HomeMy WebLinkAboutCAG-20-065 - Duvall - Subcontractor Transportation Systems 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:
^..'iII 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
Int'l Training:
1.Benjamin Burke $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)
401(k):$0.50/hr
" ,RRANDON INGALLS
anent Masons
w imey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
NWLECET,SAP:
3.VICTOR OLVERA $0.20/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
Apprenticeship Program Public https://secure.lni.wz •---•/arts-public/#/apprentice-details?id=178605&f...
Woo g on sroce oeponmenc or
`J Labor&Industries (ps://Ini.wa.gov
Back To Search (#/?fromApprenticeDetails=true)
ID#178605
Ingalls, Matthew, Bremerton , WA, 98312
Cement Mason for Washington Cement Masons Apprenticeship , •Active
Committee (#/program-details?programId=61&from=%2Fapprentice-details%3Fid%3D163306)_ 9/19/2019
TERM REGISTERED PROBATION TERM PROBATION PERIOD
6400 Hours 9/19/2019 1080 Hours 9/19/2019-9/19/2020
► Total hours: OJT 8350 RSI 600 Credited hours: OJT 2700 RSI 0
► Step: 6 (effective: 1/18/2021)
► Cement Mason for Washington Cement Masons Apprenticeship 0 Cancelled
Committee (#/program-details?programId=61&from=%2Fapprentice-details%3Fid%3D7205)_ 4/13/2016
Gender: Male
Race and ethnicity: White/Not of Hispanic Origin
Education level: Some high school (9th-12th)
Military status: Not Specified
1 of 1 9/7/2022, 10:49 AM
Washington State Department of
Labor&Industries (https://Ini.wa.gov)
Back To Search (#/?fromApprenticeDetails=true)
ID#210536
Calder, Michael, Auburn, WA, 98092
• Construction Equipment Operator for Operating Engineers Regional Training
Program JATC (Lprogram-details?programld=58&from=°%o2Fapprentice-details%3Fid%3D179989)
ACTIVE
7/25/2022
TERM REGISTERED PROBATION TERM PROBATION PERIOD
6000 Hours 7/25/2022 1200 Hours 7/25/2022-N/A
► Total hours: OJT 377 RSI 0 Credited hours: OJT 0 RSA
► Step: 1 (effective: 7/25/2022)
► Cement Mason for Washington Cement Masons Apprenticeship Committee
(1Program-details?programld=61&from=°%a2Fapprentice-details°%o3Fid°%a3D167426)
CANCELLED
7/22/2022
Washington State Department of
Labor&Industries (https://Ini.wa.gov)
Back To Search (#/?fromApprenticeDetails=true)
ID#217595
Beltran-Vigil, Oscar,
33036 29th Ave Sw,
Cement Mason for Washington Cement Masons Apprenticeship
Committee (#/program-details?programld=61&from=°%o2Fapprentice-details°%a3Fid°%a3D174772)
•Active
10/12/2021
TERM
6400 Hours
REGISTERED
10/12/2021
PROBATION TERM
1080 Hours
PROBATION PERIOD
10/12/2021 -N/A
Total hours:
OJT 408
RSI 80
Credited hours:
OJT 400
RSI 0
Step:
1
(effective: 10/12/2021)
Gender: Male
Race and ethnicity: Hispanic/Hispanic Origin
Education level: College or greater
Military status: Non-vet
Washington State Department of
Labor&Industries (https://Ini.wa.gov)
Back To Search (#/?fromApprenticeDetails=true)
ID#222545
Gourley, Tyler, Auburn, WA, 98092
• Cement Mason Area 1 for Washington Cement Masons Apprenticeship
Committee (lprogram-details?programId=61&from=%2Fapprentice-details%3Fid%3D180233).
ACTIVE
8/11/2022
TERM REGISTERED PROBATION TERM PROBATION PERIOD
6400 Hours 8/11/2022 1080 Hours 8/11/2022-N/A
► Total hours: OJT 2508 RSI 160 Credited hours: OJT 1801 RSI 160
► Step: 4 (effective: 2/20/2023)
Apprenticeship Program Public https://secure.lni.w—'/arts-public/#/apprentice-details?id=204783&f...
COWashington state Department or
Labor&Industries (https://Ini.wa.gov
Back To Search (#/?fromApprenticeDetails=true)
ID#204783
Carranza , Atilano, TACOMA, WA, 98408
v Cement Mason for Washington Cement Masons Apprenticeship •Active
Committee (#Lprogram-details?programld=61&from=°%°2Fapprentice-details°%°3Fid°%°3D17493)_ 5/30/2019
TERM REGISTERED PROBATION TERM PROBATION PERIOD
6400 Hours 5/30/2019 1080 Hours 5/30/2019-5/30/2020
► Total hours: OJT 3557 RSI 400 Credited hours: OJT 0 RSI 0
► Step: 6 (effective: 7/4/2022)
Gender: Male
Race and ethnicity: Hispanic/Hispanic Origin
Education level: Some high school (9th-12th)
Military status: Non-vet
1 of 1 11/2/2022, 11:57 AM
Apprenticeship Program Public https://secure.lni.wr ---/arts-public/#/apprentice-details?id=204048&f...
Washington state Department or
1,Labor&Industries https://Ini.wa.gov
Back To Search (#/?fromApprenticeDetails=true)
ID#204048
Henderson, Jr, Arlan, MARYSVILLE, WA, 98270
.r Construction Equipment Operator for Operating Engineers •Active
Regional Training Program JATC (#/program-details?programId=58& 12/28/2020
from=%2Fapprentice-details°%3Fid%3D4726)
TERM REGISTERED PROBATION TERM PROBATION PERIOD SUSPENSION PERIOD
6000 Hours 4/19/2019 1200 Hours 4/23/2019-10/3/2019 9/21/2020-12/28/2020
► Total hours: OJT 4510 RSI 353 Credited hours: OJT 32 RSI 97
► Step: 6 (effective: 9/20/2022)
Gender: Male
Race and ethnicity: Black or African American/Not of Hispanic Origin
Education level: GED
Military status: Non-vet
1 of 1 11/2/2022, 12:39 PM
5/31/22, 12:24 PM Apprenticeship Program Pu
Washington Sfate Department of
labor&Industries (https://Ini.wa.gov)
im Back To Search (#/?fromApprenticeDetails=true)
ID#204523
Schiner, Braydon, 4150 187th Ave SE,
Cement Mason for Washington Cement Masons Apprenticeship ` •Active
Committee (Lprogram-details?programId=61&from=°%°2Fapprentice-details%3Fid°%°3D13466) 4/22/2019
TERM REGISTERED PROBATION TERM PROBATION PERIOD
6400 Hours 4/22/2019 1080 Hours 5/20/2019-4/22/2020
► Total hours: OJT 3203 RSI 408 Credited hours: OJT 0 RSI 0
► Step: 6 (effective: 12/24/2021)
Gender: Male
Race and ethnicity: White/Not of Hispanic Origin
Education level: High school graduate
Military status: Non-vet
https://secure.lni.wa.gov/arts-public/#/apprentice-details?id=204523&from=%2F 1/1
5/31/22, 12:23 PM Apprenticeship Program Pu
45 Washington State Department of
Labor&Industries-(hops://Ini.wa.gov).
Back To Search (#/?fromApprenticeDetails=true)
ID#216088
Lemke, Connor, 15922 20th Ave SW,
v Cement Mason for Washington Cement Masons Apprenticeship •Active
Committee (1Program-details?programId=61&from=°%o2Fapprentice-details°%3Fid°%3D173186). 7/27/2021
TERM REGISTERED PROBATION TERM PROBATION PERIOD
6400 Hours 7/27/2021 1080 Hours 7/27/2021 -N/A
► Total hours: OJT 1994 RSI 278 Credited hours: OJT 1900 RSI 160
► Step: 4 (effective: 6/6/2022)
Gender: Male
Race and ethnicity: White/Not of Hispanic Origin
Education level: High school graduate
Military status: Non-vet
https://secure.Ini.wa.gov/arts-public/#/apprentice-details?id=216088&from=%2F 1/1
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Affidavit of Wages Paid
Project Detail - Project Dashboard
Document Received Date: Intent Id: Affidavit Id: 1269764 Status: Approved on
12/13/2023 1219102 12/19/2023
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 3/18/2022 No active certifications existed when Intent was
submitted
Email Address megan®transportationsystemsinc.com
Filed By George, Megan
Prime Contractor
Prime contractor name REED TRUCKING Et EXCAVATING INC
Prime contractor registration no. REEDTEI016JW
Prime contractor Phone Number 253-841-4837
Project Information
Awarding agency: RENTON, CITY OF
1055 S GRADY WAY RENTON, WA - 98055
Awarding agency contact: Flora Lee
Awarding agency contact phone number: 425-430-7303
Contract no. CAG-20-065
Project name Duvall Avenue NE
Project Description This project includes but is not limited to:
excavation; grading; removal of pavement;
plaining pavement; paving with asphalt, curb
and gutter; drainage; illumination; HAWK signal;
other work.
Dollar amount of your contract: $ 48,110.00
Bid due date 6/22/2021
Contract award date 7/21/2021
Job site address/directions:
Hiring Contractor
Company Name REED TRUCKING Et EXCAVATING INC
Contractor Registration No. REEDTEI016JW
WA UBI Number 601915034
Payment Details
Check Number:
Transaction Id: 109728946
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 3/18/2022
Job start date:MM-DD-YYYY 4/18/2022
Date work completed:MM-DD-YYYY 11/9/2023
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 Cement Masons Journey Level 47.87 19.04 3 123.00
King Power Equipment Shovel, Excavator, 49.92 23.42 1 5.00
Operators Backhoe, Tractors Under
15 Metric Tons
King Electricians - Inside Journey Level 64.31 24.46 1 43.00
King Laborers General Laborer 54.08 13.39 1 3.00
King Power Equipment Shovel, Excavator, 52.12 24.52 1 14.00
Operators Backhoe, Tractors Under
15 Metric Tons
King Cement Masons Journey Level 50.00 19.59 7 377.00
King Cement Masons Journey Level 57.50 19.59 5 569.00
King Laborers General Laborer 43.90 14.00 1 16.00
King Laborers General Laborer 42.86 13.94 1 41.00
King Laborers General Laborer 43.90 13.94 2 66.00
King Power Equipment Shovel, Excavator, 52.12 24.47 1 28.50
Operators Backhoe, Tractors Under
15 Metric Tons
King Laborers General Laborer 54.62 0.00 2 31.00
King Cement Masons Journey Level 50.00 19.59 1 60.00
King Laborers General Laborer 42.86 14.00 2 69.00
King Power Equipment Shovel, Excavator, 54.12 24.47 1 21.00
Operators Backhoe, Tractors Under
15 Metric Tons
King Cement Masons Journey Level 59.92 20.27 3 23.00
King Cement Masons Journey Level 52.10 20.27 1 8.00
Apprentice Wages
Trade Name County Name Program/Occupation Name
Electricians - Inside King Inside Wireman
Ben End Ben End
Step# Hour Hour Name Ideg Hours Hours State Wage$ Fringe$ Hours
3 2001 3500 Tainter, 209311 08/01/2022 08/03/2022 WA $42.72 $20.24 26.00
Adam
Power Equipment Operators King Constr Equipment Operator
Step# Begin End Name Reg Begin End State Wage$ Fringe$ Hours
Hour Hour Id Hours Hours
5 4001 5000 Henderson, 204048 10/11/2022 10/19/2022 WA $46.91 $24.47 32.00
Jr, Arlan
Cement Masons King Cement Mason Indentured Prior to 4/21/2011
Ben End Ben End
Step# Hour Hour Name Ideg Hours Hours State Wage$ Fringe$ Hours
3 1801 2700 Gourley, 222545 01/03/2023 05/26/2023 WA $35.00 $19.59 94.00
Tyler
Cement Masons King Cement Mason Indentured On or After 4/21/2011
Step# Begin End Name Reg Begin End State Wage$ Fringe$ HckIrs
Hour Hour Id Hours Hours
1 1 900 Beltran- 217595 04/21/2022 05/11/2022 WA $28.72 $19.04 64.00
Vigil, Oscar
6 4501 5400 Schiner, 204523 05/12/2022 05/12/2022 WA $45.48 $19.04 5.00
Braydon
3 1801 2700 Lemke, 216088 05/13/2022 05/13/2022 WA $33.51 $19.04 7.00
Connor
6 4501 5400 Schiner, 204523 06/28/2022 01/13/2023 WA $47.50 $19.59 69.50
Braydon
6 4501 5400 INGALLS, 178605 07/26/2022 11/09/2022 WA $47.50 $19.59 50.50
MATTHEW
7 5401 6400 Carranza, 204783 09/28/2022 09/28/2022 WA $47.50 $19.59 8.00
Atilano
1 1 900 Matamoros- 220301 02/01/2023 02/03/2023 WA $30.00 $19.59 22.00
Marta,
Efrain
7 5401 6400 Mowery, 217242 02/06/2023 02/07/2023 WA $47.50 $19.59 16.00
Josh
Public Notes
o Show/Hide Existing Notes
No note exists
State of Washington
Department of Labor & Industries
Prevailing Wage Section - Telephone 360-902-5335
PO Box 44540, Olympia, WA 98504-4540
Statement of Intent to Pay Prevailing Wage
Project Detail - Project Dashboard
Document Received Intent ID: Affidavit ID: Status: Approved On
Date: 3/18/2022 1219102 3/18/2022
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 3/18/2022 No active certifications existed when
Intent was submitted
Email Address marcie@transportationsystemsinc.com
Filed By Kerry Stewart
Prime Contractor
Company Name REED TRUCKING E 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 a EXCAVATING INC
Contractor Registration No. REEDTEI016JW
WA UBI Number 601915034
Payment Details
Check Number:
Transaction Id: 108581250
Intent Details
Expected project start date: (MM/DD/YYYY) 4/11/2022
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 $48,110.00
this a time and materials estimate?
Does your company intend to hire ANY No
subcontractors?
Will your company have employees perform Yes
work on this project?
Yes
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 $55.05 $19.04 3
Public Notes
o Show/Hide Existing Notes
No note exists
•
Certified Payroll Report
Department of Labor and ��sTA".G� Project Name County Project or Contract#
�.:.. Prime Contractor ❑
Industries 4 v
Prevailing Wage Program 4eii. , Duvall Avenue NE King CAG-20-065
�,::_. : t 5%: Subcontractor Z
PO Box 44540 �•,l' v Project Address
Olympia WA 98504-4540 H� '-py 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
p
Work Classification Name ~ o Sun Mon Tue Wed Thu Fri Sat Total
m Gross Amount
and And 0 E 5/21 5/22 5/23 5/24 5/25 5/26 5/27 Total Rate Earned/Gross Hourly Net Wages
co E Hours of Pay "Usual FICA Withholding Other
rn r a, Payroll Benefits" Tax
Soc Sec#of Employee Address ct O o Hours Worked Each Day
0
1. Cement Masons RG 0.00 0.00 0.00 0.00 0.00 6.00 0.00 6.00 $50.00 $300.00
Journey Level
(King) Casey Bock $300.00/
18306 220th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $1 900.00 $19.59/hr $269.00 $377.95 $1,253.05
* _ _ ** Orting,WA-98360
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1000.0 0.$0.Q0
2. Cement Masons RG 0.00 0.00 0.00 0.00 0.00 6.00 0.00 6.00 $35.00 $210.00
Apprentice
Cement Mason Indentured Tyler Gourley
Prior to 4/21/2011 6290 Terrace View OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $52.50 $0.00 $210.00/ $19.59/hr $110.00 $346.67 $1,063.33
Step 3 Ln SE $1,520.00
Auburn,WA-98092
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $70.00 $0.00
3. Cement Masons MATTHEW RG 0.00 0.00 0.00 0.00 0.00 3.50 0.00 3.50 $50.00 $175.00
Journey Level INGALLS
(King) 4845 Sherman $175.00/
* ** Heights Rd OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $1,900.00 $19.59/hr $269.00 $618.62 $1,012.38
Bremerton,WA- $100.0
98312 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
4. Cement Masons RG 0.00 0.00 0.00 0.00 0.00 6.00 0.00 6.00 $57.50 $345.00
Journey Level ROBERT VANO
(King) 9053 Yakima Ave $345.00/
Tacoma,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $1 725.00 $19.59/hr $165.00 $616.91 $943.09
* ** 98444 $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
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
401(k):$3.82/hr
1.Casey Bock
Cement Masons
Journey Level $19.59 $6.78 $8.09 $0.00 $0.00 $0.90
(King) -
401(k):$3.82/hr
2.Tyler Gourley
Cement Masons
__�;�rentice $19.59 $6.78 $8.09 $0.00 $0.00 $0.90
Cement Mason Indentured Prior
to 4/21/2011
Step 3
(King)
401(k):$0.50/hr
3.MATTHEW 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
401(k):$0.50/hr
4.ROBERT VANO
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
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 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 t >T:,Tf Project Name County Project or Contract#
Industries .c�: °` Prime Contractor ❑
:,st ti g
=,ai ::°: ;y Duvall Avenue NE King CAG-20-065
Prevailing Wage Program =+ai=i _�;� Subcontractor ►�
PO Box 44540 'yj"' ' ,0'. 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
5/20/2023 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 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 Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address - > - Benefits"
ce o 3 Hours Worked Each Day
0
i
1. Laborers J RG 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $54.62 $436.96
General Laborer ANGELA J
(King) BOSTWICK $436.96/
4516 24th Ave SE OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $81.93 $0.00 $1 976.40 $0.00/hr $302.00 $393.84 $1,280.56
Lacey,WA-98503 $109.2
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $0.00
2. Cement Masons Journey Level BRANDON RG 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $57.50 $460.00
Kin INGALLS
(King) 8209 185th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2 300.00 $19.59/hr $164.00 $375.90 $1,760.10
Bonney Lake,WA-
98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 p 15'0 $0.00
J. Laborers RG 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $42.86 $342.88
General Laborer
(King) VICTOR OLVERA $342.88/
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 $1,746.55 $14.00/hr $137.00 $272.94 $1,336.61
* ** Burien,WA-98166
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $0.00
4. Cement Masons RG 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $57.50 $460.00
Journey Level JON STUART
(King) 13518 97th Ave E $460.00/
* ** Puyallup,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2,000.00 $19.59/hr $291.00 $415.00 $1,294.00
98373 $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
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:
11..yall 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
1.ANGELA BOSTWICK
Laborers
General Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
(King)
401(k):$0.50/hr
2.BRANDON INGALLS
<'nrnent Masons
rney Level $19.59 $10.10 $8.09 $0.00 '$0.00 $0.90
(King)
NWLECET,SAP:
3.VICTOR OLVERA $0.20/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
401(k):$3.82/hr
4.JON STUART
Cement Masons
Journey Level $19.59 $6.78 $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
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
(51 Ally apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
'mg 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 �t, »t. Project Name County Project or Contract#
Industries •_` " :' Prime Contractor ❑
�` y
=_i;� , :aa Duvall Avenue NE King CAG-20-065
Prevailing Wage Program €4i '!it Subcontractor El
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
5/13/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
F=
Work Classification Name (7 ~O C.-:1- Sun Mon Tue Wed Thu Fri Sat Total
cf a) Gross Amount
and And a) E 5/7 5/8 5/9 5/10 5/11 5/12 5/13 Total Rate Earned/Gross Hourly Net Wages
Eco _ Hours of Pay Payroll "Usual FICA Withholding Other
rn a' y Benefits" Tax
Soc Sec#of Employee Address O o Hours Worked Each Day
IX a
1. Power Equipment J J
RG 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $54.12 $432.96
Operators
Benjamin Burke
Shovel, Excavator,Backhoe, 18229 113th Ave E $432.96/
Tractors Under 15 Metric Tons Puyallup,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $81.18 $0.00 $2 286 57 $24.47/hr $378.00 $262.71 $1,645.86
(King) 98374
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $108.2 $0.00
2. Cement Masons Journey Level BRANDON RG 0.00 0.00 8.00 0.00 0.00 8.00 0.00 16.00 $57.50 $920.00
(King) INGALLS $920.00/
8209 185th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2 300.00 $19.59/hr $164.00 $422.53 $1,713.47
_ _ �• Bonney Lake,WA-
98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $11.0 $0.00
3. Laborers RG 0.00 0.00 5.00 0.00 0.00 0.00 0.00 5.00 $42.86 $214.30
General Laborer
(King) VICTOR OLVERA $214.30/
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 $14.00/hr $100.00 $227.64 $1,108.18
_ _ •� Burien,WA-98166
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $0.00
4. Cement Masons RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $57.50 $460.00
Journey Level JON STUART
(King) 13518 97th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $460.00/ $19.59/hr $291.00 $414.99 $1,294.01
Puyallup,WA- $2,000.00
98373 $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
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.
(``^rny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
ding Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
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 ,,,,LATE r Project Name County Project or Contract#
Industries 4 _"' "f,;�4 Prime Contractor ❑
y Duvall Avenue NE King CAG-20-065
Prevailing Wage Program f' = `_�.�`
�+ Subcontractor El
PO Box 44540 1,l :i^,v Project Address
Olympia WA 98504-4540 J ^"`' 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
5/6/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
• Day and Date Deductions
p
Work Classification Name c9 o 9- Sun Mon Tue Wed Thu Fri Sat Total
rx O a, 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 Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address m y Benefits" Tax
W O o Hours Worked Each Day
0
1. Power Equipment RG 0.00 5.00 0.00 0.00 0.00 8.00 0.00 13.00 $54.12 $703.56
Operators Benjamin Burke
Shovel, Excavator,Backhoe, 18229 113th Ave E $703.56/
Tractors Under 15 Metric Tons Puyallup,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $81.18 $0.00 $2 232.45 $24.47/hr $365.00 $256.28 $1,611.17
(King) 98374 $108.2
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $0.00
2. Cement Masons MATTHEW RG 0.00 0.00 8.00 8.00 0.00 0.00 0.00 16.00 $50.00 $800.00
Journey Level INGALLS V
(King) 4845 Sherman $800.00/
Heights Rd OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $1,400.00 $19.59/hr $159.00 $519.16 $721.84
Bremerton,WA- $100.0
98312 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
s. Laborers
RG 0.00 0.00 8.00 8.00 0.00 0.00 0.00 16.00 $42.86 $685.76
General Laborer Abraham Maymex
(King) 4129 S L St $685.76/
Tacoma,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.29 $0.00 $1 371.52 $14.00/hr $153.00 $221.70 $996.82
98418
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $0.00
4. Cement Masons RG 0.00 0.00 8.00 8.00 0.00 0.00 0.00 16.00 $57.50 $920.00
Journey Level CORY PROCTOR
(King) 16118 252nd Street $920.00/
Ct E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2 098 75 $19.59/hr $93.00 $385.60 $1,620.15
_ _ _• Graham,WA-
98338 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1105.0 $0.00
5. Cement Masons JON STUART RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $57.50 $460.00
13518 97th Ave E $460.00/ $19.59/hr $60.00 $176.28 $563.72
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Journey Level Puyallup,WA- $800.00
(King) 98373 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00
* - - ** DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 Q'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
5/11/2023 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 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
Int'l Training:
1.Benjamin Burke $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)
401(k):$0.50/hr
2.MATTHEW INGALLS
went Masons
.rlrney Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
WALECET:$0.14/hr,
3.Abraham Maymex 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
401(k):$0.50/hr
4.CORY PROCTOR
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$3.82/hr
5.JON STUART
Cement Masons
Journey Level $19.59 $6.78 $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
1.,C
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.
(5LAny 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 ,,,.4rf Project Name County Project or Contract#
k __�'� Prime Contractor ❑
Industries 4 di _ __=y
Prevailing Wage Program =ii='.i; a n= Duvall Avenue NE King CAG-20-065
;.T;:1. •:ii Subcontractor El
PO Box 44540 '.k �w Project Address
Olympia WA 98504-4540 `^"° Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 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~ a Sun Mon Tue Wed Thu Fri Sat Total
cf a) Gross Amount
and And E 4/23 4/24 4/25 4/26 4/27 4/28 4/29 Total Rate Earned/Gross Hourly Net Wages
. E i Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address ftv o Hours Worked Each Day PayrollBenefits"
Tax
cf
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
5/11/2023
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:
n'ivall 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
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been,made by any person either directly or indirectly from the full wages earned.
(51Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
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 Project Name County Project or Contract#
�`". ' Prime Contractor ❑
Industries d. ` ',l Y
Prevailing Wage Program =f i�. :ix•_ Duvall Avenue NE King CAG 20 065
-,Bm. e"ff Subcontractor
PO Box 44540 'y'•'. . y Project Address
Olympia WA 98504-4540 4,.., """ 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
R.--
Work Classification Name CD 8 ° Sun Mon Tue Wed Thu Fri Sat Total
a> Gross Amount
and And 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 payroll "Usual FICA Withholding Tax Other
Soc Sec#of Employee Address CD > - Benefits"
o: O o Hours Worked Each Day
0
1. Cement Masons RG 0.00 8.00 0.00 0.00 6.00 0.00 0.00 14.00 $50.00 $700.00
Journey Level
(King) Casey Bock $700.00/
18306 220th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $1,600.00 $19.59/hr $203.00 $318.28 $1,078.72
* _ _ ** Orting,WA-98360
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1000//.0 $0.90
2. Cement Masons RG 0.00 8.00 0.00 0.00 8.00 0.00 0.00 16.00 $35.00 $560.00
Apprentice
Cement Mason Indentured Tyler Gourley J
Prior to 4/21/2011 6290 Terrace View OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $52.50 $0.00 $560.00/ $19.59/hr $120.00 $364.91 $1,115.09
Step 3 Ln SE $1,600.00
I) Auburn,WA-98092
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $70.00 $0.00
J
3. Cement Masons
Journey Level BRANDON RG 0.00 0.00 0.00 0.00 3.50 0.00 0.00 3.50 $57.50 $201.25
Kin INGALLS
(King) 8209 185th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $20125/. $19.59/hr $133.00 $375.02 $1,533.23
Bonney Lake,WA- $2,041.25
98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $11'0 $0.00
4. Cement Masons MATTHEW RG 0.00 8.00 0.00 0.00 6.00 0.00 0.00 14.00 $50.00 $700.00
Journey Level INGALLS
(King) 4845 Sherman $700.00/
Heights Rd OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $1,600.00 $19.59/hr $203.00 $558.94 $838.06
Bremerton,WA- $100.0
98312 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
5. Cement Masons RG 0.00 0.00 0.00 0.00 6.00 0.00 0.00 6.00 $57.50 $345.00
Journey Level JON STUART
(King) 13518 97th Ave E $345.00/
Puyallup,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $1 525.00 $19.59/hr $187.00 $315.91 $1,022.09
98373 $115.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
6. Cement Masons RG 0.00 8.00 0.00 8.00 6.00 0.00 0.00 22.00 $57.50 $1,265.0
Journey Level ROBERT VANO 0
(King) 9053 Yakima Ave $1,265.00
Tacoma,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 / $19.59/hr $269.00 $822.54 $1,208.46
98444 $2,300.00
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 15 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
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
401(k):$3.82/hr
1.Casey Bock -
Cement Masons
Journey Level $19.59 $6.78 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$3.82/hr
2.Tyler Gourley
(--P.ment Masons
r.,`-drentice $19.59 v $6.78 $8.09 $0.00 $0.00 $0.90
Cement Mason Indentured Prior
to 4/21/2011
Step 3
(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
401(k):$0.50/hr
4.MATTHEW INGALLS
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$3.82/hr
5.JON STUART
Cement Masons
Journey Level $19.59 $6.78 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
ROBERT VANO
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
J
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
1J ;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 t 1.+lF Project Name County Project or Contract#
Industries a? y
Prime Contractor ❑
Prevailing Wage Program 'e"s; ,,°'' Duvall Avenue NE King CAG-20-065
y s, ,•U. Subcontractor
PO Box 44540 'Ti 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
4/15/2023 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 Gross Amount
and And a) E 4/9 4/10 4/11 4/12 4/13 4/14 4/15 Total Rate Earned/Gross Hourly Net Wages
• E i Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address a) -0 Payroll Benefits" Tax
cC O o Hours Worked Each Day
0
1. Cement Masons RG 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 $50.00 $400.00
Journey Level
(King) Casey Bock $400.00/
18306 220th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $2 000.00 $19.59/hr $291.00 $397.84 $1,311.16
Oiling,WA-98360
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 oi0 $0.00
2. Laborers RG 0.00 0.00 0.00 0.00 3.00 0.00 0.00 3.00 $54.62 $1 .86 /
General Laborer ANGELA �/
(King) BOSTWICK $163.86/
4516 24th Ave SE OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $81.93 $0.00 $1 961 15 $0.00/hr $299.00 $390.59 $1,271.56
Lacey,WA-98503 $109.2
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $0.00
J. Masons
Journeyourney Level BRANDON RG 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $57.50 $460.00
Kin INGALLS
(King) 8209 185th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2 300 00 $19.59/hr $164.00 $419.65 $1,716.35
* .*.*** Bonney Lake,WA-
98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $11'0 $0.00
4. Cement Masons Journey Level CORM PROCTOR RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $57.50 $460.00
(King) 16118 252nd Street $460.00/
Ct E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2 012.50 $19.59/hr $83.00 $363.89 $1,565.61
Graham,WA-
98338 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1105.0 $0.00
5. Cement Masons NICK TURCOTT RG 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $57.50 $460.00
16506 261st Ave E $460.00/ $19.59/hr $208.00 $419.65 $1,672.35
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Journey Level Buckley,WA- $2,300.00
(King) 98321 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00
* - - ** DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 p'0 $0.00
6. Cement Masons RG 0.00 0.00 8.00 0.00 8.00 0.00 0.00 16.00 $50.00 $800.00
Journey Level RANDALL
(King) TURCOTT $800.00/
470 Dundass Ave OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $1,600.00 $19.59/hr $149.00 $318.27 $1,132.73
* _ _ ** Buckley,WA-
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 0'0 $0.00
07. Cement Masons
JourneyLevel RG 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 $57.50 $460.00
ROBERT VANO
(King) 9053 Yakima Ave $460.00/
* ** Tacoma,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $1 969 38 $19.59/hr $211.00 $692.47 $1,065.91
98444 $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
.s,
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:
flwall 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
401(k):$3.82/hr
1.Casey Bock
Cement Masons
Journey Level $19.59 $6.78 $8.09 $0.00 $0.00 $0.90
(King)
2.ANGELA BOSTWICK
!- ,horers
feral Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
(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
401(k):$0.50/hr
4.CORY PROCTOR
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
5.NICK TURCOTT
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
RANDALL TURCOTT
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
7.ROBERT VANO
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
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. -
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
( ,ny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
)ling Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
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, ,,v' Project Name County Project or Contract#
? • , Prime Contractor ❑
Industries 4,`:': y Duvall Avenue NE King CAG-20-065
Prevailing Wage Program lii. -e1:y Subcontractor NJ
PO Box 44540 yj'._ 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
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 c9 ~ o Sun Mon Tue Wed Thu Fri Sat Total
O 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 i Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address m a) Payroll Benefits" Tax
o' 0 o Hours Worked Each Day
a
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date 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 4/2/2023 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
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
(51Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
'icing 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,`Tj,f, Prime Contractor ❑ Project Name County Project or Contract#
A?:.p ou,,,.
Industries .,'•• "'y Duvall Avenue NE King CAG-20-065
Prevailing Wage Program ;:si,. _:€ } . Subcontractor El
PO Box 44540 3:. f.7 ,w Project Address
Olympia WA 98504-4540 '""°' 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
4/1/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name c9 ~o -a Sun Mon Tue Wed Thu Fri Sat ' Total
� Gross Amount
and And cu 8 3/26 3/27 3/28 3/29 3/30 3/31 4/1 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address fEt 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
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 3/26/2023 4/1/2023
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
()Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
ding Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
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 �,_, rf Project Name County Project or Contract#
Industries4.
_ • g..,-,. Prime Contractor ❑
d- -,;: e.r Duvall Avenue NE King CAG-20-065
Prevailing Wage Program =g =��.' r:g Subcontractor IZ
PO Box 44540 '?,': ,,. 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
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 S Sun Mon Tue Wed Thu Fri Sat Total
au Gross Amount
and And au E 3/19 3/20 3/21 3/22 3/23 3/24 3/25 Total Rate Hourly
Earned/Gross WithholdingNet Wages
Eco � Hours of Pay Payroll
"Usual FICA Tax Other
Soc Sec#of Employee Address a) m a Benefits"
Er O 8 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
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:
^..vall 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
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 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 �, ?A=E Project Name County Project or Contract#
Industries ;;ig" ,,,y Prime Contractor ❑
Prevailing Wage Program ir .Art Duvall Avenue NE King CAG 20 065
4iii: -� Subcontractor El
PO Box 44540 4:?fr:y 1,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
3/18/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name (9 ~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 Hours of Pay Pa roll "Usual FICA Withholding Other
Soc Sec#of Employee Address cc o o Hours Worked Each Day y 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
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 3/12/2023 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
r
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
(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
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 4,SrAT Project Name County Project or Contract#
�?'_. ': ., Prime Contractor ❑
Industries y
Prevailing Wage Program ••••- •_ Duvall Avenue NE King CAG-20-065
:: _ ;.
::,^ Subcontractor El
PO Box 44540 s'�.,.1r ,y 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
3/11/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name C7 ~O o Sun Mon Tue Wed Thu Fri Sat Total
rY a) Gross Amount
and And m E 3/5 3/6 3/7 3/8 3/9 3/10 3/11 Total Rate Earned/Gross Hourly Net Wages
vo E Hours of Pay Payroll Usual FICA Withholding Other
Soc Sec#of Employee Address m > Benefits" Tax
IX O o Hours Worked Each Day
0
J. Cement Masons Journey Level CORY PROCTOR RG 0.00 0.00 0.00 3.50 0.00 0.00 0.00 3.50 $57.50 $201.25
(King) 16118 252nd Street $201.25/
Ct E 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 $131.00 $428.47 $1,783.66
_ _ ** Graham,WA-
98338 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $115'0 $0 0
2. Cement Masons RG 0.00 0.00 0.00 3.50 0.00 0.00 0.00 3.50 $50.00 $175.00 /
Journey Level RANDALL J(King) TURCOTT
470 Dundass Ave OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $2 J
000.00 $19.59/hr $197.00 $397.84 $1,405.16
Buckley,WA-
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1000.0 $0.00 I
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
401(k):$0.50/hr
1.CORY PROCTOR
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
2.RANDALL TURCOTT
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
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.
k;i)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
draining 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 STAm G Prime Contractor ❑ Project Name County Project or Contract#
Industries & ;` Duvall Avenue NE King CAG-20-065
PrevailingWage Program ^° -
9 9 :;;^ Subcontractor ►�
PO Box 44540 4'°•,' v, Project Address
Olympia WA 98504-4540 y` 1888 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
Day and Date Deductions
F
Work Classification Name a o ° Sun Mon Tue Wed Thu Fri Sat Total
G) 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
z E Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address c m Payroll Benefits" Tax
o Hours Worked Each Day
a
1. Laborers I J
RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $42.86 $342.88 J
General Laborer Abraham Maymex J
(King) 4129 S L St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.29 $0.00 $342.88/ $14.00/hr $87.00 $166.29 $775.35
Tacoma,WA- $1,028.64
.' 98418
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $0.00
J. Cement Masons Journey Level CORY PROCTOR RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $57.50 $460.00
(King) 16118 252nd Street $460.00/
Ct E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2 300.00 $19.59/hr $122.00 $422.53 $1,755.47
Graham,WA-
98338 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $115.00 $0.00
3. Cement Masons
Journey Level
RANDALL RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $50.00 $400.00
(King) TURCOTT $400.00/
470 Dundass Ave OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $1 600.00 $19.59/hr $149.00 $271.63 $1,179.37
R _ _ •* Buckley,WA-
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1000.0 $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
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
WALECET:$0.14/hr,
1.Abraham Maymex SAP:$0.06/hr
Laborers
General Laborer $14.00 $5.30 $7.55 $0.00 $0.00 $0.95
(King)
401(k):$0.50/hr
2.CORY PROCTOR
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
3.RANDALL TURCOTT
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
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.
Qi)Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
iiraining 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 a,STAIR Project Name County Project or Contract#
,;:;:' r Prime Contractor ❑
IndustriesWage Program �>l l• Duvall Avenue NE King CAG 20 065
Prevailing 9 9 <,:mi .;;� Subcontractor
PO Box 44540 -� ; Project Address
Olympia WA 98504-4540 y` 1tl89'� 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
2/25/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name ri ~O o Sun Mon Tue Wed Thu Fri Sat Total
w Gross Amount
and And o E 2/19 2/20 2/21 2/22 2/23 2/24 2/25 Total Rate Earned/Gross Hourly Net Wages
r m Hours of Pay Payroll "Usual FICA Wit Tax Hours
Other
Soc Sec#of Employee Address ce 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 2/19/2023 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.
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
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,sTATF.,C Project Name County Project or Contract#
•,?:!_. Prime Contractor ❑
Industries 4"_• `;u y Duvall Avenue NE King CAG-20-065
Prevailing Wage Program 4?iii, f�4!i!= Subcontractor N
.. f'!i Project Address
PO Box 44540 S ::: v
Olympia WA 98504-4540 y� "ey 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
2/18/2023 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 a) E 2/12 2/13 2/14 2/15 2/16 2/17 2/18 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address m a Payroll Benefits" Tax
cC O o' Hours Worked Each Day
0 J
1. Electricians-Inside BRADLEY RG 0.00 0.00 2.50 0.00 0.00 0.00 0.00 2.50 $72.29 $180.73
Journey Level HOFFMAN J J
(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 $180.73/ $24.47/hr $500.00 $466.94 $1,829.91
Ct E 4 $2,796.85
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
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:
^-wall 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
AMF:$0.49/hr,
1.BRADLEY HOFFMAN LMCC/NLMCC:
Electricians-Inside $0.11/hr, NEBF:
Journey Level $24.47 J $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
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
i: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 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 a�sTn,F Project Name County Project or Contract#
..._. Prime Contractor ❑
Industries a iii,
Prevailing Wage Program .-1::: ,.,..int' Duvall Avenue NE King CAG-20-065
_,=.=.i. „� Subcontractor N
PO Box 44540 .,ii: Project Address
Olympia WA 98504-4540 y� `""" 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
i Day and Date Deductions
Work Classification Name c9 ~O o Sun Mon Tue Wed Thu Fri Sat Total
(1)a) E 2/5 2/6 2/7 2/8 2/9 2/10 2/11 Total Rate Hourly
and And E Earned/Gross
Gross Amount
Net Wages
Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address a) a Benefits"
O o Hours Worked Each Day
0
1. Cement Masons RG 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $35.00 $280.00
Apprentice /
Cement Mason Indentured Tyler Gourley JfJ
Prior to 4/21/2011 6290 Terrace View OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $52.50 $0.00 $280.00/ $19.59/hr $0.00 $69.68 $210.32
Step 3 Ln SE $280.00
(King) Auburn,WA-98092
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $70.00 $0.00
2. Cement Masons BRANDON RG 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 $57.50 $1,380.00
Journey Level
(King) INGALLS $1,380.00
8209 185th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 / $19.59/hr $185.00 $448.41 $1,839.09
Bonney Lake,WA- $2,472.50
98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $115.0 0 $0.00
3. Laborers RG 0.00 0.00 8.00 8.00 8.00 8.00 0.00 32.00 $42.86 $1,371.5
General Laborer Abraham Maymex - 2
(King) 4129 S L St $1,371.52
Tacoma,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 $153.00 $221.70 $996.82
* ** 98418 $1,371.52
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $85.72 $0.00
4. Cement Masons RG 0.00 8.00 8.00 0.00 0.00 0.00 0.00 16.00 $47.50 $760.00
Apprentice
Cement Mason Indentured On Josh Mowery
or After 4/21/2011 1228 SW 107th St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.25 $0.00 $760.00/ $19.59/hr $269.00 $389.61 $1,241.39
Step 7 Seattle,WA-98146 $1,900.00
(King)
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
* ****
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
5. Cement Masons RG 0.00 7.50 7.50 8.00 8.00 7.00 0.00 38.00 $57.50 $2,185.0
Journey Level CORY PROCTOR 0
(King) 16118 252nd Street $2,185.00
Ct E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 / $19.59/hr $103.00 $401.41 $1,680.59
* _ _ ** Graham,WA- $2,185.00
98338 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $11.0 $0.00
6. Cement Masons RG 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 $57.50 $1,380.0
Journey Level NICK TURCOTT 0
(King) 16506 261st Ave E $1,380.00
* ** Buckley,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 / $19.59/hr $208.00 $422.53 $1,669.47
98321 $2,300.00
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1105.0 $0.00
7. Cement Masons RG 0.00 8.00 8.00 8.00 0.00 0.00 0.00 24.00 $50.00 $1,200.0
Journey Level RANDALL 0
(King) TURCOTT $1,200.00
470 Dundass Ave OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 / $19.59/hr $197.00 $397.84 $1,405.16
* _ _ ** Buckley,WA- $2,000.00
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $100.0 $0.00
8. Cement Masons RG 0.00 8.00 8.00 0.00 0.00 0.00 0.00 16.00 $50.00 $800.00
Journey Level James Weathers
(King) PO Box 892 $800.00/
* ** Preston,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $2 000.00 $19.59/hr $291.00 $397.84 $1,311.16
98050 $100.0
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
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:
^•,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
401(k):$3.82/hr
1.Tyler Gourley
Cement Masons
Apprentice $19.59 J $6.78 $8.09 $0.00 $0.00 $0.90
Cement Mason Indentured Prior
to 4/21/2011
Step 3
(King)
401(k):$0.50/hr
3RANDONINGALLS
;ment Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
WALECET:$0.14/hr,
3.Abraham Maymex 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
401(k):$3.82/hr
4.Josh Mowery
Cement Masons
Apprentice $19.59 $6.78 $8.09 $0.00 $0.00 $0.90
Cement Mason Indentured On or
After 4/21/2011
Step 7
(King)
401(k):$0.50/hr
5.CORY PROCTOR
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
ng)
401(k):$0.50/hr
6.NICK TURCOTT
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
7.RANDALLTURCOTT
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$3.82/hr
8.James Weathers
Cement Masons
urney Level $19.59 $6.78 $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
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 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 ST,TF.�.. Project Name County Project or Contract#
,._..= sa•.� Prime Contractor ❑
Industries 4 " s Duvall Avenue NE King CAG-20-065
PrevailingWage Program 4iiic `: _
9 9 ,. :::. ,,s Subcontractor
PO Box 44540 '',j__•0 wn" 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
2/4/2023 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name 3 ~O 9- Sun Mon Tue Wed Thu Fri Sat Total
a a) Gross Amount
and And W E 1/29 1/30 1/31 2/1 2/2 2/3 2/4 Total Rate Earned/Gross Hourly Net Wages
r w Hours of Pay Payroll "Usual FICA Tax Withholding Other
Soc Sec#of Employee Address a) (I) a Benefits"
cr O o Hours Worked Each Day
a
1. Cement Masons BRANDON RG 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 $57.50 $2,300.00
Journey Level
(King) INGALLS $2,300.00
8209 185th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 / $19.59/hr $164.00 $422.13 $1,713.87
le**._*._**** Bonney Lake,WA- $2,300.00
98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $115.00 $0.00
2. Cement Masons MATTHEW RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $50.00 $400.00
Journey Level INGALLS
(King) 4845 W Sherman $400.00/
Heights Rd OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $2 087.50 $19.59/hr $310.00 $737.06 $1,040.44
Bremerton,WA- $100.0
98312 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ,�, 70
3. Cement Masons RG 0.00 0.00 0.00 8.00 8.00 0.00 0.00 16.00 $50.00 $800.00 /
Journey Level JOEL JEZEK V J
(King) 19625 SE Green OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $800.00/ $19.59/hr $177.00 $362.87 $1,535.13
Valley Rd $2,075.00
Auburn,WA-98092 $100.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
4. Cement Masons RG 0.00 0.00 0.00 6.00 8.00 8.00 0.00 22.00 $30.00 $660.00
Apprentice Efrain Matamoros-
Cement Mason Indentured On Marta
or After 4/21/2011 1402E 69th St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $45.00 $0.00 $660.00 I $19.59/hr $2.00 $199.19 $518.81
Step 1 Tacoma,WA- $720.00
(King) 98404
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $60.00 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
5. Cement Masons RG 0.00 0.00 8.00 8.00 8.00 8.00 0.00 32.00 $57.50 $1,840.0
Journey Level CORY PROCTOR 0
(King) 16118 252nd Street $1,840.00
Ct E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 / $19.59/hr $198.00 $473.82 $1,973.18
Graham,WA- $2,645.00
98338 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1105.0 $0.00
6. Cement Masons RG 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 $57.50 $1,840.0
Journey Level NICHOLAS 0
(King) TURCOTT $1,840.00
16506 261st Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 / $19.59/hr $148.00 $337.71 $1,354.29
* _ _ ** Buckley,WA- $1,840.00
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $11.0 $0.00
7. Cement Masons RG 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 $50.00 $2,000.0
Journey Level RANDALL 0
(King) TURCOTT $2,000.00
470 Dundass Ave OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 / $19.59/hr $197.00 $397.44 $1,405.56
Buckley,WA- $2,000.00
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $100.0 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
0
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:
.,tall 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
401(k):$0.50/hr
1.BRANDON INGALLS
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
2.MATTHEW INGALLS
"-,ment Masons
irney Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90(King)
401(k):$0.50/hr
3.JOEL JEZEK
Cement Masons
Journey Level $19.59 Ni $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
401(k):$3.82/hr
4.Efrain Matamoros-Marta
Cement Masons
Apprentice $19.59 $6.78 $8.09 $0.00 $0.00 $0.90
Cement Mason Indentured On or
After 4/21/2011
Step 1
(King)
401(k):$0.50/hr
5.CORY PROCTOR
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
r,ng)
401(k):$0.50/hr
6.NICHOLAS TURCOTT
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
7.RANDALL TURCOTT
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
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
Amended Reason
Added January hours.
{
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 yTAT1 Project Name County Project or Contract#
p .+�,:_ °� Prime Contractor ❑
Industries
4 ziir ::�.¢
Duvall Avenue NE King CAG-20-065
PrevailingWage Program =Ili iiit
9 9 ,11,., `;,,z Subcontractor
PO Box 44540 ° ',t/' w° 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
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 & o o Sun Mon Tue Wed Thu Fri Sat Total
Ea)
Gross Amount
and And a) E 1/22 1/23 1/24 1/25 1/26 1/27 1/28 Total Rate Earned/Gross Hourly Net Wages
E i Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address .- y Benefits" Tax
O o' Hours Worked Each Day
a
1. Cement Masons $2,300.0
BRANDON RG 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 $57.50
Journey Level 0
(King) INGALLS $2,300.00
8209 185th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 / $19.59/hr $164.00 $422.14 $1,713.86
* _ ***** Bonney Lake,WA- $2,300.00
98391 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 0 15'0 $0.00
2. Cement Masons RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $47.50 $380.00
Apprentice MATTHEW
Cement Mason Indentured On INGALLS
or After 4/21/2011 4845 W Sherman OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.25 $0.00 $380.00/ $19.59/hr $259.69 $847.26 $793.05
Step 6 Heights Rd $1,900.00
ig) Bremerton,WA-
98312 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
3. Cement Masons RG 0.00 0.00 0.00 8.00 8.00 0.00 0.00 16.00 $50.00 $800.00
Journey Level JOEL JEZEK
(King) 19625 SE Green $800.00/
Valley Rd OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $2 000.00 $19.59/hr $153.00 $425.50 $1,421.50
* * Auburn,WA-98092 $100.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0,00
4. Cement Masons RG 0.00 0.00 0.00 8.00 8.00 8.00 0.00 24.00 $30.00 $720.00
Apprentice Efrain Matamoros- J
Cement Mason Indentured On Marta
or After 4/21/2011 1402E 69th St OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $45.00 $0.00 $720.00/ $19.59/hr $55.08 $126.48 $538.44
Step 1 Tacoma,WA- $720.00
(King) 98404
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $60.00 $0.00
**** **
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
5. Cement Masons $2,300.0
CORY PROCTOR RG 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 $57.50
Journey Level 0
(King) 16118 252nd Street $2,300.00
Ct E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 / $19.59/hr $172.87 $429.78 $1,697.35
_ _ •• Graham,WA- $2,300.00
98338 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $11.0 $0.00
6. Cement Masons NICHOLAS RG 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 $57.50 $1,840.00
Journey Level
(King) TURCOTT $1,883.13
16506 261st Ave E OT 0.00 0.50 0.00 0.00 0.00 0.00 0.00 0.50 $86.25 $43.13 / $19.59/hr $256.03 $435.14 $1,651.96
Buckley,WA- $2,343.13
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 .0 $0.00
7. Cement Masons RG 0.00 8.00 8.00 8.00 8.00 8.00 0.00 40.00 $50.00 $2,000.0
Journey Level RANDALL 0
(King) TURCOTT $2,037.50
470 Dundass Ave OT 0.00 0.50 0.00 0.00 0.00 0.00 0.00 0.50 $75.00 $37.50 / $19.59/hr $251.10 $411.68 $1,374.72
* _ _ ** Buckley,WA- $2,037.50
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $100.0 $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
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:
Th'ivall 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
401(k):$0.50/hr
1.BRANDON INGALLS
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
2.MATTHEW INGALLS
-Thment Masons
$19.59 $10.10 $8.09 $0.00 $0.00 $0.90
Apprentice
Cement Mason Indentured On or
After 4/21/2011
Step 6
(King)
401(k):$0.50/hr
3.JOEL JEZEK
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
401(k):$3.82/hr
4.Efrain Matamoros-Marta
Cement Masons
Apprentice $19.59 J $6.78 $8.09 $0.00 $0.00 $0.90
Cement Mason Indentured On or
After 4/21/2011
Step 1
(King)
401(k):$0.50/hr
5.CORY PROCTOR
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
:ing)
401(k):$0.50/hr
6.NICHOLAS TURCOTT
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
7.RANDALL TURCOTT
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
u v
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.
ThAny 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
Amended Reason
Confused with different project.
,
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 �l,,sTnrs Project Name County Project or Contract#
... 9A Prime Contractor ❑
Industries i.:::' 7 Duvall Avenue NE King CAG-20-065
Prevailing Wage Program
.,., ..ill.::.:- Subcontractor IZ
PO Box 44540 4..l' y`' Project Address
Olympia WA 98504-4540 y` '""" Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
FOr the week ending: RENTON,CITY OF (425)430-7303 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
Work Classification Name 3 o o Sun Mon Tue Wed Thu Fri Sat Total
a> Gross Amount
and And a� E 1/151/16 1/17 1/18 1/191/20 1/21 Total Rate Hourly
1° E i Hours of Pay Earned/Gross "Usual FICA Withholding Other Net Wages
Soc Sec#of Employee Address fcr o Hours Worked Each Day Payroll Benefits" Tax
0 i i
1. Cement Masons RG 0.00 0.00 0.00 8.00 8.00 8.00 0.00 24.00 $50.00 $1,200.0
Journey Level Ancelmo Fernando 0 $1,312.50 J
(King) 22611 26th Ave S
Des Moines,WA- OT 0.00 0.00 0.00 0.00 0.00 1.50 0.00 1.50 $75.00 $112.50 / $19.59/hr $228.00 $336.31 $1,148.19
98198 $1,712.50
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $100'0 $0.00
0
2. Cement Masons RG 0.00 0.00 8.00 8.00 0.00 0.00 0.00 16.00 $35.00 $560.00
Apprentice
Cement Mason Indentured Tyler Gourley
Prior to 4/21/2011 6290 Terrace View OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $52.50 $0.00 $560.00/ $19.59/hr $31.00 $209.07 $599.93
Step 3 Ln SE $840.00
t) Auburn,WA-98092
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $70.00 $0.00
•
3. Cement Masons RG 0.00 0.00 8.00 8.00 8.00 8.00 0.00 32.00 $57.50 $1,840.0
Journey Level Brandon Ingalls 0
(King) 8209 185th Ave E $1,840.00
Bonney Lake,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 / $19.59/hr $164.00 $375.58 $1,760.42
98391 - $2,300.00
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 15'0 $0.00
04. Cement Masons RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $50.00 $400.00
Journey Level Joel Jezek
(King) 19625 SE Green OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $400.00/ $19.59/hr $120.00 $317.96 $1,162.04
Valley Rd $1,600.00
Auburn,WA-98092 $100.0
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
5. Cement Masons RG 0.00 0.00 0.00 8.00 0.00 8.00 0.00 16.00 $50.00 $800.00
Journey Level Omar Mendez
(King) Rodriguez $800.00/
1801 S 84th Ave OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $1 750.00 $19.59/hr $0.00 $342.28 $1,407.72
_ _ ** Tacoma,WA-
98444 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1000 .0 $0.00
6. Cement Masons RG 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 $57.50 $460.00
Journey Level Cory Proctor
(King) 16118 252nd St Ct $589.38/
E OT 0.00 0.00 0.00 0.00 0.00 1.50 0.00 1.50 $86.25 $129.38 $2 429 38 $19.59/hr $150.00 $441.54 $1,837.84
Graham,WA-
98338 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 p 15'0 $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
1/30/2023
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: •
^,.ziall 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
401(k):$0.50/hr
1.Ancelmo Fernando
Cement Masons
Journey Level $19.59 J $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$3.82/hr
2.Tyler Gourley
^-ment Masons
' Hpprentice $19.59 $6.78 $8.09 $0.00 $0.00 $0.90
Cement Mason Indentured Prior
to 4/21/2011
Step 3
(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
i 401(k):$0.50/hr
4.Joel Jezek
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
5.Omar Mendez Rodriguez
Cement Masons
Journey Level $19.59 $10.10 $8.09' $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
Cory Proctor
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
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
;ning Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
MB 2/6/23
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, rn,F Project Name County Project or Contract#
,� i �_� °� Prime Contractor ❑
Industries $.!!' i«.y
\1ri:i.r Duvall Avenue NE King CAG-20-065
Prevailing Wage Program -in. n!iii.
,iiii. ,i,.r Subcontractor
PO Box 44540 "y , lye. Project Address
Olympia WA 98504-4540 y� '""y a Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
FOr the week ending: RENTON,CITY OF (425)430-7303 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
PI-
Work Classification Name c9 ~O o Sun Mon Tue Wed Thu Fri Sat Total
w E 1/8 1/9 1/10 1/11 1/12 1/13 1/14 Total Rate Hourly
and And Gross Amount
Net Wages
al E Earned/Gross g Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address o o Hours Worked Each Day Payroll 35 Benefits" Tax
0
1. Cement Masons RG 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 $50.00 $400.00
Journey Level Ancelmo Fernando
(King) 22611 26th Ave S $400.00/
Des Moines,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $400.00 $19.59/hr $13.00 $79.57 $307.43
98198 $100.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $10
2. Cement Masons RG 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.00 $35 00 $560.00
Apprentice /
Cement Mason Indentured Tyler Gourley J
Prior to 4/21/2011 6290 Terrace View OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $52.50 $0.00 $560.00/ $19.59/hr $96.00 $348.40 $955.60
Step 3 Ln SE $1,400.00
3) Auburn,WA-98092
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $70.00 $0.00
3. Cement Masons RG 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.00 $57.50 $920.00
Journey Level Brandon Ingalls
(King) 8209 185th Ave E $920.00/
Bonney Lake,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2,300.00 $19.59/hr $164.00 $421.98 $1,714.02
98391 $115.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
4. Cement Masons
Apprentice MATTHEW RG 0.00 0.00 0.00 0.00 6.50 8.00 0.00 14.50 $47.50 $688.75
Cement Mason Indentured On INGALLS
or After 4/21/2011 4845 Sherman OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.25 $0.00 $688.75/ $19.59/hr $275.00 $746.87 $903.13
Step 6 Heights Rd $1,925.00
(King) Bremerton,WA-
98312 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
5. Cement Masons RG 0.00 0.00 0.00 0.00 8.00 8.00 0.00 16.00 $50.00 $800.00
Journey Level Joel Jezek
(King) 19625 SE Green $800.00/
Valley Rd OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $2 000.00 $19.59/hr $168.00 $397.38 $1,434.62
Auburn,WA-98092 $100.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
6. Cement Masons RG 0.00 0.00 0.00 0.00 0.00 4.00 0.00 4.00 $50.00 $200.00
Journey Level Omar Mendez
(King) Rodriguez $200.00/
1801 S 84th Ave OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $800.00 $19.59/hr $0.00 $159.07 $640.93
Tacoma,WA-
98444 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $10.0 $0.00
7. Cement Masons RG 0.00 0.00 0.00 0.00 0.00 4.50 0.00 4.50 $47.50 $213.75
Apprentice
Cement Mason Indentured On Braydon Schiner
fter 4/21/2011 3011 12th St PI SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.25 $0.00 $213.75/ $19.59/hr $183.00 $389.15 $1,327.85
6 Puyallup,WA- $1,900.00
tnu ig) 98373
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
8. Cement Masons RG 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 $57.50 $460.00
Journey Level ROBERT VANO
(King) 9053 Yakima Ave $460.00/
Tacoma,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $1 610.00 $19.59/hr $205.00 $575.39 $829.61
98444 $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
1/30/2023
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
401(k):$0.50/hr
1.Ancelmo Fernando
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$3.82/hr
2.Tyler Gourley
"'=ment Masons
$19.59 J $6.78 $8.09 $0.00 $0.00 $0.90
Apprentice
Cement Mason Indentured Prior
to 4/21/2011
Step 3
(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) I
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
401(k):$0.50/hr
4.MATTHEW INGALLS
Cement Masons
$19.59 $10.10 $8.09 $0.00 $0.00 $0.90
Apprentice
Cement Mason Indentured On or
After 4/21/2011
Step 6
(King)
401(k):$0.50/hr
5.Joel Jezek
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
rig)
401(k):$0.50/hr
6.Omar Mendez Rodriguez
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
7.Braydon Schiner
Cement Masons
Apprentice $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
Cement Mason Indentured On or
After 4/21/2011
Step 6
(King)
401(k):$0.50/hr
n ROBERT VANO
'ment Masons
v,arney 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
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.
�FaAny 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 2/6/23
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#
�r`:>;••,::°, Prime Contractor ❑
Industries ill _�4,
oiil!. ��tiyt Duvall Avenue NE King CAG-20-065
Prevailing Wage Program = Subcontractor
PO Box 44540 tiiii v"r Project Address
Olympia WA 98504-4540 y� '""�a Final Week of
(360)902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 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
p
Work Classification Name C9 ~O o Sun Mon Tue Wed Thu Fri Sat Total
m Gross Amount
and And w E 1/1 1/2 1/3 1/4 1/5 1/6 1/7 Total Rate Earned/Gross Hourly Net Wages
E m Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address m (1) a Benefits"
n' O o Hours Worked Each Day
0
1. Cement Masons RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $35.00 $280.00
Apprentice
Cement Mason Indentured Tyler Gourley
Prior to 4/21/2011 6290 Terrace View OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $52.50 $0.00 $280.00/ $19.59/hr $71.00 $294.05 $833.70
Step 3 Ln SE _ $1,198.75
(King) Auburn,WA-98092
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $70.00 $0.00
2. Cement Masons RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $57.50 $460.00
Journey Level Brandon Ingalls J
(King) 8209 185th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $460.00/ $19.59/hr $164.00 $375.67 $1,760.33
Bonney Lake,WA- $2,300.00
98391 $115.0
DT 0.00 0.0010.00 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
1/30/2023
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:
vall 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
401(k):$3.82/hr
1.Tyler Gourley
Cement Masons
$19.59 $6.78 $8.09 $0.00 $0.00 $0.90
Apprentice
Cement Mason Indentured Prior
to 4/21/2011
Step 3
(King)
401(k):$0.50/hr
Brandon Ingalls
ment Masons
,gurney 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
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
1 !,Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
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 2/6/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and t. T,?'F Prime Contractor ❑ Project Name County Project or Contract#
Industries a ii?' °i .4
o...;• :, , Duvall Avenue NE King CAG-20-065
Prevailing Wage Program °°° °','__� Subcontractor
PO Box 44540 y' , aw" 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
12/31/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name c7 p o Sun Mon Tue Wed Thu Fri Sat Total
ir o a) 12/2 12/2 12/2 12/2 12/2 12/3 12/3 Gross Amount
a, E Total Rate Hourly
and And j E 5 6 7 8 9 0 1 Hours of Pay Earned/Gross °Usual FICA Withholding Other Net Wages
Soc Sec#of Employee Address a) a) a Payroll Benefits" Tax
ct O o Hours Worked Each Day
0
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
1/4/2023
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:
^ vall 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.
!s`,Pny 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 1/10/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and ,,ATF. Project Name County Project or Contract#
Industries iiiie, .,y�!,4,
Prime Contractor ❑
°°' „�r Duvall Avenue NE King CAG-20-065
Prevailing Wage Program 4 fii,. iiiiz Subcontractor
""" "`� Project Address
PO Box 44540 °:1y'._- �,w
Olympia WA 98504-4540 ` 'nHy 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
IX 0 w 12/1 12/1 12/2 12/2 12/2 12/2 12/2 Gross Amount
E Total Rate Hourly
a)and And `m E 8 9 0 1 2 3 4 Hours of Pa Earned/Gross °Usual Withholding Net Wages
= 'Ea) y Payroll Benefits" FICA Tax Other
Soc Sec#of Employee Address >
o' O 8 Hours Worked Each Day
0
1. Cement Masons RG 0.00 0.00 4.00 0.00 0.00 0.00 0.00 4.00 $57.50 $230.00
Journey Level Brandon Ingalls
(King) 8209 185th Ave E $230.00/
�* Bonney Lake,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $1,150.00 $19.59/hr $32.00 $209.86 $908.14
Irlele98391 $115.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 01 $010
2. Cement Masons RG 0.00 0.00 4.00 0.00 0.00 0.00 0.00 4.00 $47.50 $190.00
Apprentice MATTHEW
Cement Mason Indentured On INGALLS
or After 4/21/2011 4845 Sherman OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.25 $0.00 $190.00 1 Ni
$19.59/hr $50.00 $502.82 $147.18
3 6 Heights Rd $700.00
ig) Bremerton,WA-
g8312 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
1/4/2023
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 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
401(k):$0.50/hr
1.Brandon Ingalls
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
2.MATTHEW INGALLS
Cement Masons
$19.59 J $10.10 $8.09 $0.00 $0.00 $0.90
._,�prentice
Cement Mason Indentured On or
After 4/21/2011
Step 6
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
r
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
r\.ny 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 1/10/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and �'..�.F Project Name County Project or Contract#
?:« ;i,:.� Prime Contractor ❑
Industries a ,,, y
o;;..• �� �• Duvall Avenue NE King CAG-20-065
PrevailingWage Program :::
9 9 ,;;: Subcontractor El
PO Box 44540 :,,k a° Project Address
Olympia WA 98504-4540 ` 'da" 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 0 p Total
ct o a) 12/1 12/1 12/1 12/1 12/1 12/1 12/1 Gross Amount
a, E Total Rate Hourly
and And ,� EF. 1 2 3 4 5 6 7 Hours of Pay Earned/Gross Usual FICA Withholding Other Net Wages
Soc Sec#of Employee Address m Payroll Benefits" Tax
ly 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
1/4/2023
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
• _f
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
"',4ny 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 1/4/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and mot,�TAreo Project Name County Project or Contract#
^,:','1 4 Prime Contractor ❑
IndustriesWage Program s Duvall Avenue NE King CAG-20-065
Prevailing 9 9 : :a Subcontractor
PO Box 44540 4,... 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
12/10/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
F
Work Classification Name era ~ e Sun Mon Tue Wed Thu Fri Sat Total
m 12/1 Gross Amount
0E 12/4 12/5 12/612/7 12/8 12/9 Total Rate Hourly
and And co E 0 Hours of Pay Earned/Gross °Usual FICA Withholding Other Net Wages
Soc Sec#of Employee Address o a Payroll Benefits" Tax
cr 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
1/4/2023
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 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
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.
ekrly apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
Mining 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 1/4/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and aFjSTArE Project Name County Project or Contract#
...» • °4, Prime Contractor ❑
Industries ins 4.
.;;;• 'i,� Duvall Avenue NE King CAG-20-065
PrevailingWage Program
9 � ,;;4, Subcontractor
PO Box 44540 '•�.. of ov Project Address
Olympia WA 98504-4540 H` `8av 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
12/3/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name 6 H o Sun Mon Tue Wed Thu Fri Sat Total
ec a) 11/2 11/2 11/2 11/3 Gross Amount
and And a)to- E 7 8 9 0 12/1 12/2 12/3 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address a„'i D � z y Benefits" Tax
f O 0 Hours Worked Each Day
0 /
1. Cement Masons "
RG 0.00 0.00 0.00 3.00 0.00 0.00 0.00 3.00 $57.50 $172.50 /
Journey Level Brandon Ingalls d
(King) 8209 185th Ave E $172.50/
�� Bonney Lake,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2 386.25 $19.59/hr $179.00 $432.52 $1,774.73
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
1/4/2023
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 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
)
401(k):$0.50/hr
1.Brandon Ingalls
Cement Masons
Journey Level $19.59 J $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
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.
!RI,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 1/4/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and srer Project Name County Project or Contract#
Industries 4i.• Prime Contractor ❑
::. :ii1n Duvall Avenue NE King CAG-20-065
Prevailing Wage Program <"' = Subcontractor
PO Box 44540 3: i` y°r Project Address
1.Olympia WA 98504-4540 y` '""y" Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 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
R. o Sun Mon Tue Wed Thu Fri Sat
Work Classification Name C9 Total
• o m 11/2 11/2 11/2 11/2 11/2 11/2 11/2 Gross Amount
a, E Total Rate Hourly
and And m E 0 1 2 3 4 5 6 Hours of Pay Earned/Gross °Usual FICA Withholding Other Net Wages
Soc Sec#of Employee Address y a) - 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
1/4/2023
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:
^''vall 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
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
!�>..Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
fining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
M B. 1/4/23
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,STATF. Project Name County Project or Contract#
.. .i_i:°° Prime Contractor E
Industries �:"•'•' 'q t Duvall Avenue NE King CAG-20-065
eiII;
PrevailingWage Program <_°...
9 9 ,;; Subcontractor
PO Box 44540 y,�' Project Address
Olympia WA 98504-4540 '"a" Final Week of
(360) 902-5335 Payroll ❑
i
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
Work Classification Name c� p a Sun Mon Tue Wed Thu Fri Sat Total
cr o a) 11/1 11/1 11/1 11/1 11/1 11/1 11/1 Gross Amount
and And a) E 3 4 5 6 7 $ 9 Total Rate Earned/Gross Hourly Net Wages
f0 E Hours of Pay Payroll Usual FICA Withholding Other
Soc Sec#of Employee Address y m Benefits" Tax
cr O 0 Hours Worked Each Day
a
1. 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
(King) 8209 185th Ave E $503.13/
Bonney Lake,WA- OT 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 $86.25 $43.13 $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
2. Cement Masons RG 0.00 5.00 0.00 0.00 0.00 0.00 0.00 5.00 $50.00 $250.00
Journey Level Omar Mendez
(King) Rodriguez $250.00/
1801 S 84th Ave OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $2 000.00 $19.59/hr $0.00 $395.84 $1,604.16
Tacoma,WA-
98444 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $100.0 $0Vg0
3. Cement Masons RG 0.00 7.00 0.00 0.00 0.00 0.00 0.00 7.00 $57.50 $402.50
Journey Level Nicholas Turcott J I
(King) PO Box 1272 $402.50/ v
Buckley,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2 314.38 $19.59/hr $231.00 $417.96 $1,665.42
98321 $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
1/4/2023
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:
^^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
401(k):$0.50/hr
1.Brandon Ingalls
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
2.Omar Mendez Rodriguez
r,,ment Masons
urney Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
3.Nicholas Turcott
Cement Masons
Journey Level $19.59 J $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
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. -
;u ti\ny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
'ning Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
MB 1/17/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and t >>'.jTF Project Name County Project or Contract#
.+"I. .:, , Prime Contractor ❑
Industries ;;!': ",s, Duvall Avenue NE King CAG-20-065
Prevailing Wage Program -: 1=.:. ".! Subcontractor El
PO Box 44540 °,:".jr �°v� Project Address
Olympia WA 98504-4540 t8B9 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 11/12/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name c9 8 o Sun Mon Tue Wed Thu Fri Sat Total
m 11/1 11/1 11/1 Gross Amount
a) E 11/6 11/7 11/8 11/9 Total Rate Hourly
and And 0 1 2 Earned/Grosso Net Wages
D r Hours of Pay payroll "Usual FICA Wit Tax
Other
Soc Sec#of Employee Address 0 > Benefits'
i O o Hours Worked Each Day
a
1. Cement Masons RG 0.00 0.00 0.00 6.00 0.00 0.00 0.00 6.00 $47.50 $285.00
Apprentice MATTHEW
Cement Mason Indentured On INGALLS
or After 4/21/2011 4845 Sherman OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.25 $0.00 $285.00/ $19.59/hr $195.00 $674.28 $650.72
Step 6 Heights Rd $1,520.00
(King) Bremerton,WA-
98312 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
2. Cement Masons RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $50.00 $400.00
Journey Level Joel Jezek
lying) 19625 SE Green $400.00/
* ** Valley Rd OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $1,600.00 $19.59/hr $124.00 $316.35 $1,159.65
Auburn,WA-98092 $100.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
3. Cement Masons
Proctor RG 0.00 0.00 0.00 6.00 0.00 0.00 0.00 6.00 $57.50 $345.00
Journey Level Cory
(King) 16118 252nd St Ct 1 $345.00/
E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2 300.00 $19.59/hr $141.00 $419.70 $1,739.30
Graham,WA-
98338 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1105.0 $0.00
4. Cement Masons RG 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $47.50 $380.00
Apprentice Bra don Schiner
Cement Mason Indentured On 3011 12th St PI SW $415.63/
or After 4/21/2011 Puyallup,WA- OT 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 $71.25 $35.63 $795.63 $19.59/hr $0.00 $160.77 $634.86
Step 6 98373
(King)
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
J
5. Laborers RG 0.00 8.00 8.00 8.00 7.00 4.00 0.00 35.00 $42.86 $1,500�1 /
General Laborer ROSS TAYLOR - 0 �/ J
(King) 3390 NW Palau Dr $1,500.10
Poulsbo,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 $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
6. Cement Masons RG 0.00 0.00 0.00 8.00 8.00 0.00 0.00 16.00 $57.50 $920.00
Journey Level Nicholas Turcott
(King) PO Box 1272 $920.00/
* ** Buckley,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2 386.25 $19.59/hr $247.00 $432.53 $1,706.72
98321 $115.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
7. Cement Masons
me Level Randy Turcott RG 0.00 0.00 0.00 8.00 8.00 0.00 0.00 16.00 $50.00 $800.00
y 470 Dundass Ave
�g) Apt#3 OT 0.00 0.00 0.00 0.00 0.50 0.00 0.00 0.50 $75.00 $37.50 $837.50/ $19.59/hr $225.00 $401.39 $1,411.11
* _ _ ** Buckley,WA- $2,037.50
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1000.0 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
l�
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
1/4/2023
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 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
(Ai-B+C+D+E+F
401(k):$0.50/hr
1.MATTHEW INGALLS
Cement Masons
Apprentice $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
Cement Mason Indentured On or
After 4/21/2011
Step 6
(King)
401(k):$0.50/hr
Joel Jezek
tment Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
3.Cory Proctor
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
401(k):$0.50/hr
4.Braydon Schiner
Cement Masons
Apprentice $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
Cement Mason Indentured On or
After 4/21/2011
Step 6
(King)
WALECET:$0.14/hr
5.ROSS TAYLOR
Laborers
General Laborer $13.94 $5.30 $7.55 $0.00 $0.00 $0.95
ing)
401(k):$0.50/hr
6.Nicholas Turcott
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
7.Randy Turcott
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
1Y
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
MB 1/4/23
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, rA,F.� Project Name County Project or Contract#
Industries ,,r1; _,._., Prime Contractor ❑
! i..i...:
Duvall Avenue NE King CAG-20-065
Prevailing Wage Program __- "`= Subcontractor @
PO Box 44540 ",y'Il II() Project Address
Olympia WA 98504-4540 ` 'BB" 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
o Sun Mon
Work Classification Name c Tue Wed Thu Fri Sat Total
ct O a) 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
3 Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address aw'i w 7 y Benefits" Tax
ct O o' Hours Worked Each Day
0
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
1/4/2023
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 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
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 1/4/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and aF,STA,f. , Project Name County Project or Contract#
Industries �s;:;;!` y Prime Contractor ❑
Prevailing Wage Program E i;. 's:::�, Duvall Avenue NE King CAG-20-065
tsir Subcontractor IZ
PO Box 44540 ''41.•i' �w Project Address
Olympia WA 98504-4540 e�,`""4 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 c� Total
IY Cam 10/2 10/2 10/2 10/2 10/2 10/2 10/2 Gross Amount
a, E Total Rate Hourly
and And m E Hours of Pay Earned/Gross °Usual FICA Withholding Other Net Wages
3 4 5 6 7 8 9
Soc Sec#of Employee Address , co F Payroll Benefits" Tax
ct O E 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
1/4/2023
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
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
r"
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s)have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
"`,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 1/4/23
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
•
Certified Payroll Report
Department of Labor and srerg Project Name County Project or Contract#
4' . °* Prime Contractor ElIndustries
a Duvall Avenue NE King CAG-20-065
Prevailing Wage Program Subcontractor ❑x
PO Box 44540 ""•i.' 4. Project Address
Olympia WA 98504-4540 �� 1e�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
10/22/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
C�
p 0 Sun Mon Tue Wed Thu Fri Sat
Work Classification Name Total
CK o m 10/1 10/1 10/1 10/1 10/2 10/2 10/2 Gross Amount
a) E Total Rate Hourly
and And m E i= 6 7 8 9 0 1 2 Hours of Pay Earned/Gross °Usual FICA Withholding Other Net Wages
Soc Sec#of Employee Address a) - Payroll Benefits" Tax
a) O o Hours Worked Each Day
0Ni /
Ni
1. Laborers v
RG 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $54.62 $436.96
General Laborer MELINDY Ni
(King) BEAUDRY OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $81.93 $0.00 $436.96/ $0.00/hr $312.00 $165.15 $1,401.06
PO Box 697 $1,878.21
Easton,WA-98925 $109.2
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $0.00
2. Laborers RG 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $54.62 $436.96
General Laborer ANGELA
(King) BOSTWICK $436.96/
4516 24th Ave SE OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $81.93 $0.00 $1,833.78 $0.00/hr $281.00 $378.35 $1,174.43
Lacey,WA-98503 $109.2
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 8.00 0.00 0.00 0.00 8.00 $46.91 $375.28
Operators
Shovel, Excavator,Backhoe,
Tractors Under 15 Metric Tons OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $70.37 $0.00
Arlan Henderson
Apprentice 15811 55th St E $375'28/ $24.47/hr $122.00 $189.58 $1,224.73
Constr Equipment Operator Everett,WA-98203 $1,536.31
Step 5
(King) DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $93.82 $0.00
4. Cement Masons Brandon Ingalls RG 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $57.50 $460.00
Journey Level 8209 185th Ave E $460.00/
(King) Bonney Lake,WA- $2,300.00 $19.59/hr $169.00 $419.71 $1,711.29
98391 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
* ** DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 0 $0.00
5. 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 Cory Proctor
(King) 16118 252nd St Ct $460.00/
E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $1,811.25 $19.59/hr $63.00 $330.54 $1,417.71
_ _ •• Graham,WA-
98338 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 0 15'0 $0.00
6. Cement Masons RG 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $50.00 $400.00
Journey Level Randy Turcott
(King) 470 Dundass Ave $400.00/
Apt#3 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $2 000.00 $19.59/hr $216.00 $395.43 $1,388.57
Buckley,WA-
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1�.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
11/1/2022
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:
p "ho,✓all 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
1.MELINDY BEAUDRY
Laborers
General Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
(King)
2.ANGELA BOSTWICK
'a borers
.:neral Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
(King)
Int'l Training:
3.Arlan Henderson $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
Apprentice
Constr Equipment Operator
Step 5
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
401(k):$0.50/hr
4.Brandon Ingalls
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
5.Cory Proctor
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
Randy Turcott
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
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
1,-Any apprentices employed in the above period are duly registered in a bona fide_apprenticeship program registered with the Washington State Apprenticeship and
4 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:11/2/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and srereo Project Name County Project or Contract#
4a*. . Prime Contractor ❑
Industries ' I..t , n Duvall Avenue NE King CAG-20-065
Prevailing Wage Program Subcontractor ►z�
PO Box 44540 :;°,y�.' - Project Address
Olympia WA 98504-4540 jme"** 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
Work Classification Name c7 0 o Sun Mon Tue Wed Thu Fri Sat Total
a� 10/1 10/1 10/1 10/1 10/1 10/1 Gross Amount
and And E 10/9 Total Rate Hourly
m E 0 1 2 3 4 5 Hours of Pa ci, y Earned/Gross Usual FICA Withholding Other Net Wages
Soc Sec#of Employee Address c > z Payroll Benefits" Tax
CD O o Hours Worked Each Day
a
1. Laborers RG 0.00 0.00 0.00 0.00 0.00 4.00 0.00 4.00 $54.62 $218.48
General Laborer MELINDY
(King) BEAUDRY OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $81.93 $0.00 $218.48/ $0.00/hr $312.00 $164.88 $1,400.17
.* PO Box 697 $1,877.05
Easton,WA-98925 $109.2
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 4 $0.00
2. Laborers RG 0.00 8.00 8.00 8.00 8.00 0.00 0.00 32.00 $43.90 $1,404.8
General Laborer Charles Bonagofski 0
(King) 3040 Marine Dr $1,668.20
Bremerton,WA- OT 0.00 1.00 1.00 1.00 1.00 0.00 0.00 4.00 $65.85 $263.40 / $13.94/hr $322.00 $322.65 $1,440.60
98312 $2,085.25
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $87.80 $0.00
3. Power
OperatorsEquipment RG 0.00 0.00 6.00 8.00 8.00 0.00 0.00 22.00 $46.91 $1,032/0
Shovel, Excavator, Backhoe, J J J
Tractors Under 15 Metric Tons Arlan Henderson OT 0.00 0.00 0.00 1.00 1.00 0.00 0.00 2.00 $70.37 $140.74 $1 172 76 J
Apprentice 15811 55th St E / $24.47/hr $186.00 $215.49 $1,428.01
Constr Equipment Operator Everett,WA-98203
Step 5 $1,829.50
(King) DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $93.82 $0.00
4. Power Equipment JOHN STEENSMA RG 0.00 3.00 7.00 8.00 4.50 6.00 0.00 28.50 $52.12 $1,485.4
Operators 15954 Kylie Dr SE 2 $1,485.42
Shovel, Excavator,Backhoe, Monroe,WA- / $24.47/hr $331.00 $244.67 $1,546.10
Tractors Under 15 Metric Tons 98272 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $78.18 $0.00 $2 121 77
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
(King) $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
11/1/2022
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:
^call 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
1.MELINDY BEAUDRY
Laborers
General Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
•
(King)
NWLECET:$0.14/hr
2.Charles Bonagofski -
.eborers
?neral Laborer $13.94 $5.30 $7.55 $0.00 $0.00 $0.95
' (King)
Intl Training:
3.Arlan Henderson $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
Apprentice
Constr Equipment Operator
Step 5
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Intl 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.
'c' Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
ning Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
MB 11/2/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Washington or&Sta Itend Department of
Labustries (https://Ini.wa.gov
4" Back To Search (#/?fromApprenticeDetails=true)
I D#204048
Henderson, Jr, Arlan, MARYSVILLE, WA, 98270
♦ Construction Equipment Operator for Operating Engineers ` •Active
Regional Training Program JATC (#/program-details?programld=58& 12/28/2020
from=%2Fapprentice-details%3Fid%3D4726)
TERM REGISTERED PROBATION TERM PROBATION PERIOD SUSPENSION PERIOD
6000 Hours 4/19/2019 1200 Hours 4/23/2019 - 10/3/2019 9/21/2020- 12/28/2020 i
Total hours: OJT 4510 RSI 353 Credited hours: OJT 32 RSI 97
Step: 6 (effective: 9/20/2022)
Gender: Male
Race and ethnicity: Black or African American/Not of Hispanic Origin
Education level: GED
Military status: Non-vet
Certified Payroll Report
Department of Labor and srergo Project Name County Project or Contract#
Industries . 4 Prime Contractor Ille.::: Duvall Avenue NE King CAG-20-065
Prevailing Wage Program Subcontractor
PO Box 44540it ,ir ao Project Address
Olympia WA 98504-4540 see 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
H
Work Classification Name c9 b o Sun Mon Tue Wed Thu Fri Sat Total
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
cu E Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address w Payroll Benefits" Tax
O o' Hours Worked Each Day
a
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
11/1/2022
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:
nnvall 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.
;"Any apprentices employed in the above period are duly registered in a bona a 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
M B 11/2/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and arergo Project Name County Project or Contract#
Industries o ,. . �, Prime Contractor ID.ii Duvall Avenue NE King CAG-20-065
Prevailing Wage Program r . Subcontractor IZI
PO Box 44540 °' ' Project Address
Olympia WA 98504-4540 `'eB9�� 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
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 c9 - 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
j E ia) Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address > a y Benefits" Tax
O o Hours Worked Each Day
0
1. Laborers RG 0.00 0.00 0.00 8.00 8.00 0.00 0.00 16.00 $43.90 $702.40
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 $702.40/ $13.94/hr $247.00 $276.41 $1,232.59
Bremerton,WA- $1,756.00
'x 98312
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $87.80 $0.00
2. Cement Masons J J V
Apprentice RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $47.50 $380.00
Cement Mason Indentured On Atilano Carranza Ni ,/
or After 4/21/2011 202 Alder Lane N OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.25 $0.00 $380.00/ $19.59/hr $210.00 $385.26 $1,304.74
Step 7 $1,900.00
9) Pacific,WA-98047
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
11/1/2022
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:
nnvall 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
_ )
NWLECET:$0.14/hr
1.Charles Bonagofski
Laborers
General Laborer $13.94 $5.30 $7.55 $0.00 $0.00 $0.95
(King)
401(k):$3.82/hr
2.Atilano Carranza
rament Masons
$19.59 $6.78 $8.09 $0.00 $0.00 $0.90
r.Nprentice
Cement Mason Indentured On or
After 4/21/2011
Step 7
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
-
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
1ny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
ning Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
MB 11/2/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Washington State Deparonent of
lJ Labor&Industries (https://Ini.wa.gov
Back To Search (#/?fromApprenticeDetails=true)
ID#204783
Carranza , Atilano, TACOMA, WA, 98408
w Cement Mason for Washington Cement Masons Apprenticeship ` •Active
Committee (#/program-details?programld=61&from=°%e2Fapprentice-details°%o3Fid°%o3D17493)_
5/30/2019
TERM REGISTERED PROBATION TERM PROBATION PERIOD
6400 Hours 5/30/2019 1080 Hours 5/30/2019- 5/30/2020
Total hours: OJT 3557 RSI 400 Credited hours: (OJT 0 RSI
Step: 6 (effective: 7/4/2022)
Gender: Male
Race and ethnicity: Hispanic/Hispanic Origin
Education level: Some high school (9th-12th)
Military status: Non-vet
. s
Certified Payroll Report
Department of Labor and 9TATA r� Project Name County Project or Contract#
Industries 'r' f.
Prime Contractor ❑
o..., Duvall Avenue NE King CAG-20-065
Prevailing Wage Program `„, +:l3iJ Subcontractor
PO Box 44540 �d,, y° Project Address
Olympia WA 98504-4540 y� �e"� ° Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON, CITY OF (425)430-7303 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
F=
Work Classification Name c7 ~O o Sun Mon Tue Wed Thu Fri Sat Total
a� Gross Amount
and And 9/18 9/19 9/20 9/21 9/22 9/23 9/24 Total Rate Earned/Gross Hourly Net Wages
E i= Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address m f Payroll Benefits" Tax
1 0 o Hours Worked Each Day
a
1. Cement Masons RG 0.00 0.00 0.00 5.00 0.00 0.00 0.00 5.00 $57.50 $287.50
Journey Level Brandon Ingalls 4 J
(King) 8209 185th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $287.50/ $19.59/hr $193.00 $445.33 $1,834.17
Bonney Lake,WA- $2,472.50
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
10/4/2022
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
401(k):$0.50/hr
1.Brandon Ingalls
Cement Masons
Journey Level $19.59 J $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
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 10/4/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and *� 51�r�•� Project Name County Project or Contract#
Industries ;i:T• "`i.', Prime Contractor ❑
�iii_.. ii; Duvall Avenue NE King CAG-20-065
Prevailing Wage Program ii34ii. ,,iilil' Subcontractor
PO Box 44540 �°'.... yn. Project Address
Olympia WA 98504-4540 �y� !eP"ao Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 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
p
Work Classification Name C7 ~O 9- Sun Mon Tue Wed Thu Fri Sat Total
iY 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 Hourly Net Wages
3 E Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address - f - y Benefits" Tax
o Hours Worked Each Day
0
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
10/4/2022
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:
IvaII 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
r
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
f-' -any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
lining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
MB 10/4/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
•
Certified Payroll Report
Department of Labor and �T�r� Project Name County Project or Contract#
,:t.i �,. i•iL Prime Contractor ❑
Industries �.:i:` `��f
o..... - •:'in.r Duvall Avenue NE King CAG-20-065
Prevailing Wage Program ji;, AEISubcontractor L
PO Box 44540 dv,,y' ` a y° Project Address
Olympia WA 98504-4540 ` !eR" 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
1:-
Work Classification Name C7 O~ o Sun Mon Tue Wed Thu Fri Sat Total
a) Gross Amount
and And a> E 9/4 9/5 9/6 9/7 9/8 9/9 9/10 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address O o Hours Worked Each Dayo
Payroll Benefits" Tax
J
1. Laborers RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $43.90 $351.20 J
General Laborer Sean Bartell �l J
(King) 7056 SE Mullenix $351.20/
Rd OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $65.85 $0.00 $1,338.95 $13.94/hr $0.00 $212.67 $1,126.28
* _ _ •* Port Orchard,WA-
98367 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $87.80 $0.00
2. Cement Masons RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $57.50 $460.00
Journey Level Brandon Ingalls
(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 $2 702.50 $19.59/hr $244.00 $431.85 $2,026.65
98391 $115.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
3. Cement Masons RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $47.50 $380.00
Apprentice MATTHEW
Cement Mason Indentured On INGALLS
or After 4/21/2011 4845 Sherman OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.25 $0.00 $380.00/ $19.59/hr $195.00 $674.29 $650.71
Step 6 Heights Rd $1,520.00
(King) Bremerton,WA-
98312 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
4. Cement Masons RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $47.50 $380.00
Apprentice
Cement Mason Indentured On Braydon Schiner
or After 4/21/2011 3011 12th St PI SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.25 $0.00 $380.00/ $19.59/hr $117.00 $315.71 $1,122.92
Step 6 Puyallup,WA- $1,555.63
(King) 98373
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date— Megan George Admin
10/4/2022
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 9/4/2022 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
NWLCET:$0.14/hr
1.Sean Bartell
Laborers
General Laborer $13.94 J $5.30 $7.55 $0.00 $0.00 $0.95
(King)
401(k):$0.50/hr
2.Brandon Ingalls
^cement Masons
urney Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
•
(King)
401(k):$0.50/hr
3.MATTHEW INGALLS
Cement Masons
$19.59 $10.10 $8.09 $0.00 $0.00 $0.90
Apprentice
Cement Mason Indentured On or
After 4/21/2011
Step 6
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
401(k):$0.50/hr
4.Braydon Schiner
Cement Masons
Apprentice $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
Cement Mason Indentured On or
After 4/21/2011
Step 6
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
• .
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
ining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
MB 10/4/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and slArf Project Name County Project or Contract#
,,$•,'jr• '+i F Prime Contractor ❑
Industries .it' i'•1; Duvall Avenue NE King CAG-20-065
Prevailing Wage Program 2{iii,- ,ali i Subcontractor N
PO Box 44540 '',y'_' any Project Address
Olympia WA 98504-4540 ` 'd"" ' Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 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
Day and Date Deductions
Work Classification Name C7 ~O a Sun Mon Tue Wed Thu Fri Sat Total
m Gross Amount
a�
and And E 8/28 8/29 8/30 8/31 9/1 9/2 9/3 Total Rate Earned/Gross Hourly Net Wages
Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address rx o o Hours Worked Each Day Benefits" Tax
a
1. Laborers RG 0.00 0.00 0.00 0.00 0.00 6.00 0.00 6.00 $43.90 $263.40
General Laborer Sean Bartell
(King) 7056 SE Mullenix $263.40/
Rd OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $65.85 $0.00 $1,964.53 $13.94/hr $53.00 $304.33 $1,607.20
Port Orchard,WA-
98367 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $87.80 $0.00
2. Cement Masons RG 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 $57.50 $460.00
Journey Level Brandon Ingalls
(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 $3,205.63 $19.59/hr $354.00 $554.32 $2,297.31
98391 $115.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0� $0.00
3. eement Masons RG 0.00 0.00 0.00 0.00 0.00 6.00 0.00 6.00 $50.00 $300.00
Journey Level Joel Jezek J
(King) 19625 SE Green $300.00/
** Valley Rd OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $1,640.00 $19.59/hr $129.00 $267.02 $1,243.98
* Auburn,WA-98092 $100.01
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
9/8/2022
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 8/28/2022 9/3/2022
_ "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
NWLCET:$0.14/hr
1.Sean Bartell
Laborers
General Laborer $13.94 $5.30 $7.55 $0.00 S0.00 $0.95
(King)
401(k):$0.50/hr
2.Brandon Ingalls
Cement Masons
irney Level $19.59 $10.10 $8.09 $0.00 S0.00 $0.90
(King)
401(k):$0.50/hr
3.Joel Jezek
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
--
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
'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 9/9/22
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,� ��rE, Project Name County Project or Contract#
(. ttt• tt F Prime Contractor ❑
Industries tsi' `I' Duvall Avenue NE King CAG-20-065
J:ii{- etu'r
Prevailing Wage Program + likj „lili 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
8/27/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name c7 H o Sun Mon Tue Wed Thu Fri Sat Total
• a� Gross Amount
and And a� E 8/21 8/22 8/23 8/24 8/25 8/26 8/27 Total Rate Earned/Gross Hourly Net Wages
• E 1= Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address a-i y Benefits" Tax
• O o Hours Worked Each Day
a
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
9/6/2022
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:
'••✓all 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
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
ring Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
MB 9/7/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and tirnrF Project Name County Project or Contract#
�•`�:«• 4/ `', Prime Contractor ElIndustries ` "' `' 1 Duvall Avenue NE King CAG-20-065
Prevailing Wage Program lib
«igg Subcontractor LRJ
PO Box 44540 °;;; ���y� Project Address
Olympia WA 98504-4540 '�"" ' Final Week of
(360) 902-5335 Payroll El
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 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
P
Work Classification Name c7 ~O o Sun Mon Tue Wed Thu Fri Sat Total
Gross Amount
and And E 8/14 8/15 8/16 8/17 8/18 8/19 8/20 Total Rate Hourly
`m E i= Hours of Pay Earned/Gross "Usual Withholding Net Wages
f a) Payroll FICA Other
Soc Sec#of Employee Address CK O o Hours Worked Each Day Benefits" Tax
a
No Employees performed work on this project during this reporting period.
..,
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
9/6/2022
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 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
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.
^;.ny 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 9f7/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and ,rerF Project Name County Project or Contract#
0: `' Prime Contractor ❑
Industries :t!'" „,.. . CAG-20-065
.„.:.- „„.„3:,;. Duvall Avenue NE King
Prevailing Wage Program yjiiijb i11( Subcontractor
PO Box 44540 4:::I:,
, ww; 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
8/13/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name c7 ~• O 9--a) Sun Mon Tue Wed Thu Fri Sat Total
Gross Amount
and And E 8/7 8/8 8/9 8/10 8/11 8/12 8/13 Total Rate Earned/Gross Hourly Net Wages
�
• E Hours of Pay "Usual FICA Withholding Other
o --Ea) Payroll Benefits" Tax
Soc Sec#of Employee Address • O o Hours Worked Each Day
0
J d ,
1. Laborers Kristopher RG 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $43.90 $351.20
General Laborer Chamberlin J J
(King) 480 S River Ave Apt $351.20/
OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $65.85 $0.00 $351'274 $14.00/hr $11.00 $454.88 $907.86
#4* ** Buckley,WA-
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $87.80 $0.00
2. Cement Masons RG 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $47.50 $380.00
Apprentice MATTHEW
Cement Mason Indentured On INGALLS
or After 4/21/2011 4845 Sherman OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.25 $0.00 $380.00/ $19.59/hr $303.00 $766.23 $937.65
Step 6 Heights Rd $2,006.88
g) Bremerton,WA-
98312 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
3. Cement Masons RG 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $50.00 $400.00
Journey Level Joel Jezek
(King) 19625 SE Green OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $400.00/ $19.59/hr $168.00 $386.57 $1,407.93
Valley Rd $1,962.50
Auburn,WA-98092 $100.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
4. 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 Cory Proctor
(King) 16118 252nd St Ct $546.25/
E OT 0.00 0.00 0.00 0.00 1.00 0.00 0.00 1.00 $86.25 $86.25 $19.59/hr $154.00 $427.30 $1,776.20
Graham,WA- _ $2,357.50
98338 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 15'0 $0.00
0
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
5. Cement Masons RG 0.00 0.00 0.00 0.00 6.50 0.00 0.00 6.50 $57.50 $373.75
Journey Level Nicholas Turcott
(King) PO Box 1272 $460.00/
Buckley,WA- OT 0.00 0.00 0.00 0.00 1.00 0.00 0.00 1.00 $86.25 $86.25 $2 601.88 $19.59/hr $294.00 $464.59 $1,843.29
* *a+**** 98321
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 15'0 $0.00
6. Cement Masons RG 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $50.00 $400.00
Journey Level Randy Turcott
(King) 470 Dundass Ave $400.00/
Apt#3 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $2187.50 $19.59/hr $258.00 $425.21 $1,504.29
*** ***** Buckley,WA-
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1000.0 $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
9/6/2022
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 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
WALECET:$0.14/hr,
SAP:$0.06/hr
1.Kristopher Chamberlin
Laborers
General Laborer $14.00 f $5.30 $7.55 $0.00 $0.00 $0.95
(King)
401(k):$0.50/hr
2.MATTHEW INGALLS
;ment Masons
$19.59 $10.10 $8.09 $0.00 $0.00 $0.90
Apprentice
Cement Mason Indentured On or
After 4/21/2011
Step 6
(King)
401(k):$0.50/hr
3.Joel Jezek
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
401(k):$0.50/hr
4.Cory Proctor
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
5.Nicholas Turcott
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
Randy Turcott
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
r
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 9/7/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and �� >,�rt Project Name County Project or Contract#
Industries le► R; Prime Contractor ❑, «,;r. Duvall Avenue NE King CAG-20-065
Prevailing Wage Program = ,PO Box 44540 � ' j,,';= Subcontractor NI
d.,.;. 7 Project Address
;22 oy
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
8/6/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name E.7 ~O o Sun Mon Tue Wed Thu Fri Sat Total
cc m Gross Amount
and And a E 7/31 8/1 8/2 8/3 8/4 8/5 8/6 Total Rate Earned/Gross Hourly Net Wages
al E Hours of Pay "Usual FICA Withholding Other
w a Payroll Benefits" Tax
Soc Sec#of Employee Address a 12 O o Hours Worked Each Day
0
1. Cement Masons RG 0.00 8.00 0.00 0.00 ' 0.00 8.00 0.00 16.00 $57.50 $920.00
Journey Level Brandon Ingalls
(King) 8209 185th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.50 0.00 0.50 $86.25 $43.13 $963.13/ $19.59/hr $174.00 $426.13 $1,743.00
Bonney Lake,WA- $2,343.13
98391 $115.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
2. Cement Masons RG 0.00 8.00 0.00 0.00 0.00 0.00 0.00 8.00 $47.50 $380.00
Apprentice MATTHEW
Cement Mason Indentured On INGALLS f
or After 4/21/2011 4845 Sherman OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.25 $0.00 $380.00/ $19.59/hr $279.00 $751.76 $869.24
Step 6 Heights Rd $1,900.00
g) Bremerton,WA-
98312 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
3. Electricians-Inside RG 0.00 10.00 6.00 10.00 0.00 0.00 0.00 26.00 $64.31 $1,672.0
Journey Level WESLEY LINDSEY 6
'(King) 509 Valley Ave NE, $1,672.06
Apt#6 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $77.66 $0.00 / $24.46/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 $1�3.5 $0.00
4. Cement Masons RG 0.00 0.00 0.00 0.00 0.00 8.00 0.00 8.00 $47.50 $380.00
Apprentice
Cement Mason Indentured On Braydon Schiner
or After 4/21/2011 3011 12th St PI SW OT 0.00 0.00 0.00 0.00 0.00 0.50 0.00 0.50 $71.25 $35.63 $415.63/ $19.59/hr $185.00 $378.62 $1,300.76
Step 6 Puyallup,WA- $1,864.38
(King) 98373
DT 0.00 0.00 0.00 0.00 '0.00 0.00 0.00 0.00 $95.00 $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 10.00 6.00 10.00 0.00 0.00 0.00 26.00 $42.72 $1,124 4
Apprentice Adam Tainter
Inside Wireman 4616 78th Ave Ct W $1,110.72
Step 3 University Place, OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $64.08 $0.00 / S20.24/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
6. Laborers
General Laborer RG 0.00 6.00 0.00 0.00 0.00 0.00 0.00 6.00 $42.86 $257.16
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 $2100.14 $13.94/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
Y •
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
9/6/2022
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:
ktall 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
401(k):$0.50/hr
1.Brandon Ingalls
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
2.MATTHEW INGALLS
" -Iment Masons
'.- ' $19.594 $10.10 $8.09 $0.00 $0.00 $0.90
Apprentice
Cement Mason Indentured On or
After 4/21/2011
Step 6
(King)
aNNUITY:$2.50/hr,
3.WESLEY LINDSEY LMCC/NLMCC:
Electricians-Inside $0.11/hr
Journey Level $24.46 $10.63 $10.35 $0.00 $0.00 $0.87
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
401(k):$0.50/hr
4.Braydon Schiner
Cement Masons
Apprentice $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
Cement Mason Indentured.On or
After 4/21/2011
Step 6
(King)
AMF:$0.32/hr,
5.Adam Tainter Annuity:$1.30/hr,
Electricians-Inside LMCC/NLMCC:
$20.24 .1 $5.66 $10.65 $0.00 $0.00 $0.87 $0.11/hr, NEBF:
$1.28/hr,SAP:
Apprentice
$0.05/hr
Inside Wireman
Step 3
WALECET:$0.14/hr
6.ROSS TAYLOR
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.
any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
„thing 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 9/7/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and �� ?�rF Project Name County Project or Contract#
Industries ;,•i '• Prime Contractor ❑
"A Duvall Avenue NE King CAG-20-065
Prevailing Wage Program wgil:; ,"t '�= Subcontractor Lk
PO Box 44540 4,:A'` .Ny Project Address
Olympia WA 98504-4540 '` 't 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
H
Work Classification Name C7 ~ o Sun Mon Tue Wed Thu Fri Sat Total
tY O a) Gross Amount
and And m E 7/24 7/25 7/26 7/27 7/28 7/29 7/30 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" Tax
a
1. Laborers Kristopher RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $43.90 $351.20
General Laborer Chamberlin _
(King) 480 S River Ave Apt $351.20/
* �* OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $65.85 $0.00 $1,505.50 $14.00/hr $26.00 $468.95 $1,010.55
#4Buckley,WA-
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $87.80 $0.00
2. Cement Masons RG 0.00 0.00 2.00 8.00 0.00 0.00 0.00 10.00 $57.50 $575.00
Journey Level Brandon Ingalls
(King) 8209 185th Ave E $575.00/
Bonney Lake,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2 328 75 $19.59/hr $172.00 $416.19 $1,740.56
98391 $115.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
s. cement Masons RG 0.00 0.00 8.00 8.00 4.50 0.00 0.00 20.50 $47.50 $973.75
Apprentice MATTHEW /
Cement Mason Indentured On INGALLS J J
or After 4/21/2011 4845 Sherman OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.25 $0.00 $973.75/ $19.59/hr $159.00 $640.42 $554.33
Step 6 Heights Rd $1,353.75
(King) Bremerton,WA-
98312 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
4. Cement Masons
RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $50.00 $400.00
Journey Level Joel Jezek
(King) 19625 SE Green OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $400.00/ $19.59/hr $109.00 $291.66 $1,074.34
Valley Rd $1,475.00
Auburn,WA-98092 $100.0
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
5. Cement Masons
RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $50.00 $400.00
Journey Level Miguel Melgoza
(King) 32315 11th PI S $400.00/
* ** Federal Way,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $1,500.00 $19.59/hr $0.00 $296.58 $1,203.42
98003 - $100.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
6. Cement Masons
Journey Level Cory Proctor RG 0.00 0.00 2.00 0.00 0.00 0.00 0.00 2.00 $57.50 $115.00
(King) 16118 252nd St Ct $115.00/
E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2616.25 $19.59/hr $211.00 $465.74 $1,939.51
********* Graham,WA-
98338 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 p 15'0 $0.00
7. Cement Masons RG 0.00 0.00 8.00 0.00 0.00 0.00 0.00 8.00 $50.00 $400.00
Journey Level Randy Turcott
(King) 470 Dundass Ave $400.00/
Apt#3 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 $1,900.00 $19.59/hr $194.00 $375.67 $1,330.33
Buckley,WA-
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1000.0 $0.00
i
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
8/5/2022
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_rall 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
WALECET:$0.14/hr,
1.Kristopher Chamberlin SAP:$0.06/hr
Laborers
General Laborer $14.00 $5.30 $7.55 $0.00 $0.00 $0.95
•
(King)
401(k):$0.50/hr
2.Brandon Ingalls
^-ment Masons
urney Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
3.MATTHEW INGALLS
Cement Masons
Apprentice $19.59 J $10.10 $8.09 $0.00 $0.00 $0.90
Cement Mason Indentured On or
After 4/21/2011
Step 6
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
401(k):$0.50/hr
4.Joel Jezek
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
5.Miguel Melgoza
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
_(King)
401(k):$0.50/hr
o.Cory Proctor
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
7.Randy Turcott
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
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
_'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 8/10/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and �. 1�rF: Project Name County Project or Contract#
,-. 1'1r4 , Prime Contractor ❑
Industries c:
�._: - . _;.,, Duvall Avenue NE King CAG-20-065
Prevailing Wage Program � iiii1; ,+tI = Subcontractor El
PO Box 44540 w Y;,' ��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
7/23/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name C7 ~O o Sun Mon Tue Wed Thu Fri Sat Total
a) Gross Amount
and And m E 7/17 7/18 7/19 7/20 7/21 7/22 7/23 Total Rate Earned!Gross Hourly Net Wages
E Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address 0 0 y Benefits" Tax
o' O o Hours Worked Each Day
a
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
8/5/2022
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 7/17/2022 7/23/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
,:a‘;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 8/10/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and �,?,,,.F. Project Name County Project or Contract#
<'':•.I' ><<'. Prime Contractor ❑
Industries 4"•i' iii r Duvall Avenue NE King CAG-20-065
Prevailing Wage Program ==i=ii Subcontractor E
.43
°
:' ?l, Project Address
PO Box 44540 �;�' - w
Olympia WA 98504-4540 `"�y a Final Week of
(360) 902-5335 Payroll ❑
,Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
7/16/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
iCii
Work Classification Name C9 H o Sun Mon Tue Wed Thu Fri Sat Total
a� Gross Amount
and And m E 7/10 7/11 7/12 7/13 7/14 7/15 7/16 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay "Usual Withholding
Soc Sec#of Employee Address a) a Payroll Benefits" FICA Tax Other
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
7/22/2022
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:
^r. ✓all Avenue NE 7/10/2022 7/16/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
4;\ny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
dning 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 7/22/22
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 A!,.,: Project Name County Project or Contract#
Industries ,,,, iij`.y Prime Contractor ❑
°. fi`: 1:,t Duvall Avenue NE King CAG-20-065
Prevailing Wage Programst x��l'z Subcontractor XI
PO Box 44540 ,v' Project Address
Olympia WA 98504-4540 y� '""y Final Week of
(360)902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
7/9/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name 6 ~ o Sun Mon Tue Wed Thu Fri Sat Total
It O a) Gross Amount
and And 7/3 7/4 7/5 7/6 7/7 r 7/8 7/9 Total Rate Earned/Gross Hourly Net Wages
Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address aca.) > .n Payroll Benefits" Tax
ce O o Hours Worked Each Day
J
1. Cement Masons RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $57.50 $460.00
Journey Level Brandon Ingalls J J
(King) 8209 185th Ave E OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $460.00/ $19.59/hr $169.00 $326.24 $1,804.76
Bonney Lake,WA- $2,300.00
**«****** 98391
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $11.0 $0.00
2. Cement Masons RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $47.50 $380.00
Apprentice
Cement Mason Indentured On Braydon Schiner
or After 4/21/2011 3011 12th St PI SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.25 $0.00 $380.00/ $19.59/hr $25.00 $232.41 $882.59
Step 6 Puyallup,WA- $1,140.00
g) 98373
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
**«*«****
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
7/22/2022
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 7/3/2022 7/9/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
401(k):$0.50/hr
1.Brandon Ingalls
Cement Masons
Journey Level $19.59 I $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
2.Braydon Schiner
"r-ment Masons
$19.59 $10.10 $8.09 $0.00 $0.00 $0.90
Apprentice
Cement Mason Indentured On or
After 4/21/2011
Step 6
(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 7/22/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and ?�,F Project Name County Project or Contract#
Industries ,‹=!3' '� " Prime Contractor ❑
o;. .... Duvall Avenue NE King CAG-20-065
Prevailing Wage Program F+" . fslil=
:_ ..,' , Subcontractor ® Project Address
PO Box 44540 1..yy',- any 1
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
7/2/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
- H
Work Classification Name F- o Sun Mon Tue Wed Thu Fri Sat Total
ix O o Gross Amount
and And a) E 6/26 6/27 6/28 6/29 6/30 7/1 7/2 Total Rate Earned/Gross Hourly Net Wages
E i= Hours of Pay "Usual FICA Withholding Other
Soc Sec#of Employee Address aa) a) cu Payroll Benefits" Tax
t O o Hours Worked Each Day
a
1. Cement Masons RG 0.00 0.00 2.00 0.00 0.00 0.00 0.00 2.00 $57.50 $115.00
Journey Level Brandon Ingalls
(King) 8209 185th Ave E $115.00/
rt Bonney Lake,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $86.25 $0.00 $2 364.87 $19.59/hr $176.00 $378.22 $1,810.65
*le
98391 $115.0
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.00
2. Cement Masons RG 0.00 0.00 8.00 8.00 8.00 8.00 0.00 32.00 $50.00 $1,600.0
Journey Level Omar Mendez 0
(King) Rodriguez $1,600.00
1801 S 84th Ave OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.00 $0.00 / $19.59/hr $0.00 $390.92 $1,584.08
_ _ * Tacoma,WA- $1,975.00
98444 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $100.0 $0.00
.3. cement Masons J $1,520.�
Apprentice RG 0.00 0.00 8.00 8.00 8.00 8.00 0.00 32.00 $47.50 0 J J
Cement Mason Indentured On Braydon Schiner $1,520.00
or After 4/21/2011 3011 12th St PI SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.25 $0.00 / $19.59/hr $192.00 $387.35 $1,320.65
Step 6 Puyallup,WA- $1,900.00
(King) 98373
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.00 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
7/22/2022
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:
^•mall Avenue NE 6/26/2022 7/2/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
L
401(k):$0.50/hr
1.Brandon Ingalls
Cement Masons
Journey Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
2.Omar Mendez Rodriguez
^ment Masons
urney Level $19.59 $10.10 $8.09 $0.00 $0.00 $0.90
(King)
401(k):$0.50/hr
3.Braydon Schiner
Cement Masons
Apprentice $19.59 J $10.10 $8.09 $0.00 $0.00 $0.90
Cement Mason Indentured On or
After 4/21/2011
Step 6
(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 7/22/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and Project Name County Project or Contract#
Industries , '"'I},.: . Prime Contractor ❑
Is.,- -' Duvall Avenue NE King CAG-20-065
Prevailing Wage Program J + Subcontractor fg
PO Box 44540 ,�' '' Project Address
Olympia WA 98504-4540 ` `"�"" Final Week of
(360) 902-5335 Payroll
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
6/25/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
H
Work Classification Name C7 ~O o Sun Mon Tue Wed Thu Fri Sat Total
Ce ro Gross Amount
and And a� E 6/19 6/20 6/21 6/22 6/23 6/24 6/25 Total Rate Eamed/Gross Hourly Net Wages
f.. E .a Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address ce O o Hours Worked Each Day y Benefits" Tax
a
1. Power Equipment J ' .1RG 0.00 0.00 10.00 4.00 0.00 0.00 0.00 14.00 $52.12 $729.68
Operators HECTOR
Shovel, Excavator,Backhoe, FONSECA $729'68/
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 $2 080.36 $24.52/hr $216.00 $237.08 $1,627.28
(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
2. Electricians-Inside Journey Level WESLEY LINDSEY RG 0.00 0.00 8.00 4.00 0.00 0.00 0.00 12.00 $64.31 $771.72
(King) 509 Valley Ave NE, $771.72/
Apt#6 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $77.66 $0.00 $2 842 62 $24.46/hr $516.00 $576.85 $1,749.77
* _ _ ** Puyallup,WA-
98372 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1�3'S $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
7/1/2022
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 6/19/2022 6/25/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
FedPAC:$0.05/hr,
1.HECTOR FONSECA Intl Training:
$0.05/hr
Power Equipment Operators (
Shovel,Excavator,Backhoe, $24.52 .! $14.40 $9.32 S0.00 S0.00 $0.70
Tractors Under 15 Metric Tons
(King)
aNNUITY:$2.50/hr,
LMCC/NLMCC:
WESLEY LINDSEY $0.11/hr
lectricians-Inside
Joumey Level $24.46 $10.63 $10.35 S0.00 $0.00 $0.87
(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
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 7/5/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and Project Name County Project or Contract#
Industries •:•i Prime Contractor ❑
�.;.'`. i'4 Duvall Avenue NE King CAG-20-065
Prevailing Wage Program I< iii• viii''
,Agii. ,ii'< Subcontractor
PO Box 44540 "�" - y Project Address
Olympia WA 98504-4540 y` '""�a� Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
6/18/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
P
Work Classification Name c7 ~O o Sun Mon Tue Wed Thu Fri Sat Total
Gross Amount
and And E 6/12 6/13 6/14 6/15 6/16 6/17 6/18 Total Rate Hourly
Earned/Gross Net Wages
E Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address CD er O o Hours Worked Each Day Benefits" Tax
a
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Affirmation
Department of Labor and Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
Today's Printed name of party signing this report Title
Date Megan George Admin
7/1/2022
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 6/12/2022 6/18/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
«' Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
'lining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
MB 7/5/22
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 :,' l` }'i,,`4 Prime Contractor E
=H.,- :.`iii;Y Duvall Avenue NE King CAG-20-065
Prevailing Wage Program �,, II +i11ji,- Subcontractor ❑x
PO Box 44540 ,'yi't, ,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
6/11/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
_ Day and Date Deductions
~
Work Classification Name 0 ~• O o Sun Mon Tue Wed Thu Fri Sat Total
a� Gross Amount
and And a� E 6/5 6/6 6/7 6/8 6/9 6/10 6/11 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address a)
Soc 45> - Benefits"
(: 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
7/1/2022
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:
Nall Avenue NE 6/5/2022 6/11/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor-from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
! 1 Any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
:lining Council.
Falsification of any of the above statements is a violation of RCW 39.12.050 subject to prosecution, sanctions, and penalties.
Printed name of party signing this report Title Signature
Megan George Admin Megan George
MB 7/5/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and ,a1.:sreiiir;!°� Prime Contractor ElProject Name County Project or Contract#
Industries ' •' ` f, Duvall Avenue NE King CAG-20-065
;;'
Prevailing Wage Program < lilt 1111:f Subcontractor ICI
�i
PO Box 44540 '' ',k y Project Address
Olympia WA 98504-4540 y� '""" Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
6/4/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name c9 ~O o Sun Mon Tue Wed Thu Fri Sat Total
a� Gross Amount
and And — E 5/29 5/30 5/31 6/1 6/2 6/3 6/4 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay "Usual FICA Withholding Other
r �, Payroll Benefits" Tax
Soc Sec#of Employee Address CD 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
6/6/2022
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:
ivall Avenue NE 5/29/2022 6/4/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
't` My 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 6/6/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and ��rE�, Project Name County Project or Contract#
?:} «:.,, Prime Contractor ❑
Industries = tt, `f Duvall Avenue NE King CAG-20-065
iir, .:'iiirr
Prevailing Wage Program Illy +ss1 Subcontractor CXl
PO Box 44540 +'; - y 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
5/28/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
H
Work Classification Name E. 0 o Sun Mon Tue Wed Thu Fri Sat Total
cC O a> Gross Amount
and And E 5/22 5/23 5/24 5/25 5/26 5/27 5/28 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay Payroll "Usual FICA Withholding Other
Soc Sec#of Employee Address c m - y Benefits" Tax
O o Hours Worked Each Day
a
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
6/6/2022
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 5/22/2022 5/28/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
No Employees performed work on this project during this reporting period.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
The party signing below AFFIRMS the following:
(1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete.
(2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the
contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic.
(3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans, funds or programs for the benefit of such employees.
(4)All persons employed on the above-referenced project(s) have been paid the full weekly wages earned, and no rebates have been or will be made either directly or
indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally
permissible, have been made by any person either directly or indirectly from the full wages earned.
!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
M B 6/6/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and rnrf, Project Name County Project or Contract#
_,•'F� Prime Contractor ❑
Industries = .
L. *Air Duvall Avenue NE King CAG-20-065
Prevailing Wage Program 1- Ejtt .* Subcontractor
PO Box 44540 °'y°'' �,' 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
5/21/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name C7 O~ o Sun Mon Tue Wed Thu Fri Sat Total
cc a) Gross Amount
and And E 5/15 5/16 5/17 5/18 5/19 5/20 5/21 Total Rate Earned/Gross Hourly Net Wages
E Hours of Pay "Usual FICA Withholding Other
a, Payroll Benefits" Tax
Soc Sec#of Employee Address CD O o Hours Worked Each Day
a J J
1. Laborers RG 0.00 3.00 0.00 0.00 0.00 0.00 0.00 3.00 $54.08 $162.24 /
General Laborer Jeremy Draper V
(King) 5729 142nd PI NE $162.24/ v
Marysville,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $81.12 $0.00 $1,461.78 $13.39/hr $106.00 $208.74 $1,147.04
98271 $108.1
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6 $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
5/27/2022
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 5/15/2022 5/21/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
SAP:$0.06/hr,
1.Jeremy Draper WALECET:$0.14/hr
Laborers
General Laborer $13.39 $5.04 $7.20 $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.
,7'- ,ny apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with the Washington State Apprenticeship and
sling 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 5/27/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and f,57ATF Project Name County Project or Contract#
.s?..i> >!;if'F Prime Contractor ❑
Industries ,, at=. :._�.
= r - .`:::?,,- Duvall Avenue NE King CAG-20-065
Prevailing Wage Program -�jjjjt, F4iiii! Subcontractor IX
PO Box 44540
` ',FL Project Address
?H a'>y
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
5/14/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name C7 ~O o Sun Mon Tue Wed Thu Fri Sat Total
Gross Amount
and And a) E 5/8 5/9 5/10 5/11 5/12 5/13 5/14 Total Rate Earned/Gross Hourly Net Wages
.1= a Hours of Pay Payroll "Usual FICA Withholding Other 9
Soc Sec#of Employee Address 12 O o Hours Worked Each Day Benefits" Tax
a
1. Cement Masons
Apprentice RG 0.00 0.00 8.00 8.00 10.00 0.00 0.00 16.00 $28.72 $459.52
Cement Mason Indentured On Oscar Beltran Vigil
or After 4/21/2011 33036 29th Ave SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $43.08 $0.00 $459.52/ $19.04/hr $49.00 $193.29 $446.99
Step 1 Federal Way,WA- $689.28
(King) 98023
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $57.44 $0.00
2. Cement Masons `/ i
Apprentice RG 0.00 0.00 0.00 0.00 0.00 7.00 0.00 7.00 $33.51 $234.57 J Cement Mason Indentured On Connor Lemke .1
or After 4/21/2011 15922 20th Ave SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $50.27 $0.00 $234.57/ $19.04/hr $148.00 $329.24 $829.65
3 Burien,WA-98166 $1,306.89
9)
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $67.02 $0.00
J .0
3. Electricians-Inside RG 0.00 5.00 0.00 0.00 0.00 0.00 0.00 5.00 $64.31 $321.55
Journey Level WESLEY LINDSEY J /
(King) 509 Valley Ave NE, $321.55/ J
Apt#6 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $77.66 $0.00 $1,719.34 $24.46/hr $245.00 $354.26 $1,120.08
Puyallup,WA-
98372 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $103.5 $0�
4. Power Equipment RG 0.00 5.00 0.00 0.00 0.00 0.00 0.00 5.00 $49.92 $249.60
Operators JUSTIN J
Shovel,Excavator,Backhoe, MCDONALD $249.60/
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 $74.88 $0.00 $1 992 24 $23.42/hr $184.00 $226.95 $1,581.29
(King) Roy,WA-98580
* ** DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $99.84 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
5. Cement Masons RG 0.00 0.00 0.00 7.50 0.00 0.00 0.00 7.50 $47.87 $359.03
Journey Level Roldan Merino
Tapia(King) 33 14 96TH St S OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.80 $0.00 $359.03
��7 90/ $19.04/hr $0.00 $154.63 $623.27
* _ _ ** Lakewood,WA-
98499 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $774 $010
6. Cement Masons RG 0.00 0.00 0.00 0.00 5.00 0.00 0.00 5.00 $45.48 $227.40
Apprentice I /
Cement Mason Indentured On Braydon Schiner V J
or After 4/21/2011 3011 12th St PI SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $68.22 $0.00 $227.40/ $19.04/hr $160.00 $359.44 $1,231.54
Step 6 Puyallup,WA- $1,750.98
(King) 98373
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $90.96 $0.00
** ******
7. Cement Masons RG 0.00 0.00 8.00 6.00 5.50 8.00 0.00 27.50 $55.05 $1,513.8
Journey Level Nicholas Turcott 8
'9) PO Box 1272 $1,513.88
Buckley,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $82.57 $0.00 / $19.04/hr $167.00 $361.55 $1,425.73
98321 $1,954.28
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 10'1 $0.00
8. Cement Masons RG 0.00 0.00 8.00 8.00 5.50 8.00 0.00 29.50 $47.87 $1,412.1
Journey Level Randy Turcott 7
(King) 470 Dundass Ave $1,412.17
Apt#3 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.80 $0.00 / $19.04/hr $178.00 $314.31 $1,302.82
* ****** Buckley,WA- $1,795.13
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.74 $0.00
9. Cement Masons RG 0.00 8.00 8.00 8.00 0.00 8.00 0.00 32.00 $47.87 $1,531.8
Journey Level Nelson Velarde 4
(King) Bogorquez $1,531.84
9912 24th Ave Ct S OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.80 $0.00 / $19.04/hr $198.00 $307.32 $1,026.52
* _ _ ** Tacoma,WA- $1,531.84
98444 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.74 $0.00
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
r
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
5/27/2022
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 5/8/2022 5/14/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour"terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E)Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
1.Oscar Beltran Vigil
Cement Masons /
Apprentice $19.04'./ $10.10 $8.09 $0.00 $0.00 $0.85
Cement Mason Indentured On or
After 4/21/2011
Step 1
(King)
�_.Connor Lemke
:ment Masons
Apprentice $19.04/ $10.10 $8.09 $0.00 $0.00 $0.85
Cement Mason Indentured On or
After 4/21/2011
Step 3
(King)
aNNUITY:$2.50/hr,
3.WESLEY LINDSEY LMCC/NLMCC:
Electricians-Inside $0.11/hr
Journey Level $24.46J $10.63 $10.35 $0.00 $0.00 $0.87
(King)
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
FeDPAC:$0.05/hr,
4.JUSTIN MCDONALD Intl Training:$0.05/hr
Power Equipment Operators
Shovel,Excavator,Backhoe, $23.42 J $13.65 $8.97 $0.00 $0.00 $0.70
Tractors Under 15 Metric Tons
(King)
5.Roldan Merino Tapia
Cement Masons
Journey Level $19.04 $10.10 $8.09 $0.00 $0.00 $0.85
ing)
6.Braydon Schiner
Cement Masons
$19.04 $10.10 $8.09 $0.00 $0.00 $0.85
Apprentice
Cement Mason Indentured On or
After 4/21/2011
Step 6
(King)
7.Nicholas Turcott
Cement Masons
Journey Level $19.04 $10.10 $8.09 $0.00 $0.00 $0.85
(King)
Randy Turcott
,:ment Masons
Journey Level $19.04 $10.10 $8.09 $0.00 $0.00 $0.85
(King)
9.Nelson Velarde Bogorquez
Cement Masons
Journey Level $19.04 $10.10 $8.09 $0.00 $0.00 $0.85
(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
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 5/31/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Washington State Department of
Labor&Industries (https://Ini.wa.gov)
Back To Search (#/?tromApprenticeDetails=true)
ID#217595
Beltran-Vigil, Oscar,
33036 29th Ave Sw,
1r Cement Mason for Washington Cement Masons Apprenticeship
Committee (#/program-details?oroaramld=61&from=%2Fapprentice-details%3Fid%3D174772)
Active
10/12/2021
TERM
6400 Hours
REGISTERED
10/12/2021
PROBATION TERM
1080 Hours
PROBATION PERIOD
10/12/2021 -N/A
0 Total hours:
OJT 408
RSI 80
Credited hours:
OJT 400
RSI 0
0 Step:
1
(effective: 10/12/2021)
Gender: Male
Race and ethnicity: Hispanic/Hispanic Origin
Education level: College or greater
Military status: Non-vet
5/31/22, 12:23 PM Apprenticeship Program Public
Washington State Department of
`/Labor&Industries (https://Ini.wa.gov)
+1 Back To Search (#/?fromApprenticeDetails=true)
ID#216088
Lemke, Connor, 15922 20th Ave SW,
• Cement Mason for Washington Cement Masons Apprenticeship •Active
Committee (Lpngram-details?programId=61&from=%2Fapprentice-details%3Fid%3D173186) 7/27/2021
TERM REGISTERED PROBATION TERM PROBATION PERIOD
6400 Hours 7/27/2021 1080 Hours 7/27/2021 - N/A
/ Total hours: OJT 1994 RSI 278 Credited hours: OJT 1900 RSI 160
Step: 4 (effective: 6/6/2022)
Gender: Male
Race and ethnicity: White/Not of Hispanic Origin
Education level: High school graduate
Military status: Non-vet
F
https://secure.lni.wa.gov/arts-public/#/apprentice-uewails?id=216088&from=%2F 1/1
Certified Payroll Report
Department of Labor and $ IArF. Project Name County Project or Contract#
a.t Prime Contractor ❑
Industries :i" `�
o..... Duvall Avenue NE King CAG-20-065
Prevailing Wage Program "" _"= Subcontractor
PO Box 44540 1i: '3` Project Address
Olympia WA 98504-4540 y` !WI 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
5/7/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
p
Work Classification Name C7 ~O o Sun Mon Tue Wed Thu Fri Sat Total
Gross Amount
and And r a) E 5/1 5/2 5/3 5/4 5/5 5/6 5/7 Total Rate Hourly
Earned/Gross
as WithholdingNet Wages
E i= Hours of Pay "Usual FICA Other
Soc Sec#of Employee Address ffzu o Hours Worked Each Day PayrollBenefits"
Tax
0
1. Cement Masons RG 0.00 8.00 8.00 8.00 0.00 8.00 0.00 32.00 $28.72 $919.04
Apprentice
Cement Mason Indentured On Oscar Beltran Vigil
or After 4/21/2011 33036 29th Ave SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $43.08 $0.00 $919.04/ $19.04/hr $76.00 $257.75 $585.29
Step 1 Federal Way,WA- $919.04
(King) 98023
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $57.44 $0.00
2. Cement Masons RG 0.00 8.00 0.00 8.00 0.00 8.00 0.00 24.00 $55.05 $1,321.2
Journey Level Nicholas Turcott 0
(King) PO Box 1272 $1,321.20
Buckley,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $82.57 $0.00 / $19.04/hr $149.00 $332.12 $1,321.77
98321 $1,802.89
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $110'1 $0.00
3. Cement Masons RG 0.00 8.00 0.00 8.00 0.00 0.00 0.00 16.00 $47.87 $765.92
Journey Level Randy Turcott V
(King) 470 Dundass Ave $765.92/
Apt#3 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.80 $0.00 $1 184 79 $19.04/hr $104.00 $236.28 $844.51
* _ _ ** Buckley,WA-
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.74 $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
5/27/2022
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 5/1/2022 5/7/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
1.Oscar Beltran Vigil
Cement Masons
$19.04 $10.10 $8.09 $0.00 $0.00 $0.85
Apprentice
Cement Mason Indentured On or
After 4/21/2011
Step 1
(King)
9 Nicholas Turcott
ment Masons
.,uurney Level $19.04 $10.10 $8.09 $0.00 $0.00 $0.85
(King)
3.Randy Turcott
Cement Masons
Journey Level $19.04 J $10.10 $8.09 $0.00 $0.00 $0.85
(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 benefitsas 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.
;!kny 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 5/27/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and Project Name County Project or Contract#
•" lntit t;''F Prime Contractor
Industries .1:' 1
", i,. -,,iI Duvall Avenue NE King GAG-20-065
Prevailing Wage Program ;, i ,,gl!t= Subcontractor !
PO Box 44540 Lr_, 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
4/30/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
Work Classification Name (7 ~O 9- Sun Mon Tue Wed Thu Fri Sat Total
Gross Amount
and And - 4/24 4/25 4/26 4/27 4/28 4/29 4/30 Total Rate Hourly
Hours of Pay Earned/Gross "Usual Withholding Net Wages
Soc Sec#of Employee Address w m a Payroll Benefits" FICA Tax Other
cc O' 8 Hours Worked Each Day
1. Cement Masons RG 0.00 0.00 0.00 8.00 0.00 0.00 0.00 8.00 $28.72 $229.76
Apprentice
Cement Mason Indentured On Oscar Beltran Vigil
or After 4/21/2011 33036 29th Ave SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $43.08 $0.00 $229.76/ $19.04/hr $118.00 $326.80 $725.54
Step 1 Federal Way,WA- $1,170.34
(King) 98023
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $57.44 $0.00
2. Cement Masons RG 0.00 0.00 0.00 8.00 8.00 8.00 0.00 24.00 $55.05$1'321.2
Journey Level 0
(King) PO Box 1272 ✓
Nicholas Turcott $1,321.20
OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $82.57 $0.00 / $19.04/hr $206.00 $361.52 $1,634.48
** Buckley,WA-
- - 98321 $2,202.00
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $10.1 $0.00
3. Cement Masons RG 0.00 0.00 0.00 8.00 8.00 8.00 0.00 24.00 $47.8�$1,148.8
Journey Level Randy Turcott 8
(King) 470 Dundass Ave $1,148.88
Apt#3 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.80 $0.00 / $19.04/hr $213.00 $395.68 $1,377.93
* _ _ ** Buckley,WA- $1,986.61
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.74 $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
5/5/2022
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 4/24/2022 4/30/2022
"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
)
1.Oscar Beltran Vigil
Cement Masons
Apprentice $19.04 $10.10 $8.09 $0.00 $0.00 $0.85
Cement Mason Indentured On or
After 4/21/2011
Step 1
(King)
2.Nicholas Turcott
Cement Masons
Journey Level $19.04 $10.10 $8.09 $0.00 $0.00 $0.85
(King)
3.Randy Turcott
Cement Masons
Journey Level $19.04 $10.10 $8.09 $0.00 $0.00 $0.85
(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
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
Entered incorrect hours.
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side
Certified Payroll Report
Department of Labor and rare Project Name County Project or Contract#
Industries _^i, '' '� ',. Prime Contractor ❑
f' Duvall Avenue NE King CAG-20-065
.ii,' :3i,r
� i'' - esu '
Prevailing Wage Program y,tit; 331i1`� Subcontractor
PO Box 44540 'r ,y' Project Address
Olympia WA 98504-4540 yy '"�� Final Week of
(360) 902-5335 Payroll ❑
Awarding Agency Name Phone Company Name Phone
For the week ending: RENTON,CITY OF (425)430-7303 TRANSPORTATION SYSTEMS INC (206)510-6533
Month Day Year Awarding Agency Address Address City State Zip+4
4/23/2022 1055 S GRADY WAY RENTON,WA-98055 6917 166TH AVE E SUMNER WA 98390
Day and Date Deductions
IL-
Work Classification Name C7 ~O o Sun Mon Tue Wed Thu Fri Sat Total
a� Gross Amount
and And a� E 4/17 4/18 4/19 4/20 4/21 4/22 4/23 Total Rate Earned/Gross Hourly Net Wages
E i= Hours of Pay Pa roll "Usual FICA Withholding Other
Soc Sec#of Employee Address m n y Benefits" Tax
0 0 o Hours Worked Each Day
a
1. Cement Masons RG 0.00 0.00 0.00 0.00 8.00 0.00 0.00 8.00 $28.72 $229.76
Apprentice
Cement Mason Indentured On Oscar Beltran Vigil J
or After 4/21/2011 33036 29th Ave SW OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $43.08 $0.00 $229.76/ $19.04/hr $54.00 $205.40 $472.96
Step 1 Federal Way,WA- $732.36
(King) 98023
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $57.44 $0.00
2. Cement Masons RG 0.00 6.00 0.00 0.00 8.00 0.00 0.00 14.00 $55.05 $770.70
Journey Level Nicholas Turcott .1 J
(King) PO Box 1272 $770.70/
Buckley,WA- OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $82.57 $0.00 $2 284 58 $19.04/hr $224.00 $372.79 $1,687.79
' ** 98321 $110.1
DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0 $0.1
3. Cement Masons RG 0.00 6.00 0.00 0.00 8.00 0.00 0.00 14.00 $47.87 $670.18
Journey Level Randy Turcott J
(King) 470 Dundass Ave $670.18/
Apt#3 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.80 $0.00 $1,986.61 $19.04/hr $213.00 $394.52 $1,379.09
Buckley,WA-
98321 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $95.74 $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
5/3/2022
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 4/17/2022 4/23/2022
"USUAL BENEFITS" DISTRIBUTION (Please report in "per hour" terms)
Work Classification Total Hourly (A) Hourly (B) Hourly (C) Hourly (D) Hourly (E) Approved (F) Other
"Usual Pension Medical Vacation Holiday Apprentice Benefits
Benefits" Program
(A+B+C+D+E+F
1.Oscar Beltran Vigil
Cement Masons
$19.04 J $10.10 $8.09 $0.00 $0.00 $0.85
Apprentice
Cement Mason Indentured On or
After 4/21/2011
Step 1
(King)
Nicholas Turcott
!ment Masons /
.,.,um /ey Level $19.04 . $10.10 $8.09 $0.00 $0.00 $0.85
(King)
3. Randy Turcott
Cement Masons
Journey Level $19.04 J $10.10 $8.09 $0.00 $0.00 $0.85
(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
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 5/3/22
F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side