HomeMy WebLinkAboutTED4001516(2) Monroe Ave. NE & NE 2nd St. E.E.O. & Payroll
BEGINNING
OF FILE
Fill TME
MONROE. AVE NE.
F E . anJ ST.
DEPARTMENT OF LABOR AND INDUSTRIES Statement of
EMPLOYMENT STANDARDS DIVISION am INTENT TO PAY
Olympia,WA99R^4 PREVAILING WAGES
(Public Works Contract)
RECEIVED Contract Awarding Ascnty .......-.QUY,_ U-141/At.#!_.......
....._..
v �g 19�2 Contract Number.......GO. m...!......_....___......_..._._....__.._.
N� as Contract Bid Opening Date ..............................................._.........._._..
i,ryaRt Date Contract Awarded ......
vA
County in Which Work Performed ......r.�...11w. ............._........_.....
Location Within County ..._Ci.SAY_Ql... tom.._-----__....._._....
STATE OF WASHINGTON ( (y Mor1lLa GooatrnctLon
__.._..... Prime Contractor...... .............................._.............�...e._..............
Count l' of ._)Gins..__.. .� Do You Intend To Use Subcontractors' Yea ❑ Noaa.
In compliance with RCW 39.12.040 I, the undersigned, being a duly authorized representative of
Three firs Landsapin 17750-201st Ave. R Woodinville, WA 98072
iCuntrubr ar B.bemOrrbrl IAddrew
do hereby certify that the following rates of hourly wage an hourly fringe benefits will be paid to
all 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 i.euat be registered with the State Apprentice-
ship Council or they must be paid prevailing journeyman wages.
CRAFr RATS OF RATE OF HOURLY
HOURLY PAY FRINGE BENEFITS
Landscape Laborer $8.66 $2.80
NmE: Attach Additional Sheets as Needed. Thr f Firs eaplstg
By , uv'W�.m.� OMDer
Subscribed and sworn tobefore me � ,nwl
this. day of..�1 Fn.L a r uK Onlr
APPROVED
19 "= _ Depa4tQ�ent of labor a ip.0 uelriea
Ind, al Stan tti iii/an 1 9 1982
.Hamm/// 6fio in arW/nr tA< S tr a/WwaraA3�r,gyWn. v �� A/' Date ..
naidinR in Waehinamn. i't '- ------..
BEFORE FINAL SETTLEMENT can be made on any public works project, tb^ prime contractor
and each and every subcontractor must submit form LI-700-7 "Affidavit of V.ages 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 BEFORE IT IS SUBMITTED TO SAID DFFICER.
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 pre-
filed 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,
Genera) Administration Building,Olympia,Washington 95.504
CONTRACTORS, DISTRIBUTE. APPROVED STATEMENTS AS FOLLOWS:
(PINK COPY) ORIGINAL CONTRACT AWARDINGAGENCY
(GREEN COPY) GCPDCATL-INDUSTRIAL STATISTICIAN(Retuned by f4p.nmenU
(BLUECOPY) TRIPLICATE-PRIMECONTRAt'IOM
YELLOW COPY)QUADRCPl4CATK--suscON rRACrOR
DEPARTMENT OF LABOR AND INDUSTRIES Statement of
EMPLOYMENT STANDARDS DIVISION i INTENT TO PAkY
Olympia,WA98504 v4r PREVAILING WAGES
RECEIVED (Public Aorta CORLIMSCO
SEP 3ige2 Contract Awarding Agency ......_r.tx...Qr---R.47KRt...............
Contract Number...„..___........._._.._-___...__...._.__...._....................
t a "aeda�"ac
Contract Rid Opening Date __.SRC....BL_......__............................
Date Contract Awarded .....AYE.Q2....-..............
.-___..._._._......�
County in Which Work Performed ..1jjW..........—_................__
l STATE OF WABHINGTON Location Within County --S.H.-4-W Stv"ty-A8*AM.......
{
Pnme Contractor__...';r1..aykta.v;anaLimp144a.--_----------
.._...
fbun!) Of .a........ Do You Imene To Use Subcontractors? Yes ❑ No Ut
In compliance wit!: RCW 39.12.040 1, the undersigned, being a duly authorized representative of
"HL %ASPAC CORMUT01N. P.G. box 8030fs 5yattles Ya. 96108
ICa.uator or Jubcontrn wit :Addrc.0
do hereby certify that the following rates of hourly wage and hour], fringe benefits will be paid to
all laborers, workmen and mechanics employed by me upon the public works project described
above and that P.O laborer, workman or mP^_hanic will be paid lees than the "prevailing rate of
wage" as determined by the Industrial Statistician of the Department of labor and Industries.
PLEASE NOTE: If appre:..tces are to be used they must-be registered with the State Apprentice-
ship Council or they must be paid prevailing journeyman wages.
CRAFT RATE OF RATEOFHOURLY
HOURLY PAY FRINGE RENEFITN
1- Foreman xW 19.53 1.85
1- Jou_-eyman 16.65 1.83
2- apprentice 50� ; 8.18 1.83
End 10.38 1.83
" 73% 12.07 1.83
" 88)0 14.62 1.83
Nora'. Attach Additional Sheets u Needed.
Ice®n.ar t
By.
Subscribed ant sworn to before me /r rnu '
2.m. .August Far L a I U.a only
this...._..._........ day of........... ... —
APPROV D
IS....' Depe t of Labor a ImI rieA
Cam_. !/C'/J7L
Notary Public in and/m'he Stall of Washington. B O SEP 1982
eea(ditw in WarhinRain. Y a
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 Wages Paid" to the
officer charged with the disbursement of public fundP. EACH AFFIDAVIT OF WAGES PAID
MUST BE CERTIFIED BY THE INDUSTRIAL STATISTICIAN OF THE DEPARTMENT OF
LABOR AND INDUSTRIES BEFORE IT IS SUBMITTED TO SAID OFFICER.
PROGt.ESS PAYMENTS: Each voucher claim submAted to an owner by a contractorfor payment
on L project estimate shall state that prevailing wages have been paid in accordance with the pre-
filed statement or statements of intent to pay prevailing wabee on file with the public agency.
COMPLETE AND MAIL ENTIRE SE i FOR APPROVAL TO.
Employment Standards Division, Department of Labor and Industries,
General Administration Building, Olympia,Washington 98504
CONTRACTORS. DISTRIBUTE. APPROVED dTATEMF.NTS AS FOLLOWS:
(PINK COPY) ORIGINAL CONTRACT-AW'ARDINGAGENCY
(GREEN COPY) DUPLICATE INDUSTRIAL srATISTiC1AN(Roamed by Departnuo0
(EI UE COPY) TRIPLICATE PRIME CONTRACTOR
(YELLOW COP)IOUADRUFl1CATE-SURCONT
ppp ^ INVOICE
GARY MERUNO CONSTRUCTION CO. No 0560
J -General Controd(np-
12061 762-9126
9126 - 101h Avanw South SeaaN, WA 98106
w.( November 15, 1982
y CITY OF RENTON
a 200 Mill Ave,
0 Renton, Washington 98055
T
0
,w Yn
WE O((PVipil Y(L! IR,YpI(n
Labor and Indu:tries Forme 2 Ea. 12.50 $25.00
Merlino
Signal Elec.
3/57/000/20,533.50. 6S.Z4 _ #/2 s0
/021072115.S[j/.9o.00,00 — ♦ /2 So 0 60
CWTCR 116, LAWS OF 1965
CITY OF RENTON CERTIFICATION
(Tx YIIp[R(IRx[D b x(([fY C(fTlq YYD[R
D[xR [D( I((l Y(Y. TNII( TN( Y,\T[Ily( Y1Y[
AR{(IOIA 1.1.D((gl((D N(R(IN,Rx0 THAT
1f�1el TI YTI(1 IY(T.OY( 1Np YYAN D IN,, O
1YTNORI[[�[To ITAM"MNTIDATI DD TN1T 1 A�
fAls Dula ' � _ ( "11p [(Tln To
:I)F.P4RTMENT OF LABOR AND 1NDUSIMI3S - Restemsw of
vMPLdYMENT STANDARDS DIVISION INTMT TO PAY
Olympia,WA 981504 PREVAILING WAGES
yyW (POW W&AW Camr=4)
era wr w��"
OCT 1A199� Nov 8 Awarding Apeary City of Renton, Waebtugt,'m
RECEIVED Cmusei Nurnber CAG 050 $2
UC1 29192 Date CrmtractAwarded 9/27/82
County in Which work Performed king
ikr "2,r=='�
Location Within ConntY :lnnrce.Avenue.a.E.
STATE OF WASHLNGTON I Prime Cooi»ctur _ Gary.Marl3m.Cosstructios Co.
Count) of .........Aiug_ _._. 17y M Y.,tamed To Uw Subcontrsttam? Ya❑ No
In crrmynance with RCW 39.12.040 1, the undersigned, being a duly authorized representative of
Signal Electric, Inc. 9012 South 208th Street, Rent, WA 98031
IlYur..ear or aalwmuvaw� :Mdnn
do hereby certify that the following rates of hourly wage and hourly fringe benefits will be paid to
all laborers, workmen and mechanics emploved by me upon the public. w ka project described
above and that no labore,, workman or mechanic will he 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 he registered with the State Apprentice
ship Council or they must be paid prevailing journeyman wages.
CRAR MTV M' or HOURLY
HOURLY PAT FRIMR azor w
Cable Splicer Foreman (,) $20.56+.10 $2.45-+ 4.1% of Gross Wages
Line Crew Foreman (,) 19.30+.10
Journey,an Lineman (r) 17,444.10
Heavy Line Equipment Nan 6) 17.44+.10 "
Line Equipment )fan (1) 15.02+.10 $1.75 + 4.11 of Grose Wages '
Head Groundewn (r7 13.13+.10
Groundman 12.35+.10
Aij-oi -SrG,v-r![-W3�fK7
Nore- Attach Additional Sheers w Needed. SIG1IAL EL RIC, INC.
By
Subscribed and sworn to before me L. R. Guthni ler,Y President
this_._12th_. day of. _October.. r"Lsue.,oab -
19.82,.. .... • APPRO D
it of tabor i iadust,iea
iN7 ,,rP hh ,. y h,Ssu�rn- 'r 1 list a pip
NMary PuA4r o,a fur(Ar$rsH M MiuNnrbn, R __ - I1aR� O Nov 19$
o-.d,oY,^ Wa,br,aton
BEFORE FINAL SETTLEMENT can be made on any public works project,the prime contractor
and each and every subcontractor must submit form 11-700-7 "Affidavit of Wag" 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 BEFORE IT IS SUBMITTED TO SAID OFFICER.
PROGRESS PAYMENTS:Each voucher claim submitt<d to an owner by a contractor for payment
on a project estimate shell state that prevailing wages have been paid in accordance with the pre-
filed 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 Tabor and Industries,
General Administration Building,Olympia, Washington 9K504
CONTRACTORS, D16MIBUTE 6QV$Q 8TATRMRNTS AS FOLLOWS'.
I
NNK COPY) OROIN41.-AWARDING AGaNCY
8LVR MrY) DU1LCATa-Panr(Norm,'OII. c.on.1 if Pe�l'Tll
DXPARTII ZW OF 14MR AND INDU11TR N gtatsaanat of
MPLOYMENT STANDA tDS DI ASM INTENT TO PAY
py,apts,WA 98504 PREVAILING WAGES
RECEIVEO (Pabbe Works Contract)
OCI 2019V Awarding Agency __city.of Ar-toa. Washington
sr �P
lirntnH Nmnher ...GAG..(!SB 82. . _._._... _
• Dew Contract Awatdd 9127192__.. .. .._... _..
i:.-.unty in Which Work Performed King _...
Location Within County - -MCaroe.Avenue N.E.
STATE OF WASHINGTON Prime Contmior ..Gary Xerlino Construetlos
County of ........_Xing.. - Da You Intend To U Subcontractors? Yu❑ No 13
In compliance with RCW 39.12,040 I, the undersigned, being a duly authorized representative of
Signal Electric, Inc. 9012 South 208th Street, Kent, WA 98031
rn.owe...sutvo.vrwi .smrtr,
do hereby certify the-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 project described
above and that no laborer, workmen 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.
FLEASF. NOTE: If apprentice8 are to be used they must be registered with the State Apprentice.
ship Council or they must be paid prevailing journeyman wages.
CnArr RATE OF RATEOFHOURLY
HOURLY PAY FRINGE BENEFITS
Cable Splicer For age.n (1) $20.Sb+.10 $2.45 + 4.1% of Gross Wages
Line Crew Foreaan (1) 19.30+.10 "
Journeymn Linehan (1) 17.44+,10
Heavy Line Equipment Nan (1) 17. ,4+.10
Line Equi.pmnt Nan (1) 15.02+.10 $1.75 + 4.1% of Gross Wages
Head Groundman (1) 13.13+.10 "
Groundman (1) • 12.35+.10
Reg. 8 223-01 .'I-GN-AE-*3211[7
NmE. Auerh Additional Sheets as Needed. SIGNAL C, ING.
By
� fr1Y
Subscribed and sv, ,rn to before me L. R. Cu limiller, President Ana`.
thid _...12th day of ___October car 1.g 11'..Val,
APPROVED
Departm of labor i Industries
1.7f.G{tGc.FJ �,LGta lru�G�L Indust ialistieiy* OCT
.*...
,WNery PsMu in.nd/ eh.¢rod of N'..h,Woo, By ['�ArjVy 6
n.wdoArin Wa.Aingarn.
V IF
BEFORE FINAL SETTLEMENT can he made or. any public works project,the prime contractor
and each and every subcontractor must submit fo,m LI-700-7 "Affidavit of Wages 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 BEFORE 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 pre-
filed statement or statements of intent to pay prevailing wages on file with the public agency.
COMPLETE AND MAIL ENTIRE SET FOR APPROVAL TO:
Employment Stand.--da Division, Department of Labor and Industries,
General Administration Building,Olympia, Washington W&A
CONTRA("Sh, OI8'rRiBUTE APPROVED STATEMENTS AS FOLLOWS:
Irma can) ORAmmAL-AWAMM MAN"
NRt
DEPARTMENT pF LAROR AND}}�USTRIES Statement of
EMPLOYMENT STANDARDS Df�Id1N olympLa,WA 9 INTENT TO PAY
Rbot PREVAILING WAGES
RECEIVED (Pablic Works Contract)
uC1 201sflZ COM'"I Awarding Agrncy .,rtt...tZ.OS.)1R9ZeA
Contract Number __...__t.•J,G .__.
t UNFD Contracty.n l..��
PaV1l1r OnlY1Ct Bid opening 1'Ate ....�nO.1..+0'.................._......_.
Date Contract Awarded .......
County in which Work Performed
STATE OF WASHINGTON Location Within County _.ydlM=A13._=...........
...,.._____..
Prime Contractor. .U.ru...•Y Merllao,Co.
County of ___!uG __...._
.. _.__. __.. . Do You intend rL Use Subromracton, Yet ❑ No Gk
In compliance with RCW 39.12.040 I. the undersigned, being a duly authorized representative of
Tt4': SASPAC COMVE&MON P.0 Byk BON6• Seattle. Wa. 9e108
Hke>moo.or 9vinetrrwa - iAdd.,
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 project described
above and that no laborer, workman Or mechanic will be paid legs 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 mubt be registered with the State Apprentice.
ship Council or they must be paid prevailing journeyman wages.
CF1APT RATE OFHO AIT PAY RATE OP HOURLY
FRINGE PENEFns
1- ore,mn 19.53
1- Journeyman 1.8316.69 1.89
2- Apprsntice 509e 0.18" 6 Xg 1.B3
" 73% io.36 1.83
12.07 1.83
" 88% 14.62 1.83
Nim-. Attach AdditionPl Sheen at Needed. T771E K"PAC CCRIORATION
rC�„ny Nam,i
8tlbacribed and sworn to before we By% ` "" •" C ASST. SIX.
rnaa
511... day of_Ootobar............. For 1.a I U:o.tr `
I9. 3 APPROVED
/) Della of I.ahor!Indualrlea
Indust Btrtinkl
Aom.y Pumle 1.and/��l ,nErnn. /ayp//J 9
rud,tr rt Wathiryerurt. By ,. ,/ att< 0 OCT 1981
BEFORE FINAL.SETTLEMENT can be matte on any public works project, the prime contractor
and 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 BE CERTIFIED BY THE INDUSTRIAL STATISTICIAN OF THE DEPARTMENT OF
LABOR AND INDUSTRIES BEFORE 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 pre.
filet statement or statements of intent to pay Prevailing wages or 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 98W4
CONTRACTORS, DISTRIBUTE APPROVED STATEMENTS AS FOLLOWS:
1PItiA COPY) ORIGINAL CONTRACT—AWARDING AGENCY
(GREEN COPY) DUPLICA'TT ANDUSTRIAL STATISTICIAN(Retired by Ihptnmrnn
IBLUE COPY) TUIPLICATE--PRIME CONTRACTOR
Y81.LOw COP
DEPARTMENT OF LABOR AND INDUSTRIES Statement of
EMPLOYMENT STANDARDS DIVISION INTENT TO PAY
Olympia,WA 98504 PREVAILING 1GES
(Public Works Contract)
RECEIVED Contract Awarding Agency City City of Beaktigg_............_._............
OCT 1-51982 Contract Number CAQ..M 82
tau'�ay.&4r Contract Bid Opening Date r'aY1ENl MCEIVlD � 8 .............__.__.......................
Date Contract Awarded Sept 27, 1982
County in Which Work Performed ......na...............................---
Location Within County Ib.XI M.AJ &AK......IM1�.
STATE OF WAS4INOTON .-.-.._....-
Prune Contractor CRry lttrlu ,l'tgOftrvttl9R, 0s,,......
C'Ounil of _I __......_ 1 Do You Intend To Use Subcontractors? Ya ❑ No a
In compliance with RCW 39.12.040 1, the undersigned, being a duly authorized representatve of
M.A. 8eplea Iac. P.O. Box 88050 Tukwila, MA 98185 _._.
4'an W[tur ae S.hon4¢wn iAddmw�
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 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 Apprentice.
ship Counrril or they must be paid prevailing journeyman wages.
CRAPr RATE OF RATE OF Hot'RI,Y
HOURLY PAY FRINGF.NENEFITS,
Boller Oper, on Plant Mix (2) 17.43 3.6E
3ereedigen a Paver Oper. (2) 17.79 3.68
Dutap Trucker 5 to h incl. 12 Yds. (3) 17.38 3.45
Deep Trucker 5 thm 12 Trio. (4) 17.49 3.45
taborer (2) 15.16 2.90
Raker (1) 15.64 2.90
Contraaton License 223-01-S5,GA-LM-A372RD
None: Attach Additional Sheets a. Needed. N.A. SEGAIE, INC.
y B N.ma
Subscribed and sworn to before me y a inm�
this__I th. .. day of .Oct._...._.__. F ,Let U..Oniy
19.....62. I APPR VRU
IYp ent of Labor a Industries
In 18teti 'an
Notary Pubfir,n a.d/nr 1h,Sraer Waahuurru .._,. Date OCT 1 8 198
midRnam Wa.huWtun. """' b
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 Wages 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 BEFORE 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 pre-
filed 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 9&W4
CONTRAMORS, DISTRIBUTE APPROVED STATEMF.NT%AS FOLLOWS:
(PINE COPY) ORIGINAL CONTRACT--AWARDING AGENCY
(GREEN COPY) DUPLICATE--INDUSTRIAL STATISTICIAN IRnaiaed ay Dep.rtmenn
(BLUE IOPV) TRRWCATE-PRIME CONTRACTOR
(YELLOW COPY)QUADRUPI�CATe-SURIUNTRA('r0R
tl
DEPARTMENT OF LABOR AND INDUSTRIES Statement of
EMPLOYMENT STANDARDS DIVISION ISM INTENT TO PAY
Olympia,WA 98504 TVPREVAILING WAGES
(Public Works Contract)
RECEIVED CITY..of RZTON
Contract Awarding AReAgency ....__...__... ..,
OCT 151982 Contract Number...........
,AC.058 _82......_....._.............__..............
t a� .1a^ Contra Bid m t _ . .
i armMr tuarrro Opening(bee ....$eP...4mAer._.�.¢... _...
Date Contract Awarded September...27,. 1.9.62..._.._...........
County in Which Work Performed _..._. .King.........................._.
Location Within County .._MQnrQe_AVe _.NB............ . _..... .
STATE OF WA8RIN6T ON Prime Contractor. Q&RY_MISELI.Y0.CCYSTRU.CTION-CO.
CuurDl of .__..KiLig. ..__.._..-- Do You Intend To Use SubcontractonP Yet ® No ❑
In compliance with RCW 39.12.040 1, the undersigned, being a duly authorized representative of
GARY MERLINO CONSTRUCTION CO. 9125 loth Ave. South Seattle, Wa. 98108
i Contractor or 9uMoetrmor' tAddma
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 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 o"i the Department of Labor and Industries.
PLEASE NOTE: If apprentices are to be used they must be registered with the State Al Mntice-
ship Council or they must be paid prevailing journeyman wages.
CRAFT RATE OF RATE OF HOURLY
HOURLY PAY FRINGE RKNEFITN
License No. MERLIGM330FCA
3 Laboers 15.16 2.88
2 Operators Backhoe Under 60 HP 17.43 3.66
3 Cement Masons 17.86 2,55
2 Truck Drivers 10 CY Dump 17.49 3.43
NMI Attach Additional Sheets as Needed. GARY MERLINO CONSTRUCTION CO.
� iCompenY Name
By C..t..�. �jn-u s,�,. .�_Bkpr.
Subscribed and swom to before me �md"
this_1ST.......day of...Octtobar Fnr L s 1 u.e Hair
..... .........
..
82 IAPPR VED
De ant of labor a Industries
` Ind c an s 'al Stati
ry Pub Lc in and for the Sias,of RWbtyaur, '
md:n('n Kaahins,mSias, I I.ACT..1_S.W
BEFORE FINAL.SETTLEMENT can be made on any public works project,the prime contractor
and each and every subcontractor must submit form LL700-7 "Affidavit of Wages 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 BEFORE 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 pre-
filed 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 APPROVLU STA ITIRENTS AS FOLLOWS:
(PINK COPY) ORIGINAL CONTRACT--AWARDING AGENCY
(GREEN COPY) DUPLICATE-INDUSTRIAL STATISTICIAN(Reaind by Del amass)
(BI-UE COPY) TRIPLI(ATE--PRIME CONIIIACTOR
,YELLOW COPY)QUADRUPJCATE-4URCONTRACTOR
f 1
. �.
AFFIDAVIT OF
WAGES PAID
ON Pt BLK WORKS CONTRACT
DEPARTMENT OF LABOR AND INDUSTRIES
EMPLOYMENT STANDARDS DIVISION
Olympia.WA 9061
Contract Awarding Age- �.. I&Y...Qf---�.wS1,won.....
Contract Ndmher GQ...Q,SB:_ ......._..__................_�__...._._._ -
RMEIVED Contra., 4id Opening Date .........
fate Contract Awarded ...114pt
JA t 6 t° 3 Date Work Compleled ........_..._._.._.._------.__...._...._.___..._.
STATE OF WASRtNn si County in Which Work Performed .....E,iBf........._,......._.__........
...
Location Within County ......City-ad. ...._....._..._._..,
CouN or King _ _._._ Was a Statement of Intent Filed? Ya® No 0
In compliance with RCW 39,12.040 1, the undersigned, being a duly authorized repiesentative of
Three Fire Landscaping 17750-201st Ave RE Yoodinville,YA 98"2
contrarmr . Add.
do hereby certify that the following rates of hourly 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 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 hourly fringe benefits paid to each classification.
Please Note
11 apprentices have been employed on this project, provids this additional information: name registration
number and stage of progression.
!raft Rat.ea Rote of flour,
Math 11aT t'anae 1pmrfu,Paid
Landscape Laborer 8.66 2.80
Non: Attach A2ditenrul sheets is Needed. e0 Irila LaR Gpin$
1� •Subscribed and sworn Owner
\\ to before me By r,i,..
a.......r. 9_...__.day of,.... raw ti.y
19 G,J. TIa'k1k, rtif rh+l iteot�eL�a ru wejr fert+addrriRgehMXYMntn evrarn
w ts<rretadtas wa a rtauirtmcale of Kew M 11.W he.e Ben unJvM
IND(STRIAL STATISTICIAN I
Notary P01w in and for the Sint,of Wdahin,rnn, DEP TMEVT OF LABOR AND INDUSTRIES
reridtaa in Wathinptoa. ;t
x .. _.. _ Afj� IT,t:2 6.JM"t 10
INSTRUCTIONS:
1. Pursuant to RCW 39.12.040 copies of this form must a eo leted by th contractor and each of his sub
contractors.
2. Complete this form in triplicate and have it notar:red.
3. Submit ali forms for certification to:Employment Standardo Mvision,Ewpartutent of labor and Industries,
General Administration Building,Olvmpia,Washington qf&)4.
4. FBe a certified cope with the Contract Awarding Agency.
CONTRACTORS ARE RESPONSIBLE FOR OBTAINING AND FILING AFFIDAVITS of the SUB-
CONTRACTORS. this is required M law and payments an m•t lawfully be made until such affidavits are
filed.
.tom.t
AFFIDAVIT OF
t RECEIVED WAGES PAID
FEB 1019830%PCBLI('WORKS COSIR.ACT
DEPARTMENT OF LABOR AND INDUSTRIES
EMPLOYMENT STANDARDS DIVISION I.s!awrw�4 p
N'A 983M t
OlraaaA Contract Awarding��_._ Cam._............_........
Contract Number '^"g..g "
.......
Contract Bid Opening Dme ......._-P.t,.. i5� 198P ._... __...
2 ,2
Date Contract Awarded ........._... ._P, 2963
Doti Work Completed TOMOM - --
STATE or WASM74GroN County in Which Work performed ....Ono j'lanton --
Location Within Count} 10119M. ...*MI "-
CouN'ry or ._ _ K„8 ..+ Wes a Statement of Intent Filed vest] we 1
In compliance with RCW 39,12.040 1, the undersigned, being a duly authorized representative 01
GARY MERLINO Cog7rhUCTI0IP,.CO. 9Z2520th Ave. South Seattle, Wit. 98108
._.... - - team...,ar e.e. oa tern �Adnre.l
do hereby certify that the following rates of hourly wage and hourly fringe benefits have been paid to the
laborers, workmen and mechanics employed by me upon the project described above and that an laborer.
workman or mechanic has been paid less than the"prevailing rate of wage" as determined 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 hourly fringe benefits paid to each classification.
Please Note
If apprentices have been cmployed on this project. provide this additional information: name. registration
num'.,er and stage of progression.
Rau,of Rate of Heart,
CraftNlwrb Pa, Fri.%,Brain,Paid
15.Le 2.68
Laborer 27.43 3.66
Opemtlme 8aakhoe Under 60 RP 17.86 1.55
Cement hizaons 17.49 3.43
Truck Driver LD CY Durw
Nora: Attach Addili,mal Sheet. as Needed GARY.MOLINO CONSTRUCTION C".
-- icw.h.nr tt.
ByC:"— Partner
Subscribed and sworn to before me Mot,
this danua%.46f U83 tat Ir oan .
MrcM¢nil)tM1 rp'o,dlnr to 1M wW,,...d trio,bc.fn,hemfaaorn
lg/ ,.y� to the Monhns rive nl it(% )v¢om h..e her..nd"
INDUSTRIAL STATISTICIAN
Aom Public`in an`d for the State of w'whinpton. DEP TMENT O: LABOR AND INDUSTRIES
roridiae in R'a.dhineton. �}
ual. 14 FEB IM
INSTRUCTIONS:
1. Pursuant to RCW 39.12,040 copies of this form in a co pleted by th contractor and eazh of his sub
contractors.
2. Complete this form in triplicate and have it notarized.
3.Submit all forms for certification to:Employment Standards Division,Department of Labor and Industnee.
General Admir i,trat' , Building'C'amrfsct mpia,Washington 98MM.
4. Fik a certified t^ry the t A try'
CONTRAC'T'ORS ARE RESPONSIBLE FOR OBTAINING AND FILING AFFIDAVITS of the SUB-
CONTRACTORS. T1afa is"guired by law and payments can not lawfulh be made until such affidavits are
RECEIVED
eTa'I'a �pAgBDiOTON
De3ASTRlBNT Olr LABOR AND iNDUSTZOS JAN 2 81963
AFFIDAVIT OF WAGES PAID
On public Nyorks Contract
Awarding Agency... city,or ""-
0 E2_,
Contract Numbet. ._6.,/ �� 2?t 1 "
Date Contract A _.warded �a7tdaY3 __.
Date Contract Completed —
County in Which Work Per,
Location within County -- - - Yee No ❑
Was a Statement of Intent Filed'
STATE Or WASHING
COUNTY 0►...__._ .., representative of
In compliance with RCW �•12,040 I. the undersigned, being a duly authorized
'il .,_N _48.
1%0..Otr'd ) Irin a benefits have been Paid to the
do hereby certify that the following rates of hourly wage and hourly
described above and that no laborer.
taborers, workmen and mechanics employed by me Upon the
proje d wage as determined by the Indus-
workman or mechanic has been paid less than the ,prevailing
trial Statistician of the Department of Labor and Industries. rrolect described above and the rate of
List below each classification of labor employed by y Pon the
hourly pay and hourly fringe benefitsPat dun° each numbers andation, la their stages of
oif addition. have n em-
ployed, list their names and or mg' Rate of Rate of hourly
Classification of Labor Hourly Pac Fringe Benefits Paid
17.43 3.6n
Roller Oper. on Plata Nix 17.79 3.6,
Screedman k Paver Oper. 17.38 3.45
Dump Truckst 5 to k Incl. 12 Tile. 17.49 3.45
Dump Trickat 5 thru 12 Tde. 15.16 2.90
Laborer 15.64 2.90
Raker
_. ___. ........
M.A SEC+AIEe____- .
Nora I Attach AddiUoael Sheet
Sabscribed and sworn to before me
thia.....21ai._..-day ot_.denuarX...-.-_. -.__, I hereby
ar afringe that its rd"gberg a tM ware
rates sod fringe benefits her.:tn srrorn to
the prevailing sage re4ulremanre of ROW
19 113-' 39.12.040 rave been eattefte .
I>,'JDSTRILL STITISTIdCI r RS
Puhtir in and fo•tAe gtWe e}Wuht DSPIRTUM OF UN
No�ery 3 1 i..
rer�dmp�n N'uhinatew. 199�..__By:-
This _._.-... .�.�
Date:_....____.__.....
sales reserved for Dim s c 0r+von.
INSTRUCTIONS.
12.040 copies of this form must be completed by the contractor and each of his su -
1. Pursuant to RCW 39.
contractors.
2. Complete this form in triplicate and have it notarized. artment of Labor and Industries,
3. Submit all forms for certification to: industrial Relations Division,Np
General Administration Building, OVITTIa, Washington 98504.
4. File a certified copy with the Awarding Agency.
COSILY'.FOR OBT
ai.L AFFIDAVIT OF
WAGES PAID p
DEPARTMENT OF LABOR AND INDUSTRIES n�v ON Pt 81 R WYIRKS ('ONTRA(T ' e/V
.. MAAw� EO
EMPLOYMENT STANDARDS DIVISION
Olympia, WA%501 FEB 0 ; 1983 "nf
8�1983
r
Awardid'gAgeacY C.Lty...o1'..IiRAL.VAa...WAOIIIRBL.O.Y.... . ...........
Contract Number..GAG..0" 82..................................._.
Date Contract Awarded - - --� --
STATE OI WAaY[IMN Date Work Completed ZIUM.....
......
County in Which Work Performed .gib,
lSOg Location within Counts ..Ave ,g,
cow" or -' Was a Statement of Intern Filed^ }h [� lit Q "
In compliance with RCW 39,12.040 I, the undersigned, being a duly authorized representative of
..-.--Signal.Flartcic,..Iuc.. 9012 South 20fIth Street, .Kent, WA 98031 _
,c—oV for o-FupcontnMrl
do hereby certify that the following rates of hourly wage and hourly fringe bent s have been id 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-
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 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.
('raft
Rate o1 Raw of Road,
Hearty Pit, Frinae Benefits Paid
Cable Splicer Foreman $20.56+.10 $2.45 +4.14 of Gross Wages
Line Crew Foreman 19.30+,10 "
Journeyman Lineman 17.44+,10
Heavy Line Equipment Man 17.44+.10 "
Line Equipment Man 15.02+,10 $1.75+4.1% of Gross Wa es
Head Groundman 13.13+,10 g
Groundman 12.35+.10
Non: Attach Addinmal Sheets as Needed. SICNAL ELECTRIC, INC.,__
Subscribed and sworn to before me By �m, =< a ie�
L. R. Gut illeq President coon
this 4th day of_..February
19. 83 I henaf e.mfy tn.,a.avrdmg w,R raga i.rea.nd Irinae bentlin herein nnm
l "'on grcvihM nqn rrymrcnama nt RCW fV 12W hn<berm ubxlxvl
/fxF'r�'F " 1k:c.LL INDUS7 RIAL STATISTICIAN
votary PnslkMand for Store of Waahiyton. ARTMFNT OF LABOR AND INDISTRIES
rending in Washington.'
INSTRUCTIONS; s`' Del, KU 0 4 1983
i. Pursuant to RCW 39,12.040 copies of this form m at he completed by the contractor and each of his sub-
contractors.
2. Complete this forth in triplicate and have it notarized.
3.Submit all forms for certification to: Emplovment Standards Division,Department of Labor and Industries,
General Administration Building,Olympia,Washington 9&St14.
4. File a certified copy with the Awarding Agency.
CONTRACTORS ARE RESPONSIBLE FOR OBTAINING AND FILING AFFIDAVITS of the SUB.
CONTRACTORS. This is required by law and pavments can not lawiuliv be made until such affidavits
are£fled.
IAta .nodes
22MI MedTS4•311110
q0est (90ast Iucholi Co., I11c.
GrNERAL CONTRA AND ENGINEERS
P.O.Box 419 24205 V/eedi•.ill•-S•oAosisA Reed RECEIVED
WOODINVILLE, WASHINGTON 98072 NOV 171962
cnr r urge.
Vmnrel rmNru.1
TRANSMITTAL RECORD
cfy.F #01:7E
TO Ft.bLa wants Llepwar•vne_4 DATE //-/C-di
2m M;IL CA, 5o„4e. JOB rJ-E :-2ls, Sre.s� Sswpne¢wv_ss
REw.• wmt g q 8 osS LOCATION RwT,
P-6.'4- \- 6rL•Y
ATTENTION Pas-s•,c s- %=Zr ,. ttm
We ore sending Herewith Separate cover by
Drawings prepared by
NO, PRINTS DRAWING NO. DESCRIPTION
/ EAci. n.•,.s»r6K /48Z Fi..nL4 M0..1l,L.
__ �`7Aw •Wf/I UT,Lr LJ Ir•J �wP.n�. -r�
For Approval Approved, n•. noted
Approved Not Approved - Please rer'sbmit
REMARKS
WEST COAST
..//CONSTRUCTION CO. , INC.
Copy to: By cX�... Q,,a.,,(..•.,_�
V,to Title Seru asses=
CONTRACTOR/SUBCONT RACTOR Y
14.NTNLY KUPOVER UTILIZATION REPORT G`
G't1 REPORTING PEPIOD tv"L
Month;
To � submitted to it. Cit a � � 'Ve vs,.,yg� Year: /96i-
Gngineer durin9 the let Y' f folio
nth while contract is in p o9 following Goals and Timetables
Contractor is Pro teas. Prime �1b in Contractor's as co®ttted
responsible for obtaining Action Plan Affilyt ive
autmi in ell taininq e,xi
SubCDn tractor Re rts.To: fre aM lecattm er °t per City's Plan
ei{ e! r?Eu,�ltaae. Agaeq 4a't.l 9--�—�%
X L,c w.t43 o from: late[ w legal lac ar eo.r.F..�,.F caurrtw
?C.n.w %.4 t, wfdr C.yr C..a+n.,.. lr.:. G. )
4i,ar.v. 9ee56 Re. A.. 3..c.
This report is r g _ �'�
result in s e ui red y Executive Or wre, �•r� w S• 9fe ra
auctions which include sus si 11266. ection 203, Pala re
contract. pension, termination, to report
1. cancellations or debarment of
N.E raI{ Sh.eF 1. i.
weo.or Q„. Work k"n of Ba °
Dloynmt (Sea too in.t<1 rite- nuabl aql
9awIn W sae Cluai •. . c. . • rltY e' unDer
Ceapaey,a Nu. (L.D. Irada vA
flu_ Danie Clan hei3c etal to
tla or Empbr.
[Ions Tota Black / inori
�C, Y I•Ln1 ..e:e v/D eiloY- ems
• .. ., .,, �•.ri 4 ,oe�. i L
Tr
4 Tr - z
Tr
Tr
C
A
Tr
C zz
Ze�e� A
T
r
7. Ccnpany ettieia Tr
'• na ore an , e
Z Dace Slgne°
Telephone RusDe^
(Include Area Coda)
Rev. 11/77 (•lales b Cab.) 9a3-i9ee
+ren Ic"q.d t..l Pen-m^alea�••Ninon[ie9 i Non minorities)
A rltv's ' is/Timetables)
Page i of l
5TATEIIEMT OF CO:APUDOXF.
wti+ Yr>.... '�••••e 4 11-1-r a een•w•af.a...a♦
6 82 ---
p Muv 11, 2982
Vito D. Graziano _. __ Payroll_Sipervisor.._,_,. _-___, __,a d.Ta..Ti vr•
-..._._.__—tr..• •S dd•.•'r.J•'rN trrrNl q TTu liNw m{+.•pfShf PY7nanl of the p•ncra.-,)a)N/M..____ M.A. Slyaler,IDC.___—.
Sh.W 12th St. Islprvmta. tNt da.uy Sfi......it{<'i"d c<••-.earind.n tM 31,_ Q•i N
Oct 82 .nd r.di.11IM 6th dal of Nov _ . _N 82 • NI pe..wr
.� ....__..._..._.._..�.-._� �.
p10N YY YYid prY%tcl hY+e Aerw P•Id 1Ee fait w..14 •{•.mrd,SAN M•clap.A.re W w w all M wYdY dSAw di<eeH7 M Sw�
rrnl N OYw Nhdf of..A M.A. Segal*, Inc. + fma lhf fall.•NI7••: f rrm 41"fq p.naw
Ic
nY1 M dN.";...ha•r bra..•dr•ah<.d:.;cJ)w iwdirernl Lem U.lan.Arr.mN Di•^)per.etA wMr P•n ToaN aElt d•
•as drf:nN in Repd.ti wn., P•n )f»CfR Sab.ne A).:+r.d AI IAe Sean.q el4tloe veSet the fapd.^d Arl,a aa S.d
sr.) Prd.dJ SLS. )M.)7 swr. 947;7d 510. 357. N u s c, )rdrA n,d dr•r n!.J Sela+.'
Withholding `
PICA
- - Had Aid
;)> a.r .-.v l,lr... .,a. _ _s. ,h,. «-. .<I.rSarNmTr t •e h, .<
.a.. 1. ., r .,+,..r ,.. .e rT.. <:a.,r•m t...n.n r.�. , .
- Hid ln.rL.r.oys.•.5...•Irt..< •+..f¢•bo^r.r11er11+11.rria for .. '.
n)Tn., .17 •.r•-r. . •'hind i.n.. .h +r rrrLN.f a 1p,•pi.r. .
ae •., nl¢<.+ rq<+<^o-r<Yn :<a lg rt r If ru ei A:`unb< •Sip ...e e�...nl A 1..1..r.v •1� -F
.d• •ci••: pi .Sbp, •re r.y+t< •d ..SA IA p.re.aN AI, r o r•d Aee•Ggoap.wrNh.
(N 1,•:.^
(a).SIT NE I TrM:.E Iie':hi I IS A P<.1J TO AI'PNOVED PLANS.t r. •ni,oa I-m�. ,RAus
I%3 in.^.eti..n le rt.•4.a<fi<.d1 ••Ye wn p•ri p ruA Id. a w eA•.4 Erred in Shr •ta••.•f•r•.ed pr)nll.ppN^.a+r•
el f.l rle.,.hp.•Lrlyd mrTe< m .d T. elrenw.Jl lr r.f•Sa.�p•upd•rr pw pa •fw Sk MrvDlN tiwrM eapl,.S
(h)TNLA'E i NINCE IRS:F.p ITS ANE I-AID IN CASH
h _�. [.•h 1.4nr1 w me J.•n:e l:Jrd in IM •1..+t ufr•eaN r•)'TI1lo*<`^P•:d ♦inA:[Me1.a IM pq.•J,, m amYlrwl nw �
lr +n..n rA< raw d n.r N{h.•hlr M+te hom17••tr.•I•plu•the •M ni Ih•npai.N 1rinle br -Li •r ININ iw rAf
aenrnrt..+<pn n^m.1 In...lion A;r)SAew.
1 IS
06, hio. Ti>'V Off GA.RENTGY NiW04 61 111 � } . .. n
' RRYM14 : 66FA fkli llty 1¢:1667 -P46E ?V !
E M f b..t IF } . . . l A R a R
. :Slp.+4AlFp tAk liiE53:4 tEARF tiijl! QES4••,..... TYPE SLIM. Wl*I "As. *0. 1M*0.. FRI. BAT. TG 1AI. YAIk *"ss ffv. RtR G!LA mim 014ER I iU N151,. •
934 i:. ue26 9UR W _
�1A ! 0 N-4-4* ANVO r d k3 ► t t., •
,,t a �t.'; 'Y6fi * � � > Mr�$"t + 4 , �k �..# .�a�*• rA.. o �
1+i ?F alt9D n6i. vC
e, n1r..er � wF,w
T4ERr OB?RS 1�ny3W yAY 4..f? C+.UCS
• .yaw r .r ..i., •
.,i U.Uti U,,�i U.UU 0.1W 1.1:4 4t. �..s.
j' .
,1
Ills