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S\d P :; Puy 113t3 yew S
�L�t6� f PAS REQUEST FOR PROJECT #
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To: Technical Services Date 2 7 b WO#
C : H
YV
From: Plan Review/Project Manager
1-1413 P�'oJ'a,-% 1 s coy,( I_5T61).
Project Name
-1-405 s-euM R Ai_1c
Short Plat (SHPL # )
Prelim. Plat (PP# )
CAG # )
Green#
r � �NAS1� l - C.�va� Ri��� P►P��,�1�
(70 characters max)
--000 \.J 044, Ora 4 . 5 FL d c A 1
-04�9
Description of Project: GLOcaa►loW 0P CEDAi` K1VEn fifisL10E FON 1-465 5 CQM5,
�0C.r_oDGS M0V\I'11ZPT IONS t6 Cl-rY W'Aiull, SAaiTflILY
S%�tCR- Az~+n SON>M WA�� S�S�\sn^S
Circle Size of Waterline: 8" 10" Q12- ��" Circle One: ew or Extension
Circle Size of Sewerline: 8" 10" 12" Circle One: ew or Extension
Circle Size of Stormline: 12' S" �18) 24' Zit Circle One: 1Ne3 or Extension
Address or Street Name(s)
Dvlpr/Contractor/Owner/Cnslt:: 1S
Check each discipline involved in Project
Trans -Storm
(Roadway/Drainage)
Cl Transportation
Wastewater
V/ Water
❑ Suface Water
Improvements
(Off site improvementsxinclude basin name)
(Signalization, Channelization, Lighting)
Sanitary Sewer Main (include basin name)
(Mains, Valves, Hydrants)
(CIP ONLY)(include basin name)
TS Use Only — H 0 - W 3
Oq p
-Wocq
(70 characters max)
Ltr Drwg # of sheets per discipline
ka�I
(include TESC sheets)
❑ 1
(Include composite & Horizontal Ctrl Sheets)
5 — r��117 r
Approved by TSM
H: forms/utility/92-090. DOC /CD/bh
Ct
Date:
:: M_)_ CITY OF RENTON
Planning/Building/Public Works Department
Jesse Tanner, Mayor Gregg Zimmerman P.E., Administrator
February 22, 2000
Mr. Terrence G. Paananen
Washington State
Department of Transportation
Northwest Region
P.O. Box 33 03 10
Seattle WA 98133-9710
SUBJECT: SUPPLEMENT NO. 1 TO PARTICIPATING AGREEMENT GCA 0602
SR 405 CEDAR RIVER PIPELINE RELOCATION CONTRACT 3854
Dear Mr. Paananen:
In response to your letter of January 27, 2000, we are returning two originals of the above -
referenced agreement, which have been executed by the City of Renton.
After execution by the State, please return one original to me for the City's files.
Thank you for your assistance in getting this project closed out. If you need any further
information, please call me at 425-430-7239.
Sincerely,
Lys Ho sby
Utility Systems Director
Enclosure
cc: Paul Lumbert
H: DI V /UTIULYS/ W S DOT-GCA0602-11LLI i:lcf
1055 South Grady Way - Renton, Washington 98055
9 This paper contains 50 % recycled material, 20% post consumer
A t
CAG-96-136, Adden. #1-00
Agreement GCA 0602, Supplement No. 1
This Agreement, made and entered into this day of
between the State of Washington , Department of Transportation, acting by and through
the Secretary of the Department of Transportation, by virtue of Title 47, RCW, hereinafter
called the "STATE" and the City of Renton, 200 Mill Avenue, Renton, Washington, 98055,
hereinafter called the "CITY".
WHEREAS, the parties referenced above entered into Agreement GCA 0602 on
October 22, 1996, which provided for the CITY to construct drainage facilities in the
vicinity of SR 405 and South Renton I/C to Sunset Boulevard, and
WHEREAS, field modifications and unforeseen conditions required alterations to
the estimated quantities, and
WHEREAS, the City has constructed said improvements and the actual
construction costs exceed the amount provided in the original agreement by more than
25%, and
WHEREAS, the STATE has verified the final cost estimate and now it is deemed
necessary to supplement the Original Agreement to revise the Estimate of Costs to reflect
the added work and actual constructed quantities.
NOW THEREFORE, in consideration of the terms, conditions, covenants and
performances contained herein, or attached and incorporated and made a part hereof,
IT IS MUTUALLY AGREED AS FOLLOWS:
1. The ESTIMATE OF COST, as contained in the original agreement is hereby
superseded and replaced by "Exhibit "A-1 ", ESTIMATE OF COST, attached hereto and
by this reference made a part of this agreement.
2. All other terms and conditions of the original agreement shall remain in full force and
effect except as modified by this Supplemental Agreement.
0602-1.02.agr
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day
and year first above written.
CITY OF RENTON
By Jesse Tanner
Mayor
Title
�U
Date
City Attorney
:Date,,"
ATTEST:
Marilyn 2Pe- rsen, City Clerk
WASHINGTON STATE DEPARTMENT OF
TRANSPORTATION
2
Title
APPROVED AS TO FORM
Assistant Attorney Ge eral
D to
0602-1.02.agr
GCA 0602
SUPPLEMENT NO. 1
Exhibit "A-1"
ESTIMATE OF COST
CONTRACT # 3854 SR. - 405 CEDAR RIVER PIPELINES/FRONTAGE ROAD STORM PROJECT
ENGINEER'S ESTIMATE vs. ACTUAL QUANTITIES
ITEM #
ACTIVITY / DESCRIPTION
UNIT
EST. QTY
UNIT PRICE
1
MOBILIZATION
L.S.
1
$
2,000.00
2
TRAFFIC CONTROL
L.S.
1
$
1,000.00
3
INSTALL 12" CPEP STORM PIPE
L.F.
100
$
35.00
4
INSTALL 12" SLOTTED DRAIN
L.F.
40
$
35.00
5
INSTALL TYPE I CATCH BASIN
E.A.
4
$
850.00
6
IMPORT BACKFILL MATERIAL
TON
170
$
10.00
'7
CRUSHED SURFACING TOP COURSE
TON
48
$
15.00
'8
ACP REPLACEMENT OVERLY REST.
TON
53
$
40.00
9
CURB REMOVAL & INSTALLATION
L.F.
45
$
25.00
10
ASPHALT SAW -CUTTING
L.F.
340
$
1.25
11
ASPHALT REMOVAL & DISPOSAL
S.Y.
156
$
2.00
12
SIDEWALK REMOVAL & INSTALLATION
S.Y.
20
$
35.00
13
MISC. RESTORATION
L.S.
1
$
1,000.00
14
EQUIPMENT (*SEE ATTACHED)
#7 & #8 Installed by contract to AA Asphalting Inc. ( see attached invoice.)
QTY. INST COST AMOUNT
1
$
2,000.00
1
$
1,000.00
170
$
5,950.00
42
$
1,470.00
7
$
5,950.00
192
$
1,920.00
$
20,732.50
70
$
1,750.00
364
$
455.00
165
$
330.00
39.08
$
1,367.93
1
$
1,000.00
$
10,652.10
TOTAL $ 54,577.53
GCA 0602
Supplement No. 1
Exhibit "A-1" Sheet 1 of 7
Exhibit "A-1 it
ESTIMATE OF COST
Job Cost Detail Summary
Function
Description
Labor &
Benefits
Equipment
Materials
Storm
Materials
Street
Contract
Work
Total
5260
Maintenance
$5,749.89
$4,464.67
$10,214.56
Preventive
5270
Maintenance
$903.55
$326.32
$1,229.87
Scheduled
5300
Field
$555.88
$310.00
$865.88
Supervision
5330
Non -Labor
$1,319.82
$234.78
$20,732.85
$22,287.45
5532
Time & Material
$2 791 90
$3,127.71
$0.00
$5,919.61
Street
5533
Time & Material
$3,368.10
$2,523,40
$8,168.66
$14,060.16
Storm
TOTAL PROJECT $54,577.53
GCA 0602
0602-1.01.ExhbtA-1.xls SHEET 2 OF 7 SUPPLEMENT NO. 1
JCCEIRF JOE C037 DETAIL F:CPORT roc Periods: 9601 - 9702
,:of: 36100
l-"3/M4fCRENCES/STOh►1
49c:
TH0A4P3014
m: 60520
REt4Tcm TILL PROJECT
Myr: 341AFECR 811dyet:
00
T► date 0octxaent Ozt•:L
Arco,u.lt
I:uu l a
LAW
bdnetica
- Eun.:1 5260
MA1tYl'E4MCE PRUVE141ATIVU
10/24/96
D3:7
LC3
542
10/24/9i
MIIUI
40
535
17.00
263.78
130.94
IC/25/96
HIAWSLEY
40
538
6.00
83.13
3a.36
IC/29/9i
M55
4C1
538
1C/33/96
E0a)
4C1
533
10/3.3/94
JOi11ER JR
401
535
24.00
567.56
261.01
10/31/96
DU74
401
538
10/31/96
J;c1V13llcl4
401
i.30
-3.O5
553.11
255.71
10/31/96
JO3
401
538
8.53
145.11
66.95
10/31/96
SITTNER
401
530
33.0:1
540.86
249.55
10/31/96
D052
40L
538
11/OL/%
WALMSLEY
401
536
4. 0;
60.45
2-1. N9
Ll/ol/96
D052
401
538
LI/O1/96
D074
lot
536
11/OS/96
009.2
lot
536
II/04W916
SITTIICR
401
�38
8.3.)
14U.'23
64.7.)
11/06/96
zOC3
401
E38
11/06/%
D074
401
538
11 /071%
D074
lot
5)e
11!08/96
CORNER JR
lot
'-35
43.J•)
761.91
352.A
Il/(44196
KAhUT
4D1
53S
25.at)
447.39
2U6.13
11/08/96
D074
401
53e
11/08/96
E051
431
53e
11112/46
0f:_5
40l
539
11115/i6
JAAVINEN
4J1
539
6.i)0
IU7.55
49.-S2
11115/)6
Joe
40L
539
13.00
242.it
III.a5
1 P.nr.: 5260
23J.50
3934.31
1815.30
Furw;.- 5270
MAIII?EH-110E SCIICDt1LED
IO WI&
D314
401
535
10/25194
CORNER JR
401
533
4.00
64.27
29..35
LO/25/9i
D374
401
$38
10/29196
CAHV1
401
$33
21.00
346.05
1uJ.79
10/31196
Joe
401
$38
4.O0
65.73
'fJ.33
11/G5/96
KAHU1
402
535
6.00
110.1-13
64.71i
13105!96
F-CY)
401
538
•Tana l 5T70
-
34.1m
0,10. z1f
I'sinct: 6300 FIELD 5WERVISION
Vendor Material
Equlp
710.C8
3.C9
118.J0
126.99
716.99
ea.12
09.1.2
352.40
146.52
88.12
143.20
19a.27
787.92
206.39
4464.67
)8.I2
30.12
I a1. UA
O3/20/97 D9:17 Page L
Other SubtotfI Encundb
71u.ua
414.72�
121.49
).09
11e.39
62).43/
726. 9)
608. 34
212.06
7)0.4L
726.9)
80. 34
89.12
83.12
3sz. 16
204. 93
146.52
90.12
143.20
1114.92�
633. a2/
190.27
787. 92
286. 39
157, 17
354.26
Total
Revenue
710.O0
U
1
414.72
121.49
Lle.3a
829.43
�
800.34
f
212.06
C
790.41
C
726.99
-
ed.31
ee.12
�
ee.Iz
�
352.48
204.23
-
146.52
06.32
c
143.20
11L4.92
653.82
7
190.27
7e7.92
216.39
157.27
354.26
10214.56
10214.56
r
08.12
0
93.92
)3.92
as. 12�
a$.12
0
-
508.61
306.64
f
96. 06 ✓
96.06
u
204.91
204.93
c
"50.08
L50,08
r
1229.61 12,29.81
GCA 0602
Supplement No. 1
Exhibit "A-1" Sheet 3 of 7
JOB COST DETAIL R%POF;T For Periods: 960L - 9702
7cD .11
.;ob: 36100
ISTGS/c* 1)w%REfJCES/S'fOR)1
Flgr:
TIICTIPSON
NO: G3520
RENTON HILL PROJECT
1-17r: SHAFFER
Budget:
.00
Tr date Document Descr
Account
flours
Labor
BeneftLs
10/29/96
Ci53
101,
535
10/31/96
510t.l'-UR
70L
535
3.00
61.28
28.21
10/31/96
SHAF1CR
1101
533
3.00
61.29
28.2,3
11/08/9i
C1E)
1!11
535
11/l5/9�6
S11AFFER
1-)I
S 3 5
6.50
179.81
02.96
11/LS/9S
SI1AFfFUR
101
534
3.50
78.00
35.99
-Fan=t 5300
16.00
380.38
175.50
rLnct :
5330 tIOJI-I.NEOR
13/251)6
6 YOiT BATTERY
003
000
l3/25196
6- FER`ICO CPL
003
000
IJ/2$/96
rVC PIPE 6"
003
000
10/25!96
N11ITE PA111T
00•)
000
11/0096
18980
IIILAIID FOUNDRY
401
538
11/09196
18966
IIIIa11D FOUNDRY
401
538
11/21/96
2091725
PAC171C HATER
401
508
l/ i1196
CNTCt18.491 t1 10"
000
000
12/03/96
19056
INUMID FOUNDRY
40l
S.18
t 2/ 11 / 96
1256249
1`1=1-ENDDIJ IIARDW
401
538
12/12/96
9039-Itf
AN ASrHAI TItfG
401
530
12/17/96
37637
C711CRCI'% CORIN
401
539
12/17/96
33069
RE1117OH COlICRET
401
538
12/17196
32063
RENTO11 COtICRET
401
S38
`Fuuct 5330
111uct:
5532 TIME ► M11"ER1AL -
STREET
lL/04!96
D)43
103
:47
Il/04!96
D)19
JO)
542
11/05/96
DWGHEATY
10)
542
19.00
11/05/16
LARSE3
103
542
2.00
Il/05/96
D367
103
542
I1!05/16
D357
103
542
I1/OS/96
DTI
103
542
I1/05/96
D)77
10)
54?
11/05/96
D319
iO3
542
II!05,196
ED05
203
542
11106/96
?AILB03
103
542
12.On
I1!06! 96
GARRA;T
401
517
4.00
11/06! 96
D057
103
54-1
11/06/16
0054
1o)
542
03/20/97 09:17 Page 2
n
Vendor
Platerlal
Equip
OtheL Sub'otal Encumb
Total Revenue l/
------
------
216.82
-
213.02
--- --------
218.22 d
E9.55
59.55
69.51 i
69.57
91.10
-1.18
91.16
2A2.77
252.;7 6
113.99
113.99
E
310.00
8E5.83
8.;5.=0 C
C
2.G6
2.6•;
2.(6 U
19.90
13, 93
19. i9
8.51#
0.5)
8.59
5.52
5.52
5.52
502.20
502.20
502.20
3)4. 00
334.130
331.6-3 G
64.05
61.03
EI.C5 C
142.01
142.D1
142.C1
167.4U
100.10
LEI. I) f
72.61
72.61.
72.(1 Z
20732.05
20732.35
20732.45
216.40
216.40
216.40
11.03
1L.03
11.03
7. i5
7. 15
7. 3i
22108.69 170.76
22207.45
22267.45
41.56
41.56
41.S6 r\
177.52
0 7.52
1 77. 52 Q
287.16
L32.50
419.66
419.66
30.23
13.95
44.1E
41.1E O
44.38
41.3E
41.3E n
266.20
266.2E
266.28
U
53.59
5).51
53.57 O
355.04
355.04
355.04 P
44.30
44.3E
44.3E
428.72
420.72
428.72
120.00
11.71
131.71
�
13'.71
52.16
24.117
76.23
76.23
310.6G
310.66
310.66
355.04
355.04
355.D4
C
GCA 0602
Supplement No. 1
Exhibit "A-1" Sheet 4 of 7
JCDCTRP JC•B COST DETAIL F.1:L"3RT For Periods: 9601 - 97t12
J`+b: 36100
14TGS/C(XIC£RC14CE9/STORtj 14yr:
T11lTIC5Ck1
WO: 60520
RENTG•: FILL PRwec-r
X;f: SHAFFF.It
Dudoet:
.00
Te date Document
-
Descr
-----
Accourt
110tirs
Labor
Belle Cita
I.Il06/96
;;D57
-------
1•303 542
-----
-----
--------
11/06/96
UDS 6
403 537
11/07/)6
lvEI;IER
103 542
21.00
350.44
161.69
I1/07l96
(1067
_03 542
11/00/96
STCHUOUSE
10-1 542
3.00
101..02
46.91)
1:/CEli6
-7151
103 542
11108/46
C'043
LC'3 542
:1109/96
Wr6
1.) 542
11/13/96
1"3ELC
11,3 542
1.00
20.42
9.42
11/I ./!6
i11A.7T
103 542
29.00
541.99
252.04
11/15i 96
141C11AUD
303 542
1.00
17.93
8.27
I MS/96
PRy-:�R
103 542
7.50
134.44
G2.03
Itilsi %
ZELLHER
l03 512
12.50
277.71
1213.14
• Furtct $532
112.00 1940.31) 051.50
Funct: $533
T1149 L M1•.TCRIAL - STO M
10/22/96
SCTTH£R 401 530
16.00
269.22
133.45
10,'22/96
D07,? ;.03 542
10/23/96
^153 4C'L 535
_0/23/96
D074 4C1 53?
10/23/96.
CAMMR. JR (cl E33
9.00
144.61
66.12
1C/73/96
KAIIUL 40) 534,
16.00
209.22
113.45
I0/23i96
0II71 401 535
10/24!96
CAT 119AS111 le- C4)0 OLA
10/24/ 96
S► OO it WALL AD C00 000
10/24/ 46
VANE GRATE TIIR 000 000
10/25/96
CATCHEASLN 18" 0C'0 000
10/25/96
-SM001 H WALL AD OCO 000
IC/25/96
Y!34E GRATE TIIR OJO 000
LO/31/96
Si1.rlFFlT4 401 535
3.50
11.49
)2.99
LVW96
.7RF.VI:IEI1 401 526
9.00
147.89
60.24
10I31/96
SIi41FECA 40L 5!e.
3.50
11.50
32.99
111C1/96
D017 103 542
ll/04/%
DIM 401 536
11/09,196
PIILL31N IC•3 542
3.00
45.00
4.39
111OV)s
ZA+P.P.A?T 433 S37
3.00
59.50
27.49
11/08i56
DOS] 10i 542
1l/12/96
SiTT17Elt 401 536
31.00
541.39
250.72
.I/12i9E
C014 401 530
1/12/96
EOnL 401 `,10
1 /1S., )ti
JAWNEN 401 °36
12.00
215.11
99.25
111E/)6
C145 1U3 542
'/eml�r IWtectal
03/20•/97 D9:17 Page 3
F I'r11`
Other S�b;otal F.ncumb
-
310.66
-----310.66 ------
24.60
24.50
512.13
332.05
33i.05
14E.60
14.61
14.67
233.78
233.18
133.90
133.30
29.04
B:p.83
25.20
136.47
405.33
3121.71
355.04
255.29
396.54
41.10
112.01
120.16
154.51
142.01
106.80
154.51
221.90
08.12
66.57
41ft. '',7
450.24
17.46
59IS.63
422.E?
355.Z4
255.29 /
396.51
1.33�
142.:1
_2a.16
15,.51
142.01
1 C6. et)
154. $1
It14.4c
216. 13
104.4S /
221.93
68.12
49. 39 -/
a7. G7 J
3E.!7
7'1! A. 1,
410.5?
450.21
3.4.36
L1.46 J
Tc . a 1 Itevenuc
31C.66
24.60
512.13
332.05
143.00
11.67
i3.3.70
?33.)a
29.04
300.e)
26.20
196.47
40S.RS
59.9.61
422. 67
555.04
255.29
396.51
�11 . 33
422.67
44.33
142.01
128.16
154.51
142. C3
1 36. ao
1 54.51
101.49
21G.13
104.49
221.90
3E.t2
45. 35
8? . 07
66. j7
194.11
41E.51
45C.24
314.35
1'. 46
GCA 0602
Supplement No. 1
Exhibit "A-1" Sheet 5 of 7
JUCTA F JOB -C'.ST DETA I i. RE MAT Ear Pet 1 ods : 9601 - 9102
Jco: 16100 HTGS/CUNF :kCNCE9/STUK11
1491: T1104PSC41
K;J: 60520 REI1TOt1 HILL M(-I6CT
14g►': SNAFTCR
6uclyet:
r date DrcuAeet
LwsCr
A,. crunt
Noucs Laboc liunetLLs
11/19/S6
►RES,;ELL
IC)
542
---
6.00 Idt) 3tl H3 23
11/211,96 1
SJO
11/21, 90 32650
P.:`,T()11 ^014CF.E'r
401
530
I I / 2 1 / 96 135639
SEGT.L.E INC (H
401
5:8
I1/21/96 135676
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Revenue
GCA 0602
Supplement No. 1
Exhibit "A-1" Sheet 6 of 7
.JUN.25 '97 1:06PM WSDOT SCANLAN/GOLLER
♦*ftt ,tt�,r•
INVOICE
A A P.sphal t ing, Inc.
2518 East Valley Highway
Sumner, WA. 98390
(206) 939-0214
CITY OF RENTON
WATER .& SEWER DISTRICT
3SSS NE 2ND ST.
P.EI4-TON WA 98056
CONTACT: JOHN STEIN
206 872296E P.6
PAGE: 1
INVOICE NUMBER: 0009039-IN
INVOICE DATE: 11-26-96
CUSTOMER P.O.:
-------------------------------------------------------------
TERMS: DUE
UPON RECEIPT
DESCP.I PTION
QUyTITY
AMCLXT
'_'-8-96-311 S.
3RD __-_---_---
1'_
�?3 000
6,6i5.00 --
4" ASPHALT PER
SQ. FT.
300 S.
3RD
c83 .000
s
.., 15.00
4 " . PS P�LTLLT PER
SQ. FT.
'
11-14-35-300 S..
3RD
3? 3 .000
1, So5 .00
^ " ; ? LkL T PER
SQ. FT.
11-2_6-96-MILL AV S & 32O
632.000
3,_5C.0C
4 " AS??ELT PER
SQ. FT.
95-MILL AV S & RENTON AV
4 6.000
2,080.00
=" ?.SPA=ELT PER
SQ. FT.
11-25-96-S 4TH
ST & MILL AVE S
1�i.000
2 " aS PS,T PER
SQ. FT.
11-25-96-4TH' ST
& MILL LIVE S.
535.000
2,575.00
4" ASP_-LA__rT PER
SQ. FT.
GCA 0602
Supplement No. 1
Exhibit "A-1" Sheet 7 of 7
------------
NET INVO_ICS: 19,1011.60
SALES TAX: 1,57:.25
--------.---
INVOICE TOTAL: '20, 732.85
RECEIVED
AM
Washington State
Department of Transportation
Sid Morrison
Secretary of Transportation
Mr. Gregg Zimmerman
Administrator
City of Renton
Planning/Building/Public Works
1055 South Grady Way
Renton, WA 98055
Dear Mr. Zimmerman:
JAN 3 1 2000
Northwest Regi�4q,�
15700 Dayton AveMJti N6i RENTON
P.O. Box 33031oPUBLIC WORKS ADMIN.
Seattle, WA 98133-9710
(206) 440-4000
January 27, 2000
City of Renton
SR 405
Cedar River Pipeline
Relocation Contract 3854
Participating Agreement GCA 0602
Supplement No. 1
Attached are two originals of the above referenced agreement.
This supplemental agreement revises the agreement total to reflect the final billing for the
additional work by the City. The actual constructed quantities exceeded the allowable
125% overrun amount provided in the original agreement. The final ESTIMATE OF
COST amounted to $54,577.53.
The original submittal to Olympia Service Center was on May 11, 1999. NWR received
review comments from Duane Norquist on May 21, 1999. We asked the construction
office to address OSC comments in a memo dated May 25, 1999. We received a
memorandum dated September 2, 1999 from the construction office which addresses the
questions raised by OSC.
Based on the information provided by Joe Scanlon's construction office the original
submittal was revised to provide a more detailed Exhibit "A-1" ESTIMATE OF COST.
Please sign and date the agreements on the page indicated and return for further
processing. Do not date the first page as that will be dated on the day the agreement is
signed by the State. A fully signed and executed original will be returned to you for your
files.
If you have any questions regarding this agreement, please contact Steve Howard at 206-
440-4726.
Sincerely,
,,TERRENCE G. PAANANEN, PE
Local Programs Engineer
TGP/SMH/smh
Attachments
cc: File:
GCA 0602-1
const:
J. Scanlon, MS 51
s.king:
C. Stone, MS 250
pgmnt:
A. Sheikh-Taheri MS 105
0602-1.0l.ltr.doc
40
CITY OF RENTON
CITY CLERK'S OFFICE
MEMORANDUM
DATE: February 22, 2000 RECEIVED
TO: Lys Hornsby, Utility Systems FEB 2 2 2000
FROM: Bonnie Walton, x6513 CITY OF RENTON
SUBJECT: CAG-96-136, Adden. 91-00 UTILITY SYSTEMS
As requested, the attached document has been signed by City officials and is being
returned to you for execution by other parties. When fully executed and returned to you,
please return a signed original of the document to the Clerk's office for our permanent
record file.
Thank you.
Enclosures: (2)
CONTRACT CHECKLIST
STAFF NAME & EXTENSION NUMBER: L\
DIVISION/DEPARTMENT:
CONTRACT NUMBER:
TASK ORDER NUMBER (if applicable)
CONTRACTOR:
PURPOSE OF CONTRACT:
V/l
✓2
,/ 3
✓4
v5
6
-7 �Q
Nit, t-0 COCA 0602
LEGAL REVIEW: (Attach letter from city attorney.)
/W
RISK MANAGEMENT REVIEW FOR INSURANCE: (Attach letter.) iJ I A
RESPONSE TO LEGAL OR RISK MGMT CONCERNS: (Explain in writing how concerns have been met.)
INSURANCE CERTIFICATE AND/OR POLICY: (Attach original.) t,�/A
CITY BUSINESS LICENSE NUMBER: t� IA (Call Finance Dept.)
NoT ST��
ATTACHED CONTRACTS AR SIGNED BY : (If not, provide explanation.)
G kT4 S l G� 5 -6 IP5' '
7. FISCAL IMPACT: f AO1,�
A. AMOUNT BUDGETED (LINE ITEM) (See 8.b)* 5,51
B. EXPENDITURE REQrnr-Tv
£ 511 S3��� TUB
J4RE —5 T�
A. COUNCIL APPROVAL REQUIRED (Prepare Agenda Bill.): 21141 ZOCO
A. CONTRACT OR TASK ORDER IS $50,000 OR OVER: (Refer to Council committee for initial
contract approval; place subsequent task orders on Council agenda for concurrence.)
B. *FUND TRANSFER REQUIRED IF CONTRACT EXPENDITURE EXCEEDS AMOUNT
BUDGETED. (Refer to Council committee.)
C. SOLE SOURCE CONTRACTS. (Refer to Council committee.)
V9. DATE OF COUNCIL APPROVAL: a 1 t-{ ad 0 5
✓10. RESOLUTION NUMBER (if applicable): 3435
11. KEY WORDS FOR CITY CLERK'S INDEX:
A. CAG qt, -13(0
B. GCA-0(D(�)2
C. 1�+ve r �'jL tm.SM un
c:,winWord,rormskt l� h 6'+, 7-7r pBray a—
09/02/93 U
"OR CITY OF RENTON
7Office of the City Attorney
J se se Tanner, Mayor Lawrence J. Warren
MEMORANDUM RECEIVED
FEB - 8 2000
To: Lys Hornsby, Utility Systems Director CITY OF RENTON
From: Lawrence J. Warren, City Attorney UTILITY SYSTEMS
Date: February 7, 2000
Subject: Supplement No. 1 to Agreement GCA 0602 with the Washington State
Department of Transportation
I have reviewed the above -referenced document and the same is approved as to legal form. I am
enclosing a copy of a resolution authorizing the Mayor to enter into Supplement No.1 with
WSDOT, the original of which has been sent to the City Clerk.
l
Lawrence J. Warren
LJW:as.
Encl.
cc: Jay Covington
Marilyn J. Petersen
A8:171.26.
Post Office Box 626 - 100 S. 2nd Street - Renton, Washington 98057 - (425)255-8678
9 This paper contains 50 % recycled material, 20 % post consumer
CITY OF RENTON, WASHINGTON
RESOLUTION NO.
A RESOLUTION OF THE CITY OF RENTON, WASHINGTON,
AUTHORIZING THE MAYOR AND CITY CLERK TO ENTER INTO
SUPPLEMENTAL AGREEMENT NO. I TO AGREEMENT GCA 0602
WITH THE WASHINGTON STATE DEPARTMENT OF
TRANSPORTATION.
WHEREAS, the City of Renton desired to construct certain drainage facilities in the
vicinity of SR-405 and the South Renton Interchange to Sunset Boulevard; and
WHEREAS, the State Department of Transportation provided funding for such work
pursuant to Agreement GCA 0602; and
WHEREAS, field modifications and unforeseen conditions required alterations to the
estimated quantities of materials used in the work such that the ultimate costs exceeded the
original agreement by more than twenty-five percent; and
WHEREAS, the State has verified the final cost estimate and is prepared to revise its
agreement with the City to provide additional funding;
NOW, THEREFORE, THE CITY COUNCIL OF THE CITY OF RENTON,
WASHINGTON, DO RESOLVE AS FOLLOWS:
SECTION I. The above recitals are found to be true and correct in all respects.
SECTION II. The Mayor and the City Clerk are hereby authorized to enter into
Supplement No. 1 to Agreement GCA 0602 with the Washington State Department of
Transportation to take into account the additional costs of construction.
1
RESOLUTION NO.
PASSED BY THE CITY COUNCIL this day of 72000.
APPROVED BY THE MAYOR this
Approved as to form:
Lawrence J. Warren, City Attorney
Date of Publication:
RES.771:02/07/2000:as.
Marilyn J. Petersen, City Clerk
day of , 2000.
Jesse Tanner, Mayor
Laucks Testing Laboratories, Inc.
940 S. Harney Seattle, WA 98108
WATER BACTERIOLOGICAL ANALYSIS
rf SAMPLE COLLECTION: READ INSTRUCTIONS ON BACK OF GOLDENROD COPY
`. if Instructions are not followed, sample will be rejected.
DATE COLLECTED TIME COLLECTED COUNTY NAME
. MONTH DAY �jYEAR : C, 6 ,
AM PM K i
t TYPE OF SYSTEM IF PUBLIC SYSTEM, COMPLETE:
PUBLIC CIRCLE GROUP
❑ INDIVIDUAL I.D. No. ! 4'/ L ® B
.. (serves only 1 residence)
NAME OF SYSTEM
SPECIFIC LOCATION WHERE SAMPLE COLLECTED TELEPHONE NO.
�a : C DAY (?GG) 2 S a
t' f r f }� EVENING ( )
t SAMPLE COLLECTED �BY: (Name) SYSTEM OWNER/M
GR.: (Name)
t 1 I y far- (+ r
0OURCE TYPE ❑ GROUND WATER UNDER SURFACE INFLUENCE
❑ SURFACE ❑ WELL FIELD ❑ SPRING ❑ PURCHASED or C TIE OMBI OTHER
SEND REPORT TO: (Print Full Name, Address and Zip Code)
; 1� Ulo=
AIZ-
rX i " T ,!i ;,'I _ WASHINGTON
TYPE OF SAMPLE (check only one in this column)
❑ ROUTINE ❑ Chlorinated (Residual: _Total Free)
DRINKING WATER
check treatment ❑ Filtered
❑ Untreated or Other
❑ REPEAT SAMPLE
Previous coliform presence _Lab M
Date
❑ RAW SOURCE WATER Source M a ❑
NEW CONSTRUCTION or REPAIRS
riOTHER (Specify)
REMARKS:
Total Coliform
❑ Fecal Coliform
(LAB USE ONLY) DRINKING WATER RESULTS
❑ UNSATISFACTORY, Conforms present
Cf SATISFACTORY,
Conforms absent
REPEAT ❑ E. Coli present E. Coli absent
SAMPLES l ecapresent Fecal absent
❑ LJ
REQUIRED F
OTHER LABORATORY RESULTS
TOTAL COLIFORM A, A 00 ml E. COLI _ /100ml
-
FECAL COLI FORM /100 ml PLATE COUNT /ml
ANOTHER SAMPLE REQURED
SAMPLE NOT TESTED BECAUSE: TEST UNSUITABLE BECAUSE:
❑ Sample too old ❑ Confluent growth
❑ Wrong container ❑ TNTC'
❑ Incomplete form Turbid culture
❑ Excess debris
T.
SEE REVERSE SIDE OF GREEN COPY FOR EXPLANATION OF RESULTS
LAB NO. (7 DIGITS) DATE, TIME RECEIVED RECEIVE BY
U l --1 3 / ()
DATE REPORTED LABORATORY: I
REMARKS
DOH 30b002 (REV. 4'9Z)
VVATFR SIIPPI IFR C ,PY _
4 ..