HomeMy WebLinkAboutS_Check_Request_DEF21003104_20221213.pdfAPCheckRequestFormCityofRenton-FinanceDepartment1055SouthGradyWay—55hFloorRenton,WA98057FinanceAPrentonwa.govInstructions:Thisformistobeusedforcustomerrefunds,employeereimbursements,recordingapaymentmadeviaWireorEFTCheckInformationStacyTucker7282CED/EconomicDevelopmentRequestor’sNameExt.Requestor’sDepartment/DivisionBonafideProperties2,LLC12/13/2022PayableToDatePerprojectmanager,JonathanChavezreleasedeferralcashsurety$90,000.00DetailedCheckDescriptionTotalCheckAmount302490thPlaceSEMercerIslandWA98040AddressforCheckCityStateZipTypeofCheckRequestPleasecheckallthatapply:DEmployeeReimbursementCustomerRefundDWire/EFTPayments(Ifwireattachinstructions)DOtherCheckhandlinginstructions:CHECKMEMO:DEFERRALCASHSURETYREFUNDFORPERMITDEF21003104flEmergencyCheck(outsidenormalcheckrun)DateNeededAccountNumbers650.000000.000.237.00.00.000GLAccountNumbertoCharge90,000.00AmountGLAccountNumbertoChargeAmountSinatureU/-FinanceAccountsPayableTeamNatalieWissbrod,AccountingAsst.(425)430-6919nwissbrodrentonwa.govCasaundraSauls,AccountingAsst.(425)430-6930csauls@rentonwa.govJenHughes,FinanceManager(425)430-6935fhughes@rentonwa.govGLAccountNumbertoChargeAmountBrianneBannwah12/13/2022PrintedNameDate
BILLING INVOICE EG00131880
1055 South Grady Way, Renton, WA 98057
Transaction Date: November 16, 2022
AR:
Eden Invoice:
DEPARTMENT: System Administrator
BILLING CONTACT
DIANNE DOUGHERTY
BonaFide Properties 2, LLC
3024 90th Pl SE
Mercer Island, WA 98040
REFERENCE NUMBER PAYMENT
METHODFEE NAME TRANSACTION
TYPE AMOUNT PAID
DEF21003104 Refund Finance APSpecial Deposit Refund
$(90,000.00)650.000000.000.237.00.00.000
($90,000.00)
SUB TOTAL $(90,000.00)
$(90,000.00)TOTAL
Notes:
Created By Date Note
Stacy Tucker 11/16/2022 Per project manager, Jonathan Chavez release (refund) deferral cash surety
Page 1 of 1Printed On: December 13, 2022 Prepared By: Stacy Tucker
DEPARTMENTOFCOMMUNITYANDECONOMICDEVEOPMENTCASHSURETYDEPOSITAPPLICANTNameandAddressDEFERRALASSURANCEName:1’JfIt’?P0P7a172U-CAddress:)1’j’cPC-(’.4‘&/‘Phone#:(1_V)---iiojProjectNo.IPermitNo.ProjectNamePR16-000504!DEF21003104BethanyCornerShortPlatCashSuretyDepositSiteLocation$90,000.0016433111thAveSETheCityofRenton(the“CITY”),herebyacknowledgeshaspaidthecashsuretydepositamountnotedabove.receiptfromtheabove-namedAPPLICANT,whoTheAPPLICANTherebyauthorizesthatthesumreferencedabovebekeptondepositwiththeCityofRentonFinanceDepartmentforthepurposeofguaranteeingthattheabove-referencedprojectwillbecompletedinaccordancewithapprovedplansandconditionsandapplicableCitystandardsnolaterthan2Z,o2-Z-.Theseimprovementsaredescribedontheabovereferencedpermit(s).TheCityofRenton(the“CITY”),herebyacknowledgesreceiptfromtheabove-namedAPPLICANT,whohaspaidthecashsuretydepositamountnotedabove.TheAPPLICANTherebyauthorizesthatthesumreferencedabovebekeptondepositwiththeCityofRentonFinanceDepartmentforthepurposesofguaranteeingthattheabove-referencedprojectwillbemaintainedinaccordancewiththe-(“AGREEMENT”)fortheproject.THECONDITIONSOFOBLIGATIONisthat:1.UntilwrittenreleaseofthisobligationbytheCITY,thiscashfinancialguaranteemaynotbeterminatedorcancelledbytheAPPLICANTforanyreason.2.TheobligationsoftheAPPLICANTshallnotbedischargedoraffectedbyanyamendmentoftheengineeringplansusedforconstructionoftheproject.3.UponfailureoftheAPPLICANTtoperformanyofthetermsoftheAGREEMENT,theCITYmayusethefundstocompletetheworkandpayoutstandingfeesandotheramounts.TheAPPLICANTshallhavendutyorrighttoevaluatethecorrectnessorappropriatenessoftheCITY’SdeterminationthatrequirementshavenotbeentotheCITY’Ssolesatisfaction,ofthetermsoftheAgreement.4.TheAPPLICANT’Sobligationtoperformtheworkorpayfeesandotheramountsisnotlimitedtotheamountofthiscashsuretydeposit.Page1of3IPublished:2/1/2018
ItistheAPPLICANTSresponsibilitytonotifytheCITYofanychangesinaddress,telephonenumberorchangeofownershipoftheproperty.ItistheAPPLICANTSresponsibilitytoarrangeforreplacementofanylallfinancialguaranteespriortoanychangeofownership.APPLICANT:2/,‘iVNPt’LM(*)a1Y(PrintName)o6’rtz,zcD/wA’(,wA’e71Page2of3Published:2/1/2018
CASHSURETYDEPOSIT-DEFERRALASSURANCE(CONTD)(ChooseOne)INDIVIDUALACKNOWLEDGEMENT:StateofWashington,CountyofKing:IcertifythatIknoworhaveseensatisfactoryevidencethat_________________________________________(APPLICANT)signedthisinstrumentandacknowledgesittobehis/herfreeandvoluntaryactfortheusesandpurposesmentionedinthisinstrument.CORPORATE/LLCACKNOWLEDGEMENT:StateofWashington,CountyofKing:IcertifythatIknoworhaveseensatisfactoryevidencethatTAWAJET’ithistheyl4w,&eyz_ofiJ1-FipP,ei-h’-aWashingtonlimitedliabilitycompany/corporation(APPLICANT),andacknowledgedthisinstrumentto1behefreeandvoluntaryactancdeedofsaidlimitedliabilitycompany/corporation,fortheusesandpurposesthereinmentioned,andonoathstatedthathe/shewasauthorizedtoexecutethisinstrumentonbehalfofsaidlimitedliabilitycompany/corporation.(NotarySealorStamp)Dated:Signature:?/cIPrintedName:MyAppointmentExpires:7t-iEU/cfrr/),q774f96/1’/4fc2ReceivedfortheCityofRentonBy:(LtjL.7Ic)2JProjectNo.IPermitNo.ProjectNamePR16-000504IDEF21003104BethanyCornerShortPlat(PrintName)(Signature)(Date)Page3of3IPublished:2/1/2018
RECEIPTEG00117899BILLINGCONTACTDianneDoughertyBONAFIDEPROPERTIES2LLC302490THP1SEMERCERISLAND,WA980401055SouthGradyWay,Renton,WA98057TransactionDate:July06,2021TRANSACTIONTYPEREFERENCENUMBERFEENAMEDEF21003104PAYMENTAMOUNTPAIDMETHODTOTAL$90,000.00PrintedOn:July06,2021PreparedBy:ElyshaMettlinPage1of1