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HomeMy WebLinkAbout31Jcb #037008 M)LIL TO. Statement of f INDUSTRIAL STATISTICIAN INTENT TO PAY DePartment of Labor & Industries PREVAILING WAGES EIMPIGYment Standards Section (Public Works Contract) General Administration Building Olympia. WA 98504-0631 9 (206) 753-4019 Contract Awarding Public Agency rit-y caf R-t— Address Phone Contract/BPW Number Date Bid Was Due lZ7/87 Date Contract Awarded 1/7/87 County in Which Work Performed King Prime Contractor.- CORAL CONST CO Your Contractor's Registration Certificate Nc.22�J=QJ=JJL-JLL-VL"* 74JD Do You Intend To Use Subcontractors? Yes 01 No R In compliance with RCW 39.12.040 1, the undersigned, being a duly authorized representative of LAKESIDE INDUSTRIES P. 0. Box 1379; Bellevue, WA 98009 (c_�, - suix;�� iAdd—) do hereby certify that the following rates of hourly wage and hourly fringe benefits will be paid to all laborers, workers and mechanics employed by me upon the public works project described above and that no laborer, worker or mechanic will be paid less than the "prevailing rate of wage" as determined by the Industrial Statistician of the Department of Labor and Industries. PLEASE NOTE, If apprentices are to be used they must be registered with the State Ap- prenticeship Council within 60 days of hiring or they must be paid prevailing journeyman wages for the time preceding the date of registration. CRAFT ESTIMATED NUMBER RATE OF RATE OF HOURLY OF WORKERS HOURLY PAY FRINGE BEN NOTE: Attach Additional Sheets as Needed. Subscribed and _��w"71_�.before me y this d. N.tartv PUA4,ofand for the State of Washington, resid- ­S in WahirWton, SEE ATTACHED LAKESIDE INDUSTRIES I For L & I Use Only APPROVED Department of Labor & Industries Industrial Statistician �M_ -41, Erifice"M a . I . & . BEFORE FINAL SETTLEMENT can be made on any public works project, the prime contractor and each and every subcontractor must submit form LI-700-7 (F700-007-000) "Affidavit of Wages Paid" to the officer charged with the disbursement of public funds. EACH AFFIDAVIT OF WAGES PAID MUST BE CERTI- FIED BY THE INDUSTRIAL STATISTICIAN OF THE DEPARTMENT OF LABOR AND INDUS- TRIES BEFORE IT IS SUBMIT -FED TO SAID OFFICER. PROGRESS PAYMENTS: Each voucher claim submitted to an owner by a contractor for payment on a project estimate shall state that prevailing wages have been paid in accordance with the prefiled statement or statements of intent to pay prevailing wages on file with the public agency. COMPLETE AN. MAIL ENTIRE SET FOR APPROVAL TO: Employment Standards Section, Department of Labor and Industries. -,i\-,J E L) Olympia, Washington 98504-0631 R8, DISTRIBUTE APPROVED STATEMENTS AS FOLLOWS: [=-,�-.-z ORIGINAL CONTRACT -AWARDING AGENCY r �GREEN COPY) DUPLICATE -INDUSTRIAL STATISTICIAN (Retained by Deptirtnient) BLUE COPY) TRIPLICATE -PRIME CONTRAC-MR (YELLOW COPY) QUADRUPLICATE-SUBCONTRACTUR 1­- 1­1 � - -.1, Q� � 7� IM J