HomeMy WebLinkAboutWTR2700599 W-599 S. Talbot Hill Trunk Watermains
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AFFIDAVIT OF
JUN 28 1987 WAGES PAID
ON Pt BLIC %OR¢S CONTRACT
DEPARTMENT OF LABOR AND INDUSTRIES
INDUSTRIAL RELATIONS DIVISION
017wpia,WA "%4
Awarding Ageney.___0__t_t7_Of RWIten _
Contract Number.__..__CAD 01g-�
Date Contract Awarded 3-_16-81 _
Date Contract Completed 6-1-82
STATE of WAswxcrox County in Which Work Performed Sing
Location within Cowtv- City of Renton
. _�._.
COV3ITY or ...._.....—King Was aState:-ent of Intent Filed' Yes ItNoo
In compliance with RCW 39 12.040 1, the u,c'eraigned, being a duly authorized representative of
RentonConstruction Ce.,410 . 1060.1,..Raatla_load.So.. Seattle, NA 98178
of
hourr,mace.-n nd h w"fits �
do hereby certify that the following rates of hourly wage anA 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 Inous-
trial 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 bent fits paid to each classification.
Please Note
If apprentices have been employed on this project, provide this additional information: name and/or regis-
tration number and stage of progression.
(YNI and Clauta:atlon of latarc Rain al Raw of hour,
Rourlt Pa. Fnnar armtn.Pact
C1 1 Laborer 13.41 2.58
fll 1 Operator 16.31 3.11
Truck Driver (10 c/y) 17.21 2.92
This is a Utilities Contract.
Nor[: Attach Additional sheet, as Veeded Renton Construction Co., Inc.
B% _, President
Subscribed and sworn to before me
this .24th day of.-.., June L&I t re ah
19 82. 1 firth omit/ NMI a"INI as to dt wi rug ud Imp laaYki Ytm
ee ��^^ warn to rAr pmutiN�N.rtamrtnvn al RCW N 12018 arve a.ea vtiJrtd
INDUSTRIAL A CIAN
Sotara Pablufn aad for fhe Sore of wvhogw DEPARTMENT OF f.ltBOR [NDUSIRIES
rending in Wofhinaton.
Wlc:./ ...__. ._...
INSTRUCTIONS:
1. Pursuant to VCW 39.12.040 copies of this form must be completed by the intraffr and each of his sub-
contractors.
2. Complete this form in triplicate and have it notarized.
3. Submit all forms for certification to: Industrial Relations Division, Department of Labor and Industries.
General Administration Building, Olympia, Washington 98504.
4. File a certified copy with the Awarding Agency,
CONTRACTORS ARE RESPONSIBLE FOR OBTAINING AND FILING AFFIDAVITS of the SUB-
CONTRACTORS. This is requited by law and payment= can not lawfully be made until such affidavits
ire filet-
r.i-ter nmm.a a rw a(n —a
AFFIDAVIT OF
AM WAGES PAID
JUN291W (IN rr Nil n NURhntf)NluntI
DEPARTMENT OF LABOR AND INDUSTRIES
INDUSTRIAL RELATIONS DIVISION
Olytapia•WA NM4
Awarding Agency City of Renton
Contract Number 'AG 019-81
Date Contract Awarded 3-16-81
Date Contract Completed 6-1-82
STATE OP Wssmmirron County in Which Work Performed King
Location within County City of Renton
Comm M X Was a Statement of Intent Piled' Yea F] No C
In compliance with RCW 39.12.040 1, the undersigned, being a drily authorized representative of
Rpntgn,Cptistruction Co.,Inc. 10601 Rustic Road So., Seattle, RA 98178
eanuarbe•n au4rvnVrbel ohm""
du hereby certify that the following rates of hourly wage and hourly fringe'Vnefits have been paid to the
laborers, workmen and mechanics employed by me upon the project deunbet, a':..-and that no laborer,
workman or mechanic has been paid less than the "prevailing rate of wage" as deten,ined by the Indus.
trial 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 houriy fringe benefits paid to each classification.
Please Note
If apprentices have been employed on this project, provide this additional information: name and/or regis-
tration number and stage of progression.
0 aft and Ck .0w.twa W 1aM Hideo ILnr YI Iluurh
U"rb P., t nnee xenrnr.PaW
Cl 1 Laborer 13.41 2.58
71 1 Operator 16.31 3.11
Truck Driver (10 c/y) 17.21 2.92
This is a Utilitiesis a Utilities Contract.
Note. Attach Addruan,l Sheev as Needed. Renton Construction Co., Inc.
16 mw•q Name+
Bv , ,` .. President
Subscribed and sworn to before me Tn1e1
this 241th day of June I led Uw Oab
19 cz. I lurtiy so se d) Ow r:mWlry lu oW War nun aW tom herdlu M"M
' rgIXO w IIR ptva�ona qNt rt9urRmeeu W RC W 39 1101a luvel.en,alsfud.
AJGP2c.- S, 1QiA..e� INDUSTRIAL STA
hx IC.IA.N
oui v Puhue in and)or the Semi of We,Maylua. DEPARTMENT OF LABOR U INDUSTRIES
evaWiaO In Waaldatrym.
4
wwi w 8a _ _ __.
INSTRUCTIONS:
1. Pursuant to RCW 39.12.040 copies of this form must be completed by the ontra for and eaciff. his sub-
contractors.
2. Complete this form in triplicate and have it notarized.
3. Submit all forms for certification to: Industrial Relations Division, Department of Ub r and Industries.
General Administration Building. Olympia, Washington 98504.
4. Fite a certified copy with the Awarding Agency.
CONTRAC'i•ORS ARE RESPONSIBLE 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 filed.
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