Loading...
HomeMy WebLinkAboutCO 2ContractTitle:2021RunwayPCCPanelRepairProjectChangeOrderNo.2Contractor:ContractNo.FederalAidNo.RoadConstructionNorthwestInc.CAG-21-184OrderedbyEngineerProposedbytheContractor(VECP)UnilateralAmountWorkingDaysOriginalContract:448,393.267CurrentContract:516,584.737EstimatedNetChangeThisOrder:22,594.620NewContract:539,179.357Prepared&Isse,dBy:W4CityofRentonProjectManagerDate,#‘AirportDirectorReviewedBy:CityAttorneyDateDateEndorsedBy:4—Dec1,2021ContractorDateJeffreyM.Kanyer,PresidentExecut\&Ci’tyofRentonPublicWorksAdministrator!MayorDateTHECONTRACTISMODIFIEDASFOLLOWS:ChangeOrderNo.ContractTitle:ContractNo.22021RunwayPCCPanel RepairProjectCAG-21-184Pagelof2CAG-21-184, CO #2-21Approved by Cheryl Beyer via 11/30/2021 email DescriptionofChange:Thethinnerpanelswereidentifiedandthedesignwaschangedfromdowelinstallationalongtheperimeteroftheadjacentpanelstoinstalling#4rebaratonefootoncenter.Thedowelsthatweren’tusedwerespecialorderedandwereunabletobecredited.Thelaborofnotdrillingallofthepanelswasnotbilled.Thischangeordercoverstheadditionalmaterialsandlabortoinstalltherebarthatwasnotintheoriginaldesign.ReasonforChange:Afterthepanelsweredemolisheditwasdeterminedthattheadjacentpanelsweretoothintodrillandinstalldowelswithoutfurtherdamage.Materials:Seetheattachedpricebreakdownforthematerials.Plans:N/AEquitableAdjustment:ThisChangeOrderdoesincludeanequitableadjustmentperSection1-09.4ofthe2018WSDOT/APWAStandardSpecifications.Seeattached.ExtensionofTime:TheTimeforCompletionisextended0WorkingDays.Sections1-04.4and1-04.5ofthe2018WSDOT/APWAStandardSpecificationsshallgovernthisChangeOrder.TheWorkofthereferencedContractismodifiedtoincludethechangesdetailedherein.Thepaymentprovidedforhereinshallconstitutethecompleteandfinalsettlementforallcostsoflabor,equipment,materials,overhead,profit,permitfees,andallotherclaimsthatmaybemadebytheContractorasaresultofthischange.Attachments:FormstobeattachedtoChangeOrderPlansFieldDirectiveIXIChangeOrderQuotationEstimatedChangeOrderCostProjectLaborListForceAccountEquipmentRateRequest(DOTForm422-010EF)EquitableAdjustmentDeterminationChangeOrderNo.2ContractTitle:2021RunwayPCCPanelRepairProjectContractNo.CAG-21-184Page2of2 RoadConstructionNorthwest,Inc.P0Box2228Renton,Washington98056(425)254-9999(425)254-1334faxNovember10.2021VIA—ElectronicSubmissionTO:CityofRenton-AirportDivisionRentonMunicipalAirport616WPerimeterRdRenton,WA98057ATTN:WilliamAdamsRE:2021RunwayPCCPanelRepairProjectProject#:CAG-21-184RCNWJob#2112SUBJ:RequestforChangeOrder02—DirectivetoDeleteDowelsandAddBondingAgentandRebarMatsatSelectedPanelsWilliam,ThisRequestforChangeOrderisbasedonthedirectivetodeletethepaneldowisandaddrebarmatsandbondingagentattheselectedpanellocationsandtrackthecostsonaT&Mbasis.Duetotheconsistentpanelconditionbeingunder6”thick,thischangewasappliedtoamajorityofthepanelsinthecontractandrepresentsanincreasetothecostofthework.RCNWincurredadditionallaborandequipmentcostsrelatedtothischange.Asexpected,Salinas(attached)providedacreditforthedeletionofmostofthedoweling,howeverthisdidnotcoverthedifferenceincostfortheincreasedresourcestoinstallthemats.Asyouwereawareatthetimeofthedirective,thedowelsprocuredfortheprojectwerespecialorderandnotreturnableforcredit.RCNWispleasedtosubmitthebelowlumpsumpricingfortheaddedworkinvolvedwiththisrevision.Scopeofwork:PanelsA6,A7,B14,B15,B16,C15:andpotentiallyothersthatfallintothiscategory:<6”thickandorshowingexistingcrackinginadjacentpanels.•Nodoweldrilling•Adddowelbasketasdesignedbetweenthepanels.•Add#4rebar@I’C.C.inbothdirections.Maintain3”gapwiththerebaronallsides(includingthedowelbasketasappropriate).Overlaprebar2’forsplicingasnecessary.•Nogeotextilefabric•Addabondingagent.Pleasesendonethatyoucouldgetyourhandsonthatisappropriateforthissituationforustoquicklyreview.•Shopvacallsurfacesforagoodbond•Noadditionalreliefcutswillbenecessaryforthesepanelsoutsideofthecurrentdesignspacing.Page1of2 PanelA9:•Nodoweldrilling•Add#4rebar@1’CC.inE-WdirectionandhalfoftheN-Sdirection.Theotherhalfneedstobeat6”C.C..(discussedthisonsitewithRobyandBrian)Maintain3”gapwiththerebaronallsides(includingthedowelbasketasappropriate).Overlaprebar2’forsplicingasnecessary.•Nogeotextilefabric•Addabondingagent.Pleasesendonethatyoucouldgetyourhandsonthatisappropriateforthissituationforustoquicklyreview.•Shopvacallsurfacesforagoodbond•Noadditionalreliefcutswillbenecessaryforthesepanelsoutsideofthecurrentdesignspacing.PanelA14:•Brokeduringdoweling•Thebrokencornerneedstobesawcutandfilledwithconcrete.•Nodoweling•Norebar•Shopvacallsurfacesforagoodbond•Addabondingagent.Pleasesendonethatyoucouldgetyourhandsonthatisappropriateforthissituationforustoquicklyreview.•Noadditionalreliefcutswillbenecessaryforthesepanelsoutsideofthecurrentdesignspacing.Finalcostforabovereferencedscopeofworkrelatedtowrittendirective:$2052l.91SalesTax(10.1%):$2,072.71TotalRequestforChangeOrder:$22,594.62Shouldyouhaveanyquestionsorconcerns,pleasecontactmeat(425)777-7321.Sincerely,AnthonyStolzProjectManagerPage2of2 RoadConstructionNorthwest,Inc.ChangeOrder/ForceAccountSummary2112-RentonAirportPCCPanelRepairs..—---icé.BidAmountPeudinglAdjAuiiauidAcèóitnt#ItemDatedDescriptionTotalPaidandri(n5er)‘Diq99-0019/29!2LCO#l-WorkHourRevisionstoOpenRunway68.19147S68,191.47-001DeleteDrilledDowelsandBondBreaker&Add99-002l0’42IRebarMats&BondingAgent$4,416.274,416.27DeleteDrilledDowelsandBondBreaker&Add99-00210/52IRebarMats&BondingAgent9,922.729,922.72DeleteDrilledDowelsandBondBreaker&Add99-00210/6121RebarMats&BondingAgent1,405.521,405.52DeleteDrilledDowelsandBondBreaker&Add99-00210/7,21RebarMats&BondingAgent4,777.404,777.40588,713.38568,191.4720,521.91 ROADCONSTRUCTIONNORTHWEST,INC.StructuralChangePricingF.A.#99-002BidItem#JOBDATE:10/04/21NAME:RentonAirportPCCPaneIRepairsREMARKS:Duetonumerouspanelsbeingtoothintocoredrillanddowelwithoutcompromisingtheirstructuralintegrity,weweredirectedtodeletethedowelsandbond-breakerandinsteadincludebondingagentandrebarmatsonaT&Mbasis.(Thereisalsoacreditforthelaborfordowelingthatwasnotrequired,buttthedowelmaterialscannotbereturnedbecasuetheywerespecialorder.)LABORFORCEClassificationNameHoursRateofPayTaxes!FrinpeGrossRateTotalOperatorDanBoswell4$69.12$9.37$78.49$313.96Foreman/OperatorRobbyHudson3$59.00$22.86$81.86245.58PatSmartLaborer6.6$52.39S7.30$5969387.99ZachLandrumLaborer5.5$52.39$7.30$5969328.30$-$-$_________Subtotal$1,275.83ContractorM/U@29%369.99Total$1,645.82EQUIPMENTFORCEEpuipment#ClassTypeHoursGrossRateTotal36-722JD544Loader4$7692S3076824-135JD135Excavator3$127.22381.6630-107WorkTruck6.5534722256830-116WorkTruck3$34.16102.48$_________Subtotal$1,017.50ContractorM/U@21%213.68Total$1,231.18MATERIALSISPECIALSERVICESDescriptionVendorUOMQuantityCostTotalRebarCadman30601751Invoice1$2,880.000$2,880.00Rebar/BondingAgentMasonsSupply242697-00Invoice1$1,706.1701,706.17$4,586.17Taxonmaterial-Subtotal$4,586.17ContractorM/U@21%963.10Total$5,549.27SUBCONTRACTORSClassificationVendorUNITQuantityCostTotalDrilledDowelsDeletedSalinasLSCredit1$(4,010.00)(4,010.00)Subtotal$(4,010.00)ContractorM/U@12%N/ATotal$(4,010.00)Totallabor,equipment,material,subcontractors$4,416.27ReceivedlAcceptedby(OwnerlSubmittedby(RCNW)DatePhone(425)254-9999P0Box2228.RentonWA98057Fax(425)254-1334 RoadConstructionNorthwest,Inc.FAFoiceAccountJobNameJob#__________ForceAcci#-Bit)ITF1II:2I(ukrkwcia1cdwithaI)VN?LfoattachhrniI)VV.YesNoI)ateworklittormed,‘‘S’‘“AdditionalDaysI’oBeAdded1uOriginal(01)1nichDescriptionol\Vork-s,JJEç--çii‘p,vi-FI-%ncc-oc’c,J,kç“,tJ-cJ,,y/i?’%-//3cicL/’gA3iJJC/64c---___C--I4,J_///n/LcMALFi-‘Il\B()RFORCERCNWEmployeeNameClassificationItours/-2fr1-S1v+V2,c-41LcMA4çc-t0i:c>iII’IL-IIOR(1(includingPIShatbeds,lighttoweretc.)Ilouts7,)s99-72—cf)/3‘/I-3JO7k7Ic•_-9j-1-3,-I/ps)-ic_y.cIEkIAI.FIIll/il)Tjcor(1\endtrDeliCr>ekiSlipçhiantitvCost,;Id/-hiL43a1°17i/3cJ5P/5/;m’1rp)7SI’H(ONJR\(‘1Ot{SIIIi/i:I)‘VendorNameofworkInvoiceIicketi(‘051/‘LRoadConstructionNorth<,est,Inc.RepresentativeDate)vncr1GCRepresentativeI)ateFoimNo11(Rev02129112)SRCNW,Form0Foieman\Voieman’sFortsiForemonriernst,v022318 AnthonyStolzFrom:gary.berg@salinasconcrete.comSent:Wednesday,October13,20219:45AMTo:AnthonyStolzCc:‘JohnSalinasII’Subject:Drill&DowelCreditFollowUpFlag:FollowupFlagStatus:FlaggedAnthony,Hereisabreakdownofthesavingfornothavingtodrill&epoxyallofthedowels.AsIhaveexplainedbefore,wearenotgoingtobeabletoofferacreditonthedowelsthemselvesbecausetheyareaspecialorderitembecauseoftheirsmallsizeandwewillnotbeabletousethemanywhereelse.Labor-$3,350Epoxy-660TotalCredit$4,010PleaseletmeknowifthisisacceptableandIwilltakecareofitonourfirstpayestimate.Regards,ctIYkjProjectManagerSalinasConstruction425-745-6048Office206-255-9181Cellgary.bergsalinasconcrete.coni 4:c-.(.3,zU..C)Cl)ci)0z0C)Cl)0C)CD0-4.c,-1LJiJfit’44cjCc-)rJC)dI—C)C)C)ii>C)CCIi)C)UCC)CU-C)UC-)(I)C)C-)CDCzELLDl‘CC’.r-.LJLi INSVtJflDOGSIHL“0)dAVditI00Uc1lF:1JHiIIIIiIi’i•llBfltP7-nit-1’it.,tlii)ii.{)iiio’iq.111fVIii1’iiii•j1I112Ii,t•iI4UjqHV1I[{tint‘flUT‘tt7I-I-t’VflINLj’7i’-tNIfI’-i-cn1rirtc1-‘222//2913$II$1jq1IilIIi.(1CICtnII1SP)t1’I’iiIItIPInuit1-int cc-y—/_/IAASNSWIll(ALL*+*MASCOSUPPLYNORTHWESTOWNEDFOROVER00YEARSII41K.44145OIlIV)SIEl(;l.\iIlkcR‘ft15256,1BillToCusi#16S224ShiproJWAMISC:-ROAI)CONSTRUCTIONNO8581NE-(i’llSTRINiON.‘A980592I\2./q(4ICT4RREB\R#41/2’GR6O20SOIl)I3’THEPC152LIFT2EUIGEW[Jc)VE1.l)2.1)1(31.PAIl.(vC’l’N3Cl’II)DOI3IEI”WWIRLI()fl,13,\C6013a\(;1I11:1’6000;l’AILl:l’-IW161’IEWIREI6GA3.51.8‘I’lL20/CIN(380F’l)\VI6TIE5\\‘613’!WIRE6”x16orI7GABAG1.000ROLL6WIII’WIRETWIStERHAND‘fYI’Ei’III’7TCFRCI6REI3ARCUTTER/BENDFR5,8’(‘UT/BEND521.22-RCOil8ToEUNBRUSh6-I/2”X2”X4”TANIPICOMAG561\t)lilt\ttlOllliiStLI)lilt)\ORhl;4a.L45111)KEDhlVtillSikillR\EI)usD455,;)j,Il11111)1’S-SI‘1liE11,45141)Fl!-)I\l)ShiTlilitIPR1SI\lAiIO\(IIlOISSItEsiPl5’RI511)1K(I’SAlt.Al’i’RCtSItJOII(‘ISRequest‘ShippedP/aced8’11)/04/21Terms-IU10thI’IM‘riillName1’toteOut‘lmeInSignNameIll-AITBIIA/sliDS’ARNISO:inhalatIonofrespwahleCr,sh:Il;Iicsilicaparticlesactstongbeenanon1cocausesilicons.,idisa!sltitg.nonresnrsttt:sndultaComes(ala)ItitigdiscasaResparablecrysialltttc‘lilt,ial’,,allIesliii;!cancer,TheinteniatronalAgencyofResearchonCancerhasdesgnawdcrvstaltotesilicaascarcotogenicIncounts.cuidlie(.5.Nationall’osicologcIrogranihasconcludedthatresparableci,siallincsilicatsknonI,:,,lie:1lunnuticorClisageltfunNainritalinntltutefor(kcupationatSufci)andI(nailliIfitOSil,hasalsorcconnn’endedthfllrcspirablcCi)slailiocstliaaconsideredapotentialrlccupat:lrtlaIaurcillopeIcIntdilit:;’itisp-Vsl1cIi)resgaruitalcr)nlailinen:lieahasbeer,associatedwithoilierrespiralorsd;seaIess’a..iaschronicnhsiructis-cpulmonarydiseaselioclndttgbr-ncluttadcmph,semal,aswellanktdr.c)tedtmmurrc0)51cmitis.tn’nono)isosIlicasandasadryabrasiveblastingagent.Drysawing.frontIngandsaudtrlaslingofconcreteniasool)productsma,tenthinlierclcaseofdastparticles(respiraldcCr)sialhnnequart/I‘suchcouldcattleoililyn>corroseirritationifproperprotectionsnotinplaceRespiratory’andcieprn:cciinnisroqiaredasspecifieditiheSafelyDataSiteettSDSIforConaretaMasonryl’rod’ucisinciterilisela:OlsallliabilityforhunntlithealthethniC(‘onittistyofsaleisthatBuyercompIwithallapplicablehauttlisatin,lawsandregulainiriscntrccrntnorItaisanutIta:t.ttn,piiiallprndtaIscotirautlionsilicantcltohnieaolpioCdnteypreformedtInceisereleornuttlarl.Cottuiltill!0112411.1MT’tSti(‘VIlESt51011-ICPOStPEtORtROt1St4)P41St’,SIllsIIIRIASIEt)(‘Os)lt,ltI.51)55Iii.O‘ll’tSItIt.‘c’,O1-44)1E\fis5[it01)5401.54t’Ititltt’tCiisITII1sTIRII451CEMESIMiStillSilltiSlitEYR.RI’SkltSthlt.liiATi-tS451)PtIt-STIi)lSWifEWAFER-5501:)1T’RO)Tl’rMEtilVSt-Ilit51)05It‘litIillill.4(410!1uIIl,ll1lOC.00tnsluaOtISares,ii,cqsesSalturut.,.c,Ron1retouchSIll‘elseit,,mixing‘uitdiippltcutlc’ltIllplodILt’.PickTicket/PackingListOregonl’orll,lttdStIll537.ltI75113234-1321ViaslttngIIin\\‘iiitiluristIletORI537-62164253576(61OrderDoteLOrderifTakenByI0/04!212242697-0(1SP()-PO#_JPage#11l,l(ilSlIll)Illl.SilitlRlltilt‘IIIt)1’()llll11111)11(1,111111)514551I‘.1IlkrIShill-51541(141-4415Vii‘ui1191,5:’‘0liP’54772filEtii,.)st’a’’liii,i52116“‘ut-a’tt55,i,tioROAI)CONSTRUCTIONNORTIIW’ES’I’CorrespondenceToMasonsSuippICoinpan00BOX2228-0(1BOX1027RENTON.VA1,18(156RIDGEI1ELD,VA98642InstructiOnS/lipPoint2IaS()lIS‘h(lll1IiJlIIIIeStagingArea_ViaVII.I,CAI.I.LineProductBinSAndDescriptionlocationSalesRep220Ne/wjOur/iNe41/PitniQuantityQuantityQuantify:QtyifAmountQrderedRackorderedShippedUI.1ReceivedCartons(Net)10001)-0001000020/I-I-/6.0(1(1.01)6.00GAl.__________——200.1)1)0.00200.01)LA——-—4.00((.004.00Oil.1______________________1.000.001.1)1):ROlI__________________2.000.00-2.00I/A-1.01)(1.001.00LA2.000.002.00eaPrintTime:10/04/2113:04°WarehouseCopyPage1of1Signature:UUNL’(r,-iTHISDOCUMENT _#d%q1MASONSOregonMASCOSUPPLYPorthnd800-537-3407NORTHWESTOWNEDFOROVER90YEARS5(J3734431BillToROAI)CONSTRUCTIONNORTHWESTP0BOX2228158:4RENTON,——98056LnProductIIAndDescriptionCr4RREI3AR#41/2”GR6O20SOLDBYTilEPC152LIFTEU1(1EWEUCOWELD2.0101.PAIL6ICTNCTIDD013101”VI\VIRE1(X)/I3AG6()BAG/PLT6000/I’ALLE’l’WI6TIEWIREI6GA3,5LI3I’lL20/CTN(3801’]’)\V16TIE\V6131’WIRE6’s16orI7GABAG1,000ROILVFf1’%‘IRE‘lSVISTERHANo1’PE‘sVII’!’TCTRCI6IkEBARCUTTER/BEN:ER5/8”CUT/BEND52L22-RCI6Ej’I’BRUNBRUSH6-112”X2”X4”‘I’AMPICOMAG561$LinesTotalmyShippedTotalUnitAmountPricej(Net)11,501150.0026,78160.681706.1725.011731.18_______________CashDiscount17.06IfPaidByNov10thllLALTlllLS7.ARDWSRNlG:Iialiitiitnulrcspirahkcr.stallicesilicaparticleshaslongbeenknowncocausesiticosis,adisabling,non-reversibleandsttr.etttnatol.uatlungdiseasespireblecestalltneslltcaalsocauseslungcancer.TheIr.lcroarional,SgencyofRitseauchoxCancerhasdestgruldcrystahlu;esilicaascarcinogenictohumans,andtheIiS.NaltonalToxicologyl’ror.mihasco:tcludcdhatrcspiruhtcC)stallionsilicaisicowisInbeahumancarcasogen.ThcNationallnstilutfarOccupationalSafetyandHealth(SlOSH)hasalsorecommendedthatrospirablecrystallinesilicabeconsidercdapotentialoccupationalcarcianginInaddition,exposuretoreqorublecrystallinesilicahasbeenassociatedwithmItertespiralorydiseases,suchaschronicobsu-cctisepulmonarydisrate(ncludtngbronchitisandemphysema),asweltaskidneyaridimmunesystemdisease.DonotusesilicasandasadryabrasiveIrlasungagentDrysawing,grindng.stnlsanciblastingofconcretemasonryproductsmayressItinthereleaseofdustpit-richeslrrspirabhecrystalinsequartz)whichcouldcausemttroreyeorrinse-imlaltonifprqperproteelionisnotinplace.RespiratoryandeyeprlstecttorrisrequiredasspecifiedatheSafetyDataSheet(SOS)(orConcreteMasorttyPrnxtiictx.SellerdisclaimsallliabilityforIrarinfolhealtheffects.coodittonsofsalessthatBuyercomplywithallapplicableIrcahthsafetylawsandregulationscotsocittingdirtuseandhandlingofcliproductscotrrainir.gsilicaitselnilioganyprocedurespreformedonconencteormortarscontainingFROStILYMIXEOCRMENT.MORtAR.coscot:rt:ORORtIFTlAsCAt.5IslOtSsiusyAtomcoOtSctwttiisetswimiRIP055:5thostaWAsht.xpost:i,shotsxorssPROMPTLYWstllWAIt-AlIh-ASSCtlStit.TMIXTUREs010INTOISRt%ShIM’.150lVrELY551)Ri-t’LATIIII5’.lOllIVVIIIS551)(It‘005119’%1It)lCAlXTTENTTO\SIII’OUT01RI(lI0ICullDRt”.‘IIp‘ivSOS,Isl,lpmireniiutIi,IISDShefred,nitsintiandaplIrcaIronofrsroducts.INVOICE‘v’tsItinglottWoodinville800-537-6216425-487-6161ShipToWAMISC-ROAI)CONSTRUCTIONNORemitTo1MasonsSupplyCompany8581NE4111S’l’--P0BOX1027RENTON.WA98059R1I)GEFIELI),WA98642P0Date10/04/21InvoiceDateIOrder#10/04/212242697-00PageftI2112RECEiVUC[072021hCNWInstructionsPlacedByShipPointViaShippedTermsMasonsWoodinvilleWILLCALL10/04/211%10thFIMQuantityQtianhityOrderedBackorderad23467SQtyUM20/IGALQuatatityShipped10062001(1(1200421000010;(10LA0.2346.004ROLL.4.3917.5611(01.1,111.2511.252LA3.116.22IEA1300.0(1300.002ea7,2314.46316TT‘I’otalInvoice‘l’otalRCNWAPUpDrEDDe____OpogatorPogP*rod_______DK10-13-2021QtyILoad/HisVerifiedIAvctUsnoB/UPrintTime:10/05/2110:20°Page1of1Signature:so,,5,niuiir ROADCONSTRUCTIONNORTHWEST,INC.StructuralChangePricingF.A.#99-002BidItem#JOBDATE:10/05/21NAME:RentonAirportPCCPaneIRepairsREMARKS:Duetonumerouspanelsbeingtoothintocoredrillanddowelwithoutcompromisingtheirstructuralintegrity,weweredirectedtodeletethedowelsandbond-breakerandinsteadincludebondingagentandrebarmatsonaT&Mbasis.LABORFORCEClassificationNameHoursRateofPayTaxes/FringeGrossRateTotalOperatorDanBoswell7$69.12$9.37$7849$549.43Foreman/OperatorRobbyHudson7$59.00$22.86$81.86573.02LaborerPatSmart7$52.39$7.30$59.69417.83LaborerZachLandrum7$52,39$7.30$59.69417.83LaborerAntonioLopez7$52.39$7.30$59.69417.83cementMasonMiguelMejia7$64.34$9.22$73.56814.92$-$-$_________Subtotal$2,890.86contractorM/U@29%838.35Total$3,729.21EQUIPMENTFORCEEguipment#ClassTypeHoursGrossRateTotal36-722JD544Loader7$7692$538.4424-135JD135Excavator7$127.22890.5436-925JD925Loader7$86,47605.2937-966LightPlant7$14.99104.9337-965LightPlant7S14.99104.9237-964LightPlant7S14.99104.9330-116WorkTruck7S34.16239.1230-115WorkTwclc7$48.4333901Subtotal$2,927.18ContractorM/U@21%614.71Total$3,541.89MATERIALSISPECIALSERVICESDescriptionVendorUOMQuantityCostTotalDobiesStonewayInvoice1$149.520$149.52RebarCadmanInvoice1$1,509.3601,509.36Rebar/BondingAgentMasonsSupplyInvoice1$532.54532,54$2,191.42Taxonmaterial-Subtotal$2,191.42ContractorM/U@21%460,20Total$2,651.62SUBCONTRACTORSClassificationVendorDateQuantityCostTotalS--Subtotal$-ContractorM/U@12%-Total$-Totallabor,equipment,material,subcontractors$9,922.72ReceivedlAcceptedbylOwnerlSubmittedby(RCNW)DatePhone(425)254-9999P0Box2228,RentonWA98057Fax(425)254-1334 RoadConstructionNorthwest,InclUICUAccotiulFAJot)Name-Jla4-lobForceAcci#__2z_1%thisotltsociatcilithiaI)’.’\?lfsnattachformi)TV.YeNoill!)iri.i:A(1difi(ottlL)avsInlIeAddedIn0riginal(‘outtactl)escriptionof\VorkøM?5-f2t’c4It..,2,.fj7Jçi-MsiF,dh/&cA’.-c%.1-3zor’€r-sd’/d4;1\BORF()k(IREN\\’[;ipIoccNanic(‘lassificationIloursDA11/S,4-7_aZ-r--Ar7Z2IYV,9.//iiji;c-04i/#ifc’Z.yo-,20&t7ct/c,i*I-t,iLQIIl\IE”.IF0R(I.(iiitliiilittgp11%.flatbeds,lighttnsirsefe,)R(\\\j_ipmLnU?(IISSIIILitlonItowsc7&/33’2-”JYJt’t-C‘.Y5’-?z-/-.c2c/Al43?2sCL’/1‘/,A-37-26tP/1-J7-9i5iIj4.1rhPJ,4-‘i-37..tVii-—3c—1J_l\l[RIALLIItI7,tL)Ssh7d5I>peorIas,3°t\endutDcIienl’ackineSItp(,)uantitvI.ostDa&’i55k.it--2f3-7//-/*32-:flIt’//‘‘‘‘fiI4çJjc:’IA,ILSIB((Y’IR\Cl0l{SIillILl])VendorName‘IpoforklnoccTicket(‘ostRcldConsttIICLiofl‘sorthvest.Ini..RcpresentatiC()wncr!GC’RepresentativeI)alel)ateIllsperloititedFoirn1k11(Rev02/29112)S\RCNVornis’FcrenlenfevmanvrormOFocmvqFvcrvRcv022218 11 0 0 () a’ NJ NJ (0 N) C (J2 1 0 ri C H C U IN U) 0 U U) m U -n 0 -n 0 0 C U, C. 0 0 2J 0 ci C-) 0 (n C.) 0 z 0 CD Cl) C) m z “ii r --- J2 I—2)--t1rC.2)2)-’.2)—--..2-——.2)1)•t12t1.-2)2)-.,-1:‘2)2)-—.2.2).—=2)—2)-i=j_.2)•,.2)2)2)2).LZ-D.2Z-DDZ)____.__,fZ2)I)-.2):—-——..-....2)’.—I2)—4 -99co2-I_—,PickTicketlPackingListOregonWashingtonPorilandWoodinvjlle800-537-3407800-537-6216503-234-4321425-487-6161________________________________NOREFUNDWILLSEISSUEDFORNORMALI.YB/IlToROADCONSTRUCTIONNORThWESTCorrespondence7bJMasonsSupplyCompanySTOCKEDMATERIALRETURNED45DAYSAtTERP0BOX2228P0BOX1027ORIGINALPURCHASE.Cust#RENTON,WA98056RIDGEFIELD,WA98642NOREFUNDWIThOUTPRESENTATIONOFTIESSAL168224SLIP.15%RESTOCKONALLAPPROVEDRETURNS.ShipToWAMISC-ROADCONSTRUCTIONNO8581NE4ThSTRENTON,WA98059InstructionsStagingAreaShipPointViaMasonsWoodlinvilleWILLCALLRequestShippedPlacedBy10105121TermsSalesRepI1%10thF/M220EALineProductBinQuantityQuantityQuantityQtyAmount#AndDescriptionLocationOrderedBackorderedShippedUMReceivedCartons(Net)2TCP19492.000.002.00EASPRAYER3.5GLDELUXE#1949WARNING:IMPROPERUSEORFAILURETOOLLOWINSRUCTIONS(NRESULTINEXPLOSIVEFAILUREWITHMAJRINJURIES.FORSAFEUSEOFTHISPRODUCTYOUMUSTREADANDFOLLOWLLINSTRUCTIONSBEFOREUSE.I3CTID100.000.00100.00EADOBIE1”W/WIRE100/BAG60BAG/PLT6000/PALLET4TBRCFI2HWNe/w/Par/t2.000.002.00BROOM12”CURBHORSEHAIRWIDEBODY12/CTN5TGLAA-LNe/w/Par/t2.000.002.00PRGLOVEATLASASSEMBLYPG370-LARGE6TGLAS-XLNe/w/Par/t2.000.002.00PRGLOVEATLASRUBBERPALM12/DZ144/CSPG300XL7EUIGEWNe/w/Par/i6.000.006.00GALEUCOWELD10IGLPAIL6ICTN8tbrhswp2.000.002.00ea—HANDLE5WOODPLASTICTIPMAGAF6OPrintNameTimeOutTimeInHEALTHHAZARDWARNING:inhalationotrespirabiccrysiallitiesilicaparticleshaslongbeenknowntocauseSilicosis.adisabling.non-reversibleaudsomeumcsfatallungdisease.Resprrablecrystallinesilicaalsocauseslungcancer.TheInternationalAgencyciResearchonCancerhasdesignatedcrystallinesilicaascarcinogenictohumans,andtheU.S.Natio.’ialTosicologyPiogramhasconcludedthatrespirablecrystallinesilicaisknowntobeahumancarcinogen.TheNotionalInstitute(orOccupationalSaftiyandH’eaith(NIOSH)hasalsorecommendedthatrespirablecrystallinesilicabeconsideredapoteelialOccugaliotialcarcinogen.Inaddition.enponuictorospirablecrystallinesilicahasbeenassociatedwithotherreapratarydiseases,ascbaschronicobOnictivepulmonarydisease(includingbronchitisandemphysema),aswellaskidneyandimmunesystemdisease.DonotusesilicasandasadryabrasivehIastinpagenl.Drysawing.gnodtngandsandblasringofconcretemasonryproductsmayremitinthereleaseofdustparticles(rcspitublrcrystallinequanizlwhichcouldcauseminorryeornoseirritationifproperprotectionisnorittplace.RespiratoryandeyeprotectionisrequiredasnpciitedIntheSafetyDataSheetISDS)forConcreteMaionryProducts.Sellerdisclaimsallliabilityforharmfulhealtheffrct.ConditionsofsaleisdialeuyercomplywithallapplicablertraldtsafetylawsandregulationscotscerrwtgtheuseandhandlingofallproductscontainingsilicaincludinganyptocedurntpreformedonconcreteormortalscontainingFRESHLYMIXEDCEMENT,MORTAR.CONCRETE.ORGROUTMAYCAUtESKININtURY.AVOIDCorTocTWITHECitiWHEREPOSSIBLEANDWAShEXPOSEDSKINAREASPROMPTLYWtTHWATER.IFANYCEMENTMIVTUSESGETINTOElES.RINSEIMMgOIATELYANDREPEATEDLYWITItWATERANDGETPROMPTMEDICAl.ATTIlON.(REPOUTOFREAChOFCIIILDREN.Allpredivi505cmerailihirupanroquzitSalk,.duicecHayzetor,r,ro.11SDSvImit,.mtxingandapplicationotproducts./%MASONSMASCOSUPPLYNORTHWESTOWNEDFOROVER90YEARSCLACKAMAS.ORYVESTEUGENE.OREUGENE.ORI1II.LSBORO.ORMIiI)FORD.ORRlDGhilIEIJ).WASALEM.ORSIiATTI.E.WATACOMA.WA503.722-1528541-683-1408541.744.6696503-533.010754t-777.616l360.887-4777503.585.55042116.767—1645253.581-6161OrderDateOrderIITakenBy10/05/212242735-00SPOP0/IIPage/I121121SignNamePrintTime:10/05/2112:33*CustomerCopyPage1of1Signature:.MflTpAVFROML)\_‘i’’—THISDOCUMENT InvoiceDateOrderfi10/05/212242735-00_______L.I_____9.lPage#j10/05l2i..,2112_____CEVEDInstructionsP/acedBy8/IlTo•R()AI)CONSTRUCTIONNORTIIWESI’P0BOX2228I(S’24RINIONWA_________ShipPointViaShippedTermsIs—98056MasonsWooclinvilicWiLLCALL10/05/211%10thF/MLnProductftAndDescription2TCP1949I’RAYER3.5GI.D1_UXE#1949WARNIN(;:IMPROJ’ERUSEORFAILURE’I’OFOERESULTINEXPLOSIVEFAILUREWIT1IMAJORUSE01TIllSPRODUCTYOUMUSTREAl)ANDINSTRUCTIONSBEFOREUSE.3CTIDDOBIE1\V/W1REl00/I3AG61)I3AC/I’LT6000/PALLET4‘DIRCFI2IIWBROOMl2CURl)UoRSEIIAIRWll)EBODYI2iCTN5‘I’GLAA-1./II.OVEATLASASSE:.:BLYPG370-LARGE6TGLAS-XLLOVEATLASREDOp.RPALMI2/DZ144/CSPG300XL7EuIGEWFUCOWEI.1)2.0IGE.PAIL6/CTN8thrh5wpIANl)LE5WOODI’:ASTICTIPMAGAF6O7LinesTotalQtyShippedTotalDK10-13-2021CityILoad/HisVertfled/AQCtUSIflO6/LiCislsDiscount5.33ifPaidByNov10thfiAt,IAtARI)WARtTsi,.letsataUotI01rospirablecrI.iiliissttcaparticleshismugbeenknustittocauseilicosis.adisabling.lIon-nvorsiblinutsumiuntesfatallungtlssiasu.Respirablecr1srullisrctakenalsocauseslungean;er.rioInternationalAgencyatResearchon(nicerhasdcsgtawilcrystallinesilicaascarcinogenictohumans,and(hoU.S.NationalToxicology‘roprauthasconcludedsisalreslslrablacrynlailincsilica25knowntobeal,,,sinancarcinogens.IlleNationalInstituteforOccujasin,sslSafelyawlhealthINIC)Sll)hasalsorecommendeddialrespirairlocrystallinesilicabcconsnderidar.olcntialoccupationalcarcinogen,Inaddition.oup000rrstortnspirahlccrystallinesilicaInnsbeenasoociatenlwithothertespirasorydiseases,suchaschronicobutrociivepulmonarydisease(Includingbronchitisandemphysema),aswellankidneyandininnunesystemdisease.Donotsitesilicasaidasadryabrasiveblastingagens.Drymusing.gluttingandsnadhlastlrgofconcretemasonryproductsTonyresultinthereleaseofdustparticles(res1nrablccrystallinetartO)sslnchcouldcausemtntoreycornoseirritattontfproperprotectionisentinple.RespiratoryadeyeprorocionisrequiredasspccilicdinScSafetyDaisSheet(SOS)forConcreteMasonryProducIs.Sellerdisclaimsallliabilityforharmfulhealtlseffects.CotidinonsofsaleisthatBasincomplywtthtallapplicablehealthsafelylassoandregulationsconccrtntntgtheuseandhanditogofallproductscontautoipsilicaitscludtnganyprocedurespreformedonconcreteormortarscottlatrtlttg015111’,StOil)Cl11.51‘.IOCl’AOCt)CReelORCROOT51.51CSt,5ESiloStORYM,OntCO\TsitisxiiSkISisilr.orP0505tHi55usItFOPOSl.li51,1%50155PRO%lI’TLTWITHWRILOITSO’,CESIE%TMlxTLRtsGETTOTeSISISRl’nmmstotrnioilIS‘,‘.DREPEATEDI5511111WSTIR.450errI004ll’rsIy.olCslsTrlSTIOShIItOUT01’Rt’.ACII0)(.ltIIltRI.’.ATrTI5in.auhtvsnqsnSIisJ115inow1150$hofnmixingandappltc:tttonofproducts.4/4iLMASONSMASCOSUPPLYNORTHWESTOWNEDFOROVER90YEARSShipTo‘WAMISC-ROADCONSTRUCTIONNO8581NE-1Si’1u:N’z’oN,VA98059OregonI’orllltnd800-537-341)7503-234.4321INVOICEWashingtonWoodinville801)537.6216425-487-6161RemitTo——MasonsSupplyCompanyP0BOX1027RII)GEFIELI),‘A98642OCT082021QuantityShippedQuantityQuantityOrderedBackordered20LOWINSTRUCTIONSCANNJURIES.FORSAFE:()Jl()y’ALIJ100,0202006‘5100QtyUnitAmountUMPrice(Net)2EA135.00270.00EA0.2323.002EA24.5949,182PR4.168.32210R3.116.226GAL26.78160.682CU7.5715.14‘I’‘I’‘I’‘I’‘1’I1(,lotal‘FaxesInvoicelatalRCNWAP-UPDATEDDate____PostingPeriod___________532.5430.35562.S9PrintTime:10/06/2110:13*Page1of1Signature: Description1x2x2DOBIE8640PERPALLET-144/BAGInvoiceInvoiceNumber:Customer#:C015099ExternalOrderttInvoiceDate:DueDateShipDate:OrderedBy:EnteredBy:10/05/202110/05/202110/05/2021NAChaseKairisSalespersonHOUSEShipViaShipAcct#:Job/Rel#:CustomerP0:NASeeverbiagebelowfortermsSubTotalPage:1PaymentsThankyouforyourbusinesJNOTPAYH.TotalTHISDOCLIMEN1PriceExtensicn0.351455,REMITTOACCOUNTING:2c1,JI2CC253911-1STONEWAYCONSTRUCTIONSUPPLYi2510AeS.Seattle,WA98108(206>768-1000Fax(206)763-2730SALESIORDERDESK:915HouserWayNRenton,WA98057(206)768-1000ext.3305Fax(425)254-0827Billto:CASHCUSTOMERShipto:CASHCUSTOMER915HOUSERWAYNORTHRENTON,WA98057Tax?OrderShipB/0U/MItemtno4324320ea4050101Paymentsl’vpeNumberAmountVISA$149.52x_________________KAuthorizedRepresentative(PleasePrint)Signaturel’iS:.CL. ROADCONSTRUCTIONNORTHWEST,INC.StructuralChangePricingF.A.#99-002BidItem#JOBDATE;10/06/21NAME;RentonAirportPCCPaneIRepairsREMARKS:Duetonumerouspanelsbeingtoothintocoredrillanddowelwithoutcompromisingtheirstructuralintegrity,weweredirectedtodeletethedowelsandbond-breakerandinsteadincludebondingagentandrebarmatsonaT&Mbasis.LABORFORCEClassificationNameHoursRateofPayTaxeslFringeGrossRateOperatorDanBoswell2$69.12$9.37S78.49$156.98Foreman/OperatorRobbyHudson2$59.00$22.86S81.86163.72PatSmartLaborer2$52.39$7.30$59.69119.38ZachLandrumLaborer2$52.39$7.30$59.69119.38$-$-S--Subtotal$559.46ContractorM/U@29%162.24Total$721.70EQUIPMENTFORCEEguipment#ClassTypeHoursGrossRateTotal30-107WorkTruck2$34.7269.4430-116WorkTwck2534.1668.3224-135JO135Excavator2S127.22254.4436-925JD925Loader2$86.47172.94$_________Subtotal$566.14ContractorM/U@21%118.68Total$683.82MATERIALSISPECIALSERVICESDescriptionVendorUOMQuantityCostTotal$-$$$Taxonmaterial-Subtotal$-ContractorM/U@21%-Total$-SUBCONTRACTORSClassificationVendorDateQuantityCostI2j$Subtotal$-ContractorM/U@12%-Total$-Totallabor,equipment,material,subcontractors$1,405.52Received/Acceptedby(Owner)Submittedby(RCNW)DatePhone(425)254-9999P0Box2228,RentonWA98057Fax(425)254-1334 /12--LsyRCNWFDR“ITMATTERS!”FOREMAN’SDAILYREPORTForeman:ti,y,‘(%1-7WeatherTemp.Job#://Date]C-Z/M/#SJobName:g’6.i/-o,-iDay:VV{PPM/7FLAGGERSNOTE:Ifnomaterialsorsubsareon-site,pleasestriketherequiredsectionsiIILITVI).1(’lLiLoc:t!(lurri6)TRUCKINGFieldnoterecordused“FNR”:uY-NDCHANGEDCONDITION(seeform9)ciEXTRAWORK]FORCEACCOUNTNOTICEREQUIREDciVciN(Pleiiseprovideexpluirario;iuItI,Ioearuiiiandti,llL)DailyDiary:________________________________/—-Xs‘jjc-Lcspj/4iJj,1’//h’i£,,tjI13r,9J43?,4.—‘-t-’/c-c5IY-t,OLculzy’Z5k1Yc1i9iWZ—-/tJd&’yd/0Lfh’,4&-O3‘a-’-,t;‘4JrA/z-ccJ’W11tu’i-1u/cj4/c-I1ZI-,-5drn’LAuuI1d-J-.i6.’J-Jci//-ListallOwnerRepresentativesandtimetheyspentonsitetoday:ITimein:imeOut:CityRep:p/“,-Engineer:Inspector:-f/)YForemanSignature:/PrintName:spr.’1:nrrpFmNo1iRev022315)Page1of4FrrurnFcrrnRv022318 Req Hours CT Hours Equip No Req Hours CT Hours Equip.No. Req Hours CT Hours Equip.No. Req Hours CT Hours Equip No. Req Hours CT Hours Equip No Req Hours CT Hours Equip.No. Req Hours CT Hours Equip.No. Req Hours CT Hours Equip.No. Req Hours CT Hours Equip No. Foremans Daily Time Report Date Job No._Job Title_ Day____________Week Ending_ (M.T.W.Thur,F,S.Sun) Foreman Nanie (Print) ReIerencc Fom 045 Emolovee Name COST CODE Foreman Signature Start Lunch Stop Total AM /PM Hours AM!PM Hours Injury?Pfl5 YIN S.gtriiurt, Injunj YIN S.Jfl•Ii!jli. tnjury?P5111 YIN SsjnaiurB tnjury?Pnnl YIN SigimiUlo Injury?Pril YIN Signa iI,rt. Injury? Y/N SIgnIliure Injury’5rnr YIN 5wjnaIue Ir1ury?Pnl YIN Srgrniuro Injury?‘nfl YIN Srgnr.ture ftrrn 5,rr 011.1 (ie.g6.Ol Sheet_.of........ LA Laborer FL =Flagger PL Pipelayer CF =Cement Finisher TCS =Traffic Control Supervisor ROADCONSTRUCTIONNORTHWEST,INC.StructuralChangePricingF.A.#99-002BidItem#JOBDATE:10/07/21NAME:RentonAirportPCCPaneIRepairsREMARKS:Duetonumerouspanelsbeingtoothintocoredrillanddowelwithoutcompromisingtheirstructuralintegrity,weweredirectedtodeletethedowelsandbond-breakerandinsteadincludebondingagentandrebarmatsonaT&Mbasis.LABORFORCEclassificationNameHoursRateofPayTaxesiFrinpeGrossRateTotalOperatorDanBoswell4$69.12$9.37S78.49$313.96ForemanRobbyHudson4$59.00$22.86S81.86327.44OperatorPatSmart4S69.12$9.37$78.49313.96LaborerZachLandrum4S52.39$7.30$59.6923876LaborerAntonioLopez4$52.39$7.30$59.69238.76CementMasonMiguelMejia4S64.34S9.22$73.56294.24OperatorFelixTovar4$69.12$9.37$78.49313.96Subtotal$1,727.12ContractorM/Ui29%500.86Total$2,227.98EQUIPMENTFORCEEpuipment#classTypeHoursGrossRateTotal36-722JD544Loader4$76.92$307.6824-135Jo135Excavator4$127.225088824-138Komatsu138Excavator4$116.004640036-925JD925Loader4$86.473458837-966LightPlant4$14.9959.9637-965LightPlant4$14.9959.9637-964LightPlant4$14.9959.9637-963LightPlant4$14.9959.9630-116WorkTruck4$34.16136.6410-913AirCompressor4$26.01104.04$_________Subtotal$2,106.96ContractorM!U@21%442.46Total$2,649.42iIATERIALSISPECIALSERVICESDescriptionVendorIJOMQuantityCostTotal$-$$$Taxonmaterial-Subtotal$-ContractorM/U@21%-Total$-SUBCONTRACTORSClassificationVendorDateQuantityCostTotal$Subtotal$-ContractorM/U@12%-Total$Totallabor,equipment,material,subcontractors$4,777.40ReceivedlAcceptedbylownerlSubmittedbyIRCNWIPatePhone(425)254-9999P0Box2228,RentonWA98057Fax(425)254-1334 RoadConstructionNorthwest,Inc.ForceAccountFAJot)Name_______Job//12--Forcecctii99C’C)2BIT)iFE.’I#:1LfZ’Scc/e____c14-yt2-lfr(-ki.frZzIggJay)e:5fr../-P/,LII’°/))?1*______4zrr__RoadConstrueIuiNorthwest.IiicRepeseiitailye1z7-?/DaleOwner’(ICRepresentativeDateIvIIui,ilsss,ciCiIc(liithaI)\?IfsrritiacliNinaDC\.cs‘o01kpettonned—7—DescriptionofWorkr\Il(litiOlI;Il1)13sIiiittltIeil1oOriginal(outranlABORIOi{(rh(N’\1nlploLL\imi.tIfs4uo_.———P,as//d/?rhfb’l--9c,PpI-/CLn1yiu!7)1tj/6-Ilioti-4rzIJ)(7o’./;4,IQIlPlIt1ti?1S’iitcludiuipii’.liiiNeil..tiTutlowcrcit.)RI.N.Whqtiipnicnt(lassiticationJJ3./3S-?/cf)-37z-z_I64’13&AL34-E-‘4(gLM-_--gs---L,L’1-),4-c%1f40f:4-c-(’t.±U2’Ji_VendorDelRervIackiuigSlipQumlitCostj,..,,,jç4tM...(MasonSupply-invoicesincludedonearlier-‘‘F/Asheets)1-,a7ccsi_/ô9Z3SL13(fl\Il((lOksI1111/.11)VendriNitneIpeoforl.InsniceIickelCostFormNo11(Rev02/29/12)SCRCNWSormsFore1nareForernansFerms’FcrernoFarmsRev0223IC LirflzU0Cl)0z04-’C-)ci)0C)0a::,‘.—.-5’’c:d—s—cC,CrC)LLC0UC;Cs0LI5/)C;0UC-)ci:U)C-.CC;C-’,C’)cC;’Cs:C;,CrIL-L(j