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HomeMy WebLinkAboutCO 3 CAG-15-148, CO #3-17 CITY OF RENTON Public Works Department CONTRACT CHANGE ORDER AGREEMENT CONTRACT: CAG-15-148 Maplewood Creek Stormwater Outfall Improvements Project C.O.# 3 SWP-27-3617 CONTRACTOR: Olson Bros. Excavating, Inc. SUMMARY OF PROPOSED CHANGE: Side Sewer Conflict at Sta. 3+17 The project encountered an existing side sewer at station 3+17 on Chelan Ave SE that was in vertical conflict with the new 18-inch diameter storm system pipe. The side sewer was found to be installed at a nearly flat grade from the home so it could not be raised above the new storm pipe. It could not be lowered below the new storm pipe as it would then be too deep to connect to the existing sewer main. To resolve the conflict the City directed the contractor to install a new stormwater Type II Catch Basin, with a ductile iron sleave running through the catch basin. The side sewer was rebuilt by running it through the ductile iron sleave to the existing sewer main. The additional side sewer work was performed on November 12, 16, and 17, 2015. The costs for the additional side sewer work including labor, materials, and equipment were submitted by the contractor on February 17, 2016 and are listed on the attached sheets. TOTAL CHANGE ORDER COST= $30,419.37 Additional Working Days added to the Contract for this Change Order: 0. I, ORIGINAL CONTRACT AMOUNT CURRENT CONTRACT AMOUNT ESTIMATEO NET CHANGE ESTIMATED CONTRACT I� THIS ORDER TOTAL AFTER CHANGE $444,005.00 $444,005.00 $30,419.37 $474,424.37 SIGNATURES: ' �i---- ����--- 7/19/17 Contractor: Date: Project Engineer: °"`� Date: � 20 �� Approved By: Date: ,� � (UtilitySystemsDirecmr) Approved By: Date: /�� �� � (PublicWorksAdminishator) H:\File Sys\SWP-Surface Water Projects\SWP-27-Surface Water Projects(CIP)\27-3617 Maplewood Creek-Outfall\1600 Construction\1606 Change Orders\CO-3 Side Sewer\2017-0621 CO-3 Side Sewer aa.doc\DCmc Oison Brothers Excavating,Inc. Force Account Sheet Date: 11/12/2015 Projed: Maplewood Creek Outfall Labor NRS OT UM Rate OT Rate 1.5 Total Rich Pentin 8 0 HR $ 66.99 $ 90.09 $ 535.92 Steve Hoit 8 0 HR $ 64.70 $ 86.67 $ 517.60 Wyatt Olson 8 0 HR 5 64.70 S 86.67 $ 517.60 Ezada Wagner 8 0 HR $ 46.95 S 63.68 5 375.60 David Cameron B 0 HR $ 44.00 S 59.25 $ 352.00 Matt Scearcy 8 0 HR $ 64.70 $ 86.67 S 517.60 Eric Stoneback 8 0 HR $ 51.64 5 70.73 $ 413.12 Dan Holt S 0 HR $ 64.70 5 86.67 $ 517.60 e�andon Lynche 8 0 HR $ 52.57 $ 72.11 $ 420.56 Steve Hess 8 0 HR $ 69.84 $ 91•82 $ 558.72 Robert 8 0 HR $ 69.84 $ 91.82 $ 558.72 Ryan Phillips 8 0 HR $ 51.64 $ 70.73 $ 413.12 �"�"��'���- :� - � � � � iabArSNbtatat � 5,698.�,6 Equipment Units Standby Hours UM OPERATED STANDBY Total CAT 420 S HR 38.53 $ 15.48 5 123.84 Hitachi 245 Backhoe 8 HR 1103 $ 52.70 5 421.60 JD 544 Loader 8 HR 52.52 $ 22.07 5 176.56 2015 Kenworth 4 HR 94.96 $ 30.26 S 121.04 2015 Kenworth 4 HR 94.96 $ 30.26 5 121.04 Equlpmept Subtotal $ 954,0$ Materials Un1ts UM Rate Total ProVac VacTruck 1 EA S 1,520.00 $ 1,520.00 $ - �.'�"`�,`.;.� : :, �: `°� :z-�. ��". ..,.. . N�;���''.`.r�'..'°`.; ' ` .; �1 ettf S `�� 1 .i1Q': :� Subcontractor S - ,�> T ��� „���i�t�az�``t" a�r�x..,m °�4�.*p�.}"+2. x P 1�'.�aan�'°"' ��p'�` �.w�^a� labor Subtotal $ 5,698.16 29%Labor Markup $ 1,652.47 i.$baf?oRal $ 7,350,63 Equipment5ubtotal 5 964.08 21%Markup $ 202.46 ';:�'u tiiEsl�s Material Subtotai S 1,520.00 , 21%Markup $ 319.20 ' �' MBteei�ttsr�- S ;` Subcontractor5ubtotal 5 - 6%Markup 5 - ',St�4cOMr��^'�1 , �M� � �.�.36 � ` Force Account Work Sheet N° 10 5 2 8R03.S�CAVA?iata 2lfC. Date: ��, "� � "` �S Project Name: ��q�lGW�a7 (`�rz-,c-K Q�/� Project No. �1 �_ WorkDescription: tauv�rcS[ Si�sr,ux,!'-t�Dv►� n�aih � �CX.�,. ✓+�vrf� �ra� ,�ier ��kc �� ro -�al�. lV�d -�i�.B G�_1`�i, �cti►�iw, ��c� us v� �b�da� ���a�r_ �� c'h�5 Ioc,�4�io✓i..��:�fi��cl �r�r�s.c� �,�- sr/�e_, �'�,� ;s o� ,, ►-,c�i Labor Costs � NAME JOB TITLE REGULAfl HRS. OVERTIME NRS. � �- --------- � vrt,ww,� G N � - ------ a tC� � — ___._ ' G TOTAL Equipment Rental Costs - -------�____.---,__._._______� � TYPE OF EQUIPMENT REGULAR HRS. STANDBY HRS. - -___-- - r.,.--� — -- _��. - ---- � � � � � �a o wr Material Costs KIND UNIT QUANTITY PRICE AMOUNT 1 RECEIVED FOR SUBMITTAL ONLY , ate; �� — lnspector Date Vactor's epresentative Date �iro-V�c 6622'}12th St E Puyallup,WA 98373 I nvo i ce Phpne: (888)565-5665 Involce Number: 151111-016 invoice Date: 12l212015 Page: 1 of 1 elll To: 7 Service 025737 Olson Brothers Excavating, Inc �ocation: Olson BrotherslMaplswood Creek 6622 112th St E SE 2nd PI&Chelan ave SE Puyallup,WA 98373 Renton,WA Work Order ID Com lete Date PO Number Terms Called In B 151111-016 11l12/2015 �� � Net 30 Days � rich Descriation of Work Eductor truck to hydro excavate for utilities. _� _.r_� __..__ _ -- Unit Qty Item ID Deacription Price Disc% Amount Services Performed 7.00 ET 7.Ohrs@185.00lhr 185.00 1,295.00 SubTotal 1,295.00 I Parts ' 1.00 Disposal of load 225 00 225.00 SubTotal 225.00 . ' ' - - - �� tZ�� ,�l , �5�r-- , � . � ; ; �_ . � ��, , ; - �_ .._� . . .. �Z �zo��S We now offer Emergency Spill Response Services� Piease cal! Invoice Subtotal 1,520.00 888-565-5665 Sales Tax 0.00 Invoice Total 1,520.00 Payment Received 0.00 Balance Due 1,520.00 ����� �...a..�� �CRT� _ : Clean Serv�ce and Tele-Scsn • ¢622-t S2TH STREET E.,PUYALItJP, WASHIIJG70N 98373 {253)435•432D (888)565-SG45 -FAX i2��1 a35 5�Ele ;- . �Wo�k CJ�dor q � � � ?/._ / ���,_ , �'' ���� _ o,i� � � _._______. Customer ( .-� ' ' Job Addrocs � J � ���C`�/.l!!'� �lll �1�- -- ��.__ —.�_ .._.......__...___________._._._._.________._ � City.Slale,21p 1�t=F��j7 f ��� _ Jo:,Ahono Oump Otd f HCturn Trevut to Sito pn Sne � Complotetl I 7o Sho� -- --�.——=-�-� - Sthrt S�op in 7 �'b,i :� ' �30 1� �.�___>>� � �v�c: - ��GJa .��' �_. i� _ _____f=1=�� ,�1ET .�TV `�]SPILL JP7 !3GT �SW �,�-w�r� _._ ,_ _.__� ___ Opn��fOi � ��u�(� �Lnbarar jT�ui'kM� �`--- ICGr:?*�1' �.v � �j � , � JOB DESCRIP710N �� _I �-��rb � %�,r �� � �.�' �`� �� f�'�'�:I � �; ;:�� r,�-- �_._ � . ._. .. _ - - �.�.. _/��� ��[ �� . ... . . . t -'. DISPOSAL: T�ON SITE � OFF SITE LOCATION: �i�S�Cs; ��'G.�3` <' (j� _ /`�_'1—^---_ . � � i � c` � * � � _!� ,f " L�,�c•�'r �' S�.pna���n ; .. �.-, . / _ I ag roo to pay ell tho costs anJ loes chnrgCd tu� Ihi� crv�r.�:; �end���ed a5 51��1r�1 rin Iiv BtatsrmenL The ferms ara Net 10 days� 11�,5'. on unpafd balnnco monlhly. 71 couect., � se�vices are required, so�ely �n Iho opin�on ol Pro Va: to collca tne debt I agroo tc pa; reasonable costs lor coileciion inciuding auoroey laes and costs anJ any colloction agency legs. il lega!aclion is requfred iha parties agree le ihe venue ol the achon wdl be P�orce County Superior Gourt.Stato oi Wesh�nyton. (t is �uru��r �grOflU th�t.�ny ecc�.unts p�si duo will ba asesssod a iale lav ot one and a huil percont t� 5".} po� munth c�rnuialivn BILI.lNG Olson Brothers Excavating,Inc. Force AccountSheet Date: 11J16/2015 Profett: Maplewood Creek Outfall labor HRS OT UM Rate OT Rate 1.5 Totai Rich Pentin 8 1.5 HR 5 66.99 $ 90.09 $ 671.06 Ton Pentin 8 1.5 HR $ 64.70 $ 86.67 $ 647.61 W att Olson 8 1.5 HR S 64.70 $ 86.67 5 647.61 R an Philli s 8 1.5 HR $ 51.64 $ 70.73 S 519.22 Dan Holt 8 1.5 NR $ 64.70 5 86.67 5 647.61 Eric 5toneback 8 1.5 HR $ 51.64 $ 70.73 $ 519.22 Matt Scear 8 1.5 HR $ 64.70 $ 86.67 S 647.61 Ezada Wa ner 8 1.5 HR $ 46.95 S 63.68 $ 471.12 David Cameron 8 2 NR $ 44.00 $ 59.25 $ 470.50 Steve Hess 8 2 HR $ 69.84 $ 91.82 $ 742.36 `r��,'�:. . "�''����� ���.w�xx„',��� .#,� ,:'�3.*t:',a5�'��.`��.'��*,..��w.:�a'�i�.r.`�.,..»,�,��.'�;,�.���. IA�Of.S11��1�.;:�"�:.�1��,$9.'�. E ufpment Units Stand6y Units UM OPERATED STANDBY Totat CAT420 2 6 HR 38.53 $ 15.48 S 169.94 CAT 305.5 Excavator 2 6 HR 29.97 $ 15.57 $ 153.36 Ex 245 Excavator 8 HR 130.3 $ 52.63 $ 882.40 Kenworth(2015)Dumptruck 8 HR 94.96 $ 30.26 5 759.68 $13,262.10 ,.0 � _ � ���`�� . .��. ;: � � � � �E��am�rt�sNaeo�� S �:�s.�a Materials Units UM Rate Total 54"Type 1 1 EA $ 1,407.85 5 1,407.85 S"�IP 18 LF $ 23.67 5 426.06 6"PVC 20 LF $ 1.87 S 37.40 Qulck patch 4 EA $ 21.23 $ 84.92 Casting 1 EA $ 268.00 $ 268.00 E ui ment Subtotal S Y 56 - - .__ ___-----_.._._ _. 5ubcontractor $ - subqatitroctor Subtotal 5 , Labor Subtotal $ 5,983.89 I 29%labor Markup $ 1,735.33 �bor roe.t � -��.0 I Equfpment Subtotal S 1,965.38 21%Markup S 412.73 f i rflentT 1 . Material5ubtotal $ 1,956.23 21%Markup $ 410.81 Ma�;srtal7otai,.� � ' O�; Subcontractor Subtotal $ - 6%Markup $ - SnbCo1►tratta'tcdal� Total Cxut $72,�[64,36 \ _� � Force Account Work Sheet N� 10 5 3 8ltOS. S�CAVATIMS iatC. Date: �I'-��`-IS Project Name: tt.� Project No. 1�i� ,� � Work Description• . � cr,r�' o� VYI.Y� �i��llt,G� a., g'��,_t:., ��t_u�e �i.r�,�al, �i�_ .s�..r.e4..�_�r.� c. � or tin - 'l�e� � �"�P`` ► Labor Costs NAME JOB TITLE RE6ULAR HRS. OVERTIME HRS, N � �•� 'r . n � i � i r . � �• --------------- -_ r�_ � G n 4 TOTAL Equipment Rental Costs TYPE OF E�UIPMENT REGULAR HRS. STANDBY NRS. � .� 02 �- �2 � - 6 cJ er / Material Costs KiND UNIT QUANTITY PRICE AMOUNT K � .� y �� v� �. �� Nr RECEIVED FOR SUBMITTAL LY i ate: �,�1� � ___ Inspector Date actor's resentative Date a �o H.D. FOWLER � [OMPANY � Po eo:,so•sene��e.wn•seoos_o,so p To: JASON From: NATE CHEA jasonobe@comcast.net Phone:(360)459-7300 OLSOIV BROTHERS EXCAVATING 10/29/15 12:21:16pm �rder Acknowiedgement Non-Stocks,Special Orders or Engineered items may not be returnable.Those that are returnable are subject to a minimum 25°/a restock fee.Some orders may also have applicabla freight charges not shown on this Order Acknowledgement. Your PO: Project: MAPLEWOOD CREEK STORMWATER OUTFALL Ordered By: STEVE HOLT Order Date: 10/29/15 Est.Ship Date: 11/02/15 Order#: 05041718 Shipping From: Bellevue Warehouse Ship VIA: OUR TRUCK Freight Terms: Line# Item Unft Glty Price Ext.Price Tax ---`-�1 BASALITE FAST PATCH,FAST SETTING CONCRETE BG 56 21.23 1,188.88 T PATCH 55 LBS 2 MUD GLOVE t S"SMOOTH PVC BLACK(LARGE)7388 PR 1 3.99 3.99 M Total 1,192.87 Freight 50.00 Tax 0.00 Grand Total 1,242.87 H.D. FOWLER � � � COMPANY PO Box 160'Beilewe,WA'98009-0160 „�� �� '� To: JASON From: NATE CHEA jasonobe@comcast.net Phone:(360)459-7300 OLSON BftOTHERS EXCAVATING 10/26/15 01:43:38pm Order Acknowledgement This order requires confirmed receipt of this acknowledgement because it coniains special order items which are indicated by two asterisks("). Please approve this order by simply replying to this email message,or by printing the attachment, signing and returning it back to us. iVon-Stocks,Special Orders or Engineered items may not be retumable.Those that are returnable are subject to a minimum 25%restock fee.Some orders may also have applicable freight charges not shown on this Order Acknowledgement. i accept this as written. Pfease get this order for me as listed below. Signature Date Print Name Your PO: ProJect: MAPLEWOOD CREEK STORMWATER OUTFALL Ordered By: JASON DUKE Order Date: 10/26/15 Est.Ship Dafe: 10/30/15 Order#: 05037759 Shipping From: Olympia Warehouse Ship V{A: FACTORY 7RUCK Freight Terms: Li�ei! Item Unit Qty Price Ext.Price Tax i ••CITY OF RENTON SPEC 20 X 24 CURB INIET W/ EA 7 310.00 2,170.00 T HOOD,VANED GRATE,BOLT DOWN,PER STD PLAN 203.00 2 ��CITY OF RENTON SPEC 20 X 24 VANED FRAME AND EA 3 219.00 657.00 T GRATE, BOLT DOWN, PER STD PLAN 204.00 AND 204.20 .--�3 ••CITY OF RENTON SPEC RING/COVER,6"X 25",PER EA 4 268.00 1,072.00 T STD PLAN 204.50 Total 3,899.00 Freight 0.00 Tax 0.00 Grand Total 3,899.00 . , S��pe Shope Concrete Products Company � 1618 E Main INVOICE 9961228 conc�ete products Puyailup,WA 98372 Involce Date: 11I13/2015 Phone:(253)848-1551 Fax:(253)845-0292 Sold to: 1470 Job Num6ar. 17961 � � O�SON BROTHERS EXCAVATING,INC Ship to: MAPLEWOOD CREEEK EMERGENCY CB = � 6622-112TH ST EAST CHELAN AVE SE&SE 2ND PLACE � PUYALLUP,WA 98373 RENTON, : r�;.y`"s:s$H�.�� >:? � �+ ,e�:,�., ,� ,8 IP Vy1 �,; „ � �F.O.B. � �TERMS ,.. �; PA(iE � �4 11/13/ZO15 Jerry E — �� 1%10TH N/11TH V 1 - --� ______ _ _ ��CL � ., ,� � �'r� �t`��~ ; .;L�O � „ � • ""�� SALES REA ,xi��r � � EXEMPT� ��� ` REFERENCE � ____...�. _.� �.�_.,___._._ . • ...._..a,�_.__.___. _�:....._ .._ _ ......,._ .P- � i DerekR A16 0022 15 9961226 ' � Oty Item Description Unit Prlce TX Eztension ; . __ __ _ . _._ SWcture: EMERGENCY CB 1 MH5428 54"X 2'MH BASE 5397.00 +_ ' 3397 00 1 MH545SKOS24213 54"X 5'MH SECTION W/2-42"&1-36"KO'S&STEPS 5493.00 5493 00 1 MH541SST 54"X 1'MH SECTION-STEP a789.60 3189.60 1 MH54FTR0 54"MANHOLE FLATTOP ROUND OFFSET 5229.50 ' 5229.50 1 GR624 6"X 24"GRADE RING 525.00 '-._.. 525.00 3 MG54 54"MANHOIE GASKET 50.00 i_._ 30.00 1 GLBLB GASKET LUBE 8 LB.PAIL $22.00 i 522.00 1 LAISPL 1 STEP POLY LADDER 551.75 I, i 551J5 Structure Total g1,407.85 Taxable $0.00 Non-Tauable $1,407.85 _ _. . . .._ SubTotal 51,407.85 ' Tax $0.00 I __ _ Invoice Total 51.407.85 Less Deposit 51,407.85 Invoice Balance S0.00 Page 1 Olson Brothers Excavating,Inc. Force Account Sheet Dafe: il/17/2015 Profed: Maplewood Creek Outfall Labor HRS OT UM Rate OT Rate 1.5 Total Tony Pentin 4 0 HR $ 66.99 $ 90.09 S 267.96 Wyatt Olso� 4 0 HR S 64.70 $ 86.67 S 258.80 R an Phillips 4 0 HR $ 51.64 $ 70.73 $ 206.56 Dan Nolt 4 0 HR $ 64,70 S 86.67 $ 258.80 Eric Stoneback 4 0 HR $ 64.70 S 86.67 S 258.80 Matt 5cearcy 4 0 HR $ 64.70 $ 86.67 $ 258.80 Ezada Wa ner 4 0 HR $ 46.95 $ 63.68 $ 187.80 David Cameron 8 0 HR $ 44.00 $ 59.25 $ 352.OD Steve Hess 8 D HR S 69.84 $ 91.82 5 558.72 lahar Subtotal $ 2,606,2� Equipment Units UM OPERATED STANDBY Total CAT 420 2 HR 38.53 S 15.48 S 77.06 Kenwo�th Dump Truck 4 HR 94.96 S 30.26 $ 379.84 '�` �A� .,� � 4?�,����°�.��`,, Eq�ipmenf S4bt6�a�1' S 455f9Q Materials Units UM Rate 7otal ProVac Vac Truck 1 EA S 2,598.50 $ 2,598.50 Stick of 6"SDR 35 20 EA $ 1.87 $ 37.40 HD Fowler Invofce tF14089917 1 LS S 406.39 $ 406.39 r��e ,��y ��<+n ��n< � a >;r � �i�n� �.�, �';�r. �;<; 7` E 11� ��.5`i� r< < �' �� � ��. � , .R�PI+,m ;, �{�.. ��t � �LG Subcontractor r_ .� �..,. , 5 - r���," "�r `��°����" �� Sd�+tttecfcr'.Subf�sl $.: LaborSubtotal S 2,608.24 29%Labor Markup $ 756.39 Labor Total; , 3 d#.63! Equipment Subtotal $ 456.90 21%Marku $ 95.95 � ' E� ��mentTo�si� ,� 2�8�5. Material Subtotal $ 3,042.29 21%Markup $ 638.88 1yii�[erie TtiEal ��3' � �.��'�. Subcontrector Subtotal S - 6%Markup $ - ' Subtantra�tof'toEal $� To�l�ost $ T,598,65^ � ` Force Account Work Sheet N° 10 5 4 SAOS. E�tCAYATl�tG l�fC. Date: I�'""�7'-1� Project Name: /�� lf�OD� �p��� Project No. J� !� Work Description: �c�Ja�. S�,n� �i���s�c<,.te!— ��.� r c� ��rnr.. d- b c. �!� uv►� co,,�.�c�r.tr.�� Labor Costs NAME JOB TITLE REGULAR HRS. OVEflTIME HHS. r � `- � G C /Lt TOTAL Equipment Rental Casts TYPE OF EQUIPMENT REGULAR HRS. STANDBY HRS. � Material Costs KIND UNIT QUANTITY PRICE AMOUNT (. N " Cv�S � n ---' � y5° n RECEIVED FOR SUBMITTAL ONLY Dat : � Inspector Date Contractor's Represenqtive Date , > __ _ _.. _ _ _ _ . _._ _ ._ Pro-Vac 6622112th St E Puyallup,WA98373 �hV�iCe Phone:{888)565-5665 Invoice Number: 151116-039 Invoice Date: 12/2/2015 ! Page: 1 of 1 Biil To: 7 Service 025737 Olson Brothers Excavalmg, Inc �ocation: Olson BrotherslMaplewood Creek 6622 112th St E SE 2nd PI 8 Chelan ave SE Puyallup,WA 98373 Renton,WA --- ----__.._._-------- — -----_ . �_ _ _ _. ..__ _ Work Order ID Com lete Date 1 PO Number Terms Called In B 151116-039 11/18/2015 � ��� � Net 30 Days_ riCh 1__...____ � — ______- --_ __.___�__. Description of Work 11/17 thfu 11/18 Eductor truck to hydro excavate for potholes and trench. Unit Qty Item 10 Deac�iptlon p���e Disc°/. Amount Services Performed 7.00 11/17-ET 7.Ohrs�185.00/hr 185.00 1,295 00 1 00 11/18-ET 5 5hrs@185 OO/hr 1,017.50 1,017.50 SubTotal 2,312.50 Parts 2 00 Disposal of load 143.00 286 00 SubTotal 286.OQ ,2��' °�`�� : 25k$ .� �4� MZ�L°�� � We now offer Emergency Spill Response Services! Please cali Invoice Subtotal 2,598.50 888-565-5665 Sales Tax 0.00 invoice Total 2,598.50 Payment Received 0.00 Balanee Que 2,598.50 - � ���`�� C��� �""._ __" Clean Service and Tele-Scan ' • 6622 112TH STREEi'E. PUYliLLUP. WASHiNGTOh�?837:� - �253)4�5-432a iaea��x'S-568; FAX(?;i3j 435•.`s798 ` ►VorkOrders � `'- i��. '- :-:�.`"�__._____.._..__�_.._ CJaie_ i.!_.._... �_...�_? ,._ _.__....--- � c�) Customar__^��`�_...�'S.:t i.__. r��1'�k ___ r`` .-1��.s_ _.._.._ , � � • Jab Addrees � i� ' ' i� , : - l - , -. �...., .. � l�F'.!_��__..�.6._ w _.__..t__*�?�f-�:r.L__._____.�:�,. ..__.. .� �,...._.._.._.___._�_�_ �Clty.Stata Z�p +'���'=����„` �,'�'�"' J�xb Phone n c � ;,., �. , Oun� Out R„lurn = Tt�vai to3Eto � On Szte Compl !ad To Sr a� 5 tlt�&)o�p In ._ '�Out _-;- �_ ,-- _ ., =.:��_t.,"�' U�_,?�1���.1 . �� ��- "� � � 'c', �'„. `' � __ � _ - t i a� ___ __ -_ . , :: . .. ..<-=_. �ET '_]N OSPILL UPT JG� JSW � _ _�- __ . _. ___ � Opofqtor �... .... . . �tn orri . .. (Lc:i I , E5�lr�-,�IT-t, � �,,'., k:.�tC��A�C.._ i !``l-,' ! , JQB DESCRIPTION �.���_ � �I�� r 1'�,-_ �_ � . �- - r 3 �" , t.t��` �.r;� i'�� _ . .. ... . . ._ _. ; , � ! � '.� ��3 � ,_. .t 1 ___ __., __. _... ..z•.r.�� . :: . '_�✓:t 1 _ _. __ _� _. _. - � ...r ....�_..�. �'����F� ��.i�.l.�.✓ _._.. .. . . . �;. � � —_�"' � i �� r c^. . . � . . __ _«. ._.. .._... .._... .. ... _.. i ... .... .. . .. .. .. ..... .. . .. . . . .. : . DISPOSAL: iJ ON SITE yd OFF SITE i LOCATION: �E�v ��y ;r.L,z r° i s° X. ' " ' _ S,qnaWee _ ,_ _ 1 ag t09� p8y 011 (hC COSl9 G�d 1006 charq od to tLc s�:vice5 rendered as statud on Ihis slatement Tho lerma are Nel 10 days, 1',5°� on unpafd batance monihly. II tollected services arn requlred,s0loVy in tho opinion ol Pro Vat tc collec! the ciebt,1 agrne l0 pdy ►6asunablo cosis lor coileCtion Inelud'ng att:;r=�»ay fecs <end cosis and any collectfon agQnc/ fues. If Iegal ncGOn io rl+quirqd the p&rNr6 opieo to thc venuo ot tha actlon will be PiarCe Counly Suporw�Courl. 3�ato of Wnshni�ion II is Iurlher aqrood ihat any ncr.ounts past duc will bo assossed a tale fee o�one and a haN percem �i 5 ,)per monlh wmuint��e. BILLING . • = z c°�c�co���c� �� Clean Service and Tele-Scan ' ` 6G22- 1 127H STflEE f E..PUYALIUP.WASHINGTON 9$373 �253)Q35-A326 (888j�G5 5665 --FAX(253)435- 788 Wo�w OiCor rt � (� �� �,�, � �' � -��:�t�c � � � . DatC r._...� `� ��._ _. � 7 'F .�._..._._.._.�...�_ ..._.... �� �~f' f�� . ` / Cuslame � , .., , ` ____ __� �IObAddross YIDJ ___._-�A�..-.. ���.__._',_.� '.t.����_� �.f�. __ _ , ct�y sio�a.zip ,Y'�V1 �. -- _ ., r�5 Pr,,,no , � Dump Oul Ralurn T�yv81 t0 S110 On S��e Caas�lotad To Shu� ._._,, __ ....__ ._,. i.,.... ... . . � ._�.. _, . _. _ . - -�,� Starl �.t bt� ( /.1 4�( In U..Ii r� �'y^ �Q t ° . _ . »1 cJl���.� l ll,J".> �,?fJ =. _1��.? - J� �,.,�r L '�ET.�,�-{' _!TV �.ISPILL rJPT �GT JSVJ Opnrqt !� 1�(�� �1�I,orar (Iru�A ry� �/, . I � 1 i U � JOB UESCRIPTION . � .._ �., , � � �,.- `= � �� �iU_. l�:�r�� 1c �r•�c� C�;��>t��_ . r� � ` , ? ____�__ `.�,.t t1n(_�__. � ��I'� ---�_�___._ ' � �,y � --_ _ _ . .�. _,L,�,, � _.,.__..._.___.__ ___._�_ _______._..__. # w__.__.__ _._ ' _._ _ __ _ ___.. � i ___ _.._..._-- -- __ ___—------- � _ _._ . _. ._ . _ _ _. .. f � _..___.__.._.,. � S _.._._.,._ . i t: *.1�r � 1 _. . . ._ :.__. . � � � _..,_ _ _ _. 3 OISPOSAL: �J._!ON SfTE ,'-�.J OFF SITE , � LOCAT'ION: 1 1�IIl l,� G Vr� �� �-- � `f , � S�qna�a I � I egroe to pay eli tha cosls end taes chn•�ed ter tt+e sc+rvice�: randnred nJ SlaleA on tli,s statement The lerma are Net t0 days, ;',o on unpaid batancc monthly It conected sorvicas are requlred solely in the op�mon ol Pro Vac. ro coiiec� the debi i ag�ea to pay reaso�able costs (or rnllection includmg uttorney leos and c�sts and any eoltection ageney feos il legal act�on �> req�ired tha part{ns agroo to die vunuE ol lhe uction tivill bo Pierce County Supenor Court S�ata ol Washinaton It is Iwther u re�d Iha1 any acco�ant,pasl due will be assesaad a tate 1ee cl ona and a hall poroenl (t �'�•,.�per ��ionth. cumulaNve BILLING : � Corporate Offices 13440 SE 30th St., Bellevue,WA 98005 page 1 of 1 PO Box 150, Bellevue, WA 98009-0160 H.�. FOWLER Phone 425-746-8400 • Fax 425-641-6885 COMPANY Bellevue Branch PO Box 160, Bellevue,WA 98009-0160 (Same as above) Number 14089917 To: OLSON BRUTHERS EXCAVATING Ship to: HD Fowier Company-Bellevue 6622 112th St E 13440 SE 3oth St PUYALI.UP WA 98373-4630 Bellevue WA �8005 Orde� nv Date: rder Writer: 05056030 11/16/1 ti asey Ziemer erms: E 10 H PR X �ue: 12/10/15 PO/J08: FOB: H. D. FOWLER Sh�p vta: Will-Cali Here (Order 8� MAPLEWOc�D CREEK STORMWATER Oty Qty Part� Unit Extended T Line Ship'd BO'd UoM Descriptlon Price Price X EA 8"AC1Di X CUPL COUPLING FERNCO 1051-88 . . 4 2 1 EA 8 X 6 PSM REDUCER SP X G 56.23 56.23 3 1 EA 6"PSM WYE GASKETED 40.45 40.45 4 1 EA 6"PSM 45 DEGREE ELL,G X G,SOR 35 PVC FOR 19.45 19.45 SEWER OR DRAIN 5 1 EA 6"PSM REPAIR CPLG GASKET COUPLING,SDR 35 25.20 25.20 PVC FOR SEWER OR DRAIN 6 1 EA 6"C/O ADAPTER FIUB X FIPT CLEAN OUT 23.09 23.09 ADAPTER,SDR 35 PVC FOR SEWER OR DRAIN ' 7 1 EA 6"PSM PLUG,THREADED,SDR 35 PVC FOR SEWER 12.92 12.92 OR DRAIN 8 1 EA 11 X 8 LOCKING CIEANOUT FRAME 8 COVER 204.77 204.77 M1025 9 1 EA 6"PSM PIUG,SPIGOT FOR PVC,SDR 35 PVC FOR 7.64 7.64 SEWER OR DRAIN Sub total 406.39 Freight Tax rich pentin G�and Total 406.39 Serving the Pacific Northwest since 1911 www.hdfowler.com