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HomeMy WebLinkAboutCAG-20-065 - Duvall - Subcontractor PnD Logging 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: 6/23/2023 1231916 1219932 6/23/2023 Company Details Name PnD Logging Et Tree Service Address PO Box 529 MAPLE VALLEY,WA,98038 WA UBI no. 601439180 Contractor Registration no. PNDLOLT867QQ Industrial Insurance Account Id 83874700 OMWBE Certifications as of 5/9/2022 No active certifications existed when Intent was submitted Email Address pandlogging@comcast.net Filed By Powell, Chris 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 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: $ 11,600.00 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: 109405102 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 5/9/2022 Job start date:MM-DD-YYYY 5/9/2022 Date work completed:MM-DD-YYYY 6/16/2023 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. � y= Affidavit Subcontractor(s) No subcontractor is selected for this affidavit. Journeylevel Wages County Trade Occupation Wages . Fringes # # Workers Hours King Laborers Clean-up Laborer .52.39 0.00 4 32.00 King Laborers Faller It Bucker 53.35 0.00 2 16.00 Chain Saw Apprentice Wages Public Notes El 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: 5/9/2022 1231916 5/9/2022 Company Details Company Name: PnD Logging Et Tree Service Address: PO Box 529 MAPLE VALLEY, WA, 98038 Contractor Registration No. PNDLOLT867QQ WA UBI Number 601439180 Phone Number 425-432-7636 Industrial Insurance Account ID 83874700 OMWBE Certifications as of 5/9/2022 No active certifications existed when Intent was submitted Email Address pandlogging@comcast.net Filed By Chris Powell 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 U � 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 REED TRUCKING &t EXCAVATING INC Contractor Registration No. REEDTEI016JW WA UBI Number 601915034 Payment Details Check Number: Transaction Id: 108671148 Intent Details Expected project start date: (MM/DD/YYYY) 5/9/2022 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 $11,600.00 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? No A Do you intend to use any apprentices? (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 Laborers Clean-up Laborer $52.39 $0.00 4 King Laborers Faller Et Bucker Chain Saw $53.35 $0.00 2 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: 5/2/2022 1212066 1112368 5/2/2022 Company Details Name PnD Logging Et Tree Service Address PO Box 529 MAPLE VALLEY,WA,98038 WA UBI no. 601439180 Contractor Registration no. PNDLOLT867QQ Industrial Insurance Account Id 83874700 OMWBE Certifications as of No active certifications existed when Intent 2/16/2022 was submitted Email Address pandlogging®comcast.net Filed By Powell, Chris Prime Contractor Prime contractor name REED TRUCKING Et EXCAVATING INC Prime contractor registration REEDTEI016JW no. Prime contractor Phone 253-841-4837 Number Project Information Awarding agency: RENTON, CITY OF 1055 S GRADY WAY RENTON, WA - 98055 Awarding agency contact: Flora Lee 425-430-7303 Ti Awarding agency contact phone 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 $ 9,250.00 contract: Bid due date 6/22/2021 Contract award date 7/21/2021 Job site address/directions: Hiring Contractor Company Name REED TRUCKING &t EXCAVATING INC Contractor Registration No. REEDTEI016JW WA UBI Number 601915034 Payment Details Check Number: Transaction Id: 108658361 Project Details County where work was King performed City where work was Renton performed Prime contractor Intent form 1170257 Id#for this project Intent filed date 2/16/2022 Job start date:MM-DD-YYYY 2/18/2022 Date work completed:MM-DD- 2/18/2022 YYYY Project Completion Did your company hire any No subcontractors? s d Did your company have Yes employees perform work on this project? Did you use apprentice No employees on this project? Company Owner Information How many owner/operators 0 performed 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 County Trade Occupation Wages Fringes # # Workers Hours King Laborers Clean-up 52.39 0.00 4 12.95 Laborer King Laborers Faller a 53.35 0.00 2 7.00 Bucker Chain Saw Apprentice Wages Public Notes s 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: 2/16/2022 1212066 2/16/2022 Company Details Company Name: PnD Logging Et Tree Service Address: PO Box 529 MAPLE VALLEY, WA, 98038 Contractor Registration No. PNDLOLT867QQ WA UBI Number 601439180 Phone Number 425-432-7636 Industrial Insurance Account ID 83874700 OMWBE Certifications as of 2/16/2022 No active certifications existed when Intent was submitted Email Address pandlogging@comcast.net Filed By Chris Powell Prime Contractor Company Name REED TRUCKING a 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 /1 1 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 REED TRUCKING &t EXCAVATING INC Contractor Registration No. REEDTEI016JW WA UBI Number 601915034 Payment Details Check Number: Transaction Id: 108528434 Intent Details Expected project start date: (MM/DD/YYYY) 2/18/2022 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 $9,250.00 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? Yes V 4 Do you intend to use any apprentices? (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 Laborers Faller Et Bucker Chain Saw $53.35 $0.00 5 King Laborers Clean-up Laborer $52.39 $0.00 2 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 Date: Intent Id: Affidavit Id: 1219932 Status: Approved on 6/23/2023 123.1916 6/23/2023 Company Details Name PnD Logging Et Tree Service Address PO Box 529 MAPLE VALLEY,WA,98038 WA UBI no. 601439180 Contractor Registration no. PNDLOLT867QQ Industrial Insurance Account Id 83874700 OMWBE Certifications as of 5/9/2022 No active certifications existed when Intent was submitted Email Address pandlogging®comcast.net Filed By Powell, Chris 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 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 restoration; and other work. �= Dollar amount of your contract: $ 11,600.00 Bid due date .6/22/2021 Contract award date 7/21/2021 Job site address/directions: Hiring Contractor Company Name REED TRUCKING Et EXCAVATING INC Contractor Registration No. REEDTEI016JW WA UBI Number 601915034 Payment Details Check Number: Transaction Id: 109405102 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 5/9/2022 Job start date:MM-DD-YYYY 5/9/2022 Date work completed:MM-DD-YYYY 6/16/2023 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 work on 0 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 County Trade Occupation Wages Fringes # # Workers Hours w��5 uuv.....I.i �.w u�� ur �uvv�..� .ic..ii u.vv z JAL•vv ~ King Laborers Faller Et Bucker Chain 53.35 0.00 2 16.00 Saw Apprentice Wages Public Notes o Show/Hide Existing Notes No note exists 12/14/2' ;3:11 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: 1219932 Status: Approved on 6/23/2023 6/23/2023 1231916 Company Details Name PnD Logging Et Tree Service Address PO Box 529 MAPLE VALLEY,WA,98038 WA UBI no. 601439180 Contractor Registration no. PNDLOLT867QQ Industrial Insurance Account Id 83874700 OMWBE Certifications as of 5/9/2022 No active certifications existed when Intent was submitted Email Address pandlogging@comcast.net Filed By Powell, Chris Prime Contractor Prime contractor name REED TRUCKING a EXCAVATING INC about:blank 1/4 12/14/23,3:11 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: $ 11,600.00 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: 109405102 Project Details County where work was performed King aboutk'slank 2/4 --12/14i2:i;3:11 PM about:blank City where work was performed Renton Prime contractor Intent form Id# for this project 1170257 Intent filed date 5/9/2022 Job start date:MM-DD-YYYY 5/9/2022 Date work completed:MM-DD-YYYY 6/16/2023 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 Laborers Clean-up Laborer 52.39 0.00 4 32.00 King Laborers Faller a Bucker Chain Saw 53.35 0.00 2 16.00 Apprentice Wages Public Notes o Show/Hide Existing Notes about:blank 3/4 12/14/23,3:32 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: 1112368 Status: Approved on 5/2/2022 5/2/2022 1212066 Company Details Name PnD Logging Et Tree Service Address PO Box 529 MAPLE VALLEY,WA,98038 WA UBI no. 601439180 Contractor Registration no. PNDLOLT867QQ Industrial Insurance Account Id 83874700 OMWBE Certifications as of 2/16/2022 No active certifications existed when Intent was submitted Email Address pandlogging@comcast.net Filed By Powell, Chris Prime Contractor Prime contractor name REED TRUCKING &t EXCAVATING INC about:blank 1/4 12/14/23,3:32 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: $ 9,250.00 Bid due date 6/22/2021 Contract award date 7/21/2021 Job site address/directions: Hiring Contractor Company Name REED TRUCKING Et EXCAVATING INC Contractor Registration No. REEDTEI016JW WA UBI Number 601915034 Payment Details Check Number: Transaction Id: 108658361 Project Details County where work was performed King about:blank 2/4 12/14/23,3:32 PM about:blank City where work was performed Renton Prime contractor Intent form Id# for this project 1170257 Intent filed date 2/16/2022 Job start date:MM-DD-YYYY 2/18/2022 Date work completed:MM-DD-YYYY 2/18/2022 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 Laborers Clean-up Laborer 52.39 0.00 4 12.95 King Laborers Faller a Bucker Chain Saw 53.35 0.00 2 7.00 Apprentice Wages • Public Notes o Show/Hide Existing Notes about:blank 3/4 Certified Payroll Report Department of Labor and t,•STATA Project Name County Project or Contract# ?:i= Prime Contractor ❑ Industries %:_._.!_ _ __=4 :_x Duvall Avenue NE King CAG-20-065 Prevailing Wage Program �{m:• ••:••z ,,:,,,,. ••:i;•;. Subcontractor El PO Box 44540 d'�.,_� �;� Project Address Olympia WA 98504-4540 y` '�"y 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 2/5/2023 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions Work Classification Name c9 O~ o Mon Tue Wed Thu Fri Sat Sun Total m Gross Amount and And a) E 1/30 1/31 2/1 2/2 2/3 2/4 2/5 Total Rate Earned/Gross es Hourly Net Wages E a Hours of Pay Payroll "Usual FICA Withholding Other g Soc Sec#of Employee Address CD 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 CHRIS R POWELL President 2/9/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ^••vall Avenue NE 1/30/2023 2/5/2023 "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. ,rs)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and r fling 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 CHRIS R POWELL President CHRIS R POWELL MB 2/15/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and ���5 "T£�� Prime Contractor ❑ Project Name County Project or Contract# Industries (TjJ' Duvall Avenue NE King CAG-20-065 Prevailin Wa a Pro ram 9 9 9 Subcontractor ►z�PO Box 44540Project Address Olympia WA 98504-4540 'bBy Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 1/29/2023 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions p Work Classification Name c9 ~• O o Mon Tue Wed Thu Fri Sat Sun Total a� Gross Amount and And a� E 1/23 1/24 1/25 1/26 1/27 1/28 1/29 Total Rate Earned/Gross Hourly Net Wages • r Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address 0 > z Benefits" Tax o: 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 CHRIS R POWELL President 2/2/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 1/23/2023 1/29/2023 "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. .ny 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 CHRIS R POWELL President CHRIS R POWELL MB 2/2/23 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# Industries a ;: Q4 Prime Contractor ❑ ' Duvall Avenue NE King CAG-20-065 Prevailing Wage Program -'"' Subcontractor ►'� �r� .€:� PO Box 44540 �' va Project Address Olympia WA 98504-4540 y� `�e�'IC) Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 1/22/2023 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions p Work Classification Name Mon Tue Wed Thu Fri Sat Sun Total cC O0 o a) Gross Amount and And E 1/16 1/17 1/18 1/19 1/20 1/21 1/22 Total Rate Hourly " Earned/Gross Net Wages E Hours of Pay Usual FICA Withholding Other Soc Sec#of Employee Address a) wO Jo Q 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 CHRIS R POWELL President 1/26/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: n'.vall Avenue NE 1/16/2023 1/22/2023 "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. 4ny 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 CHRIS R POWELL President CHRIS R POWELL MB 1/30/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and EST^re Project Name County Project or Contract# ��... Prime Contractor ❑ Industries 4 :: s. �:::: - Duvall Avenue NE King CAG-20-065 Prevailing Wage Program Subcontractor _� PO Box 44540y�, aoy" Project Address Olympia WA 98504-4540 ` `BeV Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 1/15/2023 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions i= _ Work Classification Name 6 O~ a Mon Tue Wed Thu Fri Sat Sun Gross Amount Total and And E F 1/9 1/10 1/11 1/12 1/13 1/14 1/15 Total Rate Earned/Gross Hourly Net Wages Hours of Pay "Usual FICA Withholding Other Soc Sec#of Employee Address 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 CHRIS R POWELL President 1/19/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: vall Avenue NE 1/9/2023 1/15/2023 "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. ' '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 CHRIS R POWELL President CHRIS R POWELL MB 1/30/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and ;TATA, Project Name County Project or Contract# Industries ,�t.i'""• °". Prime Contractor ❑ :i" jia y Duvall Avenue NE King CAG-20-065 Prevailing Wage Program f,ji;;, :i;Ei!�= Subcontractor El PO Box 44540 '''.yi+' , w 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 1/8/2023 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions i= Work Classification Name O~ o Mon Tue Wed Thu Fri Sat Sun Gross Amount Total and And N E 1/2 1/3 1/4 1/5 1/6 1/7 1/8 Total Rate Earned/Gross Hourly Net Wages E Hours of Pay "Usual FICA Withholding Other Soc Sec#of Employee Address 0 f , Payroll Benefits" Tax ct 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 CHRIS R POWELL President 1/13/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: tall Avenue NE 1/2/2023 1/8/2023 "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. !c',Any 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 CHRIS R POWELL President CHRIS R POWELL MB 1/17/23 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�,f; Project Name County Project or Contract# .c?..�� .", Prime Contractor ❑ Industries "':' "r Duvall Avenue NE King CAG-20-065 Prevailing Wage Program a'=.>;• eieiii Subcontractor N PO Box 44540 .3.Y, J tIN Project Address 1 Olympia WA 98504-4540 r� '-"" Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 1/1/2023 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions Work Classification Name p o Mon Tue Wed Thu Fri Sat Sun Total ce CZ 12/2 12/2 12/2 12/2 12/3 12/3 Gross Amount and And E 6 7 8 9 0 1 1/1 Total Rate Hourly Earned/Gross Net Wages r a, Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address , > a Benefits" Tax ix 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 CHRIS R POWELL President 1/5/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: n''vall Avenue NE 12/26/2022 1/1/2023 "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 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. )-g>„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 CHRIS R POWELL President CHRIS R POWELL MB- 1/10/23 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,S,.A F.�,� Project Name County Project or Contract# .=.i� t... Prime Contractor ❑ Industries ii, :�.y tg@;1r Duvall Avenue NE King CAG-20-065 Prevailing Wage Program {ii , -a=uuiz Subcontractor ►z� PO Box 44540 'fit• v Project Address Olympia WA 98504-4540 y� '""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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 12/25/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions ~ Mon Tue Wed Thu Fri Sat Sun Work Classification Name c9 p Total ct 2 w 12/1 12/2 12/2 12/2 12/2 12/2 12/2 Gross Amount and And Total Rate Hourly 9 0 1 2 3 4 5 Earned/Gross WithholdingNet Wages c E Hours of Pay "Usual FICA Other Soc Sec#of Employee Address m cp Payroll Benefits" Tax O oo 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 CHRIS R POWELL President 12/29/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 12/19/2022 12/25/2022 "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 A. l� 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 lining 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 CHRIS R POWELL President CHRIS R POWELL MB 1/10/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and ac,sTA �� Prime Contractor ❑ Project Name County Project or Contract# Industries c:'•.`•' ,, Duvall Avenue NE King CAG-20-065 Prevailing Wage Program Subcontractor El PO Box 44540 �"�' ov" Project Address Olympia WA 98504-4540 y� te8�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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 12/18/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions o Mon Tue Wed Thu Fri Sat Sun Work Classification Name c7 Total cc o a> 12/1 12/1 12/1 12/1 12/1 12/1 12/1 Gross Amount £ Total Rate Hourly and And Earned/Gross Net Wages co E 2 3 4 5 6 7 8 Hours of Pay "Usual FICA Withholding Other Soc Sec#of Employee Address c a) - Payroll Benefits" Tax CC 0 8 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 CHRIS R POWELL President 12/29/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ^'.vall Avenue NE 12/12/2022 12/18/2022 "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. ig Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and lining 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 CHRIS R POWELL President CHRIS R POWELL MB 1/10/22 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� STATA:�n Project Name County Project or Contract# Prime Contractor ❑ Industries o`, ;,` Duvall Avenue NE King CAG-20-065 Prevailing Wage Program <"" x Subcontractor El PO Box 44540 4)y'a; �,oy"� Project Address Olympia WA 98504-4540 ` 1$By Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 12/11/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions ~ Sat Sun Work Classification Name t9 ~O o Mon Tue Wed Thu Fri Total a� 12/1 12/1 Gross Amount and And a) E 12/5 12/6 12/7 12/8 12/9 1 Total Rate Earned/Gross Hourly Net Wages E Hours of Pay "Usual FICA Withholding Other Soc Sec#of Employee Address o f 3 Payroll Benefits" Tax r2 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 CHRIS R POWELL President 12/15/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: nuvall Avenue NE 12/5/2022 12/11/2022 "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 � _l 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 ,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 CHRIS R POWELL President CHRIS R POWELL MB 12/15/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and ,TAPE Project Name County Project or Contract# industries ,. ipi' q `t y_ Prime Contractor ❑ -i•` ,;.;.?; Duvall Avenue NE King CAG-20-065 Prevailing Wage Program w�li,' ' I,, Subcontractor PO Box 44540 '',;`•, °,� Project Address Olympia WA 98504-4540 y� '�e" Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 12/4/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions o Mon Tue Wed Work Classification Name C9 o Thu Fri Sat Sun Total a> 11/2 11/2 11/3 Gross Amount and And E I= 8 9 0 12/1 12/2 12/3 12/4 Total Rate Hours of Pay Earned/Gross Hourly "Usual FICA Withholding Other Net Wages Soc Sec#of Employee Address aai a) - Payroll Benefits" Tax I:K 0 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 CHRIS R POWELL President 12/6/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: nuvall Avenue NE 11/28/2022 12/4/2022 "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. Any 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 CHRIS R POWELL President CHRIS R POWELL MB 11/21/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and ���isrnrso� Project Name County Project or Contract# Industries 4,,,, ,_., Prime Contractor ❑ o,:;; - ,w,,;; Duvall Avenue NE King CAG-20-065 Prevailing Wage Program < =.i i =:: Subcontractor ❑x wo IF" -iti. Project Address PO Box 44540 ;f'r; 04Q j Olympia WA 98504-4540 `teas Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 11/27/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions Work Classification Name c i= o Mon Tue Wed Thu Fri Sat Sun Total o cc at 11/2 11/2 11/2 11/2 11/2 11/2 11/2 Gross Amount w E Total Rate Hourly Earned/Gross Net Wages and And = E F 1 2 3 4 5 6 7 Hours of Pay Payroll Usual FICA Withholding Other g Soc Sec#of Employee Address a°'i CD - y Benefits" Tax o 0 8 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 CHRIS R POWELL President 12/6/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 11/21/2022 11/27/2022 "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. (51Any 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 CHRIS R POWELL President CHRIS R POWELL MB 11/21/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and ^AFT^;'i_,� Prime Contractor ❑ Project Name County Project or Contract# Industries ...:, L4 -Air4' ".. % , Duvall Avenue NE King CAG-20-065 Prevailing Wage Program r iit;' r'4i�< SubcontractorEl PO Box 44540 1 - v� Project Address Olympia WA 98504-4540 y� '"B"�° Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 11/20/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions o Mon Tue Wed Thu Fri Sat Sun Work Classification Name c9 Total cC o a) 11/1 11/1 11/1 11/1 11/1 11/1 11/2 Gross Amount a, E Total Rate Hourly and And `m E i 4 5 6 7 8 9 0 Hours of Pay Earned/Gross 'Usual FICA Withholding Other Net Wages Soc Sec#of Employee Address m Z Payroll Benefits" Tax o 0 0 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 CHRIS R POWELL President 12/6/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 11/14/2022 11/20/2022 "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. °ny 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 CHRIS R POWELL President CHRIS R POWELL MB 11/21/22 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,,,TAT,‘ Project Name County Project or Contract# ,? ii <i ., Prime Contractor ❑ Industries 111 lii.t :�;;y Duvall Avenue NE King CAG-20-065 Prevailing Wage Program 49iiii.- ,ollix Subcontractorvilif ffyl i IM PO Box 44540 Project Address y` "�y r 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 11/13/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions Work Classification Name c9 o Mon Tue Wed Thu Fri Sat Sun Total cr o m 11/1 11/1 11/1 11/1 Gross Amount and And 11/7 11/8 11/9 0 1 2 3 Total Rate Earned/Gross Hourly Net Wages f a) Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address cr > Benefits" Tax o_ 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 CHRIS R POWELL President 11/22/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ^..vall Avenue NE 11/7/2022 11/13/2022 "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. 1,5N Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ,ping 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 CHRIS R POWELL President CHRIS R POWELL • MB 12/1/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side •r Certified Payroll Report Department of Labor and ���srnTso� Project Name County Project or Contract# Industries a.:,:, ,,,,� Prime Contractor ❑ on 1 ii s Duvall Avenue NE King CAG-20-065 PrevailingWage Program ��i•. t:•i , 9 9 =,,=. l;;,g Subcontractor PO Box 44540 ':=I ` O4) Project Address Olympia WA 98504-4540 y` 1889 Final Week of (360) 902-5335 Payroll 0 Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City NState Zip+4 11/6/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 IN r Day and Date Deductions Work Classification Name c I- o Mon Tue Wed Thu Fri Sat Sun Total ix O N 10/3 Gross Amount and And E E 1 11/1 11/2 11/3 11/4 11/5 11/6 Total Rate Earned/Gross Hourly Net Wages f F. Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address c a) z Benefits" Tax 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 CHRIS P POWELL President 11/8/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ^^all Avenue NE 10/31/2022 11/6/2022 "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. /=` Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ping 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 CHRIS P POWELL President CHRIS P POWELL MB 11/8/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and ,Tnrx Project Name County Project or Contract# ,st`E";r..tt4l,°4 Prime Contractor ❑ Industries ;�ii t�tf Prevailing Wage Program 48,3. 1:t Duvall Avenue NE King CAG-20-065 w 13i i Subcontractor PO Box 44540 'r�'t';t ,, Project Address Olympia WA 98504-4540 y�it 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 10/30/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date iDeductions o Mon Tue Wed Thu Fri Sat Sun Work Classification Name t7 Total o a) 10/2 10/2 10/2 10/2 10/2 10/2 10/3 Gross Amount a, E Total Rate Hourly and And E 4 5 6 7 8 9 0 Hours of PayEarned/Gross °Usual Withholding Net Wages rn f a, Payroll Benefits" FICA Tax Other Soc Sec#of Employee Address a, > IY 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 CHRIS P POWELL President 11/8/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 10/24/2022 10/30/2022 "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. ;t'.",ny 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 CHRIS P POWELL President CHRIS P POWELL MB 11/8/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and TA1'F Project Name County Project or Contract# ,�t'i=••isr°'. Prime Contractor ❑ Industries �i. !«:y. �: - ,;::u;g Duvall Avenue NE King CAG-20-065 Prevailing Wage Program 4Flil filIi!= Subcontractor ,,:!3h. { '`I, PO Box 44540 "`_ ,csv" Project Address Olympia WA 98504-4540 y4 '""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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 10/23/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions Work Classification Name o Mon Tue Wed Thu Fri Sat Sun Total I .. a) 10/1 10/1 10/1 10/2 10/2 10/2 10/2 Gross Amount a, E Total Rate Hourly and And j E 7 8 9 0 1 2 3 Hours of Pay Earned/Gross °Usual FICA Withholding Other Net Wages Soc Sec#of Employee Address Pr a) Payroll Benefits" Tax CK 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 CHRIS R POWELL President 10/25/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: n'.vall Avenue NE 10/17/2022 10/23/2022 "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. '"Iny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and 'ping 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 CHRIS R POWELL President CHRIS R POWELL MB 11/21/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and 5TAT{ Project Name County Project or Contract# ,`'."4+ 's!" Prime Contractor ❑ Industries ;;.- =;7 Duvall Avenue NE King CAG-20-065 Prevailing Wage Program Wfli�,� �'i�z Subcontractor NI PO Box 44540 ''�' ' o 3 Project Address Olympia WA 98504-4540 y� 'be"° Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 10/16/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions Work Classification Name (— p o Mon Tue Wed Thu Fri Sat Sun Total i o w 10/1 10/1 10/1 10/1 10/1 10/1 10/1 Gross Amount and And `m E i= 0 1 2 3 4 5 6 Total Rate Earned/Gross Hourly Net Wages a Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address 0 > - Benefits" Tax rI 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 CHRIS R POWELL President 12/6/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ^-vall Avenue NE 10/10/2022 10/16/2022 "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`4ny 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 CHRIS R POWELL President CHRIS R POWELL MB 11/21/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and srnrF Project Name County Project or Contract# < :: °,• Prime Contractor ❑ Industries ¢ o ;;' ii: Duvall Avenue NE King CAG-20-065 PrevailingWage Program <°°° 9 9 Subcontractor PO Box 44540 tPyy.,�1'9 aoy�x 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 10/9/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions 1--- Work Classification Name c9 ~O o Mon Tue Wed Thu Fri Sat Sun Total cC a) Gross Amount and And a� E 10/3 10/4 10/5 10/6 10/7 10/8 10/9 Total Rate Earned/Gross Hourly Net Wages r Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address aa) -0 Benefits" Tax ( 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 CHRIS R POWELL President 10/13/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 10/3/2022 10/9/2022 "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 '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 CHRIS R POWELL President CHRIS R POWELL 1 . ;MB,10711/22 F700-065-000 certified payroll report 05-09 Employee Benefits.Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and srera Project Name County Project or Contract# 4 °A Prime Contractor ❑ Industries 4:::i° £ o:::: Duvall Avenue NE King CAG-20-065 Prevailing Wage Program y° Subcontractor PO Box 44540 c:47' ao Project Address Olympia WA 98504-4540 ` "8D Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 10/2/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 • Day and Date Deductions Work Classification Name C9 ~O o Mon Tue Wed Thu Fri Sat Sun Total a) Gross Amount and And '05E 9/26 9/27 9/28 9/29 9/30 10/1 10/2 Total Rate Earned/Gross Hourly Net Wages .E Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address 12 O o Hours Worked Each Day 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 CHRIS R POWELL President 10/6/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: mall Avenue NE 9/26/2022 10/2/2022 "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. ''',Any 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 CHRIS R POWELL President CHRIS R POWELL MB. 10/6/2Z F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and ,�+rf Project Name County Project or Contract# �,!,,g° '�f Prime Contractor ❑ Industries 4iT _ _= y o::=� _,r Duvall Avenue NE King CAG-20-065 Prevailing Wage Program k =:ii9•',x, Subcontractor XI rya;;;;. {tl.. PO Box 44540 °' '', , oy� Project Address Olympia WA 98504-4540 � '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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 9/25/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions p Work Classification Name C7 ~O o Mon Tue Wed Thu Fri Sat Sun Total m Gross Amount and And E 9/19 9/20 9/21 9/22 9/23 9/24 9/25 Total Rate Earned/Gross Hourly Net Wages :— i= Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address c > - y Benefits" Tax o' 0 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 CHRIS R POWELL President 9/29/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 9/19/2022 9/25/2022 "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. 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 CHRIS R POWELL President CHRIS R POWELL MB 10/4/22 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.sr�rE.o� Project Name County Project or Contract# Industries ;;•• Prime Contractor ❑ c:iii Duvall Avenue NE King CAG-20-065 Prevailing Wage Program ;_;_ ,:'iii$ Subcontractor x❑ PO Box 44540 ° I 04�pe Project Address Olympia WA 98504-4540 '`18&fl a. 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address , City State Zip+4 9/18/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 �. - - Day and Date Deductions Work Classification Name cF ~o o Mon Tue Wed Thu Fri Sat Sun Total m Gross Amount and And ` N E 9/12 9/13 9/14 9/15 9/16 9/17 9/18 Total Rate Earned/Gross Hourly Net Wages E Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address > - y Benefits" Tax CY O o Hours Worked Each Day a No Employees performed work on this project during this reporting period. a 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 CHRIS R POWELL president 9/21/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: n.wall Avenue NE 9/12/2022 9/18/2022 "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. apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and Aning 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 CHRIS R POWELL president CHRIS R POWELL MB 9/28/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �*; ,�nrf Project Name County Project or Contract# Industries _"_"6, Prime Contractor ❑ �•oeo ===•r„` Duvall Avenue NE King CAG-20-065 Prevailing Wage Program I<;;,;,,;i:I=;'=l Subcontractor 0 PO Box 44540 °'4( Project Address Olympia WA 98504-4540 y` '""°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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 9/11/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions Work Classification Name c9 8 o Mon Tue Wed Thu Fri Sat Sun Total Gross Amount and And - a.) E 9/5 9/6 9/7 9/8 9/9 9/10 9/11 Total Rate Hourly E t= Hours of Pay Earned/Gross "Usual Withholding Net Wages w — Payroll FICA Other Soc Sec#of Employee Address CD o o Hours Worked Each Day 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 CHRIS R POWELL President 9/15/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: niivall Avenue NE 9/5/2022 9/11/2022 "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. r Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and -lining 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 CHRIS R POWELL President CHRIS R POWELL MB 9/28/22 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 low Project Name County Project or Contract# Industries 4 ,, Prime Contractor ❑ o. . _;; Duvall Avenue NE King CAG-20-065 Prevailing Wage Program _b. i4 Subcontractor x❑ PO Box 44540 °`'q; the Project�, goy 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 9/4/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions H Work Classification Name c� ~o o Mon Tue Wed Thu Fri Sat Sun Total Gross Amount and And E 8/29 8/30 8/31 9/1 9/2 9/3 9/4 Total Rate Earned/Gross Hourly Net Wages f i Hours of Pay Payroll "Usual FICA Withholding Other g Soc Sec#of Employee Address rY 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 CHRIS R POWELL President 9/8/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 8/29/2022 9/4/2022 "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. 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 CHRIS R POWELL President CHRIS R POWELL M B 9/28/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and s��rF• Project Name County Project or Contract# ��•__ °, Prime Contractor ❑ Industries �..=.1i" _. o:-ei - „I: Duvall Avenue NE King CAG 20 065 Prevailing Wage Program i,= iiji'ix �I;jjh Subcontractor � PO Box 44540 4,==ii !ly Project Address Olympia WA 98504-4540 y` 'ow`�, Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 8/28/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date I Deductions F=- Work Classification Name E. ~O o Mon Tue Wed Thu Fri Sat Sun Total m Gross Amount and And E 8/22 8/23 8/24 8/25 8/26 8/27 8/28 Total Rate Earned/Gross Hourly Net Wages .E Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address c .05> - y Benefits" Tax (1 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 CHRIS R POWELL President 9/1/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 8/22/2022 8/28/2022 "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. 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 CHRIS R POWELL President CHRIS R POWELL MB 9/6/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and s,�rA• Project Name County Project or Contract# .s�'.::�• °F Prime Contractor ❑ Industries a.ili 4 �::;, - �..`�:_;� Duvall Avenue NE King CAG-20-065 Prevailing Wage Program s=. •'_'_= Subcontractor X7 .=;ill• si'` Project Address PO Box 44540 '••'`�` y° 1 Olympia WA 98504-4540 �y� 'g�°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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 8/21/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions P Work Classification Name c7 ~O G. Mon Tue Wed Thu Fri Sat Sun Total a) Gross Amount and And m E 8/15 8/16 8/17 8/18 8/19 8/20 8/21 Total Rate Earned(Gross Hourly Net Wages E Hours of Pay Payroll "Usual FICA Withholdingci, Other Soc Sec#of Employee Address > - Benefits" Tax f 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 CHRIS R POWELL president 8/25/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: n'i'iall Avenue NE 8/15/2022 8/21/2022 "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. ",ny 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 CHRIS R POWELL president CHRIS R POWELL • MB 9/6/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side s Certified Payroll Report Department of Labor and ,,e ere Project Name County Project or Contract# 4 Industries i Prime Contractor o.,. Duvall Avenue NE King CAG 20 065 Prevailing Wage Program '.: Subcontractor IXJ PO Box 44540 ,� Project Address Olympia WA 98504-4540 4IMB '. Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 8/14/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions H Work Classification Name c7 8 -- Mon Tue Wed Thu Fri Sat Sun Total Cr O N Gross Amount and And a) E 8/8 8/9 8/10 8/11 8/12 8/13 8/14 Total Rate Earned/Gross Hourly Net Wages as E H Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address c f y Benefits" Tax Et 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 Sid( 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 Chris Powell President 8/17/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: '' vall Avenue NE 8/8/2022 8/14/2022 "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. "•1 Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and lining 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 Chris Powell President Chris Powell MB 8/17/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and rnrf: Project Name County Project or Contract# '''. l'.� ° '"`F Prime Contractor ❑ Industries iii f. •Duvall Avenue NE King CAG-20-065 Prevailing Wage Program iimi j i., ,+_i Subcontractor LRJ PO Box 44540 , ,y 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 8/7/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions Work Classification Name (- ~O o Mon Tue Wed Thu Fri Sat Sun Total a) Gross Amount and And a) E 8/1 8/2 8/3 8/4 8/5 8/6 8/7 Total Rate Earned/Gross Hourly Payroll Net Wages Hours of Pay "Usual FICA Withholding Other Soc Sec#of Employee Address ax 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 chris Powell president 8/17/2022 - The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: —wall Avenue NE 8/1/2022 8/7/2022 "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. 'cl Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and lining 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 chris Powell president chris Powell MB 8/17/22 • F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and ,�r�. Project Name County Project or Contract# ��'ii it,°F Prime Contractor ❑ IndustriesL. :41 �. ip:- „.94., Duvall Avenue NE King GAG-20-065 Prevailing Wage Program <.Ijjji; ,��l i ) Subcontractor PO Box 44540 '',',',.. ^`Y Project Address Olympia WA 98504-4540 8nd ' Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 7/31/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions t= Work Classification Name 0 ~O o Mon Tue Wed Thu Fri Sat Sun Total u, Gross Amount and And E 7/25 7/26 7/27 7/28 7/29 7/30 7/31 Total Rate Earned/Gross Hourly Net Wages E i= Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Addressii) y Benefits" Tax 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 Chris Powell President 8/17/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ^ wall Avenue NE 7/25/2022 7/31/2022 "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. 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 Chris Powell President Chris Powell MB 8/17/22 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;,�s�ArF",� Project Name County Project or Contract# Prime Contractor ❑ Industries °c.:t! � f. Duvall Avenue NE King CAG-20-065 Prevailing Wage Program yi;ii#1. ,iiil Subcontractor LRJ PO Box 44540 °'�::: 5.v Project Address Olympia WA 98504-4540 y� '"�"aFinal Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 7/24/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions Work Classification Name E79 ~O o Mon Tue Wed Thu Fri Sat Sun Total Gross Amount and And E 7/18 7/19 7/20 7/21 7/22 7/23 7/24 Total Rate Earned/Gross Hourly Net Wages E i Hours of Pay "Usual Withholdingg w a, Payroll FICA Other Soc Sec#of Employee Address O o Hours Worked Each Day Benefits" Tax 0 1. Laborers RG 3.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 $52.39 $157.17 Clean-up Laborer Mike Curtiss (King) 804 Grinnell AVE $157.17/ SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $80.03 $0.00 $157.17 $0.00/hr $12.02 $2.90 $142.25 _ _ «• Orting,WA-98360- 9426 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1006.7 $0.00 2. Laborers RG 3.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 $52.39 $157.17 Clean-up Laborer Stanley Petrick (King) 22831 NE 74th St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.59 $0.00 $157.17/ $0.00/hr $12.02 $2.90 $142.25 Redmond,WA- $157.17 98053 $104.7 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8 $0.00 3. Laborers RG 3.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 $53.35 $160.05 Faller&Bucker Chain Saw Chris Powell Jr (King) 20429 SE 222nd St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $80.03 $0.00 $160.05/ $0.00/hr $12.24 $2.90 $144.91 Maple Valley,WA- $160.05 98038 - $106.7 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00 4. Laborers `/ J RG 3.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 $53.35 $160.05 J Faller&Bucker Chain Saw Jacen Renfrow (King) 24909 SE 232nd St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $80.03 $0.00 $160.05/ $0.00/hr $12.24 $2.90 $144.91 Maple Valley,WA- $160.05 98038 $106.7 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00 5. Laborers Nic Scroggins RG 3.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 $52.39 $157.17 6115 36th St SE $157.17/ $0.00/hr $12.02 $2.90 $142.25 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Clean-up Laborer Auburn,WA-98092 $157.17 (King) OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.59 $0.00 ********* DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $184.7 $0.00 6. Laborers RG 3.00 0.00 0.00 0.00 0.00 0.00 0.00 3.00 $52.39 $157.17 Clean-up Laborer Dylan Sergi (King) 12619 214th Ave Ct $157.17/ E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.59 $0.00 $157.17 $0.00/hr $12.02 $2.90 $142.25 * ***** Bonney Lake,WA- 98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $18 04.7 $0.00 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 CHRIS R POWELL President 7/28/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ^_wall Avenue NE 7/18/2022 7/24/2022 "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 1.Mike Curtiss Laborers Clean-up Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 2.Stanley Petrick '--5orers ;:an-up Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 3.Chris Powell Jr Laborers Faller&Bucker Chain Saw $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side 4.Jacen Renfrow Laborers Faller&Bucker Chain Saw $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 5.Nic Scroggins Laborers Clean-up Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) ' Dylan Sergi Laborers Clean-up Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side F 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. 'c ny 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 CHRIS R POWELL President CHRIS R POWELL , .\ MB 8/2/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �, ?+rE Project Name County Project or Contract# i'i.• ; :°F Prime Contractor El Industries ' "' `f• . Duvall Avenue NE King CAG-20-065 Prevailing Wage Program �.jiili r'`I(�; Subcontractor PO Box 44540 °,� Key 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 7/17/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions p Work Classification Name c7 ~O o Mon Tue Wed Thu Fri Sat Sun Total Gross Amount a� E 7/11 7/12 7/13 7/14 7/15 7/16 7/17 Total Rate Hourly and And 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 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 chris powell president 8/17/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ivall Avenue NE 7/11/2022 7/17/2022 "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. 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 chris powell president chris powell MB 8/17/22 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'^,i�F Prime Contractor ❑ Project Name County Project or Contract# Industries =3 4. Er- , i„ Duvall Avenue NE King CAG-20-065 Prevailing Wage Program Id, "= Subcontractor PO Box 44540 "'/:;' , )y` Project Address Olympia WA 98504-4540 H ""d Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON, CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 7/10/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions H= Work Classification Name C7 b o Mon Tue Wed Thu Fri Sat Sun Total 11 O a) Gross Amount and And E 7/4 7/5 7/6 7/7 7/8 7/9 7/10 Total Rate Earned/Gross Hourly Net Wages E Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address 0 y Benefits" Tax l 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 Chris Powell President 8/17/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: vall Avenue NE 7/4/2022 7/10/2022 "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. irl 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 Chris Powell President Chris Powell • MB 8/17/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side r Certified Payroll Report Department of Labor and ;, �rF:, 1 Project Name County Project or Contract# ,$..: ,! :�:F Prime Contractor ❑ Industries Duvall Avenue NE King CAG-20-065 Prevailing Wage Program VP!, e'IV Subcontractor ❑x PO Box 44540 4,;;I. y Project Address Olympia WA 98504-4540 ti� '"""' Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 7/3/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions I-- Work Classification Name C7 ~O o Mon Tue Wed Thu Fri Sat Sun Total a) Gross Amount and And m E 6/27 6/28 6/29 6/30 7/1 7/2 7/3 Total Rate Earned/Gross Hourly Net Wages f a Hours of Pay Payroll "Usual FICA Withholding holding Other Soc Sec#of Employee Address ay' o - Benefits" Tax O M 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 Chris Powell President 8/17/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ^.ivall Avenue NE 6/27/2022 7/3/2022 "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 a,. 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 lining 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 Chris Powell President Chris Powell MB 8/17/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �,s �rf. Project Name County Project or Contract# ,.:i t ::`'F Prime Contractor ❑ Industries _� _. f. ems•' - :yr Duvall Avenue NE King CAG-20-065 WageProgram ,Ilj}'l, I . Subcontractor IX Prevailing � ,� ,_ `''a' �,` Project Address PO Box 44540 °�ti'� w`,y Olympia WA 98504-4540 ` '��" Final Week of (360) 902-5335 Payroll 0 Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 6/26/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions p Work Classification Name C9 ~O 9- Mon Tue Wed Thu Fri Sat Sun Total a) Gross Amount and And a� E 6/20 6/21 6/22 6/23 6/24 6/25 6/26 Total Rate Earned/Gross Hourly Net Wages E Hours of Pay "Usual FICA Withholding Other Soc Sec#of Employee Address C) 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 Chris Powell President 8/17/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: "wall Avenue NE 6/20/2022 6/26/2022 "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 Certified Payroll Report Department of Labor and ` 14rf: Project Name County Project or Contract# ,, '. .i,i °F Prime Contractor ❑ Industries 'i'• 4. Duvall Avenue NE King CAG-20-065 Prevailing Wage Program AIlii€t 410 Subcontractor ❑x PO Box 44540 4..q: ,y Project Address Olympia WA 98504-4540 y '" 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 6/19/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions p Work Classification Name (7 ~▪ O o Mon Tue Wed Thu Fri Sat Sun Total a) Gross Amount and And ai E 6/13 6/14 6/15 6/16 6/17 6/18 6/19 Total Rate Earned/Gross Hourly Net Wages E Hours of Pay "Usual FICA Withholding Other Soc Sec#of Employee Address m - Payroll Benefits" Tax ▪ 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 Chris Powell President 8/17/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ivall Avenue NE 6/13/2022 6/19/2022 "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. ( Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and lining 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 Chris Powell President Chris Powell MB 8/17/22 • F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �� sT�rk•o� Project Name County Project or Contract# .... Prime Contractor ❑ Industries �:i! f o:: ::: Duvall Avenue NE King CAG 20 065 Prevailing Wage Program 1'.. Subcontractor PO Box 44540 �,�� ,�` Fyn Project Address Olympia WA 98504-4540 y� �e"w Final Week of (360) 902-5335 Payroll Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 6/12/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions p Work Classification Name C7 ~ Mon Tue Wed Thu Fri Sat Sun Total cc O a, Gross Amount and And . E 6/6 6/7 6/8 6/9 6/10 6/11 6/12 Total Rate Earned/Gross Hourly Net Wages m E H Hours of Pay "Usual FICA Withholding Other Soc Sec#of Employee Address m > Payroll Benefits" Tax ce 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 Chris Powell President 8/16/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ivall Avenue NE 6/6/2022 6/12/2022 "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. «>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 Chris Powell President Chris Powell MB 8/17/22 • F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and CAPE Project Name County Project or Contract# 4z; it+it°F Prime Contractor ElIndustries l! ;!L* =;»:- .,:1,r,,, Duvall Avenue NE King CAG-20-065 Prevailing Wage Program ;y lifllz' oily Subcontractor IZ PO Box 44540 ,,.. '•',�, 1 ,• 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 6/5/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions P Work Classification Name C7 ~O o Mon Tue Wed Thu Fri Sat Sun Total Gross Amount and And 5/30 5/31 6/1 6/2 6/3 6/4 6/5 Total Rate Hourly Hours of Pay Earned/Gross "Usual Withholding Net Wages �, Payroll FICA Other Soc Sec#of Employee Address Cn 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 CHRIS R POWELL President 6/6/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ^ ivall Avenue NE 5/30/2022 6/5/2022 "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. ny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and r 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 CHRIS R POWELL President CHRIS R POWELL l J M B.6/6/22 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,sTArF Project Name County Project or Contract# 4.?.!, ,iii', Prime Contractor ❑ Industries 4. �::_i: - .;r!==;'„ Duvall Avenue NE King CAG-20-065 Prevailing Wage Program Nil. ,;rlj'; Subcontractor IXJ PO Box 44540 °:z.' �', 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 5/29/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions IL- Work Classification Name (. ~O -- Mon Tue Wed Thu Fri Sat Sun Total ix au Gross Amount and And E 5/23 5/24 5/25 5/26 5/27 5/28 5/29 Total Rate Earned/Gross Hourly Net Wages m E i Hours of Pay Net FICA Withholding• Other Soc Sec#of Employee Address c > - Payroll Benefits" Tax ( 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 Chris Powell President 6/6/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ^wall Avenue NE 5/23/2022 5/29/2022 "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. r`, ny 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 Chris Powell President Chris Powell • MB 6/6/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and Project Name County Project or Contract# t • °, Prime Contractor ❑ Industries f. 3:i==.: •r Duvall Avenue NE King CAG-20-065 Prevailing Wage Program _':;:; : ' Subcontractor PO Box 44540 ""� �y Project Address Olympia WA 98504-4540 �y� '"Kd Final Week of (360) 902-5335 Payroll Z Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 5/22/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions _ _ Work Classification Name c9 ~O o Mon Tue Wed Thu Fri Sat Sun AmountTotal Gross and And — E 5/16 5/17 5/18 5/19 5/20 5/21 5/22 Total Rate mHourly E Hours of Pay Earned/Gross "Usual Withholding Net Wages r a) Payroll FICA 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 Chris Powell President 5/25/2022 The party signing this report pays or (Name of contractor or subcontractor) • supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ^ vall Avenue NE 5/16/2022 5/22/2022 i "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. ,Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ping 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 Chris Powell President Chris Powell MB 5/24/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and ,,rf Project Name County Project or Contract# a'f' •, °F Prime Contractor CIt, , Industries iit ��i:;;. - :,'::,;;. Duvall Avenue NE King CAG-20-065 Prevailing Wage Program iiiiii. ;:ilil , Subcontractor X PO Box 44540 , Project Address Olympia WA 98504-4540 yy� """'" Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 5/15/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions p Work Classification Name C5 ~O o Mon Tue Wed Thu Fri Sat Sun Total a) Gross Amount and And a� E 5/9 5/10 5/11 5/12 5/13 5/14 5/15 Total Rate Earned/Gross Hourly Net Wages E Hours of Pay "Usual FICA Withholding Other m Payroll Benefits" Tax Soc Sec#of Employee Address O o Hours Worked Each Day 0 1. Laborers RG 5.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 $52.39 $261.95 Clean-up Laborer Mike Curtiss (King) 804 Grinnell AVE $261.95/ SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $80.03 $0.00 $261.95 $0.00/hr $20.04 $4.83 $237.08 Orting,WA-98360- 9426 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $106 7 $0.00.0 2. Laborers RG 5.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 $52.39 $261.95 Clean-up Laborer Stanley Petrick ./ (King) 22831 NE 74th St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.59 $0.00 $261.95/ $0.00/hr $20.04 $4.83 $237.08 Redmond,WA- $261.95 * ** 98053 I $104.7 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8 $0.00 s. Laborers RG 5.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 $53.35 $266.75 Faller&Bucker Chain Saw Chris Powell Jr (King) 20429 SE 222nd St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $80.03 $0.00 $266.75/ $0.00/hr $20.40 $4.83 $241.52 Maple Valley,WA- $266.75 98038 $106.7 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00 4. Laborers RG 5.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 $53.35 $266.75 Faller&Bucker Chain Saw Jacen Renfrow (King) 24909 SE 232nd St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $80.03 $0.00 $266.75/ $0.00/hr $20.40 $4.83 $241.52 * ** Maple Valley,WA- $266.75 98038 $106.7 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00 5. Laborers Nic Scroggins RG 5.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 $52.39 $261.95 6115 36th St SE $261.95/ $0.00/hr $20.04 $4.83 $237.08 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Clean-up Laborer Auburn,WA-98092 $261.95 (King) OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.59 $0.00 ****** DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1$4'7 $0.00 6. Laborers RG 5.00 0.00 0.00 0.00 0.00 0.00 0.00 5.00 $52.39 $261.95 Clean-up Laborer Dylan Sergi (King) 12619 214th Ave Ct $261.95/ E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.59 $0.00 $261.95 $0.00/hr $20.04 $4.83 $237.08 _ _ ** Bonney Lake,WA- 98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $104.78 $0.00 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 Chris Powell President 6/1/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ^ -rail Avenue NE 5/9/2022 5/15/2022 "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 1.Mike Curtiss Laborers Clean-up Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 2.Stanley Petrick '--`borers ,an-up Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 3.Chris Powell Jr Laborers Faller&Bucker Chain Saw $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side 4.Jacen Renfrow Laborers Faller&Bucker Chain Saw $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 5.Nic Scroggins Laborers Clean-up Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) Dylan Sergi Laborers Clean-up Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (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 Jning 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 Chris Powell President Chris Powell Amended Reason I missed a step in completing the gross and net wages , MB 6/14/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and i,',lt%P Project Name County Project or Contract# �a Industries 4 :::. ,y Prime Contractor ❑ ;;=i: r111 r Duvall Avenue NE King CAG-20-065 Prevailing Wage Program 1'iij,; ,41111^ Subcontractor PO Box 44540 d., •,� �y Project Address Olympia WA 98504-4540 y� '"d°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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 5/8/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions p Work Classification Name C7 ~ o Mon Tue Wed Thu Fri Sat Sun Total cC O a) Gross Amount and And m E 5/2 5/3 5/4 5/5 5/6 5/7 5/8 Total Rate Earned!Gross Hourly Net Wages Hours of Pay Payroll 'Usual FICA Wit holding Other Soc Sec#of Employee Address al > Benefits" Tax CC O 0 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 CHRIS R POWELL president 5/17/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: wall Avenue NE 5/2/2022 5/8/2022 "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 pining 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 CHRIS R POWELL president CHRIS R POWELL MB 5/20/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �,S7Arf'� Project Name County Project or Contract# ?..ii• ;•� Prime Contractor ❑ Industries ;;=i f. Prevailing Wage Program t ``i= Duvall Avenue NE King CAG-20-065 PO Box 44540 ...4 ••ac Subcontractor Z Project Address Olympia WA 98504-4540 y� '""a� Final Week of (360)902-5335 Payroll Z Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 4/9/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions H Work Classification Name a ~O o Sun Mon Tue Wed Thu Fri Sat Total a) Gross mount E E 4/3 4/4 4/5 4/6 4/7 4/8 4/9 Total Rate A Hourly and And Earned/Gross Net Wages H Hours of Pay "Usual FICA Withholding Other Soc Sec#of Employee Address cc 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 Chris Powell President 4/14/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ^.-tall Avenue NE 4/3/2022 4/9/2022 "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. —c-4ny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and Wing 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 Chris Powell President Chris Powell MB 4/18/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �,sT�rt:G Project Name County Project or Contract# A?..�_ •t:.� Prime Contractor ❑ Industries r Duvall Avenue NE King CAG-20-065 :" ',.._ " Prevailing Wage Program <, .;,. w.,= . ••;;,•� Subcontractor LRJ PO Box 44540 `•4r Project Address Olympia WA 98504-4540 y� '"�°''''Cs Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 4/2/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions H Work Classification Name c7 ~O o Sun Mon Tue Wed Thu Fri Sat Total and And Gross Amount a� E 3/27.3/28 3/29 3/30 3/31 4/1 4/2 Total Rate Hourly m E i Hours of Pay Earned/Gross °Usual Withholding Net Wages r m Payroll FICA Other Soc Sec#of Employee Address cc 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 Chris Powell President 4/14/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: ^"vall Avenue NE 3/27/2022 4/2/2022 "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;,r, 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 Chris Powell President Chris Powell MB 4/18/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side • Certified Payroll Report Department of Labor and •sa4a "r`_o, Prime Contractor ❑ Project Name County Project or Contract# Industries ::si: li f. '. s r Duvall Avenue NE King CAG-20-065 Prevailing Wage Program =iiht i: i= Subcontractor PO Box 44540 VIM' • Project Address "' .: • y i ` Olympia WA 98504-4540 yy • 'xaa 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 3/26/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions H Work Classification Name 6 ~O o Sun Mon Tue Wed Thu Fri Sat Total Gross Amount 7 a> E 3/20 3/21 3/22 3/23 3/24 3/25 3/26 Total Rate Hourly and And m E i= Hours of Pa Earned/Gross "Usual Withholding Net Wages - "-E a, y Payroll FICA Tax Other Soc Sec#of Employee Address iY 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 Chris Powell President 4/14/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: iiuvall Avenue NE 3/20/2022 3/26/2022 "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. irs 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 Chris Powell President Chris Powell • MB 4/18/22 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`:s7nrf�F Project Name County Project or Contract# Prime Contractor ❑ Industries :E E Duvall Avenue NE King CAG 20 065 Prevailing Wage Program k;;;;, ;: � Subcontractor PO Box 44540 ",��°: • , Project Address Olympia WA 98504-4540 y� '& °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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 3/19/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions Work Classification Name & ~O o Sun Mon Tue Wed Thu Fri Sat Total re and And Gross Amount a� E 3/13 3/14 3/15 3/16 3/17 3/18 3/19 Total Rate Hourly 03 E i= Hours of Pay Earned/Gross "Usual Withholding Net Wages f a) Payroll FICA Other Soc Sec#of Employee Address CD o o Hours Worked Each Day 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 Chris Powell President 4/14/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: 'veil Avenue NE 3/13/2022 3/19/2022 "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. ! >„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 Chris Powell President Chris Powell MB 4/18/22 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,5T+/E. Project Name County Project or Contract# A.::! Prime Contractor Industries 4i 4. ���!' i!!.�, Duvall Avenue NE King CAG-20-065 Prevailing Wage Program -R!N!• . -?!!' Subcontractor ! PO Box 44540 f,0,- goy" 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 3/12/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions p Work Classification Name C7 ~O 9 Sun Mon Tue Wed Thu Fri Sat Total Gross Amount and And E 3/6 3/7 3/8 3/9 3/10 3/11 3/12 Total Rate Earned/Gross Hourly Net Wages `m E Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address - O> 8 Hours Worked Each Day Benefits" Tax 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 CHRIS POWELL President 3/18/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 3/6/2022 3/12/2022 "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 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 CHRIS POWELL President CHRIS POWELL M B 3/18/22 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 - r Project Name County Project or Contract# .,?:1. q.:°- Prime Contractor Industries 4.: s. Prevailing Wage Program I" . \'llk i',= Duvall Avenue NE King CAG-20-065 PO Box 44540 - , Ly Subcontractor ! Project Address Olympia WA 98504-4540 y1 "�a 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 3/5/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions ip , Work Classification Name c� p ° Sun Mon Tue Wed Thu Fri Sat Total m Gross Amount a, E 2/27 2/28 3/1 3/2 3/3 3/4 3/5 Total Rate Hourly and And E i= _ Hours of Pay Earned/Gross "Usual Withholding Net Wages Soc Sec#of Employee Address v > a Payroll Benefits" FICA Tax Other cc O 8 Hours Worked Each Day 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 CHRIS POWELL President 3/18/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 2/27/2022 3/5/2022 "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 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 CHRIS POWELL President CHRIS POWELL MB 3/18/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and ,ttn'I k , Project Name County Project or Contract# Industries �i `.;,'- Prime Contractor ,, ., •f' ::�l �; Duvall Avenue NE King CAG-20-065 Prevailing Wage Program .a ,r , Subcontractor ! PO Box 44540 1;fir , 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 2/26/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions Work Classification Name C9 ~O •o Sun Mon Tue Wed Thu Fri Sat Total Gross Amount and And — EE 2/20 2/21 2/22 2/23 2/24 2/25 2/26 Total Rate Hourly F= Hours of PayEarned/Gross "Usual WithholdingNet Wages a) Payroll FICA Other Soc Sec#of Employee Address tr O> 8 Hours Worked Each Day Benefits" Tax 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 CHRIS POWELL President 3/18/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 2/20/2022 2/26/2022 "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 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 CHRIS POWELL President CHRIS POWELL M B 3/18/22 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� 57AT`;r` Project Name County Project or Contract# Industries Prime Contractor ❑ _:• t.;itt r, Duvall Avenue NE King CAG-20-065 Prevailing Wage Program I s y, ,11lli^`( 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 PnD Logging&Tree Service (425)432-7636 Month Day Year Awarding Agency Address Address City State Zip+4 2/19/2022 1055 S GRADY WAY RENTON,WA-98055 PO Box 529 MAPLE VALLEY WA 98038 Day and Date Deductions H Work Classification Name c9 ~O - Sun Mon Tue Wed Thu Fri Sat Total Gross Amount and And a� E 2/13 2/14 2/15 2/16 2/17 2/18 2/19 Total RateHourly f0 E i= Hours of PayEarned/Gross "Usual WithholdingNet Wages r a) Payroll FICA Other Soc Sec#of Employee Address o o Hours Worked Each Day Benefits" Tax 0 J J 1. Laborers 7335 $186 3.50 $53 0.00 3.50 0.00 0.00 0.00 0.00 . . Faller&Bucker Chain Saw Mike Curtiss RG 0.00J (King) 804 Grinnell AVE $186.73/ SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $80.03 $0.00 $186.73 $0.00/hr $0.00 $0.00 $186.73 * _ _ ** Orting,WA-98360- 9426 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $106.7 $0. 2. Laborers RG 0.00 0.00 0.00 0.00 0.00 3.50 0.00 3.50 $52.39 $183.37 Clean-up Laborer Bernardo Garita- (King) J (King) Ramirez $183.37/ 1418 Kirkland Ave OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.59 $0.00 $183.37 $0.00/hr $0.00 $0.00 $183.37 NE Renton,WA-98056 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1J7 $0. 3. Laborers RG 0.00 0.00 0.00 0.00 0.00 2.45 0.00 2.45 $52.39 $128.36 Clean-up Laborer Cody Giustetti J (King) 181 Upland Road $128.36/ Cle Elum,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $80.03 $0.00 $128.36 $0.00/hr $0.00 $0.00 $128.36 * ** 98922 $106.7 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 „, $O.O/p 4. Laborers 2. v J RG 0.00 0.00 0.00 0.00 0.00 3.50 0.00 3.50 $52.39 $183.37 Clean-up Laborer Stanley Petrick (King) 22831 NE 74th St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.59 $0.00 $183.37/ $0.00/hr $0.00 $0.00 $183.37 ********* Redmond,WA- $183.37 98053 $104.7 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0/ $0° 5. Laborers Jacen Renfrow J RG 0.00 0.00 0.00 0.00 0.00 3.50 0.00 3.50 $53.35 $186.73 24909 SE 232nd St $186.73/ $0.00/hr $0.00 $0.00 $186.73 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Faller&Bucker Chain Saw Maple Valley,WA- $186.73 (King) 98038 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $80.03 $0.00 *** ** DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $106;7 $01) 6. Laborers RG 0.00 0.00 0.00 0.00 0.00 3.50 0.00 3.50 $52.39 $183.37 Clean-up Laborer Dylan Sergi \/ (King) 12619 214th Ave Ct $183.371 E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.59 $0.00 $0.00/hr $0.00 $0.00 $183.37 ** Bonney Lake,WA- $183.37 98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1$4.7 $0.00 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 Chris Powell President 2/23/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons PnD Logging&Tree Service employed by: Project Name: For the week starting: For the week ending: r'.eall Avenue NE 2/13/2022 2/19/2022 "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 1.Mike Curtiss Laborers Faller&Bucker Chain Saw $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 2.Bernardo Garita-Ramirez '-,borers )an-up Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 3.Cody Giustetti Laborers Clean-up Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) - • F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side 4.Stanley Petrick Laborers Clean-up Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 5.Jacen Renfrow Laborers Faller&Bucker Chain Saw $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) Dylan Sergi Laborers Clean-up Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (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 filliErly apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and W9Trig 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 Chris Powell President Chris Powell MB 3/1/22 • F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification'on Reverse Side