HomeMy WebLinkAboutCO 3 •
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CITY OF RENTON CAG-19-029 , CO #3-20
Public Works Department
CONTRACT CHANGE ORDER AGREEMENT
CONTRACT: Kennydale Reservoir—Schedule B,CAG 19-29 C.O.# 3
CONTRACTOR: McClure and Sons Inc. ,
SUMMARY OF PROPOSED CHANGE:
This change order is to address design conflicts and field changes necessary for the construction of the
Kennydale Reservoir. Necessary changes were required to address changes in backfill material for the north
wall after placement. A summary of the changes along with their unit costs is attached.
An additional no cost time extension is granted to McClure and Sons,Inc. of nine(9) working days.
.
COP#10/RFI#37: Design change of backfill material behind northern retaining wall after placement.
Costs are associated with actual work, materials,and supporting personnel.
Lump Sum Total $20,275.53 '
10.0%Sales Tax $ 2,027.55
Total CO#3 $22,303.08
ORIGINAL CONTRACT AMOUNT CURRENT CONTRACT AMOUNT NET CHANGE CONTRACT
THIS ORDER TOTAL AFTER CHANGE
$5,188,392.00 $5,233,383.14 $22,303.08 $5,255,686.22 •
•
ORIGINAL CONTRACT CURRENT CONTRACT NET CHANGE ESTIMATED CONTRACT
WORKING DAYS WORKING DAYS (this order) WORKING DAYS AFTER CHANGE
255 . 265 +9-days 274
SIGNATURES:
Contractor:
r Pre Si.o�t
Date: 1 /3/ /o16 0
Les ure,7L .
da t,McClure an Sons Inc.
Project Engineer: CVO Date: 47/�4941?°
Eric Ott,Water Utility rigineer
Approved By: �h�d r V.ro rim Date: Z//7�Loza
nal J.Straka,Wit ems Director '
-2 ,
�1 7
Approved By: ( ll_-7 // 1 ificf' X Date: 27 1226
Gregg Zimmerm�n, ublic Wor Administrator
Approved By: Date: al/U) 10
Shane Moloney,Renton City Attorney
WTR-Drinking Water Utility\WTR-27-Water Project files\WTR-27-03956-Kennydale Reservoir Sch B Reservoir
Const\CONTRACT_Construction-CAG-19.029\ChangeORDERS\Change Order No.3\EO
' CHANGE ORDER PROPOSAL
,Wr
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Kennydale Reservoir Schedule B WTR-27-3956
McClure&Sons Inc.Project No.: 3323 Owner: City of Renton
Change Order Description: Per City of Renton direction the one foot behind the North Wall
needs to be removed and replaces with 5/8"clean chip rock,
along with RFI 037 addition of the 4"perforated drain pipe.
Change Order Proposal#: 10 Date: December 21,2019
CCI No. RFI#: 37 ASK#
FO#: FLDR#:
11.03.C.4.a DIRECT LABOR COSTS
Trade Wage Rate Proposed Hours Cost
See Worksheet 0 $ -
L $ -$
Labor Cost $
Direct Supervision
Safety
Small Tools&Consumables
Subtotal Direct Labor Cost $
29%
11.03.C.4.b DIRECT MATERIAL COSTS
Description Quantity Units Unit Cost Cost
See Worksheet $ - $ -
$ - $
$ - $
$ - $
Material Cost $
21%
11.03.C.4.c CONSTRUCTION EQUIPMENT USAGE COSTS
Description Rate Propsed Hours Cost
See Worksheet $ - 0 $
$ - 0 $
$ - 0 $
Equipment Cost $
21%
DIRECT COST SUMMARY
Subtotal Direct Costs $
OH&P on Direct Costs
11.03.C.4.d PRIME SUBCONTRACTOR'S PROPOSALS
Name Qnty Unit Total Cost
Titan 1 LS $ 9,883.04 $ 9,883.04
Wall Systems 1 LS $ 8,220.11 � $ 8,220.11,
Subcontract Cost $ 18,103.15
OH&P on Subs by the Prime Contractor 12% $ 2,172.38
COST SUMMARY
Subtotal $ 20,275.53
Bond and Insurance
TOTAL COST OF PROPOSED ESTIMATE WITHOUT SALES TAX $ 20,275.53
Cost of delay to contract due to this change may not be included in this proposal,
but will be accessed at completion of this change order.
Change in time to contract completion: , / - e days
12/23/2019 Page 1 of 5 McClure and Sons, Inc.
COP WORKSHEET/BREAKDOWN
Summary of proposed Change Order costs for work performed exclusively by MSI.
Description of work:
Per City of Renton direction the one foot behind the North Wall needs to be removed;
Requested by: C O Proposal S: 10
Work authorized by: W C D/C P R S: 0
Authorization date: R F I#: 37
Proposal Date: December 21,2019 ASI#: o
FO#: o
Proposal summary
Costs of delay to contract due to this change may not be included in this
proposal,but will be accessed at completion of this Change Order.
DIRECT COST SUMMARY
LABOR LABOR LABOR LABOR MATERIAL MATERIAL MATERIAL MATERIAL EQUIP EQUIP EQUIP EQUIP
ITEM DESCRIPTION HOURS UNIT RATE TOTAL QTY UNIT UNIT COST TOTAL QTY UNIT RATE TOTAL
TOTALS 0 $ - $ - $0.00 $ -
12/23/2019 Page 2 of 5 McClure and Sons,Inc.
LABOR RATES
PROJECT: Kennydale Reservoir
BID DATE: 03/05/19
BASE FRINGE PAYROLL TOTAL
CRAFT TOTAL WAGE RATE RATE SICK TIME TAX L&I WAGE RATE
General Foreman Carpenter $ 66.80 $ - 51.79 1 $ 15.01 $ 1.29 $ 6.20 $ 3.43 $ 77.72
Foreman Carpenter $ 64.55 $ 49.54 I $ 15.01 $ 1.25 $ 5.93 $ 3.43 $ 75.16
Carpenter- Group 1 $ 60.04 $ 45.03 I $ 15.01 $ 1.16 $ 5.39 $ 3.43 $ 70.02
^
Operator-30-50T $ 64.83 $ 48.63 i $ 16.20 $ 1.25 $ 5.83 $ 3.43 $ 75.34
Operator- Forklift 3000 lbs $ 63.76 $ 47.82 I $ 15.94 $ 1.23 $ 5.73 $ 3.43 $ 74.15
General Labor-Group 1 $ 48.90 $ 36.68 i $ _12.22 $ 0.94 $ 4.39 $ 3.43 $ 57.67
Pipelayer $ 49.81 $ 37.36 ; $ 12.45 $ 0.96 $ 4.48 $ 3.43 $ 58.68
Cement Mason $ 60.07 $ 45.06 ; $ 15.01 $ 1.16 $ 5.40 $ 3.43 $ 70.06
Ironworker $ 69.28 $ 51.96 j $ 17.32 $ 1.34 $ 6.22 $ 3.43 $ 80.27
Plumber/Pipefitter $ 85.69 $ 64.27 I $ 21.42 $ 1.65 $ 7.70 $ 3.43 $ 98.47
PAYROLL TAXES: 11.98%
FICA 7.65%
FUTA 0.60%
SUTA 3.71%
SICK 0.0193
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12/23/2019 Page 3 of 5 McClure and Sons, Inc.
EQUIPMENT RATES
.. MCCLVRk F SONSJNC
Rental Equipment Bare for MSI Owned Equipment Only
Does not include delivery,return,fuel,operator,markups,operating cost or rental equipment.
Hourly Rate
Pumps
44,000 gph $18.50
125,000 gph $28.60
25' Hose $2.00
1-Ton Truck $18.50
Water Truck $28.16
Dump Truck 10yd $54.14
Marooka Dump Track $59.67
Tractor $30.00
580 Backhoe $34.51
345/992 Excavator $154.00
330 Excavator $130.00
200 Excavator $79.30
312 Excavator $56.00
Mini Excavator $28.00
Bucket Thumb $15.85
Hoepak $17.00
Boom Truck $15.67
Grout Pump $44.56
Drill Motor(APE or equal) $86.54
Leads (110+) $13.96
Auger(90') $15.00
Pickup (360) $19.93
Forklift $35.00
Dozer D-5 N LGHP $51.85
Komatsu D39PX-21 $48.00
Crane 70 Ton Lattice $197.90
Crane Grove RT750 $120.38
Crane P&H 40 $113.60
Crane Grove RT58E $77.00
Boom Extensions $5.00
6000 lb rough terrain fork lift $33.81
10,000 lb rough terrain fork lift $46.59
Sheep Foot Compactor $76.00
Trench Compactor $32.00
Roller $81.00
Skid Steer $22.00
Loader $48.00
Generator 175kw $33.50
Jumping Jack $11.50
12/23/2019 Page 4 of 5 McClure and Sons, Inc.
CHANGE ORDER PROPOSAL
MCC IH SONS.'NC. FOR CONTRACT TIME EXTENSION
McClure &Sons Inc. Project No.: 3323 Owner No:
Change Order Description: Per City of Renton direction the one foot behind the North
Wall needs to be removed and replaces with 5/8"clean chip
Change Order Proposal#: 10 Date: December 21, 2019
WCD/CPR#: 0 RFI#: 37 ASI# 0
McClure and Sons, Inc. submits that due to no fault, act or omission on the part of
McClure and Sons, Inc. the work and circumstances involved with above Change
Order were effected by the conditions and sole actions of the Owner and/or Owners
Representative. McClure and Sons, Inc. further submits that the above change was
the sole cause of the time extension impact and could not have been avoided by any
reasonable means. McClure and Sons, Inc. has made all reasonable efforts to prevent
and mitigate the effects of the delay but herein requests a Contract Time Extension
due to the following:
1. The delay was caused by the Owner and was of an unknown scope at the time the delay arose.
2.The Owner required the Contractor to address the additional work by WCD which directly impacted
the Contractor's capability to perform the original work. In particular, due to the nature of the above
work the Contractor was unable to concurrently perform originally contracted work in this structure.
Consequently the Contractor was unable to resequence or reorganize the work such that the CPM
and Project cash flow would remain unaffected.
• 3. This delay, as substantiated by supporting documentation, did effect the CPM and in particular the
work on this structure and thereby negatively effected the timely completion of Work under the
Contract or timely completion of a portion of the Work for which time of completion was specified.
4. The additional work will prevent McClure and Sons, Inc.from completing the Project within the
current Contract completion date.
Cost of delay to contract due to this change may not be included in this proposal,
but will be accessed at completion of this change order.
Price good for 30 days.
Change in time to contract completion: + / - 8 days
12/23/2019 Page 5 of 5 McClure and Sons, Inc.
- -._• la ..L.;r'a i_'
PROJECT:KENNYDALE RESERVOIR-CITY OF RENTON
Date Pricing Compiled: 12/4/2019
CONTRACT WITH:MSI-McClure&Sons,Inc.(Prime to CoRenton) Date Work Performed: 11/7/2109 •
WORK DESCRIPTION:11/7-TITAN supporting wall sub and imported 5/8"chip rock for wall design change.Operator on-site to spot TITAN SOLO and support wall Change or Issue
contractor as needed.JD 135 excavator was on site to support wall sub but was not needed.TITAN not to charge standby time for excavator available to support wall Tracking#:
sub.11/12-TITAN provided support to wall sub.Backt-filled wall with chip rock as needed.11/31-TITAN provided support to wall sub.Backfilled wall with chip rock as CE-010
needed. Added Contract
Days Requested:
1
LABOR COST HOURS RATE/HR TOTAL
CLASSIFICATION REG. .O.T. DT .- Swing Night REG. OT - DT Swing Night , COST
FOREMAN(G2*$3.50) 9.00 85.48 114.55 143.61 - - 769.35
OPERATOR(G2) 14.00 81.04 107.92 134.81 - - 1,134.49
' DRIVER(TITAN) 5.00 70.34 99.83 129.32 - - 351.69
TOTAL LABOR COST 2,255.53
EQUIPMENT COSTS HOURS -RATE. TOTAL
DESCRIPTION/CLASSIFICATION UTILIZED STANDBY UTILIZED STANDBY COST
F-250 Truck,Foreman Duty(light customized 8 equipped) 9.00 25.11 5.11 226.02
Solo-tractor w/End-dump(50,000#GVW,no trailer) 5.00 82.03 19.63 410.15
Excavator,John Deere/Hitachi 135 Class 16.00 72.04 36.39 1,152.67
Thumb,Hydraulic(100-class) 16.00 11.78 9.43 188.42
Bucket,30°to 33"(100-class) - 16.00 10.97 7.37 175.49
Bucket.30"to 33°(100-class) 16.00 10.97 7.37 117.89
Bucket,30°to 33°(100-class) 16.00 10.97 7.37 117.89
Loader.John Deere 344 16.00 67.33 30.78 1,077.28
Loader,John Deere Forks 16.00 15.00 10.00 240.00
TOTAL EQUIPMENT COST 3,705.81
MATERIAL,RENTAL,DISPOSAL,AND SERVICES - TOTAL
DESCRIPTION QTY: -UNITS: $/UNIT:, COST
Kangley Rock 8 Recycling(TYPE 22 5/8"x 1/4"A-458 Clean)Invoice#986175 86.31 TN 20.65 1,782.30
Kangley Rock 8 Recycling Environmental Surcharge 86.31 TN 1.00 86.31
TOTAL MATERIALS,RENTAL AND DISPOSAL 1,868.61
/
DIRECT SUBCONTRACTORS OTHER .. - TOTAL
DESCRIPTION I QTY: I UNITS: I UNIT PRICE COST
TOTAL SUBCONTRACTOR COST -
DIRECT'REIMBURSEMENT ADDITIONS/CREDITS - TOTAL
DESCRIPTION- • I QTY: -I UNITS: I UNIT PRICE COST
TOTAL OTHER COST -
LABOR-TOTAL DIRECT COST 2,255.53
LABOR MARKUP 29.0% 654.10
EQUIPMENT-TOTAL DIRECT COST 3,705.81
EQUIPMENT MARKUP 21.0% 778 22
MATERIALSIDISPOSAL-TOTAL DIRECT COST
1. 88.73
USE/SALES TAX ON PERMANENT MATERIALS(if not Identified above) 10.10% 188.73
MATERIALS/DISPOSAUSERVICES MARK UP 21.0% 432.04
SUBCONTRACTOR/OTHER-TOTAL DIRECT COST
SUBCONTRACTOR/OTHER MARKUP 12.0% -
DIRECT REIMBURSEMENT ADDITIONS/CREDIT-TOTAL DIRECT COST
DIRECT REIMBURSEMENT ADDITIONS/CREDITS MARKUP(B&O taxes/etc.) 1.0% -
GRAND TOTAL
$ 9,883.04
min : DEMOLITION
EARTHWORK FIELD RESOURCE TRACKING SHEET
i Lii— • UTILITIES
Customer: Date: Job#: Tracking#:
M S I - 19 _ 193o
Proiect:
ef%)1•3‘i OA LE IZESiVoi2 - WALL DES1CP Ci4AOGE
Employees On Project: Class: Hours: Description of Work/Comments:
MlicE DE CLUE-VIE OP (I DESIGN Ci-lAW 6E i WALL
_ 112AN) S-rek,3 A c2.11 6F gACt.FILL Trick t M porcreD
Rize41,3Dow CI I Sou L -Talc 5 Sig CH IP lox
- Opeirwroit 010 Sere Th SPor
"rn-Ao %Lo poJ 5%.Appoizr
W ALL CorYTkAcTO
Equipment On Project: #: Hours:
For/D 25-o 2 IS I
TITAN SOLO 8o 5
JD 135 Ex w/Thumb & 3 Buckets 0
Materials,Trucking, Subs, Other: Qty: Units:
518 C.1-1 IP Pock.
(Circle Appl.) Steel sheets? Shoring? Temp Fence?
Pumps? Traffic Devices? Confined Space Kit?
TITAN coring or cutting? Excessive admin. effort?
Owner's Representative Signature: Date: TITAN Earthwork Signature: Date:
White-Office Job File / Yellow-Foreman / Pink-Customer
TITAN Earthwork,LLC at 1585 Valentine Ave SE,Pacific,WA 98047
Phone 206-325-3004 Fax 888-325-3004
DEMOLITION
EARTHWORK FIELD RESOURCE TRACKING SHEET
_ —
- AN UTILITIES
Customer: Date: Job#: Tracking#:
S i 11 - 11 1110 'TS 113
Prolect:
KE014 DALE RES1 %WIZ
Employees On Project: Class: Hours: Description of Work/Comments:
TRAMS STe.-1-)AtzT 6F rSLtPPMT Fr)a. Witu.v St4e•
BACKFILIANC WAtt. WITH
cktr Roc lc
, •
•
Equipment On Project: #: Hours:
forLD F-2.50 ZiS 7?
J 0 34 q LoFt De rz 344i '
01 Foraks 151ACK t-T
•
.1D 353 Ex u3 /11-Kirt 13 1353
emcke-Ts 4 1I ,P,
Materials,Trucking, Subs,Other: Qty: Units:
(Circle Appl.) Steel sheets? Shoring? Temp Fence?
Pumps? Traffic Devices? Confined Space Kit?
TITAN coring or cutting? Excessive admin. effort?
Owner's Represe ative Signature: Date: TITAN Earthwork Ignature: Date:
• Y-17 j 1— — I
White-Office Job File / Yellow- Foreman / Pink-Customer
TITAN Earthwork,LLC at 1585 Valentine Ave SE,Pacific,WA 98047
Phone 206-325-3004 Fax 888-325-3004
DEMOLITION
EARTHWORK FIELD RESOURCE TRACKING SHEET
' Jai UTILITIES
Customer: Date: Job#: Tracking#:
(v1 5 1 I i - I - 19 30 T-s t•7 4
1' Protect:
kENN') PALE RESivc) R
Employees On Project: Class: Hours: Description of Work/Comments:
JARED ()-{Fit l OP 8 SUPPORT FOR WALL SN 13 •
QACki=ILLipJ (PALL W 1T-14
CHIP TZ•OCK
Equipment On Project: #: Hours: •
JD 3i-1N LOADER w 1 3441 •
8
oRI�S i3uc'..j<ET
JD 13S Ex v41-14uitoz 1353 '
guckCTS -+ 14 , P.
Materials,Trucking,Subs,Other: Qty: Units: •
(Circle Appl.) Steel sheets? Shoring? Temp Fence?
Pumps? Traffic Devices? Confined Space Kit?
TITAN coring or cutting? Excessive admin. effort?
)g Owner's Representative Signature: Date: TITAN Eork Sint ature: Date:
. ( 1- I `i • 11
White-Office Job File / Yellow- Foreman / Pink-Customer
TITAN Earthwork,LLC at 1585 Valentine Ave SE,Pacific,WA 98047
Phone 206-325-3004 Fax 888-325-3004
KANGLEY KANGLEY PIT (Plant#021) 'N�
ROCK RECYCLING 32500 S.E.Kent•Kangley Rd.,Ravensdale,WA 98051 • (206)768-1000
RECYCLING G BLACK RIVER QUARRY (Plant#022)
ACCOUNTING:9125 TENTH AVENUE SOUTH 510 Monster Road,Renton,WA 98055 • (206)768-1000 Remit Payment to:
SEATTLE,WA 98108 • (206)768-1000 CEDAR SHORES (Plant#020)—17877 Cedar Grove Road S.E., Kangley Rock&Recycling
A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,INC. Maple Valley,WA 98038 • (206)768-1000 9125- 10th Avenue South
Seattle,WA 98108
CI 0611kA)
ACCOUNT ID 892305 DELIVERY ADDRESS: AGG - CITY OF RENTON RESERV
OIR
SOLD TO: TITAN EARTHWORK LLC INVOICE NO. DATE PLANT
1585 VALENTINE AVE SE
PACIFIC, WA 98047 986175 11/07/19 022
JOB/P.O.# ORDER#
D"rF• -1 000297 642442
ITEM DESCRIPTION QUANTITY UNIT PRICE TAX TOTAL
•
PO NUMBER: 1930
62014Q TYPE 22 5/8"X1/4" A-458 CLE 86 .31 TIC 20 . 650 N 1782 . 30
70015 ENVIRONMENTAL SURCHARGE 86 . 31 TN 1. 000 N 86. 31
•
PICKETS: 022-134517 022-134554 022-134607 022-134652 022-134699
• Received
NOV 1 8 OS SUBTOTAL
TITAN Earthwork,LLB 1868 . 61
SALES TAX
Total Yds Concrete $ Supplies $ Misc $ Labor $
0 . 00 0 . 00 86 .31 0 . 00 0 . 00 0 . 00
INVOICE TOTAL
REV 05/2019 - 1 R ti R ti t
If' 4
•KANGL'EY "" Kahgley,Rock&Repycling Locations.
p '', KANGLEY PIT (Plant#21) ,•,
ROCK Br.RECYCLING.- 32500SEKen&KangleyRd Revenedale,WA98951,. '
BLACK RIVER`(Plant#22` (206)656-0912 _ DELIVERY TICKET :.
ACCOUNTING:.9126 TENTH AVENUE SOUTH 510 ooster•Rd Renton;.Wf)98655 : , I AC•C041NTING 206 7622566
. ' •• SEATTLE,WA 96108 • 1206)762-2566 `J .) 'LAKE FRANCIS (Plant#23 (208)658•0872 ( )
' '22501 SE.Lake Francis Rd Maple Valley,WA 99038 FAX (206)7625.8
WDIVISION OF GARY MERLINO CONSTRUCTION•COMPANY'INC;`Cedar MDUntai nReclamatlori' °' ' ' ,, ,
w I {,•-;,,v ' 17877CedarrGrove;Rd,SE,Maple Valley,WA98038,_ i .'SALE$
„ ORDER DESK (2b6)'768:1f100
" Plant#20 (206)658.0913 ,
MAP,;LOCATE,, i,i ;, ,,,, LEAVE PLANT J .,,_t tJ ARRIVE JDB, . LEAVE J B ., ARRIVE PLANT
ti v tl it [ L ,. ,
O ,1 11 + , r t
DATE, 1 iJ - I ,CUSTOIy1R N0 - ORDER NO A ,,1' ! PROJECT t+ 1i
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SPECIAL INSTRUCTIONS
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a
DRIVER ' . , ' . TRUCKNO. ORDERED BY: '': REMIT PAYMENT TO
TMF?T43, SUB-TOTAL
912,5 10th AVE.S.
: ' TIME " `,.
• 'DISPATCHER ' " .' 'TAX CODESEATTLE,WA 98108 •.•• ' '
' WA, 1':> 7;3 • TERMS ON REVERSE SALES TAX
• .RELEASE-CUSTOMER RELEASES.AND AGREES TO HOLD HARMLESS KA (EYfp ,ECYCLING,A.DIVISION '
OF GARY MERLINO'CONSTRUCTION COMPANY, INC'.. FO Y'DAMAG HIS_ PERSONAL PROPERTY: BALANCE FORWARD •
:CAUSED BY DELIVERY OF MATERIALS' STED ABOVE. AILS ON R_ S▪E'. - -
CUSTOMER SIGNATURE • //'�^"s'i • TOTAL
AMOUNT
PRINT NAME - :. DATE
• REV 04-2009 t • ." '
• !AI„/\lY'.0 n/10V . ' . '
•�NI GLppEV • • _ r,:-°'�:�,': 'Kangley;Rock&Rec Kling Locations •.•'-... ,
'ROCK & RECYCLING CLING ' - ? ' 3 500 SE Kent-Kang ey RPlant It d,Ravensdale,WA9B051 �'
ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant n 22),-(206)558-0912 . . µDELIVERY TICKET
510 Monster,Rd..Renton,WA 98055'
SEATTLE,WA 98108 • (206)762-2566 LAKE FRANCIS (Plant#23)_(206), '658.0872 . ' ' ' ' . ACCOUNTING- (206)762-2566 '
22501 SE Lake Francis Rd.Maple Valley,WA 98038 , FAX, . (206)762-2358
.A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,,INC.' CedarlMoyntgiq Reclamation SALES& '
1' 17877 Cedar Grove Rd.S Maple Va ley WA 98038 ORDER DESK '''(206)768-1000
.. . . -.. .. Plant 420-(208)658-091 : I. - ..
MAP LOCATE LEAVE PLANT ARRIVE JOB • LEAVE JOB • • ARRIVE PLANT . ,•
DATE CUSTOMER NO ORDER NO: PROJECT PLANT N
.1 11 itrir`.7114 f'• a,`2•=1G1•; c.32442: i
CUSTOMER NAME • . ' • r' CUSTOMER P,O. ' 1 JOB NO:. .• DELIVERY TICKET NO.
.i r �'} K Y c iR1 `/i .•'7`:�fN-.:'1"' - ry tau=KY
'tiY ',P•, F'AC"e . 0"i"4_A AB'4_
Jos ADDRESS"" COLLECT ON DELIVERY(C.O.D.)
v S I i - CilY LT'r>L-'1 I•1, f1(=gss3'._F;1r"+�i R 9 , .I • •
❑CASH ❑CHECK#- : '❑CHARGE
, •
• CARDD
SPECIAL INSTRUCTIONS .EXP.' ,•N .
❑.VISA ❑MASTERCARD : ❑ DISCOVER .
PRODUCT TOTAL '
QUANTITY U.M. CODE DESCRIPTION TONS UNIT PRICE AMOUNT
.• T a y t0/' -PI 2.2 rr- R`.f- )r P •P B El r 1.32 •a r. v
14.i..52. ifr�. ,175f� 3iri IdS �br� .9i1?. .�!`: 'i`-de..J §�C T`-' :� _ 48..LF. .J,J:�J�I�i
. . Q..92� 11 M . - ,1•,L T'N1/6 0',,�.A ('J.-.AL 9 ('C1- 17AGf .18-r141..• .1 '�•e.r r by u.�t17
•
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•
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DRIVER TRUCK NO.• ORDERED BY REMIT PAYMENT TO •
1A71P1130B 912.510th AVE.S. SUB-TOTAL
DISPATCHER ' . TAX CODE - TIME DUE • . ' ' SEATTLE,WA 98108 •
,,++'',11n 1 •' 8 "d a TERMS ON REVERSE SALES TAX
• RELEASE—.CUSTOMER RELEASES AND AGREES TO HOLD HARMLEKANGKEY ROCK&RECYCLING,A DIVISION '
OF GARY MERLINO-CONSTRUCTION COMPANY, IN9/FOR'ANY DAMAGET HIS' EAL OR PERSONAL PROPERTY BALANCE FORWARD ' ,
CAUSED BY DELIVERY OF MATERIALS LISTED ABUV .DETAILS ON `VEfl - '
CUSTOMER SIGNATURE /71/J =i'%�� �'Z _ 1/'Z.:y' ,z- • - TOTAL •
AMOUNT
PRINT NAME. . . . •DATE . -•• • -
•
REV 04-2009 ' . .
• • .Intl/fI P 17()PV ,..• '
'KANGLEY.. -- 5 Kan1gley Rock Recycling Locations . .
ROCK& RECYCLING ' KANGLEY-PIT (Plant#21) . )
32500 SE Kent-Kangiey Rd.,Rayensdale,WA 98051
- BLACK RIVER (Plant#22):(206)658.0912 DELIVERY TICKET •
ACCOUNTING:9125 TENTH AVENUE SOUTH 510 Monster Rd.Renton,WA98055 ACCOUNTING 206 7�2-2566
SEATTLE,WA 98108 • (206)762-2566 LAKE FRANCIS,(Plant#23);(206)658.08'72 - ' - ' ( )
' - ' '22501 SE Lake Francis Rd.Maple V Valley,WA 98038 FAX ,'(206)762;2358
'A DIVISION OFGARYMERLINOCONSTRUCTIONCOMPANYINC. .Cedar,MGNritalnReclapiatlon . SALES&,.. 17877,Cedar Grove Rd.SE,Maple Valley,WA 98038 . _'i 'ORDER DESK... (206)768-1000 .
Plant#20-(206)658-0913 -
I MAP LOCATE ,, LEAVE PLANT,y • ' , ARRIVE JOB LEAVE JOB . , ' ' ARRIVE PLANT ' '
. DATE • CUSTOMER NO. ORDER NO PROJECT ° PLANT#
CUSTOMER NAME ' , . ' I',` ' ' CUSTOMER,P.O. JOBNa N DELIVERY TICKET NO.
•
`ETYAPS X:7.rb-,• -`1Alrar"•4 I'1-• Sits.1. .5 ri'^.1)^' � a 3-4 u� '
JOB ADDRESS '"'"" . ... _ . ' �. ,> ,
c - COLLECT ON DELIVERY(C.O:D.)
- Acic1 - K.III l I�'I:t,E•D.II`(16,9.,,+_.11'�,eF �!;;1 , • - • ,
❑ •CASH ❑CHECK# .'. • " . ❑CHARGE •
CARD# , EXP ' /
SPECIAL INSTRUCTIONS •
❑VISA MASTERCARD ❑ DISCOVER
•
PRODUCT' TOTAL
QUANTITY U.M. CODE DESCRIPTION TONS II UNIT PRICE AMOUNT
.t 10 617;y!-) I�/V-'` '';7,e.11)2.JZrlfI.'a rt !^n el P,n1 1 a5"1• • '5 i.)n • . .
a :f;l . Gi 1GL i i bv1`y;n iti,',lti:idd€,I_ Id;(k t:4; I ' "S!':idb
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-
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•
"I•• V"If �"J Ly��9L 3.II�� ICJ,6. ' 15.1":1`11) . g4'"..'w :.;;St!v.).'NI-
DRIVER - TRUCK NO., • ORDERED BY REMIT PAYMENT TO •
SUB-TOTAL
TN?1 13Q3 912510th AVE.S.
DISPATCHER TAX CODE . ' • . TIME DUE -. ' ' SEATTLE,WA 98108 '
WA ) ,�EI._ - TERMS ON REVERSE SALES TAX
' 'RELEASE_CUSTOMER RELEASES,AND AGREES TO HOLD HARMLESS KANGLEY p(CK <R CYCLING,A DIVISION '
OF•GARY MERLINO CONSTRUCTION COMPANY, INC. FOR AV(DAMAGE TO HIyyy���+,'REAL/// R PEI3 ONAL'PROPERTY BALANCE.FORWARD '
CAUSED BY DELIVERY OF MATERIALS LI)aTED ABOVE,DEL LS ON REVERSE:�, / _
CUSTOMER SIGNATURE • ,e) /// '� �r: kr'" '— ' TOTAL
/'� AMOUNT
PRINT NAME DATE
-REV 04-2009
IN\in1r..F f:f-)PY
KAN■A�GLpEY RECYCLING Kangley Rock&Recycling Locations, ;="•, • : •
ROCK & 32500KANG E PITKent (Plant Kangley 21)Rd
�� 32500 SE Kent-Kangley Rd.,Revensdale,WA98051 r � �" I� v
ACCOUNTING:9125 TENTH AVENUE SOUTH BLACK RIVER (Plant 22)-(206)658 0912 DELIVERY TwnET
510 Monster Rd.Renton,
,WA 98055
•SEATTLE,WA98108 • (206)762-2566 . '♦:.LAKE FRANCIS (Plant#23).-(208)"658-0872. ACCOUNTING ' (206)762-2566
22501 SE Lake Francis Rd,Maple Valley,WA98038 FAX (206)762-2358
A DIVISION OF GARY MERLINO CONSTRUCTION COMPANY,'INC.'',Cedar Mountain Reclamation ' ' ; SALES& •
, ♦ 17877 Cedar Grove Rd.,SE,Maple Valley WA 98038 ' ORDER.DESK 206 766-1000
• , .. • _ _ Plant X20•(206)658.0913 - ,
MAP LOCATE 1 LEAVE PLANT. ' - ARRIVE JOB,,','; , , , 1 '.♦• LEAVE JOB - ARRIVE PLANT ' •
DATE :, CUSTOMER NO.• ,:. ORDER NO. + PROJECT - r - PLANT H.
' -pyil if.I[Y 1;11 at .--,r,';,j' . ' 3j,^.l,Lj0. ..
CUSTOMER NAME CUSTOMER P.O. • JOB NO, • : DELIVERY TICKET No.
' -,D.6'I A4 p io.A.v`I;t..r-Aif klrw II Ir:,'-' .. lo,-,-1 Al fir)9Pi, .7' - 0.1f.-•?
. JOB ADDRESS -
f tt 5 f e (�r e I jnr L (( ,t {{$$'� COLLECT ON DELIVERY(C.O.D.);
u'.E�G - L .rk':'l.ld 411.11�4O .41.JL.A il�o7P1 ' +
El ❑CHECK# ❑CHARGE
CARD'# •EXP. /:
SPECIAL INSTRUCTIONS ..
. � -- "t ,- ,, f`- - :, -, ♦ :VISA".r;- ❑,M STERCARD:''. DISCOVER
PRODUCT TOTAL r
QUANTITY U.M. CODE DESCRIPTION TONS • UNIT PRICE AMOUNT
'-�6r.v"+r II.' t2' •}9 '',f} VI `7 fii.,In) 'iJ 7 (1' i4:2 p •Pt rI 13
1 w1 L G. Yl'l_:•... _ i�5 _ .11-a` e-•+ -i:iJ 'i 1-S e�'J '7' I
•
1' '2 1 R• `61^ST. hP` 1;_Il iP t 9 } arts ,
. i; d' !t]' "aut? w �.k,lsa�4�>,:ttr;.;45'� �.,����tCs,,iS.C��` '�•a.r.a
•
•
1 v . .41 +tom - 1 -4-• t� >'.�+,_ .4 i`_,._ � t r .1
DRIVER TRUCK NO. ORDERED BY REMIT PAYMENT TO
fM.0 ft10' 912510th AVE.S. SUB-TOTAL
DISPATCHER. TAX CODE TIME DUE ' ' .• SEATTLE,WA 98108
WA ii C:L=0 TERMS ON REVERSE' SALES TAX
•RELEASE— CUSTOMER RELEASES AND AGREES TOli OLD HARMLES 'kANG Y RO t('&RECYCLING,A DIVISION `
• OF-GARY MERLINO CONSTRUCTION COMPANY, IN NFOR ANY DA, GE T ,HIS t'OR PERSONAL PROPERTY BALANCE FORWARD
CAUSED BY DELIVERY OF MATERIALS LI..TED ABOV DETAILS ON ��E111 FRS ! . '
' CUSTOMER SIGNATURE %�i1,r-'-/4'1'''/ % /r 71 .% TOTAL •
•
AMOUNT
PRINT NAME .. DATE - -
REV 04-2009 .. I " •
IAI\±fIf (`(1PV
KANGLEY - '---- i;kangley Rock&Recycling Lacdtio s:' -
ROCK & RECYCLING . I !32500 E PITKent(Plan<an9I yd.Rd 1 }'
(132500 SE Kent-Kangley Rd.,Ravensdele,WA 9605;{1 DELIVERY
ACCOUNTING:9125TENTHAVENUESOUTH • iBLACKRIVER (Plant Renton22)-.(206j•658.0912 4 TICKET
i�510 Monster Rd.Renton,WA96056: •
SEATTLE,WA 98108 • .(206)762-2566 ,:' :P'LAKE FRANCIS (Plant#23).(206)658-0872 ACCOUNTING • (206)762-2566 •
t122501 SE Lake Francis Re Maple Valley,WA 98038 FAX .. ' (206)762-2358,
A DIVISION OF GARY MERLINOCONSTRUCTION'COMPANY INC. iCedar Mountain Reclamation SALES&
17877 Cedar Grove Rd.SEJMaple Valley,WA98030 ORDER DESK 206 768-1000
. • • -• _ •• r �',.Plant#20-(206)658.0913 _ ( )-
MAP LOCATE ,- ' . LEAVE PLANT . ARRIVE JOB. , LEAVE JOB ' r , ARRIVE PLANT ,
DATE CUSTOMER NO. , ORDER NO." PROJECT • 4. r ' . PLANT# ,
' S's/1V7 .71YDt1' ,ni=:7i(tr . . ir.'1211-'$ . ♦ Oy -
CUSTOMER NAME : ' • " ' CUSTOMER P.O. JOB NO.' ' • DELIVERY TICKET NO..
-1'Tr'1.r,11..fai-ia_ramnoc'NF:ir'•. - Ufl,•.'(1 rfrr:Parr7'7'> •-• '11A{!f}i�
JOB ADDRESS r_. ,.. r,.....,..._._. . . . .. ......,, .�.,... r e.. „>/.
d&G i. r )t�+:()a Vti 6;f"'r1 f `i Gfi��(s(6r ' COLLECT ON•DEL:IVERNRC.O.D.) • '.
". D CASH ID CHECK# '. .. " ❑CHARGE
.1kEi+1TC)V`3 :` . . •
SPECIAL INSTRUCTIONS CARD'# • EXP.
❑VISA ❑MASTERCARD. ❑ DISCOVER
•
PRODUCT TOTAL .
• QUANTITY U.M. CODE DESCRIPTION TONS UNIT PRICE AMOUNT
• .. •, ,'.Y.01::iE; • _..11'.1,,.• (3 011(4 `h r(rF`<;C 61}3`')4 jjj0Il-il 5 CI FAI'i4 17l.� t. 4 ' . ,8:3 d, '
•
•
1 a s.<3. ' . -1 s•.1 ". .700' 5 ' E(NiFit1;114E T; SU C1—.kf Gs. 'd.'7 i •
•
•
. .r r
r.
.r 11 1 '., '1 '' t), I, I -.h.• - 1
DRIVER TRUCK ND.' ORDERED BY - REMIT PAYMENT TO
I It.l'I Ei0 . 9125 10th AVE.S. SUB-TOTAL •
•
DISPATCHER. '.' . TAX CODE 1 r y TIME DUE ••t-�-- SEATTLE,WA 98108 SALES TAX
TERMS ON REVERSE.
RELEASE_CUSTOMER RELEASES AND AGREES TO HOLD H$RMLESS KANGLEV ROCK&R GY,CL NG,A DIVISION
OF GARY MERLIN()CONSTRUCTION COMPANY, INC. FO ;ANY DAMAGE TO HIS ,O F, •NAL-PROPERTY BALANCE FORWARD '
CAUSED BY DELIVERY OF MATERIALS LISTED ABOVE.D AILS ON REVERSE/ Y . . '
CUSTOMER SIGNATURE ,�°' /..ac..--,1 v. _..•• l ,r`�' - TOTAL •
AMOUNT
PRINT NAME DATE .
REV 04-2009 -
•
' INvC)I(.F nnPY
WALL SYSTEMS NW DAILY TALLY SHEET
DATE DESCRIPTION REMOVAL INSTALL
11/7/2019 Wall Systems Removal $ 2,677.74 I $ 64.38 Material
11/8/2019 Wall Systems Removal $ 2,430.98
11/11/2019R Wall Systems Removal $ 303.87
11/11/20191 Wall Systems Install $ 2,127.11
11/12/2019 Wall Systems Install $ 2,430.98
11/13/2019 Wall Systems Install $ 1,926.34
11/14/2019 Wall Systems Install $ 1,671.30
Total $ 5,412.60 $ 8,220.11 $ 13,632.71
CREDIT CO Amount TOTAL
FORCE ACCOUNT WORK
JOB# 3323 Contractor:Wall Systems
PROJECT: Kennydale Reservoir Change Order#
OWNER: City of Renton Add: Deduct:
7:00 AM to 3:30 PM
Description of Work: Excavate by hand to locate the existing 4"perf pipe at the+/- 1+70.7&+/- 1+25
Remove 1 foot of backfilled material from behind the wall to install 5/8"clean rock down to 4" perf drain
pipe Per RFI#036RFI#037 Installed 4"Tee at+/-Sta.1+25 for the new pipe to connect to.While locating 4"
pipe at east end the material under the block, 4"min was started to sluff off.Will run new pipe to new tee.
Manpower:
Classification Date Hours Rate Total
WS Paul Benedict-Owner 11/7/2019 3.0 63.76 $191.28
" David Siddons- Foreman Operator 11/7/2019 8.0 63.76 $510.08
" Carl Meyers- Labor 11/7/2019 8.0 48.90 $391.20
" Steven Fryberg -Labor 11/7/2019 8.0 48.90 $391.20
WS Roger Conrad - Labor 11/7/2019 8.0 48.90 $391.20
$0.00
Subtotal $1,874.96
29.00% Mark-Up $543.74
Manpower Total $2,418.70
Equipment: •
Type Date Hours Rate Total
WS Case TR270 Skid Stear 11/7/2019 8.0 26.76 $214.08
$0.00
$0.00
$0.00
$0.00
Subtotal $214.08
21.00% Mark-Up $44.96
Equipment Total $259.04
Materials:
Description Quantity Unit Price Total
HD Fowler-4"ADS Tee 2.0 7.18 14.36
HD Fowler 4"Snap Coupling 4.0 2.6 10.4
Home Depot-4" Coupling 2.0 7.85 15.7
Home Depot-4" Cap 2.0 2.89 5.78
Home Depot-Duct Tape for fittings 1.0 6.97 6.97
Subtotal $53.21
21.00% Mark-Up $11.17
Material Total $64.38
Approvals: Manpower $2,418.70
Equipment $259.04
Materials $64.38
Total $2,742.12
Company Wall Systems
Date: Thursday 11-07-19 Date:
FORCE ACCOUNT WORK
JOB# 3323 Contractor: Wall Systems
PROJECT: Kennydale Reservoir Change Order#
OWNER: City of Renton Add: Deduct:
7:00 AM to 3:30 PM
Description of Work:
Remove 1 foot of backfilled material from behind the wall to install 5/8"clean rock down to 4" perf drain
pipe. Almost completed digging with about 10'to go. Will place the drain rock and pipe on Monday
Manpower:
Classification Date Hours Rate Total
WS David Siddons- Foreman Operator 11/8/2019 8.0 63.76 $510.08
" Carl Meyers-Labor 11/8/2019 8.0 48.90 $391.20
" Steven Fryberg- Labor 11/8/2019 8.0 48.90 $391.20
WS Roger Conrad -Labor 11/8/2019 8.0 48.90 $391.20
$0.00
Subtotal $1,683.68
29.00% Mark-Up $488.27
Manpower Total $2,171.95
Equipment:
Type Date Hours Rate Total
WS Case TR270 Skid Stear 11/8/2019 8.0 26.76 $214.08
$0.00
$0.00
$0.00
$0.00
Subtotal $214.08
21.00% Mark-Up $44.96
Equipment Total $259.04
Materials:
Description Quantity Unit Price Total
Subtotal $0.00
21.00% Mark-Up $0.00
Materials Total $0.00
Approvals: Manpower $2,171.95
Equipment $259.04
Materials $0.00
Total $2,430.98
Company Wall Systems
Date: Friday 11-08-19 Date:
FORCE ACCOUNT WORK
JOB# 3323 Contractor: Wall Systems
PROJECT: Kennydale Reservoir Change Order#
OWNER: City of Renton Add: Deduct:
7:00 AM to 8:00 AM
Description of Work:
Remove 1 foot of backfilled material from behind the wall to install 5/8" clean rock down to 4" perf drain
pipe. Completed digging out the one foot behind the wall about 8:00 am then started on reinstallation.
Manpower:
Classification Date Hours Rate Total
• WS David Siddons- Foreman Operator 11/8/2019 1.0 63.76 $63.76
" Carl Meyers- Labor 11/8/2019 1.0 48.90 $48.90
" Steven Fryberg -Labor 11/8/2019 1.0 48.90 $48.90
WS Roger Conrad -Labor 11/8/2019 1.0 48.90 $48.90
$0.00
Subtotal $210.46
29.00% Mark-Up $61.03
Manpower Total $271.49
Equipment:
Type Date Hours Rate Total
WS Case TR270 Skid Stear 11/8/2019 1.0 26.76 $26.76
$0.00
$0.00
$0.00
$0.00
Subtotal $26.76
21.00% Mark-Up $5.62
Equipment Total $32.38
Materials:
Description Quantity Unit Price Total
Subtotal $0.00
21.00% Mark-Up $0.00
Materials Total $0.00
Approvals: Manpower $271.49
Equipment $32.38
Materials $0.00
Total $303.87
Company Wall Systems
Date: Monday 11-11-19 Date:
FORCE ACCOUNT WORK
JOB# 3323 Contractor: Wall Systems
PROJECT: Kennydale Reservoir Change Order#
OWNER: City of Renton Add: Deduct:
8:00 AM to 3:30 PM
Description of Work:
Started to reinstall block, rock and pipe
Manpower:
Classification Date Hours Rate Total
WS David Siddons- Foreman Operator 11/8/2019 7.0 63.76 $446.32
" Carl Meyers- Labor 11/8/2019 7.0 48.90 $342.30
" Steven Fryberg - Labor 11/8/2019 7.0 48.90 $342.30
WS Roger Conrad - Labor 11/8/2019 7.0 48.90 $342.30
$0.00
Subtotal $1,473.22
29.00% Mark-Up $427.23
Manpower Total $1,900.45
Equipment:
Type Date Hours Rate Total
WS Case TR270 Skid Stear 11/8/2019 7.0 26.76 $187.32
$0.00
$0.00
$0.00
$0.00
Subtotal $187.32
21.00% Mark-Up $39.34
Equipment Total $226.66
Materials:
Description Quantity Unit Price Total
Subtotal $0.00
21.00% Mark-Up $0.00
Materials Total $0.00
Approvals: Manpower $1,900.45
Equipment $226.66
Materials $0.00
Total $2,127.11
Company Wall Systems
Date: Monday 11-11-19 Date:
FORCE ACCOUNT WORK
JOB# 3323 Contractor: Wall Systems
PROJECT: Kennydale Reservoir Change Order#
OWNER: City of Renton Add: Deduct:
7:00 AM to 3:30 PM
Description of Work:
Continued installing brick and rock backfill with Titan on excavator and loader
Manpower:
Classification Date Hours Rate Total
WS David Siddons - Foreman Operator 11/8/2019 8.0 63.76 $510.08
" Carl Meyers- Labor 11/8/2019 8.0 48.90 $391.20
" Steven Fryberg- Labor 11/8/2019 8.0 48.90 $391.20
WS Roger Conrad- Labor 11/8/2019 8.0 48.90 $391.20
$0.00
Subtotal $1,683.68
29.00% Mark-Up $488.27
Manpower Total $2,171.95
Equipment:
Type Date Hours Rate Total
WS Case TR270 Skid Stear 11/8/2019 8.0 26.76 $214.08
$0.00
$0.00
$0.00
$0.00
Subtotal $214.08
21.00% Mark-Up $44.96
Equipement Total $259.04
Materials:
Description Quantity Unit Price Total
Subtotal $0.00
21.00% Mark-Up $0.00
Materials Total $0.00
Approvals: Manpower $2,171.95
Equipment $259.04
Materials $0.00
Total $2,430.98
Company Wall Systems
Date: Tuesday 11-12-19 Date:
FORCE ACCOUNT WORK
JOB# 3323 Contractor: Wall Systems
PROJECT: Kennydale Reservoir Change Order#
OWNER: City of Renton Add: Deduct:
7:00 AM to 3:30 PM
Description of Work:
Continued installing brick and rock backfill with Titan excavator and loader
Manpower:
Classification Date Hours Rate Total
WS David Siddons- Foreman Operator 11/13/2019 8.0 63.76 $510.08
" Steven Fryberg- Labor 11/13/2019 8.0 48.90 $391.20
WS Roger Conrad- Labor 11/13/2019 8.0 48.90 $391.20
$0.00
Subtotal $1,292.48
29.00% Mark-Up $374.82
Manpower Total $1,667.30
Equipment:
Type Date Hours Rate Total
WS Case TR270 Skid Stear 11/13/2019 8.0 26.76 $214.08
$0.00
$0.00
$0.00
$0.00
Subtotal $214.08
21.00% Mark-Up $44.96
Equipment Total $259.04
Materials:
Description Quantity Unit Price Total
Subtotal $0.00
21.00% Mark-Up $0.00
Material Total $0.00
•
Approvals: Manpower $1,667.30
Equipment $259.04
Materials $0.00
Total $1,926.34
Company Wall Systems
Date: Wednesday 11-13-19 Date:
FORCE ACCOUNT WORK
JOB# 3323 Contractor: Wall Systems
PROJECT: Kennydale Reservoir Change Order#
OWNER: City of Renton Add: Deduct:
7:00 AM to 12:30 PM
Description of Work:
Finished installing brick and rock along the west side of the north wall along with fabric and cap blocks
Manpower:
Classification Date Hours Rate Total
WS David Siddons- Foreman Operator 11/13/2019 5.5 63.76 $350.68
Carl Meyers- Labor 11/8/2019 5.5 48.90 $268.95
" Steven Fryberg-Labor 11/13/2019 5.5 48.90 $268.95
WS Roger Conrad-Labor 11/13/2019 5.5 48.90 $268.95
$0.00
Subtotal $1,157.53
29.00% Mark-Up $335.68
Manpower Total $1,493.21
Equipment:
Type Date Hours Rate Total
WS Case TR270 Skid Stear 11/13/2019 5.5 26.76 $147.18
$0.00
$0.00
$0.00
$0.00
Subtotal $147.18
21.00% Mark-Up $30.91
Equipment Total $178.09
Materials:
Description Quantity Unit Price Total
Subtotal $0.00
21.00% Mark-Up $0.00
Material Total $0.00
Approvals: Manpower $1,493.21
Equipment $178.09
Materials $0.00
Total $1,671.30
Company Wall Systems
Date: Thursday 11-14-19 Date:
.......elith . CYCLE INVOIC
'''',4frAAJNERM„*.r.. ''!.
11441AFrr Branch Location:,
.: . .
AHERN ARLINGTON
— -
rib box .1;)390. 16632 SMOKEYPOINT-pm
_,.
.1.=.7. LVSeg ,IST,t149 090 AtititiM.A W ..98Z2. -P.10,9
Thank you forthoosing Ahem Rent ( '
contact og-6t.800-582-6,797,
— . •'customers
,364.S!te:
86631680419 50,971.N. 10145 6554 4860759,62 08965463 60316061
11111111114-1111-111/11111111411111111111111411111111111Pn
M „WALL SYSTE„MSNW_INO HOGAN LANE
, .
PO BOX 524.
95,0'NW HOGAN LN
- ' PRESTON WA 966504524 BREMERTON.WA 98311, 9,1„32
Page1 01
- - -- - -
CrigtOinee#777-ItifildigeT#777 Xl.WC.0-#0 77.7.11111WP1'76q7:::::77177001407—71:71617iftWk i!; '::'.,7 firog.---T(ii).77
311283 20257281;010 11/12/19 10/21/1.9 _.. . _ 11/18/19 __ PAUL/MTORRES/SCD MATT TORRES
.. -.Q:Net01:$3,'. *,. ''. ,.'. . ..r .........,3.0b.,.#;: ..i.-. ' ' ' -PA'#:•" ' ": ' :', 4 ' 1 ,:.'..iitkii!$„ :- . - -....PAUL/MTORRES/SCD HOGAN LANE. . . _ . _ HOGAN LANE Net 10 Days .
-::-.- 6, Itiiiiiiiiiiiii : 1;1., :! ' :- '., . ...'_ _ ,. , . ,:s'' ::.:-::-siii. 1::::: „: j*, : ,i,. ._,.We4k. - , ' 47iiii4W ::,': Amount
1 SKIDSTEER TRACKED 74HP 27001.B.CAB 380::ilti -- ,38,01.09 1150.00 2750:00 .2750.00
0-915:tril: 46P9I__ Make:CASE ' Model:TRZ79-CAS' Ser#63AFTR27.06144487,C
1 sKIDSTEER,ATTACHMENT FORKS(2) 65 00 6.5.00 155.00 490.00 490,00
0#::. 115228 Make: STAR. Model: FORK ATTACH 4,2"Ser# N/A
1 SKIDSTEER.BUCKET 72° 0 00 gioo 0:00 ;6.00' We
SOCiP#! o258900
SALES IT,EK.
Item Number Q.41 Unit. Price
160642 I EA .750 750
ENVIRONMENTAL.::CHARGE
. . . . .414. Get 24/7.access to everything you need Make secure payments,go paperlessi.downlead 10,2100 intdyOurERP, a"void
.,:i.o. duplicate Payments;get faster ken releases, and much Mote!Sigh up today for Ahern Access to easily manage your
account frptn a$inglOppttgl erWWW.Alietiaccess.com
, .
,
Sub-total: 324:7.50
(9.00%)Tax: 19.2728
Taal: ,3539. 8
THIS:DOCUMENTIS ISSUED SLI(3)ECT TO THE TERMS AND CONDITIONS OF THERENTAL OUT CONTRACT,-AND THE GENERAL:TERMS AND
CONDITIONS OF SALE OF GOODS AND/OR SERVICES,AS APPLICABLE.ALL SUCH FOREGOING TERMS Affb.coNbrridN$ARE INCORPORATED HEREIN BY REFERENCErAS-APFLICASLE,COPIES OF THE TERMS AND CONDITIONS OF THE RENTAL OUT CONTRACT,AND THE GENERAL
TERMS AND CONDITIONS OF SALE OF GOODS AND/OR§ERVig:'f:s ARE AVAILABLE UPON REQUEST
. . _
. .. . .
PLEASE VISIT US'ONLINE.AT•WWW,AjlERN,PPM TO SUBMIT A PAYMENT
or send payments td.Pq SP:,27139,0;LAS.VEGAS,NV891i7-1890.
6631:89cn
13440 SE 30th 5t., Bellevue',
PC) Box 160, Bellevue WA 98009-0160 Pagel of 1
H.D. FONLIER
Phone.425=746-8400 • Fax 426=641-8885
R
COMPANY Bellevue Branch EMIT:,PO Box:84368;.Seattle, WA 98124
a440 SE 30th St
Sellevue,'VVA 9E3005
Pa ing 15329326• (425)74678400 Fax(425).841-:8885
Slip
_ .
To
WALL SYSTEN1 NW INC
Ship to:. HD Fowler Company-Bellevue
PO EIOX 5'24 ' 13440 SE 30th St
Bll WA 98005
FRESTON WA 98050, e evue_
(425):466-06.70 Order# mv Date: Order Writer:
06497765 11/07/19 Trenika Williams
•
Terns: NET 10TH PROX Ship PCi/JPE: KENNYDALE
FOE: H. D. FOWLER • Here (Order& Ficktip•
Qty Qty Pe- #
Unit Extended T
Line Description Price Price X
1 EA HPT1 14.36.
4"ADS TEE CORRUGATED POLY,ADS 0421AA
3 4 EA HPbstql 2;60' ' 10,40
4"SNAP COUPLING CORRUGATED 0412AA FQR
SINGLE WALL AND DUAL v*1,4 FWEotps
Svb total 24.76
Freight
'tax
PAUL Serving the Paafic Northwest since 1911
Grand Total 24.76.
. www.hdfowleccom
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32 120TH AVE NE•, aELLEVuE',_yA 98005,
SM KEN QRGILJJ Hupp! IT 0470
• 471.1 .00056 63-851, -11/07/19 i26 AM
SELF CHECKOUT
0457800124.FLEX OPLG
40 COUPLING. FOR'-CI PL Cu,LEAD
2g7 85: '15.70 --,,-
096942301251 COREX.:ENDCAP <A>
'CORE)( SWAP END CAP
5.78
051131982123 TAPE <A. 67
SCOTCH 2 BLACK'DUCT TAPE
755625_032324 2:51,11. PICK ‹A?
25 LB PICK MATTOCK PG1.
SUBTOTAL 51.4
SALES TAX 5.14
TOTAL $56.57
k606(AWNR6s VISA
psp.5 56;57 ,
AUTH CODE 45878B/2564624 —*TA•
AID A000000003101,0 VISA CREDIT'
1111.11 1111,111.111 III
4711 56 63.8.51 11/97/2019 3441
,RETURN POLICY DEFINITION'S
POLICY ID DAYS POLICY.EXPIRES•ON
A. - •po • 02/05/2149.
DID WE NATI_ IT?
Take, a :ehort.-$.14tv.es.i., fat.•a chance TO W1N
A $5,,000;HOME DEPOT GIFT CAR
Opine,en esostel
iii;ii,,,hertleOepatictinisuryey
User ID: 21?)(3, 132702 .128047
PASSWORD: 19557 :127991
Entr es:must be ootpleted within 14 days
:Of purchase, Entrants mutt be la or
older to .ent0. See Oonpl ete rules on
webeite..No.purChase necessary.