HomeMy WebLinkAboutPW06-021 - Original - Becker Trucking, Inc. - Property Damage Release - 05/24/2006 4/17/2006 10A3 OW—HO17 —) 2538566500 Page 2 of 3
c
File 943840
PROPERTY DAMAGE RELEASE
KNOW ALL MEN BY THESE PRE SENTS•
That the Undersigned being of lakful age,for sole consideration of Eight Thousand Five Hundred Seventy
Two and 83/100 DOLLARS,($8,572 84) to be paid to the City of Kent,do hereby and for our heirs, executors,
administrators, successors and assigns release, acquit and forever discharge Becket Trucking Inc Chad Snyder
<mcl Greet West Casualty Company and his,her, their of its agents, sen,ints,heirs, e.\cLutors, ddmmislrators and
all other persons,friars corporations associations of partnerships of and from any and all claims,actions, causes
of action, demands,rights,damages,costs, loss of service expenses and compensation whatsoever,which the
undersigned now have or which may hereafter accrue on account of of in any way growing out of any and all
known and unknown•foreseen and unforeseen property damage and the consequences thereof resulting or to
result from the occunenee on or about the 20a'clay of April,2005, at or near hent,Washington
It is undet stood and agreed that this settlement is the compromise of a doubtful and disputed claim, and that
the payment made is not to be construed as an admission of liability on the part of the party or parties hereby
released, and that said releases deny liability therefor and intend merely to avoid litigation and buy their peace
The undersigned further declare and represent that no promise, inducement or agreement not herein expressed
has been made to the undersigned,and that this Release contains the entire agreement between the parties hereto,
and that the terms of this Release are contractual and not a tneie recital
TIE UNDERSIGNED HAS READ THE FOREGOING RELEASE AND FULLY
UNDERSTANDSIT
For your protection California law requires the following to appear on this form Any person who
knowingly presents a false or fraudulent claim for the payment of a loss is guilty of a crime and may be
subject to fines and confinement in state prison
Signed this clay of , 19
CC/AUTION READ BEFO - NNG BEL
WITNESS �Gt c L'GL
STATE OF )
, ( SS•
COUNTY O1
n the lay of �, before me petsonally appeared
to be kno o be the person(s)na&dhin and who executed the
oregoi Release and acknowledged to me that t e� v luntairly executec My term expues
NOTARY LIC>�. .,vIce i �lzr�.
AV6LtG
Damage by Public
Repair Cost
Date of Occurrence: 04-20-2005
Location Description: Central &Willis
Accident Report: 05-5104
Labor
Date Work Performed Classification Time Cost
4/20/2005 Restore Signal with Temp Pole from used pole yard Senior Signal Technician 60 $ 32094
4/20/2005 Restore Signal with Temp Pole from used pole yard -Overtime Senior Signal Technician 25 $ 16680
4/20/2005 Restore Signal with Temp Pole from used pole yard Signal Technician 65 $ 29367
Set new replacement pole Senior Signal Technician 80 $ 42792
Set new replacement pole Signal Technician 80 $ 361 44
Equipment
Date Vehicle Description Vehicle Code Time Cost
4/2 012 0 0 5 Lift Van 5310 85 $ 1794
4/20/2005 Service Van 5308 65 $ 1372
Lift Van 5310 80 $ 1794
Service Van 9408 80 $ 1688
Materials
Date Material Description Price Each Units Cost
Replacement Pole&Mast Arms $4,500 00 1 0 $ 4,50000
412012005 Terminal Compartment $500 00 1.0 $ 50000
4/20/2005 400 w Street Light Fixture $190 40 1 0 $ 19040
4/20/2005 400 w Lamp $12 75 10 $ 1275
4/20/2005 Photo Cell $2 26 1 0 $ 226
4/20/2005 Fuses $5 54 20 $ 11 08
4/2 012 0 0 5 Ped Heads with Clamshell mounts $375 00 20 $ 75000
4/20/2005 PPB Housings B-Box $28 00 20 $ 5600
PPB Switches-Reused $0 00 20 $ -
Signal Heads-Reused $0 00 20 $
4/20/2005 Misc-Tape etc $2 50 10 $ 250
4/20/2005 Signal Electric bill-Temp Replacement Pole-Date of Accident $455 61 1.0 $ 45561
Signal Electric bill-New Replacement Pole Installed $455 00 1 0 $ 45500
TOTAL COST $ 8,572 84