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PW14-118 - Change Order - #4 - Tapani, Inc. - Briscoe-Desimone Levee Improvements Reach 2 & 3 - 02/18/2015
Ke c r s aa e n { KEN"I Document Was Nirvoiox '^ E's CENE CONTRACT COVER SHEET This is to be completed by the Contract Manager prior to su rnissionvrr to City Clerks Office. All portions are to be complete If you have questions, please contact City Clerk's Office. Vendor Name: Tapani, Inc. Vendor Number: JD Edwards Number Contract Number: PW14-118 This is assigned by City Clerk's Office Project Name: Briscoe-Desimone Levee Imprpvements Reach 2 and 3 Description: ❑ Interlocal Agreement ® Change Order ❑ Amendment ❑ Contract ❑ Other: Contract Effective Date: 1/30/14 Termination Date: Contract Renewal Notice (Days): Number of days required notice for termination or renewal or amendment I Contract Manager: Kelly Casteel Department: PW Engineering Contract Amount: 6,709,555.56 Approval Authority: (CIRCLE ONE) Department Director Mayor City Council Detail: (i.e. address, location, parcel number, tax id, etc.): Change Order#4 As of: 08/27/14 Wn SHiNOTDN p� p� p� p� {¢ CHANGE ORDER NO. �#4 NAME OF CONTRACTOR: Tapani, Inc. ("Contractor") CONTRACT NAME & PROJECT NUMBER: Briscoe Desimone Levee Improvements Reach 2 and 3 ORIGINAL CONTRACT DATE: January 30, 2014 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: Perform additional concrete barrier sacking and patching finish work necessary to achieve the desired finish. The finish specified by contract proved to be insufficient aesthetically. 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, $6,709,555.56 (including applicable alternates and WSST) Net Change by Previous Change Orders $198,156.68 (incl. applicable WSST) Current Contract Amount $6,907,712.24 (incl. Previous Change Orders) Current Change Order $51,244.05 Applicable WSST Tax on this Change $4,868.18 Order Revised Contract Sum $6,963,824.47 CHANGE ORDER - 1 OF 3 Original Time for Completion 200 working days (insert date) Revised Time for Completion under 200 working days prior Change Orders (insert date) Days Required (f) for this Change 0 calendar days Order Revised Time for Completion 200 working days (insert date) 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. (slgnature) V (signature) Print Name �' y�-y� �'( ,�= Print Name �mni Lc CL-'' rP Its - x- Its fl , (title)_ itlga: DATE: �` r DATE: I I i CHANGE ORDER - 2 OF 3 APPROVED AS TO FORM: (applicable if Mayor's signature required) Kent Law Department [In this field,you may enter the electronic filepath where the contract has been saved] '. i CHANGE ORDER 3 OF 3 • FILE NO: 200.2 KENT CHANGE ORDER WORKSHEET NO. 4 Construction Management Division - Public Works Project: Briscoe-Desimone Levee Improve Project No.: 09-3010 Project Engineer: Kelly Casteel Fed-Aid No.: N/A Owners Rep: Jason Bryant Contractor: Tapani Inc Date: 1/23/2015 _ I. PROPOSED CHANGE Perform additional concrete barrier sacking and patching finish work. II. REASON AND BACKGROUND FOR CHANGE The surface finish specified by contract proved to be insufficient aesthetically. This change enhances the smoothness of the finish. Estimated costs $ 57,665.29 III. METHOD OF PAYMENT NEW PAY ITEM(S) ® Not Applicable Change Order No. - ; FOR ACCOUNTING USE ONLY Sch. No. Item Description Total Est. Qty this Unit Unit Price Total Estimated Cost of Qty PE I Item t 6 Concrete Barrier 1 1 1 FA 51,244.05 �. $_51 244.05 - — r - --- ® Independent Estimate Attached CREATE PAY ITEM ONLY Payment to be made ® PAY THIS PAY ESTIMATE REQUIRED I l at a later date upon completion of-work _ _. __ El i Material Submittals Required CC, Construction Coordinator I New Sub Reqrd? I No DELETE EXISTING PAY ITEMS) per 1-09.5 ® Not Applicable Change Order No. i 1 _ FOR ACCOUNTING USE ONLY Sch. No. B.I. No. Item Description Qty _i Unit Unit Price Cost of Item _ --- -_" — .-- "- --i -..._F ._...- "_ - ___- .- ._ Independent Estimate Attached -REQUIRED I Q I INCREASE/DECREASE TO EXISTING PAY ITEM(S) ® Not Applicable Change Order No. i I - i i I I FOR ACCOUNTING USE ONLY Sch No. B I. No, j Item Description ! Qty i Unit Unit Price Cost of Item ._... ------_. -"" -- ------ ......".. ._.....—.. ------ . . t— __ - -- - i - ...--- - - - - --I - ---- - - - ❑ Independent Estimate Attached - REQUIRED 1 REV. DATE: 4/01/10 • FILE NO: 200.2 KENT TOTAL ESTIMATED COST OF CHANGE ORDER * $51,244.05 *Total of the cost of Item columns THIS PAY ESTIMATE $51,244.05 IV. WORKING DAYS Original Contract 200 I Due This Change Order* ® _ i Previous Total 200 -DATE: �.1 23 2015 __.._ . ..�"� -. __- * Explanation JJUstifica ion Re wired: On critical path for levee completion TOTAL WORKING DAYS* 200 *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: O L Date: Jason Bryant---' Construction Supervisor: , Date: Paul Kpehne Construction Manager: _ �:.� _ Dater{7j a ric Connor II i 2 REV. DATE:4/01/10 FA Sheet No.: T-51 FORCE DAILY REPORT OF FORCE ACCOUNT WORKED K6NT Project Name: Briscoe-❑eshnone Levee R-3 Project No: 09.3010 Item No.: Date: 1/8/2016 Description of Work: Additional Sac in and Patching necessa to achieve the.desired finish Work by Subcontractor?: NO Prime Contractor: Tapani Underground SUb-Contractor: LABOR M6276 OVERTIME DOLLAR NAME VDlem TION Hrs OT Rate AMOUNT 6 4 22.44 $ 31,467.51 n5 - 6 23.6 $ 4,875.03 r3 S 638.04 $ 3 $ 1,882.60 SUBTOTAL-LABOR: $ 38,863.98 LABOR OVERHEAD&PROFIT @ 29% S 11,270.29 LABORTOTAL $ 6%133.37 EQUIPMENT _ EQUIPMENT OR ATTACHMENTS OPERATED STANDBY DOLLAR Equipment ik Equipment Descrlplion Hrs. Hourly Rate Hrs Standby Rate AMOUNT S S $ S I 5 - I SUBTOTAL-EQUIPMENT $ EQUIPMENT OVERHEAD&PROFIT@ 21% $ ". EQUIPMENTTOTAL $ - �MATERIALSISERVICESIRENTALS MATERIALS I SERVICES Quantity Units Unit Price DOLLAR AMOUNT 'Home DepoVWilllams 1 Is $ 917.92 $ 017.92 $ 5 $ SUBTOTAL $ 017.92 OVERHEAD&PROFIT @ 21% $ 192.76 TOTAL $ 1,110.68 Verification of Hours Worked: TOTAL: $ 51,244.05 12%MARKUP (for prime when subcontract work) $ Ca actors Repralenl 11 �7 JCrG/k%�,� la'7//� '!.. SHEET TOTAL: $ 61,244.05 Owners Representative Dal./ '� 3 iJ Pay Esflmate Ept;red: Date: By: i x£e _ P.O.Box 1900 p p N Battle Ground,WA 98604 G ROU9 9 INC. Main Office (360)687-1148 rv.. Main Office (Fax)687-6748 Change Order Request Project Name: Briscoe Desimone Levee Improvements(CONCRETE) Date 1.6.14 Contract No: 0 TUI Job No. 0 TUI. No. 16 Owner No. 0 L. General No, 0 Description: 10,26-12.25 force account work Unit Rate Hours Unit Total Reg time cement mason $ 58,65 535 HR $ 31,377.76 OT cement mason $ 22.44 4 HR $ 89.76 Reg time cement foreman $ 59.54 79.6 HR $ 4,733.43 Of cement foreman $ 23.60 6 HR $ 141,60 rag time concrete laborer $ 49,08 13 HR $ 638.04 per diem $ 6.00 627.5 HR $ 3,765.00 Labor Sub Total $ 40,745.58 29% Markup $ 11,816.22 0% Small Tools $ - Total Labor Hours 627.5 4 _ -EtltilpmenL _ Unit Rate Hours Unit Total crew truck $ 15.00 79.5 HR $ 1,192.50 $ 0 $ Equipment Sub Total $ 1,192.50 ar 21°a Mk-Up $ 250.43 MaleOa = `{ Umt Rate Quantity Unit Total Williams tools hamedepot tools $ 917.92 1 LSU $ 917.92 Material Sub Total $ 917.92 21"o Mark-Up $ 192.76 T €T � Su COOtfaCiDrS - unit Rate Quantity Unit Total $ 0 $ Sub Contractors Sub Total $ - 0% Mark-U $ Mkt= � Unit Rate Quantity Unit Total $ 0 Misc.Total $ - 0% Mark-Up $ - NOTE This Change increases the time to complete the project by: Days) 'No reserve the right to claim cost mmi schedule Impacts al later date Total COST $ 42,656.00 Overhead S - Sub Total $ 55,115.41 General Liability Insurance $ - Bond $ Total Amount $ 55,115.41 NOTE:THIS CHANGE ORDER REQUEST SHALL HE ACCEPTED AS APPROVED AND INCORPORATED INTO THE CONTRACT UNLESS WE RECEIVE A WRITTEN RESPONSE FROM YOU STATING OTHERWISE WITHIN 48 HOURS(WE WOULD PREFER THIS CHANGE ORDER REQUEST FORM TO HE SIGNED AND RETURNED), Prepared by: Tyler Miller Accepted by: Date: 1.6.14 Date: �Q d ' � o 0 v NNE NC' �C' C�tiNNNNNNi; .i� �; NN� N� - - - - » - NNNRN-,N» „ 3 ;� iT O <O W m J N �O CO A W N m A O w J W el W N m v N m A f3�J Qi A O , ' W N O l3 N N pN N N`N N t3 N N N`N`N N'N � N N N o 0 o N N N N N N``N N� N N N N o 0 O o O O o O O O p p O O O O O o O O O O O o o O o o O O O o A A A A A AAA A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A A O N N V a O S m V N tp O A 0 0 � p O O N V N m C W N j V O N J J N ry W W Z b O N O Vi N N A Q A A O O C YNi a N V �O N V J J V N N O N O O O N a o o N (9 J A N c> m a p w N V F 1 Q N � O — > > -�o � CO W N OJ = N 0 6J A O (D V W o j j o w o N N N N N N N N N N!r N A A A A A A A A A A A A A A A A ly 1 IQ z p 4 im 1 ; o I� 0 �z i o o O O j o m ti Z � ai tm a a A � I N i A A (Ji co o N W O) O In N O O O rn cn co to C in I z I n u' ' in i0 W F w Co N f I ! W; A A fIt (T W O m [n 6Wl N J N is F a ' -4 OG A A cti Oi W W O 61 (➢ W (p W N O W 61 (T W W 6] o N _ Job tt: 141212..01 Date: 11/10/14 0 0 0 0 Monday a mse ce > Dean Muonio Total Hours 8.0 yEquip.Total Lunch Len gth:T0 y�OFOR 2._0 6.0 Absent/Late? No Excused? No 524038 _ Injured? No 816504 cones _ X IPerdiem Brian Hendershot Total Hours: 10.0 Equip,Total Lunch Length; 0 CARP m� - - Absent/Late? No:; CLAB 3.0 7.0 Excused? No ;.! CMEL Injured? No X Per diem Michael Brunie Total Hours: 11-0 (Equl p.Total Lunch Length: F 0 CARP Absent/Late? Yes ' CLAB. Excused? No... ^;CMEL. Injured? No -j X Per diem Gary McElroy Total Hours: 10.0 iEquip.Total Lunch Length: 0 CARP 1.5 Absent/Late? No '' CLAB Excused? No CMEL 8.6 _ Injured?No ;.1 Per them Randy Crouse Total Hours: 10.0 iEquip.Total - Lunch Length: 1 0 CARP Absent/late?'NoiL:! CLAB. 3.0 Excused? No.;.::f CMEL h 7.0 _Injured?No`.1i X Per diem Francisco Avila(Paco) gTotal Hours: 10.0 Equip.Total L' Lunch Length 1_ 0_ CARP Absent/Late? No - '. CLAB 3.D Excused? No '..' CMEL 7.0 Injured? No. X Per diem ilotal Hours:--_Equip.Total _ . . .._�..�_.._. �- ..1-7-T Lunch Length: CARP Absent/Late? 'No ?';CLAB Excused? No 'CMEL I njured7 No i3 X Per diem Supervisor:Please explain any Absent/Late&comments: Supervisor Name: Dean MuoniO Supervisor Signature: PM Signature: Job#: 141212.01 Date: 11/11/14 0 o p o p o p V O �p U Tuesday m an an M anm w Dean Muonio Jotal Hours: 8.0 jEqulp.Total Lunch Length: �0 CFOR � 1.0 _ 1.0 6.0 Absent/Late? No'. - Excused? No _`.524038 - Injured? No ,.-.,816504 conex X Per diem Brian Hendershot Total Hours: 10.0 Equip,Total Lunch Length: 0 CARP 7 Absent/Late? No `T: CLAB g,0 Excused No `''. CMEL 1.p Injured? No - X Per diem — - -�— Michael Brunie Total Hours 11.0 Equip.Total Lunch Length: 0 CARP Absent/Late? iYes_.i CLAB. 3.0 Excused? No CMEL. 2.0 Injured? No � I X _ Per diem Gary McElroy _ Total Hours: 11.0 Equip.Total Lunch Length: aICARP 8.0` Absent/late? No' ' CLAB 1.0 Excused? No CMEL 2.0 Injured? No ,: Perdlem X Randy Crouse Total Hours: 10.0 Equip.Total Lunch Length: 1 0 CARP Absent/Late? No CLAB. Excused? No ++ CMEL ____ 1.0 Injured? No X Per diem Francisco Avila(Paco) Total Hours: 10.0 SEquip.Total _ - LunchLength: 0 CARP 3.0R Absent/Late?'NoL', CLAB 1.0 Excused? No _L.CM EL 6.0 Injured?jNo;J- X Perdiem 6Total Hours: Equip.Total -. . _Lunch Length: � �CARP Absent/Late? No,(:. 'CLAB Excused? No [CM — L ,'i _ Injured? No X Perdlem Supervisor:Please explain any Absent/Late&comments: li Supervisor Name: Dean Muonio Supervisor Signature: PM Signature: III, Job#: 141212.01 Date: 11/12/14 0 0 s o o 0 0 M 0 Wednesday M m a m m co > Dean Muonio _ Total Hours: B OEquip,Total Lunch length: 0 J CFOR � �� � 1.0 1.0 6,0 , Absent/Late? No Excused No ' 524038 Injured? :'No 816504 conex X Per diem Brian Hendershot Total Hours: 5.5� , quip.yTotal - --....n..�.�. Lunch Length: j 0 CARP Absent/Late? No CLAB 5.5 Excused? No CMEL I Injured? No _q:?Went home sick X Per them Michael Brunie ITotal Hours: 11.0 Equip,Total Lunch Length: 0 CARP 3.0 Absent/Late?Yes;:;_', CLAB. 4.5 Excused? No i''..CMEL. I nl ured? No X I(Per diem Gary_McElroy (Total Hours: 10.0 Equip,Total Lunch Length 0 CARP 3.0 Absent/Late? No CLAB Excused? Na.'''. CMEL 1.5 5.5 Injured? No-:,r. Per diem X Randy Crouse _ f Total Hours: 10.0 Equip.Total Lunch Length: 1 0 _CARP Absent/Late?,No F1, CLAB. ( Excused? No CMEL 5.0 5.0 Injured?:No`— X Per diem Francisco Avila(Paco) ITotal Hours: 10.0 Equip Total Lunch Length 0 CARPLL _.` 3.0 _ _- Absent/Late? No ; CLAB Excused? No CMEL _ 1.5 5.5 Injured? No X Per diem Total Hours: ,Equip.Total Lunch Length: CARP Absent/Late? No °:.CLAB Excused No ' CMEL j - I Injured? No'_;_: --- - ---_-- X Per diem -±L L Supervisor Please explain any Absent/Late&comments: Supervisor Name: Dean MUOI IIO Supervisor Signature: PM Signature: Jobal 141212.01 Date: 11/13/14 v o o Thursday so m On ° ca ° Ca > Dean Mucnlo JTotal Hours: 8.0 Equip.Total 11 Lunch Length: l 0 �CFOR Absent/Late?_No: Excused? No 5240mi I I I I I I TTT 38 Injured? No. 816504 conex _ X Per them Bryan Hendershot Total Hours: 0.0 Equip.Total _ Lunch Length: 0 CARP Absent/Late? Na f CLAB Excused? No ,'..CMEL Injured? No -"Went home sick X Perdiem Michael Brunie h7otal Hours: 11.0 Equip.Total - Lunch Length. 0 CARP - Absent/Late? Yes �CLA6, 2.0 Excused? No 'ICMEL, 2.0 7.0 Injured? No . . '', X Per diem Ll Gary McElroy )Total Hours: 10.0 Equip,Total Lunch Length: 0 CARP Absent/Late? No ':I CLAB Excused? No CMEL 10.0 Injured?No f Par diem _ X Randy Crouse Total Hours: 10.0 Equip.Total Lunch Length: 1 0 CARP� f Absent/Late? No;.•! CLAB. Excused? NO.: CMEL 10.0 i Injured? :No.':.> --- _ X Perdiem Francisco Avila(Paco) JTotal Hours: 10.0 Equip Total Lunch Length 0 ICARP Absent/Late? No .;i CLAB. CMEL Excused? No: 10.0 --- <" I Injured?,No X Perdiem 1Total Hours: Equip.Total _.il. - - � _ �.., _ _ _ Lunch Length: CARP Absent/Late? No CLAB Excused? No ?.CMEL Injured? No X Perdlem Supervisor:Please explain any Absent/Late&comments: Supervisor Name: Dean MUOnio Supervisor Signature; PM Signature: Job U: 141212,01 Date: 1 80 4 0 0 aMonday a s Dean Muonio {Total Hours: 11.0 -Equip.Total - Lunch Length: 0 f CFOR 1.0 1.0 2.0 1 3.0 3.0 Absent/late? No _ Excused? No [;524038 Injured? No j81G504conex X Per diem Bryan Hendershot Total Hours: 10.0 Equip.Total 4_ Lunch Length: 0 CARP Absent/Late? No ; CLAB 10.0 Excused? No Injured? No -.::I X� Per diem � ILL- Michael Brunie iTotal Hours: 10.0 Equip.Total - Lunch Length: 0 CARP Absent/Late? Yes "CLAB. 1.5 3.0 Excused? No °,CMEL. 5.5 Injured? ,No j - - X Perdiem Gary McElroy Total Hours: 10.0 Equip.Total ....._.,..- .._.., ra..- r.m -_- - Lunch Length: 0 CARP 8.D � F Absent/Late? No ` CLAB 2.0 Excused? No CMEL Injured? No y' Per diem Randy Crouse Total Hours: 10.0 jEquip.Total _...�.,,.._.�__. .. . � __.,_..._.. Lunch Length: 0 CARP Absent/Late? No CLAB. Excused? No ? CMEL 10.0 Injured?INo-' I -- X Per diem Franclsco Avila(Paco) .Total Hours: 10.0 Equip.Total Lunch Length: 0 CARP -� -- - Absent/Late? No : CLAB i Excused? No 'CMEL 10.0 Injured? No' L X Per diem Blake Nelson ITotal Hours: 10.0 Equip Total Lunch Length: CARP Absent/Late? No. I:.CLAB _ 1.5 3.0 Excused? Nqf-.]i''CMEL 5.5 Injured? No X Per diem ---- Supervisor Please explain any Absent/Late&comments: Supervisor Name: Dean MUOI IIO Supervisor Signature: PM Signature: Job#: 141212.01 Date: 11/18/14 0 o Tuesday o M o m Dean Muonlo ]Total Hours: 11.0 Equip.Total -. .m.,g._ -., .�.e _.... Lunch Length 0 �CFOR 1.0 5.0 S,0 Absent/Late?.No Excused? No 524038 --. Injured? No ` 816504 conex X Per diem , Bryan Hendershot ssTotal Hours: 10.0 JEquip,Total. _ u _Lunch Length: 1 0 ICARP Absent/Late? No CLAB Excused? No `; CMEL 10.0 Injured? No - X Per diem Michael Brunie Total Hours: 10,0 Equip.Total .: Lunch Length: 1 0 CARP Absent/Late? Yes CLAB, Excused? No • CMEL. 10.0 Injured? No,--C X Per diem Gary McElroy ITotal Hours: 10 0 Equip.Total - Lunch Length 0 CARP 4.0 Absent/Late? No ii CLAB } Excused? No CMEL 6.0 Injured? No. ; Per diem X Randy Crouse Total Hours: 10.0 Equip.Total Lunch Length. 1 0 (CARP Absent/Late? No ,I CLAB. Excused? No CMEL 10.0 Injured?,No-' X Perdiem Francisco Avila(Paco) Total Hours: 10.0 Equip.Total �. Lunch Length 0 CA _ Absent/LRP No CLAB Excused? No :CMEL � - --- ___ 10.0 Injured? No X Per diem -- -- i Blake Nelson VTotal Hours. 10,0 Equip Total Lunch Length: CARP Absent/Late? No CLAB Excused? NO CMEL 10.0 Injured? �No X Per diem Supervisor:Please explain any Absent/Late&comments: Supervisor Name: Dean Muonio Supervisor Signature: PM Signature: Job h: 141212,01 ------------- Date; 11/19/14 o N o WednesdayA � a a w m m � m Dean Muonio Total Hours: 11,0 Equip.Total III Lunch Length 0 CFOR Absent/Late? No. Excused? No 524038 -- - -- _- Injured? No 816504 conex X Per diem '.. Bryan Hendershot Total Hours: 10A Equip,Total Lunch Len th 0.... CARP g Absent/Late?'No '. CLAB Excused? No j: CMEL — 5.0 5.0 -� Injured? Na.;`j X Per diem ILL I Michael Brunie _1Total Hours. 10.0 Equip,Total Lunch Length: CARP LO -- �,r,-.Absent/Late? Yes CLAB, Excused? No ';CMEL. 5.0 Injured? No. .-- - X - Per diem ___. Gary McElroy Total Hours: 10.0 Equip.Total - - .._..,.....d .�.�_ _.. F ._ _ __x �...� .._......,..,�....� Lunch Length; 1 0 CARP Absent/Late? No 3 CLAB Excused? No ' CMEL 5.0 5.0 Injured?'_No;;il,l Per diem Randy Crouse Total Hours: 10.0 Equip.Total - Lunch Length; 1 0 CARP Absent/Late?No ; CLAB. Excused? No CMEL 10.0 Injured? No:C£ _ X Per diem Francisco Avila(Paco) Total Hours: 10.0 PEquip.Total Lunch Length 0 CARP �>� � Absent/Late? No ` CLAB Excused? No .'CMEL _ 10.0 Injured? 'No — - X Per diem Blake Nelson Total Hours: 10.0 'Equip.Total Lunch Length77 CARP Absent/Late? ',,No.,: CLAB Excused? NO :'CMEL _ 5.0 Injured? No_'=I X -dill -- _ - ' Supervisor',Please explain any Absent/Late&comments: Supervisor Name: Dean Muonio Supervisor Signature: PM Signature: I i Job#: 141212.01 Date: 11/20/14 0 o o s ca M N o Thursday a m Dean Muonio Total Hours: 11.0 Equip.Total Lunch Length 0—CFOR .� 3.0 8.0 Absent/Late? No -- -_ Excused? No;:__�.524038 Injured? NO- 816504 conex X Per them � Bryan Hendershot Total Hours: 10.5 Equip.Total Lunch Length: 0 CARP - - -A- Absent/Late? No Excused? No ":'CMEL 2.5 8.0 Injured? _No..'- _ X Per diem Michael Brunie Natal Hours: 10.5 PEquip.Total Lunch Length: 0 CARP Absent/Late? Yes..'_:'CLAB. Excused? NO CMEL. 10.5 -- Injured? No i X Per diem i Gary McElroy Total Hours: 10.5 Equlp.Total Lunch Length: 0 CARP Absent Late? No -' CLAB Excused? No CMEL 10.5 Injured? No Per diem x -- - Randy Crouse Total Hours: 10.5 Equip.Total i Lunch Length: 1 0 CARP - _ Absent/Late?,No_ CLAB, Excused? Na j CMEL j 10.5 Injured? No 71 X Per dlem Francisco Avila(Paco) JTotal Hours: 10.5 Equip.Total Lunch Length. 1 0 CARP I 77 Absent/Late? No': ', CLAB Excused? No CMEL .— .-.� 10.5 Injured? No `.:. X Per diem Blake Nelson Total Hours: 10.5 Equip.Total .�,..�..,, Lunch Length: 7 f CARP t�...._ Absent/Late? No r CLAB -- - - ---- — - Excused? ':No.: jiCME� 5.5 5,0 Injured? 'No X Per diem Supervisor:Please explain any Absent/Late&comments: Supervisor Name: Dean MUOI IIO Supervisor Signature: PM Signature: Job k: 141212,01 Date: 11/24/14 m � o Monday a m o+ c m m rn m Dean Muonlo Total Hours: 10.5 Equip.Total Lunch Length: CFOR "-� - ( I - Absent/Late? No Excused? No !: 524038 Injured? No. . 816504 conex X Per diem Bryan Hendershot Total Hours 10. Equip.Total Lunch LengtO[�T CARP Absent/Late? No CLAB Excused? No .: CMEL 10.0 Injured No _ X Per diem Michael Brume 1Total Hours 10.0 gE w Total Lunch Length; 0 CARPLA Absent/Late? Yes �--CLAB. Excused? No :`'CMEL, 10.0 Injured? No X Per diem I L- F L------ Gary McElroy Total Hours, 10.0 Equip.Total Lunch Length: 0 CARP 7-7 Absent/Late?'No. zj': CLAB Excused? No CMEL 10.0 Injured? No Per diem X - - Randy Crouse iTotal Hours: 10.0 jEquip.Total Lunch Length: 1 0 CARP ` Absent/Late? No';_( CLAB. Excused? No I`a. CMEL 10.0 Injured? No X Per them Blake Nelson _ Total Hours: 9 5 Ilqulp Total _Lunch Length:R Absent/Late? Yes:;; CLAB I Excused?:No..-.`;CMEL -_ �_-- _ 9.5 Injured? No X Per diem Total Hours: Equip.p' Total � Y,. _ aR_. -. +yT M Lunch Length_ �C . ARP Absent/Late? No _]CLAB CLAB Excused? No Injured? No.',;j X Perdiem Supervisor:Please explain any Absent/Late&comments: Supervisor Name; Dean Muo io Supervisor Signature: pM Signature: Job H: 141212.01 Date: 11/26/14 o o b O O M O C� O , Wednesday o m a o w Dean Muonio Total Hours- 10.0 Equip.Total Lunch Length: 0 CFOR 8.0 � 2.0 Absent/Late? No Excused? 'Noa,.-`'524038 - - -- Injured? No 816504 conex X Par them Bryan Hendershot Total Hours: 10.0 'Equip.Total - Lunch t Length: No _. CLAB .._.�._._�..- Excused? No :- CMEL 11001 - --- Injured? No X - Perdiem Michael Brunie Total Hours: 10.0 Equip.Total Lunch Length: 0 CARP Absent/Late? Yes , CLAB. Excused? No ; CMEL 10.0l Injured? No X i Gary McElroy _ Total Hours 10.0 Equip.Total - Lunch Length: I 0 CARP _ a - «-� ..„, Absent/Late? No ", CLAB Excused? No CMEL 110.0 Injured?No `; Perdiem R Randy Crouse Total Hours: 10.0 Equip.Total Lunch Length: 0 CARP Absent/Late?No.. CLAB. Excused? No,'}I CMEL 10.0 Injured? No X Per diem Blake Nelson 10.0 _Equip.Total Lunch Length: 0 0 CARP Absent/Late? No -. CLAB Excused? No CMEL 10.0 Injured? Now X II'er diem Total Hours: Equip.Total Lunch Length CARP Absent/Late? No CLAB ._ _ Excused? No;: — - -- -'CMEL � __Injured? No X I Per diem Supervisor:Please explain any Absent/Late&comments: Supervlsor Name: Dean MUOI IIO supervisor Signature: PM Signature: I Job#: 141212.01- Date; 12/1/14 0 0 B s o 0 o a Monday o M o m m m Dean Muonio Total Hours: 11.0 Equip.Total Lunch Length: 0 CFOR _ 2.0 2.0 4.0 1.0 2.0 Absent/Late? No,:<- Excused? No - _ '524033 _ Injured? No -1 "�816504 conex - X Per diem -� Bryan Hendershot Total Hours: 10.0 !Equip.Total ' Lunch Length, _0 CARP � � Absent/Late? No_-! CLAB Excused? No 'ICMEL 10.0 Injured? No X - ILA Per diem l Michael Brunie ITotal Hours: 10.0 Equip.Total III Lunch Length: F 0 CARP Absent/Late? Yes CLAB, Excused? No ;;ICMEL. 6,0 Injured? IN X Per them Gary McElroy Total Hours: 10.0 Equip.Total - Lunch Length_ 0 CARP l Absent/Late? No CLAB Excused? No,,j. CMEL 6.0 2.0 2.0 Injured? No '. Per diem _ x Randy Crouse Total Hours:; 10.0 Equip.Total - Lunch Length 0 CARP Absent/Late? No CLAB, Excused?INO`.-•' CMEL 10.0 Injured? Ku X Perdiem Alex Gergory TTotal Hours: 10.0 Equip.Total Lunch Length: 0 CARP Absent/Late? No CLAB 5.0 5.0 � Excused? No CMEL_ Injured? No X Per diem qq JTodal Lunch Length CARpHaurs: Equip.Total Absent/Late? Na CLAB � Excused? No CMEL - -� Injured? No i X Per diem Supervisor Please expl aln any Absent/Late&comments: Supervisor Name: Dean Wo io Supervisor Signature; PM Signature: Job#: 141212.01 Date: 12/2/14 0 o m o o b Tuesday Dean Muonio Total Hours: 10.5 Equip Total Lunch Length CFOR 2.0 2.0 20 3.5 1.0 Absent/Late? No -__ ____— __..__... _... _ Excused? No t524038 Injured? No %816504 conex X Per diem tt Bryan Hendershot ITotal Hours: 10.0 ¢gEquip.Total Lunch Length: 1 0 CARP Absent/Late? No CLAB 1.0 j Excused? No }I CMEL 1 9.0 Injured? 'No`:,; X Per diem Michael Brunie JTotal Hours: 10.0 Equip,Total Lunch Length: 0 GARP Absent/Late? yes'.' CLAB. j Excused? No .-;CMEL. 10.01 Injured? No _ - -- --- - - - X Per diem Gary McElroy Total Hours: 10.0 Equip.Total Lunch Length: 0 CARP Absent/Late?No CLAB 110.0 Excused? No CMEL Injured?tNo :; Per diem _ - X Randy Crouse JTotal Hours: 10.0 ;Equip.Total _ Lunch Length: 0 CARP r-� Absent/Late? No 'I CLAB, 1.0 Excused? No_,-' CMEL 9.0 '.,. Injured X Per diem Alex Gergory ITotal Hours: 10.0 Equip.Total - -- Lunch Length. 0 Absent/Latex No CLAB 2.0 3.0 5.0 Excused? No 1CMEL - In7ured? No X Per diem Total Hours: T)Equip.Total Lunch Length CARP Absent/Late? ,Noi:;-CLAB Excused? No 'CMEL Injured? No_;s: X IPer diem r Supervisor,Please explain any Absent/Late&comments: Supervisor Name: Dean Muonio Supervisor Signature: PM Signature: i Job It: 141212.01 Date; 12/3114 o o � o o b o O N M O O Wednesday S m o 0 Dean Muonio Total Hours: 11.0 Equip,Total .. . _ - _ __. _.Y __ ,.v.a,.... q PA�.. Lunch Length: _ 0 CFOR 1.0 1.0 1.5 3.5 2.0 2,0 Absent/Late? No Excused?No.-,1 524038 _ Injured? No 'y; 816504 conex _ X Per diem Bryan Hendershot JTotal Hours. 0.0 Equip.Total - Lunch Length. 0 CARP Absent/Late? No `-? CLAB Excused? ND No - CMEL 10.0 Injured? No I X Per diem Michael Brunie Total Hours: 10.0 ,Equip.Total Lunch length; 0 CARP Absent/Late? Yes CLAB. i Excused? No !!CMEL. 10.01 Injured? No X i Per diem ', Gary McElroy Total Hours: 10.0 Equip.Total Lunch Length I L 0 CARP 8.0 (_ _-_—— H Absent/Late? No 2.0 _ _ Excused? No -' CMEL Injured? No T;�perdiem _ X Randy Crouse Total Hours: 10.0 Equip.Total - Lunch Length: 10 CARP �.. Absent/Late?;No- CLAB, j Excused? No, CMEL 10.0 Injured? No',-' I X Per diem Alex Gergory 'Total Hours: 10.0 Equip.Total _ Lunch Length: 0 ICARP Absent/Late?No "1.] CLAB 2.0 3.0 3.0 Excused? No s CMEL 2.0 _ Injured? No X Per them Total Hours: #Equip.Total Lunch Length;: CARP _ Absent/Late? Nq:?i jCLAB Excused? Injured? No;;_; X Per diem Supervisor:Please explain any Absent/Late&comments: Supervisor Name: Dean Mulo IIO Supervisor Signature: PM Signature: it lob#: 141212.01 Date: 12/4/14 0 0 o o o b Thursday o 0 0 rn m °t 61 m m Dean World Total Hours. 10.5 Equip Total Lunch Length: 0 CFOR _ 8.5 2.0 Absent/Late? No Excused? No `1524038 Injured? No 816504 conex X Per diem Bryan Hendershot Total Hours: 10.0 Equip.Total Lunch Length: 1 0 CARP Absent/Late? No ?: CLAB Excused? No CMEL Injured? No X IPerdiem Michael Brunie 17rotal Hours: 10.0 Equip,Total - Lunch Length; F0—J CARP Absent/Late? Yes :I CLAB, Excused? No .CMEL. 1 10.0 Injured? No,, =jl X I Per diem Gary McElroy jTotal Hours: 10.0 ppEquip.Total - Lunch Length: 1 0 CARP Absent/Late?No CLAB Excused? No LL :. CMEL 10.0' Injured? No ^', Per diem T I Randy Crouse Total Hours: 0.0 Equip.Total Lunch Length: 1 _ 0 CARP Absent/Late? No.; CLAB. Excused? No ".! CMEL Injured? No" Did not work '.. X Per diem Alex Gergory Total Hours: 10.0 Equip,Total Lunch Length: 1 0Y CARP Absent/Late? NoJ CLAB Excused? No CMEL 10.0 Injured? No < X Per diem r --- - _-1 I %g CLABH �. ulp Total _mn�. .._......... n. Lunch Len tk CARP ft Absent/Late?Late? No Excused? No Injured? No X Per diem Supervisor:Please explain any Absent/Late&cornments; Supervisor Name: Dealt Muonio Supervisor Signature: PMSlgnature: II Job 4: 141212,01 Date: 12/8/14 o o o 0 o b Monday o m m q Co o rn m ° ° m m Dean Muonio Total Hours: 10.0 Equip.Total Lunch Length: 0 CFOR I _ 2.0 8.0 Absent/Late? No I! Excused? No 524038 Injured? 'No_', 816504 conex X I Per diem Bryan Hendershot Total Hours: 9.5 Equip.Total ' Lunch Length: I 0 .CARP _ Absent/Late? No CLAB Excused? No `.',CMEL Injured? No '-: X Per diem -i— Michael Brunie Total Hours: 9.5 Equip.Total Lunch Length; 0 CARP Absent/Late? Yes.', CLAB, Excused? No CMEL, 9.5 Injured? No.-)d4 j X Per diem '. Gary McElroy Total Hours: 9.5 IEquip.Total - Lunch Length: 0 CARP ill Absent/Late?,No '_I CLAB Excused? No r CMEL 9.5 Injured? No;:, Per diem Randy Crouse Total Hours: 9.5 Equip.Total Lunch Length. 0 CARP Absent/Late? No " CLAB. Excused? No CMEL 9.5 Injured? No:.l' -- -- X (Perdiem Alex Gercdory Total Hours: "Equip.Total T _Lunch Length 0 CARP Absent/Late? No.:.6,;. CLAB Excused? No Injured? No ,Did not work X Per them Total Hours: 1Equip.Total Lunch Length: CARP Absent/Late?No_..,�,CLAB Excused? No .,CMEL Injured? No J X Per diem supervisor:Please explain any Absent/Late&comments: Supervisor Name: Dealt MUOI IIO Supervisor Signature: PM Signature: Job N: 141212.01 Date: 12/9/14 0 0 o 0 0 0 o M O o M o to N O O Tuesday o S o o m Dean Muonlo Total Hours: 105 Equip,Total -' Lunch Length 0 CF-OR---,— R_. — 2.0 1.5 2 0 � 20 _ 1.0 2.0 Absent/Late? No I ' Excused? No '624038 Injured? No'816504 is nex X Per diem ILI L Bryan Hendershot +Total Hours: 100 Equip.Total Lunch Length: 0 CARP Absent/Late? No CLAB 8.0 2.0 Excused? No CMEL Injured? Nc X Per diem Michael Brunie Total Hours: 10.0Equip.Total Lunch Length:L 0 CARP 5.5 Ali Absent/Late? Yes '. CLAB. 1.0 Excused? No _I CMEL. '. Injured? No ''.. 1.5 2.0 X lPer diem Gary McElroy Total Hours: 10 0 }Equip.Total - Lunch Length: 0 [CARP 10.0 Absent/Late? No CLAB Excused?,No: CMEL Injured?.No Per diem Randy Crouse JTotal Hours: 10.0Equip.Total - Lunch Length, 0 CARP 8 0 I 0.5 Absent/Late? No ,i CLAB. Excused? No CMEL I Injured? No -- _ _ X Per diem Alex Gergory jTotal Hours: Equip,Total .. __�,. Lunch Length: �0 CARP _ Absent/Late?.NiO`'_.' CLAB _ Excused? No CMEL Injured? 'No Did not work X Per diem Total Hours: Equip,Total Lunch Length: [CARP _ Absent/Late? No _i CLAB Excused? ,NoF;II I_CMEL _ _ Injured? No 11 X I Per diem Supervisor,Please explain any Absent/Late&comments: Supervisor Name: Dean Muonio Supervisor Signature: PM Signature: Job#: 141212.01 Date: 12/10/14 0 0 M b o 0 Wednesday o ro a n o 0 0 m ce m m m m m m m m IIQ Dean Muonio Total Hours: 10.5 dEquip.Total - - Lunch Length: 0 CFOR 2.0 2.0 2.0 2.0 2.0 0.5 Absent/Late? No Excused? -No'_. 524038 Injured? No 816504 conex X Per diem Bryan Hendershot Total Hours: 10.0 Equip.Total - ! o s- - Lunch Length: 0 ICARP Absent/Late? No ';; CLAB 2.0 2.0 3.0 1 3.0 !! Excused? No t.CMEL -- - Injured? No`;i_ X Per diem i Michael Brunie ITotal Hours: 10.0 Equip.Total Lunch L.ngth: 0 CARP Absent/Late? Yes 'CLAB. Excused? No i.CMEL. Injured? No;;:'":IRON 4.0 X Per diem Gary McElroy Total Hours: 10.0 IEclulp,Total Lunch Length 0_ CARP � I i 10.0 Absent/Late? No CLAB Excused? No 'i CMEL I Injured? No +' per diem X Randy Crouse gTotal Hours: 10.0 jEcuip.Total - Lunch Length: 0 CARP 6.0 Absent/Late?'No;}_ CLAB, Excused? No CMEL —_-- - _ Injured?,No '.? IRON 4.0 X Per diem Alex Gergory Total Hours: Equip.Total _ — Lunch Length: D�CARP Absent/Late? No CLAB Excused? No ;CMEL Injured? No : :';Did not work __ X Per diem ITotal Hours: Equip.Total (� 4 . _ - Lunch Length: CARPM�� !, Absent/Late? No+--,j CLAB Excused? NO- Injured? No'.`..+� X ��- Par diem - Supervisor:Please explain any Absent/Late&comments: Supervisor Name: Dean MUOI IIO Supervisor Signature: PM Signature: Job#: 141212,01 Date: 12/15/14 0 0 o o 0 00 0 0 o w o 0 0 Monday m m m m on on on Dean Merle Total Hours: 1L0 dEquip Total Lunch Length: CFOR _ 7.5 1.0 1 0.5 2.0 Absent/Late? No Excused? No ;..524038 Injured? No 816504 oonex X Per diem Alex Gregory Total Hours: 11 0 Equip.Total Lunch Length: 1 0 CARP Absent/Late? No CLAB Excused? No '. CMEL 8.0 3.0 Injured? No ;I Did not work X Perdiem Michael Brunie Total Hours; 11.0 Equip.Total Lunch Length: 0 CARP I,y _— Absent/Late? Yes CLAB. Excused? 'No;'',` CMEL. 7.5 1.5 2.0 Injured? No _)IRON k Per diem Gary McElroy Total Hours: 0.0 Equip.Total Lunch Length: 1 0 CARP Absent/Late? No :' CLAB Excused?.No CMEL r Injured? No -.' Per diem _ X Vacatlon Randy Crouse Total Hours: 11.0 ,Equip.Total - - Lunch Length 0 y CARP — I. Absent/Late?No CLAB. Excused? No CMEL 7.5 3.0 0.5 Injured?'Na-- ! IRON X Per diem Jethro Gillette Total Hours: 11.0 Equip.Total Lunch Length 1 0 CARP_ I '. Absent/Late? No ',% CLAB ._ Excused? Noi.''CMEL _ 7.5 ]3.5Injured? No '�:IDid not work X Perdiem Total Hours: $Equip.Total Lunch Le [ 1 , ._—w ngth CARP Absent/Late? No CLAB Excused? No CMEL — X Injured? No - —� _.._ Per diem Supervises Please explain any Absent/Late&comments: Supervisor Name; Dealt Muonio Supervisor Signature: PM Signature: Job#: 141212.01 Date: 12/17/14 S o 0 0 0 o b o N N O Wednesday o n m o o v Dean Muonlo Total Hours 10.5 Equip.Total Lunch Length: 0 CFOR ., 7.5 1.0 Fo.5 1.5 Absent/Late? No . Excused? No - 524038 ` ' Injured? No 816504 conex X Per diem Alex Gregory Total Hours 10 0 Equip.Total Lunch Length: 1 0 CARP Absent/Late? No'S. CLAB Excused? No,' CMEL 8.6 1.5 Injured? No Did not work X Per diem Michael Brunie Total Hours: 10,0 !Equip.Total Lunch Length: 0 CARP Absent/Late? Yes `CLAB. Excused? NO-;,:_1 CMEL. 7.0 2.0 1.0 Injured? No IRON X Per diem Gary McElroy _Total Hours: 0.0 Equip.Total Lunch Length: 0 CARP - Absent/Late?No CLAB Excused? No (,'' CMEL Injured? No Per diem X Vacation Randy Crouse Total Hours: 10.0 Equip.Total - Lunch Length: 1 0 CARP Absent/Late? No,;, CLAB. Excused No ;1 CMEL 7.0 3.0 Injured? No IRON X Perdiem Jethro Gillette Total Hours: 10.0 Equip.Total Lunch Length: 1 CARP Absent/Late? No CLAB _. Excused? No CMEL 7.0 3.0 Injured? No ":`i Did_not work X Per diem Total Hours: - Equip.Total Lunch Length: CARP Absent/Late?INo 1,' CLAB Excused? �No..c:>''CMEL Injured? No X Per them Supervisor:Please explain any Absent/Late&comments: Supervisor Name: Dean Muonio Supervisor Signature: PM Signature: I lob 8. 141212.01 Date: q\1 co 12/18/14 b o o a o o b o Thursday o o g g a o Dean Muonio Total Hours: 10.5 Equip.Total Lunch Length: 0 CFOR _ �� 3.5 �+ 2.0�2.0 1.0 0.5 1.5I Absent/Late? No j Excused? No.,;rl 524038 Injured? No `I 816504 conex X Perdiem Alex Gregory Total Hours; 0.0 Equip.Total - - Lunch Length: 0 CARP Absent/Late?No,<;_: CLAB 2.0 6.5 Excused? No ; CMEL 1.5 Injured? 'INg.."`_i Did not work X Per diem _Michael Brunie Total Hours: 10.0 Equip.Total Lunch Length: 0 CARP _— v Absent/Late? Yes CLAB. Excused? :No ^;CMEL. 7.0 2.0 1.0 Injured? No°, IRON _ X Per diem Gary McElroy Total Hours: 0.0 Equip.Total - Lunch Length; 0 CARP J Absent/Late? No CLAB Excused?Excused?No jCMEL Injured? No per diem _ X Vacation Randy Crouse Total Hours; 100 Equip,Total Lunch Length: 0 CARP .�_. .._7 - -- - Absent/Late? No j CLAB. Excused? No CMEL 7,0 3.0 Injured? We--,, IRON X Per diem -LI L Jethro Gillette Total Hours: _ 10.0 ,Equip.Total - Lunch Length: 0�CARPh�. Absent/Late?,No' CLAB '.. Excused? No I�CMEL _ 7.0 3.0 Injured? No di Did not work{ X IPerdiem 41- # t4- James Miller Total Hours: 10.0 Equip Total Lunch Length: CARP Absent/Late? No 1CLAB 6.0 4.0 Excused? No 'ICMEL — - -- I Injured? No ;j -- X l Por diemil supervisor:Please explain any Absent/Late&comments: Supervisor Name: Dean Muonio Supervisor Signature: PM Signature: i Job N: 141212.01 Date: 12/22/14 b o 0 o g o o 0 0 o a o C5 6 6o Monday o S o m o o o m m m m m Dean Muonio Total Hours 11,0 ?Equlp,Total Lunch Length 0 �CFOR _ 2.0 20 4.0 10 Absent/Late? No I Excused? No - - 524038 Injured? No 816504 cone? X Per Blom Alex Gregory Total Hours: Equlp.Total Lunch Length. 0 CARP -- � �77- 7 -1 _.. _. _ Absent/Late? No :_', CLAB 9.0 Excused? No ,;;CMEL 1.0 Injured? No l Did not work X Per diem Michael Brunie �Total Hours: 10.0 Equip,Total Lu nch Length: 0 CARP Absent/Late? Ye_s_. CLAB. Excused? 'No ,'!CMEL. 7.0 2.0 1.0 Injured? No IRON X Per diem -_..._. Gary McElroy Total Hours: 10.0 Equip.Total Lunch Length: 1 0 CARP 8.5 Absent/Late? No JCLAB Excused? No '': CMEL -.1.5 Injured? No -?; Per diem X IVacation i Randy Crouse JTotal Hours: 10.0 Equip.Total - - Lunch Length: 0 CARP iii Absent/Late? No CLAB. Excused? No ": CMEL 7.0 3.0 Injured? ._ _-- --- --- -- --- _ _ No -.'�, IRON ' X Per diem Jethro GilletteTotal Hours: 10.0 Equip,Total Lunch Length: 0 CARP 7.0cR Absent/Late? No ' CLAB Excused? No J.CMEL Injured? No G Did not work X Per diem James Miller JTotal Hours: 10.0 Equlp.Total Lunch Le . CARP ngth. .___ _.._... ._�s_.........a._. _.._ Absent/Late? No :,;'._CLAB 2.0 1 U Excused? No 'CMEL Injured? No;::' Per diem Supervisor Please explain any Absent/Late&comments: Supervisor Name: Dean MUOI IIO Supervisor Signature: PM Signature: Job n: 141212.01 ` Date: 12/23/14 o b 0 0 0 o o 0 Tuesday o o 0 0 7 0 0 6 6 o o o o a Ca ca � rn m m rn rn m ao Ca rn Dean Muonio Total Hours: 11.0 Equip.Total Lunch Length: 0 CFOR 2.0 2.0 4.0 1.0 0.5 1.5 Absent/Late? No - I Excused? No - - - "�1524038 _ I Injured? No_._ 816504conex _ X Per diem Alex Gregory §Total Hours: 10.0 .Equip.Total Lunch Length: I 0 CARP �- - -- - - Absent/Late? No CLAB 9,0 Excused? No CMEL _ 1.0 Injured? No''I' Did not work X lPerdiem Michael Brunie ,Total Hours. 10.0 dEquip.Total Lunch Length 0 CARP Absent/Late? Yes I CLAB, _._. Excused? No -..CMEL. 7.0 Injured? No -:IRON —L L X Per diem Gary McElroy ITotal Hours: 10.0 Equip.Total - Lunch Length: 0 CARP Absent/Late? No 'i CLAB 7.0 Excused? No CMEL 3.0 Injured? No „ Per diem - X Vacation Randy Crouse ,Total Hours: 10.0 Equip.Total Lunch Length: 0 CARP - V Absent/Late? No CLAB. Excused? No i, CMEL Injured? No IRON X Per diem Jethro Gillette Total Hours: 10 0 ^Equip.Total Lunch Length. 0 , CAARB 6.0 1, Absent/Later No - — Excused? NO CMEL 2.0 Injured? No i'Did net work X Per diem James Miller Total Hours: 13.0 'Equip.Total Lunch Length jCARP Absent/Late? No 'CLAB 13.0 Excused? No CMEL Injured? No Per diem Supervisor:Please explain any Absent/Late&comments: Supervisor Name: Dean Muonio Supervisor Signature: PM Signature: Mir,ro kj En CO Fly 7601 N,GOILImbla Blvd. Portland,OR 97203 HfUCE -a647 ' 41� 1 wu"m (503)1266 -Fax(503)286-2296 210 I44 1 FORM ENGINEERING CORP. SHIP To TAPONI. INC. It/10/ 14 WILL CALL RENT WA 90032 12 1 a 14 USA N SOLDTO TnPAN I INC, Po BOX 1900 t 1 BATTLE GROUND WA 98604 Cl 30 USA �1 -111m:kiz--�1157 ERMA MIN 3 79086 CO 215713 1 422 141212. 01. 9461 - 01 152773 11117114 000 En i- M Carrier WILL CALL NET PRICES WCPADRP4900 En 10, oorb FLEX DISK 4-1/211 24GT #11037 5. 000 50. 00 WC]DOBRP3900 E n 1 . 000 DIn CUP 4" DOUBLE ROW D5S07429 76, 000 76. 00 WCPABRP0950 En 21000 BLD 4-1 /2" METAL 53417SLCR 25B I I 8L)o 3. 70 WCPnBRP2159 EA 2. 000 MET WI-IL 4-1 /2XI/BX7/81-IOL 24437 11500 3. 00 KING-RENT-WA 12. 61 III ---------- i3p-. TRADE DISCOUNT , . 00 TERMS DISCOUNT 00 00 143. 31 ry-r Yppy p CUSTOfAGR sma "Or, 7601 NlColroto lumbin 61vd1•PIO IIFl•orioandtOR 07203 PICK tl ICKEcd9 503 11, 31201 (. )266.3G47•Pax(503)2.6G22G8 FORM FNGWEEMNO CORP. SHIP TO TAPANT 1140. l' IM, CAM, KENT WA 9$037. 11 ail\ SOLD TO TAPAWIC Y'NC , Po BOX 1900 DATTIX GROUND VIA 98604 USA NET 30 e _ o d� ,(� s. .0 ss, .-- k=;�; _,.� _� ' 4•'z � o �: �` � �f �I,$o$1 2's:..�st' ft 111 l NN,'1' 1.�R:LCYI3 VICPABR1M 900 1E11 10 , 000 1J"L1TX D18K 4-1/2" 24GT 01103-1 5 . 000 50 . 00 ReyuOat '11/1.7/14 Shin 11/1.7/14 Warehousb WC13 WCPAIIRP3900 M 1 000 DTA CUP 4" D0U117413 RON D5307429 76. 000 7G .00 tiecluest. 11/17/1.4 'Ship 11/17/14 Warehou,e; VA"In KPAWIP'0950 rM 2 .,000 AM) 4-1/2" MUFAI, 534178LCR 25E 1 , 650 3 . 70 R t 11/17/14 Bhip 11/17/14 War.ehousa WC13 KPAI'1RP2159 NIA 2 , 000 MUT I1111, 4--1./2X1'/6X7/6110.T, 24437 1 . 500 3 . 00 Reclue.t 11/1'7/14 811tp 11/17/14 W"I ehouse VIOD 132 . '10 100 7-41- 1 f� �'id ,00 TRADE DISCOUNT 0 00 TERMS DISCTf'i� 1 Y..,`^..•f 1r.M ,i.KlI 1�}e f ✓..S' 3 .i; P�\ 6 f '1'H II HVrMSF,SIRE FOR TEAMS Ni"GONOI'OONS OF SALL. IRnlISI NPr IO DAYS.I W,PFn MONTH.OR I W,PCH AII11U61 OHARG GO 014 A],L PAST UUF AO COUNM jl I Credit Smices - Receipt Lookup f Receipt Image j Transaction Identifier : [4705, 1 1/24/2014, 8, 783] � I -bC-G ✓\ 4'1 Ul(7vv t C� 6810 S 180TH ST TUKWILA, WA 98188 (206) 575-9200 STORE MANAGER JASON WEST 4'105 00008 07834 11 /24 /14 01 : 03 PM CASHIER GUUS - GXT6125 073257012843 3 , 5CLSHTG2PK <A> 10 ' X25 ' 3 , 5HIL CLR PLSTC SHEET 2PK 2@18 . 98 37 . 96 SUBTOTAL 37 . 96 SALES TAX 3 . 61 TOTAL $41 . 57 XXXXXXXXXXXX5097 MASTERCARD 41 . 57 AUTH CODE 596836/1082768 TA IIiIIIINII I�lil Illll� IIII�I 4705 08 07834 11/24/2014 4592 RETURN POLICY DEFINITIONS POLICY ID DAYS POLICY EXPIRES ON A 1 90 02/22/2015 THE HOME DEPOT RESERVES THE RIGHT TO LIMIT / DENY RETURNS . PLEASE SEE THE RETURN POLICY SIGN IN STORES FOR DETAILS . pig:�F9* * **�1 �Fk* k F** F*** ENTER FOR .A CHANCE TO WIN q8d by CamScanner ' 7 More savi (D More doir 6810 S 180TH ST TUKWILA WA 961o0 (206)575-9200 STORE MANAGE`k JASON WEST 4705 00002 36422 12/04/14 02,Jn FM CASHIER TUALIMA - TMI5369 073257012843 3.5CLSHTG2PK <A, 10'X25' 3,5MIL CLR PLSTC SHEET 2PK 6919.98 119.08 SUBTOTAL 119.bB SALES TAX 11.39 TOTAL $131.27 XXXXXYXXXXXX5097 MASTERCARD 131.27 AUTH CODE 708513/1023246 TA P.O.N/JOB NAME: 141212 01 lull!lllll�llllllllllllllllllilllill 4705 02 s6422 12/04/2014 1670 RETURN POLICY DEFINITIONS A POLI(17Y ID DAYS POL03Y0EXPIRES ON THE HOME DEPOT RESERVES THE RIGHT TC LIMIT ROCYTIN TSEE HE RETUN PLISG INSORESFOR DETAILS, ENTER FOR A CHANCL— TO WIN A $5 , 000 HOME DEPOT GIFT CARD1 Share Your Opinion With Usl Complete the brief survey about your store visit and enter for a chance to win at: www.homedepot.com/opinion COMPARTA SU OPINION EN UNA BREVE ENCUESTA PARA LA OPORTUNIDAD OE GANAR, User ID : HTJ 77838 73135 Password : I 14604 73133 Entries must be entered by 01/03/2015. Entrants must be 18 or older to enter. See complete rules on website. No purchase necessary. DOWNLOAD THE HOME DEPOT MOBILE APP View item location, inventory & reviews Download from App store or text RECEIPT to 65624. Message & Data rates 'nay apply II Credit Sen!ices - Receipt LookUP Receipt Image Transaction Identifier : [4705, 1 1/24/2014, 8, 783] t7vv t o II u� 6810 S 180TH ST TUKWILA, WA 98188 (206) 575-9200 STORE MANAGER JASON WEST 4705 00008 07834 11/24 /14 01 : 03 PM CASHIER GUUS - GXT6125 073257012843 3 . 5CLSHTG2PK <A> 10 ' X25 ' 3 . 5MIL CLR PLSTC SHEET 2PK 2@18 . 98 37 . 96 Y SUBTOTAL 37 . 96 SALES TAX 3 . 61 TOTAL $41 . 57 XXXXXXXXXXXX5097 MASTERCARD 41 . 57 AUTH CODE 596836/1082768 TA � �', S C4:) . 01 ,,E R II1IIT 1 IIIl1 I2I4 4705 08 83 1 2014 4592 RETURN POLICY DEFINITIONS POLICY ID DAYS POLICY EXPIRES ON A 1 90 02/22/2015 THE HOME DEPOT RESERVES THE RIGHT TO LIMIT / DENY RETURNS , PLEASE SEE THE RETURN POLICY SIGN IN STORES FOR DETAILS . ENTER FOR A CHANCE CUSTOMER H COPY 7G01 N, Columbia Blvd,•Portland OR 97203 (803)2G•36A/•(:ax(G03)28G-2296 P31 193 1 ' FORM ENGINEERING CORP. SHIP TO TAPANI INC. �� _ ••_`.� c:�il: I ) 12/ 17/ 14 WILL. CAL[_ utniLc, ndi.a I RENT WA 98032 �uGun-I, r1;1 it " ` nl,n-0r1I .) i /i6/ 15 usA SOLD TO TAPANI INC. "_ ��rn n • PO PDX 1900 BATTLE GROUND WA 9B604 JET 30 USA �,,,��'o o •.,- � �. at -�° =" � �` �L v.. �.W ors - �.:�4 3 79OL16 CO 216719 422 I1e1212 01 9460 01 153J21 12/16/ 14 . 000 EA �. '. n m{"-�) o ags .,::.. -.> a -�. r o_•z.�. e �v'- n Carrier WILL CALL NET PRICES ACPUSSPEC0600 BG 1 . 000 Fj JS SPEC MP GROUT 50tt/66 63/PLT 13. 230 13, 25 CPCEMP4000 BG 2. 000 SAND QUARTZ #70 1010(t 30/PT7030 10, 900 21 . 80 ,USTOMER ACKNOWLEDGES RECEIPT 01 MS1S SHEETS AND UNDE125TANDS PROPER JSE OF SILICA SAND X CPCEMP1015B BG 2. 000 4 BLLNGI-IM CEMENT TYPE I-II 35/PL 10. 500 � I I� 21 . 00 i I . J"Lj 56. 05 TAADG DISCOUNT 100 . 00 ITEMS DISCOUNT . 00 . 00 00 56. 05 n4 1: unml "All 01i 'crni ,rs. wilm 0 ST'�� 16,5pv 7001 N.Wunit)14 Fllvd.-Potllwd,OR 07203 PICK TICKET 61" MA IRA D i (503)206.8647•FEix(603)286,22DO P. 31 5 0 FORM ENGINEERING CON SHIP TO TAPANX :j.'N(, Iq1:I,Y4 (,AT,/,, WA 98032 �11 A 3O(DTo 'PA)PA N 1: .INC'. Po BOX 1900 )3ATTTJJ,' (MOUND NA 98604 USA CO 21671s 4zz 141212 01 . 9460, . 01 OEM .NET pfilopi"g. W C P us s I?I'v G o 6 o o Do 11000 Us SPEC14P GROUTrolt1no 63/Pbql 116)clu"t 12/16/14 6114P 12/16/14 13 P 5:':2: WCpCNMp4000 B BAND QUARTV, 1170 1001t 30/147030 ROqUO;St 12/16/14 8111P 12/16/14 CUSTOMER A0l(N0W)jVDGh,',8 REC1411?li, X1 143D,9 0ollD',sWl AND UNDEC STANDS PROPER USE OP SILICA SAND NCpCm4pj0j5D 730 2 . 000 BLLNGHM CEME31,1T TYPE; T-11 35/)?L 10, a00 21 . 00 12OW100t 12/16/14 BhiP .12/J.6/14 Vdaroltouso WCJ3 THAVE Dl$(;O.UNr M5.DISCOUNT. loo rlIYIOIIS OP SALE, 5G . 05lersE slot , %PFB MONTH,OR 18%M AIR7J?I'3r(AfR)10011�ALIIAGT DUC ACCOUNTS, CUSTOMER COPY 7601 N. Columbia Blvd o Portland,OR 87203 NVOICE rNE (503)286-3647 Fax(503)286.22S6 230558 1 FORM ENGINEERING CORP. SHIP TO TAPANI INC. a4 IKi �_ DATE � 11/26/14 WILL CALL /601N. COIumUla KENT WA 98032 G Ponland, OR 97203u DUE ON C„ 12/26/ 14 USA a :.w. N SOLD TO TAPANI INC. PQ BOX 1900 DEC p 5 20191 BATTLE GRQUND WA 98604 ET 30. USA t3Y: 3 79086 CQ 216032 422 141212. 01. 9460. . 01 153235 11/26 '14 . 000 ER a e e a ® s s GarTYsr r arts?`�,� to__ .�•�< ..,..,,., G.'Ph1'(�03:8�u�,.,�.. .,rK� �`��,; ..��.<,z.G ..., EA _. _:�„ h,. _,. .v_ - 4. 0fb�d ,., r. .,. ,t : `�, ..,�.: ._. , G T RUBBGf2 -9° X ft° FsI NE REp s t 30 - a'� '. „rr .,. _ -LOpT".RUB$EfZ�.gtr�X>j.4.'rHA'RD ��L—(�C}(,_ ,,._.: r.. ..::.; y _ . !•:B''.'B50 -';::. ., . -. ..y:?1'xl:'74J—n ; 'l Y , 1 RND QUARzT� #70. 10�q#6�0/PT7020 10 x s:. .,. E'I F f, s UST0ME f? 8QKN0W LE0 GE�S REQ- PT 0 MS S SHE :--r TS RNA UNDE STANDS PEOPERv x- � { x u L) N�HN GEMNT S,YPE I . I 35/PL 1 �. 900 59 5AJ y ..,. '� t a,,, r 1c r�E r-•P i �I< _�.�+ . .{cam,.t_..a� ., .r. ,.......«.:;°'..... ,.. Y'•r ........ r 1 154, 00 TRADE DISCOUNT 00 a fv" 00 TERMS DISCOUNT . 00 . 00 r . 00 ,rs r x # aiisK� Y© B610 C 154. 00 SEE REVERSE SIDC FOR TERMS AND CONDITIONS OF SALE. TERMS.NET 30 O,AVS 1 5%PEN MOPI Fk OR 10Y PER ANNUM CNARGEO ON ALL PAST DUE ACCOUNTS, COPY--- -- �___..._..__� PICK TICKET " I • ' 7601 N.Columbia Blvd<Portland,OR 97203 x' (503)288.3847=Fax(503)286-2290 131315 FORM ENGINEERING CORP. SHIPTO TAPANI INC, WILL CALL KTSNT WA 98032 USA •e• N SOLD TO TAPANI INC. PO Box 1900 BATTLE GROUND WA 98604 ' USA NET 30 �I 3 119086 CO 216032 422 141212,01 , 9460—01, NET PRICES WCPMTP038 EA 4 .000 33 . 20 FLOAT RUDDER 9" X 4" FINE RED 8.300 Requept 11/26/14:S,hip 11/26/14 . Warehouse WCB -r WCPMTP040 EA 2 .000 FLOAT RUBBER 9" X 4"HARD BLACK 8 . 850 1.7 . 70 Request 11/26/14 Ship 11/26/14 Warehouse WC13 11crCE04000 BG 4, 000 43 . G0 SAND QUARTZ #70 100# 30/PT7030 1.0 . 900 Request 11/26/14 Ship 11/26/14 ' Warehouse WCB CUSTOMER ACKNOWLEDGES RECr; PT T M SDS SHEETS AND UNDEI.S'TANDS PROPER USE OF SILICA SAND WCPCEMP101.5H BG 5.000 BLLNGHM CEMENT TYPE I-II 35/PL 11 , 900 59: 50, Request 11/26/14 .$tllla 17-/.26/14 Warehouse WCi3 De TRADEbIS.Q0Vf4T. . 00 00 TERMS biSCQ'UNT ,00 154 .00 ` ® 88 BaE REV6RSfi§IDE POR'TGRfAS AND CU401TION9 aF SALE. "'TERL1`S;�lET�O DAYS,t.b%PHflldONYH/9R 18%PER ANNU/d.CI1ARGED ON ALI.PAST DUE ACCOUNTS,: :\. III ConcwMe A.m2swW),, CUSTOMER COPY 7601 N INVUCE 'I ? I Columbla Eilvd, -Poriland,OR 97203 mum (503)286-3647 a Fax(503)21304296 23t_�M71 771 FORM ENGINEERING CORP. SHIP TO TPPANI INC, DATE PC BOX 1900 7604-W—co�U_'�,M RATTLE GROUND WA 98G04 Poriland,OR 97203 DUE ON � USA up F7 N SOLD TO TAPANI INC. DEC 8 20R PO BOX 1900 onsmommmmoommm i BATTLE GROUND WA 9BG04 13� kET 30 USA 1212. Vi 1. 9460, . 01 3 79066 CO 216131 422 14=,-=,O= 153383 w i 1. 1. ca]:1 12/01/14 . 000 EA N N ff, 31A ...........v1500. 0 _7'z 5i p Q ------------ 3 45 ffli g-, &i 51 mi . 00 1132. 73 SEE PLVERSE SIDEFOR YFSM%AND CONDITIONS OF$ALF, TERMS;kMT 19 DAVS,1.6%PER NIONTH,OR 13%PCRANNUFA OHARGED ON ALL PAST DUE ACCOUNTS. OG5Y0—WF—,A COPY mum7601 N.CoWrnbln Blvd.-Podland,OR 97203 PICK TICKET " (603)286-0647•Fax(503)286-2296 1. 31321 FORM ENGINEERING CORP. SHIPTO TAPANT. INC. PO T.�.IOX 1900 bATTLU GROUND WA 98604 USA SOLD TO TAPANI INC. PO BOX 1900 7- BATTLZ GROUND WA 98604 USA NET 370 3 79086 CO 216131. 422 141212 . 01 , 9460 . .. will , call . NET niczs TMJ WOVAM4950 LA .000 TON0, FLEX DISK 4-1 2" 36 GT 011038 000 75 ,00 Request 12/01/14 Ship 12/01/14 Warehouse WOD WCPABRP4900 EA 5.000 rl= DISK 4-1/211 240T #11037 5,000 25.00 Request 12/01/14 Ship 12/01/14 Warehouse WCD WCPABRP3M CA 1 .000 .'Vlh CUP 41- DOUBLE ROW D5S07429 76,000 76 . 00 Request: 12/01/14 Ship 1.2/01/1.4 Warehouse WCB 73 , 100 TRADE Q18000NT 00 r Is A 76 ,00 OON031014,8 ors Te hl UP, CHA AGEVqt4AL VA.sTDQLAO ou CV.9 f 01,401 (:OP'( 4 • 7601 N Columbia Blvd.�Portland,OR 97203 �" `� " `=""`�'T-' .l, (5'03)2D6-36A7•Fax(603)286.2296 r307 t t 1 FORM ENGINEERING CORP. sNIPTo -rAPANI: INC. � � 'i ogre 1. 1/ 18/ 14 WII L CALL iG01 bi fS1lnlai>I;. KENT WA 98032 � 12/18/14 USA 6 r IN SOLD TO TRPANI INC, PO BOX 1900 BATTLE GROUND WA 98604 LI 30 USA 3 79086 co 215/81 422 141212 01 9461 01 �e 152773 11 /17/14 I P100 EA Mill Carrier WILL. CALL NET PRICES WCPABRP4900 EA 10. 0010 FLEX DISK 4- 1 /211 240r V11037 5. 000 50. 00 WCPABRP3900 EA 1 , 000 DIA CUP 411 DOUBLE ROW D5SO7429 76. 000 76. 00 WCPABRP0950 EA 2. 000 BLD 4- 1 /2" METAL 53417SLCR 250 1 . 850 3. 70 WCPADRP2159 EA 2. 000 MET WI1L 4--1 /2X1/OX7/61-101- 24437 1 . 500 3. 00 KING-RENT-WA 12. 61 I , ml 132. 7 TRADE DISCOUNT VW-If., : ', � , 00 TERMS DISCOUNT . 00 12. 61 ;: a 11 —� ) 45. 31 ON Al I 'nsi Dtl.AGG IJNI<� OUSTOMrFI COPY Cnr 73 om Am PICK TICKE 7601 N. Golvinibla Blvd.-Pomrtland.OR 07203 1 (603)206,3647 Fax(603)286-2296 131 FORM ENGINEKRING CORP, SHIP TO TAPAITT� 1140'. cAld' XMINT WA 98032 USA SOLD TO 'l.'A)?AN:f, DIG. Po flox 1900 BATTLM CMUND VIA 98604 USA NI P 30 it m; if t K um NrT PR10M IIICPAf3fZ1?4 900 EA 10,000' YLEX D18K 24GT #1103'1 5. 000 50 . 00 lzocjuo:�t 11/17/14 51)113. 11/3.7/11 VhlrehouS6 W013 ;IICvAnRV 11900 2A 1 . 000 D.T.A CUP 4" DOUBLI3. ROW ))550742, 76, 000 7 6 . 00 lIOqUoF;t 11/17/1.4 Shil) 11/17/14 Warehouso WCI3 WCVAI3RP0950 GA2,000 )ILD 4-1/2" MOTAL 534175LCR 25E 11850 3170 Request 11/17/14 8111P 11/17/14 Warohouso V1013 VICMIRP21.59 P.,A 2. 000 MOP IV141., 4-7./2X1-I6X7/BHOL 2443'1 1 . 500 3 , 00 lln(.11-10,t '11/17/14 Ship U/17/11 WavollouSo VIC)) 132 , 70 1 1 .00 00 10 TRADE 1)0 YL SO.00 TRADE DISCOUNT YcHms Disc 'E F18Vr.gFV,ME FO A TrflMS ANU CONDIP1011S OF SALE, I r.Rf,18:It F T 50 DAY8.I.61/.(IF.fl 1.100114,M I MR ANNULI OR ARQaD ON ALL FAsTWK AOGOU?J TS. MIME cus fU��imtt-.II1 vYP 1 II II tY Cry®� �_°,. 0Vk ` N. V 7601 N.Columbia Blvd °Portland,OR 07203 x (503)266.3647 Fax(503)2664296 s FORM ENGINEERING CORP. Tf-1PANI INC, 11/21/ 14 SHIPTO i WILL CALL (EIJT WA 9C�032 I�Gin:i,o, li;I s�ssra uuf. orI i-) 12/21/ 14 USA e'2 '� - ''. SOLD TO TG1P(-1N1: INC, i �) ',� 1,i ) i� `� 1 .. AN � PC) BOX 1900 BAT,rLE GROUND WA 98604 �`L JC P 30 USA9 2 <" '-fir"-`' - t f }s o L I I n'a i 79Vj36 rn P1�5925 422 ! 41R I2 (b1 , 94G0 01 1 Jr 999 11./20/ 14. 000 CC) iP� _. n - f `5" li lu ! Carri.ei WILL CALL JET PRICES o)CPMTP040 En 3. 000 =LOST RUBBER 9" X 4"HARD BLACK 6. 650 26, 65 CPMTP03B EA 3. 000 =LOST RUBBER 9" X 4" FINE RED B. 300 c.4. 90 4. 69 <ING-KENT-WA I,. I t TRADE DISCOUNT 00 TERMS DISCOUNT , 00 • 00 I I SL. 34 . Ii unn 1;I;11 rn:1 1- 1.na� n;, � l C(,II(Wet(? Ac( C -'f QUS I OMER COPY- flo7601 N.C01t"bla Olvd.-PorlIand OR 972.03 RIKTICKEI f (603)20G-3647 Pax(5003)266.2296 roNM�'NGMMW CORP. G 2 SHIP TO TAPI1MX INC , Illf,fi CALL IM'N'll WA USA SOLDTO TAIMNI T.Nc, Po BOX 1900 UATITYJ,$ 0WOUND WA 98604 USA NI,T 30 Ip FAR m m i. NET WC1'MTP040 EA 3 . 000 1Xl0AT RUDBER 9 X d "HARD MACK 8 . 850 .26 . 55 8111P 1.1/20/14 rh BA 3 ,000 ,0AT- :lZoj3nEjz X rINE IM 81300 24 "90 li0qU06t 11/20/14 81 Ifl? 11/20/14 - ---------- ---------- -- .. ............. .. ................ , r 00 TRADI DISCOUNT, TFHMS plop Yu 51 4 a MT C)]AnOr.D 011,ALI.PAST DUt AOMIJNT,$. CU31 OMFR COPY 7601 N.Columbia Blvd. Porilnnd, OR 07203 NVOME (503)286-3647 Fax(503)296-2296 229922 P. FORM ENGINEERMG CORP. SHIP TO TAPANI INC, I o�ire it/ 1i. / i4 WILL CALL t;olwaSl.-I KE NT WA 98032 12/ 1 1 / 14 Usf1 _ co�(I-A)T"L1.91 a4f<f*S N SOLD To IAPANI INC. P❑ DUX 1900 BATTLE GROUND WA 98604 �ZT 30 usA 3 79006 CO 213451 422 141212. 01. 9460. . 01 152503 11/06/ 14 000 EA Carrier _ WILL CALL i i i 1 rl ' 173, 15 TRADE DISCOUNT . 00 TERMS DISCOUNT , 00 I >` % 96 � ',i i1�dr. 183. 11 , eac ,i -.nrrr �!ncm!oiu , „.n_. u,a,r., e:,t. .. ;,r .�,nL ,P i. s„n:lmn r„,v ,:.e rN,u.u•a em -5u:qu;rte. CUSTOMER QOP( 7601 N. Calumbla Blvd. - Portland.OF 97203 INVOICE [11 77 k -0, �RM' 7 III FORM ENGINCERING CORP. (503)H6-3647-Fax(503)286,2296 2 2 1 SHIPTo I'APANI INC. WILL CALL 7001 [SENT WO 98032 usn 1_2124�370=rlm_ . -�02 U N _1 61 SOLD TO rnpnN I INC. # '- sxy Ott' PO BOX 1900 B 0 TTL E GROUND WA 9B604 JET 30 usn r LML�E�*�111 pX, I 3 79036 CO 215451 42.2 1 It 12 12. 0 1 . 9460. . 01 F 17W7 '1�N 152503 11/06/ 14 . 000 En W, 5 I AM-7 wm, W, a Carrier WILL CALL JET PRICES 4CIDABRP4950 En 51000 �LEX DISK 4- 1/211 36 GT #1103B 5. 000 25. 00 4CPRBRP4900 Fn 10. 000 7LEX DISK 4-1/2" 240T #11037 5. 000 50. 00 4CPABRP5300 EA 3. 000 7LEX DISK NUT 5/B- 11 #42002 5. 950 29. 75 ACPCEMPI015B 13G 3. 000 9LI-NOFIM CEMENT TYPE I-II 35/PL 11, 900 35. 70 �JCIDCEMID4000 DO 31000 3AND wunwrz #70 100# 30/PT7030 10, 900 32, 70 'us'romEii ACKNOWLEDGES RECEIPT OF MS))G SHEETS AND UNDE MTANDS PROPER JGE OF GfLicn 8F)ND X <ING-KENT-WA 9. 96 TRADE DISCOUNT TERMS DISCOUNT ;l i V,lij 1i 11 i Ofi I il I A: L c'), 1,In,1 1 i .'II V;' 1 j 'tMO rl�1,IM i f.."i IRIM 1;;iAlun:r,G� ALL rAei G j A(,CUW 1 1. _ - cusTo"fr'ri Car'Y (fj1 1 CC6ncro'' 7S1,f1G1 oI'IF:,� / J�j + r, +o I r tltl � � _., I� jI 780f N.Columbla Blvd >Portland,OFi 97203 � �� u i C�G9 Log I m�IT , I 1 J L/0(i/J4; ` (503)200.30A7 Fax(.103}20G2?.AG3 � �� 7 g� FORM ENGINEERING CORP, SFIIP To TAPANI J.NC, 14:1111'1 CA,)', I(YsONT t^/)1 90032 N SOLD TO ',('7(PAN7 11C, Po Box 1.900 ISM a r , 'R DA'1111'I,)II GROUND WA 90604 USA NE;" 90 t'2-r� r.l•1_ T � 41'11h�'r+'r 5 79086 00 21b452 422 94121! 01 . 9460 07 11-...,) u �.,ka/r,FyS-X.�Srl�f 1l/A).((1fll!.i-pa a.7r �A. Yu�`# ,a t,i.:>S. II SZ .'`'a` P 1 1 n .y}•t`z3br'/ Of NET. NJ3'1' PRICT,f3 WCPAIMP4950 MA WLEIX DISK 4-1/21, 36 C9'P (111038 l�. 51000 25 ,00 11oquost: 11/06/14 Shill 1.1/06/14 War^ahou5o WCA VICPA13RP4900 )1;A 10 .000 FLEX DISH 4•-1/2" 240T 1111037 71e' 5 .000 50 , 00 Recluent 11/06/14 ,Sh113 11/0G/14 WarohouGG WCD t'ICP1aHRP5500 )!,11 r 5 .000 IMMIX DISY NUT 5/t3 11. 1142,002 ! S 51950 29 . '15 ROguost 11/06/1.4 Ship 11/06/14 iPat:ehoue (VC13 WCJPCNMP 101.5)3 DO 31000 I]7,7,NGHM 0XIM ;NT 'PYPp; T'-Y'T 35/PT IV C 11 , 900 3ri , '70 Roquo,5t: 11/06/14 51ilp 11/06/14 S'tarehottro (1cf3 4.7C1?CI''Mk'4000 1]G 3 , 000, SAND QUAIZTV` 100 10011 30/PT'7030 /V �C 10 . 900 32. . 70 Roggest 11/06/1.4 )3hll3 C:U132OMER ACKNOVIM.-1(3GE5 R.ECE).PT, . PMI)S SrfNNI'M AND UN.pp STANX)S PROPER )'SIIJCA SAND X .._USE 0 �. -. lax r .� TRADE olScoUNT 00 1,} �cpy9 �}•� ,00 TERMB DI9COUNS�� 1 13 , r . i f- ❑F.4Fn it sum.POlt TC(I §AND COHUnIONS OF SA-_ TaWd5,l taq AO pms,j.5%PCp IAal7nplt to%PEPAImum Oft O CO DIIAI•l(A3TOUF,ACC0WT7 , ..'.. .. .. .. .. .. .. .. .. ... .• .. .._..:____.._��—.��_���.._—.�. it Bryant, Jason From: Connor, Eric Sent: Tuesday, January 27, 2015 650 AM To: Kuehne, Paul; Bryant, Jason Cc: Casteel, Kelly; Howlett, Mark; Bieren, Chad Subject: RE: Request Construction Change Approval - Briscoe Levee Concrete Barrier Finish Work - CO4 Good Morning Jason/ Paul, We have received approval to proceed with the execution of CO 44. However, when both of you are available, we need to have a follow-up discussion. Please let me know when you are available. Thank you, Eric Eric Connor, Construction Engineering Manager Construction Management I Public Works Department Phone 253-856-5533 1 Cell 253-797-0693 CITY OF KENT, WASHINGTON PtfHff CON, AM k 'M eruv3FOWH- Y BFFORE PuINM , us r-MAIL From: Connor, Eric Sent: Friday, January 23, 2015 1:35 PM To: Bieren, Chad Cc: Kuehne, Paul; Bryant, Jason; Casteel, Kelly; Howlett, Mark Subject: Request Construction Change Approval - Briscoe Levee Concrete Barrier Finish Work- CO 4 Hello Chad, Please see attached Construction's Worksheet for Proposed Change Order No. 4 on our Briscoe-Desimone Levee Improvement, Reach 2 & 3 Project(09-3010), Wording in Section II of the attached CO Worksheet has been revised from the wording in the version I shared with you earlier today. I am okay with the description in the attached version. I believe Paul Keene is correct in suggesting (below) that this item will require Director approval based on the dollar value ($51,244.05). Could you please seek this approval? Feel free to let me know if you have any questions or need any additional information related to this change order. Thank you, Eric Eric Connor, Construction Engineering Manager Construction Management I Public Works Department 1 Phone 253-856-5533 1 Cell 253-797-0693 CITY OF KENT, WASHINGTON PIIASI ('tl III BYDrIt 1 I I IF 20%11 Rni NfFN I ',rI:0kF PIIINDIIA 135E-NAn- From:Kuehne, Paul Sent: Friday, January 23, 2015 12:31 PM To: Connor, Eric Subject: Request Construction Change Approval - Briscoe Levee Barrier Curb Finish Work- CO 4 Hello Eric, Shall the City accept the Contractor's pricing for enhanced Briscoe Levee barrier curb finish work? This work has been completed. Please see the attached change order worksheet. This change has been vetted through Kelly Casteel, Eric Conner, Jason Bryant and I. Dollar amount requires Director approval. Mr. LaPorte may wish to inform the Mayor, Paul Kuehne, construction Management supervisor Construction Management I Public Works Department 220 Fourth Avenue South, Kent, WA 98032 Phone 253-856-5543 1 Cell 253-740-5015 PKuehne3Ji KentWA.aov CITY OF KENT, WASHINGTON KentWA.aov Facebook r YouTube GI FWD U CONFTOM 111F ENVIRO II N'i 6EFORF PRIMING THIS IS,@-FIA11- From: Bryant, Jason Sent: Friday, January 23, 2015 12:12 PM To: Kuehne, Paul Subject: Briscoe change order #4 Paul, Should I proceed with processing the attached change order? Thank you, Jason Bryant, Owners Representative Construction Management I Public Works Department 220 Fourth Avenue South, Kent, WA 98032 Phone 253-856-5541 1 Cell 253-261-5663 FKENT ]bryanKalKentWA.00v www KentWA.UOV PLLASK COPIES I F:TnF EINV U10FU4FPIT 10 FORF.PIUNTLNG THIS E-rIIAII 2 FA Sheet No.: T-51 E Engineers Estimate KENT Project Name: Briscoe-Desimone Levee R-3 Project No: 09-3010 Item No.: Date: 1/8/2015 Description of Work: Additional sacking and patching necessary to achieve the desired finish Work by Subcontractor7: NO �I Prime Contractor: Tapani Underground Sub-Contractor: LABOR STRAIGHTTIME OVERTIME DOLLAR NAME CODE OCCUPATION Hrs Hourly Rate Hrs OT Rate AMOUNT Concrete Mason 58.65 500 - 10 22.44 $ 35,414A0 Concrete Foreman 59,54 80 10 23.6 $ 4,999.20 Concrete Laborer 49.08 15 $ 736.20 Per Diem 715 3 $ 2,145.00 SUBTOTAL-LABOR: $ 43,294.80 LABOR OVERHEAD&PROFIT@ 29% $ 12,555.49 LABORTOTAL $ 55,850.29 EQUIPMENT EQUIPMENT OR ATTACHMENTS OPERATED STANDBY DOLLAR Equipment# Equipment Description Hrs HouryRatel Hrs I Standby Rate AMOUNT $ $ $ SUBTOTAL-EQUIPMENT $ EQUIPMENT OVERHEAD&PROFIT @ 21% $ - EQUIPMENTTOTAL $ M ATE RI ALSIS E RV I C ES/RENTALS MATERIALS/SERVICES Quantity Units Unit Price DOLLARAMOUNT Home Depot/Williams 1 Is $ 1,500.00 $ 1,500.00 $ SUBTOTAL $ 1,500.00 OVERHEAD&PROFIT @ 21% $ 315.00 TOTAL $ 1,815.00 Verification of Hours Worked: TOTAL: $ 57,665.29 12%MARKUP (for prime when subcontract work) $ - Contractors Representative Date SHEET TOTAL: $ 57,665.29 Owners Representative Pay Estirnat -Entered: Date: By'.