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Home My WebLink AboutWWP2701901(11) SAN-1 Sanitary Sewer Tobin Ave. S. EEO & Affidavits of Vages 'ch N- r. 1 � r ORIGINAL DATE: REVISION I DATE: TO: Accounts Payable FROM: Public Works SUBJECT: Construction Contract CAG Project Male: Prior Contractor, �'.� `'q, __.. —_. "— -- DAT6 RECEIVED RRCRIV® 1 PRIME CONTRACTOR i SUMCOMTRAcTofts 1NTRET TO PAT AFFIDAVIT OF PREVAILING NAORS NAGRS PAID - y Signed Project Engin cc: Project File Form: 2/15/85 i AIAn. III AFFIDAVIT OF A :myU52R1 At. Sr,,rISTRTA" is WAGES PAID 1lrparinsmr of tabu 6 ladmlrfn 'KNT f7Fr�flVff ♦VA(l p'.mploymeo Standard. Ibddnn ON PUBLIC WORKS CONTRACT General Admini.n uuw Building )UN 26 J46t, Olyarp it, 'AA 9R504 12061153-4019 },.�;,risk CAG 037-04 Contract Number Dr,te Bid Was Doc Caaract Awarding Public Agency Date Contract Awarded Julu City of Renton. Department of Public Date Work Computed _April 29, 2985 Forks Address — County 1n Which Work Perfurmed — king — Renton, Washington 98055 fUP C N lr'TION CO. -- - -"- Prime Contractor {1 0 STR .. — Telephone Number — 235-2611 Was a Statement c` Intent Filed For this project" Yes U No U In compliance with RCW 39.12.040 1, the undersigned, being a duly authorized representative of Ford Construction Co, P. O_Bo 66289, Federal Way, Wash 98.063 Ic...nw w SIA-11-m 1.4u—I do hereby certify that the following rates of hourl` wage and hourly fringe benefits have been paid to the laborers, workmen and mechanics employed by me upon the project described above and that no laborer, workman or mechanic has been paid less than the "prevailing rate of wage" as determined by the Industrial Statistician of the Department of labor and Industries. 1 ist below each classification of labor employed by you upon the project described above and the rate of hourly pay and hourly fringe benefits paid to each classification. PI.FASF NIrIF. If apprentices ha.e been employed on this project,prrnide this sr"It information: name,registration number and stage of progression. l-ft f U.'ILITY CONSTRUCT'ON j It.., ,r x.r. et uevn, 11nn1Y P., hige ae..n.. Pied Operator 16.92 4.01 General Laborer 13.80 .. 13 Pipelayer 14.28 3. )3 Na. An..h AW.Uuna Still' I. NrMM _f Subscribe: and sworn to before me By �r� MIL2 President �- ITMI this 2Sch _ day of 19_BS rat iaa or* 9 r.._'. [DEPARTMENT to1of RCw ra ISMO bon been wrobM Nwap�In id ra rM Sur ria.rcwirvl INLUSTRIAL STATISTICIAN w weJr.arm ll.. OF LABOR AND INDUSTRIES INSTRUCTIONS: 1 uadULO 9 M5 .. 1. Pursuant to RCW 39.12,040 copies of this form must be completed by the contractor and each of his sub- contractors 2. Complete this forth in Iriplicate and have it notarized. 3. Submit all forms for approval to Employment Standards Division,Deilartment of Labor and Industries,General Administration Building, Olympia, Washington 98504. 4. Mail an approved copy to the Contract Awarding Public Agency CONTRACTORS ARE RF,SPONSIBI-E FOR OBTAINING AND FILING AFFIDAVITS of the SUB- CONTRACTORS.This is required by law and payments can not lawfully be made until such affidavits are fled. s p T1. • Date: 6. 1980 Project South Tobin Street LAG No. 0,7-80 Tanira ry Sewer This Is to certify that the prevailing wages have been raid to our employees and our subcontractors' employees for the month Of In accordance with the Intents to Pay Preva ng age filed with the Washington State Department of Labor a Industries. Company t e By , Titie MAIL Wm RECEIVED Statement of INDUSTRIAL STATISTICIAN OCT 1 1984 c's'� INTENT TO PAY Department of Labor A Industries PREVAILING WAGES Employes,at Standards Divbios •itl" sC �+� (Public Works Contract) i.ratNt MCCVED General Admtnutntwo Baildusg Olympia, WA 08604 1906) 763-4019 Cont-act Number CAC 037-84 _ Date Bid Was Due Jung 26- 198E Contract Awarding Pubbe Agency Data Contract Awarded July 16- 1984 City a: Renton. -DQ`14;[went ofCounty in Which Work Performed King 'do Works r,r t R.,,r^^Atidreu . .�.t.}Z_ �50. location Within County— i ^ Renton. Washington 98055 Prime Contractor Knra r-^.r.n.-ri^.. Co. Phone—__ 235-2631 Contractor's Registration Certificate No. WA-TS-OA P256PS Do You Intend To Use Subcontractur.^ Yes No It In complianc, with RCW 39.12.040 1. the undersigned, being a duly authorized reprewroauve of ___Watson Asphalt Paving, Cot,-Inc.--- P.O. Box 845, Rednoid, WA 96073 1C. ..,Su.., i/b4ri du hereby certify that the following rates of hourly wage and hourly fringe benefits will be paid to all 1 laborers,workmen and mechanics employed by me upon the public works project described above and that no laborer,workman or mechanic will be paid less than the"prevailing rate of wage"as determined by the Industrial Statistician of the Department of Labor and Industries. PLEASE NOTE: If apprentices are to be used they must be registered with the State Apprenticeship Council or they most be paid prevailing journeyman wages. CRAP't ESTIMATED NUHBEa RATE OF RATE(IF ROUELY Or WORKERS HOURLY PAY FRINGE BENEFITS Flagperson 2 10.78 4.13 General Laborer A 14.96 " Asphalt Raker 3 15.44 " Roller Operator 2 17.43 4.6A Asphalt Finisher 2 17.79 " Grader Operator (Sub-grad..r) 1 17.79 Screed Operator 2 17.79 " Operator Forivan 1 18.29 lU Yard Dump 5 17.38 3.64 16 Yard Dump 7 17.44 " Ness: Attach Additional Shasta ee Weeded. .>;:a Pnvlrg Co. Inc. By Treasurer Subscribed and swurr to before me 17ni it Far L a 1 U. 0,,1Y this vT.t, day of c,�,,...,I,er —. APPROVED 1984 n Department of Labor dk Industries f; `J Indust 1 Statistin n i Nmwy puelu w.Ae for a Sea, W wah"I.. ,I M w Wsehu,reoA Hy . .— BEFORE FINAL SETTLEMENT can be made on any public works project,the prime contractor mid each and every subcontractor must submit form LI-700-7 -Affidavit of Wages Paid"to the officer charged with the disbursement of public funds. EACH AFFIDAVIT OF WAGES PAID MUST R5 CERTIFIED BY THE INDUSTRIAL STATISTICIAN OF THE DEPARTMENT OF LABOR AN') INDUSTRIES BEFORE IT IS SUBMITTED TO SAID OFFICER. PROGRESS PAYMENTS: Fech voucher claim submitted W an owner by a contractor for payment on a project estimate shall state that prevailing wape$i have been paid in accordance with the prefiled statement or statements of intent W pay prevailing wages on Tile with the public agency. COMPLETE AND MAIL ENTIRE SET FOR .APPROVAL TO: Employment Standards Division, Department of Labor and Industries, General Administration Building, Olympia. Washington 98.5t14 CONTRACTORS, DISTRIBUTE APPROVED STATEMENTS AN FOLLOWS: (PINK VOPY1 ORIGINAL CONTRACT--AWARDING AGENCY (GREEN COPY) OUPLICATF-INDUSTRIAL S'rATISTICIAN III.Wn.d by D.panni.au (BLUR CUPY) TRIPLICATE-PRIME I.ONTRAL MR (YELLOW OOPY)QUADRUPLICf.TR-SIIBCONTMCMR ones t r PW(CAW W AN MAIL TO Statement of INDCS'19tAL STATISTICIAN RECEIVED INTENT TO PAY Dep►rtmem of Labor It Industries PREVAILING WAGES Employment Standards Division AU�' ,3, 196'1 (Public Works Contract) General .Admimistratiaa Building Olympia. WA 98504 i.a,.Wl MNI (2061 753.4019 ^ Contract Number—CAC 037-Ad Date Bid Was Due June 26, lssd Contract Awarding Public Agency Date Contract Awarded .r�1Y 16. 1984 City of Renton, Department County m Which Work Performed R,aB of Public Works Address Location Within County�iLµ._A Reston _Renton, Washington 98044 Prime Contractor Fnra an,_=LL im Co. Phone 235-2631 Contractor's Registration Certificate No. rnra r 17A sA Do You Intend To Use Subcontractors". Yee Yl No U In compliance with RCW 39.12.040 1. the undersigned, being a duly authorized representative of FORD CONSTRUCTION CO. P. 0. Box 6289, Federal Way, Wa. 11111f ICoYrW a askmuvmn V a ) _ VIN3 do hereby certify that the following rates of hourly wage and hourly fringe benefits will be paid to all laborers,workmen and mechanics employed by me upon the public works projeci described above and that no laborer,workman or mechanic will be paid less than the"prevailing rate of wage"as determined by the Industrial Statistician of the Department of labor and Industries. PLEASE NOTE: If apprentices arc to be used they must be registered with the State Apprenticeship Council or they must be paid prevailing journeyman wages. curt (UTILITY CONSTRUCTION) RaTIMATRD Nf MR6R RATE Of RATE OF HOLR1.Y of MORKWW HOURLY PAY "INGS aaNR"W Operator 2 16.92 4.01 0ener4l Laborers 1 13,80 ..Ij Pipelayer 7 14.28 3.33 .NbTa. .Attach Additional Sheets As Needed ai➢ By Subscribed and sworn to before me _ Mail this 24 _ day of August F., L A 1 C..Only 19 _84 APPROVED Department of Labor & Industries Industrial Statistician NiNan(A:M,c,n vW(or the ale of ahuutun,rend Date SEP 5 1981 BEFORE FINAL SETTLEMENT can be made on any public works project,the prime contractor and each and every subcontractor must submit form LI-700-7 "Affidavit of W'agea Paid"to the officer charged with the disbursement of public funds. EACH AFFIDAVIT OF WAGES PAID MUST BE CERTIFIED BY THE INDUSTRIAL STATISTICIAN OF THE DEPARTMENT OF LABOR AND INDUSTRIES BE- FORE IT IS SUBMITTED TO SAID OFFICER. PROGRESS PAYMENTS: Each voucher claim submitted to an owner by a contractor for payment on a project estimate shall state that prevailing wages have been paid in accordance with the prefiled statement or statements of intent to pay prevailing wages on file with the public agency, COMPLETE AND MAIL ENTIRE SET FOR APPROVAL TO: :employment Standards Division, Department of Labor and Industries, General Administration Building. Olympia, Washington 98504 CONTRACTORS, DISTRIBUTE APPROVED STATEMENTS AN FOLLOWS: (PINK COPY, ORIGINAL CONTRACT-AWARDING AGENCY (GREEN COPY, DUPLICATR-INDUSTRIAL bTs`TIC1AN IRsrund bl Ikputmsml 1 >J!FE COPY, TRIPLICATE-PRIME CONTRACTOR - LriF11.OWCOPY(QUADRUPLICATE-SGBCONTRACTOR u ws, tram hl ulu NA Aa Os gM�RaP ,.aIN.RM .wna ENDING OF FILE 1 - FILE Ajl l tl io