HomeMy WebLinkAboutWTR2702822 W-2822
BEGINNING
OF FILE
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MAY-17-2002(FRD 10i34 NORTHWEST ASPHALT X. (FA' )4252541821 P. 002 t
CITY OF RENTON
REQUEST FOR PROPOSAL FOR INSTALLATION OF 2r'ASPHALT OVERLAY
OVER 20 FOOT WIDE PRIVATE ROADWAY &PARKING LOT WITIHN
MAPLEWOOD GOLF COURSE
Project Location: Maplewood Goli Course.4050 Maple Valley Hwy. Renton.WA 93058
The Erolf course maintenance and private road as shown on attached plan.
Project Description: Provide all mobdiwbon,labor.materials,and equipment for the completion of:
Installation of approximately 1,600 square yards of 2•ineh compacted depth.Class B asphalt,including
the adjustment of(3)2'itY utility vaults,and(2)Type I mach basins. The vault and catch basin
adjusunrnts shall be considered incidental to this project.
Paymaas: Payment for the complete installation of the ubove•described work shall he consideed
incidental to the unit price per Square Yard.
Faxed or ma.led submittal%must be received by the City of Renton no later than 2:30 p.m.,Friday,
May 17.2002 to:
Rick Moreno,Utility Systems Division
1055 S.Grady Way.Renton WA 98055
Phone(425)430.7209
Fax t•$25)430-7241
Item: Approximate Unit: Unit Price: Amount:
Quantity: �-y Q
2"CL.B,Asphalt 1,600 S.l" 5._.5.71__ S n70O
rsveday
-7-7�8.8 yr Sales Tax S 77Q_le
Tatal Sa V
The contractor shall comply with all Federal.State.County and City codes and regulations applicable lu the
ussoeaared work. All work shall meet the Gry of Remun standard specilicunnm and cootreet documents
and in neeordanee with the attached plans.
The contractor shall provide all repaired bonding,insurance retiuhcments.City Fusin .,%license,payment
of State prevailing wages at d shall comply with all City',standard contract requirements and
specdicatlons.
ya
Dated: r thin_ day ol' t1 ,2002.
Sign <
Title- EY 110,tF RA�
Name of Cummp iy1�:-±,y g,,,TH W E'5T AtticN At_r, ��,T
Address:. I Lf box J(DA-7
C1ry1SuucZpC.de: -RE MIQ i WA g8057 J(p47 _
Telephone: (425 ) 25.4
City(,(Renton Business License: 5A O'�
State Contractor%License: O RTh AT (efD L f _
t
fR
CITY OF RENTON
Plarming/Bwlding/PublicWorks Department
lesx Tama,M•vor Greg Zimmerman P.E.,Administrator
May 20.2002
Casey Ribero
Northwest Asphalt,Inc.
P.O.Box 1647
Renton,WA 98357.1647
SUBJECT: 2"OVERLAY OF A 20•FOOT WIDE:PRIVATE ROADWAY& PARKING LOT
WITHIN MAPLEWOOD GOLF COURSE
Met Casey:
i,
The Utility Systems Division has accepted your submitted bid in the Amount of$9,522.IR dated May 17,
2002.
i
In order to prepare the contract documents, 1 am requesting that you provide the following documents to me
as sown as possible:
• A list of nanes,addresses,phone numbers,pager numbers,and emergency phone numbers for the
responsible officer And the on-site job foreman.
• A Corporation Letter of Resolution giving the names of those Authorized to sign contract documents and
change orders and a sample of their signatures,
• A Photocopy of)out current 2002 State Contractor's License(not Master Lieensc).
• A photocopy of your current 2002 City of Renton Business License.
• Three Contract Bonds,on City of Renton Forms enclosed,UNDATED,the date will be filled in when
the contract is signed by the Public Works Director.
• Three signed Contracts also UNDATED, The blank forms of the contract are enclosed.
• Three signed Fair Practices Policy Affidavit of Compliance.
Three Certificates of Insurance for 2002,naming the City of Renton as additional insured. Samples of
certificates of insurance and information form are Attached for reference only,
Plcaso return all of the above documents and the signed and undated contracts to me. After our review of the
above documents,the Public Works Director will execute the contract and a final copy will be returned to
You.
A pre-construction conference will be scheduled As sown as the contract is executed. Please submit the
following information before the pre-construction conference.
Please call me at(425)410.7209,if you have any questions or need additional information on this contract.
Since Iv,
a
ck Moreno, Project Manager
Water utility
� ll- AMe+ullmluur-N'ger UUUh S+ymr+l.,ix
1
1055 South Grady Way-Renton,Washington 98055 RE N T O N
0 hl°qu.t 1. A"tAU Ur 111R 4'VaVr
Bid Tab 2" Asphalt overlay over 20 ft. wide private roadway 8 parking lot with Maplewood Golf Course
Opening Bid Date: May 17, 2002
Item Engineer Estimate Winning Bid M2 Bid M3 Bid R4 Bid '
2'cl. B Asphalt NW Asphalt, Inc. Western Asphalt, Inc. AA Asphatting, Inc. Cedar River Asphalt
Approx.Ouantity 1600 1600 1600 1600 1600
Unit Price $7.00 $5.47 $6.85 $7.75 $I0.5I
Amount $11,200.00 $8,752.00 $10,960.00 $12.400.00 $16,816.00
Tax 8.8% $
985.60 5770.18 $964.48 $1 091.20 51,479.81
Total 512185.60 59522.16 $11,924.48 513,491.20 $
18,295.81
— —1
r
t�- CITY OF RENTON
Planning/Building/PuhlicWorks Department
Jesse Tanner,Mayor Greg&Zimmerman P.E.,Administrator
June 12. 2002
SUBJECT: ASPHALT OVERLAY ALONG THE MAINTENANCE ACCESS
ROAD IN MAPLEWOOD GOLF COURSE
Dear Resident;
The City has hired Northwest Asphalt, Inc. to install a 2-inch asphalt overlay to repair the
roadway adjacent to the driving range at Maplewood Golf Course. The work is
scheduled for June l8lh and should be completed by the end of the day.
Please plan accordingly as access will he limited on the 18"', If you require special
assistance, please contact myself at 430-7208,or Steve Meyers with the Parks
Department at 430-6806.
Thank you for your cooperation during this madway impmvement.
Sincerely,
rr'4-0 --
Rick Moreno
Project Manage
el I wile Iletlach,I'",Uln ua
AMbul Gxlum.V Met Ullhl}Capc"%%of
KHN Sled.N'grer MaiNciunce tiupeniaar
tt.dnvtsaNJ s tmtmv
5 Soutx� Y Way„t Renton,1 Washington -- R E N T O N
1033 South Grady W� Renton,Washin ton 98035
®nxs Oxlw avwruu tiiw mYYIxwlanM .Mli��x�,ana,mv ANBAn or IN% CVRVR
CITY OF RENTON
MR Office of the City Attorney
Jem Tanner,Mayor
Lawrence J.Warren
RECEIVED
MEMORANDUM JUN 18 2M
CITY OF RENTON
t)1II-ITY SYSTEMS
To: Rick Moreno, Water Utility
From: Lawrence J. Warren, City Attorney
Date: June 17, 2002
Subject: 2" Asphalt t verlay in Maplewood Golf Course
The contract is approved as to legal firm
Lawrence larren
LJW tmj
cc Jay Covington
Pat Office Box 626-Renton,Washington 99057-(425)253-8678/FAX(423)255.5474 R E N O N
1
tna wiw�mtaarloY iarw#a m.rw.x+ti r�++r rx...,,,., anaao or taa Guava
CITX OF RE:NTON
HUMAN RESOUP.CES& RISK MANAGEMENT
DEPARTMENT
MEMORANDUM
DATE: June 18,2002
TO: Richard Moreno, Water Utility
FROM: M 4 R. Webby, HR&RM Administrator
SUBJECT: Insurance Review/ Northwest Asphalt, Inc
2"Asphalt Overlay
Maplewood Golf Course
1 have reviewed the certificate of insurance for the above-mentioned contract. The insurance
coverage,provided for this contract,meets the City's risk management requirements.
CITY OF RENTON
PLANNING/BUILDING/PUBLIC WORKS
MEMORANDUM
DATE: — -- Jtme 19, 2(X)2 ---
TO: Gregg Zimmerman.Administrator
FROM: Rick Moreno, Pmjecl Manager
SUBJECT: Contract for 2-Inch overlay in Me Iewood Golf Course
Issue:
I am requesting you to exorcize your authority to execute this contract.
Background:
Last Fall, the Water Utility replaced a section of damaged main due to corrosion in 0.c golf
course near the Booster Pump Station. The mmjority of the pipe replaced is installed within the
paved maintenance access roadway adjacent to the driving range. A computer landline was also
installed for the Parks Department.
The contractor was to include a full overlay of the damaged roadway, but due to weather
constraints, the city allowed for a temporary patch and closed out the project. It was agreed
between the Parks Department and the Water Utility that a final overlay would be completed in
2(X)2 under a separate contract and share the cost.
We received four phone bids. Northwest ,Asphalt, Inc. was the low bid in the amount of
$9.522.18 including sales tax. Enclosed is a copy of the hid tab, and approval memos from the
City Attorney,and Risk Manager.
�iAAILs LA(Wk W
i
HADWisim.0 MLME.CUrinBV'aaN2fa12-Mo akcklm
CITY OF RENTON
PLANNING/BUILDING/PUBLIC WORKS
MEMORANDUM
DATE: June 20.2002
TO: Gregg Zimmerman, Administrator
FROM: Abdoul Gafour,Water Utility Supetis or���J
1
STAFF CONTACT: Rick Moreno,Project Manager(x-7208)
SUBJECT: Contract for 2-Inch overlay covering a portion of the access road
w ithin Maplewood Golf Course
Phone Bids for this project were received on May 17. 2002 total of four responsible
responsive bids were received. The low hid came from Northwest Asphalt. Inc.of Renton in the
amount of $9,522.18 including sales tax. No irregularities were found with the low bidder.
Enclosed is a copy of the bid tab,and approval memos from the City Attorney,and Risk Manager
along with two original contracts for your signature.
The total cost of the contract wil! be split between the Water Utility and the Parks Department as
shown:
01
Water Utility Account Number: 421.(XX)50O.018.5%.0034.65.055170 Amoune $7.234.86
Parks Account Number: 404.(XUMl(1.020.5760.0065.48.000000 Amount. S2.285.32
The Water Utility mconurends that Northwest Asphalt. Inc, be awarded the '_" Asphalt ovenIt
Maplewood Golf Course project
cc Lc%he aellsich.Porky thwim
xleve W.wt`.(ioa/lwne SUM.mu
Rn,h.uscs
I
1
H Vhrlaiun s\I'TILYI'IF.x\I Nx'xVINI:\,`1N4' 1M1 JsxUtLM41m
On of Renton
PLANNING/BUILDING,'
+ PUBLIC WORKS DEPARTMENT
Utility Systems - Fifth Floor
1055 South Grady Way Date: 6/27/02
Renton. WA 98055
TO: Casey Ribera FROM: Rick Moreno
NW Asphalt, Inc. Water Utility Engineering
Phone: (425) 254-1820 Phone: (425) 40-7208
Fax Phone: (425) 254-1821 Fax Phone: (425) 490-7241
SUBJECT: Payment Method for Number of pages Including cover sheet 2
CAG-02-101
REMARKS: ❑ Original to ❑ Urgent ❑ Reply ❑ Please x For your
be mailed ASAP Comment [ review
Casey-
The City is requesting the following:
In order to avoid withholding 5% retainagc,please submit an invoice for the entire work performed at the
golf course and on Levan Ave S.
Describe work performed and identify the cost breakdown and method to be paid by unit. (see enclosed
sample)
Your invoice must be with your Ietierheud.
If you have any questions,please call me. (425)430-7208.
t
(Your Company Letter Head)
INVOICE Billing addressed To:
City of Renton
Water Utility Engineering
F _
CONTRACT: CAG-02-101 (WTR-27-2822) Final
Payment.
SUMMARY OF WORK::
L Provide all labor,equipment and materials,for the completion of:
1.827 square yards of 2-inch compacted depth,Class B asphalt,adjustment of(3)utility vaults and(2)
Type 1 catch basins,and(1)electrical vault.
2. All work associated with the restoration of private parking lot adjacent to Logan Avenue S.
Item: pinal antis tlnit Unit Price Amount _
2"CL.B Asphalt 1827 Square yard $547 $9,993.69
Overlay _
Parkin&lot restoration 1 Lump Sum $2 QW,00 $2.000,00
Sub Total: S i 1 993.69
9.8%Saks Tax 1I,0S3.44
Total Cost $13 049.13
Final amount to he paid under this Contract shall he$13,049.13.
i
I
City of Renton
1055 South Grady Way
Accounts Payable W-9 Vendor Form Renton WA 98055.3232
To add)our business to our rcndor file,please complete this form and tetum it by amatl m t1.S.mail or fax.
Phone. 423,430.691 a or 6919 Tax In a:91-6001271 E-mail: USh%Wgj&LMajqjtjtW.(Tracy Schuld)
Vox 42y.130.6835 nbeardstav(&l.renton.waus(Natalie Beardsley)
Business Information
Business Name: Northwest Asphalt,Inc.
Contact Name:
Remittance Address: P.O. Box 1647 _
Renton,WA 98057-1647
Physical Address(if different)
I'ht+nc rc 1!xt. Pnv. I'.-mail:
Business Fype (Please Check One)
l urM,ralion ❑
Pannership
government Agency ❑
Non-Profit
Sole Proprietor ❑
What is the official name registered with the IRS fort the above number?
It')ou arc not a corporation, is your business suhiect to 1099 reputing? ❑ Yes No
titalc of Kashingam ll.t I. d: Renton 11u.mcss I Icense d
Signature Date
Printed Nantc. _ . . .... _ _.
J.Ibne. \I`\'nuhn ,i nt ne
NORTHWEST ASPHALT, INC. InvoiceP.O.BOX 1
847
RENTON.W 198057-1647
Customer No RENTON
Invoice No.: 3276
Invoice Dale 06130/02
Bill To. CITY OF RENTON Job Number/Description
COMMUNITN SERVICES CO2156 MAPLEWOOD
1055 S GRADY WAY
RENTON,WA95055
lor I
fr—Triinbw er Doti soloo Person
Mm nu9sovvon — --i �J
—Pit6JEC•iaCATI _:J �
Prial
7AAPLF.WOOD GOLF COURSE
RENTON,WA
ATTENTIOIIL RICK MORENO
CONTRACT OCAG-02 t011
(WTR-27.2822)
1827 2'CLASS B ASPHAL f OVERLAY 5.47 9093.69
1827 SQUARE YARDS
AT$5.47 PER SQUA' E YARD
1 PARKING LOT RESTORATION 2000 00 20N)00
CONCv, .,Iz E S PER()UUTE
DATE Invoice subtotal 1199359
N� INI AL/DATE Salee tat
ta 5.800% 3049.13
"� "� " Invoice local 1]049.1J
RECEIVED
JUL - o ?nq7
CITY OF RENTON
COMMUNITY SERVICES
V.->x► 0 51�07�
4z1 . 00oS00. alt. 5%0. 0oa4.&s•055110
%01 51 10 a IS i o, 16 li. 11
Its 40* W0600 .pro. 61601 600 5.4C•-Xti oo �; z, 2 IL,!r z
Telephone: (425) 254-1820 Thank You For Your Business Fax (425) 254-1821
e7/02/2002 04:0: 4252552897 __t:av; HALL PAGE 0'
OF CITY OF'RENTON
Pla:utiap/BA 4,U0JotksDepmtn ent
Jtua7annr, aror qro .ZioiRrtnaa RE„AdmldaMtor
July 1,2002
Janice Kane
Musicians Hall
126 Logan Ave,S.
Renton,WA 98055
SUBJECT:, APPROVAL TO PROCEED W1(T3g ASPHALT PATCH,
M,
' Dear Janice: '
Thank you for the opportunity to tgeetlad q Work is being Oone, .
w alleviate water'froln tbimin�(fols "WIQI A P,' '1Nng lls ofyour
parking lot,which is outside of the consgygti t .
• 1 t..... a ial ry,d �lr� . � ;g\l d•• Y �
As it was explained td you t r�
wourTian Yr�rM1 a 1!iYl«_., 3J^r West Aspbalt;
Inc.to install a patch within lke ell» tl M2� edititille,6 level of
the exl ting asphalt ppproximatoly L L v•est portion of
the parking lot ITh0 asphalt'pet rrul'be flash with
the catch b+sin 36 fedtesSf o b, y day and is
scheduled for Juiy A;.4b02 the a tvia Mt �I(or °110 has been
instructed sot to work on>oW yO° t iq
The City will proceed wilt this work ' o lot p ffge d coot t as provided below.
Please fax a signed copy of t>EIi left IZ'1) 3G24 ,or mail to:
.. Illck Moreno'^'+'•
City of Rarit�n npr
10S 5o�tht }�YtNayh'�r C
,-
Ifyou bai/a^ edditio6208 '
Rick Moreno ' t u u
III Water Utility Fngineanng
n�•- I authurize the City of Renton to 1 icy '� ii tted about at the Cityy an
d
d "
�.� expense. Pe ' h girl 4
�G11.L{,(
1" 4
ice Kane,Owner (q�`•
KInIG •� c � .:: ,
cc Aetoul Oarour,Wger 111117 SupervltOt
'� ,.revr+�„4YS11Qerrnooeunnu... \ �•''. iC^ h M' � 't .
1055 South Grady Way-Reston, `u ,�q`�'➢{']Q�ts� - Y �R E N T O N t
®rnaww RMi,w/rtwim,wumv nHaAa or trra cvave
. ter- r«�+.L '.'' 19+,
JUL-01-2002(MON) 16:26 NORTHWEST ASPHALT INC. (FAX)4252541821 P. 002/002 I
Prevailing Wage Section
+_ Statement of Intent to Pa-� Department of Labor 3Industries
Prevailing Wage PO Bo:44SU
oYYii�W1i/ Olympia.WA 98504.4S40
(360)902-S335
Received. Intent Id. Status:
06/ M002 6031 Approved on OWWO02
COMPANY
Company NORTHWEST ASPHALT INC
Information: NORTHAI(XAMF
601 556 048
PO BOX 1647
RENTON,WA 980571647
Payment Type: Electronic
Company Electronic
Slgnatura:
PROJECT
RENTON, CITY OF
Public Agency- 1055 S GRADY WAY
RENTON, WA 9805S
County. KING Multiple Counties?No
dry: RENTON
Project Name: MAPLEWOOD GOLF COURSE OVERLAY
Contract Number. CO2156
Sid Due Date: 05117/2002
Award Date: 051202002
Prime Contractor. NORTHWEST ASPHALT INC
A.ItWork No
Subcontracted?
Subcontractors? No
Apprentices? No
S Amount: $9,522.00 Time and AWtenals No
Fi.'ed by. STRATTON, MARJORIE M
WAGES
Number of Owners 0
Joumey_Lev_e�T►;t�is�Q��-upatlons
County Trade Occupation Wage Fringe #
Workers
KING LABORERS ASPHALT RAKER $30.15 $0.00 2
KING LABORERS GENERALLABORER W967 $O.0D
POWER EQUIPMENT ROLLERS. PLANTMU(OR
KING OPERATORS MULTILIFT MATERIALS S35.69 $0.00 2
KING POWER EQUIPMENT SCREED MAN $36.05 $0.00 2
OPERATORS
KING UCK DRIVERS SPHALT MIX(TO 16 S 48 $0 00 2
YARDS)
ACORD CERTIFICATE F LIABILITY IN US�—AN—CE D.TE IMMNW VI
07/0!/2002
(.25 622-3500 ---fix (42S)E22-3SIO � WISSUED AS� VAT it"-OF
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Conover In su vnc•
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
112SO %irkland NAT ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P. 0. ■os 1299
Kirkland, MA 98033 INSURERS AFFORDING.COVERAGE
-- - _— -MBL'RENA Continental Casualty Ce
Northwest Asphalt Inc. INSURER TreaB BPtS IBR Ias Ca
P.O. ■oX 1647 IN,IRE"C
Renton, MA 9,0S7 INSUHFNr
1 IN8UREPF
TRrl�O
LIICIIE IN A LI L V-B N ISSUED TO THE INSU E ABOVE NE POC177rCAl-6D--l-N3lD7n—N-MWHSTANDING
ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
FRAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUP iFCT TO All THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS
L lYM OE MaUOANOI PDLNiY NUMMO W Loan
almlM LIABILITY cno4s931933 0710112002 07/02/2001 EACHUCCURRFNC 1
E s 1 000 000
. _
% COIMEACMA CENTRAL LIABILITY FIRE OAWGP.IAn/RrR hal / 100,000
rumors MAOF aOCCUR M6DIAP IAIN MM walnl i 10,000
'a A X Ma Stop Gap MRSONEAaAUVI12URV 1 110001000
1 X Blanket Add'1 Iliad GERERALAOUA90AT2 9 ! 400,000
I
oENl AuonecAn LNpH. PKd Ae MA PRODUCTS cOMPgP A00 1 2,000,000
POLICY % P XRCT 7 LOC
AUTOMOru LIABILITY OA20/991197/ 07/01/2002 ;01 20(11 CG1llWED SINGLE LIAR I
% ANY AUTO IFlao"NoU 1,000 000
R ALL OVAIED AUTpS 80DRYINJURY
SCHEd1e0ALIMS RECEIVED IPMP�i
° ---
X Hwlo AutOe eDDAr INJURY
X NDNONNFD AUl08 IPw IrwIMI I
JUL 10 2002 PROPERTY DAMAGE
on a aMl
REN-1—Is
aRAOt W°�^ UTII ITY SYSTEMS AUT004TV lAAOCMNT 9
ANY AUTO IAACC I
7uttoo ante
_ AGO /
tlCM LNYLItY CUP2049931914 07/01/2002 07/01/2003 EACH ocC1AIRENCF 1 1,000,000
X OCCUR C]CLAIMS MADF AGGREGATE 1
R s 1,000.000
0lpUCTIp1F I
% RETENTION F 10,000 I
VIDAAIA/COMMNUT AND CP20a9911g I3 07/01/2002 07/01/200) X 1 YLMIg En
EFIKOYIAS UAIKUTY A STOP GAP CI FACN ACCIINNT 1 —
A __Iy000,000
!t UBFASF FAFWIOYE ! 1 DOG,BOB
It DISEASE-RMICY UNIT s I 000,000
OTHER
I N A l `—
Ae City of Renton, shier elected or appointed officors, officlols, employees, sub-consultonts, and
oluntears are additional insureds for General Liability regarding the City of Renton Contract
AC-01-00//.
CERTIFICATE HOLDER % I A001"CHIAL INSURED.INSURER LETTER CANCELUTION
SMOUlO AMY a TNI AaOV!pltCAlalD PW N:III RE CANCILLlO gFOOt lml
lXNRADON DATI MIRVW,THE ISSUINO COMPANY WILL RtR9RR01NR9*ME
City of Renton _ID_DAY,WRITTEN III TD ME CEO NFICATE HOLDER NAMRO TO IIR Test
Attn: Rick Moreno RR9fNE3MR911RNMlNRUBMIM MMNNOMRdi %
loss S. Grady May RRQRXd9!NYKRN RINMOPRRRRh R4 %%%%XXX
Renton, MA gloss A
1101R11 "ASFl T.PrL raft GTY W IIANTGWIAILlIIOOP 6iOlE COLNIPP 4:E1RKIrD 0AYiMLL MItGETPP
VA.p=1Mr JOa i�A31 S{ fll®{[slpwp:a2fN
asMrON.WA on"
EMPLOYEE NAMEJAOORESS SUIT MOH TOE WED THU FM SAT. PIN PW GROW
NO - - JOB PAY
SOCIAL SEOWTY NO EAPT JOB CLASS 23 24 25 26 77.. _..211.._ 29 HOURS RATE PW RATE DEDIACTION CESGRIP"
R1CK ABBTTT __ ■ _ _- 000 f 29.67 S - Say 20 OB Xs
161.5121STAVEMESE -• ulr® O Oo0 f 44.51 $ - $196 CC PAD T6
RENTON.WA gem iS-SIN- a 8.75 T---1�+ h.75 f 33.48 f 225-99 S'.97 ie;wM
538-SZa10' K1 1teMR .�..�.. - ri 000 S 5022 f - 54520_ w
000 S - $1729 FICAAFP. NET PAY TOTAL
TOTAL T; N
TOTAL HOURS t 75 GROSS S 225.99 $111 62 OE-CUC=UN 114.37
J BB4190✓si ---�y-Y-�O��'E_-i_I 000 S 29.67 S - $1339 De 7c
NE MTN 117 f ' _ O i---e- Of) S 44.51 S - $0.58 COPAutw
SEATTLE.W M A 706 ;Mto/IBt >._. - f ' 200 S 33.48 f 6696 $0.58 N&wM
ypyl� p 000 S 5022 f - $1339 wan
~-I _ 1 --4 i Ono f - 55 12 R p CAn NET PAY TOTAL
I
__. _---f-.--7-1-t- -_ TOTAL TOTAE
i
TOTAL HOURS 2 00 GROSS S 6696 SM 07 OEDUCrON 3399
AFSOM DELA CRUZ _ �IArO�r _ It 0.00 S 29.67 $ - $O.00 09 Eft
3612 NE 4TH STREET Rt6 _ _ O t r t_ 0.00 S u.51 f _ $0 00 CC PAD 06
RENTON.WA 98M --WAM • -�-T-r 000 f 36.05 f_- 900D :MWM
56547-1743 7N -IMIR 0 1 000 S 54.00 f 50.'.0 PM'
MAM O T-T- 0 Of) S 45.23 S _-_ _ SO 00 FCAMED NET PAY TOTAL
-r
TOTAL :ITN
1
:. TOTAL HOURS 0oD GR-)w f - 50.00 XDLC-,CN 0,00
MANY DOMM'A1F2-V t j 2S 250 $ 29.67 $ 74.1; Sit 66 pB ER
3102 NE 20TH - -t1�A-pp�- O - -- - -. 030 S 4451 5 - -�- $0 73 co PAD r6
RENTON.WA 9M56 SNIT • 0 DO S 30.15_S _y $0 73 L&WM
56t112815 IN4� O_ _ _ 000 S 4523 f iS1484 Mn
000 f 5567 FCAAfD /E7 PAY TOTAL
TOTAL *UAc
TPDMHOU00. 2MGR0SS S 7418 53680 DEDUCTION 37.3
mum-K RIME PAP6o Tel 1 aW S 29.67 S - Siam _ De EA
242"-183r0PPE SE f- Mrl O} -�- -� +- -So S M.51 f - $0.73 CO PAD rd
KEW WA 9SDQ a I 1 2.A��-r--- _ 2M S 3605 $ 90.13 50.73 Lm AM
5367L2857 tW Meow 1 O 000 S 54.08 S - $19.03 PAT
-- I ODO S - $689 T+CM.ED NET PAY TOTAL
..- TOTAL 1MAa
TOTAL HOURS 2.50 GROSS S 90.13 $4440 0EDMIlDh 4!72
RECEIVED
nx. - e 20
�s
T404TTI4WEST AA►NLLT.1NC. ►OR:Ct"Of RENTOW WJllM000 GOIf COUME CE FMO►AYIIOIl K STM
P.O.MOX 14 JOB LCO]134 11EFi1[[I4WIIfI.4f4MI
ABROM,SSA MOST
BVL0VEE NAMEADDRESS SUN MINI TVE WED THU FW SAT PW PW GROSS
JOB PAY
SOCIAL SECURITY NO. EXPT _ JOB CLASS 23 _24 25 26 27 28 29 HOURS PATE PW RATE DEDUCTION OESCRIPHOM
V►iGINA A CACEN 0.00 f 2967 f - w 15 09 20L
185$w.AARK ST 4U3 _-- _ rtAe01[i _ O - __- __- _ __. 000 S 4451 S - S0.0D co PAC e6
iSSAOUAH,WA 9027 !MAW! ► f 1 525 -� - i 525 S 33.48 S 1TS77 $154 UP WM
__ - - . 0.00 S 50 22 1 - 535 15 FW1
564J14036 _ 1XTX/YEA O- }- .
O.CO S - S13A5 RCM,-ED NET PAY TOTAL
-T I TOTAL TOTAL
j e 'TOTAL HOURS 5-25 GROSS S 175,77 SM 29 DEDUCT 9048
JERRY L A7E0ISON ✓40rac _- f `-T-T- ( _ OAO f 29.67 f - S4221 DB 20%
13446 3RD S _ ✓fie _ ` ' 0.00 $ 44.51 S - $2.03 co PAv m
SEATTLE.WA 96166 4 iAQP N f IAO _ 7.00 S 30.15 S 211.05 $2.05 W W/H
539-58-4172 IA6 lei 1 1 0.00 f 4523 S - S42-21 MR
000 f - $16,15 F+CAIMED NET PAYTGTA1
'---- ' - - TOTAL TOTAL
{
.'TOTAL HOURS 7fD GROSS S 211.05 $104.64 D®VCRON 10641
MAN KREGNESS --F_- wrnF>: -�_ F 006 S 2967 S - $0.00 DB 20%
IMC SW 312ST ST 1 _.:ABrn[s _t0 --. _-. - - 000 S 44,51 S - $000 CO PAIDM
WAY.WA 98G23 s 2 !1 J - O.CU S 2767 S - $0.00 UL w/H
--V
893 ya yAES. ' _ 000 f 41.51 f - $000 RWT
-- . - I 000 f - $000 RCA/W- NET PAY TOTAL
TOTAL TOTAL
'TOTAL HOURS 000 GROSS S - $000 b DUCM1N 000
VAKM 000 S 2967 f - S000 DB 20%
H AVEs AAA Om f 4451 1 - $000 co PAO/6
WA 98199 4W! !` 1 000 f 30,15 S - SOOD LA1 W/H
1 �A01f/ .p _ 0,00 S 35.69 f - SO.OD -w^ -
' 'Oo f 5.1.; , f $0.00 RCA WzD NET PAY TOTAL
TOTAL TOTAL
I _` 'TOTAL HOURS OOD GROSS S - $000 DEDUCTK O.OD
OLSM&MMM 4 WXw f' - _ 6.OD S 30.15 S 180.90 S36.19 DB 2n
pOfDRNI<11p _ , 'p' 000 $ 4523 S - $702 CO PAID P6
fMt M y�� '2 ! 000 S 29,67 S - $1.75 tM WM
0,00 S 4t.51 S - $36.i3 PWT
-T- } OAD f - $13 84 HC /w-C NET PAY TOTAL
TOTAL TOTAL
i I TOTAL HOURS 6MOMOS+ f 180.90 $94 W7 DED, TJON ffi.
' T.O SON f _ _ OAP S 29.67 S - S46.87 :a M%
NDgf�1NlT WpT --{--•---_'
i OAD S 4451 S $741 CO VAL e6
.go, 6.`.D S 3665 f 234.33 S1.90 tm WM
000 S $406 f - $46.87 FWT
000 S - $17.93 FCAIY NET PAY TOTAL
TOTAL TOTAL
4 TOTAL HOURS 6 50 GROSS S 234.33 $121 16 DEDUCTION 113.lq
NpR11N[NT ANIHALT,IMG •019 dt7g7 qtV q)! [ERT V7lD IAYNOLL 4NNRfTG
P.O.NON IWI7 ��� w[eRrNaNc.4+]fOt
NlNTON.AA 441457
EI.PLOYEE NAME:ADDRESS NM THU FRI SAT PW PW GROSS
W, J06 -PAY
SOCIAL SECURITY NO EXPT J� 23 24 E 26 27 10 29 HOURS RATE PW RATE ❑E711CTN3F1 C'P_SCRIPT�
REY P.HERNAFDE2 _I.11MO • .. _ - - 0.DO S 29.67 S - _ $000 UB EM
7182TTH AVE 13 UKW q ---�--�-� 000 S 44.51 $ $000 CO PAID A6
SEATTLE WA 90122 Or!liq r t j t .. OAO $ -_�-_ $0.00 WR.
6W.9"756 148 0� --T } ! 0.00. f _-_� $0.00 iNNt FWi
_ Ono $ _ 90M RCA/4E6 NET PAY TOTAL
-TOTAL
rOTµ
.TOTAL HOURS OOO GROSS S OF.
_ $000 oIx:':ioH 000
MIKE L RBVJISRUD IAtGNNI ti j OM S 2967 f $46.87 DO 2D%
2WM 191ST PL SE } 400011�r-� 1 _ . . _.. 0UO S 44.51 f -. $215 COPAprE
KENT.WA 90042 �ALii9 r!I _ 000 S 3569 f T $1.90 ;elwM
536-23-2552 +f{Q �q -. 0.00 S 53.54 S - W87 FWr
-r- lgmm I -tIT� f 650 $ 36.05 S 234.33 $1793 RCM.4D NET PAY TOTAL
1 1 TOTAL torµ
I _ TOTAL HOURS 6 50 GROSS S 234.33 S 115 70 DOX/CTON 11862
RICHARD L SCHU2 AAMOl1 tf 1 0 Or 29.67 1 - $36.83 D6 xAc
17802.119THAVESE I 'Mmom - - I - 0.00 S 4451 S - $319 rOPADm
REMON.WA 98059 owdw f- j 550 S 33.48 S 184.14 S1 AI W wM
534E0-7386 wli_D•9 ' OAO S 50.22 S - $3683 Pwt
0.00 $ - $14 09 F-CAIMED NET PAY TOTAL
TOT l ICTµ
1
1 TOTAL HOURS 550 GROSS S 184.14 59254 DE7x1pFF 9160
JACE W STRATTON WYOR "• I _ 'J 00 S 29.67 $ - 5000 Cb ZOi
SOUTH 204TH•9 '" ' 000 S 44.51 $ $000 CO PAID 06
TILE,WA 99198 S0OD W W/N
-Ui221 -- - Iq - - O.OD t - S _--�. $0 qD PWf
0.00 S 1 $000 RCA/MED NET PAY TOTAL
TOTAL rotµ
TOTAL HOURS 000 GROSS f "GO om,, 1ON 000
RCH0W7D N SUIPTER UPGNR _ 0.00 S 29.67 S $000 D! 2M
3425 SOUTH 176TH ST 0 200 - iAR71N11 i 0.00 $ 44.51 5 $000 CO PAD Is'
SEATTLE.WA 98788 0.00 $ W 15 S ---$000 Lad WM
131-52-8075 1 _ 0.OD S 4513 S -- SO.00 Fw!
000 S SO.00 RCA/NFL MET PAY TOTAL
TOTAL !Orµ
1 TOTAL HOURS OGD GROSS S ` $000 DEGIC:ION 0.
G V BWM LOB 0.00 t 2947-S -_-�--S51 89 DO 20%
15-106THPSAaSE �D! ! OW S 4451 S -T 5225 CC PAID N6
.VASs fTON" 1 7.75 f 33.48 S 20MAT 52.27 Uee Wm
�e-7918 000 S 50.22 S - 55180 rwrt
TOTAL 000 $ - S19.85 FCNMED NET PAY TOTAL
TOTAL - -- TOTAL
1 NOIRf 7 75 GROSS S 25YA7 $128.15 DEDUC110N Mjq
t
{s
3
LIS 99W 9r ow GL LSLZ SZ-r9 00-0 000 000 000 9Z"e9 00 0
i
0"99 M0it Y,C3O It 9Z!S fLf:Z S SS0lf3009 SWVH WIO1 j �—
HlOt 1V1OA _ --t -
FS6i�'VdIJq ^_3YWVJH Bf9t5 - S Sc 06 f 000
!Ms 49ZV5 - f ►S"ES f 000 ru -
.009
'a'
w/M 4V, S/ i5 ♦l9tZ f eS"% f 00 00 9 69086 vM _
_ -
ae riva O� ZC ZZS f i5 sI S OO O — -- 1S H19.L 3S Zlt-lYL
Ice r fBLK - S 196Z S 90D .,,� 1d0 DOOM IOOfAM
s
NCi_�Y53G Np100030 31YH Md 31" SW10H Q R CZ SZ SZ �Z Q���Ci��� Id" �0H At1tlfY_`3S-MOOS
Avd ow G: _
SSCWD Md Md 1YS Md nW 03M WU HOLv Hn5 953w37v:3vftw 33A0IM3
Lf9N M v1oU
ZOW ME*=ow L L IOC V-d
I xsL TI vd no no*d-M OOOriMMMDA/ AO Alb i01 ']M'llrMli�LSOM LLWW
pPwec oflyar!W�
AFFIRMATION
eaneeo:r'A raiaa.4510
(I) 7otYya Oise N�edat/wey taay lie
u
The above s:gaaory pays a spavwts (K:d a sroseow)
the praticat of the persons cimpkiyed try.
Nt of build"w arts pgan yarwaa taro/aal111111 rda
C q
All pe•, employed oa above prorct have been paid the full weekly wages canted thu no rebore+have-will be made criber dawly or mdt tly to or on bcbWr of the
about contractor or wbconCactor from the w Ck1v wages earned by any person and that ao dcductron nave been made erhe ec-duth�or tndir ctiv from the fW1 wages
earned by way person.other than permiaiible deducrnoe.
(2 i Tlut any payroll otherwise under this contract required to be ubmince for the above period are correct and complete.that the wage rates for lahVrab Cr mechanics contauwed
therein are not less then the applicable aagc .aces connived in am'wage determination incorporated Win the tong r"a•the classifications set forth thaem for ea:b hwborer or
mechani:conform with the work he performed
(3)That an; apprentices employed in the above pen c zre duly registered in a bona fide app=Uceahip program registered with a State appreatce.dup agency_
(4)That
WHERE FRINGE BEVEFITS ARE PAID TO APPROVED PLANS. LN'DS,OR PROGRAMS • in addition to the basic howdy wage rates paid to act laborer or mechanic
Band in the above referenced payroll,payments of fringe benefit&as(wed beioy have been m will be made to appropriate programs for the benefits of such employees.
The wMfW"ificatioo of any of tie above statement&&say object the contractor to civil or cr®ual prroe cation.
Print or type name of sipmeary !Tide S,pware
BENEFIT DISTRIBUTION (Please report in^per bew-Wine)
Craftntaile Hourly Tonal 6eaeSt Craik Haorly Pe ssiae Howdy Medieal Ha �aeaulaa
F MO465(POF)1--d—l"l
I
Page 1 1
CITY OF RENTON
♦ i ♦ 1055 S GRADY WAY � �NGFi9@A�
RENTON, WA98055 7/1872002 L_ 1&0000053
VENDOR: 056076 SHIP TO:
NW ASPHALT INC
PO RENTOOX N, COPY
RENTON,WA 98057-1647
FOF.Point: Rea.No.:
Terms: net term Dept.:PLNGIBLDG/Pt1B WKS UTILITY SYS
Rap.Del.Date: Contact: FERKINGSTAD, LIND4
Pre-Assigned POa7: NO
Special Inat:
awntlly UtNt — Osasriptlon Una Pike
Paving waterline trench($golf course, .76381
Inv.3270 6130102 CAO 02-101 -
Paving waterline trench Q golf course, 2.266,32
Inv.3276 6/3M CAO 02.101 +,
t
Tq
4
�f SUBTOTAL _ 13.049.13
BILL TO. '--'_-'---
TAX
FREIGHT
TOTAL
A_—oe���urs __`ran t1on AumWr `
E_404 000000,020 5760 0065 48 0000002.289.321
1
NORTHWEST ASPHALT, INC. Invoice
P.U. BOX 1647
RENTON, WA 98057.1647
RECEIVED Customer No. RENTON
JUL 1 1 M Invoice No.: 3276
Invoice Dale. 06/30/02
CllF UP HL-NTON
IITILnV SYSTEMS
Bill To: CITY OF RENTON Job Number/Description.
COMMUNITY SERVICES CO2156 MAPLEWOOD
1055 S. GRADY WAY
RENTON,WA 98055 s b
•lbM5y70 )
eerma
ter"Nwftw Description UNI Erica Amounl
MAPLEWOOD GOLF COURSE
RENTON.WA
A RICK MORENO
ETNCAG-02.101 OAJi.lb, of WK\Lhl:ut:, 'tGNJth At
(WTR-27-2822) M %QLLW 000 611t C&UNA6
1827 2`CLASS 8 ASPHALT OVERLAY 5.47 9993.69
1827 SQUARE YARDS
AT$5.47 PER SQUARE YARD
1 PARKING LOT RESTORATION 2000.00 2000.00
CONG „ S PER QUOTE
DATE. Involrs subtotal 11993.69
NAME INITIAUDATE Sales tax @ 8.800. 1055.44
Invoice total 13049,13
RECEIVED
JUL - 4 M7
CITY OF RENTON
COMMUNITY SERVICES
yD .#t al
V.-# O 5 to p 710
A�cot,.t #•, y2) , 000soo, Off, S%o. 00?A4. ,S.oss17o
UO. 65st -70 _ 1' to, "763. R1
'� Aci��vr tt ', 40A, av000v ,o�o. s-7[<e,orw5.49•�*,eo �,z, 2L+s.'.S�
Telephone: (425) 254-1820 Thank You For Your Business Fax (425) 254-1821
CITY OF RENTON
PLANNING/BUILDING/PUBLIC WORKS
MEMORANDUM
DATE: June 20,2002
4 TO: Gregg Zimmerman,Administrator 6-1—
FROM: Abdoul Gafour,Water Utility Supervisor \+
STAFF CONTA(T: Rick Moreno,Project Manager(z-7208)
SUBJECT: Contract for 2-Inch overlay covering a portion of the acceu road
within Maplewood Golf Course
Pha.e Rids for this project were received on May 17, 2002. A total of four responsible
responsive bids were received. The low bid came from Northwest Asphalt. Inc.of Renton in the
amount of 169.522.18 including sales tan. No irregularities were found with the low bidder.
Enclosed is a copy of the bid tab,and approval memos from the City Attorney,and Risk Manager
along with two original contracts for your signature.
'Rm total cost of the contract will be split between the Water Utility and the Parka Department as
shown:
Water Utility Account Nr..nber. 421.000500.018.596.0034.65.055170 Amount: $7,234.86
Parks Account Number: 404.000000.020.5760.0065.48.000000 Amount: $2,2b 32
The Water Utility recommends that Northwest Asphalt, Inc, be awarded the 2" Asphalt over en
Maplewood Golf Course project
cc: is ue ananh.rvb tllwhv
Cleve Meym,(kdt(Ywm Supervimr
Pack,a m
N.rAtviekia erlrntrrte:1100('3�2007v'o1_.)k(1 MrVtIMYIm
From: Leslie Betlach
To: Abdoul Gatour; Richard Moreno
Date: 7P20102 9 30AM
Subject: Purchase Order for 2"Overlay at Maplewood Golf Course
Rick,Abdoul,
1 just received a copy of the invoice, Memorandum to Gregg Zimmerman and Purchase Order with the
f shared costs for the asphalt overlay within the Maplewood Golf Course
Our support staff presented this to me for payment and because this was a Water Utility project, initiated
by the Water Utility Department in the golf course, I asked that the invoice be transferred to Rick Moreno.
I am surprised to see that the invoice was processed wilhouS the Parks Department authorization for
payment and that golf course funds are being utilized to pay for a portion of the costs associated with the
overlay. This has never been discussed with ma,and to my knowledge with either Steve Moyers the
Golf Course Superintendent or Mike Toll,who at the time was the Interim Golf Course Manager In fact
the access road was trenced to replace a waterline that was corroded and the agreement was to restore
the road back to its current condition noccessitated by the Water Department's project.
While the attached Memorandum, dated June 20,2002, identified Stave Meyers and Leslie Betlach as
being coped,this is also the first time I have seen this Memorandum •and it was attached to the
processed Purchase Order. 1 would like to discuss this issue immediately to determine the reason for
billing the Gulf Course for a portion of the costs for this restoration work.
Thank you,Leslie
CC: James Shepherd: Kelly Beymer, Margaret buanoi Mike Toll, Steve Meyers
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