HomeMy WebLinkAboutCO 05 CAG-17-088, CO #5-18
CITY OF RENTON
Community 5ervic es Department
CONTRACT CHANGE ORDER AGREEMENT
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�dNT��� City of Renton
CAG-17-088
CONTRACTOR: Road Construction Northwest,Inc.
CHANGE ORDER: No.5
SUMMARY OF PROP85ED CHANGE:
Reason/1 ustification:
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1. Additional electrical conduits and fittings in restroom �
2. Cut holes in Pergola steel columns for electrical revision
3. Contractor meeting to discuss electrical revision at Pergola
4. Cut additional holes in Pergola steel columns for electricai revision
5. Install eletrical conduits at Pergola beams
6. Install additional ground rod and piping at power pedestal
7. Install RED concrete to cover existing shaliow electrical condult
8. Instail additional concrete at light pole foundations
9. Revise stub-out for future electrical conduits for increased safety
10.Install restroom building perimeter drains
DESCRIPTION:
Item Qty. Description Unit Prite Amount
No, w/WSST
1 1 Additionai electrical conduits/fittings in restroom $ 1,207.58 $ 1,328.34
2 � 1 Cut holes in Pergola for electrical revision $ 1,189.08 $ 1,307.99
3 1 Contractor meeting to discuss electrical revision ' $ 704.29 $ 774.72
4 1 Cut additional holes in Pergola-electrical revision $ 496.29 � $ �545.92
5 1 Additional eietrical conduits at Pergola $ 2,236.75 $ 2,460.43
6 1 Additional ground rod/piping at power pedestai $ 636.59 $ 70D.25
7 2 Install add.concrete at light pole foundations $ 1,196.46 $ 1,316.11
8 1 instafl concrete aver existing efectrical conduit $ 641.20 $ 705.32
9 1 Revise stub-out for future electrical conduits $ 1,145.20 $ 1,259.72
10 1 Instatl restroom building perimeter dreins $ 4,970.56 $ 5,467.62
Total this Change Order: $ 15,866.44
ORIGINAL CONTRACT CURRENT CONTRACT NET CHANGE REVISED CONTRACf
AMOUNT(W/WSST� AMOUNT THIS ORDER(W/W55T) TOTAL AFTER CHANGE
$ 2,351,010.48 $ 2,372,878.52 $ 15,866.40 $ 2,388,744.92
Additional Calendar Days:
(21)Working Days,including three rain days previously approved.New Substantial Completion Date
is February 14,2018
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� The payment specified and agreed to in this change order includes every clalm by the contractor for any
s� eMrd payment with respect to the work described ln this change arder. The work covered by this change
;� order must be performed under the same terms and conditions as that included in the odginal
44� agreement. Ali af the other terms of the origlnal agreemant rernain in effect.
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� 51GNATURES: �
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Road Constructian Northwest, Inc.
PO Box 2228 Ftenton, Washington 98056 (425) 254-9999 (425) 254-1334 fax
November 30,2017
To: City of Renton
1055 South Grady Way
Renton,WA 9$Q57
ATTN.: Mr.Todd Black
�: City of Renfon—Sunset Neighborhood Park(Phase 1)Project
City Project#CAG-17-088
RCNW Project#1710
SUBJ: Change Order Request—RCNW&Totem Electric Extra Work
Dear Todd,
Attached is summary of force account work recently completed by Road Canstruction Northwest,Inc.
(RCIVVV)and Totem Eiectric due to field revisions and extra work requested by the City of Renton.
Summary of ADDED casts are as follows:
1.) Furnish and install additional conduits and fittings in concrete restroom slabs as directed by City
of Renton Inspector Pat Miller. This work was completed on October 18"'and 31s`.
Totem Electric T&M Billing(DLM#45323) 1-LS @$1,078.20 $ 1,078.20
Allowable Mark-Up on Subs @ 12% 129.3$
TOTAL $ 1,207.5$
2.) Move beams and cut/torch 3-inch Hales in ALL C108 Beams to move the Pergola Lighting
from east side to west side. This work was completed on October 13`h.
RCNW Foreman—Straight Time 1-Hour @$6833 $ 68.33
Operator—Straight Time 3-Hours @$67.2b $ 201.78
Welder—Straight Time 3-Hours @$54.04 $ 162.12
Laborer—Straight Time 3-Hours @$52.79 $ 15837
Foreman Pickup(38-101) 1-Hour @$22,02 $ 22.02
John Deere 544J L.oader(36-721) 3-Hours @$46.46 $ 139.3$
Ford F-550 Flatbed Crew Trnck(38-105) 3-Hours @$42.68 $ 12$.04
Mechanic/Service Truck(48-99) 3-Hours @$21.21 63.63
SUBTOTAL $ 943.67
Allowable Mark-Up on L.abor $590.60 @ 29% $ 17I.27
Allowable Mark-Up on Equipment $353.07 @ 21% $ 74.14
TOTAL $ 1,189.0$
Page 1 of 3
3.) Totem Electric meeting with City of Renton and Road Construction Northwest Inc.(RCNVI�to
discuss re-routing conduit to move lighting from east side to west side of Pergola Structure. This
work was campleted on October 23`d.
RCNW Foreman-Straight Time 3-Hours @$68.33 $ 204,99
Foreman Pickup(38-101) 3-Hours @$22.02 $ 6b.06
Totem Electric T&M Billing(DLM#45321) 1-LS @$321.36 321.36
SUBTOTAL $ 592.41
Aliowable Mark-Up on Labor $204.99 @ 29% $ 59.45
Allowable Mark-Up on Equipment $b6.Q6 @ 21% $ 13.87
Allowable Mark-Up on Subs $32136@ 12% 3$.56
TOTAL $ 704.29
4.) Cut/tarch 4"x 4"Hales'rn Pergola Columns to allow relocating lighting boxes and canduit from
east side to west side of structure. This work was completed on October 24�h.
RCNW Foreman-Straight Time 1-Hour�a $68.33 $ 65.33
Welder/Mechanic-Straight Time 4-Hours @$54.Q4 $ 216.16
Foreman Pickup(3$-101) 1-Hour @$22.02 $ 22.02
Mechanic/Service Truck(4$-99) 4-Hours @$21.21 $4.84
SUBTOTAL $ 391.35
Allowable Mark-Up on Labor $2$4.49 @ 29% $ 82.50
Allowable Mark-Up on Equipment $106.86 @ 21% 22.44
TOTAI. $ 49b.29
5.) Furnish and install additional3/a-inch Rigid Conduit at each Pergola I.eg to relocate lighting from
east side of the pergola structure to the west side. This work was completed on October 30`".
RCNW Foreman-Straight Time 1-Hour @$68.33 $ 68.33
Foreman Pickup(3$-101) 1-Hours @$22.02 $ 22.02
Totem E(ectrie T&M Billing(DLM#45322) 1-LS @$1,894.44 1$94.44
SUBTOTAL $ 1,984.79
Allowable Mark-Up on Labor $b$33 @ 29% $ 19.81
Allowable Mark-Up on Equipment $22.02 @ 21% $ 4.62
Allowable Mark-Up an Subs $1,894.44�a7 12% 227.33
TOTAL $ 2,236.75
6.) Furnish and install additional ground rad weli and'/a-inch piping at PP-1 per inspection by City of
Renton Electrical Inspector Pat Miller. This work was completed on September 22°�.
Totem Electric T&M Billing(DLM#45317) 1-LS @$568.38 $ 568.38
Allowable Mark-Up on Subs @ 12% $ 68.21
TOTAL $ 636.59
7.) Furnish and install RED concrete to 30-ft of ditch covering shallow 3-ft power conduit at
directian of City of Renton Inspector Pat Miller. This work was completed on September 22"�.
Totem E(ectric T&M Billing(DLM#45318) 1-LS @$1,068.27 $ 1,068.27
Allawable Mark-Up on Subs @ 12% 128.19
TOTAL $ 1,196.46
Page 2 of 3
8,) Farnish and instail6-inches of sonotube to top of P17 and PI8 foundations. Add extra concrete
to top of bolt circle ring to bring top of foundatians up to finish grade as directed by City of
Renton Inspector Pat Miller. This work was completed on September 2151.
Totem Electric T&M Billing(DLM#45319) 1-LS @$572.50 $ 572.50
Atlowable Mark-Up on Subs @ 12% 68.70
TOTAL $ 641.20
9.) Change all future stub-out markings to include 2-inch white pipe,'/o-inch inner pipe and steel
rebar as directed by City of Renton Inspector Pat Miller. This work was completed on October
4"'.
Tatem Electric T&M Billing(DLM#45320) 1-LS @$1,022.30 $ 1,022.50
Allowable Mark-Up on Subs @ 12% � 122.70
TOTAL $ 1,145.20
10.)Furnish and install perimeter footing drains around restroom building. No plans or point of
connection was provided for this requested work.
RCNW Foreman-Straight Time 2-Hour @$68.33 $ 136.66
2-Operator-Straight Time 16-Hours @$67.26 $ 1,076.16
Laborer-Straight Time 8-Hours @$52.79 $ 42232
Foreman Pickup(38-101) 2-Hour @$22.02 $ 44.04
Komatsu-138 Excavator(24-835) 8-Hours La?$72.69 $ 581.52
John Deere-310 RT Backhoe(12-836} 8-Hours @$34.78 $ 278.24
Ford F-550 Flatbed Crew Truck(38-105) 8-Hours @$42.68 $ 341.44
Core-Main Pipe&Fitting Materiais 1-LS @$259.96 $ 259.96
HD Fowler Pipe&Fitting Materials 1-LS @$235.12 $ 23512
OMA 7/8-inch Washed Rock 29.73-Tons @$21.00 -$-�-a4�44. $624.33
SUBTOTAL $ 3,999.79
Allowable Mark-Up on Labor $1,635.14 @ 29% $ 474.19
Allowable Mark-Up on Equipment $1,245.24 @ 21% $ 261.50
Allowable Mark-Up on Materials $1,119.41 @ 21% $ 235.08
TOTAL $ 4,970.56
• We request an additiona118-Working Day to complete this added scope of work.
These prices EXCLUDES Washington State Retail Sales Tax and Materiai Use Tax. For your
convenience allawable mark-ups for Force Account(Section 1-09.6 of the 2016 WSDOT Standard
Specifications)at has been included.
Total costs to City of Renton for completing this ADDITIONAL Scope of Work is$14,424.01. Please
issue us Change Order so that we can bill this completed Extra Work on our next progress billing.
Should you have any questions or concerns,please contact me at(425)777-7323.
Very truly yours,
� �; ���
Gordon Lee
Raad Construction Northwest
Page 3 of 3
�F�' �� ' � DAILY LABOR AND MATERIAL VOUCHER DLM NO. 45317
ofTacoma inc M/SCEL(..ANEOUS ELECTR1CAt WORK DATE 9I22J2017
2332 S.Je[ferson Ave/P.O.8ox ]093 SUMMARY OF LABOR THIS DATE
Tacoma,WA 9$402/98401 HOURS RATE AMDUNT
Phone (253)383-5022 Gen.Foreman RT
Fax (253)272-52t4 t 1!2
DT
Job# Work Order Authorized for Customer By: DLM prepared By: Foreman RT 1.5 83.04 124.56
4581 Biake Ellis Blake Ellis 1 112
Name of Job: DT
Sunset Nei hborhood Park Phase 1 Journeyman RT
Name of Custamer&Address: � u2
Gity of Renton DT
Apprentice RT 1.5 54.52 81.78
Taylor Head 1 1/2
DESCRIPTlON OF WORK DT
Add Addional Ground Rod Weti and 1/2"piping insta!!ed at PP-1 per inspection by oPerator RT 1.5 66.78 100.17
City of Renton Electricai Inspecfor and Pat Miller(COR) Chad Sheely � i�z
QTY MATERIAL 8 EQUIPMENT RENTAL UNIT PRICE UNfT AMOUNT DT
1 5/8"x 8'Grou�d Rod t4.00 EA $14.00 Laborer RT
1 12"Concrete Ground Well 58.00 EA $58.Q0 t 1!2
2 1!2"PVC 90 degree Elbows 1.12 EA $2.24 DT
4 1/2"PVG Couplirtgs d.22 EA $0.88 Signai Tech RT
10 Feet of 1/2"PVC Conduit 0.30 LF $3.OQ 1 112
10 Feet of#6 Copper Wire 0.38 LF $3.80 DT
1 5J8"Acom Ground Rod Ciamp 3.62 EA $3.62 LABOR TOTALS 4.5 306.51
$0.00 BILLING CALCULATIONS
$0.00 Tota1 Equipment 57.42
$0.00 Totat Materiai 85.54
$0.00 Totai�abor 306.51
1.5 Hours Service Truck No.276 18.72 HR $28.08
1.5 Hours Mini Excavator No.640 19.56 HR $29.34 Subfotai 449.47
$0.00
$0.00 subtotal 449.47
$0.00 Equipment Markup @ 21°� 12.06
$0.04 Material Markup @ 21°h '17.96
$O.QO �abor Markup 29% 86.89
$0.00 subtotal 568.38
$0.04 Use Tax o.o0°k 0.00
TOTAL $142.96 eond 8 Insurance� 0% 0.00
TOTAL CNARGE 568.38
GiSMARTiItSECT02\1 -Jeff14561-Sunset Neighborhood Park\BfLUNGUoB No.DlMs.xisx
45317
�E�� , , DAiLY LA80R AND MAi'Ei2id'aL YOUCHER DLM IVO. 45318
oiTncomn Inc M/SCELLANEOUS ELECTRiCAL WORK DATE 9/2212017
2332 S.Jefferson Ave/P.O.Bax 1093 SUMMARY OF LABOR THIS DATE
Tacoma,WA 984Q2/98401 HOURS RATE AMOUNT
Phone {253)383-5022 Gen.Foreman RT
Fax (253)272-5214 1 1/2
DT
Job# Work Order Authorized for Customer By: DLM prepared By: Foreman RT 1 83.04 83.04
4561 Blake Etlis Blake ElEis 1 1/2
Name of Job: 07
Sunset Neighborhood Park Phase 9 Journeyman RT
Name of Customer&Address: � ��2
City of Renton DT
Apprentice RT 1 54.52 54.52
Taylor Head 1 1/2
DESCRIPTION OF WORK IIT
Add Concrete(Red)to 30'of ditch covering shal/ow 3"power pipe per Pat Mitler(COR). operator RT 4 66.78 66.78
Chad Sheety 1 1/2
QTY MATERtAL$EQUIPMENT RENTAL UN1T PRICE UNIT AMOUNT DT
4 Yards of Conaete(Cal Portland Ticket Attached) 646.30 Lot $646.30 Latrorer RT
$�.fl� 1 1/2
$0.00 DT
1 Hour Service Truck No.27& 18.72 HR $i 8.72 Signal Tech RT
$0.00 1 1/2
$0.00 aT
$0.00 u,soR TorAts 3 204.34
$D.00 BILLING CALCULATIONS
$0.00 Total Equipment 18.72
$0.00 Total Material 646.30
$0.00 Total Labor 204.34
$0.00
$0.00 Subtatat 889.38
$0.00
$O.QO Subtota� 869.36
$0.00 Equipment Markup @ 21°k 3.93
$0.00 Material Markup @ 21% 135.72
$O.Q4 l.abor Markup� 29°� 59.26
$O.QO Subtota! 1,06$.27
$0.00 Use Tax 0.00"� O.QO
TOTAL $665.02 Bond&Insurance @ 0% 0.00
TOTAL CHARGE 1,068.27
GiSMARTII\SECT02\1 -Jeff14561 -Sunset Neighborhood Park\BILLING�,Job No.DLMsxfsx
45318
' " ' DAILY LABOR AND MATERfAL VOUCHER DLM NO. 45319 `
� � ��Eie� c� �
otTacoma Inc M/SCELLANEOUS ELECTRICAL WORK DATE 9/21l2017
2332 S.Jefferson AvelP.O.Box 1093 SUMMARY OF LABOR TH1S DATE
Tacoma,WA 484i12198401 HOURS RATE AMOUNT
Phone (253)383-5022 Gen.Foreman RT
Fax (253)272-5214 1 112
DT '
Job# Work Order Authorized for Customer 8y: DLM prepared By: Foreman RT 2 83.04 166.06
4561 Blake Ellis Blake Ellis 1 1/2
Name of Job: oT
Sunset Neighborhood Park Phase 9 Journeyman RT
Name af Customer�Address: � vz
Cify of Renton oT
Apprentice RT 2 . 54.52 1 Q9.04
Taylor Head 1 1l2
OESCRIPTION OF WORiC DT
Add 6"of Sonotube to top of P17 and P18 foundations. Add exfra concrete fo fop o operator RT 2 66.78 133.56
bolt circie rin to bring top of foundafions to�nished rade per Pat Miller-COR. chad sneeiy i �rz
QTY AAATERIAL 8 EQUIPMENT RENTAL UNIT PRICE UNIT AMOUNT DT
$0.00 �aborer RT
$0.00 � 1rz
$0.00 DT
2 Hours Service Truck No.276 18.72 HR $37.44 Signal Tech RT
$Q.00 1 112
$0.00 DT
$0.00 LABOR TOTALS B 408.68 'i
$0.00 BiLLING CALCULAFtONS
$0.00 Total Equipment 37.44 ,
$0.00 Totai Material 0.00 I
$0.00 Total Labor 40$.6$ I
$0.00
$0.00 Subtotal 446.12
$0.00 -
$0.00 Subrotal 446.12
$0.00 Equipment Markup @ 21% 7.86
$0.00 Material Markup @ 21°h 0.00
�o.oa La6or Markup @ 29% 118.52
$d.00 Subtotal 572.50
$0.00 Use Tax 0.00% 0.00
TOTAL $37.44 Bond&�nsurance @ o% 0.00
TOTAL CHARGE 572.50
G:ISMARTII\SECT02\1 -Jeft14561 -Sunset Neighborhood Park\BiLLINGUob No.DLMs.xisx
45319
�� � DAILY LABOR AND MATERIAL VOUCHER DLM NO. 45320
ECEC7'R'IC
of Tacoma Inc M/SCELLANEOUS ELECTRICAL WORK DATE 10/4/2017
2332 S.Jefferson Ave/P.O.Box 1093 SUMMARY OF LABOR THIS DATE
Tacoma,WA 98402/98401 HOURS ltATE AMOUNT
Phone (253)383-5022 Gen.Foreman RT
Eas (253)272-5214 1 1J2
DT
Job# Work Order Authorized for Customer By: DLM prepared By: Foreman RT 5 83.04 415.20
4561 Blake Ellis Biake Ellis 1 1!2
Name of Jab: oT
Sunset Nelghborhaod Park Phase 1 �ourneyman Rr
Name of Custorner&Address: � �n
City of Renton DT
Apptentice RT 5 54.52 272.60
Taylor Head 1 1/2
DESCRIPTfON OF WORK DT
Change al/future stub-otR markings to include 2"white pipe,3/4"inner pipe,and Operator RT
steet rebarper Paf Mtlier-GOR 1 �12
QTY MATERIAL&EQUIPMENT RENTAL UNIT PRlCE UNIT AMOUN7 DT '
30 Feet of 314"Schedule 80 PVC Pipe 0.60 LF $18.00 Labarer RT
$O.00 1 S�z
$O.00 DT
5 Hours Service Truck No.276 18.72 HR $93.60 Sigrtai 7ech RT
$0.04 1 1n
$0.00 DT
$0.00 u►BOR TOTA�S 1 O 687.80
$0.00 B�LLING CALCULATIONS
$0.00 Totai Equfpment 93.60 '
$0.00 Totai Material 18.00 I�
$0.00 Total Labor 687.80
$0.00 �
$O.DO Subtotat 799.40
$0.00
$0.00 Subtotal 799.40
$0.00 Equipment Markup @ z�°ro 19.68
$0.00 Materiai Markup @ 21°� 3.78
$0.00 Labor Markup @ 29°� 199_46
$0.00 Subtotal 1,022.30
$0.00 Use Taz 0.00% O.QO
TOTAL $117.fi0 Bond s Insurance @ 0% 0.00
TOTAL CHARGE 1,022.30
G:iSMART111SECT02\1-Jeff14567-Sunset Neighborhood Park16lLLINGWob No.DLMs.xlsx
45320
" � � ' • " DAILY LA80R AND MATERIAL VbUCHE�2 `- DLM NO. 45321 ' `
E L E C T R i C ` � � . ' ��� �
ofTacoma Inc MtSCEtLANEOUS ELECTR/CAL WORK DATE 10/2312017
2332 S.Jefferson Ave/P.O.BoK 1 a93 SUMMARY OF LABOR THIS DATE
Tacoma,WA 48A02/9840I HQURS RATE AMOUNT
Phone (253)383-5022 Gen.Foreman RT
Fax (253}272-5214 1 t12
DT
Job# Work Order Authorized for Customer By: DLM prepared By: Foreman RT 3 83.04 249.12
4561 Blake EAis Blake Eltis 1 1/2
Name of Job' DT
Sunset Nei hbo�hood Park Phase 1 �ourneyman RT
Name of Customer 8�Addrsss: 1 i12
City of Renton Dr
Apprentice RT
1 1/2
DESCRtPT10N QF WORK DT
Meeting with Cify of Renton Electrical lnspector to discuss changes to the Pergo/a operator RT
ipin for tighting with Mike(COR)and Chad(RCNV1� � v2
QTY MATERlAL 8 EQUIPMENT RENTAL UNIT PRiCE UNIT AMOUNT DT
$0.00 Laborer RT
$0.00 1 �/2
$0.00 DT �
$0.00 Signal Tech RT '
$0.00 1 1/2
$o.ao o,-
$0.�� LABOR TOTALS 3 249.12
$0.00 BtLLING CALCULATIONS
$0.00 Total Equipment 0.00
$0.00 Total Materiai 0.00
$0.00 Total Labor 249.12
$0.00
$O.Ofl Subtotal 249.12
�o.ao
�o.oa Subtota� 249.12
$0.00 Equipment Markup @ 21% Q.00
$0.00 Material Markup @ 21% 0.00
$0.00 Labor Martcup @ 29% 72.24
$0.00 Subiotal 321.36
$0.00 Use 7ax 0.00% 0.00
TOTAL $0.00 8ond&Insurance @ o% 0.00
TOTAL CHARGE 321.36
G:ISMARTIt\SECT0211-Jeffl4561-Sunset Neighborhood Park\BILLfNG\Job No.DLMsxisx
45321
�E� , DAILY�ABOR AND MATERIAL VOUCHER DLM NO. 45322
ofTacomu[nc MlSCELLANEOUS ELECTR/CAL WORK DA7E 10/30/2Q17
2332 S.Jefferson Ave/P.(?.Box 1093 SUMMARY OF 1A80R THlS DATE
Tacoma,WA 98402/48401 HOURS RATE AMOUNT
Phone (253)3$3-5022 Gen.Foreman RT
Fax (253)272-5214 1 1/2
DT
Job# Work Order Authorized for Customer By: DLM prepared By: Foreman Rr 8 83.04 664.32
4561 Blake EIlis Biake EAis 1 1/2
Name ofJob: a7
Sunsef Neighborhood Park Phase 1 Joumeyman Rr
Name of Customer&Address: � �t2
Gity of Renfon ar
Apprentice RT 8 54.52 436.16
Taylor Head 1 1/2
DESCRIPTION OF WORK DT
Add 3/4"Rigid Conduit for each Pergola!eg to move lighting from east side of Pergola Operator RT '
o the westside per Todd(COR). P/an Sheets showed lighfing on the east side. � �i2
QTY MATERIAL 8 EQUIPMENT RENTAL UN1T PRICE UNtT AMOUN7 DT
BO Feet of 314"Rgid Steel Conduit L36 FT $108.80 Laborer RT
14 3/4"Locknuts 0.27 EA $3.78 1 1!2
14 3!4"Sealing Locknuts 1.93 EA $27.02 DT
14 314"Plastic Bushings 0.12 EA $1.68 Slgnal Tech RT
7 314"Eridcson Unions 4.61 EA $32.27 1 1/2
14 314"Beam Ciamps 2.05 EA $28.70 DT
5 1-18"Holes Saws 6.48 EA $32.40 LABOR TOTALS 16 1,100.48
100 1!2"Seif Tapping Screws 0.08 EA $B.OQ BILLING CALCUTATIONS
$0.00 Total Equipment 149.76
$0.00 Totai Materia� 242.65
$0.00 Total�abor 1,100.48
$o.ao
$0.00 Subtotal 1,492.89
$0.00
8 Hours Service Truck No.276 18.72 HR $149.76 Subtotal 1,492.89
$O.QO Equipment Markup @ 21% 31.45
$O,dO Material Markup Q z���o 50.96
$0.00 Labor Markup @ 29% 319.14
$0.00 Subtotal 1,$94.44
$0.00 Use Tax 0.00°� 0.00
TOTAL $392.47 sond&lnsurance @ 0% 0.00
TOTAL CHARGE 1,894.44
G\SMARTIII5ECT0211 -Jetfl4567 •Sunset Neighborhood Park181LlING1Job No.DLMs.xisx
45322
� - � ' QAILY LABOR AND`MATERIAL VOUCHER DLM NO. 45323
ELECTRIC � �
ofTacoma Inc M/SCELLANEOUS ELECTRICAL WORK DATE 10/18/17& 1Q/31117
2332 S.,lefferson Ave/P.O.Box t093 SUMMARY OF LABOR THIS DATE
Tacoma,WA 48402/98401 HOURS RATE AMOUNT
Phone (253)383-5022 Gen.Foreman RT '
Fax (253)272-52I4 i vz
DT
Job# Work Order Authorized for Customer By: DLM prepared By: Foreman RT 5 83.04 415.20
4561 Blake Eilis Blake Eilis 1 112
Name of Job• �T
Sunset Neighborhood Park Phase 1 Joumeyman +�T
Name ofiCustomer&Address: 1 vz
City of Renton oT
Apprentice RT 5 54.52 272.60
Taylor Head 7 112
DESCRIPTION OF WORK DT
Add 45 degree elbows fo 2"and 3/4"conduits in slab for restrooms. Re-pipe again operator RT
sfeel rebar per Pat Mi/!er-COR � t r2
QTY MATERIAL$EQUIPMENT RENTAL UNIT PRIGE UNiT AM�UNT aT
30 2"Schedule 80 PVC 45 degree elbows 2.14 EA $64.20 Laborer RT
$0.�� 1 1/2
$0.00 DT
5 Hours Service Truck No.276 18.72 HR �93.60 Signai Tech RT
$O.QO 1 112
$0.00 DT
$O.00 u�BOR TOTALS 'I O 687.80
$Q.00 BILLING CALCULATfONS
$0.00 Total Equipment 93.60
$0.00 Total Material 64.20
$Q.00 Totai Labor 687.80
$0.00
$O.QO subtotal &45.60
$0.00
$0.00 Subtota� 845.60
$0.00 Equipment Markup Q 21% 19.66
$0.00 Material Markup Q 21% 13.48
$0.00 �abor Markup� 29% 199.46
$0.00 Subtotal 1,0782�
$0.00 Use Tax 0.00% 0.00
TOTAL $157.80 Bond&Insurance @ o°ta 0.00
TOTAL CFlARGE 1,Q78.20
G:tSMARTII\SECT0211-Jeffl4561-Sunset Neighborhood Park\BfLLiNGUob No.OLMs.xisx
45323
Raad Construction Norfihwest, Inc. �A
I+orce Account �
Job Name ,S /�j� Job# /Q I�'orce Acct#��--�')1 __
13[A TTGM#:
Is thls tivork associnted with n DVN? Uso nttael�form DYN. Yes No
Dnte work perfornied _Jp�f,�T� Addttiona!Days To Be Added '
� Ta Original ContrAct
Descripkion of Work
Ll�ri �'rF fo �t ,��� r�° Nmi,� ��.v i4 � �1 o B �3et,�..vvs bv�rr
—1�n�oA/.a-
LABOB FORC�
RCNW Em to ee Name Classification Hours
�u�E- e��or"
1��Clf�C�► e�„ 3 ..
U k K ��e
�QUIPMENT�ORC�
(including p/us,flat beds,llght towers etc.)
RCIVW E ui ment# Classification Hours �
—e'Z 1 i� Lo.at�Cr- 3�e�
��J_-�'�____ F-s�a d� o
� �_ !
, �`�� • .. r'SS7)�"S tt t1AN tdg 3� U '.
MATERIAL UTILIZL�D
T e or Ctass Vendor Delive /Packin Sli # uanfi Cost
;
�
____ _ �
SUBCOIVTRACTORS UT[LIZ�D
Vendor Name T e of work InvoicelTicket# Cost
Road Construction Northwest,Inc.Representative Date
OwnerlGC Representative Date
Form No.11(Rev.02/29l12) S:IRCNVY1FormalFaemanlFaremen's FormslCopy of Fweman Fams Rev fl214.T7
I
1
I
, �
����8 ������r�,a��6�� i��r��i��s�9 8m�c�o �.�
�orce�,.ccount
JobName_ �jtE ��7'�V;cr1��'Jr.'_ QAf��ob� /'�/('7 ForceAcct# ��j(�L�� -
. : BID ITlEi4I�:
ts this.�vark ttssoctnted ti�ifh a DViV7 If so attach form DPiY. Yes PJo
Date��ork perTarmed • �(��� Additlonal Days To Be.fidded
� To Origivat Contrnot
Descriptian of Work �
__.___�t�,w �l`xy'`Ilol� ,`,v l�,+�,�ta��.a�a..�
LABOR FOI2CE '
RQ�1'W Emplo ee�Name Gassification Hours
_'�ob�� �-`I.K 1����► . � t,�y t ,2 I i '4.a
's ,
. . j
� � _
. � - -
� i
EQII7PNt�NT FORCE `
(includfng plus,flat beds,light to�ters etc.} �
RGNW E ui ment# Ctassificatian i Hours i
�__..�.�g.g �. _. ..�.:�'��._i'__�!_t_.�'c¢.t2� . _.
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�
� nzAs�rua�,vrx�z�A �
e or Cless Vcndor DBlive /Packin 5li # I Quanti Cost
. � � ! I
; i . . � _ i , - ' —
, � ,,��." ,, I _._.._._ y�! . t
�
_ i _�.�_. _ — �! . i
SUBCONTRACTORS UTILIZED
VendorN$;mme T e of�vork InvoiaetTicket� Cost
. . .
• . .. _._ ._ .. _�,._.
. .. . _..—___ ! . —!-- ._..__._
�
_ ._ __ __. i---. _ ..
. - � � i
. B /
Road Cons North�vest,Inc.Representative ate
Ownorrac Reprtsencative Aata
.. __.i_��fonv n7f9pM9i � &iRCNWIFarmalFwime�foremanFmmsRaultOTl3
f25 tiE u OF EXCa'1j�QF _-
customer# sowTa INI✓OfCE
�ooTr2s �oonzs
"—"• —_:`' Stvp To Bilt To
CAL.�ORTL/�ND9 �zsos� �oo77zs tn�o►�r�o_ ssas7�o�
}�`''�e„g�
Invoice Date: 09/20/2017
_ ; �'' tnvoice Amf: 646_3Q
Phane: (800�469-BQiff P+�x�oFTHE►�ae Invace Due: 10/20/2017
Sus�ained Excellence
E-mal: c�st service(�calpo�ttand.com
Bi71 to: 'fOTEi4t ELECTR{C OF TACOMAt INC ,� Ship to: TO'FEM ELECTRIC OF TACOMA INC �
P.O_Box 10@3 � SENKEN/SNOQ
TACOl4fA WA 98401-1Q93 \ 2680 SUNSET LN NE
USA / Q��` J RENiTON WA 98056
�-�1 ,�
�. .
Customer P.O. Cusi Order# Pra'ecUOrder# Shi V'ra Terms Due Date
4561 168 22823 Delive Net due 30 10/20/2017
Ship Date Ticket Plant Prod Num Description UOM Quantity Unit Price Gross Price
Numbec ShiPP�
09J20l2017 t700166 701R 3324 6.Q 5K 3/4"AEA WRA ADVA CY 4.�00 1242Q N 496.80
09t20i2017 17U6166 70lR UiVOERGROUND UNDERGROUND RED LB 16.Q00 3.5U N 56.Op
09/20/2017 1700466 701R 9960 SHaRT LaAD FEE CY 3.000 22_00 N 66.Op
?0/2D77 1700166 70'ER 9919 STAND BY CHARGE RAIN 3.OQ0 0.00 N p.p0
EM/IRONMEN7AL FEE CY 4.080 S.OQ N 20.00
FUEL SURCHARGE lQ 1.000 7.50 N 7.5p
Ptesse tnctude fivoiea n�r Toial Quanbty: 4.000
w���a�y�r r��ra�
wlth ad us6nsnta ��g�Loca�Taxes 0.00 96 SUBTOTAL: gqg.3p
REMIT TO: 7ax:
Tot�i: /646.38
CALPOftAAMD COMPAI�fY j
P O BOX 3601 `
" �TFLE wA g8124-3601 Thank you tor your business� `�
�
�
OR/GtNAL Page:1 OF 1
FoRCE�CCa�tiT��r,�� �
Job Name��J"�j� Job# �_j;�_ Fv�c�Acct#
P , ��—d!c�.,�.�.
BID li'�M#: �
Is thfs wark asaociated with a bVN? tf so attach fartn#8. Yes No
� Date work parFormed ��"'3�' Addlttonal Osys To Be Added
To�r�ginal Gonb�act
Descdption of k�/ork
�'� � ` A ira�.a.�. �
LABOR PORCE
RGNW�m I� ee Name ClessiBcaHon Noure
v .,a- .�s
�
� `N �
�ctuiP�n�Nr FORCE
. (Inaludtog p/us,ftat bedg,itght towers e#c.)
RCNW E ul ment# Classtflcation Hou�s
A', r Cr "Jr d' l KAw.D /S
�"�1� • �F
F2�-
� MATERiAL UTiLI�ED
T e orClass Vendor Detive /Paatcin SN # Quantl Cosi
N
p�r'+,ik'� � ' l
�
9UBCONTRACTORS U'i'ILIZED
Vendor Name T e of r�rk InvoicelTicket# Cost _ _ __�
' Raad Conatr►xtion RepresentaNve pg�
Owner Reprssentattve Oate
Farm No.9(Rev, 90/28/07) s:URCNYY1PormslForemanlForaman Fom,e R1060eoe
0 SEATTLE WFi �RE �
o Branch-301
9
10413 MLK JR Way Svutt� "�►�...� FlLLED BY:
Y Seattle WA 98178-2078 Loca!Knowledge
locai Ezpe�ience CHECKFDBY:
PHONE# 206 722 4800 �ocal Service, Nationwide• _
REYIEWEp BY:
10/23/2017 12:21 PM PAGE 1 CASH iNV010E i002947
171151 Er.rrEReosY: STEPHEN BRAZELTON-301
o h SPECIAL INSTRUCTIONS/COMMENTS:
� RQAD COtVSTRUCTION NORTHWEST � ROAD CQNSTRUCTION NQRTHWEST BID#357'180 C/O #H591994
° WOOQlNVILLE BRANCH p SUNSET NEIGHBORHOOD PARK PH I BID NM: SUNSEf fVEtGHBORHOOD PARK
o ACCOUNTS PAYABLE o ATTN:CHAD-425-531-1934 C/O #H591994
PO BOX 2228 2804 NE 107H ST
RENTflN WA 98056-0228 RENTON WA
98057
BRN+(71 Q4TEORDERFD CY1TE5liPPID R�ORDERfvO. .lOBWMAE J08PAME3EH OEUVERYhtEf}qD &LLOFU�OtNGND. 9FIIPPEDVIw 5atE9�MV�
NO.
TRUCK CUST�PR DiRECT SGPPED
3d1 10/23/17 10/23l17 1710 SUNSET NEIGHBOR 1710 X CORE&MAIN lP G61
��wotinaa ewoo�.crcooE o�ruPnorv anoRornm �n a+�cx uvrrrwce � w�ea.atr
sirPm oRorxeo
Ordered 6y: CHAD
Y4 A't F1 Q4043510P 4X10' SDR35 PVC SWR PIPE PERF 150 I50 .88 FT i32.oa
•REF 15.00 PC "
WEIGHT: 7.0700 Ib
W2 A1 B2 2704T04HH 4X4 PVC SDR35 SWR TEE HXH 2 2 6.32 EA 12.64
SOLVENT WELD(GLUE7 I
WEIGHT: 1.{?8�0 Ib
W2 A1 C2 27049HH 4 PVC SDR35 SWR 90 HXH SHORT 1� 10 5.08 EA 50.80 I
RADIUS SOLVENT WELD(GLUE) �
WEIGHT: .7100 ib
W2 A1 E2 2704CN 4 PVC SQR35 SWR CAP HUB SW 4 4 2.53 EA 10.12
SOLVENT WELD(GLUE?
WEIGHT: .3300 Ib i��. $ j�� i/
t fW I/ !
Y7 M1 A9 96TY363003201 3201 TYPAR 36"X300' ROLL 1 1 54.40 RL 54.40
WEIGHT: 25AOQ0 !b
TOTAL WElGHT: 7 96.04 ��� `� `� �� � ��t� ��� ��
� �
� � ���
C N
MEACIi5h�I5E5U85'OTAL TAX 7NCAMIX.T7T FREiGHf 03NE7'f 1WiWf� R61'OdONG M9CELWCOtS ?OTALShtE
259.96 i 0.000 .00 .00 .00 .00 .00 .00 259.96
and c�nndihonsnwhich are�nf carpor�ated b�to Cence a d accep�To 2wew �IIll1�I1�1[1�������1111III!lII111111 l�l�l II111IIIII11111 IIlI!�lIII14Il IIII SIGNAT�URE
these tetms and conditions,ptease visiC
www.v�ratervwrks.hdsupply.comlTandG PRiN y��E
wipvr�te vi��c,r�
13440 SE 30th St., 8ellevue,WA 98005
t�r PO Box 160, Bellevue,WA 98009-0160
H•�■ �O�yLE� Phone425-746-8400 • Fax425-649-8885
.— COMPANY Believue Branch RECEiVEQ
+ REMIT: PO Box$4368, Seattle,WA 9$124 13440 SE 3oth St
.._ mvotce OCT 3 0 2017
Number i4672292 BEWH gellevue,wA ssoo5
#111500 (a25)746-8Q00 Fax(425)641-8885 R�NW
HD Fowier Company-Bellevue �/�
�I���li��lfl�l'�'ll��llf'll�'lll'IIII��I�I�IL��lir�lliili�l�I�il
T-1 ROAD GONSTRUCTION NORTHWEST INC eellevue WA 98005
PO BOX 2228 Order# Inv Date: Order Writer:
Renton WA 98056-0228
05736442 10/24/17 Ryan Stetson
erms: Due: PO/JOB:
FOB: H, D. FOWLER Ship Vla: Will-Call Here (Order
Qtl' Qty Bart.� _ Unit Extended T
Llne Ship'd BO'd UaM pescription Price Price X
1 56 0 FT 4"PVC SEWER PIPE,GASKETED,ASTM D 3034 14' 1.510 84.56 '�
LENGTH
2 20 0 FT 4"PVC WHITE SEWEft PIPE,PERF 10'LENGTHS, 1.510 30.20�'
ASTM D3034, 1/2"HOLES ON 5"CENTERS,120
DEGREES APART, SW BELL END,WHITE ONLYI
3 4 0 EA 4"PSM 90 ELL SHORT TURN RADIUS SOLVENT 5.550 22,2p �
WEI.D
4 4 0 EA 4"PSM 45 DEGREE ELL,G X SP,SDR 35 PVC FOR 12.530 50.12 1�
SEWER OR DRAIN
5 2 0 EA 4"PSM WYE,GASKETED 24.02Q 48.04 �'
APd��OVECI
F�OJ�CT 1�1 t� A
C�S�'GO � _ l���t�
C�1�.� _ _ Repui a� .
Dat�
�o�t P�r ��
�rn 1 �-c�+7 �n�����
/Load/Hrs
erifiied I Acct
t is�n�t B/U
.�,� ,.4 Sub total
t��,"�.�„���xi�.��s�;=.� "`'•:''�+� f"� ` f�;�`, � �• '' �� 235.12
f � �1e ��t�� A,d� ress �.;,�, �EF�Rout�r�g���1'o0b����" �` Freight 0.00
� � S��`�N
� „�.�=,ap ����..�8��_ .�_9�'���'56�8�;���,�[��o�498 545�36�2�� Tax -�0=�
� � Grand Total 235.12�
STEVE IEFERT Serving the Pacific Northwest since 1911
www.hdfowler,com
.ri`'Y'1 1 1 .r .�.�7
i
,y�. .,..�.{, ,
1CON Materiafs �a+�.:. QFFiCE7CGt�Y�-�- . • � Ticket: 86674
QI50(l-Aubucn S&G `}i:'�'"� �ate: id/18(2027
; ,.s
4040 Kersey Way SE •+��-:�- ,'.�t�'�.t: � Time: 12:21:08PM
r Auburn,WA98092 '��=,-,�, .'.+;,;`�'�,�. . - Veh+cie: OMA163
. . •ti;..:��:�,1.:%;:=!�.._... ' .. �. _
' •. � ♦:� ,a.•• .'tliYai� ..
Gustomer: 50863 "-�jOrdgr�':OM7��,C1P:�7fl3�'Z027AG6VolumePricing{FOB)
-y.:� 2, . ,
Cust.Neme: QMA Canstruction lnc • D��p.�.= _ ,Yl •.:.':;+`,' - Ppunds 7ans �
Address&tnstrudlans: . .�Q�tk�:i;,�1�y�;��Y',������,;,,y���` ' Gross 101,520 50.76
RENTON vr;r. .
���`�""�L'� P U:•' , Tare 42,060 21.03
1�1��r7 �bi�'�W� �5�..00Z ` aet ss,46� z9.7�
, � ;• f ^�',�.4c.. '�;"'�z '{ Weighmaster: GassteConn
P.�o�� oa s Tota�QN ket UOPth
2220 7!8"WASHED AGGREGATE 1 ;� �9:7.3':. .29.,7.3. Tun
;:xt: ' _
"�s::,...- ..
Thank;you'�Fa���aiFr�cisiness!
�NAf�Y�NCciIDTMiXASPHALT(HM/�7EMPEMTURESCARptCEED330DEGREESU3tapP�P�p�'e.=�v�'s9��Pmentwhartwotk4�gwhh}tMA See`avarc�zidnforwamntyandshlpmen:delhyryeortdiGo�s.
.,�,�-.�:..�a �
OMA Canstruction Inc. �C1VOtCG
Post Office Box 3705
Seattle, Washington 98124 date Invoice #
CONSTRUCTION, (NC.(206)-262-1721 Office 10/23/2017 20�]',�2
(20fi)-262-9107 Fax R���lV�O
BI�� TO ���' 3 � ,?.01?'
Road Construction Northwest ���W
PO Box 2228
Renton, WA 98056 Terms Job Narne/No.
Net 30 Sunset Lane
Quantity Truck No. Service Date Ticket No. Description Rate Amount
120 104 10/�19i2017 181695 24CY per T&T 13.Op 1,560,00 fi�
28'�3 State Sand 17.50 499.28 '�
72 163 10/18/2017 162539 24CY per T&T 13.00 936.OQ�
29.73 7/8"Washed -�-' �l'�-ov 21.00 624.33 �
z9'�� CSTC Recycle 10.50 313,64
24 Concrete Export B/H 14.00 336.00#
72 163 10/19/2017 162540 24CY per T&T 13.Q0 936.00
29.93 State Sand 17.SU 523.78
Z4 Concrete Export 17,p0 408,00 �
Sales Tax � 9.50% 0.00
F�5���:
� I!•1�17 �tep���# �� �--
�aa 1 H�s Dat� a
eri eT/ Acct� —�'--�`"„�..�..
POst P�r � eA#�,pRO{(�r�
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Please email ar@omaconstruction.cam with qatestions aboutyozer irrvoice. TOfc'�I
$6,137.03
i=-rv� i r.r.r-� www.omacnn,ctr�,rr.tinn�nm