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HomeMy WebLinkAboutCAG-20-065 - Duvall - Change Order 25 • Washington State ♦/ Department of Transportation Request for Approval of Material Contract Number FA Number N/A SR Duvall Ave NE Date CAG 20-065 1/19/2023 Section/Title of Project Duvall Ave NE County King Contractor Subcontractor Reed Trucking & Excavating, Inc. Stripe Rite This form shall be completed prior to submittal.If this form Is not compete at time of submittal It may 1, For WSDOT Use Only be returned for Information that was omitted. RAM# 102 PE Use Bid Item Material or Name and Location of Fabricator, Specification PEIQPL Hdgtr IQPL HQ Use No. ProductlTVpe Manufacturer or Pit Number Reference Code Code A116 Paint Ennis , 9-34.2(6) 8/3101 . A116 Glass Beads Potters 9-34.4 8/3101 • Project Engineer/Representative Date State Materials Engineer/Representative Date 1/19/2023 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory 1. Acceptance Criteria: Acceptance based upon"Satisfactory"Test Report for samples of materials to be incorporated Into project. 2. Acceptance Criteria: Mfg.Cert.of Compliance for'Acceptance'prior to use of material. 3. Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved ❑Yes ❑No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance Criteria: Only'Approved for Shipment','WSDOT Inspected'or'Fabrication Approved Decal'material shall be used. 6. Acceptance Criteria: Submit Certificate of Materials Origin to Project Engineer Office. 7. Acceptance Criteria: Request Transmitted to State Materials Laboratory for Approval Action. BOSource Approved: Visual Inspection Required 9. Approval Withheld: Submit samples for preliminary evaluation. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Remarks (HQ): DOT Form 350-071 Project Engineer Distribution • Revised 03/2021 ®Contractor 11 Region Operations Engineer ❑Fabrication Inspection 12 Region Materials ❑State Materials Lab-MS 47365 washington State AIM Department of waneportation Qualified Product List Product Information Manufacturer: Ennis-Flint, Inc. - Salem, OR Product Name : Morline: White I.D. No. 985691/HWVW1 and Yellow I.D. No. 985697/HWVY3 Standard Spec : 9-34.2(4), Pavement Marking - Low VOC Solvent Based Paint Product Description : Permanent pavement marking paint: Low VOC solvent based; Sprayed application. Product Restriction : Acceptance Code : 3101 Code Description : Visually verify the product delivered to the job site is the product that was originally submitted by the Contractor and approved from the QPL. Note 'Restrictions' when present. Last Updated : Aug 1, 2019 Contractors with WSDOT Click here for Contractor Product Info Page Copyright WSDOT©2016 Qualified Product List https://wsdot.wa.g i/mats/QPL/QPLPrint.cfm?Product_no=19936... Engineer's addition Washington State January 19,2023 Qualified Product List Contractor Product Information Contractor: Contract No: Sub Contractor: Date: Bid Item: Manufacturer: Ennis-Flint, Inc. - Salem, OR Product Name: Morline: White I.D. No. 985691/HWVW1 and Yellow I.D. No. 985697/HWVY3 Standard Spec : 9-34.2(6), Pavement Marking - Temporary - Paint - Solvent Base Product Description : Temporary pavement marking paint: Low VOC solvent based; Sprayed application. Product Restriction : Acceptance Code : 3101 Code Description : Visually verify the product delivered to the job site is the product that was originally submitted by the Contractor and approved from the QPL. Note 'Restrictions' when present. Last Updated : Aug 1, 2019 To be completed by the field inspector: Quantity: Verified By: Date: 1 of 1 1/19/2023,9:41 AM Date Printed: 2/16/2021 Product: 985691 Safety Data Sheet ENNIs-FLINT TM Marti d Tra15c Sahty' Section 1. Identification Product Code: 985691 Product Name: SB WHT 150 VOC ACRYLIC Product Type: SB Paint Recommended Use: Traffic Markings Supplied by: Ennis-Flint, Inc. 4161 Piedmont Parkway, Suite 370 Greensboro, NC 27410 T:800.331.8118 Emergency Telephone: Chemtrec 1-800-424-9300 2. Hazards Identification EMERGENCY OVERVIEW: FLAMMABLE liquid and vapor. This product contains a component suspected of causing cancer. However, it is in a non-respirable form and inhalation is unlikely to occur from exposure. This classification is relevant when exposed to dust or powder form only(e.g.sanding,grinding). GHS Classification Carc. 1B, Eye Irrit.2, Flam.Liq.2, Muta. 1B, STOT SE 3 NE Symbol(s)of Product 41}P Signal Word Danger GHS HAZARD STATEMENTS Flammable Liquid,category 2 H225 Highly flammable liquid and vapour. Eye Irritation,category 2 H319 Causes serious eye irritation. STOT,single exposure,category 3, NE H336 May cause drowsiness or dizziness. Germ Cell Mutagenicity,category 1B H340 May cause genetic defects.Classification as mutagenic category 1 , if one of the ingredients is contained in an amount of at least 0.1 % .Applicable to liquids ,solids(in w/w)and gases(v/v) .The fabric can also have their own exposure limit. Routes of exposure depend on the form of the ingredient. Carcinogenicity,category 1B H350 May cause cancer. GHS PRECAUTIONARY STATEMENTS P201 Obtain special instructions before use. P210 Keep away from heat/sparks/open flames/hot surfaces.-No smoking. P233 Keep container tightly closed. P240 Ground/bond container and receiving equipment. P241 Use explosion-proof electrical/ventilating/lighting/.../equipment. P242 Use only non-sparking tools. P243 Take precautionary measures against static discharge. P261 Avoid breathing dust/fume/gas/mist/vapours/spray. P281 Use personal protective equipment as required. P305+P351+P338 IF IN EYES: Rinse cautiously with water for several minutes.Remove contact lenses, if present and easy to do.Continue rinsing. Page 1 /8 Date Printed: 2/16/2021 Product: 985691 P308+P313 IF exposed or concerned:Get medical advice/attention. P312 Call a POISON CENTER or doctor/physician if you feel unwell. P337+P313 If eye irritation persists: Get medical advice/attention. P403+P233 Store in a well-ventilated place. Keep container tightly closed. 3. Composition/Information on Ingredients Chemical Name CAS-No. Wt.% GHS Symbols GHS Statements Calcium Carbonate 1317-65-3 25-50 No Information No Information Acetone 67-64-1 10-25 GHS02-GHS07 H225-319-336 Titanium Dioxide 13463-67-7 2.5-10 No Information No Information Solvent Naphtha(Petroleum), Light Aromatic 64742-95-6 2.5-10 GHS08 H304-340-350 Magnesium silicate(talc) 14807-96-6 2.5-10 No Information No Information Chloroalkanes 61788-76-9 2.5-10 No Information No Information Xylene 1330-20-7 1.0-2.5 GHS02-GHS07 H226-315 Ethylbenzene 100-41-4 0.1-1.0 GHS02-GHS08 H225-304-373 Crystalline Silica,Quartz 14808-60-7 0.1-1.0 GHS08 H351 4. First-aid Measures FIRST AID-GENERAL ADVICE:When symptoms persist or in all cases of doubt seek medical advice. FIRST AID-INHALATION: Move to fresh air. Give oxygen or artificial respiration if needed. Consult a physician if symptoms persist. FIRST AID-INGESTION: Do NOT induce vomiting. If conscious, rinse mouth and drink plenty of water. Never give anything by mouth to an unconscious person.Consult a physician. FIRST AID-SKIN CONTACT:Wash affected area immediately with soap and plenty of water. Remove contaminated clothing and launder before reuse. Consult a physician if symptoms persist. FIRST AID-EYE CONTACT: Rinse immediately with plenty of water,also under the eyelids,for at least 15 minutes. Consult a physician if symptoms persist. MOST IMPORTANT SYMPTOMS AND EFFECTS:Contact will cause irritation and redness to exposed areas.Causes painful stinging or burning of eyes and lids,watering of eyes. Prolonged contact may even cause severe skin irritation or mild burn. Overexposure by inhalation or ingestion may cause CNS depression,drowsiness,dizziness,confusion headache or loss of coordination. NOTES TO PHYSICIAN:Treat symptomatically.Contact poison treatment specialist immediately if large quantities have been ingested or inhaled. 5. Fire-fighting Measures UNUSUAL FIRE AND EXPLOSION HAZARDS: Flammable liquid. Vapors can form an ignitable mixture with air. Vapors can flow along surfaces to a distant ignition source and flash back. Vapors can spread along ground and collect in low or confined areas (sewers,basements,tanks). Water spray may reduce vapor, buy may not prevent ignition in closed spaces. SPECIAL FIREFIGHTING PROCEDURES:Flammable. Cool fire-exposed containers using water spray. As in any fire,wear self- contained breathing apparatus pressure-demand, MSHA/NIOSH(approved or equivalent)and full protective gear. EXTINGUISHING MEDIA: Alcohol Foam,Carbon Dioxide, Dry Chemical, Foam 6. Accidental Release Measures STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED:ELIMINATE all ignition sources(no smoking,flares, sparks or flames in immediate area). Take precautionary measures against static discharges. All equipment used when handling the product must be grounded. A vapor suppressing foam may be used to reduce vapors. Use personal protective equipment. Ensure adequate ventilation. Dike far ahead of liquid spill for later disposal. Use clean non-sparking tools to collect absorbed material. METHODS AND MATERIALS FOR CONTAINMENT AND CLEANUP:Soak up with inert absorbent material. Use non-sparking or explosion proof means to transfer material to a sealed,appropriate container for disposal.Clean contaminated surfaces thoroughly. ENVIRONMENTAL PRECAUTIONS: Prevent entry into waterways,sewers, basements or confined areas. Avoid release to the environment. For larger spills,cover drains and build dikes to prevent entry into sewer systems or bodies of water. EMERGENCY ADVICE: Evacuate surrounding areas. Keep unnecessary and unprotected personnel from entering. Do not touch or Page 2/8 , Date Printed: 2/16/2021 Product: 985691 walk through spilled material.Shut off all ignition sources. No flares,smoking or flames in hazard area.Avoid breathing vapor or mist. Provide adequate ventilation.Wear appropriate respirator when ventilation is inadequate. Put on appropriate personal protective equipment. PERSONAL PRECAUTIONS: Use personal protective equipment as required. Remove all sources of ignition. Prevent foot traffic. Only specially trained or qualified personnel should handle cleanup.Stop the leak if there is no risk involved.Avoid breathing vapors, mist or gas. Ensure adequate ventilation.Wear appropriate respirator when ventilation is inadequate. 7. Handling and Storage Iticil HANDLING: Flammable liquid. Avoid heat,sparks and open flames. Ensure adequate ventilation. Avoid breathing vapor, mists or dust. Avoid contact with eyes,skin,and clothing. Wear appropriate personal protective equipment. Wash contaminated clothing before reuse. Do not eat,drink or smoke when using this product. Wash thoroughly after handling. Observe good industrial hygiene practices. Prevent vapor buildup by providing adequate ventilation during and after use. Take precautionary measures against static discharges. All equipment used when handling the product must be grounded. STORAGE: Keep containers tightly closed in a cool,well-ventilated place. Store away from heat and sources of ignition. Use where airflow will keep vapors from building up in or near the work area and adjoining areas. Dissipate static electricity during transfer by grounding and bonding containers and equipment before transfering material. Use explosion proof electrical equipment for ventilation, lighting and material handling. Keep in properly labeled containers. 8. Exposure Controls/Personal Protection Ingredients with Occupational Exposure Limits Chemical Name ACGIH TLV-TWA ACGIH-TLV STEL OSHA PEL-TWA OSHA PEL-CEILING Calcium Carbonate N.E. . N.E. 15 mg/m3 N.E. Acetone 250 ppm 500 ppm 750 PPM N.E. Titanium Dioxide 10 mg/m3 N.E. 15 mg/m3 N.E. Solvent Naphtha(Petroleum), Light N.E. N.E. N.E. N.E. Aromatic Magnesium silicate(talc) 2 mg/m3 N.E. 2 mg/m3 N.E. Chloroalkanes N.E. N.E. N.E. N.E. Xylene 100 ppm 150 ppm 100 ppm N.E. Ethylbenzene 100 PPM 125 ppm 100 PPM N.E. Crystalline Silica,Quartz 0.025 mg/m3 N.E. 0.05 mg/m3 N.E. Further Advice:MEL=Maximum Exposure Limit OES=Occupational Exposure Standard SUP=Supplier's Recommendation Sk=Skin Sensitizer N.E.=Not Established Personal Protection 0RESPIRATORY PROTECTION: If exposure limits are exceeded or irritation is experienced, NIOSH/MSHA approved respiratory protection should be worn. Positive-pressure supplied air respirators may be required for high airborne contaminant concentrations. Respiratory protection must be provided in accordance with current local regulations. SKIN PROTECTION:Chemical resistant impervious gloves/clothing. 0 110 EYE PROTECTION: Use chemical safety goggles and/or full face shield where splashing is possible. Contact lenses/ s should not be worn when working with this material. Maintain eye wash fountain and quick-drench facilities in work areas. ( OTHER PROTECTIVE EQUIPMENT: Eyewash stations,safety showers,ventilation systems. Page 3/8 Date Printed: 2/16/2021 Product:985691 HYGIENIC PRACTICES:When using,do not eat,drink or smoke. Provide regular cleaning of equipment,work area ' ' % and clothing.Wash hands before breaks and immediately after handling the product. Handle in accordance with good industrial hygiene and safety practice. ENGINEERING CONTROLS:Provide exhaust ventilation sufficient to keep the airborne concentration of this product below its exposure limits. Exhaust air may need to be cleaned by scrubbers or filters to reduce environmental contamination. 9. Physical and Chemical Properties Appearance: White Liquid Physical State: Liquid Odor: Aromatic Solvent Odor Threshold: Not Established Density,g/cm3: 1.401 pH: Not Applicable Freeze Point, °C: No Information Viscosity: No Information Solubility in Water: Insoluble Partition Coefficient, n-octanol/ No Information Decomposition temperature, °C No Information water: Boiling Range,°C: Not Determined Explosive Limits, %: Not Determined Combustibility: Supports Combustion Flash Point,°C: 0 Evaporation Rate: Slower than Diethyl Ether Auto-Ignition Temperature,°C No Information Vapor Density: Heavier than air Vapor Pressure,mmHg: No Information (See"Other information"Section for abbreviation legend) 10. Stability and Reactivity REACTIVITY: No reactivity hazards known under normal storage and use conditions. STABILITY:Stable under recommended storage conditions. CONDITIONS TO AVOID:Avoid all possible sources of ignition(heat,flames and sparks). Do not pressurize,cut weld, braze, solder,drill,grind or expose containers to heat or sources of ignition. INCOMPATIBILITY:Strong acids. Chlorinated compounds. Strong oxidizing agents. HAZARDOUS DECOMPOSITION PRODUCTS:Carbon oxides. Hydrocarbons. Carbon dioxide. 11. Toxicological Information * Practical Experiences MOST IMPORTANT SYMPTOMS AND EFFECTS:Contact will cause irritation and redness to exposed areas.Causes painful stinging or burning of eyes and lids,watering of eyes. Prolonged contact may even cause severe skin irritation or mild burn. Overexposure by inhalation or ingestion may cause CNS depression,drowsiness,dizziness,confusion headache or loss of coordination. EFFECT OF OVEREXPOSURE-INHALATION: Inhalation may cause irritation to the respiratory tract(nose, mouth, mucous membranes). May cause central nervous system depression with nausea, headache,dizziness,vomiting,and incoordination. Sanding and grinding dust may be harmful if inhaled. EFFECT OF OVEREXPOSURE-INGESTION: Ingestion may cause irritation to mucous membranes. May cause gastrointestinal irritation, nausea,vomiting,and diarrhea. EFFECT OF OVEREXPOSURE-SKIN CONTACT: Irritating to skin. Repeated exposure may cause skin dryness or cracking. EFFECT OF OVEREXPOSURE-EYE CONTACT: Irritating to eyes. EFFECT OF OVEREXPOSURE-CHRONIC HAZARDS: Ethylbenzene has been classified by the International Agency for Research on Cancer(IARC)as possibly carcinogenic to humans(Group 2B). Prolonged or repeated overexposure to ethylbenzene may result in adverse effects to the kidneys,liver, respiratory system,thyroid,testicles, and pituitary glands. This product contains titanium dioxide in a non-respirable form. Inhalation of titanium dioxide is unlikely to occur from exposure to this product. Inhalation exposure to respirable levels of crystalline silica may cause respiratory impairment and lung damage. This product contains crystalline silica (quartz)in a non-respirable form. Inhalation of crystalline silica is unlikely to occur from exposure to this product. Crystalline silica Page 4/8 Date Printed: 2/16/2021 Product: 985691 (quartz)has been classified by the International Agency for Research on Cancer(IARC)as a known human carcinogen. CARCINOGENICITY:This product contains one or more substances which are classified by IARC as carcinogenic to humans(Group I),probably carcinogenic to humans(Group 2A)or possibly carcinogenic to humans(Group 2B). PRIMARY ROUTE(S)OF ENTRY: Eye Contact, Inhalation, Skin Absorption, Skin Contact Acute Toxicity Values The acute effects of this product have not been tested. Data on individual components are tabulated below CAS-No. Chemical Name Oral LD50 Dermal LD50 Inhalation LC50 1317-65-3 Calcium Carbonate >2000 mg/kg >2000 mg/kg >20001 ppm(Gas/Mist) 67-64-1 Acetone 5800 mg/kg Rat >15700 mg/kg Rabbit N.I. 13463-67-7 Titanium Dioxide >10000 mg/kg Rat N.I. >20001 ppm(Gas/Mist) 64742-95-6 Solvent Naphtha (Petroleum), Light Aromatic 8400 mg/kg Rat >2000 mg/kg Rabbit >20001 ppm(Gas/Mist) 14807-96-6 Magnesium silicate(talc) >2000 mg/kg >2000 mg/kg >20001 ppm(Gas/Mist) 61788-76-9 Chloroalkanes >2000 mg/kg >2000 mg/kg >20001 ppm(Gas/Mist) 1330-20-7 Xylene >2000 mg/kg >2000 mg/kg >20001 ppm(Gas/Mist) 100-41-4 Ethylbenzene >2000 mg/kg 15400 mg/kg Rabbit >20001 ppm(Gas/Mist) 14808-60-7 Crystalline Silica,Quartz >2000 mg/kg >2000 mg/kg >20001 ppm(Gas/Mist) N.I.=No Information 12. Ecological Information ECOLOGICAL INFORMATION:The environmental impact of this product has not been fully investigated. Do not contaminate ponds, waterways or ditches with this material. PRESISTENCE AND DEGRADABILITY: No Information BIOACCUMULATIVE POTENTIAL: No Information MOBILITY: No Information OTHER ADVERSE ECOLOGICAL EFFECTS: No Information 13. Disposal Information i(t/Sy Product DISPOSAL METHOD:This material,as supplied, is a hazardous waste according to federal regulations(40 CFR 261). Dispose of contents/container in accordance with the local/regional/national/international regulations. Do not re-use empty containers. Empty containers pose a potential fire and explosion hazard. Do not cut, puncture of weld containers. STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: ELIMINATE all ignition sources(no smoking,flares, sparks or flames in immediate area). Take precautionary measures against static discharges. All equipment used when handling the product must be grounded. A vapor suppressing foam may be used to reduce vapors. Use personal protective equipment. Ensure adequate ventilation. Dike far ahead of liquid spill for later disposal. Use clean non-sparking tools to collect absorbed material. CONTAMINATED PACKAGING: Empty containers retain product residue and can be dangerous. Do not pressurize,cut,weld, braze, solder,drill,grind,or expose such containers to heat,flame,sparks static electricity,or other sources of ignition. 14. Transport Information SPECIAL TRANSPORT PRECAUTIONS: No Information Page 5/8 Date Printed: 2/16/2021 Product:985691 Road Transport UN Number: UN1263 Shipping Name: Paint Transport Hazard Class: 3 Packing Group: II ERG No: 128 Sea Transport UN Number: UN1263 Shipping Name: Paint IMDG Class: 3 Packing Group: II EmS-No: F-E, S-E Marine Pollutant: Not A Marine Pollutant Air Transport UN Number: UN1263 Shipping Name: Paint IATA Class: 3 Packing Group: II 115. Regulatory Information U.S. Federal Regulations: CERCLA-SARA Hazard Category v This product has been reviewed according to the EPA'Hazard Categories'promulgated under Sections 311 and 312 of the Superfund Amendment and Reauthorization Act of 1986(SARA Title Ill)and is considered, under applicable definitions,to meet the following categories: Flammable(gases, aerosols,liquids,or solids), Carcinogenicity, Serious eye damage or eye irritation,Specific target organ toxicity(single or repeated exposure),Germ cell mutagenicity SARA SECTION 313: This product contains the following substances subject to the reporting requirements of Section 313 of Title Ill of the Superfund Amendment and Reauthorization Act of 1986 and 40 CFR part 372: Chemical Name CAS-No. Xylene 1330-20-7 Ethylbenzene 100-41-4 Toluene 108-88-3 TOXIC SUBSTANCES CONTROL ACT: This product contains the following chemical substances subject to the reporting requirements of TSCA 12(B)if exported from the United States: Chemical Name CAS-No. Chloroalkanes 61788-76-9 U.S. State Regulations: NEW JERSEY RIGHT-TO-KNOW: The following materials are hazardous or among the top five components in this product. Chemical Name CAS-No. Page 6/8 Date Printed: 2/16/2021 Product: 985691 Calcium Carbonate 1317-65-3 Acetone 67-64-1 Acrylic polymer Calcined Aluminum Silicate Powder 92704-41-1 Titanium Dioxide 13463-67-7 Solvent Naphtha (Petroleum), Light Aromatic 64742-95-6 Magnesium silicate(talc) 14807-96-6 Chloroalkanes 61788-76-9 Xylene 1330-20-7 Ethylbenzene 100-41-4 Crystalline Silica,Quartz 14808-60-7 PENNSYLVANIA RIGHT-TO-KNOW The following non-hazardous ingredients are present in the product at greater than 3%. Chemical Name CAS-No. Calcium Carbonate 1317-65-3 Acetone 67-64-1 Acrylic polymer Calcined Aluminum Silicate Powder 92704-41-1 Titanium Dioxide 13463-67-7 Petroleum Hydrocarbon Resin 64742-16-1 Solvent Naphtha(Petroleum), Light Aromatic 64742-95-6 Magnesium silicate(talc) 14807-96-6 Chloroalkanes 61788-76-9 Xylene 1330-20-7 Ethylbenzene 100-41-4 Crystalline Silica,Quartz 14808-60-7 CALIFORNIA PROPOSITION 65 CARCINOGENS WARNING Warning:The following ingredients present in the product are known to the state of California to cause Cancer: Chemical Name CAS-No. Titanium Dioxide 13463-67-7 Magnesium silicate(talc) 14807-96-6 Ethylbenzene 100-41-4 Crystalline Silica,Quartz 14808-60-7 CALIFORNIA PROPOSITION 65 REPRODUCTIVE TOXINS WARNING Warning:The following ingredients present in the product are known to the state of California to cause birth defects,or other reproductive hazards. No Proposition 65 Reproductive Toxins exist in this product. International Regulations: As follows - CANADIAN WHMIS: This SDS has been prepared in compliance with Controlled Product Regulations. Page 7/8 Date Printed: 2/16/2021 Product:985691 16. Other Information Revision Date: 2/11/2021 Supersedes Date: 12/11/2020 Datasheet produced by: Regulatory Department HMIS Ratings: Health: 3 Flammability: 4 Reactivity: 1 Personal Protection: X NFPA Ratings: Health: 3 Flammability: 4 Reactivity: 1 Hazards: N.I. Legend: N.A.-Not Applicable, N.E.-Not Established, N.D.-Not Determined The information on this sheet corresponds to our present knowledge. It is not a specification and it does not guarantee specific properties. The information is intended to provide general guidance as to health and safety based upon our knowledge of the handling,storage,and use of the product. It is not applicable to unusual or non-standard uses of the product where instructions and recommendations are not followed. Any use of the product not in conformance with this SDS or in combination with any other product or process is the responsibility of the user. Page 8/8 . � Washington State TI/ Department'otTransportation Qualified Product List Product Information Manufacturer: Potters Industries, Inc. - Canby, OR Product Name : Glass Beads for Pavement Marking Standard Spec : 9-34.4, Pavement Marking - Glass Beads ' Product Description : Glass beads: Exterior coating(s) as required for the type of pavement marking being used (Reapproved 5-10-11) Product Restriction : Acceptance Code : 3101 Code Description : Visually verify the product delivered to the job site is the product that was originally submitted by the Contractor and approved from the QPL. Note 'Restrictions' when present. Last Updated : Mar 19, 2013 Contractors with WSDOT Click here for Contractor Product Info Page Copyright WSDOT©2016 To be completed by the field inspector: • Quantity: Verified By: Date: Change Order No. 25 Backup Documentation Contract Title: Duvall Avenue NE Contractor: Reed Trucking& Excavating, Inc. Contract No. : CAG-20-065 Federal Aid No. : N/A Attachments: Backup Documentation • Field Directive • Equitable Adjustment Determination • Determination of Additional Working Days ® Engineer's Estimate of Change Order Cost ® Engineer's Calculation of Additional Working Days ® Contractor's Quote ® Project Labor List ❑ Contractor's Equipment list including rates per AGC-WSDOT Equipment Agreement ❑ Summary of invoices for rented equipment ❑ Summary of invoices for materials Change Order No. 025 Paint Line with Supp RPM's Contract Title: Duvall Avenue NE Contract No. CAG -20-065 Page 1 of 1 City of Renton Field Directive No: 11 1111140h Project Name: Duvall Ave NE Contractor: Reed Trucking and Excavating,Inc. Contract No: CAG-20-065 WA. Federal Aid No: N/A By: TIB No: N/A Date: 11E161L11111PIPP Construction Manager: Tani Stafford The following is documentation of the oral order given by the Resident Engineer per WSDOT Std Spec 1-04.4 The Contractor is directed to do the following changed work: Supplement the longitudinal lane markings with Type 2 Raised Pavement Markings(RPMs)per WSDOT Standard Plan M-20.30-04. This change affects the lane line longitudinal markings with construction note 14 on the Drawings CH2 to CH4. Supplement the longitudinal left turn lane centerline markings with Type 2 Raised Pavement Markings(RPMs) per WSDOT Standard Plan M-20.40-03. This change affects the centerline longitudinal markings for the left turn lanes with construction note 13 on the Drawings CH2 to CH4. Supplement the longitudinal left turn lane wide lane markings with Type 2 Raised Pavement Markings(RPMs) per WSDOT Standard Plan M-20.40-03. This change affects the left turn white lane lines with construction note 6 on the Drawings CH2 to CH4. The quantity for BI A79 Raised Pavement Marker Type 2 is estimated to increase by 0.85 HD. Rough Cost Estimate,WSDOT Construction Manual 1-04.4,Changes. Cost Adjustments: The approximate quantity increase for bid item A79 Raised Marker Type 2=0.85 HD @$350.00/HD=$297.50 A Change Order covering this Field Directive will follow immediately. Contractor Date City of Renton Field Directive No: 30 DA/l Project Name: Duvall Ave NE Contractor: Reed Trucking and Excavating,Inc. Contract No: CAG-20-065 Federal Aid No: N/A By. TIB No: N/A Date: Construction Manager: Tani Stafford riFitimpo, The following is documentation of the oral order given by the Resident Engineer per WSDOT Std Spec 1-04.4 The Contractor is directed to do the following changed work: The Contractor will be allowed to work on Saturday 11-19-22 in order to install paint stripe and RPM's The flaggers and foreman for the prime contractor will recieve overtime pay for labor for the Saturday work. The added costs for the flagger and foreman OT labor pay will be paid via force account methods,via a new contract item A115 OT Pay for Flagging and Foreman Labor on 11-19-22. 1.The Craftco Adhesive Lot A9273 is approved.The City will allow a-12 degree tolerance on the surface temp for application on RPM adhesive which has a low temp manufacturer's rec of 50 degrees F. 2. The City waives the 14-day requirement on the pavement cure for the portion completed on Nov 9th 3.The City will allow a-2 degree tolerance on the surface temp for application on the paint which has a low temp manufacturer's rec of 40 degrees F. The 2 degrees to allow for variances in temp gun measurements. Cost Adjustments: Additional cost for contract item A115 OT Pay for Flagging and Foreman Labor 11-19-22, 1 FA, is TBD A Change Order covering this Field Directive will follow immediately. Contractor Date Equitable Adjustment Determination - CO No 25 Project Name:Duvall Avenue NE Contractor:Reed Trucking&Excavating Inc. Contract No:CAG 20-065 By: Tani Stafford Construction Manager: Tani Stafford,PE Date:12/20/22 Bid Item Changes Bid Item Quantity No. Description Change Unit Unit Price Estimated Cost A78 Raised Pavement Marker Type 1 -10.80 HD $300.00 -$3,240.00 A79 Raised Pavement Marker Type 2 -0.28 HD $350.00 -$98.00 A88 Paint Line 3796 LF $0.60 $2,277.60 A91 Plastic Crosswalk Line -152 SF $13.00 -$1,976.00 A95 Temporary Payment Markings Short Duration -29413 LF $0.20 -$5,882.60 A115 OT Pay for Flagging and Foreman Labor 11-19-22 1 LS $825.15 $825.15 A116 Curb Paint,Temp Stop Lines and Temp Crosswalk Lines 1 LS $19,474.00 $19,474.00 Estimated Bid Item Cost $11,380.15 ESTIMATED CHANGE ORDER COST j $11,380.15 Narrative: FWD No 11 was issued on 3/24/22 directing the Contractor to supplement the longitudinal markings with RPM's. FWD No 30 was issued on 11-18-22 to pay for overtime work on a Saturday 11-19-22 for the foreman and flaggers.This was in order to allow for striping on a mild weather day. The Contractor made a change on 11-19-22 to revise a portion of the project that was designated for all RPM's longitudinal markings to paint line with supplemental RPM's, due to the colder temps. The change was accepted, the changed area matches the type of paint markings directly to the north. On 12-08-22 the City directed the Contractor to furnish and install temporary pavement marking -short duration paint lines for the cross walks and stop bars due to the cold temperatures. In addition the style of cross walk line was changed to match the current City standard detail COR128 for both the temporary and permanent crosswalk lines. At the weekly meeting held on 12-14-22, the City decided to add the painting of the new median curb to traffic yellow. The Contractor was asked for a quote for same. An Engineer's Estimate was prepared on 12-16-22 for FWD No 11, plus the Contractor change of 11-19-22 plus the curb paint change on 12-16-22 for a net total of$660.33, based on quantity adjustments of bid items. The Type 2 RPM Type 1 quantity is reduced by more than 25%. The paint line quantity is increased by more than 25%. The temporary pavement marking -short duration quantity is reduced by more than 25%. The plastic crosswalk line quantity is reduced by more than 25%. The Contractor has not requested to renegotiate the unit prices. An Engineer's Estimate was prepared on 11-18-22 for FWD No 30 for$2500.00 for the anticipated extra pay for OT hours for flagging and foreman on 11-19-22. The Contractor provided a quote for the curb paint,temporary crosswalk line and temporary stop line of$19474 lump sum, and with the quantity changes to bid items A78, A79, A88,A91,A95 the actual computed OT additional pay for A115 was computed to be $825.15. The equitable adjustment is estimated to be $11,380.15, and the Contractor will be paid based on actual quantities installed. • Determination of Additional Working Days A determination of zero additional working days was made. City of Renton Duvall Avenue NE CAG 20-065 G&O#20593 12/16/2022 FWD 11 plus Contractor Change of 11-19-22 plus curb paint RPM-Type 2 Estimate 1 *1 RPM per 80 LF 'Station(Start) Station(End) Length Qty(EA) Total Length(LF) RPM(EA) 'White Lane Line RPM per M-20.30-04 Two-Lane Two-Way Traffic 89180 89358 178 1 178 All RPM 1 rpm per 40 If 89358 89953 595 2 1190 89358 89408 50 1 50 Dotted 2 rpm per 24 If 89903 89953 50 1 50 Dotted 2 rpm per 24 If 89953 90051 98 1 98 90051 90596 545 2 1090 90672 91931 1259 2 2518 92022 92760 738 2 1476 Total 6650 92 EA Double Yellow Center Line RPM in Left Turn Lane per M20.40-03e Detail B *1 RPM per 40 LF I Station(Start) Station(End) Length Qty(EA) Total Length(LF) RPM(EA) 89358 89408 50 1 50 89408 89512 104 2 208 89800 89903 103 2 206 89903 89953 50 1 50 90051 90216 165 1 165 90393 90596 203 1 203 90672 90916 244 1 244 91691 91931 240 1 240 92022 92262 240 1 240 92574 92759 185 1 185 Total 1791 45 EA White Wide Lane Line RPM in left turn lane per M20.40-03e Detail A *1 RPM per 20 LF Station(Start) Station(End) Length Qty(EA) Total Length(LF) RPM(EA) I 90051 90112 61 1 61 90496 90596 100 1 100 918+31 919+31 100 1 100 920+22 921+22 100 1 100 927+14 927+59 45 1 45 Total 406 20 EA Total Supp RPM Type 2: 158 Each Bid Item A79 RPM Type 2= 300 EA Net Change= -1.42 HD @ $ 350.00 per HD E$ (498.72), Contractor Directed Change 11-19-22 Added Paint Line Estimate Sta Sta Length(LF) Passes Total 89180 89358 178 2 356 89358 89512 154 6 924 89512 89800 288 4 1152 89800 89953 153 6 918 89953 90051 98 2 196 90051 90112 61 6 366 90112 90216 104 5 520 90216 90393 177 4 708 90393 90496 103 5 515 90496 90596 100 6 600 IBid Item A88 Paint Line Total added 6255 LF Bid Item A88 Paint Line and A89 Painted Wide Lane Line= 12,650 LF Net Change= 6255 LF @ $ 0.60 per LF $ 3,753.00 RPM Type 1 Estimate White Lane Line RPM per M-20.30-04 Two-Lane Two-Way Traffic Station(Start) Station(End) Length Qty(EA) Total Length(LF) RPM(EA) 89180 89358 178 1 178 All RPM 3 rpm per 40 If Total 13 Bid Item A78 RPM Type 1= 1100 EA Net Change= -10.87 HD @ $300 per HD ($3,259.95) City Directed Change 12-08-22 xwalk Temporary Pavement Markings Short Duration-Estimate xwalk and Sta Sta stop line Length(LF) Passes Total 90672 92759 2087 1 2087 12 1 12 18 1 18 11 1 11 38 1 38 16 1 16 12 1 12 -341 1 146 38 1 38 38 1 38 12 1 12 72 1 72 12 1 12 130 1 130 38 1 38 15 1 15 15 1 15 Bid Item A95 Temporary Pavement Markings Short Duration- Total added 2710 LF Bid Item A95 Temporary Pavement Markings Short Duration = 31,500 LF Net Change= -28,790 LF @ $ 0.20 per LF $ (5,758.00) Crosswalk Line Estimate Crosswalk Line Length Width Total Length(SF) 146 1 146 72 1 72 130 1 130 Total 348 Bid Item A91 Crosswalk Line= 500 SF Net Change= -152.00 SF @ $13 per SF ($1,976.00) New Contract Item A116 Curb Paint= Unit Price est.from another bid Net Change= 2400.00 LF @ $3.50 per LF $8,400.00 tab Total Net Change $ C660.33 City of Renton Duvall Avenue NE G&O 20593 Engineer's Estimate FWD No 30 Description: FWD No 30-OT for striping work on 11-19-22-assume 8 hours Dates: 11/19/2022 Prime Contractor Labor: (Reed) Hours Reg Rate OT Rate Difference Total Foreman 8 $86.42 $129.63 $345.68 Flagger 48 $52.52 $78.78 $1,260.48 TCS 8 $59.23 $88.84 $236.88 Labor Cost $1,843.04 Markup(31%) $571.34 Subtotal Labor Cost $2,414.38 Total Estimated Cost, Rounded: $2,500.00 Engineer's Calculation of Additional Working Days The Contractor is ahead of schedule due to the City granting them permission to work 10-hour days. Force Account Summary to jl y the Lump Sum Price for A115 City of Renton Duvall Avenue NE ' G&O 20593 Change Order no 25 Description: FWD No 30-OT for striping work on 11-19-22-see certified payroll for hours,see FA rates Dates: 11/19/2022 Prime Contractor Labor:(Reed). OT Hours Reg Rate(FA) OT Rate(FA) Rate Difference Total Foreman-Nate McAllister 8.5 $86.42 $129.63 $43.21 $367.29 Flagger-Jeana Hansen 3.5 $52.52 $78.78 $26.26 $91.91 Flagger-Som Hean 6.5 $52.52 $78.78 $26.26 $170.69 Labor Cost $629.89 Markup(31%) $195.26 Subtotal Labor Cost $825.15 Total Cost: $825.15 Certified Payroll Report Department of Labor and F.=SA,F Project Name County Project or Contract# 1p Iiiii:+. Prime Contractor Industries 4 !. Duvall Avenue NE King CAG-20-065 Prevailing Wage Program Subcontractor El PO Box 44540 • „,' air Project Address Olympia WA 98504-4540 ""y ' Final Week of (360)902-5335 Payroll ❑ Awarding Agency Name Phone Company Name Phone For the week ending: RENTON,CITY OF (425)430-7303 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 Work Classification Name t? P o Sun Mon Tue Wed Thu Fr' Sat Total O a) 11/1 11/1 11/1 11/1 11/1 11/1 11/1 1 Gross Amount a E otal Rate Hourly and And 8 E iZ 3 4 5 6 7 8 9)ours of Pay EarnPea'Gross "Usual ollFICAWithholding OtherNet Wages Soc Sec#of Employee Address m yBenefits" Tax O o Hours Worked Each Day 0 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 $9416 $0.00 2. Flaggers $1 731. Medicare:$26.28, Journey Level Yolanda Barry RG 0.00 8.00 7.00 8.00 8.00 8.00 0.00 39.00 $44./40 0 ,/ Paid Family (King) t V $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 RG 0.00 6.00 7.00 0.00 0.00 1.50 0.00 14.50 $44.40 $643.80 Medicare:$35.88, JourneyLevel Paid Family Virginia Basher $1,391.61 Medical Leave: (King) 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 Medicare:$35.88, RG 0.00 2.00 1.00 0.00 0.00 0.00 0.00 3.00 $47.48 $142.44 Paid Family Traffic Control Laborer Virginia Basher (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) $2,018.34 Medical Leave: OT 0.00 0.00 0.00 0.00 0.00 0.00 3.50 3.50 $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, RG 0.00 0.00 0.00 0.00 0.00 3.00 0.00 3.00 $47.48 $142.44 Traffic Control Laborer Jeana Hansen Paid Family (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, Sewer&Water RG 0.00 8.50 9.00 8.00 8.00 6.50 0.00 40.00 $52.39 0 Paid Family Somnang Hean General Laborer&Topman $2,802.91 Medical Leave: (King) OT 0.00 0.00 0.00 0.00 0.00 2.55i0 9.00 $78.59 $707.31 / $0.00/hr $494.00 $173.78 $20.90 $2,073.5 $2,802.91 * ** DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1$'7 $0.00 8. Flaggers Medicare:$4.83, RG 0.00 0.00 0.00 0.00 0.00 0.00 7.50 7.50 $44.40 $333.00 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 $2,971.2 Medicare:$64.44, RG 0.00 8.50 9.00 8.00 9.00 5.50 0.00 40.00 $74.28 Operators-Underground \ 0 Paid Family Sewer&Water Nathan McAllister` Medical Leave: $111.4 $1,392.7 $4,363.95 Shovel,Excavator,Backh e, OT 0.00 0.00 0.00 0.00 0.00 4.00 8.50 12.50 $36.95, Garnishment: 2 5 $4,44/3.95 $0.00/hr $936.00 $229.05 $2,726.10 Tractors Under 15 Metric ns / (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 Torres Medical Leave: Shovel,Excavator,Backhoe, OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2 $0.00 $108.4 $2,096.12 $20.26 Tractors Under 15 Metric Tons / $0.00/hr $238.00 $129.96 $1,677.5 (King) $2,096.12 * ** DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $164'5 $0.00 11. Flaggers $1,398.6 Medicare:$20.28, JourneyLevel RG 0.00 0.00 0.00 8.00 8.00 8.00 7.50 31.50 $44.40 0 Paid Family Joseph Tountas(King) $1,398.60 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 (Jesse Williams $1,635.0 Medicare:$24.14, Traffic Control Supervisor RG 0.00 8.00 8.00 8.00 8.50 0.00 0.00 32.50 $50.31 8 Paid Famil y (King) $1,635.08 $0.00/hr $227.00 $103.23 Medical Leave: $1,296.44 OT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $75.47 $0.00 $1,665.08 $14.27 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side _ • #* DT 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $1 20'6 $0.00 F700-065-000 certified payroll report 05-09 Employee Benefits Distribution and Signature Certification on Reverse Side Project Labor List Force Account and Labor Rate and Equipment Rate 2/15/22 Resubmittal Review 2-19-22 REEDC King County Wage Rates-Duvall Ave NE Updated:2/15/2022 TRUCKING 6 EXCAVATING Reed Trucking and Excavating Inc.-Force Account Labor Rates Trade WAGE 5$/Medicare SUTA FUTA L&I ESD EAF REG TOTAL OT TOTAL Foreman $74.28 $5.68 $3.87 $0.45 $2.11 $0.03 $86.42 \ $129.63 Operator under 15 MT $72.48 $5.54 $3.78 $0.43 $2.11 $0.03 584.8 31£6.57 Pipe Layer $53.35 $4.08 $2.78 $0.32 $2.11 $0.03 $62.67 $94.01 Pipe Layer Top Man $52.39 $4.01 $2.73 $0.31 $2.11 $0.03 $61.59 $92.38 General Laborer $52.39 $4.01 $2.73 $0.31 $2.11 $0.03 $61.59 $92.38 Grade Checker $54.01 $4.13 $2.81 $0.32 $2.11 $0.03 $63.42 $95.14 TCS $50.31 53.85 $2.62 $0.30 $2.11 $0.03 9.23 $88.84 Flagger $44.40 $3.40 $2.31 $0.27 $2.11 $0.03 C $52.52 C$78.78.)- Truck&Trailer $64.55 $4.94 $3.36 $0.39 $2.11 $0.03 57531r 5113.07 Truck Driver $63.71 $4.87 $3.32 $0.38 $2.11 $0.03 $74.43 $111.64 Superintendent $91.34 $5.60 $4.76 $0.55 $2.11 $0.03 $104.39 $156.59 ESCRIPTION I EQUIPMENT I Regular Rate I Standby Rate DUMP TRUCK-SOLO(12 CV or 15 TN CAPACITY) DT 6 2000 FREIGHTLINER 0716 5 95.00 $ 57. DT73 2000 FREIGHTLINER K731 5 95.00 $ 5 .50 DT747 2001 FREIGHTLINER N747 5 95.00 $ 7.50 55-614 2022 SUPER SOLO DUMP TRUCK(18 CY) $ 95.42 $ 20.17 SS-811 2022 SUPER SOLO DUMP TRUCK(18 CV) $ 95.42 $ 20.17 DUMP TRUCK-T&T(24 CY or 32 TN CAPACITY) SUBMITTAL REVIEW DT716T 2000 FREIGHTLINER 4716&TRAILER S 105.37 $ 39.83 DT731T 2000 FREIGHTLINER 4731&TRAILER $ 108.43 39.88 OT747T 2001 FREIGHTLINER 4747&TRAILER S 108.43 $ i9.88 No Exceptions Taken PICK-UP X Make Corrections Noted FB01 2005 FORD F-450 FLATBED $ 55 $ 27.50 FT01 2014 FORD F-150 FOREMAN TRUCK $ .00 $ 27.50 Amend & Resubmit FT02 2019 FORD F-450 $ 53.54 $ 7.95 FT03 2020 FORD F-450 $ 53.55 $ 7.96 Rejected-See Remarks FTO4 022 FORD P.350 $ 60.00 $ 796 WATER TRUCK IMPORTANT NOTICE:This review WT01 2 INTERNATIONAL 4700(2000 GAL TANK) I$ 105.00I$ ,?.,0 does not relieve the Contractor from No Equipment included in this change order responsibility to comply&conform with the Plans, Specifications, and Contract Documents. 4104 Gray&Osborne, Lie. CONSULTING ENGINEERS By. TLS Date: 2/19/22 ...___.._._..__.....__.._-._..._-..__..___-_._. HU-CAC i . .. HP09 2008 ALLIED(for 200 Exc \ 2 32.20 $ 16.10 HPOS 2010 ALLIED(for 120 ) S, S 28.75 $ 14.38 ROLLER-VIBRATORY CR03 2005 SAKAI 84"D-1 M ROLLER $ 105.00 $ 52.50 CR01 2015 CAT CB 24,ASPHALT COMPACTOR $ 105.00 $ 52.50 WHEEL LOADER W L01 2006 KOM• U WA25OL-5(3 CY CAPACITY) $ 100.00 $ 50.00 W L02 2018 KO -TSU WA270 LOADER $ 110.00 $ 23.65 GRINDING AZO1 12019 PHALT ZIPPER 95.001 47.50 COMPRESSOR COMPO1 ID.osan P185 Air Compressor I 50.001 PCMS Boards PCMFO1 Portable Changable Hydraulic Message Sign $ 25.00 PCMF02 Portable Changable Hydraulic Message Sign $ 25.00 PCMF03 Portable Changable Hydraulic Message Sign $ 5.00 PCMF04 Portable Changable Hydraulic Message Sign $ .00 Arrow Boards ABO1 25 Light Solar Powered Arrow Board Trailer $ 20.01 AB02 25 Ught Solar Powered Arrow Board Trailer $ 20.00 TRAiLER ET01 12003 TRAIL KING TKT50-3 Axle Tilt-top(45,0000 Capacity) I$ 45.00 I$ 22.50 TRENCH SAFETY T502 8'x20'BOX $ 18.54 $ 9.27 T503 4'x20'BOX $ 20.79 $ 10.40 r. 8'x8'MANHOLE BOX $ 18.92 $ 9.46 T 8'x20'STEEL PLATE $ 11.86 $ 93 08 GRAVEL SKIFF $ 18.00 $ 9.4 f Contractor Quote for A116 Curb I t, Temp Stop Lines and Temp Xwal les REED " Change Order Proposal #36 2207 Inter Ave,Ste.A C, Puyallup,WA 98372 TRUCKING 6 EXCAVATING Office:(253)841-4837 Fax:(253)841-4816 GC/Owner: City of Renton JSS 4: 36 Reed Job No: 156 Project: Duvall Ave NE Date: 12/19/2022 Description: Temp paint stop bars and walk.Paint island curbing.Signed warranty waiver required. Subcontractor: Labor Costs Regular Overtime Amount Craft Employee Name Hours Rate Hrs Rate* Regular Overtime FM Nathan McAllister 10 $ 86.42 $ 129.63 $ 864.20 $ ✓ - LAB Somnang Hean to clean dirt off curb 10 $ 61.59 $ 92.39 $ 615.90 $ ✓ - $ - $ - $ - $ $ - $ - $ - $ $ - $ - $ - $ - `Including Fringe Benef Labor Subtotal $ 1,480.10 $ - Labor Total $ 1,480.10 Equipment Costs Equip. Regular Standby Amount N Equipment Hrs Rate Hrs Rate` Regular Standby FB01 2005 FORD F-450 FLATBED 10 $ 43.45 $ 12.71 $ 434.50 $ - $ - $ - $ - $ $ - $ - $ - $ $ - $ - $ - $ $ - $ - $ $ $ - $ - $ - $ $ - $ - $ - $ $ - $ - $ - $ Equipment Subtotals $ 434.50 $ - Equipment Total $434.50 Material Costs Supplier Material Invoice(s) Quantity Price Amount $0.00 $0.00 $0.00 $0.00 Materials Total $0.00 Subcontractor Costs Subcontractor Scope Invoice(s) Quantity Price Amount Stripe rite Temp paint 1 $1,960.00 $1,960.00 Stripe rite Paint island curbs 1 $13,227.50 $13,227.50 $0.00 $0.00 REED " Subcontractor Total $15,187.50 C. Cost Summary TRUCKING 6 EXCAVATING Total Labor $ 1,480.10 31% Labor Mark-up $ 458.83 Total Equipment $434.50 Date: 21% Equipment Mark-up $91.25 Total Materials $0.00 21% Material Mark-up $0.00 Contractor Foreman /Superintendent Total Subcontractors $15,187.50 12% Sub Markup up to$25K $1,822.50 . �' 10% Sub Markup$25K-$100K $0.00 Date: 7% Sub Mark-up Over$100K $0.00 Grand Total $ 19,474.68 / L Pay Estimate Date Engineer Bid Item Number alba1813 137th Ave E BID PROPOSAL BY:Justin WilliamsSumner,WA 98390 ✓ 35 Ph.(253)863-2987 SEND CONTRACT AND/OR SIGN AND RETURN Fax:(253)63-29 20 TO ACCEPT BID www.striperite.com YEARS justin@stnperite.com SCHEDULING:PLEASE CALL: (253)863-2987 Bid Number: 21-2513 Stl^''Y''e' December 15,2022 COMPANY NAME PROJECT Reed Trucking&Excavating Duvall Ave NE 2207 Inter Ave Ste A Duvall Ave NE Puyallup,WA 98372 City of Renton,WA Ph: 360.701.0997 Email: Rep's Name: dwright@reed Fax: Office: 253-841-4837 Fax: Email Prevailing: Yes Dales Tax Charged? orr,.'Ct = no due date J Contract on File Li Plans on File ITEM# EST QTY UNITS ITEM DESCRIPTION UNIT PRICE TOTAL 320 Lin Ft TEMP Painted Crosswalk Line w/50/50 Wet Dry 3m Beads $ 3.50 $ 1,120.00 7\..K 240 Lin Ft TEMP Painted Stop Line w/50150 Wet Dry 3m Beads $ 3.50 $ 840.00 2,405 Lin Ft Painted Yellow Extruded Curb w/Wet Dry 3m Beads $ 5.50 $ 13,227.50 ieeeWeather Wavier to be signed for Permanent Yellow Curb. ORCHING-EXCLUDES WARRANTY $ 150.00 $ *EXCLUDES TRAFFIC CONTROL AND PRELIMINARY LAYOUT/SPOTTING. Total(Sales Tax Not Included) 'ANY ITEM NOT CLEARLY STATED ABOVE SHALL BE EXCLUDED FROM BID! 'EXCLUDES TRAFFIC CONTROL,PRELIMINARY SPOTTING AND LAYOUT,REMOVAL OF TEMP TAPE AND CORE DRILLING! EXCLUDES ALL OVERTIME! 'NOT RESPONSIBLE FOR CONCRETE DISCOLORATION —BID PROPOSAL GOOD FOR 30 DAYS!'" BID PROPOSAL TERMS: ' Upon acceptance by signature below and/or final contract for the protect.the terms of this bid including scope of work shall supersede,be incorporated and attached to at agreements. Any contrary provisions to any contract are not permitted. • This bid includes a 1(one)year workmanship warranty and does not include normal wear and tear. ' This bid proposal is based on(1)mobilization(s). If additional mobilizations are required due to scheduling conflicts out of Stnpe Rite's control,a mobilization fee of$950 will be charged, Excludes permits,layout referencing,traffic control,sales tax and any other items not specifically mentioned in this bid proposal. Scheduled work may be canceled by unfavorable weather. Stripe Rite,Inc.,shall solely determine unfavorable weather conditions as Stnpe Rite.Inc.bears the responsibility for installation and is in the best position to Judge weather conditions. • Stripe Rite.Inc.shall not bear any financial responsibility for delays caused by strikes,weather conditions.delay in obtaining materials or other causes beyond its control. • Payment terms are as follows:Within 30 days of receipt of invoice. All past due invoices shag bear interest at 18%per annum until paid or the maximum rate allowed by law. • In the event that it becomes necessary to employ an attorney to enforce the rights of any part of this signed bid/contract or any modification hereof.the prevailing party shall be entitled to recover their collections costs.attorneys'fees,and court fees.etc.,regardless if actual suit is brought. Customer Acceptance: Title: Date: Pavement Markings/Removal•Road/Parking Lot Striping•Crack Seal•Sealcoat•Curbing•Traffic Control•Si:: "s.,r:,:rr<t,:: ,,,.,r.,:-r„. , 171 Washington State Department of Transportation Request for ApApproval of Material. Contract Number - FA Number N/A SR Duvall Ave NE Date CAG 20-065 1/19/2023 _ Section lTitle of Project Duvall Ave NE County King Contractor Subcontractor Reed Trucking & Excavating, Inc. Stripe Rite _ __ _ This form shall be completed prior to submittal.If this form is not compete at time of submittal it may For WSDOT Use Only be returned for Information that was omitted. RAM# 102 PE Use Bid Item Material or Name and Location of Fabricator, _ Specification PEIQPL Hdqtr./QPL HQ Use No. Product/Type Manufacturer or Pit Number Reference Code Code A116 Paint Ennis 9-34.2(6) 8/3101 A116 Glass Beads Potters 9-34.4 8/3101 Project Engineer/Representative Date State Materials Engineer/Representative Date L�C 1/19/2023 Acceptance Action Codes for use by Project Engineer and State Materials Laboratory 1. Acceptance Criteria: Acceptance based upon"Satisfactory°Test Report for samples of materials to be incorporated into project. 2. Acceptance Criteria: Mfg.Cert.of Compliance for'Acceptance'prior to use of material. 3. Acceptance Criteria: Catalog Cuts for'Acceptance'prior to use of material.Catalog Cut Approved ❑Yes ❑No 4. Acceptance Criteria: Submit Shop Drawings for'Approval'prior to fabrication of material. 5. Acceptance Criteria: Only'Approved for Shipment','WSDOT Inspected'or'Fabrication Approved Decal'material shall be used. 6. Acceptance Criteria: Submit Certificate of Materials Origin to Project Engineer Office. 7.1 Acceptance Criteria: Request Transmitted to State Materials Laboratory for Approval Action. 0 Source Approved: Visual Inspection Required 9. Approval Withheld: Submit samples for preliminary evaluation. 10. Approval Withheld: 11. Miscellaneous Acceptance Criteria. Remarks (PE): Remarks (HQ): DOT Form 350-071 Project Engineer Distribution Revised 03/2021 r1;1 Contractor ❑Region Operations Engineer ❑Fabrication Inspection ❑Region Materials ❑State Materials Lab-MS 47365 • � Washington State �I/. Deportment of 1Yansportation Qualified Product List Product Information Manufacturer: Ennis-Flint, Inc. - Salem, OR Product Name : Morline: White I.D. No. 985691/HWVW1 and Yellow I.D. No. 985697/HWVY3 Standard Spec : 9-34.2(4), Pavement Marking - Low VOC Solvent Based Paint Product Description : Permanent pavement marking paint: Low VOC solvent based; Sprayed application. Product Restriction : Acceptance Code : 3101 Code Description : Visually verify the product delivered to the job site is the product that was originally submitted by the Contractor and approved from the QPL. Note 'Restrictions' when present. Last Updated : Aug 1, 2019 Contractors with WSDOT Click here for Contractor Product Info Page Copyright WSDOT©2016 Qualified Product List https://wsdot.wa.gov/biz/mats/QPL/QPLPrint.cfin?Product no=19936... Engineer's addition E Washington State January 19,2023 Qualified Product List Contractor Product Information Contractor: Contract No: Sub Contractor: Date: Bid Item: 0 0 Manufacturer: Ennis-Flint, Inc. - Salem, OR Product Name: Morline: White I.D. No. 985691/HWVW1 and Yellow I.D. No. 985697/HWVY3 Standard Spec : 9-34.2(6), Pavement Marking - Temporary - Paint - Solvent Base Product Description : Temporary pavement marking paint: Low VOC solvent based; Sprayed application. Product Restriction : Acceptance Code : 3101 Code Description : Visually verify the product delivered to the job site is the product that was originally submitted by the Contractor and approved from the QPL. Note 'Restrictions' when present. Last Updated : Aug 1, 2019 To be completed by the field inspector: Quantity: Verified By: Date: 1 of 1 1/19/2023,9:41 AM Date Printed: 2/16/2021 Product:985691 Safety Data Sheet Emus-FLINT Mrx d Trek Sat. . Section 1. Identification Product Code: 985691 Product Name: SB WHT 150 VOC ACRYLIC Product Type: SB Paint Recommended Use: Traffic Markings Supplied by: Ennis-Flint, Inc. 4161 Piedmont Parkway,Suite 370 Greensboro, NC 27410 T:800.331.8118 Emergency Telephone: Chemtrec 1-800-424-9300 2. Hazards Identification EMERGENCY OVERVIEW: FLAMMABLE liquid and vapor. This product contains a component suspected of causing cancer. However, it is in a non-respirable form and inhalation is unlikely to occur from exposure. This classification is relevant when exposed to dust or powder form only(e.g.sanding,grinding). GHS Classification Carc. 1B, Eye Irrit.2, Flam.Liq.2, Muta. 1B,STOT SE 3 NE Symbol(s)of Product Signal Word Danger GHS HAZARD STATEMENTS Flammable Liquid,category 2 H225 Highly flammable liquid and vapour. Eye Irritation,category 2 H319 Causes serious eye irritation. STOT,single exposure,category 3, NE H336 May cause drowsiness or dizziness. Germ Cell Mutagenicity,category 1B H340 May cause genetic defects.Classification as mutagenic category 1 , if one of the ingredients is contained in an amount of at least 0.1 % .Applicable to liquids ,solids(in w/w)and gases(v/v).The fabric can also have their own exposure limit. Routes of exposure depend on the form of the ingredient. Carcinogenicity,category 1B H350 May cause cancer. GHS PRECAUTIONARY STATEMENTS P201 Obtain special instructions before use. P210 Keep away from heat/sparks/open flames/hot surfaces.-No smoking. P233 Keep container tightly closed. P240 Ground/bond container and receiving equipment. P241 Use explosion-proof electrical/ventilating/lighting/.../equipment. P242 Use only non-sparking tools. P243 Take precautionary measures against static discharge. P261 Avoid breathing dust/fume/gas/mist/vapours/spray. P281 Use personal protective equipment as required. P305+P351+P338 IF IN EYES: Rinse cautiously with water for several minutes.Remove contact lenses, if present and easy to do.Continue rinsing. Page 1 /8 Date Printed: 2/16/2021 Product: 985691 P308+P313 IF exposed or concerned:Get medical advice/attention. P312 Call a POISON CENTER or doctor/physician if you feel unwell. P337+P313 If eye irritation persists:Get medical advice/attention. P403+P233 Store in a well-ventilated place. Keep container tightly closed. 3. Composition/Information on Ingredients Chemical Name CAS-No. Wt.% GHS Symbols GHS Statements Calcium Carbonate 1317-65-3 25-50 No Information No Information Acetone 67-64-1 10-25 GHS02-GHS07 H225-319-336 Titanium Dioxide 13463-67-7 2.5-10 No Information No Information Solvent Naphtha(Petroleum), Light Aromatic 64742-95-6 2.5-10 GHS08 H304-340-350 Magnesium silicate(talc) 14807-96-6 2.5-10 No Information No Information Chloroalkanes 61788-76-9 2.5-10 No Information No Information Xylene 1330-20-7 1.0-2.5 GHS02-GHS07 H226-315 Ethylbenzene 100-41-4 0.1-1.0 GHS02-GHS08 H225-304-373 Crystalline Silica,Quartz 14808-60-7 0.1-1.0 GHS08 H351 4. First-aid Measures FIRST AID-GENERAL ADVICE:When symptoms persist or in all cases of doubt seek medical advice. FIRST AID-INHALATION: Move to fresh air. Give oxygen or artificial respiration if needed. Consult a physician if symptoms persist. FIRST AID-INGESTION: Do NOT induce vomiting. If conscious, rinse mouth and drink plenty of water. Never give anything by mouth to an unconscious person.Consult a physician. FIRST AID-SKIN CONTACT:Wash affected area immediately with soap and plenty of water. Remove contaminated clothing and launder before reuse. Consult a physician if symptoms persist. FIRST AID-EYE CONTACT: Rinse immediately with plenty of water,also under the eyelids,for at least 15 minutes. Consult a physician if symptoms persist. MOST IMPORTANT SYMPTOMS AND EFFECTS:Contact will cause irritation and redness to exposed areas.Causes painful stinging or burning of eyes and lids,watering of eyes. Prolonged contact may even cause severe skin irritation or mild burn. Overexposure by inhalation or ingestion may cause CNS depression,drowsiness,dizziness,confusion headache or loss of coordination. NOTES TO PHYSICIAN:Treat symptomatically.Contact poison treatment specialist immediately if large quantities have been ingested or inhaled. 5. Fire-fighting Measures UNUSUAL FIRE AND EXPLOSION HAZARDS:Flammable liquid. Vapors can form an ignitable mixture with air. Vapors can flow along surfaces to a distant ignition source and flash back. Vapors can spread along ground and collect in low or confined areas (sewers,basements,tanks). Water spray may reduce vapor, buy may not prevent ignition in closed spaces. SPECIAL FIREFIGHTING PROCEDURES: Flammable. Cool fire-exposed containers using water spray. As in any fire,wear self- contained breathing apparatus pressure-demand, MSHA/NIOSH (approved or equivalent)and full protective gear. EXTINGUISHING MEDIA: Alcohol Foam, Carbon Dioxide,Dry Chemical, Foam 6. Accidental Release Measures STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: ELIMINATE all ignition sources(no smoking,flares, sparks or flames in immediate area). Take precautionary measures against static discharges. All equipment used when handling the product must be grounded. A vapor suppressing foam may be used to reduce vapors. Use personal protective equipment. Ensure adequate ventilation. Dike far ahead of liquid spill for later disposal. Use clean non-sparking tools to collect absorbed material. METHODS AND MATERIALS FOR CONTAINMENT AND CLEANUP:Soak up with inert absorbent material. Use non-sparking or explosion proof means to transfer material to a sealed,appropriate container for disposal.Clean contaminated surfaces thoroughly. ENVIRONMENTAL PRECAUTIONS: Prevent entry into waterways,sewers, basements or confined areas. Avoid release to the environment. For larger spills,cover drains and build dikes to prevent entry into sewer systems or bodies of water. EMERGENCY ADVICE: Evacuate surrounding areas. Keep unnecessary and unprotected personnel from entering. Do not touch or Page 2/8 Date Printed: 2/16/2021 Product: 985691 walk through spilled material.Shut off all ignition sources. No flares,smoking or flames in hazard area.Avoid breathing vapor or mist. Provide adequate ventilation.Wear appropriate respirator when ventilation is inadequate. Put on appropriate personal protective equipment. PERSONAL PRECAUTIONS: Use personal protective equipment as required. Remove all sources of ignition. Prevent foot traffic. Only specially trained or qualified personnel should handle cleanup.Stop the leak if there is no risk involved.Avoid breathing vapors, mist or gas. Ensure adequate ventilation.Wear appropriate respirator when ventilation is inadequate. 7. Handling and Storage HANDLING: Flammable liquid. Avoid heat,sparks and open flames. Ensure adequate ventilation. Avoid breathing vapor, mists or dust. Avoid contact with eyes,skin,and clothing. Wear appropriate personal protective equipment. Wash contaminated clothing before reuse. Do not eat,drink or smoke when using this product. Wash thoroughly after handling. Observe good industrial hygiene practices. Prevent vapor buildup by providing adequate ventilation during and after use. Take precautionary measures against static discharges. All equipment used when handling the product must be grounded. STORAGE: Keep containers tightly closed in a cool,well-ventilated place. Store away from heat and sources of ignition. Use where airflow will keep vapors from building up in or near the work area and adjoining areas. Dissipate static electricity during transfer by grounding and bonding containers and equipment before transfering material. Use explosion proof electrical equipment for ventilation, lighting and material handling. Keep in properly labeled containers. 8. Exposure Controls/Personal Protection Ingredients with Occupational Exposure Limits Chemical Name ACGIH TLV-TWA ACGIH-TLV STEL OSHA PEL-TWA OSHA PEL-CEILING Calcium Carbonate N.E. N.E. 15 mg/m3 N.E. Acetone 250 ppm 500 ppm 750 PPM N.E. Titanium Dioxide 10 mg/m3 N.E. 15 mg/m3 N.E. Solvent Naphtha(Petroleum), Light N.E. N.E. N.E. N.E. Aromatic Magnesium silicate(talc) 2 mg/m3 N.E. 2 mg/m3 N.E. Chloroalkanes N.E. N.E. N.E. N.E. Xylene 100 ppm 150 ppm 100 ppm N.E. Ethylbenzene 100 PPM 125 ppm 100 PPM N.E. Crystalline Silica, Quartz 0.025 mg/m3 N.E. 0.05 mg/m3 N.E. Further Advice:MEL=Maximum Exposure Limit OES=Occupational Exposure Standard SUP=Supplier's Recommendation Sk=Skin Sensitizer N.E.=Not Established Personal Protection 0 RESPIRATORY PROTECTION: If exposure limits are exceeded or irritation is experienced, NIOSH/MSHA approved respiratory protection should be worn. Positive-pressure supplied air respirators may be required for high airborne - contaminant concentrations. Respiratory protection must be provided in accordance with current local regulations. 0 SKIN PROTECTION: Chemical resistant impervious gloves/clothing. `, EYE PROTECTION: Use chemical safety goggles and/or full face shield where splashing is possible.Contact lenses CJ I should not be worn when working with this material. Maintain eye wash fountain and quick-drench facilities in work - areas. 0 OTHER PROTECTIVE EQUIPMENT: Eyewash stations,safety showers,ventilation systems. Page 3/8 Date Printed: 2/16/2021 Product:985691 HYGIENIC PRACTICES:When using,do not eat,drink or smoke. Provide regular cleaning of equipment,work area and clothing.Wash hands before breaks and immediately after handling the product. Handle in accordance with good industrial hygiene and safety practice. ' & ENGINEERING CONTROLS: Provide exhaust ventilation sufficient to keep the airborne concentration of this product below its exposure limits. Exhaust air may need to be cleaned by scrubbers or filters to reduce environmental contamination. 9. Physical and Chemical Properties Appearance: White Liquid Physical State: Liquid Odor: Aromatic Solvent Odor Threshold: Not Established Density,g/cm3: 1.401 pH: Not Applicable Freeze Point, °C: No Information Viscosity: No Information Solubility in Water: Insoluble Partition Coefficient, n-octanol/ No Information Decomposition temperature, °C No Information water: Boiling Range,°C: Not Determined Explosive Limits, %: Not Determined Combustibility: Supports Combustion Flash Point,°C: 0 Evaporation Rate: Slower than Diethyl Ether Auto-Ignition Temperature, °C No Information Vapor Density: Heavier than air Vapor Pressure,mmHg: No Information (See"Other information"Section for abbreviation legend) 10. Stability and Reactivity REACTIVITY: No reactivity hazards known under normal storage and use conditions. STABILITY:Stable under recommended storage conditions. CONDITIONS TO AVOID:Avoid all possible sources of ignition(heat,flames and sparks). Do not pressurize,cut weld, braze, solder,drill,grind or expose containers to heat or sources of ignition. INCOMPATIBILITY: Strong acids. Chlorinated compounds. Strong oxidizing agents. HAZARDOUS DECOMPOSITION PRODUCTS:Carbon oxides. Hydrocarbons. Carbon dioxide. 11. Toxicological Information fib Practical Experiences MOST IMPORTANT SYMPTOMS AND EFFECTS:Contact will cause irritation and redness to exposed areas.Causes painful stinging or burning of eyes and lids,watering of eyes. Prolonged contact may even cause severe skin irritation or mild burn. Overexposure by inhalation or ingestion may cause CNS depression,drowsiness,dizziness,confusion headache or loss of coordination. EFFECT OF OVEREXPOSURE-INHALATION: Inhalation may cause irritation to the respiratory tract(nose,mouth, mucous membranes). May cause central nervous system depression with nausea, headache,dizziness, vomiting,and incoordination. Sanding and grinding dust may be harmful if inhaled. EFFECT OF OVEREXPOSURE-INGESTION: Ingestion may cause irritation to mucous membranes. May cause gastrointestinal irritation, nausea,vomiting, and diarrhea. EFFECT OF OVEREXPOSURE-SKIN CONTACT: Irritating to skin. Repeated exposure may cause skin dryness or cracking. EFFECT OF OVEREXPOSURE-EYE CONTACT: Irritating to eyes. EFFECT OF OVEREXPOSURE-CHRONIC HAZARDS: Ethylbenzene has been classified by the International Agency for Research on Cancer(IARC)as possibly carcinogenic to humans(Group 2B). Prolonged or repeated overexposure to ethylbenzene may result in adverse effects to the kidneys, liver,respiratory system,thyroid,testicles, and pituitary glands. This product contains titanium dioxide in a non-respirable form. Inhalation of titanium dioxide is unlikely to occur from exposure to this product. Inhalation exposure to respirable levels of crystalline silica may cause respiratory impairment and lung damage. This product contains crystalline silica (quartz)in a non-respirable form. Inhalation of crystalline silica is unlikely to occur from exposure to this product. Crystalline silica Page 4/8 Date Printed: 2/16/2021 Product: 985691 (quartz) has been classified by the International Agency for Research on Cancer(IARC)as a known human carcinogen. CARCINOGENICITY:This product contains one or more substances which are classified by IARC as carcinogenic to humans(Group I), probably carcinogenic to humans(Group 2A)or possibly carcinogenic to humans(Group 2B). PRIMARY ROUTE(S)OF ENTRY: Eye Contact, Inhalation,Skin Absorption, Skin Contact Acute Toxicity Values The acute effects of this product have not been tested. Data on individual components are tabulated below CAS-No. Chemical Name Oral LD50 Dermal LD50 Inhalation LC50 1317-65-3 Calcium Carbonate >2000 mg/kg >2000 mg/kg >20001 ppm(Gas/Mist) 67-64-1 Acetone 5800 mg/kg Rat >15700 mg/kg Rabbit N.I. 13463-67-7 Titanium Dioxide >10000 mg/kg Rat N.I. >20001 ppm(Gas/Mist) 64742-95-6 Solvent Naphtha(Petroleum), Light Aromatic 8400 mg/kg Rat >2000 mg/kg Rabbit >20001 ppm(Gas/Mist) 14807-96-6 Magnesium silicate(talc) >2000 mg/kg >2000 mg/kg >20001 ppm(Gas/Mist) 61788-76-9 Chloroalkanes >2000 mg/kg >2000 mg/kg >20001 ppm(Gas/Mist) 1330-20-7 Xylene >2000 mg/kg >2000 mg/kg >20001 ppm(Gas/Mist) 100-41-4 Ethylbenzene >2000 mg/kg 15400 mg/kg Rabbit >20001 ppm(Gas/Mist) 14808-60-7 Crystalline Silica,Quartz >2000 mg/kg >2000 mg/kg >20001 ppm(Gas/Mist) N.I.=No Information 12. Ecological Information ECOLOGICAL INFORMATION:The environmental impact of this product has not been fully investigated. Do not contaminate ponds, waterways or ditches with this material. PRESISTENCE AND DEGRADABILITY: No Information BIOACCUMULATIVE POTENTIAL: No Information MOBILITY: No Information OTHER ADVERSE ECOLOGICAL EFFECTS:No Information 13. Disposal Information (:(1) Product DISPOSAL METHOD:This material,as supplied, is a hazardous waste according to federal regulations(40 CFR 261). Dispose of contents/container in accordance with the local/regional/national/international regulations. Do not re-use empty containers. Empty containers pose a potential fire and explosion hazard. Do not cut, puncture of weld containers. STEPS TO BE TAKEN IN CASE MATERIAL IS RELEASED OR SPILLED: ELIMINATE all ignition sources(no smoking,flares, sparks or flames in immediate area). Take precautionary measures against static discharges. All equipment used when handling the product must be grounded. A vapor suppressing foam may be used to reduce vapors. Use personal protective equipment. Ensure adequate ventilation. Dike far ahead of liquid spill for later disposal. Use clean non-sparking tools to collect absorbed material. CONTAMINATED PACKAGING: Empty containers retain product residue and can be dangerous. Do not pressurize,cut,weld, braze, solder,drill,grind,or expose such containers to heat,flame,sparks static electricity,or other sources of ignition. 14. Transport Information SPECIAL TRANSPORT PRECAUTIONS: No Information Page5/8 Date Printed: 2/16/2021 Product:985691 Road Transport UN Number: UN1263 Shipping Name: Paint Transport Hazard Class: 3 Packing Group: II ERG No: 128 Sea Transport UN Number: UN1263 Shipping Name: Paint IMDG Class: 3 Packing Group: II EmS-No: F-E,S-E Marine Pollutant: Not A Marine Pollutant Air Transport UN Number: UN1263 Shipping Name: Paint IATA Class: 3 Packing Group: II 15. Regulatory Information: ' U.S. Federal Regulations: CERCLA-SARA Hazard Category • This product has been reviewed according to the EPA'Hazard Categories'promulgated under Sections 311 and 312 of the Superfund Amendment and Reauthorization Act of 1986(SARA Title Ill)and is considered,under applicable definitions,to meet the following categories: Flammable(gases,aerosols,liquids,orsolids),Carcinogenicity,Serious eye damage or eye irritation,Specific target organ toxicity(single or repeated exposure),Germ cell mutagenicity SARA•SECTION 313: :.__.. This product contains the following substances subject to the reporting requirements of Section 313 of Title Ill of the Superfund Amendment and Reauthorization Act of 1986 and 40 CFR part 372: Chemical Name CAS-No. Xylene 1330-20-7 Ethylbenzene 100-41-4 Toluene 108-88-3 TOXIC SUBSTANCES.CONTROL ACT: • This product contains the following chemical substances subject to the reporting requirements of TSCA 12(B)if exported from the United States: Chemical Name CAS-No. Chloroalkanes 61788-76-9 U.S. State RegUlations: NEW JERSEY RIGHT-TO-KNOW: w __ The following materials are hazardous or among the top five components in this product. Chemical Name CAS-No. Page 6/8 • • Date Printed: 2/16/2021 Product:985691 Calcium Carbonate 1317-65-3 Acetone 67-64-1 Acrylic polymer Calcined Aluminum Silicate Powder 92704-41-1 Titanium Dioxide 13463-67-7 Solvent Naphtha(Petroleum),Light Aromatic 64742-95-6 Magnesium silicate(talc) 14807-96-6 Chloroalkanes 61788-76-9 Xylene 1330-20-7 Ethylbenzene 100-41-4 Crystalline Silica,Quartz 14808-60-7 PEN NSYLVANIA RIGHT-TO-KNOW ] The following non-hazardous ingredients are present in the product at greater than 3%. Chemical Name CAS-No. Calcium Carbonate 1317-65-3 Acetone 67-64-1 Acrylic polymer, Calcined Aluminum Silicate Powder 92704-41-1 )Titanium Dioxide 13463-67-7 • Petroleum Hydrocarbon Resin 64742-16-1 Solvent Naphtha(Petroleum),Light Aromatic 64742-95-6 Magnesium silicate(talc) 14807-96-6 Chloroalkanes 61788-76-9 Xylene 1330-20-7 Ethylbenzene 100-41-4 Crystalline Silica,Quartz 14808-60-7 iCALIFORNIA PROPOSITION 65 CARCINOGENS WARNING Warning:The following ingredients present in the product are known to the state of California to cause Cancer: Chemical Name CAS-No. Titanium Dioxide 13463-67-7 Magnesium silicate(talc) 14807-96-6 Ethylbenzene 100-41-4 Crystalline Silica,Quartz 14808-60-7 TCALIFORNIA PROPOSITION 65 REPRODUCTIVE TOXINS WARNING Warning:The following ingredients present in the product are known to the state of California to cause birth defects,or other reproductive hazards. No Proposition 65 Reproductive Toxins exist in this product. International Regulations: As follows - CANADIAN WHMIS: • - - • This SDS has been prepared in compliance with Controlled Product Regulations. Page 7/8 Date Printed: 2/16/2021 Product: 985691 16. Other Information Revision Date: 2/11/2021 Supersedes Date: 12/11/2020 Datasheet produced by: Regulatory Department HMIS Ratings: Health: 3 Flammability: 4 Reactivity: 1 Personal Protection: X NFPA Ratings: Health: 3 Flammability: 4 Reactivity: 1 Hazards: N.I. Legend:N.A.-Not Applicable,N.E.-Not Established, N.D.-Not Determined The information on this sheet corresponds to our present knowledge. It is not a specification and it does not guarantee specific properties. The information is intended to provide general guidance as to health and safety based upon our knowledge of the handling,storage,and use of the product. It is not applicable to unusual or non-standard uses of the product where instructions and recommendations are not followed. Any use of the product not in conformance with this SDS or in combination with any other product or process is the responsibility of the user. Page 8/8 � Yrast�ingtan.State �I/ Department"of Tr sportation Qualified Product List , Product Information Manufacturer: Potters Industries, Inc. - Canby, OR Product Name : Glass Beads for Pavement Marking Standard Spec : 9-34.4, Pavement Marking - Glass Beads Product Description : Glass beads: Exterior coating(s) as required for the type of pavement marking being used (Reapproved 5-10-11) Product Restriction : Acceptance Code : 3101 Code Description : Visually verify the product delivered to the job site is the product that was originally submitted byjthe Contractor and approved from the QPL. Note 'Restrictions' when present. Last Updated : Mar 19, 2013 Contractors with WSDOT Click here for Contractor Product Info Page Copyright WSDOT©2016 To be completed by the field.inspector: Quantity: Verified By: Date: r Y DocuSign Envelope ID:F7F43F49-002F-42A2-AI DE486AF6A34 CAG-20-065, CO #25-23 Change Order No. 25 Contract Title: Duvall Avenue NE Contractor: Reed Trucking and Excavating, Inc. Contract No. : CAG 20-065 Federal Aid No. : N/A ® Ordered by Engineer ❑ Force Account ❑ Proposed by the Contractor(VECP) ® Bid Item ❑ Unilateral 0 Lump Sum Amount Working Days Original Contract: $5,218,171.95 260 Current Contract: __ $5,434,784.75 262 _ Estimated Net Change This Order: +$11,380.15 0 New Contract: $5,446,164.90 262 CylpareckBy: Is y: 12-23-22 R sident E ine Date n L v inee Ic of Renton Transportation Da` e Design Manager) Reviewed By: Consent By: 1 1 G----- 12/23/22 N/A Engineer of Record Date Surety G an 25%cost and/or 20% Date increase) Reviewed : Endorsed By: 12/27/2022 • Renton Project Manager Date Contractor Date Reviewed By: DocuSgned by: Approved by Cheryl Beyer via 1/6/2023 email Martin Pastucha 1/12/2023 I 1:35 PM PST 8B8131FD98B449D... City Attorney Date City of Renton Public Works Date Administrator/Mayor Change Order No. 25 Contract Title: Duvall Ave NE Contract No. CAG 20-065 Page 1 of 5 DocuSign Envelope ID:F7F43F49-002F-42A2-AA 1:E486AF6A34 THE CONTRACT IS MODIFIED AS FOLLOWS: Description of Change: As required in FWD No 11 -The Contractor is directed to do the following changed work: • Replace the longitudinal lane markings with paint line plus Type 2 Raised Pavement Markings(RPMs)per WSDOT Standard Plan M-20.30-04. This change affects the lane line longitudinal markings with construction note 14 on the Drawings CH2-120822, CH3112122 and CH4-120822. • Replace the longitudinal left turn lane centerline markings with paint line plus Type 2 Raised Pavement Markings (RPMs) per WSDOT Standard Plan M-20.40-03. This change affects the centerline longitudinal markings for the left turn lanes with construction note 13 on the Drawings CH2-120822, CH3112122 and CH4-120822. • Replace the longitudinal left turn lane wide lane markings with paint line plus Type 2 Raised Pavement Markings(RPMs) per WSDOT Standard Plan M-20.40-03. This change affects the left turn white lane lines with construction note 6 on the Drawings CH2-120822, CH3112122 and CH4-120822. As required in FWD No 30-The Contractor will be paid for the added cost of overtime for the foreman and flaggers on 11-19-22. At the Contractor's request, replace the all RPM longitudinal lane markings between NE 8th Street and NE 10ih Street to paint line plus RPM's per construction notes 1 through 5 on Drawings CH1-120822 and CH2-120822. At the City's direction, furnish, install, maintain and remove temporary paint line for transverse pavement markings to include stop lines and crosswalk lines to conform to COR Standard Plan 128. The permanent pavement markings for the crosswalk lines shall be revised to conform to COR Standard Plan 128. At the City's direction, paint the new median extruded cement concrete curbs reflective traffic yellow with glass beads along both vertical faces and tops,the entire exposed surface area. Change Order No. 25 Contract Title: Duvall Ave NE Contract No. CAG 20-065 Page 2 of 5 DocuSign Envelope ID:F7F43F49-002F-42A2-AEA,. ;;E486AF6A34 The followingSpecial Provisions are=added: 8-22.4 Measurement (*****) This,section:is suppler ented':.with°the'folloowing:: There will be.nospecificunitof measure for'the lump sum-item"CURB PAINT;TEMP STOP LINES AND TEMP'CROSSWALK.LINES", 8-22.5 Payment. (*****) This section,is,supplemented with thefollowing:. "CURB PAINT,TEMP STOP1INES:AND TEMP CROSSWALK LINES';,per-lump-sum:. The rump:sum contract price for"CURB PAINT,;TEMP;STOP LINES AND TEMP' CROSSWALK.LINES" shall befulLpayforall work:required for the following: Cleaning and preparing the extruded cement concrete median island curb:for paint; furnishing:and:insta[ling the reflective yellow traffic:.paint on:the extruded:curb!on the top and tr-affic side face of curb on the:median islands, preparing the pavement surfaces for temporary stop line paint and cross walk line:paint,mairitaining:the temporary paint lines, removing the temporary paint line:prior to,appJication of-the permanent:markings. The changed work will be,paid via the following Contract:Items:at Contract Unitprices, these.quantities are approximate: ,o Bid Item No.A78 RAISED PAVEMENT MARKERTYPE 1-0.2 HD:,Quantity is revised from 11:00to 0.2 HD,which decreases the.Proposal`quantity by more than 25%. o Bid Item No.A79 RAISED PAVEMENT,MARKER TYPE 2-2.72 HD.,Quantity is revisedfroM 3.00 to 2.72 HD o Bid Item No:A88'PAINT'LINE—,16,096tF,,Quantity is revised from 12,300 IF to 16;0961F,which increase's the.Proposal quantity by more than:25%. o Bid Item,No.A91 PLASTIC CROSSWALK LINE—348 SF, Quantity is revised from 500 SF to 348'SF,which decreases the Proposal_quantity by more than 25%.. Change Order No. 25 Contract Title: Duvall Ave NE Contract No. CAG 20-065 Page-3 of 5, DocuSign Envelope ID:F7F43F49-002F-42A2-AA ',E486AF6A34 o Bid Item No.A95 TEMPORARY PAVEMENT MARKINGS SHORT DURATION— 2087 LF (south bound lane between north limits and NE 10th) Quantity is revised from 31,500 LF to 2,087 LF,which decreases the Proposal quantity by more than 25%. o Contract Item No. 25-A115 OT PAY FOR FLAGGING AND FOREMAN ON 11-19- 22—1 Lump Sum @ $825.15 o Contract Item No.25-A116 CURB PAINT,TEMP STOP LINES AND TEMP CROSSWALK LINES—1 Lump Sum @$19,474.00 Reason for Change: The longitudinal markings north of NE 10th Street will be paint markings per the Proposal. The City would like to replace-the longitudinakmarkings with paint line:plus RPMs. All RPM.longitudinal;markings between NE 8th.Streetand NE:10th-Street were. — changed to paint line plus RPM's due to thecolder temperatures at:time of-application. Temporary Pavement,markings for stop line and'crosswalkIines"will be:installed by the Contractor•.due to the cold temperatures and the permanent thermoplastic markings will be installed-later by athe.Contractor in warmerweather:conditions.- The..City's updated standards for crosswalk markings willbe implemented.Theqmedian extruded cement concrete curbs will be-painted.traffic-yellow to increase visibility,safety and to comply with City Standards. Affects DBE Work: ❑ Yes ® No No changes to DBE work. Materials: No changes. Plans: Plan revisions CH1-1208122,CH2-120822,CH3-112122, CH4-120822 and CH5-112122, WSDOT Standard Plan M-20.40-03 and M-20.30-04,COR Standard Plan 128. Equitable Adjustment: This Change Order does-include an equitable adjustment per Section 1-09.4 of the 2021 WSDOT/APWA Standard Specifications. See the attachment. Change Order No. 25 Contract Title: Duvall Ave NE Contract No. CAG 20-065 Page 4 of 5 e 1 DocuSign Envelope ID:F7F43F49-002F-42A2-A'- ,CE486AF6A34 Extension of Time:. The Time for Completion is extended'0 Working Days. Sections.1-04.4 and 1-04.5 of the 2021WSDOT/APWA Standard Specifications shall'govern this Change Order.The:Work of the referenced'Contract ismodified.to include the changes detailed herein.The payment provided'for herein shall constitute;the completeand final. • settlementfor allcosts:of labor,,equipment,•materials,overhead;profit;permit-fees,and all other claims that maybe made by the Contractor as a result of this change.. To be attached to Change Order:. ® Plans • Change Order No. 25 Contract Title: Duvall Ave NE ContractNo. .CAG 20-065 Page's of 5; DocuSign Envelope ID:F7F43F49-002F-42A2-AA ;E486AF6A34 Equitable Adjustment Determination -CO No 25 Project Name:Duvall Avenue NE Contractor:Reed Trucking&Excavating Inc. Contract No:CAG 20-065 By: Tani Stafford Construction Manager: Tani Stafford,PE Date:12/20/22 Bid Item Changes Bid Item Quantity N6. Description Change Unit Unit Price Estimated Cost A78 Raised Pavement Marker Type 1 -10:80 HD $300.00 -$3,240.00 A79 Raised Pavement Marker Type 2 -0.28 HD $350.00 -$98.00 A88 Paint Line 3796 LF $0.60 $2,277.60 A91 Plastic Crosswalk Line -152 SF $13.00 -$1,976.00 A9S Temporary Payment Markings Short Duration -29413 LF $0.20 -$5,882.60 A115 OT Pay for Flagging and Foreman Labor 11-19-22 1 LS $825.15 $825.15 A116 Curb Paint,Temp Stop Lines and Temp Crosswalk Lines 1 LS $19,474.00 $19,474.00 Estimated Bid Item Cost $11,380.1s EST119,10'CONGE IVER:COT :'_ ' - '4 38015 • DocuSign Envelope ID:F7F43F49-002F-42A2-A, CE486AF6A34 DocuSign Envelope ID:9D9BODA8-0385-4664-AE66-57BFF1561D7F WHITE CROSSWALK I ARKINGS(T(P.) WHITE STOP BAR,SEE NOTE 3 PARALLEL STYLE CROSSWALK PLAN VIEW NOTES: 1. PARALLEL STYLE CROSSWALK MARKINGS SHALL BE INSTALLED AT ALL MARKED PEDESTRIAN CROSSINGS, EXCEPT AT MARKED MID-BLOCK PEDESTRIAN CROSSINGS.SEE STD.PLAN 127 FOR MID-BLOCK CROSSWALK. 2 PAVEMENT MARKING MATERIAL SHALL BE PER STD.PLAN 100. 3. STOP BARS SHALL BE INSTALLED WHEN TRAFFIC SIGNALS OR STOP SIGNS(F REQUIRED BY CITY ENGINEER)ARE PRESENT.STOP BARS SHALL BE LOCATED A MINIMUM OF 4'FROM EDGE OF CROSSWALK MARKINGS OR MORE IF SPECIFIED BY CITY ENGINEER.OTHERWISE,NO STOP BARS SHALL BE INSTALLED. INTERSECTION CROSSWALK AND gam, PLAN- 128 PUBLIC WORKS STOP BAR PAVEMENT MARKINGS AppROVED: DEPARTMENT 7/27/2022 I i:44 -A`. O� Martin Pastucha N 1 DATE DocuSign Envelope ID: F7F43F49-002F-42A2-AA :E486AF6A34 _. ...__. . _.._.. CHANNELRA'NONNOTGS: ... 1 WU solVatiotATAL We Mr I OM VINII•MS, O.suw«v r„r 5 l O .'9iow�'«Mal's} DUVALL AVENUE NE 0w•w«1.SW — — , w1•.1 N. 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