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Home My WebLink AboutTED4001896(3) PRO-I .N. ls"t St. Improv. Burnett, N. to Park N.-Monthly Util._ Rpt. 1+ 1 . i i r f a 12061 481190p �[ 223-01.WEST-Ca']]2N0 est boast Iction Coo., Inc. GENERAL CONTRA AND ENGINEERS P.O.Box 419 24205 W00di-Iilla-Sx9homiah Road WOODINVILLE, WASHINGTON 9 3gyyBRr/�� APR 213 1988 J� TRANSMITTAL RECORD CITY OF RENTON TO City April 25 9 8 Of Renton DATE EnQlneering Dept. -�ngineenng Department 200 Mill Avenue South JOB N. 1029-87st St..Burnett Ave g v ar:< Ave. ' CAG Renton, Washington 98055 LOCATION N. 1st St..Burnett Ave. to Park ! i�ty bf Renton ATTENTION Joe Armstrong - Project Engineer 1 We are sendingherewith 1 ,� Separate cover by Drawings prepared by - i NO. PRINTS DRAWING NO. DESCRIPTION _C=rafied Payroll tu wrek ending APRIL 16 1988 for M. A SEGALE INL Certified Payroll for week ending APRIL 20, 1988 for SIGNAL ELECTRIC, INC. i I For Approval Approved, as noted Approved Not Approved - Please resubmit REMARKS WEST COAST CONSTRUCTION CO., INC. Copy to By 'cl, Q-s.� Tim Buchanan 87-9 File Title Secretary 4.1 o� • cast MY(MT OI LA(Ow t n..nwwq.. uaa..o Neu...9... STATEMENT OF COMPLIANCE .►s.a lNw..►.. ..n.rs- CONtw.<T.OfeIpON. i �f ly a 4/21/88 P. M. Guthmiller Payroll Clerkft �1 t lee .Mlene nN • r—h,teen 1 Signal F.lecerl- IU Th.11-.r........u lb rnmrm of n,r r.1.nn.e11c:InyM a rt" TMIt ,b �r Nortn let Street ( lwr.oll pe,p ,rr ��Rn 16Cih,v n1 AP 11 me : noon n.e _ INal I [[^^yY el l April .IMr.nnwemluyennBInelerbse lwe. mad Ills Iwl10@ nl the e reek], woe......d, Dist no rebwle.hoe Men m will M male ellhw directly nr bMberlly 1.w..Iwlulf of..Id Signal Electric, Inc. .1 Unm llw hd N l reeYll .R..a nM by wny Mnml sml•h.l nn dederlinn.Imve 1 .1 ,trier e.wr+rlw hi,,...,w m. ho dhedly w i"I'wrtly Irnm . l lull h, t e.mrd Iry urn p•e.m1,.&, h.:1 Pn:n I+.IIA•dMrwllo:m..19 St.,l 1n Rel:d.11en i P 7 .1 in CFR Mlot, 3 AA bwoM by Ilw Snd dese bid beta unMr lb Pm.nl.n•1 Arl, ..mwn.trrl HE Slwl 94R R]Still loll,11 Sln.%T:7M1 EL1. dSJ;10 U.S C 2)M1r), .ml rb.nlbM hula,: FTCAr Ylthhnld)Itg� MwA tnml ASd and Veeat inn_ — Of Th-t.ny p.ymll.etfierwiwe ender this eonlrwm"'O'd 1.be.W.Dfl,d for IM.Mre pe11n•1.m cmrerl...I rQwrletq Ih.l thr w.R .is.I.,I.bets.sor merh.nlc.cnnldnrd 0".in...net le»Ib...the .Mllahle wnRr r.l.. rnnll:lmd In ny wile delrlmin.D..IlwmpwwnJ I.t.the rnnlr.rl; IRM Ill rin.Ulewll... ..I Imlh there In fm—I,LMmr w me.-hwnir r:.n I—with IAe went he ped...d (3) Th.,.n1 •PP•rnlirr.employed le the,bore rrriml.r duly rc,Ww ,.d in.bons lid.wpr:mdl...hli•Pr..pnm rMl.lewA with . St.,. wprr.dl .hip .Pm'. .....1'.d by the Bm•.e .1 Ayprenikv.hlp m,d Tu1n InR, Ilnand RO:m.Dm.rlmenl nl Lwhor,OI 11 m1.uch rewRnieM saenry—W,In+Sbtr,mr rrRIMmA with the IUnrwa of A,,.rnlirr.hlp.nd Tlnlnln[. Ilnllnd Sta..Oer.am.nt w UMr. (A) TA.V DO WHERE FRINGE BENEFITS ARE PAIN TO APPROVED PLANS. FUNDS,OR PROWINARS Jx) In.ddlllon to the b.+k Imudy rnRr 1.I..raid In Barb Llmrn m merh.nir H..'A In lhr nI.— +d pop roll, P.Yment.el Ir1.Re Iwnelm .. IMled la the mnD.n h.re Mrn m will be mwd.In q�pgnl.M1 prxlum. W the Mu.Dt w nrh employee., .,toll ...-IeA In SeMbm A(r)helnw (n) WDERE FRINGE.BENEFITS ARE PAID IN CARD -�- F..'h L.bnur. ecb.n4 ❑.I.d la the slm,r mlmmcrA P..mll h.. hn.n 1.W n1 h.Ah.lr.l nu Ihr ImrrnlL Ont nnl le..Ill.. h.. nl thesPllir.hln hs.ir)--I,w.Rr-1.Pln.Ill..mnmd rl Ihr ognberl Irinr^ Mnellb..II.led In tM rnnlr.ml......I..um.A In.,,I.n d(r)Wl,w (c) EXCEPTIONS EXC(PTI011KRAF)1 !%PLANATION P. M. Cutlniller, Payroll Clerk ,.a wL.uL r.LYae.nw Ow .wr a1 T.a........... .0;N.r kw..c r ...eion ins:i e�nn�owcnN u.e ten ro mrlL w usual.,wwr...euaw ne ncuw IMI e1 mrn• ..Nr ncnnN r.. LI 1..,rl.l .n 11.m cew. F...wN 10 411641 _. .._... ._. .. _-__.-�-..�-.+ter•+. . f f PERIOD EMIM ..♦.i0,80 8(GN♦L EIti TP REPORT nP ♦ • — �. IL FADE L JOE NO 1VO10 NOPTM l9T^ CEPT STREET Ir3ED RA,P ! .ilT REST CO 1-_ G BiNCOgT11V[ilO. COMigMT M: -'-- r� n.re ♦(� �,� --14IOL—J➢t_JIYM Qp, Pr•tt ono TorR� REr( . lw OF MrIOYEE TM F l 1{I n MORRE �rlq Nwll FICA Wn 11, MI-A 0[WCT rAr __.__—__-�--_----37 41 go r f 57, DO IMl• CT70 • . ie1. 0, w*an. uP nos L!— _.m GLABE_GER61CnAH-igP4Pi'AO }., Pl-21W M IPRM: 07 PEQI m Cr Ecq PATI Oi rAv t..w -----_—_______________—_,��—___—_____—_�___ I• •w ■ E i l U.M M Yf Ol w_O) •ll.w I rare llM. RM ,t _SlOAn �tl'291i0_.. s♦•-N-48EP M lI1�T: Oi l[aPEw1R CRIECR MTl A rAv: Il.•i c - r at , ry PPw.,44 A. t . 1 F� # Y4 1{ t 4) F r w" i �: STATEMENT OF COMPLIANCE ..aw. h... ..w. .n.w.w • 7 ..wP...4-21-88 CK 029-87 D.1. -_EpLil 22 1988 1. Eafnl u+n j(�jl' Payroll (Ne.a.I rllwe rr Mrlrl (TIII.1 b I.en„ .r. 111 Thn 1 Pry or wp«r u........•nl.1 me perwn. orN.ewd , M. A. Seaale. Irc fCsMrNM N.u•.en,n.ler. .n Ih• (,y-,_ pimt qtJ ,,,,. {jam [ .INw elnwa Me P.r oli P.nm coM,.nc,na.n llr• 10&' d.r or .Ip RR nd•tl,.p th.161L by.l lwri1 BS"IoYcd on•ud PMNt h•w Men Pud Ih.IW I wM11 roP.e�„ed, tNt w nMu.hoe Mw«wll!•-w Id 19 edh«6reptly o. m { dlnclly to oron h wf of ooi M. A *ala Try frww IM IYI wM1Y w•P••roved br r,Y F«•en (CrrrNM r NNewF«Nr) wrd lho m.edpawn.M,u h.w w.d.uUN 4nct11 o.&.0r In.U.Iu!1 wwu..,wd b w1«,ew,&met then Ir,wo.uhle 4 be.en...do—d«RepJM,w\ P.n J( •CPR 5.Yr U.A), u.utl It,Ih.berM.p of LMer,.weer tM Cep.lnd Aol. a•,wndN(M Sul 141.6)Su, )M, r)St., Nr.rd StK. JS1. 6P U I C 2160, nd BunaN hNnr crrn —Mod Aid (1)1NM•wI MYwll.oN.rww,w,do ton. aentr«I carat'"u W matio" d Iw IM Mnr•p•nN we cerlect trod ary.cyw 1«lebr«d w nraT w,c.oenl.l«d to«on .e na Lo Uw Ih tic.a•. orMeM: M•1 ne Iwee "MNUM Ue cuulllohm,•.et b,th U.nln lot--h 10em«sec orh nlc ronnlrw MM Uth.was ee pM«Rel � (3)M,�„.'tlpwhCe.aw,ploYN,n 0,e•bete ynN.n delY nHl.l.r•d In.por,.hM.ppnnlla'e M,p Prop.w,e.l t«N wtllr ro dency nroa.1.N N U.Bu..0 o/AP 11,,•M\+wA T-in,", Un,rN SI.1..D•P. wa'epl.N.Snyslue. .n eepu.M wU Oe Bunw of APpoln.Mlp nd T,—,r pnnN Slue.Uep.,tw,•u«LYer. U)Th.c. (J WERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS. FUNDS.OR PROGRAM Lick 1..two.Io IM l.uc"ot,.•p om.p.,d to wch lebr««,«Mrrm hMN,n tM.Fore rN.rw•W MYnil,PgweY.e(h,.p M«fR•w ImN u M romr«I hoe hwn or oval b rtle a.P«epnMe P-p..I.,th.h ftl N wch eey,l«Ncwl w mW In SmOw Nc)h.low. 'M WERE FRINGE BENEFITS ARE PAID IN CASH u- b EN11Mwne«,«ch•nc L•IN I.IM.bw nft tw.d glnll h..hen pud N,Mlco.a an 1M pgroll, .w.ova ml o Ur tM uM,of th..pphc Md.h•elc her11.ev ub pout the wwM of U•rcN,r•d Inl,p•h ht...I...N I.the oetne.. .cwl..wl.o In.N'llw Kc>root. IU HHC[P'11ONS (c.) vruu ova no. .ca D•w•rywa:. .- - wKathleen Kay, Payroll iLe wllul bl rl•rr.w of nr el the Kew.4,•,nenb over when Me«« y w Srcnn Add)el Tul•IS wd Anlw LI sl T,O.JI sf Me UwnN Su,N Ceb«W,«M«sr m n nl«rn mal v'+.. ,rr,m DO;:»879 twat,.,.ad.,Pn.......p...d. J L INSTRUCTIONS FOR PREPARATION OF STATEMENT OF COMPLIANCE ,Lis statement of compliance meets needs msclring turn the smandaent of the Mvis fAccn Act to include fringe benerts provisions Under this amended Irv,the conitaetor is requir-d to pay fringe bnallls as pradete-erned by the Depanment of Labor, in addition to payment of the minimum'Rise. The contractor's obligation to pay fringe benefits may be met hy ntofthe he fringes esh into the of an o us plans, funds,or programs a by m is to Me employees these psy fringes Tk conlitiI should show m1 the lace of his pryrolf all worrtas paid to the employees whether as basic rates of as cash to lieu of fringes The contractor shall represent In the ststeme•' of corn- Fitanre that be is paying to others fringes required by the contract and not paid as cash to lieu of fringes Detailed Instructions lollor. CONTRACTORS WHO PAY ALL REQUIRED FRINGE BENEFITS. A cc itraclor who pays fringe benefits to approved plans. funds, or programs in amounts not less 1 than ram determined to the applicable vote decision of the Secretary of Labor shall continue to show on the face of his payroll the basic cash hourly tale and overtime rate paid to his employe", guar as he has always done. Such is coo,ectur shell check paragraph((O of the statement to.-di- care that he is also paying to approved plans, funds,or programs not less then the amount PIn- determned as fringe b"ellts for each craft Any reception shall be noted in Section 6(c). CONTRACTORS WHO PAY NO FRINGE BENEFITS' A contractor who pays no fringe benefits Shull pay to the employ"and&risen in the rtrsight time bonny rate column of his payroll as amoml not less than the predetermined late for each dassift' Carron plus the amount of fringe benefits determined for each cle"Ificat ion in the applicable we" dect con Inasmuch es It is not necessary to pay Bone end•hall on cash paid I. ben of fringes. tlr overtime rate shall be not less than the sum of Me basic predetermined rate,plus the half tier premium on the basic or regular rise.plus the required cash in lieu of fringes at the straight Gina rate. To simplify eomputatian of o ertles,it is suet"led that roe straight time basic rate and cash in Itaa of fringes be separately stated in the hourly rote Colo".thus SS.25/s0 In endiGon. the Contractor shall chew: poragroph Qb)of the statement to indicate that he is paying fringe bma- file In cash directly to his employees. Any exceptions shall be noted or Section 6(c1. USE OF SECTION 6(c). EXCEPTIONS- i Any cr"tractor who a making payment to approved piano, fund..or programs iri amounts less than the ease deletmt"Bon'"uhres is obliged to pay the deficiency directly to the employees"cash ha lieu of fringes. An- e.ceplions to Section a(.)01 N(b), whnchewr Me contractor may check, .hell be ..,.,.d In Sect Lon all) Enter in the Esceplton column the Craft.and"ter,in the Explant lion column the hourly amount paid the emploYess "cash in liw of lunges. and the hourly smounl paid to;1"6.funds,or programs as Imnges. as U.S. G.p.o. 1979465-I1e/37 1 FA. Seg•i• TK. aaa CFRTiEED PAYROLL REGMER �+• PAYROLI PERIOD PAGE t Boa BB�S0 1/1B iNRU 1/16 iI• YR 9B13B JOB CODE BD751B PAYROLLD BS , JOB NAME RENTON CAL 829-D7 N 1ST IMPVWYIS-Y.COAST CO • e • • • • • e • - a - a - a - a - • - • ' • ' N - • - • - • ' • - • - ♦ - • ' a • - • - • M • Ta - • - • - a - EMPLOYEE NAME 6 ADDRESS a-----------HO U R S Y O R N E D----------• TOTAL PAY LROSi PAY LROSS PAT SOCIAL SEC : 6 EXEMPT JOB CLASS SUN ION TUE WED THR FRI SAT HOURS RATE TiiIS JOB OTHR JUPS DAVID P FEHSYE 570WO FOREMAN .000 .15 Me STUCK RIVER ROAD 5785638 FOREMAN S 1.50 1.50 18.298 27.11 A AUBURN WA 9008' 1 5//-38-5090 0-01 C M TOTALS- /0.00 77.R9 706.64 A) a----------------D E D U C T I O N S__-_----_____.-- FRINGE FICA FED WA SDI UNI NN OTHER TOTAL MET PAY 4.16 55.31 1".86 9.95 29.90 .80 198.12 538.41 - - - - - - - - TOTAL HOURS 1.50 TOTAL WAGES PAID- 27.89 .�z.' 13 7 7 L2 a • O L ry, j ¢` yy �Yt , TI r{ 1 12053 40,1900 22301 WESr.CG'212M0 ilEld� Vest (90ast �" ction �o., Inc. GENERAL CONTRA AND ENGINEERS P.a Boa 419 24205 'Meedinvill.-Seghgmish Road WOOOINVILLE, WASHINGTON 98072 TRANSMITTAL RECORD TO City Of Renton DATE—March B. 1988 gineering ,partment 260 Mill Avenue South JOB N. 1st St Burnett Ave to Park Ave. AG 029-87 Renton Washington 98055 LOCATION_ N. 1st St..Bal nytL_Ave. to Park A it f enton ATTENTION Joe Armstrong - Project Engineer We are sending Herewith® Separate cover by Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION Certified Pevroll for week ending FRRFIIARY 97 10M fnr M_ A 'MA1R _1NC, For Approval Approved, as noted Approved Not Approved - Please resubmit REMARKS _ fAAR 9i999 J1'EST COAST CJNSTRUCTION CO. , INC. CITY OF RENTON Eryy CopyRfo By Tim Buchanan 87_9 F., Title Secretary _ N.P. Segale Inc. EXPIlOYEE UTILIZATION REPORT ,D0 CODE 007510 FADE 10 P:,D:so; 88b50 WA 98138 START NN 6e END NH 09 PERIOD9ENDIK-3 2l2./Bg N NTONINC46029-8COAST CO _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 1, COIlSTR11CTId1 --TOTAL NdlRS-- -----BLACK----- ----HISPANIC--- -----ASIAM----- ----INDIRN--- -PERCN -OENFL- -ONiNR- ' 1TMOE N F h F M F ItF N r MIN FEN N F X F '1 LABORER JOURNEYMAN .00 .00 .00 .00 00 B0 '00 .00 .00 .00 .0 .0 0 0 0 0 APPRENTICE .00 .00 .00 '00 .00 .00 .AO .BB .00 .00 0 ,0 0 0 0 0 ----- _______ ------ _______ ------- ------ _______ -------- ,1 SW-TOTAL .00 .00 .00 .00 .00 .00 .00 .o0 .00 .00 .0 .0 0 0 0 0 OKPATW MYYNNI 2.50 .00 .00 .00 .08 .00 .00 .0 .00 .00 .0 .0 2 0 0 0 ICE M .00 .00 .00 .0B .00 .00 .08 .0P .00 .6 .8 0 0 0 0 ------ ------ ------ ----- ------ ------ SU0-TOTAL 2.50 .00 .00 .00 .00 .o0 00 .00 .00 .00 .0 .0 2 0 6 0 Mom NlI�ITICC 1 :N :N .N .06 .00 .00 .00 .00 .000 :A .0 0 6 0 F _ .. ------ ------ - ----- ---•--- ------ ----- - - ----- ------- ---- ---- --- --- ---dYFiOiY N .a .a oe .N .00 .00 .00 .00 .0 .6 .P 0 0 0 0 _ --- *TOTALS 21 ,� .90 .0 .00 .00 .06 .08 .o .0 e n 0 - 8B '00 ce 00 0P '1 2A .80 ,0 .0 e 0 e 0 .00 .00 .00 .0 .00 .00 .00 .00 .M .N .0 .0 0 0 0 0 - --- ---- ----- ------ ------- ------- ----- ------ - - WM TOTAL 3.86 .N .M .M .00 .N .K .06 .01 .90 .0 .0 9 - 0 - - SigiJ"' Title D1t/ 1 n' y]� jam k1.HF+ J k, V 7 12061 .u-,coo it ` 22201 WEST CC•373N0 r test C0oast wholl La, Inc. GENERAL CONTRA AND ENGINEERS P.O.Bo- 419 24205 Wood i-rill.-Snohomish Road WOODINVILLE, WASHINGTON 98072 TRANSMITTAL RECORD TO Cit Of Renton DATE February 11, 1987 ginEn eer+.ng rcyertmenc 200 Mill Avenue South JOB N 1st St. Burnett Ave ark Ave. AC 02 - 7 Renton, Washington 98055 LOCATION N. 1st ..Burnett Ave, to Park Av it y f StRanto ATTENTION Joe Armstrong - Project Engineer We are sending Herewith® S.pmole mayor by Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION Certified Payroll for week ending FEBRUARY 6 198b for M. A. SECALE. INC. For Approval Approved, as noted Approved Not Approved - Please resubmit REMARKS B 1 r(h 1 ^ iaA9 WEST COAST CONSTRUCLTMtbICQEpJUK. Engineering Dept. Copy to: By lot, 6..se 4. .j Tim Buchanan 87-9 File Title Secretary r ; T d STATEMENT OF COMPLIANCE ....ou.�..0 •..loll ...tell.. o..a ao..ucr.�wa. CAI: (129-8' 6 L-I 1-fttl D•,. l •b uary 10 1988 1. a he,, . A. n•.r*at Payroll Adminiat rator _ d.h•Nkr .1. t all..•1•Vn.l.." MN.) flnn) (1)T.et 1 F•)e.wWvlw 1M PaLVnt of the".rotes e"olelN by N.A. Seeale Inc. re.nwrro.N•w•M...elft .,,.No.No. First St. Impymts. Renton thW ftt rh•vr•e11 Fatted earreala[NVIA a••�I (aNNM[ rr•1 January _ o 88 roll.NNs[M 6th an nl February to SS t mswenn. A,I.Ael A wd MIKI ho—MM v.Id'he IW I--All wM••..teN.4M M rate[•aaq ban n.nAI M wM.hate.dvK11Y M.A. Segale. Inc. 1.Me IWI wAll w•[e••.teed he ror a..ron dwall 1e.r on bkYl of holdf<Mnw IM r w•eMMeNrI se,1h•t ro bdaHpn.h•w bM wN••WhIR dtrK11)"r.dllKdl bw she fall wW..or..d he Mr ro.ron.oM.,I%-rowu...W. M. tell_ deer_.••def,."he R•p AIM., PMl)f„CM Sep1O&C ].Ald Ill the wl he ft—I6t4 b1 f t..ho.eIW..lM rgelrla A.I ...mmdN (M SIN a•d.d)SI.1. In. )J St., ad/; d Saw 357. ulthh,,�dinli FICA Med Aid (D l)nt M)pelted"OM.w.ro Wa tau croUKl r.w..N 10 k.•WIw.NN for W AA..ror1N w cMeet meld romWt.. true the .qe nu•Ior t•M.ee.w weAMle.eMtalroa M«.ln.N tell tell MM 1M wl.. N.r•P MN r•w1.lM a.•1 wyh dae..11nN.M rnc.ge.taw Inro 4e COM.KI.M.1 the'I...111c.l.M.let IONh vh e1.Ior eKle 1. .. Nth Me work be y.•Ia.red. ())Th.t ror n0 eeue•e A01erN 1n Me•b•e""ea are duly r•V.I.M In•hM•f.a."N"A"eleh.P Prednw r.atN.IN r.[h so..py1e.lNavkIp.d•tecr N.ePtaN Iw 1%.Rare•t el Apw.wn.•4V wW T.e.n111a. that"MNha D•Ven.N+t e`t.ter,sr 11 ro «h i Nee.P1.•a es.,.... w u.Slu•. •n real.aaa B r14 fM ee.0 of Ayp.n[w.YV..W Truruq.Vw[N Swo D.p•NwN al Tle... 1.1"an&FRINOK MMKFIT&Ma PAL) TO aPPIgVKD PLAN&. FUNDC DR PROGRAMS �' In•t4[Nte le U..Mrc Morlr he ttl •M1a u hare.IWNrw or w.aJl '•�e "e •bw nee be he ,el.,e .11.1 ... rp1..eel"t1 Se"'.r(e)nhelaw&.e.b.n«wYl b•..d.to Ne ONQK1•Iw IM k.Nr11 N.Kh.oP.ep (k)RIIKRK FKINGS MKNEFIT&ARK PAID IN CAW �� 6Kh bWr w w.eh.wc LNN M lM•b•.NArNKN MYloll he.h.M Veld M 1N¢.rod M tM a•INII. M.lore.1 teal l c.orrarM ro1 .fr...hplehKabl.lt.r)Mh la 11 rra I-'-Vm.the nnwN oI,%.nw.•N Ingr 4er.eLl.a LNN m M• te. et KuamDN&r ' cv pow rc.Nn __ tear..•• t dN Rebecca A. Wera[, Payroll Administrator f TA.r�rrer 4rrl.ueN.el w1r er M..asw•I•INMwb w•r wN•.G nrt«ror s.MINMrr«ro.ro am«.nwuN rvo.N... &.•]wbM IWI or T.N. la w1]ecuM)JI sr TrW))d Me Ote. ]NH.CaI•-------------------- DDI por 879 .....e .aw.,o.• as a.ro.a ,. 1 INSTRUCTIONS FOR PREPARATION OF ST:.TEMENT OF COMPLIANCE This sta-em"t of ewwphsce meets needs resulting horn the amendment of the DNia-Bean Act to include hinge benefits provisions Under this amended law,the contractor is r.qut,,d to nay (,top benefits as predetermined by the Department of Labcr, In addition to payment of the minimum rat" The convert 's ob6pt.. to pay fringe benefits may be met by payment of the fringe.to the an. me plans. funds, or programs ov by "king these payments to the employees as cash in lieu of fertile, The contractor should.how on the two of his payroll.11,eerie.paid rc the employee s whether as basic ales or as cash in lieu of fringe% no contractor.hall reprasrot in the staleme- of com- pltaaee that he to per to otAers(ring"required by the contract and not paid as cash in lieu of (tinges Detailed mstrvctions follow CONTRACTORS WHO PAY ALL REQUIRFD FRINGE BENEFITS A contractor who pays fringe beaefies to approved plans. funds,or programs In amounts nor lea than win determined in the applicable wage decision of the Secretary of Leber shall continue to shot ml the fete of lieu payroll the basic cash hourly tote and overtime rate paid to his employees, fat as he ha always done Such a contractor shall check paragraph d(e)of the atatelant ta tedi Me that he in also paying In approved plans, funds,or program.not It.,Men the amount pre determined as fringe benefits for each craft Any exception shall be noted in Section f(c). CONTRACTORS WHO PAY NO FRINGE BENEFITS - A contractor who pays no fringe benefits Mall pay to the employee and insert in the straight lime burly into column of his payroll se,amount not less then i a predetermined rate Mr each cloaatf,- eation pla be smount of fringe teethe,determined for each cisssification in the applicable e.g. decision Inasmuch " it is not rrega.ry to pay itete and a half on cash paid in It"of fringes. the overtime rite shell be not lea than the sum of the basic predeNrmined role.plus the half time premium on the basic or ingular rate, plus the inquired cash In h"of fringe,at the straight time rate To atmpllfy computation of overtime. O is suggested that the straight it"beatc .Is and cash in list of fringe.be"parolely stated in the hourly rate column,thus$3 25/40 In addition, , the converse shalt check asogroph a(b)of the statement to indicate that he is paying hinge bone- " fit.in cash directly to he,employees Anf ra<priona shall be noted in Stcaon hc} t USE OF SECTION d(c), EXCEP71ONS Any c"tr.Ioi tho Is..king payment to approved plans, funds,or programs is amount.less Na the wage dot+m inatlnn regmr"is obliged to pay the cehcrag duevtly to the employees a cash In lieu of tinges Any exceptions to Section 4(a)o, 1,1b). weichewr,the cmbactor may check, shall be "loved m Section Qc) Enter in Ne Exception column the ci aft. and"tee in the Explama- Ua colmmn the hourly snunl pad the employ",as cook in It"of(tinges. end is.hourly sma1N paid to plain. hide, a program.no fnngea. e U.S. G.P.O. Ia7e445-144/37 ALI J - Ys' - Y A. • J " N.R. Segale 1M. Ya{ CERTIFIED PAYROLL REGISTER ++Y PA'/ 1 P_j{t OD 2/06 FACE 2 P.O. Bo+ BBb50 11t8wMu1 0 Tukwila WA 98138 JOB CODE 007519 PAYROLL! 81 JOB FAME RENTON CAG 029-87 M 11 T INPVMNTS-Y.COAST CO "— { • + s + + a a a + - e - a - • - a - a - a - a - a - a - • - + - a - a - a - • - a _ a _ a _ + - a - a - a - a - O EMPLOYEE MAN L ADDRESS a----------H 0 U R S W 0 R X E D--------a TOTAL PAY GROSS PAY GROSS PAY SOCIAL SEC 0 6 EXEMPI JOB CLASS SUM MON TIE WED :rR FRI SAT HOURS RATE THIS JOB OTMR JOBS �• DAVID P FENSKE 5709577 FOREMAN S 1.50 1.50 .000 27.11 +^•• 100 STUCK RIVER ROAD .000 .55 WA 98002 6-38-SB•0 M-04 C N TOTALS- 60.00 27.09 7.06.66 __ .__.. ___. ...___.__.- ___ • E 8 V C T 1 0 N S_---a FRINGE FICA FED W/H SDI UNION OTHER TOTAL NET PAY 4.16 55.32 194.86 9.48 28.25 .0196.91 539.6A _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ EMPLOYEE NAME L ADDRESS a-----------H O U R S W O R M E D-----------{ TOTAL PAY GROSS PAY GAOLS SOCIAL SEC 0 i EXEMPT JOB CLASS SUN MOM TUE WED THR FRI SAT HOURS RATE THIS JOB Pll� - Raw C MY JR. 5740 RLLR PLNT MIX .BBB .30 11261 145TH PL SF S 1.98 1.00 17,130 17./3 RENTON NA 90856 M-72-6235 M-00 C M TOTALS- 13.50 17.73 201.5Y _ 7 FRINGE FICA FED W/H 91 UNIDO OTHER TOTAL NET PAY 4.16 16.47 24.8P 3.38 6.75 .90 59.68 168J2 Q . - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 0 MAL "m 2.56 TOTAL WAGES PAID- 65.62 ...._._..yam., y tAr "d" i 777 t a. ?4ir 1 1 m., l i 5 Sd �- . . 1206! .81,Wo • � rf I 1]3-01 WEST�t-•3]3N0 Vest Locust �, ction (go., Inc. GENERAL CONTRA P0WVAND EN --'--� P.O.Bo. 419 24205 Wocdinyill.-S,,ohom rh Read - ' WOODINVILLE, WASHINGTON 8072 NOV 24 1987 " � f TRANSMITTAL RECORD -- TO City Renton _ DATE i]-23-s7 nginE eering Department 200 Mill Avenue South JOB N. 1st St..Burnett Ave. to Park Ave. CAG 029-87 Renton, Washington 98055 _LOCATION N. 1st St..Burnett Ave, to Park Av City Of Renton ATTENTION Joe Armstrong - Project Engineer j We are sending HerewithW Separate cover by Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION qxN Hte vai 4...J WaSe Ce.>< �Cru�.• �.. Fjfu,.o B..e,� i n-]7-87 r For Approval Approved, as noted Approved_ Not Approved - Please resubmit REMARKS .;. y.vw asp. WEST COAST CONSTRUCTION CO., INC. Copy to: By V� I Tim Buchanan 87-9 File Title- Secretary 1 s s. 4 r Y + CERTIFICATION BY GENERAL CONTRACTOR Ref: Payment of Prevailing Wages To be submitted to the City with each Progress Payment Request. Date: i/ -17-17 PROJECT: .Uo.a/A /S r. 5'Mwe4- CAG No. 029- 07 This is to certify that the prevailing wages have been paid to our employees and our subcont, actors' employees for the period ending /1-/7-87 in accordance with the Intents to Pay Prevailing Wage fired w,t the ashington State Department of Labor & Industries. Wff3r C-nsr C s-M. JV.:. 4. Xn ompany Name iyned SCC/11Tway T,t—le SL.C.CERTIFICATION/DRT:MB t u 1• •+,§ 4 r 113-01 WE.STLG'TINO it Ike Coast - ction Co., Inc. Vest . GENERAL CONTRA AND ENGINEERS P.O.Be. 419 4205 Woodinrilta-S.ohomi.h Road WOODINVILLE, WASHINGTON 980 2 NOV 2 4 INT TRANSMITTAL RECORD 'T TO Cit Of Renton DATE //-23-87 ngineering Department 200 Mill Avenue South JOB N 1st St,,Burnett Ave, to Park Ave. CAC 029-87 Renton Washington 98055 _LOCATION N. 1st St Burnett Ave, to Park Ave i7 ty (Renton ATTENTION Joe Armstrong - Project Engineer 3 We are sending HerewithIZ Separate cover by , Y. Drawings Prepared by NO. PRINTS DRAWING NO. DESCRIPTION Ws 's pia. Ad: "ICI C;.X r Gwt+M. h.: 6.Xw / 9JCN 5,9...co fF/n•.gt oa 0a•- .Uo Q , For Approval Approved, o> noted Approved Not Approved - Please resubmit REMARKS t^tt WEST COAST CONSTRUCTION •_'C�O. ,, INC. X Copy to: By Tim Buchanan 1 ' Title Secretary A]_a File 1.' ,t M Y. k was 4� MAIL TO: AFFIDAVIT OF INDUSTRIAL STATISTICIAN WAGES PAID Department of Labor & Industries t 31 Oly.aprit WtA tandards Se tions PAYIWENf ! ON PUBLIC WORKS CONTRACT (i06) 753-4019 I ftGV b° 1987 I at ttuContract/BPW Number CAG 029-87 Contract Awarding Agency '"Bate Bid Was Due 5-27-87 City Of Renton Date Contract Awarded 6-15-87 _ Address 200 Hill Avenue South Date Work Completed lU-28-87 Renton. Washington 98055 County in Which Work Performed aTNO Telephone Number 235-2631 Prime Contractor West Coast Construction Co. Inc. 22301 '� ,09rur Contractor's Registration Certificate No. Was a Statement of Intent Filed For(�is project? Yes iB No ❑ In compliance with RCW 39.12.040 1, the undersigned, being a duly authorized representative of WES: COAST CONSTRUCTION CO., INC. P. 0. BOX 419 WOODINVILLE, WASHINGTON 98072 ICea,aww w Sueutnatwl IAJdnxl 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 me- chanic has been paid less than the "prevailing rate of wage" as determined by the Industrial 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.pruside this additional information:name,registration number,stage of progression and date of hiring. trait Raw of gam ar u,adt Howdy HI Fnane nenent, NM Operating Engineers 3/4 or 11 Backhoe 18.04 4.21 Loader 2 cy overhead 18.04 4.21 , Case Backhoe 52HP 17.68'' 4.21— Oiler Grademan 17.38 - 6.21— Teamster 5 to 12 Dump Truck 17.53 ' 3.71" Laborer Pipelayer 15.69- 3.43 General 15.21- 3.43" Cement Mason General 18.16" 3.45.1 Nota. Attach Addmnnal Shang as Nwde4 WEST COAST CONSTRUC7TION CO., INC. Subscribed and sworn to before me By Pros. mast this 30th _ day of OCLobet 1987 I.aI u1e Oay I herebt mrtiry that accorda,;to the wage r to aral fr,W benenU uaem s.wn to the Mvaihna wage reyairnmcnta car RCW 39.12 W have beta as'Tad Nw.,y rnwc to.M rw,h Siam w ts.an,nawn.,.d,ny in wash,vs., INDUSTRIAL STATISTICIAN DEPARTMENT OF LABOR AND INDUSTRIES INSTRUCTIONS: -y,J�'r Q'/�,�— NN 19'87 _ d 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 form in triplicate and have it notarized. 3. Submit all forms for approval to:Department of Labor and Industries,Employment Standards Section,Olympia, Washington 98504.0631. 4. Mail an approved copy to the Contract Awarding Public Agency CONTRACTORS 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. i,mnvow .n,i:., r w•r. OveL V�•' .§Bt.o r e `+I a ir. A^ 10 -iY i yew . F C.O. / 2 V ' CITY OF RENTON Department of Public Works r � CONTRACT CHANGE ORDER AGREEMENT a rtys'fW,�, 1 CONTRACT: --�:9G 027-87 N. 1st Street Improvements CONTRACTOR: West Coast Construction i' SUMMARY OF PROPOSED CHANGE: 4• SCHEDULE "A" ;w1 1. 2-Sidewalk Drains @ N 1st St and Burnett Ave N Lump Sum &1 448 9i 2. Install Handi&Ag Romps a N. 2nd SC & Williams Ave N Lump Sum 611.08 3- Redo Alloy pro_ach a- Burnett Ave N & P ll v Ave. N. Alley & y Red, Nr din Ramn A n ivaway in radjus @ N corner of Williams Ave. N. & N. 1st St Lump Sum 1,082.77 a 4. Saw Cuttina G,.ry Lump Sum 345.00 t1 i. d@ .Sd TOTAL $3,487.76 — G All work, materials and measurements to be in accordance with the provisions of the Standard Specifications and Special Provisions for the type of construction involved. ORIGINAL CONTRACT CURRENT CONTRACT ESTIMATED NET CHANGE ESTIMATED CONTRACT AMOUNT AMOUNT THIS ORDER TOTAL AFTER CHANGE $459,491.75 $467,875.35 $3,487.76 $471,363.11 SIGNATURES: Contractor_ Date: ay 'A' "7 /f Project Engineer Date: --�ZO--97 Approved By i Date: /i Z� t1J ( u iC ors rector 1J.C.10 9/10/87 i a Y. d f a ///''' IJgel eeSl/0a �� *tOV JJJdI WESTdC.•J7JN0IO est Coastction C., Inc. GENERAL CONTRD ENGINEERS P.O.Bea 419 24205 Mbedinville•Snohosieh Reed -- �( WOODINVILLE, WASHINGTON 9 72 kici,wirt i xv 1` aff TRANSMITTAL RECORD -_ e**lVW'OW.. CIrV tx P;iMiO!1 TO City Of Renton DATE Engi eering Department --Nngrehor is 7gg7 200 Mill Avenue South JOB N. 1st St. Burnett Ave. to Park Ave. AG 02 -87 Renton, Washington 98055 LOCATION N 1st S B rn eve. to Perk A a ATTENTION ity f enton Joe Armstrong - Pro iec[ Engineer We are sending Herewith® Separate cover by_ Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION Certified Payroll for weeked' O('TOBFR it qB7 Eihdl EGALE, INC. r For fpproval Approved, as noted Approved -_ Not Approved - Please resubmit REMARK S WEST COAST CONSTRUCTION CO., INC. Copy to: By V-e+e. Tim Buchanan 87-9 pil Title Scc retury I} I Ill 3TATMRNT OF COMPLIANCE Repo.. a ran. p ce.noes wan �•Report Y5 nneirll/U4/1987a CA: 029--87 D.I. I Carol L. Dulaney Payroll Processor a n...pr . lw.r.r»•n.»r w.rR IT',..) (n TIn 1 pb pr.ppgvue d.........f 1n.p.rwn..wp.YN Iw M.A. 8egale, Inc. rc.w......».............. a IM NOrth lst.111proVu+ll:ltt8s Renton .M.1 4y�W F.Yr.11 F•ra cerrR.I)en 1M 25Th a.r al Ib,llrq• q,11 '1 October ,19 87 ra IM 31st ",a '-teber 19 87 YI wr.rs eryle Ha en•Rea pwlwl Mre Mon O.Ia M•IW I r•.LIY��.M.''[11a��.w.L INY w nMb.Ao..Rew w wll M rN.µlAw 91r.gtl)er m 4wclh m er en OMY1 of wa M.A. Segale, Inc. Iron IY IYI w.alr r.P..wwN b rr p»rn fCrr»q«..N.wr.srl re Mn m MMc,wn.Mrs Mr w.N•IMq YwcUr w ubweYl Low M.IWI eyes.«w..M rY pest..eMv Inr rr.uJb M ' Mr,hono ss a.fM.a w ReSWq,r.. PM)(p CM UMIM.A).f.•..a M M.Um •f Lope,uW.,IM C.wlra A,,I. ...—dn _ r4 Sur •aS.a)31.r 1M. )S SIM yr;r)SM. SO; a)D SC 211.), and A.cnL.I L.ler Withholding FICA Medical Aid (})1 .l rr pOroll..e.rw,w rMr IA,. crvnl r•fY.nN le M PWwY,N I.W.I.v PnIN w c.rl.d w0 wwMw.. IMI ine ry.toss for I.porn.q weaawll[.cewl•IrW Iperein ue wl 1..•INr IM yyllcw.rye m..t,Nnai N In.rrY rw a.lmn�nu�a noweu,N ro,e M.cpww t;llY Lra el.gllfc.pen.wl bM INgp1n M encA I.perw w irrlc eonlerrn rIM M.woM ne p.rleraeG O)TMI.nr rpP.nllew• Joy"in tlM[krr.p.rlN.w!Jr ryl Mr.a In[Inns(1h y nnnjceM,i P^Mw fvost»M , .am. gmWnIIPti ait Buro.0 of Ain nnllc[IAIP mint Twln,n MM wcp.N y. Y W.0 in.9p1., q r.OuN rIM IM Rivet W ApwUceMpIrb n .or. »n) W T,.wly.U.,,"Au..ppsrlrw al 1.po.. (O n.. (.)WERE FRINGE I ENEFIn ANL PAID W MPfK)%LD PLANS.FUNDS,M PRUGRARS In-"1Yn 0 M.M«c negll w•P in..r.a a..ca Inlwr w rAra I1.1.a a IM sW 1.ntf ..c"Ylwll.p....nu N h..w knI.M.r ImN a 1M rn,rgl nw.Nnn or wal b wN.to rw.pn.le propr.(w M.Wwf11 W.ucn.wpLT . swop.s r1N In S.nrr•(a)MI w (I)WERE FRINGE BENEFITS ARE PAID IN CAM Escn I.Mw,«rcl..w I.WN..1M.bre wbwnc.a NYro11 Ms p..n Ira..INIrY.a w ors P.Yroll.r.noun net Is.e Ma IA.sun of tpe.pplr.eu IMc Mg1Y r.Se rsl.plr Ine rrY of,ne rowrrN fnyr Mrhl...Iona m Ine cer.cl,..."I w wIN le s.elwn Qc)Mler. (c)ESCEFTIDNS aaca.rmn(CwIU nbana• 4. .ra wp nn• r Carol L. Dulaney, Payroll Processor TN.wrtw raXil.1 —1.f l o. .1 1.2 Y 0 Tal. w.r ndler.w.rrn .r,e..,wrMw, M w»af w.nw,n r•+wrnr,w �I Sw S«nr 1991 or T.1w IS.N Lama LI.I bus JI or M.VnmI Sou. DD,F. Yew 879 .... e INSTRUCTIONS FOR PREPARATION OF STATEMENT OF COMPLIANCE This sln,ennent of compliance meets needs resulting from the amendment of the MVia-Bacon Act W include Innye benefits pr-VtaimS finder this amended law.the contractor Is,eaund to pay ltinp benefits as predetermined by the Department of Labor, in addition In pyment of the nanimum-tea. The con1,Mo,'s obligation to pay fringe benefits may be met by payment of the fringes to the van- me plans, funds.or programs in by mekmg these payments to the employees-a cash in lieu of fringes Tie contractor should-how on the lace of his payroll elf-ron,ae paid,o the rnp/oySu-whether n basic•ate.or as cash in to lieu of f rin m{es he cantired actor lhe contract andrepresent in paid Wot cash in llieumof pGance th.t he IS paying tf fringes. G,uded instructions foil-. CONTRACTORS WHO PAY ALL REQUIRED FRINGE BENEFITS A contractor who pays fringe benefits to approved pbrs, funds,or programs in amounts not I... IY 11so seem determined in the applicable wage decision of the Secretary of Lebo,shall continue to Show on the face of his payroll the basic cash hourly ,eta and overtime rile paid to his employees. jas -s he has 0--ys dme Such a conl,act., shall check paragraph s(e) of the statement to t-dl- tale that he Is also paying to approved plans, funds, or p,ogrems nor less then the amount pm detemuned as fringe benefits (01 e-ch craft. Any except:--shall be noted In Section A(c). CONTRACTORS WHO PAY NO FRINGE BENEFITS' A contractor who pays no fringe benefits Mall pry to the employee and insert in the straight time bwlY role column of his pymll an amount not less than the predetermined site for each clesnfi. Orion plug the amplsi of fringe benefits determined for Such cl-asificstton inthe applicable war decision Inasmuch-a H re not necesss,Y to pay time and a half m cash paid in Iieu of fit- lea the half the ovrmme rate shall be not less Men Me sum of the beat,ipeed a oil(nngeste.It die sUsi{ht lime peevious on the h-s¢or regular rate, plus the rcem site. To simplify c-mpursltm of overtime,it is Suggested that lu .thus time basic.a anal eanh is lieu of fringe.be separately stated in the hplry rNe coluam.thus$3 35/10 In Wduim, dee cmtr-ctor shell check paragraph A(b)of the vatm t to halllbe,noted mt5be paying hinge bane- lire in cash directly to his employees. Any eacep USE OF SECTION a(c). EXCEPTIONS'. Any conUaalor who Sus m-kmg payment to-pproved plans. funds.or programs in employe few Man the wage determin.1ron rem ares s obliged to pay the deficiency directly to the employees an cask is Bee of tinges. Any "Captions to Secttm d(a)or A(b), whicheve,the em,nwto,my check, shall be enreo,d in Section A(c) F- In the Exception copamn the ciall, and enter to the Eaplas► Um column the hourly Blount pat `mplyees a cash In lieu of fringes, and the hourly aaKi"t paid to plan-,fund..or programs a .gag. -U.S. G.P.O. 1918485-I14/87 1 7 Y£RTIF:ED PAYROLL REGISTER ••• PAYRU. PEERRIOD frtih 5 ' r , { •IDD10•rAatO'.0te. Perk%& 1OR5 TNR11 to f IrkrtlA VA "fee 1100 CODE OO7510 PAYROLLT 27 ' A At IAB! WON CA6029-07 tSI Si VST FST M !OWR"TS . M1._ e.. P- : - f - R _ • - e ..A . Y - R..R ..e _ r _ e . 1 _.� - e +1al F AOBRFSS r--^---^^-M O u A S Y 0 R 1 E B--•-----+ -OYAt WAYY W14TrPA SFC k E EJEYWT .A1R CLk.S SIk+ MWM TIH in TNR FRI SAT iAYWS' RATE OflWRIL1tBl I NF M STW77 FOREMAN S .000 17,30 9JTN PL SE 37B9577 FWFFgM 1 56 tB 290 '2:.44 WWI VA 982" +?3-'i0•MIMI 0-01 C N S - TOTALf- 40.50 77.99 671.40 r----------- --D F D.UU y YRINGE FICA FED VIM tDI UNION OTAER . TOTAL NET PAY /.1A W.". 10A.if 10.03 3B.3B .AF 195.k1 W. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ . _ . . _ . Efel.OYEE WIF E ADDRESS +----------N 0 U R ; V 0 V t E D----------+ TOTA1 PAY t S PAT GROSS PAY MCIAL SEC k A EXEMPT JOR :MASS :11N NOR TUC VFD To FRI W MOWS RATF TT JOB OTHR ,NOBS !? WA.0 R iWASON W0220 Uld. LABORS 1.SD Sg Z6o44 :1 '14T14 MAPLE VALLEY 11A 9O012 S11-00-BP2 S-r C 1 - TOTAL"- I?.ad 1282 438.Y1 E D C T 1 0 N 5 + _ - - - - _ - -FRIMCE FICA FED VIM I WIN OTHFA TOTAL NET PAY j v . tl 3'.90 t .•t.1,09 O. 0,44 15 B* 1 .At 31S !^ TMAL ism 3.00 TOTAL VAGFS PAN- 5O.7t 1 ei n 7 y. 0 + Ca } J r0 �r a a r GIN[ff� 222-0t WEST-M-37fN0 j Qvest (Ooast ction (90 .7Inc. GENERAL CONTRAOLR� AND ENGI --t P.O.Bo. 419 24205 Woodinville-Snohomish Road r WOODINVILLE, WASHINGTON 98)72 "V 10 im TRANSMITTAL RECORD TO Cit Of Renton DATE ngineering Department 200 Mill Avenue South JOB N. !at St Burnett Ave. to Park A-e. CAG 029-87 Ren-on, Washington 98055 LOCATION N. 1st St. Burnett Ave. to Park Ave MY Of Renton ATTENTION Joe Armstrong - hoject Engineer We are sending Herewithlz Separate cover by Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION EEo CC 257 c 4i. /4f7 rsa: M.4—$00w/e For Approval _ Approved, as noted Approved Not Approved - Please resubmit REMARKS AW4 y a; e WEST COAST CONSTRUCTION CO. , INC. Copy to: By V Q Tim Buchanan 87-9 File Title Secretary 3 ,r 4 y' iW. S*R*ie, tor. ENMOYEE UTILIIRTION REPORT„ JOB CODE 067510 PACE I70 11 T.th. t.r Puri+ PERIOD ENDING - II11/87 RFNTON -4"-87 111 ST TONNiL WA 96108 ql-0T1N6J A4 -&r NSI r"T CON IMPBVMTS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ n` DoCTION -TOTAL HOURS-- ----ILAdI----- ---XISPANIC--- ----ASIAN---- -----INDIAN— -PERCNT- -NEMPL- -OMINR- .. .__. . 1l� N F N F N F N F N F NIN FEN N F N F tNAM JOUl"VMAN 12.50 .00 .60 .00 .00 .00 .00 .00 ,0O .00 .0 0 3 0 0 0 > ^ APPRENTICE .0B .08 .00 .00 .00 .,1., A.) .00 .06 .90 .0 .0 A 0 A 0 _______ _______ _______ _______ _______ _______ _______ _- SUB-TOTAL 12.58 .00 .00 .00 .0 .00 .c0 .00 .00 ___ 00 ___0 __0 _- _A _.0 _e - .. r... , OPERATOR JOURNEYMAN 1A.50 .00 .Be .0 3.50 .00 .00 .00 .00 .N 24.1 .0 5 0 1 8 APPRENTICE .00 .00 .00 .OB Be. .00 .00 .00 ,06 ,00 .0 0 6 0 0 0 _______ _______ _______ _______ ------- _______ _______ _______ _______ _____- ___. ____ ___ ___ t SUB-T3TA1 11,50 ,00 .BA .00 3,50 .30 '00 OA .06 .H 21.1 .A 5 0 1 0 t TEAMSTER JOURNEYMAN 16.75 .00 .00 .00 3,50 .00 .00 .80 .06 .00 10.9 .0 5 0 1 0 1 APPRENTICE .00 .00 .00 .90 .00 .0 .00 00 .00 .80 .0 .0 0 0 0 0 .. _______ ----- _______ _______ - ------- - _______ SUB-TOTAL 16.75 _______ _______ ____ .___ ___ ___ -_ __ . . _.. .N .BB .BB 3.50 .N .00 .eB ,N .06 20.9 .8 S 8 1 6 0 *TOTALS JOINKYNAN 43.,5S .N .DO .40 700 B .88 .00 .00 .80 16.0 .0 13 0 2 0 APPRENTICE .N .80 .00 .06 A :Be. .0A .00 .00 .00 .0 .0 0 0 0 0 OTMM 0P .00 00 .00 C? 00 .0A AA 00 00 .0 .0 0 0 0 8 -_____ _______ ________ _ ____ CRAND TOTAL. 3. -' �13 - �-7 ---475 .OB B8 .OB T.00 .v, .OA nA .,'0 .OB 16.0 .00 13 0 ' 6 l 1 1 ' r � t 1 r I � . r v jjr y yip Y s :1 1 of t� 1 ,.' 0 i� Ilom .a]-hem *� AN 22sar we-sT�cc-'rnNO Vest CoastctionCoo. Inc.GENERAL CONTRD ENG P.O.Be. 419 24205 Weedierilb.Seohe.,iI Red HCER'65 7 .. 00DINVILLE, WASHINGTON 9 072 NOV 10 1W i cahhEEkAi:uEVf. TRANSMITTAL RECORD _ ti11��'N:h10.Y TO Cit�Of Renton DATE_ November 6. 1987 =.ngineering Department 200 Mill Avenue South JOB N, 1st Sc. B roar[ Ave, ark Ave. 029-87 I .. Washington 98055 LOCATION N. 1st St—Burnett to Park A Lity f e0 R nton i ATTENTION Joe Armstrong - Project Engineer 1 We are sending Herewith($ Separate cover by Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION Certified Payroll for week ding NOVEIRFR 4 1987 "FINAL" Certified Paoll for week ending OCTOBER 28, 1987 for SIGNAL ELECTRIC, INC. "FINAL" Certified Pevyrrall for week end' =BFR 7E 1987 far DRNATS CRA1f n'hSTRDIC!'ION OD. _Certified Payroll far week ending OCTOBER 24. 1987 for M. A. SWALE I&. For Approval Approved,as noted Approved Not Approved - Please resubmit REMARKS_ i WEST COAST CONSTRUCTION CO. , INC. ! Copy to: By 1c/-1 6-4�j Tim Buchanan 87-9 File Title Secrecary - US DEPARTMENT OF LABOR PAYROLL ra.m ww•wr r awAM Bu•.w no wA�tAT WAGE AND HOUR DWISION (For Contractor's Optional Use;See Instruction,Form Y04-3/71nst.) NAME OF CONTRACTOR ff OA fUK'OIRMLTM •�OR(55 E.. _ MBST COAST ODN MUCPION-- K. V.O. 6O 419, Woodinville, WA. 98072 483-1900 a 1. w.TtA 18 ^Pi11ALn -N. JECTlot was E,Bu n f4 02 a CpIEEllll(:T No N. lot St.,Burne[t Ave.B Park Ave.-Penton CAC 029-87 _ T MEET aAws WAas < y IAENL ApORtl1,eMO Illinois. MTE AMOUNT __— NnM MA INW, Ra l MOCIAE AN.uMn 141EFaeR cEAsswr.AnaN I 2 3 4 29 30 11 NanM i of... - rA� FICA NoioRm NED. UNION owa aEwcrm w..ESR r } o'faA�ovss NouAs+EaWFu asrF oAv TeA o _ r»b Ttw.fu �-x 3f.y yz,Si PY•aa 7a.Y3 i 6 low I LR•CfdtER � H•"a 99.3H /a9.N io.7a ts.ae 2z/.eY j'f&9� — o s 1 -- I ;E o -- a 1ai - -� HOW W H)UT6n—raAMERLr wL iH-PURCHASE THIS FORM DIRECTLY FROM THE SUPF. OF DOCUMENTS l 1 F .e us.n u,,^n r+..n.oe,Y approprrau Prdgrama our the oer4lrt 01 Yarn empcyew, ,ales No eeber 6. 19@Z excw as noted,.sxtwn!(c)balae- I, Terri $. BUCH^^ert $¢C[e[d[y (b) WHERE FRINGE BENEFITS ARE PAID IN U15H • tNMe M MaN1M'OMIYI flnwl rj —Exfi laborer the ha..1 rn the above ran the S lea&t has IKen la, of ' ao herebyaWa: indicated on the wpol an amoem no, less than the sum o1 the appl,cAela WSM rvrss tN paYnxM of M.persons smpbYed M NeSICOBB'-� hourly rage rate plus the•mount of the remuirep hinge benefits as fisted in t (1) That I pay or sups corltr.ct oeept as note!in Section♦(c)below. Construction Co.. Inc._ on this North Ist St. Burnett Avenue to w w,erare,s�t tam r.nr,n fc) EXCEPTIONS Park Ave - Renton —Mat during the payroll period oalvtwSOOM on W. 79th 87 EXCEPTIOM (CRAFT) EXPLANATION do a'!'OBER .19 87 and ergirlg tna 4C h day of-NOVf2BER ,19—. - .B personal a ISISS "M said IYrelttt rose been paq the full seealy wane earned.that M raestn - haw own or and a mad..ither direetiy Of IhMnsel b'to in on behalf a seal --- - WEST COAST CONSTRICTION CO INC._. _ - from the roll rwe•.n.r o-.,erarna.n 11 from the full wagessesrtted bn any tpersrn othnpman pemns oeedeductions s dirfi - RMulavons,Par.3(29 CFR SubtiBe A),issued by the SK eb,'of Labor under LM cope4rq Act. f_I .mended (M Slat"S.63 Slat. :O& 72 Snt.967,76 Stat. 357, 40 U.S.C. 276c),and described +� bales,: (2) That any payrolls ether:,a under this coMratt Minna d to be wbnMed for the abode W� --- peed are correct and cwnPW,that the wage rates for labours or mechanics contained UerNn are not less than the apFuCatile rage was..tamed..any wage determmalwn ulwrporaled unto the coM&& that the clr,ssilicar.ons set forth Herein ror each laborer or macNnK conform enth the ion N perfomred. e (3) That any apprentices employed rn the aobu, period art duty regMerd in a bona fide - .pprenh:aship program reysterad with a State aNhaMiceahip agency ra"nized by the Bureau of Apprairbce,hrp and Tralmng, United Stales Department of labor,or It ra sucn rttognrzed agency ava" m a State, are r.Vge,W .db tN aureau of ApweMgeship and Training, UnAM Statss Department of labor. (a) Tnat: NAYt A""'It LdNwTYer IS) WHERE FRINGE BENEFITS ARE-AID TO APPRDVEO PEAKS. FUNDS,OR PROGRAMS Terry S. Buchanan, Secretary THE magus raspsrcATww of ANT or rNe.cove.s r%cn tit fi teici'tiNA NO SOCTiiON n:w In sdditien to the basic hourly rage rate,paid to each laborer Or mectun,e Ir"ad in fU.LONTIM Fist ITO Crya OR CMNIDI I IaOffrN^all — SUSt,n a Ctte tTO wwru rOH tN above referenced payroll, ponni MS of huge Nrlalits as bated in the contract ti Fr zoo #tk _ 1 ..T.It ANDWOUry Alln.u.LIc STATEMENT OF COMPLIANCE Ndorn Na.N plop cow.naen ptona.. 10/19/87 _ P. M. Gutllmiller Payroll Clerk de lamalry!late; 1. f .Tn.i«y semi- (TWO e Ile.,I...or.ur••dn.Ite,p.,.at of the Mra.. •ntproyd he_$jjael Electric Ind Renton/N. lei Street IL• .:that during the Payroll period conneencing on the 92n 7 of M! 19-A7am1 endive th-2ALRe of Mr nhwe , 19-J1 all ....nit. empi.,.d on ..hI M^)eri Illy. twen raid the hall —.1thr wae.F evnm,that no rebate.h..a been or will be made either dirarlly ar IMbec11T to or na behalf o1 sFid__ Stanfill Electric. 1us; tam It..1.11 week[..'....r,....If by any par..and dra an Aeliorll.n.be re I—N real,either dirtclty or Imlhecliv born the(,dl wage%earned by any perRma,other Ilan peoni+.ILIo de,he-11.nor an d•11-1 I i„ N.Pdnllnnl. Part X(19 CFR Sobllll. A). I..I'd by the Syrlelary nr L.Inr under the Copeland A0. .a.mended Ion Flnt i ole Al Slat IM, 71 Slat. Mali 70 Star .157; 40 U S.0 27Ar), and described"low: _ f}CA_YUchho4(in, Medical Aid and Vaclitlan. t (il Tall any P•Ywlls olherMu under thb e"nhaet,ee i.d to b n e. b Go the.lane re period.le n.ri.ml.omplel.; ear, o ILnI the wp.ate.for I.bo. sor mnrbanlra conlalned Domain.re tot I... than the ary.11able wee Ielr- eanblhwd in an, a•R• Ml.nnln.Uon lormpn..tm Into the yonlr.c0 tot it,.rb..Mention..11 forth therein for each In—tov or wnrllmab r•n loam all)the w,rrk he",(..m.d (.l) 1h.1..., ahPrtnlloa employed In the.Inv.M,lod ne.Duly rteblered In.bun.IMF Rppm..icnebe•progum reP.l+leaed with a Stale FP,,eohre.hI, .eytr, r.cnnni..d by the nunmt of AMDaylice.hlp Fall Tvalnln R, O,mm Staley b.ponment„1 Lebo.,.,11 no each mecoenked Foam•..lab In.Stab, are melaertd will,the nu...rt"1 nhP•^dicr.htr sod TWulal.Unil.,l CI+Me aern.lm.rn.1 lAror, (q lot: (a) RIIERF.FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS,OR PRO.RARE j X j In.Mill".1.the o.1r Il.tnl•ware ale.Paid to..Ill oho...a,mydanio Ileted In III•.Lore,afynm -I pay i•11, p.rmmtl.of Iflnee Lane4ln an litter!In the,..try"It...her or.III be mtNla to.mragni.iN params I.,the benefit of.uch emPLY•... ••oeM ..holm In lf.m on d(c)below IN RIIERb.FRINGE IIF,NF.FIIS ARP PAID IN CASII I -1. Farb L.h re,or -hear, lim-I In the afro relerancm ry,mll hall Ire.veld as imlirated on be popMl, .a aleatory DA I...than It..gum n1 the.p,lir.bl,be.[,hood,woe.ale Pill.the F,m""d of the aquhr•I hin.• l bane rib..lilted In the conlncl......I..noted In aedl"n d(r)below. (-I EXCEPTIONS IXCFFTION(CRAFT) IXPLANAIION 1 Pala.nit �1 1 i P. M. GutLlwil ter, Payroll Clerk � wt\fUl •a.t l'C.,tON OI . V fI.Nt.any,. eI'L ♦ ;Valor. •r,,t'Ll 11 or n {��v,L nit Cntu,Nal .neelU a.nF'a.R .Ill atilt rn , 01 a aLy rr aNn .<a,"u.,t n♦ t L.e Far.IN 341 Tilly M�IRIR',IIMptRluirv�aF.rtltw.,lnwww. T e 11 ._ A 11aWr.nerTlif ,- w9[s sear: leisns CeIT»TO Mrq,�WO11T IAe[q: 11 �.ct. le JOB MD: r%= ACATII LIT SNARL? C CITY R feeTei --�T COME I - WWr. AW'29! AND TOTAL A e14010 Ale WAVE OTWO Me let ! GM OF EM ."E ---TA--�..--T�l�1�.-_Ir Y- IOr{ WAM9 YMiI MCA YM YM' let-ftW -M CCT-'M''-._.__ tW'__--_ -._______________ ---- -----� MOKA. D l: 3.9 39 1001.Ae 191.90 10.TO le4T "lepl tauiM 5 E --_ - "Li__— _._. -._ IT.N ..--.:-tf - :00 - 40.00,_....-._.-91f.-p.—_ f MATpI. W 'W55 A CLAMS CA"IMLICel F010YN-lb-WM � M 9.WT. 09 owrL CMW - 1 ---M". n BEAT C l: i.0 3.0 119.i0 ICO.M 10.A km le ' 4941 LOW LMIE ADAe IFW . -lW W9--i: 00 - - I PONT 011CIM D. W 1lLA S AOl WEALS: 0110{erIWIM100-0130 ' lAA-lA-9iT�e[LR`Oi— A9YCMr - - e c =r c 1. L 1 r pot* .- 29 OCT 1987 Time - 09124s40 Dennis R Cr&ig 7710 - 185th Ave. N.E. Redmond, WA . - • •� C E R T I F I E D G AV R O L L R E O I 5 T E R i 2, F^"♦L' FOR THE PERIOD ENDING 24 OCT 1987 L� r"S0Br87-14C NORTM PT118T STREET IMPROVCPWN19 iV• NAME AND ADDREe'.8 NO _ i � ,,-'CITY STATE ZIP._ -..SHi . _-.. .___.. •i,'SOC SEC NUM MINORITY EX MRS------------ HOURS WO.IKED EACH DAY - ----- --'- Gny "' S ifl(. --THIS !('SKILL SEX TYP SUN MON ILE WED THU FRI GAT TOTAL KRTF iSJ.. It 1S UNION/WL 1 {NARK HASBARGEN S 8.00 8.00 8.00 8.00 8.00 40.00 13.1t0 TaxDed b. �1,1JJ 00 SE Z91ST ST NTxBen AUBURN. WA98008- . 533--74-6310 None 1. LANDSCAPING Male ~ ,SUZETTE KRUSE S 8.00 8.00 8.00 8.014 8.00 40.00 12. 1G0 TaxDetl P ®1, 26720 346TH AVE SE xSen 8 . •Ht17VPNSDALf - WA 9B0si______.�_. _ _._ ._ ___,._. ._. _ ._ . ._____._ _. _._.__._.�� ___ .�.-t>ert_.-t . ��,-553-80-0493 H:SpaniC 0 LANDSCAPING Female �DANIEL. R. MOFFITI S 8.00 8.00 8.00 9.00 8.00 40.00 11.790 TaxDed b. }2020 SO 360TH C-1-6 NTxS'an 2>;. W01Y. - -WR_^3800a_ rd49-11--X2- None c LANDSCAF'IN�: Male f-rKAREN TOBEL a.00 6.00 8.00 24.00 11.790 TAMDed `. i o?` 80X 69 c NfxYsn 1.=. WA-98051 3• *533-58-4500 None 0 LANDSCAPING Female Totals `or Job 87-14L ----- - Earrings ------- ---- ---- Taxes ----- Job . 787.3L h I T 57.70 Gross 1, 787, 3F FICA 127.80 lax Gros% 1. 7e7.36 Ntaate_'___.. 0. _.._-. Net 1.278.37 Loea 0.00 Hours 144.00 Other 0.N t wi i n11 _\c'l14 _ Y fl� d. 4♦ + (�. .c«,. . '.:40 Dennis R Craig Page 10 7710 - 185th Ave. N.E. Redmond, WA C E R T I F I E D P A Y R O L L R E G I S T E R FOR THE PERIOD ENDING 24 OCT 1987 JO9 _ARN TOT EARN ' f - HOURS WORKED EACH DAY --- --- PAY THIS JOB -----THIS L PERIOD----- DEDUCS e • j MON LUE WED THU FH1 SA1 U F.. HATE ADJUSTMENTS UNION/WCOW TAXES NET 8.00 8.00 8.00 a.00 8.00 40.00 13.660 TaxDetl 8.72FIT 68.81 546.40 • NTxBen 23.03FICA 39.07 546.40 . i LOCI 0.00 116.60 T , Othr 0.00 429.80 a 8.00 6.00 8.00 8.00 8.00 40.00 IL:. 160 TaxDetl 8.72FIT 89.56 486.40 • NTx8en 23.03FICA 34.78 486.40 S�.S89tat` -1p.ee ._-4Mr:4Pr _ _.__.. LJC: F,.Sd 169.9e • uthr 0.00 291. 44 .b 8.00 a.00 a.alb 8.00 8.00 491.00 1t.790 IaxU zO 8.72F`T 64. 76 471.610 i NT xlier-, c3.03FICA 33.72 471.E0 �............�.�.- _.__._...... _.-_.__ - ---%tat. c: 0.00 107.cd ' Otrn 0.00 ,64 40 8.P0 a.00 a.me 84.00 It.'790 TaxDetl 5.23FIT 34.77 282 96 - � NTx8en 13.82FICA 20.23 282 96 oc 1 a.as 60.c^3 Othr 0.00 192.73 Job 87-142 ------ Earnings ------- -------- Taxes ------- 0 Job 1,787.3b FIT 'M7.70 Gross 1, 787.36 FIcn 1:_7_Ba lax 8rose 1.7d7:`36 _ ;KY>e _ -_._---..-.-,_g.aa. . Not 1.278.37 i_ocal 0.00 • Hours 144.00 iAher • I s a . rl hx r.o.s.1To-9T 1 l Uale�� 1 do ht"t,Meta: _ 1. L y� ,.cr,.. l� (Nen nfdUneroeY prey/ '� �rnYTJ" un )e (q TMI I ley YI wervY pl M� ' ypeYmem of IM palYne anploYsd by (ebnv no or mt'y u; 4T`•� IS-r Crfr _ ;tM1 du'InJ IM paYloB pe'UdmmmenclnJo h d n l ' IM (BulYhJw no.d7�, �—I I I^+re YII Pe IM fWl pp--l1 dey of OL ,19-W.-u pernm enplaYrd on aeMfr'J� Q ^ wSRLIY T4ee eamrd tNtno MbMrl Wve 6mn oe wiB be merle NlMrdNYUY or ladle WUYG UI ed bYl e^Y Pe'el"p uJ lMl on dduelWm Men / Gore the No weekly y s (Coal error ee mbmnerrrlor/ been made tltMe duatlY or)m1uu.tly fmm the full feLobel ondYYlha Coprlend A II Y mnndWf(J Slat.9 1 67 Sun IOL 77 Srey1961; Put)O9 CFK SubtilU A),1'rued by IM Sene1MY w AyP 76 St..)Sl;e0 US.C.176r),end dewlbed brloW: 1e. n _-- tI fN IMe tM w 11) TMI any P'Yr a MNe mnumd N mY wYe dMmlmnwlon IIWONwuld oW olhewbe wudu tlu'mnUY1 emuUW Io br wtiNlled foe IM aeon ebd m mneal and mmplele; eP nu'foe MMUII al..,be."mmainW IMNIn en 1 of UO IMn Ine e......e wy Into IM ennl'MI,the,Ine cl+m(}utbm MI fmlh Ihelebl NI nr116boIu v(Inah. .tonfoun vile the wort he o ef,mmedlnud WRh a Sle'e (1) TNI Any ePpleatice,employed In the bore Pellod ue duly'etlllved In a bolo TMa mpnmi�eblP L N J Pmeu r pyrm'IroMp of .,.U<d tY be the B of Apyeenl lenellm'hlp end Tum1nJ'Uned tied Sme,Depmmml of L bolt no non eau J ytncY will In a Sou,Me Iepiltuud with Ina Bweau of APP a (4) That: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS,FUNDS.OK PROGRAMS In Wditloo Io the bedc houllY wye Nlea peed Io cii n bben'or meannlc oiled In the abort ufuen.nd"ling. v mtnll 6 of Olrye bauefn'- In wSec In, the e(cm).mcl MI.beer o'wdl be nude m ePPIOW iele Fotunn for Ibe bvnsfn of wcb empluY eea,tarp (e) WHERE FRINGE BENEFITS ARE PAID IN CASH B,on emovm nl I]l LaborY of merMde Bled In the abme Iefeanpd bey*oB he.teen +Id a 1ndj.,oI on the pe". - Mu Ihen he 111m of the apPUmble MAC hovely Wete MM Plw Ou emoum of the IWUUoI U1Nu bmeDu a tluW InIM mama,eempt M need In Sutlon 4(0 below. (c) EXCEPTIONS EXPLANeI'1ON EXCEPTION(CRAPT) _— REMARKS TOTAL NUMBER OF MANIIOUR9 TMAL NUMBER OF EMPLOYBPB WOKKED THIS REPORTING YCRIOD EMp., DTIDS REPORTING PYNOD SIGNATURE NAME AND TITLE 1 ' ICATION OF NY OP T11C ABO 31 a AIAY S BIECT ell' CON'TIUCTOR OK UPCU TII Wll UL OR CRIMINAL PROSECUTION.SEC SEC N 100 ' '1'176C 16 AND SECTION 231 01 TITLW)I 01 IIIE TRACTOR TO i.ul� �1 STATEMENT OF COMPLIANCE ' e.rwou wrgw AaP 44 ...ems, 10/29i 87.a .......ar.a, CAG-029-87 ml. r I. Carol L. Dulaney Payroll Processor rO.o a.ywrrr b.rq — m nr:rhr no 1 U TIIM i e.y or..Frrow the ITttp) vMpm."he l,.,wno r,,,eny4 b. M.A. Segale, Inc. n be 1st. 7n4r74ements Pentcm rcwi... fl rwd r alN '�l olr..4 Me Foywll MnN...wrncml en the l8th wor.) NY of October I t187 Ned.W.y Ih.24th mY M Oct ber Mylored on.Md PwIKI hew t eso e.N the IWI weYl 1987 of emu. ]rye. IhM II•e""e"A.w h.•e oe MII M NM•either der 11 K Y er m 411e"ly 1..r..h•Am ef.rd_ M.A. Segalff, irc _ I.IM fell wM1Y ryee e•MeJ b MY per•en lCMuearr or e.sewlreeHq hod IAof M Mduclbn.M. ohoNom tether`h-'UY he MdtrecUy IwN the fWl rop.•rw4 hY MY 1»Iw, other MM pMrouM.4e- mgleno of def—d p Ib.o wIooe Pore )fM Cleft""It.A).i.00N by the f•c "of Leer uMo tb C.I.l.nd A.l. fN Stat 1N.•r Sea, IN. ]]St., y]:]d ftN. S!]; q V S.0 r]d q, w4 mecn.N e•b«, •.mM4H 1 _ Wlthh0ltl),n FICA nmrii ( )not M]Peywll.otheewl.o Mmr lhrft coetre.I teMlrN to M.WriflN I.Ue Me.e pnad wy IN"'.IN I.bree,he No.h.ntu.00woo4 thereto 6 sM Ire. ,e, INh re coma M4 c.plele. MM IM 1 inNlPer.IN MIO M•gMr.Cq M.1 the.I...Ifi..NM..!1 forth thMel "It .We e.(•r•Ie..bofMMd In ho,ql•mllrrinMlell (3)T l My•Y«MII....FIOYW In the]hoe• • eMh I.hem r ercAMlc.enforr wlfh the wrY he wrfeneea AMe yprM11ttM1e ymY oe b"kz•,l Plrle4.ra m1Y r•.iMery In.hen.X4•Mpe•nu<•.nry awh•w.e.iel«e4 oleo reeopraN yens b the Bww.r.I AgtwlrceNlp e.d Trepry. Uoll.4 Stele.0.rynrM of Lebr,or rl�...ech >..of.w.Slap. m repure4 tlth tM eup.e el Appr•M1.e Nlp.rrd Tnrltinl, United flue•Daporlrem of LWt. H)TA.r. yy(c� E"Na" o.yl•RIIIRE FRING ME PND W APPROVED PLANS, R FUNDS,M PROGRAMS •yvy. �n omllbn to the h..lc he«lY wop"fee wed p•Kh lehe.er wrdlyta❑Mod M the•br•rebrM.N WYr.11.prye•eM. f Map heavllp as UMoof, Ib Neb«t have both.r will b NMo le emeo—'.prop..ter the hoeem M.uch.nl« ay.,•acgl oe eel"In f•<IrM VJ helo,_ (h)lNlR6 FRINGE BENEFITS ARE PMD IN CIM - E.eh Lore"r No"-Me"MN m the oh.ee wroreM.d noYwll h..both W4 M IMru1H on tM MPoll. w..wM wl lo.MM the.re el the Npllc.W.h..1c h.«II eo,o nu pl..tb.oum.( he re sNr.a,eagl p Mlerl 1..Mien.(c)Wlo.r. Wised fmrle ho.:..•e hued w the Ic)EZCEFrpNf .arenr •lr.n. Ara ero r�na Carol L. Dul Pa roll P1 ,sor Me wllW bl«LunM of MY of th!obw.......M.Y.ualKr Ih•rcnr ror er erk.ner. er fee.l«emrtlwl arubM sav s.urM.ror a ism a a d serrrr a]et nu!n.t Me Dolt"more.coot.. ..ewr..M................. Y X M aay, /6016 Sou.- -'fa04Y Itj 1BD//I8 THRU 1B/24 4 .118'q Job CODE PAYROLLSS 25 JOB NAME RENTON C B7 iST IT YST CST CON IMPRYMTS y _ y _ a _ y _ * _ * _ * _ EMPLOYE NAME 4 ADDRESS .-----------H 0 U R S W 0 A CC.�,�E 1'----'---+_ TOTAL..PAT .GROSS PAY. GROSS FAY_ SOCIAL SEC S 6 EXEMPT JOB CLASS SUN MON TUE WED 1!R FRI IA7 NM RATE THIS JOB OTHR JOBS JEFFRERESENBT DHETT RIVE 3500050 RAKER S 4.50 4.59 15.690 76.61 EYERETT. *A 98263 1 535-62-5143 M-J6 C M TOTALS- 37.Sa 70...1 518.22 .-------------D E D U C T 1 0 N 5--------------y FRINGE FICA FED W/H SDI UNION OTHER TOTAL NET PAY _3.43 42.10 82.62_ 10.03 _ 49.75_ .00 193.50 463.33 ' I EMPLOYEE NAME 6 ADDRESS - --- -H 0 U R F W 0 R K E D-----------* TOTAL PAY CROSS F4f GROSS PAY '- SOCIAL SEC 4 6 EXEMPT JOB CLASS 'C5 MON TOE WED TNR FRI SAT HM RATE THIS JIB OTHR 409S MICHAEL E HELP 5709577 FOREMA4 $ .000 1.56 1 1230 94TH PL SE 5709577 FOREMAN S 5.00 5.60 1B.29B 91.45 EVERETT WB 98205 1 „I 533-50-'49B M-M C M o: TOTALS- 54.00 92.95 1.078.59 t * ---- _D t D FRINGE FICA FED W/B SDI T I UNION N OTHER TOTAL NETPAY - - - - - - - .4_16 83.76 251,80 4.43 40.54 Bp 31s 39 .95 � FAS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - _ - - _ _ _ - _. _ _ - -.- _ _____ EMPLOYEE MAHE 6 ADDRESS .-----------M 0 U R S W 0 R K E D-----------* TOTAL PAY GROSS PAY GROSS PAY SOCIAL SEC 6 d EXEMPT JOB CLASS SUN MUN TUE WED TNR FRI SAY HOURS RATE THIS JOB OTHR JOK OONALO R JOHNSON 350BBSO RAKER S 4.50 4.58 15.690 70.61 1 �t 26644 BE 216T3: m MAPLE VALLEY WA 9803C 531-80-0112 S-0' C M TOOTALTAL -- -- -- S- 39.50 IP.et 520.27 ----_-- + 9------------ -D E D i C,I IO1DD1 RS-_:-_--[[' ABf�t SSW _ 4FICA FED V/H 1B 7 S1I35 O N 2/3T27 VAT - - - _ - _ - - - _ - _ _ - _ -- „ _ - - _ - _ _ _ ._ _ _ _:. If - _ __ -_ .____ ....__... . ._._. ' 1 EMPLOYEE NAME 6 TDDRESS *SON HIM OURS WORKED-----------* TOTAL PAY TH"R1p1�'S PAY GROSS PBS 1 SOCIAL SEC 6 6 SXEMPT JOB CLASS SUN MON 711E WED THR FRI SAT HOURS RATE TNIS JOB OTHR JOBS O�EPill MEAR3' 73210.TRUCIL.1-12cy S �� 9827 211T AYE SW J SEATILE WA 98166 S -s17-3/-8549 3-60 C M --- - TOTALS- 42.58 96.15 657.17 y _______________D E D U C T I O N S -=-_____* FRINGE FICA FED UiK SDI. .UNION DICI __IJTAL. PAT___ 3_71 53.29 176.76 7.98 .00 .y :'137.13 .19 f _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - _ - _ _ - - - - - _ . - _ _ _ - _ - _ _ s 7 TOTAL HRMS 19.00 TOTA: WAGES 'AID- 322.3.' ri i t a . I'Y 13 Y s .. «. _. LL 1 .•. FAYHOLL FEk:7U 19/18 TNRU 19/24 751D DW IS CAG829-87 1ST ST PAYROLL: 25 /�►L YST CST CON 1MPRVMTS / f - - 1 - 11 ! - 1 ♦ - y 1 - • Y 1- ---------H O U R S W O R M E D-----------* TOTL PAY GROSS PAY GROSS PAY SUN NOW TUE WED THR FRI SAT HOURS RATE THIS JO? OTHR JOBS 'y 4.59 4.50 15.690 70.61 it TOTALS- 37.50 79.:'l 518.22 '! y__-_----------: E D U C T I 0 H S_________________ w FRINGE FICA FED WIN SDI UNION OTHER TOTAL NET PAY 3.63 12.19 82.62 19.03 48.75 .00 181.50 /85.33 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ :I ------------H O U R E G 0 R e E D-----------! TOTAL PAY GROSS TV GROTTE PAY S" .'UN NON TUE WED THR FRI SAT HOURS RATE THIS JE.R OTHR ti3K .000 1.50 5.00 S.90 19.2" 91.45 F� Y/N TOTALS- 54.0 12.95 1,#70.5I _ 9.16 4i 25f 00 NU ff RIHGE 45 �1B 9. B� 3}9 9 M.% SI UNION MAL PAT OTIEk-, tl� ----------NOV R S yy 0 R K E D----K TOTAL PAY CROSS PAY Q03'S PAY :UN NUN TtE LEI TO FRI SAT H01RS RATE THIS JOB OTIR JOIS �MAU- 339.50 �78.612 7 520.29 pfid Of g5T�- PA S.q N.53 IBM 93 ' _ _ _ _ _ _ _ _ r -- ---- Y,,w - - - _ _ _ - 1---------N O U R S Y 0 R K E D------- -+ TOTAL PAT 4p9p� PAY Glim PAT SUN WON TUE 90 TW FRI SAT HOURS RATE NIS JOB OTHR JOBS � R r Y.. TOTALS- /2.59 _ � 86,15 *---------------D E D U C T 1 0 H S-----------___y - _.. FRINGE FICA FED,W'H SDI UNION. . OTHER __ OTAL_AT PAT. . . LIT 53.29 176.76 7.98 10 .00 237.13 51D.19 WAGES PAID- 322.32 .. - 1�b L-. N j h I' "� 120N Y3,aao `gyp i1M174` 223�1 WEST.CC.•373N0 l A j est Coast ; fiction Co., Inc. afi4 . GENERAL CONTRA AND ENGINEERS P.O.Bos 419 24205 Woodinville-Snohomish R d WOODINVILLE, WASHINGTON 980 2 R E ED TRANSMITTAL RECORD TO City Of Renton DATE 11/t/87 �ingineering Department 200 Mill Avenue South JOB N. 1st St..Burnett Ave, to Park Ave. c.0 CAt, 029-87 I Renton, Washington 98055 LOCATION N lsc St. Burnett Ave. to Park Av ity f Renton I ATTENTION Toe Armsts onR -Project Engineer i We ore sending Herewith r tZ Separate cover by Drawings prepared by i NO. PRINTS DRAWING NO. DESCRIPTION I Each EEO CC 257 S Oct. 1987 For: Sionnl Electric Inc. "Fin,l w$4 For Approval _ Approved, as noted '4PPrO°ed Not Approved - Please resubmit REMARKS For your use. 1 'Ss1 s . WEST COAST CONSTRUCTION CO. , INC. "sv F COPY to: By a 1 Tim Buchanan �{. `• 87-9 File - Title_ Secrc,ary rl I' , 4f Y7Jy � 1 ,Ra U.S.DEPARTMENT OF LABOR MONTRLY EMFLO"ANT .I av[AtC-as+ :.rs-cn 1,., I•AA .ar .. 900m,RMRE fYMp6F Ad.,.mrst...OFCCP I UTILIZATION REPORT I Linz TIM,AWt RrMww ov amw,H OraO tl]K,Sr..10] :urumm�FsrA en ryY,mmmrFFr{W,A t4.Wrlq i0W MNIOIIITY: i-_ FROM'. - ReFP+te.RR.wm w umr,Fw n«sn m,n F.n me n.mm.Mm.m.r N adrm,rmerM M 91-083 290- NmRM Ww,r«rrmrnnnl er,.F�uI...,wm mmrmr on m,nrFwr I (WALE: 6'9 1 TO. /0�2 - n / r NAME ANO LOCATION OF CONTRACTOR 6"DGAAL r�,1�K�•rl, •r.L v FUNOIN3 Signal Electric, Inc. AGINCY 9012 South 208th Street Kent, `.A 98021 E. E. WORK HOURS OF EMPLOYMENT(Fakah•MO FMNI [ I� ER, Ec. [6. 16-. ), tl. TOTAL TOTAL TOTAL ALL SUCK ASIAN OR AMERICAN NUMBER OF NUMBER OF CONSTRUCTION EWLOYE63 INm.1 HISPANIC PACIFIC INpuN MINORITY TRADE G14aeRNue SV TRADE NimFne Or,,IAl ISLANDERS ON MINORITY FEMALE IMPLOYEES EMPLOYERS ALASKAN PERCENTAGE PERCENTAGE NATIVE _ _ f Y � F M f M F N F Y —F.. Electrical """""0'I`F' I'37,�•AZ ` - -.:__ .__.�__._. _._. _ �. _.__. !4_ ._._ _!M___I_-. _..��.__. . -APPRENTICE. SUBTOTAL MFR6RTIQE ..�-- I TBMNSA 1 SUBTOTAL Amtmw~Aft AFfR T lNTIp ILyL 6"T T _. A1IFww v6r1lw .- - AP11Ranee _TRAINEE SUBTOTAL '•a ;l 3 ,.; I�TRAINEE < .'s . q gn ... (SUBTOTAL -. : , " ..::p .: ...• � ..�-''s.. TOTAL)OVANEY WORKS RS ... JY12-y IjTOTA. _W@ENjIC44 _. - _, -. .. _ _ _ J �idl ,'Ci ' sJ•73 yi I .- _ ,TOTAL TRAINEES f11.COMPANY OFFICIAL S SIGNATURE AND TITLE 12.T[LEP4ONf NUMBERIIm..NFAeiel� � 12.DATE SIGNED vASE ?3• -__ Clerk I G06!972-'17. /aI17/lT 1 oF_�: ONE APPROVAL NO.44 A!'06 FORM CO:3T IRm V q A (206? .B,.,eoo .. +ch 223Ut WE sT.CC'371N0,est boastorL �o., Inc. GENERAL CONTRD ENGINE P.O.Bee 419 24205 Woodiryilh.-Seohomi.h Ro. r WOODINVILLE, WASHINGTON 9807 f��URD NOV 2 1987 ERS.,,-., TRANSMITTAL RECORD ., TO City Of Renton DATE 10/30/87 Engineering Departmert 200 Mill Avenue South 101 N. 1st St..Burne[t Ave. to Park Ave. j CAG D29-87 Renton, Washington 98055 LOCATION N. 1st St..Burne[c Ave. to Park A Cit�f Renton ATTENTION Joe Armstrong - Project Engineer We are sending HerewithW Separate cover by t Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION 1 E-ch EEO CC 257 October 1987 for: WEST COAST CONSTRUCTION CO. Inc. "FINAL" For Approval Approved, as not:d j Approved Not Approved - Please resubmit REMARKS For your use. s WEST COAST CONSTRUCTION CO. , INC. Copy to: By 'cl, V-*....t..� Tim Buchanan 87-9 File Title Secretary F C 3 , ,. _ 'A.` 7{' 'x i�r Air•• '` `+yk "•" ,�ALY. . rloymtet Standard,Ad ministration,OF CCP UT I L I ZATIDN REPO R T Yino County MINORIT,7 FROM: Ao-ol-07 r M,1."n n r•QuLw OY YacNir• .tln 11N 10_•.Failure Io rspOri on nwR rn mnvactr GnA t,[wLOYFns r - ancallad,lwminat"w suafarMad in xMla er in Pan and tM mntrectur maY bo dwlwad inalkilla lar 91-OU-M runNw Govwnmam mnuaar of tadwaJly auinad mnnructbn mmnm. FEMALE: 6.99E TO: ro-zJ-j� NAME AND LOCATION OF CONTRACTOR - FEOER FUNDINGAL • IPE: iftAJ_LJ _ Ne.l4 /S/ jr West Coast Construction Co. , Inc. a�..rL • AGENCY /Jegva.i�wfw,ft P.O. BOX 419 Woodinville,Wash.. 98072 5. 6. WORK HOURS OF EMPLOYMENT(FedeMl B Non Federal jSb'SLkCK St. Sd. Wtl. TOTAL TOTAL LONSTRUCI'loN TOTALALL ASIAN OR AMNDIAAN NUMBER OF NUMBER OF TRADE Cbuillcniom BYPTRADEB Hhfank Orl¢Inl HISPANIC PACIFIC 014 ISLANDERS MINORITY FEMALE EMfLOVEEb MINORFMPLOYITY E!! ALAIIKAN PIRMINTAO! PERCENTAGE M P M F Y • P. Y I P Y P alF M P J.wrnrY+nraar set RafWS APPRENTICE P TRAINEE SUBTOTAL Is" d 1 I JournaY vq,kw sN .3}. A sit Laborers APPRENTICE _ _ W ' TRAINEE I . .r ..., ...o _ . .,._ SUBTOTAL 3oA 32 40 u 32 12 1" Iv S 1 n Jou,.,wolsa, 53 44 APPRENTICE _ Termster5 TRAINEE ..� I .. $�f•T* - '�• .. ( SUS TOTAL QD ...µ 3 J.,nin,wereer td _ I_ _ _ _ Cement APPRENTICE ti — -- IM __-�-.- _ 4 . , _�..� .. _ ..Y. ...... _,� ._ _. a j Ivinsons TRAINEE - .y j SUBTOTAL Ze= 144' 4 APPRENTICE TRAINEE SUB-TOTAL TOTAL JOURNEY WORKERS 1{rEr4 44 N I St I 174 a7l1 31 2 D 1 �OTAL APPRENTICES (OTALTRAINEEs ,,..,.... ..._, ._.,C ., .... :.. RANO TOTAL 1664 Ale 40 3L. 32 114 262 31 2 8 1 11.COMPANY OFFICIALS SIGNATURE AND TITLE 13.TELEPHONE NUMBER 1ImIuda ww cowl 13.DATE SIGNED MGE Secretary (206) 483-190(1 io_3o_®7 One OFOna INS APPROVAL NO."Ml3N ry� FORM CCOeT IRw.WM ire Al I" , a *tOAND 22341 W1 *173W Vest oastcoon �o., Inc.GENERAL CONTR ENGI P.O.Bea 419 24205 Woodin.ille-Snohowish R ad RECEIVED WOODINVILLE, WASHINGTON 980 2 NOV Q 1S8T ps,N1TR�+c BEPr. Cnl 11 W;10N TRA1lSMITTAL RECORD _ --- i TO Cit Of Renton DATE O,tober 29. 1987 ngineering apartment 200 Mill Avenue South JOB N. let St—Burnett Ave. to Park Ave. ' �AGr029-87 Renton. Washington 98055 LOCATION i 1 t B r .t.t Ave. to Park A ityy entoon� ATTENTION Joe Armstrong - Project Engineer We are sending Herewith[F Sepo.ote cover by Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION Certified Payroll for week ending OCTOBER 28, 1987 F„w.L Certified Payroll for week ending OCTOBER 21, 1987 for SIGNAL ELECTRIC INC. Certified Payroll for week ending OCTOBER 17, 1987 for DENNIS CRA7G CANSTRUCTION For Approval Approved,as noted 1 Approved Not Approved - Please resubmit REMARKS I WEST COAST CONSTRUCTION CO., INC. Copy to: By c/, 6-41_ Tim Buchanan 87-9 Pile Title Socretury _ •i U.S. DEPARTMENT OF LABOR PAYROLL eW.•e...n,e....-.�M WAGE AND HOUR DIVISION (F"Cotr+ctoT'•optional Use;See ln•1Tuction,Form WH-3471n•t.) DOME55 NW[OF CWrTRK1M1 M tUKOrrT.•EC(nR WEST COA$9' CONMUM011 O LIC '- T M.0�,w'oodinv111e, WA. 'j8072 483-1900 RS�WU—ram__._— rwoxn D.coNT w"011NO F.,rA.� _ — _ -87Bnton LAG 029 R 28 -1987 . let St.rul t Ave.SPark Ave. _ __ _ m +own _- - a_ i r°EAE R.R WAan w.rc AeoAua Awo WeRA wnAE er:ewTr aAwrwEnaw ru'ewuar wNUNN WIMPa nr FICA N s orwo wRWm7 UNION NnreeR OF er.•coYEe �• No ms WRIeR°EACH wv TAX ° s S.fe° 0,42 3/,2 Z r o ! //d.ry 2 X7.' 's •� LAQoRER i � -- 2ff'a GEmFN7 ° a0.78 X oo Y.28 2Y.00 ly.oL 206.•fo CAR aTHEQS/�llw� OAse'/ $ S /dic 29osf o S l..Ewr�us ao.>f flo•.e Yr to 2Y.oe P9.go 20/.SO col ms+s..✓ A p !p,/G �_ ��. I so ra 4Ai3al6X — 3/°' y9,3y 7090• /0,70 s2.00 py yilli ToH a✓, To (°� Foot-m A7 • 8 53 - 2- /8 17,as 6 Mum _ - ° — i .•f fy 36,9e /l3.ss 297.33 0 � f 1 ro.M wwMl �use�—ro.een,. w, istiPURCHASE THIS FORM DIREC[LY FROM THE SUPT OF DOCUMENTS { y3 E 'r Or t kgE 24 T rIR7 rr.e urrm w wear y rneee w appropruw wPgrwaf as,the Derrell[CI enp.er^plOye�, F jj Mass escepl as rated.n Section 4(<)below. I, __Terry S.8uchan_0I Secretary 41. risen,a wn.lo.r P•ap an,., (b) WHERE FRINGE BENEFITS ARE PAID IN CASH i dO hemill state: 7 —Each laborer or mechanic: listed in the above referenced PsyroR has Eeen pird,aE indicated on the payroll an amount nor less than the sum OF the applicable besrc (1) That I pay or wpernae the Payment of the persons employed by Nti1Nt-C089t__ houry,wage rate plus the amount of the required fringe benefits as listed in the contrect except as noted in Section A(c)below. Construction Lo.. Inc. on the North 1st St—Burnett Avenue to re.w...Mr on.uametr.LMn (sir"w IN (e) EXCEPTIONS - Park Ave. — Renton ;the dun"the paysom Perlad Denmeaciotg on the 22nd day of OCfUBER ,19 11.and ending the 28th day of OLTOBER _.1987_, EXCEPTION (CRAFT) EXPIANATNNg 1 ah samonf employed on ward project have been paid the full weeely wages earned,that NO rebates ---- _— - -- - - — _ - _-- have Dean or will be made eRh.r dr.erby or indirectly to or on behalf Of sad - r" WEST COAST CONSTRUCTION CO.. INC._ _Dom the lull re.rwr.ctwr weeewr.p.n wsed,Mgges earned by airy aarfon and that.w deductions have been inside either dNMEty or mdirMy _ __.._..— from the full wages earned by any person, other than parmnsible deductions of defined in - Regulations,Part 3(29 CFR SubMN A),issued by me Secretary M tabor under the Copeland Ad,as •+ emerged(/B Stet 948,Fii Stet. 108.72 Slat,967. 76 Shot,357:AO U.S.C. 275c). and described -- -- -- ---- _'--_— [' DIPM (2) That any paynaft otherwise under this cwrhact required to be submitted for that above n[rAfo period an correct and completa:that the wags rates for laborer.or mecruil contained thernn are not leas that.the applicabla wage rates contained:n any rags detenninabon nhapont xl into the coMwch that the Wssif"hQAI1 set forth tharmn for each laborer Or mKhanK Conform with the wodr M owforrrled. (3) That arty apprentices employed in the above period am duty regrperd In a Dona fide i apprenticeship program.egrsame wdD a State appwnticeshrp agency wcognued Dy the eu...u of APprenbCo llrp and Training, United States Department of tl Dor,or it no each recognized:gancy nips in A State. are registered with the Bureau Of Apprenlicil arA Training, United Sates Depsrtmn t d UlaIM. L (a) That- NAME AND TITLE MfiMORE �/ p) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS.FUNDS,OR PROGRAMS Terry S. Buchanan, Secretary TIfE WILLFUL I.LLIICATION OF My OF THE IMEME etaT1YENTa.1 WWMT iNE Dd*ymACTpe GP —In addd:On to the Dew6WdY wage rates paid to Cato labor.,or."no,Irftad m Su Da"^CTOR to C.pll Cers.WAL AMNMEUTMw ell HCTiON Ica]w TITLE 10 NECT'On DI OF tM above refwM Mdl,payments of frl TrTI E al OF THE UNITED E1ATEa COOL p1, Na Denpita as hped in tM coMrad _ eaw�......uo STATEMENT OF COMPLIANCE w imam "1 N. r."levyCo.,...Ts OI VINON. Data 10/23/87 l P. M. Gutheiller Payroll Clerk . do hereby.late: (Wave n isaia mr., �ft•R1.1 (1)That I Pay IT soperrhe the payment of the person.employed by S a l 1 wr��'�. Tnr- m 1 m1..F....'""itri at. ,h. Renton/North let that during the payroll period commenrint me tM__ .of , I�TrITn�er.-U) to-1.7mnd endive the2,180.Y of Me_ K_$J .11 ",.on. employed no aid protect have Men Paid the full weekly mass.earned.that r rebates have Men or will be made either directly of indtrsctly to or To I ehsH of said 5 Ian! 1 Kern Electric. Inc. Men the full weekly wages earned by any p.nan and drat no ded ictinn.ha.. ..— �— toen made ehMi directly or Indirectly from the full wages o me:Ay any Pareen, ,he,Than per.usible dedurth,m as defiant m Reputation.. Part 3(29 CFR Subtitle A), B..M be the Sectet.n or Lahr under the Copeland ACT.as,a.omNlM (le Sort OIA A\.91.1 IM, 72 Star %7;96 Slat 357;AO U.S.C. 2]Ar).and deaC.dbad below! FICA, Withholding_ Medical Aid and Vaeatinn. 1 d) That any payrall.Otherwise under,hie contract "tared to be.obadtted to,1M We.period m Coned and complete; .1 the wines rates for Imborr•.of mechanics contained therein are not leg.than Th, applicable wage rates contained in any . detennin.tion tncorperaled lute Th.Contract her the Clansi ic.ti...set forth therein for e.rh IaMe,Or mech.nir cmr I.ne with the work M Parfemed 11) Th.,any .Paentice.employed in Inc We,period arc duly rcdr,ered in.Mna fid..ppremiceshlp prop..r...I.NA with a Slate apprenticeship maeory reregnised by the Bureau of Apprenticeship and Training. Umlaut!Blame Dep.,tlnrnt a 1.nIoI,Or if no such..Arrived Geary..let.In.State,art registered with the Bureau of Appmn,ic emhip and Tmininr,Unit,d S'.'—Department of Labor. III That: (.) "ERE PRINCE BENEFITS ARE PAID TO APPROVED PLANS. III ADS.OR PROGRAMS n[�- in addition to the basic hourly walls,rates paid to each I.horer or mechanic lined in the above reh,nnc-I pm mil, payment.of fit.,.benefit.as listed In the Conlnct have been or will be amde to ddmprine proenm. fo,the belwid cf..J.vnpdoyr.s. Except R.noted in Section etc)below. (h) "ERE FRINGE BENEFITS ARE PAID IN CASH L1. Each Lobeer or mechanic listed In Ind above referenced payroll has been Paid a Indicated m the payroll, n.mount not la.than the more of the applicable bank howdy w..e ray.plus the.moon!of OR,m9nimd errors benefits as listed in the contract,except as,noted in anion d(r)below. 10 EXCEPTIONS t%CEPTION(CWAFTI EXPLANATION ..... .....c ...... .:.� alaN•tUnt .. P. M. Gut Muller, Payroll ClerkA_ _a•<_ CIw1V VL r•ulnr•TmN O. • TNt.eOvr IT•r rNeNn N•1 wa..CT 1 scon"Im C Tow OR.u.CON 1 pre rD VIL OR CRIMINAL ..00eC V TI0M N$ME SECTION -1,01 Or TITLE 11 AND.eC TrON A51 Or TITle.1 OF TNr VNi Ten ITA.as C OOE Prow nB346 ILdsl N1WPN, RNCTR iC NORIN �_-•- PERIOD ER ( TE qB T EUTtPIn MYROLL REPORT PAN M' M / f . NOv963B TN IBT STREET TREREET CITY BF RplTpl"MIE ! . *AWR'C B� MAL 400 ONM I= RATE IIN4 TO'K RAT 0 m Or ____� -Y N MOM YROEB NRONN R/01-'YM'--MxIF yp7�IIBT"'OtJNCT-1MF----_---__ .� RREEIEE. JOIN L R. 4.0 1-0 310,7B T.H 4.01 zi7t7 MIN AVE --71tw- T R 1 w NNE SOI-13-fePO lNo-mwr.- r---VNEfLiIR E 1N-0?EO Or-MF.f-.._ir4!'— - -! PROULx. Pr O. 0: 2.0 2.0 IMI.M 171.M 10.70 TOP.]P .•! Iml 1 < RERTOR. w. NOM - '—y0BY1' .ION CLAN: CA"O4L1CM IO11 N 190-O]EO :t SS-TR-T__ _ t IERplix. RwaHLI l R: 1.0 1.11 OIlN tl.» 1.0 w1 T Y PIAVRN. W gum ------llof'I'B—'_ is CLAIM. ftouml M-f00-OTM �.C sw-fe- _ ___ _ 4 TOL1F. R R!-w -II R: 4.0 M.0 7.0 MIL M IM.M to.PORT R-u RQiI 1 POST ORC oRcrwlo. AS CLAM: ORGRYWrIN-0570 „� MR-Y=7{»710 L� E ! I .N c l e t 4 J Data - 22 OCT 1987 Tinw - 09:42:32 Denni, R Craig 7710 - 185t.1 AV*. N.E. Redmono. 'AA .3Y ' C E R T I F I E D p R r R O - � R E G I S T E R �C I-OR THE PERIOD ENDING 11 OLi 198� ^' JMzB7-142 NORTH FIRST STREET IMPROVEMENTS eili h NAME AND ADDRESS NO CITV- STATE ZTF SOC SEC NUM MINORITY E% HRS------------ HUuRS .:I:''RKED EACH PAY ------- ----- ?AY PH13 JOB -----THI SKILL SEX TYP SUN MON TUE WLi THU FR. SAT TONAL '- a E. T+L.i.P-,l'MLNTS UNION;, ^> i1"RK HA88ARGEN S 8.00 8.00 8.00 8.00 32.00 12.660 Tal11N1 J 11000 SE 291Si ST NTx6iM1- L AIiBlJ17N WA 98002 533-74-6310 None i uANDSCPP,NG Male UM KF.NT S 2.00 0.50 c:.50 13.000 TaxDed 1003 - 216TH AVE 0 1.50 1.50 19.500 ;T!+Sen e-ISS '7'AOUW _ . .WA '9802 ._....__ _ 536-62-4024 None 1 TRU(.i< DRVR �OYD Ma.0 i © SUZETTE KRUSE 5 8.00 8.00 12. 160 TaADed 26720 3461H CAVE SE NTxBen ....ITAVENSDALE. WA 98051 _...._. .. . _ _ ._._. _._....____ _,_._._._.__._MgCD-eT 553- 0-0493 Hispanic 0 LANDSCAPING Female DANIEL R. MOFFITT 5 8.00 6.00 8.00 8.00 32.00 11.790 TaxDod 2020 Su 360TH C-1-6 , . NTx8mm ._ FEDERAL WAV..-... . WP-38003 M 249-11-E12e None LANDSCAPING male A Totals for Sob 87-142 ------- Earnxnps ------ ------ Tawas ---- +. Job 941.43 FIT 349.84 Gross -:.e96 73 : ILA 149.92 Tax Gross 2,096.73 ..State. —__..._... _ _ O.Ww-_._. Net 1.498.45 Local 0.00 Hours 76.00 Othor ®.�.... x�OI s! I ,a r�� 4 42tM' DennisDanr 'sR Craig ai p O Pape I,%710 -. 185th Ave. N.E. Redrona, WA C E R T I F I E D P A Y R O L L R E G I S T E R • FOR T11E PERIOD ENDING I-7 OCT 1987 JOB EWRN S TOT EfMN ' ---^ HOURS WORKED LOCH DAY 1"IS JUB . _ ---- THIS u1 PERIOD L ;;SJ „NON TUE WED iaU i HI SRf �' >> Met: UNIDN/WCL.1, 114XI s ! 6.'A0 a.00 8.00 8,00 32.00 i2.66O TaxDe17 8.72FIT 6e.a 405. 18 NTxhen 23.O3FICA 36.21 506.40 ' t_oci 0.00 107, 74 ` • Othr 0.00 398.66 e $ t0O 0.50 F.59 Ia.000 1axDea 14.3:fF IT 166.61 61 75 1.50 5O0 N7x8en 5 .. 78F 7CA 53.62 752 69 { Loci 0.00 c33. 75 ��• _. atnr 0.00 5181.94 8. AO 8.v1O 1.-. 160 TaxDetl 5.66F 1 T 55.66 97.28 S " N.xBen 14.97FICA 26. 17 366.Oq I OF tat- ,oc1 0.00 12r59 L y 'It!" 0.00 216..4`3 6.00 a.9m 8.00 & 00 32.00 11. 790 TaxDetl 8.72FIT 64.76 377.28 • NTxEen 23.O3FICA 33.72 471.60 a.00 107.20 +' •E : . Job 87-142 __ _.. Earnrngs _______. faxes x �• . Jot. 941. 73 :'11 14_,.t,.! • 4 uKoss 2.096.73_ r ILa 149, ^ - Tax Gross Zt,696.73 State 0.00 Net 1,498.45 ._,,cal 0.00 Hours 76.00 Other O,ON ' j . aODF1� � } i f r ,Z. rw 3, r+��a H P.O.S.120-92 do Mrdy same: (steam Pliedamu,prosy �7irb/^ 07ftjl en 111)) TMI`I`Pay auperviv the PsYmem of the pawns ernploye Icons, ro dre.'6 or��y�i�� ' am, N ` ��' :IMI dming the paY.0 P.bid mmmanclnt on tha=day of S.JtCZLtSa--• 121u416q a uVngif IlE I .and enJin{the�L—d.Yof 't=�"•�O�,19 L1J.a0 Wswru anPloYcJ on sak�Mn 4qn peov full wegeaumcd taws ma Mn an or wW be made elfMrdba tlYoshkl walaaaon by mypc Fw n� t. IC Oom the fun waElY wela umcd by aY PuwP and 1Nt na ddu<iwu Mre 1Conv cr.1.1 aWmnuaaor/ ban made either dbedly of Ind0ec0Y from thn full wMa amen by aY pawn.oW rho parniaable deductions as defined I.Pay ul96]; Pat 2(29 CFK Subtilk A),mood by Ibe Seue,vy of Labor under the Co bnd Ac,q atandW(48 Spat.948,63 St.,.108, 72 Sta.16 SW.251;d0 U.S.C.;16q,and dce,e,bed below' I (]I TMI aY fuPaW othcwlu undo Ow mmuct rqubcd to na wbmlued far the abera fusaoti arc conat and ewnplete;Clot tM was rates tut bboraa or meNanbs mnuinW IMmin m not lea the.the aPPnable wall'ralel mntaind In any wqe damrminetbn Incorporad Inm IM Contract,the,the cUa,A.tb at fonh shaein far each bbeaer or machaNe conform with the wory u<peMeamed. a (I) Thet ay mpn,ntlaa employed In the snow pealed as duly rgbtead Iv a bona fide apWenli,ah,,Pmaam mdtaeaed with a State eppalkadd,geney r..SnhW by the Bureau of APPratbesMp and Training,United Sri"'Derynntem of Lehoc,or if no ruch,.,..-J litany exists to a Sure,ae rgitlaW with the Bureau of ApptatluildP and Training,United States Dapartment of Labor. (q TMI: (q WIIERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS,FUNDS.01 PROGRAMS In[,I,.suldill..b c.the U.1 howth wage ata ne,. to each laborer cited. 1.atpa p-ia in the abs,a'the b o- -oro3,fuY menlr Of Glrys benefm a BtlW In the mninet Mre brew of wBl M merle so aPfuopWa aognnu fa Uu OaneGt of rucL empby- aa,except a netW In Sa wn d(c)below. (e) ERE FRINGE'.BENEFITS ARE PAID IN CASH Each Tabora or mschanle hired In IM mbar.refefenad payroll Mr ban Wid as Instituted on the fusion,an smeunt last ku then the mum of the applicable best,hourly woe rue Plea she amount of the reeubW frbga ba.M.a Wad u the mnual,except as noted In Section Qc)below. I (c) EXCEPTIONS EXPLANATION EXCEPTION(CRAFT) I t BBMARKS RZ TOTAL NUMBOB OF DYLOYBES TOTAL D TIIIS R OP RTI ND PERIOD EMPLOKD THIS REPORTING PERIOD WORKED THIS REPORTING PERIOD NAME AND TITLi-) t SIGNATURE �( TIIE W)L L FALSIFICATION O AN O IH ABO T A 'M TS F 61A SUtlIE(T TII C01iTRA(OR OR ON TRACTOR TO CIVIL OR CRIMINAL PROSECUTION.SCE S 1001 OF l'ITLE iu AND SECTION.`71 UPI I fLW 21 01"I Itn L� � � f .. .. it •.+.. r• • ♦ .. r .: .. r + nY A 1 120e1 pa.t B00 *�O �4 222ar wE ST¢-37340 nest l,.oast ction C I Inc. GENERAL CONTRD ENGINEERS P.O.Bo: 419 24205 Woodinville-Snohomish •d WOODINVILLE, WASHINGTON 980 2 Eh'G:REERIi0 DM. TRANSMITTAL RECORD e.11t 0f R8in J r TO City Of Renton _ DATE 1040/87 ngineering Department 200 Pill Avenue South JOB N. 1st St—Burnett Ave. to Park Ave. CAG 029-87 Renton, Washington 98055 LOCATION N. 1st St. Burnett Ave. to Park Ave City �f Renton ATTENTION Joe Armstrong - Project Engineer i We are sending Herewith W Separate cover by Drawings prepared by i NO. PRINTr DRAWING NO. DESCRIPTION 1 Each EEO CC 257 October 1987 tor:. D.R. Creig Construction Co. Inv. "FINAL" For Approval _ Approved, as noted .Approved_ Not Approved - Please resubmit REMARKS For your -se. WEST COAST CONSTRUCTION CO. , INC. Copy to: By �1 16 �1 Tim Buchanan 87-9 File Title Secretary x 6 x Wt F U.&DEPARTMENT OF LABOR v E111RIoyRwlt StefadMdl Admini...Ion,OFCC► DTILIEATiON REPORT ITNsrmen Rrpuk. kr EKsu,n. .: llaw, . MINOFITY:_ PROM:10_11-Al 1 mnmlltl r ntl er fuayn.GM�n wMN e n wn aM n..mmriner nyr M J.fLrM w19�M.lor t LOVi I Iq Wner Gewnmmf mnennaaf ftlr.IlY.Tntl ctl_ FEMALE: TO: NO• I� `. '�In{11Oxy,CJ�YL�E��3 NAME AND LOCATION OF CONTRACTOR FEDERAL RweH- QA7L to Tn•A�C qYe -oefvi �. cn" GoiTe}: eF"-"' FUND AGENICG n GA& C5. 6`i � -1910 - MgOb O.AA Ttl, Wa. 98c�a� _ E' S. WORK HOURS OF EMPLOYMENT(FE Nnd&Non-FPOerMll 9. 10. (� �' R. �' W' 2. S. TOTAL TOTAL TOTAL ALL BLACK ASIAN OR AMERICAN NUMBEROF CONSTRUCTION EMPLOYEES INat of HISPANIC PACIFIC INDIAN NUMBER TRADE CNWfknbm Ey TRADE HNp.n:e On,M (SUNDERS OR MINORITY FEMALE EMPLOYEEESS EMPNORITY LOYEES ALASKAN PERCENTACS PERCENTAGE NATIVE M F M F M F M F M i M F M F �.. wrn.y wo.k.r 48 a CA i APPRENTICE ZA TRAINEE az!l •-dam �L^L4eP' APPRENTICE aaJ�� TRAINEE lawSUB-TOTAL < ♦. :. d .. Journey work* APPRENTICE TRAINEE '- • SUE-TOTAL Jwrmy wohr� APPRENTICE TRAINEE � �$+ I TOTAL s} f Jou:n/y worker ""ENTICE TRAINEE SUBTOTAL 1: <. TOTAL JOURNEY WORKERS iCJFxE�"T TOTAL APPRENTICES '♦ TOTAL TRAINEES �T GRAND TOTAL - - +y^�V v` +gr ttpp��. IL COMPANY OFFICIALS SIGNATURE AND TITLE 12.TELEPHONE NUMBER xn otla 3DATE SIGNED PAGE / Of APP OVAL NO.NR 1T96 FORM C?TET(Re.EUE n t i� S 9 1:. r � yy. a e t e Ik y. f I.a-. •Aker:. n., �. ...�. .,t ., , , 4y r o,y' e. d X I 12ee1 .92-iBeg � HIU�V 223V WE-STLC-•272Na �y Vest ('1oast ction &.1Inc. GENERAL CONTRA AND ENGIN P.O.Bea 119 24205 Woedinri11..5nehemuh Re d WOODINVILLE, WASHINGTON 9807j2 OCT 2 6 198T TRANSMITTAL RECORD _ TO—cit.TO—c,t.L Of Renton DATE October 22, 1987 Engineering Department 200 Mill Avenue Soutt JOB N, 1st St. Burnett Ave, to vane Ave, CAC 029-87 Renton, Washington 95055 LOCATION N 1st St.,Birnett Ave. to Park A t ATTENTION ity f enton Joe Armstrong - Project Engineer We are sending HerewithEM Separate rover by Drawings prepared by i i NO, PRINTS DRAWING NO. DESCRIPTION i r Certified Pay, ,11 for week ending OCTOBER 21 1097 Certified P,.vroll for week ending OCrOBER 17 1987 for M. A SEGALE INC. 5 Certified Pa v roll for week ending OCTOBER 14 1987 for SIGNAL ELECTRIC INC. For Approval Approved, as noted r Approved Not Approved - Please resubmit 1 REMARKS 3 a e i WEST COAST CONSTRUCTION CO. , INC. Copy to: By 6-...4,j 87_0 R17, Title Tim Buchanan Setretarn i U.S. DEPARTMENT OF LABOR PAYROLL Su0/el Sure.0 Mo U-pl'J9] WAGE AND HOUR DIVISION (Fa Contractor s Optional Use;See Instruction,Fonn WH-3471nd.) N.WL OF CONTRACTOR OR /ORCONTRACTON AOu.... WEST COAST CONSTRUCTION CO., III. P.O. Box 419, Woodinville, WA. 98072 483-1900 /- --- ' TOR At _ pRw[LT ANO cOCAl.W PROJECT OR CONTRACT NO. - 16 _ 0119EJOE N. lat St. Burnett Ave.6Park Ave.-Qenton LCACO29-871IMT'MIOORA (SIET NAM[.4DOR[LS. AND TOTILL RAlt GROSS WAGES soNA. s[CURiTrNUA.1) katnwssW RK Haw ar PAY EARNEDPAnor EMPEmEE WoR[Lo ucN MY I EARNED ncA NOEUING HED. . UNION mNCR O[NrnwR[ FOR w[a Ys� f a — 2 Q/PEL wyBR y I -_I ais�s �YY 87 13t.00 ie.le tz.as, zVz,S 38S.a3 IRA LAl30 CeR u �3r~ 2.1.60 Ssroe 4f.y2 31, 1e /zz.[z 7.9/,If TONA/SOn/ G0<6w 11A/ D g /).lf y A• oY TVST/CE. E �iJ PiPEcwyert $ /f /S.f! 2sfe 90 f7•oe S.sG y/.fe /fTK PROZ S i pp�R,9rna l y:'ye SJ,es /94,e/ /ale 30.•e /99.75 SYz,z f (*) r=aaa--vl/ e S /(,SS 1 PrPFcwy�c L g — —�371. y�.ry roxr '0'17 f�,se sFar, V33.oJ /sal ---- o I e O 100101 RN-HT OIMI—[on.ERL, ao( IRA-PURCY.ASE THIS FORM DIRECTLY FROM THE SUM. OF DOCUMENTS Octor 23• 1987 �.wn awn w ww ue Eowl orp/oprine programs me me oeMll of sand emplosw, uev be recap as noted in Section 4(c)below. Terr-S. Buchanan Secretary _ - _ nA1N (D) WHERE FRINGE BENEFITS ARE pA10 IN CASH (va.N EM -Y MnY) do hereby stets: ❑ —Esh laborer or mech.n.c listed In the above referenced payroll Oas been paid,as indicated on the payroll, an amount not less than the sum OI the applicable beaie (1) That I pay or superviSe the payment of the persons employed by West CO-At hourly wage rate plus the amount of the re,,ed fringe Mnefits as Osled in the WME,EY,esap as noted in Section 4(c)below. r ConetruCtiog W . Inc, on the .North lst_St•,.Burnett Avenue to Ica newer (e) EXCEPTIONS Park Ave. — Renton ;that during the payroll polod commencing on the tom_ OCTOBER E%CLIIION (CRAFT) EAPlANA710N. . ._ day of— ,19_BZ.and ending tna 71�iday of -��Eg—.19�7._, _ _ - all perfrins employed on said project have been aid the full weekly wages earned.that SO rehates have been or will be made either EmEtly or indirectly to or on behalf of said _ STD_ TROCTION OO�I_Ny______from the fun ICpRr.er MyCanrMOd weekly wages eamad by any perspn and that no deductions have been made either directly or indirectlyfrom ions Ref the full wages earned by any arson, nthw than perof Labor under as definM in — --_—_— _ ------ —� Refulatione,Part 3(29 CFR Subtitle A),issued M Me Secretary of Labor under the Copeland Act.es amended(48 Stet.948.63 Star. 108, 72 Start.967: 76 Start.357.a0 U.S.C. 276c).and described --' Delon l,� (2) That arty payrolls otherwise under this Evrdract reouinl to be suDmiKed for the above period are wrmc,and complete:that the wage rates for laeotera or mechanics contained therein are not less than the applicable wag,ores contained In any wage datermination incorporated Into the -- contract:that the classifications set forth therein for each lalmrer or mechanic conform with the work - fit he perfomwd. - (3) That any apprentices employed in the above period are duly registwd in a bona fide 'L apprenticeship program registered with a State apprenticeship agenq recognized by the Bureau of Apprenticeship and Training United States Department of labor, or If To such recognized agency exists in a SUIe are registered with the Bureau of Apprenticeship and Training, United SYnes Department of labor. (4) Thet: MA ME/,MO TITLE gIW1ATVME \ "d�� (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PUHS,FUNDS.OR PROGRAMS Terry S. Buchanan, Secretary Rem THE WILLFUL FALSIFICATION OF MI or THE AEOVL STATEMENTS WV SUWECT iME I1,PITMAETOR OR a A —In addition to the basic hourly wage rates id M nlc in IO to each laborer or rCha listed I SUBCONTRACTOR TO CIVIL CRIMI—RSECYYw1.SEE fiction lMI OF TITLE w MI)11 r'H M bl or TRLE fl OF THE YMITFD STATES WOL the aboK refele m en 0ted pWoll,payments 01 fringe baml as lifted in t Contrail -A Evil �F r V.R.DRP.r TRaNT OF LAWON W.N•1 N•n•.Ne.e1 R a - .e eceNYlo.:oo.. .I.lu.L,r STATEMENT Of COMPLIANCE mt. 10/16/87 1. e H.w.'wvwulci__ PEVT011 Clerk de n•^be•leis' (N. taper.`erVT�—_ Cie nn (t)The,1 py or•uperY lM D•1wRn1 0l the Mr,rom•rploYed by_ e. ml the North IEt Street th.,donne th.P•11o11 pnlod ramm,nrinE on the da of October ,wryf♦6�) October rrow. er 19 87 and end us tb, 1 _ I of . 19 87 0ll bupfor<d on .ad protect Mve hero d tM fill eek1Y yeas•e.roea,that nn IsIlt hour been or"11 In mode elms.dbee,ly er hMlnrlly'e or on Mholl of sad 1 N Signal Elect r1C. IBC. town 1M lull weekly wsCo.ewm.d by.n,Der .end,tot on d.doc Non,Mu, -- W—u."..w• asMew Y hors Ms.lull w.lp+timed by any person.oth.,Ih.n Permiulbl.dedur'ion'rr deflnM been rn.dq e11Mr dlnelly or h.dNsc11 in R,p,bNon+, P„ J 39 CFR Somitl. A), M..ed by BuyS,ertMry or L.Mr on",the Cnrel.Fd Art. n smem4d (14 SUd '� nIR Al EML IM. 7J •�f067='IY0 ,, f T;40 O.E.C. 3T6c),and I ,i) Th.t..y D.Ynll,o,nrrwiN under,his ,wfroo rIoulu,to M Mundi'ed I.,lM.burs Mrind.M ronrcl and complN.; 'tut R'adr'.rmina1en Inw'Poun.4 clot.me Comm(;1:W the sel...RlraleM W lerlh meptelM I.,<oeh MMMr urnnot con Iran wi,b In.emn he p,dom,.d (,Y) 'rh.l onY opPrtnl,,.employed In in.obuv<P•rbG.r.duly rtli•Mnd In•ben• lid.eMuItu "hip Mu'..rtRlsMrtd nl,h s Stole .ppnnNreshlP .Ie,NY nt,.Md.Fd by lb- Ro+.0 o/ Apprtnlloa,IP •rrd TMInInA llnl'ed $leis.Depsdmmd of ' L.ho or If n..och r.colnl.ed Mrocy..,.is In.Stele,.,.nll.lmd with by Rorer,.1 Appmn'ke•Mp sod Tni.ms,G.ned SMM+D.P.,tm.m o1 L.bur ,d) Ih.O R is) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANE, FUNDS,OR PRO(Rt AME (]{� In.mNion to IlN M.I,,Ms,ly wq.us"p.ld to oeh Lbunr rr mrensnle 1101A In the•ate. rt pronsm, rt II, P.rymenl, el hlo, burn Mn.RM.. Il.t.d In the coNnel h... rn or will b,moo,to s Mle I.,the lot of•urh 1usPIPI.M, .uspl ..nolsd In Intel..Ifrt brl.. fb) WHERE FRINGE BENEFITS ARE PAID IN CAEII I"I Im t urovl. el not I•..'1w.In,lso..l in.np,llabl Ibuleltw nlYr•INV We Pros Ilh,.ro.n,,,et or Ib,r,,W nd Ir InIR• Mnef t,..listed In m,contra, eseept n nol.d In...lion d(c)Mlew (.) EXCEPTIONS EECEPT0N CRAFT lEPLANATION 1 nrwl,F. J r L RraN.f VNI Cothmlller. Payroll Clerk pµui• ON"ni iici`ON in piniii eReM iVuwriiet ii,ef Yo eiYci•pIss• 1111't,00n corwLiOe.�.. ,. "11.Me c vvs F•rm WNIN 11-6EI slO ELECTRIC PERIOD ENDING 10,141ET CERTI TIED PAYROLL Rp T PAN W. 13 'ILIa f a 1E: 19M NORTH IET STREET *, CITY W REMTp _-1Ret COAST CONSTRUCTION CONTRACT NG WoMIL AODMIa AID TOTAL a OEOM a "An OWN VW*A. • EM OP EMPLOYEE ----'}fi-'P 0 -fit-A-"f._..Y N S W WASM-PICA M-WH Eel--legeT lgMf-RY�.. --_-_--- ---L. no. — •• EREEDIE• .16N --_ R:wy--S.0 a.0 a.0 a.0 ae.m ISO" Mft aal. UT » aT111AW Aa. 2.a. __ —0: ----i—._ 0y. NEW. w VSWI S]I-N-SMO a CNN: LINE MO CIIEI fp1EMM-Iq•07q �DWr-W�AW�[-tMCM ----- RATE-CP7RP--rc]7---- �eonT, �A0. D E: a.0 '8.0 Le a.0^` IOOI.SO OI.SO IO.A aw al • 1=1 US R 1 REMTM. NRA. REossSOL w ,• a CLAM: CYLt Mllpll AIOM�NO-MW >3e-aR=wu-w-eEn: ---- ---- •NETOII R. SDDALL 1. R: 0.0 90 a.0 &0 ED.O 141.010 � RYA 10.10 fN.46 1 ADEORN, W 1ao0i ` .t JOB eua1: 1aa1ER1111-tw-ofao 1ao-Ta-iTp--M'FYiPT-�EIi�I- —'EAR3lRV:' -liZl-- _—----- ,1 I 6241 LOWATL T.Z—a- '� �0 a.0 N.0 1.17 00.M w 10 q 1". �•� —A WIT OIICIMIID. W Ra1Aa f ' a GLAw: 1RaRDDIIA1Fleo-wae '-DI,fE'E►'►iy- -ilTt—. ..--- SM li-fiTi-i6TIMr61--AEE�f-A t E A 1 r {E \ ha I R "r= w STATIMEMT OF COMPLIANCE •.OIIM Y..• •. •r. CO....tt rlVMt• V N3 .a 10/22/87 D CAG-029-87 22, 115,97- D.N I L, (loud L. Dulaney Payroll Processor de hoagN (No...1 u/w.u1 Nrr.I ITIIN) (1)Troy,I...or toPr.N.Ih.p,w.nt.1 M.wr.on.eleo.,.e to, N.A. Segale.Inc } rer,r.e.,r rar.el m1 r,ha lst. IJfpmo rats, Edenton that story Me perrll ptlad Se.rrrty Wo nla ag�llth atr.1 IR.INMI u.wrb Ortaber ,I187 ra.warn U_ 7th star a1 October 'rat s . . N 87 m wrawt. .ryloPa oe.ua IMI«t Mn lest F.N be(all..Ml,.Nest.w+a Mn As wM1..haw Mw r YIR V roost rUM diMtlr el In tlrCa,to oe,n selralf of.W M.A. ' ale, Inc. ffer to NI w&1T grate.eased M r,F.r.on ferMr.rr r o1aaN,.err1 rd Me,r d.earten.M.e er wad.-'Me'dtnetlF or IAMtaCUT 1.M.fell We..aged by r1 Fo,.a..to".Mr pornrsl.d.� denteas as earned r Rasrrlrs. PM J("Cleft So,"00 A).Ise."by tM Secret"of Labor wore.the Copeland An, to uarord" fN Son NSAJ Star too. 12 Slat MT;To Sfaf SS,: N U S.0 MCI old deecaW bale. Z� W1thhOlanct FICA __ Math rat AiA QI net rT P.1.11.oMralay Ir4.Ilya 'got '.pale t.M eWwINN for too NII.."road ale C.r,rM Canpin.. 1%.,M. 4 rye'Arts far Ntwery o,weC ice CostnnN IhnNln are wr less err tM appG<ada rye rates wnturW In Wj wells Mtrrinrlw rrerporn" at.UseC.nLr Ma t at So.CbWo o ss d r 1fI1,r. ,forth Pled.I..rh lee ,r T 1M tM d rtsrwalanlo Canlas w Woo lo.p(J)no,rF apprancicr erpt.,"or,re..ho..per:oe ale ast,redl.Nrea M.was fld.AFFe.11w.MP P,a,,res re{lrrM wrM to Plate yp trwth*a1+n<r rcaprN"by the Swett r Appratrcaalllp ra T,roWle. United 11ra.Depata.ertl r Lads,s of as Worth agrtaIWMd yalri estate as to RUN, .r ospatred or&the Bon..of AppweCerhw a.e TrWWAs,Ust"&sto D.FarraM N Eehr. Hw Stec (aa)ID ERE FRINCIE MFIEFITS ARE PND TO APPROVED PLANS, FUNDS,OR PRO TRAM yy •V 2V}, Ito aeerba to the Marc heal,we"rates Ford lu each legroom or al.Mrllc tooled N the,awl*rel.rwaW Permit.prnwca el slap bMflN as I1-1"In,M'annul h...Eeen ar awl by-We to pp,aprrra prepare(a,,M lapRl a(arch.,I., .car W.west M MCuee QCI Mlow. [ (t)WERE FRINGE BENEFITS ARE PAID IN CAM Eoch lassos,to re.%.uc lost"N tM Were sU..d parall hu tent Fora es IMlcrad ow Ma ayrWI r..won,na, I...Mrt the alai of Me ypllcdl.ter.Mvl,wye..l.pl.. he..at a(Ma rw,Na M1ry.MorhN or INt"on the Coaraet,eat'",..wi"In aaetten New Mlew. (q EECEM101011 ' a es[a,test Mrs., 1 f I •[roan• Y.M ar.It". rest.. no FWIW bl.d,ubmt al rr,el M.eer,0W.I.wq w4eC,A.Cu M w rkC+frarM fe awl r C wCo,een Sw Sacer 1W8 W T11. rod Sor,r,J)f of Too,#3J.1Ale 1Srr"11MFo DD,F°RN 879 Wa<el.r.ar ...........a... 1. W ... , .:. INSTRUCTIONS FOR PREPARATION OF I STATEMENT OF COMPLIANCE This statement of compliance meets needs resulting from :he amendment of the Davis-Bevan Act to include fringe benefits provisions. Under this amended law,the contactor it requird to pay fringe benefits an predetermined by the Department of Labor, Ia addition to payment of the maim.. also The cont!eclor's obligation to pay fringe benefits may be met by payment of the fnages to the van- ( me plans, funds.or programs or by making these payments to the employees as cash in lieu of fringes P The contractor should show on the lace of An mv-11 all woman paid to the employees whether as bs*.c ate*or as cash In lieu of fringes The contractor shall represent in the elateme— of aim Flisuce that he Is Paying to others tringgs required by the contract and not paid as cash is It..of fnage.. Detailed nattunrons follow CONTRACTORS WHO PAY ALL REQUIRED FRINGE BENEFITS A contractor who pays fringe benefits to approved plans. funds, or programs Ir amounts not less then none determined in the applicable wage decision of the Sr.miry of labor shall continue to show on the face of his payroll the basic cash hourly rate and oceo�me rate paid to his employees, Nail as he has always time Such a cmtractot shall check paragraph/(s) of the statement to Indi- cate that he Is also paying to approved plans, funds. or progisms not less then the amount pit determined as(rage benefits for earn crag. Any exception shall be noted in Section s(c) CONTRACTORS WHO PAY NO FRINGE BENEFIT M A contractor who pays no fringe benefits shall pay to the employee and insert in the straight time Initially rate column of his payroll an amount not less than the predetermined rate for each clensifi- cation pigs the amount of filage benefits determined for each classification in the applicable asp decision. Inasmuch go It Is not necessary to pay time and a half on cash paid in lieu of fringes, the overtime ate shall be not less than the sum of the basic predetermined role. plus the half time, premium on the basic or regular rate, plus the neq.tred cash in lieu of f:ages at the straight time into. To simplify computation of ororttme,it is suggested that the straight is.bra rate and rash in Hsu of hinges be separately stated to the hourly rot.colaan,thus S3.35/40. In addition, the contractor shall check paragraph a(b)of the starement to indicate that he is paying hinge bene- fits in cash directly to his employees Any etcaptions shall be noted in Section d(c} USE OF SECTION e(c). EXCEPTIONS. Any contractor who Is making payment to approved plans,funds,or programs In amounts less then the wage determination rotation is obliged to pay the deficiency directly tam,the employees su cash is lieu of fringes An exce mans o Section ge Y p t s(a)ord(b), whichever the contractor in check, shalt be entered in 5lSection, a(r) Enter in the Eacepinon column the Daft and enter in the E.nbna- Lim column the hourly amount paid the employeas as cash in lieu of fringes. and the hourly ar..uunt j Mid to Pines.fund., or programs as fnnpa. ObA, G,t',t., 19sP-'65-I talyl I h :Ham 'I�NI�Awr*awt'--f,�s.. ..w.-_• -_.. -. _ .w...: :x...tP1d'}A2�?'fa�AzL.X ': �eu...vrv-..,.,.,...:.�.. A.'Sya1!' Y'.4C. +++ CEPTIF3D PAYRM1.. RE:ISYf3t AA+ FI@/1fCT t9," r i y 18@1@s=ceri ; Pirf+ay 11 '®Yaila WA "is ,,q�py� CODE 8@751@ PAYINIEIi 23 A I NAME REPTON CAW 9-97 ifT ST w.7 CST CON TMPRYNTS f . f _ f _ + - A - f - . - f _ . -. - + • i - 9 - • + •• a - A - A - f M - f - f - • . A . - RA1E t ADDRESS A, i E D--- ----+ 'OTAI PAY CROSS Y TW GK n SE! @ a EXEMPT ,✓OY f1A55 a* NLM THE WED TOFRi RAT 4AIMiS RATE Th1T � 9MR JOB: SAY D Si 730-11- F@REAAH S' 3.0 3.t 16.296 54187 4pBART = WA 988" 54.,7 676.73 TOTAL; M,.BB +-_____-__.__D E D I, C T 1 0 N S-_�___- FRJYGE FICA. FED WIN SDI iNEON OTHER TITK AEi PAY 3.71 52.38 122.66 5.73 .@@ 4 ah r,A Kc o, E - rot qr a f_...._._____..N 0 u R . y`' D E K C@---_-___.� TGTA4 PAl �SPAY nruxS PAT � fFt'B .ASS SUM WDI 1UE 1� TNF FRI ;AT HOURa f.ATE , IS JOB CTNf JGU O ➢O`AY.➢ +.r:'AP -.:...• �:: . - i.B@ t.M {{1.430 17.43 ND.J{1AI Ld AE At 131WIN • � � 9C"6 TO.ALS-♦ 44.0D 44-1) i15.f2 ,.- - O FRINGE FICA %-11 E W SD T I IpN1�S 0 p -'0TK T PAY 4.16 54.35 1 .S@ 11.77 .BD .@9. 2i'1.62 .6f ERtOYEE NAME 6 ADDRESS f ---------H O U 6' S WORIFID--------+ TOTAL PAY GROSS 4Rp,�S PAY gS'.KieL SEC 15 EXEMPT JOD CLASS AIN NOR TUE WED 7HR FPI SAT INURS RATE. THIS ¢ OTWAIS_ .... O„T°�jI'7GA CT S 5795655 SCREEOINN S .S@ .SD 17.N9 q.'9D -P�1p'K LUP YA 99374 43 '_ ... . SN-U-5483 n-83 C N TOTALS- i DUCTION 5--------__._.+ FRINGE FICA FEB 9/4 SDI UNION ETHER TOTAL NET PAT 4.16 .1.58 89.86 11.24 31.56 .0 103.19 SIR." . _ -_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _. _ - _ _ _ - _ - - _ YY ENF.CiU 4ANC F ADDRESS •--------H D d F 5 + ': e l E 6----------+ TOTAL rA1 'Rf ds Al di;0.'•i >Ft SOt1A_ SEC : 6 EXENIT JOB CLASS SUN NON TUE 4ED .'HR TR1 SAT ONE, RATE T'+I: 0 014F JOi10Y P JOHNSOH -3"'a RAKER S - 1.50 1.yyqq 15.69@ 2 i.54 J 26644 Si 216TH 0 .50 .56 23.535 n.77 -- j $ S53 A 49638 36-72-4333 N-9 tOT&S- 42 00 A.31 597.98 +---""- ' ---D E D U C T 1 0 N S--------------A ur - FRINGE FICA FED W/N I Wick OTHER TOTAL NET PAY �p 1 i*- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 3.43 45.22 76,4Y -T- - 54:68 .D0 197.23 41S.f6 rII!. MOYEE NAME i ADDRESS +-^-------k 0 L A S W O R 1 E 8---------4 TOTAL PAY CROSS PAY GROSS PAY - SOCIAL SEC B 6 EXEMPT- JOB CLASS SIW WN TUE 1ED THR FRT SAY HOURS RATE IHIS JOB OTHR JCS T b Be WI- Will TRUCK 5-12cy ,j[ 2.50 2.59 17.64 44.90 "'-$1ENjII -- 12Th AVE a O 1.00 1.88 26.445 26.45 - • \. S14-S6-2321 N-0 H M _ YOTALS- 41.51 '8.5.1 e3a.99 ------_---.-----0 E D U C T I O N S----- ------ -- + FRJK-L FICA FE➢ W'4 SOI EWION IT% D.. .. - 19 T72TK NEi YAy :R #.71 50.59 65.-' 5- - .M �! .M 5B5.4Y : 1 EMPLOYEE NAME i ADDRESS +---------i1 0 U R.S W O R K E D-------- TOTAL PAY GRgD*PAY CROSS PAY . $DCW SEC 0 i EXEMPT JOB 'FATS SUN AN TUE fED THY FRT SAY -Mt RATE THIS 0 ITHR JOBS ERNEST D LONY T3210 TRULY 5-thy S 3.75 - 3.25 17.630 57.30 J <Y. d ,j�ga ea, CERTIFIED PAYR�11 REGISM +.r rAf?u, 'LRIM t PAQ 15 f`S�ul.o a park.,y �1D�L.NR11 16/•T rile WA 98188 ,AR CODE BOMB.a NAM WHICH C4079-87 1S7 IT YST CST COO, IWRVKT5 , _ ♦ - . • - r - - a _ Y - , - a - a - � • a - , - M - s - ♦ - P - + . * _ r � _ e - , - r , e- r - r - a - P - EE NWN L ADDRESS +------H 0 U R S Y u F i E B______^___a TOTAL PAY PAY MTS PAY SFi S 6 EXEMPT JAM LASS SUN NON WE YED T+N� FRI SAT NIRAtS RATE IN1_.NW OTHR JOB' Y :ADS - 281H IT SE 538-36 ,236 5-04 C h TOTAL:- U.0. -" 1 634.E1 _. A °1 FR E P- MIA FED WINDIWON OTHER A NET PAY IIN( %�y� ��OgTfAµE i- - 49.58 158.2f S- - .N _fN -t3.58 In.i,. ENPLDY'EC NAPE 6 ADDRESS ♦^___ ____-H 0 R S W 0 R R E D-----------, TJTM. PAT vAf S PAf SOCIAL SEC : 6 !'.(EUPT JOB BASS SCN MUN '.:c iB:D INR FR., SAT kO4YtS WYIL :. JG6 ... 3HR.m6S 510 RLLR PLW NIX O 1.50 56 26.143 $9.ri!l! A NPCiA 2M1 5 ..3fE STM RLR PLNT N [ S 2.8 ..436 -sa MBIILTTE a,t WA 98]75 J 5I788 31 146.?B T' ,--------------D E o 1UI c T I 0 N ° =-+.jl-- + FRINGE FICA FED Y/N IDI UNION 01.0 'TOTAL NET PAY • K` 4.16 58.75 198.76 12.44 - 34,817 M -04.83 V4.16 . -,1 EMPLOYEE RAKE 6 4WES3 +----^^--H O 0 R S Y O R X E D-----------+ TOTAL PAY GROSS PAY GROSS 141' wr SMIA,. SEC 6 rXENPT .0S �',AS' SON PION TUE WED 'HR FRI SAT %U3 RATE 73M JOB OTHR JOBS ALDO STORINO 73210 TRWr 5-12cy S 2.0 2.0 17.6H 35..0 DI435- I11TH AYE SE NMIBY. WA 99802 533-46-"1t M-00 C M TOTALS- 41.M 35.26 659.52 • - ... . FRI F7CA F'ED YJXD E Y IyyC 1.IBI S OTT TOTAL MT MY _ f♦ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 3, Y 19.68 If2.34 S. ! :fi - fe .92 526.16 . + `tPLOYEE HAME 6 ADORES - ---- • $ -- -- -H O U R S Y 0 P. X E 8--------+ TOTAL PAY GROSS PAY iR eSS PAT SOCIAL SEC ; 6 EXEMPT 119 C-ASs SUN No TUE WED T4F FRI ;AT NOUNS RATE THIS .AD OTHR JOBS " .ppRY E�'PR kGEB 5746.RLLR PLNT P,Ix P .50 .50 26,yy1 IM7. .. T`1Y.0. 1M M �� y1� 5716 RLLR PLNT N: Y.18 f.SB ?].113 26.15 `P;T'IMITN YA 99346 24-3546 1.1-92 S A TOTALS- 43.?0 39.08 695.96 O r_-__ -_______D E D U C T IS�NO pNpN�S_ _ ________^-- FRINGE 6 FICA FEON14 Al ?3 ITT JTAI SN.KT -_ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ - - - - - - - - 9 TOTAL M WS 2Y.75 TOTAL WAGES PAID- 421.82 a I a � a i t� 6 • 12061 N3t6g0 Fill ` Ri MIIV 2134r WE-STCC'373Na Vest boast ctioii Coo., Inc. GENEEAL CONTRA AND ENG NEERS P.O.Boa 419 24205 Weedievills-Seeheeis Roed - - WOODINVILLE, WASH INGTON 9 072 OCT 10 W7 1 F'SR:717, NV UFPT. 1 TRANSMITTAL RECORD TO City Of Renton DATE October 19 19R' �rngineering Department _200 Mill Avenue South JOB N. let St—Burnett Ave. to Park Ave. CAG 029-87 1 - Renton, Washington 98055 LOCATION N. 1st St. Barnett .Ay to Part, A Citv Of'Rent ATTENTION Joe Armstrong - Project Engineer We are sending Herewith® Separate cover by 1 Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION ;,ratified Paysoll for week endine OCTOLu[,, 1987 Certified Payroll for week ending OCTOBER 7, 1987 for SIGNAL ELECTRIC, INC. . For Approval Approved, as noted Approved Not Approved - Please resubmi' REMARKS WEST COAST CONSTRUCTION CO., INC. Copy to: By <3 -im Buchanan 87-9 File Title Secretary y r' y I r f dr-- us. DevARTMErrr OF 1A8011 PAYROLL f erm 4ppew,/. WAGE AND HOUR DIVISION e.eF.,R„•.0 Me.u-aLlwa (For CentFactor's Optional Use;See Instru[twn,Form WH-397 Inst.) 11.1 OF CORTMCTOR al ox eOIC Wes,TOR •OOREM = %alai: —__ YLRT MAST ODNSTRUCTION CEO.,, INC.— P.O. Box 419, Woodinville, NA. 98072 483-1900 - Mo. 15 _ -_ -� RU.'IVBY� 14 1987 M;: w 'WAY" -. -rRs moo. ET -_ N. tat SC.,B 1�e urnett Ave.B Park Ave.- nton LCAG/Re/02 029— COr[67_ [A Ge afro onE ,LAL[S.AOOe[ss. a1,D D[OOOTgNs SOCM MCWOTY nWe[R $ I[OeX T TOT,LL MT[ OROtA ------ MMT MW[6 OF EYROYF[ CL,LSy/1GTgR MOMe OF MT [Allll� Nd MUMM MALMMOUNT FRp Yi HOURS ROBBED eaa[ry I M®. UNION o[Nte raa w[V[naRs rw MILK ✓ S o ' Ot re �A60.f�C R -� fflf, [/1" l2):Oe ro./i 3a As�9 Y9.0/0uC.IT 370,°J 1��JCLE. ��F�rE J 12 a Faa,,RHX.tfr t � O -- --' S — So3 3Y a639 o) I LA(3o ?Et j2 Z --- ifAD/171E (a) 8 6z.7.Lo yS 7 93.e0 io,)o 5*2.e6 zoe,s y27.OY In Fn Gsmcur - st/," CAROTHEIQS; l�ILLX to) ,yr 4re ✓ H - $ 8 a 3z rt.7s yt.?Y 'OT 10 �0 7c sue'° 2:s. f5 j�sf ss y7. 5d I L�4(�OAeat __ st2, TOHW/S&n �oHAI W FoReAaFtw R ` 2 8 8 8 J2 /7.:_f 'f!)Y iofN ro.ro fz,.. z:i oY y6P.9G _ S 7TibH s>eX " *- T 2yt 3� YY 20 /f2• AO.if I AWN ;(o). __ sl_ 8_ 6 IY 17_.7y Aa — zia.sc y63.�6 ,CIA e I ^TF ' 7f%a7 _ tPSp'oLseR.47eoCt - — H �y7o• ° 97.e0 10,)0M zoY•�s71 Y2.3. 031w-eEb 011A) 3e /s Os __ 7S — S3,OLf n>,eA /o•>o . �,DO aJ07 y7/.2S Ufin/E iLna.ck ,v tw -- „ ��) Cemevr S4/•�y _�/LQUG/�1/1�A TSEPf/ (1) M^roV R g - g SIT 3Z /Y•/6 6oyfll 99oe Ao✓L I —� /", �1S.SG FOUR ywL-fFT ILiEs,—FORwEri. SOL Is URCHASE THIS FORM DIRECTLY FROM THE SUM OF DOCUMENTS - F i r I,Yu M[OhC[ 19 T9B7 f .awe wen w pal w mean Lo V to Dmgnms,or teed wnsM o soon emlNoyeee, exr:epf as rated In Section 1(c)bMow.below. t Terr S.-Buchanan S,ccetaia __ M) 'WHERE FRINGE BENEFITS ARE PAID IN CASH IeMIIM a veMlorY wnY1 tb MIebY Ma: --EeLh laborer or mechanic listed m the aDove referenced Payroll has been paid.ee _ indicated on the pavroll,an amount not less than the sum of the applicable basic the (]) That 1 pay Or wparvrse NM paYnNM of Mar paFsona nnployed by- C9t- Ctial''t---- hourly`wage rate plus:he amount of the mo uired fringe benerrts as IistM in contract except as rested in Section 4(c)tallow. - COnBtr C[lOn CO.y Inc. on<h North letSt. —Burnet Avtiue to --- f[.elRreeesr w.rleLelllr«+Yn <emm.n ar .ode (q EXCEPTIONS -Park Ave. - ReltOn -Hut during the Payroll period commenerng on the 8th OCIVBER B7 14t)ygy pf OCTOBEk _,19H7__. CUPTg171) (gym iF1(PUNATION- - day of_ .19--.add ending the_ ---- _A;:. all "rife employer on said project haw bean Paid the hill~kty wages earned.that NO HEMles i haw teen or will M made either duacYy or induaiLtly to or on behalf of Said yc'rf OAST CMMCfION W.. INC. _. -. _____from the fun U;vme or Or LYacaanCterl ��' --- c weekly wages earned by any parson aIM that no deductions have been mwer either directly or rr din IY ., „ . from the full wages earned by any person. Other than permisYble deductions as defined in Regulations,Pan 3(29 CFR SuMitle A),issued by a..S,,mMEN of tabor under the Copeland Act.sa emanded(48 Sold.948,67 Stat. 1011.72 Stet.957:76 Stet.3E7t 40 U.S.C. 276c).and descnMd belOsa! (2) That only peymgs INMrwise under this contract reouned W M :uOmmed for tM abort REYaRai -- period an cornet end complete:that the wage rates for utcHUS or mechanics contained themn ere not Ines than the applicable wage rates Contained in any wage determination irrcor{grrted into the writnect;that Me clasYflCatWOs mt forth therein for each laborer Or merha is conform with the work he perfomled. (3) That any apprentices employed in the above period an duty regisund in a Dona fide apprenticeship program registered with a State apphion.vi l,.agency recognized by the Bureau of Appnntu:eebip slid Training, United State Department of tabor, rr if no wch mcmgnrled agency esists in a State, are neeistered With the Bureau of Apprenticeship and Training. United States Department Of tabor. (4) That: NAME AND TITLE SIGNATURE \ i (a) WHERE FRINGE BENEFITS ARE PRO TO APPROVED MNS, FUNDS,OR PROGRAMS Terry S. Buchanan, Secretary igf d THE WILLFUL FALSAIICATOM OF .WT Gf THE AJME STATEMENTS YIY SJUECT THE CONTRACTOR OR —In addition to the basic hou�ty wage rates paid to each laborer or rneCNNc listed in SUe MTRACiOR TO CIVIL oR CRIYINK RROSELUTION.SE[sECTIOM]Mt M TITLE U AND SECTOR!all W TRIF al fK THE W:1TEp STATES LADE the above referenced payroaf,peymeme of fringe bW"W as flaw in the crMract - A I L t Y l:OCOARTMCN OI LABOR /o^wWm.•e - aAas......w nT..a.Lm STATEMENT OF COMPLIANCE enN o.cn.wrsm.. Date 10/8187 P. N. Guthmiller Payroll Clerk tie hereto•Lest 1 1'—�e'^"er,...'1 I Inc. (1)That 1"y�.•upenba the parmsnt llp d 1�. net Electric, of the persons einy. by �p�rr In ow the Renton/mr h «s mtreet _ Thai dutlnp the 1.Tmll psdd I—we"It"i thud.,o October .0 1n51 am ending the]jljday of, _ Oet Ober_, le--U. .11 peTaea emplered on aid pm}•el Mre Men Paid the lull n•ekly warn arced.that lro-Ma.Mre Men or will M made either direct', or twifi ectlr to or en Mhalf of aid Signal EleCC[ic Inc. fmm the(tall weekly w.C....med by.nr persan.re My TOOdeducnena has. t mx«TT«w IT heen made III",difectlr or IMirsellr from the full w.gea timed by any person,other M.pormic—ehle d.d......as dean" in Re[ui.11ona. Pwrt 3("CPR Subtitle A), i•.ued by The Seemtap o1 L.Inr under the Copeland Act.an.mend" 444 51.1 nIA 63 ST.I Jeff, 72 Slat 967:76 Sul 357:40 U S.C. ]76c). and deaotMd helorn FICA Withholding Nedical Aid and Vacation. (I) That any p•rro1L Therwi.e under this e..,fiel on,jj d lO M a6mllt-A I«the aMre Peel"are enrleai aml eompl.ta; His, the w."rah,I ',boors or mrcbgirif contain" tharein.rs w1 I.F.than TM •ytlic.bls wag rates T.I.I.Sd I. as. war,drnmdn llon Incnrpouted into mt o,4 that the classification*That bell,therein lot each I.berw,or mechanic on tor.with tM woh he performed (3) Thal any.PPrtntlres en tl.aMre;.led.re dull relbl.red Io.Mn.ride.Mrenliceahip pmpam reftl«oed Stiff . State .pp,,ntiT..hkp acre osettled hr "ne a... of Appnntice.hi, and Toibiho, U.Ited Spur.Dopadmasl of 3 L.M,.o,if no such receenlaed am.cy esiai.In.State,.rs nrlstered with the Stores.of Ap,-.11...hi,..A Train In, United Slates Department of Labor. (U Thar 3 (a) WERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS. FUNDS.OR PRW]iRAMS In addition to IN basic More w.,.rsta.paid to each 1.6orrr nr merh.nle iuted to the.bore referenc"I.P ,.If, pymenu of I,I.R.MneRt.a B.ad In the cenlrsct Mre been nr wnl Idr made in TO"In riaie pmrr.ms f.T the Maefit of each a,jh,,S •. e.cept a netts In Section d(r)below. (A) WERE FRINGF.BENEFITS ARF PAID IN CASH [�- Each L.Mrtt or mech.nle I+led In The .Mre ralersn,"p.ymle has Men paid.w 1"lol.d on the MTcoll, an.moan,not Ise.than The.em o1 Ito-,pliable M-i.Mary were Tale plus the amount of the required Irinee MnefD.as listed In the eontrsct.e.ce,t as noted In action d(c)Mlew fc) EXCEPTIONS 1)(C[PTION CRAFT) EXPLANATION 6 I i n[NaMa • P'L N^ Cutl�IIl' er Payroll Clark lT //1• .ULL��lxel / 1 l ..l sl.G.TrON O. wNr O/Tf N e..Or[aT::[V [[N r:a.r aV.J[< TN[CO:Tw.CTO On U.NOTw.Cr[.TO CI C%OwO ao3t.J V, Its fe ION err O TL NO fee TOO"ear O. TL[al O N[V t SO.T. lem eP-1 0' 1 wrrrr•Iwi ...A.. x. . . a !. H 4 t G= v .e narK EL6,IIIC PERIOD P� 7 r tNDIIN: IOIO>I.> Coltntm P�YEQL"PORT rw!Y0: to .sae rn 1+430 NDIITX lot .lR..T f WME. .ROMESti •1.) _ MK A OOOlA RED STATE OINE. TOTAL IKT 90N OF DDAEUEE-- _ T _.y_-1EW Wia 1111A-01" YIN YIN WI DEDUCT DED�ICT PAT S NC W IbO YILLIM rh.E. Etz 6l to 27 - 179.97 36-33 aYlYl�r�--� -7CiE- -7.1i .00 .ML-0[-- •. FE:EPI�L WY. W A00 •tE. 4A.l+ UiMM�t.P.lDO ^_ _—��_�_�—i��ll TMEP. SUEFDT C D: 1.0 _ 1.0 -lR7�M -_—R�� - wl.-�___.• a4I L0017A�-7�Q PORT ORC11R.0• W 9SOM .10.CdM: EEl1UMdVIFt..y1.1 _- _ - U4-%-""-1II-[61T-D1—KDIl+�CNELK P• 1 - _ l t L' C l 7 s 1 u s.rRveeLr.L[Mi a usoa PAYROLL F.—A v.o�r wwe AM Mow omaoM e.[[.��....so ..aiosa (fe[CaL[Ya[[ors OpYeRol Us,Soo,R[hR-Aok form W N.347 ImQ M/JIf Cf Cp1iMAC'OR M SVeCOMiRACiq --- .SIGN/tL ElecrkIC,. r% I r 'gl. So .26 "- S ET e A R.LYR0.L MO. rp1 W[fx[NOMY _ 1. LM.LT'ON RMLECi OR COMTRECt MJ ln,r,.L AF / 1 7 -3d-87 STRcrrrOvealw P.[r Gy_l/ ��G a� 67 '� U� 41 f1Lr 11wo wr[ .L N1 m '[„(Sc0 aA! r} (" I L SECURITY AMO 8L wORR O N r 4/ ipT.LL AIPE GW. !� I 90)U[1NM[ NK.6 SOCVL SLCVRIT NVMBLR � WOUMI ui1M. Zr or EwwrE[ L _ussR�unoM IL l7 1 B / lU �� u MLaiRs a v[.r rR. H o1�fR loi.L vuo Pfa o MWRs wORNLOL CM wr ARMED MOLMMo J VR rtp °P 90 0 3Ga e A Bq" /4 's Ijf gojl 53�-9A- S64,0 ! [ d /.Is 8sa eo c /Sd2 /o.7e ,.,, A6/77 sY823 /y9�- oi3o c 3%3 ,�.r �s'k �'- 112r�-RLms+�- / Jd o H1,.3SYS.lo .66 B /e.Io 1-1-4Y6 D8B4¢ 0 s 0 s I o i s 0 6 0 s r— lo s Si 190 i s [Otll wLL3L)UXN rdwnr f0.W -IURCXA56 iNlti IORY gRLCTLY TROY fNRTUT'L O!R/K UYRR}7 . a r r In ,he convert nave been or.tit be made to apVropriaY ProPams for Me Uste 9/`>•/�r be.elsl of svrh employee,,neap,as noted In Seehon {Ir)blur. * tba.w d.4uwn qn>t tTYel (D) WHERE FRINGE BEN RPITS ARE PAID IN CASH do herabY slate ❑—Each laborer., m n the WIN In ne above rde"' than payed Lee. pall, a Mb..Io on ne payroll. as ambe nl ..nl ten In an na s.. .f the eppli.eDle bale Louriy o6e n,e plus 'be s um of 0.e required Idnge t 1l) That 1 pay or euperybe ne payment of the perepna employed by /J � be.dlo as listed in the contract,ncept se noted .n Ssrtien Ile I blow. 9i;r ,C i n...wwr.aneoun t uy .� (e)E%C EYTIONB H that durim{ the payroll period commencin6 on Me �L p 7 PLANATION 'A¢.. dsyof 198.?..d ending me� er is ®ICAl10N ICui11 1 on wld ro aH have been paid ne full weekly aag rnN.nm ro rebate, all gene a uy D 1 hnvrbeen nealfl be .N<d.her dira9y or Indkerlly b or on Odsag d aw ftom Me eall w } " y rNrly ra=es ..ad by anY person and Met no dNpt d Dave been made M,n as der or Indl,m0y Irom ne NR wain earned Dy aoy µrerun, dhn Wan yermie,lbk,.W..ns ss ddi.N _•�^�.. In Regula0oa, Part 3(39 CFR Subtitle Al.Issued by Me SeetMary of Labor uMm ne CEndad Ar4 as emodN!{B RYt B{8,63 Slat 109, 71 SUL 967;79 Star 35];{0 U.S.C. 1T6r),aM des, cribN blur: � v p(yMRS ,21 That any payroUa ethaafse u.drr Mi. .,inset required an be wbmi.N for the abnva Period are oerrst eM eemDlde; nat ne rase raln I.,laboma or mnhanka en.lelnN nerd. nor Ins ns. ne apple,ow,waee ra4s eon YlnN In say wVe demmmauon I nrtyor IN lore the eentncG ,hat the lolfkagnn se r,.rth nerd.fin each laborer or rescnn.ir",.loan vllb the i. seek he pert.." ]; tLe, any appremtrn nu tWo, In ne air, period are duly M!st,,W in.bona Ede q-ri wdur.n'.y program nglstered win P State appretowhip, EgencY neegnlsN by ne But- -of ADprenikMlp and T,sloltt9, tInRN States Departmnt of Labor,or E an web—9-UN sgetrcy <aiw In L Stuh, en regieYrN alit,the Rurenu d Appre.ece,hfp and Tneini,,g,Polled _ stain Depe".1.9 LL�aw, o TOO .71MIp WLI 51GrvA1u.L (sUTNfI>L{-EIC (a)WHERE FRINGE DENEFITS ACE PAID ,'O APPROVED 1'LANfi, FUNDS, _ OR pli(N RAMS 4' THE NpfYt rAtLtfl[aiq. n 0. ul TMf YOYL fT.tiEY[MSE Sr 'n" ' T lea LYpia[TrNt ttpy�� in addawn to the Dale hourly verge utas paid w e.rb laborer or meelsaak iieTww C"0%1 niii370 of iwt�e?[ti sii is aegYao YTwp SEE are'wY txt Ys Trtt[v apD 1MN in the above rlecared pay' P"Inema of Mail.b..At. as Raw ... .ter-ss-YSY-s so"as Tt 4: i J aY YJ.OOWAW 1 Oa Vam corm n try... OtLL Mt MORO LNIYOII ,•.••, pow Gnhe[Is-/}[-OyNensl UEr,fnn Imbv[ N N ,iis[w WN-70 ir[I.1 Ruu[X Nw[a<oNrwcTw LJ w Mc scoNrraw 4, ��Q/yb4d -Zoe , 9 980 H ! NYnp.l NO. I(M w[Er1^FNOIH, t1101[Ci/:Mp LQ:AT1pN tf,Q,MT OR CONTn[CT NO n� of in ur wr uro wr[ mi If. m ,�„, 1 'a - omurnas NET NM[[eowe[ss.[No wawK F H TC rorR: ,PL °RO`� wM:[s fOCYL aECUn�T NUYBFR 6 r[�KV�rrON _�j 3V z- 16 n ZJ Xglq[ at[r wWN [4 FrrF � OrX[[ rOr[ PYO �` a[MROYLE 91, } O N011na lNoMllp M.wY FAnNFrJ XOLMM4 (OyITL ipl wLO( E F56,w Goad /Sa.� /o w s'n.eo /K�- Lff 4/O Yee s a 1(J,(�[.�w..�rrLtw. s Y .7 3 /09� ,M 7 /O.To 2e.ea / Sfa - 6- z 0 s o � i s s o I a O [ O s s s I r0[rr[µy[plLp rw[Mrtr sp U[-/URCH41L T111-IORM O/RFM Y fROU THE 114T.Of DOCUMENTS -- _ '�-'----- Oaee 9 dG-87 rrl conkr will bropdete propema for the b.alit f..eh employee..FarlI It noted in SmIl..Nc)been.. 1 � •ii•.d q 1 � �� (b)WHERE BINGE BENEFITS ARE PATH 1N CASH • •_O �Wkibill ♦ Q—Each bborer or meth.nlc WtM In Coe above r.fermced pgroll be.been du hereby.tah: , .n emounl not Ito than the .um of the ` i+�a Paid, a Indicated on the p o let �O`V a�J ��7gw^.��['l�� .pplieable basic 6ouriy .age rate peas. the .mount of Ne requlrM Irtrp t 1) Thief pp�ay or Coleal/iae the Payment of the Per..na employed by V — bendW..Ibted In Te eootuet,crept a.noted In SWNa [(r) "Aces. .bfl[C. ' oo the _ as A7 /. .— ifc.�r..n.r ur r. or1 tlu ow,l , �A (c)EXCEPTIONS .; that during we p.Yroll period commencing on the�a •� M'z FIICEPE0N1CIgAip EXPLANATION deY of Ilor end ending Ihr-r/_�.y.1 I9�. allPerv. p1uY on.aid projen have been paid Lee full wmbly Nag grand,that no rehetm have been or NW t e mMe elthm denell or Ind-metly m or an behaff of:= n d �,etk. Sd from thefa 1tenl.an�.,.xwu+e+vr1 — Nobly ryes mrnM by any pe.... end that no deduc0oo hrL a been made HNer dlemily or indirndy 1'.. the lull wag.earned by any p(ra.n, Other Than permissible dMaeti ene u damned In Ilgtil.done, Part 3 In CFR Sabdde A),IFFuM by the Secretary, or Labor uMer the Copeland Act. at.mended(48 SIaL 9e8,83 Sta1. 108. 72 Seat W11;T 1 Seat 357,40 O.S.C. 276r).And Fine- cnbM bdoN: � w( Er ��,r• fees U - . awANHs 1 12) Te, any payrolb otherwke upon Ni. mraracl rlquirM to be n,bndIIM for the above Period r,e r.ntael and eamplde, the- the Nalee eetm for ILbortr.or mechank..."C'Ned thereto art not leas than the.pplkable.a8e ntn CVntal.M In any eeAge determination 1-immorated into The cvotnd Nat du doe.Ifka6om.0 forth the.etn for arh I.1nece or mmh..ic p-M-nm AM the Nurk he pe.formed are 131 eshi program ,,g HC with M In Ne above Period " duly recognized Ins bona an of Appke.htp y,ad mgt,N.M NNh a St., app.endmldp Lobo re 1 If on by the Human of AppramknAip and Training. OnNM FUtes Ikperm�mt o/ Labour. or If no wch raognuM .teary exist, In a State arc rgletrrM with the Ituteau of Apprentimlelp and Training. I'nited Slake Dva,daent of Labor. .1 TITLE SIGN. tt let Sbet: )t/rLLF.� (a) WHERE FRINGE PPINEPITS Alit; PAID 10 APPROVED PLANS, 1`11NUS• Ll CLERK r - OR 11R IC NA%1% _ THE WILFUL FALSIFICATION 10C OF On OF HUL.Yana[Tales[NT[ ter 'ON ' \N[ TITLE to Tao _ In nddihen to the pane hoe rlY va[L'relee peed to eery bpurrr .r mKpenld OR WaCONT R TTLI 101 THE On TW Feat Cone-VTgY SEE SefrpN IJCt OF 11t1[ a aN0 SR TRACON R TITIL L Of TNC YMiTLD STABS CVOC. ❑.ted In the above merenced payr 0. payments of Creole.benente a IM 1 J M�IDD MIND OMi]011, 9t= ELECTRIC P COT ED PAYROLL REPQVT �1 l m a.Iv b: WT'00 11n OmEET O'K11LAY t. LOt IMRDYFIEHT -Y11Af-ADnuLT=Milt',-D10�- - 1 I .. •_.- ---_. -RENN 10111 ADOMY Mt .-1M --_- OI- TOME .p MOM A RATE DT0:11 TOTAL LET I_. -tMR0.-tY�-gq'-yR MOIAI. Fµ D. -.. IMTf'ti 0. 1.0 L 0 IML 211.16 10.10 M10ifJ.Ot T D[NTDN. W. MDDO JD♦ DID: .•...WE ICY M m"I-I1, no �•;f RVITIE :S y FEE:: ., rl IS I A Mt M 4 1r.'1 • Ys OpAaiY[MT W\A• � was a..Y.Y.a...c a�< STATEMENT OF COMPLIANCE Feet on, Nl.u comsat T[p1Y1.... IIION Data 10/2/87 n� P. M. Cuthiller Payroll Clerk w We el.deal`M PN> C"' •day Ist lap wise: (1)That I Pay or.ope. l..the Paymea of the Parson.f eployea by Ilgnal _ Electric, Inc. _ Wr any then nt n 1987 Street Overlay ;teat dorm the Payroll paned<wm,encing eepre__ yet Sept a udnll ml 1987 aad,,afna a.? y ref_ Sept. 19�1J, nersenl m,l .-A oa I.Id ,,,elect hers been pad the full weekly,news aarrmd.that tee rebete.It...been or will be made either dire, dr-clh to.1 on behalf of said Signal Electric, Inc. from He,fail we.kly w.ge. f wba< write�� any psrlin and rh.t no dedoollone he,. been w 1.ellh.r dlrsetly or ifalirecile Item the full rags.seemed be any petters,nine,IMn permissible deductlnn...defined In R.-W.UOn., Part d 129 CFR 3e14111e A), toiled by the Se,ntem of Labor under the Copeland Acl, as were cd ,, Me,oil Slat IM, Tt Stet. %?;Te St.l. 'IT;10 U.S.C. 1)6c) am doMbad below: FICA, withholding, Medical Aid and Vac.ltion (2) That any Pgrelta otherwise undo,this on.let I...lend to be.ubsilted lei tM.boy.period.re emus,and comp,,,; dml the wale We.for sberv.or mechanics Contained therein u.net le.. than he applicable wage let.. contained In say —air delermtaatlim incorppfared Into the roatna: 'het the It...IflcaUon. . 1 ferlh therein in-each letters,or ameMnic cop lnrm with the work he parformed •'�hl S,at lae yn apnenYcel employed In the-beer palled ere duly reginered in a hone fide apprenticeship pros,..reslat.n, pprenliceaMiP a[ency nro[nlaed by the Rates. of Appnnticeehi, and Tninina, United Stele. Depnmem el Labe,or if on each nicosni.ed q.ne,estate in a State. see"i.l.red with the Bureau of Appfenll,,,hip and T,ainial, United Sletra nepbtmenl Of Labor (AJ net: (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS.OR PROGRAMS (� inyddlaon to IM be basic beetle wage miss paid to each Isrer or meeMni<listed in the above refemn,rd pay- Yments of fringe benefits o listed In the contract haw bern or will be made to.DPfoprisle p_,.m. for the benait of.uch empleYea., eseept as noted In Section a(c)below. (h) ITIERE FRINGE BENEFITS ARE PAID IN CASH �]- F..ch L.Mn,or mechanic Ita,,d In the .bore referenced P.ymll het Men paid as Indicated me the Devmll.an.mnenl not le..then the sum of the applicable basic Inedy se mlr Plus the amount of the re9cbed bin,. benefits an:i.led In the contrsct,veep)as noted In section ale)below (cl EXCEPTIONS EXCEPTION(CRAFT) _ �— lXPt AMAiION i emw.e P. M. Cut hiller, Payroll Clerk C.4.v.L 10ICw�wNtL lwa,t[N O< e O[TNI..OY[. .rlY[N'.rf.o.VeJICT rN <ONtn.'10n Ow.VeCOMTr,1e:M iD e... 0a CV♦�ON N....[C 1�ON IOeI O.T L. a.N .[eta ON all or 11<L[ 01 TNl I.tM1e!Il/MI t i 1]om �asrgap ` 4lNlfy7`� 22341 WE-S •]l]NO )est boast coon ko., Inc. GENERAL CONTRA _ AND ENGINEERS P.O.Box 419 24205 Rond WOODINVILLE, WASHINGTON 98072 I t' OCT 13 1987 t TRANSMITTAL RECORD � TON TO Cit OF Renton DATE ty.tat,,,,. t2_ IQ97 ngineering Department 200 Mill Avenue South JOB N. 1st St urnett Ave. to, Park Ave. AG 029- 7 Renton, Washington 98055 LC ATION N is ..B�urnett Ave. to Perk Ave ityC 0fSt_Renton ` ATTENTION Joe Armstrong - Project Engineer j We are tending Herewith® Separate cover by Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION Certified Payroll for week ending OCTOBER 7. 1987 i Certified Payroll for week ending SEPPEII-ER 30. 1987 For SiGNE7. RI.FCrRTC, INC. e For Approval Approved, as noted Approved Not Approved - Please resubmit REMARKS WEST COAST CONSTRUCTION CO. , INC. S Copy to: By V Tim Buchanan ./ ! Title 87-9 File Secretary _ I ' A. e x F PRO-1 N. lst St. Improv. Burnett. N. to Park N.-Monthly Util Rpt 2+ i U.S. DEPARTMENT OF IA8011 PAYROLL WAGE AND HOUR ONISION RuoRN au...,,No a-elOu (For Contractor's Optional Use;See InStruCtlOn,Fonn WN-347 In&) _ NAUX Or CQNT TO- fX1 OR [U[CONTRNCTOR .Ww1E[s _. WEST COAST CONSTRUCTION CO._INC. _ P.O. Box 419, Woodinville, WA. 98072 483-1900 ' M --- [oR w([M [Hwna' - .. l OCIOBER 7, 1987 X.IstECI AND St wBurn CATfON TMO![CT W CONTRnCI NO f -- - al -- - -- -- - - � _ N. 1st SC.,BurneV Ave.&Park Ave.-Renton CAC 029-87. 01_. w oar ANo onT[ ,H � �u ri �- ALNAM 1CMW M,° ` WMN •�'� MAE I IMTE I GROES otol,CSN,xe NET 104M1![CUIRIY NYYKR b11 ClA[YYC.T;ON �,F��'��----7��--"l7� 7 AGROU wr1M- - WAo[s OF Eupora fiiB I Nouns woA„eo rAw, OFF 3 ,so,x,a I a PAr EARN[o rich NOVX" l�D. UNIINI mNeR 'O1A[ PMo TA[ [[W[HOM I"WEN S L A8o[Eeae a: -- - - /of•gi 91,09 /tL•N /r.37 ss zs; zv 7o W317.f I?gLF_ ��3m o) y - - 3 7_ rscf ys qll CtAniA/r 12), 1D _ — CAROTt/ERS> Q/LL)( 1°J; .«.vrw • - - 3 - 7 /8/l fL,�� /5o.r /i j7 Ls.7s :7i 7f SW,BY S C EnrEt/7 1i7.IY SL•67 ;9y ea /L 37 t:3,>S vLL.By Y �RVE, 1,7fLL/Aryl_ (0J r,rasov • Y - 3 - 7 /!./L azs>9 NI LRC{OREX ° :,,V, •- ( FORFAP1iF+t/ .9L /24ea //,37 fS.zS 2Y9,fd S°S. /i. E �QH.yso.v �Q y - - 3 - 7 /�,zs 7sy. 3y z -z of AS.F.B° o s1 38-09oe fti/a S TEAArlsrex Jiy,ll MARIA D1jw& " (°f 7 7 0- L Y9•y7 rs9a /o r7 — z/a.fo Y7z. 9L sy 1 l YL,sL /ox 10,97 s3,3o z/bs3 y33.7/ /sc9 JTDt�ES, DUANE �0); FaacA.,f �'i__ _ss �3sr.ey /�!a 10.17 .Jo.7ri ZtO.7c y8R07 1 M � ce-.unvs fe y$ I 1L/�"UlN`fN TC1fE�j�l ((1/i .P�AEei✓ •i SS y,Os /73•a //.37 — /ES!yz S ZY/ a; ror Ww 7 oia)—rORs,ER,r SO[ IM—PURCHASE THIS FORM DIRECTLP F=M THE FOR.'DF DOCUMEEIES ;i, uxem October 12. 19B7 rww Sonpelfv.or Sectiona pee pragnmafor tee wrhemasacra emlNoyee. ascapl as rioted In Section4( below. n 4(c)below. 1, Terry S. Rlenhanan Secretary twlw M elpretry 11 RHIu (b) WHERE FRINGE BENEFITS ARE PAID IN CASH i do hereby stale: Ej —Each taborer or mechanic listed in the allove referenced paYr011 Las then par'e indicated on the payroll,an amount not less than the sum of the apDbubk bask (1) That I ay or supervise the payment of the Parma ampbyed by -W£Ht "St hourly wage rate plus the amount of the r"uned fringe beonfrls as hated in the contract,except as noted in Section E(c)brtow. Construction Co.. Inc, Or to North 18t St.,Bur n ett Avenue to ttarllrshor or sufNMrfeKtM nwkrry tie.ti.kl (e) EACEPTIONS Park Ave. - Renton -that during the payroll Grind Lvmmencing on the 1st day of_ OMBER .19 87.and ending the—'Eh it.,of oeTOBER 19 87 Utl"NYN (CRAM D(PIANATgON all arsons employed w said project have been aid the full weekty rye anead.that rho rebate -- -- — —- --� have been Or will be made either directly or indirectly to or on behalf of said WEST COACT CONSTRUCTION CO„ INC. frorc con fun (oxhi weakly wage•arned by any person and that w deductions have been male elthar CHTKMY or irldirecUY from the lull wage earned by aM a'son, other than Dermisvole deductions as degond in Regulations,Part 3(29 CER Sublitle A),issued by the Secretary of labor,..Mar tM Copeland!Act,as _ amended(peg Stat.948.63 Stat. 108. 72 Slat.967:76 Stet. 157;/0 U.S.C. 276c),and descnbail - --'�--- below: (2) That any payrolls otherwise under this Contract repaired to be submitted for the above R[YARa periM are correct and complete:that the wage rate for labpnrs or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the _ contract.that the classifications set fMh therein for ac]laborer or mechinic conform with the work he perfurmed. (3) That any apprentices employed in the above period are duly raiaterd in a bona fide apprenhcahip program registered with a Stet^aWrentYehiy agency,recognized by the Bureau of Apprenbuship and Training. Untied States Del, rtment of labor, or if no such recognized agency exists in a State. an registered with the Bureau of Apprenticeship and Training. United States D.parthmed of Labor. iI (S) That. NAYE ..D TITLE TH"ATURE (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS. FUNDS.OR PROGRAMS Terry S. Buchanan, Secretary d THE VALLNL FALSIFICATION Of ANY Or THE ABOVE lim'EMENTS WY SaIECT THE CONTRACTOR OR Ny In addition to the basic hourly wage rats paid to each laborer or mechanic Intad in gUBONTRACTOR TO CIVIL OR UIYIMfA IWMCV'Ow Me KCT10N ICOI Of TITLE le AND SECTION as'M — TITLE if a THE LientEl STATER CODE the above mfe anced payroll,payments of fringe benthts as Isted in the contract w .rwva' .aahxa hxx acwsN r4� a...OVARTWNT tw LASOR w.aa wo»eon A. w.u< STATSMUT Of COWLIAMI * Fw�iew riwakM w qM o»rw At..m1ausea Data 10/2/e7 (� 1 P. N. Cuthoiller Payroll Clerk .ft hereby scat,. (NwN mra.r•.Artr E) Signal Electric, Inc. n ill That 1 ay.1.upervise the pt iment of the persons mateloyed by �.r the Rent onrNOl eT-o Sc roSu- ,that during the Payroll add canna cie,en the_. M Sept. ia�'t w) t In S] and endlne the Y of Sept. 19JU, all persona employed on said protect have Fern aid the lull weekl.wqe.asrrrd,that SO,.list..hew been or will tor made ai*.,divecle or IdltactiY to or on behalf°I aid Signal Electric, Inc. Irom IM full meekly ales..reed by Any penm and rh.t no deductions have I Ae1nr AS warce—larl Iroade either directly.,m m Indirectly from the full So....a on road be any ars ,other the.INiv lMe deduc Unm an defined in Rrpdanons. Pad d([9 CFR Subtitle A), issued by the Secretary of Labot under the Cotreland Act, An amendd (ell I., .IA 63 Slat IDS. )r S, t. 961:76 Slat dS];e0 U S.0 ]16c), and described below: PICA, Withholding, Medical Aid and Vacation (2) That .ray P.Yroli.otherwise under this contact re9sirod to be.Sb ilt"for the .boee arced me c.owci said centrists; that the wall -I..for laboletor mechanic.Contatled thereln are rot less than the .altc.ble wane r.I.. contained in any wage determination uN.,pnnted Into the contract, that the dss.Ulutlon.set forth therein for each labour or mechsnlc cam term with the work he arforo of (d) That any Aporenlld.mail to the We.aNd AN,duly registered in a hone fide salenUceahlP Penn tegi.leord y with . State apprenticeship agency recognised by the Bureau of AMeovilceship And Training, United 9WHO DM*dmenl of L.M.IN It on such ne.em.ed agency..let.In.Slate,are registered with the Bur-au of Apprenti.eahip end"raining.United Steles Neptrlment of Labor. (U net; (A) WNERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS.OR PROGRAMS In addition to the basic hourly wage rates paid to each laborer or mechanic listed In the above referenced pap -11. Paymenla .1 binge benefits AS listed In the contract have Men or will be made to appropriate prnpmins for the benefit of such employ..., .sc.a F.nand In Section e(c)below. (b) WHERE FRINGE BENEFITS ARE PAID IN CASH [--� Each Laborer or echanic listed In USE above refereed payroll has bass aid as Indicated on the avmll. J an.aunt not less than the.um of the eppliabl.basic Snarly wqe me plus the.mount of the m,.imd file,. 11 benefils n listed 1n the contact.except as nand In action Nc)below. p9 EXCEPTIONS MJICl PTIOM CRAFT) EXPLANATION 1 1 I j .aaAA. P. M, Gut hmiller, Payroll Clerk yjj off ��iwJ I'll"IL 10L ...I.I...i9» .. .» Iva........TEwg»T...e. ».n.9....n.....».,..r.n. r.� CIVIL OR c A1wm A. ew.aecuTm» SEE FRICTION tea,OF T,...It AND SECTION cal OF TITLE.1 OF TIME o»,Tao STA rn Farm NM-IN I Vag) I i J S C MOMe arms: 09A 47 CORI►Ip"VIROLLL MlWWF PW IIL 1O AS •T: fOls Ow" IOT WHIM ! F _ am ar G01100 . ruff. utree tIe Tom A OO POP won Or1Y TOTOL sT -0M _ 0•EtMOVW YICO—Wlr'1VM__sI 0 LO fML.M Lit.M tL A OM.O! •s. -:—[!Yt tote*Lt---" .p—'--M --�M.'W—'— r • MM00. W TW10 .IO LL1M� CMIA OKJM 190-O M �fe1T. M/fT T[ C. L LO a M.OI 100.» I0.» fu.tT Wet t00tw-'R. -�_— a r1pi. M 1MOt � .O CtAM: woo Woo— ORCIUMPOPP-svp-watio ��fbC000'tO.1011► .-'b'-1R000Ot0 on . r ,.�KMCt. IMrILIM L. •. L O as TLe.M lq.0f 10.70 W.M - r �rrYtOtt 1"�tlOLl'--P.— . rftTw too. w '0110 AgN1011FH}pt0 Al0'O'IL1^"K10 .__ ■vYT C. e: 8.0 It.0 W.10 tL M L R 72.Ti ::-1QhT -- 0 - I ., MIT OOCIMOO. W ISM6 WO RIM OR 0.AOO: MOIMWbt00-01i0 "w01f1f'AT^7 _ f r — M c. „t Jf xi ii i • P �F FF Y f xf; ry^6 i' i.J A * t a I 1 R P4 5� M1. _ yl Q ^ IHI81 .aJ-0Baa ,`�QGIIl14r 223-01 WE STCC'373N0 Vest Coast ; coon Coo., Inc. GENERAL CONTRA CEN92 AND ENGINEERS t' P.O.Box 419 24205 Woodin,ill.-Snohomi.h Road Nr '1 WOODINVILLE, WASHINGTON 98072 tk'Mvr." f OCT g iggs M1 of 6 TRANSMITTAL RECORD k t I { TO Cit Of Renton _ DATE 10/5/87 rgineering Department 200 Mill Avenue South JOB N. 1st St-Burnett Ave, to Park Ave. CAG 029-87 Renton, Washington 93055 LOCATION N. 1st St..Burnr tt Ave. to Park Av City Of Renton ATTENTION Joe Armstrong -- Project Engineer We are sending HerewithIR Separate cover by Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION 1 E-ch EEO CC 257 Sept. 1987 for: West Const Construction Co. Inc. 1 Eech EEO CC 257 Sept. 1987 fort• M.A. Seqrle Inc. M1 For Approval Approved, as noted Approved_ Not Approved - Please resubmit { REMARKS For your use. I WEST COAST CONSTRUCTION CO., INC. Copy to: By �-, Tim Buchanan _87 9 Fv ie Title Secretary t� S a: r - i E Emn•IOYmenl Standwdi AOminnI,atmn,OFCCP I UTI LIZATION REPORT r,'!no Count MINORITY: 7 FROM: a'27"i7 bn rwon ie r.quued br E.ecutire Order 11746,5.c.W3.FailuTno rwort�t rn mmracu burp ;FMPLOrGF I. .rM. :neN4d,urswarw PnuweMed in wMb or in Put and roe mntrutnr may W declared indgiblH°r 91-062-8000 FEMALE: TO:6.9 9F 9-30-A2 aabn OP.ernment morons PllMrtlH arided mnmunion mmuen. nn D/J NAME AND LOCATION OF CONTRACTOR FEDERAL FUNDING -,t WEST Coast CORStrUCHOn CO. / Inc. AGENCY' /reO ul+.wa.Ls. P.O. BcK 419 Woodinville Wash_. 98072 B. WORK HOURS OF EMPLOYMENT(F4denl S,Na F•rNnll [. i0 S0. &< - W. G. , 7. B. TOTAL TOI AL CONSTRUQTION TOTAL ALL BLACK ASIAN OR AMERICAN NUMBEROF NUMBEROF !RARE Cbairiutien EMPLOYEES INdt 01 HISPANIC PACIFIC INDIIAN MINORITY FEMALE EMPLOYEES MINORITY [Y TRADEISg4nk ONSUd MLANOERS OR ALASKAN PERCENTAGE PERCENTAGE EMPLOYEES _._..______..NATIVE... M F M F Y • F' Y I F M P M F M F Jbumer worker 7,�8. .-.- i G4 � , Y Operators APPRENTICE TRAINEE SUBTOTAL 7Ji M. 7 / Joumer wcnr Ali 41N -_•__I(_�'/e -_ .(..•_. =Q-�_ ... (._.. 8 _ 3 2 3 LnbOrers APPRENTICE TRAINEE SUB-TOTAL /07 3 2 - ... .. T. it Journ.r vrolser 2 •. •• 3 APPRENTICE __ t If.�.. .r,. _.. TeM111Ers TRAINEE .—. __— 6•/Qlr _ SUBTOTAL Jourrlar•wm4er 5e4 _ _ _ I Cement APPRENTICE H4 Mns,snS TRAINEE • � 94.3% - - SUBTOTAL .7P7e}' u4 APPRENTICE. TRAINEE : SUBTOTAL TAL JOURNEY WORKERS 23" eko i '�" l2S. 3E4 5 3 J. TAL APPRENTICES /4 ` TALTRAINEES _.___ „M,,, .• RAND TOTAL 2S77 4io e/p T2L I 32} 24 4 5 3 _ COMPANY OFFICIAL'$SIGNATURE fAND "TITLE 11T[L[IHONE NUYBER IIndwa 4rea F4de1 U.MTE SIGNED PAGE Secietnry (206', 489-1900 ro_5_aT One OF One APPROVAL INC.44AIM n FORM CC 257(Rev.9/78) y. } s' i e J t . 9 A j M.A. Segale. Inc. EMPLOYEE UTILI2AliON REPORT JOB CODE 007510 PALE 1.12 18010 oouthcenter Parku PERIOD ENDING - 1/26/87 RENTON CAG629-87 1ST IT Ieteiia IIA Wes 91-0714443 YST CST GON IIIPRMMTS CONSTRUCTION --TOTAL HOURS__ -----BLACK----- ---412SPANIC- -PERCNT- -AEMPL- -DNINR- © TRADE M F M F M F M F M E MIN FEN M F M F LABORER JOURNEYMAN 48.00 .m .06 .00 .BB .6B .00 .06 23.50 .00 49.0 .0 0 2 B APPRENTICE .00 .00 .90 .9B .60 .00 .0e .ee .60 .ee .0 .0 9 0 A 0 ------- ------- ------ ------- ------- ------- ' .w+ SUB-TOTAL 48.00 .D6 .60 .00 .00 .00 .06 .9e 73.50 .00 49.0 .0 5 0 2 0 OPERATOR JM• 'MAN 72.50 Q." .60 .80 4.50 .BC ,se .69 .00 12.0 19.5 14.' 8 1 1 1 APPktrTICE .00 .00 .00 .00 .00 .09 .00 .00 .00 .00 .0 .0 D 0 0 0 rl _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ ____ ____ ___ ___ ___ ___ .a,1t. . j TU0-107AL 72,50 12.00 .DD .00 4.50 .00 .00 .00 .00 1,." 19.5 14.2 8 1 1 1 TEAMSTER JOURNEYMAN 124.50 .90 .00 .00 ,BA .00 .8B .e9 .N .N .9 .0 to 0 6 A APPRENTICE .08 .00 .BB .00 .e0 .00 .00 .M .00 .00 .9 .0 9 0 0 0 _____- _-_ _______ _______ _______ _______ _____ _ SUB-TOTAL 124.50 .00 .00 .99 .9B .M .08 .99 .N .09 .0 .9 16 0 0 6 _. ej OTALS JOURNEYMAN 245.00 Q.00 .00 .00 4.56 ?A 00 .90 23.50 0.06 15.6 4.7 23 1 3 1 APPREBTICE .00 .00 .06 .00 .06 .00 .00 .00 .00 .0 .0 0 0 0 0 OTHER .00 .00 .0 .00 .60 .00 .00 .00 .60 .00 .0 .0 0 0 6 0 -- - - - - ------- --- ------ ---- ------- ---- - -- ----- ---- -- `.� GRAND TOTAL 245.00 12.0 .00 00 4.50 .00 .De 90 23.50 12.0 15.6 4.7 23 1 3 1 S1 a.Nre, ei. Date i i J IL EMPLOYEE UTILIZATION REPORT JOB CODE BMW PALE 132 PERM ENDING - 9/2e/87 RENTON CAL029-87 1ST ST si>i 91-471A163 YST CST CON INPRINITS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ aCK--- --HISPANIC-- -ASIAN---- ----iNDIAN--- -PMNT- :F,NPL- :NINR- - F N F N F N NIN PEN N F N .se ,DO .66 -00 .BB 23.56 69 49.0 0 5 0 2 .00 09 .00 .00 .00 .00 .N .0 .0 0 0 0 9 'JnLJ) ------- ------ ------- ------- ------- ------ ----- -- ---- --- --- - .00 00 .00 .Be .00 23.58 .90 49.0 .0 5 0 2 9 ." A.50 •00 .M .00 .N 12.61 19.5 1A.. 0 1 1 1 .00 .00 .00 .99 .00 .B9 .B6 .0 .0 9 0 0 -0 "'Est ton C ------- ------ ------ .00 4.50 .00 .00 .00 .00 12.00 19.5 11.2 8 1 1 .N .N .BB .08 .09 .N .90 .9 .9 19 B 9 0 - ee ea ee BIDD9 .90 .00 a .0 0 9 0 0 ------ ---- ------- ------- ------ ----- --- ---- -- -- --- --- sa .DO as e0 ee ee 66 .9 .6 16 0 9 P .00 4.50 .Re .00 .90 73.50 12.00 15.6 1.7 23 1 3 1 00 .00 .00 -ee .BP .00 .Be .6 .0 0 0 9 9 .00 ee .00 .00 .0 .00 .N .P .0 0 0 9 0 ------ ------- ------- ------- ------- ----- - - - - .00 /.59 .N .99 .00 23.50 12.0 15.6 4.7 23 1 3 1 Si tore, T It Dab .. «g , {}Ny ry 11T. }} dtt i ..W .' k ♦ aarY. 4j 1 i t I a ,xoel w.,eae Ol_/4 22701 WE.4TLU•371"0 Vest Coast r� ction D0 .1 Inc. GENERAL CONTRA AND ENGIN K Z,P.O.Bo. 419 24205 Weediorille.Seehomish Peed a" t FLI�t ED WOODINVILLE, WASHINGTON 98072 OCT S 19ST •, otvT. TRANSMITTAL RECORD TO cjtX Of Renton _ DATE Octuher 1, 1987 ngineering ePartment 200 Mil'_ Avenue South 101 Nylat Sit B,�rnett Ave, to Park Ave. OCAG 29-87 i Renton, Washington 98055 LOCATION N. Ist S[. urnett Ave, to Perk Ave !1 ZSity f e .Bnton ATTENTION Joe Armstrong - Project Engineer s� We are sending HerewlthCKJ Separate cover by Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION Cer Lified Payroll for week ending SEPTEMBER 30 19R7 For Appro,•al Approved, as noted Approved Not Approved - Please resubmit i REMARKS WEST COAST CONSTRUCTION CO. , INC. Copy to: By Tini Buchanan 87-9 File Title Secretary t. J Yf PAYROLL US. DEPARTMENT OE LIBOR aws•I e�..,u x.u-xloaT WAGE AND HOUR DIVISION (For Contractor's Optional Use;See Instruction,Form WH-3471ns1) x.MF O[CONfMCT°II W 3UKONTMCTOR UDR[Y NEST COAST CONSTRUCTION CO., INC. _P.O. Box 419, Woodinville, NA. 98072 483-1900 %p1[IE[A[N°ING Aoil&,A! AT10M PAWEefn�CORTRNCT MO. L_ R 30, 1987 SL.-.�11 nett Ave.&Park Ave,rilentoD wAl 13 SEPfEP1BE N. lst ----- -_- Z�S N I M[ Itr ! A MET N"L AWNESS. MV N°A„ T°TAL "HE RA°[• socu[ MCUMTr No.N[x A � cus:tr.ATroN NOUMS or rAv [A rNw nl[Is 1�D. UNION ornateaaD or[.nor[[ gig TAa PaKrlrls soN vNs.N Nn11Y[r•RN•°(ACM fMT of 3/.3d Saa,< /jaw /i13 sd.rs� affi.9y y28.os �li •1� 2 2- -- ° ;1 p� LCrAev7 36' ,s/ /MP, //.43 Cszs a8i vs Say 67 CA/PDTNE (eI r�A.Iw✓ 2 2 /&/�Jr ezgyGX /3f s2 YL.Sf Nf io,t S3'36 z--ri'3 317X3/ S C��nen7r ° 36 31SY,17 204.0 1143 Ls;zs 339,v y82.67 s L.4BaceT� ° 33.9' 3•Iff f/fw 1.79 Y7,f+s y8.9n So6.z7 UA*2 P/ES,Q/�/ eJ S 8 YA 8 3Yp= /S2/ q i L/iBAII� ° - 0fe ss,8! 137, //•c3 sl,ss aca if s/9.s9 JD�tiJ_ (old Fa�r�kw o SI A3PecAyc+� s/• yy1,7 Y7,a i0.7e s2,T. aoys7 yz3.03 S y/7'3 31-r3 70•0e L•yx /8.00 2-_A / u yY.�i11- raw wa.z+r I�iMI-roxN[xl. so[ ua--PURCHASE TOM FOM 01119M► /11101111 THE Still OF DOCUINU 11 - r 1 _ Mu—� �� 1� 7 win w made ru euvmw�a.e prognma for::.wrMR Of such"PI-YOM except as coated In Sc6on A(c)Glow. I, Terry $ Buchanan _ Secretary (b) WHERE FRINGE BENEMS ARE PAID IN CASH pram r W...'..nip Is.r .. do Grelry sh:e: [] —Faces tfilaborer on the m«roll. n ted., m the above than the s payroll nap Gen pad,as mR.dated on the payroll.an amount not less than the sum al the appliUble Gpif. (1) That I pay or supervise the payment of the persons employed by XCBt:SrQH@C— nouly wage rate plus the amount d tG r"uirad fringe GnHi4 as listed in tlY comrM,awpl As rented in Section A(c)Glow. - Construction CO.. Inc. cn V. North ist St—Burnett Avenue to 1raaN.oer«sw«areaer) teaae.s«wn1 (c) EXCEPTIONS Park Ave — Renton_;that dunry the pay 1pll glided rnrnll aegag On+he 24th ONZPTMday of SUTEM ER ,1987,and ending the Mth day ot._SF��— 19 87 _. _ (CMWT _ W -- - - -'1 all".a employed on sand project have been paid tG lull weekly wages earned.THAT no mMea Gve been or will G made either doecty or indirectly to or on Ghall of said WEST McCT fI1NCTRII(T iON CO INC. _._ __horn the To l<Mrade «.uer..rr.cbr) wealdY raga earned by any panOn snit tlul no Ifaduaionls rove been made aNher directy a 61dirsctlY __._ _. ___ from the lull wages earned by any PUP-n, other Man Peommssible deductions As defined in ' Regulations.Part 3(29 CFR Sulxithe A).Nov d by the ScMary of labor under tar COPNarM amended ;48 Stet-948.63 Start. 108. 72 Star.967; 76 Stat. 357:40 U.S.C.276c),and desciibod (2) That any payrdb otGrwiae uri this<nnhact repNxed u G subndtted TOf the allows aENMlta Cperiod am corms and oumpine:that the wage rates for leporers or mechanics wouined therein are t not Ins than the applicable wage rites contained in any wage determination Icorpooted into the mrdrM;that the cWro,fcotions set forth therein for each laborer or mchanic conform with the work he paAcmed. (3) That any appreMkn employed in the above period are duly regiRerd in . bona fie appnntiraship program registered with a Stale apprenticeship agency recognized by the Bureau of Ap sompcnhip and Training. United States Department of Upor, or if no such recognized agency exists in a 6uta, are registered with the Bureau of Apprenticeship and Training, United Statsp - Departmant d labor. (a) TGt: tort axo r."E arpn.rulta (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS,OR PROGRAMS Terry S. Buchanan, Secretary THE w111FU1 rAMIFICATION 00 MY W THE NPV[STATEYGaTe W1 ii"W"CT'HE IO RaCTM W —In wNhuon 10 the GSIC houry wage rates paid to each NGrer On mKGn.listed m gINCONiaALT01110 GVK pe G1Y11rrLL yadaELUNOM_fQ SECTIM 1 WI df iiilr Ia MO YLrIM1771 pI TR{L 11 pa iK taplTfD aTAlaf COOL the above referenced payroll,payments of lrirye DUMBs As aped in the comrsct v ewwco.nano or.s aw } h ■ ® ` 1201I Us 1900 Ely, 3-01 WEST{ '373 o 0404�'�90/ ctton est Coast Co., Inc. GENr:RAL CONTRAC' AND ENGINEERS P.O.Doe 419 24205 Woodinville-Snehowisk R yrr I WOODINVILLE, WASHINGTON 980 2 OCr 11987 TRANSMITTAL RECORD E �gEt n J TO City Of Renton DATESeptember 1.S o mber g t9B7 —ngineering Department 200 Mill Avenue Suuth JOB N. ln[ St..BurneL Ave, to Park Ave. � CAC Gri7-87 Renton, Washington 913055 LOCATION - N 1st�S By. Ave. to Park Ave Z.ity f enton ATTENTION Joe Armstrong - Project Engineer We are sending Herewith® Separate cover by Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION Certified Payroll for week endin.,SEnMFB 23. 1987 Certified Pavroll for week ending SEPTEMBER 16. 1987 FUR SI•NA1 Ft Pang TC INC. CerN.fied Payroll for week ending SEPTEMBFR 19 1987 FOR M.A. F AiE Ibc. I 1 For Approval _ Approved, as noted Approved_ Not Approved - Please resubnu. j REMARKS_ I a s WEST COAST CONSTRUCTION CO. , INC. 3 Copy to: By e 6-e6..4..J i Tim Buchanan 87-9 File _ Title Secretary i i 7r 9 U.S. MPARIMENT OF LABOR PAYROLL WAGE AND HOUR DrviSiON (For Contractor's Optional Use;See Instruction,Form WN-347 lint.) Y N^ME Or LONrNACrOn OR WaC AAcvON M I AOOPESS VESTCOAST CONSTRUCTION 00.> INC. _ P.O. Bo: 419, U_oodEnvilie, WA. 98(772 483-1900 - 4 M _ — - NROIE_r AND LOCAIMM �ROIf['E OR LONiN.CI MO 1 M[NDINO 12 23- 1987___ IL 1BC St...P nett Ave.B.Park Ave.-Renton Cj_.AG-029-87 — f l -__ M Mr AND DATE or I on m ( • IN DmucrRMM ART Yc NAME ADDRen.AND ` Z rmu I MTE ••••r i, aoa11L eECOMn NwNeR a CEA IUTIDN R NDRARa WORRm LY.'N wr NW aF rAv � RcA Nott"MIG F®. Ifl1IlMi msRER sTM1 R VN OF a Ovtf Yid MmnREM FOR ruRR tea; G ° 3s Yd -,LGle[T (� ' 7r�A,n.f1E-,t • Z �/7•� 638� YS.[[ f✓... !sue so.af Yld.� S ° 71.Y NY.47 iir io.7e t2.ee lyzn 3d.Soy � ' n (eJ LA6oeec s S S /_f: 17 o krj' [)OT Er DAMES _ S CE�stis R0"fe, /.9y /ao. io.>o 6a"eo 1ta.sr ya.3.�� CAROTNEgS R/cty c°1 V?•►aO.v SS S Id_•_IL 7z6.Ye -- o+l, M+ -t3f s oY 3.sn 7a eo r^ 11 L.tsoter t Y fe"7e s2,a l:t.z° YJ0.2o CdldzJttNhfJBm.LoAd z C!s i/ �Np — O s� e� Pi�Ecnyec • - J7 l3tae �•71s:"ee 2Yt. 3dso3 s 1P, 7"AAlk S I CE�RCA/7 D - 10'~ s/.1y /M.M A% 40.00 29I"�Y Y33,7L �E3LE,_iel/LLLRM-_ A"�se�✓ e �TE.Fwrs7�.c 3.t"s2 L/"e. 7.sy /ov.o1392. 7/ r !I __/�ggeRsX Slue IzPw iD.7e sz,w 23y.te 37Y.2e li E(IlL7]P1[BIES,&outtS lasICAQOn!d[ r - - - P[-ss 3y io9cN 70"o ,S],0e 122/.05f WVY—1 TDNnISOn/ TON�d .(U FurAs yV S i .S 17. >_S" 670,oD IORY NYFLI !1/5E1—rORYERLI wL Rw.-PJAMOA [ TMIOY/DNMMf Aft VW ftW. OF DOMAIENiS - _ — r T Lin_ Septeaber 28 1987 __ _ to el hall le prignms for:ne Mrntlt a Sln:n employer eacept as note in Section A(c)babes. I, - Terry S. Buchanan Secretary Ewm.N.ynwa.y nrlyl Teel (b) WHERE FRINGE BENEFITS ARE PAID IN CASH d0 MnbY sWa: I] —Each laborer or mechanic listed on the allove referenced payroll has been paid,As ' Indicated on the payroll,an amount not Mess than the sum of the applicable"AT, (1) 7M 1 pay or fuparatre the malent of Me persona onspiewold by Nest Coast hourfY wage rate plus Me amount of Me g D required binge 'senefils as listed in Mr - contract,except as rested in Section{(c)below. Construction Co., Inc. on ion North 1st St—Burnett Avenue to ' (CNereep Air e.ax«drslan IwiN..,a w eart) (c) EXCEPTIONS Park Ave. - Renton ;Met during the nsyroll period commencing on the 17th day id SEMDER ,3q 87 ,AM ending the 23rd yy Of_SEPfF1B1ER .1987 Ir EXCEPTION (CRAFT) gOIAIgTtl1l all Pa M employed on and protect have been paid Inc fuB weaey wages,ea IAM.that no,rebelea bees bean or will be head,either directly or indirectly to or on b~of said 1 WEST COAST CONSTRUCTION OD.. INC. from the full - — — — IConnMl,w,ou,"..an weekly wages earned by any person and the no deduLtio ,have bean made either directly ormCHeed,from the full wages earned by any person, other than permissible deductions as defirrod in —•'--" '--' --- Regulations.Part 3(29 CFR Subtitle A),uto of by Uws SAX HIUA y of Labor lithe,the Copeland Act,ss _ amended(48 Slat.948,63 Stat. 308. 72 E at.967; 76 SIM.357;40 U.S.C. 2]6c),and Mscnbed __ baler. (2) That any psYrDlla 01"nense under this contract recurred ter be submitted for the above REMAeaa — PMIOd an MilK(and Complete;that the wage rates for bbonrs or mechanics contained[harem are rest less than the appliupe wage rates cn ,.'.IOd in any wage determination Incorporated into the - contract;that Me classifications set forth therm for each laborer or mechanic Conform with the work M peAormed. (3) Thaeshi ant apprentices employed m tiro abOlx penal are duly rgnany!d in a Buie fide apprenticeship program registered with a State apprenticeship agerNy recognda:by the Bureau of Appruntuceshlp and Training, United States Department of labeq or if no such recognized agency exists in A State, an registered with the Bureau of AporeobceahMp AM Training, United States Department of lath. (a) The: naeE AND 4p1I1TUnf (a) "ERE FRINGE BENEFITS ARE PAID TO APPROVED PUNS,FUNDS,OR PROGRAMS Terry S. Buchanan, Secretary .e —In addition to the beer¢hour) wage rat" TIIE WIL✓UL FAWr1CATION of .1 Of THE/ t sTATEYfwTS MAY SUINC7 !HE CONTgACIp11 ern y w g paid to each laborer or mecMmc nstM in S=14TRAT TOR TO CIrIL OR CalY1MAL YROfECUTMN.XE uE ,T Mpl OF TITLE It AND"ITIOa bl Oi hole above referenced payroll,paymems of fringe benefits H Nstet if tM COMraCt Trt�Jt Os T,H LIMITED STATES rnwc r. F, U.S. DE°ARTMEHr of utwR PAYROLL [HIDE AND HWR DIVISION !For Contrector'a Optionai USe;SeE I^StmCti°n,From.IH-3Q 1r L) Buell a,,.4.o N.ati4:OSB —E°f CmEmAci0[ XLI °B fUK'OI,TIYCtOR 11B°BESE _ WB_S_T COAST CONMUMON CO., INC__._ _ P.O. Box 419, Woodinville, WA, 98072 483-1900 ' Mrl�pLl MO. Im NFbf� - g1°1ECT .. to JT.& 4[OIECT UB CONTM°I ND. - j 12 _ SPPrDM 23, 1987 __ y, 1sL Sr„durneC[ Ave.6_Park Ave.-Renton ICAG 029-87 _ m _ I of N>cAr ANc oAr[ w uo 1 m m NI NAME.00KS& .0 °[D°°TIOMS KT lEN. RAT[SOCIAL SEC."M N°YBf4 WOKS I I AMpn SN1N /OfL :Es or EMPLOYEE tlay cusslElcArwN 20 1 17 18 1 EIOLI[[ ' •v BAr lhawo FICA I° m; MO. UNION only Y3p Noun[YR/N[D rllrAl Mr 1 TAR [M[vl[a FOIL MEN ? f o � J.C77 N E �mp�'�Ec.ayne , P 8 5 —� yli yyfl �r•.• io,7a fz.ao /tZ, yYfc1 aF is.�±�/ 6�<4e J ° FOATSW AAl (0) [ Sl.os 10i'm /o.>0 30,00 199,7 rya.2S OLE2P _ LEo -roc S $ 8 8 as /P,sr. 7 VAU6 JQfEpff ( 1 AJa1✓ s tso.ag iar i0•>° — /iJ.)lS3Y. /o o e O s — ° r .f - [ Fpw rnL-s.r 111")—FORMERLY SOL IB.---PURCHASE THIS FORM DIRECTLY FROM THE$W. O OOCIM/ENf,_ c leans C_WAOA 28• 1987 n.Lw uwn w wed,m maw es afnespaate,do,ma s Tpr me wnant Ot sucn emplOya escept as rated,n Slctwn A(c`below. _ 1. Terry S. Buchanan Secretary (deed ef signal P•roI Pala (bl WHERE FRINGE BENEFITS ARE PAID IN CASH 60 homby state: _ (] -teach taborer or mechanic nsamted a the above than the s payroll has been pa,A,as y �ndrtated on Me payrd4 an amount not less Man Me sum of Me applicable basic (1) That I pay or supervlu the payment Of Me persoro employed by._J_�P.BC Coast _ hourly wage ratr plus Me amount Of the required fringe beneflls as listed m tM cmlhect except es noted in Section a(c)bell" _ Conetiuction 'lu.. Inc, on to North let St—Burnett Avenue to ttws.aalw w raxwe.•ctan —naaewa w worm (c) EXCEPTIONS Park Ave. - Renton -Mat during B payroll perlod cono mbe fig m t1M 17rh dry of-SEPT@ffiER .39 37.and ending the 23rdday of SFYEEB__,1987 EMEPYM (CUM EXPLANATION ' all pions employed on said project have been paid the full weekly wages earne).Mat w rebates have 1nM Or will be,made eRher directly or indirectly tom On behalf of said ( VFST COAST CONSTROCTIOti CO.. INC. from the tint - (cwerwtw w weekly wages earned by any Anon and that no deductions haw been made e"od diroctly or irwuectly - ' frees the full wages earned by any person, other than permissible teluctions as defined inRegulat -- amendeime,Pad 3(29 Bat, 6R Surf.1 A),issued by Me Secretary,of labor under the) and described Act,ed --- amended s, adSta 3 Ba9, FR Sbt. ikE A h Sffed y M Tb creta ,of ab D. nd 2)fe C and nd!Act. s -- bell._ 1 aL' 1-_ �1. (2) Than any Peyrogs mhm under this Oadndl required to be submitted for the sbpve pedod an correct and aomplate;that the wage rates for lahonn or mechanics contained therein are nest less than the applicable wage rates contained in any wage determination incorporated into the CMtmot;Met the classifications sat forth thcnln for each laborer or mechanic conform With the wort he pMOrmed. (3) not any apprentices employed in the above period an duly regimerd in a bma fide " apPlenbceahip program nege[ered with a State apprenticeship age,,recegro ed by the Bureau of Apprenbcesfup and Training, United Ssates DepeHment o1 La N.r,or f no such mooned agency exists in a State. arc registered with the Bureau of Apprenticeship and Training, United Seems — 4 - DepaRment of labor. (e) That NeME 11Np 1nLE MGIVAIL IE F (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS.FUNDS,OR PROGRAMS Terry S. Buchanan, Secretary l� C z - �y 10 addniOn t0 Ml blp..hOYI wa OtQ THE W LF iaLa6,CA9m Of ANY OF ME N E STATEMENTS"I WILIE" VE COMTaACTg1 ON L^f Y p Paid to"on laborer Or mKnamc hated m aUaCpnlX*TEN TO CIVIL]R GIUN a CUn agE K TI lam Of TnLL a'o SETIVN M1 w Me above referenced Payroll,pymeMs pf Idnp berlM)[s ae listed in Me contlaLY TRIg al of THE mrap p:AT cpoE - 5 a _ 1 MINNOW + VA.OVARTN{NT OF LAGOA ATIMINT OF COMPLIANCE F� 0.+...MO NOV110MO IVOLIO a.h•I R..AIRINJ tONrIIAC\.pr1110N• D.y. 9/16/67 I. Pe M. Cut holller Payrntt rLrh riot myth, law, IN.mr. .iller (1) th.t I M\rr•rpo"Ir IM.Omr.1 ni the Rnwr.employ.A M1Y_ 51�nm1 Electrict—Inc. _ Ih• North )at Street Renton Tp�l•rrTr�..MSlr.;;;aki� nn / ;llmt durinR Ihr poyroll period rmue•Iwln,on th.,1 &\of_ �n.uAl.•w w..Yr In�m,A rroh.R Ihr..15P4fy.1 �^ 104;, .11 prn.m rnplopd on old pm)•rl Inv. h... P+Id it.. full . ,.••Ny NnIPr paned, rhnl ern r.M1w.n Mre born m will bo m.dr,ellher dlurlh^, Imllrrrlly In Or nn L.h+ll nl++IA S14N8L„1.I nrh rIn inn: Do.Or,lull woYl+m.........d by nn\pw.nn•nd•Ina nn Aedurllw+lue• a.nn.r�wr w — -' In mMr r11Mr Ainpny a 1FR Snbtl trom 1M LII mna<n r.wwd by any 1,.bon,.Ihrr nun p,linA lbl,A,1 A,sn Und ..Ill hIrA h0 RA1%1.1 IC P 2 1 AMCI CFR Subtly lr A). U 3 C h)) 1M Yrnp. nl L•bor nnA•r Ihr C^Rbnd A,1. «nm•n.l•d Ill AI+1 n1A f i:A, itA. h l rg,]A at.b al N U.a.C. 7Vacat i d•.rrlMtl Mlnm: x FICA, Yi[hlwld leg, Medical Aid and Vacation. 1 i (7) '1 h.1 .O.P.F.II.othevbr wino or.rm,turl rw0nlrwd In N mrhmlllyd for thr, above pr l"d a"ronrrt.rol row,lot•; lion! Ihr wq• otr+Ire bborr,.nr 000ntk.rontnln•d Ilnrwln or. not I...then rh. nprllubir AW ut•+ wlbin.d In on, •:+ry 4-1-I1I1..11.o inrwpnr.l•d Iran Ih.rnnb."; (hot th.rbrrlltrnenw..l hnlh th.nln Err rah 6bor•r m m.rh.nlr r^n hoo, M.UN mmh hr Mllnror•d (1) Ihn on, MI`r•n14a"[.,,a In IM.bore"and...rid\ rrRBlo•d In. Amu Ila.nlpmnJrc+nip Pmllnm r.arlmwd with . %lot. .1'pnml...hip .Jrrwy ,rrnrnlerA by Ihr O.n.,, II AIWr.nllor.11lp oul lulnin , Uriftwl Slot..(,,.Nona.1 nr 11 m..rh nrnwd+rd.Ern,e.lot.In A Snl........1.lrmd Nllb Ih.Ilorrul.1 App,•n14..hM.IA Tr.InInIL U.h.A r.e. .I'm.r... . of I..hm I'll 1110: Iq WHERE FRINGE OF.NEFITS ARK PAID lt)APPROVED PLANS, FUNDS.OR PROGRAMS In rMill.n I b.+rr hnurly..,nl..p.id to r.rh Whops or....'knot,11.1.4 In Ihr.+hn.•wlmrnrrd p+y ndl, p., 1 Irin.- b.nrlll. on 11.1.4 In Dr. r .D.rt h.s M•.or mlll M m.M In nrpnPri.lw rm.r.m. for the I i u,h empl...... a.rq,1 ..A.IM In E•rllon A(r)Wow (b) WORKS FRINGE.❑ENF.EIIS ARE.PAID IN CAS11 1 1. K.rh L.borrr nr mnchmlr IlRlyd In it,. nimrr+r4r.nr.d .,.If h.. M..poll.. bMirnl•d o r nw pnpnu, .n.mnunl rot 1...Ih..M.n.m.1 Ihr.PPlir.hl.h..lr hourly N...w.plop Dr.nmmwt of Ill.vwd,nd Erin.. MOrfll.•.II+I•d to the ronhnrl, rvryd w.nnl.d In .(r)h•I^m I.I RSCF.P1'I014R EXCEPTION(CRAFT) RrPLANAIION I fi.Lf { 1 l N.MA T V 11i[�J, P. N. CutlAiller, Payroll Clerk r�•w,llVt1 .Irl�.r� rrNRr OVr•r.+1uRM 1•.+O•�r�rAr ��,OIOrIrn+R�On On•V.rO,I nn•rn�l lnr �r n �wN.r O•rrUr nN N•R. I.0 rw,r0.1 O. r err N • M r\I rr .r V ann On1 1Y, F•mr NN•JM(I194I s 1, 4 i e �f 31ovM_ spec=,,: r K111N en01N Mla:n �Sni: :W "A.P1� iEPOP• PAeI V i3 -- JN m '" mctl n iIT I=PNT -- cm w — ---1Na-WNrOMM11CMIMFdrMP.�M'---__ Mvl AOOPN6 yl IOYAL A 0e0N RC ITATI OMr TOTAL -VON ePilPtevee- --T--a--KIM--waa►-wYM-New'-wn-.-wk... Mh--leau:+—YAM—!•M"'��"iiF"' . t- ww V A. a 0 • 0 --00 I11 YJ 10 M ]N.N I IALL cin Po. PALL CITY. W. elpea JOB CLAN- Lill CA"PNpIMr1eD-Wq i TwuJItLO, RiC1Ml10 n. •', a.n a.0 ue,N Pp_N 10 PO LIP_r i ,. NIROL w eNM Joe cLAu'. HEAD oaawww-ne-olao • eee-�a-.eerne-ew.f-er--newc*P-e«¢n— ----- "r 1 � y c --------- — ----- --__. - ---_ . - . ------ter. -- v4 't l k e r � JM i . STATEMENT Of COMPLIANCE aec•.w•oo t 42 •9/24/87 •a ce.,enc,.urtt J Do. 9,2C 87 CAG-029-87 L Carol L. Dulaney Payroll Prooss rw....r.N..•.•.,,.) ---------------- (I t no 1wa cr t.p.gw M. • s P•r...el m.q.wn.•np1eYN N M.A. SBgale. IIIC. m wNp, lst.IIIProyemets Renton rc..rorN.....•rmrrt«1 1a.4wp aw wawa,Food cwr«wa at,M 13th fp.r Nlw1.r..r11 t•I of SC�tenber Iu87 me•e '.a u.19th MIN septeber NI ery.m• 87 .oFIeIN et too . w wrol«,•.w am w•ra M.ru.•wlr+•a•.•.+.•. 'it.ro-Nb.Stw S.m er—11 a.W.coon cram d,,.clh to•1--wA•If of..d M.A. $egale, Inc. f1..,M fast 0001,+ remrr.e,«....tutwor.q ._ W...waN wr q.wn rd 11,•1,....a ,. ..,... ....aaa.IIA•r 4net1Y sr udrocUr fro.Y.IWI.qo to too,e 4,.wn..•NIN•d a Ryu I•n1 g1tw, loft d A 1, to. b e. P. ]I CFN 00 U A/.wawa N w Acu1.,r.l L•to1 rode.IM ceglma Art. ••.nmew fr Sr. •qJ!vu Iw. )]S•N. Mp, to a,•. )D, M UJ.C. rwcL.,a 4NcneN 4b. . _ 11�tilt101d�lY) _ FIIA 4 Medical Aid 1=)TT. •nY p.,r.11•sN•r.N.wMr tr. cmlr«1 r•.1eN to to.WN,•IIN 1Go lS•olem+ye nu•h.Leor«t«r.Artw.cwuinN,Mraln•,e n. I...1Sm,Sa nwi m.'too,,,tows eewpNa. 'it., •• ,«o,q,.N W.tit.m.r«,:St.pe cl«ryDcm,cn.to,fe.t St...f..h 1-boo,-oo1r.,lcc conf000 ti M rN«.p«lervl 11 (S)no,.,ary.•root rP1.1"m Sit,.So.•qn d..dul,rN1.brN In•Sm.11a.Apwmlr•o t,proan+Npm.N..,5 1 moo lolla•e am,c+le P,rY P,NN N 1•.e.r•.0 o. AW-11—S&I M Tratt,ry. Wit"4mt.D.P.,r.1 M L•e..er,fro.«S I oabN u•&.to. •r. N.mo oo .'it,I%-IYnt 1 A u• p•,twbco.Sle too Trmeu,a, UtSN St...(•)no bp•r1rn1 el L•4r ytoo))INUIRH FPING[MNCII""t PMD W AFPSoVKD PLANS, FUNDS,M PofpGRANS In."Ito.ID IS.M.c S.wl,wat r...q,d...«t INe.w w rairic 11.1.e,n,e.•et..nl«wcN gYnll,pminmb 1 el An1p W.W.to h.W to"mntr«I pv l. ..n to.el to W.m gptpn•te Prearr.le.eM e.wllt N.«a•wPlep 1 w..•awry..m,N In%1' .NO lows. f (U WFRa FOUNDS"""FITS AR[PAID IN CA" iN•Nr.'•'chow t"ot to OM.b.e-Io.—.d pty.11 hot E.m We m Iw,o.•d m IM P•rmll. to 1...11t.U.tun el to..pehr W p..rc I-tv"wp uN'I",S. .1 M.nN.1ed ..Inro.Mn•h,. D.Nd m qe .Nrt". tp1 w..."I It. tt..K.)W... (c)[IGSPIIDNS uco ne.(c.w) ..w •.e not Maw• Prom no w10.1 towt.bm el w,1 el M.•aew•N,wntn,•r,+4.c,A. wMml.••It•r nwl a Soo S«nm IDS,el T,U•la w,ad«l,et rJl w Tub JI el tooUw,YN rI11./C.M D Z"7-9 a..,e—.e,..e„ iY tr 9�rr s 1 INSTRUCTIONS FOR PREPARATION OF STATEMENT OF COMPLIANCE This statement of compliance meets needs resulting Iran the am"dmenl of the MJis-Bacon Act to laclude fringe benefits{ visions Under this amended taw.the conttacror is regkur d to pay follows bene!i1s as ptedelermveo by the nepalment of Labor. in addition to payment of the minimum rates. .-no cmludur'a obligation to pay flings benefits mey be at by payment OI the fringe-to the vad- "a puns.funds. or programs or by making these Payments to the employee. as o*all in It..of fnnges. The contractor should ahov on the two Of hla Payroll all narrow.Paid to the employ"f whether ts bane ate,or a cash in Iva of Itinges The contact co shell represent in the state,..-' of cum- Flianre that he is paying to others fnnges required by the contract and not pawl se cash in lieu of frinwsa. Det.ded instructions toNow. CONTRACTORS WHO PAY ALL REQUIRED FRINGE BENEFITS A contralto.'who pay fringe benefits to approved plans.funds,or programs on amounts not leas than were determined a the applicable wage deciaion of the Secretary of Labor shill cant,...to shoe on the lace of his payroll the basic cash hourly ate and overtime rate paid to his employees- full as he has always none Such a contractor shell check paragraph e(a) of the statement to indi. cote that he a der paying to approved plans,funds, or programs not le..them the smount Pro determined as fringe benefits too each craft. Any exception shall be noted ,.Section a(e). ( CONTRACTORS WHO PAY NG FRINGE BENEFITS A contractor who pays no fringe benefit.shall pay to the employee and insert I1 the straight time bour!v rate column of his P.v_jI an amount not less than the predetermined rate lot mach closnu- cotron gel..the amount of fnnge benefits determined for each clasaiflotton and on 1 applicable of ae wage decision I..-much as of Is not nenss.ry to pay time and a hell on cash pa ws the rvto ose ate shill be not less than the..m of the basin predetermined rate.plus the half tine peemam on the basic or regular late, pl•ks the required cash in lieu of Imnges at the straight time ate. To aimpitlY mnpu&separately of a"rWne, it ie a hourly that lane allaium time bow tote reed peek ,. Leis of fringes M"pantaty stated in the Aoury rate column, 'tun f3.75/d0 In odditi of the contractor shall check paragraph a(b)of the statement to indicate that he is paying hinge bens file in cash directly to his employees Any exceptions shill be noted I.Servitors f(c) USE OF SECTION d(c), EXCEPTIONS' Amy contractor who is making pavilion'to approved plans, funds, or program- to amounts lets then the wage deteontnekon reguores is obliged to pay the deficiency directly to the employ"'was cash is lieu of hinges. Any exceptions to Section Ks)or N(b), whtche"o the comaclor may check, dell k entered in Section a(s) Enter in the Exception column the co Q. and antet is the Expla e, tkoe cut".the hourly aaounl paid the employees as cash in lieu of his gas. and the hourly amounl paid to plans, funds.or Progama a fnlogea. �s M..1, See9�aile, [M. ++. CEkTtf IED PAYROLL REGISTFf "'�. P6YROLL PERIOD PAGE 26 1N1B SDithHWn r P.Ik*11 9/f3 TXfN 9/11 Satatli WA "I Be JO' CODf. WON PAYROLLS 17 JOB NAIL NENTON C962--8? 1-- NIT 61 rON TMF'RM1 _ i . . • • - i . R _ f _ _ _ . - R - f - . - R _ 1 . - . R - A - f - R 1SY A ENPEOYEEON t ADDRESS R +--• - ------K 0 U R S Y 0 R [ E D---- -----+ TOTAL MT LAOS MY GROSS PAY SOCIAL SEC t A EXEMPT JOB CLASS SIN NOR WE WED TAR FRI SAT HOURS AATE THIS JOB OTHR JOBS _.PATRICIA N BL.ODGETT 5705764 NOTRBLLER S 400 1,35 _...._ ..._. PO DOX 193 5705740 NOTAOLLEN S 6.50 4.50 17.63E 78.66 ® 510576P ROIPOL.ik 5,00 17.630 17.15 5.30 yy6p V%K C.58 2.50 26.1145 62.57- --S37 SS{^if7 YN 919f2 TOTIY.S- 44.56 236.07 593.73 E B U C T I 0 R 9---------------- NNNN FRINGF FICA FEB III" S91 ONION OTHER TOT* 41 MY _ _ _ Lin $9.26 03.21 11.46 10.75 .N 293.11 535.50 .� _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. - _ _ - - - _ _ _ - - _ _ _ _ _ _ -. _ _ _ _ _ _ EAPlOYEE NAIVE 6 ADDRESS •---------H 0 0 k 1 Y 0 R A f 0---------• TOTAL PAY VOSS PAY GNUS;PAT - - 1J SOCIAL SEC t A EXEMPT JOB CLASP SUN NON TOE WED THR FRI SAT HOURS RATE THIS JOB OTHR JOBS JAPES Y COULTER 7300230 SEMI TRUCA S 6.0 3.M 750 17.7M f33.05 ;. /631 - lOTH ST SE 1196 O 1,50 1:" 26.di6 39.a1 _--',�• " �,�..-:.. 73N2i6 50.0 TRIO $ i.OA 1.00 17.636 17.47 vs AUBURN YA 980^^ 571-6f<-98 S-BB C M TOTALS- 44.54 196.aR 626.76 o I ,E +__A_ ___�_p_____D E D U C T 1 0 N 1____1_H__� _____._f ' 0 FRINGE SF1�0 F702N6im DI 6 BS3e UNION O 00 28StS6 SMM� • EMPLOYEE NAME 6 ADDRESS - - - - - - +-----------H 07�U 6' S Y 0 R N E D-- --------+ TOTAL PA) GROSS FAY GkO:S PAY ��3'063AL SEC : 6 E%EFPi .aw CLASS SWN A0N T44, WED TAR FRI SAT NW RATE THIS JOB OTNR JOBS -- 3176T1 - WNN P1 YS APT 2 35BNS® RANEe SO S:SyP 3.SB 1.50 79 Do 3.535 135.3� P FWgAL WAY NA 99003 �O Q 708-70-7976 5-01 C N TOTALS- 6'-5e 176-52 588.06 w R TOTAL MET FRINCE FICA 3.43 48 FED 162MW tV.37 $5.25 INUNION .N 356.37 326-119 NMM� . t FMPLOYEE NONE. 8 ADDRESS +-----------X O U R S W 0 R L E D-----------f TOTAL FAY GROSS PAY GROSS PAY SOCIAL SEC�,IIryA� EXEMPT s+Jos CLASS SUN NON ILE WED I* FRI SAT HOURS RA0TF THIS JOPPP OTHR JOBS SR. ^, PP fOS 91 YS70S75m5 PRYG VC MACH H 3 S.N 6.N 4.0 5-0 17.430 67.1` RENTON NA"as 0 2.N 2.04 26.150 52.36 537-26-81" S-N C M .000 2 35 TOTALS- 66.00 7t.72 667.d0 - fATNCE FiG FED Y/N SOI tMION OTHER TOT* NET MT - - - - - - - - - .t6 - - 58_29 201.26 11.77 22.38 60 ?9►.70 515.62 MyM EMP`OYEF NAME E AUORES` +^---------N O U F $ Y D R A € 8---------^-. TOpTAL PAY GROSS PAY GROSS PAY J SOCIAL SEC t 6 EXEMPT COS CLASS SIN MON TUE YL➢ THN fkl SAT XIXAS DATE THIS JOB OTHR JOBS 7iN07HT SE28 M� 73N236 SEMI IRuu S 1.25 1,75 3.88 17.760 53.23 CAIINATIOM IA M1/ S3B 68-1$6B M-02 C N TOTALS- 44,0 53.13 708.66 x D E D U T 1 0 N S-------------- ` FFINGL FIG FED YiX S03 UNION OTHER TOTAL NET PAY 3.71 51,63 110.36 6.65 .N 1N.N 211.67 699.87 a . . , - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - lilt EMPLOYEE NAME A A84 a--------N B U R S Y O R A S 0----- TOTAL PAY_ GROSS P Y GROSS PAY SOCIAL SEC t ► EREIfT JOB CLASS SUN MON TUF WED YHk FRI SAT MNRi$ RATr. TINS JOS OTHR JOLT ® TALI GTLD,RSLUYE 7300230 StPI TRI)CY. S 7S A.25 1?.'60 14.36 ei a' i AFt ` a^ ,aY� 'y,,. � ,d.�...;., ..eY iwl ' .••,.briyWY O N.A. Se9ale, inc. '-' +++ CERTIFIED PAYROLL RELISTER 1++ PAYROLL PERIOD K'ACE. 'S I8618 Solthceeler parks'. 910 T.'O 9t19 TvYeila WA 9B1B8 JOB CODE 987516 PAYROLLB 17 JOB NAME RENTOM CAGO29-97 IST ST YST CST CON IMPR9MTS f - f - f ,. a - a - * _ f f f _ f _ f _ a _ a _ a _ a _ f - + _ f _ a _ t _ a _ y _ y - • - a - Y - a - 4 - Y - a - a _ a - e . EMPLOYEE WA i ANI�15 � CAS +� ---�M OTO0R S WED 0 eTMRF o-FRI ~� TOTAL PAY GROSS PAY GROSS PAT O SOCIAL SEC 4 i E161PT SAT HOURS RATE T41S JOS OTHR JIf1f NM11lI 2217 ME WNW 0 1.0 I.BA 76.618 %41. • RENTOM WA 98956 531-SB-0389 M-8O C M TOTALS- 42.54 172.97 585.59 0 y---_----------D E 8 U C T I 0 0 S---------_y FRINGE FICA FLO YM SDI UNION OTHER TOTAL NET PAY 1.71 54,74 134.27 8.0 .N .N 1",91 %5.62 - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ . _ - _ _ _ _ _ _ _ _ _ _ - _ _ _ _ - _ _ _ . _ _ - - - _ - - - - _ - _ - . . - - _ - _ - 0 EMPLOYEE NAME i ADDRESS +---------H 0 U R S N O R X F D-----------a TOTAL PAY GROSS PA` GROSS PAY SOCIAL SEC 4 d EXEMPT JOB CLASS AN MOM 1UE WED T1iP FRI SAT HOURS RATE THIS JO4 WAR JOBS yy LARRYA KNOX DR 50 7MG230 S1.M1 TRUCK :; 4.50 4.80 0.50 17.7% 150,''9 GLEWRIESNNMF SEATTLE, WA 9B16B 534-3R_3154 5-00 C M TOTALS- 41.50 /5P.79 94.76 5, EDUCTIONS--------------- y FRINGE FICA FED YM SDI 1INION OTHER TOTAL MET PAY T.T1 52.68 173.61 6.65 .N .N '32.8M a 5562.0 * EWLOTEE NAME d ADORES, +-----------N 0 U R S W 0 A K F D-------SAT HOURS RATE TAMPAY GROSS JPAY SOCIAL SEC I K EXEMPT JOB G.A...` SUN MON TUC NET THROTM EWESI 0 LOW T30238 SENT TRUCKS 4.54 4.06 8.50 17.7N 1551��.79 Oyd'�gg 615 - 2OTH ST SE O 1.25 1.25 26.618 33.26 S-000 E A TOIA S- 47.4 IT. 05 641.n i�' --- _----- -_D E ➢ OS�C ` I 0 M S__-__-_-________f FRj.T FOY 1 59t81 CA FM{Y7A T.77 UNIN OT M ^.7OTP�1 MF551.29 e .- _ - _ _ _ _ _ _ _ _ _ _ - _ - - - _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ -�� ENPLOYFE NAME i ADPHESS +-----------H 0 U R S Y 0 R K E 7-----------+ TOTAL PAT GROSS PAY GROSS PAT "1 SOCIAL SEC 4 i EXEMPT JOB CLASS SUN MOOD TUE WL0 THR FRI SAT HAIRS RATE THIS JOP OTHR JOBS INCEAAR P, LARSSOM 73N23B SFMI TRUCK S 4.50 4.60 9.58 17.744 150.19 2ml - 1A2ND SE GENT, W 90631 531-34-0749 M-O8 C N TOTAL- 41.00 134.79 576.75 y________________D E T U C T 1 0 M 5----------------y i NIKWF. FICA FLO Will SDI UNION OTHER IOTAL MET FAY IM 52.87 121.54 8.17 .N .0 101.73 545.1h J - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ . _ _ _ .. _ _ _ - _ _ ENPLOI'EE RAMS i A41RE,TS +---�------N O U R S Y 0 R N E D---------e TOTAL PAT GROSS PAY CROSS PAY iAI :.EC 4 i EMPT Jul CLASS S;IM YODI T;IE WED THR FRI SAT HOUR: RATE THI, JOB 11W JOBS 0 pROURBUI) i VWI MFRY 7580230 SEn; TRUCK S 2.54 1,50 4.00 17.741 76.cA 532-1i_6256 T SSENM2 'Rik TOTALS- 44.06 70.96 731.15 a________________T E D U C T I O N S_._______ ------ 0 ' FRINGE FICA RFD W;M S$ppI UNION OTHER TOTAL Nit PAY 07,86 9 3.71 57.46 10 ,eO .84 760.76 54'.15 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 0 FPDILMFL MAW 6 9-----------11 O U R S Y 0 R K E D-----------+ TOTAL PAY GROSS PAY GROSS PAY SOCIAL SEC 4 6 CA7}MT ,W Lbti' NN MON TIME M THR FRI SAT HIDW PATE THIS JDI OTHR JOBS o ROBERT F MYERS 570 HOTPOLLER S .800 3.55 J V t N.A. li, lnc. w• CERTIFIED PAYROLL REEL"TER PAYROLL PERIOD PACE 'e NNYN 11@IF SoitRcinEOr F\rAOa+ 4/1 TV] 9/19 0 TOM l9 WA 98180 JIOI COOS OM 0 PAYROIII 17 JOD NAME RENTOM CAGO29-07 ITT ET : WST CST CON IMPRVATS A... \ • _ Y ♦ - 1 - i . f Y .. • - f \ - • • - ! Y.- \ . • s - 1 - ! • Y _ i - i - Y 11 _.•.- f 1 - ! - ! - f _ EMPLOYEE NAME 'CDR' : •----- ----N O U R I D 0 R N E D---------�+ TOTAL PAY �(�Q,�S PAY (�j� MY SOCIAL SEC I a _3E4T JOB CLASS SUM NOM lUF NED INR FRI SAi MOORS RATE TMIS J00 'JTIM JBRt ON 20TH SE TWF 6 5760TN N 507RQL£R d 5.N I.BP 9.N 1P.63/ f52. - p 2.N 7.N 26.1-45 .29 AJBtItM MA 909,02 178-26-085, N_nlC M TOTALS- 45.04 MZ,.7E 629.17 - h�___ F D U C / I 0 N 5-_.-_.._--______f 0 FRINGE FTCA FED YfH SDI U01OM OIWR TOTAL NET PAT flit 4.29 M_YO 122.66 17.0E 1E.2% N 2N 11 633,7E ` w r.H_ KOUE NAME 6 ADDRESS ------------- p U R S Y O R F E D---------- TOTAL PAT GROSS PAY GROSS PAY SWA&OCIAL SEC 1 a EXEMPT ,AID CLASS SUM NOM TYF WED THR FRI SAT HOURS RATE Tn.i JOB OTW JOTS ' I own D IIWSW 7300230 SEMI TRUCE S 4.25 3.75 9.0 17.iN 1 1.97 S7W 189TH AVE F 0 2.0 2.N 26.ei6 .22 SIAWER WA 98396 333-1�-'9eP A-BA C M TOTALS- C.OF ia`.,t5 5155.57 r-------------0£ 0 U C T 1 0 M S____________,_ FRINGE.� 3i1F11YM1D7W 8i) 568 790 7 .0M FBI%,f NE pA� S61.M NNNN - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - -- - - - - - - - - - - - - - Hy EMPLOYEE NAME a ADDRESS ------------A 0 U R S Y 0 R A E 0----------6 1UTAt PAT GROSS PAY GROSS PAY SOCIAL SEE 9 6 EXEMPT iOB "AES ON MOM WE WED THR FRI SAT ROARS RAtF THIS JOB OTHR JOBS 1C1831EW IT ME 73N230 Sin; TRUCK 0C 1'So 1'n 11.56 26.618 1 .23 3399.2 AUNNN YA 90N7 532-46-859' A-03 C N TOTALS- /5.00 :05..5 596.3E ". .._. -_________.-_-_-_D i D U C I I 0 N S---------.____-_• FRINGE FICA FED N/N I!Y' ONION OTHER TOTAL NET PAY 3.71 56.ti 1N.91 6.08 .0 .N 170.07 615.47 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ NNNN EMPLOYEE NAME 6 ADDRESS -----------H 0 U R S W 0 R E E 0------------ TOTAL PAY GROSS PAX SRO,STA PAY SOCIAL SEC A A EXEMPT JOB CLASS SEW MOM TUE Wt0 THR FRI SAT HO1BS RATE THIS JOB OTHR JOB.° PONT C S"V 5769577 t�OREW S .6N 3.77 P 0 101 3932 3769577 FOREMM S 5.0 /.N 9.N P.m 166.61- .� 0 2.56 2.50 P.m 68.59 J 775-3*7i/0 *X C A TOTALS- M.OFl 23e.9i 609.06 .J •______________--D E D U C ? ] O M S--------------y fRIwA FICA TO WEE SOS WQQN OTHER TOTAL NET PAY 4.16 6/.78 151.9/ 12.3E 29.75 .N 237.10 6/0.23 RN�N EMPLOM NAME 6 AOMESI •_----------M 0 H R S Y 0 A R E I---- -----+ mm MY CROSS PAY GROSS PAY SOCIAL SEC / a ENPT JOB CLASS Stw MOM TUL WED THR FRI SAT HWRS RATE THIS JO8 OTHR .IODS ROBERT C SKULY JR. S7e%55 SCREEDAM i 5.56 3.SA 0.06 17.790 160,12 1626E t15114 PL SE S 1.56 1.50 26. eeeaa IQ.N RENTON WA M5-72-6233 M--N CX6 N ss TOTALS- 17.5/ MS.N 307.0E ® •.._.___.__.,_____.0 E D U C T T 0 N S-------------..__• FRINGE FICA FED Wil SDI LWIOH OTHFR TOTAL NET PAY 1.16 5a.59 139.IB 11.37 21.23 .Oe 228.39 SA3.65 - - - - - - - - - - - - - - - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ �L11 EMPLOYEE MANE A ADDRESS r--------t 0 U R S Y 0 R I E 0------- 16 TOTAL PAY LAWS FPAAY GROSS PAT NNNN SOCIAL SE[ I e F.IEMPT De CLASS SUM ON THE WLD IWR ERI SAT HOURS RATE THIS J01 OTHR JOBS NtIM VAUGHN 35P582P bFN1. APOi' S 5.08 S,SA 11.50 15.21P 150 7E L� J . ._ .Tw M.A. 598419, CERTIFIER PAYROLL REGISTER 9++ PAYROLL PERIOD PAGE 17 1R919 S99tntinter Paiw 9;13 THOU 9114 T99+114 WA 98588 JOB CODE 987519 PAYROLLS 17 JOB NAME RENTON CAG9?9-87 151 ST WST Co'T CON IMPRWMIS i - i - I • - i1 - I - I - i - iii - ii - n1i - i - iiii - iiiii - i - iII - iI ' ENP1 1NNE 6 ADDRESS +--------N 0 U R S Y 0 R E E B--------+ TOTAL PAY LRO.SS PAY GROSS PAY IAL SEC 4 6 EXEMPT JOB CLASS 3110 NOR TUE WED 70t FRI SAT HOURS RATE HIS JOB OTHR JOBS NNNN v?,5 FRUITLAND AEi n .So- SD 2,54 27.R1S 57.AA 539 86 3644 M-B 983N2 IOTALS- 44.54 Ltci5 Sul" g FRINGE FICA FED W/H SDI UNION OTHER TOTAL NLT PAY 3.45 76.84 217.91 16.fA 70.65 -DA 309.64 MMAS _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ _ _ _ _ _ _ - _ _ _ _ _ _ 'frWYEE MANE 6 ADDRES" +------f1 O U R S W 0 R A E D---------"-+ IOTAt PAY GROSS PAY GROSS PAT SOCIAL SEC 4 6 EMENPT JOB CLASS SUN NEW TUE WED I" fFl tAI HOURS RATE THIS JOB OTHR dDIS JAHES E WILCOX 3SM56 RVV S 5.56 3.SB 9.00 9S.b90 141.22 4"WILSON HWY. SP 39 0 1.4 1.50 23.535 35.36 NOON GRANDVIEW WA 98930 519-54-31.6 M-A1 I M TOTALS- 4?.90 176.52 50F.3' FRINGE FICA FED WiH SDI UNION OTHER TOTAL NET PAY 3.37 48,39 46.90 11.24 54.60 73.0 286.1E 3".71 TOTAL ADBRS 163.2E TOTAL YALES PAID 3434.24 J J Y MNN�--- - P +rr • NNNN d io. L J I tWp' B"K- r�• �' . IMeI .eateoo t(Ig�4 ]2101 WE ST-0CC Cy est boast �, itiction 00 .7 .lnc. GENERAL CONTRA t AND 6NGINEERS------------- P.O.Be. 419 24205 9/oodinvill.-Snohomish R41— WOODINVILLE, WASHINGTON 98072 SEP 2 9 1887 -a nww opt. TRANSMITTAL RECORD TO Cit Of Renton DATE 9AB/87 ngineeriug epartment 200 Mill Avenue South JOB N. 1st St..Burnett Ave. to Park Ave. — (;AG 029-87 Renton, Washington 98055 LOCATION N. 1st St. BurnettAve. to Park Ave ity f enton ATTP 'N Joe Armstrong - Project Engineer We are seumng HerewithW Separate cover by Drawings prepared by i NO. PRINTS DRAWING NO. DESCRIPTION 1 Ench EEO CC 257 S,pt. 87 for: Signnl Electric Inc. For Approval Approved, as noted lApproved Not Approved - Please resubmit r.. 1 REMARKS For your Use. 7 -- WEST COAST CONSTRUCTION �O_ INC. 1 Copy to: By Tim Buchanan 87-9 File Title Secretary t c A' f _ U.S.DEPARTMENT OF LABOF. MGNTNLY EMPLOYMENT -= +"'=�X1. .""-" cUa"" �,tI•""O1''"t'"�O° [aPNTwam Elandwd,Adeenlnnlwn•OFCCP urILlEAnoN RIPGRT King --� - ,I rNOw: d�nl1 IwMx \W91-087280 6.9Mrree FEMALE: I TO: / NAM:ANO LOCATION OP CONTRACTOR pl11 0WJ ,w x'" �• ti,_ Signal Electric, Inc. AGENCY V 9012 South 208th Street Kant, WA 98Ct1 - E• 1. WORK HOURS OF[M►LOYM[NT IF*d"W•ke pw arwl l•00. 10. TOTAL ALL �ILACK A 60.�AEIAN 011 AM\'Rlf Le+ 1 V. TOTAL TOTAL 11{11�R� COEREUCTI[N IWLOYIIf O/elw MOPAMK PACIFIC INC," MUWlR DI IIIIIORTr TUBE Pal EY TRA04 NI_ I O W.1 101ANDARlon MUCON A *MT^PGIAALI lMN lq larfOYEtl ALASRAN gRCtMAG! POICtNTAGI __ ._.NATIVE _ Electrical -. ....-. IKI&TOTAL terMfAPP WNYr — INTICE _ - r aPdM MwL! APPRINTICs- 1F(uNU .. _ w1►TOTAL T _ �..:K. 1 ..t• +_t maw TIIA0192 VU&TOTAL an, lwl•TOTAL t .°.. 171 L.} . .+ 2 :. a.. A4tlDUANCYWORKERS TALIMIttEEE, _ _ - ORAW TOTAL ..:' R '.A0 :){i. �.. .i •�- 11.COIrANIT OPPICIAL'S SIGNATURE AND TITLE 12.TELEPNONI NUMIIR 11,www rw CS l 12.QATI SIONEO 1 FAG! Q` Payroll Clerk (206)S^_-?l" y_�.J 1 OF 1 7 EWr APPNOVAL NO.M#1At qRM CCSl71M.HKR 1 i t r i2am +ea,eoo 22201 WE-STCC-'373W i �est Coast , chon Co., Inc. GENERAL CONTRA AND ENGIN ERS , -r - - P.O.Be• 419 24205 Woodinville-Snohomish R d 1 WOODINVILLE, WAS14INGTON 980 2 SEP 21198T 1 G11 u� TRANSMITTAL RECORD TO Chit _O_f Renton DATE September 18, 1987 nginE eering Department 200 Mill Avenue South 106 N. 1st SL.Burnett Ave. to Perk Ave. �A 029-87 Renton, Washington 98055 LOCATION N 1 t S rn e rwe. to Park A rty ant o ATTENTION Joe Armstrong - Project Engineer We are sending Herewith® Separate cover by 1 Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION Cerrified Payroll for week ending_SEPTEMBER 16. 1987 Certified Payroll for week ending SEPTEMBER 9. It 7 for SIGNAL ELECTRIC. INC. I For Approval Approved,as noted Approved Not Approved - Please resubmit REMARKS WEST COAST CONSTRUCTION CO., INC. Copy to: By 4, Tim Buchanan 87-9 File Title Secretary r U.S. DEPARTMENTPAYROLL OF LABOR WAGE AND HOUR DIVISION (For contractors Optional Use;See Instruction,Form WM-3471nst.) vuME O' COn[nAQOv �' OM sUNOMMCTOR nF55 WEST COAST CONSTRUCTION CO., _V. . .0. Box 419, Woodinville, WA. 98072 483-1900 :. MY�L Re.--__ -- MOl[Ct MD lOC1LTIGN- —I_MOl02 — OONIMCI Mn — — 11 _ �Fa lti, 1987 —�N .Let St._,@ornett Ave.b_Ysrk Ave.-Renton It,AG 029-87 NI MY ARo UA,f fR p fn i M OEO,R:rIONS WIT R[rF•AeoR(N,wro wwR �' •S MAL I RAIL WOUNNT wrtw w.c, MIWL SECURITY NU m cIAMINIGTION HOUR* W MY [ARN[D FIG IRNLINn MED. UNION 0TH[a riTa PA"' K 01114IDY" g HDIA4 woRNED EACH MY O[SI[IN6 i011 WE[R TAX O S LAdof54 ISo.7L /6.Lal //'f3 SC•SS 2r/.�y y2P,oS t ccA"Em;, o —r t'7s7 2a%.. //.L3 C.fz,S 3C.V Y12,17 CA RID _� (0) rRT 1fR/✓ • S y /Z /!/f 30, aVJ d .fO 72,00 /o,>a SZ,eo /740 V-rc,to tc U/Vn/iN4Nt92,-Cliff! — I /J�PEEAyle4 R 376•s6 d/.C/ 77s7,:a z9o.fd y3/./9 z FRsJAI/l --Y_� z/ ---- I- S CE/nEa� p J— 2/7. Ylfd Ir2AU 9,Y9 r3.zr 2fi•9 V109Z E, W/LLiA/Y/ (p1 M Aso ✓ R 0 3y S I O ERR>ar 1YY, y2,zY /4rm, r,69 LY,39 /13,3! yo7.So —_-- Y, Cgs c glfae�.e 8 _ 8 8 Z /S.il 3�s V44701 Xxia h,,23 -ryco 67,s9 VU,Ys I_-G1mA/LlBiEs N —_ _ 0 �7Y /YALU 11,77 5,7,zo 7/ rz7.,T/ 129,17 Y2,00 6.95 33•t° //1.92 291,OZ 12- /CF (z) :; gig - $' a6 /sbllYoz9y FORM HH-w U/M-FORMERLY wL I"-PURCHASE THIS FORM DIRECTLY FRpF THE SUR, OF DOCUMENTS s 'IY milL I wu S�Qt.P./d_ 18� 19�� wnn of w �e rnaor Lo appropiaro pagrame Tor Ire naMn W such a riploy!!s ,Sept as maa l In Socbon 4(c)below. I TerrK� %hanan Secretary pin.Ia M Manarory aartyl nam (b) WHERE FRINGE BENEFITS ARE PAID IN CASH b hereby slate: f� —Each labpn„or mechanic fisted A the above referenced payroll has been Paid,r Q�,�, indicate on the psyrou,an amount not less than the sum of the apphoble"S" (1) flist I pry or supervise the payment of Me Pemx emPIOyod by_RGpt Coast hourly wage tete plus the A.Aount of the reOutod fringe benefds as listed in the contract aAcept x noted in Soctfon 4(c)below. Constructim Co Inc_ on the North 1st St..Burnett Avenue to .' (c.wrlew w sualanl.aclod (..A,w.ersl (c) EXCEPTIONS Park Ave. — Renton that dunng th!wymll period commencing on the loth dayW September _,19 87 and ending the logy o'�epLem6¢L 19B7_. Dow. (C .. _EKIPLANATON_ _.. All persons employed '- said imact have been paid the full weekly wain nreL.Nat no Affiliates nave boon W will be Rude e&w dinualH or indirectly to or on behalf Of saki CT ()OAST CONSTRIJD_N! QQu INC. from the fun (CgrerMw w..a.AtlMM �— weekly wages eared b7 any person and that no deductions have hours mode elbar directly or indirectly _ .. from the full wages earned by any person, other than permissible deductions as defined in Regulations.Part 3(29 CFR Subtitle A),inued by the Secretary et Labor under the CopolarM Act as amended(48 Slot.948.63 Stet. 108,72 SUIT 967:76 Stan.357;40 U.S.C.276c;,and dncAbtl -- bslow f (2) That any rsymlls otherwise under this o:Artract renuired to be wOrnitle for the abow a[MARAs , period are correct and complete;that the wage rates for laborers or mechanics contained therein are not Ins than the apphrable wage rates contained in any,wage determination incorporate Into the contract;that Me claasificatwns set fort,M e.n 1O,each laborer or mcchenic conform and,the"A he pMormW. (3) That any apprentices employed in the above parlod are duly regraerd in a bona fide a - Apprellticeahip program registered with a State ap,mritieeshlp ogenq recognise by me Bureau of Apprenticeship and Training, United States Department of Sabo,or if no such recognised agln,, ..at. in A State, an registered with the Bureau of AppeMices,ip and Training. Unite States Depertientd labor. -.. (4) T,N: NAME AND TITLE ucHAWRE (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, OR PROGRAMS Terry S. Buchanan, Secretary /3,,4N'E✓\ S MS¢nOUfl a THE w,LUbl IALNnCAT10N Of AN'Of 101 ABOVE STATEME.IS MAY SOaIECI i.E CONTnCTOR —In addition to the Or, y w ge rd[n pdid t0 each IaM'er or mechanic listed m R TD TORHE TO R eE UNITED ET CODE IaOKCOTIONsousEECTION fool Of TITIr Is ANO UCTION E)1 Oe the above referenced payroll,payments of fringe benefits as listed in the contract 1 � o, ye. i f •��" . - US.. DEPARTMENT OF LABOR •,MEN R�..w No M-R109] WAGE AND HOUR DIVISION (For Contractor's Optional Use;See Instruction,Form WH-347 Inst.) N^Ma Or C°NTRICTO* OM fOaC S CUIR .UO>F55 WEST COAST COMMUCTION CO., INC. P.G. Box 419, W _ _ oodinville, MA. 98072 483-1900 Mr,��—'— (OII M eMO1M0 MOIECI .0 LOCATMMI I IMJF[T OR CON.RACT - 11 S2PTP!®ER_ 7_ N__1st.St...Au nett Ave.6_Park Ave.-Wnton 16198 10AG-02.4-87_ _ Ilr I pl NI eRT Afro wrz IM I w In m m $p --_ ,XpKr,Owf NET IIMLL AOOREEL ARO WOI,M TOGI MT[ I AGMGSS YgT,N WMWS sewAL sttORn mm en a aAESlnurwN i HO R• or MY ifD ,.ornlNo ICED. UNION m,.eR "INS Oft s[wa,Ew rw WSER (11I1lOrR Hgg ,N._^a MORED GCM MT T11F s i f0.(PiF7AW o f ! ! 2>,J3 �y)•y3 j3CaY ///,,, io.77 30.>rl 20771 510-07 i„, c., fJ� a/oa97.R i•i S - 8 S 3 z N s p/J�RA1o�rt • S/,j 15 /o.9J 30,AS tso•z9 POW so /7 V �z 7 r g NI C,607Atwr lyf y ,.n /M-0 MW — a° G/s,92 �s VAU&14,41 , Ep . its �eLE.i71.1�D,�rL 2 Y 3�s YG.7[ 7Si•• ll.2s rY.t• M.s7 Y�7,Kr t o o It i Is. - iI -i FORW w 347(IIM,—FORMERLY SOL is PURCHASE THIS FORM DIRECTLY FROM THE SUPT. DF DOCUMENTS i i i rAT4 SeptAber SB r 1987 .ere voters wr. w rnaa as apraprrev lNagrsma tear the oerlorm ot futll employees. except as=In Section 4(c)baler. (• _ q S. Buchanan Secretary TPTI g awMn.r wNyl fTnlsl (b) WHERE FRINGE BENEFITS ARE PAID IN CASH do hereby state. E - ---EacM1 laborer or mecnanK listew In the above referenced payroll has Men paid,in Ind,Cate f on Ina wyr011,an amount not less than the sum of the appl¢able M -I (1) no I pay or super nse the payment of Me persons employed by_VeSt.CONI —_ hourly wage rate plus the amwnt o:the reconnect fringe benefits ss listed in thr wnbact except as noted in Section 4(c)below. COnStj UCtiOn Co.. Inc.. on the North 1st St..Burnett Avenue to (CAM.TN wlonam"crrn :ewlain,s..enp (C) DICEP(IONS - Park Ave. - Renton -ttg dmigl the payroll•wrlcd o nwndrlg on the 10th day of September . 19 87 .and endirng Me 16ttipay of Septeober .19 87 EKCEFrM (CRAFT) 1. all persons employed on .it project M.been psW the full weety wage",.ad,Mat M mbeM ---- --- - - hive been or will he made ether directly or indirectly to or on behalf of said s ___is 1:CQAS1'{;Q 1EDC1ION CO.._INS____ _ from the full (Csm..u.er f,,n,neekly wages eanMd by arty,person and that no, Other Mvl been mMe either ionectly or indirectly 1 from The lull wages earned by any person, otM1K than pernissitie deductions as defined in Regula ions,Part 3(29 CFR SuMdW A),issued by the Secretary of Labor under the Contra d M,as amende0(48 Stat.948.63 Star. 10& 72 Sot.967;76 Stat. 357:40 U.S.C.276c), and described --- � thlovii ," (2) That any payrolls otherwise under this contract mean iced to be subTnAbd for the stares 1 '. pat1W we correct and compktur;that Me wage rates for laborers m mxMnia contained Merem are J not less than :he apphcaEle Nage at.contained many•rage determmabon Incorporated Into the wrrtnct:trust this<lauihcatwns fat forth themes for each laborer or mechanic conform wind the wort i (3) That any apprentices employed in the some borrow am duty niggard in a bona fide ( ) Apprenticeship program registered with A Stge aP,m.t,.h.p agency rKUgm2ed by the Bureau b1 1 Apprenticeship and Training, Unwed States Department of Labor.Or it no alcb recognized agency ;. exists on a State, are registered North the Bureau of ApprentKesMp and Training. United States Department of!Abor. (4) rho: NaNE AND TITLE SIONITONE \ . (a) WHERE FRINGE BENEFITS ARE PAID TD APPROVED PLANS fUNCS.OR PROGRAMS Terry S. Buchanan, Secretary WAX d � THE MWUL FALSIrKATiON Or ANY Or ME A E STATEMENTS WT SYPECT THE CONTMACTON OR I ©,—In iddlLJn t0 Me MSK M1Ouny wa8!IateE Wed IO each 1aO02n Or mKhNK Ugld m SUKOMraafiM l0 GVIL M CANNNM INpaECUTNM_SE[SECTION twI co,For"le.0 S CTKxI 211 OF the,expVe referenced payroll, payments of fringe bengHS d5 hoed in tM comlKt lIE{EL tI THE UNITED STATfl COOL 1 uS rarNulerlwni NrH oxr�AMHNR ------------ •drEJ� L tr•nl YCNl or Lava" Fern Assessed U.B.e r.a•ateo« HINT rLava" ''STATEMENT OF COMPLIANCE Wages,Free.No a.-RI"I • <.wy.Ar»..nuatea . 9/11/0 Dale 1 P. M. Guttailler Payroll Clerk .do transit,•let., 1 revs. •Id"'son or I'• ITB:T— Signal Electric, Inc. A I I)-!Mt 1"Y er..prise the payment of the person.emrinyed by Signal E e s er—iC�TI�an lst/Renton Ih. ;that dmina the payroll PrdM remmenrin,on Ito jjd_ ag at sae, b M sale t, 1,187 and .At., ng th.Ihe-2f 111ry of---Spn!_ 19$1, all Mr.nn. enMbYed on ages reohrt have Nean rate the lust r.enly wage%eared.that on rebates have been or will be made alike•Aher,ty or IndO."l,to or on behalf.f said _ Signal Electric Int a from 1be full weekly wage.earned by any per..and,hat no d.loellens have I ",seats•re s p•anewr her.seed,either dDietl,or IMheVU,from 1M lull am...Lamed by say Cerann.nlber than perml.,D le deduction.as defined I" RFRdo,loal, Port I("CFO Aubllne A), laved by the S.,,ow, of L.ber under the CoMlad Art. as.mended (14 Met olA 63 It., Iran, 11 Slat.V61;16 SW SST; 40 V.H.C. 276r). and N...ibed holow: FICA. N,.thholdLg edyi=l A+a ...A v...r.1uR. (2) 1'hot an,Payrolls s[Mrrbe under thl•rontnrl,esul,ed to he.ulndtted IV, he.bo.e"rind are—,art and remplrtr; din,Ih.wage Ate.far bbwerwr merh.elr.ranmined tlmnln are nnl IMe It,..rh. appll,abl. an., at., r..,.In.d In .n, ..ear A.t•mrlMllen Inrorp.ml"Inln the rmrhsrl; It,.,the•-0a.111r.Noe.at (.,It, ther.lo for each LMrer n,n+rh.nlr In. S. ,Arm al,h Ito work he",favored tl) That as, TPnnlloa."I.,.d In the.Mee"dad are Anly teglalered In a bona fide appi*ntireehip prnp.m rrittnbrnd earl% . %let. .....ntlr..Np .11-1 ncnI.W.Il In, the Donau n1 AMnntlrMhip and T,.inl.R. U.0"St.,..D-P.Ume.t of L.Mr,er If no..,h rerogni»A.Resry estate In.State, no ng[.lered wllh the Dureur of Aprrrntl...In,.nd Training. [failed Hnn.Tvpwro.nl of L.tor. (Q 1h.1: (.) wlmsF FRINGE.BENEFITS ARE PAID TO APPROVED PLANS. FUNDS.OR PROGRAMS R� In am itin,to Ito bale;nearly wag,.W..Mid In each biro,.,or merh.nir listed In the store nloe•nrrd Mr Inch payments of fringe hen•60. as listed In the rnnturl h...Men o,tell[bo mad.to.p,,.p,W.Pn.Rome for the benefit rf.orh employee*. . rrPt as soled in 1.01.Qr)barn.. IN %DF.RF.FRINGE DENEFITS ARE.PAID IN CASII ( Each L.Mnr or m.rh•ela hued in the .bay.rnf.ranod pant,,has lesson paid as hMlotrd on the Mymll, on un,an,lea then the sum of the aPplic.blp ba.r Mnd,ynsa.tale plv.the....I of[he,egol"d IrinRp Mrr.D1.as listed In be renlract, aeMt...0.A in aerUnn d(r)M[er. (•I EXCEPTIONS c XCEFTMH;CRAFT) EXPLANATION ne«ana I r a •r•NAtVR[ P. N. Cut hailler, Payroll Clerk «y"Iv anmeN VL F. alC er . r oe r«.11•oYe era Is.,.I. •v.ur' I«R c......mn ew...ro«Feast inn In L en rnnrr«.L .....cull.. .. wenDN Oe,I, ne «e•gel on 11 TL. e1 r«C u«naD•ro e. io o a st ne«a n Far.FNda[11/NI _ k. _ J y f PMtOp[Np INp Orr OV![1 C[RV1P Slp P{rROLL �TROXT e.�E w: ;p � I �_ � 10. 1R1][ IQIIN 1[T itRRT r i ry ClCO • _ __.. ._ -_____-. _ 1S[T KT CptM111VCT1lM CpNtINttT N0: .T SOZR _..__.. 4Te _ _.AT F [NIpV[[ M f [ N t Y M6 M ! Rice W N WN Ol mT MINJCT PAY � ....-�.r..�_..-. _._��.� Tuew.a a 0. ♦e • o L,2 re ee _ y "I I PR[ Nt BNII -- 1)B.0P M N .01 M Ml BeT.i ' POLL Clty AS -1Y1.[trr. .r eaea. r. .r ead anRaN�r..11e.p]b �_ 9]]-]FlBR]_ Mp 6TPfT- 01 `[[*9 MIEN MI[CM !eT[ OR Mr: MOO ... a JLL._ _yse lap_n '.3E1]] xq Ave" [ w 0: H.N a." .M [l0.00 �,•. MY. W elOi] ..NPNNY..[O.eOee �a�,•QI-N-iPN 11D"IT: 0[ [[[N.M [M[M Mt[0I Mr• le as u ( e r - nK. { L s. uou .u.,eoa tluf4 223-01 WE STCC'2r2a0 �cftan est Coast � Coo., Inc. GENERAL CONTRA AND ENGINEERS P.O.Boa A19 24205 Woodieville-Ssohoe,ish Rood WOODINVILLE, WASHINGTON 98072 x TRANSMITTAL RECORD TO eC DATE Par emner L6. 1287 Plrtment 200 Mill Avenue South JOB N. 1st St..Burnett Avej,io Park Ave. CAG 029-87 Renton, Washington 98055 LOCATION N. 1st $L., 11 ne:c Ave. to Park Av icy f Wt. ATTENTION Joe Armstrong - Project Engineer We are sending Herewith® Suy rate cover by Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION Certified Payroll f�r __k end in, SMEMBER L 1987 Certified Payroll for week ending SEPTLTIBER 5, 1987 for M. A. SEGALE, INC. Certified Payroll for week ending SEPTF1tBER 2. 1987 for SIGNAL ELECTRIC. INC. For Approval Approved,as noted Approved Not Approved - Please resubmi P,ECEIt REMARKS _. SEP 16 1987 ENGINEERNi IT 1 �IM1 K Y. WEST COAST CONSTRUCTION CO. , INC. Copy to: By � Q- 4j 7 Tim Buchanan 87-9 File Title Secretary s ...r., ,...-, i a.. �. d �eT i� _ i• 1'i. - s U.S. DEPARTMENT OF LABOR PAYROLL WAGE AND HOUR DIVISION (For Contractor's Optional Use;Se Instruction,Form WH-3A71nst) °i°s^'�^w•^w+�ws ••M, w.U•s Or CONTAAclw oe susx iuicrw AoMWw WEST COAST O01MS7RUCTION CO., INC. _ P.O. Box 419, Woodinville, WA. 98072 483-1900 I p� 10 FM wrSNEPf@®� 9. 1987 MUMVi AND iouTiON v3irci al io..—__-_ ------ m ----- -- f- —S"T - -- X lot St•,Burnett Ave.B-Park Ave.4k� ton 1,r. 029-87 m N)oAT ARo w*r A ,N v, L-�-_ MI sy NMI[noximue AMO I MIT I L11 T1 p fll !.' sOOMt YNroTY NNMn, YI �u Tom mw Obas OfgICT,ONs � •.:a: or sMaovrr CUurNEJ. 4 Naq Or MY AraAW rmr rw, C,::' NFR,Y ro,s,m FAON o+r rCA Noin,No MED. UNION oTNo 1 X ^� TM OrlYL'Tlsss FOR WFrN f O 7EA,nr7E,e 3e•vy sser �.vt - �N4__FR /7.7Y u 9z.8L 33a.90 t — � 3 . A )/J[1f�F - �BmFc �)� L�q�{eeu - p 8 8 3 27 /rL9 y/i3•�7o33•46 MOM t•oa 39.00 iza 3o7•o2 1�9:3 1 JrCe-,pwemr Y'o 3a. CARD7NEPS Aj[� (oJ 0"�Yse ✓ - 8 8 83 27 /��L 3P.ft soar p.•: yr.o• /9d.f7 3Yf 8J lz 44BeAtEre 00 $ y 28 /,rat YzS• - , 3o•yi yfoe 7.Yf lr vo //f.3Y .Tof.SY y' s O pJ ApEQi4T°� e — ZSL,sL 3d7o 7y,.. l.i: u.se vtu 39J f1 D�__ 8 6 /r /s.� (e)' P/P£cvyee , _ /C — — 3f90 9•ro► tig Y/40 /l/.af 3:/•os R j�/1/K� /'YII/(E --t — S GEP»6wr _ y,o 31 3r.fs /e7,.a soc yree ; ��i�,.-W/LLLAM �(o�II �, 7roAl A - 8 8 8 3 27 /t./L OV.?Y 3Yftj s q,ER,�rbe -�-- i4/1/LR C/?A/� t(i1a _ 8 $ 8 6 30 /S.ay , s5�/.zoi38.7o f�.�. tax :2so lfzs 37-eV 9L27-S A1.4"A Co.rw i-- --- S32-s2-3SY/ s l s c.93a,ecA wit - (8) . - g - j - ,8:x — 2./Y /a•yo 2/.zy 8 ' rsir r,a.sra oleo-rueNTs;. so. ie,--PURCHASE rM S FOM DIRECTLY MIN THE QMI. OF DOMMA rs �3i I ,y wu September 24• l"t- ...r ri k rrux w aplXoprmm programs Iw the berfht m such employees. accept as noted In Section!(,)below. f, _ Terry S. Buchanan Secretary twm•er.vraln-r a•Xrl On.., (b) WHERE FRINGE BENEFITS ARE PAID IN CASH a , do berating slate' n —Each laborer or marchers,Ilsted In the above referenced payroll has beer paid,as s indicated on the payroll.an amount not We than the sum d the appbuble bear, (1) That t pay or supervise the payment of the persons employed by-T'eaI Coast hourly wage rate plus the amount d the squired fringe bestride is,listed In the comrect.errepl as noted in Sectial l(c)belay. Constriction Co.. Inc, on ter North 1st St..Burnett Avenue to (care.a,MrarrRrMM movies w vm•) (c) EXCEPTIONS Park Ave. - Renton.that dung the payroll period commencing on the 3rd _ day of SEPTF2BER_.79.87_.srd endim m, 9th day d SEPl'k?II',ER_—.t987 _._ EXCEPTION (CRAFT) _ EIMANOMM I to s al.person,employed on said Protect have been paid the full weekly wages earned,that Ad rNlatu 3" ham been or real be made caner directly w indirectly to or on behalf of said _ WTcT-CQASTCONSTRVCTIONCO INCr___ -__-_ Mom the fun _r. -__._ _ _._._— `�• ti weekly rages famed by any person and that no deductions have been made anther d,,Ocby or ilWireclfY from the full wages earned by airy person, other than permissible dedr,coons as defined in Regulatmns,P•O 3(29 CFR Subtitle A).,sped by the Secretary o'ubor under the Copeland Act.as amended(48 Stan,948.63 Sbt. 108.72 Stet,967. 76 Ste 35i:40 U.S.C.276c).and dumbed below C (2) That airy payrolls otherwife udder this contract reported to be submM1ted for tbe abort ARea Period am correct aria complem.that the vmge rile,for bbimus or methen,"comb irlM therein err[ a ,' not leas than Ibe applicable verge rate contalr•d in any wage de'eninallon incorporated Into um fir{ contract.that the classifications set forth Mervin Iw each laborer or mechanic conform with the wpm he performed. 'rBS` (3) That any appientcea employed in the above period are duly inward in a bona fide apprenticeship program reRrstered width a State aporent¢eahip agency recognded by the Bureau of Apprenticeship and Training. Undeu s Department of labor, or if no such mcogmzeo agency exists in State, are registered With'the Bureau Of Apprmticeatlip art T:alnmg, Units; Stnea Department d labor. (A) That: I HAUL Also TrLf ura.aTURc (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED➢LAMS, FUNDS.OR PROGRAMS Terry S. Buchanan, Secretary <F ,^�},w✓g- .\J TXE wrLLfYt FA"fF1CAT1pM be ANY Of TXE.1 L ATweF+a nAr Spe1ER ills CONFRACrOR Dg ; —In Dddl\ion to the beaK n0'Jrly wage fa\!f pad to[a,tl IebOrel or mK11anK Ilaaad In LpecONTRAct"To n X be GWIMAt eRDwcuin,, XE , ,w Idyl or TOO la AMD gELaloa bl B, r the above referenced Mich.pymama of fringe benefits as kale l in the comiactapalwailaiii 1 m�sl Of THE 1MITED gTaTFe CODL. an X wo PAYROLL U.5. DEPARTMENT OF LABOR BwBe1 B,.w No AHNpi WAGE AND HOUR DIVISION t - (For Contractor's Optional Use;See Instruction. mWH For -347 Inet) S __ NAN[Of CONTMCtM on SUMONTMETOR ADDII[Y SF S+• WEST COAST CONS17tUCTION CO-, INC. P.O. Box 419, Woodinville, WA. 9&172 483-1900 061marr AND 1UCATwk _ .— M iM ME[R CM'J�NG ,�•^i 4 10 SEPT.`MEgt 9 1%7 _ K._.let_St,..9ur ett_Ave.&Park Are.-ffmton __�N 029-87 '.. PI-- w.bAr AM Wi[ w w m w w at, oEoucrloMs Irn NAME ADORES& AND �j� VoRR T01K RATE ""' 501[CURIT•NUMBER E# NODei OI my All�r rA PAO [MnovEE C cusvnu*wN rARwm r,u1 IloTnwm lED. UNION oDieR elm RDe WVA YpK. trolls!Mutes ttsnl ear rAi o rH i �hOaecR 371.0 31V N" AXI Y/•/° /is.iJ 3r4'3"-1r I ( , TOHA/sOAI 70 (e); FoRswe.W ' 1 yj z: /72s 1 m FaREm FA! a lllT's° Xf/9 GG« z fi Tcpxkv/PFcwyex / ,e. J.7V /f :._Tr/s7icNE 8 L / /s j OPfRA7'nt ' / i7 3 yQLE.P �REO c°) Fo�ru.w - 8 8 t S 3L /gn 6 :/.v3 YY.Y3 7s.• r.r3 iY.>s X QAlRfI/7 nR a —t _Y f 39.77 flrN r•sL s y.• /70.73 JAC$J - s d $ 8 24 -A X e VZ Jr P/Pf[.a y.x Z�• 3J Y/ yL.•• 7•yl 311,y" /2/.3e 3/d,07 r� /� T•OHn/ ,(3)'• is -- e 323.os h1 � P/PEtA}/Et — -- /s�•�° , y/ Was >•Yf 34f.Ye //s•?e •SL rni C.&M&AIr 3t�s ct,• pos — /is97 vi8ss VAU��U 7oSEPNU) ..�'swtav - $ g $ 3 i7 j / /G rYy - - -- -- --- - 330Y -27 wyr. r'.-m OT . 3Y2-s�-G3s6 sEvy ) Lh�atarc - $ . 8 1/s2/ /z/.if z./y /o.y° zzV /ao,Yy Ross BN.ass n,w—rsoMUE•RoI,NN-BURCHAW riM MW DOWLY FMW TM eWR. Of 60CNYLens i i - '�` ,aNNrvrw.dgfagaMl� HLO Septmber 14, 1987 oaN To oPecte- programs far V e Mrlabt of such employees, xcelX x rotW in Saloon e(c)belevr- _ I, $• Buchanan Secretary tw.iN of aiMwfwr INrtn 0"i•1 (b) WHERE FRINGE BENEFITS ARE PAID IN CASH do hanby able: Cq--Each laborer or mechanic listed in the atieIe r4trenced payroll has been and.as indicated on the wy.dl. an amount not less Iran the sum of the apbcable basic (1) That I pay or wprwse the Payment of Me peons employed by Wesi CoaaC boon-wage rate plus Me amount of Me ropored (range benefits as listed in tare 'F cod-wit,aacapt es noted in Section I(c)below. Consu-uc[ion Co.. Inc, on tfn North ls[ St. Burnett Avenue to (Csencra.w IwYaa,actwl n:Nxig w wool (p) EXCEPTIONS Park Ave, - Renton that during the pyrpg parled aanmeping on the 3rd days SEpR'DIBER 19 87,aid ending the 9th day of SEPTDSU a ,l9 9r EIfCE/EION (dMfT) D04ANATM -.aR po employed on Bald Project have been pad the full week- Nag.earned,that no rebates -- 'r3 have been Cr-11 be made either directly or iMirecty to or ou behalf of said NEST CQA.T NSTR)KTION CO INC, from the Iwl � t�m.«to-o-,i,xwe.waen -- S' +'Vaal-wages eamed by any pond and Mat no deductions have been made e W directly cr indirectly from the full wag. earned by any person, other than permissible deductions As defined in -- -- r Regulations.Part 3 t29 CFR Subtith A).issued by the Secrel of l.bu, uiidar the Copland Act,as amended(48 Scat 948,63 Sat. 108, 72 Sbt,967; 76 Start.357;w U.S.C.276c).edit described below i1- (2) That any pynlls otherwise under this contract reouired Ed be submitted for the above REMI1RRf Period arc cornet and complete;that the rage rates for laborer'or"Hal contained tharcm are rid lass than the alaDlicable wage rates--tho l in any wage determination inC01Wated into the contract;that Me uw__ificatiuns set forth therein for each laborer or mecharic conform with ME work HA performed, (3) That any ePpedices employed in Me above prod are duly registerd in a bona fide apprenticeship program registered with a State-PPn .ntichip agency recognced by the Bureau of Apprenticeshipand Trammg, United States Depdment of Labor, or it no such recogn¢ed agency Deprtinentd labor. exists in ri Stab. r. registered with ME Bureau of Apprenticeship and Training, United States (a) That: N1Mf aMn TITLE fiPNnTURE \ (a) WH RE FRINGE BENEFITS ARE PAID TO APPROVED PLANS,FUNDS, OR PROGRAMS Terry SO Buchanan, Secretary " .0 '! w —In adddron to of re ed laud.ywage rates pq to each laborer hill" mein t bared In THE C IWTO To Vyl aces MIY IIIWFiUIfpNf aj(ETWM.oIa1 Ippl OF rFU 18wuro accifow n,W The above nhnnud payroN,pampas d/n TItIl))«Tfl[faatrrn aTAt[a COPE J -.. rated bsMna x gated in tha eontnee a t ..Lrc An..0.01 a..wv Of wc STATEMENT OF COMPLIANCE • e.e..r e....N..a.t•O cowfw.cr.mrwewa rate ftlit/RT 1. P. M loin Mlllmf PaYanll Clwak do hereby ante; (Nino, pnT�' —RBI:) I (1)Th.,I per in .uPereibe the.aym..t of the Penh.•nplmed by Signal Elect ric,b.elw Inc. on M Po Nnmr b 1.r Cc rmr a inn 7t Rer n _-; that during the payroll period romme ing on the Z lose of August INullel teepe,,r rfr\I I.A7 and inning,MyLbry of SePt n . 19 B7, all Verson employed on said Project bete home Pero the fall weekly +awes csmd.that no yebste.hve been of will he made either directly or ledlreclly to or en behalf of laid-- SIGNAL ELECTRIC, INC, from the fell waskiy wegme s.n.d by any pent and.hat an dedeeao..It... eflw M. MMme v 1 he.....de either directly in indirectly from the full .....as mail by any Demon, other Ihnt penntealbls d•duellnni as defined in Relutetlona. Pak d IN CFR SubUHe A), I..eed by the Secret., el Lehr under the Coeel.nd Act.as amemled NA St., etR 63 SW IN.72 Still. 967:76 Slat 357; aU U S.0 176c). .nd dta-lbed below: i FICA, Withholding, Medical Aid and Vacation. (11 Trot ay pstrolls otherwise unit.,this rnntncl ra9uired te he.m.niued for the.herri period are correct.red complete; that the wawa rate.far tebo....or mechalc.ccmt.ln.d Ihereln are or I...the.the .pplic.ble r..gm ..ro contained In .ray no,determte.tle. Incorporated into the rnnlucf. that the A...IBa,loae at forth therein for each I.berer or machos.con I—";.ill,U:---.F h.performed (S) That any .ppren,ire.ewpimed In In. .)mre p--1•. duly r.,i.W,d it .bonsi fide of,renticesbly pnwnm registered with a State apprenllceahlp agency recoRnleed by the Door— of AMorn,icr.hlp and Training. United States Department of Labor,or if on inch n—ScIt ed genq e.bls In.State, are nglslend with the Duress of Appmnlirm\hip ad Training. United star..Dspartment of L.G.r (a) That: (a) WERE FRINGE BENEFITS ARE PAID TO APPROVED PLAN& FUNDS.OR PROGRAMS In addition 1.the basic hourly wells rate.paid to each bberer or mechanic,listed in the shore refenncad pay roll, payments of fringe benefits as Ilsred In the contract h.re been or will be mode leµ r.prisi.Programs for the benefit of each..plop.., incept as noted In Section a(c)below (b) WHERE FRINGE BENEFITS ARE PAID IN CASH n- Each Loberrr or mechanic listed In the .hare rderenced payroll has been"Id as indicated on the Payroll. an...or rot tela,hen be.um of Ion applicable basic boor),we,. to PI..the.....1 of the,.9ulred fringe benefit.as listed In It..coal...1,.....I a.meted In inaction a(c)below. _ (r) EXCEPTIONS EXCEPTION ICRAFT) EXPLANATION i w.,n. mow raw. P. M. G.0vailler, Payroll Clerk e.Luen.new . o. r .rrmewv wr w..rec rw.eewrn.<rowe .eon r. .o O�vu'e cwtumal rwasec.mon was emc.�o4^eo.•o. nr�l n .un amc son ell ee I'll..1 or Itt..M''an s..... copra Fenn ONdlg IINI as k Sl a E CTRIC P9a I00 mmlW. NI02167 CUTIPIED PA" SEPWI PP9( MO' 12 f r JOB M'. :9f2a IQ tort qlt CITY v aaffaf r --- ---iaYM1Ywcow am ON collim" to------ ------- f Wla. motion ale mft am a"" MD Wait Oflaa TOTAL atT .-saa --x-+r—r�r--lanr--WxY-Wws Pxa--vnr-wa --wt-+awer�oae+-l-*aim—I ;. L. a: a.0 9,0 Nor.0 at 0 no.00 U w 0.IN . m zw0 t r riff. rL 911021 JOa OL/aor: Ltla CaO1�tp-OYq _ all Of OEM Y9-- t WL 0. _Y— a: 2.0 1_0 tool.N 171.p 10.70 orp.as I I„ apf0a. W. p0N . ® _ -0or CLaaa: CM1Y 11.ICU PtaaM-190-0200 •`.{ �.�JIIOa!• TXO%tS v. a: or.0 a.0 a.0 N.0 Nab p YI).i7 to.p ior0.a0 n y ata s 1 ss.aKL ciw M. 20.a . a. I/a1 ct". ILL 9a0N A CLASS: Lila CMa Pa1f1YW-190-p9p me f M1.TRWILLO, alCWi1� Oa: go a.0 or.0 N 0 12a al )O.pI With 10.M 121.20 i is aaftOL. W"m •-'AOY9 A9raTlaR- JOor CtMor. IfM tl1011a1IM-I90btp i _�K 0aYLO. YILLIM a. a: 0.0 10 or.C —_-_ 710.IS 1I0.N 9,p tit.N I ss P90UaL W). W 9a0aa JOS CLMor: LIIaMM�Ip-0100 i EA .. 1{Waif• aPWfLL L. a: 0.0 2.0 9.9 orYN tall Sol10.76 1".N T:�OY01fa'T. , : PlIaa1M. W 9orpa . Jla Claoror: 911aaaMaw-Ip-0120 y L a I 1 —1 STATEMENT Of COMPLIANCE ,! W�t'VV,"Initial •••�•9/10/87 P•.a e•c•JIG-029�7 Dan 9/10/87 payroll P+*vpcsor d,b.»br .. (No.. .1•yn.»re W1.11 lTnbl 111 TNu I Pa et wpwv..tM PaYneu�I tM Wrwno ewpleYM b; M.A. Se ale Im n m�4. R h T,m1'tn n <. FPntnn Mu Mny Me P•v»II Pned ceeNwlNy{w Uts 30th dar el Ibuewl w.vU 10 R_wd eod,q tMSfh MI of GQtnrdwr 10 JI Wnan• eep.Yed en.u6 P,oIM M.e but Nth the 101 e.ealY ease.eresd.Mu W to\ate•Ito..woo x—11 W e.6..nbet d"n't,". .. dmaty to..on benelf of.old M.A. Segall, InC• hew flee fall wAlr.sae•..rued W wr"1. 1C.."ge«.e6•e.N..MI and tl.«no de l."t•bn been mad. 3( 41KU.ar»e A).i Aetl M Do ..s.••of Leger MY W taee.a l t a"n.n.••MIUM r R.aJu.ono Pan)f„CF113eaNlle A).ies".d F M fY.rw6n of tabor uM.r Me Q.oel�.d Art e.unrodM fM Sur .od.63 See, 1", f}See, y1.16 SIN 337. 60 V S.0 110a.Ned Fec nW W" Withholding FICA Medical Aid rr ltl TtJ to rl Eoml�'w mea#ait•c en�Mned twber.�n to'�nm eee~•n tlta. app,1.e a eolleet -rom��md o uteri« P de.wn^nM oe eye»es IKeneto.I into or coM.ad,Mal Me ebaood the,.,. ,.,eal lenb... % le,eaa'It lebre•et teeclr Wir ron1eW elt1t tlr.veM M WrlwYl 131 TTal wr iPentWIct ewP""go Ie Me ebv Wned en dolt na.nrM In a bn.IIM NPI.lc.0"Pfea•ow eeEluerM enb MJ.oNegeticesNb ofNn"nroPl• 6 be Ma BuaW of APpr.nn"Nb wA Ttal.,na. tlrnled Y.I..DePulreertl of lwbt or If W aocb tocePlWd yen""uls In•Slue .rt reD•twed ..M the U-..of A gittrc.WtP and Tl..uy,U..,.d Se.».DeMnwen,el Ldoor. (6)Tlt.f. (J RMENC FRINGa BENEFITS "' JAID W APPIIOVED PLANS, FUNDS.M PIIor RAYS C)dX1.edM1»n le tM b.. .Wtd he each INorw w etec%ghl. hued to tb a0e..»I.renrM WYna,pYwettl. of Nr.P WWII...I we b...been or ed,W uad.to eppro0nue pry.00.Iw the W WD,J.—h~I". .ew W WIK '.eI... (b)MERE FRINGE BENFf;• IN CASH LD" Eub labs w.,h. c L... tA. ebo.e rtloreeced WY»II No.bow Pod It.lod."l.d en the,WYroll, y "go t M I...Mot e. et of the pla Nle b..:c W.g-W t•t•P:"a Me tog"'o of M.npnted fny.teWtU.W Inn6e.n Me eentrWt...."t".1",.soc...e(c)fee", (d EEC[PT%INa n rc.Jrl _ 1 n _ e Lf Carol L. Dulaney, Payroll PLocesstx —• �— - r no/rlfW L,u Lral.m el w,o, be eb»..eNnenl• ." le,"Art M.11.1 n..aN on.......r «l e•rn sl P'uW."L.o � See S.c bw IWI o,T.".I e and S..nm 2)1.l T rl.1,.1 r.e Um.M St.,.. LDD,2h.879 ..a..e ..wt.en. ........a.. .� .1 INSTRUCTIONS FOR PREPARATION OF STAYEMENT OF COMPLIANCE This statement of compliance meets needs resulting firm the amendment of the Davis-Bacon Act to include fringe benefits provisions Under this amended law,the contraclor is requir�d to pay fringe b"eGts as predetermined by the Depanmeat of Labor in addition to payment of the minimum totes. The contractor`s obligation to pay fringe benefits mov be met by payment of the fringes to the von- ous plans. funds, or programs or by"Ning these payments to the employees as cash in lieu of fringes TU contractor Mould all..on the face of his payroll all how tes field to the emptuyeea whether am basic ales or as cash in lieu of fringes The contractor shall represent in the sauterne— of corm pittance that he is paying to others (ring"required by the conlrect and not Paid as cash in lieu of fringes. Detailed tnelructima follow CONTRACTORS WHO PAY ALL REQUIRFD FRINGE BENEFITS A contractor who pays fringe benefits to approved plat., [units, or programs in amounts not le" than wore determined m the applicable wage decision of the Secretary of Labor shell continue to show on the(ace of his payroll the basic cash hourly rate and overtire tole paid to his employe", just a.he has al.rys done Such a contractor shall check paragraph a(.) of the statement to iwdl- cNe that Se is also paying to approved plans, fund., it prus:ems not less than the amount pto- determined as fringe benefit,for each craft An, exception shall be noted in Section Nit 'r CONTRACTORS WHO PAY NO FRINGE BENEFITS. A contractor who pays no fringe benefits shall pay to the ampioyee and thoM in the otrt,ght time bomly rate column of his payroll an amount not less then the predetermined are for sec.,classifi- eotton piss the amount of fringe benefit.determined for each•-la"rlicatron in the opp.tcoble wage decision. Inasmuch as it is not necessary to pay time and a half on cash paid in It"of hinges, the oveChse .it shall be not le"Men the sum of the hexic preoeermined rate. plus the half tine i premium on the basic or regular tare, plus the required cash in lieu or mtws of the straight lime rMe. To e.mpl:(r Computation of o""tme,it is suggested that the straight time base ate and j cash in lieu of fringes be separately stated in the hourly rate Column,thus$3,25/40. In hddition, We rixin ctor shall check paragraph a(b)of the stmemert to indicate i iwt he is paying king.bens• fits in cash directly to he employees Any exceptions shall be noted in Sactvoo A(c), USE OF SECTION Qc EXCEPTIONS Airy contractor who is making payment to approved plane, tunes. or programs in amounts less Men the tinge delermmUton requires is obliged to pay the deficiency d.lectly to the employees as cash In lieu of fringes. Any exceptions to Section d(a)m 4(b), whichever the contractor may check, shall be enured a Section a(c) Frier in the Exception column the tuft. and enter in the Explore, do t -ulumn the hourly amount paid the employees as cash in lieu of(tinges, and the hourly amount a paid to plans, thwart. or progrewn.as Eringew. A i Mh4it M A.`S09+1e• Irc. aae CERTIFIED PAYROLL REGISTER aa+ h.9Y3B TIPER6 9/05 PALE 30 v f�0t6 SO\th rater Parkway 5 Takrila LA WB8 JOB CODE 60?510 PAYRbbL# I = JOB NAME RENTON CAW9-87 1ST ST NIT CST COAT IMPRVMTS a - a - a - a - a _ + -' EMPL`OYEE NAME L ADDRESS ---------H O U R S V 0 R A E D--------- + TOT PAY GROSS PAY GROSS PAY S'OCIAI SEC S L EXEMPT JOB CLASS SU1 WIN TUE WD TNR FRI SAT RATE THIS JOB OT1R JOBS } WA RABIC+ 7309735 FOREMAN S B.BB B. 18.290 146.32 ` <=;1 P C BOX _56 HD➢ART WIN 98025 H;r 5}5-60-18?1 M-BB C N TOTALS- 66.09 116.T2 505.29 +----------------I E D U C T 1 0 N S---------------.a FR3�71 52,31 iED W/Ht22.m 9.72 M.00 OTHER TOTAL 18/i69 K546.91 •" OYES 6 ADDRESS +-----------HOURS N O R R E D----__--_� TOTAL PAY ``HIS GHOST MY IK SEC SEC 0 L EXEMPT JM "LASS SUN NOx TIE LED TNR FRI SAT OAS RATE iX2S JOB OTXR JOBS JEFFREY M BENNETI '500650 RAKER S 6.00 e.00 15.696 - 94.1+. •- 126D CAESFJR NAIVE - cVERETI� WA M-62-MQ M-1 �C M - TOTALS- 48.00 41.1; 711.91 E D U C I 1 0 R S- ----------+ FRINGE ,- FICA FED L!H SDI UNION OTHER TOTAL NET PAY 3.X3 57.64 143.38 12.84 62.\0- _ .00 276.26 529.82 EMPLO-EE NAME L ADDRESS a----------H O U R S N 0 R I E D-----------+ TOTAL PAY GROSS PAT GROSS PRT SOCIAL SEC 6 L EXEW J06 CLASS SUN NON TUE LED THR FRI SAT HOURS RATE THIS JOB OT1R JOBS 0.11100 N COULTER 7366236 SENT TRUCE S 7.96 7.80 17.710 124.19 1131 - 39TH ST SE 0196 W AUBURN. LA 98012 531-16-9958 S-00 C A TOTALS- 53.80 121.1E 928.94 +----------------D E D U C T I O N S__-------------f till FRINGE FICA FED WIN SDI UNION OTHER TOTAL MET PAY 3.71 75.30 284.63 16.26 .M .06 3?0.19 662.93 - . _ . - _ _ _ _ _ _ _ - - _ _ _ _ - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. - - - - _ _ ,z EMPLOYEE NAME 6 ADDRESS + ----M 0 U R S N 0 n 1 E 0----------+ TOTAL PAI GROSS S P�Y UROSS ?At a SOCIAL SEC 6 L EXEMPT JOB CLASS AN SON TUE LED IHR FRI SAT "m RATE THIS A OT1R JOBS ;.:':.. TIMOTHY S ENGL SN 7300230 SEMI TRUCK S 2.50 1.00 3.50 17.70 62.09 1. 2132 - 326TX t _r- 1;1+ANAtIOX W 9C M N-1�IB M-62 TOt7c.S- 46.60 a 89 709.87 - -- y M�N a------------ ---D E ➢ U C T 1 0 N S_------_-- + 11 _ - - - - - - - - - - - - - - - FRINGE FICA FED L�H SDI UNION OTHER TOTAL MET PAY 3.71 59.{D 136.22 7.05 .06 75.60 271. U9.21 _. _ - _ _ _ - _ _ _ _ _ _ - _ . . - - - - - - - - - - - - - - - - _ _ _ _ - -._ _ _ . _ - _ EMPLOYEE UK 6 ADEVtE" +-----------M 0 U R S V 0 A k E D-----------+ TOTAL FAT GROSS PAY GROSS PAI SOCIAL SEC 1 6 EXEMPT :OB CLASI AN NON TUE kD TOR FRI SAT HOURS RATE THIS JOB OT1R JOE .. _.. . DALE LLLY_RSLEEVE 7308236 SEMI TRUCX S 6.56 6.50 17.710 115.31 - 221- IE 16TH RENTON NA 98056 _. 531-56-8389 4-0 C M 13TALS- 51.v6 115.31 85'.12 a---------------- D E D U C T I 0 N 5----------------f ._. A FICA HER TOTAL MET PAY FR3.7711 691 9 FED 93./3X 226 UNION M O-.BB 270.88 696.05 . _ - _ . . _ . _ _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - . - _ _ _ - - - _ - - - - ' +8 EMPLOYEE NAK n ADDRW --- ----H 0 U R F L D F R E D--- - - 'OTA,. PAT GROSS PAY GADSS PAY SJCIAL SEC : 5 EXEMPT ;JB 2LA', H M1TN lE NFL IHR a' IGUII rATL THIS JOE OTHR JOBS t .i l F .t (: DONALD HELM 31WE 2.49 O 1 -".A. Segait, I.C. 41r CERTIFIED PAYROLL REGISTER 0r4 PAYROLL PERIOD PAGE 31 ® 1b10 SOWCOMOT P4rrgr 9/30 !HBO 9/AS fT4r+s 1+ 'HI 90188 JOB CODE 007510 PAYROLL: 15 JOB NONE RENTON CAG029-87 IST ST ' MIT CST CON INPRVNTS ^ r _ . _ � - . _ r _ _ � _ � - r _ r44 _ r _ rr _ r _ r _ r 'Wyyd EMPLOYEE MAZE 6 ADD'iSS r-----------H 0 U R S M 0 R K E D--------- TOTAL PAY GROSS PAT GROSS PAY NM1YD SOCIF? SEC 1 6 EXEMPT JOB CUSS SUN NOW TUE WED THR FRI SAT HOURS RATE THIS JOB OTHR JOBS ® 4400 SUMT BLVD WE APT31 5705755 PAVC MACH S 8.00 8.00 17.430 139.44 RENIIO70-7878 n! CAM TOTALS- 52.50 141.84 054.99 _-8 E D U C T I O N FRINGE FICA FED W/H SDi UNION OTHER TOTAL NET PAY ' 4.46 71.27 293.59 14.05 39.38 .00 328.28 668.55 - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - -- - - - - - - -- -- - - - - - - - - -- - -- EMPLOYEE NAME 6 ADDRESS •---------H O U R S W O R K E D--------+ TOTAL PAY GROSS PAY GROSS PAY Q SOCIAL SEC 6 W EXEMPT JOB CLASS SVN HOW TIE WED THE FRI SAT HOURS RATE THIS JM OTHR JOBS � N JESS M MARRIES 5705655 SCREEDRAN S 8.00 R.00 i7.790 141,1 _. 3024 ALDERMOOR C' S ',,A 2.tt0 © PUYALLUP WA 98314 28-54-5483 N-03 C M TOTALS- 51.50 144.72 039.13 FRINGE FICA FED W/H SDI UNION OTHER TOTAL MET PAY 4_16 70_35 162.42 13.70 19.63 .b 285.18 698.67 WLCYEE NAME 6 A;: 3S r-----------H 0 U R S M 0 R K E D-----------4 TOTAL PAY GROSS PAY GROSS FA: SDCI.AL SEC 4 6 EXEMPT JOB CLASS SUN MON TUE WED THR FRI SAT HOURS RATE THIS JOB OTHR JOBS CAVID L JAMES 5705740 HOTRDLL[R-S .8b ^.,f4 N 18N7 dOSEIYM ROAD U 57057/u HOTROLLEN I 6.b 8.00 t:.436 139.44 r. �LSTER MA 98579 -3-50-6943 M-05 C ? TOTAL$- 47.Dd 141.54 693.70 • •---__-____-___D E D U C T 1 0 N S------------� .• FRINGE FICA FED W/N SDI URI OTHER TOTAL NET MY A 4.16 59 , 97.74 12.71 35. .00205.11 620.51 _ __ .y .. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ " - - _ _ _ . . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - . _ _ _ _ _ _ _ _ _ EMPLOYEE MANE 6 ADDRESS +-----------H 0 U R S W 0 i' K E D-----------r TOTAL PAY GROSS PAY GROSS PAY SOCIAL SEC , 6 EXEMPT JOB CLASS SUN NOR TUE WED IMP FRI SAT HOURS RATE THIS JOB OTHR JMS _..._.- L1 4m A KMOK 730#230 SEMI TRUCKS 7. 7.SB f1,7b 137.BS MMNN 6927-C GLEMCR6S oa Ae -_ - _ SEATTLE, VA P8168 -- ' • 534-30-3154 S-OB C M TOTALS 52.00 133.05 8W.17 -- E D U C T 1 O M S------------- _.. FRINGE FICA FED WIN SDI UNION OTHER TOTAL NET PAY .. 3. 1 73.16 274.06 8.79 .b .00 356.61 667.21 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ EKKOYEE MANE 6 ADDRESS r-----------N O U k S W O R Ti WE D----------r tO1A'. PAY 4R0.SS PAY GROSS PAT SOCIAL SEC i 6 EXFNPI JOB CLASS SUM ON TUE WED iHR FRI SAT HOURS RATE TNT$ JOB OTHR JOBS ERMEST D LODEN 734323E SEMI TRUCK S 7.00 7.0,17.746 124.10 61S - 20TH ST SE NNNN 538-3�_6236 S-000 C M2 4y TOTALS- 46.50 124 18 743.88 ____________D E D U C 7 1 0 N S----------------- FRI FIC11 FED N,:! SDI UNION - OTHER TOTAL MET PAY 3.11 d2.�trr 219.61 6.79 .b ' .b 288,67 579.39 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ EMPLOYEE r 6 ADDRESS r----------H O U R S W 0 R N E 2-----------4 TOTAL PAY GPOS'S PAY GROSS PAY v SOCIAL SEC i 6 ''1EMP' jui ^LASS SUN MOM TUE WED THR FRI SAT HOUR,' RATE TH.S JOB OTHR JOBS IMGEMR R 1J1RfSON 7 A4"in IF 1..� J $ . SaB4ta Inc. «•• CERTIFIED PAYROLL REGISTER •«• PAYROLL PERIOD PAGE 32 ® iBH19 So«tAc•ntel Park wt Bi 30 TWHU 9/95 T•K.i:4 WA 98188 job pi 06151e PAYROL:9 15 in IWE RENTON CAW-87 1ST ST MST CST CON IMN MTS EMPLOYEE NAME i ADDRESS ----------N D U R I W O R M E D-------« TOTAL PAY GROSS PAY GROSS PAY SOCIAL SEC 6 6 EXEMPT JOB CUSS SUN NON TUE IED TMR FRI SAT HOURS RATE THIS JOB OTHR JOBS 20925 - 182ND SE -�AENT. YA 98631 '} 53634-0749 P-00 C Y °\TOTALS- 50.08 119.7$ 850.24 . y ry r________________D E,D U C.T S 0 N S_____,_____ti °'" 11Nt1ry •� FRINGE FICA FED B/H SDI ":WON OTHER 107AL .tiEl PAY - - - - - - - -3_71 69.35 194.13 7.94 .90 .08 271.41 698.62 a EMPLOYEE MAID DRES. 6 ADS • N---------- 0 U A S W O R K E D---------. TOTAL PAT GROSS PAY GROSS PAY TOCIpI .".Et B i EXEMPT JOB CLASS SUN MON TIE WED (NR FRj "'SRY-'IgCFJ RATE THIS JOB OT1W JOHS --- MICNAEL A NELLABo 5705740 HDTROLLER 9 4 10 .M 17.430 69.72 9410 4STn PL Y H „_-^ - r a _ 6 .�8{26.t45 13.v f ..___._ MUS IITEO -- . - >,Dee - 1.41 . ......... ... . .._ i = 6B 4511 i1 N M - I .,�.. OOTALS- .80 04.28 979,10 i yyy �_____..______-D ET U C T 1 0 N S--------_ __« INN! s,...... FRINGE FICA FED WIN SDI UNION OTHER TOTAL MET PAY ` - _ - - -4- 76.05 2T5.46 14.71 41.25 .N 407.47 656.13 i I1 _ . . _ - - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Y•A EMPLOYEE NAME 6 ADDRESS � ------------H D U N 5 r 0 k d E D--�------« _IDI[g� PAY GkOSS PAY G205i FAY SOCIAL SEC 4 l EXEMPT JOB ((AS$ SUN MOM TUE WED THR FAL SAT IOIRS RATE THIS JOB OTHR DOHS CNM.ET6N E STRONG 7300230 SEMI TRUCK S St00 s 5.90 17.740 BB.7B " 1 1031 WST ME _ ,4 c _. AUBM. 'NA 98002 531-46-659C 5-00 C M 1 TOTALS- 49,56 66.70 843.06 __.. •. FRI%H�E: FICA FED Y!ND E D TIS T IUNIONS_-OTHER- __TOTAL NET PAY 3.7t 66.62 242.21 8.1.1 .0►- .88 316.97 44.81 _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ EMPLOYEE NNE i ADDRESi «-----------N O U R S W O R K E D----------« TOTAL FAY GROSS PAY GROSS PAY SOCIAL SEC B i EXEMPT JOB CLASS SUN 10 TILE YED TMR FRI SAT HOURS RATE THU JOB OTHIP JOBS +, NMSO 2NgRA 350982e GEML LABOR S B.OB B.AB 15.210 121.68 4J 2396 CIRCLE ST NOSES LAXE WA 90837 A 531-Se-9o57 N-60 C A - Y ' TOTALS- 48.00 IL1.66 042.27 '1 «________________D E D U L T 1 0 N S_.______________« ./y FRKNGE FICA FED YIN SDI UNION OTHER TOTAL MET PAY �yy! - -3.43 54.62 131.62 1:.84 62.48._ .M 261.40 502.47 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ --- _ _ - - _ _ _ _ _ - _ - _ - TOTAL HAIRS 93.75 TOTAL WINES PAID- ..342.00 t, 1 c .. :ds Lae, 483 ST�CG� ]>3N0*373NO WE Vest Coast chontlq/ Co., Inc. GENERAL. CONTRA AND ENGIN n P.O.gey 419 24205 ioRdinrilb•Sneheminh R Ad 'i" A��SLL+ WOODINVILLE, WASHINGTON 980 2 SEP 8188T i .,. •err TRANSMITTAL RECORD TO a Of Renton DATE September 4 1987 ngireering Depaitmulit 200 hill Avenue South JOB N. lot Sc Burnett Ave. co Perk Ave. CAG 029-87 Renton, Washington 98055 LOCATION N. 1st St Byrne Ave. to Park Ave cy f enton ATTENTION Joe Armstrong - Project Engineer S We are sending Herewith® eP°fate cover by.. Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION I certified -'as o" forweek a d' q SEPTETIBER 2 1967 Certified Payroll for week endt q FIST Zfi 1Q87 f SIfNAI FI Ff'1'RTC -UC. I For Approval Approved, as noted Approved _ Not Approved - Please resubmit REMARKS WEST COAST CONSTRUCTION CO. , INC. Copy to: By 'u/' Tim Buchanan 57-9 P'1 Title Sec etary - L PAYROLL r....,ARP U.S. DEPARTMENT OF LABOR eWeM e�..r Na .a-ntw� WAGE AND HOUR DIVISION (FOrCUntmct,,'S optional Use;Sm Instruction.Form WN-3471nst.) _— ESS NAS,F OF COMTM TOR XXJ r O f WEST ODAST CONSTRUCTION CO., INC. __- P.O. Box 419,. Woodinville, WA. y,&;2 r[=1{FMOMW VMDMCT AND LOUIIOM '""RD1 _-_ - SF _ _7�I,2-".L- - - __ !L.lat;St_.@usnett.Ave.B Park Ave:- li4p_._ .. I ill DI 0,my AOC OATS u. W In A 0911CIIOd NET Name.AOOMe.ANC TOTAL ( Ave OOOef FAO[e toDlAt ma I'AID eFCUINn Militating R CIASSIFICAATION 30 1 7 2 Now OF MY EARNED NCA MOtoei NED. 011ON oemall a FOR wrrA Or F41MIME g HoSea MOIeOm FACN oAv TN O � �TEAJnf>Ex • Se.7y /Afee q. — /�f.rY .S33./6 DeRSO �Gt14Ll (e� 8 $ 7.7f 709•fa — sI LAlfe tEAtF ° YY.l7 /�f ro >P r2.e• 2v:. 3rr 07 (ol! P 8 8 8 8 Yo /sar 4ft7.40 �0.e0 Z?2,(,y 91J3.V 8 A b 3s%= /8 a 67 • g $ 8 8 8 Yo ifa/ 6o$.Yo y3're xLete ro.Je S2.oe /7g20 y30. :o f by SO&7/ 30.00 /a.:r /p.aY 7114e r _ 2va 3frS.o3 /oiOE[.FyaAs Yyw /.w /o•.1e s2.06 jolt 8 88 '/o zrif cuco I r ccmcA✓7 ° - 6P� Y .7aae /a)o fe.eo 92.6 `/33-7t FE,_ W/LL/An7 (°J nfiFreA/ • 8 $ 9 $ 37%z /=/[ ° g` //.V2 ^00 2.Y/ 23$3 /35. 83 6cA1.SFL,. L D/?.6'�/ — D } - -t - - --1— --- -— f C/�eKA7al / S9 /f7• ro•Jo ,70.oe � 12y9,z9' y72.3/ flAiy/A, CRAM (F) is B.OY 71/1if i FORM M M) O/SO-FORMERLY SOL IL-PURCHASE THIS FORM DIRECTLI .LW THE WET. OF OOPUMTJ(ts T v _.NTe C �rHalwr L. 1987 u.wr w.r.u.Iruoe m approp••xe programs For the Deraem m sudr empbysea, except as rented In Section♦(c)beloac � c Burha an SeQeterV (b) WHERE FRINGE BENEFITS ARE PAID IN CASH wi.a suwro.r wnrl rtm.) do hereby state: -Each laborer or mechanic listed in the sbowe referenced payrcu has been paid.as indicated on the patroll. an amount not less Ilan the sum of the applicable twit (1) That I pay or wparvlx the payment of the perwns empoyed by__VOBt COaSt hourly wage rate plus the amount of the reeulred hinge berNfrls as listed in the Contract,except as noted in Section ale)bolo.. Con Action Co., Inc. ontlw _North 1st St—Burnett Avenue to IfaMraxb.r on...1 end tamlenw w wars) (c) EXCEPTIONS Park Ave. - Renton -that duting the wyrull perirA commencing Des the --1 ca SF3TF11BER 19 87 EXCEPTION (CRAF) EXPLANATION day of— ALICUST ,19 87 ,end coding the�_.d_.day of--__all parsons employed on said project have been paid the fug weekly wages earned.that AND r*b*W -- [ haw.bean or wig be made~directly or indirectly to or on behalf o•sad WEST CAAST CON T"R)I(TTCN CO.. INC,. -_ __ from the fun Ica.a..ao..1..ev..I.anal weal weem,semM by any parson and that pe deductions hswf been made elthet directly or Indirectly from the full wages earned try any person, other than permissible deductions as defired in Regulation,Part 3(29 CFR Subtitle A),issued by iM Secretary of Labor under the Copeland Act.Y _ amended (48 Wt.948. 63 Wt. 108. 72 Wt.967;76 Stet 357:40 U.S.C. 276c).and deunbed - ------- tFelwv (2) That any payrolls otherwise under this Contract reouued to be submitted for the above e[raARM period am correct and comports:that the.49.rates for laborers o; mechanics contained thernn are not Ins then the applicable wage rates contained in airy wage determination incorporated into the contract:that the classifications sat forth theram for each laborer or mechanic conform with the von he performed. (3) That any apprentice employed in the above period are duly regrsterd in a bona fide _ apprendmnhip program registered with a State aparentanni agency mcogmzed by the Bureau of Apprenticeship and Training. United States Department of Latmr,or if no such recognized agency exists in a State, arc registered and, the Bureau of Apprenticeship and Training, United States Department of labor. (4) That: NAM[ AND Tlnt 81GN.TURF 01 (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PUNS, FUNDS.OR PROGkAMS Terry S. Buchanan, Secretary Wt TNe WILOUL FALSIFICATION Of ANY Dr THE aamVl STATEMENTS AffairSUBIECT THE COrRMACTOR Oa —In Addition to the basic hourly Wage rates pad to each laborer or nTChonm listed SUBCONTRACIOR THE TO CIVIL OR COO[. arrou ECUnoN �.sm c,"axi OF TITLE la A TREE N D 3[CTIg12al OF n. the above referenud payroll, payments of fnnge benefits as ksted in the contract 6 Al U3. DEPARTMENT OF LABOR PAYROLL WAGE AND HOUR DIVISION a°eEM a.,..M. AA-.1m3 (For Contractor's Optional Use;See Instruction,Form WH-3471nstJ NAME OF CONTRACTOR ON SUBCONTRACTOR I ADDRESS WEST COAST CONSTRUCTION CO., INC. P.O. Box 419, Woodinville, WA. 98072 483-1900 MVIMCL No. I e NE 1f(NpM6 PROJECT AND LO(:AiION Mplf Ci OR CONTRACT NO 9 S ER 2. 1987 _ _ N. 1st St-Burnett Ave.B_Park Ave.-Renton CAC 029-87 DAY AND WTI (S) I (6) Ill I IN- IIUA, ADDRTV MID _ GROSS INDUCTIONS MET MMML e[CUMTY NUYeEN CIABW**KTgN 1 Nouns w MY RATE AMOUNT WITH !�D. UNION wMEN 'M RAGS w OIROYEE d I EARNED CICA MOLDING f NDINIa WpIRFA GCM DAY AS OEMILTMS FOR MEN Y7( � lA�D,IPER D — I �y`•B I (me) FFoeRPc6m.,ggnN/ • �l �—. E� Y9Jy /o9.cD /o. o f2.ee P, S 3>%i 2 •y�Of/ySD S6•SI 9),ee /a.>D /431 mlhys0 LEo 2—a'8s— ,9dL / We,66 D ;s waECAyEt y3� yy17 7S.e0 /01-, DLJ-2 ao /dz,s> YKfo3 O S OPE Pv�oa — Q (o) Fo.eEmw✓ S 8 8 8 yo /p,t 7y2. s1.os /os /0.>0130,aD Me >fsyz.zs oo I D Op&,#ArAC -- KV /yKoe /o•>o ,76.00 23c.y/ ysl�9 SA7N�T� ('�- S 8' 8 8 8 Yo /73lr 69S. 2o 10 (�} S P110A44yec a —` 1 Yf/87 97.ee io.>o sz.oD toys y23,03 _ S $ 8 8 Y, /s.cs i6L7' co_ _-- PwEcgyEx yy,B7 /3S.00 /D.>a s2.eD 2yzs 38sos S7&YZES 0,4V 1//s (o)! e 8 S d $ 8 yo i/s-61 2> 60 /toS Con 9 4.t ?.✓ 9P29a — — — — — - ---- 5.36'6o2-7S(`I-Fnova..H✓N Iml �ypKES p QN 1�3� c �oaeE>e e S $ 8 _ a —37/ Yy�7 ao•sA .o.>D ra.0 8 a_ Y_ /s69 i6r71� Al ��/� '-i.ado,v - !fr g fr ye /8/G �26.yo / 9y //aA. ioa0 — n2.ey ss3=�G FOAM IYsp) uI64I—FORMER11 WE IS—PURCHASE THIS FORM DIRECTLY FROM THE SURT, OF DOCUMENTS Member 4, 1987 _ve oven or.rm ue nlAne m epprnpnam prrgnms to+me uerw.^m fucn employees, tacept as noted In SecOno 4(c)before. . Buchanan _ $eCre[2I INanN a V (b) WHERE FRINGE BENEFITS ARE PAID IN CASH aiewlwv wnrl rtaM) d r hereby Rate: OI —Each laWmr or mechana,listed,n the above referenced payrol has bee. card.As indicated on the payroh,an amount not less than the sum of the appllcatle tasic (1) That I My or supervise the payment of the pen employed by—Walt COest hourly wage rate plus Me amount of the required fringe berlefft as listed in UN wmncl,except As noted in Sectors 4(c)before,. Construction Co Inc. on the North 1st St. Burnett Avenue to ICIMe,smr>wemnredwl <a,nw,.e w*suss (e) E%CEPf[ONS -Park Ave, - Renton 4 that during the payroll parent canmencing on the 27th day of AUGUST ,19��alM*.Ming the 2nd day of $EPTQ78ER 1987 ERCF111DR (CRAM _ _ EXPLANATNM all persons employed on said project hove Dean paid the full waesly reages esrned,that no Mbelas - ------- have Deen or wall De me"edher directly OF Indirectly to or on behalf of said WEST COAST CANSTRUCfION COr._ INC, ___ from the inn __ _�i (CwNranw w—Ac.noMw) - 1 I- weeMlYwfgefeamedbyanypenonarMthatnodWudrum have Dean made either directly or indirectly from the full wages earned ty any parson, other than permissible deductions of defined in Regulations.Part 3(29 CfR Sua:tle A).i"Urej by the Secretary of labor under the Copeland let.es amanded (48 Stat.948,63 Slat. 106,72 SM.967:76 SIAL 357:40 U.S.C.276C).aid described Glow! (2) That ally payrWb MGredae under this cadrM required to be submitted for the above a[elAess period an OTIFADl end complete:that the rage rates for laGrers Or mechanics contained therein ere not less than the applicable wage rates contained in ay wage determination incoproaled into the contract;that the classifications set forth lhemin for oath laborer or mecnanic conform with the wool he perfomec. (3) That any apprentices employed m the above period are duty regraterd in a Dona fide Apprenticeship program rglstered with a State apprenticeship agency recognized by the Bureau of Appnnticeshlp anal Training, United States Department of labor,or if no such recognized agency fiats in a State. AM registered vnth the Bureau of Apprenticeship and Training, Unlbd Sales Department of labor. (4; That: NAME AND TITLE eIOMaTURE (a) WHERE FRINGf Rf NEFITS ARE PAID TO APPROVED PLANS. FUNDS,OR PROGRAMS Terry S. Buchanan, Secretary d THE WILLFUL EAL6MICATIOM OF ANY of Far AGOVF STATEMENTS MAY SUrUECT THE CONTMCEOII Og —In eddihon to the base[hourly Wage rates paid to each aG(tr O(afechi me listed AT sl eCOMTR w*TO CIVIL OR CRIMM ~UC"'1 BEE aECTIaI less a iITIC Ia ANp gg4'FtDalgaEd TITLE st OF THE UMITW STATES COOL the above refene"d payroll, payments of Irides benefits as IIUM in the comnpt •1 �s a�y Y1; i� -pw y a U.S.O[eARTNENT O•LA•ON ^bT E•'w A.p'•r•e� e wAe-a«D«PDw ono watt ATEM ENT OF COMPLIANCE —Ar war No .aNw+[ <o«vA<n Dnulon- pts 8/28/87 1. P. M Gu[hm L11e[ .whereby uan: (Nam.•'ai-rn'^0'"'�— Si real electric 111 Tnal 1 Day or auDorbe iM P•Ymnnt of the persona employed by er« the North tat Street/Renton ;that during he p-Yroll Period rome,orin.On a•y of August n , IM argil Iq 87 and enemag the he-2ftdq Of Awe•1111' . w_a7 •u peree.o emPleree TO, .a1a vrna«l b... been paid he mu weekly wage•eared,1h•1 in,rebate,have Ma er-ill hem le alines etrcctry or IMiracBf In or on behalf of said Signal Elm ee[ri Inc. from he lull�oekly wage,Quad by say Person and chat no aeauclwne have Fenn mein either direetly.1 iMbecT'be lull wages eared br any person.relines the.permfnlhle dedualiom as aeflned In Regublbne, Part 3(19 Cliff Suhl.ne A). IaueeC by the Secrctavy p of Labor under the Cnelend Act. as amended (e8 Slat 948 63 Stst IN, 72 310 %7;76 Sts1 357;40 U S ]]M). ..it msalbed below: a FICA Withholding, M d1ca1 AiA ne�{rare - I r 3 (y) Tbat any Psyrlts okerwl..under this contract requited to be submitted in the above period am correct and couplets, w,a[c Aetrrminailen incorporated riot.the enNnclathe,turd tthe�tr,am not laalflr•11 nag gel forth therein for e-eh I Mror or nechanlc coo hum wih the work he perlmmed (.I) 1 hot any •pprenllces employed In the above"'led are drill registered in-bona If&approNleeship Druram registered ,h with a State apprenticeship eA<ecy recognised by the Bureau+1 AQ rums rehip and Ir AninZU rah D an bnited Skills D part ant Of Labor,or If we such recognis.d•,m c,exists In-Slate,ore men ere ed� M mor.1e1 naNl of Labor. (4) than a, (a) THERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS. FUNDS,OR PROGRAMS �_x. In.rattan ro he basic hnurly wqe roes paid le each laborer or rs<clron lc lined in he above nefemced pq- roll, payments al fringe benefits as Itsled In the eentract hevn been or will be made to.11--ru1e provers- to,the benefit of such empmyes, ac.pt a noted In Section A(e)below. (b) WHERE FRINGE.BENEFITS ARE PAID IN CASH Each La6orcr Or meehanic listed In the above referenced D•Yrll hes aim Dale as Indic-md on the r ymIL f. Mnelits eta.1 1...than the...of them as noted basic hourly o rld(c)wage vote plus the amount of the required fringe sted ow (c) EXCEPTIONS EXCEPTION(CRAITI EXPLANATION a1[NAr Vn[ P. M. Guthnillerr Pwvroll Clerk��e N o< • e « •aoraar. N1'« <-Vatcr '«t cp«it'i i�ee°etuy co`rn t..r to r ooi "n c-no Nei cu noN.leert no« goo, er rasa awp acne« t or -: c w « p s • ;+ Art PM 34114 1,48) F 910+4 iLELTR ti �',� RpI(QO P10lN0: M/i•IOT CMTIR.eO R•vROLL aERpli R•0[N0, 10 ( WIC. •DDRE88 MD T'OTK J00 mum fa OT*m TIT1o1 TWT ItT '•� '1N-Q-FTR`LORL' ores Mm "C•-L/N IfIM--YOe�M00tt'�DCT—tir'•�Y T �� • L R; 0.0 9.0 M.m ISO.of w.m i•l. w +ma A �•-, —awl.-Yb+w' •aas---aerlr � .. tt. w. t _ J00 CLNe: LIIt Cllp Rp1pMM-/gOmO m— 10-71 ate— S "Af�tl•Y••O' --'0010 V "'� .Wt_ 0. 0 0 0.0 3.0 6.0 _—l0¢L•0 ITO.m to.m e00.aTORT'T som CL C•Ole RIM RIm 190.43100 nt D D. OILLIM R. R: 0.0 3.0 TY 40 131.06 to.A a%.m fEDE11K WV. _ .O CLNO: LII�IM11-1.0-OOm ,.PEIMr N1 m C. R 0.0 to -- eW.if N.K 9.91104 .AO CLMSI OROUpW►1.0-Ofm ,.IOOIRIR. RMOKL L. R'. O.o so MS.m IM.m 10.m 156,46 t ,•IIOIIIIII. w.auoa . A CLMO: ORgRO1M0•f.e-otm Y OR0-1RZ/R- —�OOt!OF IT. (I "MCC. MRIp1 L. R:_ 9.0 e.o 725.20 to•.x w m 0. m.of . c �.Ia1TR eue. W. ..eoso „o DLAR-1uD wowcllwtlm-euo • - w v� a- s Y i • � �Y' a 1 raow +areoo Haar ww.W,-"3w ' *tWAND est boast ch ` o., Inc. GENERAL CONTR ENGINEERS P.O.Bo• A19 24205 Woodinville-Snohomish Ro WOODINVILLE, WASH INGTON 9807 TRANSMITTAL RECORD F.""0°n'v^nFP[. TO rity O RRenton DATE 8/31%87 ngineering Department 200 Mill Avenue South JOB N. 1st St. Burnett Ave t mark Ave. CA 029-87 Renton, Washington 98055 _ LC,.AIION N. 1st St. Burnet Ave. to Park Av ity f Cenron ATTENTION Joe Armstrong - Project Engineer We are sending Herewith® Separate cover by_ Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION 1 Each EEO CC 257 ror A..gust 1987 for: West Corst Construction Co. Inc. 1 E-ch EEO CC 257 for August 1987 for: Signal Electric Co. Inc. 1 Erch Prevrlling Wage Certi-icrtion or Period ending 8/J1/97 For Approval _ Approved, as noted Approved_ Not Approved - Please resubmit REMARKS Far your use. WEST COAST CONSTRUCTION CO. , INC. ,aJ 11 ' Car to: By_ Tim Buchanan 07-9 File Title Secretary d x �s Y a CERTIFICATION BY GENERAL CONTRACTOR Re`: Payment of Prevailing Wages i To be submitted to the City with each Progress Payment Request. Date: 8/31/87 PROJECT: North 1 st Street CAG No. 029-87 5 This is to certify that the prevailing wages have been paid to our employees and our subcontractors' employees for the period ending 8/31/87 - in accordance with the Intents to Pay Prevailing Wage filedgi the Washington State Department of Labor & Industries. West Corst Construction Co.r Inc. Company Name Siqned title �I Secretory I I 5L.C.CERTIFICATION/DRT:MB J b 1 r- EmplDymtttt SunMtasA�.__..w....�. ...-_.._.,ON ., t... .._w-w+nt:.«.-..•,,.-+,. MINORITY: AAminirtntion,OFC� UTILIZATION HLYONT Kin n1 MINORITY: 7 FROM: ryN nFMt rNu anal M • unbrpOn nn nY WnlncN rry P,fWI349.1 . N0. aMIOkINe•INrrIINIfAN maeIeftln.IlliH ar kI PNt and WMMOkr NW N AWNM I"llibN Iir 91-D6Y-BD00 FEMALE: 6.99E TO. J6-aE-si7 Wrr ainfMlMM nIWMfir lieNiRy NYtM YOMIYdNn WMIMr. NAME AND LOCATION OF CDNTRACTW FUND II FNDING• JPE: WCAJ70✓ A644 /37- $r ��rye�Jx West Coost Construction Co.r Inc. AGENCY P.O. BoK 419 - Woodinville Wash.. 98072 e. WORK HOURS OF EMPLOYMENT(FidnY•Non-Federal) 6. tD. W. •• 7. �. TOTAL TOTAL CWRERUCTgN ' TOTAL ALtIft @LACK ASIAN OR AMEIII N NUMBER OF NUMBEROF.WKO•/!Ei INOI or NEMANIC PACIFIC INDIAN MINORITY FlYALE EMPLOYEES MINORmTRADE CIkRI1letYile BYTRAD! Hiawit OHOM ISLANDER{ ALASSKA14 PERCENTAGE PERCENTAGEgMFLOYEEE• _..NATIVE ._ _-.. _. .. ._. M F M I F M • F N I P Be I F as F MAPPRENTICE R Operators TRAINEE SUE-TOTAL AaTO ,• y.I / • J.'M wOHN Ln♦;wws APPRENTICE - ._.._ __.� '(( /7•j� .f R -... TRAINEE .. SUS-TOTAL I/41}• INS I:^' Q / / _ 4 APPRENTICE _ __ _ T Teamsters _. _� __ _._ _. TRAINEE ,�. � ... .._.., - SUB•TOTAL If.O. ,.. _. .. 4 . Jiu.My~ku Cement APPRENTICI . mentions TRAINEE $US-TOTAL t7f /.tb 9 2 • .• JiurrOy Ner4r _... _. APPRENTICE TRAINEE _. J.. ,..... .t .., ,...� I ...,•.,.. . _ _..:.. fUE•TOTAL < L. / S / TAL JOURNEY WORKER$ 48 JIJ2 /10 24 / � _ OTAL APPRENTICES . ._ ._ �_ . ^_ _ /l•J R /.i 71r ._ .. TAL TRAINEES' ' RAND TOTAL -4m/ 4f 3pi �l0 Z* / 11.CGM►ANY OFFICIALY EIONATUIIE AND TITLE 11 TELEPHONE NUMBER(441I Nn nMl 13.DATE SIGNED FAO{ Secretary (206) 483-1900 p_31.07 One OP One }� MB AFMDVAL NO.M#17M -� MRM CC•%T IRw.MM j L_ L DEPARTMENT OF ,.ABOR MONTHLY EMPLOYMENT I covtRto utA ertA OAw - a _ .cwAea }leynrnl YMWweI AY1Mmt::atmF,OFCCP I UTILIZATION REPORT �,..T 7I Rin MINORITY: FROM: wFMt rgYaw Y a« 11' , ul un to..W t On fnYltmmMNFN-L«ry S.IWLOYIRE1D M) i yoF«R,mm.•.n w.a:.m�n FM..M tw mmne,e arr w asl«N�nMViU la 91-0832807 FEMALE: 6'9 TO �/'16 J8�'• GwRm•w AMIwFN et ImRAIN•w,R.P m,mrunan mnf.•n,. NAME AND LOCATION C CCNTRACICM P•DEHAL FI/NOIN3 Ile Signal signal Electric, Inc. I wcENe� 9012 South 208th Street Kent, W: )8031 L t WORK HOURS OF EVOLOYMENT IFW*vW i NawFMMnII IM. ep. 6t. 6a. ). Y. TOTAL TOTAL CJNARUCTIDN TOTAL ALL BLACK ASIAN OR ARIERICAN NUMSER OF MUMMER OF CwIIKR[MIR EMPLOYEES (Not of HISPANIC PACIFIC MOIAN UINORITY FEMALE EMPLOYEES MINORITY TRADE MY TRADE H'M..Or�«nl ISLANDERS ALASKAN PERCENTAGE PERCENTAGE EMPLOYERS - _ NATIVE _ Y F M F M _ F M P— M F -M F _. M _ -F.. lectricai lam'.. _.�. .-- --' - - - . 1 -�J_. _ R�.Jo'4 4' 7s7 APPRENTICE- _. -- ,_�- —��_ _ - rMINEE SU6 TOTAL - T1IAINEE Sue-TOTAL r•w 'a L . APPRENTICE_ _-- ITIIAINFE _ - _--• !! _ # P RNTICE- YRAINEE WS-TOTAL APPRENTICE TRAINEE e r S aWTOTAI 4. .. ! tiNT w.' yR.^, „C.•,' T :•j•.•S. TOTAL,LDVRP}€Y WORKERS TOTAJ,WBEMIICES ;/. kg TOTAL TMINEES. , GRAND TOTAL -_ .. •. r�,'-a.. r a -�,.. ��: - :2.;t 'y ^-off' t , ,:y ' ± ;.a: II.COIMANY OOF/FFICIAL/'S SIGNATURE AND TIT.E IL'MLEM1ONE NUMBIR IeeYleP oWN it DATE am" FAM Payroll Clark (20E 872-7177 � '(s..yY:19, /g,�� ram• ��' OW APPROVAL No "AIM FORM CC-EST[Am a:ral a w � 1 Y " D {�( ((y 22301 WE-STCC•373Na f� Vest boast �, ction co., Inc. GENERAL CONTIO AND ENGINEERS P.O.Bo. 419 24205 •oodinrill._5neho with I�o. WOODINVILLE, WASHINGTON 98172 f;rC I�r"ED 11 SEP 1199 TRANSMITTAL RECORD 'ER' jn TO—CCit Off 1, nton DATE_ August 31. 1987 n� gineering Department 200 Mill Avenue South JOB N. 1st St..Burnett Ave, to Park Ave. CAG 029-97 _ Renton, Washington 98055 LOCATION R 1st St.. nettAve. to Park Av ATTENTION ity f Renton I .Joe Armstrong - Pro lest Engineer i We are sending HerewithC Separate cover by Drawings prepared oy NO. PRINTS DRAWING NO. DESCRIPTION -CcIL'Iic' P 11 f 6 craij,, A"M 26. 1987 For Approval Approved, as noted i Approved Not Approved - Please resubmit REMARK S WEST COAST CONSTRUCTION CO., INC. Copy to: By 'Z ^" Q...,4 ,j Tim Buchanan 87-9 File Title Secretary J AL suit Aep•�' U PAYROLL.S. DEPARTMENT OF LABOR auara eu...,,Nu u-R,g3 WAGE nND HOUR DIVISION (For Contractor's Optional Use;See Instruction,Form WH-347 Ind.) .00x[55 NIF of CONIAACTOR Da WKOMTMCTOaHARES _ WEST COAST OUNST_RUMON CO.. INC_. P.O. Box 419, Woodinville, WA. 98072 483-1900 MY L 8 toR A(NDINO AND LOCATION Pp1[CT 0•fdNIRACf MO. _� A8Q1ST26 1987 _ }pt t,-.$Urnett. Ave.B Park Ave.-�nton �AG 029=87 OI MI saw ARD"m A ou 17I IN (n-- DUN.cnaw NET NARL ADDREM AND i S ToSM, Mrs ••••• wimmur 9pC1/_5[CORItY NUYRLR t; �•` MMM, Oi IAT • Y WITN. Y Mr CLAasIFICATgN .2. MRwED RCA ,ML.Nc MBD. UNION on"" v�,� rD,Y OF LYPLOYLi ,NpYRa WDRNm(I1p1 DAYt I TAx =13 fy Sody 533,76 A/ D -A 16A1,C ® [AQoRER $ g $ 8 8 Ye /ray 6z7.le YY•81 /srP. /o �° s2.°e iY�.s dts a3 I i Lz J.E. 30Y •1� 4�� Sy8 3Y' 0 ff'a - S CEirnew� /9Y /74+° zJ24y I/3.77l � S T (0) 'w 9-vo"/ S S S 8 IFYo /f./l 721.Ye YSo9 SouYN K�PyaL.A 'N/L M S3S-So-So5/8 L�3etF� f,7o 2.,°e z,7Y io.Ya z3,zY 98.YY CUUwlyiyc/1.r91 LavS fA W 0 rtz) 4 8 /.f.2/ /s/.69 S o y''•' J/'S? 3e.00 2/3.15 FERRY DANA •-) 8 - - 8 K ty /f.dy Ta/.N O 's i P/PE�.aytne YS/f7 /3S.M /O.)° S1•e6 xya.57 38.f.03 vo /,fo izue - S� CEmrw r 0 — !Y 170.•• /o.rR 6e.e° a9:.cy y33.7L P*?AXO ✓ a 8 8 Ff 8 Yo /f/c 7261° _ _ L �� 7�A°errfc 8 $ /7.7Y (yJ ' ylE,sl �:.°° fs/ — I2/.7s Yy�•_<,� S OPeRA7cat t ? S2,IL its /ois 3/,tt 2ss.i7 y)9•PG f1N/A C .9/G �� y° May735./3 roNN Y m?U,"j FoAYLNbe fOL le.-PURCHASE THIS FORM DIRECTLY FROM THE tNN4. OF D N7S - J 1 ,yp AuQy@t� 1987 i•ew Mean of wi 4 w such emplo _ ! except as hoped m Section ale)baloY. Terr I, -_ )LS. Bnrhanan Secretary(ft.N Oabl (p) WHERE FRINGE BENEFITS ME PAID IN CASH II uenNory NnYI 1 do here"etNY --Each lotions,o,mechanic listed in the above referenced 8,011 has been paid. indicated on the payroll,an amount not Tess then the sum of the applicable poor (1) That I pay or s-lpe xiss the Pe)meid of the persons employed by JICBt—COOSt--- hourly wage rate plus the amount of fed repuired fringe berlerrts as listed in C M hNf,except as hoped In Section Kr)below. Construction Co.. Inc. on the North Ist St..Burnftt Avenue to ICOreraclli or mere _Nei) (Swam,era Ne) (c) E%GEPTIUN$ Park Ave. - Renton .'hat dun,Me MINOR penad p marlGRg rho the 20th . day of_AUGUST-. —.19-87,and ending the 26th day of_.AUGUST__19 87 ERCEPFION (CRAFT) _ EKKANATIOM all parsons employed on said project Now been aid the full weakly Wages famed,that NO rebates -- - - -- -- - hew peen or will be made either directry or indirectly to or on behalf oT said tWEqT coAsl CONSTRUCTION CO•• INC. _ _ lions the fun exial wage earned by any Peranin and that no deductions haw been made elther directly or indirectly _ _ -- horn the :oil wages earned by any person, other than permissible deductions as defined in Ref-ulabons.Part 3(29 CFR SOMAN A),issued by the Secretary of Labor under the Copeland Act,As amended (48 Spat.948. 63 Stet. 108. 72 Ste. 967; 76 Ste. 357;aO U.S.C. 276s),and described ---- — beloW (2) That any o.yrolls clharw on or this contract spurred eD be submitted for the above KISARag Period are correct and complete;that tee wage rite for laborers or mechanics contained therein an ' nth in,than the applicable wage Me contained in airy weg!determination incorporate[into the contact;that the classifications set forth therein for each laborer or mechanic conform onth the work :4` he performed. ;3) That any apprentices employed in the above Period are duly rgfeterd in A bona fide apprenticeship program regatered with< as apprenticeship agency recogntred by the Bureau of ' Apprenticeship and Tlairiong, United States Department of labor, or If no such recognized agercy exists In a Stale, are registered Very the Bureau vf Apprenticeship and Training. United Sat" Department of Labor. - (!) Thal NAME AND T.TLE SWMAIORE her WHERE FRINGE BENEFITS ARE PAID TO APPROVED PUNS, FUNDS, OR PROGRAMS Terry S. Buchanan, Secretary b —In p THE WILVML FALNF..ATION OF ANY of THE w L STATEMENTS..SYaIECT THE CONTRACTOR OR adddiDD to lh!ANC hourly { wag!rate aid to each laborer Or mschar.Lrted•n I SOaCOMTRA[TM TO CIYIL Pea UIYWA.MOSECOT.OII.W KCTlmN nMl OF TITLL la AND SECTNN e3E OF mTICalr>.Tao tgarm LL OR fDOc they above referenced psyroll, payments of Inner,benefits as tided in Na cnniract _ _ 3 Fir ! S� s Now .. ` t:.S. DEPARTMENT OF LABOR PAYROLL `�""ARR� -'} WAGE AND HOUP DIVISION weEa eunw No M-aWE (5 (For Contrada's Oplioual Use;See Instruction,Form WIN-3e71nstJ ' 1 NAMF OF CONTRACTOR OR fU[CONTRACTON ADDRESS ` HEST COAST CONSTRi1C1TON CD., INC. P.O. Box 419, Woodinville, WA. 98072 483-1900 RArul.,, nu - — FDR R[NOIMO —_ - _AOIECT AN. LOCATION f 8 , IX., ___ _ N�_lat. t,.,9u nett.Ave.&Park Ave.-Fenton qC 029E-87 _ AIR N)P IM mRRTRING _. WAMNIN.W411DDREiR.MFD YYORR -T TOEK Mtt AYOIIIFTEDCIK 1ECDIIITY ROMR[R PIND CIAMRFf gN NDIAN; OI MY PAII[ FICA NOUN" 1®. UNION OlM[IF �� IIOF EMRLOYFE NOIM[WptlRO EACN DRY TAR `E"n�, �` P- � ,. m tA3oAe�x D --- Lj7'so" yf:a /o7,r /o.17 S*..?o a/9.Y9 yfy, �LONNsory �TQ�4ttl Ca) Fo. '04N S 6 8 8 $ 38 /6.0 7Y. -- "' I FaREwAN , 117,S% 6y9 97— /0.7o — /Ly./y /tS. 8/ j P/PELAYER D Y5!j7 7•r00 /a?o S'2,ee jz,S7 1/S/S,a3 TUST/CE,NE�.frf1E �1� S S 8 11/8 8 /10 /s.ff 6�7,Lo __ _ E S' FORE/nAN D yz i s 27,�3 . (0) O/OERAYO.t g g g y g yo /p,Ss 7SS.9z syos /ao.. /o.rT 3o.3r >S.�b ydo.LL --- -- — i Nn TEq.NrTE.t D — --- 399'!S y/fY S3.ou B,19 — /03.2.3 V777, �QQyCrs7ER�c w ` - s s 2a/i /7.>Y t 0/oE1LAYwt t - yy,7/ /Yf.oa p.7o 30,ee 231,y/ ysd 71 a>: •i 8 8 s s Yo /X 3s 69Sio - — - - -- IS - p/PELAYfe �D 1 - I — YSa7 97,N /e.7o J1.lJ oS,2i {/22.Ti SPlI,_ToH.�J ��a) /4,99 i(e) Y� f` ' T13Yy87 /u« /0.70 �j-2., LEa '1AeES/ _ L?4: NIS I - -- 27.io -- --rN CE/LOEN7 I - 1- - - - L Vi4U6NN� 7oSEPH '(r) /n19J0n/ $ g'; S ff;Bj j yo /d /f ?Z( Yo ,9Y e. /o,ro — IMIRM IMA-M?U/Y)—FORMERLY SOL uA—PURCHASE THIS FORM DIRECTLY FROM THE SUPT. OF DOCUMENTS 1 5 Y wTe Auaust 31. 1987 ..v.v ImI w wI uv mare to spprapr.ze przgnmr for[re DNrtll or such en.pbyees. except as noted In Section 1(c)below. • Terry $ B hatLN SlCrCCBY9 (b) WHERE FRINGE BENEFITS ARE PAID IN CASH (MarryW W.MwY PaMYI (IY41 do hereby state: y P--Each laborer or mKhanK I.Sted In the above net...nCed wrDll IM flee. paid,a- �} indicated on the DAVID,an amount not in,than the sum of the applicble oesH (1) That I pay or supervise the paymnit Of the persons employed by West coast hourly wage rate plus the amount of the mintued fringe benefits as listed in the oDlltract,except as rented in Section a(c)below. Constr c ion Co.. I_ c. _ on the North 1st $C..Burnett Avenue to ICNRrsro.w wxvm..nv„ mwla�..a er.orq (e) O(CEPOONS Park Ave. - Renton ;that during the PePoO Pwibd m mnwJng on the 20th _ - r 87 EXCEPTION (CRAFT) EXPLANATION ,- they of AIIf.IICT _,19.87—..arse ceding Hue 2�T�hdaY of—.AUGUST ,l9 all person employed on said proleet have been paid the full Weedy wages earned.Hurt no rabstes --_--- -have Dean or will be made either directly or m ltrectly to or on behalf of said ,T . .4 :L—Q N.S,TR1JC71QN CO.-. INC. _ _._—from the fun _— IcoMrMY w suKMlrMarl - •' wesldy wages earned by any Wrenn and that no deductions have been.reds ether directly or indirectly from the full wages earned by any person, other than pemalseible deductions es defirwE In Regulations.Part 3(29 CFR SubtitM A).issued by the Secretary of labor undsr the Copeland Act,as — amsrlded (48 Slot 948.63 Sut. 108. 72 SM.967;76 SM.357;e0 U.S.C.276c).and described 1 (2) TMt any peylon, otherwise uider Nis eon rect iellulred To be subnitted for the above RErARNa 'h Fein are correct and umplete;that the was rates br laborers or mechanics conlamed therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract;that the cli ssifioahons set forth therein for sa is bborer or mechanic conform with the were he performed. (3) That any epprentices employed :n the above Wriod are Clay rgfirta d in A hone to. apprenticeship program registered with a State apprenticeship agency recognzed by the Bureau of Apprenbceslnp alld Training, United Stales Department of labor,or If co svid, recognized agency exists In a State, are registered with the Bursae O. Apprenticeship and Tra,rm , United SURTI D"W om of labor. (4) That: MAYS AND TITLE 91MAT.RE ./ (a) WHERE FRINGE BENEFITS ARE PAIJ TO APPROVED PLANS. FUN ,OR PROGRAMS rTerry S. Buchanan $efr^Lary • THE WILLFUL FALS.i ICATION Of ANY Of THE ABOVE STATEMeM h R TS WY SUaCT THE CONTRACTJ OR —In addition t0 the basic haurly wage rates Paid to each laborer o:mechanic listed.n sn,OONTRACTOR TO CIVIL OR CRIMI—MMECUTION.SEE SEMO,x nor Of TITLE IS AND SECTION"I OF TRUE SI OF THE UNITED STAM WM the abm referenced parcl.payments of fringe benefits as listed in the contract aJ�44 tX161 483IWO i 1 c[AgV may wesra•naNlo 1 t� Vest Coast �, ction �o.1 tic. GENERAL CONTRA AND ENGINES S P.a Box 419 24205 Woodinrilb-Snohomish Resd kL [ WOODINVILLE, WASHINGTON 98072 'AUG P 8 1987 ENGINEERING "PT j TRANSMITTAL RECORD TO_Citr Of Renton DATE Engineering Department Auguet 26. 1987 200 Mill Avenue South JOB N. 1st St..Burnett Ave. ..t Park Av , j CAC 029-87 1 Renton, Washington 98055 LOCATION gX_li St_. Burnett Ave. to Park Ave Y iCC y 0flanton 1 ATTENTION Joe Armetrone - Project i.agineer We are sending Herewith® Separate cover by Drawings prep. jy i NO. PRINTS DRAWING NO. DESCRIPTION 7. ..,..,. ' � Certified Pavroll for ek d'pg AUGUST 19 1987 i Certified Payroll for week ending AUGUST 19 1987 for SiCNAL ELECTRIC INC. I For App.ovol Approved, as notec Approved Not Approved - Please resubmit i REMARKS WEST COAST CONSTRUCTION CO. , INC. Cap/ to: BY 'C4' 6.4.-) Tim Buchanan 87-9 File Title Secretary f U.S. DEPARTMENT OF LIBOR PAYROLL Fn.m WAGE AND HOUR DIVISION N �[~ (For Contractor's Optional Use;See Instruction.Feral VM-U71n;L) Nu,[ of CONTRACTOR oA suaroNrnucroRC3 A�OR(ss e i Wmr COiSI' O NSTROCITOO CD.. INC. P.O. Box 419, Woodinville, WA. 98072 483-1900 . M - 1�' I PNGim MNI LOCATIdN rnnnn[C[om COM[MCT m N,tat-5t..,90 neL4.dve.B Park Avec_Yenton CAG 029=H7 --— n/ .—.-- ■■�-_ p/ - [q Mt'AND M[[ al I In nl L[D N IT N.ME AroA[sA.ANo _ xo,ncrnans ADI SOCI.L 5[CUNItY NUMBER E ••CAA 1 ft Man ',� WDN' nARB of[MVLor[[ CLASs.FIC.TION 17 1 14 15 ,LOIIAa a MY D[Aln[D rlcr Lp11A MED. UNION OTN[n1 NRAt 1111n ii NOOIIf aOANta 6[CM o.r Ax ' NII W[FJ1 M 'Te o7rrsex og6.YY 53.7 Ag AAdDFQsan% C (°) 8 $ 8 8 YD a2y 709 D _� _ _. ® S /A6aPe.e o �LA2 Soda l.Yz 3/ It n 122.5y 21f!02 l"l S - - 8 8 2_Y it.67 376.-V /29zz.f. . 3oY- .9uevA•r � •€ SY8-35Y-/Y.f6 +tom S CCr..6Avi ./L Jtee l•Y2 3l.00 /Yp 287.1G CARrTis/ERS_ 2Y Ra, „ S OfAERA7AR o >. S3.0 / 1W,f7 301>s 22/.2S XZ. W co) 8 8 8 8 0 / - 7y8.0 o , �� PrvE�,ayE� a 8 S 8 ya sr� 63y.37 ys7/ /31..s'1af3 t214.s 2y7.17 M-/J' FRAM —� /282.5 AfAAli U,ttdF ff.#t � o F /LL/A/j7 �o) ✓A7AtoNN - 8 _ _ 8 2 !�!� y ly 3/./6 lfao (.Y2 3C.so /YF.sB z87.26 1W w - 7'EAdEt1EAC /7 283 f y 30.vy t/.eo 6.Yz — 87.9 337.70 — S Y6 /7YOI, //23 3c,e• 270.6 SAf03 /1-A", _ C,eAm, s 8 s s 9 /OJJcv✓ �bhfN LAeox--A ( f — 4 '--4 32,t3 37!•an 7.Y7 36.Yoi 13x.Y2 ,74.5's 8 2 i 8 8 /6.2s YSS.o0 ranLa MN P O/681-FORME011 WL n[.-PURCHASE THIi FORM DMECMY FAM THE SUM 01 DOCUY4lTS l r over Aou•et 26. 1887 , w,^tile w W w vnaw v evPropnace prpgrems Ior my ne As Or such employees, except as noted•n Section A(c)bulne. 1, _Terry S. Buchanan Secretary (N.me 0. le.Y defy) ANfw (M) WHERE FRINGE BENEFITS ARE FIND IN CASH do hereby state: (� —Each Laborer or mecnanlc rested in Me above referenced payruil her been paA. medicated on the payroll, an amount not less than the sum of the aPpbcabk basic (:) That I pay or super ime,the payment of the p ns employed by__YUt Coast _ hu:dy wage Data plus the amount the required fringe benefits as listed in the Contract,except as r in;Action Ate)bible. ConatructioCo., Inc, On the North let St—Burnett Aver. ttMeveiw w sutAwv.rw.) teMllan AT (c) EXCEPTIONS Park Ave. — Renton that during the payroll paned ownnm rciM On the 13th day of_AUGUST .1981 .and ending the 191hday of AUGUST 19 87 EXCEPTION (CRAFT) E PIANIITMIll all persons employed on said protect new been paid the lull weekly,Wage"rued,Mat tic - he"been or mH be made O Mr directly or indirectly to or on behalf of said WEST (:OAST CONSTRUCTION CO.. NCB__ from the to,, VON.,._or.0 'notim Weekly Wages earned by arty person aid that no deductions hate Dean made either directly or indirectly from the full wages - mad by any person. other than permissible deductions as define in Regulations.Pan 3(29 CFR Subtitle A),issued by the Secvury of labor under the Copeland Act,are amended (AB Stall. 9"9,63 BULL IM 72 Start.967; 76 Still. >57;10 U.S.C.2761 and descritrd Mlgr. (2) That say pryrcl!s Otherwls, under Mis contract required to De supmuffed for the aMva AFMARAS \ a Period afe eor ect and c—pkte;that the is rates for kborers,or mXhanin corti fined therein are TIM of than the applicable Wage vies contained in any Wage daterm nstion incorporated fine the contract.erfthethat i classifications set forth therein FEE each laborer or methank conform ends the wort hatperformed. (3) That any apprentices employed in Me above penod are duly regirterd in a bona fide appranticeship program registered With a State apprenticeship agency recogru ed by Me Bureau of Appronbol ip and Training, Um bed States Depanmtnt of Libor, or it no such recognized agency exists in a State, are registered With the Burasu of AppreMienhip and Training, United Stales D mce o of labor. -T,•, ...k:. <,. (4) That: rve4F AND TITLE S�GnATwE (q WHERE fRINGi. BENEFITS ARE LAID TO APPROVED PLANS.FUNDS.OR PROGRAMS Tern' S. Buchanan, Secretary I d —In addition to the basK nourry wage rate THE WILLFUL FALSIFICATION Of MY OF THE ABOvr STATEMENT'MAY SUBJECT iME MAT ACTOR peld to each laborer or m.1hil hated m SUSCONTAACTOR TO CIVIL OR CRIMINY nAO SE SFCUTION E SEC+IONM TI II OF TITLE la An.SECON ba Of the 000ye referenced FEE"Sl Of THE UNITED STATES CODE payroll, paynnnts of Irirlga benefits as bated in the contvCl _ ° ' r U.S. DEPARTMENT OF LABOR PAYROLL F—A� WADE AND HOUR DIVISION R.+f.+a.,.w (For ConirActar's Optional Use;See Instruction,Form WH-3471natJ ""a Of CONn1.CTOY On WNOMTII.CiWI ..0mus "sr WRST COAST CONS_TRUC'i ION CO., INC. P.O. Box 419, Woodinville, WA. 98072 483-1900 jA ll- 7 IwWQT AND LO Tion_ _ /TILCT fM cog—ri ict .. �__ NA -Ave,ILPaik Ave.-_Wnton - , M 029-87 _ OUST 19. 1987 _ a/ --- m - wl osv ARo oAn — w al NAME,1aMESE MIa I aRaes e11011e MET NAME, ADC AND a �R TOTAL RATE A1101111i wTH TMEEf Or fL,Ilavfl g�! GAeeR1a,LT10n Nouna Lfalerm b101 e11Y ,oeRf W PaT KNINIM flu ,oLaRa No. UNION o nERTax fwMs FOR WEEM � � FoREmgw/ 0 I j ` t t7.9• si y8 ioi..a roj3 _ /7o.j/ 633.by IF if Z3.sy P.vs..v yEt a Ss. /s+r Yt�yL J S OAS-,fAYe t I t l/ 1 I3 Kot�R, L �'Q_ (°) F•REfEww1 79 8 8' F 39 It" T3X» �61 /3/.w /r.s• 3z.sr t3y �aa.33 y/.sy sa..e F47 — ic3.13 Y77.7L /� (� 2 - 888 2-4 /7.)y — S E�ERA7et o 1 ! I A- a6 07 $41 '//.39 73Y•3/ rz,ro /4fam //.i• 3/./3 .73 Y77•37 'f PiPEc.gy.Ex i �i a d 23.sY 639.37 Stt7/ /°aa• ro.7o �.•• otvi g7n.9L D ( t 2 J Piao6c ydC .�; - I yf�z 'z3.s yS. Am SZsur�s DEit!�/yy/S :�°�. 8 8 d /S.L 9 73J,S3 //.9° S7.8f 9S sv �J3t,33 223i6 BAditre CD. Qeirar ' ;" — -- 539->�-9Y2Y 1rozC j It9PEPA7a _ Sh 2).83 Y�y,l� :(0)' F=BEM s+ I8 8 - - 8 -; aY /P.ss 7sS'Z Yas /6a• ro.PJ 3°.3s i7s YFa,Ld j I _ _ __. CEmE�.vs r OJE (1) P7,4s°,✓ f - Fig, 2.y j/�/L y3S.8y L3/./6 s"2,oa 6,vz f11111 M6iA OAM1—RMMU,1, tOl Iw—PUIICNASE THIS FORM DIRECTLY FROM THE SUPT. OF DOCUMENTS T3 f r male debark 14, 3987 eVVrnWue pragrams nor me Deneh[m sv:al L.^ cr vi except as noted in Section 4(c)bNose. 1, Terry S. 6ychanan SecrictaU (Darn..1.4nAMry whit (Tool (b) WHERE FRINGE BENEFITS ARE PAID IN CASH do hereby state: y 5,Y—Each lab'rer Or mKhana listed in ML above reteenceO gyrod paid,ai p�� indicated on the payroll,an amount not less than the sum of the a,. rote Ms'. (1) That 1 pay or sugrvise the payment of Me persons employed by_mcet COae[ hourly Wage rate Plus the amount of the requned fringe berefits as listed in I.e cont2R ascept as Ilnted in Section 4(c)be . �6trucc ion CD.. Inc, _on the Notch 1st (St.".W Burnett Avenue to ;4- Ic«N.Mu.>wx«Nr.u«l ISu.lanE u..M) (c) E%CE:TIONS - Park Ave.-- Renton that,ludo tha peymg period eanwmmft m ant 13th day of AUGUST _•19 H-,and ceding the_14thby f AIX7UST 19 87 EXCEPTION (CRAif) E WfAWITTON ry. all persons employed on said prc•a.t haw Olsen paid the full weekly,Wages Mmed.that At,rebstex -- - ---'have beSII Or Will be made aHMr directly or indirectly to or on behalf of said WEST COAST CONSTRUCTION CO INC __- _ - from the full ] [C«rtrMar or.ueco•nrMM -_� _,__ _ waeWy Wagex earned by any person and that nor deductions have been made either directly or indirectly from 'he lull wages earned by any Damon, other than grmissiWe deductions as definod in --- -- Regulations.Part 3(29 CFR Spill A).issued by toe SecmUry of labor under toe Copeland Act,as k- emended (4a Start. "S. 63 Stet. 101% 72 Sint 967; 76 Stat.357,40 U.S.C. 276c,.and described l d a That e t q QUIT letMMsa under this nfrr la orem,or e be submitted for the above paned S t correct app complete;that the Wages rates fm labored et mechanics coot.nth thereon are IKK tali[than the applicable wage rates contained in any wage determination incorporated into the contract:that tiro claesificabons list forth Therein lot each laborer or mechanic conform With the wore M prerfamed. • (3) That any apprentices employed in the above grind w duly regiaterd in a bans title approntkeship program registored,wnh a State xpprenbarship agency recogmxerl by the Bureau of —� a +� Apprenticeship And Training, United States Department of Utica, or if no such recognized agency exists in a State, are registered wdll the Bureau Of Apprenticeship and Trumng, United 94bs Dapartment Of labor. (4) That NAM AMD TITLE SIGNATURE t \ (a) WHERE FRINGE .ENEfITS ARE I-AID i0 APPROVED PLANS,FUNDS.OR PROGRAMS Terry S. Buchanan, Secretary nX .V -In addition t0 the basic hourly ware rates THE WILI-TUL PALSYICATIOM Of My Of THE Mercer STATEMENTS WY SUnIECT iNa CONTNKTW Un g paid fO GCfI IabOrtt Or mKhanK llStld in SUK•ONTAACTOR TO CIyLL OR gNMIN•LL lgpaECUTIDM.ME SECTION 101 MTITIA 1;"W SERIDM gas OF the above re/erencad payroll,payments al filing- TITLE al OF THE IIn $TAM rAoc - nga benefits as h ed in the contract I f AR , A Ec,m RDD,wM. U.S. OEPMIMENT of LABOR PAYROLL WAGE AND HOUR DIVISION (Fv COFIfr'■■br■ (ke;SM1 ■ImctiOn,FuTm WH-347 kmL) I1ppRE55 NAME OF CORTRACTOR W tU■DDNTA'ICYOR WEST A ODS"I U,NSTRUCPION Co" INC._ - .. - .P.O. Box 419, Woodinville, WA. 98072 483-1900 ON eN FDOIECI AND LOCATION IMID1 TMCT NO P^Y10L11O 7 L AUGUST 19F N. 1st St..,Burnett Ave.&_Park Ave.-Ren[ FCi OR GON 1987 on ` _-- —.- - I -- _ - W MY RMD Mlt _ Isl I Iq I n, _ _ -._— w fll DI OR DEOUCNON■ MET _ S TOTAL f MTC GROSS WADEf _ NWG MIDRLit.RND aa[. AMOUN\ WITM. TDTM. MJD E IAL ■FCURITY NWHN � { XAWFIGTION 16 17 18 19 13 14 15 NOU■1 OF RAY i EARNED FIG NOLONID :D. UNION ITMER DIDUCIgA SOR WEER OF ELILOYEE e NWRS WORKED Gbl DRY TAX ° ' n' OPEeRTue f 2$2.8� 2o.t3 340.ro Y 18. l2,00 6L.s/ i/6. 37 ■ - O y ■ O Fj{ R i O i I ■ j ■ O t tl FONEL WN-AAY 111M1-FoxMERv SOL i,A-PURCHASE THIS FORM DIRECTLY FROM THE SUPF. OF DOCUMENTS .i1 \ 1 (—'� �:� �` ..awe aeon a wru w mare to r .opmn programs iw:ee Dorian[w sV nD'oNea. ' wn'. August 26. 1987 neap[as lend In Section 4(c)tlelow. n• --•• C. Buchanan Secretary (D) WHERE_ FRINGE BENEFITS ARE PAID IN CASH I' Gems a ewnelorY P•nrl Rewl do haraDy sofa: El —Eacn Iahoner or mechanic listed in the above MerencM payroll Ms War paid,aF iMicatee,M the WYroll,an amount not' a than the sum of the appLWhk WY[. Mgt-COaet_ hourly wage ran plus tW amount of a re0uind fringe WFO14%as lmtM in the t, (1) That I pay or supervise the plyntent of Me persons emptayad q — contract,neap[n n,Wd in Section 4(c)below. Conat[Ection Co Inc. On Me North lot St-..Burnett Avenue to (p) IXCEPFIONS fpem.0 er eveaamrm.n Iwiwina Burnett_ Park Ave. - Renton �that during the poll period mmrlwnrirtg on Uw 13th E)IPIANIITNMI ay of AUGUST .19 87 .and eMing the 19thnr of__ _,19 87... EXCEPTION (GRAFT) _ AUGUST— am perswu amplOw on said pole't Wye Dean"it the full wa HlY wages.uRed,that W retain _ haw,two w Will W nlad{either directlY is indirectly to or on Wharf of saidWES { T COAST CONSTRUCTION CO. INC _from the fall -- - . - tcem..rwr w swsem.«.en weeAly wages earned by any Me and that no deductions nave Deer made eithn directly or indirectly -- from the lull wages Earned Dy any person. Other than perminiow. dedudiors as defined In _-- Regulation,PaM1 3(29 Cliff SubtAe A),""it by the SecMarY o,LaWr under the CoyeleM Ad,as amended(48 SM.948.63 Sot IDB,72 SM,967; 76 SM.357;40 U.S.C.276c).and dascntlaA — Wla1r t (2) That aft ct payrolls oNnw'u under ii h as to,d repaired na W submitted id lW a6Off AftrMA{ pariad an correct and complete;that the wage Mee for wWnn or machan¢s conte:ned tWrein are not Tess than the.,ph.blis wage rates conblnad in any•xage determnuton uc Pwated into the contract:that The classifications set forth rite.,for each WWI.,or mechanic onform with the wort 1 he performed. (3) That any apyreM¢es employed In Me aw" eno! are duly rnirierd in a Dona fide appnntaeship program reelstered wdh is State apprenhceshlp Starry recognized by the Bureau of Apprenticeship and Training. United State{Department of VWq or If no such re Wghued agencY exists in a Snn, are r"oftered with the Bursou of Apprenh allhup and Training, United States Depart..[of Labw. {IGMATUNE (4) That: RAMS ANo nnf � /4f_A.ar/'_ \j (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS. FUNDS.OR PROGRAMS Terry S. Buchanan, SecretaryON THE WILI-FUL 041 TO FALSIFICATION w IWT w TM[ [STAusTswtt wl to,OF TITLE nH AND�YRION 9j 0f —In addition to the Wsic hounY wage rates pall to each honer or mechanic IiriEd In epaOORiaALTOR TO Gels 0a OnpMrAL WW{f w Tlflf It 0E M IMITm fTATff COW. The shore nferennd yayrull.FOYments of,lunge Wnef"as 'filled in tha contiad ra rwr�nraosailwra:Ieaoateae _ _ _.. - -_ - ir t' i. = r of unr one neuw.rTMENT arF w,u< �TATEMENT OF COMPLIANCE e:eni .r�d He.p-Ru» con Tw•cn on On. . Out. 8/21/87 P. M. Guthailler P;yeo1 .1 .do he" ,.wer 1 t .. •1"we,o•n0 -- "'g S• Signal Electric. Inc. fit Tn.11 w>A,.up.nl.- be pgmenl of ibe to......motored hT On Mr. North loot Street/Renton _; tire( .ndng the p.vreu re.+oe emmmmdna en m.al3tltl.F of AMRuet ........ ..ea. I9e7, Mod bdin.the Soria,of Jougnst— I91L .11 pe,m m eom od .lerad c r d p Jeff her. been raid the Intl ,s wFMry wage.eared, that an rebates hove been or woo'c"add Floor . die• ell OF la'fl.ctll to of on behalf el.aid Signal Electric, Inc. fn.one fall«..0, •,d rT ear perle.ate chat fm declined...h.Y. (L—N.re i—r.•taf hero made ellber di..ell,of Irdirectil from the lull mgea e•med, on,other 1h.n permloaihl.deduction...d.tlnad in Rry.flNlors, Part l(29 CFR Subtitle A). I....d br the Secrtnpp aber under the Copeland Act on amended (48 Not JIR 6l SIN. IDS.72 Slat 967:76 Soat 357: all U.S.C. ]76c).sad rkscr,•d below: FICA, Withholding, Medical Aid and Vacation. _,_ r r (a That ant"Feall.etbrwlr.under FRI.wnr.ott l.9ulted to be auMnittad for the above"rind art correct and complete; oul tor.n•p rat..ter bborv......haul,•cnntain.d Ih.rela ae net Ian.then the applicable nap nib eont•hurl In •n' .op del.rminat+on Incorporated Into the contract: that the Fl...Illatinn. of forth therein ter each I.bertF or mecbenlc con foam with the.oak be perfumed Of It.,ear aporenllcea emp:"ed in the•bore period.,.doll regf.o-.,d to.bunt fide.ppe.II...hip DreM•m rIwW.Fad A .. a SIN. apprenflce.hip apnq .er'u ri.ed ear the Dortml of AlTrent lce.hlr and T.ainln.. 11.00 St.w.repaid—rd Of Lab,,or+1 no ouch raceEnh.d.pnq.,let.in a State are nRlated with the Dureau Of App.e.Nc.ahip and Tnm+na Untied State.Deportment of Labor. (.) That: (a) WHERE FRINGE DENP.FITS ARE PAID TO APPROVED PLANS. FUNDS,OR PROGRAMS X� In.6dillon to the heir hourly w•.ge rate*paid to each laborer or mechanic(bled in the money.rtferenc d p.T Full, payments of Rinse benef+l. .o [let" In the contract have love or will for mode le appropriate pmgnma to,the benefit of.uch emrlaleeo, ..Fort out toed in Section d(ey below ., (b) R'IIERF.FRINGE BENEFITS ARE PAID IN CASN Each laborer or ln.ch.n+c Heber! In the r beer rtfe...red DNmll he. been paid.o Indicated no the Mlmll, an...Or art ten.ion tea.um of the.ppllc.bw b.ofe hnorll map.at.plot the AmmAof of the re9ubed bier, benefit.P.noted In Ian cnlNract..ola an noted In e101—e(c)Tul— (F) EXCEPTIONS EXCEPTION(CRAFT) EEPLAMAIINM _ 1 1 •wawa. n.w.TYw. P. M. Cutlailler, Payroll Clerk yN0 Fou", I.lalte.TnN O. any OI T.9.00Va..atlulMl!u1r.Dail.• rats eOUTwaC TOw Ow.UOCOM Tn at TOn t0 Forµ Ow CnnOM.l oftO.ve.l..N .all ate TtON Imu OI .ttl!I..MO..CI.nn err 01 I.".or OI F..YMt.IO.•aTle .Foos ram sass Iv1191 J l 1I0NK DtfiCTO[C r KfIOD 010[ND OBi lvl[) COTIRIW MMIOLL ■pMi •.O[ O-. 14 A ND- 1Y NDDTN IST 5T c1TV W RIENTOl •nrw� �, NM6 •OME[6 MO TOTK A N0M RED STa OMf TOTa __MI OF.FRIDTR 1 MI • _7_Y_._MI0010_.N0N0_MMMO ZM WIN WIN m D[01CT D T__1�1L_-- I R[Oltll RMR, D [: 3.0 9.0 0.0 loft.•0 IM w --_la 70 M11TOI. W. NON I A_CIMf; QOMJ OKIOM fa11MM-110-O]f0 - NC pp11K0• wl"Im[. [: • 4 0 6.0 17.0 7f0.N IOt.N 10.10 100.IND /� RIDPK WY. W NDOD r A CLAW: UINffg0f 'a ! --- Em �I1N,Ng r u` 1 rr. 1 `1 r PRO-1 N. lst St. Improv. Burnett N. to Park N.-Monthly Util Rpt 3 12001 4483-1Y0a n. *AAND Zn01 WE4T.CC---373est CoastctionCo. Inc. GENERAL CONT ENGINEER$_. _ _ P.O.Bea 419 24205 Wuodinvilb-Sno6oniaA Road ' - `j EIVED WOODINVILLE, WASHINGTON 98072 i 1ak. TRANSMITTAL RECORD TO Cit Of Renton DATE August 21, 1987 ngineer.,a Department 200 Mill Avenue South 108 N. 1st St Burnet Ave ark Ave. 029-67 Renton, Washington 98055 LOCATION N. 1st SC Burnet Ave, to Park A ity f Renton ATTENTION Joe Armstrong --Project Engineer We are sending HerewithM Separate cover by Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION Certified Payroll for week ending AUGUST 12, 1987 For Approval Approved, as noted Approved Not ApprovA - Please resubmit REMARKS WEST COAST CONSTRUCTION CO. , INC. Copy to: By p'' Q -" j Tim Buchanan y 87-9 File Title Secretary s .. ._ f k i r Y 1 PAYROLL _...... En.n w...e. U.S. DEPARTMENT OF LABOR earn R,....ee U-RIR3 WAGE AND HOUR DIVISION (For Contractor's Optional Use;See Instruction,Form WH-3A7 Ind.) B.Mc oEDr conrRAcroR OR wScartMOTw ADDRESS WffiT OOAST CONSTRUCTION CO., Its. P.O. Box 419,_ Woodinville, WA. 98072 483-1900 E ' PAYROLL NO h — � AWNUS1 12. 1987 __ 1L.].et St,.Burnett Ave.&Park Ave.-Fenton 029-87 x,IEDEE4NE, ._. N.ME, ADDRESS. AND S TREK I Mle OROR WAGES R WORA AMOLNIF NIEM. ma WAD SOCIAL SECURIEY NUMBER gS CLASSIiICATIpI _ • ` M1 fA1ME0 PIG MpLpNO MED. UNION OrMLR Of EMPLOYEE .pyRB wommso EK11 Mr 11UI erIIDlN6 iM WELF �i I O , IfF'7�AAls7asrC - - ry,>y /il..• io.>e — 44.yjv 5733./46 s'ar"r r<i.vl O4E O C ' fJ3-Sd 0392T4Huyr a P (A�ota� T�4¢ gtla 9feP g,rG Y/fo M. 3:/ea 13 D s/..t7 /L,a io.>o .)e.ee /J.z! So83/ � •� rE _.DANA (°I • 8 g g 8 d Ye y,ey t D s°x °8 Yy'17 /.7.t-p /&)o S:.00 2vz-f 3Ys.vj prpECA EE Et4 (e)j y • is' 8 8 - 8 32 Afsf 6:7.H M —I-- -- F'try 34,1Y S.r" L,rz — 9Y./L 35%z/ �s ?` eA, Ft fee / r 6LCySez L OR (rl 2 8 JQ s 0,4M.49Vde er�lt�� C•tA/6 _ �1 ;— • _ 8 8 9 YO /toY S39-YL r!7 r / - .—�. ,3 / YL.Vd 9i.a. .o.>a .ri.eo z°7./d S(S/Z.tZ . �1nlSo,'! o/`/y (Dl Fae6wBif✓ ,, 8 8 2y /l.zt FoRem�FA/ D t Aj �z)fej V! /a.rm /af7 — I>yyr 6Y3.YS .�od2/sta/y�, t Eo ?yj �� -- -- - roRM RA..lr om)—mmumv Sol ,--UXCMASC THIS FORM DUMCrU' FROM THE BMF. OF eDp/MOIFS 4 987 i live ue tn ur will w.npe to W P�rte programs,Or the IMIMm of such employees. polo Adauat erupt as noted In Sacbon 4(c)below.#' C g chanan Secretery (b) WHERE FRINGE BENEFITS ARE PAID IN CASH 1' Iwlw a Wearefv Prop — Rluat _ ta5 err or neither Ihdad in the above referenced Payroll has Men Pe'E,as , ds ho eby"tab: 'A' •ndicated on the Payroll.an amours not less than the sum of the apUlicable Mflc ` �CBt Cneet hourly wage rate plus Me amount of the .K."Yel(rinse MMfita as unstop in the Told y .. (1) Tt I per,or supervise the payment of Me �N empbYed DY Dool ct ifteti as notsol in Section 4(c)below. :F9 Cors ucttnn Co Inc. on eM North Ist St yBurnett Avenue to !' lDMrxnf of wslen.«un telrlwee ar-Year (e) EXCEPTIONS Park Ave, — Renton that during the Perron Period wmmencins or.the 6th O(PEANATIOF( EXCEfr,f10M (CRAF") 1 dry of AUGUST .19 1 87 .and ending Me- 2tlby of—.9�1GIJSZ. 19. 97. Ir all persons employed M Will project hex been Nb the hull weekly wages earned,that no rebates 3 hew Dads or will be mods after directly or indirectly b o•on Mh&N of said _yFCT COAST fMN M 09 (ZLL INCH from the tun twrecto.of t�l,<ew•anan 5LL weakly wages earned by any Person and that no dedI¢r,ions have been made Meer diwrty or indmootlY from the lull wages earned by any Person, other than rmissible dedu:ons as defined in _ p Regulations.Par,3(29 CFR SnbhV0 A),issued by Me Sec re- of tsbor under the Co III Act.IN amended leg Stat.948,63 Stat 10B, 72 Stet 967; 76 St '5];40 U.S.C. 276c).and Macebod PF Jill (2) That any peYrolls ooerwlx under this contract reRuireo to M suLmltted for the aWvs AEMAN" Period era corrart and complete;that the wage rates for labvers or mechanics contained therein are x- '" not lets C.ar.the applicable wage rates contained in any wage da emima•.ion mcorposted into the J contract;that Me elhwfw,,lons set forth theral for each laboref or mechanic conform with the cork _ he PeAprmed. (3) Not any apprent¢ES friolryed ;n the above Period are duly rniM*d in a Dons /ids ¢ :y apprenticeship program realsle•.o with If State apPhorMoeehip sari r.Eognaed by the Bureau of ;wig Appe,obcoomp and Trarau,,. Un4:d States]bparterent of L-W.. or of no such recognized agenry exists in a State, are resiatered with the Bureau of Apprenticeship and Training, Un;ted States Department of Lsbsr. - (4) That: NaW AND TITLE aIOMATURE (J WHEFL FRINGE BENEFITS ARE PAID 10 APPROVED PANS. FUNDS.OR PROGRAMS Terry S. Buchanan, Secretary ' THE WILLFUL FA SIFICATION W MY OF THE a�TSEC111TS lost Oe TIE ]e AND aECIIMt 231 OF { Tj—In addit.to::le basic hourly wAge rates Pald to cxh'iborer cr mechanic listku in ru )1 �A,gaCODE - �e rr the abort Mfor Payroll, Pewte of rings benefits as listed !n the contract us aulwe'tuMws ores ..,l tN {{ ) I 4 U.S. DEPARTMENT OF LIB PAYROLLOR Rw&.I R...w N° ,4JIlOES WAGE AND HOUR DIVISION (For Centredm's Optional Use;See Instructbn,Form WH-347 Inst.) M.Y[M COMTMCTOR OR eU.LONIRKIM AGORMS° WEST COAST CONS1RUCfION PA E TBox 419r_Noodinville, NA. 98072 483-1900 KEEND, P.O. iENO LOE�TWR - RIIOIEC�OR—tMaRRLF MD.- 6 AUGUST 12, 1987 _ _ _ 191 1; .St,..80 nett.Ave.&Park Ave'Fent4n LCAG 029=87 ____ nl E I m al eAY REED G>t ao m hl eA m MAYE ADDIIES&. ANO EpRR wT T Tarr MR Gee& •'nucrlar& WARE& �9 eq.11l SECURITY NUM•FR a FWyFlGTI°R - 9 0 1 2 6 7 B IWee eE M1 AEIDIIMT YRr« MR •Np OF ERKOYEE "` EARM[D flu «oLmnc MED. UNION on1ER &EEuoIaRE foR w[ER ii ` NOEe aowlo tAe«oAY rAE (o Ji P-ots.•+Aw sj8 8 $ & $ yo I/f t 797. S7a3 19Y.A• //E3 Ji ra 293.7E So3.90 ® S� TfAlIHr7fif o 8 g r 3/.71 3t.ae (.G f — 70.Yo 373./0 /7.7 s Q/oE.tA7•M • / /� 27.e� 1'7 . 22.t7 3J.e I/.Sf /2. 75 77,r7 ZY2,Y3 A/EY co t/4 vn F iCE _ P) P S /poY x s OPERg74t o I I /�2 2 ,17 ,!'2,So /(b•• /�/• J'/./3 2S-Y73 S/79.SP S�f (�)' Y t t 8 8 YO /7- 73Y3/ — ---.._ j7fe J.t N.E.Mf[Fw'67r' o Sa y-60-9a t/ sr=: S - -- 37L' S /q/PE'AyEK yE/.87 97--•° /o.7a SZ,o° Zoys 5/23. 03 E D _Tom_ (sJ x� P Ys!n .; - S 70.« /0.7• S3,•• /J7,S7 ySO,of (3% 6 8 8 - 8 8 32 /s-c9�JlER!.Sua; TA�s T ; .�--+- 27.fe _._ — °I 11,13 rY.c. STb(DES D, -A IN/s S-/•o—++/5.69 6 .LF 1I°.. _ / _ �2L.Sz �Y2.3S �c.•e g.11 2y.`s /S/.f3 YY0.3f � D ERArac ( ! l LV14SON, EuCrEvC ,O; _----� - 8 $ j8 — 3a /7,c8,s92.24'i " 10R 01F 17(IIA)—FORMERLI SOE a PURCNASE THIS FORM DIRECTLY FROM THE SUPT. OF DOCUMENTS r .,.e - t-91r,1982 ,nee..RlpprR r prune program"nor tr:1»OaNt vl such emplgys. esnnt as noted In Section♦(c)below. w 1, __Cerro S. Buchanan Secretary Iwm.a•4r1.mp R•Iw (ralN (b) WHERE FRINGE BENEFITS ARE PAID IN CASH do hereby state: - --Each laborer or machanlc listed in the above referenced payroll has been Reid,as indicated on the aayrot.an amount not less than the sum of the appl.ybla basic L j (1) That I PRY or supervise the payment Of Me persons employed by—XUt 0008t hourly wage rote plus the amount of the required fringe ber ehts as bated in the Per y contract,except as noted in Section t(c)Mow. GO138trUCtiOn Co.. Inc on the _ North 1st St. Burnett Avenue to ICaRtracM,w suboYsla tWl tfti M If n- (c) EXCEPTIONS n . Park Ave. — Renton that during me payroll prod ooa.nwleing all the 6th day of---AUGUST ,19 B_2 and ending the 12tfbey of_. AUGUST _._.19 87_ DWZPr10N (CRAFT) EXPLAIIIATM Oil"none employed on said Pholeot he.been paid the full weekly wages earned.that no rebates - —'- - ---- ---- have been or will be made either directly or indirectly to or on behalf of said Y ,FST COACT CONSTRUCTION CO., INC, from the fun #S1 (cwWua.w�eCemx•n liF weekly wall.ru med by any"non and that on Deductions have been made either,directly or indihec0y boon tie full wages earned by any person, other than permiss hie deductions as de6ried in '—'— -----` Ragulatiorm.Part 3(29 CFR Subt A),hatued by the Sealer:of Labor under the Copeland Act,as amended(48 Stan.9E8. 63 Stet 108. 72 Stat.967; 76 Stitt .151.40 U.S.C.276c), and described - below 1, (2) That any Piym1M otherwise under this contract hs,mN Do be su mded for the above REahUUl Period arc wrrect and compote;that the wage rates for Mhonrs or mechanics contained there are ,II AN less than the applicabse wage rates contoured in any wage determination Incorporled into the contract:that the classifications set forth thermn for each laborer or mechanic conform with the wilds k he performed. I 4( (3) That any apprentices employed in the above Period are duly highland in a baq tide apprenticeship program registered with a Slats apprenticeship agency recognized by the Bureau of ApprNbtaahip and Training, United States Department of Labor,or if no such recognized agency "'Its in a State, are registered with the Burwu of Apprenticeship and Training. United Stites Department of lab". J hflp (a) That: WANE AND TITLE enfarATU:nE (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS.FUNDS,OR PROGRAMS Terry S. Buchanan, Secretary d — py In addition to the basic hour) ThE W,LLFUL FALSIFICATION OF NO OF THE a 4 OAT[MMIS MAY suMELT-NE CONTIIACTDII OR C? Y Wage 1•tK paid t0 each Iabpnr Or mNndnlC hied in SUBCONTRACT"TO CIVIL OR ORIWNAL NLOIFLUiION.W KE IOM Hsu W TILE 1S AND UCY tie OF the above referenced PROOD.Payments of fringe tin t3 as listed 1,the contract TITLE is OF THE UNITm"AM COOS 1 �; ua fAYwenr4lT,OaQ.1lOaLlaY �r Ii0e1 3W 22]ar WE-SrLC•]13N0 i[W4` 4 `c Vest boast ction (go., Inc. GENERAL CONTRA AND ENGINEERS P.O.Bea 419 24205 Wa-di nvill--Snohomish Rosd WOODINVILLE, WASHINGTON 98072 s i TRANSMITTAL RECORD TO Cit Of Renton DATE Aueuat 12 1987 ngineering epartmert 200 Mili Avenue South JOB N 1st St Burnett Ave t23ark Ave. CAG 029-87 Renton Washington 98055 LOCATION N 1st St. Burnett Ave, to Park Av Ci[y Of enton �j ATTENTION Joe Armstrong - Project Engineer We are sending Herewith® Separate cover by____ Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION AUGUST 5 1987 Ct,riiiied Pavrgll for week 1 i e For Approval Approved, as noted Approved _ Not Approved - Please rejnbrnit- I REMARKS WEST COAST CONSTRUCTION CO., INC. 3 Copy to: By �im B n 87-9 File— Title Secre ar a U.S. MPARTMENT Of LABOR PAYROLL 1—"Rr'°"0- q,rJr. Bun.0 Na N-A1093 WAGE AND HOUR DIVISION (Far CoTdrw 'si1p::WIUse;S"Instruction,Form WH-3A71nst.) - IMY!Or CONTRACTOO M 4laNRTRACraa `nq[55 Wm COAST CON,M UM ONN CO.,INC!— r... Box 4.9. Woodinville, WA. 98072 483-1900 rAv�ii-fry--__.-- marcr AwD :^ATgN- ;Iw`ocyowbo XT i10 -_ - 5 N. 1st St . Burne,Cm Ave.? _Park Ave.-Fenton 029-87 O1 I °I W DAY AND wn tH al i "AMC Amnw.AND —_ amw7wn NUT NOAA cAass socMi SECUMTY NINNIaR % C�yMrIGT�N 2 3 A 5 31 1 Howl i or r�r " r rrcA HOENN° 0". . UNION mrWN mm WAGES Or WKOT[L 1R xOUOs NOANm GC11 ally TAX NalATI011S rM wuA y 4/ M TcA.Y.rr.ae —� S3.5,9 /zc //•/o tif /10-� °E)CA�R 8 8 8 8 $ yo / S2S6 70,oa /O.P3 3 �� S7/•3G " S PIPfLAytEiL y/.ly /S2, r/.z3 Sy,fa 3f 1.07 5108.`! FRRNT i►7 //lE col 8 8 8 8 0I 6m TEA.nJYEIe o ' 1 z�41 y/Sy 7fso 8:61 — /zs.z3 yft,7' 8 8 - S S 32. , i1.7 J-0.17 o y �J 7y o�c/esr>.� 8° s9.'d rxr. u,°y 33,)s 300.77 5,31.01 — /1126 - y3sL/4K.1 F#y TO'f/elSnn� L Eo ?>JNa�o , 58- 90 _ l, y�mi g 803.9s - -- `;) -{ems ypzy 86.•u 11•i3 sy60 2oo.07 V7V6/ TV_s7icg, JEesch�a --- /A I S i O/OFRiPYM -- --�i ].Y3 3o7.)7 LED .I S7•oa 20S //. it 32r ' — - — o� - 3.SY 1 { -- I 1z9.6C 07 i0 41,001/0•44C I0O11 WM-M7 O/M— f SOA rM—IIAk7MlL iHR 7MM OMfCFLY/ROM THE tWF. OF OOipNIEN1s .' P. a.,,,rraa a craw van w wr.rY rnaoe so sppropnare pgrerw rw:-e eaneht Ol•uCJI employees. i, Terri S. Budwrian Secretary escept as Noted In Setoon 4(E)bebw. Iwrrw•nenar,wnyl near (b) WHERE FRINGE BENEFITS ARE PAID IN CASH do hareby state: [] —Each laborer or rnei name Int,td.n the above referenced payroll ha;Eaten paid,a, the appl indicated on the "Trott. ad amount not less Man the sum of ¢atlle basic (1) iM1 I pay de supervise Ma payment of Me persons empbved by_-West. Coast hourly wage rate plus The amount M the hoo.ued In ry!DarlClib as I:sted IN the - WNUSNC,except The rgTW in Station A(c)below. _Ca�[ruction Co Ins on the North let St—Burnett Avenue to rCaMraclur w YAcpr4srpe INrrearr�ar.1 (C) EXCEPEIONS Park Ave. - Renton Mat during the payrol pww cvmmanpillg on the Loth f--- day of_ 11N Y .19_87 .and ending the�_L day of AUGUST ___._-.19_..7_. ( E KCE"M (CRAFT) pp��yppg ell goons employed on Said project haw been pad the full weedy wages earned that n0 rebates - ——ha ie benl or wdl be made either directly or indirectly to or on behalf (. uPCT -O AST ' CTION CO.. INC. 1CgT --from the full r ar ar saarnawaaarj waHdy wages Teamed by airy Me and that no daductioM haw been made°Inter directly or inift ectty from the full wages Teamed by any person, other than Permissible deduMlons as defined In -- Regulations,Pad 3(29 CFR Subtitle A),issued by the SI CNEUTT of Labor under the Copeland Act as _-— _----- amended (48 Stat.948. 63 Stet. 108, 72 Stet.967 76 Stat.357; 40 U.S.C. 276C),a I Jeecribed bllow: (2) That afar PsymRs othenrise under Mix COMnR rpuirad m be submitted for the above KUM" paned arc corroct and Complete:that the wage rates for laborer,or macranics contained therein are me less than the applicable wage rates Contained In any wage determination InCOIPwated into the Contract,that the Clullihcabons set forth therein for each laborer w mEChenic Conform with the wort he padormee. y:. (3) That any apprentices employed in the above Mr,od are duly ",gold in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau o• ApPranbceship and Training, United States Department of Labor, w it no such recognized agency ESIMs in a SEI an registered with the Bureau of APwanticasbip and Training, United Stites Dapadmer of Labor. (4) That: MaYC INn Tlrlf SIGNATURE (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS,FUNDS.OR PROGRAMS Terry S. Buchanan, Secretary —In addition t0 the bas hOurlY wage rates paid to each Iaborer Or oh."niC lifted in STUEUIFUI,FR TO CIVIL FALSIFICATION OF AN LL of THE ABOVE STAILM NTS MAI nr aIECT XE CONTAACTON pit 5 Me abOVf merenCed ITIL Ia Ano SICF ON n,M FLE pYroo,payment,of lnllge benefits I,lusted in the CwltrM TRu]]OF THE UNITED STATES COOF_ us.ropairOr n.�:errN.iaWafa,Y - - - US DEPARTMENT OF LABOR PAypOU Form APR.OnO ,d,-. WAGE AND HOUR DIVISION euyw eunAU No AA-1nW3 (iMContractp•e OptkREal UM;See Instruction.Form WH-3471M.) NAME W CONT,ACTOR ImOR SU11CONTRACIOR ADDRESS MT COAST CONSTRUMON Co.E INC. P.O. Box 419, Woodinville, WA. 98072 483-1900 MY-111 A.No. .- _ FOR „RI,RRq .. AOIECT ARO IOCATRM, II IAGicCT OR COMA-NO _—_g N. 1st St.,Burnett Ave.&_Park Ave.-Fenton CAC 029-87 (1) ET-=I OR .� NI DAY NID DAII 151 i& O) Iq i ryl _ I { DFdKEIONe NE1 !OCHE MICINIIT'APR RIIUI NIDQ o � WMA oOn ATE DRD/3 WI�OES « 'R CtASMFIGTRRI 2 3 4 5 3 I IouRs a n>r IIA FG HOURM IeML PA,D :7 MDYRe ISORReD rI1CM DAT T4 MAID. ANION OTN[R106 FOR WEE. O S OP2RAYOA< l 8 / Yo� .27 L), e $ g $ g + IS3.S3 /s/,ee /0,9? 3a.>Si zYL. foz.Y/ Jj[€LSbnJ. _yty1S — D =/ I f �OPERR>oAC t �� !/.S/ 202.00 �A.97 36.Jb .?/1.8G Sy7. S ffE �HLmEt �)t_ / / - Yyz /7.38 . D 1 I L Pwe�ayac 9. y9 Y!./s 7ss./ Yoy,/7 A�TEVpy_S , J7� i/ $ $ $ 3 3S /S.6f 0_92 23.�,aE�.vy4e ��y 8 8 S S Ya /S.Gf YP iY SS'L Yo&s/ --- J-33-3Y-09S7 9/Da/ lu/LCD/✓TEv_� !F l( � S 8 8 8• Yo �ig��co.s syac /a. 11.43 Aso a 9.ar t • I I � 3 • O t IE raw www n134-EORMERLT SOE 144-PURCHASE THIS FORM DIRECTLY FROM THE SUPT OF DOCUMENTS ( 12, 1987 i.vY r..n w w.n of,n.ae ro epprppnne wDenms ror the wnebe a wrn employees, eAcea as noted rn Section a(c)belwv. 1, anan Secret _ 1tinY w W,Yrwy s.nv, ReNI Of WHERE FRINGE BENEFITS ARE PAID IN CASH I do hereby state' i --Each laborer or mechanic hated in the above referenced payroll has been paid.m (1) That I Ray or supervise the payment PI the persons employed by_1{P.BS�e4Y9L___ i^ofted on the payroll, an amount not lessy than the sum of the apphraple bec r horny wage rate Mus the amount a the re,,dnW/Tinge benefits as listed in the _Construrtijn Co.. Inc. North ls[ S[..Burnett Avenue to odrf—t'aacePt as noted im Section a(c)below fc.a..nw w m.wem,.[,wI on f e__—_ lei.we«wn1 (c) EXCEP(IONS Park Ave. - Renton ^that during the pryeoll Mad, 'Y1r mnanenek,g on NM h day a FITLY ,19_8-.,and ending the 1Lh day of__ AUGUST NI parsons OmPIoyW on acid PFOM c have been ---. rebate. El(CEITNIN (G(AFE) EXPLANATION hine bean or wll be Tads e8er ch paid the IUR wfeeq wages earned,that no readies --_ __- --. -__ _ _. rMly q mcirectly to or on behell a laid -- _ 1'P-aT ACT CMTRUCTION CO INC,__ (. fdamr.pw w u.wonnemI, - —..—from the fu11 weekly wage'.tamed by any perm,and that m deductions have blare made either dirMly or iedinctly from the full wages earned by any person, othw than Ptrmistible deduct., as defined in -- Regulebons.Part 3(29 CFR Si bUthe A).isfuW by the SenetAry lsbar urger the Copeland Act,a• ___--- .— _-�... __ An"Inded(48 Sbt.94&63 Ste. 108. 72 Sbt.967; In Star 3 of of d0 U.S.C. ,]Flit),and described balYe (Z) Thatnyyrol Oft Pals otar hwba under this marts lutnd to be submitted for the above a[rAAra pMiW aM COrrM and C^mPlate;that I,wage I¢t"for Ia,,mi or meChan,Cs contained notss b b then the apPI,ge vngt rates c.numi in any wage nW tn!(tin are deerminabon,ncwp nto the ned h i he pert t;that far'claaadiCaliDDs{at 1(Nih therein for faith lormed, aborer Dr mehamc LOlifor.wdh the"ok (3) That any apprenbces employed in the above per q are du apprenticeship program registered with a State a e regreerd in a bona fide pm,,, f U agency rno ad h , the Bureau of AppronbcesNp and Training. United States Department of Labor, or It no such rtto8niiad agency exists in A State, are registered with the Bi row of ApVreotge di, and Training, United Sbtes Department a Isbor. (A) The: NAM[ANp iITCF MQATuaF (a) WHERE FRINGE BENEFITS ARE PA.O TO APPROVED PLANS, FUNDS.OR PROGRAMS Ter[y 5. Buchanan, Secretary `/ /��, —In addltgn to the befit,horny Wage rates paid to a➢[h Ia6prel n,mm eMc li{tee rn waCDRTPACTON{ia0 CIYK Oe CAlYN1AL MDa[CyT,DR,at([Ta[CTIrOIr 1ppt pe i,TL[T,a AND Y Ipll'GH DI the above-N enced payroll, payments of fringe benefits as hated In the contratt TRLE at W TR[uYR[D EfATfa coot ua wwsnmrnY+r,.c era rrN-orron Y I2MI WteOa it 222L1 WESTQ•373Na d est Coast ctionr4. �o., Inc. GENERAL CONTRAC�-M AND ENGINEERS .t P.O.Boa 419 20205 Woodin.ille-Snohomi.h Ro j --------__ WOODINVILLE, WASHINGTON 98072 RECEIVED AUG b 198? TRANSMITTAL RECORD MGMEERWK 0M. r,n n,orupvt TO�CitxOf Renton DATE 0/87 Engineering Department 200 Mill Avenue Sonth JOB N, 15[ St.,durnett Ave. to Park Ave, CAG 029-87 Renton, Washington 98055 LOCATION N. 1st St. Burnett Ave. to Park Av ity f Reanton ATTENTION Joe Armstrong - Project Engineer ° i We are sending Herewith® Separate cover by a Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION 1 Eeeh EEO CC 257 July 1987 for West Coast Construction Co. Inc. i r f For Approval Approved, as noted I Approved Not Approved - Please resubmit i REMARKS For your use. 1 WEST COAST CONSTRUCTION CO. , INC. Copy to: By 6-.w.C,1,) Tim Buchanan 87-9 File Title Secretary r .+ S papa. ' Employment Standards Admm ion,at,ii L UTRI ZATION REPORT• 1L Tnn reran isrwuk Y •.,mwe Ora. 3, -J�.Filluritnrr non nwt m wnmso ang Conty INORITY: r�• FROM:_G'?3,7._ Pp nF I.IWLOYIIi I.D.INap mewed,twaieetedat sinponded in whole or in PsIend the onve.,ar Per M dea.rM-060iele for 91-062-8000 29-07 /'Iwtivr Gm.,nmeN rontnm of ledoepy mined.,nnruetbnmmnnt FEMALE: 6.9 °� T0: 7- AND LOCATION OF CONTRACTOR FEDERAL FUNDING West Coast Construction Co. r inc. AGENCY F.O. Box 419 ° Woodinville Wash.. 98072 S. WORK HOURS OF EMPLOYMENT(Fedknl B Non-Federal) B' ro• of. Se. !e. Be' TOTAL TOTAL TOTALALL BLACK ASIAN OR AMERICAN NUMBER OF NUMBER OF CONSTRUCTION EMPLOYEES Not of HISPANIC PACIFIC I' 71AN MINORITY TRADE CkNlllod°o EY TRADE HnWnk Orlainl ISLANDERS AL on PE MINORITY CfiNTAOE PSIRCENTAOE EMiLOVIEB EMPLOYEES ..._B_.. ._. .__panic .___.. �_.__ __ _.. ... 1. NATIVE _ M F Y F M e P M i F M I F M F M F r. Jourmr woIRN ryi 72 _ .r-•- .. APPRENTICE Operators TRAINEE -f. .. ..Y. ... �'_._.. 1-�•_ �jae . ... . . . .. papa ... .. . SUBTOTAL Qis //2 7l Z Jammer work., 777, d ._papaB • I /i / / 2 . .Lnborers APPRENTICE I_, ... TRAINEE M7� /f if " j I SUB-TOTAL 717 17A -M As- t Tt M TRAINEE ITIr'..•._• _••�_ E APPRENTICE SUBTOTAL .j„. JWmer wO.kN /ILI_.� .. MG .. ICI Cement APPRENTIC! MnSons TRAINEE _ 7J,996 ' SUBTOTAL 152 j .• J.'ra,work" _-.._ .. APPRENTICE. TRAINEE .. ..... ........ ....Y .. r s.. .,papa ..,-, . t .. .. ... .. papa.. .. SUBTOTAL ' OTALJOURNEY WORKERS i . - ... OTAL APPRENTICES 9�T 7.5A_ I OTAL TRAINEES 311 TOTAL 2r11; F}R d7f 237 2.4 2(. / G fl.COMPANY OFFICIAL'S SIGNATURE AND TITLE 7.TELEPHONE NUMBCR IInc1ulH.,x saki 1l.OATE SIGNED E MG SECratn y (206) 483-1900 !3-$7 One OF Ong MAE APPROVAL NO.ee R1396 - i�. FORM COIA IRaJ/AI ' 4' ll 7i .ice ha S 3? T, �*,' ^'7r-."•+r. `r+�M ,-r n-rYP-'o .:. -far° ;•n.�u. i� ��ti�M• �1 E •- � �✓ lid!; nn,leoo *tO01"e n"T wr aTLG•a7]NaVest Coastaction %0 Inc. GENERAL CONTRND ENGI 44S . . - P.O.Be. 419 24205 Woedinrill-_Snokosi.k R,,d WOODINVILLE, WASHINGTON 98 72 kLvw;'ALL AUG 4 1987 DIGRrERM BEPf. .q TRANSMITTAL RECORD GAY OF RER111R TO City Of Renton DATE duly 31 1987 Engineering apartment 200 Mill Avenue South _JOB N. let St. B rnett Ave. to Park A,•e. 029- 7 Renton Washington 98055 LOCATION N. 1St St..Burnett Ave. tc Park Av m e City e— n�to� ATTENTION doe Arstrong - Protect Engineer We are sending Herawlth0 Seporcte cover by s __ Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION -:erti ied F:.yY-L Eor Frk d g 1 Y 29 1987 Por Approval Approved, as noted_ Approved_ Not Approved - Please resubmit REMARKS i I WEST COAST CONSTRUCTION CO., INC. 1 Copy to: By�_ C7°'^—� t.J-n..4.,j Tim Buchanan + 87--9 F1 i, Title Secretary tE .... Y* ^s w: Nv. 17 y PAYROLL U.S. DEMRTWNT OF tASIM e.a•.,e...w n°u-R�o93 AND HOUR DM M (Far Cgn"dm's Optional Use;See Instruction,Form WH-347 lost.) MARE OF CONnLRcTm On eU•MMTMCT011 .LORESS RIiCTION 1X1., I77C. __ P.O. ox 419, Woodinville, WA. 9EO72 483-1900 COAST �IIST -R I AWEC!AFN LOCATION i YROIELT OR CONTRACT N= s FOR E DULY 29, 1987 - N.. tat.54.,@urnett Ave.&Park Ave.-Fenton SAG-029-87_ i 4 so at I m - w OR,"a nATE f M I N I m 1 4RNow ass —_ MAQ• MMEG ReeRson.MO E I SOCME ucExTm Muwn � ! crMTMTM 22 -1L 'bU'ts orAr�. AEEn Eiu no�iniEn IIBD. UNION orNER +m.E swo f OF EMPLOYEE gE'� ,OURS egMED LTOn my TAX 0[WCIId,S FOR WEFR IT Ff 8 _793S.79 72•!7 — t61.P1 f73.9/ / O 2 / /2 27.06 k Igo/I GFERA>oR e 89 g 89 �/o /�Oy $ 3,3 r 10,30 2i1. //.9d 33.38 3/7•Ji S2S.7' ' FERR/N 1?1sNFY Fa2c -/y fLsfs� vri>K z 23.sy yy K 53.S-3Y-oy98 rExrFE s /ovec ayrFt s S8.3y ZDAM a.sy 62,Y0 33XsY 9d/-sY FR-99A"k m ls� °� I' S g 8 3 s,69 4/s.9i _ ±' Z3906 AV4E,.da//M O y�- VZ87 ftv1/ s 6p_eA704 - - zl6 a9s /s3s /o.ys 2q,2s 2y3.i3 yf/9t �EI AlLc2, G/i1A/,(r --- (// • 8 y !Z ! /P.oY _ 7�2. -- - — o I MI j1ipEG.gy/ER 2 ! y . Z3. � /aa //,)7 57,20 224 So%/$ S- - OPERA>lK :o ~ -t FZ,/7 3SZ/3 339. SSS, >7 /C24ER, L Fo (oJ / o tE...vn/ •i I S g 5�c /8. �`/So76yoo ZZy — r7 TE/imsret I i S6T b SaJy 7/.00 R 0_oy" -TE/e (s� • 8 -t_E S 8_ 3 2 10 0. 6or 334 Si net S7y-2Z-3667 9P3fo PERi¢TOiC UZY 9 7. 3,,7 89 ; ZZ,/31 /6/,A6 373,.ff 29 7681s3yaZ } - l2� ppteArae IE R S! 8! 8181 '70 /8-oy 7Y8. 3+s3 /S/. /a97i 30,/S Soz.y/ ,. /!/L-L o/z). yn 111L-- I $A .Sur VVi U/"—EOMVERET SOL i&L_PURCHASE THIS FORM DIRECTLY FROM THE SUM OF DOCUMEWS v L y(L r f v �� 31. 19QT sieve uevr w.n w n.oe w evprapru..program.nor in.earlaul a such emPbyeea. escape as noted o Section 4(c)below. 2 rs 1, _Ter j S Buchanan $¢CI¢CBIY (b) WHERE FRINGE BENEFITS ARE PAID IN DISH �- Menv a rynw«r wrtA rtebl ❑ —Each laborer m mecbanie Bale Inbee ref d the averenced payroll has been paid,as de hereby shire ' indicated an the payroll,an amount not less than the sum r the applicable beh ..�, (1) Thal I pay or supervise the Payment of Me persons employed by—YUt COBBt hourly wage nab plus Me amount o/the repuired fringe beefda as listed in the contract,escape as noted in Section 4(c)bebw. Construction Co. Inc. on the North 1st St. Burnett Avenue to <' rcewtr.sm.w wee«n..crarl (e) EXCEPTIONS F% '. Park Ave. — Renton ;that during the pai Period COmmenpldg on the 23rd ay of .IDLY . 19 87 .and ending the 29thtay of JULY._ .19 87_. _ .. EXCEPTION (CRAFT) _-. p(P(ANATIOM _ y"' all"moos employed on said project have been Paid the full weekly wages gamed that no rWetes l 3 haw bon or will be made either directly or indirectly to or on behalf of mid ' CT PAST CONSTRUCTION CO.. IN1_- _from the fun -' p. .- IGonU.n««wec«Anctod weekly wages earned by any Perron and that no deductions have been"do either directly or indirectly from the full wages earned by any person, other than permissible deduQons as defined in f. - Regulations.Part 3(29 CFR SuMRIa A).�edSecretary by the of Labor under the COpelard Act." `_,4_ amended (48 Ste.948.63 SIAL 106 72 Stet.967. 76 Stet. 357;40 J.S.C. 276c).and described — . bebw: (2) That any payrolls otherwise under this contract raoulned W be submitted for the aboYe ReMARaf "nod am correct and complete;that the wage rates for laborers or mechanics contained there,.,are - rape less than the applicable wage rates contained in any wage determination incorporated into the contract;that Me classifications sat forth therem for each laborer or mechanic conform with the work he peAarmed. (3) That any apprentices employed in the atove grkid are duly regrtmd in a bona fide apprerrticeship program registered with a State apprenticeship agency recognized by the Bureau of AW*nbceship and Training, United States Department of labor,or if ro such recognized agei.cy mists in A State, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor. (4) That: weraf eRo TrtLF SIGwATURE (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS,FUNDS.OR PROGRAMS Terry S. Buthanan, Secretary oll THE ONTR L TOR COM.O rX MY-e THE eaoYC STATEMENTS EasyI=S rrJ oAs'"E'sadeAHE W OR —In addition to the basic hwrly wage rela3 Paid to each laborer or mechanic IMteC m SITLE 31 O THE ITN q costal PIIOSECUTnpr.SE[fFCTroN 1001 a TIAa so Ass'KCTlpafat P the above referenced TITLE at W THE UN1T[p efATES Coo[. Payroll,Payments of lunge bepelhs as hated In the contract ,vv , t v-. Fr PAYROLL U.B. iX1AR lOR TMENT OF lA R�eEM e„Hw Ne.w-Rion - - WAGE AND HOUR DIVISION (Fa Contractor's Optional Use;See Instruction,Form WH-3471nstJ „y v NAME DE CONTRACTOR M WeE01RRRcTYR r WEST COAST O1'NUCrlON CO., INC. _ P.O. Box 419. Woodinville, WA. 98072 483-1900 _- 'R OI[LT oA c6auff D. PATROLL NO 4 7 �JULY 29, 1987 N._lot._St,-,burnett Ave.&Park AverFenton 029-87 ID I DO NI MY AND DATE nl M fA I a DEDYCf10Mf NET IMML MWRK AND MORE S. TMM RATE1TF M AODMT M1L PAID a snAL MKDIIIr,NUM[EII tS cUEMFIGETgN 2G 27 28 29 3 24 1i Have a PAT EARNED •ICA NOLO NS lB:D. UNION 1O:Y R OF EMPUY'E I Hp�MORIaD EACN D11T TAX EUMCIDO FOR W[EN 4Y (�' OPeRR7oR a --- lL� s/•dB isa r in.Y3 z9,:s zvE.sc Y77.06 — �.. ° 2 z I s (�y� yd.>s LB,ar O.i7 Yf•vo ni•,z 11yo.co (3� p7PEl,ayrx e S�UErJ_SUn/ $ g /sf9 //•9i S P�PEGAyER E y Al z3.Sy S2.Ys INwa /Afo 6'7ss 29.540 yJ&33 STDE'ES,�E�/i� a 8 8 6 d yo isi9 733,53 a '� '�!7�AmsrF.e � Y/.t� 11.ie e•t3 — //9•tf L16S, 73 D • Ii- — II e t- , �- ( { - -- s 101161*H-E41 u1641i-,OAMERtV SOL I"-PURCHASE THIS FORM DIRECTLY FROM THE SUPT. OF DOCUMENTS �r 4 .9 Ti Mara July 31,_1987 _ �....Anl u,w� uY.naee In elr.op�•m pTarams in,me mn e ent or Suitt,employees. _4 axupt asnoted m Section 4(c)below. I, 7grLy $�_ g_yc�h _npn_ _ Secretary - . (Hama of arnamrr sanr r rtnln (b) WHERE FRINGE BENEFITS ARE PAID IN CASH do Mraby,slate: (-I —each laborer or mechanic listed m IM above referenced payroll has Men paid,as L imitated on the payroll, an amount not less than the Sum of the appl¢abie MMc (I) That I pay or supervise the Payment of the persons employed by West_Ctid@t--. hourly wage rate plus the amount of the required f tinge benefits as listed in tha contract.except as mmed in Section 4(c)below. Construction Co.. Inc. one , North 1st St.,Burnett Avenue to (CMmmeri w auALanimmu) I.I.d.N er went (c) EXCEPTIONS Park Ave. - Renton that during the payroll period comarneasm/as the 23rd _ day of JULY 19 87 ,A W eMmg the 29tjyay of JULY --19117— EXCEPTION (CRAFT) EXPLANATION all parsons employed on ssW project Nye Men paid tha lull weekly wages s -0.drat Iq rebates he.Iron or will M made a4har dbecny or Indirectly W or on Mhall of said WEST COAST CONMUCEION CO.. INC. Nord the full (CwnrMw w Wca -clear) .. .. weekly wages earned by any person and that no deductions hale Men made a mu directly or indirectly from the lull wages earmel by any person, other than permissible deductions as darned in -- -- -- - -- — It"Wiltl.ns,Part 3(29 CFR Suindle A),issued by the Secracery of tabor under the Copeland Act as amended(48 SM. 948, 61 Star, 10& 72 Slot 967. 76 Start. 357;40 U.S.C.276c),and described -- — ---" - Mlow. 7 _ J (2) That any payrolls othervnse under this contract required to M Mlbminad for the aWve REMARKS pened are correct OW complete;that the wage rates for laborers or mechanics contained tneran are not lens than the applicable wage rates concerned in any wage determination incorporated into the comrac[;that the classi6gtwns set forth them.fnr each laborer or mKhanw conform with the work M pMam ed. (3) That any apprentices employed in the above period are duly regetard in a bona fide apprenticeship program registered with a State apprenticeship Agency,recognized by the Bureau of Apprenticeship and Training. United States Department of Labor, or I!no Such re,.ognaed agency waists in a State, are Wortered with the Bureau of Apprenticeship and Training, UNlred States Oepartment of labor. (4) That: NAME AMJ TITLE I LCNOYRE (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS, On PROGRAMS Terry S. Buchanan, Secretary I A. d ,rS —ln addibpn to tM Wed:hn,d e e mtK THE WILLFUL FALURF CATAIN M say OF THE ASOY[ STATEMENT',MAY SUBJECT iNE CONTRACrgR M y.1 y w g poll t0 each laborer Ul mKfrnlC listed!�n bUi1CONrMCTOR Tp C1y1L M CIEMJ "Ars"'UnON.SEE aECTIM list OF TITLE Ia AM)SECTNIN OI W iM BEpve REerrNKed PeyrolL payments of fringe MnHits as listed in the contract hrUE Sl of THE jA0AT5TATO CdpE. - x EL L ♦ .. ..r a. 'i i(Mfffj 223{1 we-aTC -•373W est Coast ction Coo., Inc. GENERAL CONTRA AND ENGINEERS P.O Box 4I9 24205 Woodinville-Snohomish Road WOODINVILLE, WASHINGTON 980ETY--- - -" I JUL 31 1987 TRANSMITTAL RECORD :r,'VrRING DEW. TO Cit Of Ren partment ton DATE July 30, 1987 `Mom ngineering a 200 Mill Avenue South 10B N. 1st St.,Burnett A,� t ark Ave. AG 029-87 I Renton Washington 98055 LOCATION N. 1st St Burnett Ave. to Park A j City Of Rxe ton ATTENTION Joe Armstrong - Project Engineer q We are sending HerewithE3 Separate cover by Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION Celtified Payroll for week ending JULY 22 1987 - For Approval Approved, as noted Approved Not Approved - Please resubmit REMARKS WEST COAST CONSTRUCTION CO. , INC. Copy to: By Tim Buchanan 87-9 File Title Secretary 8 U.S. DEPART!ENT OF LABOR PAYROLL F«.AFEN.SA y7}yy WAGE AND HOUR DIVISION wlRAr eRN�wA p-fMR ' (For Contractors Optional Use;Sec Instruction,Form WR—W71061.) NRwE Of CO.I.A".. ff WICDImD10EDR .ODRESS r Y WEST COAST ODNSTRUMON CO., INC. P.O. Box 419, Woodinville, WA. 98072 483-1900 PAYROLL wa _ —_-- 'Ri—i wW-N—n+w�c _—_ _ �accr u,D LOCATE.- I wlortt}o.coE,ilucr Tp. ._. _ - p. 3 N185 � � JULY 22�1987_ 8. 1st St.,Burnett Ave.B_Perk Ave.-Fenton LC 029-87fq ow,ANDIN ,HE. eODRE55. ND TY}Y RATE GROSS ENT SFCUNUY AMOUNTUE EwPLOVEE CEI1M41FATM 1 l7 IIDINR Of PAY EARNED FUOL IrD[o1N6 M'rFAo NgNR woiW®tACN MT TAA '®Y Nw+� I Q}MSA OIPKE,00 FOR NFEEI D /y/TBAEm'If1E/C O,)Y //S.w IO. — j /76.YY 533./6 �NDEPSD.t� e✓ °) ' 6 S S i 7 3S /77$r _7O9¢e _ _ __ e I /cEJ4 /N D ( 8 d S S 32 /Ga s� i70 /axa ao.oo a62.19 YS9 J/ y1fe8 co* E✓«.tSzSlre3 L S'37-26-$:Fi7 �17t--A*crow 20.9 30.VY .t/ea (.Y3 - F7,86 3 27.9O e&EZZr_ALI&Z-V- /*' PlPEL9yl�R yK fl h{;oR /a.70 52...) /8z.s7 YY ,O3 TUST/cE .-NE/erc a lzl F 8 ?IS 8 yo /s'if 6z74 _ f yo sy.As /8ua /0.f3 3o.a8 z7r:t Y8O•/e _k"2 ��r Lam_ T _�css 7fE d7. Y7 e yo I/7,7Y 7 - — 7o:y- �Ayc. so.riFFA.k s Ls I27,e4 S39 78///o snore , oocoA>wt f— sz.s% /yf.. /o,9.7 .do.Yr 2w.77 yfs 3. yo t/d.OY 735-.13 S3G 90-6986 sws: s i CFaoe s7ve I- - o/i s 3q yy/t /s9.aO m-10 _S14T PAG�6R A. ��; 8 t z� '/�38 z8,a8 zss. Yy�/s p ` 6)1Y8 S3S-SO 6/9/ ��yJ (3l I�PPECA of t-- - ! - C�20 7t7Y f I IS�Y•8/ 7o,ao /o,7D Sae Es S /fff FO M N,LIA} nlsn—rDRw[REv sOL iu—PURCHASE THIS FORM DDIi AM TII[SUM. OF DOCUMENTS t 1{ ) r ,rife July 30, 1987 max ro eyprpprlan programs or the OCaerlt on such employace, I, Terry S except as owed en Sischon A(cl balm. Buchanan Jecretary Mfmf M rylwwY P+nT1 tiinn - (b) WHERE FRINGE BENEFITS ARE PAID IN CASH Co herby stale: [I —Each Iaborcr or mach',head In the above referenced patron has been paid,at indicated on Me pa di,an amount not less than the sum of the applicable basic %1) Thal I pay or supervise the payment of Me persons employed by__YWt CD Bt yr hourly wage rate J'vs the amount of the reduired!rings b!M(rls as listed in Me eonbact,ax,^ept as noted in Section A(c)berm. Construction Co Inc _ or,the North 1st St. Burnett Avenue to ICarINeLfa,m wKe.x„Nrw) nlwele{s,A; (e) ENf.EPE)ONS -Park Ave. - Renton „that during the payroll period scares,dry on tn, 16th day or JULY ,19_87,am ending the 12mialy m—1R Y___,i9_$7_ EKCEPTM (cued p(ryAUT00 all persons employed on sad prolact have been paid the full MKMly wafts eemed,that no repass ----- - -- - _ have Jaen or will be made either directW or indirectly to or,on fish."of sad .._ ii COACT CONSTRI CPION CO loc. __hen Men" ICOA,Mp or wa LQL .—..— F —MY wags tamed by any person irk that no deductions have bean made arthe,directly or iadinc"y e from the full wages earned by any "ranch. other than pa,misible deductions as defiled In ------ — Regulation,Part 3(29 CFR SYbtitle A),Issued by the Secretary of Lebo,under the Copeland M,a ---- __ amended(48 SUIT.948.63 Stat. 108. 72 Suit.96, 76 Star 357,AO U.S.C. 276c), and described (2) That any payrolls ofherinV under this contract Muffed W M subm"tn, for the above RCwRI[{ - period are correct am complete;that in*wage rates for Laborers or mechanics coatenod Mersin are not less than the applirable wage rites contained in any wage determin.Bon incorporated into the connect;that the clad .cations set forth therein for each I:bOrer o,mechanic c.nlorm With the wor) he performed. (3) That any app,enbces employed in the about pared are duty rtgl W n. a Iona fide i appren:NKhip program registered wlM a State•porE,tHaahep age" recognized by the Bureau of I Ap OftcKhip and Training, United States Department of labor, Or if no such recogmzed agency F ssists in a Suite, are registered witb the Bureau Of APPremICKh,P and Training, United Staffs F Department of Labor. (a) That: NAME ANn TITLE {IGNATVRE !•) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS."NOS,OR PROGRAMS Terry S. Buchanan, —In addition tp the 6asn'MWI • rails iNC WILtfYL ,ALarfICAbON OF ANY Of THE aaOYF STeTC,eENTS MAY aUalE[T PNF COMRACTOR ON y w'p wed to each Iatwrer or mNnimt hated In SUBCONTRACTOR TO C.VIL qr CbWNK InaturCUboN.SEE eC[nON 1001 OE TITU n AND eECT10N]al p}1 the a6We,eferMca:payroll, p,.t)of fringe benefit.ai hated In L1e WnLnCt TIIiL)1 OF THE 1MITEp)EATFS COOL iu aMsMin,RllaNN,4:.mM*, 1 .i U.S. pEFARrMENT OF 1AF10R PAYROLL SO""BYOy,....u.... u Ma N-PIW3 WAGE AND HOUR DIVISION (For Contractor's Optional Use;See Instruction,Form WH-347 InsL) E M CORTRMroo OR SUBCONTRACTOR Lj ADDRESS WEST COAST CONSTRUCTION CO._1NC, P.O. Box 419, Woodinville, WA. 98072 483-1900 - -wTcumm AND wwrioN- rAYRaa Ro. 9 ,NLY 22� 1987_ N>_.let.$C,.Burnett Are.b Park Aver Fenton tll - I a ww.Mro wn a I w m DROBB BEAYCTIORf NET NAYL ADORcss. AND ar0� TOERL rsM AYOUMT --' ,,, WAGE SOCUI SECURITY NUMBER cU,DtIF,GTN)11 1 20 1 7 NBYM or IAr eA,aW sIG IgtgNB PM. UNION OSMY W. FA B or wRaorEE Yi MOORE wORNEo rRCEI urg I rAA BrouclYRs FOR wsu D z /z 23.Sy 39.3" Q sD,zo /f�N i/•9e s�tl zkz.9 yi9,If STO/lFS; p�� (o)f P oEc.vycr 8 9 £l & ff YO '10- 702.ia _ -- rA 17,7y 3ku sJ,.a 4.ft — 9Y.ze ?131. 7f D B _ O - f_ O s — — D — i O 9, FORM w Ul !lien—I ERLY a L IBr--PURrHASE THIS FORM DIRECTLY Fill VICE NIM W OOCUOM ! _ f 1� July 30. 1987 w inane to aPPropnam programs I.the oanee t of such employees, except as o m Sacfion a(q bet. 1, _TerrY.$ Buchanan (yeN Secretary (Ner•gnwarT aA.rsl l (p) WHERE FRINGE BENEFITS ARE PAID 1N CASH OO hw@W yyga; —Each laborer or mecnamc listed m the above referenced payroll pas been Peed,as Indicated on the(,yr.h,an amount not less than the sum of the applicable beer, (1) iM I pay w soparviss the payment of the p m A,employed by —.HBSt. -- poudy'wage rate plus sne amount of the rin uired fringe berefiLL a$ lislstl in the contracl aswpt as noted in Sectlon a(c)bather. Con r ction Co.. Inc, on the North tat St.,Burnett Avenue to tcam.o,a sverentrscur, a..w) (c) EXCEPTIONS ?ark Ave — Renton ;that during the payroll period comma 09 on the 16th ay of JULY .19 _ EXCEITWN (CRAFT)as panne employed on Said project hew been paid the full weedy'rages bided,that tee rebates •f haws been or Will be made Sidney ttaKtly or indirectly to Or On behalf of said VPCT COAST COffS1RLKT1ON CO INC —__from the full weer"wages earned by any pareon and that no deductions have been made either directly Or indirectly from the full wages earned by any parson, other than permissible dMutpOns as defined In Raguletlons,Pal 3(29 CFR Subtle A),hued by Iha S"Cte of Ubor under,-.e Co IOW AR.as amended(48 Stat.948. 63 Stet. 10&72 Stat.967;76 Stet.357;a0 U.S.C.27fic),and described belolr (2) That any pay.f. otherwise under this contact reouhad to be subm.Nad for the above Rr MARlro (� pendd are correct and complete;that the wage rotes for lobsters or mechamcf contained therein are not We than the applicable wage rates contained In any wage determination incorporat—f into the contract:that the clessificallons set forth therein for each laborer or mectunk conform With the wort he psdormed. (3) That any apprentices employed in the above parWd are duly regmerd in a bona fide apprentceahip program registered with a State apprenticeship agency recognized by the Bureau Of Apprenticeship and Training. UmtM States Department of Ubor, or if no such recognized.gang uists in a State, ate registered with the Buraau Of Apprenticeship and Training, Un,W States Department O1 labor. (a) That: NAM[AMO TITEF MoSPATVAE (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS.FUNDS.OR PROGRAMS Terry S. Buchanan, Secretary THE WIILFOE FAl510ICATOM OF ANT OF THE AaOYE STATa MEMTS WT Stake"THE CONTaAROR pR . PU—In addition to the basic hourly wage rates paid to each ieborer P meilunm listed!in SONONTRACTW TO Gva Oa CRIWNA,nO9ECYTNN.SEE terrible Ir1 dF TITLE Is hap KRl toy by TR.al Of THE==STATES CODL '; -. tlla above refinanced payroll.WYnlebn of hirlga Denalns of listed in tha contract i f i .,,,,d 12a61 �a3t1100 1 CIX(14 223.01 WE STtC•223HO Vest COQSt - CtiOn 1.:V'7Inc. GENERAL CONTRA AND ENGINEERS _ P.O.go• 419 24205 Woodinville-Snohomish Reba — WOODINVILLE, WASHINGTON 08072 KzUIVED I JUL 2 2 198T TRANSMITTAL RECORD 1 tmm.�RMON - C TO Cit Of Renton DATE July 20, 1987 ngineering apartment 200 Mill Avenue South JOB N. lot St Burnett Ave ark Ave. G 029-8) 1 Renton, Washington 98055 LOCATION N. 1st St..Burnett Ave. to Park Av ity� ff e� aton f '4TTENTION Joe Armstrong - Project Engineer I 1 We are sending Herewit<3 Separate cover by Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION Certified Payroll for week ending JULY 15 1987 !7 I .e 1 i For Approval Approved, as noted Approved Not Approved - Please resubmit REMARKS WEST COAST CONSTRUCTION CO. , INC. Copy to: By 'cl, Tim Buchanan 87-9 file Title Secretary , U.S. DEPARTMEM OF lADOR PAYROLL WAGE AND HOUR DIVISION (Fa Contractor's Optional Use;See instruction,Form WH-3471nA.) NAME or CONTE.UOA oA SUaC4NTAACTM .oD«Ess NEST COAST CONSTRUCTION CO., INC. P.O. Box 419, Woodinville, WA. 9PO72 483-1900 FArNOLt NO _ - 1 IO,1 E61r,(41pNn -- MOJECT AND LOCATION PIWJECT as COIIY�.F IO. 2 Y_15 7 .N. 1st St.,Burnett Ave.B Park Ave.-Fenton CAG 029$7 1__-- ,198 (ll E (A N) Mr AND DATE IN (6) OI (n n) �_ TtI GROSS _ a011C s Nn IMYE. AODNESi AND $G[ +.r i YWK MTE WAGES SOCIAL SECIINITY NU.91A b i CLAsw=TV W 12 13 Si SS 9'10 NOW* DE MY AMOUNT ( WT. rorM PMn DE EMnorEE tE� ��YNIINtm Gb1�N' tMumn, ",A NOUDING ►ul. UNION orNu EEpRnxlu Toll WEEK Ly,M,NAN0 G :G, 1 538-/d-28S6 �rox m -- J 4. 7'"E)1//1syER a i /Z)ylys J0,79 //S /0,>• — I In.YY 533,/6 AND _414_ c). P 8. -- 0 s 0P0,e.v7o,P G fROw1/,✓ wAC_ E (yl� F� eFMA✓ . 9' S - 9191 3: o /ass V2,vY >9,.a P,se I,/.go /fsap y39.6o 7f 593.c Wax X 0. //1 Jen o ZY >. S3/-52-3-"s, Prim S OPttAro2 5 f/Jy /�... /c,>e ao.ce 162. yS43/ �E R/Q/wl�_Qom_ Cad $ 8 - 8 3a /8•o,/ 74/,4o _ S27E/IS7;e^yfRaE.e-ATy o I ) Z Z3,Sy CS Z3y-E/0-Y)S9S�9rio9 PiPFLAyGP -- 'fj3 yS,)/ 77•oc �0,83 fa,l d6.19 yS.1. 4 / s (>) • 8 8 8 - 8 32 /X.s9 �39.7 _ /67aL J�� F/EE.. o Say 31-7so� Rv).✓ S s 12>.oc �.Yq �psrs ! OPd�fi►7K _ 32,aYIf'0V 9>oG 7.cs 2/, )B 13.E 3SS,S7 /�f0/O Hiwsry a/ JafaL.W,r —I :0 9-S2-3Y43 snye Fr7 ' 7' y5'>:zZ A"MS ' ' -- - _ --- -7y T�i'PR ks/: ' jBlisp - S ` 3o�a.' n.)y sYr.n7 .4� v�oG B./c 93,ts KlrN7FA,zx ,6Au S394Y-05sd zsr� S P,P�L/aYeR y3�'3 y0,79 //Y.ae d y6,to YS3o,tfY yf.e 3V3,90 S32-YG-9''39 9tis s K7 TE om s yc e 3s. FGRW Wl.1M) n/En—FORMCNLY SOL IEtiPURCHASE THIS FORM DIRECTLY FROM THE SUM. Or DGCLWEXT$ t. a -�... yv .. „ . � _ _ .• - . ra �k Ler July D. 1987 I.ew.lewaw w,r�Ki�.wwapp.oprrw gfRpNn+tatne lawarlta taco amployaq, y ascept as round 1.Sectwn a(c)below. I TNrry $ Buchanan Secretary taYm.a err aaWYs ReNI (b) WHERE FRINIE BENEFITS ARE PAID IN CASH Fa do hereby,suede: —deco aborer a mecnanc rested in the above merenced payrdl has been pad,as ,... a•r. Ll��, indicated on the payroll,an amount clot kss than the sum of the appbople DasK (1) That I pay w supervae tr:e Payment or me persons employed by_J.fvpt_Codes[ hourly wage rate plus Me amount of the mulled fringe Fenefils as listed in the contract.asapl as rated in$action{(c)below, _Construction Co.. Inc. onthe North 1st StryBurnett Avenue to fr+.tr.rtn.r we.WN..ctH (Is"He a w eons (C) EXCEPTIONS Park Ave. - Renton ;that during the payroll period COltu MWiry On the 9th ay of JULY . 19. 87 .and eM•ng Ma 15thay pl- DULY .1g 87 EI(C "= MVJT) an persons employed on sold project have been Paw the full weekly W Vet earMd.foal Iq n W -- have been or will De made til di^ectly or indirectly W or On behaH of Said CWEqT COAST CONSTRUCPIUN CO.. INC. _hom the fwl eseky wages"mod by any Person deed that no deduchore,have bean made either directly or IndirrrtlyY from the full wages earned by any parson. othe Man permiSsvMe deductions as defined in Regulations,Part 3(29 CFR Subtitew A),issued by the Secretly,of lslsor u dar the COPaland Act,as amended(ga JIM 94&63 SUL la&72 Slat.967: 76 Stat,357: Q U.S.C.276c).ant daalsibed -----'-^"" below, ( (� That wily PsyrlyRt d venal unOw this Contrast favored Ls be subnilbd for L.4 abawa aEwaes pent art correct end complete:that the wage rates for laborers or mechanics contained therm are .at less than tle applicable wage rates contained in any wage determination incorporated into the contraLt.that the Classifications,set firth therein for Cate latarer or methane conform with the work he partormed. (3) That any app •CLs employed In Me ab'. pert' nT Pay IftMtrd In a Dona fide appranticie p program, gi, Underod d Slams a State an.she c.1 <y raco such c the Bureau agency L� Appts in .nip deed .. hepg, UrWed Slues ell". f Of r d no such ng,recognized a eat" exists inn State, arc rgistered with the Bureau of ADp,er. p and Training, United Seat" DaPartmant of labor. (a) That: N.wE I1MD ll1lE 'sIGN..iUME ./ (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PUNS. FUNDS.OR PROGRAMS Ter TV S. Rur.I:dbnli r Secretary 4 THE WILLFUL FALen CATlDN Or ANT or THe AtIOYE STATEMENT>WY full THE CONTRACTON on —In addition t0 the Dd3¢nOUr1Y wage rates paid t0[aCn Isomer U� mKhanK listed UI SuaCONTRACTOR TO CIVIL of CN Mlar raOSE(.YTION_SEE MOTION Hall OFTITU If AND SECTION all OF - I TITLE 31 of THE UNITED STATES CODE- ...whist the atNwe referenced payroll, Payments of fringeherlalrtf as Ntted In the Contract - Ir�rossr-.s iE ♦ r aka'a � d_ •,� y�r � cry' � `1 (tom 4"'M 223V wFU-M-37]Ma Vest Coast " action (96., Inc. GENERAL CONTRAN I(, AND ENGINEERS P.O.Bea 419 24205 Weedieville-Seoho.ish Read __ WOODINVILLE, WASHINGTON 98p-72 R CE1VED JUL 17 198T TRANSMITTAL RECORD FW,1%FfRi9G WT. .:iron TO cit Of Renton DATE ,lul) 6, 1987 -' ngineering apartment 200 Mill Avenue South JOB N. 1st St. B me Ave ark Ave. A 029-87 Renton, Washington 98055 LOCATION N 1st B ve. to Park Ave ,icy fSt enton ATTENTION Joe Armstrong - Project Engineer We are sending HerewithC3 Separate cover by $ Drawings prepared by NO. PRINTS DRAWING NO. DESCRIPTION Certified Payroll for week eadinv JULY 8. 1987 Fo, Approval Approved, as noted Approved Not Approved - Please resubmit -_ REMARKS WEST COAST CONSTRUCTION CO., INC. '�• • Copy to: By V-.w ) 1'im Buchanan 87-9 File Title Secretary r U.S. DEPARTMENT OF LABOR PAYROLL "•^AOR.w,RR. W" AND HOUR DIVISION e.nw"e.....0 wo RR-1nOM _ (fw Contrxtor's Optional Use;See Insttudwn,form WH-3471n6J NIWe m co„TRA[ToR OR suecoxTWTOM woRM NEST COAST CONSTRUCTION CO., INC. P.O. Bo: 419, Woodinville, WA. 98072 483-1900 MYMMI, I,e.- - .. —I�w RYt�L1101116 --- 040jam ro tocAnow IRo/[Cf M Corn RAci '1O 1 "INITIAL" 1 Y 8 -M7. - let.St.,Burnett Ave.B on �-Park Ave.-Fenton 02"7_ -... O, rn I np M MY AND DArz of <O I m I q I rR) OEelleNles MR NANL W.I.9RCIMT wW,![R fI clAeF/K11TNN 7 4 t MIM a:. ANo1,M #nL RRAL ��` w ENnwra ! or - i NMwrDr�u nE1eNlNU N®. UNIWI ono Nests w�oRRD LBO,oA. j TAX otelerm sow NtCR Sl y/6-y03 O PdrAAf°R --t ----- 7 y.sO ' t9 y. vY 6fa P.sL Tye° /vy,°° VVY-40 i10 ' o — -_ In l I s � I Fe Y"tiyl ilia,—FORw[Rtr sot te,—PURCHASE THIS FORM DIRECTLY FROM >IIL SEA. OF DOCUMENTS i I; Mill g peer,z 16" 1"7 _ �...e,rer ui wr .s nova m eppruprrne,nail .or the wnalt on Burn empl e,cept as rnote In$action a(c)below. (, Buchanan Secretary ulliwln wnD MM (b) WHERE FRINGE BENEFITS ARE PAID IN CASH do hereby state: reach ut,tint on or mechanic n am rn tM above hair the s payroll M1aa peen pad, hourly,on the payroll, an amount we le Man the gum Of 1M Applicable,.." (l) That I pay a wgmas the psYrrynt r Ma Ilenon5 employed by—XS'BL CDast hourly wade rate plus tM amount M the repair,hi iisE.rye Mnelrfs as d m TM- Contract acept As rII>W in Selection B(c)Oalow. _Construction Co.. Inc_ In tM North Ist St..Burnett Avenue to fiCanu.ce,. (C) EXCEPTIONS Park Ave. - Renton -that Curing the payroll period commencing on the 2nd day of JlN Y 19_67 and ending the nth day of___JULY __.19-dZ— VICUT110114 (CRAi1) EIPLANATN)N An persona employed on said project have been paid The,full weekly wages ea,ned,that no Tsaolai - -- '—' nave Men or Will be made eitMr,directly or indirectly to or on behalf of field HEST COAST CONSTRUCTION-COS, INC. from the 1WI Ir tcomrimm weekly wage lamed by any person and Mat M, otheroth n e rein made a duc omsctly or eMed in IOnI the fullwi8eg lamed by any pergOn. other Man {Ilrmi331p1e CedYChOni M CNirlld in �- :pulaborts,Part 3(79 CFR Suptln,A),issued by the SscMary of LAW,under in.Copelardi Act ae amended(48 Seat.948.63 Stat 108.72 Stat 967; 76 Stet.357;40 U.S.C. 276c).arse descnbed ------ ---_- Cslar r ;k (2) There ally fall otherwiu under the comract mound to M c.fhY,, for IM A,,A RENAPTS —� L: period are correct a,complete:that the wage rates for labomrs or mechanics contained therein are not less than the applicable wNe rates contained in any wage CehrminMwn;Morppat,Imo the contract;that the Wssi6catiuhs set forth therein for esch laborer or mechanic conform with the eic, g M partOrm,. (3) That any apprentices employ, in the enm,e period M duly reghterd In a noun fide spphinficesnip Rman m registered L1t,,A Stela apprentKanup sell recognized by the eumau of APPrentKesMp and Training, United State,Department Of Tabor, or if no wch recognized agency ..ate in A State, are register, with the 8u1sau of Apprinticaship and Training, UMai1 Sum, Denartmem Of labor. (4) That: i.AME MD .111E alvramaE (a) WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS.OR PROGFIAMS Terry S. Buchanan, Secretary WWyy In addition t0 th!bd3K MVII p THE WILULL FALSIFICATION Or MY Or THE. E STATEMENTS WAY WILECT i.1 CONTRICIon pre IE — y wS,e rat. alit to each laborer or mKMnK Ieted in SUBCONTRACTOR TO CIwL OR CMMIR4 ArbsECWw Y!SE lT Ip01 OF MILL:Ia MOUCT1ON DI IF tM aboyer referent, rya parishes as wad. mLE al Ol This u lT STATES Cope payroll,payments o1 hI n[M contract < . .r.I.onlewe„wv me-oe.,M tL ti ? ti * 4 eii 1 ^•�•CONTAACTOR/SUBCO*MI9ACTOR �,�y MONTHLY MANPOWER UT I' fZATION REPORT Month: V�n� REPORT PERIOD TR , C REPORTING NG Year: �� TO be submitted to the City's Project Goals and Timetables as committed Engineer during the 1st week of following ��j �� in Contractor's Affirmative month while contract is in progress. Prime NT Action Plan ! Contractor is responsible for obtaining and submittin all Subcontractor Renorts. or per City's Plan 9.1 t j,. To (Der and teeat loe of Ca lmnce Apnty Dept.) From: (ear and lotstion of teeteren) ci o Go k1a411srp0ry6_ zeaL..-,s,0C. rh1LL AJ{ ;,a. Co�,zse_ ' to7rs iJA- eif u u i' TA s report is require y Executive 0 er 112d6, Section 203. Failure to report can result in sanctions which include suspension, termination, cancellations or debarment of contract. 1. 7. ). 4. f mino. Total r.tai Work Hours of Employment (See footnote) rity number unbar C1aea1 •• • e. • ,. e. • u/h of of of flea- HSa- user. Asian/ Ntal total minorlt EOpby- Company's Nase (I.D.) Trade t-one Teta Blaek anle Indian Ntent Fe- Employ- eea D r.b d .ale w/h can 1 iamsrew,- be-t :., c qI4 A Tr A If A Tr A Tr C A Tr AD Tr C A Tr Ad Rr AD 5 TrUtyr, AD Tr c! y AD Tr Y Cecymny noiallaSign! tura 4n 775at, Signed 9. Te ephone dumber (Include .Are. Code) oT `t Rev. )1/77 (•Males 6 Females, **M inorities c Non-minorities) 7/80 (Submittal Requirements 6 City's Goals/Timetables) Page of i J ;;. Date: project • a tea ( L f e CAG No. This Is to certify that the prevailing wages have been paid to our employees and our subcontractors' employees for the month Of?_1.}: ,�,� 7-,v-j7 In accordance with the Intents to pay p revel ng age le with the Washington State Department of Labor b Industries. 06'tlLsr�c'rl<4H Company Name ey t- CONTRACTOR/SUBCO , CTOR Y -' .T 1 �1 REPORTING PERIOD vONTNLY MANPOWER UTILIZATION REPORT ± .} : Month: .,, Year:312 ' i To be submitted to the City'• project 'Y Goals and Timetables as committed Engineer during the let we of following ��N_.(1 in Contractor's Affirmative month while contract is in progress. Prime" Action Plan \ iContractor is responsible for obtaining and or per City's Plan 9.1 \ submitting all Subcontractor Re rts. TO: (Bean and lseatiam of Caquiaace Agency Dept.) From: (Moon and location of eontrNI '700 rn.,u AUe. 5.-t-A ia'yif LLB fW.0^7- t..r ,o \ a report 1s requ re y Executive Order 11:do, Section /. Failure to report can ! result in sanctions which include suspension, termination, cancellations or debarment of contract. 1. 2. ). Y. f 5. 6. mine. Total tal Work Hours or Employ►ent (See footnote) rity number unbar of of Clanai a• c. • •• m/h of minorit Employ. ' Nlo- er. Asian/ +1 total En to eea Conpany'e Naae (I.D.) Trade done ri Te Ga Block panto ndlan hI.]aannd ..i le u/h "a y At'///,5 ri'cwG eat m� C A Tr A Tr ?4 I Tr -- A Tr C m A Tr C A _ Tr C AD RECUM { AUG 2 198T ''FT Tr Tr 7 Cenpany Df coal'• iana mare man a Date Sirnae 9 Te ephom LLnber �9 -7 (Inoluda Ana Code) Rev. /77 (-Males B Females, --minorities a Non-minorities) Page of 7,180 (Submittal Requirements a city's Goals/Timetables) f{ 1 rc 2" ;4 Bate: Pro)eet i�c J�v o- �Pncf :.� CAG No. This Is to certify that the prevailing wages have been paid to our employees and our subcontractors' employees for the ;nonth of i..,, 41 In accordance with the Intents to Pay P revaillng age Iled with the Washington State Department of Labor a Industries. i any Name i By r ' i i