HomeMy WebLinkAboutCAG-20-065 - Duvall - Subcontractor TSI(Electrical) State of Washington �r
DcNartment of Labor & Industrieo-
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: 1278912 Status: Approved on
1/17/2024 1275539 1/25/2024
Company Details
Name TRANSPORTATION SYSTEMS INC
Address 6917 166TH AVE E
SUMNER,WA,98390
WA UBI no. 602726209
Contractor Registration no. TRANSSI927NO
Industrial Insurance Account Id 13734100
OMWBE Certifications as of 10/18/2022 No active certifications existed when Intent was
submitted
Email Address megan®transportationsystemsinc.corn
Filed By George, Megan
Prime Contractor
Prime contractor name REED TRUCKING &t EXCAVATING INC
Prime contractor registration no. REEDTEI016JW
Prime contractor Phone Number 253-841-4837
Project Information
Awarding agency: RENTON, CITY OF
1055 S GRADY WAY RENTON, WA - 98055
Awarding agency contact: Flora Lee
Awarding agency contact phone number: 425-430-7303
Contract no. CAG-20-065
Project name Duvall Avenue NE
Project Description This project includes but is not limited to:
excavation; grading; removal of pavement;
plaining pavement;,paving with asphalt; curb
and gutter; drainage; illumination; HAWK signal;
•
other work.
Dollar amount of your conti $ 154,222.03 •
Bid due date 6/22/2021
Contract award date 7/21/2021
Job site address/directions:
Hiring Contractor
Company Name REED TRUCKING Et EXCAVATING INC
Contractor Registration No. REEDTEI016JW
WA UBI Number 601915034
Payment Details
Check Number:
Transaction Id: 109782059
Project Details
County where work was performed King
City where work was performed Renton
Prime contractor Intent form Id#for this project 1170257
Intent filed date 10/18/2022
Job start date:MM-DD-YYYY 5/9/2022
Date work completed:MM-DD-YYYY 9/13/2023
Project Completion
Did your company hire any subcontractors? No
Did your company have employees perform work Yes
on this project?
Did you use apprentice employees on this Yes
project?
Company Owner Information
How many owner/operators performed work on 0
the project that own 30% or more of the
company?
No company owner added.
Affidavit Subcontractor(s)
No subcontractor is selected for this affidavit.
Journeylevel Wages
County Trade Occupation Wages Fringes # #
Workers Hours
King Electricians - Inside Journey Level 65.72 24.47 2 41.50
'King Laborers eneral Laborer 42.86 ) 1 31.00
1 King Electricians - Inside Journey Level 65.72 24 48 1 8.50
King Power Equipment Shovel, Excavator, 52.12 24.47 5 281.00
Operators Backhoe, Tractors Under
15 Metric Tons
King Electricians - Inside Journey Level 65.37 28.60 1 3.00
I King Electricians - Inside Journey Level 78.86 28.60 1 9.00
King Laborers General Laborer 43.90 13.94 1 22.50
King Electricians - Inside Journey Level 72.29 27.23 1 6.00
King Electricians - Inside Journey Level 65.72 27.52 1 162.00
King Cement Masons Journey Level 57.50 19.59 1 8.00
King Electricians - Inside Journey Level 72.29 27.77 1 8.00
King Electricians - Inside Journey Level 68.05 28.50 3 121.00
King Laborers General Laborer 42.86 13.94 3 101.50
King Electricians - Inside Journey Level 74.86 28.76 1 22.50
King Electricians - Inside Journey Level 86.30 0.00 1 10.00
King Electricians - Inside Journey Level 81.66 29.06 1 2.00
King Electricians - Inside Journey Level 69.99 29.07 1 32.00
King Laborers General Laborer 44.53 14.54 1 37.50
King Electricians - Inside Journey Level 76.99 29.34 1 52.50
King Power Equipment Shovel, Excavator, 54.47 25.57 1 8.00
Operators Backhoe, Tractors Under
15 Metric Tons
Apprentice Wages
Trade Name County Name Program/Occupation Name
Electricians - Inside King Inside Wireman
Step# Begin End Name Reg Begin End State Wage$ Fringe$ Hours
Hour Hour Id Hours Hours
4 3501 5000 Tainter, 209311 08/01/2022 08/03/2022 WA $42.72 $21.66 24.50
Adam
3 2001 3500 Volodkov, 214246 11/23/2022 11/23/2022 WA $34.17 $19.93 8.00
Vladislav
3 2001 3500 Jackson, 216075 03/21/2023 04/13/2023 WA $35.39 $20.35 18.50
Evan
2 1001 2000 BARTLETT, 220651 04/28/2023 05/08/2023 WA $31.98 $13.52 32.00
JOSHUA
6 6501 8000 BOWEN, 203581 05/08/2023 05/08/2023 WA $57.84 $26.07 6.50
ZANE
Power Equipment Operators King Constr Equipment Operator
Step# Begin End Name Reg Begin End State Wage$ Fringe$ Hours
Hour Hour Id Hours Hours
16 5001 6000 HENDERSON, 204048 10/11/2022 10/12/2022 WA $49.51 $24.47 14.00
1 JR, ARLAN
. 1 1 I VVV IVJJV I I LJ/LULL I I/LJ/LULL VVH aJJ.J I .)L`t.'t/ O.UV
Michael o(p
Public Notes
o Show/Hide Existing Notes
-- On 1/25/2024:--
Apprenticeship Program Public https://secure.lni.wr-- •/arts-public/#/apprentice-details?id=209311&f...
Washington state Department of
`J Labor&Industries (https://Ini.wa.gov)
Back To Search (#/?fromApprenticeDetails—true)
ID#209311
Tainter, Adam, University Place, WA, 98466
Inside Wireman for Southwest Washington Electrical Joint Apprenticeship
and Training Committee (#/program-details?programld=150&from=%2Fapprentice-details%3Fid%o3D166051)
• ACTIVE I
6/1/2020
TERM REGISTERED PROBATION TERM PROBATION PERIOD
8000 Hours 6/1/2020 1600 Hours 6/1/2020-6/14/2021
Total hours: OJT 3802 RSI 404 Credited hours: OJT 0 RSI 0
Step: 4 (effective: 8/22/2022)
1 of I 12/22/2022,4:14 PM
Washington Stag Department of
Labor&Industries (https://Ini.wa.gov)
im Back To Search (#/?fromApprenticeDetails=true)
ID#214246
VOLODKOV, VLADISLAV, Pacific, WA, 98047
v Inside Wireman for Puget Sound Electrical Joint Apprenticeship and Training
Committee (1Program-details?programId=134&from=°%o2Fapprentice-details°%o3Fid°%o3D171148)
• ACTIVE
4/27/2021
TERM REGISTERED PROBATION TERM PROBATION PERIOD
8000 Hours 4/27/2021 1600 Hours 4/27/2021 -4/12/2022
► Total hours: OJT 2744 RSI 224 Credited hours: OJT 0 RSI 0
► Step: 3 (effective: 10/3/2022)
♦.i a.
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Statement of Intent to Pay Prevailing Wage
Project Detail - Project Dashboard
Document Received Intent ID: Affidavit ID: Status: Approved On
Date: 10/18/2022 1275539 11/8/2022
Company Details
Company Name: TRANSPORTATION SYSTEMS INC
Address: 6917 166TH AVE E
SUMNER, WA, 98390
Contractor Registration No. TRANSSI927NO
WA UBI Number 602726209
Phone Number 206-510-6533
Industrial Insurance Account ID 13734100
OMWBE Certifications as of 10/18/2022 No active certifications existed when
Intent was submitted
Email Address megan@transportationsystemsinc.com
Filed By Kerry Stewart
Prime Contractor
Company Name REED TRUCKING It 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 Ft EXCAVATING INC
Contractor Registration No. REEDTEI016JW
WA UBI Number 601915034
Payment Details
Check Number:
Transaction Id: 108966623
Intent Details
Expected project start date: (MM/DD/YYYY) 10/10/2022
In what county (or counties) will the work be King
performed?
In what city (or nearest city) will the work be Renton
performed?
What is the estimated contract amount? OR is Time and materials
this a time and materials estimate?
Does your company intend to hire ANY No
subcontractors?
Will your company have employees perform Yes
work on this project?
Yes
A i
Do you intend to use any apprentices?
(Apprentices are considered employees.)
How many owner/operators performing work on 0
the project own 30% or more of the company?
Journey Level Wages
County Trade Occupation Wage Fringe #
Workers
King Cement Masons Journey Level $50.00 $19.80 2
Public Notes
a Show/Hide Existing Notes
No note exists
Certified Payroll Report
Department of Labor and t 1',.7' r Project Name County Project or Contract#
Industries `� ky Prime Contractor ❑
Prevailing Wage Program �h. r::�-` Duvall Avenue NE King CAG-20-065
ii3i;; .f s;` Subcontractor
PO Box 44540 '. " y Project Address
Olympia WA 98504-4540 `"""' Final Week of
(360)902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
FOr the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
5/27/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name C9 ~ o Sun Mon Tue Wed Thu Fri Sat Total
Gross Amount
and And w E 5/21 5/22 5/23 5/24 5/25 5/26 5/27 Total Rate Earned/Gross Hourly Net Wages
E i Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address a) a Payroll Benefits" Tax
CD Cr 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 Megan George Admin
6/6/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 5/21/2023 5/27/2023
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
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
Megan George Admin Megan George
MB 6/8/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
t 1
Certified Payroll Report
Department of Labor and t .�.arf Project Name County Project or Contract#
\'";:i , , Prime Contractor ❑
Industries .-',,JP,, AI y
- Alt= Duvall Avenue NE King CAG-20-065
Prevailing Wage Program =te;;•' of=.;` Project Address
" ,;� j
Olympia WA 98504-4540 f """^ Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
5/20/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
i=
Work Classification Name Cr ~ o Sun Mon Tue Wed Thu Fri Sat Total
m Gross Amount
and And a) E 5/14 5/15 5/16 5/17 5/18 5/19 5/20 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address y Payroll Benefits" Tax
cr O o Hours Worked Each Day
o
•
1. Electricians-Inside .1JRG 0.00 0.00 5.00 0.00 3.00 0.00 0.00 8.00 $68.05 $544.40
Journey Level JOSHUA CONDON J
(King) 422 Long St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $102.0 $0.00 $544.40/ $28.50/hr $387.00 $347.87 $1,521.28
**#*tom Wilkeson,WA- 7 $2,256.15
98396 $136.1
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
•
2. Laborers RG 0.00 0.00 5.00 0.00 3.00 0.00 0.00 8.00 $42.86 $342.88
General Laborer BRIAN GROHS
(King) 2612 S 375th PI $342.88/
*� Federal Way,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.29 $0.00 $1,275.09 $13.94/hr $182.00 $198.79 $894.30
98003
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $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 Megan George Admin
6/6/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 5/14/2023 5/20/2023
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
NEBF,401K,
1.JOSHUA CONDON LMCC/NLMCC,SAP,
Electricians-Inside AMF:$5.46/hr
Journey Level $28.50 $11.13 $11.00 $0.00 $0.00 $0.91
(King)
WALECET:$0.14/hr
2.BRIAN GROHS
Laborers
neralLaborer $13.94 $5.30 $7.55 $0.00 $0.00 $0.95
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
z -
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
(cl Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
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
Megan George Admin Megan George
MB 6/8/23
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,`;.'�u., Project Name County Project or Contract#
Industries _A. Prime Contractor ❑
;� :��.y
Prevailing Wage Program ;j-=�;, �'�� y Duvall Avenue NE King CAG-20-065
:, i,;, 'fI,-1 Subcontractor
PO Box 44540 ''��,. v Project Address
W frJ��
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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
5/13/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name c9 0 o Sun Mon Tue Wed Thu Fri Sat Total
a) Gross Amount
and And aj E 5/7 5/8 5/9 5/10 5/11 5/12 5/13 Total Rate Earned/Gross Hourly Net Wages
E i Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address aai a) a Payroll Benefits" Tax
EC O o' Hours Worked Each Day
a
1. Electricians-Inside RG 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $31.98 $255.84
Apprentice JOSHUA
Inside Wireman BARTLETT $255.84/
Step 2 7432 11th Ct SE OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $47.97 $0.00 $941 19 $13.52/hr $40.00 $174.93 $726.26
(King) Olympia,WA-
** 98503 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $63.96 $0.00
2. Electricians-Inside
RG 0.00 2.00 0.00 0.00 0.00 0.00 0.00 2.00 $81.66 $163.32
Journey Level GERALD
(King) BEAUDRY $122.4 $163.32/
P.O.Box 697 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9 $0.00 $3,154.40 $29.06/hr $606.00 $647.94 $1,900.46
Easton,WA-98925 $163.3
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00
J. Liectricians-Inside RG 0.00 6.50 0.00 0.00 0.00 0.00 0.00 6.50 $57.84 $375.96
Apprentice ZANE BOWEN J
Inside Wireman 1514 McMillan Ave $375.96/
Step 6 Sumner,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.76 $0.00 $2,400.36 $26.07/hr $385.00 $424.54 $1,590.82
(King) 98390
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $115.68 $0.00
4. Electricians-Inside RG 0.00 0.00 6.00 0.00 0.00 0.00 0.00 6.00 $68.05 $408.30
Journey Level JOSHUA CONDON
(King) 422 Long St $102.0 $408.30/
Wilkeson,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7 $0.00 $2 746.62 $28.50/hr $505.00 $473.16 $1,768.46
98396 $136.1
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
5. Laborers BRIAN GROHS RG 0.00 0.00 6.00 0.00 0.00 0.00 0.00 6.00 $42.86 $257.16
2612 S 375th PI $257.16/ $13.94/hr $292.00 $568.80 $917.89
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
General Laborer Federal Way,WA- $1,778.69
(King) 98003 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.29 $0.00
' - - ** DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $0.00
6. Electricians-Inside RG 0.00 2.00 0.00 0.00 0.00 0.00 0.00 2.00 $125.0 $250.12
Journey Level Bryson Huie 6
(King) 5329 193rd Ave Ct $187.5 $250.12/ $2,574.1
E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9 $0.00 $4,615.38 $0.00/hr 4 $379.93 $1,661.31
Lake Tapps,WA-
98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $250.1 $0.00
7. Electricians-Inside
RG 0.00 6.50 0.00 0.00 0.00 0.00 0.00 6.50 $74.86 $486.59
Journey Level ADAM KOVIAK
(King) 18817 2nd Ave E $112.2 $486.59/
* ** Spanaway,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9 $0.00 $3,049.16 $28.76/hr $373.00 $548.77 $2,127.39
98387 $149.7
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2 $0.00
'ower Equipment RG 0.00 6.50 0.00 0.00 0.00 0.00 0.00 6.50 $52.12 $338.78
Operators JUSTIN
Shovel, Excavator,Backhoe, MCDONALD $338.78/
Tractors Under 15 Metric Tons 29801 33rd Ave S OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $2 202 07 $24.47/hr $222.00 $256.04 $1,724.03
(King)
Roy,WA-98580 $104.2
** DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $0.00
9. Laborers RG 0.00 6.50 3.00 0.00 0.00 0.00 0.00 9.50 $42.86 $407.17
General Laborer
(King) VICTOR OLVERA $407.17/
13624 1st Ave SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.29 $0.00 $1,435.82 $13.94/hr $100.00 $227.64 $1,108.18
* _ _ ** Burien,WA-98166
DT 0.00I0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $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 Megan George Admin
5/18/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 5/7/2023 5/13/2023
"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
NEBF,401K,
1.JOSHUA BARTLETT LMCC/NLMCC,SAP,
Electricians-Inside AMF:$1.36/hr
$13.52 $0.25 $11.00 $0.00 $0.00 $0.91
Apprentice
Inside Wireman -
Step 2
(King)
NEBF,401K,
2.GERALD BEAUDRY LMCC/NLMCC,SAP,
Electricians-Inside AMF:$6.02/hr
ney Level $29.06 $11.13 $11.00 $0.00 $0.00 $0.91
•
(King)
NEBF,401K,
3.ZANE BOWEN LMCC/NLMCC,SAP,
Electricians-Inside AMF:$4.70/hr
$26.07 J $9.46 $11.00 $0.00 $0.00 $0.91
Apprentice
Inside Wireman
Step 6
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
NEBF,401K,
4.JOSHUA CONDON LMCC/NLMCC,SAP,
Electricians-Inside AMF:$5.46/hr
Journey Level $28.50 $11.13 $11.00 $0.00 $0.00 $0.91
(King)
WALECET:$0.14/hr
5.BRIAN GROHS
Laborers •
General Laborer $13.94 $5.30 $7.55 $0.00 $0.00 $0.95
(King)
__`Bryson Buie
Electricians-Inside
Journey Level $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
(King)
NEBF,401K,
7.ADAM KOVIAK LMCC/NLMCC,SAP,
Electricians-Inside AMF:$5.72/hr
Journey Level $28.76 $11.13 $11.00 $0.00 $0.00 $0.91
(King)
Intl Training:
8.JUSTIN MCDONALD $0.05/hr
Power Equipment Operators
"ovel,Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
actors Under 15 Metric Tons
(King)
WALECET:$0.14/hr
9.VICTOR OLVERA
Laborers
General Laborer $13.94 $5.30 $7.55 $0.00 $0.00 $0.95
(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.
(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
Megan George Admin Megan George
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•"�;f Prime Contractor ❑ Project Name County Project or Contract#
=3 =3=,.,
Industries ==s y
Prevailing Wage Program ' _.. ^ , i'= Duvall Avenue NE King CAG-20-065
ih. ,•; Subcontractor ►�
PO Box 44540 1,'ILF. Project Address
Olympia WA 98504-4540 Fri °h" 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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
5/6/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name cc ~ o Sun Mon Tue Wed Thu Fri Sat Total
Gross Amount
and And a= E 4/30 5/1 5/2 5/3 5/4 5/5 5/6 Total Rate Earned/Gross Hourly Net Wages
E i Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address m a) a Payroll Benefits" Tax
ix O o Hours Worked Each Day
0
1. Electricians-Inside Apprentice JOSHUA RG 0.00 8.00 0.00 0.00 8.00 0.00 0.00 16.00 $31.98 $511.68
Inside Wireman BARTLETT $511.68/
Step 2 7432 11th Ct SE OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $47.97 $0.00 $941.19 $13.52/hr $40.00 $174.93 $726.26
(King) Olympia,WA-
k* 98503 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $63.96 $0.00
2. Electricians-Inside RG 0.00 8.00 0.00 8.00 8.00 0.00 0.00 24.00 $68.05 $1,633.2
Journey Level JOSHUA CONDON 0
(King) 422 Long St $102.0 $1,633.20
Wilkeson,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7 $0.00 / $28.50/hr $435.00 $424.04 $1,594.26
98396 $2,453.30
36
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $J .1 $0.00
s. Laborers RG 0.00 8.00 0.00 0.00 8.00 0.00 0.00 16.00 $42.86 $685.76
General Laborer BRIAN GROHS J
(King) 2612 S 375th PI OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.29 $0.00 $685.76/ $13 94/hr $285.00 $272.57 $1,188.98
Federal Way,WA- $1,746.55
98003
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $0.00
4. Power Equipment
Operators RG 0.00 8.00 0.00 8.00 0.00 0.00 0.00 16.00 $52.12 $833.92
JUSTIN
Shovel,Excavator,Backhoe, MCDONALD $833.92/
Tractors Under 15 Metric Tons 29801 33rd Ave S OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $2 160.02 $24.47/hr $212.00 $250.55 $1,697.47
(King) Roy,WA-98580
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $104.2 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
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 Megan George Admin
5/18/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 4/30/2023 5/6/2023
"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
NEBF,401K,
1.JOSHUA BARTLETT LMCC/NLMCC,SAP,
AMF:$1.36/hr
Electricians-Inside
$13.52 $0.25 $11.00 $0.00 $0.00 $0.91
Apprentice
Inside Wireman
Step 2
(King)
NEBF,401K,
2.JOSHUA CONDON LMCC/NLMCC,SAP,
F!��tricians-Inside AMF:$5.46/hr
Irney Level $28.50 $11.13 $11.00 $0.00 $0.00 $0.91
(King) WALECET:$0.14/hr
3.BRIAN GROHS
Laborers
General Laborer $13.94 J $5.30 $7.55 $0.00 $0.00 $0.95
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Intl Training:
4.JUSTIN MCDONALD $0.05/hr
Power Equipment Operators
Shovel,Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(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.
(5)_4.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
Megan George - Admin -Megan George
Amended Reason
Adjusted hours that were misreported.
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 ,,A7-; Project Name County Project or Contract#
Industries ,?._ ' 'it_, Prime Contractor ❑
4 te.y
PrevailingWage Program V� :. ' .ii;. Duvall Avenue NE King CAG-20-065
El
PO Box 44540 g 1, i I`"." Subcontractor
�tt 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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
4/29/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name c9 o o Sun Mon Tue Wed Thu Fri Sat Total
ec O a, Gross Amount
and And a> E 4/23 4/24 4/25 4/26 4/27 4/28 4/29 Total Rate Earned/Gross Hourly Net Wages
m E Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address - Payroll Benefits" Tax
O o Hours Worked Each Day
0 I
1. Electricians-Inside RG 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 $31 98 $255.84
Apprentice JOSHUA J I
Inside Wireman BARTLETT $255.84/ V
Step 2 7432 11th Ct SE OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $47.97 $0.00 $961.31 $13.52/hr $41.00 $178.73 $741.58
(King) Olympia,WA-
** 98503 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $63.96 $0.00
2. Electricians-Inside RG 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 $68.05 $544.40
Journey Level JOSHUA CONDON
(King) 422 Long St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $102.0 $0.00 $544.40/ $28.50/hr $459.00 $435.80 $1,672.28
Wilkeson,WA- 7 $2,567.08
�� 98396 $136.1
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
3. Electricians-Inside $125.0 $1,000.4
RG 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00
Journey Level Bryson Huie 6 8
5329 193rd Ave Ct $1,000.48
(King) E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $187.5 $0.00 / $0.00/hr $2,574.1 $379.93 $1,661.31
_ _ •• Lake Tapps,WA- 9 $4,615.38 4
98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $250.1 2 $0.00
4. Power Equipment RG 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 $52.12 $416.96
Operators JUSTIN
Shovel, Excavator,Backhoe, MCDONALD $416.96 I
Tractors Under 15 Metric Tons 29801 33rd Ave S OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $2 080.73 $24.47/hr $194.00 $241.41 $1,645.32
(King) Roy,WA-98580
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $104.2 $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 Megan George Admin
5/18/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n.ftiall Avenue NE 4/23/2023 4/29/2023
"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
NEBF,401K,
1.JOSHUA BARTLETT LMCC/NLMCC,SAP,
AMF:$1.36/hr
Electricians-Inside
$13.52 J $0.25 $11.00 $0.00 $0.00 $0.91
Apprentice
Inside Wireman
Step 2
(King)
NEBF,401K,
2.JOSHUA CONDON LMCC/NLMCC,SAP,
�!�^triGians-Inside AMF:$5.46/hr
ney Level $28.50 $11.13 $11.00 $0.00 $0.00 $0.91
(King)
3.Bryson Huie
Electricians-Inside
Journey Level $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Intl Training:
4.JUSTIN MCDONALD $0.05/hr
Power Equipment Operators
Shovel,Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(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
Megan George Admin Megan George
Amended Reason
Added employee
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#
Industries ,, ,a."y Prime Contractor ❑
Prevailing Wage Program ;i5 , fees;? Duvall Avenue NE King CAG-20-065
, , ;�^ Subcontractor N
PO Box 44540 ,y.tt 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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
4/22/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name c7 ~ o Sun Mon Tue Wed Thu Fri Sat Total
cc O a) Gross Amount
and And a) E 4/16 4/17 4/18 4/19 4/20 4/21 4/22 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address - > Payroll Benefits" Tax
o: O o Hours Worked Each Day
NI J
1. Electricians-Inside RG 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $68.05 $544.40
Journey Level JOSHUA CONDON J
(King) 422 Long St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $102.0 $0.00 $544.40/ $28.50/hr $359.00 $331.72 $1,514.88
Wilkeson,WA- 7 $2,205.60
98396 $136.1
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
2. Laborers RG 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $42.86 $342.88
General Laborer BRIAN GROHS
(King) 2612 S 375th PI OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.29 $0.00 $342.88/ $13.94/hr $278.00 $270.10 $1,166.30
�x Federal Way,WA- $1,714.40
98003
DT 0.00 0.00 0.00 0.00I0.00 0.00 0.00 0.00 $85.72 $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 Megan George Admin
5/1/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 4/16/2023 4/22/2023
"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
NEBF,401K,
1.JOSHUA CONDON LMCC/NLMCC,SAP,
Electricians-Inside AMF:$5.46/hr
Journey Level $28.50 V $11.13 $11.00 $0.00 $0.00 $0.91
(King)
WALECET:$0.14/hr
2.BRIAN GROHS
Laborers
neral Laborer $13.94 $5.30 $7.55 $0.00 $0.00 $0.95
(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.
(5'i 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
Megan George Admin Megan George
MB 5/2/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and . .1.7' Project Name County Project or Contract#
4•?_< <! ', Prime Contractor ❑
Industries 4,_':, `<,`: Duvall Avenue NE King CAG-20-065
Prevailing Wage Program %;Ii "•i Subcontractor IZ
PO Box 44540 ' ., y Project Address
Olympia WA 98504-4540 f�4 "F,°, 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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
4/15/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name c9 ~O o Sun Mon Tue Wed Thu Fri Sat Total
m and And Gross Amount
a� E 4/9 4/10 4/11 4/12 4/13 4/14 4/15 Total Rate Earned/Gross Net Wages Hourly
7 co E i Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address aa) ( a Payroll Benefits" Tax
W O o' Hours Worked Each Day
a
1. Electricians-Inside RG 0.00 0.00 8.00 8.00 3.00 8.00 0.00 27.00 $68.05 $1,837.3
Journey Level JOSHUA CONDON 5
(King) 422 Long St $102.0 $1,837.35
Wilkeson,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7 $0.00 / $28.50/hr $437.00 $429.65 $1,583.15
** 98396 $2,449.80
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $136 1 $0.00
0
2. Laborers RG 0.00 0.00 8.00 8.00 5.00 8.00 0.00 29.00 $42.86 $1,242.9
General Laborer BRIAN GROHS 4
(King) 2612 S 375th PI $1,242.94
Federal Way,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.29 $0.00 / $13.94/hr $241.00 $241.49 $1,060.47
98003 $1,542.96
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $0.00
. ewer Equipment RG 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.00 $52.12 $833.92
Operators
Shovel, Excavator, Backhoe, KEN HILL $833.92/
Tractors Under 15 Metric Tons 11903 Topaz Ln SE OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $1 974.64 $24.47/hr $286.00 $229.19 $1,459.45
(King) Olalla,WA-98359
* ** DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $104'2 $0.00
4. Electricians-Inside Journey Level ANDERS RG 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $68.05 $544.40
(King) HJELSETH $102.0 $544.40/
4412 N 21st St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 7 $0.00 $1 919 40 $28.50/hr $267.00 $307.24 $1,345.16
Tacoma,WA-
98406 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $136"1 $0.00
5. Electricians-Inside Evan Jackson J .1RG 0.00 0.00 0.00 7.50 3.00 0.00 0.00 10.50 $35.39 $371.60
Apprentice 3606 NE 23rd Ct $371.60/ $20.35/hr $50.00 $155.23 $626.44
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Inside Wireman Renton,WA-98056 $831.67
Step 3 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $53.09 $0.00
(King)
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $70.78 $0.00
6. Electricians-Inside RG 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.00 $74.86 $1,197.7
Journey Level ADAM KOVIAK 6 $1,197.76
(King) 18817 2nd Ave E $112.2
S anawa WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9 $0.00 / $28.76/hr $278.00 $408.14 $1,931.18
* ** p y'98387 $149.7 $2,617.32
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2 $0.00
7. Laborers RG 0.00 0.00 0.00 0.00 7.00 0.00 0.00 7.00 $42.86 $300.02
General Laborer Abraham Maymex
(King) 4129 S L St $300.02/
* ** Tacoma,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.29 $0.00 $1 157.22 $13.94/hr $106.00 $182.87 $868.35
98418
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $0.00
o. Laborers RG 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.00 $42.86 $685.76
General Laborer
(King) VICTOR OLVERA $685.76/
13624 1st Ave SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.29 $0.00 $1 628 68 $13.94/hr $123.00 $256.95 $1,248.73
* _ _ ** Burien,WA-98166
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $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 Megan George Admin
5/1/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
• Duvall Avenue NE 4/9/2023 4/15/2023
"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
NEBF,401K,
1.JOSHUA CONDON LMCC/NLMCC,SAP,
AMF:$5.46/hr
Electricians-Inside
Journey Level $28.50 $11.13 $11.00 $0.00 $0.00 $0.91
(King)
WALECET:$0.14/hr
2.BRIAN GROHS
Laborers
aeral Laborer $13.94 $5.30 $7.55 $0.00 $0.00 $0.95
(King)
WALECET:$0.05/hr
3.KEN HILL
Power Equipment Operators
Shovel, Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
NEBF,401K,
4.ANDERS HJELSETH LMCC/NLMCC,SAP,
Electricians-Inside AMF:$5.46/hr
Journey Level $28.50 $11.13 $11.00 $0.00 $0.00 $0.91
(King)
Annuity,
5.Evan Jackson LMCC/NLMCC,
Electricians-Inside NEBF,SAP:$2.65/hr
$20.35 J $5.79 $11.00 $0.00 $0.00 $0.91
Apprentice
Inside Wireman
Step 3
(King)
NEBF,401K,
_:ADAM KOVIAK LMCC/NLMCC,SAP,
Electricians-Inside AMF:$5.72/hr
Journey Level $28.76 $11.13 $11.00 $0.00 $0.00 $0.91
(King)
WALECET:$0.14/hr
7.Abraham Maymex
Laborers
General Laborer $13.94 $5.30 $7.55 $0.00 $0.00 $0.95
_(King)
WALECET:$0.14/hr
8.VICTOR OLVERA
11 Laborers
-k-rneral Laborer $13.94 $5.30 $7.55 $0.00 $0.00 $0.95
(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.
(51Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
1' 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
Megan George Admin Megan George
MB 5/2/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and .. 81,17E Project Name County Project or Contract#
.\`• .14...., Prime Contractor CIIndustries jai' 1:.
Prevailing Wage Program 3.s ,.:. tt; Duvall Avenue NE King CAG 20 065
PO Box 44540 ' i ',� Subcontractor
•:�; Project Address
Olympia WA 98504-4540 y�, h"" Final Week of
(360)902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
4/8/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name c 0~O o Sun Mon Tue Wed Thu Fri Sat Total
Gross Amount
and And a> E 4/2 4/3 4/4 4/5 4/6 4/7 4/8 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address m > a) y Benefits" Tax
cc O o Hours Worked Each Day
0
1. Electricians-Inside RG 0.00 0.00 2.00 0.00 0.00 0.00 0.00 2.00 $68.05 $136.10
Journey Level JOSHUA CONDON
(King) 422 Long St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $102.0 $0.00 $136.10/ $28.50/hr $463.00 $438.74 $1,678.25
Wilkeson,WA- 7 $2,579.99
98396 $136.1
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 / $0.00
2. Laborers RG 0.00 0.00 2.00 0.00 0.00 0.00 0.00 2.00 $42 86 $85.72
General Laborer BRIAN GROHS V J
(King) 2612 S 375th PI OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.29 $0.00 $85.72/ $13.94/hr $307.00 $285.46 $1,250.52
Federal Way,WA- $1,842.98
98003
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $0.00
ewer Equipment RG 0.00 0.00 3.00 0.00 0.00 0.00 0.00 3.00 $52.12 $156.36
Operators JUSTIN
Shovel, Excavator,Backhoe, MCDONALD $156.36/
Tractors Under 15 Metric Tons 29801 33rd Ave S OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $2 075.55 $24.47/hr $192.00 $239.63 $1,643.92
(King) Roy,WA-98580
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $104.2 $0.00
4
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 Megan George Admin
5/1/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n.'vall Avenue NE 4/2/2023 4/8/2023
"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
NEBF,401K,
1.JOSHUA CONDON LMCC/NLMCC,SAP,
Electricians-Inside
AMF:$5.46/hr
Journey Level $28.50 $11.13 $11.00 $0.00 $0.00 $0.91
(King)
WALECET:$0.14/hr
2.BRIAN GROHS
I'borers
neral Laborer $13.94-.j $5.30 $7.55 $0.00 $0.00 $0.95
(King)
Int'l Training:
3.JUSTIN MCDONALD $0.05/hr
Power Equipment Operators
Shovel, Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
(\Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
'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
Megan George Admin Megan George
MB 5/2/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and F S'�1TF Prime Contractor E Project Name County Project or Contract#
,c. I ^ i,?
Industries is Iiiy
Prevailing Wage Program ,,g:=:; ::_€:_ Duvall Avenue NE King CAG 20 065
Subcontractor
PO Box 44540 ",�".A ;v Project Address
Olympia WA 98504-4540 H` `""° Final Week of
(360)902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
FOr the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
4/1/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name c9 8o Sun Mon Tue Wed Thu Fri Sat Total
m Gross Amount
and And a> E 3/26 3/27 3/28 3/29 3/30 3/31 4/1 Total Rate Earned/Gross Hourly Net Wages
E a Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address CD > - 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 Megan George Admin
4/6/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
nuvall Avenue NE 3/26/2023 4/1/2023
"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
• ti.
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
Megan George Admin Megan George
MB 4/7/23
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#
?pit_ Lr', Prime Contractor ❑
Industries 4
4Duvall Avenue NE King CAG 20 065
Prevailin Wa a Pro ram _9 9 9 ,,�;;;. .�^ Subcontractor
PO Box 44540 ''y'.�I` 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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
3/25/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name c9 ~O o Sun Mon Tue Wed Thu Fri Sat Total
a> Gross Amount
and And au E 3/19 3/20 3/21 3/22 3/23 3/24 3/25 Total Rate Earned/Gross Hourly Net Wages
03 E Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address CD
f E Payroll Benefits" Tax
CC O 'o Hours Worked Each Day
o
1. Electricians-Inside ‘,/ J
RG 0.00 0.00 4.00 3.00 0.00 0.00 0.00 7.00 $35. 9 $247,73 J
Apprentice J J
Inside Wireman Evan Jackson $30 .82/
Step 3 3606 NE 23rd Ct OT 0.00 0.00 1.00 0.00 0.00 0.00 0.00 1.00 $53.09 $53.09 $1 521 79 $20.35/hr $161.00 $258.87 $1,101.92
(King) Renton,WA-98056
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $70.78 $0.00
•
2. Electricians-Inside
Journey Level
WESLEY LINDSEY RG 0.00 0.00 4.00 3.00 0.00 0.00 0.00 7.00 $68.05 $476.35
(King) 509 Valley Ave NE, $102.0 $578.42/
Apt#6 OT 0.00 0.00 1.00 0.00 0.00 0.00 0.00 1.00 7 $102.07 $2 875 12 $28.50/hr $519.00 $582.83 $1,773.29
Puyallup,WA-
98372 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $136.1 $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 Megan George Admin
4/6/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 3/19/2023 3/25/2023
"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
Annuity,
1.Evan Jackson LMCC/NLMCC,
Electricians Inside NEBF,SAP:$2.65/hr
$20.35 Ni $5.79 $11.00 $0.00 $0.00 $0.91
Apprentice
Inside Wireman
Step 3
(King)
NEBF,401k,
2.WESLEY LINDSEY LMCC/NLMCC,SAP,
AMF:$5.46/hr
Electricians-Inside
irney Level $28.50 $11.13 $11.00 $0.00 $0.00 $0.91
(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.
(s)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
Mean George Admin Megan George
Amended Reason
Had electrical and concrete mixed up and had to change hours.
MB 4/7/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and 4,s)Ar, Project Name County Project or Contract#
?:?_••,_!::? Prime Contractor ❑
Industries 4 ••• i.
.;,, -''-'1I;Y Duvall Avenue NE King CAG-20-065
Prevailing Wage Program 4?••
,_• ,, --:,`r Subcontractor Z
PO Box 44540 �'y��r w Project Address
Olympia WA 98504-4540 H` "�� Final Week of
(360)902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
FOr the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
3/18/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
F
Work Classification Name c9 ~O o Sun Mon Tue Wed Thu Fri Sat Total
a= Gross Amount
and And a) E 3/12 3/13 3/14 3/15 3/16 3/17 3/18 Total Rate Earned/Gross Hourly Net Wages
E a) Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address CD w y Benefits" Tax
cc O o Hours Worked Each Day
0
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
3/20/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 3/12/2023 3/18/2023
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F)Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s)have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
15)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
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
Megan George Admin Megan George
•
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"rE G� Prime Contractor ❑ Project Name County Project or Contract#
Industries 4.:: k
�;::: t„ Duvall Avenue NE King CAG-20-065
Prevailing Wage Program �"" ;`r Subcontractor
PO Box 44540 ,�:°•i` cy' Project Address
Olympia WA 98504-4540 y` 'e89 r 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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
3/11/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name 3 o o Sun Mon Tue Wed Thu Fri Sat Total
Gross Amount
and And a) E 3/5 3/6 3/7 3/8 3/9 3/10 3/11 Total Rate Earned/Gross Hourly Net Wages
r m Hours of Pay Payroll °Usual FICA Wit Tax Hours Other
Soc Sec#of Employee Address IX O o Hours Worked Each Day Benefits"
0
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
3/20/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 3/5/2023 3/11/2023
"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.
'45)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
Megan George Admin Megan George
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 srAT& Project Name County Project or Contract#
��`•<<_` _ :°.44. Prime Contractor❑
Industries k Duvall Avenue NE King CAG-20-065
Prevailing Wage Program I'"�'�` Subcontractor El
PO Box 44540 .H�' y° Project Address
Olympia WA 98504-4540 ap Final Week of
(360)902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
3/4/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
i
' ,f Day and Date Deductions
H
Work Classification Name c9 ~o o Sun Mon Tue Wed Thu Fri Sat Total
m Gross Amount
and And a) E 2/26 2/27 2/28 3/1 3/2 3/3 3/4 Total Rate Earned/Gross Hourly Net Wages
f a) Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address Tax
CD o o Hours Worked Each Day Benefits"
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 Megan George Admin
3/20/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 2/26/2023 3/4/2023
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D)Hourly (E)Approved (F)Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s)have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions,other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
15)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
ifraining 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
Megan George Admin Megan George
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,:TATA Project Name County Project or Contract#
s, •ins:.? Prime Contractor ❑
Industries �,;; Duvall Avenue NE King CAG-20-065
Prevailing Wage Program <":: "'=
_...�. �� „,,� Subcontractor ►_
PO Box 44540 'zss ;y� Project Address
Olympia WA 98504-4540 y� ''rA�' Final Week of
(360)902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
2/25/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name 0 ~O o Sun Mon Tue Wed Thu Fri Sat Total
a) Gross Amount
and And m E 2/19 2/20 2/21 2/22 2/23 2/24 2/25 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay Payroll °Usual FICA Withholding Other
Soc Sec#of Employee Address o y 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 Megan George Admin
3/20/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 2/19/2023 2/25/2023
"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.
i)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
braining 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
Megan George Admin Megan George
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 STATE. Project Name County Project or Contract#
?:.� _t. Prime Contractor ❑
:'•'•'•'
Industries `'" Duvall Avenue NE King CAG-20-065
Prevailing Wage Program {;;,, "i : Subcontractor IZI
PO Box 44540 <<>�y Jr s°yam Project Address
Olympia WA 98504-4540 ` `"P" Final Week of
(360)902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
2/18/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name Cc ~O o Sun Mon Tue Wed Thu Fri Sat Total
m Gross Amount
and And m E 2/12 2/13 2/14 2/15 2/16 2/17 2/18 Total Rate Earned/Gross Hourly Net Wages
E i= Hours of Pay "Usual FICA Withholding Other
'a� f a, - _- Payroll Benefits" Tax
Soc Sec#of Employee Address ct 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 Megan George Admin
2/27/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n""vall Avenue NE 2/12/2023 2/18/2023
"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.
m Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
dThing 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
Megan George Admin Megan George
MB 2/28/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and STATF Project Name CountyProject or Contract#
p ..'" __'._°.' Prime Contractor ❑ t t
Industries
IndusteWage Program ai, °: ?€:x Duvall Avenue NE King CAG-20-065
Prevailing 9 9 -4, i,,. Subcontractor
PO Box 44540 '. _�` o" Project Address
Olympia WA 98504-4540 0� '"py 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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
2/11/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
H
Work Classification Name c7 ~O 9- Sun Mon Tue Wed Thu Fri Sat Total
and And Gross Amount
2/5 2/6 2/7 2/8 2/9 2/10 2/11 Total Rate Hourly
`(0 E i Hours of Pay Earned/Gross "Usual Withholding Net Wages
r a) Payroll FICA Other
Soc Sec#of Employee Address ce O o Hours Worked Each Day Benefits" Tax
0
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
2/27/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n..vall Avenue NE 2/5/2023 2/11/2023
"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
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
Megan George Admin Megan George
MB 2/28/23
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#
Industries ;,.: ;;` _;y Prime Contractor ❑
PrevailingWage Program t'::, s Duvall Avenue NE King CAG-20-065
9 g Subcontractor
PO Box 44540 "4.- 04., 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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
2/4/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
H
Work Classification Name & o Sun Mon Tue Wed Thu' Fri Sat Total
a_) Gross Amount
and And a) E 1/29 1/30 1/31 2/1 2/2 2/3 2/4 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address a) w a y Benefits" Tax
fy 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 Megan George Admin
2/14/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 1/29/2023 2/4/2023
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s)have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
,'" ny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
ining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
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 �$sr�•rgo Project Name County Project or Contract#
Industries ; 4 Prime Contractor E
Duvall Avenue NE King CAG-20-065
Prevailing Wage Program '" Subcontractor
PO Box 44540 ,,b' a�y� Project Address
Olympia WA 98504-4540 ` ' av Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone !Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
1/28/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name ( 0 GI' Sun Mon Tue Wed Thu Fri Sat Total
a) Gross Amount
and And a) E 1/22 1/23 1/24 1/25 1/26 1/27 1/28 Total Rate Hourly
Lo E i= _ Hours of Pay Earned/Gross "UsualWithholding Net Wages
a, Payroll FICA Other
Soc Sec#of Employee Address O o Hours Worked Each Day Benefits" Tax
0
,
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
2/7/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n-vall Avenue NE 1/22/2023 1/28/2023
_ "USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
(''' Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
_ ,pining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
MB 2/8/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and a�STATF.. Project Name County Project or Contract#
Industries 1;; 4 Prime Contractor ❑
PrevailingWage Program 4::::. s Duvall Avenue NE King CAG-20-065
g g _' 11 Subcontractor El
PO Box 44540 `�' v°r Project Address
Olympia WA 98504-4540 yi `"tly'le. Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
1/21/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name c9 O~ o Sun Mon Tue Wed Thu Fri Sat Total Gross Amount
and And `" a) E 1/15 1/16 1/17 1/18 1/19 1/20 1/21 Total Rate Hourly
Earned/Gross Net Wages
m riz Hours of Pay Payroll "Usual FICA Withholding Other g
Soc Sec#of Employee Address O o Hours Worked Each Day Benefits" Tax
0 I
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 Megan George Admin
1/27/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
"wall Avenue NE 1/15/2023 1/21/2023
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
)
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
w
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.
! 4Any 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
Megan George Admin Megan George
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 ���,sT q,,i. Project Name County Project or Contract#
Industries 4 ,:. ,.y Prime Contractor ❑
�..:: t Duvall Avenue NE King CAG-20-065
PrevailingWage Program 4" "`_
9 9 ,, .;;� Subcontractor El
PO Box 44540 1:::jr, aoy" Project Address
Olympia WA 98504-4540 " 'be" Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
FOr the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
1/14/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name C9 ~O o Sun Mon Tue Wed Thu Fri Sat Total
a� Gross Amount
and And w E 1/8 1/9 1/10 1/11 1/12 1/13 1/14 Total Rate Earned/Gross Hourly Net Wages
m E iz Hours of Pay "Usual FICA Withholding Other
f �, Payroll Benefits" Tax
Soc Sec#of Employee Address c2 O Q 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 Megan George Admin
1/27/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
"wall Avenue NE 1/8/2023 1/14/2023
"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.
!s 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
Megan George Admin Megan George
� I
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 STATF. Project Name County Project or Contract#
Industries 4 :• y Prime Contractor ❑
0s: Duvall Avenue NE King CAG-20-065
Prevailing Wage Program : `g Subcontractor El
PO Box 44540 „-If ,ov" Project Address
Olympia WA 98504-4540 �88" Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
FOr the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
1/7/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name c6 ~O o Sun Mon Tue Wed Thu Fri Sat Total
d Gross Amount
and And a) E 1/1 1/2 1/3 1/4 1/5 1/6 1/7 Total Rate Hourly
ca E Hours of Pay Earned/Gross "Usual FICA Withholding Other Net Wages
Soc Sec#of Employee Address o o Hours Worked Each Day Payroll Benefits" Tax
a
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
1/27/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
wall Avenue NE 1/1/2023 1/7/2023
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
' `,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
Megan George Admin Megan George
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 ,TA,F Project Name County Project or Contract#
,.�_�_. : °� Prime Contractor ❑
Industries "ii r Duvall Avenue NE King CAG-20-065
Prevailing Wage Program {iii siir Subcontractor
'{;' e41 z Project Address
PO Box 44540 ''?;,,_- „v°
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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
12/31/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
o Sun Mon Tue Wed Thu Fri Sat
Work Classification Name 0 Total
a'W aD 12/2 12/2 12/2 12/2 12/2 12/3 12/3 Gross Amount
Total Rate Hourly
and And Earned/Gross Net Wages
E5 6 7 8 9 0 1 Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address m w - 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 Megan George Admin
1/3/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n"wall Avenue NE 12/25/2022 12/31/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved ! (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
' Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
ining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
'
MB 1/4/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and t,,�.ArF. Project Name County Project or Contract#
Industries ^^?•" °, Prime Contractor III
'`. ;t Duvall Avenue NE King CAG-20-065
PrevailingWage Program ••_
9 9 �, .;;�. Subcontractor IM
PO Box 44540 i:::I' oy� Project Address
Olympia WA 98504-4540 ` `&��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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
12/24/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
o Sun Mon Tue Wed Thu Fri Sat
Work Classification Name C7 Total
cr o a) 12/1 12/1 12/2 12/2 12/2 12/2 12/2 Gross Amount
Total Rate Hourly
and And `m E 8 9 0 1 2 3 4 Hours of Pay Earned/Gross °Usual FICA Withholding Other Net Wages
Soc Sec#of Employee Address y a) 3 Payroll Benefits" Tax
cr 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 Megan George Admin
1/3/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n..vall Avenue NE 12/18/2022 12/24/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
)
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
ining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature -
Megan George Admin Megan George
M B 1/4/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and y
STr Project Name County Project or Contract#
. Prime Contractor ❑Industries .4. Duvall Avenue NE King CAG-20-065
Prevailin Wa a Pro ram <9 9 9 .;; Subcontractor El
PO Box 44540 �y� Project Address
Olympia WA 98504-4540 H� '""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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
12/17/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
~ Sun Mon Tue Wed Thu Fri Sat
Work Classification Name C� Total
e 2- m 12/1 12/1 12/1 12/1 12/1 12/1 12/1 Gross Amount
yE Total Rate Hourly
and And Earned/Gross Net Wages
m E 1 2 3 4 5 6 7 Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address - Payroll Benefits" Tax
rI 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 Megan George Admin
1/3/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n..vall Avenue NE 12/11/2022 12/17/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and a�,srnrgo Project Name County Project or Contract#
Industries 4... A Prime Contractor ❑
o Duvall Avenue NE King CAG-20-065
Prevailing Wage Program ,}f Subcontractor ►z
PO Box 44540 �y Ar aw Project Address
Olympia WA 98504-4540 ` '"8� Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
FOr the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
12/10/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name aH o Sun Mon Tue Wed Thu Fri Sat Total
tY O a) 12/1 Gross Amount
and And ` E 12/4 12/5 12/6 12/7 12/8 12/9 0 Total Rate
m Earned/Gross Hourly Net Wages
E a) Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address a0 a, - Benefits" Tax
ct O o' Hours Worked Each Day
0
1. Electricians-Inside RG 0.00 8.00 8.00 8.00 8.00 7.00 0.00 39.00 $65.72 $2,563.0
Journey Level Joshua Condon 8
(King) 422 Long St $2,563.08
Wilkeson,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $98.58 $0.00 / $27.52/hr $547.00 $494.70 $1,817.12
- '* 98396 $2,858.82
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $131.4 $0.00
2. Power Equipment RG 0.00 8.00 0.00 8.00 8.00 0.00 0.00 24.00 $52.12 $1,250.8
Operators HECTOR 8
Shovel, Excavator,Backhoe, $1,250.88
T•^^tors Under 15 Metric Tons FONSECA OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 / $24.47/hr $233.00 $243.05 $1,683.97
g) 1609 Alder St SE $2,160.02
Lacey,WA-98503 $104.2
�,�***x.* DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $0.00
3. Power Equipment RG 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.00 $52.12 $833.92
Operators JUSTIN Ni J
.
Shovel, Excavator, Backhoe, MCDONALD $83392/
Tractors Under 15 Metric Tons OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $24.47/hr $225.00 $249.73 $1,688.25
29801 33rd Ave S $2,162.98
(King) Roy,WA-98580
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $104.2 $0.00
4. Power Equipment RG 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $52.12 $416.96
Operators JOHN STEENSMA
Shovel, Excavator,Backhoe, 15954 Kylie Dr SE $416.96/
Tractors Under 15 Metric Tons Monroe,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $1 250.14 $24.47/hr $136.00 $143.99 $970.15
(King) 98272 $104.2
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $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 Megan George Admin
1/3/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
"yvall Avenue NE 12/4/2022 12/10/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
AMF:$0.49/hr,
1.Joshua Condon Annuity:$2.50/hr,
Electricians-Inside LMCC/NLMCC:
Journey Level $27.52 $10.88 $10.65 $0.00 $0.00 $0.87 $0.11/hr,NEBF:
$1.97/hr,SAP:
$0.05/hr
(King)
National Training:
2.HECTOR FONSECA $0.05/hr
",ower Equipment Operators
hovel,Excavator,Backhoe,
i ractors Under 15 Metric Tons $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
(King)
National Training:
3.JUSTIN MCDONALD $0.05/hr
Power Equipment Operators
Shovel,Excavator,Backhoe, $24.47 J $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
National Training:
4.JOHN STEENSMA $0.05/hr
Power Equipment Operators
Shovel,Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
. X
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
pining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
M B 1/4/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and �t,,,,��E. Project Name County Project or Contract#
Industries •_•l' Prime Contractor ❑
,i3 "`ur Duvall Avenue NE King CAG-20-065
Prevailing Wage Program ilia,. iiiis
Ai,,,; fi,,, . Subcontractor
PO Box 44540 ':'f�' v 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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
12/3/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name 0 I- o Sun Mon Tue Wed Thu Fri Sat Total
o
EC w 11/2 11/2 11/2 11/3 Gross Amount
and And °' E 7 8 9 0 12/1 12/2 12/3 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address y f - Payroll Benefits" Tax
o' O o Hours Worked Each Day
a NiJ
1. Electricians-Inside RG 0.00 8.00 3.00 8.00 0.00 8.00 0.00 27.00 $65.72 $1,774.4 N/
Journey Level Joshua Condon 4
(King) 422 Long St $1,774.44
Ni
Wilkeson,WA-
OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $98.58 $0.00 / $27.52/hr $353.00 $351.03 $1,350.01
;} $2,054.04
98396
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $131.4 $0.00
2. Power Equipment RG 0.00 8.00 3.00 8.00 0.00 8.00 0.00 27.00 $52.12 $1,407.2
Operators 4
HECTOR
Shovel, Excavator, Backhoe, FONSECA $1,407.24
tors Under 15 Metric Tons
Tr�� OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 / $24.47/hr $152.00 $193.04 $1,322.80
1609 Alder St SE
ig) Lacey,WA-98503 $104.2 $1,667.84
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $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 Megan George Admin
1/3/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 11/27/2022 12/3/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
AMF:$0.49/hr,
1.Joshua Condon Annuity:$2.50/hr,
Electricians-Inside
LMCC/NLMCC:
Journey Level $27.52 J $10.88 $10.65 $0.00 $0.00 $0.87 $0.11/hr,NEBF:
$1.97/hr,SAP:
$0.05/hr
(King)
National Training:
2.HECTOR FONSECA $0.05/hr
Power Equipment Operators
iovel, Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
..actors Under 15 Metric Tons
(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.
' `,tAny 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
Megan George Admin Megan George
M B 1/4/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
r .
Certified Payroll Report
Department of Labor and �� srnrso Project Name County Project or Contract#
Industries ;;;; £ Prime Contractor ❑
�:ii Duvall Avenue NE King CAG-20-065
PrevailingWage Program 9 9 .,;z Subcontractor
PO Box 44540 "� v� Project Address
Olympia WA 98504-4540 y` ``-e"e� Final Week of
(360)902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
11/26/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name -c p o Sun Mon Tue Wed Thu Fri Sat Total
Et 2. a) 11/2 11/2 11/2 11/2 11/2 11/2 11/2 Gross Amount
a, E Total Rate Hourly
and And 0 1 2 3 4 5 6 Earned/Gross Net Wages
3 E Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address a3'i a) = Payroll Benefits" Tax
Ct 0 o Hours Worked Each Day
a J J
1. Power Equipment RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $35.31 $282.48
Operators `
Apprentice Michael Calder J J
Constr Equipment Operator 2103 21st Ave OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $52.97 $0.00 $282.48/ $24.47/hr $44.00 $68.18 $452.78
Step 1 South $564.96
(King) Seattle,WA-98144
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $70.62 $0.00
2. Electricians-Inside RG 0.00 8.00 5.50 8.00 0.00 0.00 0.00 21.50 $65.72 $1,412.9
Journey Level Joshua Condon 8
"`'rig) 422 Long St $1,412.98
Wilkeson,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $98.58 $0.00 / $27.52/hr $295.00 $288.36 $1,226.18
- - -. 98396 $1,809.54
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 31.4 $0.00
3. Electricians-Inside EDWARD RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $72.29 $578.32
Journey Level DELGADO
(King) 1566 Country Club $108.4 $578.32/
Dr OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $0.00 $1,734.96 $27.77/hr $217.00 $462.15 $1,055.81
Camano Island,WA $144.5
-98282 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8 $0.00
4. Power Equipment RG 0.00 8.00 5.50 8.00 0.00 0.00 0.00 21.50 $52.12 $1,120.5
Operators HECTOR 8
Shovel,Excavator,Backhoe, $1,120.58
Tractors Under 15 Metric Tons FONSECA OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 / $24.47/hr $121.00 $162.37 $1,122.77
(King) 1609 Alder St SE
85 $1,406.14
Lacey,WA-98503 $104.2
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
5. Electricians-Inside RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $34.17 $273.36
Apprentice J f
Inside Wireman Vladislav Volodkov $273.36/ V
Step 3 12612 70th Ave S OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $51.26 $0.00 $820 08 $19.93/hr $65.00 $144.39 $610.69
(King) Seattle,WA-98178 .
„ DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $68.34 $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 Megan George Admin
1/3/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Avenue NE 11/20/2022 11/26/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
•
Int'l Training:
1.Michael Calder $0.05/hr
Power Equipment Operators
$24.47 s/ $14.40 $9.32 $0.00 $0.00 $0.70
Apprentice
Constr Equipment Operator
Step 1
(King)
AMF:$0.49/hr,
2.Joshua Condon Annuity:$2.50/hr,
'7',3ctricians-Inside LMCC/NLMCC:
urney Level $27.52 $10.88 $10.65 $0.00 $0.00 $0.87 $0.11/hr,NEBF:
$1.97/hr,SAP:
$0.05/hr
(King)
AMF:$0.54/hr,
3.EDWARD DELGADO Annuity:$2.50/hr,
Electricians-Inside LMCC/NLMCC:
Journey Level $27.77 $10.88 $10.65 $0.00 $0.00 $0.87 $0.11/hr,NEBF:
$2.17/hr,SAP:
$0.05/hr
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
National Training:
4.HECTOR FONSECA $0.05/hr
Power Equipment Operators
Shovel,Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(King)
AMF:$0.26/hr,
5.Vladislav Volodkov Annuity:$1.30/hr,
LMCC:$0.11/hr,
Electricians-Inside 3$1.0 /hr,
$19.93 J $5.66 $10.65 $0.00 $0.00 $0.87 SAP:NEBF:$1.0$0.05
r
Apprentice
Inside Wireman
Step 3
ing)
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
ming 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
Megan George Admin Megan George
MB 1/4/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and tT.,?� Project Name County Project or Contract#
.:3�••�6., Prime Contractor ❑
Industries 3�3 »�•s
=•3:3•; - • %333;� Duvall Avenue NE King CAG-20-065
Prevailing Wage Program 4aii:. =i`•33 '1 Subcontractor
.33u• ; ii�i Project Address
PO Box 44540 S*i'l ,,v 1
Olympia WA 98504-4540 H� '""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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
11/19/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
o Sun Mon Tue Wed Thu Fri Sat
Work Classification Name Total o
ce a) 11/1 11/1 11/1 11/1 11/1 11/1 11/1 Gross Amount
a, E Total Rate Hourly
and And E 3 4 5 6 7 8 9 Hours of Pay Earned/Gross °Usual FICA Withholding Other Net Wages
Soc Sec#of Employee Address m a) a Payroll Benefits" Tax
O Hours Worked Each Day
a
1. Electricians-Inside RG 0.00 0.00 0.00 7.00 8.00 7.00 0.00 22.00 $65.72 $1,445.8
Journey Level Joshua Condon . 4
(King) 422 Long St $1,445.84
Wilkeson,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $98.58 $0.00 / $27.52/hr $461.00 $435.49 $1,600.87
98396 $2,497.36
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1�1.4 $0.00
2. Power Equipment RG 0.00 0.00 0.00 7.00 8.00 7.00 0.00 22.00 $52.12 $1,146.6
Operators 4
HECTOR
Shovel, Excavator,Backhoe, FONSECA $1,146.64
Tractors Under 15 Metric Tons 1609 Alder St SE OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 / $24.47/hr $194.00 $230.21 $1,556.35
9) Lacey,WA-98503 $1,980.56
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $104.2 $000
,
3. Cement Masons RG 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $57.50 $460.00 /
Journey Level Brandon Ingalls v Ni
(King) 8209 185th Ave E $460.00/
Bonney Lake,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2 343.13 $19.59/hr $174.00 $426.14 $1,742.99
- - 98391 $115.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $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 Megan George Admin
1/3/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n.,vall Avenue NE 11/13/2022 11/19/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
AMF:$0.49/hr,
1.Joshua Condon Annuity:$2.50/hr,
Electricians-Inside
LMCC/NLMCC:
Journey Level $27.52 $10.88 $10.65 $0.00 $0.00 $0.87 $0.11/hr,NEBF:
$1.97/hr,SAP:
$0.05/hr
(King)
National Training:
2.HECTOR FONSECA $0.05/hr
Power Equipment Operators
ovel, Excavator, Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
..actors Under 15 Metric Tons
(King)
401(k):$0.50/hr
3.Brandon Ingalls
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
a
• '+-
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
c'.=>.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
Megan George Admin Megan George
MB 1/4/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and �t,5?q�< Project Name County Project or Contract#
Industries = Prime Contractor ❑
.rt. .-'`t:r Duvall Avenue NE King CAG-20-065
PrevailingWage Program =.. :. _;:i==
9 9 iii;, , •:,,.r Subcontractor ►.�
PO Box 44540 ";,." y Project Address
Olympia WA 98504-4540 F�� '-�" Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
11/12/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
~ Thu Fri Sat
Work Classification Name IT H o Sun Mon Tue Wed Total
a) 11/1 11/1 11/1 Gross Amount
and And E 11/6 11/7 11/8 11/9 0 1 2
Total Rate Earned/Gross Hourly Net
7 Hours of Pay Pa roll "Usual FICA Withholding Other Wages
Soc Sec#of Employee Address a-i y Benefits" Tax
o! O o Hours Worked Each Day
0
1. Electricians-Inside RG 0.00 6.00 6.00 6.50 6.50 0.00 0.00 25.00 $65.72 $1,643.0
Journey Level Joshua Condon 0
(King) 422 Long St $1,643.00
Wilkeson,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $98.58 $0.00 / $27.52/hr $526.00 $476.27 $1,774.69
#* 98396 $2,776.96
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 31'4 $0.00
2. Power Equipment RG 0.00 6.00 6.00 6.50 6.50 0.00 0.00 25.00 $52.12 $1,303.0
Operators HECTOR 0
Shovel, Excavator,Backhoe, $1,303.00
Tractors Under 15 Metric Tons FONSECA OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 / $24.47/hr $251.00 $259.03 $1,729.65
9) 1609 Alder St SE $2,239.68
Lacey,WA-98503 $104.2
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4J $0.00
3. Laborers RG 0.00 6.00 6.00 6.50 6.50 0.00 0.00 25.00 $42.86 $1'071
General Laborer ROSS TAYLOR 0 � /
(King) 3390 NW Palau Dr $1,071.50 v
Poulsbo,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.29 $0.00 / $14.00/hr $142.00 $241.09 $1,117.01
98370 $1,500.10
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $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 Megan George Admin
1/3/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 11/6/2022 11/12/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
AMF:$0.49/hr,
1.Joshua Condon Annuity:$2.50/hr,
Electricians-Inside
LMCC/NLMCC:
Journey Level $27.52 $10.88 $10.65 $0.00 $0.00 $0.87 $0.11/hr, NEBF:
$1.97/hr,SAP:
$0.05/hr
(King)
National Training:
2.HECTOR FONSECA $0.05/hr
Power Equipment Operators
iovel,Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
..actors Under 15 Metric Tons
(King)
WALECET:$0.14/hr,
3.ROSS TAYLOR SAP:$0.06/hr
Laborers
General Laborer $14.00 J $5.30 $7.55 $0.00 $0.00 $0.95
(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.
r 4ny 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
Megan George Admin Megan George
M B 1/4/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and �TAr�. Project Name County Project or Contract#
p �0.. .:Z Prime Contractor ❑
Industries V. .`I y Duvall Avenue NE King CAG-20-065
Prevailing Wage Program „r' Subcontractor
PO Box 44540 ". 1I �;v' Project Address
Olympia WA 98504-4540 ` `""y" Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
FOr the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
11/5/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
i= o Sun Mon
Work Classification Name c7 Tue Wed Thu Fri Sat Total
ct m 10/3 10/3 Gross Amount
and And m E 0 1 11/1 11/2 11/3 11/4 11/5 Total Rate Earned/Gross Hourly Net Wages
Hours of Pay Pa roll "Usual FICA Withholding Other
Soc Sec#of Employee Address , a) y Benefits" Tax
rx O o' Hours Worked Each Day
0
1. Laborers RG 0.00 0.00 0.00 0.00 2.50 0.00 0.00 2.50 $43.90 $109.75
General Laborer Charles Bonagofski
(King) 3040 Marine Dr $109.75/
Bremerton,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $65.85 $0.00 $351.20 $13.94/hr $2.79 $61.12 $287.29
** 98312
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $87.80 $0.00
2. Electricians-Inside RG 0.00 6.00 2.00 5.00 2.50 0.00 0.00 15.50 $65.72 $1,018.6
Journey Level Joshua Condon 6
(King) 422 Long St $1,018.66
Wilkeson,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $98.58 $0.00 / $27.52/hr $459.00 $418.65 $1,628.65
$2,506.30
98396
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $NI $0.00
3. Power Equipment RG 0.00 6.00 2.00 6.00 2.50 0.00 0.00 16.50 $52.12 $859.98
Operators HECTOR J J
Shovel, Excavator,Backhoe, FONSECA $859.98/
Tractors Under 15 Metric Tons OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $24.47/hr $216.00 $238.90 $1,625.09
1609 Alder St SE $2,079.99
(King) Lacey,WA-98503 $104.2
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $0.00
4. Power Equipment RG 0.00 0.00 0.00 6.00 0.00 0.00 0.00 6.00 $52.12 $312.72
Operators JUSTIN
Shovel,Excavator,Backhoe, MCDONALD $312.72/
Tractors Under 15 Metric Tons 29801 33rd Ave S OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $1 842 49 $24.47/hr $151.00 $211.96 $1,479.53
(King) Roy,WA-98580
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $104.2 $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 Megan George Admin
1/3/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
^;wall Avenue NE 10/30/2022 11/5/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
NWLECET:$0.14/hr
1.Charles Bonagofski
Laborers
General Laborer $13.94 $5.30 $7.55 $0.00 $0.00 $0.95
(King)
AMF:$0.49/hr,
2.Joshua Condon Annuity:$2.50/hr,
LMCC/NLMCC:
���ctricians-Inside $0.11/hr,NEBF:
iurney Level $27.52 $10.88 $10.65 $0.00 $0.00 $0.87 $1.97/hr,SAP:
$0.05/hr
(King)
National Training:
3.HECTOR FONSECA $0.05/hr
Power Equipment Operators
Shovel,Excavator,Backhoe, $24.47 J $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
National Training:
4.JUSTIN MCDONALD $0.05/hr
Power Equipment Operators
Shovel,Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
=)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
;fining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
MB 1/4/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and , sTerso Project Name County Project or Contract#
Industries a y Prime Contractor ❑
o;;;; 1n Duvall Avenue NE King CAG-20-065
PrevailingWage Program �° ``:`_ -
9 9 ��� Subcontractor ►_�
PO Box 44540 ` 4.4..
"�1 / Project Address
Olympia WA 98504-4540 y� !eB!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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
10/29/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
o
Sun Mon Tue Wed Thu Fri Sat
Work Classification Name c9 Total
et o a) 10/2 10/2 10/2 10/2 10/2 10/2 10/2 Gross Amount
a, E Total Rate Hourly
and And E 3 4 5 6 7 8 9 Hours of PayEarned/Gross
Usual Withholding Net Wages
o, r a, Payroll
Payroll Benefits" FICA Tax Other
a
Soc Sec#of Employee Address a) >
w O o Hours Worked Each Day
0
1. Electricians-Inside RG 0.00 0.00 0.00 0.00 3.00 3.00 0.00 6.00 $78.86 $473.16
Journey Level GERALD
(King) BEAUDRY OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $118.2 $0.00 $473.16/ $28.60/hr $618.00 $643.19 $1,893.21
P.O.Box 697 9 $3,154.40
** Easton,WA-98925 $157.7
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $010
2. Electricians-Inside RG 0.00 0.00 0.00 6.00 3.00 3.00 0.00 12.00 $65.72 $788.64
Journey Level Joshua Condon J J
(King) 422 Long St $788.64/
Wilkeson,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $98.58 $0.00 $2 263.45 $27.52/hr $404.00 $388.37 $1,471.08
98396 $131.4
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $0.00
3. Power Equipment RG 0.00 0.00 0.00 6.00 3.00 3.00 0.00 12.00 $52.12 $625.44
Operators HECTOR
Shovel,Excavator,Backhoe, FONSECA $625.44/
Tractors Under 15 Metric Tons 1609 Alder St SE OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $2 226.36 $24.47/hr $248.00 $252.51 $1,725.85
(King) Lacey,WA-98503 $104.2
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $0.00
4. Power Equipment RG 0.00 0.00 0.00 6.00 0.00 0.00 0.00 6.00 $52.12 $312.72
Operators JUSTIN
Shovel,Excavator,Backhoe, MCDONALD $312.72/
Tractors Under 15 Metric Tons 29801 33rd Ave S OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $2 234.87 $24.47/hr $243.00 $255.62 $1,736.25
(King) Roy,WA-98580 $104.2
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $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 Megan George Admin
1/3/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
".wall Avenue NE 10/23/2022 10/29/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
CAF:$0.20/hr,
1.GERALD BEAUDRY LMCC/NLMCC:
Electricians-Inside $0.12/hr,Money
Journey Level $28.60 $8.90 $12.88 $0.00 $0.00 $0_88 Purchase Pension:
$3.25/hr,NEBF
Pension:$2.37/hr
(King)
AMF:$0.49/hr,
2.Joshua Condon Annuity:$2.50/hr,
'k;ctricians-Inside LMCC/NLMCC:
iurney Level $27.52 $10.88 $10.65 $0.00 $0.00 $0.87 $0.11/hr,NEBF:
$1.97/hr,SAP:
$0.05/hr
(King)
National Training:
3.HECTOR FONSECA $0.05/hr
Power Equipment Operators
Shovel,Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
National Training:
4.JUSTIN MCDONALD $0.05/hr
Power Equipment Operators
Shovel,Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
4
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 c\,Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
ifining 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
Megan George Admin Megan George
MB 1/4/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and �.6T"rd'� Prime Contractor ❑ Project Name County Project or Contract#
Industries 4: °' 4.
o u Duvall Avenue NE King CAG-20-065
Prevailing Wage Program =.`:i�{ Subcontractor N
PO Box 44540 ` :1,, j,;v` Project Address
Olympia WA 98504-4540 y� 'B"�" Final Week of
(360)902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
10/22/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name 0 r o Sun Mon Tue Wed Thu Fri Sat Total
w 2 a) 10/1 10/1 10/1 10/1 10/2 10/2 10/2 Gross Amount
Total Rate Hourly
and And 3 E Earned/Gross 6 7 8 9 0 1 2 Hours of Pay Pa roll "Usual FICA Withholding 9 es
Other Net Wages
Soc Sec#of Employee Address aci a y Benefits" Tax
ce O 8 Hours Worked Each Day
1. Electricians-Inside BRADLEY RG 0.00 0.00 0.00 0.00 0.00 6.00 0.00 6.00 $72.29 $433.74
Journey Level HOFFMAN
(King) 13104 99th Avenue $108.4 $433.74/
Ct E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $0.00 $2 352.80 $27.23/hr $406.00 $263.50 $1,683.30
Puyallup,WA- $144.5
98373 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $0.00
2. Power Equipment RG 0.00 0.00 0.00 0.00 0.00 6.00 0.00 6.00 $52.12 $312.72
Operators JOHN STEENSMA Ni
Shovel,Excavator,Backhoe, 15954 Kylie Dr SE $312.72/
Tractors Under 15 Metric Tons Monroe,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $2 076.68 $24.47/hr $320.00 $238.01 $1,518.67
(King) 98272 $104.2
* DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $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 Megan George Admin
1/11/2023
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 10/16/2022 10/22/2022
"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
Annuity:$2.50/hr,
1.BRADLEY HOFFMAN
LMCC/NLMCC:
Electricians-Inside $0.11/hr,NEBF:
Journey Level $27.23 $10.88 $10.65 $0.00 $0.00 $0.87 $2.17/hr,SAP:
$0.05/hr
(King)
International
2.JOHN STEENSMA Training:$0.05/hr
Power Equipment Operators
Shovel,Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
y_ .t
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
Megan George Admin Megan George
Amended Reason
Added missing hours.
MB 1/12/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and , sTATh.O Project Name County Project or Contract#
.!::.� Prime Contractor ❑
Industries !4.
�:_:: ,' .t, Duvall Avenue NE King CAG-20-065
Prevailing Wage Program 4"' r Subcontractor El
PO Box 44540 174 "'r Project Address
8 y
Olympia WA 98504-4540 y` t88y�� Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
FOr the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
10/15/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
~ Mon Tue Wed Thu Fri Sat
Work Classification Name 6 ~ a Sun Total
ct 2. a) 10/1 10/1 10/1 10/1 10/1 10/1 Gross Amount
and And a) E 10/9 0 1 2 3 4 5 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address a7'i a) y Benefits" Tax
ce O o' Hours Worked Each Day
a
1. Laborers RG 0.00 3.00 7.00 7.00 3.00 0.00 0.00 20.00 $43.90 $878.00
General Laborer Charles Bonagofski
(King) 3040 Marine Dr OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $65.85 $0.00 $878.00/ $13.94/hr $322.00 $322.65 $1,440.60
Bremerton,WA- $2,085.25
*; 98312
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $87.$0 $07
2. Power Equipment RG 0.00 0.00 7.00 7.00 0.00 0.00 0.00 14.00 $49.51 $693.14
Operators
Apprentice ARLAN
Constr Equipment Operator HENDERSON,JR OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $74.27 $0.00 $693.14/ $24.47/hr $186.00 $215.49 $1,428.01
i 6 313 76th St SE $1,829.50
g) Everett,WA-98203
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $99.02 $0.00
3. Power Equipment RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $52.12 $416.96
Operators William McMurry
Shovel, Excavator,Backhoe, 3103 Stringtown Rd $416.96/
Tractors Under 15 Metric Tons E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $1,667.84 $24.47/hr $56.00 $186.60 $1,425.24
(King) Eatonville,WA-
** 98328 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $104'2 $0.00
4. Power Equipment RG 0.00 3.00 7.00 8.00 4.00 0.00 0.00 22.00 $52.12 $1,146.6
Operators JOHN STEENSMA 4
Shovel, Excavator,Backhoe, 15954 Kylie Dr SE $1,146.64
Tractors Under 15 Metric Tons OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 / $24.47/hr $331.00 $244.67 $1,546.10
(King) Monroe,WA- $2,121.77
98272 $104.2
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $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 Megan George Admin
12/20/2022
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
wall Avenue NE 10/9/2022 10/15/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
NWLECET:$0.14/hr
1.Charles Bonagofski
Laborers
General Laborer $13.94 $5.30 $7.55 $0.00 $0.00 $0.95
(King)
Intl Training:
2.ARLAN HENDERSON,JR $0.05/hr
°ewer Equipment Operators
$24.474 $14.40 $9.32 $0.00 $0.00 $0.70
.;Nprentice
Constr Equipment Operator
Step 6
(King) --
National Training:
3.William McMurry $0.05/hr
Power Equipment Operators
Shovel,Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
National Training:
4.JOHN STEENSMA $0.05/hr
Power Equipment Operators
Shovel,Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(King) _
•
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
'-`,Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
pining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
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 �.BT"Tg0 Prime Contractor ❑
Industries cProject Name County Project or Contract#
� tilit4
:; Duvall Avenue NE King CAG-20-065
Prevailing Wage Program ,z Subcontractor El
PO Box 44540 I.::4 a°y� Project Address
Olympia WA 98504-4540 ` 1bey Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
10/8/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
i=
Work Classification Name c9 ~O o Sun Mon Tue Wed Thu Fri Sat Total
a� Gross Amount
and And a� E 10/2 10/3 10/4 10/5 10/6 10/7 10/8 Total Rate Earned/Gross Hourly Net Wages
E i= Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address - 0 a cu Payroll Benefits" Tax
O o' Hours Worked Each Day
0
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
12/20/2022
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n.ivall Avenue NE 10/2/2022 10/8/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
FN Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
lning 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
Megan George Admin Megan George
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�rF Project Name County Project or Contract#
.... Prime Contractor ❑
Industries _=4
Duvall Avenue NE King CAG-20-065
Prevailing Wage Program 4' ;:. ""Y Subcontractor
PO Box 44540 s ..=� '"yz Project Address
Olympia WA 98504-4540 y` `b"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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
10/1/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
R
Work Classification Name ~o Sun Mon Tue Wed Thu Fri Sat Total
a� Gross Amount
and And a, E 9/25 9/26 9/27 9/28 9/29 9/30 10/1 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay Pa roll "Usual FICA Withholding Other
Soc Sec#of Employee Address aa) a' a y Benefits" Tax
o_ O o Hours Worked Each Day
a
1. Electricians-Inside RG 0.00 0.00 0.00 0.00 0.00 3.00 0.00 3.00 $78.86 $236.58
Journey Level GERALD
(King) BEAUDRY OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $118'2 $0.00 $236.58/ $28.60/hr $618.00 $643.18 $1,893.22
P.O.Box 697 9 $3,154.40
... Easton,WA-98925 $157.7
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $O.PO
J.JourneyElec Level
-Inside RG 0.00 0.00 0.00 0.00 2.00 3.00 0.00 5.00 $65.72 $328.60 J I
Level WESLEY LINDSEY
(King) 509 Valley Ave NE, $328.60/
Apt#6 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $98.58 $0.00 $2 924.54 $24.47/hr $543.00 $598.54 $1,783.00
_ ***** Puyallup,WA- -
98372 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $131.4 $0.00
s. Power Equipment RG 0.00 0.00 0.00 0.00 3.00 0.00 0.00 3.00 $52.12 $156.36
Operators JOHN STEENSMA
Shovel,Excavator,Backhoe, 15954 Kylie Dr SE $156.36/
Tractors Under 15 Metric Tons Monroe,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $1,382.50 $24.47/hr $165.00 $126.38 $1,091.12
(King) 98272 $104.2
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $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 Megan George Admin
12/20/2022
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 9/25/2022 10/1/2022
"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
•
GAF:$0.20/hr,
1.GERALD BEAUDRY LMCC/NLMCC:
Electricians-Inside $0.12/hr,Money
Journey Level $28.60 $8.90 $12.88 $0.00 $0.00 $0.88 Purchase Pension:
$3.25/hr,NEBF
Pension:$2.37/hr
(King)
amf:$0.49/hr,
2.WESLEY LINDSEY
LMCC/NLMCC:
Electricians-Inside $0.11/hr,NEBF:
urney Level $24.47 $10.63 $10.35 $0.00 $0.00 $0.87 $1.97/hr,SAP:
$0.05/hr
(King)
National Training:
3.JOHN STEENSMA $0.05/hr
Power Equipment Operators
Shovel, Excavator,Backhoe, $24.47 $14.40 $9.32 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(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.
,,!FLAny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
)ining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
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�rF Project Name County Project or Contract#
Industries �,c4 „4 Prime Contractor ❑
�.;,, Duvall Avenue NE King CAG-20-065
Prevailing Wage Program Via.°( ';:j .':J)PO Box 44540 Subcontractor Z Project Address
Olympia WA 98504-4540 ` 'nay Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
9/24/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
H
Work Classification Name (-5- ~O o Sun Mon Tue Wed Thu Fri Sat Total
a) Gross Amount
and And a) E 9/18 9/19 9/20 9/21 9/22 9/23 9/24 Total Rate Earned/Gross Hourly Net Wages
m Hours of Pay Payroll "Usual FICA Wit Tax Withholding
Other
Soc Sec#of Employee Address > a Benefits"
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 Megan George Admin
12/20/2022
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
^wall Avenue NE 9/18/2022 9/24/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
i )
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`.4:Nny 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
Megan George Admin Megan George
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 �,STATF, � Project Name County Project or Contract#
K�
Industries ,, ,.. Prime Contractor ❑
_• , Duvall Avenue NE King CAG-20-065
Prevailing Wage Program :iiiii' Subcontractor
PO Box 44540 ' 1::it �y" 1
Project Address
Olympia WA 98504-4540 y` ��ay° Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
9/17/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
F=
Work Classification Name 3 ~O o Sun Mon Tue Wed Thu Fri Sat Total
a) Gross Amount
and And a) E 9/11 9/12 9/13 9/14 9/15 9/16 9/17 Total Rate Earned/Gross Wages
Hourly Net
al E Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address a�' > E Payroll Benefits" Tax
cc) 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 Megan George Admin
12/20/2022
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n"Ivall Avenue NE 9/11/2022 9/17/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
r`My 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
Megan George Admin Megan George
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 .4�BTATgn Project Name County Project or Contract#
Industries 4 iii Prime Contractor ❑
o;il?° ,, Duvall Avenue NE King CAG-20-065
Prevailing Wage Program ':: Subcontractor El
PO Box 44540 d>�,,=4 . Project Address
Olympia WA 98504-4540 4'4 '""y a Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
FOr the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
9/10/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
IL-
Work Classification Name Cc ~O o Sun Mon Tue Wed Thu Fri Sat Total
a� Gross Amount
and And au E 9/4 9/5 9/6 9/7 9/8 9/9 9/10 Total Rate Earned/Gross Hourly Net Wages
E i Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address f o Hours Worked Each Day PayrollBenefits"
cu Tax
ce
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 Megan George Admin
12/20/2022
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n""vall Avenue NE 9/4/2022 9/10/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
!s\Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
ning Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
•
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�Te Project Name County Project or Contract#
6+1! _•��q4, Prime Contractor ❑
Industries iiii:4
0,11i.t Duvall Avenue NE King CAG-20-065
Prevailing Wage Program = Subcontractor El
PO Box 44540 '"'i y� Project Address
Olympia WA 98504-4540 �`�eBs�� Final Week of
(360)902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
9/3/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
i -
ti Day and Date I Deductions
H
Work Classification Name c9 ~O o Sun Mon Tue Wed Thu Fri Sat Total
a� Gross Amount
and And m E 8/28 8/29 8/30 8/31 9/1 9/2 9/3 Total Rate Earned/Gross Hourly Net Wages
co E i= __ _ Hours of Pay y "Usual FICA Withholding Other
Soc Sec#of Employee Address o o Hours Worked Each Day Payroll Benefits"
Tax
fx
a
J Si
1. Electricians-Inside RG 0.00 0.00 3.00 0.00 0.00 0.00 0.00 3.00 $65.37 $196.11 J
Journey Level GERALD J
(King) BEAUDRY OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $98.06 $0.00 $196.11/ $28.60/hr $489.00 $534.80 $1,591.00
P.O.Box 697 $2,614.80
Easton,WA-98925
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $14 30'7 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
12/20/2022
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n"vall Avenue NE 8/28/2022 9/3/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms)
Work Classification Total Hourly I (A) Hourly I (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
CAF:$0.20/hr,
LMCC/NLMCC:
1.GERALD BEAUDRY
Electricians-Inside $0.12/hr,Money
Journey Level $28.60 J $8.90 $12.88 $0.00 $0.00 $0.88 Purchase Pension:
$3.25/hr,NEBF
Pension:$2.37/hr
King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s)have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
(g>,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
Megan George Admin Megan George
M B 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 ��aTerFo Project Name County Project or Contract#
Industries 4 4 Prime Contractor ❑
o,:,; Duvall Avenue NE King CAG-20-065
Prevailing Wage Program „r Subcontractor El
Box 44540 ::•it y Project Address
Olympia WA 98504-4540 y` '889
° Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
8/27/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name c9 ~o 9- Sun Mon Tue Wed Thu Fri Sat Total
T m Gross Amount
and And m E 8/21 8/22 8/23 8/24 8/25 8/26 8/27 Total Rate Earned/Gross Hourly Net Wages
m E a Hours of Pay y "Usual FICA Withholding Other
Soc Sec#of Employee Address O o Hours Worked Each Day Payroll Benefits"
a
1. Electricians-Inside RG 0.00 8.50 0.00 0.00 0.00 0.00 0.00 8.50 $72.29 $614.47
Journey Level DANILO BISCAINO
(King) 7371 S Mullen St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $108.4 $0.00 $614.47/ $24.47/hr $539.00 $523.49 $1,798.43
Tacoma,WA- 4 $2,860.92
98409
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $181 $0. 0
2. Power Equipment RG 0.00 8.50 0.00 0.00 0.00 0.00 0.00 8.50 $52.12 $44 .02
Operators JUSTIN J J
Shovel, Excavator,Backhoe, MCDONALD $443.02/
Tractors Under 15 Metric Tons 29801 33rd Ave S OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $1 558 98 $24.47/hr $89.00 $177.62 $1,292.36
(King) Roy,WA-98580
,..,
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $104.24 $0.00
3. Electricians-Inside RG 0.00 8.50 0.00 0.00 0.00 0.00 0.00 8.50 $65.72 $558.62
Journey Level BOXMIDAR
(King) SIMEONOV OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $98.58 $0.00 $558.62/ $24.48/hr $254.00 $449.47 $1,757.83
908 94th St SE $2,461.30
' " Everett,WA-98208' $131.4
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $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 Megan George Admin
12/20/2022
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n"wall Avenue NE 8/21/2022 8/27/2022
"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
AMF:$0.49/hr,
1.DANILO BISCAINO
LMCC/NLMCC:
Electricians-Inside $0.11/hr,NEBF:
Journey Level $24.47 $10.63 $10.35 $0.00 $0.00 $0.87 $1.97/hr,SAP:
$0.05/hr
(King)
National Training:
$0.05/hr
2.JUSTIN MCDONALD
Power Equipment Operators
love!, Excavator, Backhoe, $24.47 J $14.40 $9.32 $0.00 $0.00 $0.70
..actors Under 15 Metric Tons
(King)
AMF:$0.49/hr,
3.BOXMIDAR SIMEONOV
LMCC/NLMCC:
Electricians-Inside $0.11/hr,NEBF:
Journey Level $24.48 $10.63 $10.36 $0.00 $0.00 $0.87 $1.97/hr,SAP:
$0.05/hr
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
!�`..Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
,fining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
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�re� Project Name County Project or Contract#
Industries .ii: 4 Prime Contractor ❑
�.::: to Duvall Avenue NE King CAG-20-065
PrevailingWage Program 4 ``x
9 9 Subcontractor
PO Box 44540 °•�1 oy° Project Address
Olympia WA 98504-4540 ` t88�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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
8/20/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
H
Work Classification Name ao GI Sun Mon Tue Wed Thu Fri Sat Total
ce a) Gross Amount
and And w E 8/14 8/15 8/16 8/17 8/18 8/19 8/20 Total Rate Earned/Gross Hourly Net Wages
� _ Hours of Pay Payroll "Usual FICA Withholding Other g
o� r °' y Benefits" Tax
Soc Sec#of Employee Address 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 Megan George Admin
12/20/2022
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
n..vall Avenue NE 8/14/2022 8/20/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
'a`Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
ining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
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 �� aTAtsn Project Name County Project or Contract#
.... Prime Contractor ❑
Industries '' Duvall Avenue NE King CAG-20-065
Prevailing Wage Program <`'' ""x Subcontractor
::: °::
PO Box 44540 ill'aV h`,. Project Address
Olympia WA 98504-4540 yy '&"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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
8/13/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name (-3 ~o o Sun Mon Tue Wed Thu Fri Sat Total
a) Gross Amount
and And a> E 8/7 8/8 8/9 8/10 8/11 8/12 8/13 Total Rate Earned/Gross Hourly Net Wages
E i Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address W f o Hours Worked Each Day PayrollBenefits" 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 Megan George Admin
12/20/2022
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
vall Avenue NE 8/7/2022 8/13/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
CI 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
Megan George Admin Megan George
MB 12/22/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
t
Certified Payroll Report
Department of Labor and ��sT�rs•o Project Name County Project or Contract#
Industries ;�,;;1 4 Prime Contractor ❑
PrevailingWage Program 4:`.`.'.. x Duvall Avenue NE King CAG-20-065
9 g Subcontractor
PO Box 44540 �'H'.�' aoy�r Project Address
Olympia WA 98504-4540 'bay Final Week of
(360)902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
8/6/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
H
Work Classification Name a o Sun Mon Tue Wed Thu Fri Sat Gross Amount Total
and And aj E 7/31 8/1 8/2 8/3 8/4 8/5 8/6 Total Rate Earned/Gross Hourly Net Wages
Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address O o Hours Worked Each Day Benefits"
a
1. Electricians-Inside RG 0.00 8.50 6.00 10.00 0.00 0.00 0.00 24.50 $65.72 $1,610.1
Journey Level WESLEY LINDSEY 4
(King) 509 Valley Ave NE, $1,610.14
Apt#6 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $98.58 $0.00 / $24.47/hr $460.00 $516.96 $1,626.81
* _ _ ** Puyallup,WA- _ $2,603.77
98372 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $131.4 $0.00
Ap2. prentice eians Inside RG 0.00 8.50 6.00 10.00 0.00 0.00 0.00 24.50 $42.72 $1,046'6
pp Adam Tainter v J
Inside Wireman 4616 78th Ave Ct W $1,046.64
Step 4 University Place, OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.08 $0.00 / $21.66/hr $195.00 $253.72 $928.69
(King) WA-98466 $1,377.41
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.44 $0.00
o. Laborers RG 0.00 6.00 0.00 0.00 0.00 0.00 0.00 6.00 $42.86 $257.16
General Laborer ROSS TAYLOR
(King) 3390 NW Palau Dr $257.16/
Poulsbo,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.29 $0.00 $2 100.14 $14.00/hr $238.00 $317.17 $1,544.97
* ** 98370 -
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $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 Megan George Admin
12/20/2022
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 7/31/2022 8/6/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
amf:$0.49/hr,
LMCC/NLMCC:
1.WESLEY LINDSEY
Electricians-Inside $0.11/hr,NEBF:
Journey Level $24.47 $10.63 $10.35 $0.00 $0.00 $0.87 $1.97/hr,SAP:
$0.05/hr
(King)
NEBF:$1.28/hr,
2.Adam Tainter Annuity:$1.63/hr,
Electricians-Inside LMCC/NLMCC:
$21.66 J $7.07 $10.65 $0.00 $0.00 $0.87 $0.11/hr,SAP:
__pprentice $0.05/hr
Inside Wireman
Step 4
(King)
WALECET: $0.14/hr,
3.ROSS TAYLOR SAP:$0.06/hr
Laborers
General Laborer $14.00 $5.30 $7.55 $0.00 $0.00 $0.95
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
-`,,Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
dining 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
Megan George Admin Megan George
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 ��t .^ F;{,� Prime Contractor E Project Name County Project or Contract#
Industries 4 :; =..4.
PrevailingWage Program �s.: is Duvall Avenue NE King CAG-20-065
9 g :, Subcontractor El
PO Box 44540 .ar v Project Address
Olympia WA 98504-4540 y'` 'b"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 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
7/30/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name E9- ~O o Sun Mon Tue Wed Thu Fri Sat Total
a) Gross Amount
and And a) E 7/24 7/25 7/26 7/27 7/28 7/29 7/30 Total Rate Earned/Gross Hourly Net Wages
j E Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address .... > 75 Payroll Benefits" Tax
o_ O o Hours Worked Each Day
0 J
1. Electricians-Inside RG 0.00 0.00 0.00 8.50 3.50 0.00 0.00 12.00 $6.2 $788.64
Journey Level Emanuel Green J J
(King) 4301 142nd St Ct S $788.64/
Tacoma,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $98.58 $0.00 $2 508.09 $24.47/hr $385.00 $437.18 $1,685.91
98444 $131.4
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $0.00
2. Electricians-Inside BRADLEY RG 0.00 0.00 0.00 8.50 3.50 0.00 0.00 12.00 $72.29 $867.48
Journey Level HOFFMAN
(King) 13104 99th Avenue OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $108.4 $0.00 $867.48/ $24.47/hr $504.00 $478.76 $1,776.10
Ct E 4 $2,758.86
Puyallup,WA- $144.5
98373 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8 $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 Megan George Admin
12/20/2022
The party signing this report pays or (Name of contractor or subcontractor)
supervises the payment of the persons TRANSPORTATION SYSTEMS INC
employed by:
Project Name: For the week starting: For the week ending:
Duvall Avenue NE 7/24/2022 7/30/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
AMF:$0.49/hr,
1.Emanuel Green
LMCC/NLMCC:
Electricians-Inside $0.11/hr,NEBF:
Journey Level $24.47 $10.63 $10.35 $0.00 $0.00 $0.87 $1.97/hr,SAP:
$0.05/hr
(King)
AMF:$0.49/hr,
2.BRADLEY HOFFMAN LMCC/NLMCC:
Electricians-Inside $0.11/hr, NEBF:
iurney Level $24.47 $10.63 $10.35 $0.00 $0.00 $0_87 $1.97/hr,SAP:
$0.05/hr
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
by
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
'c' Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
'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
Megan George Admin Megan George
MB, 12/22/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side