HomeMy WebLinkAboutPW15-240 - Change Order - #7 - Marshbank Construction, Inc.- Central Ave S Pavement Preservation and Utility Improvements - 05/10/2016 �,agem nt-,,
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KENT
WA5HINGTOH 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: Marshbank Construction, Inc.
Vendor Numiber:
JD Edwards Number
Contract Number: PW 15-240 °-
This is assigned by City Clerk's Office
Project Name- Central Ave S Pavement Preservation and Utility Improvements
Description: ❑ Interlocal Agreement 0 Change Order F� Amendment El Contract
❑ Other:
Contract Effective Bate: 7/E',/2015 Termination Date:
Contract Renewal Notice (Days):
Number of days required notice for termination or renewal or amendment
Contract Manager: Mark. Madfai Department: PVW Engineering
Contract Amount: $5,8I.9,698.74
Approval Authority: (CIRCLE ONE) Department Director Mayor City Council
Detail: (i.e. address, location, parcel number, tax id, etc.):
Change Order #7
As of: 08/27/14
• ,
KENT
WA9HINOTON
CHANGE ORDER NO. 7
NAME OF CONTRACTOR: Marshbank Construction, Inc. ("Contractor")
CONTRACT NAME & PROJECT NUMBER: Central Avenue S Pavement Preservation and Utility Imp
ORIGINAL CONTRACT DATE: July 6, 2015
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:
Provide compensation to the contrctor for efforts to remove a sinkhole
that developed near a catch basin at station 31+44 RCL.
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, $5,819,698.74
(including applicable alternates and
WSST)
Net Change by Previous Change Orders $25,520.15
(inch applicable WSST)
Current Contract Amount $5,845,218.89
(incl. Previous Change Orders)
Current Change Order $4,205.78
Applicable WSST Tax on this Change $0.00
Order
Revised Contract Sum $5,849,424.67
CHANGE ORDER - 1 OF 3
Original Time for Completion 180 working (lays
(insert date)
Revised Time, for Completion under 0
prior Change Orders
(insert date)
Days Required (±) for this Change 0 calendar days
Order
Revised Time for Completion 180 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-
YY
By:_ B
'grwure) signature
gnature)
Print Name Print Name: 0M T)aA* Pe,'
Its Its 1A/Yj, t
ow !25/ 1�title)
DATE: DATE: LI)AI
CHANGE ORDER 2 O�F 3
APPROVED AS TO FORM:
(applicable If Mayor's signature required)
Kent Law Department
ffsfsf[In this field,you may enter the electronic filepath where the contract has been saved]
CHANGE ORDER - 3 OF 3
• FILE NO: 200.2
KENT
CHANGE ORDER WORKSHEET NO. 7
Construction Management Division — Public Works
Project: Central Ave. S. Pavement Project No.: 13-3004
Preservation and Utility
Improvement Project
Project Engineer: Cameron Bloomer, PE Fed-Aid No.: STPUL-1071(006)
Owners Rep: KBA, Contractor: Marshbank Construction, Inc
Inc
Date: 3/22/2016
I. PROPOSED CHANGE
This Change Order provides compenstion to the contractor for efforts to remove a sinkhole that
developed near a catch basin at station 31+44 RCL.
II. REASON AND BACKGROUND FOR CHANGE
After removing the old sidewalk and grading for the new, a sinkhole began to form in the
sidewalk base close to a nearby drainage structure at STA 31+44 RCL. The City directed the
contractor to enter the drainage structure and investige for a possible cause of the sinkhole. The
contractor noted a hole was present at the connection between the pipe and drainage structure,
and that gravel was present in the bottom of the structure. The City then asked the contractor
to use a vactor truck to open the sinkhole, place backfill material into the hole, and to re-seal
the pipe connection to the drainage structure with grout. This work was performed by the
contractor between 11/19 and 12/4 of 2015.
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 Item
Al CO 007-01 Sinkhole at 31+44 i 1 LS $4,205.78 $4,205.78
_._ . __.._ _ _ _............... ..
Independent Estimate Attached CREATE PAY ITEM ONLY— Payment to be made PAY THIS PAY ESTIMATE
-REQUIRED._. at a later date upon completion of work
_.... .. .. __. q
❑ ; Material Submittals Required — CC. Construction Coordinator New Sub Re rd? 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 Qty Unit Unit Price Cost of Item
1 REV. DATE:
4/01/10
'+ FILE NO: 200.2
KENT
„ P F�xow
Independent Estimate Attached ..REQUIRED
INCREASE/DECREASE TO EXISTING PAY ITEM(S) Not Applicable
Change Order No. - FOR ACCOUNTING USE ONLY
Sch. No. B.N. No. Item Description Qty Unit Unit Price Cost of Item
Independent Estimate Attached - REQUIRED
TOTAL ESTIMATED COST OF CHANGE ORDER $4,20.78
*Total of the Cast of Item Columns
THIS PAY ESTIVATE
IV. WORKING DAYS
Original Contract ; 80 Due This Change Order* 0 Previous Total 180
DATE: DATE:
*
Explanation/Justification Rewired:
TOTAL WORKING DAYS* 180
*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 warp described.
Prepared By: eemr Date: v7/2o)c0
Construction Supervisor: Date:
Construction Manager: "' M Date: ,✓
2 REV. DATE:
4f 01/10
Chapter 52 Local Administered Projects
Appendix 52.106 Change Carder
Checklist
Change Order
Question Yes No N/A
1. Does the clianoe order alter the tcrnnirri,character,car scope of the work'? ❑ � ❑'
if yes,you must have 11 &c I I' approval to be eligible for federal funds. ❑ ❑ ❑
if yes,you must submit a revised 1'age I of the prospectus, ❑ ❑ ❑
2. is the Change Carder over S7,500,00 and outside the scope of wort/ ❑ f C
If yes, the change cannot be a change order and niu,st bean independent work. El ❑ ❑'
3. Does the Change Order detail all items involved with the change? � ❑ ❑''
4. Does the Change Carder include am adjustment in working days? ❑ i!!r ❑'
Il`yes,the time extension must be stated in the Change Order-. ❑ ❑ ❑
I
a
If yes,,in independent engineer's estimate oftim°must be included to document the ❑
extension, !'
If rio, that mast be stated in the Change Order. 11 El ❑
S. Does the Change Order alter the DBL Condition of Award?
If yes,you urnst obtain concurre nee fOrrn Local d'r0121rarnS. ❑ ❑ ❑
7
Il`yes,YOU traust obtain the[313f "s signature on the Change Carder. ❑ ❑ ❑
6. Does the C'h rragc 0t•der involve.a rrraaterial substrtartiorr? ❑ ❑
Ifyes, you must deteranine if"a material credit is appropriate. ❑ ❑ ❑
7. If Change Order work started prior to it's execution, prior verbal approval by the ❑
Approving,Authority 117ust be granted and a ocurnente d.
S. I las the Change Order been si,mcd by the contractor? ❑i
9. 1I,1S tiro Change 01-CICr been cxa:crrted by the Approving Autiror-ity'.? ❑ ❑ LJ
If you are a°"nou CA Agency" you must have the acting C'A Authority's approval. El E 11
..... ---- --- - --- --- ---
I0. Has,an independent engineer's estimate,justifying the costs and time extensions been ❑ ❑ 16
c.ornpleted and dCreunrented"? ;
1 I. f lee a detailed mono outlining the chronology of events,basis of nccd,costs and � ❑
working days been prepared and placed in the file acconipaanying(lie Change Order'!
y
i
Appendix 52.106 Change Order Page 1 of 1
Revised 413012014
WSDOT Local Agency Guidelines M 36-63.27 Page 52-19
April 2015
i 'l '%/'i9/r,,
0/0
0 CONSTRUCTION
l 21KENT MANAGEMENT
W A S HI N G T O N
MEmo To FILE
Project Name: Central Ave, S. Pavement Preservation and Utility Date; 3f22f2016
Improvements
Contractor: Marshbank Construction, Inc. Contract No: 13-3004
Owner: City of Kent Federal Aid No: STPUL-107'1(006)
Subject-. Change Order 007 Chronology of Events
Message
November 18, 2015—Sinkhole discovered near drainage structure at STA 31+44 RCL. Discuss with City and direct
contractor to investigate structure for possible cause.
November 19, 2015—MCI investigates drainage structure,notes hole in connection between pipe and structure.
November 24, 2015. —Notify MCI of need to open up the sinkhole, backfill,compact, and re-grout the drainage pipe to
structure connection.
December 1,2015—MCI uses a vactor truck to open the sink hole and backfill.
December 4,2015—MCI grouts the connection between the drainage pipe and structure.
March 22, 2016—MCl/City agree to total cost of FA work.
Cameron Bloomer, PE Resident Engineer 3/22/2016
Date
1 of 1 P-11 (Rev. 8/11)
Cameron Bloomer
From: Cameron Bloomer
Sent: Wednesday, November 18, 201S 3:S2 PM
To: 'jason@marshbankconst.com'
Cc: Hansen@marshbankconst.com; Steve Cox
Subject: KCAS Sinkhole at 31+44 R
Hi Jason,
Please investigate the sinkhole at 31+44 RCL by entering the CB structure and using a light to view into the pipe believed
to be the cause of the sinkhole. Please comply with any confined space requirements. Notify our field representative
prior to beginning this work,and track all time and materials for reimbursement.
Thank you,
Cameron Bloomer, PE
T 425.990.2949 1 C 206.819.7148 1 E cbloomer@kbacm.com
KBA, Inc. I Construction Management Specialists I www.kbacm.com
1
Cameron Bloomer
From: Cameron Bloomer
Sent: Tuesday, November 24, 2015 8:39 PM
To: 'jason@marshbankconst.com'
Cc: 'hansen@marshbankconst.net; Steve Cox
Subject: RE: Sinkhole
Hi Jason,
To correct the sinkhole, I will be issuing a FWD to call out a vactor truck and excavate down to the pipe and expose the
void as best we can.Then backfill with crushed rock.The pipe will need to be re-grouted as well.
Thanks,
Cameron Bloomer, PE
T 425.990.2949 I C 206.819.7148 I E cbloomer@kbacm.com
KBA, Inc. I Construction Management Specialists I www.kbacm.com
From:Cameron Bloomer
Sent:Thursday, November 19, 2015 1:35 PM
To:'Jason Vanhulle-Marshbank Construction' <vanhulle@marshbankconst.net>
Cc: hansen@marshbankconst.net;jason@marshbankconst.com
Subject: RE:Sinkhole
Thank you Jason.
Cameron Bloomer, PE
T 425.990.2949 1 C 206.819.7148 1 E cbloomer@kbacm.com
KBA, Inc. I Construction Management Specialists I www.kbacm.com
From:Jason Vanhulle-Marshbank Construction [mailto:vanhulle@ marshbankconst.net]
Sent:Thursday, November 19, 2015 1:20 PM
To:Cameron Bloomer<cbloomer@kbacm.com>
Cc: hansen@marshbankconst.net; jason@marshbankconst.com
Subject:Sinkhole
It is evident after closer inspection that the bottom of the pipe to the West is not mudded and allowing some
settlement to infilltrate. It is only in one spot @ 7 o'clock. Although the pipe is not completely mudded for the
most part on the bottom inside the structure it is mudded on the outside except for at the hole at 7 o'clock. A
prob was inserted in the hole 1'. There is corrosion and some decay on the top of the pipe 3' west of the
structure, but it does not appear to be allowing infiltration. The bottom of the pipe heading East from the
structure is not mudded either. I am unable to confirm if it is sealed from the outside, but it does not appear to
be allowing infiltration.
i
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FA Sheet No.:
4 A
M DAILY REPORT OF
;AW
MANAGEMENT
FORCE ACCOUNT WORKED
Project Name: Central Ave S. Pavement Preservation and Utility Impro, Project No: 13-3004
Item No.: Date: 11/19/2015
Description of Work: Inspect type 2 CB @ STA 31+44 R for cause of sink hole. Confined space equipment required,
pumped out and inspected structure. Enter structure to find corrosion/decay in the top of the 18"
CIVIP pipe,to West 3'from structure, identified infiltration under pipe due to lack of grout,
infiltration coming from West.
Work by Subcontractor?: (mark"x"if yes)
Prime Contractor: Marshbank Sub-Contractor:
STRAIGHT TIME OVERTIME DOLLAR
FIRST NAME OCCUPATION HOURS WWR HOURS WWR AMOUNT
Jason V Operator/Foreman 3 $ 68.34 $ 205.02
7,
Doug D Operator Eng Grp2 3 $ 64,92 $ 194.76
Eric C Apprentice Laborer 3 $ 40.35 $ 121.05
#N/A $ -
$
SUBTOTAL-LABOR: $ 520.83
LABOR OVERHEAD&PROFIT @ 29% $ 151.04
LABOR TOTAL" $ 671.87
HOURS HOURS ADJUSTED STANDBY DOLLAR
EQUIPMENT AND ATTACHMENTS KING STANDBY RATE RATE AMOUNT
3 MCI-0113 F250 16,20 48.161
1
MCI -0009 F-250 3 16�91 $ 50.74
71 1 $
SUBTOTAL-EQUIPMENT $ 99-35
EQUIPMENT OVERHEAD&PROFIT @ 21% $ 20.86
EQUIPMENT TOTAL $ 120.21
NINE
MATERIALS/SERVICE DESCRIPTION QUANTITY UNIT PRICE AMOUNT
st U
A1171West Underground Equipment RESP 11826 1 LS $ 521,53 $ 521.53
SUBTOTAL-MATERIALS $ 521.53
MATERIALS OVERHEAD&PROFIT @ 21% $ 109.52
MATERIALS TOTAL $ 631.05
Verification of Hours Worked: TOTAL: $ 1,42114
_��7v'e'�;rTl�t�;n,a,me")---------- 12%MARKUP(for prime when subcontract work) $ -
Wi�r;s"e n
.......... ..... SHEET TOTAL: 1,423.14
...................................
Oki/tier's Representative(printed name)
Prime Markup on Subcontractor:
..........Date...... 12%� <$25,000
10% S25,000 to$100,000
Pay Estimate Entered: 7% >$10'0,000
Date: If checked,this work is in dispute. B�y signing this forrn, parties are
By: agreeing to the tine and effort needed to accomplish the task. Entitlement
Marshbank Construction Inc. _ 0240
Foreman's Report of Farce Account f orked i
Date G - Job# t � �` . ..
weather ; Auth. fay
Describe work Performed (Attach Additional Sheets if Necessary):
yrCr.��Ca,-�
l Lw -c �} C+ o
.�-
Labor Equipment
Hours Name Fours Machine/Machine dumber
at "�iCA w
'k '`, 0 t
Below This Line Attach Invoices or Truck Slips/Tickets If Available
Materials (Includes Dump Fees) Subcontractors (Includes Rental Trucks)
Quantity Description Invoice No. Subcontractor
Signature: _ tz Date Completed:
ion on
ALLNVEST 799 VAenlin,-Ave SE 4020.NE fuffafD St 8-t9 21,.ifl�ST Sc
UNDERGROUFP h3�d-ri:e,W2A-�39837-7 Peft:l!a!: Crl.9�7211
OWrmed.,;).1v2i115e:,W2A 230;3.( 87555 Off� ' 3g !
Fa, :25 ;961-7�rA 1.6>. ISf3:44,2020 7 2
11 S per,-:1,; .1c1,5,vjcr:wj,_ `-E "�p:64.7 v,v, rul tf d
RENTED TO JOB LOCATION TICKET #
MARSFISAHK CONSTRUCTfOKI Rcsf! 11826
PC BOX 97 AVE S & 266T11 ST Invf1 52242
LAKE STEVENS WA 9825E, KENT WA
Loc 100
o rl 25
DL/ID # CTC CELL PHONE DATE TIME
133008 JAqON 'W (425) 377-9708 i OUT 11/19/15 11 :33 AMRSJ
F (425) 377-0709
SLSM—PO/JOB # RECEIVED BY
0 1568 JASON .- 360-509-5066 R TURNED 12/04/15 1052. PM S14B
***FINAL*** WIFA, CALL Page: 1
QTY ITEMV- ..-EESCHPH6N DAY WEEK MONTH - AMOUNT
I MN20-0032 DRAGER X-AM2000-N GAS MONITOR 472 ,00
Seri-all', ARFE-2223
OFF RENT# 9668
1 MN25-0000 DRAGER X-AM CHARGER 0.00
OFF RENT# 9668
1 MN26-0000 PIRCTECTIVF RUBBER BOOT X-A.M 0.00
OFF RENT# 9668
1 M005-0000 HARD CASE 0.00
OFF RENT# 9668
----- Payments -- ----
PLUSE JNt-:p E: i j:F;M, `:V.
n1f1ORTxN'T is coNlAtNEA)ON THE flY%7FRSY.S-j1W.READ!
ijrnwm apply t, mint as ah ki, RENT 472.00
of X4%wc Uaicrzro-jrjd. 17, tvvii—tl,, n, r THESE LIMMITIONS
ViCLUDE,EWTARE NOT lNk-:S DISCIAMIER SALES 0.00
orxww.4Ritks-rivs,jmpj.jEf,) �\PRISSoil ollk,LNCIA'DINC VISCIAISIR14 OTHER 0.00
TFIATTIM FQUITNENI 1.-;WUtTIA.NTF:D 01t A niRTIC1.11-11t
PURPOSE. Cut uur wkl,•,.! i;!.; tj.- h--rcm md DW/FEES 4.72
SALES TAX 44.81
Cjwommr achnwledq s TOTAL DUE 521.53
r:idxm-,L a t,�,M aB1;.Fa11 czfnphan,,with 11 it'l.r,L-i 1-na!I USE.OF1 1118 voull'NILNT FOR"UNI,
PUHNViF 0111PR TIL%.\SPIVIFIFI).Oft CONTINUED LI81:0F1 HIS FiJUTPINIENT THAT
X 07-DEC-15 08:08:09
FA Sheet No.:
4MA DAILY REPORT OF
79W
CONSTRUCT ON
MANAGEMENT FORCE ACCOUNT WORKED
Project Name: central Ave S. Pavement Preservation and Utility Improl Project No.. 13-3004
Item No,: Date: 12/1/2015
Description of Work: Sinkhole at @ STA 31+44 R. Bravo vactor truck attempting to remove hole,found old base with
loose soils around it. Base fell deeper into excavation. Backfilled with CSBC and compacted.
Work by Subcontractor?: (mark"x"if yes)
Prime Contractor: Marshbank Sub-Contractor:
STRAIGHT TIME OVERTIME DOLLAR
FIRST NAME OCCUPATION HOURS WWR HOURS WWR AMOUNT
Marcus H Pipe Layer&Caulker72 $ 51.82 $ 103-64'
r
Arthur L Pipe Layer&Caulker 1 $ 51,82 7
$ 51,82
James M Apprentice Operator 70 1 $ 51.41 $ 51.41
#N/A $ -
i $
SUBTOTAL-LABOR: $ 206-87
LABOR OVERHEAD&PROFIT @ 29% $ 59.99
LABOR TOTAL $ 266.86"
HOURS HOURS ADJUSTED STANDBY DOLLAR
I
EQUIPMENT AND ATTACHMENTS WORKING STANDBY RATE RATE AMOUNT
MCI -000
7 8 F-250 2 $ 17.04 $ 34,09
7717 11 $ _ _
#N/A $
SUBTOTAL-EQUIPMENT 34,09
EQUIPMENT OVERHEAD,&PROFIT @ 21% $ 7.16
EQUIPMENT TOTAL $ 41.25
MATERIALS I SERVICE DESCRIPTION QUANTITY UNIT PRICE AMOUNT
Bravo Environmental Invoice tt 27523 1 LS 901.25 901.25
8,85 T
CSBC 77- n 17.95 158.86
SUBTOTAL-MATERIALS $ 1,060.11
MATERIALS OVERHEAD&PROFIT @ 21% $ 222.62
MATERIALS TOTAL $ 1,282.73
Verification of Hours Worked: TOTAL: $ 1,590.84
12%MARKUP(for prime when subcontract work) $ -
d__n_a_m_e')------------
SHEET TOTAL,: 1,590.84.
i_go_0_tU'(_ 0 e----------'a-t-e-,
--------------------
---------------------------
-
Owner's Representative(panted name)
Prime Markup on Subcontractor:
----------- %
...... 12 � <$25,000
10%: $25,000,to$100,000
Pay Estimate Entered: 7% >M0,000
Date: If checked,this work is in dispute, By signing this forin, parties are
B y' agreeing to the tirne and effort needed to accomplish the task Entitlement
1 of 1
Time and Material Report
Date: 12/01/2015 Job Code: 1568
.oremari: CHRISTOFFER HANSEN CENTRAL AVE S
Shift: 1
A1-1385.0001-01 MINOR CHANGES 4.00 CALL
Labor Pay Class 1st Rate Hrs 2nd Rate Hrs 3rd Rate Hrs Total Hrs
MARCUS R HANSON PIP 2.00 0.00 0.00 2.00
ARTHUR W LANDRY PIP 1.00 0.00 0.00 1.00
JAMES 6 MILLER APP065 1,00 0,00 0.00 1,00
Total: 4.00
Equipment 1st Rate Hrs 2nd Rate Hrs 3rd Rate Hrs Total Hrs
0008-2008 FORD F250 2.00 0.00 0.00 2.00
Totak 2.00
Cost Code Note; Bravo Environmental ham vac, truck Out as part of this viork -requested they invoice this work separate from the pot
holing work that was doncafter the sinkhole was addressed. lnvolce ShMkrl if)C,pLjde, their hours for vactor work, onsite,
travel tirne, and clurvil) fve "attribu ed to this portion of the wrjrk .Pnvojce shcu9d reference"Sinklide"on it,
Inspector Note: hi the area of an existing storni drainage structure loc,ated at approx. Sta. 35�-50 (Cerutral Ave Auto Sek�s) as 11 iinor
sinkhole was noticed dUrilo() sidewaCk demolition City of Kent had experienced issues in this area previously and
und(,:r a separate force account shoot Marshbank persorrwd had investigated tho, straacture per direction from the City
of Kent.
On this day a vac truck from Braivo was unutilizod to remove soil and Ioak fori.i cause of the 1SSUe. An old concrete
h,,.ise approx. 18"-24" in rliarne ei was found a coupk, of feet Wow grade with soils surrOL)n6ng it loose Under
direction, loose soars were rernoved around the concrete base, however, rernoval of the base was not practical due to
h0ing Unsafe for personnt,0 to ,'access it so it shwed deepr,,r bebw grade CSBC w,,,is placed in the h6e and from 4'
bF,-Jow grade to grade,,vas compacted using a juniping jack compactor
Printeo orr 1210712015 08:49:40 Page I
�,�A, ,
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ism INVOICE
Customer Jot) M Invoice M 27523
e. �'; „i 1 r x t J 4�1 � A PO #: ?' Involve Date 1211/2015
r
Bravo Job M C 031125 Due Date: 12/31/2015
Bill To: Job Site:
Mfarshbank Construction Inc � Ma,rshb ank - 1568 Central Ave
PO Box 97 Central Ave S. Pavement
Preservation& Utility CIP
Lake Stevens WA 98258 Kent WA
Date D crip trrar�_. WO/D IS . ., Merit Puantity.w ..w Price,... ,.. ,..Amount
Farce account
121112015 Sinkhole 40655 HOUR 4.00 170.00 630.00
Disposal TON &85 25.00 221.25
*F
r
r
Please emit T : Terms: Net 30 Invoice Total: 00'1,25
i
Bravo Environmental NW, lnc, ThankYouFor Your Business[ Sales Tay 0.00
6437 South 144th Street
r Tukwila, WA 98,168 � To Pay 5y Phone EOFa Due ::917.25
Please fall (425) 42.4- 000 --
6413Y Soulh 144tit Str,rf.,l I x.okwila, VVA 9"3168 (4 25) 424-9000 (425) 42 l..9002 fax
4927 NVv' i :.melt Av nu 'Ca¢tI R'1rt, t;Dl= 97210 (50"91 261-tt800 i 0 ti 261-99(:0 fax
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DATE JOB CA ION-,ADDRESS UNIT
Q ANWTff BERMBLOC 1-0 rAL
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000003 CENTRAL AVF S PVMNT PPSWN TT KEMP
1,'5 6 B-0 3
12/01/ 1 9 32 . 90 TN 1 1 /1 CR MINUS TT CSBC 11 , 900 C Am) �90 ' V
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Are you lookcinq for a clean, high quality, low cost screened topsoil?
Call our d4patch at 891-6686 today to order! AMOUN'TDUE
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CORLIISS RESOURCES CUSTOMER
Quality Concrete•Mashed Sand&Gravcl•Crushed Rock' �
ll wro� l' l "Great Service Since 1945'"
1800 YOU POUR
P.O.Sox 487*Seanener,Washington 98390
concrete Dispatch:Phone 253 8916680-'hAX 253 8916691 Gravel Dispatch: Phone 253 8916686 d rAAX 253 8916692
)ATE TOME DUST NO PLANT# TICKET NO
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s ST RO. JOB NUMBER SELFfDELVD DRIVER TRUCK ID
1JP J wr,si_
SOLO TO: QUANTITY ORDERED GROSS WEIGHT
QUANTITY DELIVER-ED TODA#Y I TARE WEIGHT
IQ i 1K"e, 'fir" 55
DELIVERED TO DATE NETWEI(3HT
DELIVERY ADDRESS AND INSTRUCTIONS 59, 100
LOAD NO. TONS
PRODUCT CODE AND DESCRIPTION
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PLANTTIMEOUT l fi Qb iTlp IN r IC7RTINt1EQ116 PLANT TIME IN —SUBTOTAL
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kn additional ha69e T rill e made on deliveries-i' s th t 12 yards. Loads quoted by the yard, are sold by volume;.approximately 1.35
ons per yard.Any dump delays over 18 minutes will b,ccharged at the current hourly truck rate. Not responsible for damages beyond
he curb. TERMS: DUE 10TH OF MONTP FOLLOWING DATE OF PURCHASE, FINANCE CHARGE OF 1.833% PER
AONTH (22%PER AN1 UM) WILL BE CHARGED ON ALL PAST DUE ACCOUNTS,
BC Scale TickeG 4-11 A$35.00 SERVICE CHARGE WILL BE COLLECTED ON ALL RETURNED CHECKS. 70
FA Sheet No..,
DAILY REPORT OF
CONSTRUCTION
INIANACEMENT FORCE ACCOUNT WORKED
Project Name: central Ave S. Pavement Preservation and Utility Impr9l Project No: 13-3004
Item No.: Date: 12/4/2015
Description of Work: Sinkhole at I STA 31+44 R.Re-enter structure to mud LIP the pipes.Allwest underground safety
gear used again.
Work by Subcontractor?: (mark`x"if yes)
Prime Contractor; Marshbank Sub-Contractor:
Mill
STRAIGHT TIME OVERTIME DOLLAR
FIRST NAME OCCUPATION" HOURS WWR HOURS WWR AMOUNT
Marcus H Pipe Layer& Caulker 1 $ 51.82 51.82
Arthur L Pipe Layer&Caulker 1 $ 51.82 $ 51.82
#N/A
#N/A
$
SUBTOTAL-LABOR: 1I
LABOR OVERHEAD&PROFIT @ 29% 30.06-
LABOR TOTAL $ 133.70
URS HOURS ADJUSTED ' STANDBY DOLLAR
EQUIPMENT AND ATTACHMENTS KING STANDBY RATE RATE
Ar
MCI -0008 F-250 7 $ 17,04 17,04
1 1 77
#N/A $
$
SUBTOTAL-EQUIPMENT $ 17.04
EQUIPMENT OVERHEAD&PROFIT @ 21% $ 3.58
EQUIPMENT TOTAL $ 20.62
MEER
MATERIALS f SERVICE DESCRIPTION QUANTITY UNIT PRICE AMOUNT
Allwest Underground Invoice# S2250 I LS $ 857.43 $ 857,43
1 $
SUBTOTAL-MATERIALS $ 857.43
MATERIALS OVERHEAD& PROFIT @ 21% $ 180.06
MATERIALS TOTAL $ 1,037.49
Verification of Hours Worked: TOTAL: $ 1,191.80
12%MARKUP(for prime when subcontract work) $ -
-a-n-7i --------------17 SHEET TOTAL: $ 1,191.80
..........D'a"t"e.....
---------------- -------------- . .
i Representative(printed name)-........ ....
Prime Markup on Subcontractor
----------�;;t e------- 12%: <$25,000
owner's Re reserrtative Sr nature10%: $25,000 to$100,000
Pay Estimate Entered: 7%: >$100,000
Date: F] If checked,this work is in dispute. By signing this form, partles are
By: agreeing to the drine and effort needed to accomplish the task Entitlement
1 of 1
Time and Material Report
ate; 12101412015 Job Code: 1568
coreman: CHRISTOFFER HANSEN CENTRAL AVE S
Sh ft; I
A1-1385.0001-01 MINOR CHANGES 2.00 CALC
Labor Pay Class 1st Rate Hrs 2nd Rate Hrs 3rd Rate Hrs Total Hrs
MARCUS R HANSON PIP 1.00 0.00 0.00 1.00
ARTHUR WLANDRY PlP 1.00 0.00 0.00 1.00
Total: 2.00
Equipment 1st Rate Hrs 2nd Rate Hrs 3rd Rate Hrs Total Hrs
0008-2008 FORD F250 1.00 0.00 0.00 1,0(3
Total: 1.00
Cost Code Note: Need to include nvodce front Ahwest for the safety gear req.Jred to enter the stn.jrturc. Should be I invoice, wNch will
be for Oie initial investigation work and this repair work
Inspector Note: Tinie ii forrnudding ur)the,structure near the Sinkhole Idxcated at approx. Sta. '31+50 (Central Ave S Auto Sales)
Approved by
.,aciftc, poelta!1d,om-goo Woodinville,Wa5hoigicn
ALLAVEST 799 it,
Ave,SF 4L[2(1 NE ElUffalo';!. 8419 219[h ST SE
Pacifk,INA 98047 poft1jr-14,OR.97211 Woxfirivi 1'e,WA 99072
Y T Phone.(251P987-7555 Qfr,ce:f503"646-8875 Orince:(42531)3-2353
UNDERGROuNiL.P j.-.\c Fax 2153:9E?-75156 Fax fT,�'3':445-20110 Fa),
800-829-8505 Ftern�z t.:, 793'�Aerti•i)-A-,-�-.-;E,Pa,ifi,�1,7,4,9�047
'RENTED TO JOB LOCATION HER-ET
MARSHBANK CONS TRLfift'IbN Org# 52242-ST-1
PO BOX 97 ( r$ CENTRAL AVE, S & 266TH ST InvIl 52550
LAKE STEVENS WA 90 KENT WA
Loc 100
DL/ID # CTC CELL PHONE -DATE TIME
113008 JASON W (425) 377-9708 OUT 1.1/19/15 11:33 AN RSJ
F (425) 377-0-109
SLSM PO/JOB # RECEIVED BY
0 1568 JASON - 360-509-5066 RETURNED 12/04/15 1 ;52 PM RSJ
***FINAL*** WILL CALL Page:
F-QTY ITEM# DESCRIPTION DAY WEEK MONTH AMOUNT.]
I W050-0137 MR-50 WINCH WB 472 .00
Serial-4 M1.31937
OFF RENT# 9660
Customer is Responsible for Following
ALL State & Federal Regulations.
1 W007-0000 7' ALUM TRIPOD W/BAG 0.00
OFF RENT11 9668
I W751-0000 PULL BODY HARNESS 32.00
OFF RENTV 9668
1 VA08-0016 0811 ELEC. FAN 224 .00
Serial# 1010
OFF RENT4 9668
1 V005-0000 081IX25, BLOWER HOSE 48.00
OFF RENT# 9668
2 V025-0000 POLY HOSE CANISTER 0.00
OFF RENT4 9668
Payments ------
PLEASE:REMIT FROM Till 3 L%AT)I(-"K?TF. NisNET 30DAYS.
Thera arc r.(,,oval or affirr repr—!nkatiotu in-Audqd in thin 3,necnwnt. The tzrws on thr r
si&oMiA agrrm-Atapplv to ti-ji.acm-en—at as ind:,ated ur.d Act forth the.lin-dtiti-.,naoi llahjlily RENT
776.00
of Mkvta; Vndcrgruund, Ino QZ IVC-11 (,uitmcr. I'll ESE 1,15IMMONS
INCLUDF,RL7ARRINOT 1.1.111ITF131 T0,MA.IATST Us DRRCftOLT?Q),IINC.'S DISC12LIM Ell SALES 0.00
OTHER 0.00
THATTIM EQt:IPNIr.1-r1411VARILkN7r ED FOR NIFRCUNNTAIII1,11T OH]'�,UITICVI-AR
PURPOSE. ackn,0cig, it hfc;rend the term-4 ind ctnffl;i?n=;,ntmn,rl hercir- md DW/FEES 7.76
u.th" SALES TAX 73.67
has rc-i--d nn,i iA J wirh iht t%,imrg. TOTAL DUE 657.43
smf,,us of th-,-cq"ipmqniX-,;,tvmi-r
hg,,KFw u-ffi.ivju=pmvi-tonly for th it s rraskwkt-le and daft aianm-,
x!d in'call c�,mjtlmnc,Kitn fistoc:d b+-1 1wN�,USE OF11113 FORXNy
PURPOSE OTlIFR TIL-ANSPE(IFIFI),OR MINTINUM USE OFTUIS YQUIPAIFN.7 THAT
07-DEC-15 0 8 11 4 6