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CAG-20-065 -Duvall - Subcontractor Approval Packets
City of Renton Duvall Avenue NE Contract No.CAG-20-065 REQUEST TO SUBLET WORK Updated 8/21/2023 G&O#20593 Ori;final Contract Amount(w/o tax): S5,169,697.50 Date of Intent PERCENT OF TOTAL CONTRACT Request To Pa Date of REQUEST THIS PREVIOUS SUBLET Rec'd to Sublet Prevailing Wage Rate Affidavit of Payrolls Business NO. SUBCONTRACTOR AMOUNT REQUEST REQUESTS TO DATE RTS (apprvd) DBE Wages Interview? Wages Paid Up to Date License UBI 1. Ground Up Road Construction,Inc. $25,575.00 0.49% 0.00% 0.49% 8/11/2021 8/12/2021 N 8/27/2021 Y N 1/31/2023 602790246 2. Green City,Inc. $139,480.00 2.70% 0.49% 3.19% 8/11/2021 8/12/2021 Y 8/31/2021 Y N 1/31/2024 601196371 3. Totem Electric of Tacoma,Inc. $734,636.80 14.21% 3.19% 17.39% 8/12/2021 8/12/2021 N 8/27/2021 Y N 1/31/2023 278043550 3a. Integrity Networks(Lower Tier) $22,432.15 3.05% 0.00% 3.05% 12/15/2021 12/15/2021 N 8/31/2021 N/A 10/6/2022 Y 1/31/2023 602512350 3b. Transportation Systems,Inc. $100,000.00 13.61% 3.05% 16.67% 11/8/2022 11/9/2022 N 11/8/2022 Y N 1/31/2023 602726209 4. Lakeridge Paving Company,LLC $706,900.00 13.67% 17.39% 31.07% 8/16/2021 8/17/2021 N 8/30/2021 Y 5/17/2023 Y 1/31/2023 601592135 5. Stripe Rite,Inc. $42,778.60 0.83% 31.07% 31.89% 8/162021 8/17/2021 N 8/24/2021 Y N 1/31/2023 601048084 6. C&PFencing $2,177.70 0.04% 31.89% 31.94% 8/20/2021 8/23/2021 N 8/26/2021 N/A N/A 1/31/2023 603210811 7. W.E.Coates $61,500.00 1.19% 31.94% 33.13% 12/15/2021 12/15/2021 Y 11/15/2021 Y N 1/31/2023 602746960 8. Legacy Tapping,Inc. $20,150.00 0.39% 33.13% 33.52% 1/27/2022 1/27/2022 N 1/27/2022 N/A 11/21/2022 Y 1/31/2023 604359046 9. PnD Logging $10,000.00 0.19% 33.52% 33.71% 2/16/2022 2/17/2022 N 2/16/2022 Y 5/2/2022 Y 1/31/2023 601439180 5/9/2022 6/26/2023 N 10. Concrete Services $192,934.00 3.73% 33.71% 37.44% 3/17/2022 3/17/2022 N 3/23/2022 Y N 1/31/2023 601334103 11. Puget Construction Services,Inc. $15,000.00 0.29% 37.44% 37.73% 3/18/2022 3/18/2022 N 4/12/2022 Y N 1/31/2023 603356329 12. Transportation Systems,Inc $48,110.00 0.93% 37.73% 38.66% 3/21/2022 3/21/2022 N 3/18/2022 Y N 1/31/2024 602726209 13. Evergreen Concrete Cutting,Inc $3,000.00 0.06% 38.66% 38.72% 4/15/2022 4/15/2022 N 5/6/2022 Y N 1/31/2023 601605667 14. Tyee Concrete Construction,Inc. $15,000.00 0.29% 38.72% 39.01% 8/2/2022 8/4/2022 N 7/28/2022 N N 1/31/2023 602123519 15. Integrity Networks $22,432.15 0.43% 39.01% 39.44% 8/30/2022 8/31/2022 N 8/312021 Y 5/26/2023 N 1/31/2023 602512350 Total $2,039,674.25 39.45% Prime: Reed Trucking&Excavating,Inc. I N/AI N/AI N/AI N/AI N/AI N 18/242021 I Y I I N I 1/31/2023 1601915034 Request In Sublet Work.xls Page 1 of 1 City of Renton Duvall Avenue NE Contract No.CAG-20-065 REQUEST TO SUBLET WORK Updated 2/15/2023 G&O#20593 Original Contract Amount(w/o tax): $5,169,697.50 Date of Intent PERCENT OF TOTAL CONTRACT Request To Pay Date of REQUEST THIS PREVIOUS SUBLET Rec'd to Sublet Prevailing Wage Rate Affidavit of Payrolls Business NO. SUBCONTRACTOR AMOUNT REQUEST REQUESTS TO DATE RTS (apprvd) DBE Wages Interview? Wages Paid Up to Date License UBI 1. Ground Up Road Construction,Inc. $25,575.00 0.49% 0.00% 0.49% 8/11/2021 8/12/2021 N 8/27/2021 Y N 1/31/2023 602790246 2. Green City,Inc. $139,480.00 2.70a/o 0.49% 3.19% 8/11/2021 8/12/2021 Y 8/31/2021 Y N 1/31/2024 601196371 3. Totem Electric of Tacoma,Inc. $734,636.80 14.21% 3.19% 17.39% 8/12/2021 8/12/2021 N 8/27/2021 Y N 1/312023 278043550 3a. Integrity Networks(Lower Tier) $22,432.15 3.05% 0.00% 3.05% 12/15/2021 12/15/2021 N 8/312021 N/A 10/6/2022 Y 1/312023 602512350 3b. Transportation Systems,Inc. $100,000.00 13.61% 3.05% 16.67% 11/8/2022 11/9/2022 N 11/8/2022 Y N 1/312023 602726209 4. Lakeridge Paving Company,LLC $706,900.00 13.67% 17.39a/u 31.07% 8/16/2021 8/17/2021 N 8/30/2021 Y 12/28/2023 Y 1/31/2023 601592135 5. Stripe Rite,Inc. $42,778.60 0.83% 31.07% 31.89% 8/16/2021 8/17/2021 N 8/24/2021 Y N 1/31/2023 601048084 6. C&P Fencing $2,177.70 0.04% 31.89% 31.94% 8202021 8/23/2021 N 8/26/2021 N/A N/A 1/31/2023 603210811 7. W.E.Coates $61,500.00 1.19% 31.94% 33.13% 12/15/2021 12/15/2021 Y 11/15/2021 Y N 1/312023 602746960 8. Legacy Tapping,Inc. $20,150.00 0.39% 33.13% 33.52% 1272022 1/27/2022 N 1/27/2022 N/A 11/21/2022 Y 1/312023 604359046 9. PnD Logging $10,000.00 0.19% 33.52% 33.71% 2/16/2022 2/17/2022 N 2/16/2022 Y 5/2/2022 Y 1/31/2023 601439180 5/9/2022 N 10. Concrete Services S192,934.00 3.73% 33.71% 37.44% 3/17/2022 3/17/2022 N 3/23/2022 Y N 1/31/2023 601334103 11. Puget Construction Services,Inc. $15,000.00 0.29% 37.44% 37.73% 3/18/2022 3/18/2022 N 4/12/2022 Y N 1/31/2023 603356329 12. Transporation Systems,Inc $48,110.00 0.93% 37.73% 38.66% 3/21/2022 3/21/2022 N 3/18/2022 Y N 1/312024 602726209 13. Evergreen Concrete Cutting,Inc $3,000.00 0.06% 38.66% 38.72% 4/15/2022 4/15/2022 N 5/6/2022 Y N I/312023 601605667 14. Tyee Concrete Construction,Inc. $15,000.00 0.29% 38.72% 39.01% 8/2/2022 8/4/2022 N 7/28/2022 N N 1/31/2023 602123519 15. Integrity Networks $22,432.15 0.43% 39.01% 39.44% 8/30/2022 8/31/2022 N 8/31/2021 Y N 1/31/2023 602512350 Total $2,039,674.25 39.45% Prime: Reed Trucking&Excavating,Inc. I N/AI N/AI N/Al N/AI N/AI N 18242021 I Y I I N I 1/312023 1601915034 Request to Sublet Work Page 1 of 1 City of Renton Duvall Avenue NE Contract No.CAG-20-065 REQUEST TO SUBLET WORK Updated 10/21/2022 G&O#20593 OrMinal Contract Amount(w/o tax): S5,169,697.50 Date of Intent PERCENT OF TOTAL CONTRACT Request To Pay Date of REQUEST THIS PREVIOUS SUBLET Rec'd to Sublet Prevailing Wage Rate Affidavit of Payrolls Business NO. SUBCONTRACTOR AMOUNT REQUEST REQUESTS TO DATE RTS (apprvd) DBE Wages Interview? Wages Paid Up to Date License UBI 1. Ground Up Road Construction,Inc. $25,575.00 0.49% 0.00% 0.49% 8/11/2021 8/12/2021 N 8/27/2021 Y N 1/31/2023 602790246 2. Green City,Inc. $139,480.00 2.70% 0.49% 3.19% 8/11/2021 8/12/2021 Y 8/31/2021 N/A N/A 1/31/2023 601196371 3. Totem Electric of Tacoma,Inc. $734,636.80 14.21% 3.19% 17.39% 8/12/2021 8/12/2021 N 8/27/2021 Y N 1/31/2023 278043550 3a. Integrity Networks(Lower Tier) $22,432.15 3.05% 0.00% 3.05% 12/15/2021 12/15/2021 N 8/31/2021 N/A 10/6/2022 N/A 1/31/2023 602512350 4. Lakeridge Paving Company,LLC $706,900.00 13.67% 17.39% 31.07% 8/16/2021 8/17/2021 N 8/30/2021 Y N 1/31/2023 601592135 5. Stripe Rite,Inc. $42,778.60 0.83% 31.07% 31.89% 8/16/2021 8/17/2021 N 8/24/2021 N/A N/A 1/31/2023 601048084 6. C&PFencing $2,177.70 0.04% 31.89% 31.94% 8/20/2021 8/23/2021 N 8/26/2021 N/A N/A 1/31/2023 603210811 7. W.E.Coates $61,500.00 1.19% 31.94% 33.13% 12/15/2021 12/15/2021 Y 11/15/2021 Y N 1/31/2023 602746960 8. Legacy Tapping,Inc. $20,150.00 0.39% 33.13% 33.52% 1/27/2022 1/27/2022 N 1/27/2022 N N 1/31/2023 604359046 9. PnDLogging $10,000.00 0.19% 33.52% 33.71% 2/16/2022 2/17/2022 N 2/16/2022 Y 5/2/2022 Y 1/31/2023 601439180 5/9/2022 N 10. Concrete Services $192,934.00 3.73% 33.71% 37.44% 3/17/2022 3/17/2022 N 3/23/2022 Y N 1/31/2023 601334103 11. Puget Construction Services,Inc. $15,000.00 0.29% 37.44% 37.73% 3/18/2022 3/18/2022 N 4/12/2022 Y N 1/31/2023 603356329 12. Transporation Systems,Inc $48,110.00 0.93% 37.73% 38.66% 3/21/2022 3/21/2022 N 3/18/2022 Y N 1/31/2023 602726209 13. Evergreen Concrete Cutting,Inc $3,000.00 0.06% 38.66% 38.72% 4/15/2022 4/15/2022 N 5/6/2022 Y N 1/31/2023 601605667 14. Tyee Concrete Construction,Inc. $15,000.00 0.29% 38.72% 39.01% 8/2/2022 8/4/2022 N 7/28/2022 N N 1/31/2023 602123519 15. Integrity Networks $22,432.15 0.43% 39.01% 39.44% 8/30/2022 8/31/2022 N 8/31/2021 N Y 1/31/2023 602512350 Total $2,039,674.25 39.45% Prime: Reed Trucking&Excavating,Inc. N/A N/A N/A N/A N/A N 8/24/2021 Y N 1/31/2023 1601915034 I Request to Sublet Work Page 1 of I City of Renton Duvall Avenue NE Contract No.CAG-20-065 REQUEST TO SUBLET WORK Updated 5/17/2022 G SO#20593 Original Contract Amount(w/o tax): $5,169,697.50 Date of Intent PERCENT OF TOTAL CONTRACT Request To Pay Date of REQUEST THIS PREVIOUS SUBLET Rec'd to Sublet Prevailing Wage Rate Affidavit of Payrolls Business NO. SUBCONTRACTOR AMOUNT REQUEST REQUESTS TO DATE RTS (apprvd) DBE Wages Interview? Wages Paid Up to Date License UBI 1. Ground Up Road Construction,Inc. $25,575.00 0.49% 0.00% 0.49% 8/11/2021 8/12/2021 N 8/27/2021 N/A N 1/31/2023 602790246 2. Green City,Inc. $139,480.00 2.70% 0.49% 3.19% 8/11/2021 8/12/2021 Y _ 8/31/2021 N/A N/A 1/31/2023 601196371 3. Totem Electric of Tacoma,Inc. $734,636.80 14.21% 3.19% 17.39% 8/12/2021 8/12/2021 N 8/27/2021 Y N 1/31/2023 278043550 3a. Integrity Networks(Lower Tier) $22,432.15 3.05% 0.00% 3.05% 12/15/2021 12/15/2021 N 8/31/2021 N/A N/A 1/31/2023 602512350 4. Iakeridge Paving Company,LLC $706,900.00 13.67% 17.39% 31.07% 8/16/2021 8/17/2021 N 8/30/2021 N/A N 1/31/2023 601592135_ 5. Stripe Rite,Inc. $42,778.60 0.83% 31.07% 31.89% 8/16/2021 8/17/2021 N 8/24/2021 N/A N/A 1/31/2023 601048084 6. C&PFencing $2,177.70 0.04% 31.89% 31.94% 8/20/2021 8/23/2021 N 8/26/2021 N/A N/A 1/31/2023 603210811 7. W.E.Coates $61,500.00 1.19% 31.94% 33.13% 12/15/2021 12/15/2021 Y 11/15/2021 Y N 1/31/2023 602746960 8. Legacy Tapping,Inc. $20,150.00 0.39% 33.13% 33.52% 1/27/2022 1/27/2022 N 1/27/2022 N/A N 1/31/2023 604359046 9. PnD Logging $10,000.00 0.19% 33.52% 33.71% 2/16/2022 2/17/2022 N 2/16/2022 Y 5/2/2022 Y 1/31/2023 601439180 5/9/2022 N _ 10. Concrete Services $192,934.00 3.73% 33.71% 37.44% 3/17/2022 3/17/2022 N 3/23/2022 N/A N 1/31/2023 601334103 11. Puget Construction Services,Inc. $15,000.00 0.29% 37.44% 37.73% 3/18/2022 3/18/2022 N 4/12/2022 N/A N 1/31/2023 603356329 12. Transporation Systems,Inc $48,110.00 0.93% 37.73% 38.66% 3/21/2022 3/21/2022 N 3/18/2022 N/A N 1/31/2023 602726209 13. Evergreen Concrete Cutting,Inc $3,000.00_ 0.06% 38.66% 38.72% 4/15/2022 4/15/2022 N 5/6/2022 N/A Y 1/31/2023 601605667 14. _ 0.00% 38.72% 38.72% 15. 0.00% 38.72% 38.72% Total $2,002,242.10 38.73% Prime: Reed Trucking&Excavating,Inc. I N/AI N/AI N/Al N/A' N/AI N 18/24/2021 I Y I I N I 1/31/2023 I 601915034 I Request to Sublet Work Page 1 of 1 City of Renton Duvall Avenue NE Contract No.CAG-20-065 REQUEST TO SUBLET WORK Updated 5/3/2022 G&O#20593 Original Contract Amount(w/o tax): $5,169,697.50 Date of Intent PERCENT OF TOTAL CONTRACT Request To Pay Date of REQUEST THIS PREVIOUS SUBLET Rec'd to Sublet Prevailing Wage Rate Affidavit of Payrolls Business NO. SUBCONTRACTOR AMOUNT REQUEST REQUESTS TO DATE RTS (apprvd) DBE Wages Interview? Wages Paid Up to Date License UBI I. Ground Up Road Construction,Inc. $25,575.00 0.49% 0.00% 0.49% 8/11/2021 8/12/2021 N 8/27/2021 N/A N/A 1/31/2023 602790246 2. Green City,Inc. $139,480.00 2.70% 0.49% 3.19% 8/11/2021 8/12/2021 Y 8/31/2021 N/A N/A 1/31/2023 601196371 3. Totem Electric of Tacoma,Inc. $734,636.80 14.21% 3.19% 17.39% 8/12/2021 8/12/2021 N 8/27/2021 Y N 1/31/2023 278043550 3a. IntegrityNetworks(LowerTier) $22,432.15 3.05% 0.00% 3.05% 12/15/2021 12/15/2021 N 8/31/2021 N/A N/A , 1/31/2023 602512350 4. Lakeridge Paving Company,LLC $706,900.00 13.67% 17.39% 31.07% 8/16/2021 8/17/2021 N 8/30/2021 N/A N/A 1/31/2023 601592135 5. Stripe Rite,Inc. $42,778.60 0.83% 31.07% 31.89% 8/16/2021 8/17/2021 N 8/24/2021 N/A N/A 1/31/2023 601048084 6. C&P Fencing $2,177.70 0.04% 31.89% 31.94% 8/20/2021 8/23/2021 N 8/26/2021 N/A N/A 1/31/2023 603210811 7. W.E.Coates $61,500.00 1.19% 31.94% 33.13% 12/15/2021 12/15/2021 Y 11/15/2021 Y N 1/31/2023 602746960 8. Legacy Tapping,Inc. $20,150.00 0.39% 33.13% 33.52% 1/27/2022 1/27/2022 N 1/27/2022 N/A N/A 1/31/2023 604359046 9. PnDLogging $10,000.00 0.19% 33.52% 33.71% 2/16/2022 2/17/2022 N 2/16/2022 Y N 1/31/2023 601439180 10. Concrete Services $192,934.00 3.73% 33.71% 37.44% 3/17/2022 3/17/2022 N 3/23/2022 N/A N/A 1/31/2023 601334103 11. Puget Construction Services,Inc. $15,000.00, 0.29% 37.44% 37.73% 3/18/2022 3/18/2022 N 4/12/2022 N/A N/A 1/31/2023 603356329 12. Transporation Systems,Inc $48,110.00 0.93% 37.73% 38.66% 3/21/2022 3/21/2022 N 3/18/2022 N/A N/A 1/31/2023 602726209 13. Evergreen Concrete Cutting,Inc $3,000.00 0.06% 38.66% 38.72% 4/15/2022 4/15/2022 N 4/15/2022 , N/A N/A 1/31/2023 601605667 14. 0.00% 38.72% 38.72% 15. 0.00% 38.72% 38.72% Total $2,002,242.10 38.73% Prime: Reed Trucking&Excavating,Inc. I N/AI N/AI N/AI N/AI N/AI N 18/24/2021 I Y I I N 11/31/2023 1601915034 Request to Sublet Work Page I of I City of Renton Duvall Avenue NE Contract No.CAG-20-065 REQUEST TO SUBLET WORK Updated 321/2022 G&O#20593 Original Contract Amount(w/o tax): $5,169,697.50 Date of Intent PERCENT OF TOTAL CONTRACT Request To Pay Date of REQUEST THIS PREVIOUS SUBLET Rec'd to Sublet Prevailing Wage Rate Affidavit of Payrolls Business NO. SUBCONTRACTOR AMOUNT REQUEST REQUESTS TO DATE RTS (apprvd) DBE Wages Interview? Wages Paid Up to Date License UBI 1. Ground Up Road Construction,Inc. $25,575.00 0.49% 0.00% 0.49% 8/11/2021 8/12/2021 N 8/27/2021 N/A N/A 1/31/2023 602790246 2. Green City,Inc. $139,480.00 2.70% 0.49% 3.19%,8/11/2021 8/12/2021 Y 8/31/2021 N/A N/A 1/31/2023 601196371 3. Totem Electric of Tacoma,Inc. $734,636.80 14.21% 3.l9% 17.39% 8/12/2021 8/12/2021 _ N 8/27/2021 Y N 1/31/2023 278043550 3a. Integrity Networks(Lower Tier) $22,432.15 3.05% 0.00% 3.05% 12/15/2021 12/15/2021 N 8/31/2021 N/A N/A 1/31/2023 602512350 4. Lakeridge Paving Company,LLC $706,900.00 13.67% 17.39% 31.07% 8/16/2021 8/17/2021 N 8/30/2021 N/A N/A 1/31/2023 601592135 5. Stripe Rite,Inc. $42,778.60 0.83% 31.07% 31.89% 8/16/2021 8/17/2021 N 8/24/2021 N/A N/A 1/31/2023 601048084 6. C&PFencing $2,177.70 0.04% 31.89% 31.94% 8/20/2021 8/23/2021 N 8262021 N/A N/A 1/31/2023 603210811 7. W.E.Coates $61,500.00 1.19% 31.94% 33.13% 12/15/2021 12/15/2021 Y 11/15/2021 Y N 1/31/2023 602746960 8. Legacy Tapping,Inc. $20,150.00 0.39% 33.13% 33.52% 1/27/2022 1/27/2022 N 1/27/2022 N/A N/A 1/31/2023 604359046 9. PnDLogging $10,000.00 0.19% 33.52% 33.71% 2/16/2022 2/17/2022 N 2/16/2022 Y N 1/31/2023 601439180 10. Concrete Services $192,934.00 3.73% 33.71% 37.44% 3/17/2022 3/17/2022 N N/A N/A 1/31/2023 601334103 11. Puget Construction Services,Inc. $15,000.00 0.29% 37.44% 37.73% 3/18/2022 3/18/2022 N N/A N/A 1/31/2023 603356329 12. Transporation Systems,Inc $48,110.00 0.93% 37.73% 38.66% 3/21/2022 3/21/2022 N 3/18/2022 N/A N/A 1/31/2023 602726209 13. 0.00% 38.66% 38.66% 14. 0.00% 38.66% 38.66% 15. 0.00% 38.66% 38.66% Total $1,999,242.10 38.67% Prime: Reed Trucking&Excavating,Inc. I N/AI N/AI N/A' N/AI N/Al N 18242021 I Y I I N 11/31/2023 1601915034 Request to Sublet Work Page 1 of 1 City of Renton Duvall Avenue NE Contract No.CAG-20-065 REQUEST TO SUBLET WORK Updated 3/18/2022 G&O#20593 Orifinal Contract Amount(w/o tax): $5,169,697.50 Date of Intent PERCENT OF TOTAL CONTRACT Request To Pay Date of REQUEST THIS PREVIOUS SUBLET Rec'd to Sublet Prevailing Wage Rate Affidavit of Payrolls Business NO. SUBCONTRACTOR AMOUNT REQUEST REQUESTS TO DATE RTS (apprvd) DBE Wages Interview? Wages Paid Up to Date License UBI 1. Ground Up Road Construction,Inc. $25,575.00 0.49% 0.00% 0.49% 8/11/2021 8/12/2021 N 8/27/2021 N/A N/A 1/31/2023 602790246 2. Green City,Inc. $139,480.00 2.70% 0.49% 3.19% 8/11/2021 8/12/2021 Y 8/31/2021 N/A N/A 1/31/2023 601196371 3. Totem Electric of Tacoma,Inc. $734,636.80 14.21% 3.19% 17.39% 8/12/2021 8/12/2021 N 8/27/2021 Y N 1/31/2023 278043550 3a. Integrity Networks(Lower Tier) $22,432.15 3.05% 0.00% 3.05% 12/15/2021 12/15/2021 N 8/31/2021 N/A N/A 1/31/2023 602512350 4. Lakeridge Paving Company,LLC $706,900.00 13.67% 17.39% 31.07% 8/16/2021 8/17/2021 N 8/30/2021 N/A N/A 1/31/2023 601592135 5. Stripe Rite,Inc. $42,778.60 0.83% 31.07% 31.89% 8/16/2021 8/17/2021 N 8/24/2021 N/A N/A 1/31/2023 601048084 6. C&PFencing $2,177.70 0.04% 31.89% 31.94% 8/20/2021 8/23/2021 N 8/26/2021 N/A N/A 1/31/2023 603210811 7. W.E.Coates $61,500.00 1.19% 31.94% 33.13% 12/15/2021 12/15/2021 Y 11/15/2021 Y N 1/31/2022 602746960 8. Legacy Tapping,Inc. $20,150.00 0.39% 33.13% 33.52% 1/27/2022 1/27/2022 N 1/27/2022 N/A N/A 1/31/2023 604359046 9. PnD Logging $10,000.00 0.19% 33.52% 33.71% 2/16/2022 2/17/2022 N 2/16/2022 Y N 601439180 10. Concrete Services $192,934.00 3.73% 33.71% 37.44% 3/17/2022 3/17/2022 N N/A N/A 601334103 11. Puget Construction Services,Inc. $15,000.00 0.29% 37.44% 37.73% 3/18/2022 3/18/2022 N N/A N/A 603356329 12. 0.00% 37.73% 37.73% 13. 0.00% 37.73% 37.73% 14. 0.00% 37.73% 37.73% 15. 0.00% 37.73% 37.73% Total $1,951,132.10 37.74% Prime: Reed Trucking&Excavating,Inc. I N/AI N/AI N/AI N/AI N/Al N 18/24/2021 I Y I I N 11/31/2023 1601915034 Request to Sublet Work Page 1 of 1 City of Renton Duvall Avenue NE Contract No.CAC-20-065 REQUEST TO SUBLET WORK Updated 2/2/2022 C&O#20593 Original Contract Amount(w/o tax): 55,169,697.50 Date of Intent PERCENT OF TOTAL CONTRACT Request To Pay Date of REQUEST THIS PREVIOUS SUBLET Rec'd to Sublet Prevailing Wage Rate Affidavit of Pas rolls Business NO. SUBCONTRACTOR AMOUNT REQUEST REQUESTS TO DATE RTS (apprvd) DBE Wages Interview? Wages Paid Up to Date License UBI 1. Ground Up Road Construction,Inc. $25,575.00 0.49% 0.00% 0.49% 8/11/2021 8/12/2021 N 8/27/2021 N/A N/A 1/31/2022 602790246 2. Green City,Inc. $139,480.00 2.70% 0.49% 3.19% 8/11/2021 8/12/2021 Y 8/31/2021 N/A N/A 1/31/2022 601196371 3. Totem Electric of Tacoma,Inc. $734,636.80 14.21% 3.19% 17.39% 8/12/2021 8/12/2021 N 8/27/2021 N 1/31/2022 278043550 3a. Integrity Networks(Lower Tier) $22,432.15 3.05% 0.00% 3.05% 12/15/2021 12/15/2021 N 8/31/2021 N/A N/A 1/31/2023 602512350 4. Lakeridge Paving Company,LLC $706,900.00 13.67% 17.39% 31.07% 8/16/2021 8/17/2021 N 8/30/2021 N/A N/A 1/31/2023 601592135 5. Stripe Rite,inc. $42,778.60 0.83% 31.07% 31.89% 8/16/2021 8/17/2021 N 8/24/2021 N/A N/A 1/31/2022 601048084 6. C&P Fencing $2,177.70 0.04% 31.89% 31.94% 8/20/2021 8/23/2021 N 8/26/2021 N/A N/A 1/31/2022 603210811 7. W.E.Coates $61,500.00 1.19% 31.94% 33.13% 12/15/2021 12/15/2021 Y 11/15/2021 N 1/31/2022 602746960 8. Legacy Tapping,Inc. $20,150.00 0.39% 33.13% 33.52% 1/27/2022 1/27/2022 N 1/27/2022 N/A N/A 604359046 9. 0.00% 33.52% 33.52% 10. 0.00% 33.52% 33.52% 11. 0.00% 33.52% 33.52% 12. 0.00% 33.52% 33.52% 13. 0.00% 33.52% 33.52% 14. 0.00% 33.52% 33.52% 15. 0.00% 33.52% 33.52% Total $1,733,198.10 33.53% Prime: Reed Trucking&Excavating,Inc. I N/AI N/AI N/AI N/AI N/AI N 18/24/2021 I Y I I Y I 1/31/2022 1601915034 Request to Sublet Work Page 1 of 1 City of Renton Duvall Avenue NE Contract No.CAG-20-065 REQUEST TO SUBLET WORK Updated 1/19/2022 C&O#20593 Original Contract Amount(w/o tam): S5,169,697.50 Date of Intent PERCENT OF TOTAL CONTRACT Request To Pay Date of REQUEST THIS PREVIOUS SUBLET Rec'd to Sublet Prevailing Wage Rate Affidavit of Payrolls Business NO. SUBCONTRACTOR AMOUNT REQUEST REQUESTS TO DATE RTS (apprvd) DBE Wages Interview? Wages Paid Up to Date License UBI I. Ground Up Road Construction,Inc. $25,575.00 0.49% 0.00% 0.49% 8/11/2021 8/12/2021 N 8/27/202I N/A N/A 1/31/2022 602790246 2. Green City,Inc. S139,480.00 2.70% 0.49% 3.19% 8/11/2021 8/12/2021 Y 8/31/2021 N/A N/A 1/31/2022 601196371 3. Totem Electric of Tacoma,Inc. $734,636.80 14.21% 3.19% 17.39% 8/12/2021 8/12/2021 N 8/27/2021 N/A N/A 1/31/2022 278043550 3a. Integrity Networks(Lower Tier) $22,432.15 3.05% 0.00% 3.05% 12/15/2021 12/15/2021 N 8/31/2021 N/A N/A 1/31/2023 602512350 4. Lakeridge Paving Company,LLC $706,900.00 13.67% 17.39% 31.07% 8/16/2021 8/17/2021 N 8/30/2021 N/A N/A 1/31/2023 601592135 5. Stripe Rite,Inc. $42,778.60 0.83% 31.07% 31.89% 8/16/2021 8/17/2021 N 8/24/2021 N/A N/A 1/31/2022 601048084 6. C&P Fcncing $2,177.70 0.04% 31.89% 31.94% 8/20/2021 8/23/2021 N 8/26/2021 N/A N/A 1/31/2022 603210811 7. W.E.Coates $61,500.00 1.19% 31.94% 33.13% 12/15/2021 12/15/2021 Y 11/15/2021 N/A N/A 1/31/2022 602746960 8. 0.00% 33.13% 33.13% 9. 0.00% 33.13% 33.13% 10. 0.00% 33.13% 33.13% 11. 0.00% 33.13% 33.13% 12. 0.00% 33.13% 33.13% 13. 0.00% 33.13% 33.13% 14. 0.00% 33.13% 33 13% 15. 0.00% 33.13% 33.13% Total $1,713,048.10 33.14% Prime: Reed Trucking&Excavating,Inc. I N/AI N/AI N/AI N/AI N/AI N 18/24/2021 I N/A I I N/A 11/31/2022 [ 601915034 Request to Sublet Work Page 1 of 1 City of Renton Duvall Avenue NE Contract No.CAG-20-065 REQUEST TO SUBLET WORK Updated 12/16/2021 C&O#20593 Ori final Contract Amount(w/o las): 55,169,697.50 Date of Intent PERCENT OF TOTAL CONTRACT Request To Pay Date of REQUEST THIS PREVIOUS SUBLET Reed to Sublet Prevailing Wage Rate Affida%it of Payrolls Business NO. SUBCONTRACTOR AMOUNT REQUEST REQUESTS TO DATE FITS (apprvd) DBE Wages Interview? Wages Paid Up to Date License UBI 1. Ground Up Road Construction,Inc. $25,575.00 0.49% 0.00% 0.49% 8/11/2021 8/12/2021 N 8/27/2021 N/A N/A 602790246 2. Green City,Inc. $139,480.00 2.70% 0.49% 3.19% 8/11/2021 8/12/2021 Y _ 8/31/2021 N/A N/A 601196371 3. Totem Electric of Tacoma,Inc. $734,636.80 14.21% 3.19% 17.39% 8/12/2021 8/12/2021 N 8/27/2021 N/A N/A , 278043550 3a. Integrity Networks(Lower Tier) $22,432.15 3.05% 0.00% 3.05% 12/15/2021_12/15/2021 N 8/31/2021 N/A N/A 602512350 4. Lakeridge Paving Company,LLC $706,900.00 13.67% 17.39% 31.07% 8/16/2021 8/17/2021 N 8/30/2021 N/A N/A 601592135 5. Stripe Rite,Inc. $42,778.60 0.83% 31.07% 31.89% 8/16/2021 8/17/2021 N 8/24/2021 N/A N/A 601048084 6. C&P Fcncing S2,177.70 0.04% 31.89% 31.94% 8/20/2021 8/23/2021 N 8/26/2021 N/A N/A 603210811 7. W.E.Coates $61,500.00 1.19'9n 31.94% 33.13% 12/15/2021 12/15/2021 Y 11/15/2021 N/A _ N/A 602746960 8. 0.00% 33.13% 33.13% _ 9. 0.00% 33.13% 33.13% 10. 0.00% 33.13% 33.13% 11. 0.00% 33.13% 33.13% 12. 0.00% 33.13% 33.13% 13. 0.00 33.13% 33.13% 14. 0.00% 33.13% 33.13% 15. 0.00% 33.13% 33.13% , Total $1,713,048.10 33.14% Prime: Reed Trucking&Excavating,Inc. I N/AI N/AI N/AI N/AI N/AI N 18/24/2021 I N/A I I N/A 11/31/2022 1601915034 Request to Sublet Work Page 1 of 1 , • Washington , Ai§ Department State of Transportation Request to Sublet Work (Program Certification-Check all that apply) El Disadvantaged Business(DBE) 111 Veteran Owned Business(VBE) 0 Woman Owned Business(WBE) • 0 Federal Small Business(FSBE) 0 State Small Business(SBE) D Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking &Excavating, Inc. 91-1938552 REEDTEI016JW Project Title Request Number Duvall Ave NE 16 Approval is Requested to Sublet the Following Described Work to: El Lower Tier Subcontractor ✓ Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name Federal Employer I.D. Number 602-726-209 26-0907314 Transportation Systems Inc. Address Telephone Number 6917 166th Ave E 253-750-0284 City State Zip Code Estimated Starting Date Sumner WA 98390 If Lower Tier Subcontractor, Name of Corresponding Sub. Fed ID or Vendor#of Request to Sublet#of Corresponding Sub Corresponding Sub Item No: Partial or Item Description Work Description (if partial) Amount Complete A85 Partial Remaining Electrical $100,000.00 I Total $100,000.00 • I understand and will ensure that the subcontractor Prime Contractor Representative and Title Date will comply fully with the plans and specifications i-b- �. 9a„nit 11/8/2022 under which this work is being performed. U� Department of Transportation Use Only Percent of Total Contract Program Certification Verification Debarred/Registration Verification (LNI) This Request 1.93 % Comments: Previous Requests 39.44 % No DBE Certification Sublet to Date 41.38 °%° Not Debarred -- Pod Engineer o Designee Date Approved �.� in/— /Pi ✓✓✓✓DOOT Form 421-012 � lectronically-Do Not Print Revised 09/2019 Washington State Oep.mentof V Labor&Industries(https://Ini.wa.gov) Contractors • TRANSPORTATION SYSTEMS INC Owner or tradesperson 6917-166TH AVENUE E Principals SUMNER,WA 98390 HUIE,BRYSON D,PRESIDENT 206-510-6533 PIERCE County HUIE,KATHY A,VICE PRESIDENT (End:03/02/2018) Doing business as TRANSPORTATION SYSTEMS INC WA UBI No. Business type 602 726 209 Corporation License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL. License no. TRANSSI923BP Effective—expiration 01/17/2008—03/29/2024 Bond AMERICAN STATES INS CO $12,000.00 Bond account no. 6541744 Received by L&I Effective date 01/17/2008 12/12/2007 Expiration date Until Canceled Insurance Charter Oak Fire Ins Co $1,000,000.00 Policy no. 4TCO3P712946C0F19 Received by L&I Effective date 12/06/2021 12/10/2019 Expiration date 12/10/2022 • Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. • Apprentice Training Agent Registered training agent.Check their eligible programs and occupations. Workers' Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 137,341-00 Doing business as TRANSPORTATION SYSTEMS INC • Estimated workers reported Quarter 4 of Year 2021"21 to 30 Workers" L&I account contact TO/DALE MCMASTER(360)902-5617-Email:MCMS235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training-Effective July 1,2019 Exempt from this requirement. • Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety & Health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 06/03/2020 No violations Inspection no. 317958210 Location 5701 Kersey Way SE Auburn,WA 98092 .................................................................................................................................................................................................................................................... Inspection results date 01/09/2018 No violations Inspection no. 317947433 Location Broadway Ave.and Melva St. Moses Lake,WA 98837 Inspection results date 09/12/2016 No violations Inspection no. 317940508 Location Port of Tacoma Road Tacoma,WA 98421 STALE OF WASHING TON Department of Labor & Industries Certificate of Workers' Compensation Coverage March 21, 2022 WA UBI No. 602 726 209 L&I Account ID 137,341-00 Legal Business Name TRANSPORTATION SYSTEMS INC • Doing Business As TRANSPORTATION SYSTEMS INC Workers' Comp Premium Status: Account is current. Estimated Workers Reported Quarter 4 of Year 2021 "21 to 30 (See Description Below) Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. TRANSSI923BP License Expiration 03/29/2024 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage o,r waiver of Washington State Department of Revenue A < Business Lookup License Information: New search Back to results Entity name: TRANSPORTATION SYSTEMS, INC Business TRANSPORTATION SYSTEMS, INC name: Entity type: Profit Corporation UBI #: 602-726-209 "Business ID: 001 Location ID: 0001 Location: Active Location address: 6917 166TH AVE E SUMNER WA 98390-2908 Mailing address: 6917 166TH AVE E SUMNER WA 98390-2908 Excise tax and reseller permit Click here status: Secretary of State status: Click here Endorsements < Page 1 of 2 > Filter Endorsements help License 4 Count Details Status Expiratic First issu Aberdeen 216414 Active Jul-10-21 General Business - Non-Resident Bainbridge Active Nov-30- Nov-10- Island General Business - Non- Resident Black Diamond Active May-31- Oct-14 General Business - Non-Resident Burien General 07191 Active May-31- Aug-29- Business - Non- Resident Duvall-General Active May-31- Feb-11 Business - Non- Resident Edgewood Active May-31- Jul-30-21 General Business - Non-Resident Enumclaw BUS2021 Active May-31- Apr-08 General Business - Non-Resident Federal Way 11-1033' Active May-31- Aug-25- General Business - Non-Resident Active May-31- Mar-19-, V Pp pa Endorsements hell License 4 Count Details Status Expiratic First issu Lynnwood General Business - Non-Resident Mercer Island 201089 Active May-31- Dec-03-; General Business - Non-Resident Moses Lake BUS200E Active May-31- Jun-24-2 General Business - Non-Resident Mountlake 10832 Active May-31- Feb-23 Terrace General Business - Non- Resident Pacific General 3429 Active May-31- Oct-27 Business - Non- Resident Ruston General Active Jul-31-21 Mar-07-, Business - Non- Resident SeaTac General Active May-31- Jun-12-2 Business - Non- Resident Governing People May include governing people not registered with Secretary of State Governing people Title HUIE, BRYSON D A w.n..RA.om.n�*.of �JLabor&Industries(https://Ini.wa.govl Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter this list using the options presented below. Company Name: WA UBI Number:602 726 209 License Number: Principal: RCWIAII From:MM/DD/YYYY ToM/DD/YYYY Penalty Due: All v Wage Due: All v Apply Filters Reset Download all debarment data® Show®per page Showing 0 records FirstPreviousNextLast Company Name UBI License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. 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Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. 4 WIWashington State Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) O Disadvantaged Business(DBE) ❑ Veteran Owned Business(VBE) Woman Owned Business(WBE) O Federal Small Business(FSBE) 0 State Small Business (SBE) 0 Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking&Excavating, Inc. 91-1938552 REEDTEI016JW Project Title k Request Number Duvall Ave NE -it--1-5 Approval is Requested to Sublet the Following Described Work to: - O Lower Tier Subcontractor 1 Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name Federal Employer I.D. Number Integrity Networks, Inc. 602-512-350 81-0674198 Address , Telephone Number 2220 Lind Ave SW#106 425-264-9400 City State Zip Code Estimated Starting Date Renton WA 98057 If Lower Tier Subcontractor, Name of Corresponding Sub. Fed ID or Vendor#of Request to Sublet#pf Corresponding Sub Corresponding Sub Item No. Partial or Item Description Work Description (if partial) Amount Complete A85 Partial Fiber $22,432.15 Total $22,432.15 I understand and will ensure that the subcontractor Prime Contractor Representative and Title Date will comply fully with the plans and specifications /G 3000t 8/30/2022 under which this work is being performed. �- � Department of Transportation Use Only Percent of Total Contract Program Certification Verification • Debarred/Registration Verification(LNI) This Request 0.43% Comments: Previous Requests 39.01% No DBE Certification Sublet to Date 39.44% % Not Debarred Project Engineer or Designee r Date Q Approved ` 8/31/2 2 DOT Form 421-012 Save Electronically-Do Not Print Revised 09/2019 INTEGRITY NETWORKS INC Owner or tradesperson 2220 Lind Ave SE#106 Principals RENTON',WA 98057 CALLAGHAN,MICHAEL P,PRESIDENT 425-264-9400 • KING County RUSSELL,JOHN.A,VICE PRESIDENT WOODS,SPENCER R,SECRETARY WOODS,SPENCER R,AGENT Doing business as INTEGRITY NETWORKS INC WA UBI No. Business type 602 512 350 Corporation Governing persons MICHAEL P CALLAGHAN SPENCER R WOODS; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. . Electrical Contractor Active Meets current requirements. License specialties GENERAL License no. INTEGNI932LH Effective—expiration 06/08/2007—06/10/2023 Designated administrator Active RUSSELL,JOHN Meets current requirements. License type License no. Electrical Administrator RUSSEJ'088CA Bond Harco National Insurance Co - $4,000.00 Bond account no. 0570686 Received by L&I Effective date 07/06/2021 06/25/2021 Expiration date Until Canceled Bond history Savings No savings accounts during the previous 6 year period. License Violations Infraction no. EZINS01302 Satisfied Issue date RCW/WAC 09/03/2020 WAC 296-46B-901(9) Violation city Violation amount • RENTON $250.00 Type of violation ELECTRICAL CITATION Description Failing to request an inspection within 3 business days after completion of the installation or 1 business day after energizing, whichever occurs first as referenced in WAC 296-46B-901. Certifications & Endorseme 1 OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Registered training agent.Check their eligible programs and occupations. Workers' Comp - Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 0962168-00 • Doing business as INTEGRITY NETWORKS INC Estimated workers reported Quarter 2 of Year 2022"Greater than 100 Workers" L&I account contact T5/BETTY WHALIN(360)902-5137-Email:VABE235@lni.wa.gov • Public Works Requirements • Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Exempt from this requirement. Contractor Strikes - No strikes have been issued against this contractor. Contractors hot allowed to bid No debarments have been issued against this contractor. Workplace Safety& Health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date • 12/05/2019 Violations • Inspection no. 317956675 • Location 1148 NW Market St Seattle,WA 98107 r r J _ STATE OF WASHINGTON Department of Labor & Industries Certificate of Workers' Compensation Coverage August 30, 2022 WA UBI No. 602 512 350 L&I Account ID 9616800 Legal Business Name INTEGRITY NETWORKS INC Doing Business As INTEGRITY NETWORKS INC Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 2 of Year 2022 "Greater than (See Description Below) 100 Workers" • Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. INTEGNI932LH License Expiration 06/10/2023 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of Washington State Department of Revenue Q < Business Lookup License Information: New search Back to results Entity name: INTEGRITY NETWORKS, INC. Business INTEGRITY NETWORKS INC name: Entity type: Profit Corporation UBI #: 602-512-350 Business ID: 001 Location ID: 0002 Location: Active Location address: 2220 LIND AVE SW STE 106 RENTON WA 98057-3327 Mailing address: 2220 LIND AVE SW STE 106 RENTON WA 98057-3327 Excise tax and reseller permit Click here status: Secretary of State status: Click here v 7 Endorsements r Page 1 of 2 > Filter Endorsements hell License 4 Count Details Status Expiratic First issu Bellingham 033312 Active Feb-03 General Business Bothell General 8629 Active Jun-30-2 Jun-22-2 Business - Non- Resident Bremerton 30134 Active Jun-30-2 Feb-01 General Business - Non-Resident Burien General 05473 Active Jun-30-2 Apr-17 Business - Non- Resident Duvall General Active Jun-30-2 Sep-07-; Business Non- Resident Federal Way 07-1024: Active Jun-30-2 May-04- General Business - Non-Resident Gig Harbor Active Jun-30-2 Mar-03-, General Business - Non-Resident Issaquah BUS06-0 Active Jun-30-2 Sep-09 General Business - Non-Resident OBL2282 Active Jun-30-2 Apr-09 V } Endorsements hell License 4 Count Details Status Expiratic First issu Kirkland General Business - Non- Resident Lacey General 14683 Active Jun-30-2 Feb-01 Business - Non- Resident Lakewood BL10-00: Active Jun-30-'2 Apr-08 General Business - Non-Resident Marysville 940000f Active Jun-30-2 Sep-11 General Business - Non-Resident Mercer Island 110005 Active Jun-30-2 Oct-09 General Business - Non-Resident Mount Vernon Active Jun-30-2 Feb-06 General Business - Non-Resident Newcastle Active Jun-30-2 Mar-18-, General Business - Non-Resident Governing People May include governing people not registered with Secretary of State ^� Governing people Title CALLAGHAN, MICHAEL v MOCZULEWSKI, DOUG Governing people Title WOODS,. SPENCER Registered Trade Names Registered trade names Status First issued INTEGRITY Active Sep-02-2016 NETWORKS INC The Business Lookup information is updated nightly. Search date and time: 8/30/2022 3:53:32 PM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter this list using the options presented below. Company Name: WA UBI Number:602 512 350 License Number: Principal RCW All vl From:MM/DD/YYYY To:MM/DD/YYYY Penalty Due: All Wage Due: All vl ,Apply FiltersiReseti Download all debarment dataI Show®per page Showing 0 records FI rstPreviou sNextLast Company Name U81 License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show®per page Showing 0 records Fi rstPreviou sNextLast An official website of the United States government Here's how you know Entity Validation Delays Show Details O See All Alerts Jul 5,2022 Planned Maintenance Schedule Show Details O Apr 3,2022 iJ1SAMGov® Home Search Data Bank Data Services Help Search All Words e.g. 1606N020Q02 Select Domain + Entity Information All Entity Information Entities Disaster Response Registry Exclusions Filter By — Keyword Search For more information on how to use our keyword search,visit our help guide Any Words 0 All Words O Exact Phrase e.g. 123456789, Smith Corp "integrity networks" x Classification Excluded Individual Excluded Entity Federal Organizations Exclusion Type Exclusion Program Location Dates ResetO Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners a �► J Washington State / Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) ❑ Disadvantaged Business(DBE) 1=1 Veteran Owned Business(VBE) E Woman Owned Business(WBE) ❑ Federal Small Business(FSBE) 1=1 State Small Business(SBE) Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking&Excavating, Inc. 91-1938552 REEDTEI016JW Project Title Request Number Duvall Ave NE 17 Approval is Requested to Sublet the Following Described Work to: ▪ Lower Tier Subcontractor n Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name Federal Employer I.D.Number Tyee Concrete Construction Inc. 602-123-519 91-2109967 Address Telephone Number 11403 58th Ave E 253-507-8933 City State Zip Code Estimated Starting Date Puyallup WA 98373 7/28/2022 If Lower Tier Subcontractor, Name of Corresponding Sub. Fed ID or Vendor#of Request to Sublet#of Corresponding Sub Corresponding Sub Item No. Partial or Item Description Work Description (if partial) Amount Complete A82 Partial Sidewalk $ 10,000.00 A77 Partial Driveways $5,000.00 Total $15,000.00 I understand and will ensure that the subcontractor Prime Contractor Representative and Title Date will comply fully with the plans and specifications 2Fgadto. Salt 8/2/2022 under which-this work is being performed. l� Department of Transportation Use Only Percent of Total Contract 11 Program Certification Verification Debarred/Registration Verification(LNI) This Request 0.29 Comments: Previous Requests 38.72 No DBE Certification. Sublet to Date 39.01 % Not Debarred Project Engineer or Designee Date Approved 8/4/22 DOT Form 421-012 Save Electronically-Do Not Print Revised 09/2019 TYEE CONCRETE CONSTRUCTION INC Owner or tradesperson 11403 58th Ave E Principals Puyallup,WA 98373 WILSON,DANIEL DEAN,PRESIDENT 253-507-8933 PIERCE County WILSON,DONNA JO,SECRETARY WILSON,PAULINE R,PRESIDENT (End:05/31/2002) Doing business as TYEE CONCRETE CONSTRUCTION INC WA UBI No. Business type 602 123 519 Corporation License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties CONCRETE License no. TYEECCI994K5 Effective—expiration 05/25/2001—06/13/2024 Bond Ohio Cas Ins Co $6,000.00 Bond account no. 855243C Received by L&I Effective date 10/06/2020 08/26/2019 Expiration date Until Canceled Bond history Insurance American Hallmark Ins Co of Te $1,000,000.00 Policy no. 44CL49511900 Received by L&I Effective date 08/02/2022 08/05/2017 Expiration date 08/05/2023 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications &Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Registered training agent.Check their eligible programs and occupations. Workers'Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. • Active accounts L&I Account ID Account is current. 407,370-02 Doing business as TYEE CONCRETE CONSTRUCTION INC • Estimated workers reported Quarter 2 of Year 2022"11 to 20 Workers" L&I account contact TO/JULIE SUR(360)902-4715-Email:SURJ235@Ini.wa.gov • Track<this cohtractor 0 Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety& Health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 01/17/2019 No violations Inspection.no. 317952256 Location 9918 19th Avenue East Tacoma,WA 98445 7. G STATE OF WASHINGEON Department of Labor& Industries Certificate of Workers' Compensation Coverage August 4, 2022 • WA UBI No. 602 123 519 L&I Account ID 407,370-02 Legal Business Name TYEE CONCRETE CONSTRUCTION INC Doing Business As TYEE CONCRETE CONSTRUCTION INC Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 2 of Year 2022"11 to 20 (See Description Below) Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. TYEECCI994K5 License Expiration. 06/13/2024 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter.A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation Washington State Department of Revenue < Business Lookup License Information: New search Back to results Entity name: TYEE CONCRETE CONSTRUCTION, INC. Business TYEE CONCRETE CONSTRUCTION, INC. name: Entity type: Profit Corporation UBI #: 602-123-519 Business ID: 001 Location ID: 0002 Location: Active Location address: 9918 19TH AVE E TACOMA WA 98445-5400 Mailing address: 11403 58TH AVE E PUYALLUP WA 98373-4351 Excise tax and reseller permit Click here status: Secretary of State status: Click here Endorsements I Filter Endorsements hell License# Count Details Status Expiratic First issu Covington Active May-31- Nov-25- General Business - Non-Resident Federal Way 15-1038. Active May-31- Aug-04- General Business - Non-Resident Lacey General 15011 Active May-31- Apr-27-; Business - Non- Resident Lakewood BL10-00' Active May-31- Feb-18 General Business - Non-Resident Milton General Active May-31- Aug-19- Business - Non- Resident Olympia General, 19839 Active May-31- Jun-07-2 Business - Non- Resident Port Orchard Active May-31- Sep-11 General Business - Non-Resident Poulsbo General Active May-31- Mar-03-; Business - Non- Resident SeaTac General Active May-31- Jun-12-2 Business - Non- Resident Endorsements help License 1 Count Details Status Expiratic First issu Shelton General 0062420 Active May-31- Mar-22-; Business - Non- Resident Tukwila General Active May-31- Mar-27-; Business - Non- Resident Turriwater R-01454 Active May-31- Feb-06-; General Business - NOR-Resident Yelm General 11509 Active May-31- Sep-19-; Business - Non- Resident Governing People May include governing people not registered with Secretary of State Governing people Title WILSON, DANIEL WILSON, DONNA View Additional Locations The Business Lookup information is updated nightly. Search date and time: 8/4/2022 2:57:08 PM V Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract You can search and filter this list using the options presented below. Company Name: WA UBI Number:602 123 519 License Number Principal: RCM All vi From:MM/DD/YYYY 1 To MM/DD/YYYY Penalty Due: All v • Wage Due: All vl Apply FiltersiReset Download.all debarment data@+ Show 25 v per page Showing 0 records Fi rstPreviousNextLast Company Name UBI License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show 25 v per page Showing 0 records FirstPreviousNextLast An official website of the United States government Here's how you know Login.gov Scheduled Maintenance X ` See All Alerts 1 A Show Details Aug 4,2022 ( Entity Validation Delays Show Details O Jul 5,2022 1!1.SAMGOv® Home Search Data Bank Data Services Help Search All Words e.g. 1606N020Q02 Select Domain + Entity Information All Entity Information Entities Disaster Response Registry Exclusions Filter By — Keyword Search For more information on how to use our keyword search,visit our help guide Any Words D All Words O Exact Phrase 0 e.g. 123456789, Smith Corp "tyee concrete" x Classification Excluded Individual Excluded Entity Federal Organizations Exclusion Type Exclusion Program Location Dates Reset 0 CO Feed back Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Contact This is a U.S.General Services Administration Federal General Government computer system that is "FOR OFFICIAL USE G St Services ONLY."This system is subject to monitoring. Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. � S Washington State WA; Department of Transportation Re quest to Sublet Work (Program Certification-Check all that apply) El Disadvantaged Business(DBE) ❑ Veteran Owned Business(VBE) ❑ Woman Owned Business(WBE) El Federal Small Business(FSBE) ❑ State Small Business(SBE) El Minority Owned Business(MBE) _ Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking&Excavating, Inc. 91-1938552 REEDTEI016JW Project Title Request Number Duvall Ave NE 15 Approval'is Requested to Sublet the Following Described Work to: El Lower Tier Subcontractor ] Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name Federal Employer I.D.Number 601-605-667 Evergreen Concrete Cutting, Inc. 91-1671410 Address Telephone Number 767 Valentine Ave SE - 253-826-7644 City State Zip Code Estimated Starting Date Pacific _ WA 98047 4/18/2022 If Lower Tier Subcontractor,Name of Corresponding Sub., Fed ID or Vendor#of Request to Sublet#of Corresponding Sub' 'Corresponding Sub Item No. Partial or Item Description Work Description(if partial) Amount • Complete • . ' Saw Cutting $3,000.00 Total $3,000.00 1 understand and will ensure that the subcontractor Prime Contractor Representative and Title Date will comply fully with the plans and specifications a _ 4/15/2022 under which this work is being performed. L . Department of Transportation Use Only Percent of Total Contract Program Certification Verification Debarred/Registration Verification (LNI) This Request O. 6% Comments: Previous Requests 38.66% % No DBE Certification Sublet to Date 38.72% % Not Debarred itpproved ct Engineer or Designee Date 4—15-2Z DOT Form 421-012 "' Save Electronically-Do Not Print Revised 09/2019 u,d„y wih�e IXpa MaM1of ULabor&Industries(https://Ini.wa.gov) Contractors EVERGREEN CONCRETE CUTTING INC Owner or tradesperson PO Box 1751 Principals SUMNER,WA 98390 TAYLOR,MATTHEW J,PRESIDENT 253-826-7644 PIERCE County TAYLOR,DALE K,VICE PRESIDENT Doing business as EVERGREEN CONCRETE CUTTING INC WA UBI No. Business type 601 605 667 Corporation Governing persons SUSAN ELIZABETH KRUEGER DALE K TAYLOR; TONY L KRUEGER; MATTHEW J TAYLOR; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. EVERGCC945CP Effective—expiration 02/17/2006—02J17/2024 Bond OLD REPUBLIC SURETY CO $12,000.00 Bond account no. YLI235342 Received by L&I Effective date 11/13/2001 02/17/2002 Expiration date I Until Canceled • Insurance Peleus Insurance Company $1,000,000.00 Policy no. 164GL019446600 • Received by L&I Effective date 02/14/2022 02/17/2021 Expiration date 02/17/2023 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits,against the bond or savings • No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations • • No license violations during the previous 6 year period. • Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Registered training agent.Check their eligible programs and occupations. Workers'Comp • Do you know if the business has employees?If so,verify the business Is up-to-date on workers'comp premiums. L&I Account ID Account is current. 889,844-00 Doing business as EVERGREEN CONCRETE CUTTING Estimated workers reported Quarter 4 of Year 2021"Greater than 100 Workers" L&I account contact TO/DALE MCMASTER(360)902-5617-Email:MCMS235©Ini.wa.gov • Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—-Effective.July 1,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been Issued against this contractor. Workplace Safety& Health - Check for any past safety and health violations found on jobsites this business was responsible for. • Inspection results date 04/12/2021 No violations Inspection no. 317961977 Location • 12560 120th Ave NE Kirkland,WA 98034 Inspection results date 02/05/2021 No violations Inspection no. 317961006 Location Pier 58 Seattle,WA 98101 Inspection results date 03/28/2019 No violations Inspection no. 317953335 Location Alderwood Mall Complex Lynnwood,WA 98037 Inspection results date 02/27/2019 Violations • Inspection no. . 317951683 Location 410 5th Ave.SW Olympia,WA 98501 ............... ..... ................................................................ ............ Inspection results date 01/15/2019 Violations Inspection no. 317951668 Location 410 5th Ave Olympia,WA 98501 e , -ti SAj STATE OF WASHINGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage April 15, 2022 WA UBI No. 601 605 667 L&I Account ID 889,844.-00 Legal Business Name EVERGREEN CONCRETE CUTTING INC Doing Business As EVERGREEN CONCRETE CUTTING Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 4 of Year 2021 "Greater than (See Description Below) 100 Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. EVERGCC945CP License Expiration 02/17/2024 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of Washington State Department of Revenue A < Business Lookup License Information: New search Back to results Entity name: EVERGREEN CONCRETE CUTTING, INC. Business EVERGREEN CONCRETE CUTTING, INC. name: Entity type: Profit Corporation UBI #: 601-605-667 Business ID: 001 Location ID: 0001 Location: Active Location address: 767 VALENTINE AVE SE PACIFIC WA 98047-2124 Mailing address: PO BOX 1751 SUMNER WA 98390-0370 Excise tax and reseller permit Click here status: - Secretary of State status: Click here Endorsements < Page 1 of 5 > Filter Endorsements hel' License 4 Count Details Status Expiratic First issu Aberdeen 215582 Active Mar-15-, General Business - Non-Resident Algona General Active Feb-28-; Nov-02- Business — Non- Resident Anacortes Active Jul-31-21 Aug-02- General Business - Non-Resident Bainbridge 45758 Active Feb-28-; May-04- Island General Business - Non- Resident Bellingham 027489 Active Apr-22-; General Business Bonney Lake Active Feb-28 Nov-10- General Business - Non-Resident Bothell General 10200 Active Jun-30-2 Jun-18-2 Business - Non- Resident Bremerton 23436 Active Feb-28-; Jan-14-2 General Business - Non-Resident Buckley General Active Feb-28-; Jun-04-2 Business - Non- Resident • Endorsements hel' License 4 Count Details Status Expiratic First issu Burien General 09342 Active Feb-28-; Dec-13-; Business - Non- Resident Burlington 9654 Active Feb-28-; Apr-10-; General Business - Non-Resident Centralia Active Feb-28-; Jul-22-21 General Business - Non-Resident Covington Active Feb-28-; Feb-06-; General Business - Non-Resident DuPont General 3808. Active Feb-28-; Aug-26- Business - Non- Resident Duvall General Active Feb-28-; Nov-15- Business - Non- Resident Governing People May include governing people not registered with Secretary of State Governing people Title EVERGREEN CONCRETE CUTTING, INC The Business Lookup information is updated nightly. Search date and time: 4/15/2022 9:22:04 AM • Labor&Industries(httos://Ini.wa cloy) Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter this list using the options presented below. Company Name: WA UBI Number:601 605 667 License Number: Principal RCW�All From:MM/DD/YYYY To:MM!DD/YYYY Penalty Due: All v Wage Due: All \/ Apply FiltersLReset, Download all debarment data® Show 25 '' per page Showing 0 records FirstPreviousNextLast Company Name UBI License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show 25 v per page Showing 0 records FirstPreviousNextLast An official website of the United States government Here's how you know Entity Validation Ticket Processing Delays O See All Alerts Show Details Apr 7, 2022 Planned Maintenance Schedule Show Details CD Apra, 2022 �!_SAM*Gov® Home Search Data Bank Data Services Help Search All Words e.g. 1606N020Q02 Select Domain + Entity Information All Entity Information Entities Disaster Response Registry Exclusions Filter By — Keyword Search For more information on how to use our keyword search,visit our help guide Any Words 0 All Words O Exact Phrase C) e.g. 123456789,Smith Corp Classification Excluded Individual Excluded Entity Entity Name Evergreen Concrete Cutting,Inc. x Unique Entity ID:GXE7GDDGWTL5 Unique Entity ID e.g. HTYR9YJHK65L V CAGE/ NCAGE V Federal Organizations Exclusion Type Exclusion Program Location Dates v Reset 0 Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Policies Customer Service Privacy Policy Help Disclaimers Check Registration Freedom of Information Act Federal Service Desk Accessibility External Resources Contact This is a U.S. General Services Administration Federal General Government computer system that is "FOR OFFICIAL USE GSLt Services ONLY." This system is subject to monitoring. Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. - .a 4111 Washington State WI Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) El Disadvantaged Business(DBE) ❑ Veteran Owned Business(VBE) ID Woman Owned Business(WBE) El Federal Small Business(FSBE) ❑ State Small Business(SBE) I=1 Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking&Excavating, Inc. 91-1938552 REEDTEI016JW Project Title Request Number Duvall Ave NE 14 Approval is Requested to Sublet the Following Described Work to: El Lower Tier Subcontractor WI Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name Federal Employer I.D. Number Transportation Systems Inc. 602 726-209 26-0907314 Address Telephone Number 6917 166th Ave E 253-750-0284 _ _ City State Zip Code Estimated Starting Date Sumner WA 98390 If Lower Tier Subcontractor, Name of Corresponding Sub. Fed ID or Vendor#of Request to Sublet#of Corresponding Sub Corresponding Sub Item No. Partial or Item Description Work Description(if partial) Amount Complete A42 Complete Conc.Class 4000 for Retaining Wall 3A $48,110.00 Total $48,110.00 I understand and will ensure that the subcontractor Prime Contractor Representative and Title Date will comply fully with the plans and specifications r3 _ 3/21/2022 under which this work is being performed. y . u Departme t of Transportation Use Only Percent of Total Contract Program Certification Verification Debarred/Registration Verification(LNI) This Request 0.93 % Comments: Previous Requests 37.73 % No DBE Certification Sublet to Date 38.66 % Not Debarred Project Engineer or esign a Date pproved . 7i112 DOT Form 421-012 Electronically-Do Not Print • Revised 09/2019 Labor&Industries(httos://lni.wa.gov) Contractors TRANSPORTATION SYSTEMS INC Owner or tradesperson 6917-166TH AVENUE E Principals SUMNER,WA 98390 HUIE,BRYSON D,PRESIDENT 206-510 6533 PIERCE County HUIE,KATHY A,VICE PRESIDENT (End:03/02/2018) Doing business as TRANSPORTATION SYSTEMS INC WA UBI No. Business type 602 726 209 Corporation License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. TRANSSI923BP Effective—expiration 01/17/2008—03/29/2024 Bond AMERICAN STATES INS CO $12,000.00 Bond account no. 6541744 Received by L&I Effective date 0111712008 12/1212007 Expiration date Until Canceled Insurance Charter Oak Fire Ins Co $1,000,000.00 Policy no. 4TCO3P712946C0F19 Received by L&I Effective date 12/06/2021 12/10/2019 • Expiration date 12/10/2022 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications&Endorsements OMWBE Certifications No active certifications exist for this business. • Apprentice Training Agent - Registered training agent.Check their eligible programs and occupations. Workers'Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 137,341-00 Doing business as TRANSPORTATION SYSTEMS INC Estimated workers reported Quarter 4 of Year 2021"21 to 30 Workers" L&I account contact TO/DALE MCMASTER(360)902-5617-Email:MCMS235@Ini.wa,gov [Public Works Requirements Verify the contractor is eligible to perform work on public works projects. • Required Training-Effective July,1,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety& Health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 06/03/2020 No violations Inspection no. 317958210 Location 5701 Kersey Way SE Auburn,WA 98092 Inspection results date 01/09/2018 No violations Inspection no. 317947433 . Location Broadway Ave.and Melva St. Moses Lake,WA 98837 Inspection results date 09/12/2016 No violations Inspection no. 317940508 Location Port of Tacoma Road Tacoma,WA 98421 • STATE OF WASHINGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage March 21, 2022 WA UBI No. 1 602 726 209 L&I Account ID 137,341-00 Legal Business Name TRANSPORTATION SYSTEMS INC Doing Business As TRANSPORTATION SYSTEMS INC Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 4 of Year 2021 "21 to 30 (See Description Below) Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. TRANSSI923BP License Expiration 03/29/2024 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of Washington State Department of Revenue < Business Lookup License Information: New search Back to results Entity name: TRANSPORTATION SYSTEMS, INC Business TRANSPORTATION SYSTEMS, INC name: Entity type: Profit Corporation UBI #: 602-726-209 Business ID: 001 Location ID: 0001 Location: Active Location address: 6917 166TH AVE E SUMNER WA 98390-2908 Mailing address: 6917 166TH AVE E SUMNER WA 98390-2908 Excise tax and reseller permit Click here status: Secretary of State status: Click here Endorsements < Page 1 of 2 > Filter Endorsements hell License I Count Details Status Expiratic First issu Aberdeen 216414 Active Jul-10-21 General Business - Non-Resident Bainbridge Active Nov-30- Nov-10- Island General Business - Non- Resident Black Diamond Active May-31- Oct-14 General Business - Non-Resident Burien General 07191 Active May-31- Aug-29- Business - Non- Resident Duvall General Active May-31- Feb-11 Business - Non- Resident Edgewood Active May-31- Jul-30-21 General Business - Non-Resident Enumclaw BUS2021 Active May-31- Apr-08 General Business - Non-Resident Federal Way 11-1033. Active May-31- Aug-25- General Business - Non-Resident Active May-31- Mar-19- v Endorsements hel( License$ Count Details Status Expiratic First issu Lynnwood General Business - Non-Resident Mercer Island 201089 Active May-31- Dec-03-; General Business - Non-Resident Moses Lake BUS200f Active May-31- Jun-24-2 General Business - Non-Resident Mountlake 10832 Active May-31- Feb-23-; Terrace General Business - Non- Resident Pacific General 3429 Active May-31- Oct-27 Business - Non- Resident Ruston General Active Jul-31-21 Mar-07- Business - Non- Resident SeaTac General Active May-31- Jun-12-2 Business - Non- Resident Governing People May include governing people not registered with Secretary of State Governing people Title HUIE, BRYSON D v Opxnwa et ULabor&Industries(https://Ini.wa.00vj Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter this list using the options presented below. Company Name WA UBI Number:602 726 209 License Number' PrincipaH RCW:All From:MM/DD/YYYY MM/DD/YYYY J Penalty Due: 'All vI Wage Due: All vl Apply FiltersIResej Download all debarment data® Show 25 v per page Showing 0 records FirstPrevlousNextLast Company Name USI License Principals Status KW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show 25 v per page Showing 0 records F i rstPreviou s NextLast An official website of the United States government Here's how you know Contract Opportunities Attachment Upload (� r See All Alerts Issues Show Details Mar 21, 2022 ATTENTION: DUNS to Unique Entity ID O Show Details Mar 18, 2022 1LI.SAMGOV® Home Search Data Bank Data Services Help Search All Words e.g. 1606N020Q02 Select Domain + Entity Information All Entity Information Entities Disaster Response Registry Exclusions Filter By Keyword Search For more information on how to use our keyword search,visit our help guide Any Words 0 All Words Q Exact Phrase e.g. 123456789,Smith Corp Classification Excluded Individual Excluded Entity Entity Name V transportation systems x ; DUNS Unique Entity ID e.g.123456789 SAM Unique Entity ID e.g.HTYR9YJHK65L V CAGE/NCAGE V Federal Organizations Exclusion Type Exclusion Program Location Dates Reset CJ Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Policies Customer Service Privacy Policy Help Disclaimers Check Registration Freedom of Information Act Federal Service Desk Accessibility External Resources Contact This is a U.S. General Services Administration Federal General Government computer system that is"FOR OFFICIAL USE GSA Services ONLY." This system is subject to monitoring. Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. 41111. � Washington State �// Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) EI Disadvantaged Business(DBE) El Veteran Owned Business(VBE) ❑ Woman Owned Business(WBE) ❑ Federal Small Business(FSBE) El State Small Business(SBE) ❑ Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking&Excavating, Inc. _ 91-1938552 REEDTEI016JW Project Title Request Number Duvall Ave NE 13 Approval is Requested to Sublet the Following Described Work to: [] Lower Tier Subcontractor Q Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name Federal Employer I.D. Number 603-356-329 46-4287232 Puget Construction Services, Inc._ Address Telephone Number 1609 Central Avenue S, Suite 20 253-856-2572 City State Zip Code Estimated Starting Date Kent WA 98032 3/24/2022 If Lower Tier Subcontractor, Name of Corresponding Sub. Fed ID or Vendor#of Request to Sublet#of Corresponding Sub Corresponding Sub Item No. Partial or Item Description Work Description (if partial) Amount Complete . - - Vac Truck and TV Storm $ 15,000.00 Total $ 15,000.00 I understand and will ensure that,the subcontractor Prime Contractor Representative and Title Date will comply fully with the plans and specifications reified; Bail Glr,Q 3/18/2022 under which this work is being performed. (� Departme t of Transportation Use Only Percent of Total Contract Program Certification Verification Debarred/Registration Verification(LNI) This Request 0.29 % Comments: Previous Requests 37.44 % No Certification Sublet to Date 37.73 °i° Not Debarred Prs jest Engineer or Design Date SI Approved 3�i U�c�L _ DOT Form 421-012 Save Elec Ily-Do Not Print Revised 09/2019 hngIon state Dep.11.of U 411114 Labor&Industries(https://Ini.wa.gov) Contractors Puget Construction Srvcs Inc Owner or tradesperson 1609 Central Ave S,Unit 20 Principals KENT,WA 98032 Willard,Kristopher B,PRESIDENT 253-856-2572 KING County Doing business as Puget Construction Srvcs Inc WA UBI No. Business type 603 356 329 Corporation License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties CONCRETE License no. PUGETCS869BW Effective—expiration 01/16/2014—01/18/2024 Bond Western Surety Co $6,000.00 Bond account no. 62975587 Received by L&I Effective date 11/23/2016 01/14/2017 Expiration date Until Canceled Bond history Insurance Country Mutual Ins Co $1,000,000.00 Policy no. ab9207796 Received by L&I Effective date 08/27/2021 09/30/2019 Expiration date • 09/30/2022 Insurance history Savinga. No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor&Industry to verify if this business has apprentices. • Workers'Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 281,301-00 • Doing business as PUGET CONSTRUCTION SERVICES IN Estimated workers reported Quarter 4 of Year 2021"7 to 10 Workers" L&I account contact TO/KARLA BOWMAN(360)902-5535-Email:BOWK235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training--Effective July 1,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety& Health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. .. 7 STATE OF WASHINGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage March 18, 2022 I WA UBI No. 603 356 329 L&I Account ID 281,301-00 Legal Business Name PUGET CONSTRUCTION SERVICES INC Doing Business As PUGET CONSTRUCTION SERVICES IN Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 4 of Year 2021 "7 to 10 (See Description Below) Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. PUGETCS869BW i License Expiration 01/18/2024 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation Washington State Department of Revenue Q < Business Lookup License Information: New search Back to results Entity name: PUGET CONSTRUCTION SERVICES INC. Business PUGET CONSTRUCTION SERVICES INC. name: Entity type: Profit Corporation UBI #: 603-356-329 Business ID: 001 Location ID: 0001 Location: Active Location address: 1609 CENTRAL AVE S STE 20 KENT WA 98032-7447 Mailing address: 1609 CENTRAL AVE S STE 20 KENT WA 98032-7447 Excise tax and reseller permit Click here status: Secretary of State status: Click here Endorsements < Page 1 of 2 > Filter Endorsements hell License Count Details Status Expiratic First issu Black Diamond BUS16-0 Active Jan-31-2 Mar-20-, General Business - Non-Resident Covington Active Jan-31-2 Mar-31-, General Business - Non-Resident Duvall General Active Jan-31-2 Feb-06 Business - Non- Resident Gig Harbor Active Jan-31-2 May-16- General Business - Non-Resident Issaquah Active Jan-31-2 Mar-31-, General Business - Non-Resident Lacey General 29374 Active Jan-31-2 May-04- Business - Non- Resident Mercer Island 190124 Active Jan-31-2 Oct-09 General Business - Non-Resident Mount Vernon Active Jan-31-2 Apr-04-; General Business - Non-Resident Newcastle Active Jan-31-2 Feb-12-; General Business - Non-Resident Endorsements hell License 4 Count Details Status Expiratic First issu Olympia General 28079 Active Jan-31-2 Aug-29- Business - Non- Resident Redmond RED15-0 Active Jan-31-2 May-26- General Business - Non-Resident SeaTac General Active Jan-31-2 Dec-19-; Business - Non- Resident Sumner General Active Aug-31- Aug-30- Business - Non- Resident Tukwila General Active Jan-31-2 Mar-27-, Business - Non- Resident Tumwater R-01425 Active Jan-31-2 Sep-16-; General Business - Non-Resident Governing People May include governing people not registered with Secretary of State Governing people Title WILLARD, KRIS The Business Lookup information is updated nightly. Search date and time: 3/18/2022 10:11:35 AM • • Yi2Nny:.151a41`yeitm,n,t Labor&Industries(httna://Ini.wa.gov1 • Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter this list using the options presented below. Company Name WA UBI Number:603 356 329 If License Number PrincipalE RCW All From:MM/DD/YYYY I To MM/DD/YYYY Penalty Due: All v Wage Due: All Apply Filters Reset Download all debarment data® Show®per page Showing 0 records Fi rstPrevious NextLast Company Name UBI License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show®per page Showing 0 records Fi rstPreviou s NextLast An official website of the United States government Here's how you know Ii1SAMGov® Home Search Data Bank Data Services Help Search All Words e.g. 1606N020Q02 Select Domain Entity Information All Entity Information Entities Disaster Response Registry Exclusions Filter By — Keyword Search For more information on how to use our keyword search,visit our help guide Any Words Q All Words 0 Exact Phrase e.g. 123456789, Smith Corp Classification Excluded Individual Excluded Entity Entity Name V puget construction services X DUNS Unique Entity ID e.g.123456789 V SAM Unique Entity ID e.g. HTYR9YJHK65L CAGE/ NCAGE V Federal Organizations Exclusion Type Exclusion Program Location Dates Reset 0 Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Policies Customer Service Privacy Policy Help Disclaimers Check Registration Freedom of Information Act Federal Service Desk Accessibility External Resources Contact This is a U.S. General Services Administration Federal General Government computer system that is "FOR OFFICIAL USE GSAServices ONLY." This system is subject to monitoring. Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. VIWashington State Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) [� Disadvantaged Business(DBE) 0 Veteran Owned Business(VBE) ❑Woman Owned Business(WBE) III ❑ Federal Small Business(FSBE) D State Small Business(SBE) 0 Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking&Excavating, Inc. 91 1938552 REEDTEI016JW Project Title Request Number Duvall Ave NE 12 Approval is Requested to Sublet the Following Described Work to: Lower Tier Subcontractor ✓❑ Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name .Federal Employer 1.11 Number Concrete Services, Inc. 601-334-103 91-1531106 } Address Telephone Number 11403 58th Ave E 253-341-4729 City State Zip Code Estimated Starting Date Puyallup WA 98373 If Lower Tier Subcontractor, Name of Corresponding Sub. Fed ID or Vendor#of Request to Sublet#of Corresponding Sub Corresponding Sub Item No. Partial or Item Description Work Description(if partial) Amount Complete A73 Complete Curb&Gutter $81,650.00 } A74 Complete Traffic Curb $3,840.00 - A75 Complete Pedestrian Curb $3,190.00 A77 Complete Driveway Type 1 $11,040.00 A82 Complete Sidewalk $71,314.00 A83 Complete Ramp Type Parallel $19,800.00 A84 Complete Ramp Type Single Directional $2,100.00 Total $ 192,934.00 I understand and will ensure that the subcontractor Prime Contractor Representative and Title .Date will comply fully with the plans and specifications /� t 3/17/2022 under which this work is being performed. Department of Transportation Use Only Percent of Total Contract Program Certification Verification Debarred/Registration Verification(LNI) This Request 3.73 Comments: Previous Requests 33.71 No Certification Sublet to Date 37.44 % Not Debarred Project Enginee or De ignee Date Approved 3/1-7/ZZ DOT Form 421-012 Save Electronically-Do Not Print Revised 09/2019 • ash t L Ogwtrent al Labor&Industries (https://lni.wa.gov) Contractors • CONCRETE SERVICES INC Owner or tradesperson 6423 PACIFIC HWY E Principals FIFE,WA 98424 WILSON,DANIEL DEAN,PRESIDENT 253-922-1444 PIERCE County WILSON,EDWARD A,SECRETARY (End:05/31/2012) • Doing business as CONCRETE SERVICES INC WA UBI No. Business type 601 334 103 Corporation License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. CONCRSIO9ONZ Effective—expiration 08/09/1991—06/11/2022 Bond Ohio Cas Ins Co $12,000.00 Bond account no. 191986C Received by L&I Effective date 10/06/2020 08/26/2019 Expiration date Until Canceled Bond history Insurance ....................... f American Hallmark Ins Co of Te $1,000,000.00 Policy no. 44CL495119 Received by L&I Effective date 07/30/2021 08/05/2021 Expiration date 08/05/2022 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications &Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training_Agent Registered training agent Check their eligible programs and occupations. Workers'Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 407,370-01 Doing business as CONCRETE SERVICES INC Estimated workers reported Quarter 4 of Year 2021"31 to 50 Workers" L&l account contact TO/JULIE SUR(360)902-4715-Email:SURJ235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety& Health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 02/13/2017 No violations Inspection no. 317943244 Location 96th Street S&S Tacoma Way Lakewood,WA 98499 • st • f -ji' STATE OF WASHINGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage March 17, 2022 WA UBI No. 601 334 103 L&I Account ID 407,370-01 Legal Business Name CONCRETE SERVICES INCORPORATED Doing Business As CONCRETE SERVICES INC 1 Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 4 of Year 2021 "31 to 50 I (See Description Below) Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. CONCRSIO9ONZ LLicense Expiration !^_ 06/11/2022 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter.A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51.12.050 and 51.16.190). Washington State Department of Revenue 0 < Business Lookup License Information: New search Back to results Entity name: CONCRETE SERVICES, INCORPORATED Business CONCRETE SERVICES, INCORPORATED name: Entity type: Profit Corporation UBI #: 601-334-103 Business ID: 001 Location ID: 0001 Location: Active Location address: 28708 SE MUD-MTN RD ENUMCLAW WA 98022 Mailing address: PO BOX 4014 KENT WA 98032-4014 Excise tax and reseller permit Click here status: Secretary of State status: Click here Governing People May include governing people not registered with Secretary of State Governing people Title WILSON, DANIEL WILSON, DONNA View Additional Locations The Business Lookup information is updated nightly. Search date and time: 3/17/2022 1:02:16 PM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported V Labor&Industries(https://Ini.wa.govl . Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract You can search and filter this list using the options presented below. Company Name. WA UBI Number:601 334 103 License Number Principal: RCWiAII I From MM/DD/YYYY I To MMIDD/YYYY Penalty Due: (All vI Wage Due: All v Apply Filters Reset Download all debarment data® Show 25 v per page Showing 0 records Fi rstPreviou sNe xtLast Company Name UBI License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show 125 v I per page Showing 0 records Fi rstPreviou sNextLast An official website of the United States government Here's how you know JJLSAMGOV® Home Search Data Bank Data Services Help Search All Words e.g. 1606N020Q02 Select Domain + Entity Information All Entity Information Entities Disaster Response Registry Exclusions Filter By — Keyword Search For more information on how to use our keyword search,visit our help guide Any Words 0 All Words 0 Exact Phrase 0 e.g. 123456789, Smith Corp Classification Excluded Individual Excluded Entity Entity Name • concrete services x DUNS Unique Entity ID e.g.123456789 • SAM Unique Entity ID e.g. HTYR9YJHK65L • CAGE/NCAGE • Federal Organizations Exclusion Type Exclusion Program Location Dates Reset 0 Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Policies Customer Service Privacy Policy Help Disclaimers Check Registration Freedom of Information Act Federal Service Desk Accessibility External Resources Contact This is a U.S.General Services Administration Federal General Government computer system that is "FOR OFFICIAL USE GS`. Services ONLY."This system is subject to monitoring. Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. • � Washington State �I/ Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) ❑ Disadvantaged Business(DBE) ❑ Veteran Owned Business(VBE) El Woman Owned Business(WBE) Federal Small Business(FSBE) State Small Business(SBE) ❑ Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking&Excavating,Inc. 91-1938552 REEDTEI016JW Project Title Request Number Duvall Ave NE 9 Approval is Requested to Sublet the Following Described Work to: El Lower Tier Subcontractor U Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name Federal Employer I.D.Number P'nD.LO 99 in9 Tree Service 601-439-180 91-1584749 Address Telephone Number PO Box 529 425-432-7636 City State Zip Code Estimated Starting Date Maple Valley WA 98038 2/18/2022 If Lower Tier Subcontractor,Name of Corresponding Sub. Fed ID or Vendor#of Request to Sublet#of Corresponding Sub Corresponding Sub Item No. Partial or Item Description Work•Description(if partial) Amount Complete • Complete Tree Removal $10,000.00 Total $10,000.00 I understand and will ensure that the subcontractor Prime Contractor Representative and Title Date will comply fully with the plans and specifications a i��� 2/16/2022 under which this work is being performed. • � G Department of Transportation Use Only Percent of Total Contract Program Certification Verification Debarred/Registration Verification(LNI) This Request 0.1.9 Comments: Previous Requests 33.52 % No DBE Certification Sublet to Date 33.71 % Not Debarred kPro ct Engin r or D ignee Date Approved — 2-17- DOT Form 421-012 Save Electronically-Do Not Print Revised 09/2019 ,tinmgrio nip...of • ` Labor&Industries(https://Ini.wa.gov) Contractors PnD Logging&Tree Service Owner or tradesperson PO Box 529 Principals MAPLE VALLEY,WA 98038 Powell,Chris R,PRESIDENT 425 432-7636 KING County Doing business as PnD Logging&Tree Service WA UBI No. Business type 601 439 180 . Corporation Parent company COMBINED CUTTING CONTRS INC License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. PNDLOLT867QQ Effective—expiration 11/18/2014—12/01/2022 Bond American States Insurance Co $12,000.00 Bond account no. 32S203216 Received by L&I Effective date 11/18/2014 11/03/2014 Expiration date Until Canceled Insurance Admiral Insurance Co $1,000,000.00 Policy no. 04240Q001 Received by L&I Effective date 09/30/2021 11/09/2020 Expiration date 11/09/2022 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications&Endorsements OMWBE Certifications No active certifications exist for this business. • Apprentice Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor&Industry to verify if this business has apprentices. Workers'Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 8382747-00 • Doing business as P&D TREE SERVICE Estimated workers reported Quarter 4 of Year 2021"21 to 30 Workers" L&I account contact TO/GARY HONC(360)902-4823-Email:HONC235@Ini.wa.gov Public Works Requirements • • Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. • Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety& Health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 12/20/2019 Violations Inspection no. 317956359 • Location 23206 SE 47th St. Sammamish,WA 98075 Inspection results date 12/19/2016 No violations Inspection no. 317943058 Location N.E.Fairgrounds and Bremerton,WA 98312 STATE OF WASHINGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage February 16, 2022 WA UBI No. 601 439 180 I L&I Account ID 838,747-00 • Legal Business Name . COMBINED CUTTING CONTRACTORS INC } Doing Business As P&D TREE SERVICE Workers'Comp Premium Status: Account is current. j Estimated Workers Reported Quarter 4 of Year 2021 "21 to 30 i (See Description Below) Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. PNDLOLT867QQ License Expiration 12/01/2022 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of • Washington State Department of Revenue 0 < Business Lookup License Information: New search Back to results Entity name: COMBINED CUTTING CONTRACTORS, INC. Business COMBINED CUTTING CONTRACTORS, INC. name: Entity type: Profit Corporation UBI #: 601-439-180 Business ID: 001 Location ID: 0002 Location: Active Location address: 20311 SE 240TH ST MAPLE VALLEY WA 98038-8618 Mailing address: PO BOX 529 MAPLE VALLEY WA 98038-0529 Excise tax and reseller permit Click here status: Secretary of State status: Click here Endorsements < Page 1 of 2 > Filter Endorsements hel( License# Count Details Status Expiratic First issu Black Diamond BUS200€ Active Jan-31-2 Mar-20-; General Business - Non-Resident Bonney Lake Active Jan-31-2 Jul-25-2( General Business - Non-Resident Bremerton 28269 Active Jan-31-2 May-01- General Business - Non-Resident Burien General 05710 Active Jan-31-2 Aug-17- Business - Non- Resident Carnation Active Jan-31-2 Jan-27-2 General Business - Non-Resident Clyde Hill Active Jan-31-2 Feb-19 General Business - Non-Resident Covington BL99-01( Active Jan-31-2 Jan-21-2 General Business - Non-Resident DuPont General 2511 Active Nov-30- Nov-19- Business - Non- Resident Duvall General Active Jan-31-2 Jan-30-2 Business - Non- Resident Endorsements hell License# Count Details Status Expiratic First issu Enumclaw CUSTOOC Active Jan-31-2 Jan-29-2 General Business - Non-Resident Federal Way 12-10061 Active Jan-31-2 Feb-09 General Business - Non-Resident • Gig Harbor Active Jan-31-2 Jan-28-2 General Business - Non-Resident Issaquah BUS03-0 Active Jan-31-2 Jan-21-2 General Business - Non-Resident Kirkland General OBL2022 On Hold Jan-31-2 Sep-30-; Business - Non- Resident Lakewood BL14-00- Active Jan-31-2 Jan-02-2 General Business - Non-Resident Governing People May include governing people not registered with Secretary of State Governing people Title POWELL JR, CHRIS POWELL, CHRIS Registered Trade Names A-1 HIGHCLIMBERS Active Jun-26-2008 A-A EXPERTS TREE Active Jun-26-2008 SERVICE K & M TREE SERVICE Active Jun-26-2008 MAPLES TREE Active Jun-26-2008 SPECIALIST NORTHWEST Active Jun-26-2008 LOGGING P & D TREE SERVICE Active Jun-26-2008 P N D LOGGING & Active Sep-06-2016 TREE SERVICE PND LOGGING & Active Nov-18-2014 TREE SERVICE SAMMAMISH TREE Active Jun-26-2008 SERVICE The Business Lookup information is updated nightly. Search date and time: 2/16/2022 4:56:55 PM V LaborsWehyuaxd &Industries(https://Ini.wa.gov) Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract You can search and filter this list using the options presented below. Company Name: WA U81 Number:601 439 180 License Number: Principal: _ J RCWtAll From:MM/DD/YYYY To:MM/DDIYYYY Penalty Due: All v Wage Due: All Apply FiltersfReset Download all debarment data® Show 25 v per page Showing 0 records FirstPreviousNextLast Company Name UBI License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show 125 I per page Showing 0 records FirstPreviousNextLast An official website of the United States government Here's how you know Cage Maintenance Impact to SAM X See All Alerts Registrations Feb 15,2022 On Sunday, February 20,2022 from 8:30 AM ET to 12:30 PM ET,CAGE planned maintenance will delay entity registration processing. New entity registrations or updates to existing registrations submitted during this time will be delayed until the service is restored. JJJ.. SAMGov® Home Search Data Bank Data Services Help Search All Words e.g. 1606N020Q02 Select Domain + Entity Information All Entity Information Entities Disaster Response Registry Exclusions Filter By — Keyword Search For more information on how to use our keyword search,visit our help guide Any Words 0 All Words 0 Exact Phrase 0 e.g. 123456789, Smith Corp Classification ., Excluded Individual .. Excluded Entity ^ Entity Name pnd logging x DUNS Unique Entity ID e.g. 12345 6789 SAM Unique Entity ID e.g. HTYR9YJHK65L CAGE/NCAGE Federal Organizations Exclusion Type Exclusion Program Location Dates Reset C) Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Policies Customer Service Privacy Policy Help Disclaimers Check Registration Freedom of Information Act Federal Service Desk Accessibility External Resources Contact This is a U.S.General Services Administration Federal General Government computer system that is "FOR OFFICIAL USE Cj S`� Services ONLY."This system is subject to monitoring. Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. )r VWWashington State Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) Disadvantaged Business(DBE) Veteran Owned Business(VBE) 0 Woman Owned Business(WBE) El Federal Small Business(FSBE) State Small Business(SBE) Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking&Excavating, Inc. 91-1938552 REEDTEI016JW Project Title • Request Number Duvall Ave NE 8 • Approval is Requested to Sublet the Following Described Work to: El Lower Tier Subcontractor n Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name Federal Employer I.D.Number Legacy Tapping, Inc, 604-359-046 83-2902494 Address Telephone Number 17832 87th Ave SE 206-396-7578 City State Zip Code Estimated Starting Date Snohomish WA 98296 If Lower Tier Subcontractor, Name of Corresponding Sub. Fed ID or Vendor#of Request to Sublet#of Corresponding Sub Corresponding Sub Item No. Partial or Item Description Work Description(if partial) Amount Complete Complete Wet Tapping $20,150.00 • Total $20,150.00 I understand and will ensure that the subcontractor Prime Contractor Representative and Title Date will comply fully with the plans and specifications 276ee. a�!/�at- 01/27/2022 under which this work is being performed. Department of Transportation Use Only Percent of Total Contract Program Certification Verification Debarred/Registration Verification(LNI) This Request 0.39 % Comments: Previous Requests 33.13 N% DBE Certification Sublet to Date 33.52 % ..,,t Debarred Project Engineer Designee _ Date ®Approved 1/27/22 DOT Form 421-012 Save Electronically- o Not Print Revised 09/2019 • a V hil igtm SYax[y,:mnent of Labor&Industries(https://Ini.wa.gov) Contractors • LEGACY TAPPING INC • Owner or tradesperson 17832 87th Ave SE Principals SNOHOMISH,WA 98296 Gibbs,Erin Marie,MEMBER 206-396-7578 • SNOHOMISH County Doing business as LEGACY TAPPING INC • WA UBI No. Business type 604 359 046 Corporation • License • Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. LEGACTI826R8 Effective—expiration 12/28/2018—12/28/2022 Bond No current bond account.See the bond history. Bond history Insurance Ohio Security Ins Co $1,000,000.00 • Policy no. BKS59412709 Received by L&I Effective date . 11/16/2021 12/26/2018 Expiration date 12/26/2022 Savings. (in lieu of bond) $12,000.00 Received by L&I Effective date 10/08/2019 10/08/2019 Release date Impaired date NIA NIA Savings account ID 255594 Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications &Endorsements • OMWBE Certifications • No active certifications exist for this business. Apprentice Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor&Industry to verify if this business has apprentices. Workers'Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account-ID Account is current. 682,716-00 Doing business as LEGACY TAPPING INC Estimated workers reported Quarter 4 of Year 2021"0"Workers L&l account contact T4/STEPHEN TASSONI(360)902-4819-Email:TASS235@Inl.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training-Effective July 1,2019 Exempt from this requirement. Completed the training on 6/10/2019 Contractor Strikes No strikes have been Issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety&Health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. STATE OF WASHINGTON Department of Labor&Industries Certificate of Workers' Compensation Coverage January 27, 2022 WA UBI No. 1 604 359 046 L&I Account ID 682,716-00 Legal Business Name LEGACY TAPPING INC Doing Business As LEGACY TAPPING INC Workers'Comp Premium Status: ;Account is current. Estimated Workers Reported i Quarter 4 of Year 2021 "0"Workers (See Description Below) Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? !Yes License No. , LEGACTI826R8 License Expiration ; 12/28/2022 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of Washington State Department of Revenue < Business Lookup License Information: New search Back to results Entity name: LEGACY TAPPING, INC. Business LEGACY TAPPING, INC name: Entity type: Profit Corporation UBI #: 604-359-046 Business ID: 001 • Location ID: 0001 Location: Active Location address: 17832 87TH AVE SE SNOHOMISH WA 98296-4817 Mailing address: 17832 87TH AVE SE SNOHOMISH WA 98296-4817 Excise tax and reseller permit Click here status: Secretary of State status: Click here Endorsements Endorsements hell License 4 Count Details Status Expiratic First issu Lynnwood Active Apr-30 Apr-27-2 General Business - Non-Resident • Olympia General 42792 Active Apr-30 Apr-07-2 Business - Non- Resident Port Orchard Pending Jan-31-2 General Business - Non-Resident Governing People May include governing people not registered with Secretary of State Governing people Title GASPAROVICH, ERIN • Registered Trade Names Registered trade names Status First issued LEGACY TAPPING, Active Dec-24-2018 INC The Business Lookup information is • updated nightly. Search date and time: 1/27/2022 12:30:15 PM v • Labor&Industries(hops://Ini.wa.gov) Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter this list using the options presented below. Company Name: WA UBI Number:604 359 046 License Numbed Principal: RCW:jAII From:[M/DD/YYYY i To{MM/DD/YYYY Penalty Due: All v Wage Due: All Apply Filters IReset Download all debarment data® Show 25\/ per page Showing 0 records F i rstPreviou sNextLast Company Name UUI License Medusas Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search critena. Show®per page Showing 0 records Fi rstPreviousNextLast An official website of the United States government Here's how you know �! SAM*Gov® Home Search Data Bank Data Services Help Search All Words e.g. 1606N020Q02 Select Domain + Entity Information All Entity Information Entities Disaster Response Registry Exclusions Filter By — Keyword Search For more information on how to use our keyword search,visit our help guide Any Words 0 All Words D Exact Phrase D e.g. 123456789, Smith Corp "legacy tapping" x Classification ^ Classification Firm Excluded Firm Federal Organizations Exclusion Type Exclusion Program Location Dates Reset 0 CI) Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Policies Customer Service Privacy Policy Help This is a U.S. General Services Administration Federal General Government computer system that is"FOR OFFICIAL USE GSAServices ONLY." This system is subject to monitoring. Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. � l • � Washington State �I/ Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) El Disadvantaged Business(DBE) Veteran Owned Business(VBE) D Woman Owned Business(WBE) ❑ Federal Small Business(FSBE) State Small Business(SBE) D Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking&Excavating, , Inc. 91-1938552 REEDTEI016JW Project Title Request Number Duvall Ave NE 7 • Approval is Requested to Sublet the Following Described Work to: Lower Tier Subcontractor 14 Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name Federal Employer I.D.Number W.E.Coates Surveying,LLC 602-746-960 26-0378268 Address Telephone Number 9825 Glory Drive SE _ 360-413-0510 City • State Zip Code Estimated Starting Date Olympia WA 98513 Jan 2022 If Lower Tier Subcontractor, Name of Corresponding Sub. Fed ID or Vendor#of Request to Sublet#of Corresponding Sub Corresponding Sub Item No. Partial or Complete Item Description Work Description(if partial) Amount Construction Surveying $43,500.00 ADA Features Surveying $7,000.00 Project Red Line Drawings/As builts $11,000.00 Total $61,500.00 /understand and will ensure that the subcontractor Prime Contractor Representative and Title Date will comply fully with the plans and specifications 2iff /JJ 12/15/2021 under which this work is being performed. . Department of Transportation Use Only Percent of Total Contract Ni Program Certification Verification [A Debarred/Registration Verification(LNI) This Request 1.18 Comments: Previous Requests 31.64 % DBE Cert. No. D3M0019952 Sublet to Date 32.82 % Not Debarred Project Engineer or Designee Date El Approved ® 12/15/2021 DOT Form 421-012 Save Electronically-Do Not Print Revised 09/2019 li D ,mitxmn Sm+Rpamrmoi labor&Indusvies"(httpsJ/Ini.wa.gov) Contractors W E COATES SURVEYING LLC Owner or tradesperson TERI COATES 9825 GLORY DR SE Doing business as OLYMPIA,WA 98513-4805 W E COATES SURVEYING LLC WA UBI No. Governing persons 602 746 960 TERI L COATES WADE E E COATES; ICertifications&Endorsements OMWBE Certifications Disadvantaged Business Enterprise(DBE) Minority Business Enterprise(MBE) Apprentice Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor&Industry to verify if this business has apprentices. IWorkers'Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 128,857-01 Doing business as W E COATES SURVEYING LLC Estimated workers reported Quarter 3 of Year 2021"4 to 6 Workers" L&I account contact T4/STEPHEN TASSONI(360)902-4819-Email:TASS235@Ini.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training-Effective July 1,2019 Exempt from this requirement. t Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. IWorkplace Safety&Health Check for any past safety and health violations found on lobsites this business was responsible for. No inspections during the previous 6 year period. SLATE OF WASHINGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage December 15, 2021 WA UBI No. 602 746 960 L&I Account ID 128,857-01 Legal Business Name W E COATES SURVEYING LLC Doing Business As W E COATES SURVEYING LLC Workers'Comp Premium Status: k Account is current. Estimated Workers Reported t Quarter 3 of Year 2021 "4 to 6 (See Description Below) Workers" Account Representative Employer Services Help Line,(360) 902-4817 Licensed Contractor? I No What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter.A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51.12.050 and 51.16.190). Washington State Department of Revenue < Business Lookup License Information: New search Back to results Entity name: W.E. COATES SURVEYING, LLC Business W. E. COATES SURVEYING, LLC name: Entity type: Limited Liability Company UBI#: 602-746-960 Business ID: 001 Location ID: 0001 Location: Active Location address: 9825 GLORY DR SE OLYMPIA WA 98513-4805 Mailing address: 9825 GLORY DR SE OLYMPIA WA 98513-4805 Excise tax and reseller permit Click here status: Secretary of State status: Click here V Endorsements Filter L• Endorsements heli License/ Count Details Status Expiratic First issu Bonney Lake Active Jun-30-2 Jul-13-21 General Business - Non-Resident Bremerton 34602 Active Jul-31-21 Jul-20-21 General Business - Non-Resident Burien General 06802 Active Aug-31- Aug-23-. Business - Non- Resident Chehalis General Active May-31- Jul-15-21 Business - Non- Resident Edgewood Active Mar-31-; Mar-08-; General Business - Non-Resident Federal Way Active Apr-30-; Apr-16-; General Business - Non-Resident Lakewood Active Jun-30-2 Jun-14-2 General Business - Non-Resident Olympia General 41283 Active Jul-31-21 Aug-13-. Business Port Orchard Active Mar-31-, Mar-08-; General Business - Non-Resident Endorsements hell License I Count• Details Status Expiratic First issu Puyallup General Active Feb-28-: Feb-03-; Business - Non- • Resident Redmond RED08-0 Active Dec-31-; Sep-02-: Gneral Business - Non-Resident Governing People May include governing people not registered with Secretary of State Governing people Title COATES, TERI L L COATES, WADE E Registered Trade Names Registered trade names Status First issued W. E. COATES Active May-05-2016 SURVEYING, LLC View Additional Locations The Business Lookup information is updated nightly. Search date and time: 12/15/2021 10:28:20 AM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported V ,)Labor 8 Industries(https-yini wa gov) Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter this list using the options presented below. Company Name WA UBI Number:602 746 960 License Number Principal RCWiAII v� From{MM/DDJYYYY i ToiMM/DDIYYYY Penalty Due: All v' Wage Due: All v1. Apply FiltersfReseti Download all debarment data Show 125 N.,'i per page Showing 0 records FirstPreviousNextLast Company Name OW license Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show 125,,f per page Showing 0 records FirstPreviousNextLast An official website of the United States government Here's how you know JL1SAMoov® Home Search Data Bank Data Services Help Search All Words e.g. 1606N020Q02 Select Domain + Entity Information AU Entity Information Entities Disaster Response Registry Exclusions Filter By — Keyword Search For more information on how to use our keyword search,visit our help guide Any Words 0 All Words 0 Exact Phrase 0 e.g. 123456789,Smith Corp "W E Coates" x Classification .. Excluded Individual Excluded Entity Federal Organizations .. Exclusion Type Exclusion Program Location Dates Reset G 0 Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Policies Customer Service Privacy Policy Help Disclaimers Check Registration Freedom of Information Act Federal Service Desk Accessibility External Resources This is a U.S. General Services Administration Federal General Government computer system that is"FOR OFFICIAL USE 5�A Services ONLY." This system is subject to monitoring. Individuals found ,� Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. aft " Washington State VT/ Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) Ei Disadvantaged Business(DBE) Veteran Owned Business(VBE) Woman Owned Business(WBE) ❑ Federal Small Business(FSBE) State Small Business(SBE) Ei Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking&Excavating,Inc. 91-1938552 REEDTEI016JW Project Title Request Number Duvall Avenue NE 6 Approval Is Requested to Sublet the Following Described Work to: ❑ Lower Tier Subcontractor 0✓ Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name Federal Employer I.D.Number 603-210-811 45-5406178 Cinpaul LLC,dba C&P Fencing Address Telephone Number 1516 Chinook Ave 360-802-1059 City State Zip Code Estimated Starting Date Enumclaw WA 98022 If Lower Tier Subcontractor,Name of Corresponding Sub. Fed ID or Vendor#of Request to Sublet#of Corresponding Sub Corresponding Sub Item No. Partial or Item Description Work Description(if partial) Amount Complete A80 Complete Chain Link Fence Type A $2,177.70 Total $2,177.70 I understand and will ensure that the subcontractor Prime Contractor Representative and Title Date will comply fully with the plans and specifications %,�/� gairjlt 8/20/2021 under which this work is being performed: C Department of Transportation Use Only Percent of Total Contract [ Program Certification Verification 17.1 Debarred/Registration Verification(LNI) This Request 0.04 Comments: Previous Requests 31.60 % No DBE Certification Sublet to Date 31.64 % Not Debarred Project Engineer or Designee Date ( / 23/z1 Approved Cy` DOT Form 421-012 Save Electronically-Do Not Print Revised 09/2019 A Ytn�wga state fxommemm J Labor&Industries(https://Ini.wa.Qov) Contractors C & P FENCING Owner or tradesperson 1516 CHINOOK AVE Principals ENUMCLAW,WA 98022 POHLMAN,LUCINDA 360-802-1059 ANN,PARTNER/MEMBER KING County • POHLMAN,PAUL ERIC,PARTNER/MEMBER • Doing business as C&P FENCING WA UBI No. Business type 603 210 811 Limited Liability Company Parent company Governing persons CINPAUL LLC LUCINDA A POHLMAN PAUL E POHLMAN; License • Verify the contractors active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties FENCING License no. CPFENPF882ME Effective—expiration 07/05/2012—07/05/2022 Bond No current bond account See the bond history. Bond history Insurance TRI-STATE INSURANCE COMPANY OF $1,000,000.00 Policy no. ADV6035571 Received by L&I Effective date 05/26/2021 06/28/2020 Expiration date 06/28/2022 Insurance history Savings (in lieu of bond) $6,000.00 Received by L&I Effective date 06/23/2016 06/21/2016 Release date Impaired date N/A N/A Savings account ID 47192800483909 Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications& Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor&Industry to verify if this business has apprentices. Workers'Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 240,140-00 • Doing business as C&P FENCING Estimated workers reported Quarter 2 of Year 2021"7 to 10 Workers" L&l account contact T3/SYDNEY RAVES(360)902-4659-Email:RAVS235@Ini.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July„1.,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety & Health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. _ a STATE OF WASHINGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage August 23, 2021 WA UBI No. 1 603 210 811 L&I Account ID 240,140-00 Legal Business Name CINPAUL LLC Doing Business As I C&P FENCING Workers' Comp Premium Status: Account is current. Estimated Workers Reported Quarter 2 of Year 2021 "7 to 10 (See Description Below) Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. CPFENPF882ME License Expiration 07/05/2022 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51.1 2.050 and 51.16.190). Washington State Department of Revenue < Business Lookup License Information: New search Back to results Entity name: CINPAUL, LLC Business CINPAUL, LLC name: Entity type: Limited Liability Company UBI #: 603-210-811 Business ID: 001 Location ID: 0001 Location: Active Location address: 2040 ROOSEVELT AVE ENUMCLAW WA 98022-2523 Mailing address: 1516 CHINOOK AVE ENUMCLAW WA 98022-3721 Excise tax and reseller permit Click here status: Secretary of State status: Click here Endorsements < Page 1 of 2 > Filter • Endorsements hell License Count Details Status Expiratic First issu Bellingham 052611 Active Nov-06- General Business Buckley General Active May-31- Sep-18 Business - Non- Resident Burien General 09968 Active May-31- Nov-12- Business - Non- Resident Carbonado Active May-31- Dec-19 General Business - Non-Resident Chehalis General Active May-31- Apr-21 Business - Non- Resident Covington Active Nov-30- Nov-25- General Business - Non-Resident Edgewood Active Oct-31 Oct-29-2 General Business - Non-Resident Enumclaw BUS201c Active May-31- Jul-11-21 General Business Federal Way 18-1059, Active May-31- Dec-19-; General Business - Non-Resident v Active May-31- Nov-03- Endorsements hell License 4 Count Details Status Expiratic First issu Fife General Business - Non- Resident Issaquah Active Feb-28-; Feb-24-; General Business - Non-Resident Kirkland General Active May-31- Dec-16-; Business - Non- Resident Lacey General 182133 Active May-31- Jul-08-2( Business - Non- Resident Lake Stevens Active May-31- Jun-17-2 General Business - Non-Resident Lakewood Active May-31- Aug-16- General Business - Non-Resident Governing People May include governing people not registered with Secretary of State Governing people Title POHLMAN, LUCINDA A POHLMAN, PAUL E Registered Trade Names Dnnie+ornr8+rmrAn nme*enc C+nte.e Civet ieeeeAE'i Registered trade names Status First issued • C & P FENCING Active Jun-12-2012 The Business Lookup information is updated nightly. Search date and time: 8/23/2021 10:47:27 AM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported ILI Labor&Industries Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter this list using the options presented below. Company Name; WA UBI Number1603 210 811 License Number Principal RCW:IAII From rMM/DD/YYYY To MM/DD/YYYY Penalty Due: All v Wage Due: All v Apply FiltersiReset Download all debarment data!+ Show®per page Showing 0 records FirstPreviousNextLast Company Name UBI License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show 25 v per page Showing 0 records FirstPreviousNextLast An official website of the United States government Here's how you know JJI[ SAMGov® E Home Search Data Bank Data Services Help Search e.g. 1606N020Q02,asphalt pay Select Domain + Entity Information All Entity Information Entity Registrations Disaster Response Registry Exclusions Filter By — Keywords Classification Excluded Individual Excluded Entity Entity Name cinpaul x DUNS Unique Entity ID Example:123456789 V SAM Unique Entity ID CAGE/ NCAGE Federal Organizations Exclusion Type Exclusion Program Location Dates Reset 0 Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Freedom of Information Act Federal Service Desk Accessibility External Resources Contact This is a U.S. General Services Administration Federal General Government computer system that is "FOR OFFICIAL USE GSt Services ONLY."This system is subject to monitoring. Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. TWashington State Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) ❑ Disadvantaged Business(DBE) 0 Veteran Owned Business(VBE) ❑Woman Owned Business(WBE) El Federal Small Business(FSBE) El State Small Business(SBE) 0 Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking&Excavating,Inc 91-1938552 REEDTEI016JW Project Title Request Number Duvall Ave NE .8" 5 Approval is Requested to Sublet the Following Described Work to: Ei Lower Tier Subcontractor Q Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name Federal Employer I.D.Number Stripe Rite,Inc. 601-048-084 91-1387668 Address Telephone Number 1813 137th Ave E 253-863-2897 City State Zip Code Estimated Starting Date Sumner WA 98390 If Lower Tier Subcontractor,Name of Corresponding Sub. Fed ID or Vendor#of Request to Sublet#of Corresponding Sub Corresponding Sub Item No. Partial or Item Description Work Description(if partial) Amount Complete A76 Complete Extruded Curb Modified Type 6 w/pins $18,565.00 A78 Complete Raised Pavement Marker Type I $2,200.00 A79 Complete Raised Pavement Marker Type II $831.00 A87 Complete Removing Pavement Markings $1,788.00 A88 Complete Paint Line $4,182.00 A89 Complete Painted Wide Lines $175.00 A90 Complete Plastic Traffic Arrows 50150 Wet Dry 3m Beads,Type D $4,050.00 • A91 Complete Plastic Crosswalk Line 50/50 Wet Dry Beads.Type D $4,950.00 A92 Complete Plastic Stop Line 50/50 Wet Dry Beads,Type D $2,985.60 Total $42,778.60 I understand and will ensure that the subcontractor -Prime Contractor Representative and Title Date will comply fully with the plans and specifications rtera.4. game. 8/16/2021 under which this work is being performed. Department of Transportation Use Only Percent of Total Contract Program Certification Verification Debarred/Registration Verification(LNI) This Request 0.82 % Comments: Previous Requests 30.78 % No DBE Certification Sublet to Date 31.60 % Not Debarred Pro eat Engineer or signee, Date Approved �ti 5PIal DOT Form 421-012 Save Electronically-Do Not Print Revised 09/2019 Request to Sublet Work Supplemental Sheet Item No. Partial or Item Description Work Description(if partial) Amount Complete A93 Complete Plastic Bicycle Symbols 50/50 Wet Dry 3m Beads,Type D $ 1,980.00 A94 Complete Plastic Traffic Letters 50/50 Wet Dry 3m Beads,Type D $ 1,072.00 Total $3,052.00 DOT Form 421-012 Save Electronically-Do Not Print Revised 09/2019 W.aMi9:x Sata Ceµretmm�of Labor&Industries(https://Ini.wa.gov) Contractors STRIPE RITE INC Owner or tradesperson 1813 137TH AVE E Principals SUMNER,WA 98390 253-833-0484 BATEMAN,STEVEN MORRIS,PRESIDENT PIERCE County EVERARD,LLOYD DONALD,SECRETARY (End:12/31/2012) Doing business as STRIPE RITE INC WA UBI No. Business type 601 048 084 Corporation License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. STRIPRI121JM Effective—expiration 04/14/1988—04/17/2023 Bond Merchants Bonding Co(Mutual) $12,000.00 Bond account no. WA27607 Received by L&I Effective date 03/20/2014 04101/2014 Expiration date Until Canceled Bond history Insurance Western National Assur Co $1,000,000.00 Policy no. CPP125947700 Received by L&I Effective date 04/07/2021 04/11/2021 Expiration date 04/11/2022 Insurance history Savings, No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. LW Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications& Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Registered training agent.Check their eligible programs and occupations. Workers'Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 477,182-01 Doing business as STRIPE RITE INC Estimated workers reported Quarter 2 of Year 2021"Greater than 100 Workers" L&I account contact T4/CASSANDRA SMITH(360)902-5632-Email:SMCA235@Ini.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety& Health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 09/22/2020 Violations Inspection no. 317960748 Location S Park and Boyer Ave Walla Walla,WA 99362 r SIAXE OFWASHINGION Department of Labor& Industries Certificate of Workers' Compensation Coverage August 16, 2021 WA UBI No. 1 601 048 084 L&I Account ID 477,182-01 Legal Business Name STRIPE RITE INC Doing Business As STRIPE RITE INC Workers'Comp Premium Status: Account is current. Estimated Workers Reported ,Quarter 2 of Year 2021 "Greater than (See Description Below) 1100 Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? 1 Yes License No. STRIPRI121JM License Expiration 04/17/2023 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51.12.050 and 51 .16.190). Washington State Department of Revenue < Business Lookup License Information: New search Back to results Entity name: STRIPE RITE, INC. Business STRIPE RITE, INC. name: Entity type: Profit Corporation UBI #: 601-048-084 Business ID: 001 Location ID: 0001 Location: Active Location address: 1813 137TH AVE E SUMNER WA 98390-9645 Mailing address: 1813 137TH AVE E SUMNER WA 98390-9645 Excise tax and reseller permit Click here status: Secretary of State status: Click here Endorsements < Page 1 of 7 > Filter Endorsements hel( License 4 Count Details Status Expiratic First issu Aberdeen 98443 Active Jul-01-1! General Business - Non-Resident Airway Heights Active Sep-30-; May-28- General Business - Non-Resident Anacortes Active Sep-30-; Jan-12-2 General Business - Non-Resident Bainbridge 13180 Active Sep-30-; Jan-01-1 Island General Business - Non- Resident Bellingham 018094 Active Oct-10-1 General Business Blaine General Active Sep-30-; Dec-08-' Business - Non- Resident Bonney Lake Active Sep-30-; Jul-17-21 General Business - Non-Resident Buckley General Active Sep-30-; Apr-22 Business - Non- Resident Burien General 04323 Active Sep-30-; Sep-22-; Business - Non- Resident Endorsements help License/ Count Details Status Expiratic First issu Carnation Active Sep-30-; Dec-07-; General Business - Non-Resident Centralia 5542 Active Sep-30-; Jul-23-21 General Business - Non-Resident Chehalis General Pending Jul-31-21 Business - Non- Resident Cle Elum 583 Active Sep-30-; Jan-22-2 General Business - Non-Resident College Place Active Feb-28-; Feb-23-; General Business - Non-Resident Colville General 034225.( Active Sep-30-; Apr-02-; Business - Non- Resident Governing People May include governing people not registered with Secretary of State Governing people Title BATEMAN, STEVE View Additional Locations v The Business Lookup information is updated nightly. Search date and time: 8/16/2021 3:30:48 PM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported v U . Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter this list using the options presented below. Company Name: WA UBI Number:[601 048 084 License Number Principal:. RCW/All From:l MM/DD/YYYY To:MM/DD/YYYY Penalty Due: All v Wage Due: All Apply Filters[Reset Download all debarment data® Show 25 v per page Showing 0 records FirstPreviousNextLast Company Name UBI License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show 25 v per page Showing 0 records FirstPreviousNextLast An official website of the United States government Here's how you know U!�_SAM*Gov® Home Search Data Bank Data Services Help Search e.g. 1606N020Q02,asphalt pay Select Domain + Entity Information All Entity Information Entity Registrations Disaster Response Registry Exclusions Filter By Keywords Classification Excluded Individual Excluded Entity Entity Name stripe rite x DUNS Unique Entity ID Example:123456789 SAM Unique Entity ID CAGE/NCAGE Federal Organizations `/ Exclusion Type Exclusion Program Location Dates Reset 0 Ccia Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Freedom of Information Act Federal Service Desk Accessibility External Resources Contact ® This is a U.S. General Services Administration Federal General Government computer system that is "FOR OFFICIAL USE G S A. Services ONLY." This system is subject to monitoring. Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. Aft � Washington State �I/ Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) O Disadvantaged Business(DBE) Veteran Owned Business(VBE) Ei Woman Owned Business(WBE) ID Federal Small Business(FSBE) Ei State Small Business(SBE) Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number _Reed Trucking&Excavating,Inc 91-1938552 REEDTEI016JW Project Title Request Number Duvall Ave NE k 4 • Approval is Requested to Sublet the Following Described Work to: ▪ Lower Tier Subcontractor 0 Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name i Federal Employer I.D.Number Lakeridge Paving Company LLC 601-592-135 91-1145365 Address Telephone Number PO Box 8500 253-831-8290 City State Zip Code Estimated Starting Date Covington WA 98042 If Lower Tier Subcontractor,Name of Corresponding Sub. Fed ID or Vendor#of 'Request to Sublet#of Corresponding Sub Corresponding Sub Item No. Partial or Item Description Work Description(if partial) Amount Complete A37 Complete HMA CL. 1/2" $666,900.00 A39 Complete Asphalt Cost Price Adjustment $20,000.00 A40 Complete Job Mix Compliance Price Adjustment $10,000.00 A41 Complete Compaction Price Adjustment $10,000.00 Total $706,900.00 I understand and will ensure that the subcontractor Prime Contractor Representative and Title Date will comply fully with the plans and specifications reladf.e. gal/Y-4 8/16/2021 under which this work is being performed. ° Department of Transportation Use Only Percent of Total Contract Program Certification Verification Debarred/Registration Verification(LNI) This Request 13.55 Comments: Previous Requests 17.23 % No DBE Certification Sublet to Date .30.78 % Not Debarred Project Engineer or D signee Date pproved "' 81 t77Z4 DOT Form 421-012 Save Etectro ' ly-Do Not Print. Revised 09/2019 Labor&Industries(https://Ini.wa.gov) Contractors LAKERIDGE PAVING CO L L C Owner or tradesperson PO BOX 8500 Principals COVINGTON,WA 98042 O'FARRELL,GREGORY S,PARTNER 253-631-8290 KING County CHEETHAM,JON D,PARTNER Doing business as LAKERIDGE PAVING CO L L C WA UBI No. Business type 601 592 135 Partnership Governing persons JOHN CHEETHAM GREG OFARRELL; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. LAKERPC050JM Effective—expiration 04/14/1995—08/01/2023 Bond Arch Insurance Co $12,000.00 Bond account no. SU1164786000 Received by L&I Effective date 07/01/2020 08/07/2020 Expiration date Until Canceled Bond history Insurance Phoenix Insurance Company,The $1,000,000.00 Policy no. DT-CO-527D1053-PHX-2 Received by L&I Effective date 04/28/2021 05/01/2021 Expiration date 05/0112022 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications& Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training.Agent Registered training agent.Check their eligible programs and occupations. Workers'Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 288,256-03 Doing business as LAKERIDGE PAVING CO LLC Estimated workers reported Quarter 2 of Year 2021"Greater than 100 Workers" L&I account contact TO/JULIE SUR(360)902-4715-Email:SURJ235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety&Health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. 1r;STATE OF WASHINGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage August 16, 2021 WA UBI No. i 601 592 135 L&I Account ID 1 288,256-03 Legal Business Name 1 LAKERIDGE PAVING COMPANY LLC Doing Business As LAKERIDGE PAVING CO LLC Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 2 of Year 2021 "Greater than (See Description Below) 100 Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? i Yes I� License No. LAKERPC050JM License Expiration 1 08/01/2023 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of r . subrogation (See RCW 51.12.050 and 51 .16.190). Washington State Department of Revenue 0 < Business Lookup License Information: New search Back to results Entity name: LAKERIDGE PAVING COMPANY L.L.C. Business LAKERIDGE PAVING COMPANY L.L.C. name: Entity type: Limited Liability Company UBI #: 601-592-135 Business ID: 001 Location ID: 0001 Location: Active Location address: 19606 SE 252ND ST COVINGTON WA 98042-6707 Mailing address: PO BOX 8500 COVINGTON WA 98042-0052 Excise tax and reseller permit Click here status: Secretary of State status: Click here Endorsements < Page 1 of 3 > Filter r Endorsements heli License 4 Count Details Status Expiratic First issu Black Diamond BUS200E Active Dec-31-; Mar-20-; General Business - Non-Resident Bonney Lake Active Dec-31-; Jan-09-2 General Business - Non-Resident Bremerton 29345 Active Dec-31-; Jan-01-2 General Business - Non-Resident Buckley General Active Dec-31-; Apr-30 Business - Non- Resident Burien General 06091 Active Dec-31-; May-20- Business - Non- Resident Carnation Active Dec-31-; Mar-13-; General Business - Non-Resident Covington BLO2-15( Active Dec-31-; Jan-01-2 General Business Duvall General Active Dec-31-; Aug-30- Business - Non- Resident Enumclaw CUSTOOC Active Dec-31-; Aug-31- General Business - Non-Resident Endorsements hell License Count Details Status Expiratic First issu Federal Way 98-1053' Active Dec-31-; Jan-08-2 General Business - Non-Resident Fife General Active Dec-31-; Dec-30-; Business - Non- Resident Gig Harbor 1258 Active Dec-31-; Sep-01-; General Business - Non-Resident Issaquah BUS03-0 Active Dec-31-; Sep-09-; General Business - Non-Resident Kirkland General OBL-000 Active Dec-31-; Jan-23-2 Business - Non- Resident Lacey General 17116 Active Dec-31-; Sep-15-; Business - Non- Resident Governing People May include governing people not registered with Secretary of State Governing people Title CHEETHAM, JON D O'FARRELL, GREG S Registered Trade Names Dnnictnrnel trmeln nnn.nc Ctm+1ne riret ice.inrl n , Registered trade names Status First issued LAKERIDGE PAVING Active Dec-27-2018 COMPANY LLC The Business Lookup information is updated nightly. Search date and time: 8/16/2021 3:14:09 PM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported v Labor&Industries Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter this list using the options presented below. Company Namei WA UBI Number 1 601 592 135 License Number 1 Principal:) RCW:�All vi From:MM/DD/YYYY To MM/DD/YYYY Penalty Due: All v Wage Due: All v "Apply FiltersiResetl Download all debarment data® Show 25 v per page Showing 0 records FirstPreviousNextLast Company Name UBI License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show 25 v per page Showing 0 records FirstPreviousNextLast An official website of the United States government Here's how you know JJLSAMoov® Home Search Data Bank Data Services Help Search e.g. 1606N020Q02,asphalt pay Select Domain ,+ Entity Information All Entity Information Entity Registrations Disaster Response Registry Exclusions Filter By Keywords Classification Excluded Individual Excluded Entity Entity Name lakeridge x DUNS Unique Entity ID Example:123456789 SAM Unique Entity ID CAGE/NCAGE Federal Organizations Exclusion Type Exclusion Program Location Dates Reset 0 Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Freedom of Information Act Federal Service Desk Accessibility External Resources Contact ® This is a U.S. General Services Administration Federal General Government computer system that is "FOR OFFICIAL USE GC A Services ONLY." This system is subject to monitoring. Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. • � Washington State r// Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) . LI Disadvantaged Business(DBE) 1=1 Veteran Owned Business(VBE} Li Woman Owned Business:MBE) ❑ Federal Small Business(FSBE) State Small Business.($BE) -Q Minority Owned Business(MBE) Prime Contractor 'Statewide Vendor Number. 'State Contract Number. Reed Trucking&Excavating,Inc. 91-1938552 REEDTEI016JW • Project Title Request Number Duvall Ave NE .8` 3a Approval is Requested to Sublet the Following Described Work to: ® Lower Tier Subcontractor ❑Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Norris Federal Employer I.D.Number Integrity Networks Inc 802-512=350 Address Telephone Number 2220 Lind Ave SE#1 B0 • 425-264-9400 City State Zip Code Estimated Starting Date Renton WA 98057 If Lower Tier Subcontractor, Narne of Corresponding Sub. Fed'ID or Vendor#of • Request..ta Sublet#of Corresponding Sub Corresponding Sub Totem Electric of-Tacoma Inc 91-01'58480 3 Partial:or Item No. Complete Item Description Work Description(if partial) Amount . Line person/Hole Diggers $22,432:15 • • • • • • Total $22,432.15 /understand and Will enture that the subcantractar Prime Contractor Representative-and Title. Date will comply fully with the plans and specificatidns r� 97� .0 12/15/21 under which this work is being performed. Department of Transportation Use Only Percent ofaptaLCaniseet- ['I,Program Certification Verification 'Totem's>Subcontract [ DebarredlRegistratian Verification (LNI) This Request 3.05 Comments: Previous Requests iQ. % No pBE Certification - Sublet to Date 3.05 % Nate Debarred' -• • Project Engineer or Designee r Date QX Approved 12115/2021 DOT Form 421-012 .Save Electronically-Do Not Print Revised 09/2019 mma Lvtgamwd labor&Industries(hip J/lni.vz govl • Contractors • INTEGRITY NETWORKS INC Owner ortradespnrson 2220 Lind Ave SE#106 PrincipalsRENTON,WA 9805T CALLAGHAN,MICHAEL P,PRESIDENT 425-264-9100 KIN G County RUSSELL,JOHN A,VICE PRESIDENT WOODS,SPENCERR.SECRETARY WOODS;SPENCERR,AGENT Doing business as INTEGRITY NETWORKS INC WA UM Na. Business type 602 512.350 Corporation Govemieng persons MICHAEL. P CALLAGHAN SPENCER R WOODS; License Verify the contractor's active.registration t license f certification(depending on trade)and any past violations, Electrical Contractor Active Meets current requirements. License specialties GENERAL License no. INTEGNI932LH Effective—expiration 06108120 07—0 6110/2023 Designated administrator Active RUSSELL,JOHN Meets current requirements, License type License no, Electrical Administrator RUSSEJ•0&BCA Bond Norco National Insurance Co 54,000.00 Band account.no. 0570086 Roceived by L&1 Effective date 0710612021 0612512021 • Expiration date Until Canceled • Bond history Savings Nasavings accounts during the previous 6 rear'period. License Violations infraction no. EZINS01302 Sati6fied Issue date RCWNVAC, 09103/2020 WAC 20646B-80iVI) Violation city Violation amount RENTON 3250,00 Type of violation ELECTRICAL CITATION • Description Failing to request an inspectirin within 3 business days afor•comptotion of the installation or 1 business day after energizing, whichever occurs tirstes referenced in WAC 29646B-901. Certifications&Endorsements • OMWBE.Certitieations • Nt;gctive-certiticetians'mitt for this business. • AQprentleet Traintn:s Agent i' eglstared lralning.agenl.G foci their eligible programs and occupations. Workers'Comp I Do you know lithe business has employoes?lf so,verify the.business Is lip•to-date On viorkers'.comp premiums. L&I Account ID Account is current. 098,169.00 • Doing•business•as INTEGRITY NETWORKS INC - Esiiittatad workers rraparlsd Quarter 3 of Year 2021"Greater than 100 Workers"' LAI account contact T31 FEARAED FEROZE C360)902-4797-Email:FERH235t Ini,wagov • Public Works Requirements Verify the contractor is eligible to perform work on'public works projects. Rogutred Trninln9-Effective JuIy„1•,2019 Exempt.from this requitement - Contractor Strikes I�o'strlkes Have been issued against this contractor. Contractors not allowed to bid No detiaimenls have"been issued against this contractor. Workplace Safety& Health Check for any past safety and health violations found on jobsites this business was responsible tor. inspection results gate • 1210512019 'Violations Inspection no. 317956675 Location 1148 NW Market St Seattle,WA 98107 G 1' l II- ik STATE OP WASHK'IGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage December 15, 2021 WA UBI No. 602 512 350 L&I Account ID 9616800 Legal Business Name INTEGRITY NETWORKS INC Doing Business As INTEGRITY NETWORKS INC Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 3 of Year 2021 "Greater than (See Description Below) 100 Workers" Account Representative Employer Services Help Line,(360) 902-4817 Licensed Contractor? Yes License No. j INTEGNI932LH License.E piration 106/10/2023 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers,report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCVS 51:12 Q50 and S t.16.190). Washington State Department of Revenue < Business Lookup License Information: New search Back to results Entity name: INTEGRITY NETWORKS, INC. Business INTEGRITY NETWORKS INC name: Entity type: Profit corporation UBi#: 602-512-350 Business ID: 00.1 Location ID: 0002 Location: Active Location address: . 2220 LIND AVE SWSTE 106 RENTON WA 98057-3327 Mailing address: 2220 LIND AVE SW STE 106 RENTON WA 98057-3327 Excise tax and reseller permit Click here status: Secretary of State status: Click here V Endorsements < Page 1 of 2 > Filter Endorsements hell License Count Details Status Expired( First issu Anacortes Active Feb-28-2 Feb-16-2 General Business - Non-Resident Bellingham 033312 Active Feb-03-2 General Business Bremerton 30134 Active Dec-31-; Feb-01-2 General,Business - NOn-Resident Burien General 05473 Active Jun-30-2 Apr-17-2 Business - Non- Resident Duvall.General Active Sep-30.; Sep-07-2 Business - Non- Resident Federal Way .07-1024: Active Jun-30-'2 May-04- GeneraiBusiness - Non-Resident Gig Harbor Active Jun-30-2 Mar-03-: General Business - Non-Resident Issaquah BUS06-0 Active Jun-30-2 Sep-09 General Business - Non-Resident OBL228; Active Jun-30-2 Apr-09-2 Endorsements hell license$ Count Details Status Expirati< First issu Kirkland General Business - Non- Resident Lacey:General 14683 Active Jun-30-2 Feb-01-" Business - Non- Resident Lakewood BL10-00; Active Jun-30-2 Apr=08-2 General-Business - Non-Resident Lynnwood; Active Dec-3•1-: Dec-1:6-; General Business - Non-Resident Marysville 9400001 Active Jun-30-e 5ep-11-; General Business Non-Resident Mercer Island 110005 Active Jan-30-2 Oct-09-e General Business - Non-Resident Milton General Active Jun-30-2 Nov-20 Business - Non- Resident • Governing People May Include governing people not registered with Secretary of State Governing people. Title CALLAGHAN, MICHAEL Y FORREST, KENT Governing people Title MOCZULEWSKI, DOUG RUSSELL,JOHN WOODS, SPENCER Registered Trade Names Registered trade names Status First issued INTEGRITY Active Sep-02-2016 NETWORKS INC The Business Lookup information is updated nightly. Search date and time: 12/15/2021 10:39:05 AM Contact us How are we doing? Take our survey!. Don't see what you expected? Check if your browser is supported V CJ inho7 9iaeu.ac:(hrunilk.waoa t Debarred Contractors List A debarred contractor may not bid on.or have a bid cues dered on,any public works contract.You can search and filter this list using the options presented below Company Name WA Ull Number 602 512 350 UCense Numbs Principal RCW From MMVO/YYYY To MtvIdaa`YYYY Penalty Due: All '+ Wage Due. All vl Apply FltterelReeet L)own:oad alt debarment data Show 25� per page Showing 0 retards FirstPrerlou sMextlast Corwin?None till License htecleals Status Itar petty Seems Debar Ends Penalty Or's Wages Out flora an no moray that match your march crnarta. Show 25 per page Showing 0 records FirstPreriousNexttast An official website of the United States government Here's how you know LI!SAM*Gov- Home Search Data Bank Data Services Help Search All Words e.g. 1606N020Q02 Select Domain + Entity Information All Entity Information Entities Disaster Response Registry Exclusions Filter By — Keyword Search For more information on how to use our keyword search,visit our help guide Any Words 0 All Words 0 Exact Phrase 0 e.g. 123456789,Smith Corp "integrity networks" x • Classification Excluded Individual Excluded Entity Federal Organizations Exclusion Type Exclusion Program Location Dates Reset C) 0 Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Policies Customer Service Privacy Policy Help Disclaimers Check Registration Freedom of Information Act Federal Service Desk Accessibility External Resources This is a U.S.General Services Administration Federal General Government computer system that is"FOR OFFICIAL USE GS`A Services ONLY."This system is subject to monitoring. Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. e 7 Washington Stag Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) ❑ Disadvantaged Business(DBE) Veteran Owned Business(VBE) El Woman Owned Business(WBE) El Federal Small Business(FSBE) El State Small Business(SBE) El Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking&Excavating, Inc. 91-1938552 REEDTEI016JW Project Title Request Number Duvall Ave NE 3 Approval is Requested to Sublet the Following Described Work to: ▪ Lower Tier Subcontractor El Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name Federal Employer I.D.Number Totem Electric of Tacoma Inc. 278-043-550 91-0758480 Address Telephone Number 2332 South Jefferson 253-383-5022 • City State Zip Code Estimated Starting Date Tacoma WA 98402 If Lower Tier Subcontractor,Name of Corresponding Sub. Fed ID or Vendor#of Request to Sublet#of Corresponding Sub Corresponding Sub Item No. Partial or Item Description Work Description(if partial) Amount Complete A2 Partial Mobilization Mobilization $63,063.00 A85 Complete Electrical System Complete $650,241.00 C9 • . Complete Install Conduit Pipe-2"Diam.-PSE $97.20 C10 Complete Install Conduit Pipe-3"Diam.-PSE $1,161.00 C11 Complete Install Conduit Pipe-4"Diam.-PSE $17,580.80 C12 Complete Install Conduit Pipe-6"Diam.-PSE $1,529.00 C13 'Complete Install Conduit Pipe-4"Diam.-Comcast $964.80 Total $734,636.80 I understand and will ensure that the subcontractor Prime Contractor Representative and Title Date will comply fully with the plans and specifications /C �!�.0 9i , - 8/12/2021 under which this work is being performed. ,� Department of Transportation Use Only Percent of Total Contract 'Program Certification Verification Debarred/Registration Verification(LNI) This Request 14.08 °h Comments: Previous Requests 3.16 % No DBE Certification Sublet to Date 17.23 % Not Debarred Project Engin r or Designee Date litcl Approved 81171z1 DOT Form 421-012 , Save Electronically-Do Not Print Revised 09/201 Wahn on State Cenvvne?t u Labor&Industries(https://Ini.wa.gov) Contractors TOTEM ELECTRIC OF TACOMA INC Owner or tradesperson PO BOX 1093 Principals TACOMA,WA 98401 STEPHENS,SCOTT BRUCE,PRESIDENT 253-383-5022 PIERCE County STEPHENS,MARKALLEN,VICE PRESIDENT STEPHENS,JOHN R JR,SECRETARY EBERHART,DAN KYLE,SECRETARY LEONARD,CURTIS PAUL,TREASURER JARDEEN,RICHARD,CHAIRMAN E,DIRECTOR (End:03/29/2019) STEPHENS,SCOTT B,TREASURER (End:09/18/2001) Doing business as TOTEM ELECTRIC OF TACOMA INC WA UBI No. Business type 278 043 550 Corporation Governing persons DAN EBERHART INC INCORP SERVICES; CURTIS P LEONARD; SCOTT B STEPHENS; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties GENERAL License no. TOTEMI'234BC Effective—expiration 01/03/1977—09/30/2022 c , Bond North American Spec Ins Co $12,000.00 Bond account no. 2289889 Received by L&I Effective date 08/28/2019 09/30/2019 Expiration date Until Canceled Bond history Insurance Phoenix Insurance Company,The $1,000,000.00 Policy no. DT-CO-526D7642-PHX-1 Received by L&I Effective date 09/24/2020 09/30/2014 Expiration date 09/30/2021 Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications & Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice Training Agent Registered training agent.Check their eligible programs and occupations. Workers'Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. This company has multiple workers'comp accounts. Active accounts L&I Account ID Account is current. 684,418-00 Doing business as TOTEM ELECTRIC Estimated workers reported Quarter 2 of Year 2021"31 to 50 Workers" L&I account contact T3/SYDNEY RAVES(360)902-4659-Email:RAVS235@lni.wa.gov Track this contractor 0' Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. I Workplace Safety & Health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 06/08/2020 No violations Inspection no. • 317958953 Location 3434 S 152nd St,Tukwila, Tukwila,WA 98188 Inspection results date 11/20/2019 Violations Inspection no. 317956544 Location 6018 Lake Washington BIv S E Bellevue,WA 98006 Inspection results date 11/09/2018 No violations Inspection no. 317951565 Location Silverdale Way NW Silverdale,WA 98383 ... ..................................................................................................... Inspection results date 06/06/2018 No violations Inspection no. 317949296 Location Hwy 203 and Ben Howard Rd. Monroe,WA 98272 Inspection results date 07/01/2016 Violations Inspection no. 317940125 Location SDOT Rainier Avenue Renton,WA 98057 7 � a r STATE OF WASHINGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage August 12, 2021 WA UBI No. 278 043 550 L&I Account ID 684,418-00 Legal Business Name TOTEM ELECTRIC OF TACOMA INC Doing Business As TOTEM ELECTRIC Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 2 of Year 2021 "31 to 50 I (See Description Below) Workers" I Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. TOTEMI*234BC License Expiration 09/30/2022 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51.12.050 and 51.16.190). Washington State Department of Revenue < Business Lookup License Information: New search Back to results Entity name: TOTEM ELECTRIC OF TACOMA, INC. Business TOTEM ELECTRIC OF TACOMA, INC. name: Entity type: Profit Corporation UBI #: 278-043-550 Business ID: 001 Location ID: 0001 Location: Active Location address: 2332 JEFFERSON AVE TACOMA WA 98402-1405 Mailing address: 2332 JEFFERSON AVE TACOMA WA 98402-1405 Excise tax and reseller permit Click here status: Secretary of State status: Click here Endorsements < Page 1 of 2 > Filter Endorsements hell License Count Details Status Expiratic First issu Aberdeen 214515 Active Jun-10-2 General Business - Non-Resident Bremerton 27068 Active Dec-31-; Jan-01-2 General Business - Non-Resident Burien General 04934 Active Sep-30-; Aug-18- Business - Non- Resident Covington BL04-11! Active Sep-30-; May-11- General Business - Non-Resident Edmonds Active Apr-30 Apr-01-; General Business - Non-Resident Federal Way 99-1067: Active Sep-30-; Dec-28-'. General Business - Non-Resident Fife General Active Sep-30-; Dec-18-; Business - Non- Resident Gig Harbor 1503 Active Sep-30-; Jun-01-2 General Business - Non-Resident Issaquah Active Sep-30-; Aug-26- General Business - Non-Resident ,- Endorsements help License 4 Count Details Status Expiratic First issu Kirkland General OBL-000 Active Sep-30 Nov-18- Business - Non- Resident Lacey General 125 Active Sep-30 Sep-22-' Business - Non- Resident Lake Stevens Active Aug-31- Aug-10- General Business - Non-Resident Lakewood BL06-00, Active Sep-30 Apr-18 General Business - Non-Resident Lynnwood Active Jun-30-2 Jun-01-2 General Business - Non-Resident Maple Valley Active Sep-30 Aug-29- General Business - Non-Resident Governing People May include governing people not registered with Secretary of State Governing people Title EBERHART, DAN LEONARD, CURTIS STEPHENS, MARK Governing people Title STEPHENS, SCOTT Registered Trade Names Registered trade names Status First issued TOTEM ELECTRIC OF Active Dec-05-2016 TACOMA, INC. View Additional Locations The Business Lookup information is updated nightly. Search date and time: 8/12/2021 2:34:15 PM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported v A., Omarlmern of u Labor&Industries Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter this list using the options presented below. Company Name: WA UBI Number:278 043 550 License Numbed Principal: RCW:All From:MM/DD/YYYY Tot MM/DDIYYYY Penalty Due: All v Wage Due: All si Apply FiltersiReset Download all debarment data® Show 25 v per page Showing 0 records FirstPreviousNextLast Company Name UBI License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show 25\' per page Showing 0 records FirstPreviousNextLast An official website of the United States government Here's how you know �!_SAM*Gov® Home Search Data Bank Data Services Help Search e.g. 1606N020Q02,asphalt pay Select Domain + Entity Information All Entity Information Entity Registrations Disaster Response Registry Exclusions Filter By Keywords Classification Excluded Individual Excluded Entity Entity Name Totem Electric Of Tacoma,Inc.(041339250) x DUNS Unique Entity ID Example:123456789 V SAM Unique Entity ID CAGE/ NCAGE Federal Organizations Exclusion Type Exclusion Program Location Dates Reset 0 Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Freedom of Information Act Federal Service Desk Accessibility External Resources Contact This is a U.S. General Services Administration Federal General Government computer system that is "FOR OFFICIAL USE GS`\ Services ONLY." This system is subject to monitoring. Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. A .7 Washington State Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) El Disadvantaged Business(DBE) Veteran Owned Business(VBE) ❑Woman Owned Business(WBE) ❑ Federal Small Business(FSBE) ❑ State Small Business(SBE) El Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking&Excavating,Inc. 91-1938552 REEDTEI016JW Project Title Request Number Duvall Ave NE 2 Approval is Requested to Sublet the Following Described Work to: Lower Tier Subcontractor 0 Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name Federal Employer I.D.Number Green City Inc. 601-196-371 91-1459869 Address Telephone Number 720 N 10th St.A#112 425-753-1337 City State Zip Code Estimated Starting Date Renton WA 98057 If Lower Tier Subcontractor,Name of Corresponding Sub. Fed ID or Vendor#of Request to Sublet#of Corresponding Sub Corresponding Sub Item No. Partial or Complete Item Description Work Description(if partial) Amount A2 Partial Mobilization Mobilization $4,200.00 A66 Complete Seeding, Fertilizing,and Mulching $3,395.00 A67 Complete Topsoil Type A $20,640.00 A68 Complete Plants for Landscaping $67,420.00 A69 Complete Bark Mulch $4,300.00 I ' A70 Complete Synthetic Turf $10,725.00 A71 Complete Irrigation System Restoration $4,000.00 A72 Complete Irrigation System $24,800.00 Total $139,480.00 /understand and will ensure that the subcontractor Prime Contractor Representative and Title Date will comply fully with the plans and specifications /it ,e3ardt 8/11/2021 under which this work is being performed.. Department of Transportation Use Only Percent of Total Contract Program Certification Verification Debarred/Registration Verification(LNI) This Request 2.67 0.49 Comments: Previous Requests '�° DBE Cert. No. D4M0021336 Sublet to Date 3.16 % Not Debarred Pr9ject Engineer or esignee Date )Zitkpproved "" �^ e (Z f 2 DOT Form 421-012 ave Electronically-Do Not Print Revised 09/2019 r:.w�a:�ssrommv„�moi ��Labor&Industries(https://Ini.wa.gov) Contractors GREEN CITY INC Owner or tradesperson 2224 NE 31ST ST Principals RENTON,WA 98056 FALANIKO,FRANK 425-228-6488 KING County FALANIKO,ROSE Doing business as GREEN CITY INC WA UBI No. Business type 601 196 371 Corporation Governing persons FRANK FALANIKO • ROSE M FALANIKO; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties LANDSCAPING License no. GREENCI705B4 Effective—expiration 01/24/1990—08/24/2022 Bond No bond accounts during the previous 6 year period. Insurance Liberty Mutual Ins Co $1,000,000.00 Policy no. BKS 21 61300027 Received by L&I Effective date 09/17/2020 09/19/2020 Expiration date 09/19/2021 0 Austin Mutual Ins Co $1,000,000.00 Policy no. MPP8347N Received by L&I Effective date 08/20/2020 09/19/2020 Expiration date 09/19/2021 Insurance history Savings (in lieu of bond) $6,000.00 Received by L&I Effective date 02/26/2015 01/30/2015 Release date Impaired date N/A N/A Savings account ID 1260920 (in lieu of bond) $6,000.00 Received by L&I Effective date 09/20/2007 09/18/2007 Release date Impaired date N/A N/A Savings account ID 0055027742 Savings history' Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&I tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications& Endorsements OMWBE Certifications Disadvantaged Business Enterprise(DBE) Minority Business Enterprise(MBE) Apprentice Training Agent Registered training agent.Check their eligible programs and occupations. Workers'Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 454,329-01 Doing business as GREEN CITY LANDSCAPE INC Estimated workers reported Quarter 2 of Year 2021"11 to 20 Workers" L&I account contact TO/DALE MCMASTER(360)902-5617-Email:MCMS235@Ini.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety& Health Check for any past safety and health violations found on jobsites this business was responsible for. No inspections during the previous 6 year period. ems, STATE OF WASHINGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage August 11, 2021 WA UBI No. 601 196 371 I L&I Account ID 454,329-01 Legal Business Name GREEN CITY INC Doing Business As GREEN CITY LANDSCAPE INC Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 2 of Year 2021 "11 to 20 (See Description Below) Workers" I Account Representative Employer Services Help Line, (360) 1 902-4817 Licensed Contractor? Yes I License No. GREENCI105B4 License Expiration 08/24/2022 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51.12.050 and 51.16.190). Washington State Department of Revenue < Business Lookup License Information: New search Back to results Entity name: GREEN CITY INC Business GREEN CITY, INC. name: Entity type: Profit Corporation UBI #: 601-196-371 Business ID: 001 Location ID: 0001 Location: Active Location address: 2224 NE 31ST ST RENTON WA 98056-2051 Mailing address: 720 N 10TH ST # 112 RENTON WA 98057-5525 Excise tax and reseller permit Click here status: Secretary of State status: Click here v Endorsements Endorsements hell License$ Count Details Status Expiratic First issu Covington Active Feb-28-; Feb-23 General Business - Non-Resident Nursery Active Aug-31- Jul-15-2( Wholesaler Shelton General 0068360 Active Aug-31- Jan-30-2 Business - Non- Resident Tukwila General Active Aug-31- Jan-16-2 Business - Non- Resident Governing People May include governing people not registered with Secretary of State Governing people Title FALANIKO, FRANK FALANIKO, ROSE Registered Trade Names Registered trade names Status First issued GREEN CITY Active Jun-06-2018 LANDSCAPE INC v The Business Lookup information is updated nightly. Search date and time: 8/11/2021 5:31:40 PM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported v ::W uiP¢�s:uk.RN�^xnt W Lahor&Industries Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter this list using the options presented below. Company Named WA UBI Number:1601 196 371 License Number Principal ' RCW:All vi From:MM/DD/YYYY j To:MM/DDIYYYY Penalty Due: All v Wage Due: All v Apply Filters Reset Download all debarment data® Show 25 v per page Showing 0 records FirstPreviousNextLast Company Name UBI License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show 25 v per page Showing 0 records FirstPreviousNextLast An official website of the United States government Here's how you know 11JSAMGov® Home Search Data Bank Data Services Help Search e.g. 1606N020Q02,asphalt pay Select Domain + Entity Information All Entity Information Entity Registrations Disaster Response Registry Exclusions i j Filter By — Keywords 1 { Classification `. Excluded Individual Excluded Entity Entity Name green city x DUNS Unique Entity ID Example:123456789 SAM Unique Entity ID CAGE/ NCAGE Federal Organizations Exclusion Type Exclusion Program Location Dates Reset C�J Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Freedom of Information Act Federal Service Desk Accessibility External Resources Contact ® This is a U.S.General Services Administration Federal General Government computer system that is "FOR OFFICIAL USE GSSA Services ONLY." This system is subject to monitoring. Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution. Certified Profile CLOSE WINDOW X. Prin Business & Contact Information BUSINESS NAME Green City, Inc., DBA Green City Landscape, Inc. OWNER Mr. Frank Falaniko ADDRESS 2224 NE 31ST ST Mao This Address Renton,WA 98056 PHONE 425-802-7081 FAX 425-228-6488 EMAIL andrewf@greencitywa.com COUNTY King(WA) Certification Information CERTIFYING AGENCY Washington State Office of Minority&Women's Business Enterprises CERTIFICATION TYPE DBE-Disadvantaged Business Enterprise CERTIFIED BUSINESS Landscaping services:Planting, pruning and lawn maintenance;lawn DESCRIPTION sprinkler system installation; Irrigation design, planning,configurations and installation. Commodity Codes Code Description NAICS 561730 Landscaping Services NAICS 237110 Irrigation project construction(except lawn) NAICS 238220 Lawn sprinkler system installation Additional Information UDBE Yes SBE CERTIFICATION Yes UBI# 601196371 CERTIFICATION NUMBER D4M0021336 itaWashington State / Department of Transportation Request to Sublet Work (Program Certification-Check all that apply) ❑ Disadvantaged Business(DBE) ❑Veteran Owned Business(VBE) 0 Woman Owned Business(WBE) ❑ Federal Small Business(FSBE) ❑ State Small Business(SBE) El Minority Owned Business(MBE) Prime Contractor Statewide Vendor Number State Contract Number Reed Trucking&Excavating,Inc. 91-1938552 REEDTE1016JW Project Title Request Number Duvall Ave NE 1 Approval is Requested to Sublet the Following Described Work to: ❑ Lower Tier Subcontractor Q Subcontractor Unified Business Identifier(UBI) Statewide Vendor Number or Lower Tier Subcontract/Subcontract Name Federal Employer I.D.Number Ground Up Road Construction 602-790-246 26-1647648 Address Telephone Number Po Box 1690 253-891-1413 City State Zip Code Estimated Starting Date Milton WA 98354 If Lower Tier Subcontractor,Name of Corresponding Sub. Fed ID or Vendor#of ' Request to Sublet#of Corresponding Sub Corresponding Sub 1 Item No. Partial or Item Description Work Description(if partial) Amount Complete Mobilization $500.00 A25 Complete Remove Asphalt Concrete $3,400.00 A26 Complete Roadway Excavation $3,400.00 A34 Complete Asphalt Pulverization $14,250.00 A36 Complete Raining Bituminous Pavement $4,025.00 Total $25,575.00 I understand and will ensure that the subcontractor Prime Contractor Representative and Title Date will comply fully with the plans and specifications 27( ? `. vauat- 8/11/2021 under which this work is being performed. Department of Transportation Use Only Percent of Total Contract Program Certification Verification Debarred/Registration Verification(LNI) This Request 0,49 Comments: Previous Requests 0 0.49 No DBE Certification Sublet to Date % Not Debarred_ Pr 'ect:Engineer or D -ignee Date 7 e Approved DOT Form 421-012 Electronically-Do Not Print Revised 09/2019 W.411PfM Sae PeprY.xm of Labor&Industries(https://Ini.wa.gov) Contractors GROUND UP ROAD CONST INC Owner or tradesperson PO BOX 1690 Principals MILTON,WA 98354-1690 STULTZ,RAYMOND SCOTT,PRESIDENT 253-891-1413 PIERCE County STULTZ,SUSAN MARIE,VICE PRESIDENT Doing business as GROUND UP ROAD CONST INC WA UBI No. Business type 602 790 246 Corporation Governing persons RAYMOND SCOTT STULTZ SUSAN MARIE STULTZ; License Verify the contractor's active registration/license/certification(depending on trade)and any past violations. Construction Contractor Active Meets current requirements. License specialties Paving/Striping/Seal Coating License no. GROUNUR929CR Effective—expiration 02/19/2008—02/19/2022 Bond Travelers Cas and Surety Co of America $6,000.00 Bond account no. 106226951 Received by L&I Effective date 01/16/2015 02/15/2015 Expiration date Until Canceled Insurance Zurich American Ins Co $1,000,000.00 Policy no. GLA0937483 Received by L&I Effective date 06/04/2021 07/01/2021 Expiration date 07/01/2022 Insurance history Savings No savings accounts during the previous 6 year period. Lawsuits against the bond or savings No lawsuits against the bond or savings accounts during the previous 6 year period. L&I Tax debts No L&1 tax debts are recorded for this contractor license during the previous 6 year period,but some debts may be recorded by other agencies. License Violations No license violations during the previous 6 year period. Certifications&Endorsements OMWBE Certifications No active certifications exist for this business. Apprentice TrainingAgent No active Washington registered apprentices exist for this business.Washington allows the use of apprentices registered with Oregon or Montana.Contact the Oregon Bureau of Labor&Industries or Montana Department of Labor&Industry to verify if this business has apprentices. Workers'Comp Do you know if the business has employees?If so,verify the business is up-to-date on workers'comp premiums. L&I Account ID Account is current. 915,605-05 Doing business as GROUND UP ROAD CONSTRUCTION IN Estimated workers reported Quarter 2 of Year 2021"31 to 50 Workers" L&I account contact T2 I IDA HAYNES(360)902-5635-Email:HAYN235@lni.wa.gov Public Works Requirements Verify the contractor is eligible to perform work on public works projects. Required Training—Effective July 1,2019 Exempt from this requirement. Contractor Strikes No strikes have been issued against this contractor. Contractors not allowed to bid No debarments have been issued against this contractor. Workplace Safety&Health Check for any past safety and health violations found on jobsites this business was responsible for. Inspection results date 09/15/2017 Violations Inspection no. 317944896 Location 1107 140th Avenue Ct E Sumner,WA 98390 Inspection results date 08/20/2015 Violations Inspection no. 317937351 Location Gateway Drive S Tukwila,WA 98168 . •n:t,, STATE OF WASHINGTON Department of Labor& Industries Certificate of Workers' Compensation Coverage August 11, 2021 WA UBI No. 602 790 246 L&I Account ID 915,605-05 Legal Business Name GROUND UP ROAD CONSTRUCTION INC Doing Business As GROUND UP ROAD CONSTRUCTION IN Workers'Comp Premium Status: Account is current. Estimated Workers Reported Quarter 2 of Year 2021 "31 to 50 (See Description Below) Workers" Account Representative Employer Services Help Line, (360) 902-4817 Licensed Contractor? Yes License No. GROUNUR929CR License Expiration 02/19/2022 What does "Estimated Workers Reported" mean? Estimated workers reported represents the number of full time position requiring at least 480 hours of work per calendar quarter. A single 480 hour position may be filled by one person, or several part time workers. Industrial Insurance Information Employers report and pay premiums each quarter based on hours of employee work already performed, and are liable for premiums found later to be due. Industrial insurance accounts have no policy periods, cancellation dates, limitations of coverage or waiver of subrogation (See RCW 51.12.050 and 51.16.190). Washington State Department of Revenue < Business Lookup License Information: New search Back to results Entity name: GROUND UP ROAD CONSTRUCTION, INC. Business GROUND UP ROAD CONSTRUCTION INC name: Entity type: Profit Corporation UBI #: 602-790-246 Business ID: 001 Location ID: 0001 Location: Active Location address: 1107 140TH AVENUE CT E SUMNER WA 98390-9653 Mailing address: PO BOX 1690 MILTON WA 98354-1690 Excise tax and reseller permit Click here status: Secretary of State status: Click here Endorsements < Page 1 of 3 > Filter Endorsements hell License/ Count Details Status Expiratic First issu Bainbridge Active Dec-31-; May-14- Island General Business - Non- Resident Bellingham 040337 Active Feb-15 General Business Bremerton 29934 Active Dec-31-; Mar-13-; General Business - Non-Resident Buckley General Active Dec-31-; Apr-22 Business - Non- Resident Burien General 08530 Active Dec-31-; Sep-28 Business - Non- Resident Cashmere Active Jun-30-2 Jun-03-2 General Business - Non-Resident Castle Rock Active Sep-30-; Sep-17 General Business - Non-Resident Edgewood Active Oct-31 Oct-27-2 General Business - Non-Resident Ellensburg Active Mar-31-, Mar-10-; General Business - Non-Resident Endorsements hell License 4 Count Details Status Expiratic First issu Enumclaw BUS202C Active Dec-31-; Mar-05-; General Business - Non-Resident Federal Way Active Sep-30-; Sep-03 General Business - Non-Resident Ferndale 003680.( Active Feb-28-; Mar-05-; General Business - Non-Resident George General Pending Aug-31- Business - Non- Resident Gig Harbor Active Dec-31-; Aug-25- General Business - Non-Resident Granger General Active Dec-31-; Jul-09-21 Business - Non- Resident Governing People May include governing people not registered with Secretary of State Governing people Title STU LTZ, R SCOTT STULTZ, SUSAN Registered Trade Names Registered trade names Status First issued GROUND UP Active Jan-03-2008 CONSTRUCTION GROUND UP ROAD Active Jan-03-2008 RECYCLE GROUND UP ROAD Active Jan-03-2008 RECYCLING M & M ROAD Active Jan-03-2008 RECYCLE The Business Lookup information is updated nightly. Search date and time: 8/11/2021 5:12:58 PM Contact us How are we doing? Take our survey! Don't see what you expected? Check if your browser is supported v Labor&Industries Debarred Contractors List A debarred contractor may not bid on,or have a bid considered on,any public works contract.You can search and filter this list using the options presented below. Company Name: WA UBI Number:602 790 246 License Number:', Principal: RCW:(All vr - From:MM/DD/YYYY To:MM/DD/YYYY Penalty Due: All v Wage Due: All v Apply Filterslieset Download all debarment data® Show 25 v per page Showing 0 records FirstPreviousNextLast Company Name UBI License Principals Status RCW Debar Begins Debar Ends Penalty Due Wages Due There are no records that match your search criteria. Show 25 v per page Showing 0 records FirstPreviousNextLast An official website of the United States government Here's how you know i1QSAMoov® Home Search Data Bank Data Services Help Search e.g. 1606N020Q02,asphalt pay Select Domain Entity Information All Entity Information Entity Registrations Disaster Response Registry Exclusions Filter By Keywords Classification Excluded Individual Excluded Entity Entity Name ground up x DUNS Unique Entity ID Example:123456789 V SAM Unique Entity ID CAGE/ NCAGE Federal Organizations Exclusion Type Exclusion Program Location Dates Reset 0 16,0 Feedback Our Website Our Partners About This Site Acquisition.gov Our Community USASpending.gov Release Notes Grants.gov System Alerts More Partners Freedom of Information Act Federal Service Desk Accessibility External Resources Contact This is a U.S. General Services Administration Federal General Government computer system that is "FOR OFFICIAL USE G S`, Services ONLY." This system is subject to monitoring. Individuals found Administration performing unauthorized activities are subject to disciplinary action including criminal prosecution.