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PW14-203 - Change Order - #5 - SCI Infrastructure, LLC - SR 516 to S 231st Way Levee Improvements - 01/12/2015
i ® r n 1 ,, ICENT 'r .. Document" CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to submission to City Clerks Office. All portions are to be completed. If you have questions, please contact City Clerk's Office. Vendor Name. SCI Infrastructure, LLC Vendor Number: 7D Edwards Number Contract Number: 14-203 ~ 00(v This is assigned by City Clerk's Office Project Name: SR 516 to S 231't Way Levee/Russell Road Upper Levee Description: ❑ Interlocal Agreement ® Change Order ❑ Amendment ❑ Contract ❑ Other: Contract Effective Date: 8/27/2014 Termination Date: Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment Contract Manager: Toby Hallock Department: PW Engineering Contract Amount: I Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Change Order#5 As of: 08/27/14 i i CHANGE ORDER NO. #5 NAME OF CONTRACTOR: SCI Infrastructure. LLC (`Contractor") CONTRACT NAME & PROJECT NUMBER;SR 516 to S 231" Way Levee Imp !Russell Road Upper Levee ORIGINAL CONTRACT DATE: August 27, 2014 I This Change Order amends the above-referenced contract; all other provisions of the contract that are not inconsistent with this Change Order shall remain in effect. For valuable consideration and by mutual consent of the parties, the project contract is modified as follows: 1. Section I of the Agreement, entitled "Description of Work," is hereby modified to add additional work or revise existing work as follows: In addition to work required under the original Agreement and any prior Amendments, Contractor shall provide all labor, materials, and equipment necessary to: Correct poor quality subgrade at CIP retaining wall due to encountering substantial poor quality subgrade. Corrected to satisfy Geotechnical Engineer's concerns. 2. The contract amount and time for performance provisions of Section II "Time of Completion," and Section III, "Compensation," are hereby modified as follows: Original Contract Sum, $2,176,334.02 (including applicable alternates and WSST) Net Change by Previous Change Orders $33,951.91 (incl. applicable WSST) Current Contract Amount $2,210,285.93 (incl. Previous Change Orders) Current Change Order $20,157.58 Applicable WSST Tax on this Change $1,914.97 Order Revised Contract Sum $2,232,358.48 CHANGE ORDER - 1 OF 3 Original Time for Completion 120 working days (insert date) Revised Time for Completion under 123 working days prior Change Orders (insert date) Days Required (±) for this Change 2 calendar days Order Revised Time for Completion 125 working days (insert date) i In accordance with Sections 1-04.4 and 1-04.5 of the Kent and WSDOT Standard Specifications, and Section VII of the Agreement, the Contractor accepts all requirements of this Change Order by signing below. Also, pursuant to the above-referenced contract, Contractor agrees to waive any protest it may have regarding this Change Order and acknowledges and accepts that this Change Order constitutes final settlement of all claims of any kind or nature arising from or connected with any work either covered or affected by this Change Order, including, without limitation, claims related to contract time, contract acceleration, onsite or home office overhead, or lost profits. This Change Order, unless otherwise provided, does not relieve the Contractor from strict compliance with the guarantee and warranty provisions of the original contract, particularly those pertaining to substantial completion date. All acts consistent with the authority of the Agreement, previous Change Orders (if any), and this Change Order, prior to the effective date of this Change Order, are hereby ratified and affirmed, and the terms of the Agreement, previous Change Orders (if any), and this Change Order shall be deemed to have applied. The parties whose names appear below swear under penalty of perjury that they are authorized to enter into this contract modification, which is binding on the parties of this contract. 3. The Contractor will adjust the amount of its performance bond (if any) for this project to be consistent with the revised contract sum shown in section 2, above. IN WITNESS, the parties below have executed this Agreement, which will become effective on the last date written below. CONTRACTOR: CITY OF KENT: By t�-- , .., By _s 1 ors (sig ature) G` (signature) Print ame: /"J kElEy, c ey r-C116 Print Name: p Z ,t._. C; Its 4Ir" 1 � Jr . = ,d (tide) r'.. / (title) DATE: u. ~t� DATE: ZZ ,�Z �— I i CHANGE ORDER - 2 OF 3 • FILE NO: 200.2 KENT ON CHANGE ORDER WORKSHEET NO. a j Construction Management Division — Public Works Project: SR 516 to S. 2315t Way Levee Project No.: 09-3006.2 Improvements - James/Russell Project Engineer: Toby Hallock Fed-Aid No.: Owners Rep: Jason Barry Contractor: SCI Infrastructure, LLC Date: 11/26/14 I I I. PROPOSED CHANGE Correct unforeseen poor quality subgrade at CIP Retaining Wall IL REASON AND BACKGROUND FOR CHANGE Substantial poor quality subgrade encountered. Corrected to satisfy Geotechnical Engineer concerns. Reference SCI DCR sheets 025253, 014062, 014065, & 014066, III. METHOD OF PAYMENT NEW PAY ITEM(S) ❑ Not Applicable Change Order No. FOR ACCOUNTING USE ONLY Sch. No. Item Description Total city this Unit Unit Price Total Estimated Cost of Est.city PE Item _ _ _ 1 Unforeseen CIP Wall 1 i FA $20,157.58 $20,157 58 subgrade --- - -- ----------------------- --- -- -- I I ® Independent Estimate Attached CREATE PAY ITEM ONLY- Payment to be made ® PAY THIS PAY ESTIMATE --REQUIRED____-____,__-_�-_ at a later data up c_o_TRIetion of work _ _____ Material submittals- wired - cc: Construction Coordinator New Sub Reqrd? 1 No - DELETE EXISTING PAY ITEM(S) per 1-09.5 ® Not Applicable Change Order No. - FOR ACCOUNTING USE ONLY Sch No. B I No. Item Description Oty_._ i Unit ; Unit Price Cost of Item- _ - - - ---- - ----i _i - -- - _ i - -_- i Independent Estimate Attached -REQUIRED INCREASE/DECREASE TO EXISTING PAY ITEM(S) ® Not Applicable Change Order No. ( I _ i I I I FOR ACCOUNTING USE ONLY Sch. No.__ _B I No Item Description city Unit Unit Price Cost of Item__ --------- - - -- - _._ _. .. ---i- - - -- ----- ---------- Independent Estimate Attached--REQUIRED 1 REV. DATE:4/01/10 • FILE NO: 200.2 KENT W15 TOTAL ESTIMATED COST OF CHANGE ORDER *Total of the Cost of Item Columns THIS PAY ESTIMATE $20,15:7:,J5::89::= IV. WORKING DAYS -Original Contract -1.2-0— Due This Change Or 23 ................ ------------- Fix (anation Justification wired:—O Doubled work effort re !red in subject areas. TOTAL WORKING DAYS* 125 *This Change Order+ Previous Total All work, materials and measurements to be in accordance with the Standard Specifications and Contract Special Provisions for the type of work described. Prepared By: L� — Date: IZ i(.�jq I n Barry Date: It. it/ Construction Supervisor: n r&t, A'!?' kufdWt_ U I h in a Construction Manager: Date: Eric Connor 2 REV. DATE: 4/01/10 (;E6 Fk l ij,nt .S Rvr U6RAO(-L 6 X)-S (D1qo&5- -7 q,33, 15 157 Y Infra9tr ictusc, ] L C ., 17at1} 6)S.t116COM 025253 Project: SR516 to S 231 st, Kent Job#1414 Date: 11/10/14 r.., Description: � l,r��,li Over-ex foundation/haul to waste. HOURS DETAIL COST RECORD CODE S,T. O.T. I D.T. I Total RATE EXTENSION Ken Bowman CA I 1 0 58.54 0.00 Ken Bowman CA OT 0 79.95 0, Lyle Bartley FM 3 3 %54 175.62 Lyle Bartley FM OT 0 79.95 0.00 Jessie Sellers OP 0 61.89 0.00 Jessie Sellers OP OT 0 83.09 0:00 Efrem Heapes PL 0 49.95 0.00 cr Efrem Hea es PL OT 0 66.68 1 0.00 O Arron Stenson LA 0 49.07 0.00 m Arron Stenson LA OT 0 6T35 0.00 a Mike McMillan LA 3 3 49.07 147.21 Mike McMillan LA OT 0 6T35 0.00 Sub-Total 322.83 Travel Time 0.00 Labor Markup 93.62 Total Labor Costs $416A5 n 1/2 Ton Truck w/small Tools 3 3 15.09 45,27 1 Ton Truck w/tools 0 19.40 0,00 O 138 Excavator 0 70.27 0.00 O Dump Truck 0 . 79.68 0.00 I-- Backhoe w/Hoe ack 0 47.70 0.00 T300 Skid Steer Loader 0 37.44 0.00 PC 200 Excavator 3 3 86.41 259,23 Rental Trucking 4 4 130,00 520.00 0 0.00 0 0.00 z 0 0.00 w 0 0.00 2i 0 0,00 a 0 0.00 Sub-Total 824.60 C1 Equip mant Markup 173.15 w Total Equipment&Tools Costs 997.65- Dum Fees c 22.00 22 3.00 66.00 2x4 S ails tons 31.81 1 31.8 15:25 485.10 Woven Geotextile roll 1 1 1 36T92 367.92 W 0 0.00 w 0 0.00 w 0 0.00 Sub-Total 919.02 O Sale Tax if a liable 0.00 Markup 192,99 Other Costs 1 12 02 Contractor's Representative Sub-Total 2,626A1 Sales Tax on Rented Equipment Sub-Total 2,526.11 Subcontractor's Representative Owner's Representative No. Sheet 1 of 1 ITOTAL f2,526.71 Daily Cost Record 2825 SOUTH 154th ST SEAT�vTT?LE,WA 98188 (206)242-0633 FAX:(206)242.0792 25253 III Pro)ecl..-'�a: _rr'w SG:-�,C/ f dob# ( .� it _.. Date- Cp: 10.. (a Weather Descuplloa(roust be complete) ) 1-1A -- DETAIL COST RECORD CODE HOURS - - RATE EXTENSION S.T. ' O.T , D.T TOTAL o Sub-Total ., Labor Taxes&Fringe Benefits Travel Time - -- LaborMarkup Total Labor Costs a _ 7c5r 1 ti L� _ ,5_6 • 104/ --I-3an - _ -- —- — o a, LLI Sub Total d Equipment Markup _ 1 Total Equipment Costs CGc�,tS�a(1 — 2 Sub-Total Sales Tax(if applicable) Material Markup Total Mate let Costs i w . .. _.._ _... O Total Other Costs / Sub Total / Bond Insurance Taxes sceneo Costs Millaus . Contractors Roprusentativo Suh-Total - _ Overhead 1 SulYoontraot,br s Representative owners Representative Sub Total Sales Tax �. ( No, Shoat of TOTAL _ __ �._ zooyz - ig S M T w TH F S It Date nvOICe No ' ._ LLC e - Truck No --. _.--._._. TruckType s Box 1561 Huck Rate: .� Trailer- P.O. 253-606-8755 i Buckley,WA 98321 tbargerdirtworks@gmail.com Truck Hours: r._ _- ....... Driver Hours, .J ss Customer: Job Add re _. >.,�r —, ---- --7� ' , r. :. l r r• Billing Address Starr. Stop; s ��1 �...._ Job Number I . I I !a:>.r` _ is�r. .rr + •:, ,..,: -I �.,!+ . rr. �7'Kil d:5°ax � .,... n ��-r�si�� �- �• '.t , r.. /, ;' ;z.e . � ��' 4f 1� : -e�. -1P x � 5^ �{d•f�i- e r>."Jr{,'z. °UU5'- r ,h. ..., -z.,,. . I i II 1 ` y Driver Sii�nanrrc Y/ _ Authorized Co. Rep Signature _ Print Name:Pram ame:,_. � �_ :.�.� : 11611 NO. :TICKETTIMF — i t :57 yU'A-I E 11/1 OJ201 �_ .5 1 CADMM Cuslomor No. Payment type Customer Name Order N. HEI®E2-6847 425-961;7100' 782992C Account SCI INFRASTRUCTURE LLC 10039047 800-322-8847 425-961-7100 WEIGHMASTER STATION Customer Job.No. Cuslomor P.D. Map Rol. �. IsRo Ord.it 14-14 / 99021100 - _- _ Truck Typo Two,No Vehida or—License Plate No. Trailer of llc¢nse Plate No, gene B1aek, Diamond Truck & Traile. BAR2ITT 26111 SE Gsaell Valley Hauler/Carrlor No. Drive r'sNoire De1ivaredt0 rdered Loatl NNo. Running Tatal 5Yiack Diamond, WA `3t.eT f 1 31.81 BD/I? CITY OF KENT PUBLIC WORKS RUS ®g 7t TEI,I, RD AND S ,ST KEN WORKS IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIl116111111111 KENT - PUBLIC K.ENT PARKS A . I 92050 2rr X 4" ROCK 31. 81 SCALE WEIGHT GROSS&TARL _ A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel __-_ _—_ —. RE _ Cross 102 3G0 LB THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge _ ® t�`rl.f' «&,___.. ...._-.__. -..._..—.-- Sales Tax To 38,740 LB/P.T* S�d t Scale Cadman, {Inc.} will not assume Liability for any property X�1Onn damage or any equipment damage for any delivery beyond for Net f;3. Zn LB Deputy Welghmasler — the curb lice. Total i n one ava+table l¢slgn,a+slorn¢n'ratvCS rucorpl R¢closen y9iynalnra Pnnt Name{Cuslomor} Crlvets Signature Standby agualure. X x X Time Arrb/e Job StaOIt Finish Standby Caelcmers Initials im --- Unloading Unloading Te X i Invoice Number: 5313863 INVOICE Invoice Date: 11/10/14 Page: 1 Terms of Sale: DUE BY 10TH }J HEADEL.BERGCEMENI"Group Customer Number: 7829920 Tax Code: WA-0NT Cadman, Inc. Customer Job: TO ENSURE PROPER CREDIT,PLEASE INCLUDE SCI INFRASTRUCTURE LLC THE INVOICE NUMBER WITH YOUR PAYMENT REMIT TO: MARK&ARMONDO SCOCCOLO 2825 S. 154TH ST. 15620 Collection Center Drive °------ SEATAC,WA 98188 Chicago, It. 60693-0156 Federal ID No: 91-0162302 i f5¢IIVc+, Ad T a, n'"".n ,.' k��;�r ,� +z`y t� 1'C aS0 Ord8T x='- F•S I9&C77fleY ;_; � .: wty' 'rr,. {,`ftSn'p - RUSSELLR AND JAM 9ST �� - - � 414 - 10039043Blac ��� � Y�v-k Diamond Ticket Ticket Truck Product product Descri :ion 0luanttt UOM Unit Amount Freight Fuel Extended Date Number Type Ship to Reference Number p y Price 9 Surchg Price Tickets: 3089521, 3089522, 3089592, 3089593, 3089659, 3089660, 11110/14 92050 2"X4"ROCK 31.81 Ton $13.75 $437.39 $437,39 11/10/14 99000 DUMP FEE CLEAN 110.000ubi $3.00 $330.00 $330.00 11110/14 119949 Enviro Fee 31.81 Ton $1.50 $47.72 Subtotal: $816.11 Total Qt : "denotes minimum freight charge applied to ticket Fuel Surcharge: $0.00 141.81 Total Tax: Woe 5 A"' r Ques4tphs2 Please callCustotXCr} tka6TZ 111V¢ICRtl'rrz ' r ; This invoice is subject to the terms set forth in the Credit Application and/or General Terms and Conditions of Sale, as well as any additional terms and conditions containted in the Quotation or Order Acknowledgement. Any additional or different (arms proposed by Buyer are hereby doerned to be a material alteration and are hereby objected to.All Items returned are subject to cartage and handling charges..Accounts are due and payable try the above stated terms. Past due accounts are subject to service charge as outlined in the Credit Application and/or General Terms and Conditions of Sale. HISTORY TICKET INQUIRY BEGIN DATE 10/l/2014 PRODUCT 99000 END DATE 11/13/2014 CUSTOMER 7829920 SELIJBUYfrRANS ALL ORDER 10039043 SHIP/RECEIVE ALL i Ticket _Lgg Date Time Customer Order Produc Carrier Vehicle City Unit Price 3087552 9902 10/13/20141:06:10PM $CI INFRAST 10039043 DUMP FEE C 8AR21TT 2290 Cubic' 68.00 3088202 9902 10/23t20141:28:56AM 801 INFRAST 10039043 DUMP FEE C BAR21TT 22.00 Cubic' 66.00 3088225 9902 10/23/20141:29:1513M $01 INFRAST 10039043 DUMP FEE C BAR217T 22,00 Cubic' 66.00 3D88324 9902 10/24/20141:52:0PM SCI INFRAST 10039043 DUMP FEE C SAR2ITT 22.00 Cubic' 66,00 3088351 9902 10127/20145:69:27AM SCI INFRAST 10039043 DUMP FEE C BAR21TT 22.00 Cubic' 66.00 3089521 9902 11N0/20143:26:37AM $CI INFRAST 10039043 DUMP FEE C BAR2ITT 22.00 Cubic' 60.00 3089522 9902 11/10/20143:29:37AM 801 INFRAST 10039043 DUMP FEE C BAR31TT 22.00 Cubic' 06R0 3089592 9902 11/10120141:57:40AM SCI INFRAST 10039043 DUMP FEE( BAR21TT 22.00 Cubic' 66.00 3089669 9902 11AW0143:10:43PM SCI INFRAST 10039043 DUMP FEE BAR21TT 22.00 Cubic' 66.00 3089660 9902 11/10120143:10:84PM SCI INFRAST 10039043 DUMP FEE BAR317T 22.00 Cubic' 66,00 Tickets 10 220.00 660,00 I i 11/17/2014 2:33:17PM BACK OFFICE-LEHIGH HANSON-CADMAN Page 1 of 1 Page: 1 Invoice NORTHWEST LININGS& GEOTEXTILE PRODUCTS,INC. Invoice Number: 0054128-IN "Helping to Protect the Environment" Invoice Date: 1 1/1 31201 4 P.O.Box 1248 21000 77th Avenue South ;;t '(;(' Order Number: G74035 Kent,WA 98032 Order Date: 11/12/2014 (253)872-0244* (800)729-6954 j FAX:(253)872-0245 Invoice Due Date: 1 2/1 31201 4 www,northwestlinitigs.com Terms: NET 30 DAYS i Sold To: Ship To: SCI Infrastructure, LLC S I Infrastructure, LLC 2825 South 154th Street 147TH & INTERURBAN AVE S Seatac,WA 98188-2034 RIGHT BY TEAMSTERS g OFFICE PAST FAMILY FUN CENTER Tukwila,WA 98168 Confirm To: RICK 206-730-2752 RAJ Customer P.O. Customer# Salesperson 1403 S00120 0030 Misc Accounts-NW& SW WA Item Number& Description Quantity Unit Price Extended Prtce GCPERM2200-13.1 3,200.00SY 0420 - $ 1,344.00 PermeaTex 2200-Woven Geotextile 4ROLL 336.000 13.1'X 550 = 800 SY/Roll 4 ROLLS PLEASE /DELCHG1 , 0.20 0.000 $ 0.00 Delivery Fee-2one 1 r BEACH II 0.000 rf , (i I a i I Partial Claim Release and Lien volaiver Please remit to: 1,3 .00 Net invoice: In consideration of a check for payment in the amount stated on this Invoice,and Northwest Linings&Geotextile Freight: $ 0.00 effective upon its clearing the bank upon which it was drawn,Northwest Linings& Products,Inc. Geotextile Products,Inc.waives and releases any lien or lien rights acquired by P.O.Box 1248 Sales Tax: $ 127.68 furnishing labor and/or materials for the property referenced above to the extent of Kent,WA 98035.1248 such payment. This partial claim waiver does not operate to release or waive any Invoice Total: $ 1,471.68 rights in connections with sums owed in excess of the above described consideration. i Barry, Jason I From: Jennifer Scoccolo <jennifer@sciinfrastructure.com> Sent: Monday, December 01, 2014 10:57 AM To: Barry, Jason Cc: Tyson Lashbrook Subject: SR516 to S 231st - F/A 11/5-11/19/14 Attachments: 0429_OOl.pdf j Please see attached. Thanks, Jennifer Scoccolo SCIIN v*993JA 2825 S 154th Street Seattle,WA 98188 P 206-242-0633 F 206-242-0792 I i 1 cez�rXt�$t�caa crulae Daily Pay Note Job# DAY: 1 ATE: ttAwj 1414 SR516 to S 231st Way j{(a Levee WEATHE ITEMS OF WORK; ,n Onsite Inspector: 1. r;i-f9A 1� -4fJ0 7, 10 2. 5. 8. 11. 3. 8. 9. 12, Bid Item: UM: Bid Item; UM: Bid Item: UM: Quantity Installed!: ((JJ Quantity Installed: Quantity Installed: ! 0 Xa i Bid Item; UM: Bid Item: UM: Bid Item: UM: Quantity Installed: Quantity Installed: Quantity Installed: Bid Item: UM: Bid Item: UM: Bid Item: UM: Quantity Installed: Quantity Installed: Quantity Installed: Bid Item: UM: Bid Item: UM: Bid Item: UM: Quantity Installed: Quantity Installed: Quantity Installed; Bid Item: UM: Bid Item: UM: Bid Item: UM: Quantity Installed: Quantity Installed: Quantity Installed: Bid Item: UM: Sid Item: UM: Quantity installed: Quantity Installed: Extra Work Today Check Box: Y N x DCR# Description of Extra Work: �I Conversation with Inspector: )a A,0� L-A,A,-' O rs Representative SCI Infrastructure VERIFICATION OF COMPLETED WORK y i i SDI Infrastructure, L L C. L�a11�7 C. r,t 1leci�iz j 014062 Project: SR516 to S 231st, Kent Job#1414 Date: 11/17/14 Description' Over ex foofinq s011117 side of wail at STA#5+05-STA5+22 per soils ongineer!load material Into TNT oxpod to Cadman pit'import 1-1/4"to kackfill and compact over-ex. i HOURS DETAIL COST RECORD CODE S.T. O.T. D.T. Total RATE EXTENSION Ken Bowman CA 0 58,54 0100 Ken Bowman CA OT 0 79,95 0.00 Kirk WhitneyFM 3 3 58,54 175.62 Kirk WhitneyFM OT 0 79.95 0.00 Troy Braun GE 3 3 61,33 183.99 Troy Braun GE OT 0 82,25 0,00 Kelly Braun TM 0 55.86 0.00 0 Kelly Braun TM OT 0 1 74.39 0.00 O Arron Stenson LA 0 49.07 0.00 m Arron Stenson LA OT I 1 0 67.35 0.00 Mike McMillan LA I I 0 49.07 0.00 Mike McMillan LA OT 1 0 67.35 0,00 Sub-Total 359.61 Travel Time 0,00 Labor Markup 104,29 Total Labor Costs 463.90 rn 1/2 Ton Truck w/small Tools 3 3 15.09 45.27 TT-on Truck w/tools 0 19.40 0100 0 138 Excavator 0 70.27 0.00 0 Dump Truck&Trailer 0 94.25 0.00 Backhoe w/Hoe ack 0 47,70 0.00 T3 00 Skid Steer Loader 0 3Z44 0,00. PC 200 Excavator 0 $6,41 0.00 Rental Trucking 0 130.00 0.00 460 Excavator 3 3 179.43 538,29 t- Double Drum Roller 3 3 22.96 6838 Z 0 0,00 w 0 0.00 g 0 0,00 a 0 0,00 :D Sub-Total 652.44 cd E ui ment Markup 137,01 u Total Equipment&Tools Costs 789.45 Dump Pees CTI ev 24 24 3.00 72.00 2x4 Spoils tons 0 15,25 0.00 1-1/4"Rock tons 0,0 7.50 0.00 m 0 0,00 of 0 0.00. ru 0 0,00' Sub-Total 72,00 o Sale Tax if applicable) 0.00 Marko 16.12 Other Costs 87.12 Contractor's Representative Sub-Total 1340.47 j Sales Tax on Rented�E<uipment Sub-Total 1 340A7 Subcontractor's Representative Owner's Representative No. Sheet 1 of 1 ITOTAL 1340.47 I i Daily Cost ('1t"ord 1508 VALENTINE AVE SE , PACIFIC,WA 98047 (253)218-0444 • FAX:(253)218-0454 1-4 0 G 2 I -1�._ It—`7/ � Protect.- azf/'_ df Job it >?y Dato_l/.nf��,�,f f -_ Weather G' 00le Doscri Lion(must be com2lato Lo /ire/_ L.✓n /9_�� '/r o;t /n 7ci �'-. /L�rr r.'.�d'✓""w Y '7`u _ _ _ ',.. _ LU¢.ot�.1� _�f1.7�..I.vnd'",-?'f. � 'r�u(�y'/f !� �,i'n'�a-t y v✓G� ----.____._. DETAIL COST RECORD CODE HOURS-6 RATE EXTENSION j S.T, O.T. .T. TOTAL i /Y/Ia Y do do Sub-Total Labor Taxes& Fringe Benelits - Travel Time Labor Markup Total Labor Costs Z W Sub Total _ 0 W Equipment Markup Total Equipment Costs (P Ile 62 cc _- Sub Total Sales Tax(if applicable) Material Markup Total Material Costs w F— Total Other Costs Sub Total Bond Insurance Taxes Miscellaneous Costs Contractor's Representative Sub-Total Overhead fto�ni'dctors Representative j Ot9nc Roprasentativa Sub Total Seles Tax No. Sheet of TOTAL Ic \� in \ lilt oil © ) ( � ! ! ) \ ` R < \> \ \9 Ellam ill, - / ! ^ d! ©C x ILL-L-L.-L-LIM }WIN » ) . . . . . . . . . . . . . . . . ... . . . . . .. .. . . . . . . . . . . I � � . � (SITEI -_ �tibKt7 GRID WEIGHMASTER m l PCRCD, LLC dba LRI.304th NL% 00338604 Robin 17925 Meridian St E - _. -_. -- - DAIE OUT TIME M TIME OUT VEHICLE � ROLL O DATEIN iFF Puyallup,WA 98375 _- ._ - -- :r 1117/14 11/17/14 .5:30 5:50 002194 PIVETTA BROTHERS CONSTRUCTION e° i 1812 PEASE AVENUE SUMNER WA 98390 12 I OTHER Scale 1 Gross Wt, 98840 LB Inbound-Charge ticket Scale 2 Tare Wt. 41000 LB Net We fight 57840 LB - FEE __,— - —-- — -- XNSIO -- OTY - UNIT TO DESCRIPTION RATE ETEN TOTAL 28.92 N 3 SOIL DISPOSAL-IC 21.330 616.86 22.21 639.07 F i ----------------- llll I C Operating hours 8AM to 4PM M-F&8AM to Noon on Sat. 304th Landfill-30919 Meridian/SR 161, Graham,WA 639A7 TENDERED prprh PO# WDA1762 ____-.__---__--_____. NOTES R&D TRK 12 cN6cKNo. 202 Ts TO REORDER CONTACT NORTH STAR rOnMa LLC(afh 49fl-0492 _ TICI(ET N©. _3(L9.O TIGXET TIME DATE 11 j19)201 Customer No, PeymantTy7Ac 0A.IDMer Name Order Na HEIDELBERGCFMGNTGroupn 7829920 ount SCI INFRASTRUCTURE LLC 26918 600-322-6847 425-961-7100 MUI Ref---`�' Dlep.Ord.n WEIGHMASTER STATION Custoruerdob.Nr. CoslomoiR.o. 99021100 --.. Tmv'STypit _ buck No. Vohicle or Liconse Plate No. Traitor or Ueonsa Pieria No. Zone r Blank Diamond Truck & Trailer- SCISOTT. -_ -- j 26111 SE Green Valle aulerioarrier Na. Dnvar's Nerve DeliverorVOidered Load Ne. Runn ng T��ota� AYack Diamond, WA 22.00 / 1 22.00 I r BD/P - CITY OF KENT PUBLIC WORKS KENT - PUBLIC WORKS e- 99000 DUMP FEE CLEAN DIRT ICY) 22. 00 ; 1 I I .__ ._ Fuel SCALE WEIGHT GROSS&TARE- p STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Surcharge --- - THAT EXCEED 10 MINUTES UNLOADINGTIME. _ Gross 105, 820 LB Sales lax $ Tara _O, 880 ' LB/P.T k Su t soO2 Cadman, (Inc.) will not assume Liability for any property �. damage or any equipment damage for any delivery beyond Total tl X_,Zet n..tL..er---- the curb line. Nei 61r21 O LB Deputy oi9hn'iader Print Name{Customer) Drivers Signature Standby No1�) ""a "onouslRocoivatl by 9lgnnWrri eg 0 XX X Flmsh StandbyAb Start T z� �_1_-_- nloatlin Time X r Unloadin - _-_ a_--.._, 3 ,I SCI INFRASTRUCTURE, LLC SAFETY MEETING MINUTES PROJECT/SITE: DATE; 1. ATTENDANCE: PLEASE PRINT NAME ❑See reverse side(fir addttlonat rranres 2, SUBJECTS REVIEWED AT EACH MEETING: ❑ Recent accidents, injuries and near misses: _ ❑ Citations, warnings and/or inspections received;___ ❑ New Jobsite Hazards (complete Hazard Analysis): ❑ Review Hazard Communication/MSDS (Product Name);_-_ ` ❑ Employee recognition: _ ❑ Disciplinary actions: 3. SAFETY TOPIC REVIEWED: (Seebinder. Topiesshouldbe appropriatefor•workbeingperformed) 4. DISCUSSION,SUGGESTIONS, INCLUDING ANY ACTION TO BE TAKEN PRIOR TO NEXT SAFETY MEETING: 6. HEAVY AND SMALL EQUIPMENT/TOOLS/MACHINERY NEEDING REPAIRS: (complete a repair order) 5. WEEKLY JOB SITE INSPECTION CONDUCTED BY:� ✓rG 9s_�j DATE: '11111'Al ITEMS INSPECTED: ❑Rigging ❑ Fall Protection, ❑Equipment, ❑Housekeeping,Cl Open Holes, ❑ Fire Extinguishers,CJ Excavations, ❑Electrical Cords, ❑ Ladders, ❑ Signage,❑Power"Pools, ❑Jobsite Seem ity, ❑Material Storage, ❑ Slips&Trips, ❑ Small Equipment&Tools, ❑ Chemicals, ❑Public/Pedestrian Safety, ❑Fite Hazards, ❑Sanitation, ❑ Quality Control CORRECTIONS MADE: ©The integrated Group,Inc. .� ID ( } / ® / 234 \ } � \ ■ f 2 i ~ _( ; \ \ co . m o y km \ f . \ \ k 40 m ` )f ! / � () / ( y ) { � � c � 32 ! » o \ ) § . \ x � } @< ® ~ . � � I � ) j CIRCLE ONE: SU T IN TH F S zozcftaurtumsnaEi�r• sraTrl.c.wnoBtoa Date: (200)242A533• FAX:(206 242"0792 TALLY SHEET CUSTOMER ! PROJECT _..®.'.. PROJECT NO. 7RLICK NO, TRAIJft N9. SOLO 'OURS T&T,HG�IR� TIME MATERAAI. 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IA G � 64 d M d dOo - o a GO FX � G 1 tj O on .p Y w pa H — ---- Vn an H y+ f a 4Ln U cn CL O , (� 0 ,4 � E A — I � i 3 dSCI Infrastructure, I I C 1Jaily :ost Re,t:#,'& 014065 i Project: SR516 to S 231st, Kent Job#1414 Date: 11/18/14 AN Description Over-excavte footings from STA#5+05 to STA5+66 6-112 ft below bottom of rock grade at footing•expodinq molts and importing in rock place and compact, j HOURS DETAIL COST RECORD CODE S.T. O.T. D.T, I Total RATE EXTENSION Ken Bowman CA 1 0 58.54 0A0 j Ken Bowman CA OT 0 79.95 0750 Kirk WhitneyFM 6 6 %54 361.24 Kirk WhitneyFM OT 0 79.95 0,00 Trov Braun GE 6 6 61.33 367.98 Troy Braun GE OT 0 82.25 0.00 Kelly Braun TM 8.5 8.5 55.86 474.81 m Kell Braun TM OT 1 0 74.39 0.00 O Arron Stenson LA 0 49,07 0.00 m Arron Stenson LA OT I 1 0 67.35 OM a Mike McMillan LA 0 4R07 0,00 Mike McMillan LA OT 0 67.35 0.00 Sub-Total 1,194.03 Travel Time 0,00' Labor Markup 346.27 Total Labor Costs 11,540.30 Lo 1/2 Ton Truck w/small Tools 6 6 15,09 90.54 1 Ton Truck w/tools 0 19.40 0.00 O 138 Excavator 0 70.27 0.00 O Dump Truck&Trailer 8.5 8.5 94.25 801.13 H Backhoe w/Hoe ack 0 47,70 0.00 T300 Skid Steer Loader 0 37.44 0.00 PC 200 Excavator 0 86,41 0.00 Rental Trucking 15 15 130T00 1,950.00 460 Excavator 6 6 179.43 1,076.58 01 Mo z 01 0.00 w 0 0.00 0 0.00 a 0 0,00 n Sub-Total 3,918.25 a E ui ment Marku 822.83 w Total Equipment&Tools Costs 4 T41.08 Dump Fees c 99 99 3,00 297.00 2x4 S alls tons 1 0 15.25 0.00 1-1/4" Rock tons 142.5 142.5 7,50 1 068.38 0 0 0.00 r 0 0.00 w 0 0.00 F- Sub-Total 1365.38 0 Sale Tax if applicable) 0.00 Marku 286.73 Other Costs s,1 652.1 ' Contractor's Representative Sub-Total 7,933.48 Sales Tax on Rented Equipment Sub-Total 7 933.48 Subcontractor's Representative Owner's Representative No. Sheet 1 of 1 TOTAL T 933.48 I Daily Cost Record 1506 VALENTINE AVE SE PACIFIC,WA 98047• 1253)218.0444 FAX:(253)218-0454 ry r Project � tv.i'lC,// /4 / Job# p{7^ ,tr r'' Date sT,�°..,// °��'�`9• �t'_. Wealhur«;wr„.a�` 'I Description must be cm�lotoL ° _ l�!��,, ell°.'rd✓/ •t�.A�rr=?sJds�7' 1't2.+ i��✓ �`/✓•m s.J`4, s� � -e"�c7�` - P� `a�17�9�� "" HOURS DETAIL COST RECORD CODE -------- D.T. TOTAL-T TOTAL-- RATE EXTENSION , " ---_—�Ir""f'G L�J r���'r l�✓r �[y10��. �.Pi � -__-._ - -_ —, .. .__�-''G�� '�c'�T"'� 1_C�.� mk�r.rtiL-z'�•�, . rc-y-<-,`_d' -f-m _.-- --_. _— 0 - ---- - _ Sub-Total Labor Taxes& Eringe8enefits Travel Time Labor Markup - ° - - --- Total Labor Costs 06 h .-_..__--.... W _. .__._._-__ -__-_.______.�_. Sub Total W Equipment Markup _ Total Equipment Costs FIN w Sub-TotalTax- Sales lit applicable) „q;y 1 ,G<a� fi (), PJ + ._ MatenalMarkup - - _ Total Material Costs �•� !•Y' .. }„° _"� ,r Lu H _ Total Other Costs Sub Cokal . .tw_•.._ . w_ ,r,. i Bond Insurance Taxes Miscellaneous Costs Contractor's Representative Sub-Total Overhead Subcontractor's Representative --_.-- Sub-Total \\ Owner's Representative .1 Sales Tax TOTAL - No. Sheet of C) av Tuns 3-Q TICI<ET rIME it 18/201 U Mm 'ounaverno, Payment typo cus tome`Name Consign, 8003226847 425-961-7100 782992 Ac ount SCI INFRASTRUCTURE LLC 26918 WEIGH N- Crammer job No. _c5u—stMor P.O. MASTER STATIONMap Her, Door.Ord a 99021100 --1 1 Truck Tyro' TrurR Na Vohicie coCise"Is Plate 11. mfo liair IJeunso Plate No Zone Black Diamond Truck & Traile RDT12TT 26111 SE Green Valle� 18—you ,b i(,—ad ma-. - on, boliveretllUrtlorotl Black Diamond, VIA Ing.93 to BD/P - CITY OF KENT PUBLIC WORKS yy KENT - PUBLIC WORKS 92152 CSBC 31.25 SCALE GROSS&TAAE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel Surcharge 103, 100 T THAT EXCEED 10 MINUTES UNLOADING TIME, Gross LB Sales To, late_ 40, 60U LB/P.T�* NET Soule I scale Cadman, (Inc.) will not assume Liability for any property — damage or any equipment damage for any delivery beyond N.4Deputy 62. 500 LB X_ n_ Jenifer igiimnstar the curb line, Total NO one available to sign,customer waives com Received y Signature Pilot Name{Customer) rves guoun. Standby signature. 0 x x x Time Start ... Finish Standby uumicurn.irs toners- Arrive Job Unloading Unloading Time x ATE N h, d Drivers Big awn, "n to Time sav� cas ro"o, Arrive Job X F fTICKETTIME Ga,=0 - Custormer No. Paroulut Two Name Order N... HElDELBERGCEfVIFNTGraupr 7829920 Account SCI INFRASTRUCTURE LLC 26918 800-322-6847 425-961-7100 Ovi Ord,N ER STATION vi 0,Job,No. C I P.O. wr=IGHMASTi on t I W-1,—H-f 99021100 z-- Truck Type `,dd,Na. Black Diamond Truck & Traile R DT12TT 26111 SF Green Valle usulavOaru.ar No. Drivers Name Black Diamond, WA 97,161 3 97.16 BD/P - CITY OF KENT PUBLIC WORKS KENT - PUBLIC WORKS 92152 C313C 33.27 SCALE WEIGHT GROSS&TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel Ali Gross 101 1 140 LB ---- THAT EXCEED 10 MINUTES UNLOADING TIME, Surcharge M�P—M-1- SadolaK lans—tq_,600 L B P.T social occle 2 Cadman, {Inc) will not assume Liability for any property —7 X.---ffexrn-d-� damage or any equipment damage for any delivery beyond Total N at—rE, County'�Vrughmasiter the curb line No s79 —feolm ne'relvic, by I Itimotim r it anno Customer Driver's 119,11.10 iStandby Time sqj'aiure x x Time Standby unnumers nowak, Start Finish Unloading X Un!l�oajdln g x Arrive Job Time Ti film 1 11181201 CADMANt Type _10ii—moi Nall dodar No FTII�E NID�. T Cuc r '�Ik'No. P-1. 800 322 6847 �25-961-7100 upc SCI INFRASTRUCTURE LLC 26918 WEIGHMASTER STATION Customer Job.Na 1uskener P.O. Iii Sol, ep.Ord.a 99021100 , _------ — I i Truck No. Vehicle or Ull Plare I Tirtior a I luonse plate No. Zone Black Diamond TIUCk & Tralle, SCIaOTT 26111 SE Green Valle, 15T,11- N�ircol i octal rail, Hack Diamond, WA 4 88. 00 I-___-I =1- 18 0 10-7-444— BD/P - CITY OF KENT PUBLIC WORKS iiff KENT - PUBLIC WORKS will Ittly It ii iti; 22. 00 " Mao m 9 9 0 cy) M:EM 1 9900 DU11p? FEE CLEAN DIRT (CY) 7—SCALE WEIGHT GROSS 8 TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel Gross 101- 520__I LB___ THAT EXCEED 10 MINUTES UNLOADING TIME. SUMh8ge 0 Sales Tax kull Tor.— 40,880 LB/i S I Scale 2 Cadman, (Inc.) will not assume Liability for any property X Tenn damage or any equipment damage for any delivery beyond Total Na__�Q,_SSAO LB l Deputy oVeleh the curb line. A Fould i'y Sl,7natu�n Prnt Name(Custol river.Signature Standby 0 X X X Time Start Finish Standby (Arrive Job T —TSta'adby ustoril all Unloading Unloading Time X. TBA 0 7 SU M W TH F S Date: Invoice No: IS vlli� �o K 1111C R Truck No Truck Type - Trail— " P.O,Box 1561 253-601 Truck Rate: f- - pr I Buckley,WA 98321 tbargerdirtNorks@gmaii.com Truckli Driver Hours: Customer. Job Address Billing Addri Job Number �` 'LL - ----- I Elm==I mommmoomm�tt X/ T Driver Signature ------.Authorized Co. Pep Signature:__ Print Name: I Print rill q L*,.rpI No. Payment , ype OuslomarNarna Oder No............ N F RID 800-322-6847 425-961-71(10 7629920 Account SCI INFRASTRUCTURE I.LC 26918 WEIGHMAifER STATION Customer Job-No. custoricr R0, Her,Re', Dists,Ord,V TYuckType (ruck No Veoldoo,License More No. baterarbconsortawric, zono Black Dr.mood Truck ru aile1 RDT I 2TT — _ 26111 S Glseen V.111y JT6,,IerrUai)� gliseck Diamond, b 3 7� 66�00 BD/P - CITY OF KENT PUBLIC WORKS KENT - PUBLIC WORKS 11 ININ MOM COMMEMMM 0 0=0 DUMP FEE CLEAN DIRT (CY) 22,00 scAfewRICNT GROSS&1ARf A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge 3ror,s_�107 140 LB Sale'Tax A! I Ne,e2 Carl (Inc.) will not assume Liability for any property ' I x_ darriage,or any equipment rlarI for any delivery boyntrid Total Not—6 ig,940-LB Dorloy rerpynI the curb this. I F*c,_,ii7—ayeaw to*lgncusI"9(vaI receipt Received by sionotone loffilreirw(Customer' awo S Ignite Standby ""N CustomoPS El x x me Start f I-iniol-I Standby k1rlV1joT_ unloading Time X Unloading Time oval S U M T W ' TH F S "W A M.JrA.,V IF Date: Invoice Noi Truck . P.O. Box 3673 Rick Sato 253-720-7213 Truck.Bate.—_'Trailer: Federal Way, WA 98321 RandDtrec@gMail.COM TruckHours:_' Driver Hours._IoL CLIStorther Job Address:-- ---- ------------ Billing Add roess: Start -----Stop:42,-o"'."I", ,I Job Number:_ '__! __ < 1% ff rt c Driver Signature; Authorized Co. Rep Signature— Print Name: i I Lj t t i T GKFf NO. TnME r, affC_r DATE. 11/1@/2U1CADMAN j Customer Na Payment Type Ctsiomer secure Carer No. H EI DELBF.RGC.[AA FIN I Grr>rlp'" 800-322-6847 425-961-7100 782992t Account SCI INFRASTRUCTURE LLC _ 26918 WEIGHMASTER STATION customer Job,No, Customer Ro. Mop Far. _- Crop,Ced.ft { 1414 1 99021100 Tr -- uckType Truck Na Vehicle or Iconse Plate No m License Plat©No. Zone Black Diamond Truck & Traile BAR3ITT 261,11 SE, Green Valle Hamor Corder o, Driver's Name Gal varetllortlered Loed No, nuaning Totai { £lack Diamond, WA 151.00 / 7 154.00 BD/P — CITY OF KENT PUBLIC WORKS RUSSEL RD IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1I1111 ICENT — PUBLIC WORKSZEN I I 99000 DUMP FEE CLRAN DIRT (CY) 22,00 SCALE WEIGHT GROSS&TARE _ _ A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Gross 38,740 LB -'--- -- ---_---< ' ° -_._ __ __._.. Sales Tax, sere^_ 39z780 LB/P-T. scalanie r seats Cadman, (Inc.) will not assume Liability for any property < damage or any equipment damage for any delivery beyond Net —1 ,(ln 0 LB X Deputy sighro eter the curb line. Total No trno avallabio to sign,cuslomar waB•ns receipt Rooscoriby Signatum Print Name(GUStomer) Driver's Signature Standby signature. O X X X Time Start Finish Standby cusiomo smtas Arrive Job Unloading Unloading _. Time X FTICKETNO. TICKFTTIME DATE 111 9 2gp.S.L � 1'o, Payment l"ypa Customer Name Ordnr No, 8003226847 425961-7100 82992_ Account SCI TNE'RASTRUCTURE LLC _ 26918 WEIGHMASTEH STATION ob.No. CrRomerpo, Map Bet —^ Dicc Ord,0 1414 I 99021100 Truck Type Truck No. Vehldeor License Plate No, Traitor or License ears No Zone Black Diamond Truck & Traile BAR3ITT 261.11 SE Green Valle Houl "canter No. Driver's Name DelivereTodemtl Load Na � Banning Totai E9.tack Diamond, WA lse.6a / 5 158 .68 BD/P — CITY OF KENT PUBLIC WORKS RUSSEL RD IIIIIIIIIIIIIIIIIIIIIIIIIIIlII111111IIIIlIIII KENT — PUBLIC WORKS 92152 7CSBC 31,20 "GALE WEIGHT GROSS s TAHE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel THAT EXCEED 10 MINUTES UNLOADING TIME, Surcharge LB - Sales Tax Tare 39, 780 LB/P.T_* sucgel sct!oz Cadman, (Inc,) will not assume Liability fm any property —j I damage or any equipment damage for any delivery beyond Net non L$_ K_gpprrry' e iota" ar the curb line. Total No oneaver3ria to sign;alarms,s.lvos flualpt rFlI Ned by Signature Pdnt Name(Cuslomep Driver's Signature Standby _f nlgnatum. Time E X _ .X ..--_.� X —( Start Fiji Standby 'Cusfamors In tin Arrive Job Unloading __ Unloading Time ' - I - - - '0" # b#' ' /�TICI(ET NO �yTIGKETTIMF [ -ylt-� Lt DATE 11 j1N/Ini l uL + °� Cuslomof N4 Reyment Type toer Cusm Vanne Order Na. HrsDEtRe cr F 1 vrGan L�„ 8003226847 425961-7100 782992C Account SCI INFRASTRUCTURE LLC. 26918 WEIGIiMASTER STATION Customer Job.No Customer RO. Map Rot. Disp.Orcl,ft 1414 / 99021100 .�._ ----_ _____ Zeno Track Typo iruok No Vohlcle nr Licenso Plate No. haAor or License Plate No 2onu Black Diamond 'Truck & Traile. BAR3ITT 26111 SE Green Valley Hs_uor Carrioi No. Driver's Name bvarecV o Ordered Load No Running Tort Mack Diamond, WA 411_2 2 44.00 BD/P - CITY OF KENT PUBLIC WORKS RUSSE I RD, IIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIII KENT - PUBLIC WORKS ®- . . o. 99000 DUMP FEE CLEAN DIRT ICY) 22.00 SCALE WEIGHT t— GROSS_&TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Gross 0 LB_ * . G� O Sales Tax turn 0 LB/P.T.* Settlle.I Scala2 Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond X--'I� if—'r— the curb line. Total Deputy is rghmast er o one avaliable to sign,customerWaivea receipt Received by NgnaTo Prinl Name(Custome) Odveis Slgnafiu'a Standby signature. Time d__- X - .� .._._.—. X X Start Finish Standby Customers m7u�r Arrive Job Unloading -..j_Unloadmg Time __ X ' '. r10KN �A90450 TICKET TIME Tar No. Papmont Type Customer Name Order No. H EI P.IELBERGLEMl NiGroups800-322-6847 425-961-7100 29920 Account SCI INFRASTRUCTURE LLC 2F9 R WEIGHMASTER STATION rJob.No. Cuetmnor P.O. Map RoL Dlsp.Ord.u99021100 14 14 _o reek No. Vehicle or Ncanse Plate No. Twiler or License Plate No. Zane Black Diamond BAR3ITT _ _ _ Truck & Traile _ _ 26111 .SE Green Valle, — ' `" -"" —` I HaulerfCarrler No. Dnvata Noma DOlwerod/ordered Load No. running Total B4 —Diamond, PIA 1 BD/P — CITY OF KENT PUBLIC WORKS RUSSEL RD IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII111 KENT - PUBLIC WORKS 92152 C5BC 31.42 i SCALE WEIGHT GROSS&TARE .."_ A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel --- -- — - ----- Surcharge -- THAT EXCEED 10 MINUTES UNLOADING TIME. gross 102, 620 LB --- -{ � • _Lj Sates Tax Taro 39, 780 LB/P.T2 ea Scale Scale Cadman, (Inc.) will not assume Liability for any properly Jenniferrn carnage or any equipment damage for any delivery beyond Net_. 62, 840 S:rB._ __ X Deputywelghmaster "- the curb line. Total No ono svalolAo to afgn,cuslolru+n•Ialvos rocolpt Reaalvad, STruturp) PrintName Customer) Drlvor s Sipna:ma Standby �d elgnemre. f 1 k Time X X — Start Finish Standby Customer's m¢Iela Arrive Job Unloading Unloading Time X l 1 -•1 v f �'^e: 'xll II KET NZ). ( �rIOKET TIME _AR.:.3E..�.1 BATE ]121aJ201 `"'" r'1✓ �aF ' r 9�a� on tomar No, Pa'Tmeenntt Type Lusiomer flame ____� Order No. 3S j0 ,J ( nl IC.,• ,Y'. 8003226847 425961-716o 7829920 Account ,SCI INFRASTPUC.TURE LLC 26918 � WEIGHMASTER STATION CrStolnee JoG No. GueiomerRO. Mnp RbL I:Iap.D'r .!t , / i 99021100 - a � i TruokTYpe Truth No Vsnu le or tl em-e Piste No. Lai;cr or Litanse Pere No. Lena Black Diamond Truck & Trai-le SCI80TT I 26111 50 Gseen Valle} IlaufarlGarrls�Na orlvers Name DolivorotlJOrneretl Loec N� o, Running Tolai Mack Diamond, WA 33.4`7 1 32.47 BD/P - CITY OF KENT PUBLIC WORKS KENT - PUBLIC ;CORKS 11111111111111111111111111111111111111IIIIIII i ar �, 92152 7 CSBC 32,47 7 SCALEWEIGHT -. GRoss&TARE - A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel .___ . ._.— _._ _ -_._-. - Surcharge THAT EXCEED 10 MINUTES UNLOADING TIME, Gross 105J 820 LB i ....II Sales Tax Tare® Q,.�80 LB/P. Scotat Sonin2 Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond R �.rsA! , E- ---- the curb line. Total Not 6�-r-�-D t•B I7n4yuty WG�lnnes�x No ens nYailaNnln a!pf,cue!omsl t•+alvos wialpi Rocoivod by Sfgnatiuru Print Narne(Customer Diners Signature Standby slgnalure, �—y Time X X Start Finish - Standby Cualomars inn!aty Arrive Job Unloading Unloading Time X ' CIADMM n7B2992FAccerunt g� s,`(DATE Guslomer Name 42, Oiler No800822-6847 425-961-7100 unt SCI INFRASTRUCTURE LLC 26916WEIGHMASTER STATION customerJab.No. - Mep RA Dide,Did.it 99021100 j raile Tr & T r SCT 80TT __ 7YuckType lines No, Vohole or License Pinto No. Troller or UcetrtBlack Diamondo Plataa No. Gene Truck 26117. SG Green Valle' HeuleVDarrtat No Cobras Name Delivered(Orderetl acTNo:— ftunein(1 Tole §3aek Diamond, tdA Lo � 12'7 qg e 127,98 BD/P - CITY OF KENT PUBLIC WORKS 1 KENT - PUBLIC WORKS I IIIIi(III)IIIII IIIII IIIII IIIII IIII IIII Ilil MMUMIMI 92152 CSBC 30.32 SCALE WEIGHT l GROSS&TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Foal THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Gross.--_ 101,520 LB - _. i [� Sales Tax Tare 40, 880 LB/P.T* sealer 9oa> z Cadman, (Inc.), will not assume Liability for any property damage or any equipment damage for any delivery toperond -o LB '1—i51l tioigrrrn©Cr the curb line. Total No ono available to sign,customer waives medic Receive tl by signature �. Pant Name(Guslomer Orlvors Signature Standby y X X X Time ( Start Finish Standby eustomers mlrtala Arrive Job Unloading Unloading Time ..._... _— I X — --- l rTIGKETN QTICI(LT TIMEg nkATG L7/1&J201 r No. Pe9mep Customer Name Order Nat til 7 1 F'tt II V I, , ll"800d22-6847 4258617100 782992 Account SCI INCRAS'IRUCTURE IIC 26918 WEIGHMASTER STATION r Jot%No. ousmmer P.O. Lahr.Ord.9 a 1414 / 99021100 --- - 1-c ckTypa Truck No. Vet icla o Hcora Prate Nn ➢ aka w l.teoneo P@de Ne Zone Black Diamond ruck & Traile BAR3ITT R� �DQrid, taA11e larJGo No nnvreNane26111 SE Green Va _ - 5 BD/P - CITY OF KENT PUBLIC WORKS RUSSEL RD III IIIIIIII1111 IIIIII IIIIIIII 11111111 KENT - PUBLIC WORKS 99000 DUMP FEE CLEAN DIRT (CY) 22. 00 l SCALE WEIGHT GROSS it TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fall ------ -- THAT EXCEED 10 MINUTES UNLOADINGTIME. Surcharge 55., 860 LB Gross - , - - � � .._ Sales Tax LB/F.T= a.i Scale Cadman,(Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond X oapvty a m,0 r-inir the curb line. Total 14o we aVallaMe to sign,cuetomanWalees recelpt Runaivael by 9lgnyourd Print,sme(Cuetomer �ivnr'S SiBnniUlo Standby signaturo, X X X Time --rT— Customer's lnliiais Arrive Job Start Finish Standby ' Unloading Unloading Time X ---EOMN - --- f (TICKEr NO,__ 3D 9Qr� TiCi<ET rIUE 11 .i7:32 oAT6 1111fl/2a1 ._ Cuslomor Nu. Paymantlyps Customer Name Ordar No. 800-32HEIDE -GB47 M-961-7 TpC 782992 Account SCI INFRASTRUCTURE LLC 26918 800-322-6847 425-961-7100 --- WEIGHMASTER STATION Cusiomor Job.No. - Ouaiomor P.O. Map ROL^ -" Lahr.ord.x / 99021100 , �II{r Truck No. — or �___ _ _. xz Tr solar Carder No. Dnver'sN RDT12TT _ Uellvshretl(chdere�jleta Na, LiQller or Lioenee Plale Na Zono Haack Diamond TYUck & Tr711e 26111 SE Green Va11e ---®" ad No. Re ng Toiat -- Hock Diamond, WA 13?..Go / 6 132.00 BD/P - CITY OF KENT PUBLIC WORKS KENT - PUBLIC WORKS IIIIIIIIIIIIIIIIIIII I IIIII1111111111111 99000 7-mm DUMP FEE CLEAN DIRT ICY) 22 .00 i SCALE WEIGHT GROSS&TARE_ A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge 57, 300 LB cross.. -.—. — - Sales Tax -lnn 40,600 LB/P.T* scaler 3cais2 Cadman, (Ina) will not assume Liability for any property _ damage or any equipment damage for any delivery beyond Net_ 16 700 LB X Jenniferru(y eighmahter____ the curb line. Total De r ----- y g Our Name Guslomer Lrivers 6,gnalme Standby nto onn avuiigble to s?pn,urstama vlalvca recsipi ecues' Signature ( i Signature. X X Time { _�Unoa nish ___ V ustoc ui s sale e Arrive Job _ Uinloadiny _"_-_ Timedby _ ' CIRCLE ONE SU M T W TH F S 2825 SOUTH 164th STREET- SEAT TLE,WA 98188 Date: _Z�e -0633• FAX'(206)242-0(206)242 792 TALLY SHEET CAJS NIER PROJECT q PROJ�02 NO. I RUM,NO, TRAILER NO. SOLO Jouris T& FF 'A L TWE MATERIALAIAMRIAL MATERIAL LIME WAR SLANDSY LOADED TICKET ft HAULED L040EDFROKI DRIVERED TO UNLOVIDED SEE PUE V REMARKS: DRIVER NAVE(PRWO Time Stan Standby DRIVER SIR,'Wil rME Time End Travel x TOTAL HOURS OFFICE COPY Uptown Printing&Graphics 263-4604110 W NON o > e J U s.,'�. T N r H v >r.N > r? O VOi wM cli t- m ,yam'r„J ,,..7F_ Pi m o •" i f) I 'JW///��'" ' I .rt4J W N d olL CY O O N N N ! I ( �'y i✓ 5"N11 �N �'_�� c� M � n � � � W o � � i �r��,•r�c�a oroa i a E m m o9£ y NC m Z m m T r Cq QJ N M M O � OEN pU� xi n E EN�h COJ FF E �5 Or O= 3U C.fl N th V c ,h N t3 N v uE i= a O O O O O c4z ro� I i CI Inftastructufe,L L L Da1ly(; 4'Rt.c:c7 d 014066 Project: SR516 to S 231st, Kent Job#1414 Date: 11/19/14 Description; Over'excavato footlogs on south side otslte;expod-spoits to CadmimpiY imeort2x4 spans and 1-114"crushed rock to bactddt looting'pkxle and compact. HOURS DETAIL COST RECORD CODE S.T. O.T. I D.T. I Total RATE EXTENSION Ken Bowman CA 1 0 .58.54 0,00 Ken Bowman CA OT 0 79,96 0.00 Kirk Whima FM 3 3 58:54 175.62 Kirk WhitneyFM OT 0 79.95 0,00 Troy Braun GE 3 3 61.33 183.99 Troy Braun GE OT 0 82.25 Kelly Braun TM 8.5 8.5 65.86 474.81 n- Kelly Braun TM OT 0 74.39 0.00 O Anon Stenson LA 0 49.07 0.00 m Arron Stenson LA OT 1 0 6T35 0,00 Mike McMillan LA 0 49.07 0.00 Mike McMillan LA OT 0 67.35 0,00. Sub-Total 834.42 Travel Time 0,00 Labor Markup 241.98 Total Labor Costs T 076i40 O 112 Ton Truck w/small Tools 3 3 15,09 46.27 -� 1 Ton Truck w/tools 0 19.40 0,00 O 138 Excavator 0 70.27 0100 O Dum Truck&Trailer 8.6 8.5 94.25 801.13 I-- Backhoe w/Hoe ack 1.5 1.5 47.70 71.56 T300 Skid Steer Loader 0 37.44 0.00 PC 200 Excavator 0 86.41 0.00 Rental Trucking 11.6 11.5 130.00 1 495.00 460 Excavator 3 3 179A3 538.29 I- Double Drum Roller 1.5 1.51 22.96 34.44 Z 01 0.00 w 01 0.00 g 0 0.00 o_ 0 0.00 n Sub-Total 2,985.68 cd Equipment Marku 626,09 w Total Equipment&Tools Costs 3 12.67 Dump Fees cc' 110 110 3.00 330,00 2x4 S alls Cadman tons 111.0 111 15,25. 1,692.29 1-114" Rock tons 0.0 7,50 0:00 j rn Best Parking lot#94153 1 1 416.10 416:10 a[ 2x4 S alls Renton Recycle tons 30.4 30.4 19.50 593.39 Lu 0 0.00 I- Sub-Total 3 031.78 O Sale Tax if applicable) 0.00 iMark5p I 636.67 Other Costs $3,668,45 Contractor's Representative Sub-Total 8 357:62 Sales Tax on Rented Equipment Sub-Total 8,357.62 Subcontractor's Representative Owner's Representative I No. Sheet 1 of 1 ITOTAL 8,367.52 I i Daily Cost Record 1466 1508 VALENTINE AVE SE - PACIFIC,WA 98047• (283)218-0444 • FAX;(253)218.0454 0 Rro Let L� -.. '�?'� # T �..s4{i„� lr DC7i'2...5"cr.r°Jalv� nthor L�n&Gfi e Iete fj 'u''Gr' CC1IG{)Ls r �•' GuN6-��HOURS t✓ .7G n.c S'7' ��'.. _i<. C).S'7 - Z`!*S"T�AL/�,�.f",T'�+"G t✓ La.jLs/'r�'�.,LUrr efGfa-- ty)� vv�_ot G r i �,..._.% �jsu�a`o/'y,J-' jTiy«L <-' S'C✓c. a �rG. �H f'i/� � DETAIL COST RECORD CODE - --- RATE S.T. O.T. D.T. TO .✓-L— �,-awe ��- .� -- - a O ED Labor Taxes&Fnnge Benefits Travel Time - ----- - ---- Labor Markup Total Labor Costs O r r[..c/G n- - - -- — - o Gates/�GGrI .c --- - _ - z , l7c �C Jar IIILcp — , w __. ��✓G•G'CGt•y'"r/c.._ctiH liTL .-- �_ 7 — :'1 »,P . _ Sub Total LU O Equipment Markup Total Equipment Costs r• �5 mi /AZJ 0 /"a l( 1 �6r1�Ct — —A's raj 7F S w2r 7� a s � sun Total Sales Tax(if applicable) Material Markup Total MaterlaI Costs ` w A — o Total Oth osts er Sub Total h �. / Bond Insurance Taxes ��• Misoellaneous Costs _ C n raetcr's Representative Sub-Total Overhead Subcontractors Reprosentauve — Owner's Representativa Sub Total Sales Tax No. Sheet of -TOTAL i BEST PARKING LOT CLEANING INC Invoice Number; P O BOX 159 135665 SUMMER, WA 98396 Invoice Date, Nov 19, 2014 Voice: 253-863-3330 Pax: 253-770-0724 Invoice Page: 1 Bill To: .lub Sife: SCI INFRASTRUCTURE LLC 1414 2825 S. 154TH ST RUSSELL ROAD SEATAC, WA 98188-2034 KENT CustomerID CustomerPdPayment I '1"erms Duc. Date I SCI SNB _ I I Net 30 Days 1?/191'l9 Job Slip#/Description i-Iours Price Net VACUUM TRUCK JOB SLIP I153627 11/1.7/2014 VAC��?.QO 11.5.00 730 OQm WATER CHARGE PER LOAD (UP TO 2,000 gallons) LORD: 1..00 35.00 35.00 VACUUM TRUCK JOB SLIP 995206 11/18/2014 VAC 2.00 115.00 230.00 WATER CHARGE PER LOAD (UP TO 2,000 gallons) LUAU` 1.00 35.00 35.00 DISPOSAL OF MATERIALS y170.20 PER YARD <Eaet 1.00 178,20 1.78.20 VACUUM TRUCK JOB SLIP i)94153 11./1.9/2014 VAC 3.00 11.5.00 345,00 t WATER CHARGE PER LOAD (UP TO 2,000 gallons) __LOA0. 1.00 35.00 35AB 2 0 �K Subtotal 1,088.20 Sales Tax 103.38 TERMS; NET 30 DAYS MONTHLY FIN CHIa 1.75°f° Total Invoice Amount 1,191.58 PLEASE SHOW INVOICE NUMBER WITH YOUR PAYMENT Payment/Credit Applied ALL INVOICE DISPUTES MUST BE SUBMITTED TOTAL 1,191.58 � IN WRITING PRIOR TO INVOICE DUE DATE I I RECE'�lrf' INVOICE RENTON CONCRETE RECYCLERS LLC 22121 17TH AVE S E N117 BOTHELL WA 98021-7404 o n fA.! ° I;14 ✓oo OOp4 425-481-9101 PHONE 425-486-3346 PAX °,"'"''f Dare 09l25114 (rtYd/C91 � WS5224 1 l fl{(( S C 11WRASTRUCTURE LLC :✓vv 1 70 2825 SOUTH 154TH S'1'RGFT bnst/tprlai SEATPLE,WA 95/88 r mom Renton point O¢ia 09/25tt4 - IfMn b Ovsv tivn _ rMA4 AAAO avaea 0_uantiN PIicD_, Total ON625 2x4.QuARRYROCC 225650 59.25 19.50 115536 I t L4 I l�Uh I i Subtalvl Tex 7"otn) ....._.__7155.38 — _ .OU. __ - _1155.38 uetomor opy 1 I I i T APB . t .N f � I f,41W as vk LLf Date. _-- Invoice No Truck o. TruckTypef' _ Trailer,- = _ FO Box 1561 253-bt)6-8755 Truck Rate. - - - i Buckley,WA98321 tbargerciirtworksOagmail.com Truck Hours: _ _, DuverHOUIS _.� .._. Customer .-- _--- JobAddresa =— —' Billing Address Stop:- ?b';y - _ JobNumber. f r f . ) t i i i Driver Signature c Authorized Co.Rep Signature + r Print Name; _ '� � .______--Print Name: rAR, ^� ��-D M, TJI 1 S s a -` LLG urk Jo. ;f'�t -_ Truck No T c _,..... — k Type: P.i�.Bor, 15b1 - Truck Rate r _ Trailer tO lrd 253-60b-8755 �- Buckley,WA98321 t'bargerdirtworks@gmall.com Truck Hours: ___— DriverHVUrs: CUStomei". � _ Job Address BiIIine�Add ress Start ',, Stop: i -- — — - Job Number I , 1 - G' ry i L faw t Sri . 1.,,--+' r'. DriverSignaturt __ _ .---,--.Authorized Co. Rep Signature: �=•-- -"` Print Narne:— -1_'_t_ — = :.. ` / .-. .- -.._. Print Name: i W W �w w n , 0O. o g wO aO r6. 4 O y w U �w d' 8 jQ O w , m N O N d3AFIX A b D & af 4 o ¢y C to Lu 16 W w p Z;i h S' Sq a W Z z tl1 O CJJ v O p Cf .B & �'. a '•�` 1- Li #k 4 3 1 p 1O 341 > .�', 2 c1- 'O: w a K Eit O }` J y U V�i a o a w Z J p o ..1�. 95 GI O 0 `,' ¢ W z Fes- LL a 65 vi m c cr o LL d e» > c a U O ii 1 , { i I - - - TICI(ET NO. (ICIGET TIME DATE Customer No. Payment Type Customer Name Order No. 1}IDt Ltir t 1 iVll Nlt,rngj- 782992 Account SCI INFRASTRUCTURE LLC 26918 800 322-6847 425 961-7100 r WEIGHMASTER STATION Customer dob.No. Customer P.O. - Mep Hel. Dlsp.tard.N 99021100 14-14 / Truck Type Truck No, Vehicle or License Plate No. Littler or Cleanse Plate No. Zm,a Black Diamond 'Truck & Traile 5CI80TT SCI80 B 26111 SE Green Valle —'— '— --" HaulertCanior No. Drivers ant¢ Delivered O-7rder�— Load No. Running Total g4ack Diamond, WA "79.ar>-1-- - 3 79.96 BD/P - CITY OF KENT PUBLIC WORKS RUSSEL ROAD IIIII IIIII II I III IIIII IIII IIIIIIIII KENT - PUBLIC WORKS i 92050 7"' 2" X 9" ROCK 15.79 SCALE WEIGHT GROSS BTARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fusl THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Groes® 101, 860 LB Sales Tax Tare 70,280 LB/P,T* Sccalle I Sca�ie2 Cadman, (Inc.) will not assume Liability for any property _. X .J.enni fe r damage or any equipment damage for any delivery beyond Net 3] ,S80 LB Deputy Weahmaetei the curb line. Total No one arJlide sales,evalroarwate9 ree0411 even by Signature tint Name(Customer Driver's Signature Standby signature. Time o x x x Start Finish Standby Customs aInlllais Arrive Job Unloading Unloading Time x c TICKETNO. TICKETTIME � DATE_ 11.j19/201 a Cuolomer No. Paymerd'lype Customer Name Order No, aiElLlELtsERcc rMrNrctDtt(�•, 600-322-6847 425-961�7100 782992 Account _ SCI INFRASTRUCTURE LLC_ 26918 WEIGHMASTER STATION Customer Jab.No. customer PA: Map Rol. "- Dkp,Ord.9 14-1A / 99021100 Truck Type Truck No, Vshide or License Plate No. Trailer or License Plate NO. lone Black Diamond Truck & Tri ile SCTBOTT SCI80 B 26111 SE Green Valle Haust/Oanler No. Drivers Name — Oellveremor erect Lead No, Running Total Heck Diamondr WA ae.0o�_ ___ 4� 88,00 BD/P - CITY OF KENT PUBLIC WORKS RUSSEL ROAD IIIIIIIIIIII I11illllllllllllillllllll KENT - PUBLIC WORKS i I 99000 DUMP FEE CLEAN DIRT (CY) 7LOADS SCALE WEIGHT `. QROSB:&TARE - A STANDBY SURCHARGE WILL SE ASSESSEDWar aTHAT EXCEED 10 MINUTES UNLOADING TIME, gtress 121i88p LB _ _._ � Tax 'are_. AO 860 LB/P.T* S�Ta7e1 scale2 Cadman, (Inc.) will not assume Liability for any property damage or any equipment damage for any delivery beyond let_ —C_Ip 0.0_L.S X poli yj',iig.mae ar - the curb line. Total o ono avallnble to sign,Wslomel urslvos receipt Rocolvau 8gnaturit Rind Name(Gustomeq Drivers signature Standby prei ve, Time o x x X Start Finish Standby uraomers initials ,n'ive Job Unloading Unloading Time , X _....._..___, i ( � TICKEr NU. '3f19f17S4m. -- TICK[TTtME l.,,.rg DATE �P ltl. 9/201� HEIDELBERGCEMMIEGroupra' Customer No. Peymentlype Gustomer Name Order No. 800-322-6847 425-961-7100 782992t Recount SCI INFRRS'I'RUCTURE LLC 26918 WEIGHMASTER STATION Customer Job.No. Customer P.O. Map Ref. Pico Ord.B 990211U0 -- 1414 / Truck Noe Trud,No. Vaticle or License Plate No. Trailer or License Plate No Zone Black Diamond Truck & Trail I BAR2ITT 26111 SE Green Valle Hauler Garr ro No. Qr(vcYs Name -�� �®.._.�.'._ Deliverad/ordered Load No. Running Total Y1ack Diamond, WR 132.D0 y 132,00 -9oFyJ:0-7-8U. _-- i BD/P - CITY OF KENT PUBLIC WORKS E KENTL RD PUBLIC (WORKS IIIII11111111111111111111111111111111111111 Mff 99000 DUMP FEE CLEAN DIRTa (CY) 22•0 -SCALE WEIGHT;I i GR_Cr35&TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel -- - THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Gross 100,760 LB Sales Tax Tare 38,740 LB/P.T*_ Sca�iat Scale Cadman, (Inc.) will not assume Liability for any property ry damage or any equipment damage for any delivery beyond Net 62, ogO 'LB X r'Ij f ohmester the Curb line. Total 'o one ave[00 to sign,aegarn envalwisrocoipt Hennivetiby SoneWra Print Name(customer) obrer's Signature Standtny signature. Time CI X X _ X -' —�'— Arrive Job Start Finish Standby uslomare impale - Unloading Unloading �. Time X T UQT NUn30rv�- -- TICKET TIME 4� v ,l ,.ER rE ttjl9/'7,ii. - ((ycu tsome(ND Fay..anl`fype Customer Namu Order No. 800.HgjDa2B6347 25-9TC7100 1 7829920 _ Account SCI INFRASTRUCTURE LLC 26- 800-3226847 425.9G1-710D 111 - - -'- WEIGHMASTERSTATION CusunierJob.No. cuuWrnor P.O. r+isia Roi OieP.Orda 1414 j 99021100 ---- `- -- Trucklypa Trc;;k No. Vehicle or Llrmnss Place Na. Tralier or Ll,ntltss Plate N0. 2ono Black Diamond Truck & Trailer BAR3ITT 26111 SE Green Valley HaufeECnirior No. DrlvaYs Name Deliverotl/ordele'fi`—Luad No. Running Total Black Diamond, 97A 32.16 1 32.1 BD/P - CITY OF KENT PUBLIC WORKS KENTEL RD Illlllllllllllllllllllllllllllllllllllilll KENT - PUBLIC WORKS a—, ea — 92050 2" X 4" ROCK 32.16 _ — SCALE WEIGHT GROSS&TARE p STANDBY SURCHARGE WILL RE ASSESSED FOR LOADS Fuel _._.. --_.__ —_-- THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge 00 LB 104 1 _ Gross I Sales Tax 780. LB/P.T.* ncalp I Scale Cadman (Inc.) will not assume Liability for any property tt�a� damage or any equipment damage for any delivery beyond Total NatLAl'rIv,JOb X oopufytNa gemns et the curb Ilne, Pr nt Name Gustomer DriveYs Signature ( gn ruslon�m,•va:ve^ro�coFa.�Reeefved y5 naium ( ) Stdridny X _ x ..._m .` X Time _ Start ,� Finish Standby Custnmersimttrns Unloading _-, Unloading Time _ X ___ t FF -- TICI(EI'TIME DATC JD _.�_+, `�` � kPF* TICKET NO, •0,0 S,2 t>�a^•n4 /1N/2U1�1stomer No. Payment Type Customer Name o.- {8003226847 425961-7100 782992 Account ,SCI INFRASTRUCTURE LLC6916WEIGHMASTER STATION Customer Job.No. Customer P.O. Map Pef,141499021100 _Truck typo TnYok No. VehldearLlaenOePlate tJo. TreOer or Ucenea Plate No.Black Diamond Truck & Trai.le) BAR2ITT 26111 SE Gxeen trails HauloriCartler No, Odver's nm0 DeliveredlOrdored Load No.Black Diamond, WA 110.97 4110.97 .— -- BD/P - CITY OR KENT PUBLIC WORKS E RD KENTL PUBLIC WORKS IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII HWiEJ I 92050 2" X 4" ROCK 31.07 SCALE WEIGHT GROS5&TARE `, A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel __.--- _- __:.® ...._e.. Surcharge THAT EXCEED 10 MINUTES UNLOADING TIME. g Gross 100,760 LB ' � -- Sales Tax Tarn_. 3b`:,_� 0 LAP P.T.* scan i sca!oz Cadman, (Inc.) will not assume Liability for any property , damage or any equipment damage for any delivery beyond X__—_J.e .n .£eY-- the curb line. Total —� Net 6G^-r-(12-0 LB 0apuly olgiiimaster No one a"Hallg to sign,Nsiomarwaivaa lendiel Receive by Sigriardat Print Name(Customer) Drivers Signature Standby signature. Time L� X ___ X X Start Finish Standby customerstanals Arrive Job Unloading Unloading Time X Y 1 TICKET NO.� TICKETTIME DATE ll/19/2 D1 d 4:a b; u tamer No. Payment Typo Customor Narne Order No t-0FYTJELBE7YGCi `ll IVl Grnup"- 7829920 Ac count SCI INFRASTRUCTURE LLC 26918 800-322-6847 425-961-7100 WEIGHMASTER STATION _armo'r Jnid.No. Customer P. Map RaL DIsp.Om.d 1414 / 9902_1100 -- ....__-- TruckI.yes (nick No, Vehlde or License Plate No. Tmlist or Lkonso Plate No, Zone Black Diamond Truck & Traile BAR2ITT 26111 SE GBeen Valley �Haa ertCarrler No. ortveis Name oenvererUOrderea t.oaA N`o. Pumm�gTntei Black Diamond, WA 64.11 / 2 64. 17 480 BD/P — CITY OF KE�NT PUBLIC WORKS RUSSBL RD '.. III1111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII ;BENT - PUBLIC WORKS a 92050 2" X 4" ROCK 32,01 SCALE WEIGHT GROSS&TARE Surcharge —} _ A STANDBY SURCHARGE WILL BE INGTI E. FOR LOAD 102, 760 LB THAT EXCEED IO MINUTES UNLOADING TIME. Gross_- , . i Sales Tax i Tam_ 38�740 LB/P-T` Scale 1 Sonia Cadman, (Ina) will not assume Liability for any property i fer _ damage or any equipment damage for any delivery beyond Nei Fn n90 LB X Deputy nt.; the curb line. Total Deputy msoler Ida eons firdllanla to sign,eustomer�•rHH•u;re¢alp! Rm: Ivml by Signature Print lame(Gusiom"d Drivers Slgnawre Standby signature, X X — X Time Start Finish Standby Customers tran's Arrive Job Unloading Unloading Time X mit TLJ .) Custom rN --- -c — 71CI(ET TIME L,.= p - , DATE _ 11j19j30.1 Customer Na PeYmBrt Type Q.P 6.A Uustomer Name lLu3a_ t7rdar No Ill II7 tBERCCiM NI,,l of ip"a 800372-6847 425961-7100 7829920 Account „CI INFRASTRUCTURE LLC 26918 j — .. - WEIGHMASTER STATION Customer Job.No. Customer f.o. �� Ma Ref. cisp.Ord.& I j 99021100 — — _ Trunk Type 'runs No. Vehicle or 11008a Plele No. Troller or License Plate No, Zone Black Diamond Truck & Traile. RDTI2TT 26111 SE Green Valle HauodOarner No. unvefs Name Doiivered/ordered is—ffo. Running Toial Hack Diamond, WA gg,00 / g 66.00 BD/P - CITY OF KENT PUBLIC WORKS KENT - PUBLIC WORKS _ IIIIIIIIII IIII IIIIIIIIIIIIIIIIIIIIIIII ! i I I 99000 DUMP FEE C DIRT (777=--,- LEAN 'SCALE WEIGHT. GROSS 8 TARE Fuel __ ____ —' A AT EXCEED SURCHARGE WILL BE ASSESSED FOR LOADS Surcha e THAT EXCEED 10 MINUTES UNLOADING TIME. r9 7 Gross 104,220 LB _ ----- [-T � ° _ Sales Tax Tare 40, 600 LB/P.T_*__. scale i Scale a. Cadman, (Inc,) will not assume Liability for any property damage or any equipment damage for any delivery beyond Nei P,.3,f,Jn LA X Depury eghmzsier the curb line. Total tdo une ovalioWo is s!gn,custamonvafvas receMt Rece vvti by 5igpaturo Print Nano(Customer) Drivore Signntura Standby signature, Tfine _ X X X Start Finish Standby Cusiomar's mugs Arrive Job Unloading Unloading _ _ Time X t, x � �TICKET NO.' �IICI<F1'TIME��~ DATE tI j7 )J201 Gusrl p1Ter No Payment Type Customer Namv Order No. t-1(iLT af35t?Cr 1 ^AI �IN)rcn qr' 800322-6847 425961-710D 7829920 Account SCI INFRASTRUCTURE LLC 26918 WEIGHMASTER STATION Gcstvmer Job.No. Customer l°.O. Map Rek Disp.Ord.tt 1414 / 99021100 ---- -- — — -------- Ttuck7ype Truck No. Vehicle or License Plate No. Tras,,o Lioomm Plate No, Zone Black Diamond Truck & Trailer BAR2ITT 26111 SC Green Valley Heiner/Carrier Nu. Driver's N.M. DellveredTOrdvred Loed No. Running Total Heck Diamond, WA 4d .00 �. 2 44.00 � BD/P — CITY OF KENT PUBLIC WORKS RUSSEL RD _ IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII(IIIIIIIIIIII KENT - PUBLIC WORKS i 99000 DUMP FEE CLEAN DIRT (CY) �22.00 11/ SCALE WEIGHT GROSS&TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel ....... _._ _ - ...._..__.. — ..__-_._ _ THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge Gross 20, 820 LB -- .....-_ Sales Tax Tom _ 7 {0 ,-LB/P_ .T.* sc�e�ie i Sta�iez Cadman, (Inc.) will not assume Liability for any property X. J_nn.fifer__ damage or any equipment damage for any delivery beyond To#aI Net -17r 920 LB 6eputy Walghmastar the CnYb IDa. No ono ov�lebla to slsn,cuslon ennvm. mceld Raceivaa by,ighalum. Print ama(Gusromer) Drivor's Signature Standby signature. Time , X ---.-_ --...._. Start Finish Standby cu foinars mwaie Arrive Job UnloadingUnloading Tfine • r M T W TH F I LEO I TR Date: Invoice No: 'n-uck,No: P.O. Box 3673 Rick Sato 253-720-7213 -rackftate Trailer Federal Way,WA 98321 RandDtrec@gmaH,corn 'prucKHOurs: Driver Hot) Customer Job Address: Billing ng Address: ---------- -_--Stop: --/', Job Number: j Y-� 0- k.' Driver Sigmature, Authorized Co,Rep,$igrmture; Print Name: Print Name: TICKET NO.. qnQnrcA9 TICKET WE 0 GAE04M etomorolo. Payment Typo Customer Name Order No. HEIDIELBIERGC,(MFNTGroup(� 1 800-322-6847 425-961.7100 7829920� Account SCI INFRASTRUCTURE LLC— 26918 WEIGHMASTER STATION Customs,Job.Na. customer P.O. gap Not Dar,Cal,4 99021100TNek Type Truck No Vehicle or I cense,Plate No. 7rs—IF7 or_Lfc6nsePlale Naone Black Diamond Truck & Trailell RDT12TT 26111 SE Green Valle =r No. D,ivor*s Name LRe—livered/Ordered Load No. Palma Tyal:�7 6, CIO BiAck Diamond, UA 00 8 --------------- BD/P - CITY OF KENT PUBLIC WORKS KENT - PUBLIC WORKS 99000 DUMP FEE CLEAN DIRT ICY) 22,0( :SCALE WEIGHT GROSS&TARE A STANDBY SURCHARGE WILL BE ASSESSED FOR LOADS Fuel THAT EXCEED 10 MINUTES UNLOADING TIME. Surcharge roes 40, 840 LB � E1 MAY ------...... Sales Tax �4() 6()n , LB/P.T.* Scale I Scale 2 Common, (Inc.) will not assume Liability her any property damage or any equipment damage for any delivery beyond Net LBX the curb line. Total No 01-10nvallsLlo to sign,customer 05tocely Resolve Signature Pmo Name(Custornor) Driver'a tignmire Standby stgnatua I—] X x u, men InMalo Arrive Job Start Finish Standby Unloading unloading Time ]at i v (M* AL Q o 0 tip me In C co � � 6 =Lu Illn ®fie C � C O ,w O ,w y�yyy i '� m V RE W CI a+ 4.x; a t s°t Eyc tJ 4Try•.••, O c io rnm w i p} "�r � �N •""� w� �a a O W qE o �,fi� • �bw� � � o nr- Cy. a W Ql tq F mow ypE �z rn ❑ t�i m c � jE- i I i I ii RENTON CONCRETE RECYCLERS LLC kt:p RECEIVED �(�VQr(`E � 22121 17TH AVE S E#117 C4tmmJr�;0000424BOTHELL WA 98021.7404 SEP 12 20�4Jria + aass 425A81.9101 PHONE 10 -.. - ! 425-486,3346 FAX '""'"' �Aattl << 04rww 4 i�iY �',•, WRd642 Bill' 4 C 1 4N}'RA%TRUCTl7RE 4T,C. Jnb 8132tlRIVEH'I17N To 2R2s R011'P72 miw SI'REl?i` awuyypy,. Sk:A`frtS WA 48IR8 ^� } r4xat Rcnloo 71LA4r 2Wiq 04t04i/4 tarn/ 7)Q6adpL`an 7h ter sntileruxs tkt>rraJg !"(Ipsl sEz,�. rw.... .:..9_. . UIltl4T3 2H4 QUARRYRtH'h�� � � '222&I4 -��- — - I'4,22 14Ss' ! '27724 I I r L � i l i i I rr�.[t�SE GLACC0 -�(-T�y'p�e" 11P}T J4F�a t i i Svhrveyyjj `,t' 1 rax;. ... ustomorCopy