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Home My WebLink AboutBOS 20211207000099 Instrument Number: 20211207000099 Document:BS Rec: �206.50 Page-1 of 4 Record Date:12/7/2021 7:47 AM Electronically Recorded King County, WA Return Address: City Clerk's Office City of Renton 1055 South Grady Way Renton,WA 98057 BILL OF SALE .. � �.rkau�'MYA�i�G�ikt�+•�)fS,itl�'F�'t�' x Yf��ti 2�'�"f4.,��,a4f�:��'�"�uG.,z:V��.�'d.�,�PtJ'�„N':k�8di,'�y,�'4�'d:�`��daC,��o�°�"F,�'R'�d�" TYPE OF DOCUMENT: Bill of Sale GRANTOR(S): Public Hospital District#1 of King County, a Municipal Corporation GRANTEE: City of Renton,a Municipal Corporation THAT PORTIpN OF NEW LOT2,15TAMENDMENTTO VALLEY MEDICAL CENTER NORTH CAMPUS BINDING SITE PLAN,ACCORDING TO THE BINDING ABBREVIATED LEGAL SITE PLAN THEREOF,RECORDED UNDER RECORDING NUMBER DESCRIPTION: 20171101001608,RECORDS OF KING COUNTY,WASHINGTON ASSESSOR TAX PARCEL I.D. NUMBERS: 8$57670100 NAME OF PROJECT: VMC MOB-Road Improvements ADDRESS OF PROJECT; 400 South 43rd Street PROJECT FILE NUMBERS: LUA16-000938,C17-005023, PLR-3991 LEGAL DESCRIPTION: See Attached Exhibit A of this Document PERSONAL PROPERTY DESCRIPTION: See Attached Exhibit B of this Document Reference Number(s)of Documents assigned or released: Additional reference#'s on page of dacument The Grantor,as named above,for,and in consideration of mutual benefits,hereby grants, bargains,sells and delivers to the Grantee,as named above,the following described personal property as described in Exhibit B of this document. F�y t�71s crrava�yar�c�,�':�a��ntcar v�r�k6��rr•�rat and cl�f�0�ac�t��s�l��t��-s�by s��cle�srrts��f��C;r�r7t��ainsi all �nd�v�ry p�rsrain c�r pac�rsc�r�s,�rharn�a��r,9a �I�irrri��ar�s�c1��rr��&ro�sad r�✓�y�rgce sh�6� bir�e�th�:h�ir�,exeeutcsrs,ackrriinistc��c��s�s d�ass6�s��fc�re . IN "NESS WHE EOF,said Grantor(s) s caus his instrument to be e ted this 'W �� 20 By �.., Its It Page 1 of 4 Instrument Number: 20211207000099 Document:BS Rec: $206.50 Page-2 of 4 Record Date:12/7/2021 7:47 AM King County, WA BILL OF SALE Project File Number:LUA16-000938,C17-005023,PLR-3991 INDIVIDUAL FORM OFACKNOWLEDGEMENT Notary Seal must be within box STATE OF WASHINGTON )SS COUNIY OF KING ) I certify that I know or have satisfactory evidence that signed this instrument anc acknowledged it to be his/her/their free and volumtary act for the uses and purposes mentioned in this instrument. Notary Public in and for the State of Washington Notary(Print): My appointment expires: Dated: REPRESENTATIVE FORM OF ACKNOWLEDGEMEAIT Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) I certify that I know or have satisfactory evidence that J�-�1�'1 p � . �j Y» �T}-► signed this instrument,or \\\\\��' oath stated tha he he/they was/were authorized to execute the instrument �. -c 0-{Y � ►1�� and acknowledge it as the (>�E ' e�l CUL�n15�[ and �`��`��SsloN'��j��/�� voluntary act of such party/parties fort`h�e uses and'purpo es�men boned in the — =o orq -�,�,, N � = _� � �P� ;�� ,1 � instrume . � d1 % ~ � m� � i � �i V� GQL��' �! ' �a � ��S � / � 'i � _ �j� f� �4��ir9-22`��DZ_ Notary Public in and i the State of Washington /�� O� �h��...��G.� \ Notary(Print):�A i�^l`� L. ��15�` ��t�� ASH��\�� Myappointmentexpires: �-~1 c(—.�,2 �I11\�� Dated: -y�vq�.1�- IZ .:�C�ZI �� CORPORATE FORM OFACKNOWLEDGEMENT Notary Seal must be within box STATE OF WASHINGTON )SS COUNTY OF KING ) On this_day of ,20 ,before me personally appeared to me knowr to be of the corporation that executed the within instrument,and acknowledge the said instrument to be the free and voluntary act and deed of said corporation,forthe uses and purposes therin mentioned,and each on oath stated that he/she was authorized to execute said instrument and that the seal affixed is the corporate seal of said corporation. Notary Public in and for the State of Washington Notary(Print): My appointment expires: Dated: Page 2 of 4 Instrument Number: 20211207000099 Document:BS Rec: �206.50 Page-3 of 4 Record Date:12/7/2021 7:47 AM King County, WA BILL OF SALE Project File Number:LUA16-000938,C17-005023,PLR-3991 EXHIBIT A Legal Description THAT PORTION OF NEW LOT 2,1ST AMENDMENTTO VALLEY MEDICAL CENTER NORTH CAMPUS BINDING SITE PLAN, ACCORDING TO THE BINDING SITE PLAN THEREOF,RECORDED UNDER RECORDING NUMBER 20171101001608, RECORDS OF KING COUNTY,WASHINGTON Page 3 of 4 Instrument Number: 20211207000099 Document:BS Rec: $206.50 Page-4 of 4 Record Date:12/7/2021 7:47 AM King County, WA ��;��i��, City Project Numbers: Return Address: WTR- 3991 City Clerk's Office WwP- N/A City of Renton SWP- 3991 1055 South Grady Way TRO- 3991 Renton,WA 98057 TED- 3991 EXHIBIT"B" Contributary Assets PROJECT NAME: VMC MOB-Road Improvements CONSTRUCTION PERMIT NOo 17-005023 PROJECT FI�E NUMBER: 16-000938 � Per the request of the City of Renton the following information is furnished concerning final costs for improvements instalied and turned over to the City for the referenced proJect. �47�C��f�Y,S1"i�EET'9.��T'S��1�Sl�6V�LS ��S��Ip7't�iV QTY �J�UI�" 1"��"�AL�C1S�' Curb and Gutter 426 L.F. $ 5,325.00 Sidewalk 720 S.Y. $ 27,360.00 Asphalt Concrete Pavement 949 S.Y. $ 42,705.00 Traffic Signals-Complete System �� 1 � L.S. $ 500,000.00 � � � Subtotal $ 575,390.00 Sales Tax $ 57,539.00 Grand Total Roadway,Street Lights and Signals $ 632,929.00 �'�"��C�WAT'EF�SYS�E6!/1 6tl�6pR(��t�iE6U�'S �,�°� �J�d�T' S9�E �"°�P� ��5��6PT'IC�PV T'�J"f��.��5"f° 23 L.F. 12" CMP Storm Drainage Pipe $ 667.00 60 L.F. 12" DI Storm Drainage Pipe $ 6,360.00 2 EA. TYPE 1 Catch Basin $ 3,000.00 1 EA. 48" TYPE 2 Catch Basin $ 2,300.00 ,.�.. .,�_�_ _�____. Subtotal $ 12,327.00 Sales Tax $ 1,232.70 Grand Total Stormwater System Improvements $ 13,559.70 i4i/�"f�6�5�S`TE�ifl 91��t��Ef�iE�l�'S �,�"� l6h�R�` St�E �"`l�� 1"�i� °C�T'�L��S"f 18 L.F. 6" DI Water Main Pipe and Fittings $ 1,008.00 113 EA. 12" DI Water Main Pipe and Fittings $ 9,040.OQ 1 EA. 6" Gate Vaive Assembly $ 700.00 1 EA. 12" Gate Valve Assembly $ 1,200.00 �� Subtotal $ 11,948.00 Sales Tax $ 1,194.80 Grand Total Water System Improvements $ 13,142.80 Page 4 of 4