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Home My WebLink AboutCAG-20-065 - Duvall - Subcontractor Stripe Rite 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 Document Received Intent ID: Affidavit ID: Status: Approved On Date: 8/24/2021 1171675 8/24/2021 Company Details Company Name: STRIPE RITE INC Address: 1813 137TH AVE E SUMNER, WA, 98390 Contractor Registration No. STRIPRI121JM WA UBI Number 601048084 Phone Number 253-833-0484 Industrial Insurance Account ID 47718201 OMWBE Certifications as of 8/24/2021 No active certifications existed when Intent was submitted Email Address melissa@striperite.com Filed By Melissa Leger Prime Contractor Company Name REED TRUCKING &t EXCAVATING INC Contractor Registration No. REEDTEI016JW WA UBI Number 601915034 Phone Number 253-841-4837 Project Information Awarding Agency RENTON, CITY OF 1055 S GRADY WAY RENTON, WA- 98055 Awarding Agency Contact Flora Lee Awarding Agency Contact Phone Number 425-430-7303 Contract Number CAG-20-065 Project Name Duvall Avenue NE Project Description This project includes but is not limited to: excavation; grading; removal of pavement; plaining pavement; paving with asphalt, curb and gutter; drainage; illumination; HAWK signal; sidewalk; walls; adjustments to utility frames, grates, and covers; property restoration; and other work. Contract Amount $5,218,171.95 Contract Type Description Bid-Build (Traditional) Bid due date 6/22/2021 Award Date 7/21/2021 Project Site Address or Directions Hiring Contractor Company Name REED TRUCKING Et EXCAVATING INC Contractor Registration No. REEDTEI016JW WA UBI Number 601915034 Payment Details Check Number: Transaction Id: 108240220 Intent Details Expected project start date: (MM/DD/YYYY) 9/24/2021 In what county (or counties) will the work be King performed? In what city (or nearest city) will the work be Renton performed? What is the estimated contract amount? OR is $42,778.60 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? V S' Do you intend to use any apprentices? No (Apprentices are considered employees.) How many owner/operators performing work on 0 the project own 30% or more of the company? Journey Level Wages County Trade Occupation Wage Fringe # Workers King Traffic Control Stripers Journey Level $36.23 $12.90 2 Public Notes o Show/Hide Existing Notes No note exists. —12/141Z6,2:46 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: 1269629 Status: Approved on 12/13/2023 12/13/2023 1171675 Company Details Name STRIPE RITE INC Address 1813 137TH AVE E SUMNER,WA,98390 WA UBI no. 601048084 Contractor Registration no. STRIPRI121JM Industrial Insurance Account Id 47718201 OMWBE Certifications as of 8/24/2021 No active certifications existed when Intent was submitted Email Address Michelle@striperite.com Filed By Sweet, Michelle Prime Contractor Prime contractor name REED TRUCKING a EXCAVATING INC about:blank 1/4 12/14/23,2:46 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: $ 59,411 .52 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: 109728326 Project Details County where work was performed King abo�&Iank 9/A `12/14)16,2:46 PM about:blank City where work was performed Renton Prime contractor Intent form Id# for this project 1170257 Intent filed date 8/24/2021 Job start date:MM-DD-YYYY 11/21/2022 Date work completed:MM-DD-YYYY 5/16/2023 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 Traffic Control Stripers Journey Level 39.00 12.90 7 155.50 King Traffic Control Stripers Journey Level 42.00 12.90 2 38.00 King Traffic Control Stripers Journey Level 39.40 12.50 4 41.00 King Traffic Control Stripers Journey Level 42.40 12.50 1 15.50 Apprentice Wages about:blank 3/4 12/14/23,2:46 PM about:blank Public Notes o Show/Hide Existing Notes No note exists _,--al1n1'1441a nk A/A r Certified Payroll Report Department of Labor and t,srArF Project Name County Project or Contract# Industries ,`'•_ ' '- Prime Contractor ❑ ?! 4 Prevailing Wage Program 's=�. :`cFy Duvall Avenue NE King CAG 20 065 _ ; Subcontractor PO Box 44540 ,i p.ir `"y, Project Address IIIOlympia 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 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 5/21/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions i= Work Classification Name ct 0 o Mon Tue Wed Thu Fri Sat Sun Total m Gross Amount and And a) E 5/15 5/16 5/17 5/18 5/19 5/20 5/21 Total Rate Earned/Gross Hourly Net Wages m E i= Hours of Pay "Usual FICA Withholding Other Soc Sec#of Employee Address aiii w a Payroll Benefits" Tax iy O o Hours Worked Each Day 0 1. Traffic Control Stripers Workers' RG 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 $39.40 $315.20 Journey Level Rich Cochran v v/ / I Compensation: (King) 6022 189th Ave E 3 40/ v $2.20 $43 Painter-Striper Sumner,WA- OT 2.00 0.00 0.00 0.00 0.00 0.00 0.00 2.00 $59.10 $118.20 $433.40 $12.50/hr $33.16 $23.00 $375.04 98390 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.80 $0.00 2. Traffic Control Stripers Workers' RG 8.00 5.50 0.00 0.00 0.00 0.00 0.00 13.50 $42.40 $572.40 Journey Level Jeff Enera _ Compensation: (King) 17601 110th Ave Ct $699.60/ $3.40 Painter-Striper Bonney Lake,WA- OT 2.00 0.00 0.00 0.00 0.00 0.00 0.00 2.00 $63.60 $127.20 $699.60 $12.50/hr $53.52 $34.00 $608.68 98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $84.80 $0.00 3. i raffic Control Stripers Workers' RG 0.00 5.50 0.00 0.00 0.00 0.00 0.00 5.50 $39.40 $216.70 Journey Level Alexander Gentzler Compensation: (King) 1715 74th Ave E $216 70/ $1.21 Painter-Striper Apt D202 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $59.10 $0.00 $216 70 $12.50/hr $16.58 $0.00 $198.91 Tacoma,WA- _ _ •• 98404 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.80 $0.00 4. Traffic Control Stripers Workers' RG 8.00 5.50 0.00 0.00 0.00 0.00 0.00 13.50 $39.40 $531.90 Journey Level Dalton Glidden Compensation: (King) 20011 156th St E $650.10/ $3.40 Painter-Striper Bonney Lake,WA- OT 2.00 0.00 0.00 0.00 0.00 0.00 0.00 2.00 $59.10 $118.20 $650.10 $12.50/hr $49.73 $45.00 $551.97 98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.80 $0.00 5. Traffic Control Stripers Kyle Wilhoyte RG 8.00 0.00 0.00 0.00 0.00 0.00 0.00 8.00 $39.40 $315.20 Workers' 30532 134th Ave $433.40/ $12.50/hr $33.16 $0.00 Compensation: $398.04 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side SE Journey Level Auburn,WA-98902 OT 2.00 0.00 0.00 0.00 0.00 0.00 0.00 2.00 $59.10 $118.20 $433.40 $2.20 (King) Painter-Striper DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.80 $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 Michelle Sweet Contract Administrator 5/24/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: ^.^gall Avenue NE 5/15/2023 5/21/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly ' (E)Approved (F) Other "Usual Pension Medical - Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F 1.Rich Cochran Traffic Control Stripers Journey Level $12.50 J $7.00 $5.50 $0.00 $0.00 $0.00 (King) 2.Jeff Enera Tneffic Control Stripers rney Level $12.50 $7.00 $5.50 $0.00 $0.00 $0.00 (King) 3.Alexander Gentzler Traffic Control Stripers Journey Level $12.50 $7.00 $5.50 $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.Dalton Glidden Traffic Control Stripers Journey Level $12.50 $7.00 $5.50 $0.00 $0.00 $0.00 (King) 5.Kyle Wilhoyte Traffic Control Stripers Journey Level $12.50 $7.00 $5.50 $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. cg)-4ny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and )ing Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Michelle Sweet Contract Administrator Michelle Sweet i MB 5/30/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �F,s,.Arf Project Name County Project or Contract# , ._.,< «<il: Prime Contractor ElIndustries 4 ;'• "s ri:C Y Duvall Avenue NE King CAG-20-065 Prevailing Wage Program 7%., 1i, as :, 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 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 5/14/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 - Day and Date Deductions Work Classification Name cc O~ o Mon Tue Wed Thu Fri Sat Sun Total a� Gross Amount and And a) E 5/8 5/9 5/10 5/11 5/12 5/13 5/14 Total Rate Earned/Gross Hourly Net Wages E i= Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address a°'i z y Benefits" Tax o 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 Michelle Sweet Contract Administrator 5/24/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 5/8/2023 5/14/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. (F\-o.ny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and Sing 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 Michelle Sweet Contract Administrator Michelle Sweet MB 5/30/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �a,,sTA.t: Project Name County Project or Contract# Industries 4 ts• 1', Prime Contractor El Prevailing Wage Program ;;, r; Duvall Avenue NE King CAG 20 065 PO Box 44540 "k°�' °'t`ia,� Subcontractor ® 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 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 5/7/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions 1---- Work Classification Name c9 ~O o Mon Tue Wed Thu Fri Sat Sun Total Gross Amount and And a) E 5/1 5/2 5/3 5/4 5/5 5/6 5/7 Total Rate Earned/Gross Hourly Net Wages E i= Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address m a) y 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 Michelle Sweet Contract Administrator 5/24/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 5/1/2023 5/7/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced projects) 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. V-o,ny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ing Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name,of party signing this report Title Signature Michelle Sweet Contract Administrator Michelle Sweet MB 5/30/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and t, T�TF Project Name County Project or Contract# _� ;" `4 s Prime Contractor ❑ IndustriesWage Program _'air, tp.,, Duvall Avenue NE King CAG-20-065 Prevailing 9 :, ; : r Subcontractor El PO Box 44540 ';.;f.� 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 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 4/30/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions p Work Classification Name a O~ o Mon Tue Wed Thu Fri Sat Sun Gross Amount Total and And a> E 4/24 4/25 4/26 4/27 4/28 4/29 4/30 Total Rate Earned/Gross Hourly Net Wages E i= Hours of Pay "Usual FICA Withholding Other Soc Sec#of Employee Address a) -0 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 Michelle Sweet Contract Administrator 5/24/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 4/24/2023 4/30/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly I (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side 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&_o,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 Michelle Sweet Contract Administrator Michelle Sweet MB 5/30/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �t,=-'A« F Project Name County Project or Contract# �._. Prime Contractor ❑ Industries �!_. t=x y CAG-20-065 •'•••• Duvall Avenue NE King Prevailing Wage Program `=i =�===F <..�,�:, �� Subcontractor El PO Box 44540 .,"�' ,`,y Project Address Olympia WA 98504-4540 H41 `""° Final Week of (360) 902-5335 Payroll LI Awarding Agency Name Phone Company Name Phone FOr the week ending: RENTON,CITY OF (425)430-7303 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 4/23/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions Work Classification Name c9 ~O o Mon Tue Wed Thu Fri Sat Sun Total Gross Amount and And - a) E 4/17 4/18 4/19 4/20 4/21 4/22 4/23 Total Rate Hourly Net Wages Earned/Gross Withholding g m E Hours of Pay Payroll "Usual FICA Other Soc Sec#of Employee Address m a y 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 Michelle Sweet Contract Administrator 5/3/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 4/17/2023 4/23/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: , (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. (S'Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and 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 Michelle Sweet Contract Administrator Michelle Sweet MB 5/9/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and F,�T�rF Project Name County Project or Contract# ,4.« « ,. Prime Contractor ❑ Industries 4 Ali _ y Prevailing Wage Program j =._ ':ni Duvall Avenue NE King CAG 20 065 El PO Box 44540 °ii' `"� '? Subcontractor ,y � Project Address Olympia WA 98504-4540 '"N" Final Week of (360) 902-5335 Payroll E Awarding Agency Name Phone Company Name Phone FOr the week ending: RENTON,CITY OF (425)430-7303 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 4/16/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions Work Classification Name 0 ~O om Mon Tue Wed Thu Fri Sat Sun Total Gross Amount and And o E 4/10 4/11 4/12 4/13 4/14 4/15 4/16 Total Rate Earned/Gross Hourly Net Wages f m Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address aci Benefits" Tax > 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 Michelle Sweet Contract Administrator 5/3/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 4/10/2023 4/16/2023 "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. -iny 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 Michelle Sweet Contract Administrator Michelle Sweet MB 5/9/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and a1,STnre Project Name County Project or Contract# .... Prime Contractor ❑ Industries 4 i _i y. r Duvall Avenue NE King CAG-20-065 Prevailing Wage Program , _: __ __ i . ; :N^ Subcontractor PO Box 44540 4..h v Project Address Olympia WA 98504-4540 y` `hAy 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 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 4/9/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions H= Work Classification Name c9 ~O o Mon Tue Wed Thu Fri Sat Sun Total ap E 4/3 4/4 4/5 4/6 4/7 4/8 4/9 Total Rate Hourly and And a) i Earned/Gross Gross Amount Net Wages co E Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address y a) z y Benefits" Tax n' 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 Michelle Sweet Contract Administrator 4/11/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: vall Avenue NE 4/3/2023 4/9/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. (5)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ding 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 Michelle Sweet Contract Administrator Michelle Sweet MB 4/12/23 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,,,,TAT;, Project Name County Project or Contract# ?...� •�_':*4. Prime Contractor ❑ Industries 4 e":': _: .y Duvall Avenue NE King CAG-20-065 Prevailing Wage Program = .„: ..:.._= Subcontractor ►_ PO Box 44540 ',l," Project Address Olympia WA 98504-4540 y, `""u" Final Week of (360)902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 4/2/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions Work Classification Name a 0 o Mon Tue Wed Thu Fri Sat Sun Total a� Gross Amount and And N E 3/27 3/28 3/29 3/30 3/31 4/1 4/2 Total Rate Earned/Gross Hourly Net Wages E Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address a) a' a y Benefits" Tax ry O o 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 Michelle Sweet Contract Administrator 4/11/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: wall Avenue NE 3/27/2023 4/2/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker,laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either.directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. (5)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and 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 Michelle Sweet Contract Administrator Michelle Sweet MB 4/12/23 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 <�"jrf Project Name County Project or Contract# ?:__il:2, ,, Prime Contractor ❑ Industries 4dir == t Prevailing Wage Program �.ai:. ,i:=s�=" Duvall Avenue NE King CAG-20-065 PO Box 44540 11 IN.. Subcontractor IN ii Project Address Olympia WA 98504-4540 yf�`'""° Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 3/26/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions Work Classification Name (1 ~O 2-1 Mon Tue Wed Thu Fri Sat Sun Total a)E 3/20 3/21 3/22 3/23 3/24 3/25 3/26 Total Rate Gross Amount Hourly and And LE a= E Earned/Gross Net Wages pp Hours of Pay "Usual FICA Withholding Other Soc Sec#of Employee Address m > 7 Payroll Benefits" Tax ce O 3 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 Michelle Sweet Contract Administrator 4/11/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: ^-vall Avenue NE 3/20/2023 3/26/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. (5)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and '+ iing 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 Michelle Sweet Contract Administrator Michelle Sweet MB 4/12/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �, ,.�Tf Project Name County Project or Contract# Industries � _dii" '`'�:-, Prime Contractor ❑ Prevailing Wage Program :`a;. „�sr_ Duvall Avenue NE King CAG-20-065 E:ii: f ^ Subcontractor El PO Box 44540 '.?;f, 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 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 3/19/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions p Work Classification Name ~ 9- Mon Tue Wed Thu Fri Sat Sun Total o a) Gross Amount and And a) E 3/13 3/14 3/15 3/16 3/17 3/18 3/19 Total Rate Earned/Gco E ross Hourly Net Wages f m Hours of Pay Payroll "Usual FICA Withholding Tax Other Soc Sec#of Employee Address a�'i• > 3 Benefits" 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 Michelle Sweet Contract Administrator 4/11/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: r,. vall Avenue NE 3/13/2023 3/19/2023 "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. r5)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the.Washington State Apprenticeship and ding 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 Michelle Sweet Contract Administrator Michelle Sweet MB 4/12/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and a4,STATF• Project Name County Project or Contract# Industries 4 4 Prime Contractor ❑ o�„• 7 Duvall Avenue NE King CAG-20-065 Prevailing Wage Program 4 ::,. Subcontractor ► PO Box 44540 wrf .-4 •y51• Project Address Olympia WA 98504-4540 y` '�e°ao Final Week of (360)902-5335 Payroll ❑ • Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 3/12/2023 1055 S GRADY WAY RENTON,WA-98055 11813 137TH AVE E SUMNER WA 98390 Day and Date Deductions Work Classification Name a o~ Mon Tue Wed Thu Fri Sat Sun Total cc O m Gross Amount and And a) E 3/6 3/7 3/8 3/9 3/10 3/11 3/12 Total Rate Earned/Gross Hourly Net Wages Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address • a 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 Michelle Sweet Contract Administrator 3/14/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 3/6/2023 3/12/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms) Work Classification I Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved l (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" I Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s)have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. i)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and d'raining Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Michelle Sweet Contract Administrator Michelle Sweet MB 3/23/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �f,sT�rf.,� Project Name County Project or Contract# 1. Prime Contractor ❑ Industries Duvall Avenue NE King CAG-20-065 Prevailing Wage Program W ° ;;:'= Subcontractor PO Box 44540 s?._•ivr :y< Project Address Olympia WA 98504-4540 H` 1NB"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 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 3/5/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions F Work Classification Name c9 ~ o Mon Tue Wed Thu Fri Sat Sun Total . ce O a, Gross Amount and And a) E 2/27 2/28 3/1 3/2 3/3 3/4 3/5 Total Rate Earned/Gross Hourly Net Wages Eco Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address iv CD - Benefits" 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 Michelle Sweet Contract Administrator 3/14/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 2/27/2023 3/5/2023 "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. '5)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and i,raining Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Michelle Sweet Contract Administrator Michelle Sweet • MB 3/23/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and sT"rF Prime Contractor ❑ Project Name County Project or Contract# Industries &. _ Duvall Avenue NE King CAG-20-065 PrevailingWage Program :::, "" 9 9 ,, ::iy Subcontractor El PO Box 44540 ,i„.it, oy Project Address Olympia WA 98504-4540 14/ 1889 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 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address ,Address City State Zip+4 2/26/2023 1055 S GRADY WAY RENTON,WA-98055 i 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions P Work Classification Name c9 ~O o Mon Tue Wed Thu Fri Sat Sun Total and And Gross Amount d E 2/20 2/21 2/22 2/23 2/24 2/25 2/26 Total Rate Hourly Eco 0 Payroll Earned/Gross FICA Hours of Pay Usual Wit Net Wages Tax Hours Other Soc Sec#of Employee Address a�'i > o Benefits" o 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 Michelle Sweet Contract Administrator 3/6/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 2/20/2023 2/26/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s)have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. 5)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and ,'raining Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Michelle Sweet Contract Administrator Michelle Sweet MB 3/23/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and STAT Q Project Name County Project or Contract# Industries +.: 4 Prime Contractor ❑ 3 „ Duvall Avenue NE King CAG-20-065 PrevailingWage Program '`'`_ 9 9 ,,;r Subcontractor IZ PO Box 44540 .i:�,' �Y�' Project Address Olympia WA 98504-4540 y` "�9 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 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 2/19/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions 1---- Work Classification Name c9 0 9- Mon Tue Wed Thu Fri Sat Sun Total cc O a) Gross Amount and And a) E 2/13 2/14 2/15 2/16 2/17 2/18 2/19 Total Rate Earned/Gross Hourly Net Wages co E i Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address -- CD a y Benefits" Tax cc O o Hours Worked Each Day a No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Michelle Sweet Contract Administrator 3/6/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 2/13/2023 2/19/2023 "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. y5)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and v raining Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Michelle Sweet Contract Administrator Michelle Sweet MB 3/23/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and aE�sTnr Project Name County Project or Contract# ,s._�= Prime Contractor ❑ Industries "" Duvall Avenue NE King CAG-20-065 Prevailing Wage Program I,...,, ,.,: = Subcontractor PO Box 44540 '"'°, Project Address dy ^pY-iirfr 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 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 2/12/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions p Work Classification Name c9 b' o Mon Tue Wed Thu Fri Sat Sun Total cc O m Gross Amount and And a) E 2/6 2/7 2/8 2/9 2/10 2/11 2/12 Total Rate Earned/Gross Hourly Net Wages E i= Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address a y Benefits" Tax W 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 Michelle Sweet Contract Administrator 3/6/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: Duvall Avenue NE 2/6/2023 2/12/2023 "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms) Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F No Employees performed work on this project during this reporting period. F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s)have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. 5)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and 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 Michelle Sweet Contract Administrator Michelle Sweet MB 3/23/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and ^aF STAr•; Project Name County Project or Contract# Industries 4,,,. ,,.y Prime Contractor ❑ Ai. Duvall Avenue NE King CAG-20-065 PrevailingWage Program <°°°.. .. -_ 9 9 ,, ..:,,.J Subcontractor PO Box 44540 4 �•.� yam. Project Address Olympia WA 98504-4540 y� '�tly�� Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone FOr the week ending: RENTON,CITY OF (425)430-7303 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 2/5/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions H Work Classification Name (- ~O o Mon Tue Wed Thu Fri Sat Sun Total m E 1/30 1/31 2/1 2/2 2/3 2/4 2/5 Total Rate Hourly and And a) Gross Amount Net Wages Hours of Pay "Usual Withholding Other co°' CD Earned/Gross Soc Sec#of Employee Address ai E a Payroll Benefits" FICA Tax ct O o Hours Worked Each Day 0 1. Traffic Control Stripers Workers' RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $42.00 $336.00 Journey Level Jeff Enera Compensation: (King) 17601 110th Ave Ct $336.00/ $1.72 Painter-Striper Bonney Lake,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $63.00 $0.00 $336.00 $12.90/hr $25.70 $0.00 $308.58 98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $84.00 $0.00 2. Traffic Control Stripers Workers' RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $39.00 $312.00 Journey Level Shawn Johnson Compensation: (King) 20411 93rd Ave Ct $312.00/ $1.72 Painter-Striper E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $58.50 $0.00 $312.00 $12.90/hr $23.87 $11.00 $275.41 Graham,WA- ** **-**** 98338 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.Q0 $ 0 3. Traffic Control Stripers J Workers' RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $39.00 $312.00 Compensation: Journey Level Michael Smith J p (King) 17601 110th Ave Ct $312.00/ $1.72 Painter-Striper Bonney Lake,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $58.50 $0.00 $312.00 $12.90/hr $23.87 $11.00 $275.41 98391 * ** DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.00 $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 Michelle Sweet Contract Administrator 2/14/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC 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 1.Jeff Enera Traffic Control Stripers Journey Level $12.90 $7.00 $5.90 $0.00 $0.00 $0.00 (King) 2.Shawn Johnson Traffic Control Stripers Jrney Level $12.90 $7.00 $5.90 $0.00 $0.00 $0.00 (King) 3.Michael Smith Traffic Control Stripers Ni Journey Level $12.90 $7.00 $5.90 $0.00 $0.00 $0.00 (King) F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. c- ny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and Wing Council. Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties. Printed name of party signing this report Title Signature Michelle Sweet Contract Administrator Michelle Sweet MB 2/15/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �$s:r rF Project Name County Project or Contract# Industries ,i;:i y Prime Contractor ❑ • : Duvall Avenue NE King CAG-20-065 Prevailing Wage Program ";: ,� Subcontractor PO Box 44540 1 ,..�r ov° Project Address Olympia WA 98504-4540 y� 1b83 Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 1/29/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions p Work Classification Name c7 ~O o Mon Tue Wed Thu Fri Sat Sun Total al 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 co E Hours of Pay "Usual FICA Withholding Other rn r a, Payroll Benefits" Tax Soc Sec#of Employee Address CD O o Hours Worked Each Day a 1. Traffic Control Stripers Workers' RG 0.00 0.00 1.00 0.00 0.00 0.00 0.00 1.00 $39.00 $39.00 / Journey Level Rich Cochran V J Compensation: (King) 6022 189th Ave E $39.00/ $0.21 Painter-Striper Sumner,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $58.50 $0.00 $39.00 $12.90/hr $2.98 $0.00 $35.81 98390 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.00 $0.00 2. Traffic Control Stripers Workers' RG 0.00 0.00 1.00 0.00 0.00 0.00 0.00 1.00 $42.00 $42.00 Journey Level Jeff Enera Compensation: (King) 17601 110th Ave Ct $42.00/ $0.21 Painter-Striper Bonney Lake,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $63.00 $0.00 $42.00 $12.90/hr $3.21 $0.00 $38.58 98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $84.00 $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 Michelle Sweet Contract Administrator 1/30/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: ^ veil 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 1.Rich Cochran Traffic Control Stripers Journey Level $12.90 J $7.00 $5.90 $0.00 $0.00 $0.00 (King) 2.Jeff Enera Traffic Control Stripers Durney Level $12.90 $7.00 $5.90 $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. FFZ Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and wining 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 Michelle Sweet Contract Administrator Michelle Sweet 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 �sTAr�•o Project Name County Project or Contract# Industries 4 y Prime Contractor ❑ 11 I Duvall Avenue NE King CAG-20-065 Prevailing Wage Program a°° Subcontractor ,t EZI PO Box 44540 ••' ' oy� Project Address Olympia WA 98504-4540 ` 188g 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 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 1/22/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions H _ Work Classification Name C9 ~O o Mon Tue Wed Thu Fri Sat Sun Total Gross Amount and And a) E 1/16 1/17 1/18 1/19 1/20 1/21 1/22 Total Rate Earned/Gross Hourly Net Wages E i= Hours of Pay "Usual FICA Withholding Other g 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 Michelle Sweet Contract Administrator 1/30/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: n'ivall 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. 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 Michelle Sweet Contract Administrator Michelle Sweet 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 aI,STArso Project Name County Project or Contract# Industries v,;i.. f Prime Contractor ❑ o,;;;• Duvall Avenue NE King CAG-20-065 Prevailing Wage Program Subcontractor PO Box 44540 ",�' cp, Project Address Olympia WA 98504-4540 y'` 188.6 a Final Week of (360) 902-5335 Payroll III Awarding Agency Name Phone Company Name Phone FOr the week ending: RENTON,CITY OF (425)430-7303 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 1/15/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions p Work Classification Name ( b o Mon Tue Wed Thu Fri Sat Sun Total cc O a) Gross Amount and And au E 1/9 1/10 1/11 1/12 1/13 1/14 1/15 Total Rate Earned/Gross Hourly Net Wages E i= Hours of Pay "Usual FICA Withholding Other rn Payroll Benefits" Tax Soc Sec#of Employee Address 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 Michelle Sweet Contract Administrator 1/24/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: Duvall 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- 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 Michelle Sweet Contract Administrator Michelle Sweet MB 1/24/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and F,ST,�TF. Project Name County Project or Contract# ? i •«<:'� Prime Contractor El Industries 4 (( :i',y �:... - . °iii;y Duvall Avenue NE King CAG-20-065 Prevailing Wage Program i!i Subcontractor ►z PO Box 44540 yAr` a. Project Address Olympia WA 98504-4540 ` 'BBa Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 1/8/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions p Work Classification Name w 8 o Mon Tue Wed Thu Fri Sat Sun Total Gross Amount and And - N E 1/2 1/3 1/4 1/5 1/6 1/7 1/8 Total Rate Hourly f4 E i= Hours of Pay Earned/Gross "Usual Withholding Net Wages r a) Payroll FICA Other Soc Sec#of Employee Address CD 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 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 Michelle Sweet Contract Administrator 1/24/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: Duvall 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. 'Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and .. wining 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 Michelle Sweet Contract Administrator Michelle Sweet MB 1/24/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and �$sTAT,�� Project Name County Project or Contract# Industries ; 4 Prime Contractor ❑ o;;;; Duvall Avenue NE King CAG-20-065 Prevailing Wage Program < ' x Subcontractor ►� PO Box 44540 `.:::: ' y�'r Project Address Olympia WA 98504-4540 y` '"e"a� Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 1/1/2023 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions Work Classification Name o Mon Tue Wed Thu Fri Sat Sun Total W o a) 12/2 12/2 12/2 12/2 12/3 12/3 Gross Amount and And E E 6 7 8 9 0 1 1/1 Total Rate Earned/Gross Hourly Net Wages E Hours of Pay "Usual FICA Withholding Other Soc Sec#of Employee Address , GU Payroll 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 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 Michelle Sweet Contract Administrator 1/11/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: ^ 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 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',qny 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 Michelle Sweet Contract Administrator Michelle Sweet I MB 1/11/23 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, TA1F: Project Name County Project or Contract# ,,?.ii ,. Prime Contractor ❑ Industries •___ ___y ,,. @;u Duvall Avenue NE King CAG-20-065 Prevailing Wage Program . '•"= Subcontractor IX ;•'all.' ii� Project Address PO Box 44540 �H�` s' 1 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 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 12/25/2022 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions Mon Tue Wed Thu Fri Sat Sun Work Classification Name c7 ~ Total o cc w 12/1 12/2 12/2 12/2 12/2 12/2 12/2 Gross Amount and And E Total Rate Hourly =o E i= 9 0 1 2 3 4 5 Hours of Pay Earned/Gross °Usual FICA Withholding Other Net Wages Soc Sec#of Employee Address m a) a Payroll Benefits" Tax LL 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 Michelle Sweet Contract Administrator 1/11/2023 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: ..vaII 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 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 Michelle Sweet Contract Administrator Michelle Sweet MB 1/11/23 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and a�ST�Th.� Project Name County Project or Contract# Industries ti,;;; ,:;f Prime Contractor ❑ . Duvall Avenue NE King CAG-20-065 Prevailing Wage Program Subcontractor PO Box 44540 J j.".� ••Y� Project Address Olympia WA 98504-4540 y` `bay a° Final Week of (360) 902-5335 Payroll E Awarding Agency Name Phone Company Name Phone FOr the week ending: RENTON,CITY OF (425)430-7303 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 12/18/2022 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions ~ Mon Tue Wed Thu Fri Sat Sun Work Classification Name c7 ~ Total o ce au 12/1 12/1 12/1 12/1 12/1 12/1 12/1 Gross Amount �, E Total Rate Hourly and And m E i 2 3 4 5 6 7 8 Hours of Pay Earned/Gross °Usual FICA Withholding Other Net Wages Soc Sec#of Employee Address m > Payroll Benefits" Tax o: O o 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 Michelle Sweet Contract Administrator 12/20/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: n..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. '-`,: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 Michelle Sweet Contract Administrator Michelle Sweet MB 12/22/22 • 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"7,4. Prime Contractor ❑ Project Name County Project or Contract# Industries °:':':' "'t, Duvall Avenue NE King CAG-20-065 Prevailing Wage Program 4` :: Subcontractor PO Box 44540 "'a:� v° Project Address Olympia WA 98504-4540 yy` '"tl"�� Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 12/11/2022 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions ~ Sat Sun Work Classification Name c7 F- Mon Tue Wed Thu Fri Total c4 O a) 12/1 12/1 Gross Amount ap E 12/5 12/6 12/7 12/8 12/9 Total Rate Hourly and And `m E H 0 1 Hours of Pay Earned/Gross "Usual FICA Withholding Other Net Wages Soc Sec#of Employee Address c - Payroll Benefits" Tax W O o' Hours Worked Each Day 0 1. Traffic Control Stripers Workers' RG 0.00 0.00 8.00 8.00 6.00 0.00 0.00 22.00 $39.00 $858.00 Journey Level Rich Cochran Compensation: (King) 6022 189th Ave E $916.50/ $4.93 Painter-Striper Sumner,WA- OT 0.00 0.00 1.00 0.00 0.00 0.00 0.00 1.00 $58.50 $58.50 $916.50 $12.90/hr $70.11 $81.00 $760.46 98390 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.00 $0.00 2. Traffic Control Stripers Workers' RG 0.00 0.00 8.00 8.00 6.00 0.00 0.00 22.00 $42.00 $924.00 Journey Level Jeff Enera Compensation: (King) 17601 110th Ave Ct $987.00/ $4.93 painter-Striper Bonney Lake,WA- OT 0.00 0.00 1.00 0.00 0.00 0.00 0.00 1.00 $63.00 $63.00 $987.00 $12.90/hr $75.51 $72.00 $834.56 98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $84.00 $0.00 3. Traffic Control Stripers Workers' RG 0.00 0.00 8.00 8.00 6.00 0.00 0.00 22.00 $39.00 $858.00 Journey Level Jacob Johnson Compensation: (King) 26108 121st St Ct E $916.50/ $4.93 Painter-Striper Buckley,WA- OT 0.00 0.00 1.00 0.00 0.00 0.00 0.00 1.00 $58.50 $58.50 $916.50 $12.90/hr $70.11 $8.00 $833.46 98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $7810 $010 4. Traffic Control Stripers Workers' RG 0.00 0.00 8.00 8.00 6.00 0.00 0.00 22.00 $39.00 $858.00 / Compensation: Journey Level Courtney Roberts `� J $4.93 (King) 5601 N.37th St $916.50/ Painter-Striper Tacoma,WA- OT 0.00 0.00 1.00 0.00 0.00 0.00 0.00 1.00 $58.50 $58.50 $916.50 $12.90/hr $70.11 $24.00 $817.46 98407 "" DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.00 $0.00 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side 5. Traffic Control Stripers Workers' RG 0.00 0.00 8.00 8.00 6.00 0.00 0.00 22.00 $39.00 $858.00 Journey Level Michael Smith Compensation: (King) 17601 110th Ave Ct OT 0.00 0.00 1.00 0.00 0.00 0.00 0.00 1.00 $58.50 $58.50 $916.50/ $12.90/hr $70.11 $81.00 $4.93 $760.46 Painter-Striper Bonney Lake,WA- $916.50 98391 ' " DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.00 $0.00 6. Traffic Control Stripers Workers' RG 0.00 0.00 8.00 8.00 6.00 0.00 0.00 22.00 $39.00 $858.00 Journey Level Kyle Wilhoyte Compensation: (King) 30532 134th Ave OT 0.00 0.00 1.00 0.00 0.00 0.00 0.00 1.00 $58.50 $58.50 $916.50/ $12.90/hr $70.11 $61.00 $4 93 $780.46 Painter-Striper SE $916.50 Auburn,WA-98902 ' **** DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.00 $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 Michelle Sweet Contract Administrator 12/20/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: ' vall 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 1.Rich Cochran Traffic Control Stripers Journey Level $12.90 $7.00 $5.90 $0.00 $0.00 $0.00 (King) 2.Jeff Enera T-3ffic Control Stripers ;urney Level $12.90 $7.00 $5.90 $0.00 $0.00 $0.00 (King) 3.Jacob Johnson Traffic Control Stripers Journey Level $12.90 $7.00 $5.90 $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.Courtney Roberts Traffic Control Stripers Journey Level $12.90 $7.00 $5.90 $0.00 $0.00 $0.00 (King) 5.Michael Smith Traffic Control Stripers Journey Level $12.90 $7.00 $5.90 $0.00 $0.00 $0.00 King) _.Kyle Wilhoyte Traffic Control Stripers Journey Level $12.90 $7.00 $5.90 $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. !F\.,4ny 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 Michelle Sweet Contract Administrator Michelle Sweet MB 12/22/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Certified Payroll Report Department of Labor and :,,7•F Project Name County Project or Contract# t`'<i,.rnI '. Prime Contractor ❑ Industries ,III h.+ ::;'s i :a.r Duvall Avenue NE King CAG-20-065 Prevailing Wage Program -.jRVjl," 'Iffl Subcontractor El PO Box 44540 '''y'•`'Ii,. . ,y Project Address Olympia WA 98504-4540 "" Final Week of (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 12/4/2022 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions ~ Mon Tue Wed Work Classification Name 0 I— o Thu Fri Sat Sun Total (Y o m 11/2 11/2 11/3 Gross Amount and And `m E i= 8 9 0 12/1 12/2 12/3 12/4 Total Rate Earned/Gross Hourly g Net Wages ,'i f a) Hours of Pay Payroll "Usual FICA Withholding Other Soc Sec#of Employee Address a a) z Benefits" Tax 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 Michelle Sweet Contract Administrator 12/6/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: n..vall 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. ,tvL 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 Michelle Sweet Contract Administrator Michelle Sweet 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 �...,r.�T/. Project Name County Project or Contract# ; Industries ' °+ ,,. Prime Contractor E :b q Y i Duvall Avenue NE King CAG-20-065 Prevailing Wage Program n Ili+li� Subcontractor PO Box 44540 I.lip ,y. Project Address Olympia WA 98504-4540 `` " " ` Final Week of ti (360) 902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 STRIPE RITE INC (253)833-0484 Month Day Year Awarding Agency Address Address City State Zip+4 11/27/2022 1055 S GRADY WAY RENTON,WA-98055 1813 137TH AVE E SUMNER WA 98390 Day and Date Deductions 0 Mon Tue Wed Thu Fri Sat Sun Work Classification Name C� Total ce 2 w 11/2 11/2 11/2 11/2 11/2 11/2 11/2 Gross Amount E E Total Rate Hourly and And @ E 1 2 3 4 5 6 7 Hours of Pay Earned/Gross "Usual FICA Withholding Other Net Wages Soc Sec#of Employee Address , a) a Payroll Benefits" Tax a: O o Hours Worked Each Day 0 1. Traffic Control Stripers JRG 6.00 0.00 0.00 0.00 0.00 0.00 0.00 6.00 $42.00 $252 Workers' .00 J Journey Level Rich Cochran Compensation: (King) 6022 189th Ave E $252.00/ V $1.29 Painter-Striper Sumner,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $63.00 $0.00 $252.00 $12.90/hr $19.28 $9.00 $222.43 98390 "' DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $84,00 $0.Q0 2. Traffic Control Stripers J Workers' RG 6.00 0.00 0.00 0.00 0.00 0.00 0.00 6.00 $39.00 $234.00 Compensation: Journey Level Dalton Glidden (King) 20011 156th St E $234.00/ $1.29 p ^ter Striper Bonney Lake,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $58.50 $0.00 $234.00 $12.90/hr $17.90 $9.00 $205.81 *..***;** 98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.g0 $010 3. Traffic Control Stripers J J Workers' RG 6.00 0.00 0.00 0.00 0.00 0.00 0.00 6.00 $39.00 $234.00 Compensation: Journey Level Courtney Roberts (King) 5601 N.37th St $234.00/ V $1.29 Painter-Striper Tacoma,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $58.50 $0.00 $234.00 $12.90/hr $17.90 $0.00 $214.81 98407 " DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.p0 $0.Q0 4. Traffic Control Stripers J J Workers' RG 5.50 0.00 0.00 0.00 0.00 0.00 0.00 5.50 $39.00 $214.50 Com ensation: Journey Level Michael Smith p (King) 17601 110th Ave Ct $214.50/ $1.18 Painter-Striper Bonney Lake,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $58.50 $0.00 $214.50 $12.90/hr $16.41 $5.00 $191.91 98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.00 $0.00 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side 5. Traffic Control Stripers `+ `r Medicare:$1.29 RG 6.00 0.00 0.00 0.00 0.00 0.00 0.00 6.00 $39.00 $234.00 Journey Level Kyle Wilhoyte (King) 30532 134th Ave $234.00/ Painter-Striper SE OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $58.50 $0.00 $234.00 $12.90/hr $17.90 $0.00 $214.81 Auburn,WA-98902 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.00 $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 Michelle Sweet Contract Administrator 12/6/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons STRIPE RITE INC employed by: Project Name: For the week starting: For the week ending: gall 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 1.Rich Cochran Traffic Control Stripers Journey Level $12.90 J $7.00 $5.90 $0.00 $0.00 $0.00 (King) 2.Dalton Glidden -=,ffic Control Stripers 1-, ,irney Level $12.90 J $7.00 $5.90 $0.00 $0.00 $0.00 (King) 3.Courtney Roberts Traffic Control Stripers Journey Level $12.90 Ni $7.00 $5.90 $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.Michael Smith Traffic Control Stripers Journey Level $12.90 J $7.00 $5.90 $0.00 $0.00 $0.00 (King) 5.Kyle Wilhoyte Traffic Control Stripers Journey Level $12.90J $7.00 $5.90 $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. 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 Michelle Sweet Contract Administrator Michelle Sweet MB 11/21/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side -12/14726,2:46 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: 1269629 Status: Approved on 12/13/2023 12/13/2023 1171675 Company Details Name STRIPE RITE INC Address 1813 137TH AVE E SUMNER,WA,98390 WA UBI no. 601048084 Contractor Registration no. STRIPRI121JM Industrial Insurance Account Id 47718201 OMWBE Certifications as of 8/24/2021 No active certifications existed when Intent was submitted Email Address Michelle@striperite.com Filed By Sweet, Michelle Prime Contractor Prime contractor name REED TRUCKING Et EXCAVATING INC about:blank 1/4 12/14/23,2:46 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: $ 59,411.52 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: 109728326 Project Details County where work was performed King t abou lank 2/4 -12/14)/26,2:46 PM about:blank City where work was performed Renton Prime contractor Intent form Id# for this project 1170257 Intent filed date 8/24/2021 Job start date:MM-DD-YYYY 11 /21/2022 Date work completed:MM-DD-YYYY 5/16/2023 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 Traffic Control Stripers Journey Level 39.00 12.90 7 155.50 King Traffic Control Stripers Journey Level 42.00 12.90 2 38.00 King Traffic Control Stripers Journey Level 39.40 12.50 4 41.00 King Traffic Control Stripers Journey Level 42.40 12.50 1 15.50 Apprentice Wages about:blank 3/4 12/14/23,2:46 PM about:blank Public Notes Show/Hide Existing Notes, No note exists abouf:Aslank 4/4