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Home My WebLink AboutCAG-20-065 - Duvall - Subcontractor Integrity Networks F-� State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Affidavit of Wages Paid Project Detail - Project Dashboard Document Received Intent Id: Affidavit Id: Status: Approved on • Date: 5/26/2023 1301907 1212963 5/26/2023 Company Details Name INTEGRITY NETWORKS INC Address 2220 Lind Ave SE # 106 RENTON,WA,98057 WA UBI no. 602512350 Contractor Registration no. INTEGNI932LH Industrial Insurance Account Id 09616800 OMWBE Certifications as of 2/6/2023 No active certifications existed when Intent was submitted Email Address accounting@integrity-net.net Filed By M, Jessica Prime Contractor Prime contractor name REED TRUCKING a EXCAVATING INC Prime contractor registration no. REEDTEI016JW Prime contractor Phone Number 253-841-4837 Project Information Awarding agency: RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Awarding agency contact: Flora Lee Awarding agency contact phone number: 425-430-7303 Contract no. CAG-20-065 Project name Duvall Avenue NE ' Project Description This project includes but is not limited to: excavation; grading; removal of pavement; plaining pavement; paving with asphalt, curb and gutter; drainage; illumination; HAWK signal; sidewalk; walls; adjustments to utility frames, grates, and covers; property restoration; and other work. Dollar amount of your contract: $ 22,432.15 Bid due date 6/22/2021 Contract award date 7/21/2021 Job site address/directions: Hiring Contractor Company Name REED TRUCKING Ft EXCAVATING INC Contractor Registration No. REEDTEI016JW WA UBI Number 601915034 Payment Details Check Number: Transaction Id: 109352716 Project Details County where work was performed King City where work was performed RENTON Prime contractor Intent form Id#for this 1170257 project Intent filed date 2/6/2023 Job start date:MM-DD-YYYY 1/19/2023 Date work completed:MM-DD-YYYY 4/19/2023 Project Completion Did your company hire any subcontractors? No Did your company have employees perform Yes work on this project? Did you use apprentice employees on this No project? Company Owner Information How many owner/operators performed 0 work on the project that own 30% or more of the company? No company owner added. I Affidavit Subcontractor(s) No subcontractor is selected for this affidavit. Journeylevel Wages County Trade Occupation Wages Fringes # # Workers Hours King Electronic Journey Level 44.09 16.56 2 85.00 Technicians King Electronic Journey Level 39.90 15.61 1 6.00 Technicians King Electronic Journey Level 49.23 15.97 1 32.00 Technicians King Electronic Journey Level 40.17 13.40 2 64.00 Technicians King Electronic Journey Level 40.83 15.61 1 8.00 Technicians King Electronic Journey Level 49.22 15.97 1 21.00 Technicians King Electronic Journey Level 44.09 16.57 1 2.00 Technicians Apprentice Wages Public Notes o Show/Hide Existing Notes No note exists t .. I1 State of Washington Department of Labor &,Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Affidavit of Wages Paid Project Detail - Project Dashboard Document Received Intent Id: Affidavit Id: Status: Approved on Date: 10/6/2022 1172213 1149594 10/6/2022 Company Details Name INTEGRITY NETWORKS INC Address • 2220 Lind Ave SE # 106 RENTON,WA,98057 WA UBI no. 602512350 Contractor Registration no. INTEGNI932LH Industrial Insurance Account Id 09616800 OMWBE Certifications as of 8/25/2021 No active certifications existed when Intent was submitted Email Address accounting@integrity-net.net Filed By M, Jessica Prime Contractor Prime contractor name REED TRUCKING a EXCAVATING INC Prime contractor registration no. REEDTEI016JW Prime contractor Phone Number 253-841-4837 Project Information Awarding agency: RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Awarding agency contact: Flora Lee Awarding agency contact phone 425-430-7303 number: Contract no. CAG-20-065 Project name Duvall Avenue NE Project Description This project includes but is not limited to: excavation; grading; removal of pavement; plaining pavement; paving with asphalt, curb and gutter; drainage; illumination; HAWK signal; sidewalk; walls; adjustments to utility frames, grates, and covers; property restoration; and other work. Dollar amount of your contract: $ 0.00 Bid due date 6/22/2021 Contract award date 7/21/2021 Job site address/directions: Hiring Contractor Company Name TOTEM ELECTRIC OF TACOMA INC Contractor Registration No. TOTEMET315BS WA UBI Number 278043550 Payment Details Check Number: Transaction Id: Project Details County where work was performed King City where work was performed Renton Prime contractor Intent form Id#for 1170257 this project Intent filed date 8/25/2021 Job start date:MM-DD-YYYY Date work completed:MM-DD-YYYY Project Completion Did your company hire any No subcontractors? Did your company have employees No perform work on this project? Did you use apprentice employees on No this project? Company Owner Information How many owner/operators performed 0 work on the project that own 30% or more of the company? No company owner added. Affidavit Subcontractor(s) No subcontractor is selected for this affidavit. Journeylevel Wages Apprentice Wages Public Notes o Show/Hide Existing Notes No note exists State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Intent ID: Affidavit ID: Status: Approved On Date: 8/25/2021 1172213 8/31/2021 Company Details Company Name: INTEGRITY NETWORKS INC Address: 2220 Lind Ave SE # 106 RENTON, WA, 98057 Contractor Registration No. INTEGNI932LH WA UBI Number 60251235.0 Phone Number 425-264-9400 Industrial Insurance Account ID 09616800 OMWBE Certifications as of 8/25/2021 No active certifications existed when Intent was submitted Email Address accounting®integrity-net.net Filed By Jessica M Prime Contractor Company Name REED TRUCKING Et EXCAVATING INC Contractor Registration No. REEDTEI016JW WA UBI Number 601915034 Phone Number 253-841-4837 Project Information Awarding Agency RENTON, CITY OF 1055 S GRADY WAY RENTON, WA- 98055 Awarding Agency Contact Flora Lee Awarding Agency Contact Phone Number 425-430-7303 Contract Number CAG-20-065 Project Name Duvall Avenue NE Project Description This project includes but is not limited to: excavation; grading; removal of pavement; plaining pavement; paving with asphalt, curb and gutter; drainage; illumination; HAWK signal; sidewalk; walls; adjustments to utility frames, grates, and covers; property restoration; and other work. Contract Amount $5,218,171.95 Contract Type Description Bid-Build (Traditional) Bid due date 6/22/2021 Award Date 7/21/2021 Project Site Address or Directions Hiring Contractor Company Name TOTEM ELECTRIC OF TACOMA INC Contractor Registration No. TOTEMET315BS WA UBI Number 278043550 Payment Details Check Number: Transaction Id: 108243585 Intent Details Expected project start date: (MM/DD/YYYY) 9/20/2021 In what county (or counties) will the work be King performed? In what city (or nearest city) will the work be Renton performed? What is the estimated contract amount? OR is $22,432.15 this a time and materials estimate? Does your company intend to hire ANY No subcontractors? Will your company have employees perform Yes work on this project? Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Journey Level Wages County Trade Occupation Wage Fringe Workers King Telephone Line Construction - Telephone Lineperson $24.98 $13.23 2 Outside King Telephone Line Construction - Hole Digger/Ground Person $15.74 $12.48 2 Outside Public Notes o Show/Hide Existing Notes • No note exists State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Affidavit of Wages Paid Project Detail - Project Dashboard Document Received Intent Id: Affidavit Id: Status: Approved on Date: 10/6/2022 1172213 1149594 10/6/2022 Company Details Name INTEGRITY NETWORKS INC Address 2220 Lind Ave SE # 106 RENTON,WA,98057 WA UBI no. 602512350 Contractor Registration no. INTEGNI932LH Industrial Insurance Account Id 09616800 OMWBE Certifications as of 8/25/2021 No active certifications existed when Intent was submitted Email Address accounting®integrity-net.net Filed By M, Jessica Prime Contractor Prime contractor name REED TRUCKING Et EXCAVATING INC Prime contractor registration no. REEDTEI016JW Prime contractor Phone Number 253-841-4837 Project Information Awarding agency: RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Awarding agency contact: Flora Lee Awarding agency contact phone 425-430-7303 number: Contract no. CAG-20-065 Project name Duvall Avenue NE Project Description This project includes but is not limited to: excavation; grading; removal of pavement; plaining pavement; paving with asphalt, curb and gutter; drainage; illumination; HAWK signal; sidewalk; walls; adjustments to utility frames, grates, and covers; property restoration; and other work. Dollar amount of your contract: $ 0.00 Bid due date 6/22/2021 Contract award date 7/21/2021 Job site address/directions: Hiring Contractor Company Name TOTEM ELECTRIC OF TACOMA INC Contractor Registration No. TOTEMET315BS WA UBI Number 278043550 Payment Details Check Number: Transaction Id: Project Details County where work was performed King City where work was performed Renton Prime contractor Intent form Id# for 1170257 this project Intent filed date 8/25/2021 Job start date:MM-DD-YYYY Date work completed:MM-DD-YYYY Project Completion Did your company hire any No subcontractors? Did your company have employees No perform work on this project? Did you use apprentice employees on No this project? Company Owner Information How many owner/operators performed 0 work on the project that own 30% or more of the company? No company owner added. Affidavit Subcontractor(s) No subcontractor is selected for this affidavit. Journeylevel Wages Apprentice Wages Public Notes Show/Hide Existing Notes No note exists . J 1 State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Statement of Intent to Pay Prevailing Wage Project Detail - Project Dashboard Document Received Date: Intent ID: Affidavit ID: Status: Approved On 2/6/2023 1301907 2/6/2023 Company Details Company Name: INTEGRITY NETWORKS INC Address: 2220 Lind Ave SE # 106 RENTON, WA, 98057 Contractor Registration No. INTEGNI932LH WA UBI Number 602512350 Phone Number 425-264-9400 Industrial Insurance Account ID 09616800 OMWBE Certifications as of 2/6/2023 No active certifications existed when Intent was submitted Email Address accounting@integrity-net.net Filed By Jessica M Prime Contractor Company Name REED TRUCKING Ft EXCAVATING INC Contractor Registration No. REEDTEI016JW WA UBI Number 601915034 Phone Number 253-841-4837 Project Information Awarding Agency RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Awarding Agency Contact Flora Lee Awarding Agency Contact Phone Number 425-430-7303 Contract Number CAG-20-0( Project Name Duvall Avenue NE Project Description This project includes but is not limited to: excavation; grading; removal of pavement; plaining pavement; paving with asphalt, curb and gutter; drainage; illumination; HAWK signal; sidewalk; walls; adjustments to utility frames, grates, and covers; property restoration; and other work. Contract Amount $5,218,171.95 Contract Type Description Bid-Build (Traditional) Bid due date 6/22/2021 Award Date 7/21/2021 Project Site Address or Directions Hiring Contractor Company Name REED TRUCKING a EXCAVATING INC Contractor Registration No. REEDTEI016JW WA UBI Number 601915034 Payment Details Check Number: Transaction Id: 109150823 Intent Details Expected project start date: (MM/DD/YYYY) 1/23/2023 In what county (or counties) will the work be King performed? In what city (or nearest city) will the work be RENTON performed? What is the estimated contract amount? OR is this a $22,432.15 time and materials estimate? Does your company intend to hire ANY No subcontractors? Will your company have employees perform work on Yes this project? Do you intend to use any apprentices? (Apprentices No are considered employees.) How many owner/operators performing work on the 0 project own 30% or more of the company? Journey Level Wages County Trade Occupation Wage Fringe # Workers King Electronic Technicians Journey Level $44.09 $16.57 6 Public Notes El Show/Hide Existing Notes No note exists 12/1,4123,3:16 PM about:blank State of Washington Department of Labor & Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Affidavit of Wages Paid Project Detail - Project Dashboard Document Received Date: Intent Id: Affidavit Id: 1212963 Status: Approved on 5/26/2023 5/26/2023 1301907 Company Details Name INTEGRITY NETWORKS INC Address 2220 Lind Ave SE # 106 RENTON,WA,98057 WA UBI no. 602512350 Contractor Registration no. INTEGNI932LH Industrial Insurance Account Id 09616800 OMWBE Certifications as of 2/6/2023 No active certifications existed when Intent was submitted Email Address accounting®integrity-net.net Filed By M, Jessica Prime Contractor Prime contractor name REED TRUCKING a EXCAVATING INC about:blank 1/4 12/14/23,3:16 PM about:blank Prime contractor registration no. REEDTEI016JW Prime contractor Phone Number 253-841-4837 Project Information Awarding agency: RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Awarding agency contact: Flora Lee Awarding agency contact phone number: 425-430-7303 Contract no. CAG-20-065 Project name Duvall Avenue NE Project Description This project includes but is not limited to: excavation; grading; removal of pavement; plaining pavement; paving with asphalt, curb and gutter; drainage; illumination; HAWK signal; sidewalk; walls; adjustments to utility frames, grates, and covers; property restoration; and other work. Dollar amount of your contract: $ 22,432.15 Bid due date 6/22/2021 Contract award date 7/21/2021 Job site address/directions: Hiring Contractor Company Name REED TRUCKING Ft EXCAVATING INC Contractor Registration No. REEDTEI016JW WA UBI Number 601915034 Payment Details Check Number: Transaction Id: 109352716 Project Details County where work was performed King about:blank 2/4 _12/14(23,3:16 PM about:blank _ City where work was performed RENTON Prime contractor Intent form Id# for this project 1170257 Intent filed date 2/6/2023 Job start date:MM-DD-YYYY 1/19/2023 Date work completed:MM-DD-YYYY 4/19/2023 Project Completion Did your company hire any subcontractors? No Did your company have employees perform work on this Yes project? Did you use apprentice employees on this project? No Company Owner Information How many owner/operators performed work on the 0 project that own 30% or more of the company? No company owner added. Affidavit Subcontractor(s) No subcontractor is selected for this affidavit. Journeylevel Wages County Trade Occupation Wages Fringes Workers # Hours King Electronic Technicians Journey Level 44.09 16.56 2 85.00 King Electronic Technicians Journey Level 39.90 15.61 1 6.00 King Electronic Technicians Journey Level 49.23 15.97 1 32.00 King Electronic Technicians Journey Level 40.17 13.40 2 64.00 King Electronic Technicians - Journey Level 40.83 15.61 1 8.00 King Electronic Technicians Journey Level 49.22 15.97 1 21.00 about:blank 3/4 12/14/23,3:16 PM about:blank King Electronic Technicians Journey Level 44.09 16.57 1 2.00 Apprentice Wages Public Notes o Show/Hide Existing Notes No note exists about:blank 4/4 12/14/23,3:31 PM about:blank State of Washington Department of Labor& Industries Prevailing Wage Section - Telephone 360-902-5335 PO Box 44540, Olympia, WA 98504-4540 Affidavit of Wages Paid Project Detail - Project Dashboard Document Received Date: Intent Id: Affidavit Id: 1149594 Status: Approved on 10/6/2022 10/6/2022 1172213 Company Details Name INTEGRITY NETWORKS INC Address 2220 Lind Ave SE # 106 RENTON,WA,98057 WA UBI no. 602512350 Contractor Registration no. INTEGNI932LH Industrial Insurance Account Id 09616800 OMWBE Certifications as of 8/25/2021 No active certifications existed when Intent was submitted Email Address accounting@integrity-net.net Filed By M, Jessica Prime Contractor Prime contractor name REED TRUCKING Et EXCAVATING INC about:blank 1/3 12/14/23,3:31 PM about:blank Prime contractor registration no. REEDTEI016JW Prime contractor Phone Number 253-841-4837 Project Information Awarding agency: RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Awarding agency contact: Flora Lee Awarding agency contact phone number: 425-430-7303 Contract no. CAG-20-065 Project name Duvall Avenue NE. Project Description This project includes but is not limited to: excavation; grading; removal of pavement; plaining pavement; paving with asphalt, curb and gutter; drainage; illumination; HAWK signal; sidewalk; walls; adjustments to utility frames, grates, and covers; property restoration; and other work. Dollar amount of your contract: $ 0.00 Bid due date 6/22/2021 Contract award date 7/21/2021 Job site address/directions: Hiring Contractor Company Name TOTEM ELECTRIC OF TACOMA INC Contractor Registration No. TOTEMET315BS WA UBI Number 278043550 Payment Details Check Number: Transaction Id: Project Details County where work was performed King about:blank 2/3 12/1.42_3,3:31 PM about:blank City where work was performed Renton Prime contractor Intent form Id# for this project 1170257 Intent filed date 8/25/2021 Job start date:MM-DD-YYYY Date work completed:MM-DD-YYYY Project Completion Did your company hire any subcontractors? No Did your company have employees perform work on this No project? Did you use apprentice employees on this project? No Company Owner Information How many owner/operators performed work on the 0 project that own 30% or more of the company? No company owner added. Affidavit Subcontractor(s) No subcontractor is selected for this affidavit. Journeylevel Wages Apprentice Wages Public Notes o Show/Hide Existing Notes No note exists about:blank 3/3 Certified Payroll Report Department of Labor and t ,�ri►=. Prime Contractor ❑ Project Name County Project or Contract# Industries "� ,. �i ,y, PrevailingWage Program ;` Duvall Avenue NE King CAG 20 065 g g :,r Subcontractor PO Box 44540 '.,„:; v" Project Address Olympia WA 98504-4540 ",ts s� Final Week of (360) 902-5335 Payroll Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 4/28/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 Day and Date Deductions p Work Classification Name C7 ~O o Sat Sun Mon Tue Wed Thu Fri Total a) Gross Amount and And a> E 4/22 4/23 4/24 4/25 4/26 4/27 4/28 Total Rate Earned/Gross Hourly Net Wages E_ i Hours of Pay Payroll "Usual FICA Withholding Other o� a' y Benefits" Tax Soc Sec#of Employee Address CC O o Hours Worked Each Day a No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Vatsana Banouvong Senior Accountant 5/9/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 4/22/2023 4/28/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the. contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. (,51 Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ' ,ling Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong MB 5/30/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side t , Certified Payroll Report Department of Labor and aF,sTnTF o Project Name County Project or Contract# :. y Prime Contractor ❑ IndustriesWage Program 4 illi s Duvall Avenue NE King CAG-20-065 Prevailing 9 g Subcontractor Z :py PO Box 44540 ' `�' �oy�r Project Address Olympia WA 98504-4540 ` 1889 Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 4/21/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 Day and Date Deductions p i Work Classification Name O~ o Sat Sun Mon Tue Wed Thu Fri Gross Amount Total and And a� m f a Earned/Gross Net Wages Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address cr O o Hours Worked Each Day Benefits" Tax 0 No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Vatsana Banouvong Senior Accountant 4/26/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 4/15/2023 4/21/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. (5)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ing Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong MB 5/1/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and t,;ATE. Project Name County Project or Contract# 1,t Pi 1.1.6, Prime Contractor ❑ Industries iii 'li __ , _.�=,::4 y Duvall Avenue NE King CAG-20-065 Prevailing Wage Program liii.= ,41iii Subcontractor PO Box 44540 ";°__. . Project Address Olympia WA 98504-4540 ��` '^�" Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 4/14/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 Day and Date Deductions i= _ Work Classification Name C9 ~O o Sat Sun Mon Tue Wed Thu Fri Total and And Gross Amount E m 4/8 4/9 4/10 4/11 4/12 4/13 4/14 Total Rate Hourly Earned/Gross WithholdingNet Wages 5 E a Hours of Pay Payroll "Usual FICA Other Soc Sec#of Employee Address O 7,5 Hours Worked Each Day Benefits" Tax 0 No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Vatsana Banouvong Senior Accountant 4/26/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: niivall Avenue NE 4/8/2023 4/14/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms) Work Classification Total Hourly (A) Hourly r (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side he party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. (p)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ti ;ing Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong MB 5/1/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �,��E Project Name County Project or Contract# 4?:f_< «.', Prime Contractor ❑ Industries `•'•'y Duvall Avenue NE King CAG-20-065 PrevailingWage Program )::::.. ....4. 9 9 .:;• Subcontractor PO Box 44540 aii•igir ov' Project Address Olympia WA 98504-4540 y` `-"° Final Week of (360) 902-5335 Payroll ❑ • Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 4/7/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 Day and Date Deductions p Work Classification Name c9 ~O o Sat Sun Mon Tue Wed Thu Fri Total a� Gross Amount and And m E 4/1 4/2 4/3 4/4 4/5 4/6 4/7 Total Rate Earned/Gross Hourly Net Wages ra E __ _ Hours of Pay "Usual FICA Withholding Other y Tax Soc Sec#of Employee Address O o Hours Worked Each Day Payroll Benefits" 0 No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Vatsana Banouvong Senior Accountant 4/14/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 4/1/2023 4/7/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete: (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. (f` Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ing Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong MB 4/14/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and sTAreo Project Name County Project or Contract# �.... Prime Contractor ❑ Industries a is 0-- }rji?.�, Duvall Avenue NE King CAG-20-065 Prevailing Wage Program oi"': 'J. ° = Subcontractor El PO Box 44540 y,�1 st Project Address Olympia WA 98504-4540 — Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 3/31/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 Day and Date Deductions f= Work Classification Name cC o~ o Sat Sun Mon Tue Wed Thu Fri Gross Amount Total and And ,_ a) E 3/25 3/26 3/27 3/28 3/29 3/30 3/31 Total Rate Hourly WithholdingNet Wages E H Hours of Pay Earned/Gross "Usual FICA Other Soc Sec#of Employee Address IX o o Hours Worked Each Day Payroll Benefits" Tax 0 No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Vatsana Banouvong Senior Accountant 4/7/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 3/25/2023 3/31/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F ) No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side et( The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. (51°,ny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ing Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong MB 4/14/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �F,S,ATF Project Name County Project or Contract# _:� �«:•�. Prime Contractor ❑ Industries �`:ir "` Duvall Avenue NE King CAG-20-065 Prevailing Wage Program :__ • ::K•`=" .: ,i: • z Subcontractor ►z PO Box 44540 '',;��( ,,y' Project Address Olympia WA 98504-4540 '""", Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 3/24/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 Day and Date Deductions Work Classification Name c9 ~o ° Sat Sun Mon Tue Wed Thu Fri Total a� Gross Amount and And E 3/18 3/19 3/20 3/21 3/22 3/23 3/24 Total Rate Earned/Gross Hourly Net Wages f Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address O Q Hours Worked Each Day Benefits" Tax 0 No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Vatsana Banouvong Senior Accountant 4/7/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 3/18/2023 3/24/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side r The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ' ing Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong MB 4/14/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and F.sTAT/. Project Name County Project or Contract# &? i-•«=.;. Prime Contractor ❑ Industries i=i=. _ .s Prevailing Wage Program `ai_ tt Duvall Avenue NE King CAG-20-065 PO Box 44540 4•T'•'' Subcontractor i:, Project Address Olympia WA 98504-4540 y� "F",v Final Week of (360) 902-5335 Payroll E Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 3/17/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 Day and Date Deductions p Work Classification Name (-3 ~O o Sat Sun Mon Tue Wed Thu Fri Total a) Gross Amount and And — a) E 3/11 3/12 3/13 3/14 3/15 3/16 3/17 Total Rate Earned/Gross Hourly Net Wages E f= Hours of Pay "Usual FICA Withholding Other 5 f a) Payroll Benefits" Tax Soc Sec#of Employee Address O o Hours Worked Each Day a No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Vatsana Banouvong Senior Accountant 3/23/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 3/11/2023 3/17/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. s- �' "riy apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ling Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong 2 MB 4/14/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and E,3TA}F. Project Name County Project or Contract# ,s�:-_._ _.t:°, Prime Contractor ❑ Industries ;•i lilt; Duvall Avenue NE King CAG-20-065 PrevailingWage Program <"'::: ""_ 9 9 '" Subcontractor IZ PO Box 44540 d'�:,•� y Project Address Olympia WA 98504-4540 H` '"As' Final Week of (360)902-5335 Payroll E Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 3/10/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 Day and Date Deductions p Work Classification Name a O~ o Sat Sun Mon Tue Wed Thu Fri Total m Gross Amount and And m E 3/4 3/5 3/6 3/7 3/8 3/9 3/10 Total Rate Earned/Gross Hourly Net Wages E F= Hours of Pay Payroll °Usual FICA Withholding Other Soc Sec#of Employee Address d 0 y Benefits" Tax cc O o Hours Worked Each Day 0 No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Vatsana Banouvong Senior Accountant 3/15/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 3/4/2023 3/10/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms) Work Classification Total Hourly I (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side .�- ,r The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s)have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. , ;i)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and raining Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong MB 3/23/23 • F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and aT STATf, Prime Contractor IIIProject Name County Project or Contract# Industries , ;;:' Duvall Avenue NE King CAG 20 065 Prevailing Wage Program "' ;• `} Subcontractor IZI PO Box 44540 '::•,' v° Project Address Olympia WA 98504-4540 y` ''-e°a� Final Week of (360)902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 3/3/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 Day and Date Deductions H Work Classification Name c9 8 Sat Sun Mon Tue Wed Thu Fri Total au Gross Amount and And a) E 2/25 2/26 2/27 2/28 3/1 3/2 3/3 Total Rate Earned/Gross Hourly Net Wages co E Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address 0 o Hours Worked Each Day y Benefits" Tax a No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Vatsana Banouvong Senior Accountant 3/13/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 2/25/2023 3/3/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F )No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s)have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. - 5)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and (raining Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong • MB 3/23/23 • F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and a�STATF, Prime Contractor ❑ Project Name County Project or Contract# Industries 4. f o : Duvall Avenue NE King CAG-20-065 PrevailingWage Program a-... ""_ 9 9 Subcontractor PO Box 44540 ,p.°�' , Project Address Olympia WA 98504-4540 Final Week of (360)902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 2/24/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 Day and Date Deductions Work Classification Name c9 b Sat Sun Mon Tue Wed Thu Fri Total ce a) Gross Amount and And a) E 2/18 2/19 2/20 2/21 2/22 2/23 2/24 Total Rate Earned/Gross Hourly Net Wages ▪ Ecs a Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address Tax O o Hours Worked Each Day Benefits" 0 No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Vatsana Banouvong Senior Accountant 3/6/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 2/18/2023 2/24/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F)Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side • • The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. -15)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and tfraining Council. - - Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong MB 3/23/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �.STAt}G Prime Contractor ❑ Project Name County Project or Contract# Industries Duvall Avenue NE King CAG-20-065 Prevailing Wage Program °'°• ,'=`y I Subcontractor El PO Box 44540 ,rot, acy Project Address Olympia WA 98504-4540 ` 'e8° Final Week of (360)902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone FOr the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 2/17/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 Day and Date Deductions F- Work Classification Name i3 ~O 9- Sat Sun Mon Tue Wed Thu Fri Total a)and And m Gross Amount E 2/11 2/12 2/13 2/14 2/15 2/16 2/17 Total Rate Hourly HPay Earned/Gross Net Wages cu E Hours of "Usual Withholding r cu Payroll FICA Other Soc Sec#of Employee Address F ct o o Hours Worked Each Day Benefits" Tax 0 No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Vatsana Banouvong Senior Accountant 3/6/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 2/11/2023 2/17/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms) Work Classification i Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" I Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s)have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions,other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. --45)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and training Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong MB 3/23/23 • F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and ��$sWt0 Project Name County Project or Contract# Industries _, __., Prime Contractor ❑ c. • a;i i t Duvall Avenue NE King CAG-20-065 PrevailingWage Program = =}==x 9 9 = � Subcontractor IZ PO Box 44540 .___`„ •y° Project Address Olympia WA 98504-4540 tle' Final Week of (360) 902-5335 Payroll El Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 2/10/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 i Day and Date Deductions p Work Classification Name c9 ~o o Sat Sun Mon Tue Wed Thu Fri Total Gross Amount and And a) E 2/4 2/5 2/6 2/7 2/8 2/9 2/10 Total Rate Earned I Gross Hourly asE R. Hours of Pay "Usual Withholding Net Wages a, Payroll FICA Other Soc Sec#of Employee Address o oIl Hours Worked Each Day Benefits" Tax 0 No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Vatsana Banouvong Senior Accountant 2/15/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: ' wall Avenue NE 2/4/2023 2/10/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. -*Lny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ring Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong MB 2/17/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and STATE. Project Name County Project or Contract# \`' " i " Prime Contractor E Industries "" ":iiht Duvall Avenue NE King CAG 20 065 PrevailingWage Program � s: •9 9 ,;''-� ,:;-� Subcontractor El PO Box 44540 �;;.. 4r y° Project Address Olympia WA 98504-4540 y� 1889�� Final Week of (360) 902-5335 Payroll E Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 2/3/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 Day and Date Deductions Work Classification Name c9 ~O o Sat Sun Mon Tue Wed Thu Fri Total (2) Gross Amount and And w E 1/28 1/29 1/30 1/31 2/1 2/2 2/3 Total Rate Earned/Gross Hourly Net Wages f° E Hours of Pay "Usual FICA Withholding Other Soc Sec#of Employee Address f o Hours Worked Each Day PayrollBenefits" CD Tax a 1. Electronic Technicians RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $40.17 $321.36 Medicare:$29.22, Journey Level Paid Family (King) Medical Leave: OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $60.26 $0.00 $11.73,CHILD _ ** ROBERT BALES SUPPORT: 4416 S 296TH PL $321.36/ $82.84, Paid Sick AUBURN,WA- $2,015.20 $13.40/hr $124.94 $244.74 Leave:$120.91, $1,394.83 98001 Workers' DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $80.34 $0.00 Compensation: $5.99 lectronic Technicians RG 0.00 0.00 8.00 5.00 8.00 0.00 0.00 21.00 $49.22 $1,033.6 Medicare:$30.69, ney Level 2 Paid Family using) Medical Leave: RANDY LUCUS OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $73.85 $0.00 $7.73,Paid Sick * " PO BOX 8265 $1,033.62 Leave:$79.38, PORT ORCHARD, / $15.97/hr $131.21 $356.74 401(k):$104.00, $1,402.59 WA-98366 $2,116.23 Workers' DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $98.46 $0.00 Compensation: $3.89 3. Electronic Technicians RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $40.17 $321.36 Medicare:$26.33, Journey Level / Paid Family (King) TREVOR ROMINE V Medical Leave: 10919 SE 240TH OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $60.26 $0.00 $321.36/ $13.40/hr $112.57 $232.42 $10.57, Paid Sick $1,320.06 PL $1,815.68 Leave:$108.94, KENT,WA-98030 Workers' DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $80.34 $0.00 Compensation: $4.79 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side 4. Electronic Technicians RG 0.00 0.00 8.00 5.00 8.00 0.00 0.00 21.00 $44.09 $925.89 Medicare:$17.26, Journey Level Paid Sick Leave: (King) Justin Ryan $71.43,Workers' 11400 NE 132ND OT 0.00 0.00 0.00 0.00 2.00 0.00 0.00 2.00 $66.14 $132.28 $1,058.17 Compensation: ST / $16.56/hr $73.81 $149.44 $3.89, Paid $867.67 KIRKLAND,WA- $1,190.43 Family Medical 98034 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $88.18 $0.00 Leave:$6.93 5. Electronic Technicians Medicare:$4.74, RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $40.83 $326.64 Paid Family Level (King) Medical Leave: ALEX SAVAGE OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $61.25 $0.00 $1.90,401(k): 11911 SE 198TH $326.64/ $29.57, Paid Sick CT $326.67 $15.61/hr $20.26 $6.03 Leave:$19.05, $243.92 KENT,WA-98031 Workers' DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $81.66 $0.00 Compensation: $1.20 1 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Vatsana Banouvong Senior Accountant 2/15/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: �� 7iall Avenue NE 1/28/2023 2/3/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F 401(k):$1.91/hr, 1.ROBERT BALES LMCC:$0.05/hr, Electronic Technicians NEBF:$1.21/hr, Journey Level $13.40 $2.65 $6.51 $0.00 $0.00 $0.61 NECA:$0.40/hr, NLMCC:$0.01/hr, SAP:$0.05/hr (King) 401(k):$2.97/hr, 2.RANDY LUCUS LMCC:$0.05/hr, -1 octronic Technicians NEBF:$1.47/hr, .arney Level $15.97 $4.06 $6.30 $0.00 $0.00 $0.58 NECA:$0.49/hr, SAP:$0.05/hr (King) 401(k):$1.91/hr, 3.TREVOR ROMINE LMCC:$0.05/hr, Electronic Technicians NEBF:$1.21/hr, Journey Level $13.40 J $2.65 $6.51 $0.00 $0.00 $0.61 NECA:$0.40/hr, NLMCC:$0.01/hr, SAP:$0.05/hr (King) F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side 401(k):$3.30/hr, 4.Justin Ryan LMCC:$0.05/hr, Electronic Technicians NEBF:$1.32/hr, Journey Level $16.56 $4.51 $6.30 $0.00 $0.00 $0.58 NECA:$0.44/hr, NLMCC:$0.01/hr, SAP:$0.05/hr (King) 401(k):$2.97/hr, LMCC:$0.05/hr, 5.ALEX SAVAGE NEBF:$1.19/hr, Electronic Technicians Journey Level $15.61 $4.06 $6.30 $0.00 $0.00 $0.58 NECA:$0.40/hr, NLMCC:$0.01/hr, SAP:$0.05/hr (King) F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side S � The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ining Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong MB 2/17/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and t, l'AzE.: ,, Project Name County Project or Contract# .1� •i_!::.� Prime Contractor El":' Industries _ : r Duvall Avenue NE King CAG-20-065 Prevailing Wage Program ,{i> : laix Subcontractor N PO Box 44540 ';"" w° Project Address Olympia WA 98504-4540 �r,` `"""c Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 1/27/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 Day and Date Deductions i= Work Classification Name c9 O~ o Sat Sun Mon Tue Wed Thu Fri Total Gross Amount and And a) E 1/21 1/22 1/23 1/24 1/25 1/26 1/27 Total Rate Earned/Gross Hourly Net Wages mf E Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address cf > a Benefits" Tax ce O o Hours Worked Each Day 0 1. Electronic Technicians J Medicare:$29.22, RG 0.00 0.00 8.00 8.00 8.00 0.00 0.00 24.00 $40.17 $964.08 Paid Family Level (King) Medical Leave: OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $60.26 $0.00 $11.73,CHILD _ _ .. ROBERT BALES J SUPPORT: 4416 S 296TH PL $964.08/ $82.84,Paid Sick AUBURN,WA- $2,015.20 $13.40/hr $124.94 $244.74 Leave:$120.91, $1,394.83 98001 Workers' DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $80.34 $0.00 Compensation: $5.99 lectronic Technicians RG 0.00 0.00 8.00 8.00 8.00 8.00 0.00 32.00 $49.23 $1,575.3 Medicare:$28.55, ney Level 6 Paid Family (King) Medical Leave: RANDY LUCUS OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $73.85 $0.00 $9.17,Paid Sick PO BOX 8265 $1,575.36 Leave:$94.08, PORT ORCHARD, / $15.97/hr $122.09 $321.46 401(k):$128.00, $1,261.08 WA-98366 $1,969.23 Workers' DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $98.46 $0.00 Compensation: $4.80 3. Electronic Technicians RG 0.00 0.00 8.00 8.00 8.00 0.00 0.00 24.00 $40.17 $964.08 Medicare:$26.33, Journey Level Paid Family (King) TREVOR ROMINE Medical Leave: 10919 SE 240TH OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $60.26 $0.00 $964.08/ $13.40/hr $112.57 $232.42 $10.57, Paid Sick $1,320.06 _ _ *• PL $1,815.68 Leave:$108.94, KENT,WA-98030 Workers' DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $80.34 $0.00 Compensation: $4.79 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side 4. Electronic Technicians RG 0.00 0.00 8.00 8.00 8.00 8.00 0.00`32.00 $44.09 $1,410.8 Medicare:$20.46, Journey Level 8 Paid Family (King) Justin Ryan Medical Leave: 11400 NE 132ND OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $66.14 $0.00 $1,410.88 $8.21,Paid Sick ST / $16.56/hr $87.47 $197.94 Leave:$84.65, $1,007.35 KIRKLAND,WA- $1,410.88 Workers' 98034 Compensation: DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $88.18 $0.00 $4.80 5. Electronic Technicians RG 0.00 0.00 8.00 8.00 8.00 0.00 0.00 24.00 $44.09 $1,058.1 Medicare:$17.91, Journey Level 6 Paid Family (King) WESLEY WILKINS Medical Leave: 7702 195TH AVE OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $66.14 $0.00 $1,058.16 $7.19,Paid Sick CT E / $16.56/hr $76.54 $140.95 Leave:$63.49, $1,254.24 BONNEY LAKE, $1,564.52 Workers' WA-98391 Compensation: DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $88.18 $0.00 $4.20 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date • Vatsana Banouvong Senior Accountant 2/15/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: , -tall Avenue NE 1/21/2023 1/27/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F 401(k):$1.91/hr, 1.ROBERT BALES LMCC:$0.05/hr, Electronic Technicians NEBF:$1.21/hr, Journey Level $13.40 J $2.65 $6.51 $0.00 $0.00 $0.61 NECA:$0.40/hr, NLMCC:$0.01/hr, SAP:$0.05/hr (King) 401(k):$2.97/hr, 2.RANDY LUCUS LMCC:$0.05/hr, - r ctronic Technicians NEBF:$1.47/hr, rJrney Level $15.97 $4.06 $6.30 $0.00 $0.00 $0.58 NECA:$0.49/hr, __ SAP:$0.05/hr (King) 401(k):$1.91/hr, 3.TREVOR ROMINE LMCC:$0.05/hr, NEBF:$1.21/hr, Electronic Technicians NECA:$0.40/hr, Journey Level $13.40 $2.65 $6.51 $0.00 $0.00 $0.61 NLMCC:$0.01/hr, SAP:$0.05/hr (King) F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side 401(k):$3.30/hr, LMCC:$0.05/hr, 4.Justin Ryan Electronic Technicians NEBF:$1.32/hr, Journey Level $16.56 $4.51 $6.30 $0.00 $0.00 $0.58 NECA:$0.44/hr, NLMCC:$0.01/hr, SAP:$0.05/hr (King) 401(k):$3.30/hr, 5.WESLEY WILKINS LMCC:$0.05/hr, Electronic Technicians NEBF:$1.32/hr, Journey Level $16.56 $4.51 $6.30 $0.00 $0.00 $0.58 NECA:$0.44/hr, NLMCC:$0.01/hr, SAP:$0.05/hr (King) F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. .1ny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and 'ning Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong MB 2/17/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and ^mot:,T"rRo� prime Contractor ❑ Project Name County Project or Contract# Industries =i 4. p? "t Duvall Avenue NE King CAG-20-065 Prevailing Wage Program < Subcontractor @ PO Box 44540 ` "`•': v°' Project Address yfj'�9 w\l Olympia WA 98504-4540 ` `"Q" Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 INTEGRITY NETWORKS INC (425)264-9400 Month Day Year Awarding Agency Address Address City State Zip+4 1/20/2023 1055 S GRADY WAY RENTON,WA-98055 2220 Lind Ave SE#106 RENTON WA 98057 Day and Date Deductions p Work Classification Name 13 ~O a Sat Sun Mon Tue Wed Thu Fri Total c cD Gross Amount and And a) E 1/14 1/15 1/16 1/17 1/18 1/19 1/20 Total Rate Hourly E i= Hours of Pay Earned/Gross "Usual Withholding Net Wages f a, Payroll FICA Other Soc Sec#of Employee Address O o Hours Worked Each Day Benefits" Tax a 1. Electronic Technicians RG 0.00 0.00 0.00 0.00 0.00 6.00 0.00 6.00 $44.09 $264.54 Medicare:$19.18, Journey Level Paid Family (King) Justin Ryan Medical Leave: 11400 NE 132ND OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $66.14 $0.00 $7.70,Paid Sick �' ST $264.54/ $16.56/hr $82.01 $178.54 Leave:$79.36, $951.41 KIRKLAND,WA- $1,322.70 Workers' 98034 Compensation: DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $88.18 $0.00 $4.50 2. Electronic Technicians RG 0.00 0.00 0.00 0.00 0.00 0.00 6.00 6.00 $39.90 $239.40 Medicare:$23.85, Journey Level Paid Family g) Medical Leave: OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $59.85 $0.00 V/ $9.58,401(k): _ _ .. ALEX SAVAGE J 11911 SE 198TH $29.57,Union $239.40/ $15.61/hr $101.98 $213.03 Dues:$2.82, Paid $1,644.83 Sick Leave: $1,181.89 CT KENT,WA-98031 $76.71,Workers' DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $79.80 $0.00 Compensation: $5.40 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Vatsana Banouvong Senior Accountant 2/15/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons INTEGRITY NETWORKS INC employed by: Project Name: For the week starting: For the week ending: nuvall Avenue NE 1/14/2023 1/20/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other "Usual Pension Medical I Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F 401(k):$3.30/hr, 1.Justin Ryan LMCC:$0.05/hr, Electronic Technicians NEBF:$1.32/hr, NECA:$0.44/hr, Journey Level $16.56 54.51 $6.30 $0.00 $0.00 $0.58 NLMCC:$0.01/hr, SAP:$0.05/hr (King) 401(k):$2.97/hr, 2.ALEX SAVAGE LMCC:$0.05/hr, NEBF:$1.19/hr, Electronic Technicians NiNECA:$0.40/hr, Jrney Level $15.61 $4.06 $6.30 $0.00 $0.00 $0.58 NLMCC:$0.01/hr, SAP:$0.05/hr (King) F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. ,;any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ,fining Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Vatsana Banouvong Senior Accountant Vatsana Banouvong MB 2/17/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side