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HomeMy WebLinkAboutWTR2703674_3DAILY INSPECTION DIARY REPORT DAY: �i,�,y7�•,, DATE: y /L j//fi WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: /r/ey rrrL & r1 0 Cy n S r' V"A-.t% r"o-e/ L'pC 01Q4h+-L�-L 3114 1r-r .. ►wt 30y hc:.s 0 i ir11 kr (Z,4e.%b,.r0e - -bsL.v v -- v - - �) .6�. GiJ `�'� 4 r_ / ✓1 f. •4 ,� COO [.G- �/ GYl LzezT S T rn A, r -�-� ---n6 cc.% CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: •i�1Lf5, DATE: S /) /i4 WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: tIJ ►,� n c C QA', Z REPORT ld►'1A. +t-� �. I Cc n s S ; S 0 Ar �' ��'- 6.101A-� wi A v%— L L" a �Y C •r+ �.yv� � Fa t , c, a i d/.. �' /4'V% " C i �1'7 i S bf, � ti I ) J c�b :q.5 - ✓{n C.'1 1 7/1��C �� ` r- T/P-Xl% G OA67—el� V.; i 1w.���/7� �.i_i�����a �.�r C-4 ►� /o� ar ,r.(i= C�M.-.�. U s"1V1 -;lye zlnc-00� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: Fa-t ,.q DATE: �_ /Z 1jV WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: off lC" !% 572 (J C,�T46 h y/� �W/�i�f /YY t> ✓1 /� i0��1 �l� /�L: - �fJ�i ems+ c. i �*� �cJ r%� i"4'e Z C J' C; S TO-L A-A7 4 . "-7 ao 4' `/+ 1 G ,* rJr4 L c-:0 � NC l� h '� �) �� Y�/1�•L 1 fin. L/4 I A %7/�-b T G� �i. O S S / hG S CONTRACTOR SIGNATURE I SPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: ``z �;��, DATE: WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: v �v� � h�•4�1 - /lg.� ��l/ a.m./p.m. CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: HEIDELSERGCEMEN I -Group' 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Valley Black Diamond, WA TICKET NO. 3076531 TICKETTIME 07:18:07 DATE 5/6/2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 656 /D2 27824 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Trailej 937 B27326F Hauler/Carrier No. Driver's Name Delivered/Ordered Load No. Running Total 7858190 GLEN 33.30 /12.00 1 33.30 BD/D — MONTEREY TERRACE WATER MAIN REPL I MONTEREY DR NE REIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII RENTON ON — MONTEREY TERRACE WATER MAIN REPL PREY. WAGE CERTIFIED TICKETS Product.. 92253 CSTC 33.30 !!II I SCALE WEIGHT GROSS & TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. [WE° Fuel Surcharge 105,680 LB Gross ILI 0 Scale 1 Scale 2 X Jennifer Sales Tax Tare 39,080 LB/P.T. Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 66, 600 LB Total Deputy Weighmaster No one available to sign, customer waives receiptIx signature. Received by Signature Print Name (Customer) Ix Driver's Signature X Standby Time Arrive Job Start Unloading Finish Unloading Standby Time Customer's Initials X f. t3t�.lat),..1nc. Terms and Conditions TERMS QF..PAYMENT -Terms Of payment to customers of satisfactory arid ApplOVed credit arcs net cash ern or before the 10i" of the month following delivery •In the absence of any such credit terms, ail deliveries under this contract are "collect on delivery" iCOD). •Transactlons after the 25"' day of each month will appear or: the subsequent month statement. -Accounts are considered delinquent it payment has not been received in our office by the 251" of the month following purchase. Delinquent accounts on the 16" of the ollowmg month Shall be placed fin a cash only Oasis for future purchases until the delinquency is paid in full. Interest at 18% will be charged on overdue accounts •Credit cards ate accepted at time of purchase only If payment is made by bankcardl after purchase date, a 3"•;, fee will be incurred. -Purchaser shall make all payments due hereunder in lawful money of the United States and in the accordance with the above terms_ without any retention and without regard to any agreement Purchaser may have with other parties. At$arneys Fee..s. and Costs Should legal action be necessary to collect this invoice. whether or not suit be instituted. Cadman shall be entitled to recover reasonable aftorney tees and costs. includmg appeals bankruptcies and post -judgment collection: efforts It is agreed that any suit brought under any contract or agreement until customer shall be m King County. WA CADMAN ROUTINELY EXERCISES IT'S RIGHT TO SEND MAT'ERIALNIAN'S NOTICES ON ALL JOB All Federal. Star„ and iocat taxes. assessments fens. duties, and charges leveled by reason of this proposal are in addition to paces quoted and shall be paid by purchaser -NSF/Returned checks are subject to a handling change and are rot re -deposited. Cadman requires NSF checks to be replaced with cash or cashier's check. -Lack of purchase order or job numbers do not affect the terir,s of sale ADDITIONAL COSTSICH,ARGES -An Env ronmrriai StlCcha±:qr s added to if ready mix and aggregate 11tvaines. A #-.ucfl Sea crarge r pry be added to all deliveries- Surcharges are intended to cover Cadinan's qusreasing expenses !n complyhng with envirolomerrtal regulations and increasing energyr'tuel costs Surcharges are not taxes or costsrequired' by arty federal, state or local authority -Our !ninimum load for aggregate delivery is 15 tons. Loads under 15 tons will be charged time and material. •A Standby surcharge is as- sessed for aggregate deliveries that exceed ten (10) minutes per load unloading tune on the joWite. •A $pr. 9tr11_t�t f nLrlq surcnafge is charged for all orders placed on Sundays, holidays. jobs starling after 6:00prn, and non-scheduled Saturdav deliveries -Saturday delivery hours are between 00am and 1:00pm. SGHEDLLINi$1SERVICE INFORMATION •Purchaser's changes fo originnai delivery rayuest shall t e. mate to Cadman's dispatch office only and not through Cadman drivers. quality assurance personnel; or sales eprasentatives. -The Obligations of Cadman are subject to contingencies of strikes, accidents,. delays in transportation. governmental regulations, fires or arty ether causes unavoidable or beyond our c<.n voi -Aggregates supplied to Purchaser may be sourced from different locations. •Alf !naterials are Subject to availability LIA..B.ILiTY DISCI-AIME.R....AND #NDEMNITY FOR DELIY.E.RY BEYOND PUBLI..C..,RO„A,D Iri the event Purchaser directs delivery to be made beyond curb line, PUIChaser agrees as follows, Purchaser has requested Cadman to make rise of a path for the delivery of materials and access to the project requiting Gadman trucks to travel beyond the boundaries of the nearest raveled public road Purchaser acknowl- edges that damage to the premises andior adjacent property may occur because of the size and weight of Cadman tru cks and Cadrnai tr ucks may become ciama ged, disabled or stuck i.sing Purchaser's required path Cadman disclaims arty iiabi#ity, or responsibility for damage of any kind that arises from Cadman use of Purchasers required path. Purchaser agrees to defend, indemnity and mold harmless Cadman tram all claims, liability, damages, costs: judgments or losses of any kind (Including reasonable attorneys fees and costs) resulting from damage to property of any kund (including damage to Cadman trucks) arising front or in anyway connected to Cadman s use Of the required path. Upon Cadman's tender of defense under this provision, the Purchaser agrees to appoint counsel df Cadmans choice to defend against third party claim(s). Such counsel will be at the sole expense of purchaser: ?ERSq.NAl (NJ.URI..IMDEN},1y.1,TY PROVISI.ORI •This fidemnrl,ratio!a pmvisiott is part of the terms rn;; conditions between the Purchaser and Cadman and is intended to cornply with the provisions of RCw 4.24.11 S. In tine event of any conflicts between this occurrent and any other term, subcontract of agreement between vio Purchaser and Cadman this document shall control. -The Purchaser agrees to defend. indemnify, and field harmless Cadman from any and all bodily injurynegl!gence based or damage to propertyicontract teased claims. demands losses and liabilities to of oy third parties arising from resuting hors. Or co i l e!,:od in any way with the, product or products sold by Cadman to Purchaser. even through such daces pray prove to be false groundless o fraudulent- to file fullest extent permitted by law and subject to the €Imitalions provided below. •Purdhatser's duty to indemnity Cadman shall not apply to liability for damages arising out of bodily injury la persons or ciarnage to property caused by or resulting from the sole tic cgirgence of Cadman of Qs agents or ernp:: ;roes P'uu - aser s duty to nntenurity Cadman for iiabBity for damages arising cnjt of htldtiy injury to persons or damage to pipperty causer.# by or resulting t•om the concurrent negligence of (a) Cadman or its agents or employees and fb) Puichaaser of its agents or employees shall apply only of the extent of negligence of Purchaser or Its agents or employees, providecf, this paograph shall not apply in situations where r<.egi!gence is not a requirement of Purchaser`s 13abd!ty, lush as In contract. iPuichasel speeitically and expres sly waives any immunities that may be granted it under the: Wash- ingto n State Industrial Insufanc e Act. 'Title St RGVj, of the laws of any Other state, provided Inet such waiver snzdl be expressly limited to Purchaser's indernnity obligateons herein and shall not be a benefit to any third pat ty. rur- ther, the indemnification obligation under this provision shall not be limited in any way by any limitation on the amount or type of any damages, compensation or totrinfits payable to or for any third party undo worker s coin pensation acts, disabd4ly benefits acts or other ernpleyee tionehts acts. Purchaser's dray isl deterk'1_ in,d:,mnr}y and field Cadman harmless shall include payment of M darnagas, costs. Intere t, penalties. reasonable attorreys' tees, Cadman y personnel -related costs and all other ; aim -related expanses Upon Cadman tender of detense urnder this provision. the Purchaser agrees to appoint counsel of Cadman s choice to defend against th!ro paty ciaim(s). Such counsel wifi be at the sale expon;e of the Purchaser. THE PURCHASE HEREBY CERT iFES THAT T; Hr PROVISIONS OF THIS DOCUMENI" WERE SPECIFICALLY AND 'v U fUALLY NEGOI ATED. CADMAN. FIRE.B.,Y_EXPRR.63LY,QI$CLA(M,5 ALL.. PLIED WARRANTIIES No warranties express or implied. (including warranties of fitness for a oRrLcuiai purpose or varrarilles of rnerf•)an'abdr,y) are made and all materials are sold AS IS'. Cadman is not responsible for Conseatiental or incidental damages of any kind iclud- i; ng but not limited to any oxpenses related to construction detects, delay damages. impact damages, lost profit, labor costs, equipment and tool costs mate 'al costs. hand and ins:r, afire costs. home offircoovei head costs job - site overhead, nteiesl and attorneys' Sees and prepa:al.on of claim Costs. LlryllTA. TI(}N OF R..E. MED#ES •Purchitse s exc:l.asi:e rerriedy for tlreach o! ccn;r rc•! small be as fo, otivs::;ad r:nri s Aabrlity is #united to f1 }the diflerende beiwern the original purrhas�? prtice at ihz Gadman rnaterlal or (�) t¢ee direct Cdsf of repairing the Gadman material. which ever is less. h1 fie event vainCadman be liahie for any direct or consequonbal damages related to rts material. -Purchaser agrees that is waives its right to re;ect acraoYance, or Cadrrran enateralc w thou, notlfCaton i. w!•,tfng �:4t^m tit^ . ,4 business days after feceipt TIME- .LIMITATION Purchaser acknowiedues that ern legal action may be comme r.,ed fir maintalnecl by Purchaser as to any claimknown or unknownbased upon, negligence or exp es,S fit n,pke.d warranty of contract after 1 year from the last date Cadman delivered material to Purchaser. TITL.E.ANP R15N QF LOSS Untoss olhetwise expressly stated herew. Efle to the matonals sod hereunder shall remain with Cadman until Cadman has :eccved ful' nayroe,t for the Battle. Risk .,t loss of me matcuai sold hereunder shall pass to the Purchaser upcm delivery of trip mrte,+a's at slie place of delivery desig- nated herein. Thereafter, in addition to assurning all risk of loss. Purchaser shall be lespassible for compli- ance with all governmental regulations and ordinances with regard to storage or placement of the same and agrees to indemnify and hold Cadman harmless against all claims resulting from damage to property of any kind arising from the storage. use, or handling ref lain materials. DAILY INSPECTION DIARY REPORT �I DAY: -7rV DATE: S-1 (, / ryWORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: oulkl . Cons, T Co,vv ^ cler o v,- ("No v"L" c.ti .,t, �y C: N`r C �C vah-► ^c. -4A4, i h s-rA %%%nc_ 1 z - -� Z �.�t�r Vv-41 6' C it,e�- C SA ''S A. G s +- 8" W 4-e✓ 6 e► -►.I. I v, S T A 1t G k cA,,,- 4n. h" c!b -7-o .a S^Wb4 V%00 L—irrAvA4e+- — ls�A-t , y t 1-.5 vr1 jI F8 n� u*1 va, 3 STA 3#9r+- CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: REPRINT 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Valley Black Diamond, WA 9R010-7800 TICKET NO. 1 3076107 TICKETTIME 06:51:02 JDATE 4/30/2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNG CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 656 /D2 27660 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Traile 937 B27326F Hauler/Carrier No. Driver's Name Delivered/Ordered Load No. Running Total 7858190 GLEN 65.02 �4.00 2 65.02 BD/D - MONTEREY TERRACE WATER MAIN REPL 2235 NE 3RD ST RENTON - MONTEREY TERRACE WATER MAIN REPL SEE BEN ON SITE 92253 CSTC SCALE WEIGHT GROSS & TARE Gross 103,900 LB Tare 38,740 L B/ P. T .* SKISca7 Net 65,160 LB * X Jennifer Deputy Weighmaster No one available to sign, customer waives receipt Received by Signature signature. 0 X Start Finish Arrive Job Unloading Unloading 32.58 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Sales Tax Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Total Standby Time Standby Time Cadman, r•nns...and Condition T.ER¢AS OF PAYMENT •Terms Of pavmm ent to custoers of satisfactory and app!eved credit are net cash on or betore the 1W of the rnonth following delivery. -in the absence of any such credit terms, all deliveries under this contract are "collect on delivery" (COD). •Trar:sactions after the 25"' day of each month will appear on the subsequent month s statement. -Accounts are considered delinquent if payment has not been ieceived in, our office by the 25"' of the month following purchase. Delinquent accounts on the 15" of the ollowiny month shall be placed o:, a crash only basis for future purchases until the delinquency is paid in full. Interest at 131.;> will be charged on overdue accounts -Credit cards are accepted at time of purchase only If payment is made by bankcard after purchase date. a 3% fee will be incurred. -Purchaser shall make all payments due hereunder if) lawful money of the United States and in the accordance with the above terms, without any retention and without regard to any agreement Purchaser may have with other parties. A,IIAMeys , an5j, Casts Should legal action he necessary to collect this invoice, whether or not suit be _F,eq, instituted. Cadma, shalt be entitled to recover reasonable attornev tees and costsincluding appeals bankruptcies and post -judgment collection efforts Il is agreed that any suit brought under any contract or agreement with customer shall be in King County WA. •CADMAN ROUTINELY EXERCISES IT'S RIGHT TO SEND MAI ERIALMAN'S NOTICES ON ALL JOBS. -All Federal. State. and local taxes. assessments, tees, duties anus Charges leveled by reason of flit, propo':,,al are in addition to potties quoted and shall be pail) by purchaser •NSF/Rehr ned checks are subject to a handling charge and are not redeposited. Cadman requires NSF checks to be replaced with cash or cashiers check. -Lack of purchase order or job numbers do not affect the terms of sale. ADDITIQNAL.COSTS/C,HAR0F -An Err vro(ilrtenip l Surrh::tiW,, is added to all ready mix and aggregate invoices. A FI1.pi 7u!I,ae, may be added to all deliveries Surcharges are intended to cover Cadman's naeas nq azpenses in romplyu g with envircnmantaf regulations grid increasing energy:7uel cos s Surcharges are not taxes or costs required by anv federal, state or local authority. -Our minimum load for aggregate delivery Is 15 tons. Loads under 15 tons s'I'I be charged time arid material. •A Stand surcr.arge is as- sessed for ay, gre.gate deliveries that exceed ton (10) minutes per load unloading time on the jobsita>. •A $pc- cLiral C pening surc alga is charged for all orders placed on Sundays, holidays ; bs start;ng after 6.00pm, and non-scheduled Saturday deliverre •Saturday, delivery hours are between 7:00arn arid 1 DOpm. SCHEDULING/SERVICE INFORMATION •Purchaser's changes to original delivery request shall be made to Cadman's dispatch office only and not through Cadman drivers, quallty assurance personnel, or sales epresentatives •The obi gations of Cadman are sub;ect to contingencies of strikes, accidents. delays In transportation. governmental regulations 1•res or any ether causes unavoidable or beyond our control •Agdrer,ates suGpliHd io Purchasei may be sourced from different locations. -All materials are subject to availability LIA4ILITY DISCLAJMER:_AND INDEMNITY FOR DELIVERY BEYOND PUBLICRQAD. In the event Purchaser directs delivery to be made beyond curb like. Purchaser agrees as follows : Purchaser has requested Cadman to make use of a path for the delivery of materials and access to the; project tequiting Cadman trucks to travel beyond the boundaries of the nearest traveled public road Purchaser acknowl- edges that dame no to the promises andior adjacent property may occur because of the size and weight of Cadman trucks and Cadman trucks stay becorne damaged, disabled or stuck using Purchaser's required paths Cadma 1 disclaims any liability or responsibility for damage of any kind that arises from Cadman's use of Putchaser's required path, Purchase, agrees io detend, Indemnity and hold harmless Cadman final all claims. liability, damages, casts, judgments or losses of any kind (including reasonable attorney s teas and costs,) resulting from damage to property of any kind fincludung damage to Cadman a Kuoks) arising from of in any way connected to Cadman s use of the required path. Upon Cadman s tender of defense under this pit;vilon, the Purchaser a±7rles to appoint counsel of Cadman's c- oicr, to defend against third partyclaim(s;. Such counsel; will be at the sole expense of purchase, PERSON. AL INJURY INDEMNITY PROyi$ION • I'h s !rdemr!r!cabon prevision is part of the; terms and conditions between the Rol chaser and Cadman and Is intended to comply with the provisions of RCW 424.115. In the event of any cmfl.cts between this document and any other term, subcontract or agreement between G"a Purchaser and Cadman this document shall Control. -The Purchaser agrees to defend, indemnify, and hold harmless Cadman from any and all bodily 'nluryrneglig once based or ciaroage to properiyrcontract basso claims, demands iosses. and rabiliTestoornythril patties arrsing from. resutting'rom or rgnnactecf rn any ova;x wth tl,e product or pradur..ts sold by Cadman to Purchaser, even through such claims may prove to be raise, grenrldless a: fraudulent to the fullest extent permitted by law and subject to the Ilmitations provided below. -Purchaser s duty to indemnity Cadman; shall not apply to liability for damages ansing out of bodily injury to persons or damage to properly caused by or resulting from the sole negligence of Cadman or Its agents or employee':s Purchasers duty to indemnity Cadman for liability, for damages arising out of bodi'y ',rjury to. persons or damage to property caused by or resulting from; the concurrent neg igence of (a) Cadman or its agents or ernployees and (b) Purchaser or is agents or employees sna = apply only of the exti of negligence o! Purchaser or its agents o; entployec-s. proJded. this paragraph shall riot apply In situations where negligence is not a requirement of Purchaser's iiability such as in contract. -Purchaser specifically and expressly waives any immunities that niay be granted rl under the Wash- ington State Industrial Insurance Act. Title 51 RGW, of the laws of any other state, p€o•vided that such waiver shall be expressly :ignited to Pure aser'a ndernity obligations here r• aid shali not be a benefit rr1 any third [warty rur- ther, the Indemnification obligation under this provision shall not be limited in any way ov any limitation. on Inc, amount or type of any darllages, compensation or benefits payabie to or for any third party under workers c om- persation acts. disability benefits acts or oche; employee benefits acts. Purchaser's duty to defend, indemnity and hold CadInWil f a mess shm include payment of all darn}age,. a,ds, ihterpol pr,r€aitiars reasonable attorneys fern, Cadman's aersonne.-related costs. and all other clann-related expenses. Upon Cacmw)s tender of defense under this provision, the Purchaser agrees to appoint counsel of Cadman's cholce to defend against third party claimfs!, Such courl will be at the sole expense of the Purchaser, THE PURCHASE HEREBY CEFfrit, ES THAT THE PROVISIONS OF THIS DOCUMEN i WERE SPECIFICALLY AND MUTUALLY NEGOIiAFE©. CADMANHERE__..W_..warranties _o e:xp!ess or applied (including warranties of fitness; for a part:i;ular purpose or warranties c.. mire cr an,ab:lify) are made and all materais are sold "AS IS`. Cadman is not responsible for consequemial er incidental dan?ages of any kind iciad- ing but not limited to any expenses related to construction defects.. delay -damages. impact damageslost profits - labor costs, equipment and tool costs material costs, land anti Insurance costs. her ro Office overhe ao' costs, job - ,site Overhead ntejest and attorneys less and preparatic:n o. clan. cost,3 LIMITATIO_N OF RElir -Purchaser's exc€usive remedy for breach of r ant ct Shall be as folio s Carman's liability is limited to (1) the Jiff renr-e between the original purehase price of the Cadman material or 12) the direct cost of repairing the Cadman material, which ever is less. in no event will Cadman be liable foi arty direct or consequent damages related to its immonat •Purcha er agrees Met Is waives Its Inn! to reject acceptance of Cadman materials withoi t noti icanori I- writing voinrl thrc < l3; bustle , days after, ec o-iot. TIME_LI,MITATIQN Puiartasat acknowledges that no legal ac Cn may be corerrnnced es ma otatrteel by Purchaser as to any claim, known or unknown based upon negiigence er express or nnplied warranty or contract after 1 year from the last date Cadman delivered material to Purchaser T1TI FAND RiS�t.f�F_I OSS Unless otherwise expressly stated herein, title; to the ma:eri als sold In. I. der shall remain with Cadman, until Cadman has ie e,ved ful' pa, me it for the sameRisk of loss of the materials sold hewerunder shall pass to the Purchaser upon delivery of the materials at the place of delivery desio rated herein. Thereafter, ur addition to assuming at! risk of loss. Purchaser shot be !esponslble, for compjl- ance with air governmental regulations and ordinances with regard to storage or placement of the same and a roes to ndemniN and hold Cadman harmless age nst 111 1ai!r s resulting fro€n damage to properly of any Rind arising from the storage, LfSc Of handling of said materials REPRINT rAUDMAN t EIOELBERG,' I—Mf-'N lG;oup 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Vall Black Diamond, WA TICKET NO. TICKETTIME 06:35:04 DATE 4/30/2019 Customer No. Payment Type Customer Name Order No. 784216 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 656 /D2 27660 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Traile 959 Hauler/Carrier No. Driver's Name Delivered/Ordered Load No. Running Total 7858190 STEVE 32.44 �4.00 1 32.44 BD/D - MONTEREY TERRACE WATER MAIN REPL 2235 NE 3RD ST RENTON - MONTEREY TERRACE WATER MAIN REPL SEE BEN ON SITE Product 92253 CSTC Description 32.44 SCALE WEIGHT GROSS & TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 103,760 LB Gross Scale t Sca�ie 2 X Jennifer Sales Tax Tare 38,880 LB/ P . T * Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 64,880 LB Total Deputy Weighmaster No one available to sign. customer waives receipt signature. � Received by Signature Print Name (Customer) Driver's Signature Ix Standby Time ve Job Start Unloading Finish Unloading Standby Time 17 Customer's Initials Cadman. leis. Ternis and Conditions TERMS OF PAYMENT •Terms of payment tit custar tern of safstac'ory and approved credit are net cash on or before the 19' at the month following, delivery. -in the absence o' any such credit terms. all deliveries under :..I_ Co i= ucl are collect on delivery' (CCGI. •Trac,3actons afte, the 25' - day of each month will appear on Inc,, subsealiaent €no_rlh'> statement- -Accounts a consideeed delinquent it payment nas not been received in our ofpca by the 25" of the month tollowmg purnasea Delinquent accou: its on the 15" of ,'he ollowing month shall be placed an a cast• only basis fortutura purchases until the delinquency is paid in full. Interest at 18% will be charged on overdue accounts. •Credit cards are accepted at time of purchase only If payment is made by bankcard after purchase date a 3"', fee will be incurred. -Purchaser shall make all payments file hereunder in lawful money of diet United States and ,n the accordance with the above terms. without any letentwn and without regard to any agreement Purchaser may have with other parties At#.P.mey- .F.ees Sand C&tfflls Sh mild legal action be necessary to collect this invoice, wheille of not suit he instituted, Cadman shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies and post judarr nt coiln_cv,on efforts It is agread that any suit bought under any contract or agreement with custom:r shall be in King County; WA-CADMAN ROUTINELY EXERCISES IT'S RIGHT rp SEND MATERIALMAN'S NOTICES ON ALL JOBS. -All Federal, State, and local taxes, assessments, fees; duties and charges leveled by reason of this proposal are in addition to prices quoted and shall be paid by purchaser. -NSF/Returned checks are subject to a handling charge and are not re -deposited Cadman requires NSF checks to be replaced with cash or cashier's check. -Lack of purchase order or job lumbers do not atf;;e;t the terms of sale AQ1QITiONAL_99STS7CHARM •Art Ens r,anrtipl'.i l pS.4fyg g is added to ,It ready infix and aggregate invoices A Fuel $prrnatrge may be. added to all deliveries. Surcharges are intended to cover Cadman's increasing expenses in cornNying with enwonrnebtal regulations and increasing enegytfue. costs. Surcharges are not taxes or costs requirod by any t'adeial, state or local authority. -Our minlmurn load for aggregate delivery is 15 tons Loads under 15 tons will be charged time and material. •A }tand¢y surcharge; is as- sessed for aggregate deliveries that exceed fen (106 minutes per load unloading time on the jobsite. •A $pq- clal Q ning suroharge is charged for all orders placed on Sundays, he clays, rob, starting after 6,00pnn. and non-scheduled Saturday deiveries -Saturday delivery hears are between i Warn and 1:00pn SCHEDULINOISERVICE.iNFORMATION -Purchaser's changees to original delivery request shall be made to Cadman dispatch office only and not through Cadman drivers, C.ual,ty assurance personnel. or sales epreser,tatives. -The obligations of Caderan are sub%et to Contingencies of strikes, acicldents, delaus in transportalfon. governmental regulations, fires or any other causes unavoidable or beyond our control, -Aggregates supplied to Purchaser may be ,,ourced from different locations -All materials are subject to availability. LIABILITY DISCLAIMER AND INDEMNITY FOR DELIVERY BEYOND..RUBLI.C..ROA.D to the event Purchaser directs delivery to be made beyond curb line. Purchaser agrees as follows: Purchaser has requested Cadman to make use of if path for the delivery of materials and access to the project requiring Cadman trucks to travel beyond the boundaries of the nearest traveled public road. Purchaser acknowl- edges that damage to the prey rsels andfor adjacent property may orcuf because of the 5ixe and weight of Cadman trucks and Cadman; !rucks may bacomedamaged disabled or stuck using Purchaser's required path. Cadman disclaims anyliability or responsibility for damage at any kind that a', ses from Cadman's use of Purchaser's required path Purchaser agrees to defend, indemnify and hold harmless Cadman from all claims. liability. damages. costs, judginetbts or losses of any kind (including reasonable attorneys fees and costs) resulting tram danbane to property of any kind (including carnage to Cadinari s trucks) arising from or in any way connected to Cadman's use of the r;;quiredpath. Upon Caclri tender of defense under this provisieow, the Purchaser agrees to abpcnnt counsel of Cadman's choice to defend against third party rlalrn(s) Such counsel will be at the sole expense of purchaser. PERSONAL ITIJURYINDEMNITYPROVISION •Ths ine ) t:catkin p,uvisiurl is part el the terns a::d ,ondit.-•'C bp!w� n the Pu., hcser and Cadman ant[ ; intended to CO Maly :rah the rIovarcns It RC'J d ?4.115 it 1he ev-.nt of any con, ut., batwec=, t Cncument and arty othcir tarn s,ra,u r,.cr r air,;,,, tcd between the wc,iaaei a,c Op,,"inarl 111u riccdal'rtsr'-- a .tiol -The f i.1'rac,r ag,o� u Jfelic, wCiCr wd Lt4d Tan=,less Cadman'iar-i a••y .rnc all txr h ijury nr �,w.�n,.r. basedc�clr„c_Jimb i1 �nits, dernands losses and tabiluies to or by Laud vart,e arising fr ar t resulting from_ of c.o n^,ecied in any way w0l title product or products sold by Cadman to Purchaser, even through Ouch ctarms may prove to be false, groundless or fraud.: ant. to the fullest extent penni tcd by law and sablect to the itritations provided be cw -Purchaser's dray to fndernnity Cadman shall not apply to itabitnty for damages arising cuthat bodily nbjttfv to persons of damage to properly caused by or resulting hen the sole negiicienr_e of Cac!T , � cr ns 'cents t;r arq; ogees Pur^has::r s =!uh; to indemnify Cadman for liability for damages arising off! at boduy injury to parsers or damage to property caused by or resulting from the concurrent negligence of (at Cadman or its agents or employees. and (b) Purchaser or its agents or employees sha:: apply only of the exten. of-:egl:gence o: ?grchaser or its agents or emplo,.;es, prov oed this paragraph shall nor . apply in stuatio t, nhe a ney6gence is not a oqu.ilrmo-,rt of Purchasers liabiity, ,uaf, as in contract. -Purchaser specifically and expressly waives any initnti,,ties tt al may be patted it u t : r he Wash- Ington State industrial Insurance Act, Title 51 RCW or the laws of any other state provided tile! such 'w alver shall be expressly limited to Purchaser's indemnity obligations herein and shall not be a benefit to any third party, Fur - that. the indemnification obligation under Ibis psovisron shall not be limited in any .tray by any on the amount or type of any damages. carnpensabon or benefits payable to or fo; ,nr inid pally ..:der triunes xnt- pensation acts. disabildy aeri ,tits acts of other emp oyee benefi ; acts, Pt t I laser"s ,iota to deiend tc t :unity air! hold Cadman harmless shall include payment of all damages...osls, interest, penafties. reasonable attornevs' fees Cadrrar,'s personnel -related costs. an, L, all other aim r eated xp . sos Uon ^pal t der of a innie under this provision, the Purchaser agrees to appoint courisail or CaJman s choice to dotend a g ainst third pa Tv elainit5)_ Such counsel will be; at the sale expense of the Kl <,h«ser I HE PURCHASE' HEREBY CETTTIFiES THAT THE PROVISIONS OF THIS DOCUMENT WERE SPFCIFICAL-f AND MUIIT'UALLY NF:GCT.ATFD. CADMAN.NEREB.Y.EXPREss..iY DISCLAIMS ALL IMPLIED WARRANTIES No wariarihe', express of implied, iirclUding warranties a' fitness for a pa rular purpcs or ra. rantes ot na i antab lity) err made and all materials are sold AS iS Cadman is not responsible to c n ecluenLa: or inooertal darnages of a y kind ictutd- ing but riot lirr:itad to any expenses related to construction detects_ delay damages, impact damages. lost puoffs. abor vests equipment and icoi Cost s materiel costs. thnnd and insuranc e calls iron. otf Co overhead costs, job - site overhead interest and attorneys tees and pi ep a pion of cla ni costs_ LIMITATIQN QF RS.MEDI" -Purchaser's exclusive remedy for breach at contract shall be as follows: Cadman's liability is limited to (1) the difference between the original purchase price of the Cadman material of (2) the direct cost of repairing the Cadman material, which ever is less. In no event wall Cadman be iiablc for any direct or consequential Canapes related to its material. "Purchaser agrees that is waives its nt h'. to ro�ec! acIXBptanC;,' of Cadman malenals a, thou: r,p(lfica inn in w!iting within three (,,) hltslne, days aQer - ,,�,pt. T_iME LIMITATION Purchaser acknowledges that no legal action rnay be comirenced or maintained by Purchaser as to any claim. known, or unknown, based upon negligence or express or implied warranty, or contract after t year from the last date Cadman delivered material to Purchaser_ W.L.E.AN.P RISK OF_LOSS Unless otherwise expressly stated herein, title to the materials said hereunder' shall remain with Cadman untilCadinan has received tuff papynent tcrr file. ,„,me. Ca ,x of foss of the, fliateaais sold hereunder shall pass to the Purchase upon. delivery of the materials at if e place of delivery desig- nated herein. Thereafter, in addition to assuming all risk of loss. Purchaser shall be responsibe for comph- dnce'w!th all governmental I'egulatlons and ordinances wrth regard to (storage of placement of thesame and agrees to indemnity and hold Cadma r ai mle ss against all clams rec a:hr I from damag; to prapt:rfy of kind arising horn the storage, use or handling of said maim ials. DAILY INSPECTION DIARY DAY: 'Qeb DATE: S / 7 / /y WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: ILL-f A /I . 1 At 0- v !_ AM7 h r _ /[' i%7 i' "f / Ay- % G' a!s+f CONTRACTOR SIGNATURE a.m./p.m. w 1.1Cy 61 INSPECTOR SIGNATURE REPORT �� DATE: DAILY INSPECTION DIARY DAY: DATE: ,j / /% 4 WORK PERIOD: WEATHER: TEMP. MAX OF MIN WORK ACCOMPLISHED TODAY: a.m./p.m. to a.m./p.m. OF PRECIPITATION: 11 Tir rr /� G� 1 1/ltz fJ/dt/2`1777d &.VNG "tt v REPORT C�[C�.F1///LZ�2� 1 f� � f'.i , A, i/�t�J A/0 L C � L /i G �S %9 C CI:, --Le.- ea t' iL L e g �G/ �' G..d C �G 7 Y7 S 7 1 p Z i.�..)�✓ 11/�14� v� S'T C n n nc" CIA' & % 'b " 1V it 2 S S t.F - ';-6-t4 l - $ 1 t' 1 6 'ju- V 4�,W C,-Vnc- P 1 %yig, in, CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: S� / `j /j l� WORK PERIOD: WEATHER: TEMP. MAX OF MIN WORK ACCOMPLISHED TODAY: a.m./p.m. to a.m./p.m. OF PRECIPITATION: i^ �, Lr'-y / c:+71Z 2/%c. t: jt//1 .-0� .�.� � s✓'S &h0 Cnn S T '1f lA AAA n C' .0 u'� tr � � L A � U t.. /a S •s-0" Lr A IL is A. -AA D Ulic�v�J i 1% P , - t: x COA- vdryFf vel n v y A OIL4 Q ✓L . JV l'.- IJ�J���1' ►nn A • ii c,J—•dJP#- AA-x P1 } rLun .nr� 1 ZlSa 4 i:b T/renG�l CONTRACTOR SIGNATURE w► 4, v%- - F INSPECTOR SIGNATURE DATE: Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following waming before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin imitation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe disconrfortln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this waning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (brig sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buye(s agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test ncylinders that you sign this RELEASE. In consideration of the perfornanoe of the seller of is contract with me, I the undersigned, hereby INDEMNIFY the Other additions ' seller and its employees for any damage and for all claims to the preen ses, 05, building, utility pipelines or cables, telephone lines, driveway or other Received ' = appurtenances, at by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Leave Plant Arrive Job Sit Start Discharge l Drivers' Comments Order No. Cust. No. 60157 CUSTOMER 4607282 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. and RELEASE the seller and its employees from ICON iv1�i E 1 AL any liability. Signature of Owner or its Agent �WGDELTKT09040 Finish Discharge) Leave Job Site Arrive Plant Company/ Customer Job Customer 3TRUCTION Delivery Instructions Load Qty Delivered Qty Order Qty Gres Tare 3462026380 TrIr: Customer PO/ Phase Code p^ -i?- TICKET NO 531 37087 SEATTLE, wl961 `06-767-2521 Driver Co. Proj. No. Delivery Address Dare 05 / 08 / 14 I Map Zone Scale F T1T1e 14: 57 ProductCode UOM Product Description Unit Price Amount Net 8240 L rl s_ x..iL-tJ - of 1 X FUEL CHG LOAD COUNT: _ C/N: Load Size Prod. No. Description Slump Type CC Use Haul Qd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # �����r•��r•r•��r•�����r_rr-�rrsr•�rtrtrrr•r•r•��� ��������� REPRINT HEIDELBEIRGC::E_MENTGroup 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Valle Black Diamond, WA oonin_nonn TICKET NO. 3076736 TICKETTIME 09:05:02 JDATE 5/7/2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 656 /D2 27858 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Traile 934 72402X Hauler/Carrier No. Driver's Name Delivered/Ordered Load No. Running Total 7858190 BRETT 31.67 p2.00 1 31.67 BD/D — MONTEREY TERRACE WATER MAIN REPL MONTEREY DR NE RENTON — MONTEREY TERRACE WATER MAIN REPL PREV. WAGE CERTIFIED TICKETS 92253 CSTC SCALE WEIGHT GROSS & TARE Gross 103,140 LB Tare 39,800 LB/P•T * SEX--cale Sca�le2 Net 63,340 LB X JenniferDeputy Weighmaster No one available to sign, customer waives receipt Received by Signature signature. F-1 IX 31.67 A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Sales Tax Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Total X X Arrive Job Start Finish Standby I Unloading Unloading Time Standby Time Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures an cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees- After contact with any of these materials, wash off Immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly dnse these materials from clothing. Seek immediate medical attention 9 you have persistent or severe discorrnfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physican immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, a rant or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt ends nuisance fumes. Avoid breathing fumes. Also, Asphalt may ease severe bums. Wear protective safety gear (lag sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me. I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, building, utility pipelines or cables. telephone lines, driveway or other Received , - appurtenances, at. by Buyer's Agent receipt of product and approval of any added items. The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent Leave Plant I Arrive Site Start D.scharg Finish Discharge Leave Job Site Drivers' Comments Company/ Order No. Cust. No, Customer Job P' Customer Delivery Instructions Delivered Qty OrderQty Gros=_ Trk . ;'400 1't- i. r NWGDELTKT09040$ Arrive Plant I CUSTOR4ER 4607137 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. i GUN m i -E R I ALS 1115 SOUTH 96TH SEATTLE, WA 9810&, 206-767-2521 5iH3nu192ui�u Customer PO/ Phase Code TICKETNO. Driver Co. Proj. No. Delivery Address Date Map zme scale Time: s UOM Product Description UnitPrice Amou _ to MODIFIED CLASS B FUEL CHG Load Size Prod. No: Deslcription Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # Now FConcrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe diemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. lt you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from Having into them. If finishing concrete, wear knee pads to pmtect knees. After contact with any of these materials, wash off imi nediatey with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from dothing. Seek immediate medical attention if you have persistent or severe disaornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physidan immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fixnes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added abovedesign. LEASE to you for your signature. is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X 3. Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent I WGDELTKT090408 Leave Plant Arrive Job Site Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Order No. Cust. No. 6-0157 Customer Delivery Instructions ST Ri_1CT WN Company/ Customer PO/ Customer Job Phase Code Load City Delivered Qty Order Qty TICKET NO 53136874 Delivery Address ProductCode UOM Product Description tri .vJr_1)-1,i•:. Gross Tare Net Trk: 37660 26400 11260 Trlr. LJ LOAD COUNT: j CZN: Load Size Prod. No. Description Slump Type Truck Gross Weight Tare Weight Trailer Trailer Taken by FUEL. CHG CC Use Haul Cd. Check # CUSTOMER 46g7069 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 20E-767-2521 grigniqiuiiiuipiiiimino�pi Driver Co. Proj. No. Date Map Zone Scale Time: Pit/Plant Sales Tax TOTAL DUE DAILY INSPECTION DIARY DAY: DATE:/jZ / ly WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: •IN 1 f, a.m./p.m. REPORT Y cV. Cc•Jo-%Auk FO If,�Cvt C, :- " e w" m^ In, ty% L t, 4: Ci n, ' i- tf.i D i 1n-4 n - �1 s� & l lied s- e-� g? A.D r`o�c. S 7.4 j 1 '� l;, }- ��� JE-✓ H- / ire, V a mmo- S /U S Sic .G C. % PVC y i?b 2 F'-e/Vic c, j% Cs -4 I.SC Q�r©� e„-, C5? --/--p, ,.s e � ��chQa�r2� i ►� � Tiuo s, x : ��ti 6.�� u�twrs It 44-C 0 -'1 u •-I Cr X. T.- n r lit.t�3��� /'�'!�s n c-,4-/ G mac' co -rh,s 7. Ve.." ti, L�r'�til 02V" CONTRACTOR SIGNATURE IIA-y6-�- INSPECTOR SIGNAT E DATE: CUSTOMER Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulNength trousers and tight-firong eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from dothing. Seek immediate medical attention if you have persistent or severe discomfort.ln case of eye contact, flush wltth plenty of water for at least 15 minutes. Consult physician irrvrhediatety. KEEP out of reach of children! User 4544 .� 8 2 agrees to convey this warning to all persons who may use a cane into contact with wet (unhardened) concrete, mortar, cement a cement mixtures. r Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (lag sleeves, pants and gloves). If bumed, coal with water and see a physician. Water added at customers own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. E� possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the product defect is the return of the purchase price. In no taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the event shall the seller be liable for any direct, indirect, Other additions seller and its employees for any damage and for all daims to the premises, incidental or consequential damages resulting from building, utility pipelines or cables, telephone lines. driveway or other the use of the products or arising out of breach of any Received 1 appurtenances, at: warranty. All claims for damages or shortages must be by � ____-_ m de th' 24 h f d I W d Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer, a wr In ours o e (very. e o not assume responsibility for any damage beyond the curb fine. and RELEASE the seller and its employees from I CON t ;A r E t. I AL any liability. ,� Signature of Owner or its Agent of Owner or its Agent NWGDELI , 09040 Leave Plant Arrive Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant Signature fi Drivers' Comments Company/ Order No. Cust. No. Customer Job BLJN03 60157 Customer CnNSTRLJCT ION Delivery Instructions Customer PO/ Phase Code TICKET NO. �j3136787 Delivery Address p o -2-7 111� SOUTH 16TH SEATTLE, WA 108 06-767— c5` 17 11111111111111111111aiujipiNiuiiiiii�iiw Driver Co. Proj. No. Date 0 J / QI 1 / 14 Map Zane F F Scale 1 4 : 0 Time: Load Qty Delivered Qty Order Qty Product Code UOM Product Description Unit Price 1721 D CLASS B Gross Tare Net Trk: 34100 26100 8000 FUEL CHG TrIr: LOAD COUNT: 1 C/N: Load Size Prod. No. Description Slump Type CC Use Haul Cd. PiUPlant Sales Tax TOTAL DUE T*1 ir'l -,Gress Weight Tare Weight Trailer Trailer Taken by Check # r_ r_ r_ r_ r_ r_ r_ r_ r_ r_ r_ r_ r• r. r_ r_ r• r_ r_ r• r_ r• � r_ r. r_ r_ r_ r_ r. r_ � r_ r_ � � r_ � � r_ r. r_ CUSTOMER Concrete: Injurious to eyes.Causes skin irritabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement miftres can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulHength trousers and tight-fltting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to prated knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through dothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discornfort.ln rase of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to corwey this warning to all persons who may use or come into contact with wet (unhardened) concrete, radar, cement or cement mixtres. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt ernils nuisance fumes. Avoid breathing fumes. Also. Asphalt may cause severe bums. Wear protective safety gear (kxg sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release 4544647 reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment in presenting this RE- Unloading & Standby Excess unloading will be d ue to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can. but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at custome equest. Test cylinders taken that you sign this RELEASE. In consideration of the performance d the product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, seller of its contract with ree, I the undersgned, hereby INDEMNIFY the seller and its employees for any damage and for all claims to the premises, incidental or consequential damages resulting from Other additions building, utility pipelines or cables, telephone lines, driveway or other the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be Received appurtenances, at: made within 24 hours of delivery We do not assume by X Buyer's Agent receipt of product and approval off --any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signatu re of Owner or its Agent WGDELTKTO90408 _ Leave Plant Arrive Job Site Start Discharge Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. RI 111103 6015 Customer J _ 7TRUCTIOr Delivery Instructions Load Oty Delivered Oty OrderQty Gross Tare Irk. 34100 26100 Trlr: responsibility for any damage beyond the curb line. IC0Psi ill1IE:RIAL_ 1115 SOUTH 96TH SEATTL.E, WA 915108 206-767-2521 J�i�bupugiiii�iiu�uu�wigan� Driver Co. Proj. No. #7F,5 531 36852 Delivery Address �' c Date 05/0r'.-�/ 14 Map Zane 00 p2•� F F le Time: 14:47 ProductCode UOM Product Description Unit Price Amount V Net 8000 LOAD COUNT: C/N: Load Size Prod. No. Description Slump Type CC Use Haul Co. Pit/Plant Sales Tax TOTAL DUE Tr ,IN0Er s Weight Tare Weight Trailer Trailer Taken by Check # r_��r_rsr•ar_air_r_rs_rsr_r_sr_�>•sr_.r_sa-arsar_r_ar_�� ��������� DAILY INSPECTION DIARY DAY: - DATE: WEATHER: TEMP. WORK ACCOMPLISHED TODAY: S'l 13/ i4 MAX OF WORK PERIOD: a.m. /p.m. to MIN OF PRECIPITATION: REPORT a.m. /p.m. y ^ 4 ir.4i it �is�1ri r.�nn 9-, j IJV Alt-, kAr S 24CAvA-AM-70, (f /�i1TiJn/� i1 el v c� A&A-z /tiC V\. , i 4dinJ !i c.a� SSe —1117 - - 1 T� 1e.�. esbe c , Adzf1 co k,% cw�.IG..�t Q 1� �I Z � 7Z �; ma• •�, / d � L� STA VS � S`Z i- CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: 77ru V r tNA4 DATE: 5;- / I S"/ 1 y WORK PERIOD: WEATHER: TEMP. MAX WORK ACCOMPLISHED TODAY: &an O CG,n S 1 a.m./p.m. to a.m./p.m. OF MIN OF PRECIPITATION: REPORT 1 h �h ; S �„ :r -t . c— ses�c ej - (�e .�..1�•1.��'i �h 5T/* /Al76 P0')o cc r c �- €j �� w� ``-- V #A 0. lysrf- a [S in a c� A 0� / O t Sc V% S -- L�%(� S MA / ✓1 1 �,�G.:>a5.►� `"/ 6✓ecs: SeP:� n,, AP44-1 tom, R 'Del. % N , ., ew �,� v�i • r S7 P a D c� (� �� •r�-ty tJA-Iy�S S i n C- Cr jk l CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: RENTON CONCRETE RECYCLERS 22121 17th Ave S.E. Suite #117 Bothell, WA 98021 Pit Site: 500 Monster Road S.W. Renton, WA Business Office: 425-481-9101 Scale House: 206-772-2278 Date: Customer: Project Name/P.O. Number: Project Location (Street/City): Trucking Company: Cash 11 Credit Card - Last 4# Ticket # 218313 Scaleperson: Account Truck# Time Material Gross Weight Tare Weight t Net TonslYd3 Price eightSiz nna TERMS: NET 30 DAYS FROM END OF MONTH. A Finance Charge will be assessed on all oast due accounts at a rate of 1 1/2% Der month. Total Material Annual finance charge of 18% NOTICE: It is specifically a reed that this company shall not be in anyway responsibye f9or damage to customers property resutling from deliveries beyond the curb line. DRIVER SIGNATURE/PRINTED NAME: 5% Environmental Fee Sales Tax CC Processing Fee Total Concrete: Injurious to eyes.Causes skin irdtabon.Contains Portland Cement. Read the following warning before using: Contact with wet, CUSTOMER unhardened concrete, mortar, cement or cement mixtures can cause skin imtatbn, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -felting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately wit fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discarrfort.ln case of eye contact, flush wth plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User 6 0 7 4 9 2 agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, coal with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. 71 possibly cause damage to the preen ses or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at customer request. Test cylinders i9lcen that you sgn th s RELEASE. In consideration of the performance of the seller of its contract with me, I the undersigned, hereby INDEMNIFY the product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, Other additions. seller and its employees for any damage and for all daims to the premises. incidental consequential ,damages resulting from th the use of the or arising out of breach of any Received building, utility pipelines a cables. telephone lines, driveway or other appurtenances, at: products warranty. All claims for damages or shortages must be made within 24 hours of dellve We do not assume b y X _ responsibility for any damage beyond the curb line. Buyer's Agent receipt of produLt and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. ICON MATERIALS expressed or implied by the seller. The seller accepts no liability for any 1115 SOUTH 9E,TH personal injury incurred by you while adding additional products to our SEATTI_E, ILIA 98108 mixer. Signature of Owner or its Agent 206--787-252 1 Signature of Owner or its Agent GDELTKT090408 Leave Plant Arrive Job Sitq Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers'— Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Driver Co. Proj. No. I 'i E0031 1 53137297 Date Customer Delivery Address +❑ Map Zone tt Delivery Instr�& ' COMPANY RENTON Scale Time: Load Qty DeliveredQty Order Qty Product Code UOM Product Description Unit Price Amount tn CMRCL SUAERPAVE 1/2'" 64 711 Gross Tare Net TrWc: 31980 E5980 E_100 FUEL. CHG Tr-1 r, . L Prod. No De ription Slump Type CC Use Haul Co. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # AI_ 1 AOO I Concrete: Injurious to eyes.Causes skin imitation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact vv th any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you hate persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this waming to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health Measures to control fugttive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fixnes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. F-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test n " ers that you sign this RELEASE. In consideration of the performance of the seller of its contract with me, I the undersgned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances. at: by X �. Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signer a of Owner or its Agent Signature of Owner or its Agent _...... ........... ......... GDELTKT09040§ Leave Plant Arrive Job Ui Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Order No. Cust. No. Customer Job ki- i h•1..:, 60031 Customer 1A COMPANY Delivery Instructions` Load Qty Delivered Qty OrderQty Produ Customer PO/ Phase Code RENT ON Delivery Address iTrl. F TICKET NO. 1 -7 1 tin .L- •tyl CMRCL SUPERPAVE Gross Tare Net Trk: 31980 25980 6000 FUEL CHG Tr1r: CUST01MEiR 4607298 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98106 206-767-2521 IIIIII�IIII IlII1111U1111 Jill 11111 II 1111 Driver Co. Proj. No. Date Map Zan scalb Time: Vnr(rn((7 r n r r1l rhVr `,hrh r,rr ,'r�rll i rlll,l\ Load r - Prod. No. De ription Slump Type CC Use Haul Qd. Pitpant Sales Tax 11 ,` 1 TOTALDUE Truck Gross Weight Tare Weight Trailer Trailer taken by Check # r_ r_ r_ � 1=1 r_ r_ r_ � � � � � � � � r_ � Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened cowete, mortar, cament or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfordn case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cernent mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, 000l with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to wateradded above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Anived at job with inch slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all clams to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent . g -- ---- _ J - . Finish Discharge) Leave Job Site Arrive Plant Signature o Owner or its Agent NWGDELTKT090408 Leave Plant Arrive Job Sit Start Discharge Drivers' Comments Order No. Cust. No. ^t T F). Customer A Delivery Instructions Load Qty Delivered Qty 4.00 2.00 t'? r Tr I v- : Company/ Customer PO/ Customer Job Phase Code TICKET NO CUSTOMER 4607582 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MAI ER I ALE 1115 SOUTH 96TH SEATTLE, WA 9810P 206-767-2521 I I I 01i 1 4, 3 �Oiil Driver Co. Prof No. Delivery Address Date Flap Zone Scale Time: Order Qty ProductCode UOM Product Description Unit Price Amount ._ , . _� _1CKE T 5 GALLON ❑ a PG64--22 ASPHALT O I L t n CMRCL SUPERPAVE 1 ; a" 64 [ ak r e 1\19 . -5980 4010i:., FUEL CHG i. Load Size Prod. No. Description Slump Type CC Use Haul Gd. Pit]Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # • CUSTONIER Concrete: Injurious to eyes.Causes skin irhtaton.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, o'rnent or cement mixtitres can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when workirg with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User 4544615 agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtitres. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing hares. Also, Asphalt may cause severe bums. Wear protective safety gear (log sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customers own risk Additional water added to concrete will Property Damage Indemnification & Release reduce Its strength.Buyees agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with in slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Limited Warranttyy The only liability of the seller for Added gal water at customer request. Test cylinders taken that you sign this RELEASE. In consideration of the performance of the seller of its contract with me, I the undersigned, hereby INDEMNIFY the product defect isihe return of the purchase price. In no event shall the seller be liable for any direct, indirect, Other additio seller and its employees for any damage and for all daims to the premises, building, utility pipelines a cables, telephone lines, driveway or other incidental or consequential damages resulting from the use of the products or arising out of breach of any. warranty All claims for damages or shortages must be byceivedX appurtenances, at: made within 24 hours of dehvery.We do not assume responsibility for any damage beyond the curb line. Buyer's Agent Teceipt of product-dN approval of any added items. and RELEASE the seller and its employees from ICON *A -IL. _ A S The addition of any extra products to our mixer may void any warranty any liability. 1115 SOUTH 9ETH expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our SEATTL.E, WA 98108 mixer. Signature of Owner or its Agent 206-767-2521 Signature of Owner or its Agent WGDELTKTO90404 Leave Plant I Arrive Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Order No. Cust. No. Customer Job AL_ T mot., 60031 I Customer A COMPANY Delivery Instructions Load Qty Delivered Qty Order Qty IIIIII�III�NM�IIII�In�I�JhNIIIh�INI� Customer PO/ Phase Code TICKET NO. Driver Co. Proj. No. RENTON 53136620 Delivery Address Date Map Zone Scale Time: 4.00 , 4.Ore 1.00 90150A 2.00 iR.00 1295 Gross Tare Net Trk: 29980 25980 4000 Trlr. UOM Product Description i ea METAL BUCKET - 5 ga CSS-1 TACK to CMRCL SUPERPAVE FUEL CHG I QQ i Load Size Prod. No. Description Slump Type cc Use Haul Cd. J Truck Gross Weight Tare Weight Trailer Trailer ALIAter]- Check # Unit Price GALLON 1 /2" E4 Pit/Plant Sales Tax - TOTAL DUE Concrete: Injurious to eyes.Causes skin imitabon.Contains Portland Cement. Read the following warning before using: Contact with wet, CUSTOMER unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and fight -filling eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. 4607316 Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt en-& nuisance fumes. Avoid breathing firms. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customers own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment. in presenting this RE- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, isofthe opinion that the operation ofthis charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. E-1 possibly cause damage to the premises or properly. It is our wish to help you n everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at customer request. Test cylinders that you sign thus RELEASE. In consideration of the performance of the product defect is the return of the purchase price. In no taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the event shall the seller be liable for any direct, indirect, Other additions seller and its employees for any damage and for all claims to the premises, incidental or consequential damages resulting from building, ublity pipelines or cables, telephone lines, driveway or other the use of the products or arising out of breach of any Received appurtenances, at: warranty. All claims for damages or shortages must be made within 24 hours of delive We do not assume by X- Buyer's Agent rece'pt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent -NW.GDELTKTO90408 Leave Plant Arrive Job Sit Start Discharnel Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Order No. Cust. No Customer Delivery Instructions Company/ Customer Job Load Qty Delivered Qty Order Qty Gross Tare Trk: 29980 25980 Tr1r. Customer PO/ Phase Code TICKET NO. 1 .:�-7 Delivery Address ProductCode UOM Product Description responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96T1: SEATTL.E, WA 9E110b 206--7E 7-2521 I MINI 11111 Illll Iilll Iilll illll Illil Ijlil ►ill IIII I I Illl.jlilt Illll,jllll I11 Mete - Driver Co. Proj. No. Date Map Zone scat. Time: Unit Price Amount tn l MINCL 5UPERPAVE 1 /2" 64 `t,,mmrmrr,,, NeY Y., 4000 FUEL CHr, l`� Load SiA r t Prod. No. Description Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # ALIA001 HEIDELBERGCFMFNTGroiip 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Valle Black Diamond, WA 98010-7800 11a]2 i11111I1ll TICKET NO. TICKETTIME 1 11:02:48 JDATE 5/12/2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 656 /D2 27951 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Trailer 937 B27326F Hauler/Carrier No. Driver's Name Delivered/Ordered Load No. Running Total 785819 2 1 66.68 BD/D - MONTEREY TERRACE WATER MAIN REPL MONTEREYDR NE I IIIIII IIIII IIIII IIIII IIIII IIIII IIIII III IIII MONTEREY TERRACE WATER MAIN REPL PREY. WAGE CERTIFIED TICKETS- FROM SUNSET BLVD EAST ON NE 3RD - STOCKYARD ON RIGHT Product DescriptionTotali 92253 CSTC 33.15 SCALE WEIGHT GROSS & TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge Gross 105, 300 LB 0 Scalel Scale2 X Jennifer _ Sales Tax Tare 39, 000 LB/P.T Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 66, 300 LB Total Deputy Weighmaster No one available to sign, customer waives receipt signature. Received by Signature X Print Name (Customer) X Driver's Signature X Standby Time Arrive Job Start Unloading Finish Unloading Standby Time Customer's Initials X f -Wi-nan.-I fil.'. I C�11711 )Ilk' (` 01IL111 ikvi� TERMS OF PAYMENT k'r -1c )I­PIy;T>­ '-sti-mplz rl in- ,1.Ul _-iy I., z! 801, nl",-, x• I'm c'a-91; v, mokvp, Zj- V - 1, 11- ,1- ",dill on tit,! qI!t7Af,'r, &,'I M011 1, rl I, V rMi Le N9CIRIVIL0 10 1,�t T .'t1rcl hy 1 nu o�,-f�air 'll.- pZlq-;rId 'I pavot-m..:, zille -f" --i Inc-_It.rloa "liff'I Wl lvl..l t0tolt." lvithc,ut ary !", ­a,v I-lav li?vu vi:h _,11v AVQIIIFYs' fttls and Costs S1;­k;k1 lttziA -1( tji-,5, ITn-a'v'Try to ;,-i,,T !lfi.� I:•vwr& w iini sml hzT smo be L-111M, I to anv'rilv i5fM ;"I'(; Ill ytglr�T�i that 6",V �kvll vivuglil a,lv or a( jm.r all t.e 11) I<il,,g C-1 :�ll -, rt',v V-VA- C.ADMAN ROUTIP ­ Y ENFRCISCS I T S F11ril I." SEND PoATERIALMAN S v401 ICES, ON Au- jOSS -A'I Fderd "tat-, qtm mcal Iuxos atS",N­nlerlt. I'tets. .jp,& Iy te-m.,gin :4 thts t,,rrypT."1 -em" in adolrrtf,» I."' aj(' Ix, ."90 ov to -1 t,WIIII;1,q chelq,aj,4 aw -A is •dk fequreo, Nr,)- chf-,,,ks to lit! vvVi va:4i or oasfth�T'e afiec.k. -t..4ck Lit riterj la:zc it dr�t rjr jn;o rlisImb.il', '16 not affwf tnW to tin_ of APOJITIONAL COSTWAAROU -An a I 't Stitelgirg);� avli!,�Tcl W I re-dv r:,i< ano nveirx,3. A Evel .1>qrctiprqz tray t)-Fvidj ti) ou ei-rvari-o inle.".-Jeil !-.) x.et cl ;rj arc riot I E,%vs lcum avmsmuv -G:;,11Mn,TnkIM vot, lir (J'AIVO(Ni 's 15 1 ods, 1�, wIR be dtzweel fit-, al,J rime,lial -A !,Zapqby 1,, jasso iov aggragAte ritlwen;s lliiat excgW*,-_n f1wi nimules(Tzlf loall witoading finite ar) the J-:Posite. -A ;5pe- malorenint". rorchat,gals &arrterl tot afl orde4,s piRradon lian-J,%rt; holicla-ys and 7,00am airu.J I ClOpm SCHEDUL.INGI$ERVICL'INFQR-MA_TIQN .,naj,g).a TrIligiral txlivery i-vjuRL,1 sh;,,Il r.,e fi to Cara al g '11,31"Atoll t)411,. nrvy a J vor 11i ouilif aladmat, rtriitrs oi.-el�lv as�urvmce u, zijjes `P.111'leotallo­ -Trio DOLIvicintionq Lit C"Id4re" are _,ub'f,1l Ro l�n_rtmq-_)nc:es ii! _tri'?s, :10.1ys �n franso-ortat,nn g,)vo�rirtl re,;Wnl.nms, liro., or am C-91,7'r ­Ius-ar; rm -"wiinla,l 1, ulrf:hYar may oc soumcd fmm v,"larelit -All e18 LIABILITY DISCLAIMrR AND INDEMNITY FOR DELIVERY SlYll PUBLIC ROAD i:i the event -if' tlL) he r I, e ninircil K" cwl:, P:lrc.na"a:•r apri:!es as lollow, Ptjmijoj li'le, Cld-ail It) nlakfi '1 IA 11311-1 fur the delive"y u! I'vverl-Ilf" and accost;'„ tile pIrcilecl ee-lulrinl.0 C.),Imafl much,, to tm-*,,I b-,;yonrl OIL; Low,danc:,, of the neatest llari3 d ploic roar' PurOhazwlr acAlt,iGvol edun- lhu! dzjfll:1,03'c, lhe {fro 'lllset; sandl orlwlr-r*t prar-rf", Meli, !!I, CAbSe 4 the uze and we-ictil ::f Cr,,Jm in lr% r:;s "r.r." C*korl,ar, ztaabll,, oi jiloq path ca"IVI'v, inv 'inull.tv "'t a,P'),11_'LjI.Aqy I,,; ziLamalctee of any kn­,d final ajl5as bvin Gad,v,an's, ;jle of PLII'lld-_'N :: 'PlILl"10 Vatt", 1`41 'l­.sr.QF aqT(mT-_, :') dt„_"O, and limit aiirmles-s Cacirriftc, (tarn 311 liabilltV 1061-t', Ud� I I I Or )I _m! nIrd (iriclodmig attiwne,.'God cJ;t-,,j rl_st.,Ittrg li:,rn k.m 1,'(Ioorlv )I aCy n,qo t-) CaYvnari's zwi_,.wi 1(im, at 11, MM" Wdv COM1,610d R) Cad`enstv>;of r1l rFq"3d-1'A, P74n. 0-,.ff GaOM?P thlKif", 411 Vf1c, tI vc; pl,wmlc.-m 'Tin Pw< Fitts-- i,.qrees to appovz cmtr.,:m Ca,;h,�ir ; AvA-11) 4 1 aq3,r.yt it 11 Ij p"Illy "IMN!" st-0) ­^Ilwwl will te at ttle Sole epo'-p-seoi Pli INJURY JNDEMNITYYWVHS10N Tf- _z � p: oviymun Is fart ol PK, turmv ancj 'd Ca,k­t jwl 1;', q0,.-,de:t to mmplii- With The p;­ov;5-oo5 of FiVO4 4,24, 115, 1, 1 1_,;Vveen vili j"(mrig-11 %,I any cirl "alln, subt-nn"raci or between file r"ll f, �.vn T111b '000c"tW1. rerilr,-I. ptI,%t-..,sE,: Agr8fis tr d0eirld oocifinify. and notlal -9,Tnq.,m fri&muigf,,m - co-e.vd to ary way Mthtfie r ii r:*11 h,; Ca(lrvieje PI,j - it, ltr tljIIe,,t ­t=ta ll-..rimlted by lao- ih sinjec. m provi-lees i&Iavv. -Pk mhaser's not sItatl t, 11 uopy I'_- i-4itllli; ll!'r tla ns alt-slirlig ota of 4QdIty Injury to pli."'son, (,.,' darriage :Awitif r7v't t,om; lhH Sole ne(3op-nice :;j Cicimart of Rtir!cos Pu,,,hau,'-_dufy f:^, damqwt boddly,;nItity tot)or<ens:' iriage io,prcporty caused rr rF:c,jlt,rig fum !ho ,.P.irutrem nilgigan"e c", I,,! ,and(b) Puri't;s.,tcrx its I'l, IilplovG,w" at,p!, 0 Pvrchiwr-,;, ,sag r »r atoploom provided, .,pv srutil riot Fmy in situation, 2, ,�e is no(tMqUitSil-'M' Ul P,uw.iase=s If at. Iffy, suef l as 10 c*OrtraCt•P,4rQ+IAS3r ,peoli'ailv Zino Pxlressiy walvInaly itimntethol imy be mriteJ a under the Woh- ,mini 1,ttla inclk,simll Act Title 51 R("M i)r­;hli,,IawsGl,any dtlliit Mate, provideql tiiOt suetpaiversi,,al1 t%, 11mileti to p1mo,lar"Irs f1ri.eIqINTv OD, qofioils hwein and sinvati m-11 1,i: e: f---telfi tc arvvh'rd Fur- tbl-r. ll,e wd,a,Impfr­givrl und*, 4ialll .cil. Ve iiaii�'d III aq wry Ilty any ;411imllurt om the ar"OUNT 0, type ul atly dima_Qes, rx here tits, pay -.We to cii for Rnyidn'd party under *ojkail; mm. poi�,nt.,>n a,:N, lisabildy s615 c; etierompleVee tica-PH's east Pilmon,"or 3 diilytoi[Wmamd ineemnify 2-r14 -_ -i'al-sco sts osts. wlerm. aerolIlts. 1rasorlable ztlirvneyl�, Texas,, "Ill i,'&Jiniail r.,intrlie-i ir, jude pavmort of ). ditli rW, f ri�lm.,x,, llial FeId e.nd all L line.1 squatiec Upull Gadummn. -3 leldo, of dealmol Lffxlel tl on. (Ne to api"IMI! 1, kn yEl jl'-;3,dmttnchoice ftoefend [it, d party cfailin(s) Sll,h :f"Intlo well h? at It", sole &Y.velnse if f1h,- Prchrlser TPE PURCHASS trRr-Ly CERTIFIES THAT TWE OROVI,OiONS 07 THIG DOCUMENT WERE 3lzC':1FICALL`r AIII.Y.MV j ILjALV? NEGOIZATED CAPMAI j,5 S LN DWARPANTIES. ,PIRE _MS AALL LLIM JIMLtE ",pk,o mi:lljdirL� em(,kI:uPS of fitm-35 lor a i"a,ticula, pt-l-poso or E aimmto,;5M nna&, and A,I I:-Nll -AS ISC.alr'i.ar) is le:It Y,smxnbit!e To, , al or ltjlr�. _kqe. u dd , [ .jiV f(ind ICi J,g I'LL "Ell I-11 tr. =Illyfl(Vleriv:s jl,,J;oao to Qins'ilclic"n ctefev43 de'txqdalmagea I-stprollts r1bof :ccst3 tq",Lm-;Ll Lr.d tc,oi :,­ts.ts foe voral cots bond ind insura-u-T- a.)sts home ph -a cazt% Inbr- Sit,, t, I r h-)_m lnwrem ud ',lmi nf- is; fpc-4 and I, r-­I.;trat: n -!0 !D;m. xsls - LIMITATION OF REMEDIES -Purchasererle(ri. 'Of brc,>Ih of Corm 1,0 shEll! Ila a,, tolllc•ss Cadman titbil-ty Is Ian , -led to � I ) tho 'fif ttgrei,(:E: b-twov, the c0cw,.of pircha,,e price of Cadman maleoial tit-(2) the 111IM11 fil"i (.it Lrmu'inq mr Gaornat, material vloirn 6vzr is in --,o 2veml ,:?Il Cadman t.)e Itabl., lot "any direct .­XlIlse quenlial rt)� tpl'ol • 0urchagei agui.ws Ihal, tswtmc, its iLgInt to etet;l arCe,1t&ILX'- i;I Ca'11701 11<kler;h!n -xittlow rvll.calorl ir wt­(tinq w4h-ir, thvee 13j b,jcitrnsss days aftr Facom TIME LIMITATION Pkji,•hait)r her ric eg-w. aVinp r-,,V be ce­mrmn_?o' or maotained 1),y Pionlirsj, j- (t, Kriv cktim, Flu-m, ,I uri-xiown b-OLEd ill)07) neWKJ-11z"C-. Or gxpt y LK .11'PtI&I 021.1lainly Of _Li ow,F"I all-f 1 yrw firltvir the Iak,t dale Cddmav maietl-a! it Purct'l TITLE A NO RISK OF k,0S$ U,ilei'm,, othermse, stated niereq. fitle- to ilte m3tai.aiq sold hef.urider .hall rer,00 04- 0-aLim-an ovl CadlTTitn has -,t,ceived f-jl€ Payrrie-M for tne ssmie R111, _,,f loss of tlie mrte,Ials fn.l ekvyiel st-3! oast; to Port 1 la4ei opr -, delivery of tlr nri&t:.r�31S at -in plzaCe .if oetivairk, desig- iated PH?, oin I hempift-i In am.-Ition t-) I IsI, fA lk::Irm Pumha•Ie.!­ st,aji be rezuk-nsiblY tni cnnipli- q-tll all jr,%.e.nInjlpjaj- -.egtflilionsand ordinmr,,es with iegard to T_mge or ptac--ti Of same clod a,jtl.f:,s t,, Indemnify arld I Tull Cadman mvml-t,s ajalrls! all risims. resuAing hom daliiaqR to p-opefty of any e.incl at 4-%j Porn th,� %lcoactg. use o, i:anMi iq cf zazi matteri2tis. Concrete: Injurious to eyes.Causes skin initation.Contains Portland Cement. Read the following warning before using: Contact with wet, CUSTOMER unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulHength trousers and Ight-fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them, t finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe cl scornfortln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User 4607477 agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtitres. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt &T& nuisance fumes. Avoid breathing ftrnes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customers own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyeksagentagreestoacceptresponsibilityforreducedstrength The operator of this piece of heavy equipment, in presenting this RL- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby Arrived at job with inch slump. machinery in the manner required to perform our contract with you may possibly cause damage to the premises or property. It is our wish to help time charged at posted truck time rates. you in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at cu tomer request. Test cylinders taken that you sign this RELEASE. In consideration of the performance of the seller of its contact with me, I the undersigned, hereby INDEMNIFY the product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, Other additions seller and its employees for any damage and for al claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other incidental or consequential damages resulting from the use of the products or arising out of breach of any All for damages be by ffizl�, y X appurtenances, at: warranty. claims or shortages must made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. Buyer's Agent re efpt of product and approval of any added items. and RELEASE the seller and its employees from ICON rnATE F< I ALS The addition of any extra products to our mixer may void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any 1115 SOUTH 96TH personal injury incurred by you while adding additional products to our SEATTLE, WA 9810` mixer. Signature of Owner or its Agent 206-767-2521 Signature of Owner or its Agent NWGDELTKTO90408 Leave Plant Arrive Job Site Start Discharg I Finish Discharge Leave Job Site Arrive Plant I ������ ���� 111111111111111 111111111111111111 Drivers Comments Jill * 3 1 3 2 3 2 Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKETNO. Driver Co. Proj. No. rl, ir,In7 60157 53137232 Customer Delivery Address Date 05/12/14 'STRUCTION Map Zone Delivery Instructions Y 6 ScaF rime: 14:28 Load Qty Delivered Qty Order Qty Product Code UOM Product Description Unit Price Amount L ii f,ir..ju 1 r i 2D CLASS B Gross T',e Net Trk: 30380 \\26880 4000 FUEL CHG Tr, 1r. 0 LOAD COUNT: 1 cirl Load Size Prod. No. Description Slump Type CC Use Haul Gd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # BUN055 Concrete: Injurious to eyes.Causes skin initation.Contains Portland Cement. Read the following warning before using: Contact with wet, CUSTOMER unhardened concrete, mortar, cement or cement mixtures can cause skin imtatim, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -filing eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash oft immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention f you have persistent or severe ci scornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. 4607320 1 C O 7 3 �iL O Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health Measures to control fugitive dust should be taken 4 V / when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, 000l with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be duetowateradded abovedesign. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. E-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at customer request. Test cylinders that you sgn this RELEASE. In consideration of the performance of the product defect is the return of the purchase price. In no taken seller of its contract with me, I the undersgrred, hereby INDEMNIFY the event shall the seller be liable for any direct, indirect, seller and its employeesfor and a and for all claims to the incidental or consequential damages resulting from Other additions.y �9 � �'' the use of the products or arisingout of breach of an building, utility pipelines a cables, telephone lines, driveway or other warranty. All claims for damages or shortages must be Received �, appurtenances, at: made within 24 hours of dehve We do not a me by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty e::pressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent I�WGDELTKTO90408 Leave Plant Arrive Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant i Drivers' Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Customer Delivery Address !STRUCTION Delivery Instructions Load Oty DeliveredOty Order Qty ProductCode UOM Product Description cn MODIFIED CLASS 5 l ilci a =_ T•Are Net 34380 21.6-180 8000 Tr I r- . FUEL DAG su s responsibility for any damage beyond the curb line. 1 L1LAN I�ii-1 i Lt,,.114L' 1 1-15 SOUTH 96Tr I SEATT4_.E, WA 58108 206-767-2521 Driver Co. Prof. No. Date Map Zone Scale Time: Unit Price Amount C; N• Load Size Prod. No. Description Slump Type CC Use Haul Fd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # DAILY INSPECTION DIARY REPORT 4i DAY• 'U DATE: S/2�'//f/ WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: PhD IGNST• -- /i/�rlie�i G CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, CUSTOMER unhardened concrete, mortar, cement or cement mbdures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical aftention if you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User 6 O 2 2 5 agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixWres. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugNve dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customers own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at customer request. Test cylinders taken that you sign this RELEASE. In consideration of the performance of the seller of its contract with me, I the undersigned, hereby INDEMNIFY the product defect is fhe return of the purchase price. In no event shall the seller be liable for any direct, indirect, Other additions seller and its employees for any damage and for oil claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other incidental or consequential damages resulting from the use of the products or arising out of breach of any All for Received b y X �4 appurtenances, at: warranty. claims damages or shortages must be made within 24 hours of delivery.We do not assume �� y responsibility for any damage beyond the curb line. Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from ICON f>1kTE R I ALA The addition of any extra products to our mixer may void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any 1115 SOUTH 96TH personal injury incurred by you while adding additional products to our BEATTLE WA 9�1108 mixer. Signature of Owner or its Agent 206-767-2521 Leave Plant I Arrive�b Sit S R Di charg Finish Discharge Leave Job Site Arrive Plant SignatureI 9.. � �YIIGDELTKT0904U8 Drivers' Comments Company/ Order No. Cust. No. Customer Job 60157 Customer `RUCTION Delivery Instructions Load Qty Delivered Oty Order Qty Customer PO/ Phase Code � f. L F' Delivery Address RENTON UOM Product TICKETNO. 53137030 t n ;u_ I Er) CLASS H Gross Tare Net Trk: 35400 26400 9000 Trlr: 1 C/N: Load Size Prod. No. Description Slump Type FUEL CHG Use Haul ed. Pi?," Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by ' Check # >��r_�������r_�����r_����r_r_������r•earl� r_��rrrrrtr•>•rrrrrt�r•- - Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtitres can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are fight at the top and high enough to keep concrete from flouring into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through doting is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discornfor rin case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixhires. Aggregates: Prolonged nhalabons of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. El possibly cause damage to the premises or property. It is our wish to heap you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract wit me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent reEeT;iVb ro uc and approva _added items. The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent __ _-.,_,_,_ WGDELTKT090408 Leave Plant Arrive Job Sit Start Discharg Finish Discharges Leave Job Site Arrive Plant Drivers' J — — Comments CUST01MER 4607500 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-2521 Company/ Customer PO! Order No. Cust. No. Customer Job Phase Code TICKET NO. Driver Co. Proj. No. T-11 +01-160157 53137305 Customer Delivery Address IVIacare �STRUCTION p 0' Zone Delivery Instructions Smc- Time: Load Qty Delivered City OrderOty ProductCode UOM Product Description Unit Price Amount 3.00 to MODIFIED CLASS B Gross Tare Net Trk: 32380 26380 6000 FUEL CHG Trlr: Load Size Prod. No: Description U Slump Type CC Use Haul Col. Pit/Plant Sales Tax �. TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Check # Concrete: Injurious to eyes.Causes skin irritation.Contains Poland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mAres can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from dothrtg. Seek immediate medical attention if you have persistent or severe discomfort.ln case of eye contact, flush wNt plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this waning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emlts nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe buns. Wear protective safety gear (kxg sleeves, pants and gloves). If burned, cad with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. a possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premses, building, utility pipelines or cables, telephone lines, driveway or other Received ; "� appurtenances, at: by X Buyer's Agent of product and approval of any added items. -�� and RELEASE the seller and its employees from The addition of any extra products to our mixer may void- any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Signature of Owner or its Agent _ __._.._ WGDELTKTO90408 tt -- Leave Plant Arrive Job Sk� Start Discharge) Finish Discharge) Leave Job Site Arrive Plant Drivers' Comments Order No. Cust. No. Ai ihtp.% ;SO157 Customer "'STRUCT I ON Delivery Instructions Company/ Customer PO/ Customer Job Phase Code Load Qty Delivered Qty OrderQty 3. Gross Tare Trk : 32380 26380 TrIr: Net 8000 Delivery Address TICKETNO 53137400 CI --ASS P FUEL CHG CUSTONIER 4607595 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 58108 20E-767-2521 1111111111111111111 Jill 1111 Driver Co. Proj. No. Date 1215 ! 14 i 1 =s- Wp Zone Scale Time: UnitPrice Amount LOAD COUNT: C/N: Load Size Prod. No. Description Slump Type CC Use Haul Qd. Pitipent Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer BUNf_; Check # Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cerrhent mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working wit these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flaying into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe dtswmfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this waming to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (Io g sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength. Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X 4� Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Leave Plant [Arri—veJob Sit Start Drivers' Comments Order No. Cust. No. Customer 6015 Finish [ Company/ Customer Job Delivery InstructiondSTRUCTION and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent ge Leave Job Site Arrive Plant Customer PO/ Phase Code TICKET NO Delivery Address Load Qty Delivered Oty OrderQty ProductCode UOM Product Description 36. 50 Gross Tare Trk: _7380 26380 Ty- '_r: 1721 ti-i MODIFIED CLASS B Net 7000 Lcg0JW Prod. No. Description C/N: Slump Type FUEL CHG CUSTO!AER 4607685 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206--767-2511 Driver Co. Proj. No. Date Map el Zone Scale Time: Unit Price Amount CC use Haut Cd. Pit/Plant Sales Tax — TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # �'r• �--r• r•_ r• r• r• ter• r_ r_ r• r• r• r• �-a•-r•r• r• r• � � � � r• � � r• r• r• r• i_-rE�rEs i-rfrfs Concrete: Injurious to eyes.Causes skin iritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, ce nent or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt full-length trousers and fight -fitting eye protection when waking with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact wit any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from dothing. Seek immediate medical attention if you have persistent or severe discomfort.ln rase of eye contact, flush wilh plenty of water for at least 15 minutes. Consult physician immediately KEEP out of reach of children! User agrees to convey this warning to all persons who may use or came into contact with wet (unhardened) concrete, mortar, cement or cement mxtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe burns. Wear protective safety gear (Io g sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. El possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEfvN IFY the Other additions dV seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by Buyer's Agent re t of.product and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer map void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Signature of Owner or its Agent GDELTKT090408 Leave Plant Arrive Job Site Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' -- � - - Comments CUST01r4ER 4607757 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 96106 206-767-2521 Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKETNO. Driver Co. Proj. No. Customer 60157 Delivery Address 53137564 Date Map :n5 /, / 14 Delivery InstructioniSTRUCTION scab �- Time: Load Qty Delivered City Order Qty ProductCode UOM Product Description Unit Price Amount ttl MODIFIED CLASS P Gross Tare Net Trk: 34380 26380 8000 Trlr: FUEL. CHG Load Size Prod. No. Description Slump Type CC Use Haul Cd. PittPlant Sales Tax 3 "?,1 TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # Concrete: Injurious to eyes.Causes skin imtation.Contains Portand Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash oft immediately with fresh, dean water. Indirect contact through dothirg is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfor In case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this waning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heady equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E-] possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign Ibis RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent NWGDELTKTO90400 Leave Plant Arrive Job Site Start DischargFFinish Discharge Leave Job Site Arrive Plant Drivers' Comments CUSTOMER 4607828 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTL.E, WA 98108 206-767- 25� _' 1 Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKETNO. Driver — 601 J , -}:� 1-:.-7F- �5 Date Customer Delivery Address Map Delivery Instructions 'TRUCT I ON Scale Tn e. Load Qty DeliveredCty Order Qty Product Code UOM Product Description Unit Price Gro s S Tai--e Net Tr-,k 31380 26380 5000 Tr- I r- to MODIFIED CLASS B FUEL CHG rod. No' Descri tion r,L Slum Type CC Use Haut Pit/g.jwt Load Size p P YP 531 Truck Gross Weight Tare Weight Trailer BUNO7505 Sales Tax TOTALDUE ohm Co. Proj. No. xC Zone Amount Concrete: Injurious to eyes.Causes skin iritation.Contains Portland Cement. Read the following warning before using: Contact with wet, CUSTOMER unhardened concrete, mortar, cement or cerrrrt mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If fnishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe disoxnfortln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User 4611105 agrees to convey this waning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mbd ores. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. E-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Limited Warranttyy The only liability of the seller for Added gal water at customer request. Test cylinders that you sign the RELEASE. In consideration of the performance of the product defect isthereturn of the purchase price. In no taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the event shall the seller be liable for any direct, indirect, Other additions seller and its employees for any damage and for all claims to the premses, incidental or consequential damages resulting from building, utility pipelines or cables. telephone lines, driveway or other the use of the products or arising out of breach of any Received appurtenances, at: warranty. All claims for damages or shortages must be by X made Within 24 hours of dellve We do of - - Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Signature of Owner or its Agent _________ ____ DDELTKTQ904fl Leave Plant Arrive Job Site —Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments ,I.n assu e responsibility for any damage beyond the curb line. TCON 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-2521 Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Driver Co. Proj. No. 60157;,ir Customer Delivery Address Date 05/`'01 14 TRUCTION Map Zane Delivery Instructions F Scale 13:46 Time: Load Qty Delivered Qty Order Qty ProductCode UOM Product Description Unit Price Amount 1? CLASS A GroSS Tare Net Trk: 30100 216100 4000 FUEL. CHG Tr1r. LOAD COUNT- I C/N: Load Size Prod. No. Description Slump Type CC Use Haul Cd Pit/Plant Sales Tax TOTAL DUE T"NO5r5s Weight Tare Weight Trailer Trailer Taken by Check # _r•r_�r<rsr•��rtrt��r�rtr_�_�r_���rsr_r•������� ��������� Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin imitation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt fulHength trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off in mediatety with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician imrnediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixhnres. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health, Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility forreduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added abovedesign. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its empioyees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X _ Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent _ _ NWGDELTKTO90408 Leave Plant I Arrive Job Site Start Discharg Finish Fischargel Leave Job Site Arrive Plant Drivers' Comments Company/ Customer PO/ Order No. Cust No. Customer Job Phase Code TICKET NO. CAS YM,"L , � � 1 P Delivery Address '` 1 8 1 `� Del%NQtr&WSTRUCT ION Load Qty Delivered Oty OrderQty Gross Tare Trk: 34100 26100 Trlr: ProductCode UOM Product Description ?;='l to MODIFIED CLASS B Net 8000 FUEL CHG CUSTOMER 4611518 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767--2521 I I I I I I I l l l�l l l l I i ll l�l l l l I IIII I I I 1.11111 Jill 1111 Driver Co. Proj. No. Date Map Zone Time: UnitPrice Amount Load Size or DesEription Slump Type CC Use Haul Cd. PittPlant Sales Tax 1 5 TOTAL DU E Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # 111M i > � 110111111 � -am rr tarns rr rri UW ow e>r __ rr-rrrr=r am r�r. ........ . Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, CUSTOMER unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves. a fully -buttoned, long -sleeve shirt, full-length trousers and tight-fifbng eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If frrishing concrete, wear knee pads to protect knees. After contact With any of these materials, wash off immediately with fresh, dean water. Indirect contact through dothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe disocrnfon.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or came into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. 4611193 Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (lag sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E-1 possibly cause damage to the premises or property. It is our wish to help time charged at posted truck time rates. you in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for defect is he the In Added gal water at customer request. Test cylinders that you sign this RELEASE. In consderation of the performance d the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the product return of purchase price. no event shall the seller be liable for any direct, indirect, Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other incidental or consequential damages resulting from the use of the products or arising out of breach of any Received warranty. All claims for damages or shortages must be appurtenances, at: made within 24 hours of delivery We do not assume by Buyer's Agent r4c4iIA of p bduct and.�app_ r _oval of any added items. The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agi Leave Plant Arrive Job Sit Start Di: Drivers' Comments and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Finish -1156char Leave Job Site Arrive Plant Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code RLJN03 01-57 Customer -,, ll 1C7 CONSTRUCTION Delivery Instructions Load Qty Tr~k : Trlr. Delivered Qty Order Qty 1 l C0 Or•o=s Tare Net 35100 26100 9000 Delivery Address responsibility for any damage beyond the curb line. ii'till NATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-2521 TICKET NO. Driver Co. Proj. No. 531 37800 Date Kbp Zone ScWF 1+ tit 010DIFIED CLASS B FUEL_ CHIS FIAT) f C /hl Load Size Prod. No. Description Slump Type CC Use Haul G.d. Pit/@lant Sa as Tax _' _' 1 TOTAL DUE Truck Gross Weight Tare Weight Trailer Check # Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, CUSTOMER unhardened concrete, mortar, cement or cement mixNres can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof glovm a fully -buttoned, long -sleeve shirt, fill -length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from dothing. Seek immediate medical attention if you have persistent or severe discornfortln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User 4611300 agrees to convey this warning to all pennons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Probnged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (brig sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customers own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with in slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the product defect is the return of the purchase price. In no taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the event shall the seller be liable for any direct, indirect, Other additions seller and its employees for any damage and for all daimstothe premises, incidental or consequential damages resulting from building, utility pipelines or cables, telephone lines. driveway or other the use of the products or arising out of breach of any Received f appurtenances, at: warranty. All claims for damages or shortages must be to y X made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer�r" void any warranty any liability. ICON MATERIALS expressed or implied by the seller. The seller accepts no liability for any 1115 SOUTH 96TH personal injury incurred by you while adding additional products to our SEATTLE, WA 98108 mixer. Signature of Owner or its Agent 206— 767-2521 Signature of Owner or its Agent NWGDELTKTO90408 Leave Plant Arrive Job Site Start Discharge Finish Discharge Leave Job Site Arrive Plant I 1 (I I I Drivers' * J � Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Driver Co. Proj. No. l roar-c^ GO157 --- !-7giV+ Customer Delivery Address Date iSTRUCT I ON Map Zone Delivery Instructions F- F Scale Time: Load Qty Delivered City Order Qty ProductCode UOM Product Description Unit Price Gross Tare Net Trk: 34100 26100 8000 Trlr: LOAD COUNT: 1 C/N: Load Size Prod. No. Description Slump Type CC Use Haul Cd. Pit/Rant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # � � � � � � � � � r_ «� r<r• r_ rtr<r• r• s� rt r. str r• r• rrr�ri � � � � � � � � � � � � � � � � DAILY INSPECTION DIARY REPORT DAY: Ihvf>-: � DATE: J� /L"7/ WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: is -,a :_.c / -_.L «+ti,n . .� ✓Cry-+ �-- CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: CADMAN 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Valle Mack Diamond, WA 98010-7800 TICKET NO. 3077212 ITICKETTIME 1 06:55:59 DATE 5/16/2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 365 656 /D2 28107 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Traile 937 B27326F Hauler/Carrier No. Driver's Name Delivered/Ordered Load No. Running Total 78581' C, T I P. N 32.05 A4.00 1 32.05 BD/D — MONTEREY TERRACE WATER MAIN REPL 2235 NE 3RD ST RENTON — MONTEREY TERRACE WATER MAIN REPL PREY. WAGE CERTIFIED TICKETS GOING TO YARD 92253 CSTC 32.05 SCALE WEIGHT GROSS &TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. _ Fuel Surcharge Gross 102, 960 LB � Scale 1 scale 2 X Jennifer Sales Tax Tare 38,860 LB/ P . T Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 64, 100 LB Total Deputy Weighmaster No one available to sign, customer waives receiptl signature. � Received by Signature X Print Name (Customer) Ix Driver's Signature ix Standby Time Arrive Job Start Unloading Finish Unloading Standby Time Customer's Initials Ix ( adman, If) . 1'tol_nv;:,fid Cmtdllit?its TEgMS_OF PAYMENT 'Ter:Tlss1 payment 10 Cistol*lets o! sat slactoi'v al -id apnrove-d i wdlt eta nel .sir on or before- he 10" of fi-fe :month fullowvic deliver). -Ili me ansenc. of any such creole lu,m: al d >ries under thfscontract ire "collect ou de-rvk:ry'• iCODj •.riansactians life irie. 25° day of erich month will appear on the simsequem month", is -eminent. A?Ar0L:nt% are Consici cirl d8hliquf nt if paym nt has not been received in r..ur office by the 7:" of the month following runrase. Oeiinguent accounts on the 15 L,ur I.rr. gflowing mor,th shall be placed on a cash omv basis for fuhug p�pchases iintilthe delino(.ency is pa-d In iul': Interest at 1316 Will be charged On &erdue aCC0ont5 •Gi'edn cards ar3 aor.sptedat time 0,1 purrha o It payment is mside by baoxca ;I after pure, as . ;1,11to a 3., fo. All] b" ,n urr-d; •Pwenasls .,G-!,: ,na6r all p)y.Y-nenrs date her-E.s,inde! In Iawlnl movey o€ the Un•teo Slates and m the arcnroinc r with She above :elms Without ally rete`Itie', Arid mulo, i; h;gard to anv.-igreemen! Grl inav raa`;e with other pal tins. AttAr_ney; Fees and Costs ShliulU'te)al action be necessary to cofie,7l tr! s Invoice vdlellier or lion soil b.- instituted Cadman shall no a pti'Ied to recover reascrie.i stoor;wv fees aril .ost s. Incla•ling aGlr)als. bankrup.7i and pout -judgment oolledton eitons It is z9re?ri L raI ,any st,A rnought i11Ue - any ca, t <. t ear ligreementwith custanershall rr iKmg('ou•„y,WA•CAWANRO'.)1''IfJL0IFXERGhsFSII'S'RICBI'T'O SEND MATFRIALMAN'S NOTICES ON ALL.JOBS .Ail Federal state end local taxi as esarren!s feesr dutiesand Charac ; leve€ad by reu .e,, o t his pron,sdl are In addt rr ,o price•, iufrav td fl lif paid ur, pnrc.h..sE c •NaFRoh,rnP(i t.ht ,k, ,.re.,un€),,t tc, u handkng cf srg,. and ar„ not re-deo.,. : d. C ad hau requi, es NSF rber_km to he,eplacrd'n'ih rash or oasli cr 3 t;hoc.,{, -Lark of µ. -hate ^ le, o::,tr n , un,>_r9 du not affect: the tents of :ale. AD.QITLQNAL,_CQSTStCk_4 $ -Ail En re, rie tal tlsh_.fs3e is adceu to a& ready mix anu In•.roic@`:- A Fl of SotQharg,o may he :aided to all dei;ve6is Surcharges, are Intended to' -over Colhnan's, Infrei. 1 g axof. or. s it cnim lrlrlq f.::r4 onvir nirpritai. rEigkIE r or end kl,,lre$i 1(1 r rf,�v:9l.:r:l rjtie5 Surcharges are. riot lax , o ^nsis. r'i:lnrr.:(i try airy t o,, al. state er local utnontv.. +Our mininum oac! for agpr ;ate de'iv; ry is 15 el is. ! L)ROs ultdel- 15 Ions wig W- charued time and malarial •A Slane ry urera:c e is a,,- se:ssf:d fcr aggregate deltiar es. that exceed ten t 101 minutes per load crntoading lane r.. tihe ju isA, -A S aPP.• eF, O.pr--ning F;wchard. _ rharrled for all Ordo'," piacerl on Sundays, holidays lobs sldrliry affel G f;oFrn, x Id nrin-,.rherctu'ed Saturuay asiverier •Saturctay dejovery nn!,rs are t>ctve,?ell 7DOam and 1 Wpm ` tiEDULt}dG156,RViCE INFORMATION r ,nrchatii s Chang s t 7 cii3•naI is iv r n�gu t h„I nr m rfe �:o GPnrnai � rli f.idr.n ofilc.n mini and not 15rotldh Cadman di r,eis Ou AIV asStifarhie t)erSCh,, +. 1 nd,� ypres.e..otaiivC;;, The vtilgaticos of C-iun.an ale s h.v'C, IO _atfJnVnc*ts of si:ilC , ,: tents df;Iays Ir. t-snspri,tahon goverrhmental Ie Lll:aridr15 fires o: any other causes er- r-ridabie w bevooi (a,rr or r, •Agg•egata;3 ou{)plied !o Purcl-,sser may be soured from di'ferent kcal€ens. ill n.al3nels are subiom To dvajabliity. LIABILITY O1R41..AIME.R_ANCJ INLI MNITY FOR DELIVERY SEYC7ND PUBLtC_ROAD if: the event Parr-t r :r d.14 15 delivery to he rnatia "fond ourb I,r-e. Purchaser agrees as ftrllows: Purchaser has re(lue';lad Cedm::n to make riser l a path :ot thw deirvafY of materials and access In the: pfolect . Prim nr.q Cadman trtn.ka to travel beyo.-iJ the oa ndiries of the nearest traveled public road. Purchaser acknowl- edges Mal Mar;:age ca the prcvnls<.s and'cr a(i,auew property may occur because al the si?e 'ind weignt of Cadet l E }iucks and Cadman 1'uc'cs Inav bf:cornc damAged, disabled or stuct; using Purchaser's required path Cadman dnr.a m env lialnity or r,yp n_hiiily tol datnac,.e of anti kind that a; =_Fs trom Cadn':ar,'c use of Purc1 aS,?ri T<a,•ui,ed path Purchaser a9teee to dofcndindemnity and hold harml, ;j Carimah trot. all Glainifi habOrty. d i 11ages, '"C>5l ,. it (1!].h i.rll.. Or ios. z'$s 6f arry hind fincl,idi i @n..OIIODI..i tf,l' S (tub uf)Ci c(­sts) resulSlnu from dai'nage to pretaerfv of ariv kind tincluding damage to Cadman s fn,(.k al io a 1,cin o; n ;i,v way ,.:..,c tad to Cadmatis use of the re•aunrsd f:ath, Upon Cadman stends•; of c` :fen e and :r ' "s provision the, Pucahaser agrees to appointcou 136 n1 iadm iris cholce to dye -n r ar :u: , •,vro Pa•ry ula mi;i. Such counsel will be at the sole expense of purchaser PERSONAL INJURY INDEMNiTf PROVISION lrir :m Ilf cation. provision Is clam o1 the terms and e d'aeen lht: r ..r, as-ar - id Caflnl ;, ..:3 Into• and In eolrOv with - provisions ei KW 4.24 1 i b in rh, avp,tt (it ary conti .,l% 1,iAA0-3, ttr, do ), n n: lam, <fo v rth_, ta• m suC,ontrael r,r agi.—meri! th tw_0eo the fur, li. >fsr -lid G'an i­,fn t!••c rr do ,rid indemnify. and hold P a .riles'- P,a imzii, 'Fort roy a^d all L xilly r",v t gr:;e I a..d : d• r•a , i fm)i,_, ty„ ontracr teased claims. dem3^1s losses drill 6c, el.te, ., ;1 !, ? 1, -' per - -r. ;5 ll1 ,C. - _SL1ir1y r , y. or (-Ire-c (.led In ally way Witt, the prxl.,c 1 of prr,:llns sc• a b.v cad ma•h'o a,., -.I ;c r 'er r^:r; prove to t,E' eats ;cpundless or mim, ifoni 'n Iho tulir•a erl.,rt ur..i rn`+rd tV 19,r „r d t r , 5 prohid,d hekr;:. Q (n c,`laser'S d(rty" n:n;mll tv L. •Omar sha. I�ni a,)fi .af: ,'.y fCl ila••,h`e - -. rio :.sJ -! t.,:•ilr+ �npey n I:drsc;ns erriadaaje, to 1 ': ti; Q` 5-r,n-.7 'err 111..: nh, I ,r :cif a.. firerlp.avees Pur.:lAser'$diny io vvlam ,Ivy Cadman frr I to, jam oarg a. ¢ a +u! • n, ur, ;u v!'Fr'fOPS .,r dsrnF,cle :n Pral) rhy wuse¢I by o, rrmul ,hg ., 1 ' rr",ecne rn n , sure e : l a.lrt: n )rt e tt tdC;; c„ li, l {b) PurrL+4^,e or iiS :,gpn,,",.aiill+yeestn,l.,,1t'Nonly lit !tl. ..i:-r!. r::Gyre:r?•Pr:.li..rxrisdij'it1.molayO;s.provided . s 'ri•lribll ', ha l I',4� e.:1" in a>h.; 1c.,ta r - t -.c;': , a.:: its 'c _ ?:rent-!N P..F.h,,.c, 5 I ilydYy. suers as r l r Ilia:: 1. r aches"r _p:.. fi.aL.y -7r .z 'r ., .ri':.�w a.,}, n „k}r Il,�,.. l 'v t,e ryanked q utter tile rNash- rnrlirn th9tsuch'V'J'ver NagN ...,. t,p, es ,l; 1. ant •Cl tc f,r. 1,­r:, IndE:nna'o c> 1.'i,:.;h�l. r w Sim,Jl r_:l -,IaI)—: 'to any third (arh Fur - hi.?. ihr r� �� , ,'.,a.,i, , k I.,a:rsr t nG.. Ill: r i .':3n SF I rrl 1i 'r•I Icii on a"Iv -"ir a rtrly !,m .atruri on the am,Jur't nl jp t G• ,vq 7ama_c-s �-. I d. �=:.�'.(7r - I i"f1!L 1 L,r r:' :: rl ',' I'1; f r.:J ty •i'rCiPi •;g knr.£ ,'.:,I'•F ren:.aun.,A,t. i..ntr:.rl_r. fife t:or.,the . ,il... Wcbc- rd a♦.:,: Tu-.!•ase•b_, ill '1ptL'd ,.- p,fir. van= lit`-I@Si ah,. .1cla07u.:i m:.,,ll of r: _: o0!le•,....L-'1C.t.. [r h oval;-aw rc;y.; fFci: C..Pl^7an51: ns:,r•r r.i 'olaTedl .; s15. der„ n.., _ I, i hi''?.€ .rt; :r..3, UIXn „divers len,fhr ci Lefgn$e under Ih,ut `.) i•.nn [lie _vcl - GF:-PJ lrl c}tX: n1 :. '., .,-1 r,,(GJn, rt.rS ^'i':h'c' :1('fu,„1 ,ftr•�. tl fill pafty Cmimfsj' 5urti r:iun>r:l lnl' I"? -it n 5:... ':r 14. Pc S _ "!':s_,, i ,F P!)r,t I i, ?sr. I L• q fi• GFPr1Fr45 THAT THE PRG%rl!SIONS nF tHiS DOGil^.il :''T We R_' , ,. '-"I- "ALL•% ' ,r) P, r VALLY t EGaTiA.TED CADMAN HEREBY EkPRIESSLY DISCLAIMS ALL IMPLIED WARRANTIE!? Ne watrallbez express or _ .:di a > I ag ww'sr,I s r,.r ,Ira)5 Ei t`1 "..JIdI lor 'a:arr. i •rs ,Y mucnan"elhnly, are mare and .1 1 A.' IL r:. Cal nn w.,' `, r,,I nsln•^ C� .J-F,:;:, , . ,.... J.: t "a fits k,na ii;!ud e, 611l aOt I : 'F r'n g, x�.; ,<r�. r hl,ri t'r.,, %.Cur.hi:n <j a..I do l Lr�Dgr<ti, ,F vricl �,iamages, x'' profits ,a:Cr .U_.. -.r l';mNrll -And 'Pf ni 'CI1=r r',F1nr1,-r *. rnr �: '. Ir--I fi•�'• I c � , � a � - ,1 • lea � I i. 1 a _c-,;:,._ � e ,f __ uvwhead,,nsh jap• IJ4R.a'Ir.S LIMITATION OF REMEDIES Purl ha F - :-'as r r , :edy I( I r aa'h cIraci 4 iall hews folio vs Cadinw, s as ltty `S lh ter, in ( I) Re .L93ie„eE. nril z, on I nnr,�hz3 . ur,h�a_1- n.' . C4 if c' Cad,ntm t1 tten<J 0, !21 the ditr.0 e -),,I of r p£tin;tg th Ca:.Imari t'at::nm ,in _r) Is ¢ e If, ;,,It ;err, mil GA01nan Nxl 6.klva %,r any CiiW,t or :;cnsequential dawayes n±ham; d !n rts ma emal. •F'pa;:,dsr?r . i- , :flat r. v.'a'�_s it m la reit-cd acimptance Ct'Gatimao rrlcne is w0r'dtil "OL€fear a. Ili wfi ing y.•I'ii3 Mr " i]"r bo,5inxy jays {file-..r3rpf TIME LIMITATION TATION Fw::haser a ckrinwleoges mat. no iegal ,vfiari lnry Le ., inmcncrd of ,mot.ain:arned by PT —haw- as to anv claim: Known ,)r ,Inkn r lase I uipl) nenl;cel o t .,xf:r:r ., a im,h1 a al cane; or ranisap of e, I yE<:r frrm.Ure last date Gadmru' Jelivemd mr ivi-q, to f- fi9`.i+,:C T1Tl.IzANQ.RI.S.IC_OSLO�$ Uhtps, whvl""Tcp expressiy ;tatrhtr hetein :t'I t; Ihe ,.ate r , !s sri l hryre.r„ter regr.jin wit;, Gadt.cwr u it: C,',Jr€inatl na13. of. -led ftiii payment iVr*_ P ailn, Ri. Y. .I r . Cr1 rho materials '1 h<n:•undei shali (as to the Pt r,:n,.-.,::r rpx,n 8e'Ive.y ai the m ire ila.z3 c: t1 , uli_-,e 1 &Jrve'',y desig- lister{ h r,, n. T1,., e:after fitaadiiton I6 rtar,lr i.,,,t'al.l rise' a' i,a^s Plan. a<..r shall e* lES;!ci- blo tnr comet.. ?n, ::iM all -,rlietrrTTNUMPI ra(;7.3tl' S iirT, nr d.',rtlrce W'Ifh rP 3nrc: 4, 4t'7r `1.16.; cl @I "Lf Qt Ole same and it, r.denhr,fv ano hgid'Cadi.an harmless against a i c'aims rEaultitlg i'r m lu property (A any. terns Sltrsiny from toast race: se (3i r il:dlingtrt said materials CADMAN 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Valle 9Yack Diamond, WA 98010-7800 TICKET NO, 3077239 TICKETTIME 09:05:55 DATE 5/16/2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 365 656 /D2 28107 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Traile 937 B27326F Hauler/Carrier No. Driver's Name Delivered/Ordered Load No. Running Total 78581' r, T. F N Fq.os 4 . ' r 2 64.05 BD/D - MONTEREY TERRACE WATER MAIN REPL 2235 NE 3RD ST IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII RENTON - MONTEREY TERRACE WATER MAIN REPL PREY. WAGE CERTIFIED TICKETS GOING TO YARD Product• •Total Unit Price Amount 92253 CSTC 32.00 SCALE WEIGHT GROSS a TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 102, 860 LB Gross Sc® t Scale 2 X Jennifer Sales Tax 38,860 LB/P.T� Tare ' Cadman, (Inc.) will not assume Liability for any property gb for any equipment damage for any delivery beyond the damage 64, 000 LB Net Total Deputy Weighmaster No one available to sign, customer waives receipt signature. 0 Received by Signature X Print Name (Customer) Ix Driver's Signature X Standby Time Job Fr Start Unloading Finish Unloading Standby Time Customer's Initials X ( 'Id., I 1i111f I I _'.., irf I is I 'Iz I oll" TERMS VIF PAYKENT .,f paymeril w on n—v 5 s&Owwv wo NwmW rw& s, ­1 o", "y the A" H Me MOM ovaq P mho ' 0 00cat ' moor . on OF x aw (.P, v_ mlqnth t1farill `�, f] I cn'01 on!� lm=Js fur it, il),) J':I f)q,,:nor a nM m HA hu"Al M 1Wv WM re WWI W UWAMMMUM. Cam curia am as"Ney 0 Arm rd Pislam my If !a WIG d. fly aho lxur chaa a 2 Mee M"n Mar, -1 , x " e my M. W pavirie,*;,iie, 110feWietet,lti nvitui fmney'c. fl.n'i Il Ota!&fv afid:n vjqh lIj,t=Mv Wm6 -vilr1citit P:ir"ll, h'tootion ard OMNJ,Z! MIA 0 am %mmmm AMIMM May w* "n aw iss's mforngw fWS and l;Q;P§ le. Iccu-1.;,,• bl.�" lnv;.,I�"" ''Menthol al t-e irjnWod' Cadpixl Zhall W clivififM t" re--'4_-vc.f emmalm mmwn No'-. and OOE45 Tri'l(lin- sj:lj'6815 Winlw Im, iet,- ould Pos: Jjd,3 enr !T It l"It ",.nv c!"if btr"iLAI't afIv mom 0 11 with ";6'Tn. ner f;KPA be jif Klwq Gt�,urvy. `NA, .-',A0fAAN HOuPINO 7 FXEROSES U 5 RIGHT-10 3C-t,fjd kiATV-F1IAIAtAN S NOT QEZ.�. ONAkILL JOSS. -All 'flaerai TW DW QW WMIMMW 1 1 &W dufit­j 0a,jet'- IFLeA-d by of tNiy P.;q(',,rs. i am In swma WAS mved MA wP* Pw 4 1w,'l W&W NSF vh, ':ks 10 -xilf, i...ayl -'a (ran JWO! •_,:L+'h. •o( pu't I'l ". '13 " IMM. dois Anxe M M d wile, ADMICINAL GQSTS1r-f_1APG5$ -An SwarmwAs Wnw a Now h A-W my am ::' gwf'} wow A RA %mmul mv me AW w M, SAwas 6womyn we a"Iel is -mor I -, ir'-,ar ci c—o"o."vig wilrix'I-'„ _rnv WOW! ,JjC not Ta,­,', C, erj(,ifr,d QSay- QM& "M W 0, M&MI QW ""JO POW 6 jq1MM M"yoAMN bms woo Wws wN be CHM Wrewn o-Awk-A SMAQ .d%vom 0, To Ono j wwon 0 v )ril ri,.'41 '­'l %ha' 1rnee Jp W 0",nny 6Wss AN& my w"j inmo Qww mms 0", mmmly now-, r moi f-!),> ifiligaiiLn�, I Como wn v§M in wroNcivin A -.,!Wm wnWs U m, o t'l ran? (00 omms W". We W hy"o a, ant, t't t,, (u.- .i lo ­g. -A'( aw lily I IABILiTY DISil AND MEMNITY FOR DELIVERI BEYOND PUBLIC RQQW 4 is mwt Nwia" two My , w ta mWe loWnf; mu %-, Pui.cn., A, I,AluwsAm"m has cndqliln TO Ma"j) a 1);3th Iv thp C164.oy c-tIn' roria15 aod'1'081E> W Me l WqM" th"M V=m 0 ", wwnd !"(an;aa u2ii13 of 1110 lw'Oa 1110MI Poo '"l; I'Mmaum mvaw- 0'110.�SVW flamw)e W IN palr'lqq�' arxim W*SM Isms W Me"= ona. a AV mz? Wt ca, d"llan a'f.d Cadrfldr-I 1, U'-v&nv1v K';Vq! au. -A, III la-'fl3im (4), !Auck (,I_t "'q Purchaser , 'aTt I IP, -4 l),%l I S&.momwl any mmy M mgNMIN, 51 QWulya d aw WW that arsm frorn cadma;l'- ". A Nomms "ON PM, Fklrchas.°r agioes To aley-wd. "W".4 am h" lomwe OWMAM"R llabll� ltarwKpag cl%ts cl.r MW MW ondukg "W"Wo MMM W MW e,*W tesiflnll Iran d W argmV W my W WWI Map va l "a; Q arwIrg Uwn sr In MW Way synemw it) 0 Ijv fequired path Ulmn CadinaO, tund.w (if Jefwii,2 ij;-clei IrN.� fammin v MUM "Mmw awNsowsm M cacImms owize 0 desm vM0 INM Ps Owls, .'01 hP at file '101's f"_Xpense ril-Purd-a"'i —AMOUMr L WI A 01 1111110 PI'd w QA— "w o un, mm, and WJ volmrsynn MvvvW%x lq"Ws" a www" 0 An Min Srpwly,! I,,i I!- v. -0 ZA yl, W o' I, , "r tt 7".I7, r'r ','i I, tv 'l J.11A mq, in :r' C='r, o,,, ',rim' gem 0 eymP.WU o.Jv _.l ,hl' C-1,11 , w"Wou A Pv UK, a 0 Qyu T wv*, PW-M-d' MA MQWh 00 w va" qwlj''S (�L I" ojo,o-,ry I Purd*ue, s !W)lhty a�' M cown ymnam mms 0"s xm""w " vnm " on ""a a rum H MW M vmh amr Am Pal &W va,mm my I in 0 FIGA, 1 to on, 0 Q 4 Qmw 10c .ira,l a, lvfxm*% Mom Qn=.K omw — a , W w h ? 0=00 xN Ad"ry Or MvA, H&vls"sm MW:err W, 1 L v1 hn. N"4 N r"mimn a lhr &MA a yr- of "'y dlnlml")-- ... 'p, h1h: _-'ndar .<'TrIn-rr L wmmv WIS u:faf;j 1j.. c jf'lfy srid QW MW r n- sh 0 d ",11., 1 LJn t-iIj- A _Alar .:ICI 0 %OBOS 0-TWOOMM NEAP 5K_'A 1=0=PW: CADMAN IIER,EBY EXPRES51-Y DISCLAIMS ALL IMPLIED WARRANTIES ko t,j, . ':.'L."A �r . AW. an i! ­lto 5'4"laWl"l:4 --my K!""I "diol- L', -In., i­ qo,, t:i,._,L -­l,, i7j'pxn fil-Foilucr- Icl urotl!', yus cm, OwIps n 0 M, cc, Al""11 4, No wWwwo, an 0 t an c HS mort ]Ob- WIN os who 4 H 0 W n1l ;il in'1dja1=11 .I.. -:. ;.- 1 1',: IL;f in, ':,a.tvna,, rrialnqlrn- i2i vi ip sill (4—Wo al- l fo?. ariv ouqxm on M soomn -WASK v.I Y V I, "H M NHK, mt I I wr Q how%* dep what *Mvt TWE WMITATF19N a , rt.1 -:.nolo-oti cy. MMUS-w <'f' M ,, l" l W Ilk[ J' U, ied .1"U" I b" of i-,aked- 'winllty (4 CC,lnT.14VTt"f1�1` 1 YeJal IT m 1111i, ITif"i fj,t(, C.Fl f115 V JoNewd '1i If'. I TRIMMAN QUO" umm M In M-Www MM he enuef W! ralr,,ft Mttli Cadinsw ;nN Ct.civi'l-in illtA -0!?I-IM"d fall R.114 C" 1n1$3 :V lhE niRtWiW Wd oemIWn-.f-.'r si"h1'111 1_1,3 ku b­ U.-,o 4, tnc wilstioc 1! clk,',iory ange'vrtll all ,)VAhOnS A A WAWW" �vM IAPW W 51 Qe h Swerviv! 0 the == Ard awn In "y"N am PWO Sw1w -'uajr:sl of v­io fion�,JwTraq'4 Ca ally tj;rn the W'A CADMAN HEIDELBEi2t;CFM,[ N if lroup, 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Vall Black Diamond, WA TICKET NO. 3077539 TICKETTIME 1 06:5,7:19 1 DATE "" - 5/21 2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ret. Disp. Ord. # 365 656 /D2 28210 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Trailer 934 72402X Hauler/Carrier No. Driver's Name Delivered/Ordered Load No. Running Total 7858190 BRETT 32.05 �4.00 1 32.05 BD/D - MONTEREY TERRACE WATER MAIN REPL 2235 NE 3RD ST RENTON - MONTEREY TERRACE WATER MAIN REPL PREY. WAGE CERTIFIED TICKETS rnT?\Tr Tn VARII Product 92253 CSTC Description 32.05 SCALE WEIGHT GROSS &TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. • � Fuel Surcharge 103,480 LB Gross ® 0 Scale Scale X Jennifer Sales Tax Tare 39, 380 LB/P •T * Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the Curb line. Net 64,100 LB Total Deputy Weighmaster No one available to sign, customer waives receipt signature. � Received by Signature X Print Name (Customer) Ix Driver's Signature X Standby Time Arrive Job Start Unloading Finish Unloading Standby Time Customer's Initials X ('aduian, lnc. Tams and Conditilltt .T If E'PAYNFEttT •Train. N payr :nl cu..tr. nei.,. F s't1„tat tar; an applovej crr..lr err:- trt':a'sh on r betole th,- 10 +a the viol lvt 16lolning 0,"I'very. •111 the Absen". " any ;i credit to ..". all <+a!war w> under this c ontec rare act e(I an Ielwry' !COD. :dt;r the :' : ' day of eech ff ornh grill a;apea- on the subsjgtiernl nlonit, _ _rateernent A,c rants al: earfsaerad Gel Ircloont if payment hazz. rut been i'Pdr§iVed ui :5e:f dI` L., fly rhrt /.i' at Erz rno I IIt fdlln tilrg purer ase, Dowinuent aeentlnt°, an tn,? t. of fit,, allowing rnorllh sh Mitre placed nil r, cash on;g nasis for rutt l e part hasten urri! v,r dellrfqu •v,y. I., pail in for. Interest at 16% will he cnalgcd on .wet lit, -icre-ints •Cre iil -:affki, an acrected at tuna° of puli only If payment rG rtad,- by tlanKca'd after hurchai;C• da'., L 3t" fep.:vill lib ItlLUlred. •Purcha�et s° da Inako ail payments due: lvieundr9l In awful runey of tree uni rd Str.ms dt'rl it alp acc-,,Jance wit•' he above trrnrs wifha it $ny r t..;n ra! an(. N"thow ree)ard dry a r., rn-!t Pil r mg,; may tta)'•' with ••this poi li,r pNgrtteys FEES alma CUt,Xs &'t,u1d Ierf lcl r n nti, r i e &a. V 0 ecii Ih , i,mVfl e t' he'h r •.r I ;f suit he in571tuted Cladrlarl .brill tie cmW..d .1. rr c�v .r Iea—flat le altdrrley lee., and cfKfg includ ng aphoals Dankrufaf,ties. and t.ass i.vklm@r`t ,:,,Hen: , ;*L If IS ;tvN.ac shy air,, still brought 1.ndel 211 v AIIllacl ar ayreein�rltwillr ot,lonei si�3u be In Kind C--,arty VVA •CAUMANAq,JTINELY EXERCISES ITs RIGHT TO SEND MIATERIAI MAN " NC)TIGES (,X4 ALL )OBS All F raleal Stara, and lcfifl taxes: nssttsnmenis, ti duties, arrf chjr es 1. z,4 •d t'v l 'r..),t o :s potties .,I Me., i r idulfcn'a pn es Hunter: and shall be pu:d by fatfrcl a,;Oi •fJBi Rau nee c het:k-, stye. !L,.:C! tit a trot'-d14'Ig <Ita Tic rri- .err! t'^,t rg •',=ir;,al;e: l +. awr�arl r;•qu ,Ps N xF check.; 10 4? lectaced :vrN ra2h of ca,.l e1 _ ;Ile. tt L ;;K o' nulf-hase: of f l Of j:rt• lu r.,tr..' do TO WIc't:r th, tCur�, of pal ADDiTIONAL_COSTSICNARGES -An Enoi;Amqjnlal ,iuf,3hufge l5 •tlesJ l ;ekla nix art., ; uglegat•, Irrvralr, > A bt-1 Swc ge may y be added io a!I dr ltv :Its,: Su chsr,,n zlr' Int-",.fea to r,n:.t:r (:;ufn'lan's :Welsh^n ,:xf>A':ps iilr;antplp. tg vrni :;ltr!rr_a n, n[ai r,.au ctoni'1nd .;ticalp -c _I;;tuai rASts S fchwfg&s: ate nct 13xv?, nr Le sts regir r6•d tIy Any fedriril ,Id:n r,r I(,ca u; it 1,'iy •Cur nlnimtlr IbaeJ r_,l aqtqmljwe cipliv: ry 15 jl L-:atfs IS tr,r's will t.a cli I hie and ,1,atef,at -A Slanclhy sari+al IS �is- sesseo ter aggregate deflvu s that exceed tun I t'M minutea per road unicadln J links on the: lobsile. -A 5aa- ! ia1 Cry Reg swcna ue is Chart.,,o "or -dl .,rdet s e!aced cr Sunt+ay _ hortdays, 'Inbs starl, -; after 8'n' m and Amin-suhed Iled Srturdiv drthor,l es' -Sail rrfay Ifeliti?I d hnurs r.F I. e'ween 7Y 0,Trn find 1 L.'.Olir-1. SCHEDULING/SERVICZ INFORMATION •P,;I; > cl er:,Jn I' c ntll ra oetrve;l y equi:, I ,v al to> n!ade to Cad.S dhnge;h ofl,cc n y .;II;i rat in-,,gh Capm,an dnme•r,, t to O a...>u al ;oncal or r„ilea epresentativ..;3- t his C1' k F,fAn'_ "T ;a Jrnpn •a. •.. a f t.JU :, tenth ieill:, es I _r, keli Jt :;rys rrI flan,spar •Ar In .. t r j;: ^i .. ', • N.- situ. 1r.n dl,P>..,t I.ra-r-sits• A mar arts _Ir' ,iCl ..rates >Jfa .1 �. 1, ar silt ..`! t', ( e ltcle S Evi r t. LIABILITY DISCLAIMER AND_fND_E_MNITY FOR DELIVERY BEYOND PUBLIC ROAD I" h,:. rvenf Pu,ctl sflr dnei,f' (f?I1v6,fV rr...ri r,.,f;n le',un41 curt +ille. r'I'IChiI-:.r acres in; folic Pwc F:eSer ,nay routiestCd COcur'In to mist, u,,. tf� A pith !F,j Ihr� 11.11l; •'sy of rt?lterlalg and. 3.:;tiff tC• the f.10i '- r-1 01 ::Inq. Ccaman f ,t.ks to Havel I .rynnrl lhr bou•tyaneY4 of the ng?vest uavr,•I-fd udiiio road Pu1(11Mer dcknt)wh ^.tar}C3 t•iattlarLaCe I the drulniz�e: and# or ;n;aetnnl ul Ifl , z :gin i L,ht o' Gao.mEn•, I,^ks T!'d cilrl.r'.t ._tits, wt t: h_.rr•fi': 'Iaj1 .1 l ir_..i .I�,1 ^K '_a i:l Pul:'l. ..I ,1ed Ca(lmalt 31y f,-I.hdlty reSk.7r5lt:llfrg tar J?fn�.it^'• nT aFV tf`ar n,nes `,nit_jt Purchessr,; regl,In:.. ,with Pmu,,t:,ar agree.,'(, def,-t)u r:de•,,n ,;:a,i Ilnid Chine) koaoilly .d•7magE,S :hsh ;lid,)rnr n s iti i' aria k'.I i ! .!ur;try ,..,:enable dt t,I r:; a to ;< 111d. costs) resulting :font darn„age;III plopr:rly trl amt hutd (Inriudinyl+:f.;lrayst;) G, drily). Bu tr,$) alisia.t torn of In artyway corlaf reed to Gacirran s u&e of the rdeJlorPri pisim upoli CpCtrii,h : Ie.naw cl::fenfie tlnu4+l thl5 provisturi. the Put(:rfaser �.tur os lu ap.poiT l r tone! rd C +.dmxr'S ,less c t,11rn^! ag�,ular hI , of P: „la.r� if sl sue,: unsE; will he at the sole trio: ° sr ;r p; ,. )lase: PERSONALiNARYTIDEMNITYFR9YtS.iON -This trmerrmilicatroa provision is part of ttr' terms and ac.rrh•lyr,5 betvveer •Ila F lcl,ase{ „nd Cadman and is Intended to co nply with the provisions of RCW 424.115.. In the ;,vent of any rt,ntbcts he>r:ynen this do-Alill t and any ether term SutrContrrt Of agreement between the Pttr`•a£.er an; Cadtlmn this drcumernl 5hafl (10fri The PwCraser a_.Irees tc• Jetend.. Indemnify; and hold narrn eFfa Cantnarl ;tom any x cl all tHrdily Ifllury Tif:`ghgEnri? mused ?I oarnage to prohy7rtydConlract basedclairmss, knnlanr� Iaa;e:: ,nd liabilities to of by thine. party ,; afning +rclrri resu! ing hrurn. w connected in arty way w4h the p'. oducl ur prt_ulurt; scdd by G_adina. to Putchaset, even tholur;ir uch clue t.s may prow•_ tube false, g.p;Tndless or I,audu`ent to tlia luftest �.xlentoeitmilfad ty la* and 1,orile^.1 to Inc 1:mrtdtzon5 I)n vfded. wow. -•Pur iias 'S duty to it(le-Tinny Cadman simil not apt 1r, faali:ty lot damages arsmif our of rtoolly Inl,t•y tc, persons or dafnage to cn• Isrvl by of rend hn;J ! orr mica. Ir, nr:_yl:yrJr, a.:4 4 admali r.: ,t a;le-nts. p enmployr>es Pu , haser'sduty. 1� rnr.c-:nrll Cddm,n for liaLt;lity for da• alfes-rsing out at h,{I.ti:riwyin, n.isor$ or damage In property :caused r, nl re-ITrigIrn.n 1hE cc'ncunenl negligence of (dm G;,,irnar, or fis.a]Eriis ar eniplove•?s and tb) Puichaselt Ut It3 oqc- Is vr apply only of the exte i tit t: _ op r, of Pur;haser r r it:; a ;eels of emi loyees. provided.. a ;t,ra;f .ph 511a1 no. aop.v !n sit.,a:iurs w .. rmgTig.eirt is not a requl emert fit Purchaser's Ifabrlity: such as ^; i-o'dr7rt •n':Irfna$F•I Stlr:t..ti(:a:ly 'g..n enp:es^sly teen+es au mmy':.ti^' 1irl?; Ina.,y b g;ari^dlt under [he -Wash- Title g I FIG h, or thr..IF. :. of any n h r sine, proude,l rh:r such waiver shall. .<; resylb'iimir a to Pu f r,,•isar's Intelcatty e )Iigalions tw e,l x ,, miall i,Dt oe a o erit to. any third party. 'Fur- Cr.16E :' -IFn,I h.:.a+.r•�n 01!it}a;011 Under this Uro-•ic'Yf shah not W iml•te:d In any *ay by an, Hlnitation fin the arn•7Unf Tit type of any dalr•t•79S con y7erlsabon -. rlgnr.:f:[S payat•ie to r•I for anv third party ur?der:vt`N er s com- pa -.3al.cl, rs 5 sahllity b€nebtc acts or ,:the, , mp.ttyet. per . tits art; F rcnc.,,rrs duty to defend Indcrnrnty and hu 1 Cr-dtnan im ir'abls i rill u;al i(ha tiny T_ It ct elf -irli r�;.da• rrlte,p(enalrlcSreasonafrle etlCrilep tees, ,adr.ar dw rtr l-relatEd costs, and all r•nier .tie n related -Xp ,115E8. De _ n Cad: -,an s el der of daiginse under ItTis p";,,s on In, Prchaser agiees to a..Kirl re. „ ,selo- C Tilan'3 cho .:lo dete'; I a alnstinird p..arty•Slaim(sL Su; • c s,r , Wil` ; c at Ine tin ` expese •?1 the F y-Cha.>,lr THE PORCH'ASE HET-1FEY CERTIFIES THAT T•ryE F RUViSION1, OF `HIS `Gr C"if F W-RF 5PE:,I (6ALLY AND tt•IU fUALLY NEGOTIATED. �.ADnjtgN tL RE Y_ PPsi€S d� l I��L�L _$t� �jY1P I p VSE4RRANLU r!o xafra tiEs. expfew, 0 .i ul.erd fint-Ii v:a:r titles or f;tn'vt fol a altiSUldt rfuroo> e co, w'artunli . of r e r lr n i o ty are ,yi ide and ii n.a;en:+l- a „'a,!d :AF IS C;IOmarl 1.9 not r-socillsible ror 4n rat+fen, a In_ldc:rta 1aa'lages of arty kind iclud- ;ng Bur not hmiD?':; V !ar ti :ire s`^5 f., !r�t-,xl to d.lctt>, de!ay t f >1yE£. impact damages", lost profits, labor r,u. is ,.gLpr nt art: tool coal,. riot. ?; ,,rry t>:ol!d and Insure cr „ d.,.> hofnc' office overheadlj03is,job- IL..:•;orli,_a-. Vile8l anti a.iiorili Wes 10 I. ttil.tflo, ueIf_L`,.,r:i: LINIITATI N OF REMEDIES'Pug ° -hase' a exdw ft ro Irtly Tilt L earth rA rrintracl shall be sstollows Cadolan's hat"-1 ly l9 Tin le " It, f 1 .he n- t,r rn*.c I eltve,- the;. , i qji sal f>.,ndiose i)nc e of this. Gmnian material or t2) the :Tit ce,g h %ipmr n-3 by C3Ortar, materlul Iuh ever ,c ,,as In -Io overt vill G-adlnan trz flanle Teri any threat or consequentr,.l dr,-r aq,,c, reLau7c: tr. ft -Pwciiaser .agrtis tha, Is ralvas lt> right to reject 3c.;ef'Nnc r C.%td,n8n m3tF:lals .'y,th>st nGUi .Ina vI(tl y Nllh:n lr if bd,:irt sdays 3f'ef receipt - TIME LI_MIJATION Pu ict.aser at h o,vredyr° the, nn legal ,r..:!nil In,v bP Cmn.a:enrerc (if ma starred by Pnrchaca, :is Ti, airy claim Krlp:•Tin a llnknG,vl l U3sed t pun negltycrT 1)r exp:a9S o, in ohed. warranty or Cc itracl af+Er 1 yeas front the lain date i,adrr ai del ve,ed mlaier,af In P:,rchasel TITLE AND RISK OF LOSS 11nWis otr•.ervose xorossrvstaged he;fel t; ill., it, flit, ma[er,-,ls soid'nereunder shall r-;`(t?Altl Or, Ca -}man u.rirl tnis ! k lit It SS nt fha r ;alellals. l i hareL1I'd. r s!rall pas ,u ins Poi hai;,r uuun ,,tallve-'y of theo rnatenals at tl . pace of delwery desig- •ietecI l•erPin TherNaftar hi adgirt_n to as:_vn;tng IsP fir lk of leas. Purch;isel shot be iesponsib a f..r compli� aft ., l,!J aU governmental raxulahons and ogo!nancers Min rs :,;,j to staro or pla e bent of the same and 11}re•'e !:: fk!I:mi'Ily Fn a hrllII r.ft0`i'a' h=t; ,ill. S a?Ta;r,j all r lm; re; .lung frP:r .onla art l2. property of any <m.! r np, nq from thus slorago ns o of tia,ldhnn o1 c:aio inaior:al=, H EIDELBERG(TM ENTC roue 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Valley 94ack Diamond, WA 98010-7800 TICKET NO. 3077549 TICKETTIME 09:06:59 DATE 5/21/2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 365 656 /D2 28210 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Traile 934 72402X Hauler/Carrier No. Driver's Name Delivered/Ordered Load No. Running Total 7858190 64.50 04.00 2 64.50 BD/D - MONTEREY TERRACE WATER MAIN REPL 2235 NE 3RD ST RENTON - MONTEREY TERRACE WATER MAIN REPL PREV. WAGE CERTIFIED TICKETS GOING TO YARD 92253 CSTC 32.45 SCALE WEIGHT GROSS &TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. _ Fuel Surcharge Gross 104, 280 LB Sc® t Scale 2 X Jennifer Sales Tax Tare 39,380 LB/ P . T Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 64,900 LB Total Deputy Weighmaster No one available to sign, customer waives receipt signature. 0 Received by Signature X Print Name (Customer) X Ix Driver's Signature Standby Time Arrive Job Start Unloading Finish Unloading Standby Time Customer's Initials X Gidwaii, 1w: Termmw Cundilicmfls TERMS OF PAYMENT talT(,jy an: dup _.1ejll or; : 'In", tzflns ordloi "­w ! '1') -"jt n.a, v of rnw,!i Na Or', fl.1)i jjel:o] per.,* t,(­ olli7wnrl rr",Wh l3ho'' r., (:q 3 6fl'y L'mw' !"I Tullrer purcill w1d the 'I'0oque.11 is na�d :n Ill int-ares, at b b wTne I" 't hIrr-0, Iwr' i tact e'W% It paymt-l'i i> flPIvj'. fj' 1- r,e !h-orfed -Pim"Inase, ii i I rw,iji payrnerlis -,I!e t)wn"I'IdL. -n d..r jo Tlw 3b6CidarWc vi*j, t,if� %ho,,t- 'A irhout lry "'10 " tho it 'ecia" I Tf,r iv(wvr,f Pt rrthaser rr;,'iy have wlilr che, V,;A, I, ri- Attarrkeys' l and Costs ril,_jjld (•ac:;ll ll : I Pncsslry la '­Io ,I Ill— t­valr'- vr)v I h' )* f)(1 Fill 1 3)e Instituted. cadn"i, shad pt t" Iof'm lwd "os=ls' iltilillj n(l bankrupiczvi-i a ild 0!r)lls ITr aq. I e!"I rhai any t,u, I lh!)uijor rpqdg iry ot"ll, -3­1 or agrEernelAIN'th CLiilt(llr,-.' b, in q,lT Cc,mry 'jVA -CAI' fAAN RGf_IT I rJE,Y EXERGISES IT*, RIGHT TO SEND MA.TERIAI MAN S NOTICES CH ALL JOBS -All F�-dallol itaie fwd i,!xal kqlfes assiass_mw�r4 tegv;' C'U'lles aflFf dh-,-,j­s by f.aarml) ()I In fi%'o- I?" addm'I-' to pr'c�)s juct_.cj avlo shall Ix, paid ov -NSF:H-lu­.­I Oh,.'rsl aT- l­ !;;'w(1:r-1 -In:gle 'Vid _,r; i,ot if, dpo-,Incl Ca,hwaf: iefluires NSF che,,,ks To Dn rqjia,ed �Ih marsh o' hri,.kUttk o- otvrj-,a:,e r,idet or jnb rlLfll`lb-M1rs do not affeci the lefriof :ate AQDfTIO -An Erivvoimu.101 'x and COSTSICHARGES ;s „d ried ready f, invoice s. A F,ioi Surcriw,je may he ado-od t� A dionvonas are intendrO to nave, nr1r'p*_sk,­q oxpen:;t..'s in ­mpfy:,'i w'In on"Iformontal 5,1".1 n0fe.M.1ry Tli':rr t are of .F.xes of reqill'(."l ty any I n r '4ra f, of In'-,t) aoir,,tov -0,a nilii-lmunro_ia 1,,r am,,,regpie del,veiv is 15 Loads €pn(J'oTj 1" to'!s ;'Iitd be 4ll3iqf1.'. lime MilL IZ- .1­ sessed for aggregate deimcnes fliat exceed tan Cl u) ninutes per load unioaffing trine all trie jobsile -A Q e"( pening surrharqe i, cilaro all nrlw: placed -on Sundays: fiabdays lobs starting ;After 6 ()')pill and ncifi-schrdiiloo fwiwffri,,!, de-Wwv hou's am, t-c1W.'erj'- " 0k)'im end I :(ftn' SC_HEPULINCiLS_k@VAGEINFORMATION If)�;nmral request shall re made to Caprflal;s ell',parol otri't. billy "1 0 no: "Fl4els Qualmty dS'u!"'.ncv w 'a!" eprezlenlavvvs -Tre uoilqaliunf `-.,adwan 2.e TO ol Stfika r Id,. deCcys n trarksportc,i r-i!,gulations iiro,l of ant _4,er �.�n. Ls urta,., i..abe Cir ();.r .Aqqregav�, suoplje''. !(, rklf"nr.'�-I' may be 5,,urcod from diffem,,t -All rnwnal-, �.ie tiiulolec.t to LIABILITY DISCLAIMER AND INDEMNITY FOR DELIVERY BEYOND PUBLIC ROAD in the ,vent Purchaser dotct, lPilver', to be, wa-oe Csrh line. purcler okIre ­'; as f0llowE rr'rr'ITa:.er has r',ffuest-'! CCemar tv maize w-e of a path to the jelivety o' mater,als and oux;es;e To the T),oject r�quinag Cadman l4uslks tc travel 0evQ'i'l thu 1)vlAjndanes of the leawSl 11`0.V->4-;�d pUUltr Mad. PLJfC.h,3S0f ack,,r..vvi edges that datoage to th-, prermses indm, arliv,,ent ptobrty rilay (5ccr !R cai,se ,f Ille si?f, i'ifl ' ^;riht of Caomzui !r,.-k!3 ,irci Cricrmn wcla, may O000rl-, dama7g!d Ir F;,.;, Poicna,3_,r s ro j-ijrs%Palt' Cadinari dls,.Jawls ar,� liability illy t,')! 0 any kind that a,,%-s f,ofr Ca(lin-an's tme of Ftirchaseir ll rewroo path. Purchaser svrp,,s to &.1ono indorno,fy end r-oln hjrrn!.z.s Catiman "o., all liabitiv, Carnal gust-i lidgco.�- rots or lw;sres of any kind (inClUdiny ie.monauio fn&s and Losts) resulting -from darriarjp icj rmpIntv of any kind dlmag= tv Cadnuin's Wicks) ariswg 7roq, of in any way cont*Qted if., Cadman's use of the lequfred path. opm, ten6f.1 of datenlie under this plovisor, tiro Purchasai agrees to apl")Ill! cvlj'�,elnf Cad,niins. cht?ideW d«-30nclagain-_Aflwd ;,�-rly rhwh(s) IVCh CIL111SUi will pest the sole expe,iSe of poTO,asec, PFRSQNAL IN,IURY 1NDkMNITY,PRQVjSION -Ith s p�,,wisiun is part of the leirns and ;I Lt'e and' lrl(et,ded to i-.wnply l4.th the provisions, of FICW 4,24.115. !J­;� of anv, conL;bjSwepn llws flconlerif .11vi any rjlrtir lerri 1401!­voifacT or alreentom beittifeen the - >­Aql' 'ino C fills . Ill$ 6cC'jf%'r;i'q rhe Pwc't'-js,;;•, L�: delend, mderrini(y. and hold narlm.--$ . 'rool are; nr­1 -,;] hoo1v i, !);sed of liwiogp to pooperty;ccritract based Claims. 00naj­­ On" its, Irles to')T by tnwrparhc& 6'i~tTj Norn lrom of conrected in any vmy with 'tie r1c 11c, rr lfrx"Jo'13 sud by cadmat* Jr. P.ii -lufs,�t. %'en thin ugn zacri datmsimav rrovato he IlMse, qraunfillesg or nt f,ai'T's duty ii-I To Fie Tute-, �,ir�nr ,)jnj,tfP Wif- lle �Tnl[,*WITA lA'()v1dPd WOW -Purcilase I , u Lv ,,), i r i . inn: 7;n, iy 1, admar scat! mnt app, y Tr' lia W r" I-, da T'ag')-, ;4nsi nq our uT of L rjC i tv i n;ury to pemons cr damage to f14 ty N& u(?(! tiv In,niting frOa: the sole flegl zcc-it e ol Cad in w; to it ,. aq ni N n t f, np.'ar--n Put chissei i; duty :x.of NKh v Trijury 'o personsci danwirie to property Caused b% or fwfft f=f ("'o Cdrnal _calls aga'its or ernpinyef:s. and [W Purchaser or its. ';erg J' Pwohirv­i 'its agents ❑.• e,nfplcy",.z provided, CI'S .1 i,lmo nu' apply in &'TuaT'Cl; wtie,e no. -i r8tI lif P,i-,.haset's ILRbility. %utch as IN rorltriacl. -purcha"er spec,fically ald explpslywam33 lfly,nrlmunili5s that nay be granted 11 wicer the Wash- tricW,"ll Strife traoswat InSurawa kc; Tq6, 51 nC'N. f.,T the wovq GI any .ulher slate pro%;cfed Ilia! SUM Aawar snall h-'orci e isry 111ni-iti-i to s 1.10erp'lif%, orlit'jai�ois nw,,;r, be a r7enelil to any third Party For tnHc the lid",nnflnmur '-bIz:4a"Qn undo, this prl)'Won hl:ai not t, loill-d ;i. gov iwiry by any firrilm,on on the u,.Owii of rype of any darw'ge?.r ,o-npensatian o- bvntxfily payaUe to c- for any there party. J11.1eir wome.'s Com- pr; e,al.on arif, dit:aoilav bir,ffis ants or ver -�tnpioyce benelr_ acts. `l_ircI1.1.F*f s riuly to defer.a, indemnity and h-'J:i Caj,.iav7 haflne's pav­ew". _" al" --o"V, tnfe!os! oerlalves. toason0laz allomoys fees, C. Im-_'l , -';-$ormi:'-'e'j'1rPd CL•51*i. V.110 all Ithel 1,1101 P`Aited expoeqses Upon, Caumars tender of delanse urlde; rf'r' J"qo"'forl' the Piilvha"i-1 al .-.es Tj aop:):fll Co, Mel A C.P.dry1dr-s7,.�,hr.Cz ID tWel)a RgalfWl thlrdparly Claim(S) ':'L:-1'f%CI will I)o at II)e stele axpen!;( ('T Th" Pur��aser THE PURCHASE HEREBY GF�Rl IFIES THAT THE .0VI-SION G. THIS DOCUM 3 . - - �Nl IT WERE SPEC)Y AND MIA UALLY N17GOTIATED - IZAr.)_re MAN RERF-Eff-EXPEWS15ILY D ALL IkI RgANnEIS No warrant sj trxpress or tropher, - nOuding vearraillies of fitnebs Iii a particulat purr: Sr ol _Na,ranties of mtdi'lant"ll"flity) are, made and ,)f, ,ol,! -AS [S CA,"ni;k1l; 1s I-.r "esix,risible ix ronwquenlip.)l or 111oldel 1",11 clamag"s of env kind idkid- fat nr i:ns!i Iwpme!v and loot c03C: maLra! CP-..S bond and n; ura 1c, coats hrrr,e office uvrrfteu:i.,:5sts job- si1e,,)vPth,Md rtoreM 81631­ir,,,,_q All-i prorxat.on,)f LIMITATION OF RFJAEA19S -Purchasers INC.'aCT) Of Contra: t Shall Ufa, as oflows Cadman's lwbil4v is Im-,,ted to ! 1) the boNveno. tho o5iginal purchase pricF' of the Cadman matenall or(2) the Giferf cost of tepaii inrj the Cadrnan rnaierial. ivnic.n ev?r is tf-.4s ;n 110 r efli %V11 Qa+nRjj be bible for Fifty direrl r <.(lngriCupnliai damager:i '-'latell io ds material -Pulohasei aq,-es that waives its right to reiect acceptanLF- of Cadman matertals Thow: o0t'.c ritore n guying within thre-3 3) hj<ilicss days after receipt, TIME LIMITATION rlolcfhaser ackwavyludges hn! ric, it pal a,;Nan may be coinnionced or mi,rita-ried by Purrtlasr.zia to Anv ulaini knowli c,• unhno�rn t)am-.1 pc ileqlqlenl_ o, of implied vairanty of polwact of I year from the Ast dale Cadman d0iv_rr-d rnatetr,ti t,` Piircha-utr TITLE AND RISK OF LOSS Vn6.E,, ciliherwrp txprpsrly stated herein.. Qlp tC; the materials sold hereuribler shnl re-'ap" "i.th Ga0ma" " 10 C.,iarn3n has received -full uayrn-anf f{a Toe s irrie R.sk it loss of the materials lho.leunjer shall pass To intz, Purchaser upon cfAvory of !hi, 1na13f31h 11 trip place -,,I dell -Pry de-sig- nati-d nefeir; T themaffel, in U1011JOn to Et5S,0TIng all TiNk of 1,,)ss Puichas(-r shall pie responsible toi compli• ince o,:Tl, all governmental regulations and ordinances Min to yard to storige or p a amFnl of the saine and To ridamnify and hold Canindr, harmless agairist qjj claWi 1!3 1esuilirt.1 ;n.-ni tlt.m3gri to properly of any Kiry ar,sing frorn the fontqja, us, or handlirg of said materials PSI Re-Iu s-30 /,vvoto4,,L-r � /u%in Ri f 19C�IM��� 07 i>c+40( - 5 oJ� iz'rDl—z�2,i' o q�', DI _ 3000 , l o c,)4 in 6V -- 2 GV ! 5 s2 C 5i-L 3� 7,2� 09, 7 6, 25 b, Pvty s-e Ct wwv-L M —09 -Mff lw w DAILY INSPECTION DIARY REPORT # DAY: �(�C:'S7)!2:2 DATE: C WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: eC/. 1 �fx� CS l�4- C / 7 �� �U ✓ /G�i —1-'770 Li i �- UUrI i'1 LE'W Ly / ," S 1 v�v �,L � CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT 4� DAY: k1�T-) DATE: (,, /y / Zy WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: rV"ylC Lc-^ sr I'1 f�( .� F�' r w- LT 4--- — el s. l J / C 1 /v c/ (°aeZi Cv/i� /�- �.� s ��- ii�%• �'i �-/ �= _bra x s T-a 7t2-3 P s e - 2{- j2ra -Tl-t % s as IV\ : + CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Vall Black Diamond, WA nonin_-7onn TICKET NO. 3077851 TICKETTIME 1 06:49:56 DATE 5/29/2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 365 656 /D2 28357 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Trailer 937 B27326F Hauler/Carrier No. Driver's Name Delivered/Ordered Load No. Running Total 7858190 GLEN 34.0314.00 1 34.03 BD/D - MONTEREY TERRACE WATER MAIN REPL 2235 NE 3RD ST RENTON - MONTEREY TERRACE WATER MAIN REPL PREV. WAGE CERTIFIED TICKETS GOIi1G TO YARD 92253 CSTC SCALE WEIGHT GROSS &TARE Gross 106,660 LB 38,600 LB/ P.T* El 0 Tare r Scale 1 Scale 2 X Jennifer Net 68,060 LB Deputy Weighmaster No one available to sign, customer waives receipt Received by Signature signature. ,^ 911Wil3e A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Sales Tax Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Total Print Name (Customer) Driver's Signature I Standby X X I Time (Arrive Job I Start j Finish Standby j,,usromersinmais I Unloading l Unloading Time X �Auwn_Am.L_Tqrm Togma aP PAYfAijNT -Tar.-Tty n! pi."rpeo[ W,Wntwin 0 v4=mp y am apmW KYQ we mi x. w a e Is IM .1 0, month !T, - , C! �.,Iy 3,,,e_h croctil te. •1-,a-.1 UnOel 11,15 rT:,f`iIrA3:I T, Ct U.,.0 on dolivsry"fCOD) -T,..T*.,w'ions ift�, ird LY: ...irn AQ alggW en ih,,, sulzaquonl OMMMOM "Wma" we awmeheral ^.afllnquam if JWl 'Q* LN'.!'fl rjflowog rwinth strsol,)L piac*-j to a MR OQ bA5 4 %lumpmCMIM low the dclowem! 5 Wnd 0 bp lottl-NIct 41 Ml 1.10111 re I3ar,,jcd rw: . Rc.c-.r(, 'GgAi! 'vJ!: w" rCtejptEd iat Do'em of 1p"K" "k, If ",run 6 n"M Q tatinw! -ol"'013!� ci. xIa a to wo 0, wmnye Qnslam, OV a no a- j4k-; n5_.P'on&wi :it aMufr-ionq �,Ilhe Lmited Siezez and in efts .wrvdancijolr.r &Am my talc" M Am 4M.Daw W my W.Mm AlAwn niaty hme wo 0. Pan", Attr,meys'F'as aoto Costs 313N,,,,Jl ac"ll-ft 1T: mva- wflthlt, "Inetts: msM,jtFJ Cady yIzr sn,.Ji co,ts irdid1n,,aipIs Dar,/.V unwwov -0 anow = W 0 ON if F nA A'_'VVIN Rf,); 1TREL, ERE RUMS a S R&W T3 S,END NIA I it-H -A! NI1+N'15 NurlCES (Drl AiIJOBS. All F.d,tialSmAlaxes &M, am News WISH Uy maw d Im perromw mo W aws" 0 pom cucw. d P,u _-all ofI ,iti by l"I'(1 Oenc?,i go "Pala a k"T"Cita" awswu 0 W~ LAbler f(, Ira cm . Imam W. x 0 AD MONALS,; HAjR -AT, F1nYfBDfA1Dl_1..U1Wj WQt,, in a;Wd W WH minty ml m A agnp3e o, 101 It' (:Or! Ivy I,%,,%, Vwn awls m*Ml Sy AWs artll: E-.-) i nQ ef At 5"mys we qw Ines. W cows Squad kev ariv 4 &n-,"I W WV W 4 Win - "N mwf 0 PNS RV in "used time nilk; r -A In a a�; MW Doel*g swumige 4 dugield tv all oMprs rAf,(,,.d en Swridays. ty0idais sj;arl,,pq aft!• AMM aM tQ"v+,­k4d STird-�I✓ rr.,' ali pul ;iy i,:iVk' y Mum am howmil 1 Mm win "V- &MMUMMURWE iWORMAnON localuill..; I_­jw;l r ,'I Ge1!�j I NO *W r we T".0 W's awe newt it;.' www E - "us The objl.yd:€oljs ol G-t(Ini-a- 4-W firL­, tif J -, ulfia_r 7*w6els !r, Ptircha,pr wx A somud on W%we U­all<)ns, -M SQW 0 "Moo e Pur•;lrnisar :iir,,.,,ftA;NtVerV to be lngofar, rue nula'In Mo. vw,wat f, ljowi? NAMM has r;�ju,,­,%I,_-' to mrike wsl, Q1, j path ,101-1ho• deinary of material, Nn"i acaestr hin'. pott".-.1 1�­,wnwlg CMW= 1 &0 wo Awlv=V om MW* Wrepn nall, w owk mM Pal ona A one ri.,10 CaPm ,I Lj�noints any lin0ghtl.ful lanrtg� 0 an hV IN mom Uni Cacsinarl'i i;,ie rf "M" M Ewa moo, am OW MMMS Aly"Ornn 0 CAN, UN" awspen cm, wraz 0 man A any W mahN mlmom, winny, No wict CMM WWbq Am cIal"J,7, w Pl61 el -I uf any am MMMM ."w In Karm!&, A a WT Am & M WV AM orwww mcmmml", imth, Utt„fl G'iidfnwl o, R-4om- klr✓l !his plaimr. M N"W" YW5 to dppr"ry" apfjnsel I' tu Zjjnr•! NOW pw 0 JMMML = mlomwill N W A wh MPMW P=Wx PERSQN-A. MJURYINDEVNITY 1FQV[5I0t4 - 1, = ­rm; !u; pwl N thlr-. teals w'd 14 sw - Tv on I , u o i i e do!I1 oc pr04i1knN of FlUiv 4 2.1 1 I� Ta emat V ax"""w Mm en 54 dta"w &4 wo olli:-r Ton, tijl`-ri,:rimd m". r,a.Oment betweeell the W x" "n a AL Im W. on V. W 0 ". C "'; Ada nmwN am WIJ -'a"j; 11 I ")7� DrA., elp'l I . ­*x nir'! ". sp , 2, Iarl at, two PH Tyla., 'itraf.,.t naseel d1i, 1!�, wins d�� iosi�as L.5 t, r1i rl6liq �4,M I.L:.0i"g 'njo- v "otneic'.-�j 41,01Y WFVy q*, the rywm plom"k a " 0 2sh YNXIM. "a Avg" IN W"M ixv I W Ww rMum w 4"7-.wro Y U 00 " Om"d M_ W! ."t I., L,,;- AM iM' -P,d rll c Sly nu,}x, nkwalli',to xwl III) jy its X", W .Irow P.pply the %I 5!-S�.0 .r 11, Iall a >W �M" w n tic jrriroo! 4ji mpnitt;j je,l'0rly u;)nm6fik".-, Ln:,' 1 11%. Ile t#W; W-111t. riq;.tt S,9,n€e AU H& 5 HC* A the %""W MIA rWmW,%AQ Ma WAMMil I. xr.,o- at.. Pum.1--o'ri 1,f.3efll'1rN nolwin aivlshall ilal i-)?. 9d left -_- r anq tnitd Fu-- Y,:� 1 1 "W4 = 4--mc- ", -At PIMA to N lu my two MMV mom mon I pawk- 'Ir - b:­fit elhi trrwf is ans P-uI,.I­IoILr rjjtmnl€c,,jnd a p Wynn wwn 05 " W"Wo'l 1; '11 .11,Irf"AqEA ot!'uney" tees, C,, jIr j, 6;11 znndelol Crider "Vmtr W R •:%. ym.IC thlfi;l I.-.,rly cl.tln.jl:,j Q& WMW M% my a, MM. & M MwWwr ob rms nu us n T ANSE S%:;Y ik.TrT,, CAlDAMAWHEREBYEXPRMt,Y W-SCUAIMS ALWNRLIEQ WAR-RANTIK-:$ Nto ,v mtnstis -,*ress or wiMba jmAAojwv,.jntIe,., nlrez.,o, 1,-a, ,, !yI ,>mpldevAnd AS 6 fx- in ont- 1, -wY5, -K"w1n w n wmww. "MA . "Wve S A A wTn - M."o an In"r ritm; -M low a ad X0 _p I V Vj"Oln 0 — WS, LlMjTATt0f40FR5MFDIF$ "Imill-0 I I 1 6 n Sy"M WW- 0- mPw aw" -- " " t- Mum ma,m W - IN, 10 0 1 A "_ m7ANA no a" i, — A, n nm M 01"", wo IS, wv twm 0 owm"M n aMAW-0wo W A in,th a �p no Is ANW 9" PM In Ord TIMEHMITA-10N PutJ,Jf:-,n ell ty 11"how a 0 and "n W om , t 1., .111 'oc­! LI;a[:_1,1._�';$, jT,"[,R'j M"04V I yl^t TXI TITt-E AIL 4Q,RJSf< ()E t,Q§ w Kanol nVowu Y svp q 0 AA "A 1 0 VO." w 0 par ohm, wmpl, T = - " A M. W WW GM Vic 15 '11-1 1 1 -.1 M,:! I _- hj�'V � rI -C­ :-, I I Q Am M 'I ap"S MwQpMVYxidhdd own W IW- - JWWY A d". UWAny p-i 1war �paxwo cry ,an WN hind me Mwor = 0, NoWnt of I ihr. wl, Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin initabon, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flaying into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe disocntfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) cancrele, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (brig sleeves, pants and gloves). If burned, coal with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyees agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. ED possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at custogher request. Test cylinders that you sign this RELEASE. In consideration of the performance of the 5 taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Leave Plant Arrive Job Sit Start Discharge) Drivers' Comments and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent NWGDELTKT090408 Finish Discharge] Leave .Job Site Arrive Plant - — Company/ Order No. Cust. No. Customer Job Customer 60157 Delivery Instruction, STRUCT ION Customer PO/ Phase Code Delivery Address Load Qty Delivered Qty OrderQty ProductCode UOM .- n Gr'OSS Tczr'e Net Tr-t . 7F10l7i ''61OL71 9000 T TICKET NO. Product Description MODIFIED CLASS B CUSTOMER 4611620 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for productdefectis hereturnofthepurchaseprice.Inno event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 96108 206-767- c'521 FUEL & G,�Z 7 Driver Co. Proj. No. Date Map 05 /aW / 1 . scat® F Time: 14:26 Unit Price Amount Load a Prod. o" Desbption Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # �_ ,. ' � � ��'' , _ ' 1 �w' .'�l�sd i Iw_r ~ � � q� • ' fJr�+c'. #��aw�' w-�e'at• r: � - - - G�s� iv9".9 3rw at fp*q Ube 1 ' Fitt u OW ron it. W- c lei41 •a~ ai ' . y 6'*2 ",1.1"Ve ILI xiiA� fr aaahq T " T 1 }"�rr .fig* � � .'_�; `' � �" • .`",� _ '�' t - _ � � ,; � �'as-777 /� j� if tit i4� J �r � '�- �w �a - �' r x'� �� � aS`� a r _ r •-1 r•. . a'� rr� _ �`-� `y sMt■� i�-�7"'oCV�*� =,tea •4� -� �r1*'i r t : VL -{•�' IDS Ar. F - p� • � Y �, ti Fr 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Valle Black Diamond, WA 98010-7800 TICKET NO. 1 3077941 TICKETTIME 06:53:31 DATE 5/30/2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 365 656 /D2 28357 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Traile 937 B27326F Hauler/Carrier No. Driver's Name Delivered/Ordered Load No. Running Total 7858190 31.77 12.00 1 31.77 BD/D - MONTEREY TERRACE WATER MAIN REPL 2235 NE 3RD ST RENTON - MONTEREY TERRACE WATER MAIN REPL PREV. WAGE CERTIFIED TICKETS GOING TO YARD 92253 CSTC 31.77 SCALE WEIGHT GROSS &TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. � � � � Fuel Surcharge Gross 102, 140 LB � Scale 1 Scale X Jennifer Sales Tax Tare 38, 600 LB/P. T Cadman, (Inc.) will not assume Liability for any property any equipment damage for any delivery beyond he the or Net 63,540 LB Total Deputy Weighmaster No one available to sign, customer waives receipt signature. � Received by Signature X Print Name (Customer) Ix Driver's Signature X Standby Time Arrive Job Start Unloading Finish Unloading StandbyCustomer's Time Initials X CqdnlmiI (w. I-k;rn Is and,( oqd:tioq� Ufts OF PAYMENT -T-r,nsoi paymerl, to custciovArti. (At sallsfactov arld applo"e", nredil art I Ir,Ic-'sib Cln of be jai m I, v., 0 1 0i tile. rn.n.nv! 1610,%mu (Jeliverl, In tile f-f ariy credit tecmsM, tj, .,,­ es unde,­ 1h: is A Q lira af;l 'm I l"Act -­ deliveiii, (";OU, I It a I A n ' ft- the, 25.' rift each incl-th % A tI e!.•A ,in Tne :;Llbso,)Aefli month?'.. siilermn -! -Acc,:Iirvs Rnq oalinqow it PaWn—n! ib.A 1"ll: req,ewed v bit sb(fi,;., It, rr;(, III, li.)­ 1 11 ncT;vunts oll it" 1 J oiiow,op wonth shal, Lp-, C", I --nly Cass tos fulu,v viiimriaia-R until Ille As Cwd m i"il Intere'i at 18'a:, ;ill Lie riarq"j on ovorrlu,� lixounlEA. -Credd cart s at- accepted at time of pur, To.q: ,J), It payfirli is mrade by rminkc-ard aflor pim' d,,11%, a !z-) yv.11 be it ,,,urrfm I All ir.l!,;,! rill pavitlenr's sine ripme'.Lmdel in iTtomy 0i vl,-Lin•leei Sla?es ;sirid m ths, -"sand aiscz wft. jjleaboVj: wrtIN)ut any rqiunlic,i) riMi %JAMUut A =9--jld LO !Ml Agfe-- (Tieril Piirofiast-r r,vuv h-ivs, w,Qi Allier pat tie; ys' Foots and Coss leual ri-bor, be newle.s.-ti:1w ten ,ol'f!ct lhs )r u, m'stnuteel cadrTim) shall s (lod Ic) raczivef ieasonetbk- atiamey (escz arle 09stti allq)e^&,, It is ,AgruF0 tiaj any ,uit br-ought Widil- 'Ally con"a-t vi ;Jial; b-il King Cd,_m; VGA-CADNIAN ROUTINELY EXERICIsEs i r's �eiCNi' SEND Mkt ERAIAWA _q Nf.)TICES CiN ALL JCGS-All FeCle,,31 State _Ttii liicll faxvS Clt . jt.,,aS, a(,41 It viad by tef soo *it INS pmpo�,al are in add lvro LiGted aod x,nal be [.uid W pircitta-v-1 ch",A*M are I.-.. " banellincl cnlap and A.(,,-, not , �?'f iHqvtte� NSF with cash Vh,.,01 -Lao!, ot ­jc-� I., !,,o tfu ryof tQ,,-cT 11-t9 term-, oi aie. AP.%!)PLNALtiGD$,tSf-c#i..A-RPF_S. -An ar ail�;i, 11 JeJ I.. all �, cLy �Zix and �rr.Vo! og. A Fu*il Inny llv' :,dried all dqflverieSiRCh Yew ate intondiacl to cove :,e(tm ln%5 inu-,easim n'xfml,.xil, i,„mt mt>eaiwii,, e;tx3tz-, bn.q­� am rilit Aa)ke'z or reeltAtirac of arlvff.deaft, ,Male ar lei('al aoihe)-My, -0;.:1 mimmom load Tor de;iver, A:, 1, com, Loa utl&i !i lof,F, will _-,e ItAne and material. -A sesisted f-jr aggiegate Jel.vevas Itiat exceed tars (10) minutes per load ariloadifig little on the -A$pe- cj;iVC hblidays S6HECAIUNGfSERVICE INFORMAliOlAll, F'lA&.a,_ei .; r1arv):,s lo origme. dp!ivA-i, i I �r _'l I T olvd ii-,l lhiiowgh Cadman qua . ti . r" epr&qerjpjh­rhnjj-,ji91"ons,,1 dWayu,r) trallsprjrtatirn-,. gova'Inmental logwiitiolAs. firel" tv any other oo,jtios or l:,zyl,,d cm, row-1 -An7p,c-iat,,rs su;�pfied to mav ba*�.xtrLarl irom .tfffefenl lcoratirr,, 'At] UASILIT.Y DISCLAIMER AND INDEMNITY -FOR 3ELIVERYS-EiL D FAUONEWIC ROAD h-) th-7 event — - - .. _ — 111rF,_J�_, cit;,1ivei,, tc remam �Ilml ;,!1* PturcInasei agms as toil.wg Puil*lr.awer ha-, re,qpevej IQ FTI,,.. e ve,e 'IT Z pa.l't Ircr -lic delivei y bf riiakeiialts and access to the prajarrr AgqiiirLr,,j C,adrMlrl IrLJF,'1"4 10 t"eisel bUY0111 the bvimiark-T, i the nearest "veled poblic row Purchasw acknowl- To thil pri oiicUvr uC,ar lrl jmop,;r­[V mily o-ccur because- Wr the size W16 '40,!,;"IT D' iablfity or fil, 1'miqt, of griv kind trial eifi%,, ftom use of Pjji`C:',3sei fir -rrui AAr, Ptft,_ Pu,.h,!F,,, Ap tv ElAvcd rider-ii-lity &;-Ki 1,"Id ii2,ml�s-; m IIA:1111 at 'lainn". Hataky. %o$tj-;memL o, o: anv 1,ip(; NVALJ,n.:3 '11"41 c,ostsj resjflltx.j IrDrr L;apTL&gr7. to por porty of any %0,e (MillodinA; dam -age t,, 0,Ionian. 7 Cruet., �101. Al;j from e:, anlr ova, cA"t n;w.lqd I 1p,owmm, Ire., purchosoF aqft to to 04��rid atai.�Al ti-dipany Jwrit,_). Smh couri5el will be jai the sole ex{ emet of pui:sh25c,. elFt JNJURV ITNOEILli PROVMtON -7 r1i" wovl.,;ti, is nail of tile leans, and. It, tit.,-- i ol ran.,, till.. jrscl', lm,o! el a,,vL A:Cr., 1:­ •4,r�lntra.t cj, ;m-,ornom nu J­ I. vA N)ld r vrito , A - il, 1:1:m al , lo qrlc'iW 0!", lr"j De parr. � It ,'i -Powl,mIL4,11 simly ;ifv ca"iman small nol afml %, -abAlill, Tim' Luit"Mil; ,.;I lll,iliy slitivy in p alz5ar., Am a''irf-dl 1,) v ­illthr,, t -ri, it, Cra,lo _i lt_, i.;, erjp.irVSqs PiJt-m,"13?; , S t! - Lill; Ir A. t, t A J q,ocj-s wv-ul .')f Nzi!,:y 1 'v ilv� tlg[;l p. l 1v r�-!Ljs&d t(JIM n3rApF,:,,c- �y, Yi -­J,rAr, j, .:r v _lm,;IvEes .tha'i .rpl-j -.ln! ! r.1 ih, •=vuio i :i p! v 'AA po':idid- shozi t,01 Dilii-' IT, -t7LVivV'� % rv,,-,i_1r- suvi a_�- in oini,ac! -P'ur,; I ;z;`?` peQlt_14 -1.0 zwv sl!,t;r­:,Yi 'Aj' mAyl-, •,,tp gtaiteo i! urldr?r i1­;e indkil I'ASillii,gAct IML, S', 11,11,Y p[CwHOU'Rat Eudi Al Shall] La as Ixr3?Ir iPIA lred if- pl;fLluss,•? is tl,d(AlT!fl1!V Alt, Sl,tl it :t I l,,-, my lfwd rLoit--, Fiji - A, "'s yt y!yor j tie al t ri any bb any lir,,!.iton on ME. a"C'unT At i; I.jl, UT Irly QaAtj., y as,,C, oitl:y Llillit - S!ip rl:,ic, 2'91,all ti -1, r1ii z.,A: 1, "ri, lt:A. 11�10 tii TI) !V"_ fit." -C k,A, .1, -;,s '­1_1­11,ll,,i-%; 211(! A ..... tec-, A, .! pFoz?lf,LF! [PA-1 Furii;llir!s;/aojr.,.:,Ai T, arwn."! Tmjp�Mv A "Lm "Vil, bo at file, 51,10, fA,,Tlezn* w it G put,th ),o( Ptjl!<',HASE CEIZTIFIES I I lAT THE PRoVIS, ONS , 0-F 1 H.`>DOOL INW:J """ RE SpE<"If- I C', P vi'mijAi I " N 'Go I LATED. CADMA"ERE-RY-E"RESSLY-Dtt-kCLAithS ALL IMPLIED WARRANTIES No eXpress or Cm n I A 1� 'A'It 14k: I,, P. ;Iarr_,.sg­ AAA z,,v wou �C, ',Jjs,� ht"YA,� afilpe, _,tl�,Ts Too- t,,.. I !-!iw1..-: elterpv; 47)ti Wit PI P1 1a1 1 -11 WA t of "IecT. LIMITAI ION OF REMEDIES - Plj I c1ise-, "gA`,! 1,`f,ally tars S -f rjl'ri r st 1 sn 4 a 9 1!A) .�l Carin,F" S; Lao, lily ri 11 , if -I'd V) , I: the di I f-T C 'ICC' A Jam I 1, q-;h& Cadmin III c , (2) the dife-t , Lr,g f 0 t Ai r,tt _-j',sj_ Ih V,.j A 0 -j', U'F lei ally vtwl g jh:;tayl, 111rik. TIME L.IWITATION PWO.nsfir mi-MitlA-19ng,�v's !hett "to Mrs'A' tie <L'.'(r"nabC'fj oi .„atnts.,iin(?ri by Fitmwser as to any Claim, Krj(Awri )I jnKnowil. Allp,)ti ,pfess of impligi: warranty or ,bqtrani -ifte! I y­irfiom the: lasWate Gadbi,m mK,,ripti ji:: T iTAX-AND 1311SK OF LOSS JbIess :,itlerwisn stNtm nit'itmi 11, 11 '11-:0 e'!:3.n ve1,., r.yJr a 1.01111 `_a[TITVTI his 1_-s,,ved 'it!( 1, -,I PI-Iss ot I. - "ater.-los P,;t­nde; s0v& pass to tho Porrit*er up- Jc;Ti,v-ry Ar Ir.2 aiiii'-p .1 .A: r.e dpsiyl r,ais,k li,ti,jio Trie;aetf,W In 9f(I1Ii .1 11, '1-:.,,a ,:,a] ndl ri'c'.i. r . a 1h 0 ince-7with I-' r qii.., tA at. - m&,Tn­,.itLi1 tjQj%j q;�jjqls kz gees� T" jj)j,,,,- tit p1t; p 4 ref arty Istrio ari,fng 141211TI Melt �Avflil i!'Or hantilinq ot Said materiels Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight-filbng eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, ocol with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all dims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent _NWGDELTKT0904D8 Leave Plant Arrive Job Site Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Order No Customer CUSTOMER 4611713 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-2521 Company/ Customer PO/ Cust. No. Customer Job Phase Code TICKET NO. Driver Delivery Instructions Load Qty Delivered Qty Delivery Address Order Qty ProductCode UOM Product Description ':nl tri MODIFIED CLASS $ FUEL_ CHIS, Date Map Scale Time: Unit Price Load Size Prod. No. Description Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # Co. Proj. No. �t Zone Amount _ •``���,i.-� '�- �f'#_ E; it r r ""V aw 3 - i �r�,,��,,�,,,,y� 1 _ - �• +emu 'ttgallii�� i .�'Q1117� 19t1�:,1 4��t,11 , dtiL>���iks9in 3S.etOc . I t' i m't� � •:.tea �. ,� 'ii 16e , iiu cd t4 m-s* ova. - tD i -fin IQ WK-'1-..20.1i �qq� -.4 , mablow V&M,x,,' a too r ,M, tU ] �i* tkt-aE iY �a�f� + +, ,u1 pia rx' : t �•,r '-,Aw 2dr .1�as aI►1'{5 lid �e4 L4 i _a l i� ;�- _ ��1� '1 { :1�-J}F.;a. 181 6 l ?i " 79Q wG 10�r,�wlc aft -R44-' j i 1 �-7 Lf•_ jz11YY1���0 d��: z ., ..:� F �11 '.{f'�1:�, • .' - _ �'_~ _two_; 1 t - r ' of • Aril i..ti 59 r - r L14 ' ir,,cc><a J T _ y } i a • _ Jliuiq' _ .rtl -�i 'J 'Y i�tnc) 11 �- 01 zh ' -± X1'.. " �' '} }rr ` - C.t l'1J l �• �` - `�, �'�'� ��}r.1�+Yi� VMSX � ..iJ �ll� �'' t ,�i;�� •fir, , - Y' �.r -���- u }_i 4,11�►. v �� � !fie_ �i. - � ��_ _,'. ., -.Sd�t=.= . _ � l��L�� DELIVERY TICKET IS CONCRETE STON EWAY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle TUKWILA (Plant #12) 17024 W. Valley Hwy., Tukwila RENTON (Plant #14) 915 Houser Way N., Renton ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (42A) 6-1000 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR __fLEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CI CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY ❑ CASH ❑ CHECK # (C.O.D.) ❑ CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS VISA ❑ MASTERCARD ❑ DISCOVER • •� DESCRIPTION • • SNIP 8 7 JOB TOTAL SLUMP SPACING ORDERED BY • DRIVER TRUCK NO.SALES • TAX WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: FORWARDBALANCE ❑ YES •� gals. to full load ❑YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ YES ❑JOB NOT READY ❑ LACK OF HELP ❑ ADDING WATER ❑ WHEEL BARROW JOB ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1/3 load ❑ WAITING FOR TRUCK TO UNLOAD ❑ PUMP BLOW -BACK El NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, STRENGTH. WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR .. CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: a.. Naterial Description Desiyn Oty Required �tttled Var ?ioistive ktd21 Wat Spec. Grav " CONCSW 1464 1423 Ib 1459 lb 1440 lb -1.34% 2.5d= II 4, 1 1.@6 OR34 a464 1%5 lb 1%9 1b 1968 lb 1.45% 0.M M ?` 2.70 CEII 1-11 CERT#2009-11 470 lb 478 lb 51@ lb + 8.51% 3.15 - WATEP. WATER 1 250 lb 97 lb IN lb 2.79% 12 gi 1.00 F6°O WATER 2 `ie % 0 97 lb IN lb 2.79% 12 gi 1.00 Actuai 1�1e Batches: 1 Load Total: 4110 lb Deign W/C: O.432 Watet-!Cesent: 0.490 T L*slgn Water: 38.0 gl (actual dater: 28.8 gl To Add: 1.2 Tris Water:-15.0 lb/ CY TICKET TOTAL IFL 12112 CUSTOMER COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the dkecuted Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post -judgement collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR .,..,,_,JUkHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TARES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by . Pir. haser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality -assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or Personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or fraudulent, to the full extent permitted by law and subject to the limitations below. Purchaser's duty to indemnify Seller for liability for damages arising out of bodily injury to persons or damage to property caused by or resulting from the concurrent negligence of (a) Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. or its agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contractor warranty, must be given to Seiler in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. if a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. if you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable NIOSH/MSHA-approved respirator. In case of eye contact, flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN, USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET (UNHARDENED) CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. DELIVERY TICKET IsSTONEWAY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle CONCRETE TUKWILA (Plant #12) 17024 W. Valley Hwy., Tukwila RENTON (Plant #14) 915 Houser Way N., Renton ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY CASH ❑ CHECK # (C.O.D.) ❑ CHARGE MAP ZONE CARD # EXR SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER • PRODUCT DESCRIPTION • 'AND 7If.3 ENV I RONMENTAL- '"aUR1= I-IARGE JOB TOTAL SLUMP SPACING ORDERED BY SUB -TOTAL TRUCK NO. DRIVER • SALES TAX WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: • _ • ❑ YES gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ❑YES ElJOB NOT READY ElLACK OF HELP ElADDING WATER ❑ WHEEL BARROW JOB ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1/3 load El WAITING FOR TRUCK TO UNLOAD El PUMP BLOW -BACK ❑ NONE El WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, STRENGTH. WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. DISCOSURFACE LORATION PRINT NAME DATE BATCH DATA: Material Description Design Qty Required Batched % Var Moisture victual Wat Spec.6rav C a464 142{ 1b 2189 1b LOW I 0.49% 2.50% M 7 g1 I.0 I @F.34 a464 1%5 1b 292 lb 29FA lb 0.22% @.M M 1 gl 2.70 L� CEM I- I I CERTKW1 -11 470 I b 705 l b 700 l b -0. 711 3.15 WATER WATER 1 2% lb 138 1b 140 lb 1.13% 11 gl 1.00 y H2O WATER 2 50 % 4 138 1b 145 1b 4.75Y 17 91 1.00 Actual hus Batches: I Load Total: 6145 lb Design W/C: 0.532 Water/Ceiiii C 536 T Design Water. 44.9 gl Actual Water: 41.5 gl To Add: T_ Trio Water:-25.0 lb/ CY 1, TICKET TOTAL IFL 12" CUSTOMER COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms Of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post-judgemen', collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or fraudulent, to the full extent permitted by law and subject to the limitations below. Purchaser's duty to indemnify Seller for liability for damages arising out of bodily injury to persons or damage to property caused by or resulting from the concurrent negligence of (a) Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. or its agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. if water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss. Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable NIOSH/MSHA-approved respirator. In case of eye contact, flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN, USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET (UNHARDENED) CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. DELIVERY TICKET STONEWAY SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle TUKWILA (Plant #12) 17024 W. Valley Hwy., Tukwila CONCRETE RENTON (Plant #14) 915 Houser Way N., Renton ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY [-]CASH ❑ CHECK # (C.O.D.) ❑ CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER • WHI• DESCRIPTION• JOB TOTAL SLUMP SPACING ORDERED BY TRUCK NO. JDRIVER 7• WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: • _ ❑ YES III •Loll] gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ YES ❑JOB NOT READY -1 LACK OF HELP _ ADDING WATER ❑ WHEEL BARROW JOB ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1/3 load ❑ WAITING FOR TRUCK TO UNLOAD ❑ PUMP BLOW -BACK ❑ NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL STRENGTH. WATER ADDED AT SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: MA.ei•ial i0eSCYptiOn Ge5ign ifty Required Batched % Var itoisture Actual Wat Spec. Grav 1423 lb 219r 1b 2161 1b -1.59% 2.751. x gl 1.06 1'K,5 1b 2953 1b 2968 1b 6.22% t+l.2@x M 1 g1 2.70 4z&'3-11 478 lb 785 lb 890 1 b + 2& 24% 3.1 lb # 143 it) 145 lb 1.32% 17 91 LN 143 lb 145 lb q 1.32% ,�i gl 1.08 t,;• �,, ,1: :�1 ;)e,j p 111C: d.532 WateriCerent: 6.4el'i !lesion Water: 44.9 gl Aciu:AI Water: 42.6 g1 To Add: 2. TICKET TOTAL CUSTOMER COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition`precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments do hereunder in lawful money of the United States and in accordance with the terms heregf, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post -judgement collection efforts. Venue and jurisdiction of any suit or legal action• f,99WII% King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. �STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS, 3. TAXES. All federal, state and local ta"s, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or fraudulent, to the full extent permitted by law and subject to the limitations below. Purchaser's duty to indemnify Seller for liability for damages arising out of bodily injury to persons or damage to property caused by or resulting from the concurrent negligence of (a) Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. or its agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses. including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shalt be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placeme-" of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or ha-' said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long -sue trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fry irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after conta can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediat, or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above re- NIOSH/MSHA-approved respirator. In case of eye contact, flush with plenty of water for at least 15 minutes. Consult a p�- CHILDREN, USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTAC" CEMENT OR CEMENT MIXTURES. IsSTONEWAY CONCRETE ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle TUKWILA (Plant #12) 17024 W. Valley Hwy., Tukwila RENTON (Plant #14) 915 Houser Way N., Renton CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) - CASH ❑ CHECK # ❑ CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER •PRODUCT DESCRIPTION AMOUNT ODE JOB TOTAL SLUMP SPACING ORDERED BY TRUCK NO. DRIVER REMIT PAYMENT TO WATER ADDED ON -SITE CYLINDERS 9125 10th AVE. S. AUTHORIZED BY: SEATTLE, WA C YES 0: TERMS ON REVERSE gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY _ LACK OF HELP ❑ ADDING WATER El WHEEL BARROW JOB ❑YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1 /3 load ❑ WAITING FOR TRUCK TO UNLOAD ❑ PUMP BLOW -BACK ❑ NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING- RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL STRENGTH. WATER ADDED AT SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOTFOR CONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: , 2fi31 EkescriptivR DeSiin Styy Rquiied Ratched % tsar Moisture Actu:'al Nat sk.Gl'av CONC'A- a464 423 lb 220I lb 2240 lb 1.79% 3.W% 9 6 q1 1.0E SR34 a464 19E5 I 29�..3 lb 2%0 lb 0.22% 0.20% 14 1 91 c:.?@ CEN 1-1I CERTOc'W-11 470 1b 705 1b 720 lb 2,l3% 31.15 RATER WATER t 21A )b 273 1b 275 lb 0.70% 33 gi 1.001 1-0 WATER 2 It ib lb f ktllal Nut Ratche5: I Load Total: 6135) lb Deai911 W/C: 0.532 Water/Ceveitt. 0.5,21 T Design Water: 44.9 91 Actual Water: 41.7 gl To l&I.. Trzt Water:-20.k? lb! CY TICKET TOTAL IFL 12/12 CUSTOMER COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post -judgement collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnity, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or fraudulent, to the full extent permitted by law and subject to the limitations below. Purchaser's duty to indemnify Seller for liability for damages arising out of bodily injury to persons or damage to property caused by or resulting from the concurrent negligence of (a) Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. or its agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable NIOSH/MSHA-approved respirator. In case of eye contact, flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN, USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET (UNHARDENED) CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. ISSTONEWAY CONCRETE ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle TUKWILA (Plant #12) 17024 W. Valley Hwy., Tukwila RENTON (Plant #14) 915 Houser Way N., Renton CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY ❑ CASH ❑ CHECK # (C.O.D.) ❑ CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER • PRODUCT•DESCRIPTION• JOB TOTAL SLUMP SPACING ORDERED BY SUB -TOTAL TRUCK NO. DRIVER REMIT PAYMENT TO SALES TAX WATER ADDED ON -SITE 9125 10th AVE. S. AUTHORIZED BY: SEATTLECYLINDERS WA BALANCE •_ • ❑ YES TERMS ON REVERSE TOTAL AMOUNT gals. to full load98108 ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ YES ❑ JOB NOT READY LACK OF HELP ❑ ADDING WATER ❑ WHEEL BARROW JOB ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1/3 load ❑ WAITING FOR TRUCK TO UNLOAD [I PUMP BLOW -BACK ❑ NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL STRENGTH. WATER ADDED AT SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. --------------------------------------------- SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: Pia�erial De,cript on Dlyit t16 COi'I M a464 142,3 1b Required 2176 1b +patched b 9JI ''oisture Actual Wat 21P 1b 4.833% 2.N% W 5 gl Src,.Grav / 1.06 � GR34 a464 1%5 1 b 2X53 lb 2�,0 lb 0. EN 6. 20% M 1 g 1 2. 70 CEN I-11 CERT#2004-11 470 lb 716 I 738 Ib + 3.55% 3.i5 i WATER WATER I eA lb 144 lb 140 lb --2.79% f? gi 1.N H2O WATER 2 50 % # 144 1b 145 lb 0.Fla% 17 yl 1.0@ ktual Nuo Batches: 1 Loud Total: 5135 lb F*sign WX; 0.5Kf'. Water/Cesertt : 0.514 T 1}esigtr Water: 44.9 gl Art tal Water: 46.0 9i is altld: 4.9 .il Water'.-25.0 IF Cy TICKET TOTAL IFL'_ ' CUSTOMER COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post -judgement collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers. quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or fraudulent, to the full extent permitted by law and subject to the limitations below. Purchaser's duty to indemnify Seller for liability for damages arising out of bodily injury to persons or damage to property caused by or resulting from the concurrent negligence of (a) Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. or its agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties. express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation. Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein. title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable NIOSH/MSHA-approved respirator. In case of eye contact, flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN, USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET (UNHARDENED) CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. DAILY INSPECTION DIARY ..r DAY: �1i/��� DATE: � / // WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: s C i -t 9 a.m./p.m. i� 'Are-z- "..t Lr A �i � e CONTRACTOR SIGNATURE INSPECTOR SIGNATURE REPORT DATE: DAILY INSPECTI(NV DIARY REPORT 4� DAY: DATE: WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: G=, A=e I3N Two 4', 2 1 1 CID 1 1 r$ Z r-I� c.:. Coo-��-y�-�-�oY GH 5 , Jac y � L .G 0'7� Vl,e...► \-I vt S -rn l I -e b lcT ,4 a r� f u i' �i.�. -n �— CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY:yd,& _ DATE: WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: A--:, j REPORT Ez? - 2 c =v" ru. 17 ems— eAlz "Z .Slug .,2, . is 9 L 1c -2 Z 5 a ,kcc. is cL��/ Pnt r CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: WORK PERIOD: a.m. /p.m. to a.m. /p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: L- 0 C277 r/ 4 x c--%lLf4x r n` %Qc' i ►� V.*, - 7 /777vn,4e/ems. A.1 11J 4 - T ru.& I l Mhrh. eb5ov% - V -lz�zc 1110-eTc) ���w� - - ��-e�►n. cl� 2, Z S. c� ,�'/�c Rr e.•.4 fir- - l'I y �z v rn��., Pt ��✓� tx4f CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: ' j DATE: G /IZ/ tyWORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: i'YUvvA lt�W-e r S/��y✓� c:; Gov s P . S.9-Y-+ �. v v Two jZej2 1AC--Z Th, s Z Z 5 S 'Top lAce.VltJ Tva©- - i s C CONTRACTOR SIGNATURE z0 INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY _ REPORT DAY: DATE: 13/ %y WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: CIA C.-- S -r 711.1 C 1 in t..4 I vq 3 T-*Yi i f b ) -,q.- - n.S OQ-P rC. L-.-0•O_ ,,i' i� GC �j U J_ ZZC� ` J(j � %-Z � • �x— W�4AA 1i�i da ✓l.% S.i i.a 'RLS f�S t/ ✓L �5 T c+?'N 11 Jog 4 rn _4,kcn C 'gel -mod a /� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: / :' DATE: 6 // / WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: & co G GIN < r r CONTRACTOR SIGNATURE a.m./p.m. INSPECTOR SIGNATURE REPORT DATE: DAILY INSPECTION DIARY REPORT DAY: TAiji-,,r*)L j DATE: (, /Z1,,>/ 04 WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 1M c,,.�•.e� e �, (, I ,Cry �:, S -� r• YI S'`/ ' ` /ham+-► ho i c: swr n 71 C t� ]i✓t .� /��Ci f L A it (Zr� T� V� 1 C C •3 u i r s`L� S.A...�_T_Swewe Tc' Cv 4 /A c--�# ✓ f-i (% ti - Lc.tsi S C A,04 C-L t:b 40",b Lr..4-� /J .4-tiI i / � t: r ,O1 uv►-t 6 5 : "Dy 5-�.�.> � •Z. - /Llama. �� � ti L e Z_ � :,�.. /�•�-� � s�,e� e..k �� (l.c� A Ce , � r'yr � Y �� a ev � � � � � YL. �: -zly- c/4CW1LCr 17rw (Z►5 is 4eLn4 L/t"i Z. 3 Tw v CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT # DAY: ? 1-) -em DATE: 6 / ZS% 1 Y WORK PERIOD: a.m. /p.m. to a.m. /p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: fs'%J" C.) cov1 S 1 it-ey ► OVAR C Y-0 S T' I r r. Say.• sv-w-ei C f reams oc, A; - Ta L; T1C r U SC vLT .+ -0 .- Yti1 /S � v� �q p � C l� 1 C9 L rf- 76 44A -e Y;�re WA's Sri nc� 8 - �luS `�' tx4, bDel To Ay z M N CONTRACTOR SIGNATURE �.6 w INSPECTOR SIGNATURE DATE: Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight-ftiling eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at fhe top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also. Asphalt may cause severe bums. Wear protective safety gear (bug sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. F-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signa ture ure of Owner or its Agent Leave Plant Arrive Job Site Start Dischar Drivers' Comments and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent _— NWGDELTKTO904..0 Finish Discharger Leave Job Site Arrive Plant Company/ Order No. Cust. No. Customer Job Customer Delivery Instructions Riff"T j (7ln' Customer PO/ Phase Code Delivery Address Delivered Oty OrderQty ProductCode UOM Product r r' o TICKET NO. tr) CnLI_i-MTY FUEL_ -tar-. CUSTOMER 4621544 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. ! I,1F t )-Ef 1 kL 1115 SOUTH 9ETH SEATTLE, WA 98108 r 0(.:�-7E,7-`5c 1 I�BII�III�IIII�IIIUIIIIuI�Jnlllllllll�IlN Driver Co. Proj. No. Date Map Zone Scale Time: Load"Sizq ) ,_ if'(gd, ho. Desfription t^ hl ; Slump Type CC Use Haul Cd. PiUPlant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # Amount DAILY INSPECTION DIARY DAY: wL-L DATE: ( /// //y WORK PERIOD: a.m./p.m. to a.m. /p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE INSPECTOR SIGNATURE REPORT DATE: DAILY INSPECTION DIARY REPORT 4� DAY: ((Vez) DATE: (0 /16 // S/ WORK PERIOD: a.m./P.M. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: lb% V S ,-crm C j ���,e �� 3 Ia — ,1!�ttLZ.S a.m./p.m. iZ z 17." GA: Q4kA,- CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: DATE: 6' / /,2/ 1V WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: ,.I. u S 7 sh ti cJ tw $70 , /,,� - 2 • s .S /J, -/'% . CONTRACTOR SIGNATURE INSPECTOR SIGNATURE REPORT DATE: CADMAN 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Vall 94ack Diamond, WA 98010-7800 TICKET NO. 1 3078971 TICKET TIME p7:05:22 DATE 6/19/2314 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. p 365 656 /D2 28816 ype Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone uck & Traile 937 B27326F FHauler/CarrTie�No. Driver's Name Delivered/Ordered Load No. Running Total 858190 33.27 4.00 1 33.27 BD/D - MONTEREY TERRACE WATER MAIN REPL 2235 NE 3RD ST IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII RENTON - MONTEREY TERRACE WATER MAIN REPL PREV. WAGE CERTIFIED TICKETS GOING TO YARD Product Description• . 92253 CSTC 33.27 SCALE WEIGHT GROSS & TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Gross 105,140 LB Sales Tax Tare 38,600 LB/P.T Sc® t Sca�ie2 Cadman, (Inc.) will not assume Liability for any property Jennifer damage or any equipment damage for any delivery beyond Net 66,540 LB X Deputy Weighmaster the curb line. Total No one available to sign, customer waives receipt Received by Signature Print Name (Customer) Driver's Signature Standby signature. Time � X Ix X Arrive Job Start Finish Standby Customer's Initials Unloading Unloading Time X ( 'clulf-11,111. hc. 1-:1.1lis Ar141 ( ontlillolis TERMS 01"PAYMEW C-1flih-11 a,, fmilt"ll f c,p wrsrtc,001 ne ?, fey each 01.0rIM u.l ! 1"If 51,: an In 'l, t r n.,kWS W are cl0inqLpI it it jlamr­', ji in uu, otitca '/ flit 2,.' li­viioM) I-ii1owing p,:­_1.-1'e ;11-, IS of tr oil,mmort rric,lith Oell tIfw cn aCn-,11 onil; baSiS Wrfijt_.Ni Ii fi'll All 181", wiiI I)(-, Chwpi,n c-;,. lv(1,rJa-2 -Cre-dil ct cam nC .eptod a, iirni: -,f p,wlvasn ff pa'ynrieril Is Ino.:!e viv adf.j uuvja.e date, a �.>. tee nil: t,,-. v,"-; _Ifr7d •P.1-01-aser OIEII, mak,-1 ia'l travilevi- &e :1, rewfde7 .41 nwru: vlorii* of Til-1. U111mi S*,Ves and In the acc-cir"ilance with t"plallay wilhou: anl ai,d Wilhot-.- r•=gaed tc. any acjni`omsnk Pu,cilafie, --may ;)all :rani othw pa, tl:.z- i)_t!urn•sFoci And r-ap"s, h act itIg,11 adboll I)e nitr'e-sslai tcat act ill-s,nvi, Qp whefhH c.; ocwf t�- v,46fl(, :idol .-idpiert Yiali tx n rF 7 :) ezover ,,"tson.at* Pxts anM -_lsrsilirhiding appll"Ils *f"OUS Y IS a(lMt"I that GTV Cl-lit b7odqht uldar ariv I c; acpaerv-,n: with custorier sl,Hll. e n K. 'ig Cuuntv VVA. -CADMAK ROUTINELY EXIE-ROSES I—, S t31�,4T TO SEND V:,'VVV;:A: MAN'S NCITCCE-�' , Of,; ALL,jdG. Ali F-dce-al State. and Icral taxes. assessi,.,?i its. le,t• okifie'-, as-1 rhlvu6;-, leveled t", reason oj ara In Iddli-cin, TO 01.10'ed find 21i7ll tle )-air; t`Y cNfi:ik,- bjeq, to a Ir-ir(Ariq chstge and: ar, riot ro-cfljfxi�Woci CAt'Jjllj,jn wuh,., "481 ch,.HAS LU bv t,'lolaCVd willt ciish of cashie-r c7rleck. -1-ack N ptjrfllaiae omleir or jut, nortilienl% do nof ar"ect the terns of ,ale AP-QUIONAK CQV41CHAKUS -Ar- EpA -,ptAj ff�_%M _ajtcCarub iE adoPd to all ready inix CH10 A Sor&iwiav ma be al-Ided to aK dolviiti 5 char yes all -i inif.,ndeo lo r,cvor .,fir an it v Ic I e ast I x I; f'w• als if I c om olvi I -I q wif h o r; d Or. aw, maj fforis ,W. piralasing e , itarpJut estS I j r ta I, af, oni teves of requirK-1 In wiy fed.,alslate or aUIl1QTiTV. -OW minnum tnitd f6i ait,,gre.qatili deiive,v is I ion? L­Sav!, urz�i' , 15 for�q MI bo chavped time and inateoa) -A �,japgj)y ,- is 6 sessed for ajgtoate de[Meiin tiliat axcead ten 10i mintirtesper load unioading time on Ilia IoDsizza. -A jjpe­ Qemad, In Caji'lan't; (fisptcb CYfhre only and rijT %,.rfough Ca4n;av drit-is. quality ass.ivail o' sa'ts -Tile oMqutionlz of Cadman are swiect tr-r coriziigeriiies of strikes, accideilL- beiriy,. in tirrvisporiati.-In. iovevimen1ml replah:aris, of ally roifiet causes tinavi:,dabia of beliond .,jF -Aqgteq;! 55 s..,,:pve.d ter P:Amflaser may o.- s-.x_lrcc-,I tiorv. diliaralli locations. -All materials are wLIFrn In availallflily. LIABILITY DISCIAIMER ANOANDIEMNITY ROR-DEUVERY-SEY11 -�K a-PUBLIII ROAD e I - - - AD III I`n event purchal;r-1, detivery to tic mwle 'eeyoim�. cort; !*Ifle. puicna.sier l,g,ge5 as lofiu-wv,,pwiJ,1s'-f has Badman to make wm 0 ax. patf, for th= :4eIK4ry of materials and a-xebs to the projv.i reqwrjo.i C,lidmri trv-zkzto tra,,nl heyh iun i fe, of U11 nesv,?st tra,hlisd tnln roarl- ackr:owl- edo;ls In.al (Iamane lc tali, pre w.sr .%sa,-rlrr;r ad]ac,2rr p­�pl.Ity may oLc ul beca-!re oT .he sfzI, anvi 'weirril't fe Cadman it j,;ksand Cjc1mar, t may D-ic1pela-mpgad draWed, Lff stwcx kiGrq Pxch?.,,A-r F prIIII. Cadrilaf, oiqcialm.., any o' lf�,f dp.ffL ge of any kind Itiat i from Cadril,,lo', use of PwT,hAF,=r',1 I e'w,rtnl path- Fvmliazi,­ a.qi3es to (istletlo, undefnnil'i, and hild rarrilless Cadn­, 'n i,oi, all clAqns 1abilily nannzv,2,, casis juldlfminfs o, f;as_—_s 0 ariv kind imciviing 1easoriable atlowl"Ilii 5 f0f-Is and costs) fc-'silltmg fidr, l' to nrcwertjof ruill kirld OnciAing damage I(, Cadman s il,iirk6; arisincj rro-, w :n any Way ,CMIOClad 10 CadillanS Use of 1112 -NUiff.ld P3th, i_IPQ;1 Callrian's lendisrof defeasc� under th, provivic'n, Purolia"49rees, triatini-in:t counsetv defelid against thir(j harry clb)mf,): Sucti vill tia, arthe sale of "rchase.,u PERSONAL INJ.1lIAY tNQEM.NI fIROVISON v, G ,,,p,,, is r)41 I :-1 thij 'arms 1,V, I :h(- r"i and C i_tl 12 jed !�,'omrlj -Alth th= pro,.,:,ws of RCV0 '124 111" ki *1 Ir 'I !.)I, 1 -.1 l Ur1. rEirhvepw !nts T :o,-j i,l —r-, mwc:1 - wirept r,&-! Silo. I I CG­i5-E> 1: J ,vi hv, on+ -fln all r, uz,,,-nartr -r:. cGIITN- ir) P,',Pql bo*„,Id r:1,11ITS, 3, zIIn,7,­Vpd n cq *Fv will, the iii-s in tIlkii !;.j: I it 71", 1UNL'il l,! I& aol 1t v ;,[,Pb_n� FlOVIjq'.0 4 r-YA. -pv,lt.asc,­ , dury !lu lildLm,lh ti�apt*vl r,(l. I� �ill�,:�":Jn--' D, ""d np Iy tJ li snj r, on darm4gp tl I",, �, (.t-u tl,-.rj Irciln Via -.k oc.ej;;.it,�A�, ld Lacrila,) jr t*j aficnl, nf Omplbvftz_ P,Iper,Me6tdUtv if (v'a wCa.1 r,In to labii r ' faI -;a(Tlx;i:-, mon. Or fair --?air- lo jj,Fjercq catis_1a by Irc:,Ti ir, C-Ad.w-iri !Q0 mils ,Uju ag&,Is ,, e­p1cwxe,. plovilt-ft g"p, Shill ne P, p ear's a l)fli 4Y 5 1 411 it In U'Wls.,,t -IU1T:II':I*k: on8�-pr-nsztilv A',ec ary mmi.witsUnot m3y *o gren-T-id if,indar lho VialIh- ilV)r-)II SVO Industlal 111,luTallC Ain, Title --,I 171C."V ll Ure" awe of ails, )mel- cr9,2. r-rlYtit'l V.,al walvc*rsrlafl L,e -%Q­,0.' 11111;tud V PIIIl,'1'0!i,.-,I'= rid,runi l, '%UN!,w 7^'hei n ai, wA •e a. brl, ;&fi; .,v 'I`Tv 1110 'ilarivt Ful tll•!I tl,o lhl", slla'i lot bke Z:111�10 in at---7 wev rxy ,^^-.Pv -litawl) LI!, li!V DrIllo""ll vt typt, Ill A(ly nofnallcs C;f Payable ko Vr l(Dr aly hird owl-iind6ir w�rkv', wl) poill'aQ:ii arse, I:i( r,eltfi A'As orotter T --mr1cl-jap- mnail, alctv Pwchasrsr's duty to -j*1;6n:1 indemnify vid hull adqlwi I ;i _"Irle ipr.rvMvnt !"t 1:., em-rao-- ivtvesf. ueivall -vi re.sr -Gatite attf.Irrevs' tencf-: o� undel, Ills tho Porch dor13W,' . eppUll, o.Wiliv,l of cadrtla,,s 6ioir­l to Jip-1criLi 3gE;v.jt third fllo v -1 1, -ail W101 bk' 11 fhG -J (il<'Ien,34 J fit,'? P­i-.N8=af THF. FURCi ii,,,;E HIFRIB) TI-AT Tj"IE (-If- THIS POL'OMEN T '.V-- RF Sr`4_.`,.If_CP: I Y AND V;.:TLJAU, N`_G0TVTEC CAUMAN-RE&ELSY-FALPRF$$j=)LL)I$C-LALM � - 5 ALL IMIED )A&A_R"NTIU No wail, es. express, or 0; ttnfsn fora )r are ri-Alr, and 411 AS, 15 -111] 12117 I.T)l irlIftd LL are F041I,l d,,Iav m1wr, Jamag'.5 Iusl oroti*s, lob.-w oquv nlI1 too. T,t-rq, C�Cwici r rid t-cwe ON, ;ndreil> l co .,, p.)b- site ll".l.4,11trae, is dtI1J'T­1V_` 11 n­:'! fi,i*raiin- c-f Oa_m c U1141 W ION QF REMEDIES s xc 'I)o. v az;follows. k1l'.1ky a tmir�fl I) il , the (vH*Fpn(-.t, rw ollimfl purchase ­c� of the Gadmm-, materwil of 0 the dirr,.;31 if repw,mi, the (-a:fnja;l I,,yar !I In I-i" evilit -111 c.fir i�n cc flablp far aliv 01P)-;t Of d8ril­.rt lcla:=,lj I:! I, ag qw:F" 1!lei il; w,'[wes, Its nqi" xQ 1clac I al;Lmpton -u �l Cadman Pov,?w rwcaifc,i;!:,- ti ­'U,Ir n tfn*'.. ,'l, diw� 3flel TIME W!AITATION I'al m: i-3 or PtjtchE,,•, ev to .'Iv koo,i ar i)nk-1 :ipu '%N Z!el". Of cipl:eq ww'p."tv 01 I sifl,, I vdl t'im Me Usl date ca-Iman "ei;..'eiic-'i I- P'C`­,a6�., TITLE AND_R*K OF LOSS Ull!eIR, .-Cat,J tit *o Vie S,tIc ltei,,woe. �t;rl:ln l%ifll I arll:l C?rinlan nas r,;,,i,­� 4 r1f f,, rr jl_j. Pi,oriasel 1jr Zof fr r malf?"als a, th "I'am u! cipsm, i!;I­l 'Ie­m in addiritri I, zi,5!_MWJ all Iskc.I, o's, A­Ir%n 'T f jail ie ,p_jn,jI, ,jjr_ 4(-,r r,ompfi- ance wifrall q; wpr, m4r,lai r0q] nation'; alld ord, ipnc�s to w4lce f-1, of i,a s»mr ;lLqd aorevs io ro.d cndnl.�ilawv'flq: ail V.wresulin; rfccl damqa I'D :1l1p,pIY of Iwq kllf nTj;;ij,j h,, Slorwii. or ;zl,0 T,n m ,5 a riia,erials. CADMAN 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Valle Mack Diamond, WA TICKET NO. TICKETTIME 1 09:2C:16 DATE 6/19/2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 365 656 /D2 28816 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Trailer 937 B27326F Hauler/Carrier No. Driver's Name Delivered/Ordered Load No. Running Total 2 66.74 BD/D - MONTEREY TERRACE WATER MAIN REPL 2235 NE 3RD ST RENTON - MONTEREY TERRACE WATER MAIN REPL PREV. WAGE CERTIFIED TICKETS 92253 CSTC 33.4 SCALE WEIGHT GROSS & TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. � ' � - Fuel Surcharge Gross 105,540 LB n E� Sc e 1 Scale 2 X Jennifer Sales Tax Tare 38, 600 LB/ P.T Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 66,940 LB Total Deputy Weighmaster No one available to sign, customer waives receipt signature. � Received by Signature X Print Name (Customer) X Driver's Signature X Standby Time Arrive Job Start Unloading Finish Unloading Standby Time Customer's Initials X CADMAN HlEIDELBERGCEiMFNTGroup° 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Valle) Black Diamond, WA 98010-7800 TICKET NO. 3079625 TICKETTIME 1 06:57:52 DATE 6 26 2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 365 656 /D2 28982 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Trailer 959 Hauler/Carrier No. Driver's Name Delivered/Ordered Load No. Running Total 7858190 STEVE 33.57 12.00 1 33.57 BD/D — MONTEREY TERRACE WATER MAIN REPL 2235 NE 3RD ST RENTON — MONTEREY TERRACE WATER MAIN REPL PREY. WAGE CERTIFIED TICKETS GOING TO YARD Product 92253 CSTC Description ��Rlmwdim 33.57 SCALE WEIGHT GROSS & TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 105,660 LB Gross ® � Scale 1 Scale 2 X Jennifer Sales Tax 38,520 LB/P•T * Tare Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 67,140 LB Total Deputy Weighmaster No one available to sign, customer waives receipt signature. 0 Received by Signature X Print Name (Customer) Ix Driver's Signature Ix Standby Time FrriveJob Start Unloading Finish Unloading Standby Time Customer's Initials ix (i) LAKESIDE INDUSTRIES, INC. Kent Divii.sion-Roi--ik Scale TUIC.l�:!..Weights AN EQUAL OPPORTUN= EMPLOYER 0 WA. ST CONT. REG # LAKES1-274JD 0 OR. CCB # 108542 HOT ASPHALT MATERIAL SAFETY DATA SHEET ON REVERSE HOT ASPHALT MATERIAL SAFETY DATA SHEET TAI'S IS-180 -PROTECTIVE CLOTHING Asphalt cements and oxidized asphalts require heating to high temperatures for transfer and application. The resultant high temperature materials can cause severe burns, and precautions are necessary to prevent injury to personnel. Emulsified and cutback asphalts may also be heated sufficiently to cause severe burns on contact. When handling heated asphalt, chemical goggles and a 200mm (8 in.) minimum -sized face -shield should be used. Loose clothing in good condition should be worn with collars closed and cuffs buttoned at the wrist. Gloves with gauntlets that extend up the arm should be worn loosely so that they can easily be flipped off if covered with hot asphalt. Boots with tops at least 150mm (6 in.) high should be worn and these should be laced without openings through which asphalt could reach the skin. Pants without cuffs should extend over the tops of the boots. FIRST AID TREATMENT FOR HOT AC BURNS • Apply cold water or ice pack to asphalt skin burns. • If burns cover more than 10% of the body (about equal to surface area of an arm or one half of one leg) apply lukewarm water, or warmer if needed to alleviate pain, but heat in the asphalt must be removed as rapidly as possible. • Do not remove asphalt from skin. • Do not bandage burn. • Have victim examined by a physician. [� STONEWAY S CONCRETE ACCOUNTING: 9125 TENTH AVENUE SOUTH SEATTLE, WA 98108 • (206) 762-2566 SEATTLE (Plant #11) 3803 E. Marginal Wy S., Seattle TUKWILA (Plant #12) 17024 W. Valley Hwy., Tukwila RENTON (Plant #14) 915 Houser Way N., Renton CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. DELIVERY TICKET ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY ❑ CASH ❑I CHECK # (C.O.D.) ❑ CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER •7 PRODUCT CODE DESCRIPTION • JOB TOTAL SLUMP SPACING ORDERED BY TRUCK NO. DRIVER REMIT PAYMENT TO WATER ADDED ON -SITE CYLINDERS 9125 10th AVE. S. AUTHORIZED BY: SEATTLE, WA• ❑ YES 98108 TERMS ON REVERSE gals. to full load ❑YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ YES ❑ JOB NOT READY ❑ LACK OF HELP ❑ ADDING WATER ❑ WHEEL BARROW JOB ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1 /3 load ❑ NONE El WAITING FOR TRUCK TO UNLOAD El PUMP BLOW -BACK ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, STRENGTH. WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: I tp; 4esc1 tption Desi R tit' Reqult`Pd Batched >` Vat, Moisture Actual Hat Spec.Gr39 ,:NI1 M a464 14E3 F GR34 1475 lb 1 W lb - 50% M 6 q l 1.86 a464 1965 1b 1%9 1b Me I -0.45% B. 2ft M gl 2.7N ;EM 1-1I CEMEW9-11 47� I 478 lb 510 lb + 8.151% 3.15 WATER WATER 1 E50 lb 85 lb 85 lb B(].0r� li3 gl I, IN HEATER 2 50 % # 4 85 lb 85 lb 0.32% gl. 1.N Actual Nao Batches: 1 Load Total: 40N 16 Design W'C-. 0.532 eriCesent: 0.490 1 Design Hater: 0 gl Actual Hater: 26.3' 91 Tv Add. .1 1 Trio Hater:-25.0 lb/ CY - TICKET TOTAL IFL 12112 CUSTONIER COPY TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condiptiAprecedent that Seller shall have thirty (30) days from receiptvf the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or -older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the Unitecittates and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post -judgement collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or fraudulent, to the full extent permitted by law and subject to the limitations below. Purchaser's duty to indemnify Seller for liability for damages arising out of bodily injury to persons or damage to property caused by or resulting from the concurrent negligence of (a) Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. or its agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF INATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contractor warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16, CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable NIOSH/MSHA-approved respirator. In case of eye contact, flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN, USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET (UNHARDENED) CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. DELIVERY TICKET —_ aru ti ut Irian[ s i it aouo n. iwarginai vvy a., oeame ACCOUNTING (206) 762-2566 CONCRETE TUKWILA (Plant #12) 17024 W. Valley Hwy., Tukwila FAX (206) 762-2358 \�VJ/// RENTON (Plant #14) 915 Houser Way N.. Renton ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley SALES & ORDER DESK (425) 226-1000 SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR LEAVE JOB ARRIVE PLANT PM 7OUR DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) ❑ CASH — CHECK # ❑ CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER •till�•�� • • JOB TOTAL SLUMP SPACING ORDERED BY • TRUCK NO. DRIVER • WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: _ • YES gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ YES ❑ JOB NOT READY ❑ LACK OF HELP ❑ ADDING WATER ❑ WHEEL BARROW JOB ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1 /3 load ❑ WAITING FOR TRUCK TO UNLOAD 7 PUMP BLOW -BACK ❑ NONE ❑ WAITING ON PUMP ❑ WASH PUMP OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, STRENGTH. WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: ' Material Deycription Desiggn Otv Required Batched:'gar Noistwe &-tual Wjt C ,�ri1' a464 1423 ib e195 lb 21Ek !b -1.59% r.75% N f gl 6R34 ai&4 1%5 lb 2953 1b 2%0 1b ' 0.Z-21 0.20% M 1 01 CEN 1-11 CERTIl2W-I1 478 lb 705 lb 7P,ld lb ,. 1@.64% WATER WATER 1 2S@ ]b 271 1 b 265 1 b __Mn y i H2O WATER 2 � 1 C lb Actual Nlu Batches: 1 load Total: 6165 lb design W;'C: 0.532 Wat",'Ceeent: 0.491 f design Watch: 44.9 gl ktual Lktc-r: Trim Water:-25.0 tbi CY TICKET TOTAL IFL 12/12 UU%151 I UMtH L;UF'Y TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post -judgement collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seiler. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not Lmited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or fraudulent, to the full extent permitted by law and subject to the limitations below. Purchaser's duty to indemnify Seller for liability for damages arising out of bodily injury to persons or damage to property caused by or resulting from the concurrent negligence of (a) Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. or its agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable NIOSH/MSHA-approved respirator. In case of eye contact, flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN, USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET (UNHARDENED) CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. DELIVERY TICKET @7 STO N EWAY TUKWI3EATrLE (Plant # 12 3803 E. Marginal Wy ., Seattle CONCRETE RENTON (Plant 14) 17024 H us Valley Hwy., Tukwila RENTON (Plant #14) 915 Houser Way N., Renton ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME CUSTOMER P.O. JOB NO. DELIVERY TICKET NO. JOB ADDRESS COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # ❑ CHARGE MAP ZONE CARD # EXP. SPECIAL INSTRUCTIONS ❑ VISA ❑ MASTERCARD ❑ DISCOVER •PRODUCT DESCRIPTION CODE JOB TOTAL SLUMP SPACING ORDERED BY SUB -TOTAL TRUCK NO. DRIVER REMIT PAYMENT TO SALES TAX OEM WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE, WA BALANCE FORWARD - 108 ❑ YES TERMS •N REVERSE TOTAL• gals. to full load ❑ YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY ❑ LACK OF HELP ❑ ADDING WATER ❑ WHEEL BARROW JOB ❑ YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC ❑ TRAIN ❑ DRAW BRIDGE gals. to 1 /3 load ❑ WAITING FOR TRUCK TO UNLOAD ❑ PUMP BLOW -BACK ❑ NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL STRENGTH. WATER ADDED AT SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR CUSTOMER SIGNATURE UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: TICKET TOTAL�� IFS 12 Uub 1 VMtH UUF'Y TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post -judgement collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or fraudulent, to the full extent permitted by law and subject to the limitations below. Purchaser's duty to indemnify Seller for liability for damages arising out of bodily injury to persons or damage to property caused by or resulting from the concurrent negligence of (a) Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. or its agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12. WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16. CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable NIOSH/MSHA-approved respirator. In case of eye contact, flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN, USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET (UNHARDENED) CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. DELIVERY TICKET ['STONEWAY TUKWISEATTLE (Plant #11) 3803 E. Marginal Wy ., Seattle CONCRETE RENTO A (Plant 14) 17024 us Valley Hwy., Tukwila RENTON (Plant #14) 915 Houser Way N., Renton ACCOUNTING: 9125 TENTH AVENUE SOUTH CEDAR SHORES (Plant #20) 21010 Cedar Grove Rd. S.E., Maple Valley SEATTLE, WA 98108 • (206) 762-2566 A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. ACCOUNTING (206) 762-2566 FAX (206) 762-2358 SALES & ORDER DESK (425) 226-1000 TICKET TIME AM LEAVE PLANT ARRIVE JOB BEGIN POUR FINISH POUR LEAVE JOB ARRIVE PLANT PM DATE CUSTOMER NO. ORDER NO. PROJECT PLANT # CUSTOMER NAME JOB ADDRESS MAP ZONE SPECIAL INSTRUCTIONS JOB TOTAL TRUCK SLUMP DRIVER SPACING I ORDERED BY CUSTOMER P.O. I JOB NO. I DELIVERY TICKET NO. COLLECT ON DELIVERY (C.O.D.) ❑ CASH ❑ CHECK # ❑ CHARGE CARD # EXP. ❑ VISA ❑ MASTERCARD ❑ DISCOVER WATER ADDED ON -SITE CYLINDERS AUTHORIZED BY: SEATTLE,FORWARD WA BALANCE ElYES 0: •8 TERMS N REVERSE TOTAL AMOUNT gals. to full load [_1 YES REASON FOR DELAY TIME: gals. to 2/3 load ❑ JOB NOT READY ❑ LACK OF HELP ADDING WATER -1 WHEEL BARROW JOB ❑ YES ❑ ARRIVED JOB EARLY ❑ TRAFFIC TRAIN ❑ DRAW BRIDGE gals. to 1 /3 load ❑ WAITING FOR TRUCK TO UNLOAD 7 PUMP BLOW -BACK ❑ NONE ❑ WAITING ON PUMP ❑ WASH PUMP ❑ OTHER ADDITION OF WATER WILL REDUCE - WARNING - RELEASE — CUSTOMER RELEASES AND AGREES TO HOLD HARMLESS STONEWAY CONCRETE, STRENGTH. WATER ADDED AT IRRITATION TO A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY, INC. FOR ANY DAMAGE TO HIS REAL SKIN AND EYES OR PERSONAL PROPERTY CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE. DETAILS OF SITE CUSTOMER'S OWN RISK. SEE REVERSE (16) AGREEMENT ACCESS ON BACK (5). CUSTOMER SIGNATURE 6 MINUTES PER CUBIC YARD NOT RESPONSIBLE FOR COLOR UNLOADING TIME INCLUDED. VARIATION OR Additional unloading time charged at current hourly truck rate. SURFACE DISCOLORATION PRINT NAME DATE BATCH DATA: Material Description Desi n Qty ReGt.o red Batched C►.lN6w 4464 1423 lb 1455 lb 1520 1 b GR34 a464 1965 1b 1` 9 1b 20N lb C`M 1-1I CERT02W11 47@ 1b 470 1b 470 1b WATER WTER 1 2`iE1 lb 97 lb 95 l b H2O WFRTER 2 50 N # 97 ) b 95 i b Actual Mum Hatalies: 1 Lead Taal. 4180 lb De ign WlFC, 6.532 Wat r;'Ceoel►l: Ea.532 T,it later:-20.0 lb/ Ct % Var Moisture Actual Nat 5pec.Grav 'r.41% 2.219" M 4 yl i.86 1.5B 0.20A M 4!1 2.7E 0.0 % 3. ]°a -2. Vj% I 1 g 1 1.00 -2.0"4 11 91 1.@@ esigr- Water: 11.0 gl tktual idalpi: r.3 r}! To kid: FI 1�1/19 TICKET TOTAL TERMS, CONDITIONS AND WARNINGS 1. CREDIT. Condition precedent to Seller's obligation to perform any and all credit terms of payment must be set forth in this Contract. In the absence of any such credit terms, all deliveries under this Contract are "Collect On Delivery" (C.O.D.). Purchaser agrees upon request to furnish Seller such information as is reasonably necessary for Seller to determine Purchaser's financial condition. Seller's obligation to perform under this Contract is subject to the condition precedent that Seller shall have thirty (30) days from receipt of the executed Contract from Purchaser so that Seller's credit department may review and approve or disapprove any credit terms of payment specified in this Contract. 2. TERMS OF PAYMENT. All invoices are due for payment by the 30th day after the date of invoice. Service charges of one and one -quarter percent (1.25%) per month will be payable on all past due invoices of thirty (30) days or older. If a service charge is assessed, it must be paid in order to maintain an open account. Purchaser shall make all payments due hereunder in lawful money of the United States and in accordance with the terms hereof, without any retention and without regard to any agreement Purchaser may have with other parties. Should legal action be initiated to collect this invoice, the prevailing party shall be entitled to recover reasonable attorney fees and costs, including appeals, bankruptcies, and post -judgement collection efforts. Venue and jurisdiction of any suit or legal action may be had in Seattle, King County, Washington at the sole option of Seller. This agreement shall be construed and enforced in accordance with the laws of the State of Washington. STONEWAY CONCRETE ROUTINELY EXERCISES THEIR RIGHT TO SEND MATERIALMAN'S NOTICES ON ALL JOBS. 3. TAXES. All federal, state and local taxes, assessments, fees, duties and charges levied by reason of this Proposal are in addition to prices quoted herein and shall be paid by Purchaser. 4. SCHEDULING. Changes or variations from original delivery request shall be conveyed through Seller's dispatch office and no other Seller's agent (including, but not limited to, drivers, quality assurance personnel or sales representatives). 5. DELIVERY CONDITIONS. All concrete deliveries will be made in concrete transit mixer trucks unless otherwise noted. Signed Purchaser has requested Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. (Seller) to make use of a path for the delivery of materials and access to the project requiring trucks to travel beyond the boundaries of the nearest traveled public highway. Seller has advised that due to the size and weight of trucks, damage to the premises and/or adjacent property, or personal injury may occur and that trucks may become damaged, disabled or stuck if Seller makes use of the path requested. Seller has further advised that it is their policy that deliveries requiring Seller's trucks travel beyond the nearest highway to obtain access to the job site are at the risk of the Purchaser and that Seller assumes no liability for property damage or personal injury that may result. Purchaser agrees to assume responsibility to Seller and third parties for property damage, personal injuries, truck towing and winching expenses, and/or damage to Seller's trucks should the trucks become damaged, disabled or stuck as a result of Seller making use of the path requested or for the delivery of materials and access to the project site. Purchaser also agrees to indemnify, hold harmless, and defend Seller from any claims, demands, losses, and liabilities to or by third parties arising from, resulting from, or connected with the use of the requested path for the delivery of materials whether such claims may prove to be true or false, groundless or fraudulent, to the full extent permitted by law and subject to the limitations below. Purchaser's duty to indemnify Seller for liability for damages arising out of bodily injury to persons or damage to property caused by or resulting from the concurrent negligence of (a) Stoneway Concrete, a Division of Gary Merlino Construction Company, Inc. or its agents and employees, and (b) the Purchaser shall apply only to the extent of the negligence of the Purchaser or its agents and employees. For the purpose of the Purchaser's indemnification obligation only, the Purchaser specifically and expressly waives any immunity that may be granted it under the Washington State Industrial Insurance Act, Title 51 RCW. This waiver does not permit a direct action by the Purchaser's employees against the Purchaser. Further, the indemnification obligation under this Agreement shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable to or for any third party under worker's compensation acts, disability benefit acts, or their employee benefit acts. This promise of indemnity specifically applies in the case of injuries to the undersigned's own employees. The undersigned's duty to defend, indemnify and hold Seller harmless shall include, as to all claims, demands, losses, and liability to which it applies, Seller's personnel related costs, reasonable attorney's fees, court costs, and all other claim -related expenses, including attorney's fees and other costs incurred by Seller to enforce and establish its right under this Agreement. Upon Seller's tender of defense under this Agreement, the Purchaser agrees to appoint counsel of Seller's choice to defend against third party claim(s). Such counsel will be at the sole expense of the Purchaser. Seller is not responsible for means and methods of placement of ready mixed concrete or aggregate products on a project. 6. WASH OUT AREA. It will be the Purchaser's responsibility to provide a suitable area for trucks to rinse and clean before leaving the job site. An additional charge will be made per load if a wash out area is not provided. 7. PUMP HOLDS AND BLOWBACK. Seller holds no responsibility or obligation of communication to Purchaser when Pump Company holds or releases orders. Service to Purchaser will be done to the best of Seller's ability, noting Purchaser may not receive original rate of pour requested. It is the responsibility of Pump Company to notify Purchaser of all holds and releases in service. Standby charges incurred during Pump Company clean up, or blowback, will be borne by the Purchaser. An additional charge, at Seller's discretion, will be added for returned concrete due to clean up process. 8. POINT OF ACCEPTANCE. The Buyer's point of acceptance is at the truck chute. Seller will not accept responsibility for physical changes of the concrete caused by job delays, delivery systems, placing equipment, or circumstances beyond our control. 9. READY MIX CONCRETE TESTING. Purchaser agrees that all ready mix concrete testing, including concrete strength testing for acceptance, shall be in accordance with ASTM, UBC and ACI and that Seller will be provided with a copy of all test results within three (3) working days of the performance of said tests. 10. NOTIFICATION OF DEFICIENT CONCRETE COMPRESSIVE STRENGTH TEST RESULTS. Purchaser agrees to notify Seller in writing within twenty-four (24) hours of deficient concrete compressive strength test results, to retain test specimens, and to make them available to Seller for further inspection and testing. 11. ADDITION OF WATER AND/OR FOREIGN MATERIAL. If water and/or foreign material is added to the concrete by or at the request of the Purchaser, its employees, agents, contractors or subcontractors, Purchaser accepts the concrete as delivered and waives all right to reject, revoke acceptance or assert any claim for breach of any warranty and Seller is not responsible for strength or properties of the concrete. 12, WARRANTY. Seller warrants that the compressive strength of ready mixed concrete test specimens tested for acceptance in accordance with ASTM will meet the design strength for the mix design sold under this Contract. Seller warrants the aggregate material sold under this Contract meets the description and specifications for the same set forth in this Contract. No other warranties, express or implied, are made with respect to such construction materials, whether they be warranties of fitness or warranties of merchantability. Purchaser's exclusive remedy for breach of this warranty shall be to require Seller, at Seller's option, to refund the purchase price, to repair said material, or to provide Purchaser with a conforming replacement for any non -conforming materials. No consequential damages may be claimed by Purchaser against Seller in connection with any breach of this Agreement or breach of warranty herein. THE PRECEEDING WARRANTY IS IN LIEU OF AND SELLER HEREBY EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES OF MERCHANTABILITY AND OF FITNESS FOR ANY PARTICULAR PURPOSE. 13. LIMITATION ON DAMAGES. Seller assumes no responsibility for, and shall not be liable to, Purchaser for any consequential damages incurred by Purchaser in connection with this Contract, including without limitation, Purchaser's lost profits, Purchaser's good will, and any injury to person or property proximately resulting from any breach by Seller or breach of warranty by Seller. 14. CLAIMS AND BACK CHARGES. Purchaser's exclusive procedure for commencing claims under this Contract against Seller for any reason, including breach of contract or breach of warranty, shall be as follows: Notice of claims against Seller for any reason, including but not limited to, breach of contract or warranty, must be given to Seller in writing within three (3) working days after discovery or when discovery should have been made. The written claim shall include the reason(s) and grounds for the claim and the dollar amount or relief sought. FAILURE OF PURCHASER TO GIVE SUCH NOTICE WITHIN THREE (3) WORKING DAYS SHALL CONSTITUTE A WAIVER BY PURCHASER OF ITS RIGHT TO LATER MAKE ANY SUCH CLAIM. If a dispute arises and cannot be resolved, the parties involved agree to binding arbitration through non -legal personnel. 15. TITLE AND RISK OF LOSS. Unless otherwise expressly stated herein, title to the materials sold hereunder shall remain with Seller until Seller has received full payment for the same. Risk of loss of the materials sold under this Contract shall pass to the Purchaser upon delivery of the same, at the place of delivery designated herein. Thereafter, in addition to assuming all risk of loss, Purchaser shall be responsible for compliance with all governmental regulations and ordinances with regard to storage or placement of the same and shall indemnify and hold Seller harmless against all claims for personal injuries, including death, and property damage arising from the storage, use or handling of said materials. 16, CONCRETE WARNINGS. Injurious to eyes. Causes skin irritation. Avoid contact with eyes and skin. Wear waterproof gloves, a fully buttoned long-sleeved shirt, full-length trousers, and tight fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at tops and high enough to keep concrete from flowing into them. If you are finishing concrete, wear kneepads to protect knees. FIRST AID: If dust is inhaled, remove to fresh air. Get medical attention if irritation persists. Wash wet concrete, mortar, cement, or cement admixtures from your skin with fresh, clean water immediately after contact. Indirect contact through clothing can be as serious as direct contact, so promptly rinse wet concrete, mortar, cement or cement mixtures from clothing. Seek immediate medical attention if you have persistent or severe discomfort. Avoid breathing dust from cutting or grinding hardened concrete. When exposed to concrete dust above recommended limits (see MSDS), wear suitable NIOSH/MSHA-approved respirator. In case of eye contact, flush with plenty of water for at least 15 minutes. Consult a physician immediately. KEEP OUT OF REACH OF CHILDREN, USER AGREES TO CONVEY THIS WARNING TO ALL PERSONS WHO MAY USE OR COME INTO CONTACT WITH WET (UNHARDENED) CONCRETE, MORTAR, CEMENT OR CEMENT MIXTURES. DAILY INSPECTION DIARY REPORT DAY: DATE: (L /�,/f WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: &IINC Cq ,u, c�Atwc OV` S tu- O-k ✓VL s"b_ I lSy.&fI1t.f Vl�P_v�J [.V PSP G n A-Ztl 39lub ' /� 1� ;t ! n,S .4,/ I,C % T% Awn 'Tip /c. s r )Y114 /�Gi✓IL�J �J2 r1 S %�--1/tea ?c) Thy � I V% 02 `` Cs�rs • �� •9—Y�� %�vr � �'/ C"1 .1 a14 E o - CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: a.�T�,tiT DATE: 6 13 /t/ WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 'Mc ClcKsr a.m./p.m. REPORT l ;�,rb�� ►�`,d� 1 �-�,,W�t�� �S 7C�J shr-e� f� /��ifiv� ten c "IN Yv : � � � t� S v 1 C L V �/ S, cam_ 'L. /Jr 4- CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY /_ REPORT �� DAY: 'uL%'S`�j+� DATE: %/72 WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Aw l 1 A- c:- Atii Y"A 0 `. -TlAp Z �S C •r. r c /tit+ YL-e� ems, iy t: G 4 -.b - > co V%Vl%.e c-� L c+%- /Le -" I AlI I y •l� --1 -l.. r u3/o cks Pot+rGl &a -k T � • IJ p�A- Lih c= As 13 �-c t �(o, a �-� 1' ✓� ice-, b r T,eL Ito 1�d 7 �<W&l2f Scrv%cam' C3+�� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: O'-itj is DATE: (� /Z7//y WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: h IJ C40K c "-6 h Lam- 61 let 3 emu. 0 'el -� �- v .Oe-- CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: Monterey Terrace Water Main Replacement - Letter to Residents - Notice of Construction Addressee House # Street City State Zipcode Resident /0 169 Monterey Drive NE Renton WA 98056 Resident f.5 163 Monterey Drive NE Renton WA 98056 Resident 156 Monterey Drive NE Renton WA 98056 Resident /3p 157 Monterey Drive NE Renton WA 98056 Resident 4,5` 1S1 Monterey Drive NE Renton WA 98056 Resident, (� 150 Monterey Drive NE Renton WA 98056 Resident g' -7 119 Monterey Drive NE Renton WA 98056 Resident /j g 118 Monterey Drive NE Renton WA 98056 Resident 5—f 113 Monterey Drive NE Renton WA 98056 Resident / p 112 Monterey Drive NE Renton WA 98056 Resident 8C 107 Monterey Drive NE Renton WA 98056 Resident S Y 106 Monterey Drive NE Renton WA 98056 Resident /0-7 102 Monterey Drive NE Renton WA 98056 Resident j/t_7 101 Monterey Drive NE Renton WA 98056 Resident 6C. 87 Monterey Drive NE Renton WA 98056 Resident /©y 68 Monterey Drive NE Renton WA 98056 Resident /or, 81 Monterey Drive NE Renton WA 98056 Resident 7 7 62 Monterey Drive NE Renton WA 98056 Resident Sid 75 Monterey Drive NE Renton WA 98056 Resident tic n4cC<'s5 69 Monterey Drive NE Renton WA 98056 Resident Y4(2 63 Monterey Drive NE Renton WA 98056 Resident 9S" 57 Monterey Drive NE Renton WA 98056 Resident 3`11 56 Monterey Drive NE Renton WA 98056 Resident Q� 51 Monterey Drive NE Renton WA 98056 Resident q2 50 Monterey Drive NE Renton WA 98056 Resident - O 52 Monterey Place NE Renton WA 98056 Resident .•-71i 58 Monterey Place NE Renton WA 98056 Resident -7-7 64 Monterey Place NE Renton WA 98056 Resident 57 70 Monterey Place NE Renton WA 98056 Resident ZY, 76 Monterey Place NE Renton WA 98056 Resident15 77 Monterey Place NE Renton WA 98056 ResidentY� 82 Monterey Place NE Renton WA 98056 Resident 0,�5' 83 Monterey Place NE Renton WA 98056 Resident y4 88 Monterey Place NE Renton WA 98056 Resident 89 Monterey Place NE Renton WA 98056 Resident 102 Monterey Place NE Renton WA 98056 Resident 103 Monterey Place NE Renton WA 98056 Resident 108 Monterey Place NE Renton WA 98056 Resident $S 109 Monterey Place NE Renton WA 98056 Resident ?7 114 Monterey Place NE Renton WA 98056 Resident &1 115 Monterey Place NE Renton WA 98056 Resident ,}f% 120 Monterey Place NE Renton WA 98056 Resident � 121 Monterey Place NE Renton WA 98056 0 Resident V 152 Monterey Place NE Renton WA 98056 Resident (0$ 158 Monterey Place NE Renton WA 98056 Resident Yd 164 Monterey Place NE Renton WA 98056 Resident j 3 170 Monterey Place NE Renton WA 98056 Resident 71 176 Monterey Place NE Renton WA 98056 Resident c/l` 182 Monterey Place NE Renton WA 98056 Resident ,f3 188 Monterey Place NE Renton WA 98056 Resident / oZ`? 194 Monterey Place NE Renton WA 98056 Resident $'Q 104 Capri Avenue NE Renton WA 98056 Resident 9 5 110 Capri Avenue NE Renton WA 98056 Resident 111 Capri Avenue NE Renton WA 98056 Resident 9 116 Capri Avenue NE Renton WA 98056 Resident �j 117 Capri Avenue NE Renton WA 98056 Resident /o44 122 Capri Avenue NE Renton WA 98056 Resident 99, 123 Capri Avenue NE Renton WA 98056 Resident /o© 128 Capri Avenue NE Renton WA 98056 Resident Z1.5 129 Capri Avenue NE Renton WA 98056 Resident 'i% 134 Capri Avenue NE Renton WA 98056 Resident /6,9 135 Capri Avenue NE Renton WA 98056 Resident 1041 140 Capri Avenue NE Renton WA 98056 Resident© 141 Capri Avenue NE Renton WA 98056 Resident (ps 147 Capri Avenue NE Renton WA 98056 Resident /0 3 150 Capri Avenue NE Renton WA 98056 Resident //1 153 Capri Avenue NE Renton WA 98056 dt� C( G < 6 3o y 0-07 � a --off 77 6;7 �� c �L © -- -7 4 Concrete: Injurious to eyes.Causes skin imtabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention I you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixhues. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your heath Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also. Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyersagentagreestoacceptresponsibilityforreducedstrength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. F-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the n seller of its contract with me. I the undersigned, hereby INDEMIFY the Other additions seller and its employees for any damage and for all dams to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received „� appurtenances, at: by x Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its ern to ees from CUSTOMER 4625324 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. The addition of any extra products to our mixer may void any warranty any liability. p y ICON MATERIALS expressed or implied by the seller. The seller accepts no liability for any 1115 SOUTH 96TH personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent SEATTLE, WA 98108 206-7r=17--25;=' 1 Signature of Owner or its Agent Leave Plant Arrive Job Sit Start Discharge Drivers' Comments . I GDELPlant Finish Discharge Leave Job Site Arrivee Plant --- ! ilhll�llll IIII11111JI111111111ol 11111 Jill ilil L 1F Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKETNO. Driver Co. Proj. No. t;1 53139821 Customer Delivery �Address Date 06/c:7114 p Zane Delivery Instructions F scaiV Time: 1 Load Qty Delivered Qty OrderQty Product Code UOM Product Description Unit Price Amount 1.00 .1. L. D71,+2ti c NETAL- BUCKET — 5 GALLON 4.00 8. , 1.00 90139 ga F'G64-22 ASPHALT OIL 8.00 23.50 1295 t n CMRCL SUPERPAVE 1 /2" 64 �) 1 Gross Ti-Ar•e Net `) f>, ' Tr,k : 42380 26380 16000 FUEL. CHG ) Tr,lr. C/N: Load Size Prod. No. Description Slump Type CC Use Haul fd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check #1 Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement nftres can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash of immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to Al persons who may use or come into contact with wet (unhardened) concrete, mortar, cernent or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your heath. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing furnes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduceits strength. Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this Arrived at lob with inch slump, machinerycause d mannere required � r pr our contact with you may J P � possibly �9 P property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the tarn seller of its contact with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other byceivedX />/ appurtenances, at: Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent ___.__._. NWGDELTKT.090408 Leave Plant Arrive Job Site Start Discharg Finish Discharge Leave Job Site Arrive Plant I Drivers' ` Comments (� b O 2 7 Order No. Cust. No Customer Delivery Instructions CUSTOMER 4625299 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALcE 1115 SOUTH 9GTi-h SEATTLE, WA 98108 206--7E7-2521 Company/ Customer PO/ Customer Job Phase Code TICKET NO. Driver Co. Proj. No. c_� 1:.9801 Date Address Map 06.�tane / 14 Sear F mme: 09 s 48 Delivered Qty Order Qty ProductCode UOM Product r}-QSS Tar-e Net u },1, : 57360 26380 i RC;L SUPERPAVE 1 /2" 64 FUEL. CHG C/N - Load Size Prod. No. Description Slump Type CC Use Haul Cd. Pit/Plant Sales Tax ' - TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Check # DAILY INSPECTION DIARY � REPORT DAY: �/ 1G1� DATE: & /3V /i y WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: 6-1112 4 S77 s-� s' Tom—/!�•v , . �'r'�!i /G 4cl;s fm 1.4 i\vim G)Snl CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: �` sl ,yy,�, DATE: 7 / i / �y WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: a.m./p.m. tl� AAA M .a, e S ra w• fZ - v rn e.,•.l� : 5 �-,V• —T Ic �,^ + TAXI � l v� j"' _ /� I \ h � ....� � � � � ✓n P S T � � C)Q 4" L -s ICA CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: S DAILY INSPECTION DIARY REPORT 4� DAY: /yc' —S DATE: WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: S7 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: / / WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: r fit; . t k= } t vi l i f wti GA:v Iic r-d S i" Lup)w Sew`c.c' /J 7n 444 5 n) � !ie - / o - / `/ l to rd 1 A" iA,+ c.,r /y CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: �i�,, ►'►�!1tij DATE: 7 / t ! / 1 y WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Cpv�►V A te✓ v ✓L I's y If n 7'A <-eeyt c, c5 �p C r, c Se / W CaS 1 Ci CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: 7 /is / IN WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: � t w.,y) e - Z `/ -/ y J, �z sFoi"If- c CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT DAY: DATE: `] WORK PERIOD: WEATHER: TEMP. MAX OF MIN °F WORK ACCOMPLISHED TODAY: Q V� 0 l c`v-S- r vLLV C.Tf 0 -1 a.m./p.m. to PRECIPITATION: vvv U,,41ey Ste.-v , (- cE- a.m./p.m. CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY REPORT 4� DAY: j �vis!11.�, DATE: 7— 7 / /�/ / WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: i b d-I- i" iva4l 5ry&lic c % 72el, G, r, A:; �4� CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: j%Vt,1bXlq DATE: // /fV WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: /e f's( -..;z7 / /' CONTRACTOR SIGNATURE a.m./p.m. ,r0,� INSPECTOR SIGNATURE REPORT 4� DATE: DAILY INSPECTION DIARY REPORT 91 DAY: " DATE: % / Z// WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: - ,h 0 apt ST CONTRACTOR SIGNATURE I SPECTOR SIGNATURE DATE: CADMAN 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Valle Black Diamond, WA oanin—lonn TICKET NO.1 3080036 TICKETTIME 1 09:03:16 1 DATE 7/3/2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 365 656 /D2 29173 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Traile 947 A26246F Hauler/Carrier No. Drivers Name Delivered/Ordered Load No. Running Total 7858190 SHAWN 31.94 �2.00 1 31.94 BD/D - MONTEREY TERRACE WATER MAIN REPL 2235 NE 3RD ST RENTON - MONTEREY TERRACE WATER MAIN REPL PREV. WAGE CERTIFIED TICKETS 92253 CSTC 31.94 SCALE WEIGHT GROSS &TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 103, 140 LB Gross Scaalie1 Scale 2 X Jennifer Sales Tax Tare 39,260 LB/P.T.* Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 63,880 LB Total Deputy Weighmaster No one available to sign, customer waives receipt signature. n Received by Signature x Print Name (Customer) Ix Drivers Signature Ix Standby Time (Arrive Job Start Finish I Standby j,,us,omersma,sm Unloading Unloading Time X rAUDMAN HEIDELBERGCEMi' 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Valle 9fack Diamond, WA TICKET NO. AnAnAgA TICKETTIME DATE 1 7/15/2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNG CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 365 656 /D2 29375 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Truck & Trailer 934 72402X Hauler/Carrier No. Drivers Name Delivered/Ordered Load No. Running Total 7858190 BRETT 33.83 /10.00 1 33.83 BD/D - MONTEREY TERRACE WATER MAIN REPL 2235 NE 3RD ST RENTON - MONTEREY TERRACE WATER MAIN REPL PREY. WAGE CERTIFIED TICKETS 92253 CSTC 33.83 SCALE WEIGHT GROSS &TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. _ ' Fuel Surcharge Gross 107,140 LB al0 Scale 1 Scale 2 X T,-nn l f P r Sales Tax Tare 39,480 LB/P. T * Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond the curb line. Net 67 r r o LB Total Deputy Weighmaster No one available to sign, customer waives receipt signature. Received by Signature X Print Name (Customer) Ix Driver's Signature ix Standby Time Arrive Job Start Unloading Finish Unloading Standby Time Customer's Iiitials X Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulNength trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contactwith any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discornfor In rase of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cernent mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyees agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added abovedesign. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at c tome request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the uncle signed, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, building, utility pipelines or cables. telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent argnmure or owner or rrs Hgenr WGDFLTKTO90408 . Leave Plant I Arrive Job Sit Start Discharge Finish Discharge Leave Job Site I Arrive Plant Drivers' Comments CUSTOMER 4628812 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. Order No. Cust. No. Customer Delivery Instructions Company/ Customer Job CustomerPO/ Phase Code TICKETNO. Delivery Address Driver Co. Proj. No. Date Map Zane Sete Time: Load Qty DeliveredQty OrderQty Product Code Ul Product Description Unit Price Amount L Tv. 1, r,l Load Size Prod. No. Description Slump Type CC Use Haul Col. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Check # Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contad with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials fran clothing. Seek immediate medical attention if you have persistent or severe discanfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, arrrent or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear 0ong sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. El possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at to er request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY Ithe Other additions seller and is employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other bRYceivedX appurtenances, at: Buyer's Agent nkbipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent �IIALGDELTKT090.90$ Leave Plant Arrive. Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Order No. Cust. No. Customer Job r4 min-z 60157 Customer Delivery Instructions3TRUCTION Delivered Qty Order Qty G . i IF._ 1 Gross Tare Net Trk : 38360 26100 12260 Tr-lr. Customer PO/ Phase Code Delivery Address KC TICKET NO. 53140439 t n L_JI_u—fri I X CUSTOMER 4629396 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We-do not assume responsibility for any damage beyond the curb line. ICON MAJ ER I ALS 1115 SOUTH 96TH SEAT'TLE. WA 98108 206--767-2521 IIIIIINd�lllulll I IIIII IIIII IIIII I IIII IIII h�. Driver Co. Proj. No. Date Map Zone Scale Time: 1Qri C . 'UT • i L f t�! Load Size Prod. No. Description Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer V Check # rrrrurrtrrsr� DAILY INSPECTION DIARY DAY: .% LDS DATE: % /ZZ//(,/ WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: a.m./p.m. REPORT r�, . A✓ H c . i- ,©�,-.�'.- f-' LJ< /.�i /% "_Li CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: 771✓rSn/.17 DATE: % /2V/y WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Z-1 d 610, 7 ✓►Nr 7vGs C,,0-7 I 9 CONTRACTOR SIGNATURE INSPECTOR SIGNATURE REPORT �r� DATE: DAILY INSPECTION DIARY DAY: Tl DATE: 7 /Z.9//V WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: -e vt,4- CTe I,,, a.m./p.m. .IL REPORT 20 C'vf le L4,4%0 07��- .(Gc .mod CONTRACTOR SIGNATURE mac - INSPECTOR SIGNATURE DATE: _= = i l DAILY INSPECTION DIARY REPORT 4� DAY: ikiDATE: -7 /_30lil WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: CONTRACTOR SIGNATURE PITSPECTOR SIGNATURE DATE: DAILY INSPECTION DIARY DAY: kV I �,DATE: '7 /'�,1 /14 WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: REPORT i''c�,.9.,a.n f.�-��.. N,.A�-c r.• /.ic r ho % - U,4 Z k CONTRACTOR SIGNATURE v INSPECTOR SIGNATURE DATE: Concrete: Injurious to eyes.Causes skin imitation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cerrrent mbd:ures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulHength trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately wit fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discornfordn case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mmbtres. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves. pants and gloves). If turned, cod with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agentagrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. D possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me,1 the undersgned. hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the prenrses, building, utility pipelines or cables. telephone lines, driveway or other Received appurtenances, at by x Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Signature of Owner or its Agent Leave Plant I Arrive.Job Sit�art Discharg Finish Discharge Drivers' Comments . GDELPlant Leave Job Site Arrivee Plant Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. CUSTO.%IER 4%-)'33000 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-25_2 1 uuu�ii3uu�iiu�ini`u��i�i�i�wiipi Driver Co. Proj. No. Customer t'� Delivery Address -_314076F Date Map 07 r / 14 Delivery Instructions 3 ! RUCT ION Ma.. 11 :2 4 Load Qty Delivered Oty Order Qty Product Code UOM Product Description Unit Price Amount 1:_1. 0141 4 1 . 1295 t n CMRCL SUPERPAVE 1 /2" 864 Gr0SS Tare Net Tr-k : 9-r21100 26100 26000 FUEL CHC Load Size Prod. No. Description Slump Type CC Use Haul Cd. PiUPlant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # Concrete: Injurious to eyes.Causes skin irdtation.Contains Portland Cement. Read the following waming before using: Contact with wet, unhardened concrete. mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfort.ln rase of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (bug sleeves, pants and gloves). If burned, ood with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your *nature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. a possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the perfomhance of the taken seller of its contact with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of.Owner or its Agent _ WGDELTKT090408 Leave Plant Arrive Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant . I - Drivers' Comments Order No. Cust. No. Customer 60157 Delivery Instructions �TRUCT I ON Load Qty Delivered City 8.00 3.00 2.00 2. 00 8.00 8.00 Company/ Customer PO/ Customer Job Phase Code TICKET NO. Delivery Address Order Qty ProductCode UOM Product Description 1.00 90150A 1.00 571424 1E95 Gross Tare Net Trk : is � ' 1 IAnl P. ee 100 16000 Tr Ir. CUSTOMER `632882 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price.In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-2521 Driver Co. Proj. No. Date neap 07i/14 F TiZ 09:4I Unit Price Amount ga CSS-1 TACK ea METAL BUCKET - 5 GALLON to CMRCL SUPERPAVE 1/2" 64 FUEL CHC LrIUrze Prod. No. De9cription Slump Type CC Use Haul Col. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # R J_1NO-55 Concrete: Injurious to eyes.Causes skin imtabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulNength trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing Ls as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe disoanfot.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician irrurrediatey. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mbdures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. El possibly cause damage to the premises or property. It's our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received - appurtenances, at: by X Buyer's Age6t'receipt of'p(odtict and approval of any added items. The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Leave Plant Arrive Job Sit Start Discharge Drivers' Comments Order No. Cust. No. Customer = 157 Delivery Instructions 3TRUC T ION Load Qty and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent _. Job 408 Finish Discharge Leave Job Site Arrive Plant Company/ Customer PO/ Customer Job Phase Code Delivered Oty OrderQty 15. 00 15. VlI;,. Gress Trk: 56100 Tv- It-: Delivery Address TICKET NO. 53140890 CUSTOMER 4633165 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-252 1 II�NI�IIII�NNIINN0I�a819NIIN'� Driver Co. Proj. No. ProductCode UOM Product Description Unit to CMRCL SUPERPAVE 1/2" E.4 Tare Net 2E100 30000 FUEL. CHG Date IVIaa 07 /iaa / 14 Scd )_ Ti� 10: 4r0 Load Size Prod. No. Description -- , Slump Type CC Use Haul Cd. Pit/Plant Sales Tax 3 51TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by _ Check # i Injurious to eyes.Causes skin imtabon.Contains Portland Cement. Read the following warning before using: Contact with wet, concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight-fIting eye protection when working with these If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. ing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact h dothumg is as dangerous so promptly rinse these materials from dothN. Seek immediate medical attention l you have persistent or severe ort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consul physician immediately. KEEP out of reach of children! User reel to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health, Measures to control fugitive dust should be taken when handling this product Hot Asphalt enits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (lag sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting the RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders tlmat you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, building, utility pipelines or cables, telephone lines, driveway or other bRyceivedX appurtenances, at: Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for arty personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Leave Plant Arrive Job Site Start Discharge Finish Discharge Drivers' Comments Order No. Cust. No Company/ Customer Job Customer 60157 Delivery Instructions ,Tn1ICTION Load Oty Delivered Qty Order Qty 12'.00 27.017-- and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent NWGDELTKTO90408 Leave Job Site 1 Arrive Plant Customer PO/ Phase Code TICKET NO. CUSTOMER 4633177 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delwery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-2521 i�ia�Nuumiiwipiii�uu�ai�upu�i Driver Co. Proj. No. Delivery Address —1 Y ta901 Date ProductCode UOM Gross Tare Net Trk: 50240 26240 24000 TrIr: Map Scale Time: ProductDescription Unit Price Amount t n CMRCL SUPERPAQ—t 1 /2" 64 FUEL CHG o% Description - Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # BUN053 Concrete: Injurious to eyes.Causes skin imtabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials torn clothing. Seek immediate medical attention K you have persistent or severe discornfort.in case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this waning to all persons who may use or cone into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contact with you may Arrived at job with inch slump. E-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at cust ier request. Test cylinders that you sign this RELEASE. In consideration of the performance of the to en seller of its contact with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, Received enancityy pipelines or cables, telephone lines, driveway or other appurt by X Buyer's Agent receipt of prodTcf any added items. and RELEASE the seller and its employees from CUSTOMER 4633277 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. The addition of any extra products to our mixer may void arty warranty any liability. I CON MATERIALS expressed or implied by the seller. The seller accepts no liability for any . personal injury incurred by you while adding additional products to our 1115 SOUTH 96TH mixer. Signature of Owner or its Agent SEATTLE, WA 98108 Signature o _ Owner or its Agent _..._._. __...._ MWCDELIKT09040$ 206�-767-2521 Leave Plant Arrive Job Sit Start Discharge Finish Discharge Leave Job Site Arrive Plant g I IIIIII III III IIIf (�II IIII IIII �I�I I�III�� Comments aF � Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKETNO. Driver Co. Proj. No. Customer 60157 Delive ress 53140983 Date Map 07 /;E* / 14 Delivery Instructions3TRUCTION r Tini€ 09:1E Load Qty Delivered Qty Order Qty ProductCode UOM Product Description Unit Price Amount 15..00 15.00 1295 to CMRQL SUPERPAVE 1/2" 6�ft,,+++r+t,, SO If Gross Tare Net Tr k : ' 56240 26240 30000 FUEL_ CHG Tv- lr^. Load Size Prod. No: Description C/N- Slump Type CC Use Haul Cd. Pit/Plant Sales Tax + TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # Concrete: Injurious to eyes.Causes skin irhtabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixWres can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfort, In rase of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixNres. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. F-1 pombly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me. I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received �.,, appurtenances, at: by X - Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent _......___..__..__._ GDELTKT090408 Leave Plant Arrive Job Site Start Discharge Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO Customer r_,015 r Delivery Instructions 3TRUCTION Load Qty Delivered City OrderOty 4. 00 :34. 1295 Grass Tare Net Trk: 34240 26240 8000 Tv-Ir. CUSTOMER 4633305 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767--21'521 IgIu�IIII�INI�IIIIIIIIUYI�III�llllll�l Driver Delivery Address 53140992 Date Map UOM Product Description Unit Price to CMRCL SUPERPAVE 1/2" 64 FUEL CHG L Prod. Na- Description C/N: Slump Type CC Use Haul Col. Pit/Plant Sales Tax TOTAL DUE Gross Weight Tare Weight Check # Co. Proj. No. 07/LW'14 F 13:44 Concrete: Injurious to eyes.Causes skin imitation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact wit any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you hate persistent or severe discorrifort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mtixhures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing furnes. Also, Asphalt may cause severe bums. Wear protective safety gear (Io g sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. 0 possibly cause damage to the premises or property. It is our wish to help you n everyway that we can, but in order to do this, the operator is asicing Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the perfoance of rmthe taken self of its cent with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, beceived appurtenances or cables, telephone lines, driveway or other Y Buyer's Agent 1'?e`EdV1p1r of product and approval of any added items. The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent WGDELTKT090401�1 Leave Plant I Arrive Job Site Start Discharge Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Order No Customer -= Company/ Customer PO/ Cust. No. Customer Job Phase Code TICKET NO. 60157 Delivery Instructions3TRUCTION Load Qty Delivered Qty Order Qty 15. 00 30. 06 CUSTOMER 4633L86 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767'--252 1 Driver Co. Pmj. No. Delivery Address 53140987 [late NUp 07%/14 F M. 11:27 ProductCode UOM Product Description Unit Price Amount to CMRCL SUPERPAVE 1/2" 64 Gross Tare Net TrE< : 56240 26240 30000 Tr- lr: FUEL CHG L-Prod. No Detscription Slump Type CC Use Haul Col. Pit/Plant Sales Tax _ _ _3 TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # BUN053 ii �rii frig )tom �_�-� ii r• � � r� «rrri r• � r• f• � r• r• � � � � � � � � � r• � � � � � � � � � � � Concrete: Injurious to eyes.Causes skin imitation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin imitation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt full-length trousers and tight -filing eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health, Measures to control fugitive dust should be taken when handling this product Hot Asphalt ea is nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customers own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this job with inch slump. machinery in the manner required to perform our contract with you may Arrived at p EJ possloly, cause damage to the premises or property. It is our wish to help you in everyway that we can. but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its cent with me. I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all dams to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received ' appurtenances, at: by X - Buyer's Agent receipt of ProducT ar WapproVM of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent -VNGDELTKTO9040$ Leave Plant Arrive Job Site Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments CUSTOMER 4633359 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-252 1 Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKETNO. Driver Co. Proj. No. Customer s 15 Delivery Address 5 141029 Date Map 07 /fiQ / 1 , Delivery InstructionsSTRUCT ION F w 10 Load Qty Delivered Oily Order Qty ProductCode UOM Product Description UnitPrice Amount +-^ CMRCL SUPERPAVE 112" 64 Gross Tare Net Trk: 38240 26240 12000 Tr1r. LoadSii4-) CILM611 IQcL Description Slump Type -f IF!- r l'!r, Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # Concrete: Injurious to eyes.Causes skin imtabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cament mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical aftention if you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physidan immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aq(lre-gates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (kxg sleeves, pants and gloves). If burned, coal with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract wit you may Arrived at job with inch slump. E-] possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract wth me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, building. utility pipelines or cables, telephone lines. driveway or other bRYceivedX appurtenances, at: Buyer's Agent receipt of product- and. approval of any added items. and RELEASE the seller and its employees from CUSTOMER 4633386 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. The addition of any extra products to our mixer may void any warranty any liability. ICON MATERIALS expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our 1 1 1 5 SOUTH 96TH mixer. Signature of Owner or its Agent SEATTL.E• WA 98108 011Jnaw1e v1 VWIICI vi nor Myeni GDELTKT090408 Leave Plant I Arrive Job Site Start Discharge Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Order No. Customer 75 Cust. No. 60157 Delivery Instructions TRUCTIbN Load Qty 20E-767-2521 Company/ Customer PO/ Customer Job Phase Code TICKET NO. Driver Co. Proj. No. Delivery Address -r i 049 Date Map 07/ 14 - Sca 1 i= . • G Delivered Qty Order Qty ProductCode UOM Product Description -7. 00 13.00 Gross Trk: 40240 Tr1r: BUN0531 Unit Price to CMRCL SUPERPAVE 1/2" E4 Tare Net 26240 14000 FUEL CHG -Predr Nor Description L 1 Slump Type CC Use Haul Col. Pit/Plant Sales Tax _ 531 TOTAL DUE Weight Tare Weight Trailer Trailer Check # Concrete: Injurious to eyes.Causes skin iritaton.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe burns. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer'sagentagreestoacceptresponsibilityforreducedstrength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. El possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all dams to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by o r� Buyer's Agent ij7t of pwduct and °approft of any added items. and RELEASE the seller and its employees from CUSTOMER 4635869 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. The addition of any extra products to our mixer may void arty warranty any liability. ICON MATERIALS expressed or implied by the seller. The seller accepts no liability for any 1115 SOUTH 96TH personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent SEATTLE, WA 98108 206-767-2521 Signature of Owner or its Agent _- DELTKT090408 Leave PlanJob Site Start Discharge Finish Discharge Leave Job Site Arrive Plant I I Drivers' I (IIIII I�III �IIII II�II IIIII IIIII III IIIII II'I III! Comments * 5 3 1 4 1 9 7 Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKETNO. Driver Co. Proj. No. %I IN0 . 60157 53141097 Date Customer Delivery Address Map 0 7 /2W / 1 '+ Delivery Instructions3TRUCT I ON - Sca f Tine: Load Qty Delivered Qty Order Qty Product Code UOM Product Description Unit Price Amount 4.00 9.00 1.00 90150A ga ASS-1 TACK 15.50 31.00 1295 to CMRCL SUPERPAVE 1/2" 64 Gross Tare Net Trk: 57240 26240 31000 Tr1r, FUEL CHG Lo rz o° De6ription Slump Type CC Use Haul Cd. PittPlant Sales Tax 1 TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Check # � � � � � � � � � � � � �r_-r: ra ���� rs r• �-= r: r• r• r•� fir r• r• sir-rrrr ri � r_ r• rr� ra � r•�-� — — Concrete: Injurious to eyes.Causes skin irritabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulNength trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flaying into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek imrnediate medical attention if you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physidan immediately. KEEP out of reach of children! User agrees to convey this waning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cernent mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added abovedesign. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contact with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, 44 building, utility pipelines or cables, telephone lines, driveway or other Received yc-- appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent _....... NWGDELTKT090408 I Leave Plant I Arrive Job Sit Start Discharge) Finish Discharge, Leave Job Site Arrive Plant Drivers' Comments CUSTOMER 4633437 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delrvery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE. WA 98108 206-767-2521 I 410mi1iiiqugii Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Driver Co. Proj. No. Customer 60157 DeliveFfAddress 53141077 Date Map 07 /fit / 14 Delivery Instructions RUCT ION sca Ti F 09:49 Load Qty Delivered Qty OrderQty ProductCode UOM Product Description Unit Price Amount 5.00 :5.00 1.00 90150A ga CSS-1 TACK 1.00 1.00 1.00 571424 ea l METAL BUCKET — 5 GALLON 15.50 15.50 1295 to CMRCL SUPERPAVE 1/2" 64 Gross Tare Net Trk: 57240 26240 31000 Tr1r: FUEL CHG LdaMt) Prod. No. Description C/N: Slump Type CC Use Haul Col. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Check # ohm Concrete: Injurious to eyes.Causes skin imtabon.Contains Portland Cement. Read the following warning before using: Contact with wet, CUSTONIER unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt. full-length trousers and tight-filting eye protection when wonting with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately wit fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention 9 you hate persistent or severe discomfort. In case of eye contact. flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. ^ Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken 4635886 when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (bug sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce itsstrength.Buyersagentagreestoacceptresponsibilityforreducedstrength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. E-] possibly cause damage to the premises or property. It is our wish to help YOU in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at custo er requst cylinders that you sign this RELEASE. In consideration of the performance of the product defect is fhe return of the purchase price. In no to en seller of its contract with me, I the undersigned, hereby INDEMNIFY the event shall the seller be liable for any direct, indirect, Other additions a seller and its employees for any damage and for all claims to the premises, incidental or consequential damages resulting from building, utility pipelines or cables, telephone lines, driveway or other the use of the products or arising out of breach of any Received -- appurtenances, at: warranty. All caimsfor damages orshortages mustbe by X made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. ICON MATERIALS expressed or implied by the seller. The seller accepts no liability for any 1115 SOUTH 96TH personal injury incurred by you while adding additional products to our mixer. Q. a u ' n t re o f r—ner o'ts A em t SEATTLE, WA 9810E r r g Signature of Owner or its Agent _._..__.NWGDELTKTO90408 Leave Plant Arrive Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. 015 �.115 Customer Delivery Address Delivery Instructions STRUCTION Load Qty Delivered Qty Order Qty Gross Tare Tr-k : 30040 E6240 Trlr. ProductCode UOM Product Description 206-767-2521 Driver ' Co. Proj. No. 't n C inRCL SUPERf AVE 1 /`" 64 Net 4000 FUEL CHG Date Map 07/30./ 14 �calw F Time: 14 : 10 Load Size rodo. . NDescription Slump Type CC Use Haul Col. Pit/Plant Sales Tax 531 TOTALDUE Truck Gross Weight Tare Weight Trailer Trailer BUN05.13 Check # r•� r� r• r_ _rs rs rs r_ r_ �� r_ r_ -�� r• r• r• rt rt rt r• � rt � r• r• rt rs• r• r_ � i r_ � � � � � � � � DAILY INSPECTION DIARY REPORT DAY: DATE: / T / I WORK PERIOD: WEATHER: TEMP. MAX OF MIN WORK ACCOMPLISHED TODAY: a.m./p.m. to a.m./p.m. OF PRECIPITATION: -- v -MS-7 og ✓tip 1 Awwv w V c -. c A- L Cy if ip -s i4-� S ..) e - -e E ' Z, 777 i $ .S 147 r I 4— CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, lorg-sleeve shirt, full-length trousers and fight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention it you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of react of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cernent mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment. in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. F-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, building, utility pipelines or cables, telephone lines. driveway or other Received appurtenances, at: b y X ~� Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent _ Signature of Owner or its Agent - ntAIGDELTKT09040$ Leave Plant Arrive Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO . '182 Customer Delivery Instructions Delivery Address Load Qty Delivered Qty Order Qty ProductCode UOM Prod uctDescription t, tl bn0F =Fit--`hiVr- FUEL CHO CUSTQMER 4635978 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delrvery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-2 521 �M������II� `NIINN�I�IlllnlnF iNl Driver Co. Pro. No. Date Map 0p "z«e ScaleTime r UnitPrice Amount Load Size Prod. No. Description Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight-fitling eye protection when world g with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you hate persistent or severe discarnfort.ln rase of eye contact, flush with plenty of water for at least 15 minutes. Consult physidan immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact wit wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your heath. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this rob with inch slump. machinery in the manner required to perform our contact with you may Arrived at I p � possibly cause damage to the premises or property. it is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contact with me, I the undersigned, hereby INDEMJIFY the Other additions seller and its employees for any damage and for all daims to the premises, �RyceivedX bappurtenutility I�pi� fines a cables, telephone lines, driveway or other Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent _ ___.... WGDELTKT09040 i.eave Plant Arrive Job Sit Start Discharge Finish Discharge Leave Job Site I Arrive Plant Drivers' Comments Order No. Cust. No Customer Delivery Instructions Company/ Customer PO/ Customer Job Phase Code Delivery Address Load City Delivered Qty OrderQty ProductCode UOM CUSTOMER Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. TICKET NO. Driver Date Map r Scale t Time: uct Description Unit Price DIRCL SUPERPAVE 11211 64 i FUEL_ CHG Co. Proj. No. Zone 5.3 Load Size Prod. No. Description Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by PIJN0 __ - Check # �1_21= � � IM � � � � � � � � � � � � — � � � � � � � � � � � � � � � L — — � � � � — — � Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtiires can cause skin imitation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtres. Aggregates: Probrmged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, coal with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can. but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersgned, hereby INDENWIFY the Other additions t> seller and its employees for any damage and for all dams to the premises, building, utility pipelines or cables. telephone lines, driveway or other Received appurtenances, at: by X '7 ' - Buyer's Agent'ric`eipt oY-product and approval of any added items. The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent _NWGDELTKTO9040B Leave Plant Arrive Job Site Start Discharge Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Order No. Cust. No. Customer Job Customer GO 157 Delivery Instructio,JSTRUCT ION Load Qty Delivered Qty Order Customer PO/ Phase Code Delivery Address Product Code Or-0SS Tare Net Tr-k : 36240 26240 10000 TICKET NO. uct Description CUSTOMER 1 403053 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE. WA 98108 206-767--2521 11111111111111111111111111111111111111111111111111111 Driver Co. Proj. No. t o CMRCL SUPERPAVE 1 12" 64 FUEL CHG Date Map Zone scale Time: E.. r Load Size Prod. No. Description ' Slump Type CC Use Haul C_d. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Check # Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, CUSTOMER unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulHength trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discanfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtiires. 4636022 Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also. Asphalt may cause severe bums. Wear protective safety gear (Io g sleeves, pants and gloves). If burned, coal with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. E-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the product defect is the return of the purchase price. In no taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the event shall the seller be liable for any direct, indirect, seller and its employees for damage and for all claims to the emises, incidental or consequential damages resulting from Other additions t�'. �9 the use of the products or arising out of breach of any building, utility pipelines a cables, telephone lines, driveway or other warranty. All claims for damages or shortages must be Received �� appurtenances, at: made within 24 hours of delivery.We do not assume by x- responsibility for any damage beyond the curb line. Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. ICON MATERIALS expressed or implied by the seller. The seller accepts no liability for any 1115 SOUTH 96TH personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent SEATTL.E, WA 98108 " 206- 767-2521 Signature of Owner or its Agent _ __......___.._._NWGDELTKT09040Q Leave Plant Arrive Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' I (I�III IIIII IIIII (III! ll�il I��Iillll III) III III Comments _ 5 3 1 4 # Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Driver Co. Proj. No. 1 S 1 5 Date Customer Delivery Address Map Zone NIJt. Delivery Instructions " v Sca67 r , Time: t Load Qty Delivered Qty OrderQty ProductCode UOM Product Description Unit Price Amount =+.010 t. 1.00 '30150A ga CSS-1 TACK 15.50 15. 1295 to CMRCL SUPERPAVE 1/2" 64 GroSS Tare Net Trk: 57240 26240 31000 Trlr. FUEL CHG Load Size rotl. o- Description Slump Type CC Use Haul &d. Pit/Plant Sales Tax TOTALDUE Truck Gross Weight Tare Weight Trailer Trailer taken by (Check # El, UNO5�. Concrete: Injurious to eyes.Causes skin imtabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately wit fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention 9 you hate persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing finites. Also, Asphalt may cause severe bums. Wear protective safety gear (Io g sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this Arrived at job with inch slum . machinery in the manner required to perform our contract with you may p possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables. telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent _ GDELTKTO90408 Leave Plant Arrive Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant 1 Drivers' Comments Company/ CustomerPO/ Order No. Cust. No. Customer Job Phase Code TICKET NO Customer Delivery Address Delivery Instructions'" Load Qty Delivered Qty Order Qty ProductCode UOM Pro 15.50 1 I- J � n Gnosis Tr k : 57240 Tr1r: Tare Net 26240 310OL71 CUSTOMER Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTL.E. WA 98108 206-767-2521 I IIIIN IIII IIIiI IIII IIII illll IIIII illll�lll III Driver Co. Proj. No. Date IMap Zone scare Time: 11:4t�. CMRCL SUPERPAVE 1/2" G4 FUEL CHIS Load Size Prod. No. Description' G/ Slump Type CC Use Haul Cad. Pit/Plgn1 Sales Tax 53 TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, CUSTOMER unhardened concrete, mortar, cement or cement mixtures can cause skin initati n, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulNength trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to prated knees. After contact with any of these mataids, wash of immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. � C �] f� O Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken 4636128 4 v J L Q when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physidarn. Water added at customers own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E-] possibly cause damage to the premises or property. It is our wish to help time charged at posted truck time rates. you in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the product defect is [he return of the purchase price. In no taken seller of its contract with me, I the undersigned. hereby INDEMNIFY the event shall the seller be liable for any direct, indirect, Other additions seller and its employees for any damage and for all daims to the premises, oe building. utility pipelines or cables, telephone lines, driveway or other incidental or consequential damages resulting from the use of the products or arising out of breach of any Received _ appurtenances, at: warranty. All claims for damages or shortages must be d th' ')A h f d I W d by X Buyer's Agent receipt of product an—d—pproval. of_ any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void arty warranty any liability. expressed or implied by the seller. The seller accepts no liability for arty personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Signature of Owner or its Agent _ GDELTKT090.408 Leave Plant Arrive Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments ma a wt to ours o e every. e o not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-2521 Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Driver Co. Proj. No. ?"l! fN07 -, 53141284 Customer Delivery Address Date Map c , 08/05� 14 Delivery Instructions t I `0— I L LA Scale F8 Time:13 : Load Qty Delivered Qty OrderQty Product Code UOM Product Description Unit Price Amount 5 t n CMRCL SUPERPAVE 1 /2" 64 Gross Tare Net Trk: 34240 26240 8000 FUEL. CHG TrIr: Load Size M. No. Description Slump Type CC Use Haul �d. PiU?4 Sales Tax —1-1 1 TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Nr- Check # Concrete: Injurious to eyes.Causes skin irdtabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulHength trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof trots that are tight at the top and high enough to keep concrete from flouring into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials. wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention 9 you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or came into contact with wet (unhardened) concrete, mortar, cement or cament mixhues. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product, Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, coal with water and see a physician. Water added at customees own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its Wength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this madwnery in the manner required to perform our contract with you may Arrived at job with inch slump. F1 possby cause damage to the prernises or property. It is our wish to help you ineveryway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent NWGDELTKTO9040 . Finish Discharge Leave Job Site Arrive Plant Leave Plant Arrive Job Sitq Start Dscharge — . Drivers' Comments Order No. Cust. No. 60157 Customer Delivery Instructions -;TRUCTION Company/ Customer PO/ Customer Job Phase Code TICKET NO. Load Oty Delivered Oty Order Oty 1 J. 50 1 b. 5k+ z` Delivery Address Product Code UOM Gross Tare Net Trk: 57240 26240 31000 TrIr: to Product Description 13141254 CUSTOMER 4636080 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767--2521 111111J1111]1111gui�ihiuuliugiiiiauiii Driver Co. Proj. No. Map 08 / -e o me 09 : 52 UnitPrice Amount CMRCL SUPERPAVE 1/2" 64. FUEL. CHG Load Size rod. No� Description Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and fight-ft rig eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this waning to all persons who may use or came into contact with wet (unhardened) concrete, mortar, cernent or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugbe dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. a possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the perfomiarhce of the taken seller of its contract with me, I the undersigned, hereby INDEMIFY the Other additions seller and its employees for any damage and for all daims to the premises, �-��'appurtenances,utility pipelines or cables, telephone lines, driveway or other Received by X .r - �— — Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Signature of Owner or its Agent NWGDELTKTo9D408 L.... , .. ge� g I Leave Job Site Arrive Plant Leave Plant Arrive Job Sit Start Dischar I Finish Dischar e Drivers' -I Comments CUSTOMER 4636106 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delnvery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTL.E, WA 98108 206-767-252 1 341Hi�mpui9uHu Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Driver Co. Proj. No. r.,"!hh'7, 60157 53141269 Date Customer Delivery Address nip 08/ 5/14 2UGT I ON Delivery Instructions spa F Time: 1 1 . 39 Load Qty DeliveredQty OrderQty ProductCode UOM Product Description Unit Price Apount 1�Ij.50 16-1.0k to DIRCL SUPERPAVE 1/2" 64 Dross Tare Net Trk: 57240 26240 31000 Trlr, FUEL_ CHG Load Size rod. No` De ripticn Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTALDUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # Concrete: Injurious to eyes.Causes skin imitation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation. severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulHength trousers and tight -fitting eye protection when waking with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flaying into them. If finishing concrete, wear knee pads to prated knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from dothkng. Seek immediate medical attention 9 you have persistent or severe discomfortln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protedive safety gear (Io g sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. El possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of Its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X /.. Buyer's Agenf 1`gee0'16f product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature ure of Owner or its Agent WGDELTKT090408 Leave Plant Arrive Job Site Start Discharged Finish Discharger Leave Job Site Arrive Plant Drivers' Comments Order No. Cust. No. r�r ;r.,ir-; - U01 J7 Customer Delivery InstructionsSTRUCT I ON Company/ Customer Job Load Qty Delivered Qty Order Qty 1J. D0 ;�1. 0 . Gr,o s s Tare Net Tr^k : 57240 26240 31000 Tr-1r, CUSTOMER 4636216 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-2521 Customer PO/ Phase Code TICKETNO. Driver Co. Proj. No. DeliveryAddress 53141351 Date 0 A , one Map SA Time: 1 ]. UOM Product Description Unit Price Amount t n (:14hLL SUPERPAVE 1 /2" 64 //111111 it/� f' FUEL CHG .l'•'>,1 >> .' 0 ?` ` '11111111 Load Size rod. No. Description Slump Type CC Use Haul d. Pit/Plant Sales Tax ` 'r`' TOTAL DUE Truck Gross Weight Tare Weight oy Check # Concrete: Injurious to eyes.Causes skin irdtaton.Contains Portland Cement. Read the following warning before using: Contact with wet, CUSTOMER unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have N stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe disconfiort h case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immrdiatey. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixures. A G� 7 /I Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken 4 v / 4 when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (brig sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this KL- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. EJ possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at customer request. Test cylinders en that you sign this RELEASE. In consideration of the performance of the seller of its contract with me, I the undersgned, hereby INDEMNIFY the product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be Received by X >, , .__.. appurtenances, at. made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from ICON h1ATE R I ALS The addition of any extra products to our mixer may void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any 1115 SOUTH 96TH personal injury incurred by you while adding additional products to our SEATTLE, WA 98108 mixer. Signature of Owner or its Agent 206-767-2521 Signature of Owner or Its Agent ___ WGDELTKTO90408 Leave Plant Arrive Job Sit Start Discharg Finish Discharge Leave Job Site1i Arrive Plant --- -- Drivers' Comments Company/ Order No. Cust. No. Customer Job MI Inert , 60 157 Customer RUCTION Delivery Instructions uty Delivered Qty OrderQty ProductCode 4.00 4.00 1.00 90150A 1.00 1.00 1.00 571424 15.50 15.50 1295 Gr-0SS Tar-te Net Trk: 57240 26240 31000 T r^ l r- : Customer PO/ Phase Code TICKET NO 53141317 Delivery Address l Kay ga CSS-1 TACK ea METAL BUCKET - 5 to CMRCL SUPERPAVE FUEL CHG iu�ui�iuguiquu�mpiigigiNiuUmp Driver Co. Proj. No. Date IMap 08/06/ 1 scaF F Time: 09 -, UnitPrice Amount GALLON 1/2u n Load Size rod. No. Description Slump Type CC Use Haul Cd. PiUglapn Sales Tax `1`' 1 TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Concrete: Injudous to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtiures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to prated knees. After contact with any of these materials, wash off immediately with fresh, dean water Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe disconrfort.ln rase of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E-] possibly cause damage to the premises or property. it is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at stomer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all chums to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received ,s appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may voldany warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent Wr1DFLTKT09W8 Leave Plant Arrive Job Site Start Discharg Finish Discharge Leave Job Site Arrive Plant � .-..- :J Drivers' Comments --- Company/ Order No. Cust. No. Customer Job Customer Flo I Delivery Instructions - RUCT ION I ,.' Load Qty Delivered Qty OrderQty Produ 4. 00 35. 0k 12 D Gross Tare Net Trk : 34240 26240 8000 Tr 1r : CUSTOMER 4636253 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-2521 Customer PO/ Phase Code TICKET NO. Driver Co. Proj. No. Delivery Address 531 4 1 384 Date Map 08 / l / 14 scow F Time: t n CMRCL. SUPERPAVE 1 /2" 64 FUEL CHG Load Size Prod. No. Desi`ription Slump Type CC Use Haul Col. Pit/Plant Sales Tax 1 TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Check # ���������-��r_�srlr_r•--���r_r.��rrrrrfsr_����i��������� HEIDELBERGCEM ENTGroup> 800-322-6847 425-961-7100 WEIGHMASTER STATION 99021100 Black Diamond 26111 SE Green Valle Black Diamond, WA TICKET NO. TICKETTIME 06:46.02 JDATE 7/31/2014 Customer No. Payment Type Customer Name Order No. 7842163 Account BUNO CONSTRUCTION LLC 24220 Customer Job. No. Customer P.O. Map Ref. Disp. Ord. # 365 656 /D2 29771 Truck Type Truck No. Vehicle or License Plate No. Trailer or License Plate No. Zone Solo 959 Hauler/Carrier No. Driver's Name Delivered/Ordered Load No. Running Total 7858190 STEVE 17.95 /6.00 1 17.95 BD/D - MONTEREY TERRACE WATER MAIN REPL 2235 E3 RENTON- MONTEREY TERRACE WATER MAIN REPL IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII PREV. WAGE CERTIFIED TICKETS GOING TO YARD Product.. 92253 CSTC 17.95 SCALE WEIGHT GROSS & TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS THAT EXCEED 10 MINUTES UNLOADING TIME. Fuel Surcharge 62,260 LB Sales Tax Gross Scaalie1 Scale X Mike Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond Tare 26,360 LB/P.T.* Net 3 5 , 9 0 0 LB the curb line. Total Deputy Weighmaster No one available to sign, customer waives receipt Received by Signature Print Name (Customer) Signature Standby signature. 0 JDriver's Time Start Finish StandbyJCustom'rs Initials Arrive Job Unloading Unloading Time Cadman. Inc. `�'ernis and Conditions ------- TERMS, OF PAYMENT -Terris of pay; rent to custorners of saiistar_triry and approved credit lie net cash on or before the 10l, cf the month following delivery. •1n the absence of any such credit terms. all deliveries under rhiv ;onvac. are -collect cn delivery (COD). •rra nsacti.o ;s after the 25 day of each month will ante <ar on €he, subsequent monin's stalerr t. •Accou its are con sib d delidquc,nr it payment has na,. been received in our office by the ?, if the mcin'r InIlowing pt. r,hase Delinquent accounts. on the 15r, of the ollowinq montftshall be pi'a oil I a cash curly basis for h.dure purchases until the delinquency is paid ;ra full. Interest at 18% will be charged on overdue account, 'Credit cards are accepted at time of purchase only, If paymont is made try bankcard after purchase date, a T3 'b fee, will his incurred -Purchaser shall make all payments due hereunder in lawful money -of . the United States and in the accordance with the above tenris, without any retention and without regard to any agreement Puic:hr se: mRiy have with offer parties. Attorneeyg' Fees and Costs. Should legal action be. necessary to collect this invoice, whethel of not suit be instituted. Cadman shall be entitled to recover reasonable attorney fees and costs, Including appeals, bankruptcies and post -judgment collection) efforts. It is agreed that any suit brought under any contract or screamertwit, customer shall be in King County, WA. •CADMAN ROU71NELY EXERCISES ITS RIGHT" TO SEND MATERIALMAMS NOTICES ON ALL,JOBS. -All federal- State and local taxes, assessments fees, duties. and charges leveled by reason of this proposal are in addition to prices quoted and shall be paid by purchaser. •NSF Returned checks are subject to a handling charge and are not re -deposited Cadman requires NSF checks to be replaced with cash or cashier's check. -Lack of purchase order or lob numbers do not stir, r the to: t^;= of sale ADDITIONAL COSTS)CHARGES -An I;,tiv rgnn'rntal Sups; argr is added to all realty Infix and agga>gate invoice's A F-aZEsi SIIrVra° may be added to all deliveries, Surchages are intended to cover Cadman's Increasing expenses in complying with environmental regulations and increasing energylfuel costa S armiarges are not taxes or costs required by any federal. state or local authcrity -Our nmnnum fold for aggregate delivery is 15 tun,. Loads under 15 tons will be charged tune and material. •A StafTdip1 surcharge; is as sensed for aggregate deliveries that exceed ten (10) minutes per load unloading time on the jobsite. •A Spe- c dl Op>n r jg surcharge is charged for all orders placed on Sundaysholidays, jobs starting after 6 COpITI and non-scheduled Saturday de!iaenes. -Saturday delivery hours are between l U0am and I OUpm. SCHEDULINGiSERVICE INFORMATION •Purchaser-S changes to original delivery request shall be made to Cadman s dispatch office only and not through Cadman drr✓ers, quality assurance personnel. or sales epresentailve.s. -The obligations of Cadman are subject to contingencies of strikes, accidents, delays In transportation, governmental regulations, fires or any other causes unavoidable or beyond our control. -Aggregates supplied to Purchaser may be sourced front different locations -All materials are Subject to avafAbiiity. 1, JABILITY DISCLAIMER ..AN. D INDEMNITY FOR..pELIVER'``. sEYOND,...PU�I.IG...ROAD In the event Purchaser directs delivery to be made beyond curb line. Purchaser agrees as follows: Purchase,.nas requested Cadman to make tire, of ra path for the delmiry of materials and .access lothe project red rilun" Cadman rucks to travel beVorid the boundaries of the nearest traveled public road, Purchaser acknowl- edq, es that damage t^, the fxenises andior adjacent p rope ty arty incur because of the sizo and weight of Ca onion tucks and Cad neon trucks may become darnaged. disabled c, amok using Purchaser s required part). Cadman disclaims any liability or responsibility for damago of any kind that arises front Cadman'a use of Purcha8e y req„iced path Purchaser agrees to defend Indemnify and hold harmless Cadman, Rom all claims, liability. damages, costs. judgments or losses of any kind finciudinq reasonable attorney's fees and costs] i esulting ',,,fit damage to property of any kind, (including damage to Cadnlan's• trucks) arising from or in any way connected to Cadman's use of the requin>d path. Upcn Cadman's tender o' defense under this prevision, life Purchaser agrees to appoint counsel of Cado Iasi, choice kc, defend against third party dlaim(s) Such counsel will be at the sole expense of purchaser. PERSONAL INJIjRY INDEMNITY PROVISION -This indemni`ication pip: t...,•i is par! of the ienns €':d cend!,lons battyaen the Pu-c'i<a,:i•r t Cadman an i intended 10 comply wit, the pro„s:cns of ROW ,124. 116 rn i ovnt of ally conflicts betweer ni -, and .anv oihe: term�r a ,rc,. s - t-c->,c•cn i^e t t;l acdr ai o C,ISr ,an th€q (kin a eat sh il: €oirhoi. On- i u chetser rg r do r our and I -'-'old ha r.le "s Cadman }form ;arty and all hoc.,i,r y j€.it.0 rg �ir_t><.e 'ase+ ur elainage, to ps,..r? . , a,o M.,c{ t,as dains, derratids basses and iabia(ies to or by t rt1 pantie a! ftom. r-srl1ting !ruin. UI "'I",-_,,e.t in ar„ 'way vt,th €tpe p 6duct or products sold by Cadman to Purchaser. even tl'iough such claim; may prove to I.) e: , i .J r ,. h;.ss or fraudWent, to the fullest extent par ntteo by law and s a7, ,c t to too lunitat ons provkl, cd bo-,w_ to indenotty Cadnian shall not apply to liability for darrag_^s Wising ou, of ;.Ixi Iv €nlury to per.,u!rs o- oimage to p op.,, Iy caused by or resulting Iro;r.'ha sole negl'S, . �> of Cad r ,,r cr ;is ,: y, its er ern„ �.iy:-, s Pup Isar s r.uty to indemnity Cadman for liability tot damages arisf, g out of body injury to persons o! darlage :u property caused by or resulting from the concurrent negligence of (a) Cadman or -ts ailan:s o; employees a io ib) Purchaser of its agentsor employees shall apply only ot''he extent of nogrgence a:f Purchaser or Its agents or employers. provided, this paragraph shall not apply In situations where neg Bence is no' a :equife:ment rt Purchase, s liability, such as contract. -Purchaser spiecificaily and expressiywaives any irriii.mities that may be granted i' :;; der 'he Wash- igton State Industrial Insurance Act, Title 51 RCW or the laws of any other state prowle.: Vt su.,waiver shall be expressly limited to Purchaser's indemnity obligations herein and shall net he a benefit to1ny M. rd warty. Fw- a en the indemnification obligation Under this prcvision shall not on imitad i^ any way by any lImiY vier on the amount or type of any damage.,. „umpensation orbar effts payable to cr to � any lir!nl party - dker wo of s cigar. pensation ;acts disability benefits- acts of, other Pina oyee be,i i ffs acts Pfiof idser's dully i de.e ,.4 Indertuiii, ;and hold Cadman harmless shall include payment of . damages, .nuts, intense Verinittes. reasonable attorneys' fees, Cadman's personnel related costs any, all ether glair ated expenses Upon Cad oar tender of defense under tn.s p,ov€smil, the, Purchaser aurao's to appoint cc" ns •1 of C,.dman's ehoice to defend against third party claunrs?. Sud, c°nlnsei will be at trio sole; expense oI the r'., Y.,ia.,P.-. 'HE PURCHASE HEREBY CER 1:FIES iHAI THE FROVISIONS Cr- I HIS DOCUMEN i WERE SOEC• FIClAt_l.Y AND VIL) I UAI I Y NLGt7PAtF©- CADMAN_HEREBY ,EXPRESSLY DISCLAIMS ALL IMPLIED WARRANTIES No warrarties, express or mpiPd- (riCludin0 warranties of fitness -cr a ✓arf.,uia" purpose or warranties of meryhan ab ity). are made and ail ma£u:ais are sold AS fS Cadman is not resoonslble for consequential or inddertal damages of anv rind icfud- ig but riot limped to any expenses related to construction defers- delay damaurs, impact damages. lost profits. -abur cuss equipment and too! costsmaterial cross bond and Insurance costs, home n'fce overhead costs. ,ob- sits overhead_ interest and attorneys' fees and preparation of claim c csts. LIMITATION OF REMEDIES -Purchaser's exclusive remeny for breach of tntract shall be as toiiows Cadman's iabipity is li nited to (1) the difference between the original purchase price of the Cadman material or lcj the direct cost of repairing the Cadman, material which ever is =, In no event will Cadman be'iabie for any direct of consequential damages related to its material. -Purchaser agrees that Is waves its i h! to ieP t Acceptance of Cadman materials without c filcat._m ri wi ting ',vith n +hire IT business days a'.te w:&l.l, TIME LIMITATION Purchaser acknowledges that no regal action may be commenced of I i a€ntained by Purchaser as to any claim. known or unknown, based upon negligence or express or mp'dd v ar, anty or contract after i year from the last date Cadman delivered material to Purchaser TITLE AND RISK OF. LOSS Unless otherwise; expressly stated herein, title, to the, materials sod i ii eu dt�f snail renan with Cadman until Cadman has recaseti hall payment to the same. RISK ,.' toss o the fnater.ais sold hereunder shall pass to the Purchaser upon delivery of the materials at the place of del -airy desig- nated herein. Thereafter : in addition to assuming all risk of loss. Purchaser shall be respnsibie for compli- ance with all governmental regulations and ordinances with regard to storage of placement of the same and agrees to indemnify and hold Cadman harmless against all claims resu,hry frown damagis to p ooe ty of airy kind arising trorn the storage use. or handling at said materials. Concrete: Injurious to eyes.Causes skin initabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulNength trousers and tight-fitrig eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or corn into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt enNs nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customers own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the perfomance of the taken seller of its contract wit me, I the undersigned, hereby INDEMNIFY the Other additions , seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received ,r appurtenances, at: by X_ Buyer's Agent fef pelt of product and approval of-M y-ecidgd items. The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while, adding additional products to our mixer. Signature of Owner or its Agent Leave Plant Arrive Job Sit Start Discharge', Drivers' Comments Order No. Cust. No. 6015 Customer Delivery InstructionsSTRUCT ION and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent —._. WGDELTKT090408 Finish Discha� Leave Job Site Arrive Plant Company/ Customer PO/ Customer Job Phase Code Load Qty Delivered Oty Order Oty 15.50 1 `j. 5k, 1 -195 Gross Tare Net Trk: 57240 26240 31000 TrIr: TICKETNO. 73141132 Delivery Address CUSTOMER 4635909 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for productdefectis he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-2 521 I Iillll IIII (IIII (IIII IIII IIII il�ll IIIII�II! NII * .3 1 1 3 c Driver Co. Proj. No. Date Map r� Zone Scale Time: 09 UOM Product Description Unit Price till COIRCL SUPERPAVE 1 /2" 64 FUEL CHG Loa tze Pro . o: Description Slump Type CC Use Haul Cd. Pit/Plant Sales Tax 3 J31 TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # D!JN,, Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chernical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement miAres. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protedive safety gear (lag sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign thisRELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDENWIFY the Other additions seller and its employees for any damage and for all claims to the penises, building. utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: Y Buyer's Agent re{* product arfd approval of an added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void arty, %%vanty any liability. expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Signature iv Owner r its Agent Discharge g 9 _ �._ WGDELTKTOfd040 Leave Plant Arrive Job Sit Start Discha e� Finish Dtschar a Leave Job Site Arrive Plant Drivers' Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Customer 60157 Delivery Address 53141149 Delivery Instructions (DUCT I ON Load Qty Delivered Qty Order Qty Product Code UOM Product Description CUSTCfii.4ER 4635939 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 9GTH SEATTL.E, WA 98108 206—t67-2521 Driver Co. Proj. No. 6. to CMRCL SUPERPAVE 1 /`" 64 Gross Tare Net Tt-k: 42240 26240 16000 TrIr. FUEL CHG Date Map 07 / ; 1 tt scald FF Time: 13:45 a Load Size Prod. No' Description Slump Type CC Use Haul Cd. Pit/Plant Sales Tax 3 531 TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Check # moreiiiiiiiirr•>•-�dor•=see �eiaiiiii>•low-New rt - - -- Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe dhemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when wafting with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and hgh enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to prated knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfat.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (brg sleeves, pants and gloves). If turned, coal with water and see a physician. Water added at customees own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E-] possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by Buyer's Agent rep ' pro roval of any added items The addition of any extra products to our mixer may vo`m-m*warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent _ NWGDELTKT090408 Leave Plant Arrive Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments CUSTOf.1Er3 4635326 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96T1-1 SEATTLE. WA 96108 206-767-2521 Company/ Customer PO; Order No. Cust. No. ((77�� -. Customer Job Phase Code TICKET NO. Driver Co. Proj. No. JK.�1c Customer Delivery Address Date Map Zone Delivery Instructions3TRUCTION scai Time: Load Qty Delivered Qty OrderQty ProductCode UOM Product Description Unit Price Amount to �:triF<it►� SuwERPAVE 1/2" 64 Gross Tare Net Tr k : 57240 26240 31000 Trlr: FUEL CHG L r Prod. No. Description Slump Type CC Use Haul Col. Pit/Plant Sales Tax 3 531 TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # BUN05? lvo, `7 — � D( C5 'L�-- 16 — 111 so---C- L ,,C-" (--, 'ar- CaY\VL 4-c�1ox 2 v -� -t-- e, r 26 C5TC S3-7 T 27 ff A- l71,6-3 t-en DAILY INSPECTION DIARY REPORT DAY: DATE: /7 WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: Wjlo, -etl ow eUh C l -',-1,-4 ���-trA God--�•^rv1�S �� C.�y��� �-�-, i r -e vv, CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: Concrete: Injurious to eyes.Causes skin irritabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -tilting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (big sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersgned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by Buyer's A ent recei t of roduct and a royal of an dd r d it CUSTOMER 4636463 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. 9 P p Pp y a e ems. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. I C-.0N Nk ( Eft 1 F-1L. i expressed or implied by the seller. The seller accepts no liability for any 1115 SOUTH 9ETH personal injury incurred by you while adding additional products to our mixer. SEATTLE WA 98106 Signature of Owner or its Agent 206-767-2521. g ure of Owner or its Agent 9041]$ r nat lll���111WWWGDELTKI0 Leave Plant Arrive Job Sit Start Discharge Finish Discharge Leave Job Site Arrive Plant 1 Drivers' Comments Order No. Cust. No. Customer Delivery Instructions I�IN5NII3ItlIIIkIIiIIIIIIIIVuIUlliiillnil Company/ Customer PO/ Customer Job Phase Code TICKET NO. Driver Co. Proj. No. Delivery Address Date p Zone Delivered Qty Order Qty Nroductt;ode DOM 15.00 15. 00 1 3 J Grass Tare Net Trk: 56240 26240 30000 Tr-1r. tri iMIRCL SUPERPAVE 112" 64 FUEL CHG Scale Time: Price Load Size - Prod No. Description ,ti' Slump Type CC Use Haul Cd. PittPlant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by T tI. I -15 Check # Concrete: Injurious to eyes.Causes skin irntation.Contains Portend Cement. Read the following warning before using: Contact with wet, CUSTOMER unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention K you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates:4636474 Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health, Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (big sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be due to water added abovedesign. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. possiblycause damage tothe premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the product defect is the return of the purchase price. In no taken seller of its contact with me. I the undersigned, hereby INDEMNIFY the event shall the seller be liable for any direct, indirect, Other additions seller and its employees for any damage and for all claims to the premises, incidental or consequential damages resulting from building, utility pipelines or cables, telephone lines, driveway or other the use of the products or arising out of breach of any. Received appurtenances, at: warranty. All claims for damages or shortages must be b y X made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. Buyer's Agent receipt of product and approval of any added items. _- and RELEASE the seller and its employees from ICON MAT_ �R 1 f•-il_:.i The addition of any extra products to our mixer may vo'r�'argt warranty any liability. expressed or implied by the seller. The seller accepts no liability for any 1115 SOUTH 96TH personal injury incurred by you while adding additional products to our SEATTL.E, WA 98108 mixer. Signature of Owner or its Agent 206--767--2521 Signature of Owner or its Agent _ NWGDELTKTO90408 Leave Plant Arrive Job Sit Start Discharg Finish Discharge) Leave Job Site Arrive Plant Drivers' I 1111111111 11111111!l 1111 Jill 1111 Comments * j 3 1 4 1 * Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Driver Co. Proj. No. 60157 Customer Delivery Address Date l 1 RUCTION Map Zone Delivery Instructions S47 F Time: Load Qty Delivered Qty Order Qty Product Code UOM Product Description Unit Price Amount 1 �. 00 f, CMRCL SUPERPAVE 1 /2" 64 Gross Tare Net Trk : 56240 26240 30000 TrIr: FUEL CHr Load Size Prod. No Description Slump Type CC Use Haul Co. PWPlant Sales Tax 531 TOTAL DUE 'ruck Gross Weight Tare Weight Trailer Trailer Check # Concrete: Injurious to eyes.Causes skin imtafion.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete. use waterproof boots that are fight at the top and high enough to keep concrete from flowing into them. If frishirg concrete, wear knee pads to protect knees. After contact with any of these materials. wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical aftention if you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fuanes. Also, Asphalt may cause severe burns. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E-1 possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test etcylinders that you sign this RELEASE. In consideration of the performance of the seller of its contract with me. I the undersigned, hereby INDEMNIFY the Other additions 411 seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables. telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approvI" any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Leave Plant Arrive. Job Site Start Discharge Drivers' Comments and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent ._....._-."GDELTKT090408 Finish Discharge Leave Job Site Arrive Plant CUSTOMER 4636357 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is [he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 206-767-2521 I*Illf �IIpIIIIINIIIIIIIIIIIhlllllll!IIIIIII Company/ Order No. Cust. No. Customer Job Customer "015 Delivery instructionsSTRUCT ION Customer PO/ Phase Code DeliveryAddress TICKETNO. 53141468 Driver Co. Proj. No. Date 110aP ��ne Scale Time: Load Qty Delivered Qty OrderQty ProductCode UOM Product Description Unit Price Amount 1.00 y01,50H ga CSS-1 TACK 1295 to CMRCL SUPERF'AUE 1/211 64 Gr-o s s Tare Net j r : k : 50240 26240 24000 FUEL CHG u r Load Size Prod. No' Descrip67 tion Slump Type CC _ Use Haut Col. Pit/Plant Sales Tax 3 5 ' 1 TOTAL DUE Truck Gross Weight Tare Weight Trailer -_ _ Trailer Taken by Check # r_r. mw< r_ r_ � r. r_ r_ � � r_ r_ r_ r mw-mwt� rrrfr_r•s�rt���� Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight-fdting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flaying into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discanfot.ln rase of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to Al persons who may use or come into contact with wet (unhardened) concrete, mortarcement or cerment mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. El possibly cause damage to the prenrses or property. It is our wish to help you n everyway that we can, but in order to do this, the operator is asking Added gal water at customer request Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned. hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items. The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent _ _ _ GDELTKT090408 Leave Plant I Arrive Job Site Start Dischar Finish Dischar e� Leave Job Site Arrive Plant Drivers' Comments _ CUSTOMER 4636419 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. i wiA t IATF R I ALS 1115 SOUTH 96TH SEATTLE. WA 98108 206-767-2521 tlA5R�� 14���� I�N ��III IIIII illl.. Company/ Order No. Cust. No. Customer Job Customer n Delivery InstrucRNSTRUCT I UN Customer PO/ Phase Code Delivery Address TICKET NO. C� f ,_t Driver Co. Proj. No. Date �P Zone scale Time: J Load Qty Delivered Qty Order Qty Product Code UOM Product Description UnitPrice Amount v 12vary i trr CMRCL SUPERRAVE i; 2" 64 Gross Tare Net Trk: 50240 26240 24000 FUEL CHG Tr1r: Load Size r d: o' Detcription Slump Type cc Use Haul C_ d. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # w Concrete: Injurious to eyes.Causes skin initation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from floMng into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe ciscomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or came into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health, Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing tarns. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment. in presenting this RE - due to water added abovedesign. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. possiblycause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contact with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X i ,/ Buyer's Agent -receipt of product and aP`pmval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent Leave Plant Arrive Job Sit Start Discharg Finish Discharge Drivers' Comments Company/ Order No. Cust. No. Customer Job Customers 60157 Delivery Instructions`�ZTP'IIr`TTf7IN Load Qty Delivered Qty OrderQty and RELEASE the seller and its employees from CUSTOMER 4709484 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. any liability. ICON MATERIALS 1115 SOUTH 96TH Signature of Owner or its Agent SEATTLE, WA S81 0H _._-- 206 IF, 'y. - 5 1 Leave Job Site I Arrive Plant 4 Customer PO/ Phase Code Delivery Address ProductCode UOM A.. 00 4.00 1. ► 14 90150A c1�a 15.00 15.00 1295 t o Gross Tar"F Net Trk : 56240 26240 30000 Tr 1r. TICKET NO. 531.41749 Product Description Driver Co. Proj. No. COS-1 TACK CMRCL SUPERPAVE 1 / E4 FUEL. CHG Date Map 01; Zone ! 4 Sp F- Ti 09:5 L aC Description Slump Type CC Use Haul Col. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # BUN053 Concrete: Injurious to eyes.Causes skin irritabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin imtation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discanfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixWres. Aggre-gates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment in presenting this RE - due to water added abovedesign. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received � appurtenances, at: by Buyer's Agent rece pt uc kiroval of any added items. The addition of any extra products to our mixer void any warranty expressed or Implied by the seller. The seller accepts o liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Crooner or its Agent GDELTKT090408 Leave Plant Arrive Job Site Start Discharg�nish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Order No. Cust. No. Customer Job Customer 6- 0157 Delivery Instruction sa']'}7U[ jON Load Qty Delivered Qty OrderQty 15: 0O .30. 0 Customer PO/ Phase Code Delivery Address TICKET NO 5,3141764 CUSTOMER 4709510 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTL.E, WA 98108 206-767-2521 Driver 4 Date Map sr� T ProductCode UOM Product Description Unit Price t. rl CMHCL SUPERPAVE 112" 64 Grosz Tare Net' Trk : 56240 26240 30000 Trim: FUEL CHG L .lRrda, Nor Desbription Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # BUhJOS.a, Co. Proj. No. Zone Amount Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulNength trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowng into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warring to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement m&res. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, 000l with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. a possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received -�' appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from an liability CUSTOMER 470 4 - 5 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is [he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. The addition of any extra products to our mixer may void any warranty Y ICON MATERIALS expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our 1 1 1 `5 SOUTH 96TH mixer. Si nature of Owner or its A ent g g Signature of Owner or Its Agent _ NWGDELTKTo90408 Leave Plant 1 Arrive Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments SEA f TLE, WA 98108 206- 767-252 1 IIIUI�III�IIIIIINIUIIIIIIII�BIIIIIIjNlilll Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Driver Co. Proj. No. Customer 150157 Delivery Address 531 ,+ 1738 Date Map is Z Zone J+ Delivpry.,tnstructio{ aTRUC.;T I CAN o Scale _ Time Load Qty Delivered Oty OrderQty ProductCode UOM Product Description UnitPrice Amount .'t n CMRCL SUPERPAVE 1 i 2" E4 Gres Tare Net T1h �s 36240 26240 10000 FUEL CHID -Tr•1r: Load Size.= C:r QtV'!Qi Deg�ription C/N: Slump Type CC Use Haul Col. Pit/Plant Sales Tax — TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # I1' 1 -- - -- Concrete: Injurious to eyes.Causes skin imtabon.Contains Portland Cement. Read the following warning before using: Contact with wet, CUSTOMER unhardened concrete, mortar, cement or cement mixtures can cause skin imitation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and fight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at fhe top and high enough to keep concrete from Having into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through dothng is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention lt you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or orient mixtures. /� 6 �' Q Aggreqates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken 4 fC � J when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (log sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce itsstrength.Buyersagentagreestoacceptresponsibilityforreducedstrength The operator of this piece of heavy equipment, in presenting this RE- Unloading & Standby Excess unloading will be due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this charged at posted truck time rates. Truck standby Arrived at job with inch slump. F machinery in the manner required to perform our contrail with you may possibly cause damage to the premises or property. It is our wish to help time charged at posted truck time rates. you n everyway that we can, but in order to do this, the operator is asking Limited Warranty The only liability of the seller for defect is the In Added gal water at customer request. Test cylinders taken that you sign this RELEASE. In consideration of the performance of the seller of � contract with me, I the undersigned, hereby INDEMNIFY the product return of Mlle purchase price. no event shall the seller be liable for any direct, indirect, Other additions seller and its employees for any damage and for all claims to the premises, incidental or consequential damages resulting from the use of the products or arising out of breach of any � building, utility pipelines or cables, telephone lines, driveway or other appurtenances, at: warranty. All claims for damages or shortages must be bReceivedX - made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. I LUN MATERIALS expressed or implied by the seller. The seller accepts no liability for any 1115 SOUTH 96TH personal injury incurred by you while adding additional products to our mixer. Signature of Owner or its Agent SEATTL.E, WA 98108 206-767-2521 aiyndture "1 UWIIUF yr res r+genc WGDELTKTO9040$ Leave Plant Arrive, Job Sitq Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Order No. Cust. No. n1P. ri 60157 Customer Delivery InstructionsSTRUCTION Company/ Customer PO/ Customer Job Phase Code Delivery Address TICKETNO. 53141716 Driver Co. Proij. No. Date scale Time: Qty Delivered Qty OrderQty Product Code UOM Product Description UnitPrice 15. 50 31.00 1. t n CMRCL SUPERPAVE 1 / 2" 64 Gross Tare Net Trk: 57240 26240 31000 Tr1r: Loa ¢e Prod. No. Truck Gross Weight Tare Weight Trailer FUEL CHG Slump Type CC Use Haul Cd. Pit/Plant Sales Tax - TOTAL DUE Trailer Taken by Check # F,_ 1i:-':01 Amount ����IMIIMI ��-raohm r_��� Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtiures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discormfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this waning to all persons who may use or corn into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment in presenting this RE - due to water added abovedesign. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received �d,_ appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Ow Leave Plant Arrive Job Own —Drivers' Comments and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent or its Agent _ ___ WGDELTKT0904..0 Sit Start Discharge Finish Discharge Leave Job Site I Arrive Plant Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. 53141697 Customer Delivery Address Delivery Instructions�TRUCT I ON Load Qty Delivered Oty Order Qty ProductCode UOM Product Description 4.00 4.00 1.00 90150A ga CSS-1 TACK 15.50 15.50 1295 t n CMRCL SUPERPAVE Gross Tare Net Tr•k : 57240 26240 31000 TrIr: FUEL CHG CUSTOMER 4636616 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TF-I SEATTLE, WA 98108 206-767-2521 3mgiai4m197mpi Driver Co. Pro. No. Date rh Map Zone scab F Time: 10:03 Unit Price Loa ¢e Prod. Nd Description Slump Type CC Use Haul Cd. Pit/Plant Sales Tax 3 5 1 TOTAL DUE Truck Gross Weight Tare Weight Trailer 661._iN0 Check # DAILY INSPECTION DIARY DAY:-rVe;S'D� DATE: $ /Lq /IV WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: rrAc.0 uKo CoKsr REPORT A4-i!b \o-,-k 1!m- - S14t % ,%^ s cc — G A D Do r I •-•� e- u + bs -b S � 171 n` {'pro- JJ&C- c�� S.� -r.V �nl �1t.4+�q sCk,r� "Taw (Z n W L cr a -"-k A-7 � /Y,4-n ho i E ..is r-w o liS 48k CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cernent or cement mbdures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulNength trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flaring into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfat.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (king sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customers own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce fts strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. El possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent _..... WGDELTKTO90408 Leave Plant Arrive.Job Site Start D:scharg Finish Discharge Leave Job Sfte Arrive Plant Drivers' Comments — CUSTOMER 4709609,1 f.. Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH "DE-Ti SEATTL.C4 WA 9r 1AZr 2`06- 7 67-L` e 1 IIIIII�IIIIIIIil!!��� Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Driver Co. Proj. No. Customer ,,; � � Delivery Address Date Map Zone Delivery. Instructions -:i if, j f C1Pti Scale Time: Load Qty Delivered Oty Order Oty ProductCode UOM Product Description UnitPrice Amount U LdaOSize Prod. No. Description Slump Type CC Use Haul Cd. PitfPlant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact wit eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulkength trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe disoornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (brig sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to wateradded abovedesign. LEASE to you for your signature, is of the opinion that the operation of this job with inch slump. machinery in the manner required to perform our contact with you may Arrived at f p � possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test takencylinders that you sign this RELEASE. In consideration of the performance of the seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by X Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from CUSTOMER 4709587 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is fhe return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. The addition of any extra products to our mixer may void any warranty any habdity. ICON MATERIALS expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our 1115 SOUTH 96 TH mixer. Signature of Owner or its Agent SEATTL.E WA 98108 Signature of Owner or its Agent NWGDELTKT09040Q Leave Plant Arrive. Job Site Start Discharge Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Order No. Cust. No. Customer Job Customer Delivery Instruction5;_:iTG !)CT T I_I(•f Load Qty Delivered Qty OrderQty Prod r 06--767-2521 Customer PO/ Phase Code TICKET NO. Driver Co. Proj. No. Delivei-y 1Address Date Map Zone Sca TimE: Load Size Prod., No. Description — Slump Type CC Use Haul Cd. PiMant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Check # Concrete: Injurious to eyes.Causes skin imtation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, oement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shift, fulNength trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention K you have persistent or severe discomfort.In case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician Immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customers own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyersagentagreestoacceptresponsibilityforreducedstrength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. possiblycause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by Buyer's Agent re eipf ,product and approval of any added items. and RELEASE the seller and its employees from CUSTOMER 47000?6 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delnvery.We do not assume responsibility for any damage beyond the curb line. The addition of any extra products to our mixer may void any warranty any liability. ICON MATE_ R I AL.-S expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our 1 1 15 SOUTH 9FTH mixer. Signature of Owner or its Agent SEATTL.E, WA 98106 Signature of Owner or its Agent 11716 767--c521. __.._................_9 NWGDELIKI09o4118 Leave Plant Arrive Job Siti Start Discharge Finish Discharge) Leave Job Site Arrive Plant Drivers' Ii �11� �I�) � Comments Il1111111 i111111 Ill ill) J a Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKETNO. Driver Co. Proj. No. Customer 60157 Delivery Address 't j °tee Map jLjr Zone it Delivery Instructions 3TRUCT I (IN Scale Time: Load Qty Delivered Qty OrderQty Product Code UOM Product Description Unit Price Amount - ?i,` rJiVl 1^ s -tn CMRCL SUPERPAVE 1/2" 64 Oro: Tar-e Nc1_ I +- =ctc' ,-' FT FljEl.. C'rjG Load Size Prod. No. Description Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer r.r_r_���r r� 11111=�����r ri��rra��r 060_�r_ DAILY INSPECTION DIARY DAY: e D DATE: / / // " WORK PERIOD: a.m./p.m. to WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: ,%ae- g 4 r yel 4-A= i.s - 8 - 1 y- 1 y a.m./p.m. Y vt.,�d ✓ C.o "Li, rl l,CS Tci 00IIA-c- �i o7 F n. % - -� - / ,s- - / y CONTRACTOR SIGNATURE r INSPECTOR SIGNATURE REPORT 46 DATE: DAY: V)-�'C," DATE: , / WEATHER: TEMP. MAX WORK ACCOMPLISHED TODAY: &AO Gh DAILY INSPECTION DIARY / — WORK PERIOD: a.m./p.m. to a.m./p.m. OF MIN OF PRECIPITATION: REPORT # l n t� �M R ✓vim o ► h �,.r,, iy v13T�-{ i `e - i ri a ) se CCS � 1 M C v I a CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: �'� DAILY INSPECTIQN DIARY � e DC"� "� REPORT �j DAY: DATE: / Z V/I y WORK PERIOD: a.m./p.m. to a.m./p.m. WEATHER: TEMP. MAX OF MIN OF PRECIPITATION: WORK ACCOMPLISHED TODAY: s '-.'V 1 vi A-s C c -1 c 4 Ln L) i ►i f- wz, l ks Z v, i v .. T, LE F T�-z= 2 �o i.�c �.�-► �. �S yQ'f'i D tit i tr S !"o Y� + k c S,y 1,? ,,..•. , �-� -t' � t:�,'�-1 � - ?tii r .� j'Z e c t, � S r To � t �-c S '�-Re ✓ bin 1 T� , s s r,'. �- � CONTRACTOR SIGNATURE INSPECTOR SIGNATURE DATE: Concrete: Injurious to eyes.Causes skin iritabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhaniened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulHength trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are fight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical Mention f you hate persistent or severe discomfortln case of eye contact flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to carver this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement nftres. Aggregates: Prolonged inhalators of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt emts nuisance fumes. Avoid breathing ftpnes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customers own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. E-1 possibly cause damage to the prertuses or property. It's our wish to help you in cveryway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you An this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received appurtenances, at: by Buyer's Agent 4eV.pEfof Mcluct and appro added items. and RELEASE the seller and its employees from The addition of an extra roducts to our mixer ma void an w anty any liability OFFICE 4709609 Unloading 8 Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. y p y y expressed or implied by the seller. The seller accepts no liability for any ICON MATERIALS personal injury incurred by you while adding additional products to our 1 1 1 5 SOUTH 9ETH mixer. Signature of Owner or its Agent SEATTLE, WA 98108 _._Signature of Owner or its Agent _ DDELIKI09.11.9g$ 20E-767—c:521 Leave Plant Arrive Job Sit Start Discharge Finish Discharge Leave Job Site Arrive Plant CDr vers omments - — __— I (IIIII IIIII IIIII IIIII I�III IIII� �Il1� IIIII�III �II J 3 1. 4 1 8 4 J Order No. Cust. No. CLStOW3 E0157 Dt�IUW tr1aIIRSTRUCT I ON Company/ Customer PO/ Customer Job Phase Code Deliver 6A ress TICKET NO. Driver Co. Proj. No. 53141845 Date "tap 08/f/ 14 scale 1 T,MF F Load Qty Delivered Qty Order Qty ProductCode UOM Product Description 15.00 30.00 1 *„95 Gross -Tare Net Tr I(: 58E40 2E240 30000 Trlr. t n CMRCL SUPERPAVE 1 /211 E4 FUEL CHG LdarafVD C(YUI4I1foC Depription C/N: Slump Type CC Use Haul Col. Pit/Plant Sales Tax TOTALDUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # B,l tN 05 Concrete: Injurious to eyes.Causes skin iritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixhtres can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight-fittng eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately wit fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from dothing. Seek immediate medical attention if you have persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or came into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyees agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. possiblycause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contact wit me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, _ building, utility pipelines or cables, telephone lines. driveway or other Received _r appurtenances, at: by x - Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from The addition of any extra products to our mixer may void any warranty any liability. expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. Signature of Crooner or its Agent Signature of Owner or its Agent WGDELTKTO90408 Leave Plant Arrive Job Site Start Discharge Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Order No. Cust, No. Customer Delivery Instructions Load Qty Delivered Qty 4. 00 4. 012 1.00 1.00 15.00 15.00 Company/ Customer PO/ Customer Job Phase Code Delivery Address TICKET NO --).s141Es,:0b Order Qty ProductCode UOM Product Description 1.00 90150A ga CSS-1 TACK 1.00 571424 ea METAL BUCKET - 1295 t n CMRCI_- SUPERPAVE GI-05S Tare Net Trk : 56240 26240 30000 Tr - Iv FUEL. CHIS CIISTO.kIER 470667 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIAi_E 1115 SOUTH 96T H SEATTL E, Wn 98108 206--767-2521 Diver Co. Proj. No. Date Map Zone Sra Ti . _ UnitPrice Amount 5 GALLON 1 /2" 64 Load Size Prod, No, Description !n,: Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin initation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight-fitbng eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention 9 you have persistent or severe discorrrfortln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtiues. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken wtlen handling this product Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective safety gear (king sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. D possibly cause damage to the premises or property. It is our wish to help you n everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the perfomhance of the taken cellar of its cent with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all daims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received 4L appurtenances, at: by X Buyer's Agent recaiiftt 66f oduct and approval of any added items. and RELEASE the seller and its employees from Th dd"f f tr d ct t id an liabilit CUSTOMER 4 7 09685 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for product defect is the return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. e a r non o any ex a pro u s e our mixer may vo any warranty Y Y C^uN MATERIALS expressed or implied by the seller. The seller accepts no liability for arty personal injury incurred by you while adding additional products to our 1115 SOUTH 96TH mixer. Si nature of Owner or its 9 A ent 9 Signature of Owner or Its Agent _ _ WGDELTKT090408 Leave Plant Arrive Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Order No. Cust. No. D"m LrVr�1'. wT RUCT z ON Load Qty Company/ Customer PO/ Customer Job Phase Code Delivered Qty OrderQty 15.00 , Trk. =F,;7.,r0 ,,,.7 T r- 1 Y, Delivery Address TICKET NO. SEATTLE, WA 58108 06-767-2521 giiiiipupiugui�ii�iuui Driver Co. Proj. No. Date Map i Zone Scale Tim4:' UOM Product Description Unit Price 1-r1 CMIRCL SUFIERPAVE 1/ 2" 64 FUEL CHG L¢@dVQ_d', i_.I Prod. No. Description _ • I.' > Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DU_ E_ Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # �"r ��onw �w ����� am��������� Concrete: Injurious to eyes.Causes skin irritabon.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixhires can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulHength trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flaming into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you hate persistent or severe discornfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing tries. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cod with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract wth you may Arrived at job with inch slump. F possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at customer requiest. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the prerrises, -- •— building, utility pipelines or cables, telephone lines, driveway or other Received /j ceived �� / _ appurtenances, at: b Buyer's Agerft ec,4t o prdKdTamf approval of any added items. The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent _ _.. WGDELTKT09040 Jo Leave Plant Arrive b Sitl Start Discharg Finish Dischargel Leave Job Site Arrive Plant Drivers' Comments Order No. Cust. No. Customer 6121115 Delivery InstructionsyTRUCTION Company/ Customer Job Delivered Qty OrderQty Customer PO/ Phase Code Delivery Address TICKETNO. 53141919 NroductGode UOM F'rocluctDescription Grass Tare Net CUSTOMER 4709700 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for productdefectis hereturnofthe purchaseprice.Inno event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. IUGN MATE:PIAL•S 1115 SOUTH 96-111 SEATTLE. WA 98108 06-767--2 521 IIIIIIJI'I�!III Illil IIIII ICI III IiIN�� Ih! Driver Co. Proj. No. 'tn CMRCL SUPERPAVE 1/2" 64 FUEL_ CHG Date Map t� & STraie F 1-dad-) 'C(Plrdd. Nor Deb ription +- `F l • Slump Type CC Use Haul Col. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken Check # Concrete: Injurious to eyes.Causes skin imitation.Contains Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixtures can cause skin imitation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulHength trousers and tight -fitting eye protedion when waking with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off irrvnediatety with fresh, dean water. Indirect contact through clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention if you have persistent or severe discomfort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or come into contact with wet (unhardened) concrete, mortar, cement or cement mucWres. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product Hot Asphalt emits nuisance fumes. Avoid breathing furnes. Also, Asphalt may cause severe bums. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. a possibly cause damage to the premises or property. It is our wish to help you n everyway that we can, but in order to do this, the operator is asking Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received /, i appurtenances, at: by X Buyer's Agent receipt of product and appro-vat of AU added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent . ---J GDELTKT090408 Leave Plant Arrive Job Sit Start Discharg Finish Discharge Leave Job Site Arrive Plant Drivers' Comments Company/ Order No. Cust. No. Customer Job Customer Delivery Instructions Customer PO/ Phase Code Delivery Address TICKET NO. CUSTOMER 4709734 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for productdefectis hereturnofthepurchaseprice.Inno event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of dellvery.We do not assume responsibility for any damage beyond the curb line. ICON MATER I Ai... 1115 SOUTH . GTH SEATTL.E. VI 9B 1 0I_+ 206."..76 7.... 521 Driver Co. Proj. No. .oad Qty Delivered Qty Order Qty ProductCode UOM Product Description Unit Pr Date Map LW- Zone Sa6e Tim€: Load Size Prod. No.' Description Slump Type CC Use Haul Cd. Pit/Plant Sales Tax 3 ?. TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Check # nt Concrete: Injurious to eyes.Causes skin imtabon.Contairs Portland Cement. Read the following warning before using: Contact with wet, unhardened concrete, mortar, cement or cement mixures can cause skin irritation, severe dhernical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, fulNength trousers and tight-firong eye protection when waking with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flowing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact through dothing is as dangerous so promptly rinse these materials from dothing. Seek immediate medical attention if you have persistent or severe discorrtort.ln case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or cane into contact with wet (unhardened) concrete, mortar, cement or cement mixtures. Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing (urns. Aiso, Asphalt may cause severe buns. Wear protective safety gear (long sleeves, pants and gloves). If burned, cool with water and see a physician. Water added at customer's own risk. Additional water added to concrete will Property Damage Indemnification & Release reduce its strength.Buyer's agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presenting this RE - due to water added above design. LEASE to you for your signature, is of the opinion that the operation of this machinery in the manner required to perform our contract with you may Arrived at job with inch slump. a possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this, the operator is asking Added gal water at cost Ir request. Test cylinders that you sign this RELEASE. In catsideration of the performance of the taken seller of its contract with me, I the undersigned, hereby INDEMNIFY the Other additions seller and its employees for any damage and for all claims to the premises, building, utility pipelines or cables, telephone lines, driveway or other Received ` v appurtenances, at: by X / Buyer's Agent rece'i6t,& IfroduTnd apt7roveh-a.aDy added items The addition of any extra products to our mixer may void any warranty expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our mixer. and RELEASE the seller and its employees from any liability. Signature of Owner or its Agent Signature of Owner or its Agent WGDELTKT09.Q.4D Leave Plant r Arrive Job Sit Start Discharge Finish Discharger Leave Job Site Arrive Plant Drivers' Comments CUSTOMER 4709746 Unloading & Standby Excess unloading will be charged at posted truck time rates. Truck standby time charged at posted truck time rates. Limited Warranty The only liability of the seller for productdefectis he return of the purchase price. In no event shall the seller be liable for any direct, indirect, incidental or consequential damages resulting from the use of the products or arising out of breach of any warranty. All claims for damages or shortages must be made within 24 hours of delivery.We do not assume responsibility for any damage beyond the curb line. ICON MATERIALS 1115 SOUTH 96TH SEATTLE, WA 98108 ��t�l�itl9 •r`mt'ftlr f'iA: ifmrm 1YF�+ i++y 11rr •!rm: Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Driver Co. Proj, No. Customer Delivery Address t , r`== c, Date Map Zone Delivery Instructions Scale Time. Load Qty Delivered Qty OrderQty ProductCode UOM Product Description Unit Price Amount Tar-e Net 26240 32000 FUEL CHI Ldad$ibe Prod. No. Description C/Vi Slump Type CC Use Haul Cd. Pit/Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # Concrete: Injurious to eyes.Causes skin irritation.Contains Portland Cement. Read the following warning before using: Contact with wet, CUSTOMER unhardened concrete, mortar, cement or cement mixtures can cause skin irritation, severe chemical bums or serious eye damage. Avoid contact with eyes and skin. Wear waterproof gloves, a fully -buttoned, long -sleeve shirt, full-length trousers and tight -fitting eye protection when working with these materials. If you have to stand in wet concrete, use waterproof boots that are tight at the top and high enough to keep concrete from flawing into them. If finishing concrete, wear knee pads to protect knees. After contact with any of these materials, wash off immediately with fresh, dean water. Indirect contact hrough clothing is as dangerous so promptly rinse these materials from clothing. Seek immediate medical attention 9 you have persistent or severe Jiscomfort.In case of eye contact, flush with plenty of water for at least 15 minutes. Consult physician immediately. KEEP out of reach of children! User agrees to convey this warning to all persons who may use or carve into contact with wet (unhardened) concrete, mortar, cement or cernent mixtures.: 'Aggregates: Prolonged inhalations of dust from a gravel product may be hazardous to your health. Measures to control fugitive dust should be taken when handling this product. Hot Asphalt emits nuisance fumes. Avoid breathing fumes. Also, Asphalt may cause severe bums. Wear protective f safety gear (Io g sleeves, pants and gloves). If burned, cod with water and see a physician. I Water added at customers own risk. Additional water added to concrete will Property Damage Indemnification & Release 4710147 reduce its strength.Buyers agent agrees to accept responsibility for reduced strength The operator of this piece of heavy equipment, in presentirhg this RE- Unloading & Standby Excess unloading will be duetowateraddedabovedesign. LEASE to you for your signature, isofthe opinion that the operation ofthis charged at posted truck time rates. Truck standby machinery in the manner required to perform our contract with you may time charged at posted truck time rates. Arrived at job with inch slump. a possibly cause damage to the premises or property. It is our wish to help you in everyway that we can, but in order to do this. the operator is asking Limited Warranty The only liability of the seller for Added gal water at customer request. Test cylinders that you sign this RELEASE. In consideration of the performance of the product defect is the return of the purchase price. In no taken seller of its contract with me, I the undersgned, hereby INDEMNIFY the event shall the seller be liable for any direct, indirect, Other additions seller and its employees for any damage and for all daims to the premises, incidental or consequential damages resulting from building, utility pipelines or cables, telephone lines, driveway or other the use of the products or arising out of breach of any appurtenances, at: warranty. All claims for damages or shortages must be Received r . , made within 24 hours of delivery.We do not assume b y X responsibility for any damage beyond the curb line. Buyer's Agent receipt of product and approval of any added items. and RELEASE the seller and its employees from ON : „ . , The addition of any extra products to our mixer may void any warranty any liability. ��Ql�� f� ,3E �} j expressed or implied by the seller. The seller accepts no liability for any personal injury incurred by you while adding additional products to our SEAT T LE., WA 38 108 mixer. Signature of Owner or its Agent c•_. Signature of Owner or its Agent _... WGDELTKT090406 Leave Plant Arrive Job Sit Start Discharge Finish Discharge Leave Job Site Arrive Plant 1 6 _ jiJ I Drivers' * 6 1 4 Comments Company/ Customer PO/ Order No. Cust. No. Customer Job Phase Code TICKET NO. Driver Co. Proj. No. Customer Delivery Address Date Map zone Delivery Instructions Scale Time: Load Qty Delivered Oty Order Qty Product Code UOM Product Description Unit Price Amount Load Size Prod. No. Description Slump Type CC Use Haul Co. Pit(Plant Sales Tax TOTAL DUE Truck Gross Weight Tare Weight Trailer Trailer Taken by Check # L i V{ Ilk, 9 pry Ar `�' i - �/ •r, �� I -- .ice r - , , J'! r� * � ��l�A 111 ,'•�f J Y __ ! ` r _ .v wV �i t _x I - '� .• .. J f J•�1 ... - _ - /!yam 'J i J I !J Y. - , , __ _ i .!•_ a , y ee J — Y ra 4, • S.c, �`y,AA tF� r • I `j �� �, `� � „_ �`� - m 4 •a_ max :� #,�:-:. � - - . • �w " l w a. • s aw ire ` ^ ` t,• ` _ „ dr lk iz 40 I AL- ALL - At r ".sac - ., >., � ,, .. - - - _ . .. _ ^ - •_ • - -- r�.� ; - :� �,r.. ,* -4•. flame �,1 • « -. - « `- -r , -..- _ .� _ i - - •' 1 J • •T • _ y y «; y a •-. " ',- _ " , v.. , r y Y ♦ `' . I � ICI ul I I.. .� . � ^ ;��} .' .. ;,5. -y:-�a I'� 'r - • ..'�1M,MIM+,unfim,lj�n. 'lµ1}�fiNM49 n9YG1pg4wi,R:pMI yY:.,. 111101it •Mal"I,M .1�