HomeMy WebLinkAboutWTR2700599(1) S. TALBOT HILL TRUNK WATER MAINS #3 W-599
AGREEMENTS, PERMITS, & EASEMENTS
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ww+�r AFFIDAVIT OF
JUN 28 1W WAGES PAID
ON MINX WORKS CONTRACT
DRFAREMENT�" AMOR AND 11MMIST11111
MDUSMAL RELATION'S OMMON
ObMVK WA "SW
Awardlry Agercy
Wit Contract Awarded—
Date Contract CompMed ..��_.
STan or Wssmneror County to Which Work
Location within Counq.Rlty of Ra6eft
Courrry or IIrw Was a Statement of Intent filed• Yes 1h No
In compliance with RCW 39.12.040 1, the undersigned, bang a duly authorized representative of
Renton Construction CO.Jilic. 10601 Rustic Road So., Seattle, VA 98178
Mars'.r su-7' " Amity.
do hereby certily that the following rates of hourly waRe 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 Indus
final Statistician of the Department of Labor and Industries.
List 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.
Please tiole
If apprentices have been employed on this project. provide this additional information name and/or regis.
tration number and stage of progression
(rail nM I Wvs.1wanel d tAbw Rani el Rair of Ilmrh
IWrh PA, f nner ft n lm Pad
Cl 1 Laborer 13.41 2.58
01 1 Operator 16.31 3.11
Truck Driver (10 coy) 17.21 2.92
This is a Utilities 30ntract.
Nor, Altarh Additw" sh. U ar Nit& Renton Construction Co., Inc.
<l.r.ye> Yamr
President
Subsenbed and swom to afore me Wait
this 24th day of June W file cab
19 82 t Wets aar-t'in,ceases e r MO,ami aW aeF ta."trr•
.rra r qr P••aaie e� Y d a(1'M 12eeaew►w.aaif•1
INDUS R1AL3fA INN
Nntart l4.tlr i•end la.ow Sur.er li whiyn.. DEPAKMA NT OF LA8(M Affn tNIlU&MM
,.W.ne In wus.•sne
1\STRL'CTiCI\S
I Pursuant to RCN' 19 12 Mn ,.Ties of •his form must be completed by the lictragor and each of his sub-
contractor,
2 Complete this form ir, triplicate and have it notanrad
1 Submit all forms for certifica,ioti to Industrial Relate ms Di\'ihnn. Department of Later and Industries.
General Administration Building. Olvmpu. Washington 995M
N flit a certified to" with " Awarding Agraey.
CONTRACTORS ARE RESPONSIBLE FOR OBTAINING AND FILING AFFIDAVITS of the Sl'B-
CONIRAC rIOR.S. This to rvgwred by law and payments d^ not IYatully be made until aurh allMavits
are Ried
ssdpr .nwai/aren
® .a 42w. AFFIDAVIT OF
Apr) WAGES PAID
!UN2a IM o% riwit woilkh1ONIN+t1
DFPARTMLNT 01, LAIIOR A140 INDUSMtS
I14:aUSTR1AL RUATICNS DIVISION
cipapis.wA wcae
Awarding Agency City of Renton
Contract Number CAG 0119-81
Dale Contract Awarded 3-i6-81
Date Contract Completed 6-1-82
STATY. or WAmuFit:roN County In Which Work Performed King
u Location within County City or Renton
COUNTY or Kirfe Was a Statement of intent Filed' Yes 111 No r',
In compliance with RCW 3912.0I0 1, the undersigned, being a duty authorized rep)eaen'ative of
Renton Construction Co..Inc. 10601 Rustic Ruled Sc. . Seattl9a MA 9"?k
ruarrun n:Sutr,.mrr-an �Aader'
du hereby certify that the following rates of hourly wage and h.turly fringe benefits have been paid to the
laborers. workmen and mechanics employed by me upon the pro)eut described above and that Or,laborer,
workman or mechanic ha. ben . paid less than the "prevailing rate of wage' as determined 'oy the Indus.
trial Statistician of the Department of Labor red Industries.
list below each classificatiml of labor employed by you upon the project described above and the rate of
hourly µly and h orly fringe benefits paid In each classification
lqr w Note
If apprentices have been employed On this prolet't, provide this:,idllnnld udol'nlation name and/or rcgls-
tration nurnher and stage of progression.
t rAt IVA 1 tyNnMilli Vt t.JaM H.iw Irl t{:Ile'ul�tWrt\
01 1 Laborer 13.41 2.51
71 1 Operator 16.71 3.11
Truck Driver (10 o/y) 17.21 2.92
This is a Ctili:ias Contract.
Sma: AttackAddnarJ onset. a< Needed Renton Construction Co., Inc.
J .cyalwq Manner
President
SubXTIfNd and swnrn to Wore me T.:
this 214th day,of June IAI t rr dab
1 W o ...W /mar hrel.0 hrrtm
19 92 ...... pr\.,iry.ryr mlaatmraad RCMw12t11D N.s e.rn rlafN
' ��,/ INDUb'T1ttAL InAT ICIAN
Nara r'114.1.4.4 M lee dale of wwlaeta.. UEPANTNENT OF IatEN) D 1NDU97R1fiY
..'riche u wWl.au+a
n.W 7 bilip-
INSIMUCTIONS:
I. Pure m it, RCW 39.12.W .oples of ohs form must be completed by Ibc „idr for and sac of hl• , li
contractor
2. Complete the Irwin uI tnpheate :nd have It notarized.
3. Subriat all forms for certification to: Industrial Rehltau Division, Department Id I.d..r and Industriv,
General Admmu:trotlon Building. Olympia. Waahmgton 9a"
File a eertlRed copy with Out Awerdles Aeewey.
CoNTRAM)RS ARE RESIYINSIBI.E FY)R oRTAlNING AND IFILING AFFIDAVITS of the SUB.
CONTRACTORS. This Is required by law trod payeseda ins eet lawfully be nwde rmld wch affidavits
are Mad. s
ENDING
p OF
FILE
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