBED HERON,AND THAT THE CLAIM IS A JUST,DUE AND O i UNPAID OBLIGATION AGAINST THE CITY OF RENTON,AND I THAT I AM AUTHORIZED TO AUTHENTICATE,AND CERTIFY TO SAID CLAW. SK-N _G Panther Creek Wetland Total Tax: 73.92 Total This Invoice: 913.92 Renton, WA 98055 8/17/2006 Invoice: 01-0032384 Invoice Date: 8/17/2006 913.92 WHITWORTH PEST SOLUTIONS,INC. 2533 Inter Ave. Puyallup, WA 98372 TIME IN: TIME OUT: Ii 253.845.1818 • 206.248.2222 CUSTOMER# TECH 1.888.959.1818 APPOINTMENTO 1-0002347 Jose--3 01-0032384 DATE&TIME 8/17/2006 11:15 am LICENSE# 63766 City of Renton n� TARGET PESTpf P. k A 1055 S Grady Way AM '2 22006 LEASE AVOID CONTACT WITH TREATED AREAS UNTIL AM/PM Renton, WA 98055 d'► )iNO RESTRICTIONS City of Rentable GENERAL INSPECTION&REPORT OF FINDINGS CONDITIONS FAVORING PEST INFESTATION AREAS OF TREATMENT ADDRESSSERVICE ❑CRAWLSPACE VENT SCREENS INADEQUATE VEXTERIOR /0E'/-( Panther Creek Wetland ❑CRAWLSPACE ACCESS DOOR INADEQUATE ❑PERIMETER HARTER 116 LAWS OF 1965 ❑CLOGGED RAIN GUTTERS/DOWNSPOUT(S) ❑EAVES Rent ENTON CERTIFICATION ❑TREES AND/OR SHRUBS TOO CLOSE TO STRUCTURE ❑CRACKS/CREVICES 9� ID DO HEREBY RIAI S KWE BEEN FURNISHED ❑WATER POOLING NEAR STRUCTURE ❑VOID APPLICATION ❑TRASH/DEBRIS FAVORING PEST INFESTATION ❑INTERIOR mOS NSTTHE CITY OF RENTON, 00 ❑FOUNDATION HAS GAPS/HOLES ❑CRAWLSPACE i [} NUTHE ,AN O CERTi ❑GAPS AROUND DOORS ❑ATTIC $plp Cl q �ax •92 ❑BASEBOARDS PREVIOUS BALANCE ❑WOOD TO EARTH CONTACT ❑CRACKS/CREVICES TOTALAd. ❑OTHER ❑VOID APPLICATION BAIT ST I MMUP 1 N #1 % #2 % #3 % #4 % #5 % #6 % #7 % #8 % #9 COMMENTS: Q Page 1 / 1 o CITY OF RENTONAN 1055 S. GRADY WAY RENTON, WA 98055 4/25/2006 18/0001189 VENDOR: 091710 SHIP TO: Fr d WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE � . PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del.Date: Contact: PARKER, LIBBY Pre-Assigned PO#?: No Special Inst: CAG-0"59 Add.#2-06,2006 Mosquito 19,192.32 —0 3G7 -10--06 231 231 A1v t 613713 I Lot - c5 WON g: .. c , a .. IMM SUBTOTAL 19192.32 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 19,192.32 $ a< D �#e E 427.000600.018.5960.0038.65.065020 5020/5354 19,192.32 Authorized Signature Authorized Signature Whitworth Pest Solutions V. ` ��' INVOICE 0 Puyallup W1-0032379 A 98372 253-845-1818 Fax 253-845-1133 INVOICE DATE 7/13/2006 DUE DATE 7/13/2006 CUSTOMER# 01-0002347 TERMS Net 0 City of Renton PO# 1055 S Grady Way Renton, WA 98055 Allen Quynn RECEIVED, AMOUNT DUE 913.92 JUL 17 20M For Service at: Panther Creek Wetland CITY OF REWTON Renton, WA 98055 LITIt ITY 5Ys' PLEASE RETURN WITH PAYMENT Service/ Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @$840.00 each $840.00 CONCU R C DATE N ME INITIAL/DATE/ Lv oC CHARTER 116,LAWS OF 190 CITY OF RENTON CERTIFICATION 1,TH@ UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY OF PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED, D i lgRISE0 HE EEiN,AND THAT TERED OR HE CLAIMS JUST,DUE AND Uimc-'AiD OBLIGATION AGAINST THE CITY OF RENTON, AND It,;,i 1 gh AUTHORIZED TO AUTHENTICATE AND CERTIFY TO SAID CLAIM,'11 � Panther Creek Wetland Total Tax: 73.92 Total This Invoice: 913.92 Renton, WA 98055 7/13/2006 Invoice: 01-0032379 Invoice Date: 7/13/2006 913.92 w , WHITWORTH PEST SOLUTIONS,INC. SERVICE SLIP INVOICE # 2533 Inter Ave. Puyallup, WA 98372 TIME IN: 2;' TIME OUT: 253.845.1818 • 206.248.2222 CUSTOMER# TECH 1.888.959.1818 APPOINTMENT 01-0002347 Jose--3 ONE g DATE&TIMEOI-0O32381 LICENSE# E TARGET PEST 7/27/2006 9:05 am 63 City of Renton t 1055 S Grady Way AUG p 1 2O� ❑PLEASE AVOID CONTACT WITH TREATED AREAS UNTIL AM/PM Renton, WA 98055 ❑NO RESTRICTIONS 'Y'I 1'`s = r`=I`�._T�l City of Renton GENERAL INSPECTION&REPORT OF FINDING -,. �� -.CONDITIONS FAVORING PEST INFESTATION AREAS OF TREATMENT SERVICE ADDRESS ❑CRAWLSPACE VENT SCREENS INADEQUATE ❑ EXTERIOR Panther Creek Wetland ❑CRAWLSPACE ACCESS DOOR INADEQUATE ❑PERIMETER ❑CLOGGED RAIN GUTTERS/DOWN TER 116, AW&AD s1965 CONCURRE p��LTrtA' r Q��� RentoBA 98055Fkj?�Sk'c' ❑TREES AND/OR SHRUBS TOCUTYEOf S/'}f�Ol ON CW /" �r ❑WATER POOLING NEAR STRIJ ERBIGNED DO HER Y IIIYYYAAR AMOUNT ❑TRASH/DEBRIS FAVORING P AT THE MATE IAL �DERED 0 T9 KMORMRFORMED AS • ❑FOUNDATION HAS GAPS/HOD€SCRIBED HEREIN,AND THA TH jE AND osquito Control e ly 840.00 ❑GAPS AROUND DOORS UNPAID OBLIGATION AGAINS TAND 73 92 THAT I AM AUTHORIZED TO AU HE i N�ARpSIFY TO ❑WOOD TO EARTH CONTACT SAID CLAIM8piSX44EVICES TOTAL ❑OTHER APPLICATION B % % #4 % #5 % # % #8 % #9 COMMENTS: ` PAYMENT RECEIPT.-PLEASE RETURN WITH PAYMENT FOR PROPER CREDITING OF YOUR ACCOUNT III IIII I III IIIIIIII I III III III II Mosquito Control Weekly 840.00 Panther Creek Wetland PREVIOUS BALANCE 73.92 CUSTOMER# INVOICE# • ' • B CUST.NO. 01-0002347 TECH,No. 01-0032381 TOTAL SERVICE DATE 01-0009763 ROUTE Jose--3 PAID T�e� S: T k , WHIT WORTH PEST SOLUTIONS,INC. 2533 Inter Ave. Puyallup, WA 98372 TIME IN: 253.845.1818 • 206.248.2222 CUSTOMER# 01-0002347 TECH Jose--3 y r 1.888.959.1818 APPOINTMENT 01-0032380 BILLING ADDRESS DATE&TIME 7/20/2006 9:10 am LICENSE# 63766 City of Renton , � -g� , ; T 1055 S Grady Way RECEIVED ❑PLEASE AVOID NTACT WI tAT�_ EAS NTI _ Al /PM Renton, WA 98055 JUG rN TRICTIONAMP \ JUL 2 4 2006 GE A IN EC N A B-EP ION T O REATMENT ".` .iAlAnCnLIGT SERVICE Accounts Payable ocRAWLSPACEv a Panther Creek Wetland ❑CRAWLSPACE A C 4S nQnu tnienFnl IATF PERIMET R ❑CLOGGED RAIN I ITTEASmnWNsan IT(S) ❑EAVES Renton, WA 98055 ., / ❑TREES AND/OR H LOSE TO ST UCTURE / REVICES ✓`M TATION ❑WATER POOLING NEAR STRUCTURE ❑VOID APPLICATION AMOUNT ❑TRASH/DEBRIS FAVORING PE I fjDtj 6, LAV Jb Ikt1EAS65 Mosquito Control Weekly 840.00 ❑FOUNDATION HAS GAPs%T*OF RENTON GE RUWAMIGN Tax 73.92 ❑GAPS AROUND DOORSI,THE UNDERSIGNED DO HEREBY C RTIIEF MP PENALTY PREVIOUS BALANCE ❑WOOD TO EARTH CON�p��ERJURY,THAT THE MATERIALS AV91I ME1RN00, '1�#E SERVICES RENDERED OR THE OINWR CES TOTAL DUE ❑OTHER DESCRIBED HEREIN,AND THAT THE LAM$ T ION PIT BAIT STATION CONSUMPTION #1 % #2 % #3• % #4 % #5—w I AVA TOWiTHENTfOATE� TO COMMENTS: / SAID CL PAYMENT RECEIPT.PLEASE RETURN WITH PAYMENT .- PROPER II III II II IIIIIIII I IIII IIII III I Mosquito Control Weekly 40.00 Tax 873.92 Panther Creek Wetland PREVIOUS BALANCE CUSTOMER# 01-0002347 INVOICE# 01-0032380 I 6 CUST NO. 01-0009763 TECH/NO. Jose--3 TOTAL Terms: N ETO SERVICE DATE ROUTE PAID ❑CASH ❑CK# _� WHITWORTH PEST SOLUTIONS,INC. 1- 032379 2533 Inter Ave. _ a Puyallup, WA 98372 TIME IN: TIME OUT: 253.845.1818 - 206.248.2222 CUSTOMER# 01-0002347 TECH Jose--3 1.888.959.1818 APPOINTMENT01-0032379 BILLING ADDRESS DATE&TIME 7/13/2006 9:10 am LICENSE# 63766 City Of Renton TARGET PEST H oc 1055 S Grady Way Renton, WA 98055 ❑PLEASE AVOID CONTACT WITH TREATED AREAS UNTIL AM/PM NO RESTRICTIONS GENERAL INSPECTION&REPORT OF FINDINGS SERVICE ADDRESS CONDITIONS FAVORING PEST INFESTATION AREAS OF TREATMENT ❑CRAWLSPACE VENT SCREENS INADEQUATE 14EXTERIOR Panther Creek Wetland ❑CRAWLSPACE ACCESS DOOR INADEQUATE ❑PERIMETER ❑CLOGGED RAIN GUTTERS/DOWNSPOUT(S) ❑EAVES Renton, WA 98055 ❑CRACKS/CREVICES ❑TREES AND/OR SHRUBS TOO CLOSE TO STRUCTURE ❑BAITTED STATION ❑WATER POOLING NEAR STRUCTURE ❑VOID APPLICATION [fillSERVICE TYPE/MATERIAL 6 ❑TRASH/DEBRIS FAVORING PEST INFESTATION ❑INTERIOR Mosquito Control Weekly 840.00 ❑FOUNDATION HAS GAPS/HOLES ❑CRAWLSPACE ❑GAPS AROUND DOORS ❑ATTIC Tax 73.92 ❑BASEBOARDS PREVIOUS BALANCE ❑WOOD TO EARTH CONTACT ❑CRACKS/CREVICES TOTAL913 ❑OTHER 1 ❑VOID APPLICATION BAIT'STATION CONSUMPTION #1 % #2 % #3 % #4 % #5 % #6 % #7 % #6 % #9 % COMMENTS: 't� k, oj&A-�Y O Page 1 /1 U~b CITY OF RENTON 1055 S. GRADY WAY RENTON, WA 98055 4/25/2006 18/0001189 VENDOR: 091710 SHIP TO: WHITWORTH PEST SOLUTIONS INC 2533 INTER AVE PUYALLUP, WA 98372 FOB Point: Req.No.: Terms: net term Dept.: PLNG/BLDG/PUB WKS UTILITY SYS Req.Del. Date: Contact: PARKER, LIBBY Pre-Assigned PO#?: No Special Inst: zo 1 z ,.., CAG-05-059 Add.#2-06,2006 Mosquito 19,192.32 III I 1r uU c r71 W"116 ;�M---- �. m� SUBTOTAL 19192.32 BILL TO: TAX 0.00 FREIGHT 0.00 TOTAL 19,192.32 lyq t �1Al t x E 427.000600.018.5960.0038.65.065020 5020/5354 19,192.32 I Authorized Signature Authorized Signature }} Whitworth Pest Solutions l �' v INVOICE 01-0032376 �. 2533 Inter Avenue N Puyallup, WA 98372 �, � J �j I IIIIIIIIIIIIIIIIIIIIIIIIII�III�IIIIIIIIIIII�IIII IIIII 253-845-1818 Fax 253-845-1133 INVOICE DATE 6/22/2006 DUE DATE 6/22/2006 CUSTOMER# 01-0002347 TERMS Net 0 City of Renton PO# 1055 S Grady Way RECEIVED Renton, WA 98055 Allen Quynn CITY OF RENTON AMOUNT DUE 913.92 For Service at: Panther Creek Wetland Renton, WA 98055 PLEASE RETURN WITH PAYMENT Service/Product Description Quantity/Price Amount Mosquito Control Weekly 1.00 @$840.00 each $840.00 CONCU RENC DATE Z— L N E I I IT LSD TE z7 x CHARTb 1 CITY OF RENTON CERTIFICATION I THE UNDERSIGNED DO HEREBY CERTIFY UNDER PENALTY �F PERJURY,THAT THE MATERIALS HAVE BEEN FURNISHED, WINETHE RENDERED OR THE LABOR PERFORMED AS SKIN,AND THAT THE CLAIM IS JUST,DUE AND UNPAID OBLIGATION AGAINST THE CITY OF RENTON, AND THAT I AM ED TO A HENTICATE AN ERTIFY TO SAID C D: Panther Creek Wetland Total Tax: 73.92 Total This Invoice: 913.92 Renton, WA 98055 6/22/2006 Invoice: 01-0032376 Invoice Date: 6/22/2006 913.92 • WHITWORTH PEST SOLUTIONS,I:,7ENTOI-0032376 01-0032376 2533 Inter Ave.Puyallup, WA 98372 TIME OUT:253.845.1818 •206.248.2222R# 01-0002347 TECH Jose--3 1.888.959.1818 ADDRESSBILLING DATE 8,TIME 6/22/2006 9:05 am LICENSE# 63766 City of Renton TARGET PEST 1055 S Grady Way Renton, WA 98055 ❑PLEASE AVOID CONTACT WITH TREATED AREAS UNTIL _AM/PM ❑NO RESTRICTIONS GENERAL INSPECTION&REPORT OF FINDINGS SERVICE ADDRESS CONDITIONS FAVORING PEST INFESTATION AREAS OF TREATMENT ❑CRAWLSPACE VENT SCREENS INADEQUATE EXTERIOR Panther Creek Wetland ❑CRAWLSPACE ACCESS DOOR INADEQUATE ❑PERIMETER Renton, WA 98055 ❑CLOGGED RAIN GUTTERS/DOWNSPOUT(S) ❑EAVES ❑TREES AND/OR SHRUBS TOO CLOSE TO STRUCTURE ❑CRACKS/CREVICES ❑BAITTED STATION ❑WATER POOLING NEAR STRUCTURE ❑VOID APPLICATION SERVICE TYPE/MATERIAL • ❑TRASH/DEBRIS FAVORING PEST INFESTATION ❑INTERIOR Mosquito Control Weekly 840.00 ❑FOUNDATION HAS GAPS/HOLES ❑CRAWLSPACE TaX 73.92 ❑GAPS AROUND DOORS ❑ATTIC PREVIOUS BALANCE, 1,87.84 ❑WOOD TO EARTH CONTACT ❑BASEBOARDS TOTAL DUE - r ' ❑CRACKS/CREVICES 2,741.76 OTHER S�x N�1 /� ?�A'�" ❑VOID APPLICATION BAIT STATION CONSUMPTION #1 % #2 % #3 % #4 % #5 % #6 % #7 % #8 % #9 COMMENTS: IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIINIIIIIIIIIII Mosquito Control Wee ly Panther Creek Wetland Tax 73.92 (?fi)»i10US BALANCE ' cusTOMER n 01-0002347 INVOICE a - TOTAL D _ 2,741.76 e CuST.No. 01-0002347 TECH i NO. Jose-3 TOTAL erms: SERVICE DATE 6/22/2006 ROUTE PCO.lose PAID ❑CASH ❑CK#