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(m rF, .. 1-J AU = J AAO 1 m : 1 : J •- QCity of Renton Progress Payment No 13 Project Name: Duvall Avenue NE CAG: CAG 30'065 718: N/A Contractor. Needlttleldll4 eed Eeewetltla SHWA: Pay Period: 12/01/2022 to 12/23/2022 No. Completed Prolett Estimates Date: January 4,2023 Payments Includes estimated overruns,onderr„ns. Contract this Progress Fathom Potsdam Potam Payments Payments to Dot. Estimate to CompM. Estimate at Cmnp4Von Carry. Old Item Daaiption Unit Unit Prim Quantity Cost Quantity Cost Quert0y Cost Quentty Cost Quantity Cost Quantity Cost %d Cpntrrt Orders A37 NMA Cl,I/2 IN.PG 6421 TON $103.03 .7,410 -$763,230.00 003 50.00 &W WOO 0.03 50.03 ODD 5000 0.03 SOLO 0W 7-437 NAM CL 1/1 W.PG 64-21 TON 5103.00 7,445 5766,835.03 15.00 $1,545.00 7,830,79 0766,195.37 7,453.79 $767.740.37 000 $0.03 7,453.79 5767,74037 10012 A68 DUCTILE IRONSEWE0 PRe 12 IN. . OWd. LF. $90.W -280 '525,200.00 0.00 5000 0W $0.00 003 SO.03 ODO $0.03 O.W 50.00 0.0) 7-M11 OUCTKE IRON SEWER PPE 12 IN. OIAM. LF. $90W 400 536,000.00 0.00 W000.03 50.00 0.03 SO.W 0.03 $0.W GOO $0.00 0.03 21 r'S° CATOI BASIN T37E I ENDS $1.400.W -25 -$35,000.00 OW SO.00 0.00 SO.W 0.00 50.03 0.00 $0.00 0.00 $0.00 0 W 7-A30 cocro4 SASS TTPE 1 EACH $1,40003 28 S39,20 03 0.W 50.00 0.00 $0.03 0.07 $0.03 0.00 $0.00 0.00 $0.00 0.00 14.21 A73 CEMENT CONIC TRAfnC CURB 4530 GUTTER LE. $25.W .4,603 -$115,000.00 0.00 50.00 003 50.W 0.00 $0W 000 $0.00 0.00 $0.00 0.00 7-A73 CEMENT CONC TMFRC CURS MID GUTTER LF. 515.00 4,615 $115,375.00 000 S0 W 0 W 50 W 0.00 S0 W 0.00 $0.00 0.00 $0.00 000 13 74103 A00n1ONAL SURVEY lS _ $1,680.W 1 $1,680.00, aW 50.00 1.00 $1,010.03 140 52,680.00 000 $0.W 1.00 $1,680.01 10000 C.0.7 Totals $23,330.00 51 565.00 5896,276.97 S197,121.97 $0.03 $997,821.97 38.836 CamPriceO.8 Ci. Concrete Price , Adl.stw..b for West 1a.0 A eM C &A10A CEMENT CONCRETE PRICE ADJUSTMENTS FOR WORK 20NFS A 6110C C.V. $64.29 213.35 515,00.13 000 3000 28575 $24,083.57 255.75 024,085.37 0.00 $0.95 255.75 521.08587 133.51 C.0.5 1.010 $18,003.13 30.30 024,035.87 $24,055.57 $0.00 524,085.87 133.81 CA.9 31d.swi-Wd Fo.ESte 94103 90EWALK-WAIL FOOTING LA, _ $13.41 1,455,00 S22,431.53 0W 50.00 0137 $0.W Om $0.W O.W 5000 0.03 50.00 0.00 19 C.0.9 Teak 521,421.55 50.00 Sow 50.W S003 $0.00 0.00 CO.1e R.ke.e.UI Amod0Mo Farm 104106 RELOCATE LI2 FOUNDATION FORM FA. $2,$0000 1.W $1,51000 0.00 $0.03 1.83 54,626.93 1.85 $4,626.93 OW 50.00 1.85 54,626.93 185.0E 1.0.10 Teaak 52,300.00 00.03 54,626.93 54,626.93 $0.00, $4,626,93 183.08 C0.11 PANII-1 on Tns.R.r.e.el 11-A107 MUETIPIE STEM TREE REMOVAL LI $4,907.28 1.W $4,907.28 000 $0.00 1.03 54,907.28 1.00 54,907.28 OW $0.W 1.W 54,907.28 10000 C.0.11 Totals $4,907.28 SO.00 54,907.2S 54,907.23 50.03 54,907.28 100.00 C0.12&meet 6.Mre.ak.TC 12-410e A0p110NAL CNANNE11241108 9595303 P.A. 511,000.00 100 $31,030.00 0.0003 50.00 CLAWS 55,322.19 0.4838 $5311.19 000 5000 0.48 55,322.19 4836 12-A109 SIGNAL MODIFICATION ASSISTANCE FA $3,503.00 1.W $3,500.00 000 50.30 0.61 $2,236.68 0.63 52,116.M 0D0 SOLO 0.63 52,216.8E 63.34 QCity of Renton Progress Payment No 13 Project Name: Duvall Avenue NE CAG: CAG 20.065 TIB: N/A Contractor. Mod Trudlt116 end Eacavadmg F51WA: Pay Period: 12/01/2022 to 12/23/2022 No. Completed Project Estimates Date: January 4,2023 Payments Include estimated mamma,undernon. Contract This Progress Payment Previous Payments Payments to Dote Eadmote to C ompkte EN6rute a Completion Change NO Nora d Oeopdon I Unit I unit Nice I Quantity Coot Quantey Cost Quantity Cost Quantity Cost Quantity Coal Quantity Cost Si of Contract Orden C0.13Taemia 014,50300 $0.00 57,539.07 57,539.07 00.00 $7,539.07 51.99 CO.11 Scheel Renew 8. I.e. • A20 REMOVNG STORM SEWER PIPE LF. $2500 -230 -$5.75000 000 5000 000 SOAO 003 S0.00 0.00 $0.00 0.00 5000 0.00 I3.A20 REMOVING STORM SEWER PIPE LF. 525.00 290 $7,250.00 0.0 50.00 61350 $15,337.50 613.50 115,337.50 0.00 $0.00 613.50 $15,337.50 211.55 A27 GRAVEL SORROWING.HAIL TON $35.03 -530 •510,550.00 0.00 50.00 0.00 $000 000 50.00 000 S0.00 a00 $0.00 0.131 13 13-A27 GRAVEL 60860W Na..I HAUL TON $35.00 530 519,25003 0330 0000 3,097.19 0$103.401.65 3,097.19 $109.401.65 0.00 $0.00 3,097.19 S101,40165 563.13 13 A43 SOUO WALL PVC STORM PIPE 4 IN. D4RM. IF. $40.00 -190 -$3,1W.00 000 10.00 0.00 $000 0.00 $0.00 000 $000 0.00 50.00 0.00 13-M3 S000 WALL PVC STORM PIPE 4 IN. DIAM. IF. $20.00 1211 $2.560.00 0.00 50.00 10450 $2,090.00 104.50 $2,090.00 0.00 50.00 104.50 52,090.00 31.64 ASS TRENCH DRAIN 16. $200.00 -50 410,00000 0.00 $000 000 5000 0.00 $0.00 000 5000 0.00 $0.00 0.00 13-A5/TAENO4DRMN IF. $200A0 0 $0.03 0.00 $0.00 am $000 003 $0.00 - 0.03 $000 0.00 $000 100.00 74.73 CEMENT CONC TRAFFIC CURB AND GUTTER LF. 52503 .4,615 .5115,37503 000 50.00 000 $000 0.03 $0.00 000 $0.00 000 $0.00 003 13473 CEMENT CONC.TRAFFIC OJOO AND GUTTER 1.6_ 52500 1,495 $112,375.00 0.00 $0.00 4,609.50 0115,23750 4,609.50 $115,237.50 0.00 $0.00 4,609.50 $115,237.50 102.55 6.0.13 Touts -$17,010.00 SO OD S241,066.65 $211,066.65 50.00 5241,066.65 -2002.21 CO 14 Wan New 44 NE 1334 and Rats A44 POLYPROPYLENE STORM SEWER PIPE 12 IN.001A. IF. 559.00 4,1110 -$160.05000 0.00 5000 000 50.03 000 00.03 0.03 50.00 0.00 5000 0.00 14A44 POLYP60P7LENE STORM SEWER PIPE 12 IN.04050. LF. $5500 3,0335 $166,612.50 000 50.00 0.00 $000 0.00 50.01 a 50.00 000 $0.00 000 21 POLYPROPYLENE STORM SEWER PIPE MS 1661.CRAM. LF. $7503 -130 -$9,75000 0.00 50.00 0.00 $0.00 000 $0.00 000 $0.00 0.00 $0.00 003 POLYPROPYLENE STORM SEWER RAPE 11-M5 19IN.DIAM. L.F. 57503 0 50.00 0.00 $0.00 000 $0.00 000 $0.00 0.130 $0.00 C100 $0.00 0 W 7450 CATOI BARN ME EA01 55,400.00 -26 -$39,20000 000 00.00 003 5000 000 $0.00 000 $000 0.00 50.00 0.03 14450 CATCH BASIN TYPE I EACH 51,400.00 29 $40,600.00 000 50.00 0.03 SOW 000 50.00 OW SO CO 000 SOW 000 21 C-0.14 Tots -51,55750 $0.00 so.Wd 50.D0 50.00I_ 50.00 aDo- __ . CO.13 Proof Reg N/A No Cost Change Order $000 1.W 5000 0 $0.00 1 $0.00 1.03 $0.00 0 $0.00 1.101 50.601 100.W CO.15 Teed $0.00 50.00 $000 $at $0.00 $0.00 100 W C0.17 FH so10M 7425 REMWYIG ASPHALT CONC. PAVEMENT S.Y. $25.00 -1,310 .$32,750.W 0.03 50130 000 $0.00 0.00 SOW 0m $0.00 OW S000 000 QCity of Renton Progress Payment No 13 Project Name: Duvall Avenue NE CAG: CAD 20-06s Ti 6: N/A Contractor: MedTFiEWNgan4EMs-adag FHWA: Pay Period: 12/01/2022 to 12/23/2022 No. Completed Project Estimates Date: January 4,2023 Payments ind,das estimated onnn,ns,underruns. Contract This Progress Payette Previous Pryeants Payments to Oat. Estlmrtt to Complete E,t5nrte at Campleslon Change Bid kern Dm:Option Unit Unit Price Quantity CAR Quantity Cost Quantity Cost Quantity Cost Quantity Cost Quantity Cost %ol Contract Orlon 17425 REMOVING ASPHALT CONC PAVEMENT S.Y. $2500 1,331.5 $33,717.50 613.41 5/5,335.75 1,393.114 534,59600 1,997.25 $49,931.25, 0.00 50.00 1,997.25 549.931.25 15000 CO,17 Totals - $53750 - $15,335.25 $34,59600 - $49,931.25 1000 149,931.25 9219.53 CO.llama Pipe Raaalal la Me .t COF MO FRLING PIPE WITH COF C.Y. $300.00 -42 .$17,600.00 0.00 S000 0.00 50.00 000 $0.00 000 5000 003 $000 000 11460 FLLNGPIR WITHCOF CV. $30000 0 $0.00 0.00 5000 000 $0.00 000 $0.00 000 50.00 0.00 5000 0.00 184310 REMOVE STORM PPE IN LIEU OF AIAN00NS90TN CDC LS. $12,600.00 1.0 $12,600.00 0.03 50-00 100 $17,600.00 1.03 $12,60300 003 $000 1.00 512,60000 10000 CO.LI Tarts $000 $000 $12,600.00 $12,60000 5000 S12.603.00 100.00 CO.1$Wok Y WO awl Wa7 M2 CONC.CLASS 4000 FOR RETNMNG WALL 3A 5.Y. $20000 -250 -$50,00000 0.00 50.00 0.00 $0.03 000 $0.00 000 $0.00 000 50-00 0.00 19-MI CONC CLASS 4000 FOR REMISING WALL3A S.Y. 5200.03 257.7 551,540.00 0.00 $0.00 132.11 $26,562.00 131.11 $36,562.00 124.00 $24,80000 256.11 551,362.00 99.65 94105 10EWALA-WALLF00711110 LF. $15.41 -1.455.00 -522,121.55 000 $000 0.00 $0.00 0.00 5000 000 5000 000 $000 0.00 194105 310EWAU3-W80L FOOTING L.F. $15.41 1,524.00 523,48484 584.60 $9,008.69 944.00 $14,547.04 1,52160 523,555.73 000 50.03 1,528.60 $23,555.73 100.30 19-A112 E16sANSICN JOINTS FOR WALLS IN WM ANOWID LF. $31.36 1700 S5,331.20 0.00 $0.00 1800 $564.41 1800 5564.48 15100 $4,766.72 17000 $533130 10000 CO.19 Totals $7,934.49 $9,0:6.69 541,673.52 $50,682.21 529,566.72 580,24893 1011.39 CO.20 R.Mnneul N 812E Ale CLEMING AM)SPURRING ACRE 520,001110 -0.700 -$14,00000 0000 $0.03 0.000 50000 0.000 5000 0.00 50.00 0.00 50.00 0.00 70438 GEARING MO a0us8P0 ACRE 52000000 0.770 515,40000 0000 50.00 0.834 516,680.00 0.834 516,68000 000 $000 0.33 S16,680.07 101.31 A26 ROADWAVEICAVATION INCL.HAUL C.Y. S50.00 .6,850 4342,500.00 000 $0.00 0.00 5003 0.00 $000 000 $000 000 50.00 0.00 20A26 ROADWAY EXCAVATION INCL HAUL CV. $9000 6,957 $547,150.03 000 $0.00 6,937.00 5347,115000 6,957.00 S347,155000 0.00 50.00 6,957.00 5347,150.00 100.00 20-A111 REMOVES TREES FROM Val LS. $10,51100 1.0 S10,511100 0.00 50.00 103 510,51e 00 1.00 510,51103 0.00 50.00 100 510,518.00 100.00 20-A113 ADDED 161103CA31861N W2E LS. 510,50500 10 510,503.00 000 $000 000 SO CO 000 5000 1.00 510,50500 100 110,505.03 103.00 C.O.20Tot61k 527,773.00 5000 5375,049CO 5375,048.00 510,50500 53115,55300 1318.21 G0.21 Amble.el C817 14-A44 POLYPROPYLENE STORM SEWER PIPE 12 IN.OIAM. LF. $55.00 -3,0133 -5166,142.50 000 SO CO OW 50.00 0.00 $0.00 0.00 50.00 000 50.00 0.00 || — | @ § Eea� 88 ■I` BS ■ ■ 8 8888888 § 808E §§ §@ §§ ° § 0 §'§'§'§ � . f 2 8 # # # e #■ a# mm # e 8 asfaaaS | $ `! 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' §a| | §fgg7 M i |7 ;ill S2l |�i thi klfa 1 ! I ! I | 2 | i 5 a77 1 5 z' § ! 7 |7t27i � . . � � a � : � 0 City of Renton Progress Payment No 13 Project Name: Duvall Avenue NE CAG: CAG 20-065 TIB: N/A Contractor: Reed Trucking and Excavating FNWA: Pay Period: 12/01/2022 to 12/23/2022 No. Completed Project Estimates Date: January 4,2023 Payments Indud.s est6nated overruns,undenuns. Contract This Propels Payment Pervious Payments P.yments to Data EstIm.a to C4.,pM. Estimate at Completion Change BM item Description Unit Unit Prim Quantty Cost Quernl5y Cost Quantity Cost Quantity Cast quantity Cost quantity Cast %of Contra Orden 25- OT PAY FOR FLAG.0110 AM) A31s. FOREMAN LABOR 1611622 LS. $625.15, 1.00 $625.15 1.00, 5825.15 000 $0.00 1.00 $125,15 0.00 $0.00 1.00 5525.15 10000 25-A116 CURS PAINS,TEMP STOP LINES AND • 73WCR06SWA11 UHFS 4S. $19,47400 100 S19,474.00 0.00 50.00 000 $0.00 000 5000 1.00 $19,474.00 1.00 $19,474.00 100.00 C0.23 Tots 511,380.15 $1247.55 510,669.60 $11,912.15 523,95500 535.910.15 315.55 Schedule A Plus C.O.Totals 5.,903,124.3( -5212,592.2r f1,607,011.116' $4,819,634.13 $456,011.0 -55,275,645.S $0.00 Schedule B Schedule 61 1 M01IL12ATON AND OFMOUTON (NOT TO EXCEED 10%OF TOTAL OF 805040031LE IN LS, 515,0000 $13,00000 000 $0.00 1.03 S15,000.03 1.00 $15,03003 QW 50.00 100 $15,000.00 101.00 62 TRENDY SAFETY SYSTEMS LS. 52,000.03 1 , $2,000.00 0.03 $0.00 1.00 $2,000.00 1.03 $2,000.00 000 $0.00 100 $2.000.00 100.00 REMOVAL AND REPLACEMENT OF 63 lNSVRABIE FOUNDATION TON 560.00 100 $6000.00 0.03 $0.00 0.00 50.00 0.00 50.00 000 5000 000 $0.00 000 54 SELECT IMPORTED TRENCHMACE11LL TON $35.01 1,265 $44,275.00 000 $0.00 1,090.441 $35,166.60 1,090.al $38,166.10 000 5000 1,090.48 $38,166.80 86.20 Y L $0m 50.00 $001 QOD soma 0m $0.00 0.00 50.00 0.00 , 66 FURNISH AND INSTALL I-INCH C152 20 WATER MAIN IMTH REST1RAI9ED4OINT FITTINGS AND POLYET7YLENEENCASEMENT LE. $140.00 $2,800.00 0.00 $0.00 0.00, $000 0.00 50.00 0.00 5000 000 SO 00 0k0 17 67 FURNISH ANO INSTALL 174104 0.51 62 WATER MAIN WITH RESTRAINED4OINT FITNGS AND POLYETHYLENE ENCASEMENT IF. $125.00 $7,750.00 0.00 50.00 62.95 57.566.15 62.95 $7,861.75 000 50.60 62.95 57,868.75 101.53 88 FURNISH AND HNSTALL 16 104 0,52 740 WATER MAIN WITH RES'RAINEDWINT FITTINGS AND POLYETHYLENE ENCASEMENT LF. $13500 591.900.00 000 $0.00 729.50 S96.482.50 729.50 $98.48250 000 S000 72950 $91,462.50 98.58 69 ADDITIONAL DUCTILE MON FITTINGS LIS $500 5600 518000.00 000 50.00 612.03 53,16000 632.00 $3,160.00 Q00 $0.00 632.00 $3.160.00 17.56 510 CONCRETE FOR TILRUST WOOING C.Y. 510000 27 02,700.00 000 50.00 16.85, 01,605.00 16.85 51.685.00 000 50 00 16.85 51,615.00 62 41 811 CONNECTONTO COSTING WATER 4 MAN EA01 53,500.00 $14,000.00 000 50.00 4.00 514,000.00 4.00 514,00000 000 $0.00 4.00 514,000.00 100.00 512 CUT ANO CAP EXISTING WATER 11 MAN AND ABANDON EIISTNG WATERFACUTIES EACH $65000 $7,150.00 000 50.00 $000 0.03 50.00 0.0000 50.00 0.00 50.00 000 17 X 50.00 5000 S000 0.00 $0.00 0.00 5000 000 5000 0.00 614 FURMSH AND INSTALL 61NCH GATE 1 VALVE ASSEMBLY EACH 51,40003 52,803.00 0.00 $0.00 2.03 $2,80000 200 $2,600,00 0.00 5002 700 52,110.03 10000 615 FURBISHINSTALL AND INSTALL GATE 1 VALVE ASSEMBLY EA01 92,500.00 57,503.00 Qm 5000 100 52,500.00 100 52,500.00 00) 50.00 1.00 57,500.00 100.00 0 City of Renton Progress Payment No 13 Project Name: Duvall Avenue NE CAG: CAG 20-065 TIB: N/A Contractor: Reed Tracking and Excavating FNWA: Pay Period: 12/01/2022 to 12/23/2022 No. Completed PrO$ect Estimates Date: January 4,2023 Payments Includes estimated annum,undertone. Contract This Progress Payment Prevkus Payments Payments to Oats Estimate to COMPlete CUMIN*et Comp.tkn Change BO hem. Ge5,3110n Unit Unit Prim Quantity Cost Quamey Cat Quantity Cost Quantity Cost ClwnWy Cost Quantity Coat %or Contrail Orden 515 RNISI AND MST 16-MCOI GATE 1 W VALVE ASSEMSLY EACH Sa,1000 $a,00e.00 000 50.00 L00 $8,000.03 1.00 $8,003.00 003 $0,00 1.00 58030.00 100.00 817 FURNISH AROINSTALLFIRE 2 HYDRANT ASSEMBLY ON NEW WATER NAM EACH 58,003.03 $i6,00000 a00 50.00 200 516,m000 I.00 516,00003 0.00 50.03 2.00 516.030.03 100.00 8i8 'FURNISH AND INSTALL FIRE 7.0 HYDRANT ASSEMBLY ON EXISTING WATER MAIN INCLUDING WET TAP BY APPROVED WET-TAP CONTRACTOR EACH $8,000.00 $56,00000 0.00 $0.00 7.00 $56,00000 7.00 $56,000.00 0-00 $0.00 7.00 556100.00 10000 519 FURNISH AND INSTALL14NCH I WATER SERVICECONNKTION EACH 51,70000 51,70000 000 50.00 1.00 $1,700.00 1.00 $1,700.03 0.00 5000 1.00 51,70000 100.00 520 STORMWATER POLLUTION 2 PREVENT01 LAND TENT RAN MID IMPLEMENTATION L5. S1,000.00 51,020.00 0000 50.00 1.000 01,000.00 1.00 $1,000.00 0.00 50.00 1.00 S1.000.00 100.00 B21 FURNISH MID INSTALL 2-INCH PMMM/ENT ILOW-0ff ASSEMBLY EACH $.3,503.00 1 $3300.00 010 50.00 L00 53,500.03 1.00 53,5m00 000 5000 1.00 53,500.00 10000 Sub-Totes 5311075.00 $0.00 5271,563.05 $271,56305 5000 S271,563.05 8739 Washington State Sates Taw 101% 531,415.58 5000 $27,658.17 527.458.17 $0.00 527,458.17 SdradW B TIMM 5912,49331 $0.00 5299,821.32 5299,321.12 $0.00 5299,321.22 57.39 • QCity of Renton Progress Payment No 13 Project Name: Duvall Avenue NE CAG: CAG 20.065 TXB: N/A Contractor: IlredYnektientdearawNna FHWA: Pay Period: 12/01/2022 to 12/23/2022 No. Completed Project Estimates Date: January4.2023 Payments Includes estimated overruns,underrum. Contract This Progress Payment Previous Payments Payments to Date Estimate to Complete Estimate at Completion Cluny Bid It..,I Description I Unit I unit Pact I Quantity I Cost Quantity I Cost Quantity I Cost Quentlty I Cost Quantity I Cost Quantity I Cost 1L of Contract Orders Schedule B Change Orders Scleduk B Change Orders CO.16 Water MWf wwaWwM 16.622 WATER MAIN CONRKTRESOLUTION FA $5,500.00 1.00 $1,501.00 0.00 $0.00 132 $1,976.47 1.32 $1,976.47 ODO 5000 1.12 $1,97647 131.76 CO.1.6706a8 I $1,50300 $000 $1,976.47 $1.976.47 5000 $1,976.47 131.76 CO.17 Men 10th FURNISH AND INSTALL 8•R401 CL 52 WATER MAIN WITH RESTRAINED-101M FITTINGS AND 66 POLYETHYLENE ENCASEMENT LF. $14002 30.00 •$2,80100 0.00 $000 50.00 0.00 $040 0.00 50.00 0.00 50.00 0.00 %MMU S AND INSTALL 8-n404 CL 52 WATER MAIN WITH RESTRANED-JOINT RTTINGS AND 17.86 POLYETHYLENE ENCASEMENT LF. $140.00 52.00 57,211000 0.00 50.03 56.45 57,90300 56.45 $7,503.00 040 50.00 56.45 $7,903.00 10856 CUT AND CM EXISTING WATER MAIN AND ABANDON EXISTING 1312 WATER MCA/TIES EACH $65000 -1L00 -57,150.00 000 5000 0.00 50.00 0.00 50.00 0.00 50.00 0.00 50.00 0.00 CUT AND CM EXISTING WATER , MAIN AND ABANDON EXISTING 174112 WATER FAMINES EACH $650.00 1300 58,450.00 0.00 50.00 1300 $8,450.00 13,03 9445000 000 50.00 13.00 55,450.00 100.00 MODULAR BLOCK WALL MO 17-525 SURVEY FORM 1.3. 56,000.00 1.00 $6,000.00 0.00 S000 0.20 51,200.00 0.20 51,200.00 0.80 54.800.00 1.00 $6,000.00 100.00 C0.17 Totals I S11,71000 50.00 117,553.00 517,553.00 $4,800.00 522,353.00 159.75 Schedule a C.O.S.►Tolels $13,250.00 50.00 $15,52947 $19,529.47 $4,800.00 524,329.47 183.20 Washington State Sales Tam 10.1% 51,341.28 S000 $1,972.45 51,972 48 5484.80 52,457.28 Schedule 6 Charm Order Total $14,621.24 $0.00 $21,501.95 S21,501.95 55,244.10 526,746.75 183.20 Schedule B Plus Schedule B C.O.Totals $357,114.56 $0.00 -6320,823.16 5320,823.16 55,284.80 $326,107.96 9L32 Schedule C Schedule C a WCCIAN 24. 650040 1A0 5500.00 0.00 00.00 1.00 5500.03 1.00 9503.00 000 50.00 100 5500.0D 10003 C7 6400612/01061 L.S. 510,00100 100 510,000.00 000 50.00 1.00 510.000.00 1.00 $10,000.00 0.00, 50.00 1.00 510403.00 100.00 00 HINT UTIUTY TRENCH LP. $100.00 18000 518,000.00 0.00 50.00 20000 520,000.03 200.00 520,000.00 0.00 5000 200.00 520,000.00 111.11 C4 LATERAL TRENCH LF. 57540 1,15040 $86,250.00 000 50.00 1,122.00 $54,150.00 1,12200 $84350.00 0.00 50.00 1.122.03 584,150.03 97.57 INSTAL.VAULT-PSE TYPE CS 21742%°6210' EACH 520000 2.00 11,600.00 0.00 $0.00 1.00 5800.00 1.00, 5600.00 0.00 50.00 100 58C0 CO 50.03 INSTALL VAULT-PS6 TYPE C64'ror11x5'r EACH 51,000.00 4.0a 54,003.00 0.00 50.00 4.00 5400003 400. 54,000.03 0.00• 50.00 4.00 54,000.00 100.03 N1TALL VAULT-PSE TYPE C7 57'X21'0'9' EACH $1,000.00 100 51,00,00 000 50,00 0.013 5000 0.00 $0.00 0.00 5000 0.00 $000 0.00 0 City of Renton Progress Payment No 13 Project Name: Duvall Avenue NE CAG: CAG 20-065 TIB N/A Contractor: Reed Trucking and Eacavatln( FHWA: Pay Period: 12/01/2022 to 12/23/2022 No. Completed Project Estimates Date: January 4,2023 Payments Includes est.n.t.d overruns,omicrons. Contract Tea Process Payment Pr000us P.y o.nn Ponn.nts to on. Estimate to Coa.d.te Estimate.t Completion Chong. 6 E Item Dercep,on Unit Und Price Quantity Cost DuaniM Cost OOanmy Cost gumtree Cost aantdy Cosa OuanIHY Cost N of Contract Orden INSTALL VAULT-COMCAST TYPE Ce 1.6%90O PEDESTAL EACH $75000 1.00 $750.00 000 S000 1.03 575000 100 575000 OM 50.00 110 9750.00 100.00 MALL CONOUO PIPE-2 IN.NAPE.- C9P5E LA. $1200 3000 5360.00 0.00 5000 223.00 52.626.00 223.00 52,676.00 0.00 5000 22300 52.67600 743.33 INSTALL CONDUIT PIPE-3 IN..DWM.• CIO Mt 1F. 513.CO 270.Co $3,510.00 000 5000 37000 54.16000 32000 54,16000 000 50.00 320.CO 5..160.00 118.52 INSTALL CONCEIT PIPE-a IN.ONMa.- C11 PH LP. 511.00 3,280.00 536,080.00 0.00 5000 3,16650 $34,311.50 3,165.50 534,831.50 000 50.00 3,166.50 534 831 50 9654 INSTALL CONDUIT PIPE-6 IN.DIAM- C12'SE LE. 52100 22000 54.840.00 0.00 50.00 23I.CO 55,10400 23200 $5,16400 050 5000 23200 55.10.00 105.05 • City of Renton Progress Payment No 13 Project Name: Duval Avenue NE CAG: GAG 20.005 TIB: N/A Contractor: Rail TOWN and balvallei SHWA: Pay Period: 12/01/2022 to 12/23/2022 No. Completed Project Estimates Date: January 4,2029 Payments includes..tinned overruns,Lindeman.. Contract This Progress Payment Previous Payments Payments to Dale Estimate to Complete Estimate at Completion Chem. Bid Item Description Unit tint Price Quantity Cost Quantity Coat Quamtey Cost Quamay Cost Quantity Cost Qoantay, Cost ISof Contract Orden INSTALL°MOOT PI K-a W.OPAL• CIA 000t6r000 Li. $11.00 100.00 51,98005 0.00 $0.00 1e600 $2,145.03 195.0 $2,14500 0.00 50.00 19500 52,145.00 108.33 Sub'Totah 5168,870.00 $0.00 $169,116.50 S169,116.50 $0.00 • 5169116.50 100.15 Washlnat on State Sales 10.1% $17,055.67 $0.00 517080.77 517.060.77 $0.00 517,080.77 Schedule C Totals $115j2317 MOO $116,1e7.27 $146497.27 $0.00 $146,117.27 100.1$ Sdsedule C Chants Orders Schedule C Change Orders CO.i0a SO.Oo $.m $000 0.00 $0.a0 50.00 0.00 S0.00 ION/01 50) Saco woo 50.00 0.00 5a0D wrvpi Mao 5003 50.00 000 50.00 50.00 0.00 $0.00 1015101 C.O.XXX Tebls $0.00 50.00 Sam $0.00 $0.00 $0.00 0DIV/01 CO.00XI Moo 50.00 S0.00 0.00 $0.03 $0.00 0m $0.00 1101W01 $0.00 $0.03 $0.00 MOO $0.00 $0.00 0.m $0.m 1101vro1 50.00 $0.00 $0.00 0.00 $0.00 5000 0.00 50.00 11015001 CO.ADM Totals $0.00 50.00 So.00 0,00 $0.00 $o.CO $0.00 e01V/01 Washington State San Tax 10.1% $Q00` $0.00 90.00 S000 $0.00 5000 Se6d. s.C O&/.r Totals $0.00' $0.00 Saco moo Sam Sono a01W01 Schedule C Plus Schedule C C.O.Totals 3185,925.By So.06 -9156,197.2i $136,197.27 50.06 S156,137.7/ !Total Schedule A,B and C Plus Change Orders S5,446,165.02 ® City of Renton Progress Payment No 13 Project Name: Duvall Avenue NE CAG: CAG 20.06S TIB: N/A Contractor: Reed Trucking and Excavating FHWA: Pay Period: 12/01/2022 to 12/23/2022 No. Completed Project Estimates Date: January 4,2023 Payments includes estimated overruns,unden,.,e. Contract This Progress Payment Previous Paymenu Payments to Date Estimate to Complete Estimate at Completion Change ad Item Desorption I unit I unit Price I Quantity Cost Quantity Cost Quantity I test Quantity I Cost Quantity I Cost fWnt6y,I cost LA ofConttaa aden `Schedule A Materials on Hand(MOH for BI MS Electrical System Complete I -3127,3511.00 $199,536.22 $72,17422 Deferral removed $170,144.BS 4170,144.85 $0.00 Schedule A Plus Schedule A CO.Totals - S212,592. $4,607,041. 54,519,634.13 Schedule B Plus Schedule B C.O.Totals $0.00 $320,823.16 S320,823.16 Schedule C Plus Schedule C C.O.Totals $0.00 $186,197.27 S186,19727 Total All Schedules and Change Orders,MOH and Deferrals $255,379.13 $5,143,453. $5,392,832.71 Retainage 0%due to Retained,Bond 50.00 50.00 50.001 Pay This Amount $255,379.13 Approvals For This Progress Payment g Signe Date Signature Date _ Resident Engineer 1/9/22 Contractorec) Project Manager Transportation Design Mgr. Robert M.Hawn v71Washington State Department of Transportation Field Note Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 110 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 12/30/22 12/01/22 12/31/22 Calculated By Date Checked By Date Inspector's Signature Date MB 12/30/22 TLS 1/2/23 230.5 Days Expired 1 ,A3 -Type B Progress Schedtle = 80% [Schedule Submi`te•] + 20% [80% Contract Work Co - - -pleted] = 100% to date - 80% prey = 20% this estimate 17 A4 - Project Red Line Drawings = 75% [230.5/262 days] + 0'0 [Record Drawings not submi`te•] = 65.98% to date - 62.55% prey = 3.43% :his estimate A5 - Contractor Surveying = 1*(13.0%[S`art up/Mob]+9.4%[S.w Cut Limits1+9.4%[HVF] +10.6%[Storm/Sanitary Sewer]+3.8%[Water Main]+5.8%[Util ty Vaults]) + 22%[Curb/Edge Pay-- ment]+3.2%[Walts]+10.8%:Illuminatlon/Traffic Signals]+5.0% Monuments] +7.0%[Final Channelization/Signs]) = 100% to date - 95.75% prey = 4.25% this estimate A6 -ADA Feature Surveying = 75% for work complete + 0x2.% upon completion = 75.00% to date - 75.00% prey = 0% this estimate A9 - Covid-19 Health aid Safety °Ian = 25% for approved elan + 75% [230.5/262 days] = 90.98% to date - 87.55% prey = 3.43% this estimate A10 - Other Temporary Traffic Control = 100% [230.5 262 d. sl = 87.98% to date - 83.40% prey = 4.58% this estimate Ly All -Traffic Contro Si.pervisor= 100% [230.5/262 days] = 87.98% to date - 83.40% prey= 4.58% This estimate opBasisofMaterial CAPNo. Post OK Est.No. A3 Type B erogress 12/31/22 LS 20% N/A Calc MB TLS 13 SchPA4 Project Red Line 12/31/22 LS 3.43% N/A Calc MB TLS 13 Drawings A5 Contractor Surveying 12/31/22 LS 4.25% N/A Calc MB TLS 13 A6 ADA Feature Surveying 12/31/22 LS 0% N/A Calc MB TLS 13 A9 Covid-19 Health and 12/31/22 LS 3.43% N/A Calc MB TLS 13 Safety Plan A10 Other temporary Traffic 12/31/22 LS 4.58% N/A Calc MB TLS 13 Control A11 Traffic Control 12/31/22 LS 4.58% N/A Calc MB 13 Supervisor TLS DOT Form 422-636 EF Revised 9/96 T / l W; Washington State Department of Transportation Field Note Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 109 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 12/30/22 12/01/22 12/31/22 Calculated By Date Checked By Date Inspector's Signature Date MB 12/30/22 TLS 1/2/23 VA63 - Erosion Control and Water Pollution Prevention = 100% [230.5/262 days] = 87 98% to date - 83.40% prey =4.58% his est mate vA68 - Plants cor Landscapi lg = 0% for work completed = 0% to date- u% prey = 0% th's estimate A71 - Irrigation System Restoration = 100% for work completed = 100% to date- 0% prey = 100% -his estimate ti A72 - Irrigation System = 58.33%for work completed = 58.33% to date -0% prey = 58.33% this estimate A85 - Electrical System, Complete = 1(21.8%[I istall light pole foundation]+1.9%[ nstall founda- tion for relocated flashing beacon po e]+1.3%Ill istall signal pole toundatlionj+C.2%[Kelocate sig- • - + 1a0, : - • - - � • - • •I, -• - + A10, , • s• , - -6 . 6. + ° stall conduit and boxes per trench foot]+9.7%[Subcontractors MOB -Totem]) + 0.7%[Lot demo existing components] +0.64x30.8%[Install light std &fixture]+0.28x3.4%[Insta I system wire and v .2% Lot-testing and splicing') = 86 270% to date - 80 436% prey= 5 834% this estimate A86 - Permanent Signing = 10%for work completed = 10.0% to date - 10 0% prey= 0% this estimate A87- Removing Pavement Markings = 10.3% for work completed = 10.0% to date- 10.0% prey= 0% this estimate Group Basis of Material CAPS Entry Initials Item No. Item No Date Unit Quantity RAMS No. Acceptance No. Post OK Est.No. A63 Erosion Control and Water 12/31/22 LS , 4.58% N/A Calc MB 13 Pollution Prevention TLS A68 Plants for Landscaping 12/31/22 LS 0% N/A Calc MB TLS 13 A71 Irrigation System 12/31/22 LS 100% N/A • Calc MB 13 Restoration TLS A72 Irrigation System 12/31/22 LS ,58.33% N/A Calc MB TLS 13 Electrical A85 Comp eteSystem, 12/31/22 LS 5.834% N/A Calc MB TLS 13 A86 Permanent Signing 12/31/22 LS 0% N/A Calc MB TLS 13 A87 Ftemovmg Pavement 12/31/22 LS 0% N/A Calc MB TLS 13 Markings DOT Form 422-636 EF Revised 9/96 V/ Washington State Department of Transportation Field Note Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 108 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed I 12/30/22 12/1/22 12/31/22 Calculated By Date Checked 1TLs Datf1/2/23 Inspector's Signature 1Date MB 12/30/22 Material On Hand text in italics are previous MOH deductions t Mill Totem Invoices: PP1 =$16,880.03 conduit: 100% installed to date*$16,880.03=-$16,880.03 -(-$16,880.03) =$0 Net change PP6=$60,868.62 Light Fixtures: 64% installed to date*$60,868.62 =-$38,955.92-0 = Net Change=-$38,955.92 PP2 = $18,121 jboxes : 100% installed to date* $18,121=-$18,121-(-$15,583.96) =Net chg =-$2,537.04 PP3 = $20,594 for wire : 56% installed to date* $20,594 =-$11,698.48-(-$9389.04) = Net chg =-$2,309.44 t PP5= $41,855 Anchor Bolts: (25EA/25EA*$41,855 install WZC&B=-$41,855-(-$31,809.80) =Net change =-$10,045.20 PP5= $114,860 Light Poles: 64% installed to date*$114,860=-$73,510.40-0= Net change= -$73,510.40 Ferguson Invoices: —I PP2 .$36,112 (pipe): =100% installed*($39,527.79)installed =-$39,527.79-(-$39,527.79) Net change=$0 Ferguson Invoice: PP5 = $218,530 (Filterra): (13EA/13EA)*$218,530 = -$218,530-(-$218,530) Net change = $0 Net change to MOH: = (-$38,955.92-$2,537.04-$2,309.44-$10,045.20-$73,510.40)+($0-$0) = (Totem) +(Ferguson) =-$127,358.00 Net change 1 Initials Item No. Item Group Date Unit Quantity RAMS No. Basis of Material CAPS Entry E Est.No.I No. Acceptance i No. Post OK MOH Totem (PP1) 12/30/22 LS -$0 Visual MB 13 _ MOH Totem (PP2) 12/30/22 LS -$2,537.04 Visual MB 13 MOH Totem (PP3) 12/30/22 LS -$2,309.44 Visual MB 13 MOH Totem (PP5) 12/30/22 LS -$10,045.20 Visual MB 13 MOH Totem (PP5) 12/30/22 LS -$73,510.40 Visual MB 13 MOH Totem (PP6) 12/30/22 LS -$38,955.92 Visual MB 13 MOH Ferguson (PP2) 12/30/22 LS -$0 Visual MB 13 MOH Ferguson (PP5) 9/30/22 LS -$0 Visual MB 13 1 , i I I DOT Form 422-636 EF Revised 9/96 City of Renton Duvall Ave NE G&O#20593 PP13 Materials On Hand Yet To be Invoice Description PP1 PP2 PP3(+) PP3(-) PP4(+) PP4(-) PPS(+) PPS(-) PP6(+) PP6(-) PP7(-) PP8(-) PP9(-) PP10(-) PP11(-) PP12(-) PP13(-) installed Totem(PP1(89323272584(Conduit) $16,880.03 -$1,132.70 -$2,350.00 -$1,057.30 -$426.00 -$9,550.83 -$2,363.20 $0.00 Totem(PP2)89324949716(Jbox and vaults) $18,121.68 -$7,973.24 -$1,449.68 -$6,161.72 -$2,537.04 $0.00 Totem(PP3)#2934755 and#325478145 (wire and lbox lids) 520,594.37 -$8,607.84 -$781.20 -$2,309.44 $8,895.89 Totem(PPS)2926217(Anchor Bolts) $41,855.00 _-$16,742.00 -$5,022.60 -$10,045.2.0 _ -$10,045.20 $0.00 Totem(pp5)2926217-01(street light poles) $114,860.00 -$73,510.40 $41,349.60 Totem(PP6)(street light fixtures) $60,868.62 -$38,955.92 $21,912.70 Ferguson(PP2)1028177 and 1061343 (PP Storm Pipe) 539,521/9 -$8,076.14 -$3,566.00 -$4,607.57 -$18,021.29 -$1,304.01 -$3,952.78 $0.00 Ferguson(PP4)(DI water and storm pipe) $82,556.00 -$10,442.00 -$15,039.00 -$57,075.00 $0.00 Ferguson(PPS)1058045(Fi(terra) $218,530.00 -$100,860.00 -$67,240.00 -$50,430.00 $0.00 Shope(PP2)10015802 and 10015804 (CBs) $5,621.12 -$3,863.10 -$396.40 -$1,361.62 $0.00 Total This Period $16,880.03 $63,270.59 -$1,085.41 $65,801.60 $343,503.27 -$79,949.95 -$142,112.76 -$10,045.20 $0.00 -$54,382.78 -$2,363.20 $0.00 -$127,358.00 FAV Department of Transportation Washington State Field Note Record (Sketch Grid)Renton - Duvall Avenue NE Book No. Page No. 107 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 12/30/22 12/01/22 12/31/22 Calculated By Date Checked By Date Inspector's Signature Date MB 12/30/22 TES 1/2/23 Force Account Surrmary Change Order 25 A115 - Overtime Pay 11/19- $852.36 Group Basis of Material CAPS Entry Initials Item No. Item No. Date Unit Quantity 'RAMS No. Acceptance No. Post OK Est.No. A115 Overtime Pay 11/19/22 FA $852.36 N/A Calc MB TL$ 13 • • DOT Form 422-636 EF Revised 9/96 Force Account Summary Contract Number Date Change Order No. CAG-20-065 12/20/2022 25 Prime Contractor Subcontractor/Lower Tier Subcontractor Reed Trucking and Excavating,Inc. Labor Date Amount 1 11/192022 S 650.66 2 S - 3 $ - 4 $ - 5 5 - 6 $ - 7 $ - 8 $ - 9 S - 8 Total $ 650.66 9 31%Overhead,Profit,Etc. $ 201.70 10 Labor Total $ 852.36 Equipment Date Amount 11 12 13 $ - 14 $ - 15 5 - 16 17 18 Total S - 19 21%Overhead,Profit,Etc. S - 20 Equipment Total $ - Materials Date Amount 21 22 23 24 25 26 27 28 Total S - 29 21%Overhead,Profit,Etc. S - 30 Materials Total $ - 31 Mobilization 32 Subcontractor 33 Subcontractor Markup 12%/10%/7% $25,000/$100,000/Over 34 Force Account Total $ 852.36 \nspecto Die/2 0/2 2 Contractor Date i Daily Report of Force Account Labor Contract Number Date Change Order No. CAG 20-065 11/19/2022 25 Prime Contractor Subcontractor/Lower Tier Subcontractor Reed Trucking and Excavating,Inc. Hours Worked Worker Occupation,Use Prevailing Wage Description Reg.Rate O.T.Rate Amount Reg. O.T. 1 Flagger 3.5 $ 26.26 $ 91.91 2 General Laborer 6.5 $ 30.79 $ 200.14 3 Operator 8.5 42.19 $ 358.62 4 $ - 5 $ - 6 $ - 7 $ - 8 $ - 9 $ - 10 $ - Insp tor Date Contractor Date 12-2 0-2 2 Total $ 650.66 Certified Payroll Report Department of Labor and T,41p; Project Name County Project or Contract# ,'`ff{P _t's Prime Contractor Z Industries ., ili• iii•s. gi - ,;,i„;,; Duvall Avenue NE King CAG-20-065 Prevailing Wage Program IIIiI Subcontractor ElPO Box 44540 I, h , .., Project Address Olympia WA 98504-4540 �` '""N Final Week of (360)902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 REED TRUCKING&EXCAVATING INC (253)841-4837 Month Day Year Awarding Agency Address Address City State Zip+4 11/19/2022 1055 S GRADY WAY RENTON,WA-98055 2207 Inter Ave. PUYALLUP WA 98372 Day and Date Deductions p Work Classification Name tj a Sun Mon Tue Wed Thu Fr Sat ct o a) 11/1 11/1 11/1 11/1 11/1 111 11/1 Gross Amount Total and And m E E 3 4 5 6 7 8 9 total Rate Earned/Gross Hourly Net Wages • r Si ours of Pay Payroll "Usual FICA Withholding Other g Soc Sec#of Employee Address • > ,a Benefits" Tax O o Hours Worked Each Day 1. Laborers RG 0.00 0.00 1.00 0.00 0.00 0.00 0.00 1.00 $47.48 $47.48 Medicare:$26.28, Traffic Control Laborer Yolanda Barry Paid Family (King) t $1,812.38 Medical Leave: OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.22 $0.00 / $0.00/hr $260.00 $112.37 $24.06 $1,389.67 * _ _ ** $1,812.38 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $94.96 $0.00 2. Flaggers V $1 731. Medicare:$26.28, Yolanda BarryRG 0.00 8.00 7.00 8.00 8.00 8.00 0.00 39.00 $44.y0 JourneyLevel \ 0 Paid Family (King) t $1,812.38 Medical Leave: OT 0.00 0.00 0.00 0.00 0.00 0.50 0.00 0.50 $66.60 $33.30 / $0.00/hr $260.00 $112.37 $24.06 $1,389.67 $1,812.38 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $88.80 $0.00 3. Flaggers Medicare:$35.88, RG 0.00 6.00 7.00 0.00 0.00 1.50 0.00 14.50 $44.40 $643.80 Journey Level Virginia Basher Paid Family (King) $1,391.61 Medical Leave: OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $66.60 $0.00 / $0.00/hr $455.00 $153.44 $29.97 $1,800.55 $2,474.84 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $88.80 $0.00 4. Laborers RG 0.00 2.00 1.00 0.00 0.00 0.00 0.00 3.00 $47.48 $142.44 Medicare:$35.88, Traffic Control Laborer Virginia Basher Paid Family (King) '$1,391.61 Medical Leave: OT 0.00 0.00 0.00 0.00 0.00 8.50 0.00 8.50 $71.22 $605.37 / $0.00/hr $455.00 $153.44 $29.97 $1,800.55 $2,474.84 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $94.96 $0.00 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side 11/19 5. Flaggers RG 0.00 8.00 8.00 4.00 8.00 5.00 4.00 37.00 $44.40 $1,642.8 Medicare:$29.26, Journey Level Jeana Hansen - _ 0 Paid Family (King) $2,01/8.34 Medical Leave: OT 0.00 0.00 0.00 0.00 0.00' 0.00 3.50 3.5\0 $66.60 $233.10 / $0.00/hr $346.00 $125.13 $18.53 $1,499.42 ********* $2,018.34 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $88.80 $0.00 6. Laborers Medicare:$29.26, Traffic Control Laborer RG 0.00 0.00 0.00 0.00 0.00 3.00 0.00 3.00 $47.48 $142.44 Paid Family Jeana Hansen (King) $2,018.34 Medical Leave: OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $71.22 $0.00 / $0.00/hr $346.00 $125.13 $18.53 $1,499.42 **#****** $2,018.34 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $94.96 $0.00 7. Laborers-Underground $2,095.6 Medicare:$40.64, RG 0.00 8.50 9.00 8.00 8.00 6.50 0.00 40.00 $52.39 Sewer&Water Somnang Hean 0 Paid Family r._`a General Laborer&Topman $2,802.91 Medical Leave: O ( ,(King) OT 0.00 0.00 0.00 0:00 0.00 2.5 6.50 9.00 $78.59 $707.31 / $0.00/hr $494.00 $173.78 $20.90 $2,073.59 $2,802.91 *"**"*'* DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $184.7 $0.00 8. Flaggers RG 0.00 0.00 0.00 0.00 0.00 0.00 7.50 7.50 $44.40 $333.00 Medicare:$4.83, Journey Level Diago Hunter Paid Family (King) $333.00/ Medical Leave: OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $66.60 $0.00 $333.00 $0.00/hr $8.00 $20.64 $4.45 $295.08 **.****** DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $88.80 $0.00 9. Power Equipment RG 0.00 8.50 9.00 8.00 9.00 5.50 0.00 40.00 $74.28 $2,971.2 Medicare:$64.44, Operators-Underground 0 Paid Family Sewer&Water Nathan McAllister Medical Leave: Shovel,Excavator,Backh e, OT 0.00 0.00 0.00 0.00 0.00 4.00Q..50 12.50 $121.4 $1,592.7 $4,363.95 $36.95, / $0.00/hr $936.00 $229.05 Garnishment: $2,726.10 Tractors Under 15 Metric ns 8 $4,443.95 (King) $148.5 $451.41 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6 $0.00 10. Power Equipment RG 0.00 0.00 8.00 8.00 8.00 5.00 0.00 29.00 $72.28 $2,096.1 Medicare:$30.39, Operators-Underground 2 Paid Family Sewer&Water Edward Torre $108.4 $2,096.12 Medical Leave: `1Shovel,Excavator,Backhoe, OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2 $0.00 $20.26 / $0.00/hr $238.00 $129.96 $1,677.51 �,_ 1,1Tractors Under 15 Metric Tons $2,096.12 (King) $144.5 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6 $0.00 ********* 11. Flaggers RG 0.00 0.00 0.00 8.00 8.00 8.00 7.50 31.50 $44.40 $1,398.6 Medicare:$20.28, Journey Level Joseph Tountas _ 0 Paid Family (King) $1,398.60 I Medical Leave: OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $66.60 $0.00 / $0.00/hr $169.00 $86.71 $13.41 $1,109.20 **** **** $1,398.60 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00_$88.80 $0.00 12. Laborers IJesse Williams RG 0.00 8.00 8.00 8.00 8.50 0.00 0.00' 32.50 $50.31 $1,635.0 Medicare:$24.14, Traffic Control Supervisor8 $1,635.08 Paid Family Kin $0.00/hr $227.00 $103.23 Medical Leave: $1,296.44 (King) OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.47 $0.00 $1,665.08 1 $14.27 r F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side $100.6 DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2 $0.00 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Affirmation Department of Labor and Industries Prevailing Wage Program PO Box 44540 Olympia WA 98504-4540 Today's Printed name of party signing this report Title Date Tiffani Barquist Contract Administrator 11/23/2022 The party signing this report pays or (Name of contractor or subcontractor) supervises the payment of the persons REED TRUCKING&EXCAVATING INC employed by: Project Name: For the week starting: For the week ending: Duvall 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 I (D) Hourly (E)Approved (F)Other "Usual Pension Medical Vacation Holiday Apprentice Benefits Benefits" Program (A+B+C+D+E+F 1.Yolanda Barry Laborers Traffic Control Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 2.Yolanda Barry Flaggers Journey Level $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 3.Virginia Basher Flaggers Journey Level $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side 4.Virginia Basher Laborers Traffic Control Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 5.Jeana Hansen Flaggers Journey Level $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 6.Jeana Hansen Laborers Traffic Control Laborer $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 7.Somnang Hean Laborers-Underground Sewer& Water General Laborer&Topman $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 8.Diago Hunter Flaggers Journey Level $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 9.Nathan McAllister Power Equipment Operators- Underground Sewer&Water Shovel,Excavator,Backhoe, $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Tractors Under 15 Metric Tons (King) F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side 10.Edward Torres Power Equipment Operators- Underground Sewer&Water Shovel,Excavator,Backhoe, $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Tractors Under 15 Metric Tons (King) 11.Joseph Tountas Flaggers Journey Level $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) 12.Jesse Williams Laborers Traffic Control Supervisor $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 (King) • F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side The party signing below AFFIRMS the following: (1)All information contained in this Certified Payroll Report, including any addenda, is correct and complete. (2)The wage rates for workers, laborers or mechanics as reported above are not less than the applicable wage rates contained in any wage determination related to the contract; and the classifications as reported above for each worker, laborer or mechanic conform with the actual work performed by such worker, laborer or mechanic. (3)The payments of usual benefits as listed above have been or will be made to appropriate approved plans,funds or programs for the benefit of such employees. (4)All persons employed on the above-referenced project(s)have been paid the full weekly wages earned, and no rebates have been or will be made either directly or indirectly to or on behalf of the above-named contractor or subcontractor from the weekly wages earned by any person. No deductions, other than those which are legally permissible, have been made by any person either directly or indirectly from the full wages earned. (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 Tiffani Barquist Contract Administrator Tiffani Barquist MB 11/28/22 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Washington State 1/ Department of Transportation Field Note Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 106 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 12/30/22 12/01/22 12/31/22 Calculated By Date Checked By i Date Inspector's Signature Date MB 12/30/22 TLS 1/2/23 A39 Asphalt Cost Price Adjustment December- $65.31 A96 Fuel Cost Adjustnent December- $10.67 I Group Basis of Material CAPS Entry Initials Item No. Item No. Date Unit Quantity RAMS No. Acceptance No. Post OK Est.No. A39 Asphalt Cost Price 12/31/22 Calc $65.31 N/A Est. MB TLS 13 Adjustment A96 Fuel Cost Adjustment 12/31/22 Calc $1as7 N/A Est. MB TLS 13 DOT Form 422-636 EF Revised 9/96 Asphalt Cost Price Adjustment PP 13 (Worksheet) BASE COST $445.00 UPPER THRESHOLD $467.25 Note:Base Cost and Current Reference Cost to be taken from WSDOT website below: LOWER THRESHOLD $422.75 http://www.wsdot.wa.qov/bizJconstruction/pdf/referencecosts.pdf CURRENT REFERENCE COST $545.00 ELIGIBLE BID ITEM UOM Qty This Est. HMA Cl. 1/2 In. PG 64-22 Ton 15 HMA for Approach CI. PG HMA for Preleveling Cl. PG HMA for Pavement Repair Cl. PG Commercial HMA Sum of Quantities 15 Asphalt Cost Price Adjustment $65.31 For Current Estimate (Payment/Credit) Note: Base Cost = the reference cost posted on the Agency website for the period immediately preceding the bid opening date. Current Reference Cost = the most current cost posted on the Agency website on the day of estimate cut-off. Q Asphalt binder reference cost Find the latest average selling price of asphalt cement for both eastern and western Washington. An asphalt cost price adjustment provision is included in all of our contracts that use hot mix asphalt. The prices published below are used to determine the credit or payment amount when there are qualifying changes in the reference cost of asphalt binder, as specified in the contract special provisions. This information is updated frequently, however, there is no set schedule.The reference cost posted is for the period immediately preceding the bid opening date. We establish the asphalt binder reference cost from the selling price of asphalt cement furnished by Poten and Partners, Inc.for the Pacific Northwest: • Western reference cost is based on the selling price for the Seattle,Washington area • Eastern reference cost is based on the selling price for the eastern Washington area, including northern Idaho The asphalt binder reference cost will be the average of the selling price for each Friday during the specified period.Asphalt binder reference costs are posted at the end of the period. Date Effective Begin Period End Period Eastern Western 12/19/2022 12/01/2022 12/15/2022 $556.25 $545.00 12/07/2022 11/16/2022 11/30/2022 $638.33 $578.33 11/14/2022 11/01/2022 11/15/2022 $645.00 $672.50 11/03/2022 10/16/2022 10/31/2022 $670.00 $672.50 FUEL COST ADJUSTMENT (WORKSHEET) BASE FUEL COST 3.41 dollars http://www.eia.gov/petroleum/gasdiesel/ U.S. On-Highway Diesel Fuel Prices(dollars per gallon) Upper Threshold 3.75 West Coast less California Lower Threshold 3,07 Monthly Fuel Cost 4.54 dollars http://www.eia.gov/petroleum/gasdiesel/ U.S. On-Highway Diesel Fuel Prices(dollars per gallon) West Coast less California ELIGIBLE BID ITEM UOM Qty This Est. Factor Q BI 26 Roadway Excavation Incl. Haul CY 0.29 gal/cy 0 6-A 28 Unsuitable F Excavation Incl. Haul CY 0.29 gal/cy 0 Excavation Incl. Haul-Area CY 0.29 gal/cy 0 Borrow Incl. Haul CY 0.25 gal/cy 0 BI 27 Gravel Borrow Incl. Haul Ton 0.17 gal/ton 0 BI 31 Structure Excavation Class IB Incl. Haul CY 0.25 gal/cy 0 Shoring Or Extra Excavation Class A L.S. 0.04 gal/dollar 0 7-A 35 Crushed Surfacing Top Course Ton 0.70 gal/ton 0 Crushed Surfacing CY 1.02 gal/cy 0 Processing And Finshing MI 270.00 gal/mile 0 Agg. From Stockpile For BST CY 0.61 gal/cy 0 Furnishing And Placing Crushed CY 1.02 gal/cy 0 7-A 37 HMA Cl. 1/2 In. PG 64-22 Ton 15 0.90 gal/ton 13.5 HMA For Ton 0.90 gal/ton 0 Commercial HMA Ton 0.90 gal/ton 0 Cement Concrete Pavement CY 1.00 gal/cy 0 Cement Concrete Pavement- Including Dowels CY 1.00 gal/cy 0 BI 42 Concrete Class 4000 CY 1.00 gal/cy 0 Commercial Concrete CY 1.00 gal/cy 0 Superstructure L.S. 0.02 gal/dollar 0 St. Reinf. Bar LB. 0.02 gal/lb 0 Epoxy-Coated St. Reinf. Bar LB. 0.02 gal/lb 0 Sum Of Q 13.5 Monthly Fuel Cost Payment/Credit $10.67 NOTE: Base Fuel Cost= Weekly U.S. On-Highway Diesel Fuel Prices (Dollars per Gallon) dated on the nearest Monday occuring three weeks prior to bid opening. Monthly Fuel Cost = Most recent Monthly U.S. On-Highway Diesel Fuel Prices (Dollars per Gallon). ""<"11) U.S. Energy Information e i a Administration PETROLEUM & OTHER LIQUIDS OVERVIEW DATA ANALYSIS&PROJECTIONS GLOSSARY t FAGS Weekly Retail Gasoline and Diesel Prices (Dollars per Gallon,Including Taxes) Area: U.S. v Period: Weekly v Show Data By: View CO Product C Area h'22 History Gasoline-All Grades 0 3.763 3.649 3.504 3.353 3.234 3.203 1993-2022 All Grades-Conventional Areas 0 3.582 3.473 3.345 3.194 3.080 3.055 1994-2022 All Grades-Reformulated Areas 0 4.126 3.997 3.820 3.669 3.541 3.501 1994-2022 Regular 0 3.648 3.534 3.390 3.239 3.120 3.091 1990-2022 Conventional Areas ❑ 3.498 3.389 3.260 3.109 2.994 2.971 1990-2022 Reformulated Areas ❑ 3.973 3.848 3.673 3.522 3.396 3.352 1994-2022 Midgrade 0 4.167 4.053 3.901 3.748 3.628 3.593 1994-2022 Conventional Areas ❑ 3.901 3.802 3.677 3.531 3.418 3.381 1994-2022 Reformulated Areas 0 4.568 4.432 4.242 4.077 3.945 3.916 1994-2022 Premium 0 4.507 4.383 4.232 4.080 3.960 3.925 1994-2022 Conventional Areas 0 4.265 4.157 4.030 3.881 3.772 3.732 1994-2022 Reformulated Areas 0 4.800 4.657 4.476 4.320 4.18: • • 1994-2022 Diesel(On-Highway)-All Types 0 5.233 5.141 4.967 4.754 4.59: 4.537 1994-2022 Ultra Low Sulfur(15 ppm and Under) ❑ 5.233 5.141 4.967 4.754 4.596 4.537 2007-2022 Low Sulfur(Above 15 ppm to 500 ppm) ❑ 2007-2008 Click on the source key icon to learn how to download series into Excel,or to embed a chart or map on your website. -=No Data Reported: -=Not Applicable; NA=Not Available; W=Withheld to avoid disclosure of individual company data. Notes:Conventional area is any area that does not require the sale of reformulated gasoline.All types of finished motor gasoline may be sold in this area.RFG area is an ozone nonattainment area designated by the U.S.Environmental Protection Agency(EPA),which requires the use of reformulated gasoline.We stopped publishing Low Sulfur On-Highway Diesel(LSD)prices at the U.S.level on December 8,2008,because fewer stations were selling LSD as a result of EPA diesel fuel regulations.We continued to collect LSD prices from retail outlets and included them in the Diesel Average All Types price until July 26,2010, when no more outlets reported LSD sales.Beginning July 26,2010,publication of Ultra Low Sulfur Diesel(ULSD)price became fully represented by the Diesel Average All Types price.As of December 1,2010(September 1,2006 in California),any on-highway diesel fuel sold is ULSD as mandated by EPA on-highway diesel fuel regulations.We did not collect weekly retail motor gasoline data between December 10,1990,and January 14,1991.Monthly and annual averages are simple averages of the weekly data.For months and years with incomplete weekly data series,the monthly and/or annual averages are not available.On May 14,2018,we implemented statistical methodology changes to improve the accuracy of the weekly retail gasoline price estimates.As a result of these statistical methodology changes,the published retail gasoline estimates for May 14,2018,are not directly comparable to those published for May 7,2018.On June 13.2022,we implemented statistical methodology changes to improve the accuracy of the weekly retail on-highway diesel fuel price estimates.As a result of these statistical methodology changes,the published retail on-highway diesel fuel prices for June 13,2022 are not directly comparable to those published for June 6,2022. See Definitions,Sources,and Notes link above for more information on this table. Release Dale:12/27/2022 Next Release Date:1/3/2023 Weekly West Coast(PADD 5)Except Californi 2 Diesel Retail Price... https://www.eia.govA pet/hist/L,eafHandler.ashx?n--pet&s=emd_epd... e ii a U.S. Energy Information .\dministration PETROLEUM & OTHER LIQUIDS OVERVIEW DATA ANALYSIS 8 PROJECTIONS GLOSSARY• FAGS Referring Pages: • Retail Prices for Diesel(On-Highway)-All Typgs • West Coast less California Gasoline and Diesel Retail Prices [View History. ®Weeldy Q.Monthly ()Annual Download Data(XLS File) Weekly West Coast(PADD 5)Except California No 2 Diesel Retail Prices • DOWNLOAD Dollars per Gallon 6 4 0 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 -Weekly West Coast(PADD 5)Except California No 2 Diesel Retail Prices el Source U.S.Energy Information Administration Chart Tools- no analysis applied v This series is available through the EIA open data API and can be downloaded to Excel or embedded as an interactive chart or map on your webslte. Weekly West Coast(PADD 5)Except California No 2 Diesel Retail Prices(Dollars per Gallon) Week I Week 2 Week 3 Week 4 Week 5 Year-Month End Data Value End Date Value End Date Value End Date Value End Date Value 2011-Dec 12/12 3.990 1219 3.928 1226 3.906 2012-Jan 01/02 3.900 01/09 3.927 01/16 3.945 01/23 3.938 01/30 3.930 2012-Feb 02/06 3.928 02/13 4.017 0220 4.054 02127 4.227 2012-Mar 03/05 4.275 03/12 4.348 03/19 4.372 03.26 4.383 2012-Apr 04/02 4.378 04/09 4.377 04/16 4.356 04/23 4.299 04/30 4.252 2012-May 05/07 4.226 05/14 4.192 05/21 4.152 05/28 4.089 2012-Jun 06/04 4.022 06/11 3.902 06/18 3.820 06/25 3.758 2012-Jul 07/02 3.682 07/09 3.698 07/16 3.705 07/23 3.812 07/30 3.816 2012-Aug 08/06 3.883 08/13 4.078 08/20 4.184 08/27 4.288 2012-Sep 09/03 4.343 09/10 4.358 09/17 4.321 09/24 4.249 2012-Oct 10/01 4.212 10/08 4.207 10/15 4.238 10/22 4.195 10/29 4.092 2012-Nov 11/05 4.068 11/12 4.098 11/19 4.038 11/26 4.070 2012-Dec 12/03 4.046 12/10 3.982 12/17 3.933 12/24 3.915 12/31 3.928 2013Jan 01/07 3.918 01/14 3.900 01/21 3.911 01/28 3.946 2013-Feb 02/04 4.076 02/11 4.187 02/18 4.236 02/25 4.221 2013-Mar 03/04 4.207 03/11 4.165 03/18 4.105 03/25 4.046 2013-Apr 04/01 4.016 04/08 4.023 04/15 3.970 0422 3.885 04/29 3.833 2013-May 05/06 3.830 05/13 3.883 05/20 3.932 05/27 3.917 2013-Jun 06/03 3.899 06/10 3.870 06/17 3.874 06/24 3.879 2013-Jul 07/01 3.856 07/08 3.864 07/15 3.917 07/22 3.956 07/29 3.970 2013-Aug 08/05 3.961 08/12 3.946 08/19 3.965 08/26 3973 2013-Sep 09/02 4.032 09/09 4.045 09/16 4.032 09/23 3.995 09/30 3.961 2013-Oct 10/07 3.936 10/14 3.939 10/21 3.954 10/28 3.941 2013-Nov 11/04 3.923 11/11 3.881 11/18 3.872 11/25 3.872 2013-Dec 12/02 3.929 12/09 3.906 12/16 3.884 12/23 3.883 12/30 3.930 2014-Jan 01/06 3.934 01/13 3.891 01/20 3.861 01/27 3.875 2014-Feb 02/03 3.902 02/10 3.901 02/17 3.911 02/24 3.948 1 of 3 4/7/2022, 1:54 PM Weekly West Coast(PADD 5)Except California I Diesel Retail Price... .https://www.eia.gov/dt et/hist/Leafflandler.asl ?n=pet&s=emd epd.... • End Date E Value End Date ( Value End Date l Value End Date I Value - End Date I Value • Year-Month End Date Value End Date Value End Date Value End Date Value End Date Value •• ' 2014-Mar 03/03 3.943 03/10 3.960 03/17 3:942 03/24. 3.925 - 03/31 3.908 . • • • 2014-Apr 04/07 3.894 04/14 3.893 04/21 3.945 04/28 '3.954 • • 2014-May 05/05 3.944 05/12 3.928 05/19 3.923 05/26 3.929 2014-Jun 06/02 3.923 06/09 3.899 06/16 3.903 06/23 3.973 06/30 3.994 . • - • 2014Jul 07/07 3.985 07/14 3.971 07/21 3.942 07/28 3.928 2014-Aug 08/04 3.930 08/11 3.935 08/18 3.930 08/25 3.921 . 2014-Sep 09/01 3.973 09/08 3.979 09/15 3.967 09/22 3.929 09/29 3.876 2014-Oct 10/06 3.855 10/13 3.802 10/20 3.742 10/27 3.706 ' • 2014-Nov 11/03 3.704 11/10. 3.712 11/17 3.720 11/24 3.682 ' 2014-Dec 12/01 3.651 12/08 3.519 12/15 3.371 12/22 3.228 12/29 3.155 2015-Jan 01/05 3.074 01/12 2.978 01/19 2.826 01/26 2.763 • 2015-Feb 02/02 2.716 02/09 2.756 02/16 2.817 02/23 2.889 • 2015-Mar 03/02 2.934 03/09 2.926 03/16 2.894 03/23 2.815 03/30 2.758 ' 2015-Apr 04/06 2.742 04/13 2.720 04/20 2.796 04/27 2.865 • 2015-May 05/04 2.971 05/11 3.002 05/18 3.033 05/25 3.057 2015-Jun 06/01 3.055 06/08 3.001 06/15 3.001 06/22 3.007 06/29 2.978 2015-Jul 07/06 2.978 07/13 2.919 07/20 2.873 07/27 2.814 • 2015-Aug 08/03 2.761 08/10 2.706 08/17 2.690 08/24 2.610 08/31 2.564 • 2015-Sep 09/07 2.590 09/14 2.571 09/21 2.550 09/28 2.541 . 2015-Oct 10/05 2.560 10/12 2.603 10/19 2.576 10/26 2.567 2015-Nov 11/02 2.549 11/09 2.607 11/16 2.602 11/23 2.555 11/30 2.510 2015-Dec 12/07 2.477 12/14 2.431 12/21 2.373 12/28 2.318 2016-Jan 01/04 2.303 01/11 2.258 01/18 2.198 01/25 2.160 2016-Feb 02/01 2.117 02/08 2.073 02/15 2.043 02/22 2.050 02/29 2.054 2016-Mar 03/07 2.097 03/14 2.153 03/21 2.179 03/28 2.177 2016-Apr 04/04 2.179 04/11 2.200 04/18 2.251 04/25 2.282 2016-May 05/02 2.357 05/09 2.368 05/16 2.425 05/23 2.502 05/30 2.565 2016-Jun 06/06 2.600 06/13 2.610 06/20 2.606 06/27 2.600 2016-Jul 07/04 2.599 07/11 2.596 07/18 2.569 07/25 2.536 2016-Aug 08/01 2.492 08/08 2.454 08/15 2.441 08/22 2.498 08/29 2.555 2016-Sep 09/05 2.563 09/12 2.553 09/19 2.524 09/26 2.515 2016-Oct 10/03 2.524 10/10 2.591 10/17 2.635 10/24 2.645 10/31 2.655 2016-Nov 11/07 2.673 11/14 2.657 11/21 2.637 11/28 2.635 2016-Dec 12/05 2.679 12/12 2.690 12/19 2.705 12/26 2.727 2017-Jan 01/02 2.757 01/09 2.774 01/16 2.755 01/23 2.750 01/30 2.744 2017-Feb 02/06 2.748 02/13 2.761 02/20 2.767 02/27 2.772 2017-Mar 03/06 . 2.779 03/13 2.736 03/20 2.702 03/27 2.703 2017-Apr 04/03 2.735 04/10 2.772 04/17 2.791 04/24 2.786 2017-May 05/01 2.775 05/08 2.747 05/15 2.728 05/22 2.725 05/29 2.735 2017-Jun 06/05 2.724 06/12 2.681 06/19 2.655 06/26 2.626 2017-Jul 07/03 2.628 07/10 2.653 07/17 2.656 07/24 2.678 07/31 2.704 2017-Aug 08/07 2.747 08/14 2.788 08/21 2.786 08/28 2.806 2017-Sep 09/04 2.931 09/11 3.007 09/18 3.009 09/25 3.008 2017-Oct 10/02 3.018 10/09 2.993 10/16 3.003 10/23 3.015 10/30 3.020 2017-Nov 11/06 3.075 11/13 3.120 11/20 3.107 11/27 3.113 2017-Dec 12/04 3.106 12/11 3.072 12/18 3.044 12/25 3.026 2018-Jan 01/01 3.073 01/08 3.087 01/15 3.098 01/22 3.083 01/29 3.120 2018-Feb 02/05 3.144 02/12 3.107 02/19 3.072 02/26 3.064 2018-Mar 03/05 3.064 03/12 3.052 03/19 3.060 03/26 3.147 2018-Apr 04/02 3.202 04/09 3.226 04/16 3.326 04/23 ' 3.366 04/30 3.394 2018-May 05/07 3.409 05/14 3.482 05/21 3.503 05/28 3.514 2018-Jun 06/04 3.508 06/11 3.489 06/18 3.473 06/25 3.453 2018-Jul 07/02 3.475 07/09 3.471 07/16 3.456 07/23 3.436 07/30 3.437 2018-Aug 08/06 3.432 08/13. 3.425 08/20 3.423 08/27 3.433 2018-Sep 09/03 3.469 09/10 3.465 09/17 3.473 09/24 3.473 2018-Oct 10/01 3.506 10/08 3.558 10/15 3.591 10/22 3.587 10/29 3.564 2018-Nov 11/05 3.538 11/12 3.514 11/19 3.475 11/26 3.455 2018-Dec 12/03 3.406 12/10 3.357 12/17 3.313 12/24 3.281 12/31 3.246 Year-Month Week 1 Week 2 Week 3 Week 4 Week 5 2019-Jan 01/0/ 3.180 01/14 3.13U 01/21 3.115 01/28 3.099 2019-Feb 02/04 3.087 02/11 3.084 02/18 3.104 02/25 3.141 2019-Mar 03/04 3.155 03/11 3.162 03/18 3.139 03/25 3.156 2019-Apr 04/01 3.153 04/08 3.189 04/15 3.252 04/22 3.309 04/29 3.346 2019-May 05/06 3.345 05/13 3.355 05/20 3.352 05/27 3.338 2019-Jun 06/03 3.320 06/10 3.282 06/17 3.238 06/24 3.206 2019-Jul 07/01 3.205 07/08 3.208 07/15 3.209 07/22 3.198 07/29 3.186 2019-Aug 08/05 3.182 08/12 3.164 08/19 3.158 08/26 3.139 2019-Sep 09/02 3.139 09/09 3.131 09/16 3.161 09/23 3.238 09/30 3.228 2019-Oct 10/07 3.215 10/14 3.240 10/21 3.290 10/28 3.379 2019-Nov 11/04 3.413 11/11 3.435 11/18 3.444 11/25 3.387 2019-Dec 12/02 3.382 12/09 3.323 12/16 3.280 12/23 3.252 12/30 3.274 2020-Jan 01/06 3.264 01/13 3.241 01/20 3.206 01/27 3.198 2020-Feb 02/03 3.146 02/10 3.098 02/17 3.081 02/24 3.072 2020-Mar 03/02 3.054 03/09 3.026 03/16 2.954 03/23 2.879 03/30 2.798 2020-Apr 04/06 2.754 04/13 2.695 04/20 2.640 04/27 2.593 2020-May 05/04 2.545 05/11 2.557 05/18 2.543 05/25 2.561 2020-Jun 06/01 2.560 06/08 2.578 06/15 2.579 06/22 2.591 06/29 2.586 2020-Jul 07/06 2.596 07/13 2.594 07/20 2.597 07/27 2.586 2020-Aug 08/03 2.592 08/10 2.588 08/17 2.586 08/24 2.590 08/31 2.603 • 2020-Sep 09/07 2.584 09/14 2.575 09/21 2.557 09/28 2.554 2020-Oct 10/05 2.534 10/12 2.538 10/19 2.542 10/26 2.537 2020-Nov 11/02 2.541 11/09 2.572 11/16 2.686 11/23 2.713 11/30 2.742 . 2020-Dec 12/07 2.724 12/14 2.751 12/21 2.768 12/28 2.770 • 2 of 3 • 4/7/2022, 1:54 PM' • Weekly West Coast(PADD 5)Except California,.`_. 2 Diesel Retail Price... https://www.eia.gov/ _ ,/pet/hist/LeafHandler.ashx?n=pet&s=emd_epd... Week 1 Week 2 Week 3 Week 4 Week 5 Upper Threshold=3.75 Year-Month End Date Value End Date Value End Date Value End Date Value End Date Value 2021-Jan 01/04 2.771 01/11 2.793 01/18 2.804 01/25 2.816 Lower Threshold=3.07 2021-Feb 02/01 2.841 02/08 2.897 02/15 2.960 02/22 3.063 2021-Mar 03/01 3.174 03/08 3.228 03/15 3.270 03/22 3.315 03/29 3.272 2021-Apr 04/05 3.259 04/12 3.248 04/19 3.248 04/26 3.250 / 2021-May 05/03 3.282 05/10 3.313 05/17 3.383 05/24 3.395 05/31 ( 3.410) Base Price 2021-Jun 06/07 3.446 06/14 3.465 06/21 3.462 06/28 3.494 �� 2021-Jul 07/05 3.550 07/12 3.568 07/19 3.598 07/26 3.610 2021-Aug 08/02 3.661 08/09 3.675 08/16 3.682 08/23 3.643 08/30 3.645 2021-Sep 09/06 3.664 09/13 3.661 09/20 3.663 09/27 3.664 2021-Oct 10/04 3.717 10/11 3.784 10/18 3.860 10/25 3.891 2021-Nov 11/01 3.932 11/08 3.974 11/15 4.009 11/22 4.009 11/29 4.032 2021-Dec 12/06 3.992 12/13 3.970 12/20 3.941 12/27 3.917 2022-Jan 01/03 3.927 01/10 4.002 01/17 4.067 01/24 4.110 01/31 4.184 2022-Feb 02/07 4.250 02/14 4.261 02/21 4.256 02/28 4.295 2022-Mar 03/07 4.978 03/14 5.416 03/21 5.319 03/28 5.402 2022-Apr 04/04 5.312 -=No Data Reported; -=Not Applicable; NA=Not Available;W=Withheld to avoid disclosure of Individual company data. Release Date:4/4/2022 Next Release Date:4/11/2022 Referring Pages: • Retail Prices for Diesel(On-Highway)-All Types • West Coast less California Gasoline and Diesel Retail Prices 3 of 3 4/7/2022, 1:54 PM Washington State W/ Department of Transportation Field Note Record (Sketch Grid) Renton - Duvall Avenue NE Book No. Page No. 105 Contract No. Station Line C/S CAG 20-065 King County Staked By Date Work Started Work Completed 12/30/22 12/01/22 12/31/22 Calculated By Date Checked By 1 Date Inspector's Signature Date MB 12/30/22 TLS 1/2/23 Al2 - FlaggP.rs Al3 - Other TC Labor 12/12 - 27 HR 12/12 - 11 HR 12/13- 36 HR 12/13 - 7 HR 12/14 - 29HR 12/14 - 6HR 12/15- 7HR 12/15 - 1 HR ii 12/19 - 34.5 '-IR V 12/19 -2 HR 12/20 - 9.5 HR 12/20 - 1 HR Total = 143 HI- TotT-18-HK ✓ A15 - PCMS A 38 - Roadway Core 408 HR added for missing PP12 Qty = 4 EA A'7 - Sequential Arrow Sign A 14 - Constructioi S gns Class A 48 HRx31 days = 1488 HR orkZone F-- a8"x48" X9 = 144 SF A37 - HMA 6"x36' X 4 — 36 SF ti 12/8/22 - 15 TN '8"x24' X 2 = 16 5f otal = 196SF J A76 - Extruded Curb *173 SF this Pay Period 12/7 - 1050 LF 12/8 - 795LF 12/9 -- 555LF Total = 2400 LF Group Basis of Material CAPS Entry Initials Item No. Item No Date Unit Quantity RAMS No. Acceptance No. Post OK Est.No. Al2 Flaggers 12/31/22 HR 143 NA Visual MB TLS 13 A13 Other TC Labor 12/31/22 HR 28 NA Visual MB TLS 13 A15 PCMS 12/31/22 HR 408 NA Visual MB TLS 13 A17 Squential Arrow Sign 12/31/22 HR 1488 NA Visual MB 13 TLS A37 HMA CI 1/2in PG64-22 12/31/22 TN 15 NA Visual MB 13 TLS A76 Extruded Curb 12/31/22 LF 2400 NA Visual MB TLS 13 A38 Roadway Core 12/31/22 EA 4 NA Visual MB TLS 13 A14 Construction Sign 12/31/22 SF 173 NA Visual • MB TLS 13 Class A DOT Form 422-636 EF Revised 9/96 , ► _ �' ,�n rd Sk��ch Grid) . ,Field Now--Reco ( . y Book No. --I Page No. 104 Contract No. Station Line '-•- Cam- . 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ICON Materials OFFICE COPY Ticket: 45083509 04500•Auburn Asphalt Date: 12/8/2022 ' " {" 4040 Kersey Way Time: 12:41:24PM 1CJNAuburn,WA 98092 Vehicle: REED716 MATERIALS Customer: 60439 Order: - Cust.Name: Reed Trucking&Excavating Disp#: Pounds Tons Address&Instructions: Job: 156 Gross 56,080 28.04 DUVALL RD,RENTON P.O„ Tare 26,080 13.04 Net 30,000 15.00 Weighmaster: Deborah Kaser Product Loads Total Qty Ticket Qty UOM 12144230 1/2"PG 58H-22(64-22) 1 15.00 15.00 Ton Thank you for your business! I . WARNING:HOT MIX ASPHALT(HMA)TEMPERATURES CAN EXCEED 330 DEGREES Use appropriate protective equipment when working with HMA. See reverse side for warranty and shipment delivery conditions. , '-k' . CUSTOMER Toll Free to Cadman: 1-888-322-6847 Plant Locations: } HEIDELBERGC:EMEP; ;.;,,; Dispatch: 425 961 7100 30 Sky River 50 Redmond DELIVERY TICKET www.cadman.com Building Materials: 425-868-7334 31 Mill Creek 51 Issaquah i Cadman Administration: 425 867 1234 32 Woodinville 53 Bellevue PLANT# y 34 Everett 54 Seattle DELIVERY TICKET NO. LOAD TO JOB ON JOB BEGIN POUR FINISH POUR TO PLANT IN YARD L DATE CUSTOMER# CUSTOMER NAME ORDERED BY JOB P.O.# ORDER if SLUMP USE DRIVER SPACING PROJECT# JOB ADDRESS MAP PAGE TRUCK# PRIOR TRUCK# TIME DUE INSTRUCTIONS LOAD QUANTITY QUANTITY PRODUCT DESCRIPTION U.M. AMOUNT SIZE DELIVERED ORDERED CODE 1 el. tit:? . 417.1. 60. L' WP4ti:k 4.. t*iDOT CL 4000 10. ' 1 , 974.. 1. 0.. 6414 rIASTERSET FCC 10. 00 ( . 00 6095 J 111TER HEAT 1. 00 O. 00 6075 FUEL SURCHARGE 10. 00 0.1110 6@45 WA ST SICK LEA4` ENVIRONMENTAL. 41, it j ii! �. 1 u R'i.4,,,I t, t i:. h a 1 fs tAocUY ,f: Cs I '--,.i;.rt1`1,4::+:t 41,'.'ty be at pLA l ed= SUB TOTAL DUE TO FULL PR I CC r' OCT'IAT T n't IE . Q r ' EA)R(J.0.4PbE TAX lA`r`t'.E APPL I Er TOTAL Additional 7 MINUTES PER CUBIC YARD UNLOADING TIME INCLUDED. Chargeable Items ADDITIONAL UNLOADING TIME CHARGED AT CURRENT HOURLY TRUCK RATE-SEE REVERSE. ' WATER ADDED ON-SITE ADDITION OF WATER WILL REDUCE STRENGTH,WATER Standby Time AUTHORIZED BY: ADDED AT CUSTOMER'S OWN RISK. NOT RESPONSIBLE FOR COLOR VARIATION OR Overtime gals.to full load SURFACE DISCOLORATION. Pump Blow-Back/ gals.to 2/3 load Wash-up WARNING: gals.to 1/3 load IRRITATION TO SKIN AND EYES-SEE REVERSE. Returned Concrete LIABILITY WAIVER Cadman Materials,(Inc.)will not assume liability for a .property damage or any W B R equipment damage for any deliveries beyond the curb line. Additions to Order AUTHORIZED BY: Type Qty ACKNOWLEDGEMENT Signature acknowledges receipt of concrete,water addition,hazard warning, Sales Tax and acceptance of terms and conditions printed on the back of this document. TOTAL CUSTOMER SIGNATURE Concrete Tested ❑Yes ❑No rinnJT NAMC [JAI C oyu,nUoia Takes" d ICS GI NO HAZARD ASSESSMENT I AM RESPONSIBLE FOR MY PERSONAL SAFETY AND[WILL STOP THEJOB IF IT BECOMES UNSAFE 1.Do I have adequate directions? ❑Yes ❑No 6.Are there any slip,trip or fall hazards? U Yes U No 2.Is there a hazard that should be communicated 7.Am I aware of my pinch points? ❑Yes ❑No to Dispatch/others? U Yes ❑No 8.Are ground conditions adequate for the weight of my truck? ❑Yes ❑No 3.Do I have all my required PPE? U Yes ❑No 9.Is there any type of equipment that poses a hazard on this project? ❑Yes ❑No 4.Is there a transition shield in place? U Yes U No 10.The reason I will work safely today is: 5.Is there a spotter to back me in? 0 Yes 0 No 11.Additional comments: Truck DRIVER NAME Plant Name Disp Ticket Num Time Date 349 CORRAL, ARMANDO PLT. 51 1342811 11:21 12/7/22 Load Size Mix Code CONCRETE SERVICES INC Load ID 10 . 00 CYDE WP40003 RENTON-RES LOOK FOR 309953 Material Description Design Qty Required Batched %Moisture Actual Wat Spec.Grav 1301 B-SAND 1220 lb 12712 lb 12620 lb 4.20%M 61 gl 2.65 1051 3/4 1760 lb 17776 lb 17530 lb 1.00%M 21 gl 2.76 1151 3/8 159 lb 1612 lb 1660 lb + 1.40%M 3 gl 2.78 6540 CEMENT 1L PLC 470 lb 4700 lb 4660 lb 3.15 6600 FLY ASH 94 lb 940 lb 965 lb + 2.56 6411 AEA 5 oz 53 oz 54 oz 1.00 6410 POZZ-80 17 oz 170 oz 172 oz 1.00 6499 WATER 245 lb lb lb 1.00 6413 GLEN7500 5 oz 50 oz 52 oz 1.00 6414 NC-ACCL 56 oz 564 oz 560 oz 4 gl 1.00 COLD HOT 100 % 1453 lb 1444 lb 173 gl 1.00 Actual Num Batches: 1 Load 38931 lb Design W/C: 0.434 Water/Cement 0.132 A Design 293.6 gl Actual 261.9 gl To Add: 31.7 gl Slump: 4.00 in Trim Water: -25.0 lb / CYDE a CUSTOMER�MAN Toll Free to Cadman: 1 888-322 6847 Plant Locations: DELIVERY TICKET HEIDELBERGCEMENTGLoop Dispatch: 425-961-7100 30 Sky River 50 Redmond www.cadman.com Building Materials: 425-868-7334 31 Mill Creek 51 Issaquah 32 Woodinville 53 Bellevue PLANT# Cadman Administration: 425-867-1234 34 Everett 54 Seattle DELIVERY TICKET NO. LOAD TO JOB ON JOB BEGIN POUR FINISH POUR TO PLANT IN YARD DATE CUSTOMER# CUSTOMER NAME ORDERED BY JOB P.O.# ORDER if SLUMP USE 1 DRIVER SPACING PROJECT# JOB ADDRESS MAP PAGE TRUCK# PRIOR TRUCK ft TIME DUE INS, i, IYES LOUR FUR i" L..f'4GGEi?;., LOAD QUANTITY QUANTITY PRODUCT DESCRIPTION U.M. AMOUNT SIZE DELIVERED ORDERED CODE 10. 00 7' . 1"D 70. Q►t`! WP40007 WSDOT CL 4000 A; 10. 00 11.. 0I. 6414 MASTERSET AC 5?, 10. 00 0. 0.: 6095 WINTER HEAT 1 . •`. 0. ' F4075 FUEL. SURCHARGE. 1 ';. Qs„ €.04`_!, LT1 ST SICK 1. F"AYf= NV I RONMENTAL ::;c1RL ��! � '#i r ��`� j' II' �i� I � c *xAddational standby & UT charges may b pp iedrt SUB TOTAL UllE TO FUEL. PRICE EL!!f:Tl.IrIITTO!',7. f rut.! ¶'URCHNRGr TAX MAYBE APPLIED TOTAL _ Additional 7 MINUTES PER CUBIC YARD UNLOADING TIME INCLUDED. Chargeable Items ADDITIONAL UNLOADING TIME CHARGED AT CURRENT HOURLY TRUCK RATE-SEE REVERSE. WATER ADDED ON-SITE ADDITION OF WATER WILL REDUCE STRENGTH,WATER Standby Time AUTHORIZED BY: ADDED AT CUSTOMER'S OWN RISK. Overtime NOT RESPONSIBLE FOR COLOR VARIATION OR gals.to full load SURFACE DISCOLORATION. gals.to 2/3 load Pump Blow-Back/ WARNING: wash up gals.to 1/3 load IRRITATION TO SKIN AND EYES-SEE REVERSE. Returned Concrete LIABILITY WAIVER Cadman Materials,(Inc.)will not assume liability for any property damage or any W B R equipment damage for any deliveries beyond the curb line. Additions to Order Type Qty AUTHORIZED BY: ACKNOWLEDGEMENT Signature acknowledges receipt of concrete,water addition,hazard warning, Sales Tax and acceptance of terms and conditions printed on the back of this document. TOTAL CUSTOMER SIGNATURE Concrete Tested ❑Yes O No PRINT NAME DATE Cylinders Taken ❑Yes ❑No HAZARD ASSESSMENT I AM RESPONSIBLE FOR MY PERSONAL SAFETY AND I WILL STOP THE JOB IF IT BECOMES UNSAFE. 1.Do I have adequate directions? ❑Yes ❑No 6.Are there any slip,trip or fall hazards? ❑Yes ❑No 2.Is there a hazard that should be communicated 7.Am I aware of my pinch points? ❑Yes ❑No to Dispatch/others? ❑Yes ❑No 8.Are ground conditions adequate for the weight of my truck? ❑Yes ❑No 3.Do I have all my required PPE? ❑Yes ❑No 9.Is there any type of equipment that poses a hazard on this project? ❑Yes 0 No 4.Is there a transition shield in place? ❑Yes ❑No 10.The reason I will work safely today is: 5.Is there a spotter to back me in? 0 Yes ❑No 11.Additional comments: Truck DRIVER NAME Plant Name Disp Ticket Num Time Date 440 JAIRO CACERES PLT. 51 1342874 12 :48 12/7/22 Load Size Mix Code CONCRETE SERVICES INC Load ID 10. 00 CYDS WP40003 RENTON-RES LOOK FOR 309966 Material Description Design Qty Required Batched %Moisture Actual Wat Spec.Grav 1301 B-SAND 1220 lb 12712 lb 12610 lb 4.20%M 61 gl 2.65 1051 3/4 1760 lb 17776 lb 17550 lb 1.00%M 21 gl 2.76 1151 3/8 159 lb 1612 lb 1630 lb 1.40%M 3 gl 2.78 6540 CEMENT 1L PLC 470 lb 4700 lb 4710 lb 3.15 6600 FLY ASH 94 lb 940 lb 940 lb 2.56 6411 AEA 5 oz 53 oz 54 oz 1.00 6410 POZZ-80 17 oz 170 oz 168 oz 1.00 6499 WATER 245 lb lb lb 1.00 6413 GLEN7500 5 oz 50 oz 52 oz 1.00 6414 NC-ACCL 56 oz 564 oz 560 oz 4 gl 1.00 COLD HOT 100 % 1453 lb 1492 lb + 179 gl 1.00 Actual Num Batches: 1 Load 38984 lb Design W/C: 0.434 Water/Cement: 0.131 A Design 293.6 gl Actual 267.6 gl To Add: 26.0 gl Slump: 4.00 in Trim Water: -25.0 lb/ CYDS CUSTOMER CADMAN Toll Free to Cat 1-888-322-6847 Plant Locations: DELIVERY TICKET HEIDELBERGCEMENTGrour Dispatch: 425-961-7100 30 Sky River 50 Redmond www.cadman.com Building Materials: 425-868-7334 31 Mill Creek 51 Issaquah 32 Woodinville 53 Bellevue Cadman Administration: 425-867-1234 34 Everett 54 Seattle PLANT# DELIVERY TICKET NO. LOAD TO JOB ON JOB BEGIN POUR FINISH POUR TO PLANT IN YARD T DATE CUSTOMER N CUSTOMER NAME ORDERED BY JOB P.O.# ORDER# SLUMP USE DRIVER SPACING PROJECT# JOB ADDRESS MAP PAGE TRUCK N PRIOR TRUCK# TIME DUE INSTRUCTIONS LOAD QUANTITY QUANTITY PRODUCT DESCRIPTION U.M. AMOUNT SIZE DELIVERED ORDERED CODE 10. 00 10. 00 MAS t LRi:? j'." 1 '. 00 WINTER H: run. rGUF ..iiika. - - it WA t:;r < f.tt LEAV5 S ;.N I RONMENTAI IR. 11111 tilt1111111111 IE, I` ;+'t SUB TOTAL TAX TOTAL Additional 7 MINUTES PER CUBIC YARD UNLOADING TIME INCLUDED. Chargeable Items ADDITIONAL UNLOADING TIME CHARGED AT CURRENT HOURLY TRUCK RATE-SEE REVERSE. WATER ADDED ON SITE ADDITION OF WATER WILL REDUCE STRENGTH,WATER Standby Time AUTHORIZED BY: ADDED AT CUSTOMER'S OWN RISK. NOT RESPONSIBLE FOR COLOR VARIATION OR Overtime gals.to full load SURFACE DISCOLORATION. Pump Blow-Back/ gals.to 2/3 load Wash-up WARNING: gals.to 1f3 load IRRITATION TO SKIN AND EYES-SEE REVERSE., Returned Concrete LIABILITY WAIVER Cadman Materials,(Inc.)will not assume liability for any property damage or any w B R equipment damage for any deliveries beyond the curb line. Additions to Order Type Qty AUTHORIZED BY: ACKNOWLEDGEMENT Signature acknowledges receipt of concrete,water addition,hazard warning, Sales Tax and acceptance of terms and conditions printed on the back of this document. TOTAL CUSTOMER SIGNATURE Concrete Tested ❑Yes ❑No r nINT NAME VAI t Oyllnuers IaKen 0 Yes ❑NO HAZARD ASSESSMENT I AM RESPONSIBLE FOR MY PERSONAL SAFETY AND I WILL STOP THE JOB IF IT BECOMES UNSAFE. 1.Do I have adequate directions? ❑Yes ❑No 6.Are there any slip,trip or fall hazards? ❑Yes ❑No 2.Is there a hazard that should be communicated 7.Am I aware of my pinch points? U Yes U No to Dispatch/others? ❑Yes ❑No 8.Are ground conditions adequate for the weight of my truck? ❑Yes ❑No 3.Do I have all my required PPE? ❑Yes ❑No 9.Is there any type of equipment that poses a hazard on this project? ❑Yes ❑No 4.Is there a transition shield in place? ❑Yes ❑No 10.The reason I will work safely today is: 5.Is there a spotter to back me in? 0 Yes ❑No 11.Additional comments: Truck DRIVER NAME Plant Name Disp Ticket Num Time Date 313 MARTINEZ, RAFAEL PLT. 51 1342868 12 :42 12/7/22 Load Size Mix Code CONCRETE SERVICES INC Load ID 10. 00 CYDE WP40003 RENTON-RES LOOK FOR 309965 Material Description Design Qty Required Batched %Moisture Actual Wat Spec.Grav 1301 B-SAND 1220 lb 12712 lb 12650 lb 4.20%M 61 gl 2.65 1051 3/4 1760 lb 17776 lb 17510 lb 1.00%M 21 gl 2.76 1151 3/8 159 lb 1612 lb 1620 lb 1.40%M 3 gl 2.78 6540 CEMENT 1L PLC 470 lb 4700 lb 4660 lb 3.15 6600 FLY ASH 94 lb 940 lb 935 lb 2.56 6411 AEA 5 oz 53 oz 54 oz 1.00 6410 POZZ-80 17 oz 170 oz 168 oz 1.00 6499 WATER 245 lb lb lb 1.00 6413 GLEN7500 5 oz 50 oz 52 oz 1.00 6414 NC-ACCL 56 oz 564 oz 560 oz 4 gl 1.00 COLD HOT 100 % 1453 lb 1440 lb 173 gl 1.00 Actual Num Batches: 1 Load 38867 lb Design W/C: 0.434 Water/Cement: 0.133 A Design 293.6 gl Actual 261.5 gl To Add: 32.1 gl Slump: 4.00 in Trim Water: -25.0 lb I CYDE CUSTOMER CADMANToll Free to Cad 1-888-322-6847 Plant Locations: DELIVERY TICKET HEIDELBERGCEMENTGrouJ Dispatch: 425-961-7100 30 Sky River 50 Redmond www.cadman.com Building Materials: 425-868-7334 31 Mill Creek 51 Issaquah 32 Woodinville 53 Bellevue Cadman Administration: 425-867-1234 34 Everett 54 Seattle PLANT# DELIVERY TICKET NO. LOAD TO JOB ON JOB BEGIN POUR FINISH POUR TO PLANT IN YARD 1 DATE CUSTOMER# CUSTOMER NAME ORDERED BY r JOB P.O.# ORDER# SLUMP USE DRIVER SPACING PROJECT# JOB ADDRESS IVF is NE PAGE TRUCK# PRIOR TRUCK# TIME DUE. INSTRUCTIONS L. 1,.,uii °RE:.: LUt t a-OR I=L(16LiLU LOAD QUANTITY QUANTITY PRODUCT DESCRIPTION U.M. AMOUNT SIZE DELIVERED ORDERED CODE 10. 00 80. t . ki is P4000 WSDOT CL 4000 A , 10. 00 4, 23Vt1. i, 1 . 641 MASTERSET AC 5::.' 10. 00 0, 6095 WINTER HEAT 1. 00 rig. 6075 FUEL SURCHARGE 10. 00 0. 0i 6045 WA ST SICK LEAV d + VIRONI'IENTri1-- at tt. r . • _ 1,1 t * . � 10101110111: **Additional starlai:,y & OT cl1aa-wa may Oa app.. SUB TOTAL DUE 10 FUEL PRICE FLUCTUATIONS, A FUEL. wURCHARC�E TA MAYBE APPLIED TOTAL IL Additional 1 7 MINUTES PER CUBIC YARD UNLOADING TIME INCLUDED. Chargeable Items ADDITIONAL UNLOADING TIME CHARGED AT CURRENT HOURLY TRUCK RATE-SEE REVERSE. WATER ADDED ON-SITE ADDITION OF WATER WILL REDUCE STRENGTH,WATER Standby Time AUTHORIZED BY: ADDED AT CUSTOMER'S OWN RISK. Overtime NOT RESPONSIBLE FOR COLOR VARIATION OR gals.to full load SURFACE DISCOLORATION. gals.to 2/3 load Pump Blow-Back/ WARNING: Wash-up gals.to 1/3 load IRRITATION TO SKIN AND EYES-SEE REVERSE. Returned Concrete LIABILITY WAIVER Cadman Materials,(Inc.)will not assume liability for any property damage or any W B R equipment damage for any deliveries beyond the curb line. Additions to Order Type Qty AUTHORIZED BY: ACKNOWLEDGEMENT Signature acknowledges receipt of concrete,water addition,hazard warning, Sales Tax and acceptance of terms and conditions printed on the back of this document. TOTAL CUSTOMER SIGNATURE Concrete Tested ❑Yes ❑No PrtINT NAME UAI t Grllnacra Tahcn 4 Yca 4 rio HAZARD ASSESSMENT I AM RESPONSIBLE FOR MY PERSONAL SAFETY AND I WILL STOP THE JOB IF IT BECOMES UNSAFE 1.Do I have adequate directions? ❑Yes ❑No 6.Are there any slip,trip or fall hazards? J Yes U No 2.Is there a hazard that should be communicated 7.Am I aware of my pinch points? ❑Yes ❑No to Dispatch/others? J Yes ❑No 8.Are ground conditions adequate for the weight of my truck? ❑Yes U No 3.Do I have all my required PPE? ❑Yes ❑No 9.Is there any type of equipment that poses a hazard on this project? Cl Yes ❑No 4.Is there a transition shield in place? ❑Yes ❑No 10.The reason I will work safely today is: _ 5.Is there a spotter to back me in? 0 Yes 0 No 11.Additional comments: Truck DRIVER NAME Plant Name Disp Ticket Num Time Date 326 WANGRUD, STEVE PLT. 51 1342924 14 :26 12/7/22 Load Size Mix Code CONCRETE SERVICES INC Load ID 10. 00 CYDE WP40003 RENTON-RES LOOK FOR 309975 Material Description Design Oty Required Batched %Moisture Actual Wat Spec.Grav 1301 B-SAND 1220 lb 12712 lb 12630 lb 4.20%M 61 gl 2.65 1051 3/4 1760 lb 17776 lb 17540 lb 1.00%M 21 gl 2.76 1151 3/8 159 lb 1612 lb 1600 lb 1.40%M 3 gl 2.78 6540 CEMENT 1L PLC 470 lb 4700 lb 4695 lb 3.15 6600 FLY ASH 94 lb 940 lb 990 lb + 2.56 6411 AEA 5 oz 53 oz 55 oz + 1.00 6410 POZZ-80 17 oz 170 oz 172 oz 1.00 6499 WATER 245 lb 436 lb 464 lb + 56 gl 1.00 6413 GLEN7500 5 oz 50 oz 52 oz 1.00 6414 NC-ACCL 56 oz 564 oz 560 oz 4 gl 1.00 COLD HOT 70 % # 1017 lb 1012 lb 121 gl 1.00 Actual Num Batches: 1 Load 38983 lb Design W/C: 0.434 Water/Cement: 0.130 A Design 293.6 gl Actual 265.7 gl To Add: 27.9 gl Slump: 4.00 in Trim Water: -25.0 lb / CYDE wN` .•. ;:2 401 �'. ''.,"`^"Rill i .et fil' 1. • I '♦.a " ` $rr. • . �J N• fr 44 � ! • • ; _21 ,. • - ,. •�'. , INVOICE COPY cAppimToll Free to Cadman: 1-888-322-6847 Plant Locations: DELIVERY TICKET HEIDELBERGCEMENTGroup, Dispatch: 425-961-7100 30 Sky River 50 Redmond www.cadman.com Building Materials: 425-868-7334 31 Mill Creek 51 Issaquah 32 Woodinville 53 Bellevue Cadman Administration: 425-867-1234 34 Everett 54 Seattle PLANT# DELIVERYII dI igii LOAD TO JOB ON JOB BEGIN POUR FINISH POUR TO PLANT IN YARD DATE CUSTOMER S CUSTOMER NAME ORDERED BY JOB P.O.$ 12/07/; 022 7840598 CONCRETE SERVICES IN KETTH 253 231 ORDERS SLUMP USE DRIVER SPACING PROJECTS 78 4. 00 in ' DWALK MAC I K, R I CHARD C784059825 JOB ADDRESS MAP PAGE, TRUCK t PRIOR TRUCK S TIME DUE .. ?UVAL AVE NE & NE 10TH ST K626H7 344 ASA►- . INsREcNT N-RES LOOK FOR FLAGGERS LOAD QUANTITY QUANTITY PRODUCT DESCRIPTION U.M. AMOUNT SIZE DELIVERED ORDERED CODE ,. 10. 00 ' 10. 0 b 60. 00 WP40003 WSDOT CL 4000 AIR y'• 10. 00 28$. 01 0. 50 6414 MASTERSET AC 534 - LI 10. 00 0. 00 6095 WINTER HEAT / i 1. 00 0. 00 6075 FUEL SURCHARGE R e 1e. 00 0. 00 6045 WA ST SICK LEAVE S e +:t« _,, ,, y y raw.. Nt1*.R! MAE+iTAI S >r 11111 I A piglopp I , • **Additional standby & OT charges may be applied* SUBTOTAL DUE TO FUEL PRICE FLUCTUATIONS, A FUEL SURCHARGE TAX TOTAL MAYBE APPLIED Additional 7 MNUTES PER CUBIC YARD UNLOADING TIME INCLUDED. Chargeable Items ADDITIONAL UNLOADING TIME CHARGED AT CURRENT HOURLY TRUCK RATE-SEE REVERSE. WATER ADDED ON-SITE ADDITION OF WATER WILL REDUCE STRENGTH,WATER Standby Time AUTHORIZED BY: ADDED AT CUSTOMER'S OWN RISK. Overtime NOT RESPONSIBLE FOR COLOR VARIATION OR gals.to full load SURFACE DISCOLORATION. gals.to 2/3 load Pump Wash-u Back/ WARNING: p gals.to 1/3 load IRRITATION TO SKIN AND EYES-SEE REVERSE. Returned Concrete LIABILITY WAIVER Cadman Materials, ill not assume liabilityfor anyW B R (Inc.)( ) property damage or any equipment damage for any deliveries beyond the curb line. Additions to Order Type Qty AUTHORIZED BY: ACKNOWLEDGEMENT Signature acknowledges receipt of concrete,water addition,hazard warning, Sales Tax and acceptance of terms and conditions printed on the back of this document. TOTAL CUSTOMER SIGNATURE _ Concrete Tested ❑Yes ❑No PHINT NAME DATE Gyllnacia Tohcvi ❑Yca ❑nu HAZARD ASSESSMENT I AM RESPONSIBLE FOR MY PERSONAL SAFETY AND I WILL STOP THE JOB IF IT BECOMES UNSAFE 1.Do I have adequate directions? ❑Yes ❑No 6.Are there any slip,trip or fall hazards? ❑Yes ❑No 2.Is there a hazard that should be communicated 7.Am I aware of my pinch points? ❑Yes ❑No to Dispatch/others? ❑Yes ❑No 8.Are ground conditions adequate for the weight of my truck? ❑Yes ❑No 3.Do I have all my required PPE? ❑Yes ❑No 9.Is there any type of equipment that poses a hazard on this project? ❑Yes ❑No 4.Is there a transition shield in place? ❑Yes ❑No 10.The reason I will work safely today is: 5.Is there a spotter to back me in? 0 Yes 0 No 11.Additional comments: Truck DRIVER NAME Plant Name Disp Ticket Num Time Date 344 MACIK, RICHARD PLT. 51 1342659 8 :42 12/7/22 Load Size Mix Code CONCRETE SERVICES INC Load ID 10. 00 CYDE WP40003 RENTON-RES LOOK FOR 309922 Material Description Design Qty Required Batched %Moisture Actual Wat Spec.Grav 1301 B-SAND 1220 lb 12712 lb 12630 lb 4.20%M 61 gl 2.65 1051 3/4 1760 lb 17776 lb 17460 lb 1.00%M 21 gl 2.76 1151 3/8 159 lb 1612 lb 1670 lb + 1.40%M 3 gl 2.78 6540 CEMENT 1L PLC 470 lb 4700 lb 4730 lb 3.15 6600 FLY ASH 94 lb 940 lb 955 lb 2.56 6411 AEA 5 oz 53 oz 54 oz 1.00 6410 POZZ-80 17 oz 170 oz 172 oz 1.00 6499 WATER 245 lb lb lb 1.00 6413 GLEN7500 5 oz 50 oz 52 oz 1.00 6414 NC-ACCL 28 oz 282 oz 288 oz 2 gl 1.00 COLD HOT 100 % # 1471 lb 1484 lb 178 gl 1.00 Actual Num Batches: 1 Load 38964 lb Design W/C: 0.434 Water/Cement: 0.127 A Design 293.6 gl Actual 264.6 gl To Add: 29.0 gl Slump: 4.00 in Trim Water: -25.0 lb/ GYM CUSTOMER CADMANToll Free to Cadman: 1-888-322-6847 Plant Locations: DELIVERY TICKET HEIDELBERGCEMEI rrGto:: Dispatch: 425-961-7100 30 Sky River 50 Redmond www.cadman.com Building Materials: 425-868-7334 31 Mill Creek 51 Issaquah 32 Woodinville 53 Bellevue PLANT# Cadman Administration: 425-867-1234 34 Everett 54 Seattle DELIVERY TICKET NO. LOAD TO JOB ON JOB BEGIN POUR FINISH POUR TO PLANT IN YARD //, Y 7 //. .5 5 /A . DATE CUSTOMER# CUSTOMER NAME ORDERED BY JOB P.O.# ORDER# SLUMP USE DRIVER SPACING PROJECT# JOB ADDR S MAP PAGE TRUCK II PRIOR TRUCK# TIME DUE INSTRUCTIONS LOAD QUANTITY QUANTITY PRODUCT DESCRIPTION U.M. AMOUNT SIZE DELIVERED ORDERED CODE 10. 00 50.0 60, 4SD0T CL 4000 AIR y . 10. 00 �, 538. 4i ` i. MASTERSET AC 5a4 — cs . 10. 00 +.JYNT€_R HEAT . 1. 00 FUEL SURCHARL3t" R e 10. 00 0. 00 6045 WA ST SICK LEAVE S c ENV I RONMEr f, -,. RC 111111 IIIII JI1II(III Alll I11111111i1 i _ 4 r * *Additional standby & OT charges Dt y L}e ,e.pdi,&U% SUB TOTAL SUE TO FUEL PRICE FLUCTUATIONS, A FUEL SURCHARUE: TAX tAY! E APPLIED TOTAL Additional 7 MINUTES PER CUBIC YARD UNLOADING TIME INCLUDED. Chargeable Items ADDITIONAL UNLOADING TIME CHARGED AT CURRENT HOURLY TRUCK RATE-SEE REVERSE. WATER ADDED ON-SITE ADDITION OF WATER WILL REDUCE STRENGTH,WATER Standby lime AUTHORIZED BY: ADDED AT CUSTOMER'S OWN RISK. Overtime NOT RESPONSIBLE FOR COLOR VARIATION OR gals.to full load SURFACE DISCOLORATION. Pump Blow-Back/ gals.to 2/3 load Wash-up WARNING: gals.to 1/3 load IRRITATION TO SKIN AND EYES-SEE REVERSE. Returned Concrete LIABILITY WAIVER Cadman Materials,(Inc.)will not assume liability for any property damage or any W B R equipment damage for any deliveries beyond the curb line. Additions to Order AUTHORIZED BY: Type Qty ACKNOWLEDGEMENT Signature acknowledges receipt of concrete,water addition,hazard warning, Sales Tax and acceptance of terms and conditions printed on the back of this document. TOTAL CUSTOMER SIGNATURE Concrete Tested ❑Yes ❑No PRINT NAMI: DATE Cylindcra Taken ❑Yes La No ti HAZARD ASSESSMENT I AM RESPONSIBLE FOR MY PERSONAL SAFETY AND I WILL STOP THE JOB IF IT BECOMES UNSAFE 1.Do I have adequate directions? ❑Yes ❑No 6.Are there any slip,trip or fall hazards? ❑Yes ❑No 2.Is there a hazard that should be communicated 7.Am I aware of my pinch points? ❑Yes ❑No to Dispatch/others? ❑Yes ❑No 8.Are ground conditions adequate for the weight of my truck? ❑Yes ❑No 3.Do I have all my required PPE? ❑Yes ❑No 9.Is there any type of equipment that poses a hazard on this project? ❑Yes ❑No 4.Is there a transition shield in place? ❑Yes ❑No 10.The reason I will work safely today is: 5.Is there a spotter to back me in? 0 Yes 0 No 11.Additional comments: Truck DRIVER NAME Plant Name Disp Ticket Num Time Date 353 HEWSON, RICK PLT. 51 1342826 11:43 12/7/22 Load Size Mix Code CONCRETE SERVICES INC Load ID 10 . 00 CYDS WP40003 RENTON-RES LOOK FOR 309957 Material Description Design Qty Required Batched %Moisture Actual Wat Spec.Grav 1301 B-SAND 1220 lb 12712 lb 12660 lb 4.20%M 61 gl 2.65 1051 3/4 1760 lb 17776 lb 17480 lb 1.00%M 21 gl 2.76 1151 3/8 159 lb 1612 lb 1620 lb 1.40%M 3 gl 2.78 6540 CEMENT 1L PLC 470 lb 4700 lb 4710 lb 3.15 6600 FLY ASH 94 lb 940 lb 945 lb 2.56 6411 AEA 5 oz 53 oz 55 oz + 1.00 6410 POZZ-80 17 oz 170 oz 172 oz 1.00 6499 WATER 245 lb lb lb 1.00 6413 GLEN7500 5 oz 50 oz 52 oz 1.00 6414 NC-ACCL 56 oz 564 oz 560 oz 4 gl 1.00 COLD HOT 100 % 1453 lb 1458 lb 175 gl 1.00 Actual Num Batches: 1 Load 38925 lb Design W/C: 0.434 Water/Cement: 0.131 A Design 293.6 gl Actual 263.7 gl To Add: 29.9 gl Slump: 4.00 in Trim Water: -25.0 lb/ CYDS 'CUSTOMER CADMAN Toll Free to Cadman: 1-888-322-6847 Plant Locations: DELIVERY TICKET HEIDELBERGCENMENTGroup'' Dispatch: 425-961-7100 30 Sky River 50 Redmond www.cadman.com Building Materials: 425-868-7334 31 Mill Creek 51 Issaquah 32 Woodinville 53 Bellevue Cadman Administration: 425-867-1234 34 Everett 54 Seattle PLANT# DELIVERY TICKET NO. LOAD TO JOB ON JOB BEGIN POUR FINISH POUR TO PLANT IN YARD DATE CUSTOMER it CUSTOMER NAME ORDERED BY JOB P.O.It ORDER# SLUMP USE DRIVER SPACING PROJECT# JOB ADDRESS MAP PAGE TRUCK# PRIOR TRUCK# TIME DUE INSTRUCTIONS LOAD QUANTITY QUANTITY PRODUCT DESCRIPTION U.M. AMOUNT SIZE DELIVERED ORDERED CODE 0. 0‘. WvDO1 It woo Al r i. 14ASTER3ET AC 5 0, WINTER HEAT 0. : FUEL SURCHARGL 1 0. 0i,- WA St SILO.: LEP`- ENVIRONMENTAL !RLr Mir I 4EIt i:llluth(44 iilli' lil i:i1i11Pniiiii ' . ` , -.wtwoj **Additional standby & Ui c:hat,wti may be paplted# SUB TOTAL I)11E TO F't.ti :. fi}RIeE' F! 'KM lCITTrW( ,: I III:; r Ftr lI :Hi TAX TOTAL Additional 7 MINUTES PER CUBIC YARD UNLOADING TIME INCLUDED. Chargeable Items ADDITIONAL UNLOADING TIME CHARGED AT CURRENT HOURLY TRUCK RATE-SEE REVERSE. WATER ADDED ON-SITE ADDITION OF WATER WILL REDUCE STRENGTH,WATER Standby Time AUTHORIZED BY: ADDED AT CUSTOMER'S OWN RISK. NOT RESPONSIBLE FOR COLOR VARIATION OR Overtime gals.to full load SURFACE DISCOLORATION. Pump Blow-Back/ gals.to 2/3 load Wash-up WARNING: _ gals.to 1/3 load IRRITATION TO SKIN AND EYES-SEE REVERSE. Returned Concrete LIABILITY WAIVER Cadman Materials,(Inc.)will not assume liability for any property damage or any W B R equipment damage for any deliveries beyond the curb line. Additions to Order AUTHORIZED BY: Type Oty ACKNOWLEDGEMENT Signature acknowledges receipt of concrete,water addition,hazard warning, Sales Tax and acceptance of terms and conditions printed on the back of this document. TOTAL CUSTOMER SIGNATURE Concrete Tested ❑Yes ❑No PRINT NAME DATE Gyllnders Taken ❑Yes ❑No HAZARD ASSESSMENT I AM RESPONSIBLE FOR MY PERSONAL SAFETY AND I WILL STOP THE JOB IF IT BECOMES UNSAFE 1.Do I have adequate directions? ❑Yes LI No 6.Are there any slip,trip or fall hazards? ❑Yes ❑No 2.Is there a hazard that should be communicated 7.Am I aware of my pinch points? ❑Yes ❑No to Dispatch/others? ❑Yes ❑No 8.Are ground conditions adequate for the weight of my truck? 0 Yes ❑No 3.Do I have all my required PPE? ❑Yes ❑No 9.Is there any type of equipment that poses a hazard on this project? ❑Yes 0 No 4.Is there a transition shield in place? ❑Yes 0 No 10.The reason I will work safely today is: 5.Is there a spotter to back me in? ❑Yes ❑No 11.Additional comments: ..*—...,-....—...�.�� ...No - .�..� _ ._ ._—.---. ._ -- Truck DRIVER NAME Plant Name Disp Ticket Num Time Date 357 THEUS BELCHER PLT. 51 1342766 10:31 12/7/22 Load Size Mix Code CONCRETE SERVICES INC Load ID 10.00 CYDE WP40003 RENTON-RES LOOK FOR 309946• Material Description Design Qty Required Batched %Moisture Actual Wat Spec.Grav 1301 B-SAND 1220 lb 12712 lb 12590 lb 4.20%M 61 gl 2.65 1051 3/4 1760 lb 17776 lb 17500 lb 1.00%M 21 gl 2.76 1151 3/8 159 lb 1612 lb 1700 lb + 1.40%'M 3 gl 2.78 6540 CEMENT 1L PLC 470'lb 4700 lb 4695 lb 3.15 ' 6600 FLY ASH 94 lb 940 lb 935 lb 2.56 6411 AEA 5 oz 53 oz 54 oz• 1.00 6410 POZZ-80 17 oz 170 oz 172 oz 1.00 6499 WATER 245 lb lb ' lb 1.00 6413 GLEN7500 5 oz 50 oz 52 oz 1.00 6414 NC-ACCL 56 oz 564 oz 560 oz 4 gl 1.00 COLD HOT 100 % 1453 lb 1458 lb 175 gl 1:00 Actual Num Batches: 1 Load 38930 lb Design W/C: 0.434 Water/Cement: 0.132 A Design 293.6 gl Actual 263.5 gl To Add: 30.1 gl Slump: 4.00 in Trim Water. -25.0 lb/ CYDS 4 • ff '. L. Truck. DRIVER NAME Plant Name Disp Ticket Num Time Date 333'' PYLMAN, JERRY PLT. 51 1342687 9 : 11 12/7/22 Load Size Mix Code CONCRETE SERVICES INC Load ID 10. 00 CYDE WP40003 RENTON-RES LOOK FOR 309930 Material Description Design Qty Required Batched %Moisture Actual Wat Spec.Grav 1301 B-SAND 1220 lb 12712 lb 12640 lb 4.20%M 61 gl 2.65 1051 3/4 1760 lb 17776 lb 17520 lb 1.00%M 21 gl 2.76 1151 3/8 159 lb 1612 lb 1660 lb + 1.40%M 3 gl 2.78 6540 CEMENT 1L PLC 470 lb 4700 lb 4685 lb 3.15 6600 FLY ASH 94 lb 940 lb 1020 lb + 2.56 6411 AEA 5 oz 53 oz 54 oz 1.00 6410 POZZ-80 17 oz 170 oz 168 oz 1.00 6499 WATER 245 lb lb lb 1.00 6413 GLEN7500 5 oz 50 oz 52 oz 1.00 6414 NC-ACCL 56 oz 564 oz 560 oz 4 gl 1.00 COLD HOT 100 % 1453 lb 1446 lb 173 gl 1.00 Actual Num Batches: 1 Load 39023 lb Design W/C: 0.434 Water/Cement: 0.130 A Design 293.6 gl Actual 262.2 gl To Add: 31.4 gl Slump: 4.00 in Trim Water: -25.0 lb/ CYDE • CUSTOMER CADimANToll Free to Cadman: 1-888-322-6847 Plant Locations: DELIVERY TICKET HEIDELBERGCEMENTGToup• Dispatch: 425-961-7100 30 Sky River 50 Redmond www.cadman.com Building Materials: 425-868-7334 31 Mill Creek 51 Issaquah 32 Woodinville 53 Bellevue PLANT# Cadman Administration: 425-867-1234 34 Everett 54 Seattle DELIVERY TICKET NO. LOAD TO JOB ON JOB BEGIN POUR FINISH POUR TO PLANT IN YARD DATE CUSTOMER t CUSTOMER NAME ORDERED BY JOB P.O.# ORDER t SLUMP USE DRIVER SPACING PROJECT II JOB ADDRESS MAP PAGE TRUCK It PRIOR TRUCK 8 TIME DUE INSTRUCTIONS LOAD QUANTITY QUANTITY PRODUCT DESCRIPTION U.M. AMOUNT SIZE DELIVERED ORDERED CODE SUB TOTAL TAX TOTAL Additional 7 MINUTES PER CUBIC YARD UNLOADING TIME INCLUDED. Chargeable Items ADDITIONAL UNLOADING TIME CHARGED AT CURRENT HOURLY TRUCK RATE-SEE REVERSE. WATER ADDED ON-SITE ADDITION OF WATER WILL REDUCE STRENGTH,WATER Standby Time AUTHORIZED BY: ADDED AT CUSTOMER'S OWN RISK. Overtime NOT RESPONSIBLE FOR COLOR VARIATION OR gals.to full load SURFACE DISCOLORATION. Pump Blow-Back/ gals.to 2/3 load Wash-up WARNING: gals.to 1/3 load IRRITATION TO SKIN AND EYES-SEE REVERSE. Returned Concrete LIABILITY WAIVER Cadman Materials,(Inc.)will not assume liability for any property damage or any w B R equipment damage for any deliveries beyond the curb line. Additions to Order Type Qty AUTHORIZED BY: ACKNOWLEDGEMENT Signature acknowledges receipt of concrete,water addition,hazard warning, Sales Tax and acceptance of terms and conditions printed on the back of this document. TOTAL CUSTOMER SIGNATURE Concrete Tested ❑Yes ❑No PRINT NAME DATE Cylinders Taken ❑Yes ❑No HAZARD ASSESSMENT I AM RESPONSIBLE FOR MY PERSONAL SAFETY AND I WILL STOP THE JOB IF IT BECOMES UNSAFE. 1.Do I have adequate directions? ❑Yes 7 No 6.Are there any slip,trip or fall hazards? L1 Yes ❑No 2.Is there a hazard that should be communicated 7.Am I aware of my pinch points? 7 Yes ❑No to Dispatch/others? 7 Yes J No 8.Are ground conditions adequate for the weight of my truck? J Yes ❑No 3.Do I have all my required PPE? 7 Yes 7 No 9.Is there any type of equipment that poses a hazard on this project? L1 Yes ❑No 4.Is there a transition shield in place? 7 Yes 7 No 10.The reason I will work safely today is: 5.Is there a spotter to back me in? 3 Yes 3 No 11.Additional comments: cUSTOMtK Toll Free to Cadman: 1 868 322 6847 Plant LocatSky River ii DELIVERY r►cfcer 30 Sky Riverer 50 Redmond 425-961-7100 31 Mill Creek 51 Issaquah EIDELBERGCEMENTGroup7 Dispatch: als: 425 8613-7334 531 Bellevue wwvy.cadman.com Building Mammals 32 Woodinville 54 Seattle Cadman Administration: 425 867 1234 34 EverettDELIVERY TICKET NO. LOAD BEGIN POUR FINISH POUR TO PLANT IN YARD TO JOB ON JOB MI" INIIIIIIIIIIIMINIIIIINIIIII ORDERED BY. JOB P.O.S DATE CUSTOMERS CUSTOMER NAME SPACING PROJECT S ORDERS SLUMP USE DRIVER PRIOR TRUCKS TIME DUE MAP PAGE, JOB ADDRESS �" INSTRUCTIONS QUANTITY QUANTITY PRODUCT DESCRIPTION U.M. AMOUNT SIZE LOAD DELIVERED ORDERED CODE ___ 1[1': 1LI`t'f�i 1.+si 1 .r II I it 1 1 SUB TOTAL TAX - _- TOTAL Additional Chargeable Items 7 MINUTES PER CUBIC YARD UNLOADING TIME INCLUDED. ADDITIONAL UNLOADING TIME CHARGED AT CURRENT HOURLY TRUCK RATE-SEE REVERSE. Standby Time WATER ADDED ON-SITE ADDITION OF WATER WILL REDUCE STRENGTH,WATER AUTHORIZED BY: ADDED AT CUSTOMERS OWN RISK. Overtime NOT RESPONSIBLE FOR COLOR VARIATION OR gals.to full load SURFACE DISCOLORATION. Pump Blow-Back/ Wash-up gals.to 2!3 load WARNING: Returned Concrete gals.to 1/3 load IRRITATION TO SKIN AND EYES-SEE REVERSE. yy g Ft LIABILITY WAIVER Cadman Materials,(Inc.)will not assume liability for any property damage or any Additions to Order equipment damage for any deliveries beyond the curb line. Type _ Oty AUTHORIZED BY: Sales Tax 1 ACKNOWLEDGEMENT Signature acknowledges receipt of concrete,water addition,hazard warning, and acceptance of terms and conditions printed on the back of this document. TOTAL CUSTOMER SIGNATURE Concrete Tested DYes D No DATE _ Cylinders Taken DYes D No PRINT NAME HAZARD ASSESSMENT IAM RESPONSIBLE FOR MY PERSONAL SAFETY AND I WILL STOP THE JOB IFIT BECOMES UNSAFE. ❑Yes ❑No 1.Do I have adequate directions? ❑Yes ❑No 6.Are there any slip,trip or fall hazards? ❑Yes ❑No 1 7.Am I aware of my pinch points? 2.to there a hazardo that should be communicated ❑Yes 3 No 8.Are ground conditions adequate for the weight of my truck? ❑Yes ❑No Di hv all my re? ❑Yes ❑No 9.Is there any type of equipment that poses a hazard on this project? ❑Yes ❑No T 3.Is I have all si on required PPE? 10.The reason I will work safely today is: 4.Is there a transition shield in place'? ❑Yes ❑No 11 Additional comments: _ . . -- --_....-..,.i,,o.U ma in9 ❑Yes ❑No - -- ^...- __ Truck DRIVER NAME Plant Name Disp Ticket Num Time Date 309 CORRAL, ARMANDO PLT. 51 1343141 11 : 14 12/8/22 Load Size Mix Code CONCRETE SERVICES INC Load ID 3 .50 CYDE WP40003 RENTON-WHEELCHAIR RAMPS 310023 Material Description Design Qty Required Batched %Moisture Actual Wat Spec.Grav 1301 B-SAND 1220 lb 4479 lb 4550 lb 4.90%M 25 gl 2.65 1051 3/4 1760 lb 6222 lb 6700 lb > 1.00%M 8 gl 2.76 1151 3/8 159 lb 564 lb 650 lb + 1.40%M 1 gl 2.78 6540 CEMENT 1L PLC 470 lb 1645 lb 1720 lb + 3.15 6600 FLY ASH 94lb 329 lb 360 lb + 2.56.56 6411 AEA— 5 oz 18 oz 20 oz 11.00 6410 POZZ-80 17 oz 60 oz 60 oz 1.00 6499 WATER 245 lb lb lb 1.00 6413 GLEN7500 5 oz 18 oz 20 oz 2 gl 1.00 6414 NC-ACCL 56 oz 197 oz 192 oz COLD HOT 100 % # 496 lb 492 lb 59 gl 1.00 Actual Num Batches: 1 Load 14490 lb Design W/C: 0.434 Water/Cement: 0.144 A Design 102.8 gl Actual 95.0 gl To Add: 7.8 gl Slump: 4.00 in Trim Water: -20.0 lb / CYDE Leave Di Plant Taylor Way Plant 2914660 DISPATCH: (800) 750-0123 I1",f"f1f"fl Arrive lob CAL?ORTLAND�' 3601 Taylor Way Start Pour TACOMA, WA 98421 Warning:Irritation to Skin and Eyes WEIGHMASTER CERTIFICATE Finish This product contains Portland Cement.Freshly mixed cement,mortar,grout or THIS IS TO CERTIFY that the following was weighed,measured Pour concrete may cause skin irritation and/or allergic reaction.Do not use without or counted by a weigh master,'-whose signature is on this certificate who is a Finish protective gear and clothing.Avoid any contact with skin.Wash exposed areas recognized authority of accuracy,as prescribed by Chapter 7(commencing with Wash immediately with water,if cementitous materials get into the eye,rinse immediatelybyc he 1270on of Measurement S m tnt Standard of glee a if rniaeDepar men of Food and and repeatedly with water and get prompt medical attention. Agriculture. of Measurement Standards of the California Department of Food and Keep Away From Children Weighmaster Leave Job Water added at customer's request Rev Counter on This concrete isr designed in accordance to Load: American Concrete Institute Standards.Any Reasons for Delay Time Arrive water added to this design will be at purchasers Plant Slump on arrival risk.Materials hereby sold become property of Job not ready — purchaser at time of orgin.Calportland is not Time Gals to full load responsible for damages to property in the Lack of Help Allowed 1 8 Test Cylinders event that delivery is beyond curb line.Seller is • y not responsible for popouts or other imperfections Wheel Barrow Job Gals to 2/3 load Taken: resulting from reactive aggregates. - Time Used Pump Late/Problems Gals to 1/3 load Excess Other Time Date/Time: Superplasticer Cust.Pr..j#: Ordered By: Phone#: Map Page: Amt Added: 07—Dec-22 08:01 - 4630.8 COURTNEY Customer: Order Type: P.O.Number Driver Name: Truck#: Order#: 1007468 STRIPE RITE INC Charge 68 DRIVER A_SPARE 1996 211 Scheduled Arrival: Slump: load#: Prev.Truck#: I Qty This Load: Qty Delivered: Qty Ordered: Plant: I Alley: Truck License#: 08:04 0.50 0002 - 1996 3.00 6.00 6.00 255 Delivery Address: Ticket Notes: TACOMA FOB 997 & 96 TACOMA, WA Quantity UOM Product Code Product Description Unit Price Amount Changed -, 3.00 CY 3381 6.0 SK CURB MIX 1.00 BG 6211R CEMENT 47 LB. SA 3.00 CY 9990 ENV FEE 3.00 CY 1001 WINTER SURCHARGE 3. 00 CY 94000793 WORKER RIGHTS IM Sales Tax: Ticket Total: Balance Forward: Standing Time: Order Total: MATERIAL DESCRIPTION DESIGN TARGET ACTUAL ERR FREE WTR MOISTURE TYPE_I-II 22-307 564.00 1692.00 1680.00 -0.7 BLD_SAND 3400.00 10855.86 10940.00 0.8 660.94 6.43% Daravair 1 5.00 15.00 15.00 0.0 0.00 0.00% ,, Max Allowable Water: 0.00 gl Actual W/C Ratio: 0.39 Design W/C Ratio: 0.37 I have read.understood and I agree to all the above,including the Terms and Conditions on the reverse of,or accompanying this documert.and incorporated by reference. IL-04 Signature Leave 0 Plant Taylor Way Plant 2914659 DISPATCH: (800) 750-0123 11111111111111I Arrive Job CALPORTLANOx 3601 Taylor Way �L Start Pour TACOMA, WA 98421 Warning:Irritation to Skin and Eyes WEIGHMASTER CERTIFICATE — Finish This product contains Portland Cement.Freshly'mkced cement,mortar,grout or THIS IS TO CERTIFY that the followinagdecribeedhcommodity was weighed,measured Pour concrete may cause skin irritation and/or(allergic reaction.Do not use without or counted by a weighmaster,whose signature is on this certificate who is a Finish protective gear and clothing.Avoid any contact with skin.Wash exposed areas recognized authority of accuracy,as prescribed by Chapter 7 fcommencingg with Wash immediately with water.If cementitous materials get into the eye,rinse immediatelySeaton 12 o)oof Met su 5 m tnt Standard Business and Proa DeparCoen.of Food and and repeatedly with water and get prompt medical attention. by Division of Measurement Standards of the California Depanment of Food and .� Keep Away From Children Weighmaster: Leave Job Water added at customer's request Rev Counter on This concreteisrdesignedinaccordanceto Load: American ConcretelnspptuteStandards.Any Reasons for Delay Time Arrive I water added to this desigrTCGit be at-purchasers Plant ISlumponarrival risk.Materials hereby sold become property of Job not ready purchaser at time of orgin.Calportland is not Time Gals to full load responsible for damages to property in the Lack of Help Allowed 1 R Test Cylinders event that delivery is beyond curb line.Seller is Taken:st not responsible for popoutscy other imperfections Wheel Barrow Job Time Used Gals to 2/3 loadresulting from react*e aggregates. Pump Late/Problems Gals to 1/3 load 1 1 Excess Other I Time Date/Time: Superplasticer Cust.Proj#: + •Ordered By: Phone#: Map Page: AmtAdded: 07—Dec-22 07:57 46308 i COURTNEY Customer: Order Type: P.O.Number Driver Ntame: Truck#: Order#: 1007468 STRIPE RITE INC Charge 68 DRIVER A SPARE ! 1997 211 Scheduled Arrival: Slump: [Load#: Prev.Truck#: Qty This Load: Qty Delivered: ety Ordered: Plant: Alley: Truck License#: 08:03 0.50 0001 1997 3.00 3.00 6.00 255 1 { I Delivery Address: Ticket Notes: TACOMA FOB - 997 & 996 TACOMA, WA • i . s' Quantity UOM Product Code Product Description i Unit Price Amount Changed 3.00 CY 3381 6.13- SK CURB MIX 2.00 BG 6211R CEMENT 47 LB. SA 1 3.00 CY 9990 ENV FEE 3.00 CY 1001 WINTER SURCHARGE 3.00 CY 94000793 WORKER RIGHTS IM k Sales Tax: Ticket Total: Balance Forward: Standing Time: Order Total: MATERIAL DESCRIPTION DESIGN TARGET ACTUAL ERR FREE WTR MOISTURE TYPE_I-II 22-307 564.00 1692.00 1695.00 0.2 BLD_SAND 3400.00 10867.08 10880.00 0.1 667.87 6.54% Daravair 1 0.00 0.00 14.00 0.0 0.00 0.00% I Max Allowable Water: 0.00 gl Actual W/C Ratio: 0.39 Design W/C Ratio: 0.37 I have read,understood and I agree to all the above.including the Terms and Conditions on the reverse of,or accompanying this document.and incorporated by reference. -04 Signature r r • Leave Plant CPTaylor Way Plant 2919963 Arrive Job DISPATCH: (800) 750-0123 Ifl„"'1"'1,j H CALPORTLAND5 3601 Taylor Way Start Pour TACOMA, WA 98421 Finish - Warning:Irritation to Skin and Eyes WEIGHMASTER CERTIFICATE Pour Calfornia Only This product contains Portland Cement.Freshly mixed cement,mortar,grout or THIS IS TO CERTIFY that the following described commodity was weighed,measured concrete may cause skin irritation and/or allergic reaction.Do not use without or counted by a weighmaster,whose signature is on this certificate who is a Finish recognized authority of accuracy as prescribed by Chapter 7(commencin with protective gear and clothing.Avoid any contact with skin.Wash exposed areas g Wash Sycthe 1270o)oof Measurement ei su 5 m tnt Standard of the alif Professions Coen,of Food and immediately with water.If cemen[ItouS materials get into the eye,rinse immediately by the Division of Measurement Standards of the California Department of Food and and repeatedly with water and get prompt medical attention. Agriculture. Leave Job Keep Away From Children Weighmaster. Water added at customer's request Rev Counter on Thiesr ncretenisdesignedinaccordanceto Arrive Load: American ConcretelnstituteStandardsAny Reasons for Delay Time Plant water added to this design will be at purchasers Slump on arrival risk.Materials hereby sold become property of Job not ready purchaser at time of orgin.Calportland is not Time Gals to full load responsible for damages to property in the Lack of Help Allowed 1$ Test Cylinders event that delivery is beyond curb line.Seller is Y not responsible for popouts or otherimperfections Wheel Barrow Job Time Used Gals to 2/3 load Taken: resulting from reactive aggregates. Pump Late/Problems Gals to 1/3 load Excess Other Time Date/Time: Superplasticer CusL Proj#: Ordered By: Phone#: Map Page: Amt Added: 07—Dec-22 10:49 46308 COURTNEY Customer: Order Type: i P.O.Number Driver Name: Truck#: Order#: 1007468 STRIPE RITE INC Charge 68 DRIVER A SPARE 1998 211 f Scheduled Arrival: Slump: Load#: Prev.Truck#: Qty This Load: Qty Delivered: Qty Ordered: Plant: , Alley: Truck License#: 10:56 0.50 0003 1998 3.00 9.00 9.00 255 Delivery Address: Ticket Notes: ,. TACOMA FOB TACOMA, WA Quantity UOM Product Code Product Description Unit Price Amount Changed 3.00 CY 3381 6.0 SK CURB MIX 1.00 BG 6211R CEMENT 47 LB. SA 3.00 CY 9990 ENV FEE 3.00 CY 1001 WINTER SURCHARGE 3.00 CY 94000793 WORKER RIGHTS IM j I i i Sales Tax: Ticket Total: Balance Forward: Standing Time: Order Total: 44001.,4, MATERIAL DESCRIPTION DESIGN TARGET ACTUAL ERR FREE WTR MOISTURE TYPE_I—II 22-307 564.00 1692.00 1685.00 —0.4 BLD_SAND 3400.00 10945. 62 10900.00 —0.4 742.51 7.31% Daravair 1 5.00 15.00 15.00 0.0 0.00 0.00% Max Allowable Water: 0.00 gl Actual W/C Ratio: 0.44 Design W/C Ratio: 0.37 I have read.understood and I agree to all the above,inch ding the Termsand Conditions on the reverse of.or accompanying this document,and incorporated by reference. DL-04 Signature r . A Leave Plant CPTaylor Way Plant 2975513 Arrive Job DISPATCH: (800)750-0123 III1IIIIIIIIIIllll' llIIII,IIII CAL?ORTLANII 3601 Taylor Way Start Pour TACOMA, WA 98421 Finish Warning:Irritation to Skin and Eyes WEIGHMASTER CERTIFICATE Pour California Only This product contains Portland Cement.Freshly mixed cement,mortar,grout or THIS IS TO CERTIFY that the following described commodity was weighed,measured -- concrete may cause skin irritation and/or allergic reaction.Do not use without or counted by a weighrraster,whose signature is on this certificate who is a Finish protective gear and clothing.Avoid any contact with skin.Wash exposed areas recognized authority of accuracy,as prescribed by Chapter 7(commencing with Wash immediatelywith water.If cementitous materialsget into the eye,rinse immediatelySeaton 1 Division of of Measu s of the California Business and Profesv pa Code,administered Y by the Division Measurement Standards of the California Department of Food and and repeatedly with water and get prompt medical attention. Agriculture. Leave Job Keep Away From Children Weighmaster: Water added at customer's request Rev Counter on This concrete is designed inaccordanceto q Load: American Concrete Institute Standards.Any Reasons for Delay Time Arrive Plant water added to this design will be at purchasers --__- Slumponarrival risk.Materials hereby sold become property of Job not ready Time purchaser at time of orgin.Calportland is not Gals to full load responsible for damages to property in the Lack of Help Allowed 18 Test Cylinders event that delivery is beyond curb line.Seller is y not responsible for popouts or other imperfections Wheel Barrow Job Time Used Gals to 2/3 load Taken: resulting from reactive aggregates. ' Pump Late/Problems Excess Gals to 1/3 load Other Time- Date/Time: Superplasticer Cust.Proj#: Ordered By: Phone#: Map Page: Amt Added: I08—Dec-22 08:10 46308 MIKE Customer: .. Order Type: P.O.Number Driver Name: Truck#: Order#: 1007468 STRIPE RITE INC Charge 2150 DRIVER-A SPARC V 1996 218 f r Scheduled Arrival: Slump: Load#: Prev.Truck#: Qty This Load: Qty Delivered: Qty Ordered: Plant: Alley: Truck License#: 08:18 0.50 0002 1996 3.00 6.00 6.00 i 255. Delivery Address: Ticket Notes: TACOMA FOB 997 & 996 TACOMA, WA Quantity UOM Product Code Product Description Unit Price Amount Changed 3.00 CY 3381 6.0 SK CURB MIX 3.00 CY 9990 ENV FEE 3.00 CY 1001 WINTER SURCHARGE 3.00 CY 94000793 WORKER RIGHTS IM Sales Tax: Ticket Total: Balance Forward: Standing Time: Order Total: 1 • MATERIAL DESCRIPTION DESIGN TARGET ACTUAL ERR FREE WTR MOISTURE TYPE_I—II 22-307 564.00 1692.00 1705.'00 0.8 BLD_SAND 3400.00 10740.60 10720.00 —0.2 539.56 5.30% water 2 0.00 43.67 25.00 -42.8 Daravair 1 5.00 15.00 15.00 0.0 0.00 0.00% Max Allowable Water: 7.12 gl Actual W/C Ratio: 0.33 Design W/C Ratio: 0.37 I have read,understood and I agree to all the above,including the Terms and Conditions on the reverse of,or accompanying this document.and incorporated by reference. DL-04 Signature A r 1 . Leave Plant CPTaylor Way Plant 2915511 Arrive Job DISPATCH: (800) 750-0123 111111111111111 CALPORTLAND' 3601 Taylor Way Start Pour TACOMA, WA 98421 Finish Warning:Irritation to Skin and Eyes WEIGHMASTER CERTIFICATE Pour California Only This product contains Portland Cement.Freshly mixed cement,mortar,grout or THIS IS TO CERTIFY that the following described commodity was weighed,measured --- - concrete may cause skin irritation and/or allergic reaction.Do not use without or counted by a weighmaster,.whose signature is on this certificate who is a Finish protective gear and clothing.Avoid any contact with skin.Wash exposed areas recognized authority of accuracy,as prescribed by Chapter 7(commencing with Wash immediately with water.If cementitous materials get into they e,rinse immediatelyby the �270o)off Meiss5of tnt Standards Businessalif rnia DeparCoen,of F000 and Y by the Div lion of Measurement Standardsof the California Department of Food and and repeatedly with water and get prompt medical attention. Agriculture Keep Away From Children weighmaster: Leave Job Water added at customer's request Rev Counter on I Thisconcreteisdesignedinaccordanceto Arrive Load: American Concrete Institute Standards.Any Reasons for Delay Time Prrvt water added to this design will be at purchasers Slump on arrival risk.Materials hereby sold become property of Job not ready Time purchaser at time of orgin.Calportland is not responsible for damages to property in the Lack of Help Allowed Gals to full load event that delivery is beyond curb line.Seller is 18 .. Test Cylinders not responsible for p000uts or other imperfections . Wheel Barrow Job Time Used Gals to 2/3 load Taken: resulting from reactive aggregates. Pump Late/Problems Gals to 1/3 load Excess Other Time Date/Time: Superplasticer Cust.Proj#: !Ordered By: Phone A: Map Page: Amt Added: 08-Dec-22 08:08 46308 'MIKE Customer: Order Type: P.O.Number I Driver Name: Truck#: Order#: i 1007468 STsRIPE RITE INC Charge 2150 DRIVER A SPARE 1997 218 S heduled Arrival: Slump: Load#: Prey.Truck#: Qty This Load: Qty pelivered: Qty Ordered: Plant: Alley: Truck License A: 08:18 0.50 0001 1997 3.00 3.00 6.00 , 255 1 Delivery Address: Ticket Notes: TACOMA~ B r397 & 996 TACOMA, W Quantity U014: Product Code i Product Description Unit Price Amount Changed 3.00 CY '3381 6.0 SK CURB MIX 1.00 BG 6211R CEMENT 47 LB. SA 1.00 BG 6211R CEMENT 47 LB. SA 3.00 CY 9990 ENV FEE . 3.00 CY 1001 WINTER SURCHARGE 3.00 CY 94000793 !WORKER RIGHTS IM Sales Tax: Ticket Total: i Balance Forward: Standing Time: Order Total: MATERIAL DESCRIPTION DESIGN TARGET ACTUAL ERR FREE WTR MOISTURE TYPE_I-II 22-307 564 .00 1692.00 1710.00 1.1 BLD_SAND 3400.00 10750.80 10740.00 -0.1 550.25 5.40% water 2 0.00 29.39 15.00 -49.0 Daravair 1 5.00 15.00 15.00 0.0 0.00 0.00% Max Allowable Water: 7.04 gl Actual W/C Ratio: 0.33 Design W/C Ratio: 0.37 I have read.understood and I agree to all the above,Includln§thb Terms and Conditions on the reverse of or accompanying this document,and incorporated by reference. ' DL-04 Signature y � _ Y 1 r • Leave Plant___ CPTaylor Way Plant 2915805 Arrive Job DISPATCH: (800)750-0123 I111 111111Jjfl CAL?ORTLAND` 3601 Taylor Way Start Pour TACOMA, WA 98421 Finish Warning:Irritation to Skin and Eyes WEIGHMASTER CERTIFICATE Pour California Only This product contains Portland Cement.Freshly mixed cement,mortar,grout or THIS IS TO CERTIFY that the following described commodity was weighed,measured concrete may cause skin irritation and/or allergic reaction.Do not use without or counted by a weighmaster,whose signature is on this certificate who is a Finish protective gear and clothing.Avoid any contact with skin.Wash exposed areas recognized authority of accuracy,as prescribed by Chapter 7i(commencing with Wash Section 1270o;of Division 5 of the California Business and Professions Code,administered immediately with water.If cementitous materials get into the eye,rinse immediately by the Division of Measurement Standards of the California Department of Food and and repeatedly with water and get prompt medical attention, Agriculture. Leave Job Keep Away From Children I Weighmaster: Rev Counter Thisconcretenisdesi nedinaccordanceto Water added at customer's request g Arrive Load: American Concretelnstitutestandards.Any Reasons for Delay Time water added to this design will be at purchasers Plant Slump on arrival risk.Materials hereby sold become property of Job not ready Time purchaser at time of orgin.Calporttand is not responsible for damages to property in the Lack of HelpAllowed ! Gals to full load event that delivery is beyond curb line.Seller is 18 Test Cylinders not responsible for popouts or other imperfections Wheel Barrow Job Time Used 'Gals to 2/3 load Taken: resulting from reactive aggregates. Pump Late/Problems Excess (Gals to 1/3 load Other Time Date/Time: Superplasticer Cust.Proj#: Ordered By: Phone#: Map Page: Amt Added: 08—Dec-22 11:07 46308 MIKE Customer: Order Type: P.O.Number 1 Driver Name: Truck#: Order#: 1007468 STRIPE RITE INC Charge 2150 IJRIVER A SPARE 1998 218 Scheduled Arrival: Slump: Load#: Prey.Truck#: Qty This Load: Qty Delivered: Qty Ordered: Plant: Alley: Truck License#: 11:13 10.50 0003 1998 3.00 T 9.00 9.00 255 Delivery Address: Ticket Notes: TACOMA FOB 98 TACOMA, WA Quantity UOM Product Code Product Description Unit Price Amount Changed 3.00 CY 3381 6.0 SK CURB MIX 3.00 CY 9990 ENV FEE 3.00 CY 1001 WINTER SURCHARGE 3.00 CY 94000793 WORKER RIGHTS IM • Sales Tax: I Ticket Total: Balance Forward: Standing Time: Order Total: 1 MATERIAL DESCRIPTION DESIGN TARGET ACTUAL ERR FREE WTR MOISTURE TYPE_I—II 22-307 564.00 1692.00 1695.00 0.2 BLD_SAND 3400.00 10833.42 10860.00 0.2 634.97 6.21% Daravair 1 5.00 15.00 15.00 0.0 0.00 0.00% Max Allowable Water: 0.00 gl Actual W/C Ratio: 0.37 Design W/C Ratio: 0.37 I have read,understood and I agree to all the above.including the Terms and ConFtitiens on the reverse of,or accompanying this document,and incorporated by reference. DL-04 Signature r _ 4 • r 44 1 Leave CP ADM I N Office: (800) 750-0123 Plant CPO Box 1730 Seattle, WA 98111 Arrive Job CAL�ORTLAND 11111111111111111111111111111111111111111111111111Start Pour CKET#: 2916345 Warning:Irritation to Skin and Eyes WEi HMASTER CERTIFICATE Finish y uuromia Only Pour This product contains Portland Cement.Freshly mixed cement,mortar,grout or THIS IS TO CERTIFY that the following described commodity was weighed,measured concrete may cause skin irritation andfor allergic reaction.Do not use without or counted by a weighmaster,whose signature is on this certificate who is a Finish protective gear and clothing.Avoid any contact with skin.Wash exposed areas recognized authority of accuracy as prescribed by Chapter 7(commencing with Wash Section 12700)of Division S ofthe California Business and Professions Code,admirnstered immediately with water.If cementitous materials get into the eye,rinse immediately by the Division of Measurement Standards of the California Department of Food and and repeatedly with water and get prompt medical attention. Agriculture. Leave Job Keep Away From Children weighmaster: Water added at customer's request Rev Counter on This concrete is designed in accordance to Arrive Load: American Concrete lnstituter5tandards.Any Reasons for'Delay Time Plant water added to this design will be at purchasers Slump on arrival risk.Materials hereby sold become property of Job not ready purchaser at time of orgin.Calportland is not Time responsible for damages to property in the Lack of HelpAllowed Gals to full load event that delivery is beyond curb line.Seller is Test Cylinders not responsible for popoutsorptherimperfections Wheel Barrow Job Gals to 2/3 load Taken: resulting from reactivea'9gregates. Time Used Pump Late/Problems Gals to 1/3 load Excess Other Time Date/Time: Superplasticer Cust.Proj#: Ordered By: Phone#: Map Page: 12/9/2022 8: 42 AM AmtAdded: 46810 MIKE I 1 I Customer: 1007468 10rder Type: P.O.Number Driver Name: Truck#: Order#: STRIPE RITE INC I Charge 2155 DRIVER A_SPAREC1996 209 Scheduled Arrival: Slump: lLoad#: Prey.Truck#: Qty This Load: Qty Delivered: Qty Ordered: I Plant: I Alley: I Truck License#: 8: 50: 00 AM 1. 00 2 1997 I 3. 50"', 7. 00._; 7. 00 ' 291 Delivery Address: i Ticket Notes: SEA FOB SEATTLE, WA Quantity UOM Product Code Product Description Unit Price Amount Changed 3. 50 yd 3381 6. 0 SK CURB MIX 3. 50 CY 9990 ENV FEE 3. 50 CY 94000793 WORKER RIGHTS IM 3. 50 CY 1001 WINTER SURCHARGE Sales Tax: Ticket Total: Balance Forward: Standing Time: Order Total: Truck Driver User Disp Ticket Num Ticket ID Time Date 1996 1956 DGILL 2916345 384031 8:42 12/9/22 Load Size Mix Code Returned Qty Mix Age Seq Load ID 3.50 CY 3381 W 38402.6 Material Description Design Qty Required Batched %Var%Moisture Actual Wat BLD_SAND CLASS 2 3440 lb 12876 lb 12820 lb -0.43% 6.94%A 100 gl T IL CP 22-338 564 lb 1974 lb 1980 lb 0.30% WATER WATER 208.0 lb 446.0 lb 442.0 lb -0.91% 53.0 gl HOT WATER GATE#2 .0 % # .0 lb .0 lb 1 Actual Num Batches: 1 Load 15242 lb Design W/C: 0.369 Water/Cement: 0.644 A Design 87.2 gl Actual 152.7 gl To Add: 0.0 gl Slump. 1.00 in # Water in Truck: 0.0 lb Adjust Water: 0.0 lb 1 Load Trim Water: 150.0 lb / CY Actual W/C Ratio:0.644 Actual Water: 153 gl Batched Cement: 1980 lb Allowable Water: 0 lb Max_Allow;0.0 lb Wat Cem C I have read,understood and I agree to all the above,including the Terms and Conditions on the reverse of,or accompanying this document,and incorporated by reference. L-04 Signature 7 tl Leave 19 ADMIN Office: (800) 750-0123 Plant PO Box 1730 Seattle, WA 98111 Arrive Job CAL?ORTLAN D 1111111111111111111111111111111111111111111111 I Start Pour CKEM: 2916344 Warning:Irritation to Skin and Eyes WEIGHMASTER CERTIFICATE FloPor u Caiirornia only u This product contains Portland Cement.Freshly mixed cement,mortar,grout or THIS IS TO CERTIFY that the following described commodity was weighed,measured concrete may cause skin irritation and/or allergic reaction.Do not use without or counted by a weighmaster,whose signature is on this certificate who is a Finish protective gear and clothing.Avoid any contact with skin.Wash exposed areas recognized authf ority of accuracy,as prescribed by Chapter 7(commencing with Wash immediatelywith water.If cementitous materialsget into the eye,rinse immediatelybyct e tt70o!oof Measur Measurement Standard Businessft and CaliforniaD o a Code,of Foot and Y by the Division of Measurement Standards of the rnia Department of Food and and repeatedly with water and get prompt medical attention. Agriculture. Leave Job Keep Away From Children Weighmaster: Water added at customer's request Rev Counter on Thisconcretenisdesignedinaccordanceto q Load: American Concrete institute Standards.Any Reasons for Delay Time Arrive water added to this design will beat purchasers Plant 'Slump on arrival risk.Materials hereby sold become property of Job not ready purchaser at time of orgin.Calportland is not Time responsible for damages to property inthe Lack of HelpAllowed Gals to full load - event that delivery is beyond curb line.Seller is --------- -Test ---- Cylinders not responsible for popouts or other imperfections Wheel Barrow Job Time Used Gals to 2/3 load Taken: resulting from reactivelaggregates. Pump Late/Problems Gals to 1/3 load Excess Other Time Date/Time: Superplasticer Cust.Projk: Ordered By: Phone#: Map Page: 12/9/2022 8: 39 AM!AmtAdded: 46810 MIKE Customer: 1007468 Order Type: r P.O.Number Driver Name: Truck#: Order#: STRIPE RITE INC Charge 2155 DRIVER A_SPAREC1997 209 Scheduled Arrival: Slump: LLoad#: Prev.Truck#: Qty This Load: Qty Delivered: Qty Ordered: j Plant: 1 Ailey: Truck License#: 8: 50: 00 AM 1 1. 001 1 3. 50 3. 50 7. 00 291 i Delivery Address: i Ticket Notes: . SEA FOB SEATTLE, WA Quantity UOM Product Code Product Description Unit Price Amount Changed 3. 50 yd 3381 6. 0 SK CURB MIX 3. 50 CY 9990 ENV FEE 3. 50 CY 94000793 WORKER RIGHTS IM i 3. 50 CY 1001 WINTER SURCHARGE Sales Tax: Ticket Total: 1 Balance Forward: I Standing Time: Order Total: l Truck Driver User Disp Tic:Ket Num Ticket ID Time Date 1997 1957 DGILL 2916344 384028 8:39 12/9/22 Load Size Mix Code Returned Qty Mix Age Seq Load ID 3.50 CY 3381 W 384024 Material Description Design Qty Required Batched %Var%Moisture Actual Wat BLD_SAND CLASS 2 3440 lb 12874 lb 12920 lb 0.36% 6.92%A 100 gl T IL CP 22-338 564 lb 1974 lb 1970 lb -0.20% WATER WATER 208.0 lb .0 lb .0 lb HOT WATER GATE#2 100.0 % # .0 lb .0 lb + Actual Num Batches: 1 Load 14890 lb Design W/C: 0.369 Water/Cement: 0.425 A Design 87.2 gl Actual 100.2 gl To Add: 0.0 gl Slump: 1.00 in # Water in Truck: 0.0 lb Adjust Water: 0.0 lb /Load Trim Water: -10.0 lb/ CY Actual W/C Ratio: 0.425 Actual Water 100 gl Batched Cement 1970 lb Allowable Water: 0 lb Max_Allow:0.0 lb Wat Gem C I have read.understood and I agree to all the above,including the Terms and Conditions on the reverse of.or accompanying this document.and incorporated by reference. )L-04 Signature