HomeMy WebLinkAboutWTR2703198_7CITY OF RENTON
WASTEWATER MAINTENANCE SECTION
"WALK-THRU" INSPECTION PUNCH LIST
DATE: March 11, 2003
TO: Kayren Kittrick
FROM: John Thompson
PROJECT NAME:
INSPECTOR: 7' - (Ira
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CORPORATION ACCOUNT RESOLUTION
FOSTER & MARSHALL INC.
1, do hereby certify that at a meeting of the Board of Directors
of N J m C, if L .i c�
(a corporation organized under the laws of )
duly called and held at No. in the City of k-, - k I v-p cL
State of UO(Is k I "6i f(D on the .2,D� �l day of To ,L , 19 rp a quorum being
present and voting throughout, the following resolutions, upon motion made, seconded and carried, were duly
adopted and are now in full force and effect:
RESOLVED, that this corporation open an account with the _firm of Foster & Marshall Inc. for
the purpose of buying, selling and trading in, for the account and risk of the corporation, and in its
name, stocks, bonds and other securities and/or contracts for securities*
on margin or otherwise and including short sales and in accordance with the terms
and conditions required by said firm of Foster & Marshall Inc.; and
RESOLVED, that the following officers, viz.
w�' n �
and their successors in such offices and/or V11u eNf 11�f: nAer,,b I J e—u 00(a e. '1a Ig eV/C,
be and they hereby are and each is authorized and
empowered to enter orders for purchases and sales and said officers and
each of them is authorized and empowered to give instructions, in every respect
concerning said account with Foster & Marshall Inc. and said firm is authorized and empowered to
make payments of monies and deliveries of securities or contracts to said officers or otherwise as
they and each of them may order and direct, and the said officers and each of them is authorized
and empowered to execute any and all agreements with the said firm on behalf of the corporation in
connection with the said account in order to conform with the rules and regulations of Foster &
Marshall Inc. concerning any of the said aforesaid transactions and in all matters and things before
mentioned the said officers and each of them is authorized to
act for the corporation and in its behalf; and
RESOLVED, that the corporation does hereby agree to indemnify and hold Foster & Marshall Inc.
harmless from and promptly to pay said firm on demand any and all losses arising therefrom and the
amount of any debit balance due on the account; and
RESOLVED, that the authority in said officers and/or
vested shall be a continuing one and shall remain in full force and effect until the firm of Foster &
Marshall Inc. shall receive from the corporation a written notice of the revocation of such authority;
and the persons named (and their successors) shall be presumed to be continuously the holders of
such offices until Foster & Marshall Inc. shall receive from the corporation a written notice of the
election of their successors, properly certified by the secretary of the corporation.
RESOLVED, that the said officers of this Corporation be and they hereby are authorized and
empowered to cause one or more accounts belonging to the Corporation to be carried in the name or
names of any of such officers or in the name of a nominee designated by such officers, and that
securities purchased for the account of the Corporation may likewise be registered in the name or
names of any of such officers or in the name of any nominee designated by such officers; and
RESOLVED, that the foregoing resolutions shall apply as to any successor firm of the present
firm of Foster & Marshall Inc.
RESOLVED, that the secretary of this corporation be and he hereby is authorized to certify to
said firm the foregoing resolutions and that the provisions thereof are in conformity with the charter
and by-laws of this corporation.
I, the said secretary, do further certify that there is no pro3ision in the charter or by-laws of
V .i M CQ�t. Qri'QQ o :Climiting the power of the Board of Directors to pass
the foregoing resolutions and I do certify and warrant that the same are in conformity with the provisions of
said charter and the by-laws of the corporation and within its corporate and lawful powers.
I do further certify that the present officers of this corporation ,are as follows:
Name
Office
Pi73"- 1%1'c.o,--,,
WITNESS my hand and the seal of the corporation this�"&2 day of 19 ?s /
Secretary
*If account is to be for cash insert words "for cash and not. V
x%xIf the resolution authorizes Secretary to act thereunder, and the Secretary, alone, or in conjunction with some other
officers, does so act, certification should be by another officer in addition to the Secretary.
A/C No.
FORM 31 SECURITY
Y
Construction, Inc.
November 7, 2005
12409 230th PI. NE - Redmond, WA 98053 - Phone (425) 868-9066 - Fax (425) 868-9074
City of Renton
1055 South Grady Way
Renton, Washington 98055
Attn: Rick Moreno
Re: Payment for November 15`h to VJM Const.
To Whom It May Concern:
I Vince Mazzaferro , president of VJM Construction, would like to authorize Fred
Mazzferro, president of operations for VJM Construction to pick check up in person at
the City of Renton on November 15`h. He is a legal signer for VJM Construction Co.
Thank you, /�,�
r! �
Vincent M zaferro,
President of VJM Construction Co.
gAMES
Vince Mazzaferro
Fred Mazzaferro
Mark Stevens
Jeannine Mazzaferro
LIST OF RESPONSIBLE PARTIES
ADDRESS
12409 230th PINE
Redmond, Wa 98053
23331 NE 15th St.
Sammamish, Wa 98074
14917 283rd PI.
Duvall, Wa 98019
12409 230th PI.NE
Redmond, Wa 98053
PHONE NUMBERS
425-941-3231(cell)
425-868-9066(home)
425-941-3120(cell)
425-836-5401(home)
206-799-1444 (cell)
425-246-7338(cell)
425-868-9066
Patty Aker Nelson 225 108th Ave NE 425-586-1012
Bellevue, Wa 98004
TITLES
President
Head of Operations
Foreman
Secretary
Bookkeeper
Bonding Agent
construction, inc,
2409 230th PI. NE • Redmond, WA 98053 • Phone (425) 868-9066 • Fax (425) 868-9074
December 15, 2006
City of Renton
1055 South Grady Way
Renton, Washington 98055
Attn: Rick Moreno
SUBJECT: TALBOT HILL WATER MAIN REPLACEMENT PHASE 2
CAG-05-085 CONTRACT DOCUMENTS
RE: Time Extension
Dear Mr. Rick Moreno
This letter is a request for an additional 39days to complete above project due to
weather and asphalt scheduling/availability.
Thank you,
Vincent Mazzaferro, President
VJM Construction Co., Inc.
T'd doa:al 90 ST qaj
Construction,, Inc.
lk 12409 230th PI. NE • Redmond, WA 98053 • Phone (425) 868-9066 • Fax (425) 868-9074
October 30, 2005
City of Renton
1055 South Grady Way
Renton, Washington 98055
Attn: Rick Moreno
SUBJECT: TALBOT HILL WATER MAIN REPLACEMENT PHASE 2
CAG-05-085 CONTRACT DOCUMENTS
RE: Repair seven side sewers at several locations. Cost as follows:
Materials
$500.00
Labor
$700.00
Sub Total
$1200.00
20% P/O
$240.00
TOTAL
$1440.00
Signature ( � f
Vincent Mazzaferro, Pre ' , t
VJM Construction Co., Inc.
Approved By:
Y
Construction, Inc.
12409 230th PI. NE • Redmond, WA 98053 • Phone (425) 868-9066 • Fax (425) 868-9074
October 30, 2005
City of Renton
1055 South Grady Way
Renton, Washington 98055
Attn: Rick Moreno
SUBJECT: TALBOT HILL WATER MAIN REPLACEMENT PHASE 2
CAG-05-085 CONTRACT DOCUMENTS
RE: Repair 8 inch storm drain. Cost as follows:
Materials
$100.00
Labor
$150.00
Sub Total
$250.00
20% P/O
$50.00
TOTAL
$300.00
Signature
J hi
Vincent Mazzaferro, Presi4y-
VJM Construction Co., Inc.
Approved By:
N
Conftruction,ine.
ft 12409 230th PI. NE • Redmond, WA 98053 • Phone (425) 868-9066 • Fax (425) 868-9074
November 7, 2005
City of Renton
1055 South Grady Way
Renton, Washington 98055
Attn: Rick Moreno
SUBJECT: TALBOT HILL WATER MAIN REPLACEMENT PHASE 2
CAG-05-085 CONTRACT DOCUMENTS
RE: Extra cost for re digging a connection that was miss marked at Morris Ave So.
& So. 14th St. on Sept 291h.
1 hr. backhoe
$60.00
1 hr. backhoe & compactor
$80.00
1 hr. loader
$80.00
1 hr. dump truck
$80.00
4 men @ 1 hr. each 4 hrs. total @$41.00 per hr.
$164.00
Signature
Vincent Mazzaferr , Presi
VJM Construction Co., Inc.
Approved By:
Sub Total
$464.00
20%P/O
$92.00
Total
$556.00
Feb 15 06 10:lla
P.1
V
Construction, inc.
12409 230th PI. NE,, Redmond, WA 98053,9 Phone (425) 868-9066 - Fax (425) 868-9074
® v�-wcoa•s-soar -" ---
February 15, 2006
City of Renton
1055 South Grady Way
Renton, Washington 98055
Attn: Rick Moreno
SUBJECT: TALBOT HILL WATER MAIN REPLACEMENT PHASE 2
CAG-05-085 CONTRACT DOCUMENTS
RE: Asphalt paving went beyond trench limitations.
100 sq over @$23.00 per sq to prepare and haul away asphalt
Sub Total $2300.00
20% P/O 460.00
Total $2760.00
Signature
Vincent Mazzaferro, esident
VJM Construction Co., Inc.
Approved By:
91
I ACORD CERTIFICATE OF LIABILITY INSURANCE vJOP I i DATE (MM/DDIYYYY)
11 09 05
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ROGERS & NORMAN, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
The Westin Building HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
2001 Sixth Avenue Ste 2717 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Seattle WA 98121
Phone:206-443-2600 Fax:206-441-6752
INSURED
VOM Construction Co. Inc.
12409 230th PL NE
Redmond WA 98053
COVFRAGFS
INSURERS AFFORDING COVERAGE NAIC #
INSURER A: American States Insurance _ 19704
INSURER B:
INSURER C:
INSURER D:
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
N
TYPE OF INSURANCE
POLICY NUMBER
'IOLTR
DATIEYMM DED/YY E PDA EY MM/DDA/YY YN
LIMITS
GENERAL LIABILITY
EACH OCCURRENCE
$ 1000000
PREMISES Eaoccurence
$200000
A
X
X COMMERCIAL GENERAL LIABILITY
01CG45014703*
11/11/05
, 11/11/06
CLAIMS MADE FX� OCCUR
MED EXP (Anyone person)
$ 10000
X WA Stop Gap—$1M/2
PERSONAL & ADV INJURY
$1000000
GENERAL AGGREGATE
$ 2000000
GEN'LAGGREGATE LIMIT APPLIES PER*
PRODUCTS -COMPIOPAGG
$2000000
POLICY j JE° LOC
Einp Ben.
$1M/2M
A
AUTOMOBILE
LIABILITY
ANY AUTO
01 C G 4 5 014 7 0 3 *
11 / 11 / 0 5 11 / 11 / 0 6
COMBINED SINGLE LIMIT
(Ea accident)
$ 1000000
X
BODILY INJURY
(Per person)
$
ALL OWNED AUTOS
SCHEDULED AUTOS
X
BODILY INJURY
(Per accident)
$
HIRED AUTOS
NON -OWNED AUTOS
X
PROPERTY DAMAGE
(Per accident)
$
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
$
ANY AUTO
OTHER THAN EA ACC
$
AUTO ONLY: AGG
EXCESSIUMBRELLA LIABILITY
EACH OCCURRENCE
$
OCCUR El CLAIMS MADE
AGGREGATE
$
$
DEDUCTIBLE
$
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
TORY LIMITS ER
E.L. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYE
$
OFFICER/MEMBER EXCLUDED?
IF yes, describe under
SPECIAL PROVISIONS below
E.L. DISEASE - POLICY LIMIT
$
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
RE:Talbot Hill Water Main Replacement Phase 2: CAG-05-085. The City of
Renton, and its officers, officials, agents, employees and volunteers are
hereby recognized as Additional Insureds, per form CG86741002 attached.
This insurance is primary and noncontributory. Waiver of Subrogation and
Severability of Interest clauses included in policy.
CERTIFICATE HOLDER CANCELLATION
CITYREN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 45 DAYS WRITTEN
City of Renton
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Renton City Hall, 5th Floor
Rick Moreno, Project Manager
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
1055 S . Grady Way
Renton WA 98055-3232
axv §x,
ECE 4
REPRESENTATIVES.
HQRIZEp EP ESENTAT E
ACORD 25 (2001/08) NUV i U LUM U ACORD CORPORATION 1988
CITY OF RENTON
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement
on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may
require an endorsement. A statement on this certificate does not confer rights to the certificate
holder in lieu of such endorsement(s).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between
the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it
affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
ACORD 25 (2001/08)
COMMERCIAL GENERAL LIABILITY
CG 86 74 10 02
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CONTRACTORS LIABILITY PLUS ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
City of Renton
Rick Moreno, Project Manager
Renton City Hall, 5th Floor
1055 S. Grady Way
Renton, WA. 98055-3232
DUTY TO DEFEND
Paragraph a. of SECTION I — COVERAGE A and
COVERAGE B is replaced by the following:
a. We will pay those sums that the insured be-
comes legally obligated to pay as damages
because of "bodily injury", "property
damage" or "personal injury and advertising
injury" to which this insurance applies. We
will have the right and duty to defend the in-
sured against any "suit" seeking those dam-
ages. Our duty to defend begins once you
notify us of a "suit" as described in SEC-
TION IV — COMMERCIAL GENERAL LI-
ABILITY CONDITIONS, 2.b. However, we
will have no duty to defend the insured
against any "suit" seeking damages for
"bodily injury", "property damage", or
"personal injury or advertising injury" to
which this insurance does not apply. We
may, at our discretion, investigate any
"occurrence" and settle any claim or "suit"
that may result. But:
(1) The amount we will pay for damages is
limited as described in SECTION III —
LIMITS OF INSURANCE; and
(2) Our right and duty to defend ends when
we have used up the applicable limit of
insurance in the payment of judgments
or settlements under COVERAGES A
or B or medical expenses under COV-
ERAGE C.
No other obligation or liability to pay sums or
perform acts or services is covered unless ex-
plicitly provided for under SUPPLEMENTARY
PAYMENTS — COVERAGES A AND B.
EMPLOYERS LIABILITY
The last paragraph of exclusion e. of SECTION I —
COVERAGE A is replaced by the following:
This exclusion does not apply to liability assumed
by the insured under an "insured contract" ex-
cept for that part of a contract or agreement that
indemnifies any person or organization for their
sole liability.
m A registered trademark of SAFECO Cogmtion
CG 86 74 10 02 Page 1 of 5 EP
WRONGFUL EVICTION
The following exclusion is added to SECTION I —
COVERAGE B:
The wrongful eviction from, wrongful entry into,
or invasion of the right of private occupancy of a
room, dwelling or premises arising out of any:
(1) "property damage" to the room, dwell-
ing or premises; or
(2) "bodily injury" sustained through occu-
pancy of a room, dwelling or premises.
ADDITIONAL INSURED — BY WRITTEN CON-
TRACT, AGREEMENT OR PERMIT, OR SCHED-
ULE
The following paragraph is added to SECTION II —
WHO IS AN INSURED:
5. Any person or organization shown in the Sched-
ule or for whom you are required by written con-
tract, agreement or permit to provide insurance
is an insured, subject to the following additional
provisions:
a. The contract, agreement or permit must be
in effect during the policy period shown in
the Declarations, and must have been exe-
cuted prior to the "bodily injury," "property
damage," "personal and advertising injury."
b. The person or organization added as an in-
sured by this endorsement is an insured only
to the extent you are held liable due to:
(1) The ownership, maintenance or use of
that part of premises you own, rent,
lease or occupy, subject to the following
additional provisions:
(a) This insurance does not apply to
any "occurrence" which takes place
after you cease to be a tenant in
any premises leased to or rented to
you;
(b) This insurance does not apply to
any structural alterations, new con-
struction or demolition operations
performed by or on behalf of the
person or organization added as an
insured;
(2) Your ongoing operations for that in-
sured, whether the work is performed
by you or for you;
(3) The maintenance, operation or use by
you of equipment leased to you by such
person or organization, subject to the
following additional provisions:
(a) This insurance does not apply to
any "occurrence" which takes place
after the equipment lease expires;
(b) This insurance does not apply to
"bodily injury" or "property
damage" arising out of the sole
negligence of such person or or-
ganization;
(4) Permits issued by any state or political
subdivision with respect to operations
performed by you or on your behalf,
subject to the following additional pro-
vision:
This insurance does not apply to `bodily
injury," "property damage," "personal
and advertising injury" arising out of op-
erations performed for the state or
municipality;
c. The insurance with respect to any architect,
engineer, or surveyor added as an insured
by this endorsement does not apply to
"bodily injury," property damage,"
"personal and advertising injury" arising out
of the rendering of or the failure to render
any professional services by or for you, in-
cluding:
(1) The preparing, approving, or failing to
prepare or approve maps, drawings,
opinions, reports, surveys, change or-
ders, designs or specifications; and
(2) Supervisory, inspection or engineering
services.
d. This insurance does not apply to "bodily
injury" or "property damage" included within
the "products -completed operations haz-
ard."
e. A person's or organization's status as an in-
sured under this endorsement ends when
your operations for that insured are com-
pleted.
f. No coverage will be provided if, in the ab-
sence of this endorsement; no liability would
be imposed by law on you. Coverage shall
be limited to the extent of your negligence
or fault according to the applicable principles
of comparative fault.
Page 2 of 5
g. The defense of any claim or "suit" must be
tendered as soon as practicable to all other
insurers which potentially provide insurance
for such claim or "suit".
h. The insurance provided will not exceed the
lesser of:
(1) The coverage and/or limits of this policy,
or
equipment listed in paragraph f.(2) or
f.(3) of the definition of "mobile equip-
ment."
(6) An aircraft you do not own provided it is
not operated by any insured.
TENANTS' PROPERTY DAMAGE LIABILITY
When Damage To Premises Rented To You Limit is
(2) The coverage andlimits required by shown in the Declarations, SECTION I — COVER -
said contract, agreement or permit. AGE A, exclusion j., is replaced by the following:
NON -OWNED WATERCRAFT AND NON -OWNED
AIRCRAFT LIABILITY
Exclusion g. of SECTION I — COVERAGE A is re-
placed by the following:
g. "Bodily injury" or "property damage" arising
out of the ownership, maintenance, use or
entrustment to others of any aircraft, "auto"
or watercraft owned or operated by or rented
or loaned to any insured. Use includes oper-
ation and "loading or unloading."
This exclusion applies even if the claims
against any insured allege negligence or
other wrongdoing in the supervision, hiring,
employment, training or monitoring of others
by that insured, if the "occurrence" which
caused the `bodily injury" or "property
damage" involved the ownership, mainte-
nance, use or entrustment to others of any
aircraft, "auto" or watercraft that is owned
or operated by or rented or loaned to any in-
sured.
This exclusion does not apply to:
(1) A watercraft while ashore on premises
you own or rent;
(2) A watercraft you do not own that is:
(a) Less than 52 feet long; and
(b) Not being used to carry persons or
property for a charge;
(3) Parking an "auto" on, or on the ways
next to, premises you own or rent, pro-
vided the "auto" is not owned by or
rented or loaned to you or the insured;
(4) Liability assumed under any "insured
contract" for the ownership, mainte-
nance or use of aircraft or watercraft; or
(5) "Bodily injury" or "property damage"
arising out of the operation of any of the
j. Damage To Property
"Property damage" to:
(1) Property you own, rent, or occupy, in-
cluding any costs or expenses incurred
by you, or any other person, organiza-
tion or entity, for repair, replacement,
enhancement, restoration or mainte-
nance of such property for any reason,
including prevention of injury to a per-
son or damage to another's property;
(2) Premises you sell, give away or aban-
don, if the "property damage" arises out
of any part of those premises;
(3) Property loaned to you;
(4) Personal property in the care, custody
or control of the insured;
(5) That particular part of real property on
which you or any contractors or sub-
contractors working directly or indirectly
on your behalf are performing oper-
ations, if the "property damage" arises
out of those operations, or
(6) That particular part of any property that
must be restored, repaired or replaced
because "your work" was incorrectly
performed on it.
Paragraphs (1), (3) and (4) of this exclusion
do not apply to "property damage" (other
than damage by fire) to premises, including
the contents of such premises, rented to
you. A separate limit of insurance applies to
Damage To Premises Rented To You as
described in SECTION III — LIMITS OF
INSURANCE. Paragraph (2) of this exclu-
sion does not apply if the premises are "your
work" and were never occupied, rented or
held for rental by you.
CG 86 74 10 02 Page 3 of 5 EP
Paragraphs (3), (4), (5) and (6) of this exclu-
sion do not apply to liability assumed under
a sidetrack agreement.
Paragraph (6) of this exclusion does not ap-
ply to "property damage" included in the
"products -completed operations hazard."
Paragraph 6. of Section III is replaced by the follow-
ing:
6. Subject to 5. above, the Damage To Property
Limit is the most we will pay under COVERAGE
A for damages because of "property damage" to
any one premises, while rented to you, or in the
case of damage by fire, while rented to you or
temporarily occupied by you with permission of
the owner.
The Tenants' Property Damage To Premises Rented
To You Limit is the higher of $200,000 or the amount
shown in the Declarations as Damage To Premises
Rented To You Limit.
WHO IS AN INSURED — MANAGERS
The following is added to Paragraph 2.a. of SECTION
II — WHO IS AN INSURED:
Paragraph (1) does not apply to executive officers, or
to managers at the supervisory level or above.
SUPPLEMENTARY PAYMENTS — COVERAGES A
AND B — BAIL BONDS
Paragraph 1.b. of SUPPLEMENTARY PAYMENTS
— COVERAGES A AND B is replaced by the follow-
ing:
b. Up to $2,000 for cost of bail bonds required
because of accidents or traffic law violations
arising out of the use of any vehicle to which
the Bodily Injury Liability Coverage applies.
We do not have to furnish these bonds.
SUPPLEMENTARY PAYMENTS — COVERAGES A
AND B — INDEMNITEES AND ADDITIONAL IN-
SUREDS
Paragraph 2.f.(1) (d) of SUPPLEMENTARY PAY-
MENTS — COVERAGES A AND B is replaced by
the following:
(d) Cooperate with us with respect
to coordinating other applicable
insurance and self -insured
retention available to the in-
demnitee; and
EMPLOYEES AS INSUREDS — HEALTH CARE
SERVICE
Provision 2.a.(1) d. of SECTION II — WHO IS AN
INSURED is deleted, unless excluded by separate
endorsement.
EXTENDED COVERAGE FOR NEWLY ACQUIRED
ORGANIZATIONS
Provision 4.a. of SECTION II — WHO IS AN IN-
SURED is replaced by the following:
a. Coverage under this provision is afforded
only until the end of the policy period.
EXTENDED "PROPERTY DAMAGE"
Exclusion a. of SECTION I — COVERAGE A is
amended to read:
a. "Bodily injury" or "property damage" ex-
pected or intended from the standpoint of the
insured. This exclusion does not apply to
"bodily injury" or "property damage" result-
ing from the use of reasonable force to pro-
tect persons or property.
INCREASED MEDICAL EXPENSE LIMIT
The medical expense limit is amended to $10,000.
KNOWLEDGE OF OCCURRENCE
The following is added to Paragraph 2. SECTION IV
— COMMERCIAL GENERAL LIABILITY
CONDITIONS Duties In The Event Of Occurrence,
Offense, Claim Or Suit of:
Knowledge of an "occurrence," claim or "suit" by
your agent, servant or employee shall not in itself
constitute knowledge of the named insured unless an
officer of the named insured has received such notice
from the agent, servant or employee.
INSURED CONTRACT
The following definition is added to SECTION V —
DEFINITIONS, Definition 9. "insured contract" par-
agraph f.:
(4) That part of any contract or agree-
ment that indemnifies any person
or organization for the indemnitee's
sole tort liability.
Page 4 of 5
OTHERINSURANCE
The first paragraph of Other Insurance of SECTION
IV — COMMERCIAL GENERAL LIABILITY CON-
DITIONS is replaced with the following:
UNINTENTIONAL FAILURE TO DISCLOSE ALL
HAZARDS
The following is added to Paragraph 6. Representa-
tions of SECTION IV — COMMERCIAL GENERAL
LIABILITY CONDITIONS:
If other valid and collectible insurance, or any self -in-
sured retention, is available to the insured for a loss If you unintentionally fail to disclose any hazards ex -
we cover under COVERAGE A or B of this Coverage isting at the inception date of your policy, we will not
Part, our obligations are limited as follows: deny coverage under this Coverage Form because of
such failure. However, this provision does not affect
METHOD OF SHARING our right to collect additional premium or exercise our
right of cancellation or non -renewal.
The second paragraph of Method of Sharing of SEC-
TION IV — COMMERCIAL GENERAL LIABILITY LIBERALIZATION CLAUSE
CONDITIONS is replaced with the following:
If any of the other insurance does not permit contri-
bution by equal shares or is subject to a self -insured
retention, we will contribute by limits. Under this
method, each insurer's share is based on the ratio of
its applicable limit of insurance or self -insured re-
tention or both combined to the total applicable limits
of insurance of all insurers and the amount of any
self -insured retention.
The following paragraph is added to SECTION IV —
COMMERCIAL GENERAL LIABILITY CONDI-
TIONS:
10. If a revision to this Coverage Part, which would
provide more coverage with no additional
premium, becomes effective during the policy
period in the state shown in the Declarations,
your policy will automatically provide this addi-
tional coverage on the effective date of the re-
vision.
CG 86 74 10 02 Page 5 of 5 EP
CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS
UTILITY ENGINEERING (425) 430-7208
1055 South Grady Way, Renton, WA 98055
Contractor VJM Construction, Co., Inc.
Address 12409 230"' Place NE
City
Redmond
State WA Zip 98053
Contract Number Project Name Statement Number
CAG-05-085 Talbot Hill Water Main Replacement Project Phase 2 14
WTR-27-3198
Number of working days charged to your contract for the week ending Friday, November 18, 2005
Date
Day
Weather Condition
Working Days
Unworkable Day Caused by
Weather or Weather Conditions
11-7-05
Monday
Clear-62°F
1
11-8-05
Tuesday
Clear - 65 F
1
11-9-05
Wednesday
Clear-669F
1
11-10-05
Thursday
Clear-642F
1
11-1-05
Friday
Partly Cloudy- 659F
1
Daysthis week..........................................................
Days previously reported ............................................
Total days to date ......................................................
5
66
71
CURRENT STATUS
Working Days Specified In Contract .....................................
* Approved Extension of Time ...............................................
Total Authorized Time of Contract ...................................
Less Working Days Charges ............................................
*Working Days Remaining .............................................
Summary of Week's Activities:
ff
30
90
71
19
Contractor continued to transfer service lines this week as well as a -in connections.
liRis Moreno, Project Manager
*Show only extensions approved by letter from City
**Use negative totals to show overrun in time
Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement,
otherwise it shall be accepted as correct.
H:\File Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3198-TALBOT HILL PHASE 2\Contractor
Correspondance\WORKDAY 14.DOC
CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS
UTILITY ENGINEERING (425) 430-7208
1055 South Grady Way, Renton, WA 98055
Contractor
Address
City
VJM Construction, Co., Inc.
12409 230`' Place NE
Redmond State WA
Zip 98053
Contract Number Project Name Statement Number
CAG-05-085 Talbot Hill Water Main Replacement Project Phase 2 13
WTR-27-3198
Number of working days charged to your contract for the week ending Friday, November 11, 2005
Date
Day
Weather Condition
Working Days
Unworkable Day Caused by
Weather or Weather Conditions
11-7-05
Monday
Overcast-62°F
1
11-8-05
Tuesday
Overcast 64 F
1
11-9-05
Wednesday
Partly Cloudy 61QF
1
11-10-05
Thursday
Cloudy-619F
1
11-1-05
Friday
Cloudy-629F
0
Holiday
Daysthis week..........................................................
Days previously reported ............................................
Total days to date ......................................................
4
62
66
CURRENT STATUS
Working Days Specified In Contract ..................................... 60
` Approved Extension of Time ............................................... 30
Total Authorized Time of Contract ................................... 90
Less Working Days Charges ............................................ 66
—Working Days Remaining .............................................
Summary of Week's Activities:
24
Contractor continued to transfer service lines.
2
Rlck Voreno, Project Manager
`Show only extensions approved by letter from City
"Use negative totals to show overrun in time
Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement,
otherwise it shall be accepted as correct.
H:\File Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3198-TALBOT HILL PHASE 2\Contractor
Correspondance\WORKDAY 13.DOC
CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS
UTILITY ENGINEERING (425) 430-7208
1055 South Grady Way, Renton, WA 98055
Contractor VJM Construction, Co., Inc.
Address 12409 230'" Place NE
City
Redmond State WA
Zip 98053
Contract Number Project Name Statement Number
CAG-05-085 Talbot Hill Water Main Replacement Project Phase 2 12
WTR-27-3198
Number of working days charged to your contract for the week ending Friday, November 4, 2005
Date
Day
Weather Condition
Working Days
Unworkable Day Caused by
Weather or Weather Conditions
10-31-05
Monday
Overcast-62°F
1
11-1-05
Tuesday
Showers 59 F
0
Showers (non -work day)
11-2-05
Wednesday
Partly Cloudy 612F
1
11-3-05
Thursday
Showers- 599F
0
Showers (non -work day)
11-4-05
Friday
Partly Cloudy- 622F
1
Daysthis week..........................................................
Days previously reported ............................................
Total days to date ......................................................
3
59
62
CURRENT STATUS
Working Days Specified In Contract .....................................
Approved Extension of Time ...............................................
Total Authorized Time of Contract ...................................
Less Working Days Charges ............................................
:M
—Working Days Remaining ............................................. 28
Summary of Week's Activities:
Contractor coordinated 2 tie-in connections with City and continued transfer service lines.
Ric Mo eno, Project Manager
'Show only extensions approved by letter from City
'"Use negative totals to show overrun in time
Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement,
otherwise it shall be accepted as correct.
H:\File . Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3198-TALBOT HILL PHASE 2\Contractor
Correspondance\WORKDAY 12.DOC
CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS
UTILITY ENGINEERING (425) 430-7208
1055 South Grady Way, Renton, WA 98055
Contractor VJM Construction, Co., Inc.
Address 12409 230`h Place NE
City Redmond State WA Zip 98053
Contract Number Project Name Statement Number
CAG-05-085 Talbot Hill Water Main Replacement Project Phase 2 1
WTR-27-3198
Number of working days charged to your contract for the week ending Friday, October 28, 2005
Date
Day
Weather Condition
Working Days
Unworkable Day Caused by
Weather or Weather Conditions
10-24-05
Monday
Partly Cloudy-60°F
1
10-25-05
Tuesday
Overcast- 602F
1
10-26-05
Wednesday
Partly Cloudy 60 F
1
10-27-05
Thursday
Partly Cloudy- 662F
1
10-28-05
Friday
Partly Cloudy- 652F
1
Daysthis week..........................................................
Days previously reported ............................................
Total days to date ......................................................
5
54
59
CURRENT STATUS
Working Days Specified In Contract .....................................
' Approved Extension of Time ...............................................
Total Authorized Time of Contract ...................................
Less Working Days Charges ............................................
—Working Days Remaining .............................................
Summary of Week's Activities:
30
90
59
31
Contractor pressure tested the main, City crew's chlorinated main line, purity samples taken this
week.
IZ4,(,041
Ric M eno, Project Man ger
'Show only extensions approved by letter from City
"Use negative totals to show overrun in time
Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement,
otherwise it shall be accepted as correct.
H:\File Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3198-TALBOT HILL PHASE 2\Contractor
Correspondance\WORKDAY I LDOC
CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS
UTILITY ENGINEERING (425) 430-7208
1055 South Grady Way, Renton, WA 98055
Contractor VJM Construction, Co., Inc.
Address 12409 230'h Place NE
City
Redmond State WA
Zip
98053
Contract Number Project Name Statement Number
CAG-05-085 Talbot Hill Water Main Replacement Project Phase 2 10
WTR-27-3198
Number of working days charged to your contract for the week ending Friday, October 21, 2005
Date
Day
Weather Condition
Working Days
Unworkable Day Caused by
Weather or Weather Conditions
10-17-05
Monday
Clear-69°F
1
10-18-05
Tuesday
Cloudy- 602F
1
10-19-05
Wednesday
Partly Cloudy 619F
1
10-20-05
Thursday
Partly Cloudy- 622F
1
10-21-05
Friday
Partly Cloudy- 632F
1
Daysthis week..........................................................
Days previously reported ............................................
Total days to date ......................................................
5
49
54
CURRENT STATUS
Working Days Specified In Contract .....................................
Approved Extension of Time ..............................................
Total Authorized Time of Contract ..................................
Less Working Days Charges ............................................
—Working Days Remaining .............................................
Summary of Week's Activities:
.,
Contractor began work on Lake Ave S. Sta. 5+90 and ended on S. 19`h Street at Sta. 0+50.
Contractor coordinated pigging and pressure testing schedule with City for the following week.
Rick Moreno, Project Manager
'Show only extensions approved by letter from City
"'Use negative totals to show overrun in time
Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement,
otherwise it shall be accepted as correct.
H:\File Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3198-TALBOT HILL PHASE 2\Contractor
Correspondance\WORKDAY 10. DOC
CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS
UTILITY ENGINEERING (425) 430-7208
1055 South Grady Way, Renton, WA 98055
Contractor VJM Construction, Co., Inc.
Address 12409 230`h Place NE
City Redmond State WA
Zip 98053
Contract Number Project Name Statement Number
CAG-05-085 Talbot Hill Water Main Replacement Project Phase 2 9
WTR-27-3198
Number of working days charged to your contract for the week ending Friday, October 13, 2005
Date
Day
Weather Condition
Working Days
Unworkable Day Caused by
Weather or Weather Conditions
10-9-05
Monday
Cloudy-62°F
1
10-10-05
Tuesday
Cloudy-659F
1
10-11-05
1 Wednesday
Partly Cloudy 639F
1
10-12-05
Thursday
overcast- 649F
1
10-13-05
Friday
Partly Cloudy- 619F
1
Daysthis week..........................................................
Days previously reported ............................................
Total days to date ......................................................
5
44
49
CURRENT STATUS
Working Days Specified In Contract .....................................
' Approved Extension of Time ...............................................
Total Authorized Time of Contract ...................................
Less Working Days Charges ............................................
—Working Days Remaining .............................................
Summary of Week's Activities:
Contractor began work on S. 15`' Street Sta. 12+45 and ended on Lake ve. S. at Sta. 5+90.
Contractor broke various unmarked side sewers along Lake Ave. S
Rick renq, Project Manager
`Show only extensions approved by letter from City
"Use negative totals to show overrun in time
Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement,
otherwise it shall be accepted as correct.
H:\File Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Fi les\WTR-27-3198 -TALBOT HULL PHASE 2\Contractor
Correspondance\W ORKDAY9.DOC
CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS
UTILITY ENGINEERING (425) 430-7208
1055 South Grady Way, Renton, WA 98055
Contractor VJM Construction, Co., Inc.
Address 12409 230`" Place NE
City Redmond
State WA Zip 98053
Contract Number Project Name Statement Number
CAG-05-085 Talbot Hill Water Main Replacement Project Phase 2 8
WTR-27-3198
Number of working days charged to your contract for the week ending Friday, October 7, 2005
Date
Day
Weather Condition
Working Days
Unworkable Day Caused by
Weather or Weather Conditions
10-3-05
Monday
Partly Cloudyr-63°F
1
10-4-05
Tuesday
Partly Cloudy- 659F
1
10-5-05
1 Wednesday
Partly Cloudy 639F
1
10-6-05
Thursday
Clear- 669F
1
10-7-05
Friday
Partly Cloudy- 649F
1
Days this week..........................................................
Days previously reported ............................................
Total days to date ......................................................
5
39
41
CURRENT STATUS
Working Days Specified In Contract .....................................
.e
* Approved Extension of Time ...............................................
Total Authorized Time of Contract ................................... 60
Less Working Days Charges ............................................ 41
"Working Days Remaining ............................................. 19
Summary of Week's Activities:
Contractor began work on S. 151" Street Sta. 20+10 and ended on Lake Ave. S. at Sta. 12+45.
Contractor broke various unmarked side sewers along Lake Ave S.
P
9 � I
RiclMorend, Project anager
*Show only extensions approved by letter from City
**Use negative totals to show overrun in time
Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement,
otherwise it shall be accepted as correct.
H:\File Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3198-TALBOT HILL PHASE 2\Contractor
Correspondance\WORKDAY8. DOC
CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS
UTILITY ENGINEERING (425) 430-7208
1055 South Grady Way, Renton, WA 98055
Contractor VJM Construction, Co., Inc.
Address 12409 230'h Place NE
City Redmond State WA
Zip 98053
Contract Number Project Name Statement Number
CAG-05-085 Talbot Hill Water Main Replacement Project Phase 2 7
WTR-27-3198
Number of working days charged to your contract for the week ending Friday, September 30, 2005
Date
Day
Weather Condition
Working Days
Unworkable Day Caused by
Weather or Weather Conditions
9-26-05
Monday
Clear-67°F
1
9-27-05
Tuesday
Clear-659F
1
9-28-05
Wednesday
Partly Cloudy 64°F
1
9-29-05
Thursday
Overcast- 639F
1
9-30-05
Friday
Overcast- 619F
1
Daysthis week..........................................................
Days previously reported ............................................
Total days to date ......................................................
5
29
34
CURRENT STATUS
Working Days Specified In Contract .....................................
' Approved Extension of Time ...............................................
Total Authorized Time of Contract ...................................
Less Working Days Charges ............................................
—Working Days Remaining .............................................
Summary of Week's Activities:
Contractor began work on S. 151h Street Sta. 23+20 and ended on S 15h Street at Sta. 20+10.
Contractor pigged line, chlorinated main. Purity samples were performed, tie-ins at 2 locations
completed.
Ric _Moreno, Project Manager
'Show only extensions approved by letter from City
"Use negative totals to show overrun in time
HAFile Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3198-TALBOT HILL PHASE 2\Contractor
Correspondance\W ORKDAYT DOC
CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS
UTILITY ENGINEERING (425) 430-7208
1055 South Grady Way, Renton, WA 98055
Contractor VJM Construction. Co.. Inc.
Address 12409 230'h Place NE
City Redmond State WA
Zip 98053
Contract Number Project Name Statement Number
CAG-05-085 Talbot Hill Water Main Replacement Project Phase 2 6
WTR-27-3198
Number of working days charged to your contract for the week ending Friday, September 23, 2005
Date
Day
Weather Condition
Working Days
Unworkable Day Caused by
Weather or Weather Conditions
9-19-05
Monday
Partly Cloudy-64°F
1
9-20-05
Tuesday
Clear-62QF
1
9-21-05
Wednesday
Clear669F
1
9-22-05
Thursday
Sunny-672F
1
9-23-05
Friday
Cloudy- 639F
1
Days this week. .........................................................
Days previously reported ............................................
Total days to date ......................................................
5
24
29
CURRENT STATUS
Working Days Specified In Contract .....................................
' Approved Extension of Time ...............................................
Total Authorized Time of Contract ...................................
Less Working Days Charges ............................................
—Working Days Remaining .............................................
Summary of Week's Activities:
60
60
29
31
Contractor began work on Whitworth Ave S Sta. 0+90 and ended on S 151h Street at Sta.
25+50. (Relocated FH from Sta. WO+26 to Sta 29+75, per Abdoul)
Ri6k Moreno, ' roject Manager
'Show only extensions approved by letter from City
"Use negative totals to show overrun in time
Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement,
otherwise it shall be accepted as correct.
H:\Fle Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3198-TALBOT HILL PHASE 2\Contractor
Cofrespondance\WORKDAY6. DOC
CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS
UTILITY ENGINEERING (425) 430-7208
1055 South Grady Way, Renton, WA 98055
Contractor VJM Construction, Co., Inc.
Address 12409 230" Place NE
City Redmond State WA Zip 98053
Contract Number Project Name Statement Number
CAG-05-085 Talbot Hill Water Main Replacement Project Phase 2 5
WTR-27-3198
Number of working days charged to your contract for the week ending Friday, September 16, 2005
Date
Day
Weather Condition
Working Days
Unworkable Day Caused by
Weather or Weather Conditions
9-12-05
Monday
Cloudy-61°F
1
9-13-05
Tuesday
Clear- 629F
1
9-14-05
Wednesday
Clear662F
1
9-15-05
Thursday
Sunny-679F
1
9-16-05
Friday
Cloudy- 63°F
1
Daysthis week..........................................................
Days previously reported ............................................
Total days to date ......................................................
5
19
24
CURRENT STATUS
Working Days Specified In Contract .....................................
Approved Extension of Time ...............................................
Total Authorized Time of Contract ...................................
Less Working Days Charges ............................................
—Working Days Remaining .............................................
Summary of Week's Activities:
60
60
24
36
Contractor began work on Shattuck Ave. S. at Sta. S2+90 and ended on S 15" Street at Sta.
27+00. Make provisional tee at Ingram Short Plat and FH Tee with main line extension. (Future
City connections unrelated to this job).
Rick�Moreno, Project Manager
'Show only extensions approved by letter from City
"Use negative totals to show overrun in time
H:\File Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3198-TALB0T HILL PHASE 2\Contractor
Correspondance\W ORKDAY5. DOC
CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS
UTILITY ENGINEERING (425) 430-7208
1055 South Grady Way, Renton, WA 98055
Contractor VJM Construction, Co., Inc.
Address 12409 230" Place NE
City Redmond State WA
Zip 98053
Contract Number Project Name Statement Number
CAG-05-085 Talbot Hill Water Main Replacement Project Phase 2 4
WTR-27-3198
Number of working days charged to your contract for the week ending Friday, September 9, 2005
Date
Day
Weather Condition
Working Days
Unworkable Day Caused by
Weather or Weather Conditions
9-5-05
Monday
Cloudy-71 °F
0
Holiday
9-6-05
Tuesday
Clear- 7VF
1
9-7-05
Wednesday
Clear 762F
1
9-8-05
Thursday
Sunny-779F
1
9-9-05
Friday
Cloudy- 609F
1
Daysthis week..........................................................
Days previously reported ............................................
Total days to date ......................................................
4
15
19
CURRENT STATUS
Working Days Specified In Contract .....................................
' Approved Extension of Time ...............................................
Total Authorized Time of Contract ...................................
Less Working Days Charges ............................................
„Working Days Remaining .............................................
Summary of Week's Activities:
60
60
19
41
Contractor completed installation of pipe on Whitworth Ave S. Began work on Shattuck Ave. S.
Ended at Sta. S2+90.
fick Nforeno, Project Manager
'Show only extensions approved by letter from City
"'Use negative totals to show overrun in time
Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement,
otherwise it shall be accepted as correct.
H:\File Sys\WTR - Drinking Water Utility\A M-27 - Water Project Files\WTR-27-3198-TALBOT HILL PHASE 2\Contractor
Correspondance\WORKDAY4. DOC
CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS
UTILITY ENGINEERING (425) 430-7208
1055 South Grady Way, Renton, WA 98055
Contractor VJM Construction, Co., Inc.
Address 12409 230'h Place NE
City Redmond State WA Zip 98053
Contract Number Project Name Statement Number
CAG-05-085 Talbot Hill Water Main Replacement Project Phase 2 3
WTR-27-3198
Number of working days charged to your contract for the week ending Friday, September 2, 2005
Date
Day
Weather Condition
Working Days
Unworkable Day Caused by
Weather or Weather Conditions
8-29-05
Monday
Cloudy-71°F
1
8-30-05
Tuesday
Clear- 709F
1
8-31-05
Wednesday
Clear769F
1
9-1-05
Thursday
Sunny-772F
1
9-2-05
Friday
Cloudy- 609F
1
Daysthis week..........................................................
Days previously reported ............................................
Totaldays to date ......................................................
5
10
CURRENT STATUS
Working Days Specified In Contract .....................................
.E
' Approved Extension of Time ...............................................
Total Authorized Time of Contract ................................... 60
Less Working Days Charges ............................................ 15
—Working Days Remaining ...................... I......................
Summary of Week's Activities:
45
Contractor completed installation of pipe on Morris Ave S. Began work on Whitworth Ave. S.
Ended at Sta. W2+50.
Rick oreno, roject Manager
'Show only extensions approved by letter from City
"Use negative totals to show overrun in time
Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement,
otherwise it shall be accepted as correct.
H:\File Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3198-TALBOT HILL PHASE 2\Contractor
Correspondance\WORKDAY 3.DOC
CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS
UTILITY ENGINEERING (425) 430-7208
1055 South Grady Way, Renton, WA 98055
Contractor VJM Construction. Co.. Inc.
Address 12409 230'" Place NE
City Redmond State WA Zip 98053
Contract Number Project Name Statement Number
CAG-05-085 Talbot Hill Water Main Replacement Project Phase 2 2
WTR-27-3198
Number of working days charged to your contract for the week ending Friday, August 26, 2005
Date
Day
Weather Condition
Working Days
Unworkable Day Caused by
Weather or Weather Conditions
8-22-05
Monday
Sunny-75°F
1
8-23-05
Tuesday
Clear- 702F
1
8-24-05
Wednesday
Clear722F
1
8-25-05
Thursday
Sunny-72°F
1
8-26-05
Friday
Sunny- 759F
1
Daysthis week.. ........................................................
Days previously reported ............................................
Total days to date ......................................................
5
0
CURRENT STATUS
Working Days Specified In Contract .....................................
Approved Extension of Time ...............................................
Total Authorized Time of Contract ................................... 60
Less Working Days Charges ............................................ 10
—Working Days Remaining ............................................. 50
Summary of Week's Activities:
Contractor completed of pipe on Smithers Ave S., pigged, and pressure tested. Began work on
Morris Ave. S. and laid pipe to Sta. M2+10. Contractor not on site oR Fri ay, August 26, 2005.
Ric Mo eno, Project Manager
`Show only extensions approved by letter from City
"Use negative totals to show overrun in time
Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement,
otherwise it shall be accepted as correct.
H:\File Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3198-TALBOT HILL PHASE 2\Contractor
Correspondance\W OR KDAY2.DOC
CITY OF RENTON DEPARTMENT OF PLANNING/ BUILDING/PUBLIC WORKS
UTILITY ENGINEERING (425) 430-7208
1055 South Grady Way, Renton, WA 98055
Contractor VJM Construction. Co.. Inc.
Address 12409 230"' Place NE
City
Redmond State WA
Zip 98053
Contract Number Project Name Statement Number
CAG-05-085 Talbot Hill Water Main Replacement Project Phase 2 1
WTR-27-3198
Number of working days charged to your contract for the week ending Friday, August 19, 2005
Date
Day
Weather Condition
Working Days
Unworkable Day Caused by
Weather or Weather Conditions
8-22-05
Monday
Sunny-75°F
1
8-23-05
Tuesday
Clear- 702F
1
8-24-05
1 Wednesday
Clear722F
1
8-25-05
Thursday
Sunny-72°F
1
8-26-05
Friday
Sunny- 75°F
1
Daysthis week ... ....................................................
Days previously reported ............................................
Total days to date ......................................................
5
0
CURRENT STATUS
Working Days Specified In Contract ...................................-
Approved Extension of Time ...............................................
Total Authorized Time of Contract ...................................
Less Working Days Charges ............................................
—Working Days Remaining .............................................
Summary of Week's Activities:
60
60
5
55
Contractor completed of pipe on Smithers Ave S., pigged, and pressure tested. Began work on
Morris Ave. S.
Rick ore o, Project Manager
'Show only extensions approved by letter from City
"Use negative totals to show overrun in time
Note: The contractor will be allowed 10 days from date of this report in which to protest in writing the correctness of this statement,
otherwise it shall be accepted as correct.
H:\File Sys\WTR - Drinking Water Utility\WTR-27 - Water Project Files\WTR-27-3198-TALBOT HILL PHASE 2\Contractor
Correspondance\WOR KDAY2. DOC.
Date
Ticket No.
BRG
CSTC
CONC
Asphalt
17-Aug
311288
22.98
18-Aug
149877
1
18-Aug
1200112
31.71
18-Aug
1200113
32.26
22-Aug
1200231
34.48
18-Aug
311315
12.03
18-Aug
3113119
13.19
19-Aug
24501
11.38
23-Aug
150308
0.75
END PAY EST. #1 BRG CSTC CONC Asphalt
31-Aug
151350
0.75
30-Aug
151177
0.75
25-Aug
150640
0.75
29-Aug
1200832
30.7
30-Aug
1200893
32.53
31-Aug
311741
23.49
31-Aug
311773
21.06
08-Sep
152133
0.75
13-Sep
152680
0.75
07-Sep
1201323
31.8
07-Sep
1201308
31.29
07-Sep
1201333
32.96
14-Sep
152791
0.75
19-Sep
153305
0.75
21-Sep
153628
0.75
26-Sep
154134
0.75
29-Sep
154607
1.5
04-Oct
155051
1
20-Sep
1201825
31.26
20-Sep
1201798
31.57
13-Apr
312624
12.1
29-Sep
312533
13.85
29-Sep
312521
12.9
29-Sep
312518
11.96
29-Sep
312526
13.87
26-Sep
1202482
31.14
26-Sep
1202453
33.72
04-Oct
312632
23.23
06-Oct
155432
0.75
12-Oct
156070
0.75
10-Oct
312878
22.02
10-Oct
312864
13.44
1 1-Oct
312915
22.32
11-Oct
312924
11.96
10-Oct
312855
22.23
21-Oct
313299
14.02
21-Oct
313341
11.92
20-Oct
313277
13.69
20-Oct
313250
13.29
20-Oct 1
3132611
12.62
18-Oct
916890
0.75
19-Oct
313235
23.09
18-Oct
313176
12.2
18-Oct
313160
14.3
18-Oct
313150
12.84
21-Oct
157225
0.75
25-Oct
313468
11.78
25-Oct
313471
12.67
26-Oct
313538
12.55
End Pay Est. #2 BRG CSTC CONC Asphalt
02-Nov
313697
13.37
02-Nov
313661
12.36
04-Nov
313759
13.19
07-Nov,
313806
12.61
08-Nov
31386
12.02
07-Nov
31379
12.11
08-Nov
31385
12.6
09-Nov
313898
12.7
10-Nov
313597
11.78
14-Nov
314021
13.39
17-Nov
160394
0.75
17-Nov
314136
12.88
17-Nov
314146
12.82
17-Nov
314166
12.56
End Pay Est. #3 BRG CSTC CONC Asphalt
09-Dec
314587
12.58
09-Dec
314551
14.16
13-Dec
314686
13.35
12-Dec
314646
12.59
14-Dec
314706
13
20-Dec
314790
12.39
20-Dec
314794
11.1
19-Dec
314778
11.86
End Pay Est. 44 BRG CSTC CONC Asphalt
07-Feb
526680
14.5
07-Feb
526681
13.09
07-Feb
526682
14.22
07-Feb
526730
14.5
07-Feb
526737
13.04
07-Feb
526745
14.5
07-Feb
526763
13.09
07-Feb
526775
8
07-Feb
526778
_
7
27-Jan
526964
15
27-Jan
526938
27-Jan
526916
_15
17.31
27-Jan
526911
15
27-Jan
526906
17
27-Jan
526899
15.01
27-Jan
526893
15
27-Jan
526872
16.03
27-Jan
526867
15
27-Jan
526854
15
27-Jan
526851
16
25-Jan
526496
15.01
25-Jan
526820
15.01
25-Jan
526833
15.06
25-Jan
526845
14.96
25-Jan
526831
15.01
25-Jan
526817
15
25-Jan
526497
14.86
25-Jan
526815
13.92
25-Jan
526824
15.17
25-Jan
526839
15
24-Jan
526450
15
24-Jan
526458
15.16
24-Jan
526445
15.01
24-Jan
526417
15
24-Jan
526405
15.08
23-Jan
315162
12.37
04-Jan
314963
11.9
06-Jan
314994
12.11
09-Jan
315010
12
10-Jan
315037
12.47
10-Jan
315029
12.93
11-Jan
315050
12.66
11-Jan
315054
12.55
03-Jan
314939
11.05
03-Jan
314927
12.4
04-Jan
314957
12.21
06-Jan
314988
12.34
06-Jan
315000
11.8
22-Dec
314846
1
12.06
455.43 815.24 14.75 507.54
Date
Ticket No.
BRG
CSTC
CONC
Asphalt
17-Aug
311288
22.98
18-Aug
149877
1
18-Aug
1200112
31.71
18-Aug
1200113
32.26
22-Aug
1200231
34.48
18-Aug
311315
12.03
18-Aug
3113119
13.19
19-Aug
24501
11.38
23-Aug
150308
0.75
END PAY EST. #1 BRG CSTC CONC Asphalt
31-Aug
151350
0.75
30-Aug
151177
0.75
25-Aug
150640
0.75
29-Aug
1200832
30.7
30-Aug
1200893
32.53
31-Aug
311741
23.49
31-Aug
311773
21.06
08-Sep
152133
0.75
13-Sep
152680
0.75
07-Sep
1201323
31.8
07-Sep
1201308
31.29
07-Sep
1201333
32.96
14-Sep
152791
0.75
19-Sep
153305
0.75
21-Sep
153628
0.75
26-Sep
154134
0.75
29-Sep
154607
1.5
04-Oct
155051
1
20-Sep
1201825
31.26
20-Sep
1201798
31.57
13-Apr
312624
12.1
29-Sep
312533
13.85
29-Sep
312521
12.9
29-Sep
312518
11.96
29-Sep
312526
13.87
26-Sep
1202482
31.14
26-Sep
1202453
33.72
04-Oct
312632
23.23
06-Oct
155432
0.75
12-Oct
156070
0.75
10-Oct
312878
22.02
10-Oct
312864
13.44
11-Oct
312915
22.32
1 1-Oct
312924
11.96
10-Oct
312855
22.23
21-Oct
313299
14.02
21-Oct
313341
1 1.92
20-Oct
313277
13.69
20-Octl
313250
13.29
20 Oct
313261
12.62
18-Oct
916890
0.75
19-Oct
313235
23.09
18-Oct
313176
12.2
18-Oct
313160
14.3
18-Oct
313150
12.84
21-Oct
157225
0.75
25-Oct
313468
11.78
25-Oct
313471
12.67
26-Oct
3135381
12.55
End Pay Est. #2 BRG CSTC CONC Asphalt
02-Nov
313697
13.37
02-Nov
313661
12.36
04-Nov
313759
13.19
07-Nov
313806
12.61
08-Nov
31386
12.02
07-Nov
31379
12.11
08-Nov
31385
12.6
09-Nov
313898
12.7
10-Nov
313597
11.78
14-Nov
314021
13.39
17-Nov
160394
0.75
17-Nov
314136
12.88
17-Nov,
314146
12.82
17-Novi
3141661
12.56
End Pay Est. 43 BRG CSTC CONC Asphalt
09-Dec
314587
12.58
09-Dec
314551
14.16
13-Dec
314686
13.35
12-Dec
314646
12.59
14-Dec
314706
13
20-Dec
314790
12.39
20-Dec
314794
11.1
19-Dec
314778
11.86
End Pay Est. #4 BRG CSTC CONC Asphalt
07-Feb
526680
14.5
07-Feb
526681
13.09
07-Feb
526682
14.22
07-Feb
526730
14.5
07-Feb
526737
13.04
07-Feb
526745
14.5
07-Feb
526763
13.09
07-Feb
526775
v
8
07-Feb
526778
7
27-Jan
526964
15
27-Jan
526938
15
27-Jan
526916
17.31
27-Jan
526911
15
27-Jan
526906
17
27-Jan
526899
15.01
27-Jan
526893
15
27-Jan
526872
16.03
27-Jan
526867
15
27-Jan
526854
15
27-Jan
526851
16
25-Jan
526496
15.01
25-Jan
526820
15.01
25-Jan
526833
15.06
25-Jan
526845
14.96
25-Jan
526831
15.01
25-Jan
526817
15
25-Jan
526497
14.86
25-Jan
526815
13.92
25-Jan
526824
15.17
25-Jan
526839
15
24-Jan
526450
15
24-Jan
526458
15.16
24-Jan
526445
15.01
24-Jan
526417
15
24-Jan
526405
15.08
23-Jan
315162
12.37
04-Jan
314963
11.9
06-Jan
314994
12.11
09-Jan
315010
12
10-Jan
315037
12.47
10-Jan
315029
12.93
1 1-Jan
315050
12.66
11-Jan
315054
12.55
03-Jan
314939
11.05
03-Jan
314927
12.4
04-Jan
314957
12.21
06-Jan
314988
12.34
06-Jan
315000
11.8
22-Dec
314846
12.06
455.43 815.24 14.75 507.54
Date
From STA.
To STA.
8"
LF
4"
LF
8"
GV
4"
GV
FH
Tie-in
CSTC
Gravel
Borrow
Concrete
Trench
Excay.
Temp
Erosion
Traffic
Control
Landscape
Restoration
3/4"
Svc. Conn.
31-Octi
33
2
28-Oct
6
27-Oct
3
26-Oct
12.55
25-Oct
1 1 .78
12.67
24-Oct
21-Oct
1 +70
0+55
115
1
39.23
26.31
0.75
20-Oct
3+30
1 +70
160
12.84
49.59
0.75
19-Oct
4+90
3+30
160
18-Oct
5+90
4+80
110
1
1
69.65
22.32
1.5
17-Oct
-
14-Oct
-
13-Oct
8+00
5+90
210
12-Oct
8+90
8+00
90
1
11-Oct
10+50
8+90
160
10-Oct
1 1 +25
10+50
75
07-Oct
14+05
12+45
160
06-Oct
16+10
14+05
205
1
23.23
05-Oct
18+33
16+10
223
04-Oct
18+60
18+33' 25
52
3
127.69
64.68
4.75
03-Oct
20+10
18+60
150
1
30-Sep
29-Sep
10
24
2
2
28-Sep
27-Sep
22+35
20+10
225
26-Sep
23+20
22+00
100
3
1
23-Sep
25+50
23+20
230
22-Sep
26+72
25+50
122
21-Sep
30+25
29+80
45
20-Sep
29+40
29+10
30
19-Sep
0+90
0+09
81
3
1
0.75
16-Sep
-
15-Sep
-
14-Sep
26+82
29+10
228
1
96.05
1.5
13-Sep
1+10
0+20
90
2
1
12-Sep
2+90
1+10
180
1
1
09-Sep
4+10
2+90
120
08-Sep
4+75
4+10
65
1
1
07-Sep
-
06-Sep
2+60
0+90
170
05-Sep
Holiday
02-Sep
-
01-Sep
4+50
2+60
190
63.31
44.55
2.5
31-Au
5+07
4+50
57
1
1
30-Au
29-Aug
0.75
28-Au
27-Au
26-Au
25-Au
24-Au
23-Feb
22-Aug
34.48
36.6
21 -Aug
63.97
20-Au
19-Aug
22.98
18-Au
17-Au
To date:
3846
18" LF
24
14" LF
116
EA
3
EA
10
EA
4
EA
420.55
TN
255.90
TN
12.50
ICY
0.74
ILS
0.74
LS
0.74
LS
0.74
LS
9
EA
Date
From STA.
To STA.
8"
LF
4"
LF
8"
GV
4"
GV
FH
Tie-in
CSTC
Gravel
Borrow
Concrete
Trench
Excay.
Temp
Erosion
Traffic
Control
Landscape
Restoration
3/4"
Svc. Conn.
31-Oct
33
2
28-Oct
6
27-Oct
3
26-Oct
12.55
25-Oct
1 1.78
12.67
24-Oct
21-Oct
1 +70
0+55
115
1
39.23
26.31
0.75
20-Oct
3+30
1 +70
160
12.84
49.59
0.75
19-Oct
4+90
3+30
160
18-Oct
5+90
4+80
110
1
1
69.65
22.32
1.5
17-Oct
-
14-Oct
-
13-Oct
8+00
5+90
210
12-Oct
8+90
8+00
90
1
11-Oct
10+50
8+90
160
10-Oct
1 1 +25
10+50
75
07-Oct
14+05
12+45
160
06-Oct
16+10
14+05
205
1
23.23
05-Oct
18+33
16+10
223
04-Oct
18+60
18+33' 25
52
3
127.69
64.68
4.75
03-Oct
20+10
18+60
150
1
30-Sep
29-Sep
10
24
2
2
28-Sep
27-Sep
22+35
20+10
225
26-Sep
23+20
22+00
100
3
1
23-Sep
25+50
23+20
230
22-Sep
26+72
25+50
122
21-Sep
30+25
29+80
45
20-Sep
29+40
29+10
30
19-Sep
0+90
0+09
1 81
3
1
0.75
16-Sep
-
15-Sep
-
i
14-Sep
26+82
29+10
228
1
96.05
1.5
13-Sep
1 +10
0+20
90
2
1
12-Sep
2+90
1+10
180
1
1
09-Sep
4+10
2+90
08-Sep
4+75
4+10
�_�605
1
1
07-Sep
06-Sep
2+60
0+90
1 1701
1
1 4—
1
05-Sep
Holiday
02-Sep -
01-Sep 4+50
31-Aua 5+07
2+60 190
4+50 57
To date: 3846
8" LF
63.31 44.55 2.5
1 1
24 16 3 10 4 420.55 255.9 ,' 12.5 0.74 0.74 0.74 0.74
4" LF EA EA EA IEA TN TN CY LS LS LS LS
EA
91
S
ZY 71-
2,070.00
0•C
�- I S•o.7 63 • 97 +
-2•22 +
�_19 1 1 • 38 +
�tZ 34 • 48 +
g-Z4 30.78 +
g30 32 • 53 +
g-31 44 • 55 +
q_ ] 96 • 05 +
-u64.86 +
�2q 52 • 58 +
�a-y 35 • 33 +
/o-loS7.69 +
2�,32 E /o'/l�l 1 • 96 +
C26.50 +
/o-l8C12.84 +
10_I1 23.09 +
0 25 - 9 1 +
13.29 +
to-21 25 • 94 +
�0 25 12 • 6 7 +
12.55 +
1 1 • 78 +
11_ 25 • 73 +
13•19 +
.72 +
11-7�24
13. 19 +
24.62 +
If'y 12 • 70 +
1h1' 1 1 • 78 +
13.39 +
.26 +. 1.
1z-q 12 58 +
12�IZ 12.59 +
I1-�313.35 +
1�-►y 13.00 +
11��1 1 1 • 86 +
/2-20 23 • 49 +
/2_-47 12.06 +
2 3• 4 5 +
I-4 24 - 1 1 +
/-t, 36 • 25 +
1-9 12.08 +
1-1025.40 +
1-II 25.21 +
1_ 12.37 +
14.00 +
2-711.60 +
048
1,201.09G+
+ a� • 3z
3,
�tR� K
MEASUREMENT FORM
DATE: - FOREMAN NAME: 1
PRINT NAME
CONTRACTOR NAME:L�y� 4r�-
PROJECT NAME: �� Cgb� �� w� r: �' ./II><i�r�) /` u r-��•3
JOB #:
LOCATION::7� I ri t1� 4- ,VkS
CONTRACT nV CHANGE OTHER:
WORK ORDER ❑ ❑Work
Authorization, Rental, T & M
INDIVIDUAL MEASUREMENTS (USE ADDITIONAL PAGE IF NEEDED FOR MEASUREMENTS OR DIAGRAM)
ON -SITE
(HEAVY(OR LIGHT SPEC)
OFF -SITE
(HEAVY/ OR LIGHT
SPEC))
Ll
Z_
C�
�j��J)
q x��
Z 7
J x -1
2-2
j2n2
7LA•"i�
lJ
{� IL4
TOTAL
SQ.FT 8(0
TOTAL
SO.FT.
SPEC/
DEPTH:
SPEC/ j r
DEPTH:
MATERIAL:
OfbER
ATB
B
G
5/8"
1 1/4"
MATERIAL:
OTHER
ATB
B
G
5/8"
1 1/4"
Id
PIAST M CONFIRMED MEASUREMENT BY.
-
ls,
N ` RE DATE
` Esi-
y
IF NOT CgN�M T UK?
a
Gv)
�ub�. bVti
PRE-LEVEL/PRE-PATCH OTHER:
a
)777A
ly�s
SQ.FT. TOTAL
TONS: SQ.FT. ,
SPEC/ SPEC/
DEPTH: 11-IDEPTH:
MATERIAL:
TIER ;
OTES:
ATB
B
G
5/8"
1 1/4"
MATERIAL:
10THER1, 4
ATB
B
G
5/8"
1 1/4"
�d
-1-7 IA o �,W_
I (Do yD (42,-3/ s Y
MEASUREMENT FORM
DATE: ,,. -66 FOREMAN NAME: A .s
PRINT NAME
CONTRACTOR NAME: //_'3'm (°oN5 ,
PROJECT NAME: � Rof ��.'//�,y JOB #: �'6KM3
LOCATION:/S'��,-r, f�iPS Acre �. �Ppi+►��,�
CONTRACT CHANGE OTHER:
WORK ® ORDER ❑ ❑ Work Authorization, Rental, T & M
INDIVIDUAL MEASUREMENTS (USE ADDITIONAL PAGE IF NEEDED FOR MEASUREMENTS OR DIAGRAM)
ON -SITE
(HEAVY(OR UGHT SPEC)
TOTAL L,?
SQ.FT.
SPEC/
DEPTH:
OFF -SITE
(HEjA�VjY�/�OR UGHT SPEC)
L y
v14
7x7�
/63
TOTAL
SQ.FT.
SPEC/
DEPTH:
MATERIAL: ATB MATERIAL: ATB
B B
G G
5/8" 5/8"
1 1/4" 1 1/4"
�T1-(E R OTHER
PRE-LEVEL/PRE-PATCH
SQ.FT.
TONS:
OTHER:
TOTAL
SQ.FT.
_DEPTH: 11DEPTH:
MATERIAL: ATB
} B
G
5/8"
1 1/4"
OTHER
CUSTO E8 CONFIRMED MEASUREMENT BY: OTE,
i
SIGNATURE DATE
IF N'40'IiCONFIRMED UV?
MATERIAL: ATB
B
G
5/8"
OTHER
MEASUREMENT FORM
DATE: 7.4�_ FOREMAN NAME: �C 44Ay! S
CONTRACTOR NAME: -
PRINT NAME
l/1 �'QN.S�
PROJECT NAME: L,#: ZCQ 4 U
LOCATION:.C�t�.Si�ftj, ve .�:.ohl
CONTRACT CHANGE OTHER:
WORK ORDER ❑ ❑ Work Authorization, Rental, T & M
INDIVIDUAL MEASUREMENTS
(USE ADDITIONAL PAGE
IF NEEDED FOR MEASUREMENTS
OR DIAGRAM)
'DN-SITE
(HEAVYf OR UGHT SPEC)
OFF -SITE
(HEAVY/ OR UGHT SPEC)
: PRE-LEVEL/PRE-PATCH
ter/
OTHER:
��
/o
s
=
-' ao
vx/o
.� k a
/o KG
= o sb
442 /
/oX�o /av
��—
o �
a kg 102
/0�j(y�
CUSTOMER CONFIRMED MEASUREMENT BY:
��� � ��
�_ .
SIGNATURE DATE
IF NOT CONFIRMED WHY? I
DATE: ,
MEASUREMENT FORM
FOREMAN NAME:
CONTRACTOR NAME: �'?" �� PRINT NAME
PROJECT NAME:J/OB #:d
LOCATION: S IS
CONTRACT/ CHANGE OTHER:
WORK j\/ ORDER ❑ ❑ Work Authorization, Rental, T & M'
INDIVIDUAL MEASUREMENTS (USE ADDITIONAL PAGE IF NEEDED FOR MEASUREMENTS OR DIAGRAM)
ON -SITE
(HEAVY(OR LIGHT SPEC)
3 a_�
/Ofk 36
67�
OFF -SITE
(HEAVY�/�OR LIGHT SPEC)
';e !,%x
—
/
—�
—s
&> 7
f k Ss`
70
,273b
3 �1?
3V9
Z2
1 -
- -
TOTAL �/G 9 I I TOTAL
SQ.FT. SQ.FT.
PRE-LEVEL,/PRE-PATCH 11 OTHER:
SQ.FT.
p` TONS:
TOTAL
SQ.FT.
SPEC/ // �i SPEC/ SPEC/ SPEC/
DEPTH: / DEPTH: DEPTH: DEPTH:
MATERIAL:
OTHER
ATB
B
G
5/8"
1 1/4"
MATERIAL:
OTHER
ATB
B
G
5/8"
1 1/4"
MATERIAL:
OTHER
ATB
B
G
5/8"
1 1/4"
MATERIAL:
OTHER
ATB
6
G
5/8"
1 1/4"
CUSTO F.R CONFIRMED MEASUREMENT BY. NOTES:
IGNATURE DATE
IF NOT CONFIRMED WHY7-. � ' ^• r' "